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Type of receptor present on T-cells are:
Helper T cells  Carries CD4 marker. Helps or induces immune responses. Recognize antigen in association with class II MHC. Macrophages are activated to kill intracellular microorganisms by secreting cytokines. Parija SC. Textbook of Microbiology & Immunology. Elsevier Health Sciences; 2014. Page:127
4
IgA
IgG
Prostaglandins
CD4
Microbiology
null
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single
A patient presented to emergency ward with massive upper gastrointestinal bleed. On examination, he has mild splenomegaly. In the absence of any other information available, which of the following is the most appropriate therapeutic modality -
Medical management of Upper GI bleed PPI have been shown to reduce the risk for rebleeding and the need for surgical intervention Only 60-70% of patients with bleeding ulcer test positive for H.pylori ;after H.pylori Eradication there is no need for Longterm acid suppression Ref : Maingot's 10th/e p. 292, 293, Sabiston...
3
Intravenous propranolol
Intravenous vasopressin
Intravenous pantoprazole
Intravenous somatostatin
Anatomy
G.I.T
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single
Film speed best for detection of incipient caries:
null
2
C
D
E
F
Dental
null
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single
NADA's criteria are used for -
Ans. is 'c' i.e., Assessment of child for the presence of hea disease o The assessment of a child for the absence or presence of Hea disease can be done with the help of some guidelines suggested by NADA and are called NADA's criteria. NADA's Criteria o Either one major or two minor criteria are necessary for indicatin...
3
Assessment of child for degree of dehydration
Assessment of child for degree of malnutrition
Assessment of child for presence of hea disease
Assessment of child for degree of mental retardation
Pediatrics
null
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single
Posterior columns sensations in lower limbs are lost in
Refer KDT 6/e p589 Deficiency of vitamin B12 leads to Megaloblastic anemia which is indistinguishable from folic acid deficiency Deficiency also have manifestations related to loss of myelin like Subacute combined degeneration of spinal cord
2
Vitamin A deficiency
Vitamin B12 deficiency
Vitamin C deficiency
Vitamin D deficiency
Anatomy
General anatomy
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single
Aspirated synol fluid in septic ahritis will have?
Ans. is 'c' i.e., Markedly increased polymorphonuclear leukocytes
3
Clear color
High viscosity
Markedly increased polymorphonuclear leukocytes
None of the above
Surgery
null
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multi
Which among the following country is a 'Rabies free country'?
A "Rabies-free" area has been defined as one in which no case of indigenously acquired rabies has occurred in man or any animal species for 2 years. Australia, China (Taiwan), Cyprus, Iceland, Ireland, Japan, Malta, New Zealand, the U.K. and the islands of Western Pacific are all free of the disease. The Liberian Penin...
3
USA
Russia
Australia
France
Social & Preventive Medicine
null
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single
Balanced occlusion with noncuspaL teeth is achieved by
null
1
Compensating curves
Incisal guide
Balancing ramps
null
Dental
null
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multi
Cholecysto-venacaval line seperates which of the following ?
Cholecysto-venacaval line (cantlie line) seperates right and left lobe of the liver. Cantlie line is an imaginary line that divides the liver into two planes. It extends from the midpoint of the gallbladder fossa at the inferior margin of the liver back to the midpoint of the IVC and contains the middle hepatic vein. R...
4
Gallbladder and IVC
Poa hepatis and IVC
Caudate lobe and quadrangular lobe
Right and left lobe of liver
Anatomy
All India exam
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multi
All are true about Coho studies EXCEPT: September 2012
Ans: B i.e. Useful for rare diseases Case control studies Advantages Good for studying rare conditions or diseases Less time needed to conduct the study because the condition or disease has already occurred Lets you simultaneously look at multiple risk factors Useful as initial studies to establish an association Can a...
2
Prospective
Useful for rare diseases
Necessary for incidence
Costly as compared to case control studies
Social & Preventive Medicine
null
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multi
A woman has 2 kids. She presents with galactorrhoea and amenorrhoea for 1 year. The most probable diagnosis is :
Ans. is b i.e. Pituitary Tumor
2
Pregnancy
Pituitary tumor
Sheehan's syndrome
Metastasis to pituitary from other carcinoma
Gynaecology & Obstetrics
null
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single
Which of the following statements about inhalation anesthetic agents is wrong?
Sevoflurane is less potent than isoflurane as it lacks coronary vasodilating propeies. Ref: Handbook of Clinical Anesthesia By Barash, Cullen, Stoelting , 5th Edition, Page 216; Handbook of Clinical Anesthesia By Paul G. Barash, Bruce F. Cullen, Robe K. Stoelting, M. Christine Stock, 6th Edition, Page 231
1
Sevoflurane is more potent than isoflurane
Sevoflurane is less cardiodepressant than isoflurane
Desflurane has lower blood-gas paition coefficient than sevoflurane
Sevoflurane has a higher MAC than isoflurane
Anaesthesia
null
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multi
Which of the following is characterically not associated with the development of interstial lung disease
All the mentioned are associated with interstial lung disease Interstitial lung disease may be caused by long-term exposure to hazardous materials, such as asbestos or coal dust, or it can be caused by an auto-immune disease such as rheumatoid ahritis. Once lung scarring occurs, it's generally irreversible.
