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A patient with ear discharge presents with diplopia and fever. What is the most probable diagnosis? | Presence of fever and diplopia in a patient with ear discharge suggests lateral sinus thrombosis, an intracranial complication of chronic suppurative ottitis media. | 3 | CSOM | Meningitis | Lateral sinus thrombosis | Petrositis | ENT | null | 79cc612c-7173-443d-864c-38d6a2997c09 | single |
Dormia basketing is used for removal of renal calculi in the - | null | 4 | Pelvic ureteric juction | Upper 1/3 of ureter | Middle 1/3 of ureter | Lower 1/3 of ureter | Surgery | null | 3204752d-d241-4bcb-b982-5401fdaa6761 | single |
In a female with appendicitis in pregnancy treatment of choice is | Acute Appendicitis incidence is about 1 in 1000 pregnancies. It is most common nongyneocological cause of acute abdomen requiring surgery. Management of appendicitis Treatment consists of laparotomy at the earliest oppuunity.Once the diagnosis is suspected it is better to operate rather than to wait until generalised p... | 1 | Surgery at earliest | Aboion with appendectomy | Surgery after delivery | Continue pregnancy with medical Rx | Gynaecology & Obstetrics | Medical, surgical and gynaecological illness complicating pregnancy | 763b972e-9c06-4c95-bcb6-7af2e0b91c6f | single |
The maximum permissible level of occupational exposure to radiation is ..... Per year - | Park's textbook of preventive and social medicine 23rd edition. * The amount of radiation from outer space and background radiationhas been estimated to be 0.1 rad a year,the additional permissible dose from man made sources should not exceed 5 rad a year. | 1 | 5 rad | 2 rad | 10 rad | 50 rad | Social & Preventive Medicine | Environment and health | 99637561-309f-4b51-b325-cadcfec4f986 | single |
Moribund patient, triage color ? | Ans. is 'b' i.e., Black Triage When the quantity and severity of injuries overwhelm the operative capacity of health facilities, a different approach to medical treatment must be adopted. The usual principle of first come, first treated", is not followed in mass emergencies. Triage consists of rapidly classifying the i... | 2 | Red | Black | Yellow | Green | Social & Preventive Medicine | null | 1af7fc5c-21df-451e-bab9-2cdd76a366d3 | single |
True about Schatzki&;s ring | SCHATZKI'S RINGS They are semicircular protrusion of lower oesophageal mucosa located at or just above the oesophagogastric junction (squamocolumnar junction). Its under-surface is lined by columnar gastric epithelium. * They involve only the mucosa and submucosa of the oesophagus, not the muscle. * They present with d... | 2 | Has skeletal muscle | Located at lower esophagus | Causes dysphagia | Contain all layers of oesophagus | Surgery | G.I.T | d116f598-6702-4f7f-9a5d-40fe7a531761 | multi |
Relapsing fever is transmitted by - | Relapsing fever is transmitted by soft tick. Ornithodorus moubata is the soft tick that transmits relapsing fever. These ticks lack scutum. They have 5 nymphal stages. Other diseases transmitted by soft tick are KFD and Q fever. Park's Textbook of Preventive and Social Medicine, 25th Edition, Pg | 3 | Hard tick | Sandfly | Soft tick | Tsetse fly | Social & Preventive Medicine | Environment and health | fdb55089-60be-409f-8813-22143386b93a | single |
One of the following is NOT a sign of diabetic retinopathy- | Non-proliferative diabetic retinopathy (NPDR) Opthalmoscopic features of NPDR include: Microaneurysm are seen in the macular area (the earliest detectable lesion) . These are formed due to focal dilation of capillary wall following loss of pericytes. These appaear as red dots and leak fluid, proteins.", lipids and also... | 4 | Microaneurysms | Cotton wool spots | Hard exudates | Choroidal neovascularization | Ophthalmology | Vitreous and retina | 9a12bca2-dbe2-4f4b-802c-a294865dea6c | single |
Maximal level of cardiac output is seen at: September 2009 | Ans. C: 30-34 Weeks of Pregnancy The cardiac output stas to increase from 5th week of pregnancy and reaches its peak 40-50% at about 30-34 weeks. Cardiac output increase fuher during labour (+50%) and immediately following delivery (+70%) It returns to pre-pregnancy level by 4 weeks time after labour. | 3 | 22-26 weeks of pregnancy | 26-30 weeks of pregnancy | 30-34 weeks of pregnancy | 34-38 weeks of pregnancy | Gynaecology & Obstetrics | null | f2a0902e-e460-4a8e-8047-f0cec5e7f9b7 | single |
A 50 year old woman nulliparous. diabetic and obese presenting with post-menopausal bleeding can be any of the following except : | Carcinoma in situ of cervix | 1 | Carcinoma in situ of cervix | Carcinoma endometrium | DUB | None of the above | Gynaecology & Obstetrics | null | c74eac45-5c70-4fc6-a631-5a71950bf2e1 | multi |
Avulsion of extensor tendon give rise to? | It is the flexion deformity of the distal interphalangeal joint usually due to avulsion of extensor tendon of distal phalanx. Ref: Current Diagnosis & Treatment in Ohopedics 3/e, page 538,564-65. | 1 | Mallet finger | Dupuytren's contracture | Trigger finger | Swan neck deformity | Surgery | null | 61b8bdb6-596e-4d95-89fa-7efed9ad6848 | multi |
Infedelity & jealousy involving spouse is the thought content of which disorder: | B i.e. Othello syndromeIt is characterized by nonbizzare delusion of atleast one month duration with overall well preserved personality (except in the area of delusion) and absence of significant hallucinations. | 2 | Capgras syndrome | Othello syndrome | Hypochondrial paranomia | Declerambault's syndrome | Psychiatry | null | bb3b969f-610c-4eec-967e-a03a8468f4f3 | single |
