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07963f63-526d-42ed-b981-88775a1c130d | A patient on anti psychotics is found to be restless, irresistible urge to move, can't sit or stand in one position. Diagnosis: | Acute dystonia | Akathisia | Tardive dystinesia | Rabbit syndrome | 1b | single | Akathisia is the most common side effect seen after administration of Anti psychotics, treated by B.blockers. | Psychiatry | null |
87566085-e52b-4926-9b4e-dea0ea0ce227 | Which of the followoing is major site of Expression of GLUT5? | Renal tubules | Brain | Placenta | Sperm | 3d | single | GLUT5 functions as Fructose transpoer in sperm. Ref: Ganong's Review of Medical Physiology, 23rd Edition, Page 320. | Physiology | null |
3f8c867b-fd95-49de-8825-01e70eb8352e | A young man with tuberculosis presents with massive recurrent hemoptysis. For angiographic treatment which vascular structure should be evaluated first? | Pulmonary aery | Bronchial aery | Pulomary vein | Superior vena cava | 1b | single | Answer is B (Bronchial Aery): Diagnosis and treatment of symptoms of Respiratory; Vascular and Interventional Radiology by bakal (2002)/158 Hemoptysis usually arises from the bronchial aeries. Pulmonary aeries are a rare source of hemorrhage. The vascular structure that should be evaluated .first for angiographic treat... | Medicine | null |
f2bf9248-7d8c-4cbd-9aae-51702bf22a14 | Which of the following is used in the treatment of differentiated thyroid cancer | 131I | 99mTc | 32P | 131I-MIBG | 0a | single | 131I can be used for scanning for metastasis from differentiated thyroid cancers as well as for the ablation of differentiated thyroid cancer cells. | Surgery | null |
b95ca17f-6731-4729-b7b8-1766df3a6c0f | Hypercalciuria can be treated with? | Torsemide | Acetazolamide | Frusemide | Indapamide | 3d | single | Hypercalciuria- most common identifiable cause of calcium kidney stone disease. Thiazides, such as trichlormethiazide or indapamide- reduce urinary calcium excretion, but they do not correct the primary defect | Medicine | Electrolyte Imbalance |
f6712feb-3c8b-40c3-a8ed-45eea30e9a0b | Which of the following is not used as treatment for upper GI bleeding | Pantoprazole | Desmopressin | Terlipressin | Octreotide | 1b | single | Desmopressin is used to treat bleeding in von willebrand disease.
Propranolol is used to prevent re bleeding | Surgery | null |
f576273c-237c-4245-ae29-84e3ae9246fe | A 34 years old female after thyroidectomy was under observation in post operations ward after shows she developed tense swelling in neck and become breathless. How do you treat this patient? | Intubate the patient and administer epinephrine | Infuse 10% calcium gluconate over 10 min | Open the sutures and evacuate the hematoma | Turn the patient sideways and give inj.salbutamol subcutaneously | 2c | single | Breathlessness within few hans of thyroidectomy and swelling in the neck suggest of tension hematoma, which is treated by removal of stucture & evacuating the hematoma. | Surgery | null |
84af4f7e-cd01-449f-bf32-86fd46b372bd | Terry's nails are seen in: | Renal failure | Respiratory failure | Liver failure | Psoriasis | 2c | single | Ans. C. Liver failureTerry's nails is a physical finding in which fingernails and/or toenails: appear white with a characteristic "ground glass" appearance, with no lunula. It is seen in chronic liver disease. | Medicine | Miscellaneous |
7595f69c-d234-485c-a53c-f6f32558e294 | Which of the following is the most common form of persistent trophoblastic disease that follows a non molar pregnancy? | Choriocarcinoma | Invasive mole | Placental site trophoblastic tumor | Paial mole | 0a | single | Gestational trophoblastic neoplasia (GTN) Invasive mole: Develops after molar pregnancy only. Very rarely follows other gestations PSTT (Placental Site Trophoblastic Tumor): may follow any type of gestation Choriocarcinoma: 2/3rd cases after normal delivery, 1/3rd cases after molar pregnancy Epitheloid Trophoblastic tu... | Gynaecology & Obstetrics | Twin Pregnancy, Molar Pregnancy, Gestational Trophoblastic disease and contraception in special situations (Sour Grapes!) |
8fb248a6-d1ee-43d1-ae48-acdac51f0fdf | Which among the following secretions has the highest HC03 content? | Saliva | Bile | Succus entericus | Pancreatic secretions | 3d | single | The pancreatic juice is alkaline and has a high HCO3- content (approximately 113 mEq/L vs 24 mEq/L in plasma). Composition of Normal Human Pancreatic Juice: Cations: Na+, K+, Ca2+, Mg2+ (pH approximately 8.0) Anions: HCO3-, Cl-, SO42-, HPO42- Digestive enzymes Other proteins Ref: Barrett K.E., Barman S.M., Boitano S., ... | Physiology | null |
47327dcd-9ce1-4464-8ff1-22495e92cb54 | In autopsy, preservative used for vitreous is | Phenol | Xylol | Flouride | HCL | 2c | single | Vitreous humor is the preferred specimen for postmoem confirmation of alcohol ingestion, since postmoem formation of ethanol does not occur to significant extent in vitreous, and hence useful even in decomposing bodies. It is recommended that this specimen is included routinely in sudden death investigations. In known ... | Forensic Medicine | Death and postmortem changes |
