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
Serum does not contain
Serum has essentially the same composition as plasma, except that its fibrinogen and clotting factors II, V, and VIII (Table 32-5). (Ref: Ganong's review of medical physiology 23rd Edition page no.530)
1
Fibrinogen
Cerruloplasmin
Albumin
Globulin
Physiology
General physiology
8e2418de-2bd0-4503-af33-09d70f425dbb
single
Renal threshold for glucose is:
null
3
80 mg%
100 mg%
180 mg/dl
200 mg%
Biochemistry
null
98576ce6-8bdf-4cd2-b11a-75cd9e229c95
single
Forbe&;s disease is due to deficiency of
Glycogen storage disease type III is an autosomal recessive metabolic disorder and inborn error of metabolism characterized by a deficiency in glycogen debranching enzymes. It is also known as Cori&;s disease in honor of the 1947 Nobel laureates Carl Cori and Gey Cori. Other names include Forbes disease in honor of cli...
2
Branching enzyme
Debranching enzyme
Myophosphorylase
Hepatic phosphorylase
Biochemistry
Metabolism of carbohydrate
62d1f728-d1cd-427c-a26a-294f077a7d7b
single
Adult worm of Echinococcus is found in:
Ref. Textbook of Microbiology and Immunology BY Parija. – Compiled from Various chapters
1
Dog
Humans
Domestic animals
Felines
Unknown
null
46aababe-a4f0-44f6-8414-54f25ecd02bf
single
All of the following are except- advantages of LMA
LMA is also called Brain mask .It is a supraglottic airway device.It is intermediate between face mask and ETT. Used in difficult airway,in minor and day care surgeries,no muscle relaxant is necessary Disadvantage is it doesn&;t prevent aspiration of gastric contents.
2
More reliable than face mask
Prevent aspiration
Alternative to Endotracheal intubation
Does not require laryngoscop & Visualization
Anaesthesia
Anaesthetic equipments
e1a96b9c-2fa4-49c7-8f4f-9e831669aac2
multi
In herpes simplex encephalitis, drugs used are, EXCEPT:
The most effective drug for herpes simplex encephalitis is acyclovir, given intravenously at a dosage of 10 to 15 mg/kg every 8 hours, with each dose given over 1 hour. Ganciclovir is an analogue of acyclovir which is active against all herpes viruses including Herpes simplex. Vidarabine is a purine nucleoside analogue...
4
Acyclovir
Vidarabine
Ganciclovir
Amantadine
Pharmacology
null
61292294-d7c9-4914-87b7-56b94d7dc3ff
multi
NOT a hypolipidemic drug:
Ans. (c) SomatostatinRef. KDT 6th ed. / 235SOMATOSTATIN* Somatostatin inhibits the secretion of GH, TSH and prolactin by pituitary, insulin and glucagon by pancreas and most importantly. It inhibits most of G.I secretions gastrin and HC1.* It can be used in controlling esophageal varices and bleeding peptic ulcer.* Dru...
3
Simvastatin
Fenofibrate
Somatostatin
Fluvastatin
Pharmacology
Hypolipidemic Drugs
e5e1da36-d58e-452c-b7de-afa63fd3cfe4
single
Factors that produce acute pancreatitis include all of the following except
The two leading causes associated with acute pancreatitis are alcoholism and cholelithiasis, both of which are implicated in more than 80% of cases. Less common causes of acute pancreatitis include trauma, ischaemia, shock, extension of inflammation from the adjacent tissues, bloodborne bacterial infection, viral infec...
4
Alcohol
Hypercalcemia of parathyroid origin
Gall stones
Haemochromatosis
Pathology
G.I.T
7e01f270-13e8-4449-847f-436e6aada581
multi
Carbenicillin:
Ans. (A) Is effective in pseudomonas infection(Ref: KDT 8/e p773)Carbenicillin is a penicillin congener effective against pseudomonas and indole positive proteus which are not inhibited by penicillin G or ampicillin/amoxicillin.It is inactive orally and excreted rapidly in urine. It is sensitive to penicillinase and ac...
1
Is effective in pseudomonas infection
Has no effect in Proteus infection
Is a macrolide antibiotic
Is administered orally
Pharmacology
Chemotherapy: General Principles
2262a9d2-e7d3-4b36-8c1f-4f88195621da
multi
Topical immunomodulator used for the treatment of genital was is:
Genital wa treatments that can be applied directly to your skin include: Imiquimod (Aldara, Zyclara). This cream appears to boost the immune system's ability to fight genital was. Avoid sexual contact while the cream is on your skin. It may weaken condoms and diaphragms and may irritate. One possible side effect is red...
1
Imiquimod
Podophylline
Interferon
Acyclovir
Pharmacology
Immunomodulators
5bd0e750-f5ff-4ecd-af21-2dff2a65f597
single
Within an hour after cementation of cast gold onlay patient complains of shooting pain every time the teeth comes together. Most probable explanation is?
null
4
Supraocclusion of restoration
Retained cement in gingival sulcus
Excess acid in mix
Galvanic current caused by gold onlay occluding with a large restoration
Dental
null
09c102f2-0d33-4ee1-9bcf-dfc45d044430
single
All are true regarding staphylococcal toxin except ?
Ans. is 'b' i.e., Mainly endotoxin Impoant facts about virulence factors . Clumping factor is bound coagulase which is responsible for the slide coagulase test. . Coagulase (free coagulase) - Acts along with a coagulase reacting factor (CRF) in plasma. - Eight type of coagulase have been identified, most human strains ...
