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Beta oxidation of fatty acids occur in | Tissues in which bbb-Oxidation is carried out: The circulating FA are taken up by various tissues and oxidised. Tissues like liver, hea, kidney, muscle, brain, lungs, testes and adipose tissue have the ability to oxidise long-chain FA. In cardiac muscle, fatty acids are an impoant fuel of respiration (80% of energy der... | 2 | Nucleus | Mitochondria | Cytoplasm | Peroxisomes | Biochemistry | Metabolism of lipid | e1a1f3d8-ed03-425c-8fc5-0a86fba6f55f | single |
Neurofibroma is - | Ans. is 'a' i.e., Autosomal dominanto Neurofibromatosis comprises of two distinct disorders -Neurofibromatosis INeurofibromatosis IIo The genes for these are located on different chromosomes,o Both are inherited in an autosomal dominant pattern.NF-1: Neurofibroma gene on chromosome 17.NF-2: Neurofibroma gene on chromos... | 1 | Autosomal dominant | Autosomal recessive | X-finked recessive | X-linked dominant | Unknown | null | d092e5ba-218a-44a3-894e-83efbc5f247f | single |
Which of the following disease is associated with loss of the disc space and vertebral bone? | null | 2 | Multiple myeloma | Tuberculosis | Metastasis | Lymphoma | Surgery | null | a8da070b-ae7f-4a60-b6d5-bf1dca11974c | single |
Staphylococcal capsule is made up of: | Ref: Ananthanarayan, Paniker CJ. Textbook of Microbiology. 6th Ed, London: John Wiley & Sons: 2000. & Prescott LM. Microbiology. 5th Ed. London: McGraw-Hill: 2002.Explanation:Capsules usually are composed of polysaccharides, but they may be constructed ot other materials.But, Bacillus anthracis has a capsule of poly-D-... | 2 | Hyaluronic acid | Polysaccharide | Polypeptide | Poly-D-glutamic acid | Microbiology | Staphylococci | 05bf0b21-7e42-4e3b-8740-57d4ef7b483e | single |
Lung abscess is least likely a complication of | Lung abscess can be divided on acute (less than 6 weeks) and chronic (more than 6 weeks). It can be called primary as a result of aspiration of oropharyngeal secretions (dental/periodontal infection, para nasal sinusitis, disturbance states of consciousness, swelling disorders, gastro-oesophageal reflux disease, freque... | 2 | Lobar pneumonia | Bronchopneumonia | Malignancy | Bronchiectasis | Medicine | Respiratory system | aae29d05-d901-46e9-8704-61e2fdbb0000 | single |
Kala-agar is transmitted by - | Ans. is 'b' i.e., Sandfly Diseases transmitted by sandflv Kala-azar Sand-fly fever o Oriental sore o Oraya fever | 2 | Reduvid bug | Sandfly | Tsetse fly | Mosquito | Social & Preventive Medicine | null | 11f87eb6-92bb-439e-a11b-063204f74f49 | single |
According to Sigmund Freud, primary process thinking is - | Primary process (related to Id):- Unorganized & non-logical thinking.
Secondary process (related to Ego):- Reality oriented, goal-directed, logical, rational, concrete and/or abstract conceptual thinking. | 1 | Illogical & Bizarre | Rational | Absent during sleep | Logical & unconscious | Psychiatry | null | 05753ff8-c3b6-4173-92dc-b66796957cff | single |
NOT a side effect of Lithium | (A) Leucopenia # RENAL: The renal side-effects occur in 10-50% of all patients on maintenance lithium therapy. Polyuria, polydipsia. Tubular changes. Nephrogenic diabetes insipidus. Nephrotic syndrome.> Gastrointestinal: These side-effects are nausea, vomiting, diarrhea, metallic taste and abdominal pain.> Dermatologic... | 1 | Leucopenia | Hypothyroidism | Polyuria | Hypercalcaemia | Psychiatry | Miscellaneous | fa45b70f-f377-4f7a-880d-72420620a450 | single |
A diagnostic wax-up is indicated when _____. | It is recommended that any time there is a question regarding the treatment outcome involving a prosthetic device, or the need to produce templates for provisional restorations that reproduce a desired form of teeth, a diagnostic wax-up should be generated. | 4 | Re-establishing anterior guidance | A provisional fixed prosthesis is to be fabricated | Uncertainty exists regarding esthetics | All of the above | Dental | null | 59a58d7c-451f-4b39-9389-7240c5e1858b | multi |
Occulomotor nerve palsy causes all of the following EXCEPT | Upward & lateral detion of eyeball doesn't happen in oculomotor nerve palsy. Oculomotor nerve (CN III) innervates all EOM except: Superior oblique (CN IV) & lateral rectus (CN VI) Paralysis of CN III results in: Ptosis (due to LPS involvement) Lateral & downward detion of eye (LR & SO are the only muscles intact, unopp... | 3 | Ptosis | Mydriasis | Upward and lateral detion of eyeball | Pupillary reflex lost | Anatomy | Eye, Nose and Ear | 212e931d-0cd6-4db4-85a6-e25bad67c5ed | multi |
Extrinsic system (blood coagulation) is triggered by the release of: September 2008 | Ans. B: Thromboplastin Factor X can be activated by reactions in either of two systems, an intrinsic and an extrinsic system. The extrinsic system is triggered by the release of tissue thromboplastin, a protein-phospholipid mixture that activates factor VII. The tissue thromboplastin and factor VII activate factors IX ... | 2 | Prothrombin | Thromboplastin | Fibrinogen | Thrombin | Physiology | null | d640a8da-8f75-40f6-b56c-4260ff882bd3 | single |
Second gas effect is seen with | The second gas effect is a distinct phenomenon that occurs independently of the concentration effect. The ability of the large-volume uptake of one gas (first gas) to accelerate the rate of increase of the Pa of a concurrently administered companion gas (second gas) is known as the second gas effect. For example, the i... | 2 | Ether | Nitrous oxide | Halothane | Isoflurane | Anaesthesia | General anaesthesia | 63e96e4e-910a-4a9c-aee3-fda2dbd05ac0 | single |
Pasteurization by Holder method is heating milk at | Methods of Pasteurization: | 3 | 60° C for 45 minutes | 100° C for 15 minutes | 65° C for 30 minutes | 136° C for 15 minutes | Social & Preventive Medicine | null | 3fef876e-e59e-4312-89bc-eaea36cd8131 | single |
