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The substance that accumulates in cardiacmyxoma is – | - Myxomasare composed of stellate or globular myxoma (lepidic cell, endothelial cells, smooth muscle cells and undifferentiated cells embedded within abundant acid mucopolysaccharidesusbstance. | 1 | Mucopolysaccharides | Sialo mucin | Gelatin | Glycoprotein | Unknown | null | 6148ac1e-1c0c-4779-b03f-370554a9afa2 | single |
Most common frequency of Tuning fork used in ENT | Tuning fork test can be performed using tuning fork of different frequencies such as:
. • MC used/ ideal for routine clinical practice is of 512 Hz.
• Tuning fork of lower frequencies produce sense of bone vibration while those of higher frequencies have a shorter decay time and are thus not routinely preferred.
• Test... | 2 | 256 Hz | 512 Hz | 1024 Hz | 2048 Hz | ENT | null | 01e62356-13e5-42c7-bcce-1bff60c7c93a | single |
A 27-year-old man has surgery for a testicular mass. Histologic sections reveal the mass to be a testicular yolk sac tumor. Which of the substance listed below is most likely to be increased in this patient's serum | Tumors sometimes secrete specific substances that appear in the serum. These tumor markers can be used clinically for diagnosis, for staging, and for following patients after surgery to look for recurrences of the tumor. Two impoant tumor markers associated with testicular neoplasms are a-fetoprotein (AFP) and human ch... | 4 | Acid phosphatase | Human chorionic gonadotropin | Alkaline phosphatase | a-Fetoprotein | Pathology | Endocrinology | 85d96ac7-3393-459c-b9d2-a8c5b3153da6 | single |
True statement about sebaceous cyst:- | Generally sebaceous cyst is derived from infundibulum of hair follicles / caused by traumatic inclusion Sites are scalp, face, trunk and scrotum Usually sebaceous cyst contains a punctum (except scalp and scrotum) Skin is fixed over the cyst | 3 | Arise in the epidermis | Mobile over skin | Commonly seen in scalp | Rarely contains central punctum | Surgery | JIPMER 2019 | 82909be7-d1b5-42bf-8b20-170fd640ffdc | multi |
Ehler Danlos syndrome is due to defect in? | ANSWER: (B) CollagenREF: Robbins 8th ed ch: 3MAIN TYPES OF COLLAGENS, TISSUE DISTRIBUTION, AND GENETIC DISORDERSCollagenTypeTissue DistributionGenetic DisordersFIBRILLAR COLLAGENSIUbiquitous in hard and soft tissuesOsteogenesis imperfecta; Ehlers-Danlos syndrome--ar- throchalasias type 1IICartilage, intervertebral disk... | 2 | Elastin | Collagen | Keratin | Laminin | Pathology | Cytogenetic Disorders | 944a9552-6152-4ba9-a6d7-58b9b8443041 | single |
All may cause traumatic asphyxia, except: Al 09 | Ans. Accidental strangulation | 3 | Railway accident | Road traffic accident | Accidental strangulation | Stampede | Forensic Medicine | null | 0854f280-c0f1-4ae3-a90a-094003c43212 | multi |
A diabetic mother gives bih to a baby who dies in the first week of life. Autopsy reveals a severe cardiac malformation. Which of the following is the most likely diagnosis? | Maternal diabetes is best known for causing large but immature-for-age babies. There is also a specific association between maternal diabetes and transposition of the great vessels. In transposition of the great vessels, the aoa takes off from the anterior pa of the right ventricle and the pulmonary trunk takes off fro... | 4 | Atrial septal defect | Coarctation of the aoa | Eisenmenger's syndrome | Transposition of the great aeries | Gynaecology & Obstetrics | null | 13be7f02-c7ea-4970-bf7b-475327d125fe | single |
Nitrates decrease myocardial oxygen consumption by all of the following mechanisms EXCEPT: | Nitrates decrease the ventricular end diastolic pressure by decreasing end-diastolic ventricular volume they cause venodilation, decreases oxygen consumption by hea and en diastolic pressure They are mainly useful in treating angina. REF.Essentials of Pharmacology KD Tripathi 8th ed. | 1 | By increasing the left ventricular end diastolic pressure | By direct reduction of oxygen consumption of myocardial the cell | By dilation of the capacitance vessels | By decreasing the size of hea | Pharmacology | Cardiovascular system | 293c0783-a891-4c96-ae3a-86fac0958069 | multi |
Activator for self cure resin: | Chemically activated resins (chemically cured composites) are supplied as two pastes, one of which contains the benzoyl peroxide initiator and the other an aromatic tertiary amine activator (e.g., N, N-dimethyl-p-toluidine).
