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Which one of the following is NOT a characteristic or tuberous sclerosis | Tuberous sclerosis is an autosomal dominant condition. The classic traid of clinical features comprises learning disability, epilepsy and skin lesions. Skin lesions include ash leaf macules, adenoma sebaceum, periungual and subungual fibromas and shagreen patches. Reference Harrison20th edition pg 2456 | 3 | Seizures | Adenoma sebaceum | X-linked recessive inheritance | Shagreen patches | Medicine | C.N.S | 4e3c4241-a78e-45e4-9c7d-71a36ab4f304 | single |
Cyclodevelopmental life cycle is a type of transmission of ahropod-borne diseases. It is seen in: | Cyclodevelopmental life cycle: The disease agent undergoes cyclical changes but does not multiply in the body of the ahropod, e.g. filarial parasite in culex mosquito and guinea worm embryo in cyclops. Plague bacilli in rat fleas is an example for propagative transmission. Malaria parasite in anopheline mosquito is a t... | 4 | Malaria | Plague | Scabies | Filaria | Social & Preventive Medicine | null | 57575bd5-2889-44bf-8597-e6a6e48e1f33 | single |
This type of endometrial hyperplasia leads to increased risk of endometrial cancer: | Ans. (c) AtypicalRef. Shaw's Gynaecology 15th ed, /: 724ENDOMETRIAL HYPERPLASIAThis occurs in:# Anovulatory cycles with unopposed oestrogen acting on the endometrium# Metropathia haemorrhagica# Obese women# Polycystic ovarian disease# a woman on tamoxifen# feminizing ovarian tumours* Hyperplasia may be simple hyperplas... | 3 | Simple | Proliferative | Atypical | Secretive | Gynaecology & Obstetrics | Endometriosis and Infertility | 78c1bea2-b69f-4c5d-a4aa-ed7e90c6ea82 | single |
A two-year-old boy is brought to emergency with severe anemia (Hb = 2 gm%) and features of congestive hea failure. The most appropriate immediate therapy for this boy would be- | Ans. is 'a' i.e., Packed cell transfusion | 1 | Packed cell transfusion | Paial exchange transfusion | Whole blood transfusion | Parenteral iron injection | Pediatrics | null | 469ed72b-76ff-466e-9524-ad3d6f9d07f2 | single |
Risk factor for Squamous cell tumor of urinary bladder | Schistosomiasis and chronic cystitis are risk factors for SCC Bladder. | 4 | Schistosomiasis | Bladder diverticulum | Chronic cystitis | All of the above | Surgery | null | ce7cd737-5288-4dcf-811b-2a61c6273f78 | multi |
University of Wisconsin solution is used in: | The most commonly used fluid worldwide is the University of Wisconsin solution. It contains lactobionate, raffinose, and hydroxyethyl starch. Lactobionate is impermeable and prevents intracellular swelling; it also lowers the concentration of intracellular calcineurin and free iron, which may be beneficial in reducing ... | 1 | Organ preservation | Virus isolation | Gene therapy | All of the above | Surgery | null | ff223aa2-a7e5-4ab8-aae5-be7bc37144c0 | multi |
A 34-year-old woman presents with increasing abdominal girth of 3 months in duration. Physical examination reveals a left ovarian mass and mild ascites. The ovarian mass is removed, and the pathology report states "yolk sac carcinoma." Which of the following provides the best serologic marker to monitor the course of d... | Yolk sac tumor is a highly malignant tumor of women under the age of 30 years that histologically resembles mesenchyme of the primitive yolk sac. The tumor secretes alpha-fetoprotein (AFP), which can be demonstrated histochemically within eosinophilic droplets. Detection of AFP in the blood is useful both for diagnosis... | 2 | Alkaline phosphatase | Alpha-fetoprotein | Carcinoembryonic antigen | Human chorionic gonadotropin | Pathology | Female Genital Tract | 79d4b52f-6af4-417a-907f-c92da7104f0a | single |
Abrasion collar is seen in: September 2006 | Ans. B: Bullet injury Abraded margin (Abrasion collar, Marginal abrasion, Contusion ring, Abrasion ring) occurs due to Forward motion of bullet indenting the skin and abrading the margin of entry wound. Grease or di collar is a black coloured ring lining the entry point of bullet and is sharply outlined | 2 | Abrasions over neck | Bullet injury | Punctured wounds | Lacerated wounds | Forensic Medicine | null | ba26767a-38ce-4743-b482-884e1a1fa087 | single |
Prolonged blockade of Eustachian tube leads to - | Ans. is 'd' i.e., All of the above Effects of acute and prolonged tubal blockageAcute tubal blockage|Absorption of ME gases|Negative pressure in ME|Retraction of TM|Transudate in ME/haemorrhage (acute OME)Prolonged tubal blockage/dysfunction|OME (thin watery or mucoid discharge)|Atelectatic ear/ perforation|Retraction ... | 4 | Atelectatic ear | Cholesteatoma | Perforation | All of the above | ENT | Ear | df3189b1-d8c2-4f13-b7f4-158dae95001a | multi |
Which of the following drugs has covalent interaction with its target ? | Covalent interaction means irreversible inhibition of the enzyme. Aspirin irreversibly acetylates the cox enzyme. | 1 | Aspirin | Penicillin | Nitric oxide | Bosentan | Pharmacology | null | 2ad9e5c2-5858-4fa3-813e-6cbcec4e4b06 | single |
ECG of a patient with snake bite is shown below. What is the abnormality seen- | Ans- A. | 1 | Hyperkalemia | Hypokalemia | Myocarditis | Bigemini | Medicine | Fluid & Electrolyte | ca354dfe-a4d5-48a1-9245-8b160f2d2ac9 | single |
Stages seen in peripheral smear of falciparuma) Schizontsb) Gametocytesc) Accoled) Ring forme) Trophozite | Mature, compact trophozoites in a thin blood smear. Compact trophozoites in a thinblood smear.
