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False about shwachman's disease
Shwachman's disease is a disorder of phagocytosis Characterised by neutropenia not leucocytosis.
1
Leucocytosis
Exocrine pancreatic insufficiency
Short stature
Bone marrow dysfunction
Microbiology
null
025aed66-0a7d-4dc7-b0e3-116c51913bb6
multi
Which one of the following stains is specific for Amyloid?-
harshmohan textbook of pathology 7th edition. *all types of amyloid have affinity for Congo red stain and amyloid stains pink red in color. If the stained section is viewed in polarised light the amyloid shows apple green birefringence due to cross beta pleated sheet configuration of amyloid fibre
3
Periodic Acid schif (PAS)
Alzerian red
Congo red
Von - Kossa
Pathology
General pathology
e4beebe4-4dc9-4e66-baa3-eaa106ff9b1d
single
Regarding laryngomalacia all of the following are true except
Laryngomalacia (congenital laryngeal stridor) It is the most common congenital abnormality of the larynx. It is characterized by excessive flaccidity of supraglottic larynx which is sucked in during inspiration producing stridor and Sometimes cyanosis. Stridor is increased on crying but subsides on placing the child in...
1
Stridor worsens on lying in prone position
Omega-shaped epiglottis
Inspiratory stridor
Most common congenital anomaly of the larynx
ENT
Larynx
b27f264f-9b40-406f-a7f6-f8caae3a80e6
multi
Which one of the following is not a component of Lofgren's syndrome
Parotid enlargement is seen in Heerfordt's syndrome or uveoparotid fever.
4
Erythema nodosum
Uveitis
Peripheral arthropathy
Parotid enlargement
Medicine
null
dad94696-9b1a-4c16-bda5-365747744bc4
single
Slowest conduction velocity in which part of conducting system-
Ans. is 'a' i.e., AV node * Speed of conduction is slowest in AV node and SA node.Cardiac tissueConduction velocity (meter/second)SA node0 [?] 05Inteatrial pathways1Atrial muscle0 [?] 30AV node0 [?] 05 (minimum)Bundle of His1Purkinje system4 (maximum)Ventricular muscle1
1
AV node
Purkinje fibres
Bundle of his
Ventricular myocardial fibres
Physiology
Heart, Circulation, and Blood
8cad0a27-b92f-4f95-9346-c77891ba83d0
single
Which of the following is the most common site of injury to the spinal cord
The most common site of injury to the spinal cord - LOWER CERVICAL The common sites of injury to the spinal cord in order of frequency are : Lower cervical region > Thoracolumbar junction > Upper cervical region
1
Lower cervical
Thoracolumbar
Upper cervical
Lumbosacral
Forensic Medicine
Regional injuries
1f2987b9-384f-478d-a34f-3a43e16f9372
single
Part of the kidney unit involved in Arsenic Poisoning -
null
3
Collecting duct
Loop of henle
PCT
DCT
Pathology
null
c0b07e40-7603-4882-a290-8ee283604e27
single
Nasal valve is formed by -
The upper limit of vestibule on the lateral wall is marked by limen nasi (nasal valve) which is formed by the caudal (inferior) margin of upper lateral cartilage.
3
Upper lateral cartilage
Lower lateral cartilage
Lower end of upper lateral cartilage
Upper end of lower lateral cartilage
ENT
null
95d14c40-ac81-4bef-a321-d46e7d39dc84
single
All the following are true regarding 5th cranial (Trigeminal) nerve except:
(Refer: Richard S. Snell’s Clinical Anatomy by Regions, 9th edition, pg no: 607- 610) Trigeminal nerve Mesencephalic nucleus is situated in midbrain, spinal nucleus of trigeminal it extends from pons to C3 segments. It carries parasympathetic fibres to salivary glands. Four peripheral parasympathetic ganglia (Ciliary,...
1
Arises from midbrain
Innervate muscles of mastication
Carries parasympathetic fibres to salivary glands
Provides sensory innervation to face
Unknown
null
2178a6bd-b0b4-4e37-a5bf-ad0eda451a7e
multi
Anti-CD25 Humanized monoclonal antibody used for immunosuppression in organ Transplant patient is:
Basiliximab is an Anti-CD25 Antibody (IL-2 receptor antagonists used for immunosuppression in organ transplant patiennts. Monoclonal Antibodies as Immunosuppressive agents in Organ Transplantation: Anti-CD3- Muromonab-CD3 Anti-CD20-Rituximab Anti-CD25 (IL 2 receptor)- Basiliximab(Chimeric), Daclizumab(Humanized) Anti-C...
1
Basiliximab
Rituximab
Altemtuzumab
Muromonab
Pharmacology
Immunomodulators
c9e1d19d-486b-4e8c-92a0-78938b3f3a88
single
Which of the following statement is true about inspiratory capacity:
Ans. C Tidal volume + Volume inspired forcefullyFunctional residual CapacityIt represents the volume of air remaining in the lungs after expiration of a normal breath.Inspiratory capacityIt is the maximum amount of air inspired from end expiratory level.Vital lung capacityMaximum amount of air expired from fully inflat...
3
Tidal volume + volume expired forcefully
Volume remaining after forced expiration
Tidal volume + volume inspired forcefully
Volume remaining after normal expiration
Physiology
Respiratory System
4a242ca1-9287-46b9-9da3-1adb9678e822
multi
All are associated with wilms tumour except one :
Ans. is 'c' ie Arthrogryposis multiplex congenita Anomalies associated with Wilms' tumorHemihypertrophy*Aniridia*Genitourinary anomalies *Beckwith - Wiedemann syndrome*Perlman syndromeWAGR syndrome*Wilms tumor,AniridiaGenitourinary anomalies (esp. horse shoe kidney), &Retardation of intellect)CryptorchidismDennis Drash...
