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135
8b409a5a-975f-44ff-a337-3c71fbe7c44d
Anti thyrogiobulin antibodies seen in -
Hashimoto thyroiditis
Graves disease
De quervain thyroiditis
Subacute lymphocytic thyroiditis
0a
single
Ans. is 'a' i.e., Hashimoto thyroiditis
Pathology
Thyroid and Parathyroid
b7fea6c8-7338-42e2-8a98-55fa43dc3816
Which of the following is the commonest site of ectopic pregnancy?
Isthmus
Ampulla
Intestitial
Infundibulum
1b
single
The frequency of location of tubal ectopic pregnancy are : 55% in ampulla, 25% in isthmus, 18% in infundibulum and 2% in the interstitial segment of fallopian tube. Ref: Textbook of Obstetrics By D C Dutta, 6e page 179.
Gynaecology & Obstetrics
null
8f7dff21-8dc0-491e-be45-eb74010227d1
Which of the following is not true, regarding abutment selection for overdenture fabrication?
Abutment should have healthy periodontal tissues
If bone loss is present, teeth should not be selected as overdenture abutments
A circumferential band of attached gingiva should be present
If a tooth has grade III mobility, it should not be selected as overdenture abutment
1b
multi
If mild to moderate bone loss is present, change in crown:root ratio can make the tooth suitable as an overdenture abutment.
Dental
null
2751c66f-a0c3-4147-a06b-7b80108aa2e8
Major signs included by WHO for AIDS diagnosis -
Chronic diarrhea > 1 month
Chronic cough > 1 month
Chronic fever > 1
Weight loss of at least 10% of body weight
0a
single
The initial evaluation of a patient with HIV infection and diarrhea should include a set of stool examinations, including culture, examination for ova and parasites, and examination for Clostridium difficile toxin.In patients for whom this diagnostic evaluation is nonrevealing, a presumptive diagnosis of HIV enteropath...
Medicine
Infection
606f3265-c5a6-444e-81a2-f973f1842591
Upper lobe bronchiectasis is seen in which disease?
Cystic fibrosis
Aspergilloma
HIV
Bronchogenic carcinoma
0a
single
Answer- A. Cystic fibrosisUpper lobe bronchiectasis-Cystic fibrosisTuberculosisNon tuberculous mycobacterial infections
Medicine
null
86b8f4a7-7f41-45f5-ace8-aac6055619f3
Which of the following is most acceptable theory explaining development of endometriosis
Coelomic metaplasia
Retrograde menstruation
Lymphatic spread
Mullerian remnants outside uterus
1b
single
Sampson's Theory of Retrograde menstruation is the most favoured theory explaining endometriosis.
Gynaecology & Obstetrics
null
07688ccb-dd13-4cf0-9e03-087b6f5670d0
Which of the following is not a feature of constitutional growth delay?
Normal height velocity
Normal bone age
Delayed Pubey
Final height normal
1b
single
Distinction between constitutional delay in growth and familial sho stature Feature Constitutional growth delay Familial sho stature Height Sho Sho Height velocity Normal Normal Family history Delayed pubey Sho stature Bone age Less than chronological age Equal to the chronological age Pubey Delayed Normal Final height...
Pediatrics
Sho Stature
b8dd4cc6-2a06-4992-a89b-6924f7707a3b
Chorionic villous sampling is done in all except
Phenylketonuria
Down's syndrome
Neural tube defect
Thalassemia/sickle cell anemia
2c
multi
Chorionic villi are extremely good source of fetal DNA and thus ideal for PCR and DNA analysis to diagnose single gene defects like hemoglobinopathies,cysticfibrosis,duchenne muscular dystrophy.Represents confined placental mosaicism.It can be used to diagnose storage diseases like Tay Sachs and Gaucher&;s disease. TEX...
Gynaecology & Obstetrics
Diagnosis in obstetrics
97b8f4ba-1a7f-4e7e-9a91-47bf44d100cc
Which or the following is the principal mode of heat exchange in an infant incubator?
Radiation
Evaporation
Convection
Conduction
2c
single
Convection warmed incubators are being routinely used for thermal regulation of the premature neonate's ambient air. Ref: Essential Pediatrics By O P Ghai, 6th Edition, Page 154; Maternal, Neonatal and Women's Health Nursing, By Lynna Y. Littleton, Joan Engebretson, 2002, Volume 1, Page 1145
Pediatrics
null
6ea64d5e-8347-4739-9cbb-f2fb81a97195
Sympathetic ophthalmitis results due to:
Penetrating injury of ciliary body
Uveitis
Glaucoma
Trachoma
0a
single
Ans. A: Penetrating Injury of Ciliary Body Sympathetic ophthalmitis or ophthalmia almost always results from a penetrating wound. others Incarceration of the iris or lens capsule is more likely to set up sympathetic ophthalmitis than oers Sympathetic ophthalmia/ SO It is a granulomatous uveitis of both eyes following t...
Ophthalmology
null
36ae4817-a77a-4768-9995-f68b842c1a77
All the following antibiotics act on the cell wall except-
Ampicillin
Bacitracin
Cycloserine
Griseofulvin
3d
multi
Ans. is 'd' i.e., Griseofulvin
Pharmacology
null
45f7a346-5b84-426f-a588-96a47a9db6fd
Repair of cleft lip should be undeaken at:
4 weeks
6 weeks
8 weeks
10 weeks
3d
single
Timing of Lip Repair: The classic "rule of tens" is still a reasonable guideline for lip repair: 10 weeks of age, a weight of 10 pounds, and hemoglobin of 10 have been considered prerequisites for lip repair. This is paly based on anesthetic safety, which is probably a little better with increased age. The timing of th...
ENT
null
f429570d-55ac-4ce3-bd17-3147dbc6231f
Familial fructokinase deficiency causes no symptoms because:
Hexokinase can phosphorylate fructose
Liver aldolase can metabolize it
Excess fructose does not escape into the urine
Excess fructose is excreted through feces
0a
single
Fructose metabolism Fructokinase is the first enzyme for fructose metabolism. It conves fructose to fructose-1-P. In Fructokinase deficiency, Hexokinase (a non specific enzyme) can phosphorylate fructose as well as other sugars but it has high km (low affinity) for fructose. Glucose is the true substrate for this enzym...
