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Orthodromic conduction is
The conduction of impulses in a single direction, that is from receptor or synapse to the axons and further to the termination, is known as Orthodromic conduction.
1
An axon can conduct impulse in one direction only
An axon can conduct impulse in both direction
The jumping of depolarization from node to node
The point at which a runaway spike potential occurs
Physiology
null
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multi
Amaurosis fugax is caused by occlusion of
(C) Central retinal artery # Amaurosis fugax> It refers to a sudden, temporary and painless monocular visual loss occurring due to a transient failure of retinal circulation.> Its common causes are: carotid transient ischaemic attacks (TIA), embolization of retinal circulation, papilloedema, giant cell arteritis, Rayna...
3
Facial artery
Occipital artery
Central retinal artery
Posterior auricular artery
Medicine
Miscellaneous
a653f2ba-4344-4f5d-935f-af27f0113cd6
single
The antibodies that are seen in Grave&;s disease are-
ref: Ganong&;s review of medical physiology; 24th edition; page no;347 Grave&;s disease an autoimmune disorder which leads to an overactive and enlarged thyroid gland.
2
ANA
TSH receptor antibodies (TRAb)
Thyroid peroxidase antibodies
Anti-T3 antibodies
Medicine
Endocrinology
93f2aab2-654e-40bc-a7c0-fa758db075ef
single
PSGN (post strept. GN) asso. with ?
Ans. 'a' i.e., Subepithelial deposits; 'b' i.e., Nephritis along with acute renal failure; `c' i.e., Low complement levelsPSGN appears 1 to 4 weeks after a streptococcal infection of pharynx or skin (impetigo).o Occurs most frequently in children 6 to 10 years of age, but adults any age can be affected.o The lesions ar...
4
Subepithelial deposits
Nephritis along with acute Renal failure
Low complement levels
All
Pathology
null
63d560a9-0ebf-4597-b9ab-c22cc96a9278
multi
Adrenogenital syndrome is most commonly caused by?
The most common type of congenital adrenal hyperplasia is deficiency of in boys--that becomes prominent as the child grows. There may also be decreased production of , low serum sodium concentrations (hyponatremia), and high serum <a href=" deficiency</a> accounts for 95% of all cases of CAH and is inherited in an auto...
1
21 a hydroxilase deficiency
17 a hydroxylase deficiency
3 ss hydroxylase deficiency
Steroid sulfatase deficiency
Pediatrics
Genetic and genetic disorders
ef9b3446-69d3-4992-952c-d2c0c015c3a8
single
Regarding cochlear implant, which of the following is true -
null
1
Not contraindicated in cochlear malformation
Contraindicated in < 5 yrs
Indicated in mild to moderate hearing loss
Implanted through oval window
ENT
null
9e91d590-2bec-4e52-8f57-ed68063bb57e
multi
Nerve supply to platysma is:
The platysma muscle is the most superficial muscle of the neck. Unlike most skeletal muscles, the platysma is located in the superficial fascia . The muscle extends superiorly from the inferior border of the mandible and inferiorly to the clavicle to the fascia of the anterior shoulder and thorax. The platysma muscle i...
2
Ansa cervicalis
Facial
Hypoglossal
Mandibular
Anatomy
null
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single
Otoacoustic emissions are produced by:
Otoacoustic emissions (OAEs) are produced by the outer hair cells. Motility of outer hair cells, spontaneous or in response to sounds, is transmitted by the basilar membrane, ossicular chain to tympanic membrane, and can be picked up and measured by a sensitive microphone placed in the outer ear canal.Spontaneous OAEs ...
2
Inner hair cells
Outer hair cells
Basilar membrane
Auditory nerve
ENT
Ear
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single
Mutation in GNAS 1 gene is associated with
null
1
Fibrous dysplasia
Ossifying fibroma
Focal cementoosseous dysplasia
Periapical cementoosseous dysplasia
Pathology
null
40b31618-874b-4f51-9340-4fdd5cf83c7e
single
A patient complains of epigastric pain, radiating to back off and on. The investigation of choice is –
Epigastric pain radiating to back suggests the diagnosis of acute pancreatitis. CECT is the investigation of choice for pancreatitis.
2
MRI
CT scan
USG
Radio nucleotide scan
Radiology
null
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single
Drug not given sublingually is -
Ans. is 'd' i.e., Isosorbide-5-mononitrate Drugs that are used by subligunal route are: i) Nitrates: Nitroglycerine (glycery trinitrate), isosorbide dinitrate, Erythrity terranitrate ii) Opioids: Buprenorphine, morphine iii) Antianxiety: Alprazolame, clonezepam, Lerazepam diazepam iv) Antimigraine: Ergotamine tarate Ot...
4
Isosorbide dinitrate
Bupreorp hi ne
Ergotamine tarate
lsosorbide-5-mononitrate
Pharmacology
null
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multi
Addison's disease is characterized by following except:
Answer is D (Hypocalcemia): Addison's disease may he associated with Hypercakemia and not hypocafremia. In Addison's disease Hypercalcemia occurs in 10-20% of patients due to unclear reasons - Harrison Addison 's disease may be associated with Hyperkalemia, Hvponatremia and hypotension as explained in the previous ques...
4
Hyperkalemia
Hypotension
Hyponatremia
Hypocalcemia
Medicine
null
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multi
Which among the following is definitive indicator for start of Active labour?
