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61333696-341d-4d61-a70c-797ddae6727d | Fluoride level permissible in drinking water ? | < 0.5 mg/L | 0.5-0.8 mg/L | 1 mg/L | 1.5 mg/L | 3d | single | Ans. is 'd' i.e., 1.5 mg/L The recommended level of fluoride in drinking water in the country is accepted as 0.5 to 0.8 mg/ Liter. -Park o Maximum permissible limit is 1.5 mg/Lit. Guidelines of for drinking water Colour < 15 true colour units (TCU) Turbidity < 1 nephlometric turbidity units (NTU) Hardness < 100 - 300 m... | Social & Preventive Medicine | null |
b3b8f17f-25ac-4f83-9434-0efb1f1621b8 | An 11-year-old boy was brought to the pediatric OPD with multiple abscesses over his face, chest, and back. The child has a history of recurrentrespiratory infections. On examination, he has atopic excoriating skin and multiple cold abscesses on his back. What is the most probable diagnosis? | Hyper IgE syndrome | Hyper IgM syndrome | Carcinoid syndrome | Wiskott aldrich syndrome | 0a | single | From the above clinical history and examination, the most probable diagnosis is Hyper IgE syndrome (Job's syndrome). It is an autosomal dominant primary immunodeficiency disease caused by a mutation of STAT3 gene. Neutrophils do not generate an immune response, probably due to a defect in chemotaxis. Patients present w... | Microbiology | Immunology |
116bec58-a434-48d5-8fba-2deb97a467dc | Epimers of glucose | Mannose | Glyceraldehyde | Fructose | None | 0a | multi | When sugars are different from one another, only in configuration with regard to a single carbon atom, other than the reference carbon atom, they are called epimers. For example, glucose and mannose are an epimeric pair which differs only with respect to C2. Similarly, galactose is the 4th epimer of glucose. (Fig. 6.4)... | Biochemistry | Metabolism of carbohydrate |
d4b8cd53-61df-42d7-9f4f-b8a6001a93ba | Earliest site of bone involvement in hematogenous osteomyelitis is - | Metaphysis | Epiphysis | Diaphysis | Apophysis | 0a | single | Ans. is 'a' i.e., Metaphysis Pathophysiology of acute osteomyelitiso Organism reach the bone through blood stream from a septic focus elsewhere in the body, o Metaphysis of long bone is the earliest and most common site involved because : -Metaphysis is highly vascularCommonest site is metaphysis. This is because of th... | Orthopaedics | Infection of Bones & Joints |
bffc87c0-841a-47f7-8a66-dd6eed8fbff4 | Obsessive personality disorder is also called: | Anankastic personality disorder | Dissocial personality disorder | Eccentric personality disorder | Histrionic personality disorder | 0a | multi | Obsessive-compulsive personality disorder (OCPD), as defined by the current version of DSM-5, and termedanankastic personality disorder in the ICD-10. Pre occupation with rules and regulations Perfection that slows them down Stubborn and inflexible Impoant to work, no time for leisure activities Formal, don't like humo... | Psychiatry | Personality Disorders |
d35cbf29-cdbe-4b8c-b26a-f856b822bf8c | Commonest cause of esophageal performation is? | Acid ingestion | Hyperemesis | Instrumentation | Carcinoma infiltrating | 2c | single | Ans. is 'c' i.e. Instrumentation | Surgery | null |
bb9cf45b-9b2a-4220-a2df-4881ee562186 | Investigation of choice in hirschsprug's disease is ? | Rectal manometry | Rectal examination | Rectal biopsy | Ba enema | 2c | single | Answer 'c' i.e. Rectal biopsy Definitive diagnosis is made by rectal biopsy. The histopathology of Hirschprung's disease is the absence of ganglion cells in the nerve plexus, presence of hyperophied nerve bundles and increased acetylcholinesterase-positive nerve fibres. | Surgery | null |
7a843e6e-51d0-456a-950f-7f0626c43778 | Which of the following is true regarding competitive inhibition? | Vmax increases | Vmax decreases | Km increases | Km decreases | 2c | multi | Competitive inhibition leads to increase in Km, and Vmax remains constant. | Biochemistry | null |
df7d4781-5714-485d-8515-b3eb78f62ab2 | Fanconi's anemia is a: | Constitutional anemia | Hemolytic anemia | Iron deficiency anemia | Auto-immune anemia | 0a | single | a. Constitutional anemia(Ref: Nelson's 20/e p 2390-2392, Ghai 8/e p 349-351)Constitutional pancytopenia is defined as decreased marrow production of the 3 major hematopoietic lineages on an inherited basis, resulting in anemia, neutropenia and thrombocytopenia. Important causes are:Fanconi anemiaAmegakaryocytic thrombo... | Pediatrics | C.V.S. |
24dbaf7e-0d2c-408e-822c-e561449d62ed | The nerve supply of nail bed of index finger is ? | Superficial br of radial nerve | Deep br of radial nerve | Median nerve | Ulnar nerve | 2c | single | Ans. is 'c' i.e., Median nerve | Anatomy | null |
31db8948-90b8-4343-abff-a74e41adb9c1 | Enzyme responsible for complete oxidation of glucose to CO2 and water is present in: | Cytosol | Mitochondria | Lysosomes | ER | 1b | single | Under aerobic conditions, pyruvate is taken up into mitochondria, and after oxidative decarboxylation to acetyl-CoA is oxidized to CO2 by the citric acid cycle.
Under anaerobic conditions, pyruvate is reduced by the NADH to lactate, catalyzed by lactate dehydrogenase.
