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Leucokoria can be seen in all except -
Persistant hyperplastic primary vitreous,Fungal endopthalmitis,Retinoblastoma ,coloboma of choroid, exudative retinopathy of coats and retinopathy of prematurity. Ref: ak khurana 6th edition
2
Persistant hyperplastic primary vitreous
Congenital glaucoma
Fungal endopthalmitis
Retinoblastoma
Ophthalmology
Tumors
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multi
Arborescent burn is seen in
A i.e. Lightening
1
Lightening
Scald
Electrocution
Soda burn
Forensic Medicine
null
682f9a18-16b0-430d-a922-1a9a407cc1bc
single
Hypertrophy of the sebaceous glands in the nasal skin is called-
Ans. is 'a' i.e., Rhinophyma o Rhinophyma is large, bulb-shaped, red-colored (ruddy) nose. It is a slow growing benign tumor due to hypertrophy of the sebaceous glands.o Has been explained in previous sessions.
1
Rhinophyma
Rhinodporidiosis
Rhinolith
Rhinorrhoea
ENT
Disease of External Nose & Nasal Septum
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multi
Treatment for common bile duct stone is by ?
Answer (a) ESWL, (b) Exploration of bile duct and recovery of stones, (c) Bile duct stenting
4
ESWL
Exploration of bile duct and recovery of stones
Bile duct stenting
All
Surgery
null
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multi
The posterior palatal seal for a maxillary complete denture:
null
4
Is placed immediately posterior to the vibrating Line
placed immediately anterior to the vibrating tine
Is not necessary if a metal base is made
Will vary in outline and depth according to the palatal form
Dental
null
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single
QT prolongation is seen in all except :
CONGENITAL LONG QT SYNDROME Due to Genetic defects in K+ channels involved during repolarization. Severe form Includes: I. Jerveu Lange ,ynarome (deafness, syncopal attacks , sudden death ) 2. Romano Ward Syndrome (similar to Jervell Lange syndrome but without deafness ) ACQUIRED *DRUGS *During Sleep *Hypocalcernia *Ac...
2
hypothermia
digitalis toxicity
hypocalcemia
hypercalacemia
Medicine
All India exam
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multi
Non- selective proteinuria is seen in:
Membranous glomerulonephritis loss of size selectivity + loss of charge selectivity - Non selective proteinuria Minimal change nephropathy loss of the charge selectivity, size selectivity of the glomerular capillary wall is intact - preferential albuminuria
3
Minimal change
Mesangial-proliferative GN
Membranous glomerulonephritis
Nodular Glomerulosclerosis
Medicine
Nephrotic and Nephritic syndrome
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single
The ideal time of repair of cleft lip is:
null
2
At birth
Between 3-6 months of age
At 1-1 ½ years of age
At 1½ to 2 years of age
Surgery
null
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single
Concerning the ventilatory response to hypoxia, TRUE is:
Ventilation increases greatly at high altitude in response to hypoxic stimulation of chemoreceptors. The other choices are incorrect : It is the peripheral chemoreceptors, not the central chemoreceptors that are responsible for the response. The response is increased if the pCO2 is also raised. Hypoxic stimulation is o...
1
It is the major stimulus to ventilation at high altitude
It is primarily brought about by the central chemoreceptors
It is reduced if the PCO2 is also raised
It rarely stimulates ventilation in patients with chronic lung disease
Physiology
Respiratory System Pa 2
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multi
Musculocutaneous nerve supplies all of the following, EXCEPT:
The musculocutaneous nerve arises from the lateral cord of the brachial plexus, opposite the lower border of the pectoralis major, its fibers being derived from C5, C6 and C7. In its course through the arm it innervates the coracobrachialis, biceps brachii, and the greater pa of the brachialis.
2
Brachialis
Brachioradialis
Biceps
Coracobrachialis
Anatomy
null
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multi
Active drug transport true is ail except -
Ans. is 'c' i.e., Carrier transport is nonsaturable Active transporto As the name suggests active transport is active pumping of drug molecules through a membrane against concentration gradient by a molecular pump (carrier mediated% which requires energy to function.o So, active transport has following characteristics:...
3
Energy dependent
Make use of specific transporter protein
Carrier transport is nonsaturable
Carries the drug against the concentration gradient
Pharmacology
Pharmacokinetics
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multi
Which of the following is false statement about vitreous?
Ans. is 'a' i.e., Anatomically, vitreous is present in anterior segment * Vitreous is present in posterior segment of eye.* Vitreous humor is a jelly like fluid liquid that fills most (80%) of the eye (from the lens back, i.e., in the posterior segment). The vitreous consists largely of water (99%), a network of collag...
1
Anatomically, vitreous is present in anterior segment
Vitreous largely contain water and hyaluronic acid
Strongest attachment of vitreous base is at ora serrata
Vitreous is attached anteriorly to the lens
Ophthalmology
Vitreous
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multi
Uterine artery is a branch of:
Ans. is c, i.e. Internal iliac arteryRef: Shaw 14th/ed, p17Uterine artery is a branch of anterior division of internal iliac artery
3
Aorta
Common iliac
Internal iliac
External iliac
Gynaecology & Obstetrics
Gynaecological Anatomy
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single
Which of the following is included in Celiac sprue diet?
