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Which of the following property of the drug will enable it to be used in low concentration ?
null
1
High affinity
High specificity
Low specificity
High stability
Pharmacology
null
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single
Patch testing is done for :
C. Allergic contact dermatitis
3
Atopic dermatitis
Irritant contact dermatitis
Allergic contact dermatitis
Discoid eczema
Skin
null
495f06d5-eef7-45ad-9567-f05dd84a4232
multi
Minor modifications done in the existing tooth contours to improve a smile is termed -
null
1
Cosmetic contouring
Smile contouring
Micro dentistry
Enamel reshaping
Dental
null
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Emergency thoracotomy is indicated following chest trauma in the following conditions except:-
Indications of Thoracotomy Initial tube thoracostomy drainage of > 1000 ml (penetrating injury) or >1500 ml (blunt injury) Ongoing tube thoracostomy drainage of >200 ml/hr for 3 consecutive hours in non-caogulopathic patients Caked hemothorax despite of placement of two chest tubes Tracheo-bronchial injury Selected des...
1
Scapular and sternal fractures
Esophageal perforation
Penetrating injury with cardiac tamponade
Massive Hemothorax
Surgery
Thorax And Mediastinum
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multi
In the lactobacillus count test, which reading will be inferred as "Marked degree of caries activity"?
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3
>100/mL
>1000/mL
>10,000/mL
None of the above
Dental
null
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multi
In a lumbar sympathectomy the sympathetic chain in its usual position is likely to be confused with the all of the following except:
LUMBAR SYMPATHECTOMY Open sympathectomy is done preferable through extraperitoneal approach Sympathetic chain lies on the sides of the body of veebra, sometimes psoas muscle sheath In unilateral surgeries, sympathetic ganglia L1, L2, L3 and sometimes L4 are removed In bilateral surgeries, L1 of one side preserved to av...
3
Psoas minor
Genitofemoral nerve
Ilioinguinal nerve
Lymphatics
Surgery
Aerial disorders
c3889a77-d911-465f-a2aa-0ebc3955f94f
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Which of the following is false about tympanic membrane
The normal tympanic membrane has three layers. outer epithelial, middle fibrous and inner mucosal layer A perforation of tympanic membrane heals only by epithelial and mucosal layer without the intervening fibrous layer so healed perforation has two layers only. Ref: PL Dhingra Ear Nose and Throat; 6th edition; Pg no: ...
3
Cone of light is seen in anteroinferior
Shrapnel's membrane is also known as parsflaccida
Healed perforation has three layers
Anterior malleolar fold is longer than posterior
ENT
Ear
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multi
Drug with no mood stabilizing propey is -
Ans. C. ImipramineThe 5 individual drugs that can be used as mood stabilizers are:LithiumCarbamazePineLamotrigineValproateAsenapine
3
Lithium
Lamotrigine
Imipramine
Carbamazepine
Psychiatry
null
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single
Burst fracture of the cervical spine is due to
Axial force (veical compression) is most commonly associated with burst fractures of the thoracolumbar junction and lumbar spine (Refer: Mohindra's Fundamentals of Ohopedics, 2nd edition, pg no. 501)
3
Whiplash injury
Fall of weight on neck
Veical compression injury
Car accident
Orthopaedics
All India exam
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multi
A 16-year-old male is found to have a mental age of 9 years on I.Q. testing. He has
IQ is (Mental age/ Chronological age) multiplied by 100. Here is it (9/16)* 100 which is 56. IQ is classified as Mild (50-69), Moderate (35-49), Severe (20-34) and Profound (<20). Ref: The ICD-10 Classification of behavioural and mental disorders, CDDG, pg 171.
1
Mild mental Retardation
Moderate mental retardation
Severe mental retardation
Profound mental retardation
Psychiatry
Child psychiatry
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single
A 7 year old with left exotropia, right eye 6/6 with normal fndus. Left eye has only close handmovements with subretinal yellow exudates and retinal detachment and telagiectatic vessels.Dignosis is-
In early stages it is characterised by large areas of intra and subretinal yellowish exudates and haemorrhages associated with overlying dilated and touous retinal blood vessels and a number of small aneurysms near the posterior pole and around the disc. It may present with visual loss, strabismus or leukocoria (whitis...
4
Sympathetic ophthalmia
Familial exudative vitreous retinopathy
ROP
Coats disease
Ophthalmology
Vitreous and retina
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Inheritance pattern of G6PD:
Ans. (c) X-LinkedRef: Lippincott's Biochemistry 6th ed. P 151-152* G6PD deficiency is most common disease producing enzyme abnormality in humans* It is a X-linked disorder
3
AR
AD
X-linked
Familial
Biochemistry
Vitamins and Minerals
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single
The smallest diameter of the true pelvis is
The interspinous diameter is 10 cm or slightly greater, is usually the smallest pelvic diameter and in cases of obstructed labor, is paicularly impoant Inteuberous (11 cm or 4 1/4 ''): It measures between inner borders of ischial tuberosities. Diagonal conjugate: It is the distance between the lower border of symphysis...
