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Metachromatic granules are found in:
Metachromatic granules It is a type of intracytoplasmic inclusion characteristically seen in diphtheria bacilli. Also known as volutin or metachromatic or Babes Ernst granules. Strongly basophilic bodies consist of polymetaphosphate. They are reservoir of energy and phosphate. They are most frequent in cells growing u...
1
Diphtheria
Mycoplasma
Chlamydia
Staphylococcus
Microbiology
null
0b6aacc6-4478-4f61-9f96-7a5ff1b7cae1
single
Elevation of which of the following metabolite in MR Spectroscopy suggests a possibility of carcinoma prostate?
Ans CMR Spectroscopy of Prostate - Principal among the identifiable metabolite is citrate, found in relatively high concentration in the glandular tissue of a healthy prostate. The normal MRI spectrum of the prostate reveals a prominent citrate peak, which often appears as a doublet if the shim is good enough. Other ar...
3
Citrate
Acetate
Choline
NAA
Radiology
Genito Urinary System
fdd3f411-6956-41af-a5ce-99045776df32
single
All the following are angiogenic factors EXCEPT -
Robbins basic pathology 9th edition page no 67,heading=Growth factors involved in Angiogenesis. Correct option is 3,IFN Vascular endothelial growth factor (VEGF) stimukates both migration and proliferation of endothelial cells,thus initiating the process of capillary sprouting in angiogenesis. Placental growth factor(P...
3
VEGF
PDGF
IFN
TGF\/3
Pathology
General pathology
9a5cd6bb-94ed-41a8-bcb9-f2580674f322
multi
Not a feature of REM sleep:
Bruxism REF: GUYTON & HALL, Ganong, various internet resources. See APPENDIX-11 for "SLEEP PHYSIOLOGY"
1
Bruxism
Irregular breathing
Muscle tone in the body is depressed
Is associated with active dreaming
Physiology
null
370225f9-931c-4e60-8755-12abbdb27861
single
Function of larynx ?
Ans. is 'd' i.e., All There are three impoant functions of larynx, which are of real concerns to the clinician :? Provision of airway Larynx serves as a conduit for air and waste gases to and from lungs. Protection of airway Larynx prevents the passage of secretions of food and of other forein material into the upper r...
4
Speech
Protection of airway
Conduit of air
All
Anatomy
null
931ee4c4-ca82-4f2c-82b2-4d8722cd72cf
multi
Most common nerve injured in ligation of inferior thyroid aery
Recurrent laryngeal nerve may pass anterior, posterior or through the branches of the aery and care is taken to preserve it. RLN is injured near the ligament of Berry when cautery or aery forceps is used indiscriminately while cutting the ligament of Berry to free the thyroid lobe. Ref: Dhingra 7e pg 382.
1
Recurrent laryngeal nerve
Facial nerve
Mandibular nerve
Audirory nerve
ENT
Diagnostic and operative ENT
519a9d2c-c1e9-4684-b3a5-59ce07c36571
single
Most common cause of death in Electrocution is-
Ventricular fibrillation is the usual cause of death in electrocution.
2
Respiratory muscle paralysis
Ventricular fibrillation
Asphyxia
Regurgitation of fluids
Forensic Medicine
null
e712b8a4-bf0f-4f2b-8ab8-74ab9ff0b1b0
single
With slowly advancing enamel caries and rapid involvement of dentin, the type of dentin formed is:
Sclerotic dentin  Dentin that forms in response to stimuli such as aging or mild irritation (slow advancing caries). When responding to initial caries demineralization events, crystalline material precipitates in intratubular and intertubular dentin. Sclerotic dentin walls off a lesion by blocking (sealing) the dentina...
4
Secondary
Tertiary
Reparative
Sclerotic
Dental
null
ddb0d347-ee2c-4abd-ad3c-26cc6946c9cc
single
Inveor of foot is
Eversion: movement in which the lateral border of the foot is elevated so that the sole faces laterally. Inversion: movement in which the medial border of the foot is elevated so that the sole faces medially. In eversion and inversion, the entire pa of the foot below the talus moves together. Inversion is accompanied b...
