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Calorie requirement per day of a child weighing 15 kg would be -
Ans. is 'b' i.e., 1250 kcal
2
1150 kcal
1250 kcal
1450 kcal
1550 kcal
Pediatrics
null
2f6fcd3f-af72-46f2-8644-03a5c17ae86e
single
A 24-year-old medical student was bitten at the base of her thumb by her dog. The wound became infected and the infection spread into the radial bursa. The tendon(s) of which muscle will most likely be affected?
Tenosynovitis can be due to an infection of the synovial sheaths of the digits. Tenosynovitis in the thumb may spread through the synovial sheath of the flexor pollicis longus tendon, also known as the radial bursa. The tendons of the flexor digitorum superficialis and profundus muscles are enveloped in the common syno...
3
Flexor digitorum profundus
Flexor digitorum superficialis
Flexor pollicis longus
Flexor carpi radialis
Anatomy
Upper Extremity
bf3060de-91b5-4462-a42b-1bf648b02f59
single
A two way process of exchanging or shaping ideas, feeling and information is called as
null
2
Education
Communication
Interview
Suggestion
Dental
null
bf6aaafa-666b-4a31-a39c-722047c206e5
multi
Angular vein infection causes thrombosis in:
Ans. A Cavernous sinusRef: Gray's Anatomy, 40th ed. Ch; 29* The upper most segment of the facial vein, above its junction with the superior labial vein, is also called the angular vein.* Any infection of the mouth or face can spread via the angular veins to the cavernous sinuses resulting in thrombosis.
1
Cavernous sinus
Suprasaggital sinus
Transverse sinus
Inferior petrosal sinus
Anatomy
Neuroanatomy
a0b89dad-2295-4fd8-8f50-587a9e839518
single
Which laxative acts by opening of Chloride channels ?
Ans. is 'c' i.e., Lubiprostone o Lubiprostone is used for chronic constipation, it acts by - o Stimulating Cl- channel opening in the intestine. Increasing liquid secretion in gut. Decreasing transit time.
3
Docusate
Anthraquinone
Lubiprostone
Bisacodyl
Pharmacology
null
90076952-1966-402b-bbb6-081a567b5606
multi
All the following features favour ventricular tachycardia as the cause of broad-complex tachycardia, except -
null
3
Fusion beats
Extreme left axis deviation
Very broad QRS complexes (> 140 ms)
Non response to carotid sinus massage
Medicine
null
d33408ca-e883-4a13-b671-fbb040d11c3b
multi
Lallu a 22 yrs. old male suffers from decreased sleep, increased sexual activity, excitement and spending excessive money for last 8 days. The diagnosis is-
Decreased sleep, increased sexual activity, excitement and spending excessive money are symptoms of mania.
2
Confusion
Mania
Hyperactivity
Loss of memory
Psychiatry
null
9098c2de-0c09-4332-b14c-04bb60bcafd8
multi
Branches of celiac trunk are all except-
Ans. is 'd' i.e.. Inferior phrenic artery Inferior phrenic artery is a branch of abdominal aorta, not of Celiac trunk. Branches of Celiac trunk is a extremely important topic for PG exams. Branches of important arteries are very often asked in PG exams. I am giving a list of important arteries. Learn their branches by ...
4
Splenic artery
Left gastric artery
Hepatic artery
Inferior phrenic artery
Anatomy
Blood Vessels of Abdomen and Pelvis
681e1bdf-6ba1-43a8-ae80-3a540a83bd0a
multi
The disease process that best accounts for this problem:
Vomiting
4
Ethylene glycol poisoning
Chronic obstructive pulmonary disease
Congestive hea failure
Vomiting
Pathology
null
201e9563-123a-4a5d-ac11-65848ed09624
single
Loeffler&;s syndrome occurs in all except
*Giardia lamblia -intestinal flagellate,causing intestinal infection. *Loeffler syndrome- inflammatory and hypersensitivity reaction in the lungs lead to cough ,fever, dyspnoea and eosinophilia *toxocara causes visceral larva migrans . ref:Baveja textbook of parasitology 3rd edition.
4
Toxocara
Stongyloides
Ascaris
Giardia
Microbiology
parasitology
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multi
A 7-day-old premature infant born at 26 weeks of gestation now has a grossly bloody stool, abdominal distention, and increasing oxygen requirements. choose the best initial diagnostic step in the evaluation of the patient's apparent GI hemorrhage.
Necrotizing enterocolitis (NEC) is a life-threatening condition seen mostly in premature infants. Although the precise etiology is unknown, contributing factors include GI tract ischemia, impaired host immunity, the presence of bacterial or viral pathogens, and the presence of breast milk or formula in the gut. Finding...
1
Abdominal series
Fiberoptic endoscopy
Apt test
Routine stool culture
Pediatrics
Gastro Intestinal System
e7fae33e-47a9-47f4-afd0-82ac4ebeeb09
multi
Lactic acid is produced in mouth by
null
1
Saccharolytic bacteria in supragingival region
Saccharolytic bacteria in subgingival region
Non-saccharolytic bacteria in supragingival region
Non-saccharolytic bacteria in subgingival region
Dental
null
88596a8b-498f-4e5f-950d-4bb1b2ad683f
single
Commonest site of liquifactive necrosis is
Ans. a (Brain). (Ref. Robbins, Pathologic Basis of Disease, 8th/pg.7-13)NECROSIS# Enzymatic degradation of a cell resulting from exogenous injury.# Characterized by enzymatic digestion and protein denaturation, with release of intracellular components.# Morphologically occurs as coagulative (heart, liver, kidney), liqu...
