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135
7a763265-9c42-463a-b029-c736c8bdbeb4
A 32 year old man visits his physician and is diagnosed with a herniated disc impinging the spinal nerve that exits inferior to the C6 veebra. Pain from the impinged nerve would most likely radiate to which cutaneous region?
Lateral shoulder
Lateral surface of digit 5
Medial surface of the elbow
Palmar surface of digit 3
1b
single
The C7 spinal nerve exits inferior to the C6 veebra. The C7 dermatome is associated with digit 5, and therefore, pain would radiate to the lateral surface of digit 5.Ref: Greenberg D.A., Aminoff M.J., Simon R.P. (2012). Chapter 9. Motor Disorders. In D.A. Greenberg, M.J. Aminoff, R.P. Simon (Eds), Clinical Neurology, 8...
Anatomy
null
0d25a8b5-4a90-4408-b830-d38a184282de
Post translational modification in the form of sulfation of tyrosine residue happen in which GIT hormone:
Gastrin
Somatostatin
CCK
VIP
2c
single
Post translational modification is responsible for ceain changes in the peptide structure of GIT hormones, eg: 1. Peptide cleavage to smaller forms occurs in case of somatostatin 2. Amidation of the carboxyterminus occurs in the case of Gastrin 3. Sulfation of the tyrosine residue in the case of CCK (Cholecystokinin). ...
Biochemistry
null
01b202ad-2a98-4604-beaf-5fa8445aabc9
All are seen in Pheochromocytoma EXCEPT
Headaches
Weight loss
Sweating attacks
Hypocalcemia
3d
multi
Hypocalcemia REF: Harrison's Internal Medicine > Chapter 337 Pheochromocytoma Table 337-1 Repeat in December 2009 (surgery), December 2011 Pheochromocytomas and paragangliomas are catecholamine-producing tumors derived from the sympathetic or parasympathetic nervous system. These tumors may arise sporadically or be inh...
Surgery
null
f0ad6521-d0bd-4bdd-9aa8-bbc487dee402
Superior gluteal nerve does not supply ?
Tensor fasciae latae
Gluteus medius
Gluteus minimus
Gluteus maximus
3d
single
Ans. is 'd' i.e., Gluteus maximus Nerve supplying muscles of gluteal region are :- i) Inferior gluteal nerve : Gluteus maximus. ii) Superior gluteal nerve : Gluteus medius and minimus. iii) Nerve to piriformis : Piriformis iv) Nerve to obturator internus : Obturator internus, Gemellus superior. v) Nerve to quadratus fe...
Anatomy
null
d0549db2-224a-4575-a369-32cc174f3dbf
A 41-year-old man has been treated with haloperidol for his schizophrenia for the past 15 year. He begins to notice subtle involuntary movements of this hands, feet, lips, and tongue. Because he had been stable for over 1 year his physician decided to decrease the dose. What would the physician tell the patient about t...
It will disappear as soon as the medication is decreased
It will increase initially as the medication is decreased
It will remain unchanged
It will disappear in his hands but not his feet as soon as the medication is decreased
1b
multi
Although tardive dyskinesia (above said patient) often emerges while patients are taking a steady dosage of medication, it is even more likely to emerge when the dosage is reduced. This is called withdrawal dyskinesia. Although it is indistinguishable from tardive dyskinesia, once tardive dyskinesia is recognized, phys...
Surgery
null
b367b9cf-ff74-48e3-a093-c058682b4633
Which of the following enzyme does not catalyse the irreversible step in glycolysis
Hexokinase
Phosphoglycero kinase
Pyruvate kinase
Phosphofructokinase
1b
multi
Glycolysis Site of occurrence Cytosol Aerobic glycolysis Glucose - Pyruvate ; 8 ATP Anaerobic glycolysis Glucose - Lactate ; 2 ATPReaction occurring in aerobic conditions only Glyceraldehyde 3 phosphate - 1,3- bisphosphoglycerate Inhibitors Glyceraldehyde 3 phosphateIodo acetate 1,3 bisphosphoglycerate Arsenite Enolase...
Biochemistry
Metabolism of carbohydrate
754cab04-42ca-46f2-974b-5e65434b465d
Antidote of methyl alcohol poisoning is:
Barbiturate
Fomepizole
Phenytoin
Phenytoin
1b
single
Fomepizole (4-methylpyrazole) is a specific inhibitor of alcohol dehydrogenase & drug of choice for methanol poisoning by retarding its metabolism . Ref KD Tripathi 8th ed.
Pharmacology
Central Nervous system
0ddd544e-1f0f-47d1-ae61-87a84032cc4b
All are true about ischemia associated kidney injury, EXCEPT:
Healthy kidneys account for 10% of total oxygen consumption
Renal medulla is a most hypoxic region of the body
Ischemia associated with rhabdomyolysis is more dangerous
Healthy kidneys receive 30% of the cardiac output
3d
multi
Healthy kidneys receive 20% of the cardiac output and 10% of resting oxygen consumption. despite constituting only 0.5% of the human body mass. The renal medulla is the site of one of the most hypoxic regions in the body. Ischemia alone in a normal kidney is usually not sufficient to cause severe AKI. Clinically, AKI m...
Medicine
null
7339e891-dfb2-436d-b19a-b1c46fc0bf08
Criteria for assessment of severity of disease in ICU is: September 2010
APACHE II
Glassgow scale
Apgar score
Bishop score
0a
single
Ans. A: APACHE II APACHE II ("Acute Physiology and Chronic Health Evaluation II") is a severity of disease classification system, one of several ICU scoring systems. After admission of a patient to an intensive care unit, an integer score from 0 to 71 is computed based on several measurements; higher scores imply a mor...
Social & Preventive Medicine
null
a246cef2-0dd0-4ddc-92a4-92ee15e35431
For diagnosis of lunacy, a person can be kept under observation at a stretch for -
2 Days
7 Days
10 Days
30 Days
2c
single
According to Mental Health Act, 1987, if giving opinion on the mental status of allegedly mentally ill is not possible, the magistrate may permit observation of such a person under section 28 in an observation ward of a general hospital or another suitable place for 10 days at a time, extendable to a maximum of 30 days...
Forensic Medicine
null
40a9e617-7ef3-4af8-8752-8602064a473b
The drug of choice in scleroderma induced hypertensive crisis is:
ACE inhibitors
Angiotensin receptor blockers
Beta blockers
Sodium nitroprusside
0a
single
Ans. (a) ACE inhibitorsRef ERS Pharmacology Gobind Sparsh /85ACE inhibitors are drug of choice for scleroderma induced hypertensive crisis. Other important points about ACE inhibitors can be remembered as:C - CoughA - AngioedemaP - Prodrugs (except captopril and Lisinopril)T - Taste disturbancesO - Orthostatic hypotens...
