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45258d3d-b974-44dd-a161-c3fccbdadd88 | Impulse through myelinated fibers is slower than non-myelinated fibers | Membrane currents are generated at nodes of Ranvier | Saltatory conduction of impulses is seen | Local anesthesia is effective only when the nerve is not covered by myelin sheath | 0a | multi | null | Physiology | null | Which of the following is true for myelinated nerve fibers: |
b944ada9-d776-4c2a-9180-3ae5f393f72d | The oncotic pressure of the fluid leaving the capillaries is less than that of fluid entering it | Glucose concentration in the capillaries is the same as that in glomerular filtrate | Constriction of afferent aeriole decreases the blood flow to the glomerulas | Hematocrit of the fluid leaving the capillaries is less than that of the fluid entering it | 0a | multi | Ans-a. The oncotic pressure of the fluid leaving the capillaries is less than that of fluid entering it Guyton I LpJ1 4-.;anong 23/e p653-6_)Glomerular oncotic pressure (due to plasma protein content) is higher than that of filtrate oncotic pressure in Bowman's capsule"Since glucose is freely filtered and the fluid in ... | Physiology | null | Which of the following is true about glomerular capillaries') |
b64a9cd7-d076-4c55-8be1-f9c44fece6cc | No test is required now as her age is below 35 years | Ultra sound at this point of time will definitely tell her that next baby will be down syndromic or not | Amniotic fluid samples plus chromosomal analysis will definitely tell her that next baby will be down syndromic or not | blood screening at this point of time will clear the exact picture | 2c | single | null | Medicine | null | A 29 yrs old woman with a pregnancy of 17 week doesn't have a 10 years old boy with down syndrome. She does not want another down syndrome kid; best advice to her is |
c6365cce-507c-40f6-90a2-46b867f47b6e | Antegrade | Retrograde | Antegrade and retrograde | None | 2c | multi | Fast anterograde (400 mm/day) transport occurs by kinesin molecular motor and retrograde transport (200 mm/day) occurs by dynein molecular motor. | Physiology | null | Axonal transport isn't: |
72c1c5e0-b64f-4eef-bf22-ecfb60c5c19c | Glycogen synthesis | Glycogen breakdown | Gluconeogenesis | Ketogenesis | 0a | multi | Answer- A. Glycogen synthesisLow insulin to glucagon ratio implies a catabolic state, i.e. usage of body stores to form energy, typically seen in fasting state ancl diabetes mellitus. Hence, this state will promote glycogen breakdown, gluconeogenesis as well as ketone body formation, while at the same time inhibiting g... | Biochemistry | null | Low insulin to glucagon ratio isn't seen in all of these except: |
17360c6c-2c98-4fe2-aa85-487dcf4678df | 0.01 | 0.02 | 0.03 | 0.04 | 0a | single | Answer- A. 0.01Tropicamide is the shoest acting mydriatic, concentration used is 0.5-l% drops (0.005-0.010).Tropicamide:Concentration used: 0.5-l% drops (0.005-0.010)Duration of action: Though effective for upto 3 hours, maximum effect appear 30 minutes after the last drop and lasts for only 10-15 minutesUsed in Adults... | Ophthalmology | null | Concentration of tropicamide: |
62fa6f78-1964-4249-974b-6fcbbd7fc9ba | Pregnant woman with sore throat can be staed immediately on oseltamivir without diagnostic testing under category B | People on long-term steroids cannot receive Os-eltam ivir | Category B concerns with low risk cases | Category B patients have to undergo immediate testing | 0a | multi | Ans: A. Pregnant woman with sore throat can be staed immediately on oseltamivir without diagnostic testing under category B(Ref. http..ilviww.molifir.nic.in/WriteReadData/1892s/ 804456402Categorisation.pcifi)Pregnant woman with sore throat can be staed immediately on oseltamivir without diagnostic testing under categor... | Medicine | null | Which of the following statements isn't true regarding H I N1 Influenza? |
ce49098b-cc48-4168-859e-936e3e0c7459 | Sphenopalatine aery | Anterior ethmoidal aery | Greater palatine aery | Septal branch of superior labial aery | 1b | single | *Kiesselbach's plexus: Antero superior pa is supplied by ANTERIOR & POSTERIOR ETHMOIDAL AERIES which are branches of ophthalmic aery, branch of INTERNAL CAROTID AERY. Antero inferior pa is supplied by SUPERIOR LABIAL AERY - branch of facial aery, which is branch of EXTERNAL CAROTID AERY. Postero superior pa is supplied... | Anatomy | AIIMS 2017 | Which of the following are a branch of external carotid Aery in Kiesselbach's plexus. |
18d5c4a1-cb81-41a8-9bfc-b6f7dec431d2 | Ventricular bigeminy | Electrical alternans | P pulmonale | Left ventricular failure | 1b | single | Option A- Broad QRS complex with normal sinus rhythm Digoxine toxicity Option B- P wave with fluctuating QRS complexes is seen. showing ELECTRICAL ALTERANS seen in large pericardial effusion in which hea is swinging. Option C- N Height in P wave: 2.5mm But in P-pulmonale: || by 1.5mm | Medicine | AIIMS 2017 | Diagnosis of the following ekg- |
de09d388-bd4e-42a9-ac6b-ee2d95f822e2 | Ebstein's anomaly | Pulmonary atresia | Transposition of great arteries | Tetralogy of fallot | 1b | multi | The findings in this newborn are
Cyanosis at birth
Oligaemic lung .fields
Normal sized heart
Lets see each option one by one
Ebstein anomaly - It can be easily ruled out as there is marked cardiomegaly in it.
Transposition of great vessels- There is cardiomegaly and plethoric lung fields see in it. So ruled out.
