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Efficiency of pasteurization can be best assessed by? | Phosphatase test is widely used yo check the efficiency of pasteurizationREF.PARK'S TEXTBOOK OF PREVENTIVE AND SOCIAL MEDICINE.Editon-21.Page no.-606. | 2 | Oxidase test | Phosphatase test | Catalase test | Indole test | Social & Preventive Medicine | Nutrition and health | 39b2a812-cfbc-41b4-ade6-5434966f206e | single |
Most common cause of hypothyroidism in pregnancy is ? | Ans. is 'd' i.e., Anti TPO antibodyHypothyroidism in pregnancyThe clinical association of hypothyroidism in pregnancy may be due to :First time diagnosis in pregnancyHypothyroid women who either discontinue thyroid therapy or who need larger doses in pregnancyHypehyroid women on excessive amounts of antithyroid drugsWo... | 4 | Nutritional | Irradiation | Anti thyroid drugs ie iatrogenic | Anti TPO antibody | Gynaecology & Obstetrics | null | 6c423d0c-71eb-41b2-8e9f-5c47fde3408f | single |
Which of the following is true regarding competitive inhibition? | Competitive inhibition leads to increase in Km, and Vmax remains constant. | 3 | Vmax increases | Vmax decreases | Km increases | Km decreases | Biochemistry | null | 7a843e6e-51d0-456a-950f-7f0626c43778 | multi |
A patient was brought to the hospital with a history of A eight hours back. A few drops of blood is noted at the external urethral meatus. He has not passed urine and his bladder is palpable per abdomen. The probable diagnosis is : | Ans. is 'a' i.e. Urethral injury Blood at urethral meatus and urine retention are suggestive of urethral injury. | 1 | Urethral injury | Rupture bladder | Urethral injury with extravasation of urine in the retroperitoneum | Anuria due to hypovolemia | Surgery | null | dc531381-d572-4dc8-b7f7-c035ca54115c | single |
Strong correlation is signified by a correlation coefficient of: | CORRELATION COEFFICIENT (R):
Measures the degree or strength of relationship in a correlation (relationship between 2 quantitative or continuous variables).
Correlation coefficient (r) lies between: –1 to +1 (–1 < r < +1)
Strength of correlation:
Weak positive correlation: 0 < r < 0.3
Moderate positive correlation: ... | 2 | Zero | 1 | Less than 1 | More than 1 | Dental | null | 2750f818-1a35-4a9b-8873-f056186bc226 | single |
Drug of choice for treating anaphylaxis is: | null | 1 | Adrenaline | Corticosteroid | Antihistaminics | Sodium chromoglycate | Pharmacology | null | e87a8e59-da04-43d5-8a08-65916510b7ab | single |
The gold standard for the diagnosis of osteoporosis is – | Dual Energy X-ray absorptiometry (DEXA) is the gold standard and investigation of choice for diagnosis of osteoporosis. | 1 | Dual energy X-ray absorptiometry | Single energy X-ray absorptiometry | Ultrasound | Quantitative computed tomography | Radiology | null | 2f0647c1-7f24-4fad-af78-925c5d0f0e4d | single |
According to ADA Specification No. 28, what is the rate of increase in file diameter per running millimeter of length for a K-type file from point D0 to point D16? | Each number should represent diameter of instrument in 100th of millimeter at the tip.
For example, a No. 25 K file shall have 0.25 mm at D1 and 0.57 mm (0.25 + 0.32) at D2.
These sizes ensure a constant increase in taper, i.e. 0.02 mm/mm of the instrument regardless of the size. | 1 | 0.02 mm per running millimeter of length | 0.04 mm per running millimeter of length | 0.06 mm per running millimeter of length | Parallel sided, so no increase in diameter | Dental | null | 9aea8dc3-8f5b-44fa-85fd-414d0f5adae2 | multi |
Auditory pathway passes through | null | 1 | Medial geniculate body | Lateral geniculate body | Reciculate formation | Cerebellar fornix | Anatomy | null | 21e4d5c3-f9d5-421a-a0ad-2d3d001055ec | single |
All statement is true about modified rapid sequence induction- except- | Any changes from classical RSI steps is called modified RSI. Today we practice lot of modifications. Instead of thiopentone we can use some other intravenous anesthetic depending upon requirement. We can use instead of succinylcholine rocuronium . Positive pressure ventilation with Bag + Mask is not done Preoxygenation... | 4 | Rocuronium is used as neuromuscular blocker | Any IV induction agent can be used | Positive pressure ventilation with Bag + Mask is not done | Preoxygenation is not mandatory | Anaesthesia | Neuromuscular Blocker | fa1f92f0-afc9-43ee-9e1a-d313563763b8 | multi |
Goose skin or cutis anserina seen in - | Cutis anserina (goose skin) is seen in drowning, especially on exposure to cold water.
It is not a diagnostic sign of drowning and this sign is rarely seen in India, water being usually warm. | 1 | Drowning | Lightening | Strangulation | Fire arm injury | Forensic Medicine | null | f5c799fe-c8a5-4fc7-9709-64aea09ba8ef | single |
Useful screening test for lead is measurement of | Diagnosis of lead poisoning: | 2 | Amino-laevulinic acid in urine | Coproprophyrin in urine | Lead in blood | Lead in urine | Social & Preventive Medicine | null | 677a68ac-940c-439d-bf13-5f1bda4d24c6 | single |
An IV drug abuser develops an aggressive form of nephrotic syndrome that does not respond to steroids. A renal biopsy is performed. Which of the following histological diagnoses will most likely be made from the biopsy tissue? | Focal segmental glomerulosclerosis Associated with IV drug abuse and HIV nephropathy. Aggressive form of nephrotic syndrome Poor prognosis Non responsive to steroid therapy (called as 'collapsing variant'). | 1 | Focal segmental glomerulosclerosis | IgA nephropathy | Membranous glomerulonephritis | Membranoproliferative glomerulonephritis | Pathology | Nephrotic Syndrome | 6cd09c09-2c79-4154-acd4-eb1d61d359e1 | single |
The current drug of choice in paroxysmal Sypraventricular Tachycardia (PAVT ) is | adenosine is the drug of choice for PSVT. Immediate electrical cardioversion is indicated if the arrhythmia is associated with hemodynamic collapse. Adenosine is the preferred drug in those patients in whom verapamil has failed or may cause adverse effects, such as those with hea failure or wide-complex tachycardia In ... | 4 | Digoxin | Dilantoin | Propranolol | Adenosine | Medicine | C.V.S | 227a228f-4e6d-49c8-bb59-a7c24add78c7 | single |
Anti progesterone drug is : | Mifepristone | 2 | Cyproterone | Mifepristone | Spironolactone | Tamoxifen | Gynaecology & Obstetrics | null | afe18535-2b94-42d4-a20f-41146b79fb29 | single |
Multiple lytic lesions of skull with beveled edges are seen in – | Punched out lesions of skull are seen both in Eosinophilic granuloma and multiple myeloma. However, beveled edges (double contour) is characteristic of eosinophilic granuloma due to uneven destruction of the inner and outer table of the skull.
