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Retinal holes are seen in which quadrant
Retinal breaks are most frequently found in the periphery ( commonest in the upper temporal quadrant ) Ref : khurana 6 th edition , page no. 296
1
Superior temporal
Inferior temporal
Superior nasal
Inferior nasal
Ophthalmology
Vitreous and retina
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single
Nongonococcal urethritis is caused by:
Ans. is a, i.e. ChlamydiaRef: Harrison 17th/ed, p823; Current diagnosis and treatment of STI p15Non gonococcal urethritis is caused by:* Chlamydia trachomatis (30-40%)* Ureaplasma urealyteum* Mycoplasma genitalium* E coli* Ureaplasma urealyticum* Trichomonas vaginalis* Herpes simplex virusRare Cases:* Anaerobic bacteri...
1
Chlamydia
LGV
Syphilis
Gardnerella vaginalis
Gynaecology & Obstetrics
Sexually Transmitted Disease in the Female
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Method of behaviour management shown in fig
null
1
Modeling
Punishment
Desensitization
HOME
Dental
null
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single
Babu is brought to the emergency as a case of road traffic accident. He is hypotensive. Most likely ruptured organ is ?
Ans. is 'a' i.e., Spleen Most common abdominal organ to rupture following blunt trauma is spleen.
1
Spleen
Mesentry
Kidney
Rectum
Surgery
null
f3b7347e-f705-4e26-8a31-9e6c3e8c4e3a
single
PQLI lies between
PQLI -Physical quality of life index. The value is the average statistics, literacy rate, infant moality, life expectancy at age 1 ,all equally weighted on a 0 to 100 scale
3
0 and 1
0 and 10
0 and 100
1 and 10
Social & Preventive Medicine
Concept of health and disease
58971299-18a6-4d50-bc64-36fa77ddd3bc
single
Jackson's cross cylinder test is used for -
Jackson's crosscylinder test : It is used to verify the strength and axis of the cylinder prescribed. The crosscylinder is a combination of two cylinders of equal strength but with opposite sign placed with their axes at right angles to each other and mounted in a handle . The commonly used crosscylinders are of +-0.25...
2
Subjective verification
Subjective refining
Subjective balancing
Objective refining
Ophthalmology
Optics and refraction
f78dcd59-5cd1-4f86-b2c6-52453820337a
single
The following statements regarding peritoneal ligaments are TRUE, EXCEPT:
Phrenicocolic ligament is present between diaphragm and transverse colon. The peritoneal ligaments recognized in the greater omentum are:Gastrophrenic ligament: between the stomach and diaphragm above the spleenGastrolienal ligament: between stomach and spleenLienorenal ligament: between spleen and kidneyPhrenicocolic ...
4
Gastrophrenic ligament is present between stomach and diaphragm above the spleen
Lienorenal ligament is present between spleen and kidney
Gastrocolic ligament is present between stomach and transverse colon
Phrenicocolic ligament is present between diaphragm and descending colon
Anatomy
null
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multi
Parietal cells are found in which area of stomach
Parietal cells also known as oxyntic cells are found in Fundus and body of stomach which secretes HCL and intrinsic factor which helps in absorption of vitamin B12. Parietal cells are much more in Fundus so it is a better option. Mucus or goblet cells are seen in cardiac and pyloric pa.
1
Fundus
Cardia
Pylorus
Body
Anatomy
Stomach and aerial supply of abdomen
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single
Chromosomal translocation seen in CML is:
Chronic myelogenous leukemia (CML)is characterized by a cytogenetic aberration consisting of a reciprocal translocation between the long arms of chromosomes 22 and 9 . The translocation results in a shoened chromosome 22. This translocation relocates an oncogene called ABL from the long arm of chromosome 9 to a specifi...
3
2:08
8:14
9:22
15:17
Pathology
null
73d3bfce-40af-4a7b-bd70-60dcced8d903
single
magnocellularr and parvocellular neurons project to ?
ref : guyton and hall
2
layer 2 of visual coex
layer 4 and 4c of visual coex
layer 6 and 1 of visual coex
layer 2 and 3 of visual coretx
Physiology
All India exam
beb79e87-bf58-4464-980d-5691fa180e09
single
Hydroxyethyl starch is a-
Ans. is 'c' i.e., Plasma expander Plasma expanders o These are high molecular weight substances which exes colloidal osmotic (oncotic) pressure, and when infused i.v. retain fluid in the vascular compament. o Human plasma or reconstituted huma albumin are the best, However, the former carries the risk of transmitting s...
3
Vasodilator
Inotrope
Plasma expander
Diuretic
Pharmacology
null
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single
Advantage of using digoxin in CHF is:
Digitalis (By increasing cardiac contractility) and Diuretics (by decreasing fluid overload) are used as symptomatic therapy of CHF. These drugs do not retard cardiac remodelling or prolong survival in CHF patients.
1
It is used to provide relief of symptoms
It reverses the pathological changes of CHF
It prolongs the survival of CHF patient
All of these
Pharmacology
CHF, Angina Pectoris and Myocardial Infarction
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multi
In asymmetrical IUGR which organ is not affected –
IUGR is classified as 1) Symmetric IUGR Reduced growth is an asymmetric → head circumference, length and weight equally affected. Has earlier onset. Is associated with diseases that seriously affect fetal cell number, such as conditions with chromosomal, genetic malformation, teratogenic, infectious or severe maternal...
