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Which of the following collagen disorder is NOT commonly associated with pulmonary fibrosis -
null
3
SLE
Progressive systemic sclerosis
Dermatomyositis
Rheumatoid arthritis
Medicine
null
4634b11d-95e4-4cea-812a-d5f412ccded6
single
In heterophoria prism is used:
Ans. With apex towards the direction of phoria in glasses for treatment
1
With apex towards the direction of phoria in glasses for treatment
With apex towards the direction of phoria for exercises only
For exercises mainly in hyperphoria
To detect grade III of binocular vision
Ophthalmology
null
e432bcc7-b6b1-48a3-bf6c-a28264a4289c
single
In order to replace maxillary canine, which of the following pontic should be used:
Both modified ridge lap and ovate pontics are superior esthetically and hygienic, and hence, they are used in maxillary canine replacement. But only modified ridge lap is indicated for replacement of missing mandibular canine.
3
Modified ridge lap.
Ovate.
Both of the above.
Sanitary.
Dental
null
276375a6-7fcd-48a3-bca9-6d0f3ddaf773
multi
SNHL is seen in -
Ans. is 'd' i.e.. All of the above Congenital causes of SNHL o Treacher collin syndrome o Alports syndrome o Pendred syndrome o Crouzon's disease o Bartter syndrome o Leopard syndrome o Refsum syndrome o Waardenburg syndrome o Fabry disease o Usher's syndrome o Hurler's syndrome o Klippel fed syndrome o Type 1 (distal)...
4
Nail patella syndrome
Distal RTA
Barter syndrome
All of the above
ENT
Hearing Loss
f8de36b8-eba9-4533-976c-7acf2ac01fa1
multi
In a young male, history of firm unshakable belief of hands passing through the body & gripping his lungs indicates
This patient has :- False but firm belief → Delusion. Hand passing through the body & gripping his lungs → delusion is bizarre (belief that is impossible): Bizarre delusions are seen in schizophrenia.
1
Schizophrenia
Depression
Somatization
Asthma
Psychiatry
null
2d871ee2-06aa-4794-9380-2897e3d0dde1
single
Which of the following findings provides the best evidence of insect sting hypersensitivity?
Clinical documentation of a systemic allergic reaction is essential to the accurate diagnosis of insect sting hypersensitivity. Typically, signs of anaphylaxis develop within minutes after the sting. Subsequent prick or intradermal skin testing, supplemented as necessary by antivenom IgE levels (determined by radioalle...
3
Positive prick or intradermal skin test
Extensive local reaction lasting 5-7 days
Documented evidence of a systemic allergic reaction
Specific antivenom IgE antibodies
Surgery
null
db4075fa-a996-402a-b7b2-458e8ad232ed
multi
Erythroderma % of skin involved is ?
Ans. is 'a' i.e., >90% Erythroderma (generalized exfoliative dermatitis) Erythroderma is the term used when the majority of the skin is erythmatous red color and usually associated with crusts, there may be associated erosions, pustules, shedding of nails or hair. "Exfoliative dermatitis (erythroderma) refers to a scal...
1
>90%
<30%
30-60%
60-70%
Skin
null
7592d65c-0b0c-43cc-9f9a-43c5a2e2e701
single
Pauciarticular JRA is characterised by all except –
Ocular manifestations of JRA Uveitis (most common)               Cataract  Band keratopathy  Glaucoma
2
Uveitis
Scleritis
Cataract
Keratopathy
Ophthalmology
null
59cfaf5a-6d8e-490d-b3e8-8dcea6d9e060
multi
tripple negative ductal invasive carcinoma of breast is ?
MEDULLARY CARCINOMA breast : * High nuclear grade, aneuploidy, hormone receptors - nt, HER2/neu overexpression -nt. * Lymph node metastases -infrequent. * Syncytial growth pattern and pushing borders - d/t overexpression of adhesion molecules -> intercellular cell adhesion molecule and E-cadherin -) limit metastatic po...
2
medullary carcinoma
colloidal
basal like invasive
lobular
Surgery
All India exam
bb751308-606f-44d6-a271-77c5e2aa495e
single
Giant papillary Conjunctivitis is seen in -
Giant papillary conjunctivitis is a complication of contact lens use. Reference : Donshik, P.C. (2003). Contact lens chemistry and giant papillary onjunctivitis.
1
Contact lens user
Trachoma
Spring Cattarh
Mycotic corneal ulcer
Ophthalmology
Conjunctiva
5b855ffe-25f5-4a6b-b565-ca9f5bb5f4bd
single
The minor duodenal papilla is opening of -
Major duodenal papilla → Hepatopancreatic ampulla (opening of the biliary-pancreatic duct). Minor duodenal papilla → Accessory pancreatic duct opening.
3
Hepatic duct
Hepatopancreatic ampulla
Accessory pancreatic duct
Bile duct
Anatomy
null
336276a6-99d1-475d-8e79-ef2167176072
single
Neo-adjuvant chemotherapy used in esophageal carcinoma
Neoadjuvant chemotherapyNeoadjuvant chemotherapy is the administration of therapeutic agents before the main treatment.Neoadjuvant therapy aims to:Reduce the size or extent of cancer.Makes procedures easier and more likely to succeed.Reduces the consequences of a more extensive treatment.Single-agent chemotherapyCombin...
2
Doxorubicin
Cisplatin
5-fluorouracil
Mitomycin C
Anatomy
All India exam
39894ab0-dba6-47d6-ad45-f15928bc5ca7
single
Which organ is the primary site of hematopoiesis in the fetus before mid-pregnancy?