Biochemistry
Galactose and fructose metabolism
9bb3f0f5-613a-4dd6-8597-dfa0db03d80b
Pungent volatile anesthetic agents are:
Halthane
Isoflurane
Sevoflurane
Desflurane
1b
single
B i.e. Isoflurane
Anaesthesia
null
e1860d01-efaf-4762-95aa-469c00b106c8
Cotton&;s grading is used for
Subglottic stenosis
Laryngeal carcinoma
Superior nerve palsy
Voice abuse
0a
single
Subglottic stenosis is graded according to the Cotton-Myer classification system from one to four based on the severity of the blockage. Grade 1 - <50% obstruction Grade 2 - 51-70% obstruction Grade 3 - 71-99% obstruction Grade 4 - no detectable lumen Ref: Internet sources- Wikipedia
ENT
Larynx
600f9b49-43be-494b-b5e6-f65ff96b8c8e
Phosphofructokinase-I is activated by all except:
5'AMP
Fructose 2,6 Bisphosphate
Fructose 6 Phosphate
Citrate
3d
multi
Ans. D. Citrate(Ref: Harper 31/e page 175 Table 19-1)EnzymeInducerRepressorActivatorInhibitorHexokinase Glucagon Glucose 6-phosphateGlucokinaseInsulinGlucagon Phosphofructokinase-1InsulinGlucagon5'AMP, fructose 6-phosphate, fructose 2,6-bisphosphate, Inorganic PhosphateCitrate, ATP, glucagonPyruvate kinaseInsulinGlucag...
Biochemistry
Carbohydrates
22b25c15-11c5-43d2-8faf-d8eb3c84fa00
Plummer vinson syndrome is characterised by all except
Glossitis
Esophagal webs
Megaloblastic anemia
Esophagal dysplasia
2c
multi
rare disease characterized by difficulty swallowing, iron-deficiency anemia, glossitis, cheilosis and esophageal webs.Treatment with iron supplementation and mechanical widening of the esophagus generally provides an excellent outcome.
Anatomy
null
9b425e30-327b-4d7a-9598-cbdf0a43136d
A person riding a mountain bike on a rustic trail hits a rut, the fork of the bike breaks and the person is thrown into a tree, severely fracturing the upper end of his humerus. During the repair the surgeon ties off the aery traveling through the quadrangular space to stop the hemorrhage. Which aery did he ligate?
Dorsal scapular
Posterior circumflex humeral
Scapular circumflex
Subscapular
1b
single
The quadrangular space is bounded medially by the long head of the triceps tendon, laterally by the humerus, superiorly by teres major, and inferiorly by teres minor. It is traversed by the axillary nerve and the posterior humeral circumflex aery. The triangular space is medial to the quadrangular space and it is bound...
Anatomy
null
d25a3fb8-bfcf-4f4c-bc99-5044602a90b0
Band test is done in ?
RA
SLE
Scleroderma
PAN
1b
single
Ans. is 'b' i.e., SLE Band test (Lupus band test) Lupus band test is done upon skin biopsy, with direct immunofluorescence staining, in which, if positive, IgG and complement depositions are found at the dermoepidermal junction. This test can be helpful in distinguishing systemic lupus erythematosus (SLE) from cutaneou...
Pathology
null
441c7d4f-4b2a-4c41-a60a-d19c9588f209
Blighted ovum is characterised by :
Avascular vitli
Syncytial knot
Intervillous hemorrhage
Intracerebral hemorrhage
0a
single
Ans. is a i.e. Avascular villa According to the clinical and echographic findings, it is possible to separate early pregnancy losses into two groups : Blighted ova ; Those early pregnancy losses (before 12 weeks) in which fetal development is not observed with ultrasound (so that only a gestational sac is present with ...
Gynaecology & Obstetrics
null
7e8cb1ec-b762-4504-9d89-46fe26b4134c
What is the use of this Instrument shown below?(AIIMS 2018
To take Skin Graft
To take Bone Graft
To take muscle graft
To take tendon Graft
0a
single
Ans. (a) To Take Skin GraftRef: Surgery Sixer 3rd edition Page 933This is Humby knife used to take partial thickness Grafts. Types of Partial Thickness Split Grafts:* Thin (Thiersch-ollier): 0.006-0.012-inch thickness* Intermediate (Blair Brown): 0.012-0.018-inch thickness* Thick (Padgett): 0.018-0.024-inch thickness
Surgery
Plastic & Reconstructive Surgery
1ace5aeb-1425-492c-8369-1a789102c615
A 30 year old lady presents to the outpatient depament with an Erythematous butterfly rash on her checks. Which of the following antibodies should be assayed initially for her suspected condition -
Anti-Ds-DNA
Anti-Ro-Antibody
Anti-Centromere-Antibody
Anti-mitochondrial-Antibody
0a
multi
Anti-dsDNA antibodies are a group of anti-nuclear antibodies (ANA) and their target antigen is double stranded DNA. Blood tests such as enzyme-linked immunosorbent assay (ELISA) and immunofluorescence are routinely performed to detect anti-dsDNA antibodies in diagnostic laboratories. They are highly diagnostic of syste...
Pathology
General pathology
bd4243a0-b6f2-4a3d-b19e-975ec08ef300
All are features of autistic disorder except -
Mental retardation
Absent social smile
Onset before 21/2 years
Third person hallucination
3d
multi
Mental retardation is seen in 50 - 75% of patients with autism. There is the absence of social smile and eye to eye contact. Onset is before 21/2 years. Third person hallucination is characteristic of schizophrenia.
Psychiatry
null
c2c5b28d-b0f7-40c7-9c82-a8fb3cf56dab
A young lady presents to your office with compalin of copious vagina discharge, but there is no cervical discharge on per speculum examination. which of the following should be given for the management?
Metronidazole and azithromycin
Metronidazole and doxycycline
Flacon only
Metronidazole and fluconazole
3d
single
Metronidazole 200mg 3 doses /day for 7days  A single dose of fluconazole 150mg is very effective.
Gynaecology & Obstetrics
null
c857f164-768c-4cd8-8a80-b3df0acd7a1a
About ICF, true is
14 L
20 % of body weight
28 L
33% of body weight
2c
multi
Intracellular Fluid (28L)- 40% Body Weight- 67% TBW.
Physiology
null
f19ba595-b19e-4182-a94f-31fa44b41901
Which of the following is not true about IgA nephropathy
The pathological changes are proliferative and usually confined to mesangial cells; usually focal and segmental
Hematuria may be gross or microscopic
On immunofluorescence depodits contain IgA and IgG
Absence of associated proteinuria is pathognomic
3d
multi
IgA nephropathy, characterized by mesangial deposits of IgA-containing immune complexes, is the most common cause of nephritic syndrome worldwide; it is also a common cause of recurrent hematuria; it commonly affects children and young adults and has a variable course. Histologically, the lesions in IgA nephropathy var...
Pathology
Urinary tract
8479069b-df35-41f2-8a2a-d78d1c4bc488
Biliary stricture developing after laparascopic choice cystectomy usually occurs at which pa of the common bile duct
Upper
Middle
Lower
All side with equal frequency
0a
multi
Biliary strictures post cholecystectomy commonly occur in CBD,that too near the confluence of right and left hepatic ducts;.i.e., in the upper pa of CBD. Reference.SRB's manual of surgery,5th edition,page no:658.