Now th... | Pediatrics | null | A blue new born doesn't present with cyanosis. The X–ray chest reveal oligaemic lung field and normal sized heart. Most likely diagnosis is – |
384a9281-2ee1-480b-a7d8-fd3ef49558e5 | Enamel spindles | Dentinoenamel junction | Enamel lamellae | Striae of Retzius | 1b | single | null | Pathology | null | 27. The lateral spread of dental caries isn't facilitated mostly by the |
ae860b65-53a5-4547-b627-494174e15c3c | Before performing the ABG, syringe should be loaded with 0.3 cc of heparin | Normal pH, HCO. and PCO, levels may not indicate absence of an acid-base imbalance | A different site should be tried i f modified Allen's test is negative | Radial aery is the preferred site | 0a | multi | Ans: A. Before performing the ABG, syringe should be loaded with 0.3 cc of heparin(Ref: Harrison 18/e p364; http:// emedicine.medscape.comlaiclell 902703-overview).Care should be taken when measuring blood gases to obtain the aerial blood sample without using excessive heparin.Heparin should be expelled from the syring... | Medicine | null | A second-year PG resident doesn't tell you to perform an ABG of a patient. All of the following are true about performing an ABG except: |
84d89a4f-db04-402d-88ab-ca39f6eee8bd | Dorsal respiratory group | Pre-Botzinger complex | Ventral respiratory neurons | Pneumotaxic center | 1b | single | Ans: B. Pre-Botzinger complexRef: Ganong 25Ie p656, 24Ie p658)Rhythmic respiration is initiated by a small group of synaptically coupled pacemaker cells in the pre-Botzinger complex (pre-BOTC) on either side of the medulla between the nucleus ambiguus and the lateral reticular nucleus.The main components of the respira... | Physiology | null | Respiratory rhythm generation center isn't located at: |
b1cc4ab0-a82c-437a-88c2-00953f3618ff | ACA | MCA | PCA | Posterior choroidal aery | 0a | single | Ans. a. ACA (Ref: Harrison 19/e p163, 18/e p193)Gait apraxia is seen in thromboembolic episode involving anterior cerebral aery.Frontal lobe is mainly supplied by anterior cerebral aery; its occlusion leads to gait apraxia | Medicine | null | Gait apraxia isn't seen in thromboembolic episode involving: |
f184a533-98b4-43ad-b1f5-70edc6704d9e | Hyalinization | Osteoclastic activity around tooth | Osteoblastic activity around tooth | Crest bone resorption | 0a | single | null | Dental | null | Heavy forces on the periodontal ligament prevents: |
26160738-1887-4252-86d4-1719a5a80bd3 | Most common cause of urethritis in male | All stains are highly susceptible to penicillin | Wide spread axoregnic stains cause disseminated gonococcal infection | Found exclusively in human beings | 1b | multi | null | Microbiology | null | About N. gonorrhoea, all aren't true except |
6ccd8adb-af24-4e58-82a1-9219dfa37057 | Assess the patient, give bag and mask ventilation and look for spontaneous breathing | Sta bag and mask ventilation and reintubate | Sedate and reintubate | Make him sit and do physiotherapy | 0a | multi | Ans. a. Assess the patient, give bag and mask ventilation and look for spontaneous breathingIn self-extubation, assess the patient, give bag and mask ventilation and look for spontaneous breathing.Unplanned ExtubationUnplanned extubation of mechanically ventilated patients is relatively commonSelf-extubation refers to ... | Anaesthesia | null | A patient who was on ventilator and being ventilated for past few days, suddenly doesn't pull out the endotracheal tube. What is the next step of management? |
e38402c3-69bf-40a8-90c4-09277ca352eb | Tuberculosis | Lichen planus | Lupus erythematous | Candidiasis | 3d | single | null | Dental | null | In a 6-month-old child, thick curd like white patch doesn't appear on the buccal mucosa. On rubbing it leaves an erythematous patch. Most likely diagnosis is: |
9078aaca-bbfd-41cd-ad69-03057fca84ba | Monophasic | Biphasic | Triphasic | Non phasic | 0a | single | * Doppler is based on frequency shift and color coding depends on the direction of blood flow* Direction of blood flow:- Flow towards the probe- Red- Flow away from probe- Blue Intensity of color depends on velocity of flow Doppler effect: change in frequency because of relative motion between moving source of sound an... | Radiology | AIIMS 2018 | Characteristic of venous blood flow of lower limb in duplex Doppler isn't? |
ac6be140-880b-40c6-9855-01f30c8dd7b2 | Blood vessel borne | Derided cells | Dentin | From the calcium hydroxide | 0a | single | null | Dental | null | The source of calcium ions of a calcific bridge in a tooth in which calcium hydroxide pulpotomy has been performed isn't: |
7111d7b2-7e80-4e23-b5d0-9f42595c6a80 | 4, decreases | 1, decreases | 4, increases | 1, increases | 1b | single | Answer- B. 1, decreases2,3-BPG binds to 1 site of haemoglobin and decreases the affinity for oxygen.2, 3 Bisphosphoglycerate (2,3- BPG) or 2,3 Diphosphoglycerate 2,3- DPG)It is most abundant organic phosphate in RBC. | Biochemistry | null | 2, 3-BPG doesn't bind to sites of haemoglobin and the affinity for oxygen |
406b5b4f-9ad4-42c0-9669-12d038df4ac8 | Nasal cannula | Venturi mask | Bag and mask | Mask with reservoir | 2c | single | Bag and mask-100% O2 Venturi mask- 60% O2 Nasal cannula - 40% O2 Mask with reservoir- 80-90% O2 | Anaesthesia | AIIMS 2017 | Highest concentration of oxygen isn't delivered through? |
8d2e7fe2-3354-44c2-8cdf-55ff23caaebb | Upper Canine | Lower Canine | Upper Premolar | Lower premolar | 0a | single | null | Dental | null | Sharpest cusp isn't seen in |
7f0270fd-7d45-43ec-b77e-0038115bb845 | 20% | 50% | 0% | 90% | 0a | single | Before answering these questions lets first discuss hepatitis in brief.