Phillip’s 12th edition page 286 | 2 | Benzoyl peroxide | Tertiary amine | Methyl ether | None of the above | Dental | null | d691947d-62c6-471e-b5ce-8beb1aae6298 | multi |
All are features of the hemolytic uremic syndrome, except- | HUS(hemolytic uremic syndrome) caused by insults that lead to the excessive activation of platelets, which deposit as thrombi in microcirculatory beds. These intravascular thrombi cause microangiopathic hemolytic anemia and widespread organ dysfunction, and the attendant consumption of platelets leads to thrombocytopen... | 4 | Hyperkalemia | Anaemia | Renal microthrombi | Neuro psychiatric disturbances | Pathology | Urinary tract | 1fee492e-12a7-4364-ac62-55bea70cf929 | multi |
How to assess Vit. D therapy in Rickets is | Following adequate Vitamin D therapy,most patients with vitamin D deficiency rickets show radiological evidence of healing within 4 weeks.X-ray wrist is taken for this purpose.Reduction in blood levels of alkaline phosphatase and resolution of clinical signs occur slowly.If radiological healing cannot be demonstrated,d... | 3 | Sr calcium | Sr alkaline phosphatase | X-ray wrist | Sr. phosphatase | Pediatrics | Metabolic disorders | a678a727-c951-428b-b3ca-5d3dd8dbab21 | single |
Carbon dioxide transpoed in blood mostly as | Transpo of Carbon Dioxide in the Blood Carbon dioxide molecules are transpoed in the blood from body tissues to the lungs by one of three methods: dissolution directly into the blood, binding to hemoglobin, or carried as a bicarbonate ion. Several propeies of carbon dioxide in the blood affect its transpo Ref: guyton a... | 3 | Carnbon Hb | In combination with plasma proteins | Bicarbonate | Carbonic acid dissolved in plasma | Physiology | Respiratory system | de8e0d6c-88f3-42cd-a4de-008074936981 | single |
Which of the following statements about opioid receptor antagonists is false - | Ans. is 'd' i.e., Naloxone is more potent than naltrexone o Naltrexone is more potent than naloxone. Naltrexone has 3 to 5 times more potency than naloxone. o Opioid induced constipation that is refractory to laxative may be treated with oral naloxone. Oral naloxone can reverse opioid induced constipation without preci... | 4 | Naloxone can be used for treatment of opioid induced constipation | Naltrexone may be used for treatment of alcohol dependence | Nalmefine has a longer half life than naloxone | Naloxone is more potent than naltrexone | Pharmacology | null | 7769631d-af1c-4ffa-8d73-82f24fa5499e | multi |
A 32-year old male with no past medical history is brought to the emergency depament after being injured in a bomb blast. On examination he is suspected to have a splenic injury and is supposed to undergo an emergency laparotomy. Which of the following is the ideal anaesthetic agent of choice? | Ans. c. Etomidate | 3 | Remifentan | Morphine | Etomidate | Halothane | Skin | null | 13d54392-e253-4b1d-81ef-625ff4bbec82 | single |
Trapped air sign in upper abdomen on plain xray is seen in | Shopfner described this sign in patients with peri Gastric adhesions.It consists of trapped air pockets in pas of the Gastric antrum, elevated and fixed by perigastric adhesions to adjacent organs like liver and pancreasValuable in excluding Gastric carcinomasMost commonly seen in benign conditions | 4 | Splenic tumour | Renal stones | Pancreatitis | Chronic duodenal ulcer | Radiology | All India exam | a491e238-fd7d-4746-a86e-7cda9dd2a8eb | single |
The structure derived from the right foh aoic arch? | B i.e. Right subclan aery | 2 | Right common carotid aery | Right subclan aery | Aoic arch | None of the above | Anatomy | null | 99ab5b55-1a66-4e01-b166-2f5f54c568db | multi |
Preanesthethetic Medication is for A/E | C i.e. dose of inducing agent Preanesthetic medication is for the Amnesia, Antiemesis, Analgesia; Decreasing Anxiety, Seretions & Acidity. It has nothing to do with induction. | 3 | Secretion decrease | .Anxiety | dose of inducing agent | Allay Anxiety | Anaesthesia | null | b3bb4613-2985-4833-b8df-61ce1957342c | multi |
Fetal damage in diabetic mother in 1st trimester is best assessed by : | Level of glycosylated Hb | 1 | Level of glycosylated Hb | Level of glucose | Level of cholesterol | Level of insulin | Gynaecology & Obstetrics | null | 582049b2-7b70-4c8a-85d2-5bcded8ed686 | single |
In deep transverse arrest, all of the following can be done except: | Deep transeverse arrest occurs at the level of ischial spine and hence it cannot be managed by wrigleys forceps which is an outlet forceps basically and forceps cannot rotate the head of body except kielland forceps | 4 | Cesarean section | Vacuum extraction | Kielland forceps | Wrigley's forceps | Anatomy | Abnormal labor | 5f4bb636-6fd5-46c5-90b7-789261e31739 | multi |
Which is a minor criteria for diagnosis of RF according to modified Jones criteria | Ref Harrison 19 th ed pg 2152 Table- 381-2 Minor manifestations Clinical: fever, polyahralgia Laboratory: elevated erythrocyte sed- imentation rate or leukocyte counte Electrocardiogram: prolonged P-R interval | 2 | ASO titre | Past history of rheumatic fever | Fever | Subcutaneous nodules | Anatomy | General anatomy | 304bb553-47e6-4327-8c34-f9d97c8894a7 | single |
Pseudo-Cushing's syndrome seen in | Patients with major depression, alcoholism, pregnancy, chronic renal failure, or stress also may have elevated coisol levels and symptoms of hypercoisolism. However, these manifestations resolve with treatment of the underlying disorder and these patients are deemed to have Pseudo-Cushing's syndrome. ref - Pubmed.com | 4 | Pregnancy | Depression | Chronic renal failure | All of the ablove | Medicine | All India exam | 0f52da27-7a82-4548-8227-26052a39aeb6 | multi |
All are Bcell markers except | null | 1 | CD 15 | CD 19 | CD 21 | CD 23 | Pathology | null | 1f63b2fa-fa8f-40fb-9bd8-ff770760e5ab | multi |
Gluteofemoral bursa is in between gluteus m4rimus and - | Ans.'d' i.e., Vastus lateralisIschial bursa: On lower and medial pa of ischial tuberosity (between gluteus maximus and ischial tuberosity).Trochanteric bursa: On the greater trochanter (between gluteus maximus and greater trochanter).Gluteofemoral bursa: Between gluteus maximus and vastus lateralis.Iliopsoas bursa Betw... | 4 | Greater trochanter | Lesser trochanter | Ischial tuberosity | Vastus lateralis | Anatomy | null | 86e40bf0-a93d-45a4-8786-3fd1bba07a71 | single |
The conclusion post moem finding of death by drowning : | B i.e. Presence of water in the middle ear | 2 | Cutis anserine | Presence of water in the middle ear | Edematous lungs | All | Forensic Medicine | null | 795b7409-53f8-42fd-846c-7187c5bb644d | multi |
Acutehumoral renal transplant rejection is characterized by the following except: | Ans. (b) Interstitial and tubular mononuclear cell infiltrate(Ref: Robbins 9th/pg 231-234; 8th/pg 221-229)Interstitial and tubular mononuclear cell infiltrate is a feature of acute cellular and chronic rejection. | 2 | Presence of anti-donor antibodies | Interstitial and tubular mononuclear cell infiltrate | Necrotizing vasculitis | Acute cortical necrosis | Pathology | Immunity | 7ccd1772-d6f7-4d16-9245-bccb5095217e | multi |
