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A teenager presented with a skin lesion which appeared as thin oval plaque with a fine collarette of scale located inside the periphery of the plaque. Pityriasis rosea is diagnosed. All of the following are characteristic of pityriasis rosea, EXCEPT:
Pityriasis Rosea (PR): Common acute papulosquamous eruption normally lasting 4-10 weeks. Most often begins as a single 2- to 4-cm thin oval plaque with a fine collarette of scale located inside the periphery of the plaque ("herald patch"). Similar-appearing, but smaller, lesions appear several days to weeks later, typi...
1
Lower respiratory infection
Herald patch
Moderate itching
Low grade fever
Skin
null
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multi
All of the following features can be observed after the injury to axillary nerve, except -
Muscles responsible for abduction of the shoulder joint -        Supraspinatus- first 15 degrees of abduction -        Deltoid (Acromial fibers) - it is responsible for abduction from 15 to 90 degrees. It does not take part in overhead abduction. -        Trapezius and serratus anterior- They are responsible for upward...
3
Loss of rounded contour of shoulder
Loss of sensation along lateral side of upper arm
Loss of overhead abduction
Atrophy of deltoid muscle
Anatomy
null
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multi
A 22 year old woman developed small itchy wheals after physical exertion, walking in the sun, eating hot spicy food and when she was angry. The most likely diagnosis is –
Similar to previous question this women developed urticaria (itchy wheal) after :- Walking in the sun → generalized heating Eating hot spicy food Physical exertion When she was angry → emotional stress Diagnosis is cholinergic urticaria
4
Chronic idiopathic utricaria
Heat urticaria
Solar urticaria
Cholinergic urticaria
Dental
null
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multi
Na+ reabsorption is maximum in ?
Ans. is 'a' i.e., PCT
1
PCT
Loop of Henle
DCT
Collecting duct
Physiology
null
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single
All of the following can be used to predict severe acute pancreatitis, EXCEPT:
On account of difference in the outcome between patients with mild and severe disease, it is impoant to define that group of patients who will develop severe pancreatitis. Criteria used to determine the severity of acute pancreatitis: Criteria used Score at which severity is indicated Apache score 8 Glasgow score 3 Ran...
4
Glasgow score 3
Apache II score 9
CT severity score 6
C reactive protein < 100
Surgery
null
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multi
"International prognostic index" for lymphoma includes the following prognostic factors, EXCEPT:
Hemoglobin and Albumin are not included as prognostic factors in International prognostic index. International prognostic index of lymphoma can predict the prognosis of lymphoma accurately. It is widely used to categorize patients with intermediate-grade lymphoma into risk group. Prognostic factors includes: Age of 60 ...
3
LDH
Stage of disease
Hemoglobin and Albumin
Number of extralymphatic sites involved
Medicine
null
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multi
A healthy 30-year-old woman comes to the physician for a routine health maintenance examination. No abnormalities are found on physical examination. A screening Pap smear shows cells consistent with a low-grade squamous intraepithelial lesion (LSIL). Subsequent cervical biopsy specimens confirm the presence of cervical...
Cervical intraepithelial neoplasia (CIN) I represent minimal (mild) dysplasia (low-grade squamous intraepithelial lesion, or LSIL) and is a potentially reversible process. Dysplasia is preneoplastic and may progress to carcinomas if not treated. Risk factors for cervical dysplasia and carcinoma include early age at fir...
2
Diethylstilbestrol (DES) exposure
Multiple sexual partners
Oral contraceptive use
Prior treatment for a malignancy
Pathology
Female Genital Tract
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All are true about Candida except -
Ans. is 'c' i.e., It is a mold [Ref: Harrison 18th/ep. 1651, 1652 &17th/ep. 1254; Candida o Candida is a yeast like a fungus (not mold). o Candida albicans is the most common cause of mucosal candidiasis. o All Candida species pathogenic for humans are also encountered as commensals of humans, particularly in the mouth...
3
Pseudohyphae seen
Produce chlamydospore
It is a mould
It is a non-thermally dimorphic fungi
Unknown
null
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multi
Which of the following set is termed as epidemiological triad:
Ans (b) Agent, host and environmentRef : K. Park 23rd ed. / 33-34, Park 19th/ 30A broad concept of disease causation that synthesized the basic factors of agent, host and environment (see adjacent figure)This model--agent, host and environment-- has been in use for many years. It helped epidemiologists to focus on diff...
2
Endemic, epidemic and outbreaks
Agent, host and environment
Incidence, prevalence and disease load
Agent, man and disease
Social & Preventive Medicine
Principles of Epidemiology
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All developed up to the adult size at bih except
Tympanic cavity, mastoid (tympanic) antrum, ear ossicles and the Internal ear are of adult size in the foetal skull.
3
Mastoid Antrum
Tympanic cavity
Orbital cavity
Ear ossicle
Anatomy
All India exam
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multi
All the following statements are true about V. cholera 0139, EXCEPT:
Vibrio Cholerae O139 is a derivative of Eltor O1 but it has a distinct lipo polysaccharide and an immunologically related O-antigen polysaccharide capsule. First discovered in chennai, V.cholerae O139 is epidemiologically indistinguishable from O1 Eltor strain. Ref: Textbook of Microbiology, Ananthanarayan and Paniker,...
4
Clinical manifestations are similar 01 Eltor strain
First discovered in Chennai
Epidemiologically indistinguishable from 01 Eltor strain
Produces Ol Lipo polysaccharide
Microbiology
null
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multi
The major function of major intrinsic protein-26 (MIP-26) is:
Ans. Transpo of water in lens
2
Glucose transpo in lens
Transpo of water in lens
Diffusion barrier
Capsule of lens
Ophthalmology
null
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Lapsed union of skull sutures is commonly noted in:-
In skull, Ectocranial suture closure is very variable. Sometimes, there may not be ectocranial suture closure. This is called lapsed union. This occurs most often in the sagittal suture.