2
Beta haemolysin shows hot cold phenomenon
Mainly endotoxin
Enterotoxin causes food poisoning
Exfoliative toxin causes Reiter's syndrome
Microbiology
null
2ff1eb62-ce35-411e-9d71-5dc69aad8b21
multi
Staph. aureus causes vomiting in 2 hours after eating contaminated milk product . The mechanism of action is -
Option 1, 3 Increase in cyclic AMP/GMP-accumulation of sodium chloride in the intestinal lumen- Diarrhea. Option 2 Toxin Stimulates the vagus nerve and vomiting center of brain. Acts directly on the autonomic nervous system rather than on gastrointestinal mucosa. Option 4 Cholera toxin: binds to GM1 ganglioside recepto...
2
Stimulation of C AMP
Vagal stimulation
Stimulation of C GMP
Acts through ganglioside GM receptor
Microbiology
Systemic Bacteriology Pa 1 (Gram Positive Cocci, Gram Negative Cocci)
2fb42f16-a50e-4397-9ec6-049048876ec1
single
A patient presents with Hb of 8 gm% , WBC count of 2000/mm3 and platlet count of 60000/mm3. What is your likely diagnosis?
ANSWER: (C) Aplastic anemiaREF: Harrison's 18th ed Ch: 107It's a straight forward diagnosis of Aplastic anemia since all the three cell lines of blood are reduced. The very basic question tests your knowledge of normal blood counts
3
Thalassemia
Sickle cell anemia
Aplastic anemia
Anemia of chronic disease
Medicine
Anemia and RBC Disorders
ba98b1a1-3e43-41be-aa72-41120c5be8c4
single
Holt-Oram syndrome is characterized by?
Holt-Oram syndrome: - Autosomal dominant disorder - Characterized by - skeletal abnormalities of hands and arms like: Hypoplastic/ absent thumbs, radii Triphalangism Phocomelia - Cardiac anomalies ASD 1st degree hea block TRIPHALANGISM phacomelia
1
ASD
VSD
TGA
TAPVC
Pediatrics
Acyanotic congenital hea diseases
7a7ef69c-8103-43ae-a688-3c7c1ccdbec7
single
Branch of facial nerve in facial canal
A. i.e. Greater petrosal nerve; C. i.e. Chorda tympani; B . i.e. N. to stapedius
4
Greater petrosal nerve
Nerve to Stapedius
Chordatympani
All
Anatomy
null
896ee284-f6c0-41a6-ade7-05928f20cc8a
multi
Ca Vulvaof the anterior pa will spread primarily to which of the following lymph nodes?
Vulval Lymphatics: Superficial component - drains the anterior two-thirdvulva, to the superficial inguinal lymph nodes Deep drainage system - draining the posterior one-third vulva is to deep inguinal nodes, external iliac, and femoral nodes In Ca Vulva the lymphatic spread is usually to the inguinal lymph nodes, which...
2
Para-aoic
Inguinal
Obturator
Femoral
Gynaecology & Obstetrics
Vulvar cancer
91d81f2b-fc53-4505-86ac-71ea64cb45f5
single
Protein di sulphide isomerase is involved in
Disulfide bonds between and within polypeptides stabilize teiary and quaternary structures. However, disulfide bond formation is nonspecific. Under oxidizing conditions, a given cysteine can form a disulfide bond with the --SH of any accessible cysteinyl residue. By catalyzing disulfide exchange, the rupture of an S--S...
3
Protein synthesis
Protein degradation
Protein folding
Protein quaernary structure formation
Biochemistry
All India exam
04794897-0e4a-4a72-948a-7952ff0f530b
single
Most common precipitating factor for COPD is
null
2
Environment
Smoking
Allergen
All of the above
Medicine
null
16ba4f3b-af21-49a9-b30c-b2aacd7908b7
multi
The differential diagnosis for pancytopenia with cellular bone marrow include the following except -
null
4
Megaloblastic anemia
Myelodysplasia
Paroxysmal Nocturnal Hemoglobinuria
Congenital dyserythropoietic anemia
Pathology
null
c4763d38-5b86-4e73-b9e3-5e5f5d6dca15
multi
Facial nerve palsy can be caused by -
Ans. is 'd' i.e., Ail of the above Causes of facial paralysis1. Central :-Brain abscess, pontine glioma, Polio, multiple sclerosis2. Intracranial part (cerebellopontine angle) :- Acoustic neuroma, meningioma, congenital cholesteatoma, metastatic carcinoma, meningitis3. Intratemporal part:-Idiopathic :- Bell's palsy, Me...
4
Cholesteatoma
Multiple sclerosis
Mastoidectomy
All of the above
ENT
Facial Nerve And Its Disorders
0ac4ba5d-a465-474d-9390-f737a6985e03
multi
Which is the thinnest pa of the lens of eye?
The lens is thinnest at the posterior pole. The crystalline lens is surrounded by a lens capsule. Lens capsule is a thin transparent elastic membrane secreted by the lens epithelial cells largely composed of type IV collagen. The capsule is 11- 15microm thick at the anterior pole. The posterior capsule thickness decrea...
2
Anterior pole
Posterior pole
Posterior capsule
Apex
Ophthalmology
null
38331f46-3c4f-4774-babc-326b0f94e5f6
single
A 60 year old man presented with watering from his left eye since 1 year. Syringing revealed a patent drainage system. Rest of the ocular examination was normal. A provisional diagnosis of lacrimal pump failure was made. Confirmations of the diagnosis would be by:
Ans. Dacryoscintigraphy
1
Dacryoscintigraphy
Dacryocystography
Pressure syringing
Canaliculus irrigation test
Ophthalmology
null
731db598-d6ee-4bbb-96aa-3612303eba60
single
The type of mammary ductal carcinoma in situ (DCIS) most likely to result in a palpable abnormality in the breast is -
Carcinoma of the breast is divided into : Carcinoma in situ → neoplastic cells is limited to ducts and lobules by the basement membrane. Invasive carcinoma (infiltrating carcinoma) → cells invade beyond the basement membrane. Caricnoma in situ : It is of two types A. Ductal carcinoma insitu (DCIS, intraductal carin...
