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Global Hunger Index does not include
null
4
Undernourishment
Mortality of children < 5 years of age
Under weight children < 5 years of age
Lack of emotional support in children < 5 years of age
Social & Preventive Medicine
null
00a7adba-04ae-4f6e-8536-27c8e9261d94
single
Which rtf the following is true about Lambda phage?
Ans. c. Lysogenic form incorporates in host DNA and remain dormant In the lysogenic phage the phage virus does not immediately cause the lysis of the cell, instead it integrates into the host genome."In (he lysogenic phase the phage virus does not immediately cause the lysis of the ceil, instead it integrates into the ...
3
It cause mad cow disease
Lysogenic to lytic conversion cannot occur
Lysogenic form incorporates in host DNA and remain dormant
Lytic phase incorporates in host DNA proliferate and causes rupture of cell
Microbiology
Virology
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multi
Looser's zones/pseudofracture are commonly seen in the following areas except-
* Common location of pseudo fracture are scapula, medial femoral neck, pubic & ischial rami (pelvis),LT, ribs, & clavicle proximal ulna & radius, MT,MC and phalanges. Looser&;s Zone ( Milkman&;s Pseudofractures ) Pathognomonic * Looser zones are radiolucent lines that are often penetrating through the coex perpendicula...
4
Scapula
Ribs
Pelvis
Radius
Orthopaedics
Metabolic and endocrine disorders
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multi
Joule burns is seen in-
Electric burn is also called as Joule burn.
1
Electrocution
Thermal injury
Radiation injury
Lightning
Forensic Medicine
null
37e0eefe-56c5-4ff7-9c77-7bd04c0d8f12
single
Which of the following is a feature of Ulcerative colitis?
a. Spiking fever - positive in Crohn's disease because of intraabdominal abscess. b. Proctitis - Rectum inflammation is a feature of Ulcerative colitis. c. Fistula formation - Positive in Crohn's disease d. Cobble stone mucosa - Positive in Crohn's disease
2
Spiking fever
Proctitis
Fistula formation
Cobble stone mucosa
Medicine
Inflammatory Bowel Disease
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single
Which of the following has maximum cholesterol content:
Ans. (b) LDLRef: Harper's Biochemistry, 30th edn. pg. 254; Harper 26th ed. pg. 206* Max cholesterol- LDL* Max TG- chylomicrons (inform of triacylglycerol)* Max exogenous TG- Chylomicron* Max endogenous TG- VLDLLipoprotein, its source, composition, main lipid component and its apolipoproteinLipoproteinSourceCompositionM...
2
HDL
LDL
VLDL
Chylomicrons
Biochemistry
Lipids
31785465-c6cf-4e59-8d6c-0894c87715cc
single
Vascular inflow occlusion of the liver is by ?
Ans. is 'd' i.e., The Pringle manoeuvre Pringle manoeuvre - placing an atraumatic clamp across the foramen of Winslow.
4
Clamping the hepatic aery
Occluding the poal vein
Clamping the hepatic veins
The Pringle manoeuvre
Surgery
null
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single
Helicobacter pylori is not associated with :
Ans. is 'c' i.e. Gastric leiomyoma Ref.: Harrison 17th/e p 946, 1858 & 16th/ep 886, 1749 (15th/e p961) * Diseases associated with H. Pylori infection Non-cardia gastric Ca B-cell non-Hodgkin's gastric lymphoma Gastric ulcer Duodenal ulcer Chronic gastritis Gastroesophageal reflux disease. Association with H. pylori (OR...
3
Gastrointestinal lymphoma
Gastric cancer
Gastric leiomyoma
Peptic ulcer
Medicine
Peptic Ulcer and Related Disorders
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single
Sternocleidomastoid is supplied by all of the'following aeries except?
Posterior auricular According to the aicle-"The Blood Supply of the Sternocleidomastoid Muscle and Its Clinical Implications" Antonius Kierner, MD; Main Aigner, MD; Inngard Zelenka, MD; Gunther Riedl; Main Burian, MD Upper third - supplied by branches of the occipital aeryMiddle third - supplied by branch of the superi...
2
>Occipital
>Posterior auricular
>Thyrocervical trunk
>Superior thyroid
Anatomy
null
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multi
All of the following are features of synchysis scintillans except:
Ans. Spherical calcium bodies
2
Fluid vitreous
Spherical calcium bodies
Shower of gold rain
Secondary to trauma or inflammations of the eye
Ophthalmology
null
22a415fb-96ac-4838-9822-d0d9223e4680
multi
All are advantages of Zinc therapy for Wilson disease except:
Zinc treatment in wilson disease: It is efficient in Wilson's disease Nontoxic Produces a negative copper balance by blocking intestinal absorption of copper It induces hepatic metallothionein synthesis, which sequesters additional toxic copper Ref: Harrison, E-18, P-3190.
2
It is nontoxic
Produces positive copper balance
Blocks intestinal absorption of copper
Induces hepatic metallothionein synthesis
Pharmacology
null
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multi
Sagittal split osteotomy is a procedure done in the mandibular:
null
1
Ramus
Body
Symphysis
Angle
Surgery
null
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single
Which of these is not a risk factor for thromboembolism -
All those factors which promote DVT are also risk factors for thromboembolism. Superficial thrombophlebitis itself cannot cause thromboembolism (as thrombus formed in superficial thrombophlebitis strongly adhere to the venous wall) but it is a risk factor for DVT. The thrombosis in superficial thrombophlebitis can exte...
3
Myocardial infarction
Estrogen therapy
Hypeension
Superficial thrombophlebitis
Surgery
Vascular surgery
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single
Figure of 8 configuration on chest x–ray is seen in –
X-ray findings of TAPVC Cardiomegaly Plethoric lung fields Snowman or figure of 'V configuration ---> In supracardiac TAPVC. Ground glass appearance of lung —> In obstructive TAPVC. Clinical manifestations of TAPVC Nonobstructive TAPVC -4 Patients presents with mild cyanosis and CHF at 6-8 weeks. Obstructive TAPVC...
