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Most common tumor associated with delayed puberty is - | Ans is 'a' i.e., Craniopharyngioma o Craniopharyngioma is the most common tumor associated with delayed puberty.o It develops from pituitary stalk with suprasellar extension from nests of epithelium derived from the rathkes pouch.o The radiologic hallmark is presence of suprasellar calcified cyst.o Calcifications are p... | 1 | Craniopharygioma | Prolactinoma | Astrocytoma | Medulloblastoma | Unknown | null | ce13277e-25f0-4eef-bb00-8436dc2e2361 | single |
Which pa ot the kidney is affected by Mercury? | . PCT | 1 | PCT | DCT | Collecting duct | Loop of Henle | Pathology | null | d65aa054-377e-4f30-9262-285f8b9385c1 | single |
All of the following drugs are used for managing status epilepticus except : | Answer is D (Carbamazepine) : Carbamazepine is the most effective drug for complex paial seizures and shares first choice drug status with phenytoin fior generalized tonic clonic seizures and simple paial seizures. It is however not indicated in status epilepticus. | 4 | Phenytoin | Diazepam | Thiopentone sodium | Carbamzepine | Medicine | null | 3682196f-6f6d-4865-97db-e6cc642a8058 | multi |
Most common organism causing UTI: | Ans. (a) E. coli "E. coli cause 80% of acute UTI in patients with out catheterization." Strains of E. coli causing UTI are called extraintestinal pathogenic strains of E. coli. Remember:- E. coli is MC cause of catheter associate UTI too. UTI is MC nosocomial infection. E. coli is MC cause of neonatal meningitis. E. co... | 1 | E. coli | Streptococci | Klebsiella | Staphylococci saprophyticus | Microbiology | null | f9592034-5c2e-4835-88ad-bb06a8f194ae | single |
School closure is recommended during an outbreak of swine flu. All of the following support this except: | Ans. a. Closure of school will not lead to reduction in contact between children (Ref: style="font-size: 1.04761904761905em; font-family: Times New Roman, Times, serif"> pubmed/24267871 Transmission dynamics of the 2009 influenza A (H1N1) pandemic in India: the impact of holiday-related school closure. J Epidemics. 201... | 1 | Closure of school will not lead to reduction in contact between children | Children are the most common affected population by swine flu | Increased rates of transmission due to more opportunities for contact | Playing together of students increases transmission | Social & Preventive Medicine | Communicable Diseases | 16341a54-7c73-4450-af6f-130bf3169656 | multi |
The resistance of a population to infection and pathogen spread due to the immunity of a large presence of the population is known as? | Ans. is 'c' i.e., Herd immunity Herd immunity (herd effect, community immunity, population immunity, or social immunity)* It is a form of indirect protection from infectious disease that occurs when a large percentage of a population has become immune to an infection, thereby providing a measure of protection for indiv... | 3 | Resistance effect | Vicarious immunity | Herd immunity | Threshold immunity | Social & Preventive Medicine | Concept of Health and Disease | a6775ac7-35c5-4d56-a4b7-c2d3bdd37edd | single |
Bones of the cranial base include which of the following? | The cranial base includes, from anterior to posterior, the ethmoid, sphenoid, and occipital bones. | 2 | Maxilla, mandible, and cranial vault | Ethmoid, sphenoid, and occipital | Palatal, nasal, and zygoma | Frontal and parietal | Dental | null | 497686d6-6b6f-4774-80c8-698f65403aab | single |
Pseudodementia is seen in? | Ans. (a) DepressionRef. Kaplan and sadock's synopsis of psychiatry: Behavioral sciences clinical psychiatry 10th ed. /339, table 10.3-11 | 1 | Depression | Schizophrenia | Parkinsons disease | Dissociative disorder | Psychiatry | Dementia Due to Metabolic Causes | b6718820-2c5b-4886-823f-9aa355d144af | single |
Which of the following is not administered by intra dermal route? | Insulin is administered subcutaneously. MMR vaccine, heparin are also given by SC route All others are by intradermal route. (Ref.Essentials of medical pharmacology TD Tripathi 6th edition page no.263) | 2 | BCG | Insulin | Mantoux | Drug sensitivity injection | Pharmacology | Endocrinology | bb8a682e-5aeb-4989-9677-5a88a0608e7d | single |
True about prions is: | Ans. is 'b' i.e., Associated with misfolding of protein Prions are small protein-containing infectious particles with no detectable nucleic acid. They were suspected to be viruses but otherwise do not conform to the standard definition of viruses. They differ from the viruses in their many properties. The prions show f... | 2 | Encoded by viral genome | Associated with misfolding of protein | Non infectious | Immunogenic | Microbiology | Human Immunodeficiency Virus | 368a71a4-021e-40b3-a572-662f08607853 | multi |
Management of non Immunised diphtheria contacts include all except - | Non immunised close contact should receive prophylactic Penicillin or erythromycin. They should be given1000- 2000 units of antitoxin and actively immunised against diphtheria. The bacteriological surveillance should be continued for several weeks by repeated swabbing at weekly intervals Reference; Park&;s Textbook of ... | 2 | Prophylactic pencillin | Single dose of Toxoid | Daily throat examinations | Throat swab culture | Social & Preventive Medicine | Communicable diseases | be56e40f-4673-43c6-859c-12439e4f9880 | multi |
