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A 20-year-old male presented to the OPD with recurrent episodes of lower backache which was more in morning and relieved on movement. Patient gave history of multiple episodes of chest infections in the past for which the patient was hospitalized multiple times. On ophthalmoscopic examination, iritis and conjunctivitis... | This is a case of Ankylosing spondylitis. X ray spine shows the classical bamboo spine appearance/ squaring of veebra. The test being performed is the Modified Schober's test. The pathogenesis of AS is immune-mediated. Tumor necrosis factor a (TNF-a) or IL-17A play a central role in the immunopathogenesis of AS. Mast c... | 2 | IL-1 | IL-17 | IL-5 | IL-10 | Unknown | Integrated QBank | f04549d1-69d0-40e0-96be-c619501c1da3 | multi |
A 30 year old female developed diffuse hair loss 3 months after delivery of her first child. The probable diagnosis is – | null | 3 | Androgenic alopecia | Endocrinal alopecia | Telogen effluvium | SLE | Dental | null | ee956d32-329c-4e1a-a914-5a2ab97b472d | single |
Normocytic normochromic anemia is seen in which of the following? | Answer- C. Aplastic anemia Marrow damageInfiltration/fibrosisAplasiaIron deficiencyDecrease StimulationInflammationMetabolic defectRenal disease | 3 | Sideroblastic anemia | Pernicious anemia | Aplastic anemia | Sickle cell disease | Medicine | null | b975f14a-a305-45ab-ab7b-02af04782575 | single |
Irresistible urge to move about with inner restlessness is called - | Akathisia is characterized by restlessness, inability to sit/stand quietly, persistent desire to move about, and fidgety & rocking movement. | 4 | Akinesia | Hyperkinesia | Dyskinesia | Akathisia | Psychiatry | null | db5af78d-5baf-41bb-a9eb-f3f205966916 | multi |
Radiological finding in ileal atresia – a) Microcolon on Ba enemab) Double bubble signc) Coil spring appearance in Ba-Enemad) Obstruction in Ba meal | Radiological features of ileal - atresia are multiple bubble sign (not double bubble), obstruction on barium meal, microcolon on barium meal, Apple-peel appearance. | 3 | b | c | ad | ab | Radiology | null | 54431f57-03a4-45cb-8ce3-b233f34ef3e0 | single |
A 60-year-old alcoholic male presented with urinary incontinence and abnormal gait since 3 months. He also complains of loss of memory. What is the diagnosis? | null | 2 | Huntington's disease | Normal pressure hydrocephalus | Wernicke's encephalopathy | Cynocobalamine deficiency | Medicine | null | f212ef1c-c3a0-4004-b809-921c73984118 | single |
Entropy in a biological system does not increase because: | According to the second law of thermodynamics, when energy is conveed from one form to another, some usable energy is conveed into heat that disperses into the surroundings. The entropy of a closed system will tend to increase to a maximum value. Whereas entropy in a biologic system does not increase as it is an open s... | 1 | It is an open system | It is a closed system | It is a governed by vitalism | It is a related to thermodynamics | Pharmacology | null | d7917055-d169-49c3-9196-7731e840f8ca | single |
For controlling an outbreak of cholera, all of the following measures are recommended except | null | 1 | Mass chemoprophylaxis | Proper disposal of excreta | Chlorination of water | Early detection and management of cases | Social & Preventive Medicine | null | f1dc39a2-9b40-432b-a574-d4045882a7f6 | multi |
The flexure that develops between the metencephalon and the myelencephalon is called the | Pontine flexure develops between the metencephalon (pons) and the myelencephalon (medulla). It results in lateral expansion of the walls of the metencephalon and myelencephalon, stretching of the roof of the fouh ventricle, and widening of the floor of the fouh ventricle (rhomboid fossa). The cephalic flexure, is the f... | 3 | cephalic flexure | mesencephalic flexure | pontine flexure | cerebellar flexure | Anatomy | Neuroanatomy 3 | b401bbb9-e9d3-4308-b09d-c45852f511ed | multi |
Incidence of diarrhoea in a community can be calculated by- | Coho study is also known as incidence study. The cohos are identified prior to the appearance of disease under investigation. The study group so defined are observed over a period of time to determine the frequency of disease among them. (refer pgno:75 park 23rd edition) | 2 | Case control study | Coho study | Cross sectional study | Double blind placebo control study | Social & Preventive Medicine | Epidemiology | 2dfb6057-5c2b-47da-a06c-a5e089000bf3 | single |
Rorschach inkblot test is - | Rorschach inkblot test is a projective measure of personality. | 1 | Projective | Subjective | Both | null | Psychiatry | null | 6ac8ace7-77c1-4190-b2e0-6d9bbc586e6f | multi |
Cavernous respiration is seen in? | ANSWER: (A) CavityREF: The principles and practice of medicine: a textbook for students and doctors p 395Cavernous respiration is a type of breathing heard when the air in lung passes over a cavity (most commonly due to TB). It may be mixed with or alternate with rales with the cavity contains fluids. | 1 | Cavity | Fibrosis | Consolidation | Interstitial inflammation | Medicine | Respiratory | 4d81da51-7d4a-4cec-81e9-355e7cbc67c8 | single |
Which of the following represents the surface marking of the aoic valve: | Aoic valve is represented by an oblique line (2.5 cm) running inferolaterally and to the right from the medial end of the left third intercostal space (and behind the corresponding region of the sternum). | 3 | Sternal end of the left 3rd costal cailage | Sternal end of the right 3rd costal cailage | Behind the sternum in left 3rd intercostal space | Behind the sternum in right 3rd intercostal space | Anatomy | Surfaces and Grooves | c15c23fe-16be-4f58-b534-ab67d574eefc | single |
All the following are features of Pseudotumor Cerebri except . | Answer is B (Increased protein in CSF): Pseudotumor cerebri is associated with a normal CSF picture. Pseudotumor cerebri It is a benign self-limiting disorder with a orable outcome. Characteristic features: Elevated intracranial pressure (intracranial hypeension) with : Normal or Small sized ventricular system No focal... | 2 | Normal-sized ventricles on CT scan | Increased protein in CSF | Papilledema | Absence of focal neurological deficit | Medicine | null | 755372b4-28d7-4a8c-977b-3036862e50b1 | multi |
Cut off value of cervical length for prediction of preterm labor? | Ans- B. To diagnose preterm Labour cervical length must be less than 2.5 cm . | 2 | 1.5 cm | 2.5 cm | 3.5 cm | 4.5 cm | Gynaecology & Obstetrics | Preterm Labour & Interauterine Fetal Death | 6d248217-9015-4caf-868b-51ae76ded70a | single |
Father of ophthalmology? | Father of Ophthalmology = Albrecht Von Graefe Von Graefe sign= lid lag sign in hypehyroidism Pseudo Von Graefe sign= seen in abberant 3rd nerve regeneration | 3 | William Osler | Sushruta | Albrecht Von Graefe | David James | Ophthalmology | Ocular Embryology& Anatomy | 287e8fd7-2775-4cd9-8645-ae551fc923b6 | single |
Any loss/abnomality of physiological/psychological/ anatomical structure or function is | According to WHO definitions,
Disease: Any abnormal condition of an individual that impairs function.
