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A diabetic patient in hypoglycemia does not regain consciousness despite blood glucose restoration to normal. Which one of the following is the not likely condition ?
Alcohol consumption causes an increase in insulin secretion, which leads to low blood sugar (otherwise known as hypoglycaemia). This causes light headedness and fatigue, and is also responsible for a host of longer-term alcohol-related health problems . REf - pubmed.com
2
Cerebral edema
Alcohol intoxication
Post-ictal state
Cerebral haemorrhage
Medicine
Endocrinology
27bf7f8a-98ae-468a-bd92-824f850a51ff
single
Which is the most common cause of acquired aeriovenous fistula?
Acquired aeriovenous fistulas are caused by aificial connections between adjacent aeries and veins. Penetrating injuries are the most common cause of acquired aeriovenous fistula. Other causes includes creating vascular access for hemodialysis, as complications of aerial catheterization or surgical dissection and rarel...
4
Blunt trauma
Fungal infection
Bacterial infection
Penetrating trauma
Surgery
null
17d6e2ce-8342-41d8-8390-a8ba69009cb6
single
Which of the following surgery for stress incontinence has highest success rate
TENSION FREE VAGINAL TAPE TVT has been designed from non reactive synthetic material Procedure: After exposing the region of the bladder neck on vaginal dissection, the hammock of the tape is placed underneath it to provide suppo, at the mid urethral level, the lateral extensions are brought out paraurethrally on to th...
4
Bursch colposuspension
Pereyra sling
Kelly's stitch
Tension free vaginal tape (TVT)
Gynaecology & Obstetrics
Urogynecology
e6ac14d6-32b0-460d-8dc3-c17e887b88d0
single
Best suture for common bile duct is -
Ans. is 'c' i.e. Non-synthetic absorbable
3
Synthetic absorbable synthetic
Synthetic non-absorbable
Non-synthetic absorbable
Non-synthetic non-absorbable
Surgery
null
6e9b5556-0e80-43ea-b43b-61f9bc328d61
single
Na+ uptake at basolateral surface of apical cells is by
Ans. is 'a' i.e., Active transpo
1
Active transpo
Passive transpo
Diffusion
Osmosis
Physiology
null
18cfd27d-3bc5-4ad7-ac62-017a391f28dd
single
Spontaneous muscle bleeding is typically seen in:
Answer is A (Hemophilia) Spontaneous Hemahrosis and spontaneous muscle hematomas are charachteristic of moderate or severe congenital factor VIII or IX deficiency (Hemophilia). Spontaneous bleeding may also be seen in Afibrinogenemia, Von willebrand disease and Scott's syndrome (defect in platelet's activated surface t...
1
Hemophilia
Afibrinogenemia
Von Willebrand's disease
Scott's syndrome
Medicine
null
4a911971-ea7c-49e5-98db-793a4177bfcf
multi
Secondary oocyte contains -
Ans. is 'a'i.e., 23, X o OOGENESIS:
1
23, X
46, XY
46, XX
23, Y
Gynaecology & Obstetrics
The Ovarian Cycle
d327c1a8-889a-4d59-84ef-411331ed1010
single
Most common site of Implantation of tubal pregnancy is :
Ampulla
3
Interstitial poion of fallopian tube
Isthmus
Ampulla
Infundibulum
Gynaecology & Obstetrics
null
dd71abc7-6303-4982-8c1c-ec6ca1ad18bd
multi
Which of the following is not a fundamental aspect of Disaster management ?
There are three fundamental aspects of disaster management: (i) Disaster response; (ii) Disaster preparedness; (iii) Disaster mitigation.
3
Disaster response
Disaster mitigation
Disaster awakening
Disaster preparedness
Social & Preventive Medicine
null
7f468e06-6385-4e46-9f2b-952b9d495633
single
Lying between 2-4 years of age indicate:
Ans. b (Testing parenteral attitude). (Ref. Nelson, Textbook of Paediatrics, 18th/131)BEHAVIORAL DISORDERS in children (noted around 2-4 year age)# Include : Lying, Impulsiveness, Breathe holding, Decence and Temper tantrums.# Oppositionalism, temper tantrums, and breath holding spells are not unusual during the 1st ye...
2
Antisocial behaviour
Testing parenteral attitude
As an adventure
Oppositionalism
Pediatrics
Growth, Development, and Behavior
038e51ce-35c7-4f33-9061-254a295a534d
single
Blow out orbit is characterized by:
A i.e. Diplopia; B i.e. Tear drop sign; C i.e. Forced duction test Blow out fracture is fracture of orbital floor or medial wall Q. It presents with emphysema of lid, subconjunctival ecchymosis, diplopia & forced duction test Q (due to entrapment of muscle), epistaxis, proptosis, enopthalmos & parasthesia in distributi...
4
Diplopia
"Tear drop: sign
Forced duction test
All
Ophthalmology
null
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multi
Most common mutation in Alpo syndrome is in COL4A5, which is transmitted as -
The inheritance is heterogeneous, being most commonly X-linked as a result of mutation of the gene encoding a5 type IV collagen. Males, therefore, tend to be affected more frequently and more severely than females and are more likely to develop renal failure. Ref: Robbins book of pathology. 9th edition. Page 53 Alpo sy...
3
Autosomal dominant
Autosomal recessive
X-linked
Variable, autosomal dominant or autosomal recessive
Pathology
Urinary tract
929a0bbf-04c6-4745-a974-8bf5c9f35b6d
single
in a case of plycythemia vera which of the following rceptor overactivity is seen?
Receptor Types 1. Ion-channel Receptors (Ionotropic Receptors) 2. G-Protein Coupled Receptors (Metabotropic receptors) 3. Kinase-linked Receptors 4. Intracellular Receptors (Cytosolic Receptors) 5. Enzymes as Receptors 6. Drugs which act through Modulation of Voltage Gated Ion Channels (Voltage-Operated Channels) POLYC...