Ans. B. Cervical dilatation > 3 cm. (Ref. Williams Obstetrics 22nd/ Ch. 17)CHARACTERISTICS OF NORMAL LABOR# The strict definition of labor-uterine contractions that bring about demonstrable effacement and dilatation of the cervix-docs not easily aid the clinician in determining when labor has actually begun, because th...
2
Rupture of membranes
Cervical dilatation > 3 cm
Leaking
Show
Gynaecology & Obstetrics
Miscellaneous (Gynae)
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single
All are Neuroglial cells in the CNS except: September 2008
Ans. D: Kupffer cells Glial cells are very numerous, there are 10-50 times as many glial cells as neurons. The Schwann cells that invest axons in peripheral nerves are classified as glia. In the CNS, there are three main types of neuroglia: Microglia consists of scavenger cells that resemble tissue macrophages. They pr...
4
Oligodendrocytes
Microglia
Astrocytes
Kupffer cells
Physiology
null
baf7c849-2486-4811-aef5-b694ee4ad44c
multi
In a statistical study for calculating the effect of drug on patient's sugar level the test showed significant difference when in reality there was no difference
Ref:Park's Textbook of Preventive and Social Medicine 25th Ed
1
Alpha error
Beta error
Gamma error
Power of a test
Social & Preventive Medicine
Biostatistics
042e5bf9-a2c7-47ba-b4fa-eed543634ee7
single
Glucose can be synthesised from all except-
C i.e. Acetoacetate
3
Amino acids
Glycerol
Acetoacetate
Lactic acid
Biochemistry
null
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multi
There is defect in production of melanin in all except-
In melasma is a accuired hyperpigmentary disorder affecting predominantly over face. etiology is ultra violet rays. It is also triggered by pregnancy and oral contraceptive pills. All the other given conditions are associated with defects in melanin pproduction IADVL textbook of dermatology, pigmentary disorders,page74...
4
Albinism
Vitiligo
Piebaldism
Melasma
Dental
Skin lesions and disorders of pigmentation
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multi
Golf-hole ureter is seen in
null
3
Ureteric calculus
Ureteral polyp
Tuberculosis of ureter
Retroperitoneal fibrosis
Surgery
null
703b62d6-b7b4-48c3-83d8-0d0478ad830d
single
All are proved to delay or prevent diabetes in those with impaired glucose tolerance, except
Intensive changes in lifestyle (diet and exercise for 30 min/d five times/week) in individuals with IGT prevented or delayed the development of type 2 DM by 58% compared to placebo. In the same study, metformin prevented or delayed diabetes by 31% compared to placebo.A number of agents, including a-glucosidase inhibito...
4
Lifestyle modification
Metformin
Orlistat
Atorvastatin
Medicine
Endocrinology
7733ac35-3c54-4a58-b7eb-bc6b9b8e21d5
multi
All of the following are associated with carcinoma colon except ?
Ans. is 'c' i.e., Fibre diet Fibre diet is protective against colon cancer (see previous explanations). Risk factors for Colon cancer Dietay factores - explainaed in previous quetion Hereditary factors Polyposis coli Nonopolyposis herditary colon cancer ( also known as Lynch syndrome) Inflammatory bowel disease Long st...
3
Smoking
Alcohol
Fibre diet
Fatty food
Pathology
null
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multi
All are true about the hemolytic disease of newborn except
When anti-Rh agglutinins cross the placenta to an Rh-positive fetus, they can cause hemolysis and various forms of hemolytic disease of the newborn (erythroblastosis fetalis). If hemolysis in the fetus is severe, the infant may die in utero or may develop anemia, severe jaundice, and edema (hydrops fetalis). Kernicteru...
4
Haemolytic anaemia
Hydrops foetallis
Kernicterus
Anti - Rh agglutinins are of IgM type
Physiology
General physiology
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multi
Cytopathology deals with ?
Ans. is 'a' i.e., Cellular changes for diagnosis of diseaseCytologyCytology is the study of cells.Cytology is that branch of life science, which deals with the study of cells in terms of structure, function and chemistry.Robe Hooke is sometimes seen as the father of cytology.
1
Cellular changes for diagnosis of disease
Tissue changes for diagnosis of disease
Both 'a' and 'b'
None of the above
Pathology
null
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Effacement of foot process of nephron is seen in?
* Minimal change renal disease is the most common form of idiopathic nephrotic syndrome in children of age group 2 to 6 years. It accounts for around 85% of cases and are mostly steroid sensitive.* The finding in renal biopsy in light microscope is usually normal. Electron microscope shows effacement of epithelial foot...
1
Minimal change disease
Focal segmental glomerulosclerosis
Acute glomerulonephritis
Membranous nephropathy
Pediatrics
Urinary Tract
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single
Recommended intervals for bitewing examination in high risk children is:
Children and adolescents with high risk factors for caries, must be examined with bitewing radiography atleast once in 6-12 months, whereas for adults it is 6-18 months.
1
6-12 months
6-18 months
12-18 months
3-6 months
Dental
null
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single
A 30 years old male reported with chief complaint of constant radiating, gnawing pain that is intensified by eating spicy foods and chewing. He also reported a "metallic" foul taste and an excessive amount of "pasty"saliva. A general examination revealed fever and increased pulse rate. Intra-oral examination showed pu...
null
1
Necrotizing ulcerative gingivitis
Localized aggressive periodontitis
Acute herpetic gingivostomatitis
Desquamative gingivitis
Dental
null
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multi
In which of the following poisonings Mc Ewan Sign is seen?
