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Reduced salivary flow following irradiation is dose dependent. At what dose does the flow reach essentially zero:
null
3
4000 rads
5000 rads
6000 rads
7000 rads
Radiology
null
2107f0bc-b5e5-433a-b635-6a0491bdee6d
multi
True statement about PPV is
null
1
It increases with prevalence
It decreases with prevalence
No relation with prevalence
Doubles with decrease in prevalence
Social & Preventive Medicine
null
694d4676-b521-444e-99f8-685007921d8d
multi
All of the following drugs may cause Hirsuitism, except-
Ans. is `d' i.e., Flutamide Drugs causing Hirusitism Androgenic drugs o Acetazolamide o Testosterone o Anabolic steroids o Danazole o Androgenic progestins o Coicotropin (Norethisterone) o Metyrapone o Dihydroepiandrosterone Non - androgenic drugs o Phenytoin o Penicillamine o Triamterene - hydrochlohiazide o Cyclospor...
4
Danazol
Phenytoin
Norethisterone
Flutamide
Pharmacology
null
0a49c555-0985-4dae-9428-430209599028
multi
Precapillary sphincter relaxation occurs due to:
Precapillary sphincters are controlled mainly by the local concentration of tissue metabolites. Precapillary sphincters are considered as pa of the precapillary resistance vessels; they determine the size of the capillary exchange area which is perfused at any given moment in the tissue. In the triple response, relaxat...
1
Local chemicals
Sympathetic stimulation
Circulating catecholamines
Capillary filling
Physiology
Circulation
8dcf1a5f-3b5f-45c0-b2b7-7313c53e74f7
single
Rivastigmine and Donepezil are drugs used predominantly in the management of which of the following conditions?
In Alzheimer's disease the most common cause of dementia, there is a reduction in the activity of acetylcholine within the brain due to loss of cholinergic activity within the brain due to loss of cholinergic neurons in the nucleus basalis of Meyne . Both Rivastigmine and Donepezil are cholinesterase inhibitors used in...
4
Depression
Dissociation
Delusions
Dementia
Psychiatry
null
b0389cf2-cdf5-4a2e-8121-4346cfaeac6c
single
All are used to remove potassium in hyperkalemia except
The treatment of hyperkalemia is divided into three stages: Immediate antagonism of the cardiac effects of hyperkalemia 10 mL of 10% calcium gluconate (3-4 mL of calcium chloride), infused intravenously over 2-3 min with cardiac monitoring Rapid reduction in plasma K+ concentration by redistribution into cells. 10 unit...
3
Cation exchange resins
Diuretics
Beta 2 agonists
Dialysis
Medicine
Fluid and electrolytes
1999b372-2737-43f7-8eee-9072733fcfdc
multi
OSHA guidelines for needle and other sharp injuries requires all, Except
Pre-exposure prophylaxis (Ref: Workers in many different occupations are at risk of exposure to bloodborne pathogens, including Hepatitis B, Hepatitis C, and HIV/AIDS. In 1991, OSHA. (Occupational Safety and Health Administration) issued the Bloodborne Pathogens Standard to protect workers from this risk. In 2001, in r...
3
Record maintaining of all injuries
Information and training
Pre-exposure prophylaxis
Post-exposure porphylaxis
Surgery
null
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multi
Constellation of neuropathy, muscle weakness and wasting, cardiomegaly, edema, ophthalmoplegia, confabulation strongly suggest: KCET 13
Ans. Thiamine deficiency
2
Hysteria
Thiamine deficiency
Lead poisoning
Intracerebral hemorrhage
Forensic Medicine
null
616c6121-cf4a-4f56-9509-e46790c13f51
single
Citrate as a sole source of carbon is utilized by
Citrate is used by salmonella as sole source of carbon But citrate test positive: Salmonella Typhimurium Salmonella Paratyphi A is citrate negative Ref: Elmer W Koneman 5th ed Pg 186
2
Staphylococcus
Salmonella
Shigella
Escherichia
Microbiology
Bacteriology
45505bbf-e125-48ec-9749-01b8f38c957a
single
The superior oblique muscle is supplied by?
The superior oblique muscle is supplied by4th cranial nerve.
2
3rd cranial nerve
4th cranial nerve
5th cranial nerve
6th cranial nerve
Anatomy
null
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single
Increased insulin receptors are seen in
Increased circulating levels of insulin reduce the number of receptors--down-regulation of receptors--and decreased insulin levels increase -the number of receptors - up Regulation.The number of receptors per cell is increased in starvation.Ref: DM Vasudevan, 7th edition, page no: 319
2
Obesity
Starvation
Acromegaly
None
Biochemistry
Endocrinology
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multi
Which of the following vitamin is NOT required from diet?
Vitamin D is synthesized in the skin. 7-Dehydrocholesterol (an intermediate in the synthesis of cholesterol that accumulates in the skin) undergoes a nonenzymic reaction on exposure to ultraviolet light, yielding previtamin D. This undergoes a fuher reaction over a period of hours to form cholecalciferol, which is abso...
4
Nicotinic acid
Ascorbic acid
Vitamin-A
Vitamin-D
Biochemistry
null
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single
Diagnosis of x linked agammaglobulinamia should be suspected if
Ref Robbins 9/e p240-241 Classically, this disease is characterized by the following: * Absent or markedly decreased numbers of B cells in the circulation, with depressed serum levels of all classes of immunoglobulins. The numbers of pre-B cells in the bone marrow may be normal or reduced. * Underdeveloped or rudimenta...