Ans. B. LiverFetal Hematopoiesisi. Begins in the yolk sac (2 -8 weeks) - progenitor cells migrate from the yolk sac to the liver at 5-8 weeks' gestationii. Only terminal differentiation of red cells occurs in the yolk saciii. Liver active from 5-8 weeks' gestation - mainly red cells. Spleen also involved before 20 week...
2
Bone
Liver
Spleen
Lung
Gynaecology & Obstetrics
Miscellaneous (Obs)
3bcef5f3-c21a-4426-a9cb-7081dc599b3c
single
A child has multiple itchy papular lesions on the genitalia and fingers. Similar lesions are also seen in the younger brother. Which of the following is most possible diagnosis ?
null
2
Papular urticaria
Scabies
Atopic dermatitis
Allergic contact dermatitis
Dental
null
993a49e6-c85a-46d0-a285-0d43cd6aceb8
multi
Which one of the following drugs is an antipseudomonal penicillin ?
null
3
Cephalexin
Cloxacillin
Piperacillin
Dicloxacillin
Pharmacology
null
f2c068b8-a016-4a87-9c4f-6f8e5c9b18bc
single
Surgeries used in management of Meniere's disease are all Except
Surgical treatments ib Meniere's disease are used only when medical treatment fails.a) Conservative procedures - Decompression of endolymphatic sac, Endolymphatic shunt operation, Sacculotomy(Fick's operation)., Section of the vestibular nerve, Ultrasonic destruction of vestibular labyrinth.b) Destructive procedures: L...
4
Endolymphatic shunt operation
Sacculotomy
Labyrinthectomy
Stapedectomy
ENT
Ear
87c91344-b528-44cd-bbb3-c2622a6f4a6b
multi
Eonism is :
A i.e. Desire to be identified with opposite sex
1
Desire to identify with the opposite sex
Intercourse with a lower animal
Female homosexualism
Oral sex
Forensic Medicine
null
b2aeb74b-3fb1-452a-8149-74ac3c050a6e
single
A patient with hyperiglycerdemia is treated with Omega -3- polyunsaturated fatty acids. Treatment with omega-3- polyunsaturated fatty acids, will have the following effect on lipid profile:
Answer is C (Increased LDL and Decreased total cholesterol) The major effect of Omega -3-polyunsaturated Fatty Acids on plasma lipids is to decrease serum triglyceride levels. They do not have a consistent effect on total cholesterol and LDL cholesterol however most studies have repoed a rise in LDL cholesterol and a d...
3
Increased LDL and Increased total cholesterol
Decreased LDL and Decreased total cholesterol
Increased LDL and Decreased total cholesterol
Decreased LDL and Increased total cholesterol
Medicine
null
a9842e15-f85b-497e-bac5-71067f1a2b47
single
Which among the following is Autosomal dominant with an expression during adolescence?
Facioscapulohumeral dystrophy is an autosomal dominant condition with onset during adolescence. It involves face, shoulder and upper arm. The speed of progression of the disease is variable. Ref: O P Ghai, 5th Edition, Page 424.
3
Duchenne's dystrophy
Becker's dystrophy
Facioscapulohumeral dystrophy
Congenital muscular dystrophy
Pediatrics
null
ea4a2284-b126-4018-97ba-6798f0c32069
single
Salivary pellicle is composed of the following except:
null
4
Immunoglobulin G
Immunoglobulin A
Amylase
Albumin
Dental
null
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multi
Sturge Weber's syndrome is not associated with -
Sturge-weber's syndrome Sturge-weber's syndrome results from anomalous development of the primordial vascular bed in the early stages of cerebral vascularization. At this stage, the blood supply to the brain, meninges, and face is undergoing reorgnization, while the primitive ectoderm in the region differentiates into...
4
Seizures
Hemiatrophy of cerebral cortex
Gyriform calcification in brain
Empty sella
Pathology
null
75b77316-f05e-43f7-9ee6-fe6e3b5299d7
single
A patient with clustered white lesions on the buccal mucosa opposite the upper 1st as 2nd molars pathognomonic for measles These are
ref : harrisons 21st ed
2
Leukoplaka
Koplik spots
Kaposi spots
none
Medicine
All India exam
b6ccd05b-2574-4073-82c7-79e572707803
multi
Egg on side appearance on chest X-ray is associated with?
Ans. is 'c' i.e., TGA * Egg on side appearance is characteristic radiographic feature of transposition of great vessels (TGA).Cardiac configration* "Boot-shaped" heart (cour en sabot)Fallot's tetralogy* "Egg on side" heart ("egg in cup" heart)Transposition of great arteries* "Egg in cup" HeartConstrictive pericarditis*...
3
ASD
VSD
TGA
PDA
Radiology
C.V.S.
740089b1-e185-4d6c-83c4-b1b3134feae5
single
A skull with squared orbit & rectangular palate with cephalic index 75 with broad nose, probably the race is.
A i.e. Negroes
1
Negroes
Mongoloids
Europeans
Oriental
Forensic Medicine
null
96a39981-62b3-40d3-aea5-1e703af10eca
single
Most effective step in treatment of gas gangrene is: March 2012
Ans: B i.e. Debridement Management of gas gangrene The role of hyperbaric oxygen in the management of gas gangrene is not clear as in necrotizing fasciitis but it is recommended in severe cases if the facilities are available The mainstay of management of gas gangrene is early surgical excision of the necrotic tissue N...
2
Hyperbaric oxygen
Debridement
Debridement & wound closure
Antibiotics
Surgery
null
12c295e7-65f6-47c2-b0c7-3ec545b7da18
multi
Which of the following is a major cell infiltrate in rheumatoid arthritis?
