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Which is the most common nephropathy associated with malignancy?
Membranous nephropathy can be associated with tumors of the colon, lung and hematological malignancies like chronic lymphocytic leukemia
1
Membranous
MCD
IgA
FSGS
Medicine
Nephrotic and Nephritic syndrome
bf258e61-818b-4ac5-9697-f57165cef952
single
Which of the following has least minimum infective dose(MID) required for causing infection:
Ans. (c) Shigella dysentery "Shigella cause bacillary dysentery. Infection occur by ingestion. The minimum infective dose is low: as few as I0-I(N bacilli are capable of initiating the disease, probably because they survive gastric acidity better than other enterobacter"- Ananthanarayan.
3
Salmonella typhi
Campylobacter jejuni
Shigella dysentery
Vibrio cholera
Microbiology
null
9c99de3f-2590-4b2d-a00c-40f75f578109
single
Guillain-Barre' syndrome (GBS) commonly associated with
(B) Campylobacter # GUILLAIN-BARRI- SYNDROME (GBS) is a rapid-onset muscle weakness caused by the immune system damaging the peripheral nervous system.> Initial symptoms are typically changes in sensation or pain along with muscle weakness, beginning in the feet and hands.> This often spreads to the arms and upper body...
2
Japanese encephalitis virus
Campylobacter
Meningococcus
Acanthoemeba
Microbiology
Misc.
0f861bdf-564b-4f64-a75b-06826d68b958
single
A 30-year-old multiparous female complains of a painless ulcer in vulva. She has several sexual partners. Her previous pregnancy has ended in a still birth at 24 weeks. What is the first test, which should be performed in this case:
Ans is b, i.e. VDRL TestRef: Dutta Gynae 6th/ed, p262The female is presenting with a single painless ulcer, she has multiple sex partners and her pregnancy resulted in still birth at 24 weeks. All this points towards syphilis as the diagnosis.The first test to be performed in this case is VDRL test (screening test).Con...
2
ELISA for HIV
VDRL Test
Culture of scraping from the ulcer
Election microscopy of scraping from the ulcer
Gynaecology & Obstetrics
Sexually Transmitted Disease in the Female
db5b6276-a025-4177-a09c-75a0cc4bdae5
single
The primary action of Nitric oxide (NO) in the gastrointestinal tract is -
Ans. is 'c' i.e., Gastrointestinal smooth muscle relaxation "Nitric oxide (NO) seems to be involved as neurotransmitter in nonadrenergic noncholinergic (NANC) smooth muscle relaxation thoughout the gastrointestinal tract". --Interneto This question is a direct repeat from All-India 2010.Actions of NOo NO has following ...
3
Vasodilatation
Vasoconstriction
Gastrointestinal smooth muscle relaxation
Gastrointestinal slow smooth muscle contraction
Physiology
General Principles of Gastrointestinal Function
7d6c8f27-8894-4057-965f-63fedc22ba20
single
Rotational changes in the mandible essentially consist of
null
1
Matrix rotation 25% and Intramatrix rotation 75%
Matrix rotation 50% and Intramatrix rotation 50%
Matrix rotation 100% and Intramatrix rotation 0%
Matrix rotation 0% and Intramatrix rotation 100%
Dental
null
973d4fb6-7b11-44dc-8cbc-9fb5c142f7e8
multi
Which of the following is a mood stabilizer?
Ans: a (Lithium) Ref:Katzung, 10th ed, p 455Lithium carbonate is often referred to as an "antimanic" drug, and is considered a "mood-stabilizing" agent because of its primary action of preventing mood swings in patients with bipolar affective (manic-depressive) disorder. Concentrations considered to be effective and ac...
1
Lithium
Haloperidol
Amitriptyline
Diazepam
Pharmacology
C.N.S
349fa480-b37a-4aa9-8da5-c25414c3b4c6
single
A female comes in OPD with a breast lump. After careful history and examination, breast biopsy is suggested by a senior resident doctor. Find out the TRUE statement about the surgical wound inflicted during the procedure:
Prophylactic systemic antibiotics are not indicated for patients undergoing low -risk, straightforward clean surgical operations in which no obvious bacterial contamination or inseion of a foreign body has occured. SSi risk has traditionally correlated to wound class. The accepted range of infection rate has been 1% to...
3
Expected infection rate in the wound is 10%
Classified as clean/contaminated wound (class II )
No Prophylactic antibiotics need to be given to the patient
Class of the wound is same as that of the wound inflicted during cholecystectomy
Surgery
null
8e6b2189-ddf4-4912-9102-dffaca568630
multi
Bezold abscess is located in -
Ans. is 'b' i.e., Sternocleidomastoid muscle Abscesses related to mastoid infectiono Acute mastoiditis can be complicated by following abscesses : -Postauricular abscess : - This is the commonest subperiosteal abscess associated with acute mastoiditis, It occurs lateral to the cortex of mastoid in MacEwren's triangle.B...
2
Submandibular region
Sternocleidomastoid muscle
Diagastric triangle
Infratemporal region
ENT
CSOM and its Complications
40504ef7-7573-4e55-9747-2811a46dc8b0
single
Niemann - Pick disease is due to deficiency of which of the following enzymes?
Deficient enzyme Disease Acid Sphingomyelinase Niemann pick disease Hexosaminidase A Tay-sachs disease Ceramidase Farber disease Arylsulfatase B Maroteaux - Lamy syndrome
1
Acid Sphingomyelinase
Hexosaminidase A
Ceramidase
Arylsulfatase B
Medicine
Misc.
