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135
9fa6b487-0676-4dd9-8fc8-5048634216e9
The lower angle of scapula lies at the level of?
T5
T6
T7
T8
2c
single
The root of the spine of the scapula is on a level with the tip of the spinous process of the third thoracic veebra, and the inferior angle with that of the seventh. Landmarks and internal structures found at various veebral levels. Thoracic Veebral LevelLandmarkInternal SignificanceT1Sternoclavicular jointHighest poin...
Anatomy
null
119054fe-881d-45a5-8adb-ce09128ca903
Carcinoma breast spread to other breast is more common in which of the Carcinoma breast:
Lobular carcinoma
Scirrhous Carcinoma
Both of the above
None of the above
0a
multi
Invasive lobular carcinoma accounts for 10% of breast cancers. LCIS(LOBULAR CARCINOMA IN SITU) originates from the terminal duct lobular units and develops only in the female breast. It is characterized by distention and distoion of the terminal duct lobular units by cancer cells, which are large but maintain a normal ...
Surgery
null
317dc19e-ae9b-4d18-8c77-31171ff78dbc
Drug of Choice for absence seizure in children < 3 years of age is
Ethosuximide
Carbamazepine
Lamtrigine
Phenytain
0a
single
Answer- A. EthosuximideEthosuximide is the DOC for absence seizures in children below 3 years of age as Na valproate may cause fulminant hepatitis in children below 3 years of age. Broadly. Na valproate is the DOC for absence seizures.
Medicine
null
fff46d71-cb03-48bf-af76-5643ae527467
When capillary and interstitial hydrostatic pressures are 30 mm of Hg and 5 mm of Hg and colloid oncotic pressure of capillaries and interstitum if 25 mm of Hg and 5 mm of Hg, what is the Net filtration pressure?
5 mm Hg
10 mm Hg
15 mm Hg
20 mm Hg
0a
single
Forces that our filtration - capillary hydrostatic pressure & plasma colloid oncotic pressure. Forces that opposes filtration - interstitial hydrostatic pressures & capillary oncotic pressure. Net filtration pressure -sum of hydrostatic & colloid osmotic forces that either our or oppose filtration across capillaries. T...
Physiology
JIPMER 2017
d5842784-949f-45db-b0b8-33dbfd3fee9f
A patient is admitted with 3rd episode of deep venous thrombosis. There is no history of any associated medial illness. All of the following investigations are required for establishing the diagnosis except
Antibodies to factor VIII
Antibodies to cardiolipin
Antithrombin II deficiency
Protein C deficiency
0a
multi
It is a cqpillary vascular malformation also called as naevus simplex. Commonly seen in 40% of new borns. It is present at bih,usually involves nape of neck,face,scalp,limbs. With age,it goes for spontaneous regression and disappears completely,usually in one year.
Surgery
Vascular surgery
29ea452b-ca7a-4a9f-9651-63dc65859cde
IL-2 is produced by:
T cells
B cells
Monocytes
Neutrophils
0a
single
Answer is A (T cells) : IL-2 is produced by T helper cells (CD4 cells). Its actions include: Promotes growth and differentiation of T and B cells: interestingly, receptors for IL-2 are present on T cells themselves, and so the secreted IL-2 acts on these very receptors and promotes growth & differentiation of T cells. ...
Medicine
null
acced176-0fe1-403b-b526-ccf9a9b5c482
Following condition is caused by:
Treponema
HSV 2
Small Pox virus
Syphilis
1b
multi
Genital herpes - Infection of the genitals caused by HSV. Either have no or mild symptoms. Blisters break open to form painful ulcers. Flu-like symptoms, such as fever, aching, or swollen lymph nodes. Onset is within 4 days after exposure with symptoms lasting up to 4 weeks. Antiviral medications, such as acyclovir, va...
Dental
Sexually Transmitted Infections
5533d652-5bc9-469f-9548-7ba4298ecb01
Proteins in nucleosome are made up of -
Histidine
Asparagine
Aspartate
Glutamate
0a
single
Ans. is 'a' i.e., Histidine* Histones are positively charged by virtue of their composition. They are made up of positively charged or basic aminoacids - Histidine and Arginine* Human chromosome when fully extended will measure a few metres long* Such a long chromosome is packed inside a nucleus of few microns in diame...
Biochemistry
Molecular Genetics
81d61a2d-8dcc-4b3c-8c01-ad249160e09a
Which method is used for destroying useless hospital waste products?
Hot air oven
Incineration
Autoclave
Heat sterilization
1b
single
Ans: b (Incineration) Ref: Ananthanarayan, 7th ed, p. 25; Park, 18th ed, p. 599Incineration is an excellent method of safely destroying materials such as contaminated cloth, animal carcasses and pathological materials.Categorization of biomedical waste and its disposal:Cat IHuman anatomical wasteIncinerationCat IIAnima...
Microbiology
General
fc83df2a-e58c-4bb9-b4e8-d20541d3f9c4
The prevalence of disease in a population is expected to be 50%. An investigator is interested in the range of 45 to 55% with 95% confidence. The minimum sample size required for the study is:
100
200
300
400
3d
single
Answer- D (400)In this question, use Standard Error of propoions.The 95% confidence limits for a propoion are p +- 1.96 s.e.p, where s.e.p is the standard error of a propoion.p = sample propoion = propoion of diseased persons = 0.5 q = 1-p = 0.5 s.e.p .NI(p x q / n) Now here, the range of propoions with 95% confidence ...
Social & Preventive Medicine
null
e950f219-9481-4278-9599-877db0d1544e
All are true about epidemiological features of cholera except ?
Epidemic is self limiting
Poor sanitation is a cause of epidemic
El Tor biotype has decreased endemicity
Onset of epidemic is abrupt
2c
multi
The El Tor biotypes have greater endemic tendency than its classical counterpa in that it causes a higher infection-to-case ratio (i.e. more inapparent infections and mild cases). About other options Cholera epidemic has an abrupt onset. It stas as common source epidemic and often treat an acute health problem. Then it...
