question
stringlengths
1
1.57k
exp
stringlengths
1
22.5k
cop
int64
1
4
opa
stringlengths
1
287
opb
stringlengths
1
287
opc
stringlengths
1
286
opd
stringlengths
1
301
subject_name
stringclasses
21 values
topic_name
stringlengths
3
135
id
stringlengths
36
36
choice_type
stringclasses
2 values
Binswanger&;s disease is a form of
Binswanger's disease, also known as subcoical leukoencephalopathy and subcoical aeriosclerotic encephalopathy (SAE), is a form of small vessel vascular dementia caused by damage to the white brain matter. White matter atrophy can be caused by many circumstances including chronic hypeension as well as old age.
4
Hypeensive retinopathy
Hypeensive nephropathy
Hypeensive encephalopathy
Subcoical leukoencephalopathy
Pathology
Nervous system
b0c1e7c9-b9e8-474b-8606-0b4c0f4c7034
single
Crippling fluorosis occurs at what level ?
Ans. is 'd' i.e., 10 mg/liter Crippling fluorosis This occurs at fluoride level > 10 mg/litre (PPM). Patient is crippled and bed ridden.
4
0.5-0.8 mg/litre
1.5 mg/litre
3-6 mg/litre
> 10 mg/litre
Social & Preventive Medicine
null
f4b317cd-a4fe-49d0-acc3-1922fcfd789f
single
Lineage specific T Cell marker is
CD 3 is considered as lineage specific for Tcells.
3
CD 1
CD 19
CD 3
CD 4
Pathology
null
827f4fab-9803-4075-8f03-3784ea8a031b
single
Oesophageal manometry is used in:
Ans. (d) Achalasia CardiaRef Bailey and Love 26th edition Page 1015* Manometry is the investigation to study the physiology of the functions of esophagus.* It is the investigation of choice to detect the motility disorders like achalasia cardia, DES, nut cracker esophagus.* Barrett IOC: Endoscopic biopsy* Cancer Esopha...
4
Cancer esophagus
Barrett esophagus
Schatzki ring
Achalasia cardia
Surgery
Oesophagus
c1953066-fd7d-4d3a-98c6-4efc0293e812
single
Syndrome associated with anosmia is:
The most well-known type of congenital anosmia is Kallmann syndrome, an X-linked disorder. Caused by mutation in the KAL gene, Kallmann syndrome is characterized by hypogonadotropic hypogonadism, which results when olfactory receptor neurons and neurons synthesizing gonadotropin-releasing hormone fail to migrate from t...
2
Goldenhar syndrome
Kallmann syndrome
Prader Willi syndrome
All of the above
ENT
null
f236e8e3-3ca8-491a-82d2-2411cb9d22c9
multi
Anesthetic agent contraindicated in acute intermittent porphyria is?
Ans. is 'd' i.e., Thiopentone Anesthetics in porphyriaSafeUnsafe (should not be used)* Propofol* Benzodiazepines* Opioids (other than pentazocine)- morphine, codeine, pethidine, fentanyl, alfentanyl, naloxone* Lidocaine, Bupivacaine* Muscle relaxants* Neostagmine, atropine, glycopyrrolate* Aspirin, indomethacin, naprox...
4
Halothane
Isoflurane
Propofol
Thiopentone
Anaesthesia
Complications Of Anaesthesia
6c316e83-e64c-4c9d-bcaf-6b08de309883
single
Anterior scalloping of veabrae seen in -
Ans is option 2... Aoic aneurysm Anterior scalloping is seen in following conditions Aoic aneurysm, tuberculous spondylosis, lymphadenopathy, delayed motor development (in downs syndrome) Posterior scalloping is seen in Tumors in spinal canal (ependymoma, lipoma,, neurofibroma), neurofibromatosis, acromegally, achondro...
2
Obsteogenesis imperfecta
Aoic aneurysm
Metastasis
Renal Cell Ca
Medicine
Endocrinology
78c06cb6-cd01-4d62-bb80-f587835d3298
multi
Reversible dementia is seen in all EXCEPT:
Ans. (b) Alzheimer'sRef: Harrison's 18th ed. 3300-07* Alzheimer's disease is most common cause of irreversible dementia.Reversible vs Irreversible dementiaReversibleIrreversibleVitamin deficiency# B1-Wernicke's# B12-SCID# Nicotinic acid- PellagraAlzheimer'sEndocrine (hypothyroidism, adrenal insufficiency, cushing's)Vas...
2
Wernickes encephalopathy
Alzheimer's
Hypothyroidism
Head trauma
Psychiatry
Dementia Due to Metabolic Causes
c8aa1b3f-76dd-4c07-99b0-5067677413bd
multi
Which sign is seen due to thrombosis of mastoid emissary veins?
Ans. is'b'i.e., Gresinger sign (Ref Dhingra 5th/e p. 95) Griesinger's sign: - Edema over the posterior pa of mastoid due to thrombosis of mastoid emissary veins.
2
Battle sign
Gresinger sign
Irwin Moore Sign
Hennebe's sign
ENT
null
35f0dcd8-6720-4eb5-9f01-a3959028e0a4
single
What is incidence of emergence delirium after ketamine anaesthesia-
The observed incidence of emergence delirium after ketamine ranges from 5% to 30 %.
1
5% to 30 %
30 % to 55 %
55 % to 70 %
100%
Anaesthesia
Intravenous Anesthetic Agents
52bd2eec-f439-4db3-80d5-de2eaeb844da
single
This drug has activity against many strains of P. aeruginosa. However, when it is used alone, resistance has emerged during the course of treatment. The drug should not be used in penicillin-allergic patients. Its activity against gram-negative rods is enhanced if it is given in combination with tazobactam. Which of th...
Antipseudomonal penicillins: Piperacillin and Ticarcillin are called antipseudomonal penicillins because of their activity against Pseudomonas aeruginosa. Piperacillin and Ticarcillin are effective against many gram-negative bacilli But not against Klebsiella because of its constitutive penicillinase. Formulation of ti...