3
Anirida
Male pseudohermaphrodite
Arthogryposis multiplex congenita
Hemihypertrophy
Surgery
Renal Tumors
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multi
Amniotic fluid at 38 weeks in normal pregnancy is:
Ans. is a i.e. 800cc
1
800 cc
1100 cc
1500 cc
1800 cc
Gynaecology & Obstetrics
null
f6842959-40d7-408e-8825-7c11f2160f6c
single
Class III Vaughan - Williams classification consists of?
Ans. is 'c' i.e., K channel blocker
3
Na channel blocker
Beta blocker
K channel blocker
Calcium channel blocker
Pharmacology
null
22574e4a-a8d8-4566-896b-e8610e95c93f
single
Which of the following alpha-blocker drug is used in BPH without producing hypotension?
Ans. C. Tamsulosina. Tamsulosin, Silodosinb. Higher affinity for a1A/1D receptors (found on prostate smooth muscle) than for a1B subtype (found on vascular smooth muscle)c. Minimal effect on blood pressured. High oral bioavailabilitye. Silodosin is a newer a1A blocker used in BPH.
3
Doxazosin
Phentolamine
Tamsulosin
Terazosin
Pharmacology
A.N.S.
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single
The orifice of the fourth canal in a maxillary molar is usually found:
null
2
Under the Distofacial cusp
Lingual to the orifice of the Mesiofacial canal
On a line running from the distofacial orifice to the Mesiofacial orifice
On a Line running from the Lingual orifice to the Distofacial orifice
Dental
null
645aa00d-4816-4631-aa05-a60b3b1f197e
multi
Ribosomes are attached to ?
Ribosomes Ribosomes are the actual sites of protein synthesis.The ribosomes are small granules of RNAs.Ribosomes usually occurs in clusters called polyribosomes attached to one mRNA molecule, an arrangement that increases the rate of polypeptide synthesis.
2
Nucleus
RER
Smooth ER
Mitochondria
Biochemistry
null
88dafe7b-4476-43d7-bddd-6e29d67fb123
single
Moro's Reflex disappears at-
Ans. is `c' i.e., 6 months Also know Rooting reflex o When mother's breast touches the baby's upper lip or the side of mouth, the baby opens his mouth and searches for the nipple with an open mouth. Sucking reflex o Stimulation of the upper and lower lips produces movement of the lip and tongue in the direction of the ...
3
3 months
5 months
6 months
7 months
Pediatrics
null
22cbc2bb-9246-4f7f-9c57-e38eae757f19
single
Measles stored at PHC at what temperature?
ANSWER: (B) 2-8degCREF: APPENDIX-46 below TYPES OF VACCINE & IMMUNIZATION APPENDIX - 46Types of VaccineTypeContentExamplesKilled vaccineskilled, but previously virulent, microorganisms that have been destroyed with chemicals or heat.Avian Flu vaccine; developed by Reverse Genetics techniques. Reverse genetics' is an ap...
2
0degC
2-8degC
20degC
Room temperature
Social & Preventive Medicine
Principles of Immunization and Vaccination
b41c8a07-06d7-4156-98e9-0b5fe11db5bc
single
Which of the following is TRUE about poal vein?
Poal vein collects blood from the foregut, midgut, and hindgut. The poal vein is located deep to the hepatic aery and cystic duct and is formed by the union of the superior mesenteric vein and splenic vein, deep to the neck of the pancreas. Blood from poal vein transpoed to the hepatic sinusoids of the liver for filtra...
4
Formed by the superior mesenteric vein
Formed by the splenic vein
Situated deep to the hepatic aery and cystic duct
All of the above
Anatomy
null
3f4c1140-e470-40a9-b62d-95312ba83ed9
multi
Which is an allosteric protein -a) Transferrinb) Ceruloplasminc) Phosphofructokinase d) Haemoglobin
Hemoglobin is an allosteric protein, i.e. binding of an allosteric modulator to hemoglobin alter binding of other substrate or molecule (i.e. O2). Phosphofructokinase I is an allosteric enzyme and is regulated allosterically in glycolysis. All enzymes (except for ribozymes) are proteins. So PFK-I is an allosteric prote...
3
ac
b
cd
d
Biochemistry
null
57f894d5-3667-418b-8d58-52617cce1ef4
multi
The weight of the child at 3 years is usually ___ times the bih weight?
The increase in the weight of the child with age- Age Weight (kg) Bih w 5 months 2w 1 year 3w 2 years 4w 3 years 5w
3
3
4
5
7
Pediatrics
Growth
f46d84dc-aabd-40d4-9bc8-3c77a3fc3474
multi
A 15 year-old boy presented with one day history of bleeding gums, subconjunctival bleed and purpuric rash. Investigations revealed the following results: Hb -6.4 gm/dL; TLC -26, 500 mm3; Platelet -35, 000/ mm3; prothrombin time -20 sec with a control of 13 sec; paial thromboplastin time-50 sec; and Fibrinogen 10 mg/dL...
TEXT BOOK OF PATHOLOGY HARSHMOHAN 6TH EDITION PG NO 363 Thrombocytopenia . The platelet count is usually moderately to severely reduced (below 50,000/ml) but occasionally it may be normal. Bleeding tendencies in AML are usually correlated with the level of thrombocytopenia but most serious spontaneous haemorrhagic epis...
3
Myeloblastic leukemia without maturation
Myeloblastic leukemia with maturation
Promelocytic leukemia.