1
Absent tonsils and no palpable lymph nodes on physical examination
Female sex
High iso hemagglutinin titers
Low CD3
Anatomy
General anatomy
cb41f1e7-911c-4dd9-949f-a27bbb6098d5
single
Metabolic complications of subtotal gastrectomy with Billroth I or Billroth II reconstruction include:
Anemia develops in as many as 30% of patients within 15 years of surgery. The cause is multifactorial and includes malabsorption of iron, folate, and vitamin B 12. A metabolic bone disease occurs in as many as 33% of patients, is similar to osteomalacia, and is probably a result of malabsorption of calcium and vitamin ...
4
Anemia
Reactive hypoglycemia
Dumping syndrome
All of the above
Surgery
Stomach & Duodenum
ee0344be-5ffe-44f4-a4a1-ad7dbac16727
multi
Antiviral drug having dual antiviral activity against HIV and HBV is :
null
2
Enfuvirtide
Emtricitabine
Abacavir
Entecavir
Pharmacology
null
8579091a-2503-478d-9a9c-4c4702236e21
single
Palmar erythema is seen in:
A symmetrical and slightly warm area of erythema on the thenar and hypothenar eminences of the palm in chronic liver disease patients is referred to as palmar erythema. Features of Palmar Erythema May have a mottled appearance or blanch when pressed. Not associated with pain, itch or scaling. May involve the palmar asp...
4
CCF
ARF
CRF
Hepatic failure
Medicine
Misc.
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single
In diabetic pregnancy least common is:
Caudal regression syndrome
1
Caudal regression syndrome
Anencephaly`
VSD
Spina bifida
Gynaecology & Obstetrics
null
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single
First internal organ to putrefy
Larynx & trachea -Stomach, intestines & Spleen -Liver (foamy liver) lings-Brain -Hea - Kidneys, bladder -Prostate, uterus-Skin, muscle, tendon - Bones Larynx is the earliest organQto putrefy. Nulliparous uterusQis the last organQto putrefy, gravid uterus and uterus soon after delivery putrefies rapidly In males, Prosta...
3
Hea
Brain
Larynx
Kidney
Forensic Medicine
Thanatology
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single
In an infrabony pocket the junctional epithelium lies
null
2
Apical to the root apices
Apical to the crest of the alveolar bone
Coronal to the crest of the alveolar bone
At the level of the alveolar bone
Dental
null
208cc4a4-b936-4784-9f24-df206a1d165d
single
All predispose to torsion testis, except:
Ans: b (Epididymo orchitis) Ref: Bailey & Love, 24th ed, p. 1405Epididymo orchitis does not predispose to torsion testisPredisposing factors for torsion of testisa) Inversion of the testis (most common)b) High investment of the tunica vaginalis cause testis to hang within the tunica like a clapper in a bellc) Separatio...
2
Inversion testis
Epididymo orchitis
High investment of tunica vaginalis
Separation of epididymis from body of testis
Surgery
Testis & Scrotum
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multi
Distant direct ophthalmoscopy is done at a distance of:
B i.e. 25 cm
2
20 cm.
25 cm.
50 cm.
100 cm.
Ophthalmology
null
335d33a8-374e-4f3c-a826-0aff9ef114a8
single
Bhore committee advised -
One of the impoant recommendations of the Bhore Committee was Integration of preventive and curative services at all administrative levels (refer pgno:873 park 23 rd edition)
1
Integration of health services
100% immunisation
Eradication of povey
Minimum needs programme
Social & Preventive Medicine
Health education & planning
70d7bc1f-a4c9-480b-835d-803600e9c418
single
Positively charged particle can be easily filtered than negatively charged particle because
Epithetial cells of Bowman's capsule deposits negatively charged sialoproteins in basement membrane. It repels negatively charged particles and attracts positively charged particles.
3
Positively charged particles are of small size
Presence of positive charged particles on filtering membrane attracts positively charged particle
Presence of negatively charged sialoproteins on filtering membrane repels negatively charged particles and allows positively charged particles.
None of the above
Physiology
null
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multi
Ideal number of antenatal visits:
Ideally the schedule of antenatal visits should be : Monthly visit upto 28 weeks Two weekly visit between 28 and 36 weeks Weekly visit from 36 week onwards This means a total of 12-15 visits. Ref: Datta Obs 9e pg 89.
1
14-Dec
8-Jun
9-Jul
11-Oct
Anatomy
General obstetrics
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single
Gastric lavage is contraindicated in?
Contraindications of gastric lavage: Absolute: Corrosives to prevent fuher damage from perforation (except carbolic acid - causes leathery mucosa of stomach - no risk of perforation). Relative: 1. Convulsant - may induce more convulsions 2. Comatose - |change of aspiration.3. Varices - can cause bleeding 4. Volatile - ...
2
Organo-Phosphosphate poisoning
Hydrocarbons
Bicarbonate
PCM toxicity
Forensic Medicine
FMGE 2018
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single
Ten years after diagnosis of total proctocolitis this patient undergoes colonoscopy and biopsy reveals high-grade dysplasia in 2-10 specimens. What should the physician recommend?