1
Brain
Kidney
Liver
Spleen
Pathology
Cellular Pathology
40dacf03-d7e8-45a4-945c-094f30a1abb1
single
Ixabepilone is used in:
Chemotherapy regimen in CA BreastMnemonic- CMF- C- cyclophosphamide- M- methotrexate- F -5- FUMnemonic-CAF- C- cyclophosphamide- A- Adriamycin (doxorubicin) (anthracycline derivative)- F - 5 - FU- The preferred form of chemotherapy for CA breast - CAF or Adriamycin or Anthracycline based Chemotherapy.- Usually 6 cycles...
2
Melanoma
Breast carcinoma
Oat cell carcinoma
Small cell carcinoma lung
Surgery
Breast
dd848b66-6eb0-4347-bd1d-9ab8fb1b2dce
multi
Head of sperm is derived from:
Ans. B. NucleusThe spermatozoon consists of head, neck, and tail. The tail is further divided into three parts: middle piece, principle piece, and end piece.a. The head mainly consists of a nucleus that contains the condensed chromatin material (mostly DNA).b. Anterior two-third of the nucleus is covered by an acrosoma...
2
Golgi Body.
Nucleus
Mitochondria.
Centromere
Anatomy
Embryology
48ddbb5f-15ba-4013-923c-73c6461af514
single
Hepatitis A virus shedding in faeces is
null
4
One week before the symptoms appear
Two weeks after the symptoms appear
One week before the symptoms and one week thereafter
Two weeks before the symptoms and two week thereafter
Social & Preventive Medicine
null
c31211a0-71b3-44de-99fa-d8ef79bfaa24
single
Spinal anaesthesia in an adult is given at this level:
Spinal cord ends at lower border of L1 in adults .Hence spinal anesthesia can be given at levels below L1 . L2-L3 or L4-L5 are considered best in adults
3
T12-L1
L1-L2
L3-L4
L5-S1
Anaesthesia
FMGE 2019
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single
Decreased motility of fallopian tube is seen in -
Ans-B
2
Churg- strauss syndrome
Kartagener s syndrome
Noonan syndrome
Turner syndrome
Unknown
null
4f5b188c-9468-45e8-b4e0-4d33e0e244e8
multi
The earliest manifestation of increased intracranial pressure following head injury is
• Early signs of elevated ICP includes drowsiness and a diminished level of consciousness. • Coma and unilateral papillary changes are late signs and require immediate intervention.
3
Ipsilateral pupillary dilatation
Contralateral pupillary dilation
Altered mental status
Hemiparesis
Surgery
null
cbce5334-28c5-48e1-b2f3-2a3b5e79e913
single
What is the most likely diagnosis in this 50-year-old woman?
Answer A. MetastasisFollowing radiography that revealed a lytic lesion of the terminal phalynx, the firm 2-cm lesion with a scab in the center was biopsied and found to represent a metastasis from follicular thyroid carcinoma.
1
Metastasis
Onychomycosis
Psoriasis
Thromboangiitis obliterans
Medicine
Immunology and Rheumatology
0921441e-f890-4483-9124-d73958608213
single
At what level of b-hCG is it that normal pregnancy can be earliest detected by TVS (transvaginal USG)?
Ans. is b, i.e. 1000IU/MLRef Dutta Obs. 7/e, p 642Critical titre of hCG:b-hCG level (mIU/ml)Structure visibleTVS/TAS* 1000-1200Gestational sacTVS* 6000Gestational SacTAS
2
500 IU/mL
1000 IU/mL
1500 IU/mL
2000 IU/mL
Gynaecology & Obstetrics
Diagnosis in Obstetrics
4a671b2d-e0fa-4ad8-8dec-3a6c34401060
single
In a patient of cholangitis, surgical intervention was performed. In post-operative period, on 10th day this investigation was performed. What is the name of this investigation?
The investigation is T-tube cholangiogram.
3
ERCP
MRCP
T-tube cholangiogram
PTC
Surgery
Bile duct
b10e59eb-0900-4404-92d6-d8f568a19a25
single
Hepatitis B virus is NOT present in
(ref: Harrison's 18/e p2108)
4
Milk
Sweat
Stool
Lymph
Medicine
All India exam
cdb2d02d-eb8a-4707-ab9c-ed0a9248c687
single
Milroys disease is lymphedema which is-
null
1
Familial
Follows filariasis
Follows erysipelas
A sequele to white leg
Surgery
null
dcfb499f-109b-420c-a939-9bf6f2b01f58
single
Erythropoietin is inhibited by
Glycoprotein hormone that controls erythropoiesis, or red blood cell production. Estrogen inhibits the erythropoietin whereas testosterone stimuates production . Ref: Ganong's Review of Medical Physiology; 24th edition; page no: 709
1
Estrogen
Progesterone
Thyroxine
Testosterone
Physiology
Renal physiology
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single
Other than nitrogen and oxygen, which one of the following is the most abundant gas in the eah's atmosphere?
Atmosphere composition Nitrogen 78% O2 21% Argon 0.9% CO2 0.03%
1
Argon
Carbon dioxide
Hydrogen
Methane
Social & Preventive Medicine
Environment and health
01c55c70-9f52-42ba-8b6d-473f0bcabc81
single
Blood spill disinfection by:
ANS. B# Spaulding's classification for sterilization1. Critical, e.g. heart lung machine, scalpel (contact with blood)2. Semicritical, e.g. endoscopes3. Noncritical, e.g. stethoscope, BP cuff, plasters.Method of sterilization1. Critical: Autoclave/ethylene oxide2. Semicritical: 2% glutaraldehyde for 20 minutes3. For pl...