4
Subcutaneous fat
Muscle
Liver
Brain
Pediatrics
null
88deafd3-a02d-4d49-bdce-038aea930d7c
single
IDA was established in
null
2
1945
1949
1920
1960
Dental
null
79fb02c5-41c4-4532-8d08-eac934af5166
single
Which of the following is a cerebro selective calcium channel blocker?
Ans. (a) NimodipineRef KDT 6/e, p 172
1
Nimodipine
Ziconotide
Verapamil
Diltiazem
Pharmacology
Anti-Hypertensive
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Bennett's fracture-dislocation is associated with fracture of
Ans. c (First metacarpal) (Ref. Maheshwari orthopedics 4th/99)Bennett's fracture-dislocation# Oblique intraarticular fracture of the base of first metacarpal with subluxation/dislocation of the metacarpal.# It is sustained due to longitudinal force applied to the joint, usually from forced abduction of thumb.# Rx:- Clo...
3
Phalanx
Carpal
First metacarpal
Ulna
Orthopaedics
Injuries Around the Fore Arm & Wrist
5306631e-77b8-4805-bc45-fd8471f94a62
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Which of the following drug is ADP receptor inhibitor?
ANSWER: (B) ClopidogrelREF: Lippincott pharmacology 6th ed page 263"Tidopidine and clopidogrel are structurally related drugs that irreversibly inhibit platelet activation by blocking specific purinergic receptors for AD P on the platelet membrane"ANTIPLATELET DRUGSIrreversible cyclooxygenase inhibitors:Acetylsalicylic...
2
Aspirin
Clopidogrel
Abdximab
Terutroban
Pharmacology
Antiplatelets and Fibrinolytics
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International prognostic index for lymphomas includes the following prognostic factors except
Hemoglobin and albumin The international prognostic index (HI) designed as prognostic factor model for aggressive NHL also appears to be useful for predicting the outcomes of: - Clinical features included in the IPI that are independently predictive of survival include the following : - Age --> Younger than 60 years ve...
4
Stage of disease
Number of extralymphatic sites involved
LDH
Hemoglobin and albumin
Pediatrics
null
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About Mayer rokitansky kuster hauser syndrome
Mayer Rokitansky Kuster Hauser syndrome ; Mullerian Agenesis (karyotype;46XX) (Phenotype female) Vagina,Uterus,Fallopian tubes absent. Typically ovaries are normal Secondary sexual characters are well developed May be associated with urologic anomalies and Skeletal malformations Management; 1.Frank dilatation 2.Vaginop...
2
Ovaries uterus fallopian tubes present
Uterus absent and fallopian tubes, ovaries present
Ovaries uterus fallopian tubes absent
Uterus present tubes and ovaries absent
Gynaecology & Obstetrics
Congenital malformations
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Assessment of the visual acuity in children below 2 years of age can be made by the following tests, except:
Ans. Landolt's chas
1
Landolt's chas
Pattern visual evoked potential
Preferential looking behaviour
Optokinetic nystagmus
Ophthalmology
null
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X-ray of a young man shows hetrotopic calcification around bilateral knee joints. Next investigation would be
Serum phosphate This young man most probably has tumoral calcinosis Tumoral calcinosis Tumoral calcinosis is a rare condition which primarily, but not exclusively affects black people in otherwise good health. This disease usually presents in the second decade of lifeand is characterised by deposition of painless calci...
1
Serum phosphate
Serum calcium
Serum PTH
Serum Alkaline phosphatase
Surgery
null
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. In control of communicable diseases, the period of quarantine in respect of a disease is determined by-
null
1
Incubation period
Infectivity period
Duration of illness
Carrier state
Social & Preventive Medicine
null
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single
Normal PQ interval is -
null
3
0.12 sec.
0.2 sec.
0.16 sec.
0.016 sec.
Medicine
null
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Spinothalamic tract carries the following EXCEPT:
Ans. d (Vibration). (Ref. Ganong, Physiology, 21 st/pg.- 139)SPINOTHALAMIC OR ANTEROLATERAL TRACT CARRIESDORSAL COLUMN TRACT CARRIES1. Crude touch1. Fine touch2. Pressure2. Position sense3. Position sense3. Vibration4. Pain including itching4. Pressure sense5. Warm and cold sensation
4
Pain
Touch
Temperature
Vibration
Physiology
Nervous System
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Which of the following act as antioxidants:
All Correct - A,B & C
4
Glutathione peroxidase
Vit. C
Selenium
All
Biochemistry
null
d691f1e7-8cf4-403b-ba4a-77835ffae541
multi
Which of the following anti emetic acts by stimulating cannabinoid - 1 (CB1) receptors
Dronabinol is an anti - emetic which acts by stimulating Cannabinoid -1 receptors which also can stimulate appetite.
2
Aprepitant
Dronabinol
Apomorphine
Prucalopride
Pharmacology
null
55003707-6ec2-4dd7-b7cf-5f3d55fb848a
single
Atherosclerosis is seen with which bacteria
Robbins.. “Herpes virus, cytomegalovirus and Chlamydia pneumoniae have all been detected in atherosclerotic plaques but not in normal arteries, and seroepidemiologic studies find increased antibody titers to C. pneumoniae in patients with more severe atherosclerosis”.