7c8ca40e-4cbf-4f05-abe2-83b5f6842c25
single
The prostatic urethra is characterized by all of the following features, except
The prostatic urethra, the widest and most dilatable pa of the urethra canal, is about 3 cm. long The transverse section of this canal is shaped like a horse-shoe. Its convex pa is directed towards the front.
2
Is the widest and most dilatable pa
Presents a concavity posteriorly
Lies closer to anterior surface of prostate
Receives prostatic ductules along its posterior wall
Anatomy
Abdomen and pelvis
6cba18be-cd87-4e93-83fa-5fd9f0d1a3f0
multi
Nonprogressive contraction of esophagus are:
Ans. (c) TertiaryRef: Sabiston 19th Edition, Page 1019* Primary and secondary peristalsis are normal* Tertiary peristalsis is abnormal
3
Primary
Secondary
Tertiary
Quaternary
Surgery
Oesophagus
85f6a98a-2c38-4ae0-a87b-a84ec38f5e7e
single
Chediak Higashi disease is characterized by the following except?
Ans. A. Neutrophilia. (Ref, Robbing pathology 8th/pg. 154)Befects, Phauocytzc,CellsDiseaseMolecular Defect(s)SymptomsChronic granulomatous disease (C6D)Deficiency of NADPH oxidase (any one of four component proteins), failure to generate superoxide anion, other O2 radicalsRecurrent infections with catalase-positive bac...
1
Neutrophilia
Defective degranulation
Delayed microbial killing
Giant granules
Pathology
Immunity
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multi
Following genetic counselling in a family for Familial polyposis coli (FPC) next screening test is
Ans. is 'd' i.e. APC gene Schwartz writes - "Flexible sigmoidoscopy of first-degree relatives of FAP (Familial adenomatous polyposis) patients beginning at age 10 to 15 years has been the traditional mainstay of screening. Today following genetic counselling, APC gene testing may be used to screen family members provid...
4
Flexible sigmoidoscopy
Colonoscopy
Occult blood in stools
APC gene
Surgery
Miscellaneous (Neoplasia)
27daee65-893c-40a2-a0a6-9d2e13872eb3
single
Hurthle cells are characteristically seen in which of the following thyroid disease?
(A) Hashimoto's thyroiditis Robbins8 - 1112, 1113; Robbins7 - 1169]# Hurthle cell is a cell in the thyroid that is often associated with Hashimoto's thyroiditis as well as follicular thyroid cancer Histology: Hurthle cells are characterized as enlarged epithelial cells with abundant eosinophilic granular cytoplasm as a...
1
Hashimoto's thyroiditis
Graves' disease
de Quervain's thyroiditis
Subacute lymphocytic
Pathology
Misc.
6e575f4c-1273-4808-b698-2cdcb4ecb962
multi
Waterfall effect is seen in:
Perfusion zones of lung: The lung is divided into three perfusion zones depending on the relationship between alveolar pressure (PA), pulmonary aerial pressure (Pa) and pulmonary venous pressure (Pv). Zone I: Refers to area of zero flow, region that does not receive blood flow. It occurs when pulmonary aerial pressure ...
2
Apex of lung
Mid lung
Base
Throughout the lung
Physiology
null
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multi
A condon consists of -
B i.e. 3 consecutive nucleotide unit
2
Two complementary base pairs
Three consecutive nucleotide units
An individual ribosome
Four individual nucleotides
Biochemistry
null
5fe01b5f-7b46-4ee3-a195-4d219d80270a
single
Which of the following is the causative agent of STD disease donovanosis?
Granuloma inguinale/donovanosis-caused byKlebsiella granulomatis. Small, painless nodules appear after about 10-40 days of the contact with the bacteria. Later, the nodules burst, creating open, fleshy, oozing lesions. The lesions occur at the region of contact typically found on the shaft of the penis, the labia, or t...
2
Hemophilus ducrevi
Klebsiella granulomatis
Leishmania donovani
Treponema pallidum
Social & Preventive Medicine
NEET Jan 2020
9be7b99c-aff2-4202-b7c3-20b76c12276b
multi
Which of the following is not a type of balance in complete denture occlusion.
Apart from other options, unilateral lever balance is a type of balance in complete denture occlusion.
1
Bilateral lever balance
Unilateral occlusal balance
Bilateral occlusal balance
Protrusive occlusal balance
Dental
null
c0ad2016-1a56-41ba-ba7e-f9df46bc8b84
single
Products of Phospholipase C are -
Ans. is 'b' i.e., Inositol triphosphate and Diacylglycerol* IP3 or Inositol triphosphate and DAG or Diacylglycerol are second messengers formed from Phosphatidyl inositol diphosphate (PIP2) by the action of Phospholipase C* Has been explained in NEET Dec-16
2
Inositol and diacylglycerol
Inositol triphosphate and Diacylglycerol
Lysophospholipid and fattyacid
Phosphatidate and IP2
Biochemistry
Lipids
f99063ea-d869-4917-b7ed-2f4410833d17
single
Using a small fine probe, single lactiferous duct is excised. What is the name of the procedure:
Microdochectomy: Small fine probe inseed into duct Peri-areolar incision is made By dissecting nipple flap, duct is excised Done for duct papilloma Hadfield operation: Conical excision of major ducts Done for duct ectasia
2
Macrodochectomy
Microdochectomy
Webster operation
Hadfield operation
Surgery
NEET 2018
c37e1f97-22d5-41d4-8139-b37986f582ca
multi
Wof gland is impacted in Fox Fordyce disease
Fox-Fordyce Disease * Chronic pruritic disorder of the apocrine glands due to obstruction and dilation * Intensely pruritic, dome-shaped flesh-colored follicular papules in axillae, +- anogenital and periareolar skin Treatment:- Topical and intralesional coicosteroids, topical tretinoin, cleocin lotion. Ref:- Sima Jain...
