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All of the following are paired except | Interarytenoid is unpaired and acts as adductor whereas Corniculate, Vocal cords and Cricothyroids are paired. Ref: PL Dhingra Textbook of Ear, Nose and Throat, Edition 6, page - 319, 321 | 1 | Interarytenoids | Corniculate | Vocal cords | Cricothyroids | ENT | Larynx | d52d64d9-5d79-4e35-bccf-c7762555637e | multi |
Which of the following is a prodrug | All ACE inhibitor are prodrug except captopril and lisnopril | 1 | Enalapril | Clonidine | Salmetarol | Acetazolamide | Anatomy | General anatomy | ecd98df1-5fd8-41f0-95b1-9491e1bbc80d | single |
Malignant hydatid disease is caused by | Malignant hydatid disease is caused by Echinococcus Multi locularis. | 2 | E. granulosis | E. Multilocularis | H. Nana | D. Latum | Microbiology | null | 57f3709d-9133-4ba2-b87a-0c7dffbda349 | single |
Most common site for carcinoma pancreas is | More than 85 percent of pancreatic cancers are ductal adenocarcinomas.They arise most commonly in the head of the gland Bailey & Love ,26th,1137. | 1 | Head | Body | Tail | Neck | Surgery | G.I.T | bc233081-e516-4a0c-9222-5f289091f1bf | single |
True- Koebner phenomenon is present in all except- | Ans-C Note-Psuedo Koebner phenomenon | 3 | Psoriasis | Lichen planus | Warts | null | Unknown | null | b1be17f1-ea67-467c-acea-dbcaf00b8a74 | multi |
Which of the following statements about Cushing’s disease is true? | Cushing’s syndrome is due to increased adrenal cortisol production, regardless of etiology.
Cushing’s disease usually is caused by a pituitary microadenoma producing high adrenocorticotropin (ACTH) levels.
In most patients, cortisol levels would be suppressed as a result of the high-dose dexamethasone suppression test.... | 2 | Serum adrenocorticotropin (ACTH) levels usually are low | Pituitary microadenoma usually is present | There is a high incidence of nonendocrine tumors | Nonsuppression of cortisol production by the high-dose dexamethasone suppression test is a characteristic finding | Unknown | null | d4f82e63-d745-456b-bf88-0a786d56a0a1 | multi |
Genital warts are caused by - | null | 4 | HPV 2 & 4 | HPV 3 & 10 | HPV 5 & 8 | HPV 6 & 11 | Dental | null | fb781fa9-298f-418a-9835-f3829a7e6b5e | single |
All of the following are features of fundus examination using direct ophthalmoscope, EXCEPT: | Field of vision with a direct ophthalmoscope is about 10-15 degrees, whereas with an indirect ophthalmoscope it is 35 degrees. Characteristics of direct and indirect ophthalmoscopy: Direct ophthalmoscopy Indirect ophthalmoscopy Magnification About 15 x About 2.5 x Depth of field Small Large Field of vision 10 - 15 degr... | 3 | Less useful in myopic patients | Image formed is erect and viual | Field of vision is about 35 degrees | Provides a magnification of 15 times | Ophthalmology | null | b72875ea-095c-446b-af21-b8f5c2f7ccbf | multi |
Best method of estimation of amount of proteinuria in a child with nephrotic syndrome is - | Ans. is 'b' i.e., 24 hr urine for protein and creatinine Methods Available to Test for ProteinuriaMethodIndicationsNormal RangeCommentsDipstick testingRoutine screening for proteinuria performed in the officeNegative of trace in a concentrated urine specimen (specific gravity: > 1.020)False-positive test can occur if u... | 2 | Dipstick testing | 24 hr urine for protein and creatinine | Spot urine sample for protein/ creatinine ratio | Microalbuminuria | Pediatrics | Kidney | 2e09fc7b-62d5-42c4-b734-27f4770c8f6d | single |
A boy presents with complaints of hypoaesthesia and wasting of thenar eminence. The nerve most likely to damage in this patient:- | Ans. is 'b' i.e. Median nerve The thenar muscle (except adductor pollicis) and the skin over thenar eminence are supplied by the median nerve. | 2 | Musculocutaneous nerve | Median nerve | Ulnar nerve | Radial nerve | Anatomy | Nerves of Upper Extremity | 86d8afff-e281-4b8d-8e06-e6b436de1568 | single |
Which of the following is an absolute indication for surgery in cases of benign prostatic hyperplasia ? | Ans. is 'c' i.e. Recurrent urinary tract infection | 3 | Bilateral hydroureteronephrosis | Nocturnal frequency | Recurrent urinary tract infection | Voiding bladder pressures > 50 cm of water | Surgery | null | 74406e8f-51da-4926-99cd-c1bd5564f95f | single |
In instrumental vaginal delivery: | In case of failed ventouse, forceps may be used. Ref: Textbook of Obstetrics By Dutta, 4th Edition, Pages 397, 398, 613-614 | 3 | Full cervical dilatation is the only pre-requisite | Forceps are used in all cases of breech delivery | Forceps may be used if ventouse fails | Ventouse can not be used in rotational occipito-transverse/posterior delivery | Gynaecology & Obstetrics | null | 7919efbf-5e7f-4f4c-9ce3-5c3ce7367b7c | multi |
A 21-year-old man is seen in the clinic for assessment of a nonproductive cough, shortness of breath, and chest pain which changes with breathing. He also complains of pain in the left arm. On physical examination, there is tenderness over the left shoulder, heart sounds are normal, and the lungs are clear. A CXR revea... | The next most appropriate test would be a better definition of the lung findings with a high- resolution CT scan. The other more invasive investigations may be more appropriate after the CT. Primary pulmonary Langerhans cell histiocytosis (PLCH), also called eosinophilic granuloma of the lung, pulmonary Langerhans cell... | 3 | lung biopsy | humerus bone biopsy | CT scan of chest | bronchoscopy | Medicine | Respiratory | 120c0829-ec0c-4997-8e80-85281a4d8bf9 | single |