1be8c681-4d18-400b-ac54-f8de0a3f9d4e | HIV which is found in West Africans is? | HIV 1 | HIV 2 | HIV 3 | HIV 4 | 1b | single | HIV 2 REF: Harrison's Internal Medicine > Chapter The four recognized human retroviruses lymphotropic viruses (HTLV)-I and HTLV-II, immunodeficiency viruses, HIV-1 and HIV-indirectly. The most common cause of HIV disease throughout the world, and ceainly in the United States, is HIV-1, which comprises several subtypes ... | Medicine | null |
f5d3b986-f941-4cb8-80d1-3492fd9202ee | Deep transverse arrest occurs in which type of pelvis: | Platypelloid | Gynecoid | Android | Anthropoid | 2c | single | Ref: Williams Obstetrics 23 rd ed pg.480,Dutta Textbook of Obstetrics 5th ed pg346Explanation:DEEP TRANSVERSE ARRESTArrest in occipito transverse position may be due to incomplete anterior rotation of oblique occipito posterior positionCauses:Pelvic architecture abnormalityAndroid pelvisDeflexion of headWeak uterine co... | Gynaecology & Obstetrics | Contracted Pelvis |
8fd94267-c054-49cd-8268-9698cff30957 | A 47-year-old woman is seen with a 1-wk history of progressive shoness of breath, increasing pedal edema, weight loss, and low-grade fever. She has a 40-pack-year smoking history. Physical examination: pulse 138 bpm; respirations 34/min; blood pressure 100/88 mm Hg with pulsus paradoxus of 22 mm. Peinent findings: incr... | Cardiac tamponade | Cardiomyopathy | Pericardial effusion without tamponade | Cor pulmonale | 0a | single | This PA view shows a large cardiac silhouette with a "water bottle hea." The pulmonary vasculature and the vascular pedicle appear normal. Large cardiac silhouettes are seen in cardiomegaly and are usually associated with signs of pulmonary venous congestion. In this case, the cardiac silhouette is increased due to per... | Radiology | Respiratory system |
f830552f-44ae-46d8-a434-5a7be213d7f8 | What is the length of optic nerve | 20 mm | 30 mm | 40 mm | 50 mm | 3d | single | Answer- D. 50 mmoptic nerve is about 47-50 mm in length and can be divided into 4 pas : -Intraocular pa (1 mm)Intraorbital pa (30 mm)Intracanalicular pa (5-9 mm)Intracranial pa (10 mm) | Ophthalmology | null |
3e9124f9-dc9c-4e03-aea9-1010f966e6cd | True statement about fibro lamellar carcinoma | Young adults, children | More in males | Related to OCP use | Bad prognosis | 0a | multi | Fibro lamellar HCC occurs in young adults without underlying cirrhosis Ref:Sabiston 20th edition Pgno :1458-1463 | Anatomy | G.I.T |
edf52136-7df1-4e18-831d-59f9cc10ad94 | True about ectopic pregnancy: | Transvaginal USG-first imaging test of choice | Not Associated with decidual reaction | Doppler is of no significance | In ectopic interstitial ring sign is seen | 0a | multi | If TVS reveals an intrauterine gestational sac,the diagnosis of ectopic can usually be ruled out .sometimes a psuedosac may be seen in an ectopic due to bleeding produced by separation of a decidual cast.(refer pgno:159 sheila 2 nd edition) | Gynaecology & Obstetrics | General obstetrics |
0ec7ee33-3789-4435-8688-5c0b247ba1d9 | Mucous secreting glands are absent in : | Cervix | Vagina | Duodenum | Oesophagus | 1b | single | B i.e. Vagina - No glands open into vagina & vaginal secretions are derived paly from the mucous discharge of cervix & paly from a transudation through the vaginal epithelium.- Doderlein bacilli (gram +ve) are found in vagina- Vaginal mucosa is line by squamous epithelium - Posterior vaginal wall is longer than anterio... | Anatomy | null |
5a4971cf-81e5-4a60-a91a-f8c847c2ceea | Microcornea is defined as: | < 10 mm corneal diameter at bih | <13 mm corneal diameter at bih | < 10 mm axial length at bih | < 20 mm axial length at bih | 0a | single | Microcornea < 10 mm corneal diameter at bih. Megalocornea > 13 mm after 2 yr of age or >11.7 mm before 2 yr of age. | Ophthalmology | Cornea |
39f0e60a-e0f0-49fa-9b22-6913012ef747 | Find the disease by analysing pedigree chart. | Sickle cell anaemia | Diabetes insipidus | Hunter syndrome | Crouzon syndrome | 3d | single | Rule of dominance - If the child is diseased, one of the parent must be diseased.
Rule of X-linked - Father never transmits to son.
In the image - Father transmits to son.
Crouzon syndrome is autosomal dominant. | Medicine | null |
8d6a61a3-6b94-4b0a-996a-e323b3d69bd6 | Cochlear involvement more than vestibular involvement drug ? | Sisomycin | Kanamycin | Gentamycin | Streptomycin | 1b | single | Ans. is 'b' i.e., Kanamycin | Pharmacology | null |
1e99a244-50f9-403b-a784-287cc57b44fa | The following are the features of anovulatory menstruation except | The only symptom may be failure of conception. | It is usually associated with painless periods. | May be associated with DUB. | May be associated with premenstrual syndrome. | 3d | multi | Anovulatory DUB is characterised by irregular cycles, short cycles with scanty flow or periods of amenorrhoea followed by prolonged and irregular bleeding
Usually due to alteration in the hypothalamic-pituitary axis.more common in extremes of reproductive life and in PCOS.