1
Tibialis posterior
Peroneus teius
Peroneus brevis
Gastrocnemius
Anatomy
Lower limb
c5770f93-938a-4521-a4cb-c9a5e91e2c4d
single
All are TRUE about hyperparathyroidism, except-
solitary adenoma is the most common cause ( Harrison 17 pg 2380)
4
Commonly occurs after thyroidectomy
May cause hypercalcemia
Solitary adenoma is the most common cause
None of the above
Medicine
Endocrinology
279044be-7094-40c9-bfb6-e78794b809e0
multi
Population attributable risk is defined as the difference between-
.population attributable risk is the incidence of the disease or death in the total population minus the incidence of disease or death among those who were not exposed to the suspected casual factor..this concept is useful in that it provides an estimate of the amount by which the disease could be reduced in that popul...
3
Incidence in exposed and incidence in non exposed compared with incidence in non - exposed
Incidence in population and incidence in exposed compared with incidence in population
Incidence in population and incidence in non exposed compared with incidence in population
Incidence in population and incidence in exposed compared with incidence in non exposed
Social & Preventive Medicine
Epidemiology
65fe69af-5937-4e7b-8287-0824643f73de
single
A child of 5 years can use sentences of around how many words?
Ans. is 'b' i.e., 10 words * Although a child has a vocabulary of 250 words at 3 years, the child can use sentence of 10 words at 5 years.* At 18 months, the child can use 10 words with meaning.Other milestones asked in the question are achieved in children older than 18 months* Making a tower of 9 cubes - 30 months* T...
2
6 words
10 words
100 words
250 words
Pediatrics
Growth, Development, and Behavior
deca12fd-0c6f-4619-9169-f1c176e09be2
single
Which of the following inhibits both gastric acid secretion and motility?
G.I.P Secretion + glucose /fat in duodenum, in large doses it inhibits gastric secretion and motility V.I.P -They are inhibitory to the smooth muscles of the intestines. -It causes smooth muscle relaxation in the GIT --> decreases the motility Somatostatin: -Central mechanism of inhibition of gastric acid secretion. -N...
2
Vasoactive intestinal polypeptide (VIP)
Gastric inhibitory peptide (GIP)
Somatostatin
Ghrelin
Physiology
Gastrointestinal System
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multi
A 23 year old presented with fever with chills and back pain. He also complained about increased frequency of voiding. USG examination reveals that bladder stones. All of the following are true about bladder stones, EXCEPT:
Primary vesical calculi are rare in the United States but are common in Southeast Asia and the Middle East. Most bladder calculi are seen in men. In developing countries, they are frequently found in prepubescent boys. Stone analysis frequently reveals ammonium urate, uric acid, or calcium oxalate stones. A solitary bl...
1
Rare in Indian children
Most bladder calculi are seen in men
Small stones can be removed per urethra
Solitary bladder stone is the rule
Surgery
null
7436f1aa-4539-4e78-948f-beedb6edea3d
multi
Specific gravity of enamel is
null
2
1.5
2.8
3
3.8
Dental
null
dfe2662e-36f0-425d-9468-24f4ec01c6ec
single
Nerve most commonly injured in Mcburney's incision:
Ans. (b) Iliohypogastric NRef: Bailey and Love 26th edition, Page 1214* Most common nerve injured in McArthur grid iron incision is Iliohypogastric nerve
2
Subcostal
Iliohypogastric N
11th thoracic
Ilioinguinal
Surgery
Small & Large Intestine
d0a2f317-8640-4ad1-8993-e08071247d6e
single
A 40-year-old women presented with a CT scan of the head showing an enlarged sella tursica. Neurological and endocrine work up in detail were found to be normal. The most likely diagnosis is -
null
4
Prolactinoma
Chromophobe adenoma
Craniophobe
Empty sella syndrome
Medicine
null
92d07de6-9c0c-44b4-a327-f77e7862010d
single
Which of the following is the clinical indication for using Cidofovir?