Social & Preventive Medicine
null
cabe5655-284d-4c9d-9eb1-5fc79b08dbb7
Which one of the following is NOT an epithelial tumour of the ovary: September 2012
Serous cystadenoma
Brenner tumour
Clear cell tumour
Endodermal sinus tumour
3d
single
Ans. D i.e. Endodermal sinus tumour Endodermal sinus (yolk sac) tumour is a rare tumour but the second most common of germ cell origin
Gynaecology & Obstetrics
null
3c55835a-0901-45c8-8712-413be4c613de
All are true about DNA methylation except:
It usually occurs in the cytosine
Can alters the gene expression pattern in cells
Role in genomic imprinting
No role in carcinogenesis
3d
multi
Ans: (D) No role in carcinogenesisCytosine in the sequence CG of DNA gets methylated to form 5'-methylcytosine. A major poion of CG (about 20%) in human DNA exists in methylated form.In DNA, methylation usually occurs in the CpG islands, a CG rich region, upstream of the promoter region. In humans, DNA methylation is c...
Biochemistry
null
a5044d26-6c5b-40fd-a1f2-8f0351f35e1a
Ramsay Hunt syndrome is caused by:
H. simplex
H. zoster
Influenza
HIV
1b
single
(b) H. zoster(Ref. Cummings, 6th ed., 2622)Herpes Zoster of external ear with facial palsy is known as Ramsay Hunt syndrome.H. simplex is being reported to be associated with Bell's palsy.Facial nerve palsy can also be caused by other viruses, for example HIV, influenza, polio, EBV, etc.
ENT
Facial Nerve And Its Disorders
e22676e3-ebf4-464b-8af3-ab81a4f2e4b2
Which one of the following clinical findings excludes the diagnosis of polymyositis?
Neck muscle involvement
Extraocular muscle involvement
Dysphagia
Abdominal muscle involvement
1b
single
PM don't have any of the following:rashes ,involvement of extraocular and facial muscles ,family history of neuromuscular disease,history of exposure to myotonic drugs or toxins ,endocrinopathy ,neurogenic disease,muscular dystrophy ,biochemical muscle disorder. Ocular muscles are never involved in generalized polymyos...
Medicine
C.N.S
a832aaf7-91a0-421e-ba63-0a977d5d0d4b
All are true about cluster sampling except ?
Sample size is same as that of simple random sampling
It is a two stage sampling
It is cheapter than other methods of sampling
It has a disadvantage of higher sampling error
0a
multi
Ans. is 'a' i.e., Sample size is same as that of simple random sampling o Cluster sampling is an example of "two-stage sampling" or "mulistage sampling" - i) In first stage a sample or areas is chosen In the second stage a sample of respondent within those areas is selected. o Cluster sampling generally increases the v...
Social & Preventive Medicine
null
0b02c7c1-9590-4466-bfea-75a3e8a07f81
A 20 year old male presents with extrapyramidal symptoms and liver damage. Diagnosis
Wilson's disease
Huntington's disease
Parkinsons's disease
Hemochromatosis
0a
single
Wilson's disease It is characterized by excessive deposition of copper in the liver, brain and other tissues Clinical features Liver disease during first decade of life or with neuropsychiatric illness during 3rd decade Kayser-Fleischer ring - due to deposition of copper in Descemet's membrane in the limbs of corners R...
Anatomy
G.I.T
c281e5fa-ce51-4f13-9f4b-0543d8552a6f
Mesangial deposition of electron dense substance seen in?
IgA nephropathy
Membranous nephropathy
Minimal change disease
Post streptococcal glomerulonephritis
0a
single
Ans. is 'a' i.e., IgA nephropathyIgA Nephropathy: shows presence of electron dense deposits in the mesangium.
Pathology
null
a02325df-f7f3-43ee-bc9f-e50503e74938
Which of the following is physiological uncoupler?
Thermogenin
2, 4 nitrophenol
2, 4 Dinitrophanal
Oligomycin
0a
single
Physiological uncouplers i. Thyroxine, in high doses ii. Thermogenin in brown adipose tissueRef: DM Vasudevan Textbook of Medical Biochemistry, 6th edition, page no: 234
Biochemistry
Respiratory chain
b6a96562-ddcf-47da-bc81-fc18a7933fb5
Which of the following is used as an antidote to nicotine poisoning
Neostigmine
Atropine
Phentolamine
Trimethaphan
3d
single
Ref: HL Sharma 3rd ed pg:195 Nicotine is an agonist for NN receptors Ganglion blockers are antagonists for NN receptors eg: hexamethonium, trimethaphan, Mecamylamine etc
Pharmacology
Autonomic nervous system
40d73166-800e-4cc7-9366-441c86a45b41
According to the latest guidelines of vaccination, which of the following is applicable at the age of 5 years :-
DT Booster + Vitamin A
DT
DPT + OPV
DPT booster + Vitamin A
3d
single
According to Latest National immunization Schedule - NIS 2020-21: - Total 3 doses of DPT vaccine each at 6,10 & 14 weeks; & 2 booster doses each at & 5yrs of age are given respectively. - Vitamin A should be staed at 9months of age & given for every 6months till 5yrs of age. - Hence DPT booster & Vit A are applicable a...
Social & Preventive Medicine
National Immunization Schedule 2020-21
5c2d4711-a8a9-494b-8c16-3f0932e1588b
Soft water has hardness levels of -
<50
100
150
>200
0a
single
Level of hardness is expressed in terms of milliequivalents per litre where one milliequivalent is equal to 50mg calcium carbonate in one litre of water. The level of hardness of hard water is equal to 3-6mEq/L or 150-300 mg/L. CLASSIFICATION LEVEL OF HARDNESS (mEq./L) LEVEL OF HARDNESS (mg/L) soft water <1 <50 moderat...
Social & Preventive Medicine
Environment and health
60fb0cdc-63d4-49fe-892a-a193bb5982e5
The surface marking of the arch of aoa is as follows
Behind the manubrium sterni
2nd intercostal space
3rd intercostal space
Left 2nd costal cailage
0a
single
ARCH OF AOA It lies behind the lower half of the manubrium sterni.Its upper convex border is marked by a line which begins at the right end of the sternal angle,arches upwards and to the left through the centre of the manubrium and ends at the sternal end of the left second costal cailage.Note that the beginning and en...
Anatomy
Thorax
a399dec9-8d88-48ed-a9b9-c98c7d52f209
Intrinsic causes of hemolytic anemia are all except
GCPD deficiency
Hereditary spherocytosis
Hypersplenism
Pyruvate kinase deficiency
2c
multi
Hypersplenism is an extracorpuscular cause of heamolytic anemia. All other options are intracorpus cular / intrinsic causes of heamolytic anemia.
