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Drug of choice for Zollinger Ellison syndrome:
Proton pump inhibitor
1
Proton pump inhibitor
Antacids
Antithistminics
H2 blockers
Pharmacology
null
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single
A 24 year old construction worker presents to his physician after an injury on the job. Physical examination is remarkable for marked flexion of the ring and little fingers of the left hand. Which of the following additional findings would most likely be found on physical examination?
Clawing of the ring, forefinger and little fingers is characteristic of an ulnar nerve lesion. Ulnar nerve lesions can also produce wasting of the hypothenar eminence and dorsal interosseous muscles. The latter causes "guttering" between the extensor tendons on the back of the hand. Ulnar lesions also cause loss of sen...
3
Loss of sensation on the back of the thumb
Loss of sensation on the palmar side of the forefinger
Wasting of the dorsal interosseous muscles
Wasting of the thenar eminence
Anatomy
null
721aa9eb-9cef-45df-9770-4bd86947c2d3
single
Which of the following fat soluble vitamin has been identified to function as a coenzyme?
Most of the water soluble vitamins exert the functions through their respective coenzymes while only one fat soluble vitamin (K) has been identified to function as a coenzyme. Reference: Satyanarayana- Biochemistry, 3rd edition, pg-117
2
Vitamin A
Vitamin K
Vitamin E
Vitamin D
Biochemistry
null
c9747b05-458a-41fd-8a42-69589c3c23ac
single
Chassar Moir surgery is done is case of:
Ans. is b, i.e. VVF repairRef: Shaw 14th/ed, p168SurgeryDone in1. Kelly stitch/Boney's Test/Marshall Marchetti Krantz SurgeryStress Urinary Incontinence2. Chassar Moir Technique/ Latzko technique/ layer techniqueVVF Repair3. Boari Flap TechniqueUretrovaginal Fistula repair4. Purandare Sling/ Fothergill's Repair/ Manche...
2
Uterine inversion
VVF repair
Ureterovesical fistula repair
Retroverted uterus
Gynaecology & Obstetrics
Gynaecological Diagnosis
54869a90-e313-4fed-b1fe-405945da9352
single
Not associated with coal tar
(D) Leukaemia# Occupational exposure to coal tar or coal-tar pitch is associated with an increased risk of skin cancer.> Other types of cancer, including lung, bladder, kidney, and digestive tract cancer, have also been linked to occupational exposure to coal tar and coal-tar pitch.
4
Bladder cancer
Skin cancer
Lung cancer
Leukemia
Pathology
Misc.
3422e7ef-eed3-46ba-a0b8-a7527f23f7fb
single
What is the most probable cause of large head in this child?
c. HydrocephalusLarge head in an infant with venous prominences over scalp and presence of 'setting-sun sign', suggest hydrocephalus.
3
Osteogenesis imperfecta
Mucopolysaccharidosis
Hydrocephalus
Cerebral gigantism
Pediatrics
Growth, Development, and Behavior
c41e7410-60d3-478d-a972-f11c875aba12
single
A 20 year old man presented with abdominal pain, vomiting and bloody diarrhea, his stool sample grew Escherichia coli in pure culture. Which of the following serotype of E.coli is the causative agent of hemorrhagic colitis?
Enterohemorrhagic E.coli O157:H7 is the serotype of E.coli causing hemorrhagic colitis. It is associated with the ingestion of undercooked hamburger, sprouts, unpasteurized milk or juice. EHEC produces a shiga toxin and can cause colitis after an incubation period of 3 -5 days. It typically produces watery diarrhea tha...
1
O 157:H7
O 159:H7
O 107:H7
O 55:H7
Microbiology
null
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single
Which year MTP act was passed -
park's textbook of preventive and social medicine 23rd edition. *implementing rules and regulations for legalisation of aboion was initially written in 1971 were revised again in 1992 came to be known as the MTP act 1971.
1
1971
1981
1957
1961
Social & Preventive Medicine
Non communicable diseases
0299ceef-aa58-438e-b9ca-9a943068be2e
single
Which of the following tumours present with proptosis-
Most common cause of bilateral proptosis: In children : Neuroblastoma and leukemia (chloroma). In adults : Thyroid ophthalmopathy. Most common cause of unilateral proptosis: In children : Orbital cellulitis. In adults : Thyroid ophthalmopathy. Other tumors causing proptosis : symmetrical lymphoma, secondaries from Neur...
1
Neuroblastoma
Nephroblastoma
Germ cell tumour
Medulloblastoma
Ophthalmology
Diseases of orbit, Lids and lacrimal apparatus
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single
Receptors of LDL is/are -
Ans. is 'a' i.e., B 100Apo B-100 acts as a ligand for binding to LDL receptor.Also knowApo E in IDL acts as ligand for LDL receptor mediated endocytosis of IDL and chylomicron remnants. So, Ligand for LDL receptors are :(i) APO B-100 (for LDL)(ii) APO E (for IDL & Chylomicron remnants)
1
B 100
B 48
APO Al
APO A 1 1
Pathology
null
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single
Influenza belongs to
Ohomyxoviruses are medium-sized, 80 to 120-nm enveloped viruses exhibiting helical symmetry. The genome is linear, segmented, negative-sense, single-stranded RNA, totaling 10-13.6 kb in size. Segments range from 890 to 2350 nucleotides each. Ohomyxoviruses include influenza viruses that infect humans or animals.Ref: Ja...