Syneresis is associated with | null | 1 | Hydrocolloids | Elastomers | Zinc oxide eugenol | Plaster of paris | Dental | null | 84877106-47a7-4a27-bc1e-9c767e2389e6 | single |
Absence seizures are characterized on EEG by- | null | 1 | 3 Hz spike & wave | 1-2 Hz spike & wave | Generalized polyspikes | Hypsarrythmia | Medicine | null | 2cf1ac93-b2df-45b6-a2b7-e70c66470762 | single |
509-IPC deals with: | (Act intended to insult the modesty of a women)* Perjury (Giving false evidence) - 191-IPC* Criminal negligence - 304-A-IPC* Dowry deaths - 304 - B IPC* 509 IPC - word, gesture or act intended to insult the modesty of woman.* 510 IPC - Misconduct in public by a drunken person.* 376A - Intercourse by a man with his wife... | 4 | Masturbation in public place | Inquest | Dowry death | Act intended to insult the modesty of a women | Forensic Medicine | Law & Medicine, Identification, Autopsy & Burn | 00ef5d62-f817-437f-9186-7e7edd8e3452 | single |
Delirium is defined as ? | Ans. A. Acute onset of disturbed consciousnessDelirium is defined by the acute onset of fluctuating cognitive impairment and a disturbance of consciousness.It is also referred to as acute confusional state or acute organic brain syndrome. | 1 | Acute onset of disturbed consciousness | Chronic onset of disturbed consciousness | Progressive generalized impairment of intellectual functions and memory without impairment of consciousness | Disorientation without clouding of consciousness | Psychiatry | null | e049f779-c98b-4c39-b83a-5a1f1d8fef17 | single |
The major ejection force in vomiting is provided by | The major ejection force in vomiting is provided by Abdominal muscles. | 4 | Stomach | Reverse peristalsis of intestine | Diaphragm | Abdominal muscles | Physiology | null | aec5a2e1-8a0b-421e-844c-8ba9d2e85b1d | single |
Which of the following is an example of an ARCON type articulator? | null | 4 | Trubyte articulator | Dentatus, ARL articulator | Gysi articulator | None of the above | Dental | null | 9838f00d-e0aa-4f18-92af-0153f308e03a | multi |
Respiratory distress is seen in | As both the cords lie in median or paramedian position, the airway is inadequate causing dyspnoea and stridor but the voice is good. Dyspnoea and stridor become worse on exeion or during an attack of acute laryngitis Ref: PL Dhingra Textbook of Ear, Nose and Throat, Edition 7, page - 339 | 1 | Bilateral abductor palsy | Unilateral abductor palsy | Unilateral recurrent laryngeal nerve paralysis | null | ENT | Larynx | 60015c65-7715-4279-9031-a7a5e819e213 | multi |
Primary action of inferior oblique muscle is - | Ans. is 'c' i.e., Extorsion MusclePrimary ActionSecondary ActionSuperior rectusElevationAdduction and intorsionInferior rectusDepressionAdduction and extorsionMedial rectusAdduction Lateral rectusAbduction Superior obliqueIntorsionAbduction and depressionInferior obliqueExtorsionAbduction and elevation | 3 | Abduction | Adduction | Extorsion | Elevation | Anatomy | Orbit | a3a730fd-0145-4624-ae2a-60dcd9ea8d39 | single |
Pseudo koebener's phenomeneon is/are seen in –
a. Warts
b. Molluscum contagiosum
c. Lichen planus
d. Psoriasis | Pseudo-koebner's phenomenon is seen in plane wart, molluscum contagiosum and eczematous lesions. | 1 | ab | bc | cd | ad | Dental | null | 60eb090d-9638-44c4-bfc6-dc6a57ea4e72 | single |
About NPCB, all are true except - | Ans. is 'c' i.e., 100% coverage of Vitamin A prophylaxis doses from 9 months to 3 years of age o Targets for tenth five year plan under national programme for control of Blindness (NPCB) were : - i) lb increase the cataract surgery rate to 450 operations per lakh population. ii.) Intra-ocular lens implantation in more ... | 3 | Increase cataract surgery rate to 450 operations per lakh population | Intra-ocular lens implantation in more than 80% cataract surgery cases | 100% coverage of vitamin A prophylaxis doses from 9 months to 3 years of age | Development of 50 pediatric ophthalmic units | Social & Preventive Medicine | null | e5e76e9e-8be4-47ed-a576-5f29951ddfd7 | multi |
Pulp space infection painful due to? | Ans. is 'a' i.e., Dense fibrous septae Pulp space infection (felon) Pulp space infection with pus trapped between the specialised fingeip septae causes intense fingeip pain. It may lead to terminal phalangeal bone infection, erosion and sequestrumformation.The last of these will need to be drained and debrided. A commo... | 1 | Dense fibrous septae | Small phalynx | Rich blood supply | Rich nerve supply | Surgery | null | 1c29f409-b293-4f9c-8187-c938c3a8d915 | multi |
A 70 year old patient with history of smoking presents with gross painless
hematuria. Likely diagnosis is | History of smoking, old age and gross hematuria it is likely to be bladder Ca. | 2 | Uerter stone | Ca. bladder | Ca. prostate | Bladder stone | Surgery | null | ae557d13-9c15-4637-b49a-ee3f5e126369 | single |
Material of choice for incremental border moulding is: | Incremental or sectional border moulding: It is a procedure, in which portions of the periphery of the tray are refined individually. The material of choice for this procedure is green stick compound | 2 | Polyether | Greenstick compound. | Polysulphide | null | Dental | null | 36685188-286c-4c43-9435-769a46d3511b | multi |
Acute phase reaction in acute inflammation are - | Infection or injury leads to a sudden increase in the plasma concentration of ceain proteins called acute-phase proteins. Acute phase reaction of acute inflammation albumin. REF:Textbook of microbiology, Ananthanarayan a, d Paniker. Page no.: 81 | 1 | Albumin | Rfibrinogen | Haptoglobulin | Gammaglobulin | Microbiology | Immunology | e1804a6c-e35b-4c30-8b43-95793175d304 | single |
Zero dose of Polio vaccine in which is give - | null | 2 | Before giving DPT | At birth | When child is having diarrhoea | When child is having Polio | Social & Preventive Medicine | null | 87367089-cf7a-4ef3-a49e-5ec6f11a0eb0 | single |
