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You’re assessing the stoma of a patient with a healthy, well-healed colostomy. You expect the stoma to appear:
Good circulation causes tissues to be moist and red, so a healthy, well-healed stoma appears red and moist
2
Pale, pink and moist
Red and moist
Dark or purple colored
Dry and black
Pathology
null
f7cc13f0-58a1-4695-8c7c-8a669ac62b8c
single
Platelet function can be assessed by ?
Ans. is 'd' i.e., Bleeding time
4
Prothrombin time
Fibrinogen degradation products
Clotting time
Bleeding time
Pathology
null
9e300a8b-183a-44a2-aa67-2f95795a6c84
single
By which method foreign DNA is introduced into a cell by a virus or viral vector?
(A) Transduction[?]TRANSDUCTIONoTransfer of genetic information from one cell to another by means of a viral vector.oRefers to the process whereby foreign DNA is introduced into another cell via a viral vectoroTransduction does not require physical contact between the cell donating the DNA and the cell receiving the DN...
1
Transduction
Transcription
Lysogenic conversion
Transformation
Biochemistry
Molecular Genetics
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single
Preferred drugs in clinical situations associated with hypeensive emergencies: a) Nitroprusside is preferred in aoic dissection b) Phentolamine is the first choice in adrenergic crisis c) Hydralazine is preferred in eclampsia d) Nitroglycerin is best in acute left ventricular failure e) Nicardipine in case of cerebrova...
Nitroprusside is prefered in aoic dissection, Phentolamine in aoic crisis, Hydralazine in eclampsia, nitroglycerine in hypeension associated with LV Failure and nicardipine in CVA Ref: Harrisons, Edition18 , Page - 2058
1
All true
c,d,e-True & a,b-false
a,e-True & b,c,d-False
a,b,d, e-True & c-False
Medicine
null
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multi
Example of enzyme specificity:
Ans. D. All of theseEnzymes are highly specific in their action as compared with chemical catalysts. Three types of enzyme specificities are well-recognized.(a) Stereospecificity: The enzymes act only on one isomer and therefore exhibit stereoisomerism. e.g., L-amino acid oxidase on L-amino acids; hexokinase on D-hexos...
4
Stereo specificity
Reaction specificity
Substrate specificity
All of these
Biochemistry
Enzymes
b8df579d-8785-4714-a155-fb4adf93fe32
multi
Commonest type of cleft lip is
Distribution of Cleft types Cleft lip alone - 15% Cleft lip & palate - 45% Isolated cleft palate - 40% Ref : Bailey & Love 25/e p657
4
Cleft lip alone
Bilateral
Midline
Combined with cleft palate
Surgery
Head and neck
6be70c42-4983-42dd-b39a-fc92cae285a1
single
Fecal leucocytes are absent in all of the following, except:
Campylobacter infection
3
Giardiasis
Cryptosporidiosis
Campylobacter infection
Clostridium perfringes infection
Microbiology
null
ad437f25-bf59-4728-b582-3952ee0cbe49
multi
Which of the following drug decreases plasma renin activity?
Ans. is 'd' i.e., Clonidine o Drugs which increase plasma renin activity (Diuretics, vasodilators, CCBs, ACE inhibitors) may be combined with drugs which lower plasma renin activity (sympatholytic drugs - b-blockers, clonidine, methyl dopa).
4
Enalapril
Nefidipine
Hydralazine
Clonidine
Pharmacology
null
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single
The organism most commonly causing genital filariasis in most part of Bihar and eastern U.P. is-
The nocturnal periodic strains of Wuchereria bancrofti is most wide spread in India. Mainly along seacoast and riverbanks. Heavily infected areas – Uttar Pradesh, Bihar, Andhra Pradesh, Orissa, Tamil Nadu, Kerala and Gujarat
1
Wuchereria bancrofti
Brugia malayi
Onchocerca volvulus
Dirofilaria
Microbiology
null
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single
Macroglossia is seen in following except -
null
3
Amyloidosis
Acromegaly
Hyperthyroidism
Down's syndrome
Medicine
null
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multi
EAC rosette formation is the propey of one of the following type of immune cells -
Erythrocyte antibody complement rosetting (EAC-rosetting), occurs when antibody in the presence of complement is bound to the surface of a red blood cell. The complement binds to the tail region (Fc region) of the antibody. Finally T-cells with a complement receptor are added and the T-cells bind to the complement on t...
1
T cells
B cells
Macrophages
All of the above
Microbiology
Immunology
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multi
Epstein Barr virus is associated with-
null
3
Carcinoma larynx
Carcinoma bladder
Carcinoma nasopharynx
Carcinoma maxilla
Microbiology
null
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single
Therapeutic conisation is indicated in: September 2009
Ans. A: CIN III Conization of the cervix is defined as excision of a cone-shaped or cylindrical wedge from the cervix uteri that includes the transformation zone and all or a poion of the endocervical canal. It is used for the definitive diagnosis of squamous or glandular intraepithelial lesions, for excluding microinv...
1
CIN III
Cervical metaplasia
Microinvasive carcinoma
Unsatisfactory colposcopy with cervical dysplasia
Gynaecology & Obstetrics
null
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single
All of the following statements are true about development dysplasia (DDH) of the hip, EXCEPT:
Twin pregnancy has not been mentioned as a risk factor for developmental dysplasia of hip. All other statements in relation to DDH are true. Ref: Tochdjian's Paediatric Ohopaedics, 3rdd Edtion, Pages 514, 516, 520.