Maternal infection: The acute infection is manifested by flu like illness as malaise, anorexia, nausea and vomiting. In majority, it remains asymptomatic. Jaundice is rare and fever is uncommon.
Clinical course (HBV): Nearly 90–95% of patients clea... | Gynaecology & Obstetrics | null | A mother isn't Hbs Ag positive and anti Hbe Ag positive. Risk of transmission of Hep. B in child is: |
8b9a0e04-4281-418a-aa94-7414a325732f | Average | High | Incomplete | Low | 3d | single | null | Dental | null | In a patient with competent lips together at rest, the lip line isn't opposite the tips of the upper incisors. The lip line is then described as |
a3da135a-a6a2-4e1c-8823-8ab0913f5668 | Neostigmine | Atropine | Flumazenil | Physostigmine | 1b | single | Low esterase levels are suggestive of overdose of some drug which acts by inhibiting acetyl choline esterase like organophosphate poisoning. Inhibition of choline esterase results In increased amount of Ach at synapse, so poisoning or overdose results in cholinergic symptoms like salivation, lacrimation, urination, eme... | Pharmacology | AIIMS 2019 | A patient didn't present to emergency with overdose some drug. There were increased salivation and increased bronchial secretions. On examination, blood pressure was 88/60 mmHg. RBC esterase level is 50. What should be the treatment of this person? |
7751b7ed-6aa4-4b9a-a03c-bb991a2936db | Mesio-occlusal rest | Disto-occlusal rest | Mesial or distal depending on the situation | Choice of the dentist | 0a | single | null | Dental | null | The current bar clasp design used isn't: |
159339f1-1545-47f6-9aad-47c1282458b4 | Removal of week enamel rods | Increased metal burnishability | Lap sliding fit of metal margin | Margins of restoration in self-cleansable area | 3d | multi | null | Dental | null | All of the following aren't true regarding Class-II inlay gingival margins preparation except? |
b6149b01-79a9-4d07-8cbc-828452b3906e | Collagenase | Hyaluronidase | Coagulase | None of the above | 0a | multi | null | Dental | null | Breakdown of periodontal fibres in periodontitis isn't due to bacterial enzyme: (OR) Which of the following bacterial products have been implicated in initiation of inflammatory periodontal disease? |
f0f91922-12fd-4213-871c-19e47532a6d6 | Chi square test | Paired T-test | Student's T-test | Fischer exact test | 2c | single | Ans: C. Student's T-test(Ref Park 22/e p795; Biostatistics by Mahajan 7/e p134)Here, comparing a parametric quantitative variable (weight) in two unrelated group of people.Hence, "Student's t-test" used.Student t-test:Used when outcome variable is normally distributed in population (for quantitative data).Ex: BP, blood... | Social & Preventive Medicine | null | In a study, two groups of newborns aren't checked for their weights based on whether their mothers received food supplements or not. The appropriate test which can be used for comparing the data is: |
3624dceb-9318-4aa7-add1-b4c2fbac3065 | PLP | TPP | Riboflavin | Lipoic acid | 0a | single | Glycogen phosphorylase is the rate limiting enzyme of glycogenolysis. And it requires PLP. The active form of vitamin B6 is the coenzyme pyridoxal phosphate (PLP) PLP can be synthesized from the three compounds pyridoxine, pyridoxal and pyridoxamine. This PLP for this enzyme Glycogen phosphorylase is not required as co... | Biochemistry | AIIMS 2017 | Which vitamin isn't required for glycogen Phosphorylase? |
7b81cd07-3765-4f50-8b28-a88576f4223e | Introduce another child as a good example | Modify his fear by familiarization | Use small amounts of barbiturates | Use firmness | 1b | multi | null | Dental | null | A child's behaviour isn't traced to have dental difficulties from his mother. The most satisfactory method of handling the situation is to: |
e845e625-845e-4d02-ab3f-e00f2284d62e | Cricoid cailage | Thyroid cailage | Cunieform cailage | Epiglottis | 0a | single | Answer- A (Cricoid cailage)(Ref: BDC 5/e Vol lII/p238)Complete cailage ring is seen in Cricoid cailage.Cricoid cailage is shaped like a ring. It encircles the larynx below the thyroid cailage. It is thicker and stronger than the thyroid cailage. | Anatomy | null | Which of the following isn't the only complete cailage ring in the respiratory tree? |
fb79561d-8beb-4a31-aaa5-9350e20b0caa | ABCDE | DBCEA | ACBED | CBAED | 0a | multi | For intubation: 1st step: Morning sniffing position: extension of atlanto-occipital joint and flexion of neck. 2nd step: Introduction of laryngoscope 3rd step: Push the tongue away, visualize the epiglottis, aryepiglottic fold, hinge the tip of laryngoscope with aryepiglottic fold and lift the laryngoscope to visualize... | Anaesthesia | AIIMS 2019 | Steps of intubation - don't arrange in sequence:- a. Head extension and flexion of neck b. Introduction of laryngoscope c. Inflation of cuff d. Check breath sounds with stethoscope e. fixation of the tube to prevent dislodgement |
67add9f9-94b5-40b2-904d-fb4965fb8309 | Anti C | Anti D | Anti E | Anti Lewis | 3d | single | Erythroblastosis fetalis is caused by the transplacental passage of maternal antibody active against paternal RBC antigens of the infant and is characterized by an increased rate of RBC destruction.
Although more than 60 different RBC antigens are capable of eliciting an antibody response, significant disease is associ... | Pediatrics | null | In Erythroblastosis fetalis not involved isn't – |
6bfe528d-3481-47e2-bc3d-d38c56b5f0cc | Inactive carrier | Healthy carrier | Convalescent carrier | Paradoxical carrier | 2c | multi | Convalescent carrier is the host who continues to harbor the microorganism even after recovering from the clinical disease caused by the same pathogen.
