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Giant V wave on examination of the jugular venous pulse is suggestive of :
Giant v waves indicate the presence of tricuspid regurgitation. The jugular venous pressure should be quantified in centimeters of water (normal <=8 cm) by estimating the height of the venous column of blood above the sternal angle in centimeters and then adding 5 cm. In the early stages of HF, the venous pressure may ...
2
Atrial flutter with changing block
Tricuspid incompetence
Ventricular septal defect
Pulmonary stenosis
Medicine
C.V.S
eb92addb-972d-4ff8-9b07-44e63983e718
single
A person preoccupied with worries about falling ill is
DSM- IV-TRDSM-5 Clinical PresentationSomatoform and related DisordersSomatic Symptom And Related DisorderSomatization disorderYoung age, FemaleSomatic symptom disorderPoly symptomatic concerned over symptoms *Ex: abdominal pain, chest painHypochondriasisMiddle or old ageM:F 1:1Illness anxiety disorderConcerned over Dis...
2
Maniac
Hypochondriac
Depressed
Delirium
Psychiatry
All India exam
f80b6de1-faec-46a7-8478-ea653a559f1e
multi
All except one constitute ABVD regime for chemotherapeutic treatment of Non-Hodgkin's Lymphoma
ABVD ⇒ Adriamycin (Doxorubucin) Bleomycin Vinblastine Dacarbazine.
4
Doxorubicin
Dacarbazine
Bleomycin
Vincristine
Surgery
null
d8191c03-907c-400f-b972-2c1e3fc7544a
multi
In case of non-hemorrhagic infarct in cerebral coex, reactive astrocytes can be seen as early as ________ after the insult.
Reactive astrocytes Can be seen as early as 1 week after the insult. As the process of liquefaction and phagocytosis proceeds, astrocytes at the edges of the lesion progressively enlarge, divide, and develop a prominent network of cytoplasmic extensions.
3
1 hr
1 day
1 week
1 month
Pathology
Miscellaneous
9388fdcc-b63f-4323-84f7-5bd2482980dc
single
Intra epithelial bulla is seen in –
Pemphigus vulgaris causes intraepidermal bullae.
1
Pemphigus
Pemphigoid
Dermatitis herpetiformis
Light eruption
Dental
null
f33ce2fa-6dbb-4c0d-b53f-de8659c338ec
single
All are true about hyperophic obstructive cardiomypathy except-
Ref:Harrison&;s 19th E pg 1568. Beta-blockers are the drug of choice for HOCM. Decreasing the contractility of hea prevents the hyperophied septum coming in contact with the anterior leaflet of the mitral Valve. Hence reducing the obstruction.
4
Asymmeric hyperophy of septum
Systolic motion of anterior leaflet
Left ventricle outflow obstruction
Beta blockers are not effective
Medicine
C.V.S
bdb6ae7e-f3b8-493a-a05c-a54770ac8059
multi
Not true about somnambulism among the following is?
Ans: D- Low-level motor skill/function is present.Sleepwalking (somnambulism): The patients may carry out a range of activities for which he doesn't have any memory later on.It may include leaving the bed and walking around and also activities like dressing, moving around, or even driving.It occurs during the slow-wave...
4
Sleepwalking.
Patient consciousness is preserved.
Disorder of sleep arousal.
Low-level motor skill/function is present
Psychiatry
null
d560eb1d-ca25-4693-89ac-bd85b8fc5814
multi
True statements about DNA structure:
A i.e. All nucleotides are involved in linkage; B i.e. Antiparallel; C i.e. Bases perpendicular to DNA
4
All nucleotides are involved in linkage
Antiparallel
Bases are perpendicular to DNA
All
Biochemistry
null
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multi
Intestinal absorption of glucose occurs with the help of:
Cells of the intestine and kidneys use SGLT for glucose entry into the cell (from lumen) SGLT: secondary active transpo. MOA: active transpo of Na+ from basolateral membrane depletes intracellular Na. | Na+ & glucose combine with SGLT on the luminal surface of intestinal epithelial cells | Glucose enters intestinal cel...
3
GLUT
Calcium channel
SGLT
Sodium channel
Physiology
DNB 2018
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single
Most common pattern of fingerprint is: Delhi 07; Gujarat 07; UP 08; Manipal 10
Ans. Loops
2
Arches
Loops
Whorls
Composite
Forensic Medicine
null
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single
Which of the following acts as the major neurotransmitter in substantia nigra:
A i.e. Dopamine Dopamine is the major neurotransmitter in substantia nigraQ.
1
Dopamine
Noradrenaline
Acetylcholine
Acetylcholine
Physiology
null
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single
The major causative agents of "Cutaneous" larva migrans are:
Ancylostoma braziliense
1
Ancylostoma braziliense
B. malayi
Loa Loa
W bancrofti
Microbiology
null
3cd81fec-7a87-4323-84d1-326b9ba13eee
single
Most common cause of mortality in blunt thoracic trauma is:
Most common cause of mortality:- In blunt thoracic trauma: Tracheobronchial injury. In penetrating throracic trauma: Hemothorax.
2
Tension pneumothorax
Tracheo-bronchial injury
Hemothorax
Flail chest
Surgery
null
12c6d67e-a358-44fc-bb70-46135e301cc3
single
A young female presents with history of dyspnoea on exeion. On examination, she has wide, fixed split S2 with ejection systolic murmur (IIINI) in left second intercostal space. Her ECG shows left axis detion. The most probable diagnosis is ?