1
Ohomyxoviridae
Retroviridae
Herpes virus
Pox virus
Microbiology
Virology
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single
Fish acts as intermediate host in -a) D. latumb) Clonorchis sinensisc) H. Diminutad) H. Nana
Fish acts as intermediate host: Diphyllobothrium latum, Clonorchis sinensis, Paragonimus westermani (Crab fish), Metagonimus spp., Heterophyes heterophyes In case of H. nana Human, rat and mouse acts as both definitive and intermediate host, no intermediate host. In case of H. diminuta: Flea acts as intermediate host.
2
ac
ab
ad
bc
Microbiology
null
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single
Lilliputian hallucinations are seen in
Lilliputian hallucinations are the visual type where objects appear tiny than their usual size. delirium is a type of ORGANIC BRAIN SYNDROME it presents with clouding of consiousness the main cognitive function that is altered is attention impairment and disorientation the main hallucinations that presents in delirium ...
1
Alcohol withdrawal
Opioid withdrawal
LSD withdrawal
Cocaine withdrawal
Psychiatry
All India exam
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multi
Gas most suited for laproscopy is -
Ans. is `d' i.e., Carbon dioxide
4
Air
Nitrogen
CO
Carbon dioxide
Surgery
null
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single
Dolicocephalic facial pattern is associated with:
null
2
Broad dental arch
Long and narrow dental arch
Paraboloid dental arch
Square dental arch
Dental
null
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single
Commonest position of appendix is?
Retrocaecal is the mc position in 65percent cases in 12 o clock position followed by pelvic in 4 o clock position M/C :-retrocaecal>pelvic
2
Paracaecal
Retrocaecal
Pelvic
Subcoecal
Anatomy
Small and Large intestine
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single
In Allergic rhinitis nasal mucosa is:
Ans. is a i.e Pale and swollen Nasal mucosa pale, boggy, swollen and bluish Nasal mucosa congested and swollen (Hyperophic) Mulberry appearance Pale and atrophied nasal mucosa Allergic rhinitis Vasomotor rhinitis Chronic hyperophic rhinitis Atrophic rhinitis
1
Pale and swollen
Pink and swollen
Atrophied
Bluish and atrophied
ENT
null
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multi
All are true of cerebral salt wasting except -
Cerebral salt-wasting syndrome (CSWS) is a rare endocrine condition featuring a low blood sodium concentration and dehydration in response to injury (trauma) or the presence of tumors in or surrounding the brain. In this condition, the kidney is functioning normally but excreting excessive sodium. Ref Davidson 23rd edi...
3
Increased urine output
Low intravascular volume
Low uric acid in serum
Decreased vasopressin levels
Medicine
Miscellaneous
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multi
Non - bias study is -
.<p>randomised control trials mainly include dtrawing up a protocol,selecting reference and experimental populations ,randomisation,manipulation or intervention ,follow up, assessment of outcome.RCT s are generally described as non biassed studies as they give no chance of any systemic error in the determination of ass...
3
Case control study
Coho study
Randomized controlled trials
Unrandomized trials
Social & Preventive Medicine
Epidemiology
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single
Fracture mandible occurs most common in ?
Ans. is 'c' i.e., Condylar process Condylar process fractures of the mandible are most common account for 35% of all the fractures of mandible. They are followed by angle, body and symphysis in decreasing order of frequency. Mnemonic CABS: condylar process >angle >body >symphysis decreasing order of frequency of fractu...
3
Body
Angle
Condylar process
Coronoid process
ENT
null
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single
When planning home care for a client with hepatitis A, which preventive measure should be emphasized to protect the client’s family?
Hepatitis A is transmitted through the faecal-oral route or from contaminated water or food. Measures to protect the family include good handwashing, personal hygiene and sanitation, and the use of standard precautions. Complete isolation is not required. Avoiding contact with blood-soiled clothing or dressings or av...
2
Keeping the client in complete isolation
Using good sanitation with dishes and shared bathrooms
Avoiding contact with blood-soiled clothing or dressing
Forbidding the sharing of needles or syringes
Medicine
null
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single
Healthy carriers are present in all except ?
Ans. is 'a' i.e., Typhoid Healthy carriers Healthy carriers emerge from subclinical cases. o They are victims of subclinical infection who have developed carrier state without suffering from ove disease, but are nevehess shedding the disease agent. o Examples ---> Polio, cholera, meningococcal meningitis, salmonellosis...
1
Typhoid
Cholera
Diphtheria
All
Social & Preventive Medicine
null
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multi
During epidural analgesia the following points suggests that needle is in the extradural space
Loss of resistance technique, tactile feedback from the needle, and surface landmarks are traditionally used to guide the epidural needle tip into the epidural space (EDS). Number of newer techniques are now available like ultrasound - Ultrasound imaging with preacquired three-dimensional images of spine, Ultrasound th...