4
Apocrine DCIS
Neuroendocrine DCIS
Well differentiated DCIS
Comedo DCIS
Pathology
null
2536caec-babe-4897-96bf-0053ab46a3dd
single
Not a complication of gallstone
Effects and complications of Gallstones In gallbladder In Bile duct In Intestine Silent stones Acute cholecystitis Chronic cholecystitis Mucocele Empyema Perforation Gangrene Carcinoma Obstructive jaundice Cholangitis Acute pancreatitis Gallstone ileus Ref: Sabiston 20th edition Pgno : 1492-1493
2
Mucocele
Diveiculosis
Acute cholangitis
Empyema of the gallbladder
Surgery
G.I.T
ef0a1fa5-9ee8-4cec-9812-f9418d614c4a
multi
Ujjwala is for -
Ujjawala ,a comprehensive scheme to combact trafficking was launched in infia by the Ministry of Women and Child Development.REF.PARK'S TEXTBOOK OF PREVENTIVE AND SOCIAL MEDICINE.Editon-21.Page no.-542
2
Child abuse
Child trafficking
Child labour
null
Social & Preventive Medicine
obstetrics,pediatrics and geriatrics
bff7f88b-36a1-456b-ac3b-8ade6ff2ff2b
multi
Which of the following drug is useful in the prophylaxis of meningococcal meningitis?
Minocycline is used in acne and for prophylaxis of meningococcal meningitis.Ref: HL Sharma 3rd ed Pg:
1
Minocycline
Doxycycline
Cephalexin
Rifabutin
Pharmacology
Antibiotics
ed9bae02-c6f4-4303-8d21-856c8d03ef6d
single
A 40 year old female patient presents with excessive bleeding. Patient gives a history of road traffic accident 5 hours ago and had a lacerated wound on lower back region. Blood grouping test reveals presence of Anti A antibody, Anti B antibody, Anti H antibody and Anti Rh D antibody in the serum. The blood group of th...
→ Apart from A< B and O RBC of type O contains large amount of another antigen called H substance. → H substance is genetically different from ABO but is a precursor of A and B antigens. → An O group individual who inherits A or B genes but fails to inherit H gene from either parent is called Oh phenotype or Bombay blo...
4
O positive
O negative
AB positive
Bombay blood group
Pathology
null
cb0f755c-b8a8-4d9e-8622-6e902e36580b
single
IOC for Bronchiectasis -
The best test to evaluate the destruction and dilatation of large airways which are filled with pus in Bronchiectasis is HRCT. Spiral CT is preferred for pulmonary embolism. Pulmonary angiography is done for lung sequestration and is gold standard for pulmonary embolism.
1
HRCT scan
Spiral CT
Bronchoscopy
Pulmonary angiography
Medicine
null
32f4e671-7e97-4184-8eb5-e1c3e961e5ab
single
All of the following are neurologic channelopathies except -
null
4
Hypokalemic periodic paralysis
Episodic ataxias
Familial hemiplegic migraine
Huntington's disease
Medicine
null
08d59913-c169-4e0c-9345-6a29cd31ed5b
multi
M/C ovarian cancer associated with endometriosis:
Ans. is b, i.e. Clear cell tumorM/C ovarian cancer associated with endometrial cancer: Endometrioid tumorM/C ovarian cancer associated with endometriosis: Clear cell carcinoma
2
Endometroid tumor
Clear cell tumor
Germ cell tumor
Brenner tumor
Gynaecology & Obstetrics
Carcinoma Ovary
4c875ee2-97cf-493e-9383-6258d5d1289a
single
The only Sugar normaly absorbed in the intestine against a concentration gradient is :
C i.e. GlucoseFinal products of carbohydrate digestion in intestinal chyme are glucose & fructoseQ.The glucose transpo in intestine is an example of secondary active transpo i.e., the energy of glucose transpo is provided indirectly by active transpo of Na+ out of cell. Because glucose & Na+ share the same cotranspoer ...
3
Xylose
Mannose
Glucose
Ribose
Physiology
null
9aa4c73a-b90c-417f-a526-2bf5c83eae9a
single
A young patient with a headache, epiphora, bilateral nasal obstruction but no fever. Diagnosis is
CLINICAL FEATURES 1. Age and sex. Tumour is seen almost exclusively in males in the age group of 10-20 years. Rarely, it may be seen in older people and females. 2. Profuse, recurrent and spontaneous epistaxis. This is the most common presentation. The patient may be markedly anaemic due to repeated blood loss. 3. Prog...
2
Nasal polyp
Juvenile angiofibroma
Nasal carcinoma
Rhinoscleroma
ENT
Pharynx
0301e367-c3b0-450c-b514-24f163f4b979
single
What is the recommended illumination for general office work?
The recommended illumination for casual reading is 100 lux, 400 lux for office work, 900 lux for fine assembly and for watch making 2000 - 3000 lux is recommended. Ref: Park's Textbook of Preventive Medicine, 17th Edition, Page 519.
2
100 lux
400 lux
900 lux
1000 lux
Social & Preventive Medicine
null
d74815e4-8d9a-49b0-8ac2-28e10234a3fc
single
All reduce lactation except - a) Maternal anxiety b) Retracted nipple c) Dehydration d) Diabetes e) Antibiotics
null
3
abc
abd
cde
ace
Medicine
null
1c3ab0ae-6ef9-4dad-b40f-25ff49e4e1c3
multi
Lucio phenomenon is treated with:
Lucio phenomenon seen in leprosy- recurrent crops of large, sharply marginated, ulcerative lesions paicularly on the lower extremities. These are frequently fatal as a result of secondary infection and consequent septic bacteremia. Neither glucocoicoids nor thalidomide is effective against this syndrome. Optimal wound ...