Impairment: Any loss or abnormality of psychological, physiological or anatomical structure or function.
Disability: (Because of impairment,) any restriction or inability to perform an activity in a range considered no... | 2 | Disease | Impairment | Disability | Handicap | Social & Preventive Medicine | null | 7bb44015-e327-4b4b-b2a8-34f67a79a4e2 | single |
In neonatal cholestasis, if the serum gammaglutamyl transpeptidase is more than 600IU/L the most likely diagnosis is. | Ans. is 'd' i.e., Biliary atresia Most of the books are of the opinion that alkaline phosphatase and gamma glutamyl transpeptidase are two enzymes that are associated with biliary tract disease.Serum levels of these enzymes are usually increased in cholestasis or bile duct obstruction.But the problem in that, all of th... | 4 | Neonatal Hepatitis | Choledochal cyst | Hypothyroidism | Biliary atrisia | Pediatrics | Liver and Biliary System | 1c4b55eb-fa82-41db-a2be-49d7c47557a8 | single |
Salk vaccine is a: | c. Killed vaccine(Ref: IAP Guidebook on Immunization 2013-14; pg 113-117, Nelson's 20/e p 3212, Ghai, 8/e p 190- 191)Polio vaccines were developed in the USA during 1950, first the inactivated polio vaccine (IPV) by Jonas Salk and later the live oral polio vaccine (OPV) by Albert Sabin. Remember: 'Salk' is a 'killed' v... | 3 | Live vaccine | Live attenuated vaccine | Killed vaccine | Toxoid | Pediatrics | Immunization | 4ba7c437-518a-41aa-a81f-d28138b75380 | single |
Genetic predisposition is seen in which disease: | D i.e. Epidermolysis bullosa | 4 | Lichen planus | Bullous pemphigoid | Pemphigus vulgaris | Epidermolysis Bullosa | Skin | null | 5fb858fd-5dc3-47fc-aa6f-bc6f9fb63567 | single |
What is the drug of choice to control supraventricular tachycardia? | a. Adenosine(Ref: Nelson's 20/e p 2282-2287, Ghai 8/e p 396-400)In stable patients with Supraventricular Tachycardia, Adenosine by rapid IV push is the treatment of choice because of its rapid onset of action and minimal effects on cardiac contractility. | 1 | Adenosine | Propranolol | Verapamil | Digoxin | Pediatrics | C.V.S. | 1f18e717-49ce-4b37-ab4f-154b4e1e713a | single |
One of the following is considered to be the key regulatory enzyme of glycolysis | Phosphofructokinase is both inducible and subject to allosteric regulation and has a major role in regulating the rate of glycolysis.These reactions, catalyzed by hexokinase (and glucokinase), phosphofructokinase, and pyruvate kinase, are the major sites of regulation of glycolysis.Phosphofructokinase is considered key... | 2 | Hexokinase | Phosphofructokinase | Phosphoglycerate kinase | Pyruvate kinase | Biochemistry | Metabolism of carbohydrate | 9ee7772e-b139-4c11-87a5-e6dfa77c9538 | single |
Megaloblastic anemia may be caused by all of the following except - | null | 4 | Phenytoin | Methotrexate | Pyrimethamine | Amoxycilline | Medicine | null | 55f7f834-7068-4498-a0cc-d37d79dac0fa | multi |
In ACLS which drug can be given following ventricular fibrillation after cardiac arrest in place of Epinephrine? | (C) High dose vasopressinCPR Quality:-Push hard (>2:2") & fast (>=2:100/min) & allow complete chest recoil.-Minimize interruptions in compressions-Avoid excessive ventilation-Rotate compressor every 2 minutes-If no advanced airway, 30:2 compression-ventilation ratio-Quantitative waveform capnography-If PETCO2<10mmHg, a... | 3 | Amiodarone infusion | Atropine | High dose vasopressin | Adenosine | Medicine | C.V.S. | d17fb6f6-4864-48e2-8c1a-6bb8271f6cf2 | single |
Medical treatment for gall bladder stone is amenable for : | Answer is A (Size of stone less than 15mm) Medical therapy for gall bladder stone is amenable for stones < 15 mm (preferably Prerequisites for medical therapy : Gall bladder should he functioning Stones should be radiolucent Size should be small preferably < 15 mm Q -Harrison 14'h (<10n/in-Harrison 16th) Stones should ... | 1 | Stones less than 15 mm in size | Radioopaque stone | Calcium bilirubinate oxalate stone | Nonfunctioning stones associated with gall bladder | Medicine | null | a4f349fe-8735-403c-a3fa-208419825c8a | multi |
The success of a free gingival graft procedure depends upon which of the following | null | 1 | The graft being immobilized at the recipient site | The donor tissue being as thick as possible and containing periosteum | A thick blood clot remaining between the recipient and donor tissue | Periosteal fenestration being present | Dental | null | ce1ff211-b480-48d3-89d7-e68b9217f1c9 | single |
False about slipped capital femoral epiphysis | null | 3 | Limitation of abduction and internal rotation | Trethowan's sign | Limitation of Extension | Associated with Hypothyroidism | Orthopaedics | null | 01bbb913-0a8b-4304-9af8-7c0035be0855 | multi |
All of the following nutritional assessment methods indicate inadequate nutrition except – | null | 1 | Hb < 11.5 g/dl during 3rd trimester of pregnancy | Increased 1–4 year mortality rate | Birth weight < 2500 gm | Decreased weight for height | Pediatrics | null | ce9fae04-275c-4998-a0f6-7fef62e100af | multi |
Most common age group affected by streptococcus pyogenes | Sore throat(tonsilitis) is the most common manifestation of streptococcal infection and affects 5-15 years age group. | 2 | <5 years | 5-15 years | 20-25 years | 30-40 years | Microbiology | null | deaff17b-2133-4983-8c0f-38e73793fa1f | single |