2
Isopropyl alcohol
Hypochlorite
Formalin
Glutaraldehyde
Microbiology
General
32ac0d34-327f-4c22-b1c6-1c866e7aaec6
single
Most permissible capillaries are seen in
Capillaries are classified in toContinuous or non fenestrated capillaries - Endothelial cells are arranged without any gap in between them. Eg. Skin, BBB. Allows only very small molecules to pass through. Fenestrated capillaries - Gaps in between endothelial cells ranging from 70-100nm in diameter which are lined by ba...
2
Kidney
Liver
Brain
Skin
Physiology
Cardiovascular system
ddbd5348-4545-4df3-85f7-b5456de5b261
single
A 41-year-old male patient presented with recurrent episodes of bloody diarrhoea for 5 years. Despite regular treatment with adequate doses of sulfasalazine, he has had several exacerbations of his disease and required several weeks of steroids for the control for flares. What should be the next line of treatment for h...
null
2
Methotrexate
Azathioprine
Cyclosporine
Cyclophosphamide
Medicine
null
b3809ff9-ba9a-4aa0-a8b0-d11acaf1e6c9
single
Anaplasia is a hallmark feature of _________.
Anaplastic cells often display the following morphologic features: Pleomorphism (i.e. variation in size and shape). Nuclear abnormalities, consisting of extreme hyperchromatism (dark-staining), variation in nuclear size and shape, or unusually prominent single or multiple nucleoli. Enlargement of nuclei may result in ...
2
Benign tumors
Malignant tumors
Both 1 & 2
Normal cell
Pathology
null
e7f62a9d-8b4e-420e-a43b-0e60ddc26f2e
multi
Active moiety of CoA is
- Synthesis of coenzyme A from pantothenate occurs in a series of  reactions. Pantothenate is  first phosphorylated to  which  cysteine is  added. Decarboxylation, followed by addition of AMP moiety and a phosphate (each from ATP) results in  coenzyme A. -Coenzyme A serves as a carrier of activated acetyl or acyl group...
4
Acetyl group
Pantothenic acid
Thiol of beta alanine
Thiol of pantothenic acid
Biochemistry
null
235c3a69-e95b-424e-b21f-4dc98224af20
single
All the following are radiological features of Chronic Cor pulmonale except-
Answer is B (Prominent lower lobe vessels) : Chronic Cor Palmonale is associated with prominence of upper lobe and not lower lobe veins. Features of Congestive Cardiac Failure(CCF / CHF) include : 1. Enlarged cardiac silhouette / Cardiac shadow on chest X-rayQ 2. Ground glass appearance of pulmonary edema Q 3. 'Kerley ...
2
Kerley B lines
Prominent lower lobe vessels
Pleural effusion
Cardiomegaly
Medicine
null
ac475a01-ae53-4926-85fa-935ab971633d
multi
Nestritide is a -
Ans. is 'a' i.e., Brain natriuretic peptide analogue
1
Brain Natriuretic peptide analogue
Endothelin R antagonist
Gp Ilb/IIIa antagonist
INF-a antagonist
Pharmacology
null
a781147f-a578-4163-a83f-95778f7d19d6
single
Leukoplakia appears white due to :
null
1
Cornified layer which imbibes water.
Thick epithelium
Underlying connective tissue
All of the above
Pathology
null
74e23f7d-e084-4311-a004-be92a6400a52
multi
Which of the following tooth can show any of the eight types of Vertucci’s classification?
Maxillary 2nd premolar can show any of the eight types of Vertucci's classification.
4
Lower 1st premolar
Upper 1st premolar
Lower 2nd premolar
Upper 2nd premolar
Dental
null
0bf5934a-b2bc-4813-847d-34f919d1b329
single
A 25 yr old lady develops brown macular lesions over the bridge of nose and cheeks following exposure to sunlight. What is the most probable diagnosis?
This lady is showing features of chloasma which is a brownish macular hyperpigmentation of the face mostly over the cheek, forehead, nose, upper lip and chin. In a small percentage of cases it is also seen on the malar or mandibular areas of the face and occasionally the dorsum of the forearms. It is exacerbated by sun...
1
Chloasma
Photodermatitis
SLE
Acne rosacea
Skin
null
404ff199-6c04-4e7a-a59c-60162a7ecf07
single
Which of the following is a BNP analogue?
Ans. B. NesiritideBNP (Brain natriuretic peptide) is peptide which is secreted & formed in right atrium of the heart. This is responsible for vasodilation & hence used in CHF. Nesiritide is BNP analogue
2
Eplerenone
Nesiritide
Levosimendan
Coenzyme Q
Medicine
Drugs
6eff9805-f407-4f47-8aa7-82a5883fda08
multi
Intravascular heamolysis occurs in
Paroxysmal noctural hemoglobunuria (PNH) is the only hemolytic anemia caused by an acquired intrinsic defect in the cell membrane. It is associated with intravascular hemolysis. Rest all conditions causes extravascular heamolysis.
3
Hereditory spherocytosis
Antoimmune haemolytic anemia
Paroxysmal nocturnal hemoglobinuria
Thalassemia
Pathology
null
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single
Healing of a wound which simply restores the continuity of the diseased marginal gingiva is known as
null
3
Regeneration
new attachment
Repair
reattachment
Dental
null
168ac3e1-1ace-4015-9b17-8a137842c2ee
single
Intra uterine growth retardation can be caused by all except -
Ans. is d i.e., Phenotiazines
4
Nicotine
Alcohol
Propranolol
Phenothiazine
Pediatrics
null
4e32fcdc-8948-4f07-b12f-76a1b354b80b
multi
An alcoholic is brought to the casualty, 3 days after he quit alcohol, with the complaints of irrelevant talking. On examination, he is found to be disoriented to time, place and person. He also has visual illusions and hallucinations. There is no history of head injury. The most probable diagnosis is:
This patient in the question who is a chronic alcoholic is showing features of delirium tremens, which typically appears after 3-4 days of abstinence from alcohol (24 hours to 7 days). Ref: CURRENT Diagnosis and Treatment: Emergency Medicine, 7th Edition, Chapter 37 ; CURRENT Diagnosis and Treatment: Psychiatry, 2nd Ed...
