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Which of the following is true regording singer's nodule
Is berign not maligrant Micro laryngeal surgery is treatment of choice M/C symptom is haarsness of voice
4
Laser theropy is tratment of choice
Requires excision as it potentially malignant
Most common symptom is pain
It occurs at junction of anterior 1/3rd 7 posterior 2nd
ENT
null
70e70410-cfe6-448c-aa19-ca13ce70de5f
multi
Phosphorylation of phosphofructokinase and fructose-1,6-bisphosphate by fructose-2,6-bisphosphate regulation is seen in
Fructose-2,6-bisphosphate (F-2,6-BP) increases the activity of phosphofructokinaseF-2,6-BP is formed from fructose-6-phosphate by the action of an enzyme called PFK-2. (It is different from the PFK1)Fructose-2,6bisphosphate is hydrolysed to fructose-6phosphate by fructose-2,6-BisphosphataseThe activities of both the en...
2
Brain
Liver
Adrenal Coex
RBC
Biochemistry
Metabolism of carbohydrate
0fc17fac-4a19-487a-8b84-0b8254ad542c
single
Stimulation of the following receptor produce renin
Beta 1 receptors are present opn JG apparatus producing increased renin.
3
Alpha 1
Alpha 2
Beta 1
Beta 2
Anatomy
General anatomy
cc237a72-0626-4246-b272-2d74b799247e
single
Bacteria aquires restriction endonuclease by horizontal transfer. The result would be
C i.e. Bacteria cannot survive because it lacks DNA methylase that protects the host DNA Any bacteria is protected against its own restriction endonuclease (RE) by a companion enzyme site specific DNA methylase which methylates the restriction sites recognized by that paicular REQ. In other wors, every bacteria has its...
3
Bacteria can undergo mutation
Bacteria causes death of host DNA
Bacteria cannot survive because it lacks DNA methylase that protects the host DNA
It helps in DNA proof reading in bacteria
Medicine
null
e6fda91b-aee4-4866-85cc-66f367fa0fa8
single
True about alternative splicing
It’s a regulated process occurs during gene expression and results in a single gene coding for multiple proteins.
2
It is the reason Why the Human Genome is much more Complex than other species.
Creates different proteins from a single gene.
Creates protein from multiple segments of DNA on different chromosomes.
It is not tissue specific.
Biochemistry
null
c187dd15-a07f-4daa-9d66-9b241572c45a
multi
What is the first step taken in case of multiple injuries of face and neck?
null
4
Blood transfusion
IV fluids
Reconstruction
Maintenance of airways
Surgery
null
e94fe1eb-4694-4297-9915-cac690c5644e
multi
A diabetic patient with bilateral renal artery stenosis requires a drug for the treatment of high blood pressure. Which of the following drugs will be most appropriate for this patient?
null
4
Hydrochlorothiazide
Metoprolol
Enalapril
Amlodipine
Pharmacology
null
eaedc44b-baf3-4058-bf43-b4188f9494f2
single
Percentage of cold thyroid nodules likely to be malignant:
Ans. 20%
1
20%
30%
40%
72%
Radiology
null
7625a6cf-e07d-4462-bd8e-3f104f3e2f5b
single
Which phase provides maximum strength in hardened mercury/silver alloy?
null
2
Silver / Mercury phase
Silver / Tin phase
Tin / Mercury phase
Zinc / Mercury phase
Dental
null
b57612a9-fb22-4169-bf3b-1785920eb295
multi
Median umbilical ligament is derived from -
Ans. is 'b' i.e., Urachuso Allantois is a vestigial structure and initially, the bladder is continuous with it. Most of the allantois soon constrict to form a thick fibrous cord called the urachus, which extends from the apex of the bladder to the umbilicus. In the adults, the median umbilical ligament represents the u...
2
Cloaca
Urachus
Metanephros
Ureteric bud
Unknown
null
9fb7e229-2c23-443f-9db5-30ac0e64486a
single
A new inhaled anesthetic has been developed and tested in a series of experiments. Anesthetic tension in the arterial blood is shown on the graph below as a function of time after inhalation (Drug A) similar curve for nitrous oxide is also shown:Which of the following best describes the properties of the new anesthetic...
Ans. (A) High blood: gas partition coefficient(Ref: Katzung 11th/e p427)The depth of anesthesia depends on the partial pressure of anesthetic in CNS. The transfer of anesthetic into the brain starts only after the blood is fully saturated (or, in other words partial pressure of the anesthetic in blood equals the partia...
1
High blood: gas partition coefficient
Low solubility in the blood
Rapid onset of action
Low potency
Pharmacology
Anaesthesia
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single
All are cellular adaptations except -
Ans. is 'c' i.e., Necrosis Cellular adaptationo The normal cells is confined to a fairly narrow range of structure and function by its genetic programs of metabolism, differentiation & specilization; by constraints of neighboring cells; and by availability of metabolic substrates,o However, The normal cell is able to h...
3
Hypertrophy
Hyperplasia
Necrosis
Metaplasia
Pathology
Cellular Responses and Adaptations to Stress
f4a196ef-21c4-435d-9027-1300e7f429a4
multi
A patient had an inferior wall myocardial infarction and was in shock. The reason for the patient being in shock is:-
Answer is C (Right Ventricular infarction) `Right ventricular infarction should be considered whenever a patient with inferior infarction exhibits signs of low cardiac output and raised venous pressure' -- CMDT Mitral regurgitation, decreased ejection fraction and septal defect are features of anterior wall MI.