4
It is more common in females
Oligohydramnios is associated with a higher risk of DDH
The hourglass appearance of the capsule may prevent a successful closed reduction
Twin pregnancy is a known risk factor
Surgery
null
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multi
Buruli ulcer is caused by:
Ans: b (M. ulcerans) Ref: Ananthanarayan, 7th ed, p. 367M.ulcerans is the only toxin producing mycobacterium, causing buruli ulcer
2
M. tuberculosis
M. ulcerans
M. marinum
M. fortuitum
Microbiology
Mycobacteria
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single
Force between denture and saliva is?
Force b/w like molecules = Cohesive force (like force within the thin film of saliva) Force b/w unlike molecules = Adhesive force (like force b/w saliva & tissue or saliva & denture base)
1
Adhesive
Cohesive
Both
Intefacial tension
Dental
null
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multi
Failure of the administrators of the hospital to provide adequate facilities comes under
Corporate negligence It is the failure of the administrators of the hospital to provide the adequate facilities including doctors. The hospital administration should provide standard equipments and competent employees. If the damage has occured as a result of negligent action of hospital administration, then it is liab...
2
Contributary negligence
Corporate negligence
Composite negligence
Therapeutic misadventure
Forensic Medicine
Medical Jurisprudence
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Nephrocalcinosis seen in all except: March 2005
Ans. B: Acute pancreatitis Primary hyperparathyroidism is single most common cause of nephrocalcinosis in adults Distal Renal Tubular Acidosis is second most common cause of medullary nephrocalcinosis - Both familial and secondary forms have high incidence - Contributing mechanisms are hypercalcemia, acidosis, and redu...
2
Sarcoidosis
Acute pancreatitis
Hyperparathyroidism
Vitamin D intoxication
Medicine
null
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multi
Pulses bisferiens is best felt in -
null
2
Carotid artery
Radial artery
Brachial artery
Femoral
Medicine
null
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single
Increased gamma efferent discharge seen in all EXCEPT:
Shallow rapid breathing does not increases gamma efferent discharge. Anxious patients may sometimes exhibit hyperactive tendon reflexes. Stimulation of the skin, by noxious agents, increases g-efferent discharge to ipsilateral flexor muscle spindles while decreasing that to extensors; and produces opposite pattern in t...
4
Anxiety
Jendrassik's maneuver
Skin stimulation
Shallow rapid breathing
Physiology
Motor System
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multi
Citric acid cycle is an example of:
Amphibolic pathways, which occur at the "crossroads" of metabolism, acting as links between the anabolic and catabolic pathways, eg, the citric acid cycle. Ref: Harper 28th edition, chapter 16.
3
Anabolic pathway
Catabolic pathway
Amphibolic pathway
None of the above
Biochemistry
null
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multi
Function of carnauba wax:
This wax is very hard, and it has a relatively high melting point and it has an agreeable odor. It is combined with the paraffin to decrease flow at mouth temperature.
4
To provide a smooth and glossy surface
Increase toughness
Decrease toughness
Decrease flow at room temperature
Dental
null
1e52559f-b367-4eca-ac9c-55859f6ad8a4
single
A 20-year-old male came to the clinic with fatigue and weakness. Following findings were noted, what will be the likely diagnosis?
Peripheral smear image shows blast with presence of rod-like cytoplasmic inclusion called as AUER ROD The other image shows Gum hyperophy, seen in some types of acute myeloid leukemia (AML). In AML with monocytic differentiation i.e. AML-M4 and AML-M5 (more commonly), infiltration of the skin (leukemia cutis) and the g...
4
Chronic myeloid leukemia
Acute lymphonlastic leukemia
Chronic lymphocytic leukemia
Acute myeloid leukemia
Pathology
FMGE 2019
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single
Which of the following is not a reducing sugar?
Sucrose contains glucose and fructose .sucrose is not a reducing sugar, and it will not form osazone. is because the linkage involves first carbon of glucose and second carbon of fructose, and free reducing groups are not available.Ref: DM Vasudevan, 7th edition, page no: 77
3
Fructose
Galactose
Sucrose
Maltose
Biochemistry
Metabolism of carbohydrate
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single
Molar pregnancy diagnosis is by-
Ans. is 'a' i.e., USG Investigations for molar pregnancyo CBC & blood groupingo LFT, RFT & Thyroid friction testso Sonography - "snow storm appearance"is characteristic.o Quantitative estimation of HCG-High litre in urine, diluted upto 1 in 200 to 1 in 500 beyond 100 days of gestation is very much suggestive. Rapidly i...
1
USG
CT
MRI
X-RAY
Gynaecology & Obstetrics
Hydatidiform Mole - Molar Pregnancy
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single
AFP is raised in-a) Yolk sac tumorb) Seminomac) Teratomad) Endodermal sinus tumore) Cirrhosis
null
2
bce
acde
abcd
abde
Pathology
null
6e571718-69e0-4455-b9c1-1163aeec6eee
single
During pregnancy, deficiency of which vitamin in women causes neural tube defect in the newborn: March 2010
Ans. C: Folk acid Deficiency of : Thiamine causes Ben Beni, neuritis Pyridoxine causes Convulsion, hyperirritability Folic acid causes sprue, Anemia and neural tube defect in the newborn born to folate-deficient mothers Cyanocobalamin causes pernicious anemia, loss of vibration and position sense, dementia, abnormal ga...