3
TOF
ASD
TAPVC
VSD
Pediatrics
null
66e402b9-11ef-43b1-b509-4b86237647e5
single
Pregnancy which continues 'following threatened abortion is likely to have increased incidence of:
Prognosis of threatened abortion In about two-third, the pregnancy continues beyond 28 weeks. In the rest, it terminates either as inevitable or missed miscarriage. If the pregnancy continues, there is increased frequency of preterm labor, placenta previa, intrauterine growth restriction of the fetus and fetal anomalie...
4
Preterm laber
Fetal malformation
IUGR
All of the above
Gynaecology & Obstetrics
null
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multi
The intricately and prodigiously looped system of veins and aeries that lie on the surface of the epididymis is known as:
The pampiniform plexus of veins refers to the plexus of veins emerging from the testis, it drains the venous blood from the testis. This plexus ascends up and at the superficial inguinal ring condenses to form four veins, and pass through the inguinal canal within the spermatic cord. At the level of deep inguinal ring,...
3
Choroid plexus
Tuberal plexus
Pampiniform plexus
Pterygoid plexus
Anatomy
null
a4889149-92cf-4af4-aca0-ce613a6fafe0
single
Linitis plastica is a feature of -
Ans. is 'c' i.e., Lymphoma of stomachLinitis plastica Involvement of a broad region of the gastric wall or entire stomach by diffuse stomach cancer cause linitis plastica.It is also known as Brinton's disease.The appearance of stomach is like leather bottle.o The other cause of linitis plastica areu Lye ingestion u Met...
3
Hiatus hernia
Chronic gastric ulcer
Chronic gastric ulcer
All
Pathology
null
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Most important antigen presenting cells in human?
Ans. c (Langerhan's cells/histiocytes). (Ref. Robbins, Pathology, 7th, 199, 1228)# Macrophages have role in inflammation and induction and effector phase of immune response.# Dendritic cells are important antigen presenting cells for initiating primary immune responses against protein ags.# Features which contribute to...
3
Macrophages
Plasma cells
Langerhan's cells/histiocytes
Lymphocytes
Pathology
Immunity
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single
A chronic alcoholic presents with truncal instability and an uncoordinated gait. An MRI confirms alcoholic degeneration of the cerebellar vermis. Which of the following cells is most notably destroyed in this patient ?
Alcohol is directly toxic to the cerebellum, causing degeneration primarily of the anterior superior vermis. This is due to either shrinkage or atrophy of Purkinje cells. Chronic alcoholism results in a risk of significant loss of Purkinje cells. This is worsened by associated vitamin B1 deficiency, resulting from both...
3
Basket cell
Golgi cell
Purkinje cell
Granule cell
Anatomy
Brainstem, cerebellum and ventricles
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single
Extrapyramidal side effects are common in
Antipsychotic medications commonly produce extrapyramidal symptoms as side effects. The extrapyramidal symptomsinclude acute dyskinesias and dystonic reactions, tardive dyskinesia, Parkinsonism, akinesia, akathisia, and neuroleptic malignant syndrome. Ref: KD tripathi 8th ed.
4
Anti depressants
Anti epileptics
Anti maniacs
Anti psychotics
Pharmacology
Central Nervous system
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single
Which among the following is increased during sleep induction ?
Stimulation cholinergic neurons in pontine reticular formation is responsible for sleep induction. When the activity of norepinephrine and serotonin containing neurons in locus coeruleus and raphe nuclei is increased, the activity of ACH-containing neurons in the pontine reticular formation decreases, leading to wakefu...
1
| Acetyl choline
| Histamine
| Norepinephrine and serotonin
| GABA
Physiology
Higher Functions
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single
All of the following are anti HIV agents except :
null
2
Ritonavir
Acyclovir
Didanosine
Zidovudine
Pharmacology
null
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multi
Renal vein thrombosis is most commonly associated with :
Answer is B (Membranous Glomerulopathy): Membranous glomerulonephritis has the strongest association with development of thrombisis in Renal veins. - Thrombosis & Hemorrhage 3rd/724 Nephrotic Syndrome accompanying membranous 2lomerulopathy and ceain carcinomas predisposes to Development of Renal vein thrombosis (which ...
2
Diabetic nephropathy
Membranous glomerulopathy
Minimal change disease
Mesangio-proliferative glomerulonephritis
Medicine
null
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single
Increased C-peptide is seen in -
null
2
Glucagoma
Insulinoma
Gastrinoma
Hepatoma
Medicine
null
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single
First case in an epidemic is called -
null
2
Index case
Primary case
First case
None of the above
Social & Preventive Medicine
null
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multi
Which grade of ROP (Retinopathy of Prematurity) shows a ridge with retinal fibrovascular proliferation and neovasularisation?
Retinopathy of Prematurity is a vasoproliferative retinopathy that affects premature and low-bih-weight infants. ROP stage 3 shows extra retinal fibrovascular proliferation at the ridge between normal and avascular retina. Stages of Retinopathy of Prematurity are: STAGE 1: Demarcation line dividing vascualr from avascu...
3
ROP 1
ROP 2
ROP 3
ROP 4
Ophthalmology
null
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single
A 3 year old male child diagnosed to have acute UT1 developed left flank pain on ulatrasonogram, the left ureter was found to be duplicated the most probable site of opening of ectopic ureter will be -
Ans. is 'a' i.e., Prostatic urethra Ectopic ureter o A ureter that drains outside the bladder is referred to as an ectopic ureter. o Ectopic ureter usally drains the upper pole of a duplex collecting system (two ureter duplication of ureter). o It is more common in girls.