Cidofovir is a cytidine nucleotide analogue. This is a broad spectrum agent with in vitro activity against human herpesviruses, adenovirus, HPV, polyomaviruses and human poxviruses. Cidofovir is under clinical investigation for a variety of potential applications. Examples include intravenous administration of cidofovi...
4
Respiratory papillomatosis
Herpes simplex
Herpes zoster
All of the above
Pharmacology
null
86e4c4ff-d15e-4130-bd3c-ed03d13501f9
multi
Testis descends the in inguinal canal during - month
Testies descent : 4th month - itiac fossa. 7th month - deep inginal ring. 7th and 8th month - Inguinal canal.
3
5th month
6th month
7th month
8th month
Anatomy
null
8c5a8ee6-988b-4fb1-822b-04207567e4c1
single
An adult patient presents with normal or enlarged kidneys with massive proteinuria. Most likely cause is -
Answer- C. AmyloidosisAmyloidosis causes :-Enlarged kidneyMassive proteinuria (nephrotic range proteinuria)
3
Chronic pyelonephritis
Chronic glomerulonephritis
Amyloidosis
Renal aery stenosis
Medicine
null
f5831c48-845a-4f9b-873f-b3adf82d9b9c
single
There is an outbreak of MRSA infection in a ward. What is the best way to control the infection?
Ans. is 'c' i.e.,Washing hand before & after attending patients " Given the prominence of cross infection, hand hygiene is the single most preventive measure in hospitals."
3
Vancomycin given emperically to all the patients
Fumigation of ward frequently
Washing hand before & after attending patient
Wearing mask before any invasive procedure in ICU
Microbiology
null
c5622b08-134f-4a5b-96ab-538d8288e89b
multi
Iron supplementation in a healthy term breast fed baby should be staed at the age of -
Ans. is NoneCorrect answer is 6 months.
4
2 weeks
4 weeks
8 weeks
None
Pediatrics
null
2bd2f256-0923-45c2-9159-6cd87fdbcf52
multi
Which branch of poal vein is involved in chronic pancreatitis
,
4
Superior mesenteric vein
Inferior mesenteric vein
Left branch of poal vein
Splenic vein
Anatomy
G.I.T
dfe47c10-cc57-42c1-b38b-a40a9dc991df
single
No chemoprophylaxis for
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...
2
Typhoid
Chicken pox
Influenza
Cholera
Social & Preventive Medicine
Epidemiology
504b5222-cec9-4d82-80a7-05f187c95926
single
Oblique view is required to diagnose fracture of
B i.e. Scaphoid
2
Capitate
Scaphoid
Navicular
Hamate
Surgery
null
30418d29-b25b-4b44-977b-ed8b301ac2d0
single
CD marker of stem cell is:
Ans: A (CD 34) Ref: Robbins Pathologic Basis of Disease, 8th edition. Explanation:(See following table)Some Immune Cell Antigens Detected by Monoclonal AntibodiesAntigenDesignationNormal Cellular DistributionPRIMARILY T-CELL ASSOCIATEDCD1Thymocytes and Langerhans cellsCD3Thymocytes, mature T cellsCD4Helper T ceils, sub...
1
CD 34
CD 1
CD19
CD 21
Pathology
Cells and Tissues of Immune System
79c10174-3787-4d46-a814-df9cd7e9d718
single
Most common sinus to be involved in acute sinusitis?
Ans. is 'b' i.e., Maxillary Most common sinus affected by sinusitis overall Maxillary Most common sinus affected in adult Maxillary Most common sinus affected in children Ethmoid Least common sinus affected Sphenoid Sinuses involved in order of frequency Maxillary > Frontal > Ethmoid > Sphenoid
2
Ethmoid
Maxillary
Sphenoid
Frontal
ENT
null
49a911d8-e965-4d86-8d02-004d9b647e97
single
The visualization of the angle of anterior chamber by:
(Gonioscopy) (546-Khurana 4rd)GONIOSCOPY - The angle between the posterior corneal surface and the anterior surface of the iris constitute the angle of the anterior chamber the configuration of which is relevant to the pathogenesis of glaucoma contact between peripheral iris and cornea signifies, a closed angle, which ...
