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True statement about tongue epithelium are all except?
Posterior 1/3 tongue is endodermal in origin . Tongue connective tissue and muscles- mesodermal in origin , connective tissue is derived from pharyngeal arches 1,2 and 3.
4
At beginning -Endodermal (whole tongue)
Any External opening lined by Surface Ectoderm - Ant.2/3 of tongue
At Sulcus Terminalis- Ectoderm and Endodermal junction
Posterior 1/3rd - Mesodermal
Anatomy
Pharyngeal Arches
dfd50d1a-d1c7-47af-937d-a554b5141a01
multi
Which of the following is used for day care surgery?
Drugs used in day care surgery Dr Desflurane Manmohan Midazolam Singh Sevoflurane Is Isoflurane A Alfentanyl Prime Propofol- mc drug used in day care surgery Minister Mivacurium Ketamine causes dissociative anesthesia Thiopentone is shoest acting due to redistrubution Etomidate causes adrenal supression
3
Ketamine
Thiopentone
Propofol
Etomidate Drugs used in day care surgery
Pharmacology
FMGE 2019
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single
Which of the following is the most potent 2nd generation antihistamine?
Desloratidine, metabolite of loratadine is the most potent 2nd generation antihistamine.
2
Astemizole
Desloratadine
Promethozine
Fexofenadine
Pharmacology
null
326d4d56-a54a-4f92-b1e2-5a4713c3e459
single
External manifestation of genome is -
Ans. is 'b' i.e., Phenotype* To explain these terms, let us have a simple example, which we have learnt in our school.* A sweet pea plant can either grow tall or short. The plant grows tall if the plant has TT or Tt and the plant remains dwarf if the plant has tt. In this example, plant being tall and plant being short...
2
Genotype
Phenotype
Allele
Polymorphism
Biochemistry
Molecular Genetics
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Which of the following anaesthetic agent does not cause hypotension on injection ?
Ketamine causes increase in BP.
1
Ketamine
Propofol
Halothane
Thiopentone
Anaesthesia
null
8720ef92-f9db-4bd8-8d6e-65670fad251c
single
In Peripaum cardiomyopathy, cardiac failure occurs at:-
Diagnostic criteria for Peripaum cardiomyopathy - A) Development of cardiac failure in the last month of pregnancy or within 5 months after delivery. B) Absence of an identifiable cause for the cardiac failure. C) Absence of recognizable hea disease prior to the last month pf pregnancy D) Left ventricular systolic dysf...
4
Within 7 days after delivery.
Within 6 weeks after delivery.
Within 24 months after delivery.
Within 5 months after delivery.
Gynaecology & Obstetrics
NEET 2018
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single
Drug used for d-TC reversal is
Reversal of d tubocuraine was done by neostigmine.
4
Atropine
Atracurium
Diazepam
Neostigmine
Anaesthesia
Muscle relaxants
e6a60e80-c50a-4d69-8a40-d7cb73604caf
single
A young adult presented with diminished vision. On examination he has anterior uveitis, vitritis, focal necrotizing granuloma, macular spot. What is the most probable diagnosis?
Focal necrotizing granuloma in this question suggests that it may be a case of ocular toxoplasmosis.
4
Proteus syndrome
White dot syndrome
Multifocal choroiditis
Ocular toxoplasmosis
Ophthalmology
null
588b3f85-babe-4dd3-910f-902d38cf9efb
single
Excision of the hyoid bone is done in
null
3
Branchial cyst
Branchial fistula
Thyroglossal cyst
Sublingual dermoids
Surgery
null
ca6c88ed-5a97-4b5d-942f-e836ecd3a235
single
CSF glucose level is -
null
2
Half the plasma glucose
2/3 of plasma glucose
1/3 of plasma glucose
Same as plasma glucose
Medicine
null
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Rapid cycling is associated with which illness:
Ans. C. Bipolar disorderBipolar disorder involves extremes of both high and low moods and a range of other symptoms. In rapid cycling, moods change quickly, with at least 4 distinct mood episodes per year.
3
Substance abuse
Schizophrenia
Bipolar Disorder
Panic disorder
Psychiatry
Mood Disorders
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single
Daily water requirement in child weighing 30 kgs, height 123 m and BSA of 1 m2 is
For calculating the minimum amount of fluid per day, a formula based on body weight is recommended: 1500 ml is the minimum water intake with 15ml fluid per kg to be added for the actual weight minus 20kg. Reference: GHAI Essential pediatrics, 8th edition
2
1300 ml
1700 ml
2000 ml
2500 ml
Pediatrics
Fluid and electrolytes
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single
Good diabetic control is said to be present when glycosylated hemoglobin is
null
1
7-9%
>13%
10-12%
3-4%
Medicine
null
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single
Not true about Antro choanal polyp
Best examined with posterior Rhinoscopy.