2
Schizophrenia
Delirium tremens
Dementia praecox
Korsakoff psychosis
Psychiatry
null
974166b0-214b-4d84-8785-3a6ad189abd0
multi
Repeat upper GI endoscopy in a patient with a gastric ulcer is performed after how many weeks of PPI therapy to assess the healing of the ulcer and confirm absence of malignancy:
Repeat upper endoscopy is done in patients with a gastric ulcer after 6 to 10 weeks of acid suppressive therapy to confirm healing of the ulcer and absence of malignancy. 2% to 4% of repeat upper endoscopies have been repoed to disclose gastric cancer. Ref: Sleisenger and Fordtran's, E-9, P-305
3
2 weeks
4 weeks
6 weeks
12 weeks
Medicine
null
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single
Hassal's corpuscles are seen in
Corpuscles of hassall present in the medulla of thymus Formed from eosinophilic epithelial reticular cells arranged concentrically INDERBIR SINGH'S TEXTBOOK OF HUMAN HISTOLOGY SEVENT EDITION PAGE NO139
1
Thymus
Thyroid
Parathyroid
Spleen
Anatomy
Thorax
57a57575-091f-48dd-9940-862caf87e7aa
single
True regarding amaurosis fugax are all except:
Amaurosis fugax Sudden, temporary and painless monocular visual loss occurring due to a transient failure of retinal circulation. Uniocular lesion Lasts for 2-5 minutes and resolves in the reverse pattern of progression, leaving no residual deficit. Fundus : May be normal or shows retinal ischemia-Retinal oedema and sm...
2
Transient, recurrent episodes of visual loss
Binocular lesion
Embolus from carotid aery is commonest cause
Ocular examination may be normal
Ophthalmology
Investigation in ophthalmology and miscellaneous topics
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multi
Not a indication for admission in pneumonia ?
Ans. is 'a' i.e., Fever of 39degC Indications for urgent referral for hospital in AI Not able to drink Convulsions Severe malnutrition Stridor in calm child Abnormally sleepy or difficult to wake o All these are signs of very severe disease which is an indication for urgent hospital referrel. o Signs of very severe pne...
1
Fever of 390 c
Cyanosis
Chest retracion
Not feeding well
Social & Preventive Medicine
null
4aa671f1-1545-4290-87a8-e5950218cc3d
single
A dental floss is applied to the distal bow of a clamp, its function is:
null
2
To facilitate the removal of the clamp
To prevent aspiration of clamp
To anchor the dam as cervically as possible
To stabilize the clamp
Dental
null
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multi
Best way to prevent infection after cataract surgery is
Topical antibiotics such as tobramycin or gentamicin or ciprofloxacin QID for 3 days just before surgery is advisable as prophylaxis against endophthalmitis.Ref: Khurana; 4th edition; Pg- 184
1
Antibiotics
Eye brow shaving
Through irrigation
None of the above
Ophthalmology
Lens
92a7ea49-5e3e-4106-8fe5-d6930a2f8caa
multi
Which of the following antismoking drugs can lead to suicidal ideation?
Vareniciline is a partial agonist at α4 β2 substype of nicotine receptor used to treat tobbacco addiction. Side effects include suicidal ideation, nausea, headache & insomnia.
3
Baclofen
Rimonobant
Varenicline
Naltrexone
Psychiatry
null
4d0bf425-6430-4174-a993-e4302bd601b7
single
Positive dipstick for RBC with red color urine and red supernatant and clear sediment with positive dipstick -
Answer- D. RhabdomyolysisIf a urine dipstick of the red supernatant is positive for heme, the patient has either hemoglobinuria or myoglobinuria.If a urine dipstick of the red supernatant is negative for heme, the patient may have one of a variety of unusual conditions
4
Porphyria
Hematuria
Hemolysis
Rhabdomyolysis
Medicine
null
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single
Complications of obesity is/are: 1. Venous ulcer 2. Pulmonary embolism 3. Pickwickian syndrome 4. Hernias 5. Pulmonary hypeension
Clinical presentation of obesity The morbidly obese patients often presents with chronic weight-related problems such as migraine headaches; back and lower extremity joint pain from degenerative joint disease; venous ulcers; dyspnea on exeion; biliary colic; stress urinary incontinence; dysmenorrhea; infeility; gastroe...
4
1,2,3 & 4
2,3,4 & 5
1,2,3 & 5
All are true
Surgery
null
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multi
All are true about popliteus except -
Popliteus has an intracapsular origin that arises from lateral surface of lateral condyle of femur and from outer margin of lateral meniscus of knee. It inserts onto the posterior surface of shaft of tibia above the soleal line. Nerve supply: Tibial nerve. Action: Unlocking of knee joint by lateral rotation of femur, p...
3
Flexes the knee
Unlocks the knee .
Inserted on medial meniscus
Intracapsular
Anatomy
null
a32d45ac-63f1-4691-875f-07ef3e9ba287
multi
Which among the following is it best inotrope drug for use in right hea failure
(Ref Goamnan and Gilman, 11/e p575, inotropic drugs are not used for treatment of right sided where the major treatment is diuretics and vasodilators. Milriinone being a phosphodiesterase inhibitor act as an inodilator. Thus, this is the only inotropic drug that should be used in right sided failure due to its ablity t...
4
Dobutamine
Digoxin
Dopamine
Milrinone
Pharmacology
Cardiovascular system
4e7735c0-2333-41cd-b07a-3321ad59f8f9
multi
Which of the following is a disadvantage of topically applied sodium fluoride solution?