Which one of the following is not true for an a-helix: | D i.e. Long stretches of left handed a- helices occur in proteins | 4 | It is one of the most impoant secondary structure | It has a net dipole moment | All hydrogen bonds are aligned in the same direction | Long stretches of left handed a-helices occur in proteins | Biochemistry | null | cee970d9-c261-487d-897b-373156040663 | multi |
Mammary gland is a type of ? | Ans. is 'a' i.e., Modified sweat gland | 1 | Modified sweat gland | Ceruminous gland | Sebaceous gland | None of the above | Anatomy | null | d5d65d7a-f6ee-4b49-b805-08d9e32821cf | multi |
A 25 year old man presents with 3 days history of pain in the right lower abdomen and vomitings. Patient's general condition is satisfactory and clinical examination reveals a tender lump in right iliac fossa. The most appropriate management in this case would be - | Ans. is 'c' i.e., Oschner Sherren regimen o If an appendix mass is present and the condition of the patient is satisfactory', the standard treatment is the conservative Ochsner-Sherren regimen.o This strategy is used as the inflammatory' process is already localised and that inadvertent surgery' is dificult and may be ... | 3 | Immediate appendicectomy | Exploratory laprotomy | Oschner Sherren regimen | External drainage | Surgery | Acute Appendicitis | f52107a7-6dbb-48c6-8dd8-a5717b19fdfd | single |
Incubation period of HBV is ? | Ans. is 'a' i.e., 45 to 180 days | 1 | 45 to 180 days | 6 to 60 days | 10 days | 10 hrs | Microbiology | null | 94cb0542-4324-4175-9ed5-d81f80178f40 | single |
Which of the following is excreted in saliva ? | null | 3 | Tetracyclines | Ampicillin | Lithium | Chloramphenicol | Pharmacology | null | 2e463c1c-2ca7-4df5-b441-b0c9ee82f932 | single |
A new born is noted to have a large head and sho limbs. On fuher examination, sho broad fingers, a small face, and low-normal length are noted. The trunk appears long and narrow. to confirm the diagnosis you should - | Ans. is 'b' i.e., Obtain skeletal radiographs o In case of dispropoionate limbs and trunk, arrange for skeletal X-rays. | 2 | Order an ophthalmologic examination | Obtain skeletal radiographs | Order chromosome analysis | Examine the parents | Pediatrics | null | d02b114d-d625-4b95-bf45-c95f87d7e838 | multi |
In case of retreatment which is ideal for removal of G.P.? | null | 1 | H-file | K-file | GT-file | Lentulospiral | Dental | null | d1f20127-5823-45e7-920b-bef3fb2ef851 | single |
'Confounding bias' in a case control study can be removed by: | Ans; C (Matching) Ref: Park 22nd editionExplanation:Confounder is a variable which is an independent risk factor for disease and is non- causal.ly associated with the exposure.That is the variable should be related to the disease and to the risk factor under study like shown in the following figure: To remove the effec... | 3 | Double blinding | By properly recalling events | Matching | By selecting representative population | Social & Preventive Medicine | Analytical Epidemiology | ed467fb0-962c-41f7-b73f-e8fcc30ed2d8 | multi |
Marcus Gunn sign is seen in | Grading of hypeensive retinopathy:Keith and Wegner (1939) have classified hypeensive retinopathy changes into following four grades:_ Grade I: It consists of mild generalized aeriolar attenuation, paicularly of small branches, with broadening of the aeriolar light reflex and vein concealment._ Grade II: It comprises ma... | 4 | Retinitis pigmentosa | Retinal detachment | Diabetic retinopathy | Hypeensive retinopathy | Ophthalmology | Glaucoma | d9024b76-4bbe-41b8-a282-652635a6cd23 | single |
In pigmented basal cell carcinoma, treatment of choice is: | Treatment of Melanoma * Non-aggressive tumor on trunk or extremities : Excision or electrodissection & curettage * Large, aggressive , located at vital areas or recurrent : Moh's micrographic surgery | 4 | Chemotherapy | Radiotherapy | Cryosurgery | Excision | Surgery | Plastic Surgery and Skin Lesions | 32bfcfe1-1da5-4bd2-95fb-68b0efd931dd | single |
In Hyperthyroidism increased cardiac output is due to all the following except:: | Ans: A (Increased afterload) Ref: Harrison's Principles of Internal Medicine 18th edition & DeGroot WJ, Leonard JJ. Hyperthyroidism as a high cardiac output state. Am Heart J. 1970 Feb;79(2):265-75.Explanation:Hyperthyroidism is the most common cause of hyperkinetic circulatory disease.Thyroid hormone probably produces... | 1 | Increased after load | Increased ventricular contractility | Decreased total peripheral resistance | Peripheral vasodilatation | Medicine | Thyroid | f0dc37f7-d887-4888-9e9a-647724c1eb62 | multi |
Which of the following is not a sonographic criterion for cesarean scar pregnancy | Sonographic criteria for cesarean scar pregnancy include
Empty uterine cavity - bright hyperechoic endometrial stripe
Empty cervical canal
Intrauterine mass seen in anterior part of uterine isthmus. | 2 | Anterior uterine isthmic mass | Hourglass uterine shape | Empty cervical canal | Hyperechoic thin endometrial stripe | Gynaecology & Obstetrics | null | 7dd3194b-673b-4477-8df8-51b9aa0c70b1 | single |
Bilateral balanced occlusion is: | null | 3 | Balance in working lateral and protrusive contacts | Balance in lateral contacts only | Balance in working, balancing and protrusive contacts | Balance in protrusive contacts only | Dental | null | 906e1e69-a530-446e-a550-829de5c602d7 | single |
Regression of Mullerian duct in males occurs at: | Ans. is d, i.e. 8 weeksRef: Leon Speroff 8th/ed, p342"AMH gene expression is induced by SOX-9 in sertoli cells and results in the ipsilateral regression of mullerian ducts by 8 weeks in males" | 4 | 5 weeks | 6 weeks | 7 weeks | 8 weeks | Gynaecology & Obstetrics | Malformation of the Female Generative Organs | 74f44c1b-7438-44d2-b9cd-beca9db4e3e0 | single |
Anitshow's cells are seen in? | Ans. is 'a' i.e., Rheumatic heart disease o Anitschkow (or Anichkov or catterpiller) cells are often cells associated with rheumatic heart disease. Anitschkow cells are enlarged macrophages found within granulomas (called Aschoff bodies) associated with the diseaseo Aschoff bodies (Aschoff nodules) are characteristic i... | 1 | Rheumatic heart disease | Rheumatic arthritis | Bacterial endocarditis | Marantic endocarditis | Pathology | Rheumatic Fever | 722da2de-e4c8-42dd-bf77-31f54494760e | single |
The cellular component of protein synthesis is : | Ribosomes >> Rough endoplasmic reticulum Rough ER is that ER on which ribosomes are attached and protein synthesis occurs in ribosomes. So, best answer here is 3. Fig.: Free ribosomes present in cytoplasm (not attached to ER) Fig.: Ribosomes attached to cytosolic side of ER BUT SER is responsible for the synthesis of l... | 3 | Smooth endoplasmic reticulum | Rough endoplasmic reticulum | Ribosomes | Mitochondria | Biochemistry | Organelles | 1f3efa87-418e-4aef-8847-93fc6c643ccf | single |
Transcervical endometrial resection (TCRE) is used in: | Transcervical endometrial resection (Hysteroscopic endometrial ablation) is a technique for management of DUB.