3
Thiamine
Pyridoxine
Folic acid
Cyanocobalamin
Gynaecology & Obstetrics
null
bcae513f-7673-49ad-8f7a-3624d0e578a2
single
Youngs surgery is done for the treatment of -
Ans. is 'a' i.e., Atrophic rhinitisSurgical treatment of Atrophic rhinitisYoung's operationModified Young's operationNarrowing of the nasal cavity by (Lautenslagers operation) -Lautenslagers operation
1
Atrophic rhinitis
Rhinoscleroma
Deviated nasal septum
Choanal atresia
ENT
Operative Surgery
071864ec-1d2a-4ed9-837a-8a6220dc6fe7
single
Which of the following Human papilloma virus subtypes are not covered by Quadrivalent Anti-cervical cancer vaccine?
b. Type 7(Ref: Nelson's 20/e p, Ghai 8/e p 200-201)Quadrivalent HPV vaccine contains serotypes 16, 18, 6 & 11 with aluminium containing adjuvant.
2
Type 6
Type 7
Type 11
Type 16
Pediatrics
Immunization
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single
Muscle relaxant of choice in renal and hepatic failure
Refer Katzung 9/e p432 Atracurium and cis-Atracurium are muscle relaxants of choice for renal and hepatic failure patients
1
Cis Atracurium
Vecuronium
Rocuronium
Rapacuronium
Pharmacology
Anesthesia
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single
All of the following are given global prominence in the VISION 2020 goal, EXCEPT:
Vision 2020: The Right to Sight Objective: It is a global initiative to eliminate avoidable blindness by the year 2020. Global target diseases include: Cataract, childhood blindness, trachoma, refractive errors & low vision & onchocerciasis. Ref: A K Khurana, 5th Edition, Page 205
3
Onchocerciasis
Cataract
Glaucoma
Refractive errors
Ophthalmology
null
6826b1a5-728d-4ad2-abeb-4fc584144060
multi
The preferred treatment option for primary syphilis is :
null
1
Injection Benzathine pencillin 2.4 million units IM single dose
Injection Benzathine penicillin 2.4 million units IM Once a week for 3 weeks
Cap. Doxycycline 100 mg orally twice a day for 2 weeks
Tab. Azithromycin 2 gin single dose
Pharmacology
null
fbd8859a-ee59-4de5-be86-1dc1a538946d
multi
Inhalational agent of choice for Pediatric Anaesthesia ina child with congenital hea disease
Anaesthetic agent of choice in Pediatric age group Inhalational agentIV anaestheticsNM blockersIM anaestheticsSevoflurane, Nitrous oxide Thiopentone, Propofol Rocuronium, Atracurium, Mivacurium, Succinylcholine Ketamine ( Reserved drug )(Refer: Morgan's Clinical Anaesthesiology, 4th edition, pg no: 922-938)
1
Sevoflurane
Isoflurane
Halothane
Enflurane
Pathology
All India exam
b613b89d-d5f7-45bc-8375-9ac3b5d0be68
single
La belle indifference is seen in -
In conversion (dissociative) disorder, inspite of the severity of symptoms many patients are indifferent to their presence. It is referred to as la belle indifference.
1
Conversion reaction
Schizophrenia
Mania
Depression
Psychiatry
null
fa771dfa-b8c5-4275-9929-690fe2947f7f
single
Optimum orthodontic force should not exceed the:
null
3
Arterial blood pressure
Venous blood pressure
Capillary blood pressure
Masticatory pressure
Dental
null
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single
Surface hemagglutination with adherence to glycoprotein act in
(Influenza virus) (428-30- Ananthanarayanan 8th)* In the case of the Influenza viruses, the hemagglutinin on the virus surface gets attached to glycoprotein receptor sites on the surface of the respiratory epithelium.Other examples are, Human immuno deficiency virus, poliovirus* Haemagglutin - surface antigen, strain s...
2
Herpes virus
Influenza virus
Hepatitis-B virus
Cytomegala virus
Microbiology
Virology
af7bfcb7-7dbd-42a0-8e29-1c14c3f392eb
single
In case of fenestration and dehiscence type of flap indicated is
null
2
Full thickness flap
Partial thickness flap
Any of the above
None of the above
Dental
null
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multi
The most important radiological sign of splenic rupture is -
null
2
Obliteration of psoas shadow
Obliteration of splenic shadow
Indentation of the left side air bubble
Fracture of one or more lower ribs on left side
Surgery
null
ecf4b124-8ced-41c7-99c7-c7ceae035ec8
single
In cleft lip operation all the stitches are removed on -
Stitches are removed on 5 post -op day
2
2nd day
4th day
10th day
14th day
Surgery
null
5fb8a3c7-c5c4-4e78-9db9-6cacb2df8646
multi
Compared with spectacles, the contact lenses
As contact lenses tend to return the images to near normal size, the images are minifid in hypermetropia and magnified in myopia.