Advantages of neutral sodium fluoride solution- 1. It is relatively stable when kept in a plastic container and there is no need to prepare a fresh solution for each patient.  2. The taste is well accepted by patients.  3. The  solution  is non-irritating  to the gingiva.  4. It does not cause discoloration of tooth st...
3
Need to prepare a fresh solution for each patient
Taste is not well accepted by patients
Patient must make four visits to the dentist within a relatively short period of time
The solution should be allowed to dry for 5 minutes
Dental
null
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multi
The antimicrobial agent which inhibits the ergosterol biosynthesis is:
IMIDAZOLES AND TRIAZOLES: These are presently the most extensively used antifungal drugs. Four irnidazoles are entirely topical, while ketoconazole is used both orally and topically. Two triazoles fluconazole and itraconazole have largely replaced ketoconazole for systemic mycosis because of greater efficacy, longer tl...
1
Ketoconazole
Amphotericin B
5-Flucytosine
Griseofulvin
Pharmacology
Chemotherapy
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single
In embalmingr solution is given through ?
Emblamings may be aerial emblaming and cavity emblaming.
2
Veins
Aeries
Lymphatics
none of above
Forensic Medicine
null
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multi
Lipids are transferred from intestine to liver by
.
1
Chylomicrons
VLDL
HDL
LDL
Physiology
All India exam
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single
A 7 year old boy presented with generalized edema.Urine examination revealed marked albuminuria.Serum biochemical examinations showed hypoalbuminaemia with hyperlipidemia.Kidney biopsy was undeaken.On light microscopic examination, the kidney appeared normal.Electron microscopic examination is most likely to reveal
Answer is A (Fusion of foot processes of the glomerular epithelial cells):The presence of generalized edema is a 7 year old boy with proteinuria suggests a diagnosis of Nephrotic syndrome. This child is likely to have. Minimal change disease as this is the most common cause of Nephrotic syndrome in children and is asso...
1
Fusion of foot processes of the glomerular epithelial cells
Rarefaction of glomerular basement membrane
Deposition of electron dense material in the basement membrane
Thin basement membrane
Medicine
null
55f90618-002b-4943-95d2-e6bebee1e018
single
Which is not synthesized by the vascular epithelium?
Endothelial cells constitute a large and impoant tissue. They secrete many growth factors and vasoactive substances. The vasoactive substances include prostaglandins and thromboxanes, nitric oxide, and endothelins.Lungs activate angiotensin I to angiotensin II; this reaction is paicularly prominent in the lungsRef: Gan...
2
Prostacyclin
Angiotensin 2
Endothelin
Heparin
Physiology
Cardiovascular system
01ad49c6-2d21-4eef-944b-19b294e022c6
single
All true about conus syndrome except
Since the spinal segments involved in knee and ankle jerks are at higher level than the level of lesion, they are preserved.and not lost. Root value of knee reflex is L-2,3 and 4 and for the ankle reflex is S-1 Conus medullary syndrome is lower motor neuron lesion and involves the lower 3 sacral and coccygeal segments ...
2
Begins at the level of lower 3 sacral and coccygeal segment
Absent knee and ankle jerks
Flexor plantar reflex
Saddle anaesthesia
Anatomy
Brain
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multi
An infant with respiratory distress was intubated. The fastest and accurate method to confirm intubation
Ans. a. Capnography Capnography is the surest confirmatory sign of correct intubationQ So, the fastest and accurate method to confirm intubation in the above mentioned infant is capnography Capnography Capnography is the continuous measurement of end tidal carbon dioxide (ETCO,) and its waveform. Normal: 32 to 42 mmHe ...
1
Capnography
Clinically by auscultation
Chest radiography
Airway pressure measurement
Anaesthesia
null
d26d26a0-70c4-409c-be81-fec5aa637411
multi
All are impoant mechanisms in the formation of lithogenic bile:
Mechanisms in the formation of lithogenic (stone-forming) bile. The most impoant is increased biliary secretion of cholesterol. This may occur in association with obesity, the metabolic syndrome, high-caloric and cholesterol-rich diets, or drugs (e.g., clofibrate) and may result from increased activity of hydroxymethyl...
4
Increased biliary secretion of cholesterol
Increased activity of HMG CoA reductase
Clofibrate
Low calorie and cholesterol rich diet
Medicine
null
d015b2a6-c776-4b90-9e10-2e2d6daf9d5f
multi
Which of the following is not true of caloric test?
Nystagmus can be induced both by cold as well as thermal stimulationCold stimulation causes nystagmus towards opposite side while thermal stimulation causes Nystagmus towards same side. (COWS)In canal paresis either there is a reduced or absent response (causes of U/L canal paresis are-U/L vestibular Schwannoma or vest...
3
Induction of nystagmus by thermal stimulation
Normally, cold water induces nystatmus to opposite side and warm water to same side
In canal paresis, the test is inconclusive
None
ENT
null
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multi
Enlarged liver with Hepatocellular dysfunction may be seen in all of the following, except:
Answer is D (Post necrotic cirrhosis) Liver is typically shrunken in size and not enlarged in post necrotic cirrhosis. Alcoholic hepatitis, NASH, Wilson's disease and Budd chiari syndrome may all present with enlarged liver and hepatocellular dysfunction.
4
Wilson's disease
Budd Chirai syndrome
Alcoholic hepatitis
Post necrotic syndrome
Medicine
null
87476c2f-6674-45ee-b9d3-3db7a7a9069a
multi
Right-sided vocal cord palsy seen in -
First I would like to exclude other three options : - Aortic aneurysm (option b) and mediastinal lymphadenopathy (option c) cause left sided vocal cord paralysis. Vocal nodules does not cause vocal cord paralysis.  Now we are left with option 'a' only : - "Laryngeal carcinoma especially glottic can cause unilatera...