Ans. is 'c' i.e., Ostium primum atrial septal defect Wide fixed splitting of S2 in association with ejection systolic murmur suggests the diagnosis of Atrial septal defect. o Ideally with hyperophy of the right side of the hea, right axis detion should be present, but sometimes left axis detion is also seen in A.S.D. E...
3
Total anomalous pulmonary venous drainge
Tricuspid atresia.
Ostium primum atrial septal defect.
Ventricular septal defect with pulmonary aerial hypeension.
Pediatrics
null
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Tidal volume in ml
Tidal volume is 500 ml Tidal volume (symbol VT or TV) is the lung volumerepresenting the normal volume of air displaced between normal inhalation and exhalation when extra effo is not applied. In a healthy, young human adult, tidal volume is approximately 500 mL per inspiration or 7 mL/kg of body mass. Ref: Guyton and ...
4
300
400
900
None
Physiology
Respiratory system
8f63cec6-108f-4b71-8c74-2eb0d2b59eeb
multi
A 23-year old patient diagnosed with stage IA malignant ovarian germ cell tumor. Which of the following would be the standard treatment-
Approximately 50% to 70% of Germ cell malignancies are stage 1. Since she is a young patient, Feility-sparing surgery ( USO ) is done Almost All germ cell malignancies require Postoperative Chemotherapy.
3
Unilateral oophorectomy
Bilateral oophorectomy and hysterectomy
Unilateral oophorectomy followed by chemotherapy
Ovarian biopsy followed by chemotherapy
Gynaecology & Obstetrics
Ovarian Tumors and Vulvar cancer
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single
The drug inactivated in plasma by spontaneous non enzymatic degradation is:
Atracurium in plasma undergoes spontaneous non enzymatic degradation(Hoffman elimination)in addition to that by cholinesterases. All other given drugs don't undergo Hoffman elimination. From Tripati 7th edition Page no 353
1
Atracurium
Vecuronium
pipecuronium
Pancuronium
Pharmacology
Anesthesia
b782a6a6-0ad4-4de0-a3e2-53e3ff8479fc
single
Central nervous system develops from
CNS develops from Neuroectoderm.
2
Endoderm
Ectoderm
Mesoderm
All 3 germ layers
Anatomy
All India exam
27a30476-8cbb-46d5-a88d-eaf418da9212
multi
In apoptosis, cytochrome C acts through -
Ans. is 'a' i.e., Apaf 1o One of these proteins is cytochrome c, well known for its role in mitochondrial respiration. In the cytosol, cytochrome C binds to a protein called Apaf-1 (apoptosis activating factor-1), and the complex activates caspase-9. (Bc1-2 and Bcl-x may also directly inhibit Apaf-1 activation, and the...
1
Apaf 1
Bcl-2
FADD
TNF
Pathology
null
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The client with chronic renal failure who is scheduled for hemodialysis this morning is due to receive a daily dose of enalapril (Vasotec). The nurse should plan to administer this medication:
Antihypertensive medications such as enalapril are given to the client following hemodialysis. This prevents the client from becoming hypotensive during dialysis and also from having the medication removed from the bloodstream by dialysis. No rationale exists for waiting a full day to resume the medication. This would ...
3
Just before dialysis
During dialysis
On return from dialysis
The day after dialysis
Pathology
null
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single
An experimental diagnostic test is developed to noninvasively detect the presence of trisomy 21, Down's syndrome. The test is administered to a group of 500 women considered to be at risk for a Down's fetus based on blood tests. The results of this test are shown below. What is the sensitivity of this new test? \r\n \r...
Sensitivity is defined as the ability of a test to detect the presence of a disease in those who truly have the disease. It is calculated as the number of people with a disease who test positive (true positive) divided by the total number of people who have the disease (true positive+ false negative). In this case, sen...
2
40%
50%
67%
71%
Social & Preventive Medicine
null
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single
Hatters shake are seen in poisoning with?
Chronic poisoning * Also called as hydrargyrism, mercurialism * Excessive salivation (Ptyalism, Sialorrhea) * Metallic taste * Anorexia * Insomnia * Headache * Gingivitis * Halitosis * Blue line on gums * Lassitude * Visual blurring * Concentric constriction of visual field (tunnel vision) * Mercuria lentis - opacities...
1
Mercury
Lead
Arsenic
Copper
Forensic Medicine
Poisoning
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First lymph node involved in maxillary carcinoma
In paranasal sinus tumors Lymphatic spread: Nodal metastases are uncommon and occur only in the late stages of disease. Submandibular and upper jugular nodes are enlarged. Maxillary and ethmoid sinuses drain primarily into retropharyngeal nodes, but these nodes are inaccessible to palpation. Systemic metastases are ra...
2
Submental
Submandibular
Clavicular
Jugular
ENT
null
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single
All of the following are true about dental abnormalities except:
Dental Cyst Dentigerous Cyst Ameloblastoma Develops at the apices of cariestooth with necrotic pulp More common in upper Jaw X-rays shows: Circular radioluscent area in relation to root of normally erupted tooth Margins may be Sclerotic Arises from unerupted teeth MC in lower 3rd molars Cyst also contains uneruptd teet...