Pathology
null
1c30645f-b97c-4f13-bccb-2b66c6dc0d97
Birbeck granules are present in
Merkel cells
Langerhans cells
Langhans cells
Melanocytes
1b
single
Ref Robbins 9/e p662 Birbeck granules, also known as Birbeck bodies, are rod shaped or "tennis-racket" cytoplasmic organelles with a central linear density and a striated appearance. First described in 1961 (where they were simply termed "characteristic granules"), they are solely found in Langerhans cells.
Anatomy
General anatomy
c34ffe33-7feb-42de-a781-639642d8ab59
Not a tumor marker
Tartarate resistant alkaline phosphatase
CEA
AFP
Alpha-1 antitrypsin
3d
single
Ans. d (Alpha-1 antitrypsin). (Ref. Robbins, Pathologic Basis of Disease, 6th/pg.325) Alpha-1 Antitrypsin Blood Levels as Indicator for the Efficacy of Cancer Treatment Ref- Our data came to confirm this suggestion and to strongly conclude that the measurement of a1-AT blood levels during the course of cancer treatment...
Unknown
null
2bb5625e-d6dc-479e-8a84-29a05f69b24d
The rash which is not central in predisposition is:
Epidemic typhus
Measles
Secondary syphilis
Typhoid
2c
single
Centripetal rash (Primarily central/truncal) Mnemonic: "Red Rashes Scare Parents Very Much" Centrifugal rash (Primarily on extremities) Mnemonic: You drive CARS with your Hands and Feet Rubella CA - Coxsackie A Virus (Hand, Foot, Mouth disease) Roseola R-Rocky Mountain spotted fever Scarlet fever S-Secondary syphilis P...
Dental
Viral infections
fc217272-cd6a-4ca7-a37a-ee233eb36a2d
Uronic acid level in urine is elevated in-
Tyrosinosis
Maple syrup urine disease
Nieman picks disease
mucopolysaccharidosis
3d
single
Uronic acid (glucuronic acid) is one of the essential components of mucopolysaccharide (glycosaminoglycans). So, it is increased in mucopolysaccharidosis. In mucopolysaccharidosis, glucuronic acid and iduronic acid are excreted in urine.
Biochemistry
null
bec20479-ded9-4b55-8092-75b483c12ee2
The muscle which makes an angle of about 51deg with the optical axis is
Superior oblique
Superior rectus
Inferior rectus
Lateral rectus
0a
single
The extraocular muscles rotate the eyeball around veical, horizontal and antero-posterior axes. Medial and lateral rectus muscles are almost parallel to the optical axis of the eyeball; so they have got only the main action. While superior and inferior rectus muscles make an angle of 23deg and reflected tendons of the ...
Ophthalmology
Ocular motility and squint
b93c40bb-b87e-4eb8-9780-a7a82944491b
The expectant line of management in placenta prae is contraindicated in
Pre term foetus
Live foetus
Breech presentation
Active labour
3d
single
Active InterferenceThe indication of active treatment in placenta pre are: Bleeding is continuingBaby is dead or known to be congenitally deformed Bleeding occurs at or beyond 38 weeks of pregnancy Patients is in emarginated state on admissionPatient is labour.
Gynaecology & Obstetrics
General obstetrics
80410736-345d-4285-842e-4779ea5a3728
Perforins are produced by -
Cytotoxic T cells
Suppressor T cells
Memory helper T cells
Plasma cells
0a
single
A protein found in the cytoplasmic granules of both T-cytotoxic lymphocytes and natural killer cells Reff: Ananthanarayan & Panikers textbook of microbiology 9th edition pg: 137
Microbiology
Immunology
895b0a22-7c6c-4abc-9bc9-29f257185b1f
In rectus sheath which branch of aoa make anastmosis with superior epigastric aery
Subclan aery
External iliac aery
Internal iliac aery
External carotid A
1b
single
The external iliac aeries are two major aeries which bifurcate off the common iliac aeries anterior to the sacroiliac joint of the pelvis. They proceed anterior and inferior along the medial border of the psoas major muscles. They exit the pelvic girdle posterior and inferior to the inguinal ligament about one third la...
Anatomy
Abdomen and pelvis
611bd245-e86d-4a2c-b23b-bdfda797043d
A drug X is secreted through renal tubles,tubular secretion of this drug can be confirmed if renal cleraclea of drug X is
More than the GFR
Equals to the GFR
Less than the GFR
More than volume of distrubtion
0a
single
Ref-KDT 6/e p30 Atter filtration from glomerulus, a drug may undergo two processes (tubular reabsorption and tubular secretion) before going out from the body i.e renal clearance. Suppose 100 mg of a drug is filtered by glomerulus and the ren clearance is 150mg,it mean 50mg is coming from somewhere else, i.e. tubular s...
Anatomy
Other topics and Adverse effects
589d2a09-343a-4bcc-be7a-7f21180ff398
Manifestation of nephritic syndrome is-
Syphilis
Hypotension
Hematuria
Plyuria
2c
single
In acute nephritic syndrome, 1-2g/24 hr of proteinuria. Hematuria with rbc casts pyuria hypeension, fluid retention Rise in serum creatinine associated with reduction in GFR. Ref:Harrison 20 th edition pg no 2134.
Medicine
Kidney
193b42a5-b08b-4c48-8958-ca2aaa52485f
Not true about Fosphenytoin
Used for GTCS
Prodrug of Phenytoin
Lipid soluble
Highly protein bound
2c
multi
Fosphenytoin, a more soluble phosphate prodrug of phenytoin, is well absorbed. Fosphenytoin sodium is available for intravenous or intramuscular use and replaces intravenous phenytoin sodium, a much less soluble form of the drug. Used in generalized Tonic-clonic seizures and paial seizures. Highly bound to plasma prote...
Pharmacology
Central Nervous system
0e98c3a6-c4dc-430f-8a5c-a9d0c7d8da76
A 14 year old male was presented to the casualty on a saturday night with left sided upper abdominal pain. Clinical examination revealed massive splenomegaly. He has history of massive hematemesis 2 year back, and was diagnosed to have Extrahepatic Poal Venous Obstruction (EHPVO) and bleeding was controlled by ligation...
Acute pancreatitis
Aoic dissection
Splenic infarction
Intussusception
2c
single
EHPVO is a common cause of poal hypeension in children. It commonly presents with stable massive variceal bleeding during childhood. Patients have massive splenomegaly. Splenic infarction and mesenteric vein thrombosis are the two possibilities if EHPVO develops sudden onset of abdominal pain. Here we have splenic infa...