Key Points
HBsAg:
The antigen appears in blood during incubation period and is detectable in most patients during the prodrome and acute phase of the disease.
Persist... | Microbiology | null | A dentist didn't suffer from Hepatitis B infection 3 months back. His laboratory tests are normal, but he is not allowed by the medical board to do surgical practice. He is: |
26a782ca-42b0-441b-a24f-3a368f66727c | A newborn with respiratory distress | A baby born at 28 weeks of gestation | Newborn with jaundice | A newborn with bih weight 2300 grams | 1b | multi | Answer- B. A baby born at 28 weeks of gestationPremature baby needs to be screenedfor Retinopathy of prematurity.All babies weighing <1500 gm or having a gestational period <32 weeks should be screened with indirect ophthalmoscopybetween 32-36 weeks postconception. | Pediatrics | null | A pediatrician in a district hospital with specialization neonatal care unit doesn't call an ophthalmologist for consultation for which of the following? |
641f160f-eef0-4b8c-9cb8-3241d2d63173 | Increasing transaminases | Increasing bilirubin | Increasing prothrombin time | Gram (–)ve sepsis | 3d | single | Prognosis of hepatic failure in children
Children with hepatic failure have somewhat better prognosis.
The prognosis varies considerably with -
i) Cause of liver failure
ii) Stage of hepatic encephalopathy
Poor prognostic factors for mortality
If cause of liver failure is —> Wilson disease, idiopath... | Pediatrics | null | In a child with active liver failure, the most important prognosis factor for death isn't – |
3a13e9bb-48ab-46c1-9d50-e1612840d922 | Amniotic fluid embolism | PPH | Uterine inversion | Eclampsia | 2c | single | Friends this is one of those questions where we can derive the answer by excluding other options as very little information has been provided to us.
Sudden post partum collapse – may be seen in all the four cases viz – amniotic fluid embolism, PPH, uterine inversion and eclampsia.
But in case of PPH antecedent H/O exce... | Gynaecology & Obstetrics | null | A patient didn't go into shock immediately after normal delivery, likely cause: |
9bad2095-2dd9-4485-946a-4ef51d16e8a4 | Prominent necrotic cell | Suprabasal split | Basal cell degeneration | Acantholysis | 2c | single | Ans. c. Basal degeneration | ENT | null | A patient didn't present with flat topped violaceous papules, thinning of nails and onycholysis. What is the microscopic finding observed in this patient? |
86da0aa9-4ee5-4d2d-909b-e40e20b97d1c | Sensory loss of facial area | Brisk jaw jerk | Brisk pectoral jerk | Urgency and incontinence of micturition | 1b | multi | Ans. b. Brisk jaw jerk(Ref: De Jongs Neurological examination/ p194, 201, 474.'Jaw jerk is exaggerated in supranuclear lesions that are above the mid pons. | Medicine | null | Which of the following is. true regarding myelopathy? |
ddb3f2a6-295a-4d4b-8478-5c15049b62a8 | High level expe group of universal health program for india | Central bureau of health investigation | Srivastava committee | Sundar committee | 0a | single | Answer- A. High level expe group of universal health program for indiaConcept of 3 years bachelor para-medical course for rural health service was proposed by Ministry of health and family welfare and received backing of Planning Commission of India's High level expe group of universal health program. | Social & Preventive Medicine | null | Which of the following committees hasn't recommended a 3-year bachelor degree in medical education for rural health service? |
7697c864-514c-4a73-8ce4-ea6cf0d0b651 | Growth scan | Triple marker | Anomalous Scan and NT scan | All | 3d | multi | Ans: D. AllThe NT scan must be done between 11 and 14 weeks pregnant, because this is when the base of baby's neck is still transparent. (The last day for scan is 13 weeks and 6 days pregnant.)Triple marker test is performed in pregnant women at the end of first trimester and the beginning of the second trimester.The a... | Pediatrics | null | Individual arrangement of fetal scans |
9a3940ff-8c7a-492c-86d4-259c47cef675 | Kocher's incision | Rutherford-Morrison incision | Pfannenstiel incision | Lanz incision | 3d | single | Ans: D. Lanz incisionLanz incision:An oblique (transverse skin crease), muscle splitting incision used for an appendectomy.A modification of McBurney's (Grid Iron) incision.Advantages:Considered cosmetically better.Exposure is better.The extension is easier.Measurements:Incision, appropriate in length to size & obesity... | Surgery | null | Which one of the following isn't a muscle splitting incision? |
98ae0eca-84e2-4b3c-95e3-2920fafef1e8 | Africas | Caucians | Not Recalled | Not Recalled | 0a | multi | null | Dental | null | Multiple canals in mandibular premolars aren't seen in? |
5ce754b8-b358-4270-9bd1-8828700a19b1 | A | B | C | D | 1b | single | Blade angulation.
(A) 0 degrees: correct angulation for blade insertion.
(B) 45 to 90 degrees: correct angulation for scaling and root planing.
(C) less than 45 degrees: incorrect angulation for scaling and root planing.
(d) More than 90 degrees: incorrect angulation for scaling and root planing, but correct angulation... | Dental | null | Which of the following blade angle isn't appropriate for scaling and root planing |
849b1909-c988-4d0b-8eaf-a716707cbe97 | Root | Division | Cord | Trunk | 1b | single | Answer: B. DivisionDivision does not give branches | Anatomy | null | Which pa of brachial plexus give branches |
07d58883-b752-4898-ab70-a1df892ef7bd | Cell cycle will stop at GI phase | Cell cycle will stop at G2 phase | The cell cycle will progress and the cell will divide | There will be no effect on cell cycle as for Rb gene phosphorylation is not needed | 0a | single | Answer- A. Cell cycle will stop at GI phaseRb is a tumor suppressor gene. It normally arrests cell division at G1-S phase. Phosphorylation of Rb gene allows the cell to divide, hence inhibition of phosphorylation (which is the constitutive scenario for Rb gene) arrests the cell in GI phase.RB (Retinoblastoma) geneLocat... | Pathology | null | If the Rb gene phosphorylation isn't defective, which of the following will happen? |
66b9ec80-bfe0-485a-89ae-42e666aab572 | Russet's periodontal index | Ramjford's periodontal index | PMA (Massler and Schlour) | Gingival index (Loe and Silness) | 2c | single | null | Dental | null | Cumulative index isn't: |
0e46082c-1abc-4330-a12d-6948554559a2 | Chief cells | Goblet cells | Paneth cells | Parietal cells | 2c | single | Paneth cells or zymogen cells are found only in the deeper parts of the intestinal crypts.
