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Not true about experimental study -
Ans. is 'b' i.e., Unethical to use in animal Experimental epidemiology (Epidemiological Experiments) Experimental epidemiology is also called trial. Broadly speaking, a trial refers to putting something to a test. This allows the term to be used in reference to a test of a treatment for the sick or a test of a preventi...
2
Always prospective
Unethical to use in animal
Can not be double blinded in animal trials
Interim analysis is permitted
Social & Preventive Medicine
null
626f70d0-17dc-4902-881a-3df61f210f06
multi
Appearance of Breast bud is known as: March 2013
Ans. B i.e. Thelarche Thelarche is the onset of secondary (postnatal) breast development, usually occurring at the beginning of pubey in girls.
2
Menarche
Thelarche
Pubarche
Anarche
Gynaecology & Obstetrics
null
5995b0bf-e454-4917-ba81-2053a4a26cc4
single
A patient presents in emergency in shock, with a history off fleshy mass protruding from vagina with heavy bleeding PV. She had history of delivery at home 1 hour back by a health worker with a history of difficulty in placental removal and 'Uterine handling'. Most probable diagnosis is?
Uterine inversion presents after excessive traction on cord for pulling out the placenta, which leads to paial or complete inversion of uterus. It is usually associated with PPH and may result in shock (hemorrhagic and neurogenic. However more common cause of moality is hemorrhagic) if treatment is delayed.
2
Atonic PPH
Uterine inversion
Fibroid polyp
Cervical tear
Gynaecology & Obstetrics
Labour - III
3831c897-090e-48df-b5cb-fb5fde4010e8
single
A 60 kg man has haematocrit of 40%. His plasma volume would be approximately:
Plasma volume = Total blood volume * (1 - Hematocrit) The total blood volume is about 8% of body weight Blood volume of 60 kg man = 0.08 * 60 = 4.8 L Plasma volume = total blood volume * (1-hematocrit) = 4.8 * (1-0.40) = 4.8 * 0.60 = 2.88 L Also, about 60% of the blood is plasma and 40% is RBCs Thus, plasma = 5% of bod...
2
2.4 L
2.9 L
3.6 L
5.0 L
Physiology
Body fluid compaments
33887d76-cfe3-498f-a8bc-0e5f65f4abaa
single
A 17-year-old patient is referred by his GP after presenting with periorbital oedema. The patient noticed the oedematous eyes 3 days ago, but repos feeling unwell since a throat infection 3 weeks ago with nausea and vomiting in the last week. A urine dipstick is positive for protein and blood while serum creatinine and...
C. (post strep. GN). This patient is suffering from post-streptococcal glomerulonephritis (C), which forms pa of the nephritic syndrome consisting of haematuria (micro- or macroscopic), hypeension, proteinuria and oedema. In severe cases, oliguria and uraemia can also occur. Patients usually suffer form a streptococcal...
3
Nephrotic syndrome
Nephritic syndrome
Post streptococcal GN
Von Grawitz tumour
Surgery
null
cbb4c34d-a9db-42a3-8db3-8a9405117256
single
A 45 year old male presents to OPD with acute abdominal pain. On examination it seems to have spread to retroperitoneal structure. Which of the following is most likely to get affected
The descending colon is a retroperitoneal organ. The rest of the organs are surrounded by peritoneum. Other retroperitoneal organs are: - Pancreas, Duodenum, Ascending colon, Descending colon, Middle third of the rectum
4
Stomach
Transverse colon
Jejunum
Descending colon
Anatomy
Abdominal wall ,Inguinal and Femoral region
dca0925a-bc24-4ace-abfd-48666fcbb607
single
If biochemical test gives the same reading of early sample on reputed testing, it is inferred that the measurement is-
. biochemical test gives the same reading of early sample on reputed testing, it is inferred that the measurement is-precise. ref:park&;s textbook ,22 nd edition,pg no 22
1
Precise
Accurate
Specific
Sensitive
Social & Preventive Medicine
Screening
04c9d3ec-718e-4d4b-8504-9c19e065f0f3
single
Which of the following has highest electrophoretic mobility and least lipid content:
B i.e. HDL
2
Chylomicrons
HDL
LDL
VLDL
Biochemistry
null
70b60f0c-4ae5-4144-b7e2-23d7dfcc4c64
single
Which of the following NSAID does not having antiinflammatory activity?
All NSAIDs, including selective COX-2 inhibitors, are antipyretic, analgesic, and anti-inflammatory, with the exception of acetaminophen, which is antipyretic and analgesic but is largely devoid of anti-inflammatory activity. Ref: Grosser T., Smyth E. (2011). Chapter 34. Anti-inflammatory, Antipyretic, and Analgesic Ag...
4
Ketorolac
Diclofenac
Mefenamic acid
Acetaminophen
Pharmacology
null
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single
Somatostatin is secreted by :
Ans. is A D-cell (Ref Ganong, 20/e, p. 339). Delta cells secrete - somatostatin* Beta cells secrete - insulin* Alpha cells of pancreas - glucagon*
1
D-cell
A-cell
B-cell
Dl-cell
Medicine
Miscellaneous (Endocrinology)
05a13819-0d45-443f-9829-cf990a68fd3d
single
Lancefield classification based on:
Carbohydrate antigen
2
M protein
Carbohydrate antigen
Cell wall peptidogglycan
T protein
Microbiology
null
cf73ca18-b3f3-49d1-baab-0b60e4f75a46
multi
Percentage of offspring affected by colour blindness when a healthy male and heterozygous female marry
null
2
0
25%
50%
100%
Medicine
null
709abe55-9e4e-4429-89f4-a116bd3c4d64
single
All of the following are associated with pathogenesis of acute hydrops fetalis except: September 2009
Ans. C: Hypoplasia of Placental Tissue Several hypotheses regarding the pathophysiologic events that lead to fetal hydrops have been suggested. The basic mechanism for the formation of fetal hydrops is an imbalance of interstitial fluid production and the lymphatic return. The fetus is paicularly susceptible to interst...