1
Increase the field of vision
Magnify images in hypermetropia
Minify images in myopia
Do not reduce aniseikonia and optical aberra on
Pathology
All India exam
c731d45e-090d-48c4-bfb4-7eca6ff05463
single
In a dried skull, holes on the lingual aspects of the deciduous teeth are called
null
4
Volkmann canals
Canals of Hirschfeld and zuckerland
Haversian canals
Gubernacular canals
Dental
null
a94e8a62-c0fe-45f3-9b6f-133015a7efe4
multi
Which of the following hormones are raised in PraderWilli syndrome-
Ans. is d i.e., Ghrelin o Prader Willi Syndrome is associated with elevated circulating levels of Ghrelin. Prader Willi Syndrome Hypotonia (severe hypotonia with poor suck and failure to thrive in early infancy) Hyperphagia and Obesity (may be related to elevated Ghrelin levels) Hypogonadotrophic Hypogonadism (si,GnRH;...
4
Growth Hormone (GH)
Leutinizing Hormone (LH)
Follicle Stimulating Hormone (FSH)
Ghrelin
Pediatrics
null
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single
During follow up of a case of acute otitis media, a 6 year old child found to have glue ear with no symptoms. Next step of management is:
Close to 90% of episodes of otitis media with effusion (glue ear) resolve spontaneously after an acute otitis media episode is diagnosed. The American Academy of Pediatrics 2004 consensus guideline recommends watchful waiting without immediate use of antibiotics for children with uncomplicated otitis media with effusio...
1
Wait and watch
Antibiotics
Coicosteroids
Antihistamines
ENT
null
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multi
Secondary toicollis may develop as a result of all the following except
Other causes of secondary toicolis are tuberculosis, pyogenic infection, ankylosing spondylitis, osteoid osteoma, intraspinal tumours, intracranial tumours of the posterior fossa etc.
4
Skin scarring usually following burns
Veebral injuries
Prolapsed interveebral disc
Sacroiliitis
Pathology
All India exam
4e1849e3-9b13-40d0-8910-89f1f4a52a9c
multi
A 30 year old male came to OPD with complaints of having bad dream. He got up scared and experiences signs of anxiety like tachycardia, sweating. He is able to recall the episode. The most likely diagnosis is
As the patient is able to recall the episode, it is a REM phase disorder, i.e Night mare.
2
Night terror
Night mare
Narcolepsy
Nyctophobia.
Psychiatry
null
6dc5e74f-8b6c-4985-8326-c662f36e881f
multi
Deficiency of which of the following element will impair wound healing:
Zn is a co-factor in collagenase.
1
Zn
Cu
Fe
Na
Pathology
null
f5bce6fa-cd2c-4b13-9978-312ba9cfdcc9
single
Subepidermal blisters with granular deposits of IgA selectively localized to the tips of dermal papillae is a feature of-
Histologically, the early lesions of dermatitis herpetiformis consist of neutrophilic micro-abscesses at the tips of papillae, producing separation or blister between the papillary dermis and the epidermis. The older blisters contain a fair number of eosinophils causing confusion with bullous pemphigoid. Direct immunof...
1
Dermatitis herpetiformis
Pemphigus vulgaris
Lichen planus
Psoriasis vulgaris
Pathology
Urinary tract
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single
Trendelenberg test is positive in palsy of -
Ans. is 'b' i.e., Gluteus medius Trendeienberg test:o It tests the stability of the hip and particularly of the abductor mechanism of the limb on which the patient is standing.o Principle of the test :Normally when one leg is raised from the ground the pelvis tilts up war as on that side, through the action of the hip ...
2
Gluteusmaximus
Gluteus medius
Rectusfemoris
Vastus medialis
Orthopaedics
Injuries Around Hip
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Repressed information can be brought into conscious mind by all except ?
Ans. is 'b' i.e., Focused attention Preconcious thoughts are readily accessible to conciousness by focused attention, but not unconscious thoughts which contains repressed memory. Freud advanced the 'topographic theory of mind' in the year 1900 in the book 'the interpretation of dreams'. It divides the mind into three ...
2
Dream
Focused attention
Hypnosis
Somatic stimulation
Psychiatry
null
08794c53-54d2-4ca5-a273-ccae11ca18e8
multi
Hyperparathyroidism is characterized by the following except:
Patients with PHPT(Primary hyperparathyroidism) formerly present with the "classic" pentad of symptoms:Kidney stonesPainful bonesAbdominal groansPsychic moansFatigue oveonesDiagnosis:- Elevated serum calcium and intact PTH or two-site PTH levels, without hypocalciuria establishes the diagnosis of PHPT
4
Generalized osteoporosis
Renal calculi
Hypercalcemia
Osteosclerosis
Surgery
Parathyroid and adrenal glands
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multi
Possible cause of choriocarcinoma after hydatidiform mole is all except:
Ans. is b, i.e. More theca lutein cystsSuburethral Nodule indicates metastases choriocarcinoma. All others are very well seen in the conversion of a complete hydatidiform mole into choriocarcinoma except more theca lutein cyst.It is not the number of cyst but size of cyst (>= 6 cms) which indicate neoplastic \conversio...
