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Drug of choice for OCD is? | ANSWER: (B) FluoxetineREF: Kaplan 9th ed p - 622OCDTreatment of choice: behaviour therapyDrug of choice: SSRI2nd drug of choice: comipramine | 2 | Clomipramine | Fluoxetine | Carbamezapine | Chlorpromazine | Psychiatry | Neurotic Disorders | e0c2cf58-aa5c-4516-b250-79b76d99a2cc | single |
PAS positive are all the following except - | Ans-DThe basement membrane of bacteria | 4 | Glycogen | Lipids | Fungal cell wall | Basement membrane of bacteria | Unknown | null | 7a895da1-0450-40b7-a201-1a6db801461f | multi |
Increased serum amylase in pleural effusion is seen in | (Malignancy) (269- CMDT-08) (1658-H17th)Serum amylase level in PE - suggest pancreatits, pancreatic pseudocyst, adenocarcinoma of the lung or pancreas or esophageal rupture, - MalignancyGlucose < 60 mg/ dL - occurs in Malignancy, Bacterial infections, Rheumatoid pleuriticIncreased amvlase acids are found in perforated ... | 3 | Rheumatoid arthritis | Tuberculosis | Malignancy | Pulmonary embolism | Medicine | Respiratory | 9b6f8e62-54e1-4b6d-9ec7-1acd174bdd71 | single |
Diffuse specific lesions on intestinal biopsy are seen in -a) Celiac sprueb) Whipples diseasec) Agammaglobulinemia d) Abetalipoproteinemal | null | 2 | abc | bcd | ac | bd | Medicine | null | b6cd0c9f-13ee-4b1f-8f40-6d7f1252d99e | single |
Pyrogens act on which site of brain ? | Ans. is 'd' i.e., Hypothalamus PyrogenesPyrogenes are substances that cause fever.Pyrogens may be exogenous or endogenousExogenous - Bacterial toxinsEndogenous - IL-1, TNF-a, IL-6, Interferons, Ciliory's neurotropic factorThese pyrogenes increase the level of PGE, in the hypothalamus that elevates the thermoregulatory ... | 4 | Basal ganglia | Limbic system | Thalamus | Hypothalamus | Physiology | null | bdf06820-2bf1-4f27-b49d-64a09e85366a | single |
Hypertrophy means - | Ans. is 'b' i.e., Increase in size of cells Hypertrophy o Hypertrophy refers to an increase in the size of cells without increase in the number, resulting in an increase in the size of tissue. Hypertrophy involves cell enlargement without cell division. So, hypertrophied organ has just larger cells, but no new cells Hy... | 2 | Increased protein content of the cells | Increase in size of cells | Increase in number of cells | None of the above | Pathology | Cellular Responses and Adaptations to Stress | 647da693-d046-4b8a-a0ad-89abff2cbee2 | multi |
A patient was diagnosed with schizophrenia and was staed on haloperidol 5mg. On 3rd day he presented with uprolling of eyes. A complete neurological examination revealed no spasticity or any other abnormalities except uprolling of eyeballs. Visual acuity was found to be normal. What is your likely diagnosis? | * <48 hours of staing antipsychotics * M.C in======Younger black males * If a patient develops dystonia he is more prone for eps Patient considers this as an Allergic reaction , thereby may stop drugs Layryngeal dystonia is a Psychiatric emergency, should be treated with IV lorazepam TREATMENT * Diphenhydramine * Benzt... | 2 | Seizure | Acute dystonia | Malingering | Akathesia | Psychiatry | Pharmacotherapy in psychiatry | aaa09f14-d097-401e-a543-a9a9e4fa9a7d | multi |
Risk factor prevention at which level | (A) (Primordial) (39 - Park 22nd)PRIMORDIAL PREVENTION* Special attension is the prevention of chronic disease* Prevention of the emergence or development of risk factors in countries or population groups in which they have not yet appeared* For example, many adult health problems (eg obesity hypertension) have their e... | 1 | Primordial | Primary | Secondary | Tertiary | Social & Preventive Medicine | Concept of Health and Disease | 02979b58-aa6b-426a-814c-f377d7ac99ab | single |
Venous drainage of upper pa of uterus and placenta is through : | Ovarian vein | 1 | Ovarian vein | Uterine vein | Internal iliac vein | None | Gynaecology & Obstetrics | null | 40b70c47-183a-4a11-b538-f5455a12f8c1 | multi |
As compared to permanent tooth, root formation in primary tooth: | null | 1 | Take less time | Take more time | Same time | Is complete when tooth erupts in oral cavity | Dental | null | b562b1ef-4224-4995-a146-28efae045d88 | single |
Which of the following is true about venous thrombosis? | Answer- B. Most impoant factor for development of deep venous thrombosis is hospital admissionVenous thrombosis is the formation of a semi-solid coagulum within the venous system and may occur in the superficial system.Patients are at risk of dweloping a post-thrombotic limb and venous ulceration Virchow triad-Changes ... | 2 | It affects only the deep venous system | Most impoant factor for development of deep venous thrombosis is hospital admission | Coralline thrombus is platelet aggregate surrounded by white blood cells | Lung infarction is a common complication of deep venous thrombosis | Surgery | null | 9db30337-67b8-48ca-a713-8a6ffe0b5af1 | multi |
Gateway of tears is: | Killians dehiscence is also called 'gateway of tears' | 3 | Rathke pouch | Sinus of morgagni | Killians dehiscence | Pharyngeal bursa | ENT | null | 58a070e3-b4d0-458e-bf72-97ba8f1eea5e | single |
A 27 year old sexually active male develops a vesiculobullous lesion on the glans soon after within 8hrs taking tablet diclofenac for viral fever. The lesion healed with hyperpigmentation.The most likely dignosis is- | Fixed drug eruption It characteristically recur at the same site following administration of offending drugs or occasionally a member of the same group of drugs. They occur 30min to 8hrs after drug administration Most common drugs: Sulfonamides NSAIDS Dapsone Batbiturates Ciprofloxacin Phenytoin Griseofulvin Metronidaz... | 3 | Behcet's syndrome | herpes genitalis | fixed drug erruption | pemphigus vulgaris | Dental | Autoimmune skin disorders | 2da0387f-a1c4-43c1-8096-fe225e278ec6 | multi |