Which is the best index for burden of disease and effectiveness of interventions? | Ans. (b) Disability adjusted life years* Disability adjusted life years : Is a measure of the burden of disease in a defined population and the effectiveness of interventions; It expresses years lost to premature death and years lived with disability adjusted for its' severityALSO REMEMBER* DALYs can measure 'both mort... | 2 | Case fatality rate | Disability adjusted life years | Dependency ratio | Morbidity data | Social & Preventive Medicine | Indicators of Health | 5d8a41ec-bf44-41fa-8d67-7c0d2935f1da | single |
A patient Parul gives you the history that she has missed a single dose of her combined oral contraceptive pill. Which of the following will you advise her ? | null | 2 | Continue with the course without regard to the missed dose | Take 2 pills the next day and continue with the course | Take 2 pills everyday for the remaining part of the course | Discontinue the course and use alternative method of contraception | Pharmacology | null | ff717168-cfc5-4514-88ca-2b55c76aacb0 | single |
The following is ideal for the treatment with injection of sclerosing agents | It is ideal for first-degree internal hemorrhoids which bleed and for early second-degree internal hemorrhoids, injecting sclerosant will produce fibrosis in the submucosal region (sclerosis leading to mucosal fixation on to deeper planes and occlusion of lakes) thereby fixes the cushion which does not prolapse, causes... | 2 | External hemorrhoids | Internal hemorrhoids | Prolapsed hemorrhoids | Strangulated hemorrhoids | Surgery | G.I.T | 39438c8f-bbcb-4c99-819a-e0a0ba5cb695 | single |
Diagnosis of polio - | Ans. is 'a' i.e., Detection of polio virus in stool Lab diagnosis of polioo Virus isolation in tissue culture is the best method for specific diagnosis.o Specimens - Blood, CSF, Throat swab, Feceso Primary monkey kidney cultures are used,o Serodiagnosis is less often employed. | 1 | Detection of polio virus in stool | Serology | Limb wasting | AFP | Microbiology | Virology | 34d45b6e-d01c-47ea-8905-1379c29cf536 | single |
Pseudoclaudication is caused by | Pseudoclaudication is the term used for neurogenic claudication caused due to lumbar canal stenosis. Its symptoms mimic intermittent claudication of PVD. Neurogenic claudication, consists of back and buttock or leg pain induced by walking or standing and relieved by sitting or changing posture. Symptoms in the legs are... | 3 | Femoral Aery stenosis | Popliteal Aery stenosis | Lumbar canal stenosis | Radial Aery stenosis | Surgery | All India exam | 302ef268-f42c-48d1-9e41-bb38b2658dc9 | single |
Cardiac output is a measure of: | null | 4 | Peripheral resistance X tissue fluid | Peripheral resistance X cardiac rate | Blood pressure X cardiac rate | Heart rate X blood volume | Physiology | null | c1d14673-1b7b-4437-92c3-d4d7f4145874 | single |
An unconscious 50 year old known case of diabetes mellitus is brought to the ER. His medical records show he is on warfarin for atrial fibrillation. Which of the following investigations will not be done in this patient for work up? | Option A- Always C/I in bleeding diathesis & in |ICT Option B- Known case of D.M so RBS should be done. Option C- Since he is unconscious may be d/t warfarin toxicity so CT scan is a probable investigation. Option D- patient on warfarin for atrial fibrillation so ECG monitoring is mandatory. | 1 | Lumbar puncture | Random blood sugar | NCCT | ECG monitoring | Medicine | Diabetes Mellitus | d25d4a74-8ab6-488d-8a8c-d15dcc83ca31 | single |
Baby stas speaking sentence of few words at what age? | 2 years REF: Nelson Textbook of Paediatrics 17th edition page 1874, http://en.wikipedia.org/wiki/Child Developmental Milestones Age Motor Speech Vision and hearing Additional notes 4-6 weeks When held upright, holds head erect and steady Smiles at parent 6-8 When prone, lifts self by arms; Vocalizes; Cooes Focuses on o... | 2 | 1 year | 2 years | 18 months | 15 months | Pediatrics | null | 8a869b61-eda7-40e3-a202-2be5ce42423f | single |
Finding of multiple myeloma in kidney are all except: | Wire loop lesions are characteristic of SLE and are not seen in multiple myeloma. CLASS IV : DIFFUSE PROLIFERATIVE lupus nephritis shows wire loop lesions. | 3 | Tubular casts | Amyloidosis | Wire loop lesions | Renal tubular necrosis | Pathology | Plasma Cell Disorders and Multiple myeloma | 0d1869df-47ea-4539-87d0-3ff9e905ab84 | multi |
Folic acid requirement during lactation is:September 2008 | Ans. B: 150 microgram/dayThe dietary intake values of folate as recommended by ICMR are:Healthy adults: 100mcg per dayIn pregnancy: 400mcg per dayDuring lactation: 150mcg per dayChildren: 100 mcg per day | 2 | 100 microgram/day | 150 microgram/day | 200 microgram/day | 250 microgram/day | Social & Preventive Medicine | null | 152675d0-3e52-46bd-b469-d5c8511d22eb | single |
The feature of petit mal epilepsy in EEG is – | The EEG hallmark of typical absence seizure is a generalized symmetric 3 Hz spike and slow wave discharge. | 1 | Spike and dome | Continuous stunted spikes | Waves at the rate of 10/sec. | Continuous tall spikes | Pediatrics | null | a010cc18-0dcf-4ced-8be3-4274c94e2262 | multi |
In tandem bullet, number of bullet/bullets coming out of the gun is/are: | Occasionally, more bullets are found than there are entrance wounds. This occurs, due to defect in the weapon, or due to faulty ammunition, or with loaded firearm unused for several years. When such a weapon is fired, the bullet may fail to come out from the muzzle. When it is fired again, the second bullet may go off ... | 2 | 1 | 2 | 3 | 4 | Forensic Medicine | null | 83f1b04c-5a5c-4fc7-9736-f11da9e6c6dd | single |
