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ARDS is associated with -
null
4
Acute pancreatitis
Trauma
Severe Falciparum Malaria
All of the above
Medicine
null
3f4d8d75-e191-401c-be12-740268ae1bac
multi
Hpylori
null
2
Gram -ve non flagellate spiral organism
obligate parasite on gastric mucosa
Doesnot infect duodenal mucosa
Antibiotics not effective
Surgery
null
1691a360-1396-4df5-8d16-bf30b7c57949
single
Young&;s operation is indicated in
Types of rhinitisTreatmentViral rhinitis Bedrest Plenty of fluids Antihistaminic Nasal decongestants Bacterial rhinitis Antibiotics along with antihistaminicIrritative rhinitis Removal of offending agent Chronic simple rhinitis Treat the cause Nasal irrigation with alkaline solution Nasal decongestants AntibioticsHyper...
1
Atrophic rhinitis
Idiopathic rhinitis
Allergic rhinitis
Vasomotor rhinitis
Anatomy
All India exam
c0420df1-d883-4fde-b908-c65f0ec1d4e2
multi
Chocolate" colored post-mortem staining is seen in?
(HYPOSTASIS, POST MORTEM LIVIDITY, POSTMORTEM SUGGILLATIONS) Lividity is a dark purple discolouration of the skin resulting from the gravitational pooling of blood in the veins and capillary beds of  the dependent parts of the body following cessation of the circulation. The process begins immediately after the circula...
4
Carbon monoxide poisoning
KCN poisoning
Phosphorus poisoning
Potassium chlorate poisoning
Unknown
null
e04109fb-2424-4fb1-92e6-eb716232c938
single
Only sensory branch of anterior division of mandibular nerve is:
Buccal branch of the mandibular nerve is purely sensory and is the only purely sensory branch of the anterior division of mandibular nerve.
3
Auriculotemporal nerve
Lingual
Long buccal
Inferior alveolar
Anatomy
null
76e913a7-8ce4-4066-8955-69fac6718a96
single
A 10-year-old female patient diagnosed as a case of Down’s syndrome have all of the following dental problems which are usually associated with it, except:
null
2
Retarded eruption
Late shedding of deciduous teeth
Hypodontia
Microdontia
Pathology
null
0d190cb5-4205-4299-a6af-d9c624467e3b
multi
All of the following are seen in Turner syndrome EXCEPT?
Cubitus valgus is seen in Turner syndrome not cubitus varus
4
Webbed neck
Lymphedema of hands & feet
Sho stature
Cubitus varus
Pediatrics
Impoant Genetic Syndromes
fcd5d1e0-bdc3-4f21-be6f-2927bc30572b
multi
The force of a twitch is less than that in a tetanus, BECAUSE:
There is enough elasticity in the structures transmitting force (crossbridges, thick and thin filaments, Z-disks, tendons) that the 10 nm shoening / half sarcomere produced by one cycle will not produce much force. Many cycles are needed to fully stretch these elastic elements. Ca++ must remain high as a result of a tr...
3
One action potential does not release sufficient Ca++ to saturate the troponin binding sites
Ca++ reuptake into the sarcoplasmic reticulum is so rapid that there is insufficient time for all the troponin Ca++ -binding sites to be occupied
Crossbridge cycling is not fast enough to allow expression of the maximum possible force before Ca++ dissociates from troponin
All of the above
Physiology
null
61d6939c-91f7-4555-b9b9-e0702dfc2754
multi
The long acting analgesic used in post operative pain is
.Bupivacaine (Marcaine): It has got prolonged action. It is a vasodilator also. Dose: 3 mg/kg. Epidural block: 0.5% Spinal 0.5% 3 ml.* An epidural catheter is placed in the space and fixed. 2% xylocaine with adrenaline or 0.5% bupivacaine is injected into the space to achieve anaesthesia up to the desired level. ref:SR...
1
Bupivacane
Dubivacine
Morphine
Tramadol
Surgery
Urology
7ededa24-06ec-406d-9448-fa194e32b139
single
The most characteristic radiographic sign in a child with leukemia is -
Ans. is 'b' i.e., Metaphyseal translucencies
2
Osteosclerosis of the metaphysic
Metaphyseal translucencies
Periosteal reaction
Osteolytic lesion
Pediatrics
null
b5e1917e-9671-46f0-bbaa-56a980640c7d
single
Patient on phenothiazines complains of involuntary perioral movement this is suggestion of -
Ans. is 'a' i.e., Tardive dyskinesia o Tardive dyskinesia manifests as purposeless involuntary facial and limb movement like constant chewing, pouting, puffing of cheeks, lip licking (all are perioral movement) and choreoathetoid movement.
1
Tardive dyskinesia
Torsion dystonia
Good prognosis schizophrenia
All of the above
Pharmacology
null
c101e49a-a0bc-455e-8dad-8bcda8423dc2
multi
Cavitary lesion in the right lower lung with dyspnea with following histopathological appearance. Most likely diagnosis:-
Ans. C. Paragonimus with 2 layersa. Paragonimus westermani is the major species of lung fluke to infects humans, causing paragonimiasis,b. The species sometimes is called the Japanese Lung fluke or Oriental Lung fluke.c. Unembryonated eggs are passed in the sputum of a human or feline. Two weeks later, miracidia develo...
3
Echinococcus with 2 layers
Strongyloides with 2 layers
Paragonimus with 2 layers
Cysticercosis with 3 layers
Microbiology
Parasitology
62900f3f-ded0-431e-8ba7-1f43ba582310
single
Which of the following is renin inhibitor ?
Ans. is 'c' i.e., Remikiren
3
Losaan
Benazepril
Remikiren
Imidapril
Pharmacology
null
54e9f94c-c4e0-41be-b808-91660da3f954
single
A man weighing 60 kg has 45 % hematocrit. What will be his plasma volume?
