id stringlengths 36 36 | question stringlengths 1 1.57k | opa stringlengths 1 287 | opb stringlengths 1 287 | opc stringlengths 1 286 | opd stringlengths 1 301 | cop class label 4
classes | choice_type stringclasses 2
values | exp stringlengths 1 22.5k | subject_name stringclasses 21
values | topic_name stringlengths 3 135 ⌀ |
|---|---|---|---|---|---|---|---|---|---|---|
d614663a-d38c-4f11-848a-82b87b7023f1 | Which is not true of hypocalcaemia - | Can occur in hypoparathyroidism | Latent tetany is seen | Prolonged QT interval | Inverse relation with Mg++ levels | 3d | multi | Hypocalcaemia is low calcium levels in the blood serum.The normal range is 2.1-2.6 mmol/L (8.8-10.7 mg/dl, 4.3-5.2 mEq/L) with levels less than 2.1 mmol/l defined as hypocalcemia.Mildly low levels that develop slowly often have no symptoms.Otherwise symptoms may include numbness, muscle spasms, seizures, confusion, or ... | Medicine | Fluid and electrolytes |
cd589d71-d2b8-4b4b-b5b7-ec9d82be414b | Co, causes? | Decrease respiratory drive | Reduces cerebral blood flow | Depresses vasomotor centre | Respiratory stimulation by central chemoreceptors | 3d | single | Respiratory stimulation by central chemoreceptors REF: Ganong's 22' ed chapter 31 Co, causes direct stimulation of vasomotor centre | Physiology | null |
fead8126-aed9-4011-8ebd-5357aab87c0e | A patient with pneumonia for 5 days is admitted to the hospital now with an altered sensorium. He suddenly ceases to recognize the doctor and staff. He thinks that he is in jail and complains of scorpion attacking him. His probable diagnosis is | Acute Dementia | Acute delirium | Acute schizophrenia | Acute paranoia | 1b | single | Ans.B. i.e. Acute deliriumDeliriumAcute confusional state occurring in various medical, surgical, metabolic, toxic & post-operative conditions. It is characterized by acute agitation, disorientation, and inability to sustain attention, form memories or reason. Characteristic features include- Clouding of consciousness ... | Psychiatry | null |
bb571663-257b-46ef-a77b-0d4d83cc3cad | OCP are contraindicated in | Heart disease | All of the above | Thromboembolism | Breast cancer | 1b | multi | ABSOLUTE CONTRAINDICATIONS OF OCP:
Known or suspected breast cancer Severe hypertriglyceridem ia/hyp ercholestrolemia Undiagnosed vaginal bleeding Thrombophlebitis/thromboembolism ,
cerebral and cardiac disorders Pregnancy Hypertension (moderate to severe) Impaired liver RELATIVE CONTRAINDICATIONS OF OCP:
A migraine w... | Gynaecology & Obstetrics | null |
9185edee-9a04-46c9-9bb5-a6fe1d49f662 | A 2 year old man presents with superficial gash on his forehead. The wound is bleeding profusely, but examination reveals no fracture. The physician suspects a hypersensitive cardiac reflex. The patient's epicranial aponeurosis (galea aponeurotica) is penetrated, resulting in severe gaping of the wound. The structure o... | A layer containing blood vessels. | The dura mater. | The periosteum (pericranium). | The tendon of the epicranial muscles (occipitofrontails). | 0a | single | A layer containing blood vessels * A mnemonic device for remembering the order in which the soft tissues overlie the cranium is SCALP: Skin, Connective tissue, Aponeurosis, Loose connective tissue, and Periosteum. * The scalp proper is composed of the outer three layers, of which the connective tissue contains one of t... | Surgery | null |
84378d6a-51f2-418b-b3df-850f202c7284 | A 30 year old woman with coarctation of aorta is admitted to the labour room for elective caesarean section. Which of the following is the anaesthesia technique of choice – | Spinal anaesthesia | Epidural anaesthesia | General anaesthesia | Local anaesthesia with nerve block | 2c | single | General anaesthesia is the preferred technique for performing caesarian section in patient with coarctation of aorta as it has advantage of more rapid induction, less hypotension and better airway & ventilation. | Anaesthesia | null |
9b886762-9cce-4705-956a-0f8c22cbae63 | A 9-year-old boy is brought with history of decreased urine output, cola colored urine and swelling of the face and hands of 2 days duration. He is hypertensive, has a puffy face and pitting edema of the lower limbs. He has history of skin lesions 4 weeks earlier. A diagnosis of post streptococcal glomerulonephritis is... | Cefixime | Penicillin | Meropenem | Amoxycillin | 1b | single | b. Penicillin(Ref: Nelson 20/e p 2500-2501, Ghai 8/e p 474-477)Treatment of PSGNManagement is directed at treating the acute effects of renal insufficiency and hypertensionAlthough a 10 day course of systemic antibiotic therapy with penicillin is recommended to limit the spread of the nephritogenic organisms, antibioti... | Pediatrics | Kidney |
ea059e62-01d7-4a3c-b30a-4b5213ceb496 | Investigation of choice to exclude intra-abdominal bleeding in hemodynamically unstable patient is - | Diagnostic peritoneal lavage | FAST | CT Scan | X Ray | 1b | multi | Ans. is 'b' i.e., FAST Investigations to rule out abdominal injury in trauma patient* Investigations are driven by the cardiovascular status of the patient.* Blood loss into the abdomen can be subtle and there may be no clinical signs (blood is not an irritant and may not initially cause any abdominal pain). If stable,... | Surgery | Trauma |
b332b5e0-9a87-4f4e-97d2-13d2f6583de8 | Widal test is an example of.......... Test.: | Flocculation | Agglutination | Both | None of the above | 1b | multi | Agglutination | Microbiology | null |
6e864a88-c2e8-41d7-87bf-1dea635c37ef | A study in UK of 5174 bihs at home and 11156 bihs in hospitals showed perinatal moality rates of 5.4/1000 in home bihs and 27.8/1000 in the hospital bihs. This observed association between perinatal moality and hospital bihs is called as | Spurious association | Indirect association | Inappropriate study | Wrong trials | 0a | multi | In the given question, perinatal moality rate is more in hospital bihs than in home bihs, which is practically unreal; hence it is Spurious association. Mostly complicated cases with high risk of moality reach hospitals. Hence higher morltaltiy is observed. Spurious association - Observed association between disease an... | Social & Preventive Medicine | Epidemiology |
d50419e1-2a30-4eee-bc64-d8ed11d958cb | 4 year old boy presented with recurrent chest infections. Sweat chloride test was done, showed values of 36 and 42. What is the next best investigation to confirm the diagnosis ? | 72 hour fecal fat estimation | CT chest | Transepithelial nasal potential difference | DNA analysis of delta F 508 mutation | 2c | single | Diagnosis of cystic fibrosis
1. Sweat chloride testing
The sweat test is the standard approach to diagnosis.