Isotope (s) used in high dose rate brachytherapy – a) lr192b) Co–60c) Cs–l33d) Ra 226 e) Pd103 | "Although cobalt - 60 and cesium - 137 have been used in the past, iridium - 192 is the most commonly used radioisotope in HDR brachytherapy". — The physics of radiation therapy
Note - Cs-137 is used in HDR brachytherapy, while option c i.e. Cs - 133... | 3 | ac | a | ab | bc | Radiology | null | 972c5769-f186-4a55-a10a-e56c9866c7dc | single |
A patient presents with erythematous scaly lesions on extensor aspect of elbows and knee. The clinical diagnosis is got by : | Ans. is 'a' ie Auspitz signErythematous scaly lesions on extensor aspect of elbow and knee favours the diagnosis of Psoriasis.The clinical diagnosis of psoriasis can be made by demonstrating Auspitz sign.It is a characteristic finding of psoriasis in which removal of scale leads to pinpoint bleeding.Tzanck testis used ... | 1 | Auspitz sign | KOH smear | Tzanck smear | Skin biopsy | Skin | Psoriasis | 324bcd12-a946-43cc-8081-ddd693151c9c | single |
27-year-old white man presents to his family doctor complaining of being tired all the time and having a slight fever for the past two weeks. He recently returned from a trip to Las Vegas, where he indulged in some of the infamous nightlife. His physical exam is unremarkable except for a macular rash over his trunk and... | Treponema pallidum Transmitted through unprotected sexual activity with an infected individual. Presents with the symptoms of secondary syphilis, which includes malaise, mild fever, and rash on the palms and trunk. The primary lesion (chancre) may go unnoticed because it is painless and subsides in a few weeks. | 3 | Chlamydia trachomatis | Neisseria gonorrhea | Treponema pallidum | Borrelia burgdorferi | Microbiology | Systemic Bacteriology (Gram Positive Bacilli, Gram Negative Bacilli) | aa8cbb1e-a090-42b7-af4b-f674b719efe8 | multi |
Which of the following is having a 90% associated with HLA B27 | Ref Robbins 9/e p205 A positive result meansHLA-B27 was found in your blood. You may have a higher-than-average risk of ceain autoimmune diseases, such as ankylosing spondylitis and reactive ahritis. | 1 | Ankylosing spondylitis | Rheumatoid ahritis | Psoriasis | Reiter's syndrome | Anatomy | General anatomy | 80771152-c449-45c4-a556-0345e358dccc | single |
Growth of oral structures is mainly influenced by factors: | Van Limborgh after review of the sutural theory, cartilaginous theory and functional matrix theory has summarized the following features:
1. Intrinsic genetic factor controls chondrocranial growth.
2. Epigenetic factors originating from skull cartilages and head tissues control desmocranial growth.
3. Local environment... | 3 | Hereditary | Environmental | Hereditary-influenced by environmental factor | None of the above | Dental | null | 5f56f86a-2f02-4acb-a1dd-7a5eaf4385dc | multi |
Foramen of Morgagni refers to an opening in? | The sinus of Morgagni or ventricle of the larynx is a narrow fusiform cleft between the vestibular and vocal folds. the anterior pa of the sinus is prolonged upwards as diveiculum between the vestibular fold and the lamina of the thyroid cailage .this extension is known as the saccule of the larynx. The saccule contain... | 4 | The brain | The lesser omentum | The skull | The diaphragm | Anatomy | Head and neck | c7192eea-2a32-460a-a071-13bc5c005fe4 | single |
A 10-year-old boy presents with increase bilirubin, increased bilirubin in urine and no urobilinogen Diagnosis is: | Ans. D. Obstructive jaundiceLaboratory tests in three different types of JaundiceConditionSerum BilirubinUrine UrobilinogenUrine BilirubinNormalDirect: 0.1-0.4mg/dL Indirect: 0.2-0.7mg/dL0-4mg/24hAbsentHemolytic anemiaIndirectIncreasedAbsentHepatitisDirect and indirectDecreased if micro-obstruction is presentPresent if... | 4 | Gilbert syndrome | Hemolytic jaundice | Viral hepatitis | Obstructive jaundice | Biochemistry | Vitamins and Minerals | 840f27e2-82d1-414c-92db-eff63a396c74 | single |
Negative nitrogen balance is the characteristic feature of which phase of convalescence after surgery? | null | 1 | Catabolic phase | Anabolic phase | Fat gain phase | Tuning point phase | Biochemistry | null | 20e03796-d08a-472e-8c58-303fdf196dae | single |
All are true regarding fetal BBC's except – | Fetal RBC contains less 2, 3 DPG. | 1 | Elevated 2,3 DPG | Decreased carbonic anhydrase activity | Decreased life span | High RBC volume | Pediatrics | null | c29591fc-1ee7-4be3-b878-dd82dffc9b99 | multi |
NREM sleep is associated with:- | NREM sleep generation is associated with 5 anatomical sites: * Basal forebrain area Thalamus Hypothalamus Dorsal raphe nucleus Nucleus tractus solitaries of the medulla Preoptic lesions produce hyposomnia, whereas electrical and thermal stimulation of this area produces sleep changes. Thalamus (especially reticular for... | 4 | Basal forebrain area | Dorsal raphe nucleus | Medulla | All of the above | Psychiatry | Sleep Disorders | c26ff4e0-825a-4916-9b06-405ba81be1fa | multi |
Which of the following is the most specific test for Rheumatoid ahritis | to establish diagnosis of rheumatoid ahritis are * Clinical criteria * ESR and CRP * Ultrasound or MRI * Rheumatoid factor and anti-citrullinated peptide antibodies DAVIDSON&;S 22nd EDITION;PAGE NO 1100 | 1 | Anti-ccp antibody | Anti Igm antibody | Anti IgA antibody | Anti IgG antibody | Medicine | Immune system | f7456bfd-fc46-4c00-b326-2c4cd6bfea77 | single |
A young male presents with ear discharge since three years; recently developed swelling in the neck below and behind the angle of mandible, toicollis; on the examination, the external auditory canal was filled with granulation tissue. What is the diagnosis? | Bezold's abscess It can occur following acute coalescent mastoiditis when pus breaks through the thin medial side of the tip of the mastoid and presents as a swelling in the upper pa of the neck. The abscess may Lie deep to sternocleidomastoid, pushing the muscle outwards. Follow the posterior belly of digastric and pr... | 3 | Luc's abscess | Citelli's abscess | Bezold's abscess | Parapharyngeal abscess | ENT | Ear | 92f241b1-5dd7-4309-be7d-575987eb3c07 | single |