unopposed oestrogen stimulation of the endome... | Gynaecology & Obstetrics | null |
903f4832-bad0-424e-8961-95acacac3087 | All are actions of cholecystokinin except: | Increase gastrin secretion | Increase lower esophageal sphincter pressure | Stimulation of pancreatic enzyme | Stimulation of gallbladder | 0a | multi | Ans. A. Increase gastrin secretionActions of CCK CONTRACTION OF GALLBLADDERSECRETION OF PANCREATIC JUICEInhibits gastric emptyingExerts atrophic effect on the pancreasIncreases the secretion of enterokinaseAugments the action of secretin in producing secretion of an alkaline pancreatic juiceEnhances the motility of sma... | Physiology | G.I.T. |
a7f3a4f3-0e52-4181-925b-1067ecd6aa04 | Simian crease is seen in: | Down's syndrome | Trisomy of chromosome No.13 | Cri-du-chat syndrome | All of the above | 3d | multi | Simian crease is an older name for a condition now more commonly called single transverse palmar crease. It refers to a single crease across the palm of the hand. In most individuals, there are two slightly offset creases across the palm. Simian crease is seen in:
Down's syndrome
Trisomy of chromosome No.13
Cri-du-cha... | Dental | null |
1be362e4-b06b-4e5d-ab34-8a9ec68bf5d8 | The medium of choice for culturing yeast form of dimorphic fungi is | Brain-hea infusion | Sabouraud's | Sabouraud's and antibiotics | SDA medium incubated at 35-37 o | 3d | single | Dimorphic fungi exist as yeast in the host tissue and in the culture at 37C. Reference: Textbook of Microbiology; Baveja; 4th edition | Microbiology | mycology |
2b0124ed-28c9-4b53-b6e4-9ca88b88e839 | Which of the following is not a component of SIRS | Urine output <1 ml\/kg\/hr | Temperature 38degC | RR> 24\/mm | SBP<9Ommhg | 0a | single | Systemic inflammatory response syndrome (SIRS) * Defined by the presence of two or more of Respiratory rate > 20/min Hea rate > 90/min White blood count > 12 x 10^9/L or < 4 x 10^9/L Temperature > 38.0degC or < 36.0degC PaCO2 < 4.3 kPa (< 32 mmHg) or ventilated * A wide pulse pressure, e.g. 115/42 mmHg, may be an early... | Medicine | Immune system |
567d6e1f-98c5-4e16-ae1c-2f1a3a44fb9d | A 19-year-old man working as a driver comes to Psychiatrist with excessive anxiety and fear. He repos that every time he drives over a bump in the road, he is convinced that he has accidentally run over a small child. He has to pull over and check underneath his car for blood and retrace his driving route to look for a... | Acetylcholine | Dopamine | Norepinephrine | Serotonin | 3d | multi | Patient's behavior is suggestive of Obsessive Compulsive Disorder. Although multiple neurotransmitters and regulatory mechanisms are thought to contribute to the clinical expression of OCD ,serotonin is the primary pharmacological target. First-line treatment is a selective serotonin reuptake inhibitor(SSRI) antidepres... | Psychiatry | Neurotic, Stress Related and Somatoform Disorders |
a8305546-8948-4aea-b844-2c3662eaf14d | A subcentre in a hilly area caters to a population of: | 1000 | 2000 | 3000 | 5000 | 2c | single | Subcentres are established on the following basis: One subcentre for every 5000 population is general. One subcentre for every 3000 population in hilly, tribal and backward areas. Ref:Parks Textbook of Preventive and Social Medicine By K.Park, 18th Edition, Page 696 | Social & Preventive Medicine | null |
9dc53c99-27ab-4e67-a660-bd33707fbb55 | Regarding anaplastic carcinoma which statement is false | Common in elderly | Associated with P53 mutation | Surrounding neck tissue is usually infiltrated | Radiotherapy cures | 3d | multi | More commonly seen in elderly women. Local infiltration is an early feature of these tumours with spread by lymphatics and by the bloodstream. They are extremely lethal tumours and survival is calculated in months. p53 mutations are found in 15% of tumors, Source : Sabiston 20th edition Pg: 910 | Surgery | Endocrinology and breast |
e1f384eb-933e-4b43-88b8-93795ed527ab | Shelf life of blood with CPDA | 2 weeks | 3 weeks | 5 weeks | 8 weeks | 2c | single | Ans. is 'c' i.e., 5 weeks Once blood is removed from the donor, it stas a sequences of in vitro changes that change its physiological propeies. Ensuring the blood and its products transfusion safe, their storage is a must. The main aim is to minimize damage to store blood. Addition of some additive solutions increases ... | Pathology | null |
f3196fb5-dcc0-4cca-ad40-c65146e5b0f5 | Fetal hypoxia and acidosis are suggested by the following EXCEPT | Early deceleration | Late deceleration | Variable deceleration | Prolonged deceleration | 0a | multi | Ans. a (Early deceleration) (Ref. William's obstetrics 22nd ed., p 452)NONSTRESS TEST# Accelerations (defined as rise of acceleration to peak in < 30 seconds - in FHR baseline) are virtually always reassuring and almost confirm that the fetus is not acidemic at that time.# Early deceleration is physiological (not assoc... | Gynaecology & Obstetrics | Miscellaneous (Gynae) |
0976e656-68ec-4db5-995f-515b86189815 | Iron deficiency anemia is characterized by - | Increased porphyrin | Increased MCHC | Increased ferritin level | Increased TIBC | 3d | single | Ans. is 'd'i. e., Increased TIBC Features of iron deficiency anemia are1) Perpheral blood pictureo There is microcytic hypochromic anemia (microcytosis precedes hypochromia).o Other features include :a) Poikilocytosis in the form of pencil cells (small, elongated red cells)b) Target cellsc) Ring / pessary cells (centra... | Pathology | Iron Deficiency and Megaloblastic Anemia |
9992dc9f-bf4c-4f46-9e41-50843bba23b0 | According to ADA specification number 12, dough
forming time should be less than ____________ min from
the start of the mixture. | 90 min | 60 min | 50 min | 40 min | 3d | single | DOUGH-FORMING TIME
The time required for the resin mixture to reach a doughlike stage is termed the dough-forming time. American National Standards Institute/American Dental Association (ANSI/ADA) Specification No.12 (ISO 20795-1:2008: Dentistry—Base polymers—Part 1: Denture base polymers) for denture base resins requi... | Dental | null |
ddff28a5-68f2-4d83-96b4-0bfe77261624 | Bumper fracture is: Rohtak 06 | Primary impact injury | Secondary impact injury | Teiary impact injury | Secondary injury | 0a | single | Ans. Primary impact injury | Forensic Medicine | null |
f3dae4a5-90c3-42c8-acda-715a85764419 | a patient had pre mature ejaculation and was staed on SSRI with a sho half life | escitalopram | fluoxetine | citalopram | dapoxetine | 3d | single | SSRI * IMPOANCE Most widely prescribed antidepressant * MECHANISM Specifically acts on serotonin transpoers and increases serotonin in synapse. DRUGS FLUOXETINE FLUVOXAMINE DAPOXETINE CITALOPRAM ESCITALOPRAM ESCITALOPRAM SERALINE PAROXETINE USE FLUOXETINE=============CHILDHOOD DEPRESSION FLUVOXAMINE===========OCD DAPOX... | Psychiatry | Pharmacotherapy in psychiatry |
108ab972-75d1-4589-8f2d-b70a08ad051b | Lattice degeneration seen in | Hypermetropia | Anisocoria | Glaucoma | Myopia | 3d | single | Peripheral retinal degenerations common in pathological myopia | Anatomy | All India exam |
eace65f1-ec80-4ab9-8f4b-5bdbeaa2d831 | Mucous membrane pemphigoid | Affects older adults, typically over the age of 50 years. | Presents as multiple, painful ulcers preceded by bullae which form below the epithelium at the basement membrane. | Oral lesions may be found in any region, especially and sometimes exclusively in the attached gingival; ocular lesions can lead to blindness if untreated. | All of the above | 3d | multi | Mucous membrane pemphigoid
1. An autoimmune disease of mucous membranes; antibodies directed against basement membrane antigens (Laminin 5, BP180, others).