P. falciparum schizonts are seldom seen in peripheral blood. Mature schizonts have 8 to 24 small merozoites;
dark pigment, clumped in one mass | 3 | abc | acd | bcd | bd | Microbiology | null | 85205904-a96f-4f1c-a2fe-edba50a7c441 | single |
Type 1 5α - reductase enzyme is found in all except | Type 2 5 alpha reductase enzyme is expressed in male genitalia. | 2 | Skin | male genitalia | Brain | Liver | Gynaecology & Obstetrics | null | fb5a38b6-76fa-4888-b2a8-3d296526c559 | multi |
A lady has very unstable relation with her husband, always threatening to suicide infact she one time eat some poison, then diagnosis is - | null | 1 | Borderline personality disorder | Depression | Avoident personality disorder | null | Psychiatry | null | 6fc9eea6-2a8d-4fb5-8f44-71359d49c03c | multi |
All are true about bronchopulmonary segment except - | Each branchopulmonary segment is drained by intersegment pas of pulmonary vein that lie in intersegmental space and drain adjacent segments.Thus each segment does not have its independent segmetal vein and each segment drains into more than one vein. Each vein drains more than one segment.Features of bronchopulmonary s... | 2 | Have independent single aery | Have independent single vein | Pyramidal in shape | Have a independent sagmental teiary bronchus | Anatomy | null | 577da391-1397-4cb6-9db4-df7b7a31672d | multi |
A 19-year-old college student develops a severe sore throat, cervical lymphadenopathy, and atypical lymphocytes on blood film. A heterophil antibody test is positive. For the above patient with a hematologic abnormality, select the most likely diagnosis | Heterophil antibodies react against sheep red cells and are not absorbed out by the guinea pig kidney. They are positive in patients with infectious mononucleosis. In 90% of cases, liver enzymes are elevated. Examination of the blood film reveals a lymphocytosis with atypical lymphocytes. | 3 | hyperthyroidism | rectal cancer | infectious mononucleosis | acute myelogenous leukemia | Medicine | Blood | d0f1c2f9-8740-4c2a-b901-a6b5ff971385 | multi |
which of the following is the course of donovanosis | Donovanssis or granuloma inguinale is a STD caused by Klebsiella granulomatis ref : ananthanaryana | 2 | H Ducreyi | K granulomatosis | Leishmania donovani | Treponema Pallidum | Microbiology | All India exam | 2494d3e4-9ae3-4d2d-a2ff-db1d634a8edc | multi |
Klumpke's paralysis involves - | Ans. is 'd' i.e., Cg T, KIAMPKE'S PARALYSISo Site of injury : Lower trunk of the brachial plexuso Cause of injury : Undue abduction of the arm, as in clutching something with the hands after a fall from a height, or sometimes in birth injury.o Nerve roots involved : - Mainly T1 and partly C8.o Muscles paralysedi) Intri... | 4 | C1-2 | C4-5 | 6-May | C8T1 | Orthopaedics | Klumpke's Paralysis | 01281833-a2f0-45d9-8034-1ce31248e5d4 | single |
Role of fixer is: | null | 4 | It binds developer to film | It takes away extra developer solution | It strengthens/fixes the silver halides on to X-ray film | It removes the extra silver halides which are unfixed | Radiology | null | d543ea44-eea9-463d-8a1f-72d00947abf0 | single |
Fetal scalp blood pH of less than..........is abnormat : | 7.2 | 3 | 7.4 | 7.3 | 7.2 | 7.35 | Gynaecology & Obstetrics | null | f2fa448b-7372-4e30-9b2a-e6ca21fbbabc | single |
Which of the following is not a surgical method for tubal ligation ? | Various methods are Pomeroy method, Parkland procedure, madlener procedure, Irwing, Uchida, Aldridge, Shirodkar etc. THE TEXTBOOK OF GYNAECOLOGY SHEILA BALAKRISHNAN SECOND EDITION PAGE NO 388 | 3 | Pomeroy | Parkland | Essure | Irving | Gynaecology & Obstetrics | Contraception | 700ba7e4-7adc-421c-9a1e-116eb75bef07 | single |
A patient suffers a severe haemorrhage resulting in a lowered mean aerial pressure. Which of the following would be elevated above normal levels | The hea rate would be elevated by the increased sympathetic activity and decreased parasympathetic activity caused by the baroreceptor reflex. | 4 | Splanchnic blood flow | Cardiopulmonary receptor activity | Right ventricular end-diastolic volume | Hea rate | Physiology | General physiology | 4173cc55-aaa1-4107-9433-27e27776cdb2 | multi |
Which of the following virus is shed in stool - | Herpangina is caused by the coxsackievirus, it shed in feces. Virus isolated from the lesion, stool may be made by inoculation into suckling mouse REF<\p> MICROBIOLOGY ANANTHA NARAYANAN NINTH EDITION PAGE..492 | 1 | Herpangina | Influenza | Varicella | Small pox | Microbiology | Virology | cd882998-6ae7-4ecd-86fd-9d3e968343cd | multi |
Positive hepatojugular reflux is found in all of the following conditions except- | Abdomino jugular reflex is mainly seen in impending right ventricular failure. JVP remains raised >3cm for >15sec HEPATOJUGULAR REFLUX --Raising the legs or abdominal compression increases venous return and pressure and facilitates analysis of the jugular venous pulse. --The hepatojugular or abdominojugular reflux is a... | 3 | Tricuspid regurgitation | Right hea failure | Decreased after load | Increased capillary bed pressure | Medicine | C.V.S | ce32a52d-ce05-4dce-8425-f191bdeb44d0 | multi |
Chondritis of aural cailage is most commonly due to which of the following? | Perichondritis results from infection secondary to lacerations, haematoma or surgical incisions. It can also result from the extension of infection from diffuse otitis externa or a furuncle of the meatus. Pseudomonas and mixed flora are common pathogens. (Ref: Textbook of ENT, PL Dhingra, 7th edition, pg no. 53) | 2 | Staphylococcus | Pseudomonas | Candida | Both staphylococcus and Pseudomonas | ENT | Ear | aeb8da5c-b3f8-473d-ac9b-ab85ea38cb69 | multi |
