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Osmotic fragility is increased in ?
Ans. is 'c' i.e., Hereditary spherocytosis Osmotic fragility of Red blood cells. Red blood cell osmotic fragility is the resistance of RBC hemolysis to osmotic changes. o Normally RBC maintains osmotic equilibrium with the surrounding medium i.e., with serum that has 0.9% NaCl. o As the surrounding medium becomes hypot...
3
Sickle cell anaemia
Thalassemia
Hereditary spherocytosis
Chronic lead poisoning
Pathology
null
c54ace25-5da5-4215-ab7d-a38109f67af4
single
Which drug is not used to prevent contrast nephropathy -
Ans. is 'a' i.e., Fenoldopam Summary And Recommendations for prevention of contrast induced nephropathy (uptodate recommendation )o Optimal therapy to prevent contrast-induced acute renal failure remains uncertain. Patients with near-normal renal function are at little risk and few precautions are necessary other than ...
1
Fenoldopam
N-acetylcysteine
Infusion of Hair normal saline
Hemodialysis
Medicine
Drugs
6e9d73be-adf4-402b-8c33-4c04fc394a07
single
Aminoacyl t-RNA is not require for -
Ans. is 'c' i.e., Hydroxylysine o The initial step in protein synthesis is the activation of amino acid in which each of the 20 amino-acids is covalently attached to their respective t-RNA, forming specific amino acyl t-RNA.o The reaction is catalyzed by ami noacyl t-RNA synthase.o Hydroxyproline and hydroxylysine are ...
3
Proline
Lysine
Hydroxy lysine
Methionine
Biochemistry
Amino Acids Basics
9063e3de-5630-4b5d-8a5e-d86952102c4c
single
Intermediate host for hydatid disease:
Man
1
Man
Dog
Cat
Foxes
Microbiology
null
0a875738-183d-47f9-9cd4-46ed028279f3
single
Episodes of depression in major depressive disorder tend to:
Episodes of major depression tend to increase in both length and frequency with age. When treated, episodes of major depression last for about 3 months. If untreated, depression lasts from 6 to 12 months. Episodes of major depression often have a gradual onset and occur an average of 5 to 6 times over a 20-year period.
1
Increase in frequency with age
Decrease in length with age
Last for about 9 months when treated
Have a rapid onset
Psychiatry
null
ad019ad8-9ecd-469e-933b-da97560a1349
single
Which of the following does cause epidemic kerato conjuctivitis -
adeno virus cause epidemic keratoconjuctivitis REF:<\p> MICROBIOLOGY ANANTHA NARAYANAN NINTH EDITION PAGE.482
1
Adenovirus
Enterovirus
Coxsakie virus
Herpes virus
Microbiology
Virology
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single
Sacrococcygeal teratoma is associated with:
Ans: A (Menigocele) Ref: Robbins and Cotran Pathologic Basis of Disease: 8th editionExplanation:Sacrococcygeal TeratomasMost common teratomas of childhoodAccounts for 40% or more of casesFour times more common in girlsApproximately 10% of sacrococcygeal teratomas are associated with congenital anomaliesPrimarily defect...
1
Meningocele
Cardiac detects
Hepatic cysts
Cystic adenoid malformation
Surgery
Miscellaneous (Neoplasia)
33653d43-6214-4175-b026-c93cfa645e7b
single
Which poisoning causes 'pink disease'?
Ans. is 'b' i.e. Mercury Pink disease or Acrodvniao It is thought to be an idiosyncratic hypersensitivity reaction particularly seen in children. This can be caused by chronic mercury exposure in any form usually in children. The onset is insidious with anorexia, insomnia, sweating, skin rash and photophobia. Hands and...
2
Arsenic
Mercury
Copper
Lead
Forensic Medicine
Forensic Toxicology - Concepts, Statutes, Evidence, and Techniques
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single
What is the treatment of threshold ROP?
Ans is 'a' i.e. Laser Photocoagulation Threshold disease in ROP is defined as stage 3+ ROP in Zones 1 or 2 occupying at least five contiguous clock-hours or eight noncontiguous clock-hours of retina.Treatment of threshold disease is Laser Photocoagulation.'Laser therapy has largely replaced cryotherapy because visual a...
1
laser photocoagulation
slow reduction in oxygen
retinal reattachment
antioxidants
Ophthalmology
Dystrophies and Degenerations
6ced785b-413c-4df8-8ce8-aa579c6d9521
single
Diplopia is usually seen in ?
Ans. is 'a' i.e., Paralytic squint
1
Paralytic squint
Non-paralytic squint
Both of the above
None of the above
Ophthalmology
null
6151d0b8-8f10-4375-ad6b-c8ceda5cecee
multi
Which is the most common lymphoma in adults?