1
Prostatic urethra
Vas deferens
Seminal vesicle
Trigone of bladder
Pediatrics
null
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single
Macular scar is formed in which of the following diseases:
Ans. All of the above
4
Papillitis
Hypeension
Neuroretinitis
All of the above
Ophthalmology
null
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multi
Enzymes found in CSF:
Ans. c. CK + LDH (Ref: Textbook of Medical Biochemistry by Dinesh Puri 2/e p154, 155)CK (Subunit composition BB) and LDH-3 (Subunit composition HHMM) are found in brain (CSF).Tissue Distribution of Lactate Dehydrogenase IsoenzymeIsoenzymeSubunit compositionTissuePercentage in serumLDH-1HHHHMyocardium, RBCQ30LDH-2HHHMMy...
3
GGT + ALP
ALP + CK-MB
CK + LDH
Deaminase and Peroxidase
Biochemistry
Miscellaneous (Enzymes)
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single
Eruption of Deciduous Mandibular Canine occur at
null
3
8-9 months
10-11 months
16-18 months
15-16 months
Dental
null
eb31b031-950f-4d15-96fa-d8f3f5c50111
single
Which muscle originates from tendon of other muscle?
-Origin of the following muscles are as follows:-Lumbricals 1 and 2 from lateral side of lateral 2 tendons of flexor digitorum profundus.Lumbricals 3 and 4 from adjacent sides of medial 3 tendons of flexor digitorum profundus.-Palmaris longus and flexor carpi radialis from medial epicondyle of humerus by a common flexo...
3
Palmaris longus
FCR
Lumbricals
Adductor pollicis
Anatomy
Upper limb
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single
Level of prolactin above which hyperprolactinemia term is used is?
Normal adult serum PRL levels are about 10-25 mg/L in women and 10-20 mg/L in men. PRL secretion is pulsatile, with the highest secretory peaks occurring during rapid eye movement sleep. Peak serum PRL levels (up to 30 mg/L) occur between 4:00 and 6:00 a.m. The circulating half-life of PRL is about 50 min. Hyperprolact...
4
50
100
150
200
Medicine
Disorders of pituitary gland
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multi
Tacrolimus plasma level is increased by all EXCEPT:
Tacrolimus (FK506)- It is a newer immunosuppressant chemically different from cyclosporine, but having the same mechanism of action, and is 100 times more potent. It binds to a different cytoplasmic immunophilin protein labeled 'FKBP', but the subsequent steps are the same, i.e inhibition of helper T cells calcineurin....
4
Erythromycin
Itraconazole
Danazole
Rifampicin
Pharmacology
Immunomodulators
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multi
Small vessel vasculitis includes all of the following EXCEPT?
Takayasu disease- Large vessel vasculitis Anti GBM antibody disease (Goodpasture disease), SLE & IgA vasculitis (Henoch-Schonlein purpura) are examples of small vessel vasculitis
2
Anti GBM antibody disease
Takayasu disease
IgA vasculitis
Systemic Lupus erythematosus
Pediatrics
Vasculitic Disorders in Children
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multi
Vigabatrin is used for the treatment of
Sabril (vigabatrin) is an anti-epileptic medication, also called an anticonvulsant,used in combination with other medications to treat complex paial seizures in adults and adolescents who are at least 16 years old. Ref: KD Tripathi 8th ed.
2
GTCS
Infantile spasms
Myoclonic epilepsy
Paial seizures
Pharmacology
Central Nervous system
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single
The propoion of children in the age group of 0-6 years, (who are the beneficiaries of Integrated Child Development Service Scheme), in the population is about -
Integrated Child Development Services (ICDS) is a government programme in India which provides food, preschool education, primary healthcare, immunization, health check-up and referral services to children under 6 years of age and their mothers.The scheme was launched in 1975, discontinued in 1978 by the government of ...
2
6%
13%
20%
27%
Social & Preventive Medicine
Demography and family planning
104e281e-ffbe-4acd-80ca-d9f99970c008
single
Reversible pulpits is
null
4
Aggravated by heat and relieved by cold
Aggravated by cold and relieved by heat
No reaction to hot and cold
Reacts to electric pulp tester
Dental
null
4900f089-dd04-42d5-9e50-8ef81151a063
single
'Flare' in Triple response is mediated by
Lewis Triple response includes wheal, flare and red reaction. Histamine when released causes capillary dilatation due to precapillary sphincter relaxation resulting in red reaction. Due to the dilatation, the gap between endothelial cells is widened, which leads to increased permeability and allows extravasation of flu...
1
Axon reflex
Arteriolar dilation
Histamine release
Local hormones
Physiology
null
8af60f74-1790-45a1-b626-791e0f990be3
single
Which of the following hepatitis viruses is a DNA virus
Hepas B virus ( HBV) Hepas B virus is the most widespread virus and the most important cause of viral hepas. HBV belongs to Hepadnaviridae HBV is hepadnavirus type-1 Hepas B is the only hepas virus which has DNA. All others are RNA viruses. HBV contains two linear strands of DNA. One of the strands (the plus strand) i...
2
Hepas C virus
Hepas B virus
Delta agent
Hepas E virus
Microbiology
null
6159376b-11c7-4440-9575-44a45db0c9e3
single
Thomas splint is used for immobilizing fractures of ?
Ans. is 'a' i.e., Femur Splints Any material which is used to suppo a fracture is called splint. Splints are used for immobilizing fractures; either temporarily during transpoation or for definitive treatment. The most commonly employed splints is plaster of paris (POP) splint. Various POP splints are:- 1) Casts : - He...
1
Femur
Tibia
Radius
Ulna
Surgery
null
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single
Use of tamoxifen in carcinoma of breast patients does not lead to the following side effects.