1
Interspinous diameter
Diagonal conjugate
True conjugate
Inteuberous diameter
Gynaecology & Obstetrics
General obstetrics
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multi
A pure tone audiogram with a dip at 2000Hz is characteristic of
In otosclerosis, there is a dip in bone conduction curve. It is different at different frequencies but maximum at 2000Hz and is called Carha's notch. Ref: Diseases of EAR, NOSE and THROAT by PL Dhingra; 7th Edition; Page no.96
3
Presbycusis
Ototoxicity
Otosclerosis
Noise induced hearing loss
ENT
Ear
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single
Deep peroneal nerve supplies
DEEP PERONEAL:- Muscular branches to muscles of anterior compament of leg: Tibialis anterior, extensor hallucis longus, extensor digitorum longus, and peroneus teius.Extensor digitorum brevis Cutaneous: dorsal digital nerves for adjacent sides of big toe and second toe. Aicular branches: Ankle joint, tarsal joints, tar...
1
1st web space of foot
5th web space of foot
Antero lateral dorsum of foot
Lateral pa of leg
Anatomy
Lower limb
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All of Which is family of selectin, except -
Ans. is 'c' i.e., A selectinLeukocyte and endothelial adhesion molecules o Leukocyte adhesion and transmigration are regulated largely by binding of complementary adhesion molecules on the leukocyte & endothelial surface, and by chemical mediators.o Cytokines affect these processes by modulating expression of adhesion ...
3
P selectin
L selectin
A selectin
E selectin
Pathology
null
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multi
Xerophthalmia is caused by:
null
1
Vitamin A deficiency
Vitamin D deficiency
Vitamin C deficiency
Vitamin K deficiency
Biochemistry
null
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Beevor sign is seen in aEUR'
Abdominal muscle Beevor's Sign Movement of the umbilicus towards the head on flexing the neck. It is caused by weakness of the lower abdominal muscles. Physiology Beevor's sign is characteristic of spinal cord injury b/w T6-T10levels. This occurs because the upper abdominal muscles such as rectus abdominus are intact a...
1
Abdominal muscle
Respiratory muscle
Facial muscle
Hand muscle
Surgery
null
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single
What is Agoraphobia?
Agoraphobia is characterised by an irrational fear of being in places away from the familiar setting of the home. Although it was earlier thought to be a fear of open spaces only, now it includes fear of open spaces, public places, crowded places and any other place from where there is no easy escape to a safe place. (...
3
Fear of heights
Fear of closed spaces
Fear of open spaces
Fear of dogs
Psychiatry
Anxiety disorders stress disorders and grief
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Permanent retainer is sometimes needed in cases of:
null
3
Severe malocclusion
Anterior cross bite
Severe rotations
Transposition
Dental
null
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single
Which of the following can deliver 90% oxygen?
Non rebreathing masks: Can deliver upto 80% of oxygen. Rebreathing mask: When tightly fit, they can provide 100%oxygen.(Refer: Morgan's Clinical Anaesthesiology, 4th edition, pg no: 38-40)
2
Venturi mask
Rebreathing O2 mask
Nasal prongs
Non-rebreathing mask with O2reservoir bag
Pathology
All India exam
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single
On giving a patient insulin, which of the following is expected to occur first?
Increased transpo of K+ into adipocytes will occur first onn giving an injection of insulin. Based onn time on onset, actions of insulin are classified as: Rapid(seconds): Increased permeability, leading to : Increased transpo of glucose, aminoacids, and K+ into insulin sensitive cells. Intermediate(minutes): Changes i...
1
Increased transpo of K+ into adipocytes
Stimulation of protein synthesis
Activation of glycolysis
Increase in mRNA for lipolysis
Physiology
Endocrinology
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Risk factors for uterine fibroid is
Age and race are risk factors for fibroid. Reproductive age group African-american women.
2
Pregnancy
African-american woman
Breast feeding
Adolescence
Gynaecology & Obstetrics
null
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For bacteriological culture, blood is anti coagulated with:
Ans: d (Mechanical defibrination) Ref: Bailey Scott, 11th ed, p. 873Mechanical defibrination is preferred for anticoagulation of blood, for preparation of bacteriological culture.Heparin. EDTA, and citrate will destroy the microorganisms and is not recommended for use.Sodium polyanethol sulphate in concentration of 0.0...
4
Citrate
Heparin
EDTA
Mechanical defibrination
Microbiology
General
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Contraindication of liver transplant is?
I. Absolute Contraindications A. Active sepsis outside the hepatobiliary tree B. Metastatic hepatobiliary malignancy C. Advanced cardiopuimonary disease D, AIDS II. Relative Contraindications A. Advanced chronic renal disease B. Age greater than 60 years C. Portal vein thrombosis D. Cholangiolar carcinoma E. Hypoxemia ...
3
Fulminant liver disease
Metabolic liver disease
Metastasis
Primary liver disease
Surgery
null
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One gram of hemoglobin contains how much iron -
Ans. is 'b' i.e., 3.4 mg o One gram of hemoglobin contains 334 mg of iron.o Normally. 100 ml of blood contains 15 gm of hemoglobin and about 50 mg of iron (3.34 15).o So, if 100 ml of blood is lost from the body, there is a loss of about 50 mg of iron,o In females, during every menstural cycle, about 50 ml of blood is ...