Meckel&;s cave is related to | The trigeminal ganglion lies on the trigeminal impression,on the anterior surface of the petrous temporal bone near its apex.It occupies a special space of duramater,called the trigeminal or Meckel's cave. REF.BDC VOL.3,Fifth edition. | 3 | Submandibular gland | Trigeminal ganglion | Trigeminal ganglion | Ptergopalatine ganglion | Anatomy | Head and neck | a72e21f3-c7fe-4ee2-8384-6a73c326c2e4 | single |
In a normal curve, the area of one standard deviation around the mean includes which of the following per cent of values in a distribution - | null | 2 | 0.486 | 0.683 | 0.954 | 0.997 | Social & Preventive Medicine | null | 137a71be-081f-42de-812e-43440816621f | single |
Interstitial nephritis is seen in all except. | Ans. (B) Beta lactams style="font-size: 1.04761904761905em; font-family: Times New Roman, Times, serif">(Ref: )Drugs causing interstitial nephritis areAntibiotics: Cephalosporins, penicillins, ciprofloxacin, ethambutol, isoniazid, macrolides, rifampicin,Sulfonamides, tetracyclines and vancomycin.All NSAIDs.Diuretics: T... | 2 | Diuretics | Beta lactams | Allopurinol | Isoniazid | Pharmacology | Miscellaneous | 5dbd919b-81a4-49a4-8b6c-f223bf51434a | multi |
GCS of an intubated patient with Abnormal flexion attitude, and eye opening only to pain is | Ans. (c) E2 VNTM3 Ref: Bailey and Love, 27th ed; pg. 331* Verbal response could not be tested in intubated patients and are scored as NT (not tested)* So, in intubated patients scores range from E1 M1 NT to E4 M6 NT | 3 | E2VTM4 | E2V1M4 | E2VNTM3 | E2V1M3 | Surgery | Trauma | 0c17ec99-143b-42f5-82bc-5bab696d99d4 | single |
Normal pH of blood is: September 2007 | Ans. D: 7.40Normal pH is 7.35-7.45.There are a series of buffers which help the plasma resist any change in pH. Some of them include: the hemoglobin in the red blood cells, other plasma proteins, the bicarbonate buffer and the phosphate buffer. | 4 | 7.3 | 7.2 | 7.7 | 7.4 | Physiology | null | 915db6d4-e399-4fba-b0c0-b644c80d7019 | single |
A 49-year-old male presents with symptoms that developed following a long weekend of binge drinking. His serum reveals a g-glutamyl transferase (GGT) level of 65 IU/L. A liver biopsy reveals fatty change (steatosis) of numerous hepatocytes. This patient's liver abnormality is most likely the result of | Alcohol can produce hepatic steatosis several mechanisms, such as increased fatty acid synthesis, decreased triglyceride utilization, decreased atty acid oxidation, decreased lipoprotein excretion, and increased lipolysis. Ethanol is taken up by the liver and is conveed into acetaldehyde by either alcohol dehydrogenase... | 4 | Decreased free fatty acid delivery to the liver | Decreased production of triglycerides | Increased mitochondrial oxidation of fatty acids | Increased NADH production | Pathology | miscellaneous | 0d618b66-ab88-4edf-8e77-6080b755b879 | single |
A 60-year-old woman with a history of chronic cystitis is referred to a urologist because of hematuria. Cystoscopy reveals a mass in the dome of the bladder. Biopsy shows tumor cells arranged as gland-like structures. Special stains demonstrate mucin in the cytoplasm of the tumor cells. What is the appropriate diagnosi... | Adenocarcinoma of the bladder accounts for only 1% of all malignant tumors of the bladder. It originates from foci of cystitis glandularis or intestinal metaplasia or from remnants of urachal epithelium in the bladder dome. Most bladder adenocarcinomas are deeply invasive at the time of initial presentation and are not... | 1 | Adenocarcinoma | Inverted papilloma | Squamous cell carcinoma | Urothelial cell carcinoma | Pathology | Male Genital Tract | 6d5b5791-cd0f-4f65-a730-9db5a6b4aef4 | single |
Earliest sign of left atrial enlargement | .Left atrial enlargement refers to dilation of the left atrium which occurs from multiple disease states that can chronically increase the left atrial pressure. These include congestive hea failure, cardiomyopathies, congenital hea defects and valvular hea disease In rheumatic mitral valve disease, there may be left at... | 1 | Elevation of the left main bronchus | Double cardiac shadow | Widening of carina | Cephalization of the blood flow | Pathology | All India exam | 2f729c1d-7188-4952-ac1e-08ef1977a445 | single |
Requirement of Iodine during Breast feeding | RDA of Iodine in Adults - 150mcg/day
RDA of Iodine during pregnancy and breast feeding is - 250mcg/day | 4 | 50mcg/day | 100mcg/day | 200mcg/day | 250mcg/day | Social & Preventive Medicine | null | cb91cf4d-22d4-40f4-afe4-20c8ba823ecf | single |
Optic tract lesions presents with - | Optic tract lesions cause incongurant homonymous hemianopia. | 3 | Bitemporal hemianopia | Binasal hemianopia | Homonymous hemianopia | Superior quadrantanopia | Ophthalmology | null | fa91dfdd-e99f-42d4-b3a5-666dadb12dd3 | single |
All are attached to coracoid process, except- | Ans. is 'd' i.e., Long head of biceps Muscles attached to scapulao Muscles attached to scapula are:Coracoid process Tip of the coracoid process gives origin to coracobrachialrs {medially) and short head of the biceps laterally. The upper s urface receives insertion of pectoralis minor.Spine of scapula and acromion proc... | 4 | Coracobrachial is | Pectoralis minor | Short head of biceps | Long head of biceps | Anatomy | Back, Deltoid, and Scapular Region | e67a36ff-402e-4fc3-b8d3-c0bff6b85fbe | multi |
A female presents with leaking and meconum stained liquior at 32 weaks. She is infected with | “Discolored brownish or meconium stained amniotic fluid is common with fetal infection, even with preterm gestation”
Hence, the correct answer is Listeria, rest of the infections do not lead to preterm labour with meconium stained liquor.