Ans. is 'd' i.e. Cancer in opposite breast Adverse effects of Tamoxifen: - Hot flushes, nausea vomiting (most common side effects)*Menstrual irregularities, vaginal bleeding, discharge, pruritus vulvae & dermatitisEndometrial cancerThromboembolismCataractsRetinal deposits & decreased visual acuityUses of Tamoxifen: -Es...
4
Thromboembolic events
Endometrial Carcinoma
Cataract
Cancer in opposite breast
Surgery
Breast Cancer - Treatments
c54928ed-8c98-4610-9022-c3abc108955e
single
Which of the following is the most common malignant ovarian tumor?
Ans. is 'a' i.e., Serous cystadenocarcinoma o Serous cysadenomas or cysadenocarcinomas form about 50% of all the ovarian tumors. Of these 60 - 70 % are benign, 15% borderline malignant, and 20 - 25% malignant. Thus serous cystadenocarcinomas form the most common malignant tumors of ovary.
1
Serous cysadenocarcinoma
Mucinous tumor
Endometrioid tumor
Mesonephroid tumor
Gynaecology & Obstetrics
Presentation (Carcinoma Ovary)
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single
Which of the following is the vascular arrangement inside the young red bone marrow?
Nutrient aery-central longitudinal aerioles-radial capillaries- sinuses-nutrient vein, is the correct vascular arrangement inside the young red bone marrow. A nutrient aery enters the cavity through a large nutrient foramen in the shaft of the bone. Other aeries typically enter the cavity near the ends of the bone. The...
2
Nutrient aery-central longitudinal aerioles-radial capillaries-sinuses-central longitudinal veins-nutrients vein
Nutrient Aery-central longitudinal aerioles-radial capillaries-sinuses- nutrient nutrient vein
Radial Capillaries-sinuses-nutrients in
Nutrient aery-radial aeries-sinusoids-nutrient vein
Physiology
null
ad5bc79e-6cc7-496c-9daf-94ef798a1b0a
single
Maximum dose of radiation which is considered safe for human in a year is: March 2010
Ans. A: 5 Rads
1
5 Rads
10 Rads
15 Rads
20 Rads
Radiology
null
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single
All are Pharmacological methods of cervical ripening except?
Pharmacological method Non pharmacological method 1. Dinoprostone gel (pge2) 1. Stripping of membrane 2. Misoprostol (pge1) 2. Mechanical dilators - Transcervical catheter and Osmotic dilators 3. Mifepristone 3.Extra-amniotic saline infusion During cervical ripening,Collagen fibril diameter and proteoglycan and glycosa...
4
Pge2
Pge1
Mifepristone
Transcervical Catheter
Gynaecology & Obstetrics
Drugs in Pregnancy
12e5a95a-d2e8-4693-aecb-d3e7276f9be3
multi
Which of the following statements about hair follicles is true?
Hair follicles are present only in thin skin. They are associated with sebaceous glands and errector pili smooth muscle bundles.
2
They are always associated with an eccrine sweat gland
They are present in thin skin but not in thick skin
Their associated Arrector pili muscle is composed of striated fibers
Their hair shaft inses into the papillary layer of the epidermis
Anatomy
Lymphoid tissue & Integumentary system
1e2946b8-645b-488f-b9cf-77719b5961d0
multi
False statement about trigeminal nerve: (PGI Nov 2010)
Ans: C (Arise from C8 nerve root) "The trigeminal nerve through its three branches is the chief sensory' nerve of the faceJr>- B.D.C 4th/ VoS HI 54"The trigeminal nerve emerges near the midpontine level. It has small motor root & large sensory root?'- Gray's 40th/284 SpinaI nucleus of trigeminal nerve extends from uppe...
3
Carries sensation from face and scalp
Has motor branch
Arise from C8 nerve root
Composed of spinal nucleus
Anatomy
Cranial Cavity
e87599c7-ea00-4aef-adea-33fa7c954bd5
multi
For the following statements, select whether it is applicable to metoprolol and/or captopril.The effects on the heart result in a prominent negative inotropic effect
Beta-blockers have a negative inotropic effect on the heart. Despite this they improve survival in patients with left ventricular dysfunction and heart failure.
1
true of metoprolol but not captopril
true of captopril but not metoprolol
true of both captopril and metoprolol
true of neither captopril nor metoprolol
Medicine
C.V.S.
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multi
Small round cell tumors ?
Ans. is 'd' i.e., All Small round blue cell tumors Histologically many of the malignant pediatric neoplasms are unique. They tend to have a more primitive (embryonal) rather than pleomorphic anaplastic microscopic appearance. Often characterized by sheets of cells with small round nuclei. Frequently exhibit features of...
4
Wilm's tumor
Retinoblastoma
Rhabdomyosarcoma
All
Pathology
null
b423852c-3228-4e07-9537-2085659facf7
multi
LVH is commonly seen with -
null
3
Pure mitral stenosis
ASD with fossa-ovalis
Aortic incompetance
Carcinoid syndrome
Medicine
null
1c3b800d-ccf0-408a-a639-a12acfcdefd1
single
Which of the following can cause delirium ?
Ans. is `d' i.e., All of the above Impoant causes of delirium 1. Trauma : - Head injury, subdural hematoma 2.Infection : - Septicemia, pneumonia, endocarditis. 3.Metabolic : - Hypoxia, hypercapnia, uremia, CHF, Hepatic failure, porphyria, metabolic acidosis or alkalosis, water & electrolyte imbalance. 4. Endocrine : - ...
1
Hypoxia
Barbiturates
Alcohol withdrawal
All of the above
Psychiatry
null
404dc7bd-f54a-4972-a6fc-8b6da3dd02ba
multi
Commonest cause of cerebral infarction is -
null
1
Embolism
Arteritis
Thrombosis
Cysticercosis
Medicine
null
36230c24-d269-4484-8d4b-0dfc086aefa0
single
Which of the following relaxes mesangial cells in the glomerulus
Substances causing relaxation of mesangial cells -        ANP -        Dopamine -        PGE2 -        cAMP Substances causing contraction of mesangial cells -        Endothelin -        Vasopressin -        PGF2 -        Angiotensin II -        Norepinephrine -        PAF -        PDGF -        Thromboxane A2 -       ...