Rickets in infancy is characterised by the following except : | Bow legs Mel: Ghai Paediatrics 6/e, p 128. Nelson 17/e,p 183; Apley's 8/e, p 119] Ghai states - "Long bones of legs get deformed when the child stas bearing weight. Therefore deformities of legs are unusual before the age of 1 year. Anterior bowing of legs, knock knee and coxa vera are the usual deformities." Clinical ... | 4 | Craniotabes | Rachitic rosary | Wide open fontanelles | Bow legs | Surgery | null | 6118ac31-8f57-4b59-82ad-b709e3aa40d7 | multi |
A 40-year-old woman presents with a long history of vague upper abdominal pain and frequent indigestion with abdominal tenderness. Serum bilirubin is elevated (4.2 mg/dL). There is a mild increase in serum AST and ALT (62 and 57 U/L, respectively) and a moderate increase in alkaline phosphatase (325 U/L). Markers for v... | Adenocarcinoma of the gallbladder Arises from the mucosal surface epithelium - Obstructive jaundice (as in this case) by involvement of the extrahepatic biliary tree. The other choices are not associated with a history of chronic cholecystitis and cholelithiasis and infrequently cause obstructive jaundice. | 1 | Carcinoma of the gallbladder | Hemangiosarcoma | Hepatic adenoma | Hepatocellular carcinoma | Pathology | Miscellaneous | cacf155f-9ebe-413f-8cbc-4cc692d44e38 | multi |
Equilibrium potential of calcium is | Applying the Nernst equation to external and internal calcium concentrations of 2.5 mM and 0.0001 mM, respectively, results in an equilibrium potential of +134 mV as shown below. (Ref: www.cvphysiology.com) | 4 | -32mV | +65mV | -95mV | +130mV | Physiology | General physiology | b5b938f2-91e8-48b6-8d5c-486f7600c92c | single |
While performing embalming, difficulty encountered due to aerial system problem. How should the embalming fluid be introduced to overcome this problem? | In jaundice embalming, the use of formaldehyde as the primary preservative initiates a chain of events that causes the unwanted yellow-green color reaction to occur in most cases. In embalming of jaundice cases, the formaldehyde based solutions convers the bilirubin in the body into biliverdin and the colour changes in... | 4 | Low pressure high velocity | Low pressure low velocity | High pressure high velocity | High pressure low velocity | Forensic Medicine | JIPMER 2019 | 4e2bd38f-604c-4364-917f-f6c5f2191e53 | single |
True about obesity | Ans. is 'd' i.e., Smoking is a risk factor Cessation of smoking Weight gain is very common when people stop smoking. This is thought to be mediated at least in pa by nicotine withdrawal, which is associated with increased food intake and reduced energy expenditure. Weight gain of 1 to 2 kg in the first two weeks is oft... | 4 | Seen mostly in females | Prevalence decrease upto 40 years of age | No genetic predisposition | Smoking is a risk factor | Medicine | null | c3329a82-985c-41da-8176-4771371c8952 | multi |
Charcot's joint is another name for joint affected by ? | Ans. is 'a' i.e., Neuropathy Another name given to joint affected by neuropathic ahropathy is charcot's joint. Neuropathic joint (Charcoat's joint) It is a progressive destructive ahritis associated with loss of pain sensation, proprioception or both, in addition normal muscular reflexes that modulate joint movements a... | 1 | Neuropathy | Osteoahritis | Rheumatoid ahritis | Ankylosing spondylitis | Surgery | null | d68e5fbb-d38d-416c-b902-08c2be896ca5 | single |
Calorific value of protein is | Combustometer is a wrong terminology given to confuse the aspirants.
A bomb calorimeter device is used to measure energy released by combustion of foodstuffs outside the body. It uses Direct Calorimetry to measure the calorific value.
Calorific value of various substances as measured in a bomb calorimeter are
Carbohydr... | 2 | 9.3 kcal/g as measured by bomb calorimeter. | 5.3 kcal/g as measured by bomb calorimeter | 9.3 kcal/g as measured by combustometer | 5.3 kcal/g as measured by combustometer | Physiology | null | bea603f1-c6e8-49d5-9270-aea27f794828 | single |
The reagent used in the Apt test? | Alkali denaturation test (Apt-Downey test / apt test)-Used to detect differentiate Fetal or neonatal blood from maternal blood (Qualitative).PrincipleMethodvFetal hemoglobin (alpha 2 gamma 2 subunits) is resistant to alkali (basic) denaturation, whereas adult hemoglobin (alpha2 beta 2 subunits) is susceptible to such d... | 1 | Sodium hydroxide | Sodium chloride | Potassium Chloride | Sodium bicarbonate | Anatomy | All India exam | 9cc17dc7-b2b0-4956-8a04-5cccde0037ee | single |
Who is known for his work on scurvy? | null | 2 | Fracastorius | James Lind | John snow | Edward Jenner | Biochemistry | null | d0069dc0-5051-452f-a28c-b2db0e2f0805 | single |
Nephrotic syndrome is the hall mark of the following primary kidney diseases except | Ans. is 'b' i.e., IgA nephropathy Most common presentation of IgA nephropathy is grass hematuria. It is the most common form of glomerulonephritis worldwide Causes of Nephrotic syndrome Minimal change disease Focal segmental glomerulosclerosis o Membranous glomerulonephritis o Diabetes nephropathy AL and AA amyloidosis... | 2 | Membranous Glomerulopathy | IgA nephropathy | Minimal change disease | Focal segmental Glomerulosclerosis | Medicine | null | 2739b82c-7a24-4440-b58a-35f970fb801a | multi |
