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A 38-year-old woman complains to her physician of chronic pelvic pain that is much worse during her menstrual periods. Pelvic examination demonstrates an enlarged uterus with multiple palpable masses. Ultrasound shows that a large number of ball-like masses up to 6 cm diameter are present in the uterus. Most cases of t... | The vast majority of leiomyomas are found in the uterine fundus or body; with only 3% being found in the cervix. Of the leiomyomas in the fundus or body, 95% are intramural, with the remainder being located subserosally or submucosally. | 2 | Intramurally in the cervix of the uterus | Intramurally in the fundus or body of the uterus | Submucosally in the cervix of the uterus | Submucosally in the fundus or body of the uterus | Gynaecology & Obstetrics | null | 6533a844-14ba-4862-9c5d-a761c7a5b454 | multi |
A 9-month-old girl is brought with PR bleed, vomiting, mass in right lumbar region with masked liver dullness. She is in shock like condition. Management should include all of the following EXCEPT? | * In patients with prolonged intussusception with signs of shock, peritoneal irritation, intestinal perforation, reduction (with barium, saline or air) should not be attempted * Urgent laprotomy should be planned * But the first priority is urgent resuscitation ie A, B, C (airway, breathing, circulation). Hence in case... | 1 | Barium enema | IV fluid | Give O2 | Nasogastric tube | Pediatrics | Disorders of Gastrointestinal System Including Diarrhea | 9d56662a-e7c1-49ec-aaff-1a766fe9d442 | multi |
Which of the following is not a feature of consolidation | Answer is D (Tracheal shift to side of consolidation): Trachea stays in midline in consolidation (no mediastinal shift). Consolidation is usually caused by pneumonia. In this situation alveoli are full of inflammatory exudates but the size of the lung is unaffected so the trachea remains in its normal midline position. | 4 | Increased vocal resonance | Dull Percussion note | Bronchial Breath sounds | Tracheal shift to side of consolidation | Medicine | null | 1eaf51d2-d11e-4635-b647-c84deef15b97 | single |
Cadaveric position of vocal cords ? | Ans. is 'c' i.e., 3.5 mm from midline Position of vocal cords The position of the vocal cords may be described as being in various positions. These are : ? 1. Median position The vocal cords are in midline. This is the position of normal larynx during phonation and in recurrent laryngeal nerve palsy. 2. Paramedian posi... | 3 | Midline | 1.5 mm from midline | 3.5 mm from midline | 7.5 mm from midline | ENT | null | b276f941-a708-4910-b24b-4d9e038fa10b | single |
Which one of the following phenomena is closely associated with slow wave sleep: | C i.e. Sleep walking | 3 | Dreaming | Atonia | Sleep walking | Irregular hea rate | Physiology | null | 62bf7e0c-1e12-4d5b-be73-a1f150953ee2 | single |
2-year-old child presents with sho stature and cafe-au lait spots. Bone marrow aspiration yields a little material and mostly containing fat. What is your diagnosis: | - All features given in the question suggests the diagnosis of Fanconi anemia Common physical findings in Fanconi Anemia (FA): - Skin pigment changes including Cafe-au-lait spots (55% cases) - Sho stature (in 50% cases) - Microcephaly - Thumb and radial malformations - Renal and cardiac malformations - Hypogonadism - A... | 1 | Fanconi anemia | Dyskeratosis congenita | Tuberous sclerosis | Osteogenesis imperfecta | Pediatrics | Aplastic anemia | b4499541-3fb7-497d-8ddb-1a01b7070556 | single |
The following statements are true regarding Chlamydia except: | Unique properties of Chlamydia are
Chlamydia is an obligate intracellular parasite. This means they can survive only by establishing residence inside
Animal cells
They need their host's ATP as an energy source for their own cellular activity. They are energy parasites using a
Cell membrane transport system that uses AT... | 3 | Erthromycin is effective for therapy of Chamydial infections | Their cell wall lacks a peptidoglycan layer | They can grow in cell free culture media | They are obligate intracellular bacteria | Microbiology | null | f5f68884-783c-4d79-bdbe-c4c530e93d60 | multi |
Which of the following tests is best for differentiating ACTH secreting pituitary tumour from Ectopic ACTH production? | 24 hour urinary coisol levels are elevated in both subsets: ACTH secreting pituitary tumour and Ectopic ACTH secretion. Overnight Dexamethasone suppression test involves overnight 1mg dexamethasone tablet and measurement of 8am morning serum or urinary coisol. It is used to diagnose hypercoisolism but cannot identify e... | 4 | 24 hour Urinary free coisol | Overnight dexamethasone suppression test | Low dose dexamethasone suppression test | High dose dexamethasone suppression test | Medicine | Cushing Syndrome | 78ff9b75-1a94-42c6-bd4c-050178f9c668 | single |
Forceps delivery is done in all except: | Option ‘a’
Mentoposterior: Before going on to mentoposterior, lets see mentoanterior.
Mentoanterior
Dutta Obs. 7/e, p 390
In mentoanterior face presentation there is place for spontaneous vaginal delivery and liberal episiotomy is all that is required. In case of delay, forceps delivery is done.