1
Dopamine
Histamine
AT III
PDGF
Physiology
null
7fe0d8ac-da64-4022-9bcd-857bb99b2f41
single
In a study it is observed that the right ovary ovulates more than left, all are possible explanations for the cause except-
Right handedness is more common in population 730full.pdf] In the primate it is suggested that ovulations occur with equal .frequency in the left and right ovary. In the humans it there is some controversy about the frequency of ovulation on each side. It is believed that in normally menstruating women ovulation was si...
3
Anatomical asymmetry
Difference in blood supply to both sides
Right handedness is more common in population
Some embryological basis
Gynaecology & Obstetrics
null
513a58c0-abcf-4cdc-adc9-d091d7ff46d1
multi
IgA protease in not needed in infection of:
Ans: c and d Ref:Ananthanarayan, 7th ed, p. 335,218; Harrison, 16th ed, p. 806, 864Both S. pneumonia and H. influenza do not have IgA protease.Now it is upto you to decide.Bacteria showing antigenic variationBorrelia recurrentisTrypanosoma bruziNeisseriaGroup A streptococci
3
Gonococci
Meningococci
S.pneumonia
H.influenza
Microbiology
Bacteria
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single
True regarding Na+ ion
Ans. (c) Responsible for depolarization(Ref: Guyton, 13th ed/p.65)Option a - Sodium ion is not Responsible for Donnan effect. This effect is due to non-diffusible anions like proteinsOption b - potassium ion is responsible for RMPOption d - many substances require sodium for their transport through secondary active tra...
3
Responsible for Donnan effect
Responsible for resting membrane potential
Responsible for depolarization
Dose not help other ions in transport
Physiology
General
313a08c7-384b-40d1-83f4-df384a49f8ab
multi
Which is most significant finding in cardiotocography for detection of fetal hypoxia?
Late deceleration: Begins at or after the contraction peak and touches the baseline only after the end of contraction.It has a smooth and gradual onset and recovery and magnitude is rarely >40bpm.It is classically caused by uteroplacental insufficiency and indicates hypoxia. Most common causes are maternal hypotension ...
1
Late deceleration
Variable deceleration
Sinusoidal deceleration
Early deceleration
Gynaecology & Obstetrics
Diagnosis in obstetrics
16b83a9d-5e5b-4525-a6d4-2db73464595a
single
In pancoast tumor, following is seen except-
Haemoptysis is seen in central tumors or endobronchial growth (Pancoast tumor is a peripheral tumor) Pancoast's tumor (also k/a superior sulcus tumor) Is a tumor of the apex of the lung It may grow to cause shoulder and arm pain - d/t involvement of C8, T1 & T2 nerves Erosion of ribs Homer's syndrome (Enopthalmos, Pto...
3
Homer's syndrome
Rib erosion
Haemoptysis
Pain in shoulder and arm
Surgery
null
9f8c0880-2f99-4dff-9ddf-284427b5bdf1
multi
Antimalarial of choice in a pregnant woman (I timester) who is chloroquine resistant is?
Ans. is 'a' i.e., Quinine "Quinine is the only widely available drug that is acceptable as suitable for treating chloroquine - resistant infections during pregnancy".
1
Quinine
Proguanil
Dapsone & pyrimethamine
Mefloquine
Pharmacology
null
6b925c93-0e35-4774-9b71-4084bd078283
single
Unilateral hydronephrosis is due to ?
Ans. is c i.e. Carcinoma prostate
3
Bladder neck contracture
Stricture urethra
Carcinoma of prostate
All
Surgery
null
b5574584-643a-49cd-9fb7-a78fdcba7da3
multi
Which one of the following is NOT an epithelial tumour of the ovary: September 2012
Ans. D i.e. Endodermal sinus tumour Endodermal sinus (yolk sac) tumour is a rare tumour but the second most common of germ cell origin
4
Serous cystadenoma
Brenner tumour
Clear cell tumour
Endodermal sinus tumour
Gynaecology & Obstetrics
null
cabe5655-284d-4c9d-9eb1-5fc79b08dbb7
single
The following separation technique depends on the molecular size of the protein :
C i.e. Gel filtration Chromatography
3
Chromatography on a carboxymethyl (CM) cellulose column
Iso-electric focussing
Gel filtration chromatography
Chromatography on a diethylaminoethyl (DEAE) cellulose column
Biochemistry
null
9422d9f9-0e8d-4aee-a4b1-93d09b399bb2
single
An unconscious pt. of head injury comes in casualty. Examination shows raised intracranial pressure. Which anesthetic agent is contra- indicated :
Ans. is 'b' i.e. Ketamine Ketamine causes increase in all pressure of body fluids -Increased ICTIncreased IOTIncreased B.P.Therefore it is not used in raised ICT and IOT as it may increase the pressure to morbid levels.Other frequently asked questions about KetamineThe injection of a therapeutic dose of Ketamine produc...
2
Propofol
Ketamine
Etomidate
Thiopentone sodium
Anaesthesia
Anaesthesia For Special Situations
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single
The maximum density of goblet cells is seen in –
Goblet cells are the chief source of tear mucosa and they are most dense nasally.
