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135
4a2508c2-4dac-4964-a480-5bc9fdc1e16f
True about TSS -
Most commonly due to TSST-1
Mensturation is a risk factor
Anti- staph antibodies are contraindicated
all
0a
multi
. Ans. is 'a' i.e. Most commoly due to TSST-1 . Toxic shock syndrome is most commonly caused by toxic shock syndrome toxin type-I (TSST-I), which is a superantigen produced by Staphylococcus aureus. . Option 'b' is tricky one . First read following statement. "Toxic shock syndrome (T-S.S.) was first recognized as a dis...
Microbiology
null
eba769ee-8558-49c2-80ec-ebea0b7bc8bd
A temporary, provisional view held by people on a point of debate is
Opinion
Practice
Attitude
Belief
0a
single
Opinions are views held by people on a point of dispute. Opinions by definition are temporary, provisional.They are based on the evidence available at the time.Beliefs, on the other hand, are permanent, stable, almost unchanging.We accept beliefs, without trying to prove that they are true.Park 23e pg: 676
Social & Preventive Medicine
Social science, Mental health & Genetics
b61ea2a7-f795-4125-8814-4a9388f9bea1
Consent is required for: UP 11
Mass immunization
Medico-legal autopsy
Pathological autopsy
Treatment of unconscious patient
2c
single
Ans. Pathological autopsy
Forensic Medicine
null
ed0f0810-20c4-41b6-b511-4a64f9ab197b
Which is the most specific autoantibody in SLE
Anti - nuclear antibody
Anti - smith antibody
Anti - histone antibody
Anti - Ro antibody
1b
single
Most sensitive - anti nuclear antibody. Most specific - anti smith antibody.
Pathology
null
b3e39eac-83a2-43c7-9e95-ee9bcc62a2d8
Which of the following aeries is a direct branch of the gastroduodenal aery?
Right gastric aery
Left gastric aery
Inferior pancreaticoduodenal aery
Right gastroepiploic aery
3d
single
The greater curvature is supplied by the right gastroepiploic aery which is the direct branch from the gastroduodenal aery .Right gastroepiploic aery runs between the layer of the greater omentum, anastomosing with the left gastro epiploic aery, a branch from the splenic aery. The gastroduodenal aery arises from the co...
Anatomy
Abdomen and pelvis
82f014e5-14b1-4c58-83e6-17d4a2ec93dc
Most common psychiatric illness -
Depression
Bipolar
Mania
Cyclothymia
0a
single
Ans. is 'a' i.e., Depressiono Depresson is the most common psychiatric disorder that affect 15% of the population at some time in their lives (Mates - 8-12%; Females -20-25%). Middle aged (25-45 years) females are most commonly affected.o Note : Among the given options, depression is most common. Overall, anxiety disor...
Psychiatry
Substance Abuse
003bbe14-df1b-4674-ae11-84a7a82427f9
Diagnostic criteria of CML are -
Auer rods
Basophilia
LAP score
Chromosomal abnormality seen (t 9:22)
3d
single
Ans. is 'e' i.e., Chromosomal abnormality seen (t 9:22)
Pathology
null
34bcf5be-c887-429d-b937-874ce4f000e0
Spider-leg sign on IVP is suggestive of: March 2010
Pyelonephritis
Renal aery stenosis
Polycystic kidney disease
Bilateral hydronephrosis
2c
single
Ans. C: Polycystic kidney disease Polycystic Kidneys Bilateral renal swelling in a man with or without dragging pain in the loin Hematuria Uremia Urine: Low specific gravity with albumin and a few casts IVP: Attenuated and elongated (spider leg) calyces with terminal clubbing or cupping.
Pathology
null
2cc70655-c45e-443f-8bd8-0b9b46c37bc4
Incidence of preterm delivery in twin pregnancy is
25%
50%
75%
100%
1b
single
Incidence of preterm in twin pregnancy is 50% Mean gestational age for twins is 37weeks Causes of prematurity: Overdistention of uterus Hydromnios Premature rupture of membranes Ref: Dutta Obs 9e pg 193.
Gynaecology & Obstetrics
General obstetrics
ea8b8dd4-c16e-4ba2-8fde-e26a89fb32f0
Death in Poliomyelitis is due to:
Infection
Neurogenic shock
Cardiac failure
Respiratory paralysis
3d
single
Ans. is 'd' i.e., Respiratory paralysisParalytic polio: About 1 percent of polio cases can develop into paralytic polio. Paralytic polio leads to paralysis in the spinal cord (spinal polio), brainstem (bulbar polio), or both (bulbospinal polio). It's rare for full paralysis to develop. Less than 1 percent of all polio ...
Microbiology
Virology
f881fc31-cf7d-41d9-81dc-5c418b67e132
Azidothymidine (Zidovudine), commonest side effect is
Hyperuricemia
Pancreatitis
Peripheral neuropathy
Macrocytic anaemia
3d
single
Ans. is 'd' i.e., Macrocytic anaemia "The most common adverse effect of zidovudine is myelosuppression, resulting in macrocytic anemia (1-4%) or neutropenia (2-8%)". So most common side effect of zidovudine is neutropenia (2-8%) followed by macrocytic anemia (1-4%). Other side effects are - nausea, anorexia, headache, ...
Pharmacology
null
575bcd97-0e40-4319-8a31-e76b4121730b
"Buruli" ulcer is caused by:
M. Ulcerans
M. Marinum
M. Kasasi
M. Fouitium
0a
single
M. Ulcerans
Microbiology
null
b215d93e-5dff-4d41-8c79-facad2907dc8
All are true about Clozapine except:
More potently blocks D2 as compared to D1 receptors
Blood level below 350 ng/ml should be maintained to avoid agranulocytosis
Should not be used along with Carbamazepine
Should be discontinued if the WBC count is below 3,000/mm3 cells
1b
multi
Ans. (B) Blood level below 350 mg/ml should be maintained to avoid agranulocytosis(Ref: Drug Facts and Comparisons 2006/1205-1206; Goodman Gilman 12th/427,432)High plasma concentration of Clozapine increases the risk of seizures (not agranulocytosis). However, usual plasma concentration required in many persons is 300-...