1
Best examined with Anterior Rhinoscopy
Less recurrence rate
Seen in young individuals
Usually unilateral
ENT
null
f2901b14-5b1b-4c1a-9105-4ee620574ff6
multi
A testicular tumor marker is -
Ans. is 'a' i.e., a-Fetoproteins
1
a-Fetoprotein
Ectopic hormones
CEA
Testosterone
Pathology
null
144d29b6-2779-4040-ab93-c25cf334df43
single
Ramu age 10 years, present with itching in his eye, foreign body sensation and ropy discharge since several months. These symptoms are more prominent in summer. Most probable diagnosis is -
Ans. (a) Vernal conjunctivitisRef: Parson's 21/e, p. 178Age 10 years (Male child), with Itching, foreign body sensation, Ropy discharge (characteristic of spring catarrh) and exacerbation during summer (characteristic of spring catarrh) is diagnostic for VKC.
1
Vernal conjunctivitis
Fungal keratoconjunctivitis
Viral conjunctivitis
Trachoma
Ophthalmology
Conjuctiva
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In flap method of amputation, which structure is kept shoer than the level of amputation?
Bone is kept shoer than soft tissue in flap method of amputation to facilitate closure of amputation stump. Also know: In guillotine amputation, limb is transected at one level through skin, muscle and bone. Ref: Campbell's operative Ohopaedics 10/e, page 544.
1
Bone
Muscles
Nerves
Vessels
Surgery
null
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single
Treatment of parathyroid hyperplasia is:
TREATMENT OF PRIMARY HYPERPARATHYROIDISM Initial correction of hypercalcemia (Rapid IV normal saline followed by Forced diuresis with furosemide) Neck exploration is done and treatment is done accordingly A single parathyroid adenoma (85%) Resection Two adenomas (5%) Resection Hyperplasia of all four glands (10-15%) Re...
3
Phosphate binders
Calcitonin
Removal of 3 1/2 glands
Enlarged glands to be removed
Surgery
Parathyroid and adrenal glands
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Broca's area is situated in
(A) Inferior frontal gyrus[?]BROCA'S AREA (Motor Speech Area) is a section of the human brain that is involved in language processing, speech or sign production & comprehensionBroca's area is located in the opercular and triangular sections of the Inferior Frontal Gyrus of the Frontal lobe of the Cortex.Broca's & Werni...
1
Inferior frontal gyrus
Superior temporal gyrus
Inferior temporal gyrus
Parietal gyrus
Anatomy
Neuroanatomy
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single
Nerve running along with profunda brachii aery, in spiral groove ?
Profunda brachii is a branch of brachial aery. It accompanies radial nerve in spiral groove.
3
Ulnar
Median
Radial
null
Anatomy
null
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multi
A 39-year-old man repos seeing red-colored urine in the morning. The CBC reveals anemia, low serum iron, and an elevated reticulocyte count. Laboratory studies show increased lysis of erythrocytes when incubated with either sucrose or acidified serum. Which of the following is the appropriate diagnosis
- Given clinical features suggests the diagnosis of PNH - Despite its name, the disorder is nocturnal in only a minority of cases. - PNH is a clonal stem cell disorder characterized by episodic intravascular hemolytic anemia; secondary to increased sensitivity of erythrocytes to complement-mediated lysis. - It is d/t s...
4
Anemia of chronic renal failure
Hereditary spherocytosis
Microangiopathic hemolytic anemia
Paroxysmal nocturnal hemoglobinuria
Pathology
Hemolytic Anemias: Basic concepts and classification
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A 70-year-old male underwent a choledochoduodenostomy for multiple common duct stones. The patient now presents with RUQ abdominal pain. What should be the initial test (least invasive with the best yield) to determine patency of the choledochoduodenostomy?
A HIDA scan will show excretion of the radiolabeled isotope into the biliary tree, but there will be no flow into the duodenum, indicating that the biliary-enteric anastomosis is occluded. If an upper GI study with barium is performed, visualization of the common bile duct would indicate patency of the choledochoduoden...
3
ERCP
Percutaneous transhepatic cholangiogram (PTC)
HIDA scan
CT scan of the abdomen
Surgery
Pancreas
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40/F presented to AIIMS OPD with the following findings-Hb-9.8gm%, TLC= 15,700/cumm, Platelet counts 3 lac/cumm. Peripheral smear showed increased neutrophils with 14 % blasts, 15% myelocytes and metamyelocytes with some dysplasia. Cytogenetic study revealed t(8;21). What is your diagnosis?
Ans. (a) AML(Ref: Robbins 9th/pg 612; 8th/pg 622)This 40 yr old female is presenting with leukocytosis and increased blast counts in the peripheral smear. The cytogenetic study done here shows t(8;21). This finding is suggestive of Acute myeloid leukemia even if there are <20% blast counts.It cytogenetic abnormalities ...
1
AML
CML
MDS
ALL
Pathology
Misc. (W.B.C)
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A patient with Hepatitis C, exhibits hypo-complimentemia with 2 gm/day protein uria and hematuria. The most probable diagnosis is
Ans. a. MPGN Type I MPGN is c.ommonly associated with persistent hepatitis C infections, autoimmune diseases like lupus or cryoglobulinemia, or neoplastic diseases."- Harrison 18/e p2344 So, in the above mentioned patient with Hepatitis C, exhibits hypo-complimentemia with 2 gm/day proteinuria and hematuria. The most p...