The activation of the unique protein Catsper - provides which special property to human sperms? | Ans. B. Progressive motilitya. Spermatozoa leaving the testes are not fully mobile. They continue their maturation and acquire motility during their passage through the epididymis. Motility is obviously important in vivo, but fertilization occurs in vitro if an immotile spermatozoon from the head of the epididymis is m... | 2 | Capacitation | Progressive motility | Glycolysis | Ovum wall penetration | Physiology | Endocrinology and Reproduction | 7ae52afc-c460-4eb5-9801-1bd6d0ae7a26 | multi |
The dye used for OCG is: | Ans. lopanoic acid | 1 | lopanoic acid | Sodium diatrozite | Biligraffin | Meglumine iodothalamate | Radiology | null | c208ff15-da8f-4d39-a1d8-f726e36bfd8f | single |
Which of the following is TRUE about Zenker's diverticulum - | Zenker's or Pharyngo-esophageal diverticula
Zenker's diverticula are mucosal outpouchings occurring through the triangular bare area (Killian's triangle) between the upper oblique fibres (also known as thyropharyngeus muscle) and lower horizontal fibres (also known as cricopharyngeus muscle) of the inferior constricto... | 3 | It is asymptomatic | Occurs in the mid-esophagus | Treatment is simple excision | It occurs in children | Surgery | null | a980f0fe-f472-4bc1-b3c9-76a5ff1aa46c | multi |
Claw like hands can be seen in all except: | Claw like hands are seen in leprosy, scleroderma, hurler syndrome. | 4 | Leprosy | Scleroderma | Hurler syndrome | Ehlers Danlos syndrome | Pathology | null | 3612e929-5b21-49a1-a6d1-4d73ced1898c | multi |
Lugol's Iodine contains- | Ans. is `a' i.e., 5% iodine & 10% KI | 1 | 5% iodine & 10% KI | 10% Iodine & 20% KI | 10% iodine & 15% KI | 5% iodine & 15% KI | Pharmacology | null | c08b37d0-63f6-4461-a43f-8b72d83e0722 | single |
A person is able to sense pain and temperature normally. Which of the following type of nerve fiber is involved in carrying pain and temperature? | A delta nerve fiber is involved in transmitting pain and temperature in the body. It's conduction velocity is 12-30 m/s. A alpha fiber is involved in carrying proprioception and somato motor sensation. It's conduction velocity is 70-120 m/s. A beta fiber is involved in carrying touch and pressure sensation. It's conduc... | 4 | A alpha | A beta | A gamma | A delta | Physiology | null | cbcee44e-1b6b-4101-8316-1555f4656a10 | multi |
Dramatic self-mutilation occurring in schizophrenia is called: | Ans. C. Van Gogh syndromePfropf schizophrenia: schizophrenia in a patient with mental retardationVan Gogh syndrome: Name after painter who cut his own ear. Characterized by self-mutilation (injuring self) occurring in schizophrenia | 3 | Pfropf Schizophrenia | Capgras syndrome | Van Gogh syndrome | Oneiroid schizophrenia | Psychiatry | Schizophrenia | 183cde2e-5388-4a6c-bb66-bf590841b9a5 | multi |
In chronic dialysis, most common CNS manifestation is - | null | 3 | Sensory loss | Paralysis | Dementia | Depression | Medicine | null | ad6f8e70-9a8f-42dd-84b4-578d1d8b54c1 | single |
True about syphilis is | null | 1 | Oral lesions are seen at any stage | Clinical manifestations occur after few months of exposure | VDRL test is positive in early days of primary syphilis | Penicillins are ineffective | Pathology | null | 95d36ef5-e251-4e21-bda4-1f27bd071efc | multi |
Svmpathetic supply to heart - | Ans. is 'b' i.e., T1- T4 Nerve supply of the Hearto The heart is supplied by the cardiac plexus formed by:Sympathetic fiber -EfferentsPreganglionic fibers arise from T1, to T2, segments of spinal cordPostganglionic fibers arise fromSuperior, middle, and inferior cervical sympathetic gangliaT,-T, thoracic gangliaAfferen... | 2 | C5-C7 | T1-T4 | C1-C4 | T5-T9 | Unknown | null | ccd3ac4c-0ea0-47a1-832e-d05d3c7cdfe2 | single |
Best for unruptured ectopic pregnancy is: | C i.e. Tranvaginal US | 3 | Per abdominal US | HCG | Trans vaginal US | Amniocentesis | Radiology | null | 08fee755-5f7d-4ff8-930b-16e4d3604c78 | single |
Screening of the disease is which type of prevention | Screening test is a pa of secondary prevention Ref : Park&;s Textbook of Preventive and Social Medicine; 23rd edition | 3 | Primordial | Primary | Secondary | Teiary | Social & Preventive Medicine | Concept of health and disease | a95e26d0-3bb2-4577-9465-daf3e0abb8e8 | single |
Most impoant amino acid which acts as methyl group donor - | Ans. is 'b' i.e., MethionineMethionine is activated into S-adenosylmethionine, which then transfers its methyl group to an acceptor. Thus methionine acts as methyl donor in transmethylation reactions.Some of the impoant transmethylation reactions are?Norepinephrine - EpinephrinePhosphatidylethanolamine - Phosphatidylch... | 2 | Cysteine | Methionine | Tyrosine | Tryptophan | Biochemistry | null | 4e5a9c5a-e759-4809-9b24-884672d62931 | single |
Prevalence of Schizophrenia is highest among which of the following | Prevalence of Schizophrenia:
General
1%
Non - Twin siblings
8%
Dizygotic twins
12%
Monozygotic twins
47%
Child with h/o Schizophrenia in one parent
12%
Child with h/o Schizophrenia in both parents
40% | 4 | Non twin siblings | Child with h/o Schizophrenia in both parents | Dizogytic twins | Monozygotic twins | Psychiatry | null | a6ee2db1-8022-42f7-bc64-9cec4b999f88 | multi |
Deletion of one alpha globin gene on one chromosome is best defined as | Ans. is 'd' i.e., Alpha thalassemia silent carrier | 4 | Hb Bas hydrops fetails | Alpha thalassemia major | Alpha thalassemia trait | Alpha thalassemia silent carrier | Medicine | null | 3955ce8a-d7b5-450c-9ea9-a2b425aa9e85 | single |
