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Ideal temperature to preserve the body for a post moem is | The ideal temperature for keeping a dead body for autopsy is 4degC. To keep a body for long duration for other purposes the temperature is -20degC. Ref: FORENSIC MEDICINE AND TOXICOLOGY Dr PC IGNATIUS THIRD EDITION PAGE 42 | 2 | 0 degrees | 4 degrees | 10 degrees | - 4 degrees | Forensic Medicine | Death and postmortem changes | a81e628a-80fc-4ed4-9f3a-7c0bea42e54f | single |
All of the following are functions of CD 4 helper cells, except - | The T helper cells (Th cells) are a type of T cell that play an impoant role in the immune system, paicularly in the adaptive immune system. They help the activity of other immune cells by releasing T cell cytokines. These cells help suppress or regulate immune responses. They are essential in B cell antibody class swi... | 2 | Immunogenic memory | Produce immunoglobulins | Activate macrophages | Activate cytotoxic cells | Microbiology | Immunology | 08ebd97e-da19-4fc8-87b0-739104edb29f | multi |
Which of the following is/are not local anesthesia: | C i.e. Mivacurium | 3 | Bupivacine | Mepivacine | Mivacurium | All | Anaesthesia | null | 19d1ea62-fbbb-4433-8fde-b39d409fceee | multi |
Action of toxic doses of LA on CNS can be described as: | null | 3 | Depression of the CNS | Stimulation of the CNS | First stimulating the CNS followed by depression. | First depression it followed by CNS stimulation. | Surgery | null | eca4876b-de43-4cb0-a18b-2ca2a6882e22 | single |
Penile growth occurs during SMR stage | In males, the first visible sign of pubey and the hallmark of SMR2 is the testicular enlargement. Penile growth occurs during stage 3.Reference: Nelson Textbook of Paediatrics; 20th edition | 3 | 1 | 2 | 3 | 4 | Pediatrics | Adolescence | 6be7b0a9-a170-49d8-8cf4-2bd76e05c9c9 | single |
All of the following are true about Primary Sjogren's syndrome, except: | Answer is C (Associated with Rheumatoid Ahritis): Kelly's Rheumatoid ahritis is associated with Secondary Sjogren's Syndrome and not Primary Sjogren's Syndrome. Primary Sjogren's Syndrome No Connective Tissue /Chronic inflammatory disorder Secondary Sjogren's Syndrome Underlying Connective Tissue / Chronic inflammatory... | 3 | May be seen in children | Sensation of sand or gravel in eyes | Associated with rheumatoid ahritis | Salivary gland enlargement | Medicine | null | 44ce4c2b-4da1-4239-97dd-6274dd69289c | multi |
Pocks on chick embryo are formed by all except - | null | 3 | Variola | Vaccinia | Chickenpox | Cowpox | Microbiology | null | 5664a48b-b1b3-40b3-8139-fcb39aa39d05 | multi |
A partial agonist at acetylcholine nicotinic receptors that can be used in smoking cessation programs is | null | 2 | Acamprosate | Varenicline | Buprenorphine | Nalbuphine | Pharmacology | null | cd19c7e9-b44c-4d90-b956-a8131a0c6190 | single |
The following is true about the term New families | Te term new families has come recently into vogue ,it is applied to those under 10 years duration and consists of parents and children. Ref:(p.740) 25 th edition Park's Textbook of Preventive and Social Medicine | 2 | It is a variant of the 3 - generation family | It is applied to all nuclear families of less than 10 years duration | It is a variant of joint family | It is applied to all nuclear families of less than 2 years duration | Social & Preventive Medicine | Social science, Mental health & Genetics | e7428e8a-971a-483c-8f93-3a54c451ed34 | multi |
Honeycomb histological appearance is seen in: | Adenoid cystic carcinoma is composed of myoepithelial cells and ductal cells which have a varied arrangement. Morphologically, three growth patterns have been described: cribriform (classic), tubular, and solid (basaloid). The tumors are categorized according to the predominant pattern.
The cribriform pattern shows ba... | 1 | Adenoid cystic carcinoma | Primordial cyst | Burkitt’s lymphoma | Pernicious anemia | Pathology | null | f81e8db7-aa7f-4e0b-846c-6ba029722ba1 | single |
Copper sulphate poisoning manifests with which of the following feature? | Acute copper sulphate poisoning can manifest with acute hemolysis. The pathogenesis of this effect is not known but it may be related to copper induced oxidation of intracellular glutathione, hemoglobin and NADPH as well as inhibition of Glucose 6 phosphate dehydrogenase by copper. Patients with acute copper poisoning ... | 1 | Acute hemolysis | High anion gap acidosis | Peripheral neuropathy | Rhabdomyolysis | Forensic Medicine | null | ee50bd65-ee84-4471-8532-654231582a5f | single |
In TB, immunity is provided by - | Ans. is 'a' i.e., CD4+ . Cell mediated immunity confers protection against M. tuberculosis, while humoral immunity has no defined role in protection. . Two types of cells are essential. 1. Macrophages --> Directly phagocytize tubercle bacilli. 2. T cells (mainly CD4+) --> Induce protection through the production of IFN... | 1 | CD 4+ | CD 8+ | IgG | IgM | Microbiology | null | b704af08-77be-43aa-b44b-b82a160ed6f8 | single |