3
Mitral regurgitation
Infarction causing septal defect
Right ventricular infarction
Decreased ejection fraction from left ventricle
Medicine
null
17778edb-f646-4321-9733-ea01b22690bb
multi
Amount of elemental iron required for iron replacement therapy ?
Typically for iron replacement therapy, up to 300 mg of elemental iron per day is needed, usually as three or four iron tablets (each containing 50-65 mg elemental iron) per day. Reference: Harrisons Principles of Internal Medicine, 18th Edition, Page 848
3
60 mg of elemental iron per day
160 mg of elemental iron per day
300 mg of elemental iron per day
360 mg of elemental iron per day
Medicine
null
6c80b95d-2e82-42da-93e9-07ebc8aedb4e
single
A 60-year-old man undergoing an inguinal hernia repair is induced with propofol. Which of the following is most likely to be observed
Hypotension and apnea are the most common side effects of propofol. Propofol does not cause hypehermia, indeed, it is the anesthetic of choice in patients at risk for malignant hypehermia. Propofol is associated with a fast emergence, which is also an advantage of the drug.
2
Hypeension
Apnea
Hypehermia
Prolonged sedation
Anaesthesia
General anaesthesia
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single
Mirizzi syndrome, all are true except -Gallstone ulcerating into common ductImpacted in cystic ductSevere pericholecystic inflammationObsturctive jaundiceAns: None > CSolution:Ans. is None > 'c' i.e., None > Severe pericholecystic inflammation * Options A, B, D are definitely true.* One can also expect pericholecystic ...
Ans. is 'd' i.e., Barium swallow Diagnosis of achalasia* Chest x-ray - shows absence of gastric air bubble, an air-fluid level in the mediastinum in the upright position representing retained food in oesophagus.* Barium swallow - shows dilated esophagus with tapering narrowing in the terminal end of esophagus described...
4
Barium meal
Bariun meal follow through
Enteroclysis
Barium swallow
Surgery
Oesophagus
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multi
A 42 year old company executive presents with sudden upper GI bleed (5 litres) of bright red blood, with no significant previous history. The diagnosis is?
Ans. is 'b' i.e., Duodenal ulcer Both esophageal varices and duodenal ulcer are causes of massive upper GI bleed. Although it is difficult to reach a diagnosis by clinical history and physical examination alone, variceal bleed is less likely as there are no stigmata of chronic liver disease or poal hypeension.
2
Oesophageal varices
Duodenal ulcer
Gastritis
Gastric erosion
Surgery
null
ff512c76-b056-4d47-98df-202e82e10028
single
An 18-year-old male presented with acute onset descending paralysis of 3 days duration. There is also a history of blurring of vision for the same duration. On examination, the patient has quadriparesis with areflexia. Both the pupils are non-reactive. The most probable diagnosis is
null
2
Poliomyelitis
Botulism
Diptheria
Porphyria
Medicine
null
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multi
Bence Jones proteins are derived from-
About 2/3rd cases of myeloma excrete Bence Jones (light chain) proteins in the urine consists of either kappa or lamda light chains along with presence of Bence Jones paraproteins in the serum.Most commonly gamma globulin Ref;Robbins and Cotran Pathologic basis of disease.South Asia Edition volume 1.page no.363
3
Alpha globulins
Beta globulins
Gamma globulins
Delta globulins
Pathology
Haematology
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single
Green-house gases not include:
Global warming /Green house effect is caused by heat-trapping gases in the atmosphere released by burning of fossil fuels, depletion of ozone layer, d/t use of aerosolized chloro-fluoro-hydrocarbons etc. By their % contribution to greenhouse effect on eah, 4 major gases: Water vapour, 36-70 % Carbon dioxide 9-26% Metha...
2
Carbon dioxide
Carbon monoxide
Water vapour
Methane
Social & Preventive Medicine
Environment
63ce0234-0674-41a1-b655-37df0a859006
single
All the following are true regarding Ranula EXCEPT
Ans) a (Cyst with....) Ref: http://en.wikipedia.org/wiki/RanulaA ranula is a type of mucocele found on the floor of the mouth. Ranulas present as a swelling of connective tissue consisting of collected mucin from a ruptured salivary gland duct, which is usually caused by local trauma.The Latin rana means frog, and a ra...
1
Cyst with epithelial lining confined to sublingual salivary gland
Pseuodocyst with no connection to salivary gland
Will change size following chewing and swalloing
Formed due to obstruction of submandibular or minor salivary gland
Surgery
Oral Cavity
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multi
A 3-year-old child presents with swelling in scrotum since birth. Transillumination test is positive. All are true except?
Ans. (B) Bag of worms. image source;
2
Herniotomy
Bag of worms
Silk glove sign
None of the above
Unknown
null
0f6a3157-6135-4f36-8464-cad47733b695
multi
Complication (s) of obesity is /are
.Complications of obesity General: Difficulty in work, fatigue, depression, back pain, ahritis and gout Cardiovascular: Hypeension, stroke, thrombophlebitis, pulmonary embolism Pulmonary: Hypoventilation, poor respiratory effo GIT: Hiatus hernia with reflux, changes in liver, pancreatitis, gallstones Endocrine: Diabete...
