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Box shaped heart is seen in which of the following condition:
Ans. (d) Ebstein anomalyRef: Pediatric radiology 1st ed/57* Ebstein anomaly is a congenital heart defect in which the septal and posterior leaflets of the tricuspid valve are displaced towards the apex of the right ventricle of the heart.* It causes atrialization of right ventricle.Radiographic Features In Different Co...
4
Coaractation of aorta
Pericardial effusion
Tetralogy of fallot
Ebstein anomaly
Radiology
Cardiac and Pericardiac Imaging
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multi
True regarding Leprosy
null
2
Any positive smear 1+ is MBL
MBL recommended treatment for 12 months duration
Grenz zone in Lepromatous spectrum
All deformity cases are MBL
Social & Preventive Medicine
null
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multi
. In cardiac shock
Cardiogenic shock (CS) is characterized by systemic hypoperfusion due to severe depression of the cardiac index and sustained systolic aerial hypotension (<90 mmHg) despite an elevated filling pressure . It is associated with in-hospital moality rates >50%. . Circulatory failure based on cardiac dysfunction may be caus...
1
SBP<90mmof Hg
DBP<80mmof Hg
Urine output < 20 ml\/hr
Cardiac index < 3.5
Medicine
C.V.S
8d21485c-a7a3-4bce-9c40-e8dd1453cb5d
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Which type of Amyloidosis is caused by mutation of the transthyretin protein ?-
In contrast with familial Mediterranean fever, a group of autosomal dominant familial disorders is characterized by deposition of amyloid predominantly in the peripheral and autonomic nerves. These familial amyloidotic polyneuropathies have been described in kindreds in different pas of the world--for example, in Pouga...
2
Familial Mediterranean fever
Familial amyloidotic polyneuropathy
Dialysis associated amyloidosis
Prion protein associated amyloidosis
Pathology
General pathology
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RNA dependent DNA polymerase is found in:
Ans. A. RetrovirusRetroviruses: -a. Positive stranded RNA virusesb. Have a diploid genomec. 100 nm in diameterd. Possess reverse transcriptase enzyme (RNA dependent DNA polymerase) as they replicate through a DNA intermediate.
1
Retrovirus
Rota-virus
Reo-virus
All of the above
Microbiology
Virology
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An i.v. bolus dose of thiopentone leads to loss of consciousness within10-15 sec. The patient regains consciousness in just a few minutes. This is because it is:
Thiopentone - is highly lipid soluble agent - it first reach the highly perfused organs like brain - Therefore, onset of action of these agents is very quick. However, action also terminates quickly because of redistribution to less well perfused tissues like fat and muscle.
4
Renally excreted
Exhaled rapidly
Rapidly metabolised by hepatic enzymes
Redistributed from brain to other body tissues
Pharmacology
Anaesthesia
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All are seen in the floor of 3rd ventricle except?
B i.e. Occulomotor Nerve
2
Infundibulum
Oculomotor nerve
Mammillary body
Optic chiasmaFouh Ventricle
Anatomy
null
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multi
Which of the following can be used as a Medium for growth of anaerobic bacteria -
null
1
Smith Noguchi medium
Lowenstein Jensen medium
Blood agar
All of the above
Microbiology
null
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multi
Delusions of control, persecution and self reference are seen in:
B i.e. Paranoid schizophreniaDiagnostic criteria of scizophreniaDiagnostic criteria of Paranoid subtypeA. 2Q of these for > 6 months1. None of the following is prominent1. DelusionsQ- Disorganized speech, Disorganized behaviour,2. HallucinationsQFlat or inappropriate affectQ (these are3. Disorganized speechQprominent i...
2
Paranoia
Paranoid schizophrenia
Mania
OCD
Psychiatry
null
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single
Christmas factor is:
null
2
PTA
PTC
VWA
Prothrombin
Physiology
null
fe803351-8a9a-44cd-95a6-80dc6c0fba6d
single
Metabolically active layer of cornea is:
A i.e. Endothelium
1
Endothelium
Stroma
Descernets membrane
Epithelium
Ophthalmology
null
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multi
Test performed to compare weight of lung to body weight is ?
Ans. is 'a' i.e., Ploucquet's Test Ploucquet's test : Weight of lung is measured in relation to body weight. Before bih weight of lung is 1/70 of body weight and after respiration it becomes 1/35 of body weight due to increased blood flow in lung beds.
1
Ploucquet test
Fodere's test
Gettler's test
Raygat's test
Forensic Medicine
null
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A 38-year-old male lawyer develops abdominal pain after having a fatty meal. Examination reveals tenderness in the right hypochondrium and a positive Murphy's sign. Which test is most likely to reveal acute cholecystitis?
The HIDA scan is most accurate in estab-lishing a diagnosis of acute cholecystitis. After injection, the technetium-labeled imminodi-acetic acid radioisotopes are taken up by the liver and excreted into the biliary tree. If the cystic duct is obstructed (as in patients with acute cholecystitis) the gallbladder will not...
1
HIDA scan
Oral cholecystogram
Intravenous cholangiogram
CT scan of the abdomen
Surgery
Hepatobiliary and Pancreatic Sx
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Metacarpophalangeal joint is
Ellipsoid(functionally) / condylar joints(structurally): 1. Wrist (radio-carpal joints) 2. Knuckle (metacarpophalangeal joint) 3. Atlanto - occipital joint Ellipsoid > condylar joints
2
Condylar
Ellipsoid
Saddle
Hinge
Anatomy
Osteology
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Fetal erythropoietin production is inhibited by?