4
Sebaceous glands
Eccrine glands
Pilosebaceous units
Apocrine glands
Dental
miscellaneous
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single
Leptospirosis, all are true except
null
2
Faeces & urine of rodents is the cause
onset of IgM in 2 days
Incubation period is 10 days
It is sensitive to penicillin
Microbiology
null
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multi
A 75-year-old woman with rheumatoid arthritis (RA) takes aspirin for symptom control. She usually adjusts the dose of her own medications depending on how she is feeling.For the above patient with a toxic ingestion or exposure, select the most likely clinical effect.
Salicylates are associated with vertigo, hyperventilation, tinnitus, and deafness. Excretion of salicylates is renal, and in the presence of normal renal function, about 50% will be excreted in 24 hours. Severe toxicity can cause severe acid-base abnormalities. It can be difficult to diagnose when the toxicity is secon...
3
combines with cytochromes and catalase to block hydrogen and electron transport, thus producing tissue asphyxia
methemoglobinemia
vertigo, hyperventilation, tinnitus, and deafness
bone marrow depression
Medicine
Miscellaneous
495b886c-3396-453b-b6eb-6a507c4047b3
multi
The etiologic factor implicated in the development of pulmonary insufficiency following major nonthoracic trauma is
Posttraumatic pulmonary insufficiency in the absence of significant thoracic trauma has been attributed to a wide variety of etiologic agents, including aspiration, simple atelectasis, lung contusion, fat embolism, pneumonia, pneumothorax, pulmonary edema, and pulmonary thromboembolism. In a landmark monograph entitled...
3
Aspiration
Atelectasis
Fat embolism syndrome
Fluid overload
Surgery
Miscellaneous
ed331766-25a3-46bb-a544-044d1fd17703
single
What is the cause of tetany in patients with hyperventillation ?
Low levels of carbon dioxide cause tetany by altering the albumin binding of calcium such that the ionized (physiologically influencing) fraction of calcium is reduced; one common reason for low carbon dioxide levels is hyperventilation. Low levels of magnesium can lead to tetany Hypocalcemia is the primary cause of te...
4
Metabolic alkalosis
Decreased levels of potassium
Respiratory acidosis
Decreased plasma calcium levels
Medicine
Fluid and electrolytes
1df5e5ca-9cad-4764-a7e6-24bea0181e9d
single
In IgA nephropathy (Berger's disease), there are ?
Ans. is 'c' i.e., Mesangial deposits
3
Subepithelial deposits
Subendothel i al deposits
Mesangial deposits
Basement membrane deposits
Pathology
null
593350f0-edc8-469c-a9b7-1a2bfd97f0b5
single
Gray hepatization of lungs is seen on day:
5-Mar
3
1
3-Feb
5-Mar
7-May
Pathology
null
22d8b402-8de1-49bf-b971-0a038ec11541
single
All of the following acute myeloid leukaemia are diagnosed regardless of blast count Except
WHO classification mandates diagnosis of AML only when >20% blasts are present in the marrow. However, in the following three scenarios, this is overruled and AML may be diagnosed even if blast count is <20%.AML with t(8;21)AML with t(15;17)AML with inv (16) or t(16;16)
4
AML with t(8;21)
AML with t(15;17)
AML with t(16;16)
AML with t(1;9)
Microbiology
All India exam
f3658c56-405a-4e8b-a31b-e4421ee64154
multi
Virulence or pathogenicity of pneumococcus depends upon-
Ans. is 'a' i.e., Capsular polysaccharide
1
Capsular polysaccharide
Cell wall antigen
Flagellar antigen
Fimbrial antigen
Microbiology
null
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multi
The proportional mortality rate is
Note: Proportional mortality rate measures the burden of disease. Others are crude death rates.
3
Number of death during that year
Number of death in one month
Number of death due to particular a cause
null
Social & Preventive Medicine
null
fa792890-b9ba-4ec1-ac9c-294b399e8586
multi
Medullary carcinoma thyroid arises from ?
Ans. is 'a' i.e., Parafollicular cells The unique feature of Medullary carcinoma thyroid is that unlike other carcinomas of thyroid they are not derived from the cells of the thyroid follicle, instead they are derived from calcitonin secreting parafollicular cells (C cells) which are neural crest derivatives. Thyroid n...
1
Parafollicular cells
Cells lining the acini
Capsule of thyroid
Stroma of the gland
Surgery
null
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single
Nohern blotting is used for analysis of
To demonstrate specific RNA The total RNA is isolated from the cell, electrophoresed and then blotted on membrane Probed with radioactive cDNA There will b RNA-DNA hybridization Used to detect the gene expression in a tissueRef: DM Vasudevan, 7th edition, page no: 634
2
DNA
RNA
Proteins
Polysaccharides
Biochemistry
Metabolism of nucleic acids
460ac798-d372-4327-8b46-862d0b2d9aea
single
Total skin electron irradiation is used for of
B i.e. Mycoses fungoides Mycosis fungoides is an indolent cutaneous T - cell lymphomaQ with patients often having several years of eczematous or dermatitis skin lesion before the diagnosis is finally established. But the disorder is inevitably fatalQ, although the rate of progression is quite variable. Mycosis Fungoide...
2
Sezary syndrome
Mycoses fungoides
Psoriasis
Brain metastasis of skin cancer
Skin
null
7348db50-f83c-40b6-841f-1f2fefc5b314
single
Salk polio vaccine is ?
Ans. is 'a' i.e., Killed Inactivated polio (Salk) vaccine IPV is usually made from selected wild polio virus (WPV) strains-namely, Mahoney (Salk type 1), MEF-1 (Salk type 2) and Saukett (Salk types) - that are grown in vero cell culture or in human diploid cells. Vaccine contains all the three types of poliovirus, inac...