- Blood volume = 8% of body weight So, in 60kg adult blood volume is about 4.8 liters. * Out of this 4.8 liters - 45% is hematocrit (cell volume)- 55% is plasma volume- Therefore, plasma volume = 55% of 4.8 liter - 2640 ml.
1
2640
3080
3850
3300
Physiology
JIPMER 2019
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single
A young athlete died of sudden cardiac arrest after atheletic activity. Postmoem finding revealed interventricular septal hyperophy. What is the most probable diagnosis?
Syncope and sudden death following competitive spos in young individuals is characteristic of Hyperophic Obstructive Cardiomyopathy (HOCM). The presence of interventricular septal hyperophy in postmoem confirms the diagnosis of HOCM. Ref: Harrison's Principles of Internal Medicine, 16th Edition, Pages 1410-11; Davidson...
2
Dilated Cardiomyopathy (DCM)
Hyperophic Obstructive Cardiomyopathy (HOCM)
Aoic Stenosis (AS)
Ventricular Septal Defect (VSD)
Medicine
null
7b4489ff-406f-4513-84ca-65a02f87b6d1
single
Poal vein begins at the level of which veebra?
The poal vein begins at the level of the second lumbar veebra and is formed from the convergence of the superior mesenteric and splenic veins. It is 8 cm long and lies anterior to the inferior vena cava and posterior to the neck of the pancreasRef: Gray's anatomy 40th edition, Chapter 85.
1
L2
L4
L5
None of the above
Anatomy
null
17887de4-dab6-4c50-b315-5d7c2fa0dff2
multi
Inguinal ligament forms the boundaries of
INGUINAL LIGAMENT:- Extends from anterior superior iliac spine to pubic tubercle. Forms boundaries of femoral triangle and Hesselbach&;s triangle. FEMORAL TRIANGLE:- Triangular depression on front of the upper one third of the thigh immediately below the inguinal ligament. BOUNDARIES :- 1. Laterally: medial border of s...
2
Calots triangle
Hesselbach's triangle
Triangle of doom
Triangle of pain
Anatomy
Abdomen and pelvis
2c736762-d564-4d6d-b840-d246b6657555
single
Specific sign of kwashiorkor is: September 2007
Ans. A: Pitting Edema Early signs of kwashiorkor present as general symptoms of malnutrition and include fatigue, irritability and lethargy. As protein deprivation continues the following abnormalities become apparent. Failure to thrive (failure to put on height and weight) Loss of muscle mass Pitting oedema- This is t...
1
Pitting edema
Weight loss
Flag sign
Muscle wasting
Pediatrics
null
5b332a93-297b-4f51-96e6-62a5cc36d31f
single
Which of the following is TRUE for morphine :
Ans. is 'b' Tolerance to all its action except constipation and miosis Tolerance is exhibited to most actions of morphine except for miosis and constipation. Morphine is a centrally acting analgesic. It has site-specific depressant and stimulant action in CNS. Morphine produces pronounce psychological and physical depe...
2
Tolerance to all its actions except sedation and euphoria
Tolerance to all side effects except constipation and miosis.
It is a peripherally acting analgesic.
It has no abuse potential.
Pharmacology
Opioids
02906c96-ae0d-46e9-a6a1-eda326496675
multi
Which of the following is a cause for autoimmune hemolytic anemia?
In sickle cell anemia the hemolysis is due to structural defect in the B chain causing increased stickiness. It is not immune related.
4
CLL
IMN
Sickle cell anemia
Both CLL & IMN
Medicine
null
6a6f4f76-6710-4e41-a693-d578f9e8b832
multi
Which of the following is not a feature of congenital lobar emphysema is:
Ans. D. Macleod's syndrome is synonymous with itCongenital lobar emphysemaa. Progressive over inflation of one or multiple lobes, usually of the upper lobes or right middle lobe.b. Left upper lobe is most commonly affected (43%).c. The word emphysema is misnomer as me-e is no alveolar wall destructiond. The etiology is...
4
Left upper lobe involvement is most commonly involved
Severe respiratory distress in childhood itself
Childhood shift
Macleod's syndrome is synonymous with it
Radiology
Respiratory System
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single
HEPA filter is used to disinfect ?
Ans. is 'b' i.e., Air HEPA (High-efficiency paiculate air) filter is used to remove microorganisms from air. HEPA filter traps airborne paicles and microbes. It can remove > 95% of all paicles including microorganisms with a diameter > 0.3 p.m.
2
Water
Air
Culture
Blood
Microbiology
null
8101aac7-e2d9-4453-b878-943f71cce2be
single
Colour change of putrefaction are first observed in the:
A i.e. Iliac fossa
1
Iliac fossa
Popliteal fossa
cubital fossa
Arm pits
Forensic Medicine
null
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single
A 22-year-old primagravida woman develops hypertension at 32 weeks. She reports no vision change, headache, shortness of breath, or abdominal symptoms. Her pregnancy is uneventful until now. She has no significant past medical history and is not on any medications except vitamins.On examination the blood pressure is 16...
This patient has preeclampsia and needs treatment of her hypertension and close follow-up. In the past, there was concern that rigorous drug treatment would harm the fetus. Approximately 5%- 1% of all pregnant women develop preeclampsia which is defined as new-onset hypertension with BP > 140/90 mmHg and proteinuria > ...
3
improves in the third trimester
leads to large-birth-weight babies
should be controlled with medications
spares the placenta
Medicine
C.V.S.