The diagnosis is made by elevated sodium and chloride level in the sweat > 60 meq/1.
Two test on different days are required for accurate diagnosis.
A normal sweat chloride dose not exclude the diagnosis. Ge... | Pediatrics | null |
bc31de9c-66e0-4c0f-8e4e-21bfdb6e8a0a | A 70-year-old male presented with severe confusion, shoness of breath and obtundation. Patient was stable. Lab findings revealed, Serum calcium - Moderately raised Serum creatinine- Mildly raised BUN- Mildly raised PTH- normal PTHrP - Elevated Chest x-ray All of the following drugs can be given for the treatment of hyp... | Calcitonin | Furosemide | Normal Saline | Prednisolone | 3d | multi | The chest x-ray is suggestive of metastatic deposits, meaning it is a case of HHM (Humoral hypercalcemia of malignancy) Seen in cancers of: - Lung Head and neck Skin Esophagus Breast Most common cause - Overproduction of parathormone related peptide. Management: - Saline rehydration Forced diuresis with furosemide Oral... | Unknown | Integrated QBank |
41ab3f0e-9fad-47aa-b1b1-7d0215cb06bf | All are the processing reaction in tRNA, except: | CCA tailing | Methylation of bases | Poly A tailing | Trimming of 5’ end | 2c | multi | Post-transcriptional modification of tRNA precursor:
Standard bases (A, U, G, C) undergo methylation, reduction, deamination, rearranged glycosidic bond.
Cleavage and attachment of CCA terminal at 3’ end takes place in cytoplasm.
Methylation of tRNA takes place in nucleus.
Note:- Poly A tailing is a processing step o... | Biochemistry | null |
a9a50629-350c-495f-adff-483b4610ebdd | Which of the following infection gives a positive Casoni test? | Diphtheria | Scarlet fever | Echinococcus | Kala Azar | 2c | single | Casoni's test is based on the principle of immediate hypersensitivity. The antigen used is hydatid fluid collected from animal or human cysts and is sterilised by Seitz or membrane filtration. 0.2 ml of the antigen injected intradermally. In positive cases a large wheal about 5 cm in diameter, with multiple pseudopodia... | Microbiology | null |
67e62fdf-d3c4-4290-8b2f-27d71ac16cb2 | All of the following are features of large intestine, EXCEPT : | Large intestine secretes acidic mucus which helps in formation of stools | It is a site of mucocutaneous junction | Its epithelium contains globlets cells in large numbers | Absorbs salt and water | 0a | multi | A i.e. Large intestine secretes acidic mucus which helps in formation of stoolsSecretions of large intestine are alkali not acidic Appendices epiploicae are small bags of peritoneum filled with fat, found over large intestine except Caecum, Appendix , Rectum (Mnemonic - 'CAR'). These are most numerous on sides of sigmo... | Anatomy | null |
d6cb4741-0918-4056-9783-976d80ae9124 | Confirmation of appendicitis | Clinical examination | USG abdomen | X-ray abdomen | Raised TLC\/DLC | 0a | single | The classical features of acute appendicitis begin with poorly localised colicky abdominal pain.Central abdominal pain is associated with anorexia, nausea and usually one or two episodes of vomiting that follow the onset of pain (Murphy). Anorexia is a useful and constant clinical feature, paicularly in children. The p... | Surgery | G.I.T |
ed2b95e0-7c66-4e6d-a059-3ec91fe139be | A female presented with loss of vision in both eyes and on examination has normal pupillary responses and normal fundus, Her visually evoked response (VER) examination shows extinguished responses. The most likely diagnosis is | Hysteria | Coical blindness | Optic Neuritis | Retinal Detacment | 1b | multi | B. i.e. Coical blindness VER assess the functional state of the visual system beyond retinal ganglion cells. Since there is dispropoionately large projection of macular area in the occipital coex, the clinically measured VER is primary a response generated by macula & optic nerve. In any abnormality of macula, optic ne... | Ophthalmology | null |
a620d15e-d3ae-4c51-8d0e-13bf3dd65e49 | Protein is maximum in - | Foremilk | Hindmilk | Transitional milk | None | 0a | multi | Fore milk : Is the milk secreted at the sta of a feed. It is Watery and is rich in proteins, sugar, vitamins, minerals and water that quenches the baby's throat Ref: OP. Ghai Essential pediatrics 9th edition Pgno : 147 | Social & Preventive Medicine | Nutrition and health |
368d1f2e-4bf6-455f-8de1-0aa8c2749e62 | A 50-year-old chronic alcoholic presented with complaints of acute confusion, delirium, ataxia and mild memory loss. On ophthalmoscopic examination, ophthalmoplegia was noted along with hypotension. Serum electrolyte levels were normal. Lab findings revealed increased RBC transketolase activity along with reduced blood... | Pyruvate dehydrogenase | Transaminase | Xanthine dehydrogenase | Ornithine decarboxylase | 0a | multi | This is a case of Wernicke's encephalopathy. It occurs due to deficiency of vitamin B1. The clinical diagnosis of WE in alcoholics requires two of the following four signs: dietary deficiencies eye signs cerebellar dysfunction either an altered mental state or mild memory impairment. This MRI shows typical high signal ... | Unknown | Integrated QBank |
7defb151-560d-454f-b7b9-2492379880b3 | Nerve to which of the following extraocular muscle gives rise to a branch of ciliary ganglion: | Superior rectus | Inferior oblique | Rectus medialis | Rectus lateralis | 1b | single | Ciliary ganglion is a parasympathetic ganglion located near the apex of the orbit between the optic nerve and lateral rectus. It has three roots parasympathetic or motor, sympathetic and sensory roots. The motor root arises from the nerve to inferior oblique, sympathetic root arises from the nasociliary nerve and sympa... | Ophthalmology | null |
bc096c55-984b-4033-b2ff-f8ec504ee6c6 | While managing a mass disaster, the term "Triage" applies to - | It is the principle of "first come, first treated" | It is the classification of the injured on the basis of severity of injuries, with the concept of treating the most seriously injured first | It is the classification of the injured on the basis of severity of injuries, with the concept of treating the children and adoslecents first | It is the classification of the injured on the basis of severity of injuries, with the concept of treating those first who are likely to survive with medical intervention | 3d | single | Triage is an impoant pa of disaster management. Triage consist of rapidly classifying the injured on the basis of severity of their injuries and the likelihood of their survival with prompt medical intervention. Park's Textbook of Preventive and Social Medicine, 25th Edition, Pg 857 | Social & Preventive Medicine | Environment and health |
