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Superior rectal vein opens into- | Ans. is 'a' i.e., Inferior mesenteric vein 'Superior rectal vein drains into the inferior mesenteric vein and hence into the portal circulation'Blood supply of rectum* Major arterial supply of rectum is through superior rectal artery (inferior continuation of inferior mesenteric artery). Other arterial supply of rectum... | 1 | Inferior mesenteric vein | Superior mesenteric vein | Internal iliac vein | Circumflex iliac vein | Anatomy | Abdomen & Pelvis | 62419cce-9830-45e0-9926-00dc0268052a | single |
All of the following are indications for termination of pregnancy in APH patient except: | Transverse lie is not an indication for termination of pregnancy in APH. Ref: Management of High-Risk Pregnancy: A Practical Approach By S. S. Trivedi, SS Trivedi MS FICOG and Manju Puri, M.D, 2011, Page 150 ; Textbook of Obstetrics By D.C.Dutta, 5th Edition, Page 264-65 | 3 | 38 weeks | IUD | Transverse lie | Continous bleeding | Gynaecology & Obstetrics | null | 632765e9-1ef5-4e43-b81b-866b403ddd82 | multi |
Which of the following toxins acts by inhibiting protein synthesis - | Toxin which acts by inhibiting protein synthesis:
Diphtheria toxin and Pseudomonas Exotoxin A: Inhibiting elongation factor 2
Shiga toxin and Verotoxin (Shiga like toxin) of EHEC: Inhibiting 60s ribosome | 2 | Cholera toxin | Shiga toxin | Pertussis toxin | LT of enterotoxigenic E.coli | Microbiology | null | 77d95986-6332-4b9a-9e71-856049f0f3ac | single |
Most common site of intracranial hemorrhage in hepeensive hemorrhage is | *The most common site for hypeensive hemorrhage is basal ganglia,cerebellum,thalamus,pons. Ref Harrison20th edition pg 2345 | 1 | Basal ganglia | Brainstem | Cerebellum | Hippocampus | Medicine | C.N.S | bef6c389-4cf7-4487-b997-8d130b3b5e15 | single |
A 56 years old man has painful rashes over his right upper eyelid and forehead for the last 48 hours. He underwent chemotherapy for Non-Hodgkin's lymphoma one year ago. His temperature is 98° F, blood pressure 138/76 mm Hg and pulse is 80/ minute. Examination shows no other abnormalities. Which of the following is the ... | null | 2 | Impetigo | Herpes zoster | Pyoderma gangrenosum | Erysipelas | Medicine | null | d649738c-efd0-417d-ad33-da52feecb776 | single |
Diameter of an adult crystalline lens is: | Ans. 11-12 mm | 3 | 5-6 mm | 7-8 mm | 9-10 mm | 11-12 mm | Ophthalmology | null | c0bc18a9-4373-44d8-bbe8-3b2055ad4bfd | multi |
All are true regarding hereditary angioedema, except? | A i.e. Dysfunction of enzyme is most common case | 1 | Dysfunction of enzyme is most common cause | Enzyme involved in Cl INH | Cl inhibitor targets Hageman factor | Complement C4 & C2 decrease | Skin | null | 10dfcb48-e7d0-41ab-a005-57535b9d88e9 | multi |
Standard error of mean is called as - | . | 1 | Standard detion | Mode | Median | Variable | Social & Preventive Medicine | Biostatistics | e7c90a1c-bdc7-4255-b23c-4354681276f9 | multi |
A mutation in the codon which causes a change in the coded amino acid, is known as: | Ans. C. Mis-sense mutation(Ref: Harper 31/e page 398)I. Silent MutationIf a mutation does not alter the polypeptide product of the gene.Also called Synonymous Mutation.II. Mis-sense mutationThe alteration in the nucleotide may result in the incorporation of a different amino acid. | 3 | Mitogenesis | Somatic mutation | Mis-sense mutation | Recombination | Biochemistry | Molecular Genetics | 4e45bb15-2118-455d-953c-4efade91a845 | single |
Privileged communication is between: AI 09 | Ans. Doctor-cou | 3 | Doctor-patient | Doctor-medical council | Doctor-cou | Doctor-police | Forensic Medicine | null | 91975fb2-78fe-496e-8803-7bba3833dbe8 | single |
AML with gum infiltration and hepatosplenomegaly is most probably: | . M4 | 4 | ALL | M3 | M2 | M4 | Pathology | null | 420cfb25-2292-4411-87d8-486b495dd967 | multi |
Commonest cause of thunderclap headache: AIIMS 10; NIMHANS 14 | Ans. Aneursymal SAH | 2 | Extradural hemorrhage | Aneursymal SAH | Subdural hemorrhage | Basilar migraine | Forensic Medicine | null | 5998bb78-787b-46eb-970f-73aa467b1c92 | single |
A child presenting with recurrent respiratory tract infections, mouth breathing and decreased hearing. Treatment of choice is | (Adenoidectomy) (228-385- Dhingra 4th, 367- Logan & Turner 10th)* Recurrent RTI, mouth breathing and decreased hearing suggest that child is suffering from adenoids,* Treatment of choice for adenoids is - AdenoidectomyADENOIDS* Adenoids (or nasopharyngeal tonsil / is situated at junction of the roof and posterior wall ... | 2 | Tonsillectomy | Adenoidectomy | Gromet insertion | Myringotomy | ENT | Pharynx | 97395896-defa-4222-9e20-538ffc8b3c1a | single |
A 70-year-old patient presents with dizziness and headache followed by left sided hemiparesis with right eye dilatation and ptosis. Most probable blood vessel damaged is: | Ans: (c) Posterior cerebral arteryRef: Adams and Victor's Principles of Neurology, 10th edition, Page 804; Localisation in Clinical Neurology, 6th edition, Chapter 105EponymSiteCranial nerves involvedTracts involvedSignsArteries involvedWeber SyndromeBase of midbrainIIICorticospinal tractOculomotor palsy with crossed h... | 3 | Middle cerebral artery | Anterior communicating artery | Posterior cerebral artery | Basilar artery | Medicine | C.N.S. | f48e04fa-6471-4b57-a8c8-4014344c9172 | single |