Pharmacology
C.N.S
d9bc0628-05e8-4139-b622-ed5b3fd3153d
Whole skull is used to calculate: PGI 12
Cephalic index
Nasal index
Crural index
Brachial index
0a
single
Ans. Cephalic index
Forensic Medicine
null
8724c358-cd7f-4eca-8b3a-14a06b23f59a
The fifth generation amalgam included?
Silver, copper, tin
Silver, copper, zinc, tin, indium
Silver, copper, tin, indium
Silver, copper, tin, palladium
2c
multi
The alloying of silver, copper, tin and indium together creating a quaternary alloy in which almost none of the tin is available to react with the mercury when mixed with the powder, was the 5th generation amalgam to be developed. Reference: Marzouk Operative dentistry, pg-106
Dental
null
8678c5f7-8052-4165-b610-160b0ca01d01
The following methods are used to lower the intracranial pressure in patients with head injury except
Hyperventilation
Administration of Mannitol
Hypothermia
Administration of Nifedipine
3d
multi
ICP monitoring guides the use of specific therapies such as cerebrospinal fluid (CSF) drainage, sedation, mild hyperventilation, or hyperosmolar euvolemia with administration of hypeonic saline or mannitol, or both, for control of ICP and CPP. Ref: Youmans-and-Winn-Neurological-Surgery 8th ed, p-2943
Surgery
Trauma
4c43fc77-702c-44a6-9f2f-b9cab4cbee5c
In which of the following is blood flow not increased in REM sleep?
Primary visual coex
Anterior cingulate coex
Pons
Amygdala
0a
single
Positron emission tomography (PET) scans of humans in REM sleep show increased activity in the pontine area, amygdala, and anterior cingulate gyrus, but decreased activity in the prefrontal and parietal coex.Activity in visual association areas is increased, but there is a decrease in the primary visual coex. This is c...
Physiology
Nervous system
ea72dc2f-d728-44cf-a48a-140266707f99
What is Agoraphobia?
Fear of heights
Fear of closed spaces
Fear of open spaces
Fear of dogs
2c
single
Agoraphobia is characterised by an irrational fear of being in places away from the familiar setting of the home. Although it was earlier thought to be a fear of open spaces only, now it includes fear of open spaces, public places, crowded places and any other place from where there is no easy escape to a safe place. (...
Psychiatry
Anxiety disorders stress disorders and grief
3f2f6124-98fa-461a-b0c8-9eaaaf534314
Hea rate is decreased by
Propanolol
Isoprenaline
Dopamine
Dobutamine
0a
single
ref; KD Tripathi Pharmacology 6th edition (page no;136) Propranolol is a beta blocker which decreases hea rate, force of contraction (at relatively higher doses) and cardiac output (c.o.). beta blocker inhibits adrenergic responses mediated through the beta receptors. Isoprenaline,Dobutamine,Dopamine are adrenergic dru...
Pharmacology
Autonomic nervous system
d1735984-db7a-4f1f-b196-357960ebd4ea
The primary respiratory regulatory centre is located at
Dorsal medulla
Aponeurotic centre
Pneumotaxic center
Ventral medulla
0a
single
The respiratory centers are located in the medulla oblongata and pons, which are pas of the brainstem. The respiratory centers are divided into four major groups, two groups in the medulla and two in the pons. The two groups in the medulla are the dorsal respiratory group and the ventral respiratory group. The two grou...
Physiology
Nervous system
925e3f79-037d-4ec9-a135-0cd164c15d0f
Which of the following is Single most important indicator of likelihoodness of progression of hepatitis to liver cirrhosis?
Etiology
Associated serological findings
Presence of bridging necrosis
Presence of Mallory hyaline
0a
multi
Ans. a (Etiology) (Ref Robbins 7th/898)Robbins 7th/p. 898:# The single most indicator of the likelihoodness of rapid progression chronic hepatitis to cirrhosis is underlying etiology.# 'Interface hepatitis and bridging necrosis' are harbingers of progressive liver diseases in patients with any form of chronic hepatitis...
Pathology
Liver & Biliary Tract
69ea125c-d03f-4b6c-8b91-563b4276bd62
Pulsatile otorrhoea is seen in:
Glomus tumour
CSF otorrhea
ASOM
Fistula
2c
single
Ans. C ASOMASOM -In stage of suppuration-pulsatile otorrhea is present .Light house sign: Seen in ASOM when pulsatile otorrhea reflects light intermittently on-otoscopy
ENT
null
d7ad68d6-b31a-45b1-a153-e07a4e495f0e
Index of potency of general anaesthesia
Minimum alveolar concentration
Diffusion coefficient
Dead space concentration
Alveolar blood concentration
0a
single
A i.e. Minimum alveolar concentration
Anaesthesia
null
5f79af41-0a7f-492e-980a-9a45acc069b9
Which among the following is computer controlled injection system:
WAND.
TENS.
Denti patch.
Jet injections.
0a
single
It is a computer controlled injection system in which dosage is controlled by computer.
Dental
null
2c52e735-bcb1-432b-8b92-cd6f56186764
The type of mammary ductal carcinoma is situ (DCIS) most likely to result in a palpable abnormality in the breast is
Apocrine DCIS
Neuroendocrine DCIS
Well differentiated DCIS
Comedo DCIS
3d
single
Ans. is 'd' Comedo DCIS Ductal carcinoma in situ (DCIS) can be divided into two types : Comedo carcinomas and Non-comedocarcinomas DCIS are usually detected as calcifications on mammography but comedo carcinomas can present as palpable nodules.
Surgery
null
d1c13b24-5085-4284-8c82-0388fe207918
Most important factor associated with progression of HIV positive to AIDS is?
Nutrition
Viral load
Age
CD4 count
3d
single
Ans is 'd' i.e. CD4 count * HIV can infect and kill many different types of cells in the body, but the primary targets are immune cells called CD4 T-cells. The CD4 T-cells are white blood cells that help coordinate the immune system's response to infection and disease. CD4 T-cells count is the most important factor det...