3
Staph aureus
Streptococcus pneumonia
Chlamydia pneumoniae
Chlamydia trachomatis
Pathology
null
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Sensation transmitted by pacinian corpuscles is:
Ans. D. VibrationSENSE ENDINGS ACTIVATEDPain Cutaneous nociceptorsTemperature, heat Cutaneous thermoreceptors for hotTemperature, cold Cutaneous thermoreceptors for coldTouch Cutaneous mechanoreceptors, also naked endingsVIBRATION Mechanoreceptors, especially PACINIAN CORPUSCLES (Pressure also) QJoint position Joint ca...
4
Cold
Warmth
Touch
Vibration
Physiology
Nervous System
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Novus actus interveniens is related to?
Ans. is 'b' i.e. Breaking of chain Novus Actus Interveniens:o A person is responsible for his actions and its consequences. This principle applies to cases of assault or accidental injuries. However, sometime such continuity of events is broken by an entirely new and unexpected happening, due to negligence of some othe...
2
Facts speaking for itself
Breaking of chain
Contributory negligence
Therapeutic misadventure
Forensic Medicine
Forensic Psychiatry
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Amount of ORS to be given in the first 4 hours to a child with some dehydration is -
null
2
50 ml/kg body wt
75 ml/kg body wt
100 ml/kg body wt
200 ml/kg body wt
Social & Preventive Medicine
null
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single
HbsAg positive person can have following association/s -a) Membraneous glomerulonephritisb) MCDc) RPGNd) FSGSe) MPGN
null
1
ae
b
ab
ad
Medicine
null
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Mechanism of action of actinomycin D is -
Ans. is 'a' i.e.. Inhibits DNA dependent RNA synthesis The anticancer antibiotics are :o Actinomycin - D (Dactinomycin)o Daunorubicin (Rubidomycin)o Mitomycin C* Doxorubicino Mitoxantroneo Mithramycin (plicamvcin)o Bleomycins o These anticancer, antibiotics obtained from micro-organisms and have prominent antitumour ac...
1
Inhibits DNA dependent RNA synthesis
Activates DNA dependent RNA synthesis
Inhibits RNA dependent DNA synthesis
Activates RNA dependent DNA synthesis
Pharmacology
Anti-Neoplastic Agents
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Neologism is characteristic of :
Ans. D. SchizophreniaNeologisms:Refers to a new word or condensed combination of several words that is not a true word & is not readily understandable, although sometimes the intended meaning or paial meaning may be apparent.Feature of schizophrenia(thought & speech disorder)
4
OCD
Mania
Bipolar disorder
Schizophrenia
Psychiatry
null
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single
In a bimodal series, if mean is 2 and median is 3, what is the mode
In bimodal series Mode = 3xmedian - 2xmean= 3x3 - 2x2 = 5 Ref : Park&;s Textbook of Preventive and Social Medicine; 23rd edition - Pgno. 847
1
5
2.5
4
3
Social & Preventive Medicine
Biostatistics
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Caries on the enamel surface leads to accentuation of:
A change in early enamel caries is the accentuation of the incremental lines of Retzius. This conspicuous appearance of the calcification lines is an optical phenomenon due to loss of minerals, which causes the organic structures to appear more prominent. There may also be accentuation of perikymata which are the exter...
1
Incremental lines of Retzius
Mineralization
Demineralization
None
Pathology
null
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multi
Telomerase-
By using TERC, TE can add a six-nucleotide repeating sequence, 5'-TTAGGG (in veebrates, the sequence differs in other organisms) to the 3' strand of chromosomes. These TTAGGG repeats (with their various protein binding paners) are called telomeres. The template region of TERC is 3'-CAAUCCCAAUC-5'. Telomerase can bind t...
2
RNA polymerase
Causes carcinogenesis
Present in somatic cells
Absent in germ cells
Pathology
General pathology
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A 19-year-old college student smokes cannabis on a regular basis. Which of the following clinical findings is most likely to be seen an hour after inhalation?
The most common therapeutic use of cannabis is as an antiemetic during cancer chemotherapy. It might have some analgesic and anticonvulsant properties. Its ability to lower intraocular pressure has not been therapeutically useful in glaucoma. However, all the possible therapeutic effects of cannabis are accompanied by ...
3
a decrease in heart rate
an increase in intraocular pressure
prolonged reaction time
peripheral vasoconstriction
Medicine
Miscellaneous
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FESS means -
Functional endoscopic sinus surgery (FESS) FESS is a minimally invasive technique in which sinus air cells and sinus ostia are opened under direct vision. It is called functional because it aims to return the working of the sinus to normal. FESS is based on the hypothesis that the osteomeatal complex (maxillary sinus ...
4
Factual endoscopic sinus surgery
Functional endonasal sinus surgery
Factual endonasal sinus surgery
Functional endoscopic sinus surgery
ENT
null
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All of the following statements about addition silicone impression material are true EXCEPT:
Properties of Addition Silicone Pleasant odor and color. This may also cause allergic reaction so direct skin contact should be avoided. Excellent reproduction of surface details. Polyvinyl siloxanes are currently considered to reproduce the greatest detail of all the impression materials. The international standard f...