Myelomoncytic leukemia
Pathology
Haematology
86b3d765-4a7a-4f84-9e51-795022686a4c
single
Clathrin is used in
Ans. (a) Receptor mediated endocytosisClathrin is involved in receptor mediated endocytosisClathrin is required for the endocytosis of LDL receptor cholesterol, transferrin bound iron, Nerve growth factor (Neurotrophins), hormones(insulin), epidermal growth factor
1
Receptor mediated endocytosis
Exocytosis
Cell to cell adhesion
Plasma membrane
Physiology
General
ebf76f26-7b2d-4d6a-9497-6e8162917e8a
single
The triad of hypertension, bradycardia and irregular respiration is seen in:
Ans. a. Cushing's reflex (Ref: Ganong 24/e p607; Schwartz 9/e p1521; Bailey 25/e p483)The triad of hypertension, bradycardia and irregular respiration is seen in Cushing's reflex.'Elevated intracranial pressure, as caused by space occupying lesion like brain tumor or head trauma with associated intracranial bleeding (e...
1
Cushing's reflex
Bezold-Zarisch reflex
Herring-Bruer reflex
Bainbridge's reflex
Physiology
Heart, Circulation, and Blood
80a922e3-e55d-4cdc-8a90-3100c3647e99
single
Largest lymphatic organ in the human body is
Spleen: - Largest lymphatic organ connected to blood vascular system. Acts as filter for blood Plays an impoant role in immune response of body Lies mainly in hypochondrium & paly in epigastrium Normally not palpable Supplied by splenic aery - the largest branch of celiac trunk Splenic vein is formed at hilum of spleen...
2
Liver
Spleen
Thymus
Kidney
Anatomy
GIT 1
fa119bc2-ae6a-421f-8333-c4b92791005a
single
P. Carni causes infection of primarily -
Ans. is 'a' i.e., Rats [Ref: Harrison 18th/e p. 1671 & I7th/e p. 1267}o Although the organisms within the pneumocystis genus are morphologically very similar, they are genetically diverse and host specific - P. jirovecii infects humans, where as P.carinii infects rats.Pneumocystis jirovcci (P. carinii)o Pneumocystis is...
1
Rats
Mice
Humans
Rabbits
Microbiology
Mycology
51116601-ae60-4f5d-b2a9-a5871c9b4028
single
Clicking of denture during speaking is due to
null
1
Increased vertical dimension of occlusion
Increased interocclusal space
Decreased vertical dimension of occlusion
Both 'B' & 'C'
Dental
null
f13ed1d4-3bc5-41b6-9062-3cb85b0689de
multi
All of the following forces are involved in Antigen antibody reaction except -
Antigens are bound to antibodies through weak and noncovalent interactions such as electrostatic interactions, hydrogen bonds, Van der Waals forces, and hydrophobic interactions. Ref: Ananthanarayan & Panikers textbook of microbiology 9th edition pg:103
4
Vander Waal's forces
Electrostatic bond
Hydrogen bond
Covalent bond
Microbiology
Immunology
292783a4-8dba-4628-8bd7-a572b65d1279
multi
The material used in vertebroplasty is -
Vertebroplasty and kyphoplasty are interventional radiologic procedures for the treatment of the intense pain refractory to medical management or bracing caused by vertebral compression fracture associated with osteoporosis, tumors, and trauma. Vertebroplasty and kyphoplasty involve intraosseous injection of acrylic ce...
4
Isomethyl methacrylate
Isoethyl methacrylate
Polyethyl methacrylate
Polymethyl methacrylate
Orthopaedics
null
a0d036d2-5f31-444e-a843-8c4f724ba4ad
single
The enzyme responsible for development of Cataract in diabetes is due to
NADPH+ dependent aldoreductase is responsible for accumulation of Sorbitol in Lens causing Cataract in Diabetic.
2
Hexokinase
NADPH+ dependent aldoreductase
Glucokinase
Phosphofructoisomerase
Ophthalmology
null
ab4f8150-c75b-4146-8e3c-99c9fbae18cc
single
Which of the following is not caused by non-typable Hib?
Ans. b. Meningitis (Ref: Ananthanarayan 8/e p331)Meningitis is not caused by non-typable Hib.'Diseases due to H. influenza may be considered under two groups, invasive and noninvasive.In the first group, the bacillus acts as a primary pathogen, causing acute invasive infections. The bacilli spread through blood, being ...
2
Otitis media
Meningitis
Exacerbation of COPD
Puerperal sepsis
Medicine
Bacteriology
d07234b6-3474-4be4-ac16-7960f176edd8
single
Condyloma acuminata in pregnancy is treated by:
Ans. C. Trichloroacetic acidTreatment of condyloma -acuminata - (verruca-genital is)a. Podophyllum is effective only on the genital wartsb. Podophyllum is potentially toxic and must be avoided in during pregnancyc. Chemical cauterization is usually done with liquified phenol or concentrated trichloroacetic acid
3
Podophyllin
Podophyllin toxin
Trichloroacetic acid
5-FU cream
Gynaecology & Obstetrics
Miscellaneous (Obs)
84d951df-b833-4dee-8d63-b2e76169fa6c
single
Study done on a group of patients showed coefficient of variance for BP and serum creatinine to be 20%& 15% respectively. Inference is that -
Coefficient of variance Coefficient of variance indicates how large standard deviation is relative to mean, i.e. Coefficient of variance is a relative comparison of a standard deviation to its mean. It is expressed as percentage. CV = Standard deviation / mean x 100 For example, if the standard deviation of a sampl...
1
Variation in BP is more than in serum creatinine
Variation in serum creatinine is more than in BP
Standard deviation of BP is more than of creatinine
Standard deviation of creatinine is more than of BP
Social & Preventive Medicine
null
446d851b-1776-4558-856e-d2a76bbc3d90
single
A gamma nerve diameter is
A delta fibre diameter is 3-6 um. Ref: Ganong&;s review of medical physiology; 23rd edition; pg: 89; table 4-1.