Aim of the procedure is to produce a therapeutic Asherman’s syndrome and produce amenorrhea.
It destroys the endometrium → formation of synchea → Asherman syndrome → amenorrhea.
It is essential to destroy endo... | 2 | Endometriosis | DUB | Carcinoma endometrium | Submucous fibroid | Gynaecology & Obstetrics | null | 4e95bd1e-7820-4f83-ba4b-1c9d74bf3a32 | single |
True about dysgerminoma of ovary:a) Blood spread seenb) Schiller-Duval bodies seenc) Increase alfa fetoproteind) Bleomycin, etoposide and cisplatin givene) Radiosensitive | Dysgerminoma:
• Commonest malignant germ cell tumour of ovary.
They are the most common ovarian malignancy detected during pregnancy.
• Primarily affect young women (average age of incidence is 20 years) and not postmenopausal females.
• Usually unilateral but they are the only germ cell malignancy with a significant r... | 1 | ade | bde | abd | ad | Gynaecology & Obstetrics | null | 175c6a6d-894d-48f3-b564-4c84be70342f | multi |
Alopecia aerata is: | B. i.e. Non Cicatrial | 2 | Cicatricial scar | Non cicatricial scar | Fungal infection | null | Skin | null | 60ac15ba-161f-4604-afbf-00ebce7a46e5 | multi |
Which drug acts by inhibiting protein synthesis? | Ref: katzung 11th ed. P. 805Explanation: (See the following Table) SubclassMechanism of ActionEffectsClinical applicationPharmacokinetics, Toxicities. InteractionsTetracyclinesTetracyclinePrevents bacterial protein synthesis by binding to the 30S ribosomal subunitbacteriostatic activity against susceptible bacteriaInfe... | 3 | Ciprofloxacin | Penicillin | Erythromycin | Nalidixic acid | Pharmacology | Anti Microbial | b254bca9-9fb9-422b-88c2-c6881faf2a6b | single |
In which behaviour therapy is helpful | B i.e. Agoraphobia | 2 | Schizophrenia | Agoraphobia | Personality Disorder | Neurotic depression | Psychiatry | null | 3086b190-7f97-4d62-8ebc-bdc948ed9721 | single |
Reed Sternberg cells are found in: | a. Hodgkin's disease(Ref: Nelson's 20/e p 2445-2448, Ghai 8/e p 608-610)Diagnostic Hallmark of Hodgkin Lymphoma are Reed-Sternberg cells, which are binucleate cell or having a single nucleus with multiple nuclear lobes. | 1 | Hodgkin's disease | Sickle cell anemia | Thalassemia | CML | Pediatrics | C.V.S. | e97d8a10-1dd8-4b89-9ac2-0226d1b39313 | single |
What is the best indicator to evaluate obstetric and neonatal care given at around the time of bih? | Perinatal Moality Rate is a 'yardstick' of obstetric and pediatric care before and around the time of bih. PNMR includes time b/w 28weeks POG to 7days post-delivery. PNMR = x 1000.(formula as per WHO) MCC of perinatal deaths - Lowbih weight & prematurity. | 2 | IMR | Perinatal moality rate | U5MR | Still bih rate | Social & Preventive Medicine | Obstetric Care in RCH: Visits, IFA, TT, MCH Indicators | cb057321-9585-4363-9efc-aa161034ff1b | single |
Prevalence of Vitamin-A deficiency in a community is assessed as: | Bitot spots-0.5% | 3 | Night blindness-10% | Corneal ulcer-0.01% | Bitot spots-0.5% | Decreased serum retinol level-0.05% | Social & Preventive Medicine | null | b28ca35b-429b-4e50-9c1a-5ded8ecb511e | single |
As per WHO recommendation, duration of treatment of multibacillary leprosy is: September 2009 | Ans. D: 12 months Paucibacillary leprosy should be treated for 6 months with dapsone 100 mg/day unsupervised plus rifampin 600 mg/ month supervised. Multibacillary leprosy should be treated for 12 months with dapsone 100 mg/day unsupervised, clofazimine 50 mg/day unsupervised, and rifampin 600 mg plus clofazimine 300 m... | 4 | 3 months | 6 months | 9 months | 12 months | Skin | null | 88c70826-c088-4afb-840a-e53b9a093282 | single |
Commonest cause of periumbilical pain after 30 min.of TURP done under spinal anesthesia with Bupivacaine | Perforation of bladder is one of the complications of TURP. It can present with periumblical pain. This pt. experiences pain 30 minutes after TURP. This is because he is under spinal anesthesia. In this pt. the effect of spinal anesthesia terminates 30 min. after the operation. Now he is able to perceive the pain of bl... | 2 | Meteorism | Perforation of bladder | Recovery from bupivacaine anaesthesia | Mesentery aery ischemia | Anatomy | Urology | d6097a8b-cd72-4457-b2a4-c36be6d0a35d | single |
The most common cardiac congenital malformations seen clinically is | The most common of all cardiac congenital malformations seen clinically are membranous VSDs. The membranous interventricular septum forms by the proliferation and fusion of tissue from three different sources: Right bulbar ridge Left bulbar ridges Atrioventricular (AV) cushions. Because of this complex formation, the p... | 2 | Persistent truncus aeriosus | Membranous VSD | Common ventricle | Foramen secundum defect | Anatomy | CVS Embryology | 3298c5e9-0bfc-4db5-9807-ea1a6637ed2a | multi |
All drugs used in treatment of acute gout except | Ans. is 'a' i.e., Allopurinol Management of gout Treatment of acute gout To provide rapid and safe pain relief Drugs used are : i) NSAIDs: These are the most frequently used drugs to treat gout because they are so well tolerated. Indomethacin is the agent of choice but other NSAIDs may be just as effective. Aspirin is ... | 1 | Allopurinol | Aspirin | Colchicine | Naproxen | Medicine | null | 0b8879b0-99ce-4320-bdcf-90a149013f08 | multi |