2
2 mg
3.4 mg
5 mg
6 mg
Biochemistry
Biological Function of Proteins
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Hormones required during pubey ?
Ans. is 'd' i.e., All of the above Pubey is triggered by a release of gonadotropins (FSH and LH) from pituitary gland. These hormones act as signals to the gonads (testes/ovaries) that trigger the production of - i) Estrogen, progesterone and some testosterone in women. ii) Testosterone in men. In both males and female...
4
LSH
Testesterone
Leptin
All of the above
Physiology
null
58de8ac4-c5fa-49fa-8ad4-30146ce443bc
multi
Auditory fatigue occurs at------Hz –
null
3
2000
3000
4000
8000
Social & Preventive Medicine
null
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single
Anaemia, punctate basophilia, constipation blue line and abdominal colic are characreristic of
D i.e. Lead poisoning
4
Opium addiction
Arsenic poisoning
Mercuric poisoning
Lead poisoning
Forensic Medicine
null
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single
Non competitive inhibitor of carbonic anhydrase-
Ans. is 'b' i.e., Acetazolamide o Carbonic anhydrase inhibitors act by a non-competitive, reversible inhibition of the enzyme carbonic anhydrase.Carbonic anhvdrase inhibitors (acetazolamide)o Carbonic anhydrase (CAse) is an enzyme which catalyzes the reversible reaction H2O + CO2 - H2CO3 - H++HCO3-.o The enzyme is pres...
2
Allopurinol
Acetazolamide
Bimatoprost
Dipivefrine
Pharmacology
Pharmacokinetics
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Mechanism of action of statins is by:
Ref: Goodman & Gillman's 13th ed. P 609* Statins exert their major effect--reduction of LDL levels--through a mevalonic acid-like moiety that competitively inhibits HMG-CoA reductase, which is the rate limiting enzyme in the cholesterol biosynthesis.* Drugs are atorvastatin, rosuvastatin, fluvastatin, lovastatin, prava...
1
Competitive inhibition
Noncompetitive inhibition
Uncompetitive
Irreversible inhibition
Pharmacology
C.V.S
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Standard views for mammography are
Mammography views : Craniocaudal from above downward. Mediolateral from side to side. Ref : SRB&;s 4thE pg:547
3
AP and Lateral
AP and Medio-lateral oblique
Cranio- caudal and Medio-lateral view
Cranio-caudal and lateral oblique
Surgery
Endocrinology and breast
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A case of acute cholecystitis now presents with acute pain sharp going to the back diagnosis
Ans. (a) Acute pancreatitisRef: Sabiston 20th edition Page 1496 Gall stone pancreatitis:* As GB stone passes the common channel it irritates the Pancreatic system and causes pancreatitis.* Patient's will have continued back pain even after stone passes.* Most cases of gall stone pancreatitis settles by conservative man...
1
Acute pancreatitis
Cholecystitis
Appendicitis
Aortic aneurysm
Surgery
Gall Bladder & Bile Ducts
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Infection draining the index finger goes to
Infection in the index finger drains into thenar space Infection from 3, 4, 5th fingers drains into mid-palmar space Spaces: Flexor pollicis longus tendon have radial bursa towards radius bone. Ulnar bursa is on the synol sheath of flexor tendons which continues with the little finger (flexor digitorum Tendon) If there...
1
Thenar space
Midpalmar space
Ulnar bursa
Radial bursa
Anatomy
Upper limb : Miscellaneous
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single
Death caused by medical negligence is under -
1. Medical negligence act under IPC is Sec 304-A IPC. 2. Sec 304 A IPC pertains to “Causing death by negligence”. It Is punishable up to 2 years. It is applied, usually, in any case of death due to a rash and negligent act, e.g. death caused by rash driving. 3. Sec 351 IPC deals with “assault” that is a gesture inclu...
1
304 IPC
351 IPC
312 IPC
Indian counsels act
Forensic Medicine
null
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Which of the following does not contribute to glucose by gluconeogenesis?
Ans. B. Acetyl-CoA(Ref: Harper 31/e page 172, 173)Lactate from muscle and RBC are converted to glucose in the liver (Coris Cycle)Lactate and Alanine is converted to Pyruvate which can enter into Gluconeogenesis.Oxaloacetate is converted to Phospho enol Pyruvate by PEPCK and enter in to Gluconeogenesis.
2
Lactate
Acetyl CoA
Pyruvate
Oxaloacetate
Biochemistry
Carbohydrates
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A 30-year old patient having a history of rheumatic fever during adolescence, presented with high grade fever and erythematous lesion on both palms. On echocardiography, the cardiologist detects small sterile vegetations along line of closure of the mitral valve. Which of the following is least likely to be found in th...
The patient is suffering from infective endocarditis. With a background of rheumatic fever, the likely risk factor for IE in this case is rheumatic hea disease (RHD). Some of the clinical features of infective endocarditis related to microthromboemboli include erythematous or hemorrhagic nontender lesions on the palms ...