Risk of dysplasia and colorectal cancer is higher in ulcerative colitis than in the general population. The severity, duration, and anatomic extent of the inflammation are risk factors for the development of dysplasia and cancer. These cancers do not seem to follow the adenoma carcinoma sequence and can arise in flat m...
4
Repeat colonoscopy in 1 year
Increase steroid dosage
Early repeat colonoscopy and biopsy area again
Total proctocolectomy
Surgery
Small & Large Intestine
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single
Gynaecomastia is caused by?
Ans. (b) CimetidineRef Appendix-39 for 'Drugs causinggynaecomastia"
2
Flutamide
Cimetidine
Pyrazinamide
Methotrexate
Pharmacology
Adverse Drug Effect
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single
All of the following are true about Carcinoma Penis except
Most common type of Carcinoma Penis is Squamous cell carcinoma.
2
Spreads bloods except
Most common type is verrucous
Slowly progreeive
Leads to erosion of artery
Surgery
null
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multi
Drug not used in SIADH is :
null
2
Demeclocycline
Desmopressin
Restriction of free water intake
3% NaCl
Pharmacology
null
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single
For porcelain fused to metal crown, the porcelain should have?
null
3
High fusion expansion
High fusion temperature
Linear coefficient of thermal expansion less than that of metal
Linear coefficient of thermal expansion more than that of metal
Dental
null
51278ab1-8b43-48ec-b552-15e940307084
single
RPGN occurs in all except
null
3
SLE
Post streptococcal glomerulonephritis
Diabetic nephropathy
Good pasture's syndrome
Pathology
null
69daa0b7-e55b-43e5-86df-3adc02c5b8fd
multi
Quartz in Dental porcelain is
null
1
Strengthener
Binder
Pigment
Crack minimizer
Dental
null
7989d65b-3f01-40a7-b8d6-d1d65f03d7bc
single
Most common heart lesion in down syndrome:
a. Endocardial cushion defect(Ref: Nelson's 20/e p 610-614)Most common cardiac defect in Down syndrome is Endocardial cushion defect or Atrioventricular septal defect
1
Endocardial cushion defect
ASD with ostium secundum
VSD
Coarctation of aorta
Pediatrics
Genetics And Genetic Disorders
cb32a48d-7e93-4bdd-b549-77fefc85ac28
single
Most common infection occurs in transplant recipients:
Ref. Textbook of Microbiology and Immunology BY Parija. Page. 487   Most common infection is CMV. Below is the table of the infections in transplant recipients (Very important from Harrisons)
1
Cytomegalo virus
Epstein Barr virus
Hepatitis virus
Polyoma virus
Unknown
null
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single
Which bone scan is done to detect metastasis bone
Tc99 MDP - bone scanTh201-myocardial imagingTc99 DMSA-Renal coical scintigraphyTc99 sulphur colloid - Liver and spleen scintigraphy(Ref: Radiology Review ManualBy Wolfgang Dahne 6thEtd, Page no:1084)
1
Tc99 MDP
Th201
Tc99 DMSA
Tc99 sulphur colloid
Radiology
All India exam
0b785481-e4e1-4542-90bb-ecfa423780ea
single
Cottle test is used for ?
Ans. is 'd' i.e., DNS Cottle test : It is used to test nasal obstruction due to abnormality of nasal valve as in case of deted nasal septum. In this test, cheek is drawn laterally while the patient breathes quietly. If the nasal airway improves on the test side, the test is positive, and indicates abnormality of the ve...
4
Septal perforation
Rhinophyma
Choanal atresia
DNS
ENT
null
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single
All of the following poison's are dialyzable except-
Hemodialysis is not useful in copper sulfate poisoning. It is useful in poisoning with other three given options.
4
Ethylene glycol
Methanol
Barbiturates
Copper sulphate
Forensic Medicine
null
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multi
Colon contains -
Ans. is 'd' i.e., Goblet cells o Large intestine (colon) contains large number of goblet cells,Part of gutHistological featureStomachGastric pits and glands. Gastric glands contain (from above downwards): Mucus neck cells, parietal cells, chief cells.DuodenumBrunner's glands in the submucosaJejunumSolitary lymphoid nod...
4
Parietal cells
Chief cells
Brunner's gland
Goblet cells
Anatomy
Large Intestine, Rectum, and Anal canal
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The Investigation of choice in a 55-year-old postmenopausal women who has presented with postmenopausal bleeding is:
Common causes of postmenopausal bleeding Genital malignancy (Me) Decubitus ulcer DUB. Urethral caruncle. Senile endometritis DIAGNOSIS Speculum Examination If a growth is found, punch biopsy is to be taken. If no growth is visible and the cervix looks apparently healthy- Cervical smear Aspiration cytology Fractional cu...
2
Pap smear
Fractional curettage
Transvaginal ultrasound
CA-125 estimation
Anatomy
All India exam
7ef69042-a124-4b52-a445-a2dc53cb26af
single
In spinal anaesthesia the segmental level of:
Spinal anaesthesia creates a zone of differential blockade in which sympathetic fibres are blocked two segments higher and motor fibres are blocked two segments lower than the level of sensory block.
