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G3P2L2 at 40 weeks is in labour. The baby's head delivers but then retracts back against the perineum. McRobes maneuver is done to delivers the anterior shoulder.In postnatal period , the right arm is hanging & limp to the baby's side with the forearm extended and internally rotated. What is the likely reason ? | The above case history is suggestive of Shoulder dystocia for which McRobes maneuver is done Shoulder dystocias can be associated with significant fetal morbidity including brachial plexus palsies, clavicular fractures, and humeral fractures. Injury to the brachial plexus may be localized to the upper or lower roots. I... | 1 | Erb palsy | Klumpke's paralysis | Humeral fracture | Clavicular fracture | Gynaecology & Obstetrics | Obstetrics | 3b9ee156-3de7-4cf7-96fc-1a8a5ce4b60b | multi |
Receptors for thyroid hormones are | null | 3 | G protein coupled receptors | Cytoplasmic receptors | Nuclear receptors | Tyrosine Kinase receptor | Pharmacology | null | b90b38b6-b0ff-495a-83ae-32ba4395e67c | single |
A 10 months old baby boy presented with inability to feed since 1 day. He had a prior history of cough, fever and hurried breathing since 3 days. On examination the child had a Respiratory rate of 56/min. The line of management is | Inability to feed is one of the danger signs of pneumonia.
Hence the child can be categorised as Severe pneumonia and needs hospital admission and treatment with injectable antibiotics. | 3 | Home management with Paracetamol | Home management with Amoxycillin | Hospital management with antibiotics | Reassurance | Pediatrics | null | 2e6fd178-f93e-4dba-a2cb-c382e2d7f01f | single |
In a case-control study, the cases were found to be consuming zarda pan more frequently than controls and the difference was statistically significant. It indicates: | Case-control study that looks backward in time from final disease outcome to potential cause.
In it, groups of affected individuals (cases) and unaffected individuals (controls) are compared to the extent of their exposure to some suspected risk factor.
Key points
In a case-control study, if the outcome was statis... | 4 | Zarda pan is the cause of the disease | The incidence of the disease was more in those consuming zarda pan | The disease can be cured if zarda pan is stopped | An association exists between zarda pan and disease | Dental | null | 96b648e5-c07f-44fc-865e-38797ba2e051 | multi |
Paradoxical respiration seen in | Answer- C. Flail chest | 3 | Diaphragm rupture | Hemoperitoneum | Flail chest | Pneumothorax | Surgery | null | 022d0329-f124-4526-b6e6-191672e9782a | single |
The four "Pyrole rings" in hemoglobin molecule are joined together by | . | 2 | Disulphide bridges | Methylene bridges | Hydrogen bonds | Alpha bonds | Pathology | All India exam | f5e57dc4-66ec-489c-b4eb-4150ec7eab76 | single |
Takayam test is used for ? | Ans. is 'a' i.e., To know the nature of stain It is a microchemical test to know the nature of stain.Microchemical tests :These tests are based on propey of haem pa of hemoglobin to form characteristic coloured crystals.Teichmann's haemin crystal testTakayama hemochromogen crystal testLuminal spray test : It is especia... | 1 | To know the nature of stain | To know the species | For blood grouping | None of the above | Forensic Medicine | null | 47b51eac-a25a-4ee0-9864-0b2c8e48f7d4 | multi |
Police inquest is done in all, except: NEET 13, 14 | Ans. Dowry death | 3 | Suicidal death | Homicidal death | Dowry death | Death by animals | Forensic Medicine | null | 3061a226-3585-4cf2-9e94-5e1060d20a74 | multi |
All of the following require pyridoxine as a co-factor except? | Pyridoxal phosphate (PLP) is a coenzyme for enzymes involved in the following raections: Transamination Decarboxylation Glycogen phosphorylase Cystathionine b-synthase and cystathioninase ALA synthase Kynureninase Thiamine is the coenzyme for transketolase reactions Reference: Harpers illustrated biochemistry 30th edit... | 4 | ALA synthase | Transamination | Glycogen phosphorylase | Transketolase | Biochemistry | vitamins | 56833bc6-c1b0-46c9-9833-509bafda6071 | multi |
Not true regarding treatment of chalazion | Treatment Chalazion a. Intralesional triamcinolone injection in recent-onset chalazion. b. Oral tetracycline should be used for propylaxis in recurrent cases. c. Curettage is done from conjunctival side with the help of chalazion scoop. d. Veical incisions are given to avoid damage to meibomian ducts. | 3 | Intralesional triamcinolone injection | Oral tetracycline | Curettage is done from skin side | Veical incisions are given to avoid damage to meibomian ducts | Ophthalmology | Lacrimal Apparatus and Eyelid Disorders | 0a5d3629-ecf9-417a-a7f3-5fa2dec12559 | multi |
It is 1:00 A.M. and a hard-working second-year medical student is intent on finishing her pathology reading assignment. Soon she begins to note that her concentration is fading because 7 hours have passed since she had dinner, and she is feeling famished. Having studied the chapter on ischemic heart disease, she decide... | Appetite and satiety are controlled by a complex system of short-acting and long-acting signals. The levels of ghrelin produced in the stomach increase rapidly before every meal and decrease promptly after the stomach is filled. Leptin released from adipocytes exerts long-term control by activating catabolic circuits a... | 3 | a-MSH | Corticotropin-releasing factor (CRF) | Ghrelin | Leptin | Pathology | Environment & Nutritional Pathology | 5068a197-b4c1-4cba-a858-c9aa143fec02 | single |
Feature(s) suggestive of Schizophrenia rather than organic psychosis is /are: | Ans: A (Third person hallucination) Organic Mental Disorder: Features suggestive of high index of suspicion (Ahuja 5th/20)1. First episode2. Sudden onset3. Older age of onset4. Prominent visual or other non auditory hallucinations5. Neurological signs or symptoms like seizure, impairment of counciousness, head injury, ... | 1 | Third person hallucination | Split personality | Visual hallucination | Altered sensorium | Psychiatry | Schizophreniform Disorder | 027ce0f3-5272-4824-ac26-c940868b169a | multi |