DLBCL - Most common lymphoma in adults Follicular lymphoma - Most common indolent lymphoma in adults Chronic lymphocytic leukemia - Most common leukemia in adults
3
Adult T-cell leukemia/lymphoma (ATLL)
Hodgkin lymphoma
Diffuse large B-cell lymphoma (DLBCL)
Follicular lymphoma
Pathology
Non Hodgkin Iymphoma
783c7c1e-1433-404c-9ff9-8d1e773bbd13
single
Mooning is a form of
Flashing: The act of momentarily exposing or revealing sexual body pa by quickly moving the clothing. Streaking: The act of running naked through a public place. Mooning: The act of displaying one's bare buttocks, by lowering the pants and bending over
1
Exhibitionism
Transvestism
Voyeurism
Eonism
Forensic Medicine
Sexual offences
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single
All are seen in vitamin C deficiency except:
Vitamin C/Ascorbic acid deficiency leads toScurvy Clinical manifestation of scurvy: Swollen and bleeding gums Subcutaneous bleeding and brushing into skin/joints Delayed wound healing Anemia Weakness.
4
Swollen bleeding gums
Delayed wound healing
Anemia
Infeility
Social & Preventive Medicine
Vitamins and Nutritional Deficiencies
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multi
A person had injury to right upper limb he is not able to extend fingers but able to extend wrist and elbow. Nerve injured is -
Posterior interosseous emerges from the supinator on the back of the forearm .Here it lies between the superficial and deep muscles.At the lower border of the extensor pollicis brevis, it passes deep to extensor pollicis longus.it then runs on the posterior surface of the interosseous membrane up to the wrist where it ...
4
Radial
Median
Ulnar
Posterior interosseus
Anatomy
Upper limb
18a6981c-d029-4302-983d-47afaa422dfe
single
The patient with least risk of pulmonary aspiration of gastric contents during induction of anesthesia is:-
NPO is same for obese and normal. NPO guidelines - 6hrs for liquid and semisolid, 2 hours NPO for clear fluids. Subset of patients who are at high risk for aspiration - pregnant women, morbidly obese (rapid sequence induction), full fatty meal - 8 hours NPO.
1
Markedly obese and NPO for eight hours
Fed coffee four hours before elective surgery
Scheduled for elective cesarean delivery and NPO for 20 hours
NPO for four hours after a full meal
Anaesthesia
JIPMER 2019
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single
Which of the following enzyme uses citrate in fatty acid synthesis?
Reference: Harpers illustrated biochemistry 30th edition
2
Aconitase
Citrate synthase
Malic enzyme
ATP citrate lyase
Biochemistry
Structure and function of protein
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single
Which of the following changes does not occur in malignant hypeension :
Answer is D (Hyaline Aeriosclerosis) : Hyaline aeriosclerosis is a feature of Benign Nephrosclerosis associated with benign phase of Hypeension. It is not a ,feature of Malignant Hypeension.
4
Peticheal Haemorrhages on coical surface
Fibrinoid necrosis of aerioles
Intimal concentric thickening
Hyaline aeriosclerosis
Medicine
null
b9c5bea0-b253-4907-8e7e-c3945589c4f7
single
Which of the following nerves has the best prognosis for repair after injury -
Ans. is 'b' i.e., Radial nerveRecovery potential after nerve repairExcellent :- Radial, Musculocutaneous, femoral, digital nervesModerate :- Median, Ulnar, TibialPoor :- Common peroneal (lateral popliteal)
2
Ulnar
Radial
Median
Lateral popliteal
Orthopaedics
Radial Nerve Injury
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single
Treatment in post operative shivering?
Ans. is 'a' i.e., Pethidine Post-anaesthesia shivering (PAS) Post anaesthesia (post operative) shivering occurs in 40% of patients recovering from general anaesthesia. Some time it is preceded by central hypothermia and peripheral vasoconstriction, indicating that it is a thermoregulatory mechanism Pethidine is most ef...
1
Pethidine
Piritramide
Methadone
Pentazocine
Anaesthesia
null
8efc285f-673d-4fab-ab18-aa4922f36e9b
single
Birbeck’s granules in the cytoplasm are seen in:
Birbeck granules are rod Shaped/Tennis-racket shaped cytoplasmic organelles with a central linear density and a striated appearance. They are diagnostic microscopic feature in Langerhans cell histiocytosis (Histiocytosis X)
1
Langerhans cells
Mast cells
Myelocytes
Thrombocytes
Pathology
null
db9f1bea-9ad6-4037-9995-355eb0840177
single
Crural index is:
Ans. Length of tibia/femur x 100
1
Length of tibia/femur x 100
Length of radius/humerus x 100
Length of fibula/tibia x 100
Length of radius/ulna x 100
Forensic Medicine
null
3452b1d3-b750-4d40-ae9e-79a1a0c6dddf
single
Primordial prevention is done to prevent development of ?
Ans. is 'b' i.e., Risk factors LEVELS OF PREVENTION There are four levels of prevention :? Primordial prevention Primary prevention Secondary prevention Teiary prevention Primordial Level of Prevention: Is primary prevention (see below) in purest sense It is the prevention of the emergence or development of risk factor...