4
Steroids
Lenalidomide
Clofazimine
Exchange transfusion
Medicine
Bacterial infection
63bdea0f-f89c-457f-a161-f7b799b7ff27
single
Complications of prematurity are all except
Retinopathy of prematurity is complication of prematurity.
3
Intra - ventricular hemorrhage
Necrotising enterocolitis
Retinitis Pigmentosa
Periventricular leukomalacia
Gynaecology & Obstetrics
null
e565c892-f20a-40bc-b108-6b6036a918bf
multi
WHO definition of normal sperm count:
Normal sperm count/ml i.e. sperm concentration is 20 million/ml.
2
10 million/ml
20 million/ml
40 million/ml
50 million/ml
Gynaecology & Obstetrics
null
f3d17073-af2e-4f37-87a4-430946237c93
single
Center of rotation for tipping is present at:
Uncontrolled tipping: A single force is applied at the crown, whereby the tooth rotates around a point just apical to the CRes. The crown moves in the direction of the force and the apex of the root moves in the opposite direction. The CRes of the tooth also moves in the direction of the force. Controlled tipping: Exam...
1
Long axis of tooth
Between B-L axis of tooth
Between M-D axis of tooth
Infinity
Dental
null
314d5db0-1f09-4876-961e-e33886281986
single
Relative polycythemia are caused by all of the following, EXCEPT:
High altitude is associated with physiological increase in erythropoietin levels resulting in secondary polycythemia and not relative polycythemia. Polycythemia refers to increase in RBCs, WBCs, and platelets, but in common practice is used to describe increased red cells or erythrocytosis. It can be primary, secondary...
2
Dehydration
High altitude
Gaisbock syndrome
Dengue haemorrhagic fever
Medicine
null
acd83d6a-dd8a-4b4c-a1bb-61a0b328ce51
multi
Body fluids are classified under which catogory of waste
null
3
Humanized waste
Infectious waste
Pathological waste
Anatomical waste
Social & Preventive Medicine
null
d107e6c0-0169-44c8-9ce5-371bfd6eff9e
single
Physical quality of life index is measured by all, Except
(Refer: K. Park's Textbook of Preventive and Social Medicine, 24th edition, pg no: no: 17, 18)Human Development Index (HDI) Vs Physical Quality of Life Index (PQLI)HDIPQLIComponentsLongevity - Life expectancy at bih (LEdeg/LEdeg)Income (Real GDP per capita in PPP US$)Knowledge (Mean years of schooling - Gross enrolment...
4
Infant moality
Life expectancy at age one
Literacy
Per capita income
Pathology
All India exam
fd33410b-c36a-4d9b-93e1-cc03ac0f5e9f
multi
All are synonymous to radial styloid fracture except
null
4
Chauffer's fracture
Hutchinson fracture
Backfire fracture
March fracture
Orthopaedics
null
f4bddd19-d69b-4a97-aad6-f3488e8a0863
multi
Which of the following doesn't occur during the processing of RNA?
Precursor tRNA is processed to form mature tRNA. Alterations during processing are of three types: nucloelytic reactions, nucleoside modifications, terminal additions of nucleotides. Chemical hydrolysis is not a pa of RNA processing. Poly A tailing and 5'capping occurs in the processing of RNA. Methylation and deaminat...
4
Terminal addition
Nucleoside modification
Nucleoside cleavage
Chemical hydrolysis
Biochemistry
null
e4f8c2d8-44f1-41c7-8728-e23673e67a80
single
Which cranial nerve supplies lateral rectus muscle?
Ans. C Abducens* All the extraocular muscles are supplied by CN III except lateral rectus and superior oblique.* Lateral rectus supplied by--CN VI* Superior oblique supplied by--CN IVRemember- LR6;SO4
3
Trochlear
Trigeminal
Abducens
Glossopharyngeal
Anatomy
Neuroanatomy
27e1bf61-14b8-427b-be90-14b1c9ff3a0f
single
Treatment of recently sputum positive case of pulmonary TB is
Ans. c (RMP + INH + PZM + ETM); (Ref. Park PSM 22nd/pg. 175)Treatment categories and sputum examination schedule in DOTS chemotherapy in IndiaTREATMENT REGIMENSPUTUM EXAMINATIONS FOR PULMONARY TBCategory of treatmentType of patientRegimenPret- reat- ment sputumTest at monthIF: result is-----THEN:New cases Category I Re...
3
RMP + INH + PZM
RMP + INH + PZM + SMC
RMP + INH + PZM + ETM
RMP + INH + ETM
Social & Preventive Medicine
Communicable Diseases
aeb834d8-c8b4-47bc-944c-17281e690401
single
RBC cast in the microscopic examination of the urine is an indicator of -
null
1
Acute glomerulonephritis
Acute Pyelonephritis
Chronic glomerulonephritis
Nephrotic syndrome
Medicine
null
3f1ff750-0365-41e7-98b7-a4c67fecc49e
single
In a 27 yr old male most common cause of a colo-vesical fistula would be:
Diveicular disease is the most common cause of colovesical fistula, followed by colon cancer and Crohn disease. Diveicular disease and colon cancer are rare in people younger than 40 years. Here this patient is young; hence the most suitable answer is Crohn's disease. Ref: ACP Medicine: Volume 1, 2007, Page 816.
1
Crohns disease
Ulcerative colitis
TB
Cancer colon
Surgery
null
990457bf-05eb-4c82-ba2e-015421f746a9
single
Number of structural gene in Lac operon
Lactose operone or Lac operon The lac operon is a region of DNA in the genome of E. coli that contains following genetic elements ? i) Three structural genes :- These code for 3 proteins that are involved in catabolism of lactose. These genes are 'Z' gene (codes for P-galactosidase), 'Y' gene (codes for galactoside per...