Punched out lesions of skull → Multiple myel... | 1 | Eosinophilic granuloma | Metastases | Multiple myeloma | Neuroblastoma | Radiology | null | c6a9a7d9-627b-4b59-99e8-98fab12e9f38 | single |
Which of the following is a zoonotic disease ? | Ans. is 'a' i.e., Hydatid cyst Impoant zoonoses I. Bacterial -4 Anthrax, Brucellosis, Ornithoses, Q-fever, Leptospirosis, TB, Plague, Tularemia, Salmonellosis. 2. Viral --> Cowpox, Monkeypox, Easternequine, encephalitis, Ross river fever, Yellow fever, Japanese encephalitis, Lassa fever, Rabies. 3. Protozoal ---> Leish... | 1 | Hydatid cyst | Malaria | Filariasis | dengue fever | Social & Preventive Medicine | null | 604d659c-8bd4-41a1-98a1-28e539b87cb7 | single |
Which of the following is not a benign tumor? | Ans. c (Hepatoma). (Ref. Robbin, Pathology, 7th ed., 273)BENIGN TUMORS# Fibroma,Lipoma,Chondroma# Osteoma,HemangiomaMeningioma# Leiomyoma,Rhabdomyoma,Squamous cell papilloma# Liver cell adenoma,AdenomaPapilloma# CystadenomaBronchial adenomaRenal tubular adenomaEducational Points:# An ectopic rest of normal tissue--chor... | 3 | Lipoma | Leiomyoma | Hepatoma | Chondroma | Pathology | Neoplasia | fc18a3e6-207a-4bad-9ec1-3b2a6ff28fef | single |
Rokitansky Kuster Hauser syndrome ta associated with : | Vaginal atresia Friends MRKH syndrome is associated with vaginal atresia - as is suggested by "A more common form of vaginal atresia is congenital absence of both uterus and vagina which is also referred to as mullerian aplasia. mullarian agensis or Mayer Rokinstansky - Kuster Hauser Syndrome." ... Williams Gyane. 1/e,... | 3 | Ovarian agenesis | Absent fallopian tube | Vaginal atresia | Bicornuate uterus | Gynaecology & Obstetrics | null | e0ed73bc-5f9e-43c2-999a-87216cedbe1d | multi |
The most common cause of TMJ ankylosis is: | null | 1 | Trauma | Osteoarthritis | Childhood illness | Rheumatoid arthritis | Pathology | null | 6dcb3344-40e0-4aa5-97e7-9713e0262e8a | single |
Which of the following drugs required a dose adjustment in patient during radiotherapy in order to present radiation toxicity ? | Ans. is 'b' i.e., Dactinomycin o Like anthracyclines (doxo and daunorubicin), dactinomycin can also cause radiation recall syndrome and the dose should be adjusted with radiotherapy. | 2 | Vincristine | Dactinomycin | Cyclophosphamide | 6-Mercaptopurine | Pharmacology | null | d95ad1e7-f323-493d-92d4-b1f0cc0bcc84 | single |
Proteins are linear polymers of amino acids. They fold into compact structures. Sometimes, these folded structures associate to form homo or hetero-dimers. Which of the following refers to this associated form? | Quaternary structure defines the polypeptide composition of a protein and, for an oligomeric protein, the spatial relationships between its protomers or subunits. Monomeric proteins consist of a single polypeptide chain. Dimeric proteins contain two polypeptide chains. Homodimers contain two copies of the same polypept... | 4 | Denatured state | Molecular aggregation | Precipitation | Quaternary structure | Biochemistry | Structure and function of protein | 31606a7b-8605-46e8-bc83-b49ec027bcd2 | single |
True about dementia is: Karnataka 07 | Ans. Dementia is the loss of distant memory | 2 | Alzheimer's disease is due to multiple small strokes in the cerebral coex | Dementia is the loss of distant memory | Dementia due to atherosclerosis does not progress like Alzheimer's | Alzheimer's disease is associated with an increase in ACh release in the cerebral coex | Forensic Medicine | null | 429c34fe-b313-46eb-a0c3-25dfb8c6178e | multi |
Deep injury of neck always involves | Investing layer lies deep to the platysma and surrounds the neck like a collar. The surgeon has to stitch platysma muscle separately so that skin does not adhere to deeper neck muscles otherwise the skin will get an ugly scar. Ref BDC volume 3;sixth edition pg 81 | 1 | Platysma | Trapezius | Sternocleidomastoid | Longus colli | Anatomy | Head and neck | b6f0b264-14fe-4360-8e5f-7ee786a3b7c5 | single |
A female patient after injury comes to casualty. Her ABG shows low pH, pCO2 high, bicarbonate normal. The diagnosis is: | Answer is B (Respiratory acidosis) The acid base disorder is respiratory acidosis. There is acidosis (pH : low) Raised pCO2 (acidosis) indicates that the change in CO2 is therefore primary Normal bicarbonate indicates that there is no alteration in the metabolic component The acid base disorder therefore is Respiratory... | 2 | Respiratory alkalosis | Respiratory acidosis | Metabolic acidosis | Metabolic alkalosis | Medicine | null | 28f7a6eb-c4c9-4b80-80e2-b0a93ab65941 | single |
Drug of choice for central diabetes insipidus | Ans. is'b'i.e., DesmopressinDesmopressin (intranasal) is the DbC for central DI. | 2 | Vasopressin | Desmopressin | Lypressin | Presselin | Pharmacology | null | 51caac51-a6aa-4398-93e1-7945d3f4082c | single |
Most common cause of End stage renal disease is: | Ref: Harrison's Principles of Internal Medicine. 18ed.Explanation:The dispiriting term end-stage renal disease' should not be used and is replaced by the term stage 5 CKD"The most frequent cause of CKD is diabetic nephropathy. most often secondary to type 2 diabetes melli- tus Ref: HarrisonLeading Categories of Etiolog... | 1 | Diabetes | Hypertension | Chronic GN | Polycystic Kidney disease | Medicine | Chronic Kidney Disease and Uremia | 119ed07f-c029-4498-9f57-4e987ae04d1e | single |