In acute alcohol intoxication when patient goes to the stage of coma, the pupils are contracted but stimulation of the patient cause them to dilate with slow return. This is known as Mc Ewan Sign. Carbolic acid poisoning: Odour of breath, white patches on lips and mouth and carboluria. Carbon Monoxide poisoning: Histor...
1
Acute alcohol intoxication
Carbon Monoxide poisoning
Barbiturate poisoning
Carbolic acid poisoning
Forensic Medicine
null
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single
A 35-year-old Insulin Dependent Diabetes Mellitus (IDDM) patient on Insulin for the past 10 years com- plains of gradually progressive painless loss of vision. Most likely he has
(A) Cataract> Patients present with chronic, slowly progressive and generally painless visual loss. The reduction in vision is usually bilateral, though frequently asymmetrical, and occurs over weeks to years.> More common conditions that cause gradual loss of vision can be divided into two groups based on the reversib...
1
Cataract
Vitreous haemorrhage
Total rhegmatogenous retinal detachment
Tractional retinal detachment not involving the macula
Ophthalmology
Miscellaneous
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multi
Which of the following carcinoma is familial -
Familial cancers these cancers may occur at higher frequency in certain families without a clearly defined pattern of transmission. Virtually all the common types of cancers that occur sporadically have also been reported to occur in familial forms. examples include carcinomas of breast brain colon melanoma ovary lymp...
1
Breast
Prostate
Cervix
Vaginal
Surgery
null
c1cbfa42-973a-4b23-88e0-3598dcdc9a21
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Which of these amino acids will migrate slowest to the anode end at the physiological pH-?
Positively charged (cationic) amino acids are attracted to the negative electrode (the cathode), and negatively charged (anionic) amino acids are attracted to the positive electrode (the anode). An amino acid at its isoelectric point has no net charge, so it does not move. So at the physiological pH, amino acid with po...
4
Aspaic acid
Glycine
Valine
Lysine
Biochemistry
null
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single
Congenital coxa vara is treated by:
CONGENITAL COXA VARA Clinical Presentation Painless limp in a child who has just staed walking Shoening-Limitation of abduction and internal rotation Radiological Reduced neck shaft angle (varus) Veical epiphysis plate Separate triangle of bone in infero-medial pa of metaphysis called as Fairbank's triangle Treatment d...
2
Fixation by SP Nail
Osteotomy
Bone grafting
Traction
Orthopaedics
Pediatric Ohopedics
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Resting membrane potential depends mainly on
Since K+ permeability is greater than Na+ permeability, therefore, K+ channels maintain the RMP.(Ref: Textbook of physiology AK Jaun 5th edition Page no.35)
1
K
Na
Cl
HCO3
Physiology
General physiology
5e07444f-d61b-49bd-9c80-e862ee23feac
single
Which complex of ETC is not associated with liberation of energy -
Ans. is 'b' i.e., Complex II o During the transfer of electrons through the ETC, energy is produced. This energy is coupled to the formation of ATP molecules by phosphorylation of ADP by an enzyme F0F1, ATPase. The phosphorylation of ADP into ATP is coupled with oxidation of reducing equivalents, therefore the process ...
2
Complex 1
ComplexII
Complex III
ComplexIV
Biochemistry
Respiratory Chain
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Is the most common type of congenital cataract:
Ans. Lamellar cataract
1
Lamellar cataract
Cataracta centralis pulverulenta
Coronary cataract
Coralliform cataract
Ophthalmology
null
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multi
Disc oedema is seen in:
Ans. (a) CRVORef: Parson's 22/e, p. 350Swollen optic disc or disc oedema - causesUnilateralPapillitis or optic neuritis involving the nerve head (sudden loss of vision with subsequent improvement young age)Anterior ischaemic optic neuropathy (sudden loss of vision usually without improvement old age)Orbital tumours (sl...
1
CRVO
CRAO
BRVO
BRAO
Ophthalmology
Neuro-Ophthalmology
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single
C wave in JVP is DUE TO
ref : rhagawa rao cardiology
1
Bulging of tricuspid valve during the isovolumetric contraction phase
Atrial systole
Passive filling ventricle
Atrial relaxation
Medicine
All India exam
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single
Estrogen receptor activity is clinically useful in predicting
The likelihood of response of a breast cancer to hormonal therapy is dependent on the presence of hormone receptors in the cytoplasm of the breast cancer cells. Receptors for corticosteroids, progesterone, prolactin, and estrogen have been identified. Eighty percent of patients with tumors that exhibit receptors to bot...
4
The presence of ovarian cancer
The presence of metastatic disease
Response to chemotherapy
Response to hormonal manipulation
Surgery
Breast
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multi
Sympathetic trunk rests on
The sympathetic trunk lies just lateral to the veebral bodies for the entire length of the veebral column. ... The sympathetic trunk permits preganglionic fibers of the sympathetic nervous system to ascend to spinal levels superior to T1 and descend to spinal levels inferior to L2/3 The superior end of it is continued ...
1
Body of veebra
Transverse process
Lamina of veebra
Pedicle of veebra
Anatomy
Thorax
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Increased BMR is associated with ?