1
Killed
Live attenuated
Subunit
Recombinant
Social & Preventive Medicine
null
0d91d7ba-24f5-4a70-8f67-8b4c2f9510d5
single
Chorioretinitis is caused by -
Toxoplasmosis is known to produce necrotising chorioretinitis. Systemic toxoplasmosis occurs in humans in two forms: congenital and acquired. 1. Congenital toxoplasmosis:The characteristic triad of congenital toxoplasmosis includes: convulsions, chorio-retinitis and intracranial calcification. 2. Acquired toxoplasmosis...
1
Toxoplasmosis
CMV
Rubella
Oncocerca volvulus
Ophthalmology
Uveal tract
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single
Right lung is seen to best advantage on the following views:
Ans. Left anterior oblique
3
Right posterior oblique
Right anterior oblique
Left anterior oblique
Lateral
Radiology
null
8b683672-d719-412f-9144-48676733e007
single
Number of permanent teeth in a 8 year old child
null
3
4
8
12
20
Unknown
null
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single
Most sensitive diagnostic test for ectopic pregnancy:
Ans. (a) Transvaginal USGRef: D.C. Dutta 8th ed. / 212, Williams obst. 21st ed.l 892Diagnosis of Ectopic Pregnancy* Most definite diagnosis of pregnancy is by demonstrating intrauterine sac.* An absence of the intrauterine sac in a patient who is complaining of pain, bleeding and positive pregnancy test raise the suspi...
1
Transvaginal USG
Serial monitoring of beta HCG
Culdocentesis
MRI
Gynaecology & Obstetrics
Multimodality Diagnosis
4b166f31-6847-40c2-9491-16f2b65541c0
single
All is true about Giant cell aeritis except ?
Ans. is 'c' i.e., Most commonly involved aery is abdominal aoao It is the most common form of systemic vasculitis in adults, is an acute and chronic, often granulomatous, inflammation of aeries of large to small size.o It affects principally the aeries in the head-especially the temporal aeries-- but also the veebral a...
3
Involves large to small sized areteries
Granulomatous inflammation
Most commonly involved aery is abdominal aoa
Segmental nature of the involvement
Pathology
null
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multi
The specific gravity of a transudate is:
null
2
Below 1.010
Below 1.012
Between 1.012 and 1.020
Above 1.020
Pathology
null
4872f881-f69c-42a7-8e3e-927eee6ca72c
multi
The enamel bevel of a gingival floor is done with:
null
2
Hatchet
Chisel
Hoe
Curette
Dental
null
6ed2f3bf-06f0-4911-8c61-7bcc1095e6bc
single
True about CPAP all except aEUR'
Used prophylactically in baby born with <1 kg wt or < 28 week gestation According to Indian Journal of pediatrics Early cPAP in respiratory distress syndrome It is impoant to note that cPAP helps mainly by preventing the alveolar collapse in infants with surfactant deficiency. Once atelactasis and collapse have occurre...
1
Used prophylactically in baby born with < lkg wt or < 28 weeks gestation
Initiate as early in preterm with resp. distress
Initiate with < 50 - 60 % Fi02
Improved lung compliance and oxygenation
Anaesthesia
null
7b440169-e506-486a-9c49-f1db794a4797
multi
Neostigmine antagonizes non-depolarizing blockade by all of the following mechanisms EXCEPT
Neostigmine, sold under the brand name Prostigmin among others, is a medication used to treat myasthenia gravis, Ogilvie syndrome, and urinary retention without the presence of a blockage. It is also used together with atropine to end the effects of neuromuscular blocking medication of the non-depolarizing type.
2
Decreasing the breakdown of acetylcholine at the motor end plate
Preventing the K+ efflux from the cell
Increasing the release of acetylcholine at the motor end plate
Depolarization at the motor end plate
Pharmacology
Anesthesia
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multi
All of the following are side effects of growth hormone (supplements) therapy except
Ans. c. Hypoglycemia
3
Slipped capital femoral epiphysis
Gynaecomastia
Hypoglycemia
Pseudotumour cerebri
Pediatrics
null
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multi
Arch of Aorta is derived from all except -
Ans. is 'd' i.e., Left 2nd arch artery Development of major arteriesBlood vesselDevelopment componentsAscending aortaTruncus arteriosusArch of aorta1. Left horn of aortic sac2. Left 4th arch artery3. Left dorsal aortaDescending aorta1. Left dorsal aorta beyond 7th cervical intersegmental artery2. Fused dorsal aortaeBra...
4
Left horn of Aortic sac
Left 4th arch artery
Left dorsal aorta
Left 2nd arch artery
Unknown
null
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multi
A tableau was held in a village to educate the villagers about early detection of oral cancer. This type of health education is called:
Role-playing / Sociodrama: The size of the group should be about 25. The audience should take an active part by suggesting alternative solutions and even by taking part in the drama. The situation is dramatized to make communication more effective. It is followed by a discussion of the problem. Puppet shows used in v...
3
Symposium
Seminar
Role play
Learning by doing
Dental
null
332d0474-5dc2-4ed3-93a3-d96e8126635b
multi
Which of the following is treatment of choice for Wegener's granulomatosis:
Ans. B: Steroids Management of systemic vasculitis (which includes Wegener's granulomatosis) is with high dose coicosteroids and immunosuppressives Wegener's granulomatosis: Necrotizing vasculitis of small aeries and veins together with granuloma formation that can be either intravascular or extravascular Lung involvem...