Treatment of Gluten sensitive Enteropathy /Celiac Sprue: Stop wheat/oat/rye/barley (BROW) Sta Quinoa, Maize, rice (small amounts Gluten +) Iron supplementation for microcytic anemia Folic acid supplementation for macrocytic anemia.
4
Wheat
Barley
Rye
Quinoa
Anatomy
FMGE 2019
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single
Pegloticase used in treatment of gout acts by which of the following mechanism:
Rasburicase and Pegloticase metabolize insoluble uric acid to soluble allantoin and used in the treatment of chronic gout.
2
It inhibits Xanthine oxidase enzyme
It metabolizes uric acid to allantoin
It inhibits the migration of inflammatory cells
It accumulates in synovial fluid and prevent the action of cytokines
Pharmacology
null
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multi
Factor useful for clot stabilization?
Ans. is `d i.e., XIIIFactor XIII:It is also called fibrin stabilizing factor.It is necessary for clot stabilization and the cross linking of the fibrin polymer in blood.A hallmark of this rare deficiency is poor wound healing and abnormal scar formation.
4
X
XI
XII
XIII
Pathology
null
9b8451a4-3a1f-4b42-a9a6-b2b9e0e99863
single
An ideal method for treating both primary and recurrent condyloma acuminata?
CO2 laser: ideal method for treating both primary and recurrent condyloma acuminata because of its precision and the wound's rapid healing without scarring. For pregnant women, this is the TOC for large or extensive lesions and for cases that do not respond to repeated applications of trichloroacetic acid. Pulsed CO2 l...
3
Krypton laser
NdYAG laser
CO2 laser
Flashlamp-pumped pulsed dye laser
Dental
Viral infections
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In calculating RDA for a particular nutrient, 2 SD are not added for
Recommended Dietary Allowance (RDA): Is a level of intake corresponding to Mean + 2 Standard Deviation, which covers requirement of 97.5 % of population RDA is safe level of intake which is likely to be inadequate in not more than 2.5 % population RDA 'safe level approach' is NOT USED FOR ENERGY since excess energy in...
3
Iron
Calcium
Energy
Vitamin A
Social & Preventive Medicine
null
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single
A young, tall, thin male with arachnodactyly has ectopia lentis in both eyes. The most likely diagnosis is:
Marfan syndrome Disorder of connective tissues, Changes in the skeleton, eyes, and cardiovascular system. Inherited defect in an extracellular glycoprotein called fibrillin-1. Skeleton features Unusually tall with long extremities and long,tapering fingers (refer to the image below) and toes. The joint ligaments in the...
1
Marfan's syndrome
Marchesani's syndrome
Homocystinuria
Ehler Danlos syndrome
Pathology
Single Gene Disorders
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Most common site of Basal cell carcinoma on face is
Face is the most common site for BCC And nose is the most common site on face.
3
Forehead
Ears
Nose
Cheeks
Dental
null
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single
Which is the most economical and best screening method?
High risk screening: In High risk screening,besides effectiveness,economical use of resources is also seen as screening tests are selectively applied to individuals in high risk groups High risk selective screening gives maximum yield. E.g. HIV screening in commercial sex workers Therefore it is the most economical and...
2
Mass screening
High risk screening
Multiphasic screening
None of the above
Social & Preventive Medicine
Definition and Concepts, Examples from NHPs
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multi
All of the following statements about enzymes are true EXCEPT:
Isoenzymes are different enzymes catalysing the same chemical reaction - option b is correct. Allosteric regulators bind to a site other than the active site - option c is correct. Translational regulation means inhibiting/activating the synthesis of enzyme/protein (protein translation) to stop/increase the reaction. I...
1
Multienzyme complexes greatly reduce the rates of reactions
Isoenzymes differ in their amino acid sequence
Allosteric regulators do not bind to the active site of the enzyme
Translational regulation is method of long term regulation of enzymatic activity
Biochemistry
Enzyme basics and serine proteases
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How to test for the long thoracic nerve
The long thoracic nerve supplies the serratus anterior muscle. Its root value is C5, C6andC7. Serratus anterior is one of the main muscle for overhead abduction. So we can test the long thoracic nerve by asking the patient to abduct his arms overhead and forward pressure with the hands against a wall, or against resist...
3
Touch the opposite shoulder
Shoulder shrug
Raise the arm above the head
Lift an object from the ground
Anatomy
Upper limb
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multi
Which of the following is the most reliable feature of malignant transformation of pheochromocytoma
Ref Robbins 8/e p1159; 9/e p1135 There is no histological feature that reliably predicts clinical behaviour .Infact, cellular and nuclear pleomorphism, including the presence of giant cells, and mitotic figures are often seen in benign pheochromocytoma.while cellular monotony is paradoxical associated with an aggressiv...
2
Presence of mitotic figures
Presence of metastasis to other organs
Vascular /capsular invasion
All the above
Anatomy
General anatomy
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Levetiracetam is effective in:
Levetiracetam will be useful in focal onset seizure. Ref: Harrisons principles of internal medicine 18th edition ; Page : 3264, Table : 369/9.