Pathology
Infectious Disease
c5412114-9a40-453c-9d28-f6ce7411c881
Which of the following condition has increased risk ofmalignancy-
Metaplasia
Dysplasia
Hyperplasia
Inflammation
0a
single
Metaplasia is the reversible replacement of one differentiated cell type with another mature differentiated cell type. The change from one type of cell to another may be pa of a normal maturation process, or caused by some so of abnormal stimulus. In simplistic terms, it is as if the original cells are not robust enoug...
Pathology
General pathology
4da3f304-bfd5-4db2-a660-5d5a2320a311
Varicella zoster virus belongs to which family of DNA viruses -
Poxviridae
Herpesviridae
Adenoviridae
Papovaviridae
1b
single
Ans. is 'b' i.e., Herpesviridae DNA virusesPoxviridae :-Variola, vaccinia, cowpox, monkeypox, tanapox, mofluscum contagiosumHerpesviridae :- HSV-1, HSV-2, varicella-zoster, EBV, CMV. HTLV-1, RK-virusAdenoviride :- AdenovirusParvoviridae :-Parvovirus, Adenosatello virus, DensovirusPapovaviridae :-Papilloma virus (HPV), ...
Microbiology
Herpesviruses
bd9fbcad-a531-4796-9641-7d59dbe187c9
End product of purine metabolism is?
Alanine
Uric acid
Ammonia
Allantoin
1b
multi
ANSWER: (B) Uric addREF: Biochemistry 3rd edition by S C Rastogi page 366,In humans and higher primates, uric acid is the final oxidation (breakdown) product of purine metabolism and is excreted in urine.AUantoin is a natural end product of purine metabolism in most mammals other than humans.
Biochemistry
Metabolism of Purines and Pyrimidines
53d0fd05-9fd6-4daf-a444-47303c37a667
Proprioception is carried by which fibers?
Fasciculus cuneatus and fasciculus gracilis
Anterior spinothalamic tract
Lateral spinothalamic tract
Spinocerebellar tract
0a
single
Ans. is'a'i.e., Fasciculus cuneatus and fasciculus gracilis(Ref: Guyton 12th/e p. 573)Posterior column (Dorsal column) (Fasciculus Gracilis and Fasciculus Cuneatus) carriesProprioception (Position of body or limb, position of joint)VibrationFine touch (two point discrimination, topognosis, stereognosis).Kinesthesia
Anatomy
null
6b7c2a2e-faa0-4c88-915f-1a2da8bd5523
Sin of gommorrah is another name for:-
Anal intercourse
Lesbianism
Buccal coitus
Tribadism
2c
single
Unnatural sexual offences: Buccal coitus/sin of gommorrah: oral coitus, penile buccal coitus Bestiality / Zoophilia: sex with lower animals Sodomy / Greek love / buggery: penile anal intercourse Lesbianism / sapphism / Tribadism: Female homosexuals.
Forensic Medicine
Sexual offences
626073aa-d879-4c9f-b526-ff8fa5df0b6f
Basic pathology in rickets-
Defective bone matrix formation
Defect in mineralization
Defect in osteoid formation
All of the above
1b
multi
Ans. is 'b' i.e., Defect in mineralizationo To know the pathophysiology of rickets, one should know the structure of bone.o Bone consists of ?1) Protein matrix i.e. osteoid ----> also known as unmineralized bone.2) Mineral phase. principally composed of calcium and phosphate, mostly in the form of hydroxyapatite.o In r...
Pediatrics
null
122a1e66-4d1e-4320-95ad-3acaf7dd683e
In glomerular disease which of the following is mainly excreted in Urine
Albumin
Globulin
Ligh chain
Heavy chain
0a
single
Normally, the glomerular filtration system is extraordinarily permeable to water and small solutes and almost completely impermeable to molecules of the size and molecular charge of albumin (a 70,000-kDa protein). Ref: Robbins book of pathology. Kumar abbas aster. 9th edition. Page no 518
Pathology
Urinary tract
983d14f6-7fb9-49dd-b250-41673c34ddfe
Infundibulum develops from ?
Floor of lateral ventricle
Floor of 4th ventricle
Floor of third ventricle
Rhombencephalon
2c
single
Ans. is 'c' i.e., Floor of third ventricle(Ref: Textbook of Neuroanatomy p. 112)The infundibulum of the diencephalon is a downward evagination of the floor of the third ventricle.As the infundibulum grows down, it meets an ectodermal diveiculum of the oral cavity, known as Rathke's pouch.
Anatomy
null
416671ec-c917-4801-a231-ded58dffb89d
Burst Fracture of spine is a -
Compression Fracture
Extension injury
Direct injury
Flexion - rotation
0a
single
Burst fracture (crushed communited fracture) is caused by axial (vertical) compression injury.
Orthopaedics
null
b276f941-a708-4910-b24b-4d9e038fa10b
Cadaveric position of vocal cords ?
Midline
1.5 mm from midline
3.5 mm from midline
7.5 mm from midline
2c
single
Ans. is 'c' i.e., 3.5 mm from midline Position of vocal cords The position of the vocal cords may be described as being in various positions. These are : ? 1. Median position The vocal cords are in midline. This is the position of normal larynx during phonation and in recurrent laryngeal nerve palsy. 2. Paramedian posi...
ENT
null
1b4a5d33-ee54-445f-8d23-9253ab3e2a5b
True about adenocarcinoma of lung -a) More common in femaleb) Smoking is not associated withc) Central cavitationsd) Upper lobe involvement is most commone) Peripheral involvement
abc
bcd
abe
acd
2c
multi
Adenocarcinoma of lung Adenocarcinoma is the most common lung cancer, overall. Also the most common type of lung cancer in women and nonsmokers. This is a malignant epithelial tumor with glandular differentiation or mucin production by tumor cells. Growth pattern may be any of the following Acinar       Bronchioalve...