Ans. is 'b' i.e., Estrogen Ref: Principles and practice of maternal healthThe plasma erythropoietin activity increases steadily during pregnancy.Estrogen antagonizes the erythropoietin-augmenting effect of placental lactogen.It inhibit utilization of erythropoietin by the marrow stem cells, and also impairs its product...
2
Testosterone
Estrogen
Coisol
Hypoxia
Physiology
null
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single
Orthostatic hypotension is said to be present, if systolic blood pressure falls by_____while assuming standing posture from sitting posture.
Orthostatic hypotension is defined by a fall in systolic pressure > 20 mmHg or in diastolic pressure > 10  mmHg in response to assumption of the upright posture from a supine position within 3 min. There  may also be a lack of a compensatory tachycardia, an abnormal response that suggests autonomic  insufficiency, as may ...
2
>10 mm Hg
>20 mm Hg
>30 mm Hg
>40 mm Hg
Medicine
null
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multi
In case of fasting, glycogen stores in the body can last up to:
Liver glycogen is the first-line of defence against hypoglycemia. The liver concentration of glycogen is about 450 mmol /L glucose equivalents after a meal, falling to about 200 mmol /L after an overnight fast. After 12 to 18 hours of fasting, liver glycogen is almost totally depleted.
4
7 days
72-96 hours
6-8 hours
12-18 hours
Biochemistry
Fuel in Fed, Fasting and Starvation
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Which of the following statements about clinical uses of the aminoglycosides is FALSE?
(Ref:KDT 6/e p719, 720; Katzung 10/e p758) These are bactericidal inhibitors of protein synthesis. Due to formation of ionic nolecules in GIT, these are ineffective orally. Combination of aminoglycosides with penicillins is synergistic and is used for pseudomonas and enterococcal infections.
3
Owing to their polar nature,aminoglycosides are not absorbed following oral adminissstration
Aminoglycosides are often used in combination with cephalosporibns in the empirical treatment of life-threatenting bacterial infections
The spectrum of antimicrobial activity of aminoglycosides includes Bacteroides fragilis
Gentamicin is used with ampicillin for synergistic effects in the treatment of enterococcalendocarditis
Pharmacology
Other topics and Adverse effects
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Paogram helps in detecting
Obstructed labour
2
Abruptio placenta
Obstructed labour
Incoordinate uterine action
PPH
Gynaecology & Obstetrics
null
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True about MHC -
MHC class III genes encode several components of the complement system (i.e. C2, C4a, C4b, Bf), they are responsible for the levels of components of compliment system. Reff: Ananthanarayan & Panikers textbook of microbiology 9th edition pg: 140
3
Present on chromosome 4
Class II compromises A, B, C loci
Class III has complement
Class I is involved in mixed leucocyte reaction
Microbiology
Immunology
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multi
All of the following aeries supply medulla oblongata, except
Medulla is supplied by : Anterior Spinal aery Posterior inferior cerebellar aery Direct branches of veebral aery Basilar aery ref - Vishram singh neuroanatomy 2e pg 77
3
Posterior inferior cerebellar aery
Spinal aery
Anterior inferior cerebellar aery
Veebral aery
Anatomy
Brain
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multi
Takayasu aeritis commonly effects:
Renal aeries
4
Coronary aeries
Spleenic aery
Radial aery
Renal aeries
Pathology
null
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Secular trend in influenza is due to -
Antigenic shift,is an brupt drastic discontinuation variation in the antigenic structure resulting in a novel virus strain unrelated antigenically to predecessor strains. Such chamges may involve hemagglutinin , neuraminidase or both. Antibodies to predecessor viruses do not neutralise the new variants and can therefor...
1
Antigenic shift
Antigenic drift
Endemicity
Virulence
Microbiology
general microbiology
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single
Stem cells are located in which region of hair follicle:
Bulge REF: Gray's anatomy, 39th edition, page 159Stem cells are thought to reside mainly in the troughs of rete pegs, and in the outer root sheath bulge of the hair follicleStem Cell NichesStem cellOrganNicheEpidermal stem cellHair follicle, EpidermisHair follicle bulgeIntestinal stem cellIntestineBase of colonic crypt...
3
Bulb
Root
Bulge
Papilla
Anatomy
null
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Which of the following should be monitored if linezolid is given for more than 14 days ?
null
3
Liver function tests
Kidney function test
Platelet count
Audiometry
Pharmacology
null
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single
Biocompatibility is best for:
null
1
Beta-titanium
Stainless steel
Nitinol
Base metal alloys
Dental
null
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multi
CYP–450 inducers are:
- P450 inducers    Phenobarbitone    Rifampicin    Phenytoin    Chloral hydrate    Griseofulvin    Phenylbutazone    DDT    Chronic alcohol ingestion -          Cimetidine and Ketoconazole inhibits metabolizing enzymes.