Pharmacology
Anti-Hypertensive
2f6f778c-9d31-4f9c-bce9-ad23b3ec4961
Regarding spring catarrh, all of the following statements are TRUE, EXCEPT:
Cobblestone appearance of conjunctiva
Common in spring months
Limbus conjunctival thickening
Sodium cromoglycate is a form of therapy
2c
multi
Spring catarrh is a recurrent, bilateral, self limiting allergic inflammation of conjunctiva which occur most commonly during summer. In bulbar form of spring catarrh there is accumulation of gelatinous thickened tissue around the limbus. Signs of spring catarrh: Palpebral form: presence of hard, flat topped, papillae ...
Ophthalmology
null
f662c446-a9b7-4343-b90c-8ee8e53f29bb
A 40-year-old man develops a cough that is nonproductive and goes to see his family doctor. He says that he has been feeling "lousy" and has bronchitis, sinusitis, and a sore throat. The doctor orders an x-ray that does not show consolidation, but rather a patchy infiltrate in his upper right lung. The man denies takin...
Chlamydia trachomatis
Chlamydophila psittaci
Chlamydophila pneumoniae
Mycoplasma pneumoniae
2c
single
Chlamydophila pneumoniae produces pharyngitis, bronchitis, sinusitis, and pneumonia in humans. The lungs will show a patchy infiltrate upon x-ray. It is a Gram-negative bacterium that does not stain well upon Gram-stain. It will not grow in vitro (e.g., on blood agar), but will grow in tissue culture cells because it i...
Microbiology
Bacteria
6595e707-a291-4713-85f8-16ef867822b0
Robe Koch is associated with all of the following EXCEPT: March 2013
Discovery of bacillus tuberculosis
Discovery of vibrio cholerae
Discovery of leprosy bacillus
Postulated Koch's criteria
2c
multi
Ans. C i.e. Discovery of leprosy bacillus Hansen (1874) described leprosy bacillus Robe Heinrich Herman Koch December 11, 1843 - May 27, 1910 He is considered to be the founder of modern bacteriology He is known for his role in identifying the specific causative agents of tuberculosis, cholera, and anthrax and for givi...
Microbiology
null
925f17a1-56b3-4566-8620-88bcafe11329
Causes ectopia lentis are all EXCEPT:
Homocystinuria
Marfan's syndrome
Cogon Reese syndrome
Sulphite oxidase deficiency
2c
multi
ANSWER: (C) Cogon Reese syndromeREF: Yanoff & Ducker- ophthalmology 2nd edition page 270Ectopia Lends:A sublimation of the lens is described as a partial displacement, whereas a complete displacement is termed dislocation of the lens.The causes of ectopia lends may be familial or secondary to eye disease and trauma.Tra...
Ophthalmology
Ectopia Lentis
b05aadae-930a-4d73-bac2-837a490add5d
Initial investigation for an amoebic liver abscess is September 2009
USG
Exploratory laparotomy
CT scan
Technetium-99 scan
0a
single
Ans. A: USG Ultrasonography is the preferable initial diagnostic test. It is rapid, inexpensive, and is only slightly less sensitive than CT scan (75-80% sensitivity vs 88-95% for CT scan). Ultrasonography simultaneously evaluates the gallbladder and avoids radiation exposure. As opposed to scanning with technetium-99m...
Radiology
null
70ead62a-3067-434a-b695-0a1a462390ff
Benefits of breast milk are
Better nutrition
More infection
More diarrhea
Less allergy
0a
multi
Breast milk contains all the nutrients a baby needs for normal growth and development, in an optimum propoion and in a form that is easily digested & absorbed. Ref: Page 151; Ghai essential pediatrics; 8th edition
Pediatrics
Nutrition
7718f56b-7a11-4737-a958-559d79641a4f
Function of LCAT is:
Helps in cholesterol synthesis
Conves cholesterol to cholesterol ester
Helps in formation of chylomicrons
All of the above
1b
multi
The cholesterol (cholesteryl) ester forms an integral pa of HDLThe cholesterol from the peripheral tissues is trapped in HDL by a reaction catalyzed by LCATLecithin-cholesterol acyltransferase/ LCAT/ Phosphatidylcholine-sterol 0-acyltransferaseIt conves free cholesterol into cholesteryl ester (a more hydrophobic form o...
Biochemistry
null
02f66096-c05a-4bb5-9cd5-df63ae930acf
Spinnaker Sail sign is seen in
Pneumo mediastinium
Pseudo pneumo mediastinium
Pleural effusion
Pulmonary infarct
0a
single
Pneumo mediastinium Ring around the artery sign Spinnaker sail sign Continuous diaphragm sign
Radiology
null
a859de2d-2120-4a81-974a-a9c0d0469b13
M.C. fungal infection in febrile neutropenia is ?
Aspergillus niger
Candida
Mucormycosis
Aspergillus fumigatus
1b
single
Ans. is 'b' i.e., Candida
Microbiology
null
5b7e75b5-494f-41fb-b5d5-86d07c7c8520
Eclampsia is a complication of
Anaemia complicating Pregnancy
Diabetes complicating Pregnancy
Hypeensive complicating Pregnancy
Cardiac disease complicating Pregnancy
2c
single
Eclampsia is an extremely severe form of Preeclampsia characterized by the sudden onset of generalized tonic-clonic seizures.Reference: Practical guide to High-risk pregnancy and delivery; Chapter 16; Hypeensive disorders of Pregnancy
Gynaecology & Obstetrics
Medical, surgical and gynaecological illness complicating pregnancy
e1315ef1-7733-4c38-a447-4e429ca09ffe
A 36-year-old man is admitted to the emergency department with a painful skin rash on the dorsum of his nose. Physical examination reveals that a herpetic lesion is affecting the dorsum of the nose and the eyeball. Which of the following nerves is most likely to be responsible for transmission of the virus to the eye?
Nasociliary
Supratrochlear
Infraorbital
Posterior ethmoidal
0a
multi
A herpes rash on the dorsum of the nose is known as Hutchinson's sign. This indicates that the virus is located in cell bodies of the ophthalmic division of the trigeminal nerve. This nerve branches into nasociliary, frontal, and lacrimal branches. The nasociliary nerve has direct branches that carry sensory innervatio...
Anatomy
Head & Neck
530278e6-1f51-4d4b-94cf-2d92471732b6
Features of Typhoid Ulcers include all of the following Except:
Bleeding
Perforation
Stricture and obstruction
Longitudinal orientation
2c
multi
Answer is C (Stricture and obstruction) Strictures and obstruction do not occur in typhoid ulcers. `Typhoid Ulcers heal without significant scarring in patients that recover and hance do not produce strictures or intestinal obstruction' -- Gastrointestinal Pathology Characteristic Features of Typhoid Ulcers Most common...
Medicine
null
6b53cfea-4ba2-40d8-a4e6-73a4e516301b
Which of the following statements is(are) true concerning the evaluation of the occlusion on a cast restoration?