2
tyrosine kinase
jak 2
c GMP
none of the above
Physiology
All India exam
c127927c-80e3-4439-9cec-78501f416935
multi
Pain of ovarian carcinoma is referred to:
pain in the medial surface of thigh may be due to irritation of obturator nerve.other features include abdominal pain,abdominal lump,abdomibal discomfo,postmenopausal bleeding,weight loss,cachexia,anemia are the symptoms of advanced stage of cancer. Refer page no 526 of Text book of obstetrics,sheila balakrishnan.
4
Back of thigh
Cervical region
Anterior surface of thigh
Medical surface of thigh
Gynaecology & Obstetrics
Gynaecological oncology
93c2fd1b-2d3a-4dba-866e-dba0c8a9707b
single
The most common site of fracture mandible is
Fractures of the mandible (Dig man's classification)Condylar process35% Angle of mandible20%Body of mandible20%Symphysis 15%Alveolar process5%Ramus 3%Coronoid process2%Most common fracture - condylar fracture followed by angle, body & symphysis of the mandible (mnemonic - CABS)(Refer: Mohindra's Fundamentals of Ohopedi...
4
Ramus
Coronoid process
Alveolar process
Parasymphyseal region
Orthopaedics
All India exam
f40703d3-88e5-4d62-8481-74f0384932b6
single
Acrodermatitis enteropathica is seen with deficiency of:
a. Zinc(Ref: Nelson's 20/cp 344-345, Ghai B/e p 121-122)Deficiency of zinc leads to acrodermatitis enteropathica, in which rashes shown on skin, especially around the orifices.
1
Zinc
Iron
Copper
Vitamin A
Pediatrics
Nutrition
2b064f3a-3159-487c-85e8-9fae7299700b
single
False regarding delirium tremens ?
Ans. is 'b' i.e., Ophthalmoplegia Delirium tremens Delirium tremens is the most severe alcohol withdrawal syndrome. It occurs usually within 2-4 days of complete or significant alcohol abstinence. This is an acute organic brain syndrome (delirium) with characteristic features of delirium. Clouding of consciousness with...
2
Tremors
Opthalmoplegia
Visual hallucination
Clouding of consciousness
Psychiatry
null
6c6bcc9c-7b51-4ae7-9158-814a7fe24168
multi
The condition highlighted by the arrow in the occlusal radiograph in a 8 year old child could be due to:
null
4
Non-vital tooth
Impacted tooth
Ghost tooth
Mesiodens
Pathology
null
f069d049-21a5-481b-bfdc-f5f6794a211e
single
Investigation of choice to diagnose epilepsy is:
Ans: bRef: Harrison, 16thed, p. 2363- 2364
2
MRI
EEG
CT scan
Angiogram
Medicine
C.N.S.
bfc7b465-cd7f-4925-9e1c-b3cffa35cf52
single
An X ray of thewrist and handin given below . If there is a damage to structureE, Which of the following muscle weakness does it cause ?
The hook of hamate and the pisiform provide inseion for the flexor carpi ulnaris. Also note- If the floor of anatomic snuff box and origin of abductor pollicis brevis are damaged, bones most likely to be involved is B i.e. scaphoid forms the floor of the anatomic snuffbox and provides a site for origin of the abductor ...
3
Flexor carpi radialis
Palmaris longus
Flexor carpi ulnaris
Brachioradialis
Anatomy
Upper limb : Miscellaneous
e3e8aa16-8c68-49f6-9657-422e09a0b641
single
Radiological signs of acute pancreatitis include the following except -
All the given signs are present in acute pancreatitis. However, Cullen's sign is a clinical sign (not radiological sign).
2
Colon cut-off sign
Cullen's sign
Renal halo sign
Sentinel loop sign
Radiology
null
62f0c0a1-fa25-4897-8269-7df506efda6c
multi
Low osmolarity ORS - false statmenf is -
Ans. is 'c' i.e., Osmolarity is 311 mosm/iitero Osmolarity of cow osmolarity ORS is 245o Standard ORS is 311o Resomal is 300Composition Comparison ofReSoMaL, Standard WHO, and Reduced-Osmolarity WHO ORS SolutionsCompositionReSoMal (mmol/L)Standard ORS (mmol/L)Reduced osmolarity ORSGlucose12511175Sodium459075Potassium40...
3
Glucose concentration 75 mmol/liter
Sodium eoncentation 75 mmol.'! iter
Gsmolarity is 311 mosm/liter
Postassium is 20 mmol1'here
Pediatrics
Fluid and Electrolyte Treatment of Specific Disorders
fcc83de3-b2b0-4adc-9cd9-e84f197c3d07
multi
Leukotriene antagonists is: March 2009
Ans. D: Montelukast Montelukast is a leukotriene receptor antagonist (LTRA) used for the maintenance treatment of asthma and to relieve symptoms of seasonal allergies. It is usually administered orally. Montelukast is a CysLT1 antagonist; that is it blocks the action of leukotriene D4 (and secondary ligands LTC4 and LT...
4
Nicordanil
Zileuton
Sodium chromoglycate
Montelukast
Pharmacology
null
eedaeb29-73be-46ed-9d98-222e348eb8a4
single
Sialograhy of normal salivary gland reveals the ductal architecture as having an appearance of
null
3
Sausage string
Fruit-Laden tree
Leafless tree
Bailin hand
Pathology
null
4dff9ee3-d8a1-4f29-bad7-9ab14e0e9e7f
single
Sphincter urethrae is present in
The urethral sphincters are two muscles used to control the exit of urine in the urinary bladder through the urethra.The internal sphincter is a continuation of the detrusor muscle and is made of smooth muscle, therefore it is under involuntary or autonomic control. ref - BDC 6e vol2 pg372-376
4
Prostatic urethrae
Spongy urethrae
Membranous urethrae
Penile urethrae
Anatomy
Abdomen and pelvis
45861c0d-5f7e-427a-baef-7e46c6f503e9
single
High Anion gap is seen in -
Renal failure : Non anion gap metabolic acidosis. Diarrhea : Non anion gap metabolic acidosis. Alcoholics : metabolic alkalosis + metabolic acidosis Ref: Harrison&;s 19thE
2
Renal failure
Lactic acidosis
Diarrhoea
Alcoholics
Medicine
Fluid and electrolytes
18278491-ad52-4ac7-a57d-a7525d9896f2
single
What is the diagnosis of the following examination of the fundus
This is the case of Hypeensive retinopathy with scattered flame (splinter) haemorrhages and cotton-wool spots. Hypeensive retinopathy is retinal vascular damage caused by hypeension. Signs usually develop late in the disease. Funduscopic examination shows aeriolar constriction, aeriovenous nicking, vascular wall change...