Which is attached most anteriorly on the intercondylar areaof tibia intercondylararea of tibia (area b/w medial and lateral tibial plateau)- | Ans. is'd' i.e, Anterior horn of the medial meniscusPROXIMAL END (upper end)Proximal (upper) end of tibia includes medial & lateral condyles, forming tibial plateau.It also includes tibial Tuberosity & intercondylar area.Attachments on proximal end are:Medial condyle:Semimembranous (posteriorly), capsule of knee joint,... | 4 | Anterior cruciate ligament | Posterior cruciate ligament | Anterior horn of the lateral meniscus | Anterior horn of the medial meniscus | Anatomy | null | fe2bafc6-95bf-4c05-ac23-95431a5e8b32 | single |
Swimming pool granuloma is caused by | Mycobacterium marinum can cause cellulitis or granulomas on skin surfaces exposed to the water in aquariums or injured in swimming pools. | 4 | Mycobacterium bovis | Mycobacterium ulcerans | Mycobacterium kansasii | Mycobacterium marinum | Physiology | All India exam | 31ea56d4-abd7-458a-b003-80e4b7b2d07f | single |
Which muscle is a pure elevator of the jaw? | The medial pterygoid muscle, which originates on the medial side of the lateral pterygoid plate, and the masseter muscle, which originates from the zygomatic arch, pass medially and laterally to the ramus of the mandible to form a sling about the angle of the mandible. These muscles are powerful elevators of the jaw. T... | 4 | Buccinator muscle | Geniohyoid muscle | Lateral pterygoid muscle | Medial pterygoid muscle | Unknown | null | fd01543b-59ea-47c2-a39d-4211f5bc0986 | single |
Which is the clinical type of acute pericarditis? | Ans. is 'b' i.e., Fibrinous Classification of pericarditisClinical classificationI. Acute pericarditis (<6 weeks)a) Fibrinousb) Effusive (serous or sanguineous)II. Subacute pericarditis (6 weeks to 6 months)a) Effusinve-constrictiveb) ConstrictiveIII) Chronic pericarditis (> 6 months)a) Constrictiveb) Effusivec) Adhesi... | 2 | Serous | Fibrinous | Caseous | Purulent | Medicine | C.V.S. | 041fe9b9-1c1f-4b14-8ee3-aef51ce5cfbf | single |
Which of the following test is shown here? | Ans. (a) coagulase test.* The image shows Coagulase test. The Upper tube is inoculated with Staphylococcus aureus; lower tube is inoculated with Staphylococcus epidermidis. Arrow points to clotted plasma formed by coagulase produced by Staphylococcus Aureus.* Coagulase reacts with prothrombin in the blood. The resultin... | 1 | Coagulase test | Optochin Sensitivity | Voges-Proskauer test | Citrate test | Microbiology | Staphylococci | 9bbcc0d4-1ecf-4aad-9b26-6f35c61badf3 | single |
Gottron papules are seen in - | Ans. is 'a' i.e., Dermatomyositis Cutaneous signs of dermatomvosits1. Gottron's papules: - lilac or violaceous papules on knuckle, dorsa of hands.2 Gottron's sign : - Violaceous erythema with edema over shoulder, arms, forearms.Heliotrope sign : - Violaceous erythema with edema over eyelids, periorbital region.Poikilod... | 1 | Dermatomyositis | Inclusion body myositis | Polymyositis | DLE | Skin | Autoimmune Skin Disorders | 50652038-de52-4cab-adb8-4405768a2774 | single |
Which of the following drug regarding transfer of drug across placenta is false | Heparin and insulin are anticoagulant and anti diabetic drug of choice respectively,in pregnancy .Because these have minimum entry into placenta Fetal plasma is more acidic than mother ,so ion trapping of basic drugs occur. (pH7 as compared to pH 7.4 of mother ) Placenta contain p-glycoproteins that can act as reflux p... | 3 | Transfer across placenta is lesser in early pregnancy | All drugs to some extent can cross placenta except heparin and insulin | Ion trapping of acidic drug occur in placenta | P-glyprotein is present in placenta | Anatomy | General anatomy | 21bcc1b2-4976-4a4f-b414-1bda1afcd720 | multi |
The TRUE statement about Dieulafoy's lesion is: | Dieulafoy's lesion: This lesion is a large-caliber aeriole that runs immediately beneath the gastrointestinal mucosa and bleeds through a pinpoint mucosal erosion. It is seen most commonly on the lesser curvature of the proximal stomach, causes impressive aerial hemorrhage, and may be difficult to diagnose. It is often... | 3 | The most common location is in the greater curvature of stomach | It causes venous bleeding | Often recognized only after repeated endoscopy for recurrent bleeding | Thermal coagulation is not effective | Medicine | null | 2190071f-8041-4bdd-a221-822a9d0575ba | multi |
'Itch is disease' is true for ? | A i.e. Atopic dermatitis | 1 | Atopic dermatitis | Insect bites | Seborrheic dermatitis | Tinea cruris | Skin | null | 6be47980-0ace-497d-97ea-8307a78fe82e | multi |
Phobia is -a) Psychosisb) Anxietyc) Fear of animald) Neurosis | Phobias (Agoraphobia, specific phobia, social-phobia) are anxiety disorders.
