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Magistrate inquest not needed in: JIPMER 14
Ans. Homicide
1
Homicide
Exhumation
Police custody death
Dowry death
Forensic Medicine
null
1a609bd8-639f-4895-a5f5-80bbb896e2f6
single
Which of the following disease with bird, ahropod and human chain
Agent factors :- * Caused by group B arbovirus (flavivirus) * The main reservoirs are Ardeid birds and pigs * Pigs are amplifiers of the virus and they do not manifest ove symptoms but circulates the virus Host factors :- * Most common in the age group of <15 years of age * Man - incidental dead end host * Affects othe...
2
Malaria
Japanese encephalitis
Paragonimus
Plague
Social & Preventive Medicine
Communicable diseases
2d3da5b6-6af9-49c5-9439-17fbc983657d
single
Potter syndrome is not assoiated with
Since there is b/l kidney agenesis or cystic disease there is no urine production leading to oligohydromnios
1
Bilateral renal agenesis
Bilateral multicystic kidney disease
oligohydromnios
Polyhydromnios
Surgery
null
91cfdd64-e451-462f-b6a2-c5b338415892
single
Increase in pauwel's angle indicate
Pauwel's classification - depending on angle (Pauwel's angle) formed by the line with the horizontal. More the Pauwell's angle, more unstable is the fracture with poorer prognosis Type I : <30deg Type II : 30-50deg Type III: >50deg(worst prognosis)
3
Good prognosis
Impaction
More chances of displacement
Trabecular alignment displacement
Orthopaedics
Lower Limb Traumatology
f1f94f1c-3d9d-4b68-9c3d-b6757a8a4fcd
single
A 28 year old female teacher is found to have a prolonged bleeding time and normal platelet count. She had a bleeding of "easy bleeding" with frequent bleeding of the gums, epistaxis, cutaneous bleeding and menorrhagia, further testing revealed a deficiency of Von willebrand factor. Which of the following thrombogenic ...
Disruption of the endothelium exposes subendothelial Von willebrand factor (VWF) and collagen, which promotes platelet adherence and activation. Deficiency of Von willebrand factor (VWF) causes ↓ Platelet adhesion (↑ BT) ↓ Intrinsic pathway activity (↑ aPTT)
1
Adhesion
Aggregation
Formation of fibrinogen bridges
Conformational change with activation of phospholipid surface
Pathology
null
e08402ae-00b1-4649-872f-dfa4df0f6eb2
single
Ifa Panchayat is dissolved, elections are to be held within?
Ans. is 'c' i.e., 6 months
3
1 month
3 months
6 months
1 year
Social & Preventive Medicine
null
0d4f79ee-cc91-4c9a-902d-020973012371
single
Stomach is derived from ?
Foregut
1
Foregut
Midgut
Hindgut
Allantois
Anatomy
null
7a9a95de-c499-4203-bee7-fc1f9bf3abd1
multi
Which of the following is the main enzyme responsible for activation of xenobiotics?
Xenobiotics are compounds which may be accidently ingested or taken as drugs or compounds produced in the body by bacterial metabolism. The cytochrome P-450 enzyme family is involved in the biotransformation reaction of xenobiotics. They are heme containing membrane proteins localized in the smooth endoplasmic reticulu...
1
Cytochrome P-450
Glucuronyl transferase
Glutathione S-transferase
NADPH cytochrome P-450-reductase
Biochemistry
null
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single
In Familial hypercholesterolemia there is deficiency of
LDL receptors  Familial hypercholesterolemia (type IIa) is due to deficiency of functional LDL receptors as a result of different types of mutations.
1
LDL receptor
Apoprotein A
Apo protein C
Lipoprotein lipase
Biochemistry
null
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single
Botulinum affects all of the following, EXCEPT:
Diplopia, dysphagia, dysahria, dry mouth, vomiting, thirst, constipation are the clinical features associated with botulinum toxin. Patients experience minimal or no CNS effects and usually there's no significant alteration in their mental status. Ingested, inhaled or formed botulinum toxin travels through the vascular...
4
Neuromuscular junction
Preganglionic junction
Post ganglionic nerves
CNS
Microbiology
null
9e679825-10cc-4de3-8119-2c4bf95f52f0
multi
Which of the following is a poor prognostic factor for childhood ALL.
Answer is C (Testicular involvement) Testicular involvement / enlargement is a typical poor prognostic factor for childhood ALL Age < 2 years versus Testicular Involvement Typically Age < 1 year is considered a poor prognostic factor Although Age < 2 year has been mentioned as a poor prognostic factor in ceain textbook...
3
Total Leukocyte count 4000-100,000
Age < 2 years
Testicular involvement
Blasts in peripheral smear
Medicine
null
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multi
Relining of complete denture is not indicated when
null
3
Denture contains broken teeth
There is excessive resorption of the ridge
Vertical dimension is excessively reduced and has to be changed
Centric relation does not coincide with centric occlusion
Dental
null
1fb6c54f-550d-4cbc-8589-2d74176aa032
single
Which of the following condition is necessary prerequisite for this change?
Ans. (C). Adequate liquor amniiThe photograph shows maceration, a sign of intrauterine death.Conditions favoring maceration: Intact membranes; adequate liquor amnii & NO air.