Surgery
G.I.T
604210a5-0359-4e52-8ebf-d479606c7b4a
Gastric lavage in contraindicated in which of the following poisonings?
Hydrocarbon poisoning
Excessive intake of anti- tubercular drugs
Excessive intake of iron tablets
Excessive intake of Paracetamol
0a
single
Ans. A. Hydrocarbon poisoningGastric lavage involves the passage of a oro gastric tube with sequential administration and aspiration of small volumes of normal saline with the intent of removing toxic substances present in the stomach. Contraindications to gastric lavage include ingestion of hydrocarbons because of hig...
Pediatrics
Fluid & Electrolyte
be13bbb0-327e-4ee4-9146-4dc06b187401
What is the artery labeled with black arrow in the given diagram?
Posterior communicating artery
Antirior Inferior Cerebellar artery
Superior Cerebellar artery
Basilar artery
0a
single
Ans- A . Ref- The central nervous system, like any system of the body, requires constant oxygenation and nourishment. The brain has a particularly high oxygen demand - at rest it represents one fifth of the body's total oxygen consumption. It is also very sensitive to oxygen deprivation, with ischemic cell death result...
Anatomy
Meninges & Blood Vessels of the Brain
2949130e-edee-4fcb-98ef-315340ac86ba
Most common cause of neuropathic joint:
Diabetes
Amyloidosis
Syphilis
Leprosy
0a
single
Ans: a (Diabetes) Ref: Harrison, 16th ed, p. 2060; 17th ed, p. 2180Most common cause of neuropathic joint is diabetesNeuropathic joint (Charcot joint)It is a progressive destructive arthritis associated with loss of pain sensation, proprioception or both.Clinical featuresIt begins as a single joint and then progresses ...
Medicine
Immunology and Rheumatology
779d97f4-52b5-444e-91ae-1da2c24d49c5
Bladder develops from -
Ectoderm
Mesoderm
Endoderm
Neural crest cells
2c
single
Ans. is 'c' i.e., Endoderm o The trigone part of the bladder is derived from mesoderm. The remaning bladder is endo dermal in origin.o Before the formation of the tail fold of the embryo, a small endodermal diverticulum called the allantoic diverticulum arises from the yolk sac near the caudal end.o The yolk sac goes o...
Anatomy
Urogenital System
c773921f-ce74-4e1c-8d05-abc88fe6509f
The skin overlying the region where a venous "cut-down" is made to access the Great saphenous vein in supplied by
Femoral nerve
Sural nerve
Tibial nerve
Superficial peroneal nerve
0a
single
Cut open procedure/ venesection is done on the great saphenous vein as it lies in front of medial malleolus.Saphenous nerve is identified and not injured as it lies in front of great saphenous vein.Saphenous nerve, branch of posterior division of femoral nerve, pierces the deep fascia on the medial side of the knee bet...
Anatomy
Lower limb
c565fa4b-a0ce-4d7a-a3ad-099e904f49af
Which does not predispose to cholangiocarcinoma:
Ulcerative colitis
Clonorchis sinensis
Choledochal cyst
Chronic pancreatitis
3d
single
Ans. is 'd' i.e., Chronic pancreatitis Risk factors for CholangiocarcinomaPrimary sclerosing cholangitisCholedochal cystUlcerative colitis Mnemonic 5 C'sClonorchis sinensis inf.Chronic typhoid carriersOther risk factorsHepatolithiasisBiliary enteric anastomosisLiver flukesDietary nitrosaminesExposure to thorotrast, dio...
Surgery
Gallbladder Cancer
3d0cdec6-faba-423d-bc05-fcd97263257a
Blood culture is indicated in all, Except:
Enteric fever
Sub acute bacterial endocarditis
Septicemia
Malaria
3d
multi
Ans. is 'd' Malaria (Ref : Harrison, 17/e p 1286-87 & 16/e, p 1225, 1226 (15/e, p 1207)).Blood culture has no role in the diagnosis of malaria. The diagnosis of malaria depends upon the demonstration of parasite in the peripheral blood smears.In all other diseases given in the question, blood culture is most diagnostic...
Medicine
Bacteriology
e9584f17-5c4f-43e1-b687-900932f21e39
Capacitation of sperm in female helps sperms in -
Increasing motility
Increasing survival
Removing glycoprotein coat from the acrosomal region
Releasing acrosin
2c
single
Ans. is 'c' i.e., Removing glycoprotein coat from the acrosomal region o 1% of sperms deposited in the vagina enter the cervix.o Movement ofsperm from the cervix to the uterine tube occurs by muscular contractions of the uterus and uterine tube and very little by their own propulsion.o Spermatozoa are not able to ferti...
Gynaecology & Obstetrics
Obstetrical Anatomy
159ada6e-6f8c-41e0-b51c-e65ba4477f10
In an ablated animal, myeloid series cells are injected. Which of following is sen after incubation period -
RBC
Fibroblast
T lymphocytes
Hematopoetic stem cell
0a
single
Answer: RBC Explanation: The hematopoietic stem cells differentiate into two progenitors: Common lymphoid progenitors: They can generate B lymphocytes, T lymphocytes and NK cells. Common myeloid progenitors: They can generate red cells, platelets, granulocytes, monocytes, dendritic cells and macrophages. Impoant point:...
Pathology
Haematology
046e5dff-f326-4cea-992c-333307271621
Reverse cholesterol transpo is mediated by ?
HDL
VLDL
LDL
IDL
0a
single
Ans. is 'a' i.e., HDLReverse cholesterol transpoAll nucleated cells in different tissues synthesize cholesterol, but the excretion of cholesterol is mainly by liver in the bile or by enterocytes in gut lumen.So, cholesterol must be transpoed from peripheral tissue to liver for excretion.o This is facilitated by HDL and...
Pathology
null
dfd505bd-3893-4ef0-b648-b0a0e14a29d0
Hampton's hump is seen in chest X-ray in:
Bronchogenic Ca
Aspergillosis
Pulmonary TB
Pulmonary embolism
3d
single
pulmonary embolism Hamptons' hump is one of the classic radiographic findings of pulmonary embolism. It appears as a peripheral wedge shaped opacity on chest x rays. It is d/t pulmonary infarct. Other signs of pulmonary embolism on chest x-ray Westermark's sign - it's a.focal area of oligetnia due to vesoconstriction d...
Radiology
null
6ad72775-cb06-4ae1-8d9f-3d5ac1744674
All are true about diabetic ketoacidosis except?