Presumptive treatment of malaria in a chloroquine resistant area: | Ans. is 'b' ie sulph lene + pyrimethamine Presumptive treatment in Chloroquine resistant areaSingle dose of 25 mg/kg body wt. sulfalene/sulfadoxine and 1.25 mg/kg body wt. Pyrimethamine combination and thereafter tab. Primaquine 0.75 mg/kg body wt. | 2 | Chloroquine + pyrimethamine | Sulphalene + pyrimethamine | Chloroquine + primaquine | Sulphalene 1000 mg | Social & Preventive Medicine | Communicable Diseases | 8227baea-4cf2-4ec6-8c40-9d83a74fe4bb | single |
In a fetus highest oxygen concentration is found in? | Among the following options, highest oxygen conc is found in IVC Saturation of Oxygen in fetal structures - Umbilical vein - 80% (PO2 of 30-35 mm Hg ) ( Max. in entire body of fetus ) Inferior vena cava - 70% (PO2 of 26-28 mm Hg) Left ventricle - 65% Right Ventricle - 55-60% Umbilical aery - very low SVC - (PO2 of 12-1... | 1 | Inferior vena cava | Superior vena cava | Left ventricle | Ascending aoa | Pediatrics | NEET Jan 2020 | f2d6a184-7d89-4e77-9997-48fce5ad56c0 | single |
Which is the best initial fluid for resuscitation during the shock state: | Crystalloids predominantly expand the interstitial and then the intracellular compartment not the intravascular compartment (expansion of intravascular compartment is only transient). This is necessary to replenish the intracellular and interstitial compartment as in a hypovolemic patient, the shock induced homeostasis... | 1 | Crystalloids | Colloids | Blood | Plasma substitutes | Surgery | null | 7d45aced-25ca-4836-8005-e926a29a18da | multi |
IL-1 is secreted from which cells | Tumor necrosis factor (TNF)Interleukin-1 (IL-1)Granulocyte-monocyte colony-stimulating factor (GM-CSF)Granulocyte colony-stimulating factor (G-CSF)Monocyte colony-stimulating factor (M-CSF)These factors are formed by activated macrophage cells in the inflamed tissues and in smaller quantities by other inflamed tissue c... | 3 | Mast cells | Eosinophils | Macrophages | Neutrophils | Physiology | Cardiovascular system | 27ad1851-a8a1-4720-9d4b-f3f5ba1ad872 | single |
All are in cystinuria except | Cystinuria is one of the inborn errors of metabolism. It is autosomal recessive disorder. The disorder is attributed to the deficiency in transpo of amino acids. Abnormal excretion of cysteine and to a lesser extent lysine, ornithine and arginine. Hence the condition is also known as Cysteine-lysinuriaRef: DM Vasudevan... | 3 | Cystine | Ornithine | Alanine | Arginine | Biochemistry | Metabolism of protein and amino acid | 0019cdcf-45ed-4c92-af66-1b0bbf5f47bc | multi |
Implantation occurs at the stage of - | null | 3 | Zygote | Morula | Blastocyst | Primary villi | Anatomy | null | e93bcb27-06e5-4104-a266-b2c52c0f8e97 | single |
Streptococcal Toxic shock syndrome is due to the following virulence factor - | Option 1 M protein: Mediates adherence to epithelial cells, inhibits phagocytosis Option 2 Streptococcal toxic shock syndrome By S. pyogenes (M serotypes 1 or 3)with hyaluronic acid capsule. Caused by SPE (Streptococcal pyrogenic exotoxin) or Erythrogenic toxin. 3 Types : Type A and C - Superantigens. Type A and C bact... | 2 | M protein | Pyrogenic exotoxin | Streptolysin O | Carbohydrate cell wall | Microbiology | Systemic Bacteriology Pa 1 (Gram Positive Cocci, Gram Negative Cocci) | 221bdbc8-ac70-4f4a-9cb6-2c7801b68002 | multi |
Which one is not poor prognostic factor for acute pancreatitis: | Answer is D (Hyperamylasemia) Serum amylase levels do not form any criteria for prognosis in acute pancreatitis. Hyperglycemia, Hypocalcemia and raised LDH levels are poor prognostic factors according to Ranson's criteria. | 4 | Hyperglycemia | Hypocalcemia | Raised LDH level in blood | Hyperamylasemia | Medicine | null | d5fdbe7f-b4ac-4c7e-ab00-0f31b040cd50 | single |
Concomitant administration of this drug with organic nitrates is contraindicated due to marked potentiation of vasodilatory action leading to profound hypotension. This drug is: | null | 4 | Propranolol | Fluoxetine | Hydrochlorothiazide | Sildenafil | Pharmacology | null | d6f0a1be-8038-4a80-928f-2a813f9fda62 | single |
Fungus not isolated in culture ? | Ans. is 'd' i.e., P. jiroveci Culture of fungi Culture media used in mycology are : Sabouraud's glucose agar (most common) Czapek - Dox medium Corn meal agar Culture media are supplemented with chloramphenicol to minimize bacterial contamination and cycloheximide to reduce contamination with saprophitic fungi. Cultures... | 4 | Cryptococcus | Dermatophyte | Candida | P. jiroveci | Microbiology | null | db2909b2-bfb2-4b98-9f27-30905dfdef98 | single |
The stability of the ankle joint is maintained by the following, except | A. i.e. Planter calcaneonavicular ligament Calcaneonavicular/ Spring ligament is most impoant ligament for maintaining the median longitudinal arch of foot but has nothing to do with stability of ankle joint because it is not around ankle joint | 1 | Plantar calcaneonavicular (spring) ligament | Deltoid ligament | Lateral ligament | Shape of the superior talar aicular surface | Anatomy | null | ea81837e-b331-402e-8fe3-a36927d0e93f | multi |