3
Cimetidine
Ketoconazole
Phenobarbitone
Theophylline
Pharmacology
null
739f87db-0fad-42cb-9ee0-78ae6e4e60d4
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which is the antipsychotic which selectively acts on the mesolimbic pathway and does not inhibit dopamin in mesocoical pathaway
ARIPIPRAZOLE * Paial agonist action * Selectively blocks dopamine in mesolimibic pathway, hence improves positive symptoms without worsening negative symptoms * Used in risperidone induced hyoperprolactinemia Ref. kaplon and sadock, synopsis of psychiatry, 11 th edition, pg no. 925
1
aripiprazole
haloperidol
flupenthixol
pimozide
Anatomy
Pharmacotherapy in psychiatry
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All of the following are poor prognostic factors in Multiple Myeloma, Except:
Answer is B (Hypocalcemia) Hypercalcemia is associated with a poor prognosis in Multiple Myeloma and not hypocalcemia. Azotemia (1 creatinine), T LDH, Chromosome 13q deletion and High M component production are all established poor prognostic factors. Poor prognostic factors in Multiple Myeloma Stage Related Factors St...
2
Azotemia
Hypocalcemia
LDH
High M component production
Medicine
null
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multi
In congenital adrenal hyperplasia most common deficiency
Ans) a (21- alpha ) Ref Nelson 18'h ed p 2360More than 90% of CAH cases are caused by 21 -hydroxylase deficiency.
1
21- alpha hydroxylase deficiency
11- beta hydroxylase deficiency
17 - hydroxylase deficiency
3 beta hydroxylase deficiency
Pediatrics
Endocrinology
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The data presented below compares the results of a diagnostic test in the presence and absence of a disease.\r\n\r\n \r\n\r\n\r\nTest Result\r\nDisease Present\r\nDisease Absent\r\n\r\n\r\nPositive Test\r\n40\r\n5\r\n\r\n\r\nNegative Test\r\n10\r\n95\r\n\r\n\r\nTotal\r\n50\r\n100\r\n\r\n\r\n\r\n\r\n \r\nThe specificity...
Specificity is the propoion of persons without the disease who are correctly identified by the test as being disease-free. It is given by TN/(FP + TN), where TN stands for true negatives (people who do not have the disease and test negative on the test) and FP stands for false positives (people who do not have the dise...
4
0.05
0.4
0.8
0.95
Social & Preventive Medicine
null
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single
Which of the following is an indication for the use of coicosteroids
Refer CMDT 2010/266 Coicosteroids are contraindicated in psychosis and herpes simplex Treatment of choice for Subacute thyroiditis is aspirin Thyrotoxic symptoms are treated with Propanolol Prednisolone produve6 dramatic relief bin Eosinophilic pulmonary syndromes like loeffler syndrome
3
Psychosis
Herpes simplex
Loeffler syndrome
Subacute thyroiditis
Pharmacology
Endocrinology
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single
A patient was administered trimethaphan during surgery. This drug will cause which of the following responses?
Trimethaphan is a ganglionic blocker that is sometimes administered during surgery to maintain controlled hypotension and to minimize blood loss. The trick to determining the effect of a ganglionic blocker is to first know the predominant tone of the end organ in question. The blocker will produce the opposite effect o...
4
Accommodation
Hypeension
Peristalsis
Tachycardia
Pharmacology
null
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Commonest complication of Trans-cervical fracture of femur is-
*AVN is the most common complication of femoral neck fracture. M/c affects => Femoral Head M/c site => Anterolateral aspect (Being principal Wt. bearing poion) Incidence&;d/t t Steroid usage & Trauma AVN only occurs in FATTY MARROW, which contains a Sparse vascular supply. In contrast to Hematopoietic marrow which has ...
3
Non union
Malunion
Avascular necrosis
All of the above
Orthopaedics
Pelvis and Hip injuries
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ACTH level is higher during:
Ans. (a) Early morning(Ref: Ganong, 25th ed/p.366)ACTH and cortisol secretion is pulsatile with a characteristic circadian rhythm. It is high in the early morning and low in the evening75% of the daily production of ACTH & cortisol occurs between 4:00 AM and 10:00 AM
1
Early morning
Evening
Afternoon
Night
Physiology
Endocrinology and Reproduction
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single
Which of the following is true statement about exhumation?
It is the legal digging out of an already buried body from the grave. Written order from the first class magistrate /district magistrate /executive magistrate under 176 Crpc Police cannot order exhumation. Time limit: In India, there is no time limit for ordering the exhumation.
2
Police can order for exhumation
Executive magistrate can order for exhumation
Postmoem cannot be done on exhumated body
Cr PC 174 is related to enquiry of exhumated body
Forensic Medicine
FMT Q Bank
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multi
During the metabolism of iodine in thyroid synthesis, Wolff-Chaikoff effect is seen due to:
Iodine metabolism within the thyroid can be regulated independently of TSH. This mechanism is impoant when plasma iodide levels are elevated (15-20-fold above normal) because this elevation inhibits the organic binding of iodine within the thyroid. This autoregulatory phenomenon consisting of inhibition of the organifi...
3
Inhibition of cAMP response of TSH
Inhibition of proteolysis of Thyroglobulin
Inhibition of organic binding of iodide
Inhibition of iodide trapping mechanism
Physiology
null
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All of the following are adverse effects of nicotinic acid except ?