True about xenon anaesthesia: | A i.e. Rapid induction and recovery Xenon is ine/ nobel, colourless, odorless, nonirritating, nonflammable and non explosive gas that is heavier than air (4 times), more dense/viscous than N2 & N20, more potent than N20, is very blood insolubleQ (B/G coefficienct 0.14) most ideal inhaled anesthetic agent with very rapi... | 1 | Rapid induction and recovery | Low potency | High blood solubility | All | Anaesthesia | null | cb930a9d-0587-4402-8b19-a3f816e183f7 | multi |
True about osteoporosis - | Osteoporosis is a metabolic disease.Its characterised by diffuse reduction in bone density.due to decrease in bone mass.It occurs when rate of bone resorption exceeds bone formation. C/f: Loss of bone mass leads to loss of strength so that trivial trauma is sufficient to cause a fracture. A slight loss of height and in... | 3 | Low calcium | Low phosphate | Cod fish vertebrae | Raised alkaline phosphatase | Orthopaedics | null | abbd89a4-ce68-4296-a318-a2cfbef20718 | multi |
True regarding cardiomyopathy - | Ans. is 'a' i.e., RV dilatation is present; 'b' i.e., May result from thyroxicosis; 'c'i.e. Secondary to alcohol Most common type of intrinsic cardiomyopathy is dilated cardiomyopathy in which all chambers of hea (including right ventricle) are dilated. Thyrotoxicosis and alcohol can cause dilated cardiomyopathy. CMDT ... | 4 | RV dilatation is present | May result from thyroxicosis | Secondary to alcohol | All | Pathology | null | 96e2468c-6b05-4de0-82d1-e4559ca118de | multi |
Which of the following is a holocrine gland? | INDERBIR SINGH'S TEXTBOOK OF HUMAN HISTOLOGY-PAGE NO:204 Sebaceous glands The outermost layer are small and rest on a basement membrane.the inner cells are larger,more rounded,and filled with lipid .this lipid is discharged by disintegration of the inner most cells that are replaced by proliferation of outer cells.the ... | 4 | Sweat gland | Breast | Pancreas | Sebaceous gland | Anatomy | General anatomy | a9ba2563-2fdb-4ee0-aae0-c959406acd2e | single |
According to WHO the major sign of AIDS children in stage I is the following | According to WHO clinical staging of AIDS in children with confirmed infection, the symptoms of clinical stage 1 are patients may be asymptomatic they have persistent generalised lymphadenopathy. Reference : Ghai essential pediatrics, eighth edition, pg no:226 | 1 | Generalised lymphadenopathy | Not gaining weight | Oral candidiasis | All of the above | Pediatrics | Infectious disease | 3082c13c-1b63-4875-aba4-2aca73411c89 | multi |
Name the structure labelled D | (a) Right common carotid aery(b) Right subclan aery(c) Brachiocephalic trunk(d) Left subclan aery(e) Left common carotid aeryAngiography may be performed using CT, MRI or conventional angiography with a catheter. The catheter can be seen on this image in the aoic arch. Normal variants occur in the great vessels so it i... | 4 | Right common carotid aery | Right subclan aery | Brachiocephalic trunk | Left subclan aery | Anatomy | Upper limb : Miscellaneous | b9763d49-c242-4b75-9cb1-4c07dd6cf70c | single |
Methylphenindate is drug of choice for | Ans. b (ADHD). (Ref. Pharmacology by KD Tripathi 5th/- 436; Harrison 18th/27, 369)Drugs used for ADHD# Methylphenidate# Amphetamine# PimolineMethylphenidate acts by releasing NA & dopamine in brain. It is preferred because it causes less tachycardia & growth retardation. | 2 | Obsessive compulsive disorder | ADHD (attention deficit hypersensitivity disorder) | Enuresis | Autism | Psychiatry | Child Psychiatry | 8cadb067-b35b-4389-ad2f-ce1e5562f67d | single |
Mechanism of action of quinolones is by? | null | 2 | Inhibiting DHFRase | Inhibiting DNA gyrase | Inhibiting protein synthesis | Inhibiting cell wall synthesis | Pharmacology | null | 5c66dd10-d337-4894-a7ff-33956411a220 | multi |
Schedule of post-exposure rabies prophylaxis in HIV infected persons - | Ans. is 'b' i.e., 0,3,7,14,28 o Immunocompromized HIV-infected people might not develop sufficient immunological response, as immunity depends upon the CD4 T-cell-dependent neutrilizing response to the G-protein.o Rabies vaccines are used for post-exposure prophylexis and pre-exposure immunogenicity (pre-exposure proph... | 2 | 0,7, 28 | 0,3,7,14,28 | 0, 7, 14, 28 | 0,3,7,14 | Social & Preventive Medicine | Principles of Immunization and Vaccination | 8eb311aa-ef45-4b0e-9d6d-fc122dd6a6fe | single |
Which of the following increases the susceptibility to coronary aery disease: | Von Willebrand's disease, nephrotic syndrome and Familial hyperiglyceridemia (FHTG) also known as type V hyperlipoproteinaemia are not associated with an increased risk of coronary aery diseases. But in SLE the prevalence of coronary aery disease is 10 %. Ref: Harrisons principles of internal medicine, 18th edition, ch... | 4 | Type V hyperlipoproteinaemia | Von Willebrand's disease | Nephrotic syndrome | Systemic lupus erythematosus | Medicine | null | 8e64a05f-7234-42dc-b3e5-9f8cc730f364 | single |
A pregnant lady presented with 32 weeks of gestation with abdominal pain, elevated BP (160/110 mmHg), with proteinuria and retinal haemorrhage. Next step of management is: | HELLP syndrome is a form of severe preeclampsia. HELLP develops in 10-20% of women with preeclampsia/eclampsia. Signs and symptoms include abdominal pain, commonly occurring in the right upper quadrant or epigastrium, nausea, vomiting, and elevated blood pressure. Proteinuria less commonly accompanies symptoms. HELLP i... | 4 | Ritodrine | Nifedipine | Magnesium sulphates | Termination of pregnancy | Gynaecology & Obstetrics | null | 7f34feb5-42bf-4609-9892-b136c3f98bf0 | multi |