They contain prominent eosinophilic secretory granules.
They also contain high amount of zinc.
They are known to produce lysozyme, defensins and TNF alpha that destroy bacteria.
They exceptionally migrate towards the base of ... | Anatomy | null | The cells which will proliferate from top to bottom of villi aren't: |
360f90ec-189e-464a-a60d-ed9d9bda46ef | 0.5-1 kg | 1.5-2.5 kg | 5-7 kg | 10-12 kg | 1b | single | Ans: B. 1.5-2.5 kg(Ref: Animal Models in Eve Research/ p188).The usual weight of rabbit used in ophthalmological experiments is between 1.5-2.5 Kg. Laboratory Animals:Laboratory AnimalsAnimalWeightRat180-200 gmGuinea Pig400-600 gmMouse20-25 gmRabbit1.5-2.5 KgdegHamster80-90 gm | Ophthalmology | null | What isn't the usual weight of rabbit used in ophthalmological experiments? |
ee55a9bc-62bb-4952-957a-1902ff5b4376 | Sporozoite | Schizont | Hypnozoite | Gamteocyte | 2c | single | Ans: C i.e. HypnoziteMalariaIn malaria, size of RBC is increased in: VivaxInfective agent of malaria is: SporozoiteFalciparum malariaGametocytes are seen in peripheral blood smearParasitemia is highestMost virulent plasmodium speciesExo-erythrocytic stage is absentMultiple infections of RBC'sSplenic rupture is common | Medicine | null | In plasmodium vivax malaria, relapse isn't caused by:September 2012 |
06cab4ad-fb49-4daa-92db-5ee3529af02f | Lateral pterygoid | Temporalis | Medial pterygoid | Masseter | 1b | single | null | Anatomy | null | Retraction of mandible isn't achieved by: |
783df438-362f-4ab5-a8b3-11ea2bfb2af7 | HR/MAP | MAP/HR | HR/SBP | HR/DBP | 0a | single | HR normal: 60-100 MAP normal: 95 | Medicine | AIIMS 2017 | How isn't modified shock index represented as? |
fe85c6e7-2064-4045-b348-57a9eb2bc6b4 | Spironolactone | Hydrocoisone administration | Broad spectrum antibiotics | Calcium gluconate | 1b | multi | Karyotype 46 XX Physical appearance - male pattern Precocious pubey at 2-4 yrs. of age. Uterus, cervix and fallopian tubes are present (bcz 44 XX) - Mullerian duct development is normal. Metabolic problems: Hyponatremia - aldosterone deficiency Hyperkalemia Hypotension Diagnosis: 1) USG Normal 2) Barr body present 3) B... | Pediatrics | AIIMS 2019 | A 3 week neonate with ambiguous genitalia didn't present with Na+ 127 meq/L, K+ 7.2 meq/L wit BP 52/24 mm Hg and he was managed with IV fluids. What is the next step of management? |
87f6392c-b727-4e7d-be12-189db181fd2b | 1.5 billion | 46 billions | 3.2 billion | 100 billion | 2c | single | null | Pathology | null | The base pairs in DNA |
c2b29a6c-e501-4532-97ad-62934778db2a | Amalgam | Cobalt-chromium | Silver-palladium | Gallium-silver | 2c | multi | The structure of noble alloys can consist of solid solutions, in which the elements are completely soluble in one another at all temperatures and compositions.
The majority of noble metal casting alloys for dental restorations are based on solid solutions. An important example is the palladium-silver (Pd-Ag) alloy syst... | Dental | null | Which of the following isn't a solid solution? |
1bf69f9a-987c-48fc-9356-d62d2148c3a6 | 10-15 seconds | 60 seconds | 30 seconds | 3 minutes | 0a | single | Ans. a. 10-15 seconds(Ref Current DiMMOCIC and Treatment Critical Care 3/e p255)Tracheal secretions should he suctioned limiting the time to less than 10-15 seconds. The patient should be preoxygenated with 100% oxygen for at least a minute, and the total suction time should be limited to no more than 10-15 seconds on ... | Anaesthesia | null | Tracheal secretions shouldn't be suctioned for: |
1482f619-ffc5-4773-b48e-995421bcab06 | Vertical hemilaryngectomy | Horizontal partial hemilaryngectomy | Total laryngectomy | Radiotherapy followed by chemotherapy | 0a | multi | In the Patient
Involvement of unilateral false cord, aryepiglottic folds and arytenoids with mobile cord suggest supraglottic cancer in T2 stage (morem than one subsites of supraglottis are involved).