2. Clinical features
a. Affects older adults, typically over the age of 50 years.
b. Presents as multiple, painful ulcers preceded by bullae which form below the e... | Pathology | null |
7d0d3757-aa09-41ce-aa0d-47e13f0c3031 | For a mobile tumour on vocal cord, treatment is: | Surgery | Chemotherapy | Radiotherapy | None of the above | 2c | multi | According to Dhingra Radiotherpy is the treatment of choice for vocal cord cancer with normal mobility. Normal mobility of cord suggests that growth is only limited to the surface and belongs to either stage T1 or T2. TOC for stage T1 of glottic carcinoma - radiotherapy. TOC for stage T2 of glottic carcinoma - depends ... | ENT | null |
0a36ce22-2d2a-41bc-8cbf-1df76c61d9b5 | Salivary gland tumor exclusively seen in parotid gland | Wahin's tumor | Pleomorphic adenoma | Mucoepidermoid Ca | Adenoid cystic Ca | 0a | single | Answer-A. Wahin's tumor"Wahin's tumor arises only in the parotid gland" - Textbook of surgery"Wahin's tumor arises almost exclusively in the parotid gland (the only tumor viually restricted to the parotid)"Salivary gland tumor seen only it parotid gland- Wahins'tumor. | Pathology | null |
c59d6475-a716-4905-b995-cd79efd7db0d | Kim et al classification system deals with: | Apical constriction | Apical foramen | Isthmus | No. of canals | 2c | single | According to Kim et al Classification; there are 5 types
Type I incomplete isthmus between 2 canals.
Type II well defined, complete isthmus between 2 canals.
Type III very short but complete isthmus between 2 canals.
Type IV 3 or more canals with the complete or incomplete isthmus.
Type V 3 or more canals without any ... | Dental | null |
a4d7d94c-abff-4e26-8f80-7d453c4b5eb7 | Wernicke's hemianopic reaction is due to lesions at the level of | Optic tract | Optic chiasma | Optic radiations | LGB | 0a | single | Lesions of optic tract.
I/L direct and C/L consensual light reflexes are absent. | Ophthalmology | null |
fba4477b-e045-47e8-a48b-d0856f57ccc9 | A patient was diagnosed with an isolated increase in LDL. His father and brother had the same disease with increased cholesterol. The likely diagnosis is | Familial type III hyperlipoproteinemia | Abetalipoproteinemia | Familial lipoprotein lipase deficiency (type 1) | LDL receptor mutation | 3d | single | LDL receptor mutation
Isolated increase in LDL with positive family history suggests the diagnosis of familial hypercholesterolemia.
Familial hypercholesterolemia (type IIa) is due to deficiency of functional LDL receptors as a result of different types of mutations. | Biochemistry | null |
765b44b9-e24d-4ea7-8942-cd4bf883b576 | What is false about GIST - | Associated with c-kit mutation | Most common site is stomach | Associated with CD 117 | Least common mesenchymal neoplasm of gastrointestinal tract | 3d | multi | Answer- D. Least common mesenchymal neoplasm of gastrointestinal tractGISTs are the most common mesenchymal neoplasm of gastrointestinal tract.The most useful marker of GIST is c-kit (CD-117).The most common site being the stomach followed by small intestine. | Pathology | null |
3836e1ca-8770-4a6b-a6d0-afcef64070e9 | Which of the following features is not seen in Anorexia Nervosa? | Decreased total brain volume | Lowered metabolic rate | Impaired regulation in growth hormone levels | Decreased serum protein | 3d | single | Impoant medical complications related to Anorexia Nervosa Peripheral oedema Lanugo hair development Skin changes (dryness, scaling, yellow tinge caused by carotinemia) Lowered metabolic rate (bradycardia, hypotension, hypothermia) Normal thyroid-stimulating hormone levels; low triiodothyronine (T3) syndrome Normal or o... | Psychiatry | Eating Disorders |
9cdb1f4d-c3ff-4c26-aead-7879ca2ad368 | Increased liver attenuation with intracellular infiltration is seen in - | Fatty liver | Amyloidosis | Hemochromatosis | All | 0a | multi | Attenuation is the reduction in amplitude of the ultrasound beam as a function of distance through the imaging medium.
Reduced signal amplitude can affect the quality of the image produced.
Attenuation (reduction in amplitude of USG) is seen in fatty infiltration of liver. | Pathology | null |
ac53edf2-7d2c-4aa4-960d-063cae2e04e9 | What is the inheritience pattern of myotonic dystrophy? | Autosomal dominant | Autosomal recessive | X linked dominant | X linked recessive | 0a | single | Myotonic dystrophy is associated with CTG trinucleotide repeat mutation. It is inherited as autosomal dominant disorder. | Pathology | null |
20a242b3-0e36-4859-bedc-3f2af90851c0 | First sign of puberty in boys is | Testes enlargement | Breast enlargement | Penis enlargement | Scrotum enlargement | 0a | single | (Testes enlargement) (68-G) (498-Ghai 7th)First sign of sexual maturation is enlargement of breast in female and testes in boy (68-G)* Pubertal onset before he age of 8 years in girl and 9.5 years in boys is suggestive of precocious pubertyAdolescentWHO/UN definitionsStages of adolescence* Adolescent = 10-19 years* You... | Pediatrics | Adolescence |