In mentoposterior: 20 ... | 1 | Mentoposterior | Deep transverse arrest | After coming head | Maternal heart disease | Gynaecology & Obstetrics | null | b8dc2052-eadc-4424-8605-dfcda27f76a1 | multi |
Pentamidine therapy causes all, EXCEPT ? | Ans. is None o Patients who receive aerosolized pentamidine have increased frequency of upper lobe infiltrates. Pneumothorax also occurs. o Risk factor for extrapulmonary spread in patients with HIV is the administration of aerosolized pentamidine. o In patients with PCP who have been receiving aerosolized pentamidine ... | 4 | Upper lobe infiltrates | Cavitation | Extrathoracic manifestation | None | Pharmacology | null | 6b4bcf23-327e-462a-8d79-d800eaff5e89 | multi |
True about hepatitis C virus are all except - | Ans. is 'b1 i.e., Has live attenuated vaccineHEPATITIS C VIRUS (HCV)o The hepatitis 'C' virus has been classified as a new' genus Hepacivirus in the family flaviviridae.o The virus can not be cultured but can be cloned in Escherichia coli.o It is the commonest cause of post transfusion hepatitis and chronic hepatitis.o... | 2 | Most common cause of chronic infection | Has live attenuated vaccine | Spread by blood transfusion | Is a flavivirus | Microbiology | Hepatitis Viruses | 73dff7b3-fbaa-4303-a02b-c2ead9458c6b | multi |
In IMNCI, pneumonia is classified by- | null | 1 | Fast breathing | Wheezing | Fever | Chest indrawing | Social & Preventive Medicine | null | bb59359b-4da4-406d-93a9-147d2d7dab9c | single |
Digestion of disaccharides occurs at ? | Ans. is 'c' i.e., Small intestine Digestion of disaccharides (maltose, sucrose and lactose) occurs by the enzymes present in brush border os small intestinal epithelial cells. Maltase (a-glucosidase) breaks 1: 4 linkages in maltose and maltotriose and releases glucose (two molecules of glucose from maltose and three mo... | 3 | Mouth | Stomach | Small intestine | Large intestine | Physiology | null | 2735f98e-fbd5-44a2-ac6b-c56b745d5c13 | multi |
A 30 year old female patient complains of painless hard anterior neck mass. FNAC was inconclusive. Open thyroid biopsy was performed which revealed the fibrous nature of the mass, woody, non tender thyroid, mimicking carcinoma is observed. The diagnosis points towards | null | 2 | De Quervain's thyroiditis | Riedel's thyroiditis | Hashimoto’s thyroiditis | None of the above | Surgery | null | 2c676972-bd4f-4a3c-b082-2af34b86c74c | multi |
A person's X-ray chest showing homogenous opacity on right side with shifting of mediastinum on opposite side. Most probable diagnosis is/are: | Answer- (B) Pleural effusionPneumonectomy chest (Early sip: within 24 hr): Paial filling of thorax, ipsilateral mediastinal shift & diaphragmatic elevation.Homogenous opacityShift of mediastinum to the opposite sideConcave upper border (Ellis's curve) | 2 | Collapse | Pleural effusion | Pneumothorax | Consolidation | Medicine | null | b6ef3522-a092-4dcc-a3ac-a3a116737c97 | single |
All of the following causes coloured halos except | Halos can sometimes be a normal response to bright lights. Halos can also be caused by wearing eyeglasses or corrective lenses (contact lenses), or they can be a side effect of cataract or LASIK surgery. ... Thehalos are a result in diffraction of light entering your eye | 2 | Corneal edema | Retinal degeneration | Foreign body | Steroids | Ophthalmology | Miscellaneous | 653e3d8c-294d-4b1f-b906-70910858c356 | multi |
Which of the following is not a function of liver ? | Ans. (c) Production of vitamin KRef: Robbin's pathology 9th ed. Z821* Vitamin K is produced by the bacteria of gut and is used by liver for gamma carboxylation of factor 2/7/9/10.# Liver produces albumin which falls in liver cirrhosis producing ascites/edema.# Ammonia is combined with carbon dioxide to produce urea whi... | 3 | Production of albumin | Detoxification of ammonia | Production of vitamin K | Metabolism of drugs | Pathology | Liver | 0cc45da7-d0cb-41ba-83b3-017004d97f6d | single |
An elderly woman suffering from schizophrenia is on antipsychotic medication. She developed purposeless involuntary facial and limb movements, constant chewing and puffing of cheeks. Which of the following drugs is least likely to be involved in this side effect - | Purposeless involuntary facial and limb movements, constant chewing and puffing of checks suggest the diagnosis of tardive dyskinesia (an extrapyramidal side effect of antipsychotics).
Clozapine does not produce extrapyramidal side effects. | 2 | Haloperidol | Clozapine | Fluphenazine | Loxapine | Psychiatry | null | b51cbca7-30ed-4bf0-8394-7f631badc598 | single |
Cluster testing is used in the detection of- | .Cluster testing is used in the detection of of STD S.here the patients are asked to name other persons of either sex ho move in the same socio-sexual environment.these persons are then screened .this technique ha been shown almost to double the number of cases found ref:park&;s textbook,ed22,pg no 312 | 1 | STD | Diabetes | Measles | Cancer | Social & Preventive Medicine | Epidemiology | f87e8b2f-c2e9-464e-a3ec-57a34b4214c4 | single |
Ethmoidal polyp is ? | Ans. is 'c' i.e., Recurrent | 3 | Due to infection | Single | Recurrent | Occurs in children | ENT | null | c48cb327-9a3e-4fe4-a50b-123bb5f3241a | single |
Which of the following is not seen in Tuberous sclerosis ? | Ans. is 'c' i.e., McCollon Plaques | 3 | Shagreen patch | Adenoma sebacecum | McCollon Plaques | Depigmented nevi | Pathology | null | 89f42e2a-0429-4162-b3d2-e5ca9b538ca1 | single |
A 35 yr old pregnant female at 40 weeks gestational age presents with pain and regular uterine contractions every 4-5min . On arrival the patient is in a lot of pain and requesting relief immediately. Her cervix is 5 cm dilated. What is most appropriate method of pain control for this patient | When complete relief of pain is needed throughout labor epidural analgesia is safest and simplest | 4 | Intramuscular morphine | Pudendal block | Local block | Epidural block | Anatomy | General obstetrics | 51d51590-d9b3-4798-9262-b8121e401a38 | single |
Schistosomiasis is an example of - | Ans. is 'a' i.e., Meta-zoonoses Zoonoseso Zoonoses are diseases and infections which are naturally transmitted between vertebrate animal and man.o The zoonoses may be classified according to the direction of transmission of disease : -AnthropozoonosesInfection is transmitted to man from lower vertebrate animals.Example... | 1 | Meta-zoonoses | Cyclo-zoonoses | Direct-zoonoses | Sporo-zoonoses | Microbiology | Helminthology | 4f6b0e9a-94db-43d0-a155-b839e77bd5ae | single |
Treatment of hydatid cyst | Puncture - aspiration- injection -reaspiration (PAIR) done percutaneously because it is safe, less invasive, easier to do with low morbidity and moality. Reference: SRB 5th edition page no. 604 | 2 | Excision of cyst | Percutaneous drainage | Conservative management | None | Surgery | G.I.T | 5499cbaa-2581-4f4a-a2f1-81fca6237d53 | multi |