Branchial cleft anomalies are present at bih or sholy after bih. Which of the following is TRUE about branchial anomaly? | The usual course of branchial cleft apparatus anomalies is recurrent infection. These masses may present in the neck as a discrete fullness along the anterior border of the sternocleidomastoid. Cysts are more common than fistulas or sinuses. The majority of branchial cleft cysts arise from the second branchial cleft, w... | 4 | Fistulas are more common than cysts | For sinuses surgery is not always indicated | Cysts present with dysphagia and hoarseness of voice | Most commonly due to 2nd branchial remnants | Surgery | null | 2cd9126e-8cfd-4980-b4a5-55cc66938bf5 | multi |
Trichomonas -- which of the following true is ? | Discharge is thin greenish yellow,frothy offensive smelling profuse in nature vulva inflamed with evidence of pruritis PH is 5.5-6.5 D.C.DUTTA&;S TEXTBOOK OF GYNAECOLOGY,Pg no:164,6th edition | 1 | Foul smelling copious vaginal discharge | scanty discharge | curdy white discharge | fluconazole is used | Gynaecology & Obstetrics | Infections of the genital tract | a6abe845-4a04-4dd2-9be2-177aff617d49 | multi |
Unit of measurement of insulation of clothing is | Clothing insulation is the thermal insulation provided by clothing.Clothing insulation may be expressed in clo units1 Clo = 0.155 m2K/WClo = 0 - corresponds to a naked personClo = 1 - corresponds to the insulating value of clothing needed to maintain a person in comfo sitting at rest in a room at 21 (70 ) with air move... | 2 | Cl units | Clo Units | Clot units | Cloth units | Social & Preventive Medicine | Concept of health and disease | ffc04f67-3b5e-4d3a-933a-ddf73a050984 | single |
A 15 year old child presents with falling school grades and development of abnormal posture. On examination dystonia and increase muscle tone is noted. Slit lamp examination shows presence of KF ring. Liver biopsy for copper will be stained by which of the following stain? | Rubeanic acid and Rhodamine stains are utilized to detect the cytoplasmic accumulation of copper in the liver. Schmorl's method is used for detecting melanin and uses the reducing propeies of melanin to stain granules blue-green. It is also used to detect lipofuscin. | 2 | Perl stain | Rubeanic acid | Supravital stain | Schmorl's method | Medicine | Wilson Disease | 070d9d1b-d620-48a7-a5cb-46c17890eeba | multi |
SEPS is used for | . SEPS-Subfascial Endoscopic Perforator Ligation Surgery,it us recommended in chronic venous insufficiency. procedure: A special telescope is introduced deep to deep fascia through a single small veical incision at proximal leg selecting healthy skin.potential space between muscle and deep fascia with loose areolar tis... | 2 | Aery | Veins | Lymphatics | Lymphnodes | Surgery | Vascular surgery | f733951f-60fc-49e9-837f-71d64f195124 | single |
The Fc piece of which immunoglobulin fixes C1 - | IgM is paicularly effective at complement activation by binding to C1 Ref: Ananthanarayan & Parker's textbook of microbiology 9th edition pf:98 | 3 | IgA | IgG | IgM | IgE | Microbiology | Immunology | ed0e5fcf-26cd-4e04-b987-180c8a6d0384 | single |
The following is not an indication of this procedure: | Ans. (C). Wife is FrigidThe image shows artificial insemination procedure.It is the procedure of artificial introduction of semen into female genital tract to induce pregnancy.Indications of artificial insemination:Husband is impotentHusband is sterileHusband is unable to deposit semen due to hypospadiasisHusband is su... | 3 | Husband is impotent | Husband is sterile | Wife is frigid | Rh incompatibility between husband & wife | Forensic Medicine | Sexual Offenses | 7e602fc4-9d6f-49d9-bd73-a172c00e6e78 | single |
Polyuria is feature of all of the following except - | null | 1 | Hypocalcemia | Hypokalemia | Lithium toxicity | ADH deficiency | Medicine | null | 1e4a9629-eaf5-4cbf-9285-6ad822dde305 | multi |
Marker of small cell cancer of lung is - | Ref:Textbook of pathology (Harsh mohan) 6th edition,page no.500 Small cell carcinoma: Small cell carcinomas are frequently hilar or central in location, have strong relationship to cigarette smoking and are highly malignant tumours. They are most often associated with ectopic hormone production because of the presence ... | 1 | Chromogranin | Cytokeratin | Vimentin | Desmin | Pathology | Respiratory system | e3b5d302-fcdb-4e0d-874c-05ddcab4f048 | multi |
Leukotriene receptor antagonist used for bronchial asthma is: | Ans. (A) Zafirlukast(Ref: KDT 8th/e p248)Montelukast, zafirlukast and idalukast are Cys-LT1 receptor antagonists.Zileuton inhibits the production of leukotrienes by inhibiting the enzyme 5-lipoxygenase. | 1 | Zafirlukast | Zileuton | Cromolyn sodium | Aminophylline | Pharmacology | Asthma | 77caf877-040d-461d-8e31-20d5bdc60dc0 | single |
Which of the following is NOT a side effect of amiodarone? | Ans. is 'd' i.e., Tachycardia * Amiodarone is a broad spectrum anti - arrhythmic drug which belongs to class III of the anti - arrhythmic drugs.* Following are the adverse effects -i) Fall in BP, bradycardia and myocardial depression occurs on i.v. injection.ii) Photosensitization and skin pigmentation occurs in about ... | 4 | Pulmonary fibrosis | Corneal microdeposits | Photosensitivity | Tachycardia | Pharmacology | C.V.S | 73b87351-50c2-42be-abd1-c56f7d2cfeb8 | single |
The mechanism of action of sodium nitroprusside is: | Ans. (B) Stimulation of guanylate cyclase(Ref: KDT 8th/e p544)Sodium nitroprusside acts by releasing nitric oxide (NO). This stimulates guanylate cyclase and results in the elevation of cGMP, which is a potent vasodilator. | 2 | Increased cAMP | Stimulation of guanylate cyclase | Calcium channel blockage | K+ channel opener | Pharmacology | C.V.S | 1050a1f3-fffa-4cc4-a2fc-5ac2bcccb77f | single |