3
Rupture of membranes
Scanty liquor amnii
Adequate liquor amnii
Air inside the uterine cavity
Forensic Medicine
Sexual Offenses
eeb3a5e2-a7c2-47da-9432-d862656581e7
single
Savita is 32 weeks pregnant presents in causality and diagnosed as a case of APH. Vitals are unstable with BP 80/60 which of the following is next step in M/n
Ans. is b i.e. Blood transfusion
2
Careful observation
Blood transfusion
Medical induction of labour
Immediate cesarean section
Gynaecology & Obstetrics
null
db812c4b-e8f1-46dc-9427-762cf351a82e
multi
All are true about Cancer breast, except:
Ans. (d) Increased incidence with prolonged breast feeding* Paget's Disease is a superficial manifest of an underlying Intra ductal carcinoma breast
4
Affected sibling is a risk factor
Paget's disease of nipple is intraductal type of CA
Common in aged nulliparous
Increased incidence with prolonged breast feeding
Surgery
Breast
02822b49-7e2e-4242-be13-00ea86d52dac
multi
Which of the following vitamin reduces the risk of insulin resistance, obesity, and the metabolic syndrome?
Higher Intakes of Vitamin D May Be Beneficial There is evidence that Vitamin D intake considerably higher than that required to maintain calcium homeostasis reduce the risk of insulin resistance, obesity, and the metabolic syndrome, as well as various cancers. There is growing evidence that higher vitamin D status is p...
3
Vitamin A
Vitamin C
Vitamin D
Vitamin B12
Biochemistry
vitamins
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single
The following drugs have significant drug interactions with digoxin except:
Ref:KDT 6/e p499 Cholestyramine inhibits itestinal absorption of digoxin. Thiazides result in hypokalemia and thus make precipitate digitalis toxicity by pharmacodynamic interaction. Quinidine and verampil reduces the exceion of digoxin and does make precipitate toxicity (pharmacokinetic interaction)
4
Cholestyramine
Thiazide diuretics
Quinidine
Amlodipine
Pharmacology
Cardiovascular system
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multi
Antiboiotic Prophylaxis for infective endocarditis is indicated in:
Answer is D (Coarctation of Aoa) Coarctation of Aoa is a high risk cardiac lesion fior the development of infective endocarditis and an indication fir antibiotic prophyloxis.
4
Isolated secundum ASD
Mitral valve prolapse without regurgitation
Prior coronary aery bypass graft
Coarctation of aoa
Medicine
null
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single
Adder Head" appearance is found in:
VP
3
X-ray
USG
IVP
CT
Radiology
null
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single
Ortolani's test is done for
B. i.e. (Congenital dislocation of hip joints) (410 - Apley 8th)Important Tests**Ortolani's and Barlow's test Galeazzi test (604 CDT 4th)Congenital dislocation of hip joints** Apprehension testRecurrent dislocation of shoulder joints* Bryant's Call ways Hamilton ruler testHamilton ruler testAnterior dislocation of shou...
2
Congenial dislocation of the knee joints
Congenital dislocation of the hip joints
Congenital dislocation of the shoulder joints
Congenital dislocation of the elbow joints
Orthopaedics
Congenital Dislocation of Hip (C.D.H.)
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single
A 50 year old female patient complains of difficulty in swallowing. Patient gives h/o multiple diagnostic CT-scans of the head and neck region. This patient may be predominantly susceptible to which of the following?
The incidence of thyroid carcinomas, predominantly papillary thyroid carcinomas, increases in humans after radiation exposure. There is strong dependence on age at exposure—susceptibility to radiation-induced thyroid cancer is higher in children than adults. There is little evidence for a dose response for individuals ...
4
Medullary thyroid carcinoma
Follicular thyroid carcinoma
Anaplastic thyroid carcinoma
Papillary thyroid carcinoma
Radiology
null
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multi
Secondary retention for a removable partial denture is provided by
null
3
The indirect retainer
The direct retainer
Intimate contact between the denture bases and the underlying tissues
Direct and indirect retainers
Dental
null
b72ab647-ae5f-45cf-99fa-a2cf138ae036
single
Which of the following may be seen in second degree Hea block (select three options):
Answer is A, B, and C Second degree AV block (Type I and /or Type II) may be associated with prolonged conduction time (prolonged PR interval), Atrial rate more than ventricular rate and change in QRS complex morphology (Tipe II). Name Rhythm Rate (beats/minute) P waves (lead II) PR Interval QRS complex First-degree at...
4
Change in QRS complex morphology
Atrial rate more than ventricular rate
Prolonged conduction time
All of the above
Medicine
null
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multi
An ill 16 days old baby girl is brought to the emergency. On examination pallor and dyspnoea present with a respiratory rate of 85 per minute. Her HR is 200 bpm, hea sounds are distant and a gallop is heard. X-ray showed cardiomegaly. An echocardiogram shows dilated ventricles and dilation of the left atrium. An ECG sh...
In CHF pallor, dyspnoea, tachypnoea, tachycardia and cardiomegaly are common regardless of the cause.The most common causes of CHF in children include myocarditis caused by adenovirus and coxsackievirus B.The echocardiogram shows ventricular and left atrial dilatation as well as poor ventricular function. With glycogen...
1
CHF
Glycogen storage disease
Pericarditis
Aberrant left coronary aery arising from pulmonary aery
Pediatrics
Impoant Viral Diseases in Children
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multi
Egg shell calcification is seen in all except –
null
4
Sarcoidosis
Silicosis
Post irradiation lymphoma
Bronchogenic CA
Radiology
null
8265f7d0-1476-40a3-bdf9-b42bc2f25dc2
multi
In inversion of the foot, the sole will face:
Ans: d (Medially) Ref: BDC, Vol. II, 4th ed, p. 155; Kieth L. Moore, 4th ed, p. 638Inversion is the movement in which the medial border of the foot is elevated, so that the sole faces medially.Eversion is the movement in which the lateral border of the foot is elevated. So that the sole faces laterally.Joints of the fo...