4
Organic dusts
Inorganic dusts
Toxic gases
null
Anatomy
Respiratory system
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Kawasaki disease is associated with all of the following features except-
null
3
Erythema
Posterior cervical Lymphadenopathy
Thromobocytopenia
Conjunctivitis
Medicine
null
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multi
On accident there is damage of cervical spine, first line of management is:
C i.e. Maintain airway Initial Evaluation And Emergency Care In Spinal Trauma All the trauma patients are at risk of spinal injury. Many of the spinal injury patients are multiple trauma victims and there fore require emergency treatment(' The treatment priorities are preserving life (15, ), limb, and function. The spi...
3
X-ray
Turn head to side
Maintain airway
Stabilise the cervical spine
Surgery
null
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single
'A' pattern squint is due to which muscle
A pattern squint - superior oblique. V pattern squint - inferior oblique.
3
Superior rectus
Inferior rectus
Superior oblique
Inferior oblique
Ophthalmology
null
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single
Pathergy test is used for
Pathergy phenomenon is defined as a state of altered tissue reactivity that occurs in response to minor trauma Although the exact mechanisms underlying pathergy phenomenon are unknown, skin injury caused by needle prick apparently triggers a cutaneous inflammatory response . Types of pathergy tests: Oral pathergy test ...
2
Reither's syndrome ,
Behchet's syndrome
Lichen planus
Atopic dermatitis
Dental
Fungal infections, Scabies, Pediculosis
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single
The superior oblique muscle is supplied by
Superior oblique muscle is supplied by fouh cranial nerve i.e,trochlear nerve. It supplies only the superior oblique muscle of the eyeball. Superior oblique muscle helps in depression,abduction and intoion. Note: When trochlear nerve is damaged, diplopia occur looking downwards; vision is single so long as the eye look...
2
3rd cranial nerve
4th cranial nerve
5th cranial nerve
6th cranial nerve
Anatomy
Head and neck
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single
Which of the following are physiological antagonists
Adrenalin and histamine and glucagon, insulin are physiological antagonists Physiological antagonism - opp effect on the same physiological system by two drugs glucagon increases blood glucose, insulin decreases- blood glucose adrenaline- bronchodilatation histamine- broncho constriction Ref KD Tripathi 8th ed.
2
Adrenaline and Isoprenaline
glucagon and insulin
Isoprenaline and Propranolol
All of the above
Pharmacology
General pharmacology
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Which one is non-ionising radiation -
Ans- A. MRI.
1
MRI
CT Scan
X-ray
Position emission scintigraphy
Radiology
Ultrasonography, CT, and MRI
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single
Corticosteroids are contraindicated in all of the following except:
null
3
Herpes zoster.
Varicella.
Pemphigus.
Herpes simplex.
Pathology
null
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multi
Citrullinemia type I results from deficiency of the
(B) Argininosuccinate synthase# Citrullinemia type I (CTLN1) presents as a clinical spectrum that includes an acute neonatal form (the "classic" form), a milder late-onset form, a form without symptoms or hyperammonemia, and a form in which women have onset of severe symptoms during pregnancy or post partum.> Citrullin...
2
Isocitrate dehydrogenase
Argininosuccinate synthase
Pyruvate dehydrogenase
Sucinyl Co-A synthase
Biochemistry
Miscellaneous (Bio-Chemistry)
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single
Bismuth compounds are incorporated in root canal sealer materials because they are:
Root canal sealers should be radiopaque, so that it can be visualized in the radiograph. Radiopacity is provided by salts of heavy metals such as silver, barium and bismuth.
1
Radio-opaque
Germicidal
Radiolucent
Adhesive
Dental
null
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single
The appropriate media culture for a gram negative coccobacilli arranged in a school of fish , that causes STD with genital ulcers is
Chocolate agar enriched with 1%isovitalex is used to grow H.ducreyi.
3
Thayer Main media
Blood agar with X and V factors
Chocolate agar with isovitale X
Tellurite blood agar
Anatomy
Bacteriology
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Metastatic calcification is commonly seen in all of the following, except:
Dystrophic calcification is seen in cardiac valves (calcific valvular disease). Metastatic calcification principally affects interstitial tissues of: Gastric mucosa Kidneys Lungs Systemic aeries Pulmonary veins The common feature of all these sites, which makes them prone to calcification is that they can lose acid and...
4
Lungs
Kidneys
Gastric mucosa
Cardiac valves
Pathology
Irreversible cell Injury/Necrosis
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multi
Targeted intervention for HIV is done for all except -
<p> Targeted interventions for high risk group is to improve health-seeking behaviour of high risk groups and reducing their risk of acquiring STI and HIV. It includes female sex workers , men who have sex with men ,transgenders,injecting drug users,bridge populations and high risk behaviour migrants and long distance ...
