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In irreversible pulpitis, pain in which of the following sites is most likely to radiate to the ear?
Mandibular molar. The perception of pain in one part of the body that is distant from the actual source of the pain is known as referred pain. Teeth may refer pain to other areas of the head and neck. Referred pain is usually provoked by stimulation of pulpal C-fibers, the slow conducting nerves that, when stimulated, ...
4
Maxillary premolar
Maxillary molar
Mandibular premolar
Mandibular molar
Dental
null
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single
Treatment of choice in SSPE is
.
4
Abacavir
Glatiramer
Interferon
Inosine pranobex
Anatomy
All India exam
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single
Chemoprophylaxis of chloroquine includes -
- Chemoprophylaxis is recommended for travellers from non endemic areas to highly endemic areas of malaria. - chloroquine tablet for chemoprophylaxis in adults include a dose of 300 mg base once a week on the same day each week. Reference : Park's textbook of preventive and social medicine, 23rd edition, pg no:268 <\p>
4
300 mg BD\/week
600 mg OF\/week
600 mg\/week
300 mg OD\/week
Social & Preventive Medicine
Communicable diseases
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single
Common precursor of mineralocorticoid, glucocorticoids and sex steroids:
Ans. (a) Pregnenolone(Ref: Ganong, 25th ed/p.362)Adrenal steroid hormones are derived from cholesterolIn the mitochondria, cholesterol is converted to pregnenolone by cholesterol desmolase, also called as side- chain cleavage enzyme
1
Pregnenolone
a- hydroxyprogesterone
Dehydrotesterone
Deoxycorticoid
Physiology
Endocrinology and Reproduction
6abe8323-0172-41cb-8850-f63e8a014719
single
The plasma of hyperthyroid patient contains excess of:
null
2
Protein bound thyroxine
Free thyroxine
Both
None
Surgery
null
5264eeab-812a-4ebe-8db0-9aaff6b889bc
multi
Nerve supply to musculature of urinary bladder is ?
Ans. is 'c' i.e., BothParasympathetic supply is motor to detrusor muscle and inhibitory to sphinchter vesicae. Sympathetic supply is motor to sphincter vesicae and inhibitory to detrusor muscle.Nerve supply of bladderBladder is supplied by both sympathetic and parasympathetic fibers.Parasympathetic : Preganglionic fibe...
3
Symphathetic
Parasympathetic
Both
None
Anatomy
null
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multi
Potassium sparing diuretics ?
Ans. is 'd' i.e., All of the above
4
Spironoloctone
Triameterene
Amiloride
All of the above
Pharmacology
null
752c8399-7e78-48d1-bf91-ce9e3b3ddc36
multi
Lord's placation is done for:
null
2
Inguinal hernia
Hydrocele
Testicular varices
Testicular cancer
Surgery
null
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single
A 12-year-old child presents with fever and cervical lymphadenopathy. Oral examination shows a grey membrane on the right tonsil extending to the anterior pillar. Which of the following medium will be ideal for the culture of the throat swab for rapid identification of the pathogen :
Ans. is ‘a’ Loeffler’s Serum slope  Fever, cervical lymphadenopathy and grey membrane on the tonsil extending to the anterior pillar
1
Loeffler’s serum slope
Nutrient agar
Blood agar.
Lowenstein Jensen medium.
Microbiology
null
b1b4c376-b212-4add-8365-e8f35028303c
single
Median nerve injury at the wrist causes -
Injury at the wrist or in carpal tunnel produces low median nerve palsy. Long flexors of fingers are spared and there is paralysis of thenar muscles only. Following features are seen : - Pentest for abductor pollicis Brevis paralysis. Loss of opposition and abduction of thumb. Ape thumb deformity Loss of sensation of...
2
Claw hand
Loss of apposition of thumb
Policeman's tip deformity
Saturday night palsy
Orthopaedics
null
21f49f5c-d36e-4d2a-8808-423e03c18833
single
Commonest fungal infection of the female genitalia in diabets –
In a diabetic patient, commonest fimgal infection of genitalia in both female (vulvoginitis) as well as in male (Balanitis) is candida albicans.
3
Cryptococcal
Madura mycosis
Candidial
Aspergellosis
Dental
null
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single
Frontal mucocele presents as:
Mucocele of the frontal sinus: presents in the superomedial quadrant of the orbit (90%) and displaces the eyeball forward, downward and laterally. The swelling is cystic and nontender; egg-shell crackling may be elicited. Sometimes, it presents as a cystic swelling in the forehead (10%). Patient's complaints are usuall...
1
Swelling above medial canthus,below the floor of frontal sinus
Swelling above eyebrow lateral to grabella
External proptosis
Intianasal swelling
ENT
Nose and paranasal sinuses
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multi
Lipofuscin, the golden yellow pigment is seen in hea muscle -
Ans. is 'b' i.e., Atrophy
2
Hyperophy
Atrophy
Hyperplasia
Infarction
Pathology
null
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single
All the following cause malignant hyperpyrexia except ?