Medicine
null
34d46769-dea9-4050-8bbf-78d84276ffea
In future replacement of questionable mandibular teeth is anticipated, the major connector of choice is:
Lingual bar.
Lingual plate.
Sublingual bar.
Sublingual plate.
1b
single
When one or more incisor teeth have to be replaced in the future, the lingual plate is preferred because additional teeth can be added by attaching retention loops to it.
Dental
null
a8a6a579-d0ad-4a83-b41f-73815ca025e0
Contributory negligence is by the pa of:
Doctor
Patient
Both of the above
Paramedics
2c
multi
Contributory negligence is defined as a concurrent negligence by the patient and doctor resulting in delayed recovery or harm to the patient. The negligence of both paies has contributed to this harm. Contributory negligence is good defense for the physician in civil cases but not in criminal cases.
Forensic Medicine
null
2c3adf10-2bb9-4f73-a3f7-963a05a2267c
Which of the following fracture is known for Malunion ?
Femur neck
Supracondylar Humerus
Scaphoid
Lateral condyle of humerus
1b
single
SCFH is known for malunion- gun stock defrmity. other fractures complication is non union.
Orthopaedics
Upper Limb Traumatology
c7698d98-4ea2-4527-aa11-d3af40295b40
Subdural haematoma most commonly results from
Rupture of intracranial aneurysm
Rupture of cerebral AVM
Injury to coical bridging veins
Hemophilia
2c
single
C i.e. Rupture of coical bridging veins
Radiology
null
9bc097d7-1b9e-4e6c-a3ae-5f9c7c556bca
Parkinsonism is characterised by all of the following characteristic features except :
Rigidity
Akinesia
Tremors at rest
Past pointing
3d
multi
Answer is D (Past pointing): Past pointing is a feature of 'Cerebellar disease'. It is not seen in an extrapyramidal syndrome. Other features mentioned are all true for Parkinsonism.
Medicine
null
6c27bb46-4947-416a-81eb-7099918af748
Estradiol is a powerful inhibitor of FSH (follicle stimulating hormone). What is another factor that is a powerful inhibitor of FSH in the female?
Testosterone
Progesterone
LH
Inhibin
3d
single
Inhibin, as its name implies, is an inhibitor. The specific action of inhibin is to inhibit the release of FSH. Inhibin occurs as a heterodimer It is produced in the male and the female. Inhibin is produced by the ovarian granulosa cells to prevent more than one follicle (in general) from becoming a mature follicle. Th...
Physiology
null
0b214d33-6177-40b8-9044-59c2ccdbd0ea
Following resection of 2/3rd of the liver, regeneration is complete within
2-3 months
8-10weeks
4-6 months
4-5 weeks
2c
single
Following resection of 2/3rd of liver, regeneration is complete within 5-6 months
Anatomy
G.I.T
56dfafcc-6dcf-475c-80be-fd226e6238cf
A newborn with Down syndrome has constipation. Rectal examination shows no stool in the rectal ampulla. The proximal rectosigmoid is dilated on radiograph. The mechanism most likely responsible for the patient's disease is
An imperforate anus
An inflammatory lesion in the rectosigmoid area
Inspissated meconium owing to a defect in exocrine secretions
Absent ganglion cells in the submucosal and myenteric plexus
3d
single
Down syndrome patients have an increased incidence of Hirschsprung disease (10% of all cases), which commonly presents with inability to pass meconium after 24 hours. * Hirschsprung disease, or congenital megacolon, is a deficiency of ganglion cells in Meissner submucosal plexus and Auerbach myenteric plexus, which cau...
Surgery
null
0880cc30-1133-4c54-b950-eb4b6f0a136c
Transfer factor is an example of:
Artificial active immunity
Natural active immunity
Adoptive immunity
Artificial passive immunity
2c
single
Acquired by injection of immunologically competent T-lymphocytes known as Transfer factor Used for treatment when the CMI is low, e.g. Lepromatous leprosy.
Microbiology
null
498663c2-362c-46c8-aa28-096b1b5dd33e
Gartner's duct cyst is seen in:
Vagina
Cervix
Hymen
Labia minora
0a
single
Ans. A. VaginaThe most Gammon type of vaginal cysts is Gartner's duct Cyst. These cysts arise from the caudal remnants of the mesonephric or Wolffian duct system. They are usually located along the anterolateral aspect of the vaginal walls and are frequently bilateral.Gartner's ducts are remnants of the mesonephric (Wo...
Gynaecology & Obstetrics
Obstetrical Anatomy
d035418a-f5af-4fc5-b25c-2c642f85da35
Ureters are identified during surgery by -
Peristalsis d/t flow of urine
Rich arterial plexus
Relation to renal vein & artery
Relation to lumbar plexus
0a
single
Ureters are muscular ducts situated retroperitoneally and are identified by peristalsis.
Anatomy
null
e4771b94-3f76-48a0-aeac-8999c03b554a
HRT in post-menopausal women is given for all except:(AIIMS May 2013, Nov 2011)
Vaginal dry ness
Hot flushes
Prevention of coronary artery disease
Prevention of osteoporosis
2c
multi
Ans. c. Prevention of coronary artery disease (Ref: Novak's Gynae 14/e p1330-1333)HRT in post-menopausal women is effective treatment available for relief of the menopausal symptoms hot flashes, vaginal dryness, urinary symptoms, emotional lability, and osteoporosis. Coronary artery disease is an absolute contraindicat...
Gynaecology & Obstetrics
Disorders in Menstruation
c69f4c7e-ee9d-449b-a706-439a586d5558
Radiological sign of coarctation of aorta
Dock's sign
E - sign
Inverted 3 sign
All of the above
3d
multi
Others :  Revesed E sign. Figure of 3 sign.
Radiology
null
960fa5fb-6968-4e6d-a0a8-b8d8fe659e00
34 years old male with femur shaft fracturedevelops petechiae over chest 4 days after the injury. What is the most probable diagnosis?
Fat embolism
Air embolism
Thrombocytopenia
Hypocomplimentemia
0a
single
Ans. is 'a' i.e., Fat embolism o Fat embolism means circulation of fat globule away from its site of origin,o When fat embolism causes symptoms it is called fat embolism syndrome,o Causes of fat embolism1. Fracture of long bone (most common) - Blunt trauma2. Soft tissue trauma3. Bums4. Parenteral lipid infusion5. Sickl...