The restoration is in proper occlusion, if it holds shim stock.
The restoration is in proper occlusion, if the adjacent teeth hold shim stock.
The restoration is in proper occlusion, when articulating paper marks multiple points of contact on the restoration.
All of the above.
3d
multi
When checking the occlusion of a cast restoration, mylar paper or shim stock is a very accurate method for testing occlusal contacts. The procedure is to check with the mylar paper before placing the restoration in the teeth adjacent to the tooth to be restored and the opposing side. Place the restoration and check whe...
Dental
null
7515a9d4-4e94-443a-b66a-24d3b980b5ba
Some mRNA has self-splicing activity. The removal of introns is/are done by
Occur in intron that from Ribozyme
Self-splicing introns
Lariats intermediates are formed
All of these
3d
multi
In molecular biology and genetics, splicing is a modification of an RNA after transcription, in which introns are removed and exons are joined. This is needed for the typical eukaryotic messenger RNA before it can be used to produce a correct protein through translation. For many eukaryotic introns, splicing is done in...
Biochemistry
null
f1607ab3-42ad-43c3-99b0-098f3a4a892d
A 17-year-old girl was evaluated for complaints of weight gain, hair loss, constipation and weakness. Her free T4 level was low and TSH was increased. Which of the following is the most likely diagnosis?
Graves' disease
McCune-Albright syndrome
TSH-secreting pituitary adenoma
Hashimoto's thyroiditis
3d
single
The patient is having symptoms of hypothyroidism and thryoid profile reveals primary hypothyroidism. Analyzing all options, Graves' disease and McCune-Albright syndrome are associated with hypehyroidism. (excludes 'a' & 'b') In pituitary adenoma/TSH-secreting pituitary tumor - increased TSH with increased T3/T4 would b...
Pathology
Hypehyroidism and Goitre
f5cba80b-420b-4879-adad-fe3de3e27b8f
A 25-year-old male presents for ECT (electroconvulsive shock therapy) at a free-standing facility. He has a life- threatening depressive illness that has not responded adequately to medication, however he is still taking tranylcypramine (Parnate). You should
cancel the procedure, cease the tranylcypramine and perform the ECT in 2 weeks
proceed with the ECT, but induce with midazolam and remifentanil
proceed with the ECT, but pre-treat with esmolol
roceed with the ECT with caution, but with your usual drugs
3d
single
Concerns regarding MOAI 1. sympathetic hyperreactivity 2. ECT results in vagus stimulus followed by overwhelming sympathetic surge Therefore there is a significant risk of hypeensive crisis with MOAIs in ECT Electroconvulsive therapy in patients taking monoamine oxidase inhibitors. there is no evidence of a dangerous i...
Anaesthesia
Preoperative assessment and monitoring in anaesthesia
4079312a-2549-43ea-b3cc-36dcca7b826a
Which of the following are true -a) Tracheo-bronchial cartilage is fibrousb) Thyroid cartilage is hyalinec) Cricoid cartilage is hyalined) Corniculate cartilage is elastice) Epiglottis cartilage is elastic
bce
abd
bcde
acde
2c
multi
Tracheobronchial cartilage is hyaline cartilage.
Anatomy
null
c3627822-8f55-4fb8-b1fd-93495b5326da
In acute congestive glaucoma, best prophylaxis for the other eye is:
Laser Iridotomy
Topical steroids
Trabeculectomy
Surgical peripheral Iridectomy
0a
single
Ans. (a) Laser Iridotomy\Ref.: A.K. Khurana 6th ed. 1247-48* Please refer to above explanation* Treatment of choice for primary angle closure glaucoma (fellow eye, latent stage, subacute or intermittent stage , chronic stage) is laser iridotomy* Peripheral surgical iridectomy can also be used.* In acute congestive stag...
Ophthalmology
Surgical Procedures For Glaucoma
9d8f552f-c42b-46c7-9b17-d91f74c33a3e
The chromosomal disorder in patau Syndrome is:
Chromosome 21
Chromosome 18
Chromosome 13
Chromosome 45x / 46xx
2c
single
(Chromosome 13) (593-G) (615-Ghai 7th)* Down syndrome - 21* Edwards syndrome - 18* Patau syndrome - 13* Turner's syndrome - 45X/ 46XX* Klinefelter syndrome - 47XXY
Pediatrics
Genetics And Genetic Disorders
d67432d2-5495-435b-bdb0-bb6a3d61758f
Blood when stored at 4degC can be kept for-
7 days
14 days
21 days
28 days
2c
single
Typically, blood storage at 4 degrees C is sho term, which ranges from a few days to a few weeks. However, long-term storage usually involves blood being frozen, with a resultant loss in DNA yield. Refer robbins 9/e
Pathology
Haematology
f9504289-8fd0-4b0a-996b-774f94323a0a
The term 'virus' was coined by
Ruska
Beijerinck
Good pasture
Hansen
1b
single
Beijerinck coined the term 'Virus'.
Microbiology
null
72019258-5045-41d8-b141-896bf0078ede
The following disease is caused by
Scarlet fever
Arthus phenomenon
Human parvovirus B19
Epstein-bar virus
2c
single
Ans. (c) Human Parvovirus B19.The picture shows slapped cheeks appearance which can be confirmed serologically by demonstrating B19 specific IgM on an acute serum sample.Image source- style="font-family: Times New Roman, Times, serif">
Microbiology
Virology
a2ba9aef-f09b-43c3-b20c-b2972d33da2c
Dermatomal distribution of gluteal fold is through
L1
L3
S1
S3
3d
single
Dermatomal distribution of gluteal fold is through s3. BD CHAURASIA S HUMAN ANATOMY SIXTH Edition Pg no 66
Anatomy
General anatomy
cfb1393e-9866-4a2a-8b79-0a3a4232595c
Scrambled egg appearance is seen in -
Carcinoma stomach
Carcinoma galll bladder
Pancreatic carcinoma
Renal carcinoma
2c
multi
Ans. is 'c' i.e., Pancreatic carcinoma
Surgery
null
a842fb4d-163e-4c30-8bf6-3c8385dbb9d6
ECT(electroconvuIsive therapy) is effective in:
Conversion disorder
Severe depression
Mania
Dissociation disorder
1b
single
Ans: b (Severe depression) Ref: Ahuja, 6th ed, p. 213, Kaplan & Sadock, 8th ed, p. 2968ECT is the most effective treatment for major depression currently available. Major severe depression with suicidal risk is the first and most important indication for ECT. Mania is mainly treated with mood stabilizers e.g. lithiumIn...
Psychiatry
Treatment
8e1b3799-a6d9-4ab1-b810-2a138aeb3ae4
A 54 year old woman presents with complaints of abdominal fullness and early satiety. She denies a change in bowel habits and says that constipation is her normal state. A radiographic bowel series shows an "apple core" lesion in her sigmoid colon. Which of the following markers is expected to be elevated in this patie...