4
They evolve hydrogen when cast if they are not fully cured
They exhibit a very low setting shrinkage
They have a lower tear resistance than polysulphide rubbers
They set by condensation polymerization
Dental
null
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multi
Most common histological subtype of lung cancer associated with pancoast tumor?
null
2
Small cell cancer
Squamous cell cancer
Adenocarcinoma
Carcinoid tumor
Pathology
null
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Right bronchial vein drains into -
Ans. is 'c' i.e., Azygous veinVenous Drainage of Lung1. Bronchial veinso Superficial bronchial veins drain pleura and extrapulmonary bronchi. On the right side they drain into the azygous vein and on the left side they drain into the left superior intercostal vein or hemiazygous veino Deep bronchial veins drain rest of...
3
Superior intercostal vein
Posterior intercostal vein
Azygous vein
Hemiazygous vein
Anatomy
Blood Vessels of Thorax
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5 years old female presents with palpable purpura over the buttocks, arthralgias, abdominal pain with diarrhea with passage of blood per rectum. Patient also has presence of proteinuria. What is the most probable diagnosis -
Ans. is 'a' i.e., Henoch-Schonlein purpura Henoch-Schonlein purpura* Henoch-Schonlein purpura, also referred to as anaphylactoid purpura, is a small-vessel vasculitis characterized by palpable purpura (most commonly distributed over the buttocks and lower extremities), arthralgias, gastrointestinal signs and symptoms, ...
1
Henoch-Schonlein purpura
Nephrotic syndrome
Nephritic syndrome
Thalassemia
Medicine
Kidney
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Anesthetic of choice for status asthmaticus is?
ANSWER: (A) Ketamine REF: Morgan's 3rd e p. 515Anesthetic of choice in status asthmaticusChildren - halothaneAdults - ketamine
1
Ketamine
Thiopentone
Ether
N2O
Anaesthesia
Anaesthesia For Special Situations
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A young motorcyclist falls on the grounds leads to Creek&;s in lands. Which of the following nerve severance leads to cause to death
Vagus nerve is the tenth cranial nerve. The fibres of the cranial root of the accessory nerve are also distributed through it. The vagus nerve bears two ganglia, superior and inferior. The superior ganglion is rounded and lies in the jugular foramen. The inferior ganglion is cylindrical and lies near the base of the sk...
2
Hypoglossal nerve
Vagus nerve
Maxillary nerve
Accessory nerve
Anatomy
Head and neck
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What is the ideal treatment for a 55 yr female with Simple Hyperplasia of endometrium with Atypia?
Among all the given options for the patient in the clinical scenario, the best treatment option would be simple hysterectomy. There are chances of about 60-70% for simple hyperplasia of endometrium with Atypia to progress into endometrial cancer. While abdominal hysterectomy with or without oophrectomy is preferred in ...
1
Simple hysterectomy
Medroxy progesterone Acetate (MPA)
Levonorgesterol (LNG)
IUCD
Gynaecology & Obstetrics
null
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single
The hepatic poal vein is formed by the union of which of the following major vessels?
The hepatic poal vein is formed by the union of, (a) Splenic vein, which drains the spleen, pancreas, greater curvature of stomach, and (b) Superior mesenteric, which drains the small intestine andascending colon. The gastric vein, which drains the lesser curvature of the stomach, empties directly into the hepatic poal...
2
Superior Mesenteric and Inferior Mesenteric Veins
Superior Mesenteric and Splenic Veins
Superior Mesenteric And left renal vein
Inferior Mesenteric and Splenic Vein
Anatomy
null
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Both hyperplasia and hyperophy is found in
* Uterus during pregnancy undergoes physiological hyperophy and hyperplasia under hormonal stimuli * Cardiac muscle in cardiomegaly and Skeletal muscle in adults undergoes physiological hyperophy Striated muscle cells in both hea and skeletal muscle can only undergo hyperophy because adult muscle cells have a limited c...
1
Uterus during pregnancy
Cardiac muscle in cardiomegaly
Skeletal muscle in athlete
Breast development in pubey
Pathology
General pathology
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Cushing syndrome is characterized by all except:
Answer is D (None -- All are seen): Cushing's syndrome may be associated with all features mentioned in the question.
4
DM
HT
Proximal myopathy
None (All are seen)
Medicine
null
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multi
Which of the following does not belong to 3Ds of Pellagra
Options a, b, c are part of 3Ds of pellagra.
4
Diarrhea
Dementia
Dermatitis
Diplopia
Biochemistry
null
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Class I anti arrhythmic drugs belongs to all EXCEPT:
(Propranolol): Ref: ANTIARRHYTHMIC DRUGS Class I. Membrane stabilizing agents (Na+ channel blockers) A Moderately decreases dv/dt of o-phase B Little decrease in dv/dt of o-phase C Marked decrease in du/dt of o-phase Quinidine, Procainamide Disopyramide, Mircizine Lignocaine, Mexiletine phenytoin Propafenone, Flecanide...
4
Quinidine
Procainamide
Flecainide
Propranolol
Unknown
null
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multi
Energy storage form in liver ?
Provider of energyPlasma glucoseGrams12 Kilocalories48Hepatic glycogen70280Musde glycogen2801120Fat (Triglyceride) in adipose tissue13,000117, 000Muscle protein10,00040,000
4
Triglyceride
Cholesterol
FFA
Glycogen
Biochemistry
null
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A 40-year-old man experiences weakness and easy fatigability of 2 months' duration. Physical examination yields no remarkable findings. Laboratory studies show a serum calcium of 11.5 mg/dL, inorganic phosphorus of 2.1 mg/dL, and serum parathyroid hormone of 58 pg/mL, which is near the top of the reference range. A rad...