5585e3b6-db40-435e-9585-d84078252ceb
multi
Neostigmine differs from Pilocarpine in having effects on
Pilocarpine is a muscarinic receptor agonist so it doesn't have effects on skeletal muscle (NM). Neostigmine, on the other hand, has indirect actions on both muscarinic and nicotinic receptors.Ref: Katzung Pharmacology; 13th edition
4
Bowel motility
Hea rate
Salivary glands
Skeletal muscle
Pharmacology
Autonomic nervous system
2a48e3cd-98d6-4a74-a0c7-0f2b1d32b382
single
Jowar is Pellogerogenic due to excess of –
null
1
Leucine
Lysine
Tryptophan
Methionine
Social & Preventive Medicine
null
a736f733-7571-4ace-9e01-6af6e345f6f6
single
A double bar anterio posterior palatal major connector is indicated when
null
1
A single palatal bar is not rigid
Maximum palatal support is needed
High vault palate is present
All of the above
Dental
null
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multi
Pruritis is seen in all except
In pemphigous there is presence of flaccid bullae that rapidly rupture producing painful erosions and heal slowly. They appear predominantly on scalp, face, flexures, trunk and periungual area. All other conditions produce itching. Iadvl textbook of dermatology
1
Pemphigus
Lichen simplex chronicus
Psoriasis
Contact dermitits
Dental
Fungal infections, Scabies, Pediculosis
e0e0506f-697d-49e7-8cdf-9022af557506
multi
A 30-year-old woman with diabetes mellitus presents to her physician at 19 weeks' gestation. She is obese and did not realize that she was pregnant until recently. She also has not been "watching her sugar" lately, but is now motivated to improve her regimen. A dilated ophthalmologic examination shows no retinopathy. A...
In the question, patient is presenting with overt diabetes mellitus i.e. she had diabetes before pregnancy also. The question says, in which the following conditions the risk of developing the condition is same in diabetic as well as nondiabetic patients in other words, which of the options is not a complication of dia...
3
Asymptomatic bacteriuria
Preeclampsia
Congenital adrenal hyperplasia
PPH after delivery
Gynaecology & Obstetrics
null
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single
Thiamine deficiency may be seen in all of the following except: March 2009
Ans. A: Homocystinemia Causes of thiamine deficiency: Lack of thiamine intake : - Diets consisting mainly of the following: Food containing a high level of thiaminases, including milled rice, raw freshwater fish, raw shellfish, and ferns Food high in anti-thiamine factor, such as tea, coffee, and betel nuts Processed f...
1
Homocystinemia
Chronic alcoholism
Hea failure patients on diuretics
Starvation
Social & Preventive Medicine
null
a7bfeec8-9431-4d41-98c2-c1f98eeaa01e
multi
What is the does of adrenaline given to a child with cardiac arrest?
(Refer: OP Ghai’s Essential pediatrics, 7th edition, pg no: 694)
1
ml/kg of 1:1000 solution
ml/kg of 1:1000 solution
ml/kg of 1:10000 solution
ml/kg of 1:10000 solution
Unknown
null
053acb4a-80f8-47b8-9fce-5051a1c28bed
single
Which among the following is not a cause of fasting hypoglycemia?
A i.e. Glucagon excessGlucagon lit hyperglycemia as it inhibits glycolysis and stimulates gluconeogenesis.Glucose 6 phosphatase deficiency (Type Ia/Von Gierke's disease), glycogen synthase deficiency (Type 0 glycogen storage diseae), liver & muscle debranching enzyme deficiency (limit dextrinosis), liver & muscle phosp...
1
Glucagon excess
Glucose 6 phospatase deficiency
Uremia
Glycogen synthase deficiency
Biochemistry
null
29cc245e-766f-4660-abcd-2c72d615ba4c
single
Eight months old child had history of unusual crying and convulsions following previous vaccination after BCG, DPT & OPV (first dose) and Hepatitis B. Now parents have brought child for next doses of vaccination. Which vaccine is contraindicated in this situation?
Unusual crying following DPT is most likely to be Persistent Inconsolable Screaming. Similarly, convulsions are most likely to be d/t DPT. Hence, DPT should not be given subsequently. It can be replaced by DT.
2
Measles
DPT
Hepatitis B
DT
Social & Preventive Medicine
Contraindications, AEFIs
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single
Human Mitochondrial Genome encodes:
MITOCHONDRIAL DNA: Present in eukaryotes Circular, double stranded High rate of mutations because of : no introns (prevent mutations) no repair enzymes no proof reading 1% of total cellular DNA Maternally inherited Total 67 proteins of respiratory chain, out of which 13 are from mitochondrial DNA. Multiple copies are p...
1
37 genes
47 genes
57 genes
67 genes
Biochemistry
Mendalian Inheritance
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single
All are included in acute flaccid paralysis surveillance, except -
Confirmed case in AFP surveillance is defined as acute onset of focal weakness or paralysis characterized by flaccid (reduced tone) without other obvious cause in children <15years of age. Cases of Guillain -Barre syndrome should be included as cases of acute flaccid paralysis (AFP). Transient weakness (e.g. post-ictal...
4
Tone
Age
No cause
Transient weakness
Social & Preventive Medicine
null
ebe927ae-ec24-4c97-93aa-d9a9d9f6b40c
multi
Exarticulation of teeth means
null
4
Intrusion
Extrusion
Subluxation
Avulsion
Dental
null
6dc16e7b-7f29-4bcd-92b2-35da90512608
single
Bone tumour which is hormone dependent ?
Ans. is 'd' i.e., Fibrous dysplasia Polyostotic fibrous dysplasia is associated with endocrine abnormalities.
4
Osteogenic sarcoma
Ewing sarcoma
Osteoclastoma
Fibrous dysplasia
Pathology
null
f54f9a92-324a-4d09-afbd-3f4945858642
single
Which of the following is / are 1st line antitubercular drugs in children -
Ans. is All First line anti-tubercular drugs are same in children and adults --> INH, rifampicin, Ethambutol, pyrazinamide, and streptomycin.