What is the treatment of choice for cystosarcoma phylloides? | Cystosarcoma phylloides are not simply giant fibroadenoma. They show a wide spectrum of activity, varying from almost a benign condition (85%) to a locally aggressive and sometimes metastatic tumour (15%). Depending on mitotic index and degree of pleomorphism they are graded as low grade to high grade tumours. When mal... | 1 | Wide local excision | Radical mastectomy | Radiotherapy | Chemotherapy | Surgery | Endocrinology and breast | 3decbece-26f2-4298-b781-dbe5b658e748 | single |
Drugs indicated in MRS A infection are all EXCEPT: | Ans. (d) ImipenemRef: Harrisons 19th ed.* Microbes which are resistant to methicillin are said to be MRSA.* Methicillin is highly penicilinase resistant but not acid resistant.* MRSA have emerged in many areas. These are insensitive to all penicillinase-resistant penicillins and to other b -lactams as well as to erythr... | 4 | Vancomycin | Teicoplanin | Linezolid | Imipenem | Microbiology | Staphylococci | a57f336e-ae61-4123-bde1-8d1b76448e35 | multi |
Amino acids secreted in cystinuria are all except: | Ans:B.)Histidine.CystinuriaBiochemical Defect :An autosomal recessive disorder that results in the formation of a defective amino acid transpoer in the renal tubule and intestinal epithelial cells.Pathophysiology :The amino acid transpoer is responsible for transpoing cysteine, ornithine, lysine, and arginine . Defecti... | 2 | Ornithine | Histidine | Arginine | Lysine | Biochemistry | null | 56c0d09e-77cc-432d-83dd-7536ffc348f2 | multi |
Osmolarity of 4.2% solution of sodium bicarbonate is ? | Ans. is 'b' i.e., 1000 osmole/litre4.2% solution of sodium bicarbonate contains 0.5 mmol/mL (or 500 mmol/ml).This solution will have osmoloarity 1000 mOsm/L (as solution contains two active osmoles, i.e., 500 mOsmole of Na+ and 500 mOsmole of HCO3-).One mole of osmotically active paicles is called one osmole. In case o... | 2 | 500 osmole/litre | 1000 osmole/litre | 1500 osmole/litre | 2000 osmole/litre | Physiology | null | cb2e36c3-cc37-445c-8684-2509b1d6bd4c | single |
Example of selective medium is: | Ans. is. 'a' i. e., LJ medium | 1 | LJ medium | Blood agar | Selenite F broth | Chocolate agar | Microbiology | null | 30d43e70-bd48-435a-98e6-4b4de377eb26 | single |
Which drug do not causes rhinits? | Ans. is 'b' i.e., Glucocoicoid.Ref: Head eb Neck Surgery - otolaryngology, Vol. I edited by Byron l. Bailey, Jonas T. johnson, Shawn D. Newlands 4tu/e p. 355Impoant drugs causing rhinitis are :-AspirinHydralazineBeta - blockersClonidineReserpineGabapentinMethyldopaACE inhibitorsCocaine | 2 | ACE inhibitors | Glucocoicoid | Reserpine | Prazosin | ENT | null | 495acced-4010-4a8c-bd73-0f8f83491ec6 | single |
Which of the following is a broad spectrum systemic antifungal agent ? | null | 3 | Econazole | Miconazole | Ketoconazole | Clotrimazole | Pharmacology | null | f7f2bdea-16fb-436a-9e40-bbc4de9a45b5 | single |
All of the following are products of oxygenase pathway, EXCEPT: | Arachidonate, which may be obtained from the diet, but is usually derived from the 2 position of phospholipids in the plasma membrane by the action of phospholipase A2,is the substrate for the synthesis of the PG2, TX2 series (prostanoids) by the cyclooxygenase pathway, or the LT4 and LX4 series by the lipoxygenase pat... | 4 | PGE2 | PGD2 | PGF2 | LT6 | Biochemistry | null | 524bc02e-c750-4342-bf19-f9fa01a6879e | multi |
Uniocular diplopia seen in which stage of cataract | Stages of maturation of cataract 1- stage of lamellar separation - glare is seen 2- stage of incipient cataract - uniocular diplopia and colored halos are seen in this stage. I. Cuneiform cataract - This cataract stas at periphery and extend centrally so visual changes are noted at late stage - Night blindness (nyctalo... | 1 | Incipient | Intumescent | Mature | Hypermature | Ophthalmology | Cataract | b1ad1f15-e013-45ba-b648-0aa5e1cdc17b | single |
'Lucid Interval' may be seen in - | The synopsis of forensic medicine & toxicology; Dr k.s narayan reddy; 28th edition; pg.no. 144& 266 Lucid interval is seen in insanity during which all the symptoms of insanity disappear completely . It is also seen in extra dural hemorrhage ,subdural haemorrhage (if there is lucid interval this may be longer than aver... | 2 | Intracerebral hemorrhage | Insanity | Subdural hemorrhage | Alcohol intake | Forensic Medicine | Mechanical injuries | 8f6c49ac-82e7-40fb-a1b8-1572fb3be7d1 | single |
Mechanism of action of chloramphenicol is - | Ans. is 'b' i.e., SOS ribosome inhibitor * The mechanism of action of antimicrobials can be divided into :1. Inhibition of cell wall synthesis# Drugs inhibiting cell wall synthesis are : b-lactam antibiotics (penicillin, cephalosporins, monobactoms, carbapenems), cyclosporine, bacitracin, vancomycin, fosfomycin.# All a... | 2 | Cell wall synthesis inhibitor | 50 S ribosome inhibitor | 30S ribosome inhibitor | glycopeptidase inhibitor | Pharmacology | Anti Microbial | 8ab55d3b-b3b0-421c-99bc-c8dd64b44543 | multi |
Which one of the following increase the potassium level in the body – | null | 3 | E–tubocurarine | Gallamine | Suxamethonium | Pancuronium | Anaesthesia | null | 8ddb00b4-80dc-4f7f-890f-f6d1b74031b6 | multi |
All are true regarding clostridium tetani except: | Ans. (d) i.e. Man-to-man transmission is seen There is no man to man transmission or a tetanus patient is not infectious. Other Options Option 'a' Cl. Tetani produce terminal spores which are highly resistant to boiling, cresol, autoclaving for 15 min at 120degC. Spores are best destroyed by steam under pressure at 120... | 4 | Produces heat resistant spores | Incubation period 6-11 days | 3 primary doses of vaccine needed for full protection | Man-to-man transmission is seen | Microbiology | null | a98caa89-16b5-4ed7-9f80-a94a7916301c | multi |
Following are the leatures ot inhlbln except : | Stimulates FSH secretion Inhibin : Inhibin is a non-steroidal water soluble protein.deg It is secreted by Graffian follicle.deg Also known as Folliculostatin because it is known to supress FSH.deg It is of two types - Inhibin A and B. In the follicular phase Inhibin B is the predominant form secreted. In normal ovarian... | 3 | Non steroidal water soluble protein | Secreted by Graftian follicle | Stimulates FSH secretion | Increased secretion of inhibin occurs in polycystic ovarian disease | Gynaecology & Obstetrics | null | b4e29e96-44a8-48d0-83a7-6442eed8f282 | multi |