A i.e. N20
1
N20
Halothane
Methoxyflurane
Isoflurane
Anaesthesia
null
ccd0ecda-a2d7-4a51-a4c6-1d54db386baa
multi
True about New Born Care Corner (NBCC)
null
4
Component of JSSK
Present in labour of Room
Seen in All 3 levels of MCH
All of the above
Social & Preventive Medicine
null
587d9f14-7d1f-4621-943e-cc8cb2bd6a28
multi
A 74-year-old man presents with fatigue, shortness of breath on exertion, and back and rib pain, which is made worse with movement. Investigations reveal he is anemic, calcium, urea, and creatinine are elevated. X-rays reveal multiple lytic lesions in the long bones and ribs, and protein electrophoresis is positive for...
In multiple myeloma, tubular damage by light chains is almost always present. The injury is a direct toxic effect of the light chains or indirectly from the inflammatory response. Infiltration by plasma cells and glomerular injury is rare. Hypercalcemia may produce transient or irreversible renal damage as do amyloid a...
2
plasma cell infiltrates
tubular damage by light chains
glomerular injury
vascular injury by light chains
Medicine
Kidney
4919f042-07cb-417d-a38e-8ae8052c7034
single
Micro-albuminuria refemsto
(30-300 mg/d) (249-H) (1077-8-CMDT-09)(272, 1533, 1792-H17th)* Currently, ultrasensitive dipsticks are available to measure microalbuminuria (30 to 300 mg/d), an early marker of glomerular disease that has been shown to predict glomerular injury in early diabetic nephropathy (249-H)* Normal subjects excrete less than 1...
3
20-200 mg/d
200-500 mg/d
30-300 mg/d
300-500 mg/d
Medicine
Kidney
fe22f9dc-8873-4468-8ab0-81bba28ecbf5
single
All seen in multiple myeloma, except :
Answer is C (Plasmocytosis > 2%): Diagnosis of Multiple Myeloma requires plasmacytosis of> 10%. The classic triad of myeloma is: a) Marrow plasmacytosis > 10% b) Lytic bone lesions c) Serum or urine 'M' component
3
Lytic bone lesion
Hypercalcemia
Plasmacytosis of bone marrow > 2%
Decreased serum alkaline phosphatase activity
Medicine
null
4ac83f23-8517-4013-ae0e-af575a30e083
multi
During laproscopic cholecystectomy, patient develops wheezing. What is the next best line of management?
Ref: Ajay Yadav, Short Textbook of Anaesthesia, 1st edition. Page 97Explanation:BRONCHOSPASM DURING ANESTHESIALight anaesthesia in asthmatics can induce bronchospasni.Secretions and noxious stimuli can also induce bronchospasni.Treatment:Good depth of anesthesia.Bronchodilators.Light anaesthesia during Lord's (Anal) st...
4
IV ketamine
IV lignocaine
Bronehodialators beta 2 agonist and oxygenation
Deepen plane of anaesthesia
Anaesthesia
Anaesthesia For Special Situations
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single
Kocher Langenbeck approach for emergency acetabular fixation is done in all Except
Progressive sciatic nerve injury "Sciatic nerve palsies as a result of the initial injury occur in approximately 10% to 15% of patients with acetabular fractures. Sciatic nerve injury as a result of surgery occurs in 2% to 6% of patients and is more often associated with posterior fracture patterns treated through the ...
2
Open fracture
Progressive sciatic nerve injury
Recurrent dislocation inspite of closed reduction and traction
None of the above
Surgery
null
20c9b79b-ada4-4c4d-ae44-df5b94a6a290
multi
Daily dose of vitamin A in a 6-12 months old child is -
Ans. is 'c' i.e., 300 microgramDaily dose of vitamin in o Infants 300-400 microgramo Children 400-600 microgramo Adolescents 750 microgram
3
500 microgram
200 microgram
300 microgram
700 microgram
Pediatrics
null
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single
Drawback of aesunate is:
Because aemisinins are sho acting drugs, monotherapy needs to be extended beyond the disappearance of the parasites to prevent recrudescence. After 5 days treatment recrudescence rate is -10%, while with a 3 day course it is -50%. Recrudescence can be totally prevented by combining 3 day aesunate/aemether with a long a...
2
Poor bioavailability
Rapid recrudescence of malaria
Hypoglycemia
Hemolysis
Pharmacology
Chemotherapy
94f9b28b-1522-4df2-a9ad-12f0f2658b87
single
Which TLR is present on flagella of bacteria
Toll like receptor (TLR) - 5 is present in flagellin.
3
TLR -1
TLR - 3
TLR - 5
TLR - 7
Pathology
null
bf9ecf81-4187-40bd-8b7d-91cc805b159f
single
All of the following statements about Sternberg Canal are true, Except -
Sternberg's canal (persistent lateral craniopharyngeal canal) Originally described by Sternberg in 1888 and was reported to be constantly present in children at the age of 3-4 years. He described an incidence of 4% in adults. (Persistent vestiges have been reported in upto 30% of adults). It is caused by incomplete f...
2
Located anterior and medial to Foramen Rotundum
Located posterior and lateral to Foramen Rotundum
Represents persistant craniopharyngeal canal
Cause of intrasphenoidal meningocele
Anatomy
null
55fb936e-c9d7-4b7d-9a6a-31003683c829
multi
How many Champy's osteosynthesis lines exist behind and in the front end of mental foramen:
null
1
2 ahead of and 1 behind the mental foramen.
1 ahead of and 2 behind the mental foramen.
2 ahead of and 2 behind the mental foramen.
1 ahead of and 1 behind the mental foramen.