A patient operated for lower segment uterine fibroid had an uneventful surgery. Post operatively the urine output staed to decrease, upto 20 ml/hr. Rapid IV fluid infusions were given with injlasix and output increased to 70 ml/hr. Urine was clear. Patient complained of flank pain which was gradually progressing. Most ... | Decreased urine post operatively and flank pain point towards uretric injury. Here flank pain usually suggests that ureter has been ligated and is causing proximal hydrouretronephrosis. Increase in urine output with fluid and Lasix is due to increased urine production and excretion from the normal ureter. Bladder injur... | 2 | Acute renal failure | Unilateral uretric injury | Bladder injury | Haemorrhage | Gynaecology & Obstetrics | Hysterectomy | 5dff5838-fd4e-46b5-912c-de6d01bd3f4d | multi |
Newborn is presented with microcephaly, Chorioretinitis, Limb hypoplasia & Cicatrising lesion of hands. Most probable diagnosis is | Congenital varicella syndrome
Microcephaly
Chorioretinitis
Limb hypoplasia
Cicatrizing lesion | 2 | Herpes simplex | Congenital varicella syndrome | CMV | Rubella | Microbiology | null | d41bd37a-93f2-415c-b7c5-e35d5d1d0c1b | single |
The most impoant in assessing Feility potential is ? | Ans. is 'b' i.e., Sperm motility (not sure) | 2 | Sperm count | Sperm motility | Sperm morphology | Quantity of ejaculated semen | Surgery | null | e1e4abdc-40a2-483d-b6dd-8bc3098b9602 | single |
Indication of hemodialysis includes - | Indications for haemodialysis-- Haemodialysis may be considered in those patients not responding to standard therapeutic measures while treating a dialysable toxicant (vide infra). It may also be considered a pa of suppoive care whether the toxicant is dialysable or not in the following situations: Stage 3 or 4 coma, o... | 2 | Benzodiazepines poisoning | Methanol poisoning | Hyperkalemia | Barbiturate poisoning | Forensic Medicine | Poisoning | e3ce4c6a-342f-43e8-9e20-2dd8707e00d0 | single |
What is the name of most commonly used robot used for the given surgery? | DA-Vinci ROBOT - Most commonly world-wide used - Based on Master Slave principle - Surgeon inses hand into master a Translate the motion of his hands into motions of robotic arma Hand like instruments Indications Prostatectomy Cardiac valve repair Gynecological operation | 2 | PUMA 560 | DaVinci robot | PROBOT | ROBODOC | Surgery | Robotics, Laparoscopy and Bariatric Surgery | df625c5d-9963-4798-8b20-53261bb7bd6d | single |
Not true about bladder stones is - | " Vesical calculi are common in some pas of the country, eg. Rajasthan, Andhra Pradesh and some noheastern states. These stones are usually single and composed of ammonium acid urate and calcium oxalate (ie radioopaque stones). These calculi usually occur in boys below 5 yrs. of age." " Bladder stones are relatively un... | 3 | Primary stones are rare | Max stones are radio opaque | Rare in Indian children | Small stones can be removed per urethra | Anatomy | Urology | ec0a0d14-c745-4a83-b782-15960d62bca8 | multi |
What is the composition of Halita mouthwash? | null | 1 | 0.05% chlorhexidine, 0.05 CPC, 0.14% zinc lactate | 11.2% chlorhexidine, 0.05 CPC, 0.24% zinc lactate | 2% chlorhexidine, 0.01 CPC, 0.30% zinc lactate | 0.05% chlorhexidine, 0.01 CPC, 0.30% zinc lactate | Dental | null | f7e1b706-21a6-4368-b6e9-97bd53c223bb | single |
An inflammatory process in the temporal bone has resulted in a swelling of the facial nerve within the facial canal. Which muscle may be paralyzed as a result of this compression? | Stapedius | 3 | Anterior belly of the digastrics | Geniohyoid | Stapedius | Stylopharyngeus | Anatomy | null | f80b56f5-c4c5-475c-a019-91a132473a5d | single |
A young man finds that every time he eats dairy products he feels very uncomfoable. His stomach becomes distended. He develops gas and diarrhoea frequently. These symptoms do not appear when he eats food other than dairy products. Which of the following is most likely enzyme in which this young man is deficient: | The patient has abdominal discomfo & diarrhoea after taking milk. Diagnosis is Lactose Intolerance. Enzyme deficient in this patient is b-Galactosidase which is also known as Lactase. It breaks down milk sugar lactose into glucose and galactose which can be easily absorbed. a-Amylase digests Starch (Option a) a- Glucos... | 2 | Alpha amylase | Beta galactosidase | Alpha glucosidase | Sucrase | Biochemistry | Classification of carbohydrate | d18dbb35-517e-4a25-8d9b-58f1d74a3ae0 | single |
Alpha helix is which structure | Ans. (b) SecondaryStructural organization of amino acid can be of following types:* Primary structure:# Linear sequence of amino acid, held together by peptide bond (a type of covalent bond).* Secondary structure:# Folding of short ~ 3-30 residue, contiguous segment of polypeptide.# Joined together by non-covalent bond... | 2 | Primary | Secondary | Tertiary | Quaternary | Biochemistry | Proteins and Amino Acids | cff2a8e4-2756-4627-a47b-49fff49774fe | single |
Hormones required during puberty | Ans (d) All of the above(Ref: Ganong, 25th ed/p.396)Hormones required during puberty are GnRH, FSH, LH, Testosterone, Estrogen, leptin | 4 | LH | Testosterone | Leptin | All of the above | Physiology | Endocrinology and Reproduction | d1abf44b-681d-492e-b077-ef0511f639df | multi |
Metachromatic granules are seen in | Metachromatic granules (Volutin, Babes Ernst, polar bodies) are present in Corynebacterium. These granules act as energy stores and are made of polymetaphosphate. Present more at the poles. Are more gram positive than the cytoplasm on Gram staining. These granules are stained by toluidine blue in Albe/Neisser/Ponder st... | 1 | Corynebacterium | Clostridium | Chlamydia | Mycoplasma | Microbiology | Systemic Bacteriology (Gram Positive Bacilli, Gram Negative Bacilli) | ac13d084-3e66-4f0a-9e4b-1444efd077c4 | single |