Orthopaedics
Fracture Shaft Femur
4a32fc1f-ad4a-4781-bad9-3e2162dae3ed
An obese, 25-year-old G1P0 comes to your office at 8 weeks gestational age for her first prenatal visit. She is delighted to be pregnant and wants to do whatever is necessary to ensure a healthy pregnancy. She is currently 5 ft, 2 in. tall and weighs 300 lb. She is concerned because she is overweight and wants you to h...
Marked obesity in pregnancy increases the risk of developing diabetes, hypertension, and fetal macrosomia
She should gain at least 25 lb during the pregnancy because nutritional deprivation can result in impaired fetal brain development and intrauterine fetal growth retardation
Obese women will still have adequate fetal growth in the absence of any weight gain during pregnancy
She should avoid initiating a vigorous exercise program to get in shape
1b
multi
Women who are markedly obese are at increased risk of developing complications during pregnancy. Obese women are more likely to develop diabetes and hypertension during pregnancy. In addition, these women are more likely to develop fetal macrosomia and undergo cesarean section for delivery. Morbidly obese women who do ...
Gynaecology & Obstetrics
Fetus & New Born and their Diseases
189ab8ce-de10-4356-b843-1073d6755fa6
Which is not a perceptional disorder
Hallucination
Illusion
Synaesthesia
Imagery
3d
multi
Imagery: awareness of a percept that has been generated within the mind, can be terminated by an effo of will. It is a pa of a normal phenomenon Hallucination: False sensory perception occurring in the absence of any relevant stimulation of the sensory modality involved. Types: auditory, Visual, tactile, gustatory, sme...
Psychiatry
All India exam
825f74cd-4217-4bdf-9c66-81ca99f0e82a
A child of phenyl ketonuria mother may develop –
Microcephaly, mental retardation, congenital heart disease
Mental retardation, cataract, congenital heart disease
HydrocephaluS, cataract.
Microcephaly, cataract, renal dysplasia.
0a
single
Children born to phenyl ketonuria mothers have following features Mental retardation              Microcephaly       Growth retardation  Congenital heart disease
Pediatrics
null
a696a24c-bdd3-46ab-a52c-ea5dc3b09422
Sensorimotor neuropathy may be caused by all, except:
DM
Lead poisoning
Arsenic
Isoniazid
1b
multi
Answer is B (Lead poisoning): Inorganic lead poisoning is not associated with a sensorimotor neuropathy Inorganic lead poisoning is primarily associated with a pure motor neuropathy. Selective motor neuropathy with wrist drop is characteristic of lead poisoning. Conditions that may cause Sensorimotor Neuropathies Polyn...
Medicine
null
b4188801-88a1-4838-afa5-c1a1e3c1674e
Perinatal Moality rate includes:
Still borns and death within 7 days of bih
Neonatal deaths within 30 days of bih
Aboions and Death within 7 days of bih
Deaths between 7 and 28 days of bih
0a
single
Perinatal moality rate has great significance in assessment of both obstetric and pediatric care before and around the time of bih. It includes both stillbihs and early neonatal deaths (neonatal deaths under one week of age). Perinatal moality accounts for 90% of all fetal and infant moality in the developed countries....
Social & Preventive Medicine
null
652a77e0-0b71-420a-8f09-e27ea1702a6e
Energy production enzymes are located in:
Rough endoplasmic reticulum
Ribosomes
Golgi apparatus
Mitochondria
3d
single
Ans. (d) Mitochondria(Ref: Ganong, 25th ed/p.36)Mitochondria is involved in the synthesis of energy-rich compound ATP by oxidative phosphorylationAlso called as "powerhouse of the cell"
Physiology
General
4a5c8ffe-3f91-4af1-8bf5-c7955fe4d1be
First symptom in tuberculous cord compression is-
Sensory change
Decrease tendon reflex
Spasticity
Lower limb weakness
2c
single
Tubercular paraplegia is usually spastic to start with.
Orthopaedics
null
7c49925d-cb65-46a4-93a4-aa5e7273cc6f
Rodent ulcer is
Basal cell cancer
Squamous cell ca
Rhinophyma
Adenocarcinoma
0a
single
Basal cell cancer Aka Rodent ulcer Locally invasive Destruction of surrounding tissues - Aka Tear Cancer Seen in face above the line joining ear lobule to angle or corner of mouth - Arises from Basal layer of epidermis - Most common site - Nose > Inner canthus Types of BCC (based on pathology) - Nodular MC type Classic...
Surgery
FMGE 2019
5b52d6a7-c4d5-44fd-a817-4c6d8782aedb
Unilateral injury to hypoglossal nerve leads to all, EXCEPT?
Hemiatrophy of involved side
Detion of tongue towards the same side
Loss of taste sensation over the opposite half of the tongue
Fasciculation of the tongue
2c
multi
Hypoglossal nerve is not involved in the transmission of taste sensation.General sensation from anterior 2/3rd of tongue is carried by lingual nerve, taste sensation is carried by chorda tympani a branch of facial nerve. Glossopharyngeal nerve carries both taste and general sensation from posterior 1/3rd of tongue. Pos...
Anatomy
null
3d0125db-6375-4b2e-9da3-adf1d2a974d1
A 30-year-old female complaints of fatigue and is unable to gain weight. On examination, her body felt warm. Which of the following investigation can be helpful in reaching the diagnosis?
High TSH with normal T3, T4
Low TSH with high T3, T4
High TSH with euthyroid status
Increased uptake of T3, decreased level of T4
1b
single
On the basis of above clinical scenario patient is suffering fromprimary Hypehyroidism. Primary Hypehyroidism CLINICAL FEATURES: Sympathomimetic stimulation : Palpitations - beta1 activation Fine Tremors - beta 2 activation Sweat on palms/soles Hypeension - alpha1 activation 2. BMR | -Weight loss 3. Calorigenesis | - H...
Medicine
NEET Jan 2020
7b95b699-c173-4e0a-8cad-9d4f102d3949
All of the following are true about the Papovavirus, except
They are non-enveloped icosahedral viruses
Produce papilloma
RNA virus
Oncogenic
2c
multi
Pox virus, Herpes virus, Adenovirus, HBV, Papilloma, Papova , Polyoma virus are DNA virus. Papillomaviruses cause infections at cutaneous and mucosal sites, sometimes leading to the development of different kinds of was, including skin was, plantar was, flat was, anogenital was, laryngeal papillomas, and several cancer...