Ref. Robbins Pathology. 9th edition. Page. 1209 Rheumatoid Arthritis CD4+ T helper (TH) cells may initiate the autoimmune response in RA by reacting with an arthritogenic agent, perhaps microbial or a self-antigen IFN-γ from TH1 cells activates macrophages and resident synovial cells. IL-17 from TH17 cells recruits n...
3
CD4+helper cell
Macrophage
Lymphocyte
Dendritics cells
Unknown
null
33e5cdce-93a3-4fa3-a493-d33f6924ca46
single
A statement recorded by the magistrate in front of the accused or his lawyer is known as?
Ans. is 'c' i.e., Dying depositionDying declaration is the written or verbal statement made by a person likely to die because of some unnatural act done on his body, narating the circumstances or the conditions responsible for his present state of health or the cause and manner of likely unnatural death.Dying depositio...
3
Summon
Punchnama
Dying deposition
Dying declaration
Forensic Medicine
null
9ab9feae-5693-4be7-97c1-6617fae57594
multi
The number of muscle fibers innervated by a motor axon is smallest in:
The extraocular and hand muscle has a ratio of 3-6 (total 3000 motor units) whereas gastrocnemius and back muscle (concern with posture) has a innervation ratio of 2000 (total 600 units).
2
Gastrocnemius
Orbicularis oculi
Single-unit smooth muscle
Soleus
Physiology
null
79aebfab-4c2b-48a4-8b11-283e9f3d4736
multi
A 38 year old nullipara is on treatment for infeility. Inhibin B levels are tested to assess ovarian reserve. Inhibin B level is best measured which day of menstruation:
Inhibins are produced by Seoli cells in males and by granulosa cells in females. Serum inhibin levels vary widely across the menstrual cycle. During the early follicular phase, FSH stimulates the secretion of inhibin B by the granulosa cells. However, increasing levels of circulating inhibin B blunt FSH secretion later...
2
Day 2 of menstruation
Day 3 of menstruation
Day 4 of menstruation
Day 5 of menstruation
Gynaecology & Obstetrics
null
09453adb-731d-4437-952b-46049a4a82c7
single
Cutaneous lesions may be produced by the following mycobacteria except -
null
1
M. intracellulare
M. Leprae
M. marinum
M. tuberculosis
Microbiology
null
c4dcbe04-42bd-4f85-9914-85b604a54d93
multi
Hypernatremic dehydration is characterised by –a) Serum sodium > 150 mmol/Lb) Signs of dehydration are minimalc) ECF volume ↓edd) Rapid carrection is requirede) Shift of water from ECF to ICF
Hypernatremic dehydration In about 5% of diarrhoea cases (especially if the child has been given fluids with more salt), serum sodium level may be elevated to more than 150 mEq/L. In this patient, the osmotic pressure of ECF is relatively higher. Therefore water comes from inside the cells to the extracellular fluids ...
4
ac
a
ad
ab
Pediatrics
null
24d81bb3-e0f3-4dd8-bad8-26e77df0ae28
single
Which complement component is anaphylotoxin -
Ans. is 'c' i.e., C5a
3
C3b
C5.-9
C5a
Cl-3
Microbiology
Immunology
00e8cc75-7404-4318-9c40-ab858b239f8e
single
Major metabolism of saturated fatty acids in the mitochondria is called as -
Ans. is 'a' i.e., b-oxidation o b-oxidation is the principal pathway for catabalism of saturated fatty acids. b-oxidation mainly occurs in mitochondrial matrix (whereas fatty acid synthesis occurs in cytosol).o b-oxidatioon consists of repeated cycles of a series of reactions. With each cycle a two carbon unit (i.e. ac...
1
b-oxidation
a-oxidation
o-oxidation
None of the above
Biochemistry
Biosynthesis of Fatty Acids and Eicosanoids
ac839f56-1f81-4360-a640-fa7bb5fc260b
multi
All of the following are paired except:
All intrinsic muscles of larynx are paired except transverse arytenoid/interarytenoid. As far as cailages of larynx are concerned 3 are paired and 3 are unpaired.
1
Interarytenoids
Corniculate
Vocal cords
Cricothyroids
ENT
null
68b4e04d-3da1-4aaf-ba9b-facfee24277f
multi
Marfan's syndrome most commonly involves?
Ascending aoa REF: Cardiac surgery in adults 3' ed by lawrence H.Cohn chapter 46 Seventy-five to eighty-five percent of patients with Marfan syndrome have dilation of the aoic sinuses and annulus in addition to the ascending aoa. This morphology, referred to as annuloaoic ectasia, is the classic presentation of Marfan ...
1
Ascending aoa
Descending aoa
Arch of aoa
Aoic valves
Surgery
null
65a81439-8ea2-4a60-af13-04425a2e44c8
single
Generalized paresis of Insane is seen in-
The major clinical categories of symptomatic neurosyphilis include meningeal, meningovascular, and parenchymatous syphilis. The last category includes general paresisand tabes dorsalis. The onset of symptoms usually occurs <1 year after infection for meningeal syphilis, up to 10 years after infection for meningovascula...
3
Primary stage
Secondary stage
Neuro syphilis
Congenital syphilis
Medicine
Infection
374fbcc2-a4d1-4ed7-a331-87e428052497
single
30 year old primi with 36 weeks of pregnancy with blood pressure 160/110 and urinary albumin is 3+ & platelet count 80000/mm3. What will be the management?