3
13-20
13-Apr
6-Mar
0.2-1.0
Physiology
Nervous system
e9e25ba7-26eb-41fc-8a08-8581ce7a27f5
single
Treatment of choice for non-united fracture of lower 1/4th tibia with multiple discharging sinuses & various puckered scar with 4cm shoening of leg-
*Patient in question has infected non-union with shoening of 4cms. Ilizanov fixature with distraction osteogenesis will be the best option. Ref: Maheshwari 9th/e p.158
3
Plating
External fixature
Ilizarov's fixature
Intramedullary nail
Orthopaedics
Thigh, Knee,Leg,Foot & Ankle injuries
66502e2c-6f34-4182-a04f-4007af11b330
single
Severe mitral stenosis is identified by:
Ans.(c) Duration of mid-diastolic murmurRef: Harrison 19th ed. /1539* Severity of mitral Stenosis implies that the mitral valve orifice has become smaller in size. This implies that the blood will take longer time to go from left atrium to left ventricle. This implies the LENGTH Of murmur will increase.
3
Loud S1
Loud opening snap
Duration of mid-diastolic murmur
Intensity of mid-diastolic murmur
Medicine
Valvular Heart Disease
393b126f-3f46-4a9d-815b-68a34a13ffe6
single
Most common type of mental retardation ?
Ans. is 'a' i.e., Mild
1
Mild
Moderate
Severe
Profound
Social & Preventive Medicine
null
fcb03a3d-52d4-4d81-a952-65b192cc0d31
single
A 34-year-old female cab driver, a smoker, is admitted with acute shoness of breath and mild hemoptysis. Her review of systems is otherwise unremarkable. Physical examination: pulse 100 bpm; temperature 99degF; respirations 21/min; blood pressure 160/84 mm Hg. The patient is overweight with a BMI of 30. Other peinent f...
The PA view is slightly overpenetrated. Lumbar interspaces are visible in this patient. The cardiac silhouette is large. The left costophrenic angle is blunted and there appears to be increased density behind the hea that paially obscures the diaphragm. There are bilateral linear opacities in the lower zones consistent...
4
Mycoplasma/atypical pneumonia
Obstructive sleep apnea
Chronic bronchitis
Pulmonary embolism
Radiology
Respiratory system
0e29b9df-7c44-4e6b-ad2e-6cbc821c803e
multi
Which of the following defines isotopes: September 2011
Ans. Same atomic number and different mass number
4
Same atomic number and same mass number
Different atomic number and same mass number
Different atomic number and different mass number
Same atomic number and different mass number
Radiology
null
0aabd457-ba95-4f99-bbd2-f2399e790361
single
Thrombocytopenia in a newborn baby can be caused by –
Thrombocytopenia in neonate can be caused by Isoimmune thrombocytopenia Mothers with ITP (Autoimmune thrombocytopenia). Mothers with antiphospholipid antibody (SLE). Intrauterine infections with → Rubella, Syphilis, Toxoplasmosis, CMK HSV Neonatal bacterial sepsis
4
Isoimmune thrombocytopenia
Autoimmune thrombocytopenia
SLE
All of these
Pediatrics
null
047b6cdb-7e45-49fc-abd0-c410aea2e7cb
multi
EEG shows "Sleep Spindles" in this stage of NREM sleep
(B) II > Stage II of NREM sleep is characterized by sleep spindles on EEC. Sleep spindles are bursts of alpha-like, 10-14Hz., 50 mV waves.> When a person falling asleep enters stage I of "NREM, the EEG shows low-amplitude, high frequency waves. As the progression from Stage I to Stage IV of NREM occurs, the frequency o...
2
I
II
III
IV
Physiology
Nervous System
0a627826-fb04-45e8-91bc-e205981b96ef
single
A 29 year old unmarried female presents with progressive dyspnea. Her X ray chest shows clear lung fields. Pulmonary function testing reveals in FVC of 92%; FEVI/FVC of 89%; and dICO of 59%. On exercise testing her oxygen saturation drops from 92% to 86%. What is the likely diagnosis:
Answer is B (Primary Pulmonary Hypeension): Isolated reduction in diffusion capacity (DLCO) with nearly normal flow volumes (FVC; FEV1/FVC) in a young female with progressive dyspnea is characteristic of Primary Pulmonary Hypeension. Features of Primary Pulmonary Hypeension / Idiopathic Pulmonary Aerial Hypeension Most...
2
Alveolar hypoventilation
Primary pulmonary hypeension
Interstitial lung disease
Anxiety
Medicine
null
28516649-c05f-4e0f-9a49-6020b01be4f6
single
Fasting blood sugar (FBS of a population is known to be normally distributed, with a mean of 105 mg%. SD =10. Thus 95% of the population will have FBS within-
Ref:Parks 23rd edition pg 849. 1SD : confidence limit = 68% 2SD : confidence limit = 95% 3SD : confidence limit = 99.7% 95% means +/- 2SD Here SD =10 So +/- 20 So, between 85 and 125
3
104 and 106
95 and 115
85 and 125
75 and 135
Social & Preventive Medicine
Biostatistics
a9a827d4-bdd3-47f5-a0d3-af496ff6c617
multi
Total duration of antibiotics in acute osteomyelitis is
Teatement is staed with , IV antibiotics until condition begins to improve or Crp values return to normal, usually for 2 weeks. Thereafter antibiotics ae given orally for another 4 weeks. Change of antibiotics or surgery is considered, if no improvement occurs within 48hrs of antibiotics. ref : maheswari 9th ed
3
4 weeks
2 weeks
6 weeks
8 weeks
Anatomy
Skeletal infections
0d3d0b40-6bcf-4145-ac1d-d74d31d087f1
single
What is the name of this clinical finding that can be seen in Rickets?