1
MPGN
Cryoglobulinemia
Membranous glomerulopathy
Post-infectious glomerulonephritis
Medicine
null
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A body is brought for autopsy. On postmoem, there is dark brown postmoem staining and garlic odor in stomach. The poisoning is most likely due to
PHOSPHORUS(P4) There are two varieties: (1) White or crystalline. (2) Red or amorphous Postmoem Appearances:- In acute poisoning, the body usually shows signs of jaundice. The gastric and intestinal contents may smell of garlic and be luminous. The mucous membranes of the stomach and intestine are yellowish or greyish-...
4
Aniline dye
Carbon dioxide
Hydrocyanic acid
Phosphorus
Forensic Medicine
Poisoning
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The sensory supply of the palate is through all of the following except
Palate is supplied by trigeminal (maxillary, mandibular), facial & glossopharyngeal nerves
2
Facial nerve
Hypoglossal nerve
Glossopharyngeal nerve
Maxillary division of trigeminal nerve
Anatomy
null
c3acad89-02de-457c-8dc6-a420193ac355
multi
Following clostridia are saccharolytic except
When grown in Robeson cooked meat broth, saccharolytic species turn meat pink and proteolytic species produce black and produce foul and pervasive odours. Clostridium welchii, Clostridium septicum and Clostridium oedematiens are predominantly saccharolytic. Clostridium sporogenes is predominantly proteolytic. Reference...
2
Welchii
Sporogenes
Septicum
Oedematiens
Microbiology
Bacteriology
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multi
In the metabolism of alcohol, high doses of aspirin & phenytoin, mechanism is -
Ans. is 'c' i.e., Zero order kinetics o The drugs whose kinetics changes from first order to zero order at therapeutic concentration are said to follow pseudo - zero order kinetics or mixed order kinetics or saturation kinetics.o Drugs showing zero/pseudo-zero order kinetics :# Phenytoin# Theophylline# Alcohol# Tolbuta...
3
First pass kinetics
First order kinetics
Zero order kinetics
Second order kinetics
Pharmacology
Pharmacokinetics
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single
Which of the following is a negative symptom of Schizophrenia?
Anhedonia- lack of pleasure in a previously pleasurable activity Negative symptoms in Schizophrenia are: Apathy- Lack of concern Avolition- Loss of drive for goal directed activities Asociality- Lack of social interaction Affective flattening or blunting Alogia- Lack of speech output Anhedonia- Lack of pleasure in prev...
3
Ambivalence
Automatic obedience
Anhedonia
Delusion
Psychiatry
Schizophrenia Spectrum and Other Psychotic Disorders
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Causes of painful arc syndrome is/ are -
Painful arc syndrome is characterised by pain in the shoulder and upper arm during the mid range of gleno-humeral abduction. Causes are *supraspinatus tendinitis *subacromial bursitis *fracture of greater tuberosity *calcification of supraspinatus tendon *minor tears of the supraspinatus tendon In all these conditions ...
4
Supraspinatus tendinitis
Subacromial bursitis
Fracture of greater tuberosity
All the above
Orthopaedics
Bony dysplasia and soft tissue affection
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A child had pustular lesion on leg. On gram staining gram positive cocci are seen. To establish the diagnosis of Group A beta streptococcal pyoderma, the test used is:
Group A beta streptococcus produces pyogenic infections with a tendency to spread locally, along lymphatics and through the bloodstream. The growth of Str. pyogenes on agar plates in the laboratory is inhibited by the antibiotic bacitracin, an impoant diagnostic criterion. Sensitivity to bacitracin is a convenient meth...
4
Bile solubility test
Catalase test
Optochin sensitivity
Bacitracin sensitivity
Microbiology
null
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Not useful for acute Hypercalcemia?
Ans. is 'c' i.e., Furosemide Treatment for hypercalcemia depends upono The underlying disease.o The severity of hypercalcemia.o The serum inorganic phosphate level ando The renal hepatic and bone marrow function. o Mild hvpercalcemias< 3 mmol/l (12 mg/dl)-Managed by hydration aloneo More severe hvoercalcemia3.2 to 3.7 ...
3
Normal saline
Calcitonin
Furosemide
Bisphosphonates
Medicine
Fluid & Electrolyte
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A 20 year old female has an erythematous rash over her face on both cheeks and across the bridge of her nose.This rash is made worse by sunlight exposure when she is outdoors. Along with the rash, she has had muscle and joint pain for several month. However, radiographs of the joints does not show any abnormalities, an...
null
4
Elevated anti-streptolysin 0 (ASO) titer
HLA-B27 genotype
Markedly decreased serum level ofimmuno-globulin G (IgG)
Antibodies to double-standed DNA
Pathology
null
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multi
All are features of adipocere, except: MAHE 11; PGI 13
Ans. Takes place in bodies buried in dry sandy soil
2
It consists of fatty acids
Takes place in bodies buried in dry sandy soil
Takes about 3 weeks to form
Bacterial enzymes are necessary for its formation
Forensic Medicine
null
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Neutrophilic leucocytosis is seen in all except
Acute myocardial infarction ST-elevation (STEMI) is frequently associated with leukocytosis and relative increased in neutrophil count. It is believed that the peripheral leukocyte count have impoant prognostic implication in AMI. In patients with leukocytosis, the possibility of infection always exists, especially wit...
4
Sepsis
Myocardial infarction
Pyogenic osteomyelitis
Hay fever
Medicine
Miscellaneous
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All are true of Henoch Scholein' s purpura, except
Answer is A (Thrombocytopenia) : Purpura in 'Henoch Shonlein purpura' is due to vasculitis and not thrombocytopenia.