4
Commercial sex worker
Migrant laborers
Street children
Industrial worker
Social & Preventive Medicine
Communicable diseases
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multi
Radiological sign of ischemic colitis is
B i.e. Thumb printing
2
Popcorn appearance
Thumb print apperance
Cobrahead app
Inveed 3 sign
Radiology
null
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single
Neurotransmitter changes proposed in cases of Anxiety
There are various neurotransmitters that is studied under the neurobiology of anxiety they are mainly as follows decreased GABA, hence benzodiazepines which acts on GABA is a onderful anti anxiety drug decrased serotonin , hence SSRI are used in management of all anxiety disorders increased norepinephrine, thus propono...
1
Increased NE, and decreased GABA and serotonin
Decreased NE and serotonin, and increased Ach
Decreased GABA and Ach
Increased serotonin, and decreased NE and GABA
Psychiatry
All India exam
f4718a6b-3259-4734-b48e-893b964969fd
single
Compared with serum, CSF has
Compared with serum, cerebrospinal fluid (CSF) has a higher chloride concentration. CSF is an ultrafiltrate of plasma. It is produced primarily by the choroid plexus cells in the lateral ventricles. From the lateral ventricles, CSF flows through the foramen of Munro into the third ventricle, through the aqueduct of Syl...
1
A higher chloride concentration
A higher protein concentration
The same glucose concentration
More lymphocytes per microliter
Physiology
Nervous system
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single
ASHA ( accredited social health activist) works at
In NRHM at village level with 1000 population, one ASHA and AWWs are present Ref: Park&;s textbook of preventive and social medicine 23rd edition
2
Community level
Village level
PHC level
District level
Social & Preventive Medicine
Health programmes in India
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single
A 44 year old female has history of blunt trauma to the abdomen the best investigation is -
Answer- A. USGIf patient is hemodynamically stable and can be shifted - CT scan is the best.If patient is hemodynamically unstable (cannot be shifted) - USG is the investigation of choice.
1
USG
CT Scan
Complete Hemogram
Abdominal X-ray
Surgery
null
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Loeffler's serum slope doesn't contain
LSS is used for the culture of C Diptheria It doesn't contain sheep blood .sheep blood is present in blood agar LSS is a type of enriched media Ref: CP Baveja 4th ed Pg:46
4
Nutrient Broth
Glucose
Horse serum
Sheep blood
Microbiology
general microbiology
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All are true regarding propeies of common disinfectants, EXCEPT:
Phenol and its derivatives acts by denaturing proteins, especially in cell membrane. It is active aginst gram positive bacteria but its activity is reduced in presence of organic matter. Glteraldehyde is considered a chemical sterilant since it has a broad spectrum of activity inluding being sporicidal. It acts by alky...
4
Glutaraldehyde is sporicidal
Hypochlorites are viricidal
Alcohol is fungicidal, bactericidal not sporicidal
Phenol usually requires organic matter to act
Microbiology
null
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multi
Which of the following is the mechanism of action of Fondaparinux
The antithrombotic activity of fondaparinux sodium is the result of antithrombin III (ATIII) mediated selective inhibition of Factor Xa. ref - Harrisons internal medicine 20e pg851
2
Factor Xa inhibition and Thrombin inhibition
Factor Xa inhibition
Antithrombin inhibitor
Thrombin inhibition
Medicine
Haematology
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single
Hepatitis E clinically resembles -
Type E hepatitis was previously is mistaken for hepatitis A because of clinical and epidemiological similarities. REF:ANANTHANARAYAN AND PANIKER'S TEXTBOOK OF MICROBIOLOGY 9TH EDITION PAGE NO-550
1
Hepatitis A
Hepatitis B
Hepatitis C
Hepatitis D
Microbiology
Virology
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multi
A 6-month-child presents with episodes of vomiting after ingesting fruit juice. Which of following enzyme deficiency is likely?
a. Aldolase B(Ref: Nelson's 20/e p 720-728, Ghai 8/e p 655-657)In the given scenario, the child becomes symptomatic after ingesting fruit juice, which is often sweet, containing sucrose and hence, glucose and fructose. So, he is suffering from Hereditary Fructose intolerance.
1
Aldolase
Fructokinase
Glucose 6-phosphatase
Hexokinase
Pediatrics
Inborn Errors of Metabolism
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single
Most common cause of spontaneous abortion is?
ANSWER: (A) Chromosomal abnormalityREF: Dutta 6th ed p. 159Most common cause of spontaneous abortion is chromosomal abnormality, trisomy of chromosome 16.
1
Chromosomal abnormality
Uterine malformations
Immunological
Infections
Gynaecology & Obstetrics
First-Trimester Spontaneous Abortion
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single
Cranial part of accessory nerve supplies
Sternocleidomastoid and trapezius develop from branchial arch mesoderm and are supplied by spinal part of accessory nerve.  Levator scapulae are supplied by a branch from dorsal scapular nerve and branches from C3, C4.
1
Sternocleidomastoid
Trapezius
Levator scapulae
Levator palatini
Anatomy
null
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single
Maximum contribution of plasma osmolarity is by
Sodium is the major contributor plasma osmolarity Ref: guyton and hall textbook of medical physiology 12 edition page number: 50,51,52
3
Urea
Glucose
Sodium
Albumin
Physiology
General physiology
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single
which of the following does not belong to CATOGORY B bioterrorism ?