REPEAT QUESTION. Renal Calculi associated with proteus infection | Triple phosphate or struvite ( Calcium phosphate with ammonium magnesium phosphate ) is smooth and diy white. It grows in alkaline urine. Proteus being urea splitting organism splits urea to give ammonia and co2 whixh makes urine alkaline and promotes stag horn calculus ref : - Bailey and Love 27th edition ,chapter 76 ... | 1 | Triple phosphate | Uric Acid | Calcium Oxalate | Cysteine Stones. | Surgery | Urology | b5139f9d-4c7e-42b5-be1d-e8a42894238b | single |
In forceful inversion of foot, fracture of the tuberosity of 5th metatarsal is due to pull exerted by which tendon: | Ans. is 'b' i.e. Peroneus brevis Tuberosity or tubercle at the base of 5th metatarsal gives attachment to the peroneus brevis tendon.The base of the fifth metatarsal can be fractured during forced inversion of the foot (pot-hole injury), at which time the tendon of peroneus brevis muscle exerts a pull on the tuberosity... | 2 | Peroneus longus | Peroneus brevis | Peroneus tertius | Extensor digitorum | Anatomy | Foot | 2cb3cae5-def3-44fa-9823-41ceee3a5cd2 | single |
Not true regarding Dandy-Walker cyst: | Characteristic Triad of Dandy Walker : * Hypoplasia of Vermis * Cephalad Rotation of Vermian remnant and Cystic Dilation of Fouh Ventricle extending posteriorly * Enlarged Post Fossa with Torcular Lambdoid inversion | 3 | Cerebellar vermis hypoplasia | Hydrocephalus | Arachnoid cysts | Posterior fossa cyst | Surgery | Cerebrovascular Diseases | dc14a963-7319-4570-b6af-705ed64f0f77 | multi |
Tetracycline with highest anti leprotic propey | Minocyline is a tetracycline group given in cases where clozamine is not tolerated minocycline is given in such cases 100mg per day in such cases. Ref: KDT 6/E P753 | 1 | Minocycline | Doxycycline | Demeclocycline | Oxyteacycline | Pharmacology | All India exam | d6e70c2c-bb7f-41fc-aea0-cff55bf0efd0 | single |
A 50 year old lady with history of jaundice in the past has presented with right upper quadrant abdominal pain. Examination and investigations reveal chronic calculous cholecystitis. The liver functions tests are within normal limits and on ultrasound examination the common bile ducts is not dilated. Which of the follo... | Ans. is 'a' i.e., Laparoscopic cholecystectomy | 1 | Laparoscopic cholecystectomy | Open choledocholithotomy with CBD exploration | ERCP+- cholecystectomy followed by laparoscopic cholecystectomy | Laparoscopic cholecystectomy followed by ERCP +- choledocholithotomy | Surgery | null | 7fc3ab50-7c4c-4fad-9bce-b7d16a764274 | single |
Temporary hardness of water is due to the presence of following salts of calcium and magnesium: | null | 1 | Bicarbonates | Sulphates | Chlorides | Nitrates | Dental | null | 968b801f-b859-4752-95f2-7d54cc278590 | single |
Mechanism of action of terbinafine is? | Antifungal Drugs: CLASS IFICATION 1. Antibiotics A. Polyenes:AmphotericinB (AMB),Nystatin, Hamycin, Natamycin (Pimaricin) B. Heterocyclic benzofuran: Griseofulvin 2. Antimetabolite Flucytosine (5-FC) 3 Azofes A. lmidazoles (topical): Clotrimazole, Econazole, Miconazole, Oxiconazole (systemic): Ketoconazole B. Triazoles... | 4 | Binds to ergosterol | Prevents formation of purine | Inhition of microtubule formation | Inhibition of ergosterol synthesis | Pharmacology | Chemotherapy | d90ee23a-b394-44c9-ba5a-5b1c6f65fb5c | single |
A 80-year-old patient present with a midline tumor of the lower jaw, involving the alveolar margin. He is edentulous. Treatment of choice: | Surgery is the treatment of choice in mandible cancers. Radiotherapy is contraindicated as it can lead to osteoradionecrosis of mandible. Mandible is managed surgically by marginal or segmental resection. Marginal (rim) resection keeps the outer/lower rim (1 cm thick mandible) intact to maintain cosmesis. It is indicat... | 3 | Hemimandibulectomy | Commando operation | Segmental mandibulectomy | Marginal mandibulectomy | ENT | null | 8024ab70-bee5-4b96-abc8-16fd63025a1d | single |
Race of an individual can be found out by | Cephalic index helps to find the race | 3 | Ischiopubic index | Corporo Basal index | Cephalic index | Medullary index | Anatomy | All India exam | b1025870-6d69-46bc-9817-e8d5c8803c3e | single |
Mechanism of action of propylthiouracilin hypehyroidism is: | (Ref: KDT 6/e p248) Propylthiouracil, carbimazole and methimazole act by inhibiting the enzyme, thyroid peroxidase. It catalyses: Oxidation of iodine Organification Coupling | 4 | Inhibition of organification of iodine | Inhibition of oxidation of iodine | Inhibition of coupling of two DIT residues | All of the above | Anatomy | Other topics and Adverse effects | 6dff61f5-01e4-4558-91ab-59b8373d035d | multi |
Necrotizing fasciitis is caused by, all except | Ans. is. d. Pneumococcus | 4 | Staphylococcus aureus | Beta haemolytic streptococci | Clostridium perfringens | Pneumococcus | Microbiology | null | 0e76c97f-d083-4919-b14c-546369493f16 | multi |
Tzanck smear test is used in the diagnosis of | Tzanck test is also used for diagnosis of viral diseases like Herpes Zoster. | 1 | Pemphigus | ANUG | Apthous disease | Lichen planus | Pathology | null | 0d0d4147-ac12-4669-ad2d-2d7ab416eb8a | single |
Commonest cause of pulmonary embolism is: CMC (Vellore) 09 | Ans. Thrombus | 3 | Fat | Amniotic fluid | Thrombus | Air | Forensic Medicine | null | 7ad9f3ac-82fa-4ea7-a1c4-95a2f92cf262 | single |