1
Thrombocytopenia
Abdominal pain
Ahritis
GI bleed
Medicine
null
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multi
Mechanism of action of oral contraceptives containing ethinyl oestradiol and a progesterone is :
Inhibiting ovulation
1
Inhibiting ovulation
Inhibiting the implantation
Thickening of cervical mucus
None of the above
Gynaecology & Obstetrics
null
24b62c8c-259d-4307-86a1-d4d986b1fdd7
multi
Hyoid bone fracture does not occur in: NEET 14
Ans. Choking
4
Hanging
Strangulation
Throttling
Choking
Forensic Medicine
null
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single
Larger DNA segments can be cloned in
Hybrid DNA molecules can be constructed in cloning vectors typically using bacterial plasmids, phages, or cosmids. A clone is a large population of identical molecules, bacteria, or cells that arise from a common ancestor. Molecular cloning allows for the production of a large number of identical DNA molecules, which c...
4
Plasmids
Bacteriophage
Cosmids
Bacterial Aificial Chromosomes
Biochemistry
Techniques in molecular biology
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According to Pugh's classification moderate to severe hepatic insufficiency is managed by:
Ans. (c) Orthotopic liver transplantation* Child A and B can be managed with Conservative methods/Shunt surgeries etc.* Child C is an indication for Liver Transplant* Other Major surgeries can be done only for Child A* Minor surgeries only can be done in Child B* No other surgery other than Transplant is advised in Chi...
3
Sclerotherapy
Conservative
Orthotopic liver transplantation
Shunt surgery
Surgery
Liver
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single
Microcytic hypochromic anaemia is seen in all except-
null
3
Beta thalassemia
Iron deficiency
Malaria
Lead poisoning
Medicine
null
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multi
Surface Immunoglobulin is found in which cell ?
Ans is b' i.e. B-cell B cells recognize antigen the B-cell antigen receptor complex.Ig M and Ig D, present on the surface of all naive B cells, constitute the antigen binding component of B-cell receptor complex.After antigenic stimulation, B cells form plasma cells that secret immunoglobulin.
2
T-cell
B-cell
NK cell
Plasma cells
Pathology
null
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Night blood survey is done in ?
Ans. is 'a' i.e., Filaria The microfilariae of W. bancrofti and B. malayi occuring in India display a nocturnal periodicity, i.e., they appear in large number at night and retreat from the blood stream during the day. This is a biological adaptation to the nocturnal biting habits of vector mosquitoes. The maximum densi...
1
Filaria
Typhoid
Malaria
Kala-azar
Social & Preventive Medicine
null
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single
Essential pentosuria is due to deficiency of
Repeated question
3
Gulonolactone oxidase
Phosphoglucomutase
Xylulose reductase
Fructokinase
Biochemistry
Metabolism of carbohydrate
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single
Simple squamous epithelium is seen in
Squamous epithelium lines theinside of the hea ,where it is called endothelium INDERBIR SINGH&;S TEXT BOOK OF HUMAN HISTOLOGY-REFERENCE page no:41
1
Blood vessels
Thyroid follicle
Esophagus
Hard palate
Anatomy
General anatomy
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single
Tomcat urine odor is seen in:
MULTIPLE CARBOXLASE DEFICIENCY - BIOTIN is coenzyme in carboxylase reaction. Defects in the ability to add or remove biotin from carboxylases result in multiple carboxylase deficiency. It is autosomal recessive Developmental delay Treatment is biotin supplement Tomcat Urine odour
1
Multiple carboxylase deficiency
Phenylketonuria
Hawkinuria
Maple syrup disease
Biochemistry
Classification and metabolism of amino acids
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single
Macula is
Ans. Constant blinking
4
Optic nerve
Optic tract
Periodic bluring of vision
Constant blinking
Ophthalmology
null
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single
During resuscitation, fractured ribs most commonly involve:
Ans. c. 4th -- 6th ribs Reasonable conclusions to be drawn from the literature in relation to rib fractures in adults Rib fractures following CPR in adults are quite common - 30 to 60% of prospective post-moem studies. Post-CPR rib fractures are often bilateral. The site of rib fracture is dependent on: the position of...
3
2nd -4th ribs
3rd -5th ribs
4th -6th ribs
5th -7th ribs
Surgery
null
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single
In a pregnant female which drug is strictly contraindicated?
Ref: Goodman & Gillman 13th ed. P 1045; Harrison 20th edition, Page 1112* Streptomycin is highly ototoxic (vestibulotoxic >> Cochleotoxic) and nephrotoxic drug.* It is strictly contraindicated throughout the pregnancy.Drugs during pregnancy Drugs safe in pregnancyDrugs contraindicated in pregnancy (Safety uncertain)* A...
1
Streptomycin
Isoniazid
Cephalosporins
Penicillin
Pharmacology
Anti Microbial
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single
Which of the following ultra-violet radiation cause most skin disorder-
Cutaneous responses to uv radiation UVA -315-400nm immediate erythema Immediate pigment darkening- merowsky phenomenon drug induced photosensitivity photoageing UVB- 280-315nm 1000x more erythmogenic, associated with sunburn delayed melanogenogenesis major role in carcinogenesis role in photoageing role in vitamin d sy...