Not a pa of kangaroo mother care - | The 4 components of kangaroo mother care are all essential for ensuring the best care option especially for low bih weight babies. This include: Skin to skin contact on mothers chest Adequate nutrition through breast feeding Ambulatory care as a result of earlier discharge Suppo for mother and family in caring baby. Pa... | 3 | Skin to skin contact | Early discharge | Free nutritional supplements | Exclusive breast feeding | Social & Preventive Medicine | obstetrics,pediatrics and geriatrics | ec560c3b-7ce3-46f5-9020-9263cb87db0f | single |
A 6-year-old child has an accident and had elbow, after 4 years presented with tingling and numbness in the ulnar side of finger, fracture is | Ans. is 'b' i.e.lateral condyle humerus This child had lateral condyle of humerus 4 yrs back. He is now presenting with symptoms of tardy ulnar palsy. Lateral condyle of humerus may lead to cubitus valgus deformity because of diminished growth at the lateral side of distal humeral epiphyses. Cubitus valgus deformity le... | 2 | supra condylar humerus | lateral condylar humerus | olecranon | dislocation of elbow | Orthopaedics | Supracondylar Fracture | a3ebfb78-6640-488c-a174-1a8aeb345690 | single |
All of the following can be used to treat alcohol dependence except | Naltrexone is orally effective opiod antagonist useful in alcohol withdrawal. Acamprosate an NMDA receptor antagonist is useful in preventing relapse. Disulfiram is used to make alcohol consumption an unpleasant experience. It inhibit the enzyme aldehyde dehydrogenase. Ref: KD Tripathi 8th ed. | 3 | Naltrexone | Acamprosate | Flumazenil | Disulfiram | Pharmacology | Central Nervous system | 0270af35-eb8b-4c23-b7fb-31e989140960 | multi |
A 26 years old G2P1L1 at 10 weeks complains of pain abdomen and bleeding per vaginum. On examination products of conception are seen paially extruding through the cervix. What is your diagnosis? | Bleeding follows paial or complete placental separation and dilation of the cervical os in incomplete aboion. The fetus and the placenta may remain entirely within the uterus or paially extrude through the dilated os.Management is Evacuation or medical termination (if stable).Reference: William's Obstetrics; 25th editi... | 4 | Inevitable aboion | Threatened aboion | Complete aboion | Incomplete aboion | Gynaecology & Obstetrics | General obstetrics | 805f167d-13ad-4949-9267-1ebce3a48a9f | multi |
Initial ECG change in Hyperkalemia is? | Ans.(a) Tall tented T wavesRef: Harrison 19th ed. / 310Serum potassium > 5.5 mEq/L is associated with repolarization abnormalities:* Peaked T waves (usually the earliest sign of hyperkalemia) Serum potassium >6.5 mEq/L is associated with progressive paralysis of the atria:* P wave widens and flattens* PR segment length... | 1 | Tall tented T waves | PR prolongation | qRS widening | ST segment depression | Medicine | Electrocardiography | 131a180a-602e-417e-86c0-38e8b6f3a50a | multi |
ANCA positive vasculitis include all of the following Except: | Answer is D (Good pasture's syndrome): Goodpasture's syndrome is not classified as an ANCA positive vasculitis. | 4 | Wegner's granulomatosis | Churg strauss syndrome | Microscopic PAN | Good pasture's syndrome | Medicine | null | caf01230-6feb-4cd6-b44b-1bfc9fea1b9e | multi |
The type of estrogen found in highest concen- tration in adult female is- | Ans. is 'c' i.e.. Estradiol f Ref: Principles of medical physiology p. 216]o Estradial, estrone and estrial, all three are found in blood, but estradiol is the most potent estrogen.o Major estrogen in normal adult women - Estradiolo Major estrogen in postmenoapusal women - Estroneo Major estrogen in pregnant women - Es... | 3 | Estrone | Estriol | Estradiol | None | Physiology | Sex Hormones | 532a83fe-5b91-4f6f-ae20-e6e690696a8a | multi |
Apical transportation is also known as | null | 2 | Curing | Zipping | Ledging | Apical perforation | Dental | null | a9a5febc-b0bf-45a6-bedc-f540276ca002 | single |
Pro - inflammatory cytokine is? | Ans. is 'a' i.e., IL-1 Proinflammatory cytokinesi) Major:- IL-1, TNF- a, IL-6ii) Other:- IL-2, IL-4, IL-5, IL-6, IL-8, IL-11, IL-12, IL-15, IL-21, IL-23, IFN- g, GM-CSFAnti-inflammatory cytokines* IL-4, IL-10, IL-13, and transforming growth factor-b (TGF-b). | 1 | IL-1 | IL-3 | IL-6 | IL-10 | Pathology | Inflammation & Repair | c6d962ab-9dbb-4c07-9e13-6020d3c59b72 | single |
Direct standardization is used to compare the moality rates between two countries. This is done because of the difference in - | ref: Park&;s 23rd edition pg 58 A standard population is defined as the one for which the numbers in each age and sex group are known. | 3 | Cause of death | Numerators | Age distributions | Denominators | Social & Preventive Medicine | Epidemiology | a8af28cb-9dae-4584-a3b8-2d3f635f532c | single |
Which is the most common cause of thrombocytopenia in an ICU patient? | Ans. is 'a' i.e., Sepsis Thrombocytopenias in ICU patients :* Thrombocytopenia is a common laboratory abnormality that has been associated with adverse outcomes in ICU patients.* Thrombocytopenia is defined as platelet count < 150 X 103 cells / mcL.* Following table depicts the probable mechanisms and the causes for pr... | 1 | Sepsis | Bone marrow failure | ITP | Drug induced | Medicine | Blood | d90c3714-243a-40af-b497-1dbec4fd341f | single |
Which is not primary amenorrhea? | Ans. is a, i.e. Sheehan's syndromeRef: Shaw 14th/ed, p256-257* Kallmann's sydnrome is due to hypothalamic dysfunction characterized by a deficiency of gonadotropin releasing hormone (GnRH) causing a hypogonadotrophic hypogonadism. This is associated with anosmia. It can occasionally be associated with optic problems, s... | 1 | Sheehan's syndrome | Kallmann's syndrome | Mayer Rokitansky Koster Hauser syndrome | Turner syndrome | Gynaecology & Obstetrics | Disorders in Menstruation | 02f60eb9-0c8b-4bb9-9de4-bbdef04292a8 | multi |