2
Diabetic retinopathy
Hypeension retinopathy
Optic atrophy
Central retinal vein occlusion
Ophthalmology
Vitreous and retina
6fa231ee-1357-421e-a960-475f5d0710a6
single
You see four postmenopausal patients in the clinic. Each patient has one of the conditions listed, and each patient wishes to begin hormone replacement therapy today. Which patient would you sta on therapy at the time of this visit?
Absolute contraindications to postmenopausal hormone replacement therapy are estrogen-dependent tumors (breast or uterus) active thromboembolic disease undiagnosed genital tract bleeding active severe liver disease malignant melanoma. Past or current history of hypeension, diabetes, or biliary stones does not automatic...
1
Mild essential hypeension + tension headache
Liver disease with abnormal liver function tests
Treated stage III endometrial cancer
Undiagnosed genital tract bleeding
Gynaecology & Obstetrics
Gynaecology
3e192c3d-1013-444c-912b-ae64469f27a5
single
Turner syndrome -
Ans. is 'a' i.e., 45XOTrisomy 13- Patau syndromeTrisomy 18- Edward syndromeTrisomy 21- Down syndromeXO- Turner syndromeXXY- Klinefelter syndrome
1
45XO
46XO
47XXX
Trisomy 21
Pediatrics
Genetics of Common Disorders
ceed88ec-9001-4873-9c1f-3e369187fca3
single
Cystic degeneration is seen commonly in
Cystic degeneration is seen commonly seen in interstitial fibroid.
3
Submucous fibroid
Subserosal fibroid
Interstitial fibroid
Cervical fibroid
Gynaecology & Obstetrics
null
1a126118-5c22-4e95-b38c-623adbe8fa00
single
IPPV is useful in: March 2009
Ans. C: Flail chest PPV can be effectively used in the treatment of flail segments, which characteristically render negative pressure breathing ineffective, but does not impede PPV. Flail chest is traditionally described as the paradoxical movement of a segment of chest wall caused by fractures of 3 or more ribs anteri...
3
Hemopneumothorax
Pneumothorax
Flail chest
Hemothorax
Surgery
null
7e5ae0d6-de7c-42c6-aa0d-18e27ee1c070
single
An adolescent child complains of night pain in the knee. It could be due to -
Ans. is 'a' i.e., Juvenile rheumatoid ahritis Causes of knee pain in adolescence (..)Time of the knee pain helps in the diagnosis of the disorders : - I. Night pain indicates i) Inflammatory disorder ---)Juvenile rheumatoid ahritis. ii) Bursitis, synovitis iii) Tumor Osteosarcoma Pain at the end of the day and after ac...
1
Juvenile rheumatoid ahritis
Idiopathic growth pain
Osteosarcoma
Paget's disease
Pediatrics
null
3a1e8b56-1958-4b66-beb5-b6d90a6ccd8c
single
Hypercalcemia is associated with all of the following, except:
Hypercalcemia can be caused by conditions such as hyperparathyroidism, malignancy, granulomatous diseases (TB, sarcoidosis), milk alkali syndrome, total parenteral nutrition, adrenal insufficiency, pheochromocytoma and by drugs (thiazides, vitaminA, anti estrogens). Celiac disease is not associated with hypercalcemia. ...
2
Sarcoidosis
Celiac disease
Milk alkali syndrome
Hyperparathyroidism
Medicine
null
62e6358a-3f38-40cd-a044-5a3e561369dd
multi
All of the following are true about b thalassemia trait, Except -
null
4
Microcytic hypochromic picture
↑ed HbA2
↑ed HbF
Patient requires blood transfusion
Medicine
null
556d3615-0a77-4829-bdab-e8a741380378
multi
Schwartz sign is seen in -(PGI 98)
(A) Schwartz sign also known as Flemingo's pink sign, is a diagnostic indicator for otosclerosis, a disease of the bones of the middle or inner ear. In clinical examination of the ear drum, increased vascularity of the promontory may be seen through the ear drum.
1
Otosclerosis
Meniere's disease
ASOM
CSOM
ENT
Otosclerosis
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single
Which of the following compounds is an analogue of hypoxanthine?
Allopurinol acts on purine catabolism, without disrupting the biosynthesis of purines. It reduces the production of
2
Arabinoside C
Allopurinol
Ribose phosphate
5-phosphoribosylpyrophosphate (PRPP)
Biochemistry
Metabolism of nucleic acids
0fb18048-57e5-407b-9439-c0ea73e044c6
multi
Cholinesterase activators are useful for the treatment of which poisoning?
null
2
Paraquat
Parathion
Carbamates
Organochlorocompounds
Pharmacology
null
fd901c28-1941-4175-87e0-4ee413a7998f
single
Physiologically inactive form is
Ans. (a) Angiotensin I(Ref: Ganong, 25th ed/p.696)Angiotensin II & III got physiological activitiesAngiotensin I is only the precursor of Angiotensin II
1
Angiotensin I
Angiotensin II
Angiotensin III
Angiotensin IV
Physiology
Kidneys and Body Fluids
14f53d98-7343-4431-8758-cd2d351af1ad
multi
In anterior colporrhaphy, the best method of suture apposing the vaginal flaps is:
ANTERIOR COLPORRHAPHY An inveed T incision is made on the anterior vaginal wall. the horizontal incision is made below the bladder and the veical incision is made staing from the midpoint of the tranverse incision upto a point about 1.5 cm below the external urethral meatus. The traiangular vaginal flaps including the ...