3
Amoxicillin
Aztreonam
Piperacillin
Vancomycin
Pharmacology
Cell Wall Synthesis Inhibitors
01dcc307-a222-4eb0-87b3-34dc9992b44b
multi
TESPAL done in -
Ans. is'a' i.e., Severe epistaxisManagement of intractable spontaneous epistaxis.TESPAL - transnasal endoscopic sphenopalatine aery ligationIndication:Epistaxis not responding to conventional conservative management.Posterior epistaxis
1
Severe epistaxis
Rhinophyma
CA Maxillary Sinus
Multiple Antrochoanal polyps
ENT
null
1aab304f-c04f-42c9-9db4-66ac2d1f26f4
single
The mean of the 25 patients' plasma volumes is 12.5 litres. Standard detion is 0.25. Calculate standard error
S.E = S/[?]n S = Standard detion = 0.25 n = sample size = 25 S.E. = 0.25/[?] 25 = 0.25/5 = 0.05
1
0.05
0.5
0.01
0.1
Social & Preventive Medicine
Biostats
502cc028-3dc8-4aef-8aa0-7b08a05b0cd4
single
Best gas used for creating pneumoperitonium at laparoscopy is :
CO2 CO, is the gas used to create pneumoperitoneum during laparoscopy. Other option is - N20 : But it is expensive, less soluble in blood and suppos combustion. Also know : Instrument used for creating pneumoperitoneum is veress needle. Flow Rate of CO, for creating pneumoperitoneum 200 - 2000 ml/min & pressure between...
3
N2
2
CO2
N20 Goniometer is used
Gynaecology & Obstetrics
null
f94a5d87-676f-4f09-bd41-5113fb2ee0bc
single
Which of the following drug is contraindicated in a patient of myasthenia gravis: September 2008
Ans. B: Tubocurare Drugs contra-indicated in myasthenia gravis Absolute contraindication: - Curare - D-penicillamine Botulinum toxin - Interferon alpha Contraindicated -- Antibiotics -- aminoglycosides (gentamycin, kanamycin, neomycin, streptomycin, tobramycine); macrolides (erythromycin, azithromycin, telithromycin,) ...
2
Succinylcholine
Tubocurare
Pyridostigmine
Halothane
Pharmacology
null
9eae3cf5-29f0-4797-8a08-038964dd1081
single
Which of the following can be blocked by atropine, a muscarinic receptor blocker?
Atropine is a muscarinic antagonist. Muscarinic antagonists competitively inhibit the effect of acetylcholine at muscarinic receptors. Bradycardia caused by infusion of acetylcholine- can be blocked by atropine
3
Increased blood pressure caused by nicotine
Increased skeletal muscle strength caused by neostigmine, an acetycholine esterase inhibitor
Bradycardia caused by infusion of acetylcholine
All of these
Pharmacology
Parasympathetic System & Glaucoma
37208d8d-02b8-4334-94b2-235d4f88bc5f
multi
In an apexification procedure, any excess calcium hydroxide periapically:
null
3
Will cause necrosis in the Periapical tissues
Will resorb on its own
Will be removed by multinucleated giant cells
Will have to be removed by apicoectomy
Dental
null
b9d83937-dd54-42e0-a25c-c405163558ba
multi
Specific cell surface proteins, such as alkaline phosphatase, and lipoprotein lipase, are anchored to the cell membrane. This anchoring is accomplished by covalent binding through an oligosaccharide bridge to component of the cell membrane. This component is
Phosphatidylinositol derivatives play several distinct roles in the cell membrane, one of which is that they anchor several cell surface proteins. Cell surface pro­teins bound to phosphatidylinositol are also found in several parasitic protozoa. By altering these proteins, these protozoa can change their antigenic prop...
4
Sphingomyelin
Phospphatidic acid
Phosphatidylserine
Phosphatidylinositol
Unknown
null
380fe628-43c3-42d9-8c15-3f03afd88f11
single
The most common cause of Left Ventricular Hyperophy is:
Answer is A (Hypeension) The most common cause of Left Ventricular Hyperophy is Systemic Hypeension Left Ventricular Hyperophy may be produced as a result of all of the above conditions but systemic hypeension remains the single most common cause. Left Ventricular Hyperophy (LVH) Pressure overload states: Hypeension (m...
1
Hypeension
Aoic Stenosis
Aoic Regurgitation
HOCM
Medicine
null
9bd2a5ee-4bbe-4368-a0f1-5cc00a7316c0
single
Lung to lung metastasis is seen in-
Ref:Textbook of pathology (Harsh mohan) 6th edition,page no.500 Adenocarcinoma, also called peripheral carcinoma due to its location and scar carcinoma due to its association with areas of chronic scarring, is the most common bronchogenic carcinoma in women and isslow-growing.Recent estimates on adenocarcinoma place th...
1
Adenocarcinoma of lung
Squamous cell carcinoma
Small cell carcinoma
Neuroendocrine tumor of lung
Pathology
Respiratory system
fccda7f8-40c0-483d-bc3d-b48dd904da13
multi
Regarding the lipid or liposomal formulation of amphotericin B which of the following statements is accurate
Ref-KDT 6/e p758 Newer liposomal preparations of amphotericin B have the following features: Less chances of nephrotoxicity and infusion related reactions Lesser uptake in the tissues like kidney More expensive Similar in efficacy and antifungal spectrum as conventional preparations
3
They are expensive to use than conventional amphotericin B
There are more effective in fungal infections than conventional preparations because they increase tissue uptake of amphotericin B
They may decrease the niprotoxicity of amphotericin B
They have wider spectrum of antifungal activity than conventional formulation of amphotericin B
Anatomy
Other topics and Adverse effects
3160fdd5-97a6-46dc-8fe2-9ed718d98779
multi
Which of the following is IL-2 receptor inhibitor :
Both Basiliximab & Daclizumab are monoclonal antibodies against IL-2 receptor.
3
Basiliximab
Daclizumab
Both 1 & 2
None of the above
Pharmacology
null
b39eba8d-30c0-4f3f-87e7-eaacf146e416
multi
Which vaccine is recommended in disasters -
Ans. is 'd' i.e., DiphtheriaVaccines recommended in disasters -* Following vaccines are recommended1) Children < 10years:- DPT, inactivated polio (IPV), H.influenzae type b (Hib), hepatitis B, pneumococcal conjugate vaccine (PCV), measles-mumps-rubella (MMR), varicella vaccine, influenza, hepatitis A and rotavirus.2) C...