1
Venous ulcer
Pulmonary embolism
Moality
Prostate cancer
Surgery
Urology
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single
A man working in a constructing company presented with watery, foul-smelling diarrhea since 3 weeks. There is no blood in the stools. If it is giardiasis, it is best diagnosed by:
Giardia lamblia causes giardiasis. Watery (nonbloody), foul-smelling diarrhea is accompanied by nausea, anorexia, flatulence, and abdominal cramps persisting for weeks or months. There is no fever. Diagnosis is made by finding trophozoites or cysts or both in diarrheal stools. In formed stools (e.g., in asymptomatic ca...
2
CFT
Presence of both cysts and trophozoites in stools
Presence of cysts only
Haemagglutination
Microbiology
null
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multi
Arborescent marks seen in :
C i.e. Lightening
3
Head injury
Thermal burns
Lightening injury
Electric burns
Forensic Medicine
null
f75581dc-e440-46aa-9036-840b2c7b40e0
single
John Snow's discovery of cholera is an example of-
Ans. is 'b' i.e., Spot map study
2
Natural experiments
Spot map study
Randomized trial
Sho study
Social & Preventive Medicine
null
273a34f7-214d-4fc0-98f9-063a3f011940
single
Carcinoma endometrium with superficial inguinal lymph node involvement is of:
Ans. A. Stage IVThe International Federation of Gynecology and Obstetrics (FIGO) staging system for carcinoma of corpus uteri is as follows:a. Stage IA-Tumor limited to endometrium <8cm)b. Stage IB-Invasion to less than one half the myometrium (>8cm)c. Stage IC-Invasion to more than one half the myometriumd. Stage IIA-...
1
Stage IV
Stage III
Stage II
Stage I
Gynaecology & Obstetrics
Gynaecological Disorders in Obs.
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single
Arrow shift of the curve is not due to:
Ans. (b) Decreased carbon dioxide(Ref: Ganong, 25th ed/p.640)In oxygen dissociation curve, right shift is favored by,AcidosisIncrease in, 3 DPGIncrease in PCO2 Increase in temperature
2
Increased hydrogen ions
Decreased carbon dioxide
Increased temperature
Increased BPG
Physiology
Respiratory System
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single
Lesion in the medial lemniscus at the level of pons causes which of the following?
Lesion in the medial lemniscus at the level of pons causes loss of tactile and proprioception on the opposite side. Fibers of medial lemniscus ascend ipsilaterally in the dorsal columns of the spinal cord to the medulla, where they synapse in the gracilis and cuneate nuclei. The second order neurons from these nuclei c...
4
Pain and temperature loss in the same side
Pain and temperature loss in the opposite side
Loss of tactile and proprioception on the same side
Loss of tactile and proprioception on the oppposite side
Physiology
All India exam
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single
Climbing fibres of cerebellar coex are
Afferent fibres to cerebellum are climbing fibres (olivocerebellar from inferior olivary nuclei) and mossy fibres (other pas of body)
1
Olivocerebellar
Spinocerebellar
Pontocerebellar
Vestibulocerebellar
Anatomy
All India exam
d2599da0-4488-432e-bb46-9b14f154c5a8
single
Ameboid ulcer is a feature of -
It is seen primary ocular herpes.Sometimes the margins of the dendritic ulcer enlarge and coalesce to form a large epithelial ulcer with a 'geographical' or 'ameboid' configuration</p. Reference:Comprehensive ophthalmology,AK Khurana,6th edition,page no.108
3
Parasitic corneal ulcer
Mycotic corneal ulcer
Herpetic corneal ulcer
Bacterial corneal ulcer
Ophthalmology
Cornea and sclera
f576a687-db0b-40b5-859c-c479d53529e9
single
An infant presents with mild anemia, jaundice, and splenomegaly. A complete blood count with differential reveals spherocytosis; the reticulocyte count is elevated. The parents state that several relatives have also suffered from a similar illness.The infant's condition is most likely caused by defective?
The infant is suffering from hereditary spherocytosis, a disease that can result from defective erythrocyte cytoskeletal proteins such as spectrin or ankyrin. Spectrin is a cytoskeletal protein in the erythrocyte that binds to the ankyrin/band 3 protein complex. It also binds to a protein 4.1/actin complex to form a st...
4
Clathrin
Connexon
Dynein
Spectrin
Pathology
null
6573becd-cd24-4512-bed6-c569fbd7f242
single
Bacillus stearothermophilus is used as an indicator for-
Ans. is 'd' i.e., Autoclaving Type of SterilizationSpore used* Moist heat (autoclave)Bacillus stearothermophilus* Dry heat (hot air oven)Bacillius subtilis* Ionizing radiationBacillus pumilis* Gas sterilization (ethylene oxide)Bacillus subtilis* Plasma sterilizationBacillus stearothemophilus(Geobacillus stearothermophi...
4
Hot air oven
Radiation
Gas sterilization
Autoclaving
Microbiology
General
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single
Dengue virus is a:
Flavi virus
2
Aplha virus
Flavi virus
Reovirus
Bunya virus
Microbiology
null
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single
Bilirubin is absent in urine because it is -
Unconjugated bilirubin cannot be excreted in urine because:- (i) It is lipophilic (lipid soluble) but not water soluble, i.e. it is hydrophobic  (ii) It is tightly bound to albumin, thus cannot be filtered at glomeruli.