The structure damaged in the given condition is responsible for all except: | The condition given here is Bell's palsy i.e. LMN (lower motor neuron) lesion of Facial nerve . In this the ipsilateral half of the face is affected. The facial nerve emerges from the pons of the brainstem, controls: Muscles of facial expression, and Carries taste sensations from the anterior two-third of the tongue (c... | 3 | Taste sensation of ant 2/3rd tongue | Lacrimal gland secretion | Parotid gland secretion | Platysma contraction | Anatomy | Neuroanatomy, Head and Neck | e4d302b1-ce02-4108-91b0-b2b39562f2ce | multi |
H. pylori has been implicated in all, except | H pylori infection is almost always present in the setting of active chronic gastritis and is present in most patients with duodenal (80% to 95%) and gastric (60% to 90%)ulcers. Most patients with gastric cancer have current or past H. pylori infection.There is also a strong association between mucosa-associated lympho... | 4 | Gastric ulcer | Gastric carcinoma | Gastric lymphoma | GIST | Surgery | G.I.T | 004235a3-b8b2-4093-8459-3ce376674d79 | multi |
A 41 year old man presented with swelling over parotid area. He has only mild pain. Which is the commonest tumor of the parotid? | Pleomorphic adenomas or benign mixed tumors, are the most common neoplasms of the salivary glands. They represent approximately 60-70% of all parotid tumors and 90% of submandibular benign tumors. These neoplasms affect females more than males and are commonly seen in the third to sixth decades of life. Histologically,... | 1 | Pleomorphic adenoma | Monomorphic adenoma | Wahin's tumor | Adenocarcinoma | Anatomy | null | bba7a26a-191b-4772-84ec-0d4da14d1e46 | single |
Depression is not a side effect of | Answer is option4, flupenthisol. The antidepressive and anxiolytic efficacy of flupenthixol has been investigated in numerous controlled and open trials involving patients with endogenous, reactive as well as senile depressions. When administered at a mean daily single or multiple dose of 1-2 mg, flupenthixol proved to... | 4 | Propanolol | Oral contraceptives | Reserpine | Flupenthixol | Pharmacology | Central Nervous system | 50cb0de0-10bf-4040-adbe-047f0ab6fbad | single |
Of the following permanent teeth, which is least likely to have two roots? | null | 1 | Maxillary canine | Mandibular canine | Maxillary first premolar | Mandibular first premolar | Dental | null | a4b1d3d3-daed-49cc-9865-95705c164cad | single |
Drug of choice for pregnant female suspected of having a baby with congenital adrenal hyperplasia | Refer Goodman Gilman 12/e p 123 To suppress fetal androgen production effectively band consequent virilization Dexamethasone must be initiated before 10 weeks of gestation To treat congenital adrenal hyperplasia is baby hydrocoisone is used. | 1 | Dexamethasone | Betamethasone | Hydrocoisone | Prednisolone | Pharmacology | Endocrinology | 0bc67e92-c62b-4458-8966-4411a6fdad85 | single |
The drug that inhibits uterine contractility and cause pulmonary edema is : | Ans. is a i.e. Ritodrine Pulmonary edema is a serious complication of beta-adrenergic therapy (ritodrine) and MgSO4. This complication occurs in patients receiving oral or (more common) intravenous treatment. It occurs more frequently in patients who have excessive plasma volume expansion, such as those with twins or t... | 1 | Ritodrine | Nifedipine | lndomethacin | Atosiban | Gynaecology & Obstetrics | null | 0866ac89-26cd-40e1-a75a-1020d6a821ab | single |
A patient presents with diarrhoea. analysis of stool on wet mount shows mobile protozoa without RBCs and pus cells. The diagnosis is - | Ans. is 'b' i.e., Giardiasis . Mobile protozoa with absence of RBC's and pus cells in stools in a patient with diarrhoea suggests giardiasis. . In balantidum cob and entomoeba histolytica infections, pus cells and RBC's will be present in stools. Trichomonas hominis is considered as non-pathogenic | 2 | Balantidium coil | Giardiasis | Trichomonas hominis | Entamoeba histolytica | Microbiology | null | 7d05f799-cfba-4563-a9cf-94e242e445e8 | single |
A clinical study involves patients diagnosed with carcinoma whose tumor stage is T4N1M1. The patients' survival rate 5 years from the time of diagnosis is less than 50%, regardless of therapy. Which of the following clinical findings is most likely to be characteristic of this group of patients? | Cachexia is a common finding in advanced cancers, and weight loss without dieting in an adult is a "red flag" for malignancy. The exact cause for this is unknown, but increases in circulating factors such as tumor necrosis factor (TNF) may play a role. Cardiac murmurs may occur in the development of nonbacterial thromb... | 1 | Cachexia | Cardiac murmur | Icterus | Loss of sensation | Pathology | Neoplasia | ae75432e-33e2-49bf-9b11-f13effe588b5 | single |
Thiopentone is absolutely contraindicated in | (Porphyria): (381 -- KDT 7th edition; 536- Goodman 12th7or variegate)Thiopentone can precipitate acut intermittent or variegate porphyria in susceptible individuals therefore contraindicated. The abnormal synthesis of protoporphyrin (important in hemoglobin production) results in excess porphobilinogen. Barbiturates in... | 1 | Porphyria | Moribund patients | Increased intracranial pressure | Meningitis | Pharmacology | Anaesthesia | e1a6bd20-0da6-47b4-9f16-bca48ed0f609 | single |
True regarding the rubens valve is | Rubens valve is a non – rebreathing valve used in self inflating resuscitation bags. It jams in inspiratory position occasionally. It allows spontaneous breathing . | 1 | Is a non-rebreathing valve | Will not allow spontaneous respiration | Is a pressure reducing valve | May jam in expiratory position | Anaesthesia | null | 2a5ff149-abbd-4a25-b54f-25eb11496918 | multi |
Loeffler's medium is- | Enriched media The media containing ingredients which enhance their growth-promoting qualities E.g. Blood agar, Chocolate agar and Loeffler medium. The usual media employed for cultivation of the diphtheria bacillus are Loeffler's serum slope and tellurite blood agar. Diphtheria bacilli grow on Loeffler's serum slope v... | 4 | Indicator medium | Selective medium | Enrichment medium | Enriched medium | Microbiology | General Microbiology Pa 1 (History, Microscopy, Stains and Structure and Physiology of Bacteria) | 824d1c19-abe7-4f68-a16f-a464c6d1bc7c | single |
All are true about halothane except - | Ans. is 'a' i.e., Tachycardia o Halothane causes bradycardia.Halothaneo It is a volatile liquid with sweet odour, nonirritating and noninflammable.o It is a potent anaesthetic with poor analgesic and muscle relaxant properties,o Halothane causes direct depression of myocardial contractility by reducing intracellular Ca... | 1 | Tachycardia | Hepatitis | Bronchodilatation | Uterine relaxation | Anaesthesia | Miscellaneous General Anesthesia | 720c5709-85a2-4f38-a521-02ca3e26ef24 | multi |