Microbiology
Virology
ae2c497a-a3df-4311-a392-ab95f9111afe
The most virulent plasmodium species causing malaria is: March 2013 (c)
Vivax
Ovale
Falciparum
Malariae
2c
single
Ans. C i.e. Falciparum malaria Plasmodium falciparum It is a protozoan parasite, one of the species of Plasmodium that cause malaria in humans. It is transmitted by the female Anopheles mosquito. Malaria caused by this species (also called malignant or falciparum malaria) is the most dangerous form of malaria, with the...
Microbiology
null
d795f77e-52f6-4b0e-9a9f-bdd755255735
Gastric motility is increased in:
Acid in duodenum
Tryptophan in duodenum
Distension of stomach
Fatty food in stomach
0a
single
Acid in duodenum
Physiology
null
3127320e-04d9-462f-81c1-73789b27a6e9
A 47-year-old man has had dull, constant pain in the midsection of the right thigh for the past 4 months. On physical examination, there is pain on palpation of the anterior right thigh, which worsens with movement. The right thigh appears to have a larger circumference than the left thigh. A radiograph of the right up...
Chondrosarcoma
Liposarcoma
Metastatic adenocarcinoma
Nodular fasciitis
1b
single
A large, deep soft-tissue mass suggests cancer, most likely a sarcoma. Liposarcomas are located in deep soft tissues, can be indolent, and can reach a large size. They are the most common sarcomas of adulthood. Chondrosarcomas can be seen over a wide age range, but they arise within the bone. Carcinomas are far more co...
Pathology
Osteology
a9573619-714a-41fd-bd4c-393298355791
Drug of choice for acute congestive glaucoma is :
1-2% pilocarpine
Timolol
Levobunanol
Atropine
0a
single
A i.e. 1-2% Pilocarpine
Ophthalmology
null
a283ed15-4339-4c4d-9967-0b3ab4006e6e
Esophagus enters abdomen through
Central tendon of diaphragm
Along aortic opening
Muscular part of diaphragm
Right crus
2c
single
Oesophageal opening -        Level- T10 -        At muscular portion derived from right crus -        Structures transmitted   Oesophagus   Oesophageal branch of left gastric artery   Vagus nerve
Anatomy
null
4cca43d7-4de8-4c01-9e68-39aad581997e
Histamine release is one of the common features with administration of
Atracurium
Adrenaline
Thiopentone
Ketamine
0a
single
histamine is released by atracurium , all skeletal musle relaxants release histamine other drugs releasing histamine are morphine,vancomycin etc. Ref: kd tRipathi 8th ed.
Pharmacology
All India exam
5ef4139f-92cc-46b5-8b8d-4ddd7fbf450a
True about ASD :
Foramen ovale is patent
Left parasternal heeve is due to increased pulmonary aery flow
S2 is wide and variable
Systolic murmur is due to rapid flow of blood across the shunt.
1b
multi
Answer is B (Left parasternal heeve is due to increased pulmonary aery flow) In ASD large volume of blood reaches the left atrium, right atrium, right ventricle and Pulmonary circulation. Consequently there is enlargement of LA, RV as well as of the pulmonary aery and its branches, and this may contribute to the left p...
Medicine
null
40a735be-aa32-4120-aa04-942908fe366d
Which of the following biological fluids has the highest pH value?
Bile
Pancreatic juice
Saliva
Gastric juice
1b
single
Pancreatic juice is alkaline and has the highest pH (7.8 - 8.0). Pancreatic juice is alkaline in nature due to the high concentration of bicarbonate ions.
Physiology
null
15f37dd5-de99-41ac-a77c-a0e107839a3b
Which field of vision is last to go in chronic simple glaucoma?
Nasal
Peripheral
Central
Temporal
3d
single
Ans. d (Temporal). (Ref. Parson, Diseases of Eye, 18th/pg.216)# In POAG (chronic simple glaucoma) glaucomatous disc changes are characteristic with cupping starting in inferior temporal quadrant, followed by bayoneting sign, baring of circumlinear vessels, splinter haemorrhages, temporal neural rim, polar notching, lam...
Ophthalmology
Glaucoma
f822dfed-f142-4583-b7c2-779cf63ccad6
Fish tail deformity in a child is seen after injury to?
Distal Tibia
Distal Femur
Distal humerus
Distal Radius
2c
single
Fishtail deformity of the elbowis characterized by a contour abnormality of the distal humerus, which develops when the lateral trochlear ossification centers fails to develop or resorbs. It is an uncommon complication usually following a distal humeral fracture in childhood.Whilst initially presumed to be a benign con...
Orthopaedics
AIIMS 2020
ee998901-aeb1-4859-a627-b2475c045118
Commonest cause of hypothyroidism is
Defective synthesis of thyroxine
Defect of iodide transport
Defect of the thyroglobulin synthesis
Thyroid dysgenesis
3d
single
(Thyroid dysgenesis) (1872-73-Nelson 17th) (481-Ghai 7th)HYPOTHYROIDISM results from deficient production of thyroid hormone or a defect in thyroid hormone or a defect in thyroid hormonal receptor activity* Someform of thyroid dysgenesis (aplasia, hypoplasia or an ectopic gland) is the most common cause of congenital h...
Pediatrics
Endocrinology
883904fc-e3c3-47d1-b1c3-26113f0b1ee8
Anuria is defined passing Less than _____ ml urine/day
400ml
3L
100ml
1000ml
2c
single
Anuria  <100ml. Oliguria  < 400ml.
Medicine
null
03b310ff-2d80-422e-8b96-d774012a2807
In which case Anterior resection is the method of tit ?
Ca sigmoid colon
Ca rectum
Ca colon
Ca anal canal
1b
single
Ans 'b' ie Ca Rectum Anterior resection is the general term used to describe operations in which rectosigmoid pa is resected from an abdominal approach with no need for perineal, sacral or other incision. Resection of the rectosigmoid colon performed above the pelvic peritoneum is called high anterior resection. wherea...
Surgery
null
ba9d8012-8259-4a60-a6ff-436e2fa96237
Carpel tunnel syndrome is due to compression of -
Radial nerve
Ulnar nerve
Palmer branch of the Ulnar nerve
Median nerve
3d
single
Carpal tunnel syndrome occurs when the median nerve is compressed in the carpal tunnel below flexor retinaculum.