Listeriosis
Causative organism- listeria monocytogenes (facultative intracellula... | 2 | CMV | Listeria | Toxoplasma | Herpes | Gynaecology & Obstetrics | null | 8a59373d-0a67-492f-a4f2-5c9e41721ab6 | single |
A 24-year-old man is brought into the emergency depament after a fall from a ladder. His breathing is labored and he is cyanotic. No breath sounds can be heard, even in the right lung field, which is resonant to percussion. The first step in his management should be | This patient has a tension pneumothorax and immediate management by right tube thoracostomy is imperative. This diagnosis is a clinical one and treatment should not await x-ray confirmation. | 4 | Cricothyroidotomy | Obtaining a stat chest x-ray | Passing an oral endotracheal tube | Tube thoracostomy | Surgery | null | f5d00b31-0e89-4f81-a6e0-71e02aaa3ae3 | multi |
Which of the following amino acids have side chains that are negatively charged under physiological conditions? | The side chains of the acidic amino acids, aspaic acid and glutamic acid, are negatively charged above pH 3; in their ionized state, they are often referred to as aspaate and glutamate. Asparagine and glutamine are, respectively, the amides of aspaic acid and glutamic acid. Ref: Voet Fundamentals of Biochemistry 4th Ed... | 1 | Aspaic acid | Histidine | Tyrosine | Serine | Biochemistry | Structure and function of protein | 30d84721-8e03-4063-a03d-b18d33c97af7 | single |
Which of the following doesnot predispose to cholangiocarcinoma | Risk factors for cholangiocarcinoma Choledochal cyst Primary sclerosing cholangitis Ulcerative colitis. RPC or hepatolithiasis. Biliary enteric anastomosis HBV, HIV, HCV Choledocholithiasis Clonorchis sinensis and opisthorchis viverrini Cirrhosis Radon Asbestos, Nitrosamines, Dioxib(AND). Diabetes, Obesity, OCP's, smok... | 4 | Ulcerative colitis | Clonorchis sinensis | Choledochal cyst | Chronic pancreatitis | Anatomy | G.I.T | cf1ed13f-6c27-4dfa-b783-df26f3785de2 | single |
Worst prognosis in renal cell carcinoma is assocaited with - | null | 4 | Haematuria | Size>5cm | Invasion of renal vein | Pulmonary secondaries | Medicine | null | 72ea95e9-a6ba-49be-947a-69dcc678b115 | single |
Inferior thyroid vein drains into? | Superior & middle thyroid veins drain into the internal jugular vein and the inferior thyroid vein drain into the brachiocephalic vein. | 3 | Internal jugular vein | Superior ven cava | Brachiocephalic vein | External jugular vein | Anatomy | null | f67ea01b-02d1-409e-a60d-150c9300099a | single |
Several days after an unprotected sexual encounter, a healthy 21-year-old male develops pain and pus on urination. A Gram stain reveals gram-negative diplococci. Which of the following structures is responsible for adherence of the offending microbe to the urethral mucosa? | Typical Neisseria are gram-negative diplococci. Neisseria gonorrhoeae contain pili, hair-like appendages that may be several micrometers long. They enhance attachment of the organism to mucous membranes, helping to make the organism more resistant to phagocytosis by WBCs. Gonococci isolated from clinical specimens prod... | 2 | Capsule | Fimbriae | Flagella | F pili | Microbiology | Bacteria | 3510a32b-b6e0-4e74-bc0b-3907794c4680 | single |
A 50-year-old woman is referred by her family doctor because she suffers from depressive disorder. During the interview, she has difficulty in verbalizing her emotions. The phenomenon is best described as? | Alexithymia is inability to express emotions of self and to understand those of others. Anhedonia is inability to take pleasure from previous pleasurable activities. Ambivalence is inability to decide motor movement Affective flattening is also known as emotional blunting in which person doesnot experience any emotion ... | 3 | Ambivalence | Affective flattening | Alexithymia | Anhedonia | Psychiatry | Basics of Psychiatry | f926d985-aa03-4897-a7a6-c18b2f49020b | single |
The water shed area in the marginal aery of Drummond is at | Answer- C. Splenic flexureThe blood supply of colon is derived from the marginal aery of Drummond.It is a paracolic anastomotic aery formed by anastomosis between colic branches of superior mesentric aery ileocolic, right colic, middle colic) and colic branches of inferior muentetic aety (left colic and sigmoidal aerie... | 3 | Junction of proximal 2/3rd and distal 1/3' of transverse colon | Junction of Ascending and transverse colon | Splenic flexure | At rectosigmoid junction | Surgery | null | 0f2dae13-998f-4e19-bb8c-feb015a203c2 | single |
The incidence of a foreign body being aspirated into the right lung is higher than into the left lung. All of the following statements suppo this, EXCEPT: | A foreign body is more likely to get aspirated into the right lung as the right bronchus is wider, shoer and more veical than the left principal bronchus. The greater width and the more veical angulation of the right principal bronchus explain why foreign bodies enter it more commonly that the left. Ref: Clinical Anato... | 4 | Right inferior lobar bronchus is in continuation with the right principal bronchus | Right principal bronchus is more veical than the left bronchus | Tracheal bifurcation directs the foreign body to the right lung | Right lung is shoer and wider than left lung | Anatomy | null | 57d8c1c7-722d-469a-acc1-e378ca213f47 | multi |