Patient a known case off alcohol dependence after 12 to 18 hrs of last drink develops seizure for the first time in his life.possible diagnosis is | withdrawl symptoms are present due to alcohol withdrawl based on the time duration between the last drink and the presentation of symtoms withdrawls symptoms can be classified into many types it may be mild symptoms like tremore to seizure to life threatening symptoms like delirium tremens ref.Kaplon and Sadock, synops... | 3 | Delirium tremens | seizure disorder | Rum fits | wernickes encephalopathy | Anatomy | Substance abuse | 7a1cd5a6-4171-47b0-8fa6-c233de573a1b | single |
A 6 year old boy has been complaining of headache, ignoring to see the objects on the sides for four months. On examination, he is not mentally retarded, his grades at school are good, and visual acuity is diminished in both the eyes. Visual chaing showed significant field defect. CT scan of the head showed suprasellar... | Answer is B (Craniopharygioma): Presence of headache, visual field defects and suprasellar calcification suggests a diagnosis of suprasellar neoplastic lesions. The most common suprasellar neoplastic lesion in children (6 years) associated with suprasellar calcification is craniopharyngioma which is the single best ans... | 2 | Astrocytoma | Craniopharyngioma | Pituitary adenoma | Meningioma | Medicine | null | 04175825-49d7-4831-a01c-8c4a5a65f8ef | multi |
Conjugated and unconjugated bilirubins are increased in: | null | 2 | Prehepatic jaundice | Hepatocellular jaundice | Posthepatic jaundice | Hemolytic jaundice | Medicine | null | c68e1813-dcfe-414a-88e0-a8285123ced4 | single |
An alcoholic addicted presents in an emergency with irrelevant talking & disoriented to time, place and person. There is h/o not taking alcohol from last 3 days & no head injury. He also has a visual hallucination. The diagnosis - | Disorientation and visual hallucinations after 3 days of alcohol abstinence, in an alcoholic, suggest the diagnosis of delirium tremens. | 2 | Dementia praecox | Delirium tremens | Schizophrenia | Korsakoff psychosis | Psychiatry | null | bc89c6b6-7285-45c1-ac9f-27fb0157bbe4 | multi |
The major fuel for the brain after several weeks of starvation | The major fuel for brain in prolonged starvation is ketone bodies (Beta hydroxybutyrate, acetoacetate). | 3 | Glucose | Fatty acid | Beta hydroxybutyrate | Glycerol | Biochemistry | null | 4e920a0e-7186-4376-a037-cd62ab0f2b47 | single |
Inhibitors of apoptosis is | Ref , Robbins 7/e p29,31,32,9/e p55 | 4 | P53 | Ras | Myc | Bcl-2 | Anatomy | General anatomy | 5523dd86-0318-4cc1-96eb-f048e13abc7b | single |
Toll like receptors are seen on? | Answer-D. All of the aboveThe Toll-like receptors are rnembrane proteins that recognize avariety of microbe-derived molecules and stimulate innate immune responses against the microbes.The Toll-like receptors are expressed on many different cell types that paicipate in innate immune responses including ,macrophages, de... | 4 | Macrophages | Natural killer cells | Endothelial cells | All of the above | Pathology | null | add8209f-6c43-4de1-a846-f104ab0f0c47 | multi |
Which of the following is not true regarding Hemophilia? | Since the platelets count and function is normal the bleeding time is normal. The following are the common lab findings of Haemophilia Laboratory findings Results PT Normal APTT Abnormal Bleeding Time Normal Platelet count Normal Factor VIII:C assay (in Hemophilia A) Abnormal Factor IX assay (in Hemophilia B) Abnormal | 4 | Normal platelets | Deficient factor VIII | Deficient factor IX | Increased BT | Medicine | null | 64b6e4fd-3471-4e8e-993e-fe23a4793918 | multi |
A chronic alcoholic presents with repeated episodes of severe intractable abdominal pain. At evaluation the pancreatic duct was found to be dilated and stones were noted in the tail of pancreas. The most appropriate management is: | Pancreatico Jejunostomy is indicated in patients with severe unbearable pain and with the evidence of dilated pancreatic duct. Ref: CSDT, 12th Edition, Pages 618-19; Modern Surgical Care By Miller, 3rd Edition, Page 477; General Surgical Operations By Kirk, 4th Edition, Pages 421-22; High-yield Surgery By Raminder Niru... | 2 | Pancreatic Tail Resection | Pancreatico Jejunostomy | Percutaneous removal of stone | Medical management | Surgery | null | e2586e51-94d2-48fc-8ee8-2aab2a161381 | single |
All of the following are CNS stimulants except- | Ans. is 'b' i.e., Benzodiazepines o CNS stimulants are amphetamine, methylphenidate, atomoxetine, modafinil, cocaine, pemoline and caffeine. | 2 | Amphetamines | Benzodiazepines | Cocaine | Methylphenidate | Pharmacology | Seedatives & Hyponotics | 06dcf33f-1c28-4b9a-8f49-f05936193200 | multi |