1
3
4
5
6
Biochemistry
null
5676c39c-f60b-4ccd-9509-91428fa7df61
single
Chondroblastoma most commonly occurs in :
Ans. is 'c' ie Epiphysis Apley's orthopedics writes - "Chondroblastoma is one of the few lesion to appear primarily in the epiphysis"
3
Metaphysis
Diaphysis
Epiphysis
Medullary cavity
Orthopaedics
Bone Tumour
b9e8bc7b-1521-43d6-9890-de7ac80d81c0
single
Laudanosine is metabolic end product of
Laudanosine is metabolic end product of atracurium.
4
Mivacurium
Doxacurium
Rocuronium
Atracurium
Anaesthesia
null
5e40f87b-3d60-45ab-b5dd-63e7df7e6b98
single
Cephalic index 75- 80 is seen in
Cephalic index 1.Dolicocephalic ( long headed) 70-75 2.Mesaticephalic(medium headed) 75- 80 3. Brachycephalic( sho headed) 80-85 Present study aimed at working outcephalic index in Indian students. 100 students were taken as subjects and head length, head breadth were measured. Indian males had meancephalic index of 77...
1
Indians
Europeans
Chinese
Mongolians
Forensic Medicine
Identification
63ffc17d-d422-4f81-83b1-45171b0b15d5
single
Airway noise originating in the nose, nasopharynx and oropharynx is known as:
Stridor is a harsh noise produced by turbulent airflow through a paially obstructed airway. It may be inspiratory, expiratory, or both (biphasic). The term steor is used to describe airway noise originating in the nose, nasopharynx, and oropharynx; therefore, stridor is generally of laryngeal or tracheal origin.
2
Stridor
Steor
Both of the above
None of the above
ENT
null
dd0738df-d0e0-4223-ba68-3d8a03ccf6ea
multi
Hot flushes are experienced as a result of
Hot flushes are caused by noradrenaline, which disturbs the thermoregulatory system. Oestrogen deficiency reduces hypothalamic endorphins, which release more norepinephrine and serotonin. This leads to inappropriate heat loss mechanism. Other causes that can be associated with the symptom of hot flushes include: thyroi...
3
Increased noradrenaline
Decreased estrogen
Increased noradrenaline and decreased estrogen
Increased noradrenaline and estrogen
Gynaecology & Obstetrics
All India exam
285006de-c1e2-4c96-82a2-4b18a47099ab
single
In Alzheimer's disease (AD) which of the following is not seen:
B i.e. Acalculia
2
Aphasia
Acalculia
Agnosia
Apraxia
Psychiatry
null
0e6612f9-8a65-457b-ab0e-9ce5f39ad9fd
single
Parietal cells in the stomach secrete a protein crucial for the absorp on of vitamin B12 by the ileum. What is this protein?
.
1
Intrinsic factor
Gastrin
Somatostatin
Cholecystokinin (CCK)
Pathology
All India exam
42810ff2-829a-48ad-9b3d-934c658b0fbb
single
How many parathyroid glands do humans have?
Parathyroid glands: The parathyroid glands are small, yellowish-brown, ovoid or lentiform structures, usually lies between the posterior lobar borders of the thyroid gland and its capsule. They are commonly 6 mm long, 3-4 mm across, and 1-2 mm from back to front, each weighing about 50 mg. Usually, there are two on eac...
1
4
3
2
1
Anatomy
null
1ece3df0-5b5c-4487-8bb2-a23c02bff7c4
single
A 45-year-old man is worried about a dark pigmented skin lesion on his arm. The "mole" is 3 mm wide, symmetric with a regular border and even pigmentation. He reports no change in size or other symptoms. Which of the following is the most appropriate next step in management?
(a) Source: (Kasper, pp. 500-502) Observation alone is adequate for this lesion. The "ABCD" rules are helpful in distinguishing benign skin lesions from malignant melanoma. (A) asymmetry, benign lesions are symmetric; (B) border irregular, most nevi have clear-cut borders; (C) color variation, benign lesions have unifo...
1
observation only
excisional biopsy
punch biopsy
chemotherapy, then surgical excision
Medicine
Oncology
9252bbd0-9b65-49d6-958f-9e2f9d50573b
multi
Unconjugated hyperbilirubinemia-
Normal adults contain less than 1mg/dL of total bilirubin out of which less than 0.25 mg/dL is conjugated bilirubin. Unconjugated bilirubin is estimated by substracting direct bilirubin value (Harsh mohan page 593)
1
85% of the total should be indirect
Hemolytic anemia
Haemoglobin destruction ( bilirubin production)
50% of the total should be indirect
Medicine
G.I.T
7817419f-7c0e-46a7-8fbe-1e89b3a0715f
single
An epidemiological investigation undertaken to test the hypothesis regarding the causation of a disease is called
null
1
Case control study
Cohort study
Prospective study
Descriptive study
Dental
null
f2700e1f-7df6-4e1d-8686-cb5682f200eb
multi
Diagnostic procedure for basal cell Ca -
null
1
Wedge biopsy
Shave
Incisional biopsy
Punch biopsy
Surgery
null
c3dd9e0b-0333-4c4a-b8af-b9b462ad44ca
single
All are first generation cephalosporins except :
null
4
Cefadroxil
Cefazolin
Cephalexin
Cefaclor
Pharmacology
null
86e44022-63ad-4250-9143-0c6e86294712
multi
Uveoparotitis is seen in -
null
4
SLE
Sjogren's syndrome
Rheumatoid arthritis
Sarcoidosis
Medicine
null
dd2268c4-5974-4a4c-8b2f-3869edc505e8
single
25 years old gentleman has repeated thoughts that he has not locked his car door properly and frequently checks it while driving. He also repeatedly checks locks in his house. Diagnosis is
Obsessive compulsive disorder (OCD) and obsessive compulsive personality disorders a(OCPD)two different types of disorders OCD is classified under anxiety disorders whereas OCPD is classified under personality disorder Patients with OCD have recurrent, irresistible, irrelevant and intrusive thoughts that are EGO DYSTON...