4
Upwards
Downwards
Laterally
Medially
Anatomy
Foot
4e296c2e-150a-4123-bc01-b56e4e0d89af
multi
Where does the "knot" is put in the neck during judicial hanging?
In judicial hanging, a rope to allow a drop of five to seven metres according to the weight, build and age of the person, is looped round the neck, with the knot under the angle of the jaw. This causes fracture-dislocation usually at the level of the second and third, or third and fouh cervical veebrae. Ref: The essent...
2
The back of the neck
Under angle of jaw
Below the chin
Choice of hangman
Forensic Medicine
null
7b859b05-5bd6-4dc0-828f-d5ff4da65f24
single
Seal finger and whale finger are associated with -
Ans. is 'b' i.e., Erysipelothrix
2
Listeria
Erysipelothrix
Corynebacterium
Treponema
Microbiology
null
7025db05-412a-4479-89f3-fecc9ec7b174
single
Which of the following muscle acts as unlocker of knee?
Popliteus rotates the tibia medially on the femur or, when the tibia is fixed, rotates the femur laterally on the tibia. At the beginning of flexion of the fully extended knee, lateral femoral rotation by popliteus muscle unlocks the joint.Must know:Locking of knee joint is due to the the action of quadriceps femoris, ...
2
Gracilis
Popliteus
Saorius
Biceps femoris
Anatomy
null
22e6e599-7193-4569-be03-a7a0a006faec
single
A 60 yr old chronic smoker presents with painless gross hematuria of 1 day duration. Which is the investigation of choice to know the cause of hematuria?
A chronic smoker with painless gross hematuria should be suspected as having bladder cancer. The most common form of bladder cancer is transitional cell carcinoma (TCC). Tobacco use, followed by occupational exposure to various carcinogenic materials such as automobile exhaust or industrial solvents are the most freque...
4
USG
X-ray KUB
Urine routine
Urine microscopy for malignant cytology cells
Surgery
null
7a9e4db6-6173-4fc2-8d5f-daf8061734a3
single
The most sensitive method for detecting cervical Chlamydia trachomatis infection is:
Ans. is 'c' i.e., Polymerase chain reactionRef: Harrison, 17th/e, p. 1074,19th/e, p. 1165 and Ananthanarayan, 9th/e, p. 415Amplification assays such as ligase chain reaction and polymerase chain reaction are the most sensitive chlamydial diagnostic method.Other methods are:(a) Cell culture: Sensitivity (60-80%).(b) Dir...
3
Direct fluorescent antibody test
Enzyme immunoassay
Polymerase chain reaction
Culture on irradiated McConkey cells
Microbiology
Bacteria
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single
A labourer involved with repair-work of sewers was admitted with fever, jaundice and renal failure. The most appropriate test to diagnose the infection in this patient is -
null
3
Weil Felix test
Paul Bunnell test
Microscopic agglutination test
Microimmunofluorescence test
Microbiology
null
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single
Congestive hea failure in an infant is characterized by all except
Congestive Cardiac Failure in InfantsSymptomsSignsuFeeding difficultyuTakes less volume per feeduDiaphoretic while suckinguForehead sweating.uSuck-rest-suck cycle.uPoor weight gainuPeriorbital edema uClothes no longer fituIncreasing cloth sizeuRapid breathing/nasal flaring/cyanosis/chest retractions.uTachycardia.uHepat...
1
Pedal edema
Tachypnea
Sweating
Poor weight gain
Anatomy
All India exam
6e42770a-97fb-4a08-8c0d-1dd4126cfb63
multi
Congenital hydrocele is best treated by
Congenital hydrocele is best treated with herniotomy if they do not resolve spontaneously. Established acquired hydrocele often have thick walls. They are treated by subtotal excision of the sac. If the sac is small, thin walled and contains clear fluid, Lord's operation is done. Jaboulay's operation where the sac is e...
4
Eversion of sac
Excision of sac
Lord's procedure
Herniotomy
Surgery
Urology
fa2a40f5-7d07-473b-9175-f891e8923e19
single
Rate limiting step in cholesterol synthesis is catalysed by which of the following enzyme?
Conversion of HMG CoA to mevalonate by HMG CoA reductase is the rate limiting step in the synthesis of cholesterol. Cholesterol is an allosteric inhibitor of HMG CoA reductase Statin drugs acts as competitive inhibitors with mevalonate for binding to HMG CoA reductase. Insulin ors the active form of HMG CoA reductase a...
2
HMG CoA synthetase
HMG CoA reductase
Thiokinase
Mevalonate kinase
Biochemistry
null
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multi
Vaccine administered by following route is
Hlnl live (Intranasal route)
3
Typhoral live
H1n1 killed
H1n1 live
Yellow fever live
Social & Preventive Medicine
Influenza
63de4ee4-9b7b-4312-aad2-45f5aa3cac7b
single
A 40-year old diabetic patient presents with proptosis of one eye and black eschar over palate. The likely organism is :
null
4
Pseudomonas
Candida
E. coli
Mucor
Medicine
null
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single
Coloured urine is not seen in :
Answer is A (Quinine) Quinine is not associated with discoloured urine.