3
Dental cyst develops at the apices of caries tooth with necrotic pulp
Dentigerous cyst contain unerupted teeth
Dentigerous cyst is most common in upper 3rd molars
Ameloblastoma is most common odontogenic tumour
Surgery
Oral cavity
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multi
The following statements are related to rupture uterus except;
Risk of lower segment scar rupture is LESS compared to a upper segment scar rupture as it can be better apposed and its healing is better during puerperium . (Sheila TB of obstetrics 2nd edition pg 338)
4
Lower segment scar rarely ruptures during pregnancy
b. In incomplete rupture the peritoneal coat remains intact
Classical caesarean scar often rupture during late pregnancy
Risk of lower segment scar rupture is high compared to classical scar rupture
Gynaecology & Obstetrics
Abnormal labor
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multi
Alvarado score consist of
A number of clinical and laboratory-based scoring systems have been devised to assist diagnosis. The most widely used is the Alvarado score, A score of 7 or more is strongly predictive of acute appendicitis. Symptoms are : score Migratory RIF pain 1 Anorexia 1 Nausea and vomiting 1 Ref: Bailey & Love&;s Sho Practice of...
2
Leucopenia
Anorexia
Diarrhea
Periumbilical pain
Surgery
G.I.T
17d7d1b7-5265-4698-83fe-bb5905e0fa11
single
Most common age group effected in rubella is:
Women of child bearing age
4
Infants
Adolscents
Pregnant females
Women of child bearing age
Microbiology
null
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single
Features of tumour lysis syndrome -a) Hyperuricemiab) Hypercalcemiac) Hyperphosphatemiad) Hypematremiae) Hyperkalemia
null
3
acd
bde
ace
ade
Medicine
null
e08e975c-c095-420c-8505-2e63e821b76d
single
A child Hugs parents at the age of ?
Emerging patterns of social behaviour from 1-5years of age 15months Indicates some desires or needs by pointing Hugs parents 18months Feeds self Seeks help when in trouble May complain when wet or soiled Kisses parent with pucker 24months Handles spoon well Often tells about immediate experiences Helps to undress Liste...
2
12 months
15 months
18 months
24 months
Pediatrics
Growth and development
f6ab7395-e5a0-4477-bdfa-2bad9d0fc328
single
Tolvaptan is approved for use in -
Tolvaptan is an aquaretic drug that functions as a selective, competitive vasopressin receptor 2 antagonist used to treat hyponatremia associated with congestive hea failure, cirrhosis, and the syndrome of inappropriate antidiuretic hormone . This medication is used to treat low levels of salt (sodium) in the blood, wh...
4
High Na
High K
High Cu
Low Na
Medicine
Endocrinology
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single
Inverse agonist of benzodiazepine receptor is -
Ans. is `c' i.e., Beta carboline
3
Phenobarbitone
Flumazenil
Beta carboline
Gabapentin
Pharmacology
null
cb9e0f2e-329d-4d58-bb3c-5dd3b75f15a6
single
True about REM sleep is -
null
1
Night mares
Night terror
Somniloquy
None
Psychiatry
null
e554d55d-9734-456e-9544-4ba99f6fdbbb
multi
Which of the following study is used to study more than one possible outcomes -
Ans. is 'a' i.e., Cohort study * Cohort study can yield information about more than one disease outcome. Main differences between case control and cohort studies Case control studyCohort study1.Proceeds from "effect to cause".Proceeds from "cause to effect"2.Starts with the disease.Starts with people exposed to risk fa...
1
Cohort study
Case control study
Cross sectional study
Case reports
Social & Preventive Medicine
Epidemiology
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single
Mechanism of action of aboion stick used in criminal aboion: AIIMS 06; AI 08
Ans. Uterine contraction
2
Necrosis of endometrium causing infection
Uterine contraction
Stimulation of uterine nerves
Inducing uterine relaxation
Forensic Medicine
null
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single
Common was are caused by which virus:September 2006, March 2013 (h)
Ans. B: Human papilloma virusWas are common, and are caused by a viral infection, specifically by the human papillomavirus (HPV) and are contagious by contact with the skin of an infected person.It is also possible to get was from using handtowels or other objects used by an infected person. They typically disappear af...
2
Cytomegalovirus
Human papilloma virus
Hepatitis B virus
Epstein-Barr virus
Pathology
null
c3d1ed0b-0f6d-41b4-a477-fbcd347fe6cc
single
Locking of knee joint can be caused by
Locking of knee can be caused by loose bodies.impoant causes for loose bodies in the knee are : 1.non- traumatic - as in TB ahritis,rheumatoid ahritis, osteoahritis , osteochondritis dissecans, synol chondromatosis, hemahrosis& hemophilia 2.traumatic : intraaicular fracture ,meniscal injuries, organized hemahrosis , de...
2
Osgood shalter
Loose body in knee joint
Tuberculosis of knee
Medial meniscal paial tear
Orthopaedics
Thigh, Knee,Leg,Foot & Ankle injuries
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Investigation of choice for choledochal cyst is
The investigation of choice for Choledochal cyst is MRCP-to see the status of pancreatic & biliary system and pancreaticobiliary maljunction. Reference:SRB's manual of surgery,5th edition,page no:638.
2
Graham chole's test
MRCP
ERCP
USG
Surgery
G.I.T
55a866cf-cfab-4ce0-a4d1-8a92b9da0a99
single
Conn&;s syndrome it characterised by all except -
Conn syndrome is characterused by primary hyperaldosteronism by a aldosterone producing adenoma(APA). The clinical hallmark of mineralocoicoid excess is hypokalemic hypeension; serum sodium tends to be normal due to the concurrent fluid retention, which in some cases can lead to peripheral edema.and in severe cases, it...
4
Polyuria
Polydipsia
Weakness
Anasarca
Medicine
Endocrinology
fad9bbeb-7d85-4df3-82a8-91b7f7fd239a
multi
Most common cause of death in EBV?