High Priority Agents in bioterrorism : * Category A * Easily spread; high death rates * Anthrax, botulism, plague, smallpox, tularemia, and selected hemorrhagic fever viruses * Category B * Moderately easy to disseminate * Brucellosis, food safety threats, Q fever, and other agents * Category C * Could be engineered fo...
1
plague
ricinus communis
brucellosis
q fever
Forensic Medicine
All India exam
cf45cba2-2ab4-4546-b424-f15519c791e7
single
A 23-year-old, sexually active man has been treated for Neisseria gonorrhoeae infection 6 times during the past 5 years. He now comes to the physician because of the increasing number and size of warty lesions slowly enlarging on his external genitalia during the past year. On physical examination, there are multiple 1...
Condyloma acuminatum is a benign, recurrent squamous epithelial proliferation resulting from infection with human papillomavirus (HPV) infection, one of many sexually transmitted diseases that can occur in sexually active individuals. Koilocytosis is particularly characteristic of HPV infection. Candidiasis can be asso...
3
Candida albicans infection
Circumcision
Human papillomavirus infection
Neisseria gonorrhoeae infection
Pathology
Male Genital Tract
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multi
Which of the following drugs has a high affinity for 5–HT2 receptors in the brain, does not cause extrapyramidal dysfunction or hematotoxicity, and is reported to increase the risk of significant QT prolongation ?
null
4
Chlorpromazine
Clozapine
Olanzapine
Ziprasidone
Pharmacology
null
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single
RNA which contains codon for specific amino acid
Amonng the different species of RNAs, it is only mRNAs that are linearly related to DNA and to polypeptide chain as an intermediary. It is this species of RNA that carries encoded message from the master molecule in the form of codons. It is these molecules that translate by decoding the information into polypeptide ch...
3
tRNA
rRNA
mRNA
null
Biochemistry
Metabolism of nucleic acids
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multi
Characteristic features of Rokitansky Kuster Hauser syndrome are all of the following except
RKH Syndrome Vaginal aplasia or Hypoplasia Absent uterus As the ovaries function normally development of secondary sexual charecteristics is normal and ovulation is normal SHAW&;S TEXTBOOK OF GYNAECOLOGY,Pg no:95,15th edition
3
Absent uterus
Absent vagina
Anovulation
46 - XX
Gynaecology & Obstetrics
Congenital malformations
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multi
Most common cause of neonatal meningitis -
Ans. is 'b' i.e., E. coli "Group B streptococcus followed by E.coli are the two most common causes of neonatal meningitis". Most common cause of neonatal meningitis --> Group B streptococcus (Str. agalactiae) Second most common cause of neonatal meningitis -- E.coli
2
Staphylococcus
E. coli
H. influenze
Pneumococcus
Pediatrics
null
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single
Raynauds phenomenon is commonly seen in
. It is an episodic vasospasam,especially aeriolar spasam usually bilateral more often seen in upperlimb of females as a result of abnormal sensitivity to cold.Patient develops blanching,cyanosis qnd later flushing .usually medial four digits and palm are involved.Thumb is spared.If vasospasam becomes longer,gangrene o...
1
Upper limb of female
Lower limb of female
Lower limb of male
Upper limb of male
Surgery
Vascular surgery
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single
Which of the following metal is considered as the principal hardener and gives red colour to the alloy?
Copper when added to gold-based alloys, imparts a reddish color to the gold and hardens the alloy via a solid-solution or ordered-solution mechanism. Ref: Craig’s 14th edition page 183, 184
3
Platinum
Palladium
Copper
Zinc
Dental
null
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multi
A child presents with pigmentation of one half of the face along with a history of multiple episodes of seizures. His X ray skull revealed the following finding. What could be the underlying diagnosis?
The given X ray skull shows 'tram track calcification' seen in Sturge Weber syndrome, in which pigmentation of one half of face, along with seizures is seen. STURGE WEBER SYNDROME:- -Po wine stain of face involving the ophthalmic & maxillary division of trigeminal nerve -Contralateral focal seizures seen -Intracranial ...
4
Cerebral palsy
Neurofibromatosis
West syndrome
Sturge Weber syndrome
Pediatrics
Neurocutaneous syndromes
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single
When was the International Drinking Water Supply and Sanitation Decade Programme launched?
The International Drinking Water Supply and Sanitation Decade Programme launched in 1981. Targets set were 100 percentage for water, both urban and rural, 80% for urban sanitation and 25% for rural sanitation. Ref: Park 21st edition, page 397.
4
1975
1978
1984
1981
Social & Preventive Medicine
null
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single
Arias syndrome is also known as:
Crigler najjar syndrome type II is also known as arias syndrome, is a hereditary disorder of bilirubin metabolism characterized by unconjugated hyperbilirubinemia due to reduced and inducible activity of hepatic bilirubin glucuronosyltransferase (GT). There is paial deficiency of bilirubin uridine diphosphate (UDP) glu...
4
Rotor syndrome
Dubin johnson syndrome
Crigler Najjar syndrome type I
Crigler Najjar syndrome type II
Medicine
null
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single
Massive bleeding per rectum in a 70 yr old patient is due to -
Causes of lower GI bleed in adults Local anorectal diseases - hemorrhoids (most common), anal fissures. Diverticulosis (2nd MC) Vascular ectasias, angiodysplasias Neoplasm (polyps & adenocarcinoma) Colitis (Ischemic, infectious, & IBD) Although hemorrhoids are the MC cause of bleeding per rectum, it causes small b...