Investigation of Choice post datism? | ANSWER: (A) USGREF: Dutta 6th edp. 319Post dated pregnancy: (> 2weeks beyond the expected date of delivery (gestational age > 294 days)Etiology:Wrong dates : most commonHereditaryPrimi, sedentary habit, previous prolonged pregnancy, elderly multiparaFetal congenital anomalies like anencephalyPlacental sulphatase defici... | 1 | USG | Xray | Amniocentesis | Spectrophotometry | Gynaecology & Obstetrics | Diagnosis in Obstetrics | 52eac9cf-e034-41ba-9799-44d44cbf37c9 | single |
Niemann-Pick disease is- | Niemann-Pick disease is a group of inherited, severe metabolic disorders in which sphingomyelin accumulates in lysosomes in cells. The lysosomes normally transpo material through and out of the cell. The prognosis is individual, but the severe form is fatal in toddlerhood and, in some cases, patients with the milder fo... | 1 | AR | AD | X-linked | Mitochondrial | Pathology | General pathology | cf46bccb-44f9-48d7-addb-550b2e7ed491 | single |
The following disease require isolation to break transmission except - | Tetanus infections are acquired almost always by contamination of wounds with tetanus spores, usually found in soil and dust. Ref: 25th edition, Park's Textbook of Preventive and Social Medicine, Page no. 339 | 4 | Measles | Mumps | Chicken pox | Tetanus | Social & Preventive Medicine | Epidemiology | 6757f866-d3af-4ddd-9706-eb7dd655ca76 | multi |
All of the following are most important and potential agents which can be used for Bio-terrorism except | Category A - Can be easily disseminated, High mortality rates, Public panic and disruption.
Category B - Moderately easy to disseminate, Moderate morbidity + low mortality, Require enhanced diagnostic capacity, Require enhanced surveillance.
Category C - Emerging pathogens, Available, Ease of production, High morbidity... | 1 | Tuberculosis | Smallpox | Plague | Botulism | Social & Preventive Medicine | null | f41a1291-2dd5-410c-aadd-151a76a046b1 | multi |
The silver-copper eutectic alloy may be classified under which of the following? | The silver-copper eutectic alloy may be classified as the 3rd generation amalgam.
Reference: Marzouk Operative dentistry, pg-106 | 3 | 1st generation amalgam | 2nd generation amalgam | 3rd generation amalgam | 4th generation amalgam | Dental | null | 313885d1-8c34-460a-93d5-1641192ddc1e | multi |
Mallory bodies contain - | Ans. is 'b' i.e., CytokeratinsMallory hyaline (mallory bodies) o Mallory bodies are eosinophilic intracytoplasmic inclusion bodies which are composed predominantly of keratin intermediate filaments.o They are also known as alcoholic hyaline.o These inclusions are characteristic but not specific feature of alcoholic liv... | 2 | Vimentin | Cytokeratins | Keratin | Collagen | Pathology | null | 2283c59c-36a6-4d3f-9e83-ed2eebd17324 | multi |
Real-time PCR is used for: | Real-time PCR is used for monitoring the amplification of target DNA. In this PCR, we use SYBR-green dye, which has a propey of giving fluorescence when bound to dsDNA. When DNA synthesis is occurring then gradually ds DNA is increased in amount so fluorescence is also increased. This fluorescence can be measured and t... | 4 | DNA detection only | RNA detection only | Protein detection only | For monitoring the amplification of target DNA | Biochemistry | Techniques in molecular biology | ca5f9b55-1223-4374-97b7-ac2a9fba19aa | single |
Swine flu is caused by? | ANSWER: (A) H1N1REF: See APPENDIX-69 for details of "H1N1 influenza"Repeat (**) | 1 | H1N1 | H5N1 | H3N1 | H3N3 | Microbiology | Myxo Viruses | 5df1e1c7-18f2-42e7-ba38-0ddd28df06fe | single |
The shown instrument is used for the dissection of:- | Rachiotomy saw used in the dissection of spinal cord. * The spinal cord can be removed from an anterior or posterior approach and usually removed separately from the brain. * If there is no indication, the spinal cord need not be exposed. | 3 | Femur | Liver | Spinal cord | Brain | Forensic Medicine | Postmoem techniques | dc6f277c-ad89-4668-8f14-d569c090b84b | single |
A patient presents with hematuria of several days and dysmorphic RBC casts in urine. The site of origin is : | Clinical Significance Of different casts: Hyaline casts A normal constituent of urine and has no attatched significance Tom Horsfall protein is protein secreted by epithelial cells of loop of henle. This protein may be excreted as Hyaline cast. RBC Cast Are suggestive of glomerular injury or acute glomerular injury or ... | 1 | Kidney | Ureter | Bladder | Urethra | Surgery | Urology | d488ca5b-1c10-4630-998f-63b3fded4600 | single |
Which sites are characteristically affected in Stevens-Johnson syndrome? | null | 2 | Liver, spleen, pancreas | Conjunctiva, genitalia, oral mucosa | Oral mucosa, lacrimal apparatus, ears | Parotid gland, palate, conjunctive | Pathology | null | 0d3f4ed0-b483-43d9-9fb4-8e471cd33569 | multi |
Cobimetinib is approved for treatment of? | Cobimetinib is approved for RX of melanoma in patients with unresectable or metastatic melanoma with BRAF V600E or V600K mutation, in conjunction with Vemurafenib. Cobimetinib - Reversible inhibitor of mitogen-activated protein kinase (MAPK)/extracellular signal regulated kinase. | 2 | BCC | Melanoma | Squamous cell carcinoma | Vitiligo | Dental | Tumours of skin | 8167b115-c498-46d5-9f87-756c6d351d5d | single |
Maximum pressure in the left ventricle is seen in which phase of the cardiac cycle | The maximum ventricular pressure around 140 mm Hg is achieved during the rapid ejection phase Ref: Ganong 25th ed/page 540 | 2 | Isovolumetric contraction | Ventricular ejection | Protodiastole | Rapid ventricular filling | Physiology | Cardiovascular system | 81489c01-f6fc-4d03-9fbf-7555f272b38d | single |
Hirschsprung disease is confirmed by – | Rectal suction biopsy is procedure of choice. | 1 | Rectal biopsy | Per/Rectal examination | Rectal manometry | X–ray abdomen | Pediatrics | null | 5b94fcca-fe86-44ff-93a9-247a08032a38 | single |
False about lacerated wound is? | Features of laceration
Edger ragged, irregular and bruised.