7323e166-497b-4410-a937-4becea37782d | Most common presenting symptom of wilm's tumor- | Haematuria | Asymptomatic abdominal mass | Abdominal pain | Headache | 1b | single | Ans. is 'b' i.e., Asymptomatic abdominal massWilm's tumor (Nephroblastoma)o Most common malignant tumor of kidney,o 80% of tumor present below 5 year of age.Presentiono Asymptomatic abdominal mass(M.C.).o Haematuria( 10-25%).o Hypertension (25%).o Abdominal pain (30%).o Fever (20%). | Pediatrics | Neoplasms of the Kidney |
b064489f-8182-4a8a-a20b-ed5c3c70a077 | Methotrexate resistance is due to : | Depletion of folate | Overproduction of DHFRase | Overproduction of thymidylate kinase | Decreased DHFRase | 0a | single | Mechanisms of pharmacokinetic and cellular resistance to methotrexate. Metabolism of methotrexate in the liver to paly inactive 7-hydroxymethotrexate reduces plasma concentrations of methotrexate and creates competition for cellular uptake RFC, which also internalizes reduced folates and folic acid, although with low a... | Pharmacology | Chemotherapy |
2a1d90fb-20e8-46b1-ae38-c1ddec88845f | Phosphate test is used to check - | Specific gravity of milk | Bacteriological quality of milk | Fat content of milk | Pasteurization of milk | 3d | single | <p> Pasteurization of milk:- Heating of milk to such temperatures and for such periods of time as are required to destroy any pathogens that may be present while causing minimal changes in the composition, flavour and nutritive value. Methods of pasteurisation:- 1. Holder method- milk is kept at 63-66 deg C for at leas... | Social & Preventive Medicine | Nutrition and health |
2b356a18-4e3b-4356-8345-1c3b4358018b | Oocyte at the time of bih, is present in which of the following stage of meiosis? | Prophase I | Metaphase I | Anaphase I | Telophase I | 0a | single | At Time of bih oocyteis dormant in diplotene stage (resting stage during prophase I) Oocyte and Prenatal period. 3rd month end 5th month 7th month Oogonia are arranged in clusters surrounded by a layer of epithelial cells. Number of germ cells in ovary reaches maximum (7 million) Majority of oocyte degenerate, except f... | Anatomy | Introduction and gametogenesis. |
6d68a272-904e-4812-85b2-1e985ab40a96 | Cyclic trend is shown by ? | Polio epidemic | Rabies | Influenza pandemic | Malaria | 2c | single | Ans. is 'c' i.e., Influenza pandemic | Social & Preventive Medicine | null |
582301b9-adb4-4c03-9abe-db402adcf23d | Which of the following bones has no medullary cavity - | Ulna | Clavicle | Fibula | Humerus | 1b | single | Ans 'b' i.e., Clavicle CLASSIFICATION OF BONESA ACCORDING TO SH APEI. Long bones : Each long bone has a shaft (diaphysis) and 2 expanded ends (epiphysis) wich are smooth and articular. The shaft has a nutrient foramen directed away from the growing end.Typical long bones : Humerus, femurMiniature long bones : Metacarpa... | Anatomy | Cartilage and Bone |
f70d376f-71d1-4b49-a2b6-44618aac31ee | What function do vitamin B12 and folic acid perform that is critical to hematopoiesis? | Suppo porphyrin production | Serve as cofactors for iron uptake | Suppo terminal differentiation of erythroid and myeloid cells | Suppo production of thymidine triphosphate | 3d | single | Cell proliferation requires DNA replication, which requires an adequate supply of thymidine triphosphate. Both vitamin B12 and folate are needed to make thymidine triphosphate. | Physiology | Blood Physiology |
9d686da9-e62f-4015-a295-1fab225345e4 | A young hypeensive patient has serum K+ 2.8 meq/L and Taldosterone level with Si-ed plasma rennin activity. The likely cause is: | Renal aery stenosis | Ectopic ACTH syndrome | Diuretic therapy | Conn's syndrome | 3d | single | Answer is D (Conn's syndrome): Increased Aldosterone levels (Hjperaldosteronism) in the presence of hypeension hypokalemia and decreased rennin activity suggests a diagnosis of Conn's syndrome. | Medicine | null |
d164c681-ab3a-45a9-b3dc-b40b1a0a372f | All of the following can cause DIC during pregnancy except : | Diabetes mellitus | Amniotic fluid embolism | Intrauterine death | Abruptio placentae | 0a | multi | Ans. is a i.e. Diabetes mellitus DIC is a pathological condition associated with inappropriate activation of coagulation and fibrinolytic system. It is a secondary phenomenon resulting from an underlying disease state. | Gynaecology & Obstetrics | null |
cdbe19dc-0cab-4538-82b1-9cb5395794a3 | Acantholysis is seen in all of the following except: | Pemphigus | Bullous pemphigoid | Steven- Johnson syndrome | Toxic epidermonecrolysis | 3d | multi | D i.e. Intercellular substance | Skin | null |
4e2ccb3d-cc94-49ab-83d4-95a925f92cc7 | All the following cycles operate in mitochondria except ? | Ketogenesis | Beta oxidation | TCA cycle | EMP | 3d | multi | Ans. is 'd' i.e., EMPCycles/reactions operating in mitochondria are :?Kreb's cycle (citric acid cycle or TCA cycle)Electron transpo chainFatty acid oxidation (Beta oxidation)KetogenesisEmbden Meyerhof Pathway (EMP), also called glycolysis, occurs in cytosol. | Biochemistry | null |
f7dbf819-0088-410b-9eec-a14ed0874ab0 | Palatine tonsil not seen is: | Develops from second pharyngeal pouch | Branch of facial artery is main blood supply | Covered by fibrous capsule | Leads to ear pain due to Xth nerve | 3d | single | (d) Leads to ear pain due to Xth nerve(Ref. Scott Brown, 8th ed., Vol 3; 742)Referred pain from tonsils is through the IXth i.e. Glossopharyngeal nerve. | ENT | Tonsils |
0cecd862-910f-4395-96c2-4e6a0c3945e4 | Child presents with linear verrucous plaques on the trunk with vacuolisation of keratinocytes in S.Spinosum and S.Granulosum. Diagnosis is ? | Incontinenta pigmenti | Delayed hypersensitivity reaction | Verrucous epidermal nevus | Linear darriers disease | 2c | single | Verrucuous epidermal nevus Linear verrucuous lesions, with characteristic histopathological feature of granular degeneration of the epidermis ours the diagnosis of verrucous epidermal nevus. Epidermal nevus Epidermal nevi are hamaomas that are characterized by hyperplasia of the epidermis and adnexal structures. These ... | Skin | null |