2
Disease
Risk factors
Impairment
Disability
Social & Preventive Medicine
null
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single
Anakinra is a -
Ans. is 'a' i.e., IL-1 antagonisto Anakinra is an IL-1 antagonist.o It is used for some rare syndromes dependent on IL-1 production :Neonatal - onset inflammatory diseaseMuckle - Wells syndromeFamilial cold urticariaSystemic juvenile - onset inflammatory arthritisRA
1
IL - 1 antagonist
IL - 2 antagonist
IL - 6 antagonist
IL - 10 antagonist
Pharmacology
Immunomodulator
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single
The gold standard for the definitive diagnosis of the extrahepatic biliary atresia is
Biliary atresia Evaluation of biliary anatomy begins with ultrasound Other imaging modalities such as HIDA scintigraphy, MRCP and ERCP have been used with varying success Although these are useful adjuncts, liver biopsy is gold standard for the diagnosis of biliary atresia and can safely be done percutaneously under lo...
4
Per operative cholangiography
Hepatobiliary scintigraphy
Alkaline phosphatase level
Liver biopsy
Anatomy
G.I.T
d45904aa-fb66-473e-9f80-037a0932d06e
single
All of the following passes through lesser sciatic foramen, except ?
The lesser sciatic foramen is formed by the lesser sciatic notch of the pelvic bone, the ischial, the sacrospinous ligament and the sacrotuberous ligament. It transmits the following structures: The tendon of the Obturator internus Internal pudendal vessels Pudendal nerve Nerve to the obturator internus
4
Pudendal nerve
Internal pudendal vessels
Nerve to obturator internus
Inferior gluteal vessels
Anatomy
null
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multi
Increased osmotic fragility is characteristic of:September 2009
Ans. A: Hereditary spherocytosisThe normal red blood cell is a relatively impermeable biconcave disc which maintains osmotic equilibrium with the surrounding medium. As the surrounding medium becomes hypotonic, fluid will be taken into the cell to maintain stability. Eventually under very hypotonic conditions the cell ...
1
Hereditary spherocytosis
Sickle cell anemia
Thalassemia
Iron deficiency anemia
Pathology
null
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single
A three year old child is brought to the emergency depament having just ingested a large overdose of an antihistaminic drug. This drug is a weak base capable of entering most tissues including the brain. On physical examination the hea rate is 100/ minute, blood pressure is 110/60 mm Hg and the respiratory rate is 20/ ...
This question can be solved by the knowledge that basic drugs are ionized in the acidic medium and vice-a-versa. This antihistaminic drug is a weak base and will be highly ionized in the acidic urine. As ionized drugs cannot be reabsorbed in the nephron, urinary acidifying agents like NH4Cl will accelerate the excretio...
1
Urinary excretion would be accelerated by administration of NH4Cl, an acidifying agent
Urinary excretion would be accelerated by administration of NaHCO 3, an alkalinizing agent
More of the drug would be ionized at blood pH than at stomach pH
Absorption of the drug would be faster from the stomach than from the small intestine.
Pharmacology
Histamine, 5-HT and PGs
999fae05-0f74-4b1a-b0c2-4144fd410e04
multi
A patient on t/t for psychiatric disorder takes overdose of a drug, develops bradycardia, hypotension, decreased sweating and salivation. The likely drug is
A i.e. Amitryptilline
1
Amitryptilline
Lithium
Selegiline
Amphetamine
Psychiatry
null
138ae62a-1c8a-44f0-a3d1-631677c36758
single
Which of the following is an absolute indication for surgery in cases of benign prostatic hyperplasia -
Absolute indications for surgical treatment of BPH 1) Refractory urine retention (failing at least one attempt at catheter removal 2) Recurrent UTI from BPH 3) Bladder stones d/t BPH 4) Renal insufficiency d/t BPH 5) Large bladder diveicula secondary to BPH 6) Recurrent gross hematuria from BPH Ref : Cambell's Urology ...
3
Bilateral hydroureteronephrosis
Nocturnal frequency
Recurrent urinary tract infection
Voiding bladder pressures > 50 cm of water
Anatomy
Urology
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single
Phenylketonuria caused by deficiency of
(C) Phenyalanine hydroxylase # Phenylketonuria is a genetic disorder inherited from a person's parents.> It is due to mutations in the PAH gene which results in low levels of the enzyme phenylalanine hydroxylase.> This results in the build up of dietary phenylalanine to potentially toxic levels. It is autosomal recessi...
3
Tyrosine transaminase
Tyrosine hydroxylase
Phenylalanine hydroxylase
Phenylketonuria hydroxylase
Biochemistry
Miscellaneous (Bio-Chemistry)
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single
Telefono is:
Simultaneous beating of both ears with the palms of the hands is known as TELEFONO. This may lead to rupture of the tympanic membrane causing pain, bleeding and hearing loss. It is difficult to detect this. The external ear may also get torn during pulling of the ears.
3
Pulling of hair
Beating on soles
Beating on ears
Beating on fingers
Surgery
null
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single
All of the following are direct causes of maternal moality except:
Ans. is c i.e. Hea disease
3
APH
PPH
Hea disease
Eclampsia
Gynaecology & Obstetrics
null
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multi
who introduced ECT
HISTORY * Medunna ====IM injection of camphor to induce seizures * Ugo cerletti and lucio bini==== ECT in a catatonic patient INDICATIONS * DEPRESSION SUICIDAL IDEAS-------------- first choice * CATATONIC SCHIZOPHRENIA * SCHIZOPHRENIA * MANIA * ELECTRODE PLACEMENT * Most commonly used=== bi fronto temporal * More cogni...