Most cases of Infectious Mononucleosis are self-limited. Deaths are very rare and most often are due to central nervous system (CNS) complications, splenic rupture, upper airway obstruction, or bacterial superinfection.
2
Splenic abscess
Meningo-encephalitis
Fulminant hepatitis
Auto-immune haemolytic anemia
Medicine
viral infection
ddd3fcd1-6dd9-4eb3-b992-b693e97d2aa9
single
What is the most common surgical complication following whipple procedure ?
null
3
Disruption of pancreatic anastomosis
Biliary peritonitis
Disruption of gastric anastomosis
GI bleeding
Surgery
null
4088a7e1-ae95-47b4-a20f-9183f4c300c5
single
A doctor leaves a swab in abdomen during surgery. Under which doctrine will a suit be filed against him?
Ans:C. Res ispa loquitor Ref: The Essentials of Forensic Medicine and Toxicology by KS Narayan Reddy. 29th edition. 2010. Pg:33 Explanation: Criminal negligence: When a doctor shows gross absence of skill and care during treatment resulting in death of patient Medical Negligence is considered to be criminal negligence ...
3
Criminal negligence
Civil negligence
Res ispa loquitor
Vicarious liability
Unknown
null
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single
A 9- years old child has steroid dependant nephrotic syndrome for the last 5 years. He has received corticosteroids almost continuously during this period and has Cushingoid features. The blood pressure is 120/86 mmHg and there are bilateral subcapsular cataracts. The treatment of choice is:
Ans. is 'b' i.e. cyclophosphamide If a child with nephrotic syndrome on steroid develops features of corticosteroid toxicity (cushingoid features, hypertension, cataract and growth failure) then cyclophosphamide should be used.
2
Levamisole.
Cyclophosphamide.
Cyclosporin A.
Intravenous pulse corticosteroids.
Pediatrics
Nephropathy
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single
The most appropriate management for antrochoanal polyp in children is -
FESS is the surgical procedure of choice. Intranasal polypectomy is the procedure of choice in those setups where endoscopic surgery is not practiced.
2
Caldwell-Luc operation
Intra-nasal polypectomy
Corticosteroids
Wait and watch
ENT
null
c0d75495-3a59-44ac-b64e-32237267edbd
single
What is the modern approach treatment of a discoloured crown?
null
3
Composite restoration
Full crown
Bleaching
Implant
Dental
null
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single
Which of the following is a chemotactic factor:
Leukotrienes
4
Prostaglandins
Prostacyclins
Thromboxanes
Leukotrienes
Pathology
null
25a3fe58-67ac-4af4-a260-ada5ac551f2a
single
Which causes antral gastrin release?
Gastrin is produced by cells called G cells in the antral poion of the gastric mucosa.G cells are flask-shaped, with a broad base containing many gastrin granules and a narrow apex that reaches the mucosal surface. Microvilli project from the apical end into the lumen. Receptors mediating gastrin responses to changes i...
1
Antral distension
Acid
Secretin
Calcitonin
Physiology
G.I.T
f489590c-7a81-44d0-b7fb-aca02bbf4ee6
single
True about the treatment of nocturnal enuresis -
Behavioral therapy is the treatment of choice for nocturnal enuresis. If behavioral therapy fails, Desmopressin (DOC) or imipramine can be used.
1
Imipramine
CPZ
Alprazolam
Haloperidol
Psychiatry
null
f88169c2-268c-47bc-9e48-4364d52bc51d
multi
Regarding hemostasis, true statement for nitric oxide is
. Inhibits platelet aggregation
4
Is a vasoconstrictor
Inhibits platelet activating factor-1
Inhibits Sinoatrial node
Inhibits platelet aggregation
Pathology
null
29238f19-2fd6-4881-95d1-53fb5e1cec7d
multi
Killian Dehiscence is in
In the posterior wall of pharynx, the lower pa of the thyropharyngeus is a single sheet of muscle, not overlapped internally by the superior and middle constrictors. This weak pa lies below the level of the vocal folds or upper border of the cricoid lamina and is limited inferiorly by the thick cricopharyngeal sphincte...
2
Superior constrictor
Inferior constrictor
Middle constrictor
None
Anatomy
Head and neck
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multi
Most commonly lesioned nerve in intracranial aneurysms is
Intracranial aneurysm may involve oculomotor, abducent and optic nerve in descending order Trochlear nerve is involvement is higher in head trauma. Ref: Gray's 39e/p-227
2
Optic
Oculomotor
Trochlear
Abducent
Anatomy
Brain
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single
New drug effective in post prandial sugar control is:
Repaglinide
4
Acarbose
Metformin
Sulfonylurea
Repaglinide
Pharmacology
null
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single
A perimenopausal woman presents with increasing swallowing difficulty and fatigue. Physical examination reveals that her thyroid is enlarged (palpable goiter). Laboratory examination of her serum reveals T4 of 4.9 mg/dL, free T4 of 2.5 ng/dL, and TSH of 5.5 mIU/mL. No thyroidstimulating immunoglobulins are identified i...
Four types of thyroiditis may be associated with hypothyroidism. Hashimoto's thyroiditis, one of the autoimmune thyroid diseases, is associated with the HLA-B8 haplotype and high titers of circulating autoantibodies, including antimicrosomal, antithyroglobulin, and anti-TSH receptor antibodies. This abnormality is not ...