An infant has hepatorenomegaly, hypoglycemia, hyperlipidemia, acidosis and normal structured glycogen deposition in liver. What is the diagnosis ? | Ans. is 'b' i.e., Von Gierke's disease Von-Gierke disease (Type I glvcogenosis) o It is an autosomal recessive disorder. o It is due to absent or deficient activity of glucose-6-phosphatase in Liven Kidney, Intestinal mucosa o It can be divided into two subtypes ? i) Type Ia glucose - 6 - phosphatase is defective ii) T... | 2 | Her's disease | Von Gierke's disease | Cori's disease | Anderson's disease | Pediatrics | null | a44c93ae-13df-4926-819b-655b2f513a16 | single |
Phagocytosis is the function of- | Ans is 'c' i.e., Microglia o Micro-organisms entering the tissue fluid or blood stream are very rapidly engulfed by the cells called phagocytes,o Phagocytic cells are of two types :o Basophils also belong to polymorphonuclear microphages but they are not phagocytes.o Eosinophils have only a limited degree of phagocytic... | 3 | Astrocytes | Oligodendrocytes | Microglia | Schawan cells | Pathology | Acute Inflammation - Overview and Morphologic Patterns | af7d0da9-6014-4059-8466-439ed0dd968f | single |
Central dot sign is seen in? | Ans is c i.e. Caroli's disease Caroli's disease is a rare congenital abnormality in which there is communicating cavernous ectasia of the intrahepatic biliary ducts. Caroli's disease is equivalent to type V choledochal cyst. It is commonly associated with congenital hepatic fibrosis and cystic lesions of the kidney.Pat... | 3 | Primary sclerosing cholangitis | Liver Hamaoma | Caroli's disease | Polycystic liver disease | Surgery | null | f9ae65d6-3e5c-4685-899b-7ef2557238a3 | single |
Which of the following is not the branch of maxillary branch of external carotid aery? | Maxillary aery is the larger terminal branch of the external carotid aery, given off behind the neck of mandible. It has three pasmandibular paPterygoid paPterygopalatine paBranches of respective pas are:Mandibular- deep auricular, anterior tympanic, Middle meningeal, accessory meningeal, Inferior alveolarPterygoid- ma... | 4 | Inferior alveolar | Middle meningeal | Anterior tympanic | Posterior tympanic | Anatomy | Brain | 116d4e0d-69f7-45d8-bc76-f33dc9429ec2 | single |
A young patient presents with enlargement of the costochondral junction and with the white line of Fraenkel at the metaphysis. The diagnosis is - | Enlargement of the costochondral junction (rosary) and white line of Frankel are seen both in scurvy and rickets.
However, the best answer here is scurvy as white line Fraenkel is seen in healing rickets, not in active rickets. And rickets (if not specified as healing rickets) refers to active disease. | 1 | Scruvy | Rickets | Hyperparathyroidism | Osteomalacia | Orthopaedics | null | f77a7c28-528e-40a2-ab55-e52ac51b65c9 | single |
Halo effect in an X-Ray is seen in which condition | Halo effect is typical of vertical root fracture. As that is not in the option next best choice is periapical periosteitis | 4 | Horizontal Root Fracture | Acute apical abscess | Acute apical periodontitis | periapical periosteitis | Dental | null | c86ff884-10fd-49e8-a870-7fe6c1f381f8 | single |
Thalamus is the sensory relay station for all except | Thalamus messages sensory relay station for all the senses Ref: guyton and hall textbook of medical physiology 12 edition page number: 691,692,693 | 4 | Pain | Fine touch | Taste | All | Physiology | Nervous system | 99fcde35-e843-4894-952a-d979c8ca54db | multi |
Stimulation of the nerves of the pelvic parasympathetic plexus results in | (A) Penile erection # PELVIC SPLANCHNIC NERVES or NERVI ERIGENTES are splanchnic nerves that arise from sacral spinal nerves S2, S3, S4 to provide parasympathetic innervation to the hindgut.> Structure: The pelvic splanchnic nerves arise from the ventral rami of the S2-S4 and enter the sacral plexus. They travel to the... | 1 | Penile erection | Constriction of the internal urethral sphincter | Vasoconstriction | Contraction of the genital smooth muscle | Physiology | Misc. | 0e8b4ca3-c22a-4ea1-a94f-4ecad47c2c23 | single |
Which is the primary gland responsible for thermoregulatory sweating in humans? | Human sweat glands are generally divided into two types: apocrine and eccrine. The eccrine gland is the primary gland responsible for thermoregulatory sweating in humans. Eccrine sweat glands are distributed over nearly the entire body surface. Apocrine glands are located only in genital, axillary and mammary areas. Re... | 2 | Apocrine gland | Eccrine gland | Sebaceous gland | Holocrine gland | Skin | null | def86820-8cd0-44cd-a1e9-5a288d1e5d8a | single |
Platelet adhesion to vessel wall is due to? | Ans. (c) vWF(Ref: Robbins 9th/pg 660; 8th/pg 670)Platelet adhesion to vessel wall is due to vWF on endothelium and GpIb/IX receptors on the surface of platelets. | 3 | Factor IX | Fibrinogen | vWF | Fibronectin | Pathology | Bleeding Disorders | 25d2609c-908a-4d31-b795-dfea832dfeb5 | multi |
Which is not true about hallucination | The hallucination is defined as perception without a stimulus. hallucination is experienced clear and vivid like a true perception it is not under the control of the person experiencing it and it seems to come from an external objective space for example, from outside the ears in the case of an auditory hallucination, ... | 2 | It is vivid as normal stimulus | It occurs in inner subjective space | It is independent of will of observer | It occurs in absence of perceptual stimuli | Psychiatry | Symptoms and signs in psychiatry and classification | cb43c6a5-74b5-4ec7-8f6d-63f9d9933ce5 | multi |
A case of spontaneous pneumothorax comes to you. What will be the earliest t/t of choice - | Pneumothorax: is the presence of gas in the pleural space.