A man coming from a mountain whose wife died 6 months prior says that his wife appeared to him and asked him to join her. The diagnosis is | B i.e. Grief psychosis Bereavement, Grief, or Mourning is a psychological reaction of those who survive a significant loss. Differences between normal & abnormal grief:Identifying with a deceased person such as taking on ceain admired traits or treasuring ceain possessions is normal; believing that one is the deceased ... | 2 | Normal grief | Grief psychosis | Bereavement reaction | Supernatural phenomenon | Psychiatry | null | 5042da44-cdf1-4bd1-943c-8213d3155fef | single |
Ocular manifestation in giant cell arteritis? | Ans. a. Arteritic AIONAION occurs due to interference of blood supply to anterior part of optic nerve (posterior ciliary artery)AION can be clinically differentiated into:Arteritic AIONNonarteritic AION*. Due to giant cell arteritis*. Due to occlusion of short posterior ciliary artery*. Sudden, severe visual loss (6/60... | 1 | Arteritic AION | Nonarteritic AION | Papilledema | Horners Syndrome | Ophthalmology | Errors of Refraction | 4c4b3857-ea2a-4efa-b38a-c93bc6d0fcbe | single |
A 43-year-old man suddenly develops odynophagia. Which organism is most likely to be isolated on throat culture? | Odynophagia is a sensation of sharp retrosternal pain on swallowing. It is usually caused by severe erosive conditions such as Candida, herpes virus, and corrosive injury following caustic ingestion. | 3 | Mononucleosis | S. aureus | Normal pharyngeal flora | Group A streptococci | Surgery | Miscellaneous | bfa24e20-d6da-455b-b682-5938605617be | single |
Which disease is associated with the Father of Public Health? | Dr. John Snow was the first to associate Cholera to a sewage-affected drinking water pump in London Ref: 25th edition Park&;s Textbook of Preventive and Social Medicine, Page no. 25 | 2 | Malaria | Cholera | Tuberculosis | Plague | Social & Preventive Medicine | Concept of health and disease | 90a82749-bd6e-4c10-9f4f-c262b8a85c54 | single |
Caloric test is done for | Ans. (a) Semicircular canalRef. Dhingra's ENT 5th ed. / 48* Caloric test is used to assess vestibular function. The basis of this test is to induce nystagmus by thermal stimulation of the vestibular system.* Done by taking water of 2 temperatures, cold (30degC) and hot (44degC).* Position of the test: Supine then lift ... | 1 | Semicircular canal | Macula | Saccule | Cochlea | ENT | Assessment of Vestibular Function | a5370ba7-4fd4-4514-b168-5cb78fed20c9 | single |
In humans, effective renal blood flow is ? | C i.e., 625 ml | 3 | 425 | 525 | 625 | 725 | Physiology | null | 190f6489-af1b-4687-bdf7-a887b02bec44 | single |
Typhoid carriers are detected by following except ? | Ans. is 'd' i.e., Widal test | 4 | Isolation of bacteria from urine | Isolation of bacteria from bile | Vi antigen | Widal test | Microbiology | null | 929b4333-cf83-46de-bd82-d6d6b120057b | multi |
Which of the following statements regarding live vaccines is false? | When the administration of two live vaccines is mandatory, it can be given simultaneously but either: ? at different sites of injection or ? at an interval of at least 3 weeks Ref: Park's Textbook of Preventive and Social Medicine By K. Park, 19th Edition, Page 97; Immunology for The Health Sciences By Nicholas J. Vard... | 1 | Two live vaccines cannot be administered simultaneously | Booster doses are not required when live vaccines are administered | Single dose gives life long immunity | Live vaccine contains both major and minor antigens | Social & Preventive Medicine | null | 8a16d4ca-8120-463c-be56-be209b6727e6 | multi |
Magnan's symptom is seen in: | Altered tactile sensation: the person feel that some insects are crawling on his skin. This is known asMagnan's symptomorcocaine bugs(formication). Cocaine is an alkaloid derived from plantErythroxylon coca. | 2 | Datura | Cocaine | Opium | Cannabis | Forensic Medicine | NEET Jan 2020 | 96f7eed7-3d52-4284-8d1a-56ed7e600129 | single |
The earliest manifestation of increased intrcranial pressure following head injury is | In general, symptoms and signs that suggest a rise in ICP include altered level of consciousness, headache, vomitingwithout nausea, ocular palcies, back pain and papilledema. If papilledema is protracted, it may lead to visual disturbances, optic atrophy, and eventually blindness. The headache is classically a morning ... | 3 | Ipsilateral pupillary dilatation | Contralateral pupillary dilatation | Altered mental status | Hemiparesis | Surgery | Trauma | dce8f390-9da2-4f5a-a4ac-c872f5a4b2b0 | single |
True about Bochdalek hernia is - | Ans. is 'c' i.e., Differential diagnosis for pleuropericardial cyst Differential diagnosis of CDH o Pulmonary sequestration o Cystic adenomatoid malformation o Pleuropericardial cysts | 3 | Seen on right side | Anterior position | Differential diagnosis for pleuropericardial cyst | All | Pediatrics | null | a488675d-ee02-4851-a9b8-bd755e93c4aa | multi |
Which bone do not contributes to the medial wall of the orbit? | ANSWER: (D) ZygomaREF: Grays anatomy 39th edition, page 688-690 style="font-size: 1.04761904761905em; color: rgba(0, 0, 0, 1); font-family: Times New Roman, Times, serif">part_8/chapter_45.htmlIndirect repeat in December 2010WALLS OF THE ORBIT:The orbit possesses four walls; a roof, lateral wall, floor, and medial wall... | 4 | Ethmoid | Lacrimal | Frontal | Zygoma | Anatomy | Orbit | 5c9f5fdd-afb8-4f0f-929b-f5f25eb72678 | multi |
Swan neck deformity - | Ans. is 'd' i.e., Extention at PIP and Flexion at DIP joint * Boutonniere deformity: Flexion contracture of PIP joint and extension of DIP joint.* Swan neck deformity: Hyperextension of PIP joint and flexion at DIP joint. | 4 | Flexion at PIP and DIP joint | Extention at PIP and DIP joint | Flexion at PIP and Extention at DIP joint | Extention at PIP and Flexion at DIP joint | Orthopaedics | Arthritis | 605e325d-0517-443a-8f29-26b27529ae53 | single |
A 55-year-old man with recent onset of atrial fibrillation presents with a cold, pulseless left lower extremity. He complains of left leg paresthesia and is unable to dorsiflex his toes. Following a successful popliteal embolectomy, with restoration of palpable pedal pulses, the patient is still unable to dorsi- flex h... | This case illustrates two (among many) conditions that lead to the anterior compartment syndrome, namely, acute arterial occlusion without collateral inflow and rapid reperfusion of ischemic muscle. Treatment for a compartment syndrome is prompt fasciotomy Assessing a compartment syndrome and proceeding with fasciotomy... | 4 | Electromyography (EMG) | Measurement of anterior compartment pressure | Elevation of the left leg | Immediate fasciotomy | Surgery | Arterial Disorders | f8ba2e1f-b541-44d0-96eb-86220255a736 | multi |
Which of the following is not a CT feature ofAdrenal adenoma – | Adrenal adenoma on contrast-enhanced CT/MRI shows rapid uptake and relatively rapid washout of contrast material than do non adenomasQ.