Alpha-fetoprotein (AFP)
Carcinoembryonic antigen (CEA)
Human chorionic gonadotropin (hCG)
actate dehydrogenase (LDH)
1b
single
CEA is a glycoprotein (200,000 daltons) that is found in the gastrointestinal mucosal cells and pancreatobiliary system secretions. It becomes elevated when breaks in the mucosal basement membrane occur due to tumor growth. Some other conditions can also cause elevations of CEA (e.g., cirrhosis, pancreatitis). The pati...
Surgery
null
5073d39d-f6eb-4ffa-a4d6-852957184284
Saddle block can be used for all the following condition except-
Dilatation and curettage
Haemorrhoids
Rectal prolapse
Cesarean section
3d
multi
Cesarean delivery requires a level of block up to T4, which is not possible by saddle block Dermatomal Level required for Various Common Surgical Procedures: T4 - Upper abdominal surgery T10 - Transurethral resection of prostate T10 - Hip surgery L2 - Foot and ankle surgery S2-S3- haemorrhides
Anaesthesia
Central Neuraxial Blockade
0c7af60f-c830-4c4f-acb3-38f23aeb78d4
Type-II respiratory failure is associated with: September 2009
Flail chest
Pulmonary edema
Interstitial lung disease
ARDS
0a
single
Ans: A: Flail chest Hypercapnic respiratory failure (type II) is characterized by a PaCO2 of more than 50 mm Hg. Hypoxemia is common in patients with hypercapnic respiratory failure who are breathing room air. The pH depends on the level of bicarbonate, which, in turn, is dependent on the duration of hypercapnia. Type ...
Medicine
null
c097ad16-73b2-420c-8ead-ed9e90bfec34
True about nucleosome
Use only one type of histone protein
Each complex is separated from each other by non histone proteins
Regular repeating structure of DNA & histone proteins
Reflect small nucleus
2c
multi
In biology, histones are highly alkaline proteins found in eukaryotic cell nuclei that package and order the DNA into structural units called nucleosomes. They are the chief protein components of chromatin, acting as spools around which DNA winds, and playing a role in gene regulation. Without histones, the unwound DNA...
Biochemistry
Metabolism of nucleic acids
54d7b858-9eee-4db9-8fce-ba9956a55fc9
Somatic efferent does not include
Facial nerve
Oculomotor nerve
Abducent nerve
Trochlear nerve
0a
single
Somatic efferent nerves, also called as general somatic efferent (GSE) nerves, supply skeletal muscle of somatic origin ( muscles of eye and tongue). Somatic efferent nerves include, Oculomotor nerve - 3rd nerve Trochlear nerve - 4th nerve Abducent nerve - 6th nerve Hypoglossal nerve - 12th nerve
Anatomy
null
1566e7c1-35c1-45a7-9f9f-c6919ebf3a38
All are true about Norwalk virus except -
Belongs to calciviridae
Cultivated in cell culture
Causes gasteroenteritis
Is a RNA virus
1b
multi
Ans. is 'b' i.e., Cultivated in cell culture "Most calciviruses and astroviruses can be grown in cell culture, but the Norwalk viruses cannot"o Norwalk virus belongs to family calciviridae (RNA viruses) and genus Noroviruses.o Norwalk virus causes outbreast of gastroenteritis from a common source of contamination (wate...
Microbiology
Misc.
225c8b5a-f68d-41cd-8197-d73de83da7c5
Plasmalogens belong to which group of compounds:
Phospholipid
Sphingolipids
Aminosugars
None of the above
0a
multi
These compounds constitute as much as 10% of the phospholipids of brain and muscle. Structurally, the plasmalogens resemble phosphatidylethanolamine but possess an ether link on the sn-1 carbon instead of the ester link found in acylglycerols. Ref: Harper 28th edition, chapter 16.
Biochemistry
null
19de04f4-3c52-4945-aca2-d11046aabfea
Anterior mesentery gives origin to
Greater omentum
Faciform ligament
Linorenal ligament
None of the above
1b
multi
The pa of the ventral mesentery that attaches to the stomach is known as the ventral mesogastrium. The lesser omentum is formed, by a thinning of the mesoderm or ventral mesogastrium, which attaches the stomach and duodenum to the anterior abdominal wall. The lower pa is dorsal mesentery. ref - BDC 6e vol2 pg235
Anatomy
Abdomen and pelvis
5a14ff33-d5ed-4469-91de-304d73d6e066
BRCA 1 gene is located on which chromosome?
Chromosome 13
Chromosome 17
Chromosome 19
Chromosome 21
1b
single
Ans. (b) Chromosome 17Ref: Robbiris pathology 9th ed. 1291* The BRCA2 gene is located on chromosome 13 and encodes over 3000 amino acids. It appears that BRCA2 plays an important role in male breast cancer.* The human BRCA1 gene is located on the long (q) arm of chromosome 17
Pathology
Cytogenetic Disorders
0b1b8004-f3fd-437d-9574-239d36ce707f
Tigroid white matter on MR spectroscopy seen in:-
Pantothenate kinase deficiency
Pelizaeus-merzbacher disease
Neuroferritinopathy
Aceruloplasminemia
1b
single
Ans. (b) Pelizaeus-merzbacher diseaseRef: Harrisons Principle of Internal Medicine 20th Ed; Page No- 3049* The Tigroid pattern or stripe sign is also known as leopard skin sign results from dark-spots or stripes (spared perivascular white matter) within bright demyelinated periventricular white matter on T2W images.* I...
Medicine
C.N.S.
979e47f4-66d7-4f4a-b867-cc021a742f19
What is the most characteristic of congenital hyperophic pyloric stenosis:
Affects the first born female child
The pyloric tumour is best felt during feeding
The patient is commonly marasmic
Loss of appetite occurs early
1b
single
Answer is B (The pyloric tumor is best felt during feeding) First born male child is characteristically most commonly affected It is four times more common in males as in females . The condition does not present at bih. It is most commonly seen 4 weeks after bih Presentation Vomiting is the presenting symptom (child vo...
Medicine
null
66a2aa3c-90cd-4acc-b048-456acce12490
Drug among the following causing cataract is
Amikacin
Dexamethasone
Chloramphenicol
Penicillin
1b
single
Drugs causing cataract:i. Coicosteroidsii. Phenothiazines and other antipsychoticsiii. Topical mioticsiv. Amiodaronev. StatinsRef. Aravind FAQs in Ophthalmology(first edition) Pg-310
Ophthalmology
Lens
9b344b22-de1c-4ab4-8a01-8d8e9d33f471
The best indicator for monitoring the impact of Iodine Deficiency Disorders Control Programme is:
Prevalence of goiter among school children
Urinary iodine levels among pregnant women
Neonatal hypothyroidism
Iodine level in soil
2c
single
Neonatal hypothyroidism
Social & Preventive Medicine
null
459e1c8e-af8d-45ad-9563-fcc5cc2a662d
Attention Deficit Hyperactivity Disorder (ADHD). True is?