2
Generalised tonic clonic seizure
Focal onset seizure
Absence seizure
Lennox-Gastaut syndrome
Medicine
null
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single
Erythropoiesis is promoted by all of the following except:
C i.e. Oestrogen
3
ACTII
Thyroxine
Oestrogen
Prolactin
Physiology
null
cc2615eb-5102-45e6-b993-5ebfa942a24d
multi
Most common organs involved in the wagners granulomatosis are
Refer robbins 9/e p511 Granulomatosis with polyangiitis (formerly called Wegener's) is a rare disease of unceain cause that can affect people of all ages. It is characterized by inflammation in various tissues, including blood vessels (vasculitis), but primarily pas of the respiratory tract and the kidneys. The areas m...
2
Skin and nose
Lung and kidney
Hea and kidney
Kidney and nervous system
Anatomy
Cardiovascular system
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A 2 year old child is brought by parents with history of seizures and developmental delay. He has multiple hypopigmented macules over the back. What is the most probable diagnosis -
Ans. is 'b' i.e., Tuberous sclerosis History of seizures and multiple hypopigmented macules over the back (ash leap patch) suggest the diagnosis of tuberous sclerosis.
2
Neurofibromatosis type 1
Tuberous sclerosis
Sturge weber's syndrome
Linear Sebaceous nevus syndrome
Pediatrics
null
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Erythroderma is seen in all except -
Ans. is 'c' i.e., pityriasis rosea Causes of Erythroderma1) Skin disorders - Psoriasis, eczema/dermatitis (atopic, stasis,contact, seborrheic), Pityriasis Rubra Pilaris, Lichen Planus)2) Systemic diseases - cutaneous T- cell lymphoma3) Drugs - Gold, allopurinol, phenytoin, penicillin, sulphonamide4) Idiopathic - second...
3
Drug hypersensitivity
Pityriasis rubra pilaris
Pityriasis rosea
Psoriasis
Skin
Erythroderma
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multi
Which one of the following methods for induction of labour should not be used in patient with previous lower segment caesarean section?
Ans. is b, i.e. Prostaglandin tabletRef Dutta Obs. 7/e, p 524; Fernando Arias 3/e, p 286Prostglandin tablet is misoprostol (PGE1 ) which is contraindicated in women with previous cesarean births.MisoprostolIt is an analogue of Prostaglandin E1 .Indications:Medical abortion in the first trimester of pregnancy.Evacuation...
2
Prostaglandin gel
Prostaglandin tablet
Stripping of the membrane
Oxytocin drip
Gynaecology & Obstetrics
Normal Labour
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Muscle hypotension is caused by?
Ans. is'a'i.e., BradykininOnly bradykinin cause hypotension - Local hypotension in skeletal muscle (If pressure BP to fall below 50 mm Hg).
1
Bradykinin
Actin
Myosin
Relaxin
Physiology
null
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single
The classical lobule of the liver is centred around
The "classic" liver lobule is the sixsided polyhedral prism with poal triads (hepatic aery, poal vein, and bile duct) at each of the corners. The vessels of the poal triads send distributing branches along the sides of the lobule, and these branches open into the sinusoids. The long axis of the lobule is transversed by...
3
Postal vein
Bile duct
Central vein
Hepatic aery
Anatomy
General anatomy
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single
Specific stain for myeloblasts -
The specific stain for myeloblast is myeloperoxidase And the specific stain for erythroblasts is periodic acid schiff Reference :textbook of Pathology 6th edition Author Harsha Mohan page number 362
3
Sudan black
PAS
Myeloperoxidase
LAP
Pathology
Haematology
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single
Periglomerular fibrosis is considered typical of:
Chronic glomerulonephritis
2
Chronic pylonephritis
Chronic glomerulonephritis
Aerionephrosclerosis
Malignant hypeension
Pathology
null
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Modified kuppuswamy scale includes all except
null
2
Education of head of family
Income of head of family
Occupation of head of family
Income per capita
Social & Preventive Medicine
null
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multi
Which of the following is not true about pseudopancreatic cyst?
PSEUDOPANCREATIC CYST Lined by granulation tissue M.C cause is alcohol Located in lesser sac most commonly in acute pancreatitis. Size of cyst is small, so most patients are asymptomatic. If large cyst it will compress the posterior wall of stomach leads to frequent episodes of non-bilious vomiting just after meals, wi...
2
Most common site is lesser sac
Most common cause is gallstones
Jurasz operation is done
Most cases are managed conservatively
Surgery
Pancreas
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A 30 year old female is diagnosed with cervical intraepithelial neoplasia associated with a previous viral infection. Which of the following viral products are implicated in producing this type of dysplasia?
Cervical intraepithelial neoplasia (CIN) is associated with human papilloma virus (HPV) infection, paicularly types 16 or 18. These papillomaviruses produce E6 and E7 proteins, which induce the expression of cellular p53 and p110Rb oncogenes, respectively. EBNA proteins are produced by the Epstein-Barr virus and are as...
3
EBNA proteins
E1A and E1B proteins
E6 and E7 proteins
Large tumor antigen
Microbiology
null
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An infected pancreatic necrosis is treated with -
Ans. is 'b' i.e., Laprotomy and surgical debridement o A pancreatic abscess# Is a circumscribed intrabdominal collection of pus, usually in proximity to pancreas, which contains little or no necrotic tissue. An infected pseudocyst is also considered as pancreatic abscess.o Pancreatic and peripancreatic necrosis# These ...