Ans. is 'c' i.e., Increased glycolysisIncreased BMR is associated with hypermetabolic state which is characterized by :?A) Carbohydrate metablismi) | Glycolysisii) | Gluconeogenesisiii) | Glycogenesisiv) | GlycogenolysisB) Lipid metablismi) | Lipogenesisii) | Lipolysisiii) | Cholesterol Synthesisiv) | Triacylglycerol S...
3
Increased body fat store
Increased glycognenesis
Increased glycolysis
Increased lipogenesis
Physiology
null
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single
All of the following can cause SLE like syndrome EXCEPT
Ref - researchgate.net
2
INH
Penicillin
Hydralazine
Sulphonamide
Medicine
Immune system
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True about collagen is all Except
COLLAGENS HAVE A TRIPLE HELIX STRUCTUREAll collagen types have a triple helical structure. A striking characteristic of collagen is the occurrence of glycine residues at every third position of the triple helical poion of the alpha chain. This is necessary because glycine is the only amino acid small enough to be accom...
2
Triple helix
Beta pleated sheet
Vit C is necessary for post translational modification
Glycine residue at every third position
Biochemistry
Structure and function of protein
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multi
Which fibrinolytic agent selectively activate fibrin bound plasminogen rather than circulating plasminogen
FIBRINOLYTICS (Thrombolytics) Alteplase It is moderately specific for fibrin bound plasminogen, so that circulating fibrinogen is lowered only by ~ 50%. It is rapidly cleared by liver and inactivated by plasminogen activator inhibitor-1 (PAI-1). The plasma t 1/2 is 4-8 min. Because of the sho t 1/2 , it needs to be giv...
3
Streptokinase
Urokinase
Alteplase
Both 'A' and 'C'
Pharmacology
Hematology
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Gaisbock syndrome is known as-
Ans. is 'c' i.e., Spurious Polycythemia o Gaisbock syndrome refers to spurious polycythemia or relative erythrocytosis due to decreased plasma volume.
3
Primary familial polycytemia
High altitude Erythrocytosis
Spurious Polycythemia
Polycythemia vera
Medicine
Polycythemia
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Which of the following statements in context of leukemias is true?
Explaining other options, Chronic myeloid leukemia occurs beyond 50 years of age…Robbins 8th/ Hairy cell leukemic is present in median age of 55 years and has M:F ratio of 5:1. HCL tends to follow an indolent course. For unclear reasons, the tumor cells are exceptionally sensitive to particular chemotherapeutic regime...
3
Acute lymphoid leukemia occurs beyond 50 years of age
Hairy cell leukemia in less than 50 years has a good prognosis
Acute lymphoid leukemia in less than 1 year has a poor prognosis
Chronic lymphocytic leukemia occurs in less than 50 years of age
Pathology
null
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Most common drug induced skin reaction:
Ans. b (Morbilliform rash). (Ref Harrison's medicine 18,h/ch. 55)DRUG-INDUCED SKIN REACTIONSMaculopapular eruptions are seen in the classic childhood viral exanthems, including:1)rubeola (measles)a prodrome of Coryza, Cough, and Conjunctivitis followed by Koplik's spots on the buccal mucosa; the eruption begins behind ...
2
Maculopapular rash
Morbilliform rash
Fixed Drug Eruption
Photosensitivity reaction
Skin
Drugs
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A preterm baby developed bullous lesion on the skin soon after bih. The X- ray shows periostitis. What should be the next investigation?
The baby described in the question stem is most likely suffering from the early manifestations of congenital syphilis. As per the choices given VDRL is the test done to diagnose syphilis. Ref: Harrison's Principles of Internal Medicine, 16th Edition, Page 981; Skin Diseases & Sexually Transmitted Infections, Uday Khopk...
1
VDRL for mother & baby
ELISA for HIV
PCR for TB
Hepatitis surface antigen for mother
Skin
null
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Single unit smooth muscles are seen in
null
3
Iris
Ductus deferens
Ureter
Trachea
Anatomy
null
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Globular heart with plethoric lung fields is seen in
Globular heart with plethoric lung fields - TGA Globular heart with Oligemic lung fields - Tricuspid atresia, Ebstein's anomaly
1
TGA
TAPVC
Tricuspid atresia
Ebstein's anomaly
Radiology
null
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Presently surgical treatment of choise in a 22 year male with - 10D myopia is
Ans. Phakic refractive lens
1
Phakic refractive lens
Refractive lens exchange
Wavefront guided LASIK
LASIK with femtosecond laser
Ophthalmology
null
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single
7 year old child presents with poor wound healing, Perifollicular hemorrhages and sharp and painful swellings at the costochondral junction of ribs. Which of the following treatments are recommended
The clinical presentation points towards scurvy and it can be treated by supplementing the diet with citrus fruits which are rich source of vitamin C.
4
Leafy vegetables in the diet
Animal products containing liver in the diet
Avoidance of eggs from diet
Oranges and amla in the diet
Biochemistry
null
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Following are premalignant except -
Hyperplastic polyp has no malignant potential.
2
Tubulo villous adenoma
Hyperplastic polyp
Familial adenomatosis
Villous adenoma
Surgery
null
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All are true except –
Amongst the inhalational agents, halothane has no analgesic action. Halothane sensitizes the heart to adrenaline, causes bronchodilatation and can cause hepatitis.