What is differentiating feature between irritable bowel syndrome and inflammatory bowel disease is? | FECAL CALPROTECTIN, is a biomarker of bowel inflammation and help in differentiating from irritable bowel syndrome. Faecal lactoferrinis a highly sensitive and specific marker for detecting intestinal inflammation. Faecal calprotectinlevels correlate well with histologic inflammation, predict relapses, and detect pouch... | 2 | pain in abdomen | Stool calprotectin | Mucus in stools | Diarrhoea | Medicine | NEET Jan 2020 | 97887016-4820-4032-9b22-9589149c6993 | single |
A 50 year female has 2o deep burn involving 45% total body surface area (TBSA). Regarding her management which of the following statement (s) is/are true | According to parkland regimen, 4ml/%burn/bodyweight/24hours. i.e 4*45*50=9000ml. Fluid requirements, first 24hours=9L first 8hours=4.5L 4.5L are infused in next 16hours. Hamanns solution or ringer lactate is recommended. Regular assessment of adequacy of resuscitation should be performed. Blood products and colloid may... | 2 | Give rapid normal saline infusion | Half of the calculated fluid should be given in initial 8 hr | 9 litre of Ringer's lactate should be given in first 24 hr | Urine output should be maintained at 25-30 ml/hr | Surgery | General surgery | 732a29ef-2c4a-418c-b9ca-a9c32e2f60bd | multi |
Which of the following is the major site of erythropoietin production during the fetal stage: | a. Liver(Ref: Nelson's 20/e p 2306)Erythropoietin (EPO) is produced in fetal liver during 1st & 2nd trimesters, by cells of monocyte/macrophage origin.After birth, the anatomic site of EPO production shifts to the kidney. | 1 | Liver | Yolk | Bone | Spleen | Pediatrics | C.V.S. | 09bb5e57-cfa0-408e-aa0e-6982199ce7b4 | single |
All the following are indications for brain imaging in epilepsy, except | . *Indications for brain imaging in epilepsy: -epilepsy staing after the age of 16yrs -seizures having focal features clinically -EEG showing a focal seizure source -control of seizures difficult or deteriorating. Ref Harrison20th edition pg 2133 | 1 | Epilepsy stas after the age of 5 years | Seizures have focal features clinical | EEG shows a focal seizure source | Control of seizures is difficult | Medicine | C.N.S | ded4c7c1-3f6b-4fe6-bb25-4dcb28867efb | multi |
Amount of Protein present in 100 ml of breast milk is: | Ref: Vishnu Bhat's Protein Energy Malnutrition. 1st ed, PEEP EE, Page: 51Explanation:Nutritional values of various milkMilk sourceQuantityEnergy (Kcal)Protein (g)Cow100 ml673.3Buffalo100 ml1174.3Goat100 ml723.7Human100 ml651.1 | 2 | 2.2 g | 1.1 g | 0.55g | 3.3g | Pediatrics | Feeding Healthy Infants and Children | 605bf107-3b59-44f1-9e14-894d3261bf13 | single |
A previously healthy eight year old boy presented to the emergency depament with high grade fever, ahralgia, pruiritic erythematous rash and lymphadenopathy. He has completed 8 days out of a 10 day course of cefaclor for an upper respiratory tract infection. Which of the following is the most likely diagnosis? | Boy in the questions who developed the fever,rash,lymphadenopathy, after taking cefaclor for UI is suffering from drug induced serum sickness. Ref: Essentials of emergency medicine By Richard Aghababian page307; What to do About Allergies By Harvard Health Publications page 8. | 3 | Kawasaki Disease | Type III Hypersensitivity Reaction | Serum sickness Like Illness (SSLI) | Henoch schonlein purpura | Pediatrics | null | 4cdb86ab-92be-4fa8-bc84-8d047fe58775 | single |
Most common cause of pleural effusion in HIV patients - | Pleural effusions are seen in 70% of cases of pulmonary Kaposi sarcoma , a fact that is often helpful in the differential diagnosis. Primary effusion lymphoma (PEL), also referred to as body cavity lymphoma, presents with lymphomatous pleural, pericardial, and/ or peritoneal effusions in the absence of discrete nodal o... | 1 | Kaposi sarcoma | Lymphoma | P.carinii | Mycobacterium tuberculosis | Medicine | Infection | ce451f69-77cf-4228-b01a-a8ce17e81cd6 | single |
Which of the following is not a feature of hypothyroidism? | Hypothyroidism characterized by open and widened fontanelle results in large head and mental retardation | 3 | Mental retardation | Large head | Microcephaly | Calf muscle hypertrophy | Pediatrics | null | 491decf1-1891-47ef-b49a-af8699bb1ee8 | single |
Which of the following indicators involve repro ductive woman | null | 1 | G.F.R | Birth Rate | T.F.R | Maternal mortality rate | Social & Preventive Medicine | null | 06fe61f0-a0e1-42b6-8c44-b0f2a7c6a23b | single |
Calculi are most commonly seen in which salivary gland | Eighty per cent of all salivary stones occur in the submandibular glands. Eighty per cent of submandibular stones are radio-opaque . Calculi are more common in submandibular gland because the gland secretion is viscous, contains more calcium and also its drainage(Whaon's duct) is nondependent, causing stasis. Secretion... | 3 | Minor salivary gland | Parotid | Submandibular | null | Surgery | Urology | 87112af1-b674-494a-9a3d-8575ec6b57cd | multi |
Treatment of choice for ovarian cyst in a postpaum patient is which of the following surgical procedures? | Ovarian cyst diagnosed in a patient in the post paum period should be treated by removing the cyst as early as possible in the puerperium. Ref: D.C.Dutta's Text book of Obstretics 6th edition page 310. | 1 | Immediate removal | Removal after 2 weeks | Removal after 6 weeks | Removal after 3 months | Gynaecology & Obstetrics | null | 508b7630-0d11-4ddc-b61d-650fbc9f0a1a | single |