Pathology
null
09df371b-7104-48d6-833e-fdabb250cfa9
Best investigation for temporal bone fracture is:
CT
MRI
X-RAY
Ultrasound
0a
single
Ans. CT
Radiology
null
dab4f1e8-a17f-4bbb-ae1a-df9a21ca6c4b
A 42-year-old woman is noted to have Type II diabetes for 20 years. She is noted to have hypeension with BP in the 150/94 range. The urinalysis shows mild proteinuria. Wof drugs would be the best to treat the hypeension in this individual
Enalapril
Hydrochlorothiazide
Propranolol
Nifedipine
0a
single
ANGIOTENSIN CONVEING ENZYME (ACE) INHIBITORS Enalapril has similar effects as captopril, but may offer ceain advantages 1. More potent, effective dose 5-20 mg OD or BD. 2. Its absorption is not affected by food. 3. Onset of action is slower (due to need for conversion to active metabolite), less liable to cause abrupt ...
Pharmacology
Cardiovascular system
5793518b-6b26-49ed-b7bf-63936f7e0c42
Snow storm appearance is seen in?
Tubal pregnancy
Abdominal pregnancy
Hydatidiform mole
Fibroid
2c
single
ANSWER: (C) Hydatidiform moleREF: Dutta obs 6th e p. 196Investigations used in H.moleultrasound* Snow storm appearance in uterus* Complete molar pregnancy (chorionic villi show diffuse hydropic swelling and absence of fetal shadow)* Some fetal tissue seen* For diagnostic purpose USG alone is adequate , hormonal assays ...
Radiology
Obstetrical Ultrasonography in the Second Trimester
90fe2907-7865-43e9-a3f3-684d99f4a1d4
Best laboratory test to diagnose HIV infection March 2007
ELISA
Western blot
Complement fixation test
RIA
1b
single
Ans. B: Western blot
Microbiology
null
bc1fd67d-493c-43c5-8751-242e166f7c70
Largest cross-sectional area
Aery
Veins
Capillaries
Venules
2c
single
Capillaries have largest total c.s area which is 4500 cm2Ref: Ganong's Review of Medical Physiology Twenty-Third Edition Page No:537 Table no:32-9
Physiology
Cardiovascular system
4d7f16c7-b471-434f-9892-76f6285b3831
Pregnant,37 weeks of gestation has mild pains for 10 hours and cervix is persistently 1cm dilated and non-effaced. What will be the next appropriate management :
Sedation and wait
Augmentalion with oxytocin
Cesarean section
Amniotomy
0a
single
In primi, the latent phase is often long (about 8 hours) during which effacement occurs; the cervical dilatation averaging only 0.35 cm/hr. In multi, the latent phase is sho (about 4 hours) and effacement and dilatation occur simultaneously. Latent phase is the preparatory phase of the uterus and the cervix before the ...
Gynaecology & Obstetrics
General obstetrics
5463f517-6b12-44ce-a7bc-731a6e8ad369
Rigor mois stas in: UP 08
Eyelids
Hea
Voluntary muscle
Limbs
1b
single
Ans. Hea
Forensic Medicine
null
ded1857a-a85a-49cd-ba75-0ba6efa96fb8
Reading and writing skills of a moderate mentally retarded child:
Reasonable
Basic
Minimal
None
1b
multi
Learning disability Mild disability Moderate disability Severe/profound disability IQ level 69-50 49-35 <35 % of cases 85% 10% 5% Self-care Independent Need some help Limited Language Reasonable Limited Basic/none Reading & writing Reasonable Basic Minimal/none Ability to work Semi-skilled Unskilled, supervised Basic-t...
Social & Preventive Medicine
Definition and Concepts in Sociology & Psychology
e0f37d7e-02dc-4cf7-86d3-f5c07899fb61
Methotrexate is an example for which of the following class of drugs?
Antibiotic
Alkylating agent
Biologic response modifier
Folic acid analogue
3d
single
Ans: D (Folic acid analogue) Ref: The Pharmacological basis of therapeutics bv Goodman & Gilman - 12th edition, page no. 1669 -767/Explanation:"Methotrexate is an anti-metabolite which is a folic acid analogue." Ref: G&GClassification of Anti-Cancer DrugsAnti-metabolitesPemetrexed5 FUCapecitabineCytarabineGemcitabine5-...
Pharmacology
Anti-Neoplastic Agents
02e45239-9c95-4257-b67e-2c5ad54e59fa
High resolution computed tomography of the chest is the ideal modality for evaluating:
Pleural effusion
Interstitial lung disease
Lung mass
Mediastinal adenopathy
1b
single
B i.e. Interstitial Lung disease - Routine chest CT examinations consist of adjacent 8-10 mm sections through the area of interest. Intravenous contrast medium may be injected when the primary purpose of examination is to show the mediastinum or hilar structures. High resolution CT (HRCT) uses very thin 1-2 mm thick.(2...
Radiology
null
4235ca13-e806-4cba-be05-fe6002cdd651
Shoening of 2 mm of axial length of eye ball causes-
3D myopia
6D myopia
3D hypermetropia
6D hypermetropia
3d
multi
Axial hypermetropia is by far the commonest form. In this condition the total refractive powerof eye is normal but there is an axial shoening of eyeball. About 1-mm shoening of the anteroposterior diameter of the eye results in 3 dioptres of hypermetropia. So shoening of eyeball about 2mm results in 6D hypermetropia Re...
Ophthalmology
Optics and refraction
979e91e3-c3b0-49f7-ae5c-86228b0f0e82
False about absorption
Glucose absorption through SGLT-1 is active
Most of the drugs are absorbed by passive diffusion
Acidic drugs are absorbed when pH > Pka
Basic drugs are absorbed when pH > Pka
2c
multi
When pH > pKa (Basic medium): Acidic drugs are ionized, so can't be absorbed.
Pharmacology
null
d94843df-57a7-43f2-9d81-748b88d74759
Best blood product to be given in a patient of multiple clotting factor deficiency with active bleeding:
Whole blood
Packed RBCs
Fresh frozen plasma
Cryoprecipitate
2c
single
Ans. c. Fresh frozen plasma (Ref: Harrison 19/e p138 e-3 18/e p953. Sabiston 19/e p588)Best blood product to be given in a patient of multiple clotting factor deficiency with active bleeding is fresh frozen plasma."FFP contains stable coagulation factors and plasma proteins: fibrinogen, antithrombin, albumin, as well a...
Surgery
Blood Transfusion
366c7237-0adb-4ff7-a145-06224c03f1e2
Precocious pubey is seen in all except ?
