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The following chest X-ray findings are all suggestive of malignancy except:
Ans. Diffuse calcification
4
Umbilicated surface
Spiculated surface
Peripheral cavitation
Diffuse calcification
Radiology
null
dc28076f-a11d-4b61-b57e-be58e3031e92
multi
Severe Conjunctivitis caused by:
* The most common causes of acute bacterial conjunctivitis are Staphylococcus aureus, Streptococcus pneumoniae, and Haemophilus influenzae. * Hyperacute cases are usually caused by Neisseria gonorrhoeae or N. meningitidis. * Chronic cases of bacterial conjunctivitis are those lasting longer than 3 weeks, and are typica...
1
NeisseriA
Staphylococcus
Streptococcus
Haemophilus
Ophthalmology
All India exam
db016802-ba3e-49d2-93fd-a70da844a568
single
The drug that is contraindicated in angle closure glaucoma is:
null
2
Pilocarpine
Atropine
Dorzolamide
Timolol
Pharmacology
null
cdd20663-d937-4c67-b1dc-e7a33ee75df8
single
Lichenisation occurs in which layer of skin­-
The Malpighian layer of the skin is generally defined as both the stratum basale and stratum spinosum as a unit, although it is occasionally defined as the stratum basale specifically,or the stratum spinosum specifically. It is named after Marcello Malpighi
1
Stratum malpighi
Stratum corneum
Stratum hucidum
Stratum granulosum
Dental
null
097220f4-5723-4598-b674-249ad43b9330
single
A girl presented with severe hyperkalemia and peaked T waves on ECC. Most rapid way to decrease serum potassium level:
Ans. c. Insulin + glucose Administering insulin and glucose are the most rapid way to decrease serum potassium level."Intravenous insulin is the fastest way to lower serum potassium levels.""Intravenous calcium gluconate is the first drug to he administered in a patient with hyperkalemia having ECG abnormalities. It st...
3
Calcium gluconate IV
Oral resins
Insulin + glucose
Sodium bicarbonate
Medicine
Fluid & Electrolyte
c2976075-c280-4f7a-9c35-52aa03c117f4
single
Rib ossification center first appears in which rib ?
Ans. is 'c' i.e., 6thEach rib (except for 11th& 12th) is ossified from four centres :-One primary centre-->for bodyThree epiphyseal (secondary )centres for :-HeadAicular pa of tubercleNon aicular pa of tubercleOssification begins near the angle toward the end of 2" month (around 8th week) of fetal life, and is seen fir...
3
1st
12th
6th
3rd
Anatomy
null
5a93635f-ff06-47e1-81f7-fa4a824788a0
single
Pterygium is
Pterygium is subconjuctival fibrobasvular growth encroaching on the cornea REF:Refer Khurana 6th edition page number 87
1
An inflammatory response
A connective tissue disorder
An infection
Assosciated with vitamin A deficiency
Ophthalmology
Conjunctiva
d45d986b-d97e-410c-84ef-4d920fa32981
single
True about streptococcus are all except
Group C streptococci are predominantly animal pathogens. Group C strains isolated from human sources usually belong to the streptococcus equisimilis species. It can cause upper respiratory infection, as well as deep infections such as endocarditis, osteomyelitis, brain abscess and pneumoniae and puerperal sepsis in hum...
1
Group C causes no human infection
Classification by lancefield based on carbohydrate antigen
Group B causes neonatal meningitis
Group B lives in female genital tract
Microbiology
Bacteriology
37ec99e5-a66a-41b1-b369-b030213e8373
multi
Neomycin is used in which of the following vaccines to prevent bacterial contamination?
MMR vaccine and IPV each contains less than 25 mg of neomycin per dose . Persons who are known to be allergic to neomycin should be closely observed after vaccination so that any allergic reaction can be treated at once.
2
OPV and BCG
MMR and IPV
DPT and HPV
Hib and HPV
Social & Preventive Medicine
Impoant facts in Immunization, Newer Vaccines
8bcf0fdf-3d4e-4290-bb36-4623e99fa2b3
single
Ectopic mucosa of Meckel's diverticulum is diagnosed by:
Ans. (a) Tc-99 radionuclide scanRef: Sabiston 19th edition, Pages 1268-1270* Tc99m radionuclide scan is based on the presence of ectopic gastric mucosa.* The sensitivity of the scan can be increased by giving glucagon, pentagastrin or cimetidine.
1
Tc-99 radionuclide scan
Angiography
CT
Endoscopy
Surgery
Small & Large Intestine
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single
Vaginal changes in normal pregnancy show:
The considerably increased volume of cervical secretions within the vagina during pregnancy consists of a somewhat thick, white discharge. The pH is acidic, varying from 3.5 to 6. This results from increased production of lactic acid from glycogen in the vaginal epithelium by the action of Lactobacillus acidophilus. Th...
2
High pH
Increased lactobacilli
Increased anaerobic bacteria
Decrease in glycogen contents
Gynaecology & Obstetrics
Diagnosis of Pregnancy
3f42473c-25cf-4e99-8524-0d01f0340008
single
Best specimen for rabies diagnosis in living person:
o Biopsy of hair follicle of base of neck is more sensitive and considered as the best sample for direct florescent antibody (DFA) test done for antemoem diagnosis of Rabies. o Corneal smears, biopsy from hair follicle from the nape of the neck, and saliva are the used specimens for antemoem diagnosis of rabies. o Corn...