Tissue bridges present.
Vessels, nerves and hair bulbs crushed.
Less hemorrhage. | 1 | Profure hemorrhage | Paralysis | Hair bulb damaged | Irregular margins | Forensic Medicine | null | b1303a90-378e-4e9c-8485-6fac996a0fbf | multi |
Conscious sedation in dentoalveolar surgery is best done by | null | 3 | Sevoflurane | Isoflurane | Midazolam | Morphine | Surgery | null | e0b5cc5b-cc7b-493c-84c7-0a67a6ce7f3f | single |
Kaposi sarcoma arise from | Explanation:
Ans. is ‘b’ i.e.,
Kaposi sarcoma is an intermediate grade, multicentric vascular, tumour
The pathogenesis of Kaposi sarcoma is complex, fundamentally it is an angio proliferative disease that is not a true neoplastic sarcoma.
It is a manifestation of excessive proliferation of spindle cells that are believ... | 3 | Muscles | Connective tissue | Vascular tissue | None of the above | Pathology | null | b66e2d1d-3ce0-4bdb-8237-3f8cf0527250 | multi |
Nerve not damaged in breast surgery is? | ANSWER: (A) Median nerveREF: Breast surgery by William G. Cance page 95Following nerves get injured during breast surgeries:Axillary motor nervesThe long thoracicThoracodorsalMedial pectoralnerves | 1 | Median nerve | Median pectoral nerve | Nerve to latissimus dorsi | Nerve to serratus anterior | Surgery | Breast Cancer - Treatments | f55769b8-0887-4ec1-97e6-af47b07e8ae5 | single |
Sterility is caused by which of the following drug | Alkylating agents can cause serious adverse effects like sterility and leukamiasRef:Goodman and Gilman 11/e p1327 | 3 | Vinca alkaloids | Antimetabolite | Alkylating agents | Actinomycin D | Pharmacology | All India exam | 4e286bc4-02ae-4e4b-a951-be31498c8253 | single |
CT severity index is a measure of | Ans. (b) PancreatitisRef: Sabiston 20th ed; pg. 1528* Balthazar scoring is a CT scoring system* CTSI is one of the best system used to classify the severity of pancreatitis. | 2 | Hepatitis | Pancreatitis | Cerebral trauma | Meningitis | Surgery | Pancreas | 95af4f95-0c29-4f85-bdc7-cb1fe44e7cbc | single |
Antigen-antibody reaction is detected by (PGI Nov 2009) | Ans: A (ELISA) & D (Western blot) "In western blots (also called immunoblots) protein molecules in the sample are separated by electrophoresis & blotted (transferred) to a membrane. The probe is a labeled antibody, which produces a band at the location of its antigen"- Lippincott's Biochemistry 4th/484Table (Lippincott... | 1 | ELISA | Southern blot | Northern blot | Western blot | Unknown | null | a370c152-e004-414d-b770-ad8f530b1d6b | single |
Karyotyping is useful in diagnosis of: | Chromosomal abnormalities can be assessed with karyotyping. Ref: Edwin H. McConkey, (1993), Chapter 9, "Genetic Screening", In the book, "Human Genetics: The Molecular Revolution", London, Page 187; Wintrobe's Cliical Hematology, 12th Edition, Page 54 | 4 | Autosomal Recessive disorders | X Linked Recessive disorders | Biochemical abnormalities | Chromosomal Abnormalities | Pathology | null | 44d8ba19-5030-4f42-846c-0c3486be3756 | single |
Flexion, adduction & medial rotation at shoulder joint is by which muscle? | Ans. A. Pectoralis majorThe pectoralis major is a thick, fan-shaped muscle, situated at the chest of the human body. It makes up the bulk of the chest muscles and lies under the breast. The pectoralis major's primary functions are flexion, adduction, and internal rotation of the humerus.It arises from the anterior surf... | 1 | Pectoralis major | Pectoralis minor | Trapezius | Serratus anterior | Anatomy | Upper Extremity | 01b09a6f-2d60-4537-bb16-5dd6d1119860 | single |
True statement about rheumatization of MVa) Fusion & shortening of chordae tendineae in MSb) Calcification of MVc) Aortic dilationd) Annular involvement | null | 4 | acd | bcd | abc | abd | Medicine | null | 5706c043-3496-42c9-8a6e-24c3862d1943 | multi |
Actinobacillus actinomycetamcomitans is commonly associated with | null | 1 | Juvenile periodontitis | Adult periodontitis | Refractory periodontitis | All the above | Dental | null | 9c6f4ff0-631c-4660-93bf-8f66a174204f | multi |
A puff of smoke appeared on cerebral angiography is seen in : | Ans. c. Moyamoya disease (Ref: Nelson 19/e p2982; style="font-size: 1em; font-family: Times New Roman, Times, serif">) Puff of smoke appearance on cerebral angiography is seen in Moyamoya disease. Fig. 32: Puff of smoke appearance on cerebral angiography is seen in Moyamoya disease Moyamoya disease Moyamoya disease is ... | 3 | ACA aneurysm | Cavernous sinus thrombosis | Moyamoya disease | Vein of Galen malformation | Unknown | null | 61981637-bc88-4dcf-8699-f3be8d3969a5 | single |
Abductor of vocal cord is - | null | 1 | Posterior cricoarytenoid | Lateral cricoarytenoid | Cricothyroid | None of the above | ENT | null | c83d2708-a29b-4413-b9a9-83eea215379f | multi |
Laryngocele arises as a herniation of laryngeal mucosa through which of the following membrane? | An external laryngocele arises as a result of herniation of the laryngeal mucosa through the thyrohyoid membrane and presents in the neck. | 1 | Thyrohyoid | Cricothyroid | Cricosternal | Cricotracheal | ENT | null | 08b88458-9f0c-4149-ba8b-c47bea4d5824 | single |