Answer is b and c That is MgSO4 and Labetalol Patient has severe pre-eclampsia and gestational age is 36 weeks : If gestational age is above 34 weeks, the best approach is to treat with magnesium sulphate for the prevention of seizures.,give antihypeensive to control the BP and delivery after stabilization. Ref Fernand...
2
Betamethasone
MgSO4
Labetalol
Urgent LSCS
Gynaecology & Obstetrics
Medical, surgical and gynaecological illness complicating pregnancy
946b2dae-7fa5-447c-a7a8-f03de4b69b50
single
Tuberculous gumma (scrofuloderma) seen mostly on:
Ans: a (Trunk)Ref: IADVL, Vol. 1, 3rd ed. pg. 244Tuberculous gumma is a skin condition that results from haematogenous dissemination of mycobacteria from a primary focus, resulting in firm, nontender erythematous nodules that soften, ulcerate, and form sinuses.We could not find out a reference as to the commonest site ...
1
Trunk
Any part of body
Extremities
Face
Skin
Bacterial Infection of Skin
659b53d2-65c1-4237-985e-32fee478c240
single
6-phospho Gluconate dehydrogenase need - (NEET/DNB Pattern)
Ans-B6-phospho-D-gluconate + NADP+ = {\display style \rightleftharpoons } D -ribulose 5-phosphate + CO2 + NADPH
2
NAD
NADP
FAD
FMN
Unknown
null
7491734c-12e8-4e5d-8b67-f4e25921a26e
single
With regard to hepatic anatomy, the falciform ligament divides the___from the ___.
The overall anatomy of the liver is divided into a functional right and left 'unit' along the line between the gallbladder fossa and the middle hepatic vein ( Cantlie's line ). The falciform ligament divides the left lateral section from the left medial section. Clinical significance : The falciform ligament, along wit...
2
Right unit, left unit
Left medial section, left lateral section
Caudate lobe, quadrate lobe
Left medial section, right lobe
Surgery
Hepatobiliary and Pancreatic Sx
f84db6a4-02dd-4ae0-80ea-e9aa6a657c43
single
A children presents with running, nose, breathlessness, family history positive, Most likely diagnosis is
(Bronchial asthma) (353 - Ghai 6th) (359-Ghai 7th)* Bronchiolitis is often confused with bronchial asthma. The latter is unusual below the age of one year. There is often a family history of asthma* Viral pneumonia - RSV is the most important cause in infant under 2 years of age. There is no evidence of consolidation c...
3
Bronchiolitis
Viral pneumonia
Bronchial asthma
None
Pediatrics
Respiratory System
23f4889d-9127-4624-b049-bd227240ce56
multi
All of the following are indication for Treadmill testing, except-
Ref: KV Krishna Das - Clinical Medicine 4th Edition pg no:212 Exercise Electrocardiography (Syn: Stress Tests, Treadmill Test) This refers to the recording of the electrical activity of the hea while the individual is subjected to the stress of graded exercises. The bicycle ergometer or the treadmill is currently used ...
1
To evaluate unstable angina
To evaluate unstable myocardial infarction
To assess outcome after coronary revascularization
TO diagnosis and evaluate the treatment of exercise induced arrhythmias
Medicine
C.V.S
00dd91c9-af6f-41fa-88b7-18bb4a7f2afd
multi
The following local anaesthetic raises BP instead of tending to cause a fall :
null
1
Cocaine
Dibucaine
Lignocaine
Procaine
Pharmacology
null
af27fd53-19ed-41e7-a638-a7362e608a63
multi
Rugoscopy is -
Rugoscopy or palatoprints are study of structural details such as rugae in anterior pa of palate which is individualistic and specific as fingerprints ref :.Dr.K.S.Narayana Reddys Synopsis of Forensic Medicine & Toxicology 27th edition pg. 48.
4
Study of finger prints
Study of foot prints
Study of lip prints
Study of palate prints
Forensic Medicine
Identification
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single
Which of the following statement about N. gonorrhoea is NOT TRUE?
Penicillin and tetracycline are ineffective in the treatment of N gonorrhoeae due to chromosomally mediated resistance. Penicillin, ampicillin, and tetracycline are no longer reliable for the treatment of gonorrhea and should not be used. Third generation cephalosporin is highly effective as single-dose therapy for gon...
3
Exclusive human pathogen
Acute urethritis is MC manifestation in males
Highly sensitive to Penicillin
Some strains may cause disseminated disease
Microbiology
null
ce0d1e92-c195-4638-b7e3-c88542a9a299
multi
A child presents with recurrent episodes of lip and laryngeal edema and abdominal pain associated with stress levels of which of the following are reduced.
Ci esterase inhibitor Angioedema without uicaria suggests hereditary angioneurotic edema. Hereditary angioneurotic edema is caused due to deficiency of plasma protein Ci esterase inhibitor. It is an autosomal dominant disorder. It is clinically characterized by:- Episodic edema (nonpitting) in the skin and extremities ...
3
C3
C5a
CI estease inhibitor
C9
Surgery
null
2baa0379-8b30-4a0c-afe6-d3348f0ba71c
single
A 27 year old man in noted to have blood pressure of 170/100 mmHg. He has prominent aoic ejection click and murmurs heard over the ribs on the both sides anteriorly and over the back posterioly. In addition.the pulses in the lower extremities are feeble and he complains of mild claudication with exeion. The most likely...
Answer is C (Coarctation of aoa) Hypeension in upper extremity with absence, dimunition or delay in pulsations in lower extremity suggests the diagnosis of coarctation of aoa. Other options have been explained in the previous questions.