4
lsoniazid
Rifampicin
Pyrazinamide
All
Social & Preventive Medicine
null
683be26f-9639-47e9-89fb-e5b867745e8b
multi
Which of the following used for recording very low air velocity
Globe thermometer is used for Radiant temperature Kata Thermometer is also used for temperature measurement and is less sensitive to air velocity Anemometer is used to measure the velocity of the wind Psychrometer is used to measure humidity Park's Textbook of Preventive and Social Medicine, 25th Edition, Pg 810
2
Globe thermometer
Kata thermometer
Anemometer
Sling psychrometer
Social & Preventive Medicine
Environment and health
5e7de0c7-d073-4f2a-a267-e58755f5dd1a
single
Pneumatocele is commonly caused by:
Ans. (a) Streptococcus pneumonia* Pneumatocoele often occur as a sequela to acute pneumonia, commonly caused by Staphylococcus aureus. Pulmonary pneumatoceles are thin-walled, air- filled cysts that develop within the lung parenchyma. They can be single emphysematous lesions but are more often multiple. Also occur with...
1
Streptococcus pneumonia
Haemophilus influenza
Serratia marcescens
Klebsiella pneumonia
Medicine
Pneumonia, Bronchiectasis, and Lung Abscess
ea4279f3-7135-430e-969b-d8dbeec37c93
single
Laryngeal skeleton has -cartilages-
Larynx has total 9 cartilages : 3 paired and 3 unpaired.
2
3 paired, 2 unpaired
3 paired, 3 unpaired
2 paired, 3 unpaired
2 paired, 2 unpaired
Anatomy
null
7c0771d1-f201-4186-b65f-e357e44805a5
single
The total fetal cardiac output at term is estimated to be ______?
The total fetal cardiac output is approximately 450 mL/Kg/min. Approximately 65% of descending aoic blood flow returns to the placenta, and hence, only the remaining 35% perfuses the fetal organs and tissues. Ref: Nelson textbook of pediatrics 21st edition Pgno: 9260
4
150 mL/Kg body weight
250 mL/Kg body weight
350 mL/Kg body weight
450 mL/Kg body weight
Pediatrics
C.V.S
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single
Daily requirement of Iodine in adults is
The daily requirement of iodine is 150 mcg supplied normally by well balanced diets and drinking water.
3
50 mcg
100 mcg
150 mcg
200 mcg
Social & Preventive Medicine
null
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single
Lady 45 years of age with decreased oestrogen level, increased testosterone and temporal hair recession. Diagnosis is?
Ans. (c) P.C.O.DRef : Harrison 19th ed. /331, 332* Testosterone is the most important androgen in both men and women.* In women, testosterone is produced primarily through peripheral conversion of androstenedione (50 percent) with the remainder of production concentrated in the ovary (25 percent) and adrenal cortex (25...
3
Osteoporosis
Rheumatoid arthritis
P.C.O.D
Granulosa theca cell tumour
Medicine
Disorders of Female Reproductive System
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single
Following hemorrhoidectomy the most common complication is:
Ans: b (Urinary retention) Ref: Bailey, p. 1256Degrees of hemorrhoidectomy (Ref: Bailey 1256)Ist - Bleed only; no prolapseIInd - Prolapse, but can be reduced digitally and will remain reduced.IIIrd - Continously remain prolapsedTreatment: Injection therapy -Ist degreeIInd degreeBanding -IInd degree too large for inject...
2
Bleeding
Urinary retention
Infection
Fecal impaction
Surgery
Disorders of the Anal Canal
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single
A 60 year old woman presents with generalized edema, Skin Ulceration and hypeension. Urine examination shows subnephrotic proteinuria (<2gm) and microscopic haematuria. serum complement levels are decreased and she is positive for anti-hepatitis c antibodies. The likely diagnosis is -
Acute post streptococcal glomerulonephritis is an immunologic response of the kidney to infection, characterized by the sudden appearance of edema, hematuria, proteinuria and hypeension . It is essentially a disease of childhood that accounts for approximately 90% of renal disorders in children. Ref Harrison20th editio...
2
PSGN
Essential mixed cryoglobulinemia
Membrano proliferative glomerulonephritis
Focal segmental glomerulosclerosis
Medicine
Kidney
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single
A female child presents with hypeension, hyperpigmentation and virilization, she is most likely to be suffering from deficiency of?
11 beta hydroxylase deficiency REF: Nelson's 18th ed p. 2366 See APPENDIX-58 for details of "Congenital adrenal hyperplasia"
1
11 beta hydroxylase deficiency
21 alpha hydroxylase
17 alpha hydroxylase
3 beta hydroxylase
Pediatrics
null
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DOC in P. jeroveci -
Ans. is 'b' i.e., Cotrimoxazole o Fluoroquinolones are not used in the t/t of pneumocystosis infection."Trimethoprim - sulfamethoxazole (TMP - SMX), which acts by inhibiting folic acid synthesis, is considered the drug of choice for all forms ofpneumocystosisTREATMENT OF PNEUMOCYSTOSISFirst choiceo Trimethoprim-Sulpham...
2
Fluoroquinolone
Cotrimoxazole
Penicillin
Erythromycin
Medicine
Drugs
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single
The principle that 'the stimulus must be altered to elicit a change in the response' is applied in
null
3
Reinforcement
Aversive Conditioning
Retraining
Modeling
Dental
null
d0e06cc4-162e-4b34-8ccf-d5724557b3f5
single
Sympathetic stimulation causes all of the following except
Sympathetic stimulation causes -        Heart- Positive chronotropic- Increased heart rate Positive ionotropic- Increased contractility Positive dromotropic- Increased conduction velocity Positive bathmotropic- Increased automaticity Refractory period decreased in cardiac cells Increased stroke volume, cardiac output...