The malignancy of most common occurance in children is which of the following? | The most common tumors found in children are leukemias (30%) followed by brain tumors (22%), lymphomas (11%), neuroblastoma (8%), soft tissue sarcoma (7%), Wilm's tumor (6%), bone tumors (5%) and others (11%). Ref: Nelson 11th Edition, Page 1694: 17th Edition, Page 1694; Essentials of Pediatric Radiology: A Multimodali... | 1 | Leukemia | Lymphoma | Wilm's tumor | Neuroblastoma | Pediatrics | null | 62b581e1-c4b5-4b58-928d-fe63653fcd80 | single |
Asynchronous cadioversion is given in : | Ans. is 'b' Ventricular fibrillation Electrical cardioversion and defibrillation are the most reliable methods for termination of arrhythmias. These methods depolarize all or at least a large portion of excitable myocardium in a near homogenous fashion, the electrical shock can interrupt reentrant arrhythmias.Energy is... | 2 | AF | Ventricular fibrillation | Atrial flutter | Ventricular tachycarida | Medicine | Arrhythmias | 4c658b9c-aaf9-402a-bfd9-9d1b1de5922a | single |
Gastric lavage is contraindicated in which of the following: | Ans. A. Kerosene poisoningGastric lavage is a technique for stomach emptying that theoretically allows direct irrigation and removal of unabsorbed toxin from the stomach. Gastric lavage is indicated in those patients who ingest highly toxic substances and are brought to the emergency department soon after ingestion. Hy... | 1 | Kerosene poisoning | Iron toxicity | Organophosphorus poisoning | Acetaminophen poisoning | Pediatrics | Gastro Intestinal System | de59567f-70cf-4470-bfba-2a413833aa99 | single |
Slow acetylators of Isoniazid are more prone to develop | acetylator status of a person determines the response of drugs metabolised by acetylation Isoniazid is metabolised to acetyl-isoniazid and then to acetyl hydrazine. Accumulation of Isoniazid is responsible for peripheral neuropathy whereas acetyl hydrazine accumulation may cause hepatotoxicity. Thus slow acetylators wi... | 2 | Failure of therapy | Peripheral neuropathy | Hepatotoxicity | Allergic reactions | Pharmacology | Chemotherapy | de5ab15a-e344-408e-8073-5b3eb294c608 | multi |
The umblical cord of the baby shows mummification changes. The time since bih is ____ | Time since bih by umbilical cord changes Drying up of cut margin: 2 hr Drying up of cord: 1 day Inflammatory line at the base of stump: 2 days Obliteration and mummification changes: 3 days Detach (falls off ): 5-6 days Complete healing (scar): 10-12 days | 2 | 2 days | 3 days | 4 days | 7 days | Forensic Medicine | Infant deaths & child abuse | f29f3813-15ed-42eb-8c47-989c6e7c9a6e | single |
Structure passing through lesser sciatic notch: | Lesser sciatic notchIt lies below the ischial spineIt is smooth, coated in the recent state with cailage, the surface of which presents two or three ridges corresponding to the subdivisions of the tendon of the Obturator internus, which winds over it.It is conveed into a foramen, the lesser sciatic foramen, by the sacr... | 1 | Tendon of obturator internus | Superior gluteal vessels | Superior gluteal nerve | Inferior gluteal nerve | Anatomy | null | 4c17dd6a-8cb8-4278-ac9e-3690ee33107d | single |
DDT is a type of: | DDT (Dichloro-diphenyl-trichlorothane): DDT is a synthetic insecticide. First synthesized by: 'Ziedler' & Insecticidal propeies are discovered by: 'Paul Muller'. DDT contains active component:para para isomer. Mechanism of action: Contact poison, inhibits Acetylcholinestrase enzyme. Types of insecticides: Natural insec... | 2 | Natural insecticide | Synthetic insecticide | Organophosphate insecticide | None of the above | Social & Preventive Medicine | Medical Entomology | 7f557be4-9ace-4615-9f3e-df8bbb77d97e | multi |
Intermediate grade of NHL are all except : | Answer is C (Mycosis fungoides) Mycosis fungoides is included in the Miscellaneous group. Q It does not fall in the intermediate grade. All' diffuse' fall into intermediate grade. Intermediate grade includes only one more variant, which is follicular, large cell. Intermediate grade includes: Diffuse small cleaved Q Dif... | 3 | Diffuse small cell cleaved | Diffuse large cell I | Mycosis fungoides | Diffuse mixed | Medicine | null | beca40d6-c25e-49c2-bda4-3a78e92ed099 | multi |
GLUT 3 transpoer is located in | Major Glucose TranspoersTissue LocationFunctionsGLUT 1Brain, kidney, colon, placenta, erythrocytesGlucose uptakeGLUT 2Liver, pancreatic b cell, small intestine, kidneyRapid uptake or release of glucoseGLUT 3Brain, kidney, placentaGlucose uptakeGLUT 4Hea and skeletal muscle, adipose tissueInsulin-stimulated glucose upta... | 1 | Placenta | Small intestine | Liver | Hea | Biochemistry | Metabolism of carbohydrate | 1ec381fd-032c-4959-96d9-1c59b73765f2 | multi |
If the grading of diabetes is classified as mild, moderate and severe the scale of measurement used is: | Ordinal | 3 | Interval | Nominal | Ordinal | Ratio | Social & Preventive Medicine | null | 95922f1a-c60e-4e7a-bb45-ff64b93ca616 | single |
Retention grooves for class 3 restoration are placed: | null | 3 | Bucco axial and linguo axial line angles. | Occlusoaxial line angles. | Axiogingival line angle. | Retention grooves are not possible in class 3 preparation. | Dental | null | d209fe4d-ef6d-47cc-b43a-9daf7cf62a80 | single |
Drug of choice for intermediate uveitis ? | Ans. is 'd' i.e., Systemic steroids Drugs used in acute anterior uveitis (iridocyclitis) Topical steroids (Drugs of choice) Mydriatic - cycloplegics: Atropine (Drug of 2" choice), Homatropine, cyclopentolate, tropicamide, rnydricain (mixture of atropine, adrenaline & procaine) Systemic steroids NSAIDs Systemic immunosu... | 4 | Atropine | Antibiotics | Topical steroids | Systemic steroid | Ophthalmology | null | f942488b-8863-4059-9c67-c2491f83ea47 | single |