4
Distributed in the body fat
Conjugated with glucoronide
Not filterable
Lipophilic
Biochemistry
null
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single
Type II schizophrenia is characterised by all of the following features, EXCEPT:
Type II Schizophrenia is characterised by prominent negative symptoms, intellectual deterioration, enlarged cerebral ventricles and poor response to neuroleptics. Type I Schizophrenia is characterised by:Positive symptomsNormal brain structureAbsence of intellectual impairmentGood response to neurolepticsRef: Contempor...
3
Negative symptoms
Poor response to treatment
Disorganised behaviour
CT scan abnormal
Psychiatry
null
77ead300-2958-46cb-a8ad-d8e1378078f7
multi
Regarding bronchiolitis one of the following state ments is not true-
Ans. is 'b' i.e., It occurs commonly in children above 2 years of age
2
Bronchiolitis in a self-limiting viral illness secondary to respiratory syncitial virus
It occurs commonly in children above 2 years of age
Ribavirin is the drug of choice for treatment of this condition
It predisposes children for later development of asthma
Pediatrics
null
4b4663ed-7020-4670-8180-dc26e8e2cdb5
multi
What is the parameter that is used to assess lipid peroxidation?
Ans. is 'a' i.e., Malondialdehyde* ROS can be produced by either breakage of covalent bond, addition of electrons to a molecule or removal of hydrogen by other radicals. They are generally highly reactive species and typically act as electrophilic species or oxidant agents. The most important radicals or pro-oxidant mo...
1
Malondialdehyde
CRP
hsCRP
Carboxymethyl lysine
Biochemistry
Lipids
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single
IPC 82 states that: child cannot be punished under what age :
null
3
5 yrs
8 yrs
7 yrs
10 yrs
Forensic Medicine
null
c5b9e400-8cd5-4e30-a71b-f5568cb45c9a
single
Secondary hemorrhage is seen: AP 06; FMGE 10; Bihar 10; Jharkhand 11; Al 11
Ans. 7-14 days after surgery
4
During anesthesia
6 h after surgery
24 h after surgery
7-14 days after surgery
Forensic Medicine
null
cbfca6a5-925e-4fe6-a997-663f676fc616
single
Evacuation of the urinary bladder and stool with profuse sweating is a feature of:
In patients with spinal cord injury when a minor noxious stimulus is applied to the skin, it will cause a withdrawal response and also irradiate to autonomic centers and produce evacuation of the bladder and bowel, sweating, pallor, and BP swings. This is called "mass reflex". It can be used in paraplegic patients who ...
1
Mass reflex
Magnet reaction
Decoication
Hemisection of the spinal cord
Physiology
Motor System
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single
Cornea is lined by -
Ans. is 'c' i.e., Squamous non-keratisized Histology of corneao The cornea has five distinct layers (from superficial to deep): -Epithelium : - It is the outermost part of cornea and is composed of stratified squamous non-keratinized epithelial cellsQ.Bowman's membrane : - It is not a true membrane but simply a condens...
3
Ciliated columinar
Simple columinar
Squamous non-keratisized
Pseudostrati fied
Anatomy
Epithelium and Intraepithelial Glands
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single
Smoking predisposes to all of the following cancers except -
null
4
Carcinoma larynx
Carcinoma bladder
Carcinoma stomach
Lymphoma
Medicine
null
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multi
Most common type of twin pregnancy is :
Ans. is b i.e. Both veex In twins most common lie of both the fetus at term is longitudinal.deg Rarest lie is both the twins transverse.deg Presentations : Both veex (Most common) 60% Veex (1st) - Breech (1Ind) 20% Breech (1st) - Veex (11nd) 10% Both Breech 8 - 10% Note : Interlocking of twins is a rare complication se...
2
Veex + transverse
Both veex
Veex + breech
Both breech
Gynaecology & Obstetrics
null
2901fd07-ae34-4f48-a150-7d33852c6f48
multi
Dohle bodies are seen in-
Muir's Textbook of pathology, edited by J. R. Anderson, 12th edition Answer is option 2, May-Hegglin's anomaly Dohle bodies are intracytoplasmic inclusions seen in mature nuetrophils and are thought to be ribosome containing remnants of promyelocyte cytoplasm. They are seen in May Hegglins anomaly,which is an autosomal...
2
Multiple myeloma
May-Hegglin anomaly
Waldenstorm Macroglobulinemia
Lymphoma
Pathology
Haematology
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single
Thurston Holland sign is seen in ?
Ans. is 'b' i.e., Type II Epiphyseal (Physeall Injuries o The junction between the metaphysis and epiphysis, i.e. physeal plate/growth plate, is the weakest point of a long bone in children and is, therefore, most vulnerable to shearing forces. o Salter and Harris have classified epiphyseal injuries into five types ? T...
2
Type I
Type II
Type III
Type IV
Surgery
null
ebda0ea5-aba4-4859-92b2-7d08a80bdb74
single
Patients suffering from multidrug resistant tuberculosis can be treated with all the following durgs except -
Ans. is 'a' i.e., Tobramycin Tobramycin is not an antitubercular aminoglycoside.
1
Tobramycin
Amikacin
Ciprofoxacin
Clarithromycin
Pharmacology
null
f49383ae-971b-46cd-9952-8bcad4db2d71
multi
Destruction of the enamel knot leads to:
Enamel knot is an important signalling centre for the proliferation and growth of the dental papilla. Destruction of enamel knot leads to cessation of further tooth development.