3
Hypoproteinemia
Anemia
Hypoplasia of placental tissue
Metabolic acidosis
Gynaecology & Obstetrics
null
4d4a0a84-bf42-4320-b3ba-04d712b9105b
multi
To provide anesthesia to a patient in the third stage of labor, an obstetrician palpates the ischial spine transvaginally, then injects a local anesthetic. Injection of anesthetic at this approximate location will most likely block which of the following nerves?
The pudendal nerve is often anesthetized to provide obstetric anesthesia (although epidural blocks are now more commonly used in preparation for delivery). The pudendal nerve arises from sacral segments 2, 3, and 4. It exits the pelvis by way of the greater sciatic foramen and then courses around the ischial spine (and...
4
Inferior gluteal nerve
Lateral femoral cutaneous nerve
Obturator nerve
Pudendal nerve
Anatomy
null
d1fe97ca-cace-4717-9f8e-45b0058853e3
multi
Centrally acting antihypeensive drug is ?
Ans. is 'b' i.e., Methyldopa o Centrally acting sympatholytic antihypeensives are clonidine, methyldopa, guanabenz, guanfacine, moxonidine and rilmenidine.
2
Phenoxybenzamine
Methy ldopa
Propanolol
Prazosin
Pharmacology
null
953629ea-6c74-4bf5-a94c-60bcb37c8394
multi
Cyanosis does not occur in severe anemia because
Because reduced Hb is purple, a low aerial O2 saturation causes cyanosis. However, this is not a reliable sign of mild desaturation because its recognition depends on so many variables, such as lighting conditions and skin pigmentation. Because it is the amount of reduced Hb that is impoant, cyanosis is often marked wh...
3
Hypoxia stimulates erythropoietin secretion
Oxygen carrying capacity of available Hb is increased
Critical concentration of Hb required to produce cyanosis is reduced
Oxygen Dissociation Curve shifts to right
Physiology
Respiratory system
64d7d805-c369-422b-af10-548cda6a1692
single
Daily depressed mood for minimum ________ weeks is must to classify someone as suffering from major depression disease -
Symptoms of depression should be present for at least 2 weeks.
2
1
2
3
4
Psychiatry
null
7e34cbba-ede9-4a14-bfd5-7765a5c630bb
single
A person on fat free, carbohydrate-rich diet, continues to grow obese. Which lipoprotein is increased in this person's blood:
Carbohydrate-rich diet will lead to increase in Acetyl CoA production, which will lead to synthesis of fats in body. These fats are endogenous fat, which are transpoed in the form of VLDL. ADDITIONAL EDGE: When exogenous fat (fat directly from diet) is taken then it is transpoed in the form of chylomicrons. Atkin's die...
3
LDL
HDL
VLDL
Chylomicrons
Biochemistry
Lipoproteins
b3c7e831-adad-462b-b5fa-c5435bdc27e0
single
The following is part of Hamstrings -
Ans. (a) SemimembranousRef.: BDC 6th ed. vol. II / 83* Hamstring muscles are - Semimembranosus, semiten- dinosus, long head of biceps femoris and ischial head of adductor magnus.
1
Semimembranous
Gracilis
Short head of biceps femoris
Sartorius
Anatomy
Posterior Compartment of Thigh & Popliteal Fossa
92e76a23-a7a9-4b09-9670-3d0c956aa292
single
A 58-year-old man whom you have followed dies suddenly, spurring you into doing some research on sudden death. Which of the following is the most likely cause for this individual?
Sudden death, defined as death within 1 hour of onset of symptoms, is usually caused by cardiac disease in middle-aged and elderly patients, but in younger age groups noncardiac causes predominate. There is a bimodal distribution in the population, with the first peak before 6 months of age (sudden infant death syndrom...
1
extensive coronary atherosclerosis
electrolyte disturbance
pulmonary embolism
acute stroke
Medicine
C.V.S.
b763df11-ae18-41c5-97d1-fb467d47a94c
single
Laparoscopy is the diagnostic procedure of choice for: March 2008
Ans. D: Endometriosis Indications for gynaecological laparoscopy include the following: Ovarian cysts and tumours. Removal of fibroids (Myomectomy).or destroying them (Myolysis) Infeility, lysis of adhesions. Infeility, checking the condition and patency of the fallopian tubes. Reproductive or tubal surgery Endometrios...
4
Ca uterus
Ca cervix
Ca rectum
Endometriosis
Gynaecology & Obstetrics
null
2b815900-eb5e-4b39-b6e7-7d226deffadf
single
All of the following brace are used in scoliosis except?
Minerva cast is used in cervical spine
4
Milwaukee
Risser
Boston's
Minerva
Orthopaedics
Fracture Management
a4b465cc-3565-4939-b101-986f525a37df
multi
Regarding Natural Killer Cell, all are true except?
Natural Killer Cells (or NK cells) are a type of cytotoxic lymphocyte critical to the innate immune  system. NK cells play is analogous to that of cytotoxic T cells in the vertebrate adaptive immune response.   CD 56 and CD 16 positive. Special action against viruses and tumor cells.
3
It is activated by IL-2
CD-56 positive
Antibody induced proliferation
Variant of large lymphocyte
Microbiology
null
4083d4b2-e584-4a18-9210-03a105af1b23
multi
Borders of Gastrinoma triangle are all except:
Ans. (c) Tail of pancreasRef: Sabiston 20th edition Page 952Passaro triangle* 70-90% Gastrinomas are located in this triangle
3
Cystic duct CBD junction
Duodenum 2nd and 3rd part junction
Tail of pancreas
Neck of pancreas
Surgery
Pancreas
0c5b688d-e720-4bc9-93dd-835ecdfd1611
multi
the most common pathology of acute renal failure ?