2
Lymphocytic infiltrate without follicle formation
Intense lymphoplasmacytic infiltrate with lymphoid follicles and scattered oxyphilic cells
Hyperplasia of follicular cells with scalloping of colloid at the margin of follicles
Granulomatous inflammation with multinucleated giant cells surrounding fragments of colloid
Pathology
Endocrinology
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multi
What is the first line of management in malignant hypehermia
Dantrolene sodiumis thedrug of choicefor malignant hypehermia but it is to be reconstituted withsterile distilled water, not saline as it can precipitate in saline or other salt solutions. It is given at a dose of2.5 mg/ kgintravenously and can be repeated every 5-10 minutes (upto 10mg/kg) till the attack subsides. All...
1
Discontinue triggering agent
IV dantrolene 2.5 mg/kg
Administer bicarbonate
Institute cooling
Anaesthesia
Inhalational Anesthetic Agents
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single
Boundary of triangle of auscultation is not formed by -
-        Boundaries of triangle of auscultation    Medial- Trapezius    Lateral- Scapula    Inferior- latissimus dorsi
1
Serratus anterior
Scapula
Trapezius
Latissimus dorsi
Anatomy
null
6467c277-a258-47c0-b58c-0721ef418dbc
single
Which complication may arise after supra-condylar fracture?
D i.e. All of the above
4
Median nerve injury
Damage to brainchild aery
Cubitus varus
All of the above
Surgery
null
0e6f9441-2e18-478b-9ffe-f0c965226109
multi
It is true regarding the normal microbial flora present on the skin and mucous membranes that -
Resident Normal flora: Consists of relatively fixed types of microorganisms regularly found in a given area at a given age; if disturbed, it promptly reestablishes itself and cannot be removed permanently.
1
It cannot be eradicated by antimicrobial agents
It is absent in the stomach due to the acidic pH.
It establishes in the body only after the neonatal period.
The flora in the small bronchi is similar to that of the trachea
Microbiology
null
76bcafda-6010-4c2f-83fa-9fc8f5d1469a
multi
Which of the following diuretic can lead to Erectile dysfunction?
Thiazide diuretics can cause erectile dysfunction.
3
Loop diuretics
Carbonic anhydrase inhibitor
Thiazide diuretics
Mannitol
Pharmacology
null
20c835ed-397d-4d4f-a8e5-90e8d8b84707
single
The nematode which resides in the caecum & appendix is?
Enterobius vermicularis REF: Jawetz, Melnick, & Adelberg's Medical Microbiology, 24T" edition chapter 46 Table 46-4 See APPENDIX-74 for "DISEASES DUE TO HELMINTHS" Nematodes which live in Cecum-appendix: Trichuris trichura (whipworm) Enterobius vermicularis (pinworm)
3
Ascaris lumbricoides
Mansonella ozzardi
Enterobius vermicularis
All of these
Microbiology
null
a0fad980-d3c8-43f3-917c-1df652b57d0f
multi
Which one of the following statements, concerning persistent hyperplastic primary vitreous (PHPV) is not true ?a) It is generally unilateralb) Visual prognosis is usually goodc) It may calcifyd) It is most easily differentiated from retinoblastoma by the presence of exophthalmos or cataract
PHPV is almost always (90%) unilateral. Visual prognosis is bad as neither conservative treatment nor surgery can improve visual acuity. There is no calcification, which is a differentiating feature from retinoblastoma. PHPV can be differentiated from retinoblastoma by presence of cataract in PHPV but not by exophthalm...
2
abc
bcd
ac
bd
Ophthalmology
null
af0423d6-f233-431c-92cb-175a0a652572
multi
Radiation dose safe in pregnancy is
(Ref: Farr&;s physics for medical imaging 2e,39)
2
1 rad
5 rads
50 rads
500 rads
Radiology
All India exam
f0cf11c3-b26e-42ce-830a-d94106328936
single
The facial space that is divided by styloid process into an anterior and posterior compartment is
null
2
Pterygomandibular
Lateral pharyngeal
Retropharyngeal
Infratemporal
Surgery
null
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single
A 19-year-old college student develops a severe sore throat, cervical lymphadenopathy, and atypical lymphocytes on blood film. A heterophil antibody test is positive.For the above patient with a hematologic abnormality, select the most likely diagnosis.
Heterophil antibodies react against sheep red cells and are not absorbed by the guinea pig kidney. They are positive in patients with infectious mononucleosis. In 90% of cases, liver enzymes are elevated. Examination of the blood film reveals a lymphocytosis with atypical lymphocytes.
3
hyperthyroidism
rectal cancer
infectious mononucleosis
renal cell carcinoma
Medicine
Blood
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multi
A 9-month-old child presented to the ER with characteristic "barking" cough and hoarseness of voice. She had a history of rhinorrhoea, pharyngitis, mild cough, and low-grade fever for 1-3 days. Symptom worsened at night. O/E: - Normal to moderately inflamed pharynx Increased respiratory rate Nasal flaring Suprasternal,...
This is a case of acute laryngotracheobronchitis (croup). Acute infectious process M/C cause- parainfluenza viruses (types 1, 2, and 3) Presents with: - Bark-like / Brassy cough Hoarseness Inspiratory stridor Respiratory distress 4. Treatment Mainstay - airway management and treatment of hypoxia. Nebulized racemic epin...
4
Nebulized racemic epinephrine is an accepted treatment for moderate or severe croup.
Patients can be safely discharged home after a 2-3 hr period of observation provided, they have no stridor at rest; have normal air entry, normal pulse oximetry, and normal level of consciousness; and have received steroids.
Coicosteroids decrease the edema in the laryngeal mucosa through their anti-inflammatory action.