3
Metopic suture
Coronal suture
Saggital suture
Lambdoid suture
Forensic Medicine
Human identification
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True statement about gallstones are all except:
Ans. (d) More common in males between 30-40 years of ageDiabetes mellitus and Gall stones:* Diabetes though not a direct risk factor for gall stones- the following factors in diabetes may increase the chance of getting Gall stones:# Increased Bile Cholesterol# Poor GB motility# Decreased Bile Acids
4
Lithogenic bile is required for stone formation
May be associated with carcinoma gallbladder
Associated with diabetes mellitus
More common in males between 30-40 years of age
Surgery
Gall Bladder & Bile Ducts
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Which is not used in acne:(2003)
bRef: KDT, 5th ed, p. 800, 801 & 4th ed, p. 858s
2
Erythromycin
Ampicillin
Clindamycin
Doxycycline
Pharmacology
Skin
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single
Mycotic vulvovaginitis is due to :
Candida
1
Candida
Aspergillus
Cryptococcus
Pseudomonas
Gynaecology & Obstetrics
null
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single
Clubbing is the least common in
Skeletal connective tissue syndrome including clubbing is usually not seen in small cell carcinoma. Ref Harrison 19th edition pg 250
2
Squamous cell carcinoma
Small cell carcinoma
Adenocarcinoma
Mesothelioma
Anatomy
Respiratory system
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Greater petrosal nerve is formed from
The greater petrosal nerve arises from the geniculate ganglion. It consists of preganglionic parasympathetic fibres that relay in the pterygopalatine ganglion and supply the secretomotor fibres to the lacrimal gland and the mucous glands of nasal cavity and palate.Reference: Textbook of anatomy, Head neck, and brain, V...
1
Geniculate ganglion
Plexus around ICA
Plexus around middle meningeal aery
None of the above
Anatomy
Head and neck
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Ossification centre for lunate appears at?
OSSIFICATION: At 2 months to 1-year Ossification of capitate stas, and at 12 years Ossification of Pisiform stas. ossification of lunate occurs at 4 years. REF: BD Chaurasia 7th edition Page no: 27.
3
Bih
2nd Months
4 Year
12 Years
Anatomy
Upper limb
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A 22 year old female Asian immigrant presents with complaints of malaise, fever, arm pain, loss of appetite, and visual problems. Her mother states that she fainted 1 week ago. The physician cannot palpate the patient's lower extremity pulses and notes that the dial pulses are weak. The erythrocyte sedimentation rate (...
Takayasu's aeritis is an uncommon disorder that is most prevalent in young Asian women. In Takayasu's, an inflammatory process produces fibrous thickening of the aoic arch, causing narrowing or near obliteration of the origins of aeries that branch from the arch. Absent or diminished pulses are noted, especially in the...
3
Buerger's disease
Kawasaki's disease
Takayasu's aeritis
Thrombophlebitis
Pathology
null
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single
All are good prognostic factors for neuroblastoma except
The expression of specific neurotrophin receptors like TrkA are good prognostic factors for Neuroblastoma whereas expression of TrkB like neurotrophin receptors worsens the disease. Refer robbins 9/e 260p
1
Trk-A expression absent
Absence of 1 p loss
Absence of 17 p gain
Absence of 11 q loss
Pathology
Endocrinology
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A 23-year-old man presents with prolonged nose bleeds. He has always noted easy bruising, and ongoing bleeding after minor cuts. There is no prior history of surgery or dental procedures. His hemoglobin is 14.5 g/dL, platelets 200,000/mL, and PT/PPT is normal. Further testing reveals that the bleeding time is elevated;...
von Willebrand's disease is the most common inherited bleeding disorder. The abnormal plasma glycoprotein, von Willebrand factor (vWF), has two major functions: facilitating platelet adhesion and serving as a carrier for factor VIII. The disease is heterogeneous in its manifestations but can be very severe (type III di...
1
von Willebrand's disease
hemophilia A
hemophilia B
thrombotic thrombocytopenic purpura (TTP)
Medicine
Blood
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Diabetes control is best monitored by -
Measurement of glycated hemoglobin (HbA1c) is the standard method for assessing long-term glycemic control. When plasma glucose is consistently elevated, there is an increase in nonenzymatic glycation of hemoglobin. This alteration reflects the glycemic history over the previous 2-3 months, because erythrocytes have an...
3
Serum glucose
Post prandial blood glucose
HbA1c
HbA2c
Medicine
Endocrinology
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A male patient was undergoing routine health checkup and investigations when a lump was incidentally diagnosed on clinical examination. Clinician advised USG following which USG guided biopsy was done. HPE examination revealed the following diagnosis. Patient was staed on chemotherapy including a drug obtained from the...
Vinblastine is an alkaloid derived from the periwinkle plant Vinca rosea. It has clinical activity in the treatment of Hodgkin's and non-Hodgkin's lymphomas, breast cancer, and germ cell cancer. It inhibits mitosis that is M phase of cell cycle.
1
B
C
D
A
Unknown
Integrated QBank
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Substrate level phosphorylation in Glycosis is seen in which step?
Conversion of Phosphoenol Pyruvate to Pyruvate Phosphoenolpyruvate is conveed to 'Enol' pyruvate, the reaction is catalyzed by the enzyme Pyruvate kinase. The high energy PO4 of phosphoenolpyruvate is directly transferred to ADP producing ATP (Refer box). Note Reaction is irreversible.ATP is formed at the substrate lev...