4
Loss of resistance sign
Negative pressure sign
Mackintosh extradural space indicator
All of the above
Anaesthesia
Central Neuraxial Blockade
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multi
Which of the following is not a characteristic of Fanconi anaemia -
null
1
Hematologic abnormalities in infancy
Pancytopenia
Skeletal anomalies
Chromosome fragility
Medicine
null
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single
An ankle-brachial index (ABI) that suggests increased risk of myocardial infarction would be
There is increasing interest in the use of the ankle-brachial index (ABI) to evaluate patients at risk for cardiovascular events. An ABI less than 0.9 correlates with increased risk of myocardial infarction and indicates significant, although perhaps asymptomatic, underlying peripheral vascular disease.
1
<0.9
<0.6
>0.9
>0.6
Surgery
Aerial disorders
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EBV Causes:
Ca Nasopharynx
2
Ca cervix
Ca Nasopharynx
Ca lung
Ca uterus
Microbiology
null
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single
Which of the following local anaesthetic causes methemoglobinemia?
Prilocaine similar to that of lidocaine. The primary differences are that it causes little vasodilation and thus can be used without a vasoconstrictor, and its increased volume of distribution reduces its CNS toxicity, making it suitable for intravenous regional blocks. The drug is unique among the local anesthetics in...
2
Procaine
Prilocaine
Etidocaine
Ropivacaine
Anaesthesia
null
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single
TRUE about infant airway compared to adult airway are all, EXCEPT:
Differences in airway anatomy make the potential for technical airway difficulties greater in infants than in teenagers or adults. The airway of infants differs in five ways: (1) the relatively large size of the infant's tongue in relation to the oropharynx increases the likelihood of airway obstruction and technical d...
4
The relatively large size of the tongue
Epiglottis is omega shaped
Larynx is funnel shaped
None of the above
Anaesthesia
null
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multi
In which of the following condition there is increased level of ammonia in blood?
Ans: a (Ornithine transcarbamoylase deficiency) Ref: Vasudevan, 4th ed, p. 170,171,199In ornithine transcarbamoylase deficiency there will be high level of ammonia in blood.Rate limiting step in urea synthesis is formation of carbomoyl phosphate. It is catalysed by carbamoyl phosphate synthetase I.One molecule of ammon...
1
Ornithine transcarbamoylase deficiency
Galactosaemia
Histidinaemia
Phenyl ketonuria
Biochemistry
Proteins and Amino Acids
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single
The mechanism of action of emergency contraception includes the following except:
Ans. A. By Causing early ovulation.Methods of emergency contraceptionThere are two methods of emergency contraception:# emergency contraception pills (ECPs)# copper-bearing intrauterine devices (IUDs).When inserted within five days of unprotected intercourse, a copper-bearing IUD is the most effective form of emergency...
1
By Causing early ovulation
Degeneration of corpus leutum
Inhibition of fertilization
Prevention of implantation of fertilized egg.
Gynaecology & Obstetrics
Miscellaneous (Gynae)
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All the following statements art true for the viral genome in HIV, Except
null
2
They are diploid
They consist of DNA dependent DNA polymerase activity
They consist of three major genes-gag, pol and envcharacteristic of all retroviruses
They are most complex of human retroviruses
Social & Preventive Medicine
null
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multi
True about mitochondrial inheritance
Ans. b (An offspring bom to an affected female will be affected) (Ref. Nelson paediatrics, Ch. 80. p. 496)Mitochondrial Inheritance# An individual's mitochondrial genome is entirely derived from the mother. Sperm contain few mitochondria, most of which are shed upon fertilization.# Mitochondrial disorders exhibit mater...
2
An offspring bom to an affected male will be affected
An offspring born to an affected female will be affected
An offspring born to an affected female will be normal
All of the above
Pediatrics
Genetics And Genetic Disorders
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multi
HCV virus is ?
Ans. is 'b' i.e., Hepatitis C virus is a small, enveloped, positive-sense single-stranded RNA virus of the family Flaviviridae.
2
Enveloped DNA
Enveloped RNA
Nonenveloped DNA
Nonenveloped RNA
Microbiology
null
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multi
Ca 125 is used for ?-
Harshmohan textbook of pathology 7th edition. CA 125 is a tumor marker of ovarian cancer. Most commonly used for follow up of ovarian cancer. pancreas tumor marker CA 19-9..
1
Follow up of ovarian cancer
Diagnosis of pancreatic cancer
Diagnosis of stomach cancer
Diagnosis of ovarian cancer
Pathology
General pathology
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single
With increase in age which of the following is true for lungs
Ageing and Lung Changes * Decreased chest wall compliance is counter balanced by a loss of elastic recoil of the lungs (increased lung compliance), which is due to a decrease in the number of parenchymal elastic fibers. * Chest wall and thoracic spine deformities which leads to increase work of breathing. * Dilation of...
1
Pulmonary compliance increases
Residual volume decreases
Mucocillary clearance increases
The alveolar dead space decreases
Physiology
Respiratory system
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multi
Which of the following is best type of inquest at the international level?
Medical examiner's inquest is prevalent in most of the states of USA.it is considered to be superior to all other types of inquest, because it is conducted by a forensic pathologist with medical, scientific,& legal knowledge.police& magistrates inquest common in India. Coroner's inquest was common in Mumbai and Kolkata...