2
Antibiotics
Steroids
Analgesics
Antiviral therapy
Medicine
null
3c183cc6-c411-4ca3-a7bc-f3abfa2d82ec
single
All are included in diagnostic criteria of somatization disorder except -
Ans. is 'd' i.e., Visual symptomsSomatization disordero The essential features of somatization disorder are multiple recurrent somatic symptoms of long duration (chronic) that are caused by psychological basis and no physical illness can be found.o The disorder begins before the age of 30 years and then has a chronic c...
4
Sexual symptom
Pain symptom
GI symptom
Visual symptoms
Psychiatry
Somatic Symptom Disorder
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multi
Stages of Anaesthesia were established by :
Ans. is 'a' Ether Guedel's staging of Anaesthesia was given for EtherStage of Anaesthesia are as follows*Stage I - Analgesia*Stage II - Delirium or excitement*, partially dilated pupilStage III - Stage of Surgical AnaesthesiaIt is divided in 4 stagesMoving eye to fixed eyeCorneal & laryngeal reflex lostLight reflex los...
1
Ether
Nitrous Oxide
Cyclopropane
Chloroform
Anaesthesia
Fundamental Concepts
5d54b51b-00fe-4014-bd35-d4de52fa5366
single
A moribund patient who is not expected to survive without an operation is put under which category as per the ASA Physical status classification system?
ASA Physical Status Classification System P1 A normal healthy patient P2 A patient with mild systemic disease P3 A patient with severe systemic disease P4 A patient with severe systemic disease that is a constant threat to life P5 A moribund patient who is not expected to survive without the operation P6 A declared bra...
3
P2
P4
P5
P6
Medicine
All India exam
3859e79a-39ad-4131-a6f0-2de9bcc993a0
single
Which of the following is given as live oral vaccine ?
Ans. is 'c' i.e., Typhoid
3
B.C.G
Measles
Typhoid
Rabies
Social & Preventive Medicine
null
dad3b089-6bda-4334-9174-779abca0bf1d
single
True about Stage III B Endometrial Carcinoma
Endometrial cancer stage III: Stage IIIA: Involvement of uterine serosa and/ or adnexa Stage IIIB: Involvement of vagina and/or parametrium Stage IIIC: IIIC1: Positive Pelvic nodes IIIC2: Positive Paraaoic nodes with or without positive pelvic nodes Positive peritoneal cytology doesn&;t alter the stage Ref: FIGO SURGIC...
1
Vaginal metastasis
Lymph node metastasis
Bowel involvement
Lung metastasis
Gynaecology & Obstetrics
Gynaecological oncology
2c6216b5-f9e8-49ab-a8c4-f8e3885bd8ba
multi
Food poisoning with incubation period of 1-6 hours is most probably caused by
(D) Staphylococcus aureus
4
H. pylori
Salmonella typhi
Streptococcus viridans
Staphylococcus aureus
Pharmacology
Miscellaneous (Pharmacology)
cb7145cf-3b5c-4b34-925a-b53cae3b9403
single
Which is the most common inherited bleeding disorder?
Von Willebrand disease (vWD) is the most common inherited bleeding disorder. It has an autosomal dominant inheritance. The hallmark of von Willebrand disease is defective platelet adhesion to sub-endothelial components caused by a deficiency of the plasma protein vWf.
1
Von Wilebrand disease
Bernard soulier
Glanzmann Thrombasthenia
ITP acute
Medicine
Platelet & Coagulation disorders
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single
A 68-year old man who has had a recent syncopal episode is hospitalized with congestive heart failure. His blood pressure is 160/80 mmHg. His pulse rate is 80 beats per minute, and there is a grade III/IV harsh systolic murmur. An echocardiogram shows a disproportionately thickened ventricular septum and systolic anter...
null
2
Radiation of the murmur to the neck.
Decrease of the murmur with hand grip
Delayed carotid upstroke
Reduced left ventricular ejection fraction
Medicine
null
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single
In an agreement between SpO2 of two groups with and without micropore in a pediatric population the values spotted is as below. Which of the following is true?
(d) The curve shows a regression line means co-relationBLAND-ALTMAN PLOT* Difference plot* A graphical method to compare two measurements techniques* The differences/ratios between the two techniques are plotted against the averages of the two techniques* Alternatively the differences can be plotted against one of the ...
4
There is no agreement between the two groups
The two groups have a constant relation with a variation of 3%
The is no association between the two groups
The curve shows a regression line means co-relation
Social & Preventive Medicine
Biostatistics
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multi
The nutritive value of diet is greatly enhanced by inclusion of fish in diet. Which of the following nutrient is deficient in fish?
Fish is nutritious food rich in proteins (15-25%). The fat of fish is rich in unsaturated fatty acids and A and D vitamins. Fish bones are rich in calcium, phosphorus and fluorides. Fish are less rich in iron (0.7-3 mg/100 g) than meat. Freshwater fish do not contain iodine, but sea fish do. There is practically no car...
3
Iodine
Vitamin A
Iron
Phosphorus
Social & Preventive Medicine
null
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Man is definitive host for -
W.bancrofti passes its life cycle in two host Man -definite host Mosquito-intermediate host The adult worms are harboured in the lymphatic system of man. The lymph provides nutrition to adult worms (refer pgno:166 baveja 3 rd edition)
3
Echinococcus
Malaria
Filariasis
Rabies
Microbiology
parasitology
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True about migraine
K.D Tripathy essentials of medical pharmacology 7th edition . *Migraine is a mysterious disorder characterised by pulsating headache ,usually restricted to one side ,which comes in attacks lasting 4-48 hours and is often associated with nausea,vomiting,sensitivity to light and sound,veigo,loose motion,flashes of light....