3
Aial septal defect
Aoic stenosis
Coarctation of the aoa
Cardiomyopathy
Medicine
null
25be69b6-9db8-49a6-9b37-dd6813c9eaf2
multi
Rancid butter or cabbage-like smell in urine is seen in which of the following condition?
Tyrosinemia is an autosomal recessive disease induced by a deficiency of cytoplasmic tyrosine aminotransferase related to a defect on chromosome bands 16q22.1-22.3. One of the symptoms of Tyrosinaemia type 1 is a odor like cabbage or rancid butter. Diet restriction of phenylalanine and tyrosine leads to amelioration of...
4
Maple Syrup Urine Disease
Isovaleric Acidaemia
3-Methylcrotonylglycinuria
Tyrosinaemia
Biochemistry
null
bc4156c9-3d92-4045-b96c-98429a1c4a49
single
Which of the following is/are the ventral posterior neucleus of thalamus -a) Medial lemniscusb) Lateral lemniscusc) Corticospinald) Spinothalamice) Trigeminal lemniscus
Ventral posterolateral :- Spinal lemniscus (rostral continuation of spinothalamic tract) and medial lemniscus. Ventral posteromedial :- Trigeminal lemniscus, and solitariothalamic tract.
2
acd
ade
abd
ad
Anatomy
null
a205901b-b7a1-4a5e-b3f1-5340cdd826dc
single
The PR interval in ECG denotes?
Atrial depolarization only - P- Wave Ventricular depolarization and ventricular repolarization - QT interval
2
Atrial depolarization only
Atrial depolarization with A - V conduction
Ventricular depolarization and ventricular repolarization
Atrial depolarization with atrial repolarization
Medicine
FMGE 2017
d332d684-50c4-48d9-ada9-edb3a320cdde
single
NK cells CD marker is
Ref Robbins 8/e p188;9/e p192 NK cells (belonging to the group of innate lymphoid cells) are defined as large granular lymphocytes (LGL) and constitute the third kind of cells differentiated from the common lymphoid progenitor-generating B and T lymphocytes. NK cells are known to differentiate and mature in the bone ma...
1
16
60
32
25
Anatomy
General anatomy
1ede52f9-4206-4a2b-b6de-3a1ee6d340d4
single
A young pregnant woman presents with fulminant hepatic failure. The most likely aetiological agent is
null
3
Hepatitis B virus
Hepatitis C virus
Hepatitis E virus
Hepatitis A virus
Microbiology
null
4764c8f5-e787-4612-a9e6-560700fac197
single
Vaccines that must be given before age of two years according to IAP are all of the following EXCEPT?
Vaccine Recommended age of vaccination (1st dose) a. Varicella vaccine 15 months b. MMR vaccine 9 months c. Conjugated typhoid vaccine 9 months d. Pneumococcal polysaccharide vaccine Beyond 2 yrs age - As polysaccharides stimulate B-cells independent of T-cells, the pneumococcal polysaccharide is poorly immunogenic at ...
4
Varicella vaccine
MMR vaccine
Conjugated typhoid vaccine
Pneumococcal polysaccharide vaccine
Pediatrics
Vaccination schedule
64dfdc51-f84f-492f-be29-08836ade8180
multi
Salk vaccine is a -
<p> IPV /salk polio vaccine. Strains - Mahoney( salk type 1) MEF1( salk type 2) saukett( salk type 3) Inactivated in formaldehyde. Final vaccine mixture contains 40 units of type1, 8 units of type 2, and 32 units of type3. Administration- intramuscular injection or subcutaneous. Should be refrigerated to ensure no loss...
3
Live vaccine
Live attenuated vaccine
Killed vaccine
Toxoid
Social & Preventive Medicine
Communicable diseases
fe5c1945-5dc8-4cf2-a86a-947a6e3a3e4f
single
Type III Cu NiTi is used for ?
null
1
Patient has low to normal pain threshold
Where rapid tooth movement required
More force required
Patient has good pain threshold
Dental
null
805b103a-be3b-4411-aca9-f7ce6d3e9b0d
single
A 24 year old woman presents with new onset right lower quadrant pain, and you palpate an enlarged, tender right adnexa. Which of the following sonographic characteristics of the cyst in this patient suggests the need for surgical exploration now instead to observation for one menstrual cycl?
null
3
Lack of ascites
Unilocularity
Papillary vegetation
Diameter of 8 cm
Gynaecology & Obstetrics
null
f1b75e4b-7086-4c55-a2d3-0f7bb860dabd
single
Treatment of acute gout includes all except:
Ans: c
3
NSA1DS
Colchicines
Allopurinol
All of the above
Medicine
Immunology and Rheumatology
0f03c9c8-4bc4-4d4e-88b7-45ff7442b240
multi
POEMS syndrome is associated with
null
3
Aplastic anemia
RA
Polyneuropathy
Hemolytic anemia
Medicine
null
d4f089cc-cd1d-41d7-a574-ba7d291bd488
single
Double-Bubble" sign in X-ray is seen in
Duodenal atresia
2
Colon carcinoma
Duodenal atresia
Acute pancreatitis
Perforation
Radiology
null
10865658-bf23-416e-9338-20571365b4b2
single
The protective titre of antitoxin to diphtheria following vaccination is
Active immunization by vaccination with diphtheria toxoid is the key in preventing diphtheria. . Serum antitoxin concentration of 0.01 IU/mL is usually accepted as the minimum protective level. 0.01 IU/mL is considered to provide basic protection and 0.1 IU/ml is considered to provide complete or total protection.
1
0.01 IU/ml
0.05 IU/ml
0.1 IU/ml
0.5 IU/ml
Microbiology
Systemic Bacteriology (Gram Positive Bacilli, Gram Negative Bacilli)
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single
Commonest mass in the middle mediastinum is ?