Ans. C. Windswept deformityGenu Valgum of 1 leg &. genu varum of another leg, are together called windswept deformity: as if the legs are sweeped off to one side because of the speedy wind; It is one of the signs of Rickets, involving the lower limbs of children
3
Cubitus varus
Double malleoli
Windswept deformity
Plagiocephaly
Orthopaedics
Pediatric Orthopedics
65c0654f-fb8e-4ede-8f18-b5c4a5bf6d44
multi
Motor nerve supply of muscles of upper lip is by
Temporal—frontalis, auricular muscles, orbicularis oculi  Zygomatic—Orbicularis oculi  Buccal—muscles of the cheek and upper lip  Marginal mandibular—muscles of lower lip.  Cervical—platysma
3
Temporal branch of facial nerve
Zygomatic branch of facial nerve
Buccal branch of facial nerve
Marginal mandibular branch of facial nerve
Anatomy
null
2c9f6268-9465-4049-a112-5da2871f7848
single
U-slab is given for fracture of -
Traction by gravity - This applies only to upper limb injuries. Thus, with a wrist sling the weight of the arm provides continuous traction to the humerus. For comfo and stability, especially with a transverse fracture, a U-SLAB of plaster may be bandaged on. REF:Apley&;s system of ohopaedics- 9th edn- pg no 697 .
4
Femur
Radius
Tibia
Humerus
Orthopaedics
Management in Orthopedics
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single
The commonest gastric polyp is ?
Ans. is 'a' i.e., Hyperplastic polyp
1
Hyperplastic polyp
Inflammatory polyp
Adenomatous polyp
Pa of familial polyposis
Surgery
null
6398c966-0ef7-4887-8b30-078d8a64faf6
single
A 28-year-old man presents to the emergency room complaining of coughing up blood and sputum He provides a history of recurrent pneumonias and a chronic cough productive of foul-smelling purulent sputum He has no other past medical history and is a lifetime non-smoker. On physical examination, there are no oral lesions...
CT scan can confirm the diagnosis and define the extent of bronchiectasis. Occasionally, advanced cases of saccular bronchiectasis can be diagnosed by routine CXR. Open thoracotomy is usually not necessary to make the diagnosis of bronchiectasis, and a BAL is performed only if cultures are required.
1
chest CT scan
bronchoscopy
bronchography
open thoracotomy
Medicine
Respiratory
4c6b0669-83fa-469a-83c5-99d048c83e52
single
A 5-year-old residential school child walks into your clinic with the habit of thumb sucking in association with bruxism. Following effects are seen on maxilla except:
Effects of Thumb/digits sucking in maxilla Proclination of maxillary incisors: When a child places a thumb/finger between the teeth, it is usually positioned at an angle, so that it presses against the lingual palatal surface of the upper incisors and the lingual surface of the lower incisors. This direct pressure cau...
1
Increased SN to ANS - PNS angle
Increased proclination
Increased maxillary arch length
Increased SNA
Dental
null
3756b037-3551-4163-b8f9-3a5e52d21019
multi
Which one of the following can provide 100 % oxygen?
Anaesthesia face mask FEATURES These facemasks have a cuff that allows for a complete seal to be achieved between the mask and the patient's face. Anesthetic facemasks can therefore be used to deliver non-invasive ventilation (NIV). In order to ventilate with an anesthetic facemask you'll need a pressurized gas source ...
4
Ventimask
Simple oxygen mask
Oxygen catheter
Anesthetic face mask
Anaesthesia
Airway
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single
Management of Carcinoma prostate with no lymph node or mets in a 72-year-old man is
In more than 70 year old observation with Proscavax vaccine is followed.
1
Proscavax vaccine
TURP
Radical prostatectomy
Harmonal ablation
Surgery
null
bc4371ba-6358-497a-82e6-4a73c46b82cc
single
Least analgesic
C i.e. Halothane
3
N20
Ether
Halothane
Cyclopropane
Anaesthesia
null
ca7d52c7-5259-4683-ba35-62d39247dcf8
single
A child with nephrotic syndrome following an episode of diarrhea presented with acute kidney injury with a creatinine of 4.5. All of the following are possible reasons except?
Ans. d. Steroid induced diabetes
4
Excess furosemide
Diarrhea water depletion
Renal vein thrombosis
Steroid induced diabetes
Gynaecology & Obstetrics
null
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multi
Non-enzymatic linkage of glucose with haemoglobin is known as
glycation occur mainly in the bloodstream toa small propoion of the observer simple sugars such as glucose Fructose and galactose . it appears that fructose has approximately 10 times glycation activity of glucose , the primary body fuel . glycation can occur through amadori reactions , schiffbase r eactions And mailla...
1
Glycation
Glycosylation
Glycogenation
Glycerol kinase
Biochemistry
Enzymes
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H2S inhibits which complex of ETC -
Ans. is 'd' i.e., IV Inhibitors of Electron transport chain (Respiratory chain)o Complex I :- Barbiturates (amobarbital), piercidin A, rotenone, chlorpromazine, guanithidine.o Complex II:- Carboxin, TTFA, malonate.o Complex III :- Dimercaproi. BAL, actinomycin A, Naphthyloquinone.o Complex IV :- (cytochrome c oxidase) ...