2
MacCallum plaques
Aschoff bodies
Osler nodes
Roth spots
Pathology
Endocarditis
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multi
Best therapy suited to teach daily life skill to a mentally challenged child-
B. i.e. Contingency
2
CBT (Cognitive Behaviour Therapy)
Contigency
Cognitive reconstruction
Self instruction
Psychiatry
null
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multi
All of the following are associated with good prognosis in childhood leukemia except:
c. Precursor B-cell ALL(Ref: Nelson's 20/e p 2437, Ghai 8/e p 599)Precursor B-cell ALL, B-cell ALL and T-cell ALL has poor prognosis.
3
Hyperdiploidy
Female sex
Precursor B-cell ALL
t(12; 21) translocation
Pediatrics
C.V.S.
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multi
In ADHD the comorbid condition is
Ans: a (Learning disability)ADHD :Cardinal features- Extreme and persistant restlessness,- Sustained and prolonged motor activity,- Difficulty in maintaining attention,- Impulsiveness and difficulty in withholding responses.Symptoms should atleast last for 6 monthsICD 10 requires that symptom should start before 6 yrs ...
1
Learning disability
Schizhophrenia
OCD
Seizure
Psychiatry
Child Psychiatry
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About scurvy true A/E –
SCURVY Scurvy is a disease resulting from deficiency of Vitamin 'C', which is required for collegen synthesis. Function of Vit C and pathophvsiologv of scurvy 1. Collegeiz synthesis Vitamin C is essential for the hydroxylation of lysine and proline in collegen formation. Collegen is a component of intracellular matr...
3
Subperiosteal haematoma with tenderness
Separation of epiphysis
↑ S. alkaline phosphatase
Gingival bleeding
Pediatrics
null
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multi
Which of the following symptoms suggests CHF in a newborn?
The signs of congestive hea failure in the newborn are,Tachypnea TachycardiaHepatomegalyDiaphoresisFeeding difficultiesFailure to thriveSigns and symptoms of CHF occur when the hea is unable to meet the metabolic demands of the tissues.Clinical findings are frequently due to homeostatic mechanisms attempt to compensate...
1
Diaphoresis with feedings
Fever
Cyanosis
Persistent irritability
Pediatrics
All India exam
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single
A 1-year-old infant is admitted to the pediatric clinic because he is passing urine on the underside of the penis as shown. Which embryologic structure failed to fuse?
(c) Source: GAS 444-453; GA 219, 222Hypospadias is a developmental defect in the urethra resulting in urine being expelled from the ventral side of the penis. This ectopic malformation may present when the urethral folds fail to completely fuse. Failure of fusion of the spongy urethra would result in epispadias. A fail...
3
Spongy urethra
Labioscrotal folds
Urethral folds
Urogenital folds
Anatomy
Abdomen & Pelvis
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Term Colorado stain was given by
null
1
McKay
Greene
Dean
Knutson
Dental
null
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Adenosine deaminasc deficiency is seen in the following -
Robbins basic pathology 6th edition. Chapter Diseases of immunity. page no. 235. Severe Combined Immunodeficiency Diseases(SCID) is autosomal recessive , most common cause being deficiency of adenosine deaminase enzyme(ADA).
2
Common variable immunodeficiency
Severe combined immunodeficiency
Chronic granulomatous disease
Nezelof syndrome
Pathology
General pathology
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single
Rytand's murmur is seen in -
Ans. is 'a' i.e., A-V Block Rytand Murmuro Rytan s murmur is mid-diastolic (or late-diastolic) murmur that is heard in patients with complete atrioventricular heart block.o Rytand s murmur is best heard at the apex and may be con fused with mitral stenosis.# The slow heart rate, variable duration of the murmur, changin...
1
A-V Block
Mitral stenosis
Aortic stenosis
Aortic regurgitation
Medicine
Miscellaneous (C.V.S.)
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An 18-year-old man is rushed to the emergency room in shock following a motor vehicle accident. He is transfused with 5 U of blood. Following the transfusion the patient complains of fever, nausea, vomiting, and chest pain. Laboratory data show elevated indirect serum bilirubin, decreased serum haptoglobin, and a posit...
Hemolytic transfusion reaction occurs when grossly incompatible blood is administered to patients with preformed alloantibodies. -Acute reaction -usually because of clerical errors. C/F- High grade fever Chills Rigors Flank Pain Oozing of blood from venepuncture Massive hemolysis of the transfused blood may be associat...
3
Autoimmune hemolytic anemia
Disseminated intravascular coagulation
Hemolytic transfusion reaction
Hemolytic uremic syndrome
Pathology
Hematology
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Nasopharyngeal angiofibromas are most frequently seen -
Nasopharyngeal angiofibroma is a highly vascular tumor that occurs almost exclusively in adolescent males.