2
Sympathetic block is lower than the sensory block
Sympathetic block is higher than the sensory block
Motor block is higher than the sensory block
Sympathetic, motor and sensory block has the same level
Pharmacology
Anaesthesia
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All of the following agents are used in glaucoma treatment, except
Ref:KD Tripathi 7th edition (page.no: 127,144,153) Katzung 10/e p103 metoprolol is b1 selective blocker, so it can't be used for glaucoma. b2 receptor is present in the eye. so drugs acting on beta 2 should be given. Other drugs used for glaucoma are- b blocker- Timolol,Betaxolol, a agonist ; Apraclonidine,Brimonidine,...
4
Apraclonidine
Timolol
Pilocarpine
Metoprolol
Pharmacology
Autonomic nervous system
fea332b4-7a9e-4df8-ac1b-ae0497a6dd7a
multi
All of the following are examples of time dependent late adverse drug reactions except:
null
2
Glucocorticoid induced osteoporosis
Nitrate induced headache
Chloroquine induced retinopathy
Amiodarone induced tissue phospholipid deposition
Pharmacology
null
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multi
Parasympathetic supply to lacrimal glands are passed through ?
Greater petorsal nerve
3
Lesser petorsal nerve
Chorda tympani
Greater petorsal nerve
Lingual nerve
Anatomy
null
b8a1358d-556a-4ba9-bf9b-a9582ab186cf
single
Figure shows the mechanism of action of:
Ans. (A) VinblastineThe mechanism shows the inhibition of polymerization of tubulin means the drug inhibit the spindle formation. This mechanism is shown by vinca alkaloids like vincristine and vinblastine.Mechanism on spindleDrugsInhibit polymerization of tubulinVincristine, VinblastineInhibit depolymerization of tubu...
1
Vinblastine
Cisplatin
Imatinib
Trastuzumab
Pharmacology
Chemotherapy: General Principles
e5644567-4898-4102-bc78-fc1fe69b3583
single
IPC for criminal responsibility defining non-offence is ?
Ans. is 'a' i.e., 82 Criminal responsibility:o Any act wrhich is done by a child under seven years of age is not an offence- Section 82 I.P.C.o A child between seven and 12 years is presumed to be capable of commiting an offence , if he attained ''sufficient maturity of understanding to judge the nature and consequence...
1
82
182
88
188
Forensic Medicine
Introduction to Forensic Medicine and Medical Jurisprudence
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single
Standard method to differentiate between endotracheal and esophageal intubation is-
Auscultation is the most commonly used method to detect endobronchial intubation. But it may be misleading, as breath sounds can be transmitted to opposite side of the chest. Chest x-ray is reliable but time consuming and expensive. The radio opaque marker at the patient end shoilube in the middle third of trachea. End...
1
End tidal CO2
Chest X-rays
Auscultation
Paial pressure of 02
Anaesthesia
Anaesthetic equipments
74f4ba73-f689-4afa-a3c6-1af0a81dcfa7
single
True about vibrio cholerae is -
El - Tor is milder than classical
3
Disease more common in woman
Classical vibrio protect against development of 0-139 Tor is milder than classical
El - Tor is milder than classical
All
Microbiology
null
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multi
The frequent mechanism in perforation of appendix is?
Ans. is 'b' i.e., Tension gangrene due to the accumulating secretions
2
Impacted faecolith
Tension gangrene due to the accumulating secretions
Necrosis of lymphoid patch
Retrocaecal function
Surgery
null
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single
All are ocular emergencies except
Endopthalmitis, Eye injury, Sympathetic opthalmitis all present as ocular emergency. Diabetic retinopathy does not present as ocular emegency.
1
Diabetic Retinopathy
Bacterial endophthalmitis
Sympathetic ophthalmitis
Eye injury
Ophthalmology
Retina
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multi
Which glomerular lesion is seen in cases of reflux nephropathy
FSGS is seen in cases of congenital renal anomalies (unilateral renal agenesis or renal dysplasia) and acquited causes like reflex nephropathy.
4
RPGN
MPGN
MGN
FSGS
Pathology
null
df24645a-022a-4587-84c7-1f56c57e22c3
single
A 25 year old colonscopy showed pigmentary deposits and microscopy showed pigment laden macrophages. The women in on laxatives for past one year. Which of the following is the cause of it ?
Ref. KDT. Page. 677. Senna is obtained from leaves and pod of certain Cassia sp., while Cascara sagrada is the powdered bark of the buck-thorn tree. These and a number of other plant purgatives contain anthraquinone glycosides, also called emodins. Senna is most popularly used. MOA – They not active as such. Unabsorbe...
4
Castor oil
Bisacodyl
Lactulose
Senna
Unknown
null
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single
H type endodontic instrument has a spiral edge arranged to allow cutting during
null
2
Pushing stroke
Pulling stroke
Circular stroke
Oblong stroke
Dental
null
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multi
All are features of ileocecal tuberculosis except?
* Wind Sock Appearance of Duodenum is seen with intraluminal diveiculum of duodenum. Goose neck deformity occurs due to contracted, cicatrized, and pulled-up cecum as well as straightening of the terminal ileum seen in ileocecal tb . The 'Fleischner sign'(also known as the 'inveed umbrella sign'), refers to a widely ga...