3
Coroner's inquest
Police inquest
Medical examiner's inquest
Magistrates inquest
Forensic Medicine
Medico legal procedures
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T/t of alcohol withdrawal -
null
2
B-blocker
BZD
Amitryptiline
SSRIs
Psychiatry
null
e9d56801-0bf5-4684-9622-9b6f5ac21263
single
Wiggly appearance of the master cone in the root canal suggests:
If the cone goes to length and radiographically exhibits a wiggly or S-shaped appearance, the cone is too small for the canal and a larger cone must be selected.
2
Long cone in the canal
Short cone in the canal
Thick cone in the canal
Thin cone in the canal
Dental
null
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single
A neonate within 4 hours of bih presented with severe respiratory distress. He appears to be dyspneic, tachypneic, and cyanotic with severe retractions of the chest. On examination, grunting is present along with use of the accessory muscles. Neonate also appears to have scaphoid abdomen and increased chest wall diamet...
This is a case of congenital diaphragmatic hernia (bochdalek or posterolateral hernia) Chest radiograph shows a stomach, nasogastric tube, and small bowel contents in the thoracic cavity, consistent with a CDH. Development of Diaphragm: PA A: Body wall: Peripheral muscular pa PA B: Oesophageal Mesentery: Crura PA C: Se...
3
PA C
PA A
PA D
PA B
Unknown
Integrated QBank
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multi
A boy comes with complains of vomiting, bloated abdomen and abdominal pain. He has a history of attending ice–cream eating competition last night. Ile also has a past history of similar episodes following ingestion of milk and milk products. The likely cause –
History of ice cream ingestion and subsequent symptoms of vomiting, bloated abdomen, are characteristic findings of lactase deficiency. Lactase deficiency - Lactase is a disaccharidase present on intestinal epithelium (brush border)*. It is used to digest lactose (disaccharide). Symptoms arise after ingestion of foo...
2
Pancreatic amylase deficiency
Lactase deficiency
Salivary amylase deficiency
Food poisoning
Pediatrics
null
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True about aplastic anemia -a) Splenomegalyb) Nucleated RBC in peripheral bloodc) Reticulocytopeniad) Thrombocytopeniae) Neutropenia
Aplastic anemia is a disorder of marrow failure which stems from suppression or disappearance of multipotent myeloid stem cells. It is characterized by: Anemia, Neutropenia , Thrombocytopenia, and Reticulocytopenia. Splenomegaly is characteristically absent; if present, the diagnosis of aplastic anemia is almost ruled ...
2
abd
cde
bde
ade
Pathology
null
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multi
In leptospirosis, the following clinical features are seen except-
Clinical features After a relatively brief bacteraemia, invading organisms are distributed throughout the body, mainly in kidneys, liver, meninges and brain. The incubation period averages 1-2 weeks. Four main clinical syndromes can be discerned and clinical features can involve multiple different organ systems . Bacte...
4
Jaundice which may be intense
Hemorrhage
Hepatomegaly
Massive splenomegaly
Medicine
Infection
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multi
The minimum period required for post-exposure chemoprophylaxis for HIV is:
Post exposure prophylaxis for HIV: Ideally HIV PEP must be initiated as soon as possible HIV PEP must be initiated within: 24 hours HIV PEP unreasonable to initiate beyond: 72 hours Duration of HIV PEP: 4 weeks Follow-up period after HIV PEP: 12 weeks. Only the higher risk injuries are offered HIV post-exposure prophyl...
1
4 weeks
6 weeks
8 weeks
12 weeks
Social & Preventive Medicine
Leprosy, HIV & STDs
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Where was the atraumatic restorative treatment first introduced?
null
1
Tanzania
China
U.S.A.
New Zealand
Dental
null
715b9990-bace-4520-8989-68ae3d89ccbf
single
Howell jolly bodies are seen in?
Ans. is 'b' i.e. Hemolytic anemia Howell-Jolly bodies (HJ bodies)* These are round solid staining, dark-blue to purple inclusions. They are nuclear remanants predominatly composed of DNA.* The presence of Howel-Jolly bodies is associated with hemolytic anemia, megaloblastic anemia, hereditary spherocytosis, myelodyspla...
2
Iron deficiency anemia
Hemolytic anemia
Polycythemia vera
Multiple myeloma
Pathology
Blood
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Secular trend is
The term secular trend implies changes in the occurence of diseases (i.e. A progressive increase or decrease)over a long period of time generally several years or decades.(refer pg no: 66 park 23 rd edition)
1
Long term
Sho term
Both
null
Social & Preventive Medicine
Epidemiology
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multi
A 65 year male has a history of sweating and chest pain for last 24 hours with the following ECG. Which of the following is not given in managing the patient?
T waves are hyper-acute in leads V2-V5 with the simultaneous presence of ST segment elevation in chest leads V2-V5. This is diagnostic of STEMI involving anterior wall and the vessel blocked is left anterior descending aery. The symptoms of chest pain and diaphoresis are explained by the ECG findings of the pain. Ideal...
3
Aspirin
Statin
Thrombolytic therapy
Morphine
Medicine
Acute coronary syndrome
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single
During autopsy for virology study which agent is used for storing tissue -
In autopsy in virological disease universal work precautions have to be followed and specimens are stored in 50% glycerine. Dr. Narayana Reddys Synopsis of Forensic Medicine & Toxicology 27 th edition pg. 60.
4
Sodium chloride
Alcohol
Spirit
50% glycerin
Forensic Medicine
Death and postmortem changes
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Anesthetic agent/s which have tocolytic effect are?