Orthopaedics
null
9e5fecdf-a0f4-45bb-851f-e731a236da06
In pregnancy with increased MSAFP which of the following should be done :
Repeat measurement of MSAFP at later date
USG
Amniocentesis
Termination of pregnancy
1b
single
Ans. is b i.e. USG "MSAFP values above 2.5 mom are considered abnormal. When a patient has an elevated MSAFP level, an ultrasound examination should be performed. This need not be a level scan. The reason for this examination is that it can detect several of the most common non genetic reasons causing high MSAFP values...
Gynaecology & Obstetrics
null
812f0803-e05f-4a56-81c2-6b48ccc22df8
The clinical manifestation of canda equina lesion include the following except-
Urinary retention
Radicular pain
Saddle anasthesia
Extensor plantar reflexes
3d
multi
Cauda equina syndrome (CES) signifies an injury of multiple lumbosacral nerve roots within the spinal canal distal to the termination of the spinal cord at L1-2. Low back pain, weakness and areflexia in the legs, saddle anesthesia, or loss of bladder function may occur. The problem must be distinguished from disorders ...
Medicine
C.N.S
a52cb630-0feb-4135-8742-2bf4768e2580
In a case of hypertensive uveitis, most useful drug to reduce intraocular pressure is –
Pilocarpine
Latanoprost
Physostigmine
Dipivefrine
3d
single
Glaucoma associated with uveitis is one of the most difficult complications to address and manage. Medical therapy with topical or systemic antiglaucoma medications is the first step in the treatment of glaucoma-associated uveitis P-blockers, carbonic anhydrase inhibitors (acetamezolanzide), and dipivefrine. β-blockers...
Ophthalmology
null
1c737d8a-a416-4b4c-aa20-a885bfefec07
Most Impoant component of level of living is
Health
Education
Occupation
Housing
0a
single
Impairment of health always means impairment of the level of living. hence health is the most impoant. Level of living is a parallel term for standard of living used in United Nations. It includes 9 components. Ref : Park&;s Textbook of Preventive and Social Medicine; 23rd edition - Pgno 16
Social & Preventive Medicine
Concept of health and disease
1b39db12-8ac8-41d9-9a2f-25cc08ffa23b
Heterotopic ossification is a condition in which there is deposition of bone around the joints. Which of the following parameters is the most useful for this condition -
Serum calcium
Serum phosphate
Serum alkaline phosphatase
Serum PTH
2c
single
Bone scan ( Tc 99 three phase scan) is the most sensitive for early detection of heterotropic ossification. ALKALINE PHOSPHATASE and 24hr PGE2 are screening tests for heterotropic ossification. REF:Essential ohopaedics- Maheshwari- 5th edn - pg no 53.
Orthopaedics
Miscellaneous
6e4a6483-9d7e-461c-962c-f4d3bc734856
Most common presentation of adult rhinosporidiosis is -
Halitosis
Pain
Anosmia
Polypoidal mass
3d
single
Ans. is 'd' i.e., Polypoidal mass Rhinosporidiosiso Rhinosporidiosis is a chronic granulomatous infection of the mucous membrane that usually manifests as vascular friable polyps that arise from the nasal mucosa. The etiological agent is Rhinosporidium seeberi. Rhinosporidium seeberi is an aquatic protozoan (not a fung...
Unknown
null
3ad5b6f1-0144-4eb6-9a87-b6367e8b957b
Drug of choice for Bupivacaine induced cardiac arrythmia
Amiodarone
Procainamide
Bretylium
Flecainide
2c
single
Bretylium is a class III Antiarrythmic used to treat Bupivacaine induced ventricular tachycardia.
Pharmacology
null
e9103675-9d86-40bd-b089-991b3f3c1e78
Dinner fork deformity is seen in?
Colle's fracture
March fracture
Lateral condyle fracture
Supracondylar fracture
0a
single
Ans. is 'a' i.e., Colle's fracture Complications of colle's fracture Complications in colle's fracture are high (50-60%). Following complications may occur 1) Stiffness of fingers and joints Stiffness of finger, wrist and shoulder is the most common avoidable complication of colle's fracture. This occurs due to lack of...
Surgery
null
392e6ccf-3b93-4409-9218-030b727eb95c
UMN includes
Pyramidal cells
Peripheral nerves
Anterior horn cells
Glial cells
0a
single
Upper motor neuron- Pyramidal cells, corticospinal tract, corticobulbar tract, extrapyramidal tracts.
Physiology
null
28bc2ada-72f4-4c94-9575-2b972c09b5f2
True about pelvic abscess
Uncommon cause of intraperitoneal abscess
Identified by CT if there is a full bladder
Associated with pyothorax
May spontaneously drain via rectum
3d
multi
Ans. (d) May spontaneously drain via rectumRef: Sabiston I9th edition Page 1312* Pelvic abscess is the mc site of abscess formation in sitting position.* Rutherford Morrison pouch is the mc site of abscess formation in lying position.* Pelvic abscess is drained via rectum.* Pelvic abscess is associated with diverticuli...
Surgery
Peritoneum
3849bd4f-bb31-4a49-9fce-7e5aaec758fa
Diagnosis of a man with diffuse hair loss involving crown & frontal scalp with maintenance of frontal hairline –
Alopecia areata
Anagen effluvium
Male pattern baldness
Female pattern baldness
3d
single
Information in this question are :- Diffuse hair loss involving crown and frontal scalp. Maintenance of frontal hair live. These two suggest the diagnosis of female pattern hair loss :- Information (i) above suggests the diagnosis of androgenic alopecia which may be either male pattern or female pattern → Essenti...
Dental
null
ced99966-5f49-4182-beff-3b34ee188939
Primary level of prevention is?
Prevention of emergence of risk factors
Prevention of disease in Pre-pathogenesis phase
Prevention of disease in incipient stage
Prevention of disability and rehabilitation
1b
single
Modes Primordial Before the emergence of risk factor Health education Primary Risk factor but no disease yet Health promotion, specific protection Secondary Disease possible staed in the body Early diagnosis, Treatment Teiary Disease is already in progression Disability limitation , Rehabilitation
Social & Preventive Medicine
Levels of Prevention of Disease
19b6e22b-9edc-4b84-b665-0d97ff001c55
All of the following is/are true regarding candidiasis:
Commonly involve mucosa & skin
Not involve nails
Caused by yeast like fungus
Diabetes is most impoant risk factor
1b
multi
Ans: (B) Not involve nails.It is an infection of skin, mucosa & rarely of internal organsIt is caused by yeast like fungus, Candida albicans & occasionally by other candida speciesUbiquitous in nature, these organisms are found on inanimate objects, in foods, and on animals and are normal commensals of humans. They inh...