Anxiety disorders are neurosis. | 2 | c | bd | ab | ac | Psychiatry | null | 27482afa-d4a8-44a8-8d6f-b97285d8e4f7 | single |
Digoxin toxicity is precipitated by all except: | Ans. is 'c' Hepatic disease Digoxin toxicity is enhanced by renal failure as it is excreted through kidneys where as digitoxin toxicity is enhanced by liver failure because it is eliminated by hepatic metabolism.Other factors precipitating Digitalis toxicityAdvanced ageAcute myocardial infarction or ischemiaHypoxemiaHy... | 3 | Electrolyte disturbance | Acute myocardial infarction | Hepatic disease | Renal disease | Pharmacology | C.V.S | a223b191-1d72-4ea0-8b61-79caa056620d | multi |
Vertical banding gastroplasty, also known as stomach stapling is done for? | ANSWER: (D) Morbid obesityREF: Sabiston Textbook of Surgery, 18th ed. Chapter 17Bariatric operations produce weight loss as a result of twTo factors. One is restriction of oral intake. The other is malabsorption of ingested food.Bariatric Operations: Mechanism of Action:RestrictiveVertical banded gastroplasty (VBG) (hi... | 4 | Gastric carcinoma | Achalsia cardia | Perforated gastric ulcer | Morbid obesity | Surgery | Surgical Treatment Obesity | 7951a32b-6d61-4781-a965-17f0390c2399 | single |
Alkali resistant haemoglobin is - | Ans. is 'c' i.e., HbF* Adult haemoglobin is made up of a2b2* Foetal haemoglobin is made up of a2g2* Adult haemoglobin undergoes denaturation in the presence of alkali to form alkaline hematin. Alkaline hematin is insoluble and precipitates.* On the contrary foetal haemoglobin is resistant to alkali denaturation.* This ... | 3 | HbA | HbA2 | HbF | HbS | Biochemistry | Miscellaneous (Bio-Chemistry) | cb618b63-c306-4e86-840a-23246701e7d2 | single |
Rat hole is associated with which injury? | Ans. d. Bullet injury (Ref: Reddy 33/e p219: Parikh 6/4.43)Rat hole is associated with Bullet injury."Intermediate range shotgun wounds: At a distance of 60--90 cm, single irregular circular aperture 4 to 5 cm with irregular and lacerated edges is produced. The shots are scattered after entering the wound and cause muc... | 4 | Bomb injury | Bum injury | Postmortem artifact | Bullet injury | Forensic Medicine | Injuries by Firearms | f2d94f73-1dc7-461d-83a0-ea8d5e4363aa | single |
Antibody found in myositis Is? | Anti-Jo-1 antibody is a myositis specific autoantibody most commonly found in patients with idiopathic inflammatory myopathies (IIM). This antibody is directed against the histidyl-tRNA synthetase which catalyses the binding of the histidine to its cognate tRNA during protein synthesis. It can be considered a specific ... | 1 | Anti Jo l | Anti scl 70 | Anti Sm | Anti Ku | Medicine | Immune system | 7e999e8f-7bdc-4ddc-8029-1e47426253e3 | single |
Thiazide cause- | Ans. is 'a' i.e., Metabolic alkalosiso By inhibiting salt reabsorption in TAL, loop diuretics increase deliver)' to the collecting duct. Increased delivery-leads to increased secretion of K- and H+ by the duct, causing hypokalemic metabolic alkalosis. This toxicity is the function of the magnitude of the dieresis and c... | 1 | Metabolic alkalosis | Metabolic acidosis | Respiratory alkalosis | Respiratory acidosis | Pharmacology | Diuretic | a1680c19-92dc-480d-9114-81be91fe809a | single |
Speech discrimination score, lowest in | D. i.e. (Acoustic neuroma) (137 - Maqbool)SPEECH DISCRIMINATION SCORE (speech recognition or word recognition score) - tested at 30 to 40 dB, SLUSES1. It determines the extent of discrimination difficulty2. It aids in the diagnosis of the site of pathology in the auditory system eg poor in acoustic neuroma. The normal ... | 4 | Conductive deafness | Sensori neural deafness | Cortical deafness | Acoustic neuroma | Unknown | null | 0e8d8ff3-1b9b-44dc-a4ec-4400a196c062 | single |
Tako-Tsubo Cardiomyopathy is a type of - | Ans. is 'a' i.e., Dilated Cardiomyopathy [Ref: Harrison 18th/e p. 1964)o Stress cardiomyopathy, also called apical ballooning syndrome, broken heart syndrome, tako-tsubo cardiomyopathy, and stress induced cardiomyopathy is an increasingly reported syndrome characterized by transient systolic dysfunction of the apical a... | 1 | Dilated Cardiomyopathy | Restrictive Cardiomyopathy | Hypertrophic Cardiomyopathy | Toxic Cardiomyopathy | Medicine | Cardiomyopathy & Pericarditis | 0e4c71af-e420-44cb-80b9-793212fac3e9 | single |
Kehr's sign is related to | Kehr&;s sign is the occurrence of acute pain in the tip of the left shoulder due to the presence of blood or other irritants in the peritoneal cavity (splenic rupture). It is an example of referred painReference: Chaurasia Volume II; 7th edition; Page no: 327 | 3 | Liver | Stomach | Spleen | Gall Bladder | Anatomy | Abdomen and pelvis | 7d64f62e-8498-4623-94fc-8249fe325125 | multi |
All are primary supports of uterus except | The supports of the uterus and the bladder are seen to be triradiate condensation of endopelvic fascia:
The anterior spoke is the pubocervical fascia or so-called pubocervical ligament.
The lateral spoke is Mackenrodt's ligament.
The posterior spoke is the uterosacral ligament.
SUPPORTS OF THE GENITAL TRACT
D... | 4 | Transcervical ligament | Pubocervical ligament | Uterosacral | Broad ligament | Unknown | null | 53305a25-bed7-4f89-8f4a-5c38bbc884c5 | multi |
Retinoblastoma is bilateral in: | Ans. 30% of cases | 4 | 1% of cases | 50% of cases | 100% of cases | 30% of cases | Ophthalmology | null | de5ddb73-be82-4fb3-9d49-95a10449c88f | single |
Which of the following antibiotic structurally resembles aminoacyl tRNA and also inhibits protein synthesis: | Puromycin structurally resembles aminoacyl t-RNA and inhibits protein synthesis by causing premature termination. Tetracyclines inhibit the binding of aminoacyl-tRNA to the A site. | 1 | Puromycin. | Tetracycline. | Chloramphenicol. | Sulphonamides. | Pharmacology | null | 7530a415-c260-428a-9ea9-1df6a30d952d | multi |