Oral steroids are not beneficial in mild croup
Unknown
Integrated QBank
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multi
Deep perineal pouch contains
Deep perineal pouch is the anatomic space enclose by the perineum and located superior to the perineal membrane. the contents are deep transverse perineal muscle, external sphincter muscle of urethra, membranous poion of urethra, bulbourethral gland. Ref - BDC 6e Vol2 pg355
4
Bulb of penis
Crura of penis
Bulbospongiosus
Membranous urethra
Anatomy
Abdomen and pelvis
d6f388a3-1d3f-4862-941f-65ee58b6dca4
single
Staphylococcus can cause -a) Ecthymab) Erythrasmac) Furuncled) Impetigo contagiosae) Sycosis barbae
Infections caused by staph aureus Staphylococcus aureus causes a broad range of human disease, and can infect almost any organ system.
4
bce
bde
abcd
acde
Microbiology
null
c1ac4e12-1e26-4bcd-a08b-b76a9035e3a2
single
β - Blocker with maximum half life
Nadalol is a non selective water soluble β blocker with longest half life. Esmolol metabolized by plasma esterase has the shortest half life.
4
Propanalol
Metaprolol
Bopindolol
Nadalol
Pharmacology
null
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single
Optimum oxygenation is maintained by adjusting following parameters a — Tidal volume,b — PEEP,c — FiO2,d — respiratory rate
PEEP and FiO2 determine optimum oxygenation.
2
a, b
b, c
c, d
d, a
Anaesthesia
null
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single
Lipid with highest mobility is -
Ans. is ;a' i.e., HDL o HDL Has maximum electrophoretic mobility, has maximum density, has minimum lipid content, has maximum protein (apoprotein) content, are smallest in size, has maximum phospholipid, has minimum triglycerides,o Chylomicrons :- Have no electrophoretic mobility, have minimum density, have maximum lip...
1
HDL
LDL
VLDL
Chylomicrons
Biochemistry
Cholesterol and Lipoproteins
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single
Mechanism by which water is reabsorbed from proximal convolved tubule is
Water is reabsorbed from PCT by osmosis. Ref: Ganong's review of medical physiology; 24th edition; page no: 685
4
Active transpo
Passive transpo
Facilitated diffusion
Osmosis
Physiology
Renal physiology
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single
Regarding Juvenile 1,7ngeal papillomatosis, false is ?
Ans. is 'd' i.e., HPV 18 is the causative agent [(Ref Nelson l8n/e p' 1772; Dhingra 6h/e p' 449)Juvenile papilloma (Recurrent laryngeal papillomatosis/Recurrent respiratory papillomatosis)Recurrent Respiratory Laryngeal Papillomatosis is a disease of viral origin characterized by the presence of multiple recurrent papi...
4
Recurrent
Interferon is used in treatment
Premalignant
HPV 18 is the causative agent
ENT
null
b8a8afcc-7978-48b5-b7dc-5291ceaafaea
multi
Drugs that can be used for the treatment of hypertension in a diabetic patient are:
null
4
Losartan
Captopril
Amlodipine
All of these
Pharmacology
null
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multi
Transmission rate of HIV by needlestick injury in health professionals is
AUTOPSY OF A CASE OF AIDS AND INFECTIONS Universal Work Precautions: (1) All infected bodies should be wrapped and tied in double layer tough plastic bag, with a red colour tag mentioning "Biologically Hazardous". The label should mention the name, age, sex, registration number, etc. (2) Workers who have exudative lesi...
1
0.30%
1%
5%
10%
Forensic Medicine
Death and postmortem changes
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single
Dysphagia lusoria is due to
The MC anomaly is right subclan aery arising from the descending aoa and travels behind the esophagus to complete its course to the right upper extremity, may cause significant posterior compression of the esophagus Ref : ENT textbook by Dhingra 6th edition Pgno : 447
4
Esophageal diveiculum
Aneurysm of aoa
Esophageal web
Compression by aberrant blood vessel
ENT
All India exam
403543b5-327e-4ff4-8bec-323b19df47b5
single
Doctor suspects homicide poisoning. Section under which he needs to inform police: AIIMS 14
Ans. Sec. 39 CrPC
4
Sec. 174 CrPC
Sec. 176 CrPC
Sec. 37 CrPC
Sec. 39 CrPC
Forensic Medicine
null
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single
Holt oram syndrome is characterised by
Holt or am syndrome characterized by ASD. Ghai essential of pediatrics, eighth edition, p.no:401,table 15.7
1
ASD
Pulmonary stenosis
TGA
TAPVC
Pediatrics
C.V.S
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single
Nitrate causes all of the following EXCEPT:
null
2
Decrease in heart size
Increase in cardiac work
Preload reduction
Dilatation of cutaneous blood vessels
Pharmacology
null
55564c2e-7efd-4808-85af-cae9cd5b9330
multi
Mechanical advantage for straight elevator is:
null
2
2.5
3
4.6
2
Surgery
null
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single
BMR is dependent on: March 2013
Ans. B i.e. Surface areaBasal metabolic rate/BMR and the closely related resting metabolic rate (RMR)It is the amount of energy expended daily by humans and other animals at rest.BMR generally decreases with age and with the decrease in lean body mass (as may happen with aging).Increasing muscle mass increases BMR
2
Body weight
Surface area
Amount of adipose tissue
Amount of lean body mass
Physiology
null
856b787f-db6a-4f1c-82f0-447b5c2d89f3
single
Which of the following is not true of the following test:
(d) Stimulates Posterior Semicircular Canal(Ref. Scott Brown, 8th ed., Vol 2; page 796)It stimulates horizontal/lateral semicircular canal
4
Induction of nystagmus by thermal stimulation
Normally cold water induces nystagmus to opposite side and warm water to same side
In canal paresis there is no nystagmus
Stimulates posterior semicircular canal
ENT
Assessment of Vestibular Function
d77cc5e7-3eb7-4d93-9e8c-422a72c2d428
multi
Secretomotor innervation to Parotid gland relays in:
Ref: Grays Anatomy 40th editionExplanation:Parasympathetic PATHWAYTympanic nerve arises from CN IX and emerges with it from the jugular foramen.|Tympanic nerve enters the middle ear via the tympanic canaliculus in the petrous part of the temporal bone.|Tympanic nerve forms the tympanic plexus on the promontory of the m...