1
OCD
OPCD
Phobia
Somatoform disorder
Psychiatry
Personality disorders
958cd7de-be16-4c0f-ade7-5c86c6ba1dba
single
Most common false neurological sign is:
Diplopia REF: Journal of Neurology, Neurosurgery Psychiatry 2003; 74:415-418 Doi:10.1136/ jnnp.74.4.415, Neurological signs have been described as "false localizing" if they reflect dysfunction distant or remote from the expected anatomical locus of pathology. False localizing signs occur in two major contexts: as a co...
3
Wasting of hands
Abnormal unilateral pupil
Diplopia
Unilateral papilledema
Surgery
null
724fd086-7e4a-42d6-b1ae-1817185e9183
multi
Umami taste is evoked by
Glutamic acid is responsible for umami taste Ref: guyton and hall textbook of medical physiology 12 edition page number: 713,714,715
2
Glucose
Glutamic acid
Quinine
Sodium chloride
Physiology
Nervous system
c0a70046-2318-497a-911c-c4a76b0ea390
single
The following anti T.B. drug should not be given to AIDS patient-
Ans. is 'a' i.e., Rifampicin
1
The following anti T.B. drug should not be given to AIDS patient-
Ethambutol
Streptomycin
Pyrazinamide
Pharmacology
null
9fa903e6-ea89-4f2c-8c69-a718eff2ae49
single
Banding technique most commonly employed for cytogenetic analysis
G-banding (most common) R-banding Q-banding C-banding T-banding G stands for Giemsa R stands for "reverse" Q stands for Quinacrine Fluoroescent dye C stands for Constitutive heterochromatin or Centromere T stands for telomeres to produce a visible karyotype Dark regions are heterochromatin (AT) Light regions are Euchro...
1
G banding
C banding
R banding
Q banding
Biochemistry
Techniques in molecular biology
c86b146c-2c6e-496b-8184-8cf8947cfffa
single
In a CA lung patient is suffering from dyspnoea, the palliation of dyspnoea is achieved by
Morphine is used for dyspnea in terminally ill cancer patients by : Both endogenous (b-endorphin) and exogenous (morphine) opioids modulate the perception of dyspnea by binding to opioid receptors. Proposed mechanisms whereby opioids relieve refractory dyspnea include decreasing respiratory drive with an associated dec...
1
Morphine patch
Diazepam
Clobazam
Haloperidol
Pharmacology
Respiratory system
d9cb3fd8-834c-43b2-b467-f2408ec00646
multi
True about Moorens ulcer: March 2007, March 2013
Ans. B: Affects cornea Mooren's ulcer is a rare, painful, inflammatory condition affecting one or both eyes that results in the destruction of corneal tissue. The cause of Mooren's ulcer is unknown. It is generally agreed that it is an autoimmune condition. Pain is almost always associated with the onset of Mooren's ul...
2
Painless condition
Affects cornea
Sudden loss of vision
Bilateral in majority of cases
Ophthalmology
null
8b654d0e-f4ff-40af-8e1d-eeea9c891834
multi
Thanatology deals with
Ans) a (Death in all aspects) Ref.KNS Reddy 20th ed p 122Thanatology deals with death in all aspects.There is a progression from clinical death to brain death, biological death, biological death and then cellular death. Brain death follows immediately clinical death due to lack of oxygen. First the cerebral cortex, the...
1
Death in all aspects
Postmortum findings
Exhumation
Body of offence
Forensic Medicine
Death and Medicolegal Aspects
c6299767-f0cf-46c7-bec3-30d5958c2067
multi
Spontaneous CSF leak associated with all except
spontaneous cerebrospinal fluid leak (SCSFL) is a medical condition in which the cerebrospinal fluid (CSF) surrounding the human brain and spinal cord leaks out of the surrounding protective dural sac for no apparent reason. A spontaneous CSF leak, as opposed to traumatically caused CSF leaks, arises idiopathically Con...
1
Increased intracranial tension
Paial or complete empty sella syndrome
Pseudotumour cerebri
Low risk encephalocoele
Medicine
C.N.S
a48a1276-5de9-4402-9927-45621949cdcc
multi
Which of the following substances play a major role in regulating cell-cell and cell-matrix interaction in cementum?
null
3
Sharpey's fibers
Intrinsic fibers
Proteoglycans
Phosphoproteins
Dental
null
f0250749-db8a-408a-bea7-db22d951e0af
single
The enzyme which transcripts a double stranded DNA copy from a single stranded RNA template molecule is:
Reverse transcriptase transcripts a double stranded DNA copy from a single stranded RNA template. This enzyme is programmed to use a single-stranded RNA template, and to synthesize a complementary DNA (cDNA) strand. Ref: Measuring Gene Expression, Matthew B. Avison, 2007, Page 135
3
DNA polymerase
RNA polymerase
Reverse transcriptase
Phosphokinase
Biochemistry
null
07ae069c-2a0c-4e59-96f5-3f68b68a9cb4
single
Most important element in treatment of diphtheria -
null
1
Antitoxin
Tetracycline
Erythromycin
Penicillin
Microbiology
null
cde539f9-8721-4835-8f38-65dbf77d1387
single
What is the rationale behind xenobiotic metabolism by CYP enzymes?
the aim of xenobiotics metabolism is to increase water solubility so that these compounds can be exceed through urine. (Ref-Goodman Gillman 12th/e p124/125)
1
increases water solubility
increases lipid solubility
conversion to an active metabolite
makes it suitable to evaporate through skin surface
Anatomy
General anatomy
815bd485-1d12-495d-af56-ea0a26d2ead0
single
Treatment of C. difficile infection
Ans. d (All of the above) (Ref H-17th/820; KDT 6th!731; Table 123-2)Pseudomembranous enetrocolitis is associated with use of:Rx of Pseudomemb colitis:# Clindamycin# Metronidazole and vancomycin-drug of choice.# Aminoglycosides# Oral Rx for Cl. difficile-Asso Disease include:# Tetracyclines- Placebo or discontine offend...