2
iv Antibiotics
Laprotomy and surgical debridement
Ultrasound guided drainage
TPN
Surgery
Pancreas
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All of the following drugs cause hirsutism except
Ans. (D) Heparin(Ref: Harrison 17th/e p01)Drugs causing hirsutism:AndrogensOral contraceptives containing androgenic progestinsMinoxidilPhenytoinDiazoxideCyclosporine (Not tacrolimus)Heparin produces transient and reversible alopecia.
4
Phenytoin
Minoxidil
Corticosteroids
Heparin
Pharmacology
Miscellaneous
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The Sphenopalatine foramen is formed by all of the following structures, EXCEPT?
Sphenopalatine foramen is formed by the junction of the sphenopalatine incisure of the palatine bone with the sphenoid bone, located immediately posterior to the middle turbinate. This is the principal foramen through which branches of the sphenopalatine aery and maxillary nerve pass from the pterygopalatine fossa into...
1
Vomer
Palatine bone
Sphenoid bone
Sphenopalatine notch
Anatomy
null
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Hepatorenal syndrome characterised by all except:
Renal failure consequent on liver failure can occur in cirrhosis. The kidney's they are intrinsically normal and renal failure is thought to result from altered systemic blood flow including diminished renal blood flow: • It occurs in advanced cirrhosis at most alwaysand ascites   Absence of proteinuria or abnormal uri...
4
No proteinuria
Normal intrinsic' kidney.
Liver failure
Urine osmolality less than plasma osmolality
Unknown
null
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A full term neonate is born after a long, difficult delivery. The baby has an APGAR score of 3, so aerial blood is drawn for blood gas studies 3 minutes after delivery. Aerial blood gas studies show a PO2 of 10mmHg, PCO2 of 27mmHg, and pH of 7.09. Which of the following is the best interpretation of these studies?
This is something of a trick question, but it is included to illustrate a specific point of which you should be aware. The biochemistries of neonates, especially in the first minutes to hours of life, can be strikingly different from those of adults. Specifically, the normal range of aerial blood pH at bih is 7.11 to 7...
4
Markedly decreased PCO2, suggesting hyperventilation
Markedly decreased pH, suggesting acidosis
Markedly decreased PO2, suggesting respiratory failure
Within normal limits
Physiology
null
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Which tract controls the skilled voluntary movements?
Lateral coicospinal tract REF: Ganong's 22"' ed chapter 12 "The lateral coicospinal tract is concerned with skilled movements" See APPENDIX-15 for details
1
Lateral coicospinal tract
Tectospinal tract
Rubrospinal tract
Reticulospinal tract
Physiology
null
35048284-32dd-49a1-bb4b-8bbe09ae450f
single
Which of the following is FALSE about poal vein:
Formed behind the neck of pancreas Poal vein ascends behind first pa of duodenum. Bile duct lies anterior and right to it and Gastroduodenal aery lies to the left and anterior to it. Fig :- poal vein
4
Formed behind the neck of pancreas
Bile duct lies anterior and right to it
Gastroduodenal aery lies to the left and anterior to it
Ascends behind the 2nd pa of duodenum
Anatomy
Liver
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multi
Anti-D immunoglobulin should be considered for Rh-negative women in which of the following settings
All of the above is most appropriate answer although with regard to threatened abortion it is controversial.
4
Threatened abortion
First - trimester MTP
Post - evacuation of molar pregnancy
All of the above
Gynaecology & Obstetrics
null
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multi
Slit shaped nipple seen in -
Ans. is 'A' i.e., Duct ectasia o Duct ectasia is dilatation of lactiferous ducts associated with periductal inflammation, the pathogenesis of which is unknown. o Chronic inflammation around the major ducts, possibly due to autoimmune basis may be the first event, leading eventually to ductal dilatation. One other mecha...
1
Duct ectasia
Duct papilloma
Paget's disease
CA breast
Surgery
Miscellaneous (Breast)
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Ligand for LDL
LOW-DENSITY LIPOPROTEINS (LDL) LDL transpos cholesterol from liver to peripheral tissues. The only apoprotein present in LDL is apo B100. Most of the LDL paicles are derived from VLDL, but a small pa is directly released from liver. The half-life of LDL in blood is about 2 days.Ref: DM Vasudevan - Textbook of Biochemis...
1
APO B 100
APO E
APO 48
APO A11
Biochemistry
Metabolism of lipid
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International notification is a must in the following except-
.the diseases to be notified vary from country to country.notification is an impoant source of epidemiological information.it enables early detection of disease outbreaks,under the International Health Regulations ,ceain prescribed diseases are notifiable such as 1.thoose diseases that subject to international health r...
4
Plague
Cholera
Yellow
Paralytic polio
Social & Preventive Medicine
Epidemiology
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All of the following may be used in pregnancy associated hypertension except:
Common antihypertensives used in PIH
2
Nifedipine
Captopril
Methyldopa
Hydralazine
Gynaecology & Obstetrics
null
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multi
Which of the following is a Direct thrombin inhibitors?
Ans. D. All of the aboveDirect thrombin inhibitorsMechanism of action: Thrombin inhibitionExample:a. Lepirudinb. Argatrobanc. Bivalirudind. Ximelagatrane. Dabigatran (oral drug).
