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The most suitable test to assess iron stores is -
Ans. is 'b' i.e., Serum ferritin o Best test for the assessment of Iron stores is serum ferritin.o Serum ferritin is the earliest indices to decrease in Iron deficiency anemia.o It is the most sensitive test for the diagnosis of iron deficiency anemia.o Earliest marker for the diagnosis of Iron deficiency anemia.o Seru...
2
Serum iron
Serum ferritin
TIBC
Transferrin saturation
Medicine
Blood
7e470e93-f1c0-489c-b960-7d9cc360975e
single
The daily extra calories in the second and third trimester of pregnancy is
Ans- C Extra calories required in pregnancy during 1st trimester is 150 kcals and 2nd trimester and 3rd trimester is 350 kcals
3
150 kCals
200 kCals
350 kCals
250 kCals
Unknown
null
55ad8221-2958-4e23-8515-3ac1e7792db0
single
Marble Bone disease is ?
*Marble Bone disease is another name of Osteopetrosis/Albers-Schonberg Disease
3
Osteoporosis
Osteopoikilosis
Osteopetrosis
Fibrous Dysplasia
Radiology
Musculoskeletal Radiology
5e96c292-72e8-497a-ac4f-7a9ea3e4ad1e
single
Epiphysis involved in which bone tumor ?
Ans. is 'c' i.e., Giant cell tumor Epiphyseal tumors are : Chondroblastoma, Giant cell tumor (osteoclastoma), Clear cell chondrosaroma.
3
Osteosarcoma
Multiple myeloma
Giant cell tumor
Ewing's sarcoma
Surgery
null
63208b85-9413-4efa-826c-bff45b3d65fb
single
Sensory nerve action potential in NCV to calculate
(Sensory conduction) (24-Apley's 8th)Sensory nerve conduction - If a sensory nerve is stimulated distally, the sensory nerve action potential (SNAP) can be recorded at a proximal site, here again, by measuring the distance between stimulating and recording electrodes and the time lapse between stimulus and response, th...
1
Sensory conduction
Motor conduction
Velocity conduction
Muscular contraction
Orthopaedics
General
0da00f55-de97-452a-8961-67e687966be9
single
Pyruvate can be a substrate of all except
BIOSYNTHESIS OF HEME - Heme can be synthesized by almost all the tissues in the body. Heme is synthesized in the normoblasts, but not in the matured erythrocytes. The pathway is paly cytoplasmic and paly mitochondrial. Step 1: ALA synthesis - The synthesis stas with the condensation of succinyl CoA and glycine in the p...
4
Fatty acid synthesis
TCA cycle
Cholesterol synthesis
Haemoglobin synthesis
Biochemistry
Metabolism of carbohydrate
1c54aa55-a642-4837-879c-554c93417ef7
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Gestational hypehyroidism occurs due to
A common cause of overactive thyroid in pregnant women is Graves' disease. This disease occurs when your immune system becomes overactive and forms antibodies (immune proteins) that attack the thyroid. This causes the gland to enlarge and make too much thyroid hormone. Most women with Graves' disease find out they have...
1
Beta HCG from placenta
Trans-placental transfer of TSH
TPO antibodies
Anti thyroglobulin antibody
Medicine
Endocrinology
1245bce9-91db-4311-913b-42f82d062b50
single
Caseous granuloma is seen in
ref Robbins 8/e p718 from tuberculous lesions often contain caseous , , other , and contain epithelioid cells, a few lymphocytes, and occasional multinucleated giant cells. No necrosis is seen. Granulomas following are noncaseous and characterized by epithelioid cell reaction with giant cells and , and the is based on ...
1
Histoplasmosis
Silicosis
Sarcoidosis
Foreign body
Anatomy
General anatomy
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Drug used in CHF for relief of congestive symptoms and restoration of cardiac performance but does not have an inotropic action is -
Ans. is 'd' i.e., Nebivolol * There are two distinct goals of drug therapy in CHF:a) Relief of congestive/low output symptoms and restoration of cardiac performance. This can be achieved by:* Inotropic drugs --Digoxin, dobutamine/ dopamine, amrinone/milrinone* Diuretics--Furosemide, thiazides* RAS inhibitors--ACE inhib...
4
Digoxin
Dobutamine
Amrinone
Nebivolol
Pharmacology
C.V.S
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multi
Hyoid bone present at -
(C) (C3) (49-BDC-3 6th, 590 Snell 9th)Hyoid Bone - at rest, it lies at the level of the third cervical vertebra behind and the base of the mandible infront.* Is a single mobile bone found in the midline.* It does not articulate with any other bones* U shaped, develops from second and third branchial arches.* It is atta...
3
C1
C2
c3
C4
Anatomy
Head & Neck
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single
Bullous myringitis is caused by?