Chronic Hepatitis is most common in infection with: | Hepatitis-B | 2 | Hepatitis-A | Hepatitis-B | Hepatitis D | Hepatitis-E | Microbiology | null | 58b0edd4-dbfd-4e4a-a8bd-3b556bd7937f | single |
A patient of schizophrenia treated for 5 years developed perioral movements. Likely diagnosis is: | Ans. A. Tardive dyskinesiaTardive dyskinesia is the abnormal movement of tongue, lips or buccal cavity after long time intake of antipsychotic drug intake. It develops after minimum of six months of antipsychotic intake. | 1 | Tardive dyskinesia | Muscular dystonia | Akathisia | Malignant neuroleptic syndrome | Psychiatry | Pharmacotherapy Management of Children and Adolescents | 186f2996-7e1f-4850-b1f8-aa8b7efb4359 | single |
A 50-year-old male patient presented to the ER with weakness of both upper and lower limb on the right side along with sensory loss in similar distribution. O/E Homonymous hemianopia. Hearing loss MRI head AXIAL FLAIR AXIAL DWI Which of the following aery is most likely involved in the above case? | OPTION A IS ANTERIOR CEREBRAL AERY OPTION B IS ANTERIOR CHOROIDAL AERY OPTION C IS POSTERIOR CEREBRAL AERY OPTION D IS POSTERIOR COMMUNICATING BRANCH EXPLANATION: - This is a case of anterior choroidal aery syndrome. 1. Localization: -Dense hemiparesis with equal weakness of upper and lower limb = lesion of internal ca... | 2 | AERY A | AERY B | AERY C | AERY D | Unknown | Integrated QBank | fd79d121-7a58-4daf-b1e8-903c47beb6df | multi |
Carbon monoxide poisoning is characterized by all except - | Cyanosis is not a feature of CO poisoning. | 1 | Cyanosis | Cherry red discoloration | Skin blistering | Poison with just 10% concentration may be asymptomatic | Forensic Medicine | null | 60352031-ce48-4515-b737-5fe53b0e51cd | multi |
What is the average number of mites found on the body in a person suffering from regular scabies? | The difference between Norwegian scabies and regular scabies is the number of mites found on the infected individual. Regular scabies usually causes a person to host about 10 to 15 (range 3-50) mites at a time; a patient who has Norwegian scabies has thousands to millions. | 3 | 2-Jan | 10-May | 15-Oct | 15 - 20 | Social & Preventive Medicine | null | 7a0d1cac-56b9-4e9f-9d79-0c6c003bef0b | single |
Amniotic constriction bands lead to which of the fetal anomaly - | Ans. is 'd ' i.e., All the above Amniotic band syndrome (Constriction band syndrome):o Amniotic band constriction (also known as "amniotic band syndrome", "ADAM complex", "Amniotic band sequence", "Congenital constriction bands" and "Pseudoainhum") is a congenital disorder caused by entrapment of fetal parts (usually a... | 4 | Congenital limb amputation | Syndactyly | Club foot | All of the above | Gynaecology & Obstetrics | Physiology & Histology | fc199586-c559-4d37-bca9-35b3c32d6ff6 | multi |
Among drugs of HAA, which of the following drugs has maximum tendency of peripheral neuropathy? | Stavudine has maximum, while lamivudine has minimum peripheral neuropathyRef: Goodman Gillman 12thed pg: 1635 | 3 | Lamivudine | Zidovudine | Stavudine | Nevirapine | Pharmacology | All India exam | d189d4c5-2812-4ad7-a9b5-3ec8a1cdff9b | single |
Cabbage odour urine is found in | Tyrosinemia type 1 is due to a defect of hydrolase enzyme, in this disorder there occurs cabbage odor urine. | 3 | Leucine catabolism defect | Valine catabolism defect | Tyrosinemia type 1 | null | Microbiology | All India exam | 05150e2b-4f47-49d2-8129-dceae82d84ba | multi |
All of the following skin lesions are associated with Diabetes mellitus except | Pyogenic granuloma is associated with IBD. (Ulcerative colitis > Crohn's disease). | 4 | Necrobiosis Lipoidica | Granuloma annulare | Acanthosis nigricans | Pyogenic granuloma | Dental | null | 45f943e0-5c97-43e2-bd28-6e2fe7000b23 | multi |
Chronic recurrent synovitis with history of pustules in multiple sites diagnostic of ? | Ref. Textbook of Orthopedics, Ebnezar. Page. 688
SAPHO Syndrome
SAPHO syndrome is a chronic disorder that involves the skin, bone, and joints.
SAPHO is an acronym for the combination of synovitis, acne, pustulosis, hyperostosis, and osteitis.
Genetic predisposition is suggested by the higher prevalence of HLA-B27
Th... | 3 | Werner’s syndrome | Wartenberg’s syndrome | SAPHO syndrome | Wermer syndrome | Unknown | null | d3ecba56-aa38-48d6-8ffb-b030988e309d | single |
Not a B-cell marker - | Tumor necrosis factor receptor superfamily, member 4 (TNFRSF4), also known as CD134 and OX40, is a member of the TNFR-superfamily of receptors which is not constitutively expressed on resting naive T cells, unlike CD28. OX40 is a secondary co-stimulatory immune checkpoint molecule, expressed after 24 to 72 hours follow... | 3 | CD 19 | CD 20 | CD 134 | CD 10 | Pathology | General pathology | 78d66932-6135-448f-8b3b-e42641372faf | single |
Myrmecia was are- | B i.e. Plantar wa | 2 | Planer wa | Plantar wa | Verrucous wa | Palmer wa | Skin | null | a1e0dab0-3eff-43e2-a2fd-78ac270dbc9f | single |