7c2c81b1-b531-4dbe-b601-2a582bb8362e | The first teeth to appear in an infant is: | Upper incissors | First molar | Canine | Lower central incisor | 3d | single | Eruption of Deciduous or Milk Teeth Lower central incisors: 6-9 months. Upper incisors: 8-10 months. Lower lateral incisors: 12-20 months. First molar: 12-20 months. Canines: 16-20 months. Second molars: 20-39 months. | Anatomy | Development period- week 1,2,3,4 |
fa70d75a-66f2-45c7-a187-ecde0aa23ed3 | Mangled Extremity Severity Score (MESS) includes all of the following except? | Shock | Ischemia | Neurogenic injury | Energy of injury | 2c | multi | The Mangled Extremity Severity score(MESS) is useful in deciding about limb salvage. It includes Skeletal and soft tissue injuries categorised as :high energy, moderate energy and low energy. Shock Ischemia Age Mnemonic SASI Reference: Bailey and love, 27th edition page 416 | Surgery | General surgery |
36553888-c132-42fb-a195-9c2294655c93 | Drug contraindicated for Bier's block- | Lidocaine | Prilocaine | Dibucaine | Bupivacaine | 3d | single | Ans. is 'd' i.e., Bupivacaine o Intravenous regional anaesthesia (IVRA) is used most often for surgery of the forearm and hand, but can also be used for distal leg and foot. o Lidocaine without adrenaline is the DOC for this technique. o A few clinician prefers prilocaine over lidocaine because of its higher therapeuti... | Pharmacology | null |
893f9481-8932-43ac-87c5-43ebb0103832 | Oculomotor nerve supplies all muscles of the eye except | Inferior oblique | Superior oblique | Superior rectus | Inferior rectus | 1b | multi | (B) Superior oblique > Lateral rectus is supplies by the 6th cranial (abducent) nerve.> Oculomotor nerve supplies all extra ocular muscles of the eye except:> Superior oblique supplied by IV cranial nerve (SO IV).> Lateral rectus supplied by VI cranial nerve (LR VI). | Anatomy | Misc. |
4dc59a83-1e2f-4248-a1de-7d11d6b11666 | A lady presented with recurrent attacks of giddiness and abdominal pain since three months. Endoscopy was normal. Her fasting blood glucose was 40mg% and insulin levels were elevated. CT abdomen showed a well defined 8 mm enhancing lesion is the hrad of pancreas, with no other abnormal findings. What should be the trea... | Whipple's operataion | Enucleation | Enucleation with radiotherapy | Administration of streptozotocin | 1b | single | enucleation is the treatment of choice for insulinoma SRB,26th,709. | Surgery | G.I.T |
a7e0fe13-f9ea-472f-9a3c-1c4ba2ea3d54 | Bisphosphonates are used in all of the followingconditions except | Post menopausal osteoporosis | Steroid induced osteoporosis | Hypervitaminosis D | Malignancy associated Hypercalcemia | 3d | multi | Bisphosphonates are analogs of pyrophosphate. They have a common structure, P-C-P, similar to the structure of the native pyrophosphate P-O-P found in bone hydroxyapatite. Mechanism of Action The bisphosphonates inhibit bone resorption by binding to the hydroxyapatite crystals of bone. (The bisphosphonates have a stron... | Pharmacology | null |
0caeacc0-6bd7-4bc3-958e-b12705931d78 | All are true about pseudomyxoma peritonei except | Associated with ovarian tumours | Appendicitis | Yellow jelly collection of fluid | Common in male | 3d | multi | This rare condition occurs more frequently in women. The abdomen is filled with a yellow jelly, large quantities of which are often encysted. The condition is associated with mucinous cystic tumours of the ovary and appendix. Recent studies suggest that most cases arise from a primary appendiceal tumour with second- ar... | Surgery | G.I.T |
ccc1f938-85a4-4475-aa7e-b75eae958648 | IP3 facilitates which ion entry into cytoplasm? | Na+ | K+ | Ca++ | Mg++ | 2c | single | In the cells, Phosphatidyl inositol Pyrophosphate (PIP2) is present in membrane This PIP2 is broken into DAG and IP3 by the enzyme Phospholipase C IP3 being polar will go into cytoplasm and acts as the 2nd messenger Help in releasing calcium stores and increases Calcium levels in the cell. | Biochemistry | Vitamins and Minerals |
6376e8ce-f8f1-41e7-9d5d-f7ab59bab22d | The ideal temperature to preserve the body for postmortem examination is - | 0°C | 4°C | 10°C | -10°C | 1b | single | Body can be embalmed after autopsy (not before), to facilitate a second autopsy in case one is desired at some future point.
The body should be stored at 4°C generally or at -20°C if it is to be preserved for long duration.
The body should never be undressed before the forensic doctor has seen it as examination of clot... | Forensic Medicine | null |
ba3aa695-a979-487d-a8f1-7c10cfde43b8 | Indication for surgery in benign prostatic hyperophy are all except - | Prostatism | Chronic retention | Hemorrhage | Enlarged prostate | 3d | multi | Ans. is 'd' i.e., Enlarged prostate | Surgery | null |
70c87bee-b6fb-4f2f-9659-bf14c90ca14d | Whipple's triad in insulinoma include all EXCEPT | ACTH is treatment of choice | Symptoms relieved by glucose | Hypoglycemia below 45 mg% | An attack of hypoglycemic in the fasting stage | 0a | multi | (A) ACTH is treatment of choice # Features of Insulinoma:> Insulinomas are solitary benign rare neuroendocrine tumours with an incidence estimated at 1 to 4 new cases per million persons per year.> Insulinoma is one of the most common types of tumour arising from the islets of Langerhans cells (pancreatic endocrine tum... | Surgery | Miscellaneous |
7c5b2968-3e39-4c55-97ac-76744db6e67b | Typically rapid palatal expansion is done with a jack screw that is activated at the rate of: | 1.0 to 2.0 mm/week | 1.0 to 2.0 mm/day | 0.5 to 1.0 mm/week | 0.5 to 1.0 mm/day | 3d | multi | Every turn of the screw opens the appliance by 0.25 mm.
Each turn involves 90° activation.
With rapid maxillary expansion at a rate of 0.5–1 mm/day, a 10 mm expansion is achieved in 2–3 weeks.
Textbook of ORTHODONTICS Sridhar Premkumar | Dental | null |
c342d7a8-ada2-489b-bc75-af1f3525d1f5 | Which of the following does not take part in formation of roof of the Orbit? | Orbital Plate | Frontal Bone | Greater wing of sphenoid | Lesser wing of Sphenoid | 2c | single | WALLS
Floor (inferior wall)
Orbital surface of maxillary, zygomatic, palatine bone.
Medial wall
Frontal process of maxilla, lacrimal bone, orbital plate of ethmoid.
Lateral wall
Orbital process of zygomatic and the orbital plate of greater wing of sphenoid.