Osmoreceptor is located at which site | null | 1 | Anterior hypothalamus | Renal medulla | Carotid body | Atrial chamber | Physiology | null | c2df7fbf-f906-4d35-ae5d-bb51267dc987 | single |
45 year old alcoholic male came for deaddiction treatment. He has alcohol induced hepatitis with other blood parameters within normal limits. The drug that should not be chosen for relapse prevention is | NALTREXONE is an OPIOID ANTAGONIST given at a dosage of 50-150mg, should not be used in LIVER DYSFUNCTION ACAMPROSATE is an GABA AGONIST given at a dosage of 666MG TDS, should not be used in KIDNEY DYSFUNCTION Ref.Kaplon and Sadock, synopsis of psychiatry, 11 th edition, pg no.626 | 3 | Disulfiram | chlordiazepoxide | Naltrexone | Acamprosate | Anatomy | Substance abuse | bb7fbaff-f870-41e5-80cd-07817e09eb62 | single |
Which of the following prevent lens opacity by free radical scavenging? | Rediced glutathione is the most impoant anti-oxidant mechanism in lens. Ref: Yanoff ch.501; Biochemistry of Lens p.330; Parson 22nd/e p.261&20th/e p.248; Alder's Physiology 10th/e p.130. | 1 | Glutathione | Catalase | Vitamin A | Vitamin E | Ophthalmology | Lens | 0bc689fa-79aa-4c7c-a0aa-0b40ec013ad4 | single |
Brick incinerator is used for ? | Ans. is 'c' i.e., Infectious waste Drum (or field) incinerator and brick incinerator should be used only as a last reso, as it is difficult to burn the waste completely without generating potentially harmful smoke.The option is appropriate only in emergency situations during acute outbreaks of communicable diseases and... | 3 | Waste sharp | Discarded medicine | Infectious waste | Disposable items | Social & Preventive Medicine | null | 50c7d69d-65db-4432-8369-a4a456f5980d | single |
Pseudomyxoma peritonii is seen in which ovarian cancer? | Ans. is 'b' i.e., Mucinous cystadenocarcinoma o Mucinous tumors are multiloculated cysts lined by epithelium resembling the endocervix.o The cut section reveals loculi filled with mucinous contents.o If the tumor ruptures, it may lead to formation of pseudomyxoma peritonei and the viscera showing extensive adhesions.o ... | 2 | Serous cystadenocarcinoma | Mucinous cystadenocarcinoma | Brenner Tumor | Fibroma | Gynaecology & Obstetrics | Presentation (Carcinoma Ovary) | a637b1e3-904a-4fa3-a793-77ee43453cee | single |
The following substance acts as a 'satiety signal' for lipids | Enterostatin, a peptide that selectively reduces fat intake. It is formed in the intestine by the cleavage of secreted pancreatic procolipase, the remaining colipase serving as an obligatory cofactor for pancreatic lipase during fat digestion. After feeding, enterostatin appears in the lymph and circulation. Enterostat... | 4 | Apo-A | HCL | Fastrine | Enterostatin | Biochemistry | Metabolism of lipid | ae30b7a1-2912-442e-a319-0214e431a264 | single |
All of the following act as cell adhesion molecules, EXCEPT: | Most adhesion proteins, also called CAMs (cell adhesion molecules), can be classified into four main families: immunoglobulin family CAMs, cadherins, integrins, and selectins. Ref: Robbins 8th edition, Chapter 3. | 4 | Integrin | Selectin | Cadherin | Lecithin | Pathology | null | 9a84f938-456c-4356-a3ca-87061d2cc246 | multi |
Bacitracin acts on - | Ans. is 'a' i.e., Cell wall Bacitracin acts by inhibiting cell wall synthesis. o Bacitracin is a polypeptide antibiotic. o Other polypeptide antibiotics (Polymyxin B, colistin and tyrothricin) act on cell membrane. | 1 | Cell Wall | Cell Membrane | Nucleic Acid | Ribosome | Pharmacology | null | adf06ff6-0441-4d61-a1bd-e65b64e0793b | multi |
A 55-year-old man presented to his general physician with pain and swelling of his right great toe. He repoed he has had this pain for approximately 2 days and it is getting worse. He also stated that he had a similar episode of this 4 years ago, but in the interim, he has been symptom free. He was given something for ... | Negatively-birefringent needle-shaped crystals are classically found in the diagnosis of gout. Positively-birefringent rhomboidal crystals are diagnostic for pseudogout, or calcium pyrophosphate crystal deposition. The other choices are not diagnostic or commonly occurring combinations. | 1 | Negatively-birefringent needle-shaped crystals. | Negatively-birefringent oval crystals. | Negatively-birefringent rhomboidal shaped crystals. | Positively-birefringent needle-shaped crystals. | Surgery | null | 3969b60c-4c8b-40ee-9347-e3905c9b0199 | multi |
What is the microscopic finding of cervical mucus during post-ovulatory period? | Dried cervical mucus examined microscopically has characteristic patterns dependent on the stage of the ovarian cycle. Mucus crystallization necessary for the production of the fern pattern is dependent on an increased sodium chloride concentration. Cervical mucus is relatively rich in sodium chloride when estrogen, bu... | 1 | Shows pattern on drying | Is thick | Is thin and cellular | Is thin and alkaline | Gynaecology & Obstetrics | null | 32c49e69-4af0-493c-a585-481f2c777373 | single |
Which one of the following is characteristic of microfilaria of W. bancrofti? | The features of microfilaria of W. bancrofti are: General appearance: Graceful, sweeping curves. Free cephalic space: As long as broad.