Which of the following is observed during sleep induction? | The cholinergic neurons in pontine reticular formation on stimulation, induce sleep. When the activity of norepinephrine and serotonin containing neurons (locus coeruleus and raphe nuclei) is dominant, there is a reduced level of activity in acetylcholine-containing neurons in the pontine reticular formation leading to... | 2 | | Norepinephrine and serotonin | | Acetyl Choline | | Histamine | | GABA | Physiology | Nervous system | 7ccdf52d-872e-4073-b2ac-6f045ef4e160 | single |
Cherry red spot is seen in all of the following except | . | 3 | Spranger disease | Faber disease | Retinitis pigmentosa | Central retinal aery thrombosis | Ophthalmology | All India exam | 327e5f8e-661c-4a89-b5bc-c8418863256d | multi |
BRCA 1 gene is located on chromosome | A BRCA mutation is a mutation in either of the BRCA1 and BRCA2 genes, which are tumour suppressor genes. ... Women with harmful mutations in either BRCA1 or BRCA2 have a risk of breast cancer that is about five times the normal risk, and a risk of ovarian cancer that is about ten to thiy times normal. | 2 | 17p21 | 17q21 | 13p21 | 13q21 | Pathology | General pathology | dbf60196-6ce8-445e-8a2e-6cd45d71e822 | single |
A 32-year-old female is admitted to the emergency department with dyspnea, dysphagia, hoarseness, and severe anxiety. Her medical history reveals that she has lived on a liquid diet for some months and has lost more than 30 lb. Over the past several weeks, she has had bloody sputum during attacks of coughing. Fluorosco... | The left recurrent laryngeal nerve passes superiorly in the tracheoesophageal groove after looping around the aorta. The compression of this nerve and compression of the esophagus against the trachea would result in the presenting symptoms. The right recurrent laryngeal nerve loops around the right subclavian artery be... | 3 | Right recurrent laryngeal nerve | Left vagus nerve, posterior to the hilum of the lung | Left recurrent laryngeal nerve | Greater thoracic splanchnic nerve | Anatomy | Thorax | 8f9606c5-ef30-4e63-8149-24adea45d7ca | multi |
Most dietary deficiency of thiamine is the result of poor dietary intake. Thiamine requirement increases in excessive intake of: | Primary food sources for thiamine include yeast, organ meat, pork, legumes, beef, whole grains, and nuts. Milled rice and grains contain little thiamine, if any. Thiamine deficiency is therefore more common in cultures that rely heavily on a rice-based diet. Tea, coffee (regular and decaffeinated), raw fish, and shellf... | 1 | Carbohydrate | Amino acid | Fat | Lecithine | Biochemistry | null | 25a4e4f8-4b44-4084-a1bb-b5ccd1bcb1a3 | single |
Which of the following infectious disease is treated using multidrug therapy? | Among the options given in the question, multidrug therapy is indicated in the treatment of leprosy. Rifampicin, Dapsone and Clofazimine are drugs used in its treatment. Reference: Essentials of Medical Pharmacology by K D Tripathi, 5e page 713. | 2 | Syphilis | Leprosy | Typhoid | None of the above | Medicine | null | 03edd488-59d5-40b3-a071-1c6583ecb986 | multi |
Preanesthetic medication is used for A/E : | B i.e. Decrease BP | 2 | Decrease of anesthetic dose | Decrease BP | Prevent aspiration | Produce amnesia for peri-operative events | Anaesthesia | null | 16f8a976-0376-4f10-a79c-0701274bad49 | single |
A patient developed breathlessness and chest pain, on second postoperative day after a total hip replacement. Echo-cardiography showed right ventricular dilatation and tricuspid regurgitation. What is the most likely diagnosis- | *Onset of chest pain and breathlessness, together with echocardiographic evidence of right ventricular dilatation and tricispid regurgitation after a high risk procedure like total hip replacement suggests a diagnosis of pulmonary embolism. REF:Campbell's 11th/e Chapter-7 | 2 | Acute MI | Pulmonary embolism | Hypotensive shock | Cardiac tamponate | Anatomy | Miscellaneous | 835f95b8-526b-427e-88b4-b9107db9a861 | single |
Treatment of Thyroid crisis are all EXCEPT | C i.e. (Iodine) (714 - CMDT- 09) (2237- H17th) (988 - 09)THYROTOXIC CRISIS OR THYROID STORM* Presents as life threatening exacerbation of hyperthyroidism* Fever, delirium, seizures, coma, vomiting, diarrhea and jaundice* Mortality rate due to cardiac failure, arrhythmia or hyperthermia* Precipitating factors, acute ill... | 3 | Neomethimazole | Propranol | Iodine | Iodide | Medicine | Endocrinology | c5f1a5de-9af7-4a02-b5c5-ac7c88745479 | multi |
True about Propagated epidemic is following Except | A propagated epidemic is most often infectious origin and results from person to person transmission of an infectious agent.The e[idemic usually shows a gradual rise and tails off over a much longer period of time.The speed of spread depends upon herd immunity, oppounities for contact and secondary atttack rate.Park 23... | 1 | Secondary waves are absent | Spreads from person to person | The speed of spread depends upon Herd immunity | Shows gradual rise and fall over long period of me | Social & Preventive Medicine | Epidemiology | cd508daf-4afa-4d54-9899-f6dea3898a19 | multi |
Intermediate filaments in muscle cells | Intermediate filaments are used as tumor markers Epithelial cells:keratin Muscle cells:desnin Nucleus:lamin Ref:Guyton and Hall textbook of medical physiology 12th edition,page number:8,9,14 | 1 | Desnin | Keratin | Vimentin | Lamin | Anatomy | General anatomy | 5a82a485-b353-47d8-88d9-319a349cf616 | single |
Elevated levels of alkaline phosphatase are typical findings in each of the following conditions EXCEPT- | ALKALINE PHOSPHATASE. Serum alkaline phosphatase is produced by many tissues, especially bone, liver, intestine and placenta and is excreted in the bile. | 4 | Cirrhosis | Hepatitis | Polycythemia vera | Myocardial infarction | Pathology | miscellaneous | da7c141c-ace7-43f3-ba9d-3ed99c3df437 | multi |