Roof (superior wall)
Orbital plate, frontal bone and ... | Anatomy | null |
8cf45e6a-77bb-4f17-a72e-c35f1a60342d | Arsenic is useful in treatment of | Acute promyelocytic leukemia | Myelodyplastic syndrome | Transient myelproliferative disorder | All of the above | 0a | multi | Refer Harrison 17th/389 AS2O3 promote the differentition of APL cells and promote apoptosis by upregulating the genes involved in apoptosis. It is used for the treatment of acute promyelocytic leukemia | Pharmacology | Chemotherapy |
0d92212b-9a6e-4319-ac82-6a1283056883 | Which type of brain herniation is called sub-falcine herniation? | 1 | 2 | 3 | 4 | 2c | multi | Option A- Uncal HERNIATION Option B- Central (Trans-tentorial) herniation. Option C- Cingulate /sub-falcine herniation Option D - Transcalvarial herniation Subfalcine herniation: Midline shift or cingulate hernia, is the MC cerebral herniation pattern. | Medicine | Raised ICP and Brain death |
9d4b1de1-9871-42fe-93a7-44b8b5a431a6 | How is the depth of curing and shade of the material related? | Lighter shade requires more curing | Darker shade requires less curing | Lighter shade requires less curing | Both 1 and 2 | 2c | multi | Optical modifiers affect light transmission through a composite. Thus, darker shades and greater opacities have a decreased depth of light-curing ability and require either an increased exposure time or a thinner layer when cured. Studies have shown that for optimal polymerization, resins with darker shades and opacifi... | Dental | null |
c9a25592-b9c9-4d29-8fea-8252cb342b27 | Modafinil is approved by FDA for treatment of all except: | Obstructive sleep apnea syndrome (OSAS) | Shift work syndrome (SWS) | Narcolepsy | Lethargy in depression | 3d | multi | Modafinil is FDA approved for: Narcolepsy Shift work sleep disorder As an adjunct in obstructive sleep apnea. | Psychiatry | Sleep Disorders |
680c9eea-e37f-4488-a0d5-2c00bbc3b645 | Froment test is positive in lesion of: | Radial nerve | Ulnar nerve | Axillary nerve | Median nerve | 1b | single | Froment sign To perform the test, a patient is asked to hold an object, usually a flat object such as a piece of paper, between their thumb and index finger (pinch grip). The examiner then attempts to pull the object out of the subject's hands. A normal individual will be able to maintain a hold on the object without d... | Anatomy | null |
cb910b52-e532-4aaf-9e93-0599632f9f78 | Primary hyperaldosteronism what is seen | Hyperkalemia | Hyponatremia | Maetabolic alkolosis | Fall in aldosterone with sodium loading | 2c | multi | The clinical hallmark of mineralocoicoid excess is hypokalemic hypeension Due to excess mineralocoicoid action lead to potassium and H+ depletion sodiu retention Serum sodium tends to normal due to concurrent fluid retention Because of h+ depletion lead to metabolic alkalosis Clinical features: 1) hypokalemia 2) hypeen... | Medicine | Endocrinology |
b562a6c2-8655-42d8-ae6b-4f57c102f221 | Which of the following is not an appropriate investigation for anterior urethral stricture - | High frequency ultrasound | Micturating cystourethrogram | Retrograde urethrogram | Magnetic Resonance Imaging | 3d | single | Radiological studies in urethral stricture -- (1) Retrograde urethrography - It is the mainstay of radiographic investigation of stricture disease (2) Voiding cystourethrogram / Maturating cystourethrogram MCU demonstrates the segment of urethra proximal to the stricture. (3) Endoscopy Retrograde urethroscopy Antegrade... | Anatomy | Urology |
a0edd0e3-c4c2-4e54-bb77-4f52012c674a | A child with fever presents with multiple tender erythematous skin lesions. n microscopic examination the skin lesions are seen to have neutrophilic infiltration in the dermis. What is the diagnosis - | Sweet syndrome | Behcet's syndrome | Pyoderma gangrenosum | Juvenile dermatosis | 0a | single | A child with fever and multiple tender erythematous skin lesions with neutrophilic dermal infiltrate suggest the diagnosis of the sweet syndrome, a neutrophilic dermatosis. | Dental | null |
01af977e-fd8b-44b6-87e3-c6f992be57d8 | Tubal block constitutes what percentage of tubal infeility | 5-7% | 15-20% | 30-35% | 90-95% | 2c | single | Tubal factors. One of the most impoant and common causes of infeility is salpingitis, when as a result of inflammation, adhesions form around the abdominal ostium, while within the lumen of the tube, the plicae become adherent, blocking the passage in the tube. Gonorrhoea and chlamydial infections or salpingitis follow... | Social & Preventive Medicine | Demography and family planning |
95cf9e4b-e7f8-4afa-8c2d-2e30fdc8f074 | A 10 years old boy is having polyuria, polydipsia. Laboratory data showed (in meq/L):Na+ - 154K+ - 4.5HCO3- - 22S. Osmolality - 295B. Urea-50Uric specific gravity - 1.005What is the diagnosis? | Diabetes insipidus | Renal tubular acidosis | Bartter's syndrome | Recurrent UTI | 0a | single | a. Diabetes insipidus(Ref: Nelson's 20/e p 348-349, Ghai 8/e p 501-519)The given child in question has presented with clinical features: Polyuria, polydipsia. Lab data: Hypernatremia (S. Na+ - 154meq/L), Raised S. Osmolality (S. Osmolality - 295), Raised B. Urea (B. urea - 50), Normal K+, HCO - (4.5, 22 respectively). ... | Pediatrics | Kidney |
5292becb-324d-4807-b389-5279d7a515d3 | What is the cause of nephrocalcinosis in granulomatous disease? | Increased absorption | Increased conversion to 1,25 OH | Dystrophic calcification | Mutation in calcium sensing receptor | 1b | single | . Increased conversion to 1,25 OH | Pathology | null |
2ba2fad2-15c1-4c51-b26a-4786a44ddf0c | Tuberclin test is reaction of - | Anaphylaxis mediated | Cell mediated | Antibody mediated | Immune complex mediated | 1b | single | Tuberculin test is type IV hypersensitivity reaction. - it is a cell mediated response. The antigen activates specifically sensitised CD4 & CD8 T lymphocytes leading to the secretion of lymphokines and phagocyte accumulation. Reference : Anathanarayan & paniker's 9th edition, pg no: 162 <\p> | Microbiology | Immunology |
c574f7ff-0f4d-446b-984b-7e0fa00fcd35 | Long term tamoxifen therapy may cause : | Endometrium Ca | Ovary Ca | Cervix Ca | Vagina Ca | 0a | single | Ans. is a i.e. Endometrium cancer Long term Tamoxifen therapy is a predisposing factor for Endometrial hyperplasia and cancers. For more details, refer answer 6 Also know : Malignancies caused by Long Term Tamoxifen therapy : Carcinoma endometrium - it is the most common carcinoma associated with it. Uterine sarcoma. R... | Gynaecology & Obstetrics | null |