1
Cessation of further tooth development.
Dentinogenesis imperfecta.
Amelogenesis imperfecta.
None.
Dental
null
7320ab8a-debe-4d1d-bfac-1286473cf7e6
multi
A 32 year old high altitude mountaineer is observed to have a hematocrit of 70%. Which of the following represents the most likely cause/explanation
Erythropoietin secretion increases promptly on ascent to high altitude. The increase in circulating red blood cells triggered by the erythropoietin  begins in  2-3 days and is sustained as long as the individual remains at high altitude.
1
Polycythemia with increased red cell mass
Relative polycythemia due to dehydration
Polycythemia due to hemoconcentration
Polycythemia with high altitude pulmonary edema
Physiology
null
0f8a6476-177a-4517-aa7e-12d0c05a9c7e
single
Meralgia paresthetica involves?
ANSWER: (A) Lateral cutaneous nerve of thighREF: Differential diagnosis in neurology and neurosurgery: a clinician's pocket guide Page 243Repeat Orthopedics December 2009
1
Lateral cutaneous nerve of thigh
Forearm
Radial nerve
Cutaneous branches of obturator nerve
Orthopaedics
Injuries Around the Thigh & Knee
299621c7-ce66-4efc-8a04-be6ada0b7e9a
single
A 33 year old male who was travelling by a flight staed fighting with one of the air hostesses. The man alleged that the airhostess is actually his 'wife' and she has changed her face, so that she cant be identified. This history is consistent with-
Delusions of misidentification Fregoli syndrome: Delusion of familiar person imposing as a stranger and can take multiple different appearances. Capgras syndrome: Belief that a familiar person is replaced by a stranger or a stranger is imposing as a familiar person.
2
Capgras syndrome
Fregoli syndrome
Othello synderome
de Clerembault syndrome
Psychiatry
Schizophrenia Spectrum and Other Psychotic Disorders
ebcefe60-4186-4507-a042-e26aa155d0d3
multi
The power of Amnesty for capital punishment is vested with :
A i.e. The president
1
The president
Supreme cou
High cou
The governer
Forensic Medicine
null
b149cf1c-b365-43e2-91c1-1e208472e49f
single
Early deceleration denotes:
Ans. is a, i.e. Head compressionRef. Dutta Obs. 9/e, p 569"Deceleration is defined as a decrease in fetal heart rate below the base line by 15 beats per minute or more." Three basic patterns of deceleration are observed, each of which has a diagnostic significance:FHR patternFeatureSeen inEarly decelerationDeceleration...
1
Head compression
Cord compression
Placental insufficiency
Fetal distress
Gynaecology & Obstetrics
Diagnosis in Obstetrics
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single
TRUE about ureter's entry into the bladder: 1. At medial angle of trigone 2. At lateral angle of trigone 3. Make an angle 4. Is straight 5. Valveless
The ureters enters the bladder wall obliquely to open into it at an angle of its trigone. Ureter Entry To Bladder Ureteric orifices are placed at the posterolateral trigonal angle. The ureter pierces the bladder wall obliquely, and this provides valve like action ( but not true valve), which prevents reverse flow of ur...
2
1,3 & 5
2,3 & 5
1,2 & 4
1,3 & 5
Anatomy
null
b323defa-dedd-4d8b-89eb-6331a0f617af
multi
Women with vitamin B12 deficiency presents with dysphagia and anemia. What is the syndrome that describes this presentation?
Classical features of Plummer-Vinson (Patterson Brown-kelly) Syndrome includes dysphagia, iron deficiency anemia, upper esophageal inflammation with web formation, angular stomatitis and gastritis. It usually affects females in their fouh or fifth decade. Esophageal webs are formed at the junction between squamous muco...
1
Plummer Vinson syndrome
Eagle syndrome
Job's syndrome
Treacher Collin syndrome
ENT
null
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single
The purpose of heating gold foil before condensing is:
Gold attracts gases that render it noncohesive, such gases must be removed from the surface of the gold before dental compaction. This process is usually referred to as degassing or annealing and is accomplished by application of heat.
3
To improve welding quality
To melt the gold
To remove adsorbed gases on gold surface
To increase oxidation
Dental
null
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single
Cause of Tuberculosis of fallopian tube is due to NOT RELATED-GYN
Hematogenous from other primary sources
1
Hematogenous spread
Lymphatic spread
Ascending infection
Primary infection
Pharmacology
All India exam
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Mast cells secrete all except:
Ans: d) Bradykinin When presensitized mast cells bind to new antigens two parallel and independent processes take place:1) Degranulation of preformed (primary) mediatorsi) Biogenic amines - Histamineii) Enzymes - neutral proteases (chymase, tryptase) acid hydrolasesiii) Proteoglycans - Heparin, Chondroitin sulfate2) Sy...
4
Histamine
Heparin
MIP
Bradykinin
Pathology
Misc.
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Nutritional status of community is measured by all except
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2
Anemia detection in pregnancy
Mid-arm circumference in 0-1 year age group
Child birth weight <2500 gms
Height and weight calculated in < 5 years age group
Social & Preventive Medicine
null
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Palmar surface of hand represents:
Ans. A: 1% of total body surface area The use of a patient's own hand as a tool to estimate the area of burn injury is well documented. The area of the palmar surface of one hand has been estimated to be 1 percent of the body surface area.