3
manfred bleuler
moerin seligman
lucio bini
freud
Anatomy
Treatment in psychiatry
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single
MELD score includes all except
Serum albumin is not a part of MELD SCORE. It is a part of child - pugh classification.
4
S. bilirubin
S. creatinine
Prothrombin time
Serum albumin
Medicine
null
001ebeb7-4f6d-4dfd-9506-6c37052effed
multi
All of the following are carcinogenic except
null
4
H. pylori
Hepatitis B virus
E.B. virus
Campylobacter
Medicine
null
e08a9e46-4ec3-4804-89f2-62076624b4a1
multi
All are hypercoagulable states, except ?
Ans. is 'None' o All are hypercoagulable states.
4
Protein C resistance
Protein S deficiency
Antiphospholipid antibody
None
Pathology
null
a2bd8ecf-4d4f-4b70-8555-0016e509cea9
multi
Which of the following is the most common cause of meningoencephalitis in children:
Answer is D (Enterovirus): Enteroviruses are the most common cause of viral meningoencephalitis. Arboviruses, HSV and Mumps virus are all impoant agents associated with viral meningoencephalitis, but Enteroviruses are the most commonly associated agents and the answer of choice. 'Enteroviruses are the most common cause...
4
Mumps
Arbovirus
HSV
Enterovirus
Medicine
null
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single
Use of this instrument during examination of the ear provides all except
null
4
Magnification
In suctioning of middle ear secretions
Assessing Tympanic Membrane Movement
Removal of Foreign body
ENT
null
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multi
Pneumocystic carnii infects:
Ans. c. Rat
3
Human
Monkey
Rat
Cats
Microbiology
null
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single
All of the following are true about Roll back malaria except:(AIIMS November 2013, Nov 2012)
Ans. c. Development of newer insecticide (Ref; Harrison 19/e p14,18/e p14 WHO Roll Back Malaria Document] HTM_ MAL 2005. 1101.pdf (Roll Back Malaria)Roll Back Malaria:Messages on malaria case management, intermittent preventive treatment during pregnancy and insecticide- treated netsQ (ITNs) were promoted using volunte...
3
Insecticide treated mosquito nets
Strengthening health system
Development of newer insecticide
Training of health workers
Social & Preventive Medicine
Communicable Diseases
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multi
All are associated with EBV except -
EBV causes nadopharyngeal carcinoma,oral hairy luekoplakia&infectious mononucleosis REF:MICROBIOLOGY ANANTHA NARAYANAN NINTH EDITION PAGE.475
4
Infectious mononucleosis
Nasopharyngeal carcinoma
Oral hairy leukoplakia
Epidermodysplasi
Microbiology
Virology
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multi
Single most sensitive tool for evaluating the iron status is
Serum ferritin is the single most sensitive tool for evaluating the iron status.It reflects the size of Iron stores in the body. Values below 10 mcg/L indicate an absence of stored iron.Park 23e pg: 623
3
Haemoglobin concentration
Serum ion concentration
Serum ferritin
Serum transferrin saturation
Social & Preventive Medicine
Nutrition and health
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single
Chandu 32 years male presents with abdominal pain and vomitting. He also complain of some psychiatric symptoms & visual hallucination. Most likely diagnosis is
D i.e. Intermittent porphyria
4
Hypothyroidism
Hypehyroidism
Hysteria
Intermittent Porphyria
Skin
null
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multi
In ARDS, all are seen except :
Acute respiratory distress syndrome Aetiology and pathogenesis Acute respiratory distress syndrome (ARDS) is a diffuse neutrophilic alveolitis caused by a range of conditions and characterised by bilateral radiographic infiltrates and hypoxaemia. Activated neutrophils are sequestered into the lungs and capillary permeab...
1
Dilated bronchioles
Edema
Fibrosis
Alveolar damage
Medicine
null
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multi
Population covered by a PHC in hilly region is –
One PHC for every 30,000 rural population in the plains. One PHC for every 20,000 population in hilly, tribal and backward areas.
1
20000
30000
40000
25000
Social & Preventive Medicine
null
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single
Which of the following factor determines the destructive power of bullet after firing?
A bullet's ability to injure is directly related to its kinetic energy at the moment of impact. Kinetic energy i.e. E = mv2 /2 The kinetic energy is directly propoional to weight (mass) of the bullet and the square of its velocity. Thus a bullet traveling at twice the speed of a second bullet of equal weight and simila...
4
Weight of bullet
Shape of bullet
Size of bullet
Velocity of bullet
Forensic Medicine
null
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single
Baroreceptor stimulation producesa) Decreased heart rate & BPb) Increased heart rate & BPc) Increased cardiac contractilityd) Decreased cardiac contractility
Baroreceptors are present in carotid sinus and aortic arch. Increase in BP activates them which results in decrease in the sympathetic discharge. This leads to decrease in cardiac contraction, heart rate and BP.