Which of the following is an example of uncoupler - | Ans. is 'd' i.e., All of the above o As the name suggests, these componds block the coupeling of oxidation with phosphorylation. These compounds allow the transfer of reducing equivalents in respiratory chain but prevent the phosphorylation of ADP to ATP by uncoupling the linkage between ETC and phosphorylation. Thus t... | 4 | Thyroxine | 2, 4 DNC | 2, 4DNP | All of the above | Biochemistry | Respiratory Chain | 193cddcf-21ff-4d40-8912-0370cc51a4d4 | multi |
Valve usually not involved in rheumatic fever | The mitral valve alone is involved in 70% of cases, with combined mitral and aoic disease in another 25%; the tricuspid valve usually is less frequently (and less severely) involved; and the pulmonic valve almost always escapes injury. (Robbins basic pathology,9th edition,pg no.391) | 3 | Mitral | Aoic | Pulmonary | Tricuspid | Pathology | Cardiovascular system | e9906a32-5108-4e7c-a6ac-f4426564caaf | multi |
Kidney produces | In adults, about 85% of the erythropoietin comes from the kidneys and 15% from the liver.In most mammals, the hormones secreted by the posterior pituitary gland are arginine vasopressin (AVP) and oxytocin. Aldosterone is synthesized by adrenal coex.Circulating angiotensinogen is found in the a2-globulin fraction of the... | 2 | Vasopressin | Erythropoietin | Aldosterone | Angiotensinogen | Physiology | Renal physiology | cb50dd38-7344-4010-bbc1-7115927cd6a6 | single |
Reactionary hemorrhage occur within: March 2010 | Ans. A: 24 hoursAccording to the "time of appearence" hemorrhage can be classified in to:Primary hemorrhage - Is one which occur at the time of injury or operation.Reactionary hemorrhage - In majority of cases reactionary occur within 4 to 6 hours. Such bleeding may also occur due to:- Restlessness- Coughing- Vomiting ... | 1 | 24 hours | 1-2 days | 2-4 days | 4-6 days | Pathology | null | ed1942bf-8da2-41d5-8736-52a290163d2e | single |
All of the following are uses of mifepristone except? | Ans. is 'c' i.e., Post paum hemorrhage o Mifepristone is used in medical termination of pregnancy (most impoant use), postcoital (emergency) contraception, Cushing syndrome, meningioma, breast cancer, fibroids and endometriosis. | 3 | Termination of pregnancy | Post coital contraception | Post paum hemorrhage | Cushing's syndrome | Pharmacology | null | bdb36739-901a-4def-98c5-260c2a78ec7c | multi |
Primordial prevention in myocardial infarction are all except | PRIMORDIAL PREVENTION for CHD (Myocardial infarction) A novel approach to primary prevention of CHD is primordial prevention. It involves preventing the emergence and spread of CHD risk factors and life-styles that have not yet appeared or become endemic. This applies to developing countries in paicular. These countrie... | 4 | Changes in life style | Maintenance of body weight | Healthy nutritional habits | Screening for hypeension | Social & Preventive Medicine | Non communicable diseases | e360dc62-e8e5-4747-985b-2bf5f5be7e3e | multi |
All are part of glomerular filtration barrier except | Ans:a (Mesangial cells) Ref: Robins 7th ed/p.957, 958Glomerular filtration barrier consists of the following structures1) Fenestrated endothelial cells2) Glomerular basement membrane (consists of type IV collagen)3) Visceral epithelial cells (podocytes)Mesangial cells are stellate cells located between the basement mem... | 1 | Mesangial cells | Endothelium | Epithelial cells | Basement membrane | Physiology | Kidneys and Body Fluids | 0cc7e32f-d467-45f0-8ccc-0405999df2d6 | multi |
Calculate the prevalence if incidence is 2 cases per 1000 population oer year and mean duration is 4 years - | the relationship between incidence and prevalence can be calculated as,prevalence =incidence*mean duration ,here in this case it equals 2*4 that is 8 cases per 1000 population. ref:park&;s textbook of preventive and social medicine,22nd edition,pg no 58 | 1 | 8 cases per 1000 population | 2 cases per 1000 population | 0.5 cases per 1000 population | 32 cases per 1000 population | Social & Preventive Medicine | Epidemiology | 682f324a-5249-48e3-be2e-caf854c7e13a | single |
During an attempted extraction of upper posterior teeth, to determine the position of the roots displaced into antrum, ideal radiograph would be | null | 3 | Bitewing radiography of maxillary posteriors | IOPA of mandibular posterior teeth | Upper oblique occlusal radiograph | Lateral oblique view of mandibular posteriors | Surgery | null | 976333bc-a2e5-4251-9963-b642d5a104ee | single |
Mitha bish is: MAHE 12 | Ans. Aconite | 2 | Oleander | Aconite | Quinine | Digitalis | Forensic Medicine | null | 7b67a67c-dc58-4bf3-abca-4b19103debec | single |
Monoamine neurotransmitter in brains is | There are three main classes of chemical substances that serve as neurotransmitters and neuromodulators: small molecule transmitters large-molecule transmitters gas transmitters. Small molecule transmitters include amino acids (eg, glutamate, g-aminobutyric acid , and glycine, acetylcholine, monoamines (eg, norepinephr... | 1 | Serotonin | Glycine | GABA | Dopamine | Physiology | Nervous system | 9557f345-befd-44c5-bc6b-b0792edece73 | single |
The joint between the atlas and axis is: | First cervical vertebra is known as Atlas.
Second cervical vertebra is known as Axis.
Special joint between Atlas, Axis and Occipital bone:
Atlanto-Occipital joint:
It is a synovial joint - ellipsoid type.
Allows flexion and extension of head on neck (as like nodding up and down).