Tumor of hypothalamus
Ovarian tumor
Tumor of adrenal gland
All of above
3d
multi
Ans. is 'd' i.e., All of above
Pediatrics
null
a18d69d0-0a7a-4732-a1a3-cfa8be0a020a
Multinucleate giant cells are seen in Tzank smear in ?
Herpesgenitalis
Bullous pemphigoid
Toxic epidermal necolysis
Pemphigus
0a
single
Ans. is 'a' i.e., Herpes genitalis
Skin
null
c48fcdd2-948f-41e7-a457-56f42646cc60
Arterial supply to floor of mouth & suprahyoid muscle is
Lingual artery
Maxillary artery
Inferior alveolar artery
Facial artery
0a
single
Lingual artery is a branch of external carotid artery. The root of tongue is also supplied by tonsillar and ascending pharyngeal arteries. Venous drainage is mainly by the deep lingual vein.
Anatomy
null
ed3cec4a-cd60-4f0a-927e-552e11b358de
The syndrome of inappropriate antidiuretic hormone is characterized by the following
Hyponatremia and urine sodium excretion > 20 meq/1.
Hyponatremia and urine sodium excretion < 20 meq/1.
Hyponatremia and hyperkalemia
Hyponatremia and hypokalemia
0a
single
(A) Hyponatremia and urine sodium excretion > 20 meq/l # Syndrome of inappropriate antidiuretic hormone (ADH) secretion (SIADH) is defined by the hyponatremia and hypo-osmolality resulting from inappropriate, continued secretion or action of the hormone despite normal or increased plasma volume, which results in impair...
Medicine
Miscellaneous
1a040b31-5cf6-4d9a-900f-243f79361a83
What is the most common problem following surgical treatment of pterygium?
Recurrence
Corneal ulceration
Astigmatism
Scleral scarring
0a
single
Recurrence of the pterygium after surgical excision is the main problem (30-50%). However, it can be reduced by any of the following measures: Transplantation of pterygium in the lower fornix (McReynold's operation) is not performed now. Postoperative beta irradiations (not used now). Postoperative use of antimitotic d...
Ophthalmology
Conjunctiva
d1717702-3699-4547-9d9c-3dddf682d48e
All of the following conditions may show Mallory Hyaline changes except -
Wilson disease
Indian childhood cirrhosis
Primary biliary cirrhosis
Hepatitis E
3d
multi
Causes of Mallory hyaline include : Alcoholic liver disease      Primary biliary cirrhosis   Indian childhood cirrhosis           Wilson's disease   Hepatocellular carcinoma Focal nodular hyperplasia Chronic cholestatic syndrome α1 - antitrypsin deficiency
Pathology
null
e9464fab-d638-43a3-ac47-3258e059faa6
HIV treatment in pregnancy
After diagnosis till lifelong
After 1st trimester till lifelong
After diagnosis till puerperium
After pregnancy till lifelong
0a
single
Ref. DC Dutta's Textbook of Obstetrics. Pg 352   Regardless of HIV viral load and CD4 count, all HIV infected pregnant women should be offered antiretroviral therapy (ART) after diagnosis till lifelong to reduce perinatal transmission ART should focus on reduction of perinatal transmission and treatment of maternal HI...
Unknown
null
0b77523b-b398-43af-b4d7-5945634c1b57
Which of the following is not associated with pathological apoptosis?
DNA damage
ER stress
Transplant rejection
Involution of hormone dependent tissue upon hormone withdrawal
3d
single
Pathological Apoptosis: DNA damage. Accumulation of misfolded proteins in ER leads to a condition called ER stress. Cell death in certain infections (viral mostly) and transplant rejection and tumours. Pathological atrophy.
Pathology
null
104b5c91-6962-4726-b0d0-4dd478f22ac7
Tell the bond (X, Y, Z) in the structure of DNA:
X-Hydrogen bond, Y-beta N glycosidic bond, Z-3' 5' phosphodiester bond
X-Hydrogen bond, Y-beta O glycosidic bond, Z-2' 5' phosphodiester bond
X-Hydrogen bond, Y-beta N glycosidic bond, Z-2' 3' phosphodiester bond
X-Hydrogen bond, Y-phosphodiester bond, Z-3' 5' beta N glycosidic bond
0a
single
X is the bond between the two nitrogenous bases. This is hydrogen bond.There is double bond between A and T, triple bond between G and C. Y is the bond between nitrogenous base and sugar. This is beta-N glycosidic bond, which is a covalent bond. This bond is between C1 of sugar and N9 of purines and N1 of pyrimidines. ...
Biochemistry
Molecular Biology
72a25c8b-cd0c-4caf-abd3-075cac113598
Sternum attached to scapula via:
Manubrium
First rib
Second rib
Clavicle
3d
single
Ans. D ClavicleRef: Gray's Anatomy 41st ed. P 799-800* Clavicle/collar bone is the connection between sternum and scapula* Sternal/Medial end: Attaches to manubrium of sternum and first coastal cartilage* Acromial end/Lateral end: Attaches to acromion on scapula - supports shoulder Sternoclavicular jointAcromioclavicul...
Anatomy
Abdomen & Pelvis
d875167a-a6b9-4222-b06c-0fc1fa560ace
Fastest conducting pa in the hea is:
Atrial muscle
Ventricular muscle
Bundle branches
Purkinje fibers
3d
single
Purkinje fibers are the fast conducting pa of the hea. It exhibit the following propeies: (1) Rapidly depolarizing fibers, (2) large diameter of fibers (largest in hea), and (3) high number of gap junctions between cells. These propeies make Purkinje fibers the fastest conducting pa in hea. Rapid conduction benefits th...
Physiology
Conducting System of Hea
c5b043c6-6cb6-4ce2-b281-a6431a8e43f1
Sorghum contains excess of ?
Lycine
Arginine
Leucine
Histidine
2c
single
Ans. is 'c' i.e., Leucine Jowar (Sorghum) contains excess of leucine which can cause niacine deficiency and pellagra.