4
U/I pain
Throbbing type of pain
A/W Nausea & vomitting
All
Medicine
C.N.S
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The active form of vitamin A is:
Ans. B. Retinol. (Ref. Harper's Biochem 27th/Ch. 44; Harrison 18th/Ch. 74; Robbin's fig.9-22).Vitamin A, in the strictest sense, refers to retinol. However, the oxidized metabolites, retinaldehyde and retinoic acid, are also biologically active compounds. The term retinoids includes all molecules (including synthetic m...
2
Retinal
Retinol
Retinoic acid
Etretine
Biochemistry
Vitamins and Minerals
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single
Presence of maggots at post moem indicates :
A i.e. Duration since death
1
Duration since death
Cause of death
Mode of death
Posture of body at time of death
Forensic Medicine
null
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Vasopressin is synthesized in the:
Vasopressin. Vasopressin, also called antidiuretic hormone, is even more powerful than angiotensin II as a vasoconstrictor, thus making it one of the body’s most potent vascular constrictor substances. It is formed in nerve cells in the hypothalamus of the brain but is then transported downward by nerve axons to the po...
2
Anterior pituitary
Hypothalamus
Juxtaglomerular apparatus
Vasomotor centre
Physiology
null
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All may lead to hives and wheels except
D i.e. Typhoid fever Typhoid, rubella and rubeola (measles) leads to morbilliform - exanthems (not to uicaria or hives)Q
4
Cold
Hepatitis C
Serum Sickness
Typhoid Fever
Skin
null
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multi
The commonest complications of topical steroids is -
null
1
Glaucoma
Cataract
Ptosis
Iritis
Ophthalmology
null
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Psoralen–A is used in the treatment of –
null
2
Pemphigus
Vitiligo
Pityriasis alba
Icthyosis
Dental
null
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single
All of the following muscles are supplied by recurrent laryngeal nerve except:
Nerve Supply of muscles of larynx: Motor Nerves Recurrent laryngeal nerve supplies posterior cricoarytenoid, lateral cricoarytenoid, transverse and oblique arytenoid, aryepiglottic, thyroarytenoid, thyroepiglottic muscles.  It supplies all intrinsic muscles except cricothyroid. External laryngeal nerve only supplies t...
1
Cricothyroid
Arytenoid
Cricoarytenoid
null
Anatomy
null
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multi
Benign Prostatic hyperophy results in obstruction of the urinary tract. The specific condition is associated with enlargement of the:
Median lobe of prostate is prone to development of BPH. Posterior lobe of prostate is prone to development of malignancy. Ref: Snell's Clinical Anatomy, 7th Edition, Page 381
3
Entire prostate gland
Lateral lobes
Median lobe
Posterior lobes
Anatomy
null
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Which of the following are derived from mesoderm?
Ans. c (Microglia). (Ref. Human Embryology by IB Singh, 6th ed., 352).CNS/PNS cells:AstrocytesPhysical support, repair, K+ metabolism; help maintain blood-brain barrier. Astrocyte marker--GFAP.MicrogliaCNS phagocytes. Mesodermal origin. Not readily discernible in Nissl stains. Have small irregular nuclei and relatively...
3
Astrocytes
Oligodendrocytes
Microglial cells
Schwann cells
Anatomy
Fertilization and Development of Embryo
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For transplantation, cornea is preserved in
KERATOPLASTY or CORNEAL GRAFTING Corneal preservation techniques: 1) Sho term preservation in moist chamber or Mc Carey Kaufmann medium refrigerated at 2 -8degC requires the cornea to be used with in 48-72 hrs. 2) Intermediate term preservation in medium containing chondroitin sulphate refrigerated at 2-8degC for 7 - 1...
2
Wet medium
Modified MK medium
Glycerine medium
All of the above
Ophthalmology
Cornea and sclera
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Impoant factor for discordant growth between twins is:
Twin to twin transfusion
2
Anaemia
Twin to twin transfusion
Compression
All
Gynaecology & Obstetrics
null
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multi
Bradykinin is for all ; except
Increases vascular permeability Arteriolar dilation Bronchial smooth muscle contraction Pain at the site of injections/inflammation Since increased vascular permeability is the most characteristic feature of acute inflammation, some people were of the opinion that this could be single best option to be marked presumin...
3
Pain
Vasodilatation
Vasoconstriction
Increase vascular permeability
Pathology
null
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Viral myocarditis is caused by:
(Coxsackie virus): Ref: 1413-15-H (1486-87-H17th)* Most commonly by virus especially coxsackievints-BInfective agentsA. Viral (coxsackievirus A & B, echovirus, mumps, hepatitis adenovirus, HIV)B. Pyogenic (Pneumococcus, streptococcus, staphylococcus, Neisseria, Legionella)C. TuberculosisD. Fungal (Histoplasmosis, cocci...
2
CMV
Caxsackievirus-B
Toxoplasma
Herpes
Medicine
Infection
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Secondary messengers include:
A i.e. c-AMP; B i.e. IP3; C i.e. Diacylglycerol
4
cAMP
IP3
Diacylglycerol
All
Physiology
null
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multi
The following classification is used to estimate nerve injury:
Seddons classification is used to estimate the nerve injury According to this classification nerve injury is divided into 3 grades Ref:Guyton and Hall textbook of medical physiology 12th edition,page number: 74,75,76
1
Seddons classification
Lloyds classification
Both
null
Anatomy
General anatomy
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All of the following drugs are effective for cervical ripening during pregnancy except:
Progesterone is pregnancy protective agent and is given for maintenance of pregnancy and is even used as a tocolytic in preterm labour. Protaglandin E1 is misoprostol, E2 is Dinoprostone along with oxytocin are regularly used for cervical ripening for inducing labor or even for inducing aboions.