Which drugs show coronary steal phenomenon? | Isoflurane, dipyridamole produce coronary steal phenomenon in which blood is deted from ischemic area to non-ischemic area-stealing the mail pool of blood in needy area. ref. HL Sharma 3rd ed. | 1 | Dipyridamole | Nitrates | Nifedipine | Nicorandil | Pharmacology | Cardiovascular system | 6c648ebf-f690-4587-a14c-37d4e51b57bd | single |
Which one of the anti-tubercular drug may precipitate gout - | Ans. is 'a' i.e., Pyrazinamide o Pyrazinamide causes hyperuricemia. | 1 | Pyrazinamide | Rifampicin | Streptomycin | Isoniazid | Pharmacology | null | ca0791a5-5539-415a-9cd4-1d8531ec86c0 | single |
Louse borne is | Ans. is 'c' i.e., Epidemic typhus | 3 | Scrub typhus | Rickettsial box | Epidemic typhus | Endemic typhus | Microbiology | Rickettsiaceae | 9f294955-851f-4544-8de7-c02500d84dbe | single |
Changes associated with normal aging include all of the following except: | Normal aging is not associated with decreased intelligence. Decreased rapid eye movement (REM) sleep, adiminished sense of taste and smell, increased sleep latency and thinning of the vaginal mucosa are associated with normal ageing. | 1 | Decreased intelligence | Decreased REM sleep | Diminished sense of taste and smell | Increased sleep latency | Surgery | null | 2f86fa61-2863-493d-8125-68ce21b65651 | multi |
KOH wet mount is prepared for - | Ans. is 'b' i.e., Candidate/: Harrison 17th/e Chapter 14; Greenwood 16th/e p. 570; Ananthnarayan 8th/ep. 601}Laboratory diagnosis of fungal infectionso Laboratory diagnosis of fungal infection depends on :Direct microscopyTissue specimens such as skin scarpings, are generally examined as wet mounts after treatment with... | 2 | Herpes Zoster | Candida | Gonorrhea | Trichomonas vaginalis | Microbiology | Candida | 37eb79ba-a2fc-44fa-bbb2-fe478d109865 | single |
True for Hodgkin&;s stage IAi s - | <p>Historically , radiotherapy to lymph nodes alone has been used to treat localised stage 1A disease effectively ,with no adverse prognostic features.</p><p>Davidson&;s principles & practice of medicine 22nd edition pg no 1043</p> | 2 | Chemotherapy is best | Radiotherapy is best | Total radiation therapy is best treatment | Fever and wt loss is always present | Medicine | Haematology | 87e5308c-f773-411a-ada0-0ce818fa6082 | multi |
Patients suffering from which of the following disease as per ICD/DSM criteria are eligible for disability benefit as per National Trust Act? | The National Trust Act is applicable for autism, cerebral palsy, mental retardation and multiple disabilities. | 4 | Schizophrenia | Bipolar disorder | Dementia | Mental retardation | Psychiatry | Miscellaneous | cb59a964-4ea3-4538-8dc1-eab2f231c607 | single |
A 5 year old boy presents with hepatomegaly, hypoglycaemia & ketosis. The diagnosis is | Patients with type I GSD may present in the neonatal period with hypoglycemia and lactic acidosis.
These children often have doll-like faces with fat cheeks, relatively thin extremities, short stature and a protuberant abdomen that is due to massive epatomegaly; the kidneys are also enlarged, whereas the spleen and h... | 2 | Mucopolysaccharidosis | Glycogen storage disorder | Lipopolysaccharidosis | Diabetes mellitus | Biochemistry | null | 8d90727e-6e13-46e3-97eb-01d1e14e7b42 | single |
Bisecting angle technique is based on: | The bisecting-angle technique is based on a simple geometric theorem, Cieszynski’s rule of isometry, which states that two triangles are equal when they share one complete side and have two equal angles. | 1 | Geometric theorem | Imaging principle | Both of the above | null | Radiology | null | 6a8dbde5-f0cd-4ce0-96b1-86b7476c74cd | multi |
A 5-year-old unimmunized child presented with sore throat & swelling of neck. On examination of throat, the following was seen. What is the most probable causative organism? | d. Corynebacterium diphtheriaeA membrane is seen over the tonsil in this child with swelling of neck. Demonstration of bacilli on Albert staining, in the given scenario is suggestive of Diphtheria | 4 | Streptococcus pyogenes | Mycobacterium tuberculosis | Staphylococcus aureus | Corynebacterium diphtheriae | Pediatrics | General Considerations - Infectious Diseases | 8a8605ac-70f9-4b64-9129-3723aa329572 | single |
If BIRADS score is 4, your next step would be: | BIRADS (Breast Imaging Repoing And Data System) Category Definition Likelihood of Malignancy 0 Incomplete assessment, need additional imaging evaluation Not applicable 1 Negative, routine mammogram in 1 year is recommended 0% 2 Benign findings, routine mammogram in 1 year is recommended 0% 3 Probably benign findings, s... | 3 | Additional imaging | Routine mammography | Biopsy | Follow up | Surgery | DNB 2018 | 51632585-c37a-44a2-bf4b-9104bd1ee81f | multi |
Contraindication of Enteral nutrition : | Ans. is ' a ' , ' b ' , ' c ' Intestinal obstruction, Severe Pancreatitis, Severe diarrhoea In a pt. who is unable to take or resume an adequate dietary intake nutritional suppo is given enteral or parenteral routes. If the gastrointestinal tract is functioning and can be safely accessed, then enteral feeding is prefer... | 4 | Intestinal obstruction | Severe Pancreatitis | Severe diarrhoea | All | Surgery | null | 236727df-0901-494a-b829-3fe360e52402 | multi |