In defining General Fertility Rate, the denominator is: | Ans. is 'b' i.e. Women between 15 and 49 years of ageRef Park 20th/e, p 419, 18th/e, p. 356 (17th/e p 333)General fertility rate (GFR):It is the number of live births per 1000 women in the reproductive age group (15-44 or 49 years) in a given year _ Number of live births in an area GFR=---------------------------------... | 2 | Population between 15 and 49 years of age | Women between 15 and 49 years of age | Mid-year population | Live births | Social & Preventive Medicine | Demography | a5ebf3a2-9c2e-4432-8b14-a157da246d80 | single |
Lorcaserin is: | Lorcaserin is a 5HT2 agonist used in the treatment of obesity. | 2 | 5HT1A agonist | 5HT2agonist | 5HT2 antagonist | 5HT3 antagonist | Pharmacology | null | 0f5b3f33-d1ad-427c-b51d-8c4255cb0e4f | single |
All are True statements regarding Okazaki fragment EXCEPT? | Ans. is 'b' i.e., Forms on leading strand DNA polymerases responsible for copying the DNA templates are only able to "read" the parental nucleotide sequence in 3' - 5' direction, and they synthesize the new DNA strands only in 5' - 3' direction. Therefore, 2 newly synthesized chains must grow in opposite directions.The... | 2 | Requires DNA polymerase | Forms on leading strand | Forms on lagging strand | Requires helicase for opening | Biochemistry | null | 74d2c1f9-c9d5-4b5f-a1f8-8172099fbf44 | multi |
Osteitis fibrosa cystica is seen with ? | Ans. is 'a' i.e., Primary hyperparathyroidism The initial osseous lesions associated with primary hyperparathyroidism show merely a decrease in bone density. The full blown osseous manifestations have been referred to as osteitis fibrosa cystica (OFC) or Recklinghausen's disease. Primary hyperparathvroidism (Osteitis f... | 1 | Primary hyperparathyroidism | Secondary hyperparathyroidism | Teiary hyperparathyroidism | Pseudohypoparathypoidism | Surgery | null | b5471dbc-b003-4a80-a3fd-a8fb0bb46bfd | single |
After 5 days of birth, a baby develops poor feeding, fever and convulsions; CSF examination shows low sugar and high proteins. The most likely cause of these symptoms: | Ans. A. L. monocytogenesThis child has symptoms of meningitis; the most common cause of neonatal meningitis is Group B Streptococcus, and E. coli. Other known causes are Klebsiella, S. aureus, and Listeria. | 1 | L. monocytogenes | Meningococcus | S. pneumonia | Leptospira | Pediatrics | New Born Infants | 04783565-147a-4326-a746-58ffc0e230c6 | single |
All of the following are seen in oliguric phase of Acute Tubular necrosis, Except: | Answer is A (Aminoglycoside toxicity): Non-Oliguric Renal Failure is typically associated with Aminoglycoside toxicity. 'Aminoglycoside nephrotoxicity typically is associated with non-oliguric renal failure' - Management of Acute Kidney Problems 'Non-Oliguric renal failure is a common expression of aminoglycoside nephr... | 1 | Hypernatremia | Hypermagnesemia | Hyper uricemia | Hyper phosphatemia | Medicine | null | 1e2aade3-e8a1-443c-9e09-b5f28369276c | multi |
Temporal lobe contai ns - | Ans. is 'b' i.e., Primary auditory areaFunctional areas of cerebral cortexo Frontal lobe has following functional areasPrimary motor cortex (Brodmann's area 4) : Located in precentral gyrus and anterior part of paracentral lobule.Premotor cortex (areas 6, 8) : Located anterior to precentral gyrus on lateral surface.Sup... | 2 | Primary visual area | Primary auditory' area | Broca's area | Prefrontal area | Anatomy | Cerebrum | 0bec136a-6e20-4dc5-92c2-59f8f2930c51 | single |
A mother came with her child complaining toothache, joint pain, having history of fever, itching, pallor and generalised weakness. Most probable cause for this may be? | (All the symptoms of child indicate towards iron deficiency anemia)
HOOKWORM : One-fourth of the world's population is infected with one of the two hookworm species (A. duodenale and N. americanus). Most infected individuals are asymptomatic. Hookworm disease develops from a combination of factors—a heavy worm burden, ... | 2 | Whipworm | Hookworm | Ringworm | Round worm | Medicine | null | 6499f724-d386-4297-89d3-0b47bd02653e | multi |
The antrochoanal polyp is | Antrochoanal polyp is usually single and unilateral. More tendency to grow posteriorly and do not bleed. | 3 | Multiple | Bleeding | Single and grows posteriorly | null | ENT | null | d5284c40-9815-4a52-bc23-2a5882d6328f | multi |
Bevacizumab is used in ? | Ans. is 'a' i.e., Carcinoma colon | 1 | Carcinoma colon | Liver carcinoma | Renal cell carcinoma | Pancreatic carcinoma | Pharmacology | null | 78f5a13b-cee4-46f9-ad01-6e7d74b134ad | single |
LCAT deficiency increases the following | * HDL is synthesized and secreted from both liver and intestine * Lecithin:cholesterol acyltransferase (LCAT) activity is associated with HDL containing apo A-I. * As cholesterol in HDL becomes esterified, it creates a concentration gradient and draws in cholesterol from tissues and from other lipoproteins thus enablin... | 4 | Chylomicrons | IDL | VLDL | HDL | Biochemistry | Metabolism of lipid | e2e0c084-d8c4-4cbc-ae0e-3c34c1454622 | single |
Brain natriuretic peptide is degraded by | Brain natriuretic peptide or B type natriuretic peptide: It is a hormone produced by the ventricles of the heart.
It has been shown to increase in response to ventricular volume expansion and pressure overload. B.N.P. is a marker of ventricular systolic and diastolic function.
Like Atrial natriuretic peptide, it is deg... | 1 | Neutral endopeptidase | Elastase | Collagenase | Ompatrilat | Pathology | null | 9ae2f7a5-c7b6-4345-a0e4-9e8e8abb080e | single |
Gonads to testes differentiation - | In normal differentation final form all sexual structures is consistent with normal sex chromosome (XX for female, XY for male).
46 XX chromosome with genetic factor such as DAX1 and signalling molecule WNT-4 necessary' for development of ovary'.
Y-chromosome contains SRY gene svhich differentiate gonads to testes.