4
Typhoid
Cholera
BCG
Diphtheria
Social & Preventive Medicine
Hospital waste, disaster management and occupational health
dfd015cf-b529-4b53-a6c6-ebb0038c8de0
single
Glomus cells are found in
The glomus cells (type I) are specialized glandular-like cells, mainly located in the carotid bodies and aoic bodies, that control the respiratory activity.The glomus cells have a high metabolic rate and good blood perfusion and synapses directly or indirectly with nerve endings. Thus are sensitive to changes in aerial...
3
Bladder
Brain
Chemoreceptors
Kidney
Anatomy
Brain
dd614810-d6b1-42e1-a3f5-4cff4ddc9a4e
single
Which of the following is not produced by hepatocytes:September 2006, September 2012
Ans. A: Gamma globulinThe hepatocyte manufactures serum albumin, fibrinogen, and the prothrombin group of clotting factors (except for Factor 3,4)It is the main site for the synthesis of lipoproteins, ceruloplasmin, transferrin, complement, and glycoproteinsThe liver forms fatty acids from carbohydrates and synthesizes...
1
Gamma globulin
Albumin
Fibrinogen
Prothrombin
Physiology
null
cb9bdee7-69d8-4448-84aa-aa9c965029a7
single
Potential complications stemming from dentigerous cyst are
null
4
Ameloblastoma
Epidermoid carcinoma
Mucoepidermoid carcinoma
All of the above
Pathology
null
24793afc-a307-4364-8a4e-8ef966d72a6b
multi
The commonest presentation of meckel's diveiculum is -
Ans. is 'a' i.e., Bleeding
1
Bleeding
Obstruction
Diveiculitis
Intussception
Surgery
null
420a2722-22db-43ed-8bb0-a801ee21815d
single
Which of the following immunoglobulin is absent in Ataxia telangiectasia:
Ataxia telangiectasia (AT) Present in the first decade of life with progressive telangiectatic lesions associated with deficits in cerebellar function and nystagmus. There is a high incidence of recurrent pulmonary infections (bronchiectasisQ) and neoplasms of the lymphatic and reticuloendothelial system. It is caused ...
3
IgG
IgM
IgA
IgD
Pathology
Immunodeficiency Disorders
ffa635c4-cfb0-46c8-861c-e87f12e0ab22
single
A patient complaining of difficulty of swallowing of solid foods is suffering from all of the following except:
null
4
diffuse esophagus spasm
Achalasia cardia
esophageal carcinoma
bulbar palsy
Medicine
null
79dfabe0-c5e4-4bdd-ab5c-eafc226e059d
multi
An adult with newly diagnosed tuberculosis is most likely to have which of the following types of lesions?
This is something of a trick question, but it stresses an impoant fact many medical students do not realize. Primary tuberculosis infection characteristically involves the lung subjacent to the pleura in either the lower pa of the upper lobe or the upper pa of a lower lobe of one lung. The mediastinal nodes are also us...
1
A single lesion in a lung apex
A single lesion in the gastrointestinal tract
A single lesion subjacent to the pleura
Both a lesion subjacent to the pleura in the lower pa of an upper lobe and active disease in the mediastinal lymph nodes
Medicine
null
c89d9525-543e-4b32-a230-592a6b6a8ccc
multi
Essential for tumour metastasis is ?
Angiogenesis Tumour angiogenesis plays a very significant role in the metastasis since the new vessel formed as a pa of growing tumour are more vulnerable to invasion because these evolving cells are in direct contact with cancer cells. According to Harrison "Cancer research studying the conditions necessary for cancer...
1
Angiogenesis
Tumorogenesis
Apoptosis
Inhibition of tyrosine kinase activity
Pathology
null
f2d1b59e-78ae-4249-95c5-0ae6d6631fd2
single
Todd's palsy can occur after episode of
Todd's paralysis, or Todd's palsy. Specialty. Neurology. Todd's paresis (or postictal paresis/paralysis, "after seizure") is focal weakness in a pa or all of the body after a seizure. This weakness typically affects appendages and is localized to either the left or right side of the body. Ref Harrison20th edition pg 24...
2
Generalised tonic clonic seizures
Paial motor seizures
Atonic seizures
Myoclonic seizures
Medicine
C.N.S
7e17f476-dc9b-4225-8fec-32ea1546f763
single
Pheochromocytoma may be associated with:
Ans. A. Medullary carcinoma of the thyroidMEN 2a: Sipple syndromeMEN 2ba. Thyroid; Medullary thyroid carcinomaa. Thyroid: Medullary thyroid carcinomab. Pheochromocytomab. Pheochromocytomac. Parathyroid hyperplasiac. Mucosal neuromas and Marfanoid appearance
1
Medullary carcinoma of the thyroid
Papillary carcinoma of the thyroid
Anaplastic carcinoma of the thyroid
Follicular carcinoma of the thyroid
Medicine
Endocrinology
d26ccee5-d063-4250-a917-6b9613940bdc
single
A patient with alkaline urine which is cloudy with plenty of pus cells is suffering from:
Ans: b (Proteus)Ref: Bailey & Love, 24th ed, p. 1324 & 23rd ed, p. 1191Proteus and Staphylococcus split urea, forming ammonia which makes the urine alkaline and promotes formation of calculi.
2
E. coli
Proteus
TB
null
Surgery
Urinary Tract
04eaa6a3-57eb-440c-b646-52014381a87b
multi
In a population of 10,000, literate people are 4000. In same population 2000 are 0-6 years old. What is the literacy rate of that population -
Ans. is 'c' i.e., 50% * The term literacy rate is used for the population relating to seven years age & above.* In the given question, population 7 years 8c above is 8000. Out of which 4000 are literate thus literacy rate is 50%.
3
30%
40%
50%
60%
Social & Preventive Medicine
Demography and Family Planning
acefb136-1def-48e8-82fb-5995abbf6e0d
single
Which of the following is not true about apoptosis?
Ans. is 'a' i.e., Presence of inflammation o The two most striking features of apoptosis are:i) In contrast to necrosis it does not elicit inflammationii) Considerable apoptosis may occur in tissues before it becomes apparent in histological section (because it occurs very rapidly).Morophological changes in apoptosisi)...