1
Quinine
Rifampcin
Nitrofurantoin
Pyridium
Medicine
null
53ae491c-15c1-4c77-8dcb-fba7d3f5dd29
single
Investigations in a clinically suspected case of tuberculosis -
null
4
Mantoux (in children)
Sputum AFB
Bactec
All of the above
Medicine
null
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multi
Schizophrenia is treated by
Ans. is 'b' i.e., Anti psychotics
2
Anti depressants
Anti psychotics
Anti epileptics
Mood stabilizers
Pharmacology
null
fec423fb-be98-40a8-a9f3-477f6e7555f4
single
Fries test is used in the diagnosis of:
Granuloma venereum
4
Gonorrhoea
Herpes
Chanchroid
Granuloma venereum
Microbiology
null
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single
A 45-year-old woman complains of severe headaches and difficulty in swallowing. Over the past 6 months, she has noticed small, red lesions around her mouth as well as thickening of her skin. The patient has "stone facies" on physical examination. Which of the following antigens is the most common and most specific targ...
Scleroderma (refer to the image below) Autoimmune disease of connective tissue. Antinuclear antibodies are common but are usually present in a lower titer than in patients with SLE. Antibodies viually specific for scleroderma include:- Nucleolar autoantibodies (primarily against RNA polymerase) Antibodies to Scl-70, a ...
4
C-ANCA (anti-proteinase-3)
Double-stranded DNA
P-ANCA (anti-myeloperoxidase)
Scl-70 (anti-topoisomerase I)
Pathology
Immunity disorders
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multi
Grave's ophthalmopathy mostly presents as September 2010
Ans. A: Proptosis Graves' ophthalmopathy (also known as thyroid eye disease (TED), dysthyroid/thyroid-associated orbitopathy (TAO), Graves' orbitopathy) is an autoimmune inflammatory disorder affecting the orbit around the eye, characterized by upper eyelid retraction, swelling (edema), redness (erythema), conjunctivit...
1
Proptosis
Ptosis
Reduced intraocular tension
Increased power of convergence
Ophthalmology
null
23b2d44a-f5e5-47b8-9004-ddd6e0c183d8
single
Earliest lesion seen in atherosclerosis is:
Ans: A (Fatty streaks) Ref: Robbins Pathologic Basis of Disease, 8th edition.Explanation:Fatty streaks are the earliest lesions in atherosclerosis " Ref: RobbinsMorphology of AtherosclerosisFatty StreaksThese are the earliest lesions in atherosclerosis.They are composed of lipid-filled foamy macrophages.Beginning as mu...
1
Fatty streaks
Intimal thickening
Fibrinoid necrosis
Plaque
Pathology
Atherosclerosis and Arteriosclerosis
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single
Flipped LDH indicating Myocardial Infarction is represented by:
When LDH-1 is greater than LDH-2, it is referred to as flipped LDH and is indicative of MI. LDH-1 isoenzyme is found primarily in hea muscle and is lesser in concentration than the LDH-2 Isoenzyme which is primarily found in RBC. When the concentration of LDH-1 is observed to be greater than LDH2. It is referred to as ...
1
LDH-1> LDH-2
LDH-2 > LDH-1
LDH-4 > LDH-5
LDH-5 > LDH-4
Medicine
C.V.S
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single
Dimension stability of hydrocollids may be achieved by
null
4
optimizing w:p
using cold water
prolonged manipulation
using humidor
Dental
null
97ae6d3d-e7f8-4c18-9093-50932f99240b
single
Blood supply of stomach is/are:
A. i.e. Left gastric aery; B. i.e. Sho gastric aery; C. i.e. Left gastroepiploic aery
4
Left gastric aery
Sho gastric aery
Lt gastroepiploic aery
All
Anatomy
null
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multi
Which of the following ultrasound finding has the highest association with aneuploidy?
All the above mentioned are ultrasound findings associated with increased risk of aneuploidy although the highest association is seen with cystic hygroma Nuchal translucency and cystic hygroma are both measured in the first trimesterTrisomy 21 is the most common aneuploidy associated with increased NT and cystic hygrom...
3
Choroid plexus cyst
Nuchal translucency
Cystic hygroma
Single umbilical aery
Microbiology
All India exam
39115fee-b58b-4020-ae8f-9a2653811340
single
Which of the following is not a component of transpo system?
Functions: Transpo Systems An essential role of biomembranes is to allow movement of all compounds necessary for the normal function of a cell across the membrane barrier. These compounds include a vast array of substances like sugars, amino acids, fatty acids, steroids, cations and anions to mention a few. These compo...
1
Receptor activation
Selective gate
Non-selective channel
Energy coupling system
Biochemistry
Respiratory chain
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single
Burst supression pattern on EEG is typically seen in:
Ref: Ref: Harrisons 18/e p e-45 chapter  As the depth of coma increases, the EEG becomes nonreactive and may show a burst-suppression pattern, with bursts of mixed-frequency activity separated by intervals of relative cerebral inactivity. In other instances there is a reduction in amplitude of the EEG until eventually ...