Ant... | 1 | SRY gene | WNT-4 gene | DAX1 gene | null | Pediatrics | null | 11cc1a2d-8aca-47df-ba03-d7882ad9b3d5 | multi |
Vimentin type intermediate filament seen in : | It has vimentin-type intermediate filaments. Langerhans cells are involved in the immune response. In the presence of antigenic challenge by bacterial plaque Langerhans cells migrate into the gingiva. They also migrate into the epithelium in response to chemotactic factors released by the keratinocytes to the surface ... | 1 | Langerhans cell. | Melanocyte cell. | Markel cell. | All of the Above. | Dental | null | 84aac990-f156-4243-a006-ea1b6ed28c3b | multi |
Which of the following laxatives lowers blood ammonia level in hepatic encephalopathy? | (Ref: KDT 6/e p655) Lactulose is degraded to lactic acid that conves NH3 to NH4+. As ionic molecules cannot cross biological membranes, it is not absorbed and is thus excreted. | 3 | Bisacodyl | Liquid paraffin | Lactulose | Magnesium sulfate | Pharmacology | Other topics and Adverse effects | 89c22f62-bd66-4382-9b0e-d31ad8d4a799 | single |
Miliaria is a disorder of – | Miliaria arises from obstruction of sweat gland ducts (ducts of eccrine sweat glands). | 3 | Sebaceous glands | Apocrine glands | Eccrine glands | Holocrine glamb | Dental | null | b5d1d622-328a-44e6-8114-7408033f0ed1 | single |
Radiation exposure during infancy has been linked to which one of the following carcinoma - | Ans. is 'c' i.e., Thyroid o Radiation induced cancerso Radiation may induce some non-lethal changes in DNA sequences which may cause malignant transformation.* Examples of Radiation induced cancersTypes of ExposureTypes of Cancer ObservedNeck irradiation during infancy for benign conditionsThyroid carcinomaRadiation th... | 3 | Breast | Melanoma | Thyroid | Lung | Pathology | Carcinogenesis | e72cb452-8797-45c3-ab58-3f31f08542c1 | single |
Select the antibiotic most frequently associated with the Fetal high-tone hearing loss (SELECT 1 ANTIBIOTIC) | Fetal exposure to an antibiotic depends on many factors such as gestational age, protein binding, lipid solubility, pH, molecular weight, degree of ionization, and concentration gradient. Some antibiotics are even concentrated in the fetal compartment. Tetracycline is contraindicated in all three trimesters. It has bee... | 2 | Tetracycline | Streptomycin | Nitrofurantoin | Chloramphenicol | Gynaecology & Obstetrics | Fetus & New Born and their Diseases | 92957f70-8c07-4a6b-b489-6a9043d8a8ed | single |
Which of the drug Does not have active metabolite | (Ref KDT 6e p485). Captopril and lisinopril are ACE inhibitors that are not prodrugs. Diazepam produce many active metabolites like.oxazepam. Propranolol can produce 4-hydroxypropanolol .which has b-antagonist activity. Allopurinol gives rise to oxypurinol which can inhibit xanthine oxidase. | 4 | Diazepam | Propanonol | Allupurinol | Lisnopril | Anatomy | General anatomy | 68ef42e7-2ac7-4f86-a162-4e16f1cf7a00 | multi |
Rosenthal's syndrome is due to deficiency of | Hemophilia C(Rosenthal syndrome) It is due to deficiency of factor XI Ref: http://en.wikipedia.org/wiki/Hemophilia_C | 1 | XI | VIII | XII | IX | Anatomy | General anatomy | bbf59dc3-f75f-411b-9b24-fb5fc19c47df | single |
Einthoven's law | Einthoven's Law states that if the electrical potentials of any two of the three bipolar limb electrocardiographic leads are known at any given instant, the third one can be determined mathematically by simply summing the first two (but note that the positive and negative signs of the different leads must be observed w... | 1 | I + III = II | I – III = II | I + II + III = 0 | I + III = avL | Physiology | null | cc1a17b2-77f9-426e-b518-799d5ad464ab | single |
Consumption of which of the following may lead to pellagra? | Ceain varieties of Jowar have high concentrations of leucine and may lead to pellagra. Ref: Park, 22nd edition pg: 582 | 1 | Jowar | Ragi | Bajra | All of the above | Social & Preventive Medicine | null | 07a1b8eb-4df2-468b-802d-6a600c3d2f3b | multi |
Which of the following statement is TRUE about a malignant ameloblastorna | null | 4 | Cytopathologic features of malignancy seen in primary, recurrent or any metastatic tumor foci | Cytopathologic features of malignancy seen only in primary tumor | Cytopathologic features of malignancy seen only in metastatic tumor | Metastasizing tumor that is cytopathologically similar to its benign counterparts in both primary and metastatic deposits. | Pathology | null | 4d1f8c60-1c46-4129-bb1e-aedee9d98f5a | multi |
Radiographic features such as Tail sign is seen in except: | DIAGNOSIS: The tail sign is the classical and pathognomonic feature of plunging ranula in a CT. It shows small longitudinal tail-like extension of a pseudocyst. This tail sign is absent in mucocele. | 2 | Plunging ranula | Mucocele | Both 1 and 2 | None of the above | Pathology | null | 1ced8192-d923-4ac6-9998-86b1756e54aa | multi |
A 2 year old child presents with scattered lesions in the skull. biopsy revealed Langerhans giant cells. The most commonly associated is marker with this condition will be : | The presence of Birbeck granules in the cytoplasm of tumor cells is characteristic of langerhans cell histiocytosis.