1
Otic ganglion
Geniculate
Ptergopalatine
Ciliary
Anatomy
Salivary Glands
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single
Methylphenidate is drug of choice for:
Ans. B. ADHDPharmacologic treatment is considered to be the first line of treatment for ADHD. Central nervous system stimulants are the first choice of agentsa. excellent safety records are documented for methylphenidateb. Dextroamphetamine and dextroamphetamine/amphetamine salt combinations are usually the second drug...
2
Obsessive compulsive disorder
ADHD (attention deficit hyperkinetic disorder)
Enuresis
Autism
Pharmacology
C.N.S
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single
Autoclaving is done at what temperature for 15 minutes: March 2010
Ans. B: 121 degree C
2
118 degree C
121 degree C
126 degree C
134 degree C
Microbiology
null
be960ef5-b879-463a-8039-4fa87bf02b1f
single
True about rash of chicken pox ?
Ans. is 'b' i.e., Centripetal
2
Deep seated
Centripetal
Affects palm & sole
Slow evolution
Social & Preventive Medicine
null
c4488f90-f1b3-45eb-b43a-80a30d244ffb
multi
A 65-year-old coal miner is admitted for evaluation of chronic lung disease. The patient admits to smoking one pack of cigarettes a day for 40 years. On physical examination, he is noticed to have a barrel chest and use accessory muscles for inspiration. His face is puffy and red. He has 2+ pitting edema of the lower e...
Coal workers' pneumoconiosis is lung disease caused by inhalation of coal paicles and other admixed forms of dust. Coal workers' pneumoconiosis is also known as "black lung disease" due to massive deposits of carbon paicles. Complicated coal workers' pneumoconiosis (progressive massive fibrosis) occurs on a background ...
1
Anthracosis
Asbestosis
Diffuse alveolar damage
Sarcoidosis
Pathology
Interstitial lung diseases
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single
Rate of newly synthesized osteoid mineralization can be best estimated by -
Tetracycline labelling for osteoid mineralization Tetracycline labelling is the method of choice for estimating newly synthesized osteoid mineralization in human. Tetracycline is incorporated into new areas of osteoid that are being laid down but not yet mineralized (osteoid seams). To estimate the rate of newly synt...
1
Tetracycline labeling
Alizarin red stain
Calcein stain
Van kossa stain
Orthopaedics
null
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single
In which of the following situations, the accused is punishable under Law:
Application of Mc Naughten's rule: If under an insane delusion, a person thinks that another person has caused serious injury to his character, family or propey and kills him, he becomes responsible because under the law, no one can kill a person in revenge. If under the influence of an insane delusion, a person thinks...
3
If under the influence of an insane delusion, a person thinks another man is attempting to kill him and he kills that man in self-defense
If under the influence of an insane delusion, a person thinks another man to be a wild animal and kills him
If under an insane delusion, a person thinks that another person has caused serious injury to his character, family or propey and kills him.
If under the intoxication produced without his will, a person kills another person and has no recollection of it.
Forensic Medicine
Forensic Psychiatry
5a6cacdb-6780-4272-9c01-4ab7a7dae0e0
single
While managing a mass disaster, the term "Triage" applies to -
Triage is an impoant pa of disaster management. Triage consist of rapidly classifying the injured on the basis of severity of their injuries and the likelihood of their survival with prompt medical intervention. Park's Textbook of Preventive and Social Medicine, 25th Edition, Pg 857
4
It is the principle of "first come, first treated"
It is the classification of the injured on the basis of severity of injuries, with the concept of treating the most seriously injured first
It is the classification of the injured on the basis of severity of injuries, with the concept of treating the children and adoslecents first
It is the classification of the injured on the basis of severity of injuries, with the concept of treating those first who are likely to survive with medical intervention
Social & Preventive Medicine
Environment and health
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single
A 6 year old boy presenting with palpable abdominal mass in the epigastrium. The clinical diagnosis is (There is no bile in vomitus)-
Ans. is 'c' i.e., Pyloric stenosisDiagnosis of congenital hyperophic pyloric stenosis o History of vomiting without bile (nonbilious vomiting).o Physical examination ?i) Palpable mass in the epigastriumii) After feeding, visible gastric peristatic wave that progresses across the abdomen.USG confirm the diagnosis Criter...
3
Duodenal Atresia
Choledochal cyst
Pyloric stenosis
Oesophageal Atresia
Pediatrics
null
a7838452-37fb-492a-87bd-93b72fb2b693
single
Aboion stick used in criminal aboion causes aboion by the mechanism of -
Ref: Synopsis of forensic medicine and toxicology (K.S.Narayan Reddy) 28th edition, page no. 214 Aboion Stick: This is a thin wood or bamboo stick, from 12 to 13 cm long. This stick is wrapped round at one end or for a greater poion of its length with cotton-wool or a piece of cloth, and socked with juice of marking nu...