4
Lepirudin
Argatroban
Bivalirudin
All of the above
Medicine
Blood
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multi
In AIDS there is a deficiency of which cell?
null
3
CD2
CD3
CD4
CD8
Medicine
null
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single
Which of the following iris lesions is a true tumor
Kunkmann - wolffian body - normal iris stroma Koeppe nodule - inflammatory cells. Lisch nodule - Iris hamartoma associate with neurofibromatosis.
1
Lisch nodule
Koeppe nodule
Kundmann - walffian body
None of the above
Ophthalmology
null
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multi
Structures preserved in Radical Neck Dissection is :
Ans. is 'a' i.e., Vagus nerve
1
Vagus nerve
Submandibular gland
Sternocleidomastoid
Internal Jugular Vein
Surgery
null
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All are synoyms for tuberculosis verrucosa cutis, EXCEPT:
TBVC/ way tuberculosis is a form of cutaneous tuberculosis occuring in individuals with high immunity. It is known by former 3 names as infection occur in physicians, pathologists and post moem attendants as verrucous lesions by accidental superinfection. Scrofuloderma is cutaneous uberculosis in individuals withn low ...
4
Anatomist's was
Prosector's was
Verruca necrogenica
Scrofuloderma
Skin
null
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multi
Radiological appearance of 'thimble' bladder is seen in the following condition:
Early tuberculosis of the bladder commences around the ureteric orifice or trigone, the earliest evidence being pallor of the mucosa due to submucosal oedema. Subsequently, tubercles may be seen and, in long standing cases, there is marked fibrosis and the capacity of the bladder is greatly reduced giving the radiologi...
2
Cystitis cystica
Chronic tuberculous cystitis
Neurogenic bladder
Acute tuberculous cystitis
Radiology
null
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MHC class III genes encode
*HLA class III contains genes for • Complement components C2 and C4 of classical pathway (Not C3) • Properdin factor B of alternate pathway • Tumor necrosis factor: Alpha and Beta • Heat shock protein 70  • Enzyme tyrosine hydroxylase • Genes for MHC (also known as HLA) are located on short arm of chromosome 6.
3
Complement component C3
Interleukin 2
Tumor necrosis factor
Beta 2 microglobulin
Pathology
null
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single
Rape, even after consent is considered when age of woman is -
Ref:Textbook of Forensic medicine and toxicology (V.V.Pillay) 17th edition page no.388 As per sec.375IPC unlawful sexual intercourse with a woman with or without her consent when she is under 18 years ofage. The Criminal Law(Amendment)Act,2013 has increased the previous recommend age of consent from 16 to 18 years.
1
<18 yr
<20yr
<21 yr
25 yr and in police custody
Forensic Medicine
Sexual offences and infanticide
6ace29f5-8969-4053-9b03-122065968d45
single
True regarding surface anatomy of internal jugular vein -
SURFACE MARKINGS OF IMPORTANT VESSELS OF NECK Surface anatomy of internal jugular vein: Internal jugular vein is marked by a line joining a point on the neck, medial to the ear lobule to a point at the medial end of the clavicle Surface anatomy of the external jugular vein: Marked by a line joining a point a little ...
2
Line passing from ear lobule to mid point of clavicle
Line passing from ear lobule to medial end of clavicle
Line joining ear lobule to lateral end of clavicle
Line joining mastoid process to mid point of clavicle
Anatomy
null
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multi
A 28 year old man involved in a bomb blast explosion. Which of the following is not a component of Marshal's triad?
Marshall's triad is seen in bomb blast injuries. It is a triad of - Bruises, Abrasions Punctate lacerations
3
Abrasion
Contusion
Avulsion laceration
Punctate lacerations
Forensic Medicine
Ballistics
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single
All are calculated by Coho study, except ?
Ans. is 'c' i.e., Odds ratio Characteristics Coho Study Case control Study Cross Sectional Study Design Prospective Retrospective One point in time Incidence Estimated Not estimated Not estimated Prevalence Not estimated Not estimated Estimated Calculations Incidence rates Relative risk Attributable risk Odds ratio
3
Incidence
Relative risk
Odds ratio
Attributable risk
Social & Preventive Medicine
null
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multi
Resistance to drugs in Tuberculosis develops by -
Ans. is 'd' i.e., Mutation o The most common mechanism of antitubercular drugs resistance is by mutation - INH --> Catalase - peroxidase gene (Kat G) or inh A gene. Rifampin --> rpo B gene PZA --> pnc A gene ETB --> emb B gene Streptomycin --> 16 S rRNA gene (rrs) or ribosomal protein S-12 gene (rpst).
4
Transduction
Conjugution
Transformation
Mutation
Pharmacology
null
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single
Which of the following is not seen after moderate injury/ severe injury or major surgery?
null
4
Negative nitrogen balance
Tachypnoea
Hyper metabolism
Hyperphagia
Surgery
null
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single
Spinal cord is opened from the -
Autopsy of spinal cord can be done either from posterior (most common) or anterior approach. High cervical spine injuries are best seen by posterior, and thoracic spine by anterior approach.
2
Frontal approach
Back side
Lateral side
None of the above
Forensic Medicine
null
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multi
Fosphenytoin is given by which route?
Ans. is 'c' i.e., Intravenous o Fosphenytoin is administered parenterally, most commonly intravenous or sometimes intramuscular.
3
Oral
Intranasal
Intravenous
Subcutaneous
Pharmacology
null
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single
Radiation is most commonly associated with which of following cancer?