4
I
II
III
IV
Biochemistry
Respiratory Chain
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What is the full form of ATLS -
Ans. is 'a' i.e., Advanced Trauma Life Support o Advanced trauma life support (commonly abbreviated ATLS) is a training program for medical providers in the management of acute trauma cases, developed by the American College of Surgeons.o Has been explained in previous sessions
1
Advanced Trauma Life Support
Advanced Tertiary Life Support
Advanced Trauma Life Salvage
Advanced Aertiary Longterm Safety
Surgery
Initial Assessment
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What is the commonest cause of periumbilical pain after 30 minutes of TURP done under spinal anesthesia with Bupivacaine?
The incidence of bladder perforation during TURP is less than 1%. This patient experiences pain 30 minutes after TURP. This is because he is under spinal anesthesia. Perforation may result from the resectoscope going through the bladder wall or from overdistention of the bladder with irrigation fluid. Most bladder perf...
2
Meteorism
Perforation of bladder
Recovery from bupivacaine anaesthesia
Mesenteric aery ischemia
Surgery
null
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Transfer of genetic material by bacteriophage is -
Ans. is 'a' i.e., Transduction Transduction* The transfer of a portion of DNA from one bacterium to another by a bacteriophage (virus).* Bacteriophages are viruses that parasite bacteria and consist of nucleic acid core and a protein coat.* Transduction may be1. Generalised - When it involves any segment of donor DNA2....
1
Transduction
Transformation
Transcription
Integration
Microbiology
General
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Cardinal movements of labour in order
The cardinal movements of labour are engagement, descent, flexion, internal rotation, extension, restitution, external rotation and expulsion Reference: William&;s Obstetrics; 24th edition; Chapter 22; Normal labour
1
Engagement--Descent--Flexion--Internal Rotation--Extension--Restitution--External Rotation--Expulsion
Engagement--Descent--Flexion--Internal Rotation--Restitution--Extension--External Rotation--Expulsion
Engagement--Descent--Flexion--Internal Rotation--Extension--External Rotation--Restitution--Expulsion
Engagement--Descent--Flexion--Restitution--Internal Rotation--Extension--External Rotation--Expulsion
Gynaecology & Obstetrics
General obstetrics
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A 7-year-old child presents with a non-blanching rash over the extensor aspect of legs with swelling over the knee. Urine analysis shows proteinuria + and hematuria +++. On kidney biopsy which finding will be most commonly seen -
Ans-C
3
Fusion of podocytes
Acute tubular necrosis
Deposition of IgA
Thickened basement membrane
Unknown
null
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Highest risk of ectopic pregnancy is associated with :
Pelvic inflammatory disease
1
Pelvic inflammatory disease
Tubal endometriosis
Intrauterine contraceptive device
Broad ligament tumours
Gynaecology & Obstetrics
null
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Central pa of cholesteatoma contains ?
Ans. is 'a' i.e., Keratin debris Cholesteatoma Destructive or expanding growth in the middle ear or mastoid process The term cholesteatoma is a misnomer, because it neither contains cholesterol crystals nor is it a tumor to merit the suffix `oma'. Cholesteatoma has the propey to destroy bone. It may cause destruction o...
1
Keratin debris
Keratinized squamous epithelium
Coulmnar epithelium
Fibroblasts
ENT
null
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Amenorrhoea due to high LH and FSH is due to:
Ovarian dysfunction: Group I- Hypthalamic -pituitary failure, e.g anorexia nervosa, Kallman's syndrome, Sheehan's syndrome Group II- Ovarian failure, e.g. Turner syndrome pure gonadal dysgenesis, Swyer syndrome, autoimmune disorders infection, radiotherapy or chemotherapy. Group III- Congenital or acquired genital trac...
3
Asherman's syndrome
Pituitary adenoma
Ovarian failure
All
Unknown
null
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'Fracture-ala signature' or signature fracture is -
The synopsis of forensic medicine &toxicology Dr k.s narayan reddy ;28th edition; pg.no. 140 . Depressed fractures produced by local deformation of skull ,caused by a heavy weapon with small striking surface. These are also called FRACTURE A LA SIGNATURE (SIGNATURE FRACTURE)
2
Gutter fracture & Contre copup injury
Depressed fracture of skull
Ring fracture at foramen magnum
Sutural separation
Forensic Medicine
Mechanical injuries
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Accelerated idioventricular rhythm (AIVR) is most characteristically seen in?
Three or more ventricular beats at a rate slower than 100 beats/min are termed an idioventricular rhythm . Automaticity is the likely mechanism. Idioventricular rhythms are common during acute MI , reperfusion and may emerge during sinus bradycardia. Atropine may be administered to increase the sinus rates if this is a...
2
AV nodal block
Myocardial reperfusion
Metabolic derangement
Digitalis therapy
Medicine
C.V.S
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All are true of actue rheumatic fever except -
null
3
Aschoff nodule in mycoacardium
Focal myocardial fiber necrosis
Microthrombi in arteriole
Lymphocytic myocarditis
Pathology
null
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multi
Moderately hard water has hardness level
Ref: 25th Ed K.Park's Textbook Of Preventive and Social Medicine Pgno : 763
2
<1
3-Jan
6-Mar
>6
Social & Preventive Medicine
Environment and health
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In SLE, true are -a) Autoimmune hemolytic anaemiab) Joint deformityc) ↑ed ANAd) Anti-ds DNAe) Raynaud's phenomena
null
1
acde
bde
abcd
abde
Medicine
null
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All of the following is complications of mumps expect ?
null
4
Meningoencephalitis
Myocarditis
Pancreatitis
Myositis
Medicine
null
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Oocyst of toxoplasma is found in :
Ans. is 'a' i.e. Cat Toxoplasma can infect wide variety of animals but the only host under which it undergoes sexual division and produce infectious oocyst which are excreted in the feces is Cat.