1
Diverticulosis
Carcinoma colon
Colitis
Polyps
Surgery
null
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single
Collagen is found in all of the following, EXCEPT :
Fibroblasts produce type I collagen fibers that are found in tendons, ligaments and joint capsules. Type I collagen is found distributed throughout the body. It is found in fascia, tendons, ligaments, aponeuroses, capsule of glands, sclera, fibrocailage, bone and dentin.Type II collagen is found in hyaline and elastic ...
3
Ligament
Tendon
Fibroblasts
Aponeurosis
Anatomy
null
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multi
A first rank symptom of schizophrenia is all Except
Ku Schneider First Rank Symptoms Second-Rank Symptoms Audible thoughts Voices arguing or discussing(commanding voices) Voices commenting on patient's actions (commenting voices) Made feelings Made impulses or drives Made volitional acts Thought withdrawal Thought inseion Thought broadcasting Delusional perception Somat...
1
Ambivalence
Running commentary
Thought inseion
Somatic passivity
Psychiatry
All India exam
59815430-15f2-47ea-a7ac-0b2209d53d08
multi
Peak of prostaglandins occurs in what stage:
Ans. (c) 3rd stage of LaborRef High risk pregnancy 4th ed. by James et.al, ch 75- Normal third stage of LaborThere are four stages of labor* The first stage is from the onset of true labor to complete dilation of the cervix.* The second stage is from complete dilation of the cervix to the birth of the baby.* The third ...
3
1st stage of Labor
2nd stage of Labor
3rd stage of Labor
Before 1st stage of labor
Gynaecology & Obstetrics
Characteristics of Normal Labor
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single
Maximum dose of plain lignocaine (in mg) –
Maximum safe dose of plain lidocaine → 300 mg (4.5 mg/kg). Maximum safe dose of lidocaine with epinephrine → 500 mg (7 mg/kg).
1
300
500
700
1000
Anaesthesia
null
3518c994-c842-425e-9d68-90ad7a9804ec
single
Two siblings with osteogenesis imperfect, but their parents are normal. Mechanism of inheritance is -
Ans. is 'c' i.e., Germ line mosaicism o In some autosomal dominant disorders (e.g. osteogenesis imperfecta) phenotypically normal parents have more than one affected child. This clearly violates the law of inheritance. Studies indicate that gonadal (germ line) mosaicism may be responsible for such unusual inheritance. ...
3
Anticipation
Genomic imprinting
Germ line mosaicism
New mutation
Pathology
null
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Eukaryotic cell membranes are different from prokaryotic cell membranes. Eukaryotic plasma membrane is made up of all, EXCEPT:
In prokaryotes, the membranes are relatively simple, but in eukaryotes, cell membranes contain various glycosphingolipids, sphingomyelin, chains of oligosaccharides and cholesterol in addition to phospholipids and phosphatidylcholine (lecithin). Cholesterol is also present, often at nearly a 1:1 ratio with the phosphol...
2
Carbohydrates
Triglycerides
Lecithin
Cholesterol
Biochemistry
null
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Most common malignant neoplasm of the eyelid is -
Ans. is 'b' i.e., Basal cell Carcinoma There are 4 main types of evelid cancers:a. Basal cell carcinoma (BCC)# BCC is the most common type of eyelid tumour, accounting for about 85% of all eyelid tumours. It is also the most common type of cancer that occurs outside the eyeball.# BCC of the eyelid usually affects adult...
2
Squamous cell carcinoma
Basal cell Carcinoma
Merkel Cell tumour
Malignant Melanoma
Surgery
Plastic & Reconstructive Surgery
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single
Drug of choice for maintenance therapy in PSVT is-
Ans. is c' i.e., Verapamilo Amongst the options provided Verapamil is the drug of choice for maintenance therapy in pateints with PSVT.Treatment options for Supraventricular Tachycardiao Physiologic interventionRestValsalva maneuvers : Gag reflex, ice packs, etcCarotid massageAvoidance of inciting factors : Caffeine, t...
3
Amiodarone
Lignocaine
Verapamil
Adenosine
Medicine
Drugs
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Buspirone is an
(B) Anti anxiolitic> Buspirone is an anxiolytic psychoactive drug of the azapirone chemical class, and is primarily used to treat generalized anxiety disorder (GAD).
2
Anti psychotic
Anti anxiolitic
Anti depressant
Anti hypertensive
Pharmacology
Miscellaneous (Pharmacology)
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The elastic or plastic deformation to fracture a material is its:
null
1
Toughness
Brittleness
Young's Modulus
Proportional limit
Dental
null
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single
a patient presented with rashes all over body sparing palms and soles .he doesnot have h/o of animal exposure this condition may be associated with ?
Epidemic Typhus Epidemic typhus, also known as louse-borne typhus is an uncommon disease that is caused by bacteria called Rickettsia prowazekii. Epidemic typhus can be easily spread to people through contact with infected body lice. However epidemic typhus was responsible for millions of deaths in previous centuries, ...