Acute renal failure (ARF) - acute kidney injury AK1 is a sudden and usually reversible loss of renal function which develops over days or weeks and is usually accompanied by a reduction in urine volume. - A rasied creatinine level can be due to acute, acute on chronic of chronic kidney disease. Treatment of Acute Renal...
4
DPGN
RPGN
ATN
allergic interstitial nephritis
Medicine
All India exam
1be04ec6-c0d7-46b3-aa82-57cc4a90e480
multi
Osteoclasts are inhibited / modified and regulated by:
null
2
Parathyroid hormone
Calcitonin
1,25 - dihydroxycholecalciferol
Tumour necrosis factor
Physiology
null
5c9e07db-21ab-48df-8569-69f7b02438ee
single
A farmer rearing sheep, presented with complaints of fever and weakness for the last one month. There is generalised lymphadenopathy. There was also associated hepatomegaly. Biopsy of liver showed non caseating granuloma. These are most likely due to infection with:
B. melitensis, which is the most common cause of symptomatic disease in humans and for which the main sources are sheep, goats, and camels. Overall, the presentation of brucellosis often fits one of three patterns: febrile illness that resembles typhoid but is less severe; fever and acute monoahritis, typically of the ...
4
Yersinia pestis
Brucella Canis
Francisella tularensis
Brucella melitensis
Microbiology
null
0c7baec6-73c4-4e5f-9e3f-52fc37e89888
single
All of the following statements are true EXCEPT:
Ans. B Cervix is lined by transitional epitheliumRef: Grays, 41sted. pg. 295* The epithelial lining of cervix is varied. Ectocervix is composed of non keratined stratified squamous epithelium and endocervix is composed of simple columnar epithelium.* Blood supply of cervix-descending cervical branch of uterine artery.E...
2
Cervix is lined by stratified squamous epithelium
Cervix is lined by transitional epithelium
It gets its blood supply from uterine artery
Vagina is lined by nonkeratinized stratified squamous epithelium.
Anatomy
Abdomen & Pelvis
5a7664b3-049f-4d92-b900-d80b1b3ec9f1
multi
Which of the following bacteria is known as Ebe Gaffky bacillus
Klebsiella Friedlander's bacilli H.Aegypticus Koch week's bacilli Salmonella typhi Ebe gaffky bacilli Corynebacterium Kleb- Loeffler bacilli
3
Klebsiella
H. Aegypticus
Salmonella typhi
Corynebacterium
Microbiology
Systemic Bacteriology (Gram Positive Bacilli, Gram Negative Bacilli)
c7f073dd-a12e-4ba8-b1da-094ce36af0e3
single
Which of the following condition is associated with meconium ileus?
Meconium ileus is a neonatal manifestation of cystic fibrosis (also known as fibrocystic disease of pancreas). In cystic fibrosis there is pancreatic enzyme deficiency and abnormal chloride secretion in the intestine that results in the production of viscous water- poor meconium. Meconium ileus results because of impac...
1
Fibrocystic disease of pancreas
Liver aplasia
Cirrhosis of liver
Malnutrition
Surgery
null
5a4727aa-cf71-4f1b-91ab-8ae0a87c1050
single
A 78 year old male is admitted with chest pain. His ECG shows widespread ST depression in all leads except aVR which shows ST elevation. Whilst in ER, he passes melaena and on fuher questioning, gave history of altered bowel habit, weight loss and dark stools for 2-3 months. O/E he is pale, pulse rate is 115 bpm and BP...
Dx is NSTEMI : Type 2 MI (due to Anemia) Option A : No, as he is already having GI bleeding, so antiplatelet therapy is not given. Option B : Yes, packed RBC transfusion is useful for anemia component to | oxyhemoglobin. Option C : Nitrates are C/I if Systolic B.P <80 mm Hg Option D : He's already having hypotension & ...
2
Aggressive treatment with dual antiplatelets
Packed RBC transfusion
Nitrates to relieve ischemia
Beta blocker to slow hea rate and reduce ischaemia
Medicine
Emergency Clinical Scenario
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multi
Jumping genes are also known as
Transposons are called as Jumping genes as they can jump from one chromosome locus to another.
3
Plasmids
Oncogenes
Transposons
Introns
Biochemistry
null
2b64005c-7ac8-4bae-b674-6ecafd5eb113
single
Danbury tremors seen in which chronic poisoning
Mercurial tremors The hands are first affected. There will be tremors of the hands called Danbury tremors. It may progress to lips, tongue, arms, and legs. The tremors are moderately coarse and intentional to sta with and are interspersed by jerky movements. The advanced condition is called hatter's shake or glass blow...
3
Arsenic
Lead
Mercury
Zinc
Anatomy
Poisoning
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single
Clara cells are found in :
Ans. is 'b' i.e. Bronchioles Different parts of the respiratory tracts have distinctive histological features :Clara cells are found in-bronchioles*Goblet cells are found in-Bronchi*Mucous gland are found in-Bronchi*Neuroendocrine cells-Bronchi*Mural cartilage-Bronchi*Part rich in secretory immuno globin-Bronchioles*Po...