(Ref: Harper Ed. 29th pg173, Ed 30th pg 172) | Biochemistry | null |
85b937bd-b09a-48d6-8f08-a53d1097f19b | Which of the following psychotropic drugs must be monitored for hematotoxic effects? | Buspirone | Clozapine | Haloperidol | Lithium carbonate | 1b | single | Clozapine causes agranulocytosis in a small but consistent fraction of patients; monitoring is mandatory.Buspirone is an antianxiety agent with minimal sedative action.Haloperidol is an older, highly potent antipsychotic drug used in schizophrenia.Lithium carbonate is an impoant antimanic drug. It apparently acts by in... | Microbiology | All India exam |
90164a14-1b57-4031-a96e-531e9ec1ee71 | Which of the following disease is transmitted by Mansonia? | Bancroftian filariasis | Japanese encephalitis | Dengue | Chikungunya | 3d | single | Mansonia acts as a vector for Chikungunya Vectors of impoant diseases: Vector Diseases(s) transmitted Housefly (musca domestica) Diarrhoeal and dysentrical disease, Poliomyelitis, Yaws, Anthrax, Trachoma Sandfly (Phlebotamus argentipes) Kala azar (Visceral Leishmaniasis), Oriental score (cutaneous Leishmaniasis), Sandf... | Social & Preventive Medicine | Medical Entomology |
523f68b4-5602-4947-b204-6a1c436235f6 | Yellow discoloration of skin and mucosa is seen in which poisoning? | Nitrous oxide | Nitric acid | Sulphuric acid | Phosphoric acid | 1b | single | Nitric Acid Synonyms: Aqua Fois, Red Spirit of Nitre Propeies * Clear, colourless, fuming liquid * Pungent odour * With organic substances, it causes yellowish discolouration due to xanthoproteic reaction. Fatal dose: 10 to 15 ml Fatal period: 12 to 24 hours. Autopsy Findings * Corrosion of skin, angle of mouth, lips, ... | Forensic Medicine | Poisoning |
b84fdfce-6080-47ca-ab7b-9d38f8e89853 | A 58-year-old man has experienced worsening double vision and eyelid drooping, particularly toward the end of the day, for 1 month. He also has had difficulty chewing his food at dinner. He was diagnosed with Sjogren syndrome more than a decade ago. On physical examination, he has 5/5 motor strength in his extremities ... | Acetylcholine receptor antibody positivity | Anti-histidyl tRNA synthetase (anti-Jo-l) titer 1 :512 | Elevated serum creatine kinase level | Increased serum cortisol level | 0a | single | Myasthenia gravis leads to muscle weakness from loss of motor endplate function. This disorder is caused by an antibody-mediated loss of acetylcholine receptors at neuromuscular junctions. Edrophonium inhibits cholinesterase to improve synaptic transmission. The anti-Jo-1 antibody is present in polymyositis. Sjogren sy... | Pathology | Peripheral Nerve & Skeletal Muscles |
fd81c067-c433-4856-ac21-f2e4a7dc47cc | Hemophilia B is due to deficiency of- | Factor VIII | Factor VII | Factor IX | factor X | 2c | single | Hemophilia B is due to deficiency of factor 9 and is also called as Christmas disease. Factor 8 deficiency causes Hemophilia A. There are two main types of haemophilia: haemophilia A, which occurs due to low amounts of clotting factor VIII, and haemophilia B, which occurs due to low levels of clotting factor IX. They a... | Pathology | Haematology |
3fe063ec-fd78-48d6-8d8f-8709cbd7eb41 | A triphasic withdrawal syndrome follows an abrupt discontinuation of ______ use. | Alcohol | LSD | Heroin | Cocaine | 3d | single | Cocaine use produces a mild physical, but a strong psychic dependence. A triphasic withdrawal syndrome follows an abrupt discontinuation of chronic cocaine use. Signs and symptoms : In the early phase (crash phase, 9 h to 4 days), there is anorexia, depression, agitation, excessive craving, hypersomnia, fatigue and exh... | Forensic Medicine | Drug Abuse |
d51964ae-cf2b-4cb1-93d2-4a7302e1f480 | Not a B cell lymphoma - | Mycosis fungoides | CLL | Hairy cell leukemia | Mantle cell lymphoma | 0a | single | Mycosis fungoides is a slowly evolving cutaneous T-cell lymphoma occuring in middle aged adult males Ref: Harshmohan textbook of pathology pg:359 | Pathology | Haematology |
770c9faf-b719-4db2-a123-817510edb3c1 | A child with a history of pain over lower extremities since few moths shows radiological evidence of osteosarcoma. Most common site of osteosarcoma is: | Upper end of femur | Lower end of femur | Lower end of fibula | Lower end of tibia | 1b | single | The classic form of osteosarcoma is typically seen in patients in their second or third decade, with a peak in the adolescent growth spu. It occurs more frequently in males than in females and is found in the metaphyseal areas of long bones, with 50% of lesions seen about the knee joint. The distal femur is the most co... | Surgery | null |
00c05c88-d6b1-4ecb-b852-0d6d7d3dd113 | Which among the following is a branch from the trunk of brachial plexus? | Suprascapular nerve | Long thoracic nerve | Anterior thoracic nerve | Dorsal scapular nerve | 0a | single | Branches of root- Long thoracic nerve, dorsal scapular nerve
Branches of the upper trunk- Suprascapular nerve, nerve to subclavius
Branches of the cords
- Lateral cord
Lateral pectoral nerve
Musculocutaneous nerve
Lateral root of median nerve
- Medial cord
Medial pectoral nerve
Medial cutaneous nerve ... | Anatomy | null |
e0ece168-56b8-4ba6-8fab-c9b0a69eb104 | Kuttner Tumour is a lesion of following gland | Lymph gland | Salivary gland | Sebaceous gland | Thymus gland | 1b | single | • Kuttner tumor is also called as Chronic sclerosing sialadenitis
• Benign inflammatory lesion (fibro inflammatory)
• Associated with submandibular glands in most of the cases.
• Is basically a chronic inflammatory disease of salivary glands.