Atlanto-Axial joint:
It is a pivo... | 3 | Ball and socket joint | Closely related to the first cervical nerve | Allows rotation of the head | Supported by the alar ligaments | Anatomy | null | f18a8e98-60e2-4b66-9c33-74e53c857beb | multi |
Which radionuclide is best suited for measurement of GFR? | Ans. DTPA | 1 | DTPA | DMSA | Ohoiodohippurate | EDTA | Radiology | null | 11a8bbbb-98e9-46b3-83fd-639827ab8234 | single |
Which is not a major criteria of jones in Rheumatic fever ? | Major criteria of Jones in RHD are card it is,ahritis, chorea,subcutaneous nodules ,erythema marginatum. Ref : Ghai essential of pediatrics, eighth edition p.no:435 | 4 | Pancarditis | Ahritis | Chorea | Elevated ESR | Pediatrics | C.V.S | a6a1b421-7813-4d57-89e3-2e88eda00a16 | single |
Occlusion of Aery of Adamkiewicz leads to infarction of which of the following structure? | Also called as Aeria radicularis Magna: supplies the anterior spinal aery, can arise from Subcostal, Posterior intercostal or lumbar aeries. Occlusion commonly occurs during surgery for thoracoabdominal aneurysms which leads to spinal cord infarction and paraplegia. ref - pubmed.com | 3 | Spleen | Myocardium | Spinal cord | Internal capsule | Medicine | C.V.S | 4a3ee073-c75d-45da-9410-90c9d1eefa21 | single |
Not a pa of Kubler Ross stages of impending death is: | Aggression | 4 | Shock | Denial | Anger | Aggression | Psychiatry | null | 08f667d5-824a-498b-bb9a-e73277ebb39c | single |
Cardiac output increase in exercise by | Ans: a (Increase in HR) Ref: Ganong 22nd ed/ p.632, 633In muscular exercise there is increase in sympathetic activity resulting in increased cardiac contractility and heart rate. Rise in heart rate is the major event that occur in normal individuals compared to increase in contractility, remember Cardiac output = HR X ... | 1 | Increase in heart rate | Increase in preload | Increase in afterload | Sympathetic stimulation | Physiology | Heart, Circulation, and Blood | 37b62d71-729f-4f23-af67-67dbaedbc574 | single |
von Willebrand factor is produced by - | Von willebrand factor is produced endothelial cells.It is produced to a lesser degree by megakaryocytes. But mainly by endothelial cells Ref:Robbins and Cotran Pathologic basis of disease.South Asia Edition volume 1. Page no.662 | 3 | Liver | Platelets | Endothelial cells | Spleen | Pathology | Haematology | 249646cb-738b-4ccf-90e5-4a5b4cd4664a | single |
The X-ray below shows a patient with scoliosis. What is the angle to measure the severity of curve called as? | Ans. C. Cobb's angleCobb's angle is formed by a line drawn along the superior margin of the topmost vertebra and another line drawn along the lower margin of the bottom vertebra. Greater the angle, greater is the severity of the scoliotic curve. | 3 | Reisser's angle | Boston's angle | Cobb's angle | Milwaukee's angle | Orthopaedics | Spinal Injuries | eb86394d-28ae-4c87-9071-dada0ac914f3 | multi |
In a group of 100 children, the mean weight of a child is 15 kg. The SD is 1.5 kg. Which one of the following is TRUE | Ans. is 'a' 95% of children weigh between 12 kg & 18 kg Mean = 15 kgSD= 1.5 kgAs we know that area between 1 standard deviation on either side of a mean will include approximately 68% of the value in distribution. So 68% of children will weigh between 13.5 & 16.5 kg. (15 +- 1.5)Area between two standard deviation on ei... | 1 | 95% of all children weigh between 12 and 18 kg | 95% of all children weigh between 13.5 and 16.5 kg | 99% of all children weigh between 12 and 18 kg | 99% of all children weigh between 13.5 and 16.5 kg | Unknown | null | 57cd9522-94d3-4e94-91ca-9e97034228c9 | multi |
Anesthetic which increases intracranial tension | Ref: Ajay Yadav, Short Textbook of Pediatrics 1st edition PG: 76 A Miller Textbook of Anaesthesia. 6th editionExplanation:KetamineCauses Dissociative anesthesiaPhencyclidine derivativeNMDA receptor agonistAnesthetic PropertiesOnset of Action: 30- 60 secondsEarly regain of consciousness after 15- 20 min due to Redistrib... | 1 | Ketamine | Propofol | Etomidate | Ether | Anaesthesia | Miscellaneous General Anesthesia | 02f0b4f9-712f-4162-9e06-99d96052bc71 | single |
Which one of the following sensation appears first on recovery for local anesthesia? | Answer: c) ProprioceptionProprioception is the first sensation to recover from anesthesia.It is followed by muscle tone, pain, touch, and temperature.The order of sensitivity is of nerve fibers to anesthetic is:Type B and C > type A d > type Ab and Ag > type AaThinner and myelinated fibers have greater firing range and... | 3 | Temperature | Muscle tone | Proprioception | Pain | Anaesthesia | Local and Regional Anesthesia | 91033d01-99f2-4bf7-827e-e29acd952a4e | single |
About Brown-Sequard syndrome all are true except? | Ans. (c) Ipsilateral loss of pain and temperature(Ref: Ganong, 25th ed/p.172)Brown-sequard syndromeCause: Trauma such as bullet or a stab wound leading to hemi section of spinal cordPatient usually presents with,#Ipsilateral loss of joint position and vibratory sense (posterior column)#Contralateral loss of pain and te... | 3 | Ipsilateral weakness | Ipsilateral loss of position and vibration | Ipsilateral loss of pain and temperature | Contralateral loss of pain and temperature | Physiology | Nervous System | cb1d76e6-c5c2-4e2e-9a72-fc0206608aed | multi |
Ramsay hunt syndrome is caused by- | Ans. is ',b' i.e., Varicella zoster? Ramsay Hunt Syndromeo It is lower motor neuron type of facial palsy due to Varicella (herpes) zoster. Pain is often a prominent feature and vesicles are seen in the ipsilateral ear, on the hard palate and/or on anterior two third of the tongue. It may involve other cranial nerves-V,... | 2 | H. simplex | Varicella Zoster | Influenza | Adenovirus | ENT | null | 099b89db-24de-4661-bc9d-e4357b10eaa5 | single |