Ans. is 'b' i.e., Pancreatitis Adverse effects of nicotine Adverse effects - 1) Marked flushing, itching (pruritis) and heat due to cutaneous vasodilatation, 2) Dyspepsia, vomiting and diarrhoea, 3) Liver dysfunction, 4) Hyperpigmentation and dryness of skin, 5) Hyperglycemia and hyperuricemia. The cutaneous effects of...
2
Vasodilation
Pancreatitis
Liver dysfunction
Hyperpigmentation
Pharmacology
null
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multi
Hysteroscopy can diagnose all, except:
Ans. is c, i.e. AdenomyosisRef: Novak 14th/ed, p787, 15th/ed, p786-2, Shaw 15th/ed, p494; Williams Gynae 1st/ed, p950-1* Hysteroscopy is the endoscopic technique of visualizing the interior of uterus directly.Q* It is both diagnostic and therapeutic.Patient Preparation:* In premenopausal women, hysteroscopy is ideally ...
3
Asherman's syndrome
Septate uterus
Adenomyosis
TB endometritis
Gynaecology & Obstetrics
Gynaecological Diagnosis
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Development of diaphragmbegins at 4 weeks of gestation. Diaphragm has contributions from different structures. Central tendon of diaphragm develops from?
Development of Diaphragm Diaphragm develops from Septum transversum: it is a mass of mesodermal tissue arising from coelomic wall at the 4rd week of gestation. It forms the central tendon of diaphragm. Dorsal mesooesophagus forms the median portion of diaphragm & the crurae. Cervical myotomes (from C3-C5 somites) of la...
2
Dorsal mesooesophagus
Septum transversum
Pleuro peritoneal membrane
Cervical myotomes
Unknown
null
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Most common cause of Thyroiditis is -
null
3
Reidl' s Thyroiditis
Subacute Thyroiditis
Hashimoto's Thyroiditis
Viral thyroiditis
Surgery
null
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Which of the following agents is most commonly used to induce anaesthesia
Thiopentone is an ultra sho acting barbiturate which she administered IV rapidly induces hypnosis and anesthesia without analgesia. Onset of action is quick,induction smooth rapid and unpleasant. Methohexitone is similar to thiopentone but is not preferred due to its toxicity . Etomidate is used in cardiovascular patie...
1
Thiopentone sodium
Methohexitone sodium
Propofol
Etomidate
Pharmacology
Anesthesia
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Worm like filling defect is seen In
On USG Thickened sinus, interrupted mucosal folds (earliest sign) Toous radiolucencies of variable size The "worm-eaten" smooth lobulated filling defects Ref: Wolfgang Radiology 2nd edition Pg no : 509
2
Erosive gastritis
Esophageal varices
CA esophagus
Schatzki's ring
Anatomy
G.I.T
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single
Ions participating in clotting mechanism are:
null
3
Iron
Copper
Calcium
Aluminium
Physiology
null
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Most abundant extracellular buffer is?
Hemoglobin REF: Ganong 22nd edition chapter 39 Repeat from June 2008 In the blood, proteins paicularly the plasma proteins are effective buffers because both their free carboxyl and their free amino groups dissociate: Another impoant buffer system is provided by the dissociation of the imidazole groups of the histidine...
1
Hemoglobin
Plasma proteins
Bicarbonate
Phosphate
Physiology
null
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single
Nissl bodies in neurons are
Nissl bodies are basophilic bodies or granules composed of many thin, parallelly arranged, membrane-bounded cavities or cisternae which are covered by many minute paicles consisting of Ribose nucleoproteins i.e. RNA with proteins. Granule&;s size and number vary with physiological condition of the cell. For example, fa...
2
Golgi apparatus
Endoplasmic reticulum
Mitochondria
Lysosome
Physiology
Nervous system
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One of the following is obtained in the by beta oxidation of odd chain fatty acids:
Ans. B. Acetyl-CoA + Propionyl-CoA(Ref: Harper 31/e page 209)Oxidation of Odd Chain Fatty AcidTakes place in the mitochondria.Oxidation of a fatty acid with an odd number of carbon atoms yields acetyl-CoA and a molecule of propionyl-CoA.The propionyl residue from an odd-chain fatty acid is the only part of a fatty acid...
2
Acetyl-CoA + Acetyl-CoA
Acetyl-CoA + Propionyl-CoA
Propionyl CoA + Propionyl-CoA
Acetyl-CoA alone
Biochemistry
Lipids
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Ankylosing spondylitis in associated with:
SERONEGATIVE SPONDYLOAHROPATHIES Feature HLA B-27 positive/presence of uveitis Onset usually before 45 years age Inflammatory ahritis of spine/large peripheral joints Absence of autoantibodies (e.g. rheumatoid factor) in serum so known as seronegative -Other diseases associated with HLA-B27 positivity Mnemonic: PEARS (...
1
HLA-B27
HLA-B47
HLA-DW4/DR4
HLA-DR3
Orthopaedics
Joint disorders
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You are being asked to give your expe opinion as a toxicologist regarding an effective antidote for belladonna poisoning. Which of the following agents would you suggest?
- Atropine is obtained from atropa belladonna. - It is non selective muscarinic receptor antagonist Physostigmine is the specific antidote for poisoning with belladonna . It crosses blood-brain barrier and antagonises both central and peripheral actions. Physostigmine sometimes itself induces hypotension, arrhythmias a...