4
Increase in heart rate
Increase in blood pressure
Increase in total peripheral resistance
Increase in venous capacitance
Physiology
null
6724edf0-d00e-4608-9681-97a0281df6df
multi
Effective size of sand in rapid sand filter is
null
4
0.2 mm
0.1 mm
0.8 mm
0.5 mm
Social & Preventive Medicine
null
ff7b014c-be5c-4eda-81a3-ea5e6d7380fd
single
Water-fluid balance is characterized by -
Water and electrolyte homeostasis Total body water (TBW) is approximately 60% of body weight in an adult male, although the propoion is somewhat more for infants and less for women. In a 70 kg man TBW is therefore about 40 L. Approximately 25 L is located inside cells (the intracellular fluid or ICF), while the remaini...
2
Maintained by endogenous water loss
Maintained by endogenous water loss
Daily fecal loss is 500 ml.
Daily respiratory loss is 500 ml.
Medicine
Fluid and electrolytes
163175d8-6522-4a20-80bc-e87d61348fbf
single
The ideal restoration following pulpotomy in a primary tooth is:
Stainless steel crown is a semi-permanent restoration used in the primary and young permanent teeth.  It was introduced as chrome-steel crown by Humphrey in 1950, which proved to be a favour to clinical pediatric dental practice.  Now, it is commonly called stainless steel crown. Stainless steel crown is an efficient a...
4
Amalgam
Glass ionomer
Composite
Stainless steel crown
Dental
null
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single
The bacterial growth medium shown below belongs to
Image shows chocolate agar an enrichment mediumSimple medium: nutrient agar and Mueller-Hinton agarEnriched medium: Blood agar, chocolate agar, egg, and serum-based medium Enrichment medium: Selenite F and alkaline peptone waterDifferential medium: MacConkey agar and blood agarSelective medium: Lowenstein-Jensen medium...
2
Enriched medium
Enrichment medium
Selective medium
Indicator medium
Microbiology
general microbiology
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single
Many different types of muscle contractions exist. In which type of contraction is muscle tension is generated, but the length of the muscle does not change?
In isometric contractions, muscle tension is generated but the length of the muscle does not change. Concentric contractions are a type of isotonic contraction in which the muscle shoens during the contraction. Eccentric contractions are also a type of isotonic contraction in which the muscle lengthens during the contr...
4
Concentric
Eccentric
Isokinetic
Isometric
Surgery
null
0492097e-4cc6-4533-a486-e76768fa8419
single
schultz dale phenomenon the following is true statements :
Schultz-Dale reaction A method for demonstrating anaphylactic hypersensitivity outside the body by suspending an excised intestinal loop or uterine strip from a sensitized animal in an oxygenated, physiological salt solution; addition of the proper allergen causes contraction of the smooth muscle. TYPE I Hypersensitivi...
1
anaphylaxis in vitro
test to detect atopy
type v hypersenstivity reaction
test for allergic contact dermatitis
Microbiology
All India exam
8b3b36b6-22ca-4fb8-8dbe-d17f8e977675
multi
Which of the trabecular meshwork and effect the aqueous outflow
Refer katzung 12e p161 KDT 6/e p 145 Miotics like pilocarpine act by increasing the trabecular outflow Drugs for glaucoma -mechanism of action Brimonidine- reducing access production increasing uveoscleral outflow lantonoprost- increase the uveoscleral outflow pilocarpine - increases trabecular outflow Betaxolo- reduce...
2
Timolol
Pilocarpine
Brimonidine
Brinzolamide
Pharmacology
Autonomic nervous system
dcc1e57e-8079-43f4-8236-f2961755ae33
single
A 12-year-old child presents with tingling sensation and numbness in the little finger and gives history of fracture in the elbow region 4 years back. The probable fracture is
A i.e. Lateral condylar fracture humerus
1
Lateral condyle fracture humerus
Injury to ulnar nerve
Supracondylar fracture humerus
Dislocation of elbow
Surgery
null
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single
Traumatic dislocation of epiphysial plate of femur occurs -a) Mediallyb) Laterallyc) Posteriorlyd) Rotationallye) Anteriorly
Traumatic separation of distal femoral Epiphysis Overall this injury is rare; However, of all the injuries of epiphysis, injuries of the distal femoral epiphysis have the highest incidence of post-traumatic growth arrest. These injuries are described according to the direction of displacement of the epiphysis and the...
4
ab
bc
acd
abc
Orthopaedics
null
dc7722be-17b0-476e-8895-bcc8bc7b43bb
multi
Most common cause of lower gastro intestinal bleeding is;
(Colo.rectal carcioma) (1310-CSDT 12th) (1160-B &L 25th)* Although diverticulitis, cancer and / angiodysplasia are the most common cause of lower GI bleeding in adults (1310-CSDT 12th)* Diverticular diseases (Very common in western countries, though it is quite rare in this country (1104. S.Das 5th)Diverticulitis (1161...
2
Diverticulitis
Colorectal carcinoma
Angiodysplasia
Anal fissure
Surgery
Small & Large Intestine
418cb3a7-a0f8-41b4-923c-b63a7f223aeb
single
Advantage of lap sterilization over mini-laparotomy sterilization is
Mini-laparotomy Vs Laparoscopic sterilization FeaturesMinilaparotomyLaparoscopic sterilizationAdvantages Safe, effective and convenient methodDone as the outpatient procedureDone with minimal trainingDone in peripheral setting (PHCs and Camps)Used for mass sterilization for population controlDoes not need special train...
3
Less failure rate
Less blood loss
Less post operative stay
Easy procedure
Pathology
All India exam
d065d48b-fffe-4e26-b6a7-b7f984a3cb4f
single
Lipid with highest mobility is
Classification Based on Electrophoretic Mobility (Frederickson and colleagues, 1967): The most widely used and simplest classification for lipoproteins is based on the separation of major four classes by electrophoresis. The most frequently employed electrophoretic media are "paper" and 'agarose'. Plasma lipoproteins s...