2
UV-A
UV-B
UV-C
null
Dental
Photosensitive disorders
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multi
Which of the following is not a feature of primary tuberculosis: September 2010
Ans. A: Apical lung cavityThe primary complex generally exists singly and only occasionally in multiple units.In overwhelming majority of cases primary complex occurs in the lungs and only in about 5% cases they are distributed among the intestines, Oropharynx, the skin and other rarer sites. The primary focus in the l...
1
Apical lung cavity
Ghon's focus
Paratracheal lymphadenopathy
Heal spontaneously by fibrosis
Pathology
null
9c51fc8d-b66b-45b1-b11d-90564c5e1283
single
Vossius ring occurs in
B i.e. Concussion injury
2
Lens dislocation
Concussion injury
Penetrating injury
Extra capsular extraction
Ophthalmology
null
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single
Repeated involuntary regurgitation of food is associated with which of the following disorders?
Rumination disorder: Effoless and painless regurgitation of paially digested food into the mouth soon after a meal, which iseither swallowed or spit out According to DSM-5, the disordermust be present for at least 1 month after a period of normal functioning, and not better accounted for by gastrointestinal illness, or...
2
Binge eating disorder
Rumination disorder
Bulimia nervosa
Anorexia nervosa
Psychiatry
Eating Disorders
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single
A young female patient reports to the dental office with complaint of small gaps between her teeth If a proper placement technique is not followed, it would result in
null
3
Tooth sensitivity
Wear of opposing teeth
Debonded restoration
Healthy gingiva
Dental
null
a76da0bd-78c9-471a-af60-8c1331e21d55
multi
Paneth cells secrete which of the following ?
null
1
Antibacterial substance
Lipase
Maltase
Secretin
Physiology
null
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single
Sphenoidal sinus opens into:
(d) Spheno-ethmoidal recess(Ref. Cummings, 6th ed., 659)The Sphenoid sinus opens into the spheno-ethmoidal recess just above the superior turbinate.
4
Superior meatus
Inferior meatus
Middle meatus
Spheno-ethmoidal recess
ENT
Congenital Lesions and Stridor
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single
When evaluating an ABG from a client with a subdural hematoma, the nurse notes the PaCO2 is 30 mm Hg. Which of the following responses best describes this result?
A normal PaCO2 value is 35 to 45 mm Hg. CO2 has vasodilating properties; therefore, lowering PaCO2 through hyperventilation will lower ICP caused by dilated cerebral vessels. Option B: Oxygenation is evaluated through PaO2 and oxygen saturation. Option D: Alveolar hypoventilation would be reflected in an increased PaC...
1
Appropriate; lowering carbon dioxide (CO2) reduces intracranial pressure (ICP).
Emergent; the client is poorly oxygenated.
Normal
Significant; the client has alveolar hypoventilation.
Medicine
null
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Acute uraemic syndrome causes disturbance in
(B) Consciousness # Clinical Abnormalities in Uremiaa> Neuromuscular disturbances Fatigue Sleep disorders Headache Impaired mentation Lethargy Asterixis Muscular irritability Peripheral neuropathy Restless legs syndrome Paralysis Myoclonus Seizures Coma Muscle cramps Dialysis disequilibrium syndrome Myopathy
2
Affect
Consciousness
Thought
Memory
Medicine
Miscellaneous
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single
Potato nodes are feature of?
ANSWER: (A) SarcoidosisREF: Chest radiology: the essentials By Jannette Collins, Eric J. Stern, page 165, http://medical- dictionary.thefreedictionary.com/potato+node* Sarcoidosis is a systemic disease characterized by non-caseating granulomas in multiple organs.* In 90% of cases, Symmetrical massive bilateral hilar ly...
1
Sarcoidosis
Tuberculosis
Carcinoid
Lymphoma
Surgery
Miscellaneous
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In venturi mask maximum O2 concentration attained is
Maximum concentration delivered by ventimask (venturimask) is 60%.
3
90%
100%
60%
80%
Anaesthesia
null
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Dihydroergotamine differs from ergotamine in the following respect :
Hydrogenation of ergot alkaloids decrease their vasoconstrictor action and increase the α-blocking activity.
4
It is a more potent oxytocic
It has antiemetic property
It has high oral bioavailability
It is more potent α-adrenergic blocker and less potent vasoconstrictor
Pharmacology
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A woman consumes several tabs of Amitryptilline (case of amitryptiline poisoning). All of the following can be done exceptaEUR'
Atropine as antidote Tricyclic s include Amitriptvline Clornipramine Imipramine Tricyclics act primarily by inhibiting serotonin and norepinephrine reuptake. It result in elevation of extracellular concentration of these drugs. The toxic effects of tricyclics are caused by four main phannacological propeies. a) Inhibit...