When a patient develops hypercalcemia, a disorder of the parathyroid glands or malignancy at a visceral location must be considered. The elevated parathyroid hormone (PTH) suggests primary hyperparathyroidism. The most common cause of primary hyperparathyroidism is a parathyroid adenoma. Secondary hyperparathyroidism, ...
4
Chronic renal failure
Hypervitaminosis D
Medullary thyroid carcinoma
Parathyroid adenoma
Pathology
Endocrine
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single
The most common fieid defect in papillitis is:
Ans. A relative central or centrocaecal scotoma
1
A relative central or centrocaecal scotoma
Enlargement of the blind spot
Tubular vision
Multiple small peripheral scotomas
Ophthalmology
null
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Sago grain like vesicular eruption is seen in?
Ans. is 'a' i.e., Pompholyx
1
Pompholyx
Seborrhoeic dermatitis
Atopic dermatitis
Syphilis
Skin
null
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A 40-year-old woman presents with complaints of burning and tingling sensations in the left hand for several months. She relates that she has been frequently awakened at night by aching pain in the same hand. Pain is elicited by extreme dorsiflexion of the wrist. Most likely diagnosis?
The symptomatology is classic for carpal tunnel syndrome, which is a form of neuropathy resulting from anatomic compression of the median nerve. Pain, tingling sensations, and hypoesthesia in the distribution of the median nerve are the cardinal manifestations. These often undergo exacerbations at nighttime. A shock-li...
2
Angina pectoris
Carpal tunnel syndrome
Dupuytren contracture
Fibrositis
Unknown
null
8fe95469-e037-4c97-b1f8-817395398eb6
single
which of the following is a relative contra indication for ECT
HISTORY * Medunna ====IM injection of camphor to induce seizures * Ugo cerletti and lucio bini==== ECT in a catatonic patient INDICATIONS * DEPRESSION SUICIDAL IDEAS-------------- first choice * CATATONIC SCHIZOPHRENIA * SCHIZOPHRENIA * MANIA * ELECTRODE PLACEMENT * Most commonly used=== bi fronto temporal * More cogni...
2
pediatrics
brain tumour
geriatrics
pregnacy
Anatomy
Treatment in psychiatry
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single
Extramammary Paget's disease is seen in:-
Paget's disease - In extramammary involvement commonest site affected (vulva) - Presence of pruritis/red /crusted lesion/map like area usually on labia majora - Not associated with malignancy A. Epidermis is infiltrated by large cells With pale pink cytoplasm spreading along basal surface of squamous epithelium B. Immu...
4
Ovary
Uterus
Vagina
Vulva
Pathology
Breast
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The simplest form of pulp therapy is
null
2
Apicocectomy
Pulp capping
Pulpectomy
Pulpotomy
Dental
null
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single
Hyper parathyroidism is characterised by the following except -
null
4
Generalised osteoporosis
Renal calculi
Hypercalcaemia
osteosclerosis
Surgery
null
bd55359a-5b2f-4ae4-9b80-4b1fdcd48a3b
multi
The following diagnostic tests are useful for corresponding purposes except -
For any infection (including rubella) IgM antibody alone, without IgG means current (acute) infection. Ziehl Neelsen staining is used for mycobacteria. Rapid diagnosis of influenza is made by demonstration of viral antigen in specimens by Immunofluorescence.
3
Ziehl - Neelsen staining - Detection of mycobacteria
Immunofluorescence - Detection of Influenza virus
Specific IgM antibodies - Immunity against Rubella
Specific IgM antibodies - Detection of acute infection
Microbiology
null
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multi
A 15-year-old boy with asthma is allergic to cats. He went to a friend's house after school who has a pet cat. Later that evening (6 hours after exposure) he stas to wheeze. Which of the following drugs should have been administered in the afternoon to prevent his symptoms?
Coicosteroids and cromolyn sodium are impoant pharmacologic agents useful in the treatment of late-phase allergic reactions, which occur 6-8 hours after exposure to an allergen. Theophylline, albuterol, and antihistamines are useful for the early or immediate allergic phase of an IgE-mediated hypersensitivity reaction,...
2
Theophylline
Cromolyn sodium
Antihistamine
Albuterol
Surgery
null
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multi
A 10-year old child is undergoing squint surgery. He suddenly developed increased hea rate, arrhythmia, high fever, metabolic and respiratory acidosis on aerial blood gases and elevation of end tidal CO2. Which of the following would be the first agent of choice in the management of this condition?
Ans. a. Dantrolene Sudden development of increased hea rate, arrhythmia, high fever, metabolic and respiratory acidosis on aerial blood gases and elevation of end tidal CO, in a child undergoing squint surgery is highly suggestive of malignant hypehermia. Dantrolene would be the first agent of choice in the management ...
1
Dantrolene
Paracetamol
Procainamide
Sodium bicarbonate
Skin
null
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single
When the tension becomes great enough, contraction suddenly ceases and the muscle relaxes, this phenomenon is known as:
Up to a point, the harder a muscle is stretched, the stronger is the reflex contraction. However, when the tension becomes great enough, contraction suddenly ceases and the muscle relaxes. This relaxation in response to strong stretch is called the inverse stretch reflex or autogenic inhibition. Ref: Ganong's Review of...