For the first 6 h following surgical repair of a leaking abdominal aortic aneurysm in a 70-year-old man, oliguria (total urinary output of 25 mL since the operation) has become a concern. Of most diagnostic help would be | By far the most likely cause of the oliguria observed in this patient is hypovolemia. Volume status would be best assessed by floating a Swan-Ganz catheter to measure the preload pressures in the left atrium (by inference from the pulmonary capillary wedge pressures). Patients who have had a leaking aneurysm and then a... | 3 | Renal scan | Aortogram | Left heart preload pressures | Urinary sodium concentration | Surgery | Arterial Disorders | bb4815ab-88e8-4adb-9f27-cfdb67a8d41b | single |
Joints of hand are not affected in- | Ans. is 'a' i.e.. AS o Ankylosing spondylitis does not affect hand and foot joint,o OA, RA and psoriatic arthritis affect hand joints.Joints involvedDiseasesPIPRA, OA, Psoriatic arthritisPIP + DIPOA, Psoriatic arthritisPIP + DIP + 1st carpometacarpal joint with sparing of MTP & wristOAPIP + MTP + wrist with sparing of ... | 1 | AS | RA | OA | Psoriatic arthritis | Orthopaedics | Arthritis | a2d801ff-9926-42b4-8bd6-0c8d5a9f85ce | single |
Short stature is seen in –a) Maternal deprivation syndromeb) Hypothyroidismc) Bulimiad) Paternal smokinge) IUGR | If the height of the child is below the 3rd percentile or less than 2 S.D. from the mean, he or she is considered to be short stature.
Causes of short stature
A) Proportionate short stature
Normal variant - 1) Familial
2) Constitutional delay in growth
Prenatal causes - 1) Intr... | 4 | abc | bcd | cde | abe | Pediatrics | null | 08dce1f0-3777-4941-9e39-3fc1af745cc4 | single |
All are true regarding halothane except- | Halothane is not in clinical use in developed nations because of its unstability it is very unstable , needs a preservative thymol for its storage in ventilator which makes the ventilator sticky it decomposes with exposure to light needs dark bottle to store it. | 3 | Non - inflammable | Boils at 50 degree C | It is stable on the exposure to light | Heavy, colorless & sweet smell | Anaesthesia | Inhalational Anesthetic Agents | 636b0fb3-49f1-4d22-ae05-4a31476b5438 | multi |
Which of the following diseases needs not to be screened for, in workers to be employed in a dye industry in gujarat? | Prepalcement examination in dye industries include asthma,skin and bladder,kidney diseases,precancerous lesion.Anemia comes under lead.(Ref.PARK'S textbook of preventive and social medicine 21st edition page no.753) | 1 | Anemia | Bronchial asthma | Bladder cancer | Precancerous lesion | Social & Preventive Medicine | Hospital waste and disaster management, Occupational health | cb67843c-5214-4343-ad9e-5f7fb0df4b08 | single |
Antigenic drift is commonly seen in: | Influenza A virus | 3 | Influenza B | H . influenza | Influenza A virus | Influenza C | Microbiology | null | cdc27679-a5c0-4999-ad5e-19cbb348e443 | single |
The energy source reserved for strenuous muscular activity | Muscle glycogen is used for energy during exercise. The glycogen is degraded to a form of glucose that can enter metabolic pathways for energy generation. Because exercise is strenuous, muscle requires large amounts of energy, and this can be generated at the fastest rate by converting muscle glycogen to pathway precur... | 4 | Protein | Triacylglycerol | Liver glycogen | Muscle glycogen | Biochemistry | Nutrition & Digestion | a9d4f105-3a1c-4690-9789-327582be6d84 | single |
Class III antiarrhythmic drug among the following is: | Phenytoin is class IB, propafenone is class IC, pindolol is class II. class 3 - Amiodarone Sotalol Ibutilide Dofetilide Dronedarone Vernakalant REF.Essentials of Medical Pharmacology KD Tripathi 8th ed. | 1 | vernakalant | Phenytoin | Propafenone | Pindolol | Pharmacology | Cardiovascular system | 9ab86dad-2fd0-4fcf-9fcc-db59cc27aa8b | multi |
S A FF strategy is used for: March 2013 (b, e) | Ans. C i.e. Trachoma Trachoma Characterized by the presence of: Limbal follicles/ Herbe's pits (formed on cornea, near limbus) Arlts line (conjunctival scarring in sulcus subtarsalis), Pannus (infiltration of cornea with vascularization) SAFE strategy Surgery, Antibiotics, Facial cleanliness, Environmental improvement ... | 3 | Measles | Mumps | Trachoma | Rubella | Ophthalmology | null | 19dd3b75-e103-40f4-89a5-ccb184c26d3e | single |
The deformity that is most commonly seen in primary osteoahritis of knee joint? | Deformity seen is varus of the knee, flexion-abduction external rotation of the hip Osteoahritis occurs in elderly people, mostly in the major joints of the lower limb, frequently bilaterally. The hip joint is commonly affected in a population with western living habits, while the knee is involved more commonly in a po... | 3 | Genu valgum | Genu recurratum | Genu varus | Procurvatum | Orthopaedics | Joint disorders | a77fd3b5-cbf6-42ab-be18-3bc863a3a995 | single |
What is not true about mitral valve prolapse? | Ans. is 'd' i.e., Diastolic mumrmur is present on auscultationMitral valve prolapse syndrome or myxomatous degeneration of mitral valve* In mitral valve prolapse one or both mitral leaflets are floppy and prolapse or balloon back into the left atria during systole with or without mitral regurgitation.* It is one of the... | 4 | Mitral valve leaflets have myxomatous degeneration | Associaed marfans syndrome is present in many patients | Most of the patients are asympatomatic | Diastolic mumrmur is present on auscultation | Medicine | C.V.S. | 8f768887-d0be-4f54-a7dd-d36856ba1909 | multi |
Type two schizophrenia is characterised by all except ? | Disorganized behaviour In 1980 T.J. crow proposed a classification of schizophrenia patients into type I and type II on the basis of presence and absence of positive symptoms. Although the system was not accepted as pa of the DSMIV classification, the clinical distinction of two types has significantly influenced psych... | 3 | Negative symptoms | Poor response to TT | Disorganised behaviour | CT scan abnormal | Psychiatry | null | 628f8003-05fb-4931-a177-2af937ebf30e | multi |
Irregular thigh folds are seen in - | Answer- A. Developmental dysplasia of hip | 1 | Developmental dysplasia of hip | Pehe's disease | Slipped Capital femoral epiphysis | Congenital coxa vara | Surgery | null | b55bd81e-404b-4094-b1f7-5737cab8d244 | single |
Antibody associated with cold antibody immunohemolytic anemia is: | Cold antibody immunohemolytic anemia usually is caused by low-affinity IgM antibodies that bind to red cell membranes only at temperatures below 30°C, occurs in distal parts of the body (e.g., ears, hands, and toes) in cold weather.