1
Larynx carcinoma
Aortic aneurysm
Mediastinal lymphadenopathy
Vocal nodule
ENT
null
e14342e0-5d78-4346-8f5f-c5363d2a5500
single
The Efferent fibers bundle of the substantia nigra transmits dopamine to one of the following areas
Ans. (b) Corpus striatum(Ref: Ganong, 25th ed/p.243)The Efferent fibers bundle of the substantia nigra transmits dopamine to corpus striatum
2
Thalamus
Corpus striatum
Tegmentum of pons
Tectum of midbrain
Physiology
Nervous System
a89f8a22-61dd-4346-a843-b268c502044c
single
About lidocaine, all are true except :
C i.e. Ester
3
LA effect
Cardiac arrhythmia
Ester
Acts on mucous membranes
Anaesthesia
null
8d55010e-8c36-4486-a693-5027e759e9b6
multi
Acid fast organisms are -
Spores may be seen in unstained preparations as Refractile bodies. The forespore stains intensely but once the spores envelope is laid down the spores does not stain readly. Spores appear as unstained areas in Gram-stained preparations but being more acid fast than the vegetative cells they can be stained by a modifica...
1
Spores
Nocardia
Legionella
Rodococcus
Microbiology
general microbiology
db52dd1f-7aad-4ef7-87a8-6b562593b059
single
Maternal disomy of chromosome 15 is seen in
Uniparental disomy occurs when both chromosomes of a pair or areas from 2 chromosome in any individual have been inherited from a single parent. Maternal uniparental disomy is seen in Leader -Willi syndrome. Paternal uniparental disomy is seen in Angelman syndrome . Reference: Nelson TB of pediatrics pg 412 19th editio...
1
Prader - Willi syndrome
Klinefelter's syndrome
Angelman syndrome
Turner's syndrome
Pediatrics
Genetic and genetic disorders
6806e3f4-88b1-4014-ab2c-bb77759b2faa
single
The mesentery of small intestine, along its attachment to the posterior abdominal wall, crosses all of the following structures except:
A i.e. Left gonadal vesselsRoot of mesentery crosses (successively) te ascending (4th) and inferior horizontal (3rd) pas of duodenum, abdominal aoa, IVC, right ureter, right psoas major and right gonadal (testicular/ovarian) vesselQ. It does not cross left ureter, leftgonadal vessels and superior mesenteric vessels.
1
Left gonadal vessels
Third pa of duodenum.
Aoa
Right ureter.
Anatomy
null
8ac6392a-2271-4587-89a8-6036dab8c4d2
multi
Drug used to prolong action of LA in Hypeensive pts?
Ans. is 'b'.e., Felypressin
2
Clonidine
Felypressin
Dexmeditomidate
Noradrenalin
Anaesthesia
null
c57fd827-2013-4a34-b244-4948f1d3abc5
single
Congenital syndrome associated with lymphoproliferative malignancy- a) Bloom syndrome b) Fanconi's anemia c) Turner syndrome d) Chediak Higashi syndrome e) Ataxia telangiectasia
null
4
ab
bd
ca
de
Medicine
null
6ee5545a-f23b-4c7c-9bf3-50d07d435cc5
single
A 28 year old female nearing her date of delivery has been admitted following regular contractions. The resident doctor did an examination documents that the head is at +1 station.Where is the exact position of head?
Station is leading point of Head. Station 0 = Head at level of Ischial spines + means below Ischial spines - means above Ischial spines Numbers like 1 , 2 denote distance in cm below or above Ischial spine
3
High up in the FALSE pelvis
Just above ischial spine
Just below ischial spine
At the perineum
Gynaecology & Obstetrics
Labour - normal, abnormal, malposition, malpresentation and their management
85ca8da1-9a77-479a-8436-3f43c5c79cfd
multi
Capillary refill time in a child with shock is?
Capillary refill is a simple test that assesses how quickly blood returns to the skin after pressure is applied. It is carried out by applying pressure to the pink part of the nail bed of the thumb or big toe in a child and over the sternum or forehead in a young infant for 3 seconds. The capillary refill time is the t...
3
>1 second
>2 seconds
>3 seconds
>4 seconds
Pediatrics
null
f2e050a4-21a3-4316-8df5-e077c84c4187
single
All the following are congenital cysts except
null
2
External angular dermoid cyst
Sebaceous cyst
Branchial cyst
Thyroglossal cyst
Surgery
null
8e34ba21-a399-41d8-a07d-2f494ed05902
multi
In a lady at 32 weeks pregnancy is given an injection of dexamethasone to prevent which of the following in the newborn ?
The lung maturity occurs at 34 weeks of gestation and this is ceified by checking the L:S ratio which should be > 2:1 or appearance of Phosphatidyl glycerol in the amniotic fluid. Maternal administration of coicosteroid is advocated where the pregnancy is less than 34 weeks. This helps in fetal lung maturation so that ...
1
Respiratory Distress Syndrome
Neonatal convulsion
Neonatal jaundice
Cerebral palsy
Gynaecology & Obstetrics
Preterm Labour
e3918480-8802-495e-aa17-aa50e6c170f3
single
Most common site for contact ulcer in larynx is
null
1
Arytenoids
Corniculate
Anterior 1/3 rd of vocal cord
Cricoid
ENT
null
f47de07e-6e98-41b6-ad78-d81adf7dbbb3
single
Initial site of RBC production in fetus-
Ans. is 'b' i.e., Yolk sac* Embryonic and fetal hematopoiesis occurs in three phases: megaloblastic, hepatic, and myeloid. At each phase of RBC development both the sites of production and the cell composition change.* Sites and stages of fetal erythropoiesis: Primitive erythropoiesis begins in the yolk sac at 2 to 3 w...