3
Reciprocal innervations
Autocrine innervation
Autogenic inhibition
Converse stretch reflex
Physiology
null
88d84819-d8b2-46fd-afd1-ab7cca71a6bd
single
Safest antimalarial drug during pregnancy is:
Proguanil
3
Mefloquine
Pyrimethamine
Proguanil
Quinine
Pharmacology
null
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single
The suppoing cells of the testes are the following:
All cells of the spermatogenic lineage are closely associated with the extended surfaces of Seoli cells and depend on them for metabolic and physical suppo. Each Seoli cell suppos 30 to 50 developing germ cells. Impoant in Seoli cell function are elaborate tight occluding junctions between their basolateral membranes t...
3
Spermatogonia
Leydig cells of testes
Cells of Seoli
Spermatids
Anatomy
null
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All are features of atypical depression except?
Ans. D. Better response to TCAs than SSRIsWith atypical features: This specifier can be applied when these features predominate during the majority of days of the current or most recent major depressive episode or persistent depressive disorder.A. Mood reactivity (i.e., mood brightens in response to actual or potential...
4
Increased appetite and increased sleep
Sad most of the time and becomes happy on hearing good news
Weaknesses of limbs
Better response to TCAs than SSRIs
Psychiatry
Mood Disorders
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Laparoscopy is contraindicated in:
Ans. is d, i.e. PeritonitisRef: Williams Gynae 1st/ed, p932, COGDT 10th/ed, p801-2Important points to remember on laparoscopy:* CO2 is currently the insufflation gas of choice for laparoscopy. It fulfills most of the requirements for an ideal insufflation gas, being colorless, noninflammable and rapidly excreted from t...
4
Ectopic pregnancy
PID
Endometriosis
Peritonitis
Gynaecology & Obstetrics
Gynaecological Diagnosis
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single
What is/are effect on the membrane when extracellular concentration of K+ decreased?
While K+ is positively charged and more abundant on the inside, there exists a great amount of negatively charged paicles (the anions), accounting for the negative charge inside the membrane. The cell membraneforms the border of a neuron and acts to control the movement of substances into and out of the cell. Ref guyto...
2
| magnitude of RMP
| negativity of the membrane
| magnitude of RMP
| negativity of membrane
Physiology
General physiology
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single
45yr old female with sudden onset headache and neck rigidity There is no history of trauma ..
ref : david sutton 9th ed
1
SAH
Meningitis
SDH
Hemorrhagic stroke
Radiology
All India exam
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single
Rashtriya Swasthya Bima Yojana was launched in:
Rashtriya Swasthya Bima Yojana was launched in 2008. The objective is to improve access to health care in unorganised work force in the BPL category. Ref: Textbook of community medicine, S. Lal, 3rd edition pg: 629.
4
1999
2002
2005
2008
Social & Preventive Medicine
null
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single
A 45 years old man comes to a dentist with pain in the lower jaw. The dentist diagnoses it as infected last molar and decides to extract it under local anesthesia. After the anesthesia, he extracted the tooth. After this, the patient also notices numbness in the later part of lower lip, chin and the tongue. This is due...
null
2
Posterior superior alveolar nerve
Lingual nerve
Nerve to mylohyoid
Buccal nerve
Surgery
null
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single
The PO2 (in mm Hg) inside skeletal muscle cells during exercise is closest to:
The PO2 (in mm Hg) inside skeletal muscle cells during exercise is closest to - 3mm Hg The PO2 decreases severly due to muscle's oxygen demand is very high.
1
3
10
20
30
Physiology
Respiratory System Pa 2
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Best IUCD for a woman with menorrhagia is:
Ref: Shaw's Textbook of Gynaecology 15th Edition Pg: 230Explanation:Levonorgestrel I LCD is progesterone impregnated IUCD and is recommended to control bleeding in menorrhagia.Other non contraceptive benefits of LNG IUCD:DUBEndometrial hyperplasiaIntrauterine contraceptive devices (IUCD)Biologically inert devices : Lip...
4
Lippe loop
Cu-T 375
Cu-T 200
Levonorgestrel IUCD
Gynaecology & Obstetrics
Non-Hormonal - Intrauterine Devices
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Which of the following is not an amide:
Ans. is 'b' i.e. procaineThis one has been repeated so many times beforeAmide linked Local anaestheticsLidocaineBupivacaineDibucainePrilocaineRopivacaineEster linked local anaestheticsCocaineProcaineChlorprocaineTetracaineBenzocaine
2
Lidocaine
Procaine
Prilocaine
Etidocaine
Anaesthesia
Miscellaneous (Local and Regional Anesthesia)
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Degeneration of the myomata is more likely to sta from :
Centre
1
Centre
Periphery
From any poion
None of these
Gynaecology & Obstetrics
null
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multi
Holt Oram syndrome is characterized by
Holt Oram syndrome:Hypoplastic or absent radii1st-degree hea blockASD(Refer: OP Ghai's Textbook of Pediatrics, 8th edition, pg no. 401)
1
ASD
VSD
TGA
TAPVC
Pediatrics
All India exam
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single
In Alzheimer disease patients, the major effect on neurotransmitter systems of tacrine, donepezil, rivastigmine, and galantamine is to
Low levels of Ach are associated with the symptoms of Alzheimer disease. Tacrine, donepezil, rivastigmine, and galantamine are acetylcholinesterase inhibitors (i.e., they block the breakdown of Ach, increasing its availability). These agents can thus be effective in slowing down the progression of the illness. They do ...