Raging thirst
It is an early presentation in type 1 DM
Sodium Nitroprusside test is done to detect ketones
Serum bicarbonate > 15 mmol/L
3d
multi
In diabetic ketoacidosis, the elevated blood sugar due to osmotic diuresis leads to polyuria. The stimulation of osmo-receptors will lead to increased thirst. DKA can lead to early presentation of type 1 DM but more frequently occurs in patients with pre-existing diabetes. Serum ketones are present in DKA and detectabl...
Medicine
Diabetes Mellitus
38b797a6-579e-4da0-b008-9acae99cda24
2 Months after renal transplantation 40yr old developed fever and feature suggestive of bilateral diffuse interstitial pneumonitis which of the following is the most likely etiological agent :
HSV
CMV
EBV
VZV
1b
single
CMV (Cytomegalovirus) is the most likely etiological agent. CMV is the most common viral pathogen complicating transplantation. It most often manifests as pneumonitis in the first four months after transplantation. It can also cause leukopenia in solid organ transplant recipients, obliterative bronchiolitis in lung tra...
Microbiology
Virology (General Propeies, DNA Viruses)
29ce9cfd-d86a-4efc-93e5-27ccf32beed4
Definitive managenment in primary angle closure glaucoma: March 2005
Trabeculectomy
Surgical iridectomy
Laser iridotomy
Pilocarpine
2c
single
Ans. C: Laser iridotomy Although intraocular pressure is only one of the major risk factors for glaucoma, lowering it various pharmaceuticals and/or surgical techniques is currently the mainstay of glaucoma treatment. A. Medications used for lowering intraocular tension: Prostaglandin analogs like latanoprost, bimatopr...
Ophthalmology
null
0c5be378-d7e1-42bf-aefb-a6fa80ad52f6
Characteristic of Gerstmann syndrome include all EXCEPT
Aphonia/Dysphonia
Left-right disorientation
Dysgraphia/Agraphia
Dyscalculia/Acalculia
0a
multi
(A) Aphonia/Dysphonia > Gerstmann syndrome is characterized by four primary symptoms:1. Dysgraphia/agraphia2. Dyscalculia/acalculia3. Finger agnosia4. Left-right disorientation> Causes: This disorder is often associated with brain lesions in the dominant (usually left) hemisphere including the angular and supramarginal...
Medicine
Miscellaneous
458bfc2f-ce6a-4f63-a305-99aa5635bf47
All the following are causes of bluish sclerae in young children, EXCEPT:
Hallermann-Streiff syndrome
Ehler Danlos syndrome
Robe's syndrome
Sjogren Larsson syndrome
3d
multi
Features of Sjogren Larsson syndrome includes ichthyosis, spastic diplegia, retinal degeneration and mental retardation. The common causes of bluish sclerae is given below: 1. Osteogenesis imperfecta 2. Ehler Danlos syndrome 3. Marfan's syndrome 4. Glaucoma 5. Robe's syndrome 6. Hallermann Streiff syndrome 7. Russell s...
Pediatrics
null
87de27bc-9b19-4461-a9be-cbd34e54d424
Fluroquinolone mechanism of action in gram positive organism is by -
DNA gyrase
Topoisomerase II
Topoisomerase III
Topoisomerase IV
3d
single
Ans. is 'd' i.e., Topoisomerase IV o The FQs inhibit the enzyme enzyme bacterial DNA gyrase in gram negative bacteria. In the gram - positive bacteria the major target of FQ action is a similar enzyme topoisomerase IV which nicks and separates daughter DNA strands after DNA replication.
Pharmacology
null
d1cd03b9-992c-425a-a0d9-c71f6ce0e16a
The most common disorder associated with Panic Attack is
OCD
Post-traumatic stress disorder
Depression
Schzophrenia
1b
single
(B) Post-traumatic stress disorder# 17 symptoms have been identified that make up PTSD.> These 17 symptoms are divided into three separate clusters.> Three PTSD symptom clusters, and the specific symptoms that make up these clusters, are described below.> Re-Experiencing Symptoms Frequently having upsetting thoughts or...
Psychiatry
Miscellaneous
2588bbcb-dc1a-4357-a9ca-f3899525d382
Most common hymen rupture in a virgin is ?
Anterior
Anterolateral
Posterolateral
Posterior
2c
single
Ans. is 'c' i.e., Posterolateral Hymen rupture: Congenital : anterior Due to intercourse or foreign body: posterolateral ( 4/8 or 5/7 0' clock) > posterior (6 0' clock). In virgin rupture (tears) of hymen due to sudden tretching occurs in posterior half of membrane usually at the sides (i.e. posterolaterally) in 4 or 8...
Forensic Medicine
null
82a1f305-6d6c-42dc-89ca-9e61ba738dc2
Hep Burn Osteometric board is used to measure?
Length of long bones
Length of flat bones
Breadth of long bones
Breadth of flat bones
0a
single
Ans. 'a' i.e., Length of long bones Hep Burn Osteometric board is used to accurately measure length of long bones.
Forensic Medicine
null
1f615f3c-0c42-4ac4-807c-41188f944456
A five year old boy presents with precocious pubey and a Blood pressure of 130/80 mm Hg. Estimation of which of the following will help in diagnosis
17 hydroxy - progesterone
Coisol
Aldosterone
11 deoxycoisol
3d
single
Determining the type of precocious pubey Your child&;s doctor will also need to find out which type of precocious pubey your child has. To do so, he or she will perform a test called a gonadotropin-releasing hormone (GnRH) stimulation test. In this test, the doctor will take a blood sample, and then give your child a s...
Pediatrics
Endocrinology
288b5b93-0bba-4523-bab5-ec29a15bcacf
A 23-year-old presented with painless penile ulcer and painless lymphadenopathy. What is the diagnosis
Chancroid
Donovanosis
Syphilis
Herpes
2c
single
In syphilis, the primary lesion is the chancre at the site of entry of the spirochete. In all but a few, the chancre is genital. Other common sites are the mouth and nipples. The chancre is painless, relatively avascular, circumscribed, indurated, superficially ulcerated lesion. It is known as 'hard chancre' to disting...
Microbiology
Bacteriology
3444631a-3130-42f8-9842-7dfa860c0ad4
which was the first type of antidepressant that was introduced
MAOI
SSRI
NDRI
SNRI
0a
single
MAOI * IMPOANCE First class of antidepressant drugs that were introduced * MECHANISM There are three monoamines namely dopamine, adrenaline and serotonin. These mon amines are degraded by monoamine oxidase. MAOI inhibit this enzyme and acts increasing monoamines * DRUGS Phenelezine Tranylcipromine * USE ATYPICAL DEPRES...
Anatomy
Pharmacotherapy in psychiatry
53fdfe57-4a21-4828-8da1-7b7c80047918
Linear filling defect on ERCP is characteristic of -
Bile duct stone
Pancreatic duct stone
Worm in biliary tree
Stricture
2c
single
Ans. is 'c' i.e., Worm in biliary tree Imaging in ascariasiso Plain abdominal X ray: calcified worm,o USG: moving echogenic structures or strips,o ERCP: linear filling defect.