4
b
c
ac
ad
Physiology
null
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single
Which of the following anti–cancer drug is NOT 'S'–phase specific ?
null
3
Methotrexate
Mercaptopurine
Ifosfamide
Thioguanine
Pharmacology
null
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single
Dose of vitamin A prophytaxis given in age group 16 years -
Ans. is 'c' i.e., 200000 iu
3
2000 iu
20000 iu
200000 iu
100000 iu
Social & Preventive Medicine
null
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single
The principle that is the spinal cord dorsal roots are sensory and the ventral roots are motor is known as -
(B) (Bell Magendie law's) (157 - Ganang 23rd)* Bell Magandie law - In the spinal cord dorsal roots are sensory and ventral roots are motors (DS - VM)* Weber Fachner law - Magnitude of sensation felt in proportionate to the log of intensity of the stimulus**.* Law of pro jection states than no matter where a particular ...
2
Laplace's law
Bell-Magendle's law
Frank-Starling's law
Weber-Fechner's law
Physiology
Nervous System
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single
Bullet that leaves a visible mark in its flight so that person can see the path is
Tracer bullet: It leaves a visible mark or 'trace' while in flight, so that the path of bullet can be seen . Dum - dum bullet: The nose of the bullet is not covered by jacket & exposed. It expands or mushrooms on striking the target, producing a large hole & more damage. Incendiary bullets: Incendiary bullets contain p...
2
Tandem bullet
Tracer bullet
Dum-dum bullet
Incendiary bullet
Forensic Medicine
Ballistics
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single
Of the following which does not categorise under Rape? Sexual intercourse with :
B i.e. Wife above 20
4
Wife below 15 years
Wife above 15 years
Women below 16 years
Women above 20 years
Forensic Medicine
null
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multi
Congenital rubella syndrome - true is A/E?
Ans. is 'c' i.e., Conduction defect
3
Microcephaly
VSD
Conduction defect
All
Pediatrics
null
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multi
Anaesthetic agent with vasoconstrictor is contraindicated in ?
null
1
Digital block
Spinal block
Epidural block
Regional anaesthesia
Pharmacology
null
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single
Mesencephalo-oculo-facial-angiomatosis is seen in:
D i.e. Wyburn-Mason syndrome - Wyburn-Mason syndrome (or Bonnet-Dechaume Blanc syndrome mesencephalo-oculo-facial or mesencephalo-optico retinal angiomatosis syndrome) is characterized by neuro (mesencephalo) - optico / oculo / retinal - facial angiomatosis (vascular-malformations). - Wyburn-Mason syndrome presents wit...
4
KTW Syndrome
NF-1 & 2
Sturge-Weber syndrome
Wyburn-Mason syndrome
Radiology
null
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single
The following drug has anxiolytic action with least sedation
Features of Buspirone Non-benzodiazepine anxiolytic agentDoes not produce significant sedation or cognitive/functional impairmentDoes not interact with BZD receptor or modify GABAergic transmissionDoes not produce tolerance or physical dependence Does not suppress BZD or barbiturate withdrawal syndrome Has no muscle re...
1
Buspirone
Triazolam
Alprazolam
Chlordiazepoxide
Pathology
All India exam
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single
Age of gestation when ovaries and testis are first distinguishable :
8 weeks
2
4 weeks
8 weeks
12 weeks
16 weeks
Gynaecology & Obstetrics
null
da0a872c-8665-415f-86c3-57866c26ebae
single
The testis descends the inguinal canal during...month.
C i.e. 7th
3
5th
6th
7th
8th
Anatomy
null
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single
Index measuring deprivation in basic dimensions of human development
The Human Povey Index (HPI) was considered to better reflect the extent of deprivation to the HDI. In 2010 it was supplanted by the UN&;s Multidimensional Povey Index.
1
Human povey index
Human development index
Physical quality of life index
Development deprivation index
Social & Preventive Medicine
Concept of health and disease
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single
Cells occurring in greatest number in pulp are
null
2
Cementoblasts
Fibroblasts
Osteoblasts
Ameloblasts
Dental
null
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single
Keratocyst has all of the following features except:
null
3
It is more common in mandible
May be filled with thin straw coloured fluid
Low recurrence rate
Expansion of bone clinically seen
Pathology
null
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multi
A child with vesicoureteric reflex of grade 2 comes to OPD. What is the preferred treatment method
Prophalyctatic antibiotics is given to all vesicoureteric reflex pts.
1
Antibiotics
Observation
Sting operation
Ureteric reimplantation
Surgery
null
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single
A 60 yr old person presents with a mass located at central bronchus causing distal bronchiectasis and recurrent pneumonia. Which of the following findings is expected from biopsy of the mass?
Ans. (d) Small round cells and hyperchromatic nuclei with nuclear moulding(Ref: Robbins 9th/pg 715-717)This typical presentation of 60 yr/M presenting with a mass located at central bronchus causing distal bronchiectasis and recurrent pneumonia is suggestive of small cell Carcinoma.In Small cell Ca lung, location in lu...