1
Presence of inflammation
Bleb formation
Eosinophillia
Cell shrinkage
Pathology
Apoptosis
5d554deb-c524-44e6-aeb7-aad93d03e5d7
multi
All of the following are causes of acalculous cholecystitis except
Causes of Acalculous cholecystitis Common causes Elderly and critically ill patients after trauma Burns Longterm TPN Major operations(Abdominal aneurysm repair and cardiopulmonary bypass) Diabetes mellitus Uncommon causes Vasculitis Obstructing GB adenocarcinoma GB torsion Parasitic infestation Unusual bacterial infect...
2
Bile duct stricture
Schitosoma
Prolonged TPN
Major operations
Anatomy
G.I.T
61569796-c7f7-4681-a4d7-e8657633db3b
multi
Biotin deficiency is due to
(Avidine) (146 - U.S 3rd) (178- R.S. 7th)Biotin deficiency (anti egg, white injury factor, vitamin B7 or vitamin - H) is a sulfur containing B complex. It is directly participates as coenzyme in the carboxylation reactions* High consumption of raw egg. The raw egg white contains a glycoprotein - avidin. Which is highly...
1
Avidin
Flavoproteins
Metallo flavoproteins
Oxireductase
Biochemistry
Vitamins and Minerals
bb53176e-4b9d-48d8-9e06-01b37e7e6a7b
multi
Which one of the following virus is double stranded RNA virus?
All RNA viruses are single stranded except Reo virus.
3
Hepatitis -A
Hepatitis-E
Reo virus
Corona virus
Microbiology
null
58e94502-1590-4e40-a976-f2fa2a28dfe0
single
Urine sample examinations is a useful investigation in infestation of
Ans. a (S. hematobium) (Ref. H - 18th/ ch. 219)SCHISTOSOMIASIS (BILHARZIA)Distribution and important species of Schistosoma are:# S. japonica is found in Central and Eastern China, and the Philippines and nearby islands; and primarily affects the liver and intestines.# 5. mansoni is found in Africa, the Eastern Mediter...
1
S. haematobium
S. japonicum
S. mansoni
E.vermicularis
Microbiology
Parasitology
2de3bca4-56b6-4ff2-ac27-bd830e80d147
single
Genus neisseria is -
Ans. is 'b' i.e., Gram negative diplococci o The genus Neisseria consists of Gram negative aerobic nonsporulating, non motile oxidase positive cocci typically arranged in pairs (diplococci).o Two important pathogens are -N. meningitidisN. gonorrhoeae
2
Gram positive diplococci
Gram negative diplococci
Gram negative coccobacilli
Gram positive bacilli
Microbiology
Bacteria
ec1f1814-923b-4ba0-933c-7050718eb16d
single
L-Dopa is combined with carbidopa in the treatment of parkinsonism to -
Ans. is 'b' i.e., Inhibit peripheral decarboxylation of levodopa Carbidopa is combined with levodopa to inhibit peripheral decarboxylation of levodopa and make more levodopa available to cross the blood brain barrier to reach its site of action.
2
Decrease the efficacy of levodopa
Decrease the efficacy of levodopa
Increase the dose of levodopa required
Inhibit conversion of levodopa to dopamine in the CNS
Pharmacology
null
37d0ba6d-d4c0-47e3-9a6f-5d0596aba822
single
Acrodermatitis entropathica is
Acrodermatitis enteropathica is an autosomal recessive disorder postulated to occur as a result of mutations in the SLC39A4 gene located on band 8q24.3. The SLC39A4 gene encodes a transmembrane protein that is pa of the zinc/iron-regulated transpoer-like protein (ZIP) family required for zinc uptake. This protein is hi...
2
AD
AR
X-linked recessive
null
Pathology
miscellaneous
7a37eba3-6c88-44af-b8d2-37f7b9727d5b
multi
Which of the following is used in beta–blocker overdose ?
null
4
Atropine
Glucagon
Calcium chloride
All of these
Pharmacology
null
82f732a0-3cf3-49f6-8e94-ca4ce3a5060d
multi
Commonest cause of hea failure in infancy is ________
Most common cause of congestive cardiac failure in infants is congenital hea disease. Ref : Ghai essential of pediatrics, eighth edition ,p.no:397
4
Myocarditis
Rheumatic fever
Cardiomyopathy
Congenital hea disease
Pediatrics
C.V.S
9b7cceee-02f8-47b4-9a8c-e716704b7e7f
single
Which of the following tests are used in the evaluation of a suspected CSF leak?
Detection of beta-2 transferrin is considered pa of standard evaluation when CSF leak is suspected. Nasal and ear fluids are tested for detection of the beta-2 transferrin band by immunofixation electrophoresis (IFE) or Western blot analysis as a diagnostic tool for the presence of CSF or perilymph. This test is helpfu...
2
Beta 2 microglobulin
Beta 2 transferrin
Tyroglobulin
Transthyretin
Unknown
null
124f34d5-a898-4fc4-9d88-2ca022a6277a
single
Which of the following decreases in length during the contraction of a skeletal muscle fiber?
The physical lengths of the actin and myosin filaments do not change during contraction. Therefore, the A band, which is composed of myosin filaments, does not change either. The distance between Z disks decreases, but the Z disks themselves do not change. Only the I band decreases in length as the muscle contracts.
2
A band of the sarcomere
I band of the sarcomere
Thick filaments
Thin filaments
Physiology
Muscle
4b2de5ed-2a66-4c75-81bc-f6dcaec06ff3
single
Criteria for diagnosing SIRS all seen except:
D i.e. >50% immature neutrophilsRef: Nelson, Textbook of Pediatrics, 20th edition, page 522Explanation:Systemic Inflammatory Response Syndrome (SIRS)It's an inflammatory cascade that is initiated by the host in response to infection, occurs when the host defense system does not adequately recognize or clear the infecti...
4
Temp > 38.5 degC or < 36 degC
RR > SD above normal for age
Children <1 year old persistent bradycardia over 0.5 hour
>50% immature neutrophils
Pediatrics
Infection
ee6b7553-1433-41fb-ac93-9500b356da1b
multi
According to myogenic theory of renal autoregulation, the afferent aerioles contract in response to stretch induced by
Myogenic autoregulation - through opening of Calcium channels Tubuloglomerular feedback - through release of adenosine Ref: Ganong 25th ed/page 678
3
NO
Noradrenalin
Opening of Ca2+ channels
Adenosine release
Physiology
Renal physiology
b99a2f4c-758b-4a99-addb-0ba246a0ded3
single
Maxillary aery is
Branches of external carotid aery Anterior Superior thyroid Lingual Facial Posterior Occipital Posterior auricular Medial Ascending pharyngeal Terminal Maxillary Superficial temporal Ref BDC volume 3 ;sixth edition pg 101
4
Branch of facial aery
Branch of internal carotid aery
Branch of common carotid
Terminal branch of external carotid
Anatomy
Head and neck
84048e94-d814-442a-808a-879d0445a416
single
Amsler sign?