Ans. is 'c' i.e., Lymph node mass Mediastinal masses 1. Anterior mediastinum : - The anterior mediastinum contains the following structures : thymus, lymph nodes, ascending aoa, pulmonary aery, phrenic nerve and thyroid. Thymoma is the most common anterior mediastinal mass. Anterior mediastinal masses include : ? o Thy...
3
Lipoma
Aneurysm
Lymph node mass
Congenital cysts
Pathology
null
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single
Which of the following joint is a syndesmosis? (Repeat)
Ans: B (Inferior tibiofibular joint) Ref: Grays Anatomy 40th Ed Pg 101Explanation:SyndesmosisIt is a type of fibrous joint.It may be represented by an interosseous ligament.Such ligament persist throughout lifeSlight movement is possibleExample:Inferior tibio fibular jointInterosseous membranes of the forearm and legLi...
2
Superior Tibiofibular joint
Inferior tibiofibular joint
Talocalcaneal joint
Calcaneocuboid joint
Anatomy
Joints
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A 3 year old female child developed fever, cough and respiratory distress. On the chest, X-ray consolidation is seen in right lower lobe. She improved with antibiotics but on follow up at 8 weeks was again found to have increasing consolidation in right lower lobe. Your next investigation would be –
"Plain chest radiography is the mainstay in diagnosis and monitoring progress of pneumonia. CT is used when complications are suspected".
3
Bronchoscopy
Bacterial culture of the nasopharynx
CT scan of the chest
Allergen sensitivity test
Radiology
null
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multi
All of the following are associated with increased risk of atherosclerotic plaque formation, except?
Increased Alpha 2 macroglobulin is not associated with increased risk of atherosclerotic plaque formation. Ref: Atherosclerosis Risk Factors By James J. Maciejko page 44. Advances in Vascular Medicine By David Abraham page9; Free radicals and diseases: gene expression, cellular metabolism By Tilman Grune page153.
4
Apo E mutation
Oxidized LDL
Increased homocysteine
Increased Alpha 2 macroglobulin
Biochemistry
null
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multi
Which of the following investigation work on the same principle?
Principle of: CT :Linear attenuation ofXrays Xray:Xrays (Fluoroscopy also works on the principal of Xrays) MRI: Gyromagnetic propey of H+ USG: Pulse-Echo Principle with Piezoelectric effect PET scan: Annihilation and coincidence imagine, gamma rays -511 key HIDA Scan: Radioisotope scintigraphy, gamma rays.
2
CT and MRI
CT and X-ray
USG and HIDA Scan
MRI and PET Scan
Radiology
FMGE 2018
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Ulnar nerve root is
Root value of Ulnar Nerve - Ventral rami of C8 and T1. It also get fibres of C7 from the ventral root of median nerve. Ref : B D Chaurasia's Human Anatomy , seventh edition , volume 1 , pg. no, 181 Fig Ref : B D Chaurasia's Human Anatomy , seventh edition , volume 1 , pg. no,57 (FIG. 4.14 )
4
C4 C5
C5 C6
C7 C8
C8 T1
Anatomy
Upper limb
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single
Which is not a site for Tophi formation in Gout
null
4
Skin
Bursa
Elbow
Muscle
Medicine
null
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single
The most common malignant tumor of the eyelids is
B i.e. Basal cell carcinoma
2
Squamous cell carcinoma
Basal cell carcinoma
Melanoma
Adenocarcinoma
Ophthalmology
null
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single
Which of the following about atherosclerosis is true ?
null
1
Intake of unsaturated fatty acid associated with decreased risk
Thoracic aorta involvement is more severe than abdominal aorta involvement
Extent of lesion in veins is same as that in arteries
Hypercholesterolemia does not always increase the risk of atherosclerosis per se
Medicine
null
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multi
What is not true for extrasystole in ventricle :
B i.e. Hints at serious hea ailment Ventricular Extrasystole/ Premature BeatIn abnormal conditions, the His- Purkinje fibers or the myocardial fibers may discharge spontaneously, that result in a beat that occurs before the expected next normal beat & transiently interrupts the cardiac rhythm. They have bizarrely shape...
2
Falls to produce radial pulse
Hints at serious hea ailment
Associated with abnormal QRS complex
Tendency to be followed by a compensatory pause
Physiology
null
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multi
Most commonly used retarder in gypsum:
null
3
Na2 SO4
Nacl
Citrates
K2 SO4
Dental
null
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single
A head injured patient, who opens eyes to painful stimulus, is confused and localizes to pain. What is his Glassgow coma Score -
Ans. is 'c' i.e., 11 * Eye opens to pain-2* Confused-4* Localizes pain-5 11Glasgow coma scale:Eye opening (E)Best motor response (M)Verbal response (V)Spontaneous - 4To loud voice - 3To pain - 2Nil- 1Obeys - 6Localize - 5Withdraws (flexion) - 4Abnormal flexion - 3PosturingExtension posturing - 2Nil - 1Oriented - 5Confu...
3
7
9
11
13
Medicine
Miscellaneous (C.N.S.)
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single
Which of the following tests is not used in the diagnosis of insulinoma -
<img src=" /> Ref Harrison 20th edition pg 567
2
Fasting blood glucose
Xylose test
C- peptide levels
Insulin/Glucose Ratio
Medicine
Oncology
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single
40 year old patient was being operated for direct hernia. During surgery two sacs were seen. The diagnosis is?