Gilbert syndrome- True is: | Ans. is 'D' i.e., All of above Ref- o Bilirubin is the metabolic end product of heme. o Before excretion into bile, it is 1st glucuronidated by the enzyme bilirubin-uridine diphospho glucuronate glucuronosyltransferase (UDPGT). o UDPGT activity is deficient or altered in three genetically and functionally distinct diso... | 4 | Reduced activity of glucuronyl transferase | Causes indirect hyperbilirubinemia | Not required any treatment | All of above | Unknown | null | c0efdc00-0429-4bbf-bcd8-31ef7288ec63 | multi |
In Huntington chorea the causative mutation in the protein huntingtin is a | Expansion of trinucleotide repeats is an important genetic cause of human disease, particularly neurodegenerative disorders. There are three key mechanisms by which unstable repeats cause diseases:
• Loss of function of the affected gene occurs in fragile X syndrome. In such cases the repeats are generally in noncoding... | 1 | Trinucleotide repeat expansion | Gene deletion | Frameshift mutation | Point mutation | Pathology | null | f20445fc-188c-412b-a1c6-ac3454e44dd7 | single |
Hepatic encephalopathy is caused by an increase of ? | Ans. is 'c' i.e., AmmoniaHepatic encephalopathy is characterized by altered level of consciousness, caused by liver disorder.Liver disorder is characterized by elevation of ammonia. As liver is considered with detoxification of ammonia to form urea, in liver failure ammonia level is elevated.Hepatic encephalopathy basi... | 3 | Urea | Glutamate | Ammonia | Fattyacid | Biochemistry | null | d2fc089b-9e70-40c3-badc-7c5f5dafa7f2 | single |
Memory cells are best provided by? | Ans. is. 'a' i.e., Helper cells * T-cells constitutes 60%-70% of the circulating peripheral lymphocytes. Based on their surface markers, target cells and functions the following T cell category have been identified :-A) Helper T-cells (Inducer T-cells)# These cells constitute 60% of total T-cells. These have CD4 surfac... | 1 | Helper cells | Cytotoxic cells | Macrophages | NK cells | Pathology | Immunity | 085e6fed-0749-4c95-87ab-4b6945658ec6 | single |
Which of the following H2 blocker also have Anticholinesterase property | Niizatidine is a H2 blocker with additional anticholineterase activity. Therefore it enhances gastric emplying and also cause bradycardia. | 2 | Famotidine | Nizatidine | Cimetidine | Loxatidine | Pharmacology | null | db0fcd8b-514a-44b5-9667-11102d32c278 | single |
Purtscher's retinopathy is due to | It is a hemorrhagic vasculopathy associated with severe head trauma. | 2 | Tubercular hypersensitivity | Trauma | Tyrosinase deficiency | Lipofuschin deposition in RPE | Ophthalmology | null | 48eb68f8-6a0d-4a74-9756-ca8c67b419e6 | single |
Theophylline therapeutic blood ranges | (5-20) (221-KDT6th)* Therapeutic ranges 5-20 as shown in above figure* Theophylline has a narrow margin of safety. Dose dependent toxicity starts from upper part of therapeutic concentration | 4 | 0-5 | 10-May | 15-May | 20-May | Pharmacology | Asthma | 0af56ae3-879c-4152-ae7d-d6ec699b06eb | single |
True about chest X-ray is all except: | B i.e. Left dome is higher Right dome of diaphragm is higher than the leftQ. This is due to the hea depressing the left side & not to the liver pushing up the . hemidiaphragm. Left hilum is higher than rightQ. Pulmonary aeries & upper lobe veins mainly contribute to hilar shadows. All fissures are seen clearly on later... | 2 | Left hilum is higher | Left dome is higher | All fissures are clearly seen on lateral film | null | Radiology | null | 61606fbf-3cad-43ed-aea7-2f6e7c180edb | multi |
Most common presentation of Hirschsprung's disease | Clinical Presentation Neonates First few weeks of life Otherwise healthy children and adults Suspected in all neonates presenting with: Delayed passage of meconium beyond the first 24 hours of lifeQ Abdominal distension following feedsQ Suspected in any child presenting in first few weeks of life with: Gross abdominal ... | 1 | Abdominal distention | Vomiting | Failure to pass meconium | Failure to thrive | Surgery | Large intestine | 20d917f1-ba9d-4203-85ad-c2e261a69651 | single |
The following skin lesion can be seen in all except? | Ans. B. Hypertensiona. The image shows xanthelasma involving both upper and lower eye lids on both sides.b. Xanthelasma palpebrarum is the most common type of xanthoma.c. Causes of Xanthelasma palpebrarum:i. Normo lipidemiaii. Type III hyperlipidemiaiii. Diabetes mellitusiv. Secondary biliary cirrhosis | 2 | Normo lipidemia | Hypertension | Diabetes mellitus | Secondary biliary cirrhosis | Skin | Miscellaneous | 83bea5f6-cfe6-48e8-a2ea-0c3062bf70f9 | multi |
Which of the following antibiotic is used in the treatment of Clostridium difficile associated diarrhea? | METRONIDAZOLE: It is the prototype nitroimidazole introduced in 1959 for trichomoniasis and later found to be a highly active amoebicide. It has broad-spectrum cidal activity against protozoa, including Giardia Iamblia in addition to the above two. Many anaerobic bacteria, such as Bact. fragilis, Fusobacterium, Clostri... | 2 | Ciprofloxacin | Metronidazole | Piperacillin | Clindamycin | Pharmacology | Chemotherapy | e94d48e8-cc70-485d-82a3-a3d6d772995f | single |
Killian's dehiscence is in | Inferior constrictor muscle has two parts.
Thyropharyngeus with oblique fibres and cricopharyngeus with transverse fibres.
Between these two parts exists a potential gap called "Killian's dehiscence". It is also called "Gateway of tears".