e23ad6ee-f245-4303-9008-fb78d39bfb8a | Anisocoria increase in bright light, can be due to | Sympathetic lesion | Parasympathetic lesion | Both sympathetic and parasympathetic lesions | None of the above | 2c | multi | (C) both sympathetic and parasympathetic lesions# Anisocoria or a difference in pupil size, is a common condition. A variety of potential causes for anisocoria exist, ranging from trivial or normal variation to life threatening.> Pathophysiology: Anisocoria may result from any of several pathophysiologies; however, it ... | Ophthalmology | Miscellaneous |
f013c5f9-f743-43b0-8abe-fe319dc7820c | In a normal curve, the area of one standard detion around the mean includes which of the following per cent of values in a distribution - | 48.60% | 68.30% | 95.40% | 99.70% | 1b | single | Ans. is 'b' i.e., 68.3% | Social & Preventive Medicine | null |
a5f4f90a-59fb-455b-bb36-baa30a7c9acb | All the following drugs action pseudomonas infection EXCEPT | Carbenicilline | Azlocilline | Peperacilline | Azithromycin | 3d | multi | (Azithromycin) (730-KDT 6th)Drugs which acts on Pseudomonas* Carbenicilline* Cefoperazone* Tobramycin* Acetic acid* Ticarcilline* Aztreonam* Sisomicin* Silver sulphadiazine* Azlacilline* Imipenem* Amikacin* Tetracyclines* Mezlocilline* Cefotaxime* Nitilmicin* Cefepime* Peperacilline* Ciprofloxacine* Gentamicin * Moxala... | Pharmacology | Anti Microbial |
827b20d2-ea72-4290-9567-467a9e985621 | Refractive condition of the eye at birth is – | Hypermetropia of 2D | Myopia of 2 D | Hypermetropia of 5D | Myopia of 5D | 0a | single | The newborn is usually hypermetropic by +2 to +3D. | Ophthalmology | null |
372fb1a4-873f-4cea-adac-c552a38cbb29 | All are seen in acute HIV syndrome except: | Diarrhoea | Pneumonia | Weight loss | Myelopathy | 1b | multi | Findings in Acute HIV syndrome is: 1) Fever 2) Lymphadenopathy 3) Pharyngitis 4) Headache 5) Ahralgias 6) Myalgias 7) Weight loss 8) Nausea/vomiting/diarrhea 9) Meningitis 10) Encephalitis 11) Peripheral neuropathy 12) Myelopathy 13) Erythematous maculo-papular rash 14) Mucocutaneous ulceration | Medicine | viral infection |
18c1a5f9-d998-414e-bb9c-991191c10710 | A patient with a history of diabetes for one year with no other complications should have an ophthalmic examination? | As early as feasible | After 5 years | After 10 years | Only after visual symptoms level | 0a | single | Answer- A i.e. As early as feasibleAll diabetic (IDDM & NIDDM both) aged over 12 years and/or entering pubey should be screened (visual activity measurement and fundus examination by ophthalmoscopy)For retinopathy. and those with risk for visual loss referred to an ophthalmologist.Type I DM (IDDM) require ophthalmoscop... | Ophthalmology | null |
ed1a7a2c-e064-482b-9ca5-4d6e990278a0 | Absence of lymph nodes is characteristic of | Brain | Liver | Lung | Placenta | 0a | single | The brain, pa of the central nervous system, has blood vessels but has been thought to lack lymphatic vessels, as they've never been found in humans . Ref - researchgate.net | Anatomy | General anatomy |
4a773f24-f4c0-44ac-96b6-579e02cf5d38 | True about subarachnoid space | Surround the conus | Outside subdural space | Between piamater and brain | Between dura and subarachnoid | 0a | multi | Subarachnoid space ends at S2 level while spinal cord ends at L1. Thus it surrounds the conus completely | Anatomy | All India exam |
c7a23de7-9780-405b-b41c-fd0fe0dd97b0 | Treatment of choice for endocervical polyp is : | Vaginal hysterectomy | Conization | Polypectomy | Radiotherapy | 2c | single | Ans. is c i.e. Polypectomy Endocervical polyp : These lesions represent overgrowth of benign endocervical stroma covered by epithelium. They appear as single, red, smooth elongated masses extending from the external os. Polyps vary in size and range from several millimetres to 2 or 3cm. These common growths are found m... | Gynaecology & Obstetrics | null |
16c43379-c012-47f0-a30e-b75c283b368a | All are true statements regarding Lemborexant except : | It is used in the treatment of Insomnia | It is an orexin receptor agonist | It is useful in patients with difficulties with sleep onset/maintenance | The most common adverse effect is somnolence | 1b | multi | Lemborexant FDA approved drug for the treatment of insomnia which got its approval after two Phase III clinical trials namely SUNRISE I and SUNRISE II. Useful in insomnia ,characterized by difficulties with sleep onset and/or sleep maintenance. Orexin neuropeptide signaling system plays a role in wakefulness. Blocking ... | Pharmacology | Sedative-Hypnotics and Parkinsonism |
cdc688a2-b802-4972-b27d-d406d1bd25f2 | Fluctuating, recurring, variable sensorineural deafness is seen in | Serous otitis media | Hemotympanum | Perilabyrinthine fistula | Labrinthine concussion | 2c | single | Sensorineural hearing loss is also seen in presbycusis, ototoxicity, Meniere&;s disease, acoustic neuroma, also been associated with diabetes, hypothyroidism, kidney disease, autoimmune disorders, multiple sclerosis and blood dyscrasias. Ref: PL DHINGRA diseases of ear nose and throat, 6th edition, page no 33 | ENT | Ear |
5526eb4c-17a1-4867-a7f1-25987ecde83a | Aniseikonia means – | Difference in the axial length of the eyeballs | Difference in the size of corneas | Difference in the size of pupils | Difference in the size of image formed by the two eyes | 3d | multi | Anisoeikonia is defined as a condition wherein the images projected on the visual cortex from the two retinae are abnormally unequal in size or shape. | Ophthalmology | null |
30af852c-9cf9-45fd-a814-756e3ccbaf4a | An 18-year-old male presented with acute onset descending paralysis of 3 days duration. There is also a history of blurring of vision for the same duration. On examination, the patient has quadriparesis with areflexia. Both the pupils are non-reactive. The most probable diagnosis is - | Poliomyelitis | Botulism | Diptheria | Porphyria | 1b | multi | Botulism is caused by neurotoxins of Clostridium botulinum, which are extremely potent & cause disease after ingestion of even picogram amounts. Its classical form is an acute onset of bilateral cranial neuropathies associated with symmetric descending weakness.The toxin causes predominantly bulbar & ocular palsies(dif... | Medicine | Infection |