Patient with occipito posterior position. What is the management | Wait and watch for progress of labour Occipito posterior_position In veex presentation when the occiput is placed posteriorly over the sacroiliac joint or directly over the sacrum, it is called an occipito posterior position. Occiput posterior is an abnormal position of the veex rather than an abnormal presentation. An... | 1 | Wait and watch for progress of labour | Cesarian section | Oxytocin influsion | Rupture of membranes | Gynaecology & Obstetrics | null | ccdcf01a-af93-4f15-8774-abb0df0ad7ea | single |
Intermediate host for Taenia saginata is: | HOST: A person or other animal, including birds and ahropods that affords subsistence or lodgement to an infectious agent under natural (as opposed to experiemental) condition. Primary Host(definitive): Host in which parasite attains maturity or passes its sexual stage. Secondary (intermediate) Host: Host in which para... | 2 | Man | Cattle | Pig | Fish | Social & Preventive Medicine | Communicable diseases | 1dc5d458-6fca-4cd7-bc7b-6659819b9eb2 | single |
Proteus infection leads to | (A) Struvite stones # Struvite stones are infectious stones composed of magnesium ammonium phosphate.> Struvite stones are common stones seen in SCI population, and they are caused by ureage producing bacteria.> Most common are Proteins, Psuedomonas, klebsiella, peosidentia, E.coli, Staphylococcus epidermidis, and urea... | 1 | Struvite stones | Uric acid stones | Pigment stones | Calcium/Cholestrol stones | Surgery | Miscellaneous | 5180301f-e5b9-4671-b148-d8db7061d2b9 | single |
Most impoant factor determining the affect of anaesthetic agent on fetus ? | Ans. is 'a' i.e., Duration of pregnancy All the given options determine the effect of anaesthetic on fetus. But, duration of pregnancy is the most impoant. Almost all anaesthetic agents can be potentially teratogenic. Day 15th to day 60 is the most critical period. | 1 | Duration of pregnancy | MAC | Protein binding | Route of anaesthetic | Anaesthesia | null | c1c1566d-1c98-4bd7-b36d-273e6128fb5e | single |
Thumb sucking is normal upto: | null | 2 | upto 1½ years | 3½ - 4 years | 6 - 8 years | 4 - 6 years | Dental | null | b0b95aff-5c81-47bf-af34-d882692ce593 | single |
Which vaccine is given by subcutaneous route - | Ans. is 'b' i.e., Measles | 2 | BCG | Measles | Rabies | DPT | Social & Preventive Medicine | null | 10970596-ed2a-4803-b458-1cbaeba38679 | single |
A primigravida at 37 week of gestation repoed to labour room with central placenta pre with heavy bleeding per vaginum. The fetal hea rate was normal at the time of examination. Which of the following is the best management option for her? | Since this patient in labour is having central type placenta pre with heavy vaginal bleeding, the most appropriate step in management is to conduct caesarean section. Indications for caesarean section in placenta prae are: Severe degree placenta pre (type-II (marginal), type-III (incomplete or paial central), type-4 (c... | 1 | Caesarean section | Expectant management | Induction and vaginal delivery | Induction and forceps delivery | Gynaecology & Obstetrics | null | 4bd1c267-6814-46ad-94b8-a1d4a5f7b408 | multi |
"Microsomia" is defined as – | Microsomia means small for date baby, i.e. newborn baby with a birth weight less than 10th percentile. | 2 | Birth weight below 90th percentile | Birth weight below 10th percentile | Birth weight below 20th percentile | Birth weight below 50th percentile | Pediatrics | null | b5745430-1b92-4bcd-a7a2-636402c146ac | single |
Regarding kidney, all of the following statements are true except: | The kidneys are reddish brown and lie behind the peritoneum high up on the posterior abdominal wall on either side of the veebral column; they are largely under cover of the costal marginThe right kidney lies slightly lower than the left kidney because of the large size of the right lobe of the liver.On the medial conc... | 3 | They lie at the veebral level T12 to L3 | Retroperitoneal organ | Left kidney is situated lower than the right | Left kidney is located slightly more medial than the right | Anatomy | null | 78b9a473-9043-434f-98d8-2883e126bce7 | multi |
What is deficient in exclusively breastfed baby – | Deficiency of Vitamin B12 may occur in exclusive breastfed infants of mother who is on strict vegetarian diet. Remember following important facts -
Milks from the mother whose diet is sufficient and properly balanced will supply all the necessary nutrients except fluoride and Vitamin D.
The iron content of human milk i... | 1 | Vitamin B | Vitamin A | Vitamin C | Proteins | Pediatrics | null | 617ad726-6d06-485c-92f5-478c645ddd74 | single |
Amount of calcium is maximum in which milk: | Amount per 100 ml Cow's milk Human milk Buffalo milk Goat milk Fat 4.1 g 3.4 g 6.5 g 4.5 g Protein 3.3 g 1.1 g 4.3 g 3.3 g Lactose 4.4 g 7.4 g 5.1 g 4.6 g Calcium 120 mg 28 mg 210 mg 170 mg Iron 0.2 mg 0.2 mg 0.3 mg Ref: Park, 22nd edition pg: 584 | 2 | Cow | Buffalo | Human | Goat | Social & Preventive Medicine | null | 090a3a8f-e952-4f7f-8e80-32b7d93f8d36 | single |
The following fungi are thermally dimorphic except- | null | 2 | Sporothrix schenckii | Cryptococcus neoformans | Blastomyces dermatitidis | Histoplasma capsulatum | Microbiology | null | aafe2515-ac5f-4b4e-a866-67f4db79a034 | multi |
The following pathogen does not satisfy "Koch's postulates" - | Koch postulates
Robert Koch proposed a series of postulates that have been applied broadly to link many specific bacterial species with a particular disease.