As Birbeck granules are not seen in all tumor cells by electron microscopy, the detection of S - 100 and CD la expression by immunohistochemical technique aids in the diagnosis. | 1 | CD1a | CD57 | CD3 | CD68 | Pediatrics | null | dddd1e71-94ce-49ef-9a51-a46fa57d50d6 | single |
Which amongst the following is X-linked Recessive Disorder? | Duchenne muscular dystrophy (DMD) is a genetic disorder characterized by progressive muscle degeneration and weakness. It is one of nine types of muscular dystrophy. Duchene muscular dystrophy is a X linked recessive disorder most commonly seen in men , females act as carriers having one normal gene and other dystrophi... | 1 | Duchenne muscular dystrophy | Achondroplasia | Marfan's syndrome | Sickle cell disease | Pediatrics | Genetic and genetic disorders | 8bc8267b-17bf-4195-9f9d-9985fca6f99b | single |
Respiratory symptoms are associated with -a) Rocky mountain spotted feverb) Strongyloidesc) T. Soliumd) Onchocerca | null | 4 | ac | a | ad | ab | Microbiology | null | a2da99b3-c1ad-4563-b4c5-5ad3eed4412d | single |
A 2-year-old boy bleeds excessively from minor injuries and has previously had bleeding gums. The maternal grandfather has a bleeding disorder. The child's physical examination shows slight tenderness of his knee with fluid accumulation in the knee joint. You suspect this patient is deficient in which coagulation facto... | A young man with a bleeding disorder and a history of bleeding disorders in the males of his family would lead one to suspect hemophilia A (a deficiency of factor VIII.) The physical examination suggests bleeding into the knee joint, which is frequently seen in hemophilia A. | 3 | Prothrombin activator | Factor II | Factor VIII | Factor X | Physiology | Blood Physiology | c367e9d7-5163-4df2-ba87-5febef4bcb30 | single |
The type of necrosis seen in Tuberculosis: | Caseous necrosis is encountered most often in foci of Tuberculosis infection. The term caseous (cheese-like) is derived from friable yellow-white appearance of the area of necrosis. On microscopic examination, the necrotic focus appears as a collection of fragmented or lysed cells with an amorphous granular appearance.... | 3 | Gummatous | Coagulative | Caseation | Liquefactive | Pathology | null | 775aace7-c241-40bd-8dca-69374de43a83 | single |
Rubeosis iridis is not seen in: September 2008 | Ans. C: Hypeensive retinopathy Neovascularization of the iris (NVI) or rubeosis iridis is a condition characterized by the development of new, branching and enlarged vessels in the iris. Rubeosis iridis is often associated with diabetes in advanced proliferative diabetic retinopathy. Other conditions causing rubeosis i... | 3 | CRVO | Diabetic retinopathy | Hypeensive retinopathy | Ocular ischemic syndrome | Ophthalmology | null | cbed74ec-4099-4d59-a022-ddbf4be7d0d1 | single |
The CSF findings in TB meningitis include ? | Ans. is 'b' i.e., Low sugar + High protein, and Lymphocytosis CSF in TB meningitis o Low sugar o Predominant cells --> Lymphocytes o Opening pressure is elevated o High protein o Very low chloride | 2 | High sugar + low protein | Low sugar + high protein and Lymphocytosis | High sugar + high chloride | Low sugar + high protein and Lymphopenia | Pediatrics | null | 2c2dbd93-8a6c-4ecd-8342-3ceb58750e00 | single |
Which among the following is/are example of Serial extraction: | null | 4 | Dewel's method. | Tweed's method. | Nance method. | All of the above. | Surgery | null | 5858cffd-b99a-4afb-a1e6-9c24aafa1198 | multi |
Nasopharyngeal leishmaniasis is caused due to? | mucocutaneous leshmaniasis or espundia caused by L.braziliensis complex cause extensive ulceration in lower extremities after months to years nasopharynx is affected causes painful mutilating erosions TEXTBOOK OF MEDICAL PARASITOLOGY,BAVEJA,3RD EDITION,PAGE NO 44 | 1 | Leishmania brazilensis | Leishmania tropica | Leishmania chagasis | Leishmania donovanii | Microbiology | parasitology | 98b0010d-70ee-4494-acba-1406565afd0f | single |
Hormones secreted by kidney | The kidneys produce three hormones: 1,25-dihydroxycholecalciferol, renin, and erythropoietin.Ref: Ganong&;s Review of Medical Physiology, 23rd edition, page no: 670 | 1 | Erythropoietin | Aldosterone | Vasopressin | Angiotensin | Physiology | Renal physiology | 83b6e761-2583-4788-858e-aaa81fc92e18 | single |
Herbert's pits are seen in - | Ans. is 'a' i.e. Trachoma Signs of Trachomao Conjunctival signs:- Congestion, conjunctival follicles (boiled sagograin like), Papillary hyperplasia, conjunctival scarring (Arifs line), concretion.o Corneal signs Superficial keratitis, Herbert follicles, Pannus, Corneal ulcer, Herbert pits, Corneal opacity. | 1 | Trachoma | Spring catarrh | Phlyctenular conjunctivitis | Sarcoidosis | Ophthalmology | Inflammations of Conjunctiva - Infective | 5c833217-c050-495e-bf1a-bae46abd85ef | single |
Most common presentation of trichobezoar is | Ans) a (Obstruction) Ref: Sabiston's textbook of surgery 18th editionTrichobezoars are concretions of hair, generally found in long-haired girls or women who often deny eating their own hair (trichophagy). Symptoms include pain from gastric ulceration and fullness from gastric outlet obstruction & occasional gastric pe... | 1 | Obstruction | Peritonitis | Hemorrage | Asymptomatic | Surgery | Intestinal Obstruction | 5d0cf241-1341-4684-9b0e-d549ccc63fd3 | single |
You are called to assess the perineal tear after a difficult labour. On examination the tear involves the perineal muscles but sparing the external and internal anal sphincters. You would classify the tear as which of the following? | 1st degree perineal tears are superficial and doesn't involve the muscles. 2nd degree perineal tear involves the perineal muscles but doesn't involve anal sphincters. In 3rd degree perineal tears the sphincters are also involved. When rectal mucosa is also involved its called a 4th degree perineal tear. Ref: Oxford Han... | 2 | 1st degree perineal tear | 2nd degree perineal tear | 3rd degree perineal tear | 4th degree perineal tear | Gynaecology & Obstetrics | null | 28be9e08-4ad3-452d-807f-5c5be9b3f1cc | multi |
A glomerulus-like structure composed of central blood vessel enveloped by germ cells within a space lined by germ cells is seen in - | Characteristics given in the question is of Schiller Duval bodies.
Schiller Duval body are structures that resemble endodermal sinuses which consist of a mesodermal core with a central capillary and a visceral and parietal layer of cells resembling primitive glomeruli.