Ans. (a) Pantaloon HerniaRef: Long case Surgery by RRM* Pantaloon hernia is hernia which has two sacs- One direct and one indirect resembling a Pantaloon.
1
Pantaloons hernia
Ritcher hernia
Spigelian hernia
Littre hernia
Surgery
Hernia
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single
Female with stapedectomy done, has a conductive hearing loss at 60 dB. Diagnosis is
1. Complete obstruction of ear canal: 30 dB 2. Perforation of tympanic membrane (It varies and is directly propoional to the size of perforation): 10-40 dB 3. Ossicular interruption with intact drum: 54 dB 4. Ossicular interruption with perforation: 38 dB 5. Malleus fixation: 10-25 dB 6. Closure of oval window: 60 dB R...
3
Implant failure
Fistula
Closure of oval window
Tympanic membrane perforation
ENT
Ear
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All are true regarding CTEV except:
Ans: C (Increased dorsiflexion) Ref: Nelson's Textbook of Pediatrics, 19th ed.Explanation:Plantar flexion (cavus) is seen in CTEV, not increased dorsiflexionCongenital Talipes Equinovarus (Clubfoot) CTEVDeformity involving malalignment of the calcaneotalar-navicular complex.Components of this deformity - mnemonic CAVE ...
3
Hindfoot varus
Cavus
Increased dorsiflexion
Forefoot adduction
Orthopaedics
Lower Limb and Foot & Ankle Problems
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A twenty year old female patient comes to the clinic with discoloration of the upper right central incisor. This tooth was intact and otherwise asymptomatic. Bleaching is indicated in which of the following clinical situations
null
1
Dentin discolorations
Teeth with discolored composites
Tooth discoloration due to caries
Teeth with superficial discolorations
Dental
null
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Diphtheria toxin is produced only by those strains of C. diphtheriae that are
All toxigenic strains of Corynebacterium diphtheriae are lysogenic for b-phage carrying the Tox gene, which codes for the toxin molecule. The expression of this gene is controlled by the metabolism of the host bacteria. The greatest amount of toxin is produced by bacteria grown on media containing very low amounts of i...
3
Glucose fermenters
Sucrose fermenters
Lysogenic for b-prophage
Of the mitis strain
Microbiology
Bacteria
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single
All are true about type 1 schizophrenia except
Type I and Type II Schizophrenia: TJ Crow had divided schizophrenia into two subtypes namely, Type I and II schizophrenia. The Type I syndrome is characterised by positive symptoms while the Type II syndrome is predominantly characterised by the presence of negative symptoms. Type I syndrome is supposed to have an acut...
3
Acute illness
Good prognosis
Negative symptoms
Intellect maintained
Psychiatry
Schizophrenia and other psychotic disorders
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multi
Which of the following does not contribute to the formation of anorectal ring in human beings?
Ans. c. Anococcygeal raphe (Ref: BDC 5/e Vot-III/p428; Maingot 11/e p 663)Anorectal ring is a muscular ring present at the anorectal junction. It is formed by the fusion of the Puborectalis, uppermost fibers of external sphincter and the internal sphincter.BDC says 'Anorectal ring is a muscular ring present at the anor...
3
External anal sphincter
Puborectalis
Anococcygeal raphe
Internal anal sphincter
Anatomy
Large Intestine, Rectum, and Anal canal
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single
Golden hair is seen in poisoning with -
null
2
Copper
Arsenic
Mercury
Lead
Forensic Medicine
null
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Lymphatic drainage of the cervix occurs by all of the following lymph nodes, EXCEPT:
Principal nodes involved in the lymphatic drainage of cervix are the obturator, common iliac, external iliac, internal iliac and the nodes of parametrium. Lymphatics from cervix do not drain into the deep iuguinal lymph nodes.Ref: Obstetrics and Gynaecology By Sarabatnam Arulkumaran, 2011 Edition, Chapter 12, Page 472;...
2
Parameterial lymph nodes
Deep inguinal lymph nodes
Obturator lymph nodes
Ext. iliac lymph nodes
Anatomy
null
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multi
Therapeutic index of a drug is an indicator of its-
Ans. is b' i.e., Safety "Therapeutic index is the ratio between the toxic dose and the therapeutic dose of a drug, and is used as a measure of the relative safety of the drug for a paicular treatment."
2
Potency
Safety
Toxicity
Efficacy
Pharmacology
null
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single
Upper reference curve in growth cha is:
50th percentile
1
50th percentile
60th percentile
70th percentile
80th percentile
Social & Preventive Medicine
null
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single
Threaded pins are used in large dental amalgam restorations to provide:
null
1
Retention form
Resistance form
Occlusal stops for opposing teeth
Much needed reinforcement of the amalgam
Dental
null
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single
A 25-year-old man with a history of hearing voices is brought to the emergency department by his family because the voices are telling him to kill his mother. He believes that aliens are trying to abduct him. These delusions and hallucinations have been present over the past 6 months. His family denies a history of dep...
null
1
Anticholinergic
Increase in glutamate
Increase of intracellular Ca+2 concentration
Serotonin agonist
Pharmacology
null
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multi
In the perspective of the busy life schedule in the modern society, the accepted minimum period of sexual cohabitation resulting in no offspring for a couple to be declared infertile is:
Infertility implies apparent failure of a couple to conceive. If a couple fails to achieve pregnancy after 1 year of unprotected and regular intercourse, it is an indication to investigate the couple.