4
Metronidazole
Bacitracin
Nitazoxanilide
All of the above
Pharmacology
Anti Microbial
6fa5894d-c18c-44bf-950b-58759c7b2e82
multi
All are true about SALK vaccine except -
Ans. is 'c' i.e., It is contraindicated in immunocompromised patients Advantages of IPV 1) Being an inactivated vaccine, it is safe to administer in - i) Persons with immunodeficiency ii) Persons undergoing coicosteroid or radiotherapy iii) During pregnancy 2) One or two doses of live vaccine (OPV) can be given safely ...
3
It prevents paralysis
Oral polio can be given as booster
It is contraindicated in immunocompromised patients
Easily transpoed
Social & Preventive Medicine
null
0b712d2d-b074-4292-b2ed-695dab0178b5
multi
All are associated with chronic osteomyelitis except-
Complications of chronic osteomyelitis Following complications can occur : - Acute exacerbation Growth abnormalities due to damage to adjacent growth plate: - Shortening, Deformities. Pathological fracture Joint stiffness Sinus tract malignancy (very rare): - Squamous cell carcinoma Amyloidosis
4
Amyloidosis
Sequestrum
Metastatic abnormality
Myositis ossificans
Orthopaedics
null
fdae3556-d54e-4003-a755-745b409bd608
multi
Relationship between the disease and social conditions
null
3
Political science
Social Psychalogy
Social Pathology
Social Sciences
Social & Preventive Medicine
null
b0a2ee6f-a113-4c92-a771-c4b7a347c477
single
Barbed broach is used for:
null
1
Extirpation of pulp
Enlargement of canal
Obturation of canals
All of the above
Dental
null
f010cfa1-2d79-4d77-829f-1068cba240d4
multi
Stapedius nerve is a branch of ?
Ans. is 'b' i.e., Facial nerve Branches of facial nerve In fallopian (facial canal) :- Greater petrosal (greater superficial petrosal) nerve, nerve to stapedius, chorda tympani.At its exit from stylomastoid foramen :- Posterior auricular, digastric nerve, stylohyoid nerve.Terminal branches :- Temporal, zygomatic, bucca...
2
Trigeminal nerve
Facial nerve
Vagus nerve
null
Anatomy
null
a9fb3bf9-0e70-4c40-b9a3-5712134443ad
multi
'Intermediate form' of Non Hodgkin's lymphoma is -
Working formulation of NHL for clinical use is as follows: Low grade :       small lymphocytic Follicular, predominantly small cleaved cell Follicular mixed Intermediate Grade :         1. Follicular predominantly large cell 2. Diffuse small, mixed, as well as large cell. High grade :                        L...
2
Small noncleaved cell
Diffuse, small cleaved cell
Lymphoblastic
Large cell immunoblastic
Pathology
null
846ab131-5aee-4f5d-8e6c-4aa454f08ed6
multi
When a person stands suddenly from lying down posture, there is
(A) Increased tone of capacitance vessels. > It occurs due to noradrenergic impulses causing venoconstriction via their action on a1 and a2 - adrenergic receptors on systo veins.
1
Increased tone of capacitance vessels.
Increase efferent discharge from IX cranial nerve
Decreased heart rate
All of the above
Physiology
Nervous System
36eea033-e836-4d5d-8880-f9f6c9a89945
multi
True about Trendelenburg operation is
Tredelenburg Operation Consists of saphenofemoral junction flush ligation & Greater saphenous vein (GSV) stripping All four tributaries (superficial Inferior epigastric, superficial circumflex iliac, deep & superficial external pudendal veins) is divided Ligate the GSV deep to all tributaries flush with the common femo...
3
Stripping of superficial varicose vein
Ligation of perforators
Flush ligation of superficial varicose veins
Ligation of sho saphenous vein
Surgery
Vascular surgery
5951c8e6-c7e7-4104-b20d-66732a26532a
multi
Sub-valvular Aoic Stenosis is known to be associated with all of the following, except:
Answer is C (Tricuspid valve atresia) Tricuspid Valve Atresia is not associated with Subvalvular Aoic Stenosis. Subvalvular Aoic Stenosis (Subaoic Stenosis) Subaoic stenosis is defined as obstruction to left ventricular outflow below the aoic valve. It is the second most common form of fixed aoic stenosis. The most com...
3
Aoic Regurgitation
Coarctation of Aoa
Tricuspid Valve Atresia
Ventricular Septal Defect
Medicine
null
10da9861-e17b-4783-a744-5cef4dcad3aa
multi
Incubation period of Nipah virus
Ref:Park's Textbook of Preventive and Social Medicine 25th Ed Pg.310
1
4 -14 days
2 - 6 days
3 -8 days
5 - 10 days
Social & Preventive Medicine
Communicable diseases
84a464ad-bbed-481f-8357-657edfb655ef
single
Drug indicated in case of subarachnoid hemorrhage:
Ans. A. NimodipineNimodipine is cerebro selective calcium channel blocker. Given in patients with hemorrhagic stroke. Nicardipine also have similar effects. This drugs reverse the cerebral vasospasm.