Which of the following statements about diabetic nephropathy is true: | Answer is C (0-islet cell/pancreatic transplantation can improve the proteinuria in early stage): Pancreatic transplantation (or /3-islet cell transplantation) may improve protein aria in early stages. Pancreatic Trnaplantation may improve diabetic nephropathy (proteinuria) Successful pancreatic transplantation results... | 3 | Microalbuminiuria is not an indicator of long term cardiovascular morbidity | Strict glycemic control cannot prevent microalbuminuria | 3-islet cell/pancreatic transplantation can improve the proteinuria in early stage | Angiotensin receptor blockers have no additive advantage over other drugs except B.P. control Protein restriction is not helpful | Medicine | null | b94b1114-1f8c-4c7d-bcdf-5bc5c24630db | multi |
Chemotaxis is promoted by the all except - | Ans. is 'c' i.e., Serotonin | 3 | Lymphokine | Kallikerine | Serotonin | Complement factor | Pathology | null | bcf27cde-ae61-4404-901e-b04d23230044 | multi |
Reversal lepra reaction shown no response to : | D. i.e. Thalidomide Appearance of new skin lesions or signs of inflammation (e.g. redness and swelling etc.) in prevous lesions, neuritis (e.g. nerve pain) and low grade fever in borderline forms of leprosy suggest the diagnosis of Jopling's type I (delayed type IV hype/sensitivity) reaction. If type I lepra reaction p... | 4 | Cloafazimine | Chloroquine | Glucocoicoids | Thalidomide | Skin | null | 38670af3-129a-4e72-9144-3e9671ecc3b8 | single |
Which of the following infections are caused by candida species | Antibiotic tongue: Acute erythematous candidiasis
Denture mouth: Chronic erythematous candidiasis. | 4 | Antibiotic tongue | Denture mouth | Chronic mucocutaneous candidiasis | All of the above | Dental | null | 5f1d537e-24ca-4029-8ba5-24bdca017ab2 | multi |
Which is the best prognostic factor in a case of head injury? | The best prognostic factor for head injury is glasgow coma scale. The GCS is determined by adding the scores of the best responses of the patient in each of three categories such as eye opening, best motor response and verbal response. Maximum score is 15 and minimum score is 3. Traumatic brain injury is classified acc... | 4 | Age | DCT | Mode of injury | Glasgow coma scale | Surgery | null | 3322888a-96a8-4821-bf13-0d0fc1f04f8a | single |
Which of the following gene is constitutively expressed in E.coli? | Genes can be broadly divided into types based on their expression pattern: Constitutively expressed genes Regulated genes House-keeping genes Inducible/repressible Transcribed at a constant level Transcribed depending upon the environmental conditions Eg : Glycolytic enzymes Ribosomal RNA and proteins Eg : UDP-glucuron... | 2 | Lac A | Lac I | Lac Y | Lac Z | Biochemistry | Basics of genetics | 3647789c-9c3f-4aea-b699-c2004accf69d | single |
Non-Iodine containing contrast is | Ans is 'a' i.e. Gd DTPA Gadolinium DTPA is a contrast agent for MRI. It contains paramagnetic metal ions Gadolinium and not iodine. Gadolinium affects MR signal properties of surrounding tissues. It reduces the T1 and T2 relaxation time. This increases tissue signal intensity on T1-weighted MR images and has almost no ... | 1 | Gd DTP A | Visipaque | Iohexol | Diatrizoate | Unknown | null | 87686ca9-f9bc-4a5b-8e06-1015ef40721d | single |
A 32-year-woman is admitted to the emergency department as a rape case. Fluids from her vagina are collected for DNA and fructose examination. Which of the following male organs is responsible for fructose production? | Seminal vesicles produce the alkaline constituent of the ejaculate. This includes fructose and choline. The prostate gland secretes prostaglandins, citric acid, and acid phosphatase. The kidneys are the site of urine production. The testes produce spermatozoa and sex hormones. The bulbourethral glands (Cowper's glands)... | 2 | Prostate gland | Seminal vesicles | Kidneys | Testis | Anatomy | Abdomen & Pelvis | 10df754e-6592-40c9-9273-c77b6755ad42 | single |
High speed cutting of enamel occurs by which of the following mechanism? | High-speed cutting, especially of enamel, proceeds by brittle fracture.
Tooth structure, similar to other materials, undergoes brittle and ductile fracture. Brittle fracture is associated with crack production usually by tensile forces. Ductile fracture involves plastic deformation of material usually proceeding by she... | 1 | Brittle fracture | Ductile fracture | Plastic deformation | None of the above | Dental | null | 1f1bd63c-8193-438e-bfc0-5f63ff19a7cd | multi |
The danger area of the face is so called because of the connection of the facial veins to the cavernous sinus through the | Ref: Gray's 40e/p256 | 2 | Transverse facial vein | Superior ophthalmic vein | Maxillary vein | Ethmoidal vein | Anatomy | General anatomy | 3f4e0352-f1d6-4b9f-aa78-0849c9188ef4 | multi |
Which of the following is not a higher order abberation | Aberrationscan be defined as the difference in optical path length (OPL) between any ray passing through a point in the pupillary plane and the chief ray passing through the pupil center. Myopia is not a higher order abberation HIGHER ORDER ABBERATIONS DIFFRACTION Bending of Light rays from an edge of the apeure Spheri... | 4 | Diffraction | Spherical abberation | Chromatic abberation | Myopia | Ophthalmology | Optics and Errors of Refraction | fbac79f9-5667-4dba-8435-f1538cda29f0 | single |
Variable decelerations on electronic fetal monitoring in a woman who is in labour indicates : | Umbilical cord compression | 4 | Congenital hea disease | Compression of head | Administration of sympathomimetic drugs to the mother | Umbilical cord compression | Gynaecology & Obstetrics | null | fa109214-1f3d-4ffa-8f6e-9692be5c9e03 | single |
Drugs that consistently reduce the potassium repolarising current and thereby prolong the action potential duration include all of the following except: | null | 2 | Amiodarone | Lignocaine | Quinidine | Sotalol | Pharmacology | null | 35081efd-e0c6-4091-9fa6-967481ca8e94 | multi |