This is also the site of herniation of pharyngeal mucosa in case of the pharyng... | 2 | Superior constrictor | Inferior constrictor | Middle constrictor | null | ENT | null | 79598885-63de-4b8d-814f-941806836e5c | multi |
Direction of Nasolacrimal duct is: | Nasolacrimal duct is q membranous passage which begins at the lower end of the lacrimal sac. It runs downward,backward and laterally and opens in the inferior meatus of the nose. A fold of mucous membrane called the valve of Hasner forms an imperfect value at the lower end of the duct. Ref: Dhingra 6/e,135. | 2 | Downward,backward and medially | Downward,backward and laterally | Downward,forward and medially | Downward,forward and laterally | ENT | Nose and paranasal sinuses | 92641664-6138-43a7-99c9-59356cc0a2e0 | multi |
True in myopes: | A i.e. Use diverging lens; B i.e. Image formed infront of retina; C i.e. Far point becomes near Myopia or 'Sho sight' is a refractive error that most commonly presents as indistinct distant vision in which the light rays are focussed in front of the retina. As the maximum distance of clear vision is reduced the far poi... | 4 | Use diverging lens | Image formed infront of retina | Far point becomes near | All | Ophthalmology | null | 43cc17e8-ab93-4333-b74b-cc0c7c6fa5c4 | multi |
Stability of venom is dependent on : | B i.e. Disulfide bond | 2 | H bond | Disulphate bond | Van der waal's | Ionic interaction | Forensic Medicine | null | 3b6c1ae1-c356-4e5a-a18c-58bd9f7ab044 | single |
Enzyme replacement therapy is available for - | Ans. is 'a' i.e., Gauchers disease o Enzyme replacement therapy refers to the replacement of missing enzyme, artificiallyo Gaucher's disease was the first one in which successful enzyme replacement therapy was tried,o Enzyme replacement therapy is currently available for some lysosomal storage diseases:-i) Gaucher's di... | 1 | Gauchers disease | Galactosemia | Fructosuria | null | Biochemistry | Molecular Genetics | 1509950b-4cb8-4b7d-b70c-fff0afbe2cfa | multi |
Triangle of doom is bounded by A/E | C i.e. Cooper's ligament | 3 | Vas deferens | Gonadal vessels | Cooper's ligament | Peritoneal fold | Anatomy | null | e679066f-bd76-4965-9fab-4585589c7372 | single |
Increase in intracranial pressure is NOT associated with | Raised intracranial pressure initiates Cushing’s reflex. Cushing’s reflex leads to a rise in arterial pressure, which restores the blood supply to the brain. At the same time, the raised BP causes reflex Bradycardia through the baroreceptors. | 2 | Deterioration of consciousness | Tachycardia | Respiratory depression | Increase in BP | Physiology | null | 2717e2da-9775-437d-aaac-06c975bb2d39 | single |
A retained stone impacted in distal common bile duct is seen on T- tube cholangiogram. What is the best management of stone - | null | 3 | Dissolution therapy | Operative removal | Endoscopic sphincterotomy and stone extraction | No active treatment is required | Surgery | null | 1a2a160f-fa29-493d-b333-274e6392753c | single |
Which of the following is true regarding anthrax -a) M' Fadyean reaction shows capsule b) Humans are usually resistant to infectionc) Less than 100 spores can cause pulmonary infectiond) Gram stain shows organism with bulging sporese) Sputum microscopy helps in diagnosis | Option b: Greenwood 16/e p226 says ‘Humans are relatively resistant to infection with B anthracis’
Option c: Harrison 17/e p1344 and 18/e p1769 says ‘While an LD50 of 10,000 spores is a generally accepted number for anthrax it has also been suggested that as few as one to three spores may be adequate to cause disease i... | 1 | abce | abcd | acde | abde | Microbiology | null | c32f37ab-6b8d-4cd0-97fb-e812c8ecb397 | multi |
Microcalcifications in mammography measure less than? | Ans BThe term microcalcification refers to calcifications of whom diameter is inferior to 1 mm, knowing that current spatial resolution mammographs make small objects to be detected without magnification for a size ranged between 100 and 200 umCalcifications with a higher probability of malignancy are fine pleomorphic,... | 2 | 0.5 mm | 1 mm | 1.5 mm | 2.0 mm | Radiology | Miscellaneous | 797a7f6c-7313-44e0-88f0-bdb3970c4014 | single |
Standard deviation is a measure of: | null | 4 | Correlation | Statistical significance | Central tendency | Variation | Dental | null | 2deeeea5-a6f6-45fe-ac8c-861ed5470929 | single |
GERD is defined as pH of oesophagus< ____ and for > _______% of total day time. | pH of esophagus< 4 for > 5% of total day time is defined as GERD There is Demeester score for the severity of GERD GERD can be due to * Hiatus Hernia * Incompetent LES (Coffee, tea, stress) GERD causes - Chemical laryngitis, chemical tracheitis - Nocturnal cough* -Asthma -Dental erosions | 1 | 4 and 5 | 5 and 4 | 4 and 10 | 5 and 10 | Medicine | Peptic Ulcer Disease | 77faefd9-5286-4ae3-b63c-7b249a0df534 | single |
BMI of an overweight female is : | BMI Expressed as weight(kg) / height(m^2) Ideal BMI between 20 and 24 BMI > 25 is overweight BMI > 30 is obese BMI > 40 morbidly obese Ref: D.C.DUTTA'S TEXTBOOK OF GYNAECOLOGY; 6TH EDITION; PG NO:549 | 2 | 19-24 | 25-29 | 30-34 | less than 19 | Gynaecology & Obstetrics | PCOD, hirsutism and galactorrhea | b1062cba-e6ca-4897-804e-a3bee14ff049 | single |