2
Gestational sac
Yolk sac
Placeta
Fetal bones
Gynaecology & Obstetrics
Miscellaneous (Gynae)
6a455c6d-bf8d-4fb9-8458-8a10418744de
single
Best anaesthetic agent for out patient anasthesia is
C i.e. Alfentanyl
3
Fentanyl
Morphine
Alfentanyl
Penthidine
Anaesthesia
null
ee86b126-91ed-41d4-9331-9ba7abf20155
single
A 24 yr-old female has flaccid bullae over the skin and oral erosions. Histopathology shows intraepidermal blister with acantholytic cells. Diagnosis is:
The features of intaepidermal acantholytic blisters coupled with flacid bullae over skin and oral erosions points towards P. vulgaris. The other 3 diseases do now show intraepidermal blistering. They are devoid of mucosal involement. Erythema Multiforme: Target lesion seen on distal extremeties. If mucosa involved it i...
3
Pemphigoid
Erythema multiforme
Pemphigus vulgaris
Dermatitis herpetiformis
Dental
Blistering disorders
4b20eac9-8b96-464a-b04b-78934c21345a
single
After postmoem body is handed over to :
A i.e. The authority who has conducted inquest in that paicular case
1
The authority who has conducted inquest in that paicular case
Police station near by
Coroner
Chief magistrate
Forensic Medicine
null
c6902efa-0d40-4220-8d8b-af620342c247
single
A 16-year-old female presents with primary amenorrhea and raised FSH. On examination, her height was 58 inches. What would be the histopathological finding in the ovary?
Ans. (a) Absence of oocytes in the ovaries (streak ovaries)(Ref: Robbins 9th/pg 166-167; 8th/pg 165-166)In this question, the patient is presenting with primary amenorrhea and raised FSH, along with short stature(Given Height =58 inches, which is less than 5th percentile of expected at 16 years age). All these features...
1
Absence of oocytes in the ovaries (streak ovaries)
Mucinous cystadenoma
Psamomma bodies
Hemorrhagic Corpus Leuteum
Pathology
Genetics
0790541e-01e7-497d-8fe7-ae413e607936
single
Pseudohemoptysis is caused by:
Serratia grows in sputum after collection and makes sputum red (pigment production) This condition is pseudohemoptysis.
2
Histoplasma capsulatum
Serratia marcescens
Proteus
Klebsiella
Microbiology
null
ce41e196-9993-479f-8b5b-690d4f6f3a4d
single
Interstitial keratitis is commonly seen in: March 2005
Ans. B: Congenital syphilis It develop from host immune mechanisms to active infections or antigens within the stromal keratocytes. Diseases known to cause interstitial keratitis include: congenital syphilis, herpes simplex, herpes zoster, Epstein-Barr, tuberculosis and leprosy. Clinical manifestations: superficial str...
2
Fungal keratitis
Congenital syphilis
Phlyctenular keratitis
Trachoma
Ophthalmology
null
e555f8f1-34db-4673-b7a2-c04d76d229c5
single
Most common cause of gangrene of foot of 30 years old farmer who is a chronic smoker -
All four can cause gangrene (Myocardial infarction can cause gangrene by thromboembolism) Lets see, each option one by one. Raynauds disease Is ds of young women* (F:M ratio is 5:1) commonly the upper limbs* are affected specially the fingers (the thumb is generally escaped) The disease is characterized by Raynauds ...
4
Raynaud's disease
Myocardial infarction
Atherosclerosis
Thromboangitis obliterans
Surgery
null
4378cf86-1e36-445e-bad3-dfed51e7fc89
single
The most commonly seen primary orbital tumour in children is
Rhabdomyosarcoma It is a highly malignant tumour of the orbit arising from the extraocular muscles. It is the most common primary orbital tumour among children, usually occurring below the age of 15 years (90%). Clinical features: It classically presents as rapidly progressive proptosis of sudden onset in a child of 7-...
3
Optic nerve sheath meningioma
Retinoblastoma
Rhabdomyosarcoma
Glioma of optic nerve
Ophthalmology
Tumors
a8e0c826-eee1-45b4-bf7a-f8e8caf50e67
single
All is true regarding case fatality rate except ?
Ans. is 'c' i.e., Very useful for chronic disease CFR is typically used in acute infectious disease e.g. food poisoning, cholera, measles. o Its usefulness in chronic disease is limited, because the period from onset to death is long and variable. CFR is closely related to virulence of agent. o Limitation of CFR is tha...
3
Represents killing power of disease
Closely related to viruleance
Very useful for chronic diseases
May vary in different epidemic for same disease
Social & Preventive Medicine
null
8dba1081-01c3-45b1-b6c0-85b86d299a95
multi
Length of naso lacrimal duct is:
Ans. 12 mm
3
10 mm
11 mm
12 mm
9 mm
Ophthalmology
null
63142155-4e5a-4837-9680-ca8afc3622ea
single
A collection of information in a table has been arranged as satisfied, very satisfied and dissatisfied. Which of the following will be the right term for such information?
Ordinal data is that data which has a meaningful arrangement of order but no valuable data or information can be obtained from the order arrangement. For example in the above question, though the data is arranged as satisfied, very satisfied and dissatisfied no information is obtainable as to what is the difference bet...
4
Interval data
Ratio data
Nominal data
Ordinal data
Social & Preventive Medicine
null
b6b37b96-384a-415a-ad6a-a66584a7de9c
single
Subcapsular orchiectomy is done for
Orchidectomy Orchidectomy is performed in advanced disease. In 1941, prostate cancer was shown to be responsive to such treatment by Charles Huggins, the only urologist to win a Nobel Prize. Bilateral orchidectomy, whether total or subcapsular, will eliminate the major source of testosterone production. Ref: Bailey and...