Ans. is 'd' i.e., All the above Halothane, enflurane and isoflurane produce a dose dependent decrease in uterine tone (tocolysis). Studies of isoflurane demonstrate that halogenated compounds reduce both the frequency of uterinecontractions and the interval between them.
4
Halothane
Enflurane
Isoflurane
All the above
Anaesthesia
null
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multi
Helper T-cells are primarily involved in -
Ans. is 'a' i.e.. Cell mediated immunity
1
Cell mediated immunity
Killing virus infected cells
Killing tumor cells
Involved in type II hypersensitivity
Microbiology
Immunology
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single
Ideal contraceptive for a couple living in different cities meeting only occasionally:
Ans-A Barrier method Barrier method is a suitable contraceptive option for those who have infrequent sexual intercourse."Condom are suitable for use in old age, for a couple who have infrequent coitus, during lactation, during holidays, a subject who can not tolerate OCP, IUCD. The practice of Fertility Control by S. K...
1
Barrier method
IUCD
OCP
DMPA
Unknown
null
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multi
Depressed of skull results from:
A i.e. Heavy object with small striking surface
1
Heavy object with small striking surface
Heavy object with large striking surface
Fall over the ground
Light object
Forensic Medicine
null
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multi
The arachnoid villi responsible for cerebrospinal fluid absorption protrude mainly in the:
A i.e. Superior saggital sinus
1
Superior sagittal sinus
Inferior sagittal sinus
Straight sinus
Transverse sinus
Anatomy
null
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single
Which of the following is most often involved in Multiple Endocrine Neoplasia 1 (MEN 1):
Parathyroid
3
Pituitary
Pancreas
Parathyroid
Thyroid
Pathology
null
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single
Carpal bone which fractures commonly:
Ans: a
1
Scaphoid
Lunate
Hamate
Pisiform
Orthopaedics
Injuries Around the Fore Arm & Wrist
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single
Spuriously high BP is seen in A/E:
Answer is A (Auscultatory gap) Spuriously high BP may be seen in obese individuals with a thick blanket of fat which dissibates cuf fpressure, patients with thick calcified vessels and use of small narrow cuff
1
Auscultatory gap
Small cuff
Thick calcified vessels
Obesity
Medicine
null
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multi
Depression patients in developing countries most prominently show which of the following feature?
Multiple physical symptoms (such as heaviness of head, vague body aches) are paicularly common in the elderly depressives and depressed patients from the developing countries (such as India) * MC psychiatric disorder in India: Depression * Neurotransmitter involved: Serotonin and nor-epinephrine * MC cause of suicide: ...
3
Low mood
Sleep disturbance
Vague body aches
Suicidal tendancy
Psychiatry
Mood Disorders
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single
Best blood product to be given in a patient of multiple clotting factor deficiency with active bleeding
Refer Robbins page no 664
1
Fresh frozen plasma
Whole blood
Packed RBCs
Cryoprecipitate
Anatomy
General anatomy
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single
An example of tumor suppressor gene is
Ref Robbins 7/e p300; , Harrison 17/e p499; 9/e p290 Tumor suppressor genes are the genes whose products down regulate the cell cycle. RB Gene: Governor of the Cell Cycle It is useful to begin with the retinoblastoma gene (RB), the first tumor suppressor gene to be discovered and, as it happens, a prototypical represen...
4
Myc
Fos
Ras
Rb
Anatomy
General anatomy
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single
The extent of bony defects can be best estimated by
null
4
Long cone parallel radiographic technique
Sequential probing
Use of Florida probe
Transgingival probing
Dental
null
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multi
All of the following are associated with proximal muscle weakness except -
Ans. is 'd' i.e., Myotonic dystrophy o The general rule in that : Myopathies have proximal muscle weakness. Neuropathies have distal muscle weakness. o Myotonic dystrophy is an exception to this general rule and mainly involves the distal muscles. Also know o The difference between myopathy and muscular dystrophy. Myop...
4
Spinomuscular atrophy
Duchenis muscular dystrophy
Polymyositis
Myotonic dystrophy
Pediatrics
null
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multi
In status asthmaticus, anesthetic agent used as bronchodilator:-
Morphine - Morphine depresses respiratory center in a dose dependent manner Rate | Tidal | volume In healthy individuals - no cognizable respiratory depression MARKED DEPRESSION In patients with: Asthma COPD Corpulmonalae Lungs and kidney Disease THIOPENTONE SODIUM -decreases respiratory rate KETAMINE: Bronchodilation ...
3
Morphine
Thiopentone sodium
Ketamine
Halothane
Anaesthesia
FMGE 2018
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single
In actinomycosis of the spine, the abscess usually erodes:
(d)- Actinomycosis of spine is characterized by granulomatous lesions or osteomyelitis. Cutaneous sinus tracts frequently develop.
4
Intervertebral disc
Into the pleural cavity
Into the retroperitoneal space
Towards the skin
Orthopaedics
Fungal Infections
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multi
Neurotic depression may be characterised by all except -a) Ravenous appetiteb) Hypersomniac) Increased libidod) Weight gain
Dysthymia (neurotic depression) present with mild depressive symptoms (not severe symptoms like ravenous appetite). "Increased libido does not occur as a symptom of depression".         Advanced abnormal psychology 2nd/e 309 For symptoms of dysthymia (neurotic depression) see the table of diagnostic criteria in text.