Social & Preventive Medicine
null
cdc8eb96-5f90-4309-a9ea-9d208716434f
The LMA proseal was developed by:-
Bailey
Macewan
Brain
Magill
2c
single
Classical Laryngeal Mask Airway was designed by Dr Archie Brain Proseal Laryngeal Mask Airway was also designed by Dr Archie Brain
Anaesthesia
Airway
2fe03628-80be-4bc1-8102-69cb882bd963
Adductor canal lies beneath the -
Adductor longus
Adductor magnus
Sartorius
Vastus medialis
2c
single
On the medial aspect of middle third of thigh, there is an intermuscular cleft known as adductor canal, which lies beneath the Sartorius muscle. This contains -        Femoral artery -        Femoral vein -        Nerve to vastus medialis -        Posterior division of obturator nerve (Occasional) -        Descending ...
Anatomy
null
0c705371-baaf-411a-93c1-0fe4f0e05393
Following a parotid surgery, the patient developed sweating over the side of his face and over the cheek while eating. This is due to abnormal connections that develop between parasympathetic secretomotor fibres in the auriculotemporal nerve with which of the other nerves?
Glossopharyngeal nerve
Great auricular nerve
Facial nerve
Buccal nerve
1b
single
Auriculotemporal nerve normally carries parasympathetic fibers to the parotid gland and is severed during injury to parotid gland. Cause of gustatory sweating in freys syndrome is due to the faulty regeneration of fibers after injury to the auriculotemporal nerves in which secretomotor fibers are connected to the sympa...
ENT
null
ed910b33-07a0-4f8f-b193-d45bb1ca1bb3
34 year old female was brought to OPD with suppurative inflammation of the left lower limb . All of the given statements are false except :
Infection of the dermal lymphatics
Does not extend over the ear in facial infection
Also known as St. Anthony's fire
Raised and sharply demarcated edges
1b
multi
From the above given image and history the diagnosis is CELLULITIS Cellulitis: Suppurative inflammation involving the subcutaneous tissue. Diffuse, ill defined margins. Severe cellulitis may show bullae and progress to dermal necrosis. Does not extend over the ear. Erysipelas: aka St. Anthony's fire Infection of superf...
Dental
Bacterial infections
163777e0-3bb3-4461-b2be-82aabc90a94f
Which of the following is not a method of reduction of a posterior hip dislocation:
Stimson's gravity method
Allis method
Kocher's maneuver
Bigelow's method
2c
multi
Kocher's maneuver is used for the reduction of shoulder dislocation. These are methods of Closed hip reduction: Allis maneuver Stimson maneuver Lefkowitz maneuver East Baltimore lift maneuver Bigelow maneuver
Orthopaedics
Pelvis and Hip Injury
6b3b0f4c-5792-43cf-a76f-1b112b5470e1
Heparin is the most widely used antithrombotic agent. It acts by activating -
Plasmin
Antithrombin III
Fibrinolysin
Factor X
1b
single
Ans. is 'b' i.e., Antithrombin III
Pharmacology
null
e764ec5f-4a6c-4bbf-b1c0-90b8a2930aeb
Glycoprotein IIb-IIIa complex is deficient in
Bernard soulier syndrome
Glanzmann disease
Von willibrand disease
Gray platelet syndrome
1b
single
Inherited deficiency of GpIIb-IIIa results in a bleeding disorder called Glanzmann thrombasthenia.(ref Robbins 9th/118)
Anatomy
Haematology
c1b9e912-2643-4c7e-a8f0-abc4817a82b2
Most common antibody in autoimmune hepatitis is
u1RNP
Anti-5m
ANA
Anti-LKM
2c
single
Autoimmune hepatitis Indistinguishable from chronic viral hepatitis. Responds to immunosuppressive therapy Female predominance(70%) Absence of serogical evidence of viral infection Presence of other forms of autoimmune diseases like rheumatoid ahritis, thyroiditis, sjogren syndrome and ulcerative colitis. Most patients...
Pathology
G.I.T
edad9c4a-2dad-4432-92e4-c51c8d71d031
A 29yrs old nulliparous woman complains of severe menorrhagia and lower abdominal pain since 3months .On examination there was a 14 weeks size uterus with fundal fibroid .The treatment of choice is
Myomectomy
GnRH analogues
Hysterectomy
Observation
0a
single
Routes of myomectomy : Abdominal myomectomy Vaginal myomectomy: Done in case of submucosal pedunculated fibroid Hysteroscopic myomectomy: Submucosal fibroid which cannot be removed by simple vaginal route can be removed with the help of hysteroscope use when myoma <5 cms in size Laproscopic myomectomy: Indicated for pe...
Gynaecology & Obstetrics
Anatomy of the female genital tract
a2114959-e50c-4838-99c9-41ca18aa2149
Abnormalities of bone metabolism is associated with excess of which vitamins -
Vitamin A
Thiamine
Vitamin B12
Vitamin D
3d
single
vit D intoxication produce significant hypercalcemia ( Harrison 17 pg 2387)
Medicine
Endocrinology
0b2d2d79-7b27-4cba-b0e8-15599b744c61
All are true regarding bleaching powder, except –
Contains about 33% of available chlorine
It is a stable compound
White amorphous compound
Strong bleaching agent
1b
multi
Bleaching powder : - Bleaching powder is also known as chlorinated lime. It is a disinfectant mainly used for disinfecting Water Faeces Urine It kills most of the organism when used in strength of 1 to 3% The chief drawback of bleaching powder is that it is an unstable compound and loses its chlorine content on s...
Social & Preventive Medicine
null
24863913-3a0b-4ed8-84e3-82dde5a06e0b
The fibers from contralateral nasal hemiretina project to the following layers of the lateral geniculate nucleus
Layers 2,3,5
Layers 1,2,6
Layers 1,4,6
Layers 4,5,6
2c
single
Ganong's review of Medical Physiology, 25th ed, p 190
Physiology
Nervous system
f9b1ab41-441f-4e77-98d4-a8891378b2a6
In post-ductal coarctation of aoa collaterals may be formed by all of the following, except
Veebral aery
Suprascapular a ery
Subscapular aery
Posterior intercostal aery
0a
multi
Coarctation of the aoa is a congenital condition whereby the aoa is narrow, usually in the area where the ductus aerioses inses. The word "coarctation" means narrowing. Coarctations are most common in the aoic arch. The arch may be small in babies with coarctations. Other hea defects may also occur when coarctation is ...