1
Cat
Dog
Mosquito
Cow
Microbiology
Parasitology
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Mode of inheritance forAchondroplasia is -
null
1
Autosomal dominant
Autosomal recessive
X-linked dominant
X- linked recessive
Orthopaedics
null
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Main disadvantage of PFM restoration is:
null
3
Excessive tooth reduction
Porcelain is very brittle
PFM restoration is unaesthetic
All of the above
Dental
null
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The following agents are known as leukemogens except
Leukemogen-a substance capable of inducing leukemia. Causation, induction and development. Berrylium is not a leukemogen. Risk is related to total cumulative dose and does intensity.
2
Benzene
Berylium
Ethylene oxide
Ionizing radiation
Pathology
General pathology
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Nikshay software is used for
Nikshay software is a web based solution for monitoring TB patients under Revised National Tuberculosis Control Programme (RNTCP). It was developed by National Informatics Center (NIC).
4
Filaria
Malaria
Kala azar
Tuberculosis
Anatomy
All India exam
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Hyaluronic acid - mucopolysaccharide is present in
C i.e. Vitreous humor
3
Cornea
Mast cell
Vitreous humor
Dermis
Physiology
null
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Cross product ratio is used in:-
Framework of a case control study (The 2 x 2 contigency table) Suspected or risk factors Cases (Disease present) Control (Disease absent) Present Absent ac bd a+c b+d Cross product ratio is another name for Odds ratio. It used to calculate strength of association between risk factor and outcome in case of case control ...
2
Cross- sectional study
Case control study
Coho study
Ecological study
Social & Preventive Medicine
DNB 2018
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What is the size of paicle is rapid sand filter ?
Ans. is 'd' i.e., 0.4 to 0.7 mm Rapid sand filter 0.4 - 0.7 rnm Slow sand filter 0.2 - 0.3
4
0.1 mm
0.2
0.5
4 to 0.7 mm
Social & Preventive Medicine
null
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'Vagitus uterinus' is:
C i.e. A Cry of unborn baby from uterus - Vagitus is the first cry of unborn childQ from uterus (V. uterinus) or vagina (V. vaginalis). - Foetus is ble (& capable of independent existence) after 210 days (7 months)Q. The average length (crown-heel length) of full term child is 48-52 cms.
3
An infection of vagina
An infection of uterus
A cry of unborn baby from uterus
Infection of both vagina and uterus
Forensic Medicine
null
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A 40-year-old, moderately obese man presents with a persistent productive cough. The cough has been present for several weeks, but recently the man noted that his sputum has assumed a greenish color. Fuher questioning elicits a history of productive cough, usually in the winter months, over the past several years. He h...
The diagnosis of chronic bronchitis requires the presence of chronic productive cough for over at least 3 months of the year for 2 successive years. The symptoms in this patient (green productive sputum, fever) suggest that he has an acute infection superimposed on chronic bronchitis (history of cigarette smoking, hist...
2
Bronchogenic carcinoma
Chronic bronchitis with superimposed infection
Cystic fibrosis
Emphysema
Pathology
null
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multi
A seven year old girl presents with repeated episodes of bleeding into joints. APTT is prolonged and PT is normal. The most likely diagnosis is.
Answer is C (Von Willebrand disease) Bleeding into joints along with normal PT and prolonged APTT iii a girl/female suggest a diagnosis of Von Willebrand disease Bleeding into joints along with prolonged APTT and normal PT may be seen in Factor VIII deficiency (Hemophilia A) and Von Willebrand disese. Hemophilia A is a...
3
Factor VIII deficiency (Hemophilia A)
Factor VII deficiency
Von Willebrand Disease
Factor XII deficiency
Medicine
null
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Samuel Hahnemann is referred to as Founding Father of:
Ans. (c) Homeopathy* Founding Father of Homeopathy: Samuel Hahnemann (Germany)ALSO REMEMBERHOMEOPATHY:* Principle of Fiomeopathy system of medicine:- First principle -'similia similibus curenter': In healthy persons, produces symptoms similar to those of the disease being treated (known as 'Human drug pathogenicity stu...
3
Ayurveda
Allopathy
Homeopathy
Yoga
Social & Preventive Medicine
Concept of Health and Disease
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multi
Parvo virus causes all except
Heamorrhagic cystitis is caused by Adenovirus type 11, 21.
3
Non - immune hydrops fetalis
Polyarthralgia syndrome
Heamorrhagic cystitis
Erythema infectiosum
Microbiology
null
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multi
Regarding antrochonal polyp which one is true -
Antrochoanal polyp arises from maxillary sinus and grows backward in the nose towards the choana, and can reach nasopharynx.
1
Origin from maxillary sinus and goes to nasopharynx
Present with severe bleeding
Bilateral
Seen in elderly person
ENT
null
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Dohlman's procedure is used in
Zenker's diveiculum is a protrusion of mucosa through killian's dehiscence, a weak area of the posterior pharyngeal wall between thyropharyngeus (oblique fibres) and cricopharyngeus (transverse fibres ) of the inferior constrictor muscle of the pharynx. It is a pulsion diveiculum. Dohlman's approach is minially invasiv...
4
Rectal prolapsed
Esophageal achalasia
CA oesophagus
Zenker's diveiculum
Surgery
Urology
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Which of the following statements is true about endemic typhus:
Option 1, 2, 3 Endemic typhus: Causative agent- R. typhi Vector - Flea, Rats are the reservoir Option 4 Rickettsiae cannot be cultivated in cell free media. Isolation can be done by cell lines (Vero, primary chick embryo, WI-38, HeLa), egg (yolk sac inoculation), or animal inoculation (guinea pig).