Surgery
null
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single
A 2-year-old boy is brought to the physician because his parents noticed a mass on his right testicle. Physical examination confirms the parents' observation. An orchiectomy is performed. Microscopic examination of the surgical specimen shows neoplastic cells forming glomeruloid Schiller-Duval bodies. Which of the foll...
Most testicular neoplasms in the first 4 years of life are classified as yolk sac tumors. Microscopic examination of a yolk sac tumor shows interlacing strands of epithelial cells surrounded by loose connective stroma. The lobular arrangement of cells, surrounded by empty spaces, leads to the formation of glomeruloid s...
4
CA-125
Carcinoembryonic antigen
Estrogen
a-Fetoprotein
Pathology
Male Genital Tract
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single
The amino acid at the reducing end of glutathione:
null
2
Glycine
Cysteine
Lysine
Glutamate
Biochemistry
null
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single
Tick borne hemorrhagic fever is seen in
Omsk hemorrhagic fever : vector  - Tick Manifestation - Hemorrhagic fever Reservoir  -Small mammals
1
Omsk hemorrhagic fever
Chandipura virus
Vesicular stomatitis virus
Yellow fever virus
Microbiology
null
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single
The most commonly used resuscitation fluid in burns is
The most common fluid used is Ringer lactate/Hamann's solution Ringer lactate is a mixture of sodium chloride, sodium lactate, potassium chloride, calcium chloride in water. Crystalloids are said to be as effective as colloids for maintaining the intravascular volume and are given during initial 24 hrs Colloids should ...
2
Normal saline
Ringer lactate
Hypeonic saline
Human albumin solution
Anatomy
General anatomy
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single
The inheritance pattern of Familial hypercholesterolemia is
Mutations involving single genes follow one of three patterns of inheritance: autosomal dominant, autosomal recessive, or X-linked. Autosomal Dominant Inheritance Familial hypercholesterolemia Huntington disease Marfan syndrome Ehlers-Danlos syndrome Hereditary spherocytosis Neurofibromatosis, type 1 Adult polycystic k...
2
Autosomal recessive
Autosomal dominant
X-linked dominant
X-linked recessive
Pathology
General pathology
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single
Fever blisters can occur due to -
null
4
HHV 6
Varicella
Primary HSV-1 infection
Reactivation of HSV-1
Medicine
null
20ff1a80-b022-407c-a03a-9650f72a0330
single
A 68 yr old man came with pain and swelling of right knee. Ahlbeck grade 2 osteoahritic changes were found on investigation. What is the fuher management:
D i.e. Total knee replacement - Ahlbeck grade 2 osteoahritis (i.e. complete or almost complete obliterated joint space) with symptoms of pain and swelling in a sedentary patient (>65 years of age) is managed by knee replacementQ - Old (65 yrs) age, long standing history of pain & swelling interfering activities of dail...
4
Conservative
Ahroscopic washout
High tibial osteotomy
Total knee replacement
Surgery
null
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single
A 45-year-old man has recently been the recipient of a hea transplant. Which one of the following drug is least likely to cause tachycardia in this patient
The transplanted hea doesn't have sympathetic innervation. Hence an indirectly acting sympathomimetic like Amphetamine has the least likelihood of causing tachycardia when compared to the directly acting ones.
1
Amphetamine
Dobutamine
Epinephrine
Norepinephrine
Pharmacology
Cardiovascular system
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single
Chemical structure of hemoglobin is
Hemoglobin is a protein with a molecular weight of 64,450.Hemoglobin is a globular molecule made up of four subunits . Each subunit contains a heme moiety conjugated to a polypeptide. Ref: Ganong's Review of Medical Physiology Twenty-Third Edition Page No: 523
3
Has 2 polypeptide chains with 4 heme
Has 4 polypeptide chains with 2 heme
Has 4 polypeptide chains with 4 heme
None of the above
Physiology
Cardiovascular system
34fab543-e17f-410a-9231-8e152acf6741
multi
Vande Matram Scheme is included in-
Ans. is 'a' i.e., RCH o New initiatives in RCH are : i) Training of PHC doctors in life saving anaesthetic skills for emergency obstetric care a FRUS ii) Setting up blood storage centres at FRUS. iil) Janani suraksha yojna iv) Vandernataram scheme v) Safe aboion services vi) Integrated management of childhood illnesses...
1
RCH
ICDS
IMCI
NRHS
Social & Preventive Medicine
null
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single
An improved selective media to carry out the Lactobacillus Colony Test is:
Lactobacillus Colony Test: The oldest and the most widely used microbiological method for assessing the caries activity is the Lactobacillus colony count. This method, measures the number of aciduric bacteria in a patient’s saliva by counting the number of colonies which appear on tomato peptone agar plates, a selectiv...
2
Tomato peptone agar
Rogosa’s medium
Hektoen enteric agar
Mitis salivarius agar
Dental
null
882cfcbf-770c-44ca-ab36-4cf414af22aa
single
For diagnosis of mania symptoms should be-
Ans. is 'a' i.e., > 1 Week Diagnostic criteria for Mania Three or more of the following for at least 1 week : - Inflated self esteem or grandiosity Decreased need for sleep Ovealkativness Flight of ideas or racing thoughts Distractibility increased goal directed activity or psychomotor agitation Excessive involvement i...
1
> 1 week
> 3 weeks
>2 week
> 4 weeks
Psychiatry
null
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single
Absolute contraindication of HRT is?