Anatomy
Abdomen and pelvis
632a6801-9982-4adf-a259-973b203390a4
Inversion injury at the ankle can cause all of the following EXCEPT:
Fracture tip of lateral melleolus
Fracture base of the 5th metatarsal
Sprain of Ext. Digitorum brevis
Fracture of sustentaculam tali.
2c
multi
C i.e. Sprain of extensor digitorum brevis Inversion injury of ankle cause peroneal tendon sheath (not extensor digitorum brevis) sprain. Inversion Injury to ankle may lead to - Lateral collateral ligament injury (anterior talo fibularQ> calcaneofibular > posterior - talofibular ligament) - Peroneal tendon injuryQ - Av...
Surgery
null
fd501c8b-93c4-4595-b844-71356d7cf188
Chlorine demand is measured by which of the following apparatus?
Horrock's apparatus
Double pot
Chlorimeter
Berkfeld filter
0a
single
Chlorine demand is the amount of chlorine that is needed to destroy bacteria and to oxidize all the organic matter and ammonium present in water. The chlorine demand of water is estimated by the Horrock's apparatus. It is a testing apparatus used to calculate the dose of bleaching powder that will be required in order ...
Social & Preventive Medicine
null
0545bf47-6cb2-4f02-92d0-dfa21f2edb69
In STD cases, a patient is asked to name other persons is his socio sexual group, then they are investigated. This is a example of -
Screening
Contact tracing
Mass screening
High risk screening
1b
single
<p> In Contact tracing the sexual paners of diagnosed patients are identified, located,investigated and treated. Patients are interviewed for their sexual contacts by specially trained staff. Reference:Park&;s textbook of preventive and social medicine,K.Park,23rd edition,page no:339. <\p>
Social & Preventive Medicine
Communicable diseases
9fbc00b7-a180-4e06-bee2-80a111feccfc
Sclerotic" bodies are seen in:
Histoplasmosis
Chromoblastomycosis
Coccidomycosis
Rhinosporiodosis
1b
single
Chromoblastomycosis
Microbiology
null
0bbbb3d1-038b-4603-9141-8e3a9001c742
For Bier's block drug of choice is -
Priloacaine
Bupivacaine
Lignocaine
None
2c
multi
Lignocaine is used for Bier&;s block Bupivacaine is contraindicated in IV regional anaesthesia due to fear of arrhythmia
Anaesthesia
Regional anaesthesia
cc2828fb-0b8d-4e88-a4f4-8941d216299b
All are true about marasmus except: March 2011
Normal albumin levels
Severe wasting of muscles
Edema
Depleted subcutaneous fat
2c
multi
Ans. C: Edema Edema is a feature of Kwashiorkar; it ranges from mild to gross, and may represent upto 5-20% of the body weight Remember: Acute malnutrition is judged by: Weight for height Chronic malnutrition is judged by: Height for age Flag sign is seen in Kwashiorkar (hair is thin, brittle, lusterless, sparse, easil...
Pediatrics
null
950a3125-aadc-44a0-92ba-8ca6fa3fe0da
In the shown lateral view, the GIT structure marked with arrow head is?
Esophagus
Pulmonary aery
Trachea
Left atrium
2c
single
Normal Lateral Chest Xrays: Normal Findings: - Sternum - Retrosternal space and retrocardiac space should be : clear spaces or lucent areas - Obliteration of Retrosternal space: Right Ventricular Hyperophy - Tracheal Lucency - Lucency of veebra should increase- more black- as we go from top to bottom . - Right dome of ...
Radiology
FMGE 2019
f926abf0-dc51-46fb-be7f-a33deec1c2d4
Slow wave sleep is known as:
REM sleep
NREM sleep
Both of the above
None of the above
1b
multi
This is a straight forward memory question. There are two kinds of sleep: rapid eye movement (REM) sleep and non-REM (NREM), or slow-wave sleep. Ref: Ganong's Review of Medical Physiology 23rd edition, Chapter 15.
Physiology
null
c86ee3dd-ee6c-4685-bbaf-17139817f1c2
Skip lesions are seen in:
Ulcerative colitis
Crohn's disease
Typhoid
Tuberculosis
1b
single
Ans is 'b' i.e. Crohn's disease FeaturesUlcerative colitisCrohn's ds* Rectal involvement in > 50%> 90%*Rectum spared* Distribution of lesionsContinuous*Skip lesions** Mucosal appearanceFriable, diffusely involvedCobblestone*appearance* Ileal diseaseRare (backwash ileitis)Common* Perianal abcess, fistulasRareCommon* Int...
Surgery
Small Intestine - Crohn's Disease
8137d372-4c99-4813-b548-59a6c5b314a0
In intersegmental reflex, the afferents come from
Golgi tendon
Ia fibers
IIb fibers
Muscle spindles
3d
single
Ans. (d) Muscle spindles(Ref: Ganong, 25th ed/p.230)Stretch reflex is an intersegmental reflexWhen a skeletal muscle with an intact nerve supply is stretched with in physiological limits, it contracts. This response is called the stretch reflexThe receptor for this stretch reflex is muscle spindles
Physiology
Nervous System
9f2ec86d-ef58-48fd-a7a1-6c81e6efa6a6
The resting membrane potential of a cell:
Is dependent on the permeability of the cell membrane to K+ being greater to Na+
Falls to zero if Na+/K+ ATPase in membrane is inhibited
Is equal to the equilibrium potential for K+
Is equal to the equilibrium potential of Na+
0a
multi
Is dependent on the permeability of the cell membrane to K+ being greater to Na+ REF: Ganong, 22nd edition, BRS physiology, 4th edition page 11 Ionic Basis of nerve Resting Membrane Potential: Resting membrane potential is potential difference across the cell membrane in millivolts. Which is by convention -70 Mv Restin...
Physiology
null
41e3ea18-1ade-4379-b5f5-3bd75a9786dc
Rhabditiform larvae in freshly passed stools are seen with -
Toxoplasma
Trichuris
Ankylostom
Strongyloides
3d
single
Demonstration of the rhabdiform larvae in freshly passed faeces is the most impoant and specific method for diagnosis of strongyloidiasis. Larvae may sometimes be present in sputum or duodenal aspirates. Sometimes unhatched eggs are formed in the specimen and may cause confusion with the hookworm eggs (refer pgno:152 b...