4
Sodium bicarbonate infusion
Gastric lavage
Diazepam for seizure control
Atropine as antidote
Pharmacology
null
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A 3 hour old preterm baby develop respiratory grunt and X-ray shows reticulonodular pattern. Diagnosis is
Hyaline membrane disease Respiratory distress occurs in the first 6 hours of life Tachypnoea,retractions,cyanosis,grunting,decreased air entry are seen X ray:reticulogranular pattern,ground glass opacity,low lung volume,air bronchogram Ref : ESSENTIAL PEDIATRICS,O.P.GHAI, PG NO:143, 7th edition
1
Hyaline membrane disease
Transient tachypnea of newborn
Meconium aspiration syndrome
All of the above
Pediatrics
Respiratory system
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Following group of drugs is not the first line in the management of chronic
null
3
Opioids
Antiepileptics
Dopamine antagonist
Serotonergic drugs
Anaesthesia
null
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single
The principal site of acidification of urine is:
Acidification occurs in collecting duct and DCT, but collecting duct is more important. Hence, answer is D>A.
4
Distal convoluted tubule
Proximal convoluted tubule
Loop of Henle
Collecting duct
Physiology
null
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single
Keratin in the nail is exceptionally stronger than others because of
Mammals contin alpha keratin. It is classified into soft and hard keratin depending on the suphur content. The cysteine residues are resposible for disulphide bridge formation which confers characteristic texture for each type of protein. Soft keratin having low sulphur content is present in skin.Hard keratin is presen...
1
Disulphide
Van der Wall's forces
Ionic bonds
Calcification
Biochemistry
Structure and function of protein
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Organisms that have not been cultured successfully so far is?
Pathogenic Treponemes do not grow in aificial culture media. They require a living organism like a virus for their growth REF: Textbook of microbiology Ananthanarayan, and Paniker. Page no.: 371
2
Leptospira
Treponema pallidum
Bordetella
Staphylococcus
Microbiology
general microbiology
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All of the following drugs are used as immuno-suppressants except.
Ans. (C) Cephalosporin(Ref: Principles of Pharmacology, 1/e p912; KDT 8/e p937)Cephalosporins are b-lactam antibiotics whereas other drugs are immunosuppressants.
3
Glucocorticoids
Cyclosporine
Cephalosporin
Azathioprine
Pharmacology
Immunomodulatory: DMARDS, Monoclonal Antibodies
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3 years old child can do ?
by 3 years the child can know it&;s full name and gender,copies circle,build bridge with blocks. The child can pronounce I,u and me by 2 yrs Ref : OP GHAI - ESSENTIAL PEDIATRICS - 8 TH edition page no..52 and 53</p >
1
Make bridge of 3 cubes
Copy square
Identify left and right
Use pronounce like I, you & me
Pediatrics
Growth and development
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A 17-year-old boy is admitted to the hospital after a road traffic accident. Per abdomen examination is normal. After adequate resuscitation, his pulse rate is 80/min and BP is 110/70 mm Hg. Abdominal CT reveals 1 cm deep laceration in the left lobe of the liver extending from the done more than half way through the pa...
Classification of liver injury (Moore) Grade Types Operative or CT Scan findings I Hematoma Laceration Subcapsular, <10% of surface area Capsular tear, < 1 cm in parenchymal death II Hematoma laceration Subcapsular, 10-50% of surface area Intraparenchymal, <10 cm in diameter 1-3 cm in parenchymal depth, <10 cm in lengt...
1
Conservative treatment
Abdominal exploration and packing of hepatic wounds
Abdominal exploration and ligation of left hepatic aery
Left hepatectomy
Surgery
Trauma
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As per the Central Bih and Death Registration act, a bih should be registered within:
been changed as per "THE REGISTRATION OF BIHS AND DEATHS(AMENDMENT) BILL, 2012 A BILL fuher to amend the Registration of Bihs and Deaths Act, 1969" Ref: Park, 21st Edition, Page 779
4
7 days
10 days
14 days
21 days
Social & Preventive Medicine
null
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Atonic post paum hemorrhage occurs in all except :
Erythroblastosis fetalis
3
Multiple pregnancy
Hydramnios
Erythroblastosis fetalis
Prolonged labour
Gynaecology & Obstetrics
null
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Widening of C loop of duodenum is a feature of:
A i.e. Pancreatic Head Growth On barium meal, the loop of duodenum is widenedQ also k/a Pad Sign in cases of carcinoma head of pancreas.
1
Pancreatic head growth
Carcinoma stomach
Splenic involvement
Involvement of upper renal pole
Radiology
null
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The action of the anconeus muscle is -
Action of Anconeus -        Helps triceps in extension of elbow joint. -        Resists abduction of ulna on pronation of forearm. -        Screwing movement -        Elbow joint capsule tensor.
1
Screwing movements
Elbow flexion
Forearm supination
Adduction
Anatomy
null
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Most common method of radiation dose delivery is:
Teletherapy REF: therapy, "External radiation therapy (also known as Teletherapy) is the most common kind of radiation therapy"
1
Teletherapy
Electron beam
Brachytherapy
Radio immunotherapy
Radiology
null
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True statement about the external nose is
External nose has an osteocailaginous framework of which upper one-third is bony and lower two-thirds is cailaginous. Bony pa- Consists of two nasal bones Cailaginous pa: - Consists of two upper lateral cailages, two lower lateral cailages, two or more lesser alar (or sesmoid) cailages anda septal cailage. So, there ar...
4
Upper 2/3 is bony
Lower 1/3 is cailaginous
Single lateral cailage
Two nasal bones
ENT
Nose and paranasal sinuses
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multi
Which of the following is not a tributary of azygos vein?