ANSWER: (D) Breast cancerREF: Harrisons 18th ed edition chapter 348Contraindications to HT should be assessed routinely and include unexplained vaginal bleeding, active liver disease, venous thromboembolism, history of endometrial cancer (except stage 1 without deep invasion) or breast cancer, and history of EURHD, str...
4
Endometriosis
Osteoarthritis
Heart disease
Breast carcinoma
Gynaecology & Obstetrics
Contraceptives
a19385a1-439e-44f5-973c-006429b7ec37
single
In valvular hea disease complicating pregnancy the following statements are true except :
Open hea surgery is associated with a reduction in fetal loss
2
A closed mitral valvotomy can be carried out if symptoms of mitral stenosis are severe
Open hea surgery is associated with a reduction in fetal loss
Mitral regurgitation is usually well tolerated
A maternal moality of 15% has been repoed in women with critical aoic stenosis
Gynaecology & Obstetrics
null
c6e47e76-a339-40d4-a6b7-1d11a8999eb1
multi
A farmer presents with multiple discharging sinuses in the leg not responding to antibiotics. Most likely diagnosis is :
Ans. is 'a' madurella This is a case of Mycetoma (or Madura foot)Mycetoma is of 2 typesAbout the t/t, Harrison states * "Actinomycetoma may respond to prolonged combination chemotherapy e.g with streptomycin and either dapsone or trimethoprim-sulfamethoxazole "About t/t of eumycetoma it adds "eumycetoma rarely responds...
1
Madurella
Actino-mycetoma
Nocardia
Sporothrix
Unknown
null
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single
In Aspergillus infection all the following drugs are used except-
Fluconazole is an antifungal medication used for a number of fungal infections. This includes candidiasis, blastomycosis, coccidiodomycosis, cryptococcosis, histoplasmosis, dermatophytosis, and pityriasis versicolor. It is also used to prevent candidiasis in those who are at high risk such as following organ transplant...
1
Fluconazole
Amphotericin B
Voriconazole
Itraconazole
Medicine
Infection
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multi
Regarding campylobacterium jejuni not true is ?
Human is the only reservoir "Campylobacter jejuni is a common cause of bacterial gastroenteritis in most pas of the world". Reservoir The bacterium has a broad host range and has been isolated from a range of sources including surface and ground waters, domestic and wild mammals, insects and wild birds. The most promin...
3
Most common cause of campylobacteriosis
Poultry is the cause of disease
Human is the only reservoir
Cause of Guillain Barre syndrome
Microbiology
null
90508212-b205-4a14-afdf-422648c552eb
multi
Ducts of Bellini are found in -
Ans. is 'a' i.e., Kidneys Ducts Of Bellini* Papillary (collecting) ducts are anatomical structures of the kidneys, previously known as the ducts of Bellini.* Papillary ducts represent the most distal portion of the collecting duct system.* They receive renal filtrate (precursor to urine) from several medullary collecti...
1
Kidneys
Liver
Thymus
Spleen
Anatomy
Abdomen & Pelvis
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single
In infants, the cause of blindness arising out of oxygen toxicity is –
null
2
Degeneration of crystalline lens
Growth of blood vessels into vitreous followed by fibrosis
Damage to cornea
Enzymic defect in lens
Pediatrics
null
48b1e8c9-4735-4df4-b973-219baaac12b8
multi
High risk pregnancy includes all except :
GROUP A GROUP B GROUP C GROUP D UNIVERSAL REPRODUCTIVE HISTORY PRESENT OBSTETRIC HISTORY INTRAPAUM FACTORS Maternal age >35 or<17 primiparity grand multiparity height <140cm low socioeconomy long period of infeility recurrent miscarriage previous IUD,Stillbih previous preterm instrumental delivery previous CS Third sta...
2
Twins
25 years old primi
Hydramnios
Previous LSCS
Gynaecology & Obstetrics
Medical, surgical and gynaecological illness complicating pregnancy
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multi
Commonest malignancy type in oral cavity is: September 2010
Ans. C: Squamous cell carcinoma
3
Adenocarcinoma
Transitional cell carcinoma
Squamous cell carcinoma
Basal cell carcinoma
Surgery
null
7a2dccae-c813-402e-83d5-138964949ebb
single
Commonest association seen in carcinom gall bladder?
Ans. is 'c' i.e. Secondaries liver
3
Peritoneal deposits
Duodenal infiltration
Duodenal infiltration
Cystic node
Surgery
null
e0036ed8-5747-40b7-b335-1e513596825c
multi
Antral obstruction with vomiting is NOT characterised by:
Repeated vomiting leads to hypochloremic, hypokalemic metabolic alkalosis. Acidosis is not seen. Ref: Schwaz 9/e, Page 1426; Nelson 17/e, Page 1229.
3
Hypokalemia
Hypochloremia
Acidosis
Hyponatremia
Surgery
null
6d255142-34c1-4e84-827f-c817a54264e1
single
Which of the following is most appropriate about grade 4 burns-
Ans. is 'b' i.e., Involves the whole skin along with muscle tissue Classification of burns o Burn depth is an important topic and repeatedly asked. # Bums are classified according to increasing depth in 2 ways 1. Into degrees i.e. 1st degree to IVth degree bum 2. Into a less precise classification i.e. Shallow & Deep b...