73ffa109-72ca-4e2b-8556-4370a99f5ea4 | 30 yr female with depressed mood, decreased appetite & no interest since one year. Diagnosis is? | Dysthymia | Depression | Anxiety | None | 1b | multi | Ans. is 'b' i.e., Depression Depressed mood, decreased appetite and no interest since one year suggest the diagnosis of depression. o For diagnosis of dysthymia, depressive symptoms should be present for at least 2 years. Mood disorders According to ICD-10, mood (affective) disorders are grouped into six main categorie... | Psychiatry | null |
2600f88f-6666-4b9e-b369-5501cd0838c2 | The negligent act of the surgeon amounts to: | Contributory negligence | Respondent superior | Criminal negligence | Res ipsa loquitur | 3d | single | Ans. (D). Res ipsa loquiturThe surgeon performing on wrong body part amount to res ipsa loquitur.The thing speaks for itself.The standard of care is implied & need not be proved by the patient.The onus of proof lies on the doctor. | Forensic Medicine | Law & Medicine, Identification, Autopsy & Burn |
00dd6465-084b-44fd-b64f-dbb33bbde0e0 | A 7 year old child presents with non productive cough, mild stridor since 6 months. On oral antibiotics, patient is improving but suddenly develops wheezing, productive cough, mild fever. X-ray shows hyperlucency and PFT shows obstructive curve. Most probable diagnosis is - | Post viral syndrome | Bronchiolitis obliterans | Follicular bronchitis | Pulmonary alveolar microlithiasis | 1b | single | Ans. is 'b' i.e., Bronchiolitis obliterance | Pediatrics | null |
7b85ca57-6236-430b-915c-2955e089b6bb | Most common site of intracranial hemorrhage in hepeensive hemorrhage is : | Basal ganglia | Brain.stem | Cerebellum | Hippocampus | 0a | single | Basal ganglia The most common sites of hypeensive haemorrhage are: The basal ganglia (putamen, thalamus and adjacent deep white matter) Deep cerebellum Pons | Surgery | null |
c65a299d-e652-4311-a2a2-99afa1bc641a | Which is NOT a component of Werner's - | Pituitary | Adrenal | Parathyroid | Pancreas | 1b | single | Ans. is 'b' i.e., Adrenals MEN I or Wermer's syndrome is characterized by abnormalities involving the parathyroid, Pancreas & Pituitary glands (3Ps) Parathyroid Primary hyperparathyroidism is the most common manifestation of MEN I Pituitary The mast common type of anterior pituitary tumor in MEN lis Prolactinoma Pancre... | Pathology | null |
81e182f6-275d-448f-8d5d-0690c7a8eaa8 | Following is caused by Arbovirus: | Mumps | Measles | HIV | Kyasanur Forest Disease | 3d | single | (D) Kyasanur Forest Disease # Kyasanur Forest Disease: is caused by Arbovirus> Genus: Flavivirus> Distribution : India (Karnataka)> Vector/Tick> Reservoir: Rodents (Ticks) | Microbiology | Misc. |
d708cba3-5c01-4321-9595-d3fc93d63069 | Which of the following is/ are side effect/s of growth hormone administration? | Pain at injection site | Glucose intolerance | Hypothyroidism | All the above | 3d | multi | Ans. is 'd' i.e., All the above Adverse effects of growth hormone* Somatropin and somatrem are recombinant GH analogues.* Somatrem has an additional methionine residue and is more immunogenic than somatropin, but allergic reactions or resistance to treatment are not a problem.* Pain at injection site and lipodystrophy ... | Pharmacology | Endocrinology |
adef180e-3b4d-427a-9ba1-c13242e9d614 | What is most common type of carcinoma of the right colon | Stenosing | Ulcerative | Tubular | Fungating | 1b | single | .Annular (stenosing) type: >>* It is more common on left side. * Here the growth spreads round the internal wall and so it often presents with intestinal obstruction. Ulcerative type: >>* It is common on right side. Proliferative type: >> * Common in right side. It is fleshy, bulky and polypoid. It is less malignant. r... | Surgery | G.I.T |
87e358bc-2f98-4ba5-aac9-0b55acc8545f | First clinical sign of Vitamin-A deficiency is | Night blindness | Conjunctival xerosis | Bitot’s spots | Keratomalacia | 0a | single | All the ocular manifestations of Vitamin-A deficiency are collectively known as 'Xerophthalmia' (Dry Eye) –
Xerophthalmia is most common in children aged 1 - 3 years
'First clinical sign' of Vitamin-A deficiency: Conjunctival xerosis
'First clinical symptom' of Vitamin-A deficiency: Night blindness
Conjunctival xerosi... | Social & Preventive Medicine | null |
45a86dfa-ecd9-48c9-b70d-d7ef2a9004f1 | Origin of PCL- Posterior cruciate ligament | Posterior pa of intercondylar area of tibia | Anterior pa of intercondylar area of tibia | Medial pa of medial femoral condyle | Lateral pa of medial femoral condyle | 0a | single | Posterior cruciate ligament (PCL) PC L begins from posterior pa of intercondylar area of tibia and runs upwards, forwards and medially to attach the anterior pa of the lateral surface of medial condyle of femur. PCL is extrasynol but intracapsular, i.e. lies between synovium and capsule of the knee joint. It provides a... | Anatomy | null |
dc1c55cb-6a20-41d2-b29e-fc71a4ff6f98 | Physiologic responses to all types of shock include the following except | Activation of the inflammatory system. | Activation of the coagulation system. | Hypoperfusion of tissues. | Vasoconstriction. | 3d | multi | Vasodilation and not vasoconstriction occurs because of the body’s immune response.
Option A: Activation of the inflammatory system occurs as a response to the invasion of microorganisms.