2
Glyceraldehyde-3-phosphate dehydrogenase
Pyruvate kinase
Phosphofructokinase
Enolase
Biochemistry
Respiratory chain
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If blood gas analysis reveal pH = 7.52, pCO = 30 ; pO2 = 105. This will be compensated by ?
First step Determine whether it is acidosis or alkalosis Increase in pH suggests alkalosis Second step Look at CO2 or HCO3- to determine the cause Decreased PCO2 suggests respiratory alkalosis Respiratory alkalosis Respiratory alkalosis occurs because CO2 is blown off in excess equation shifts to left and H+ conc. dec...
3
Compensatory respiratory acidosis
Compensatory respiratory alkalosis
Compensatory metabolic acidosis
Compensatory metabolic alkalosis
Medicine
null
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single
Which of the following is false about the Valves of Houston
A i.e. Disappear on distensionGastric rugae of stomach, and longitudinal folds in mucosa of upper rectum and colon are temporary mucosal folds and are obliterated by distension. Whereas , plica circularis (valves of kerkring) of small intestine, crescentic mucosal folds of cystic duct ( spiral valve of Heister), transv...
1
Anteriorly correlate with peritoneal reflection
Are placed transversely
Contain all layers of intestine
Disappear on distension
Anatomy
null
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multi
Which of the following local anaesthetic causes least vasodilation:
Prilocaine causes less vasodilation than other local anesthetics and thus used without using epinephrine added to the local anesthetic solution.
2
Bupivacaine
Prilocaine
Ropivacaine
Lignocaine
Anaesthesia
Regional Anesthesia
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Abroviral infection(s) include -a) Chikungunya feverb) West nile feverc) JEd) Sandfly fevere) Malaria
null
1
abcd
acd
bcd
abd
Social & Preventive Medicine
null
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single
A patient underwent thyroidectomy for Hyperthyroidism. Two days later he presented with features of thyroid storm. What is the most likely cause?(AIIMS November 2015. COMED K 2007)
Ans. d. Inadequate preoperative preparation (Ref: Schwartz 9/e p1355: Sabiston 19/e p897; Bailey 26/e p762, 25/e p786- 787; Harrison 18/e p2927)Thyrotoxic crisis (storm) is an acute exacerbation of hyperthyroidism. It occurs if a thyrotoxic patient has been inadequately prepared for thyroidectomy."Thyrotoxic crisis (st...
4
Poor antibiotic coverage
Rough handling during surgery
Removal of parathyroid
Inadequate preoperative preparation
Surgery
Surgical Approaches to the Thyroid
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Imiquimod used in treatment of anogenital warts acts manly as –
null
3
Antifungal
Antiviral
Immunostimulator
Keratolytic
Dental
null
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Cell wall of bacillus anthracis is composed of -
Ans. is 'a' i.e., Peptidoglycan The layer just outside the bacterial cytoplasmic membrane is the peptidoglycan layer or cell wall.It is present in both gram-positive and gram negative organisms.The peptidoglycan layer of gram positive bacteria is thick and contain teichoic acid, while in gram negative bacteria it is th...
1
Peptidoglycan
Polysaccharide
Lipopolysaccharide
Polypeptide
Microbiology
null
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multi
Best parameter to monitor the response to injection of a bolus dose of fluids in a dehydrated child is
Signs of mild or moderate dehydration include: Thirst ,Dry or sticky mouth. Signs of severe dehydration include: Not peeing or having very dark yellow pee. Very dry skin. Feeling dizzy. Rapid heabeat. Rapid breathing. Sunken eyes. Sleepiness, lack of energy, confusion or irritability. Fainting. Reference: GHAI Essentia...
4
Skin condition
Difference between core and surface temperature
Capillary refilling time
Radial pulse
Pediatrics
Fluid and electrolytes
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Miliary mottling found in – a) Rheumatoid arthritisb) TBc) Pneumocystis carinii pneumoniad) Congestive heart failuree) Pulmonary edema
null
4
abc
bcd
cde
abe
Radiology
null
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single
A decrease in cerebral blood flow to zero causes death of brain tissue within
(A) 4-10 minutes # Decrease in cerebral blood flow to zero causes death of brain tissue within 4-10 minutes;> Values <16-18 mL/100 g tissue per minute cause infarction within an hour; and> Values <20 mL/100 g tissue per minute cause ischemia without infarction unless prolonged for several hours or days.> If blood flow ...
1
4 -- 10 minutes
20 -- 30 minutes
50 -- 60 minutes
80 -- 90 minutes
Pathology
Misc.
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single
Crohn's disease
null
1
has oral ulcerations similar to major apthous ulcerations
is a self limiting Lesion
is commonly seen among Indian population
is usually treated with Erythromycin
Pathology
null
26a51c71-95d2-4e59-a0ff-3d2935261a2a
multi
What is the recommended lifespan of Cu T 380A is?
The recommended lifespan of various Cu T devices are as follows: Cu T 380A - 10 years Cu T 380Ag - 4 years Cu T 200 - 4 years Nova Cu T 200 - 5 years Cu T 220C - 3 years Multiload Cu T 250 - 3 years Multiload Cu T 375 - 5 years Ref: Comp Textbook of Obstetrics and Gynecology, Sadhana Gupta, 2011, Page 308
4
4 years
5 years
3 Years
10 Years
Gynaecology & Obstetrics
null
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single
Which of the drug's main action is increasing uveo-scleral outflow
Ref: HL Sharma 3rd ed pg no:140 DOC for chronic glaucoma is latanoprost- PGF2 alpha analog It acts by increasing uveoscleral outflow of aqueous humor
2
Apraclonidine
Latanoprost
Timolol
Brinzolamide
Pharmacology
Autonomic nervous system
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TPN is indicated in all except
Ans. (c) SepsisRef Bailey and Love 27th edition Page 287; Surgery Sixer 3rd Edition Page 5* Indication of parenteral nutrition in 'sepsis' is under intensive study but not proven so far to be effective, however in the above options it is the best Choice.