74dc1007-9c7a-4061-ae88-465dc085fd8a | Implants used in orthodontics are | Endo-osseous implants | Trans-osseous implants | Micro implants | Bioresorbable implants | 2c | single | Anchorage is the most critical aspect of orthodontics. The anchorage savers do offer extra assistance to anchorage, most recent armamentarium in orthodontics was the introduction of mini screw implants (MSI) and skeletal anchorage system (SAS). Their small size has led to them being called- "mini-implants, micro-implan... | Dental | null |
bede81fa-f361-4fdc-97c5-e33c6fff5141 | Which of the the following is true about adenoid cystic carcinoma : | Most common malignant tumor in minor salivary glands | Most common site is sinonasal tract | Most commonly involved nerve is trigeminal | Most common site of metastasis is liver | 0a | multi | Adenoid cystic carcinoma: Most common malignant tumor in submandibular, sublingual and minor salivary glands Most common site is hard palate > sinonasal tract Most common site of metastasis is lungs AKA - Tracherous tumor - tumor is malignant but appear benign Most common type is- Cribriform variety - has swiss cheese ... | Surgery | Salivary Glands |
8a3d247b-f8bc-40bf-b071-53f094e6eae5 | At a constant blood flow, an increase in the number of perfused capillaries improves the exchange between blood and tissue because of | Greater surface area for the diffusion of molecules | Faster flow velocity of plasma and red blood cells in capillaries | Increased permeability of the microvasculature | Decreased concentration of chemicals in the capillary blood | 0a | single | . | Pathology | All India exam |
1e4e4e4c-7343-4b1f-80b7-5e0bc3500c65 | Acute hyponatremia becomes symptomatic at what level of serum sodium concentration? | <130mEq/L | <125 mEq/L | <120 mEq/L | <115 mEq/L | 2c | single | Ans. is 'c' i.e., <120 mEq/L Acute Hyponatremia* Cases of acute hyponatremia are defined as those developed in < 48 hours of duration.* These patients are usually symptomatic if hyponatremia is severe i.e. < 120mEq/L.* These patients are at greatest risk of development of neurologic symptoms but rarely develop demyelin... | Medicine | Fluid & Electrolyte |
453d132c-9ad4-4ba0-859a-e5a7c39addfb | Dehiscence of bone can be seen as X-rays findings in a patient with proptosis in all except: | Mucocele | Neurofibroma | Lacrimal gland tumour | Rhabdomyosarcoma | 3d | multi | Ans. Rhabdomyosarcoma | Ophthalmology | null |
94afd3a0-d747-452e-95be-4b0fbe24f54c | Maximum rise in Prolactin levels is seen with: | Clozapine | Olanzapine | Ziprasidone | Risperidone | 3d | single | Risperidone is the single most likely Atypical Antipsychotic associated with a high likelihood of inducing Hyperprolactinemia. Amongst the options provided. Maximum rise in Prolactin levels is seen with Risperidone. With the exception of risperidone and paliperidone, atypical antipsychotic agents show limited (olanzapi... | Pharmacology | Central Nervous system |
55b33602-843c-40da-bf99-29981255f68a | HDI consists all EXCEPT: | Real GDP per capita income | Life expectancy at birth | Literacy rate and gross enrollement ratio | Range 0 to 100 | 3d | multi | Ans. (d) Range 0 to 100Ref: K. Park 23rtl ed. /17PQLI (Physical Quality of Life IndexHDI (Human Development Index)Literacy rateLiteracy rateInfant mortality rateIncomeLife expectancy (at 1 year)Life expectancy () birth)Range: 0 and 100Range: 0 and +1Value in India: 650.547Also Know* Range of correlation coefficient; 1 ... | Social & Preventive Medicine | Indicators of Health |
d5c173b9-b768-4f9c-a7bb-da737d0e79f6 | Of the total amount of saliva secreted by all the salivary glands in a day, more than half is secreted by: | Parotid gland. | Submandibular gland. | Sublingual gland. | Combined secretion from minor salivary glands. | 1b | multi | Submandibular gland secrets about 60% of the saliva, parotid glands about 35% and remaining 5% is contributed by minor salivary glands. | Dental | null |
b693c60a-cdfa-4b0d-9a8e-ad8605982eed | Most common mode of treatment for laryngomalacia is | Reassurance | Medical | Surgery | Wait and Watch | 0a | single | Mostly, treatment is conservative. Tracheostomy may be required for some cases of severe respiratory obstruction. Supraglottoplasty is required in cases of severe laryngomalacia. Ref: PL Dhingra 7th edition of Ear, Nose and Throat; Pg no 333 | ENT | Larynx |
7b9cf16c-d6a6-4157-844b-8c8cda0397a3 | A 3 weeks male child born to a Primi mother, is presenting with noisy breathing sound. Child is afebrile, sleeping and feeding well and on clinical examination, he is normal. Management protocol include: | Begin IV antibiotics | Reassure and give saline nasal drop | Give racemic epinephnne | Order for a chest X-ray | 1b | single | b. Reassure and give saline nasal drop(Ref: Nelson's 20/e p 2048-2050)In this case, the baby appears to have no evidence of respiratory distress like tachypnea or retractions. The baby does not have any pneumonia, but only some coryza. So the appropriate management here is Reassure and give saline nasal drops. | Pediatrics | Respiratory System |
4928959c-707d-4700-affc-7b88e407e325 | Mode of prevention in CHD ? | High risk strategy | Primordial prevention | Secondary prevention | Teiary prevention | 1b | single | Ans. is 'b' i.e., Primordial prevention Best way to prevent moality from any disease is to prevent the development of disease. In case of CHD, primordial prevention is best strategy, which mainly concerns with life style changes. | Social & Preventive Medicine | null |
254b46eb-8ae6-4e34-a53e-d924d81349ea | Nakayama strain used for which vaccine ? | Typhoid | Chicken pox | Japanese encephalitis | Yellow fever | 2c | single | Strains used for JE vaccines:-
Nakayama strain
Beijing strain | Microbiology | null |
7c9fab2c-5424-4dd1-a77e-4be501fe40bc | Type of cataract in chalcosis is - | Sunflower cataract | Blue dot Cataract | Snowflake cataract | Polychromaticlustre | 0a | single | Ans. is 'a' i.e. Sunflower cataract DiseaseCataractMyotonic DystophyChristmas tree cataractWilson's disease, chalcosisSunflower cataractDM, Down's SyndromeSnowflake cataractAtopic dermatitisBlue dot cortical cataract, posterior subcapsular cataractCongenital rubellaNuclear cataractGalactosemiaOil drop cataractComplicat... | Ophthalmology | Acquired Cataract |