1
epidemic typhus
q fever
RMSF
ricktessial pox
Microbiology
All India exam
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multi
Mastoid reservoir phenomenon is positive in -
Mastoid reserve phenomenon is filling up of meatus with pus immediately after cleaning. It is seen in mastoiditis. Ref. SK De, p 107, 98
4
CSOM
Petrositis
Coalescent otitis media
Coalescent mastoiditis
ENT
null
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All are associated with MEN 2 except:
Answer is B (Islet cell hyperplasia): Pituitary islet cell tumors/hyperplasia are associated with MEN- I syndromes and not with MEN II syndromes.
2
Pheochromocytoma
Islet cell hyperplasia
Medullary carcinoma thyroid
Parathyroid adenoma
Medicine
null
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multi
Ligamentum teres of the liver is a remnant of ________
Ligamentum teres is a remnant of the umbilical vein. The vessels that are occluded soon after bih are in due to course replaced by fibrous tissue and forms the following ligaments: Fetal structure Adult structure Foramen ovale Fossa ovalis Umbilical vein Ligamentum teres Ductus venosus Ligamentum venosum Umbilical aeri...
2
Umbilical aeries
Umbilical vein
Ductus venosus
Ductus aeriosus
Pediatrics
C.V.S
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Regarding schick's test which of the following is false
null
2
Erythematous reaction in both arms indicates
Positive test means that person is immune to hypersensitivity diphtheria
Diphtheria antitoxin is given intradermal
None of the above
Social & Preventive Medicine
null
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Alpha-1 antitrypsin deficiency occurs in
Alpha-1 antitrypsin deficiency (A1AD or AATD) is a genetic disorder that may result in lung disease or liver disease. Onset of lung problems is typically between 20 and 50 years old. This may result in shoness of breath, wheezing, or an increased risk of lung infections Affected individuals often developemphysema, whic...
1
Emphysema
Bronchiectasis
Empyema
Bronchogenic carcinoma
Pathology
Respiratory system
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Pelkan spur is seen in -
Radiological features of scurvy: Palkan spur : metaphyseal spurs projecting at right angles to the shaft. White line of Frankel : calcified cailage in the metaphysis Trumefeld zone : zone of rarefraction below the white line of Frankel Wimburger sign : ring surrounding the ephiphyseal centres of ossification Pencil thi...
2
Rickets
Scurvy
Hemophilia
All
Radiology
Skeletal system
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All are true about primary hyperparathyroidism except -
Ans. is 'c' i.e., Decreased calcium Clinical features of Hyperparathyroidism|||Symptomatic signs and symptomsAsymptomatico Recurrent nephrolithiasiso Peptic ulceration (abdominal pain)o Extensive bone resorptiono Mental changes; Psychiatric manifestations'Manifestation may be subtle and the disease many have a benign c...
3
Nephrolithiasis
Increased alkaline phosphatase
Decreased calcium
Loss of lamina dura
Medicine
Endocrinology
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In sickle cell anaemia, the defect can be explained as having arisen from -
C i.e. A base substitution in DNA
3
A base inseion in DNA
A base deletion in DNA
A base substitution in DNA
None of the above
Biochemistry
null
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True about rigor mois are all, except: FMGE 08
Ans. Seen immediately after death
1
Seen immediately after death
It last 18-36 h in summer
It disappears in the sequence as it appears
It last 24-48 h in winter
Forensic Medicine
null
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Protoporphyrin levels >100 mg/dl indicates:
Protoporphyrin is an intermediate in the pathway to heme synthesis. Under conditions in which heme synthesis is impaired, protoporphyrin accumulates within the red cell. This reflects an inadequate iron supply to erythroid precursors to suppo haemoglobin synthesis. Normal values are <30 mg/dL of red cells. In iron defi...
2
Iron overload
Lead poisoning
Porphyria
All of the above
Medicine
null
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multi
Major clinical use of nimodipine is in:
Nimodipine:   It is a short-acting DHP which penetrates blood-brain barrier very efficiently due to high lipid solubility and has high affinity for the cerebral blood vessels.  It is believed to selectively relax cerebral vasculature and is approved for prevention and treatment of neurological deficit due to cerebral v...
4
Raynaud's phenomenon
Hypertension
Angina
Subarachnoid haemorrhage
Pharmacology
null
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single
Structure held by forceps is seen in
Appendix Epiploica is one of the numerous pouches of the peritoneum filled with fat and attached to the colon.
3
Stomach
Appendix
Colon
Duodenum
Anatomy
Abdomen and pelvis
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HPV causes which change in cervical epithelium
Ans. is 'c' i.e., Immortalization of epithelial cells o HPV selectively infects the epithelium of skin and mucous membrane and may immortalize the keratinocytes leading either asymptomatic infection, or warts or neoplasia.o Products of E-genes (E6, E7) are related to immortalization or malignant transformation of kerat...