1
Halothane is good analgesic agent
Halothane sensitize heart to catacholamines
Halothane relaxes bronchi
Halothane causes hepatitis and liver cell necrosis
Anaesthesia
null
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multi
Arsenic is assocaited with increased risk of a) Mesothelioma b) Melanoma c) Basal cell carcinoma d) Squamous cell carcinoma
null
3
ad
bd
cd
ab
Medicine
null
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single
For a bodily movement of a small tooth the force required is
null
2
25 - 30g
40 - 75g
120 - 150g
More than 150g
Dental
null
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multi
All of the following processoccur in Mitochondria, except:
Fatty acid synthesis
4
Gluconeogenesis
TCA cycle
Beta oxidation offatty acids
Fatty acid synthesis
Biochemistry
null
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multi
Ballooning of hepatocyte is not associated with?
Ans. is 'd' i.e., Chronic viral hepatitis o Ballooning degeneration of hepatocytes is generally considered a form of apoptosis, and is a descriptor used in the context of inflamed fatty liver (steatohepatitis)o Most common cause of ballooning degeneration of hepatocytes is non alcoholic steatohepatitis(NASH).o Other ca...
4
Non alcoholic steatohepatitis
Alcoholic liver disease
Acute viral hepatitis
Chronic viral hepatitis
Pathology
Liver
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Calibre of a firearm is?
Distance between two diagonally opposite lands REF: Parikh 6th edition page 4.26 Caliber technicically means diameter of the inside of the bore (land to land) in 1/100' of an inch. Thus, caliber 22 means 22/100 inch= 0.22
2
Distance between a land and groove
Distance between two diagonally opposite lands
Distance between two diagonally opposite grooves
None
Forensic Medicine
null
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Neonatal meningitis is caused by
The most common causes ofneonatal meningitis is bacterialinfection of the blood, known as bacteremia (specifically group B streptococci (Streptococcus agalactiae), Escherichia coli, and Listeria monocytogenes). Reference: GHAI Essential pediatrics, 8th edition
2
L.monocytogenes
Group 'B' Streptococcus
E.Coli
H. Influenza
Pediatrics
Central Nervous system
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Thinnest portion of sclera -
Ans. is 'b' i.e., Posterior to rectus muscle insertion o Thinnest portion of sclera - Posterior to insertions of rectus muscle.o Thickest portion of sclera - Posterior pole.o The thickness of the sclera varies according to location : -At the limbus, the sclera is 0[?]8 mm thick.Anterior to the rectus muscle insertions,...
2
Anterior to rectus muscle insertion
Posterior to rectus muscle insertion
Posterior pole
Limbus
Ophthalmology
Miscellaneous (Sclera)
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single
A 50 year old man presents to the clinic with multiple abcesses and discharging sinus present on his left foot. X-ray of the foot shows destructive changes in the underlying bone. Which of the following is the most likely causative organism?
Patient in this question is most likely suffering from Actinomycotic mycetoma caused by Nocardia and Actinomadura species. Disease begins as a papule or a nodule and slowly progress into multiple abcesses and sinus tracts ramifying deep into the tissue. Trimethoprim sulfamethoxazole or dapsone are effective in the trea...
1
Nocardia
Sporothrix schenkii
Histoplasmosis
Cryptospordiosis
Microbiology
null
3c548106-6660-4947-8706-1ae4e4abeb8e
single
NFHS - 3 is conducted during
National family health survey-3 conducted in India during 2005-2006 provides detailed information of feility trends Reference: Park&;s textbook of preventive and social medicine; 23rd edition
3
1995
2000
2005
2010
Social & Preventive Medicine
Demography and family planning
43e2847a-4311-4f64-9355-6ec7c8117a58
single
Green blue postmortem discoloration is seen in which poisoning –
The colour of postmortem hypostasis in hydrogen sulphide poisoning is bluish green. It is an asphyxiant which inhibits cytochrome oxidase.
3
Cyanide
Carbon monoxide
Hydrogen sulphide
Phosphorous
Forensic Medicine
null
61f26001-d8a3-4893-9914-1b2f92877e0c
single
Cells involved in humoral immunity -
Ans. is 'a' i.e., B-eells o There are two main types of adaptive immunity:-1. Cell mediated (cellular) immunity.# Mediated by T-lymphocytes# Responsible for defense against intracellular microbes.2. Humoral immunity# Mediated by B-lymphocytes and antibodies.# Protects against extracellular microbes and their toxins.
1
B-cells
T-cells
Helper cells
Dendritic cells
Microbiology
Immunity
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single
Hormone substrate concentration affects the velocity of enzymatic action. This is based upon the following:
The Michaelis-Menten equation illustrates in mathematical terms the relationship between initial reaction velocity vi and substrate concentration . Vi=Vmax /Km+ The Michaelis constant Km is the substrate concentration at which vi is half the maximal velocity (Vmax/2) attainable at a paicular concentration of the enzyme...
3
Zimmermann reaction
Salkowski reaction
Michaelis menten equation
Liebermann-Burchard reaction
Biochemistry
null
022274f9-033d-4e64-94a1-27d60c5975b1
single
Primary pulmonary hypertension has following features on ECG except -
null
2
Sinus tachycardia
ST elevation
Increased Pwave amplitude
Right axis deviation
Medicine
null
d32dc43b-09ea-4a97-83c6-8585dc4507dc
multi
Unit of one of radiation absorbed is –
Units of potency Roentgen and coulomb per kilograme → Units of exposure. It is the amount to which a person is exposed. Red and Gray  → Units of absorbed dose. It is the amount which is absorbed per gram of tissue. Rem and Sievert  → Product of the absorbed dose and the modifying factor. Represent the degree of potent...