A female undergone surgery for left breast cancer 3 yrs back now developed blue nodule on same side | Answer- A. LymphangiosarcomaAngiosarcoma is a vascular tumor which may arise de novo in the breast or as a complication of the radiation therapy. | 1 | Lymphangiosarcoma | Recurrence | Hemangioma | Cellulitis | Surgery | null | 445ec67f-406e-489e-bd05-783378ba94e4 | single |
An expansion alliance made with an expansion screw is an example of: | null | 2 | Simple anchorage | Reciprocal anchorage | Multiple anchorage | Reinforced anchorage | Dental | null | 048cbd81-a263-4a46-ad8f-19b37a33fa48 | multi |
Day care anesthesia is best achieved with | Propofol | 3 | Enflurane | Isoflurane | Propofol | Methoxyflurane | Anaesthesia | null | a1cd9953-168a-41fa-a948-9f6ef8dd9aca | single |
Not true about post-transcriptional modification of RNA- | Ans. is 'd' i.e., Glycosyiution.m-RNA processingo Prokaryotic mRNA is functional immediately upon synthesis, i.e. prokaryotic primary transcript of mRNA is functional. Thus it does not require post-transcriptional modification. In Eukaryotes the primary transcript of mRNA is the hn RNA (hetrogeneous nuclear RNA). After... | 4 | 5' Capping | Addition of poly A tail | Removal of introns | Glycosylation | Biochemistry | Transcription | 4a7e4a82-c921-46b8-b8e5-9d903fc7b76e | multi |
Rigor mois not seen in: AIIMS 13 | Ans. Fetus < 7 months of age | 1 | Fetus < 7 months of age | Full term fetus | Elderly | Anemic person | Forensic Medicine | null | bdcbae06-7aab-4225-97e7-a7d1162bb400 | single |
Most commonly used tuning fork in ear examination is | 512Hz is used normally Note: These tests are performed with tuning forks of different frequencies such as 128, 256, 512, 1024, 2048 and 4096 Hz, But for routine clinical practice, tuning fork of 512 Hz is ideal. Forks of lower frequencies produce a sense of bone vibration while those of higher frequencies have a shoer ... | 3 | 128 Hz | 256 Hz | 512 Hz | 1024 Hz | ENT | Ear | 418a3875-0237-4742-82eb-70337557f49a | single |
Subtrochanteric fractures of the femur can be treated by all of the following methods except | Smith Peterson Nail is a cannulated tri-flanged nail that was used for internal fixation of fracture neck of femur Results obtained by S-P nail were dissatisfactory and it is no more recommended for use these days.
Other three options are used for the treatment of the subtrochanteric fracture. | 2 | Skeletal traction on Thomas' splint | Smith Petersen Nail | Condylar blade plate | Ender's nail | Orthopaedics | null | 5abd5e16-15ad-40eb-9011-b51703c08d37 | multi |
All of the following side effects are produced by Cisplatin except | Cisplatin can cause ototoxicity, nephrotoxicity, coasting effect (peripheral neuropathy) and severe nausea and vomiting.
Pulmonary fibrosis is seen with Bleomycin and Busulfan. | 4 | Ototoxicity | Nephrotoxicity | Coasting effect | Pulmonary fibrosis | Pharmacology | null | d3d67009-2921-4da2-9482-bd1a5cc49538 | multi |
True about measles is/are a) Incubation period (I.P.) is 10-12 days b) Confunctivitis common c) Rash starts on abdomen d) Koplik spots are seen on fundus examination | null | 1 | ab | bc | cd | bd | Medicine | null | da68c86d-0381-434c-85d0-fe1356f9b946 | multi |
Depressor reflex, Bezold-Jarisch reflex, produced by the following stimulus: | Ventricular distension can produce a powerful depressor reflex called the Bezold-Jarisch reflex; vagal afferents of this cardiopulmonary reflex are also activated by chemical stimulation (eg, prostanoids, cytokines, serotonin, and classically, Veratrum alkaloids). The central connections for this reflex are in the nucl... | 3 | Atrial overload | Myocardial infarction | Ventricular distension | Isotonic exercise | Physiology | null | 3a47f062-8be2-4f63-94d9-bc7cbf944290 | single |
Shape of birbeck granules is - | Ans. is 'a' i.e., Tennis racket o Under the electron microscope, Birbeck granules have a pentalaminar, rodlike, tubular appearance and some- times a dilated terminal end resembling tennis-racket appearance. | 1 | Tennis racket | Hockey stick | Bat | Ball | Pathology | Blood | 4133a483-ab83-4a33-a86c-6c5e00b1f709 | multi |
Extremely low birth weight - | Ans. (a) <1000 gmRef : OP Ghai 8th ed./125* Normal birth weight - 2800 gm- 3000gm* Low birth weight(LBW) - < 2500 gm* Very low birth weight(VLBW) - < 1500 gm* Extremely low birth weight (ELBW) - < 1000 gm. | 1 | <1000 | <1500 | <2500 | <2800 | Pediatrics | Newborn Infant - Physical Examination | 6da33607-b0fe-4ce0-88a0-275d35bf1ee0 | single |
Memory T cells can be identified by using the following | Ref Harrison 17/e p2021 CD45 (lymphocyte common antigen) is a receptor-linked protein tyrosine phosphatase that is expressed on all leucocytes, and which plays a crucial role in the function of these cells. ... These CD45-associated molecules may play an impoant role in regulatingCD45 tyrosine phosphatase activity and ... | 4 | CD 45RA | CD45RB | CD45RC | CD45RO | Anatomy | General anatomy | 0e97cd05-876b-4a27-9710-0ae41c0b0ec0 | single |
Which of the following fuel gases used for soldering, has the highest heat content | null | 4 | Hydrogen | Natural gas | Acetylene | Propane | Dental | null | d3fcd822-1bc8-4fb3-b8b7-85937a9628d2 | single |
Which is true of typhoid - | null | 2 | Female carriers are less common | Male carriers though less are more dangerous | Gall bladder usually not involved in carrier state | Tetracycline is the DOC for carriers | Social & Preventive Medicine | null | 12098247-4d8f-4980-99d1-325014f72bcd | multi |
All of the following are globular proteins except: | null | 4 | Prolamines | Albumin | Globulin | Myosin | Biochemistry | null | 09a2273c-f6e5-4124-a1f0-c17d6a8d3144 | multi |