Ans is 'a' i.e. Leukemia o Leukemia is the most common radiation-induced cancer. All leukemias, except CLL, can be caused by radiationso Other tumors caused by radiation exposure are thyroid carcinoma (especially papillary carcinoma), breast cancer and skin cancers (squamous cell and melanoma).
1
Leukemia
Lymphoma
Lung carcinoma
Osteoblastoma
Unknown
null
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single
Nasolacrimal duct opens in-
Ans. is 'a' i.e., Inferior Nasal Meatus Part of lateral nasal wallOpeningsInferiorNasolacrimal ductMiddleFrontal sinus, Maxillary sinus, Anterior ethmoidal sinusSuperiorPosterior ethmoidal sinusSphenoethmoidal recessSphenoid sinus
1
Inferior Nasal Meatus
Superior nasal meatus
Middle nasal meatus
Maxillary sinus
ENT
Anatomy and Physiology of Nose and PNS
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single
Macrocytic anaemia in children is produced by all except –
Morphology of RBC Normal human red blood cells are biconcave discs (diskocytes) with a mean diameter of about 7.5 m. The hemoglobin of red cells is located peripherally, leaving an area of central pallor equal to approximately 30-35% of the diameter of the cells.                                               Cells of...
3
Thiamine deficiency
Orotic acideueia
Copper deficiency
Liver disease
Pediatrics
null
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multi
Neostigmine used in treatment of Myasthenia gravis acts by
Refer kDT 6/e p 101 In most people with myasthenia gravis, the immune system blocks or damages these acetylcholine receptors. The acetylcholine cannot then attach to the receptor and so the muscle is less able to tighten.Neostigmine works by slowing the breakdown of acetylcholine when it is released from nerve endings.
3
Increasing the number of receptor for acetylcholine
Increasing synthesis of acetylcholine
Decreasing breakdown of acetylcholine
Increasing acetylcholine degradation
Pharmacology
Autonomic nervous system
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single
2 casesCase 1: HIGH BP, tachycardia, tremors, auditory and visual hallucinations, hepatomegaly, disoriented to time, place, person.Case 2: Yawning, diarrhea, diaphoresis, mydriasis, high fever 104degF, rhinorrhea, piloerection.The above symptoms are seen in the withdrawal of which of the following substances?A. Alcohol...
Ans. D. E, G & HWithdrawal symptoms of Ketamine:Hallucination (both auditory & visual) - Most common.Emergence delirium (Psychomimetic emergenceCharacteristic during awakening from anesthesia.More likely if anticholinergic premedication is used.Reduced by benzodiazepine.Withdrawal symptoms of Amphetamine:Fatigue and in...
4
A, F & C
G, H & B
H, G & D
E, G & H
Psychiatry
null
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multi
Dithionite test is done for assessing -
Ans. is `d' i.e., Hb S Dithionite test is a rapid screening tube test for the detection of HbS.
4
Hb F
Hb E
Hb A
Hb S
Pathology
null
713f2c22-9c1e-4dce-9169-d3fa8c60016c
single
Characteristic feature of the ECG is ?
Mobitz type I second-degree A V block (A V Wenckebach block) is characterized by progressive PR interval prolongation prior to block of an atrial impulse.
1
Progressive lengthening of PR interval till a beat is dropped.
Slurred QRS complex
Irregular heart rate and premature ventricular beats
Shortened ST interval
Unknown
null
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single
Which of the following statement is not true about the Trochlear nerve?
Trochlear nerve is the fouh cranial nerve. It is a motor nerve ( somatic efferent nerve), whichinnervates superior oblique muscle, which depress the eye in adduction and in cyclodetes the eyeball.It is the smallest nerve in terms of the number of axons it contains. Other than the optic nerve (cranial nerve II), it is t...
2
It has the longest intracranial course
It innervates superior oblique muscle, which depress the eye in abduction and detes the eyeball
It is the only cranial nerve that arises from the dorsal aspect of the brainstem
It enters the orbit through the superior orbital fissure outside the annulus of Zinn
Anatomy
null
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multi
Disease which can be transmitted by milk
Q fever caused by C.burnetii. In milk, it may survive even after pasteurization by the holder method. It can remain infectious for months in milk, water, soil and wool. The organism is shed in the milk of infected cat. Ref: Baveja textbook of microbiology; 4th edition
1
Q fever
Poliomyelitis
Whooping cough
Diphtheria
Microbiology
Bacteriology
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single
The regressive changes during puerperium are mostly confined to the all EXCEPT:
Puerperium is the period following childbih during which the body tissues, especially the pelvic organs reve back approximately to the pre-pregnant state both anatomically and physiologically. The retrogressive changes are mostly confined to the reproductive organs with the exception of the mammary glands which in fact...
3
Uterus
Urinary tract
Breasts
Vagina
Gynaecology & Obstetrics
Puerperium
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multi
Prussak's space is situated in -
Prussak's space is the space between pars flaccida, and the neck of malleus in the Epitympanum (see fig. 1.4) It is the M/C site for primary cholesteatoma.