4
Pulled Up Cecum
Fleischner Sign
Goose Neck Deformity
Wind-Sock Appearance of duodenum
Radiology
Gastrointestinal Radiology
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multi
Acid susceptible penicillin is?
null
1
Methicillin
Ampicillin
Amoxicillin
Cloxacillin
Pharmacology
null
a68a6c5c-4984-4a3b-b985-c57ebd2a300e
single
Fracture shown in this radiograph is:
Ans. C Bennet's fractureThere is a 2-part fracture of base of thumb (first metacarpal) with intra articular extension. Similar intra articular 3 part or comminuted fracture is known as Rolando's fractureQ. Abductor pollicis longus tendonQ - creates an un-opposed pull on the fracture fragments hence Bennet's fracture re...
3
Colies' fracture
Smith's fracture
Bennet's fracture
Rolando's fracture
Radiology
Skeletal System
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single
The following are the features of β thalassemia major except –
null
4
Bone marrow hyperplasia
Hair–on–end appearance
Splenomegaly
Increased osmotic fragility
Pediatrics
null
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multi
Chronic Cor pulmonale is seen in all except:
Answer is None or A (None or Pulmonary embolization): Recurrent pulmonary embolization leads to chronic cor pulmonale, but the question does not mention 'Recurrent' and hence this is the single best answer of exclusion COPD, Cystic Fibrosis and Bronchiectasis may all progress to chronic cor pulmonale Etiology of Chroni...
1
Pulmonary embolization
COPD
Cystic fibrosis
Primary pulmonary hypeension
Medicine
null
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multi
According to WHO, membranous glomerulonephritis seen in SLE, is-
Ans. is 'd' i.e., Class V KIDNEY INVOLVEMENT IN SLE (LUPUS NEPHRITIS) A. Glomerular disease There are several versions of WHO classification of lupus nephritis ? 1. Minimal or no detectable abnormalities (class 1) o It occurs in less than 5% of patients. o Has best prognosis. 2.Mesangial lupus glomerulonephritis (class...
4
Class II
Class III
Class IV
Class V
Pathology
null
358e4e5e-b218-4939-b296-545e45a6838c
single
Ouchterlony procedure is a immunodiffusion by
Single diffusion in one dimension - Oudin procedure Double diffusion in one dimension - Oakley fulthorpe procedure Single diffusion in two dimensions - Radial immunodiffusion Double diffusion in two dimensions - Ouchterlony procedure
4
Single diffusion in one dimension
Double diffusion in one dimension
Single diffusion in two dimensions
Double diffusion in two dimensions
Microbiology
null
ff8e5916-27fc-4415-9b63-3b8cb5d3dfc0
single
Formation of Okazaki fragments occur in
In molecular biology, DNA replication is the biological process of producing two identical replicas of DNA from one original DNA molecule. This process occurs in all living organisms and is the basis for biological inheritance. DNA is made up of a double helix of two complementary strands. During replication, these str...
4
Transcription
Translation
Transduction
Replication
Biochemistry
Metabolism of nucleic acids
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single
The earliest change seen in apoptosis is -
Ans. is 'a' i.e., Cell shrinkage Morphological changes in apoptosiso Features of apoptosis areCell shrinkage : It is the earliest changes. It is due to damage to cytoskeleta! proteins.Chromatin condensation (pyknosis)/nuclear compaction : It is the most characteristic feature.Formation of cytoplasmic blebs : It is the ...
1
Cell shrinkage
Pyknosis
Formation of apoptotic bodies
Fragmentation of cells
Pathology
Apoptosis
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single
Methemoglobinemia may be caused by following agents, EXCEPT:
Drugs Commonly Implicated in Patients with Methemoglobinemia: Analgesics Phenazopyridine Phenacetin Antimicrobials Antimalarials Dapsone Local anesthetics Benzocaine Lidocaine Prilocaine Dibucaine Nitrates/nitrites Amyl nitrite Isobutyl nitrite Sodium nitrite Ammonium nitrate Silver nitrate Sulfonamides Ref: Farmer B.M...
2
Sulfonamides
Phenytoin
Phenacetin
Phenazopyridine
Pharmacology
null
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Which of the following results in bitemporal hemianopia?
- Tumors of the pituitary body are MCC of bitemporal hemianopia, Suprasellar tumors like: Craniopharyngioma and Suprasellar meningioma also results in bitemporal hemianopia
1
Craniopharyngioma
Optic nerve glioma
Posterior cerebral aery occlusion
AION
Ophthalmology
Neuro Ophthalmology
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Which of the following statistics should be adjusted for age to allow comparisons-
Crude death rate is adjusted on the basis of age to obtain "Age adjusted or standardised death rates". Advantage of age adjusted standardised death rates is that, it removes all the confounding effects of different age structures and yields a single standardised adjusted rate, by which the moality experience can be dir...
2
Age specific feility rate
Crude moality rate
Perinatal moality rate
Infant moality rate
Social & Preventive Medicine
Epidemiology
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Marker of lysosome is: (Repeat)
Ans: A (Acid Phosphatase) Ref: Harpers illustrated biochemistry, 28th edition.Explanation:Markers of Intracellular organellesPlasma Membrane: Na+ K+ ATPase & 5' NucleotidaseCytoplasm: Lactate dehydrogenaseMitochondria: Glutamate dehydrogenaseRibosome: RNAEndoplasmic reticulum: Glucose-6 phosphataseLvsosoitie: Acid phos...