Excretory pore: Not prominent:
Caudal end: Uniformly tapering to a delicate point and no terminal nuclei present.
5. Nuclear column: Nuclei discrete; Important points
Microfila... | 4 | Cephalic space twice as long as broad | Excretory pore prominent | Nuclear column smudged | Caudal end uniformly tapering to a delicate point, and no terminal nuclei present | Unknown | null | 1a44268a-14f5-4c1a-9e2a-dfec9fc4216a | single |
Diameter of head mirror | null | 2 | 3 inches | 3.5 inches | 2.5 inches | 9 mm | ENT | null | 15ec2b3d-9257-446f-8ac9-87493c6eecac | single |
Most suitable radioisotope of Iodine for treating hypehyroidism is: | I131 | 3 | V" | 1125 | I131 | 1132 | Radiology | null | 5e8c8201-ae4f-43b0-8e5a-ff79e533ded1 | single |
All of the following statements about carbohydrate antigen are true, EXCEPT: | Carbohydrate C -Ag is found in the cell wall of streptococcus pneumoniae. It is independent of T cell response, so memory response is present in the carbohydrate C - Ag. Polysaccharides (carbohydrates) are less immunogenic than protein antigens, but are more antigenic than lipids & nucleic acids. Carbohydrate (Polysacc... | 2 | It has lower immunogenicity | Memory response is seen | Cause polyclonal B cell stimulation | Does not require stimulation by T cells | Microbiology | null | 612751ea-8c2e-4dda-affd-459eb90d739a | multi |
All are true about Neisseria gonorrhea EXCEPT | null | 1 | Gram positive cocci | Causes stricture urethra | Involves seminal vesicals and spreads to epididymis | Drug of choice is Ceftriaxone | Medicine | null | 07edb824-c0fa-4c45-b58d-c001b291e563 | multi |
A 50-year-old man with aortic stenosis is doing exercise for 11 minutes according to Bruce protocol. Exercise had to be stopped due to fatigue. He had a peak sytolic gradient of 60 mmHg across the aortic valve at rest. What is the best management for this patient? | Ans. b > a (Aortic valve replacement > Medical Management) (Ref: ACC/AHA guidelines; European Cardiology Society Guidelines: http:// circ. ahajountals.org/ content/ 122/17/ 1734.full.pdf+html; Braunwald's Heart Disease: 9/e p1474)The patient in question has asymptomatic aortic stenosis but develops symptoms on exercise... | 2 | Medical management | Aortic valve replacement | Aortic valve balloon dilatation to prevent further worsening | Coronary angiography | Medicine | C.V.S. | 04f74156-6101-4d44-86c0-13cf854378b0 | multi |
False about disaster management | null | 1 | Response in pre-disaster phase | Mitigation in pre-disaster phase | Gastroenteritis is commonest infection after disaster | Yellow color is for medium priority | Social & Preventive Medicine | null | 979b13c1-124d-416e-980c-c6752b576694 | multi |
Following are causes of unconjugated hyperbilirubinemia except | Rotors is conjugated hyperbilirubinemia. Others are unconjugated hyperbilirubinemia. Reference: davidson, 23rd edition, page 860 | 3 | Hemolytic anemia | Large hematoma | Rotor syndrome | Megaloblastic anemia | Medicine | G.I.T | 28d6ee2a-c727-4944-81ed-3f38ccbc8167 | multi |
Which of the following is a non-Iodine containing contrast? | Ans. a. Gadolinium (Ref: Grainger 5/e p32-51, 1249-1253; Sutton 7/e p419-421; Wolfgang 7/e p1147)Gadolinium is a non-iodine containing contrast."Gadolinium is a lanthanide. Gd-DTPA is classified as an acyclic, ionic gadolinium contrast medium Its paramagnetic property reduces the T1 relaxation time. Gadolinium based ag... | 1 | Gadolinium | Visipaque | lopamidol | Diatrozoate | Radiology | Contrast agents | 2d2b4ff8-7f6c-4eed-86ff-cdc42586d0c2 | single |
Incubation period of chancroid is | null | 1 | Less than 7 days | 10-15 days | 2-3 weeks | 3-4 weeks | Social & Preventive Medicine | null | ad730709-0b5b-4bcd-87d7-94843340172d | single |
Volume of distribution is NOT affected by all EXCEPT | (Binding to plasma protein) (31-33-KDT 6th)* The extent of distribution of drug depends on* Lipid solubility* Ionization at physiological pH (dependent on pKa)* The extent of binding to plasma and tissue proteins* Differences in regional bloodflow | 1 | Binding to plasma protein | Drug clearance | Lipid insolubility | Absence of blood brain barrier | Unknown | null | 090008b6-1306-4e7b-967f-0683dac64ce1 | multi |
Cough is an adverse reaction with intake of ? | Ans. is 'a' i.e., Enalapril Bradykinin and substance P are also substrate (in addition to angiotensin - I) for ACE. By inhibiting ACE, enalapril inhibits degradation of Bradykinin and substance Pin the lung, which are responsible for cough and angioedema. | 1 | Enalapril | Prazocin | Nifedipine | Thiazide | Pharmacology | null | dfb4598a-14da-4e1f-97f8-2abd89ff22f0 | single |
Drug acting on V2 receptors and used in DI (REPEAT) | Desmopressin is USED IN central DIREF:KDT7/e p597 | 3 | Telypressin | Vasopressin | Desmopressin | Pralispressin | Pharmacology | All India exam | 5d111830-d9d5-4e2c-86a4-f6eb3579ddc8 | single |