2
Trachea
Bronchioles
Alveoli
Oesophagus
Anatomy
Respiratory System (Histology)
30021379-a757-45db-b3f0-a2f7ea7e8be8
single
Break bone fever is cuased by -
Break bone fever is caused by the dengue virus. REF:<\p>ANATHANARAYANAN MICROBIOLOGY NINTH EDITION PAGE.523
3
Variola
Coxsackie
Arbovirus
Adenovirus
Microbiology
Virology
85b52a7d-3c88-45a5-b2ac-fc58c517bc59
single
Non Palpable purpura is seen in A/E
A i.e. H. S. Purpura
1
H. S. Purpura
Drug induced vasculitis
Idiopathic thrombocyto penic purpura
Amyloid
Skin
null
ae4c6c05-1a3c-4f1b-8b51-1f8961e015de
single
Composition of Sodalime is: NaOH Ca(OH)2 KOH
15% 84% 1%
2
4% 95% 1%
5`)/0 90`)/0 10/0
80% 20%
15% 84% 1%
Anaesthesia
null
1f063a8d-7e29-477b-b82d-d4292ae2effb
single
The initial response to iron therapy in a child suffering from iron-deficiency anemia is
Response to iron therapy can be documented by an increase in reticulocytes 5-10 days after the initiation of iron therapy. The hemoglobin concentration increases by about 1 g/dL weekly until normal values are restored Replacement of intracellular iron enzymes Ref essential paediatrics op ghai 9e
2
Reticulocytosis
Replacement of intracellular iron enzymes
Initial bone marrow response
Erythroid hyperplasia
Pediatrics
Hematology
5b961ce0-8af8-448a-b76d-df87a85e1308
single
Which of the following drug can lead to given below condition
Amiodarone can lead to bluish discolouration of skin, also called as "Blue man syndrome".
4
Vancamycin
Phenytoin
Valproate
Amiodarone
Pharmacology
null
45c30033-9655-476a-9f9f-6d39b3e2ca95
single
Which drug is suitable for epilepsy related to a brain tumor?
In epilepsy caused by brain tumor, agent of choice is those drugs that do not induce hepatic microsomal enzyme system. Drugs such as : Levetiracetam Topiramate Lamotrigine Valproic acid Lacosamide.
1
Levetiracetam
Phenytoin
Carbamazepine
Phenobarbitone
Medicine
Epilepsy and EEG
b7b3ccaa-a55e-40ce-9bb5-85184c5dd8cf
single
Butterfly rash is seen in
(A) Systemic lupus erythematosus # SLE:> Characteristic Malar (Butterfly) rash seen as fixed erythematous rash over the cheeks, & bridge of nose (photosensitive but scarring is absent) Patchy scalp hair loss is seen & Hair usually regrow in SLE (but not in DLE) Raynaud's phenomenon is present in 10%; Antibodies against...
1
Systemic lupus erythematosus
Erythema marginatum
Lupus gulgaris
Erythema nodosum
Skin
Miscellaneous
b95b8f46-1398-450c-8042-c960bbd99086
single
Juxtaglomerular apparatus lies in relation to the following structure and have secretory function:
At the point where the afferent aeriole enters the glomerulus and the efferent aeriole leaves it, the tubule of the nephron touches the aerioles of the glomerulus from which it arose. At this location, which marks the sta of the distal convolution, there is a modified region of tubular epithelium called the macula dens...
4
Proximal convoluted tubule
Ascending loop of Henle
Descending loop of Henle
Glomerulus
Physiology
null
302ed724-9880-4390-8930-65205f9ef125
single
All of the following substances are added to the urine by means of tubular secretion, except
null
3
Potassium
Hydrogen ion
Urea
Creatinine
Medicine
null
0b8610fe-9649-46cf-ab76-798378070847
multi
Kerion is: March 2009
Ans. B: Fungal Infection Kerion is severe form of tinea capitis, in which well-circumscribed pas of the scalp are transformed into a painful, boggy, inflamed, confluent mass with loosened hair (easy pluckability), purulent folliculitis, crusting, often with lymphadenopathy It is commonly due to a zoophilic dermatophyte...
2
Viral infection
Fungal infection
Bacterial infection
Parasitic infection
Skin
null
af06fe1a-8466-479c-9419-c668fcd61632
single
Burning sensation in middle finger Triceps Reflex is weak Slip disc?
HERNIATED DISC B/W COMPRESSED NERVE ROOT DERMATOME AFFECTED MUSCLES AFFECTED MOVEMENT WEAKNESS NERVE AND REFLEX INVOLVED C6 and C7 C7 C7 middle finger Triceps wrist extensors extension of forearm extension of wrist radial nerve | triceps jerk
1
C6-C7
C5-C6
C3-C4
C2-C3
Anatomy
Back region
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single
A 70-year-old patient with long-standing type 2 diabetes mellitus presents with complaints of pain in the left, ear with purulent drainage. On physical examination, the patient is afebrile. The pinna of the left ear is tender, and the external auditory canal is swollen and edematous. The white blood cell count is norma...
Ear pain and drainage in an elderly diabetic patient must raise concern about malignant external otitis. The swelling and inflammation of the external auditory meatus strongly suggest this diagnosis. This infection usually occurs in older, poorly controlled diabetics and is almost always caused by P aeruginosa. It can ...
1
Pseudomonas aeruginosa
Streptococcus pneumoniae
Candida albicans
Haemophilus influenzae
Medicine
Infection
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single
The relation between current, electromotive forces and resistance in a circuit by Ohm's law is stated as
Ohm’s law For electric current flow i = E/R For blood flow Q= ΔP/R
1
i = E/R
i = R/E
i = RE
All of the above
Physiology
null
409a9551-1ff1-491a-9ff8-4310634ba642
multi
Commonest site of intro peritoneal abscess is
Pelvic abscess in the most common site of intra peritoneal abscess.
3
Lesser sac
Greater sac
Pelvis
None of the above
Surgery
null
3bb022c9-6529-4eb1-8ad3-4112c250ecf0
multi
Autotrophic requirements are
Nutrients in growth media must contain all the elements necessary for the biosynthesis of pathogenic microorganisms. This rule is especially true of media that are intended to have a selective (select for a specific group of bacteria) or differential (differentiate between a pathogenic and a normal or usual strain of a...