3
Prostaglandin E2
Oxytocin
Progesterone
Misoprostol
Gynaecology & Obstetrics
Labour - normal, abnormal, malposition, malpresentation and their management
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Normal standard detion true is-
Repeated question the standard detion (SD, also represented by the Greek letter sigma s or the Latin letter s) is a measure that is used to quantify the amount of variation or dispersion of a set of data values. A low standard detion indicates that the data points tend to be close to the mean (also called the expected ...
1
Mean = Median
Mean > Median
Median > Mean
Mode > Mean
Social & Preventive Medicine
Biostatistics
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multi
A 60-year old male presented with Yellowish discoloration thickening and tunneling of 2 fingernailand one toe nail.Which of the following will clinch the dignosis at the earliest?
Yellowish discolouration with thickening tunneling indicates a fungal infection maily dermatophytic infection - tinea ungum. rapid diagnostic test to diagnose the condition is koh mount. 30% koh is used for nails. Fungus appear as translucent branching hyphae with septa. slit skin smear is used to diagnose leprosy gram...
2
Wood's lamp examination
KOH mount
Slit smear (split skin smear}
Gram stain
Dental
Fungal infections, Scabies, Pediculosis
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Which of the following is true about the child-women ratio -
Child-woman ratio- This ratio, the CWR, the ratio of children under 5 per 1000 women of reproductive age. It is usually calculated by dividing the number of children in the age group 0-4 (of both sexes) by the number of women of reproductive age (15-49 years), and then multiplying by 1000. Ref:
3
0-4 years of children and 15-45 years of unmarried women
0-5 years of children and 15-49 years of age of married women
0-4 year of children and 15-44 years of all women
0-4 years of children and 20-30 years of unmarried women
Social & Preventive Medicine
Demography and family planning
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Structure related to ligamentum arteriosum -
Ans. is 'a' i.e., Left recurrent laryngeal nerve Recurrent laryngeal nerveso Recurrent laryngeal nerves (right and left) are branches of inferior ganglion of vagus nerve.o On right side it arises in the root of neck and winds around first part of right subclavian artery. It may be anterior (superficial) or posterior (d...
1
Left recurrent laryngeal nerve
Right recurrent laryngeal nerve
Internal carotid artery
External carotid artery
Anatomy
Root of Neck
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Meckel' diverticulum is patent of:
(Vitello-intestinal duct) (1159-Baily & Love 25th)Meckel's Diverticum - It represents the patent intestinal end of the vitello-intestinal duct.* Occurs in 2% of patients are usually 2 inches (5cm/ in length and are situated 2 feet (60 cm) fromileocaecal valve.* It should be sought when a normal appendix is found at sur...
1
Vitello intestinal duct
Urachus
Organic diaphragm
null
Surgery
Small & Large Intestine
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multi
Which of the following is not a premalignant condition oral cancer?
Lesions with an increased risk of malignancy on oral cancerPremalignant condition:- Leukoplakia, Erythroplakia, speckled erythroplakia, chronic hyperplastic candidiasisConditions increasing risk:- Oral submucous fibrosis, syphilitics glossitis, sideropenic dysphagia (Peterson Kelly syndrome)The risk is doubtful:- Oral ...
4
Leukoplakia
Erythroplakia
Oral submucous fibrosis
Systemic Sclerosis
ENT
Oral cavity & Oesophagus
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single
A 7 year old boy presented with double medial malleolus. X-Ray was performed . What is the treatment?
Ans. (c) Vitamin DRef.: Maheshwari 5th ed. / 311Scurvy causes failure of collagen synthesis and osteoid formation. It clinically presents with:* Irritability* Gum bleeding* Pseudoparalysis (due to subperiosteal haemorrhage)* Anemia and beading of costo-chondral junction. Radiological features are: Frenkels line (dense ...
3
Vitamin B
Vitamin C
Vitamin D
Vitamin E
Orthopaedics
Rickets
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If each value of a given group of observation is multiplied by 10, the standard deviation of the resulting observation is -
null
1
Original std. Deviation × 10
Original std. Deviation/10
Original std. Deviation -10
Original std. Deviation itself
Social & Preventive Medicine
null
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single
Shoest acting skeletal muscle relaxant is?
Ans. is 'a' i.e., Suxamethonium Suxamethonium (succinylcholine) is the shoest acting skeletal muscle relaxant. Mivacurium is the shoest acting nondepolarizing skeletal muscle relaxant.
1
Suxamethonium
Pancuronium
Mivacurium
Vecuronium
Pharmacology
null
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single
Which of the following is a component of the visual pigment rhodopsin
In the retina, retinal (retinaldehyde) functions as the prosthetic group of light-sensitive opsin proteins, forming rhodopsin (in rods) and iodopsin (in cones).
2
β-carotene
Retinal
Retinol
Retinoic acid
Biochemistry
null
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single
MTP cannot be done after:
Ans. B. 20 weeksa. MTP is permitted up to 20weeks of pregnancy. When the pregnancy exceeds 12weeks, opinion of two medical practitioners is required.b. Husband's consent is not necessary for MTP.
2
12 weeks
20 weeks
24 weeks
28 weeks
Gynaecology & Obstetrics
Miscellaneous (Obs)
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single
The most common adverse effect particularly seen in young children because of the use of sodium valproate is :
null
1
Hepatitis
Loss of hair
Anorexia
Tremor
Pharmacology
null
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single
The following is an X-ray of a 13year old child presenting with difficulty in breathing and gradually developing respiratory compromise. What is the diagnosis?