It is a painful condition characterised by the formation of hemorrhagic blebs on the tympanic membrane and deep meatus. It is probably caused by a virus or Mycoplasma pneumonia. ( Ref: Textbook of diseases of ENT, 7TH edition, PL Dhingra, pg no. 58)
2
Pseudomonas
Mycoplasma
Pneumococcus
Candida
ENT
Ear
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Best method of treatment of Methyl alcohol poisoning is :
B i.e. Ethyl alcohol
2
Calcium gluconate
Ethyl alcohol
Amphetamines
1 % Ammonia
Forensic Medicine
null
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single
Cyanosis does not occur in severe anaemia because
null
3
Hypoxia stimulates erythropoietin production
Oxygen carrying capacity of available haemoglobin is increased
Critical conc. Of Hb required to produce cyanosis is reduced
Oxygen haemoglobin curve shift to right
Physiology
null
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Vitamin D analogue calcitriol is useful in the treatment of -
vit D3 analoguesSuch as calcipotriene,calcipotriol, tacalcitol,maxacalcitol. mechanism of action: Anti inflammatory effect,Induce keratinocyte differentiation, Inhibit epidermal proliferation . Used in psoriasis. advantages: no steroid induced side effects can be used for prolonged periods. IADVL textbook of dermatolog...
2
Lichen planus
Psoriasis
Phemphigus
Leprosy
Dental
Papulosquamous disorders
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Green STD kit contains
null
2
Azithromycin, Cefixime
Secnidazole, Fluconazole
Acyclovir
Azithromycin, Doxycycline
Social & Preventive Medicine
null
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Example for radiation induced cancer is ?
Ans. is 'a' i.e., Papillary Carcinoma thyroid Radiation induced cancers Leukemias o Breast Carcinoma Papillary carcinoma of thyroid. o Squamous cell and Basal cell carcinoma of skin.
1
Papillary carcinoma thyroid
Follicular carcinoma thyroid
Lymphoma
Hepatoma
Pathology
null
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Which of the following is true about measurement of blood pressure?
Ans. a. Bladder in the blood pressure cuff should cover more than 80% of the arm area (Ref: Ganong 22/e p. 589-90; Guyton 11/e p166-67, 175-76)In blood pressure measurement by BP apparatus, bladder in the blood pressure cuff should cover more than 80% of the arm area.Appropriate Cuff SizeRatio of width of compression c...
1
Bladder in the blood pressure cuff should cover more than 80% of the arm area
The person should be comfortably sitting and blood pressure cuff should be at a higher level than the heart
Caffeine intake induces decrease in blood pressure
Blood pressure increases during sleep
Physiology
Circulation: Arterial Pressure Regulation - Role of Kidney
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All are features of Paget's disease except ?
Ans. is 'b' i.e., Common in female Paget disease Paget's disease is characterized by increased bone turnover and enlargement and thickening of the bone, but the internal architecture is abnormal and the bone is usually brittle. Primary defect is in osteoclasts with increased osteoclastic activity. This results secondar...
2
Defect in osteoclasts
Common in female
Can cause deafness
Can cause osteosarcoma
Surgery
null
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Thrombosis of the following cerebral vessels leading to the Hemiplegia by
(Middle cerebral) (388-BDC-3- 4th edition)* HEMIPLEGIA - is a common condition. It is an UMN type of paralysis of one half of the body including the face* It is usually due to an internal capsule lesion caused by thrombosis of one of the lenticulostriate branches of the middle cerebral artery (Cerebral thrombosis)* Wal...
2
Anterior cerebral
Middle cerebral
Posterior cerebral
Lateral cerebral
Anatomy
Neuroanatomy
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Diagnosis is
This is a specimen of linitis plastica, a diffuse type of gastric carcinoma.These infiltrative tumors often evoke a desmoplastic reaction that stiffens the gastric wall. When there are large areas of infiltration, diffuse rugal flattening and a rigid, thickened wall may impa a leather bottle appearance termed linitis p...
3
Atrophic gastritis
Gastric ulcer
Linitis plastica
Meitner's disease
Pathology
G.I.T
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A young adult presents with night blindness and tubular vision. On examination, Intraocular Pressure was observed to be 18mm and the anterior segment was unremarkable. Fundoscopy showed attenuation of aerioles and waxy pallor of the optic disc with bony corpuscles like spicules of pigmentation in mid peripheral retina....
A i.e. Pigmentary Retinal Dystrophy
1
Pigmentary Retinal Dystrophy
Primary Open Angle Glaucoma
Lattice degeneration of Retina
Diabetic Retinopathy
Ophthalmology
null
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Which of the following is not a sign of stellate ganglion block?
Exophthalmos (also called exophthalmos, exophthalmia, proptosis, or exorbitism) is a bulging of the eye anteriorly out of the orbit.Exophthalmos can be either bilateral (as is often seen in Graves' disease) or unilateral (as is often seen in an orbital tumor).
2
Meiosis
Exophtahalmos
Nasal congestion
Conjunctival redness
Anatomy
Head and neck
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single
The principal resin constituent of polishable composite resin is
null
3
Poly methyl methacrylate
Polycarbonates
Urethane dimethacrylate
Cyanoacrylates
Dental
null
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True regarding cardio pulmonary resuscitation is -
200 joules are given every 2 minutes after each cycle of cardiopulmonary resuscitation (CPR). During resuscitation, adrenaline(epinephrine, 1 mg i.v.) should be given every 3-5 minutes and consideration given to the use of intravenous amiodarone, especially if ventricular fibrillation or ventricular tachycardia reiniti...