1
Grey
Roengten
Curie
Bequerrel
Social & Preventive Medicine
null
33bc1aa0-9f03-4e17-9ed1-0daf7553172a
single
The oral epithelium is attached to the enamel via
null
3
Reticular fibers
Collagen fibers
Hemidesmosomes
Desmosomes
Dental
null
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single
Cholangiography T-tube done after how many days of cholecystectomy:
Cholangiography T-tube done after 7-10 days of cholecystectomy.
2
1-5 days
7-10 days
10-14 days
15-20 days
Surgery
Gallbladder
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single
Chlorhexidine used for hand disinfection uses concentration
null
1
1%
0.50%
0.20%
0.12%
Dental
null
2c8077df-d743-4e75-86a3-6e6f1c030688
single
Chancroid is caused by ?
ANSWER: (A) H. Ducrei REF: Roxburgh's Common Skin Diseases p. 102 Repeat in June 2010 See APPENDIX-47 below for list of "STD's" CHANCROID (SOFT SORE) This venereal infection is caused by the Gram-negative bacillus Haemophilus ducreyi. One to 5 days post-infection, a soft sloughy ulcer appears on the penis or vulva. The...
1
H. Ducrei
N. Gonnorrhea
T. Pallidum
H. Influenza
Skin
S.T.D.
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multi
Which of the following muscle relaxants is free of cardiovascular effects over the entire clinical dose range?
Pancuronium rapid IV injection may cause rise in BP and tachycardia due to cabal blockade and NA release. Vecuronium has cardiovascular stability due to lack of histamine release and ganglionic action. Atracuronium hypo tension may occur due to histamine release. Pipecuronium transient hypotension and bradycardia may o...
2
Pancuronium
Vecuronium
Atracurium
Pipecuronium
Pharmacology
Anesthesia
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single
Which technique of facial fracture treatment involves purely closed reduction?
null
3
Application of miniplates
Dynamic compression plating
Maxillo-mandibular fixation
Use of wire osteosynthesis across fracture site
Surgery
null
a4fa1a8a-a77d-4d16-a7f9-b52619dde3b8
single
A lady presented in the emergency department with a stab injury to the left side of the abdomen. She -was hemodynamically stable and a contrast enhanced. CT scan revealed a laceration in spleen. Laparoscopy was planned. The patient's pO2 suddenly dropped as soon as the pneumoperitoneum was created. What is the most lik...
null
4
Inferior venacava compression
Injury to the left lobe of the diaphragm
Injury to the colon
Gaseous embolism through splenic vessels
Surgery
null
e868a366-c861-419c-b86b-4d018b1608b0
multi
For conversion of asparatate to asparagine, nitrogen comes from ?
Ans. is 'c' i.e., GlutamineSynthesis of asparagine from aspaate is catalyzed by asparagine synthetase.Donor of amide group (containing nitrogen) in this reaction is glutamine.
3
Alanine
Glutamate
Glutamine
Histidine
Biochemistry
null
f0b26dc6-0afc-4238-8389-d4ab28dbaadb
single
Increased risk of cardio toxicity associated with local anesthetics requires a dose reduction in all of the following except
Life threatening cardiovascular toxicity, including left ventricular depression, atrioventricular hea block,ventricular arrhythmia is seen more in patients with deceased liver function, acidosis and in shock. The risk factors for developing LAST (Local Anesthetic systemic toxicity)can be categorized into those that are...
4
Pregnancy
Acidosis
Pediatric
Increased cardiac output
Anaesthesia
Regional Anesthesia
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multi
Bilateral subconjunctival ecchymosis is not associated with:
null
4
Le-Fort II fracture
Le-Fort III fracture
Naso ethmoidal complex fracture
Le-Fort I fracture
Surgery
null
1247d37c-c0da-4181-b40e-355f3c1ac0d5
single
The minimum possible score in “Glasgow coma scale’’ is
Explanation: Glasgow Coma Scale for Head Injury
1
3
5
1
0
Medicine
null
fbb92d97-163d-4751-a27c-be05f1fbf301
single
True about branchial anomaly:
Most commonly due to 2nd branchial remnants Repeat, from Nov 09 & Nov 06 Branchiogenic Anomalies Branchial anomalies are remnants of the branchial apparatus present during the embryonic life. Embryologically the structures of head and neck are derived from 5 pairs of branchial arches, their intervening clefts externall...
4
Cysts are more common than sinuses
For sinuses surgery is not always indicated
Cysts present with dysphagia and hoarseness of voice
Most commonly due to 2nd branchial remnant
Surgery
null
1adbe440-4fa5-4da0-bde3-aeabba979cb6
multi
Ulcerative colitis almost always involves the ... ?