3
Superior conjunctiva
Inferior conjunctiva
Nasal conjunctiva
Temporal conjunctiva
Ophthalmology
null
92db7a64-5ef3-44b7-9066-d3f1c883246a
single
A case of meningomyelocele was posted for surgery. Till the patient is waiting for surgery, the covering of the sac will be protected by a gauze soaked in:
a. Normal saline(Ref: Nelson's 20/e p 2802-2803, Ghai 8/e p 575-577)Meningomyelocele is covered with sterile saline-soaked gauze to prevent it from drying, trauma and infection
1
Normal saline
Tincture iodine
Methylene blue
Mercurochrome
Pediatrics
Central Nervous System
a3e83ca4-d619-4a1b-9f4d-59c661e7678f
single
VEMP detects lesion of
The vestibular evoked myogenic potential (VEMP) are sho latency electromyograms that are evoked by acoustic stimuli of high intensity and recorded from surface electrodes over the tonically contracted sternocleidomastoid muscle. The origin of VEMP is in the saccule. The response pathway consists of Saccule; Inferior Ve...
3
Cochlear nerve
Superior vestibular nerve
Inferior vestibular nerve
Inflammatory lesions
ENT
Ear
a08f4fee-3851-4e64-8e38-9033ac872cf3
single
Hydrops foetalis is seen in following except :
Ans. is c i.e. ABO incompatibility
3
Rh incompatibility
Syphilis
ABO incompatibility
CMV
Gynaecology & Obstetrics
null
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multi
A 5 year old child has white pseudomernbraneous plaque or grey-white discharge on the surface of tonsils and history of low grade fever since 2 days. Culture shows growth of rod shaped bacilli, green in colour & bluish-purple granules. Which of the following is true for the above finding?
null
1
Bacilli appear in pair and have V and L pattern
Can rapidly grow on ordinary media
Can hydrolyse urea
Colonies are spider shaped
Microbiology
null
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multi
Which of the following is NOT seen in Parkinsonism: March 2013
Ans. A i.e. Preserved postural reflexes
1
Preserved postural reflexes
Hypokinesia
Rigidity
Static tremors
Medicine
null
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single
A 9yr old boy is sent for neurological evaluation because of episodes of apparent inattention. Over the past year, child has experienced episodes during which he develops a blank look on face and his eyes blink for 15 seconds. He immediately resumes his previous activity. Wof therapies would be most appropriate for thi...
Ref:- kd tripathi;pg num:-411,416,417
3
Watchful waiting
Carbamazepine plus primidone
Ethosuximide
Diazepam
Pharmacology
Central Nervous system
752f998a-ae27-4e8f-a0cd-7c7ef3fc941d
single
The nerve that is related to pyriform recess in pharynx:
PYRIFORM FOSSA: It is a deep recess broad above and narrow below in the anterior part of lateral wall of the laryngopharynx, on each side of the laryngeal inlet.  These recesses are produced due to bulging of larynx into laryngopharynx. Boundaries: Medial: Aryepiglottic fold and quadrangular membrane of larynx. Lateral...
3
Recurrent laryngeal
External laryngeal
Internal laryngeal
Glosso pharyngeal
Anatomy
null
89d3fc18-1249-415e-81d4-d6d8397453ca
single
McNaughton rule is:
Ref. Textbook of forensic medicine. Krishnan Vij. Page.  120
2
Sec 84 CrPC
Sec 84 IPC
Sec 85 CrPC
Sec 85 IPC
Unknown
null
6255d5df-adb8-4977-844a-2e8e494285d8
single
A pregnant patient comes at 34 weeks gestation with leaking. What examination will reliably confirm premature rupture of membranes in this patient?
Ans: (a) Speculum examinationRef: DC Textbook of Obstetrics, 8th edition, Page 369PREMATURE RUPTURE OF MEMBRANES (PROM)Spontaneous rupture of membranes anytime beyond 28th week but before the onset of labour is called prelabour rupture of the membranes.When it occurs before 37 completed weeks it is called preterm PROM ...
1
Speculum examination
USG
Non stress test
Amnisure
Gynaecology & Obstetrics
Physiology & Histology
f8d5fbf5-426c-4830-a673-b3c6ff984e09
single
Which of the following does not represent a significant anaesthetic problem in the morbidly obese patient?
D i.e. Decreased cardiac out put relative to total body mass Obesity related changes Cardiovascular Respiratory Gastrointestinal Problems during anesthesia - T Blood volume - ,I. Compliance - Hiatus hernia - Difficult intubation Q - I Cardiac outputc2 - i Respiratory drive - Gastroesophageal - Increased risk of aspirat...
4
Difficulties in endotracheal intubation
Suboptimal aerial oxygen tension
Increased metabolism of volatile agents
Decreased cardiac output relative to total body mass
Anaesthesia
null
3bf8eeb3-0c0e-42f4-b782-13aacc4f2949
single
Elements of bishop's score is ail except -
Ans. is 'c' i.e., Endometrial consistencyo Bishop score, also Bishop's score, also known as cervix score is a pre-labor scoring system to assist in predicting whether induction of labor will be required.o The total score is achieved by assessing the following five components on vaeinal examination:y Cervical dilationy ...
3
Cervical dilatation
Cervical effacemat
Endometrial consistency
Fetal station
Pediatrics
New Born Infants
8ddc0655-e059-466e-b9de-0b6f8e026a46
multi
Frontal Sinus can be best visualized by-
null
1
Caldwell's view
Water's view
Towne's view
Schuller's view
ENT
null
b9087604-020a-412d-af84-92498c015c02
single
Most common complication of ileostomy is:
- Overall M/c complication of ileostomy -Skin excoriation / dermatitis - MC early complication of ileostomy - Ischemia / necrosis - MC complication of both end colostomy and loop colostomy - Parastomal hernia - Parastomal hernia is more common in END colostomy (due to extensive dissection) - Prolapse is more common in ...
2
Ischemic necrosis
Skin irritation
Prolapse
Parastomal hernia
Surgery
Ileostomy and colostomy
7dea2360-670f-4da8-a522-c5d0df5a2c12
single
Vertical extension of the enamel knot known as:
null
3
Enamel Knot.