3
Most common presentation in ECG is asystole
Compression to ventilation ratio is 5:1
Adrenaline is given if cardioversion fails.
Calcuim gluconate is given immediately.
Medicine
C.V.S
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multi
Urinary alkalinizing agents are administered in case of poisoning due to drugs which are:
- Strong acids and bases are ionized in all media. Weak acids ionize in alkaline media and weak bases ionize in acidic media.
2
Weak bases
Weak acids
Strong bases
Strong acids
Pharmacology
null
43ee8ceb-ac6b-4379-b0af-adee4848fb30
single
12 children were off from the primary school with intense abdominal cramps followed by watery diarrhea 6-10 hours after a bihday pay. The most likely causative organism is:
Clostridium perfringens infection characteristically presents after 8 to 16 hours of consumptions of food material and causes abdominal cramps, followed by diarrhea. Thus all features presented in question are consistent with a diagnosis of Clostridium perfringens infection. Meats, meat products, and gravy are the food...
4
Rotavirus
Enterotoxigenic E.coli
Staphylococcal toxin
Clostridium perfringens
Microbiology
null
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single
Reverse split S2 is seen in -
Answer- A. Aoic stenosisDecreased impedance of the systemic vascular bedProstenotic dilatation of the Aoa secondary to Aoic stenosis or regurgitation.Patent ductus aeriosus
1
Aoic stenosis
Aoic stenosis
Pulonary aery hypeension
Pulmonary stenosis
Medicine
null
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Urticarial lesions are best described as-
Ans. d. EvanescentWheal/hives are evanescent (last for short duration) lesions
4
Nonpruritic
Bullous
Macular
Evanescent
Skin
Neutrophilic Dermatoses
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Plasma urea / creatinine ratio of 20:1 may be seen in -
null
3
Rhabdomyolysis
Ureteric calculi
Pre-renal failure
Chronic glomerulonephritis
Medicine
null
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single
Caudal Anesthesia is produced by introduction of local Anesthetic solution into
null
4
Subarachnoid space
Peridural space
Lower part of the subarachnoid space
Sacral canal through the sacral hiatus
Pharmacology
null
8815ca11-4a2e-4f54-b051-b71fa379307a
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Epidemic Kaposi sarcoma in HIV is caused by ?
Ans c (Herpes group of virus) ref Table 124-2 Harrison puge no:823 * Kaposi's sarcoma, body-cavity lymphomas-HHV-8 * Epidemic Kaposi sarcoma is AIDS related Kaposi sarcoma Malignancies associated with AIDS are: non-Hodgkin's lymphoma Hodgkin's disease multiple myeloma leukemia melanoma cervical, brain, testicular, oral...
3
Hepatitis B
HIV
Herpes group of virus
All of the above
Unknown
null
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multi
Positive indicator of health ?
Ans. is 'd' i.e., Life expectancy
4
IMR
Child moality rate
MMR
Life expectancy
Social & Preventive Medicine
null
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single
A child dentist manages an uncooperative child by demonstrating the procedures on another cooperative child. This way of child management is
null
1
Modelling
Desensitisation
Tell show do
Aversive conditioning
Dental
null
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single
Fibroid uterus may present with all of the following except?
Amenorrhea is the absence of a menstrual period in a woman of reproductive age. Physiological states ofamenorrhoea are seen, most commonly, during pregnancy and lactation (breastfeeding), the latter also forming the basis of a form of contraception known as the lactationalamenorrhoea method.
3
Pelvic mass
Infertility
Amenorrhoea
Polymenorrhoea
Gynaecology & Obstetrics
null
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multi
A female patient presented with a firm mass of 2 x 2 cms in the upper outer quadrant of the breast. She gives a family history of ovarian carcinoma. The investigation that needs to be done to assess for mutation is :
Ans. is 'b' BRCA 2 "In women with hereditary breast - ovarian cancer, two susceptibility loci have been identified:BRCA -1 - located on chromosome 17 andBRCA - 2 - located on chromosome 13" - Harrison, 15/e, p620
2
p53
BRCA-2
Her 2/Neu gene
C-myc gene
Pathology
Breast
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Which of the following are exploring instruments
null
4
DG16
CK17
JW17
All of the above
Dental
null
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multi
Conticosteroids are absolutely contraindicated in the following type of tuberculosis:
(Ref: KDT 6/e p749) Coicosteroids are absolutely contra-indicated in intestinal TB due to risk of perforation.
3
Miliary
Meningeal
Intestinal
Renal
Pharmacology
Other topics and Adverse effects
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single
Which of the following is a cause of secondary angle closure glaucoma?
(Refer: AK Khurana Comprehensive Ophthalmology, 6th edition, pg no. 249 - 251)Causes of secondary angle closure glaucomaPupillary block: uveitis, pseudophakiaAngle fibrosis: neovascular glaucoma
1
Pseudophakia
Coicosteroid induced
Angle recession glaucoma
Congenital glaucoma
Ophthalmology
Glaucoma
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single
Most common site of rhabdomyosarcoma is?