1
Anoxic encephalopathy
Absence seizures
SSPE
Herpes simplex encephalitis
Unknown
null
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multi
To feel comfoable and cool in a factory the conrrected effective temperature ( in degree Farenheit) should be -
Comfo zones: In deg C of corrected effective temperature Pleasant and cool 20 Comfoable and cool 20-25 (69-76F) Comfoable 25- 27 (77-80F) Hot and uncomfoable 27-28 Extremely hot 28+ Intolerably hot 30+. Park's Textbook of Preventive and Social Medicine, 25th Edition, Pg 792
2
Less tha 69
Between 69 and 76
Between 77 and 80
Between 81 and 82
Social & Preventive Medicine
Environment and health
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single
Test used for factor VIII deficiency identification is-
Ans. is 'b' i.e., APTT o Factor VIII is a part of the intrinsic pathway of coagulation. The test used to identity1 the defects in the intrinsic and common pathways of coagulation is PTT. Thus prolonged PTT is a feature of patient with factor VIII deficiency.o Patients with hemophilia have deficiency of factor VIII that...
2
PT
APTT
D dimer
FDP
Pathology
Bleeding Disorders
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single
A 19 year old female presents with pain in the neck for 5 days. She is not able to wear tie for her job because of neck pain. H/O fatigue and lethargy for 10 days. She had flu like symptoms 20 days ago which resolved spontaneously. BP 110/80 mmHg, Pulse 48/min. Extremities are cold and dry. Neck is very tender. ECG nor...
Answer: c) Aspirin (SCHWARTZ 19TH ED, P-1525; SABISTON 19TH ED, P-895)Granulomatous or Subacute or De Quervain's thyroiditisMost commonly occurs in 30- 40 year-old womenStrong association with the HLA-B35Fever with Sudden or gradual onset of neck painH/o preceding URI; Viral etiologyGland - enlarged, tender, firmClassi...
3
Atropine injection
Levothyroxine administration
Aspirin
Increase iodine intake in food
Surgery
Thyroid Gland
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multi
Headache, apathy and deteriorating level of consciousness occurring weeks after head injury suggests;
Chronic subdral haematoma
1
Chronic subdral haematoma.
Pontine hemorrhage
Continuing cerebral.
Depressed skull fracture.
Surgery
null
b37eb019-4f8c-4131-8ff9-c2413a5b227e
single
A 27-year female wearing high heels stumbled and sustained inversion injury at ankle. Which ligament is most likely to be injured in the given case?
Ans. A. (A)A. Anterior Talofibular ligamentAnkle sprains: Usually caused by the falls from height or twists of ankle. When the plantar-flexed foot is excessively inverted, the anterior and posterior talofibular and calcaneofibular ligaments are stretched and torn. The anterior talofibular ligament is most commonly torn...
1
A
B
C
D
Anatomy
Lower Extremity
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single
Asymmetric tonic neck reflex (ATNR) disappears at ______
Asymmetric tonic reflex (ATNR) diappears by 6-7 months postnatally The tonic neck reflex is produced by manually rotating the infant&;s head to 1 side and observing for the characteristic fencing posture (extension of the arm on the side to which the face is rotated and flexion of the conralateral arm) An obligatory to...
1
6 months
5 months
9 months
8 months
Pediatrics
New born infants
be77f10a-1e08-4ccb-9d32-23f49a68712d
single
Ligament teres is a remnant of ?
Umbilical vein
3
Ductus aeriosus
Umbilical aery
Umbilical vein
Ductus venosus
Anatomy
null
b1bc5067-e456-4968-b690-6d49ec25e155
single
Sho structured primi gravida has height less then
140 cm
1
140 cm
145 cm
150 cm
135 cm
Gynaecology & Obstetrics
null
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single
Which of the following is the most specific and sensitive screening test for renovascular hypeension?
Hypeension due to an occlusive lesion of a renal aery is renovascular hypeensionIn the initial stages, the mechanism of hypeension generally is related to activation of the renin-angiotensin system. Obstruction of the renal aery leads to decreased renal perfusion pressure, thereby stimulating renin secretion. Over time...
2
HRCT
CT Angiography
Captopril enhanced radionucleotide scan
Doppler ultrasound of renal aeries
Medicine
All India exam
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single
Role of egg lecithin in propofol formulation is?
Propofol is an insoluble drug that requires a lipid vehicle for emulsification. Current formulations of propofol use a soybean oil as the oil phase and egg lecithin as the emulsifying agent.
1
Acts as emulsifying agent
Acts as preservative
Acts as carrier vehicle
Acts as antibacterial
Anaesthesia
Intravenous Anesthetic Agents
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single
A 63 year old man presents with a triad of angina, syncope and congestive hea failure. Which of the following valvular hea lesion can be suspected-
Even severe AS may exist for many years without producing any symptoms because of the ability of the hyperophied LV to generate the elevated intraventricular pressures required to maintain a normal stroke volume. Most patients with pure or predominant AS have gradually increasing obstruction over years, but do not beco...
3
antral stenosis
Tricuspid regurgitation
Aoic stenosis
Aoic regurgitation
Medicine
C.V.S
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Generalised thickening of cortical and cancellous bones is seen in
null
4
Osteopetrosis
Pagets disease
Osteogenesis imperfecta
Infantile hyperostosis
Pathology
null
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single
An athelete presented with red coloured urine after 2 days of history of severe exeion. The most probable cause is?
Myoglobinuria REF: Harrison's Internal Medicine 17th edition chapter 382, Physiology and pathology of the urine by john dixon p. 49 Red color urine may be due to hemoglobin or myoglobin. In the question clue is given that patient is an athlete who competed in an event which lead to sternous exercise and hence increased...