1
Interrupted
Continuous
Interlocking
Interrupted mattress
Gynaecology & Obstetrics
Urogynecology
d17db306-2b05-418c-a4b7-d95e2f3dd6ba
single
The drug of choice for chempprophylaxis in contacts of a patient of penumonic plague is
Cholera: Tetracycline or furazolidone for household contacts Bacterial conjunctivitis: Erythromycin ophthalmic ointment Diphtheria: Erythromycin Influenza: Oseltamivir Meningitis, meningococcal: Ciprofloxacin, and minocycline Plague: Tetracycline for contacts of pneumonic plague Ref: 25th edition, Park's Textbook of Pr...
4
Penicillin
Rifampicin
Erythromycin
Tetracycline
Social & Preventive Medicine
Epidemiology
921ab2e2-b398-49aa-892a-a9d12449d12a
single
Management of pancreatic abscess is -
Pancreatic absecess is a complication of acute pancreatitis. It is a circumscribed intraabdominal collection of pus, usually in proximity to the pancreas containing little or no pancreatic necrosis. Treatment-- antibiotics and external drainage (percutaneous catheter based method or surgical).
3
Needle aspiration
Gastrocystostomy
External drainage
Jejunocystostomy
Surgery
null
652d5890-94a5-4567-bb17-ec9682c6f33e
single
Neurogenic shock is characterized by
High spinal cord injury there is failure of sympathetic outflow and adequate vascular tone (neurogenic shock). The cause in sepsis is less clear but is related to the release of bacterial products (endotoxin) and the activation of cellular and humoral components of the immune system. There is maldistribution of blood f...
4
Hypeension and tachycardia
Hypeension and bradycardia
Hypotension and tachycardia
Hypotension and bradycardia
Anatomy
General anatomy
276efef0-0d32-42e8-a854-fe603d2f8906
single
Stop codons are all except -
Ans. is 'd' i.e., UGG* Out of 64 codons, 3 are stop codons. The three stop codons are UGA, UAG, UAA.# Exception is mitochondrial DNA - in mitochondria, UGA is not a stop codon. It codes for Tryptophan. Instead AGA and AGG act as stop codons in mitochondrial DNA.* 61 codons code for 21 aminoacids. Hence more than one co...
4
UAG
UAA
UGA
UGG
Biochemistry
Molecular Genetics
8885f990-a0e9-4b9d-a82e-28ec0868a1ed
multi
Systolic thrill in left 2nd or 3rd intercostal space is seen in -
null
4
Subpulmonic VSD
Pink TOF
Ebstein's anomaly
Pulmonary stenosis
Medicine
null
091409dd-5f4c-4d74-b2af-30007d65c583
single
Features seen in hemolytic anemia are all except :
Tear drop and Burr cells [Ref Harrison 171h/e p652 16th /e p. 6071 Burr cells are seen in uremia. Tear drop cells are seen in myelofibrosis. Haptotoglobin is an a -globulin present in high concentration in serum. It binds to free haemoglobin produced as a result of hemolysis. The hemoglobin-haptoglobin complex is rapid...
1
Tear drop and Burr cells
Haptoglobin
Reticulocytosis
Hemoglobinuria
Surgery
null
b878f231-d678-4778-ab1d-75950f137408
multi
The right placement of double lumen tube inseion gold standard of confirmation-
The most common complication of double lumen tube intubation is malposition of double lumen tube which is prevented by fibreoptic bronchoscopy. Trouble-shooting techniques for DLT inseion include using fiberoptic bronchoscope to cannulate bronchus and then rail road tube over the scope (perhaps the gold standard approa...
2
capnography
fibreoptic bronchoscopy
bilateral auscultation
None of the above
Anaesthesia
Airway
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multi
Immunoglobulin changes in variable region -
an idiotype is a shared characteristic between a group of immunoglobulin or T cell receptor (TCR) molecules based upon the antigen binding specificity and therefore structure of their variable region Reff: www.mayoclinic.com
1
Idiotype
Isotype
Allotype
Epitope
Microbiology
Immunology
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multi
The tissue of which lesion has been described as resembling a 'blood soaked sponge with large pores'?
null
3
Cavernous hemangioma
Capillary hernangioma
Aneurysmal bone cyst
Eruption hematoma
Pathology
null
1dd72853-6fbf-46d6-aceb-03a8a4edc712
single
A cell is placed in a medium containing radioactively labelled thymidine. After the cells undergo replication 3 times, what percentage of the cells will have both strands of DNA labelled?
Keep in mind that question asks about cells with label on both strands. Question is based on the Meselson & Stahl experiment. Due to semiconservative mode of replication, In each round of replication, one strand is old and one is synthesized new in newly replicated DNA (see fig below). Red strand represents the labeled...
3
25%
50%
75%
100%
Biochemistry
Replication
2e4f8a2f-054f-4fec-b498-b2df27089c4d
multi
Force required for headgear to restrain maxillary growth is:
null
3
50-100 gm per side
150-200 gm per side
250-500 gm per side
750-1000gm per side
Dental
null
46f8b8b9-0153-4a2d-8ed9-75c520b2e6da
single
A 14 year old boy comes to the physician with complaints of seizures & some skin macule as shown below. What can be the probable diagnosis?
Ans. C. Tuberous sclerosisa. Above given image shows Ash leaf macule.b. It is the earliest manifestation of Tuberous sclerosis.c. This condition is Autosomal dominant.d. Clinical features of this disease are-- Seizures- Mental disability- Ash leaf macule- Adenoma Sebaceum- Shagreen patch(collagenoma)- Cortical tuberse....
3
Sturge weber syndrome
Turcot syndrome
Tuberous sclerosis
Von Hippel disease
Medicine
C.N.S.
f3f9c1ee-cd33-4dac-b4da-dd82ab741243
single
NOT a feature of pleural effusion: September 2012
Ans. A i.e. Horizontal fluid level
1
Horizontal fluid level
Low lung volume
Muffled hea sounds
Decreased chest movements
Medicine
null
296dc415-49ee-42f6-96af-9ba0b0f84dc2
single
The given instrument is used for harvesting the graft from healthy area in split skin thickness graft. What is this called?