Orbit REF: Sabiston 18th ed chapter 71 The most common primary sites for RMS are the head and neck (parameningeal, orbit, pharyngeal), the genitourinary tract, and the extremities Rhabdomyosarcoma is the most frequent soft tissue sarcoma in the pediatric population and is the most common sarcoma occurring in the head a...
1
Orbit
Nasopharynx
Extremities
Hypopharynx
Surgery
null
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Cystosarcoma phyllodes is treated by:
Ans. (a) Simple mastectomy(Ref: Bailey and Love 807 /26th edition)* In Phyllodes tumor - Axillary dissection is not needed as there in no nodal mets
1
Simple mastectomy
Radical mastectomy
Modified radical mastectomy
Antibiotic with conservative treatment
Surgery
Breast
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True about childhood tumor are all except ?
Ans. is 'd' i.e., Pleomorphic rhabdomyosarcoma There are four histological rhabdomyosarcoma : ? i) Embryonal type (60%) ii) Botryoid type is a type of embryonal form Common in childhood iii) Alveolar type (15%) Pleomorphic type (adult form) is rare in childhood and accounts for only 1% of cases. o Wilm's tumor, neurobl...
4
Wilm's tumor
Neuroblastoma
Retinoblastoma
Pleomorphic rhabdomyosarcoma
Pediatrics
null
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multi
Erythema nodosum is due to – a) Contraceptive pillsb) Barbituratesc) Penicillind) Sulphonamides
Causes of Erythema nodosum Idiopathic Bacterial: - Streptococci, TB, Leprosy (ENL), LGV, yersinia, mycoplasma, Rickettsia, Cat scratch disease. Fungal: - Coccidioidomycosis, Histoplasmosis, Trichophyton. Viral : - HBV, HIV Drugs : - Sulfonamides, iodides, oral contraceptives. Systemic diseases : - IBD (Ulcerative colit...
2
b
ad
ac
ab
Dental
null
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Skin lesions following visceral leishmaniasis present as -
Ans. is 4b' i.e., Hypopigmented macules Post kala azar dermal leishmaniasis (PKDL)o Late manifestation. Appears 2 years or more after recovery from visceral leishmaniasiso Appear due to inadequate cellular immunity against a dermatophytic variant of L. donavani.o Pin point hypo to de-pigmented macules starting from fac...
2
Hyperpigmented macules
Hypopigmented macules
Echymosis
All of the above
Skin
Disorder of Pigmentation
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A 42-year-old female executive is referred to the sleep clinic with jaw pain. She complains that after she arrives home at night around 10 pm she frequently drinks 3-4 gin and tonics to help “quiet her mind.” She wakes up the next morning around 3am to read the international stock market news, at which point she states...
null
4
Alpha waves, N2
Beta waves, N3
Delta waves, N3
Sleep spindles, N2
Social & Preventive Medicine
null
370b177b-dc10-473a-b740-ab8dc536c5f0
single
Which of the following is the binding site of organophosphorous compounds
Ref: HL Sharma 3rd ed: Pg no:147 OP compounds binds to esteric site of ACHE carbamates binds to both anionic and esteric sites of ACHE oximes binds to anion site of ACHE
2
Anionic site of Ache
Esteric site of Ache
Nm receptors
plasma cholinesterase
Pharmacology
Autonomic nervous system
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single
A 4-year-old child with blue sclera and a history of multiple fractures with minimal trauma. For the mention disorder, select the serum concentration of calcium (Ca2+) and phosphate (PO4) with which it is most likely to be associated.
Osteogenesis imperfecta (blue sclera, easily broken bones with minimal trauma) is transmitted as an autosomal recessive (severe form) or, more commonly, autosomal dominant (milder form) disorder. The basic defect is an abnormality in the production and composition of the matrix of bone. Serum calcium and phosphate conc...
4
Low PO4, normal Ca
Low PO4, high Ca
Normal PO4, low Ca
Normal PO4, normal Ca
Pediatrics
Genetics And Genetic Disorders
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single
Facial nerve supplies all except
Facial nerve supplies posterior belly of digastric muscle
3
Stylohyoid muscle
Stapedius
Anterior belly of digastric
Risorius
Anatomy
null
489d4cd4-08c0-46f1-9577-710bbd2bb145
multi
Antiperistalsis is seen in -
• Right colon is the fermentation chamber of the human GI tract • Bacteria are most metabolically active in cecum • Left colon is a site of storage and dehydration of stool.
1
Distal colon
Jejunum
Proximal Colon
Ileum
Surgery
null
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single
Serum amylase is NOT raised in
(D) Ruptured ovarian cyst > Appendicitis alone does not cause increased amylase. Perforated appendix, may be associated with increased amylase.> Abdominal disorders associated with increased amylase levels include> Biliary tract disease: Cholecystitis Choledocholithiasis> Intra-abdominal disease: Perforating or penetra...
4
Cholecystitis
Peptic ulcer perforation
Intestinal ischemia
Ruptured ovarian cyst
Surgery
Miscellaneous
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single
Which of the following is a potassium channel opener?
Ans. (A) Nicorandil(Ref: Harrison 12th/1862)Nicorandil is the agent that causes coronary dilation by activating myocardial ATP sensitive K+ channels. Inaddition it possesses NO releasing property; to which tolerance does not develop.