1
In the second decade
In the third decade
In the fourth
In the fifth and sixth decades
Pathology
null
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single
True about hypospadias is all except -a) Bifid scrotumb) Meatal stenosisc) Mental Retardationd) Spatulated glanse) Dorsal chordee
Mental stenosis may be associated with hypospadias and needs meatotomy for correction. Bifid scrotum may be seen in penoscrotal, scrotal & perineal hypospadias. Ref : Bailey & Love 25/e p1362
4
a
cd
ac
ce
Anatomy
Urology
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Who will be in-charge in case of disaster management:
Ans. (d) District hospitalRef: K. Park 23rd ed. / 795-96* There are 3 fundamental aspects of disaster management:# Disaster response# Disaster preparedness, and# Disaster mitigation* District hospital take role in case of disasters like earth quake, flood etc.
4
PHC
Sub centre
CHC
District hospital
Social & Preventive Medicine
Environment and Health
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single
The earliest markers of renal injury in lead poisoning is the:-
Elevated urinary levels of N-acetyl-3-D-glucosaminidase and b-2-microglobulin may serve as early markers of renal injury.
3
Elevated lead level in urine
Elevated free protoporphyrin in urine
Elevated b 2 microglobulin in urine
Elevated coproporphyrin in urine
Forensic Medicine
Toxicology - 1
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The most commonly used Titanium alloy for dental and medical purposes is:
The most commonly used Titanium alloy for dental and medical purposes is Ti 6Al 4V. Modern implantology is only possible because of the biocompatibility of commercially pure (cp) titanium or a titanium/aluminium/vanadium (Ti-6Al-4V) alloy.
1
Ti 6Al 4V
Ti 5Al 4V
Ti 5Al 5V
Ti 6Al 6V
Dental
null
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multi
The following are the contraindications of IUCD except:
Contraindications of IUCD: Suspected pregnancy Pelvic inflammatory disease Presence of fibroids Menorrhagia Severe anemia Diabetes Previous ectopic pregnancy Scarred uterus Uterine anomalies Ref: Shaw Gynecology 17 e pg 260.
2
Pelvic inflammatory disease
Emergency contraception
Menorrhagia
Diabetes
Gynaecology & Obstetrics
Contraception
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Pain relief in chronic pancreatitis can be obtained by destruction of:
Celiac plexus blockade in chronic pancreatitis is used for Pain Relief .
1
Celiac ganglia
Vagus nerve
Anterolateral column of spinal cord
None of the above
Surgery
Pancreas
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multi
Which of the following drug can inhibit steroidogenesis?
Etomidate suppresses the production of coisol and other steroids by inhibiting adrenal enzymes. Long-term infusion of Etomidate can inhibit adrenal enzyme but induction doses of Etomidate can cause slight reduction in coisol level. So Etomidate is not recommended for long-term infusion due to inhibition of steroidogene...
1
Etomidate
Thiopentone
Propofol
Ketamine
Pharmacology
Anaesthesia
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single
Asteroid bodies and cigar shaped globi may be produced by-
Sporotrichosis or Rose Gardner's disease - Chronic subcutaneous pyogranulomatous disease Caused by a thermally dimorphic fungus Sporothrix schenckii. Mould: Flower like sporulation Laboratory Diagnosis: Direct Microscopy by H and E staining of tissue sections reveals cigar shaped asteroid bodies. It is described as cen...
2
Histoplasmosis
Sporotrichosis
Candida
Aspergillus
Microbiology
Mycology
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All of these drugs can be used in the treatment of postmenopausal osteoporosis EXCEPT:
null
4
Alendronate
Teriparatide
Calcium
Thyroxine
Pharmacology
null
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multi
The most common complication of an ovarian tumor is :
Torsion
1
Torsion
Hemorrhage
Infection
Hyaline change
Gynaecology & Obstetrics
null
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single
Microcytic anemia is not seen in which of the following condition
Microcytic Hypochromic Anemia is seen in: Iron Deficiency Anemia Thalassemia Anemia of Inflammation/chronic disease Sideroblastic Anemia Lead poisoning - Leucopenia: Decrease in the number of leukocytes. RBCs are normal in this condition
2
Osteomyelitis
Leukopenia
Papillary necrosis
Rheumatoid ahritis
Pediatrics
Nutritional anemia
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single
A male aged 60 years has foul breath; He regurgitates food that is eaten 3 days ago: Likely diagnosis is:
An aged patient with symptoms of foul breath & regurgitation of food which is eaten 3 days ago, it is a typical presentation of Zenker's diveiculum. Ref: CSDT, 11th Edition, Pages 480, 1330.
1
Zenkers diveiculum
Meckels diveiculum
Scleroderma
Achalasia cardia
Surgery
null
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Acantolytic cells in pemphigus is-
A. i.e. Cells with hyper chromatic nuclei & perinuclear haloAcantholysis is seen in epidermis as loss of cohesion between epidermal cells d/t lysis of intercellular substance (intercellular adhesion sitesQ). Acantholytic cells are rounded keratinocytes with hyperchromatic nuclei & perinuclear haloQ. Acantholysis is see...
1
Cell with hyperchromatic nuclei and perinuclear halo
Cell with hypochromatic nuclei and perinuclear halo
Multinucleated cells
None of the above
Skin
null
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The "International Health Regulations" of WHO specifies measures to restrict the spread of yellow fever through stringent aerial and maritime traffic regulations. What should be the Aedes aegypti index to ensure freedom from yellow fever?