Enamel navel.
Enamel cord.
Enamel septum.
Dental
null
8c6622ce-7b77-45d6-81d7-f812133251e3
single
The method of choice of tuberculosis detection in mass screening is:
The method of choice of tuberculosis detection in mass screening is Sputum smear examination by direct microscopy . The reliability, cheapness and ease of direct microscopic examination has made it number one case-finding method. 2 sputum smears samples over a period of 2days is collected in pts with history of cough >...
3
Tuberculin test
Mass miniature radiography (MMR)
Sputum smear examination by direct microscopy
Sputum culture
Social & Preventive Medicine
RNTCP
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single
In control of peusis, the durg of choice for cases -
<p> control of peussis:- CASES:- Early diagnosis,isolation and treatment. Disinfection of discharge from nose and throat. Erythromycin is probably the drug of choice. A dose of 30-50 mg/kg of body weight in 4 divided doses for 10 days. Possible alternatives are ampicillin,septran or tetracycline. Antibiotics effective ...
1
Erythromycin
Ciprofloxacin
Tetracycline
Penicillin
Social & Preventive Medicine
Communicable diseases
51405ead-8cbd-4058-8464-0643c3b70271
single
Delta waves of Electroencephalogram have frequency of:
null
3
More than 14 cycles per second
Between 8 and 13 cycles per second
Less than 3.5 cycles per second
Between 4 and 7 cycles per second
Physiology
null
edf579ba-161b-4eeb-9009-d19c631a137a
single
Henoch Schonlein purpura presents with deposition of ?
ANSWER: (B) IgAREF: Harrisons 17th ed chapter 319, CURRENT Medical Diagnosis & Treatment Chapter 20. Musculoskeletal & Immunologic DisordersHenoch-Schonlein purpura, the most common systemic vasculitis in children, occurs in adults as well. Typical features are palpable purpura, abdominal pain, arthritis, and hematuria...
2
IgG
IgA
IgM
IgE
Medicine
Vasculitis
3d0b533d-f6b7-4caa-80d9-d8857d070e1e
single
The maximum hours of work per week prescribed under the Factories Act is -
As per factories Act, a maximum of 48 hours per week, not exceeding 9 hours per day. (REF. PARK&;S TEXTBOOK OF PREVENTIVE AND SOCIAL MEDICAL 21ST EDITION. PAGE NO - 756)
2
42
48
54
60
Social & Preventive Medicine
Hospital waste and disaster management, Occupational health
1ecd922b-09db-419b-a713-05922b0ec515
single
Most potent estrogen is:
Ans. is 'b' i.e., Estradiol (E2)* The three major naturally occurring estrogens in women are estrone (El), estradiol (E2), and estriol (E3). Estradiol is the predominant estrogen during reproductive years both in terms of absolute serum levels as well as in terms of estrogenic activity.* During menopause, estrone is th...
2
Estrone (El)
Estradiol (E2)
Estriol (E3)
All are equal in potency
Gynaecology & Obstetrics
Miscellaneous (Gynae)
462ed478-5778-42aa-acf6-b016f652a1be
multi
subjective state of restlessness and fidgetiness after staing antipsychotics is called as
Acute akathisia * It was coined by Haskovec * Subjective state of restlessness and fidgety behaviour * <72 hours of staing antipsychotics * DD=agitated depression * If this is misdiagnosed as agitation and if antipsychotic is hiked there will be worsening of symptoms Propranolol id the TOC ref.kaplon and sadock, synops...
4
dystonia
catatonia
cataplexy
akathisia
Anatomy
Pharmacotherapy in psychiatry
cbbc99df-d635-4c5c-90f2-f6d37977d121
multi
RBC cast is present in:
Ans. (b) Acute GlomerulonephritisRef.:Harrisott 18th edition,Acute NephroticHematuria, RBC castsAzotemia, oliguriaEdema, hypertensionChronic renal failure* Azotemia for >3 months* Prolonged symptoms or signs of uremia* Symptoms or signs of renal osteodystrophy* Kidneys reduce in size bilaterally* Broad casts in urinary...
2
Acute tubular nephritis
Acute glomerulonephritis
Acute Pyelonephritis
Acute interstitial nephritis
Medicine
Glomerular Diseases
a6385c38-cd84-4e08-9f1c-3c4c3ef8c2fc
single
The enzyme deficient in Phenyl Ketonuria is:
Ref: Harpers illustrated Biochemistry, 28th editionExplanation: (See figure below)Tetrahydro biopterin (H4B) dependent reaction.In case of deficiency of phenyl alanine hydroxylase, phenyl alanine is converted in to phenylpyruvate & phenylacetate. accumulation of which results in phenyl ketonuria. FeaturesMental retarda...
2
Phenylalanine dehydrogenase
Phenylalanine hydroxylase
Tyrosine hydroxylase
Dihydrobiopted n
Biochemistry
Amino Acid Metabolic Disorder
6a9125ad-451a-4b32-8f32-bea6c61ae878
single
Which level of Prolactin definitely suggest Prolactinoma?
(D) 200mg/LLesions of hypothalamic-pituitary lesion that disrupt hypothalamic dopamine synthesis, portal vessel delivery or lacto-trope responses are associated with Hyperprolactinemia.oHYPERPROLACTINEMIA is the most common pituitary hormone hyper-secretion syndrome in both men & women.oDegree of hyperprolactinemia is ...
4
>50 mg/L
>100 mg/L
>150 mg/L
>200 mg/L
Medicine
Endocrinology
be8e6e8f-43af-4482-981a-2570e4f25580
single
Bacitracin acts on:
Ans. (A) Cell wall(Ref: Katzung 10/e p741; KDT 8/e p741)Bacitracin acts by inhibiting the synthesis of cell wall.Other polypeptide antibiotics like polymyxin B, colistin and tyrothricin act by affecting membranes.