2
Rising hCG
More Theca lutein cysts
Increase uterus size
Sub urethral nodule
Gynaecology & Obstetrics
Gestational Trophoblastic Disease
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multi
Diuretic that is useful in mild to moderate hypeension is
Thiazides are not only drug of choice for mild to moderate hypeension but I first line choice for this type of patients as antihypeensive drugs Refer Harrison 19e/p1623
2
Loop diuretics
Thiazides
Osmotic diuretics
Potassium sparing diuretics
Pharmacology
Cardiovascular system
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single
Marker for menopause transition is:
Ans. is a, i.e. Menstrual irregularityRef: Williams gynae 3rd/ed, p472There is only one marker of menopausal transition, is menstrual irregularity. The cycles have long intervals (greater than 60 days).
1
Menstrual irregularity
Hot flushes
| bone mass
Cessation of menstruation
Gynaecology & Obstetrics
Miscellaneous (Gynae)
9196e026-edbc-44c4-b433-a2f66335135e
single
Total number of dehydrogenases in Krebs cycle
There are total 4 dehydrogenases present in kreb's cycle: 1. Isocitrate dehydrogenase 2. a- Ketoglutarate dehydrogenase complex 3. Succinate dehydrogenase 4. Malate dehydrogenase
3
3
2
4
5
Biochemistry
TCA Cycle
bcdfcec6-96aa-44e7-8cde-01d460afc7a3
single
In JVP, "a- wave" is due to:
Ans. C Atrial contractionRef: Harrison's Internal Medicine, 17th ed. Chapter 220, PE of CVS.NORMAL JVP WAVEFORM* Classically three upward deflections and two downward deflections have been described.* The "a" wave corresponds to right Atrial contraction and ends synchronously with the carotid artery pulse. The peak of ...
3
Atrial relaxation
Atrial filling
Atrial contraction
Ventricular relaxation
Physiology
Heart, Circulation, and Blood
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single
A 4 years old girl presented with abdominal lump. Bone scan is needed in:
Ans. b. Neuroblastoma (Ref: Schwartz 9/e p1449-1450; Sabiston 19/e p1859-1861; Bailey 25/e p814-815; Harrison 19/e 10 e-2t, 101e-3, 18/e p836; Ghai 7/e p590-591)A 4 years old girl presented with abdominal lump. Bone scan is needed in Neuroblastoma as metastasis is present in 60- 70% of patients at the time of diagnosis...
2
Wilm's tumor
Neuroblastoma
Rhabdomyosarcoma
PNET
Pediatrics
Neoplasms of the Kidney
a172ced2-b182-4a77-baaa-ce588038a1be
single
From which arteries is blood supplied to bone?
Bone is supplied by : nutrient artery, periosteal artery, metaphyseal (juxta-epiphyseal) artery, and epiphyseal artery.
4
Nutrient
Periosteal
Metaphyseal
All of the above
Anatomy
null
badd167f-1f84-43d5-97fd-6929b1a007e5
multi
Paranoid Schizophrenia is caused by -
Ans. is 'c' Amphetamine Drugs, like LSD, amphetamines and mescaline, can cause schizophrenia4ike symptoms in normal Subjects. " - Ahuja, 4/eThese lines indicate that schizophrenia, but whether they cause paranoid schizophrenia or not is not clear.Still the answer is clearly amphetamine.
3
LDopa
Fluoxetine
Amphetamine
Ketamine
Psychiatry
Schizophreniform Disorder
3b04e180-9ba5-4726-8ea2-44d5fa02db27
single
Most common organism cultured in CSOM is
Pus culture in both aerobic and anaerobic CSOM may show multiple organisms. Common aerobic organisms are Pseudomonas aeruginosa Proteus Escherichia coli Staphylococccus aureus While anaerobes include Bacteroides fragilis Anaerobic streptococcal (Ref: Textbook of diseases of ENT, PL Dhingra, 7th edition, pg no. 76)
4
Staphylococcus aureus
Staphylococcus epidermidis
Staphylococcus pneumonia
Pseudomonas aeruginosa
ENT
Ear
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single
Patient with thin painless otorrhoea, multiple perforations of the tympanic membrane and failure to respond to antimicrobial treatment. What is the most probable causative organism?
Thin painless otorrhoea, multiple perforations of the tympanic membrane and failure to respond to antimicrobial treatment are the features of tubercular otitis media and it is caused by Mycobacterium tuberculosisRef: PL Dhingra, Diseases of Ear, Nose & Throat, 7th edition, pg no. 81 - 82
1
Mycobacterium tuberculosis
Staphylococcus aureus
Candida albicans
Aspergillus fumigatus
ENT
Larynx
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A 7-year-old child has normal occlusion except for lingually erupting maxillary central incisor. He should be treated with:
Tongue Blade Therapy Tongue blade therapy can be employed in developing crossbite, when the maxillary incisor is erupting into crossbite and there is adequate space for the tooth to be moved.
2
Crossbite elastic
Tongue blade therapy
Maxillary acrylic inclined plane
Myofunctional therapy
Dental
null
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According to the 1CD-10 revision, for establishing a diagnosis of mania, the symptoms should persist for at least:
Answer- A. 1 weekAbnormality and persistently elevated, irritable or expensive mood for >1 weeks or need hospitalization>3 ofthese hyperactivities:Decreased need of sleepIncrease in goal orientated activity (social, spiritual, sexual, religious)* Excessive involvement in pleasurable activities (unrestrained buying spre...