1
ac
bc
ad
b
Psychiatry
null
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multi
This type of lesion in HIV patient is caused most likely by which of the following?
Ans. B. Fungusa. This HIV/AIDS patient presented with a secondary oral pseudomembranous candidiasis infection.b. The immune system which suffers with HIV undergoes a dramatic reduction in its effectiveness, resulting in the greater possibility of secondary infections.
2
Bacteria
Fungus
Virus
Parasite
Medicine
Infection
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single
Test of detecting damage to cochlea is
Bone conduction is a measure of cochlear function. In ABC test: Patient's bone conduction is compared with that of the examiner (presuming that the examiner has normal hearing). In conductive deafness, the patient and the examiner hear the fork for the same duration of time. In sensorineural deafness, the patient hears...
4
Caloric test
Weber test
Rinnie's test
ABC test
ENT
Ear
36799227-84cd-41b9-abaa-407197db7a8f
single
Which of the following drug is used in this test?
The picture shows Peripheral angiography for which we need vasodilatation. Vasodilatation is produced best by non-selective alpha-blockers, tolazoline is more selective for peripheral vesselsRef: CMDT 2010-Pg 1434
1
Tolazoline
Clonidine
Bismuth
Oxymetazoline
Pharmacology
All India exam
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single
Which of the following finger is having two dorsal interossei muscles:
Ans. (c) Middle FingerRef: Grays Anatomy 41st Ed; Page No- 884* The four dorsal interossei muscles are bipennate in nature.* They are larger in size compare to palmar interossei.* They are arising from the adjacent sides of two metacarpal bones.* First two attach to radial side of proximal phalanx of index and middle f...
3
Index finger
Little finger
Middle finger
Ring finger
Anatomy
Upper Extremity
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single
In achalasia cardia, true is:
Answer is A (Pressure at distal end increased with no peristalsis): Achalasia is characterized by an increased pressure of LES and absence of esophageal peristalsis. Physiological /Manometric features of Achalasia Elevated Resting pressure of LES (>45 mmHg)Q Incomplete LES relaxation (in response to swallowing)Q Absenc...
1
Pressure at distal end increased with no peristalsis
Low pressure at LES with no peristalsis
Pressure > 50 mmHg with peristalsis
Pressure at the distal end increased with normal relaxation
Medicine
null
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multi
Trastuzumab all are true EXCEPT:
Causes upregulation of HER2/neu REF: Lippincott's pharmacology 6th edition 653, Goodman & Gillman's 11'1' edition page 901, http://en.wikipedia.org/wiki/Trastuzumab "It has been suggested that trastuzumab induces some of its effect by downregulation of HER2/neu not upregulation" Trastuzumab: Herceptin (Trastuzumab) is ...
3
Shows better response in combination with paclitaxel
Used in metastatic breast cancer
Causes upregulation of HER2/neu
Do not causes bone marrow toxicity
Pharmacology
null
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multi
With regard to surgical site infection, what is it called if bacteria are dividing and have invaded wound surface
Contamination Bacteria are on the wound surface. No division occurring Colonization  Bacteria are dividing Tropical infection (Critical colonization) Bacteria are dividing and have invaded the wound surface. There may be an increasing variety of bacteria present ; Biofilm may be present Local infection Bacteria a...
3
Contamination
Colonization
Tropical infection
Local infection
Surgery
null
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multi
Concept of lingual orthodontic appliance was introduced by
null
4
Atkinson
Mershon
Johnson
Kurz
Dental
null
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single
Balanced stone is dental stone:
A stone with a setting time established by the addition of proper quantities of both accelerator and retarder is called ‘balanced stone’.  Typical accelerators are potassium sulfate and potassium sodium tartrate (Rochelle Salts). Typical retarders are sodium citrate and sodium tetraborate decahydrate (Borax). Manappali...
2
Which undergoes rapid expansion
In which, accelerators or retarders have been added according to need
In which, amount of water of hydration is controlled
In which, the crystals are all of uniform size
Dental
null
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multi
Accurate diagnosis of anencephaly in ultrasound is seen at week :
14 weeks of gestation
4
6 weeks of gestation
8 weeks of gestation
10 weeks of gestation
14 weeks of gestation
Gynaecology & Obstetrics
null
847c8f17-4ff2-4a10-a23e-e993af52db54
single
True about Pityriasis rosea is –
Pityriasis rosea is thought to be a viral disease caused by HHV6/7, which is self limiting and subsides in 6-12 weeks.
1
Self limiting
Chronic relapsing
Life threatening infection
Caused by dermatophytes
Dental
null
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multi
What is the normal net weight gain during pregnancy?
According to American College of Obstetrics and Gynecology the recommended weight gain for singleton pregnancy is 25-35 pounds during a singleton pregnancy. Maternal weight gain during pregnancy could be due to: Fetus: 3500 gm at term Placenta: 650g Amniotic fluid:800mg Breast enlargement: 400g Uterus: 970g Interstitia...
2
11 Pounds
24 Pounds
36 Pounds
42 Pounds
Gynaecology & Obstetrics
null
5d5e1670-3096-4762-b2af-a608efe8dba3
single
Shotgun does not contain :
Bullets are used in Rifled Gun. SHOT GUN also known as SMOOTH Barrel GUN :- Choking :-to decrease dispersion and increase the range. Lead shot/ pellets used in shot gun.