4
Hemoglobinuria
Hemosiderinuria
Hematuria
Myoglobinuria
Surgery
null
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High false positive cases in a community signify that disease has -
null
2
High prevalence & Low incidence
High incidence & Low prevalence
Low prevalence & Low incidence
High incidence & High prevalence
Social & Preventive Medicine
null
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multi
Which of the following is released from hypothalamus?
There are 6 established hypothalamic releasing and inhibiting hormones : Corticotropin-releasing hormone (CRH), Thyrotropin releasing hormone (TRH), Growth hormone releasing hormone (GRH), Growth  hormone inhibiting hormone (GIH), Luteinizing hormone releasing hormone (LHRH) and Prolactin inhibiting hormone(PIH).
2
Orexin
Cortisol releasing hormone
Neuropeptide
Ghrelin
Physiology
null
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Vestibulo-Ocular Reflex Mediated by:
Ans:A (Flocculonodular Lobe) Ref: Pal GK. Cerbellurn. In: Textbook of Medical Physiology. Ahuja Publishing House. 2007: 116: 871.Explanation:Functional Division of CerebellumVestibulo cerebellum/Arch-cerebellum (Flocculonodular lobe)Connections with vestibular apparatusConcerned with equilibrium and learning induced ch...
1
Flocculonodular Lobe
Vermal portion of Spinocerebel 1 um
Neocerebellum
Paravermal region of Spinocerebellum
Physiology
Cerebellum and Brainstem
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single
Which statement best describes the cranial fossa?
The floor of the middle cranial fossa is made up of the body and greater wing of the sphenoid as well as the squamous temporal bone. The cribriform plate forms pa of the floor of the anterior cranial fossa The middle cranial fossa contains the pituitary gland. The internal acoustic meatus lies in the posterior cranial ...
3
The middle cranial fossa contains the cribriform plate.
The anterior cranial fossa contains the pituitary gland.
The middle cranial fossa is floored by the sphenoid and temporal bones.
The internal acoustic meatus lies in the middle cranial fossa.
Anatomy
Cranial cavity
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Which of the following vitamin enhances intestinal absorption of calcium?
Vitamin Functions Deficiency Disease D Maintenance of calcium balance Enhances intestinal absorption of Ca2+ and mobilizes bone mineral Regulation of gene expression and cell differentiation Rickets = poor mineralization of bone Osteomalacia = bone demineralization Reference: Harper; 30th edition; Page no: 550
1
Vitamin D
Vitamin K
Vitamin B1
Vitamin B2
Biochemistry
vitamins
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single
Which of these is the most impoant indication for Strassmans Metroplasty done for a bicornuate uterus?
Habitual aboion is the most impoant indication for surgical treatment of women who have a double uterus. The aboion rate in women who have a double uterus is to three times greater than that of the general population. Best diagnosis of the condition is made by laparohysteroscopy. Strassmans Metroplasty
3
Infeility
Menorrhagia
Repeated early pregnancy losses
Associated vaginal atresia
Gynaecology & Obstetrics
Mullerian Abnormalities
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single
A 2-year-old child had burns on buttocks, both legs, face, neck and singeing of hair. Total surface area burnt: JIPMER 14
Ans. 37%
2
27%
37%
45%
55%
Forensic Medicine
null
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multi
Which test helps to differentiate between concomitant squint and paralytic squint
This procedure causes breakdown of binocular fusion mechanism thus helpful to differentiate.
2
Cover - uncover test
Alternate covertest
Direct cover test
None of the above
Ophthalmology
null
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multi
Best disinfectant of cholera stool is-
Cresol is an excellent coal-tar disinfectant. It is 3 to 10 times as powerful as phenol, yet no more toxic. Cresol is best used in 5 to 20 percent strength for disinfection of farces and urine. Cresol is an all-purpose general disinfectant. (refer pgno :128 park 23 rd edition)
2
Bleaching powder
Cresol
Phenol
Lime
Social & Preventive Medicine
Epidemiology
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single
Black eye is a type of -
The synopsis of forensic medicine & toxicology ; Dr k.s.narayan reddy ; 28th edition ; Pg .no . 107 Black eye is the most common example for ectopic bruising or percolated contusion .
3
Patterend abrasion
Ectopic abrasion
Ectopic bruise
Friction abrasion
Forensic Medicine
Mechanical injuries
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single
In a patient with a type of familial dyslipidemias he presented with palmar Xanthomas and he ias at increased risk of atherosclerosis and CAD.In Lipid profile there was elevation of triacylglycerols and cholesterol.And the IDL and chylomicrons were elevated.What is the pathophysiology of the condition?
Reference: Harpers illustrated biochemistry 30th edition page 275
4
LDL deficiency
VLDL overproduction
Apo C-2 deficiency
Apo E deficiency
Biochemistry
Metabolism of lipid
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single
Endolymphatic duct drains into :
Ans:A.)Subdural Perilymph drains into subarachnoid space through the aqueduct of cochlea... Endolymph is absorbed in subdural space.
1
Subdural space
External space
Subarachnoid space
Succulus
Anatomy
null
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Usually associated with parvovirus B19 infection in those with hereditary spherocytosis-
Ans. is 'b' i.e., Aplastic crisis o Parvovirus B19 selectively infects erythroidprecursors and is the most common aetiological agent that induces aplastic crisis in patients with hereditary spherocytosis (and other Hemolytic disorders).Transient aplastic crisiso Persons with decreased erythrocytes caused by conditions ...