Function of Topoisomerases | Classes of Proteins Involved in ReplicationProteinFunctionDNA polymerasesDeoxynucleotide polymerizationHelicasesATP -driven processive unwinding of DNATopoisomerasesRelieve torsional strain that results fromhelicase-induced unwindingDNA primaseInitiates synthesis of RNA primersSingle-strand bindingproteins (SSBs)Preven... | 2 | Deoxynucleotide polymerization | Relieve torsional strain | Initiates synthesis of RNA primers | Prevent premature reannealing of dsDNA | Biochemistry | Structure and function of protein | a0a9c464-b050-43b1-bdaa-cb2555be090a | single |
Anemic hypoxia is seen CMC (Vellore) 14 | Ans. CO poisoning | 1 | CO poisoning | CO2 poisoning | HCN poisoning | Nerve gas | Forensic Medicine | null | 60085cb5-ea46-4d89-8da2-16f45ed36667 | single |
A child presents with failure to thrive to pediatrics OPD. The doctor counseled the parents about improving nutrition of child , to which mother strongly asseed that they have ensured everything is perfect from their side especially nutrition, but to no avail. Then doctor requested for few investigations. What is the d... | Echocardiographic findings in secundum atrial septal defect. Two-dimensional echocardiogram (apical 4-chamber view) shows a moderate-sized secundum ASD. A child with an ostium secundum ASD is most often asymptomatic; the lesion is often discovered inadveently during physical examination as conveyed in the above questio... | 2 | Ebstein anomaly | Ostium secundum, type of ASD | Ostium primum, type of ASD | sinus venosus, type of ASD | Unknown | Integrated QBank | e87284bc-9f63-42f5-9cc4-a88bf766a563 | multi |
Genital was are caused by which virus? | Genital was are soft growths that appear on the genitals. Genital was are a sexually transmitted infection (STI) caused by ceain strains of the human papillomavirus (HPV). These skin growths can cause pain, discomfo, and itching REF : THOMAS HABIF 6TH ED | 2 | Herpes simplex | Human papilloma | Cytomegalovirus | Varicella zoster | Dental | All India exam | 663d5c31-da1d-49cc-afe2-5b2cf07ffbd1 | single |
Clinical manifestations of Lesch-Nyhan syndrome is due to the defective recycling of the following: | Lesch-Nyhan syndrome is a genetic disease, affecting almost solely males, of excessive synthesis of purines because of defective recycling and, therefore, uric acid production from their breakdown. Lesch-Nyhan syndrome is characterized by gouty ahritis but, in addition, affects the brain, resulting in mental retardatio... | 1 | Purines | Methylcobalamin | Pyrimidines | Thiamine | Biochemistry | null | ff7cfc4e-d381-4c04-98c7-64e251f80af5 | single |
Web constriction is seen in which pa of esophagus, in Plummer-Vinson syndrome | Predominantly, it affects females past 40 years. Barium swallow shows a web in the postcricoid region and the same can be seen on oesophagoscopy. (Ref: Textbook of diseases of ENT, PL Dhingra, 7th edition, pg no. 388) | 3 | Thoracic | Abdominal | Cervical | Any of the above | ENT | Oral cavity & Oesophagus | 8bdcb749-c1ed-4d25-b996-20c70919c5c9 | multi |
Warfarin anticoagulants inhibits following coagulation factors : | null | 2 | II, V, VII, IX | II, VII, IX, X | II, V, IX, X | II, IX, X, XIII | Pharmacology | null | 761fd36f-8a50-47d5-8f0e-f5b50ea909df | single |
Which terminal plane is favorable for E/E to have class I molar relationship? | null | 2 | Flush terminal plane | Mesial step | Distal step | None of the above | Dental | null | 1bfc8e1e-136f-4e58-b622-c12ee7487abd | multi |
Granulomatous uveitis is seen in: | A i.e. Vogt-Koyanagi-Harada disease - Granulomatous uveitis is seen in chronic tuberculosis, leprosy, brucellosis, syphilis, leptospirosis, as well as most viral (esp herpes simplex, herpes zoster & varicella), fungal, protozoal and helminthic infectionsQ. It is also seen in sarcoidosis, sympathetic ophthalmitis, Vogt-... | 1 | Vogt-Koyanagi-Harada disease | Fuch's disease | Bechet's syndrome | All | Ophthalmology | null | 28d85333-b1a0-4a33-a437-9871e72ac68c | multi |
Type of fibroadenosis most likely to undergo malignant change is - | null | 2 | Adenosis | Epitheliosis | Sclerosing adenosis | Cystic | Surgery | null | 2c5a843e-0926-4e79-98fd-69e4a616e1e8 | single |
A 36 years old factory worker developed itchy annular scaly plaques in both groins. Application of a caicosteroid ointment led to temporarY relief but the plaques continued to extend at the periphery. The most likely diagnosis is - | Itchy annular lesion in groins with scaling and peripheral spreading and central clearing indicates tinea cruris initially tinea responds to coicosteroids due to masking of infection by steroid effect. iadvl textbook of dermatology, page page 253 | 4 | Erythema annulare centrifugam | Granuloma annulare | Annular lichen planus | Tinea cruris | Dental | Bacterial infections | b7819b96-5708-4994-b4c8-1827e9f29baf | multi |
A 45 yr old woman has increasing abdominal girth for the past 2 years. On physical examination, She has abdominal distension. CT scan shows multiple nodules on peritoneal surfaces along with low attenuation mucinous ascites. Cytological examination was done after doing paracentesis. It showed well differentiated column... | Pseudomyxoma pertonei is being described. It may arise from low grade mucinous adenocarcinoma of the appendix.