Normal female, whose father was color blind married a normal man. What are the chances of color blindness in son ? | Ans. is'b' i.e., 50% | 2 | 25% | 50% | 75% | No chance | Pathology | null | 3103d267-e7d6-4266-af13-e7e75193fdfd | single |
50-year-old man presents to the speech therapist complaining of dryness of the mouth. The therapist performs a swallowing study and, on examination, finds that the man has a lack of salivary secretion from the submandibular gland. This indicates a lesion of which of the following nervous structures? | Chorda tympani nerve contains preganglionic parasympathetic fibres responsible for secretion of the submandibular gland. Lingual nerve at its origin is not yet joined by the chorda tympani. Superior cervical ganglion provides sympathetic fibres, which supply blood vessels in the submandibular gland. Lesser petrosal ner... | 4 | Lingual nerve at its origin | Lesser petrosal nerve | Superior cervical ganglion | Chorda tympani in the middle ear cavity | Anatomy | Cranial Nerves | 9454a8ad-60cb-4a77-8017-4771f085c840 | multi |
The following CT shows: ? | Ans. (a) Liver LacerationThe image shows a hematoma seen in the posterior part of liver (black area). | 1 | Liver Laceration | Kidney Cyst | Pancreas Contusion | Perforation Peritonitis | Radiology | CT and MRI of the Liver, Gallbladder, and Biliary Tract | a7ce68ae-e5e9-45d5-809f-1bdf5b736053 | single |
Hardness of water is said to be beneficial for which disease: | Studies have shown an inverse relationship between the hardness of drinking water and the death rate from cardiovascular diseases. Diseases believed to be affected include atherosclerotic hea disease, hypeension, sudden deaths of cardiovascular origins etc. Ref: Park 21st edition, page: 672. | 1 | Cardiovascular disease | Renal disease | Diabetes | All of the above | Social & Preventive Medicine | null | e2cec46c-0c9c-4329-9b43-eb8a16dde251 | multi |
Sickle cell anemia is characterized by:September 2010 | Ans. D: AutosplenectomySickle cell anemia causes autosplenism by causing hypoxia and infarcts in the spleen. Since in the spleen blood flow is sluggish, the oxygen tension is low.When red blood cells with hemogblobin S are exposed to this low oxygen tension they tend to aggregate and polymerize. Sickled cells also expr... | 4 | Microcytosis | Macrocytosis | Splenomegaly | Autosplenectomy | Pathology | null | 11e94c7d-e532-4a20-b98b-eb7bdaac839b | single |
All of the following can cause megakaryocyte thrombocytopenia, except: | . Aplastic anemia | 3 | Idiopathic thrombocytopenic purpura | Systemic lupus erythematosus | Aplastic anemia | Disseminated intravascular coagulation (DIC) | Pathology | null | 9f7cdc02-be32-4833-8c8e-10403bba1c61 | multi |
Latent phase of Labour is said to be prolonged when the duration in a primigravida is more than... | Latent phase in a Primigravida is prolonged if its more than 20 hours, multigravida if its more than 14 hours Labour Pattern Primigravida Multigravida Prolonged latent phase > 20hours >14 hr | 4 | 3 hours | 8 hours | 12 hours | 20 hours | Gynaecology & Obstetrics | Labour - normal, abnormal, malposition, malpresentation and their management | 307a13fb-7da5-46c5-a718-93d6680d8ddc | single |
Surface marking of the oblique fissure of lung include all EXCEPT: | 7th rib does not come in the surface marking of oblique fissure. Oblique fissure Passes anteroinferiorly from the spinous process of the T3 veebra to cross the 5th rib in the midaxillary line Fuher continues inferiorly, crossing the 6th rib (and costal cailage) at the mid-clavicular line. | 3 | T3 veebra | 5th rib | 7th rib | 6th coastal cailage | Anatomy | Surfaces and Grooves | 0f7c5919-5ae2-4c0a-81a1-bb298d18028b | multi |
When can a severely malnourished child be safely discharged from the hospital? | The child is said to have recovered when his weight for height is 90% of the NCHS median or has 15% weight gain, and he has no edema.Ref: Page 107; Ghai essential pediatrics; 8th edition | 3 | The child attains his height for age | The child reaches his ideal weight for height | The child loses edema and stas gaining weight | The child attains weight for his age | Pediatrics | Nutrition | 75c68a61-b9fa-459c-a88d-4c83ca98f239 | single |
The most preferred approach for pituitary surgery as the present time is | PITUITARY TUMOURS Classification: 1. Eosinophil (Acidophil) adenomas 2. Chromophobe adenomas: Differential diagnosis: Meningiomas, aneurysms 3. Basophil adenomas 4. Prolactin-secreting adenomas Treatment: Surgery: By subfrontal craniotomy approach or transphenoidal approach. Care should be taken not to injure optic c... | 3 | Transcranial | Transethmoidal | Trans-sphenoidal | Transcallosal | Surgery | Trauma | 5a7a4cf8-0240-493e-a833-2a4a79898666 | multi |
Aspirin in low doses produces long lasting inhibition of platelet cyclooxygenase because : | null | 2 | Platelet contain low quantity of COX | Platelets cannot synthesize fresh COX molecules | Platelets bind aspirin with high affinity | Platelet COX is inducible | Pharmacology | null | 965511ae-4b6b-4fdb-8a57-42696ce8f53e | single |
Infection involving anterior larynx - | null | 3 | TB | Sarcoidosis | Syphilis | All the above | ENT | null | ba5c2b81-a3b7-4a18-bcd6-c902b561397e | multi |