2
Mild to moderate splenomegaly
Aplastic crisis
Gallstones
Hemolytic crisis
Medicine
Immunology and Rheumatology
ecbe331f-316c-4739-b032-121e412c8e02
multi
Carcinoma of the prostate arise from -
null
2
Central zone
Peripheral zone
Transitional zone
Periurethral zone
Surgery
null
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single
A patient with cushinoid features presents with hemoptysis; he shows no response to dexamethasone suppression test; most likely diagnosis here is:
Answer is C (Ca lung with ectopic ACTH production); Lack of suppression to dexamethasone challenge (ACTH producing tumor) and presence of hemoptysis (Carcinoma lung) in a patient with Cushinoid features suggests a diagnosis of Carcinoma lung with ectopic ACTH secretion. As a method of diagnostic workup of any patient w...
3
Adrenal hyperplasia
Adrenal adenoma
Ca lung with ectopic ACTH production
Pituitary microadenoma
Medicine
null
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single
Symptomatic treatment is not required in withdrawal of:
Since cannabis causes very mild withdrawal symptoms hence, no symptomatic treatment is required. LSD and other hallucinations also do not cause any withdrawal symptoms .
1
Cannabis
Morphine
Alcohol
Cocaine
Psychiatry
Substance Related and Addictive Disorders
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single
Following death of a person, what happens to potassium level in the vitreous.
Potassium concentration raises at the rate of 0.17-0.25 mmol per hour following death. It helps in determination of time since death.
2
Potassium level falls
Potassium level increases
Remains unchanged
It depends on cause of death
Forensic Medicine
null
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multi
Under transplantation of humans organs act, the punishment for the doctor involved is
The Transplantation of Human Organs Act 1994, amended in 2011, and 2012 Chapter VI and VII deals with the trial and punishment of offences under this act. Under this act, doctors involved will be punished for a period of 2-5yrs. Ref: FORENSIC MEDICINE AND TOXICOLOGY Dr. PC IGNATIUS PAGE NO: 389
3
< 1 year
< 2 years
2-5 years
> 5 years
Forensic Medicine
Medical Jurisprudence
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single
Staphylococcus aureus does not cause which of the following skin infection:
Ans. is. a. Ecthyma gangrenosum
1
Ecthyma gangrenosum
Bullous impetigo
Botryomycosis
Cellulitis
Microbiology
null
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single
A young lady with symptoms of hypehyroidism with elevated T4 and TSH levels. On examination, patient was not experiencing Tachycardia or excessive sweating.Fuher examination reveals bitemporal hemianopia. Next step of management
Hypehyroidism with elevated levels of T4 and TSH levels and bitemporal hemianopia is highly suggestive of TSH secreting adenoma. Urgent MRI should be done to confirm the diagnosis of TSH secreting pituitary adenoma along with antithyroid drugs. Thyrotropin-secreting pituitary tumors (TSH-omas) are a rare cause of hypeh...
4
Sta beta blockers immediately
Conservative management sufficient
Sta antithyroid drugs and wait for symptoms to resolve.
Sta antithyroid drugs and do urgent MRI
Surgery
Thyroid
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multi
Statuary rape is -
Ref:Textbook of Forensic medicine and toxicology (V.V.Pillay) 17th edition, page no.388 Minimum age at which female can give consent for sex by what age is 18 years. As per Sec.375IPC unlawful sexual intercourse by man with a woman with or without her consent when she is under 18 years of age. The criminal law (Amendme...
3
Less than 15 years
Less than 16 years
Less than 18 years
Less than 20 years
Forensic Medicine
Sexual offences and infanticide
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single
A patient on amiodarone is diagnosed to have cornea verticillata. What should be management –
Cornea Verticillata This is a whorl-like opacity in the corneal epithelium seen in patients on long-term treatment with medication such as amiodarone, chloroquine, phenothiazines and indomethacin. It is also seen in patients with Fabry disease and its carrier state. The condition is generally asymptomatic, harmless an...
1
Stop the drug
Penetrating keratoplasty
Lamellar keratoplasty
Observation
Ophthalmology
null
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single
Most aggressive lung CA:
Ans. (c) Small cell lung CARef: Robbings 9th ed./ 717* Small cell carcinoma is a highly malignant tumor with a strong relationship to cigarette smoking.* Around 1% occurs in nonsmokers.* They are the most aggressive of lung tumors, metastasizing widely and are always fatal.
3
Squamous cell CA
Adenocarcinoma
Small cell lung CA
Large cell CA
Pathology
Characteristics and Epidemiology of Neoplasia
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multi
Chemoprophylaxis is indicated for all except-
Chemoprophylaxis There is no role of Chemoprophylaxis in Typhoid. For chemoprophylaxis in meningococcal meningitis, Rifampicin, Ciprofloxacin & Ceftriaxone is used. Tetracycline is used in Cholera and Plague.
1
Typhoid
Meningococcal meningitis
Cholera
Plague
Social & Preventive Medicine
Intestinal Infections, Worm Infestations
356ed30d-cba2-4520-97e7-23c04c4067e4
multi
In pontaic fever, which antigen is seen in urine?
Ans. is 'a' i.e., Lipopolysaccharide-1 Legionella are classified into serogroup on the basis ofgroup specific lipopolysaccharide (somatic antigen or 'O' antigen). Legionella pneumophila sero-group-1 (LP-1) is the most common infecting organism. Urine test detect LP-1.