1
1% of total body surface area
2% of total body surface area
3% of total body surface area
4% of total body surface area
Surgery
null
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Afferent component of corneal reflex is mediated by:
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3
Vagus nerve
Facial nerve
Trigeminal nerve
Glossopharyngeal nerve
Physiology
null
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In hypoxic injury, cornea becomes edematous because of accumulation of:
Ans. b. Lactate (Ref: Yanoff and Duker 4/e p280)In hypoxic injury, cornea becomes edematous because of accumulation of lactate.'Contact lenses are generally very well tolerated, but they induce numerous changes in corneal physiology and the tear film. Decreased oxygen tension occurs with contact lens wear, especially w...
2
Carbon dioxide
Lactate
Pyruvate
Glycogen
Ophthalmology
Inflammations of the Cornea
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Bullous disease in which autoantibodies are formed against antigens of epidermal intercellular junctions
Bulla development in pemphigus vulgaris is due to Acantholysis, this is disruption of intercellular attachment leading to intraepidermal bullae. Autoantibodies against desmosomal protein-desmoglein-3 mediate the pathogeneis.
1
Pemphigus Vulgaris
Epidermolysis bullosa
Dermatitis herpatitis
Bullous pemphigoid
Pathology
null
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All of the following skin conditions are considered as skin markers for internal malignancy except
Acanthosis nigricans, brown to grey - black velvety thickening of the skin in flexural areas, is caused by insulin resistance, obesity, drugs and underlying malignancy (esp. of the stomach and large intestine).Dermatomyositis results from an immune-mediated process triggered by various factors such as malignancy ( ovar...
4
Acanthosis nigricans
Dermatomyositis
Bullous pemphigoid
Pemphigus valgaris
Surgery
Urology
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Which of the following two muscles act together for climbing on a tree -
Ans. is 'c' i.e., Latissimus dorsi & Pectoralis major * Climbing of tree is helped by:i) Latissimus Dorsiii) Pectoralis major* Latissimus Dorsi is also known as "climber's muscle" or "Tree climbing muscle".
3
Latissimus dorsi & Serratus anterior
Serratus anterior & Teres major
Latissimus dorsi & Pectoralis major
Serratus anterior & Pectoralis major
Anatomy
Upper Extremity
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Primary hyperaldosteronism does not have -
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1
Ankle oedema
Polyuria
Hypertension
Hypokalemia
Medicine
null
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TB hand -
Ans. is 'a' i.e., Spina ventosa o Spina ventosa is the name given to tuberculosis of the phalanges of hand.o Shoulder joint tuberculosis, at times, may not produce any pus etc., and hence is called 'caries sicca' and should always be considered in differential diagnosis of much commoner shoulder problem - 'Frozen shoul...
1
Spina ventosa
Cariessicca
Pott's disease
None
Orthopaedics
TB of the Hip, Knee, Other Joints
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Key hole sign is seen in
Key hole sign - Posterior urethral valve. Crescent sign - Hydronephrosis.
2
Hydronephrosis
Posterior urethral valve
Ectopic ureter
PCKD
Radiology
null
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Which of the following drugs deposited in the muscles
(Digoxin) (499-KDT 6th)Cardie glycosides (Digitoxin, digoxin, lanatoside-C, Quabain)* All are concentrated in the heart (~ 20 times than plasma) skeletal muscle, liver and kidney* All are cumulative drugs
2
Verapamil
Digoxin
Adenosine
Phenytoin
Pharmacology
C.V.S
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Retraction ball is seen after injury' to:
Ans: C (Brain) "Concussion of Brain: Microscopic examination does not show axonal injuries up to 12 hours after injury. After 12 hours, the axons first appear dilated, then club-shaped and finally appear as round balls known as 41retraction balls", which indicates transected axons. The number of retraction balls begins...
3
Liver
Spleen
Brain
Kidney
Pathology
Cerebrovascular Diseases
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Where and when MDG adopted ?
Ans. is 'b' i.e., UN 2000 The millennium development Goals (MDG) More recently in September 2000, representive for 189 countries met at the millennium summit in New York, to adopt United Nations Millennium Declaration. The goals in the area of development and povey eradication are now referred to as "Millennium develop...
2
WI-10 1990
UN 2000
UNICEF 1995
ILO 2005
Social & Preventive Medicine
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During removal of a parotid tumour, the auriculotemporal nerve is injured. This could result in:
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3
Facial paralysis
Trigeminal neuralgia
Gustatory sweating
Orolingual paraesthesia
Surgery
null
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Organs mostly involved in blast injury ?
Ans. is 'b' i.e., Hollow viscus There is barotrauma to air filled hollow organs.
2
Solid organs
Hollow viscus
Skeletal system
Muscles
Forensic Medicine
null
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Respiratory depression is caused by A/E -
Strychnine causes respiratory stimulation. Other three options can cause respiratory depression
3
Opium
Barbiturate
Strychnine
Gelsemine
Forensic Medicine
null
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Hair infection with scutula formation is seen is case of-
<Tinea capitis it is is superficial fungal infection of scalp and hair with dermatophytes . Commonest mycosis in children's Fungus grows over scalp and extend down in hair follicles till zone of keratinisation-adamsons fringe. According to the inflammatory component of clinical presentation tinea capitis classified as ...