Radiology
Abdominal Radiography
1fab089b-6ba8-440f-87a8-42f608085d2c
The height and width of cusp is affected by all except:
Intercondylar distance
Selective grinding
Teeth contact
None
1b
multi
Vertical determinants of occlusal morphology (on cusp height): a) Effect of condylar guidance  b) Effect of anterior guidance  c) Effect of plane of occlusion  d) Effect of curve of Spee  e) Effect of mandibular lateral translation movement Horizontal determinants of occlusal morphology (on ridge and groove direction) ...
Dental
null
6834a9fe-20c8-4344-8c06-13493ef951ad
Which of the following characteristics of this patient might increase the risk of wound infection
History of colon surgery
Hypeension
Male sex
Recipient of chemotherapy
3d
single
Chemotherapy leads to a state of immunodefieciency among recipients, hence delays the rate of wound healing and increases the chance of wound infection. Reference: Bailey & Love's Sho Practice of Surgery 27th Edition, Page No. 24
Surgery
General surgery
4d85d8a8-4328-4b4c-8fb5-05a1d234ed87
Dracunculosis infection occurs through -
Ingestion of water containing cyclops
Ingestion of water containing the parasite
Ingestion of fish
Penetration of skin
0a
single
Humans are the definitive host and cyclops are the intermediate host.The adult female worm discharges larvae which are ingested by the intermediate host the cyclops.Humans become infected by drinking unfiltered water containing infective cyclops (refer pgno:175 baveja 3 rd edition)
Microbiology
parasitology
af45638b-7a3c-4597-9b15-05a472152e24
Enzymes involved in Base-excision repair are:-
DNA helicase II
ABC excinuclease
DNA polymerase I
DNA photolyase
2c
single
Type Proteins & Enzymes involved Mismatch repair Dam methylase MutH, MutL, MutS proteins DNA helicase II DNA polymerase III DNA ligase Base-excision repair DNA glycosylases AP endonucleases DNA polymerase I DNA ligase Nucleotide-Excision repair Helicase DNA polymerase I DNA ligase ABC excinuclease Direct repair (Photor...
Biochemistry
Molecular Biology
73194c84-d837-4a11-82b3-5381926796e7
Vaccine for yellow fever -
Vi polysaccharide
RA 27\/3
17 D
OKA stain
2c
single
<p> yellow fever vaccine:- 17 D vaccine Live attenuated prepared from a non virulent strain (17D strain). Administered subcutaneously at the inseion of deltoid . Single dose 0.5 ml irrespective of age. Revaccination after 10 years. Storage: +5 to -30 deg celcius. Yellow fever vaccine production centre in India- central...
Social & Preventive Medicine
Communicable diseases
f27357d0-c21a-497c-9f30-181c464ee4a7
What isaccumulated in Gaucher's disease:
Cerebroside
Glucocerebroside
Alpha galactoside
Noneof the above
1b
multi
Glucocerebroside
Biochemistry
null
4385f0de-0d91-4c8a-84eb-2c39f04ff980
Best mode of contraception for a newly married lady with rheumatic heart disease:
Oral pills
Norplant
IUCD
Condom
3d
single
Barrier contraceptives (diaphragm/condom) are the ideal contraceptives for patients with medical complications such as heart disease. “The primary advantage of the diaphragm is the almost total absence of risks and medical contraindications.” Combined oral contraceptive pills are contraindicated in a woman with cardia...
Gynaecology & Obstetrics
null
0f46d769-85cd-475f-8111-077c6097578b
Perifascicular atrophy is seen in -
Perifascicular atrophy is seen in -
Wilson disease
Beckers's dystrophy
Dermatomyositis
3d
single
Ans. is 'd' i.e., Dermatomyositis Muscle biopsy in dermatomyositis shows myonecrosis, myophagocytosis and perifascicular atrophy.
Pediatrics
null
c7f416dc-66e4-45ee-8d2b-70375cd41694
Release of synaptic transmitter by exocytosis would be blocked most effectively by preventing the:
Propagation of the action potential into the nerve terminal membrane
Depolarization of the nerve terminal membrane
Flow of Na+ into the nerve terminal membrane
Flow of Ca2+ into the nerve terminal membrane
3d
single
Preventing the flow of Ca2+ into the cell would prevent the release of transmitter, because Ca2+ initiates the intracellular events leading to the docking of the vesicle to its binding site on the active zone. Although Ca2+ normally enters the cell through voltage-operated channels that are opened by the depolarization...
Physiology
null
730e3927-c77f-4357-88f3-1ce4f87307fb
Which of the following statement is false regarding phenobarbitone: September 2011
Act primarily at the GABA: BZD receptor-Chloride ion channel complex
Crosses placenta
May precipitate porphyria
No significant interaction with warfarin
3d
multi
Ans. D: N significant interaction with warfarin Barbiturates stimulates hepatic microsomal catabolism of warfarin Phenobarbital/ Phenobarbitone It is a barbiturate It is the most widely used anticonvulsant worldwide, and the oldest still commonly used. The World Health Organization recommends its use as first-line for ...
Pharmacology
null
9061578c-6ec9-47ab-ba0c-7ac2f635d35d
Seborrhoeic dermatitis is frequently seen in -
Lipid storage disorders
Psoriasis vulgaris
Hypeension
Parkinson's disease
3d
single
parkinsons disease patients tend to have seborrhoea and seborrheic dermatitis. increase sebum level will cause growth of malassezia and aggravate seborrheic dermatitis. elevated alpha melanocyte stimulating hormone will produce more sebum in these patients. IADVL textbook of dermatology, page 496.
Dental
Dermatitis
e0248427-4241-4407-a494-b325afb804d0
Which of the following drug is used to perform stress echo?
Noradrenaline
Adenosine
Adrenaline
Dobutamine
3d
single
Dobutamine acts on beta 1 and beta2 receptors the hea contains beta1 receptors by stimulating beta1 receptors, dobutamine is producing stress-used for a stress echocardiogram An (echo) is a test used to assess the hea's function and structures. A stress echocardiogram is a test done to assess how well the hea works und...
Pharmacology
Cardiovascular system
a44fb2c7-e632-47b1-a53d-60166a4c7a5f
Shape and size of the teeth are determined by which stage:
Initiation.
Apposition.
Morphodifferentiation.
Histodifferentiation.
2c
single
Morphodifferentiation The morphologic pattern, or basic form and relative size of the future tooth, is established by morphodifferentiation, that is, by differential growth. Morphodifferentiation therefore is impossible without proliferation.