Adenoma: CT features
Well defined/sharply defined
<5 cm in size
Low attenuation (<10 HU) due to lipid content
Mild homogenous enhancement
Relatively rapid washout of contrast materia... | 3 | Low attenuation | Homogenous density and well defined borders | Enhances rapidly, contrast stays in it for a relatively longer time and washes out late | Calcification is rare | Radiology | null | 83a3de3d-ac6c-43a5-82e2-4884a5efe57c | single |
Most common cause of death in primary amyloidosis is? | ANSWER: (B) Cardiac failureREF: Harrison's Internal Medicine 17th edition chapter 324. AmyloidosisThe kidneys are the most frequently affected organ (80%), Renal amyloidosis is usually manifested by proteinuria, which is often in the nephrotic range and associated with significant hypoalbuminemia and edema or anasarca;... | 2 | Respiratory failure | Cardiac failure | Renal failure | Septicemia | Pathology | Amyloidosis | 8aacbbd5-2f47-4cb2-825e-fc1721030ba3 | single |
Pyoderma-gangrenosum is most commonly associated with - | null | 1 | Ulcerative colitis | Crohns disease | Amoebic colitis | Ischemic colitis | Surgery | null | f6b4543e-3d18-4e0b-b2b0-995cb02f502a | single |
AML transformation common in - a) Aplastic anemia b) MDS c) Megakaryocytic thrombocytopenia d) None | null | 1 | ab | bc | d | ca | Medicine | null | 4e9e5fa2-8260-4724-84af-429660fed809 | multi |
Which of the following is false about mucocele of gallbladder | Mucocele(Hydrops) Mucocele results from Prolonged obstruction of the cystic duct, usually by a large solitary calculus Obstructed GB lumen is progressively distented by mucus (mucocele) or by clear transudate(hydrops) produced by mucosal epithelial cells Clinical features A visible, easily palpable, non tender gallblad... | 4 | Complication of gallstones | Treatment is early cholecystectomy | Obstruction at neck of gallbladder | Gallbladder is never palpable | Anatomy | G.I.T | 135949da-c776-4329-b1d0-32283c9176c2 | multi |
Most Common Tumour of Eyelid is: | BCC | 2 | Sebaceeous Ca | BCC | SCC | Malignant melanoma | Ophthalmology | null | 8b652c87-995b-48e2-94df-d599b42fed18 | single |
Intolerance to loud sound, nerve affected is | Clinical features of the 7th nerve palsy: Eyeball turns up and out Saliva dribbles Tears flow down Pain in the ear Noise intolerance Loss of taste Ref: Dhingra 7e pg 104. | 2 | 5th nerve | 7th nerve | 10th nerve | None | ENT | Ear | d58eefb3-547d-46a2-b7ad-f39ddfe3a110 | multi |
Thyroid hormone formation involves many steps. Which of the following amino acid is the precursor for thyroxine? | Tyrosine: Tyrosine is the precursor of triiodothyronine and thyroxine. Neural cells conve tyrosine to epinephrine and norepinephrine. While dopa is also an intermediate in the formation of melanin, different enzymes hydroxylate tyrosine in melanocytes. Dopa decarboxylase, a pyridoxal phosphate-dependent enzyme, forms d... | 2 | Glycine | Tyrosine | Phenylalanine | Iodine | Biochemistry | null | a067cd4a-067c-44dd-8ed3-e4a6d1fcfb7f | multi |
Once the enamel formation is complete, the tooth will erupt after approximately: | null | 3 | One year | Two years | Three years | Four years | Dental | null | 05f5fccb-68b9-42f4-8468-1d8fc56c6275 | single |
Sputum positive patient who should be quarantined: | Ans. (d) Children below 6 yearsRef: K. Park 23rd ed. /182-84* About national TB program, if a person is smear positive for TB:# All the family who is in close contact with the patient is given prophylaxis# Children under age 6 is given prophylaxisNote: India's Revised National Tuberculosis Control Programme (RNTCP) rec... | 4 | Pregnant women | Old people | Children above 6 years | Children below 6 years | Social & Preventive Medicine | Tuberculosis | 7f56f120-7ea2-4701-91a8-ebcacede19f7 | multi |
Ca 125 is used in diagnosis of - | null | 1 | Ovarian cancer | Gall bladder cancer | Carcinoids | Bronchogenic cancer | Pathology | null | 04de5b48-1660-4d18-9285-b2310b9b72e2 | multi |
Which of these pathologies is the most common benign tumour of the parotid gland? | Mumps causes the classic bilateral parotitis, but it can present as a unilateral enlargement in rare cases. Heerfordt syndrome includes sarcoidosis.