Option B: Activation of the coagulation system occurs because proinflammatory and anti-inflammatory cytokines are released during t... | Medicine | null |
97cc3f64-9920-4d2d-96e1-1cb89dfcfa28 | Which of the following organ is associated with congenital anomaly "Ectopia cordis"? | Lens | Lungs | Hea | Liver | 2c | single | Ectopia cordis is the paial or complete location of the hea outside the thorax.The thoracic type is the classic form of ectopia cordis. In these patients, there is a cleft in the sternum that allows the hea to protrude outside the thoracic cavity.The thoracoabdominal form is a paial form of ectopia cordis that is chara... | Anatomy | null |
83b1fcb7-1f6d-42dd-9080-1bc3f32344fe | Acute opioid withdrawl is characterizedby | Rhinorrhoea | Piloerection | Insomnia | All | 3d | multi | A, B, C i.e. Rhinorrhoea, Piloerection, Insomnia | Psychiatry | null |
e06c8353-8b60-409c-a031-9e30b97997de | Rectus adominis is inserted into - | Xiphoid process | Median raphae | Linea alba | 1-4 ribs | 0a | single | Rectus abdominis attachment
- Origin
Lateral head- Pubic crest
Medial head- Anterior pubic ligament
- Insertion
Xiphoid process
Costal cartilages- 5,6,7 | Anatomy | null |
c5729635-0bf1-4816-9bda-59887ee039ce | In tubo-tympanic CSOM commonest operation done is: | Modified radical mastoidectomy | Radical mastoidectomy | Simple mastoidectomy | Tympanoplasty | 3d | single | (d) Tympanoplasty(Ref. Scott Brown, 8th ed., Vol 2; 997)Management of tubo-tympanic CSOM is tympanoplastyRadical and modified radical mastoidectomy are done for unsafe CSOM.Simple mastoidectomy or Schwartze operation is done for acute and coalescent mastoiditis. | ENT | Ear |
f39377ef-8c1e-40b6-b421-ce9075dd95b6 | Percentage of hepatitis after halothane use | 20% | 40% | 1 in 30000 | 1 in 3000 | 2c | single | The first modern halogenated volatile anesthetic, halothane, was introduced in 1955. Clinical exposure to halothane is associated with two distinct types of hepatic injury. Subclinical hepatotoxicity occurs in 20% of adults who receive halothane. It is characterized by mild postoperative elevations in alanine aminotran... | Anaesthesia | General anaesthesia |
fb7d3967-bf3b-41fb-89b8-5562ca72dabd | NOT seen in heat stroke: Kerala 06 | Hypovolemic shock | Rhabdomyolysis | Pancreatitis | Cerebral edema | 0a | single | Ans. Hypovolemic shock | Forensic Medicine | null |
4b93568b-1ec4-4bab-991b-5bca1d61585f | Not true about eukaryotic gene: | Polycistronic mRNA | Noncoding intron | Contain nuclear gene & pseudogene | Modification of mRNA before transpoation from nucleus | 0a | multi | A i.e. Polycistronic mRNA | Biochemistry | null |
829bc009-694b-4e9a-b479-73b279e7b719 | Which is not a pyrogen - | lFN-a | TNF-cx | IL-4 | IL -18 | 3d | single | Pyrogenic cytokines, such as interleukin (IL)-1b, IL-6, and tumor necrosis factor-a, which result from stimulated mononuclear phagocytes, interact directly with the anterior hypothalamus, which coordinates thermoregulation through a hierarchy of neural structures. Prostaglandin E2 is a proximal mediator in the preoptic... | Medicine | Miscellaneous |
1380604a-76d9-4a45-8dd8-3ad908969bd4 | ACE inhibitor when used for long time in hypeension patient cause | Rightward shift in Renal pressure natriuresis curve | Reduction in filtration fraction | Significant increase in hea rate | No change in the compliance of large aeries | 1b | single | Refer Goodman and Gilman 10e p804 Angiotensin 2 shifts the renal pressure natriuresis curve to the right side and helps to adjust the sodium levels in the body according to dietary intake of the sodium( more excretion from more intake and less excretion from less excretion from less intake ACE inhibitors block the acti... | Pharmacology | Cardiovascular system |
3424710d-4072-4bb9-bd53-0267f5f81f68 | True about Acrodermatitis enteropathica is? | Lifelong treatment required | Autosomal dominant disorder | Wound healing is not affected | Zinc absorption is normal | 0a | multi | ANSWER: (A) Lifelong treatment requiredREF: Rook's 8rh ed p. 59.73Acrodermatitis enteropathica:Rare autosomal recessive diseaseZinc absorption is lowDisease starts at weaning when child is not given milkPhotophobia is seen, vescicobullous lesions may be seenGrowth is retarded and wound healing is poorZinc sulfate is us... | Skin | General |
ca015478-5158-4299-980c-4640b36e099d | The following condition of GB is precancerous | Cholesterosis | Porcelain gall bladder | Biliary atresia | Choledochal cyst | 1b | multi | Porcelain gallbladder is the pattern when the gallbladder wall is calcified and cracks like an egg-shell. Porcelain gallbladdder is paicularly likely to become cancerous. Risk factors for ca gallbladder includes: 1. Gallstones 2. Genetic factors. 3.carcinogen in bile acids 4.calcificatiin of gall bladder (porcelain gal... | Pathology | G.I.T |
bc8006a3-bb7c-45e4-ad74-874e59bf1680 | Which of the following are X- linked recessive disorders: | Marfan Syndrome | Phenylketonuria | Neurofibromatosis | Duchenne muscular dystrophy | 3d | single | D i.e. Duchenne muscular dystrophy | Medicine | null |
d6174b69-4f30-4e4a-bd88-43c1b6cf31c7 | Crystalline lens develops from | Mesoderm | Endoderm | Surface ectoderm | Neuroectoderm | 2c | multi | The lens or crystalline lens or aquula ) has a key role in focussing light (with the cornea) upon the neural retina. The lens embryonic origin is from surface ectoderm of the sensory placodes that form in the head region . The lens focusses by refracting light as it passes through the biconvex lens, which can be altere... | Anatomy | Head and neck |
19f0f58a-bc20-412f-bb58-9a1faa234a76 | Hormonal treatment is given for which of the following malignancy - | Chorio Carcinoma | Carcinoma prostate | Hepatoma | Teratoma | 1b | single | Ans. is 'b' i.e., Carcinoma prostate | Surgery | null |
36e9a46c-bfd4-42db-9cf5-2b73d0a32fea | A 23 year old man involved in a A and is brought to the emergency room with a displaced fracture of the distal third of his left humeral shaft. On his right side he has a displaced fracture of the surgical neck of his humerus as well as a fracture of the medial epicondyle of his distal humerus. He complains of pain in ... | Biceps | Extensor carpi radialis longus | Flexor carpi radialis | Flexor carpi ulnaris | 1b | multi | The radial nerve innervates the triceps, brachioradialis, wrist and finger extensors, and supinator. The extensor carpi radialis longus is a wrist extensor and is innervated by the radial nerve.The biceps muscles are innervated by the musculocutaneous nerve.The flexor carpi radialis is innervated by the median nerve. T... | Anatomy | null |