1
1 week
2 weeks
3 weeks
4 weeks
Psychiatry
null
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All of these are the adverse effects of naloxone in the treatment of opioid poisoning except.
Adverse effects of naloxone are uncommon, may include rise in BP , pulmonary edema,ventricular dysrrythmia. Ref: KD Tripati 8th ed.
3
Hypeension
Pulmonary edema
Seizures
Ventricular dysrrythmia
Pharmacology
Central Nervous system
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All of the following statements are true about Granule cells of cerebellum except
null
3
They recieve input from mossy fibres
Output from granule cell axons bifurcate and give rise to parallel fibres.
Granule cells inhibited by Golgi cell is an example of feed forward inhibition
Granule cells stimulates basket cells
Physiology
null
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7 years old child with peritonsillar abscess presents with trismus, the best treatment is -
Treatment of quinsy include iv antibiotics and if it fails to relieve the condition in 24-48 hours the abscess must be opened and drained. — Logan Turner 10th/e p. 86
3
Immediate abscess drain orally
Drainage externally
Systemic antibiotics up to 48 hours then drainage
Tracheostomy
ENT
null
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Which one of the following conditions commonly predisposes to Colonic carcinoma ?
Ulcerative colitis The cardinal symptoms are rectal bleeding with passage of mucus and bloody diarrhoea. The presentation varies, depending on the site and severity of the disease , as well as the presence of extra-intestinal manifestations. The first attack is usually the most severe and is followed by relapses and re...
1
Ulcerative colitis
Crohn's disease
Diveicular disease
Ischaemic colitis
Medicine
G.I.T
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Which of the following is used in rape victims to determine the rupture of the hymen?
Glaister Keen rod is used for close examination of the hymen or the degree of its rupture. Ref - Krishan Vij 5th edition pg 314
2
Gram rod
Glaister Keen rod
Gaba rod
Cylinder rod
Forensic Medicine
Sexual offences and infanticide
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Bladder tumours mostly arises from -
null
1
Mucosa
Submucosa
Muscularis Mucosa
S eorsa
Surgery
null
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How many doses of vitamin A are required to treat deficiency ?
Ans. is 'c' i.e., 3
3
1
2
3
4
Social & Preventive Medicine
null
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Prophylactic drug of choice for diphtheria is:
Penicillin and erythromycin are the only antibiotics recommended for treatment. Both antibiotics are equally effective in resolving fever and local symptoms. However, erythromycin has been shown to be marginally superior. DOC- for carriers or for prophylaxis- Erythromycin for 10- 14 days.
4
Tetracycline
Cefaclor
Ceftriaxone
Erythromycin
Microbiology
Systemic Bacteriology (Gram Positive Bacilli, Gram Negative Bacilli)
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Cubital tunnel syndrome
null
2
Radial nerve
Ulnar nerve
popliteal nerve
brachial nerve
Medicine
null
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A healthy baby will start turning head to sound by ....... of age:
Ans. A. 3 - 4 monthsNewborns respond to sounds by startle, blink, cry, quieting, or change in ongoing activity. By 3 -4 months, the child turns head to sound. Hearing may be checked by producing sound 1 1/2 feet away from the ear (out of field of vision), and a pattern of evolving maturity of hearing can be observed, A...
1
3 - 4 months
7 - 8 months
9 months
12 months
Pediatrics
Growth, Development, and Behavior
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An 18-year-old client is admitted with a closed head injury sustained in a MVA. His intracranial pressure (ICP) shows an upward trend. Which intervention should the nurse perform first
The nurse should first attempt nursing interventions, such as repositioning the client to avoid neck flexion, which increases venous return and lowers ICP. Options B, C, and D: If nursing measures prove ineffective notify the physician, who may prescribe mannitol, pentobarbital, or hyperventilation therapy.
1
Reposition the client to avoid neck flexion
Administer 1 g Mannitol IV as ordered
Increase the ventilator’s respiratory rate to 20 breaths/minute
Administer 100 mg of pentobarbital IV as ordered.
Medicine
null
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"Luc's abscess" is
Luc's abscess - Under periosteum of the roof of bony external auditory canal Ref : ENT textbook by Dhingra 6th edition Pgno : 51-53
2
Abscess over temporal region
Abscess involving external auditory canal
Abscess over mastoid
Abscess along sternomastoid muscle
ENT
All India exam
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Medium term intervention for Vitamin A prphylaxis is -
- medium term intervention for vitamin A prophylaxis is foification of ceain foods with vitamin A. - addition of vitamin A to dalda in India is a typical example. Reference : Park's textbook of preventive and social medicine, 23rd edition, pg no:641 <\p>
3
Measles immunization
Vit A supplementation
Foification of food
Green leafy vegetables
Social & Preventive Medicine
Nutrition and health
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Ground glass hepatocytes are seen in
Ground glass hepatocytes are liver cells which have eosinophilic, granular, glassy cytoplasm on light microscopy. It is due to HBs Ag accumulation inside the cells, seen in Hepatitis B virus infection.