A 4-month-old infant has undergone surgical treatment for meningomyeloencephalocele. At bih, an operation was carried out in the posterior cranial fossa to paially replace brain cerebellar contents to an intracranial position. In investigations for progressive hydrocephalus, it is noted that there is herniation of the ... | Abnormal elongation of the medulla and lower cranial nerves may be evident in Arnold-Chiari syndrome. Additional features include fusion of the corpora quadrigemina, leading to a "beaked" tectum; paial or complete absence of the corpus callosum; and microgyria. | 3 | Fusion of the frontal lobes | Fusion of the temporal, parietal, and occipital lobes | Abnormal elongation of the medulla and lower cranial nerves | Paial or complete absence of the pituitary gland | Surgery | Cerebrovascular Diseases | 9ec100e0-c6b0-4164-b3c6-a2685e2a4cd3 | multi |
A patient of RHD developed infective endocarditis after dental extraction. Most likely organism causing this is - | Viridans streptococci Commensals in the mouth and upper respiratory tract. Cause transient bacteremia following tooth extraction or other dental procedures; -MC cause of subacute endocarditis: Streptococcus Viridans - MC Streptococcal species in Viridans group causing endocarditis: S. sanguis mc cause of Native valve e... | 1 | Streptococcus viridans | Streptococcus pneumoniae | Streptococcus pyogenes | Staphylococcus aureus | Microbiology | Systemic Bacteriology Pa 1 (Gram Positive Cocci, Gram Negative Cocci) | 932f40b0-3df1-445c-8932-36262e63e157 | single |
Disease highly transmitted during incubation period is - | Whooping cough is most infectious during the catarrhal stage. The infective period may be considered to extend from a weak after exposure to about 3 weeks after the onset of the paroxysmal stage although communicability diminishes rapidly after the catarrhal stage. (refer pgno:163 park 23 rd edition) | 1 | Peussis | Cholera | Measles | Brucellosis | Social & Preventive Medicine | Epidemiology | 91f27218-d7f2-4e06-a676-7e320bf5ebe8 | single |
Uveitis is associated most commonly with : | Ans. is 'c' ie Pauciarticular JRA Uveitis can be seen in both pauciarticular and polyarticular JRA but is much more commonly associated with pauciarticular JRA.It is seen in about 20-25% of cases of pauciarticular and only 5% of polyarticular JRA. | 3 | Rheumatoid arthritis | Systemic JRA | Pauciarticular JRA | Poly articular JRA | Ophthalmology | Uveal Tract | 7b7dbc9c-5bf8-40d0-8c01-9647180f289b | single |
A 10-mm calculus in the right lower ureter associated with proximal
hydroureterone-phrosis is best treated with | null | 4 | ESWL | PCNL | Open ureterolithotomy | Ureteroscopic retrieval | Surgery | null | 0f605372-c677-410f-8ada-0abf9019e865 | single |
All of the following are seen in deep vein thrombosis except | Claudication occurs in arterial occlusion | 4 | Pain | Discolouration | Swelling | Claudication | Surgery | null | dd875203-5ebe-409b-8bb2-7924f5f881bf | multi |
Integrated management of childhood illness (IMCI) intiative was taken to prevent morbidity and moality from all of the following except - | Ans. is `d' i.e., Neonatal tetanus Integrated management of childhood iliness.tIMCD The extent of childhood morbidity and moality caused by following diseases is substantial. i) Diarrhea iii) Malaria v) Malnutrition ii) ARI (pneumonia, otitis media) iv) Measles o Most sick children present with signs and symptoms of mo... | 4 | Malaria | Malnutrition | Otitis Media | Neonatal tetanus | Social & Preventive Medicine | null | 2c5d5a57-0ded-47a6-8987-a10488ea427f | multi |
Hostile witness is covered under IPC section | Sec 191 IPC states that whoever, being legally bound by an oath or by an express provision of law to state the truth, or being bound by law to make a declaration upon any subject, makes any statement which is false, and which he either knows or believes to be false or does not believe to be true, is said to give false ... | 1 | 191 | 192 | 193 | 194 | Forensic Medicine | Medico legal procedures | d8e7f6bb-791f-4235-b1fe-3a5aae120d20 | single |
All statements are true except remifentanil is true except | Refer Goodman Gilman 11/e p 572 Remifentanil is shoest acting opioid due to its metabolism by plasma esterases Due to its sho duration of action, it is indicated for sho term painful procedures Intravenous bolus dosing is not practical Potency is equal to fentanyl | 4 | Useful for sho painful procedures | Metabolized by plasma esterases | Equipotent as fentanyl | Long acting anesthetic | Pharmacology | Anesthesia | ebff54b9-c931-4287-9c78-35b2e07cdf86 | multi |
EMLA constituent is – | Eutectic mixture of local anaesthetics (EMLA) is a mixture of 2.5% lidocaine and 2.5 prilocaine. | 2 | Lidocaine + Cocaine | Lidocaine + Prilocaine | Lidocaine + Bupivacaine | Bupivacaine + Prilocaine | Anaesthesia | null | 224d86e3-a1a1-44f2-8c45-66cdac69980a | single |
Keratic precipitates are most commonly seen in - | Ans. is 'b' i.e., Uveitis o Keratic precipitates (KPs) are proteinaceous cellular deposits occurring at the back of cornea (corneal endothelial deposits). Keratic precipitates are formed by the aggregation of polymorphonuclear cells, lymphocytes, and epitheloid cells. In the setting of uveitis, the bimicrosopic appeara... | 2 | Corneal ulcers | Uveitis | Nuclear cataracts | Keratoconus | Ophthalmology | Uveal Tract | 7b2b29f4-0bb8-4f42-8d49-73df68ebc337 | single |
Regarding glutathione which of the following is/are true: | Ans:C.)It helps in membrane transpo. GLUTATHIONE: Glutathione is a tripeptide made up of glutamate, cysteine and glycine (T-glutamyl-cysteinyl-glycine). Glutathione is present in all mammalian cells except neurons. The sulphydryl (-SH) group of cysteine residue is the reactive poion of glutathione which can undergo oxi... | 3 | It helps in absorption of ceain amino acids | It inactivates some enzymes | It helps in membrane transpo | All | Biochemistry | null | 34d3fb84-0234-40aa-ac97-7263a8cb1329 | multi |