1
Cell wall
Cell membrane
Nucleic acid
Ribosome
Pharmacology
Chemotherapy: General Principles
7a06cc85-0ccc-4dfe-a24b-f7e52c96836e
multi
All of the following are side effects of topical pilocarpine solution except?
Ans. is 'd' i.e., Follicular conjunctivitis
4
Accomodative spasm
Miosis
Blurred vision
Follicular conjunctivitis
Ophthalmology
null
ab8f24db-a6af-4732-9686-604b4c3deb26
multi
A 55 year old male, who is a known case of severe persistent asthma since 14 years of age presents with acute exacerbation of asthma. The disease was well controlled upto 54 years with high dose inhaled corticosteroids. For the past 12 months the disease was not in good control. He complains of nocturnal cough, limitat...
Answer: c) Airway remodeling (HARRISON 19TH ED, P-1675; ROBBINS 9TH ED, P-682)Airway remodeling:Over time, repeated bouts of allergen exposure and immune reactions result in structural changes in the bronchial wall, referred to as "airway remodeling"Airway remodeling adds an irreversible component to the obstructive di...
3
Airway epithelial shedding
Airway inflammation
Airway remodeling
Airway hyperresponsiveness
Medicine
Respiratory
27390be2-540c-4d25-9219-beede0bb8e13
single
Bronchiectasis is most common in which lobe?
Bronchiectatic lesions are most commonly found in the lower lobes, probably because mucociliary clearance is facilitated by gravity in the upper lobes. The bronchiectatic lesions were identified most commonly in the left lower lobe, followed by the right lower lobe and left upper lobe. The most common organisms :- Haem...
4
Right upper lobe
Right middle lobe
Left upper lobe
Left lower lobe
Medicine
Bronchiectasis
91cba452-ecb1-4461-9a39-f6bb478ce412
single
Atypical pneumonia can be caused by the following microbial agents except ?
Ans. is 'd' i.e., Kleibsella pneumoniae Atypical pneumonia is interstial pneumonia, while Kleibsella causes airspace pneumona. Kleibsella pneumonia presents as a typical 'air space' pneumonia with cough productive of purulent sputum. Causes of Atypical pneumonias Mycoplasma pneumonias Viral pneumonias -4 Influenza, RSV...
4
Mycoplasma pneumoniae
Legionella peumophila
Human corona virus
Klebsiella pneumoniae
Pathology
null
8e12a3be-fa6b-4e4c-af9b-536cb9da2693
multi
Pregangrene is
Pregangrene is changes in tissue which indicates that blood supply is inadequate to keep tissues alive and presents with rest pain, colour changes, oedema, hyperaesthesia.
2
Ulceration
Hyperaesthesia
Putrefaction
Mummification
Surgery
null
be159f6f-c814-4daa-9f96-a7bc46c0b063
single
A 17-year-old boy comes to the physician because of edema of both legs as well as pen- orbital edema There is no history of diarrhea and no urinary symptoms suggestive of infection. He had a throat infection 3 weeks ago. His blood pressure is 110/70 mmHg. He undergoes a kidney biopsy and light microscopy is normal. ...
null
3
Accelerated hypertension
ANCA associated vasculitis
Minimal change glomerulonephnitis
Post-streptococcal glomerulonephritis
Pathology
null
516a5a60-a9d3-42de-ac17-3ff8aaaeb2a4
multi
Turner syndrome is maximally associated with:
Ans. is 'b' i.e. Coarctation of aorta Turner 9s syndrome is commonly associated with congenital heart diseasesThe most common anomaly associated is bicuspid Aortic yalyes in one third to one half of the patients (50%)Other congenital anomalies associated with Turner's syndromeAortic coarctation (30%)Aortic stenosisMitr...
2
Horseshoe kidney
Coarctation of aorta
VSD
ASD
Pediatrics
Genetics of Common Disorders
60ec7867-b934-40cc-a774-0716c68c687a
multi
Chalazion of lid is-
*Chalazion is chronic non-infective lipogranulomatous inflammation of meibomian gland. Ref: Yanoff & Duker Ophthalmology 2nd/e p.708
3
Caseous necrosis
Chronic nonspecific inflammation
Chronic lipogranulomatous inflammation
Liposarcoma
Ophthalmology
Diseases of orbit, Lids and lacrimal apparatus
696e8cb8-2f1d-4a1a-af26-cdf629ac7c72
single
Commonest type of Retinal detachment -
Rhegmatogenous retinal detachment usually associated with a retinal break (hole or tear) through which subretinal fluid (SRF) seeps and separates the sensory retina from the pigmentary epithelium. This is the commonest type of retinal detachment. Ref khurana 6/e p 299
1
Rheugmatogenous
Choroidal hemorrhage
Exudative
Tractional
Ophthalmology
Vitreous and retina
828d9653-d932-47e3-ad10-7506e46760a5
single
Highest conduction rate in m/s is observed in
null
4
SA node
AV node
Bundle of His
Purkinje system
Physiology
null
f1d08577-38a4-444d-99b0-29ad1d6870b5
single
All are markers of mitochondria except -
Ans. is 'b' i.e., 5-nucleotidase Organelle or fractionMarkersMitochondriaInner membrane: - ATP synthase. Succinate dehydrogenase Intermembrane space: - Creatine kinase, Adenyl kinase. Matrix: - Glutamate dehydrogenase, Pyruvate dehydrogenase, enzymes of TCA cycle & P-oxidation of fatty acidsPlasma membraneS'-Nucleotida...
2
ATP synthase
5-nucleotidase
Glutamate dehydrogenase
Creatine kinase
Physiology
Cell Physiology and Intercellular Connections
6df4e359-fdc3-41ed-a5d9-17d5489d34e0
multi