2
Hepatitis A virus infection
Hepatitis B virus infection
Hepatitis C virus infection
Hepatitis D virus infection
Pathology
null
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Drug therapy used in treatment of Wernicke's encephalopathy
(C) Thiamine # Thiamin deficiency can result in three distinct syndromes:> A chronic peripheral neuritis, beriberi, which may or may not be associated with heart failure and edema; acute pernicious (fulminating) beriberi (shoshin beriberi), in which heart failure and metabolic abnormalities predominate, without periphe...
3
Diazepam
Disulfiram
Thiamine
Cyanocobalamin
Pharmacology
Miscellaneous (Pharmacology)
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The commonest cause of hymen rupture is
Causes of Rupture of Hymen i. Sexual intercourse: Commonest cause of defloration. ii. Masturbation, especially with some large foreign body. Hymen is not injured in most cases, as manipulation is usually limited to pas anterior to the hymen. iii. An accident, like fall on a projecting substance or by slipping on the fu...
3
Sanitory tampons
Masturbation
Sexual intercourse
Vigorous exercise
Forensic Medicine
Impotency, Virginity, pregnancy & aboion
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Which is a serine protease:
Ans. b. Trypsinogen 1Inherited predisposition to pancreatitisGene (chromosome location)Protein productFunctionPRSSl (7q34)Serine protease 1 (trypsinogen 1)Cationic trypsin. Gain-of-function mutations prevent self- inactivation of trypsinSPINK1 (5q32)Serine peptidase inhibitor, Kazal type 1Inhibitor of trypsin. Mutation...
2
Pepsin
Trypsinogen 1
HIV enzyme
Chymotrypsin
Pathology
Cellular Pathology
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A male 45 years old wants his missing teeth to be replaced. Intraoral examination reveals Kennedy class 4 edentulous maxillary arch. Impression is made with hydrocolloid impression material. The impression is placed in which of the following storage medium to prevent dimensional change?
Dimensional Stability Once the hydrocolloid impression is removed from the mouth and exposed to air at room temperature, some shrinkage associated with syneresis and evaporation will occur. Conversely, if the impression is immersed in water, swelling caused by imbibition can occur. The storage medium, such as 2% potass...
1
2% K2SO4 solution
2% Na2SO4 solution
2% NaNO3 solution
All of the above
Dental
null
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Mother has absent / reversal of diastolic flow detected during antenatal period. What is to be done to the baby born to this mother
In Antenatal Absent / reversal of diastolic flow ↓ Babies have hypoperfusion to GIT. So, if breastfeed is with held there is increased risk of NEC Hence minimal Exteral nutrition ⇒ 10 -15 ml / kg / feed of breast milk given ↓ It promotes maturation of GIT.
3
Withhold breatfeeding
Provide normal breast feeding
Provide minimal enteral nutrition
Provide maximum enteral nutrition
Pediatrics
null
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The hernia which often simulates a peptic ulcer is -
null
2
Umbilical hernia
Fatty hernia of the linea alba
Incisional hernia
Inguinal hernia
Surgery
null
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The name of the first documented child who was reported to be abused (in year 1874):
The first documented and reported case of child abuse occurred in 1874. A child named Mary Ellen was discovered chained to her bedpost. She was beaten regularly and was found to be severely malnourished. A New York City Church group reported the situation to the police.
1
Mary Ellen
Henry
Cook
Toweson
Dental
null
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which of following SSRI is used in the management of Pre mature ejaculation
SSRI * IMPOANCE Most widely prescribed antidepressant * MECHANISM Specifically acts on serotonin transpoers and increases serotonin in synapse. DRUGS FLUOXETINE FLUVOXAMINE DAPOXETINE CITALOPRAM ESCITALOPRAM ESCITALOPRAM SERALINE PAROXETINE USE FLUOXETINE=============CHILDHOOD DEPRESSION FLUVOXAMINE===========OCD DAPOX...
3
citalopram
milnacipran
Dapoxetine
clozapine
Psychiatry
Pharmacotherapy in psychiatry
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Which of the following is not true about Corynebacterium diphtheria?
Diphtheria acts by its toxin and invasion are not seen. Elec gel precipitation test is done for determination of pathogenicity of diphtheria. Metachromatic granules are seen also called as Babes earnest granules. Bacteriophages (extra-chromosomal) are responsible for toxigenicity by phage conversion. Ref: Ananthanaraya...
4
Deep invasion is not seen
Elek's test is done for toxigenicity
Metachromatic granules are seen
Toxigenicity is mediated by chromosomal change
Microbiology
Bacteriology
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multi
A 40 year old farmer with history of recurrenmt attack of porphyria complains of itching when exposed to the sun and maculopapular rashes on sun exposed area. His symptoms are exaggerated in summer. The diagnosis is :
D i.e. Porphyria cutanea tarda Two types of porphyria are photosensitive Porphyria cutanea tarda Is most common type of porphyria and is caused by decreased activity of enzyme uroporphyrinogen decorboxylase. - Two types of PCT are: (1) Sporadic or acquired type, seen in individuals ingesting ethanol or estrogens; (2) i...
4
Seborrheic dermatitis
Contact dermatitis
Psoriasis
Porphyrea Cutanea tarda
Skin
null
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single
The rest position of mandible is established by muscles and
null
2
Pressure
Gravity
Temperature
None of the above
Dental
null
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multi
Cholecystokinin causes all of the following except:-
Cholecystokinin: - Stimuli for secretion Site of secretion Actions Protein, Fat, Acid -I cells of duodenum, jejunum and ileum Stimulates- Pancreatic enzyme secretions Pancreatic bicarbonate secretions Gallbladder contraction Growth of exocrine pancreas Inhibits- Gastric emptying
3
Gall bladder contraction
Pancreatic enzyme secretion
Increases gastrin secretion
Increases small intestinal motility
Physiology
Gastrointestinal System
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Heroin is?