1
Acid Phosphatase
Lactate dehydrogenase
Oxidase
Na K ATPase
Biochemistry
Enzyme Specificity and Allosteric Regulation
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Non professional antigen presenting cell is A/E –
Non-professional antigen presenting cell o A non-professional APC does not constitutively express the Major Histocompatibility Complex class II (MHC class II) proteins required for interaction with naive T cells; these are expressed only upon Stimulation of the non- professional APC by certain cytokines such as IFN-γ. ...
1
Red blood cells
Endothelial cell
Epidermal cell
Fibroblasts
Pathology
null
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Following MRM parasthesia develops due to involvement of which nerve
.Complications of MRM/mastectomy * Injury/thrombosis of axillary vein * Seroma--50-70% * Shoulder dysfunction 10% * Pain (30%) and numbness (70%) * Flap necrosis/infection * Lymphoedema (15%) and its problems * Axillary hyperaesthesia (0.5-1%) * Winged scapula LYMPHANGIOSARCOMA (Stewa-Treve's syndrome) of upper limb ca...
3
Long thoracic nerve
Medial pectoral nerve
Brachial cutaneous nerve
Thoracodorsal nerve
Surgery
Endocrinology and breast
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The lung abscess in children can be caused by all except-
Ans. is 'b' i.e., E. Histolytica Lung abscess in children Lung abscess are most likely to occur in - i) Immunocompromized patients ii) Those with recurrent aspiration v) Complication of pneumonia iii) Malnutrition iv) Blunt chest trauma Organisms commonly causing lung abscess are - Staph. aureus S. pneumoniae Pseudomon...
2
Pneumococcus
E. Histolytica
Staphylococcus
Klebsiella
Pediatrics
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Deltoid is supplied by -
null
2
Suprascapular nerve
Axillary nerve
Upper and lower subscapular nerves
All of the above
Anatomy
null
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multi
Forceps are preferred over vacuum for the delivery because of the following reasons except
Ans. a. Vacuum requires more clinical skills than forceps
1
Vacuum requires more clinical skills than forceps
Vacuum is preferred more than forceps in HIV patient
Forceps are more commonly associated with fetal facial injury
Vacuum has more chance of formation of cephalhe matoma
Gynaecology & Obstetrics
null
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Soft friable extradural hematoma with honeycomb appearance seen in autopsy in cases of death due to -
Reff: The synopsis of forensic medicine& Toxicology 28th edition pg: 167 Heat hematoma: Heat hematoma is soft, friable clot that is pink in colour and shows honeycomb appearance. It is 2-15 mm thick and contains 100-120 ml of blood. Characteristic feature of thermal injury.
2
Coagulopathy
Thermal injury
Post moem trauma
None of the above
Forensic Medicine
Thermal injury
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An infant presents with cardiac failure. Examination reveals a weaker femoral pulse when compared to the radial pulse. What is the probable diagnosis?
Ref: Nelson's Textbook of Pediatrics. 19th Edition.Explanation:Weak femoral pulse is indicative of Coarctation of aorta. Normally, the femoral pulse occurs slightly before the radial pulse. Weak femoral pulse or femoral pulse felt after radial pulse is a characteristic feature of COACoarctation of aorta (COA)Constricti...
2
PDA
COA
Aorto-illiac vasculitis
VSD
Pediatrics
C.V.S.
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First cell in RBC development is
.
1
Proerythroblast
Intermediate normoblast
Reticulocyte
Basophilic erythroblast
Anatomy
All India exam
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The mineral having sparing action on vitamin E
The element selenium  is found in the enzyme glutathione  peroxidase  that  destroys  free radicals.  Thus, Se is also involved  in antioxidant functions like vitamin E, and both of them act synergistically.  To a certain extent, Se can spare the requirement  vitamin E, and vice versa. Ref : Satyanarayana, 3rd ed, pg. ...
4
Calcium
Iron
Iodine
Selenium
Biochemistry
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If a completely radioactive double stranded DNA molecule undergoes two rounds of replication in a solution free of radioactive label. What is the radioactivity status of the resulting four double stranded DNA molecules
DNA replication is semi conservative. Thus 2 DNA molecules have one strand with radioactivity and other 2 DNA molecules have no radioactivity.
1
50% of the DNA molecules have no radioactivity
2 DNA molecules have radioactivity in both strands
I DNA molecule has radioactivity in both strands
All 4 DNA molecules have radioactivity
Biochemistry
null
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Effect of environment on genes is called –
Eugenics Science which aims to improve the genetic endowment of human population. That is improving the quality of the human species or a human population by genetic manipulation. Eugenic may be : Negative →        Discouraging reproduction by persons having genetic defect or presumed to have inheritable undesirabl...
3
Positive Eugenics
Negative Eugenics
Euthenics
Enthenics
Social & Preventive Medicine
null
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What should be measured in a newborn who presents with hyperbilirubinemia –
Bilirubin is a tetrapyrrole and a breakdown product of heme catabolism. Most bilirubin (70%-90%) is derived from hemoglobin degradation and, to a lesser extent, from other hemoproteins. In the serum, bilirubin is usually measured as both direct bilirubin (DBil) and total-value bilirubin Direct bilirubin correlates with...
1
Total & Direct bilirubin
Total bilirubin only
Direct bilirubin only
Conjugated bilinibin only
Pediatrics
null
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Which of the following gene defect is associated with development of medullary carcinoma of thyroid?