• Positive for cytokeratin CK 7, 8, 13, 19. | Unknown | null |
3738ece5-ced6-456b-82d9-c16c8ef64caf | Which of the following complication is not seen with peritonitis | Cardiac failure | Residual abscess | Endoxic shock | Bone marrow suppression | 0a | single | Systemic complications of peritonitis-Bacteraemic/endotoxic shock,Bronchopneumonia,respiratory failure,Renal failure,Bone marrow suppression,MODS(multiorgan dysfunction syndrome).Abdominal complications include Adhesional small bowel obstruction,Paralytic ileus,Residual/recurrent abscess,Poal pyaemia and liver abscess.... | Surgery | G.I.T |
2d6df48d-cd66-40d7-9ad9-7b6d7081cb40 | Wolffian duct give rise to | Vas deference | Appendix testis | Testis | Prostate | 0a | single | (Vas deference) (1403-LB) (1377-B &L 25,h)* The testis develops from the genital fold medial to the mesonephros (Wolffian body)* The Wolffian duct becomes the epididymis and vas deferensDevelopment of genitourinary System:Embryonic structureStructure developing in MALEStructure developing in FEMALEGenital tuberclePenis... | Surgery | Testis & Scrotum |
3d7e9d37-3817-453e-a9c4-ba7cdde803b3 | All of the following statements about Erlotinib are true, except: | Tyrosine kinase inhibitor | Food decreases its absorption | Rashes may occur | Used in Non small cell lung carcinoma | 1b | multi | Ans is 'b' i.e. Food decreases its absorption Erlotinib o Erlotinib is a human HER1/EGFR tyrosine kinase inhibitor. o It is indicated for treatment of patients with locally advanced or metastatic non small cell lung cancer. It is also used in carcinoma of pancreas, head & neck cancer, hepatocellular carcinoma and carci... | Pharmacology | null |
69558469-8a49-4010-8254-bfd0838b69a9 | Treatment of Malignant tracheo-oesophageal fistula is | Oesophagotomy | Expanding metal stent | External beam radiation | Chemoradiotherapy | 1b | single | Malignant tracheo-oesophageal fistula is a sign of incurable disease. An expanding metal stent is probably the best treatment. (palliation)Ref: Bailey and Love 27e pg: 1095 | Surgery | G.I.T |
a2d592ab-a69c-43ee-b952-c402a07a20c1 | Memory T cells can be identified by using the following marker? | CD45 RA | CD45 RB | CD45 RC | CD45 RO | 3d | single | Stem memory TSCM cells, like naive cells, are CD45RO-, CCR7+, CD45RA+, CD62L+ (L-selectin), CD27+, CD28+ and IL-7Ra+, but they also express large amounts of CD95, IL-2Rb, CXCR3, and LFA-1, and show numerous functional attributes distinctive of memory cells Reff: www.mayoclinic.com | Microbiology | Immunology |
bdd0b9dc-0ef8-4044-9aac-59ceed63f784 | Which one is not associated with peptic ulcer - | Smoking cigarrete | Zollinger Ellison's syndrome | Plummer vinsons syndrome | Cirrhosis | 2c | single | Conditions also. with peptic ulcer have already been described. Plummer Vinson Paterson Kelly syndrome consists of :- Iron deficiency anemia Dysphasia atrophic oral mucosa, glossitis brittle spoon-shaped fingernails. Typically pts are Woman over 40 yrs of age. Its a Pre-malignant condition* for both oral cavity & esoph... | Anatomy | G.I.T |
775aace7-c241-40bd-8dca-69374de43a83 | The type of necrosis seen in Tuberculosis: | Gummatous | Coagulative | Caseation | Liquefactive | 2c | single | Caseous necrosis is encountered most often in foci of Tuberculosis infection. The term caseous (cheese-like) is derived from friable yellow-white appearance of the area of necrosis. On microscopic examination, the necrotic focus appears as a collection of fragmented or lysed cells with an amorphous granular appearance.... | Pathology | null |
4e891e50-65b4-4bcc-be2d-52689b91e435 | Active search for disease in an apparently healthyindividual is k/a | Monitoring | Case finding | Screening | Sentinel surveillance | 2c | single | screening Screening is defined as 'the search for unrecognized disease or defect by means of rapidly applied tests, examination or other procedures in apparently healthy individuals." Other terms Case finding : is the use of clinical and/or laboratory tests to detect disease in individuals seeking health care for other... | Social & Preventive Medicine | null |
045afcdf-905a-47bd-ac4d-e6a4f650c6a3 | Thiazides can cause: | Hyperkalemic paralysis | Hypouricemia | Hypolipidemia | Impotence | 3d | single | ADRS of thiazides- Nausea, vomiting, diarrhea.Headache, giddiness, weakness, paresthesias, impotence electrolyte complications of the high ceiling and thiazide diuretics: 1. Hypokalemia 2. Acute saline depletion 3. Dilutional hyponatremia 4. Hearing loss 6. Hyperuricemia 7. Hypercalcemia 8. hyperglycemia and hyperlipid... | Pharmacology | Kidney |
6983ec48-54fc-4234-bbce-76a99b3807f8 | Which of the following statements about Wilson's disease is TRUE? | Low serum ceruloplasmin and low urinary copper | Low serum ceruloplasmin and high urinary copper | High serum ceruloplasmin and low urinary copper | High serum ceruloplasmin and high urinary copper | 1b | multi | In Wilsons disease, due to deficiency of ATP7B protein, biliary copper excretion is impaired and it accumulates in the liver. Defective copper incorporation into ceruloplasmin leads to its excess catabolism and lower ceruloplasmin levels. Serum copper levels are usually lower than normal because of low blood ceruloplas... | Medicine | null |
c751e81d-a026-4c51-a63f-c6a633929703 | The following are true regarding Lyme's Disease, except:- | lt is transmitted by ixodid tick. | Erythema chronicum migrans may be a clinical feature | Borrelia recurrentis is the aetiological agent | Rodents act as natural hosts | 2c | multi | Option 1, 2, 4 Lyme's disease Causative agent = B. burgdorferi Transmitted by bite of Ixodid ticks /Hard tick Replicates locally & invades locally Centre - periphery Erythema Chronicum migrans Annular rash / bull's eye. Associated with ch. ahritis Option 3 B. recurrentis: causes Relapsing fever Reason for relapse is an... | Microbiology | Systemic Bacteriology (Haemophilus, Yersinia, Spirochaetes, Ricketssia, Chlamydia, Mycoplasma and Miscellaneous Bacteria) |
5cc2be5e-7872-47a1-bc25-2422609d27a9 | Biological value is maximum in | Egg | Milk | Soyabean | Pulses | 0a | single | NPU (Net protein Utilisation) is the combination of Biological value & Digestibility, which is 100 for egg, compared to 80 for meat and 75 for milk. | Microbiology | All India exam |
01126b58-ffd7-46a8-a018-d354697f617d | Which of the following is done for the quick diagnosis of Erythrasma- | Biopsy | KOH examination | Culture and sensitivity | Wood's lamp examination | 3d | single | Ans is 'd' i.e. Wood's lamp examination o Erythrasma is caused by infection by Coryneform bacteria. Wood's lamp examination is a commonly used test to diagnose Erythrasma. Lesion shows coral red fluorescence due to coproporphyrin III production by the bacteria.ConditionFluorescent coloursTinea capitisBright yellow gree... | Skin | General |