Presenting symptom of nasal myiasis is | Clinical features of nasal myiasisInitial symptoms (3-4 days maggots):- Intense irritation, sneezing, headache, blood stained discharge, lacrimationLater:- Maggots may crawl out of the nose and there is a foul smellRef: PL Dhingra, Diseases of Ear, Nose & Throat, 7th edition, pg no. 181 - 182 | 1 | Severe irritation with sneezing | Maggots | Nasal pain | Impaired olfaction | ENT | Nose and paranasal sinuses | 67efd388-c8b7-49b8-b011-3f12f5a81805 | single |
Fouh ventricle develops from? | Lateral ventricle develops from the cavity of telencephalon. Third ventricle develops from diencephalon. Cavity of mesencephalon remains narrow and forms the aqueduct, while the cavity of rhombencephalon forms the fouh ventricle. | 4 | Telencephalon | Mesencephalon | Diencephalon | Rhombencephalon | Anatomy | null | f499a21c-9b04-4146-b928-303c4198579a | single |
Diabetic neuropathy is a | Diabetic neuropathy causes substantial morbidity and increases moality. It is diagnosed on the basis of symptoms and signs, after the exclusion of other causes of neuropathy . Depending on the criteria used for diagnosis, it affects between 50% and 90% of patients with diabetes, and of these, 15-30% will have painful d... | 4 | Distal symmetric sensory polyneuropathy | Mononeuritis | Autonomic neuropathy | All of the above | Medicine | Endocrinology | 68b5caed-e01f-4385-aff7-44808d77250a | multi |
Chronotrophic means: March 2010 | Ans. B: Drugs affecting hea rate Chronotropic effects are those drugs that change the hea rate. Chronotropic drugs may change the hea rate by affecting the nerves controlling the hea, or by changing the rhythm produced by the sinoatrial node. Positive chronotropes increase hea rate; negative chronotropes decrease hea r... | 2 | Drugs affecting the contractility of hea | Drugs affecting hea rate | Drugs affecting the myocardial blood flow | Drugs affecting diastolic relaxation | Pharmacology | null | 720e1e5d-cacc-4bd0-8d66-a6c3d32a32fb | single |
In measuring Vickers hardness no. which of the following is used: | null | 4 | Spherical indenter | Steel ball indentation | Rhomboid shaped indenter | 136-degree diamond pyramid | Dental | null | 3d322929-64ee-40fa-a341-f6892fe631c0 | multi |
For pericardial calcifications, which is the best investigation- | Calcification anywhere in the body - IOC is CT scan Except for gall stones - IOC is USG So, for pericardial calcifications, the best investigation is CT scan. Figure: An incidental discovery of focal calcific plaque within the visceral pericardium. The patient was asymptomatic. | 4 | MRI | Transesophageal echocardiography | USG | CT scan | Radiology | CT SCAN | 02d215cc-24a9-4c99-8971-e1fb81435c81 | single |
Most specific test for organophosphorous poisoning is: | B i.e. Plasma cholinesterase level | 2 | RBC cholinesterase level | Plasma cholinestrase level | RBC uroporphyrin level | Measurment of serum level of organophosphorous | Forensic Medicine | null | cb6fb81a-ae0e-4946-8085-1447417de0d3 | single |
Lambda is meeting point of: | The lambda is the meeting point between the sagittal and lambdoid sutures. In the foetal skull, this is the site of the posterior fontanelle which closes at two to three months of age. | 3 | Coronal and sagittal suture | Coronal and lambdoid suture | Sagittal and lambdoid suture | None of the above | Anatomy | null | 685cd88a-d823-48ed-a78f-4d6b065ee25d | multi |
CSF examination in a one day old term male infant with convulsions reveals cell count -- 10 RBCs/HPF, 50 cells; protein -- 70 mg/dl.; sugar -- 30 mg/dl/Blood sugar 40 mg/di The child is likely to be suffering from | (B) Intracranial bleed # RBCs are normally not present in the CSF and their presence indicates traumatic tap or subarachnoid hemorrhage.# CSF characteristics:> Idiopathic seizures --Clear CSF with normal protein, normal glucose, no WBC's, no RBC's, normal opening pressure and normal % Gamma globulin.> Bacterial meningi... | 2 | Meningitis | Intracranial bleed | Hypoglycemia | None of the above | Medicine | Miscellaneous | 49fd22db-b917-4e72-9750-6c0fdb8643b7 | multi |
Feature of osteoahritis is - | Ans. is 'a' i.e., Heberden node Joint involvement in OA Common joints : Knee, Hip, Spine (cervical, lumbosacral), Hand (PIP, DIP, first carpometacarpal), first tarsometatarsal. Uncommon joint : Shoulder Spared : Wrist, elbow, ankle, metacarpophalangeal. In osteoahritis of hand : Distal interphalangeal joint :- Heberden... | 1 | Heberden node | Increased ESR | Onycholysis | Z deformity | Surgery | null | 3f7da90b-7b58-4737-bf2a-03764640a865 | single |
Most common cause of UTI in a neonate is | Causative agents of UTI:Uncomplicated UTIComplicated UTI*E.coli *Klebsiella*Proteus species*Enterobacter*Staphylococcus saprophyticus*Enterococci *Chlamydia , Neisseria *Ureaplasma, Mycoplasma . Adenovirus *E.coli *Klebsiella*Proteus species*Serratia marcescens*Pseudomonas *Enterococci Staphylococci Ref:Harrison's infe... | 1 | E.coli | S. aureus | Enterococcus | Anerobes | Microbiology | Bacteriology | e0fe8e8a-62d2-49f2-a17b-ac856889a1b5 | single |
Epinephrine added to a solution of lignocaine for a peripheral nerve block will : | null | 2 | Increase risk of convulsions | Increase the duration of action of the local anesthetic | Both (a) and (b) | None of these | Pharmacology | null | caccb5da-ef4b-44ad-bbde-9e54b45aecc5 | multi |
In Patey's mastectomy all the following are removed except | Ans. (a) Pectoralis major(Ref. Bailey and Love 26th edition Page 813)Structures removed in Patey's mastectomy:* Breast, nipple, areola including the skin overlying the tumor* Level 1,2,3 Lymphnodes* Fascia over Pectoralis major* Pectoralis minor muscle | 1 | Pectoralis major | Skin of the breast | Pectoralis minor | Ductular system of the breast | Surgery | Breast | a0a4a01c-1d4c-48b6-aa74-349433d37e2a | multi |
Axis is the name for: | Second cervical vertebra (axis)
Presence of odontoid process.