1
Nicorandil
Ranolazine
Ivabradine
Nitroprusside
Pharmacology
C.V.S
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single
70 kg man was given a drug in the dose of 100 mg/kg body weight. It's t1/2 is 10hours, initial plasma concentration is 1.9mg/ml. True statement is
In this patients total dose of drug administered =70 x 100 mg = 7000 mg Plasma concentration is 1.9 mg/ml Total dose administered So, volumeof distribution (Vd)= Total dose administered /Plasma concentration =7000/1.9 Again, t/2 =0.693 x(Vd/CL) Where, Vd= Volume of distribution CL = Clearance Thus, CL= 0.693x(V/t1/2) =...
3
CL is 0.02 litre/hr
CL is 20litre/hr
k is 0.0693
k is 6.93
Anatomy
General anatomy
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multi
Which of the following glycolytic enzyme does not catalyze irreversible step -
Ans. is 'b' i.e., Phosphoglycerate kinase o Irreversible steps are catalyzed by Glucokinase / Hexokinase, phosphofructokinase-I, and pyruvate kinase.o Reversible steps are catalyzed by Phosphohexose isomerase, aldolase, phosphotriose isomerase, glyceraldehyde 3-phosphate dehydrogenase, phosphoglycerate kinase, phosphog...
2
Hexokinase
Phosphoglycerate kinase
Phosphofructokinase
Pyruvate kinase
Biochemistry
Glycolysis
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multi
"Lyre sign" is a feature of:
"Lyre sign" is splaying of internal and external carotid arterics because of carotid body tumor, seen on carotid angiogram.
4
Cystic hygroma
Branchial Fistula
Bezold's abscess
Carotid body tumor
Surgery
null
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single
Pin code index of N2O is
PIn index provides prevention of wrong attachments of cylinders . N20 - 3 ,5 O2 - 2 , 5 C02 (Gas) - 1 ,6 . ( Liquid below 88F ) 2 , 6 ; Cyclopropane 3 , 6 .
4
1,6
2,5
2,6
3,5
Anaesthesia
Anaesthetic equipments
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single
All of the following are examples of definite airways, except:
C i.e. Laryngeal Mask airway Airways Definitive- Airway Tracheal tubes (endotracheal tubes)ie Oral (oro-tracheal) tubesQ - Nasal (naso-tracheal) tubesQ - Tracheostomy tubesQ - Cuffed murphy tracheat tubes, Cole uncuffed pediatric TT, Spiral embedded tubes, Hunsaker Mon-Jet ventilation tube, laryngectomy tube, microlary...
3
Nasotracheal tube
Orotracheal tube
Laryngeal Mask airway
Cricothyroidotomy
Anaesthesia
null
c92945d3-8dd8-4750-9839-7107a1a089fe
multi
True about klinefelter syndrome is
Answer- D. Pubey is attained at normal ageKLINEFELTER SYNDROMEKlinefelter syndrome is the most common chromosomal disorder associated with male hypogonadkm anit infeitity.It is defined classically by a 47, XXY karyotype with variants demonstrating additional X and Y chromosomes.Pathophysiology:The addition of more than...
4
Height > arm span
Karyotype 45 x 0
Testis and sperm count are normal
Pubey is attained at normal age
Medicine
null
ba64ef34-b8b1-49b0-8d97-949a507285f0
multi
The quantity of globin chain synthesis is reduced in
Heme Synthesis. Heme is synthesized in a complex series of steps involving enzymes in the mitochondrion and in the cytosol of the cell (Figure 1). The first step in hemesynthesis takes place in the mitochondrion, with the condensation of succinyl CoA and glycine by ALA synthase to form 5-aminolevulic acid (ALA) Ref Rob...
2
HbS
Thalassemia
HbC
HbF
Pathology
Haematology
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single
Dying declaration can be recorded by
(D) All of the above # Dying Declaration:> Dying declaration can be recorded by Magistrate, Police officer, Doctor, Village headman or any person present during death.> If there is time ideally a magistrate should be called to record the dying declaration.> Dying declaration should be recorded in the man's own words an...
4
Medical officer
Magistrate
Police officer
All of the above
Forensic Medicine
Misc.
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All of the following are histological features of Hashimoto thyroiditis, except:
All of the above histological features are of Hashimoto thyroiditis except Orphan Annie eye nuclei - It is seen in papillary carcinoma of thyroid. Hashimoto thyroiditis: Autoimmune disease that is caused by immune response to thyroid autoantigens. Painless enlargement of the thyroid often in middle age women M/C cause ...
4
Lymphocytic infiltrate with germinal center formation
Follicular destruction and atrophy
Huhle cell metaplasia
Orphan Annie eye nuclei
Pathology
Thyroiditis
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Active paner in lesbianism is called as
Ans. d. Dyke The active paner in lesbianism is known as 'butch' or 'dyke' and the passive agent is called as 'femme'. Dyke or Butch Active paner in lesbianismQ Femme Passive agent in lesbianismQ Buggery or sodomy Anal intercourse between two malesQ Catamite When passive agent is a childQ
4
Femme
Bugger
Catamite
Dyke
Forensic Medicine
null
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Lyre sign in seen in
Lyre sign is an angiographic finding seen in carotid body tumour of the neck. There is splaying apa of internal and external carotid aeries on angiogram. Ref: Diseases of Ear, Nose and Throat by P.L. Dhingra, 9th edition, p460.