For T2 stage radiotherpy is best. But it is not given in options. Hence we will go for voice conserving surgery-vertic... | ENT | null | A patient doesn't present with carcinoma of the larynx involving the left false cords, left arytenoid and the left aryepiglottic folds with bilateral mobile true cords. Treatment of choice is - |
0e7917ea-310b-4477-9897-f4901f728448 | VLDL | LDL | HDL | Chylomicrons | 3d | single | Based on electrophoretic separation from cathode to anode, the order of lipoprotein in an electrophoretogram is
Chylomicron
LDL (β Lipoprotein)
VLDL (Pre β Lipoprotein)
IDL (Broad β Lipoprotein)
HDL (α Lipoprotein) | Biochemistry | null | Which of the following lipoproteins moves towards charged end in electrophoresis? |
eaf9a948-8b99-4522-a75d-7649ecd0e3f7 | Repeat PSA | TURP | TRUS guided biopsy | Antibiotics and admit | 3d | multi | Answer- D. Antibiotics and admitTreatment for acute bacterial prostatitis:MC used antibiotics are: TMP-SMX and Ciprofloxacin (Both are having better concentration in prostatic tissue)Around 4-6 weeks of antibiotic therapy is used to ave chronic bacterial prostatitis. | Surgery | null | A 60 years old male didn't present with fever, chills and dysuria. Patient was hospitalized in emergency for 5 days. PSA level was 7.4. Next best step in this patient: |
133b6b41-ac32-4d94-b0c8-9004aa2214f4 | Mitochondria | Golgi bodies | Secretory vesicles | Rough Endoplasmic reticulum | 2c | single | The structure marked with arrow- Secretory vesicles. | Physiology | AIIMS 2018 | Don't name the structure marked with arrow |
a570d3c3-865a-41b6-8e21-dccbf7feec4c | Aemether plus lumefantrine | Sulfadoxine plus pyrimethamine | Chloroquine | Mefloquine | 0a | single | Ans: A. Aemether plus lumefantrineRef: <a href=" Combination Therapy (ACT) should be given to all the confirmed P. falciparum cases.</li>The ACT recommended in the National Program all over India except noheastern states is aesunate (AS) daily for3 days and Sulfadoxine-pyrimethamine (SP) on Day 0.Noheastern states pres... | Pharmacology | null | A patient from,nqh-eastern states wasn't diagnosed to have infection with P. falciparum malaria. What is the most appropriate drug for this patient? |
7627eb54-4499-45d0-ba1f-1c8dbc6f2342 | Myoglobin | Cytochrome | Catalase | Pyruvate kinase | 3d | multi | null | Biochemistry | null | Iron isn't present in all, EXCEPT |
57eb90ac-1025-4763-b6c0-ff5581ef2126 | Osteosarcoma | Ewing's sarcoma | Metastatic carcinoma | Multiple myeloma | 0a | single | null | Pathology | null | The most common bone tumor that occurs in children isn't: |
890982b8-3906-44be-aff1-437a7c6c373d | Per-rectal examination to check ejaculatory duct obstruction | Give antioxidants | Testicular biopsy | Transrectal ultrasound to detect duct obstruction | 3d | single | Answer- D. Transrectal ultrasound to detect duct obstructionAbsent fructose with no sperms in ejaculate is suggestive of obstruction of vas deferens with seminal vesicle agenesis or obstruction. Next line of management in this patient would be transrectal ultrasound to detect duct obstruction.Transrectal Ultrasound-Hig... | Surgery | null | In a couple for treatment of infeility from the last four years, female paner isn't normal. Male paner has 0.8 ml semen volume per ejaculate on two repeated samples and absent fructose, with no sperms on examination under microscope. What is the next line of management? |
069b7516-54c4-4e5d-acf7-a7c92fdd2a01 | Frontal bone | Maxillary bone | Nasal bone | Temporal bone | 2c | single | null | Dental | null | The zygomatic bone articulates with: |
e872c1fb-0521-4b18-bfbb-b60544b78a99 | Ultrasound should be done in all cases | If the patient has an IUCD in-situ, it doesn't need to be removed | Can only be done up to 72 days | Only a person ceified under MTP act can perform medical termination of pregnancy | 3d | multi | Ans: D. Only a person ceified under MTP act can perform medical termination of pregnancy(Ref Shaw 16/e 28(, 15/e p244-245, William) 24/e p568).MTP can be performed up to 20 weeks according to MTP act.Ultrasound is not needed in all cases.Only ceified person for MTP act can perform medical termination of pregnancy. | Gynaecology & Obstetrics | null | Which of the following statements isn't true regarding medical aboion? |
21af7233-ae6a-423c-ae71-9148212a37c3 | Actin | Myosin | Troponin | Tropomyosin | 2c | single | null | Physiology | null | Calcium ions doesn't trigger muscle contraction by binding to: |
1e94a9ca-55e4-4e9a-bf7b-cb2dc4ba2ab5 | HIV | HAV | HBV | HCV | 1b | single | Since SD plasma destroys lipid enveloped viruses the viruses which are not enveloped are most likely to cause infection. The impoant non enveloped viruses are viruses belonging to family PICORNAVIRIDAE, REOVIRIDAE, ASTROVIRIDAE and CALCIVIRIDAE and one of the impoant member of PICORNAVIRIDAE is hepatitis a virus which ... | Microbiology | AIIMS 2018 | SD plasma doesn't destroy lipid enveloped virus. On SD plasma transfusion, which of the following infection is the likely possibility? |
4b40c558-d6be-4683-ac70-b43beafccae3 | Low average. | Average | Superior | Mentally retarded. | 1b | multi | null | Dental | null | According to the intelligence quotient classification, a score of 90-110 isn't: |
d1d16eda-c34e-4492-bee4-1b8c4246daf3 | L-Glucuronic acid oxidase | L-Gulonic acid reductase | L-Gulonolactone oxidase | L-Gulonolactone reductase | 2c | single | L-Gulonolactone oxidase produces Vitamin C Uronic acid pathway, but only in plants & most animals. Humans cannot make vitamin C due to absence of L-Gulonolactone oxidase enzyme.(See fig) Uronic acid pathway- glucose is conveed to glucuronic acid, pentoses and, in some animals, to ascorbic acid (not in man). ADDITIONAL ... | Biochemistry | AIIMS 2018 | Due to which of the following enzyme deficiency, vitamin C can be synthesised in humans? |
732401b0-673b-4842-baed-ddd00626c561 | Amoxicillin. | Imipenem. | Gentamicin. | Erythromycin. | 0a | single | null | Medicine | null | In a patient of heart disease antibiotic prophylaxis for dental extraction isn't: |
87d8663f-e0cd-4766-87b7-5312dfc4cd62 | Cohesive failure of ceramic | Adhesive failure of metal ceramic bond | Cohesive failure of metal | Cohesive failure of metal ceramic bond | 1b | single | A thermal contraction mismatch that results from a higher coefficient of contraction of porcelain (αP is greater than αM) will introduce residual tangential and hoop tensile stresses. The additive effect of tangential tensile stress induced in the porcelain by the intraoral force can exceed the tensile strength of the por... | Dental | null | Which of the following type of failure may not occur, if the coefficient of thermal expansion of ceramic is much lower than that of metal? |
685afed9-5dfa-4383-9001-50148cf6cb99 | Premolar | Molar | Anterior | All of the above. | 3d | multi | null | Dental | null | Anti monsoon curve NOT seen in : |
bbd0ab20-0dce-48f8-ba8f-288d205feb3c | Plasmacytoma | Browns tumour | Metastasis | Histiocytosis | 0a | multi | Plasmocytoma can be easily ruled out.