A person with intractable pain over the right leg is benefited by | (B) Left Spinothalamic tract cordotomy > Spinothalamic tract Touch sensation is transmitted by ventral spinothalamic tract Pain and temperature pain are transmitted by lateral spinothalamic tract> Fibers of spinothalamic tract cross in the anterior commissure of the cord to the opposite> Hence intractable pain over the... | 2 | Right spinothalamic tract cordotomy | Left Spinothalamic tract cordotomy | Right hemicordotomy | Left hemicordotomy | Physiology | Nervous System | 80011e2a-4c51-451a-9842-312fe058b0b9 | single |
After laryngectomy, dynamic oesophageal voice is produced from | Esophageal speech is a skill that can help patients to communicate after a laryngectomy, the most common surgery used for the treatment of laryngeal cancer. ... This hole is called a tracheostoma; the patient uses it to breathe through and cough through after the operation. Ref otolaryngology dhingra 3e | 2 | Pharynx | Pharyngoesophageal segment | Trachea | Buccal mucosa | Physiology | All India exam | 40b2b3f6-2156-46f7-bdcf-5d686cac1844 | single |
A female at 37 weeks of gestation has mild labour pains for 10 hours and cervix is pessistently 1 cm dilated but non effaced. What will be the next appropriate management? | null | 1 | Sedation and wait | Augmentation with oxytocin | Cesarean section | Amniotomy | Gynaecology & Obstetrics | null | 3c5ceade-8d60-418a-8780-fcee9472d046 | single |
Pulse steroid therapy can be given in ? | Ans. is'd'i.e., All the abovePulse Steroid therapyPulse therapy means the administration of supra pharmacologic doses of drugs in an intermittent manner to enhance the therapeutic effect and reduce the side effects.In context of coicosteroids, pulse therapy refers to discontinuous i.v. infusion of high doses of the med... | 4 | Pemphigus vulgaris | Acute renal allograft rejection | Optic neuritis | All the above | Pharmacology | null | 2c94498e-45ab-4b29-b23d-da1fcd823b16 | multi |
A 4 month pregnant lady on treatment with valproate regularly asked for your advice regarding taking the drug during pregnancy. What is the best course of action - | null | 3 | Immediately tape off valproate and start lamotrigine | Change to carbamazepine | Continue valproate and monitor blood levels | Slowly tape dose of valproate | Medicine | null | 580b49ff-83bf-4096-aed5-6a259bb3882b | single |
Pathological features of acute rheumatic fever include following except? | Ans. is 'd' i.e., None of the above | 4 | Aschoff bodies | Pancarditis | MacCallum patch | None of the above | Pathology | null | 6a7de0f5-bd55-4e26-93a3-cff020f77771 | multi |
An army recruit, smoker and 6 months into training staed complaining of pain at postero medial aspect of both legs. There was acute point tenderness and the pain was aggravated on physical activity. The most likely diagnosis is | D i.e. Stress fracture After a prolonged period of repeated stress (6 month of army recruit) presence of acute onset pain and point tenderness , over posteromedial aspect of both legs (i.e. tibia), with aggravation of pain on physical activity is clearly indicative of stress fracture of tibia. Stress Fracture Predispos... | 4 | Bearger's disease | Gout | Lumbar canal stenosis | Stress fracture | Surgery | null | 834a4e28-b850-4b23-8988-ad5b9cb88e4b | multi |
All of the following are complications of epidural anesthesia EXCEPT: | Minor adverse effects and complications of epidural nerve block include pain at the injection site, -headache -hypotension -unintentional dural puncture -vasovagal syncope. Major complications include -damage to neural structures -epidural hematoma, and epidural abscess. DIC is not associated with epidural anaesthesia. | 3 | Headache | Hypotension | DIC | Epidural hematoma | Anaesthesia | null | a96c2e39-6cac-412b-b67d-d8cd629427c1 | multi |
Oncogenic DNA virus is ? | Ans. is 'b' i.e., HBV | 2 | Retrovirus | HBV | HIV | HTLV | Microbiology | null | 7215b4ab-f5ca-4c83-854b-23cc58c41764 | single |
Popcorn calcification is seen in : | Calcifications are common in fibroadenoma of breast, especially in postmenopausal women.
Most of the calcification are coarse and the so calledpopcorn calcifications are pathognomonic for fibroadenoma. | 1 | Fibroadenoma | Fibroadenosis | Carcinoma breast | None | Radiology | null | 78043685-45e7-4553-a9d5-79f46c1c1b47 | multi |
Which of the following is not true about Xenon anaesthesia | Xe has a very low blood-gas solubility coefficient (0.115) and produces rapid induction of and emergence from anesthesia. Xe is not teratogenic, does not undergo biotransformation, and exes anesthetic and analgesic effects under normal atmospheric pressure conditions (1.0 MAC = 71%). Xe is derived from a paicle decay o... | 3 | Non explosive | Minimal cardiovascular side effects | slow induction and slow recovery | Low blood gas solubility | Anaesthesia | General anaesthesia | b4ecccec-aa1d-4e11-919b-bff391050c11 | multi |
ASA classification is done for: | A i.e. Status of patient | 1 | Status of patient | Risk | Pain | Lung disease | Anaesthesia | null | c71bfaa9-3afc-4bac-86fe-31c7de98eec4 | single |
Sudha, a 20 year old female developed antibiotic associated pseudomembranous colitis caused by Clostridium difficile. Which of the following drugs is most likely to be effective in the treatment of this disease ? | null | 3 | Ampicillin | Clindamycin | Metronidazole | Chloramphenicol | Pharmacology | null | 660adb5c-fc99-4624-8209-db7fd02f0cc5 | single |
A male patient presents with headache , profuse sweating and palpitations with a blood pressure of 180/120 mmHg . The drug of choice would be | Ref Harrison 19 th ed pg 1627 Symptomatic hypeension with diastolic pressure of 120 suggests a diagnosis of hypeensive emergency . Labetalol (IV) is the drug of choice for management of hypeensive emergency. | 2 | Nifedipine | Labetalol | Prazocin | Phenoxy benzamine | Medicine | C.V.S | ba303ad9-5b1c-4a37-b630-6293588e2b07 | single |