3
Short bowel syndrome
Burns
Sepsis
Enterocutaneous Fistula
Surgery
Small & Large Intestine
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Vertebra plana seen in -a) Eosinophilia granulomab) Traumac) Paget's diseased) Malignancye) Ewing's sarcoma
Vertebra plana This term is used to describe uniform collapse of a vertebral body into a thin, flat disc. The most common cause is eosinophilic granuloma, with the thoracic vertebrae most frequently affected. Causes are :- Histocytosis - X (Eosinophilic granuloma) Leukemia TB Metastasis, Multiple myeloma, Ewing's s...
3
abcd
bcde
abde
ade
Orthopaedics
null
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single
Which is the most common site for berry aneurysm in circle of willis is seen at bifurcation between
Ans. is 'a' i.e., Anterior communicating artery and anterior cerebral artery AZX
1
Anterior communicating artery and anterior cerebral artery
Basilar artery and posterior cerebral artery
Internal carotid artery and posterior communicating artery
Anterior cerebral and middle cerebral artery
Surgery
Nervous System
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single
BCG is
Ans. a (Live attenuated vaccine). (Ref. Park, PSM, 17th ed., 148)VACCINESLive attenuated vaccinesInactivated or killed vaccines1.BCG1.Typhoid2.Typhoid oral2.Cholera3.Plague3.Pertussis4.Mumps4.C.S. Meningitis5.Measles5.Plague6.Rubella6.Rabies7.Yellow fever7.Influenza8.OPV8.KFD vaccine9.Influenza9.Salk (Polio)10.Epi. typ...
1
Live attenuated vaccine
Killed vaccine
Toxoid
Immunosuppressant agent
Social & Preventive Medicine
Communicable Diseases
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A 50-year-old construction worker continues to have elevated BP of 160/100 mmHg after a third agent (thiazide) is added to his anti-hypeensive regimen. Physical examination is normal, electrolytes are normal and he is not taking any over the counter medications. Which is the next helpful step in the diagnosis of this p...
The patient is suffering from resistant hypeension and the leading cause of resistant hypeension is non- compliance on the pa of patient. Resistant hypeension is defined as blood pressure that remains above goal in spite of the concurrent use of 3 antihypeensive agents of different classes. Ideally, one of the 3 agents...
1
Check pill count
Perform renal Doppler
MRI aoa
Adrenal CT scan
Medicine
Acute coronary syndrome
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A 50-year-old know asthmatic develops sudden onset right-sided chest pain with dyspnea. Chest X-ray reveals hyperlucency on right side with shift of trachea to left side. The best option of treatment for immediate relief of symptoms is
Patient might have developed pneumothorax , Pathophysiology Airway hyper-reactivity (AHR) - the tendency for airways to narrow excessively in response to triggers that have little or no effect in normal individuals - is integral to the diagnosis of asthma and appears to be related, although not exclusively, to airway i...
4
Intravenous morphine
Nebulization of beta 2 agonist, Ex salbutamol
Intravenous aminophylline
Water seal intercostal drainage on right side of chest
Medicine
Respiratory system
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multi
NOT a content of middle mediastinum:
The esophagus is considered to be located in the superior and posterior mediastinum.
2
Ascending aoa
Oesophagus
Pulmonary trunk
Phrenic nerve
Anatomy
null
1a720239-736e-4eb5-934a-ca2b0d6b43e7
single
Leucine zipper complex is
Proteins that bind to DNA contain a limited number of motifs.The helix-loop-helix motif is an example found in a number of proteins that function in a number of proteins that function as transcription factors Example: zinc fingers, and leucine zippers . REF :LIPPINCOTT'S TEXTBOOK OF BICHEMISTRY ;8th EDITION ;Page no :1...
3
B cell epitomes
Receptor ligand protein
DNA binding protein
Membrane attack complex
Biochemistry
Metabolism of nucleic acids
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single
A 6 yr. old boy presents with small hypopigmented scaly macules on cheek. Some of his friends also have similar lesions. Most probable diagnosis is?
Ans. D. Pityriasis alba* Occurs predominantly in children between the ages of 3 and 16 years, the sexes are equally susceptible.* The individual lesion is a rounded, oval or irregular plaque, which is red, pink or skin-colored and has fine lamellar or branny scaling. Initially, the erythema may be conspicuous and there...
4
Pityriasis rosea
Pityriasis versicolor
Indeterminate leprosy
Pityriasis Alba
Skin
Skin Lesions And Disorders Of Pigmentation
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multi
Hypotony maculopathy, which of the following is not a cause?
Suprachoroidal Hemorrhage is not a cause of hypotony maculopathy. Hypotony maculopathy is low IOP associated with chorioretinal folds near macula, optic nerve head edema and vessel touosity. Causes Postoperative Hypotony Mitomycin C (MMC) toxicity of the ciliary body Overfiltering Bleb Wound Leak Traumatic Hypotony Scl...