d94a60a2-f7d9-4350-aea2-451d7f1ce096 | Surgery for varicose veins is contraindicated by even stripping in | DVD | DVT | Atherosclerosis | None | 1b | multi | DVT is a contraindication for the treatment of varicose veins Varicose vein surgery should be never attempted in a case where DVT exists along with varicose veins, because in these cases, superficial veins are the only valved venous pathway and excising them will only aggravate the condition Ref: Sabiston 20th edition ... | Surgery | Vascular surgery |
1b5e63e1-0f43-4126-9523-e0a20c623981 | Diaphram is formed from the following components except | Septum Transversum | Splanchnopleuric mesoderm | Ventral and Dorsal mesentry of oesophagus | Mesoderm of body wall | 1b | multi | The diaphragm is developed from (a) Septum transversum(b) Pleuro-peritoneal membranes(c) Ventral and dorsal mesenteries of oesophagus(d) Mesoderm of body wall, including the mesoderm around the dorsal aoaReference: Inderbir Singh Embryology; 10th edition; Page no: 227 | Anatomy | General anatomy |
2ed70b51-8874-4365-8ab3-9f648e440e6a | A child comes with a circular 3cm x 3cm scaly patchy hair loss with itching in the lesions. The investigation of choice is | Split skin smear | KOH mount | Gram stain | Tzanck smear | 1b | single | Itchy lesions over head with hair loss likely suggestive of Tinea capitis and KOH mount of hairs is the investigation of choice. | Dental | null |
eb216a2d-ec98-4e03-8ac8-de3c93bc6d1b | A 66 year old female is posted for subtotal gastrectomy for adenocarcinoma. The important procedure related complication: | Pneumothorax | Constipation | Hemolytic anemia | Bilious vomiting | 3d | single | Ans. (d) Bilious vomitingRef: Sabiston 20th Edition, Page 1212Complications of Gastric Surgeries:* Dumping syndrome* Afferent loop syndrome* Efferent loop syndrome* Malabsorption syndrome (Anemia, hypocalcemia, B12 deficiency)* Alkaline reflux gastritis* Bile reflux gastritis* Gastric atony* Duodenal stump blow out. | Surgery | Stomach & Duodenum |
2d7990e1-7423-4385-aa9b-35aefdfec4c6 | Plusating tumours include all except - | Bone sarcoma | Osteoclastoma | Secondaries from hypernephromas | Secondary from prostate | 3d | multi | Ans. is 'd' i.e., Secondary from prostate | Surgery | null |
0d6f77ca-5cad-42a5-acda-6cb5bebcc93d | The main reservoir for Entamoeba histolytica is - | Man | Diy water | Soil | Ponds | 0a | single | The main reservoir for Entamoeba histolytica is man. Other options can be the modes of transmission ie. faeco oral through contaminated water. Option 1, 2, 3, 4 E. histolytica: Habitat: Large intestine Morphology-3 stages: Trophozoites, Pre-cyst and cyst. Host: Humans are the only host and reservoir. Infective form: Ma... | Microbiology | Parasitology Pa 1 (Protozoology) |
7a0782b7-cdf5-43f0-813d-72e25020a17b | Basophilic stippling is seen which of the following cells: UPSC 11; UP 11; NEET 14 | Neutrophils | RBC's | Basophils | Eosinophils | 1b | single | Ans. RBC's | Forensic Medicine | null |
0d64bcc4-37ce-4140-b46d-2e8d9a900b1b | Atypical moro's reflex is seen in A/E - | clavicle | Sternomastoid tumor | Shoulder dislocation | Brachial plexus injury | 1b | single | Ans. is 'b' i.e., Sternomastoid tumour | Pediatrics | null |
91f32b08-ebc3-4b32-b2d7-12f2c2577e4d | Female genital tract develops from ? | Mesonephric duct | Mesonephric tubules | Mullerian duct | None | 2c | multi | Mesonephric duct (Wolffian duct) is the main genital duct in males as it gives rise to mainly male genital system.Paramesonephric duct (Mullerian duct) gives rise to mainly female genital tract | Anatomy | null |
233442cf-0443-45c0-9845-7ff213634c6d | Infection occurring after man&;s bite is | Spirochetes | Staphylococcus | Anaerobic streptococci | Candida | 1b | single | Staphylococcus infection - human patients and carriers are the commonest sources of infection. About 10- 30% healthy person carry bacterial in the nose, skin, axilla, perineum and throat. Ref: Textbook of microbiology; Ananthanarayan and paniker's 10th edition; Pg:205 | Microbiology | Bacteriology |
61b3ac37-34bf-4097-8c57-7e9b28ac4fc5 | Which of the following statements is false regarding Familial Mediterranean fever? | Form of hereditary amyloidosis | Excessive production of TNFa | Autosomal recessive | Mutation affecting pyrin protein | 1b | multi | Familial Mediterranean Fever (FMF) Most common and best studied form of heredofamilial amyloidosis Autosomal recessive condition Autoinflammatory syndrome associated with excessive production of the cytokine IL-1 in response to inflammatory stimuli Attacks of fever accompanied by inflammation of serosal surfaces, inclu... | Pathology | Auto Immune Disorders Introduction |
8e3d8b59-248f-4f6b-951c-3024ae184cd9 | Onion peel appearance in X-ray suggests | Osteogenic sarcoma | Ewings sarcoma | Osteoclastoma | Chondrosarcoma | 1b | single | Onion peel appearancne Typical of ---Ewings sarcoma May also be seen in ----Osteosarcoma and osteomyelitis Refer Campbell 13th/e p 953 | Anatomy | null |
fb84f7f2-7c02-47b2-8cce-7a7e60639bfc | All of the following statements are false EXCEPT: | Right ventricle work more than left ventricle | Left ventricle works more than right ventricle | Both ventricle work equal | Maximum ventricular filing occurs in isovolumetric contraction | 1b | multi | Ans. B Left ventricle works more than right ventricleRef: Guyton Physiology, 11th ed. pg. 110* Right ventricular external work output is normally about one sixth the work output of the left ventricle because of the six-fold difference in systolic pressures that the two ventricles pump. | Physiology | Heart, Circulation, and Blood |
2f3aa784-cc46-4334-8914-ec0c9d74fdf3 | At autopsy, the cyanide poisoning case will show the following features, except - | Characteristic bitter lemon smell | Congested organs | The skin may be pinkish or cherry red | Erosion and haemorrhages in oesophagus and stomach | 2c | multi | Hydrocyanic acid Cyanide occurs as solid, liquid or in gaseous state as: * Gas form -- Hydrogen cyanide (HCN) * Liquid form -- Hydrocyanic acid (Prussic acid) * Solid form -- occurs as salts such as potassium cyanide/ sodium cyanide. Mechanism of Action Cyanide reversibly inhibits ferric iron containing enzymes. Cyanid... | Forensic Medicine | Poisoning |
ac80db1a-93b4-4d55-bd41-3b819b8764e6 | Feature(s) of slow twitching muscle is/area) Contain large amounts of myoglobinb) Composed of smaller fibersc) Contain larger amount of glycolytic enzymed) White in coloure) It has high ATPase activity | ac | ab | ad | bc | 1b | multi | Characters of slow twitching muscles.
- Myoglobin- High amount
- Colour- Red
- Fibres- Small
- ATPase activity- Low
Glycolytic activity- Low | Physiology | null |
d1a500c4-bc1a-486c-b733-005db6850d4d | NUVA SEAL is: | UV activated sealant | Self-cure sealant | Light cure sealant | Flouride releasing sealant | 0a | single | First Generation Sealants:
Polymerized with UV light at a wavelength of 365 nm – cyanoacrylate based material.
Classified as ‘accepted’ by ADA in 1976.
Eg: Alpha seal, Nuva Seal
Failed due to:
Excessively absorbed UV light-prevented complete polymerization of sealant at its depth.