3
Direct ophthalmoscopy
Indirect ophthalmoscopy
Gonioscopy
Perimetery
Ophthalmology
Glaucoma
3f40872f-11d4-4efe-a19d-1ad91c96919b
single
Most common indication of liver transplant in children is:
A. Biliary atresia(Ref: Nelson's 20/e p 1975)Biliary atresia is the most common indication for liver transplantation in children, followed by metabolic and inborn disorders, autoimmune and familial cholestatic disorders, and acute hepatic necrosis.
1
Biliary atresia
Von Gierke disease
Tyrosinemia
Chronic viral hepatitis
Pediatrics
Gastro Intestinal System
5497ff97-299b-45c4-91a8-4e0a84811cf8
single
Nuk Sauger Nipple has been designed to prevent the problem of:
Children who have the habit of thumb sucking derive the pleasure from keeping their finger/thumb at various depths of mouth.  Initially, they start this at conscious level and soon it goes to the subconscious level.  If it is not intervened, it will alter the muscle balance and might cause malocclusion.  Along with this...
1
Thumb sucking
Mouth breathing
Maxillary proclination
Bruxism
Dental
null
b49a9b39-19d2-4d48-a7d8-ace41b7c3560
single
The phenomenon where subsequent generations are at risk of earlier and more severe disease is known as
Ref Robbins 9/e p169 Anticipating refers to observation that clinical features of a genetic disease worsen with each successive generations.it is observed in fragile X syndrome and Huntington disease commonly
1
Anticipation
Pleiotropy
Imprinting
Mosaicism
Anatomy
General anatomy
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single
People are arranged alphabetically by their names and then every 3rd person is chosen for study. The type of sampling is -
Ans. is 'b' i.e., Systematic random Simple random samplingo Simple random sampling, also, known as 4unrestricted random samplingis applicable for small, homogenous, readily available population and is used in clinical trials,o In simple random sampling each individual is chosen randomly and entirely by chance,o So, eac...
2
Stratified random
Systematic random
Simple random
None of the above
Social & Preventive Medicine
Statistical Tests
f380fffc-8843-4291-ae8e-933abb8a67e5
multi
A 30 years old lady was brought to the hospital with strong labour pains for the last 3 hours and no progress. She was found to have pelvic deformities which lead to cephalopelvicdisproportion. The baby was delivered by a cesarean section. The woman is likely to have suffered from the deficiency of
null
1
Vitamin D
Vitamin B
Vitamin C
Vitamin A
Social & Preventive Medicine
null
cc6d065b-0846-464e-95f4-f9b2a4219dba
single
Negri bodies are found in-
Ans. is 'b' i.e., Rabies * The characteristic histopathological picture in rabies is the intra-cytoplasmic inclusion body (Negri body) in the neurons, most abundant in the cerebellum and Hippocampus.* Negri bodies are pathognomic of rabies.
2
Rubella
Rabies
HSV
IMN
Microbiology
Virology
f254143f-a7c0-4a09-b8d5-4fa20e818f45
single
A 35-year-old patient has a small but painful tumor under the nail of the little finger. Which of the following nerves would have to be anesthetized for a painless removal of the tumor?
The common palmar digital branch comes off the superficial branch of the ulnar nerve and supplies the skin of the little finger and the medial side of the ring finger. The superficial branch of the radial nerve provides cutaneous innervation to the radial (lateral) dorsum of the hand and the radial two and a half digit...
3
Superficial radial
Common palmar digital of median
Common palmar digital of ulnar
Deep radial
Anatomy
Upper Extremity
61066d35-b011-48e5-9538-90bb7e547b81
multi
The most common cause of vocal cord palsy is:
Thyroidectomy was the single most common surgical cause for unilateral vocal cord palsy, followed by other nonthyroid neck surgeries (20%) and anterior cervical decompression (18.3%). Conclusion: The most common cause for unilatera lvocal cord palsy is idiopathic.