1
HDL
LDL
VLDL
Chylomicrons
Biochemistry
Metabolism of lipid
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single
In an outbreak of cholera in a village of 2,000 population, 20 cases have occurred and 5 died. Case fatality rate is
(Refer: K. Park's Textbook of Preventive and Social medicine, 24thedition, pg no: 63)
4
1%
0.25%
5%
25%
Anatomy
All India exam
1980e5e1-cee4-4dbd-a201-e65d8cb3bcaa
single
The following are the contraindications of tubal reconstructive surgery except
Tubal reconstruction surgery can be done for a number of reasons including for reversal of sterilisation procedure. The most favourable outcome is seen when it is done for reversal of sterilisation procedures. Factors for Poor Outcome Following Tuboplasty • Dense pelvic adhesions. • Loss of fimbriae. • Bilateral hydros...
2
Length of tube <4 cms
Patients over 30 years of age
Pelvic tuberculosis
Reversal done after 5 years of sterilization
Gynaecology & Obstetrics
null
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multi
Freezing point of normal human plasma is
The freezing point of normal human plasma averages _0.54degC which corresponds to osmolar concentration in plasma of 290 mOsm/L The term tonicity is used to describe the osmolality of a solution relative to plasma A 0.9% saline solution and 4% glucose solution is isotonic when initially infused intravenously osmolarity...
3
4degC
0degC
_0.54degC
_1.54degC
Anatomy
Haematology
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single
Which structure doesn't pass through foramen ovale?
Ans. is 'a' i.e., Middle meningeal artery * Middle meningeal artery passes through foramen spinosumSkull foraminaFORAMENSTRUCTURES PASSING THROUGH ITForamen ovaleMandibular nerveAccessory meningeal arteryLesser petrosal nerveEmissary vein(MALE)Foramen spinosumMiddle meningeal arteryEmissary veinNervus spinosus(MEN)Fora...
1
Middle meningeal artery
Lesser petrosal nerve
Mandibular nerve
Accessory meningeal artery
Anatomy
Head & Neck
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single
Wernicke Korsakoff's syndrome is due to the deficiency of which of the following (Repeat):
Ans: B (Thiamine) Ref: Synopsis of Psychiatry. Kaplan & Sadock, 10th editionExplanation:See 2010 Psychiatry question explanation.
2
Pyridoxine
Thiamine
Vitamin B12
Riboflavin
Psychiatry
Alcohol-Related Disorders
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single
Which is associated with G2M transition in cell cycle?
null
2
Cyclin A
Cyclin B
Cyclin E
Cyclin D
Pathology
null
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single
A man presents with fever, wt loss and cough; Mantoux reads an induration of 17 x 19 mm: Sputum cytology is negative for AFB. Most likely diagnosis is:
Answer is A (Pulmonary tuberculosis): All features mentioned in this question are in our of pulmonary tuberculosis and the only feature that troubles is a 'negative sputum cytology'. A negative sputum cytology however does not rule out pulmonary tuberculosis. 'A negative sputum cytology does not rule out pulmonary tube...
1
Pulm tuberculosis
Fungal infection
Viral infection
Pneumonia
Medicine
null
ba383e15-8abf-42a1-8896-75e273e63250
single
An enzyme-catalyzed reaction was carried out with the initial substrate concentration 1,000 times greater than the Km for that substrate. After 9 minutes, 1% of the substrate had been conveed to the product, and the amount of product was 12 mmol. If, in a separate experiment, one-third as much enzyme and twice as much ...
Since we know that Enzyme is more impoant than substrate, so enzyme concentration we have to see first if that is reduced then it doesn't matter whether we increase substrate concentration or not time will increase only. So, since enzyme is decreased to 1/3 time will increase by 3 times irrespective of increase in subs...
2
13.5 mins
27 mins
8 mins
9 mins
Biochemistry
Enzyme kinetics
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single
Type of anemia seen in H.pylori infection :
Ans: A (Microcytic anemia) Ref: Robbins Pathologic Basis of Disease, 8th edition & Harrison, 18th ed.Explanation:The anemia in H.pylori infection is due to chronic blood loss due to Gastritis or Gastric ulcer.Chronic blood loss typically causes Iron deficiency anemia, which presents with microcytic & hypochromic anemia
1
Microcytic anemia
Megaloblastic anemia
Normocytic anemia
Aplastic anemia
Unknown
null
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single
The most frequent cause of scalded skin syndrome is
Scalded skin syndrome is caused by Staphylococcus aureus. It is an exfoliative disease in which the outer layer of epidermis gets separated from the underlying tissues. The severe form of SSSS is known as Ritter's disease in newborn and toxic epidermal necrolysis in older patients. Ref: Textbook of Microbiology; Ananth...
1
Staphylococci
Pneumococci
Enterococci
Meningococci
Microbiology
Bacteriology
4b8ef663-15aa-4c74-bbfb-b873ec311996
single
All of the following cause high anion gap metabolic acidosis except-
Uretrosigmoidostomy causes normal anion gap(AG) metabolic acidosis. *Causes of High-Anion Gap Metabolic Acidosis *Lactic acidosis *Ketoacidosis Diabetic. Alcoholic. Starvation * Renal failure (acute and chronic)
4
Lactic acidosis
Salicylats poisoning
Ethylene glycol poisoning
Ureterosigmoidostomy
Medicine
Fluid and electrolytes
3129d718-6681-4546-a0e9-e22ddccdbe19
multi
Band shaped keratopathy seen in:
Ans. JRA
1
JRA
RA
SLE
DLE
Ophthalmology
null
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single
Spleen is derived from ?
Dorsal mesogastrium
2
Ventral mesogastrium
Dorsal mesogastrium
Septum transversorium
Allantois
Anatomy
null
5d87b12e-158e-4176-a723-74f96ae35bab
multi
Infrared rays causes
Infrared rays affect primarily the retina, because of the transparency of the ocular media.When directly viewing a point source or laser beam, the focusing propeies in the IRA region additionally render the retina much more susceptible to damage than any other pa of the body.For sho exposure periods, heating of the iri...