Inconsistency of wavelength from th... | Dental | null |
6cf35ab9-10b2-462e-8f6c-f61fe297b4e2 | Carcinoma endometrium involving uterine cavity more than 10 cms long with early myometrial involvement is | Stage Ia | Stage Ib | Stage IIa | Stage IIb | 1b | single | Ans- The International Federation of Gynecology and Obstetrics(FIGO) staging system for carcinoma of corpus uteri is as follows:Stage IA-Tumor limited to endometrium <8 cm)Stage IB-Invasion to less than one half the myometrium (>8 cm)Stage IC-Invasion to more than one half the myometriumStage IIA-Endocervical glandular... | Unknown | null |
f3a643d7-c20b-4135-afff-204f74fe30bf | Treatment of a large hydrocele in an infant: | Repeated aspirations | Ligation of sac at the opening of inguinal canal | Herniotomy | Eversion of sac | 2c | single | Ans: c (Herniotomy)Ref: Bailey & Love, 24th ed, p. 1408 & 23rd ed, p. 1275 | Surgery | Testis & Scrotum |
5a242165-f06e-49de-9b9c-0cc4e1303f75 | All of the following are ACTH independent Cushing syndrome except : | Pituitary adenoma | Adrenal hyperplasia | Adrenocoical carcinoma | McCune Albright Syndrome | 0a | multi | ACTH dependent Cushing syndrome is caused by : ACTH producing pituitary adenoma Ectopic ACTH Bronchial or pancreatic carcinoid Small cell cancer of lung Medullary carcinoma of thyroids Pheochromocytoma ACTH Independent Cushing syndrome is caused by : Adrenocoical adenoma/ carcinoma Primary pigmented nodular adrenal dis... | Medicine | Cushing Syndrome |
daeb5251-2128-4246-afc5-beefe04af210 | A 2-year-old child presented with diarrhoea and failure to thrive, Blood examination shows – Na = 122,K – 6. He is most probably suffering from – | Banter syndrome | 21–α Hydroxylase deficiency | 11–β Hydroxylase deficiency | 17–a Hydroxylase deficiency | 1b | single | Na+ is 122 (hyponatremia). That means, there is salt losing enzyme deficiency, causing hyponatremia and hyperkalemia.
21 hydroxylase deficiency causes hyponatremia and hyperkalemia. 17α -hydroxylase and 11-β -( hydroxylase deficiency cause hypernatremia and hypokalemia.
Butter syndrome causes excessive loss of Na+, K+ ... | Pediatrics | null |
ac76b530-7e0f-4b19-bec5-ce5e6cc17494 | In which type of glaucoma the coloured haloes are NOT seen: | Phacomorphic glaucoma | Pigmentary glaucoma | Glaucoma of epidemic dropsy | Steroid induced glaucoma | 3d | single | D i.e. Steroid induced glaucoma Steroid induced glaucoma characteristically presents as chronic open angle glaucoma, with an open angle normal appearing anterior chamber and absence of symptoms (eg. halos, pain)Q. Halos are due to accumulation of fluid in the corneal epithelium and to alterations in the refractive cond... | Ophthalmology | null |
8f81a4c9-83c5-4363-9c6b-74fc201b1d28 | Maddox rod test is used for testing - | Macular function | Lens opacity | Amount of tear production | Vitreous hemorrhage | 0a | single | Ans. is 'a' i.e., Macular function Macular function testso While evaluating the retinal function, some tests are used specifically for macular function,o These tests are :1) Simple m acular fu nction testsy Two point discrimination test (Cardboard test)y Maddox rod testy Coloured light testy Modified photostress testy ... | Ophthalmology | Techniques of Ocular Examination and Diagnostic Tests |
949bde62-1a62-4f8a-8c81-0c7b267f09e8 | Which of the following statement about carcinogenesis is false | Asbestos exposure increase the incidence of lung cancer | Papilloma viruses produce tumors in animal but not in human | Exposure to aniline dyes predisposes to cancer of the urinary bladder | Hepatitis B virus has been implicated in hepatocellular carcinoma | 1b | multi | Ref Harrison 17/e p487 HPV, the causative agent of cervical neoplasia, has a tropism for the immature squamous cells of the transformation zone. Most HPV infections are transient and are eliminated within months by an acute and chronic inflammatory response. A subset of infections persists, however, and some of these p... | Anatomy | General anatomy |
d9d0de9c-b4bd-4abd-8385-3435df24cb77 | Which of the following is a wrong association - | HPV - CaCx | EBV - Burkitt's lymphoma | HHV 8 - Kaposi sarcoma | CMV - Nasophaiyngeal carcinoma | 3d | single | Ans. is 'd' i.e., CMV-Nasopharyngeal carcinoma Association of viruses with human cancers (Jawetz)Virus familyVirusHuman cancerPapillomaviridaeHuman papillomavirusesGenital tumors Squamous cell carcinoma Oropharyngeal carcinomaHerpesviridaeEB virusNasopharyngeal carcinoma Burkitt's lymphoma Hodgkin's disease B cell lymp... | Microbiology | Herpesviruses |
67222130-6e8b-49e3-8e9b-a4b42caaee9d | Which toxin of streptococcus causes hemolysis around colonies: | Streptolysin O | Streptolysin S | Streptodornanse | Hyaluronidase | 1b | single | Option 1, 2 Streptolysin 'O' Streptolysin 'S' Oxygen labile Oxygen stable Hemolysis in reduced state only Hemolysis around streptococcal colonies. Cannot cause hemolysis on the surface of blood agar. Option 3 DNase/ Deoxyribonuclease/Streptodornanse : Diagnostic use: Anti-DNase B > 300-350 U is useful for the retrospec... | Microbiology | Systemic Bacteriology Pa 1 (Gram Positive Cocci, Gram Negative Cocci) |
a1ebf5bd-1068-4515-ae0c-9cae0a94b1de | Which of these pas of Veebral Canal will show secondary curves with concavity backwards | Cervical | Thoracic | Sacral | Coccyx | 0a | single | Fetus - universal flexion - 1deg curvature After bih - Cervical Lordosis - 2deg curvature begins when child stas to gain head stability lumbar lordosis - convex anteriorly begins to appear when child learns to sit. Cervical lordosis - 2deg Thoracic kyphosis - 1deg Lumbar lordosis - 2deg Sacral kyphosis - 1deg | Anatomy | Back region |
3d155f3f-c124-479d-96f0-67341a9f7966 | Which anticancer drug causes hypercoagulable syndrome? | 5-FU | L-asparaginase | Melphalan | Carmustine | 1b | single | Hypersensitivity reaction manifested by fever, chills, nausea, and vomiting, uicaria, bronchospasm, respiratory failure and hypotension; i ed risk of both clotting and bleeding as a result of alterations in various clotting factors; pancreatitis, and neurological toxicity. Ref: KD Tripathi 8th ed. | Pharmacology | Chemotherapy |