Test tube baby is produced by : | Ans. is b i.e. Sperm and ovum are feilized in test tube and implanted "In vitro feilization is a medical technique in which a woman's egg is placed with her husband's sperm in a laboratory environment to promote feilization. The result is so called test-tube baby." | 2 | Sperm and ovum are directly implanted into fallopian tube | Sperm and ovum are feilized in test tube and implanted | Fetus is grown in test tube | Only sperm is transferred | Gynaecology & Obstetrics | null | 2c875a06-f156-4484-94f0-52a1801153ba | multi |
Pt with his A presented to the OPD after 3days CTshowed the presence of an SDH On fundoscopy B12 papillecterna was seen What is the most probable course of this | Raised Intracranial Pressure causes - Intracranial Masses Blockage of CSF Haemorrhage Hypeensive emephalopahty Venous Sinus thrombosis Hyperadrenalisrn Altitude sickness Tetracycline Vit-A intoxication ref : ak khurana 7th ed/ harrisons 21st ed | 1 | Raised ICT | Meningitis | Optic neuritis | Glaucoma | Ophthalmology | All India exam | 88a65add-d787-4f8b-a476-950cd64d69ee | single |
A patient with pancreatic malignancy presents with lethargy, yellow urine and pruritus. The probable location of the tumor is: | Obstructive jaundice is a frequent feature when the cancer is located in the head of pancreas. The symptoms are abdominal discomfo, pruritus, lethargy, and weight loss. Physical signs: Jaundice and cachexia, and scratch marks. 25% have a palpable gall bladder (Courvoisier's sign). Ref: Harrison, Edition -18, Page-789 | 1 | Head of the pancreas | Body of the pancreas | Tail of the pancreas | Pancreatic malignancy with liver metastasis | Pathology | null | b4f07a5c-6dfc-4509-b100-f762daa5d226 | single |
Aerial thrombosis is seen in | Ref Harrison 18/e p462; 9/ep123 | 1 | Homocysteinemia | Anti phospholipids syndrome | Protein s deficiency | Protein c deficiency | Anatomy | General anatomy | 4f325dc0-3465-4ca4-a855-05367eee23c6 | single |
What is the material of choice for a fresh furcation perforation of the
size of 2 mm? | Perforation in the furcation area has the poor prognosis. Perforation occurring in mid root and apical part of root does not have communication with oral cavity and thus has good prognosis.
Commonly used materials for perforation repair include amalgam, calcium hydroxide, IRM, Super EBA, gutta-percha,MTA, and other mat... | 2 | Geristore | MTA | GIC | Amalgam | Dental | null | 4b88b668-257e-4060-8e94-1e6ffc4e14dc | single |
True about starting ART in pregnancy is - | Ans. is 'c' i.e., Nevirapine is given to neonate within 72 hours of birth o Intrapartum care:a) Zidovudine (AZT) is given as the i.v. infusion starting at the onset of labor or 4 hours before cesarean section. Loading dose : 2mg/kg/hour, maintenance dose: 1 mg/kg/hour.b) Nevirapine single dose at onset of labor and a s... | 3 | Started only when CD4< 200/ul | Is beneficial only for health of mother | Nevirapine is given to neonate within 72 hours of birth | Zidovudine is preferred over nevirapine | Unknown | null | bef1d91f-3c2f-4415-8412-c5559ce827ee | multi |
As per NCEP ATP 3 which is not included in metabolic syndrome | REF : HARRISONS 21ST ED | 2 | Hyperiglyceridemia | High LDL | central obesity | Hypotension | Medicine | All India exam | 4eb128c6-83a4-43a6-99d1-97d68e0dc2ab | single |
which of the following help in bacterial adhesion | Fimbrial Pili helps in bacterial adhesion They are made of protein subunits PILIN , Present only on the surface of GRAM NEGATIVE bacteria REF : ANANTHANARYANA | 3 | cytoplasmic membrane | Mesosomes | Fimbria | LPS | Microbiology | All India exam | 12be5ae4-f7f2-437a-8b0b-2d57c3e95d3a | single |
The light brown perinuclear pigment seen on H & E staining of the cardiac muscle fibres in the grossly normal appearing heart of an 83 year old man at autopsy is due to deposition os: | Ans. is 'b' i.e. Lipochrome The characteristic mentioned in the question are of lipochrome or lipofuscinCharacteristics of Lipochrome or lipofuscinIt is an insoluble pigment also called 'wear and tear' or 'aging pigment'In tissue sections, it appears as light yellow brown, finely granular, intracytoplasmic often perinu... | 2 | Hemosiderin | Lipochrome | Cholesterol metabolite | Anthracotic pigment | Pathology | Histo Pathology | 6ee7dbda-6ec7-4948-93f5-458942fc0cb7 | single |
Which of the following physiological action is NOT done by insulin? | Ketogenesis occurs in insulin deficiency. Principal Actions of Insulin: Rapid (seconds) Increased transpo of glucose, amino acids, and K+ into insulin-sensitive cells Intermediate (minutes) Stimulation of protein synthesis Inhibition of protein degradation Activation of glycolytic enzymes and glycogen synthase Inhibiti... | 4 | Glycogen synthesis | Glycolysis | Lipogenesis | Ketogenesis | Physiology | null | c2e1ce89-d449-4c8e-a76f-e2a240fba784 | single |
Which of the antithyroid drug inhibit iodine trapping? | Ans. is 'd' i.e., Thiocyanades | 4 | Radioactive iodine | Iodides | Methimozole | Thiocyanades | Pharmacology | null | 62727c8e-13b6-442e-805d-29d2840eb950 | single |
60 year old diabetic female presented with burning sensation to spicy food. Intraoral examination revealed multiple periodontal abscess and keratotic area in a lace pattern with occasional erosive areas inside the lace pattern.