Microbiology
null
3de6c2e1-a9d9-43a2-9e67-00d621063fc7
All of the following statements about mosquito are true except -
It is definitive host in malaria
It is a definitive host in filaria
Its life cycle is completed in 3 weeks
The female can travel upto 3 kilometers
1b
multi
Man is the definitive host and mosquito is the intermediate host of Bancroftian and Brugian filariasis. Park's Textbook of Preventive and Social Medicine, 25th edition, Page No. 832
Social & Preventive Medicine
Environment and health
b59da329-20a5-4d6d-a676-1cd6957c9dfb
Which of the following antibacterial drug is polar?
Ampicillin
Penicillin G
Clavulanic acid
Cefepime
0a
single
Ans. is 'a' i.e., Ampicillin Ampicillin: It is an ionized highly polar drug. In the duodenum it exes a zwitter ion effect and thus has a lower bioavailabilty. Though the oral absorption is incomplete it is adequate. It is an antibacterial drug acting both on gram positive and gram negative organisms. Main mode of excre...
Pharmacology
null
a579d0f2-cb44-487f-9c4a-8541345173da
In myocardial infarction, the infarct acquires hyperemic rim with a yellow center at
1-2 hours
3-7 days
7-14 days
10-20 days
1b
single
Findings of infarct at 3 - 7 days: Gross examinationHyperemia borderSoftening yellow-tan center Histopathology (light microscopy)The beginning of the disintegration of dead muscle fibersNecrosis of neutrophilsThe beginning of macrophage removal of dead cells at the border
Microbiology
All India exam
d7b8c89c-2a57-4126-8e09-503ad154c2cb
All of the following are true about Darier's disease except:
Defect in calcium ATPase because of mutation in ATP2A2 gene
Corps ronds and corps grains are seen
Subepidermal blister
V-shaped nicking of nail is present
2c
multi
Both Hailey Hailey disease and Darier's disease are characterized by suprabasal acantholysis / suprabasal blister.
Dental
null
8604e8f7-fcae-46d6-8170-e87fb1ed3d2b
Cervical veebrae can be differentiated from thoracic veebrae on the basis of which of the following features?
Triangular body
Presence of foramen transversarium
Superior aicular facet which is directed backwards and sidewards
Presence of a large veebral body
1b
single
Foramen transversarium is a characteristic feature of cervical veebrae. Foramen transversarium of transverse process of cervical veebrae transmits:Veebral aery,Veebral veins,Branch from the inferior cervical sympathetic ganglion.Thoracic veebrae is chracterised by the presence of costal facets in the body.Lumbar veebra...
Anatomy
null
5422becb-68b8-4687-bf6a-ccba263b206b
Stoke Adam's associated with
Sinoatrial arrest
Tachyrhythmias
High degree AV Block
Polymorphic ventricular tachycardia
2c
single
(C) High degree AV Block # Those with syncope due to high degree AV block (Stokes-Adams-Morgagni syndrome) may have evidence of conduction system disease (e.g., prolonged PR interval, bundle branch block).> Bradyarrhythmias may occur as a result of an abnormality of impulse generation (e.g., sinoatrial arrest) or impul...
Medicine
Miscellaneous
1964ea00-b5e0-4185-8489-5ddb249a804c
Increased level of 5 HLAA is present in:
Alkaptonuria
Albinism
Carcinoid tumor
Phenylketonuria
2c
single
Ans. c. Carcinoid tumorRef: Bailey and Loves Short Practice of Surgery 27th Ed; Page No-1251CARCINOIPSYN DROMEDue to the metastasis of carcinoid tumors, which most commonly arise from the ileum and appendix and produce serotonin. Prior to metastasis, most secreted hormones undergo first-pass metabolism by the liver and...
Surgery
Pancreas
b7d6c50b-262f-4a30-a633-d06e5ad1f82d
A patient with nephritic syndrome will not have September 2009
Hematuria
Mild to moderate proteinuria
Hypeension
Normal RBC
3d
single
Ans. D: Normal RBC
Pathology
null
361ac9e6-7fe0-4b6e-9351-3f62528b5103
Rinne's test is negative if minimum deafness is -
15-20 dB
25-30 dB
35-40 dB
15-50 dB
0a
single
As discussed in the text in Rinnies test—air conduction of the ear is compared with its bone conduction. Hence there is false negative Rinne test (BC > AC).
ENT
null
9dbd4d81-99ae-4131-8921-14c2942c26ab
The initial pharmacologic therapy of choice in this stable patient (refer to Q 87) is
Adenosine 6 mg rapid IV bolus
Verapamil 2.5 to 5 mg IV over 1 to 2 min
Diltiazem 0.25 mg /kg IV over 2 min
Digoxin 0.5 mg IV slowly
0a
single
Vagotonic maneuvers such as carotid massage or the Valsalva maneuver could ceainly be tried first. If these are unsuccessful, adenosine, with its excellent safety profile and extremely sho half-life, is the drug of choice for supraventricular tachycardia at an initial dose of 6 mg. Dosage can be repeated if necessary a...
Surgery
null
5c985d2c-e69f-455a-b449-1b841b442372
Major aim of phase 1 clinical trials is to know the
Safety
Efficacy
Maximum Tolerable Dose
Pharmacokinetics
2c
single
Phase I trial is designed as a dose-escalation study to determine the maximum tolerable dosage (MTD), that is, the maximum dose associated with an acceptable level of dose-limiting toxicity. Phase 1 Clinical Trials: The drug is tested in healthy human volunteers (extremes of ages ; elderly and children are excluded). A...
Pharmacology
CLINICAL TRIALS, DRUG LABEL
5544a8ec-67c9-4e42-b710-4db90dccc329
True statement regarding inverse agonists is?
Binds to receptor and causes intended action
Binds to receptor and causes opposite action
Binds to receptor and causes no action
Binds to receptor and causes submaximal action
1b
multi
Ans. is 'b' i.e., Binds to receptor and causes opposite action
Pharmacology
null