1
Epitympanum
Mesotympanum
Hypotympanum
Ear canal
ENT
null
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single
Hemolysis is most sever with Plasmodium falciparum infection compared to other malarial parasites because of-
falciparum infection This is the most dangerous of the malarias. The onset is often insidious, with malaise, headache and vomiting. Cough and mild diarrhoea are also common. The fever has no paicular pattern. Jaundice is common due to haemolysis and hepatic dysfunction. The liver and spleen enlarge and may become tende...
2
Associated gram-negative bacteremia
Ability of the parasite to infect RBCs of all ages
Ability of the organism to infect selectively reticulocytes
Ability of the organism to escape the immune recognition by the immune system
Medicine
Infection
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multi
Bloomers shelf is:
Ans) a (Peritoneal mets...) Ref: Bailey 25thThe anterior surface of proximal 1 /3rd of rectum is covered by visceral peritoneum. The peritoneal reflection is 7 to 9 cm from the anal verge in men and 5 to 7.5 cm in women. This anterior peritonealised space is so called the pouch of douglas or the pelvic cul de sac & may...
1
Peritoneal mets palpable per rectal
Supraclavicular lymph nodes
Axillary lymphnodes
Ovarian mass
Surgery
Miscellaneous
98206d30-4282-46a0-a890-84b44930fdc3
single
In trauma to the neck which indicates immediate management
Trauma to neck Immediate Management Neck injuries can often require rapid intervention because of the vulnerability of the contained vital structures. The highest priority concern is establishment of a secure airway, especially given the rapidity with which deterioration can occur in the setting of a neck injury. Direc...
3
Sub cutaneous emphysema
Air bubbling
Stridor
Hypotension
Surgery
Trauma
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single
Trivalent oral polio vaccine contains, type 3 virus:
null
1
300,000 TCID 50
200,000 TCID 50
100,000 TCID 50
400,000 TCID 50
Social & Preventive Medicine
null
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single
Radioisotope(s) preferred for management of bone metastasis is/are?
Sr-89 Radioisotope,a beta Emitter used in the palliation of painful Bone metastasis It is metabolised similar to calcium and targets the metabolically active regions of the bone It has a half life of 50.5 Days
3
I-131
Iridium 192
Sr-89
Co-60
Radiology
Radiology Q Bank
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single
Which of the following is an impoant mediator of vasodilation?
Vasodilation is induced by the action of several mediators, notably histamine and nitric oxide (NO), on vascular smooth muscle. Ref: Robbins 8th edition, Chapter 2.
1
Nitric oxide
Oxygen
Leukotriene
All of the above
Pathology
null
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multi
Tissue graft rejection can be prevented by the suppression of
null
2
Plasma antibodies
T-cells
Allergy producing mast cells and basophils
Macropghages
Surgery
null
28555839-418b-47cd-b63e-ad23b7a82781
multi
What is the quantity of Hb that is catabolised every day in a normal adult?
Daily degradation of hemoglobin per day is 8gm. When old RBC's are destroyed in the macrophages, the globin poion splits off and the heme is conveed to biliverdin. Most of the biliverdin is conveed to bilirubin and is excreted in the bile. Iron from the heme is reused for hemoglobin synthesis and is usually stored in t...
1
8 gm
10 gm
12 gm
13.3 gm
Biochemistry
null
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single
Which of the following is not caused by sandfly?
Diseases transmitted by various species of sandfly include: SPECIES DISEASES CAUSED Phlebotomus argerntipes Kala azar Phlebotomus papatasii Sandfly fever, oriental sore Phlebotomus sergentii Oriental sore Sergentomyia punjabensis Sandfly fever Ref: Park 21st edition page: 716.
1
Trench fever
Kala azar
Oriental sore
Sandfly fever
Social & Preventive Medicine
null
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single
The principal polypeptide that increase food intake are the following except -
null
2
Neuropeptide-Y
Leptin
Orexin-A
B-endophrin
Medicine
null
564ad1ed-80ad-4cd3-80bb-7214d42538e7
multi
All are the causes of intrauterine growth retardation except :
Ans. is None
4
Anemia
Pregnancy induced hypeension
Maternal hea disease
null
Gynaecology & Obstetrics
null
cba31555-9df9-46a6-8482-3e281004ae5c
multi
The disease which permanently alters the finger prints is:
Permanent impairment of the fingerprint pattern occurs in leprosy, electrical injury and after exposure to radiation. Ref: Forensic Medicine and Toxicology By R.N. Karmakar, Page 115; The Essentials of Forensic Medicine and Toxicology By Dr K S Narayan Reddy, 27th Edition, Page 77
1
Leprosy
Tuberculosis
Diabetes
Dermatitis
Forensic Medicine
null
082a4e68-acb8-4a96-9196-6882d3326195
single
A 6-year-old girl presents with a 2-week history of a skin rash over her buttocks and legs and joint pain. The parents report seeing blood in the urine. Physical examination reveals palpable purpuric skin lesions and markedly swollen knees. The results of laboratory studies reveal abnormally high erythrocyte sedimentat...
Henoch-Schonlein purpura is the most common type of childhood vasculitis and is caused by vascular localization of immune complexes, containing predominantly IgA. Purpuric skin lesions and glomerulonephritis in a child suggest the diagnosis of Henoch-Schonlein purpura. The other choices do not include deposits of IgA i...