Syndrome associated with this disease is | Grinspan's syndrome is an interesting association of lichen planus, diabetes mellitus and vascular hypertension. | 2 | Down's syndrome | Grinspan syndrome | Peutzjeghers syndrome | Sjogren's syndrome | Pathology | null | 741d3ceb-3ca3-4960-93b8-48a300f50a96 | single |
On abdominal ultrasound gall bladder shows at neck and comet tail aifacts. The most likely diagnosis will be: | Adenomyomatosis Repeat from May 11 Adenomyomatosis is a benign condition characterized by hyperplastic changes of unknown etiology involving the gallbladder wall. It causes overgrowth of the mucosa, thickening of the muscular wall, and formation of intramural diveicula or sinus tracts termed as Reokitansky-Aschoff sinu... | 1 | Adenomyomatosis | Adenocarcinoma of gall bladder | Xanthogranulomatous cholecystitis | Chelesterol crystals | Radiology | null | 153b2e04-0774-4b39-960e-c80339c711dd | multi |
The axillary sheath is an extension of this fascia around the subclan aery and brachial plexus. Fascia around nerve bundle of brachial plexus is derived from: | The brachial plexus and the subclan aery course between the anterior and middle scalene muscles, and as the nerve plexus and aery emerge from those muscles, they carry an extension of the preveebral fascia along to form the axillary sheath. Ref: Moon D.A., Foreman K.B., Albeine K.H. (2011). Chapter 26. Triangles and Ro... | 1 | Preveebral fascia | Pretracheal fascia | Investing layer | Superficial cervical fascia | Anatomy | null | 0cd53a88-30b5-48ae-b4a6-5e65630b7801 | single |
Cholera toxin is due to - | null | 3 | Chromosome | Plasmid | Phage | Transposons | Microbiology | null | 5687d871-6374-4808-8cea-04ebbc45f0a0 | single |
Which aery is dissected most commonly following aeriography by femoral routeaEUR' | Inferior mesenteric aery [Ref: American Journal of Roentgenology 130:455-460, March 1978 Aerial dissection in aeriography can occur either during the femoral puncture (common) or during catheter manipulation. Most common aery dissected during femoral puncture is external iliac aery, so overall the most common aery diss... | 3 | >Celiac trunk | >Superior mesenteric aery | >Inferior mesenteric aery | >Gastroduodenal aery | Radiology | null | e0ef6513-dfe8-48b2-8be5-7d02d6293282 | single |
All of the following drugs are used in prophylaxis of migraine except | K.DTripathy essentials of medical pharmacology 7th edition . Drugs for prophylaxis of migraine include beta blockers,TCA(amitriptyline),calcium channel blockers(flunarizine),anticonvulsants(topiramate),5HT antagonist. Ref Harrison20th edition pg 2345 | 4 | Propanolol | Flunarizine | Tapiramate | Levetiracetam | Medicine | C.N.S | ec4ae0ba-795b-49a2-a5cc-72419fd1f0bd | multi |
Hat sign on double contrast barium enema is seen in – | Hat sign on barium enema is seen in colonic polyp. | 2 | Ulcer | Polyp | Carcinoma | Diverticulum | Radiology | null | f4df6aa4-b646-4129-989c-8a1cca5fb987 | single |
Muscle of expiration: | Ans. B Internal intercostalsa. Expiration:i. During expiration, the diaphragm simply relaxes, and the elastic recoil of the lungs, chest wall, and abdominal structures compresses the lungs.ii. During heavy breathing Expiration extra force is achieved mainly by contraction of the abdominal musclesiii. Muscles that pull ... | 2 | Diaphragm | Internal intercostals | External intercostals | Rect. Abdominis | Physiology | Heart, Circulation, and Blood | 4b8287b3-2aa9-4d7a-a3b1-9cb92f636778 | single |
Drug of choice for cheese reaction | Cheese reaction occurs when cheese,red wine or beer is consumed along with MAO - A inhibitors as they inhibits metabolism of tyramine present in these items.
Increase tyramine levels can rlevate blood pressure of cause hypertensive crisis which is treated by Phentolamine that blocks alpha1 and alpha2 receptors. | 3 | Amitryptaline | Dantrolene sodium | Phentolamine | Yohimbine | Psychiatry | null | 0aaf78a7-75e3-4e5e-9f3c-74d743b619f3 | single |
In baby stool followed by taking milk is due to which reflex ? | Gastrocolic reflex is a physiological reflex controlling the peristalsis of GIT. This reflex is responsible for the urge to defaecate after a meal. A number of neuropeptides like gastrin, cholecystokinin, serotonin, neurotensin are responsible for this. This reflex causes bowei movements immediately after a meal or dur... | 1 | Gastrocolic reflex | Rooting flex | Swallowing reflex | Moro reflex | Pediatrics | Growth and development | 2267b38f-bd30-4d7f-9ed5-51ecfe3a2980 | multi |
Spironolactone should NOT be given with the following pharmacological agent: | Unlike most other diuretics, K+-sparing diuretics reduce urinary excretion of K+ and can cause mild, moderate, or even life-threatening hyperkalemia. The risk of this complication is greatly increased by renal disease (in which maximal K+ excretion may be reduced) or by the use of other drugs that reduce or inhibit ren... | 3 | Chlorothiazide | b-blocker | ACE inhibitors | Amlodipine | Pharmacology | All India exam | b6dfef8a-2c68-4f1c-b66d-de12374b4cfc | single |
A patient presents to a physician because of a markedly inflamed and painful great toe. Physical examination additionally demonstrates small nodules on the patient's external ear. Aspiration of the metatarsal-phalangeal joint of the affected toe demonstrates needle-shaped, negatively birefringent crystals. Of which of ... | The patient has gout, which is due to precipitation of monosodium urate crystals in joint spaces (notably the great toe) and soft tissues (causing tophi, which are often found on the external ears). Bile pigments are found in some gallstones. Calcium pyrophosphate crystals are deposited in pseudogout, which classically... | 4 | Bile pigments | Calcium pyrophosphate | Cystine | Monosodium urate | Surgery | null | d207ad9e-5f14-4b30-ad4f-a5f5e9c37e52 | multi |
Sialogouges are | null | 1 | Increases salivary secretions | Decreases salivary secretions | Indicator dye for sialography | Medication for over function | Pharmacology | null | 03467deb-69c8-4cd7-b9bc-9a5b3cb7a598 | single |
Tempering of steel cause | null | 1 | increases its toughness | increases hardness | increases ductility | decreases its toughness | Dental | null | a40ed0d9-0422-4664-b318-65b18bf03fe5 | single |
"Eutectic mixture" is | Eutectic mixture is topical applied to skin and mucous membrane and only superficial area is anesthelized, combination of 2.5% lignocanie & 2.5% prilocaine lowers each others melting point & is used as Eutectic mixture. | 3 | 5% Lignocaine + 5% prilocaine | 2.5% Bupivacaine + 2.5 % Prilocaine | 2.5% lignocaine + 2.5 % prilocaine | 1% Lignocaine + 1% Prilocaine | Pharmacology | null | 3fab16ab-7c0e-457a-a4f4-f29ad1b22a72 | single |
In treating mentally retarded children, generally finds
that they: | Children with intellectual disability may have a higher incidence of poor oral hygiene, gingivitis, malocclusion, and untreated caries. As the severity of intellectual disability increases, typical oral signs of clenching, bruxing, drooling, pica, trauma, missing teeth, and self-injurious behaviors increase.