4
Perforating Corneal ulcer
Overfiltering bleb
Cyclodialysis
Suprachoroidal hemorrhage
Ophthalmology
Glaucoma
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Stage of falciparum not seen in PBS is -
P.falciparum Forms in peripheral blood-ring forms and gametocytes (crescent shaped) A) Most pathogenic B). No relapses in P.falciparum-exo-erythrocytic schizogony is absent C). Complications-pernicious malaria,black water fever D)pernicious malaria-1). Cerebral malaria-hyperpyrexia, coma,paralysis.Brain is congested.Ca...
1
Schizont
Gametocyte
Ring form
Double ring
Microbiology
parasitology
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single
Austenite is an alloy of iron and carbon with the iron in:
At room temperature, pure iron has a body-centered-cubic (bcc) structure. This phase is stable up to 912 °C, where it transforms to a face-centered-cubic (fcc) structure. The solubility of carbon in bcc is very low and reaches a maximum of  0.02% at 723°C. This material is known as ferrite.   Above 723 °C, a solid solu...
3
Alpha form
Beta form
Gamma form
None of the above
Dental
null
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multi
Antihypertensive of choice in pregnancy is:
Ref: Dana Textbook of Obstetrics, 5th ed pg 506 Explanation: See the following table Antihypertensives Used in Pregnancy MOA Side effects Remarks Methyl dopa Centrally acting anti-adrenergic * Drowsiness * Headache * Postnatal depression * Postural hypotension * Liver dysfunction * Leukopenia * Hemolytic anemia Contrai...
4
Hydralazine
Propranolol
Alpha methyl dopa
Labetalol
Gynaecology & Obstetrics
Management and Long-Term Consequences
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single
True about formalin
Formalin is not used as preservative for chemical analysis because extraction of poison becomes difficult. PRESERVATIVES : 1. Saturated solution of NaCl - commonly used 2. Rectified spirit (95% alcohol )- Best preservative 3. 10% Formalin - for histopathological examination 4. 50% Glycerol - for virology 5. NaF - For C...
2
Used as preservative in alcohol poisoning
Never used as preservative for chemical analysis
Used as preservative only in digitalis poisoning
Used as preservative for any plant poisoning
Forensic Medicine
Toxicology - 2
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A newborn child is noted to have a bulky abdominal tumor. CT scans reveal that the mass involves the right abdomen and retroperitoneum. The tumor is resected, revealing ganglion cells and primitive, small, round cells occasionally organized in rosettes, embedded in a fibrillary pink matrix. Special studies confirm the ...
Neuroblastoma is a childhood tumor of the sympathetic nerves, which most commonly arises along the paraveebral chain or within the adrenal medulla. Neuroblastoma has two characteristic genetic markers: a 1p deletion and an N-myc translocation. N-myc is an oncogene that resides on chromosome 2p, and is amplified up to 3...
1
Amplification of N-myc gene
Cellular aneuploidy
Diagnosis at bih
Numerous ganglion cells
Pediatrics
null
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A 50-year-old drug abuser presents with fever and weight loss. Exam shows hypeension, nodular skin rash, and peripheral neuropathy. ESR is 100 mm/L, and RBC casts are seen on urinalysis. (SELECT 1 DIAGNOSIS)
Behcet syndrome is a multisystem disorder that usually presents with recurrent oral and genital ulcers. Onefouh of patients develop superficial or deep vein thrombophlebitis. Iritis, uveitis, and nondeforming ahritis may also occur. The 50-year-old drug abuser also has a multisystem disease, including systemic complain...
4
Behcet syndrome
Ankylosing spondylitis
Polymyalgia rheumatic
Polyaeritis nodosa
Surgery
null
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Which of the following is not a complication of surgery for thoracic outlet syndrome.
Surgical treatment in thoracic outlet syndrome has been known to have devastating complications, especially brachial plexopathy (eg, injury to the long thoracic nerve with scapular winging). Conservative treatment appears to be the most universally accepted approach, with even surgeons recommending a prolonged trial be...
3
Pneumothorax
Brachial plexus injury
Lymphocutaneous fistula
Long thoracic nerve injury
Surgery
null
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Following are true about HCO3-except:
C i.e. 7.5% solution gives 2n molsConcentration of bicarbonate- Intracellular : 10 mmoVLQ- Extracellular : 27 mmol/LQIn kidney bicarbonate is produced by carbonic anhydraseQ.
3
Extracellular concentration 25 m mol
Intracellular concentration 10 m mol
7.5% solution gives 2 nmols
In kidney, HCO3- is produced by carbonic anhydrase
Physiology
null
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Which is TRUE regarding nerve conduction:
A i.e. All or none phenomenon All or none law: Action potential will not develop unless the stimulus searches a threshold intensity. Once a threshold in tensity is reached, a full fledged action potential is produced. Fuher increase in the intensity of stimulus produce no increment or other change in action potential a...
1
All or none phenomenon
Conduction independent of amplitude
Propagated action potential is generated in dendrites
Faster in unmyelinated fibres
Physiology
null
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Which of the following statements about Rhythm method is false?
Anencephaly is not a repoed complication of calender method. The calender method or rhythm method: By this method, couple is advised avoidance of sexual intercourse around ovulation. In a 28-day cycle, ovulation normally occurs on the 14th day of the cycle, but may occur anytime between the 12th and 16th day. Spermatoz...
1
Anencephaly is a repoed complication of calender method
It is associated with no costs
Safe period can also be observed using temperature rhythm or mucous method
Abstinence is needed for about 7-10 days
Gynaecology & Obstetrics
Contraception
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Yoke muscle pair -
Ans. is 'c' i.e., Rt LR + Lt MRo Yoke muscle refers to the pair of muscles (one from each eye) which contract simultaneously during various movements.o For example, right lateral rectus and left medial rectus act as yoke muscles for Dextroversion movement.MovementYoke MusclesDextroelevationRight superior rectusLeft inf...