1
One year
One and a half
Two years
Three years
Social & Preventive Medicine
null
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single
All of the following are Digastric muscles, Except:
D i.e. Sternocleidomastoid - Diagastric, Omohyoid, Occipitofrontalis, Gastroenemius, and Suspensory muscle of duodenum (i.e., muscle in Ligament of Treitz)Q are all digastric muscles i.e, muscles with two muscle bellies. Mn- "DOGS" Sternocleidomastoid muscle has two heads not two belliesQ
4
Muscle fibers in the ligament of Treitz
Omohyoid
Occipitofrontalis
Sternocleidomastoid
Anatomy
null
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multi
Oxygenated blood from placenta goes to fetal heart via:
Ans. (b) Ductus venosusRef: D.C. Dutta 8th ed. / 36; William's Obstetrics 23rded, Ch: 4* Ductus venosus carries oxygenated blood from placenta and drains into IVC.* Ductus arteriosus is a connection between aorta and pulmonary arteries, thereby bypassing lung. Persistence of ductus arteriosus leads to a congenital hear...
2
Ductus arteriosus
Ductus venosus
Foramen ovale
Umbilical artery
Unknown
null
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Schneider's first rank symptoms is seen in: March 2011
Ans. D: Schizophrenia Ku Schneider (1959) described symptoms which, though not specific of schizophrenia, were of great help in making a clinical diagnosis of schizophrenia These are popularly known as Schneider's first rank symptoms of schizophrenia (FRS/ SFRS)
4
Delusion
Hallucination
Schizoid personality
Schizophrenia
Psychiatry
null
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multi
Focal lupus nephritis in renal biopsy specimen belong to which class of SLE nephritis according to the international society of nephrology and renal pathology lassification:
Classification of Lupus Nephritis (International Society of Nephrology and Renal Pathology Society) Class I: Minimal Mesangial Lupus Nephritis Class II: Mesangial Proliferative Lupus Nephritis Class III: Focal Lupus Nephritis Class IV: Diffuse Lupus Nephritis Class V: Membranous Lupus Nephritis Class VI: Advanced Scler...
1
Class III
Class IV
Class IV B
Class V
Medicine
null
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single
All of the following are tumor necrosis factor
Abciximab is a Fab fragment of the chimeric human-murine monoclonal antibody 7E3. Abciximab binds to the glycoprotein (GP) IIb/IIIa receptor of human platelets and inhibits platelet aggregation by preventing the binding of fibrinogen, von Willebrand factor, and other adhesive molecules Ref Davidson 23rd edition pg 946
4
Adalimumab
Etanercept
Infliximab
Abciximab
Medicine
Miscellaneous
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multi
All of the following provide good suppo to the uterus, EXCEPT:
C. i.e. Round ligament of uterus Broad ligament provide no (or very minimal) suppo to uterusQ and round ligament provide weak suppo to uterusQ
3
Pelvic floor
Transcervical ligament
Round ligament of the uterus
Uterosacral ligament
Anatomy
null
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multi
According to Wechsler intelligence scale scoring, average IQ of a normal child is:
Ans. c. 90
3
50
75
90
111
Psychiatry
null
d384f86a-6877-41c7-9454-26d1f93189e9
single
In a patient of congenital prolonged QT syndrome and intermittent Torsades de pointes, which of the following should be prescribed:
null
1
Magnesium sulphate
Metoprolol
Cardiac pacing
Isoprenaline
Pharmacology
null
94a147fd-2290-451d-bbd1-3d697a57e659
single
Regarding cutaneous amoebiasis which is not true ?
Ans. is 'd' i.e., The infection reaches the skin through the blood stream . Skin is involved directly over the region adjoining a visceral lesion, such as, in the areas of drainage of liver abscess or colostomy wound, in the sites of ruptured appendicular and peri-colic abscesses. . Extensive necrosis and sloughing of ...
4
It is a spreading necrotising
Rapid improvement with anti-amoebic treatment occurs
Can occur in the perianal region
The infection reaches the skin through the blood stream
Microbiology
null
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multi
All of the following statements about Gleason grading system are true Except
Gleason's microscopic grading system which is based on two features:i) Degree of glandular differentiation.ii) The growth pattern of the tumor in relation to the stroma.These features are assessed by low-power examinationof the prostatic tissue. For clinical staging of prostate cancer,The TNM system is considered an in...
1
Scores range from 1 to 10
High score is associated with bad prognosis
Helps in grading of tumor
Helps decide treatment modality
Pathology
Urinary tract
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Young's operation is done for:(JIPMER 2002, MP 2003, JHARKHAND 2006, MH-PGM CET 2015)
(b) Atrophic rhinitis(Ref. Scott Brown, 6th ed., 4/8/ 27)Allergic rhinitis is managed by antihistaminics, decongestants and steroid nasal spray.Vasomotor rhinitis is managed by local and systemic decongestants and if required vidian neurectomy.In viral rhinitis only symptomatic treatment is given.
2
Allergic rhinitis
Atrophic rhinitis
Vasomotor rhinitis
Viral rhinitis
ENT
Rhinitis
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multi
Which of the following is the important factor to be considered before attempting to close a midline diastema using a removable appliance?
null
2
The size of the teeth
Age of the patient
Vitality of the teeth
Amount of overjet
Dental
null
67971358-d049-406a-b09c-2486de6e3bb5
single
Drug of choice for lignocaine toxicity ?
Ans. is 'b' i.e., Phenobarbitone Lignocaine toxicity Lignocaine toxicity occurs with unintended intravascular administration or with administration of excessive dose Toxicity may be observed at 6 ug/ml, but more commonly occur once levels exceed 10 tg/ml. Clinical manifestations 1. CNS manifestations These are the most...
2
Phenytoin
Phenobarbitone
Beta-blockers
Amiodarone
Anaesthesia
null
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single