3
increase dopamine availability
decrease dopamine availability
increase Ach availability
decrease Ach availability
Psychiatry
Organic Mental Disorders
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single
All of the following causes subcutaneous fungal infections except: September 2007
Ans. A: Blastomycosis A. Superficial mycoses These affect the outer layers of the skin, the nails and hair. The main groups of fungi causing superficial fungal infections are: - Dermatophytes-Trichophyton, Microsporum and epidermophyton - Yeasts i.e. candida, malassezia, piedra - Moulds. B. Deep mycoses Subcutaneous my...
1
Blastomycosis
Sporotrichosis
Maduramycosis
Rhinosporodiosis
Microbiology
null
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multi
Myodesis is employed in amputations for all of the following indications except:
D i.e. Ischemia: * Myodesis is contraindicated in cases of severe dysvascularity (ischemic limb) in which blood supply to the muscle appears compromised for fear of damaging the already precarious blood supply.* Myodesis should not be performed when vascularity is compromised (Ischemia) In Myodesis the residual muscula...
4
Trauma
Tumor
Children
Ischemia
Surgery
null
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multi
16 year old boy presents to emergency with injury to his right index finger tip with glass piece. Which of the following radiological modality is best used for determination of glass piece in patient's finger?
Glass is always radio-opaque irrespective of content of lead and other additives. So plain X-Ray is best to look for glass foreign body.
1
X-Ray
USG
CT Scan
MRI
Radiology
Musculoskeletal Radiology
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single
Drug of choice for Liddle syndrome
Liddle syndrome is charcterized by increased ENaC channels and Amiloride is a ENaC blocker, which can be used for this condition.
3
Acetazolamide
Furosemide
Amiloride
Spironolactone
Pharmacology
null
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single
A child presents with sho episodes of vacant stare several times a day. The vacant episode begins abruptly and the child remains unresponsive during the episode. There is no associated history of aura or postictal confusion and the child is otherwise normal. The likely diagnosis is
Answer is B (Absence seizures): Presence of multiple sho episodes of vacant stare (absence) in an otherwise normal child with no history of aura or postictal confusion suggests the diagnosis of typical absence seizures. Absence seizures versus Dav dreaming Absence seizures can easily be confused with episodes day dream...
2
Grandmal seizures
Absence seizures
Complex paial seizures
Day dreaming
Pediatrics
null
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Would closure for clean wounds within 6 hours of injury without risk of contamination
Primary Closure Also known as healing by primary intention Have a small, clean defect that minimizes the risk of infection Requires new blood vessels and keratinocytes to migrate only a small distance Surgical incisions, paper cuts and small cutaneous wounds usually heal by primary closure. Fastest type of closure by s...
1
Primary closure
Delayed primary closure
Secondary closure
Tertiary closure
Surgery
null
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single
A 47-year-old woman comes to the physician because of right upper quadrant abdominal pain and a loss of appetite. A CT of the liver shows “berry” or “popcorn” lesions Which of the following measures is contraindicated in this condition?
null
2
Antiepileptic medications
Liver biopsy
Metastatic bone survey
OCP
Medicine
null
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single
Which among the following is an absolute contraindication of Hormone replacement therapy ?
Absolute contraindications of hormone replacement therapy (H): Undiagnosed vaginal bleeding Estrogen dependent cancer in the body Severe liver disease Pregnancy Venous thrombosis Well-differentiated and early endometrial cancer (once treatment for the malignancy is complete, is no longer an absolute contraindication.)
4
Endometriosis
Osteoahritis
Hea disease
Breast carcinoma
Gynaecology & Obstetrics
null
d8caa5a3-8369-489b-afce-39593a81268f
single
Children borne by female at the end of reproductive period is -
Ans. is 'a' i.e., TFR Total fertility rateo Total fertility rate represents the average number of children, a woman would have if she were to pass through her reproductive years, bearing children at the same rates, as the women now in each age group,o It is computed by summing the age specific fertility rates for all a...
1
TFR
NRR
BR
None
Social & Preventive Medicine
Demography
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multi
Duchene-muscular dystrophy?
Ans. (d) X linked recessiveRef: Robbings pathology 9th ed. 1/42
4
Autosomal dominant
Autosomal recessive
X-linked dominant
X-linked recessive
Pathology
Mendelian Disorders: Single-Gene Defects
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single
All of the following statement are true regarding esophageal atresia, except:
Esophageal atresia Congenital defect Thin, non-canalized cord replaces a segment of esophagus, causing a mechanical obstruction. Thus, some pa of esophagus is present in esophageal atresia - option-1 is wrong. Commonly at/near tracheal bifurcation usually associated with fistula connecting upper/lower esophageal pouche...
1
There is absence of esophagus
It is a mechanical obstruction
It occurs most commonly at or near the tracheal bifurcation
It is associated with other congenital anomalies
Pathology
Esophageal disorders
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A child fights with other childrens frequently. He has disciplinary problem in school and steals things. Most likely diagnosis is: March 2012
Ans: C i.e. Conduct disorderChild psychiatric conditions and presentationTriad of symptoms of autism includes abnormal reciprocal social interaction; communication and language impairment; and a restricted, stereotyped and repetitive repeoire of interests and activitiesClinical features of ADHD includes inattention, hy...