1
Cataract
Keratitis
Optic neuritis
Glaucoma
Microbiology
All India exam
b726adbb-26e1-4b8c-b277-6bce5e642ff9
single
Treatment of Puberphonia is
Normally, childhood voice has a higher pitch. When the larynx matures at pubey, vocal cords lengthen and the voice changes to one of lower pitch. This is a feature exclusive to males. Failure of this change leads to persistence of childhood high-pitched voice and is called puberophonia. Type III Thyroplasty- It is used...
3
Thyroplasty type I
Thyroplasty type II
Thyroplasty type III
Thyroplasty type IV
ENT
Larynx
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single
Drug used in unstable angina & NSTM (A)Morphine (B)Aspirin (C)Nitrates (D)Anthrombocthera (E)CCB
null
4
BCDEA
CABED
DAECB
ABCDE
Medicine
null
f8c6b0f1-244b-4c4f-b7cc-aa6009fc55b0
single
Mirror box therapy is used in the treatment of :
Mirror box therapy is used to decrease phantom limb pain in which patient feel like having a limb even after it is amputated.
4
Hypochondriasis
Claustrophobia
ADHD
Phantom limb
Psychiatry
null
60ebcf4c-d014-4d87-b598-b1e11d7aff9c
single
The purpose of double blinding in clinical trials is to?
Ans. is 'd' i.e., Avoid observer and subject bias Double blinding ensures that both the observer and subject are unaware of the group allocation and treatment. It there by eliminates both subject bias and the observer bias.
4
Achieve comparability between study and control groups
Avoid observer bias
Avoid subject bias
Avoid observer and subject bias
Social & Preventive Medicine
null
ef1a0d6f-03d0-43da-b39a-b9526056abc9
single
What isaccumulated in Gaucher's disease:
Glucocerebroside
2
Cerebroside
Glucocerebroside
Alpha galactoside
Noneof the above
Biochemistry
null
f27357d0-c21a-497c-9f30-181c464ee4a7
multi
Specialized cell membrane structures that decrease electrical resistance between the cells allowing action potentials to pass efficiently from one cell to adjacent cells are the
D: Gap junctions are a specialized intercellular connection between a multitude of animal cell-types. They directly connect the cytoplasm of two cells, which allows various molecules, ions and electrical impulses to directly pass through a regulated gate between cells. A: Extensive capillary networks allows the abundan...
4
Extensive capillary network
Intercalated disks
Mitochondria
Gap junctions
Medicine
null
1f8f70e5-692b-4fbd-9568-97311b7fdf82
multi
A 25 year old male patient complains of pain in the lower back tooth region. History of similar complaint 6 months ago. Intra-oral examination reveals pericoronitis with 36. An IOPA is taken with the same tooth. During film processing, the thermometer in the manual processing tank reads 68◦F. The approximate time to ke...
Processing films at either higher or lower temperatures and for longer or shorter times than recommended by the manufacturer reduces the contrast of the processed film.
4
2 minutes
3 minutes
4 minutes
5 minutes
Radiology
null
f6cf02ea-7e9d-4843-8518-f5c6ec25cd79
single
Best confirmatory test for syphilis is
FTA-ABS: FTA-absorption test in which the test serum is preabsorbed with sonicate of the Reiter treponemes to eliminate group-specific reactions. FTA-ABS is as specific as the TPI test and is now accepted as a standard reference test. Ref: Textbook of microbiology; Ananthanarayan and paniker's; 10th edition; Pg:382
4
RPR
Gram stain
VDRL
FTA-ABS
Microbiology
Bacteriology
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single
rtPA is NOT a contraindication in stroke with
(C) Coma # rtPA (Alteplase) is indicated in pulmonary embolism, myocardial infarction, and stroke.> rtPA therapy in patients with stroke is contraindicated in certain situations like suspicion of subarachnoid hemorrhage on pretreatment evaluation, recent (within 3 months) intracranial or intraspinal surgery, history of...
3
BP >185/110 mm Hg
Heparin in the past 24 hrs
Coma
Lesion occupying >1/3 of middle cerebral artery territory
Medicine
Miscellaneous
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single
Ewings sarcoma clinically mimics -
Ans. is 'a' i.e., Osteomyelitis o Ewing sarcoma is one of the differential diagnosis for subacute osteomyelitis, ( see following table) TypeGledhill classificationRobert et at ClassificationDifferential diagnosisISolitary' localized zone of radioluceney surrounded by reactive new bone formationIa-Punched-out radiolucen...
1
Osteomyelitis
Osteochondroses
Osteosclerosis
Heterotopic ossification
Orthopaedics
Bone Tumour
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multi
A 29-years-old male taking oral hypoglycemic drug never had ketonuria in his life. His BMI is 20.5. His grandfather had diabetes and his father who is the only son of his grandfather too had the disease. Which type of DM this person will be most likely -
null
2
Pancreatic
MODY
Type I
Type II
Medicine
null
7470ffdc-9e14-4d9c-b8d0-1362b24dab2e
single
Positron emission tomography imaging is commonly performed using: September 2011
Ans. B: 2-18 fluoro-2-deoxy D-glucose (18 FDG) The majority of clinical PET imaging is now performed with the glucose analogue 2-18 fluoro-2-deoxy D-glucose (18 FDG) which has a half life of 110 min. PET scan: Differentiates radiation necrosis from active neoplasm following therapy Recent role is in investigation of re...
2
Barium sulphate
2-18 fluoro-2-deoxy D-glucose (18 FDG)
Myodil
Oxygen 15
Radiology
null
8338beeb-1fa2-4567-92db-b159682bc8d2
single
Use of Morphine should be avoided in all of the following patients Except
Contraindications for morphine 1. Use of pure agonists with weak paial agonists: When a weak paial agonist such as pentazocine is given to a patient also receiving a full agonist (eg, morphine), there is a risk of diminishing analgesia or even inducing a state of withdrawal; combining full agonist with paial agonist op...