3
Corneal smear
CSF
Biopsy of hair follicle of neck
Brain biopsy
Microbiology
Virology Pa-2 (RNA Virus Pa-1,2 & Miscellaneous Viruses)
d972ffa1-7f7f-4268-8d01-6781e006a3fd
single
The light brown perinuclear pigment seen on H & Estaining of the cardiac muscle fibres in the grosslynormal appearing hea of an 83 year old man atautopsy is due to deposition os:
. Lipochrome
2
Hemosiderin
Lipochrome
Cholesterol metabolite
Anthracotic pigment
Pathology
null
08321f52-cd4c-43c7-abc7-64395b6d510e
single
Cephalic Index of 80-85 is seen in:
Ans: A (Mongols) Ref: The Essentials of Forensic Medicine and Toxicology by KS Narayan Reddy. 29th edition. 2010. Pg: 54Explanation:Cephalic Index =Maximum breadth of skull Maximum length of skttllx 100The length and breadth are measured by calipers between both parietal eminences, between glabella and external occipit...
1
Mongols
Chinese
European
Negroid
Forensic Medicine
Misc.
4adfc130-ff67-4d72-b4d3-94d0f5cc6f71
single
The infective agent causing atherosclerosis -
Seroepidemiological studies suggest an association between several microbes and coronary heart disease. Microbes or their structural components are found in atherosclerotic plaques, but the only intact microbes commonly present are herpes viruses and Chlamydia pneumoniae. These agents are able to initiate and accelerat...
2
M. pneumoniae
C. Pneumoniae
H influenza
C. Diptheriae
Pathology
null
cbe8b459-49ad-407a-826d-b7b7d2094121
single
True about typhoid is -
Ans. is 'd' i.e., Vi polysaccharide of bacterial cell used for vaccination
4
Incubation period 3-6 weeks
Chronic carrier is 10-15%
Widal test is specific
Vi polysaccharide of bacterial cell used for vaccination
Microbiology
null
f3ea9f5b-aa86-49c4-83b5-76f1d05255fa
multi
Fascia covering the rectus abdominis muscle is-
Ans. is 'a' i.e., Rectus sheath Rectus sheath* It is an aponeurotic sheath enclosing rectus abdominis muscle formed by aponeuroses of the three flat abdominal muscles. Rectus sheath has two walls - (i) anterior and (ii) posterior.* Anterior wall is complete and its composition is variable as follows -i) Above costal ma...
1
Rectus Sheath
Peritoneum
Scarpa's Fascia
Buck's Fascia
Anatomy
Abdomen & Pelvis
88bf7720-f0d7-4def-805c-4642375baa7f
single
Not a teratogen is:
Metocloperamide
3
Alcohol
Warfarin
Metocloperamide
Phenytoin
Pharmacology
null
cdb43e64-3f04-4347-a2b2-136ab06413a0
single
A capillary that connects metaeriole directly with a venule is called as:
'Thoroughfare' means a channel or a road that connects two major roads. A.V. anastomosis is called as thoroughfare vessel. Windkessel vessels ~ aoa and large aeries Resistance vessels ~ aerioles Exchange vessels ~ capillaries
4
Windkessel vessel
Resistance vessel
Exchange vessel
Thoroughfare vessel
Physiology
Circulation
5c61d8c1-41c2-4135-8502-6d42eb0bb548
multi
Vitamin D is not found in sufficient quantities in: March 2012
Ans: D i.e. Milk Foodstuff and vitamin-D content Fish fat contains 5-30 microgram/100 gram of vitamin D Egg contains 1.25-1.5 microgram/100 gram of vitamin D Halibut liver oil contains 500-10,000 microgram/100 gram of vitamin D Milk has 0.1 microgram/100 gram
4
Fish fat
Egg
Halibut liver oil
Milk
Social & Preventive Medicine
null
6984d31f-6697-45fe-aad7-66f80cbe04f5
single
A patient with sulphur granules discharging from sinus, suggestive of infection with -
Ans. is 'c' i.e., Mycetoma o Mycetoma are chronic, slowly progressive infections of the subcutaneous tissue usually of the foot caused by a number of Actinomycetes and filamentous fungi.o The disease usually begins as a small subcutaneous swelling of the foot, which enlarges, burrowing into deeper tissues and tracking ...
3
Staphylococcus
H ducryei
Mycetoma
Sporotrichosis
Microbiology
Actinomycetes
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single
Acoustic neuroma causes -
Ans. is 'b' i.e., Retrocochlear deafness o The clinical features depend on the extent of tumor and involved structureWhen tumor is still confined to the internal auditory canalCochleovestibular symptoms are the earliest symptoms of acoustic neuroma when tumour is still confined to internal auditory canal. The commonest...
2
Cochlear deafness
Retrocochlear deafness
Conductive deafness
None of the above
ENT
Ear
01eb8d64-6a8a-4d8b-b2f1-35f40ab21e5e
multi
Aplastic anaemia is:
null
1
Normocytic normochromic with thrombocytopenia
Megaloblasts
Hypochromic microcytic
Hyperchromic macrocytic
Medicine
null
2a2a38e5-6a0c-49df-a9eb-9cdc75a3d5a5
single
Acalculous cholecystitis is caused by all except
Causes of Acalculous cholecystitis Common causes Elderly and critically ill patients after trauma Burns Longterm TPN Major operations(Abdominal aneurysm repair and cardiopulmonary bypass) Diabetes mellitus Uncommon causes Vasculitis Obstructing GB adenocarcinoma GB torsion Parasitic infestation Unusual bacterial infect...
4
DM
TPN
Leptospirosis
Estrogen therapy
Anatomy
G.I.T
91dd97ae-95ed-4c64-ab7a-47f1dab7a522
multi
Smoking has which effect on Uterine leiomyoma formation
Smoking alters estrogen metabolism and lowers physiologically active serum estrogen levels. This explains lower risk of leiomyoma formation in smokers.