Treatment of congenital adrenal hyperplasia includes all except | Dexamethasone is the drug of choice for congenital adrenal hyperplasia. It should be given to prevent fetal female genital virilisation, to only those mothers with an affected female child. | 1 | Dexamethasone is drug of choice given prenatally to all mothers as prophylaxis | Prenatal treatment poses risk of failure to thrive | Treatment should be given to only those mothers with an affected female child | In newborn hydrocortisone is given upto childhood period | Gynaecology & Obstetrics | null | 025e619c-b479-448d-b1e1-3f89ff95747b | multi |
Vaccine against capsulated organism given how many weeks before splenectomy ? | Answer- B. 2 weekPneumococcal polysaccharide (PPSV) vaccination; If elective splenectomy is planned, vaccinate at least 2 weeks before surgery. | 2 | 1 week | 2 week | 4 week | 6 week | Medicine | null | 12bb6df2-5ce0-4012-a6ab-65b2c330c4da | single |
A 75 year old female fall in the bathroom. On examination, She has fracture shaft of femur, this occurs due to: | Ans. (a) OsteoporosisRef: Textbook of Orthopedics 4th Ed by John Ebnezar; Page No- 671* Most commonly fracture occurs in postmenopausal women due to osteoporosis.Diagnostic TestingDual-Energy X-ray Absorptiometry (DEXA)* This scan is the gold standard test for osteoporosis. It is very precise for measuring bone density... | 1 | Osteoporosis | Osteopetrosis | Paget's disease | Metastasis | Orthopaedics | Metabolic Bone Disease | 865466e5-b868-4de7-bcd0-cd0021a6468c | multi |
Wood&;s Lamp is used in | Wood&;s lamp is used for identification of Microsporum species and Malassezia furfur. pityriasis versicular caused by Malassezia furfur. Sporothrix schenckii causes sporotrichosis. Tinea pedis caused by epidermophyton and Trichophyton. Reference: Textbook of Microbiology; Baveja; 4th edition | 2 | Tinea pedis | Pityriasis versicolor | Sporotrichosis | None of above | Microbiology | mycology | e488de8d-e25c-418c-b68b-b3a188f0f377 | multi |
Bisacodyl is : | null | 3 | Bulk forming | Stool softner | Stimulant purgative | Osmotic purgative | Pharmacology | null | dd03a862-3579-4392-9bc3-b5de36a3f24a | single |
Obsessive Compulsive Neurosis is likely to progress into | C i.e. Secondary depression In OCN failure to control ego-alien impulse leads to development of depression, as the patient is unable to control the behaviour about which he knows that it is irrational & absurd. | 3 | Paronia | Edogenous Depression | Secondary Depression | Dissociation | Psychiatry | null | 4f35db58-710f-46ce-8af1-6ccf603be707 | single |
The poor bioavailability of drugs, when given orally is due to: | Ans: a (1st pass metabolism) Ref: KDT, 6th ed, p. 291st pass metabolism refers to metabolism of a drug during its passage from site of absorption into systemic circulation. All orally administered drugs are exposed to drug metabolizing enzymes in the intestinal wall and liver (through the portal vein).The poor bioavail... | 1 | 1st pass metabolism | Spontaneous disintegration | Rapid excretion | Post systemic metabolism | Pharmacology | General Pharmacology | a9ce691c-4fcf-4365-b1d3-02ec3132f5bd | multi |
All are causes of hyperprolactinemia, except - | Ans. is 'a' i.e., Bromocriptine Causes of Hyper-prolactinemiaEtiology of HyperprolactinemiaI. Physiologic hypersecretionA PregnancyB LactationC Chest wall stimulationD. SleepE StressII. Pitnitary hypersecretionProlactinomaAcromegalyIII. Systemic disordersA Chronic renal failureB HypothyroidismC CirrhosisD PseudocyesisE... | 1 | Bromocriptine | Phenothiazine | M ethyldopa | Metoclopramide | Medicine | Endocrinology | f3f4b680-8c8f-4628-8c28-7096c5205c92 | multi |
A 5 year old boy has multiple asymptomatic oral and circular faintly hypopigmented macules with fine scaling on his face. The most probable clinical diagnosis is: | . | 3 | Pityriasis versicolor. | Indeterminate leprosy | Pityriasis alba | Acrofacial vitiligo | Pathology | All India exam | 63cef802-f79a-48ec-b325-d47b622fdb64 | single |
Center of resistance of six maxillary anterior teeth is: | null | 3 | Midline between two central incisors | Between central and lateral incisor | Lateral to lateral incisor | Between canine and premolar | Dental | null | 9b031c95-3768-47b0-8d01-cf16ed1fe1a0 | single |
Diabetic woman with malignant retinopathy requires : | IU devices | 3 | Permanent sterilization | Conventional contraceptives | IU devices | Oral pills | Gynaecology & Obstetrics | null | 474f2a63-7644-4e14-bac2-2187b80da890 | single |
The superficial retinal hemorrhage is seen in which layer of retina? | Superficial haemorrhages (flame-shaped), seen in RETINAL NERVE FIBRE LAYER (2nd layer of retina) Retinal haemorrhages. Both deep (dot and blot haemorrhages) and superficial haemorrhages (flame-shaped), occurfrom capillary leakage. Superficial retinal haemorrhage may be found in hypeension, diabetes, trauma, venous occl... | 2 | Inner plexiform layer | Nerve fiber layer | Inner nuclear layer | Outer nuclear layer | Ophthalmology | Retina | 2032f13e-b3ec-49cc-86b8-7920ca0c20a3 | single |
Medical adrenalectomy is seen with - | null | 3 | Vincristine | Vinblastine | Mitotane | Methotrexate | Medicine | null | 71b4c023-b68b-4cdc-b3a9-c49b30b52042 | single |
Mesangial deposition of electron dense substance seen in- | Ans. is 'a' i.e., IgA nephropathy o IgA Nephropathy: shows presence of electron dense deposits in the mesangium. DiseaseMost frequentclinicalpresentationPathogenesisGlomerular pathology Light MicroscopyFluorescenceMicroscopy-Electron MicroscopyPostinfectious gl omerulonephritisNephriticsyndromeImmune complex mediated; ... | 1 | IgA nephropathy | Membranous nephropathy | Minimal change disease | Post streptococcal glomerulonephritis | Pathology | Glomerular Diseases | 4be0a754-94ce-43db-bd89-d710b628c130 | single |