Types :
(a) Spontaneous pheumothorax → is one that occurs without antecedent trauma to the thorax
(i) Primary spontaneous - Occurs in the absence of an underlying lung disease (usually d/t apical plural blebs).
(ii) Secondary spontaneous - d/t an underlying l... | 2 | IPPV | Needle aspiration | ICD | Wait and watch | Surgery | null | c3b6822f-48be-4915-9d47-fd77e37c0cbd | single |
Chief advantage of sanitary pontic is | null | 3 | Economical | Easy to fabricate | Easy to keep oral hygiene | All of the above | Dental | null | ccd7e318-4ce5-4fc8-ae62-81784ac22ee3 | multi |
Primary closure of incised wounds must be done within | • Primary suture:
−− Clean wounds
−− Selected contaminated wounds after thorough wound toileting and debridement
• Delayed primary suture:
−− Heavily contaminated wounds
−− Wounds in which wound toileting has been delayed for 6–8 hours
• Left open to heal by secondary closure | 3 | 2 hrs | 4 hrs | 6 hrs | 12 hrs | Surgery | null | 1ef4bec0-4ec4-47a8-b2f7-bd1d6473d92c | single |
What will be the initial management in a hemodynamically stable patient with an anterior abdominal stab injury presenting with a tag of omentum protruding through the abdominal wall near the umbilicus and showing no signs of peritonitis? | emodynamically Stable patients with omental protrusion should be investigated thoroughly first with an abdomino-pelvic contrast enhanced CT scan, before proceeding to surgery. Exploratory Laparotomy is not an absolute indication for this case. Ref: Reference: Trauma: A Comprehensive Emergency Medicine Approach By Eric ... | 2 | FAST | CECT Abdomen | Exploratory Laparotomy | Local Wound Exploration and Suturing | Surgery | null | 8282b86a-2af6-474e-ac4e-9d95abf6b6ba | multi |
Which of the following is not true about dengue shock syndrome? | Ans. is 'b' i.e., Well-nourished child is protected from the manifestation * The induction of vascular permeability and shock in dengue patients i. e. development of dengue shock syndrome depends on multiple factors, including the following:i) Presence of enhancing and nonneutralizing antibodies-- Transplacental matern... | 2 | Susceptibility to dengue shock syndrome drops considerably after 12 years of age | Well-nourished child is protected from the manifestation | Serotype 1 infection followed by serotype 2 seems to be more dangerous than serotype 4 followed by serotype 2 | Serotype 2 infection has more chances of developing dengue shock syndrome compared to other serotypes | Medicine | Infection | 39803553-dede-4392-86b1-83c6efac4ad8 | multi |
All are factors of poor wound healing except - | Answer- A. Young ageSystemic factorsPoor nutrition (protein deficiency, vitamin C deficiency)Metabolic abnormalities (Diabetes mellitus).Poor circulatory status (Inadequate blood supply)Hormones, e.g. glucocoicoidsB. Local factorsInfection is the single most impoant factor.Mechanical factors, e.g. early mobilization.Fo... | 1 | Young age | Infection | Zinc deficiency | Vitamin D deficiency | Pathology | null | 6b23ce2b-90da-42a2-bb89-5ded2eeb45fb | multi |
Transmission of R factor is by ? | Ans. is 'a' i.e., Conjugation Conjugation Bacterial conjugation is the transfer of genetic material between bacteria through direct cell to cell contact or through a bridge- like connection between two cells. Conjugation is process where by a donor (male) bacterium makes physical contact with a recipient (female) bacte... | 1 | Conjugation | Transduction | Transformation | Lysogenic conversion | Microbiology | null | 4ee4f0e2-344f-4e2d-ae20-893589fa348b | single |
Abtacept is used in treatment of which of the following conditions? | Abatacept is a recombinant fusion protein composed of the extracellular domain of cytotoxic T-lymphocyte-associated antigen 4 (CTLA-4) fused to human IgG Fc. CTLA-4 is a costimulatory molecule found on T cells that binds to CD80 and CD86 on antigen presenting cells. This fusion protein blocks activation of T cells by b... | 1 | Rheumatoid ahritis | Asthma | Paroxysmal nocturnal hemoglobinuria | Autoimmune haemolytic anemia | Pharmacology | null | d56e049e-7a0f-4dfe-b068-05d99cd15c3c | single |
All of the following are watersoluble radical trapping antioxidants except? | Ascorbate, uric acid, and a variety of polyphenols derived from plant foods act as water-soluble radical trapping antioxidants. Ubiquinone and carotenes similarly act as lipid-soluble radical-trapping antioxidants in membranes and plasma lipoproteins. Reference: Harpers illustrated biochemistry 30th edition | 2 | Ascorbate | Carotenes | uric acid | Polyphenols | Biochemistry | vitamins | a86a2ce7-aea4-4c6a-bcfc-00950a04f984 | multi |
An enzyme involved in the catabolism of fructose to pyruvate in the liver is: | A i.e. Glyceraldehyde- 3- phosphate dehydrogenase | 1 | Glyceraldehyde-3-phosphate Dehydrogenase | Phosphoglucomutase | Lacta te-dehydrogena se | Glucokinase | Biochemistry | null | 6fedf6a1-fdd2-4c23-9713-4a7d619de917 | single |
Which of the following changes would be most consistent with the diagnosis of choriocarcinoma? | Gestational trophoblastic disease may involve hydatidiform mole, choriocarcinoma, or placental trophoblastic tumor. Trophoblastic tissue produces B-HCG and thus B-HCG is elevated in all these conditions. AFP is increased in neural tube defect setting when screening at 15-18 weeks gestation. AFP may be decreased in Down... | 1 | Increased B-HCG | Increased alpha-fetoprotein (AFP) | Increased thyroid-stimulating hormone (TSH) | Decreased AFP | Surgery | Urethra & Penis | 35544c59-a9ec-420f-af14-ea951bcf6e5c | single |