4
Grave's disease
Meniere's disease
Lateral sinus thrombosis
Carotid body tumour
ENT
All India exam
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Difference between it Ispensary and PHC is that a PHC –
Primary health centers provide, as close to the people as possible, an integrated, curative and preventive health care to the rural population, with emphasis on preventive and primitive aspects of health care. The functions of a PHC are integrated in such a way so as to provide a variety of "Essential" elements of prim...
1
Gives integrated services
Is confined to particular area
Is managed by medical officer
Is located in rural areas
Social & Preventive Medicine
null
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The primary active step for sodium reabsorption in the proximal tubule involves:
Sodium transpo the Na-K-ATPase at the basolateral membrane. This is the only transpo step for sodium in the proximal tubule that involves the direct input of energy to move sodium against its electrochemical gradient (in this case from the inside of the cell to the outside).
3
Sodium-glucose cotranspo across the luminal membrane
Sodium/hydrogen ion counteranspo across the luminal membrane
Sodium transpo the Na+-K+-ATPase at the basolateral membrane
Sodium-amino acid cotranspo across the luminal membrane
Physiology
null
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Most commonly used approach to brachial Plexus block?
Supraclavicular is the most commonly used approach to brachial Plexus block.The supraclavicular approach to the brachial plexus characteristically is associated with a rapid onset of anaesthesia and a high success rate.The supraclavicular approach has more even distribution of local anaesthesia.
2
Interscalene
Supraclavicular
Infraclavicular
Axillary
Anaesthesia
Regional anaesthesia
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Somites are derived from __________ mesoderm:
The intraembryonic mesoderm splits into – Paraxial – forms Somites. Intermediate plate - give rise to the Genital & Urinary system Lateral plate - encloses a cavity called the intraembryonic coelom, which further forms the pericardial, peritoneal & pleural cavities.
3
Intermediate plate
Lateral plate
Paraxial
Extraembryonic
Unknown
null
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Atenolol is indicated in all except
Ans. (B) Partial heart block(Ref: KDT 8th/e p160-161)b -blockers are contraindicated in partial or complete heart block as they cause bradycardia.
2
Hypertension
Partial heart block
Hypertrophic obstructive cardiomyopathy
Classical angina
Pharmacology
Adrenergic System
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Choledochal cyst
Carcinoma in Choledochal cyst More than half tumors occur within the cyst itself(intracystic) and may recur after cyst excision Risk of malignancy is decreased after cyst excision, but risk persist even after cyst excision Type I and IV cysts have highest risk of cancer When present most commonly seen along posterior c...
4
Mostly present in adulthood
Excision is infrequently done
Presents as slowly progressive jaundice
Can lead to carcinoma
Anatomy
G.I.T
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Alkylating agents can cause:
Alkylating agent: Acute myelocytic leukemia, bladder cancer. Androgens: Prostate cancer.
3
Bladder cancer
Acute myelocytic leukaemia
Both
Prostate cancer
Pathology
null
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Plan C of anesthetic airway management is -
null
3
Standard laryngoscopy & intubation
Intubation catheter guided intubation
Inseion of laryngeal mask airway & fiberoptic bronchoscopy
Cancel the surgery or perform tracheostomy
Anaesthesia
Preoperative assessment and monitoring in anaesthesia
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Voissus ring is seen in:
Anterior capsule
3
Cornea
Retina
Anterior capsule
Posterior capsule
Ophthalmology
null
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A 45-year-old male with history of recurrent ureteric calculi presented with fever. Right-sided nephrectomy was performed. Gross view and histology have been provided. What is your diagnosis?
Ans. a. Chronic pyelonephritis with hydronephrosis (Ref: Robbins 9/e p933-935, 8/e p943-961)In a 45-year old male with history of recurrent ureteric calculi, who presented with fever: Right-sided nephrectomy was performed. Grossly kidney shows hydronephrosis with evidence of scarring. Microscopically changes predominan...
1
Chronic pyelonephritis with hydronephrosis
Renal cell carcinoma
Autosomal dominant polycystic kidney disease
Cystic dyspiastie kidney
Surgery
Miscellaneous (Kidney & Uterus)
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Myocardial uptake gated acquisition scan (MUGA) is done for –
MUGA scan can assess the degree of damage to the myocardium following a MI. More importantly, it can give an accurate and reproducible assessment of left ventricular function. It is used in patients undergoing chemotherapy (e.g. anthracycline) to assess whether the drugs are having an adverse effect on cardiac function...
2
Testing drug toxicity
Ventricular function & Anthracyclin induced toxicity
Myocardial perfusion
None
Radiology
null
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Propranolol can be used in all of the following conditions except
Ans. (B) Variant angina(Ref: KDT 8th/e p161)Propranolol worsens variant angina, due to unopposed a receptor mediated coronary constriction.For indications of b -blockers, refer to text.