Ans. is `a' i.e., Fuch heterochromatic iridocyclitis During paracentesis in Fuch's heterochromic iridocyclitis, there is bleeding from neo-vasculorization.This is known as "Amsler's sign". Fuch's heterochromic iridocyclitis (Fush's uveitis syndrome) It is a form of anterior and intermediate uveitis. The condition is us...
1
Fuch heterochromatic iridocyclitis
Posner-schlossman syndrome
Uveal-effusion syndrome
None of the above
Ophthalmology
null
a4a470f4-92ee-43f9-b957-b278e4819808
multi
Cruel behavior towards wife by husband, family members or his relatives comes under which IPC section:
Ans. (a) 498 ARef.: The Essentials ofFSM by K.S. Narayan Reddy 31st ed. / 272-73* Cruel behavior towards wife by husband or his relatives punished by IPC 498 A.* IPC section 498 A states that whosoever being husband or relative subject women to cruelty shall be punished with imprisonment of upto 3 years with or without...
1
498 A
304
304 A
304 B
Forensic Medicine
Law & Medicine, Identification, Autopsy & Burn
b8d45715-98f8-4758-985c-22d2cd87b2ff
single
All are true about scrub typhus, except :
“Mite feeds on serum of warm blood animals only during there larval stage (chiggers) and adult mites feed only on plants” Scrub typhus : Caused by O. tsutsugamushi Transmitted by trombiculid mite which also shows transovarian spread Clinical features : Fever, headache, myalgia, cough and GI symptoms. Classic case inclu...
3
Causative organism is O. Tsutsugamoshi
Vector is trombiculide mite
Adult female feeds on vertebrate hosts
Tetracycline is the drug of choice
Unknown
null
5130b7ab-cc6c-4a5c-b826-7ee0d80744cf
multi
Which of the following amino acid is active at neutral pH?
Ans. aRef.: Harper's Illustrated Biochemistry, 30th edn.Option aTrueYes, due to its pyrolidone ring is stable at neutral pH (pH 7)Option bFalseNo, glycine is simplest amino acid and not affected by pHOption cFalseNo, it is steric hinderance is there due to branched chain amino acidOption dFalseNo, false, it is not affe...
1
Histidine
Glycine
Leucine
Arginine
Biochemistry
Proteins and Amino Acids
19f834b3-c27f-4da2-8e65-974917b544eb
single
Which of the following is a content of bicipital groove?
Bicipital groove of inteubercular sulcus of humerus: The groove lies between greater and lesser tuberosities of humerus. Bilaminar tendon of the pectoralis major is inseed into the lateral lip of the groove. Teres major is inseed into the medial lip of the groove. Tendon of the latissimus dorsi is inseed into the floor...
2
Synol membrane of shoulder joint
Ascending branch of anterior circumflex aery
Ascending branch of posterior circumflex aery
Radial aery
Anatomy
null
6794d3d4-0930-46be-a02e-ee2019ec02b8
single
Which of the following statements is true regarding the pituitary gland -a) It is separated from the optic chiasma by the sella turcicab) It is situated deep in the sellac) The sphenoidal air cells lie inferior to itd) It develops from the base of the 3rd ventricle form the pars anteriore) It is supplied by a branch of...
Pituitary is situated into sella turcica. Optic chiasma is superior to pituitary. Sphenoidal air sinuses are inferior to pituitary. Pituitary is supplied by a single inferior hypophyseal artery and several superior hypophyseal arteries. These hypophyseal arteries are branches of internal carotid artery. Evagination of ...
3
ab
bc
bce
ace
Anatomy
null
1d1ddb70-4684-43e5-8110-86c17582bd64
multi
All of the following are Glycoproteinoses, EXCEPT
Ans: b) Sanfilippo A syndrome Sanfilippo A syndrome is a mucopolysaccharidosis, not Glycoproteinoses. Lysosomal hydrolases like a-neuraminidase, b-galactosidase, b-hexosaminidase are involved in the degradation of oligosaccharide chains during glycoprotein turnover. Enzyme defects lead to abnormal degradation of glycop...
2
Fucosidosis
Sanfilippo A syndrome
Sialidosis
a-mannosidosis
Biochemistry
Classification of carbohydrate
b290a296-464b-4665-b8e6-2484d5e8f29b
multi
What is the total osmolarity of low osmolarity ORS?
Composition of reduced osmolarity ORS: Components Amount in mmol/ litre Sodium 75 Chloride 65 Glucose, anhydrous 75 Potassium 20 Citrate 10 Total osmolarity 245 Ref: Park 21st edition, page 202.
3
311 mmol/ litre
300 mmol/ litre
245 mmol/ litre
250 mmol/ litre
Social & Preventive Medicine
null
7617db68-4875-4f8f-9198-ab4ae1dfd24e
single
Chronic hemodialysis in ESRD patient is done
Ans. (c) Thrice per weekRef : Harrison 19th ed. /1823For the majority of patients with ESRD, between 9 and 12 h of dialysis are required each week, usually divided into three equal sessions.Current Targets of Hemodialysis* Urea reduction ratio (the fractional reduction in blood urea nitrogen per hemodialysis session) o...
3
Once per week
Twice per week
Thrice per week
Daily
Medicine
Dialysis
baacd431-3ccb-4c63-a2a6-c869c5bc24cd
single
The action of styloglossus muscle is
null
2
Protrusion of tongue
Posteriorly retracts the tongue
Depression of tongue
Elevation of tongue
Anatomy
null
c2fbef77-7777-4d5e-9f25-7ad17ba420ad
single
Sideroblastic anemia is caused by all except -
This is a refractory anaemia defined by the presence of many pathological ring sideroblasts in the bone marrow.These are abnormal erythroblasts containing numerous iron granules arranged in a ring or collar around the nucleus.Sideroblastic anaemia is diagnosed when 15% or more of marrow erythroblasts are ring siderobla...