Transverse processes are small and lack the anterior tubercle.
Anterior margin of the inferior surface of the body projects downwards to a considerable extent.
Foramen transversarium is directed superolaterally (expand in typical vertebrae it is directed ve... | 3 | IV cervical vertebra | III cervical vertebra | II cervical vertebra | I cervical vertebra | Anatomy | null | 6c2fb816-bdbb-4774-89c3-dea2ad19c538 | single |
Reed sternberg cells are found in- | Hodgkin&;s lymphoma is characterised by the presence of neoplastic giant cells called Reed Sternberg cells.These cells release factors that induce the accumulation of reactive lymphocytes, macrophages, and granulocytes, which typically make up greater than 90% of tumour cellularity. RS cells are derived from the germin... | 1 | Hodkin's disease | Sickle cell anaemia | Thalassemia | CML | Pathology | Haematology | 36d28bf3-f48d-4d2d-9fb4-12eb81ceeaf2 | single |
16 yr unmarried girl came for vaccination against cervical cancer. Which vaccine to he given: | Ans. (A) Gardasil(Ref: Shaw's Textbook of Gynecology 16th Ed; Page No 495)Gardasil is the vaccine of choice in this situation.Other options:Biovac: It is freeze-dried live attenuated vaccine indicated for the prevention of Hepatitis A in persons of age 1 year or older.Rabivac: It is monovalent inactivated rabies vaccin... | 1 | Gardasil | Rabivac | Biovac | Tvac | Gynaecology & Obstetrics | Miscellaneous (Gynae) | 57f5085c-5527-4fc7-ac9c-a3802ac8b4b6 | single |
Insulin stimulated glucose entry in seen in- | Insulin stimulated glucose entry in seen in Cardiac muscles. Name Location Features GLUT-1 & GLUT-3 Brain, RBC, placenta Concerned with basal uptake of glucose GLUT-2 Liver, kidney, b-cells of pancreas Allows both entry & release of glucose GLUT-4 Skeletal muscles, adipocytes, cardiac muscles Insulin dependent transpoe... | 1 | Cardiac muscles | Smooth muscles | Brain | Intestines | Physiology | Endocrine System | 34b88b65-cb4a-41a1-84b2-001ad9600303 | single |
Cribriform hymen is seen - | Ref: Textbook of Forensic medicine and toxicology (V.V.Pillay) 17th edition, page no.354 Hymen is a thin fold of connective tissue, covered by mucous membranes, about 1 mm in overall thickness, situated at the vaginal orifice. They are of different types. cribriform is one of them, characterized by many small holes. As... | 4 | Post paum | Septate hymen | Sieve hymen | Virgin | Forensic Medicine | Sexual offences and infanticide | ed26d6d3-f7ec-4f41-b26d-3c7793216ff4 | single |
A 7 year old child with rheumatic heart disease presents with pallor, fever and a palpable spleen. The following investigations would be needed to arrive at a diagnosis except – | null | 1 | Electrocardiogram | Echocardiogram | Blood culture | Urine examination | Pediatrics | null | 4fe38f45-7890-4319-8d84-a35d72845b11 | multi |
In metabolic alkalosis, which Is true about excretion in urine | The NH3 production is greatly increased in metabolic acidosis and negligible in alkalosis. It is also observed that activity of renal glutaminase is enhanced in acidosis. The NH3 mechanism is a valuable device for the conservation of fixed base. Under normal conditions, 30 to 50 mEq of H+ ions are eliminated per day, b... | 4 | More of NH3 | Less of aceto-acetic acid | Betahydroxy butyric acid | Less ammonia | Biochemistry | Metabolism of protein and amino acid | c23b2919-7b9a-48c2-a54b-eb3a81113fea | multi |
In which of the following condition local excision in rectal carcinoma can not be done? | Suggested criteria for local excision in rectal cancer: Physical examination Imaging Histology Tumor <3 cm Tumor <30% of bowel circumference Tumor within 15 cm of dentate line Tumor freely mobile Tumor limited to submucosa (T1) No lymph node involvement (N0) Well to moderately differentiated Absence of lymphovascular i... | 4 | Within 10 cm of the dentate line | Lesion 2.7 cm | Involvement of <30% bowel circumference | T1 and T2 cancer with lymph node involvement | Surgery | Rectum and anal canal | cc5e1e79-bb47-45d4-8a9c-45b311f7b4ab | single |
Electron microscopy finding indicating irreversible cell injury is: | Irreversible injury is associated morphologically with:- Mitochondrial swelling Plasma membrane damage which forms myelin figures Lysosomal swelling. Large, flocculent, amorphous densities develop in the mitochondrial matrix | 3 | Dilation of ER | Dissociation of ribosomes from rough ER | Flocculent densities in the mitochondria | Intact cell membrane | Pathology | Irreversible cell Injury/Necrosis | d8df3767-6a85-49b3-bb28-5ea967bf26fc | single |
Which of the following excludes painful stimuli from awareness? | Repression is the defense mechanism which removes painful memories or unacceptable desires away from the consciousness or awareness. | 1 | Repression | Reaction formation | Projection | Rationalization | Psychiatry | Psychoanalysis | 4a753b66-6b14-49a4-882c-783401dc67ea | single |
Risk factor for suicide - | Ans. is 'b' i.e., Unmarried Causes/Risk factors for suicidePsychiatric disorders : - Depression (most common), alcoholism (2nd me), Drug/Substance dependence, Schizophrenia, Dementia.Physical illness : - Cancer, AIDS, Multiple sclerosis, Head trauma.Psychosocial factors : - Failure in love, marital difficulties, family... | 2 | Female sex | Unmarried | Age 30 years | Married | Psychiatry | Symptoms & Signs | 5000f2e2-5e62-4d9e-9020-c40a5218f4b5 | single |