According to the International Health Regulations of WHO, the Aedes aegypti index should be kept below 1 in airpos and seapos. The Aedes aegypti index is a house index which is the percentage of houses and their premises, in a limited well-defined area, showing actual breeding of Aedes aegypti larvae. Ref: Park's Textb...
1
1%
2%
3%
5%
Social & Preventive Medicine
null
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single
Which of the following statement is true in the mediastinum:
The left recurrent laryngeal nerve passes under the arch of aoa. Ligamentum aeriosum is the fibrous remnant of ductus aeriosus, of fetus, a channel that sho circuited the lungs. It passes from commencement of left pulmonary aery to the concavity of aoic arch beyond the point where left subclan aery branches off. The le...
3
The left brachiocephalic vein passes posterior to the brachiocephalic aery
The ligamentum aeriosum inter-connects the aoic arch and the left pulmonary vein
The left recurrent laryngeal nerve passes under the arch of aoa
The thoracic duct is found between the oesophagus and the trachea
Anatomy
Surfaces and Grooves
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Which is true about community health center -
As in 31 st march 2014 5,363 community health centers were established by upgrading the primary health centers,each community health center covering a population of 80,000 to 1.20 lakh with 30 beds and specialist in surgery,medicine,obstetrics and gynecology and paediatrics with X-ray and laboratory facilities (refer p...
1
It covers a population of one lakh
It has an 60 beds with specialities in surgery medicine and gynecology
Community health officer is selected with a minimum of 5 years exposure
New medical post of community health officer is created
Social & Preventive Medicine
Health care of community & international health
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multi
The first drug used as local anaesthetic is ?
Ans. is'a' i.e., CocaineCocaine was the first local anaesthetic used by Carl Koller. It was used for anaesthetizing cornea.
1
Cocaine
Prilocaine
Procaine
Lidocaine
Anaesthesia
null
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single
Which of the following is strictly not a vitamin?
NIACIN IS NOT STRICTLY A VITAMIN Niacin was discovered as a nutrient during studies of pellagra. It is not strictly a vitamin since it can be synthesized in the body from the essential amino acid Reference: Harper; 30th edition; Page no: 556
3
Thiamine
Riboflavin
Niacin
Cobalamin
Biochemistry
vitamins
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Common reaction to blood transfusion may include all except:
null
2
Fever
Hypocalcemia
Hemolysis
Urticaria
Surgery
null
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multi
Pupil dilatation is seen in poisoning with -
Ans. is 'd' i.e., All the above Poisoning of the following is associated with dilated pupils Atropine Tricyclic antidepressants Phenothiazines Dhatura Ethyl alcohol Barium carbonate
4
Dhatura
Ethyl alcohol
Brium carbonate
All the above
Forensic Medicine
null
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multi
Most common initiating factor in acute appendicitis is:
Ans. (a) Luminal obstructionRef: Sabiston 19th edition, Pages 1279-1282* Most common cause of acute appendicitis -- Obstruction* Most common cause of Obstruction -- Appendicolith (Fecolith) -- 15% can be seen on plain X-ray itself* Others: Lymphoid hyperplasia, vegetable matters, seeds, parasites, neoplasm.
1
Luminal obstruction
Bacterial infection
Lymphoid hyperplasia
Perforation
Surgery
Small & Large Intestine
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The depolarization of the skeletal muscle cell membrane by motor nerves is directly produced by:
As a result of an action potential invading the motor neuron terminal, acetylcholine is released into the synaptic cleft. The acetylcholine binds to receptor sites at the end plate of the muscle. This causes an increase in permeability to Na and K ions. Na enters the muscle cell and depolarizes it to threshold, thus in...
1
Change in end-plate potential level to a threshold value
Release of substance P from the motor neuron terminal
Increased concentration of neuromuscular cholinesterase
Activation of muscle contractile proteins
Physiology
null
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The peak level of chorionic gonadotropin in normal pregnancy occurs at :
60 -- 70 days
2
30 -- 40 days
60 -- 70 days
10 -- 20 days
100 -- 110 days
Gynaecology & Obstetrics
null
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single
who gave the concept of psychosocial stage of development
ERIC ERIKSON ERIC ERIKSON gave the psychosocail stages of development There are 8 psychosocial stages A person has to succesfully pass one stage to move to the next stage If he gets arrested in one stage he may develop some disorders Ref. kaplon and sadock, synopsis of psychiatry, 11 th edition, pf no. 485
2
bleuler
erikson
lorenz
bleuler
Anatomy
Treatment in psychiatry
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Kaposi sarcoma is caused by?
kaposi's sarcoma caused by HHV 8 REF:ANATHANARAYAN AND PANIKER'S TEXTBOOK OF MICROBIOLOGY 8TH EDITION PAGE NO:477
4
Human herpes virus-2
Human herpes virus-4
Human herpes virus-6
Human herpes virus-8
Microbiology
Virology
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All of the following drugs are used in hypertensive crisis except:
Ans. B. PindololLabetalol is used as hypertensive emergency in pregnancy, nitroprusside is given in patients with aortic dissection. Nifedipine though rarely used, can be given as sublingual therapy for rapid control of blood pressure.