2
Thyrotoxicosis
Variant angina
Migraine
Hypertension
Pharmacology
Adrenergic System
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Which aery is palpated at the anterior border of masseter?
Masseter muscle covers the lateral surface of ramus of mandible which has three layers ORIGIN- Superficial layer: from anterior two third of zygomatic arch Deep layer: from deep surface of zygomatic arch Middle layer: from lower border of posterior one-third of zygomatic arch INSEION- Superficial fibers pass downwards ...
3
Superficial temporal
Occipital
Facial
External carotid
Anatomy
Head and neck
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Ichthyoses is a side effect of -
Ans. is 'a' i.e., Clofazamine Clofazimineo Clofazimine is a leprostatic drug.o It acts by interfering the template function of DNA.o Adverse effects of clofazimine1. Skin -Reddish-black discolouration of skin, dryness of skin and itching. Discolouration of hair and body secretions, acneform eruptions and phototoxicity,...
1
Clofazamine
Cephalosporin
Capreomycin
Lctrozole
Pharmacology
Adverse Drug Effect
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A child has multiple itchy papular lesions on genitalia and fingers. Similar lesions are also noted in his younger brother. What is the diagnosis?
The four cardinal features suggestive of scabies 1 Presence of burrow in S. Corneum especially on the hand or penis 2 Characteristic distribution of lesions: Face, palm, soles involved in infants but spared in adults. Circle of Hebra: Web spaces, groins, periumblical area and flexors of wrist, elbow & axilla. 3 History...
2
Papular uicaria
Scabies
Atopic dermatitis
Allergic contact dermatitis
Dental
Scabies and other infestations
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Smoke index is used for -
Ans. is 'a' i.e., Air pollution Monitoring of air pollutiono Monitoring of air pollution is done by : -Sulphur dioxide.Gritt and dust measurement.Co-efficient of haze.Air pollution index.Smoke or soiling index
1
Air pollution
Soundpollution
Excreta
None
Social & Preventive Medicine
Environment and Health
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Which of the following is not an etiological factor for pancreatitis? NOT RELATED -MEDICINE
.
3
Abdominal trauma
Hyperlipidemia
Islet cell hyperplasia
Germline mutations in the cationic trypsinogen gene
Pharmacology
All India exam
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All of the following are varients of Acne, EXCEPT:
Acne agminata also known as lupus miliaris disseminatus faciei or facial idiopathic granulomatous with regressive evolution is a disorder of unceain etiology. Ref: Rook Textbook of Dermatology, 8th Edition, Page 38.37.
2
Acne conglobata
Acne agminata
Acne fulminans
Pomade acne
Skin
null
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Pompe’s disease is caused due to deficiency of
Muscle Glycogen Storage Disorders:
3
Glucose-6-phosphatase
Glycogen synthase
Lysosomal glucosidase
Microsomal Pi transporter
Biochemistry
null
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Best way to differentiate a periapical cyst and a perapical granuloma is
null
2
Radiographically
Histologically
Clinically
None of the above
Pathology
null
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A contusion can be differentiated from postmoem staining by doing:
While taking an incision on contusion, extravasation of blood into the surrounding tissues which is firmly clotted and cannot be washed by gentle stream of water. Subcutaneous tissues are deep reddish-black. On incision in postmoem staining, blood is seen in blood vessels, which can be easily washed away. Subcutaneous ...
3
Diaphanous test
Picard's test
Incision test
Gettler's test
Forensic Medicine
null
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A patient presented with scaly, hypopigmented and irregular macules on trunk and proximal extremities. Such a case is best treated with: March 2013
Ans. B i.e. Itraconazole The presentation is suggestive of pityriasis/ tinea versicolor Tinea Dermatophyte: Parasitic fungus/mycosis, that infects the skin It involve the imperfect fungi of the genera (epidermophyton, microsporum, trichophyton) Dermatophyte are anamorphic (asexual/ imperfect) Dermatophytes causes infec...
2
Amphotericin B
Itraconazole
Ciprofloxacin
Dapsone
Skin
null
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The obstruction of two or more major hepatic veins is seen in:
A. Budd-Chiari syndrome(Ref: Nelson's 20/e p 1973, Ghai 8/e p 320)Budd-Chiari Syndrome: pg 388What is it?Portal hypertension caused by obstruction to hepatic veins anywhere between the efferent hepatic veins & the entry of the inferior vena cava into the right atriumEtiology* Hypercoagulable states e.g. antithrombin II...
1
Budd-Chiari syndrome
Reye's syndrome
Rotor syndrome
Crigler-Najjar syndrome
Pediatrics
Gastro Intestinal System
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The Socio-Economic, Education and Housing Scale developed for rural areas for demographic classicification is which of the following?
Pareek has evolved a method useful for rural areas. It is based on 9 characteristics. These are caste, occupation of family head, education of family head, level of social paicipation of family head, land holding, housing, farm power, material possessions and type of family. Each characteristic is given score and the t...
1
Pareek
Kuppuswami
Bhore
Adson's scale
Social & Preventive Medicine
null
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Fluoride helps in ?