3
Rt IR + Rt SR
Rt LR + Rt MR
Rt LR + Lt MR
Lt LR + Lt MR
Ophthalmology
Ocular Motility
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Retinitis pigmentosa is a feature of all except -
Retinitis pigmentosa has features of : 1.Refsum's syndrome. It is characterised by retinitis pigmentosa, peripheral neuropathy and cerebellar ataxia. 2.Usher's syndrome. It includes retinitis pigmentosa and labyrinthine deafness. 3.Hallgren's syndrome. It comprises retinitis pigmentosa, vestibulocerebellar ataxia, cong...
2
Refsum's disease
Hallervorden-Spatz disease
NARP
Abetalipoproteinemia
Ophthalmology
Vitreous and retina
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multi
Employee's contribution to Employee State Insurance
According to ESI Act amendment 2019
4
3.75
3.5
2.75
0.75
Social & Preventive Medicine
Hospital waste and disaster management, Occupational health
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Bohler's angle is decreased in fracture of-
*Bohler's Tuber angle and crucial angle of Gissane are measured for Intra Aicular Fractures of Calcaneum. Ref: Apley's 9th/e p.926
1
Calcaneum
Talus
Navicular
Cuboid
Orthopaedics
Thigh, Knee,Leg,Foot & Ankle injuries
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The common cause of subarachnoid hemorrhage is-
null
3
Arterio-venous malformation
Cavernous angioma
Aneurysm
Hypertension
Medicine
null
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Iminoquimod is used in the treatment of -
Ans. is 'a' i.e., Anogenital wart Treatment options in wartsType of wartsTreatment optionsVarruca vulgarisCryotherapyElectric cautery, RFAWart paint (non on face, anogenital region)Mechanical removalPalmoplantar wartsWart paintCryotherapyFormain soaksFiliform wartsElectric cautery, RFAPlane wartsTrichloracetic acid tou...
1
Anogenital warts
Tenia versicolor
Melanoma
Sezary syndrome
Pharmacology
Skin
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single
Which of the following produces irreversible cell injury faster?
Ans: c (Ischaemia) Ref: Robbins, 7th ed,p. 12Both hypoxia and ischaemia produces irreversible cell injury by reducing aerobic oxidative respiration, but ischaemia not only compromises the supply of oxygen but also compromises metabolic substrates including glucose (which is normally provided by the blood). Therefore is...
3
Increased cytosolic Ca2+
Decreased ATP
Ischaemia
Hypoxia
Pathology
Cellular Pathology
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The most reliable method of identification of an individual is: NEET 14
Ans. Galton system
2
Gustafson's method
Galton system
Beillion system
Scars
Forensic Medicine
null
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single
Richest source of vitamin C -
Ans. is 'a' i.e., Guava o The richest source of vitamin C is Indian goosebery (Amla),o Important sources of vitamin C in decreasing order : -Amla > Guava > Cabbage > Amaranath > Lime > Cauliflower > Orange > Spinach > Tomato > Potato
1
Guava
Lime
Orange
Tomato
Social & Preventive Medicine
Vitamins
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An -HIV drug known to cause myopathy resembling Mitochondrial myopathy with ragged red Fibers?
.
1
Zidovudine
Enfuviide
Nevirapine
Tenofovir
Pharmacology
All India exam
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The following is true about scalenus anterior muscle -
Scalenus anterior origins from anterior tubercles of the transverse process of four typical cervical vertebrae (i.e. C3-C6) and insert on scalene tubercle and adjoining ridge on inner border and upper surface of first (1st) rib between subclavian artery and subclavian vein. Thus it separates subclavian vein from subcla...
4
It is attached to the tubercle of second rib
It is anterior to the transverse cervical artery
It is pierced by the phrenic nerve
It separates the subclavian vein from the subclavian artery
Anatomy
null
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Commonest site of extramedullary relapse of ALL
Despite success of modern treatment,20-30% of children with ALL relapse.The main cause of treatment failure in leukemia is relapse of the disease.Common sites of relapse are the bone marrow(20%),central nervous system(5%),and testis(3%).Relapse in extramedullary sites,paicularly testes,is more ourable in terms of survi...
1
CNS
Lung
Liver
Testis
Pediatrics
Childhood tumors
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Coronary aery disease is associated with all except?
Alcohol in mild amounts has been shown to have a beneficial effect on thehea. Studies have shown chlamydia and poor dental hygiene as incriminating factors for atherosclerosis. Red wine contains siuin that increases levels of H.D.L and increases longevity.
4
Chlamydia
Poor dental hygiene
Smoking
Alcohol
Medicine
Acute coronary syndrome
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Most common psychiatric illness -
Ans. is 'a' i.e., Depressiono Depresson is the most common psychiatric disorder that affect 15% of the population at some time in their lives (Mates - 8-12%; Females -20-25%). Middle aged (25-45 years) females are most commonly affected.o Note : Among the given options, depression is most common. Overall, anxiety disor...