2
Collegen vascular disease
Iron deficit
Lead poisoning
Cutaneous porphyria
Pathology
Haematology
7c385c10-36aa-4854-bbc2-621b8d6b4fe8
multi
Which one of the following form Blood Brain Barrier?
(A) Astrocytes and endothelial cells # "Blood Brain Barrier" (BBB) results from the selectivity of the tight junctions between endothelial cells in CNS vessels that restricts the passage of solutes.> At the interface between blood and the brain, endothelial cells are stitched together by these tight junctions, which ar...
1
Astrocytes and endothelial cells
Choroidal cells
Oligodendrocytes
Endothelial cells exclusively
Anatomy
Misc.
5647f3de-c7dc-45f7-a700-208933d88e65
single
Primary prevention includes all, except:
Pap smear and self breast examination are screening methods Ref: Park, 20th Edition, Page 39
3
Marriage counselling
Health education
Self breast examination
Health promotion
Social & Preventive Medicine
null
c91d0278-1949-4230-b570-4d265e8ea127
multi
Subdural empyema is a complication of all the following conditions except?
d. Boil over face(Ref: Nelson's 20/e p 2936-2948, Ghai 8/e p 563-565)Infections of the sinuses, ear and skull bones can lead to Subdural empyema.
4
Frontal Sinusitis
Skull vault osteomyelitis
Middle ear disease
Boil over face
Pediatrics
Central Nervous System
b8db32f6-e533-47c1-b07c-5e57b5fcb3c8
multi
The complication of diabetes which cannot be prevented by strict control of blood sugar is -
Ans. is 'c' i.e., Macular edema o The DCCT demonstrated that improvement of glvcemia controly Reduced nonproliferative and proliferative retinopathy (47% reduction).y Microalbuminuria (39% reduction).y Clinical nephropathy (54% reduction).y Neuropathy (60% reduction).y Improved glycemic control also slowed the progress...
3
Amyotrophy
Nerve conductivity
Macular edema
Microalbuminuria
Medicine
Diabites & Inappropriate Antidiuretic Hormone
3afea785-3cae-40c0-b566-52f38010c446
single
In cancer colon investigation of choice is:
Ans. (c) ColonoscopyRef: Bailey and Love 27th edition, Page 1262* Investigation of choice for cancer colon is colonoscopy as we can take biopsy and confirm the lesion.* Risk of perforation is 1:1000.* Helps to detect synchronous lesions also.
3
CT scan
Barium enema
Colonoscopy
X-ray
Surgery
Small & Large Intestine
57b250f6-2c04-4fcb-91aa-240cc61a6c54
single
Which is the only amino acid with good buffering capacity at physiological pH?
Histidine plays a key role in making hemoglobin an excellent buffer in red blood cells.
3
Arginine
Glutamic acid
Histidine
Valine
Biochemistry
null
e6c0b5f8-8aa7-40f4-b936-b9f6317cc568
single
Normal expiratory reserve volume of adult?
Ans. is 'c' i.e., 1200 ml(Ref: Ganong 24n/e p.629)Inspiratory reserve volume - 3000 mlExpiratory reserve voulume -1200 ml
3
500 ml
3000 ml
1200 ml
4500 ml
Physiology
null
62eb368d-0730-4a2d-8b5c-09cef7f6f144
single
Fixation at which psychosexual stage results in development of OCD-
Phase Age Organ of Gratification Psychiatric disorders linked to fixation 1 Oral Phase Bih to 1 1/2 years Oral region 2 Phases: Oral erotic phase (sucking) Oral sadistic phase (biting) Schizophrenia Dependent personality disorder Alcohol dependence syndrome 2 Anal Phase 1 1/2 to 3 years Anal and perianal area 2 Phases:...
2
Oral
Anal
Phallic
Genital
Psychiatry
Sexual Disorders
33af0d9a-8aff-45d9-9ab3-7ebeb9049643
multi
Recurrent laryngeal nerve is in close association with:
Ans. is 'b' i.e. Inferior thyroid arteryRef: B.D. C 2nd/e Vol III page 137 & 138, Repeat Inferior thyroid artery is a branch of the thyrocervical trunk. During its course it passes behind the carotid sheath and the middle cervical sympathetic ganglion and its terminal part is related to the recurrent laryngeal nerve.Mo...
2
Superior thyroid artery
Inferior thyroid artery
Middle thyroid vein
Superior thyroid vein
Surgery
Surgical Approaches to the Thyroid
928adc66-24a4-4d07-9887-5c36a9761e2d
single
All the following are characteristic feature of Cluster headache except:
Ans: C (Bilateral photophobia) Ref: Hcirrisotis principles of Internal Medicine. 18th edition. 2012. Chapter 14. Pg.112Explanation:CLUSTER HEADACHEThe pain is deep, usually retroorbital, excruciating in intensity, nonfluctuating, and explosive in quality.A core feature of cluster headache is Periodicity. At least one o...
3
Periodic pain
Conjunctival injection
Bilateral photophobia
No response to oral sumatriptan
Medicine
Headache
72d8b08e-8aad-4f5f-aad7-4e9479ad3da0
multi
Drugs which cause hirsutism are all except
Penicillamine causes Hypertrichosis, not Hirsutism.
2
Methyldopa
Penicillamine
Phenothiazines
Metoclopramide
Gynaecology & Obstetrics
null
f8bf5f96-9ca3-44f0-bdbb-e4bc5a8cc7e1
multi
In a child, the anaesthetic of choice is –
null
3
Enflurane
Isoflurane
Sevoflurane
Halothane
Anaesthesia
null
4a0449e1-1402-422e-b289-3aa0d50fa9c8
single
Delayed tuberculin test response is due to: September 2004
Ans. B i.e. T lymphocytes
2
B lymphocytes
T lymphocytes
Monocytes
Histiocytes
Microbiology
null
9ee1e565-88d3-402e-a1a0-adc7abbab653
single
A 70-year-old man with a history of diabetes presents with severe pain in his right ear. The patient was diagnosed with external otitis. Further tests suggested that the patient suffered bone and nerve damage. Clinical laboratory analysis showed that the isolated microorganism produced a distinct blue pigment as well a...