Warm antibody immunohemolytic anemia is caused by immunoglobulin G (IgG) or (rarely) I... | 4 | IgA | IgE | IgG | IgM | Pathology | null | 0c946595-55b6-432a-991b-dba176c978b0 | single |
All the following are included in &;five cleans&; to prevent sepsis at bih except | Observe &;five cleans&; to prevent sepsis at bih:Clean hands: Hand-hygiene and wear sterile gloves Clean surface: Use clean and sterile towel to dry and cover the baby Clean blade: The umbilical cord to be cut with a clean and sterile blade/scissor Clean tie: The cord should be clamped with a clean and sterile clamp or... | 2 | Clean hands | Clean legs | Clean surface | Clean tie | Pediatrics | New born infants | d748d737-cf28-4de9-85bb-21449ffaa8d0 | multi |
Storage form of free energy in the cell is: | ATP is the storage form of free energy in most of the cells of the body. Creatine phosphate or Phospho-creatine is the immediate source of ATP in muscles for first 8-10 seconds. High energy compounds in biological systems are : ATP GTP UTP Creatine Phosphate Phosphoenol Pyruvate Coenzyme A 1,3-bisphospho glycerate Carb... | 2 | NADH | ATP | G-6-Phosphate | Creatine phosphate | Biochemistry | Sources of blood glucose | 0727e600-e711-4b21-b495-d0cc19e3c55c | single |
Which vitamine deficiency can lead to neonatal seizure | (C) Pyridoxine > Deficiency of pyridoxine can lead to seizures and peripheral neuropathy.* Clinical features include failure to thrive hyperirritability hyperacusis hypochromic microcytic anemia nausea and vomiting* Daily recommended dose is 0.5-1 .Omg/day | 3 | Thiamine | Riboflavin | Pyridoxine | Biotin | Pediatrics | Miscellaneous | f6da3c6b-e547-4867-8137-d86737bf65f1 | single |
A 25 year old patient underwent normal vaginal delivery. Postpartum she complains of severe headache and visual changes. What is the the most likely cause | Sheehan syndrome is pituitary hemorrhage or or in fraction during delivery. | 1 | Sheehan syndrome | Postpartum depression | TIA | Amniotic fluid embolism | Medicine | null | 62a5c373-9d8f-47a3-82b0-2b8f3be1e6dc | single |
Western blot technique is done for- | Visualization of a specific DNA or RNA fragment among the many thousand of contaminating molecules requires the convergence of a number of techniques collectively termed the blot transfer.
Southern blot → Detects DNA
Northern blot → Detects RNA
Western blot → Detects proteins (proteins are separated by electrophoresis... | 4 | Mitochondiral RNA | Double strand DNA | r-RNA | Protein | Biochemistry | null | de41776d-8266-4cc7-8c6a-f87fca795407 | single |
A child presented with non a Ranching purpura in the lower limb recurrent abdominal pain further in revealed deposition of IgA. What is the most probable diagnosis - | null | 1 | Henoch schonlein purpura | Wegeners granulomatosis | Kawasaki disease | Takayasu disease | Medicine | null | 2ee8fe1e-3aee-456c-9aea-e45b592b59ee | single |
Zavenelli's manoeuver done in: | Manoeuvres done in case of: | 1 | Shoulder dystocia | Deep transverse arrest | Retained placenta | Face presentation | Gynaecology & Obstetrics | null | 7839d848-be45-4574-a66f-00f2f143cd59 | single |
After taking some drug for the classic acute attack of a migraine, a patient developed nausea and vomiting. He also developed tingling and numbness in the tip of the finger that also turned blue. Which of the following is the most likely drug implicated in causing the above vasoconstricting | This is a classic sign of ergot induced vasoconstriction. Dihydroergotamine can be used for an acute attack of a migraine and can result in these symptoms. Due to their vasoconstricting potential, ergot alkaloids are contra-indicated in a patient with peripheral vascular disease. These may also lead to the development ... | 1 | Dihydroergotamine | Sumatriptan | Aspirin | Butorphanol | Pharmacology | null | f1e38d0f-6d76-4bf4-abca-ce7cf7d82071 | multi |
Heart failure cells are seen in | Ans. (c) Lungs(Ref: Robbins 9th/pg 529; 8th/pg 535)Morphology in Lungs in LVFLungs: Most commonly affected organHeart failure cells Q-hemosiderin containing macrophages.Edematous widening of alveolar septa and -Edema fluid in the alveolar spaces. | 3 | Kidney | Heart | Lungs | Brain | Pathology | C.V.S | 8cbf95a0-fccb-4838-bdca-12452c5da13c | single |
Which one of the fallowing does not cause pulsus paradoxus? | Pulsus paradoxus : refers to a fall in systolic pressure >10 mmHg with inspiration that is seen in patients with pericardial tamponade but also is described in those with massive pulmonary embolism, hemorrhagic shock, severe obstructive lung disease, and tension pneumothorax. Pulsus paradoxus is measured by noting the ... | 1 | Severe aoic regurgitation | Cardiac tamponade | Constrictive pericardities | Acute severe bronchial asthma | Medicine | C.V.S | 7d92c36b-e896-4fc9-bcc7-10c6eb359eeb | multi |
When in labor, a diagnosis of occipito posterior presentation is made. The most appropriate management in this case would be: | When the fetal occiput fails to spontaneously rotate anteriorly, a persistent occiput posterior presentation results in a more prolonged and painful labor. After waiting for a normal labor, manual, vacuum, or forceps rotation is usually done but increases the likelihood of maternal and fetal injuries. Regional anesthes... | 2 | Emergency CS | Wait and watch for progress of labour | Early rupture of membranes | Sta oxytocin drip | Gynaecology & Obstetrics | null | dda0c620-0cb5-4d63-9322-f9da192b64fb | single |