1
Depression
Bipolar
Mania
Cyclothymia
Psychiatry
Substance Abuse
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Dopamine agonist used in diabetes
Bromocriptine and cabergoline are dopamine agonists but bromocriptine usage in type 2 diabetes is approved.It has an interesting mechanism of action by inhibiting the dopamine dip that causes in early morning leading to hyperglycemia. Ref: Goodman and Gillman 13th ed
2
Metformin
Bromocriptine
Cabergoline
Vanadium salts
Pharmacology
Endocrinology
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True about pheochromocytoma is
10% are bilateral 10% are malignant 10% occur in pediatric patients 10% are extra-adrenal 10% are familial
1
Arises from chromaffin cells of adrenal medulla
Bilateral in 20% of all cases
Hypotension rules out pheochromocytoma
Almost always a malignant tumor
Physiology
All India exam
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Raised MCV in pregnancy can be due to all except
MCV > 100fl is macrocytic First sign of megaloblastic anemia in pregnancy is usually an elevated red cell MCV Causes Megaloblastic: Folate deficiency, Vitamin B 12 deficiency and Orotic aciduria Non-Megaloblastic: Liver disease, Alcoholism, Reticulocytosis, Hypothyroidism Drugs: Azathioprine, 5-Flourouracil, Zidovudine...
4
Megaloblastic Anaemia
Alcohol use
Hypothyroidism
Iron Deficiency
Gynaecology & Obstetrics
Medical, surgical and gynaecological illness complicating pregnancy
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About hemothorax -a) Seen in choriocarcinomab) Supine posture is better than erect posturec) Needle aspiration may be needed for diagnosisd) Thoracotomy is always done
Hemothorax: Causes trauma (most common) tumor tuberculosis Diagnosis is made by needle aspiration of pleural fluid. Harrison writes that for making a diagnosis of hemothorax, the pleural fluid hematocrit should be > 50% of the peripheral blood. Chest X rays are taken to assess the presence and extent of pleural cavity...
4
ab
bc
acd
abc
Surgery
null
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All of the following occur in mitochondria except:
Ans. B. GlycogenolysisGlycogenolysis occurs in the cytoplasm.Other metabolic reactions in the cytosol - glycolysis, glycogenesis, cholesterol synthesis, HMP shunt, bile acid synthesis
2
Citric acid cycle (Krebs's cycle)
Glycogenolysis
Fatty acid oxidation
Electron transport chain
Biochemistry
Respiratory Chain
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Which of the following is absent in normal pulp
null
1
Mast cells
Antigen presenting cells
T lymphocytes
Macrophages
Dental
null
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In brachial plexus nerve arising from root is
Nerve to serratus anterior or long thoracic nerve arises from the nerve root of C5-C7. Injury to this nerve causes the condition called winging of scapula due to paralysis of serratus anterior muscle. B D Chaurasia 7th edition Page no: 45
1
Nerve to serratus anterior
Axillary nerve
Ulnar nerve
Suprascapular nerve
Anatomy
Upper limb
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Range of OHI is:
The Oral Hygiene Index (OHI) was developed in 1960 by John C. Greene and Jack R. Vermillion to classify and assess oral hygiene status. To calculate the OHI, the DI and CI are summed: OHI = DI + CI  The DI and CI values range from 0 to 6. OHI value ranges from 0 to 12. Essentials of preventive and community dentistry ...
4
0-4
3-Jan
0-6
0-12
Dental
null
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A child come with fever, cold, cough, membrane over tonsils; nasal swab is taken, culture should be done on which medium for earliest diagnosis ?
Ans. is 'a' i.e., Loffelers serum slop Diphtheria bacilli grow on Loeffler's serum slope very rapidly and colonies can be seen in 6-8 hours, long before other bacteria grow.
1
Loffelers serum slop
L. J. media
MC Conkey's Agar
Citrate media
Microbiology
null
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Class I MHC molecules are expressed on all Except
Class I MHC molecules are expressed on all nucleated cells and plateletsReference: Robbins and Cotran Pathologic Basis of Disease; 9th edition; Volume I; Page no: 195
4
Dendritic cells
Epithelial cells
Platelets
Red Blood Cells
Pathology
General pathology
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The following statements are true about Peyronie's disease except -
Peyronie's disease is usually seen over 40 years of age Impoant points about Pevronie's disease It is also k/a penile fibromatosis It is due to fibrous plaques in one or both corpus cavernosum.They may later calcify or ossify. Fibrous plaques lead to pain and curvature of the penis on erection Palpable induration or ma...
2
Spontaneous regression occurs in 50% of the cases.
Condition affects adolescent males.
The condition can be associated with Dupuytren's contracture of the tendon of the hand.
Pt. presents with complaints of painful erection.
Anatomy
Urology
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Semi-Smoke less black powder is a mixture of
Semi-smokeless powder: It consists of a mixture of 80% black and 20% smokeless type Gunpowders: Black powder: It produces flame, smoke, and heat, and consists of granular ingredients, like sulfur, charcoal, and saltpeter (potassium nitrate) Smokeless powder: It is more effective than black powder as it burns more effic...
4
50% black powder + 50% smokeless powder
60% black powder + 40% smokeless powder
70% black powder + 30% smokeless powder
80% black powder + 20% smokeless powder
Forensic Medicine
Special topics
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The method of prepayment wherein the patient pays a percent of total cost:
null
2
Loan
Co-insurance
Reasonable fee
Fee for service
Dental
null
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Leptospira icterohemorrhagica infection is transmitted by -
Ans. is 'b' i.e., Rats
2
Bats
Rats
Birds
Dogs
Microbiology
null
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Positive Kehrs sign is -
Ans. is 'a' i.e., Haemoperitoneum
1
Haemopeionium
Acute cholecystitis
Acute pancreatitis
Amoebic abscess
Surgery
null
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Best test for diagnosis of Carcinoid tumor:
Ans. (a) 24 hour urinary 5H.I.A.ARef: Harrison 19th ed. 1564-65* 5-HLAA is the major urinary metabolite of serotonin, a ubiquitous bioactive amine. Serotonin, and consequently 5-HLAA, are produced in excess by most carcinoid tumors, especially those producing the carcinoid syndrome of flushing, hepatomegaly, diarrhea, ...