1
Total thyroidectomy
Bronchogenic carcinoma
Aneurysm of aoa
Tubercular lymph nodes
ENT
null
684faee7-042d-4fcd-9efd-06f32c364fa8
single
Tinnels sign indicates:
Ans: d (Regeneration of nerves)Ref: Schwartz surgery, 7th ed, p. 1885
4
Atrophy of nerves
Neuroma
Injury to nerve
Regeneration of nerves
Surgery
Nervous System
adf2ac70-d908-4f98-9d55-5c7b09ef4908
single
Which of the following is not a pathogenic mycobacteria -
According to RUNYON classification atypical mycobacterium is classified under RAPID GROWERS which include M.chelonie, M.fouitum, M.smegmatis, M.abscess, M.phlei. Non pathogenic- M. smegmatis M. kansasii- Pulmonary disease resembling tuberculosis M. scrofulaceum- Cervical lymphadenitis M. chelonae- chronic abscess
4
M. kansasii
M. scrofulaceum
M. chelonae
M. smegmatis
Microbiology
Systemic Bacteriology (Gram Positive Bacilli, Gram Negative Bacilli)
8d8d8996-bdb8-45c5-b8ea-aabe808ae8bf
single
Organophosphate insecticides are all except
Ans. is `a' i.e., Dieldrin
1
Dieldrin
Fenthion
Diazinon
All
Social & Preventive Medicine
null
ce2cbddf-8fa3-4b23-b667-9d4963a93200
multi
Interpret the developmental anomaly shown in the following radiograph:
Dens invaginatus This anomaly is the result of an infolding of the enamel organ prior to calcification and represents, in its coronal form, an accentuation of the cingulum pit. The anomaly is believed to be genetically determined and has a prevalence of 5%. The maxillary lateral incisors are commonly affected. The cond...
1
Dens invaginatus
Regional odontodysplasia
Dentinal dysplasia
Dentinogenesis imperfecta
Radiology
null
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single
A 40-year-old male patient presented with slowly progressive dysphagia both to solids and liquids, regurgitation, chest pain and weight loss for 2 months. Barium swallow and esophageal manometry was advised by the doctor. Upper GI endoscopy was also performed. Which of the following organism has been most commonly impl...
This is a case of achlasia cardia. Barium swallow x-ray appearance shows a dilated esophagus with poor emptying, an air-fluid level, and tapering at the les giving it a beak-like appearance. Esophageal manometry shows impaired lower esophageal sphincter (LES) relaxation and absent peristalsis and minimal pressurization...
1
HSV 1
HSV 2
Varicella
CMV
Unknown
Integrated QBank
99c3313a-adcb-45b7-9b76-1e46dab19f4b
multi
Hyperophic pyloric stenosis presents after how many months of bih :
Pyloric stenosis is the most common surgical disorder producing emesis in infancy. It results from hyperophy of the circular and longitudinal muscularis of the pylorus and the distal antrum of the stomach with progressive narrowing of the pyloric canal. The cause is not known. The male-to-female incidence is 4:1.It pre...
1
One
Two
Three
Six
Surgery
null
310bb630-b733-485a-bb37-42d0692fe53f
single
Gold is used for management of?
Ans. (b) Rheumatoid ArthritisRef: Harrison 19th ed. / 2144-45* Minocycline, gold salts, enicillamine, azathioprine, and cyclosporine have all been used for the treatment of RA with varying degrees of success; however, they are used sparingly now due to their inconsistent clinical efficacy or unfavorable toxicity profil...
2
Ankylosing Spondylitis
Rheumatoid Arthritis
Psoriatic arthritis
Rheumatic arthritis
Medicine
Immunology and Rheumatology
5da8ddf7-3243-4e71-b0bc-8cf34838c00a
single
The Y shaped central developmental groove is most likely found on which of the following premolars?
Y shaped central developmental groove is found on the mandibular second premolar.
4
Maxillary first.
Mandibular first.
Maxillary second.
Mandibular second.