2
Higher risk of fibroid uterus
Lowers risk of leiomyoma formation
No change compared to general population
Higher risk of fibroid uterus in postmenopausal women
Gynaecology & Obstetrics
null
433f73cc-9b6f-45bf-9b5a-4c7596801e9a
single
All except one are deformities associated with Leprosy
Clutton's joints are associated with syphilis.
3
Claw hand
Lag ophthalmos
Clutton's joint
Foot drop
Surgery
null
1efba6b4-4bd3-4a2e-ba6d-581ca895b92f
multi
True statement regarding poal venous system is?
Whole system is valve less REF: BDC 4th edition vol II p. 268-71, Gray's Anatomy 39th edition p. 1218 In adults, the poal vein and its tributaries have no valves. In fetal life and for a sho postnatal period valves are d emonstrable in its tributaries, but they usually atrophy. Rarely some persist in an atrophic form i...
2
Valves are present at the junction of superior mesenteric aery and splenic aery
Whole system is valve less
Valves are present in the intrahepatic system
There are about 10-12 valves along the entire course
Anatomy
null
e84da0a4-bd04-4ffb-8058-c007300e2d4a
multi
Coicosteroid of choice in Acute Adrenal Insufficiency is?
Hydrocoisone REr: Katzung 9th edition page 648, KDT 6th edition page 283 "Acute Adrenal Insufficiency: Hydrocoisone sodium succinate 100 mg IV every 8 hourly is REF: Katzung given until the patient is stable" "In Acute adrenal insufficiency, Hydrocoisone or Dexamethasone are given IV first as bolus & then as infusion"
2
Fludrocoisone
Hydrocoisone
Dexamethasone
Prednisolone
Pharmacology
null
125a5c28-0945-4a22-9152-e6896a946042
single
Lovibond profile sign is seen in -
Ans. is 'c' i.e., Clubbing "Clinical indicators of clubbing are Lovibond profile sign and curth s modified profile sign"o Lovibond angle is the angle located at the junction between the nail plate and proximal nail fold. It is normally less than 160deg. In clubbing, the angle exceeds 180deg (Lovibond profile sign).
3
Koilonychias
Platynochia
Clubbing
Onycholysis
Skin
General
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single
Transthoracic compliance formula
Transthoracic pressure Transthoracic compliance : Alveolar pressure - Atmospheric pressure
2
C = Vt x RR /PEEP
C= V/Alv p - atmospheric pressure
C = Vt/Pplt - PEEP
C = Vt/Pk - Pplt
Physiology
JIPMER 2018
19691302-4a51-48aa-b9f6-de497145ada9
single
Example for radiation induced cancer is:
Ans: a
1
Papillary carcinoma thyroid
Follicular carcinoma thyroid
Lymphoma
Hepatoma
Surgery
Neoplasia
a0109084-84e2-4edf-8ef0-d964ab3211af
single
Which of the following is not true about intrinsic renal failure in case of ischemic ATN?
Ans. c. Urine sodium > 20 mmol/L. (Ref H-18th/Table 44-2) Index Prerenal Azotemia *(lschemic ATN)Oliguric Acute Renal FailureBUN/PCr Ratio>20:110-15:1Urine sodium (UNa), mEq/L<20>40Urine osmolality, mOsm/L H2o>500<350Fractional excretion of sodium<1%>2%FENa=UN, x PCr x 100---------PNa,x UCr Urine/plasma creatinine (UCr...
3
Specific gravity < 1.015
FENa < 1
Urine sodium > 20 mmol/L
Urine creatinine to plasma creatinine ratio < 20
Medicine
Kidney
dbf62a2f-4d87-41b7-bb98-22c7d3ca8aa6
multi
A patient presents with respiratory distress, hypotension and dilated bulging neck veins after chest trauma, most likely cause is-
null
2
Hemothorax
Tension Pneumothorax
Cardiac tamponade
Flail chest
Medicine
null
f7b98d5c-d1b6-4655-9578-e469f14ca54f
single
Commonest complication of Pseudocyst of the pancreas is
.Complications of pseudocyst--* Rupture--3% - into bowel or peritoneum * Infection, commonest--20% * Bleeding from the splenic vessels--7% * Cholangitis * Duodenal obstruction * Poal/splenic vein thrombosis and segmental poal hypeension * Cholestasis due to CBD block ref:SRB&;S manual of surgery,ed 3,pg no 623
4
Commonest into peritoneum
Rupture into colon
Hemorrhage
Infection
Surgery
G.I.T
d9a64f03-506c-4db6-8009-a0df4fda2e35
single
In typical hanging, knot is placed at: FMGE 09
Ans. Occiput
1
Occiput
Chin
Left side of mandible
Right side of mandible
Forensic Medicine
null
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single
All included in WHO criteria for water quality except
Nitrates < 45 mg/l Nitrites <3 mg /l
3
Hardness of water below 3000 mg/l
Lead below 0.01 mg/l
Nitrates <3 mg/l
Zero infections micro - organisms
Social & Preventive Medicine
null
57d8221f-10ba-4f79-94f8-eb4a1e616f9e
multi
In the second stage of anaesthesia the pupil is –
Stage 1 → Pupil size normal Stage 2 → Partially dilated Stage 3 → Plane 1 → normal size, Plane 2 → 1/2 dilated, Plane 3 → 3/4 dilated, Plane 4 → fully dilated. Stage 4 → Fully dilated & fixed
2
Constricted
Partially dilated
Normal in size
Totally dilated
Anaesthesia
null
4e4656f0-0a43-455a-9c67-3826105480b1
multi
In the WHO Oral Health Assessment form (1997) the following index criteria are used to record the dentofacial anomalies
null
1
Dental Aesthetic index
Treatment priority index
Handicapping malocclusion assessment record
Index of Orthodontic treatment needs
Dental
null
e535b8db-cc8d-492d-ac13-c146712b3d17
single
Sexual intercourse by a human being with a lower animalis-
Ans. is 'a' i.e., Bestiality o Section 377 IPC defines unnatural sexual offences as sexual intercourse against the order of nature with any man, woman or animal and lays down punishment for the same. These offences are sodomy, buccal coitus, tribadism (lesbianism), and bestiality'.Sodomyo Sodomy is sexual intercourse t...