Central macular fixation develops at | The critical period of developed of fixation reflex is 5-6 months of age.This is the reason why unilateral cataracts in children should be operated early.Remember - Binocular vision develops at 5-6 years. | 4 | 3 weeks | 6 weeks | 3 months | 6 months | Microbiology | All India exam | 0de79a99-7a64-44fc-98cc-ca69436cbddc | single |
In gene cloning, largest fragment can be incorporated in - | null | 3 | Plasmid | Bacteriophage | Cosmid | Retrovirus | Biochemistry | null | f5ceaba5-24a6-42a2-b487-e04ac1e440a6 | single |
Action of topoisomerase III ? | Ans. is 'd' i.e., Single strand breakTopoisomerase I Removes negative supercoiling.Topoisomerase II Relaxes positive supercoils and forms negative supercoiling by condensation. of chromosome.Topoisomerase III Can introduce single strand breaks during recombination that are required for DNA to be exchanged by adjacent c... | 4 | Remove positive supercoil | Remove negative supercoil | Form negative supercoid | Single strand break | Biochemistry | null | 109fb72a-1a4e-4cd2-8ef9-6761773fafae | single |
Hemiplegia is most commonly due to Occlusion Of? | The MCA is the most common site for the occurrence of ischemic stroke. Contralateral hemiparesis and hemisensory loss of the face, upper and lower extremities is the most common presentation of MCA syndrome Ref Harrison20th edition pg 2234 | 1 | Middle cerebral aery | Basilar aery | Veebral aery | Anterior cerebral aery | Medicine | C.N.S | ae417fd8-f89a-432c-8364-a50e07183c57 | single |
The use of porcelain laminates is indicated for: | All other options are relative contraindications of porcelain veneers. | 3 | Teeth in parafunction | Heavily restored teeth | Closure of 1 mm diastema | Lower anterior teeth | Dental | null | de22ad4a-7e87-481e-b97e-7732b06ac759 | single |
All of the following are features of acute nongranulomatous iridocyclitis except: | Ans. Minimal aqueous flare | 3 | Marked ciliary congestion | Numerous small keratic precipitates | Minimal aqueous flare | No iris nodules | Ophthalmology | null | 870eeea1-909b-425f-b843-085087349b39 | multi |
Neonatal sepsis and meningitis most common cause – | null | 2 | Streptococcus pyogenes | Streptococcus agalactacea | Enterococcus fecalis | Staphylococcus aureus | Pediatrics | null | 50285059-78da-4a3b-bf32-28e4bdc80abb | single |
T/t used for lower ureteric stone is | Ans is 'a' ie Endoscopic removal Best modality of t/t for ureteric stone is - Ureteroscopic removal.There are other methods alsoEndoscopic Dormia basket - can only be used for small stones that are within 5-6 cm of the orifice.This has been replaced by ureteroscopic technique.Endoscopic Meatotomy - this is for removal ... | 1 | Endoscopic removal | Diuretics | Drug dissolution | Laser | Surgery | Urolithiasis | b409d99c-a0ac-427b-b91e-4182e2e06798 | single |
A multipara patient was brought to the emergency with signs and symptoms of small bowel obstruction. After resuscitation, X-ray was performed and the findings are given below. What is the most probable diagnosis? | X-ray: kidney- Bean sign | Cecal volvulus Cecal volvulus: Misnomer Ileoceco-colic volvulus Small bowel obstruction S/S Predisposing factors: Multiparity Ligament dividing Sx - for mobile cecum Malrotation Distal obstructing lesion X-ray findings Kidney bean sign Comma shaped cecum Mx: Ileocolectomy + Ileotransverse ana... | 4 | Adhesive small bowel obstruction | Crohn's disease | Obstructed hernia | Cecal volvulus | Surgery | Large intestine | c48c9d53-f9de-4532-b6ed-db5ac76934e2 | multi |
Drug of choice for treatment of chloroque resistant falciparum malaria- | Ans. is None o Aemisinin base combinations are DOC for chloroquine resistant falciparum malaria. o If you will have to choose one option, go ahead with option 'a' i.e. quinine, as quinine can be used along with doxycycline if aemisinin based preparations are not available. Remembers very simple funda o Forget about chl... | 4 | Quinine | Chloroquine | Pyrimethamine | null | Pharmacology | null | 2692fb1d-d40f-4d2e-9420-555464d38902 | multi |
Incision for superficial parotidectomy:- | Incision for superficial parotidectomy is S-shaped. Parotidectomy: The most commonly used incision is the 'lazy S' pre-auricular-mastoid-cervical. Name of incisions for parotidectomy: Lazy 'S', modified Blairs or Sistrunk incision | 3 | L-shaped | Y-shaped | S-shaped | Z- shaped | Surgery | Salivary Glands | 0db88d90-fc65-4110-93ad-f4603af45e60 | single |
During ventricular pressure pulses square root wave is seen in - | null | 4 | ASD | MVPS | Dilated cardiomyopathy | Constrictive pericarditis | Medicine | null | e13df341-eccb-4f9d-bf54-eaf36813ebd1 | single |
All are reduced in Iron deficiency anaemia EXCEPT: | Ref: Robbins E- Book P 454Iron deficiency anaemia has all parameters reduced except Total iron binding capacity. Iron deficiency anemiaHematocrit| to |||MCV| to |||MCHC|Serum iron| to |||Serum TIBCNormal to | Serum ferritin| to ||Stainable iron in marrowAbsentReticulocytesNormal to | | 1 | T.I.B.C | Percentage saturation of Transferrin | Hemoglobin | Ferritin | Pathology | Hemodynamics | 6da4c804-776c-46aa-a5db-e098e5b95e40 | multi |