1
Tenia Capitis
jock Itch
Tenia glabrosa
Tenia barbae
Dental
Fungal infections, Scabies, Pediculosis
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True statement about neurocysticercosis is -
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2
Seizures due to neurocysticercosis are resistant to anti epileptic drugs
Albendazole is superior to praziquantel in the T/T of above condition
Common presentation is 6th CN palsy and hemiparesis
Steroids are used in the mangament of hydrocephalus
Medicine
null
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A patient on a ventilator is having bilateral crepitations in all lung fields. CXR shows the presence of?
Cardiogenic pulmonary edema Non - cardiogenic pulmonary edema Increased CT ratio Kerley B lines Batwing configuration Normal CT ratio Diffuse bilateral infiltrates sparing costophrenic angle Absent Kerley B lines
2
Cardiogenic pulmonary edema
Noncardiogenic pulmonary edema
Neurogenic pulmonary edema
Chemical pneumonitis
Medicine
Miscellaneous Questions
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Known complication of stoma (e.g., Colostomy stomach)
Stomal Complication: Stomas are widely used in the treatment of colorectal, Intestinal and urological diseases An intestinal stoma can be an ileostomy, colostomy, or urostomy, endloop, or temporary or permanent, diveing or decompressing, or continent or incontinent A tube cecostomy and a blow hole are considered tempor...
4
Prolapse
Stenosis
Retraction
All of the above
Surgery
G.I.T
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Which can be used in pregnancy aEUR'
Propylthiouracil Propylthiouracil is the drug of choice for hypehyroidism during pregnancy. Antithyroid drugs in pregnancy Propylthiouracil and methirnezole are both antithyroid drugs that cross the placenta and can lead to fetal goiter. Methimazole has been associated with "cutis aplasia". Scalp defects cloanal atresi...
4
>ACE inhibitors
>Aldosterone
>AT receptor antagonist
>Propylthiouracil
Gynaecology & Obstetrics
null
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The strain that occurs when a material is stressed to its proportional limit is:
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2
Resilience
Maximum flexibility
Toughness
Elastic limit
Dental
null
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Not seen in fecal pollution is
The primary bacterial indicator recommended for faecal contamination is the coliform group of organisms as a whole (E.Coli)Supplementary indicator organisms are faecal streptococci and sulphite-reducing clostridia.Park 23e pg: 720
1
Staphylococcus
Streptococcus
E.coli
Clostridium perfringens
Social & Preventive Medicine
Environment and health
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The annual growth rate of a Country was found to be 1.3, country rating under population growth would be under
< o.5Slow growth0.5 - 1.0Moderate growth1.0 - 1.5Rapid growth1.5 - 2.0Very rapid growthMore than 2.0 is explosive growth.Currently, India has 1.2% annual growth with 132 crores (in 2016)(Ref:- Park. 23rd ed. Page no 481)
2
Moderate growth
Rapid growth
Very rapid growth
Explosive growth
Social & Preventive Medicine
Demography and family planning
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Epidemic hemorrhagic conjuctivitis is caused by -
Ans. is 'd' i.e., Picornavirus
4
HSV
HZV
HIV
Picorna virus
Microbiology
null
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Most common organism involved in urinary catheter induced urinary tract infection is -
Most commonly involved organism in causing urinary tract infection is E. Coli. Risk factors - More common in females Recent use of a diaphragm with spermicide, frequent sexual intercourse. Maternal history of diabetes ,UTI and incontinence . Obstruction in urine flow(calculi,malignancies) Incomplete voiding(residual ur...
1
E.coli
Pseudomonas
Staphylococcus epidermidis
Proteus
Medicine
Kidney
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Rh factor is an-
RHESUS SYSTEM. The Rhesus (Rh) blood group systemwas first discovered on human red cells by the use of antisera prepared by immunizing rabbits with red cells from a Rhesus monkey. The Rh allelic genes are C or c, D or d, and E or e,located on chromosome 1. One set of 3 genes is inheritedfrom each parent giving rise to ...
3
antibody
Mucopolysaccharide
Protein
fatty acid
Pathology
miscellaneous
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True about Cinacalcet
The extracellular calcium-sensing receptor (CaR) on the parathyroid cell surface negatively regulates the secretion of PTH. Activation of the receptor decreases secretion of PTH, thereby decreasing bone turnover. Calcimimetics, such as cinacalcet, amplify the sensitivity of the CaR to extracellular calcium, altering th...
1
Calcimimmetic
Calciuric
Decreases calcium absorption
Calcitonin
Surgery
Endocrinology and breast
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Space of Disse is in ?
C i.e. Liver
3
Spleen
Lyphnode
Liver
Bone
Anatomy
null
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Which of the following statements is false regarding the drug resistance?
Mutational drug resistance Transferable drug resistance One drug resistance at a time Multiple drug resistance Low degree resistance High degree resistance Can be overcome by high drug dose High dose ineffective Drug combinations can prevent Combinations cannot prevent Resistance does not spread Spreads to same or diff...
2
In mutational drug resistance one drug resistance at a time is seen
Virulence is decreased in transferable resistance
Drug combinations can prevent Mutational drug resistance
High degree of resistance is seen in transferable drug resistance
Microbiology
General Microbiology Pa-2 and Pa-3 (Sterilization and Bacterial Genetics)
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Chondritis of aural cartilage is most commonly due to -
null
2
Staphylococcus
Pseudomonas
Candida
Both staph & Pseudomonas
ENT
null
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Features in retinal detachment all except
C. i.e. Associated with vitreous hemorrhage Vitreous hemorrhage is not a (clinical) feature of retinal detachmentQ. However, vitreous hemorrhage may indirectly lead to retinal detachment by causing retinitis proliferans.