A 38yr old bisexual man goes to the clinic for counselling about HIV. Which of the following is false about HIV transmission? | The risk of HIV acquisition associated with unprotected receptive anal intercourse is relatively higher than that seen in penile-vaginal intercourse. This is because the rectal mucosal membrane is thin and fragile and anal intercourse is associated with microtrauma (rectal tears). The differences in transmission rates ... | 1 | The risk of acquiring HIV with unprotected receptive anal intercourse is lower than that with penile-vaginal intercourse | Male-to- female HIV transmission is usually more efficient in causing infection than female-to-male transmission | Male circumcision is associated with a lower risk of HIV acquisition for heterosexual men | The quantity of HIV-1 in plasma is a primary determinant of the risk of HIV1 transmission | Microbiology | Virology | cc73c9c8-b4ba-42e6-9f3c-41392ab4fe61 | multi |
Incubation period of mumps? | Ans- B 14-24 days Incubation Period. Time it takes to start having symptoms after contact with infection. Contagious Period. Time during which a sick child's disease can spread to others. Sometimes, children can return to school before this period is over. Infections that cannot be spread to others. Many common bacteri... | 2 | 7-14 days | 14-24 days | 20-3 days | 30-40 days | Unknown | null | 655fcef4-864e-4b20-9fa8-d4c8d873a376 | single |
The features of genetic coding are all of the following, EXCEPT: | The reading of the genetic code during the process of protein synthesis does not involve any overlap of codons. Thus, the genetic code is nonoverlapping. Features of the Genetic Code: Degenerate Unambiguous Nonoverlapping Not punctuated Universal Ref: Weil P. (2011). Chapter 37. Protein Synthesis & the Genetic Code. In... | 3 | Degeneracy | Without punctuation | Overlapping of codons | Unambiguous | Biochemistry | null | c701a82c-da15-4b9e-baa1-0c761bf66404 | multi |
This type of skin lesions are seen in deficiency of which element? | Psoriasiform facial lesions of zinc deficiency dermatitis. Similar lesions on the feet with secondary nail dystrophy may also been seen. | 2 | Iodine | Zinc | Copper | Chromium | Dental | All India exam | 02c589c4-bc0c-436e-8d23-c78796033a8e | single |
which absorbs least water | ref : lipincott | 2 | Mucilage | Hemi cellulose | lignin | Pectin | Biochemistry | All India exam | bd755895-e2a1-4936-8973-03cc897bd0d4 | single |
Goal for blindness under NCPB-NRHM is to reduce prevelance of blindness in 2020 to? | ANSWER: (B) 0.3%REF: http ://india.gov.in/sectors/health_family/index .php?id=10National Programme for Control of Blindness:National Programme for Control of Blindness (NPCB) was launched in the year 1976 as a 100% Centrally Sponsored scheme with the goal to reduce the prevalence of blindness to 0.3% by 2020. Rapid Sur... | 2 | 0.10% | 0.30% | 0.50% | 1.00% | Social & Preventive Medicine | Health Programmes in India | bfd38d55-fdf1-4d88-bff0-1e660ed27637 | single |
Commonest sites of intraabdominal abscess - | Pelvis is the commonest site of intraabdominal abscess because of 2 reasons.
Because the vermiform appendix is often pelvic in position.
Because the fallopian tubes are frequent sites of infection. | 3 | Subphrenic | Paracolic | Pelvis | Retroperitoneal | Pathology | null | 49c4220d-564c-4841-a629-39f1a5957473 | single |
Phacomelia is seen due to which drug? | Ans. is 'a' i.e., Thalidomide * Has been explained in previous sessions | 1 | Thalidomide | Dexamethasone | Chlorambucil | Betamethasone | Pharmacology | Adverse Drug Effect | 5b3545b0-6fb9-455e-ac1a-b530430501e7 | single |
Mapleson's classification of an anaesthetic breathing system | The Mapleson D may be described as a co-axial modification of the basic T-piece system, developed to facilitate scavenging of waste anaesthetic gases. Function: The Bain circuit is a modification of the Mapleson D system. It is a co-axial system in which the fresh gas flows through a narrow inner tube within the outer ... | 2 | Describes four systems A, B, C, D | Classifies the Bain system as Mapleson | Describes the T-piece as M | Describes the T-piece system as requiring a fresh gas flow rate of 1.5 - 2 times the minute volume. | Anatomy | General anatomy | 5269a34a-aeed-4d61-a6e2-2a1e4961ea07 | single |
Astereognosis is seen in lesions of | (C) Parietal lobe # Lesions in the representational hemisphere produce astereognos is- inability to identify objects by feeling them-and other agnosias.> Agnosia is the general term used for the inability to recognize objects by a particular sensory modality even though the sensory modality itself is intact.> Lesions p... | 3 | Frontal lobe | Occipital lobe | Parietal lobe | Temporal lobe | Physiology | Nervous System | 82d5279b-47cb-4f3c-a998-051dd1de5ff7 | single |
Swallowing breathing reflex - not seen in fetus for ? | Ans. is 'b' i.e., 12 weeks Behavioural deveopment in intrauterine life Muscle contractions first appear around 8 wk, soon followed by lateral flexion movements. By 13-14 wk, breathing and swallowing motions appear and tactile stimulation elicits graceful movements. o The grasp reflex appears at 17 wk and is well develo... | 2 | 14 weeks | 12 weeks | 16 weeks | Appear in all above period | Pediatrics | null | 43729ba4-351d-481f-9129-3314cdf47293 | multi |
Clinical finding seen in hypermagnesemia? | Ans. B. Bradycardia & hypotensionIn hypermagnesemia, vasodilatation & neuro muscular blockage occurs.There is paradoxical bradycardia & hypotension.Other clinical features are altered sensorium & respiratory depression | 2 | Bradycardia & hypertension | Bradycardia & hypotension | Tachycardia & hypertension | Tachycardia & hypotension | Medicine | C.V.S. | dd8a04cc-0138-4f15-ac36-df53817f88b1 | single |