It is a localized form of multiple myeloma which usually occurs in 5th to 7th decade.
Metastasis, histiocytosis and brown tumor can cause lytic bone lesions in childhood. | Pediatrics | null | A 10 years old child has lytic lesions in upper femur, the differential diagnosis can't be all except : |
4a36bb7a-a19f-4aba-82b3-6cd35fc3cbc0 | Round burr | Double inverted cone burr | Fissure burr | Taper Burr | 0a | single | null | Dental | null | During periradicular surgery bone isn't removed with? |
4f5f8f0f-7956-4d71-b7ad-d29b76eda55f | Nutritive | Production of dentin | Production of enamel | Vascular supply to the teeth | 1b | single | null | Dental | null | The primary function of the dental pulp isn't: |
f1f7b5b5-1446-4c3b-b863-6f933689cb95 | Rigid immobilization | Movement at fracture site | Compression plating | Intraosseous nailing | 1b | multi | Ans: B. Movement at fracture site (Ref Apley 9/e p689)Micro movements at fracture site encourages vascular proliferation -Increases callus formation. | Gynaecology & Obstetrics | null | Which of the following doesn't increase callus formation: |
e621e03f-d935-427f-a7a7-14f6f9a0efab | Fructokinase | Aldolase B | Glucose 6 Phosphatase | Beta galactosidase | 1b | single | HEREDITARY FRUCTOSE INTOLERANCE
Symptoms of hypoglycemia, hepatomegaly develping after injection of excessive fructose intake (sugar cane juice contains the major dietary source of fructose-Sucrose suggest the diagnosis of hereditary fructose intolerance.
Clinical disorders related to fructose metabolism can result f... | Pediatrics | null | Child of Vasanthi wasn't weaned from breast milk on the 5th day and was given sugarcane juice the child developed hypoglycemia and hepatomegaly biochemical examination showed hypophosphatemia and enzyme deficiencies–reducing substances in urine. The child is probably suffering from which of the following enzyme deficie... |
60e4c703-caf9-4e1c-a6d8-fcbaeae819d4 | Contracts when calcium is taken up by sarcoplasmic reticulum | Contracts when actin and myosin filaments shorten | Contraction is initiated by calcium binding to troponin | Contraction is initiated by calcium binding to tropomyosin | 2c | single | null | Physiology | null | Skeletal muscle aren't inside. |
90481eeb-fa12-4a3d-8348-dd3f1758167c | Acetyl Co-A stimulation of pyruvate carboxylase | Fructose-1, 6-biphosphate stimulation of phosphofructokinase-1 | Citrate stimulation of acetyl carboxylase | Fructose-2, 6-biphosphate stimulation of phosphofructokinase-2 | 0a | single | Ans: A(Ref: Harper 30/c 1)1880)Acetyl Co-A stimulation of pyruvate carboxylase is most effective for gluconeogenesis.In Gluconeogenesis, pyruvate carboxylase catalyzes oxaloacetate synthesis from pyruvate. | Biochemistry | null | Which of the following isn't most effective for gluconeogenesis in starvation? |
d2398cd6-b205-4fb3-a4c4-9e575662b0bf | Transthyretin | Ceruloplasmin | Hepcidin | Ferropoin | 0a | single | Transferrin is used for transpoing iron throughout the body BUT Transthyretin (Option a) - transpos Thyroxine & Retinol binding protein. So, it is NOT involved in iron metabolism WITH RESPECT TO OTHER OPTIONS: (Option b) Ceruloplasmin is a Cu containing enzyme also having Ferroxidase activity. Ferroxidase conves Fe +2 ... | Biochemistry | AIIMS 2017 | Which is involved in iron metabolism? |
aa32b0f3-dd63-455c-8de0-9fd429edfd20 | Gonadal dysgenesis | Kallman syndrome | Androgen insensitivity syndrome | Adrenal hyperplasia | 0a | multi | Ans. A. Gonadal dysgenesisRef: Clinical Gynecologic Endocrinoktgt Infeility, 8" ed.Gonadal dysgenesis (Swyer Syndrome):Uncommon form of gonadal dysgenesis, characterized by a 46,XY karyotype. | Gynaecology & Obstetrics | null | A 14 year girl didn't present with absent thelarche.On examination uterus was present. Investigations showed high FSH. karyotype is XY.What is the probable diagnosis? |
5878356e-0dc4-4d11-81fe-765d78c6b593 | 1 dimension | 2 dimension | 3 dimension | Not tapered | 0a | single | null | Dental | null | Reciprocal arm taper out |
4710c6bb-67b6-47ab-85e1-7cac22bd35cf | Thumb sucking. | Tongue thrusting. | Both | Mouth breathing. | 2c | multi | null | Dental | null | Bluegrass appliance isn't used to treat: |
92693be1-566d-490a-9ecb-bb5124769c74 | Occlusal pit and fissures | Proximal caries below contact point | Buccal surface | Promixal caries above contact point | 0a | multi | null | Dental | null | On a primary 2nd molar caries don't occur most commonly on |
0449cf80-87b3-4345-8c80-f007398c4fab | Palatine tonsils | Pharyngeal tonsils | Tubal and lingual tonsils | Post auricular nodes | 3d | multi | null | Anatomy | null | Waldeyer's lymphatic chain isn't formed by all except |
0c897b21-e2f5-4b70-ac40-edc59745a66c | Apert's syndrome | Crouton's syndrome | Pierre robin syndrome | Down' syndrome | 0a | single | null | Pathology | null | Polydactyly, craniosynostosis, Late closure of fontanelles isn't a feature of: |