2
Involves all layers of the skin
Involves the whole skin along with muscle tissue
Involves the epidermis partially
Involves the dermis partially
Unknown
null
c4b01e09-50a9-4a2a-87de-2833c10f9762
multi
Thoracic duct enters from abdomen to thorax at ?
Thoracic duct is also called as Pecquet duct. It is the largest lymphatic duct in body, about 45 cm (18 inches) long. o It has a beaded appearance because of the presence of many valves in its lumen. Thoracic duct begins as a continuation of the upper end of the cisterna chylinear the lower border of Tuveebra and enter...
3
T6
T10
T12
T8
Anatomy
null
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single
Embryonic hemoglobin is -
Ans. is 'c' i.e., Gower
3
Adult hemoglobin
Fetal hemoglobin
Gower
None
Pediatrics
null
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multi
In a woman presenting with amenorrhea headache, blurred vision and galactorrhea appropriate investigation :
Ans. is a i.e. Prolactin level A woman presenting with headache, blurred vision and galactorrhea, raises the suspicion of a pituitary tumor and so, appropriate investigations would be : S. prolactin (most impoant)deg TSH (as patients with hypothyroidism have elevated TRH which acts to stimulate the release of prolactin...
1
Prolactin levels
LH
FSH
HCG
Gynaecology & Obstetrics
null
e80733b5-3cc4-4dae-9709-65d25bb24032
single
All of the following are associated with non-ketotic hypoglycemia, EXCEPT:
Von Gierke's disease leads to ketotic hypoglycemia Hypoglycemia is of two types Ketotic hypoglycemia Non-ketotic hypoglycemia Von Gierke's disease Alcoholism When ketone bodies are formed in response to hypoglycemia, which is also a normal body's response to hypoglycemia Insulinoma hypoglycemia ( insulin decreases bloo...
1
Von Gierke's disease
Insulinoma
Carnitine deficiency
MCAD deficiency
Biochemistry
Glycogen
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multi
Which of the following is not a pneumatic bone?
(d) Malleus(Ref Scott Brown, 8th ed., Vol 2, page 538)Pneumatic bones are those bones which contain an air filled cavity within them which make them light in weight. In humans, they are seen in relation to the nasal cavity, and enclose the paranasal sinuses. Besides making the skull light in weight, they also help in r...
4
Ethmoid
Sphenoid
Mastoid
Malleus
ENT
Ear
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multi
Ibuprofen acts on :
null
2
Lipoxygenase pathway
Cyclooxygenase pathway
Kinin system
Serotonin system
Pharmacology
null
dfa9e390-35d0-4f0d-aa0a-652eb4c3dfeb
single
Treatment of choice for extrahepatic poal thrombosis
Since obstruction is in the poal vein, to bypass the obstruction the shunt should be preferably REX shunt (mesenteric-left poal shunt) Splenorenal shunt is also done in EHPVO but in 50% of patients of EPHVO, splenic vein is thrombosed, not available for splenorenal shunt
1
Mesocaval shunt
Poocaval shunt
Mesorenal shunt
Splenorenal shunt
Anatomy
G.I.T
ac62e684-2cb0-449a-90f1-34bef5bf8a69
single
"Induseum Griseum" is a thin layer of grey matter in proximity to the corpus callosum. How is it related to it?
The convex superior pa of corpus callosum(dorsal) is covered by a thin layer of grey matter, the indusium griseum, embedded in which are the fibre bundles of bilateral medial and lateral longitudinal striae.Superiorly, it is also related to anterior cerebral vessels and cingulate gyrus.Ventrally, it is attached with th...
2
Lateral to the corpus callosum
Dorsal to the corpus callosum
Ventral to the corpus callosum
Medial to the corpus callosum
Anatomy
Brain
7d7c3b53-7726-4dbd-b8ef-111058a925cd
multi
The transmission of which of the following neurotransmitters is blocked in strychnine poisoning
Glycine is a inhibitory neurotransmitter and strychnine competitively antagonizes Glycine.
2
GABA
Glycine
Glutamate
Ach
Forensic Medicine
null
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single
A neonate following BCG vaccination developed a side effect. Which of the following side effect would the neonate most likely develop after vaccination?
Ulceration is the most common side effect post BCG vaccination. Following vaccination, the local tissue response begins in 2-3 weeks, with scar formation and healing within 3 months. Side effects most commonly are ulceration at the vaccination site and regional lymphadenitis. Some vaccine strains also rarely cause oste...
2
Fever
Ulceration
Osteomyelitis
Regional lymphadenitis
Microbiology
Bacteriology
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single
Fibroadenoma of the breast are:
Ans. (d) Solitary mobile mass(Ref: Schwartz 10/e p510)* Fibroadenoma is the MC benign tumor of Female breast* MC in 15-30 years* Also known as Breast mouse
4
Fixed mass
Diffuse mass
Multiple diffuse mass
Solitary mobile mass
Surgery
Breast
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single
According to sustainable development Goal 3- "Ensure healthy life and promote well being for all at ages", Target 3.1 is to reduce maternal moality ratio by 2030 is less than
By 2030, reduce the global maternal moality ratio to less than 70 per 100,000 live bihs. Indicators for this are- Maternal deaths per 100,000 live bihs Propoion of bihs attended by skilled health personnel. It comprises of 17 Sustainable Development Goals (SDGs) . Health is centrally positioned within the 2030 Agenda, ...