Mucinous tumors may also arise in pancreas, but are less likely to disseminate through peritoneal cavity. These tumors are very rare in small intestine. Mucin producing malignancies of the stomach are most lik... | 4 | Pancreas | Ileum | Jejunum | Appendix | Pathology | null | 7d9740d8-0f45-436c-aa99-ba5d6cd27432 | single |
USG done at 18-20 weeks mainly to: | A i.e. Detect fetal abnormality | 1 | Detect fetal abnormality | Determine sex | Estimate liquor | Determine maturity | Radiology | null | 314baaf6-0aea-4ae6-a54c-b357b8852b1b | single |
All of the following are features of acromegaly,except - | null | 4 | Glucose intolerance | Nonsuppressibility of growth hormone by glucose ingestion | Raised levels of plasma somatomedin D | Low serum phophate | Medicine | null | db531341-7006-40fd-88bc-a26f247f2a2c | multi |
Mental retardation is defined when I.Q. is below : | C i.e. 70 | 3 | 90 | 80 | 70 | 65 | Forensic Medicine | null | 6ebb3b99-136f-40e0-bf52-dfa7b4f90854 | single |
In which of the following, interpretation of benefits is done in terms of results achieved: September 2010 | Ans. D: Cost effective analysis Cost-effectiveness analysis (CEA) is a form of economic analysis that compares the relative costs and outcomes (effects) of two or more courses of action. Cost-effectiveness analysis is distinct from cost-benefit analysis, which assigns a monetary value to the measure of effect. Cost-eff... | 4 | System analysis | Cost accounting | Cost benefit analysis | Cost effective analysis | Social & Preventive Medicine | null | 008ebe70-eb23-4733-81af-1759261566ad | single |
Skin test are used for which hypersensitivity reactions? | Type I hypersensitivity reaction is IgE dependent. When a small shocking dose of an antigen is administered intradermally to a sensitised host, there will be a local wheal and flare response. This is cutaneous anaphylaxis. Cutaneous anaphylaxis ( skin test for typ I hypersensitivity ), is useful in testing for hypersen... | 1 | I | II | III | IV | Microbiology | Immunology | 7baba0dd-c85a-44bc-b38f-76ceaf3f2065 | single |
A Bone marrow transplant recipient patientdeveloped chest infection. On HRCT 'Tree in bud appearance' is seen. Most likely causative agent is: | Pneumocystis [Ref: Harrison I7/e p843; Aicle 'Tree in bud sign' in Journal 'Radiology' and 'Radiographics7 Tree-in-bud is a sign seen in HRCT, most commonly seen with endobronchial spread of Tuberculosis, but can be seen with a wide variety of conditions, most commonly infections. (Described ahead in detail). Theoretic... | 2 | Klebsiella | Pneumocystis | TB | RSV | Surgery | null | 68cfbcb3-2bca-4353-bcf4-59bbdaebd411 | single |
Secondary (AA) amyloid is seen in all except ? | Ans. is 'c' i.e., Multiple myelomao In Multiple myeloma the amyloidosis is AL type (primary amyloidosis). | 3 | RA | TB | Multiple myeloma | RCC | Pathology | null | e9c60d9f-aecb-4626-a6e5-f8364cd354ce | multi |
Large bowel Colonic Diarrhoea is associated with all of the following, except: | Answer is A (Large Stool Volume): Large Bowel Colonic Diarrhoea is typically associated with frequent small volume stools since reservoir capacity of the bowel is reduced. Right-sided (Small Bowel) diarrhea is characterized by large-volume stools. The increase in the number of stools is modest and symptoms attributed t... | 1 | Large Volume Stool | Urgency | Tenesmus | Mucus | Medicine | null | 88a8dc07-3999-4d22-9b83-54b0f3bedfc4 | multi |
A 20 year old girl, presents with 9 month history of neck swelling with thyrotoxic symptoms. On investigation, increased T4 and decreased TSH with palpable 2 cm nodule was found. Next investigation will be: | null | 2 | USG | Thyroid scan | Radioactive iodine uptake | CT scan | Surgery | null | 2ab97b92-9c5a-4d0f-bdd1-30f87070aa80 | single |
Polycarboxylate cement is used for: | ZINC POLYCARBOXYLATE CEMENT
APPLICATIONS:
Primarily for luting permanent restorations.
As bases and liners.
Used in orthodontics for cementation of bands.
Also used as root canal fillings in endodontics.
Ref: Manappalil P: 95 | 2 | Temporary restoration | Luting | Permanent restoration | Die material | Dental | null | e5cd0f45-a845-4747-8852-47f4455c1d82 | single |
'Stomach bowel test' is also known as | Live-born infant swallows air into the stomach during respiration, and if present in small intestine it fuher confirms live bih. But air may be present in the stomach after decomposition, or in the stillborn attempting to free the air passages of fluid obstruction. Demonstration: The stomach and intestines are removed ... | 3 | Hydrostatic test | Breslau's first life test | Breslau's second lfe test | Raygat's test | Forensic Medicine | Sexual offences and infanticide | 63bf4a9d-8f28-4ae8-a3b3-d5bee8e18175 | single |
Maintenance of the corpus luteum during the first trimester of pregnancy is accomplished principally by the secretion of ? | The corpus luteum secretes estrogens, progesterone, and relaxin. hCG, secreted by the syncytiotrophoblast lining the placental villi, maintains the corpus luteum during the first trimester of pregnancy. Antidiuretic hormone (vasopressin does not play a significant role during pregnancy. FSH acts on granulosa cells to p... | 3 | Antidiuretic hormone (ADH) | Follicle stimulating hormone (FSH) | Human chorionic gonadotropin (hCG) | Luteinizing hormone (LH) | Physiology | null | e0e53de8-6c92-419f-9ee7-1c7f93fe48b8 | multi |
The tube as shown in PLATE X-11 is in which space? | ANSWER: (B) Pleural spaceREF: Sabiston 18th ed chapter 57See PLATE X-11 Key PLATE X-11 KeyINTERCOSTAL CHEST TUBE DRAIN (TUBE THORACOSTOMY)A chest tube can be a diagnostic procedure as well as a therapeutic oneINDICATIONS FOR CHEST TUBE DRAIN INSERTION1. Pneumothorax2. In any ventilated patient3. Tension pneumothorax af... | 2 | Pericardial cavity | Pleural space | Mediastinum | Lung parenchyma | Surgery | Miscellaneous (Lung) | ee8c912f-9819-44a9-a252-8de850213b08 | single |