A 65-year-old man with mild hea failure is treated with a loop diuretic. A few days later the man complains of muscle weakness. Laboratory results are shown below. Aerial PCO2: 48 mm Hg Aerial pH: 7.49 Plasma HCO3-: 35 mEq/L Which of the following is most likely decreased in this man? | The lab repos indicate that the man has developed metabolic alkalosis (increased PCO2, pH, and HCO3-), which occurs commonly with overuse of diuretics (thiazides and loop diuretics). The overuse of a loop diuretic increases the excretion of sodium and potassium by the kidneys. The increase in potassium excretion leads ... | 2 | Plasma angiotensin | Plasma potassium | Potassium excretion | Renin secretion | Pharmacology | null | 3c10e9e6-9e09-4a1a-8dbf-ff0fb82217b1 | single |
BMI cut off for obesity is - | Ref-Park&;s textbook of Preventive and Social Medicine 24th edition. . | 2 | 28 | 30 | 32 | 40 | Social & Preventive Medicine | Non communicable diseases | 90c56c88-8651-4ce4-bd58-6e2f5cd9f443 | single |
Complications of total thyroidectomy include all except | Rates of post-procedure hypocalcemia are approximately 5%, and it resolves in 80% of cases in approximately 12 months Other complications include haemorrhage , damage to recurrent laryngeal nerve and superior laryngeal nerve. Respiratory obstruction due to laryngeal oedema or very rarely due to collapse or kinking of t... | 4 | Hoarseness of voice | Airway obstruction | Hemorrhage | Hypercalcaemia | Anatomy | Endocrinology and breast | 944806b7-dab1-425d-ba68-8e66de228e2a | multi |
"CARE " stands for | CARE (Cooperative for Assistance and Relief Everywhere) provides emergency aid and long-term development assistance.CARE-India focused its food suppo in the ICDS programme and in development programmes in the areas of health and income supplementation.Park 23e pg: 924 | 2 | Coordination and research everywhere | Cooperative for assistance and relief everywhere | Cure and relief everywhere | Cooperation and research everywhere | Social & Preventive Medicine | Health care of community & international health | 868794a7-5c17-4fe8-9fbf-6769641a1be8 | single |
A guy driving a car fast suddenly slams on the brakes. He was wearing a seat belt. The most likely organ affected is: | Ans. (c) MesenteryRef: Bailey & Love 26th edJ982* Seat belt syndrome is characterized by tear of mesentery on sudden deceleration while the patient is using a seat belt.* In the absence of seat belt being worn by the car passenger, the chest of the victim would slam into the steering wheel resulting in hemo-pericardium... | 3 | Liver | Spleen | Mesentery | Kidney | Surgery | Abdominal Injury | c44b458d-b6c0-43e3-a12e-2a6a4cc5991b | single |
Preganglionic fibers of parotid pass through: | null | 2 | Facial nerve | Glossopharyngeal nerve. | Hypoglossal nerve. | Auriculotemporal nerve. | Anatomy | null | 91e1b136-62d1-44b1-855d-a0b7c7ca5902 | single |
Fluoride action on carbohydrates in reducing the caries is by | null | 1 | Inhibiting enolase | Inhibiting fructose | Inhibiting the sucrase | Inhibiting glycolase | Dental | null | 42e2073d-3438-4871-a530-5f79f8c09b25 | single |
The active ingredient of X-ray film is - | An X ray film consists of polyster base ,emulsion,and crystals of Silver Halide.The silver bromide crystals are spread over emulsion that is applied on a polyester base. | 2 | Silver chloride | Silver bromide | Silver nitrate | Gold chloride | Radiology | Fundamentals in Radiology | 0ddc2335-ac0b-44b3-a54c-a3028203632e | single |
All of the following are known to cause biliary obstruction EXCEPT: March 2013 | Ans. C i.e. Ancylostoma Site of locution of Ancylostoma is small intestine | 3 | Clonorchis | Ascariasis | Ancylostoma | Fasciola | Microbiology | null | 0984a285-9d00-451c-aa70-f261ac1b4253 | multi |
A lady while driving a car meets with an accident. She was admitted in an ICU for 6 months. After being discharged she often gets up in night and feels terrified. She is a afraid to sit in a car again. The diagnosis is | D i.e. Post traumatic stress disorder | 4 | Anxiety disorder | Phobia | Conversion disorder | Post Traumatic Stress Disorder | Psychiatry | null | ca83905b-82af-40c0-b65d-58fd4968ab5d | single |
'Crippling Fluorosis' is characterized by: | null | 3 | Blockage of blood vessels | Chipping of teeth | Rigid spine | Calcification of blood vessels | Dental | null | fbb6b33d-c1a1-401f-8dc0-f5d532c91f85 | single |
Linnitis plastica is commonly seen in: | Linnitis plastica in carcinoma stomach leads to diffuse mural involvement by tumour and leads to decrease distensibility of stomach and complaints of early satiety. | 1 | Carcinomas Stomach | Sarcoidosis | Lymphoma | Leiomyosarcoma | Surgery | Stomach & Duodenum | 9523ab4b-e92a-41c0-bbc1-0adbdb59ad1e | single |
The relative hardness of elastomers is determined using | null | 4 | Rockwell tester | Barcol indenter | Knoop pyramid | Shore duromete | Dental | null | 7bfb4939-e644-432d-b9fb-ba96b7a92280 | single |
All of the following muscles are paralyzed in trauma to median nerve at the, wrist except - | Median nerve supply in hand
- Flexor pollicis brevis
- Opponens pollicis
- Abductor pollicis brevis
- First two lumbricals | 1 | Adductor pollicis | Abductor pollicis | First two lumbicals | Muscles of the Thenar eminence | Anatomy | null | 73e700dc-6f86-40c5-b729-0446c9e2223b | multi |
Measurement of all proteins expressed in cell or tissue is | Geomics - Study of all DNA sequences.
Epigenetics - heritable changes in gene expression that are not caused by alteration in DNA sequence. | 3 | Epigenetics | Genomics | Proteomics | Knockdown technology | Medicine | null | dbe2173b-3d62-4653-9542-19d81982c653 | multi |
Arterial blood gas analysis of a patient reveals-pH 7.2, HCO3 36 mmol/L pCO2 60 mm of Hg. The abnormality is - | In this patient
pH → decreased (acidosis) N → 7.4
HCO3- → Increased (N → 24 mm Hg ± 2)
PCO2 → Increased (N → 40 Hg ± 2 )
First step
Determine whether it is acidosis or alkalosis
Decreased pH (7.2) suggests acidosis.