fcf1c185-272f-46af-be4e-0a8692d36e73 | Muscle supplied by median nerve: | Opponens pollicis | Abductor pollicis brevis | Flexor pollicis brevis | All | 3d | multi | A, B, C, i.e. Opponens pollicis, Abductor pollicis brevis, Flexor pollicis brevis, & First lumbricals | Anatomy | null |
0e50372d-92cc-432c-adcc-4b2011a3d31a | Thrombotic event is seen in all of following except - | PNH | Die | ITP | Heparin induced thrombocytopenia | 2c | multi | Immune thrombocytopenia purpura (ITP), also known as idiopathic thrombocytopenic purpura, is a type of thrombocytopenic purpura defined as an isolated low platelet count with a normal bone marrow in the absence of other causes of low platelets. It causes a characteristic red or purple bruise-like rash and an increased ... | Medicine | Haematology |
faf871f3-d13d-4b83-a879-c9bda46d3e82 | Erotomania is seen in | Bipolar mania | Unipolar mania | Neurosis | OCD | 0a | single | In erotomania, which has also been referred to as de Clerambault syndrome it is also called as psychose passionelle. here the patient has the delusional conviction that another person, usually of higher status, is in love with him or her. Besides being the key symptom in some cases of delusional disorder, it is known t... | Psychiatry | Symptoms and signs in psychiatry and classification |
48ee6508-b9fa-4141-af66-ed0deeee19b0 | Which of the following is NOT a MAO inhibitor? | Tranylcypromine | Isocarboxazide | Phenelzine | Maprotiline | 3d | single | Maprotiline is not an MAO inhibitor whereas the rest three are. Ref: KD Tripathi 8th ed. | Pharmacology | Central Nervous system |
b3278b6a-2f6e-4a05-87c1-18772ca70c83 | A 7-year old boy presented with severe abdominal pain. On examination, he had xanthoma. Blood sample was taken for work-up blood sample had milky appearance of plasma. Which of the following lipoprotein is increased? | LDL | HDL | Chylomicron | Chylomicron remnants | 2c | single | Ans: C. ChylomicronType I or V hyperlipoproteinemia:Features:Severe abdominal pain, xanthomas & milky appearance of plasma.Elevated levels of chylomicrons.(Ref. Harrison 19/e p2438-2447, 18/e p3148). | Biochemistry | null |
05562a53-1fbf-4697-b61c-e85b4cbe2f3d | A 16 year old girl with blind vagina and absent uterus presents to you. The investigation you will like to do first is : | Intravenous pyelography | FSH | Karyotyping | CT scan of pelvis | 2c | single | Karyotyping | Gynaecology & Obstetrics | null |
5dc22cf9-fe0a-451c-9a0b-4986711b82a9 | In infont brought with stridor, He is diagnosed as laryngomalavo, Following things seen, except | Stridor will be inspiratory | Floppy AE folds | Hoarse acy | Prominent arytenouds | 2c | multi | Laryngomalacia is supraglottic disease hence Hoovsness not seen. | ENT | null |
57049ba5-c2b5-4e04-8d75-3c30cac441ad | A woman receives an organ transplant from her sister who is an identical twin. What type of graft is it? | Allograft | Autograft | Xenograft | Isograft | 3d | multi | An Isograft is a graft of tissue between two individuals who are genetically identical (i.e. monozygotic twins). Transplant rejection between two such individuals viually never occurs Ref : Ananthanarayana textbook of Microbiology 9th edition Pgno : 183 | Microbiology | Immunology |
7dc82d10-b460-4450-a5d9-3189e04de8a0 | All of the following are causes of cicatrizing alopecia except: | Lichen planus | Discoid lupus erythematosus | Alopecia areata | Lupus vulgaris | 2c | multi | C i.e. Alopacia aerate | Skin | null |
1a5026db-638b-4275-8047-abd9728a50cc | The following statements are true regarding botulism except | Infant botulism is caused by ingestion of preformed toxin | Clostridium botulinum A, B, C and F cause human disease | The gene for botulinum toxin is encoded by a bacteriophage | Clostridium baratti may cause botulism | 0a | multi | Infant botulism is caused by ingestion of spores of Clostridium botulinum in food which gets deposited in the gut and later produces toxin. Cases occur in infants below 6 months. Older children are not susceptible. The manifestations are constipation, poor feeding, lethargy, weakness, pooled oral secretions, weak or al... | Microbiology | Bacteriology |
ef778d2c-c68e-439a-8b2e-eb2ccf844d2b | H202 is breaked or formed by which of the following enzyme: | Oxidase | Oxygenase | Hydrolase | All | 0a | multi | A i.e. OxidaseOxidase & superoxide dismutase generate H202, where as catalase and peroxidase are associated with breakdown of 11202Q. | Biochemistry | null |
d8aa8ce2-9078-4d52-829e-e0f4550166af | The liver is the principal site for
A. Synthesis of plasma albumin
B. synthesis of plasma globulins
C. Synthesis of vitamin B12
D. Storage of Vitamin C
E Storage of iron | AE | BC | DA | EC | 0a | single | The liver has many different functions in the body, but the main function of the liverin digestion is the production of bile and its secretion into the small intestine. The gallbladder is a small, pear-shaped organ located just posterior to the liver. | Physiology | null |
f11342ea-8992-4c1a-a79e-c39062a0917f | Most common hea disease which is associated with maximum moality during pregnancy is: | Eisenmenger syndrome | MR | AR | VSD | 0a | single | Eisenmenger's syndrome is the reversal of a left to right shunt (ASD, VSD, PDA) due to progressive pulmonary hypeension. Maternal moality approaches 30-50% and fetal loss may be as high as 75%. It is one of the few conditions in which pregnancy is contraindicated. Women with Eisenmenger syndrome tolerate hypotension po... | Gynaecology & Obstetrics | null |
0c44fa96-81b2-4119-8f22-3d0a575a4401 | Prolongd apnea may occur in patients with a genertically determined abnormal variant of cholinesterase following intravenous administration of | Succinylcholine | Tubocurarine | Mivacurium | Succinylcholine or mivacurium | 3d | multi | Both succinylcholine and mivacurium are completely and rapidly eliminated by plasma cholinesterase. Other nondepolarizing neuromuscular blockers, such as tubocurarine, pancuronium, and atracurium, are eliminated by renal or hepatic mechanisms or by spontaneous hydrolysis (atracurium). Patients with genetically deter... | Unknown | null |