Symptoms starting after ten years of age.
More frequently seen in boys
Symptoms never continue in to adulthood
Hypoactivity of child
1b
multi
(B) More frequently seen in boys # Attention deficit hyperactivity disorder (ADHD or AD/HD or ADD) is a neurobehavioral developmental disorder. It is primarily characterized by "the co-existence of attentional problems and hyperactivity, with each behavior occurring infrequently alone"" and symptoms starting before sev...
Psychiatry
Miscellaneous
e22b14dd-2002-4b95-b23f-b3499b5038f2
All of the following are associated with Caroli's disease, EXCEPT:
Biliary atresia
Cholangiocarcinoma
Biliary lithiasis
Biliary abscess
0a
multi
Caroli's disease is a syndrome of congenital ductal plate malformations of the intrahepatic bile ducts and is characterized by segmental cystic dilatation of the intrahepatic biliary radicals. Caroli's disease also is associated with an increased incidence of biliary lithiasis, cholangitis, and biliary abscess formatio...
Surgery
null
244118d8-d931-4842-b790-1c9f83ad76e7
Baby with history of convulsion vaccine contraindicated is ?
DPT
Measles
BCG
Rubella
0a
single
Ans. is 'a' i.e., DPT
Pediatrics
null
4dab582a-d949-4135-8e89-434304b4e840
Nerve supply of the marked muscle is by
Median nerve
Radial nerve
Ulnar nerve
Posterior interosseus nerve
0a
single
The muscle marked is 1st lumbrical, and is supplied by median nerve.
Orthopaedics
null
39a3254a-918a-4b64-8f8c-935d7fb34dcb
Wide open Anterior Fontanelle is found in following diseases except ________
Rickets
Cretinism
Osteogenesis imperfecta
Craniosynostosis
3d
multi
Craniosynostosis (kray-nee-o-sin-os-TOE-sis) is a bih defect in which one or more of the fibrous joints between the bones of your baby&;s skull (cranial sutures) close prematurely (fuse), before your baby&;s brain is fully formed. Brain growth continues, giving the head a misshapen appearance Craniosynostosis usually i...
Pediatrics
Central Nervous system
1de12cd4-f8a2-4a03-b404-265f54d1c0f0
In which of the following sites is Salmonella typhi most likely to be found during the carrier state?
Blood
Gallbladder
Kidney
Liver
1b
multi
Salmonella typhi is the most likely to be found in gall bladder during the carrier state. Carriage: Up to 5% of patients become carriers. - The carrier state is more common in women than in men and in the older people (over 40 years) than in young people. - Carriers usually harbour the organisms in the gallbladder or b...
Microbiology
Systemic Bacteriology (Gram Positive Bacilli, Gram Negative Bacilli)
e6b6f9fa-01e1-476d-bb68-5185054efccd
Virchow method of autopsy includes:-
Organs are removed En masse
Organs are removed En block
Organs are removed one by one
In situ dissection combined with en bloc removal
2c
single
Autopsy Techniques: A) Letulle's method (En masse) 1) Thoracic, cervical, abdominal, and pelvic organs are removed "en masse," as one big organ block. 2) Best technique to see relations amongst organs. 3) Preferred in infants so that congenital abnormalities in different organs can be seen in relation to each other 4) ...
Forensic Medicine
Postmoem techniques
92f60d18-159e-4657-a4e1-ede4e6473ab1
In abdominal surgery lembe sutures refers to
Single layer suturing
Sero muscular sutures
All coat intestinal suturing
Skin suturing
1b
multi
It is used for Bowel anastomosis The word anastomosis comes from the Greek 'ana', without, and 'stoma', a mouth, reflecting the join of a tubular viscus (bowel) or vessel (usually aeries) after a resection or bypass procedure. Prior to the nineteenth century, intestinal surgery was limited to exteriorisation by means o...
Surgery
Urology
415fbb8d-3c6e-470c-a247-64b4a8540110
Which of the following diseases is appropriately treated with combined heart-lung transplantation?
Primary pulmonary hypertension
Cystic fibrosis
End-stage emphysema
Idiopathic dilated cardiomyopathy with long-standing secondary pulmonary hypertension
3d
single
Many causes of end-stage lung disease have been appropriately treated with lung transplantation. Whether one lung or both lungs are replaced at the time of transplantation depends on recipient factors. Patients with restrictive processes like primary pulmonary fibrosis do well with a single lung transplant. For patient...
Surgery
Transplantation
3ec267ef-dc91-4a47-81de-070ce0bf7213
Under transplantation of humans organs act, the punishment for the doctor involved is
< 1 year
< 2 years
2-5 years
> 5 years
2c
single
The Transplantation of Human Organs Act 1994, amended in 2011, and 2012 Chapter VI and VII deals with the trial and punishment of offences under this act. Under this act, doctors involved will be punished for a period of 2-5yrs. Ref: FORENSIC MEDICINE AND TOXICOLOGY Dr. PC IGNATIUS PAGE NO: 389
Forensic Medicine
Medical Jurisprudence
72876f0c-3c02-4102-b471-cafedc71ee96
60 year old man came to OPD with complaint of pain over his toes. Earlier , due to acute STEMI, coronary stenting was performed. On local examination of feet , coloured skin lesions were observed with tenderness(As shown below). Gradual fall in renal functions were also seen . What should be the most probable diagnosis...
Sharp syndrome
Antiphospholipid antibody syndrome
Aoic dissection
Atheroembolism
3d
multi
Atheroembolism =Causes Elderly patients with widespread atherosclerosis Complication of Abdominal aoa surgery As a consequence of angiography =C/F Renal insufficiency or hypeension Livedo reticularis Cerebrovascular events Retinal aery occlusion Acute pancreatitis Ischemic bowels Gangrene of extremities =Urine analysis...
Surgery
Aerial disorders
062c5fdc-ea77-45f5-b855-9e1e6e0f958f
A 60-year-old female is having proximal muscle weakness with increased serum creatinine kinase. The probable diagnosis is:
Polymyositis
Dermatomyositis
Inclusion body myositis
Limb-girdle muscle dystrophy
0a
single
A. It is a subacute inflammatory myopathy affecting adults, without rash, involvement of eye, family history of neuromuscular disease B. Dermatomyositis is identified by a rash preceding muscle weakness. C. Inclusion body myositis has an asymmetrical muscle involvement. D. Limb girdle muscular dystrophy and would have ...
Medicine
Guillian Barre syndrome & Alzheimer's disease
1d29aff5-b279-4664-af82-d24abe8187c8
Drug causing icthyosis and hyperpigmentation, when used in leprosy is -
Rifampicin
Dapsone
Clofazimine
Ethionamide
2c
single
Ans. is 'c' i.e., Clofazimine o Adverse effects of clofazimine 1. Skin ---> Reddish-black discolouration of skin, dryness of skin and itching, Discolouration of hair and body secretions, acneform eruptions and phototoxicity, conjuctival pigmentation. 2. GIT --> Enteritis with loose stools, nausea, abdominal pain, anore...