3
Field defect
Retinal tears
A/W vitreous haemorrhage
Greyish -brown fundus
Ophthalmology
null
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A 40-year-old woman with severe chronic pancreatitis is scheduled to undergo an operation, because other forms of treatment have failed. The ultrasound shows no evidence of pseudocyst formation or cholelithiasis and endoscopic retrograde cholangiopancreatogram (ERCP) demonstrates dilated pancreatic ducts with multiple ...
If the pancreatic duct is dilated and symptoms persist, a longitudinal pancreaticojejunostomy (Puestow) is performed (Figure below). In this operation, the pancreatic duct is slit open and anastomosed side-to-side to the cut end of the divided jejunum with a Roux-en-Y anastomosis. Resection of the pancreas is reserved ...
1
Pancreatic jejunostomy (Puestow procedure)
Gastrojejunostomy
Cholecystectomy
Splenectomy
Surgery
Pancreas
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A pregnant women who is 7 weeks from her LMP comes in to the office for her first prenatal visit. Her previous pregnancy ended in a missed abortion in the first trimester. The patient therefore is very anxious about the well-being of this pregnancy. Which of the following modalities will allow you to best document feta...
Vaginal ultrasound can detect fetal heart action as early as 5 weeks of amenorrhea. With a traditional, nonelectric fetal stethoscope, heart tones can be heard after 19 to 20 weeks gestational age. With appropriate Doppler equipment, fetal heart tones can be usually be detected by 10 weeks gestational age.
4
Regular stethoscope
Fetoscope
Special fetal Doppler equipment
Transvaginal sonogram
Gynaecology & Obstetrics
Antepartum Haemorrhage
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Which bone tumor appears in epiphysis?
Osteoclastoma a.k.a Giant cell tumor Occurs at the epiphysis Tumors occurring at epiphysis: Chondroblastoma Osteoclastoma Metaphysis: Osteosarcoma Enchondroma Chondrosarcoma Simple bone cyst Aneurysmal bone cyst Diaphysis (LEMON) Lymphoma Ewing&;s sarcoma Multiple myeloma Osteoid osteoma Admantinoma Ref: Maheshwari 9ED...
1
Osteoclastoma
Ewing's sarcoma
Chondromyxoid fibroma
Osteosarcoma
Orthopaedics
Tumors
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Lithium use in pregnancy leads to which of the following effect on baby?
Ans. A. CVS defectLithium is in FDA pregnancy category D, which includes drugs for which there is evidence of human fetal risk, but whose potential benefits may outweigh the risk in some pregnant women. Lithium appears to increase the risk of cardiovascular anomalies in humans (the incidence of Ebstein anomaly of the t...
1
CVS defect
Urogenital defect
Neural tube defect
Facial defects
Psychiatry
Pharmacotherapy In Psychiatry
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Most rigid elastomer is
null
1
Polyether
Polysulphide
Addition silicone
Condensation silicone
Dental
null
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The national health policy is ba sed on -
The ministry of Health and Family Welfare,Govt of India,evolved a National Health Policy in 1983 keeping in view the national commitment to attain the goal of Health for all by the year 2000.Since then there has been significant changes in the determinent factors relating to the health sector,necessitating revision of ...
1
Comprehensive health care
Subsidized health care
Socialized medicine
Equitable distribution of health resources
Social & Preventive Medicine
Health education & planning
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Elective dental extractions on a patient who has had a myocardial infarct two months prior are best:
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4
Performed under oral valcum sedation
Performed using an epinephrine free local anesthetic
Performed using both of the above
Postponed until at least six months have elapsed
Surgery
null
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During program planning which of the following terms most appropriately defines the desired end result that is not operationally measurable?
Goal is defined as the ultimate desired state towards which objectives and resources are directed. Unlike objectives and targets, goals are not constrained by time or existing resources, nor are they necessarily attainable. A goal is usually described in terms of: (1) What is to be attained (2) The extent to which it i...
1
Goal
Target
Objective
Mission
Social & Preventive Medicine
null
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Endodermal cloaca gives rise to all of the following except
The pa of the hindgut caudal to the attachment of the allantoic diveiculum is called the cloaca. The cloaca soon shows a subdivision into a broad ventral pa and a narrow dorsal pa. These two pas are separated from each other by the formation of the urorectal septum, which is first formed in the angle between the allant...
2
Rectum
Lower 1/2 of anal canal
Upper 1/2 of anal canal
Mucous membrane of bladder
Anatomy
General anatomy
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A 70-year-old male Rohan with advanced visceral cancer dies of extensive myocardial infarction. Autopsy also reveals sterile non-destructive vegetations along the mitral leaflet edges. The pathogenesis of this patient's vegetations is most similar to that of:
The pathogenesis of nonbacterial thrombotic endocarditis (NBTE) often involves a hypercoagulable state which is the result of the procoagulant effects of circulating products of cancers the resulting cardiac valve vegetations may also be called marantic endocarditis. The pathophysiology of NBTE is similar to that of Tr...
3
Hypercalcemia of malignancy
Distant metastases
Trousseau syndrome
Raynaud's phenomenon
Pathology
Myocardial Infarction
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