6e0ea60e-0f54-4b6f-a0ff-ade78664e005 | A 45-year-old female has a solitary gall stone 1.5 cm in size which was incidentally diagnosed by ultrasound. She has no symptom. What should be the best line of management? | Cholecystectomy only, if she develops biliary colic | Lap cholecystectomy immediately | Lap cholecystectomy even if she is asymptomatic after 2 months | Open cholecystectomy even if she is asymptomatic after 2 months | 0a | multi | Cholecystectomy only if she develops biliary colic * Symptomatic gallstones are the main indication for cholecystectomy. * Absolute contraindications for the procedure are uncontrolled coagulopathy and end-stage liver disease. | Surgery | null |
0a7103ca-f11a-4161-a6f6-440360f7453c | The pupil of a newborn is: | Dilated | Mid-dilated | Constricted | Normal | 2c | single | c. Constricted(Ref: Nelson's 20/e p 3016)Pupils of a newborn are small & difficult to dilate, due to immature iris dilator muscle.Lens of a newborn infant is more spherical than that of an adult.Fundus of a newborn's eye is less pigmented than that of an adult. | Pediatrics | Genetics And Genetic Disorders |
6c48e36c-f835-4fdf-9d98-891b0aa8d8e6 | The police bring in a murder suspect who has been in a gunfight with a police officer. The suspect was struck by a bullet in the arm; his median nerve has been damaged. Which of the following symptoms is likely produced by this nerve damage? | Waiter's tip hand | Claw hand | Wrist drop | Ape hand | 3d | single | Injury to the median nerve produces the ape hand (a hand with the thumb permanently extended). Nerve injured Effect Median nerve Ape hand (a hand with the thumb permanently extended) Radial nerve Wrist drop Upper trunk of the brachial plexus Waiter's tip hand/Policeman tip hand Ulnar nerve Claw hand and flattening of t... | Anatomy | Nerve supply, Nerve Lesions |
c2ddfd66-65a7-4c6f-a977-a27500584ee1 | Oral contraceptive failure occurs with | Cimetidine | Rifampicin | Morphine | Ethanol | 1b | single | (Rifampicin) (1628 - Man & Gillmann) (741-KDT 6th)CONTRACEPTION FAILURE - May occure if the following drugs are used concurrently(a) Enzyme inducers - Phenytoin, Phenobarbitone, Primidone, Carbamazepine, Rifampicin, Rifabutin(b) Suppression of intestinal micro flora - Tetracyclines Ampicilline Doxycycilline | Pharmacology | Endocrinology |
cbec5a74-abcd-4fa7-b208-c5a8d2a709fb | Abnormality in Crigler Najjar syndrome: | Uptake of bilirubin | Defect in hepatic conjugation | Canal icu lar Release | Reduced bile excretion | 1b | single | Ref: Nelson's Textbook of Pediatrics 18th edition: page no. 1666-67Explanation:Bilirubin is the metabolic end product of heme.Before excretion into bile, it is conjugated with glucuronide by the enzyme bilirubin uridine-di- phosphor-slucuronate glucuronosvl transferase (UDPGT).UDPGT activity is deficient in Crigler- Na... | Pediatrics | Liver and Biliary System |
b9d9c0aa-8982-4383-9fce-89257295bb3c | Least common association with Morbid Obesity is? | Rheumatoid Ahritis | Diabetes Mellitius type II | Essential Hypeension | Large bowel cancers | 0a | single | Morbidities associated with OBESITY Diabetes mellitus (Highest relative risk) Hypeension Dyslipidemia Other conditions : Hea diseases, Cerebrovascular disease, obstructive sleep apnoea, GE reflux, Osteoahritis, cancer Ref: The medical complications of Obesity by Malnicj, QH Med 2006 Pgno : 565-579 | Social & Preventive Medicine | Non communicable diseases |
5266f5c1-3714-426f-ba26-8b62d85a9167 | After subtotal colectomy for toxic megacolon in CD, lowest recurrence is with: | Complete proctectomy with Brooke ileostomy | Ileorectal anastomosis | Koch's pouch | IPAA | 0a | single | Ans. (a) Complete proctectomy with Brooke ileostomy* Creation of Kock's continent ileostomy pouch is not done nowadays.* Brooke's ilesotomy is the done commonly in emergency cases after total colectomy and proctectomy. | Surgery | Small & Large Intestine |
fa73e1eb-f7b8-48b3-bc8d-ccf3f020c9b2 | The following metabolite is a derivative of tryptophan | Melatonin | Thyroxine | Epinephrine | Nor epinephrine | 0a | single | Tryptophan is conveed to Seratonin, which is then acetylated and fuher methylated to form Metatonin.Ref: DM Vasudevan - Textbook of Biochemistry, 7th edition, page no: 240, Fig no 18.10. | Biochemistry | Metabolism of protein and amino acid |
d7e05016-d28d-45c0-8de9-569ff8b81897 | Onion bulb appearance on nerve biopsy is seen in - | Amyloid neuropathy | Diabetic neuropathy | CIDP | Leprous neuritis | 2c | single | chronic inflammatory demyelinating polyradiculoneuropathy (CIDP) has been used to identify patients with a chronically progressive or relapsing symmetric sensorimotor disorder with cytoalbuminologic dissociation and interstitial and perivascular endoneurial infiltration by lymphocytes and macrophages. It can be conside... | Pathology | Nervous system |
51594e84-57cf-4386-b140-d24e8af51154 | Thornwaldt cyst is also called as: | Laryngeal cyst | Nasopharyngeal cyst | Ear cyst | None | 1b | multi | Thornwaldts bursa is also called as nasopharyngeal bursa, hence thornwaldts cyst is also called as Nasopharyngeal cyst. | ENT | null |
200f963a-72fa-4a45-8812-a200e0a7e5d5 | Helper cells belong to - | T cells | Macrophages | B cells | Monocytes | 0a | single | Ans. is 'a' i..e.,T cells T-cells . T cells are amongst the two impoant cells of adaptive immune system (others are B-cells). . T cell precursors arise in bone marrow (also in yolk sac & liver before bih) and migrate to the thymus. . Maturity of T-cells takes place in the thymus (So, T cells arise in bone marrow and ma... | Microbiology | null |
0a56e91f-e259-4d36-a506-22ffe2e32b4c | All of the following are true regarding Phrygian cap of gallbladder, except? | Congenital anomaly of the gallbladder | Can lead to cholecystitis | Simulate a mass on radiological imaging | Results from infolding of the gallbladder fundus | 1b | multi | Phrygian cap Congenital anomaly of the gallbladder Results from folding of the gallbladder fundus Resembles a soft conical cap with the top pulled forward Can simulate a mass in the liver during hepatobiliary imaging and is sometimes mistaken for pathology. Normally causes no symptoms Does not predispose to other disea... | Pathology | Miscellaneous |