1
Henoch-Schonlein purpura
Hypersensitivity vasculitis
Kawasaki disease
Polyarteritis nodosa
Pathology
Blood Vessels
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multi
Southern blot is used for
SOUTHERN BLOT : It is based on the specific base pairing propeies of complementary nucleic acid strands ,this technique is based on DNA hybridization. DNA is isolated from the tissue.It is then fragmented by restiction endonucleases.The cut pieces are electrophoresed on agarose gel. Treatment with NaOH denatures the DN...
1
Sequencing DNA
Sequencing RNA
Detection of antigen
Detection of antibody
Biochemistry
Metabolism of nucleic acids
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single
The following statements are true about DPT vaccine except
Diphtheria toxoid is given as a trivalent preparation containing tetanus toxoid and peussis vaccine as the DTP or DPT. Not only it is convenient, but B.peusis also acts as an adjuvant for the toxoids, producing a better antibody response. Reference: Textbook of Microbiology; Anathanarayan and paniker's; 10th edition; P...
4
Aluminium salt has a adjuvant effect
Whole killed bacteria of Bordetella peussis has an adjuvant effect
Presence of acellullar peussis component increases its immunogenecity
Presence of Hemophilus influenza type B component increases its immunogenicity
Microbiology
Bacteriology
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multi
In cystic fibrosis, the most common organism which causes early infection is
Cystic fibrosisThe most common organism which causes infection is Staphylococcus.The infection that characterizes cystic fibrosis airways involves the mucus layer rather than epithelial or airway wall invasion.The unique predisposition of cystic fibrosis airways to chronic infection by Staphylococcus aureus and Pseudom...
2
Pseudomonas
Staphylococcus
Klebsiella
Streptococcus
Anatomy
All India exam
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single
Porcelain laminate veneers, Maryland bridge maximally get retention through:
null
1
Composite resin, salinization, acid etching and restoration
Composite resin, and etching and salinization
Acid etching, salinization and restoration
Composite resin, acid etching and restoration
Dental
null
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multi
A 38 years old female patient presented with gradually worsening unsteady gait as well as numbness and tingling in hands and feet. At the time of admission neurological examination revealed slight weakness of distal muscles, bilaterally absent ankle jerk reflexes, bilaterally extensor plantar reflexes, and loss of posi...
Above findings are suggestive of sub-acute degeneration of spinal cord. It is most commonly caused due to vitamin B-12 deficiency. Dorsal column of spinal cord is affected more frequently which result in paresthesias, diminished proprioception and vibration sensation, motor weakness, clonus or hyperreflexia, areflexia,...
2
Vitamin B-1
Vitamin B-12
Vitamin C
Vitamin A
Radiology
Neuroradiology
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multi
What type of RBC seen in chronic renal failure?
null
3
Microcytic
Macrocytic
Normocytic
null
Pathology
null
bc39c92d-f1fd-4293-94dd-254702271b67
multi
A normotensive patient with normal hemoglobin suffered massive blood loss. The following findings would be present in him except -
null
1
Increased PCV
Increased MCV
Thrombocytosis
Reticulocytosis
Medicine
null
f9669d0c-2136-45b0-8561-f3d135c1bc1c
multi
Initiation of basic electrical Rhythm of intestine is by?
Ans. A Interstitial cells of CajalRef: Ganong, 25th ed. pg. 496The basal electrical rhythm is initiated by interstitial cells of Cajal which are stellate mesenchymal parenchymal cells that send long multiple branched processes into the intestinal smooth muscle.
1
Interstitial cells of Cajal
Entero-chromaffin cells
Auerbach plexus
Meissner plexus
Physiology
G.I.T.
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single
A 22-year-old female presented with fever, cough for 6 months, chest X-ray shows mediastinal widening and blood tests revealed an Increased level of ACE levels. What is the most probable diagnosis:
Ans: A (Sarcoidosis) Ref Harrison's Principles of Internal Medicine 18th edition & Nelson Textbook of Pediatrics. 19th ed. Explanation: Raised ACE levels, points towards Sarcoidosis. The given history is also compatible with pulmonary tuberculosis, but serum ACE levels will be normal. Sarcoidosis It is a multisystem gr...
1
Sarcoidosis
Tuberculosis
Churg Strauss syndrome
Lymphoma
Unknown
null
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single
The "rotator cuff" muscle includes all except
The musculotendinous cuff of the shoulder is a fibrous sheath formed by the four flattened tendons which blend with the capsule of the shoulder joint and strengthen it. The muscles which form the cuff arise from the scapula and are inseed into the lesser and greater tubercles of the humerus. They are:subscapularis, the...
3
Supraspinatus
Infraspinatus
Teres major
Subscapularis
Anatomy
Upper limb
ef98cf92-779b-49d7-b3a0-6612305f0f01
multi
Absorption of glucose in intestine is by:
Ans. (a) Secondary active transport(Ref: Ganong 25th ed, p.45)Secondary active transport protein for glucose transport is Sodium Glucose Cotransporter (SGLT)SGLT 1-intestine and SGLT 2-Proximal convoluted tubule of kidney
1
Secondary active transport
Facilitated diffusion
Primary active transport
None of the above
Physiology
General
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multi
Most common cause of death in malignant melanoma is due to
CNS metastasis is the most common cause of death in malignant melanoma.
4
Sepsis
Adverse effects of chemotherapy
Metastasis to lungs
CNS metastasis
Dental
null
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single