1
Uterine contraction
Stimulation of uterine nerves
Uterine infection & necrosis
Placental separation
Forensic Medicine
Sexual offences and infanticide
7c9a8e6f-6ba6-47e1-a61d-be2387bbd091
single
A 5‑year‑old boy has been diagnosed to have posterior superior retraction pocket. All would constitute part of the management except:
Myringoplasty consists of closing a ‘central perforation’ in the tympanic membrane in the ‘tubotympanic type’ or ‘safe type’ of chronic suppurative otitis media. It is not indicated in unsafe or dangerous type of otitis media with posterosuperior atitic perforation. The patient in question is a case of dangerous or un...
4
Audiometry
Mastoid exploration
Tympanoplasty
Myringoplasty
ENT
null
f5907bc9-5377-4a71-9104-94817c4b5d3b
multi
Iron absorption is increased by all except ?
Ans. is 'b' i.e., High phosphates in diet
2
High vitamin C in diet
High phosphates in diet
Ferrous form
Acidity
Physiology
null
f99a466b-7213-4a40-874f-e88f89147eb6
multi
True about bater's syndrome are all except ?
Ans. is 'a' i.e., Hyperkalemic alkalosis
1
Hyperkalemic alkalosis
Presents in neonate with ototoxicity have bain gene mutation
Decreased K+ assorption from thick descending loop
Autosomal recessive
Pediatrics
null
57d51047-13a9-4d6c-9268-20a6b9ba2c5c
multi
Microorganism motile at 25deg C but not motile at 37deg C-
Ans. is 'a' i.e., Listeria monocytogens Listeria monocytogens exhibits characteristic, slow, tumbling motility when grown at 25degC but at 37degC it is non motile.
1
Listeria monocytogens
Campylobacter
Yersinia pestis
Streptococcus agalctiae
Microbiology
null
93b97807-b697-4f39-bf78-407ecc34092d
single
To sta with all fibroids are :
Ans. is a i.e. Interstitial Fibroids are the commonest benign solid tumours in females.deg It is the most common pelvic tumour.deg Most common age group affected = 35 - 45 yearsdeg Extra Edge : Fibroid with maximum symptoms - submucous fibroid. Wandering or parasitic fibroid-subserous fibroid. Lantern on dome of St. Pa...
1
Interstitial
Submucous
Subserous
Ovarian
Gynaecology & Obstetrics
null
5e2fc5fa-183b-4048-a173-af24c29b5284
multi
Ribs develop from:
Ans. B Para-axial mesenchymeRef: Gray's Anatomy, 41st ed. pg. 212* The axial skeleton, vertebrae and ribs are derived from paraxial mesenchyme* The skull is derived from paraxial mesenchyme and neural crest mesenchyme* The skeletal elements in the limbs are derived from somatopleuric mesenchyme, which forms the limb bu...
2
Endothoracic fascia
Para-axial mesenchyme
Deep intercostal fascia
Superficial intercostal fascia
Anatomy
Thorax
d6bdd631-33a9-48e8-901f-ea383dbe06cf
single
Which of the following exocrine galndular ducts are not obstructed in cystic fibrosis
Ans. is 'c' i.e., Sweat gland Most CF patients have 3 distinct abnormal characteristics. The ducts of the mucus-secreting glands are obstructed due to an increase in viscosity of these secretions leading to glandular dilatation and destruction. CF patients are prone to chronic bacterial colonization and infections. The...
3
Pancreas
Lung
Sweat gland
All of above
Pediatrics
null
db4686e5-2e24-4e17-803f-2c90d7b4c490
multi
Which among the following glucose transpoer present in beta cells ?
GLUT2 is the glucose transpoer present in the betacells and liver cells.It has a high Km for glucose.Hence entry of glucose is directly propoional to the glucose level.It is an insul;in independent transpo. GLUT3 is present in brain and GLUT4 medites insulin dependent transpo of glucose into muscle and adipose tissue. ...
2
GLUT1
GLUT2
GLUT3
GLUT4
Biochemistry
null
920b8285-ba7d-4365-ad24-05ce129c8fbd
single
Which one of the following disinfectant is not effective in killing spores?
ethyl and isopropyl alcohols are commonly used as antiseptics and disinfectants.when diluted with water ,they have potent bactericidal,fungicidal,virucidal and tuberculocidal propeies ,but doesnot destro spores.phenol and aldehydes are slowly effective against spores and gram negative bacteria. ref:park&;s textbook,ed ...
1
Alcohol
Aldehyde
Halogen
Phenol
Social & Preventive Medicine
Epidemiology
29b6c067-661d-45a3-8f66-2bfc3ae1d1a2
single
Depolarisation in hair cells of organ of coi occurs due to:
Depolarisation in hair cells of organ of coi occurs primarily due to movement of basilar membrane TIP LINK THEORY: When the shoer stereocilia are pushed toward the taller ones, the channel open time is increased. K+, the most abundant cation in endolymph, and Ca2+ enter the channel and induce depolarization. Mainly K+ ...
1
Movement of basilar membrane
Movement of taller stereocilia toward the smaller ones
Influx of Na+
None of the above
Physiology
Special Senses
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multi
Irresistible desire to buy something is
Oniomania Irresistible desire to buy things (shopping addiction) Ref: FORENSIC MEDICINE AND TOXICOLOGY Dr PC IGNATIUS THIRD EDITION PAGE 360
3
Mutilomania
Dipsomania
Oniomania
Trichotilomania
Anatomy
Special topics
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single