Ans. is 'd' i.e., Rectum
4
Caecum
Sigmoid
Right colon
Rectum
Surgery
null
984a0585-a9d8-499b-8719-df3904618cba
single
The acrosome reaction occurs, when the sperm
null
2
Enters the uterine cavity
Comes in contact with zona pellucida
Penetrates corona radiata
Penetrates cell membrane of oocyte
Physiology
null
d949a241-e83d-411a-a120-d5ffc7c70a8f
single
All of the following muscles are derivatives of para axial mesoderm except-
Para axial (somite) derivatives- dermatome (lateral pa)- skin dermis myotome (middle pa)- skeletal muscles sclerotome (medial pa)- bone (veebrae, occipital skull bone) option 1,2 and 3 are skeletal muscles. Detrusor is a smooth muscle of genitourinary system derived from intermediate mesoderm.
4
Masseter
diaphragm
biceps femoris
detrusor
Anatomy
Embryology and Histology
96d08222-76e2-4896-8fcc-1c926298d9b3
multi
Sarcoma botyroides in vagina is seen in which age-
Ans. is 'a' i.e., Less than 8 yrs Sarcoma botvroides (Embryonal rhabdomyosarcoma)o Special type of mixed mesodermal tumour commonly arising from cervix, rarely from vagina & uterus,o Usually arises before the age of 8 yrs.o Presents with blood stained watery vaginal discharge, anemia & cachexia,o Vaginal examination sh...
1
Less than 8vrs
8-16yrs
16-24yrs
> 24yrs
Gynaecology & Obstetrics
Vigina
eec1e00c-626d-4c92-a9fb-f08cf29b6cb9
single
The father of modern epidemiological surveillance is
William Farr is often referred to as the father of modern epidemiological surveillance. Textbook on Public Health and Community Medicine pg: 14.
1
William Farr
James Lind
Edwin Chadwick
Pettenkofer
Social & Preventive Medicine
Concept of health and disease
1a38a051-66c8-4b09-8318-27658d58706e
single
Which among the following is the treatment of choice for senile vaginitis?
Intravaginal application of estrogen cream is the treatment of choice in senile vaginitis. Since 1/3rd of the vaginal estrogen is systemically absorbed, this treatment is contraindicated in women with a history of breast or endometrial cancer. In senile vaginitis, the vaginal epithelium is thinned and and is susceptibl...
3
Oral pills
Nystatin locally
Oestrogen cream
Ketoconazole
Gynaecology & Obstetrics
null
70c4c294-7493-47fe-b112-eedfc538b254
multi
Typical silvery scales of psoriasis are absent in -
<p>PSORIASIS:-Inflammatory skin disease.Genetic predisposition. Psoriasis susceptibility 1 (PSORS1) is the most impoant susceptibility locus. Clinical features:-1. Classic lesion-Well defined erythematous plaque with a silvery white scales.2. Size varies from pin point papules to plaques. Types:-1. Chronic plaque psori...
3
Scalp
Knee
Groin
Elbow
Dental
Papulosquamous disorders
f5cffab7-493d-4ebc-9931-0c1a491af420
single
Economic benefits of any programme are compared with the costs incurred in
Cost-benefit analysis, in which benefits are compared to cost of the program. The benefits are expressed in monetary termsThe main drawback with this technique is that benefits in the health field, as a result of a paicular programme, cannot always be expressed in monetary terms.Park 23e pg:871
1
Cost benefit analysis
Cost effective analysis
Cost accounting
Net work analysis
Social & Preventive Medicine
Health education & planning
222bf9c5-a4fd-48f4-9245-8440acccd1bb
single
Most common tumour due to radiation arises from -
Hematological malignancies e.g., leukemias are the most common radiation induced cancers.
3
Lung
Liver
Bone marrow
Breast
Pathology
null
a2b6f330-dc4c-405d-9dad-fc0bf69c8667
single
According to RNTCP, tubercular pericarditis should be treated with which category of anti-tubercular regimen?
null
2
Category III
Category I
Category II
Category IV
Social & Preventive Medicine
null
74181844-c584-4c3c-ac4d-59bf90d0cdec
single
"Gonadotropin evaluation" For the evaluation, select the most appropriate day of a normal 28-day menstrual cycle for a woman with 5-day menstrual periods. (SELECT 1 DAY)
The diagnostic evaluation of an infertile couple should be thorough and completed as rapidly as possible. The primary diagnostic steps in the workup of the infertile couple include (1) documentation of ovulation by measurement of basal body temperature (BBT) or mid-luteal phase serum progesterone; (2) semen analysis; (...
1
Day 3
Day 8
Day 14
Day 21
Gynaecology & Obstetrics
Physiology & Histology
9ede9f44-f1b1-454e-96d1-1cbbd14b2110
single
True about vitiligo are all except:
VITILIGO -Autoimmune disorder -Skin biopsy specimen shows absence of melanocytes. Poor prognostic factors: Leucotrichia Long standing type Lesions over bony prominences Acrofacial -Surgical treatment is indicated if medical treatment fails and disease is stable for >1 year. - Modalities : Skin grafting Non-cultured aut...
2
Surgical treatment is indicated if medical treatment fails
Leucotrichia is associated with good prognosis
Autoimmune condition
Skin biopsy specimen shows abscence of melanocytes.
Dental
Hypo Pigmentary Disorders
e913a6c7-6d6a-4f3c-8f8c-84cfa68a7edd
multi
A 9-year-old child is restless. He is hyperactive and his teacher complaints that he does not listen to the teachings. Disturbs other students, he also shows less interest in playing. The likely diagnosis is –
The child in question has following problems. Child is hyperactive          He does not listen to teachings  Difficulty in playing    Disturbs other students        All these are features of attention deficit hyperactivity disorder (ADHD).