1
Bestiality
Cunnilingus
Tribadism
Sin ofgomorrah
Forensic Medicine
Sexual Offenses and Dowry Death
edf61cf7-9105-4d72-9be9-e877e2554aae
single
All the following antimicrobial agents are used topically except -
Ans. is 'b' i.e., Griseofulvin o Griseofulvin is used systemically for dermatophytosis. It is ineffective topically.
2
Clotrimazole
Griseofulvin
Nystatin
Miconazole
Pharmacology
null
0c4a8fcb-5245-4d3d-bdc8-c6c35987ac3d
multi
A 32-year-old man is admitted to the emergency department after an injury to his foot while playing football with his college friends. An MRI examination reveals multiple tendinous tears. Which of the following bones is associated with the muscle tears?
(c) Source: GAS 601, 603, 604, 607, 608; GA 7, 273, 310-312, 314The bone to which the injured ligament attaches is the calcaneus. The navicular bone, located medially in the foot, articulates posteriorly with the head of the talus and anteriorly with the cuneiform bones. The cuboid bone of the lateral longitudinal arch...
3
Navicular
Cuboid
Calcaneus
Sustentaculum tali
Anatomy
Lower Extremity
d52ad08d-cd20-4660-8f59-355e55935475
multi
The widest transverse diameter of the fetal skull is :
Transverse diameters of fetal skull in mechanism of labor are: Biparietal diameter: 9.5cm Super-subparietal: 8.5cm Bitemporal: 8cm Bimastoid: 7.5cm Reference: D C Dutta Textbook of Obstetrics 7th edition,page 85
1
Biparietal diameter
Occipito-frontal diameter
Bitemporal diameter
Suboccipito-frontal diameter
Gynaecology & Obstetrics
General obstetrics
2d18b51c-6e0a-4077-8922-49079ec795ee
single
A patient on ATT develops tinnitus and hearing loss due to:
(c) Streptomycin(Ref. Cummings, 6th ed., 2371)Streptomycin is predominantly vestibulotoxic. In very high doses they can affect the cochlear system also, leading to hearing loss and tinnitus.
3
Isoniazid
Pyrazinamide
Streptomycin
Rifampicin
ENT
Miscellaneous Ear
f83dc66b-d16f-4e42-bf03-c0c236e5297b
single
Tryptophan is:
Ans. D. Non polar, essential, both glucogenic & ketogenicTryptophan is a non-polar, heterocyclic amino acid. It acts as glucogenic as well as ketogenic amino acid. It is an essential amino acid as it helps in the formation of Niacin (active form NAD) and serotonin and melatonin.
4
Non polar, essential and pure glucogenic
Polar, essential and both glucogenic & ketogenic
Polar, non-essential, both glucogenic & ketogenic
Non polar, essential, both glucogenic & ketogenic
Biochemistry
Proteins and Amino Acids
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multi
True about actinomyces is -
null
1
Gram +ve
Most common site is brain
Tetracycline is drug of choice
Portal of entry is inhalation
Microbiology
null
f4819d6d-5315-4585-aa76-eb42131321e5
multi
The sho retroviral regime administration in the peripaum period decreases the risk of veical transmission by:
Shoer, more practical regimens staing later in pregnancy have been shown to reduce peripaum transmission by 40-50%. Ref: Aicle: Prevention of Mother-to-Child Transmission of HIV: Challenges for The Current Decade, 2001, Marie-Louise Newell1 ; Textbook of Obstetrics By Dutta, 6th Edition, Pages 300-302 ; Williams Obstet...
2
30%
50%
65%
75%
Gynaecology & Obstetrics
null
222a77a3-4dc6-4552-af53-d54d7ba75585
single
Mannitol infusion causes increase in
Ans. is 'b' i.e., Omolarity
2
Blood viscosity
Osmolarity
Intra-ocular tension
Intercranial tension
Medicine
null
426b7d85-874b-41c2-9583-fc77178061a5
single
Most malignant type of pustular psoriasis is ?
Ans. is'd'i.e., Von Zumbusch typeVon Zumbusch type of pustular psoriasis is the suddenly developing most serious type, characterized by severe systemic upset, swinging pyrexia, ahralgia and high polymorphonuclear lymphocytes.The skin first becomes erythrodermic and then develops sheets of sterile pustules over trunk an...
4
Palmo - planter pustolosis
Acrodermatitis continua
Pustular bacterids
Von Zumbusch type
Skin
null
c946ae48-b90f-4997-944c-2fb488ace3ee
single
French osteotomy is used in treatment of ?
Ans. is 'a' i.e., Cubitus varus Cubitus yarns Cubitus varus, also known as a "gunstock deformity", is the most common complication of supracondylar fracture humerus, due to malunion. It is called gunstock because the deformity resembles a rifle gunstock. The three static deformities of cubitus varus are (all with respe...