Nerve supply of tympanic membrane-a) Auriculotemporalb) Auricular branch of vagusc) Occipital nerved) Great auricular nervee) Glossopharyngeal nerve | null | 1 | abe | bcd | cde | acd | ENT | null | e05ae094-512d-4ed1-9387-6342fc2b1a6e | single |
Telmisartan lowers blood pressure by: | null | 3 | Inhibiting formation of angiotensin I to angiotensin II | Inhibiting conversion of renin to angiotensin I | Blocking AT1 receptors | Interfering with degradation of bradykinin | Pharmacology | null | e5893734-1fe0-4c8b-aecb-16bd4cafc29f | single |
Best treatment of tension pneumothorax is - | Ans. is 'a' i.e., Immediate letting out of air Tension pneumothorax must be treated as a medical emergency. If the tension in the pleural space is not relieved, the patient is likely to die from inadequate cardiac output or marked hypoxemia. A large-bore needle should be inseed into the pleural space through the second... | 1 | Immediate letting out of air | Wait and watch | Rib resection | Underwater drainage | Surgery | null | 5087acbf-cf2f-4e1a-a0a8-156b6401f239 | single |
Viper bite resembles poisoning by - | Ans. is 'b' i.e., Abrus precatorius * Abrus precatorius seed is odourless, tasteless, oval (egg shaped), bright scarlet coloured with a black spot at one pole and contain abrin, a toxalbumin as its active principle, which is similar to viper snake venom.* Raw or cooked seeds, when swallowed are non-poisonous. But if ex... | 2 | Semicarpus anacardium | Abrus precatorius | Ricinus communis | Capsicum annum | Forensic Medicine | Toxicology | df4e1d4b-37be-4d37-a968-996bff96928b | single |
Two weeks after birth, a baby has persistent tachypnea, tachycardia, diaphoresis, and cyanosis. Workup reveals a patent ductus arteriosus. This can be closed with the use of: | The nonsteroidal anti-inflammatory drug, indomethacin, is the drug of choice for closure of a patient ductus arteriosus in a premature infant with an isolated patient ductus arteriosus. For complex cardiac anomalies, which require a patient ductus arteriosus to sustain life until corrective surgery can be done, prostag... | 1 | Indomethacin | Acetaminophen | Aspirin | Cyclosporine | Surgery | Miscellaneous | 6cd9c2b5-aadf-4225-b30f-db07bd43276a | single |
Dead Layer of epidermis- | Stratum corneum the outermost layer of the epidermis made up of terminally differentiated, dead keratinocytes known as corneocytes. Corneocytes are devoid of cytoplasm and organelles, but loaded with keratin filaments in an amorphous protein matrix, which is held together by the cornified envelope. Ref Harrison20th edi... | 3 | Stratum basale | Stratum spinosum | Stratum corneum | Stratum granulosum | Dental | Anatomy of skin | bf8a5b8f-6e74-4632-a4b5-c92bef5bc4fc | single |
The chloride shift occurs rapidly and is essentially completes in | Chloride ShiftSince the rise in the HCO3- content of red cells is much greater than that in plasma as the blood passes through the capillaries, about 70% of the HCO3- formed in the red cells enters the plasma.The excess HCO3- leaves the red cells in exchange for Cl-, a process mediated by Band 3, a major membrane prote... | 1 | 1 second | 2 seconds | 5 seconds | 60 seconds | Microbiology | All India exam | 50b4aecb-4b2e-4f7d-aedb-af9013113ed4 | multi |
Which one of the following is a tyrosine tRNA analogue that causes premature chain termination? | Puromycin Structural analogue of tyrosinyl tRNA. Incorporated into nascent protein chains by a nonhydrolyzable peptide bond. Growing of the peptide bond is inhibited. Inhibits protein synthesis in both prokaryotes and eukaryotes Causes premature chain termination | 2 | Cycloheximide | Puromycin | Paromomycin | Erythromycin | Biochemistry | Translation | 9403525e-b315-4b13-bf78-c69c9be1460e | single |
Macrocytic anaemia occurs in all,except - | null | 4 | Thiamine deficiency | Liver disease | Orotic aciduria | Copper deficiency | Medicine | null | 7c75d933-4869-4cb5-8b9a-2d38feb83af3 | multi |
Which of the sulfonylureas is best choice in chronic kidney disease patients | Glipizide is the sulphoylurea which is the best and safest among the group for use in ckd patients Ref: Harrison page no 2265, | 3 | Glimipride | Glibenclanide | Glipizide | Glyburide | Medicine | Endocrinology | ee725b7b-ff29-4b4d-ad6f-229d98214038 | single |
Florence test is used for | Ans. (b) SemenRef,: The Essentials of FSM by K.S. Narayan Reddy 31st ed. / 405Tests for Detection ofSeminal Stain (Mnemonic- "Creat Acid Fast Bacilli')* Acid phosphatase test: to detect Aspermia cases* BarberioS test: to detect Spermine (yellow needle shaped spermine picrate)* Creatine phosphokinase test: for old semin... | 2 | Blood | Semen | Urine | Albumin | Forensic Medicine | Biological Materials & Stains | bcbd14b5-ae79-4b47-956b-8e7d60a4e90e | single |
All are seen in cystitis EXCEPT: | ANSWER: (A) FeverREF: Smith urology 17th ed page 206Acute cystitis refers to urinary infection of the lower urinary tract, principally the bladder.Acute cystitis more commonly affects women than men.Patients with acute cystitis present with irritative voiding symptoms such as dysuria, frequency, Nocturia and urgency,Lo... | 1 | Fever | Hematuria | Dysuria | Nocturia | Surgery | Miscellaneous (Bladder) | 4452d3fb-b9fd-438d-b2d6-b70cb4fd4eb3 | multi |
Population covered by anganwadi in tribal area is? | Ans. is 'd' i.e., 700 "According to the existing norms of the government there should be one unganwadi per 1000 population in rural and urban areas, and one anganwadi per 700 population in tribal areas" | 4 | 1000 | 300 | 400 | 700 | Social & Preventive Medicine | null | c33c2992-ae9e-41c7-8f34-fef69e35bb67 | single |
Bisected pearls appearance on culture medium is seen in ? | Ans. is 'b' i.e., Bordetella Bordetella are gram-negative, capsulated, fimbriated, nonmotile coccobacillus.They show bipolar metachromatic granules on staining with toluidine blue. | 2 | Brucella | Bordetella | Haemophilus ducreyi | Pseudomonas | Microbiology | null | de1b91a8-2619-443b-a406-970fd333f2f7 | single |
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