3
Autism
Attention deficit hyperkinetic disorder
Conduct disorder
Obsessive compulsive disorder
Psychiatry
null
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single
The normal value of Arden index is
Arden ratio = (Maximum height of light peak/Minimum height of dark trough) x 100 Normal curve values are 185 or above. Subnormal curve values are less than 150. Flat curve values are less than 125. Reference : AK KHURANA COMPREHENSIVE OPHTHALMOLOGY, Edition4 , Page-490
4
1
5-Jan
Less than 18.5
More than 1.85
Ophthalmology
Anatomy, Development and clinical examination
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single
OC pills are C/I in pts receiving :
Ans. is a i.e. Rifampicin
1
Rifampicin
Ethambutol
Streptomycin
Pyrazinamide
Gynaecology & Obstetrics
null
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single
Sec 299 IPC deals with
Culpable homocide ( section 299 IPC) whoever causes death by doing an act, with the intention of causing death or with the intention for causing such bodily injury as likely to cause death, or cause death, commits the offence of culpable homicide Ref: FORENSIC MEDICINE AND TOXICOLOGY Dr PC IGNATIUS THIRD EDITION PAGE 2...
2
Assault
Culpable homicide
Murder
Grievous hu
Anatomy
Miscellaneous
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single
Muscle relaxant used in renal failure –
The unique feature of atracurium is inactivation in plasma by spontaneous nonenzymatic degradation (Hofmann elimination) in addition to that by Alkaline ester hydrolysis. Consequently, its duration of action is not altered in patients with hepatic/renal insufficiency or hemodynamic compromise → It is the preferred musc...
2
Ketamine
Atracurium
Pancuronium
Fentanyl
Anaesthesia
null
388378fd-7bcf-4370-a666-fb54e2ddcb6e
single
Something done by the medical practitioner disgraceful and dishonourable to the medical profession is called
Professional misconduct It is defined as something done by the medical practitioner, which is disgraceful and dishonourable to the medical profession. It involves the abuse of medical profession Ref: FORENSIC MEDICINE AND TOXICOLOGY Dr PC IGNATIUS THIRD EDITION PAGE 375
1
Professional misconduct
Civil negligence
Medical negligence
Criminal negligence
Forensic Medicine
Medical Jurisprudence
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multi
Neurolathyrism is due to -
Ans. is 'c' i.e., Khesari dal DiseaseToxinAdulterantLathyrismEpidemic DropsyEndemic AscitesAfla toxicosisErgotismBOAASanguinarinePyrrolizidine alkaloidsAflatoxinClavine alkaloidsKhesari Dal (Lathyrus sativus)Argemone mexicana (oil)Crotolaria seeds (Jhunjhunia)Aspergillus flavus/parasiticusClaviceps fusiformis
3
Argemone oil
Jhunjhunia
Khesari dal
None
Social & Preventive Medicine
Nutrition and Health
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multi
Corynebacterium diphtheriae causes -
Ans. is 'd' i.e., All of the above* Clinically diphtheria is divided into1) Facial (tonsillo-pharyngeal) diphtheria# It is the commonest type with incubation period of 2-5 days. There is thick adherent pseudomembrane (grey or white) on one or both tonsils or adjacent pharynx. Dislodging of membrane is likely to cause b...
4
Pseudomembrane
Punched out ulcer
Myocarditis
All of the above
Microbiology
Bacteria
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First web space of foot is supplied by:
Ans. C Deep peroneal nerveRef: Anatomy of Foot and Anklet pg 12NerveMotor InnervationSensory DistributionCommon peroneal (L4, L5, S1, S2)Deep and superficial peronealArticular branches to knee; anterolateral aspect proximal leg (via lateral sural nerve)Deep peronealTibialis anterior, EDL, EHL, peroneus tertius Lateral ...
3
Common peroneal nerve
Superficial peroneal nerve
Deep peroneal nerve
Sural nerve
Anatomy
Lower Extremity
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single
Commonest fungal infection of the female genitalia in diabetes is:
C i.e. Candidial
3
Cryptococcal
Madura mycosis
Candidial
Aspergellosis
Skin
null
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single
The structure of Phospholipid consists of
Phospholipid - 2 Fatty acid+ Glycerol+ PO + Choline or ethanolamine ( 2 Fatty acid + Glycerol is called Diacylglycerol or Diglyceride) Reference: Harpers illustrated biochemistry 31st edition page196
2
Monoglyceride+phosphate+choline
Diglyceride+phosphate+choline
Triglyceride+phosphate+choline
Glycerol+phosphate+choline
Biochemistry
Metabolism of lipid
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single
There are low many pairs of spinal nerves ?
Ans. is 'c' i.e., 31Spinal cord gives origin to 31 pairs of spinal nerves -8 cervical pairs12 thoracic pairs5 lumbar pairs5 sacral pairs1 coccygeal pairsThere are 8 cervical nerves (but only 7 cervical veebrae) because C1 exits between the skull and atlas, while C8 exits through the interveebral formen between C7 and T...
3
28
30
31
33
Anatomy
null
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single