Pharmacology
null
de783376-fb25-441f-aab3-6aef834473df
Most effective & safe drug to control fits in eclampsia is:
Phenytoin
Magnesium sulphate
Diazepam
None
1b
multi
Ans. b (Magnesium sulphate). (Ref Williams Obstetrics 22nd/ Ch. 34; Obstetrics by Dutta, 3rd/ 244)MAGNESIUM SULFATE# Magnesium sulfate is the treatment of choice for the prevention and treatment of eclamptic seizures.# In more severe cases of preeclampsia, as well as eclampsia, magnesium sulfate administered parenteral...
Gynaecology & Obstetrics
Miscellaneous (Gynae)
bfbfbd89-9040-4297-a5c9-a375b9ad221d
Centrally acting sympatholytic agent used as antihypeensive agent is
Propanolol
Clonidine
Prazosin
Phenoxybenzamine
1b
multi
Refer kDT 6/e p540 Clonidine, sold as the brand name Catapresamong others, is a medication used to treat high blood pressure, attention deficit hyperactivity disorder, drug withdrawal(alcohol, opioids, or smoking), menopausal flushing, diarrhea, and ceain pain conditions. It is used by mouth, by injection, or as a skin...
Pharmacology
Cardiovascular system
52a00a91-e680-4e96-8a5e-b6202292d918
Black colour in triage is for -
Ambulatory patients
Low priority patients
Dead patients
High priority patients
2c
single
Ans. is 'c' i.e., Dead patient o The most common triage classification system used international is four colour code system,1. Red - High priority treatment or transfer2. Yellow - Medium priority3. Green - Ambulatory patients4. Black - Dead or moribund patients
Social & Preventive Medicine
Hospital waste, disaster management and occupational health
bd852156-b3c7-4eb2-a758-a44bd911c3df
Most common presentation of vulval carcinoma is :
Pain
Wa
Non-healing ulcer
Pruritis
3d
single
The presenting features include vulval irritation and pruritus (70%), a vulval mass (60%) and bleeding (30%). Reference : Gynaecology illustrated 6th edition page no 171
Gynaecology & Obstetrics
Gynaecological oncology
663b25b6-9a54-4c0d-8bcd-30f4ef7aea40
Lisfranc fracture dislocation
Fracture dislocation through tarso-metatarsal joints
fracture dislocation through ankle joint
Fracture dislocation through subtalar joints
Fracture dislocation through mid-tarsal joints
0a
single
Lisfranc's fracture-dislocation: A fracture-dislocation through tarsometatarsal joint(Refer: Mohindra's Fundamentals of Ohopedics, 2nd edition, pg no. 496)
Orthopaedics
All India exam
1ca21da7-64b4-4a8b-8473-858245e0b4f2
Duke's criteria is used for evaluation of?
CHF
Severity of aoic stenosis
Chronic Stable Angina
Infective endocarditis
3d
single
Duke's criteria =Infective endocarditis Duke's score= severity of chronic stable angina Duke staging= Colorectal CA
Medicine
Rheumatic Hea disease & infective endocarditis
b6bbf652-c0a9-46e1-97be-8d57074e1288
Which of the following is a characteristic feature of protective epithelium?
Regeneration of membrane
Microvilli
Absorptive propeies
Secretory vesicles
0a
single
Skin when the epithelium is damaged or removed, it is continuously regenerated. Epithelia possess tight intercellular junctions between cells. These junctions effectively cement cells together into single layered or multilayered sheets of cells. These tissue sheets drape body organs, line cavities, and cover external b...
Anatomy
null
6ab9710b-a0b8-4108-afa0-d85e612469a8
A patient with hypoxemia, hypercapnia, and polycythemia is able to restore his blood gases to normal by voluntary hyperventilation. Which of the following is the most likely location for the abnormalities seen on his blood gases?
cerebral cortex
bone marrow
ventricular septum
respiratory center
3d
single
The primary pathology is likely to be located in the respiratory center. Cyanosis, especially when asleep, is caused by a combination of polycythemia and hypoxia. The symptoms of alveolar hypoventilation are caused by both hypercarbia and hypoxemia.
Medicine
Respiratory
6980c448-3cf2-4921-9de9-31fd8a81745a
False about granuloma
Size lesser than the periapical cyst
Volume of injection of radiopaque dye intake is less.
Electrophoresis: show faint to moderate pattern in albumin zone
Aspiration shows straw coloured fluid
3d
multi
Various methods to differentiate between Periapical Cyst and Granuloma
Surgery
null
4867e0a3-fa5f-4aee-8158-9edc9c8b4d5e
Which is predominant in normal healthyhuman ?
LDH 1
LDH2
LDH 3
LDH4
1b
single
Ans. is 'b' i.e., LDH2 IsoenzymeSubmit compositionIssuePercentage in serrumLDH IHHHHMyocardium, RBC30LDH2HHHMMyocardium, RBC35LDH3HHMMBrain, Kidney20LDH4HMMMSkeletal muscle, Liver10LDH 5MMMMSkeletal muscle, Liver5
Biochemistry
null
2bea45b7-be38-44b3-9fee-c5cda3016f10
All of the following are associated with carcinoma colon except ?
Smoking
Alcohol
Fibre diet
Fatty food
2c
multi
Ans. is 'c' i.e., Fibre diet Fibre diet is protective against colon cancer (see previous explanations). Risk factors for Colon cancer Dietay factores - explainaed in previous quetion Hereditary factors Polyposis coli Nonopolyposis herditary colon cancer ( also known as Lynch syndrome) Inflammatory bowel disease Long st...
Pathology
null
ca0fb21c-de1b-40ec-be8b-0085caaf8365
Hirano bodies are seen in :
Parkinsonism
Frontotemporal dementia
Lewy body
Alzheimer's disease
3d
single
Hirano bodies are eosinophilic inclusions seen in the cytoplasm of Hippocampal neurons in Alzheimer's disease.
Psychiatry
null
48d196c0-1e78-454b-a7d2-4b36580d90c7
Which one of the following statements about non insulin dependent diabetes mellitus (NIDDM) is NOT true-
Circulating islet cell antibodies are usually found
There is no HLA associaton
Ketosis is rare
Relative resistance to insulin is present
0a
multi
Circulating islet cell antibodies are usually found in Insulin Dependent Diabetes Mellitus (IDDM). Non insulin dependent diabetes mellitus (NIDDM) has no HLA association unlike IDDM which is associated with HLA haplotypes DR3 and/or DR4. Ketosis is rare in NIDDM whereas hyperglycemic hyperosmolar state (HHS) is more co...