Tributaries of Azygos vein Right superior intercostal vein Right posterior intercostal veins (5 to 11) Hemiazygos vein Accessory hemiazygos vein Right bronchial vein Esophageal, mediastinal and pericardial veins.
3
Right posterior intercostal
Right superior intercostal
Left superior intercostal
Accessory hemiazygos
Anatomy
null
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In a severe untreated case of tuberculous meningitis CSF shows
(B) Increased lymphocytes
2
Increased sugar
Increased lymphocytes
Increased polymorphs
Increased RBCs
Medicine
Miscellaneous
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Which of the following statements best characterizes natural killer cells?
Natural killer (NK) cells account for 5% to 10% of lymphocytes. They paicipate in antibody dependent cellular cytotoxicity reactions (type II hypersensitivity reactions). NK cells are not T cells and are sometimes referred to as null cells. They can lyse virally infected cells and tumor cells without prior sensitizatio...
4
They are a subset of T cells
They are involved in type III hypersensitivity reactions
They require prior sensitization in order to kill virally infected cells or tumor cells
They paicipate in antibody-dependent cellular cytotoxicity reactions
Pathology
General pathology
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Mackler's triad includes all except
Mackler's triad is seen in Boerhaave's syndrome. It consists of Vomiting, Chest pain and Subcutaneous emphysema. Reference : page 802 SRB's manual of surgery 5th edition
4
Vomiting
Subcutaneous emphysema
Lower thoracic pain
Peripheral cyanosis
Surgery
Urology
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Most Common site for carcinoma stomch ?
Ans. is 'a' i.e., Antrumo The location of gastric carcinomas within the stomach is as fallows ;Pylorus and antrum 50 - 60%Cardia --> 25%Body and fundus --> Remaindero The lesser curvature is involved in about 40%and the greater curvature in 12%. o Thus, a ored location is the lesser curvature of the antropyloric region...
1
Antrum
Fundus
Lesser curvature
Greater curvature
Pathology
null
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single
36 week a pregnant female, a case of pre-eclampsia, presented with blurred vision and headache. Her blood pressure is 160/110 mmHg. Next step in management is:
Termination of pregnancy is the only cure for pre-eclampsia. Headache, visual disturbances, or epigastric pain is indicative that convulsions may be imminent, and oliguria is another ominous sign. Severe preeclampsia demands anticonvulsant and usually antihypeensive therapy followed by delivery. Ref: Cunningham F.G., L...
1
Admit & give antihypeensives, MgSO4 and terminate
Admit & give antihypeensives, MgSO4 and observation
Only admit & watch the patient
Give antihypeensives and send home
Gynaecology & Obstetrics
null
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multi
Nux vomica seeds contain 2 alkaloids, strychine and-
Nux vomica seeds contain strychine, brucine and loganin.
3
Hyoscine
Hyoscyamine
Brucine
Atropine
Forensic Medicine
null
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single
Defect in xeroderma pigmentosum (Repeat)
Ans: C (Nucleotide excision repair) Ref: Robbins Pathologic Basis of Disease, 8th edition, Pg: 275 & Frosiius G Commentary: DNA base excision repair defects in human pathologies Free Radic Res. 2004 Oct:38(10): 1037-54.Explanation:Types of defects in DNA-repair systems and conditions associatedDNA Repair MechanismsDise...
3
Mismatch repair
Base excision repair
Nucleotide excision repair
Double strand break repair
Pathology
Nature of Gene Abnormalities
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Most common intracranial tumor in adults is -
Ans. is 'b' i.e., Metastases * Brain metastases are the most common intracranial tumors in adults and account for more than one half of the brain tumors.* The most common mechanism is by hematogenous route.* The most common site is at the junction of grey and white matter.
2
Astrocytoma
Metastases
Meningioma
Oligodendroglioma
Surgery
Nervous System
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single
Which of the following is false about glutathione
Glutatione suppress the formation of methemoglobin. Rest others are functions of glutathione. It is a important intracellular reducing substance.
4
It decrease free radicals, reduces oxidative stress
Helps in conjugation reactions
Cofactor of enzymes
Converts hemoglobin to methemoglobin
Biochemistry
null
106f919f-580d-4d06-9767-4dec8845a77a
multi
Which is the most common site for ectopic testis
Most common site for undescended testis is inguinal canal
2
Iliac fossa
Inguinal canal
Abdomen
Lumbar
Surgery
null
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single
Amyloid is detected by staining with all except
(B) Alcain Blue # Amyloid fibrils are idenfied in biopsy or necropsy tissue sections> The systemic amyloidosis offer a choice of bipsy sites; abdominal fat aspirates or renal or rectal biopsies are often perform ed.> Microscopically, amyloid depsotis stain pink with the hematoxylin-eosin stain and show metachromasia wi...
2
Methyl violet
Alcain Blue
Congo Red
Thioflavin
Pathology
Misc.
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multi
The recommended hemoglobin level in male patients with polycythemia rubravera to avoid thrombotic episodes is:
Polycythemia rubra vera It is an indolent disorder and thrombosis is the most significant complication. Maintenance of the hemoglobin level at 140 g/L (14 g/dL; hematocrit Phlebotomy : serves to help this aim. Phlebotomy reduce hyperviscosity by bringing the red cell mass into the normal range. Periodic phlebotomies ma...