All of the following are features of cost accounting except: September 2010 | Ans. C: Benefits are expressed in terms of money Cost accounting establishes budget and actual cost of operations, processes, depaments or product and the analysis of variances, profitability or social use of funds. Managers use cost accounting to suppo decision-making to cut a company's costs and improve profitability... | 3 | Data on cost of a programme is provided | Control of cost can be done | Benefits are expressed in terms of money | Planning and allocation of peoples and financial services can be done | Social & Preventive Medicine | null | 9d1d0477-1b1e-4c90-beef-a3465beff9fb | multi |
A patient of partial gastrectomy presents with neurological symptoms. Most probable diagnosis is: | Ans. (c) Vitmain B12 deficiencyRef: Shackelford 7th Edition, Pages 759-760* B12 deficiency manifests as megaloblastic anemia* B12 deficiency happens after subtotal gastrectomy due to lack of IF secretion* Oral supplementation is not useful* Inj. B12 must be given every 3 monthly. | 3 | Folic acid deficiency | Thiamine deficiency | Vitamin B-12 deficiency | Iron deficiency | Surgery | Stomach & Duodenum | f98dac54-c8f0-4d96-ab38-6dd865058253 | single |
Pleural reflection on left midaxillary line is in intercostal space: | 10 | 4 | 5 | 6 | 8 | 10 | Anatomy | null | 6c345cbb-f4f7-469d-a56c-ce2fb7364330 | single |
Renal angle is formed by 12th rib and- | Ans. is 'a' i.e., Vertebral column and erector spinae * The costovertebral angle/renal angle is the acute angle formed on either side of the human back between the twelfth rib and the vertebral column or erector spinae* The kidney lies directly below this area and tenderness may be palpated here. | 1 | Vertebral column and erector spinae | Sacrospinalis | Rectus abdominis | External oblique | Anatomy | Abdomen & Pelvis | 260411ba-a941-4608-bd36-faa0b6cdc091 | single |
On esophageal manometry, abnormal spastic contractions in esophagus > 450 mmHgs cm in the body is suggestive of: | ACHALASIA CARDIA Characterized by absence of LES relaxation Clinical features - MC symptom - Dysphagia > weight loss | (Liquid > Solid) - Triad Dysphagia Regurgitation Weight loss IOC - Manometry On Barium Swallow * Bird beak appearance * Pencil tip appearance * Rat tail appearance TypeI: classic achalasia,incomplete L... | 3 | Type I achalasia | Type II achalasia | Type III achalasia | Jackhammer esophagus | Surgery | NEET Jan 2020 | 7ae5cb84-08eb-4008-aa3c-f15f633a914a | single |
Which of the following is NOT a frontline antihypertensive agent? | Ans. (D) Atenolol(Ref: CMDT-2014/429)*Beta blockers are no longer considered to be the first line antihypertensive agents. According to JNC-8, ACE inhibitors, calcium channel blockers and diuretics are first line agents. | 4 | Enalapril | Hydrochlorthiazide | Amlodipine | Atenolol | Pharmacology | C.V.S | c9ee6f43-b61a-4613-8b85-1a85f0643d73 | single |
Child with PDA will not have aEUR' | CO. washout During intrauterine life the fetus does not breathe. The .fetus does not require .functioning lung to oxygenate its blood. The fetus receives oxygenated blood from the mother through the umbilical vein. The lungs remains collapsed during the fetal life and the pulmonary circulation is a high pressure circui... | 4 | Bounding pulses | Pulmonary hemorrhage | Necrotising enterocolitis | CO, washout | Pediatrics | null | 682733bd-e6e4-4133-920f-28444e7e1cf3 | single |
Activation of which gene leads to bladder carcinoma | Answer- A. p53Genes associated with bladder cancer are - p53 (mc), RBl, HRAS, FGFR3, TSC1. | 1 | p53 | p7 | n-myc | BRCA1 | Pathology | null | db474c5f-2cdc-4b51-86d7-19fe7d6c34d2 | single |
TRUE about 'Capacitation' of sperm: | Both capacitation and the acrosome reaction can be induced in vitro. So in IVF, following semen collection and sperm processing sperm are incubated in media for 3 to 4 hours to promote sperm capacitation and the acrosome reaction. The process of capacitation involves removal of inhibitory mediators such as cholesterol ... | 1 | Can be induced in IN-Vitro | Acrosomal reaction is capacitation | Its same as Zona reaction | Capacitation takes place in testis | Gynaecology & Obstetrics | Infeility (Eggs'plantation!) | 9c6522f2-96d7-4ccb-a729-96c486525f85 | multi |
All are true about chaperones except ? | Ans. is 'b' i.e., Are lipid in nature Chaperones are proteins (not lipid). Chaperones Ceain proteins play a role in the assembly or proper folding of other proteins without themselves being components of the latter. Such proteins are called molecular chaperones. Most chaperones exhibit ATPase activity and bind ADP and ... | 2 | Cause folding of proteins | Are lipid in nature | May have ATPase activity | Include heat shock proteins | Biochemistry | null | 08677e57-f44c-4318-9112-7a110d77d769 | multi |
In myocardium reperfusion injury is due to? | Ans. (a) Ca(Ref: Gross GJ, Kersten JR, Warltier DC. Mechanisms of postischemic contractile dysfunction. Ann Thorac Surg. 1999; 68:1898-1904.)Mediators of reperfusion injury are: Oxygen Free Radicals, Endothelial Dysfunction and Microvascular Injury, Alterations in Calcium Handling | 1 | Ca | Mg | K | Mn | Pathology | Cellular Pathology | 28d4f339-117f-41c0-9419-8c409468abdb | single |
Which of the following drugs acts on "motilin" receptors- | Ans. is 'a' i.e., Erythromycin o Erythromycin stimulates motilin receptors in the GIT-thereby, induces gastric contractions, hastens gastric emptying and promotes intestinal motility. | 1 | Erythromycin | Tetracycline | Norfloxacin | Chloramphenicol | Pharmacology | null | 63ad7c30-db87-449c-a2aa-06fe2986e3b1 | single |
2-year-old child is seen for a well-child visit in a pediatric clinic. Abdominal examination demonstrates a palpable, non-tender mass on the left side of the abdomen. The mother had no idea where the mass was present and the pediatrician did not note the presence of the mass at the child's 18-month well-child visit. Ph... | Inactivation of the WT-1 Wilms tumor gene (located at 11p13, and thought to encode a DNA-binding protein impoant in fetal kidney development) has been repoed in the tumor cells from many Wilms tumor cases. Also, the WAGR syndrome involves a deletion of chromosome 11p13 and the Beckwith-Wiedemann syndrome involves a rea... | 3 | 3 | 5 | 11 | 15 | Pathology | null | e6620aae-d26f-4e82-8d36-41af4be19aa4 | single |