Prov... | 4 | Respond inconsistently | Can be controlled in ways similar to normal children | Respond similarly to normal children of the same mental age | All of the above | Dental | null | 38d852cb-5f38-44c5-acb5-2db82bfaca69 | multi |
A man coming from mountain whose wife died 6 months prior says that his wife appeared to him and asked him to join her. The diagnosis is :a) Normal griefb) Grief psychosisc) Bereavement reactiond) Supernatural phenomenon | The information in this question :
Death of wife.
Seeing the deceased (wife).
Hearing the voice of deceased.
Symptoms for 6 months.
These are typical symptoms of normal grief (bereavement reaction). Symptoms of grief may last 6 months - 12 months (According to Niraj Ahuja, if symptoms persist for more than 6 months, ... | 4 | a | bc | ad | ac | Psychiatry | null | e75a4985-9bc4-4bb7-ba95-a5ad42167ae8 | single |
Burst abdomen most commonly occurs on the - | • Serous or serosanguinous discharge from the wound is the first sign of dehiscence
• Most commonly observed between 6th and 8th post-operative day (may occur at any time following wound closure)
• Wound dehiscence is partial or total disruption of any or all layers of the operative wound.
• Extrusion of abdominal visc... | 3 | 2nd day | 3rd day | 7th day | 9th day | Surgery | null | cb585954-9327-4116-b1cd-6b882b993ae4 | single |
Child not eating vegetables. His mother stas giving a chocolate each time he finishes vegetables in the diet. The condition is | Ans. a. Operant conditioning | 1 | Operant conditioning | Classical conditioning | Social training | Negative reinforcement | Psychiatry | null | 24e193c5-5c96-4e0e-bb5b-92d9f9b3af83 | single |
Carrier stage is seen in - | Man is the only known reservoir of polio infection. It is the mild and subclinical infection that plays a major role in the spread of infection. They constitute the submerged poion of the iceberg of disease. Ref: 25th edition, Park's Textbook of Preventive and Social Medicine, Page no. 224 | 1 | Polio | Cholera | Peusis | Plague | Social & Preventive Medicine | Epidemiology | eb96d0c5-a16c-43bc-a180-ce11102bc805 | single |
Advantages of amoxicillin over ampicillin are all except ? | Ans. is 'b' i.e., Spectrum includes H. influenzae & Shigella Amoxicillin is a close congener of ampicillin; similar to it in all respects except : Oral absorption is better; food does not interfere with absorption; higher and more sustained blood levels are produced. Incidence of diarrhea is lower. It is less active ag... | 2 | Better bioavailability & faster action | Spectrum includes H. influenzae & Shigella | Incidence of diarrhea is lower | Food does not interfere with its absorption | Pharmacology | null | 63968c4a-15d9-4c42-a375-3c4b49ed04ce | multi |
Incidence of disease among exposed divided that of non exposed is equal to | null | 1 | Relative risk | Attributable risk | Odd ratio | None of the above | Social & Preventive Medicine | null | bad33164-113d-404f-9dab-b798f7487ff4 | multi |
WHich of the following is found in multiple myeloma | Hypercalcemia in myeloma is multifactorial, but is ultimately caused by bone destruction from osteolytic tumor lesions and is most commonly observed in patients with extensive bone involvement by neoplastic plasma cells. In patients with myeloma, a hypercalcemia diagnosis is often indicative of uncontrolled disease Ref... | 1 | Hypercalcemia | Increased alkaline phosphatase | Decreased IgA | Hypouricemia | Medicine | Miscellaneous | 08ff6543-b81b-4f60-9e0b-4d1fd39ce581 | single |
Index of potency of general anesthesia - | Ans. is 'a' i.e., Minimum alveolar concentration Minimal alveolar concentrationo It is the lowest concentration of the anaesthetic in pulmonary alveoli needed to produce immobility in response to a painful stimulus (surgical incision) in 50% individuals,o It is the measure of potency of inhalation GAs. | 1 | Minimum alveolar concentration | Diffusion coefficient | Dead space concentration | Alveolar blood concentration | Anaesthesia | Miscellaneous General Anesthesia | 7039e3d1-dad6-4059-b417-294573e734a9 | single |
In the mini-lap procedure, the most common method successfully used is: | Ans- B (Pomeroy's) Ref: DC Dutta s Textbook of Gynaecology 6th edition, pg 476Explanation:Tubectomy MethodsA. Abdominal MethodsConventional laparotomy - abdominal incision 3-5 cmsMinilaparotomy - abdominal incision 2 - 2.5 cmsTechniquesModified Pomeroy'so Recommended by Govt, of Indiao Most common methodo 1-1.5 cms tub... | 2 | Uchida's | Pomeroy's | Irving's | Parkland's | Unknown | null | df071f0c-1542-4105-ab92-1c780fa4410c | single |
Regarding medullary sponge kidney -a) Autosomal dominantb) Nephrocalcinosisc) ARFd) Minimal proteinuriae) More common in females | null | 1 | abd | bcd | abc | ab | Pathology | null | ea3f7010-9a0d-4f3f-9117-2e0713c67ad1 | single |
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