Second step
observe HCO3-/PCO2 to determine the cause of acidosis or alkalosis
PCO2 is increased whic... | 1 | Respiratory acidosis with metabolic alkalosis | Respiratory acidosis | Respiratory alkalosis with | Respiratory acidosis with metabolic acidosis | Medicine | null | a537c087-ddf5-495a-8d70-e2e610b296ee | single |
A lady with 32wks and 3 days of pregnancy presents with vaginal bleeding. A recent USG done on her mentioned a placenta pre. in which of the following situation it is possible to do a conservative management ? | APH in placenta pre First episode of bleeding in placenta Pre usually subsides with conservative management in 90% of cases. Thus APH prior to 34 weeks may be managed conservatively. This is the basis of the Mcaffee Jhonsons conservative management in APH due to placenta pre Conservative management is contraIndicated w... | 3 | Fetal hea rate of 86/min | Intra Uterine Fetal Death | Transverse lie | Significant bleeding making mother hemodynamically unstable | Gynaecology & Obstetrics | Antepaum Haemorrhage | 94430101-061e-4158-8fc4-d450e24da085 | multi |
All are seen in Rheumatoid arthritis EXCEPT: | Ans. (b) Heberden's nodesRef: Harrison 18th ed. / ch. 332*"Heberderis nodes are hard or bony swellings that develop in the distal interphalangeal joints (DIP) in a case of osteoarthritis"Clinical Features of Rheumatoid Arthritis*The presenting symptoms of RA typically result from inflammation of the joints, tendons, an... | 2 | Boutonniere's deformity | Heberden nodes | Involvement of PIP | Swan neck deformity | Unknown | null | 71e81c2d-9de0-4740-85e2-50ca082e81cf | multi |
HE LLP syndrome includes - | Ans-ALow platelet count HELLP syndromeo It is an acronym for Haemolysis (H), Elevated liver enzyme (E) (AST & ALT>70IU/L, LDH > 600IU/L), Low platelet count (L) (<100000/mm3).o It is a rare complication of pre-eclampsia but may develop even without hypertension,o Manifested by nausea, vomiting, epigastric or right uppe... | 1 | Low platelet count | Low liver enzymes | Low leucocyte count | Low ESR | Unknown | null | e801caa5-cf31-4cc8-963e-6c75440334f9 | single |
Which of the following is Calcivirus - | HEV resembles calicivirus REF:MICROBIOLOGY ANANTHA NARAYANAN NINTH EDITION PAGE.550 | 1 | Hepatitis E | Hepatitis B | Hepatitis C | Hepatitis A | Microbiology | Virology | aee57da8-6ce9-42cf-87e5-9f13d561ff0a | single |
Creep value of which of the following is the highest? | null | 1 | Low copper amalgam alloy | Admix alloy | Single composition alloys | Creep value of all the above mentioned alloys is same | Dental | null | 044dbbe7-deeb-4e62-8cb2-ee58fd3941c5 | multi |
The base paste of the condensation poly silicone has a low molecular weight dimethyl siloxane with a terminal-group | null | 2 | Mercaptan group | Hydroxyl group | Silane group | Vinyl group | Dental | null | 594f61c4-fc15-4ffe-8566-632ac8e1a77d | single |
Hereditary fructose intolerance is due to deficiency of: | Ans. A. Aldolase B(Ref: Nelson 20/e Chapter Defects in Metabolism of Carbohydrates)Heriditary fructose intolerance due to deficiency of Aldolase BEssential fructosuria due to deficiency of fructokinase | 1 | Aldolase B | Aldolase A | Fructokinase | Sucrase | Biochemistry | Carbohydrates | d1570d78-ef60-4266-b922-5efa3695a74e | single |
What is the use of the instrument shown below in Neurosurgery? | Ans. (b) Burr hole* Single best answer here- Burr hole | 2 | Craniotomy | Burr Hole | Suturing | Hydrocephalus | Surgery | Trauma | 7294a975-5dd4-436d-9da5-afc24574bb8d | single |
All are true regarding retinoblastoma except: | Rb gene aka "Governor of the cell cycle" is a key negative regulator of the G1/S cell cycle transition. Rb gene is located on 13q14 chromosome. To explain the two patterns of occurrence of retinoblastoma, Knudson proposed his now canonic "two hit" hypothesis of oncogenesis. Two mutations (hits), involving both alleles ... | 4 | They play major role in cell cycle regulation | Require deletion of both the Rb genes | Familial variant is autosomal dominant in inheritance | Chromosome 13p 14 | Pathology | JIPMER 2017 | 20130b37-b157-4561-9ee6-aea9083dbacd | multi |
Infection with which of the following agents is paicularly dangerous for anemic patients - | parvo virus induces aplastic crisis in childrens with chronic hemolytic anemia REF:MICROBIOLOGY ANANTHA NARAYANAN NINTH EDITION PAGE554 | 4 | Adenovirus | Cytomegalovirus | Herpes simplex virus | Parvo virus | Microbiology | Virology | d9960a98-fa06-47d4-9504-1dc1265007c4 | single |
Right coronary artery supplies all EXCEPT: | Ans. C Anterior interventricular grooveRef: BDC's Human Anatomy, 6th ed. Vol: 1 pg. 264-65* The entire heart is supplied by two coronary arteries, arising from the ascending aorta. They run in coronary sulcus.* Anterior interventricular groove is supplied by left coronary artery.Right Coronary Artery Supplies* Right at... | 3 | Right atrium | Posterior part of interventricular septum | Anterior interventricular groove | SA node | Anatomy | Thorax | e6672f30-6447-43c3-bf67-f12a06d4ffa5 | multi |
Bleeding time is increased in all except: | aPTT is increased in acquired hemophilia Glanzmann's Thrombasthenia: AR, platelet lack receptor of Gp IIb/IIIa for fibrinogen, which form the bridges between platelets during aggregation. Glanzmann's thrombasthenia is a defect of platelet function(aggregation). It presents as superficial mucocutaneous bleeding with nor... | 4 | Thrombocytopenia | Thrombasthenia | Renal failure | Acquired hemophilia | Medicine | Platelet & Coagulation disorders | 2d143924-5d5b-4083-9df8-c22246ed6492 | multi |
Anovulatory cycles are characterized by which of the following? | The luteal phase of the menstrual cycle follows ovulation and is characterized by an increase in progesterone secretion by the corpus luteum. With anovulatory cycles, the corpus luteum does not form and progesterone levels remain low. Fuhermore, with anovulatory cycles, the characteristic surge of LH and FSH at midcycl... | 4 | Elevated levels of plasma progesterone | Dysmenorrhea | A shoened luteal phase | Lack of a normal LH and FSH surge | Gynaecology & Obstetrics | Reproductive physiology and hormones in females | 424d2b5e-5f3c-4510-b33b-623e929c1113 | single |
Which is not seen in retinitis pigmentosa: | Ans. Retinal haemorrhages | 3 | Pale waxy optic disc | Attenuated vessels | Retinal haemorrhages | Bone corpuscles | Ophthalmology | null | b05e07b1-4d21-430b-be58-9d0610fafba5 | single |
SRY gene is located on | The elaboration of H-Y antigen complex in the sho arm of Y chromosome is known as sex determining region(SRY), which induces testicular development Ovarian determinant : Unless SRY is expressed ovarian development ensues in the presence of XX karyotype SHAW&;S TEXTBOOK OF GYNAECOLOGY,Pg no:106,15th edition | 1 | Sho arm of Y chromosome | Long arm of Y Chromosome | Sho arm of X chromosome | Long arm of X chromosome | Gynaecology & Obstetrics | Congenital malformations | fe2def17-cf38-436c-97da-3dfb4eb1c5ea | single |
Periodicity is a characteristic feature in which sinus infection | A frontal headache is usually severe and localized over affected sinus.