Ans. A. Humby knife* This is a "Humby" skin-grafting knife, formerly owned by Sir Edward "Weary"Dunlop, and made in 1950s.Silver's knifeBrown dermatome
1
Humby knife
Silvers knife
Dermatome
Catlin amputating knife
Surgery
Plastic & Reconstructive Surgery
c8c35c05-20a5-4054-b89a-5222bdd52b77
multi
Most commonly used statistical average -
Arithmetic mean It is the most commonly used statistical average. To calculate mean, add up the values of all individual observation and then divide by the number of observations. The process of adding together is called summation and is denoted by the sign ∑ or S. The individual observation is denoted by ŋ The mean ...
1
Mean
Median
Mode
None
Social & Preventive Medicine
null
83cece73-f4fb-4cf7-a146-083532d1eb35
multi
For a survey a village is divided into 5 lanes then each lane is sapled randomly is an example is -
- systematic random sample is done by picking every 5th or 10th unit at regular intervals. - by this method ,each unit in the sampling frame would have the sane chance of being selected, but the number of possible samples is greatly reduced. Reference : Park's textbook of preventive and social medicine, 23rd edition, p...
3
Simple random sampling
Stratified random sampling
Systematic random sampling
All of the above
Social & Preventive Medicine
Biostatistics
51b6b314-4ff7-4299-8b6a-a552f245dde9
multi
Legionnaire disease is caused by?
Ans. is 'b' i.e., Motile gram negative . Legionnaire disease is caused by legionella pneumophila, which is a gram-negative motile coccobacilli.
2
Motile gram positive
Motile gram negative
Non-motile gram positive
Non-motile gram negative
Microbiology
null
2d27571d-f844-44d6-b059-00d585035288
single
Which of the following is not expressed in majority of cases of pediatric B-cell acute lymphoblastic leukemia?
CD19 is a pan B-cell marker. CALLA (common acute lymphoblastic leukemia antigen) is CD 10. CD45 is known as leukocyte common antigen (LCA). Terminal deoxynucleotidyl transferase (TdT), a specialized DNA polymerase that is expressed only in pre-B and pre-T lymphoblasts, is positive in more than 95% of cases. CD7 is comm...
4
Terminal deoxynucleotidyl transferase (TdT)
CD19
CD10
CD7
Pathology
Acute Lymphoblastic Leukemia
44260a72-1fd0-45cf-9516-3237fc2ead0d
single
In a one-year-old child intubation is done using:
Pediatric Airway Management - Equipment . Tracheal intubation remains the standard for airway maintenance during many procedures. Generally, a tracheal tube of the largest possible internal diameter should be chosen to minimize resistance to gas flow and avoid an excessive leak around the tube. It is impoant, however, ...
1
Straight blade with uncuffed tube
Curved blade with uncuffed tube
Straight blade with cuffed tube
Straight curved blade with cuffed tube
ENT
null
fd5d4bc6-c28e-4992-aa4d-fed1402944de
single
A female presents with a history of progressive breathlessness. Histology shows heterogeneous patchy fibrosis with several fibroblastic foci. The most likely diagnosis is -
Presence of heterogeneous, patchy fibrosis with fibroblastic foci is characteristic of usual interstitial pneumonia (a type of idiopathic interstitial pneumonia). Idiopathic interstitial pneumonia (Idiopathic interstitial lung disease) Idiopathic interstitial pneumonias (IIP) comprise a group of diffuse parenchymal ...
3
Cryptogenic organizing pneumonia
Non specific interstitial pneumonia
Usual interstitial pneumonia
Desquamative interstitial pneumonia
Pathology
null
05d62cd5-0959-4c8c-83ce-3a05875c4abe
single
Which is the only nerve which exits the brainstem on dorsal side ?
Unique features of trochlear nerve are :?i) Most selender cranial nerve.ii) Only cranial nerve to emerge on the dorsal aspect of brain.iii) Only cranial nerve to undergo complete internal decussation before emerging i.e. right trochlear nerve arises from left trochlear nucleus and vice versa.iv) Has'longest intracrania...
3
Facial
Trigeminal
Trochlear
Abducent
Anatomy
null
ee262b03-effd-4a7b-b8d4-f71cbf1c56b5
single
True about anorexia nervosa are all except
Ans:C.)Self Induced Vomitting. ANOREXIA NERVOSA This disorder is characterized by self imposed dietary restrictions leading to malnutrition and severe weight loss. Clinical features Females are far more commonly affected than males. Onset usually occurs between the age of 10-30 years, usually in mid adolescence. A deli...
3
Leukopenia
Amenorrhea
Self induced vomiting
More common in adult females
Psychiatry
null
eb3884f6-faf1-44b9-9a20-0f761f747e1c
multi
Vipeholm study is used in
null
3
Oral cancer
AIDS
Caries
Periodontal disease
Dental
null
2697407f-e8d7-427a-92d8-0f285121d503
single
Contraindications to MRgFUS uterine fibroid are all except
Myomas with poor perfusion is contraindication to MRgFUS.
2
Myoma size >10cm
Vascular myomas
Uterine size > 24 weeks
Abdominal wall scars
Gynaecology & Obstetrics
null
d2593a38-b962-4fb0-bf22-d46a67e41e02
multi
Izumi fever is caused by:
Ans. is. 'c' i. e., Yersinia pseudotuberculosis
3
Pseudomonas aeruginosa
Burkholderia mallei
Yersinia pseudotuberculosis
Pasteurella multocida
Microbiology
null
5caf4424-33df-4ac7-98cf-f3088aafe441
multi
Maximum chances of ABO isoimmunization is seen in?
TEXT BOOK OF PATHOLOGY HARSHMOHAN 6THEDITION PG NO 341 HDN due to ABO incompatibility. About 20% pregnancies with ABO incompatibility between the mother and the foetus develop the HDN. Naturally-occurring anti-A and anti-B antibodies' which are usually of IgM class do not cross the placenta, while immune anti-A and ant...
1
O+VE Mother to A+VE child
O+VE mother to B+VE child
A+VE mother to 0+VE child
B+VE mother to O+VE child
Pathology
General pathology
e0db3f09-26f1-487d-99ae-0c083a6983bd
single
Prevalence of HIV infection in antenatal women is less than 1% and in high risk population is less than 5%. The state belongs to ?