Effectiveness of blood brain barrier is by: | A i.e. Tight endothelial function | 1 | Tight endothelial function | Microglial cell | Thick basement membrane | Tight arrangement of astrocyfes | Physiology | null | db5dde9f-3c4e-4169-8c02-d924df19e9a4 | single |
Which is not an epidemiological method of population survey? | null | 1 | Twin studies | Ecological studies | Correlational studies | Community trials | Dental | null | 8c3ee1de-5215-4de3-b4cb-b6da8370b3a7 | single |
Confirmation of the diagnosis of vesicular mole is by : | Ultrasonogram | 4 | Vaginal examination | X-rays | Abdominal examination | Ultrasonogram | Gynaecology & Obstetrics | null | 2909e917-e2f9-40ad-938d-40358104c2b3 | single |
A 90-year-old woman with mild diabetes and Alzheimer disease dies in her sleep. At autopsy, hepatocytes are noted to contain golden cytoplasmic granules that do not stain with Prussian blue. Which of the following best accounts for pigment accumulation in the liver of this patient? | Advanced age. Substances that cannot be metabolized accumulate in cells. Examples include (1) endogenous substrates that are not processed because a key enzyme is missing (lysosomal storage diseases), (2) insoluble endogenous pigments (lipofuscin and melanin), and (3) exogenous particulates (silica and carbon). Lipofus... | 1 | Advanced age | Alzheimer disease | Congestive heart failure | Diabetic ketoacidosis | Pathology | Cellular Pathology | 0119fec0-c567-4783-b5e6-a8e693b28399 | single |
Primary biliary cirrhosis is most commonly associated with______ | Primary Biliary Cirrhosis Autoimmune disorder Clinical manifestation - obstructive jaundice F > M Antibody seen in antimitochondrial ab which is formed against E2 subunit of PDH enzyme. Interlobular bile ducts are actively destroyed by lymphoplasmacytic inflammation with or without granulomas. | 2 | Systemic sclerosis | Sjogren syndrome | Ulcerative colitis | Pancreatitis | Pathology | Bilirubin Metabolism | 40cfd5da-5e9e-426d-bbbb-0b659f5faac4 | single |
In apoptosis which is/are involved - | Ans. is 'a' i.e., Apaf-1; 'b' i.e., BCl2; 'c' i.e., Caspases | 4 | Apaf-1 | Bc12 | Caspases | All | Pathology | null | 7c8b8a06-b433-4420-aa76-df9feb124872 | multi |
All of the following statements about the differences between self-polymerizing acrylic
resins and heat—cured resins are true EXCEPT | null | 4 | The former have a lower molecular weight | The former have higher residual monomer content | The former are more porous | The former have greater transverse strength | Dental | null | eedbe345-1660-4928-864f-ab7034d32207 | multi |
All the following are the indicators for single visit endodontics EXCEPT | null | 1 | Acute inflammation of the periapex | Nonvital teeth with sinus tract | Vital tooth | Fractured tooth | Dental | null | 00b18a80-0a93-4a55-b8b4-2b8bf73a5a0c | multi |
All of the following are derivatives of connective tissue except? | null | 2 | Endothelial cells | Clara cells | Fibroblast | Mast cells | Anatomy | null | 79d78906-e470-4c70-93ce-96299aa97942 | multi |
Taste fibres are relayed to which of the following structure? | Nucleus solitarius is an elongated sensory nucleus in the medulla that receives axons from cranial nerves VII, IX, and X. The rostral pa of this nucleus is called gustatory nucleus and it conveys information about taste and visceral sensations. Fibers from this nucleus ascend to ventroposterior nucleus (VPM) in the tha... | 2 | Nucleus of fifth nerve | Tractus solitarius | Nucleus ambiguus | Red nucleus | Anatomy | null | ad23622e-26d0-4b3d-92cf-42b9cece0e93 | single |
Cause of ITP is | null | 3 | Vasculitis | Antibody to vascular epithelium | Antibody to platelets | Antibody to clotting factors | Medicine | null | a3fdca60-32bc-42af-9b25-2b227a121f6f | single |
Most common location of accessory spleen? | Accessory spleen may be found at :- i) Hilum of spleen (most common site). ii) Tail of pancrease. iii) Derivatives of dorsal mesogastrium :- Greater omentum, gastrophrenic ligament, gastrosplenic ligament, linorenal ligament. iv) Broad ligament of uterus (in males) and spermatic cord (in female); both left side. | 1 | Hilum of spleen | Greater omentum | Lesser omentum | null | Anatomy | null | 95f4a65f-e039-42ad-a6ee-8c00dbc329b3 | multi |
Standard in perimetry is | Goldmann's perimeter: It consists of a hemispherical dome. Its main advantage over the tangent screen is that the test conditions and the intensity of the target are always the same. It permits greater reproducibility, Goldmann perimeter stimuli I through V. Unless otherwise instructed, the equivalent to Goldmann size ... | 3 | Goldman type I | Goldman type II | Goldman type III | Goldman type IV | Ophthalmology | Anatomy, Development and clinical examination | 76edc5cb-1576-4154-a32d-14d981098700 | single |
Filarial stage of adult worms responsible for diseases in all of the following except: | Ans. (d) Mansonella ozzardi Mansonella Ozzardi M. ozzardi is a new world filaria seen only in central and south America and the West Indies. The adult worms live in the body cavities of humans, mainly in peritoneum, less often in pleura, and rarely in pericardium. The microfilariae are unsheathed and nonperiodic. Vecto... | 4 | Onchocerca volvulus | Brugia | Wuchereria | Mansonella ozzardi | Microbiology | null | 076e6f8c-23b7-4cdf-bbab-dac6a41646fc | multi |
The rate of newly synthesized osteoid mineralization can be best estimated by - | Tetracycline labelling for osteoid mineralization
Tetracycline labelling is the method of choice for estimating newly synthesized osteoid mineralization in human.