External otitis or swimmer's ear is an inflammation of the outer ear and the ear canal. In the virulent form of the disease-malignant external otitis, which occurs in people with diabetes, damage to the cranial nerves and bone may occur. External otitis is caused by either bacterial or fungal pathogens. Bacterial patho...
3
Staphylococcus epidermidis
Staphylococcus aureus
Pseudomonas aeruginosa
Enterococcus faecalis
Microbiology
Bacteria
638da813-7930-423d-8edf-5d99478f4aff
single
Mallory weiss syndrome common in
(Chronic alcoholic patients) (236, 1746-H) (242, 1854-H17th)Mallorv-Weiss Syndrome - classic history is vomiting, retching or coughing preceding hematemesis, especially in an alcoholic patients.* Bleeding usually on the gastric side of the gastroesophageal junction, Stops spontaneously in 80-90% of the patients and rec...
1
Chronic alcoholic patients
Smokers
Occupational benzene therapy
Bladder carcinoma
Medicine
G.I.T.
56795eac-0c42-446e-b4e8-34972d7bc325
multi
Propaganda is defined as -
- propaganda is one in which knowledge is instilled in the minds of people. - prevents or discourage thinking by ready made slogans. - knowledge is spoon fed and passively received. Reference : Park's textbook of preventive and social medicine, 23rd edition, pg no:859 <\p>
1
Forcing of knowledge into mind
Active aquiring of knowledge
Requiring knowledge after thinking
Training people to use judgement before thinking
Social & Preventive Medicine
Health education & planning
6cec4865-7fe6-4aea-97e5-45be384e41d0
single
Which of the following ganglion is associated with lacrimation?
Secretomotor fibres for lacrimal gland arise from the facial nerve at geniculate ganglion, travel in greater petrosal nerve and join the sphenopalatine ganglion as vidian nerve. After relay in the ganglion, they are distributed to lacrimal gland.
3
Otic
Ciliary
Sphenopalatine
Gasserian
ENT
Nose and PNS
6feeda40-db11-4dbc-8b23-5ee83daf72e0
single
Best way to evaluate discrepancy in articular disc of TMJ is:
Soft tissues of the joint (articular disk) can be imagined with MRI or Arthrography. MRI produces superb images of the soft tissues in internal derangement of the disk. Arthrography is invasive and has the risk of infection and allergic reaction due to the contrast agent.
2
Transpharyngeal projection
MRI
Arthrography
Arthroplasty
Radiology
null
34bbd81c-429e-4cef-a144-d98190bc587b
single
A 40-year-old male comes with complaint of indigestion and decreased appetite. He has a history of being treated for duodenal ulcer 4 years back. Investigation reveals elevation of gastrin levels. Which of the following statement is true regarding gastrin?
Ans: D (It gets stimulated by endolumina I peptides in stomach) Ref: Ganong's Review of Medical Physiology. 21st ed and Khurana Textbook of Medical Physiology By Khurana, pg: 605Explanation:GASTRINGastrin is secreted into the blood circulation and NOT into gastric juice.It reaches stomach through the arterial circulati...
4
Secreted by parietal cells of stomach
Secreted by alpha ceils of pancreas
Decreases bicarbonate content in pancreatic secretion
It gets stimulated by endoluminal peptides in stomach
Physiology
G.I.T.
9e93c585-dd94-408c-9d6c-aadca9b3c029
multi
Newer Influenza vaccine-
<p> Newer vaccines for influenza are Split virus vaccine Neuraminidase specific vaccine Recombinant vaccine. Park&;s textbook of preventive and social medicine,K.Park,23rd edition,page no:155. <\p>
1
Split - virus vaccine
Conjugate vaccine
Live attennuated vaccine
Killed vaccine
Social & Preventive Medicine
Communicable diseases
529f2819-f6a0-45f7-abf2-309a19a8f9ed
single
Treatment of choice for chloroquine resistant malaria is :
Ans. is 'b'. Sulfadoxine + Pyrimethamine * Under the recent 'National anti-Malaria Programme.' the drug policy for malaria treatment is as follows-Any fever in endemic areas during transmission season without any other obvious cause may be considered as malaria and investigated/treated accordingly.Drug resistance foci ...
2
Mefloquine
Sulfadoxine + Pyrimethamine
Primaquine + Chloroquine
Chloroquine + Pyrimethamine
Social & Preventive Medicine
Communicable Diseases
256afddf-a243-4722-8b17-5674a19be31a
single
Which of the following hypnotic drugs facilitates the inhibitory actions of GABA but lacks anticonvulsant or muscle relaxing properties and has minimal effect on sleep architecture
Zolpidem, zaleplon and zopiclone are agonists at BZD receptors. These are hypnotic drugs that lack muscle relaxant and anticonvulsant actions. These have negligible effect on REM sleep and do not affect sleep architecture.
4
Buspirone
Diazepam
Phenobarbital
Zaleplon
Pharmacology
null
a77a0f56-af91-43d1-9722-c176738153f9
single
All of the following statement regarding ewings sarcoma are true except?
In ewings sarcoma, Homer-Wright pseudo rosettes are seen. Flexner-Wintersteiner rosettes are seen in retinoblastoma.
4
Common location is diaphysis of long bones
Symptoms resemble osteomyelitic
Translocation +(11,22) is classical
Flexner-Wintersteiner rosettes.
Pathology
null
d3649dbf-ef2f-411a-9f23-d353faace3c7
multi
Which of the following condition is not true about Hemochromatosis?
Phlebotomy is the treatment of choice of hemochromatosis. Chelating agent desferrioxamine is indicated when anemia or hypoproteinemia is severe enough to preclude phlebotomy. Hemochromatosis is a common inherited disorder of iron metabolism in which dysregulation of intestinal iron absorption results in deposition of e...
4
Hypogonadism
Ahropathy
Diabetes mellitus
Desferrioxamine is treatment of choice
Medicine
null
dcec74e5-ffd7-49e2-b935-45d850b235d6
multi
Blood component products are all except?