*Kyphoscoliosis May be developmental or congenital. *In severe forms especially congenital thorasic insufficiency May be seen due to pulmonary hypoplasia. *In such a scenario the patient may require a per emptive thoracoplasty to allow development of lungs and avoid hypoplasia. Ref:Campbell's 13th/e p.1901
1
Kyphoscoliosis
Lordosis
Scheurmanns disease
Kochs spine
Anatomy
Spinal injuries
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multi
All of the following amino acids forms Acetyl CoA via pyruvate dehydrogenase except:
Ans. B. Tyrosine(Ref: Harper 31/e page 151-155)Amino acid that enter via Pyruvate to TCA cycle are:Hydroxy Proline, Serine, Cysteine, Threonine, GlycineTryptophan, Alanine
2
Glycine
Tyrosine
Hydroxyproline
Alanine
Biochemistry
Proteins and Amino Acids
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multi
Highest incidence of pneumothorax occurs when branchial plexus is blocked by which route
The incidence of pneumothorax may be as high as to 6% when brachial plexus is blocked through supraclavicular route but founately most of these pneumothorax resolve by themselves without treatment. Supraclavicular brachial plexus block: cellulitis/abscess over the site of injection. Use caution in patients with poor pu...
2
Interscalene
Supraclavicular
Infraclavicular
Axillary
Pathology
All India exam
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To study the malignant tumour of the jaw bone, the radio-nuclide used is
null
4
Gallium 67 citrate
Technitium 99m labelled iodine
Technitium 99m per technitate
Technitium 99m methylene diphosphate (MDP)
Pathology
null
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Right heart border is formed by-
Ans. is 'c' i.e., Superior vena cava + right atrium + inferior vena cava o In PA view the right margin of heart is formed by superior vena cava, right atrium and inferior vena cava from above downward. The left margin is formed by aortic knuckle (Prominence due to arch of aorta), Pulmonary trunk, left auricle and left ...
3
Superior vena cava
Superior vena cava + right atrium
Superior vena cava + right atrium + inferior vena cava
Right ventricle
Radiology
Cardiac and Pericardiac Imaging
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single
Earliest morphological change seen in reversible cellular injury is? Inset shows normal hepatocytes as control.
Ans. (a) Hydropic changeCellular swelling is the first manifestation of almost all forms of injury to cells. Cellular swelling appears whenever cells are incapable of maintaining ionic and fluid homeostasis and is the result of failure of energy-dependent ion pumps in the plasma membrane. It is reversible.On microscopi...
1
Hydropic change
Fatty change
Necrosis
null
Pathology
Cellular Pathology
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multi
Which of the following suggest that the newborn infant is preterm?
Sl No. Characteristic Preterm Infant Term Infant 1 Posture Extended Flexed 2 Breast buds < 5mm > 5mm 3 Genitalia : Male  a) Tests b) Scrotal rugosity Non - palpable Abscent Palpable Present Genitalia : Female - Prominent Clitoris small labia minora Labia major cover labia minora and clitosis ...
3
Square window 0o
Popliteal angle <90o
Scarf sign ⇒ elbow cross midline
Posture ⇒ Flexed posture
Pediatrics
null
2d2a1a39-5531-4fbf-8786-52bd9f35e76a
single
A 34 year old man undergoes upper GI endoscopy, which reveals numerous gastric polyps . The urease breath test result is positive. The polyps most likely are
Hyperplastic polyps are the mistcommon type of gastric polyps . They're associated with Helicobacter pylori infection and there's following eradication therapy Ref Bailey and love 27 e p1130
3
Inflammatory
Hamaomatous
Hyperplastic
Adenomatous polyp
Anatomy
G.I.T
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single
It is wise to keep and repair the meniscus rather than removing it when the injury is to which of the following?
(c) Peripheral part of meniscus- Meniscal Repair is recommended for tears in the Red zone and the Red white zone (Periphery). Meniscal Repair is not recommended for tears in the white zone (Inner zone).- Tear of the inner zone are treated with arthroscopic excision.
3
Medial part of meniscus
Mid part of meniscus
Peripheral part of meniscus
Associated with collateral ligament injury
Orthopaedics
Injuries Around the Thigh & Knee
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single
Which of the following is false about mycetoma -
Mycetoma - A chronic, slowly progressive granulomatous infection of the skin and subcutaneous tissues. Caused by actinomycetes and filamentous fungi Clinically, it is manifested as triad of swelling, discharging sinuses and presence of granules in the discharge. Can affect lower and upper extremities 2. Laboratory Diag...
4
Can affect lower and upper extremities
Caused by actinomycetes and filamentous fungi
Diagnosis is by examination of pus
Uncommon in India
Microbiology
Mycology
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multi
A person having CD-4 count of 200 presents with difficulty of breathing. Most probabl diagnosis is?
ANSWER: (D) Pneumocystis cariniREF: Harrisons 17th ed chapter 182, CURRENT Medical Diagnosis & Treatment Chapter 31. HIV Infection & AIDSThe host factors that predispose to the development of Pneumocystis pneumonia (PcP) include defects in cellular and humoral immunity. The risk of PcP among HIV-infected patients rises...
4
Tuberculosis
Histoplasmisis
Candidiasis
Pneumocystis carinii
Medicine
Infection
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All of the following vaccines are contraindicated in pregnancy EXCEPT:
Ans. (d) TetanusRef : K. Park 23rd ed. / 312* All live and meningococcal vaccines are C/I in pregnancy EXCEPT: YF and OPV* Measles, rubella and BCG are live vaccines while Tetanus is from toxoid category.* Remember, these live vaccines can't cross the placenta* These vaccines are still contraindicated because pregnancy...
4
Measles
Rubella
BCG
Tetanus
Social & Preventive Medicine
Principles of Immunization and Vaccination
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