Tetracycline is incorporated into new areas of osteoid that are being laid down but not yet mineralized (osteoid seams)
To estimate the rate of newly synthe... | 1 | Tetracycline labeling | Alizarin red stain | Calcein stain | Van kossa stain | Orthopaedics | null | f198f857-1556-43a9-8df8-e84406b91918 | single |
In Complete cleft the hard palate is totally separated from? | Vomer REF: With text Palate cleft can occur as complete (soft and hard palate, possibly including a gap in the jaw) or incomplete (a 'hole' in the roof of the mouth, usually as a cleft soft palate). Normally the hard palate is continuous in front and laterally with the alveolar processes of the maxilla, and gives attac... | 3 | Maxilla | Soft palate | Vomer | All | Surgery | null | 74403f60-1ba1-4fe8-808f-ff893ff86d6f | multi |
Which of the following is the primary mechanism of action of fluoride on topical application? | The presence of fluoride reduces the solubility of enamel by promoting the precipitation of hydroxyapatite and phosphate mineral. Ca10(P04)6(OH)2 +2F- -> Ca10(PO4)6F2 + 2OH (OH ions are replaced) (hydroxy-apatite) (fluro-apatite) Ref: Essentials of Pedodontics By Tilakraj, Pages 182-3 ; A Textbook of Public Health Dent... | 4 | Forming a reservoir in saliva | Inhibition of plaque bacteria | Improvement in tooth morphology | Conversion of hydroxyapatite to fluorapatite by replacing the OH- ions | Pharmacology | null | 3f02aa5a-3168-441a-8068-39a7941ff04f | single |
A 2-year-old girl with a history of chronic constipation since birth is brought to the emergency room because of nausea and vomiting. Physical examination shows marked abdominal distension. Abdominal radiography reveals distended bowel loops with a paucity of air in the rectum. A rectal biopsy shows an absence of gangl... | Hirschsprung disease, also referred to as congenital megacolon, results from a congenital defect in the innervation of the large intestine, usually in the rectum. Severe chronic constipation is typical. Marked dilation of the colon occurs proximal to the stenotic rectum, with clinical signs of intestinal obstruction. T... | 3 | Acquired megacolon | Anorectal stenosis | Hirschsprung disease | Imperforate anus | Pathology | G.I.T. | 0262524f-7df5-4d0d-a1a9-dcc691208a75 | single |
Reduviid bug is a vector for the transmission of - | bite by reduviid bug T.cruzi causes South American trypanosomiasis or chaga's disease Chagoma Romana's sign (refer pgno:50 baveja 3 rd edition) | 4 | Relapsing fever | Lyme's disease | Scrub typhus | Chaga's disease | Microbiology | parasitology | 331c5416-f0e7-4503-91fc-2083c1af2e90 | single |
Alpha granules of platelets contain all Except | Alpha granules contain P.Selectin, Fibrinogen, Coagulation factor V, VWF, Fibronectin, Platelet factor 4, PDGF, TGF bDelta granules contains ADP, ATP, ionized Ca, Serotonin, EpinephrineReference: Robbins and Cotran Pathologic Basis of Disease; 9th edition; Volume I; Page no: 117 | 4 | Fibronectin | Platelet factor-4 | Platelet-derived growth factor | Serotonin | Pathology | Haematology | e7802efa-cd42-4b17-b8e3-3e6c6848b9b2 | multi |
Zafirlukast acts by blocking the action of : | null | 4 | Prostacyclin | Platelet activating factor | Leukotriene B4 | Leukotriene C4/D4 | Pharmacology | null | 3a799a02-ef0c-4216-9fee-b2b34246f483 | single |
Plasmacytoid lymphomas may be associated with - | Plasmacytoid lymphoma
Plasmacytoid lymphoma, also known as plasmacytoid lymphocyte type malignant lymphoma, is a B cell neoplasm that is associated with plasmacytoid differentiation of lymphocytes.
Plasmacytoid lymphocytes are transitional forms between lymphocytes and plasma cells.