Digoxin action is not affected in | Ref-KDT 5/e p463 Digoxin is eliminated mainly excretion through kidney. Dose of big ox and therefore does not require adjustment in hepatic failure where as it has to be reduced in renal failure | 1 | Hepatic disease | Electrolyte disturbances | Renal failure | MI | Pharmacology | Cardiovascular system | a68b072a-399e-4a0f-ad48-107e05ca7021 | single |
Giving Benzathine penicillin in RHD is a type of - | park's textbook of preventive and social medicine 23rd edition. *in children :Im injection of benzyl pencillin 600000 units. *in adult :1.2 million units. *this must be continued for 5 years or until the child reaches 18 years. | 2 | Primary prevention | Secondary prevention | Teiary prevention | Primordial prevention | Social & Preventive Medicine | Non communicable diseases | 34dd4478-85e2-413a-8253-304a15fe32dc | single |
Polytrauma in paediatric age group most common feature is - | Ans. is 'b' i.e., Hypovolemic shock o Due to the greater physiological capacity and ability' of children to compensate for fluid loss, hypotension is a very late and ominous sign of hypovolaemic shock.o Once they have become hypotensive, deterioration can be rapid and fatal.o As the surface area to body volume ratio of... | 2 | Hypothermia | Hypovolemic shock | Hypotension | Hypoxemia | Surgery | Shock | 2550d9fb-18fe-4f8d-bf25-df4aee3676aa | single |
Carboxypeptidase contains which mineral? | More than 300 enzymes are zinc-dependent. Some impoant ones are carboxypeptidase, carbonic anhydrase, alkaline phosphatase, lactate dehydrogenase, alcohol dehydrogenase and glutamate dehydrogenase. RNA polymerase contains zinc and so it is required for protein biosynthesis. Extracellular superoxide dismutase is zinc-de... | 2 | Copper | Zinc | Iron | None | Biochemistry | Enzymes | bf79a1e3-2742-4c33-a586-3f6e6021d9c2 | multi |
The most commonly practiced operative procedure for a perforated duodenal ulcer is | Here perforation is identified and an omental patch is placed & closed with interrupted, horizontal sutures. Because of its adhesion propey, it seals perforation, maintain good vascularity, and promote lymphatic drainage Reference: SRB 5th edition, page no: 832 | 4 | Vagotomy and pyloroplasty | vagotomy and antrectomy | Vagotomy and perforation closure | Graham's omentum patch repair | Surgery | G.I.T | a89f2006-078a-47da-9bd0-fd396a01002c | single |
How is posterior chamber examined in mature cataract? | Ans. (c) B ScanRef: Kanski 7/e, chapter 9, Textbook of ophthalmology by H. V. nema, p 525 | 3 | Laser interferometry | Optical coherence tomography | B Scan | A scan | Ophthalmology | Acquired Cataract | 9b1de0f1-18b6-4e35-a72c-5d0081e4d369 | single |
Rosette cataract develops in the | It is seen as feathery lines of Opacities in the posterior cortex. | 2 | Anterior cortex | Posterior cortex | Anterior subcapsule | Posterior subcapsule | Ophthalmology | null | 10817e2f-bed6-4a7d-9e63-47be4401180f | single |
Filament in X-ray machine is made up of: March 2005 | Ans. B: Tungsten The earliest material used was barium oxide; it forms a monoatomic layer of barium with an extremely low work function. More modern formulations utilize a mixture of barium oxide, strontium oxide and calcium oxide. Another standard formulation is barium oxide, calcium oxide, and aluminium oxide in a 5:... | 2 | Molybdenum | Tungsten | Strontium | Silver | Radiology | null | a9d8158e-2d17-4a08-bbfc-ab2d48aeb5d2 | single |
Sodium nitroprusside acts by activation of | Nitroprusside generates NO that relaxes the vascular smooth muscle by activating Guanylate cyclase Refer kDT 6/e p548 | 1 | Guanylate cyclase | K+ chanells | Ca++ chanells | Cyclic AMP | Pharmacology | Cardiovascular system | 238b20cf-0473-4e1d-b7e0-efeca600f987 | single |
MEN-2A includes | MEN 2A or Sipple's syndrome &. MEN 2B are associated with mutation in the RET protooncogene located in pericentromeric region of chromosome 10. | 1 | Ganglioneuromas | Cutaneous lichenoid amyloids | Parathyroid adenoma | Adrenal adenoma | Anatomy | Endocrinology and breast | ecda8443-1935-4e7e-a1a3-6c3f1564aec8 | single |
Coventional X-ray film is made of? | *The Photosensitive material used in Xray film is Silver bromide *Double coated emulsions of silver halides,mainly silver bromide is used in conventional radiography. Silver halide is the lightsensitive material in the emulsion. The halide in medical x-ray film is about 90 to 99% silver bromide and about 1 to 10% silve... | 2 | Silver chloride | Silver bromide | Silver nitrate | Gold chloride | Radiology | X-RAYS | ea1c9b06-d30c-4a3e-ae3c-962309fe23cf | single |
Which of '.he following defines veigo: September 2011 | Ans. B: Subjective sense of imbalance In veigo, patient gets a feeling of rotation of himself or of his environment. Veigo ("a whirling or spinning movement") It is a type of dizziness, where there is a feeling of motion when one is stationary. The symptoms are due to a dysfunction of the vestibular system in the inner... | 2 | Ringing of ears | Subjective sense of imbalance | Sense of pressure in the ear | Infection of the inner ear | ENT | null | 5bb09cf7-acd0-4325-9710-9a92769e3333 | single |
A 60-year-old man with previous episodes of ataxia, diplopia, and dizziness, now presents with sudden headache and altered sensorium. The diagnosis is | (B) Cerebellar haemorrhage # Cerebellar Hemorrhage:> Result from the same causes as other intracerebral hemorrhages. Long-standing hypertension with degenerative changes in the vessel walls and subsequent rupture is believed to be the most common cause of a typical cerebellar hemorrhage.> Hemorrhage into tumor, blood d... | 2 | Pontine haemorrhage | Cerebellar haemorrhage | Subdural haemorrhage | Alcoholism | Medicine | Miscellaneous | 54695a87-4019-470a-822c-e37a738bc9ab | single |
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