47200042-3b77-4436-86e4-33119c74a480 | Bowel disease with "Transmural involvement and Skip lesions" is a feature of: | Tropical sprue | Whipples disease | Crohns disease | UC | 2c | single | Crohns disease | Pathology | null |
f0fe6c6c-4be6-4e1b-a0cf-7e85fb91c030 | The so-called "pseudo-H zone" in a sarcomere is: | M line plus lighter areas on its either side | Not seen normally in a sarcomere | Seen only in an extremely contracted state of a muscle | Disappearance of H band during contraction | 0a | multi | At the very center of the sarcomere, there is H-zone (the gap between the ends of the thin filaments). The dark line at the center of the H-zone is called M-line. This dark M-line plus the light areas on either side constitutes the pseudo-H zone. | Physiology | Muscle |
f0a46c0f-e551-46e6-bb1b-1ae140b5f972 | Complication of trauma to danger area of face - | Cavernous sinus infection | Meningitis | Visual loss | Loss of memory | 0a | single | Ans. is 'a' i.e., Cavernous sinus infection o The area of upper lip and the lowrer part of nose is the danger area of face. It is due to that this area is the common site of infection.o This area is drained by facial vein wrhich communicates with the cavernous sinus through the superior ophthalmic vein and pterygoid ve... | ENT | Nose and PNS |
37fdb3c2-e98d-4bde-86f6-eedb137b3971 | Children born to mothers with systemic lupus erythematosis are likely to have one of the following anomalies - | Atrial septal defect | Tetralogy of fallot | Transposition of great vessels | Complete hea block | 3d | multi | Ans. is 'd' i.e., Complete hea block o Maternal lupus erythmatosus has been associated with a high incidence of congenital hea block in offspring. | Pediatrics | null |
0dbf5d23-f87e-40f6-b86c-69e6a0a582a9 | The neuromuscular blocker that does not need a reversal of action by neostigmine at the end of the operation is: | d–Tubocurarine | Doxacurium | Pipecuronium | Mivacurium | 3d | single | Long-acting non-depolarizing (competitive) NM blocking agents require reversal with neostigmine.
Mivacurium is the shortest acting NDMR. It does not require reversal due to its short duration of action.
Mivacurium can be used in day care surgery. | Pharmacology | null |
c7c1277f-a243-4674-80b6-8768eb2233de | Very low bih weight babies are - | < 2500 gm of bih weight | < 1500 gm of bih weight | < 1000 gm of bih weight | Between 2500-3000 gm of bih weight1 | 1b | single | Ans. is 'b' i.e., < 1500gm of bih weight | Pediatrics | null |
5e665385-2619-444c-8956-eabf02ee0964 | To differentiate malignancy from benign lesion in GIT, investigation of choice: | USG | Biopsy | Endoscopy | P.E.T scan | 1b | single | Ans. (b) BiopsyRef: Chapter 91: Harrison 18th ed.* Taking multiple biopsies increases the yield. Cytologic examination of tumor brushings complements standard biopsies and should be performed routinely.* The extent of tumor spread to the mediastinum and para-aortic lymph nodes should be assessed by CT scans of the ches... | Surgery | Miscellaneous (Neoplasia) |
68e1e1db-29bc-49b6-9d11-15e8353325f3 | Parathormone has all of the following effects, except - | Increased bone resorption | Increased Ca+2 reabsorption in kidney | Increased phosphate reabsorption in kidney | Increased calcitriol synthesis | 2c | multi | Ans. is "c" i.e., Increased phosphate reabsorption in kidney o Paratharmone is 84 aminoacid polypeptide hormone secreted from parathyroid glands.o Its secretion is regulated by plasma Ca++ concentration -- fall in Ca++ concentration increases the secretion of paratharmone.o ActionsPTH increases resorption of calcium fr... | Physiology | Endocrinology metabolism |
f25a2c96-63b1-4753-854b-6274fdf96a22 | In Bony ankylosis, there is - | Painless, No movement | Painful complete movement | Painless complete movement | Painful incomplete movement | 0a | single | Ankylosis
Ankylosis is the fusion of bones in a joint leading to stiffness of the joint.
Ankylosis may be : -
1) Fibrous ankylosis: - Two articular surfaces are fused by fibrous tissue.
The feature are : -
Some movement of joint is possible (though just a jog of movement).
Movements may be painless or painful.
Mos... | Orthopaedics | null |
1ee090cf-36e6-4c1d-8380-55ea430b18d6 | Leprosy causes? | Rapidly progressive GN | Focal glomerulosclerosis | Membranoproliferative GN | Acute glomerulonephritis | 1b | single | Renal involvement in leprosy is related to the quantity of bacilli in the body, and the kidney is one of the target organs during splanchnic localization. In some series, all cases with borderline lepromatous and lepromatous types of leprosy have various forms of renal involvement including FSGS, mesangioproliferative ... | Medicine | Nephrotic and Nephritic syndrome |
8a957ff1-c616-4ee4-ad42-7c687e3f1691 | Which of the following is true of molluscum contagiosum? | Treatment is extirption | Is an STD | Virall infection | All | 3d | multi | D i.e. All of the above Molluscum contagiosum is caused by poxvirus family (genus molluscipox) virusQ. Transmission may occur direct skin or mucous membrane contact (eg. touching & sexual contact) Q or fomites. Characteristic lesion is extremely small, pink, shiny pearly white or skin (flesh) colored, umblicated papule... | Skin | null |
5e42eea0-7464-4257-a214-21332802283c | Defloration means: | Loss of virginity | Infeility | Rape | Virginity | 0a | single | Loss of virginity | Forensic Medicine | null |
34c453c3-1749-4f36-bde7-cf49e7c9abea | Aery lying in Guyon's canal is: | Ulnar aery | Radial aery | Brachial aery | Subclan aery | 0a | single | The ulnar aery travels deep to the FCU muscle in the forearm. When the FCU becomes tendinous, the ulnar aery resides deep and slightly radial to it. At the wrist, the aery travels between the hamate and pisiform bones superficial to the transverse carpal ligament (known as Guyon's canal) into the palm. Ref: Schwaz's pr... | Surgery | null |
ab0da02c-b318-4bd1-8cc0-dfcf45c7dc7e | A 27 year old sexually active male develops a vesiculobullous lesion on the glans soon after taking tablet paracetamol for fever. The lesion healed with hyperpigmentation. The most likely diagnosis is – | Behcet's syndrome | Herpes genitalis | Fixed drug eruption | Pemphigus vulgaris | 2c | multi | Presentation with a solitary lesion in the genital skin that heals with hyperpigmentation. Soon after ingestion of paracetamol, one of the most commonly implicated agents for FDE, suggests a diagnosis of Fixed Drug Eruption (FDE) | Dental | null |