The population covered by an ASHA | In NRHM Cadre of Accredited Social Health Activist (ASHA) is created ASHA must be a women resident of the village, preferably 25-45 years with formal education up to 8th standard 1 ASHA for 1000 population. In tribal, hilly and dese areas the norm could be relaxed to 1 ASHA per habitation.Park 23e pg: 449 | 2 | 500 | 1000 | 2000 | 2500 | Social & Preventive Medicine | Health care of community & international health | 9a832759-0bf5-492b-a5e9-732b1fffd01d | single |
Superior orbital fissure syndrome include all except- | Ans. is 'd' i.e., 2nd nerveo The superior orbital fissure is a cleft between the lesser and greater wing of sphenoid.o The structures passed through superior orbital fissure are 3rd, 4th, 6th nerve, ophthalmic division of 5th nerve, superior & inferior division of ophthalmic vein and sympathetic fibres,o Therefore symp... | 4 | 3rd nerve | 4th nerve | 6th nerve | 2nd nerve | Ophthalmology | Neuro-Ophthalmology | 94251714-0c8d-4652-81a5-15884b843272 | multi |
Which of the following is used for the fixation of cervical smear? | Rapid fixation of smears is necessary to preserve cytologic detail of cells spread on a glass slide that are to be stained by the Papanicolaou method. If smears are allowed to air dry prior to fixation, marked distoion of the cells occurs. Ninety-five percent ethyl alcohol (ethanol) is used for this type of fixation. T... | 1 | Ethyl alcohol | Acetone | Xyline | Formalin | Gynaecology & Obstetrics | null | 0557f2e1-c225-4d2d-98c2-7c70cbc0b478 | single |
Plasmodium falciparum affects all organs excepta) Lungb) Liver c) Kidneyd) Heart | null | 3 | b | c | ad | ab | Pathology | null | 810255c1-d461-437e-a386-e2bb3d9509fe | multi |
Which of the following statement about carcinogenesis is false | Ref Harrison 17/e p487 HPV, the causative agent of cervical neoplasia, has a tropism for the immature squamous cells of the transformation zone. Most HPV infections are transient and are eliminated within months by an acute and chronic inflammatory response. A subset of infections persists, however, and some of these p... | 2 | Asbestos exposure increase the incidence of lung cancer | Papilloma viruses produce tumors in animal but not in human | Exposure to aniline dyes predisposes to cancer of the urinary bladder | Hepatitis B virus has been implicated in hepatocellular carcinoma | Anatomy | General anatomy | 949bde62-1a62-4f8a-8c81-0c7b267f09e8 | multi |
Lateral ventricle is connected to third ventricle by | The lateral ventricle communicates with the third ventricle through interventricular foramen MonroThe foramen of luschka is an apeure through which the lateral recess opens into the subarachnoid space of cerebellopontine angleForamen of magendie is an opening in the roof of 4th ventricle through which its cavity commun... | 1 | Foramen of Monro | Foramen of luschka | Foramen of magendie | Median foramen | Anatomy | Brain | d0ffe80c-384b-411e-a0d1-db1feb52a69c | single |
Malignant germ cell tumours of ovary includes all of the following except:a) Choriocarcinoma b) Arrhenoblastomac) Brenner's tumord) Serous cystadenomae) Teratoma | Germ cell Tumors of ovary:
Mnemonic: YES PCT
Y - Yolk sac Tumor (Endodermal sinus Tm)
E - Embroyonal carcinoma
S - Seminoma ≈ Dysgerminoma
P - Polyembryoma
C - Choriocarcinoma
T - Teratoma ≈ Dermoid
In contrast to slow growing epithelial ovarian tumors, germ cell malignancies grow rapidly and are characterised by subac... | 4 | abc | acd | ac | bcd | Gynaecology & Obstetrics | null | 5b58c98b-ab6d-408d-8609-8d44aa057704 | multi |
Shortest acting mydriatic is - | Ans. is 'c' i.e., Tropicamide Salient features of common cvcloplegic and mydriatic drugsSL Name of no. the drugAge of the patient when indicatedDosage of instillationPeak effectTime of performing retinoscopyDuration of actionPeriod of Postcycloplegic testTonus allowance1. Atropine sulphate (1% ointment)< 5 yearTDSx3 da... | 3 | Atropine | Homatropine | Tropicamide | Cyclopentolate | Ophthalmology | Drugs | 1f56f009-4f30-46c1-99e4-6fe53eb90cb5 | single |
All of the following statements about Pseudopancreatic cysts are true except:- | null | 1 | Percutaneous aspiration is treatment of choice | Cystojejunostomy is treatment of choice | Serum amylase levels are increased | Presents as an epigastric mass | Surgery | null | fd4ac6ff-ae04-44ac-9134-103aebdfcd23 | multi |
The only disease which has been eradicated ? | Ans. is 'b' i.e., Smallpox "Today, smallpox is the only disease that has been eradicated". | 2 | Chickenpox | Smallpox | Measles | Measles | Social & Preventive Medicine | null | 6e476332-55b2-47a9-afc6-01998ef244e0 | multi |
Xenon anesthesia all are true except | Advantages of Xenon anesthesia Ine Minimal effect on CVS function Lowest blood solubility Does not trigger malignant hypothermia Environmental friendly Non explosive Refer Goodman Gilman 12/e p 547 | 1 | Slow induction and recovery | Non explosive | Minimal cardiovascular side effect | Low blood solubility | Pharmacology | Anesthesia | 11e261e9-da61-450c-8bea-1ab3d9899f27 | multi |
Which of the following is NOT seen in Anterior Mediastinum? | (D) Neurogenic tumor[?]Primary tumors of the mediastinum: Thymoma, Neurogenic tumors, Germ cell tumors & Lymphoma.Neurogenic tumours:Derived from sympathetic nervous system or peripheral nerves & are more prevalent in the posterior mediastinum.These are painful, quite large & discovered accidentally on routine chest X-... | 4 | Thyroid tumour | Thymoma | Lymphoma | Neurogenic tumor | Surgery | Thorax | 229320a9-7389-424b-8555-903f24029823 | single |