Tuberculosis historically was associated with ‘cold abscess’. It is caused by Mycobacterium tuberculosis, an acid-fast bacterium that does not stain with Gram stain. It re... | 4 | Mumps | TB | Heerfordt syndrome | Pleomorphic adenoma | Surgery | null | f69d4dbd-dad9-4991-bb7e-98a78b1aea4c | single |
A patient has ecchymosis and petechiae all over the body with no hepato-splenomegaly. All are true except | Ans. is 'b' i.e., Bleeding into the joints Features of Acute and Chronic Idiopathic Thrombocytopenic Purpura Feature Acute ITP Chronic ITP Peak age of incidence Children 2-6 year Adults, 20-40 year Sex predilection None 3:1 female to male Antecedent infection Common 1-2 week Unusual Onset of bleeding Before Abrupt Insi... | 2 | Increased megakaryocytes in bone narrow | Bleeding into the joints | Decreased platelet in blood | Disease resolves itself in 80% of Patients in 2-6 | Medicine | null | 496937f2-965c-4f9e-a25a-c3cf3c70b2f2 | multi |
Which body pa is represented superiorly and medially within the postcentral gyrus? | In the postcentral gyrus (somatosensory area) of each hemisphere, the sensory information from the opposite side of the body is received. The lower limb representation is found in the superior and medial poion of the postcentral gyrus (see the figure below). The lateral poion of the postcentral gyrus receives somatic s... | 2 | Upper limb | Lower limb | Abdomen | Genitalia | Physiology | Sensory System | 76a56926-ea07-466a-ab1f-f7530f5572a9 | multi |
A 62 year old man has a 25 year history of alcoholism and liver disease. He visits his physician complaining of pain and swelling of his legs. A decrease in which of the following is the most likely cause of the peripheral edema? | The plasma colloid osmotic pressure is often low in alcoholics with chronic liver disease (cirrhosis). The diseased liver cannot produce adequate amounts of albumin, which leads to a decrease in the concentration of albumin in the plasma, i.e., hypoalbuminemia. Because about 75% of the plasma colloid osmotic pressure c... | 4 | Capillary hydrostatic pressure | Interstitial colloid osmotic pressure | Interstitial hydrostatic pressure | Plasma colloid osmotic pressure | Physiology | null | ae682a71-5f7a-4634-868a-613dca5288fa | single |
Most common cause of dissecting hematoma is | Aoic dissection occurs when blood splays apa the laminar planes of the media to form a blood-filled channel within the aoic wall.Aoic dissection occurs mainly in two age groups: (1)men aged 40 to 60 with antecedent hypeension (more than 90% of cases); and (2) younger patients with connective tissue abnormalities that a... | 1 | Hypeension | Marfan's syndrome | Iatrogenic | Kawasaki | Pathology | Cardiovascular system | 0c30a288-6c6b-4429-b4a2-ccb8f6b38f61 | single |
Charcot's triad include | Charcot's triad is a feature of ascending cholangitis secondary to CBD stones.Intermittent symotoms are produced as the stone moves proximally & floats with relieving of obstruction and subsiding of symotoms.The triad includes fever,jaundice and pain(maybe colicky). SRB's manual of surgery,5th edition,page no:651. | 1 | Fever, pain, jaundice | Fever, vomiting, jaundice | Fever, Jaundice, Abd, distension | Fever, chills, jaundice | Surgery | G.I.T | f188b9a2-7bcc-4407-a8b7-d47116a2f6b7 | single |
Die is commonly seen in - | Acute promyelocytic leukaemia (M3) may be associated with a serious coagulation abnormality ,disseminated intravascular coagulation.Reference :Davidson's principles & practices of medicine 22nd edition pg no 383. | 3 | MlAML | M2AML | M3AML | M4AML | Medicine | Haematology | a7688745-f81c-4849-a540-8413e9259e4f | single |
Thermoregulatory response activated by cold is | null | 3 | Cutaneous vasodilatation | Anorexia | Increased voluntary activity | Increased respiration | Medicine | null | 0fbadef5-c894-431e-b847-ba183a628d1f | single |
Humans become infected by M.tuberculosis commonly by | M.tuberculosis is mainly transmitted by direct inhalation of aerosolised bacilli contained in the droplet nuclei of expectorated sputum. Generated while coughing. sneezing,or speaking of infected patients. There may be as many as 3000 infectious nuclei per cough. The tiny droplets may remain suspended in the air for se... | 3 | Ingestion | Contact | Inhalation | Inoculation | Anatomy | Bacteriology | ae4229bf-518e-4107-bd92-9a24ff05f267 | single |
Umbilical cord usually separates in newborns on: | Ans. C. Day 7-10Umbilical cord is the connection between the mother and the fetus in the intrauterine stage and includes two arteries and one vein. It usually separates in children between day 7-10, either by dry gangrene or a residual moist base. | 3 | Day 1 | Day 2-3 | Day 7-10 | After 1 month | Pediatrics | New Born Infants | aaee1eb4-5f0e-4268-aa42-7a21da84de10 | multi |
Delayed pubey is when primary amenorrhea is seen without development of secondary sexual characters beyond the age of? | Delayed pubey: Girls: Absence of secondary sexual characters by 13 yrs of age / Absence of menarche by 16 years of age / within 5 yrs of onset of pubey Boys: Lack of pubeal changes by 14 yrs of age | 3 | 12 years | 14 years | 16 years | 18 years | Pediatrics | Disorders of Pubey | 4825f9a3-4cb7-41ef-adcd-9a3bdf9e33e7 | single |
Most common cause of central precocious pubey in girls: | - MCC of central precocious pubey in girls is Idiopathic. - Organic causes are more common in boys. - OTHER CAUSES: Infections - TB, meningitis Injuries - Trauma, neurosurgery, Radiotherapy Tumors - Hypothalamic hamaoma (Gelastic seizures)- MCC of organic central precocious pubey CNS malformations like arachnoid cyst ,... | 2 | Exogenous estrogen | Idiopathic | CNS tumor | Hypothyroidism | Pediatrics | Disorders of Pubey | 8254a3a6-8642-40d5-a619-03afeabb5e3c | single |