It shows characteristic periodicity, ie., comes upon waking, gradually increases and reaches its peak by about midday and then starts subsiding.
It is also called "an office headache" because of its presence during the office hours. | 2 | Maxillary sinus infection | Frontal sinus infection | Sphenoid sinus infection | Ethmoid sinus infection | ENT | null | 5b36b302-b17f-4bf1-89d6-94c49ae5896e | single |
A 64-year-old woman presents with 6 weeks of fatigue, dyspnea, and night sweats. She has lost 11 lb. She has no history of trauma, has never had surgery, and takes no medications. Chest x-ray reveals a large right-sided pleural effusion. Thoracentesis yields pleural fluid that appears milky. Pleural fluid triglyceride ... | This patient has a chylothorax. In chylothorax, the pleural fluid appears milky and has a triglyceride level over 110 mg/dL. Chylothorax occurs when chyle accumulates in the pleural space due to disruption of the thoracic duct. This is most often due to traumatic or surgical injury to the thoracic duct. In this patient... | 1 | Lymphoma | Congestive heart failure | Pulmonary embolism | Pneumonia | Medicine | Respiratory | dc69483d-4637-4b44-88bd-d0feb4a11317 | single |
Filgrastim is a. | Filgrastim is a recombinant G-CSF. From medical pharmacology padmaja 4th edition Page no 333 | 3 | T-cell stimulating factor | GnRH analogue | G-CSF | GM-CSF | Pharmacology | Hematology | 485db02f-e937-4dfe-a55d-92e7d7f82a94 | single |
Which of the following is seen during pregnancy? | Respiratory alkalosis REF: Dutta 6th ed p. 55 Pregnancy is a state of respiratory alkalosis, hyperventillation is seen in it. | 1 | Respiratory alkalosis | Respiratory acidosis | Metabolic alkalosis | Metabolic acidosis | Gynaecology & Obstetrics | null | ea2505f3-a584-4f40-b376-cefdaea4e1e8 | single |
Early gastric cancer generally indicates : | Answer is C (Gastric adenocarcinoma confined to mucosa and submucosa): Early gastric carcinoma is defined as a lesion confined to the mucosa and submucosa regardless of the presence or absence of perigastric lymphnode metastasis | 3 | Gastric adencarcinoma detected early | Gastric adenocarcinoma confined to the mucosa | Gastric adenocarcinoma confined to the mucosa & submucosa | Gastric adenocarcinoma less than 1 cm. In size | Medicine | null | 2230c54a-201f-440e-9f4d-f24ff3587de4 | multi |
Which of the following is not true regarding ETC? | Ans. is 'c' i.e., No role of inorganic phosphate | 3 | Occurs in mitochondria | Generates ATP | No role of inorganic phosphate | Involves transpo of reducing equivalent | Biochemistry | null | 1854e9b1-33e1-4243-8ec0-afcc9ff89181 | multi |
Cilioretinal A is a branch of | The posterior ciliary aery (PCA) circulation is the main source of blood supply to the optic nerve head (ONH), and it also supplies the choroid up to the equator, the retinal pigment epithelium (RPE), the outer 130 mm of retina (and, when a cilioretinal aery is present, the entire thickness of the retina in that region... | 4 | Anterior ciliary aery | Long posterior ciliary aery | Cerebral retinal Aery | Choroidal aery | Anatomy | Head and neck | b27d17d0-aa85-4baf-8bd4-65dc9270a86e | single |
What is the treatment of choice of unrupturece tubal pergnancy with serum b-hCG titre 20001 U1 ml: | Ans. is a i.e Single dose of methotrexate The lady in the question is presenting with unruptured ectopic pregnancy with BhCG levels - 2000IU/L. So there is not doubt we can manage the patient medically (i.e. option d - ruled out) Expectant management as explained earlier is not better than medical management as it carr... | 1 | Single dose of methotrexate | Vairable dose of methotrexate | Expectant management | Laparoscopic salpingostomy | Gynaecology & Obstetrics | null | d181ca53-42ab-477e-8d5c-b597241ef2dc | single |
In hemolytic anemia, all of the following are true except: March 2005 | Ans. D: Increased haptoglobulin Hemolysis presents as acute or chronic anemia, reticulocytosis, or jaundice. The diagnosis is established by reticulocytosis, increased unconjugated bilirubin and lactate dehydrogenase, decreased haptoglobin, and peripheral blood smear findings. In most of the cases, a bone marrow aspira... | 4 | Bone marrow hyperplasia | Reticulocytosis | Increased unconjugated bilirubin | Increased haptoglobulin | Medicine | null | 64dbe426-6bf1-4fc0-8e7a-c528bbdcea47 | multi |
Which is not a feature of organophosphorus poisoning: | C i.e. Tachycardia | 3 | Sweating | Miosis | Tachycardia | Resp. depression | Forensic Medicine | null | d3674671-1b78-416d-a9ec-c045cc5086f2 | single |
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