4
100
50
90
70
Social & Preventive Medicine
NEET Jan 2020
caf71cfc-e545-4db9-abdf-a0205e3bd476
multi
ANCA is found in all except
(D) Bacterial vasculitis # ANTI-NEUTROPHIL CYTOPLASMIC ANTIBODIES (ANCA) are antibodies directed against certain proteins in cytoplasm of neutrophils. It is of two types:(i) Cytoplasmic (c) ANCA: Refers antibodies against proteinase-3 in azurophilic granules. It is found in - weger's granulomatosis(ii) Perinuclear (p) ...
4
Wegener's granulomatosis
Churg-Strauss syndrome
Microscopic Polyangitis
Bacterial Vasculitis
Pathology
Misc.
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DOC for intermittent preventive therapy during pregnancy in malaria is:
Ans. is c, i.e Sulfadoxine - pyrimethamineRef. Williams 24/e, pg1257, high risk pregnancy fernando arias 4/e, pg 313Intermittent Preventive Therapy is a newer modification of prophylaxis. In chemo prophylaxis, the drugs have to be given daily or weekly, wherein in IPT the pregnant females are treated for malaria presum...
3
Proguanil
Pyrimethamine-dapsone
Sulfadoxine-pyrimethamine
Quinine
Gynaecology & Obstetrics
Medical & Surgical Illness Complication Pregnancy
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A 20 year old primi at 30 weeks of gestation has polyhydraminos. She should be advised:-
Indomethacin acts by decreasing fetal urine production and thereby reduces amnionic fluid volume. This is presumed due to an increase in vasopressin levels and vasopressin responsiveness However, it may cause constriction of fetal ductus aeriosus, resulting in pulmonary hypeension. Hence, should not be used beyond 32 w...
3
Bed Rest
Aificial rupture of membranes
Oral indomethacin
Restriction of oral fluid
Gynaecology & Obstetrics
Amniotic Fluid Dynamics
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Duration of cycloplegic by atropine in an adult:
Ans. (c) 7 - 10 daysRef.: A.K. Khurana 6th ed. 1573, Khurana 4th ed./146Cycloplegics and its duration of actionDrugDuration of Effect (days)Atropine7-10Scopolamine3-7Homatropine1-3Cyclopentolate1Tropicamidedays (6 hrs)
3
6 hours
2-3 days
7-10 days
1-2 days
Ophthalmology
Drugs
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Special feature of glargine insulin is ?
Ans. is 'a' i.e., It produces a smooth peakless effect InsuinGlargine It is long acting biosynthetic insulin. It remains soluble at pH 4 of the formulation and precipitates at neutral pH on subcutaneous administration. Onset of action is delayed. It produces a smooth peakless effect. It is suitable for once daily admin...
1
It produces a smooth peakless effect
It is not suitable for once daily administration
It remains souble at pH 7
It can control meal time hyperglycemia
Pharmacology
null
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single
Sal monella infection is most commonly caused by-
Ans. is 4a & b' i.e., Infected water & Infected vegetable Transmission of salmonella tvphio Typhoid fever is transmitted via the faecal-oral route or urine-oral routes. This may take place directly through soiled hands contaminated with faeces or urine of cases or carriers, or indirectly by the ingestion of contaminate...
1
Infected water
Infected vegetable
Aerosol infection
Through skin
Microbiology
Enterobecteriaceae
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Chemotherapy for dysgerminoma is: September 2012
Ans. A i.e. Cisplatin, etoposide, bleomycin
1
Cisplatin, etoposide, bleomycin
Cyclophosphamide, vincristine, prednisolone
Adriamycin, cyclophosphamide, cisplatin
Methotrexate, oncovin, procarbacine
Gynaecology & Obstetrics
null
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Illusion is a disorder of-
Ans. is 'b' i.e., Perception Disorders of perceptiono Altered perception:- Sensory distortion (micropsia, hyperacusis), Illusiono False perception:- Hallucination.Thought disordersFormal thought disorders (Disorders of thought process)Disorders of thought contenti) Racing thoughts:- Anxiety, Schizophreniaii) Retarded t...
2
Thought
Perception
Memory
Intelligence
Psychiatry
Symptoms & Signs
e6adf68b-963f-4022-9bcb-39ff30493d30
single
30-year-old married female who has been diagnosed as case of prolactinoma in your hospital. Her MRI Pituitary shows a 5 mm microadenoma. She is currently on bromocriptine and her urine pregnancy test has turned positive. What is the best advice for her?
This is an interdisciplinary question and has been discussed here to widen the scope of discussion. The guidelines are that once a lady with prolactinoma on Bromocriptine conceives, all drug treatment should be stopped to reduce possibility of any teratogenic effect on fetus. Monitor her Prolactin levels and only if he...
4
Sta cabergoline
Advise trans-sphenoidal surgery anticipating increase in tumour size in pregnancy
Advise aboion considering teratogenic potential of bromocriptine
Stop Bromocriptine
Medicine
Disorders of pituitary gland
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single
Ratio of incidence among exposed and non exposed is known as ?
Ans. is 'a' i.e., Risk ratio Relative risk (risk ratio) Relative risk is the ratio of the incidence of the disease (or death) among exposed and the incidence among nonexposed.