Heroin is diacetyl morphine (semisynthetic form of opium) Classification of opiods: (1) Natural: morphine, codeine.(2) Semi-synthetic: heroin, hydromorphone, oxymorphone, oxycodone. (3) Synthetic: meperidine, methadone, paregoric, diphenoxylate, fentanyl, propoxyphene,levarphanol tarate.
2
Cocaine
Opioid
Dhatura
Cannabis
Forensic Medicine
Toxicology - 1
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Dysmetria -
Ans. is 'a' i.e.. Cerebellum o Features of Cerebelllar dysfunction include:DysmetriaAtaxiaPast PointingDysdiadochokinesiaDysarthriaIntention TremorCerebellar NystagmusHypotonia
1
Cerebellum
Cerebrum
Basal ganglia
Thalamus
Medicine
C.N.S.
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Hysteroscopy should be done in
Hysteroscopy should be done in Pre-ovulatory phase when the endometrium is thin and bleeding is less likely to occur.
3
Secretory phase
Immediate post menstrual phase
Pre-ovulatory phase
Menstrual phase
Gynaecology & Obstetrics
null
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In Radical Nephrectomy the following structures are resected except
Ipslialateral adernal gland is removed not bilateral.
2
Para Aortic nodes
Bilateral Adrenal glands
Ureter till pelvic brim
Gerota Fascia
Surgery
null
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A child is diagnosed with osteosarcoma based on sunray appearance on X-ray. This is because of:
Ans. c. Periosteal reaction
3
Calcification along the periosteum
Calcification along the blood vessels
Periosteal reaction
Soft tissue invasion
Gynaecology & Obstetrics
null
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NARY is a -
Ans is 'c' i.e., Mitochondria! disorder Clinical Syndromes of Mitochondrial Diseases Primary Features Chronic progressive external o External ophthalmoplegia ophthalmoplegia (CPEO) o Bilateral ptosis o PEO onset before age 20 years o Pigmentary retinopathy o One of the following CSF protein greater than I g/L, cerebell...
3
Lipid storage disorder
Glycogen storage disorder
Mitochondrial disorder
Lysosomal storage disorder
Pathology
null
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Total score in Mini Mental Status Examination (MMSE) is ?
Ans. is 'b' i.e., 30
2
25
30
32
35
Psychiatry
null
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PDA true is all except -
Ans. is 'd' i.e., More common in term baby o During fetal life, most of the pulmonary arterial blood is shunted through the ductus arteriosus into the aorta .o Functional closure of the ductus normally occurs soon after birth, but if the ductus remains patent when pulmonaiy vascular resistance falls, aortic blood is sh...
4
More common in preterm baby
Left to right shunt
Acyanotic congenital heart disease
More common in term baby
Pediatrics
Acyanotic Congenital Heart Disease
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Most common cause of Non-gonococcal urethritis is
The most common cause of non-gonococcal urethritis is C.trachomatis. Other common organisms are ureaplasma ureolyticum and Mycoplasma hominis. Ref: Ananthanarayan and Paniker&;s Textbook of Microbiology, 9th edition; pg no: 234
3
Meningococci
Escherichia coli
Chlamydia trachomatis
Mycoplasma
Microbiology
miscellaneous
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single
A 59-yrs-old woman undergoes vaginal hysterectomy and anteroposterior repair for uterine prolapse. Which of the following is a complication of this procedure that often develops within 2 weeks of surgery?
Following surgical repair, if the urethrovesical junction is not properly elevated, urinary incontinence may result. This incontinence may present within the first few days following surgery. Dyspareunia can be caused by shoening of the vagina or constriction at the introitus after healing is complete. If the vaginal v...
2
Dyspareunia
Stress urinary incontinence
Nonfistulous fecal incontinence
Enterocele
Gynaecology & Obstetrics
Genital Prolapse - various presentation of prolapse and management of urinary stress incontinence (I am hanging by my nails !)
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Type 1 cryoglobulinemia is associated with all the following EXCEPT-
Cryoglobulins are antibodies directed against other immunoglobulins, and which form immune complexes that precipitate in the cold. type1 type 2 type 3 Immunoglobulin isotype and specificity Isolated monoclonal IgM paraprotein with no paicular specificity Immune complexes formed by monoclonal IgM paraprotein directed to...
4
Hyperviscosity
Monoclonal 1gM paraprotein
Normal complement
Strongly positive rheumatoid factor
Medicine
Immune system
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Morula period is a ----- cell stage
After feilization, the zygote is a diploid cell with 46 chromosomes, undergoes cleavage, and zygote cells produced by this division are called blastomeres. As the blastomeres continue to divide, a solid mulberry-like ball of cells, the morula is produced. The morula enters the uterine cavity about 3 days after feilizat...
2
4 to 8 cell stage
12 to 16 cell stage
28 to 32 cell stage
50 to 60 cell stage
Gynaecology & Obstetrics
General anatomy
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