2
Neostigmine
Physostigmine
Pilocarpine
Atropine
Pharmacology
ANS
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During a voluntary movement, the Golgi tendon organ provides the central nervous system with information about
(D) The tension developed by the muscle being moved # The Golgi tendon organ (GTO) is located in the tendon of skeletal muscles & therefore is in series with the muscle.> Each time the muscle contracts, the tension developed by the muscle causes the GTO to be stretched. It helps to control the tension developed in the ...
4
The length of the muscle being moved
The velocity of the movement
The blood flow to the muscle being moved
The tension developed by the muscle being moved
Physiology
Nervous System
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Double Blind Study, true is ?
null
3
The research investigator is blind to the dependent & independent variable
The subject in the study do not know the examiner doing the study
The subject & the examiner do not know the details of the study
Only the examiner know the group to which subject belongs
Dental
null
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multi
True about V3 nerve is all except:
Mandibular nerve (CN V3 )  Sensory and motor  Passes through foramen ovale into infratemporal fossa   ● Auriculotemporal Nerve arises from two roots that encircle the middle meningeal artery.   It carries postganglionic parasympathetic and sympathetic general visceral efferent (GVE) fibers to the parotid gland and se...
4
Lingual nerve runs with chorda tympani
Auriculotemporal nerve embrace middle meningeal artery
Otic ganglion is medial to nerve
Pure motor
Anatomy
null
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IoC to detect minimal ascites
Ioc to detect minimal ascites → USG.
1
USG
CT
MRI
PET
Radiology
null
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Precocious puberty in females is defined as
Ans. C. Appearance of Secondary sexual characteristics before 8 years* Precocious puberty: This is defined as the appearance of any of the secondary sexual characteristics before the age of 8 years or the occurrence of menarche before the age of 10 years* Precocious puberty in females is pubertal changes before the age...
3
Occurrence of menarche before age of 8 years
Occurrence of menarche before age of 12 years
Appearance of secondary sexual characteristics before 8 years
Appearance of secondary sexual characteristics before 10 years
Gynaecology & Obstetrics
Miscellaneous (Obs)
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All are true for nephrotic syndrome except: March 2012
Ans: D i.e. Hypeension The nephrotic syndrome, also due to glomerular disease, is characterized by heavy proteinuria (more than 3.5 gm/ day), hypoalbuminemia, sever edema, hyperlipidemia, and lipiduria (lipid in the urine) Nephritic syndrome is due to glomerular disease and is dominated by the acute onset of usually gr...
4
Edema
Massive proteinuria
Hyperlipidemia
Hypeension
Pathology
null
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multi
Extrapyramidal syndrome like side effects are seen in:
Drugs causing extrapyramidal effects Butyrophenones (Haloperidol)* Levodopa* Methyldopa* Metoclopramide* OCP’S Phenothiazines* Reserpine* Tricyclic Antidepressants
3
Clozapine
Tetracycline
Haloperidol
Ketoconazole
Pharmacology
null
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single
Calorific value of fat is
null
3
4
7
9
2
Biochemistry
null
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single
Which of the following antibodies shows anamnestic response?
ANSWER: (C) IgGREF: BRS 4th ed page 222See APPENDIX-20 below IMMUNOGLOBULINSThe anamnestic response refers to the immune response of the body to a pathogen it recognize i.e. Secondary response.Immunoglobulin G (IgG) is the predominant antibody in the secondary immune response (anamnesis). APPENDIX - 20Immunoglobulins I...
3
IgA
IgM
IgG
IgD
Microbiology
Anitibody
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single
Drug to be avoided in HOCM (Hypertrophic obstructive cardiomyopathy) is:
null
3
Amiodarone
Verapamil
Digoxin
Beta–blockers
Pharmacology
null
adc5755c-b0e7-44b1-9174-93448fd0975d
single
In a patient with enteric fever bone and joint infection is seen specially in children having -
null
3
Aplastic anemia
HIV disease
Sickle cell disease
HbsAg + ve hepatitis
Medicine
null
7c71c3f0-9767-4917-b97f-82c96fdf113c
multi
Which type of necrosis is seen in brain?
Liquefactive necrosis/Colliquative Necrosis Liquefactive necrosis, is characterized by digestion of the dead cells, resulting in transformation of the tissue into a liquid viscous mass. Hydrolytic enzymes activation results in damage to tissue architecture The necrotic material is frequently creamy yellow because of th...
2
Coagulative
Liquefactive
Fat
Fibrinoid
Pathology
FMGE 2019
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single
All of the following are diagnostic modalities of Asherman's syndrome, EXCEPT:
Intrauterine Adhesions is also known as uterine synechiae and when symptomatic, as Asherman syndrome, the spectrum of scarring includes filmy adhesions, dense bands, or complete obliteration of the uterine cavity. Endometrial damage may follow vigorous curettage, usually in association with postpaum hemorrhage, miscarr...
3
Hysterosalpingography
Saline sonography
Endometrial culture
Hysteroscopy
Gynaecology & Obstetrics
null
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multi
Pseudo Koebner's phenomenon is seen in -
Ans. is'd' i.e., Plane was
4
DLE
Lichen planus
Kaposis sarcoma
Plane was
Skin
null
77d8c33b-6c16-4d21-8ff4-869267350300
single
During labor and delivery, a specific hormone causes uterine contractions. This hormone is produced in which one of the following anatomical locations?