All of the following anticancer drugs are Cell cycle NON-specific EXCEPT: - March 2013 | Ans. B i.e. Vincristine Mechanism of action of Vincristine Tubulin is a structural protein that polymerizes to microtubules. The cell cvtoskeleton and mitotic spindle, among other things, are made of microtubules. Vincristine binds to tubulin dimers, inhibiting assembly of microtubule structures. Disruption of the micr... | 2 | Doxorubacin | Vincristine | Mitomycin-C | Cyclophosphamide | Pharmacology | null | cb064ad3-3b29-4c98-a90f-0363ec5e52aa | multi |
The cause of pseudoclass III malocclusion is: | Functional class III or Pseudo class III
This condition requires special mention because treatment of this class of malocclusion is entirely different from the true class III situation. The differentiating feature of this condition is that the dental occlusion is class III in maximum intercuspation or habitual occlusio... | 3 | Developmental deficiency | Increased mandibular growth | Functional abnormality | Hormonal disturbance | Dental | null | b8cab794-1aeb-45c1-ad5a-67cd3638d095 | single |
In the Iceberg phenomenon of diseases, Tip of Iceberg shows | Ice Berg Phenomenon Tip- Cases - Responsibility of Clinician - Uses diagnosis - 2deg prevention Hidden/Submerged Poion- Carriers/Subclinical/Preclinical and latent cases - Responsibility of Epidemiologist - Uses screening - 2deg prevention | 3 | Carriers | Subclinical cases | Clinical illness | Latent cases | Social & Preventive Medicine | Screening | 35b6120e-c672-4feb-8032-1c869acf2fc9 | single |
In differentiating seizures from syncope, all the following features favor the former (seizures) except | (C) Clear sensorium after the event FEATURES THAT DISTINGUISH GENERALIZED TONIC-CLONIC SEIZURE FROM SYNCOPEFeaturesSeizureSyncope* Immediate precipitating factorsUsually noneEmotional stress, Valsalva,* Orthostatic hypotension, cardiac etiologies * Premonitorysy mptomsNone or aura (e.g., odd odor)Tiredness, nausea, dia... | 3 | Clear focal onset | Convulsive muscular contractions | Clear sensorium after the event | Tongue biting | Medicine | Miscellaneous | 35e2247a-e881-4f53-b445-4c7a4d09b6d7 | multi |
Which is the best initial fluid for resuscitation during the shock state | Crystalloids predominantly expand the interstitial and then the intracellular compament not the intravascular compament (expansion of intravascular compament is only transient). This is necessary to replenish the intracellular and interstitial compament as in a hypovolemic patient, the shock induced homeostasis has alr... | 1 | Crystalloids | Colloids | Blood | Plasma substitutes | Anatomy | General surgery | ae6ae361-a842-4ccd-866b-2f9d71002099 | multi |
Drug of choice for deep vein thrombosis prophylaxis in surgical patients is : | null | 4 | Intravenous unfractionated heparin | Subcutaneous unfractionated heparin | Subcutaneous low molecular weight heparin | Warfarin | Pharmacology | null | b1c37112-8db5-48ab-b6a1-16764629776a | single |
Posthumous child means: March 2003 | Ans. A i.e. A child born after death of his/ her father | 1 | A child born after death of his/her father | A child born after death of his/her mother | A child born after aificial insemination | A child born after full term | Forensic Medicine | null | 01d6a53d-0bc8-443c-b625-4c481e5dde9e | single |
Best test for diagnosis of tubal patency Is : | Laparoscopy | 1 | Laparoscopy | Hysterosalpingography | Endometrial biopsy | Mantoux test | Gynaecology & Obstetrics | null | dfffdb72-5a68-4f2e-ad07-523e0144741b | single |
Which antibody is most commonly produced in secondary immune response? | Ans. (a) IgGRef: Jawetz 24/e, chapter 8 | 1 | IgG | IgA | IgD | IgM | Microbiology | Anitibody | d19c67b1-9fc8-44a3-ad85-f0a5e03e1559 | single |
4 hrs old 14 kg wt, 4 day h/o of loose stools dec urine output, delayed skin pinch, sunken eyes and dry mucosa, calculate fluid required for treating dehydration and maintanence for 4 hrs ? | Ans. is 'b' i.e., 1050 ml The child in question is having some dehydration and should be treated with Plan-B. According to plan-B, fluid requirement in first 4 hour is 75m1/kg. Weight of child in question is 14 kg. Thus fluid requirment in first 4 hours is 1050m1 (14 x 75). | 2 | 1200 ml | 1050 ml | 700 ml | 2000 ml | Social & Preventive Medicine | null | ef502681-abfa-4c1c-a891-9d81d4230d28 | single |
Skin lesion in meningococcal meningitis is due to | (B) Endotoxin # Virulence of Neisseria meningitidis was attributed to the production of an "exotoxin" that could be recovered from culture filtrates of the organism.> But when studies revealed that antitoxin reacted equally well with washed cells as culture filtrate, it was realized that the bacteria underwent autolysi... | 2 | Exotoxin | Endotoxin | Allergic reaction | Direct vascular damage | Microbiology | Misc. | d02cff19-959f-456d-a45b-889b81274428 | multi |
Swan neck deformity is: | Deformities of RA - Swan Neck Deformity - Flexion at DIP and hypeension at PIP - Flexor insufficiency of PIP - Boutonniere deformity / Button hole deformity - Extensor deficiency at PIP joint - Hypeension of DIP & Flexion of PIP - Z deformity of thumb - Ulnar detion of fingers Z-deformity of thumb | 4 | Hyperextension at DIP, Flexion of PIP | Extension of DIP, Hyperflexion at PIP | Extension of both DIP & PIP | Flexion at DIP, Hyperextension at PIP | Orthopaedics | Joint disorders | 50e3b8bd-1203-47f0-b060-1eb887f0ba16 | multi |