1
Cubitus varus
Cubitus valgus
Coxa vara
Coxa valga
Surgery
null
007f398a-8cad-41ad-a29e-48c0c33b5b96
single
Topical steroids can be used in -
Options not relevant (Delete)
3
Herpetic keratitis
Herpetic dendritic keratitis
Disciform keratitis
Anti. uveitis
Ophthalmology
Miscellaneous
5f150bd8-3d1d-447d-8130-b0b8283a2573
single
The oxygen hemoglobin dissociation curve is sigmoid because:
A i.e. Binding of one oxygen molecule increases the affinity of binding other 0, molecule
1
Binding of one oxygen molecule increases the affinity of binding other 0, molecules
Binding of one oxygen molecule decrease the affinity of binding other 02 molecules
Oxygen affinity of Hemoglobin decreases when the pH of blood falls
Binding of oxygen to hemoglobin reduces the affinity of Hb for CO2
Physiology
null
8cf9d2f7-7721-4168-b28e-42453c4f62cc
multi
Expansile lytic osseous metastases are characteristics of primary malignancy of -
Renal (kidney) carcinoma       →       Osteolytic bone metastasis. Breast and lung (bronchus)     →       Mixed osteolytic - Osteoblastic Prostate carcinoma                →       Osteoblastic metastasis
1
Kidney
Bronchus
Breast
Prostate
Orthopaedics
null
b9470da9-7f71-4ba7-a961-99e0fd6977ea
single
Hydrocoisone acts as an anti-inflammatory agent because of induction of the synthesis of which of the following protein?
(Ref: KDT 6/e p279) Coicosteroids induce the synthesis of lipocoins that inhibit the enzyme phospholipase A2.
4
Heat shock protein 90
Inhibin
Transcoin
Lipocoin
Anatomy
Other topics and Adverse effects
191fb192-1ae6-4979-b878-4837407c09c4
single
A 16-year-old boy was found to have a grade 2 ejection systolic murmur along the left sternal border, which decreased with squatting and increased with sudden standing. An ECG shows left ventricular hyperophy . His cousin brother died at the age of 20 years while playing hockey due to some hea disease. What is the reco...
This examination findings, ECG findings and family history are consistent with hyperophic cardiomyopathy. Diagnosis is typically done by echocardiogram. For people with HCM who don't have symptoms, Lifestyle changes and medications for conditions that may contribute to cardiovascular disease are recommended. Current re...
2
Only non contact competitive spos is allowed
Paicipation in competitive spos is not allowed
Non contact competitive spos with beta-blocker therapy is allowed
High-intensity competitive spos are acceptable with beta-blocker therapy
Medicine
Disease of pericardium
441177ed-6081-433f-8c91-d9bdec29cddd
multi
A three years old boy presents with the poor urinary stream. Most likely cause is
Poor urinary stream in 3 years old boy suggests urinary tract obstruction (usually intravesical) and the most common cause of obstructive uropathy in a male child is posterior urethral valve. Posterior urethral valve These are symmetrical folds of urothelium extending distally from prostatic urethra to external urinary...
4
Stricture urethra
Neurogenic bladder
Urethral calculus
Posterior urethral valve
Anatomy
Urology
e1fdecec-a609-41b2-abf2-43f185f3aa21
single
Parkland formula is: (Repeat)
Ans: A (% of burn area* body wt*4) Ref: Nelson's Textbook of Pediatrics. 19th EditionExplanation:Parkland's FormulaTotal percentage body surface area x weight (kg) x 4 = volume (ml)Half this volume is given in the first 8 hours, and the second half is given in the next 16 hours
1
%of burn area*body wt*4
%of burn area*body wt / 4
%of burn area*body surface area*4
%of burn area*body surface area / 4
Pediatrics
Fluid and Electrolyte Treatment of Specific Disorders
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single
Immunization is -
Ans. is 'a' i.e., Primary prevention Immunization is a specific protection type of primary prevention
1
Primary prevention
Secondary prevention
Teiary prevention
Disability limitation
Social & Preventive Medicine
null
3e52418a-58e4-4e17-82e0-e66461a4f8bf
single
Yoyo reflux -
Ans. is 'a' i.e., Duplication of ureter * Reflux of the urine from one limb of the collecting system to the other limb, rather than down towards the bladder is called yo-yo reflux (saddle reflux)* Cause: Duplication of ureters, partial duplication of ureters, duplicate renal pelvis* Another explanation of yo-yo reflux ...
1
Duplication of ureter
Polycystic Kidney
Mellutary sponge Kidney
Pseudo kidney
Surgery
Urinary Tract
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In a study in UK, an association was found between sale of antiarrythmic drug and an increase in deaths due to asthma. This is an example of
Ecological study [Ref: Park, 21/e p59 (19/e, p58) www.ucel.ac.uk.rlos/specs/rlo_observational_study.doc; Repeat Nov 10 & Nov 06 This is an example of ecological study. An ecological study is a type of Observational study where information is collected on a group (or population) rather than on individual members and the...
1
Ecological study
Coho study
Case reference study
Experimental study
Social & Preventive Medicine
null
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Which of the following is not a non-sedating antiallergic drug?
Ans. is 'd' i.e., Triprolidine o Second generation antihistaminics have no CNS depressant action (sedation, diminished aleness) o Cetrizine, astemizole and terfenadine are second generation antihistaminics. o Triprolidine is first generation antihistaminic with mild sedative propey.
4
Cetrizine
Astemizole
Terfenadine
Triprolidine
Pharmacology
null
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A young patient presents to the emergency depament with fever and right upper quadrant pain Clinical examination reveals obvious hepatomegaly but there is no jaundice. Ultrasound reveals a solitary, homogeneous, hypoechoic lesion in the right lobe measuring 5 cm 5 cm 4 cm. Test for hydatid disease were negative. Which ...