McArdle's disease is due to deficiency of ? | Muscle phosphorylase [Ref Harper 250/e p. 181Type Enzyme deficiencyOrgan (s) affected von Gierke's diseaseGlucose 6-phosphataseLiver, kidneyIIPompe's diseasea (1 4) Glucosidase (acid maltase)All organsIIICori's disease/Forbe's diseaseDebranching enzymeMuscle, liverIVAndersen's diseaseBranching enzymeLiver, myocardiumVM... | 4 | Branching enzyme | Glucose 6 phosphatase | Acid maltase deficiency | Muscle phosphorylase | Biochemistry | null | d179033c-2c47-48eb-b808-04b41508a1f9 | single |
What is the diagnosis in this infant who presents with recurrent fractures & multiple bony deformities? | d. Osteogenesis imperfectaRecurrent fractures, multiple bony deformities and blue sclera suggest a diagnosis of Osteogenesis imperfecta | 4 | Achondroplasia | Ehler-Danlos syndrome | Rickets | Osteogenesis imperfecta | Pediatrics | Musculo Skeletal Disorders | 4c4a1ba9-c0c0-41fb-9e49-3049a0627987 | single |
Haab's striae are seen in – | Due to rupture of Descemet's membrane, more discrete corneal opacities appear as lines with double contour : - Haab stria. | 2 | Angle closure glaucoma | Infantile glaucoma | Stargardt disease | Disciform keratitis | Ophthalmology | null | 6464ea61-b9e5-4a55-8696-2fc40205106b | single |
Cailage of which of the following pharyngeal arch is known as Reiche's cailage? | The cailage of the second or hyoid arch (Reiche's cailage) gives rise to the stapes, styloid process of the temporal bone, stylohyoid ligament, and ventrally, the lesser horn and upper pa of the body of the hyoid bone Ref: Langman's embryology 11th edition Chapter 16. | 2 | First arch | Second arch | Third arch | None of the above | Anatomy | null | d7e8a815-a23f-4017-9918-9cee51fdcf5d | multi |
After periodontal surgery, the method of brushing recommended is | null | 1 | Charters method | Bass method | Modified stillmans method | Scrub method | Dental | null | 797c5068-b11c-405b-987e-fd397e460b05 | single |
Dengue fever vector is a | null | 2 | Anopheles | Aedes | Culex | Mansoni | Microbiology | null | 42124900-fb7f-4001-8578-b4a744bde237 | single |
Least common cause of clubbing | Clubbing is most common with adenocarcinomaand is least common with small lung cell cancer... Ref:Ptinciples and practice of lung cancer Pg 348 | 3 | Adenocarcionma | Squamous cell carcinoma | Small cell carcinoma | Mesothelioma | Anatomy | Respiratory system | d09f639a-effd-4279-b6b8-bce5641fa416 | multi |
Case-control studies are used for - | null | 2 | Study of common diseases | Finding multiple risk factors | Finding incidence rates | Finding relative risk | Social & Preventive Medicine | null | b585bc68-4f17-4cd1-ae5c-c75c9ad635fd | single |
A ranula is a | null | 4 | Type of epulis | Sublingual thyroid | Thyroglossal cyst | Cystic swelling in the floor of the mouth | Surgery | null | 2a98f534-098d-4eea-9bea-6aa926f28bf4 | single |
The most common site of hypeensive intracranial hemorrhage is - | Spontaneous intracerebral haemorrhage occurs mostly in patients of hypeension. Most hypeensives over middle age have microaneurysms in very small cerebral aeries in the brain tissue. Rupture of one of the numerous microaneurysms is believed to be the cause of intracerebral haemorrhage. Unlike subarachnoid haemorrhage, ... | 1 | Putamen | Medulla | Midbrain | Cerebrum | Pathology | Nervous system | 96a16327-61ec-4f72-915b-f405da56fd54 | single |
Which structure connects the Broca's and Wernicke area? | Arcuate fasciculus connects Wernicke's area present in posterior superior temporal gyrus of dominant hemisphere (sensory area of speech) to broca's speech area present in prefrontal & premotor facial region of cerebral coex to integrate language understanding & skilled motor function. Damage to Wernicke's area = Wernic... | 1 | Arcuate fasciculus | Anterior commissure | Corpus callosum | Fornix | Anatomy | Neuroanatomy 1 | f20ddcd9-59c9-41ab-90aa-5c78de6fbfd8 | multi |
Which of the following is true regarding anthrax ? | Ans. is 'a' i.e., M' Fadyean reaction shows capsule; 'b' i.e., Humans are usually resistant to infection; 'c' i.e., Less than 100 spores can cause pulmonary infection . M' Fadyean's reaction represents the capsular material and is characteristic of the anthrax bacillus. . "Man is relatively resistant to infection with ... | 4 | M' Fadyean reaction shows capsule | Humans are usually resistant to infection | Less than 100 spores can cause pulmonary infection | All | Microbiology | null | 4f6c458e-63c9-482c-beb6-6dfcfd25ebe6 | multi |
Mutation in which of the following genes is responsible for development of INH resistance in mycobacteria? | KatG (catalase peroxidase) conves INH (prodrug) to its active form which fuher inhibits inhA and KasA gene which leads to inibition of synthesis of mycolic acid (present in bacterial cell wall) leading to cell death. The most common mechanism which confers high level INH resistance is by mutation of the catalase-peroxi... | 1 | KatG | embB | pncA | rpoB | Pharmacology | Mycobacterial Diseases (TB, Leprosy and MAC) | bcaa0220-e010-44bf-af52-5e8a3512bce2 | single |
What should be done to reduce blood loss during myomectomy for fibroid uterus: March 2012 | Ans: C i.e. Tourniquet use administration Haemorrhage should be controlled with the myomectomy clamp. If the myomectomy clamp cannot be applied as in cervical fibroid, a rubber tourniquet will serve the purpose. | 3 | Preoperative oral contraceptive pills administration | Postoperative control of hypeension | Tourniquet use | Intraoperative blood transfusion | Gynaecology & Obstetrics | null | a46e1cd0-d6e5-4608-875b-70219ac42546 | single |