Microbiology
parasitology
3240d327-91e9-463e-8841-473f312eec1f
Which of the following statement (s) is are/true:
Langerhans cells has birbeck granules.
Keratinocyte release mediator which are essential for normal melanocyte formation.
Melanocyte are derived from the embryonic neural crest.
All of the Above.
3d
multi
There is a correlation in the occurrence of stratum granulosum and Langerhans cells. The cell has a convoluted nucleus and characteristics rod-like granules in the cytoplasm, termed Birbeck granules. This cell is free of melanin and does not give a dopa reaction. It stains with gold chloride, ATPase, and immunofluoresc...
Dental
null
7780b167-af08-48a1-a754-7b5bd19c8662
Which of the following is not a cardiac poison?
Aconite
Opium
Oleander
Nicotine
1b
single
Opium causes respiratory depression. It is not cardiotoxic. Nicotine, oleander, aconite and digitalis are poisons which are principally cardiotoxic.
Forensic Medicine
null
27b53fcd-e646-4d9e-8aab-b61894f7a753
T.U.R. (transurethral resection) syndrome is due to ?
Hyponatremia
Hypokalemia
Hypovolaemia
Hypoxia
0a
single
Ans. is 'a' i.e., Hyponatremia TUR syndrome and water intoxication syndrome are same. They are caused due to dilutional hyponatremia.
Surgery
null
74d08b82-9c60-4a54-ba02-6a1b7f326159
A 30-year-old lady C/O sudden onset of breathlessness, anxiety, palpitation, and feeling of impending doom. Physical examination is normal. Diagnosis is:
Panic attack
Anxiety disorder
Conversion disorder
Acute psychosis
0a
single
Ans. A i.e. Panic attack-A panic attack is the abrupt onset of intense fear or discomfo that reaches a peak within minutes.-The symptoms include Palpitation, Sweating, Trembling or shaking, Shoness of breath or smothering sensation, Choking sensation, Chest pain or discomfo Nausea or Abdominal distress, Dizziness, Ligh...
Psychiatry
null
602aab88-1ba4-439c-a084-e20a7915e079
Reading and writing skills of a moderately mental retarded child
Reasonable
Basic
Minimal
None
1b
multi
Ans. is 'b' i.e., Basic
Social & Preventive Medicine
null
21200e73-bd96-4f0a-bf5b-9d42ef384fb2
Which of the following is cause of RBBB
It can occur in a normal person
Pulmonary embolism
Corpulmonale
All of the above
3d
multi
Ans. is 'd' i.e., All of the above Causes of RBBB Normal physiological Pulmonary embolism/corpulmonale Pulmonary aery hypeension ASD Rheumatic hea disease
Medicine
null
1477ebf5-b5cd-4759-bda9-41e33d43b92b
Prepyloric channel ulcer is of grade
1
2
3
4
2c
single
Type 1- In the antrum near the lesser curve, Type 2- combined gastric ulcer ( in the body) with duodenal ulcer, Type 3 - prepyloric ulcer, Type 4 - gastric ulcer in the proximal ulcer or cardia. Reference : SRB edition : 5 page: 824
Surgery
G.I.T
a74558b9-0de8-48b0-b383-fb5dc678c937
Traction force required for forceps delivery in primigravida is :
15 kgs
18-20 kgs
13 kgs
25 kgs
1b
single
Traction force required by forceps is: Primigravida -18-20 kgs Multigravida-13 kgs Vacuum - initial pressure is 0.2 kg/cm2 induced over 2 minutes. The pressure is gradually increased at the rate of 0.1 kg/cm2 to a maximum of 0.8 kg/cm2. Ref: Datta Obs 9e pg 533.
Anatomy
Abnormal labor
da1cf954-bff7-4e65-8e6d-68ce70c6988d
Which of the following is not a feature of rheumatoid ahritis?
Heberden nodes
Swan neck deformity
Ulnar detion of fingers at metacarpopalyngeal joint
Symmetric reduction of joint space
0a
single
Heberden does is a feature of osteoahritis and not rheumatoid ahritisImpoant hand deformities of hand in RABoutonniere deformity: flexion contracture of PIP joint and extension DIP jointSwan neck deformity: hyperextension of PIP joint and flexion at DIP joint(Refer: Mohindra's Fundamentals of Ohopedics, 2nd edition, pg...
Orthopaedics
All India exam
f51fbe36-9aa3-4f13-90ef-251724bb371c
What are the stains used for amyloid
Thioflavin
Congo red
Eosin
Auramine
0a
single
A and B answers..ref Robbins 9/e p262 The traditional way of identifying amyloid in tissue sections has been staining with Congo red and demonstration of green birefringence under crossed polarizers. The original method of Congo red staining, described by Bennhold in 1922, has undergone several modifications to improve...
Anatomy
General anatomy
95834529-e9c8-406f-8bb8-cc650d7ca4c4
Which is not included in AIDS related complex?
Ectopic pregnancy
Recurrent genital candidiasis
Generalised lymphadenopathy
Chronic diarrhea
0a
single
HIV symptoms: AIDS related complex (ARC) It belongs to class B of HIV symptoms. The patients at this stage have various diseases that occur because the HI virus has weakened the immune system. The following HIV signs may have patients with ARC: * Long-lasting diarrhea (over four weeks) * Unintended heavy weight loss * ...
Medicine
All India exam
724d8bdc-4d80-451f-a6e2-83d857d89e1c
The maximum life of a transfused R.B.C. is ?
One hour
One day
15 days
50 days
3d
single
Ans. is 'd' i.e., 50 days Mean life is around 35 days .
Surgery
null
83f555ba-b8ed-47ca-9abd-3b0b17784f69
In a city of 10000, Males : Females are 1 : 1. Sex ratio is:-
1
50
5000
None of the above
3d
multi
Sex Ratio = Females/ Males X 1000 1x/1x X1000 = 1000
Social & Preventive Medicine
Census, SRS, NFHS, DLHS, VRS