Amoebic liver abscess The abscess is usually found in the right hepatic lobe. There may not be associated diarrhoea. Early symptoms may be only local discomfo and malaise; later, a swinging temperature and sweating may develop, usually without marked systemic symptoms or signs. An enlarged, tender liver, cough and pain...
3
Multiple Aspirations and antiamoebies/antibiotics
Catheter drainage and antiamoebics/ antibiotics
Antiamoebics/ antibiotics alone
Hepatectomy followed by antiamobics/ antibiotics
Medicine
G.I.T
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Normal curve -
Ans. is 'a' i.e., Distribution of data is symmetrical Standard normal curveo It is also known as bell curve or Gaussian distribution.o The shape of the curve is like a bell - bell shaped curve.o The data are distributed symmetrically on either side of a central value.o Normal distribution curve looks symmetrical in the...
1
Distribution of data is symmetrical
Mean > Mode
Mode > Mean
Median > Mean
Social & Preventive Medicine
Measures of Central Tendency and Distribution
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Natural habitat of Schistosoma (blood flukes) -
The adult worm of S.haematobium live primarily in the vesical and pelvic venous plexuses where as S.japonicum and S.mansoni inhabit superior mesentric vein and inferior mesentric vein respectively (refer pgno:119 baveja 3 rd edition)
4
Veins of the urinary bladder
Poal & pelvic veins
Vesical plexuses
All of the above
Microbiology
parasitology
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Biochemical oxygen demand is determined by
Ans. is 'a' . Organic matter & Bacteria. "The strength of sewage is expressed in terms ofBiochemical oxygen demandChemical oxygen demandsSuspended solids demand""Biochemical Oxygen demand -It is the most important test done on sewage. It is defined as the amount of oxygen absorbed by a sample of sewage during a specifi...
1
Oranic matter and bacteria
Oxygen content
Alage content in water
Agriculture fertiliser content in water.
Social & Preventive Medicine
Environment and Health
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A 70-year-old woman with a history of ovarian cancer presents with diarrhea. She completed radiation therapy for her cancer 3 months ago. Physical examination shows cachexia, hyperactive bowel sounds, and generalized pallor. The stools are found to contain blood. A CBC shows decreased hemoglobin (7.8 g/dL) and decrease...
Radiation therapy for malignant disease of the pelvis or abdomen may be complicated by injury to the small intestine and colon. Clinically significant radiation enterocolitis is most common in the rectum. The lesions produced by radiation therapy range from a reversible injury of the intestinal mucosa to chronic inflam...
4
Angiodysplasia
Hemorrhoids
Ischemic colitis
Radiation enterocolitis
Pathology
G.I.T.
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True about this condition is
This is Giant congenital pigmented naevus (GCPN) or giant hairy naevusIt is a hamaoma of naevo-melanocytes that has a tendency to dermatomal distribution. It has a similar histology to compound naevi, but the naevus cells are distributed variably from the epidermis throughout all layers and into the subdermal fat and m...
1
Hamaoma of naevo-melanocytes
Increased risk of squamous cell carcinoma
Limited to dermis
Regress completely by 7 years
Surgery
All India exam
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Which is more in stimulated saliva as compared to unstimulated saliva?
null
4
CI
K
Hydrogen
HCO3
Dental
null
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All of the following features can differentiate between ventricular tachycardia and supraventricular tachycardia EXCEPT
null
2
QRs < 0.14 seconds
Ventricular rate > 160/min
Variable first heart sound
Relieved by carotid sinus massage
Medicine
null
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Putrefaction is facilitated by following except:
A i.e. Very high temperature - In females ovaries & non gravid uterusQ; and in males prostate & testisQ putrify very late only preceeded by skin, muscle, tendon & bone which are last organ to putrify. (in the same order) - Due to involution of gases, the liver becomes spongy in W. putrefaction and it is k/a Foamy or Sw...
1
Very high temp
Free air
Damp environment
Shallow grave
Forensic Medicine
null
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Chief Judicial Magistrate can sentence a guilty for imprisonment upto: DNB 09
Ans. 7 years
3
3 years
B. 5 years
7 years
Life imprisonment
Forensic Medicine
null
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Most common orbital tumor in children-
Malignant tumor arise from pleuripotent mesenchymal cells , seen in childrens below 15yrs of age and common in adults Ref : ak khurana 6th edition
1
Rhabdomyosarcoma
Retinoblastoma
Melanoma
Chloroma
Ophthalmology
Tumors
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The greater omentum is derived from which of the following embryonic structures?
Both the omental bursa and the greater omentum are derived from the dorsal mesogastrium, which is the mesentery of the stomach region.Must know:The dorsal mesoduodenum is the mesentery of the developing duodenum, which later disappears so that the duodenum and pancreas come to lie retroperitoneally.The pericardioperito...
2
Dorsal mesoduodenum
Dorsal mesogastrium
Pericardioperitoneal canal
Pleuropericardial membranes
Anatomy
null
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SA node is the pacemaker, under normal conditions, due to which of the following:-
SA node acts as pacemaker because of slow & spontaneous depolarization (due to slow influx of Na (If) causing || in prepotential). Repolarisation is rapid - due to RAPID EFFLUX OF K+ Automaticity is also provided by AV node but recovery after every impulse is fastest in SA node. Every pa of the hea has its own rhythmic...
3
Slow depolarization, slow repolarization
Rapid depolarization, rapid repolarization
Slow depolarization, early repolarization
Rapid depolarization, delayed repolarization
Physiology
Conducting System of Hea
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% of HbF in a 6 month old infant is –
By 6-12 months, only a trace is present. Amongs the given options, 10% is the minimum and therefore the best answer.