Which of the following is a live vaccine- | Ans. is 'b' i.e., Sabin * Varicella vaccine is live attenuated vaccine and is recommended for children between 12-18 months of age.Live 'attenuated' vaccinesKilled 'inactivated' vaccinesBCGPertussisOPV (Sabin - Oral polio vaccine)IPV (Salk - Inactivated polio vaccine)Measles vaccineRabies vaccineMumps vaccineCholera va... | 2 | Salk | Sabin | Cholera vaccine | Rabies vaccine | Social & Preventive Medicine | Communicable Diseases | 77a87702-d29d-4452-8df5-85f9a74ef87a | single |
Major source of collagen in cirrhosis? | Ans. is 'b' i.e., Ito cell (hepatic stellate cell)Perisinusoidal stellate cells (Ito cells) play a role in the storage and metabolism of vitamin A and are transformed into collagen producing myofibroblasts when there is inflamation of the liver.These cells are the major source of collegen in cirrhosis. | 2 | Kupfer cells | Ito cell (Hepatic stellate cell) | Hepatocyte | Canalicular cell | Pathology | null | 517defba-35fd-4ce0-bad5-7cda1f486c74 | single |
The first lipoprotein to increase in concentration in the blood after ingestion of 400 g of jellybeans (carbohydrate) is | VLDL is synthesized in the liver, particularly after a high carbohydrate meal. It is formed from triacylglycerols that are packaged with cholesterol, apolipoproteins (particularly, apoB-100), and phospholipids, and it is released into the blood, where it acquires apoC-II and apo E.VLDL is synthesized by the liver from ... | 2 | Chylomicrons | VLDL | LDL | HDL | Biochemistry | Lipids | a251ffd1-f911-4f0c-8a05-817af17d1f50 | single |
Monteggia fracture is a: | Fractures between the proximal third of the ulna and the base of olecranon combined with dislocation of the proximal radio-ulnar joint. Direction of dislocation of radial head is used for classification. Bado's classification is used to classify monteggia fracture | 3 | Fracture of atlas | Fracture of radial styloid | Fracture of proximal 1/3 of ulna with dislocation of proximal radioulnar joint | Fracture of distal 1/3 of radius with dislocation of distal radioulnar joint | Orthopaedics | Ohopaedics Q Bank | 1522a6a9-7f1b-4cb2-ac56-8d0eaca90661 | single |
Cremaster muscle is supplied by: | Ans. D. Genital Branch of Genitofemoral NerveThe cremaster muscle is a thin layer of striated and smooth muscle found in the inguinal canal and scrotum between the external and internal layers of spermatic fascia, surrounding the testis and spermatic cord. The cremaster muscle is a paired structure, there being one on ... | 4 | Genital Branch of pudendal Nerve | Genital Branch of obturator Nerve | Genital Branch of femoral Nerve | Genital Branch of Genitofemoral Nerve | Anatomy | Abdomen & Pelvis | e1ee45db-f633-491a-beb2-b501192ad4fb | single |
Long term use of nitrates lead to decreased effect because of - | Ans. is 'b' i.e., SH groups in the enzyme o Tolerance develops to hemodynamic and antiischaemic effects of nitrates if they are continuously present in the body. No significant tolerance develops when nitrates are used intermittently. However; significant tolerance develops when nitrates are used continuously. This mec... | 2 | Development of resistance | SH group in the enzyme | Decreased oral absorption | Increased resistance | Pharmacology | null | 80e85f70-b903-4a46-adaf-60efb1ec60cd | single |
Cause of neonatal hyperbilirubinemia ? | Ans. is 'd' i.e., All of aboveAvery -textbook of neonatology (P.1536/ed 6th)o 75% of daily billirubin production in Neonats came from normal destruction of circulating RBC.o 25% comes from other factor like.Ineffective erythropoiesisDestruction of immature RBCo Immature UDPGT activity in foetal liver especially preterm... | 4 | Inefficient ervthropoiesis | RBC hemoglobin | Immature liver enzyme | All of above | Pediatrics | New Born Infants | df6b28f6-d25c-4d36-b67b-6d2f20d8e666 | multi |
The epiphysis at the tip of coracoid process is: | Atavistic | 2 | Traction | Atavistic | Pressure | A or C | Anatomy | null | 2408711d-7cbe-486f-ba30-7f4747c89b26 | single |
Which layer of epidermis is underdeveloped in the VLBW infants in the initial 7 days? | Ans. is 'd' ie., stratum corneum "Stratum corneum is permeable in preterm infants and becomes similar to the adults and in infants after two to three weeks of post natal maturation" - page 109, Physical diagnosis in neonatology: | 4 | Stratum germinativum. | Stratum granulosum | Stratum lucidum | Stratum corneum | Skin | Anatomy of Skin | 2ad18b50-d25a-4b95-b578-8a067f142974 | single |
The best indicator of cystic fibrosis is | A positive sweat test (i.e., a sweat chloride level greater than 60 mEq/L) is diagnostic of cystic fibrosis. | 3 | A positive family history of cystic fibrosis | The presence of digital clubbing | A sweat test with a chloride concentration of 70mEq/L | Bronchiectasis on a chest x-ray | Physiology | All India exam | e8d900bf-5241-45f1-8891-52d42165b540 | single |
Ethylene glycol when ingested affects kidney by forming - | Mode of ActionEthylene glycol is not absorbed through skin, and because of its low vapour pressure does not produce toxicity upon inhalation. It is however rapidly absorbed through the GI tract and is metabolised (more than 80%) to glycoaldehyde, glycolic acid, and oxalic acid which inhibit diverse metabolic pathways i... | 2 | Formaldehyde | Oxalates | Isoproylalcohol | Phosphates | Forensic Medicine | Poisoning | 790844bf-3a31-42ec-8d72-3c9db73733d1 | single |
Sty loid process is derived from - | Ans. is 'b' i.e., 2nd arch o Styloid process is derived from 2nd pharyngeal arch.Pharyngeal ArchMuscular ContributionSkeletal ContributionsNerveArteryCorresponding Pouch Structures1st (mandibular arch)Muscles of mastication. Anterior belly of the digastric, Mylohyoid, Tensor tympani. Tensor veli palatiniMaxilla, mandib... | 2 | 1st arch | 2nd arch | 3rd arch | 4th arch | Anatomy | Pharyngeal Arches | 6d0d010d-82ee-4859-a05e-2c764ad32bae | single |