3
Barrel
Choke bore
Bullets
Muzzle
Forensic Medicine
Ballistics
adac28c7-bb22-4978-8efc-493a6e0fdddf
single
OCP failure by rifampicin is due to -
Ans. is 'c' i.e., Increased metabolism of drug
3
Decreased absorption of OCP
Increased binding of OCPs by rifampicin and reduced free drug concentration
Increased metabolism of drug
Increased chances of ovulation due to rifampicin
Pharmacology
null
39fb6596-c033-4bf6-a75a-bf0eb92ad041
single
Propranolol is useful in the treatment of all of the following EXCEPT:
null
2
Angina
Partial atrioventricular block
Idiopathic hypertrophic subaortic cardiomyopathy
Familial tremor
Pharmacology
null
7cdbf116-2a01-485f-b55e-00af46088c5d
multi
Which of the following is used to represent continuous (quantitative) data -
Ans. is 'c' i.e., Histogram DataScaleGraph/DiagramQuantitativeInterval scaleRatio scaleHistogramFrequency polygonfrequency curves linechart scatter diagramCumulative frequency CurveLine Chart graphQualitativeNominal scaleOrdinal scaleBar diagramPie chartPictogramMap diagram or spot map
3
Bar diagram
Pie chart
Histogram
Map diagram
Social & Preventive Medicine
Data Variables
f70a7975-07ce-47f1-8309-8b68bf7d046a
single
Retraining approach in a pediatric patient, all are true, Except:
Retraining approach includes: Avoidance. De- emphasis and substitution. Distraction.
1
Discrimination
Avoidance
De-emphasis and substitution
Distraction
Dental
null
51ef3ecb-faf3-434c-aa52-bc8ec5e0b440
multi
Granulomatous reactions caused by ova or products of schistosomes at places of oviposition would result in clinical manifestations which includes all except:-
Although the chronic stage of proliferation within tissues is distinctive in the different forms of schistosomiasis, a granulomatous reaction to the eggs and chemical products of the schistosome occurs in all forms of the disease. Schistosoma haematobium commonly involves the distal bowel and the bladder, as well as th...
3
Bladder wall hyperplasia
Poal hypeension
Cardiac abnormalities
Splenomegaly
Microbiology
Parasitology Pa 2 (Helminthology)
c35f8cc2-4427-4859-84cb-69e9e4890513
multi
The function of vitamin A is/are related to which of the following?
null
4
Retinol
Retinal
Retinoic acids
All of the above
Biochemistry
null
7e81065b-6506-4829-8aa4-1a362c999ce7
multi
False about actinomycetes.
Pencillin is the DOC. It is used for 6-12 months.
4
Non-acid fast
M/C site is cervico facial
Obligate anaerobe
Pencillin is used in treatment for 6 weeks
Microbiology
null
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multi
A 32 year old carpenter presented to you with history of recurrent attacks of chest pain . You prescribe him sublingual nitroglycerin and advise him to take it at the time of pain. The patient revisits the hospital again after 2weeks and tells that the intensity of chest pain has increased on taking nitroglycerin. Th...
Nitrates are vasodilator drugs which aggravate condition of HOCM , so it is generally not used in HOCM
2
Aortic regurgitation
Hypertrophic obstructive cardiomyopathy
Aortic dissection
Aortic aneurysm
Medicine
null
105ca4bd-e16c-4122-8f78-b77e1be7b881
single
Erythropoietin production is inhibited by -
Ans. is 'a' i.e., Estrogen o The most important stimulus for erythropoietin secretion is hypoxia. Other stimulus that can increase its secretion are cobalt salts, androgens, alkalosis due to high altitude, and catecholamines via b-adrenergic mechanism.o Pregnancy (due to placental lactogen), testosterone and prolactin ...
1
Estrogen
Progesterone
Thyroxine
Testosterone
Biochemistry
Endocrinology
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single
Equatorial diameter of the lens is
The lens continues to grow throughout life. At bih, it measures about 6.4 mm equatorially and 3.5 mm anteroposteriorly and weighs approximately 90 mg. The adult lens typically measures 9 mm equatorially and 5 mm anteroposteriorly and weighs approximately 255 mg. Ref. AAO Sec.11 (2011-2012) Pg.No. 7
3
7mm
8mm
9mm
10mm
Ophthalmology
Lens
98f00043-22e0-414a-a202-2f59ffc9f04c
single
The persistent suppression of bacterial growth that may occur after limited exposure to some antimicrobial drug is called :
Time dependent killing kinetics is shown by aminoglycosides. Here, the killing activity depends upon the length of time, plasma concentration is above MIC. Concentration dependent killing is shown by β lactam drugs. Here, killing activity depends upon the ratio of plasma concentration to MIC. Post-antibiotic effect is ...
2
Time dependent killing
Post antibiotic effect
Concentration dependent killing
Sequential blockade
Pharmacology
null
be5073d3-5757-4648-b7c8-140abe6e259a
multi
A 7 years old girl with falling grades and complaints by teacher that she is inattentive in class to her parents and has bad school performance. On hyperventilation her symptoms increased and showed the following EEG findings. Diagnosis is (graph is given):
Ans. c. Absence seizures
3
Myoclonic epilepsy
Myoclonus
Absence seizure
Juvenile myoclonic epilepsy
Pediatrics
null
f043a8cf-a59a-424b-a33b-5348302c80b8
multi
Anesthesia of choice in child with cyanotic hea disease?