Lyme disease is caused by: | Ans. (b) Borrelia BurgdorferiRef.: Microbiology by Ananthanarayan and Paniker 8th ed. /377, 379, 381* Causal agent of lyme disease: Borrelia Burgdorferi (I.P. 3 to 30 days)# Vector: Ticks* Lyme disease occurs in 3 stages:# Stage 1: localized infection, appears an annular skin lesion (Erythema Migrans)# Stage 2: dissemi... | 2 | Borrelia vincenti | Borrelia Burgdorferi | Borrelia Recurrentis | Treponema Pertenue | Microbiology | Mycology | dd5493c6-b763-4ec0-acf1-04a81c997156 | single |
Which is the most common cranial nerve involved in raised ICP? | A-Abducens= Longest subarachnoid course(so whenever ICP will raise abducens nerve will affect first) B-Trochlear=Longest intracranial route, thinnest, only nerve has dorsal origin C- Trigeminal=Thickest nerve D-Facial= Longest intraosseous route | 1 | Abducens | Trochlear | Trigeminal | Facial | Medicine | Raised ICP and Brain death | ed942e8f-5f07-493c-8489-04f75bc5d1d6 | single |
By estrogen administration in a menopausal woman, which of the following is increased? | Hormone therapy reduces the rate of bone resorption and results in an increase in bone mass density (BMD). Estrogen therapy acts the inhibition of bone resorption. Both BMD and fracture rate are improved with estrogen therapy. However, with cessation of estrogen therapy, there is a rapid and progressive loss of bone mi... | 3 | Gonadotrophin secretion | LDL-cholesterol | Bone mass | Muscle mass | Gynaecology & Obstetrics | null | b8d419e6-4bcb-40ac-b4b5-94f38a8b59c2 | single |
Which one of the following is found on the crown of permanent mandibular first molars but is not found on the crowns of mandibular second molars? | DB developmental groove is not found on mandibular second molars. | 2 | MB cusp. | Distobuccal groove. | Lingual groove. | DB cusp. | Dental | null | 840966f1-7b5e-4e49-8956-33bac21d6877 | single |
Which of the following is the diagnosis for a condition having mutation in COL4A5 chain? | COL4A5 chain represents the a5 chain of collagen type IV. It is associated with the development of Alpo Syndrome. | 1 | Alpo's syndrome | Good pasture's syndrome | Thin membrane disease | Nodular glomerulosclerosis | Pathology | Basic Concepts | 1cb72c8a-80fb-412b-ae0a-044a9ad952f4 | single |
A patient presented with hemoptysis and persistent cough. The chest X-ray of the patient was normal. The next best investigation is? | * For most patients, the first step in evaluation of hemoptysis should be a standard chest radiograph. * If lesion is not seen then a high resolution CT chest should be done for visualization of lesion . * If all of these studies are unrevealing, bronchoscopy should be done . | 2 | Helical CT | High resolution CT | Bronchoscopy | Angiography | Medicine | Miscellaneous Questions | a5e4c618-f6b4-450e-9c2e-a3171f1bb208 | single |
Autosplenectomy occurs in: | b. Sickle cell anemia(Ref: Nelson's 20/e p 2336, Ghai 8/e p 345)Patients of sickle cell anemia may undergo auto-splenectomyQ due to multiple infarcts in splenic artery, that causes spleen to be reduced to fibrous tissue (splenic atrophy spleen may become non-palpable). | 2 | Thalassemia | Sickle cell anemia | HbH disease | Hydrops fetalis | Pediatrics | C.V.S. | 69e781d9-3d15-412f-9bd9-8b41399b37be | single |
Third generation IUCD ? | Ans. is 'a' i.e., Mirena | 1 | Mirena | Nova-T | Lippe's loop | CuT-200 | Social & Preventive Medicine | null | 8cecb59f-8316-45b0-a9ab-19d3fcbe6551 | single |
Saturnism is a feature of? | Ans. (b) Lead poisoningRef. Parikh 6/e, p 9.18 | 2 | Mercury poisoning | Lead poisoning | Arsenic poisoning | Thallium poisoning | Forensic Medicine | Forensic Toxicology - Concepts, Statutes, Evidence, and Techniques | fe5f10dd-33ed-4dd9-9a08-67b2eeb8844b | multi |
Which of the following is known as suicidal enzyme? (AIIMS November 2013, May 2013) | Ans. b. Cyclooxygenase (Ref: Harper 27/e p204 Harrison 18/e p146Cyclooxygenase is a suicidal enzyme.Suicidal enzyme is one. which undergoes self-destruction in order to terminate its own acitivity. e.g. Cyclooxygenase.Switching off of prostaglandin activity is partly achieved by a remarkable property of cyclooxygenaseQ... | 2 | Lipoxygenase | Cyclooxygenase | Thromboxane synthatase | 5' nucleotidase | Biochemistry | Mechanisms of Enzyme Action | 12657041-3c9d-485c-b33d-39b7850a36ef | single |
Compound microscope was invented by: September 2004 | Ans. C i.e. Robe Hook | 3 | Louis Pasteur | Hippocrates | Robe Hooke | Leeuwenhoek | Microbiology | null | 335056bb-f185-4686-87b0-19c3d2dd7f60 | single |
Pancreatic juice rich in water and electrolytes poor in enzymes is secreted in response to : | C i.e. Secretin | 3 | Pancreatozymin | Cholecystokinin | Secretin | Proteins | Physiology | null | 8a64484d-c36d-4dda-8d49-ae82096284d6 | single |
Metabolism of drugs is mostly done by which enzyme- | Ans. is 'b' i.e., Cytochrome P450 o Biotransformation reactions (metabolism) of drugs can be classified :A. Non-synthetic (phase I) reactions# Metabolism brings about a change in the drug molecule by:1. Oxidation2. Reduction3. Hydrolysis4. Cyclization5. Decyclization# The new metabolite may retain biological activity o... | 2 | Cytochrome C | Cytochrome P450 | Glucronyl transferase | Acetylase | Pharmacology | Pharmacokinetics | 5a09f7ff-cfca-4087-9dae-d28929038204 | single |
Hard chancre is seen in? | Ans. b (Syphilis). (Ref. Harrison, Internal Medicine, 15th ed., 845, 990, 1045, 1191 and 1220).Chancres are seen in chancroid, syphilis, tularemia, African trypanosomiasis and few other parasitic diseases. SyphilisChanchroid1PapulePustule2Usually singleUsually multiple, coalesce35-15 mm diameterDiameter variable4Sharp ... | 2 | Chancroid | Syphilis | Tularemia | All | Skin | S.T.D. | 19184651-d544-499b-b903-500427a17bbc | multi |