The hormone that causes uterine contraction is OT. OT (and VP) are produced in the hypothalamus, then stored in the posterior pituitary. The anterior pituitary produces PRL, LH, FSH, ACTH, GH, and TSH. The ovary produces progesterone and estrogen. The adrenal cortex produces cortisol.
1
Hypothalamus
Anterior pituitary
Posterior pituitary
Adrenal cortex
Biochemistry
Endocrinology
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single
Different routes of H treatment include A/E :
Injectables
3
Transdermal patch
Vaginal pellets
Injectables
Oral
Gynaecology & Obstetrics
null
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single
Drugs causing pharmacological adrenalectomy are all except
Aminoglutethimide, Ketoconazole, Mitotane, Trilostane, Metyrapone inhibits synthesis of steroids Pharmacological adrenelectomy refers to mimicking a situation of adrenelectomy where the complete synthesis of coicosteroids is stopped by using drugs line glucocoicoid synthesis inhibitors. Ref: Katzung 11th ed pg 695.
4
Ketoconozole
Mitotane
Aminoglutethemide
Methotrexate
Pharmacology
Endocrinology
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multi
The most common cause of subarachnoid hemorrhage is:
Answer is C (Aneurysm): The most common cause of subarachnoid haemorrhage is rupture of a saccular aneurysm (Saccular aneurysms are synonymous with Berry Aneurysms or 'Circle of Willi's aneurysms' and most commonly occur in the anterior circulation on the Circle of Willis).
3
Aeriovenous malformation
Cavernous angioma
Aneurysm
Aneurysm
Medicine
null
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single
In Millennium Development Goals (MDGs), how many goals are health related?
Ans. C. 3 out of 8. (Ref. Park's Textbook of PSM 22nd/834-835).In Millennium Development Goals (MDGs)These (MDG) goals were set in Millennium Summit, New York in September 2000Target year -2015Total Goals - 8Health related are- Goal No. 4, 5, 6.Target - 18Indicators - 48 (18 health related)Priority areas-# Peace, secur...
3
1 out of 8
2 out of 8
3 out of 8
4 out of 8
Social & Preventive Medicine
Miscellaneous
81efd7a4-2910-4c09-8a5d-5e99afed9b0c
single
In right-sided sixth nerve palsy all of the following are seen except:
Ans. Head turned to left
4
Convergent squint
Right-sided abduction loss
Diplopia on dextroversion
Head turned to left
Ophthalmology
null
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multi
A 30-year-old male complains of loss of erection; he has low testosterone and high prolactin level in blood; What is the likely diagnosis:
Answer is A (Pituitary adenoma): Pituitary adenomas produce excess prolactin which causes hypogonadism, decreased levels of testosterone and explains loss of erection. Pituitary adenomas (Prolactinomas) lead to an excess of prolactin. This inhibits hypothalamic release of LHRII resulting in defective LH & FSH secretion...
1
Pituitary adenoma
Testicular failure
Cranio pharyngioma
Cushing's syndrome
Medicine
null
4a5964f6-5aab-4a82-8d43-92a58ee6882c
single
Causative agent of SABE should be culture on ?
Ans. is 'b' i.e., Blood agar
2
Nutrient agar
Blood agar
U medium
Tel lurite broth
Microbiology
null
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single
Which of the following trace element has Vitamin E sparing effect -
Ans. is 'd' i.e., Selenium o Selenium prevents lipid peroxidation and offers protection against free radicals,o Vitamin E also has the same effect (antioxidant) though by a different mechanism,o Thus selenium and vitamin E supplement each other.o Availability of vitamin E reduces the selenium requirment and conversely,...
4
Copper
Iron
Magnesium
Selenium
Biochemistry
Nutrition & Digestion
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single
Cereals are deficient in?
ANSWER: (B) LysineREF: Park 20th edition page 542Cereals are deficient in essential amino acid lysine, maize also being deficient in tryptophan.
2
Alanine
Lysine
Methionine
Cysteine
Social & Preventive Medicine
Proteins
8f119578-75b9-42d2-91e2-f6b723556123
single
What is the indication of using Micro Wick and Microcatheter sustained release devices?
Micro Wick and Microcatheter are methods of delivery of medications directly to the inner ear.
4
Drooling of saliva
Frey's syndrome
Conrol of epistaxis
Deliver drug to the round membrane
ENT
null
81d663a3-0438-4ec4-aa76-f5aba1d2a9c0
single
ICF is
In a 70 kg normal manThe intracellular compament contains on average about 28 litres of fluid.The extracellular compament contains on average about 14 litres of fluid, of which the interstitial space has approximately 10.5 litres of fluid and intravascular is approximately 3.5 litres.(Ref. Textbook of physiology AK Jai...
3
14 L
20 % of body weight
28 L
33% of body weight
Physiology
General physiology
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single
TRUE statement regarding the AV node:
There are 3 regions of the AV node: A-N region -the junction between atrial fibers and nodal tissue N region - the major pa of the nodal tissue N-H region - where nodal fibers merge into His bundle The path length, for impulse propagation, is longest in the A-N region. The velocity of impulse is slowest in the N region...