1
CO2 as a carbon source
NH3 as a nitrogen source
CO2 and NH3 together
Essential molecules that the bacteria are unable to synthesize
Microbiology
general microbiology
ec1bd09d-b14d-4343-9e88-7b1da86e4057
single
Down regulation of hormone means ?
Ans. is 'b' i.e., Decreased affinity to receptors Down regulation is a mechanism in which a hormone decrease the number or affinity of its receptors in target tissues. Down-regulation may occur by decreasing the synthesis of new receptors, by increasing the degradation of existing receptors or by inactivating receptors...
2
Decreased secretion of hormone
Decreased affinity to receptors
Defective regulation in secretion
Regulation by low concentration of hormone
Physiology
null
b9afc7c1-e5aa-4107-8fab-becad4c77ab7
single
Blood-testis barrier is formed by
The name "blood-testis barrier" is misleading in that it is not a blood-organ barrier in a strict sense, but is formed between Seoli cells of the seminiferous tubule and as such isolates the fuher developed stages of germ cells from the blood. imageref-sciencedirect.com
1
Seoli cells
Leydig cells
Epididymis
Vas deferens
Anatomy
Abdomen and pelvis
09fb819a-e59e-454e-9194-626254c3f389
single
Foam cells are formed by?
Ans. is 'c' i.e., Macrophages * Foam cells are lipid-laden cells that derive predominantly from macrophages (M2 type), but smooth muscle cells can also imbibe lipid to become foam cells.* They are seen in atherosclerosis.
3
Neutrophills
Fibroblasts
Macrophages
All of them
Pathology
Misc.
663434d1-4d6a-41b9-9644-f0d5e1fe645c
multi
All are features of hypernatremia, except -
null
3
Convulsion
Elevated intracranial tension
Periodic paralysis
Muscle twitching
Medicine
null
3257f3d5-6e98-4ea1-ac9a-f16d6fd8ffa7
multi
Least common complication of lead poisoning in adults -
Among the given options, peripheral neuropathy is least common, and occurs in less than 10% of cases.
2
Abdominal colic
Peripheral neuropathy
Anemia
Encephalopathy
Forensic Medicine
null
19be49bf-8ba5-4a4a-bf30-e1ab6e1cb9c5
single
The partial pressure of CO2 is lowest in:
Ref: Multiple sources, Guyton, 12th edition, Pages 487- 488. 502-503: Khurana, W F Ganong, Review of Medical Physiology, 23rd edition Explanation: Normal PO2 and PCO2 at various sites Atmosphere (sea level) (inspired air Alveoli Pulmonary vein Arterial blood Tissue Venous Pulmonary artery Etpurid Air pO2 160 149-160 10...
2
Arterial blood
End tidal air
Expired air
Venous blood
Unknown
null
25c2f0bc-73d9-4a63-b711-e92e67d7b356
single
Testicular tumour can simulate ?
Ans. is 'b' i.e., Scrotum
2
Hydrocele
Scrotum
Acute epidydimo orchitis
Chronic orchitis
Surgery
null
0751c48e-c165-4dbc-b34e-82463ca940f2
single
A 12 years old boy presents with recurrent attacks of conjunctivitis for the last 2 years with intense itching and ropy discharge. The diagnosis is –
Recurrent conjunctivitis, intense itching and ropy discharge in a 12 year old boy suggest the diagnosis of spring catarrh.
1
Vernal conjunctivitis
Phlyctenular conjunctivitis
Trachoma
Viral conjunctivitis
Ophthalmology
null
7048731d-babb-4d3e-b973-ef3cd8d5f832
single
Which type diabetes is HLA associated -
null
1
Type I diabetes
Type II diabetes
Malnutrition related type disease
Pregnancy related type diabetes
Medicine
null
cbb4b21d-d4e7-4ddb-ade3-15797a79cc8f
single
Vomar-sphenoidal rostrum junction is?
C i.e. Schindylesis
3
Syndesmsis
Synostosis
Schindylesis
Gomphoiss
Anatomy
null
d25db791-7464-4861-bb3f-e94fe4a38286
single
Type II A is associated with all of the following, EXCEPT
Answer is C (Decreased Urinary citrate) Type II A is associated with normal or increased urinary citrate `Urine citrate levels are normal or high because of reduced proximal tubular reabsorption of citrate' -- Harrisons
3
Normal Anion Gap Acidosis
Hyper calciuria
Decreased urinary citrate
Minimum urinary pH < 5.5
Medicine
null
fe754fa5-1cf8-4b83-8711-7f05f3b71948
multi
Comment on the diagnosis?
Ans. (a) Down syndrome.Notice the hypotonia with facial grimace and a wide gap between the first and second toe of the foot. The karyotype confirms it to be trisomy 21.Mnemonic for DOWN Syndrome is "CHILD HAS PROBLEM"* Cataracts/heart disease (Endocardial cushion defect)* Hypotonia/hyperthyroidism* Incur 5th finger/Inc...