Which test is used to compare kapian-meier survival curve- | Ans. is 'C' i.e., Log rank test o The Kaplan-Meier estimator is an estimater for estimating the survival function from life time data. o A plot of the Kaplan-Meier estimate of the survival function is a series of horizontal steps of declining magnitude which, wrhen a large enough sample is taken, approaches the true su... | 3 | T-test | Chi-square test | Log rank test | Whitneys test | Social & Preventive Medicine | Statistical Tests | f274d084-5274-453e-aaa0-bc2a4d2b6796 | single |
Apoptotic bodies are | In H&E-stained tissue sections, the nuclei of apoptotic cells show various stages of chromatin condensation and aggregation and, ultimately, karyorrhexis; at the molecular level, this is reflected in fragmentation of DNA into nucleosome-sized pieces. The cells rapidly shrink, form cytoplasmic buds, and fragment into ap... | 3 | Clumped chromatin bodies | Pyknotic nucleus without organelles | Cell membrane bound with organelles | No nucleus with organelles | Pathology | General pathology | bc8bf572-84ff-41b8-bc09-83dec7816984 | single |
According to Hellin's law chances of twins in pregnancy are: | According to Hellin’s rule
The mathematical frequency of multiple pregnancy is:
Twins 1 in 80
Triplets 1 in (80)2
Quadruplets 1 in (80)3 and so on | 3 | 1 in 60 | 1 in 70 | 1 in 80 | 1 in 90 | Gynaecology & Obstetrics | null | fea2bb13-d736-4851-b4ce-5ba5fa1f4ac5 | single |
All of the following are true about OPSI (Overwhelming Postsplenectomy Infection), Except: | Ans is A (Maximum risk is within 1 year of splenectomy) Overwhelming Postsplenectomy Infection (OPSI) Splenectomised patients are likely to suffer from severe infections. This syndrome is called overwhelming postsplenectomy infection (OPSI). OPSI is among the more devastating sequelae of asplenia and is the most common... | 1 | Maximum risk is within 1 year of splenectomy | Begins with mild appearing prodrome | May present with septic shock | Usually does not respond to antibiotic treatment | Surgery | null | 6ba804f1-a8d5-4962-b85e-88ec8b5ca417 | multi |
"La-facies sympathique" is a condition seen in cases of | * La facies sympathique occurs in hanging* On postmortem examination, in hanging, usually the eyes are closed or partly open and the pupils are usually dilated.Sometimes, when the ligature knot presses on the cervical sympathetic, the eye on the same side may remain open and its pupil dilated (La, facies sympathiaue). ... | 1 | Hanging | Strangulation | Myocardial insufficiency | Railway accidents | Forensic Medicine | Death and Investigations | f81a5ecc-aa2c-4ce4-aa87-9a74f646c9b4 | single |
In acute inflammation the tissue response consists of all except | Ref Robbins9/e p97 Granulomatous inflammation is a distinctive pattern of chronic inflammation characterized by aggregates of acti- vated macrophages with scattered lymphocytes. Granulo- mas are characteristic of ceain specific pathologic states; consequently, recognition of the granulomatous pattern is impoant because... | 4 | Vasodilation | Exudation | Neutrophilic response | Granuloma formation | Anatomy | General anatomy | c983a403-8f37-434c-9969-31cf12e69604 | multi |
Which of the following analgesics should not be given in acute MI ? | null | 4 | Methadone | Morphine | Buprenorphine | Pentazocine | Pharmacology | null | d235443a-1365-4569-b5f1-039be4c7d9a1 | single |
This condition is best treated by: | Ans. (a) Intra-keloidal injection of triamcinolone.Diagnosis based on the image is Keloid scar* Characterized by overgrowth of scar tissue beyond the margins of original wound* Occur more commonly in females over sternum, shoulder and face, Black people are more prone for it* Treatment is with intralesional injections ... | 1 | Intra-keloidal injection of triamcinolone | Wide excision and grafting | Wide excision and suturing ( | Deep X-ray therapy | Surgery | Miscellaneous (Wounds, Tissue Repair & Scars) | a61c082f-6a27-4454-ac38-ad1e4651d4bd | single |
Which joint is commonly involved in osteochondritis dissecans? | Kness is the most commonly affected joint. Other joints such as hip, ankle , elbow and shoulder can also be involved. Definition : * Localized condition affecting the aicular surface of a joint with separation of a segment of cailage and subchondral bone * Knee by far the most common joint involved (75% of all OCD lesi... | 2 | Ankle joint | Knee joint | Wrist joint | Elbow joint | Anatomy | null | e6993b3e-5195-4b95-9668-539f6e2d1bcb | single |
renal papillary necrosis is caused by ? | Etiology # Pyelonephritis # Obstruction of the urinary tract # Sickle cell hemoglobinopathies, including sickle cell trait # Tuberculosis # Cinhosis of the liver, chronic alcoholism # Analgesic abuse # Renal transplant rejection, Radiation, Renal vein thrombosis # Diabetes mellitus # Systemic vasculitis Renal papillary... | 1 | alcohol | cocaine | heroin | morphine | Medicine | All India exam | 5f4b4e34-a0b0-4a8f-a266-03dc79aaa72c | single |
Bilateral spider leg sign on IVP is suggestive of: | Ans. Polycystic kidney | 1 | Polycystic kidney | Hydronephrosis | Hypernephroma | Renal stones | Radiology | null | 888a4b92-4c5a-4f44-958e-7675fb5e3e56 | single |
Which of the following will you like to give to a pregnant patient to decrease the risk of neural tube defects in the offspring, if your patient is receiving antiepileptic drugs ? | null | 1 | Folic acid | Vitamin A | Vitamin E | Pyridoxine | Pharmacology | null | ec7e2ab8-cd9b-4082-a31a-b40c1de2911d | single |
Which is the only living pa of Hydatid cyst? | Hydatid cyst is caused by Echinococcus granulosus. It has a thick opaque white outer cuticle / laminated layer and an inner thin germinal layer containing nucleated cells. The germinal layer is the site of asexual reproduction. It also secretes the hydatid fluid which fills the cavity. The fluid is clear, colourless / ... | 2 | Adventitia | Germinal epithelium | Laminated membrane | Parenchyma of the organ | Microbiology | null | 5e12035c-0d6e-40ae-828b-7da43c125aa5 | single |