4
The path length is greater in the "N" region
The path length is greater in the "N-H" region
Impulse velocity is slowest in the "A-N" region
Impulse velocity is slowest in the "N" region
Physiology
Conducting System of Hea
7787630e-1356-429d-8b54-46ade193bdfa
multi
In glomerular disease which of the following is mainly excreted in Urine -
Ans. is 'a' i.e., Albumino Normally the glomerular filtration layer does not allow any plasma protein to pass through it. But when some renal pathology occurs it allows protein molecules to pass through it, and albumin is the first protein to appear in the urine. So proteinuria is also sometimes called Albuminuria.
1
Albumin
Globulin
Light chain
Heavy chain
Pathology
null
3f74f6e5-154f-46bf-ba13-7d2c0b8067cb
single
What is the venous hematocrit level at which you will diagnose polycythemia in a newborn?
Definition of polycythemia: a. Venous haematocrit of over 65%. b. Venous haematocrit of over 64% at 2 hours age. c. An umbilical venous or aerial haematocrit over 63% or more. The mean venous haematocrit of term infants is 53 in cord blood, 60 at 2 hours of age, 57 at 6 hours of age and 52 at 12-18 hours of age. As the...
3
55%
60%
65%
70%
Surgery
null
e151ae47-18b6-41f8-a55b-7868df1a9c59
single
A rugby player hit his head on the post whilst involved in a tackle. He was unconscious for 5 min but regained full consciousness and sat on the sideline until the end of the game. He was then noted to be drowsy and over the past 30 min became confused and no longer obeyed commands. Most likely diagnosis is: Himachal 1...
Ans. Extradural hematoma
1
Extradural hematoma
Subdural hematoma
Subarachnoid hematoma
Cerebral edema
Forensic Medicine
null
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single
in the aboove show triangle posteror border is formed by ?
THIS IS THE IMAGE OF TRAUGHTMANNS TRIAGNLE REF : GRAYS ANATOMY
2
bony labrynth
sigmoid sinus
superior petrosal sinus
CAVERNOUS SINUS
Anatomy
All India exam
1a5d04ee-0174-40b8-8438-93d913052436
single
Grievous injuries are -a) Severe bodily pain for 10 daysb) Not able to work for 17 daysc) Dislocation of toothd) Joint dislocatione) Bone fracture
Any fracture, dislocation of bone or dislocation of tooth are grievous injuries.
1
cde
acd
bde
ade
Forensic Medicine
null
559565be-e01d-4792-a70f-a3ec0c4c575f
single
Cardiac condition requiring Antibiotic Prophylaxis for Infective Endocarditis?
null
2
Coronary Heart Disease
Rheumatic Heart Disease
Cardiac Pacemakers
Hypertensive Heart Disease
Pathology
null
48c63aac-1564-4a5c-ac02-592687219b45
single
Lymphoreticular system includes -
Ans. is 'a' i.e., T- cells; 13' i.e., B-cells; 'c' i.e., Neutrophils Lymphoreticular system is a complex organization of cells of diverse morphology distributed widely in different organs and tissues of the body responsible for the immunity.
4
T- cells
B-cells
Neutrophils
All
Microbiology
null
8dedff26-29a3-4a9b-bf28-d998c129e680
multi
Selection bias can be eliminated by?
ANSWER: (A) RandomizationREF: Park 20th edition page 68, 69, 70Three key procedures are used to minimize bias in experimental studies: Randomization (against selection bias, blinding (against assessment bias) and a priori definition of the statistical analysis i.e before the results are known (against the analysis bias...
1
Randomization
Single blinding
Double blinding
Matching
Social & Preventive Medicine
Epidemiological Study
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single
Right superior intercostal vein drains into
The right superior intercostal vein drains the 2nd, 3rd, and 4th posterior intercostal veins on the right side of the body. It flows into the azygos vein. The left superior intercostal veins drains the 2nd and 3rd posterior intercostal veins on the left side of the body. It drains into the left brachiocephalic vein B D...
2
Brachiocephalic vein
Azygos vein
Inferior venacava
Hemizygos vein
Anatomy
Thorax
5c4e69f6-fa7a-483c-8dd7-2f8585a52c9d
single
Which of the following does not develop from branchial pouch?
Ans. D ThyroidRef: I.B. Singh, 9th ed. pg. 116-17* Superior parathyroid is derived from 4th branchial pouch* Inferior parathyroid and thymus develop from 3rd branchial pouch* Most of the thyroid gland develops from thyroglossal duct (endodermal duct at foramen cecum).
4
Superior parathyroid
Inferior parathyroid
Thymus
Thyroid
Anatomy
Embryology
2dcfda03-f526-44db-9b3a-3218c7ab1305
single
White infarcts occurs in one of the following organs
null
4
Ovary
Lung
Intestine
Heart
Pathology
null
509424bd-1c10-490f-b63a-ca247e5899b0
single
A 42 year old female has palpable purpura with rash over buttocks, pain in abdomen, and arthropathy diagnosis is -
Typical HSP Henoch Schonlein Purpura (HSP) rash:
2
Sweet syndrome
HSP
Purpura fulminans
Meningococcemia
Skin
Autoimmune Skin Disorders
568a982f-422b-4c36-80b7-ce5979f156a2
single
Which among the following is a cardio-protective fatty acid?