1
Risk ratio
Odds ratio
Attributable risk
SAR
Social & Preventive Medicine
null
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single
According to PALS, which of the following is not included in initial impression?
Initial impression includes: Consciousness Breathing Color. Airway is included in Primary assessment. Reference: GHAI Essential pediatrics, 8th edition
3
Consciousness
Color
Airway
Breathing
Pediatrics
Miscellaneous
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single
Post spinal headache lasts for -
Ans. is 'c' i.e., 10 days o Post dural puncture headache is due to CSF leak. Typical location is bifrontal or occipital,o Headache gets worsen on sitting or upright posture and is relieved by lying down position and abdominal pressure - The hallmark of postdural puncture headache i.e.. association with body position,o ...
3
10 min
1 hrs
10 days
1 week
Anaesthesia
Complications Of Anaesthesia
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single
In spinal anesthesia, the needle is piereced upto -
Subarachinoid space, between pia and arachnoid
4
Subdural space
Extradural space
Epidural space
Subarachnoid space
Anaesthesia
Regional anaesthesia
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LGV is caused by -
Lymphogranuloma venerum is caused by Chlamydia Trachomatis, serovars L1, L2 and L3. From illustrated synopsis of dermatology and sexually transmitted diseases neena khanna 5th edition page no 330
1
Chalamydia trachomatis
Haemophylus ducrei
HTLV type II
Donovanosis granulomatis
Dental
Sexually transmitted diseases
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The Most common type of imperforate anus is
(C) Anorectal agenesis # Imperforate anus> (The term is used as a well-recognised description. Strictly it should be 'agenesis' and 'atresia' of the rectum and anus.)> One infant in 4500 is born with an imperforate anus, or with imperfect fusion of the post-allantoic gut with the proctodaeum.> The condition is divided ...
3
Anal stenosis
Anal agenesis
Anorectal agenesis
Membranous atresia
Surgery
Miscellaneous
e8f5c6f8-a23a-494c-ac0e-b1623a9a23f1
single
Which of the following lasers is most commonly used in Laryngeal surgery -
null
1
CO2 laser
Nd YAG laser
Argon laser
KTP laser
ENT
null
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single
Which of the following passes between base of the skull & superior constrictor muscle -
null
1
Eustachian tube, levator palatine muscle, ascending palatine artery
Maxillary nerve & levator palatine muscle
Eustachian tube & stylopharyngeous muscle
Ascending palatine artery & Glassopharyngeal nerve
Anatomy
null
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single
An individual has been on a fad diet for 6 weeks and has begun to develop a number of skin rashes, diarrhea, and forgetfulness. These symptoms could have been less severe if the diet contained a high content of which one of the following?
At least eight different carrier proteins transport different groups of amino acids.a. Sodium-amino acid carrier system(1). A number of transport systems involve the uptake by the cell of a sodium ion and an amino acid by the same carrier protein on the luminal surface (examples are systems A, ASC, N, and B).(2). The s...
2
Tyrosine
Tryptophan
Thiamine
Thymine
Biochemistry
Nutrition & Digestion
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single
Which of the following is a feature of absence seizure
Absence Seizures: Age: school going children During seizure, blank staring episodes seen  No post ictal confusion EEG: 3 / sec spike and wave pattern Drug of choice: Sodium Valproate.
2
Associated with post - ictal confusion
Seizure precipitated by hyperventilation
EEG shows 4-5 / sec spike and wave pattern
During seizure, automatism present
Pediatrics
null
88df148c-c360-41b9-aae9-051342ab63c7
single
Number of inpatient beds in PHC ?
PHC → 6 beds CHC → 30 beds
1
6
10
20
25
Social & Preventive Medicine
null
4d88bb82-2612-4147-9cc3-4040bebcdf77
single
Which of the following is used as preanesthetic medication which causes the longest amnesia?
The longest amnesia is produced by lorazepam although half life of lorazepam (15 hours) is shoer than diazepam (36 hours) and this is probably because of its strong receptor binding potential. Its relatively potent amnesic effect, with its anxiolytic and sedative effects, makes lorazepam useful as premedication.
3
Midazolam
Diazepam
Lorazepam
Flunitrazepam
Anaesthesia
General anaesthesia
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Dactylographic is a:
Surest sign of identification
1
Surest sign of identification
Probable sign of identification
Presumptive sign of identification
Doubtful sign of identification
Forensic Medicine
null
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single
BCYE. medium is used to culture:
Ans. (d) Legionella
4
Mycoplasma
T pallidum
H. pylori
Legionella
Microbiology
null
545d9615-4bc6-4032-8f32-60c6784e3674
multi
Which one of the following statements about Km value is true?
Substrate Concentration, A small Km indicates that the enzyme requires only a small amount of substrate to become saturated. Hence, the maximum velocity is reached at relatively low substrate concentrations. A large Km indicates the need for high substrate concentrations to achieve maximum reaction velocity.
3
Km is substrate concentration at maximal velocity
Numerical value of km is propoional to affinity of enzyme for substrate
Km is independent of enzyme concentration
Km denotes that 100% of enzyme molecules are bound with substrat molecules at that concentration
Biochemistry
Enzymes
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multi
Squeeze technique is used for the treatment of -
Ans. is 'b' i.e., Premature ejaculation * Squeeze technique (Seman's technique) is used for premature ejaculation. When the male partner experiences 'ejaculatory inevitability' the female partner 'squeezes' the penis on the coronal ridge thus delaying ejaculation.