2
ls caused by R. rickettsii
ls transmitted by bites of fleas
Has no Mammalian reservoir
Can be cultured in chemical defined culture medium
Microbiology
Systemic Bacteriology (Haemophilus, Yersinia, Spirochaetes, Ricketssia, Chlamydia, Mycoplasma and Miscellaneous Bacteria)
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A melanocytic naevus surrounded by a depigmented halo is called:
Sutton's nevus/halo's nevus : a halo of depigmentation appears around a preexisting melanocytic naevus. Meyerson's naevus is used to describe a melanocytic naevus that has developed an associated inflammatory reaction, which looks like eczema. Ref: Rook's textbook of dermatology, 8th edition Pg 54.20.
1
Sutton's nevus
Meyerson's naevus
Cockade naevus
Nevus anaemicus
Skin
null
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In disability rates, event- type indication are the following except-
.In disability rates, event- type indication are the following ,Number of days of restricted activity ,Bed disability days,Work loss daysor school days in specified period of time. ref:park&;s textbook,22ed,pg no 24
2
Number of days of restricted activity
Limitation of activity
Bed disability days
Work loss days
Social & Preventive Medicine
Epidemiology
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multi
Guyrope&;s technique is related to:
Guyrope principle is used to eve the necessary length of bowel in creation of ileostomy. Guy Rope Principle In the creation of a permanent ileostomy, a fully eveed nipple ensures a good fit of the stomal appliance In normal bowel segement this may not pose a problem, but forceful attempts at eversion in diseased, thick...
2
Ileal resection and anastomosis
Ileostomy
Colostomy
All of the above
Surgery
G.I.T
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All of the following benzodiazepines can be used in elderly and those with liver disease EXCEPT:
Diazepam is all purpose BZDs ,it has broad spectrum activity ,it generates active metabolites ,it is also long acting BZDs . Therefore the adverse effects are more pronounced especially in people with liver disease (as diazepam is metabolized in liver) & in older individuals ,it produces psychomotor side effects. Ref: ...
4
Lorazepam
Oxazepam
Triazolam
Diazepam
Pharmacology
Central Nervous system
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What is the length of an eye ball at bih
Length of an eye ball at bih is between 16.5 - 17.5mm, whereas in an adult the length is between 23-23 mm.
3
24 mm
22 mm
17.5 mm
10.5 mm
Ophthalmology
null
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Amino acid score of animal foods –
Amino acid score (chemical score) It is used for qualitative assessment of protein. It is a measure of the concentration of each essential amino acid in the test protein expressed as a percentage of that amino acid in reference protein (egg protein). Amino acid score = No. of mg of one amino acid per gm of protein / ...
3
40–50
50–60
70–80
90–100
Social & Preventive Medicine
null
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The major blood supply of hard palate is through:
null
2
Lesser palatine artery
Greater (anterior) palatine
Nasopalatine artery
Sphenopalatine artery
Anatomy
null
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All of the following cephalosporins have a good activity against pseudomonas aeruginosa EXCEPT: March 2003
Ans. A i.e. Cephadroxil
1
Cephadroxil
Cefipime
Cefoperazone
Ceftazidime
Pharmacology
null
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multi
Asymptomatic, solid 4cm tumor of distal pancreas. Treatment
Resectional Surgery for pancreatic Body and Tail Tumors Most body and tail cancers have already metastasized to distant sits or extended locally to involve nodes, nerves or major vessels by the time of diagnosis Splenic vein involvement or occlusion is not a sign of nonresectability Involvement of the splenic and SMV c...
4
Observation
Distal pancreatectomy with splenectomy
Near total pancreatectomy with splenectomy
Distal pancreatectomy alone
Anatomy
G.I.T
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Pharyngeal bursa is a site of origin for:
Infection of pharyngeal bursa gives rise to Thomwaldt's cyst which causes postnasal discharge, halitosis and occipital headache.Chordoma arises from remnants of notochord. Craniopharyngioma arises from Rathke's pouch. Rathke's cyst also arises from Rathke's pouch and can get infected, which may extend superiorly into t...
3
Craniopharyngioma
Chordoma
Thornwaldt's cyst
Rathke's cyst
ENT
Nose and PNS
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Most common cause of ASOM is-
Ans. is 'b' i.e., Pneumococci o ASOM is an acute inflammation of middle ear cleft caused by pyogenic organism.o It is worth noting that ASOM is the infection of middle ear cleft, i.e., middle ear (tympanic cavity), Eustachian tube, Attic, Aditus, antrum and mastoid air cells,o ASOM is especially common in infants and c...
2
Meningococci
Pneumococci
Hinfluenzae
Moraxella
ENT
Ear
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Dorsal root ganglion contains -
Ans. is 'd' i.e., Body of sensory neuron o The various sensations from the sensory receptors are carried to the spinal cord through the spinal nerves. As thespinal nerve approaches the spinal cord, it divides into the dorsal (sensory) roots and ventral (motor roots). Ganglion for dorsal root (Le. dorsal root ganglion -...
4
Dendrides of motor neuron
Dendrides of sensory neuron
Body of motor neuron
Body of sensory neuron
Physiology
Nerve Physiology
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Patient with NTD, dose of folic acid in next pregnancy -
Ans. is 'd' i.e., 4mg o The recurrence risk of neural tube defect is:# 3 - 5 % if a couple has previously had a child with either anencephaly or spina bifida.# 5% if either parent was bom with a NTD# 10% if a couple has two affected children.o Folic acid supplementation 4 mg daily 1 month before conception to about 12 ...
4
0.5 mg
1 mg
2 mg
4 mg
Gynaecology & Obstetrics
Antenatal Screening
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