Recurrence of gestational trophoblastic tumor can be associated with all except | Ans. is c i.e. Plateau of hCG (most probably) The examiner here is asking about recurrence of gestational trophoblastic tumor & not about occurrence of gestational trophoblastic tumor post evacuation of H. mole. In most of the books the criteria for diagosis of postmolar gestational trophoblastic tumor is given - Crite... | 3 | Enlarged uterus | Persistent lutein cysts in ovaries | Plateau of hCG | Sub urethral nodule | Gynaecology & Obstetrics | null | 6979a875-5f32-4e7f-966e-25dea9e566b4 | multi |
Geographic tongue is of red colour because of | null | 4 | Infiltration of eosinophils | Infiltration of neutrophils | Both of the above | None of the above | Pathology | null | b1f66a11-4433-43e3-b972-0c0b5d89e047 | multi |
Postprandial hyperglycemia may be controlled by | (Refer: Rang and Dale's Clinical Pharmacology, 7th edition, pg no: 380-383) | 4 | Rosiglitazone | Thiazide | Pioglitazone | Tolbutamide | Anatomy | All India exam | c84f3442-108b-4a47-ac81-90585eebef55 | single |
Which of the following neuromuscular blocker is most cardiostable- | Benzylisoquinoline group causes histamine release so associated with hypotension and tachycardia. Aminosteroid group - no histamine release in aminosteroid group only pancuronium causes vagal blockade - Hypeension and Tachycardia. | 1 | Vecuronium | d-tubocurare | Atracurium | Pancuronium | Anaesthesia | Neuromuscular Blocker | bf5c2146-248a-4b98-a9ed-d3e2076726ff | single |
Commonest virus causing diarrhea in infants is: September 2006 | Ans. C: Rotavirus In India, rotavirus and enterotoxigenic E. coli account for nearly half the total diarrheal episodes among children. Cholera accounts for 5-10% cases. | 3 | Poliovirus | Adenovirus | Rotavirus | Rhabdovirus | Pediatrics | null | e97cf147-fc4f-438c-b17d-4e5fead0c26c | single |
A floppy infant was brought after being given honey by pacifier. Vitals were WNL. Hand holding and tone in extremities were absent. Probable diagnosis: | Ans. D. Clostridium botulinum food poisoningClostridium botulinum food poisoning occurs from infected honey used in pacifiers, leading to flaccid paralysis (absent tone in muscles) | 4 | Clostridium perfringens food poisoning | Bacillus cereus food poisoning | Salmonella food poisoning | Clostridium botulinum food poisoning | Microbiology | Bacteria | 24d87822-c914-4cb1-a4f0-458570d16371 | single |
Pappenheimer bodies are | Pappenheimer bodies are Iron deposits in siderocytes. (RBCs).
It is seen in sideroblastic anemia, hemolytic anemia, sickle cell disease. | 2 | Ribosomal inclusions | Iron deposits | Denatured Hemoglobin | DNA remnants | Pathology | null | a23c1a8f-55f8-479c-8a31-bb8ddd2418ec | single |
Criteria for Brainstem death includes: | Brainstem death is defined by the absence of all brainstem mediated cranial nerve reflexes. Pupillary Light Reflex is a brainstem mediated cranial nerve reflex that is absent in brainstem death. The pupils are usually midsized but may be dilated (should not however be small). Occulo-cephalic (Doll&;s eye) reflex and Ve... | 2 | Positive Doll's eye Reflex | Absent pupillary light reflex and delated pupils | Pinpoint pupils | Positive vestibulo-ocular reflex | Medicine | All India exam | 65c7a457-bb76-4ca8-b369-f0d91eac4fb0 | single |
Most commonly injured ligaments of Ankle is | null | 1 | Anterior Talofibular | Middle Calcaneofibular | Deltoid | Posterior Talofibular | Orthopaedics | null | 365bea29-c79c-4fc3-9daa-27fd8bbac746 | single |
Stem cells are taken from all except- | Reference :Robbins basic pathology 9th edition pg no 74: stem cells are rare and very dif cult to isolate to purity. Fuhermore, they occur in specialized microenvi- ronments within the organ called stem cell niches. Appar- ently, signals from other cells in such niches keep the stem cells quiescent and undifferentiated... | 1 | Liver | Bone marrow | Blood | Adipose tissue | Pathology | General pathology | 90800dbe-8c36-4833-a943-f7f20391131f | multi |
Enlarged corneal nerves may be seen in all of the following except | Ans. (b) Herpes simplex keratitisRef: Causes of Enlarged Corneal Nerves International Ophthalmology Clinics 4 (1): 12 - 23; Winter 2001 (Lippincott Williams & Wilkins) by kim, Stella K. M.D.: Dohlman, Claes H. M.D., Ph. D | 2 | Keratoconus | Herpes simplex keratitis | Leprosy | Neurofibromatosis | Ophthalmology | Cornea | 0195f9a3-eb16-498c-b571-5254fbc411b5 | multi |
5 Year old child predominantly on maize based diet presents with recurrent diarrhea, dermatitis with Rashes in neck area. What is the most probable diagnosis | Maize based diet predisposes to Niacin deficiency which leads to Pellagra
Pellagra: -
Diarrhea
Dermatitis
Dementia. | 3 | Beriberi | Acrodermatitis enteropathica | Pellagra | Tyrosinemia | Pediatrics | null | ab9aba4b-b178-4bf2-89be-8cc5416ae82a | single |
True about standard distribution - | Ans. is 'a' i.e., Total area of curve =1 Standard normal curveo It is also known as bell curve or Gaussian distribution.o The shape of the curve is like a bell - bell shaped curve.o The data are distributed symmetrically on either side of a central value.o Normal distribution curve looks symmetrical in the dispersion w... | 1 | Total area of curve =1 | Mean =1 | Mean > Median > Mode | Tail towards right | Social & Preventive Medicine | Measures of Central Tendency and Distribution | e9b5fa9a-8ee9-42ba-8ee1-ee8a0bd8dc6a | multi |
Baby is not at risk for hypoglycemia | newborns are at risk for hypoglycemia : Babies born to mothers with diabetes. Babies who are small for gestational age or growth-restricted. Preterm babies, especially those with low bih weights. Babies born under significant stress. Babies with mothers treated with ceain medicines such as terbutaline. Reference: GHAI ... | 1 | Post dated pregnancy | Mother on beta blocker | Mother with diabetes mellitus | IUGR | Pediatrics | New born infants | 4dc6995c-18e8-4abe-b37c-a00bb2d5d2a2 | single |
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