Dental
null
c50097ab-7034-4a61-9898-340361bdf220
Rakesh, a 7-year old boy had itchy, excoriated papules on the forehead and the exposed pas of the arms and legs for 3 years. The disease was most severe in the rainy season and improved completely in winter. Most likely diagnosis is -
Insect bite hypersensitivity
Scabies
Uicaria
Atopic dermatitis
0a
single
papular uicaria- prurigo simplex- insect bite hypersensitivity papular uicaria is a chronic recurrent eruption of irritable uicated papules occuring in patients with accquired sensitivity to insect bites. usually incidence is seasonal coincides with biting habits of insects age of onset 2-7years clinical features:prima...
Dental
Dermatitis
9adb9745-5ad8-4e23-9e8f-98bede38c860
In JVP 'c' wave indicates which of the following cardiac events?
Atrial filling
Atrial contraction
Ventricular filling
Ventricular contraction
3d
single
The 'c' wave is the transmitted manifestation of the rise in atrial pressure produced by bulging of the tricuspid valve into the atria during isovolumetric contraction. 'a' wave is atrial systole, 'v' wave rise in atrial pressure before tricuspid valve opens during systole.
Physiology
null
4cafe890-eee8-4045-afd3-336814a45a51
A 32 year old female presented with anxiety, palpitations, and diarrhea. Lab studies show elevated T4, TSH levels are low & increased long acting thyroid stimulating antibody titres. A diagnosis of Graves disease is made. But then the patient came to emergency with sudden onset of acute chest pain. CT angiography which...
Iodinated contrast exposure in patients with Graves disease may exacerbate hypehyroidism.
Pulmonary embolism is exceedingly rare in Graves disease.
Radiation exposure in patients with hypehyroidism is associated with increased risk of subsequent malignancy.
Tachycardia with Graves disease limits the image quality of CT angiography and will not allow accurate assessment of pulmonary embolism.
0a
multi
Patients with Graves disease produce higher levels of T4, as a result they are mildly iodine deficient, thus T4 production is somewhat limited. Iodinated contrast reverses iodine deficiency and may precipitate worsening of hypehyroidism. It may make iodine-125 therapy less successful because thyroid iodine uptake is de...
Medicine
Diseases of Thyroid
d59d8927-5350-41a9-bcef-148b5c07daf9
Branch of Pharmacology that deals with medicinal drugs obtained from plants and other natural sources is known as
Pharmacognosy
Pharmacogenomics
Pharmacopoeia
Chronopharmacology
0a
single
.
Anatomy
All India exam
c3c9e2ee-ee5c-41af-b173-9b853ae83965
A chronic alcoholic has an elevated serum alpha fetoprotein levels. Which of the following neoplasms is most likely -
Prostatic adenocarcinoma
Multiple myeloma
Hepatocellular carcinoma
Glioblastoma multiforme
2c
single
Elevated levels of serum α-fetoprotein are found in 50 to 75% of patients with HCC. False-positive results are encountered with yolk-sac tumors and many non-neoplastic conditions, including cirrhosis, massive liver necrosis, chronic hepatitis, normal pregnancy, fetal distress or death, and fetal neural tube defects suc...
Pathology
null
9f52d487-0263-48f8-aa53-535110737b1c
Most common symptom of tetanus is -
Tonic-clonic seizures
Hemplegia
Lock-jaw
Opisthotonus
2c
single
Ans. is 'c' i.e., Lock-jaw o Generalized tetanus is the most common form of tetanus, involvement of masseter muscles (trismus or lock jaw) is the presenting sign is most patients.o Other features include -i) Risus sardonicus : sardonic smile that results from sustained contraction of facial musclesii) Opisthotonus : sp...
Microbiology
Clostridium
de73088e-3446-48d3-a6fa-fe5929150d8f
A 85-year-old female developed multiple blisters on trunk and thighs. Nikolsky's sign negative. The lesions came on and off. The most probable diagnosis is:
Pemphigus vulgaris
Bullous pemphigoid
Lichen planus
Lepra reaction
1b
single
Ans. B. Bullous PemphigoidBULLOUS PEMPHIGOID (BP)a. Autoimmune subepidermal blistering disease.b. The major histocompatibility complex class II allele HLA-DQ1*0301 is prevalent.c. Usually seen in the elderly.d. Lesions typically consist of tense blisters on either normal-appearing or erythematous skin.e. Usually distri...
Skin
Vesiculobullous (Blistering) Disorders
3e53bd28-b75b-4e7f-8e51-ae9b062954f4
pH= 7.30, pCO2= 38, HCO3 = 18, Diagnosis is?
Metabolic acidosis with compensatory respiratory alkalosis
Respiratory acidosis with compensatory metabolic alkalosis
Respiratory alkalosis with compensatory metabolic acidosis
Metabolic acidosis with respiratory acidosis
3d
single
Since pH is less, and HCO3 is less, it implies metabolic acidosis Now for compensation pCO2 = HCO3+ 15 = 18 + 15 = 33 The value predicted is not matching with given pCO2 of 38 mmHg. It implies compensation is not there and it is a mixed disorder. Conclusion metabolic acidosis with respiratory acidosis.
Medicine
Fluids and Electrolyte Imbalance
4ee44571-77ed-489c-8df3-57fc3941bc08
Orchidopexy for undescended testis is recommended at which age ?
3 months
6 months
2 year
5 year
2c
single
Orchidopexy is usually performed after the age of 1 year to avoid the risks of operating on a tiny patient. Testes should be brought down into the scrotum before the boy stas school.Orchidopexy during the second year of life is currently recommended by paediatric surgeons. Orchidopexy before 2 years of age improves fei...
Surgery
Urology
b9f0add1-f658-418f-9e44-2f541c551d06
Hypoxemia in emphysema is due to all except-
Destruction of alveoli
Anatomiacal dead space
Physiological dead space
Elastic recoil
1b
multi
Emphysema is characterised by destruction of gas-exchanging air spaces i.e.,the respiratory bronchioles,alveolar ducts,and alveoli.As a result,physiological dead space increases.Loss of elastic tissue,inflammation and fibrosis in airway wall result in premature airway closure,gas trapping,and dynamic hyperinflation lea...
Medicine
Respiratory system
536fc2cf-ebdc-471c-a07a-e5739f330eb8
A 30-year-old male, Kallu, with a history of sexual exposure comes with a painless indurated ulcer over the penis with eveed margins. The diagnosis is
Syphilis
Chancroid
Lymphogranuloma venerum
Granuloma inguinale
0a
multi
Syphilis is a sexually transmitted disease caused by Treponema pallidum. Infectivity of a patient to the sexual paner is maximum during first two years of the disease. It multiplies at the site of entry. Clinical features sets in after an incubation period of about a month. The primary lesions in syphilis are the chanc...