Koch's postulates are :
The microorganism should be found in all cases of the disease in question and its distribution in the body should be in accordance with... | 4 | Bacillus anthracis | Mycobacterium tuberculosis | Clostridium tetani | Lepra bacilli | Microbiology | null | 0a90dcd3-15ca-419c-9206-4640d2d73415 | single |
A 82-year-old female presented with history of loss of vision in right eye for about 15 minutes and it cleared up. She has a history of diabetes and hypertension. She had which showed old infarct on right side. Carotid duplex showed that patient had 99% carotid artery stenosis. Which one of the following statements is ... | Neurological events are associated with extracranial carotid artery in about 60%. Forty percent may have extracranial/intracranial cause for neurological events, which includes cardiac emboli, arch of aorta as source of emboli; intracranial bleed may be more than just a TIA. It is not always that platelet emboli are th... | 1 | 60%chance that extra cranial carotid artery stenosis is the cause of transient ischemic attack (TIA) | It is always due to platelet emboli. | 25% may be intracranial bleed. | 0.5 to 10% may have cardiac and other causes of TIA. | Surgery | Arterial Disorders | c093b440-477b-4cdd-97f2-11d0937e2fd4 | multi |
Spongiosis involves ? | Ans. is 'd' i.e., Stratum spinosum Separation of keratinocytes due to loss of intracellular bridges --> Acantholysis Intracellular edema of keratinocytes ---> Ballooning Stratum basale Acantholytic cells of pemphigus vulgaris are derived from stratum basal. Basal cell degeneration occurs in Lichen planus. Stratum spino... | 4 | Stratum basal | Stratum carneum | Stratum granulosum | Stratum spinosum | Skin | null | 463dd800-27aa-4e7b-b13d-170075e6d033 | single |
Which of the following is not an amino steroid derivative | Alcuronium chloride is a neuromuscular blocking agent, alternatively referred to as a skeletal muscle relaxant.
It is a semi-synthetic substance prepared from C-toxiferine I, a bis-quaternary alkaloid obtained from Strychnos toxifera. | 2 | Vecuronium | Alcuronium | Pancuronium | Pipecuronium | Anaesthesia | null | acdc74e8-0f25-41cd-bbd4-5990a9d97496 | single |
Contraception of choice for a working women with irregular and profuse bleeding : | Oral pills | 4 | IUCD | Barrier | Spermicide | Oral pills | Gynaecology & Obstetrics | null | 5b3294de-e1c4-4005-8a48-57e84d5e1e56 | single |
Which of the following ocular conditions is autosomal dominant in inheritance: | A i.e. Best disease | 1 | Best disease | Gyrate atrophy | Lawrence-Moon-Biedel syndrome | Bassen Kornzweig disease | Ophthalmology | null | df2afe80-ba82-470d-98a7-e15ac1b6cb88 | single |
In which of the following disease normal structure of hemoglobin but their blood volume reduced in? | Thalassemia describes a group of inherited disorders characterized by reduced or absent amounts of hemoglobin, the oxygen-carrying protein inside the red blood cells. There are two basic groups of thalassemia disorders: alpha thalassemia and beta thalassemia. These conditions cause varying degrees of anemia, which can ... | 4 | Hemorrhage | Sickle - cell anemia | DIC | Thalassemia | Physiology | Respiratory system | 81fd012f-1d5a-44d4-b254-10606edf7f00 | single |
Pancreatic lipase that digests lipids require | Colipase, abbreted CLPS, is a protein co-enzyme required for optimal enzyme activity of pancreatic lipase. It is secreted by the pancreas in an inactive form, procolipase, which is activated in the intestinal lumen by trypsin Ref: guyton and hall textbook of medical physiology 12 edition page number:437,438,439 | 4 | Vitamin B12 | Pyridoxine | Tocopherol | Colipase | Physiology | G.I.T | 3a014824-cdf7-4877-aea7-7bafb9d9c3a7 | single |
The group of antibiotics that possesses additional anti-inflammatory and immunomodulatory activities is: | MACROLIDE ANTIBIOTICS
These are antibiotics having a macrocyclic lactone ring with attached sugars. Erythromycin is the first member discovered in the 1950s. Roxithromycin, Clarithromycin and Azithromycin are the later additions.
Interestingly, the nonantibiotic macrolides: tacrolimus, pimecrolimus and sirolimus also p... | 3 | Tetracyclines | Polypeptide antibiotics | Macrolides | Fluoroquinolones | Pharmacology | null | 72ed17ec-524c-4b85-83fa-b0301536037f | single |
A 13 year young boy is brought by his parents with history of frequent fighting at school, disciplinary problems, stealing money, assaulting his batch mates and being weak in studies. What is the most appropriate diagnosis for this child: | Ans (b) Conduct disorderAhuja 5th/173, Kaplan 9th/1234-6The child is not normal and suffers from conduct disorder.Differentiation between different disorders mentioned in the questionAutismAttention Deficit DisorderConduct DisorderThere is marked impairment of reciprocal social and interpersonal interaction:Absence of ... | 2 | Attention deficit hyperactivity disorder | Conduct disorder | Autism | Nothing abnormal (teenage phenomenon) | Psychiatry | Schizophrenia | ea0ec10b-7c6e-4287-8e3b-39b6fbb0b3ee | single |
Recommended rate of chest compression during cardiopulmonary resuscitation in adults is:- | During cardiopulmonary resuscitation of infants and children, the ratio of chest compression to rescue breaths is 30:2 for a single rescuer and 15:2 if 2 or more rescuers are present. In adults, the ratio is 30:2 irrespective of the number of rescuers. In infants and children, the depth of compression should be at leas... | 4 | About 72 compression per minute | At least 72 compression per minute | About 100 compression per minute | Between 100-120 compression per minute | Anaesthesia | Cardiopulmonary Cerebral Resuscitation | ba9c2965-1527-47c0-907d-dd7b1151d128 | single |
Micronodular cirrhosis is commonly seen in all except, | Chronic hepatitis B [Ref Robbin 7Th/e p. 8991 Cirrhosis of the liver is a pathological entity which clinically represents the end stage of chronic liver disease. It is characterized by three features. i) Bridging fibrous septa& in the form of delicate bands or broad scars linking poal tracts with one another and poal t... | 1 | Chronic hepatitis B | Alcoholic liver disease | Hemochromatosis | Chronic extrahepatic biliary obstruction | Surgery | null | bad00939-86ef-43be-ac4b-c1c2d8e4e168 | multi |
Most common primary malignant bone tumour is: | Multiple myeloma is the most common primary neoplasm of the skeletal system.