STEPS is for - | Ans. is 'b' i.e., Non-communicable disease STEPS risk factorso The WHO STEPwise approach to surveillance of non-communicable diseases risk factors (STEPS) was developed by WHO as a part of a global surveillance strategy in response to the growing need for country-level trends in non-communicable diseases.o By using sam... | 2 | Communicable disease | Non-communicabie disease | Both | null | Social & Preventive Medicine | Non-Communicable Diseases | 2b77f65b-32c3-4c16-8f03-ff262705586d | multi |
Cause of myringosclerosis ? | Ans. is 'b' i.e., Grommet inseion Tvmpanosclerosis Tympanosclerosis is a condition in which there is calcification of tissue in the eardrum (tympanic membrane) and middle ear. Tympanosclerosis may be classified as : - Myringosclerosis : - Involving only the tympanic membrane. Intratympanic tympanosclerosis : - Involvin... | 2 | Genetic | Grommet inseion | Otosclerosis | null | ENT | null | ed545521-51d9-4459-9c52-55a9de1b20aa | multi |
Site of lesion affecting V, VI & VII cranial nerve | B. i.e. Pons- 3rd & 4thQ cranial nerve attach to mid brain; 5th Q c.n. to pons; 6t1, 71), & gth Q to junction between pons & medulla; 9th, 10th, 11th, & 12th Q attach to medullaAcoustic neuroma is most common cerebellopontine angle tumorQ. 5th nerve is the earliest nerve to be involved.Q f/b gth, 9th, 10th, 6th, 7th et... | 2 | Midbrain | Pons | Medulla | All | Anatomy | null | 0ebd251f-f7dc-441b-aa05-dadd78c3b9c1 | multi |
Which is inhibitor to cytochrome oxidase? | Ans. is 'd' i.e., Cyanide Inhibitors of Electron transport chain (Respiratory chain)o Complex I:- Barbiturates (amobarbital), piercidin A, rotenone, chlorpromazine, guanithidine.o Complex II:- Carboxim TTFA, malonate.o Complex III :- Dimercapro!, BAL. actinomycinA, Naphthyloquinone.o Complex IV(cytochrome c oxidase) Ca... | 4 | Malonate | BAL | Oligomycin | Cyanide | Biochemistry | Respiratory Chain | 4f4190f9-9ead-483d-8ade-ca7a59fe6bfc | single |
Patient is treated with dentrolene. All the following are adverse effects except: | - Central muscle relaxant - Used in malignant hypehermia, neuroleptic malignant syndrome etc- Cause respiratory muscle weakness - breathlessness- Chronic dantrolene use - liver dysfunction, kidney dysfunction- Bradycardia Dantrolene contributes to prolonged non depolarizing neuromuscular blockade, In addition to volati... | 1 | Hypokalemia | Muscle weakness | Breathlessness | Bradycardia | Anaesthesia | JIPMER 2017 | bca90c57-0e03-499f-9b3e-4e408012642b | multi |
The following is of serious pathological significance in infants – | An infant should gain weight progressively, except for the first few days of life.
Liver, spleen and kidney may be palpable in normal newborn. ___________________ Nelson
Sometimes trachea may be deviated from midline without any significance. | 1 | Loss of weight | Palpable left kidney | Palpable spleen | Deviation of trachea from midline | Pediatrics | null | ff84f792-34a3-41c0-a349-4ff621390103 | single |
An oval radiolucent area between the apices of maxillary incisors is | null | 1 | Nasopalatine foramen | Lingual foramen | Nasal fossa | Incisive canal | Radiology | null | ec8bb7ac-e653-47e8-b76e-7c167559c7f8 | single |
In a patient with starvation for 72 hrs which of the following would be seen: | D i.e. Increased GluconeogenesisEnergy is derived mainly from glycogenolysis (initial few hours) -gluconeogenesis (upto 72 hours) -*Degradation of fast (3 days - 2weeks) -*Break down of tissue protein (last 1 weeks)Q | 4 | Increased glycogenolysis | Increased ketosis due to break down of fats | Degradation of proteins | Increased gluconeogenesis | Biochemistry | null | f65b3dc5-824b-4685-962a-76df311620bf | single |
The leukotriene receptor antagonist used in bronchial asthma is - | Ans. is 'a' i.e., Zafirleukast | 1 | Zafirleukast | Zileuton | Ketotifen | Nedocromil | Pharmacology | null | 1ec3ea96-8aa8-4700-95c8-1ac7e39f952a | single |
Hepatitis B infectivity is indicated by: | Answer is B (HBs Ag + HBe Ag) HBe Ag: Its principal clinical usefulness is an indicator of relative infectivity - Harrison HBs Ag: Its presence in serum indicates infection /pervious vaccination with hepatitis B virus. HBs Ag Anti- HBsAg Anti Hbe HBe Ag Anti-Hbe Acute HBV infection High infectivit - IgM + - Chronic HBV... | 2 | Anti-HBsAg | HBsAg + HBeAg | Anti-HBsAg - Anti-HBc | Anti-HBeAg + Anti-Hbs Ag | Medicine | null | 567161e7-8c06-4376-8df0-8e10157c772a | single |
'Amount of liquor is maximum at : | 36-38 weeks | 2 | 32-34 weeks | 36-38 weeks | 34-36 weeks | 38-40 weeks | Gynaecology & Obstetrics | null | a6c879b0-b187-4cf6-af1a-bf01714f5d34 | single |
All of the following statements hold true for melanoma of vulva except : | Melanoma of vulva accounts for 3-5% of all vulval tumors It may arise de novo,but some arise from a pre-existing juctional naevus. occur frequently on clitoris or labia minora have poor prognosis Reference : textbook of gynaecology Sheila balakrishnan, 2nd edition, pg no: 292,293 | 2 | It is the 2nd most common vulval cancer | M/C site is labia majora | May arise from junctional nevus | Has a poor prognosis | Gynaecology & Obstetrics | Gynaecological oncology | beba38df-a6e2-4005-9b4d-78166d6f27fa | multi |
Tzank smear is done for all except | Tzanck smear is a bedside test. It enables cytodiagnosis in vesicular and bullous lesions to demonstrate acantholytic or multinucleated cells. Acantholytic cells are keratinocytes which are large round cells with a dark central nucleus and peripheral condensed pink cytoplasm. These cells may be singular or in groups an... | 4 | Varicella | Herpes | Pemphigus | Psoriasis | Dental | Vestibulobullous disorders | d66020d2-b00d-4f00-bccd-0452ea38835f | multi |