Ans. is 'b' i.e., Dentition
2
Vision
Dentition
Myelination
Joint stability
Social & Preventive Medicine
null
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100 people of viral fever are treated with a medicine 94 percent were cured in 5-7 days. True statement about efficieny of medicine-
.
2
Medicine is effective
Cannot be commented
Medicine is ineffective
None of the above
Social & Preventive Medicine
Epidemiology
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A two month old infant has undergone a major surgical procedure. Regarding postoperative pain relief which one of the following is recommended
Ans. is 'd' i.e. Intravenous narcotic infusion in lower dosage Earlier it was believed that neonates and infants don't feel pain because of their immature nervous system. But it has now been definitively proved that they experience pain and therefore require analgesia for any surgical procedure. Various pain management...
4
No medication is needed, as infant does not feel pain after surgery due to immaturity of nervous system.
Only paracetamol suppository is adequate
Spinal narcotics intrathecal route
Intravenous narcotic infusion in lower dosage
Surgery
null
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Which of the following drugs is useful in chronic gout but is NOT a uricosuric agent ?
null
4
Probenecid
Phenylbutazone
Sulfinpyrazone
Allopurinol
Pharmacology
null
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Method of chromatography in which molecules that are negatively charged are selectively released from stationary phase into the positively charged molecules in mobile phase is termed as:
B i.e. Ion-Exchange chromatography
2
Affinity chromatography
Ion-Exchange chromatography
Adsorbtion chromatography
Size-Exclusion chromatography
Biochemistry
null
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True statements about P53. gene are all except ?
Ans. is 'd' i.e., Wild/non-mutated form is associated with increased risk of child-hood tumorsIt is mutated form (not non mutated form) of p53 which is associated with increased risk of tumors.o p53 gene is a tumor suppressor gene and non-mutated form of this gene prevent development of malignancy by :(i) Causing cell ...
4
Arrest cell cycle at GI Phase
Product is 53 KD protein
Located on chromose 17
Wild/non-mutated form is associated with increased risk of child-hood tumors.
Pathology
null
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Which of the following fracture is known for Malunion ?
SCFH is known for malunion- gun stock defrmity. other fractures complication is non union.
2
Femur neck
Supracondylar Humerus
Scaphoid
Lateral condyle of humerus
Orthopaedics
Upper Limb Traumatology
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What is the method of breast examination depicted in the video? (The clinician was palpating with the tips of finger except thumb started from 2 o'clock posterior palpated at 3 points on line joining periphery to nipple. Then again went to 3 o'clock point directly and came back centripetally while palpating at 3 points...
Ans. C. Clockwise methodBreast-self-examination
3
Vertical strip method
Concentric method
Clock wise method
Quadrant method
Surgery
Miscellaneous
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Disease, does not recur in the kidney after renal transplant is :
Answer is A (Alpo's syndrome): Alpo is syndrome has not been mentioned to recur in kidney after a renal tansplant.
1
Alpo syndrome
Amyloidosis
Good Pasteur's syndrome
Diabetic nephropathy
Medicine
null
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Pseudogestational sac is seen in ultrasonography is suspicious of
Anechoic fluid collections, which might normally suggest an early intrauterine gestational sac, may also be seen with ectopic pregnancy. These include pseudogestational sac and decidual cyst.A pseudosac is a fluid collection between the endometrial layers and conforms to the cavity shape. If a pseudosac is noted, the r...
3
Missed aboion
Incomplete aboion
Ectopic pregnancy
Complete aboion
Gynaecology & Obstetrics
General obstetrics
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B cell functions is tested by all of the following except ?
null
1
C H 50 count
Amount of Ig G
PPD testing
Cytokine
Medicine
null
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Parasite causing pulmonary eosinophilia syndrome -
The larvae of S.srercoralis migrate through the lungs and they escape from the pulmanory capillaries into the alveoli leading to haemorrhages in the lung alveoli.Bronchopneumonia may also be present. (refer pgno:151 baveja 3 rd edition)
1
Stongyloides
Enterobiasis
Hookworm
Trichinella
Microbiology
parasitology
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Nosocomial infection occurs in hospital in
The term hospital infection, hospital-acquired infection or nosocomial infection are applied to infections developing in hospitalized patients, not present or in incubation at the time of their admission. Such infections may become evident during their stay in hospital or, sometimes, only after their discharge. Infecti...
4
<12 hours
12-14 hours
24-48 hours
>48 hours
Microbiology
null
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The main function of HDL is
null
4
Transport cholesterol from liver to peripheral tissues
Esterification with PUFA
Both of the above
None of the above
Biochemistry
null
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multi
Nerve damaged in case of numbness of little and ring finger, atrophy of hypothenar muscles
Ans. c. Ulnar nerve before division into superficial and deep branchesNerve damaged in case of numbness of little and ring finger, atrophy of hypothenar muscles is ulnar nerve, before division into superficial and deep branches.Supplied musclesUlnar Nerve (C8T,)Musician's NervMedian Nerve (C5678T1)Laborer's nervedegAxi...
1
Palmar cutaneous branch of ulnar
Deep branch of ulnar
Ulnar nerve before division into superficial and deep branches
Posterior cord of brachial plexus
Anatomy
null
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