Microbiology
miscellaneous
0816bb01-ed18-46ed-b702-3c162b81c041
cimetidine inhibits the metabolism of all the following drugs except:
phenytoin
warfarin
ketoconazole
diazepam
2c
multi
cimetidine is a potent inhibitor of.microsomal enzymes.it prolongs the half life of warfarin, theophyllin ,phenytoin,oral hypoglycemic agents ,alcohol and benzidiazepines.(ref KDT 6/e p630)
Pharmacology
Gastrointestinal tract
f32837af-2167-41f8-8bb4-b1777d441508
All of the following drugs cause tachycardia except?
Amphetamine
Nifedipine
Theophylline
Clonidine
3d
multi
Clonidine is α2 agonist and decreases the central sympathetic outflow. It decreases blood pressure as well as heart rate.
Pharmacology
null
02f27add-bf4d-4155-81aa-8f537546ceda
Blood on OT floor is cleaned by?
Phenol
Alcohol based compounds
Chlorine based compounds
Quaternary ammonium compounds
2c
single
Sodium hypochlorite (1%) is used as laboratory disinfectant for disinfectingblood and other specimens and is also used for disinfecting the blood spillage area.
Microbiology
AIIMS 2017
07612d7c-dbdc-4d92-8eed-360a9ab710aa
Which would lead to an increase in hepatocyte synthesis of primary bile acids?
An injection of cholecystokinin
An ileal resection
Stimulation of the vagus nerve
Lovastatin
1b
single
The rate of synthesis of primary bile acids from cholesterol is inversely related to the rate at which bile acids are extracted from the hepatic poal blood and resecreted into the bile canaliculi. Therefore, an increase in the rate of synthesis occurs following ileal resection. Ileal resection decreases the ability to ...
Surgery
G.I.T
5d2df3d9-bda5-413f-93f6-283ca9ac5d52
A population of 100000 is under surveillance during a year. 100 cases were positive for malarial thick smear. 20 developed complications and 10 died among cases. What is the Annual parasite incidence?
1 per 1000
2 per 1000
10 per 1000
20 per 1000
0a
single
API= 1 per 1000 API ( annual parasitic incidence) 1. Best indicator of malaria control 2. ABER >= 10 % 3. API >= 2 - high risk area
Social & Preventive Medicine
VBDs, Arboviral & Viral Infections, Surface Infections
32cc46e1-f88b-458b-84b5-c5e5d8ea2ecc
Which of the following is not a diagnostic criteria for declaring brainstem death?
Absence of brainstem reflexes
A positive apnea test
Lack of cerebromotor response to pain in all extremities
Absence of stretch reflex from all extremities is essential
3d
multi
Ans. d. Absence of stretch reflex from all extremities is essential (Ref: Harrison 19/e 442e-2, 1735. 1776, 18/e p2252)Absence of stretch reflex from all extremities is not a diagnostic criteria for declaring brainstem death.Criteria for Brain Death Brainstem deathThe definition of Brain stem death requires simultaneou...
Medicine
Miscellaneous (C.N.S.)
182b4632-1826-4cf5-aef0-a8362baaeb08
Pernicious anemia associated with ?
Gastric pathology
Renal pathology
Esophageal pathology
Oral pathology
0a
single
Ans. is 'a' i.e., Gastric Pathology Anemias of Vitamin B12 Deficiency: Pernicious Anemia Pernicious anemia is a specific form of megaloblastic anemia caused by an autoimmune gastritis that impairs the production of intrinsic factor, which is required fir vitamin B12 uptake from the gut. Histologically, there is a chron...
Pathology
null
a2c691c3-0d1a-48bf-8466-4197c1be377b
Apremilast is
PDE 3 inhibitor
PDE 4 inhibitor
PDE 5 inhibitor
PDE 6 inhibitor
1b
single
Ustekinumab, a monoclonal antibody to the shared IL-23/IL-12p40 subunit, is an efficacious treatment for psoriasis and has shown promise in Psoriatic ahritis in clinical trials. Other newer drugs that have shown efficacy for both psoriasis and PsA include the anti-IL-17 pathway agents, such as secukinumab and brodaluma...
Pharmacology
Immunomodulators
1d69169b-38f9-49eb-b237-f7ffa6f9dabb
Transaerial chemoembolization (TACE) is used in the treatment of unresectable hepatocellular carcinoma without poal vein thrombosis. The drug commonly used for TACE is:
Doxorubicin
Sorafenib
Tamoxifen
Carboplatin
0a
single
There are different treatment modalities for HCC. Curative treatments are resection, liver transplantation, Radiofrequency ablation (RFA), Percutaneous ethanol injection etc. Palliative treatments are TACE, Sorafenib etc. Ref: Harrisons Principles of Internal Medicine, 18th Edition, Cha in Page 781.
Medicine
null
cee9ad07-0bca-4cd7-8b2f-1624b8b7e236
Statement not true about rigor mois is
Appears immediately after death
Affects both voluntary and involuntary muscles
Indicates time since death
Results from fusion of action and myosin filaments
0a
multi
First appears in involuntary muscles (within an hour) due to less mass and less glycogen reserve. Involuntary muscles, begins 2-4 hours after death. Persists for about 12 hours and then begins to disappear Takes 12-24 hours to disappear completely
Physiology
All India exam
e2fbc741-4400-4af1-a374-c70f65c2190f
Gastric motility decreases in A/E-
Diabetes
Upper abdominal surgery
Head injury
Hypehyroid
3d
single
Small intestinal motility is disordered in conditions that affect the smooth muscle or nerves of the intestine. Many cases are 'primary' (idiopathic), while others are 'secondary' to a variety of disorders or drugs. Clinical features There are recurrent episodes of nausea, vomiting, abdominal discomfo and distension, o...
Medicine
G.I.T
62a556f3-2e6c-4e3d-8895-73169fcb348a
A patient with HIV has diarrhoea with AF +ve organism in stool. The most likely organism is
Mycobacterium avium intracellulare
Mycobacterium tuberculosis
Mycobacterium leprae
Mycoplasmas
0a
single
Surprised, Usually, the mycobacterium is associated with respiratory tract infection. In HIV infections mycobacterium is an important cause of diarrhoeas. The incidence of the extrapulmonary disease is increased in patients with HIV. Work up in an HIV patient with diarrhoea. The initial evaluation of a patient with ...
Medicine
null
e08e0f88-cd42-4d7b-825b-c4d81344f57b
Coarctation of Aoa is most commonly associated with which of the following structural defects?
Patent Ductus Aeriosus (PDA)
Ventricular Septal Defect (VSD)
Atrial Septal Defect (ASD)
Bicuspid Aoic valve
3d
single
Coarctation of Aoa is associated with Bicuspid Aoic Valve in 40% of patients. Clinical manifestations of coarctation depend on site & extent of obstruction and the presence of associated cardiac anomalies, most commonly a bicuspid aoic valve. Ref: Current Surgical 12th Edition, Page 426; Harrison's 16th Edition, Page 1...