Activating point mutation in the RET proto oncogene plays impoant role in development of both familial and sporadiac medullary carcinoma of thyroid. The tumour tissue is firm,pale grey to tan and infiltrative. On microscopy,stroma shows acellular amyloid deposits which are derived from calcitonin polypeptides. Ref: Rob...
1
RET Proto Oncogene
Fap gene
Rb gene
BRCA 1 gene
Pathology
Endocrinology
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21 yearold female presents with history of mild bilateral ptosis, proximal muscle weakness and easy fatiguability. Which amongst the following, is best in diagnosing this condition: March 2013 (b)
Ans. B i.e. Edrophonium test Myasthenia gravis Decreased myoneural junction transmission Features: Dysahria, Dysphagia, Proximal muscle weakness, Sensory modalities and deep tendon reflexes are NORMAL MC used cholinergic drugs: Pyridostigmine/neostigmine Surgical procedure (should be done in all cases): Thymectomy
2
Muscle biopsy
Edrophonium test
Repetitive nerve stimulation test
Electromyography
Medicine
null
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Investigation of choice for evaluation of acute head injury: AIIMS 14
Ans. NCCT Head
2
CECT Head
NCCT Head
MRI Brain
CT Angiography
Forensic Medicine
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A 19-year-old G2P1 woman at 9 weeks' gestation presents to the obstetrics and gynaecology clinic for her second prenatal visit. She reports no complaints other than occasional nausea. She had her first child by spontaneous vaginal delivery without complications. She is taking no medications and denies ethanol, tobacco,...
The CDC and ACOG (2008) has recommended prenatal screening for HIV using an “optout approach” this means that the woman is notified that HIV testing is included in a comprehensive set of antenatal tests, but that testing may be declined. Women are given information regarding HIV but are not required to sign a specific ...
1
Despite the potential for fetal infection , she may opt out from the test
Early retroviral therapy will absolutely decrease the chances of transmitting infection to the baby.
CDC recommends screening only for patients with high risk factors
Risk of the test include potential for fetal loss.
Gynaecology & Obstetrics
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All are indicated in a patient with cystinuria with multiple renal stones except
Ans. a. Cysteamine Patient with cystinuria with multiple renal stones should be treated with increase urine volume (high fluid intake), alkalinization of urine Penicillamine and tiopronin. Cystinuria (AR) Inheritance: Autosomal recessive Molecular defect: Shared dibasic cystine transpoer SLC3A1, SLC7A9Q Tissue manifest...
1
Cysteamine
Increase fluid intake
Alkalinization of urine
Penicillamine
Medicine
null
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Whip lash injury occurs in
Whiplash injury In Road traffic accidents, involving acceleration/ deceleration trauma. commonly sustained by the front seat occupant of a car with no or poorly adjusted head rest Sudden hyperextension & then hyperflexion of neck occurs Resulting in fatal contusion or laceration of spinal cord without fracture of spine...
3
Pedestrian hit from front
Pedestrian hit from behind
Occupant of a car
Any of the above
Forensic Medicine
Regional injuries
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Vesicoureteric reflux is best demonstrated by:
Ans. Micturating cystourethrogram
2
Intravenous pyelography
Micturating cystourethrogram
Retrograde pyelography
Isotope renography
Radiology
null
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Which of the following is the commonest site of fibroma?
Fibroma is a rare benign tumor of the vulva arises from deep connective tissues by fibroblast proliferation. Lesions are primarily found on the labia majora. Larger lesions often become pedunculated with a long stalk and may cause pain or dyspareunia. Surgical excision is indicated for symptomatic lesions. Ref: Hoffman...
1
Labia majora
Labia minora
Clitoris
Rudimentary hymen
Gynaecology & Obstetrics
null
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Biosafety precaution grade III is practiced in all of the following organisms except ?
Human influenza virus is Biosafety grade II virus
1
Human influenza virus
St. louis encephalitis virus
Coxiella burnetti
Mycobacterium tuberculosis
Microbiology
null
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Nasal mucosa is supplied by:
Both the internal and external carotid aery supply the nose but main aery is the external carotid aery. Ref.Dhingra5/e p 189
3
only external carotid aery
Only internal carotid aery
Mainly external carotid aery
Mainly internal carotid aery
ENT
Nose and paranasal sinuses
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In coronary bypass graft surgery of a 49-year-old female, the internal thoracic aery is used as the coronary aery bypass graft. The anterior intercostal aeries in intercostal spaces three to six are ligated. Which of the following aeries will be expected to supply these intercostal spaces?
The anterior intercostal aeries anastomose with the posterior intercostal aeries. Ligation of the anterior aeries would not affect the supply of the intercostal spaces because the posterior aeries would provide collateral aerial supply. Branches of the musculophrenic aery provide supply for the lower seventh, eighth, a...
3
Musculophrenic
Superior epigastric
Posterior intercostal
Lateral thoracic
Surgery
Thorax And Mediastinum
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Patent vitello-intestinal duct should preferably be operated at:
Patent Vitello-intestinal Duct The resulting umbilical fistula discharges mucus and rarely, feces A patent vitello-intestinal duct should be excised, together with a Meckel&;s Diveicula if present, preferably when the child is about 6 months old Ref: Bailey 27th edition Pgno : 1044
2
Bih
6 months of age
12 months of age
3 years of age
Surgery
G.I.T
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A 28 year old female comes to you with history of oligomenorrhea. On examination you note hirsutism and virilisation. USG showed that the left ovary is enlarged. The testosterone levels comes as 4 ng/ml. What is the MOST probable diagnosis? Note: The LH levels are normal.