1
Down syndrome
Turner syndrome
Prader-Willi syndrome
Patau syndrome
Pathology
Cytogenetic Disorders
07dd2d6c-e766-4f55-949a-86ef5e732d2c
single
Normal voice heard from 1 meter, intensity of sound reaching ear is
Ans. is 'c' i.e. 60dB Intensity is the strength of sound which determines its loudness. It is usually measured in deeibeis (dB). o Following are intensities when a person is at a distance of one meter from sound source. Whisper 30dB Normal conversation 60dB Shout 90 dB Discomfo of ear 120dB Fain in ear 130 dB
3
20 dB
40 dB
60 dB
80 dB
Social & Preventive Medicine
null
e3d8e380-cc66-4ff0-a6fa-6b01a3311d1f
single
Reilly bodies are inclusion bodies seen in hurler's disease within
null
1
Lymphocytes
Fibroblast
RBC
WBC
Pathology
null
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single
Adipose tissue releases free fatty acids in the
null
1
Fasting state
Resting state
Active state
All of the above
Biochemistry
null
535459a7-2808-4acf-946b-a722c91bee44
multi
With reference to Escherichia coli infections, the following are true, EXCEPT:
Enteroinvasive E. Coli shares many genetic and clinical features with Shigella not salmonella. Enterotoxins produced by it initially induce secretory small-bowel diarrhea. Subsequently it colonize and invades the colonic mucosa resulting in the development of inflammatory colitis characterized by fever, abdominal pain,...
3
Enteroaggregative E. coli is associated with Persistant diarrhoea
Enterohemorrhagic E. coli can cause haemolytic uraemic syndrome
Enteroinvasive E. coli produces a disease similar to salmonellosis
Enterotoxigenic E. coli is a common cause of travelers' diarrhoea
Microbiology
null
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multi
Dissociative anaesthesia is produced by - (PGI 99)
Ans. is 'a' i.e., Ketamine Dissociative anaesthesia is characterized by profound analgesia, immobility, amnesia with light sleep and feeling of dissociation from once own body and the surroundings Cataleptic state. Ketamine (phencyclidine) induces dissociative anaesthesia.
1
Ketamine
Etomidate
Propofol
Thiopentone
Anaesthesia
null
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single
Brunner's glands secrete an alkaline product that helps achieve optimal pH for the activity of pancreatic enzymes. Where are these glands located?
Brunner's glands are located in the submucosa of the duodenum. These glands are connected to the intestinal lumen by ducts that open into ceain crypts. They secrete an alkaline product that protects the duodenal mucosa from the acidic chyme and helps achieve optimal pH for pancreatic enzymes. The small intestinal villi...
4
At the base of villi throughout the small intestine
In the epithelium of the ampulla of Vater
In the mucosa and submucosa of the jejunum
In the submucosa of the duodenum
Anatomy
null
4f4c73a9-3f39-4020-83b2-fc6db24ff72d
multi
Vertebra plana is seen in – a) Eosinophilic granulomab) Traumac) Paget's diseased) Malignancy
null
2
acd
abd
abc
ab
Radiology
null
267b9636-2514-4f81-81b9-8c5e392872e5
single
Layer of non-pigmented epithelium of the ciliary body is the forward continuation of the:
Ans. Sensory retina
2
Pigment epithelium of the retina
Sensory retina
Internal limiting membrane of the retina
Bruch's membrane of the choroid
Ophthalmology
null
ca41edbf-ce4e-412b-9a1b-cfc46a715233
single
HIV is not seen in:
Ans: a (Tears) Ref: Harrison, 16th ed, p. 1079; 17th ed, p. 1144HIV is not usually found in tears. It is usually transmitted by semen, cervical secretion and blood.HIVClinical features1. Primary infectionIt is symptomatic in 70-80% of cases and usually occurs 2-4 weeks after exposure. The major clinical manifestations ...
1
Tears
Cervical secretion
Semen
Blood
Medicine
Infection
7b981ced-70b6-41ef-9d3c-b2531edc6b18
single
Which drug should be avoided in pregnancy ?
null
1
Phenytoin
Insulin
Heparin
All
Pharmacology
null
75fd9c78-57d3-485f-a655-74275a373ce1
multi
The shunt surgery to control variceal bleeding in noncirrhotic poal fibrosis is done, if:
Shunt surgery is preferred in Non cirrhotic poal fibrosis with: Symptomatic large splenomegaly Very low platelet count (<20,000) Stays far away from a good medical center where an upper GI bleed can be tackled Rare blood group Endoscopic variceal ligation is preferred as the treatment modality for UGI bleeding in NCPF....
1
Very low platelet count
Upper GI bleeding at the age of 30
If beta blockers contraindicated
Associated with cirrhosis
Medicine
null
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single
All are cndopeptidases except -
Ans. is 'c' i.e., Carboxypeptidase o Trypsin, chymotrypsin and elastase are endopeptidases, which means that they split peptide linkages in the middle of the amino acid chain, not at either end.o Carboxypeptidases (A and B), on the other hand, are exopeptidases, i.e., They split the peptide linkage at the carboxyl end ...
3
Trypsin
Chymotripsin
Carboxypeptidase
None
Biochemistry
Biological Function of Proteins
544e2fe4-6d5c-4e43-afbd-01e8089dfa7f
multi
A 25-year-old lady presented with fever of one month duration, ataxia and headache. Brain imaging showed dilated ventricles with basal exudates. Which among the following is the most likely CSF finding?
Ans. c. Lymphocytosis, low glucose, high protein (Ref: Harrison 19/e p1111, 18/e p3414)Presence of significant basal exudates, together with dilated ventricles (hydrocephalus) in a young female with prolonged history of fever and headache suggests a diagnosis of tubercular meningitis. Tubercular meningitis is character...
3
Lymphocytosis, low glucose, low protein
Lymphocytosis, normal glucose, high protein
Lymphocytosis, low glucose, high protein
Polymorphonuclear pleocytosis, normal glucose, high protein
Medicine
C.N.S.
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single
Agammaglobulinemia can present with?
ANSWER: (D) All aboveREF: Harrisons 18th ed chapter 361Major signs and symptoms of B cell defects are due to inadequate production of antibodies, and most mucosal membranes are left unguarded, hence leading to their infections.Defective antibody production allows the establishment of invasive, pyogenic bacterial infect...