Ans. is `c' i.e., Group III Based on sentinel surveillance data HIV prevalence in adult population can be broadly classified in three groups of state / UT sin the country.
3
Group I
Group II
Group III
Group IV
Social & Preventive Medicine
null
8053b2eb-c24f-4330-bc7e-8bd7d17e051b
single
Gegenhalten (paratonia) indicates lesion in
Ans. c (Frontal lobe) (Ref. Harrison 18th/Fig 370-9).PARATONIA: | tone that varies irregularly in a manner that may seem related to a degree of relaxation, is present throughout the range of motion, affects flexors and extensors equally, usually results from lesion of bilateral frontal lobes or dominant frontal lobe.RI...
3
Parietal lobe (dominant)
Temporal lobe (dominant)
Frontal lobe (dominant)
Parietal lobe (non-dominant)
Medicine
C.N.S.
4d547af5-92fa-441a-b406-38db1f1ba519
single
All are pas of vulva except
The vulva includes the mons pubis, labia majora (outer lips), labia minora (inner lips), clitoris, and the external openings of the urethra and vagina. ref - BDC 6e vol2 pg 358 , pubmed.com
3
Labia minora
Labia majora
Perineal body
Clitoris
Anatomy
Abdomen and pelvis
cd18c187-b4ff-4c38-9ffa-4ae9c74bbac5
multi
A 41 year female patient is taking steroids from long duration. Now she presents with onset of severe pain in the hip. Which imaging investigation can be used to diagnose this condition?
Patient on long term steroids that presents with pain must be suffering from AVN( avascular necrosis). IOC to look for AVN is MRI.
1
MRI
CT
USG
X-Ray
Radiology
Musculoskeletal Radiology
55200cdf-226c-4462-ad82-7b453fa1d4e4
single
b-adrenergic receptor antagonists such as propranolol is used in the treatment of which of the following?
Ans. D. All of the aboveIndications for b-adrenergic receptor antagonists are lithium tremor, major depressive disorders, substance use disorders, performance anxiety, and neuroleptic-induced akathisia. The five b-adrenergic receptor antagonists most frequently studied for psychiatric applications are propranolol, meto...
4
Performance anxiety
Substance use disorders
Lithium tremor
All of the above
Psychiatry
Pharmacotherapy In Psychiatry
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multi
Splenectomy can be performed after immunization against which of the following organisms:
Ans. D. All of the aboveSplenectomy is usually performed after 6 years of age following immunizations against H influenza type b, streptococcal pneumonia and Neisseria meningitides. Post splenectomy patients receive penicillin prophylaxis to prevent sepsis usually up to adulthood.
4
Haemophilus influenza
Streptococcal pneumonia
Neisseria meningitides
All of the above
Pediatrics
Infection
4b12c82e-2b99-491e-a06e-99a2011a7b31
multi
An elderly male presents with pain in his shoulders and hips. Temporal arteries are tender to palpation. ESR is 105 mm/L.
The large vessel vasculitides include temporal (giant cell) arteritis and Takayasu arteritis. Temporal arteritis typically occurs in older patients and is accompanied by aching in the shoulders and hips, jaw claudication, and a markedly elevated ESR. Takayasu arteritis, a granulomatous inflammation of the aorta and its...
3
Churg-Strauss syndrome
Cryoglobulinemic vasculitis.
Temporal arteritis
Granulomatosis with polyangiitis (Wegener granulomatosis)
Medicine
Immunology and Rheumatology
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single
A butcher, who is fond of eating raw hamburger, develops chorioretinitis; a Sabin-Feldman dye test is positive. This patient is most likely infected with
Toxoplasmosis, for example, is generally a mild, self-limiting disease; however, severe fetal disease is possible if pregnant women ingest Toxoplasma oocysts. Consumption of uncooked meat may result in either an acute toxoplasmosis or a chronic toxoplasmosis that is associated with serious eye disease. Most adults have...
3
Trichinosis
Schistosomiasis
Toxoplasmosis
Visceral larva migrans
Microbiology
Parasitology
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single
Cyclo propagative means:
Ref: Park 'Textbook of Preventive and Social Medicine', 22nd edition.Explanation:Biological transmission PropagativeOnly multiplication, eg - plague bacilli in flea, dengue virus in mosquitoCyclo developmentalOnly development eg- filariai parasite in mosquitoCylco propagativeMultiplication and development eg. malarial ...
4
Only development
Only multiplication
No development and no multiplication
M ul ti plication and development
Social & Preventive Medicine
General
d787fcb7-c142-47e4-ba59-701316a34205
single
All of the following have non-scarring alopcia, EXCEPT:
Lichen planus - Lichen Planus is a muco-cutaneous disease of immunological origin. It leads to a characteristic pruritic, papular, violaceous eruption of polygonal shape and is often covered with fine scales. Lichen planus most commonly leads to thick patchy rough, scaly skin that develops on the flexor surfaces of the...
4
T. capitis
Androgenic alopecia
Alopecia areata
Lichen planus
Skin
null
bc662826-ec98-4b87-b2ab-b2e135190137
multi
In IV hyperalimentation, we give -a) Hypertonic salineb) Fatsc) Amino acidsd) Dextrosee) LMW dextran
Parenteral alimentation involves the continuous infusion of a hyperosmolar solution containing carbohydrates (Dextrose), proteins, fat and other necessary nutrients (eg. Vitamins, trace minerals).
4
abc
ad
bc
bcd
Surgery
null
631bbdc4-2f41-48b7-aac0-acff8f0e5020
single
Guerin fracture is:
null
1
Maxillary fracture
Maxillary and zygomatic fracture
Maxillary and nasal bone fracture
Nasal bone fracture only
Surgery
null
ffca4fc6-0ebf-43d6-a1bd-cd7449d624da
single
Which of the following is not a derivative of the middle ear cleft ?
Ans. is 'a' i.e., Semicircular canal The middle - ear cleft in the temporal bone includes :? Eustachian tube The middle ear (tympanic cavity) Aditus which leads posteriorly to the mastoid antrum and air cells.