4
Abundant osteoid matrix formation
Contains all three germ layers
Spindle cells with abundant stromal matrix
Small round cells and hyperchromatic nuclei with nuclear moulding
Pathology
Respiration
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multi
patient has decreased weight, need for thinness, the diagnosis is
Anorexia nervosa Anorexia nervosa is a eating disorder where the patient has decreased weight and altered body image and persistent desire to maintain thinness * Gender==== more common in females * Age=======adolescence * Comorbidity=== depression and social phobia * Duration====3 months * Criteria= * Intense fear of b...
2
refeeding syndrome
anorexia nervosa
metabolic syndrome
bulimia nervosa
Anatomy
Sleep disorders and eating disorders
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All cause viral hepatitis except -
Ans. is 'c' i.e., Rhinovirus Impoant viruses causing hepatitis:? 1) Hepatotropic viruses : HAV, HBV, HCV, HD V, HEV. 2) Herpes viruses : CMV, EBV, HSV-1, VZV. 3) Flaviviruses : Yellow fever, dengue fever. 4) Filoviruses : Marburg virus, Ebola virus. 5) Occasinal causes Measles virus, adenovirus, Echoviruses, Coxsackiev...
3
Measles
EBV
Rhinovirus
Reovirus
Microbiology
null
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multi
Krukenberg tumor is associated mostly with which cancer?
Krukenberg tumor is a distinctive bilateral tumor metastatic to the ovaries by the transcoelomic spread. The tumor is generally secondary to a gastric carcinoma but other primary sites where mucinous carcinomas occur (e.g. colon, appendix, and breast) may also produce Krukenberg tumor in the ovary. Rarely, a tumor havi...
1
Stomach
Breast
Liver
Pancreas
Pathology
miscellaneous
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single
All of the following are true about Nizatidine except
Nizatidine is a H2 blocker with anticholinesterase activity, thus enhances gastric emptying and can also cause bradycardia.
4
It is a H2 blocker used in peptic ulcer disease
It has 100% Bioavailability
It also enhances gastric emptying
It can also lead to tachycardia
Pharmacology
null
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multi
The Halstead Retain battery involves all except :
In Halstead - Reitan battery test, the battery is composed of ten tests : Category test. Tactual performance test. Rhythm test. Finger - oscillation test. Speech-sound perception test. Trail - making test. Critical flicker frequency. Time sense test. Aphasia screening test. Sensory - perceptual test.
2
Finger oscillation
Constructional praxis
Rhythm
Actual performance
Psychiatry
null
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multi
After mandibulectomy, muscle preventing falling back of tongue -
null
2
Genioglossus
Hyoglossus
Palatopharyngeus
All of the above
ENT
null
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multi
Which of the following is NOT TRUE about post - traumatic stress disorder?
Treatment of choice for PTSD is psychotherapy in the form of cognitive behavior therapy often in combination with pharmacotherapy. There is no evidence that single - session individual psychological briefing is a useful treatment for PTSD. Eye movement desensitization and reprocessing (EMDR) is an effective treatment f...
2
The onset of illness may occur many months after the traumatic event
Individual debriefing and early counselling are most effective method of treatment
Eye movement desensitization and reprocessing is effective
There is high risk of alcohol abuse in patients suffering from this disorder
Psychiatry
null
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multi
Which of the following malignancy shows least lymph node involvement:
Ans: c (Glottic cancer) Ref: Dhingra, 3rd ed, p. 372; 4th ed, p. 286No lymphatics in vocal cords so nodal metastasis are practically never seen in cord lesions unless the disease spreads beyond the membraneous cord. SupraglottisGlottisSubglottisSiteEpiglottisAryepiglottic foldArytenoidVentricular bandsVentricles & sacc...
3
Supraglottic
Subglottic
Glottic cancer
Ca nasopharynx
ENT
Tomour of Larynx
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Complex polysaccharides are converted to glucose and absorbed by the help of:
Ans: b (Sucrase) Ref: Vasudevan, 4th ed, p.Sucrase or invert sugar converts sucrose (which is a complex polysaccharide) into 1 molecule of glucose and 1 molecule of fructose.Na+k+ ATPase is a membrane protein.Enterokinase is a brush border enzyme in intestinal mucosa which will activate trypsinogen to trypsin.Proteolyt...
2
Na+k+ATPase
Sucrase
Enterokinase
Carboxypeptidase
Biochemistry
Carbohydrates
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single
The most prominent toxic effect associated with acetaminophen use is
null
3
Respiratory alkalosis
Haemorrhage
Hepatic necrosis
Gastric Ulceration
Pharmacology
null
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single
A 47-year-old woman is admitted to the hospital with signs of cavernous sinus thrombosis. Radiographic examination reveals a pituitary tumor involving the cavernous sinus, confirming the initial diagnosis. During physical examination it is suspected that the right abducens nerve of the patient has been damaged by the t...
(b) Source: GAS 849-852, 855; GA 450, 465, 536The right abducens nerve innervates the right lateral rectus, which mediates outward movement (abduction) of the right eye. Inward movement is accomplished by the medial rectus, supplied by the oculomotor nerve. Downward movement in the midline is accomplished by joint acti...