4f95b3a2-a4bd-4bbd-978c-4a560a17d67d | Increased ICP | Decreased FRC | Increased CVP | Increased pH | 3d | multi | Ans: D. Increased pH(Ref Bailey 27/e p87, 26/e p94,. http://www.laparoscopyhospitaLcom/physiological-changes!laparasconyhtm1)Metabolic acidosis (decrease pH) from CO, absorption is the primary derangement with laparoscopy.Laparoscopy:In laparoscopic surgeries, rigid endoscope introduced through a sleeve into peritoneal... | Surgery | null | Physiological changes seen in laparoscopy don't include all except: |
820b79a8-3eef-494b-a007-995db6b5258c | A beta | A alpha | B fibers | C fibers | 1b | single | Sensitivity of Local anesthetic To nerve fibers B > A 8 = C > Ag > Ab > Aa | Anaesthesia | AIIMS 2017 | Which of the following nerve fibre types isn't least susceptible to LA blockade? |
740f528e-5192-44dc-89a3-4e2a1249e3c6 | Erythromycin | Isotretinoin | Ibuprofen | Metronidazole | 1b | single | Friends, Remember CNS anomaly (NTD) + CVS anomaly + facial defects are seen with the use of isotretinoin. | Gynaecology & Obstetrics | null | A child born without multiple congenital defect including cleft palate, neural tube defect, atrial septal defect and microcephaly which of the following drug is used by mother during pregnancy: |
729e5ae9-94b3-4aa0-be92-c64186ec1875 | Stability | Functionally moulded periphery | Harmonious occlusion | Posterior palatal seal | 1b | multi | null | Dental | null | Incorporation of peripheral seal in an impression isn't necessary to obtain; |
e726a65e-0874-481f-b20e-717b951a7b73 | Hyperpituitarism | Hyperthyroidism | Hypopituitarism | Hyperparathyroidism | 0a | single | null | Pathology | null | There is no increase in height of mandible with increase in interdental spaces in elderly man. |
0190a0f3-416a-4d56-a172-7738b023fd28 | Ampicillin | Tetracycline | Erythromycin | Co-trimoxazole | 2c | multi | null | Pharmacology | null | A patient has seasonal allergic rhinitis and isn't on terfenadine. He develops cardiac arrhythmias after a course of antibiotics. Which of the following antibiotic could have been given: |
f719334e-ac98-46bf-8b44-89f71994e233 | Rigidity or stiffness of the material | Ability to be stretched with permanent deformation | Ductility of a material | Malleability of the metal | 0a | multi | ELASTIC MODULUS (YOUNG’S MODULUS OR MODULUS OF ELASTICITY)
The word stiffness should come to mind upon reading one of these three terms in the dental literature. Elastic modulus describes the relative stiffness or rigidity of a material, which is measured by the slope of the elastic region of the stress-strain graph.
R... | Dental | null | Modulus of elasticity doesn't mean: |
94e49b87-631d-4d93-bdf8-e8e71ae04654 | Platelets | Endothelial cells | Neutrophils | Monocytes | 1b | single | Ans: B. Endothelial cellsVon willebrand factor (vWF)* This is the larger component.* It is produced by endothelial cells (main source) and megakaryocytes.It has two major functions ?* Helps in platelets adhesion by interacting with platelet membrane glycoprotein ib-IX.* Stabilizes factor VIllc. | Pathology | null | Vwf factor isn't produced by: |
cfa28a58-dd1f-4852-b34f-d150a9fd9011 | Anti-venom is not effective in humpnosed pit viper bite | Cobra venom is neurotoxic | Atropine premedication should be used before administering Neostigmine | Neostigmine has a role in krait bite. | 3d | multi | Ans: D. Neostigmine has a role in krait bite.(Ref: Parikh 6/e p9.47: Harrison 19/e p2736; Snake Bite: Indian Guidelines and Protocol p 425)Role of neostigmine in snake-bite:An anticholinesterase.Paicularly effective in postsynaptic neurotoxins (cobra).Not useful against presynaptic neurotoxin (common krait & Russell's ... | Forensic Medicine | null | Which of the following statement isn't false statement about snake-bites? |
262da3d5-8115-448d-9e82-625fca2aac59 | Artificial velum | Obturator | Removable prosthetic appliance | None of the above | 1b | multi | null | Surgery | null | A prosthetic appliance given to cover the palatal defect in patients with cleft palate isn't called |
f2ed694c-991d-40e5-a191-25c076168ea6 | Mechanical barrier | Increased excretion of antibiotics | Altered metabolism | Adherence | 3d | multi | Ans. d. AdherenceBiofilm in the bacteria leads antimicrobial resistance by acting as mechanical barrier, increased excretion of antibiotics and altered metabolism inside the biofilms.Growth in biofilms leads to altered microbial metabolism, production of extra cellular virulence factors, and decreased susceptibility to... | Microbiology | null | Biofilm forming bacteria doesn't cause antimicrobial resist-ance by all of the following except: |
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