MTP Act was passed in the year: MAHE 09 | Ans. 1971 | 1 | 1971 | 1991 | 2001 | 2002 | Forensic Medicine | null | 3023d351-0bb5-40d2-a6bc-f2060ebbb0ea | single |
All of the following is true except | Ans. is 'c' i.e., In Brutons agammaglobulinemia opsonisation is not affected o During phagocytosis there is rapid respiratory burst which is brought about by rapid burst in the activity of NADPH oxidase. o Increased NADPH oxidase activity leads to increased oxidative proesses and there by increased production of supero... | 3 | NADPH oxidase acts superoxide ions | Chediak-Higashi syndrome is due to defective phagolysosome formation | In Brutons agammaglobulinemia opsonisation is not affected | Myeloperodixase action is mainly due to OCI | Pathology | null | 97993ef8-f76d-4ff4-ad17-514938271a2b | multi |
The inability to perceive the texture and shape of an object occurs in lesion of | Damage to the dorsal column-medial lemniscus pathway below the crossing point of its fibers results in loss of vibration and joint sense (proprioception) on the same side of the body as the lesion. Damage above the crossing point result a loss of vibration and joint sense on the opposite side of the body to the lesion.... | 2 | Spinoreticular tract | Nucleus cuneatus | Lateral spinothalamic tract | Nucleus gracilis | Physiology | Nervous system | 6fb8a9a3-88a7-4976-ad1c-a74c62065950 | single |
Most sensitive test for carpal tunnel syndrome | Answer- A. Phalen's testThere are some provocative tests which act as impoant screening methods-Wrist flexion (Phalenb test) : - The patient is asked to actively place the wrist in compiete flexion. If tingling and numbness develop in the distribution of median nerve, the test is positive. This is the most sensitiye pr... | 1 | Phalen's test | Tinel's sign | Tourniquet test | null | Surgery | null | fd1fcc17-44d6-410c-8f57-359cb22a2ef7 | multi |
Most commonly damaged nerve in the lower limb:- | Common peroneal nerve is more superficial and lateral to neck of fibula in lower limb, hence more susceptible to injury. Injury manifestation: Compromise of superficial peroneal nerve and Deep peroneal nerve. Sensory symptoms: loss of sensation on territory of common peroneal nerve and superficial peroneal nerve which ... | 3 | Femoral | Sciatic | Common peroneal | Tibial | Anatomy | Nerve supply of Lower Limb | 6d01b7ab-444a-457d-8a77-fd274d2681f4 | single |
Preformed antibodies cause: | Ans. (a) Hyperacute rejection(Ref: R 9th/pg 231-234)Hyperacute rejection occurs when preformed antidonor antibodies are present in the circulation of the recipient even prior to transplantation. | 1 | Hyperacute rejection | Acute rejection | Chronic rejection | Acute humoral rejection | Pathology | Immunity | 23430045-da8a-4625-bc99-a985fd00d07f | single |
Which of the following is MOST commonly associated with green discharge? | A black or green discharge is usually due to duct ectasia and its complications. Ref: Bailey & Love 25/e, Page 831 | 2 | Duct papilloma | Duct ectasia | Retention cyst | Fibroadenoma | Surgery | null | 9d561d2a-e8e6-4994-9aa2-8f8a9d4c773f | single |
A 45-year-old man has hypeension. A thiazide diuretic agent had been prescribed with continued elevated blood pressure. The inclusion of spironolactone to the thiazide diuretic is done to achieve wof | Potassium sparing diuretics Spironolactone,eplerenone and amiloride but not triamterene themselves lower BP slightly. However, they are used only in conjunction with a thiazide diuretic to prevent K+ loss and to augment the anti- hypeensive action. Spironolactone side effects Include gynaecomastia, impotence, menstrual... | 3 | Reduce hyperuricemia | Reduce Mg + loss | Reduce K + loss | Decrease the loss of Na + | Pharmacology | Cardiovascular system | 775e67fd-b470-4185-9a7a-bf1927f68a69 | single |
Lower lid surgery in which plication of the lower lid retractors is done is called ? | Ans. is 'b' i.e., Jones Jones, Rech And Wobig Operation It is performed for severe cases or recurrent cases of entropion. In this operation the inferior lid retractors are straightened by tucking or plication procedure. | 2 | Quicke | Jones | Weiss | Modified wheelers | Ophthalmology | null | 9bb936eb-466d-4ad8-8b08-dcf9ac860b62 | multi |
True statements regarding Aspirin toxicity is | Symptoms of Aspirin poisoning At anti inflammatory dose (3-6grams per day) produces the syndrome called salicylism comprising of dizziness, tinnitus, Veigo, excitement, mental confusion, reversible impairment of hearing The dose has to be titrated to one which is just below that produces the symptom,8 tinnitus is a goo... | 1 | Tinnitus is an early symptom | Hypehermia, tachypnea are Early complications | cos thrombocytopenic purpura | Children can tolerate much higher dose than adult | Anatomy | General anatomy | afd68602-2d59-4f63-9be3-b31727dc8752 | multi |
Prader - Willi syndrome is associated with following EXCEPT | PWS has many signs and symptoms. The symptoms cann range from poor muscle tone during infancy to behavioral problems in early childhood. Some symptoms that are usually found in infants, besides poor muscle tone, are a lack of eye coordination, some are born with almond-shaped eyes, and due to poor muscle tone, some may... | 3 | Hypogonadotropic hypogonadism | Hyperphagia - obesity | Chronic muscle hypeonia | Adult - onset diabetes mellitus | Pediatrics | Genetic and genetic disorders | 32e71d58-67df-427b-ad36-950bf6850b8b | multi |