9c599026-70d9-4de7-bda0-c048eec2877e | Occupational cancer involve following organs except- | Lung | Breast | Bladder | Liver | 1b | multi | Occupational cancers
Lung (most common)
Bladder
Larynx
Mesothelioma
Lymphatic system
Pharynx
Liver
Hematopoietic system
Nasal cavity and sinuses
Skin
Soft tissue sarcoma | Social & Preventive Medicine | null |
1ab7e283-40f1-446a-837a-d86410d201d5 | Most common manifestation of HPV infection in children : | Single papilloma | Multiple papillomatosis | Osteoma | Sarcoma | 1b | single | Multiple warts are common. | Pediatrics | null |
e12ea088-f76e-4646-848e-03c11dd79e6a | About lateral pterygoid muscle which of the following statement is true | Protrude mandible | Arible from infra temporal fossa & Lateral pterygoid plate | Supplied by facial nerve | Inseed into fovea of mandible | 0a | multi | Lateral pterygoid muscle is sho and conical.It has upper and lower heads. Actions: - Depresses mandible to open mouth, with suprahyoid muscles, - Protrudes mandible, - Right lateral pterygoid turns the chin to left side. Ref: BD Chaurasia's HUMAN ANATOMY, Volume 3, 4th edition. | Anatomy | Head and neck |
06ac2735-96b1-4ef2-b0c2-cd7b39749e8f | Most "Radiosensitive" Tissue is: | Gonads | Bone-marrow | RBC | GIT epithelium | 1b | single | Bone-marrow | Radiology | null |
d658ebb3-54ea-44c2-878b-2db76b1ba22b | All of following are neural tube defects except: | Myelomeningocele | Anencephaly | Encephalocele | Holoprosencephaly | 3d | multi | d. Holoprosencephaly(Ref: Nelson's 20/e p 2802-2803, Ghai 8/e p 575-577)Different types of neural tube defects are: Spina bifida occulta, meningocele, encephalocele, myelomeningocele, anencephaly, caudal regression syndrome, dermal sinus, tethered cord, syringomyelia, diastematomyelia and iniencephaly Holoprosencephaly... | Pediatrics | Central Nervous System |
f4bc83c2-50c1-40f8-9454-4e171653853d | The most common organism amongst the following that causes acute meningitis in an AIDS patient is - | Streptococcus pneumoniae | Streptococcus agalactiae | Cryptococcus neoformans | Listeria monocytogenes | 2c | single | Cryptococcosis is the predominant cause of fatal fungal infection and causes acute... meningitis in patients with AIDS.
It may occur most common when CD4+ count falls below 200 cells/mm3.
The extra pulmonary cryptococcosis is one of the AIDS defining diseases. | Microbiology | null |
589dcf3d-c64f-4a2d-b339-06ada1a706e1 | Lymphoid tissue called Waldeyer's ring is situated in: | Nasopharynx | Oropharynx | Both nasopharynx and oropharynx | Base of tongue | 2c | multi | Waldeyer's ring consists of subepilhelial collection of lymphoid tissue. It comprises adenoid, tubal tonsil (both in nasopharynx) and palatine tonsils, lingual tonsils and granules in posterior pharyngeal wall (in oropharynx). | ENT | Nose and PNS |
7cb81d3b-a936-44d2-82ec-64beedad4f3b | Lithium potentiates the action of non-depolarizing muscle relaxants. How many days before administration of the muscle relaxant should lithium be stopped? | 1 | 2 | 3 | 4 | 1b | single | Ans. b. 2 Lithium should be stopped 48 hours, i.e. 2 day before surgery due to its interaction with anesthetic agents. | Anaesthesia | null |
ee82069a-0e0b-4444-8370-aa7c7338bccd | A 40 year old farmer with a history of recurrent attacks of porphyria complains of itching when exposes to the sun and maculopapular rash on sun exposed areas, his symptoms are exaggerated in the summer. The diagnosis is – | Seborrheic dermatitis | Contact dermatitis | Psoriasis | Porphyria cutanea tarda | 3d | single | This farmer has :-
Porphyria
Skin manifestations (Photosensitivity)
No neuropsychiatric manifestations
Porphyrias with only skin manifestations are porphyria cutanea tarda, erythropoietic protoporphyria, congenital erythropoietic porphyria. | Dental | null |
684b94ae-2319-4a92-bb2f-a06cb350d45c | Ratio of doors and windows to the floor for a classroom should be at least: September 2009 | 20% | 25% | 30% | 35% | 1b | single | Ans. B: 25% Healthful school environment: Location-well connected Site-10 acres for higher elementary schools and 5 acres for primary schools with an additional 1 acre of land per 100 students. Structure-if possible, single storied and exterior wall thickness should be 10 inches Class room-No class room should accommod... | Social & Preventive Medicine | null |
a7b30198-fa54-44d8-9a97-fa3b122b08af | Which of the following is the infective form for mosquito in Plasmodium falciparum? | Merozoites | Sporozoites | Gametocytes | Trophozoites | 2c | single | The life cycle of malaria parasite comprises of 2 stages an asexual pha se occurring in humans and the sexual phase occurring in mosquito. In asexual phase the parasite multiplies by division called schizogony. In humans schizogony occurs in 2 locations - in red cells (erythrocytic schizogony) and in liver cells (exoer... | Microbiology | null |
e85c19e3-cb74-420a-89b3-aa5733ce464f | Methicillin-resistant staphylococci do not respond to β-lactam antibiotics because: | They produce a b-lactamase which destroys methicillin and related drugs. | They elaborate an amidase which destroys methicillin and related drugs. | They are less permeable to b-lactam antibiotics. | None of the above | 1b | multi | Resistance to most penicillins is due to elaboration of beta-lactamase.
Methicillin is most resistant penicillin to β-lactamase.
Staphylococcus aureus develops resistance to methicillins by acquisition of altered penicillin binding proteins. | Pharmacology | null |
593fa462-a3bc-4af7-9d26-d5e067cbe272 | All of the following statements about Lipoprotein Lipase are true, except: | Found in adipose tissue | Found in myocytes | Deficiency leads to hyperiacylglycerolemia | Does not require CII as cofactor | 3d | multi | Apo CII is needed for the activation of lipoprotein lipase. Lipoprotein lipase activated by apo CII on circulating lipoprotein paicles, hydrolyzes the triacylglycerol contained in these paicles to yield fatty acid and glycerol. Ref: Biochemistry By Richard A. Harvey, Denise R. Ferrier, Pages 228-9 | Biochemistry | null |
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