4
Rhinitis
Bronchiectasis
Giardia infections
All above
ENT
Rhinitis
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multi
Most commonly used scalpel blade for intraoral surgery is:
Most commonly used scalpel blade for intraoral surgery – No. 15 The blade used primarily for making small stab incisions, such as for incising an abscess – No. 11 Blade commonly used for skin incisions – No. 10 blade The hooked blade commonly used for mucogingival procedures – No. 12 blade The blades commonly used in g...
1
No.15
No.11
No.12
No.10
Surgery
null
259f1d61-b0ab-4b85-9c22-bfdab4a154ee
single
Nef gene in HIV is for use-
nef ( negative factor gene) down regulates viral replication. REF:ANANTHANARAYAN AND PANIKER'S TEXTBOOK OF MICROBIOLOGY 9TH EDITION PAGE NO-572
3
Enhancing the expression of genes
Enhancing viral replication
Decreasing viral replication
Maturation
Microbiology
Virology
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single
The use of tamoxifen for breast cancer can cause all of the following adverse effects, except:
Tamoxifen reduces the recurrence rate of breast cancer in ipsilateral as well as contralateral breasts. Adverse effects associated with the use of tamoxifen are: 2-3 fold increased risk of thromboembolism 2-3 fold increased risk of endometrial carcinoma Hot flushes, vomiting, vaginal discharge, menstrual irregularities...
3
The use of tamoxifen for breast cancer can cause all of the following adverse effects, except:
Endometrial carcinoma
Carcinoma in contralateral breast
Cataract
Pharmacology
null
ca1b5d9e-cc88-4426-a54c-df4cd5ece4ed
multi
Extragonadal germ cell tumors occur in all of the following except -
Extragonadal germ cell tumors occur at : - Mediastinum → M.C. site.       Retroperitoneum  → 2nd M.C. site.      Sacrococcygeal region → Sacrococcygeal teratoma. Pineal gland
4
Sacrococcygeal region
Mediastinum
Brain
Testis
Pathology
null
71c96822-24ad-4ebe-b559-6614bce7b420
multi
Which among the following is the commonest type of parotid tumor?
Pleomorphic adenomas, or benign mixed tumors, are the most common neoplasms of the salivary glands. They represent approximately 60-70% of all parotid tumors and 90% of submandibular benign tumors. These neoplasms affect females more than males and are commonly seen in the third to sixth decades of life. It presents as...
1
Pleomorphic tumor
Wahin's tumor
Adenoid cystic Ca
Secondaries
Surgery
null
9f76fa19-1be4-4a9f-be6c-b0ed88c559e3
single
Barrel shaped spores (arthospores) is seen with -
null
3
Blastomyces
Histoplasma
Coccidioides
Candida
Microbiology
null
1c875c19-6eef-47ac-8620-8b7800064b86
single
Which of the following enters the TCA cycle at succinyl - CoA?
Valine Isoleucine Methionine conves to Propionyl CoA & then conves to Succinyl CoA & enters the cycle.Ref: DM Vasudevan Textbook of Medical Biochemistry, 6th edition, page no: 221
2
Tyrosine
Methionine
Tryptophan
Histidine
Biochemistry
Respiratory chain
d5605c29-6b07-4d43-8b2f-0047f03cf82a
single
Nasion lies at the junction of
The nasion is the point where the internasal and frontonasal sutures meet. It lies a little above the floor of the depression at the root of the nose, below the glabella. Nasion is termed as the central point of the frontonasal suture. Ref: BD Chaurasia's HUMAN ANATOMY, Volume 3, 4th edition.
1
Frontonasal and internasal suture
Frontonasal and interparietal suture
Frontonasal and frontozygomatic suture
Frontogomatic and internasal suture
Anatomy
Head and neck
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single
Women with Plummer Vinson develops which cancer ?
null
2
Pyriform fossa
Esophagus
Subglottis
Epiglottis
Surgery
null
457497c5-ef40-4026-9511-7894bb1362f3
single
Cementogenesis begins after how many days of root end resection:
null
2
6 days.
10-12 days.
28 days.
8 weeks.
Dental
null
6cb7d65c-ea7d-4e07-be18-c4d17caf5af1
single
Vitamin deficiency causing optic atrophy -
Ans. is 'b' i.e. Vitamin B Nutritional optic atrophyo The exact mechanism by which nutritional deficits damage the optic nerve has not been elucidated. Although the etiology is likely multifactorial, most clinicians agree that in patients who abuse ethanol and tobacco, malnourish- ment is often present and undemutritio...
2
Vitamin A
Vitamin B
Vitamin C
Vitamin D
Ophthalmology
Diseases of the Optic Nerve
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single
Which of the following instructions is not given if a second puff is required from this device?
Ans. A. Wash mouth between two puffsRecommendations for correct inhaler technique: -a. Remove capb. Check does counter (if applicable)c. Hold inhaler upright and shake welld. Breathe out gently, away from the inhalere. Put mouthpiece between teeth without biting and close lips to form good sealf. Start to breathe in sl...
1
Wash mouth between two puffs
Wait for one minute before taking the second puff
Shake again
Keep mouth piece dry
Pharmacology
Miscellaneous (Pharmacology)
cd7608a5-aabd-4670-84d4-7438044610a0
single
A 45-year-old woman underwent a modified radical mastectomy 4 years ago. She was treated for multiple bone metastases with cyclophosphamide, doxorubicin, and fluorouracil for 6 months. She is complaining of exeion on exercise, swelling of the legs, and swelling around eyes in the morning. On examination, she has bilate...
Answer is B (Drug induced cardiac toxicity) Features of cardiac failure in a patient on doxorubicin suggests the possibility of Anthracycline induced cardiac toxity.Risk of Anthracyclinc induced cardiac toxicity is increased with concomitent radiation and cyclophosphamide. cardiac failure after 6 months of chemotherapy...