1
Semicircular canal
Mastoid air cell
Tympanic cavity
Eustachian tube
ENT
null
1a814009-bacf-4bca-95d2-99a4db6ae569
single
Sinus bradycardia with MI T/T-
Sinus bradycardia is a common arrhythmia in patients with inferior or posterior acute myocardial infarctions (AMIs). The highest incidence, 40%, is observed in the first 1-2 hours after AMI. Use of atropine in patients with acute myocardial infarction and sinus bradycardia. Atropine is the drug of choice for management...
1
Atropine
Digoxin
Calcium channel blocker
Propranolol
Medicine
C.V.S
ba889248-edd1-45b9-80a9-7e819611dfc9
single
All are helpful for the diagnosis of CSF rhinorrhea except:
Following trauma of the midface, CSF may emanate from a dural tear, resulting in rhinorrhea, otorrhea, or both.  The  disruption  usually  occurs  lateral  to  the  cribriform plate but may also result from disruption of the sphenoidal,  ethmoidal,  and  frontal  sinuses  producing  a  dural tear and communication with...
1
High glucose
High protein
Tram line
Beta transferrin
Surgery
null
e8a538bb-4558-4a50-91fe-09e16901a6e8
multi
Hemorrhage leads to: September 2005
Ans. C: Hypovolemic shock Hypovolemic shock refers to a medical or surgical condition in which rapid fluid loss results in multiple organ failure due to inadequate circulating volume and subsequent inadequate perfusion. Most often, hypovolemic shock is secondary to rapid blood loss. Acute external blood loss secondary ...
3
Septicemic shock
Neurogenic shock
Hypovolemic shock
Cardiogenic shock
Surgery
null
1f6fb330-6121-43f4-98cd-71b166fa9e61
single
Renin is synthesized as a large preprohormone: Renin is secreted by which among the following?
Ans. D. Juxtaglomerular apparatusActive renin:In the juxtaglomerular apparatus and is formed in the secretory granules of the granular cells. Only known function of its is to cleave the decapeptide angiotensin I from the amino terminal end of angiotensinogen i.e. renin substrate.
4
PCT
DCT
Collecting duct
Juxtaglomerular apparatus
Physiology
Kidneys and Body Fluids
a2861f5d-5614-406b-8e2b-fcee59804fbe
single
Define perinatal period?
Perinatal period: The interval between the bih of an infant born after 20 weeks' gestation and the 28 completed days after that bih. When perinatal rates are based on bihweight, rather than gestational age, it is recommended that the perinatal period is defined as commencing at 500 g.Ref: William&;s Obstetrics; 24th ed...
1
The interval between the bih of an infant born after 20 weeks' gestation and the 28 completed days after that bih
The interval between the bih of an infant born after 20 weeks' gestation and the 7 completed days after that bih
The interval between the bih of an infant born after 28 weeks' gestation and the 28 completed days after that bih
The interval between the bih of an infant born after 28 weeks' gestation and the 7 completed days after that bih
Gynaecology & Obstetrics
General obstetrics
b61a16c8-9196-48cd-9b27-53b06bbc0bff
single
Skin is not involved in -
Ans. is 'c' i.e., Acute intermittent porphyriaType of PorphyriaNeuropsychiatric symptomsSkin symptoms/PhototoxicityA. Hepatic porphyrias1) Acute intermittent porphyria2) 5-ALA dehydratase deficiency3) Hereditary coproporphyria4) Variegate porphyria5) Porphyria cutanea tarda++++---+++B. Erythropoietic porphyrias1) Eryth...
3
Erythropoietic porphyria
Porphyria cutanea torda
Acute intermittent porphyria
Hereditary coproporphyria
Skin
Vesiculobullous (Blistering) Disorders
19133ca4-8f84-4f1a-8f62-d3e76b1e86ac
single
MEDNIK syndrome - which of the following is true
A rare multisystem disorder of copper metabolism with features of both Menke's and Wilson's diseases has been repoed. It is termed the MEDNIK (mental retardation, enteropathy, deafness, neuropathy, ichthyosis, keratodermia) syndrome and is caused by mutations in the AP1S1 gene, which encodes an adaptor protein necessar...
4
Caused by mutations in the AP1S1 gene
Disorder of copper metabolism
Mental retardation, deafness, neuropathy are seen in this disorder
All of the above
Medicine
Endocrinology
0bb0b24e-490a-4ce1-a054-924b6de70a55
multi
Nerve tested in pupillary reflex is
Afferent - 2nd nerve. Efferent - 3rd nerve.
1
2nd and 3rd
Only 3rd
only 2nd
3rd and 5th
Ophthalmology
null
8742256b-6b9e-414f-952e-62273625a63e
single
Rivastigmine and Donepezil are drugs used predominantly in the management of -
Ans. is 'd' i.e., Dementia o Rivastigmine, Donepezil, Galantamine and tacrine all are central cholinesterase inhibitors and are used in senile dementia of Alzheimer's desease.
4
Depression
Dissociation
Delusions
Dementia
Pharmacology
null
efa8c6f3-cb24-476a-ab19-70f016d32a58
single
Sphincter of Oddi consists of
The sphincter of Oddi is a muscular valve that controls the flow of digestive juices through the ampulla of vater into the second pa of the duodenum. It is named after ruggero oddi. Ref - BDC 6e vol2 pg259 , britannica.com
2
2 sphincters
3 sphincters
4 sphincters
5 sphincters
Anatomy
Abdomen and pelvis
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single
Rabies is identified by -
Few Important Bodies in Microbiology  Bollinger bodies — Fowlpox  Brassy body — Dark shrunken blood corpuscle found in malaria  Call exner bodies — Granulosa theca cell tumour  Chromatid bodies — Entamoeba histolytica precyst  Citron bodies — cl. Septicum  Cigar bodies — Sporotrichosis  Councilman bodies — Yellow feve...