Absorption of which of the following drug increases with food intake ? | null | 3 | Tetracycline | Diazepam | Griseofulvin | Ampicilin | Pharmacology | null | 3d988c87-65c9-4a4c-8104-e60aed1fade5 | single |
After taking a drug a patient developed some abdominal problem for which he consulted a physician, who adviced X-ray. X ray findings was radiopacity in bowel. Probably he might have taken A/E: | D i.e. Coicosteroid | 4 | Salicylate | Iron | Phenothiazine | Coicosteroid | Radiology | null | 3ec7904c-a266-41f6-b504-ce8ebe906a4f | single |
Which of the following produces VWF: | Ans. (A) Endothelial cells(Ref: Robbins and Cotran Pathologic Basis of Disease 10th ed; Pg 489)Synthesis of VWF is large multimeric glycoprotein in blood plasma and produced constitutively as ultra-large VWF in endothelium (in the Weibel-Palade bodies), megakaryocytes and platelets (a-granules of platelet), and subendo... | 1 | Endothelial cells | Platelets | Neutrophils | Macrophages | Pathology | Blood | 5189bcdb-69f8-4817-831c-1c2e7ebee5c4 | single |
Epithelial lining of Baholins duct is : | Transitional Epithelium | 2 | Columnar | Transitional | Cuboidal | Squamous | Gynaecology & Obstetrics | null | 1887db8b-78e2-4895-be9e-a1edd592ddff | single |
What is the term used for microbial killing by an antibiotic below its "Minimum inhibitory concentration"? | Post antibiotic effect refers to continued suppression of bacterial growth that persists after removal of an antimicrobial agent. When a drug has prolonged post antibiotic effect it may be effective against pathogens even during intervals between the doses when serum and tissue levels have dropped below MIC. Carbapenem... | 4 | Concentration dependent killing | Time dependent killing | Sequential blockade | Post antibiotic effect | Pharmacology | null | b9404a12-6e6b-456a-ba8e-8e6bcd615f4d | single |
Female presents to gynaecological OPD with a complaint of cyclical pain, dyspareunia and infertility. The best investigation to establish the diagnosis would be- | Clinical features of infertility, dyspareunia, and cyclical pain (i.e. dysmenorrhea) are highly suggestive of endometriosis and the investigation of choice/ gold standard investigation for the diagnosis of endometriosis is laparoscopy.
TVS is the mainstay for evaluating symptoms associated with endometriosis.
It is acc... | 2 | TVS | Diagnostic laparoscopy | Hormonal study | Aspirate from the pouch of douglas | Gynaecology & Obstetrics | null | 18356be0-b7fa-4a27-a99f-e99e55ecc90d | single |
WHICH OF THE FOLLOWING IS NOT A PA OF NEPHRON ? | Nephron - Nephron is the structural and functional unit of kidney and there are about 1-4 million nephrons in each kidney. The nephron consists of a renal corpuscle (or Malpighian corpuscle), and a long complicated renal tubule. Renal tubule is made up of three pas: The proximal convoluted tubule, Loop of Henle, The di... | 2 | The distal convoluted tubule | Loop of Henle | The proximal convoluted tubule | Collecting Duct | Anatomy | General anatomy | c261eea2-53da-4ea4-b4ad-1226971a421c | single |
Bird shot retinopathy is characterised by all except | Birdshot chorioretinopathy, also known as birdshot uveitis, birdshot retinopathy, or HLA-A29 uveitis, is an uncommon chronic posterior uveitis characterized by vitritis and multiple ovoid spots, which are orange to cream in color and hypopigmented Ref AK khurana 6/e p 280 | 2 | Common in females | Unilateral | HLA 29 positive | Creamy yellow spots | Ophthalmology | Vitreous and retina | e7ddddfd-0278-4592-bc84-5cdf5fc0565c | multi |
While analyzing a data, allocation into similar groups is done to ensure - | Both groups (study and control) should be comparable in respect of all the possible varibles, which may influence the outcome.
So that, except for the factor under study will not influence the outcome → confoundation and bias can be minimized. | 1 | Comparability | Accuracy | Validity | Sensitivity | Social & Preventive Medicine | null | 26fb9e2e-d422-4137-acde-e2625c9dc05b | multi |
Vestibular Schwannoma arises most frequently from: | Superior Vestibular nerve is the most common nerve of origin, followed by Inferior Vestibular Nerve. | 1 | Superior Vestibular Nerve | Inferior Vestibular Nerve | Cochlear Nerve | Facial Nerve | ENT | null | 89846a34-4f7b-4626-a99f-d2eae7465bd7 | single |
Sickle cell trait patient do not have manifestations as that of Sickle cell disease, because: | In Sickle cell trait, the patient is heterozygous and only one parent contributes the abnormal S gene. in each cell of these patients approximately 40% of the hemoglobin is HbS. The rate of sickling is influenced by the intracellular concentration of hemoglobin S and by the presence of other hemoglobins within the cell... | 1 | 50% HbS is required for occurrence of sickling | HbA prevents sickling | 50% sickles | HbA prevent polymerization of Hbs | Pathology | null | 9d7c02f0-edca-4c1b-8e4e-c0dd9ee5ff2d | single |
A 1–month old baby present with frequent vomiting and failure to thrive. There are features of moderate dehydration. Blood sodium in 122 mEq/1 and potassium is 6.1 mEq/1. The most likely diagnosis is – | Blood parameters indicate Hyponatremia and Hyperkalemia in this patient. All conditions other than 21 hydroxylase deficiency present with Hypokalemia. | 3 | Gitelman syndrome | Bartter syndrome | 21–hydroxylase deficiency | 11–β hydroxylase deficiency | Pediatrics | null | 7b3944c4-9148-499e-aa96-fa1be04eca88 | single |
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