PCOS is associated with elevated LH and mildly elevated testosterone. In case of stromal hypehecosis, though testosterone is elevated and LH is normal. Markedly elevated testosterone > 2 ng/ml is suggestive of tumor. Ref: Essentials of Gynaecology by Lakshmi Seshadri, Edition 1, page - 254.
4
PCOS
Stromal hypehecosis
Luteoma of pregnancy
Ovarian tumor
Gynaecology & Obstetrics
null
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Pale waxy umbilicated swelling on the lid is
Eyelid disorders Inflammatory disorders of eyelidsClinical pictureTreatmentBlepharitisSubacute or chronic inflammation of lid margins due to Corynebacterium, Staphylococcus aureus, Demodexfolliculorum&PhthiriasisPalpebraCrusts should be removed, Antibiotic ointment at least twice daily ( Erythromycin or tetracycline ),...
2
Chalazion
Molluscum contagiosum
External hordeolum
Internal hordeolum
Pathology
All India exam
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single
Which of the following is an oral thrombin inhibitor?
Dabigatran etexilate is an oral thrombin inhibitor and rivaroxaban is an oral factor Xa inhibitor. Dabigatran etexilate is used as an alternative to warfarin for stroke prevention in patients with atrial fibrillation. Argatroban is a parenteral direct thrombin inhibitor. Alfimeprase is a fibrinolytic agent. Ref: Harris...
2
Rivaroxaban
Dabigatran
Argatroban
Alfimeprase
Pharmacology
null
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Killian dehiscence is seen in
Inferior constrictor muscle has two pas:- (i) Thyropharyngeous with oblique fibers, and (ii) Cricopharyngeous with transverse fibers Between these two pas of inferior constrictor exists a potential gap called Killian&;s dehiscence. It is also called the gateway to tear as perforation can occur at this site during esoph...
2
Superior constrictor
Inferior constrictor
Middle constrictor
None
ENT
Pharynx
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Cataract is caused by ?
Ans. is 'd' i.e., All of the above
4
Hypoparathyroidism
Cigrate smoking
Non-ionizing radiation
All of the above
Ophthalmology
null
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NOT true about co-relation is-
Ref:Parks 23rd edition pg 852 In order to find out whether there is significant association or not between the two variables , coefficient or Corelation is calculated . r lies between -1 and +1 r near -1 : indicates strong negative correlation . r = 0 : indicates no association r near +1: indicates strong positive corr...
2
Doesn't tell about causation
Tells about risk of the disease
-1.0 correlation shows linear relationship
Tells association between two variables
Social & Preventive Medicine
Biostatistics
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Anti-ds DNA antibodies are most specific for
The best screening test for SLE is a demonstration of Antinuclear antibodies (ANA) Sensitive test for SLE ANA Specific test for SLE Anti-ds DNA and Anti Sm antibody Ref - Harrison's internal medicine 20e pg 2515, 2516f, 2517t, 2518t, 2522
1
SLE
Rheumatoid ahritis
Scleroderma
Polymyositis
Medicine
All India exam
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single
Pruritus precedes jaundice in
Primary biliary cirrhosis Believed to be an autoimmune etiology, leading to progressive destruction of intrahepatic bile ducts More common in females Associated with autoimmune disorders (CREST, Sicca syndrome, Autoimmune thyroiditis, Renal tubular acidosis) Clinical features Most patients are asymptomatic, pruritus th...
1
Primary biliary cirrhosis
Secondary biliary cirrhosis
Primary sclerosing cholangitis
CBD stone
Anatomy
G.I.T
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Esthesio neuroblastoma arises from -
Esthesioneuroblastoma or olfactory neuroblastoma are uncommon highly malignant tumors, arising from the neuroendocrine cells in the olfactory mucosa. Ref : Osborn Neuroradiology 1/e p493
1
Olfactory N
Maxillary N
Ophthalmic N
Nasociliary N
Surgery
Head and neck
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All of the following blood vessels are a part of Kiesselbachfs plexus except-
Ans. is 'b' i.e., Posterior ethmoidal artery o Four arteries contribute to little's area:# Anterior ethmoidal artery# Septal branch of superior labial artery (Branch of facial A).# Septal branch of sphenopalatine artery (Branch of maxillary A).# Greater palatine artery (Branch of maxillary A).o These arteries anastomos...
2
Anterior Ethmoidal artery
Posterior ethmoidal artery
Greater palatine artery
Superior labial artery
ENT
Epistaxis
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Denominator in maternal moality ratio?
Maternal moality rate is total no.of female deaths due tobcomplications of pregnancy, childbih or within 42 days of delivery from puerperal causes in an area during a given year by total no.of live bihs in the same year and area.REF.PARK'S TEXTBOOK OF PREVENTIVE AND SOCIAL MEDICINE.Editon-21.Page no.-514
2
Mid Year Population
Live bihs
Total bihs
Total numbebr of pregnancies
Social & Preventive Medicine
obstetrics,pediatrics and geriatrics
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