Which of the following medications is the drug of choice for severe preeclampsia? | Labetalol is a adrenoreceptor antagonist which is used in the treatment of severe pre-eclampsia. Although Metoprolol, Alpha methyldopa and Nifedipine are used in the treatment of severe pre-eclampsia, both Hydralazine and Labetalol has emerged as the first line drugs to control the hypeension in severe pre-eclamptic pa... | 1 | Labetalol | Metoprolol | Alpha-methyldopa | Nifedipine | Gynaecology & Obstetrics | null | 24cd5427-0dd0-48f0-9c98-95044862307d | single |
Most common twin presentation is | (C) Vertex + vertex # Twin pregnancy:> Most common lie of the fetus is longitudinal (90%) but malpresentations are quite common.# Combinations of presentation of the fetuses are Both vertex (commonest) First vertex and second breech First breech and second vertex Both breech, first vertex and second transverse and so o... | 3 | Vertex + breech | Vertex + transverse | Vertex + vertex | Vertex + bro | Gynaecology & Obstetrics | Miscellaneous (Obs) | 957838b3-6e28-43ac-9722-6af0d8abf0ff | single |
A case of spontaneous pneumothorax comes to you. What will be earliest t/t of choice - | Ans is 'b' ie Needle aspiration Pneumothorax : is the presence of gas in the pleural space. Types : (a) Spontaneous pheumothorax ---> is one that occurs without antecedant trauma to the thorax (i) Primary spontaneous - Occurs in the absence of an underlying lung disease (usually d/t apical plural blebs). (ii) Secondary... | 2 | IPPV | Needle aspiration | ICD | Wait and watch | Surgery | null | c5ed23a6-4ff1-48c8-8220-aa74e2e9c209 | single |
The concept of social medicine was first introduced by | The seeds that medicine is a social science were sown in 19th century by pioneers such as Neumann and Virchow Ref : Park's Textbook of Preventive and Social Medicine; 23rd edition | 1 | Neumann and Virchow | Robe Grotjahn | John Ryle | Rene Sand | Social & Preventive Medicine | Concept of health and disease | dbbfd1a7-008e-4ee6-9b32-7507ac0ee231 | single |
The most radiosensitive tissue is: March 2011 | Ans. B: Bone marrow Bone is among the most radioresistant organ By contrast, the male testis, female ovary, and bone marrow are the most sensitive organs Most Radiosensitive: Phase of cell cycle: G2M phase Structure in cell: DNA Cell: Lymphocyte Lung tumour: Small cell Ca Brain tumour: Medulloblastoma Ovarian tumour: D... | 2 | Nerve | Bone marrow | Thyroid | Liver | Radiology | null | 04dec2d0-6dac-466c-acba-34de24e03952 | single |
Which of the following statement is true? | Paul Bunnel test is used to diagnose infectious mononucleosis Rose Waaler test is a passive hemagglutination test Indirect hemagglutination test is more sensitive than gel diffusion test Antigen antibody reaction cannot occur in the absence of electrolytes Ref: Ananthanarayan & Panikers textbook of microbiology 9th Edi... | 4 | Paul Bunnel test is used to diagnosed measles | Rose Waaler test is a complement fixation test | Indirect hemagglutination test is less sensitive than gel diffusion test | Antigen antibody reaction cannot occur in the absence of electrolytes | Microbiology | Immunology | 33989fa8-7484-4f98-8ca0-737809bd0d8c | multi |
Inclusion conjunctivitis is caused by – | Trachoma → Chlamydia trachomatis serotypes A, B, Ba, C.
Inclusion conjunctivitis → Chlamydia trachomatis serotypes D to K. | 1 | Chlamydia trachomatis | Chlamydia psittaci | Herpes | Gonorrhea | Ophthalmology | null | 2c8246fc-5e19-464c-8905-3b7a89acfbc4 | single |
All of the following antihypeensives decrease plasma renin activity except- | Ans. is d i.e., Chlorothiazide | 4 | Clonidine | Methyldopa | Atenolol | Chlorothiazide | Pharmacology | null | a3b5a417-0386-41e6-8cbf-8aeb6825a068 | multi |
Which of the following is true about thermal and electrical pulp tests after trauma? | null | 3 | Sensitivity tests evaluate the nerve and circulatory condition of the tooth | False positive tests are more likely than false negative tests | It may take up to nine months for normal blood flow to return. | It may take a few hours for normal blood flow to return | Dental | null | 82da16c0-b89e-4380-b1c0-9d5cc4ad54a3 | multi |
Epidemics of Relapsing Fever are caused by: | Louse | 1 | Louse | Soft tick | Hard tick | Rat flea | Social & Preventive Medicine | null | 3d70ca2d-cb83-44dd-a5b6-f73eb48b4ef0 | single |
Preferred imaging modality for choanal atresia is | CT SCAN in choanal atresia CT SCAN in coronal and saggital projections provides a thorough evaluation of choanal atresia and adjescent structures. The axial views supply fundamental information including site of obstruction, composition of atretic plate and unilateral or bilateral involvement. Thus CT SCAN is the prefe... | 2 | X ray | CT SCAN | MRI | PET SCAN | ENT | null | c3c2d535-15e0-40c0-a9f3-1a4d2e3fe2bf | single |
A 7-year-old child presenting with acute Otitis media, does not respond to amoxicillin-clavulanic acid. Examination reveals full and bulging tympanic membrane, the treatment of choice is: | (c) Myringotomy(Ref. Scott Brown, 8th ed., Vol 2; 143)Ciprofloxacin is given in pseudomonal and other Gram-negative infections.Cortical mastoidectomy is done in acute mastoiditisIn ASOM steroids are not usedThe slight bulge of TM may regress with antibiotics alone. Myringotomy being an invasive procedure is done only w... | 3 | Systemic steroids | Ciprofloxacin | Myringotomy | Cortical mastoidectomy | ENT | Ear | f6fc5e7a-ac5a-4164-9319-67600151e7f5 | single |
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