c94164d6-3f6f-4405-aab8-c3e128c9d313 | A patient has loss of sensation at angle of mandible (jaw) and parotid area. Which of the following nerve is most likely to be injured. | Mandibular nerve | Auriculotemporal nerve | Lesser occipital nerve | Greater auricular nerve | 3d | single | D i.e. Great auricular nerve Angle of mandible is supplied by great auricular nerve (C2,3)Q Tip of nose is supplied by ophthalmic division of trigeminalQ; and side and alae of nose is supplied by maxillary division of trigeminal nerveQThe skin of face is supplied by three divisions of trigeminal nerve, except for the s... | Anatomy | null |
b5522199-94a2-4ccc-9017-b9794998783e | In volume–cycled ventilation the inspiratory flow rate is set at – | 140–160 L/min | 110–130 L/min | 60–100 L/min | 30–50 L/min | 2c | single | Inspiratory flow rate setting for ventilator is 60-80 litres / minute. | Anaesthesia | null |
040309c0-6667-4971-87f7-9af264af1cde | Regarding synthesis of triacyl glycerol in adipose tissue, all of the following are true except: | Synthesis from Dihydroxyacetone phosphate | Enzyme Glycerol kinase plays an important role | Enzyme Glycerol 3 phosphate dehydrogenase plays an important role | Phosphatidate is hydrolyzed | 1b | multi | Ans. B. Enzyme Glycerol kinase plays an important roleGlycerol kinase is not involved in the triglyceride synthesis in adipose tissue. | Biochemistry | Cholesterol and Lipoproteins |
682aaa77-f36e-40bd-bcaa-8817f7f46eea | Bifurcation of trachea is at | Upper border of T5 | Lower border of T4 | Upper border of T4 | Lower border of T5 | 1b | single | Trachea bifurcates at the lower border of fouh thoracic veebrae. <img src=" /> BA CHAURASIA'S HUMAN ANATOMY VOLUME 1. 6TH EDITION.page no-280 | Anatomy | Thorax |
53bc3db6-f451-4e14-b136-2a215211f577 | Which of the following anaemias is a risk factor for the development of gastric carcinoma | Pernicious anaemia | Megaloblastic anaemia | Aplastic anaemia | Haemolytic anaemia | 0a | single | People with pernicious anaemia may have associated gastric polyp which can later present with Astrid carcinoma and the risk of development is about 6 times. Reference: internet and SRB edition 5 page no. 845. | Surgery | G.I.T |
e83c4d0f-ffe9-4e6b-a688-a23cda340bab | All of the following developmental events are dependent on the production of maternal or fetal glucocoicoids, except | Induction of thymic involution | Production of surfactant by type II alveolar cells | Functional thyroid | Functional hypothalamo pituitary axis | 2c | multi | . | Anatomy | All India exam |
b6ee0f5b-c7fa-4b3b-baf0-796b2fc0a1e6 | Skeletal muscle use the | GLUT-1 transpoer | GLUT-2 transpoer | GLUT-3 transpoer | GLUT-4 transpoer | 3d | single | The entry of glucose into skeletal muscle is increased during exercise in the absence of insulin by causing an insulin-independent increase in the number of GLUT 4 transpoers in muscle cell membranes.(REF.GANONG'S REVIEW OF MEDICAL PHYSIOLOGY 23rd EDITION page no.331) | Physiology | General physiology |
49c30340-cdd3-4f8b-a2ec-6c94dae3fb51 | As per WHO low bih weight is defined as - | Bihh weight less than 2.5kg | Bih weight < 10th percentile | Gestational age < 34 weeks | Gestational < 28 weeks | 0a | single | According to WHO , low bih weight is defined as bih weight of less than 2.5 kg. Hence option 1 is the most appropriate answer. Coming to other options, Option 2- bih weight less than 10th percentile for gestational age is known as small for date babies Option3and 4, Extremely preterm is less than 28 wks Very preterm is... | Social & Preventive Medicine | obstetrics,pediatrics and geriatrics |
2995f5ab-f660-4e6b-a9e9-32169615e813 | Radioactivity acts on which phase of cell cycle: March 2010 | G1 | G2 | M | S | 1b | single | Ans. B: G2 Most radiosensitive stage of cell cycle: G2M G2 G1 Most radioresistant phase: End of S phase | Radiology | null |
d0153b0a-5aa4-40c9-96f8-48645f7a10b6 | Ileal obstruction due to round worm obstruction treatment is | Resection with end to end anstomosis | Resection with side to side anastomosis | Enterotomy, removal of worms and primary closure | Diversion | 2c | single | If the bowel wall is healthy, enterotomy and removal of the worms may be performed Ref: Bailey & Love&;s Sho Practice of Surgery,E25,Page-53 | Surgery | G.I.T |
f1bb51d6-7dc5-4bc0-9818-06e706ab684f | Which of the following is associated with neurotic depression? | Usually Associated With Anxiety | Treated By ECT | Endogenous Depression | Usually Bipolar | 0a | multi | Ans. A. Usually associated with anxietyClinical features of neurotic depression. It is a synonymous with Dysthymia or depressive personality disorder* It is sub-syndrome depressive symptom for 2 years.* Depression usually followed by stress.* Neurotic symptoms like anxiety, obsessive symptoms, phobia.* Course of illnes... | Psychiatry | Mood Disorders |
9c16f2ef-d96f-4bc8-bcce-5a9247e7a961 | All are features of delirium except: March 2011 | Impairment of consciousness | Immediate memory retention and recall is normal | Disorientation | Hyperactivity | 1b | multi | Ans. B: Immediate memory retention and recall is normalDelirium is characterized by clouding of consciousness, characterized by a decreased awareness of surroundings and a decreased ability to respond to environmental stimuli and disorientation (most commonly in time, then in place and usually later in person), associa... | Psychiatry | null |
e2aed71c-2e7a-43f2-bd66-84eb8b3846a8 | Cause of secondary dysmenorrhea in a young female:a) Tuberculosisb) Adenomyosisc) CINd) Endometriosise) Subserous fibroid | acd | bde | abd | ade | 3d | single | Causes of secondary dysmenorrhea:
– PID
– Endometriosis
– Adenomyosis
– IUCD
– Uterine fibroid
– Polyps
– Cervical stenosis
– Congenital malformation of uterus like bicornuate uterus
Management : Treatment of the underlying cause. | Gynaecology & Obstetrics | null |
9a8e218f-7cc2-48e8-91fe-17a835ada073 | In a patient of symptomatic gallstone disease, laparoscopic cholecystectomy was done. On histopathology, adenocarcinoma of gall bladder was diagnosed with stage T2. Next line of treatment: | Observation | Wedge excision of liver with lymphadenectomy and po site excision | Resection of segment IVb & V of liver with nodal clearance with po site excision | Wedge excision of liver with lymphadenectomy | 2c | multi | Carcinoma Gall bladder - Route of spread- Hepatic > Lymphatic > Perineural - MC route of spread- Direct hepatic invasion- Generally, GB cancer is an adenocarcinoma- Most specific marker- CA 19-9- IOC for CA bladder- CECT - 8TH AJCC (2017) TNM classification - T1A - involvement of lamina propria- T1B - involvement of mu... | Surgery | Gallbladder |
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