Von Langenbeck repair is used for treatment of: | Von Langenbeck Repair: Two-stage palate repairs were originally described as a means of treating wide clefts; soft palate repair was done at the same time as lip repair, with the hard palate repaired later after the cleft width had diminished. In a way, this is analogous to lip adhesion; the surgeon is committed to a s... | 2 | Cleft lip | Cleft palate | Septal detion | Saddle nose | ENT | null | 0ccad0af-27da-4733-98f7-d34189beefb0 | single |
Which of the following is not recommended in the treatment of Chronic Low Back Pain: | B. i.e. Bed rest for 3 months In low back ache (lumbago) bed rest should not exceed 2 (to 4) daysQ, because bed rest for longer period may lead to debilitating muscle atrophy and increased stiffness. Therefore bed rest > 2 days (Harrison)/>4 days (CDTF) is not recommended. | 2 | NSAIDs | Bed Rest for 3 months | Exercises | Epidural steroid Injection | Surgery | null | f17bf7f1-f055-43f4-9a9f-69e76d24b64a | single |
Fatty acid synthase complex contain the following enzymes except: | Ans. C. Acetyl: CoA carboxylase(Ref: Harper 31/e page 217)Six enzyme activities of fatty acid synthase complex are:Ketoacyl SynthaseMalonyl-acetyl transacylaseHydrataseEnoyl reductaseKetoacyl reductaseThioesterase (Deacylase) | 3 | Enoyl reductase | Ketoacyl reductase | Acetyl: CoA carboxylase | Dehydratase | Biochemistry | Lipids | cad07c43-738f-4080-affc-38b247d76d31 | multi |
Not a type of Inguinal hernia | null | 2 | Gibbon's hernia | Valpeall's hernia | Pantaloon's hernia | Sliding hernia | Surgery | null | b5ba2771-ac38-4446-9a81-e3fb8dc2c373 | multi |
Which is false regarding Gram positive cocci ? | Unlike streptococci enterococci are not reliably killed by penicillin or ampicillin alone at concentration acheived clinically in the blood or tissues.
Antimicrobial susceptibility testing should be performed routinely on enterococcal isolates.
Other options
Option ‘a’ • Staph. saprophyiticus specially causes UTI in ... | 3 | Staph. saprophyticus causes UTI in females | Micrococci are oxidase positive | Most enterococci are sensitive to penicillin | Pneumococci are capsulated | Microbiology | null | 09b5bdb2-950e-4f35-97ed-b9d26d24a430 | multi |
Brugada syndrome is characterized by | Brugada syndrome is a rare syndrome characterized by >0.2 mV of ST-segment elevation with a coved ST segment and negative T wave in more than one anterior precordial lead (V1-V3) and episodes of syncope or cardiac arrest due to polymorphic VT in the absence of structural hea disease.Harrison 19e pg: 1497 | 1 | ST elevation | Prolonged PR interval | Prolonged QT interval | Tall T waves | Medicine | C.V.S | d07e6a86-740a-4ac2-838b-0984c8e0975a | multi |
Malaria causing nephrotic syndrome - | It would appear that quaan malaria causes an immune complex nephritis in some individuals that, once established, is sustained by mechanisms not yet fully explained but which may involve an autoimmune process. Evidence to suppo an immunologic pathogenesis of the renal lesions is provided by the presence of immunoglobul... | 3 | P. vivax | P. Falciparum | P. malariae | P. Ovale | Microbiology | parasitology | 647dccb5-ebf5-4302-8a81-6bcf48856b94 | single |
Commonest site for colonic diverticula is- | null | 2 | Ascending colon | Sigmoid colon | Transverse colon | Descending colon | Surgery | null | b63f827c-29b2-4aa7-b3b9-2eed2dce2093 | single |
Drug of choice for acute severe asthma is: September 2006 | Ans. A: Sho acting beta 2 agonists Severe asthma (Continuous symptoms; activity limitation; frequent exacerbations/hospitalization) requires: Regular high dose of inhaled steroid (800-2000 microgram/ day) through a large volume spacer device and inhaled long acting beta2 agonist (Salmeterol). Additional treatment with ... | 1 | Sho acting beta 2 agonists | Long acting beta 2 agonists | Oral theophylline | Inhaled ipratropium bromide | Pharmacology | null | 0c030bfa-2ea3-4681-92dd-3ad00bba609b | single |
False statement regarding myocardial infarction and depression is: | The first three options are correct. Depression and myocardial infarction are risk factors for each other. The treatment of depression after MI involves both medications and CBT. | 4 | Depression is a risk factor for MI | MI is a risk factor for depression | SSRI's can be used post MI for treatment of depression | Only cognitive behavioral therapy is used after MI | Psychiatry | Mood Disorders | fefcb9e2-a8ab-4878-aad6-5db6969d0826 | multi |
Regarding Fanconi anemia, the wrong statement is: | Fanconi's anemia is an autosomal recessive disease Characterized:- Progressive pancytopenia Increased risk of malignancy (solid tumors and AML) Congenital developmental anomalies like sho stature, cafe au lait spots, abnormalities affecting thumb, radius and genitourinary tract. Fanconi's anemia is associated with BRCA... | 1 | Autosomal dominant | Bone marrow show pancytopenia | Usually aplastic anemia | It is due to defective DNA repair | Pathology | General Concepts | 6dedd72d-f97b-43fc-8958-00d59ad690b1 | multi |
According to WHO, what is given to prevent PPH by active management of third stage of labour? | WHO recommendations for prevention of PPH by active management of third stage of labour Components of Active Management of the Third Stage of Labour (WHO)Administration of uterotonic soon after bih of baby.Delayed cord clamping and cutting.Controlled cord traction for delivery of the placenta (Brandt Andrew&;sMethod).U... | 2 | IV PGF2 alpha agonist | IM oxytocin | IV ergometrine | Perrectal prostaglandins | Pathology | All India exam | 4a41dc3f-75c9-4be7-aa11-5c565f9e9b00 | single |
A multipara with 34 weeks pregnancy tachycardia, fever, hepatospleenomegaly, pallor has : | Malaria | 1 | Malaria | Iron deficiency anaemia | Physiological anaemia | Megaloblastic anaemia | Gynaecology & Obstetrics | null | 5e98ca85-89de-432c-88eb-e741c6daaf71 | multi |
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