3
Induction of apoptosis
Induction of necrosis
Immortalization of epithelial cells
By stimulating telomerase
Microbiology
Virology
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single
Most common site for lymphoma in AIDS patients is
Ref Robbins 9/e p254, 8/e p529,7/e p549 Pathogenesis of CNS Involvement The pathogenesis of the neurologic manifestations in AIDS deserves special mention because, in addition to the lymphoid system, the nervous system is a major target of HIV infection. Macrophages and cells belonging to the monocyte-macrophage lineag...
1
CNS lesions
Spleen
Thymus
Abdomen
Anatomy
General anatomy
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single
All of the following statements about the control of micturition are true Except
Micturition is initiated by activation of afferent sensory fibers located in the wall of the bladder; these fibers sense the degree of stretch of the bladder wall. In addition, these sensory fibers travel back to the spinal cord sacral dorsal roots. The sensory information that reaches the spinal cord also travels to t...
4
An individual with a spinal cord injury at L1 can still have a micturition reflex
The micturition reflex can occur without voiding any urine
Bladder volume can be more than double that present when the first urge to void occurs
An individual with destruction of the sacral dorsal roots can still have a micturition reflex
Physiology
Renal physiology
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DOC FOR INVASIVE ASPERGILLOSIS?
REF : KD TRIPATHI 8TH ED
1
VORICONAZOLE
POSACONAZOLE
AMPHOTERICIN B
CASPOFUNGIN
Pharmacology
All India exam
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single
Capitonnage is used in treatment of
Methods of management of the residual cavity after cyst evacuation External tube drainage Capsulorrhaphy Capitonnage Myoplasty Omentoplasty Internal collapse Introflexion Marsupialization Introflexion plus omentoplasty Cysto jejunostomy or cysto gastrostomy Ref: Blumga 5th edition Pg no : 1045
3
Choledochal cyst
Dermoid cyst
Hydatid cyst
Renal cyst
Anatomy
G.I.T
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Intermittent dysphagia is caused by -a) Strictureb) Reflux esophagitisc) Achalasia cardiad) Pharyngeal diverticululame) Diffuse esophageal spasm
null
3
ab
bc
de
bd
ENT
null
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In a newborn child, we generally see
Pre-dentate period At birth, the newborn has a small face, large head and small chin. Textbook of orthodontics OP Kharbanda page 458
4
Maxillary protrusion
Maxillary retrusion
Mandibular protrusion
Mandibular retrusion
Dental
null
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multi
The most important clinical fmding in a case of head injury is -
Conscious level determined on Glasgow coma scale.
2
Pupillary dilatation
Level of consciousness
Focal neurological deficit
Fracture skull
Surgery
null
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Electrical synapse is closely associated with
Cell junction forms tunnels that join the cytoplasm of two cells. They help in the transmission of electrical activity from one cell to another. (REF: TEXTBOOK OF MEDICAL PHYSIOLOGY GEETHA N 2 EDITION, PAGE NO - 18)
3
Neuromuscular junction
Tight junction
Gap junction
None of the above
Physiology
General physiology
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Cells of the Organ of Coi which are vulnerable to noise induced damage are ?
Ans. is 'b' i.e., Outer hair cells
2
Inner hair cells
Outer hair cells
Deiter's cells
Cells of Hensen
ENT
null
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single
Rough endoplasmic reticulum is the site of synthesis for
Rough endoplasmic reticulum is concerned with Protein synthesis* Initial folding of the polypeptide chains with the formation of disulfide bonds Smooth endoplasmic reticulum is concerned with Steroid synthesis * Detoxication processes As sarcoplasmic reticulum plays important role in skeletal and cardiac muscle contrac...
1
Protein
Cholesterol
Carbohydrate
Fat
Biochemistry
null
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single
All agents can be given for induction of anaesthesia in children except ?
Morphine is not an inducing agent. Sevoflurane is the agent of choice and is used in N2O + O2 gas mixture. Halothane is the second choice inducing agent.
3
Halothane
Sevoflurane
Morphine
N2O
Anaesthesia
null
24e2d5c8-0143-40f3-ba15-6c3c3345bcb9
multi
The cofactor involved in sulphur containing amino acid metabolism is which of the following?
While both folic acid and vitamin B12 are involved in sulphur containing amino acid metabolism, vitamin B12 acts as cofactor and folate acts as substrate.
4
Folic acid
Biotin
Vitamin B1
Vitamin B12
Biochemistry
null
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single
An ultrashort acting β–blocker devoid of partial agonistic or membrane stabilizing action is:
null
1
Esmolol
Timolol
Atenolol
Pindolol
Pharmacology
null
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single
Pudendal nerve is related to:
Branches of the sacral plexus, the pudendal nerve, and nerve to the obturator internus leave the pelvis through the lower pa of the greater sciatic foramen, below the piriformis.They cross the ischial spine with the internal pudendal aery and immediately re-enter the pelvis through the lesser sciatic foramen; they then...
1
Ischial spine
Sacral promontory
Iliac crest
Ischial tuberosity
Anatomy
null
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single
Carcinoma which arises in the thyroglosal cyst is -
Ans. is 'a' i.e., Papillary carcinoma o Thyroid carcinomas arising after radiation or in thyrogiossal cyst are papillary type. Various genes involved in thyroid carcinomas areo Papillary-o Tyrosine kinase receptors RET or NTRK1o RAS mutationo BRAF oncogeneo Follicular-o RAS oncogene (NRAS, HRAS and KRAS)o PAX 8- PPARrl...