Schiller Duval bodies are characteristics of endod... | 3 | Sertoli-Leydig cell tumor | Granulosa cell tumor | Endodermal sinus tumor | Sex cord tumor with annular tubules | Pathology | null | ca12ab65-8ed3-4d55-be23-819276b3c074 | single |
Drug used in multiple sclerosis - | null | 2 | Inferferon alpha | Interferon beta | Interferon gamma | Infliximab | Medicine | null | d4548100-4ce3-4eca-846c-6002fb9214de | single |
Which of the following statements is true about isotypic variation? | Antibody genes also re-organize in a process called class switching that changes the one type of heavy chain Fc fragment to another, creating a different isotype of the antibody that retains the antigen specific variable region. This allows a single antibody to be used by different types of Fc receptors, expressed on d... | 3 | These result due to subtle amino acid changes resulting from allelic differences | These result due to changes in amino acid in heavy and light chain at variable region | Changes in heavy and light chain in constant region is responsible for class and subclass of immunoglobulins | These are areas in antigen that bind specifically to antibody | Microbiology | Immunology | 48a158a8-56bd-40bb-a91d-86d3001eafab | multi |
Gastric secretion of H+ ions | Gastric parietal cells are highly specialized for their unusual task of secreting concentrated acid. The cells are packed with mitochondria that supply energy to drive the apical H, K-ATPase, or proton pump, that moves H+ ions out of the parietal cell against a concentration gradient of more than is terminated after th... | 2 | Is by chief cells | Is regulated in pa by number of H+pumps | Is enhanced by carbonic anhydrase inhibitors | Occurs in exchange for luminal Na+ ions | Physiology | G.I.T | 06788cb4-93c4-4d47-8767-7bd5e740e20a | single |
The majority of nerves that enter pulp are | The abundant nerve supply in the pulp follows the distribution of the blood vessels. The majority of the nerves that enter the pulp are nonmyelinated. Many of these gain a myelin sheath later in life. | 2 | Myelinated | Non myelinated | Mixed | None of the above | Dental | null | b0a52235-ccd4-40b8-8870-e72cfa06581b | multi |
Proteinuria in preeclampsia is due to | Endothelial cell dysfunction and increased free radicals cause activation of microvascular coagulation that manifest by thrombocytopenia and increased capillary permebility manifest as edema and proteinuria. | 2 | Increased glomerular filtration rate | Increased capillary permeability | Increased renal artery resistance | Increased systemic vascular resistance | Gynaecology & Obstetrics | null | 895144c1-5391-4f61-98e5-2f1de05e8fb9 | single |
EMLA cream is effective in all except | EMLA (Eutectic Mixture of Local Anesthetic) cream consists of a 1:1 mixture of 2.5% lidocaine and 2.5% prilocaine Local anesthetics can easily penetrate mucous membranes but intact skin requires a high concentration of lipid soluble anesthetics as in EMLA. The mixture provides analgesia upto a depth of 5 mm which lasts... | 4 | Venous cannulation | Circumcision | Lumbar puncture | Intubation | Anaesthesia | Regional Anesthesia | 463ee48f-5e3f-48fd-aecd-5e84621608fb | multi |
Which of the following mechanism is associated with a covalent modification | Acetylation, ADP-ribosylation, methylation, and phosphorylation are all examples of "reversible" covalent modifications.This is very impoant pa of enzymatic regulation (EX: Phosphorylation-Dephosphorylation reactions) Harper 30th edition pg: 92 | 4 | Reversible phosphorylation | Acetylation | ADP-ribosylation | All the above | Biochemistry | Metabolism of nucleic acids | c796c5d4-d43f-414a-81eb-2b6cde375716 | multi |
Spontaneous bacterial Peritonitis is indicated by presence of _______ cell in ascitic fluid: | Ans. (c) >250cells/cu.mm, Absolute PMNRef: Harrisons 19th/e pg. 846 & 1989; Sabiston's 20th/e pg.1078Spontaneous Bacterial Peritonitis (SBP)* SBP is a bacterial infection of ascitic fluid in the absence of an intra-abdominal source of infection, like perforation, abscess, acute pancreatitis, or cholecystitis.* More com... | 3 | >500 cell/cu mm, absolute lymphocyte | >500 cell/cu mm, absolute PMN | >250 cells/cu mm, absolute PMN | >250 cells/cu mm, absolute lymphocyte | Surgery | Miscellaneous | 8ea4d144-9e60-4d5b-9594-7320f487c5de | single |
Compared with Cow&;s milk, mothers milk has more | Lactose is in a high concentration(6-7 g/dl) in breast milk. Lactose helps in absorption of calcium and enhances the growth of lactobacilli. Ref: Page 150, Ghai essential pediatrics; 8th edition | 1 | Lactose | Vit D | Proteins | Fats | Pediatrics | Nutrition | 99490bfa-f0a8-40ea-8f3b-22894c069646 | single |
Midgut is supplied by which artery - | Ans. is 'a' i.e., Superior mesenteric artery Part of gutDerivativesArteryForegutPharynxLower respiratory tractEsophagusStomachDuodenum upto the opening of the main pancreatic ductLiverPancreasCeliac trunkMidgutDuodenum distal to the opening of the main pancreatic ductSmall intestineAppendixCecumAscending colonTransvers... | 1 | Superior mesenteric artery | Middle colic artery | Celiac trunk | Inferior mesenteric artery | Anatomy | Abdomen & Pelvis | 47392719-9c83-4e8b-8617-d0ed8d13bfa0 | single |
Action of which anesthetic agent is through NMDA receptors? | Ans. is 'a' i.e., Xenon Xenon It exes anaesthetic action by non competitive blockade of NMDA receptors. Xenon has been used as a general anesthetic. Xenon interacts with many different receptors and ion channels and like many theoretically | 1 | Xenon | NO | Succinylcholine | Etomidate | Anaesthesia | null | 46c06678-d6d0-4b3b-9bb0-21c9741eebce | single |
In congenital dystrophic variety of epidermolysis bullosa, mutation is seen in the gene conding for – | Dystrophic epidermolysis bullosa (dermal type EB) there is defect in the enzyme collegenase and type 7 collegan. | 2 | Laminin 4 | Collagen type 7 | Alpha 6 integerin | Keratin 14 | Dental | null | eefd6415-4aca-4a31-8353-f1bf21a78c9a | single |
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