2
Labetalol
Pindolol
Nitroprusside
Nifedipine
Pharmacology
C.V.S
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multi
A 59 years old female patient taking medications for hypertension and congestive cardiac failure. She suddenly develops skin rashes along with swelling of tongue, lips as well as eyes, causing her breathing difficulty. Which one of the following medications is the reason for the untoward effects?
Answer: c) Captopril.* In 0.1% to 0.5% of patients, ACE inhibitors induce a rapid swelling in the nose, throat, mouth, glottis, larynx, lips, and/or tongue.* This untoward effect, called angioedema, apparently is not dose-related, and if it occurs, it does so within the first week of therapy, usually within the first f...
3
Propranolol
Hydrochlorthiazide
Captopril
Clonidine
Pharmacology
C.V.S
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single
The number of days required for diagnosis of hypomania is:-
The minimum duration required for diagnosis of Hypomania is 4 days. Hypomania is milder form of manic symptoms and not requiring admission or intensive care. Presence of hypomanic episodes with depressive episodes is characteristic of Bipolar Type II disorder. Other impoant minimum durations related to mood disorders: ...
1
4 days
7 days
14 days
21 days
Psychiatry
Mood Disorders
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Non-modifiable risk factor for hypertension
null
1
Gender
Obesity
Salt intake
Cultural characteristic acquired over time
Medicine
null
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single
Thymoma is associated with all except -
null
2
Graves disese
Hyper gamma globulinemia
Red cell aplasia
Thrombocytopenia
Medicine
null
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An adolescent male developed vomiting and diarrhoea 1 hour after having food from a restaurant. The most likely pathogen is
Incubation period: Staphylococcus aureus - 2 to 6 hours Salmonella - 12 to 24 hours Clostridium perfringens - 8 to24 hours Vibrio parahemolyticus-24hrs to 5 days Ref: Textbook of Ananthanarayan and paniker's; 10th Edition; Pg:204,307,260,313
3
Clostridium perfringes
Vibrio parahaemolyticus
Staphylococcus aureus
Salmonella
Microbiology
Bacteriology
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A patient at 22 weeks pregnancy is on warfarin for oral anticoagulation for a known cardiac condition. Heparin is re-introduced at what gestation?
Heparin is given in first trimester to ease the mother from deep vein thrombosis but it cannot be continued as an injection after 12 weeks. After 12 weeks of gestation, oral warfarin tablets are given; if the warfarin is given before 12 weeks then warfarin related anomalies can happen to the fetus. Around 36 weeks, war...
2
32 weeks
36 weeks
40 weeks
At the time of labor
Gynaecology & Obstetrics
Drugs in Pregnancy
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Which of the following type of leukemia is associated with autoimmune haemolytic anemia?
Autoimmune hemolytic Anemia is frequently seen in patients with CLL treated with fludarabine or 2-chlorodeoxyadenosine (cladribine). Secondary Autoimmune Hemolytic Anemia is seen in diseases such as lymphoma, CLL, SLE, primary agammaglobulinemia or hyper-IgM immunodeficiency syndrome. In these diseases, warm-antibody a...
3
ALL
AML
CLL
CML
Biochemistry
null
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multi
Treatment of choice for the annular pancreas is
Annular pancreas is the most common congenital malformation of the pancreas in association with duodenal atresia.Two types of the annular pancreas are recognized. (1) Extramural - causing high gastrointestinal (duodenal) obstruction; vomiting is the most common presenting symptom (2) Intramural - producing duodenal ulc...
4
Gastro jejunostomy
Pancreatectomy
Whipple's procedure
Duodeno duodenostomy
Microbiology
All India exam
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Myelin in CNS
Oligodendrocytes - myelin formation in cnsSchwann cells - myelin formation in pns Ref: Ganong&;s review of medical physiology; 23rd edition; pg:80
1
Oligodendrocyte
Schwann cell
Astrocyte
Microglia
Physiology
Nervous system
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Mechanism of action of curare is :
null
1
Reducing end plate potential
Reducing presynaptic potential
Inhibits k+ channels
Inhibits Na+ channels
Pharmacology
null
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single
A 45 year old female presents with symptoms of acute Cholecystitis. On USG there is a solitary gallstone of size 1.5 cm. Symptoms are controlled with medical management. Which of the following is the next most appropriate step in the management of this patient?
Management of Acute cholecystitis IV fluids, analgesics and antibiotics are given initially in a pt. presenting with acute cholecystitis. Cholecystectomy is the definitive treatment. The timing of cholecystectomy was a matter of debate in the past. Early cholecystectomy performed within 2 to 3 days of presentation is p...
3
Regular follow up
IV Antibiotics
Laparoscopy cholecystectomy immediately
Open cholecystectomy immediately
Anatomy
G.I.T
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All of these are responsible for preferential shunting of well oxygenated blood from fetal right atrium to left hea, EXCEPT?
More oxygenated blood travels along the medial aspect of IVC and less along lateral aspect, facilitating shunting to opposite sides of hea, that is, more oxygenated travels to left hea through foramen ovale and less oxygenated to right ventricle. This is also facilitated by configuration of interatrial septum called cr...