2
Ca testis
Ca prostate
Ca penis
Ca urethra
Surgery
Urology
85522213-04c6-4ae7-9336-446cde546851
single
Neostigmine antagonizes non depolarising blockade by all of the following mechanism except
Refer Katzung 10/e p 436 Neostigmine is an anti cholinerasterase. It inhibits the breakdown of ACh at the mother end plate This results in increased activity of ACh that causes depolarization of motor end plate by opening Na+channels . It posseses some direct agonistic activating on NM receptors resulting in depolariza...
1
Decreasing the breakdown of acetyl choline at the motor end plate
Preventing the K+efflux
Increasing the release of acetyl choline at the motor end plate
Depolarization at the motor end plate
Pharmacology
Anesthesia
08f26dfc-5327-4afa-a1f8-0402cc92d178
multi
True about peripheral nerve injury in upper limb-a) Radial nerve injury cause anaesthesia over anatomical snuff boxb) Median nerve injury cause wrist dropc) Ulnar nerve injury cause claw handd) Index finger anesthesia is caused by median nerve injurye) Thumb anaesthesia is caused by ulnar nerve injury
Radial nerve injury causes wrist drop. Thumb anaesthesia is due to median nerve injury.
3
abc
ad
acd
bde
Anatomy
null
27f0fa7b-5a74-461c-b370-78e870f13914
multi
All of the following are synonymous codon pair EXCEPT
Synonymous codons Codons that specify the same amino acids. E.g- GGA, GGG, GGU, and GGC codes for glycine Methionine is coded by AUG only. So, there is no synonymous codon for methionine.
3
CAU & CAC
AUU & AUC
AUG & AUA
AAU & AAC
Biochemistry
Mutations & Codons
2fe46123-3284-4ee9-8a65-d65a95552163
multi
Widened anion gap is caused by all EXCEPT :
Ans.(b) Diarrhea* Anion gap :The anion gap is the difference between primary measured cations (sodium Na+ and potassium K+) and the primary measured anions (chloride Cl and bicarbonate HCO3) in serum.* So we take value of sodium and from it subtract the value of chloride and bicarbonate.* Value of Normal anion gap =10 ...
2
Lactic acidosis
Diarrhea
Diabetic keto-acidosis
Methanol poisoning
Medicine
Fluid & Electrolyte
1bebf87f-ec8c-4fe1-829a-ab7afb31ae59
multi
All of the following provisions are included in the Primary health care according to the Alma Ata declaration except:
ALMA - ATA CONFERENCE: Called for WHO Goal of "Health for All" by 2000 India is a signatory Provisions included under Primary Health Care according to Alma Ata conference: E- Essential drugs ; 33-38 essential drugs are included in PHC. Most essential drug is Paracetamol L - Locally endemic disease prevention & control ...
3
Adequate supply of safe drinking water
Nutrition
Provision of free medicines
Basic sanitation
Social & Preventive Medicine
PH Care, Elements & Principles
dc3d4830-90f0-4247-a81b-a91383dd61f4
multi
Gradient in pulmonary artery wedge pressure and left venticular end diastolic pressure is seen in
null
3
Aortic regurgitation
Constrictive pericarditis
Left atrial myxoma
Pulmonary thromboembolism
Medicine
null
009ad99c-6912-431b-a13e-cc9cdde03953
single
A 65yr old male with his of Diabetes and HTN presents Ito OPD with complaints of diplopia and squint on examination secondary detion is seen to be more than primary detion Which of the following is the most probable diagnosis
ref : ak khurana 7th ed
1
Paralytic squint
Incomitant squint
Restrictive squint
Pseudo squint
Ophthalmology
All India exam
b326349f-be05-4904-ad6e-b661620f54e8
single
NOT included in third stage of labour
(C) (IV - Methergin) (142 - Dutta 7th)Methergin 0.2 mg IM (Intramuscular) to the mother within one minute of delivery of the babyOyxtocin may be given with crowning of the head, with delivery of the anterior shoulder of the baby or after the delivery of the placenta.Components of Active Management of Third stage of Lab...
3
Controlled cord traction
lM-oxytocin
IV methergin
Uterine massage
Gynaecology & Obstetrics
Miscellaneous (Gynae)
8a26ae07-2a40-4081-95a7-e0b7a0f776bf
single
All are common causes of childhood blindness except
Congenital dacryocystitis [Ref: Khurana 4/e,p 369, 447; Parson's 20/e, p 530-531 Repeat from May07 Causes of impaired vision in childhood Anatomical classification Whole globe: microphthalmos, anophthalmos, phthisis bulbi, atrophic bulbi Cornea: scar, anterior staphyloma, dystrophy Lens: cataract, dislocation, aphakia ...
4
Malnutrition
Glaucoma
Ophthalmia neonatorum
Congenital dacryocystitis
Ophthalmology
null
360e78bf-2f2e-4809-a4d7-151c0e2ca47b
multi
Effective for common gram-negative anaerobes ?
Ans. is 'a' i.e., Aztreonam
1
Aztreonam
Doxycycline
Vancomycin
Tobramycin
Microbiology
null
e43c0165-438a-48b2-93ca-da859d41f5b6
single
The recipient twin in monochorionic twin gestation effected by twin-twin transfusion syndrome is characterised by all except
In TTTS, recipient twin has circulatory overload, hyper volemia and heart failure.
2
Thrombosis
Hypovolemia
Kernicterus
Heart failure
Gynaecology & Obstetrics
null
16c7ae2d-b8d1-4c34-9c66-05487bec8c50
multi