2
Inward
Outward
Downward
Down and out
Anatomy
Head & Neck
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single
False about osteoahritis is ?
Ans. is 'c' i.e., It is an inflammatory ahritis Osteoahritis (OA) is a chronic disorder of synol joints in which there is progressive softening and disintegration of aicular cailage accompanied by new growth of cailage and bone at the joint margins (osteophytes), cyst formation and sclerosis in the subchondral bone, mi...
3
Involves synol joints
Progressive softening of the aicular cailage
It is an inflammatory ahritis
Marginal osteophytes are produced
Surgery
null
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multi
Orange-skin cornea results due to:
Ans. Mustard gas
4
Chalcosis
Siderosis
Ammonia burn
Mustard gas
Ophthalmology
null
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single
Fracture of the hyoid bone results from all except :
C i.e. Choking - Burking is a method of homicidal smothering and traumatic asphyxiaQ. In smothering lips, gums, tongue, inner side of mouth & nose may show bruising or lacerationQ. Asphyxial signs (eg congestion, cynosis & patechiae) are severe except when the head & face is enclosed in plastic bag. In smothering, chok...
3
Throttling
Hanging
Choking
Ligature strangulation
Forensic Medicine
null
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multi
Accordian sign is seen in
The 'Accordion sign' (also known as 'conceina sign') is seen on CT examinations of the abdomen Refers to the similarity between the thickened oedematous wall of Pseudomembranous colitis and the folds of an accordion. This appearance is the result of hyperaemic enhancing mucosa stretched over markedly thickened submucos...
1
Pseudomembranous colitis
Intussusception
Ileocecal TB
Ischemic colitis
Radiology
Gastrointestinal Radiology
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single
Melting temperature of DNA is directly proportional to
GC pairs have 3 hydrogen bonds and therefore melt at higher temperature compared to AT pairs which have 2 hydrogen bonds.
1
GC Pairing
AT Pairing
Length of DNA
None of the above
Biochemistry
null
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multi
Which is the latest antiviral drug for bronchitis due to RSV-
null
1
Ribavarin
Acyclovir
Amantadine
Idoxuridine
Medicine
null
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single
Phase 2 of Damage control surgery occurs at
Deadly triad of trauma Following a trauma protracted surgery in physiologically unstable patient, the three factors that carry moality are Hypothermia Acidosis Coagulopathy Hence originated a phenomenon - DAMAGE CONTROL SURGERY Phases of damage control surgery Phase1 :Initial exploration Phase 2: Secondary Resucitation...
2
Pre hospital management
Resuscitation in ICU
Resuscitation in operating room
Definitive repair
Anatomy
General anatomy
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single
Romana's sign is seen in -
Ans. is 'b' i.e., Trypanosoma cruzi Romana's signo The classic finding in acute Chagas disease, which consists of unilateral painless edema of the palpebrae and periocular tissues - can result when the conjunctiva is the portal of entry.o These initial local signs may be follwed by malaise, fever, anorexia, and edema o...
2
Toxoplasma
Trypanosoma cruzi
Loaloa
Wuchereria
Medicine
Parasitology
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single
30 Yr old man which is most likely organism causing infection of epididymis -
null
3
E.coli
Gonococci
Chlamydia
Ureaplasma ureolyticum
Medicine
null
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single
An elderly diabetic with excruciating pain in ear, appearance of granulation in meatus, skull base infection with facial paralysis should be treated with
All clinical features are suggestive of malignant otitis externa, an inflammatory condition of the external ear. Malignant otitis externa (also k/a Necrotizing external otitis) Malignant otitis externa is an inflammatory condition of the external ear usually spreading deep to cause osteomyelitis of temporal bone and ba...
1
Penicillin
Ciprofloxacin
2nd generation ciphalosporin
Erythromycin
ENT
null
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single
Meniere's disease is characterized by all except -
null
1
Conductive deafness
Sensorineural deafness
Vertigo
Tinnitus
ENT
null
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multi
Digoxin toxicity may result from the concurrent administration of digoxin with all of the following drugs EXCEPT
Triamterene is a potassium-sparing diuretic that may protect against diuretic-induced digoxin toxicity. Digoxin toxicity may be caused by drugs that increase serum digoxin levels or increase the binding of digoxin to its receptor, the sodium-potassium adenosine tn phosphatase (ATPase). Quinidine decreases digoxin volum...
3
Quinidine
Hydrochlorothiazide
Triamterene
Furosemide
Unknown
null
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multi
Which of the following drugs is contraindicated along with spironolactone
CONTRAINDICATIONS / PRECAUTIONS Adrenal insufficiency, anuria, diabetes mellitus, hyperkalemia, renal disease, renal failure, renal impairment. ... Acid/base imbalance, metabolic acidosis, metabolic alkalosis, respiratory acidosis. ... Ascites, biliary cirrhosis, hepatic disease. ... Menstrual irregularity.
3
Chlorothiazide
Beta blockers
ACE inhibitors
Amlodipine
Pharmacology
Kidney
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single
A 3-year-old male has come for a routine dental check up. Intra-oral examination reveals good oral hygiene and open proximal contacts. During previous dental appointments, he was cooperative. Which radiographic assessment should be done for this patient?