2
Cerebral palsy
Attention deficit hyperactive child
Delinnurn
Mania
Pediatrics
null
1249489a-ee80-42d8-a03e-4ae6f5a2f341
single
A 20-year-old woman presents with bilateral conductive deafness, palpable purpura on the legs and hemoptysis. Radiograph of the chest shows a thin-walled cavity in left lower zone. Investigations reveal total leukocyte count 12,000/mm red cell casts in the urine and 12,000/mm serum creatinine 3 ing/dL. What is the most...
null
3
Henoch-Schonlein purpura
Polyarteritis nodosa
Wegener's granulomatosis
Disseminated tuberculosis
Medicine
null
08f1557d-a1ac-4424-9b0b-0d5928fd5905
multi
After a leisure trip, a patient comes with gritty pain in eye, and joint pain. What is the most probable diagnosis?
ANSWER: (A) Reiter's syndromeREF: Harrison's 18th ed chapter 325This is a case of reiters syndrome or reactive arthritis with a classical triad of arthritis, conjunctivitis (gritty feeling in eyes) 8t urethritis.Important points about reactive arthritis:Reactive arthritis (ReA) refers to acute nonpurulent arthritis com...
1
Reiter s syndrome
Bachet s syndrome
Sarcoidosis
SLE
Ophthalmology
Adverse Ocular Effects of Systemic Drugs
e62924b6-baaa-4f0e-924e-5d8a64114e32
single
Distance between nodal point and cornea in Listing's Reduced eye is-
Ans. is 'a' i.e., 7.2 mm PointDistance in Listing's Reduced EyeNodal Point7.2mm behind the anterior corneal surfaceAnterior Focal Point15.7 mm anterior to anterior corneal surfacePosterior Focal point24.13mm behind anterior corneal surfaceAnterior focal length17.2mmPosterior Focal length22.63mmUniform Refractive Index1...
1
7.2mm
9mm
12mm
15.3mm
Ophthalmology
Anatomy
4704020e-b70a-4ae7-a275-31af299ff5c0
single
Body clock is maintained by -
Ans. is 'a' i.e., Suprachiasmatic nucleus o A person's circadian rhythm is an internal biological clock that regulates a variety of biological processes according to an approximate 24-hour periods. Several body functions show a circadian (24 hour) rhythmo These functions include feeding, drinking, locomotor activity, s...
1
Suprachiasmatic nucleus
Supraoptic nucleus
Ventrolateral nucleus
Thalamus
Physiology
Thalamus, Hypothalamus and Basal Ganglia
7696ad35-a329-4693-a72a-1f0f944c835d
single
Punishment for Rape is under which section of IPC -
Ref: Textbook of forensic medicine and toxicology (V.V.Pillay)17th edition page no.389 The punishment for rape is prescribed in sec.376IPC with two subsection. Subsection 1:for rape described in Sec.375IPC imprisonment for at least seven years and liability to fine,unless victim is his own wife and is not less than twe...
2
375
376
312A
304A
Forensic Medicine
Sexual offences and infanticide
d649f3a9-d472-48bd-9dae-47ed0f30327b
single
Stomach is supplied by ?
Ans. is 'd' i.e., All of the above
4
Coeliac trunk
Splenic aery
Gastroduodenal aery
All of the above
Anatomy
null
3027a67c-30ca-41e8-96c7-5f40e39ed2ce
multi
Which of the following is the most impoant risk factor in the aetiology of intraventricular haemorrhage (IVH) in neonates?
All the options mentioned in the question are risk factors for IVH. However, the single most impoant factor is prematurity with IVH being very uncommon in term babies IVH occur due to fragile, highly vascular collection of vessels near the lateral ventricle, known as germinal matrix
4
Coagulation disorder
Continuous Positive airway pressure
Pneumothorax
Extreme prematurity
Pediatrics
IUGR and Feeding of Preterm Neonate
8681e6ec-8d85-4eba-bf07-1671d16fd4f1
single
The statement “The nerve axons found among the odontoblasts and in the cell-free and cell-rich zones are nonmyelinated but are enclosed in a Schwann cell covering”
null
2
FALSE
TRUE
Partially True
Can be completely True or False.
Dental
null
fba983b8-17e6-4f02-ab1f-515c7b1f6cf3
multi
Which of the following drug shows the phenomenon of vasomotor reversal of Dale after administration of an Alpha adrenergic blocker
Ref-KDT 6/e p123 vasomotor reversal ot dale is seen with adrenaline. When this drug is infused quickly, initially there is rise in blood pressure (due to sitmulation of a receptors) followed by prolonged fall (beta2 action). alpha-blocking drugs inhibit the initial rise and only fall in blood pressure is recorded. This...
1
Adrenaline
Nor-adrenaline
Isoprenaline
All of the above
Anatomy
Other topics and Adverse effects
460ce2f1-4542-41d5-ad97-b18e87589ed6
multi
Dexmedetomidine acts on which receptor for its analgesic action -
Ans. is 'c' i.e., a2A o Dexmedetomidine is a centrally active selective a2A agonist.o Has been explained in previous sessions.
3
5HT2A
D2
a2A
D5
Pharmacology
A.N.S.
84ccb58c-537f-4d22-b258-ffc061e213c9
single