1
Papillary carcinoma
Follicular
Anaplastic
Medullary
Pathology
Thyroid and Parathyroid
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True about Acrodermatitis enteropathica is?
ANSWER: (A) Lifelong treatment requiredREF: Rook's 8rh ed p. 59.73Acrodermatitis enteropathica:Rare autosomal recessive diseaseZinc absorption is lowDisease starts at weaning when child is not given milkPhotophobia is seen, vescicobullous lesions may be seenGrowth is retarded and wound healing is poorZinc sulfate is us...
1
Lifelong treatment required
Autosomal dominant disorder
Wound healing is not affected
Zinc absorption is normal
Skin
General
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multi
Most common metabolite of progesterone excreted in urine is _________
Pregnanediol is an inactive metabolic product of progesterone. A test can be done to measure the amount of pregnanediol in urine, which offers an indirect way to measure progesterone levels in the body. The principal pathway of the metabolism of progesterone is believed to be progesterone - pregnanedione - pregnanolone...
4
Pregnanelone
Pregnanetriol
17-hydroxy pregnanolone
Pregnanediol
Biochemistry
null
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single
A 50 years old man was recently diagnosed to be having coronary artery disease. There was no added risk factors except for a LDL value of 150-165mgs/dl. The single drug most appropriate for initial therapy is
Answer: d) Statins (any)DYSLIPIDEM1AType of disorderLipo Proteins increasedLipids elevatedRisk of CADtreatmentTri GlyceridesCholesterolICM+++NormalNoNoneIIaLDLNormal+++++StatinsIIbVLDL and LDL+++++++Statins, fibrates, nicotinic acidIIIIDLand CM++++++FibratesIVVLDL++Normal++Fibrates, nicotinic acidVVLDL and CM++NormalNo...
4
Gemfibrozil
Nicotinic acid
Bile acid binding resins
Statins (Any)
Pharmacology
Hypolipidemic
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multi
Which of the folloss mg features is not shared between `T cells' and 'II cells'
Ans. a. Positive selection during development
1
Positive selection during development
Class I MHC Expression
Antigen Specific Receptors
All of the above
Microbiology
null
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multi
A 10 year old boy has a fracture of femur. biochemical evaluation revealed Hb 11.5 gm/dl and ESR 18 mm 1st hour. Serum calcium 12.8 mg/dL, serum phosphorus 2.3 mg/dL, alkaline phosphate 28 KA units and blood urea 32 mg/dl. Which of the following is the most probable diagnosis in his case –
You can solve the question just looking at calcium value. Amongst the given options only hyperparathyroidism causes hypercalcemia. The patient in question has an increased serum Ca', decreased serum phosphorus and increased values of alkaline phosphatase, all of which characterize hyperparathyroidism.
3
Nutritional ricicets
Renal rickets
Hyperparathyroidism
Skeletal dysplasia
Pediatrics
null
93871c68-7564-4ba5-aa49-a23221c122c9
single
Receptors on cell membrane that activate ion channel after binding with agonists are
A i.e. Nicotinic cholinergic receptorReceptors with intrinsic ion channelThese cell surface receptors enclose ion selective channels (Na+, Ca2+, CO within their molecule. Agonist binding opens the channels & causes depolarization / hyperpolarization depending on the ion that flows through.This includes: - Nicotinic cho...
1
Nicotonic Cholinergic
Muscarinic Cholinergic
Optoid n receptors
All
Physiology
null
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multi
Causative agent for the following lesion on Penis:
Ans. (b) HPV.The image shows dry, raised verrucous lesions caused by human papilloma called as Condylomata acuminat.Image source- style="font-family: Times New Roman, Times, serif">
2
Treponema pallidum
HPV
EBV
HHV6
Microbiology
Virology
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multi
Muscle relaxant excreted exclusively by kidney is:
Ans. is 'd' i.e. Gallamine 'Urinary Excretion of Gallamine is>95%. Its biliary excretion is <1 %."-Lee, 12/eGallamineIt is nephrotoxic so C/I in Renal Failure *.It crosses placenta so C/I in Pregnancy *.Some important facts about Muscle Relaxants which are frequently asked:M.R. undergone Hoffman's elimination - Atracur...
4
Scoline
Atracurium
Vecuronium
Gallamine
Anaesthesia
Miscellaneous Muscle Relaxant
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multi
Inventor of orthopantomographic machine is:
Paatero and, independently, Numata were the first to describe the principles of panoramic radiography. Figure given shows a schematic view of the relationships between the X-ray source, the patient, the secondary collimator and the image receptor during panoramic image formation.
4
Hounsfield
Roentgen
Kell
Numata
Radiology
null
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single
Soiling index is measure for -
Arts, is 'a' i.e., Air pollution Monitoring of air pollutiono Monitoring of air pollution is done by : -Sulphur dioxide.Gritt and dust measurement.Co-efficient of haze.Air pollution index.Smoke or soiling index
1
Air pollution
Water pollution
Faecal contamination
Milk contamination
Social & Preventive Medicine
Environment and Health
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single