1
10
30
50
60
Pediatrics
null
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The genes involved in CA stomach are all except
Ans. is B C-kit mutationRisk factors for gastric carcinomaA) Environmental factors : H. Pylori infection, dietary factors (nitrites/nitrate, smoked and salted foods, lack of fresh fruits/vegetables, deficiency of vitamin C & E), cigarette smoking, and low socioeconomic status.B) Host factors : Chronic gastritis (causin...
2
Supression of p53 gene
C-kit mutation
APC gene
k-ras mutation
Unknown
null
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An elderly man presents with h/o abdomianl pain. He is found to have a fusiform dilatation of the descending aoa. Likely cause is:
The is a case, of a symptomatic aneurysm suggested by pain as well as a fusiform dilatation of the aoa. 95% of the abdominal aneurysms are due to atherosclerosis. Ref: Bailey and Love's Sho Practice of Surgery, 25th Edition, Page 918 and 23rd Edition, Page 727.
2
Trauma
Atherosclerosis
Right ventricular failure
Syphilitic aoitis
Surgery
null
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Nucleus pulposis is derived from:
The nucleus pulposus is the sole remnant of the embryonic notochord, the initial longitudinal skeletal axis of the body. The developing bodies and interveebral discs of the veebral column replace the notochord. NOTOCHORD: The notochordal plate becomes the centrally placed notochord, which acts as a foundation around wh...
2
Neural crest
Notochord
Sclerotome
None of the above
Anatomy
null
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Which of the following antibodies correlates with disease activity for S.L.E -
Ans. is 'b' i.e., Anti-ds DNA antibody Autoantibodies in Systemic Lupus Erythematosus (SLE)AntibodyPrevalence%Antigen RecognizedClinical Utilityo Antinuclear antibodies98Multiple nuclearBest screening test; repeated negative tests make SLE unlikelyo Anti-dsDNA70DNA (double-stranded)High titers are SLE-specific and in s...
2
Anti Smith antibody
Anti dS DNA antibody
Anti Histone antibody
Anti Rho
Medicine
SLE
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Vitamin B12 is given in severe anemia via which route:
Ans. (a) I/MRef. KDT 6th ed. / 588B VITAMIN B12* Present in two forms: cyanocobalamin and hydroxocobalamin.* Dietary sources: liver, kidney, sea fish, egg yolk, meat and cheese.* Only vegetable source: Legumes (pulses)* Daily requirement: 1-2 mg/day. In cases of pregnancy and lactation: 3-5 mg/day.Manifestation of Defi...
1
I/M
IV
Oral
All of the above
Pharmacology
Vitamin
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Dose of local anesthesia for spinal is/are?
Ans. is 'c' i.e., Lignocaine - 5%oDose of lignocaine for spinal anesthesia is 5% solution diluted in 7.5% dextroseoBupivacaine dose for spinal anesthesia is 0.75% solution diluted in 8.25% dextroseLocal Anesthetic Dosing for Spinal Anesthesia Suggested Dose (mg)Duration of Effect (Minutes)AnesthaticUsual ConcentrationL...
3
Lignocaine -1%
Lignocaine - 2.5%
Lignocaine - 5%
Bupivacaine - 0.5%
Anaesthesia
Local and Regional Anesthesia
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A 55 year old man who has been on bed rest for the past 10 days, complains of breathlessness and chest pain. The chest X-ray is normal. The next investigation should be:
Answer is A (Lung perfusion -- ventilation scan): The clinical picture depicted in the question is suggestive of a case of pulmonary thromboembolism. As the patient has a high clinical likelihood, the first investigation should be a non invasive imaging modality in accordance with the diagnostic strategy for PTE outlin...
1
Lung ventilation-perfusion scan
Pulmonary aeriography
Pulmonary venous angiography
Echocardiography
Medicine
null
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Electron beam therapy is used for which tumor ?
Ans. is'b'i.e., Kaposi sarcomaElectron-beam radiation therapy is the most common modality employed for the treatment of localized KS.
2
Renal carcinoma
Kaposi sarcoma
Hepatic carcinoma
AML
Radiology
null
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The probable source of relaxin is :
Relaxin is a peptide hormone. deg It is produced by the ovarydeg to be specific by the corpus luteum of pregnancydeg If corpus luteum is in options, it should be the answer of choice. It has also been identified in : - placentadeg - deciduadeg - choriondeg It is not detected i 11-11 -Os lel s -es, t women.deg Levels of...
4
Ovary
Adrenal coex
Liver
Baholins gland
Gynaecology & Obstetrics
null
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Post operative abscess treatment of choice
Localised infection An abscess may present with persistent abdominal pain, focal tenderness and a spiking fever. The patient may have a prolonged ileus. If the abscess is deep-seated these symptoms may be absent. The patient will have a neutrophilic leucocytosis and may have positive blood cultures. An ultrasound or CT...
3
Hydration
IV antibiotics
Image guided aspiration
Reexploration
Surgery
Urology
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Positive nitrogen balance is seen in ?
Ans. is 'c' i.e., Pregnancy The normal healthy adult is in "nitrogen balance or equilibrium". That is the amount of nitrogen ingested in the diet over a given period of time is equals that excreted in the urine and feces as excretory products.Positive nitrogen balance means amount of nitrogen taken in and retained exce...
3
Trauma
Burns
Pregnancy
Stress
Biochemistry
null
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Which of the measurement correlates with the sub occipitofrontal diameter of fetal skull?
Sub Occipitofrontal diameter is measured from below the occipital protuberance to the centre of the sinciput. It measures 10cm. It is the diameter which distends the vulva in a normal veex presentation. Diameters of fetal skull: Occipitofrontal: It follows a line extending from a point just above the root of the nose t...