1
24 hour urinary 5H.I.A.A
24 hour catecholamines
24 hour vaniylmandelic acid levels
24 hour metanephrine levels
Medicine
Miscellaneous (Endocrinology)
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Name the procedure shown here in ureter:
Ans. (b) Dormia BasketThe use of wire baskets under image intensifier control has been replaced by ureteroscopic techniques but they may be useful when the instruments and expertise are not available
2
Stenting
Dormia Basket
Dilatation
Cannulation
Surgery
Kidney & Ureturs
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Case of 30 year chronic smoker male, visited your clinic with this condition. Diagnosis:
Ans. (b) Buerger's disease.Buerger's disease is also known as thromboangiitis obliterans. An inflammatory and obliterative disease of blood vessels of the extremities, mainly lower extremities. Occurring chiefly in smoker young men and leading to ischemia of the tissues and gangrene. Involvement of artery vein and nerv...
2
Diabetic gangrene
Buerger's disease
Atherosclerotic plaque
Clostridium welchii infection
Surgery
Peripheral Arterial Occlusive Disease
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A second choice of tooth isolation is by:
Partial  isolation  with  cotton  rolls,  absorbent  wafers  and saliva  ejector  provides  rapid  and  effective  control  of  the operative field for some limited procedures in  which absolute dryness  is not required.
4
Cotton rolls
Cotton roll holders
Absorbent wafers
All of the above
Dental
null
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multi
Age independent anthropometric measure of malnutrition is ?
null
2
Weight/Height
Mid arm circumference
Head circumference
Mid arm circumference/height
Social & Preventive Medicine
null
6b543ae6-993b-4bed-9d4d-052e1cace57d
single
Which of the following local anaesthetic has the potential to cause methamoglobinemia ?
Prilocaine is a local anaesthetic similar to lignocaine. A metabolite of prilocaine has the potential to cause methaemoglobinemia. Prilocaine is used mainly for infiltration, nerve block and for providing intravenous regional anaesthesia.
2
Procaine
Prilocaine
Tetracaine
Bupivacaine
Anaesthesia
null
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single
HIV C subtype is seen in -
<p> HIV-C is most common in India. Reference:HIV/AIDS care and counselling by ACV Dyk,4th edition,page no.21.
1
India
Europe
America
Thailand
Social & Preventive Medicine
Communicable diseases
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single
A 27-year-old woman occasionally uses calcium carbonate (Turns) for "heartburn" symptoms after a large meal.For the above patient with an acid-peptic disorder, select the mechanism of action of the prescribed medication.
Although doctors seldom prescribe antacids because of the availability of superior medications, patients still use them extensively. As well as neutralizing acid, calcium carbonate enhances secretion in the stomach. The release of CO2 from bicarbonate can result in belching, nausea, and abdominal distension. Belching c...
1
neutralizes gastric acid
works by binding to cysteine
inhibits gastrin release
irreversible H1-receptor blockade
Medicine
Miscellaneous
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multi
Granulomatous inflammatory reaction is caused by all, except-
It is a distinctive pattern of chronic inflammation characterised by aggregates of Macrophages with scattered lymphocytes. Seen in all of above except mycoplasma infection. Mycoplasma species have been isolated from women with bacterial vaginosis. M. genitalium is found in women with pelvic inflammatory disease. In add...
4
M. Tuberculosis
M. Leprae
Yersinia pestis
Mycoplasma
Pathology
General pathology
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multi
Antimicrobial resistance in frequent lens user is due to-
(Refer: AK Khurana Comprehensive Ophthalmology, 6th edition, pg no. 50) The contaminated contact lens provides Psuedomonas aeruginosa an idea site for attachment and biofilm production Continuous contact of the eye to the biofilm-infested lens can lead to serious ocular diseases, such as keratitis (corneal ulcers) The...
1
Biofilm formation
Improper handling
Unhygienic formation
Low potency of antibiotics
Unknown
null
477a50e7-ec53-47c6-bd22-9a8c5ce8c5b1
single
What is your diagnosis:
Ans. D. CranioschisisCranioschisis (Greek: "kranion - kranion" skull, and "schisis -skhi/sis;" - split), or dysraphism, is a developmental birth defect involving the skull. In this disease, the cranium fails to close completely (especially at the occipital region). Thus, the brain is exposed to the amnios, and eventual...
4
Anencephaly
Iniencephaly
Myelomeningocele
Craniorachischisis
Pediatrics
Genetics And Genetic Disorders
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single
Subconjunctival hemorrhages are evident in the following cases except ?
Ans. is 'd' i.e., Pellagra Subconjunctival haemorrhage Occurs due to the rupture of small vessels. The condition, though unsightly, is tril. This can occur spontaneously in elderly people with fragile vessels or those with systolic hypeension or after local ocular trauma or eye surgery. Very minute ecchymoses, or possi...
4
Whooping cough
Scurvy
Purpura
Pellagra
Ophthalmology
null
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multi
Flushing is common in patient taking which of the follwing oral hypoglycemic drug with alcohol:
Chlorpropamide is a first generation sulphonylurea. It causes cholestatic jaundice, intolerance to alcohol in predisposed subjects(flushing and a disulfiram like reaction). Disulfiram like reaction seen with: chlorpropomide, tolbutamide, metronidazole, gresiofulvin, cefoperazone, cefomandole etc (REF.Essential of medic...
1
Chlorprompamide
Phenformin
Glibenclamide
Tolazamide
Pharmacology
Endocrinology
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single