All the following structures are pierced by Stenson's duct except | The parotid duct pierces buccal pad of fat, buccopharyngeal fascia, buccinator muscle and the mucous membrane to open into the vestibule of mouth opposite the crown of the upper second molar tooth.Reference: Chourasia; 6th edition; 61 pages | 2 | Buccopharyngeal Fascia | Pharyngobasilar Fascia | Buccal pad of fat | Buccinator | Anatomy | Head and neck | e91fc567-ae56-45e7-bf5c-ca910a0519c4 | multi |
Lardaceous spleen is seen in: | Amyloidosis of the spleen is seen in two forms :- The sago spleen in which amyloid deposits are limited to the follicles, And the lardaceous spleen in which amyloid is deposited in the walls of the splenic sinusoids and spares the follicles. | 4 | Alcoholic hepatitis | Chronic active hepatitis | Focal amyloidosis | Diffuse amyloidosis | Medicine | Misc. | 8d9b3aca-a3ef-444f-b81e-ee568115d2d6 | single |
None Not seen in alpha helix ? | Ans. is 'c' i.e., Proline Proline is never found in a-helix as it has imino group (-NH) not amino (-N112).Thus it cannot provide hydrogen for hydrogen bonding, the major stabilizing force of a-helix.Glycine also tends to disrupt a-helix; because of its high flexibility and small size it often induces bends in a-helix. | 3 | Alanine | Leucine | Proline | Isoleucine | Biochemistry | null | 17a034b0-a973-4e69-aae8-892430535777 | multi |
A 4-year-old boy is brought to the physician by his parents because he tires easily. Physical examination reveals weakness in the pelvic and shoulder girdles and enlargement of the child's calf muscle. Serum levels of creatine kinase are elevated. A biopsy of calf muscle shows marked variation in size and shape of musc... | The symptoms of Duchenne muscular dystrophy (DMD) progress with age. During the first year of life, the infants appear normal, but more than half fail to walk by 18 months of age. More than 90% of afflicted boys are wheelchair bound by the age of 11 years. In advanced disease, cardiac symptoms are almost universal, and... | 1 | Cardiomyopathy | Cerebrovascular disease | End-stage renal disease | Pulmonary saddle embolism | Pathology | Genetics | 9a6663b9-9232-43df-9ba8-dcb7cf89d961 | single |
One of the following is the t/t of choice for dermatitis herpetiformis – | Main treatment of dermatitis herpetiformis is gluten free diet and dapsone. | 2 | Corticosteroids | Dapson | Mtx | Retinoids | Dental | null | c1ba8c8f-beb8-4e84-b4cd-3218e6e59475 | single |
All these structures are found in lateral nasal wall , except- | The lateral nasal wall is composed of three turbinates-superior turbinate,middle turbinate,inferior turbinate. Below each turbinate is the respective meatus: -inferior meatus -middle meatus -superior meatus -above the superior tirbinate lies the sphenoethmoidal recess. -just anterior to the middle meatus,is a small cre... | 2 | superior turbinate | Vomer | Agger nasi | Hasner's valve | ENT | Nose and paranasal sinuses | 66ef9165-9601-4584-bbd6-b2f69e0ada4c | multi |
Acute lead poisoning in children commonly presents with all of the following features except - | Ans is 'd' i.e., Peripheral Neuropathy Acute lead poisoning The most serious manifestation of lead poisoning in children is ACUTE ENCEPHALOPATHY. Encephalopathy includes ? o Persistant vomiting o Papilloedema o Lethargy o Impaired consciousness and coma o Ataxia o Seizures o Irratibility Peripheral Neuropathy which is ... | 4 | Encephalopathy | Cerebellar Ataxia | Status epilepticus | Peripheral neuropathy | Pediatrics | null | 1c0377e1-e518-4b6b-bb6d-00da4d33491b | multi |
Recent noble prize is for | The Nobel prize in Physiology or Medicine 2006 was awarded jointly to Andrew Z Fire and Craig C Mello for their discovery of RNA interference, gene silencing by double-stranded RNA. Ref: Ananthanarayanan and Paniker's textbook of microbiology 9th edition. | 1 | RNA i | Lipoxin | T beta transcription factor | Mitochondrial DNA | Microbiology | Immunology | 605001b4-89e9-40ea-85c0-8fa27b821045 | single |
Gaisbock syndrome is known as | Answer is C (Spurious Polycythemia) Gaisbock syndrome refers to Spurious Polycythemia or Relative Erythrocytosis due to decreased plasma volume. | 3 | Primary Familial Polycythemia | High Altitude Erythrocytosis | Spurious Polycythemia | Polycythemia Vera | Medicine | null | 1e1c61d9-023a-485e-8fc7-85d064d28e63 | single |
Deposition of Anti DS (Double stranded) DNA Ab in kidney, skin, choroid plexus and joints is seen in: | Anti-DS DNA antibodies are found in 30-50% of SLE patients. Anti-ds DNA antibodies and Anti-smith (anti-sm) antibodies are highly specific and diagnostic features of SLE. Ref: Pathologic Basis of Disease, Robbins, 7th Edition, Page 229; Davidson's principles and practice of Medicine, 20th Edition, Chapter 25, Page 1132... | 1 | SLE | Goodpasture | Scleroderma | Raynaud's disease | Medicine | null | 579523bc-d68a-4640-b82c-b03f6824913d | single |
Clue cells are- | Ans. is 'a' i.e., Epithelial cells Clue cells are seen on wet mount microscopy of discharge in bacterial vaginosis. They are epithelial cells having a granular cytoplasm and fuzzy border, caused by gram negative bacilli adhered to their surface.Microscopic features of Bacterial vaginosiso Microscopy of bacterial vagino... | 1 | Epithelial cells | Lymphocytes | Neutrophills | Macrophages | Gynaecology & Obstetrics | External Genitalia | 2f80a42b-ce4d-4eea-aaa8-cbe83da9faf7 | single |