1
Lipopolysaccharide-1
Lipopolysaccharide-2
Lipopolysaccharide-4
Lipopolysaccharide-6
Microbiology
null
becc6670-95ca-4530-a5ee-afcd3b4ca1b6
single
Mediastinal lymph node calcification is seen in which one of the following-
Ref:Robbins Basic Pathology (9th Edition),page no.478,479 Sarcoidosis Although sarcoidosis is considered here as an example of a restrictive lung disease, it is impoant to note that sarcoidosis is a multisystem disease of unknown etiology characterized by noncaseating granulomas in many tissues and organs. MORPHOLOGY T...
3
Metastatic neoplasm
Lymphoma
Sarcoidosis
Bronchiectasis
Pathology
Respiratory system
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single
"Candle-wax spots" in the retina are present in
(A) Sarcoidosis # OCULAR MANIFESTATIONS OF SARCOIDOSIS:> Anterior segment: Conjunctival involvement has been reported in patients with ocular sarcoidosis.> Sarcoidosis granulomas are solitary, yellow "millet-seed" nodules.> Anterior uveitis occurs in 22%- 70% of patients with ocular sarcoidosis, and is usually granulom...
1
Sarcoidosis
Toxoplasmosis
Syphilis
Tuberculosis
Ophthalmology
Miscellaneous
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single
The number of doses recommended for oral Ty21a typhoid vaccine is:
The Ty21a vaccine is licensed for use in individuals > 5 years. A three dose regimen is recommended. Vaccine is administered on alternate days: 0n days 1, 3 and 5. Ref: Park 21st edition, page 215.
3
14
5
3
1
Social & Preventive Medicine
null
2fa36968-f396-4677-a256-c353757b82b8
single
The drug used in petit mal seizures and has a narrow spectrum of antiepileptic activity is
Ethosuximide and valproate are the drugs of choice for absence seizures and are more effective than lamotrigineReference: Katzung Pharmacology; 12th edition; Page no: 418
2
Lamotrigine
Ethosuximide
Phenytoin
Primidone
Pharmacology
Central Nervous system
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single
Which test is not useful in a patient with history of Syncopal attack?
Answer is C (PET Scan) : PET scan has- not been mentioned as a test to investigate syncope in Harrisons text. It is the single best answer of exclusion. Electrophysiological tests and 24 hour ECG Holter monitoring are indicated in patients where history suggests a cardiac disease. Upright tilt table testing is indicate...
3
Electrophysiological testing
Tilt Table testing
PET Scan
Holter monitoring
Medicine
null
037720db-3d5f-4488-be9b-b12a0cc81c2d
single
Magic syndrome is seen in:
“MAGIC syndrome” (Mouth and Genital ulcers with Inflamed Cartilage) has been proposed to describe patients with clinical features of both relapsing polychondritis and Behcet disease.
1
Behcet disease
Aphthous major
Herpetiform
Bloom syndrome
Pathology
null
897b2724-c93d-4e41-965a-d58fbd6c8cde
single
Acute hemorrhagic conjunctivitis is caused by ?
Ans. is 'a' i.e., Enterovirus 70 Acute hemorrhagic conjunctivitis (AHC) may be caused by adenoviruses, but two enteroviruses, enterovirus 70 and coxsackie A24 variant, are the major causes.
1
Enterovirus 70
Adenovirus
Poliovirus
Hepadnavirus
Microbiology
null
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single
In a 24 year old man weight of the upper limb is transmitted to the axial skeleton by:
The axial skeleton shapes the longitudinal axis of the human body. Coracoclavicular ligament suspends the scapula from the lower one third of the clavicle and forms a strong bond between them. The weight of the upper limb is transmitted to the axial skeleton through this ligament. A fracture of the clavicle, medial to ...
2
Coracoacromial ligament
Coracoclavicular ligament
Costoclavicular ligament
Coracohumeral ligament
Anatomy
null
f5168131-b12b-4477-8c70-9199583db3ae
single
Primary health care was proposed in 1978 at:
Answer: A. Alma ata. (Ref Park's Textbook of PSM 22nd/Pg.832)The new approach to health care came into existence in 1978 following an international conference at Alma Ata (USSR).The Alma-Ata conference defines the primary health care as follows: Primary health care is essential health care made universally accessible t...
1
Alma ata
New York
Geneva
Delhi
Social & Preventive Medicine
Healthcare of the Community & International Health
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single
Schizophrenia is treated by:
null
2
Anti depressants
Anti psychotics
Anti epileptics
Mood stabilizers
Pharmacology
null
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single
Gene involved in Cowden syndrome is
(B) PTENo"Phosphatase and Tensin'' homolog (PTEN) - protein in humans encoded by the PTEN gene. Gene mutations promotes development of cancers.[?]Cowden's disease/Multiple Hamartoma Syndrome:-Part of PTEN hamartoma tumor syndrome-An autosomal dominant syndrome-Trichilemmomas - Numerous tumors of hair follicles in face-...
2
P53
PTEN
RB
Ras
Pathology
Neoplasia
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single
Supraventricular crest lies between-
Ans. is 'a' i.e., Pulmonary orifice and atrioventricular orifice Interior of right ventricle* It is anteroinferior chamber and projects to the left of right atrium. It is in contact with the sternum.* It is divided into -i) Rough inflowing part (ventricle proper)# It is developed from right half of primitive ventricle....
1
Pulmonary orifice and atrioventricular orifice
Atrioventricular orifice and fossa ovalis
SVC and right atrium
Right an dleft coronary artery
Anatomy
Thorax
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single