c1068e35-0cdc-4ab8-8cff-d2582794746f | Epithelial lining of glottis/ true vocal cords:March 2013 (c) | Stratified squamous non-keratinized | Stratified squamous keratinized | Ciliated columnar | Non-ciliated columnar | 0a | multi | Ans. A i.e. Stratified squamous non-keratinized | Surgery | null |
84299e3a-8673-4786-be8c-7f868b32d749 | A pregnant woman with a family history of fragile X syndrome undergoes prenatal testing of her fetus. PCR analysis to amplify the appropriate region of the FMR1 gene is attempted using DNA from amniotic fluid cells, but no amplified products are obtained. Which of the following is the most appropriate next step? | Routine karyotyping of the amniotic fluid cells | Routine karyotyping of the unaffected father | Southern blot analysis of DNA from the amniotic fluid cells | PCR analysis of the mother's FMR1 gene | 2c | multi | Failure to find amplified product by PCR analysis in such a case could mean that the fetus is not affected, or that there is a full mutation that is too large to be detected by PCR. The next logical step is a Southern blot analysis of genomic DNA from fetal cells. Routine karyotyping of the amniotic fluid cells is much... | Pathology | Genetics |
819c1540-767f-4f38-9357-cd42cdffe82d | Dose of digoxin is NOT altered in ? | Old age | Hepatic disease | Renal disease | Hypercalcemia | 1b | single | Ans. is 'b' i.e., Hepatic disease o Make it clear once and for all that Digitalis is the parent compound. Digitalis is applied as a collective term for the whole group and has come to mean a cardiac glycoside. o Digoxin and digitoxin are two of the many types of cardiac glycoside. o Digoxin is a polar glycoside, and is... | Pharmacology | null |
535766cf-7a8b-48c6-9eda-dba0b4afefa1 | Ketamine acts an which receptors - | GABA | Muscarinic | 5-HT4 | NMDA | 3d | single | Ans. is 'd' i.e., NMDA o Ketamine increases cerebral blood flow, metabolism, oxygen consumption and intracranial tension, unlike thiopentone, propofol&etomidate, which have cerebroprotectiveeffect, therefore ketamine is contraindicated in head injury, intracranial space occupying lesions and for neuroanaesthesia.Ketami... | Anaesthesia | Miscellaneous General Anesthesia |
89f9ea7e-a430-4221-8d66-2ca11051674c | Parkinson triad contains all EXCEPT: September 2012 | Rigidity | Resting tremors | Bradykinesia | Preserved postural reflexes | 3d | multi | Ans. D i.e. Preserved postural reflexes Parkinsonism is a disorder of the extrapyramidal system, characterized by tremor, rigidity, bradykinesia and postural disturbances Parkinsonism/Parkinson's syndrome/Atypical Parkinson's/Secondary Parkinson's It is a neurological syndrome (not necessarily the specific disease) cha... | Pathology | null |
76419b60-8de5-4a78-b065-4382c8725441 | Mechanism of action of Oseltamivir (Tamiflu) as an antiviral agent is: | Inhibition of M2 receptor | Neuraminidase inhibition | Inhibition of RNA dependent DNA polymerase | Apoptosis of infected cells | 1b | single | Answer- B. Neuraminidase inhibitionThe neuraminidase inhibitors oseltamivir and zanamivir, analogs of sialic ocid, interfere with release of progenyinfluenza vitus from infected host cells, thas halting the spread of infection within the respiratory tract. These agentscompetitively and reversibly interact with the acti... | Pharmacology | null |
0e7d8430-2e9b-4fd6-98cc-0c1408e28565 | Aerial biopsy of elderly male shows fragmentation of elastic lamina, lymphocyte infiltration and giant cells ? | Temporal aeritis | Takayasu disease | Polyaeritisnodosa | Kawasaki disease | 0a | single | Ans. is 'a' i.e., Temporal aeritisGiant cell aeritis or temporal aeritisIt is the most common form of systemic vasculitis in adults.It is an acute and chronic, often granulomatous inflammation of aeries of large to small size.Giant cell aeritis affects principally the aeries in the head, especially the temporal aeries ... | Pathology | null |
9a1f63fa-0f2c-4323-b729-cadd4dd82a07 | Which of the following tests is done for vaginal cells collected for the investigation for rape? | Lugol's iodine test | Benzidine test | Takayama test | Florence test | 0a | single | Lugol's iodine test:- Lugol's iodine is applied on glans penis. If the person has done sexual intercourse, then a brown colour will occur due to reaction between Lugol's iodine and glycogen (present in vaginal epithelial cells, which get deposited on Glans penis during sexual intercourse). This test is positive up to 4... | Forensic Medicine | Sexual offences |
b521ddee-9a0b-46ea-8afa-4508b2376b1f | Which of the following is drug of choice for CMV retinitis? | Acyclovir | Tenofovir | Ganciclovir | Abacavir | 2c | single | Doc for CMV retinitis - Ganciclovir Other drugs used - Foscarnet, cidofovir Herpes simplex virus (HSV), Varicella zoster virus (VZV) - Acyclovir Anti HIV drugs - Tenofovir, Abacavir Ganciclovir: Activated intracellularly by virus specific thymidine kinase Due to poor oral absorption, bioavailability of ganciclovir is l... | Pharmacology | Anti-Viral Drugs |
33ed8a81-8b1b-4ef6-985c-46bc1bebb7a4 | Predisposing factor for carcinoma vulva is all Except | Smoking | HPV | Fibroepithelial polyp | Leukoplakia | 2c | multi | The etiologic role of ceain viruses in carcinogenesis, paicularly high-risk HPV types 16 and 18, in these sites is well documented. Mention has already been made about the preceding stage of vulval epithelial disorders, paicularly squamous hyperplasia, in the development of these lesions. Ref: HARSH MOHAN TEXTBOOK OF P... | Pathology | miscellaneous |
1173a087-fea6-4228-89a0-e221549f3baa | Not a site of hematpoiesis in fetus - | Kidney | Liver | Spleen | Yolk sac | 0a | single | Ans. is 'a' i.e., Kidney Erythropoies siteso Intrauteriney 0-10 weeksy 10 weeks - 5 monthsy 5 month onward-Yolk sac-Liver (maj or organ) and spleen- Bone marrowo After birthUpto 20 years - Bone marrow of all bonesAfter 20 years - Flat bones of axial skeletal and proximal end of humerus and femur. | Physiology | Blood: RBCs, Anemia, and Polycythemia |
0c7a251f-d0de-40d8-87e6-e3d4dcfd176e | Osteoporosis is caused by ill except: | Sarcoidosis | Old age | Hypoparathyroidism | Steroid therapy | 2c | multi | Answer is C (Hypoparathyroidism) : Osteoporosis is a feature of Hyperparathyroidism (not hypoparathyroidism). | Medicine | null |
f79c7007-034c-4da7-9940-b5ed6385083f | The commonest extradural spinal tumour is ? | Neurofibroma | Glioma | Meningioma | Metastasis | 3d | single | Ans. is 'd' i.e., Metastasis | Surgery | null |
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