1
14 g/dl
12 g/dl
10g/dl
8g/dl
Medicine
null
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single
In a patient with the burn wound extending into the superficial epidermis without involving the dermis would present with all of the following except
.a. Paial thickness burns: It is either first or second degree burn which is red and painful, often with blisters b. Full thickness burns: It is third degree burns which is charred, insensitive, deep involving all layers of the skin.Effects of Burn Injury 1. Shock due to hypovolaemia. 2. Renal failure. 3. Pulmonary oed...
2
Healing of the wound spontaneously without scar formation
Anaesthesia at the site of burns
Blister formation
Painful
Surgery
General surgery
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All of the following statements about Kawasaki disease are true, Except:
Answer is C (Thrombocytopenia) : Kawasaki disease is associated with thrombocytosis and not thrombocytopenia.
3
Immunoglobulin are the treatment of choice
Prognosis is good
Thrombocytopenia
Elevated ESR
Medicine
null
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multi
Nitric oxide is a potent vasodilator. Where is it produced from?
Nitric oxide, known as the 'endothelium-derived relaxing factor', or 'EDRF'. Endothelial cells contain the constitutive form of nitric oxide synthase, which produces moderate amounts of nitric oxide by metabolizing L-arginine. The endothelium of blood vessels uses nitric oxide to signal the surrounding smooth muscle to...
1
Endothelium
RBC
Platelets
Lymphocytes
Physiology
null
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Primary level of prevention means: March 2013 (g)
Ans. B i.e. Action taken prior to the onset of disease, which removes the possibility that a disease will ever occur
2
Effos are directed towards discouraging children from adopting harmful lifestyles
Action taken prior to the onset of disease, which removes the possibility that a disease will ever occur
Action which halts the progress of a disease at its incipient stage and prevents complications
All measures available to reduce or limit impairments and disabilities, minimize suffering caused by existing depaures from good health
Social & Preventive Medicine
null
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multi
Demyelination is seen in -a) Multiple sclerosisb) AIDSc) Human leukoencephalopathy d) Leukodystrophy
null
4
ab
bc
acd
abc
Medicine
null
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single
Four A's of schizophrenia was described by: MP 09
Ans. Eugene Bleuler
2
Ku Schneider
Eugene Bleuler
Karl Jaspers
Emil Krapellin
Forensic Medicine
null
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single
All of the following results in central nervous system manifestation in chronic renal failure, EXCEPT:
Hypocalcemia can occur in chronic renal failure patients. But CNS manifestation of hypocalcemia in uremic patients are relatively rare because parathyroid hormone levels are elevated and the calcium concentration in the brain is high. Rarely signs of peripheral nerve hyperexcitability occur in these patients because hy...
3
Acidosis
Hyperosmolarity
Hypocalcemia
Hyponatremia
Medicine
null
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multi
Which of the following statement about DDT is false-
Ans. is `a' i.e., Immediately kills the prey DDT (Dichloro-diphenyl-trichloroetheine) o DDT is an amorphous white powder. o Para-para isomer is the most active fraction --> contains 70-80% ofpara-para isomers. o It is primarily a contact poison. o It acts on CNS of insects and causes paralysis of legs and wings, convul...
1
It is contact poison
Residual effect lasts for 18 months
Immediately kills the prey
Permethrin has synergistic action
Social & Preventive Medicine
null
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multi
All are true regarding METHANOL poisoning except
Fomepizole is a alcohol dehydrogenase inhibitor not a aldehyde dehydrogenase inhibitor . visual disturbances due to formic acid. Ref: KD Tripathi 8th ed.
2
Hemodialysis should be done when serum methanol concentration is above 50 mg/dl
Fomepizole acts by inhibiting aldehyde dehydrogenase
High anion gap metabolic acidosis is seen in severe cases
Visual disturbances are commonly seen
Pharmacology
Central Nervous system
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multi
An 18-year-old male presented with acute onset descending paralysis of 3 days duration. There is also a history of blurring of vision for the same duration. On examination, the patient has quadriparesis with areflexia. Both the pupils are non-reactive. The most probable diagnosis is -
Botulism is caused by neurotoxins of Clostridium botulinum, which are extremely potent & cause disease after ingestion of even picogram amounts. Its classical form is an acute onset of bilateral cranial neuropathies associated with symmetric descending weakness.The toxin causes predominantly bulbar & ocular palsies(dif...
2
Poliomyelitis
Botulism
Diptheria
Porphyria
Medicine
Infection
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The following set of findings is seen in Disseminated Intravasular Coagulation (DIC):
Common findings in Disseminated Intravascular Coagulation (DIC) include Prolonged Prothrombin Time (PT) and/or Prolonged Paial Thromboplastin Time (PTT), thrombocytopenia, presence of schistocytes and increased levels of fibrin degradation products (FDP). Ref: Harrison's Principles of Internal Medicine, 17th Edition, P...
4
Increased fibrinogen, increased antithrombinIII, increased thrombin-antithrombin III complexes
Increased FDP, decreased PT, increased antithrombin III
Increased FDP, prolonged PT, increased thrombin-antithrombin complexes
Increased FDP, prolonged PT, reduced Platelets
Medicine
null
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single