Ans. is None
4
Whole blood
Platelets
Lymphoma
null
Surgery
null
135981b2-be47-49c2-8698-f1d7395b63b2
multi
Which of the following is the best denture patient
null
2
skeptical
philosophical
critical
indifferent
Dental
null
814f414f-d71b-4616-b1cb-b21720b9d4aa
single
A patient requires tooth extractions from an area that has been subjected to radiation therapy. Which of the following represents the greatest danger to this patient:
null
2
Alveolar osteitis
Osteoradionecrosis
Prolonged healing
Fracture of the mandible
Radiology
null
91845030-e2e8-46bb-b3ab-74d0d08b7a20
single
Which of the following drugs require therapeutic drug monitoring?
* Therapeutic drug monitoring is adjustment of dose of the drug according to its plasma concentration. It is required for A Aminoglycosides (e.g. gentamicin) Drug Digitalis Possessing Phenytoin (anti-epileptics) Low Lithium Therapeutic Tricyclic antidepressants Index Immunomodulators (e.g. cyclosporine)
4
Metformin
Propranolol
Warfarin
Phenytoin
Pharmacology
Pharmacodynamics
9c564b05-c791-4a2a-b607-28d70fa4e146
single
Black line in the gingiva that follows the contour of the margin is due to:
Black line in the gingiva that follow the contour of the margin is due to Bismuth, Arsenic and Mercury.
4
Bismuth
Arsenic
Mercury
All of the above
Pathology
null
8dd635e1-a437-46d5-a873-8fbcbe2477d8
multi
Which of the following Immunoglobulin acts as a receptor for antigens
Major Functions of ImmunoglobulinsImmunoglobulinMajor FunctionsIgGMain antibody in the secondary response. Opsonizes bacteria, making them easier to phagocytose. Fixes complement, whichenhances bacterial killing. Neutralizes bacterial toxins and viruses. Crosses the placenta.IgASecretory IgA prevents attachment of bact...
3
IgG
IgM
IgD
IgE
Biochemistry
miscellaneous
360af71e-fd3a-448e-b730-5de14c2292f9
single
By which nerve is the hip joint supplied ?
Nerve supply of hip joint -        Femoral nerve- by nerve to rectus femoris -        Obturator nerve- by anterior division -        Nerve to quadratus femoris -        Superior gluteal nerve
2
Deep peroneal
Femoral
Sciatic
Posterior cutaneous nerve of thigh
Anatomy
null
2daaa20b-6965-4fd2-adb3-121155ad7f76
single
Which of the following statements is FALSE regarding vincristine?
Ans. (C) It does not cause alopecia(Ref: KDT 8th/e p924)Vincristine is a vinca alkaloid.It is used for the induction of remission in ALL.It is a marrow sparing drug but causes peripheral neuropathy, alopecia and SIADH as adverse effects.
3
It is an alkaloid
Its use is associated with neurotoxicity
It does not cause alopecia
It is a useful drug for induction of remission in acute lymphoblastic leukemia
Pharmacology
Chemotherapy: General Principles
0d05b3bc-2f44-456a-a622-41401c11606f
multi
Maturation failure in poor absorption of the vitamin B12 causes:
(Occurs in 3-4 months after absorption): Ref: 682-R (438- Basic pathology 8th)Vitamin B12 deficiency* Macrocytic megalablastic anaemia is the cardinal features* Usually pernicious (Addisonian) anaemiaDiagnostic features include:1. A moderate to severe megaloblastic anaemia2. Leukopenia with hypersegmented granulocytes3...
3
Microcytic hypochromic
Sickle cell anemia
Occurs in 3-4 months after the absorption
Causes polycythaemia
Pathology
Blood
85f61add-d2c1-4ea1-9787-e880cb058ff3
single
Rivastigmine is given in:
(Ref: Katzung, 10th ed. Ch 7)* Rivastigmine is a parasympathomimetic drug used for the treatment of mild to moderate dementia of the Alzheimer's type and dementia due to Parkinson's disease* DOC for Alzheimer's disorder-Donepezil* DOC for OCD: Fluoxetine* DOC for parkinsonism: Levodpa + Carbidopa* DOC for drug induced ...
2
Depression
Alzheimer's disease
Schizophrenia
OCD
Pharmacology
C.N.S
d2b33719-b16b-4e2b-8311-19e2a680db7a
single
IOC for neonatal hypertrophic pyloric stenosis:
Ans. (d) UltrasoundRef: SRB Manual of Surgery 4th ed. 1877* Ultrasound abdomen is the investigation of choice for diagnosing hypertrophic pyloric stenosis.* It is reliable, highly sensitive, highly specific, and easily performed.* The mandatory measurements include pyloric muscle thickness and pyloric channel length.* ...
4
X Ray
CT scan
MRI
Ultrasound
Radiology
Abdominal Radiography
2c3174e4-043e-476e-9ca8-17aab104377c
single
Drugs causing hypokalemia are : a) Amphotericin B b) Insulin c) Cyclosporine d) Carbenoxolone e) NSAIDs
null
3
ace
ac
abd
acd
Pharmacology
null
e01fb990-5bab-41db-a0f3-2059a70a9522
single
A 42 yearold female has palpable purpura with rash over buttocks, pain in abdomen, and ahropathy diagnosis is -
HSP a small vessel vasculitis is commonly seen in young males characterized by palpable purpura of dependent areas. It is associated with ahritis, gut vasculitis and glomerulonephritis. Page 309. Reference IADVL's concise textbook of dermatology
2
Sweet syndrome
HSP
Purpura fulminans
Meningococcernia
Dental
Autoimmune skin disorders
fb7347a0-1f01-462e-965d-5d8cb34eafed
single
All are seen in blunt injury of the eye except:
Ans. Double perforation
3
Hyphema
Iridocyclitis
Double perforation
Retinal detachment
Ophthalmology
null
a66e138a-e2c5-426b-b0b7-813deee30dd3
multi
Features of neurogenic shock are -
NEUROGENIC SHOCK -,* Interruption of sympathetic vasomotor input after a high cervical spinal cord injury, *inadveent cephalad migration of spinal anesthesia, or * devastating head injury may result in neurogenic shock. In addition to aeriolar dilation, venodilation causes pooling in the venous system, which DECREASES ...
3
| Peripheral resistance | cardiac output
|Venous return | cardiac output
|Peripheral resistence | cardiac output
Venoconstriction | cardiac output
Medicine
C.V.S
5f6d00eb-9dd7-497e-b5f5-5cc596c4ddd2
single