The American Dental Association (ADA), the American Academy for Pediatric Dentistry (AAPD), the European Academy for Pediatric Dentistry (EAPD), and other organizations have published criteria that are meant to guide the dental professional in decision-making regarding appropriate radiographic imaging (Table 2-5). Thes...
1
No radiographic assessment.
Bitewing Radiographs
Intraoral periapical radiograph
Occlusal radiographs
Dental
null
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single
First to recover from post-operative ileus:
POST-OPERATIVE ILEUS - Following most abdominal operations or injuries, the motility of GI tract is transiently impaired. - Proposed mechanisms responsible for this dysmotility are surgical stress-induced sympathetic reflexes, inflammatory response mediator release, and anesthetic / analgesic effects; each of which can...
1
Small intestine
Stomach
Colon
None
Surgery
Intestinal obstruction
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multi
Watershed zone of large intestine ?
There are areas of colon with poor blood supply resulting from incomplete anastomosis of marginal aeries. These are watershed areas of colon and include :Splenic flexure (Griffith point) : Watershed area between superior mesenteric aery and inferior mesenteric aery.Rectosigmoid junction (Sudeck's point) : Watershed zon...
3
Cecum
Ascending colon
Rectosigmoid
Transverse colon
Anatomy
null
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single
Which one of the following is a relatively selective α2 adrenergic blocker with short duration of action ?
null
2
Prazosin
Yohimbine
Terazosin
Doxazosin
Pharmacology
null
9acb545d-1542-40e7-9f10-994e185d6d14
single
Oxidative deamination is catalyzed by ?
Ans. is 'c' i.e., Glutamate dehydrogenase
3
Glutaminase
Glutamine synthase
Glutamate dehydrogenase
None of the above
Biochemistry
null
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multi
Which of the following is indicated by the term 'mittelschmerz'?
The follicle that ruptures at the time of ovulation promptly fills with blood, forming what is sometimes called a corpus hemorrhagicum. Minor bleeding from the follicle into the abdominal cavity may cause peritoneal irritation and fleeting lower abdominal pain ("mittelschmerz"). The granulosa and theca cells of the fol...
2
Fern pattern of cervical mucus
Peritoneal irritation from corpus hemorrhagicum
Rise of body temperature due to effect of progesterone
LH surge before ovulation
Gynaecology & Obstetrics
null
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single
Best prognostic indicator for head injured patients: AIIMS 10
Ans. GCS
1
GCS
CT findings
Age of the patient
History
Forensic Medicine
null
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single
All the following are cyanotic hea disease except
Ref Harrison 19 th ed pg 1523 Patent ductus aeriosus is not classified as a cyanotic congenital heayh disease. PDA is an acyanotic hea disease with left to right shunt.
2
TOF
PDA
Tricuspid atresia
Eisenmenger's complex
Anatomy
General anatomy
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multi
Aicular cailage is made up of-
Ans. is `b' i.e., Type H Collegen type Tissue distributionUbiquitous in hard & soft tissuesII & IX Cailage, interveebral disc, vitreousIn Hollow organs & soft tissuesIV Basement membraneV Blood vesselsVI Ubiquitous in microfibrilsVII Dermoepidemal junctionIX Cailage & VitrousNote : Amongst these type I, II, III, V & IX...
2
Type I collagen
Type II collagen
Type III collagen
Type IV collagen
Pathology
null
68f2ba99-cf08-4694-83af-d803b257d5f0
single
Mechanism of action of the sulfonylureas is
Ans. is 'a' i.e., K ATP channel blocker * Sulfonylurease provoke a brisk release of insulin from pancreas. They act on the so called "Sulfonylurea receptors" (SUR1) on pancreatic b-cell membrane - cause depolarization by reducing conductance of ATP sensitive K+ channels. This enhances influx of Ca+2 - degranulation. Th...
1
K+ ATP channel blocker
Na ATP channel blocker
Cl ATP channel blocker
Ca ATP channel blocker.
Pharmacology
Endocrinology
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single
Lower lobe fibrosis is seen in :
Answer is D (Asbestosis): Lower lobe fibrosis is seen in Asbestosis. Silicosis, Sarcoidosis and Cystic Fibrosis are all associated with Upper Lobe Fibrosis Upper Lobe Fibrosis Fibrotic Disease Old Granulomatous Infection (Tuberculosis; Histoplasmosis; Coccidioidomycosis) Sarcoidosis Silicosis, Berylliosis Coal Worker's...
4
Silicosis
Sarcoidosis
Cystic Fibrosis
Asbestosis
Medicine
null
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single
Which ocular muscle does NOT arises from apex of orbit
D. i.e. Inferior oblique
4
Superior rectus
Inferior rectus
Superior oblique
Inferior oblique
Anatomy
null
31ae8a7a-6ec6-4519-b954-0e6673614e9e
single
The cuspal inclines of the maxillary buccal cusps and the mandibular lingual cusps should be grounded if they are in deflective occlusal contact in:
null
1
Working position only
Balancing position only
Both working and balancing positions
Central position
Dental
null
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multi