2
Retrograde ejaculation
Premature ejaculation
Erectile dysfunction
UTI
Psychiatry
Sexual Disorders
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single
Pink disease is due to
Ingestion of mercurous chloridein teething powder has led to acrodynia (Pink disease/Swift disease) in infants. This condition presents as feverwith a pink-coloured rash, irritability, photophobia, painfuland swollen extremities and hypersecretion of sweat glands.It is believed to be a hypersensitivity response to the ...
2
Methyl mercury
Mercurous chloride
Mercuric chlorite
Mercuric sulphide
Forensic Medicine
Poisoning
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single
Vaginal changes in normal pregnancy show
Early in pregnancy the vaginal epithelial cells are similar to those found during the luteal phase, As pregnancy advances, two pattern of response may be seen 1. Small intermediate cells called navicular cells by Papanicolaou, are found in abundance in small, dense clusters 2. Vesicular nuclei without cytoplasm or so c...
2
High pH
Increased lactobacilli
Increased anaerobic bacteria
Decrease in glycogen contents
Surgery
null
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single
A 38-year old woman presented with shoness of breath and fatigue. Her history is unremarkable except for a vague history of fever and joint pain as a child. She notes some recent fatigue and difficulty in sleeping that she attributes to job-related stress. On examination, her hea rate is 120 beats/min. ECG of the patie...
ECG shows atrial fibrillation and ECHO shows Left atrial enlargement. Images FINDINGS: Acute and chronic rheumatic hea disease A-Aschoff body in a patient with acute rheumatic carditis. B- Acute rheumatic mitral valvulitis: Small vegetations (verrucae) are visible along the line of closure of the mitral valve leaflet C...
4
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Unknown
Integrated QBank
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All can be used as endoscopic sclerosants in the treatment of variceal bleeding, except -
null
4
Polydochyl
Cynoaciylate
Alcohol
Acetic acid
Medicine
null
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multi
At what age does calcification of the primary dentition begin?
null
2
6-10 weeks in utero
13-16 weeks in utero
22-26 weeks in utero
30-34 weeks in utero
Dental
null
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single
Many of our bad habits of day to day life can be removed by-
Reinforcement (Positive conditioning) → to promote desired behavior (good habits). Punishment (Negative conditioning) → to remove undesired behavior (bad habits).
2
Positive conditioning
Negative conditioning
Bio feed back
Generalization
Psychiatry
null
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single
Double-Bubble" sign in X-ray is seen in:
Duodenal atresia
2
Colon carcinoma
Duodenal atresia
Acute pancreatitis
Perforation
Radiology
null
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single
Morphea occurs usually in:
A i.e. Forehead Mongolian spots, milia, miliaria, neonatal acne, transient neonatal pustular melanosis and erythema toxicum are benign, spontaneously self resolving conditionsQ. Whereas, powine stain represents progressive ectasia of superficial vascular plexus mostly involving face and is best treated by 585 nm pulsed...
1
Forehead
Sternum
Limbs
Back
Skin
null
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multi
True about dysgerminoma of ovary
All Blood spread seen; Bleomycin, etoposide and cisplatin given; and Radio sensitive Dysgerminoma are germ cell tumours. I have already discussed dysgerminoma in detail in question no. 2, here I would like to point out about the spread of dysgerminoma. Most common mode of spread - Lymphatics. Can also spread by - Blood...
4
Blood spread seen
Schiller-Duval bodies seen
Radiosensitive
All
Gynaecology & Obstetrics
null
4792c6e2-2ec7-45f1-b4f2-aae7f237d504
multi
Formocresol saturated cotton pellet is placed over the amputated pulp stumps for:
null
4
1 minute
2 minutes
4 minutes
5 minutes
Dental
null
7e0d59b9-1a69-4e39-8205-85269765f2a1
single
The radiograph of skull is suggestive of which of the following diagnosis ?
Radiograph of a patient with sickle cell anemia showing a thickened diploic space and thinning of the skull cortex. Skull showing the hair-on end bone pattern.
3
Malignant melanoma
Multiple myeloma
Sickle cell anemia
Langerhans cell histiocytosis
Pathology
null
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single
What is the diagnosis of the following examination of the fundus?
Glaucoma results in "cupping" as the neural rim is destroyed and the central cup becomes enlarged and excavated. The cup-to-disc ratio is about 0.7/1.0 in this patient.
3
Diabetes retinopathy
Optic atrophy
Acute glaucoma
Optic disc drusen
Ophthalmology
All India exam
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single
Hypocalcemia with hyperphosphatemia are seen in-a) CRFb) Pseudohypoparathyoidsmc) Vit-D deficiencyd) Magnesium deficiency
null
1
ab
a
ad
bc
Medicine
null
632bddfc-e8ba-443e-8e2a-ad0bace2f136
single
Which of the following monoclonal antibody is used for treatment of colorectal carcinoma?
Cetuximab - Colorectal cancer, Head and neck cancer. Rituximab - B cell NHL, CLL Natalizumab - multiple sclerosis Pembrolizumab - head and neck cancer JC virus antibody titre measurement is mandatory during treatment with Natalizumab
2
Pembrolizumab
Cetuximab
Rituximab
Natalizumab
Pharmacology
Targeted Anticancer Drugs and Immunosuppressants
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