2
Guarnieri bodies
Negri bodies
Cowdry A bodies
Cowdry B bodies
Microbiology
null
fdc021aa-a766-4103-9d0a-60e96877138b
single
A 24-year-old woman presents with abdominal pain, joint discomfort, and lower limb rash. She was well until 1 week before presentation. On examination, she has a palpable purpuric rash on her legs, nonspecific abdominal discomfort, and no active joints. She has 3+ proteinuria, normal WBC, no eosinophils, and elevated c...
Henoch-Schonlein purpura, characterized by palpable purpura, arthralgias, GI symptoms, and glomerulonephritis, can be seen in any age-group but is most common in children. It can resolve and recur several times over a period of weeks or months and can resolve spontaneously.
3
polyarteritis nodosa (PAN)
Churg-Strauss disease
Henoch-Schonlein purpura
vasculitis associated with infectious diseases
Medicine
Immunology and Rheumatology
d7fc1874-20b6-4ede-858c-12d8ae7a0387
multi
In acute intermittent porphyria which enzyme is deficient?
It is inherited as an autosomal dominant trait. PBG-deaminase (uroporphyrinogen-I-synthase) is deficient. 2. This leads to a secondary increase in the activity of ALA synthase since the end-product inhibition is not effective. The levels of ALA and PBG are elevated in blood and urine. As they are colorless compounds, u...
2
ALA synthase
Uroporphyrinogen I synthase
Uroporphyrinogen II synthase
Uroporphyrinogen III synthase
Biochemistry
Enzymes
809686b3-7ed8-4af4-ae6f-33a0092ede82
single
A 72 year old male presented with complete rectal prolapse with history of constipation from the last 10 years. Management for this patient Is
For young pts - Abdominal rectopexy is preferred. For old pts - perineal rectopexy is preferred (delormes, altamaier). Underlying cause must be treated.
1
Delorme procedure
Well’s resection
Abdominal Rectopexy
Resection Rectopexy
Surgery
null
2238e46f-0d77-412e-9063-9ba12f0727ce
single
The most impoant example of a compensated hemolytic anemia becomes decompensated, is when:
A patient with a hemolytic condition may present without anemia (Compensated hemolytic anemia) It becomes decompensated in Pregnancy Folate deficiency Renal failure (Interfering with adequate EPO production). Also in Acute infections- which depresses erythropoiesis. The most dramatic example is parvovirus B19 infection...
2
Infected with TB
Infected with parvovirus B19
Liver disease
Renal cell carcinoma
Medicine
null
9ed1fec9-add8-4ebe-8646-082e0be3cb20
single
A 31 year old female patient complainsts of bilateral impairment of hearing for the 5 year.On examination, tympanic membrane is normal and audiomgram shows a bilateral conductive deafness. Impedance audiometry shows As type of curve and acoustic reflexes are absent. All constitute part of treatment,except -
null
4
Hearing aid
Stapedectomy
Sodium fluoride
Gentamycin
ENT
null
de086c94-2c35-4a25-8576-a645e7407aa3
multi
Powerful vasoconstrictor is?
Ans. is 'b' i.e., Epinephrine Among the given options, only epinephrine has significant action on a-receptor, thus causes vasoconstriction. Svmpathomimetic drugs Non selective Adrenaline - a, + a, + 13, + [3, Noradrenaline- a, + a, + [3, + Slight 13, no. 132 Isoprenaline- R + [32+ 133 but no a action Mephentramine- a a...
2
Amphetamines
Epinephrine
Isopreenaline
Dobutamine
Pharmacology
null
e8f3e8bc-ee92-4a87-aaef-cc9128cf9e0d
single
All of the following statements are true regarding ligamentum denticulatum except
Ligamentum denticulatum is not a modification of arachnoid mater. It is a modification of the pia mater. The ligamentum denticulatum is a flat fibrous sheet on either side of the spinal cord present between the ventral and dorsal spinal roots. It serves as a neurosurgical landmark for hemisectioning of the spinal cord....
1
It is a modification of arachnoid mater
They are 2 in number on each side with 21 triangular processes
It serves as a neurosurgical landmark for AP sectioning of spinal cord
Its having a serrated appearance
Anatomy
Brain
c470eba5-1ec3-408c-9c22-2e240f4e0d3e
multi
Wrong about clonidine is ?
Ans. is 'b' i.e., First line for ADHD o Behavioural therapy is the first line therapy for the treatment of ADHD. The first line drug for ADHD is Methylphenidate. Clonidine It acts (paial agonist) on areceptors, especially a2 in brainstem - Stimulation of a2A receptors in medulla (vasomotor centre) - decrease sympatheti...
2
Alpha 2 receptor agonist
First line for ADHD
Sudden withdrawal causes rebound hypeension
Controls loose motions due to diabetic neuropathy
Pharmacology
null
21b668a5-7de5-402b-868d-cee736a62d91
single
A 25 years old man marries a 13 years girl and has intercourse with her, this constitutes rape as she is-
Sexual intercourse with wife, even with her consent is rape, if she is below 15 years of age.
1
<15 years age
<14 years age
<21 years age
No consent taken from wife
Forensic Medicine
null
bfddc441-8b13-42d2-a06e-de13883eef99
single
'Gamma knife' is a term used to denote which of the methods of treatment?
Gamma Knife radiosurgery allows for the destruction of a brain lesions without cutting the skin. By focusing many small beams of of radiation on abnormal brain tissue the abnormality can be destroyed while preserving the normal surrounding structures. The Gamma Knife uses 201 narrow beam Cobalt 60 sources all aimed at ...
1
Radiotherapy
Chemotherapy
Nuclear medicine
Radioisotope scan
Radiology
null
0d015449-3054-40a9-8daa-66d545dc9011
single
A child having H/0 profuse watery diarrhoea not taking oraly and not passed urine since 2 days, what to be given
Ans. is 'c' i.e., I.V. fluid Child having history of profuse watery diarrhoea with poor oral intake and not passed urine since 2 days is suffering from diarrhoea with dehydration and probably acute renal failure of pre renal types. Here best choice is intravenous I.V. fluid If I.V. access not possible, then you can giv...
3
Milk
ORS
I.V. fluid
I.V. antibiotic
Pediatrics
null
ab08b548-3783-468c-9522-70c94d5470c6
single