Medicine
Endocrinology
f7b07ffa-877d-4fc5-ac3c-7e9c7561a307
Prenatal diagnosis at 16 weeks of pregnancy can be performed using which of the following:
Amniotic fluid
Maternal blood AFP
Chorionic villi
Fetal blood
0a
single
Amniocentesis is done during 16th week of pregnancy. Fetal blood sampling is done after 17-18 weeks, chorionic villi during 11-12 weeks of pregnancy, maternal blood AFP during 15-20 weeks. Ref: Textbook of Gynaecology By Dutta, 6th Edition, Page 108; In-Vitro Feilization By Kay Elder, Brian Dale, Yves Menezo, Joyce Har...
Gynaecology & Obstetrics
null
4d84f7b2-1988-447a-99c4-ab439ef90bbb
The best marker to diagnose thyroid related order is-
T3
T4
TSH
Thyroglobulin
2c
single
Answer is option 3 - TSH The enhanced sensitivity and specificity of TSH assays have greatly improved laboratory assessment of thyroid function. Normal TSH excludes primary abnormalities of thyroid mostly Harrison 19 /2283
Medicine
Endocrinology
061b5506-439b-4c99-a4dd-a5edeeb112a3
A patient of rectal carcinoma found to have tumor invading through the muscularis propria into the perirectal tissues, and two enlarged lymph nodes. How will you manage the patient?
Surgery only
Surgery + Adjuvant chemotherapy
Preoperative chemoradiation followed by surgical resection
Palliative chemoradiation
2c
multi
Stage of rectal cancer in the given scenario- Tumor invading through the muscularis propria into the perirectal tissues- T3 Two enlarged lymph nodes- N1b Thus, making it stage 3 Management of rectal cancer according to its stage- Stage Management Tis Polypectomy I Segmental resection II Neoadjuvant chemotherapy followe...
Surgery
Rectum and anal canal
1b6a494c-eb64-4d22-907a-1bcb287431cd
During Splenectomy in ITP, platelet is infusion given at
Immediately after ligating splenic vein
Immediately after removal of spleen
After incision
Next day of surgery
0a
single
Immediately after ligating splenic vein * Patients with extremely low platelet counts (<10,000/mm3) should have platelets available for surgery, but should not receive them preoperatively. * This is because the transfused platelets will get sequestered in the spleen and are lost with splenectomy. * Once the splenic ped...
Surgery
null
08308967-31ee-4b64-a282-4d2c0cc24262
Calculate the anion gap from the following information: Na+ = 137mmol/L K+ = 4 mmol/L Cl- = 110 mmol/L HCO3 = 15 mmol/L
22 mmol/L
16 mmol/L
10 mmol/L
12 mmol/L
3d
single
Formula: (Blood) Anion gap - Normal 6-12 mmol/L = - (K+ value not taken in consideration) =137- = 137-12 =12 Urinary anion gap = - | (HCO3-not considered) Normal=0 , As urine is electroneutral
Medicine
Fluids and Electrolyte Imbalance
597c0941-cee7-4e65-ae0d-3abc16a8a05d
IQ=49
Mild MR
Moderate MR
Severe MR
Profound MR
1b
single
WHO classification of Mental retardation(MR) mild MR...IQ 50-70 moderate MR ...35-49 severe MR..IQ 20-34 profound MR...IQ under 20 ref; (page no;637) 25th edition of PARK's textbook of Preventive and Social medicine
Social & Preventive Medicine
Social science, Mental health & Genetics
f97d8091-192e-4551-bf58-044373454a5c
A 10 year old boy has a fracture of femur. Biochemical evaluation revealed Hb 11.5 gm/dL and ESR 18 1st hr. Serum calcium 12.8mg/dL, serum phosphorus 2.3 mg/dL, alkaline phosphatase 28 KA units and blood urea 32 mg/dL. Which of the following is the most probable diagnosis in his case-
Nutritional rickets
Renal rickets
Hyperparathroidism
Skeletal dysplasia
2c
single
Ans. is 'c' i.e., Hyperparathyroidism o The clues given in this question are : ? 1. Hypercalcemia 2. Hypophosphatemia 3. Raised alkaline phosphatase o All are seen in hyperparathyroidism o A low serum phosphorus level with hypercalcemia is characteristic of primary hyperparathyroidism. About other options o In Rickets ...
Pediatrics
null
2eedd878-62ab-46b9-aab5-e61a4765ef55
Which of the following is not associated EBV virus ?
IMN
Kapasi sarcoma
Oral hairy leukoplalkia
NHL
1b
single
Ans. is 'b' i.e., Kaposi sarcoma
Microbiology
null
47853435-8ab4-4f08-af9b-cf66049789cb
"Citron bodies" boat or leaf shaped pleomorphic organism in an exudate is
Cl. welchii
Cl. edematiens
Cl. septicum
Cl. tetani
2c
single
Ans. is 'c' i.e., Clostridium septicum Citron bodies and boat or leaf shaped pleomorphic bacilli with irregular staining suggest CL septicum". Clostridium Clostridial species are : Gram positive Anaerobic (obligate anaerobe) Spore forming Bacilli Motile by peritrichate flagella except C perfringens and C. tetani type I...
Microbiology
null
2e8e3220-2da7-4fd1-b801-71c00950ba64
Causes of metabolic alkalosis include all the following except :
Mineralocoicoid deficiency Recurrent vomiting
Bater's syndrome
Thiazide diuretic therapy
Recurrent vomiting
0a
multi
Ans. is A Mineralocoicoid deficiency
Medicine
null
42fc45dc-6032-4482-838d-86b92c390399
All of the following cause microcytic hypochromic anaemia, EXCEPT:
Lead poisoning
Thalessemia
Iron deficiency
Fanconi anaemia
3d
multi
Ans. is 'd' Fanconi anemia Causes of microcytic hypochromic anaemiaIron deficiency anaemiaThalassemiaSideroblastic anaemiaLead poisoning
Medicine
Blood
53b97e98-0641-415d-84d3-4f6ae2fb1017
Which of the following statements is TRUEregarding spermicides found in vaginal foams, creams, and suppositories?
The active agent in these spermicides is nonoxynol-9
The active agent in these spermicides is levonorgestrel
Effectiveness is higher in younger users
Effectiveness is higher than that of the diaphragm
0a
multi
All spermicides contain an ingredient, usually nonoxynol-9, that immobilizes or kills sperm on contact. Spermicides provide a mechanical barrier and need to be placed into the vagina before each coital act. Their effectiveness increases with increasing age of the women who use them, probably due to increased motivation...
Gynaecology & Obstetrics
Contraceptives
67769bb3-9983-4269-a303-3c6b2a15d121
In acute diarrhoea following is used to decrease duration and severity -
Zn
Mg
Fe
Ca
0a
single
Effect of zinc in paediatric diarrhoea Zinc supplementation is a critical new intervention for treating diarrheal episodes in children Recent studies suggest that administration of zinc along with new low osmolarity oral rehydration solutions / salts (ORS), can reduce the duration and severity of diarrheal episodes fo...