2
Systolic dysfunction CHF
Drug induced cardiac toxicity
Metastatic cardiac disease
Pneumonia
Medicine
null
9eb17295-7776-45a3-aa9a-55c6c61595c5
multi
The structure marked with arrow is most likely:
Because of its relatively low radiodensity, calculus is better visualized on images made with reduced exposure.
3
Pulp obliteration
Reactionary dentin
Calculus
Plaque
Radiology
null
e88494a8-87d4-4992-9e62-e60abbac2e42
single
The histology of Lobular carcinoma of breast reveals-
Invasive lobular carcinoma consists of cells morphologically identical to the cells of LCIS. Two thirds of the cases are associated with adjacent LCIS. The cells invade individually into stroma and are often aligned in "single-file" strands or chains. This growth pattern correlates with the presence of mutations that a...
1
Single file pattern
Pleomorphic cells in sheets
Clustersl/lslands of cells with mucous lakes
Solid syncytium like sheets
Pathology
Breast
5cb47606-0054-493f-8f14-18f172907a09
single
You are in the eye OPD and wish to use a topical beta blocker in a patient. The chosen drug by you should have all the following properties EXCEPT:
Drugs having local anesthetic property will increase the risk of corneal ulcers.
1
Strong local anaesthetic activity
High lipophilicity
High ocular capture
Low systemic activity
Pharmacology
null
7896c431-eead-4bf0-b3c9-ddcd7a263239
multi
Medical treatment of pancreatitis includes :
Answer is C (Calcium) :
3
Cholestyramine
Aprotinin
Calcium
Glucagon
Medicine
null
f6f3d5d5-3bd6-417f-bd19-7071d6056658
single
Alkalinization of urine is required for decreasing poisoning due to
For acidic drug poisoning like (barbiturates, salicylates and methotrexates) ,urinary alkinization agents are prescribed where as basic drug poisoning (morphine, amphetamine ,atropine etc) urinary acidification agents are prescribed. Refer Ltd 7/e p29
1
Barbiturates
Amphitamines
Alcohol
Morphine
Anatomy
General anatomy
a1d60a6a-0e17-46d7-8f00-8a3ec21e6c8b
single
Eastern equine encephalitis virus is associated with a high fatality rate. Control of the disease could be possible by eradication of
Eastern equine encephalitis (EEE) is a severe disease usually seen in the summer months when Aedes mosquitoes are prevalent. In 1996 and 1997, there were several outbreaks in the Northeast United States. Control of EEE is a function of mosquito eradication. Horses and humans are accidental hosts. While draining of swam...
3
Horses
Birds
Mosquitoes
Fleas
Microbiology
Virology
1d5b1388-594a-4eaa-a321-3419d16ae37d
single
Most common cause of Mediastinitis is:
Answer is B (Esophageal rupture): Most cases of acute mediastinitis are due to esophageal perforation or occur after median sternotomy for cardiac surgery- Harrison Acute Mediastinitis Chronic Mediastinitis 1. 2. Esophageal rupture Q Median sternotomy for cardiac surgery 1. 2. 3. Tuberculosis / Histoplasmosis (most cas...
2
Tracheal rupture
Esophageal rupture
Drugs
Idiopathic
Medicine
null
5f3e04e0-604c-4e70-b34d-de41f7ae1382
single
All are true about pre eclampsia except
Pathophysiology of preeclampsia: In Brain: The main finding is cerebral vasospasm.Small cerebral haemorrhages,thrombosis, and fibrinoid necrosis can occur especially in eclampsia.Cerebral oedema also usual in eclampsia In Liver: Peripoal thrombosis and fibrin deposition,hemorhages,necrosis are seen in the liver.There i...
4
Cerebral hemorrhage
Necrosis of liver
Glomerular endotheliosis
DVT
Gynaecology & Obstetrics
Medical, surgical and gynaecological illness complicating pregnancy
c07bfc2e-6a14-4078-be31-d59e7803f4db
multi
All are true regarding nitrous oxide except
Nitrous oxide being combustible agent, is contraindicated in laser surgeries.
4
Nitrous oxide is good analgesic agent.
Nitrous oxide cylinder is blue coloured
Inhibits thymidylate synthetase enzyme
Good agent to use in pan retinal photocoagulation
Anaesthesia
null
bddb63cc-d1b9-45f5-be1f-f183984961bb
multi
All of the following may be seen with Neuroleptic malignant syndrome except -
Ans. is 'a' i.e., Hypothermia Features of Neuroleptic malignant syndrome o Marked muscle rigidity o Semiunconciousness o High fever (not hypotermia) o Extrapyramidal effects (involuntary movement) o Autonomic instability (Fluctuating BP & Hea rate) o Increased CPK.
1
Hypothermia
Altered consciousness
Muscle rigidity
Involuntary movements
Pharmacology
null
2439f79f-4894-47ea-9dda-e3abd7f2d343
multi
Which of the following is reducing sugar
Sucrose and Trehalose are non reducing sugars. Isomaltose is a disaccharide similar to maltose but with α (1,6) linkage instead of α (1,4) linkage.
2
Sucrose
Isomaltose
Trehalose
All of the above
Biochemistry
null
f68501ac-4870-4a18-9606-620be2bd119e
multi
Which of the following is not a cachetic gene?
Ans is 'c' i.e. Smad 7 o Smad 7 gene delivery prevents cachexia.o Smad-3y melanocortin - 4 receptor (MC4R) and APEH (acylpeptide hydrolase) genes have been implicated in causation of cancer cachexia.
3
APEH
MC4R
Smad7
Smad3
Pathology
Nature of Gene Abnormalities
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single