1
IHD
Bronchial asthma
Elderly male
Biliary colic
Pharmacology
Anesthesia
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multi
An abnormal ventilation-perfusion ratio (Qs/Qr) in the postoperative patient has been associated with
Abnormalities of ventilation-perfusion ratio result from the shunting of blood to a hypo ventilated lung or from the ventilation of hypo perfused regions of lung tissue. When this imbalance is extreme, as following massive pulmonary thromboembolism, the effect is life-threatening hypoxemia. Other common predisposing fa...
1
Pulmonary thromboembolism
Lower abdominal surgery
Starvation
The upright position
Surgery
Miscellaneous
25d06211-5d61-439a-8e56-803cc496fcfe
single
CSF sugar is -
Ans is'c' i.e.,2/3 of blood sugarCSF / plasma glucose ratio is 0.64.
3
Half of blood sugar
1/3 of blood sugar
2/3 of blood sugar
Same as blood sugar
Physiology
null
438d39c8-be3c-416a-bc90-0488d701aa67
single
An 8-year-old child presented with brownish discoloured and deformed anterior teeth. History of having received an antibiotic about 4 years earlier was obtained. Which antibiotic could be responsible for the condition:
null
3
Chloramphenicol
Gentamicin
Tetracycline
Erythromycin
Pharmacology
null
18652ebd-44d2-4407-a030-5067aa724030
single
Incubation period of typhoid-
<p> Typhoid fever:- Typical continuous fever for 3-4 weeks,relative bradycardia with involvement of lymphoid tissue. Without effective treatment, typhoid kills over 10% of those infected. Causative agent- Salmonella typhi. S.paraA and S.paraB are infrequent. Reservoir- man Case - a case is infectious as long as bacilli...
1
3-20 days
14-45 days
5-10 d ays
15-60 days
Social & Preventive Medicine
Communicable diseases
f3b04b09-f7c1-442b-84d9-a445f5771b8e
single
Which of the following movements will be affected if the greater tubercle of the humerus is lost -
Muscles attached to greater tuberosity are. Supraspinatus: - Helps in the initial range of abduction. Infraspinatous, Teres minor : - External (lateral) rotation. Therefore, these movements are affected in fracture greater tuberosity. Muscle attached to lesser tuberosity is subscapularis (an internal or medial rota...
1
Abduction and lateral rotation
Adduction and flexion
Adduction and medial rotation
Flexion and medial rotation
Orthopaedics
null
9de10979-fe0e-4057-8778-3161b31025a6
single
Ca2+ Channel blockers would have a significant effect on muscle function in
The calcium-channel blockers represent a group of organic chemical structures that share the ability to inhibit Ca2+ entry into excitable cells. ... Thus, calcium-channel blockers are smooth-muscle dilators and have a negative inotropic effect on the working myocardial cells of the atria and ventricles Ref guyton and h...
2
Skeletal muscle
Smooth muscle
Both the above
Neither
Physiology
General physiology
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multi
Fordyce's spots/granules in oral cavity arises from: September 2002
Ans. B i.e. Sebaceous glands
2
Mucus glands
Sebaceous glands
Taste buds
Minor salivary glands
ENT
null
8c1f146c-efe8-4354-a775-38358f2da030
single
True about DNA structure: (PGI Nov 2010)
Ans; C (Deoxy..) "In the DNA helix, hydrophilic deoxyribose-phosphate buckboneQ of each chain is on the outside of the molecule, whereas the hydrophobic bases are stacked insideQ"- Lippincott' Biochemistry 4th/397"DNA is covalently linked by 3'-5' phosphodiester bondQ"- Lippincott' Biochemistry 4th/397"There are 3 form...
3
Purines are adenine and guanine ; pyrimidines are uracil and cyTosine
Watson and Crick discovered structure in 1973
Doxyribose-phosphate backbone with bases stacked inside
Mainly consists of left handed helix
Microbiology
Immunology
8d002ca3-8ba9-4c5c-845c-f36997fa47eb
multi
Which of the following is not a recommended sanitation measure for swimming pool sanitation?
SANITATION MEASURES FOR SWIMMING POOL SANITATION: Recommended area: Recommended area is = 2.2 sq.meter (24 sq.ft) per swimmer Surveillance: Rules and regulation to be posted in appropriate place Filtration of water: Water to be refiltered in less than 6 hours (rapid sand filters); 15% water to be replaced by fresh wate...
3
Recommended area per swimmer = 2.2 per sq. meter
water to be refiltered in less than 6 hours (rapid sand filters)
Residual level of free chlorine to be >0.5ppm
15% water to be replaced by fresh water every day
Social & Preventive Medicine
Environment and health
05f0b9e2-7ab6-406b-a510-111677c9d202
single
who gave the concept of self esteem as the heirachy of motivation
ABRAHAM MASLOW Gave the hierarchy of needs It is also called as hierarchy of motivation According to Maslow the basic needs should be met to move on to the next stage Once the basic step is attained, we work on to the higher stage The final stage is self-actualization, that is acceptance of your positives, negatives, s...
1
maslow
lorenz
freud
seligman
Anatomy
Treatment in psychiatry
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single
Which among the following extra intestinal manifestations of IBD correlate with bowel disease activity?
Extra intestinal manifestations of IBD: The most commonly extraintestinal manifestations of IBD involve the skin, joints, eyes, and liver in up to one-third of patients. Extraintestinal manifestations of IBD:Nonintestinal manifestations are similar for both CD and UC. Dermatologic manifestationsinclude the relatively c...
3
Pyoderma gangrenosum
Erythema Nodosum
Peripheral ahritis
Primary sclerosing cholangitis
Medicine
Inflammatory Bowel Disease
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single