2
9.4 cm
10 cm
11.3 cm
12 cm
Gynaecology & Obstetrics
null
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Kartagener's syndrome is characterized by all EXCEPT
(Bronchitis) (11, 18-LT) (409-Maqbool 1lth)Kartagener's syndrome (immobile cilia). These patients have a constantly runny nose, secretory otitis media, chronic sinusitis, bronchiectasis and often sinus inversus (Dextrocardia) Cystic fibrosis of pancreas.
3
Dextrocardia
Bronchiectasis
Bronchitis
Sinusitis
ENT
Nose and PNS
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Which ones are used for long term alcohol withdrawl
A i.e. Acamprostate; B i.e. Disulfiram; C i.e. Naltraxone
4
Acamprostate
Disulfiram
Naltrexone
All
Psychiatry
null
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45-year-old male complained of dysphagia. On investigation, he was HIV positive. He underwent endoscopy and biopsy. Endoscopy findings and histological findings are suggestive of?
Ans. (b) CMV esophagitisEndoscopy showed shallow ulcera at lower end of esophagusHistopathology shows large eosinophilic intranuclear inclusion and multiple small cytoplasmic inclusions
2
Herpes
CMV
Candida
Pseudomonas
Pathology
G.I.T.
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Which of the following is a Rho kinase inhibitor?
Ans. a. Fasudil
1
Fasudil
Ranolazine
Amiloride
Nicorandil
Pharmacology
null
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What is seen in luteal phase -
Ans. is 'a' i.e., Increased progesterone levels "Corpus luteum secretes progesterone, the level of which starts rising"
1
Increased progesterone levels
Decreased progesterone levels
Decreased estrogen level
None of the above
Gynaecology & Obstetrics
Normal Menstrual Cycle
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A postmenopausal diabetic woman presents with bleeding per vaginum. The most likely diagnosis is :
Carcinoma endometrium
3
Carcinoma vulva
Carcinoma cervix
Carcinoma endometrium
Carcinoma ovary
Gynaecology & Obstetrics
null
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Tumor marker most helpful in follow up of a case of Epithelial carcinoma of ovary is :
CA - 125
1
CA - 125
Serum Alpha Fetoprotein
Serum human chorionic gonadotropin
Human Placental Lactogen
Gynaecology & Obstetrics
null
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The following are contraindications to beta-blockers except ( REPEAT)
Beta blockers are used In the treatment of tachycardia as they are sympatholytics.
2
Bradycardia
Tachycardia
Bronchial asthma
Raynaud's disease
Pharmacology
Autonomic nervous system
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Rotator cuff is/are formed by all except: (PGI May 2010)
Ans: D (Teres major) Fig. :The musculotendinous cuff of the shoulderMusculotendinous Cuff (Rotator Cuff) of the Shoulder BDC 4th /Vol I 78-79It is a fibrous sheath formed by the flattened tendons which blend with the capsule of the shoulder joint and strengthen itThe muscles which form the cuff arise from the scapula a...
4
Supraspinats
Infraspinatus
Teres minor
Teres major
Anatomy
Back, Deltoid, and Scapular Region
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Nitrates in excess of ----mg/L may cause infantile methaemoglobinemia
Nitrates level >50 increases the risk of infantile methaemoglobinaemia. Ref: Park's textbook of PSM 25th edition, pg 783
4
15
25
35
45
Social & Preventive Medicine
Environment and health
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single
The presence of Negri inclusion bodies in host cells is characteristic of?
The definitive diagnosis of rabies in humans is based on the finding of Negri bodies, which are cytoplasmic inclusions in the nerve cells of the spinal cord and brain, especially in the hippocampus. Negri bodies are eosinophilic and generally spherical in shape; several may appear in a given cell. Negri bodies, althoug...
3
Mumps
Infectious mononucleosis
Rabies
Congenital rubella
Microbiology
null
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A healthy 3-year-old girl presents with acute onset of petechiae, purpura, and epistaxis. Her Hb 12 g/dl, WBC 5550/mm3, platelet count 2000/mm3. The most likely diagnosis is:
Ans. A. Idiopathic thrombocytopenic purpura (ITP)ITP is most commonly seen in previously healthy children, who may have encountered a recent viral infection. Because the pathogenesis involves peripheral destruction of platelets, the BM appears normal and other hemic lineages are not affected (unlike the case for acute ...
1
ITP
ALL
Aplastic anemia
DIC
Pediatrics
Blood
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'Post-moem staining' is distinguished from bruise by all EXCEPT:
Differences between Hypostasis & Bruise Trait Hypostasis Bruise Cause Distension of capillaries & veins Rupture of blood vessels Site Over most dependent pas of body Occur at site of injury, anywhere on body Appearance No elevation of involved area Swollen, due to collected blood & oedema Epidermis Not abraded May be a...
4
Occurs in dependent pas
Edges are clearly defined
Does not appear elevated
None of the above
Forensic Medicine
FMT Q Bank
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multi
HDL was called good cholesterol because:
HDL Good and Bad cholesterol terminology was used earlier. Now these terms 'good' & 'bad' cholesterol are discarded. HDL was called good cholesterol because of reverse cholesterol transpo i.e. it takes cholesterol from peripheral tissue to liver. HDL conves this cholesterol into cholesterol ester with the help of enzym...
4
Activates lipoprotein lipase
Stimulate hepatic TGs synthesis
Causes transpo from extrahepatic tissues
Removes cholesterol from extrahepatic tissues
Biochemistry
Cholesterol synthesis and bile acids
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