At the level of Arch of aoa, the relationship of left vagus nerve and left phrenic nerve? | Phrenic nerve anterior, vagus nerve posterior | 1 | Phrenic nerve anterior, vagus nerve posterior | Phrenic nerve posterior, vagus nerve anterior | Both in same plane anteroposteriorly | Variable in relationship | Anatomy | null | 7328f426-1a4f-473a-972a-531ab59afdd8 | multi |
ACE inhibitor contraindicated in which of the following condition: | Ans. (a) Bilateral renal artery stenosisRef. Katzung's pharmacology 10th ed. Ch 11* ACEI inhibits the converting enzyme peptidyl dipeptidase that hydrolyzes angiotensin I to angiotensin II and (under the name plasma kininase) inactivates bradykinin, a potent vasodilator, which works at least in part by stimulating rele... | 1 | Bilateral renal artery stenosis | Chronic kidney disease | Post myocardial infarction | Diabetes mellitus | Pharmacology | ACE Inhibitors | a5b2e089-3e8a-490a-9387-74687302149f | single |
Nipple retraction in Ca breast due to infiltration of | Answer- B. Lactiferous ductsIt is seen in breast carcinoma due to infltration of the lactiferous ducts by carcinoma.It is due to extention of the growth along the lactiferous ducts and subsequent fibrosis.Nipple retraction is circumferential in carcinoma and slit like in periductal mastitis. | 2 | Suspensory ligaments | Lactiferous ducts | Lymphatics | Pectoralis fascia | Surgery | null | 1549adc4-6fcc-48e2-b107-3fd67065e5f5 | single |
Regarding spring catarrh, all of the following are true, except: | Limbus conjunctival thickening | 3 | Cobblestone appearance of conjunctiva | Common in spring months | Limbus conjunctival thickening | Sodium cromoglycate is a form of therapy | Ophthalmology | null | 11762b50-8c60-4a39-be4b-4cbf3aef7640 | multi |
All the following malignancies are associated with HIV, except- | Ans. is 'c' i.e., Astrocytoma Neoplastic disease in AIDS o Kaposi sarcoma (most common tumor) o Non Hodgkin lymphoma Immunoblastic lymphoma (most common lymphoma) Primary CNS lymphoma (associated with EBV) Burkitt's lymphoma Other less common neoplasm are Hodgkin's disease Leukemia Cervical Ca Brain tumor Testicular Ca... | 3 | Kaposi's Ca. | Non Hodgkin's lymphoma | Astrocytoma | Gastric adeno Ca. | Pathology | null | 35e2d662-b0ce-42fb-9bc3-69986cc3e23d | multi |
Genetic material is transferred from one bacteria to another by all except | Transfection is the method by which DNA is transferred into eukaryotic cell. | 3 | Transduction | Transformation | Transfection | Conjugation | Biochemistry | null | e585c7fd-54e4-47dd-883c-67abe196f782 | multi |
True about Hodgkin's lymphoma are all except? | HODGKIN'S LYMPHOMA : - HL arises in lymphoid tissue & spreads to adjacent lymph node areas in a relatively orderly fashion. -Patients commonly present with painless, non-tender, firm, rubbery, cervical or supraclavicular lymphadenopathy and usually some degree of mediastinal involvement. HEPATOSPLENOMEGALY IS A FEATURE... | 2 | Often localized to single axial group of lymph nodes | Hepatomegaly is always present | Contiguous spread of lymph nodes | Can be cured by Chemotherapy and Radiotherapy | Pediatrics | Neoplastic disorders of WBCs | 5aa39b7e-ef8a-4d42-85e1-b69eec6d0a99 | multi |
25 years old female has palatal ulcer and skin blister most likely diagnosis is – | Skin blister
Oral mucosa involvement (palatal ulcer) | 1 | Pemphigus vulgaris | Pemphigus foliaceous | Dermatitis herpetiformis | Pemphigoid | Dental | null | 7e6dd171-f659-4be9-9d53-6fb8ebf8f71c | single |
Concerning contraction of the diaphragm: | When the diaphragm contracts, it becomes flatter The phrenic nerves that innervate the diaphragm come from high in the neck, that is, cervical segments 3, 4, and 5. Contraction of the diaphragm causes the lateral distance between the lower rib margins to increase and anterior abdominal wall to move out. The intrapleura... | 2 | The nerves that are responsible emerge from the spinal cord at the level of the lower thorax | It tends to flatten the diaphragm | It reduces the lateral distance between the lower rib margins | It causes the anterior abdominal wall to move in | Physiology | Respiratory System Pa 1 | 0aa505ac-bc68-40f2-8f61-a292fa8e8201 | multi |
Infants of diabetic mothers are likely to have the following cardiac anomaly: | Ans. is d, i.e. Transposition of great arteriesRef. Fernando Arias 3/e, p 454As VSD is not given in the options, transposition of great vessels is the single best answer. | 4 | Coarctation of aorta | Fallot's tetralogy | Ebstein's anomaly | Transposition of great arteries | Gynaecology & Obstetrics | Medical & Surgical Illness Complication Pregnancy | f5955860-aa16-4f19-b13b-5e595e301389 | multi |
Congo red staining of abdominal fat has confirmed a diagnosis of Amyloidosis in a 28-year-old man. Which is the most common cause of death in primary AL Amylodosis? | Cardiac failure is the most common cause of death in primary or AL amyloidosis. Cardiac involvement is seen in 40% of patients with AL amyloidosis. Amyloid involvement of myocardium, intramural coronary aeries and conduction system may cause congestive hea failure, ischemic syndrome and rythm disturbances. Diagnosis of... | 2 | Respiratory failure | Cardiac failure | Renal failure | Septicemia | Pathology | null | 28e73efe-c768-4be7-ad94-d0f3fad85a48 | single |
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