4
Upper interatrial septum
Crista dividens
Pattern of blood flow in IVC
Size difference of left and right atrium
Gynaecology & Obstetrics
Fetal circulation
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The drug prednisolone is known to be a powerful anti–inflammatory agent. This is true due to the action of the drug on which of the following enzymes ?
null
3
Cyclooxygenase
Lipoxygenase
Phospholipase A
Phosphodiesterase
Pharmacology
null
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multi
Which of the following forms lateral wall of mastoid antrum?
The lateral wall of the mastoid antrum is formed by a plate of bone which is on average 1.5 dm thick in the adult. It is marked externally on the surface of mastoid by suprameatal/ MacEwen's triangle Mastoid antrum/ Tympanic antrum/ Antrum mastoideum/ Valsalva's antrum It is a cavity in the petrous poion of the tempora...
2
Mastoid process
Suprameatal triangle
Petrous temporal bone
Tympanic cleft
ENT
null
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multi
Differentiation between epididymo-orchitis and torsion testis can be done with which of the following?
Ans BUSG is quick, easily available and can be used to rapidly confirm or rule out diagnosis of torsion testes. Epididymo- orchitis will show increased vascularity while torsion testes while appear pauci/avascular.
2
Grey scale US
Color Doppler US
Angiography
MRI
Radiology
Genito Urinary System
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Marker of bone formation are all except -
Hydroxyproline is a marker of bone resorption ( not bone formation).
4
Osteocalcin
Alkaline phosphatase
Procollagen residue
Hydroxyproline
Pathology
null
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multi
With respect to the Web of causation, the most appropriate statement among the following is
Ans. is 'b' i.e., Better for all the related factors associated with causation of disease Web of causationo This model is ideally suited in the study of chronic disease, where the disease agent is often not known, but is the outcome of interaction of multiple factors.o The 4tweb of causation" considers all the predispo...
2
Mostly applicable for common disease
Better for all the related factors associated with causation of disease
Epidemiological ratio
Fails to interrupt the risk of transmission
Unknown
null
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Rugger jersey spine in CRF is due to -
A common finding in secondary hyperthyroidism associated with renal osteodystrophy is the osteosclerosis resulting in typical appearance of the vertebral bodies as seen in the rugger - jersy spine.
3
Osteomalacia
Trauma
Hyperparathyroidism
Aluminium osteodystrophy
Orthopaedics
null
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Patient complaints of muscle weakness. It was rivers on administration of neostigmine because
(Ref: Katzung 11/e p105) Neostigmine acts by inhibiting the enzyme acetylcholinesterase. This enzyme is involved in degradation of ACh,consequently neostigmine inereases the synaptic level of ACh. Muscle weakness can be improved by stimulation of NM receptors at muscle end plate due to increased ACh.
4
It blocks action of acetylcholine
It interferes with the action of monoamine oxidase
It interferes with the action of carbonic anhydrase
Interferes with the action of Acetyl chlolinesterase
Pharmacology
Autonomic nervous system
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The commonest complication of pregnancy after complete treatment of genital tuberculosis is :
Ectopic pregnancy
2
Aboion
Ectopic pregnancy
Malpresentation
Intra uterine death
Gynaecology & Obstetrics
null
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single
Which of the following is produced by the stomach and has a role in control of food intake?
Ghrelin is secreted primarily by the stomach and appears to play an impoant role in the central control of food intake. It also stimulates growth hormone secretion by acting directly on receptors in the pituitary. Cholecystokinin (CCK) is secreted by cells in the mucosa of the upper small intestine. It has a plethora o...
1
Ghrelin
Insulin like growth hormone-I
Orexin
Cholecystokinin
Physiology
G.I.T
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A topical retinoid recently introduced for the treatment of psoriasis is -
Ans. is 'b' i.e., Tazarotene o Tazarotene is approved for psoriasis and acne vulgaris.
2
Adapalene
Tazarotene
Alitretinoin
Bexarotine
Skin
null
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single
In which of the following conditions left atrium is not enlarged
In ASD left atrium does not enlarge unless associated with other anomalies like mitral regurgitation . Ref : Ghai essential of pediatrics,eighth edition P.no: 413
2
Ventricular septal defect
Atrial septal defect
Aoopulmonary window
Patent ductus aeriosus
Pediatrics
C.V.S
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Most common type of Onychomycosis
Onychomycosis is a fungal infection of nails MC site for onychomycosis: hyponychium Types 1. Distal lat.subungual onychomycosis- MC 2. Proximal subungual onychomycosis (rare)-In HIV+ patient 3. Superficial white onychomycosis4. Total dystrophic onychomycosis- it is the end result of either of the types. It is complete ...
2
Proximal Subungual
Distal lateral subungual
Superficial white
Total distal
Dental
Fungal infections
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All are seen in hemobilia except
null
1
Shock
Colicky pain
Melena
Jaundice
Surgery
null
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multi
The minimum recommended concentration of free chlorine in drinking water at the end of one hour (mg/L) is –
null
2
0.1
0.5
1
1.5
Social & Preventive Medicine
null
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single