Pediatrics
null
3a3a225e-f96a-4781-a10d-cc5392af458a
Vital point is found in:
Cerebellum
Medulla oblongata
Hypothalamus
Thalamus
1b
single
Medulla oblongata
Anatomy
null
f237d251-ec57-4770-a7ac-710d7983d9e6
Which of the following viruses causes an acute febrile rash and produces disease in immunocompetent children but has been associated with transient aplastic crises in persons with sickle cell disease?
Rubeola
Varicella-zoster
Parvovirus
Rubella
2c
single
Parvovirus B 19 is the causative agent of erythema infectiosum (fifth disease). It is associated with transient aplastic crisis in persons with hereditary hemolytic anemia. In adults, it is also associated with polyahralgia.
Microbiology
Virology (General Propeies, DNA Viruses)
36a2d8ce-cf67-4b23-8274-8d61c2c41666
Marker of level of liver injury in cases of hepatitis B is -
HBsAg
HBV DNA
Anti HBeAg
Anti HBc
1b
single
Ans. is 'b' i.e., HBV DNA In patients with chronic hepatitis B infection the level of HBV DNA correlates with the level of liver injury and risk of progression of disease.
Pathology
null
c1c1566d-1c98-4bd7-b36d-273e6128fb5e
Most impoant factor determining the affect of anaesthetic agent on fetus ?
Duration of pregnancy
MAC
Protein binding
Route of anaesthetic
0a
single
Ans. is 'a' i.e., Duration of pregnancy All the given options determine the effect of anaesthetic on fetus. But, duration of pregnancy is the most impoant. Almost all anaesthetic agents can be potentially teratogenic. Day 15th to day 60 is the most critical period.
Anaesthesia
null
8077ec11-4875-4d74-bdf3-81196883bad9
Cholangio carcinoma of liver caused by
Hepatitis B infection
Cirrhosis of liver
Alpha - feto protein
Clonorchis sinensis infection
3d
single
risk factor of cholangio carcinoma includes Primary sclerosis cholangitis Fibropolypocystic disease of biliary tree Infestation by Clonorchis sinensis or Opisthorchis viverrini. ROBBINS BASIC PATHOLOGY NIanTH EDITION PAGE 643
Pathology
G.I.T
0b21ec1f-543f-47fc-bc2f-f296622d9c8a
Which is the shoest stage in sex cycle?
Excitement
Resolution
Orgasm
Desire phase
2c
single
Orgasm phase has the shoest duration and lasts for 3-15 seconds There are 4 stages seen in this cycle- 1. Desire- Characterized by a desire to have a sexual act. 2.Excitement(Arousal)- In this physiological changes are seen like erection in males, vaginal lubrication in females. 3.Orgasm- It is the smallest phase , in ...
Psychiatry
Sexual Disorders
e4b78960-a557-4509-afb8-5a0b3a2c4c3e
Which of these disorders in children is associated with omega-shaped epiglottis?
Laryngomalacia
Epiglottitis
Subglottic stenosis
Choanal atresia
0a
single
Ans. A. LaryngomalaciaLaryngomalacia is a congenital disorder of the larynx which is characterized by poorly developed laryngeal cartilages. It is the most common congenital disorder of the larynx, and also the most common cause of stride in infants. Laryngoscopy of children with laryngomalacia leads to a omega-shaped ...
Pediatrics
Respiratory System
d553c03f-6d8f-4e9f-af30-1c22b6e6077f
A 40-year-old man has had an increasing cough with hemoptysis for 2 weeks. He has never smoked and is in very good health. On physical examination, his temperature is 38.2deg C. A chest radiograph shows an area of consolidation in the right upper lobe. His condition improves with antibiotic therapy; however, the cough ...
Adenocarcinoma
Carcinoid tumor
Hamartoma
Kaposi sarcoma
1b
single
Most pulmonary carcinoids are central obstructing masses involving a large to medium-sized bronchus. These neuroendocrine tumors have unpredictable behavior, but many are localized, resectable, and follow a benign course. They typically manifest with hemoptysis and the consequences of bronchial obstruction. In this cas...
Pathology
Respiration
6705a521-7362-4bbd-89ef-8e8ae5b659dc
Even in large dosages used in malaria, quinine does not cause toxicity, because -
It enters in fat cells
Elevated plasma alpha acid glycoprotein
Deposited in infected RBC's
Excreted rapidly in urine
1b
single
Ans. is 'b' i.e., Elevated plasma alphai acid glycoprotein o Patient with malaria can achieve high plasma level of quinine with few signs of toxicity because of the elevated plasma alphal acid glvcoproteins, produced during acute phase of infection. It prevents quinine toxicity through binding of most of the drug in th...
Pharmacology
null
c38cc8a0-7ddc-4e83-aadb-08e9412bfe77
Which of the following is least affected by anesthesia
Brainstem Auditory Evoked Response (BAER)
Visual Evoked Response (VER)
Somatosensory Evoked potential (SSEP)
Electroencephalogram [EEG)
0a
single
EVOKED POTENTIALS: The purpose of intraoperative evoked potentials is to monitor neural pathways in hopes of avoiding iatrogenic injury to the nervous system. Sensory evoked potentials (SEPs) evaluate the integrity of ascending sensory tracts while motor evoked potentials (MEPs) deal with the functionality of descendin...
Anaesthesia
General anaesthesia
2e604a9c-14ee-4b64-ae76-78fafd028c35
All of the following statements are true about DPT vaccine except.
It should be stored in deep freezer.
Exposure to direct sunlight, when in use should be avoided.
Store stocks are needed for three months at PHC level.
Half-used vials should not be put back into the cold chain after the session.
0a
multi
Ans. is 'a' i.e. It should be stored in deep freezer This question is framed to test our knowledge about storage of vaccines 'which vaccines are freezed andwhich never allowed to freeze.The other options are given just to create confusion.So learn by heartVaccines which are stored in deep freezerPolio*Measles*Vaccines ...
Social & Preventive Medicine
Communicable Diseases
eefd5353-c52d-4a1e-9dca-5edb28433d1a
The oxygen dissociation curve of myoglobin & hemoglobin is different due to
Hb can bind to 4 oxygen molecules
Cooperative binding in Hb
Myoglobin has little oxygen affinity
Hemoglobin follows a hyperbolic curve
1b
single
The lack of cooperative binding is reflected in myoglobin dissociation curve.,a rectangular hyperbola is obtained. In the case of Hb, a sigmoid curve is obtained. A leftward shift in myoglobin O2 binding curve when compared to Hb demonstrates a higher affinity for O2 and thus promotes a orable transfer of O2 from Hb in...
Physiology
Cardiovascular system