Omega-3 fatty acids reduce the incidence of CHD.
3
Palmitic acid
Stearic acid
Omega-3 fatty acids
Oleic acid
Social & Preventive Medicine
null
99d5cb50-a1db-4738-9801-515782ba8c7d
single
All of the following are absolute contraindications for IUCD inseion, except :
Valvular hea disease
4
Pelvic infection
Pregnancy
Undiagnosed abnormal vaginal bleeding
Valvular hea disease
Gynaecology & Obstetrics
null
e9ea384c-ea14-434e-a738-68a2aba6336f
multi
Patient with both ear Rinne's positive and Weber's test to lateralised to the left. Diagnosis is -
null
3
Left conductive deafness
Left sensory - Neural deafness
Right sensory - Neural deafness
Right conductive deafness
ENT
null
06d17dbb-57a5-45f0-9261-be871adfce5f
multi
In Gaucher&;s disease, there is a deficiency of
Due to deficiency of glucocerebrosidase, causes glucosylceramide accumulation in macrophages called Gaucher&;s cells.DiseaseEnzyme DeficiencyClinical SymptomsGaucher diseaseb-GlucosidaseEnlarged liver and spleen, erosion of long bones,mental retardation in infantsRef: Harper&;s biochemistry; 30th edition; Chapter 24 Me...
1
Glucocerebrosides
glucokinase
Sphingomyelinase
G-6PD
Biochemistry
Structure and function of protein
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single
Ramsay Hunt syndrome is caused by -
It is lower motor neuron type of facial palsy due to Varicella (herpes) zoster.
2
H. simplex
H.zoster
Influenza
Adenovirus
ENT
null
19defe49-df0f-44e9-8b45-f281753ed3f1
single
TRUE about Heparin Indiced Thrombocytopenia (HIT) syndrome are all, EXCEPT:
Frequency of HIT after exposure to unfractionated heparin (UFH) is 1% to 5%, whereas the frequency of HIT associated with the used of low-molecular-weight heparin (LMWH) is only 1%. HIT occur due to the formation of antibodies against the complex of heparin bonded to platelet factor 4. Most patients develop HIT after e...
3
LMWH shouldn't be used for treatment
It causes both aerial and venous thrombosis
More common with fractionated heparin
Occurs commonly in about a week of heparin therapy
Pharmacology
null
2decfebb-1eb8-42ee-8513-54282fe55f46
multi
A 30 yr old man undergoes emergency laparotomy following penetrating injury to abdomen. Coincidentally surgeon notices a 2cm mass at the tip of appendix. It is yellowish brown in colour and firm to touch. IHC is positive for chromogranin and synaptophysis, negative for ki67. which of the following could be the possibl...
The given case scenario is indicating carcinoid tumor. it is a neuroendocrine tumor.
3
Desmoid tumor
Lipoma
Neuroendocrine tumor
Fecolith
Pathology
null
c25d5585-40ad-418c-be09-c34ddb265ec3
multi
In late stages of systemic sclerosis may have all the given features, EXCEPT:
Late stages of limited systemic sclerosis patients may develop Pulmonary aerial hypeension (PAH), Interstitial lung disease, Hypothyroidism, Primary biliary cirrhosis Raynaud's phenomenon and other typical features of systemic sclerosis occur in the absence of detectable skin thickening in some patients. This syndrome ...
4
Pulmonary aery hypeension
Interstitial lung diserase
Primary biliary cirrhosis
Primary sclerosing cholangitis
Medicine
null
01a8f6e2-990b-44be-a9f3-207f0afa8c25
multi
In children, Superior quadrantanopia is due to
(Refer: AH Khurana, Comprehensive Textbook of Ophthalmology,5thedition,pg no: 310-311)
2
Pituitary lesion
Temporal lobe lesion
Optic neuritis
Migraine
Pathology
All India exam
ba771e72-0a37-4721-8aba-fbb422b94760
single
Where is thermogenin located?
Thermogenin is uncoupler of oxidative phosphorylation and present in mitochondria
3
Cytoplasm
Lysosome
Mitochondria
Golgi complex
Biochemistry
null
a1f8743b-d508-4289-a67e-2de985b99ff5
single
Prior H/O ear surgery and Scanty, foul smelling, painless discharge from the ear is characteristic feature of which of the following lesions:
Cholesteatoma / attico antral type of CSOM / marginal perforation is characterised by scanty foul smelling, painless discharge from the ear. The foul smell is due to saprophytic infection and osteitis
2
ASOM
Cholesteatoma
Central perforation
Otitis externa
ENT
null
f8603205-f8ed-4d0f-a667-dbc93b8f8aa5
single
Increased suicidal tendency is associated with:
Decreased levels of 5 HIAA (which is a metabolite of serotonin) are related to increased risk of suicide. (|) 5-HIAA (5-hydroxyindoleacetic acid) (|) MHPG (3-methoxy-4-hydroxyphenylglycol) Increased risk of suicide. (|) HVA (homovanillic acid) Schizophrenia and other conditions involvingpsychosis (|) HVA Parkinson's di...
2
Increased noradrenaline
Decreased serotonin
Decreased dopamine
Increased GABA
Psychiatry
Mood Disorders
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single