The disease is a malignancy of plasma cells. Plasma cells are a subset of B cells, which are the producers of humoral immunity factors termed antibodies. However, if malignant transformation occurs in a single plasma cell, its clones produce ... | 2 | Malignant melanoma | Multiple myeloma | Osteosarcoma | Ewing's sarcoma | Pathology | null | d5933154-a6f1-4a6d-a665-e038ac434e14 | single |
You are called to the emergency room to see a baby who was unresponsive. The delivery is believed to have occurred at home. It has only been half an hour since the body was born as per the bystander. On examination you find fracture of skull base and a depressed fracture of temporal bone. Neuroimaging revealed contusio... | Skull bone fracture involving the vault or base is suggestive of head injuries due to blunt force trauma. Depressed fracture with contusion, laceration and hemorrhage in the brain is also suggestive of head injury due to blunt force trauma. So in this scenario the findings are highly in our of homicide. Ref: Textbook o... | 3 | Accidental | Natural | Homicidal | null | Forensic Medicine | null | a08b6e6c-f421-4ac7-8e62-4d92c05d3c69 | multi |
Daily caloric needs in pregnancy are about........kilocalories? | The pregnant women should have a light but nutritious diet. She needs an extra 300 kcal per day especially from the second trimester onwards, I.e, a total of 2500 kcal per day. About 60g of extra dietary protein should be provided daily i.e, 20g in addition to the usual requirement. (refer pgno: 95 Sheila 2nd edition) | 3 | 1000 | 1500 | 2500 | 3500 | Gynaecology & Obstetrics | General obstetrics | 98f848b8-da29-4353-a76a-8be289c5482a | single |
Which is the most common oncogene involved in human cancer? | RAS is a signal transduction protein. It is the most common oncogene mutation involved in human cancer. | 2 | RET | RAS | RB | pS3 | Pathology | null | a67919e5-cb97-436b-a526-fcf5dd3d0588 | single |
By what age a child can hold the film: | <3 year parents hold the film.
Above 3 years child can hold. | 3 | 1 year | 2 year | 3 year | 4 year | Dental | null | 26c08d1a-7819-4205-a01c-a499fe624e02 | single |
Cotton wool spots are commonly seen in: March 2007 | Ans. D: All of the above Cotton wool spots are an abnormal finding on fundoscopic exam of the retina. They appear as puffy white patches on the retina. They are caused by damage to nerve fibers. The nerve fibers are damaged by swelling in the surface layer of the retina. The cause of this swelling is due to the reduced... | 4 | HIV | Diabetes Mellitus | Hypeension | All of the above | Ophthalmology | null | 90f956a7-4869-4c34-b1fe-222bbb7a347f | multi |
mRNA codes for which tail? | Polyadenylation is the addition of a poly(A) tail to a messenger RNA. The poly(A) tail consists of multiple adenosine monophosphates; in other words, it is a stretch of RNA that has only adenine bases. In eukaryotes, polyadenylation is pa of the process that produces mature messenger RNA(mRNA) for translation. It, ther... | 1 | Poly A | Poly U | Poly C | Poly G | Biochemistry | Metabolism of nucleic acids | 31b59d85-c1fe-4b06-af19-a535541b8e93 | single |
Eukaryotic plasm membrane is made up of all except: | Ans. B i.e. Triglycerides | 2 | Carbohydrates | Triglycerides | Lecithin | Cholesterol | Physiology | null | c6d31900-1376-4a82-8bf6-e8147448bceb | multi |
A radiolucency seen between the maxillary central incisors is most commonly due to: | null | 2 | Periapical cyst | Nasopalatine cyst | Globulomaxillary cyst | Nasoalveolar cyst | Radiology | null | 02ac2ff9-def7-4ecf-882f-24e374993bb7 | single |
Gold standard investigation for recurrent gastrointestinal stromal tumor is: | Ans is d i.e. PET CT Gastrointestinal stromal tumours (GISTs) comprise a group of smooth muscle mesenchymal alimentary tract tumours of variable malignancy. The management of malignant GISTs has been revolutionised by the development of Imatinib (ST-571) which is, uniquely, a specific, highly effective, chemotherapeuti... | 4 | MRI | MIBG | USG | PET CT | Surgery | null | ebbef254-81e7-4974-80ff-2c2708df1b08 | single |
In Unconjugated hyperbilirubinemia, the risk of kernicterus increases with the use of | Sulfonamides (also called sulfa drugs) are a group of antibiotics that kill bacteria. Sulfonamides may unbind bilirubin from albumin, which increases blood levels of bilirubin. The unbound bilirubin can cross into the brain and cause kernicterus. Reference: GHAI Essential pediatrics, 8th edition | 4 | Ceftriaxone | Phenobarbitone | Ampicillin | Sulphonamide | Pediatrics | New born infants | 9e797df6-40cf-475e-804f-944bbe7cbb64 | single |
In an HIV infected individual Gram stain of lung aspirate shows yeast like morphology. All of the following are the most likely diagnosis except | Candida tropicalis is a yeast-like fungus. Cryptococcus neoformans is a yeast. Penicillium marneffei is a dimorphic fungus so it shows yeast like morphology. Aspergillus fumigatus is a mould. Reference: Textbook of Microbiology; Baveja; 4th edition | 4 | Candida tropicalis | Cryptococcus neoformans | Pencillium marneffei | Aspergillus fumigates | Microbiology | mycology | 845e595c-dbd7-43b4-8cb2-08893be6bc9a | multi |
A 69-year-old woman presents with left flank pain and hematuria. Physical examination suggests a left-sided abdominal mass. Computerized tomography (CT) scan of the abdomen reveals a 5-cm mass in the left kidney. Which of the following laboratory abnormalities might also be present? | (a) Source: (Kasper, pp. 541-542)This patient likely has hypernephroma (renal cell carcinoma). Polycythemia is caused by the production of erythropoietin-like factors. There is no relationship to hypertension. The tumor frequently presents as metastatic disease. | 1 | polycythemia | thrombocytopenia | hypocalcemia | leukocytosis | Medicine | Kidney | b4ef70fc-add0-49e5-b852-85edfd75b687 | single |
Not true about cefepime is : | null | 4 | 4th generation cephalosporin | Useful in hospital acquired infection | Inhibits transpeptidase | Given twice daily orally | Pharmacology | null | e9949a65-5ba6-4c35-951f-0fa7e2c66547 | multi |
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