Adverse effects combined OCPs:a) Liver disordersb) PIDc) Weight gaind) Acnee) Endometriosis | null | 1 | ac | bc | ad | b | Gynaecology & Obstetrics | null | a0c62357-0db3-47c5-835f-70234b416db1 | single |
All of the following statements are true, EXCEPT: | Cycloxgenase enzyme exist in two isoforms COX 1 and COX2. Cycloxygenase 1 is not an inducible enzyme, it has physiological house keeping functions. Cycloxygenase 2 is normally present only in minute quantities. It is an inducible enzyme, it is induced by cytokines and other signal molecules at the site of inflammation ... | 1 | Cycloxygenase I is an inducible enzyme | Cycloyegenase II is induced by cytokines at sites of inflammation | PG's and leukotrienes are derived from arachidonic acid | Leukotrienes cause smooth muscle constriction | Pharmacology | null | d010e501-1f8d-42c9-aba0-c5454f7d2965 | multi |
Function of surfactant is- | Ans. is 'd' i.e., Reduction in surface tension * The major function of surfactant is to reduce the surface tension of fluid lining the alveoli.* The water molecules on the surface of water (at air-water interphase) have an especially strong attraction for one another. This results in the water surface to contract produ... | 4 | Increase O2 diffusion | Decrease airway resistance | Prevents overexpansion of lung | Reduction in surface tension | Physiology | Respiratory System | be994f4e-37fc-44ea-9791-951f3264f359 | single |
The effective range of shotgun is - | null | 4 | 10 to 15 yards | 20 to 30 yards | 30 to 40 yards | 60 to 80 yards | Forensic Medicine | null | 6577cef9-d09e-4264-aa92-25f78945df62 | single |
Dislocation of lens is seen in – | Homocystinuria can cause dislocation of lens. | 3 | Trachoma | Diabetes mellitus | Homocystinuria | Turner's syndrome | Ophthalmology | null | 80aa3e23-e1ff-48f0-8877-40b760d9bcd6 | single |
The dose of OPV, given at birth, in case of institutional deliveries is - | null | 1 | Zero dose OPV | Initial dose | Primary dose | First dose | Social & Preventive Medicine | null | 62d78e3a-4e40-4766-9853-82371e44aa46 | single |
During a paial hysterectomy leaving the ovaries intact, the surgeon detaches the ovary from the uterus by transecting the ovarian ligament. This ligament developed from which embryonic structure? | The ovarian ligament and the round ligament of the uterus are formed by the gubernaculum. The mesonephric duct gives rise only to the vestigial epoophoron in the female. The urogenital folds form the labia minora. The processus vaginalis forms no adult female structures, while the paramesonephric ducts form the uterine... | 3 | Mesonephric duct | Urogenital folds | Gubernaculum | Processus vaginalis | Anatomy | Pelvis and Perineum 2 | 2cf2aa92-da48-4e6e-b09c-4d7893847277 | single |
All of the following are suggestive of Iron deficiency anemia except: | Ans. C. Increased Red blood cellsIron deficiency has a low RBC count. Thalassemia major is also a differential of microcytic hypochromic anemia but increased red cell count is a feature of Thalassemia and not Iron deficiency anemia. | 3 | Microcytosis | Hypochromia | Increased Red blood cells | Increased Red cell distribution width | Pediatrics | Blood | a8ddbe5e-3bb3-43ad-aeb3-e0ef354964a3 | multi |
Approximately how many enamel rods will be present in a maxillary molar? | The number of enamel rods ranges from 5 million in Lateral incisor and 12 million in upper 1st molar. | 4 | 5 million | 7 million | 9 million | 12 million | Dental | null | 7a2bd16e-f80a-4eaf-84eb-44a91c6edfa3 | single |
Fibrous capsule of TMJ has: | null | 2 | Type 1 collagen. | Type 2 collagen. | Type 4 collagen. | Type 6 collagen. | Dental | null | 5f2fa444-0595-47d9-90bc-76d95beefcaf | single |
An 70-year-old male patient with uncontrolled hypertension has serum creatinine of 4.5, mild proteinuria. Renal ultrasound shows left kidney 9 cm and right kidney 7 cm in length {normal 10 cm). There was no obstruction. What is the next investigation of choice? | Ans: C (Isotope renogram) Ref: Harrison's Principles of Internal Medicine, 18th ednExplanation:Imaging Studies in Chronic Kidney DiseaseThe most useful imaging study is a Renal ultrasound.Advantages of Renal Ultrasoundo Verify the presence of two kidneyso Determine if they are symmetrico Provide an estimate of kidney s... | 3 | IVP | MR angiography | Isotope renogram | Retrograde pyelography | Medicine | Kidney | 48e837da-b5fa-48a6-9d00-dfa654635f94 | single |
False about erythema nodosum? | Erythema nodosum (EN) is a cutaneous reactive septal panniculitis with no vasculitis. Causes: Drugs like OCPs, sulphonamides and Penicillin. Infections - Gp A b haemolytic Streptococcus infection, Brucella, Toxoplasmosis, CMV, E.coli etc. Tuberculosis Sarcoidosis Crohn's disease> Ulcerative colitis SLE, RA, Reiter's Sy... | 2 | Considered a hypersensitivity reaction | Is a lobular panniculitis | Overlying skin is red, smooth and shiny | Can be seen in TB | Dental | Mycobacterial Infections | ffb9609e-402f-4b2b-a20b-4e68006ed977 | multi |
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