These are low grade lymphoid neopla... | 2 | IgG | IgM | IgA | IgE | Pathology | null | b818ac0a-c5c3-4802-adf5-c33d2ed87998 | single |
One gram of hemoglobin contains how muchiron ? | Ans. is 'b' i.e., 3.4 mgOne gram of hemoglobin contains 3.34 mg of iron.Normally, 100 ml of blood contains 15 gm of hemoglobin and about 50 mg of iron (3.34 15).So, if 100 ml of blood is lost from the body, there is a loss of about 50 mg of iron.In females, during every menstural cycle, about 50 ml of blood is lost by ... | 2 | 2 mg | 3.4 mg | 5 mg | 6 mg | Biochemistry | null | 16128618-7cfc-46c6-a29d-dc392fe1e32d | single |
Cataplexy is characterized by? | Ans. is 'c' i.e., Decreased muscle tone * Cataplexy is the most common accessory symptom of Narcolepsy and is characterized by sudden decrease in muscle tone, either, local or generalized. | 3 | Hypnopompic hallucinations | Nocturnal penile tumescence | Decreased muscle tone | Somnambulism | Psychiatry | Sleep Disorders | 34d688d3-4d01-4283-bfd9-ee2bb0df1211 | multi |
What is the commonest site of esophageal carcinoma ? | The lower end of the oesophagus is also prone to inflammation or ulceration by regurgitation of acid from the stomach. It is the commonest site of oesophageal carcinoma. Ref : B D Chaurasia's Human Anatomy , seventh edition , volume 2 , pg.no.,273. | 1 | lower end of oesophagus | upper end of oesophagus | middle third of oesophagus | thorasic pa of oesophagus | Anatomy | Abdomen and pelvis | 4ffc16f5-2438-4a2f-b9bd-82ae57347b1a | single |
All are related to criminal responsibility of insame except ? | Ans. is 'd' i.e., Resp ispa loquitar | 4 | Currens rule | Durhan rule | Mc Naughten rule | Resp ispa loquitar | Forensic Medicine | null | 1b839805-604e-40df-9dec-ebbbc468a346 | multi |
Each gram of fat supplies how many kcal of energy: | The various nutrients provide energy as follows: Nutrient Energy in kcal/ gram Protein 4 Carbohydrate 4 Fat 9 Dietary Fibres 2 Ref: Park 21st Edition, Page 585. | 2 | 5 | 9 | 12 | 13 | Social & Preventive Medicine | null | c670a411-764d-4a79-95f9-71a4f72fc7b4 | single |
Human Development Index includes all of the following except: March 2009, September 2009, September 2012, March 2013 (a, c, d, f) | Ans. A: Infant moality The Human Development Index (HDI) is a composite statistic used to rank countries by level of "human development" and separate developed (high development), developing (middle development), and underdeveloped (low development) countries. The statistic is composed from data on Life Expectancy, Edu... | 1 | Infant moality | Income | literacy rate | Life expectancy at bih | Social & Preventive Medicine | null | 467b48f3-af28-4445-95c9-06a4e2d59420 | multi |
Vector of kala-azar is: | Leishmaniasis is caused by protozoan parasites belonging to the genus Leishmania.
The parasites are transmitted by the bite of a tiny – only 2–3 mm long – insect vector, the phlebotomine sandfly.
There are some 500 known phlebotomine species, but only about 30 have been found to transmit leishmaniasis.
Only the femal... | 1 | Sandfly | Tsetse fly. | Mites | Flea | Microbiology | null | 33bf8a61-fd14-4ee2-ba5b-29f12ea2a27c | single |
Familial hypercholesterolemia is due to defect in | Name Defect Remarks Familial hypercholesterolemia (type IIa) Defective LDL receptors or mutation in the ligand region of apo B-100 Elevated LDL levels and hypercholesterolemia, resulting in atherosclerosis and coronary disease Reference: Harper; 30th edition; Page no: 275 | 4 | Apo A | Lipoprotein lipase | Apo C | Apo B 100 | Biochemistry | Metabolism of lipid | c3f73a22-dcac-4ba8-ac7c-0a7875e7c5dd | single |
Sacrotuberous ligament is not pierced by | Sacrotuberous ligament is pierced by
Coccygeal branch of Inferior gluteal nerve
Perforating cutaneous nerves
Filaments of Coccygeal plexus | 3 | Coccygeal branch of Inferior gluteal nerve | Perforating cutaneous nerves | Posterior cutaneous nerve of thigh | Filaments of Coccygeal plexus | Anatomy | null | 017b7329-89d5-4bf7-a501-63fc4e13f8ae | single |
Black tongue is seen in abuse of: | D i.e. Cocaine | 4 | Heroine | Dhatura | Smoking | Cocaine | Forensic Medicine | null | f10258db-07c3-4adf-a8e7-14bca73f033a | single |
All of the following are TRUE about amoebic liver abscess, EXCEPT: | "Male preponderance of greater than 10:1 has been repoed in all studies" "A recent retrospective study comparing surgical with percutaneous drainage for large (>5 cm) abscess showed a better success rate with surgical drainage" "Percutaneous drainage of multiple abscess is usually met with a higher failure rate" "Like ... | 2 | Metronidazole is the mainstay of treatment | Shows male preponderance of 4:1 | More common on right liver | Multifocal abscess cannot be treated with aspiration | Surgery | null | 28b2b396-b6ea-4a5d-8f44-b6ede38aef68 | multi |
Intermittent painless uterine contractions which the mother is unaware, from 4th month of pregnancy is termed as | Braxton-Hick's sign The intermittent painless uterine contractions, occur once in 10-15 minutes, of which the woman is unaware. This can be felt on abdominal palpation from 4th month onwards. It is present even when the fetus is dead. Ref: FORENSIC MEDICINE AND TOXICOLOGY Dr PC IGNATIUS THIRD EDITION PAGE 330 | 4 | Jacquemier's sign | Quickening | Palmer's sign | Braxton Hick's sign | Anatomy | Miscellaneous | 7537a27d-b7bc-4e96-b286-6425cba16d94 | single |
When Class III elastics are used, the maxillary first molars will: | Class III elastics are worn from the maxillary first molars to the mandibular canines. The force system created by Class III elastics will produce mesial movement and extrusion of the maxillary first molars. | 2 | Move distally and intrude | Move mesially and extrude | Move mesially and intrude | Move only mesially; there will be no movement in the vertical direction | Dental | null | 87ea468f-8eb2-42b5-804f-b93fde229365 | multi |
Non-motile organism: | Ans. d. Antigenic | 4 | E. coli | Vibrio cholera | Protein in nature | Antigenic | Microbiology | null | 9a0b4432-af7a-4765-85da-f36ac9ad580c | single |
Which antineoplastic agent is an antifolate drug ? | Ans. is 'a' i.e., Methotrexate | 1 | Methotrexate | Adriamycin | Vincristine | Cyclophosphamide | Pharmacology | null | 019f722e-2b58-4cbd-ae88-a38c1a7efd34 | single |
Paraneoplastic syndrome Hypercalcemia of malignancy, is produced due to ectopic production of which hormone by lymphomas ? | Ans. is 'b' i.e., 1, 25 dihydroxyvitamin D | 2 | PTHrP | 1,25 dihydroxyvitamin D | PGE2 | Parathormone | Pathology | null | f9b34cc0-4e45-40b2-89d3-a11b6a3ca986 | single |
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