1
Nimodipine
Amlodipine
Diltiazem
Verapamil
Pharmacology
C.V.S
7eaa9d3d-72e1-4211-b783-64d0d0fd214b
single
Ayushman Bharat is
Ayushman Bharat is National Health Protection Scheme, which will cover over 10 crore poor and vulnerable families (approximately 50 crore beneficiaries) providing coverage up to 5 lakh rupees per family per year for secondary and teiary care hospitalization. Ayushman Bharat - National Health Protection Mission will sub...
2
Health education program
Health protection scheme
Health personnel training
Health practicing guidelines
Social & Preventive Medicine
Communicable diseases
ae8e864d-3b33-4585-9b33-c315fc9aa66b
single
Autoimmune hemolytic anaemia is seen in:
About 15% of patients develop autoantibodies ( IgG )against their own red cells or platelets which leads to autoimmune hemolytic anemia.
4
All
AML
CML
CLL
Pathology
Chronic Lymphocytic Leukemia
cdc933fb-e826-4cc0-9c46-019a4ef5deae
multi
A 56-year old man presented with bony pain. X-ray skull lateral view shows:
Ref. Grainger and Allison's Diagnostic Radiology. Page. 483   Pagets disease of bone affects each person differently . It includes : 1 Bones : Pain in the affected bones is the most common symptom of pagets disease of bone.   Skull in Pagets disease osteoporosis circumscripta: large, well-defined lytic lesion cotton ...
2
Pagets disease
Hyper osteosis frontalis
Fibrous dysplasia
Osteopetrosis
Unknown
null
14288a14-ade9-478c-bd38-deb7f28ae565
single
Agoraphobia is -a) Fear of open spacesb) Fear of closed specesc) Fear of heightsd) Fear of crowded places
Formerly the term agoraphobia was used to denote phobias of open spaces alone but it is now used in a wider sence, i.e. irrational fear of places and situations from where escape might be difficult. Such places are public places, stores, crowd, travelling alone in bus, train or plane or in lift.
3
b
c
ad
ab
Psychiatry
null
fd1ce6b8-68c7-4bc7-b837-3acecd8fbfa3
single
Trapping parasites using NETs is assisted by
NEUTROPHILS AND EOSINOPHILS EMPLOY NETS TO ENTRAP PARASITESIn addition to ingesting small microorganisms such as bacteria by phagocytosis, neutrophils and eosinophils can assist in the elimination of larger invaders by trapping them within webs called neutrophil extracellular traps or NETsRef: Harper&;s Biochemistry; 3...
1
Neutrophils and Eosinophils
Neutrophils and Monocytes
Eosinophils and Monocytes
Nk cells
Biochemistry
miscellaneous
86cfff54-25f9-4a56-ae49-6eff0164bd54
single
a-helix of protein is
a-Helix: A peptide chain forms regular helical coils called a-helix. Type of secondary protein structure. These coils are stabilized by hydrogen bonds between carbonyl O of 1st amino and amide N of 4th amino acid residues. Thus in a aa aa-helix intrachain hydrogen bonding is present. The a aa aa-helices can be either r...
2
Primary structure
Secondary structure
Teiary structure
Quaery structure
Biochemistry
Structure and function of protein
c29b9c31-c62f-4cde-958c-9c67e1e3ab17
single
Common sites for mongolian spot are -
Ans. is 'c' i.e., Lumbosacral area Mongolian spots are blue or slate - gray macular lesions which occur most commonly in pre-sacral area (mainly in lower back & buttocks) but may be found over the posterior thighs, legs, and shoulders.
3
Face
Neck
Lumbosacral area
All
Pediatrics
null
15fb4cca-db5c-4964-bb11-99dab4915371
multi
Threshold level for neuronal action potential-
Ans. is 'c' i.e., -55 mv * The action potential, which is recorded using an intracellular electrode, has following phases : -1) Resting stage:# This is the resting membrane potential before the action potential. At rest, membrane is said to be "polarized" because - 70 mV negative membrane potential (RMP) that is presen...
3
-70 mv
+70 mv
-55 mv
+55 mv
Physiology
General
37b0c653-34a8-45ff-94db-b306b8deb50d
single
Which of the following includes the classical triad of ' enlarged upper part of uterus, soft lower part of body and firm cervix 'during early pregnancy?
Ans. a (Hegar's sign). (Ref Dutta, Obstetrics, 6th ed., p 65)SIGNS OF EARLY PREGNANCY1Jacquemier's or Chadwick's sign (eighth week)Dusky hue of vestibule and anterior vaginal wall.2Osiander's sign (eighth week)Increased pulsations felt through lateral fornices.3Goodell's sign (sixth week)Softening of cervix.4Piskacek's...
1
Hegar's sign
Jacquemier's sign
Osiander's sign
Goodell's sign
Gynaecology & Obstetrics
Miscellaneous (Gynae)
24f934e7-8666-4ab6-ac41-af5b4c40ff07
single
All are true about Experimental trials except:
null
1
Can’t double blind in animal trials
All animal trials are unethical
Can’t do interim analysis
Are always prospective
Dental
null
b9a29ef8-a3a6-4b9c-b484-aecc49535526
multi
Acute Hepatitis B can be earliest diagnosed by ?
Ans. is 'a' i.e., IgM anti HBc Ab . This is controversial question. . Some people (including me) are in our of IgM anti HBc abs, while other think HBs Ag is the correct answer. . With HBs Ag one can make the diagnosis of HBV infection, but to confirm acute infection, IgM anti HBc is required. See following question of ...
1
IgM anti HBc ab
Hbs Ag
IgC anti HBc abs
Anti HBs Ag ab
Microbiology
null
2a640a66-0b7d-4b21-a3c8-a42a480d005f
single
Recommended reflection factors include each of the following, except –
null
2
Ceilings 80%
Roofs 40%
Walls 50 to 60%
Furnitures 30 to 40%
Social & Preventive Medicine
null
814a98db-1062-4cb6-8106-14c1215e6c9a
multi