Medicine
null
2499af53-81c9-4589-b624-3c2b9961693d
Zinc dose in 8 months infants
10 mg/kg x 10 days
20 mg/kg x 10 days
10 mg/kg x 14 days
20 mg/kg x 14 days
3d
single
Ans. is 'd' i.e., 20 mg/kg x 14 days
Pediatrics
null
108c2e16-5149-4cd5-920c-827da4cafeca
All open coronary sinus except?
Middle cardiac vein
Anterior cardiac vein
Small cardiac vein
Great cardiac vein
1b
multi
Ans. B. Anterior cardiac veinThe coronary sinus is a collection of veins joined together to form a large vessel that collects blood from the heart muscle. The coronary sinus drains into the right atrium, at the coronary sinus orifice, an opening between the inferior vena cava and the tricuspid valve. It returns blood f...
Anatomy
Thorax
f21e04ac-c56b-4642-85b9-a108ae76e4bd
Which veebral segment is numerically most constant?
Cervical
Thoracic
Lumbar
Sacral
0a
multi
The number of veebrae in a region can vary but overall the number remains the same. The number of those in the cervical region however is only rarely changed.
Anatomy
Back region
d6b39695-7e53-4d5e-b498-0f7689629c85
Which polyp has got the maximum risk of turning into malignancy ?
Pseudopolyp
Hyperplastic polyp
Tubular villous adenomas (multiple)
Adenomatous polyps
2c
single
Ans. is 'c' i.e., Tubular villous adenomaNon-Neoplastic Polyps PolypsLocationHistologicaltypeRisk ofmalignancyAssociatedlesionsHyperplastic polypsColonHyperplastic colonicepithilial cellsRare Juvenile polypsLarge and smallintestine and stomachHamaomasRareoPigmentation in mouthPeutz-jegherssyndromeJejunum (mainly)rest o...
Pathology
null
0311329a-a88c-4f5b-b3f2-ce9151819a3e
True about primary gastric lymphoma is
Affects young adults
Surgery is never indicated
T cell lymphoma
H pylori infection increases the risk
3d
multi
Ans. is 'd' i.e., H pylori infection increases the risk o The stomach is the most common site for extranodal lymphoma. Nearly al! gastric lymphomas are B-cell lymphomas of mucosa-associated lymphoid tissue (MAL T lymphoma),o Majority of cases (80%) are associated with chronic gastritis and H. Pylori infection. The most...
Pathology
Hallmarks of Cancer
b6a853db-529f-44a8-a9fd-28d34225671f
A 3-year-old boy has had progressive developmental delay, ataxia, seizures, and inappropriate laughter since infancy. The child has a normal karyotype of 46, XY, but DNA analysis shows that he has inherited both of his number 15 chromosomes from his father. These findings are most likely to be indicative of which of th...
Genomic imprinting
Maternal inheritance pattern
Mutation of mitochondrial DNA
Trinucleotide repeat expansion
0a
multi
This child has features of Angelman syndrome, and the DNA analysis shows uniparental disomy. The Angelman gene encoded on chromosome 15 is subject to genomic imprinting. It is silenced on the paternal chromosome 15, but is active on the maternal chromosome 15. If the child lacks maternal chromosome 15, there is no acti...
Pathology
Genetics
43991b66-9ac7-4e08-8ad9-46ad0fcc6fc4
Which of the following is M.C. cause of hypotension in fracture ribs (T10-T12) -
Abdominal solid visceral organ injury
Injury to aorta
Inter costal artery damage
Pulmonary contusion
0a
single
• MC cause of hypotension in trauma patients: Hemorrhage • MC cause of shock after trauma is hypovolemia, and there are five places that a patient can lose large volume of blood: Externally, the chest, the abdomen, the retroperitoneum, and into muscle compartments (Blood on the floor and four more). • Fracture of lower...
Surgery
null
d9e90c29-6500-4075-91e6-d5fcc0ca0da5
Nocardia is stained by all, EXCEPT:
Acid fast stain
Gram's stain
Albe's stain
Mucin stain
2c
multi
Nocardia species are Gram-positive, catalase positive, rod-shaped bacteria that show true branching both in culture and in stains from clinical lesions. The species most common in human infection (N asteroides and N brasiliensis) are weakly acid-fast. Nocardia typically exhibit varying degrees of acid fastness due to t...
Microbiology
null
47c6bf4b-c871-471f-8f01-91de18912a07
25 years old male presented with diarrhea for 6 months. On examination the causative agent was found to be acid fast with 12 micro meter diameter. The most likely agent is aEUR'
Cryptosporidium
lsospora
Cyclospora
Giardia
2c
single
Cyclospora [Ref : Harrison 171)* p. 1313, 13141 All the parasites mentioned in the question cause chronic diarrhoea (mostly in immunocompromised patients). All of them reveal oocyst on stool examination. In Giardiasis, parasite is also seen along with oocyst stool examination. Oocyst of all the organisms except giardia...
Microbiology
null
9a4906fa-9756-4b7d-89cb-4323fd270269
Most common site for pancreatic pseudocysts?
Head
Body
Neck
Outside the pancrease
1b
single
Ans. is b' i.e., Bodyo Pseudocysts of the pancreas are collection of tissue, fluid, debris pancreatic enzymes and blood which develop over a period of time after the onset of acute pancreatitis. These fluids consisting of pancreatic enzymes released dueto disruption of the ductal system.o In contrast to true cyst, pseu...
Pathology
null
af714fe4-cea5-4924-a017-0f1f6c92ed45
What is the length of external auditory canal?
2.5 cm
1.5 cm
1cm
2 cm
0a
single
Ans. (a) 2.5 cmRefi Dhingra's ENT 5th ed. / 4* Length of external auditory canal- 24 mm (2.4cm)* Shape: S- shaped* Outer 1/3rd cartilaginous part (8mm)* Inner 2/3rd: Bony part (16mm)
ENT
Ear
4de96bc1-342b-4ebb-a080-74e09d19c4b9
Which is the first investigation to be done in case of Neonate presenting with frothiness in mouth and dyspnoea?
Bronchoscopy with injection of methylene blue
NG Tube inseion and CXR to check position of tube
CT chest
Endoscopy
1b
single
- Two problems Collection of saliva in the mouth Air coming inside the mouth - Therefore, saliva is not going into the esophagus - Esophageal atresia with tracheoesophageal fistula Diagnosis: The inability to pass a NG int the stomach is a cardinal feature for the diagnosis of EA If gas is present in the GIT below the ...
Surgery
Pediatric Surgery