Ketamine REF: Morgan 4'h ed p. 935 Anesthesia of choice for congenital hea disease Left to right shunt (Acynotic) Sevoflurane Right to left shunt (Cyanotic) Retamine
2
Propofol
Ketamine
Thiopentone
Sevoflurane
Anaesthesia
null
5ffda24a-5951-481b-be1c-8be2c83f6964
single
Hippocampal formation includes all, except?
Ans. (c) Amygdaloid nucleusRef.: Ganong 25th ed. 1288, Atlas of neuroanatomy 2nd ed. / 203* The hippocampal formation is a compound structure in the medial temporal lobe of brain containing# Dentate gyrus# Hippocampus proper# Subiculum# Pre-subiculum, para-subiculum# Entorhinal cortex.* Amygadala primary role in the pr...
3
Dentate gyrus
Subiculum complex
Amygdaloid nucleus
Entorhinal cortex
Physiology
Thalamus, Hypothalamus and Basal Ganglia
a50f07ba-0402-4c6e-b721-3f935c380c02
multi
Which is the commonest childhood tumor –
null
1
ALL
CLL
AML
CML
Pediatrics
null
1e7e4e3b-8adc-4729-b892-d297c70151af
multi
Residual volume is the volume of air in lung after-
Ans. is 'b' i.e., Maximal expirationo Residual volume is the volume of air that remains in the lungs after maximal expiration.Respiratory Volumes and Capacities for an Average Young Adult MaleMeasurementTypical valueDefinition Respiratory volumes1.Tida] volume (TV)500 mlAmount of air inhaled or exhaled in one breath du...
2
Maximal inspiration
Maximal expiration
Normal inspiration
Normal expiration
Physiology
Mechanics of Respiration
72ed06c8-5abf-493e-9343-02d95148a20e
single
Color of kit 3 for STD under AIDS control programme?
Ans. is 'c' i.e.,WhitePre-packed colour coded STI/I kits have been provided for free supply to all designated STI/I clinics :Kit 1 4 Grey, for urethral discharge, ano-rectal discharge, cervicitis.Kit 2 - Green, for vaginitisKit 3 4 White, for genital ulcersKit 4 - Blue, for genital ulcersKit 5 - Red, for genital ulcers...
3
Red
Blue
White
Green
Social & Preventive Medicine
null
90fd0d02-c9df-421e-9477-273415613650
single
Average weight of thyroid gland where diet is rich in Iodine is -
null
3
10-12gm
14-16gm
18-20gm
28-30gm
Surgery
null
ce45dc6e-74e0-4c73-b7a0-2c6e9fc02cdf
single
All the following metabolic may cause chronic or recurrent abdominal pain, except -
null
4
Acute intermittent prophyria
Addison's disease
Hypercaleemia
Hyperkalemia
Medicine
null
8ad36736-374b-483f-9d9c-70fafbb525b7
multi
What is cognizable offence ?
Cognizable offence Offence in which a police officer can arrest a person without warrant.
3
Offence that can be forgiven
Offence in which person can be arrested but with a warrant
Offence in which a person can be arrested even without a warrant
Offence in which bail cannot be granted
Forensic Medicine
null
d77fc2b5-e37c-4b79-98f9-e94f88e4aa90
single
The lung pathology occurring in persons working in cotton- wool industries is
Ans. (a) Asthma like features(Ref: Robbins 9th 689)In 10-25% cases, disease may be progressive, with chest tightness recurring or persisting throughout the workweek.After >10 years of exposure, workers with recurrent symptoms are more likely to have an obstructive pattern on pulmonary function testing.
1
Asthma like features
Hypersensitivity pnemonitis
Lung Ca
Chronic bronchitis
Pathology
Respiration
b6a6923a-e2cf-4dd5-bb2c-e1cdc45a7957
single
Pendred&;s Syndrome is due to defect in:
Pendred&;s Syndrome: Consists of congenital sensorineural hearing loss+ goitre Due to defects in sulfate transpo protein (Chromosome 7q) to the thyroid gland and cochlea. Rafetoff Syndrome End organ resistance to T4 Ref: Schwaz 10th edition Pgno: 1534
2
Chromosome 7p
Chromosome 7q
Chromosome 8p
Chromosome 8q
Surgery
Endocrinology and breast
622f30da-dc18-407b-972b-fd679469ce86
single
Apgar scores were 3, and 6 at 1 and 5 minutes. At 10 Apgar scores were 3, and 6 at 1 and 5 minutes. At 10 minutes child shows features of breathlessness,on CXR-mediastinal shift was there, possible causes – a) Bilateral choanal atresiab) Pneumothoraxc) Congenital diaphragmatic herniad) Hyaline membrane disease
Congenital diaphragmatic hernia and pneumothorax cause respiratory distress with mediastinal shift to contralateral side. Bilateral choanal atresia and HMD cause respiratory distress, but no mediastinal shift.
2
a
bc
ac
ad
Radiology
null
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single