Dental
null
d76d05ff-50ff-44dc-92f4-491180f2668a
single
Which one of the following is not a feature of type 2 respiratory failure ?
null
1
p CO2 38 mm Hg and pO2 50 mm HG
p CO2 68 mm Hg and pO2 50 mm Hg
Papilloedema
Asterixis
Medicine
null
255375a7-7234-43cd-967e-eed1b8f66642
single
What is the most commonly involved in carcinoma colon -
null
2
Caecum
Rectosigmoid colon
Transverse colon
Ascending colon
Surgery
null
beff3f6a-7673-4b99-b163-70da44e71dd4
single
Which of the following is not a feature of tropical pulmonary eosinophilia(TPE)?
In tropical pulmonary eosinophilia, microfilariae and parasite antigens are rapidly cleared from the blood stream by the lungs and is therefore not found in the circulation. TPE develops in individuals infected with lymphatic dwelling filarial species. Characterisitc features includes paroxysmal cough and wheezing, fev...
2
Eosinophil > 3000/mm3
Presence of circulating Microfilaria
Paroxysmal cough and wheeze
Bilateral chest mottling
Medicine
null
8dc8f52b-605e-469d-b079-cc4f8076ab3f
single
The distinct golden colour in transgenic Golden rice is due to presence of
Golden rice: Variety of rice produced through genetic engineering to boisynthesize beta carotene, a precursor of vitamin A. The distinct golden colour is due to the beta carotene content. It is indented to produce a fortified food to be grown and consumed in areas with a shortage of dietary vitamin A.  Golden rice diff...
2
Riboflavin
β-carotene
Vitamin B12
Xanthopyll
Social & Preventive Medicine
null
6f6ba67d-d4d3-430f-9582-42587cd0ea91
single
Tumour cells avoid immugenic response by all except:
Ans: B (Decreased...) IMMUNE SURVEILLANCE IN CANCER Robbins 8th/331-32Most cancers occur in persons who do not suffer from any overt immunodeficiency. It is evident then that tumor ceils must develop mechanisms to escape or evade the immune system in immunocompetent hosts.Several such mechanisms may be operative: They ...
2
Decreased expression of MHC I molecule
Decreased expression of MHC II molecule
Immunosuppression
Antigen loss
Pathology
Tumor Immunity
29cfa4f6-44f1-4f70-8e44-c7fcc88a142e
multi
The second number in a four number instrument formula denotes
null
3
Blade angle
Blade length
Primary cutting edge angle
Blade width
Dental
null
da63ef41-7881-47c0-b0e6-f7ebba70c6c8
single
Lyedig ceils secrete -
Ans. is 'a' i.e., Testosterone o The hormone-secreting cells in the testes are the leydig cells and sertoli cells. Leydig cells have receptors for LH and secrete all the androgens, i.e., testosterone (major androgen), dihydrotestosterone (DHT), androstendione and dehydroepiandrosterone (DHEA). All of theme have 19 carb...
1
Testosterone
Inhibin
Mullerian inhibiting substance (MIS)
ABP
Physiology
Sex Hormones
16e14048-c91a-4492-aab4-a1372ceb64e1
single
Test not used for diagnosis of syphilis
D i.e. Frie - test - Most specific test is TPI > FTA -ABSQ Non treponemal test becomes non reactive after t/t; the Treponemal test often remain reactive & therefore not helpful in determining the infection status of person with past syphilis Q. Response to treatment in early syphilis is seen by sequential VDRL or RPR t...
4
VDRL
TPI
Reagin Test
Frei Test
Skin
null
99da1ca6-b55d-4dbe-96f8-ca8025dc6c35
single
Which of the following muscle relaxant is contraindicated in muscle dystrophy?
Succinyl choline can cause hyperkalemia in especially in nerve & muscle disorders. Hence it is avoided in patients with paraplegia, Guillain barre syndrome, Myasthenia gravis & muscle dystrophy.
2
Quinine
Succinyl choline
Dantrolene
All of the above
Pharmacology
null
8ac82d69-08cb-45af-a920-c1241a6cacbb
multi
Which of the following is most preferred graft in CABG?
Vascular graft Bioprosthetic Synthetic Autograft Homograft (allograft) Heterograft (xenograft) Tissue engineered Textile Dacron Non textile ePTFE Polyurethane Best natural vascular graft: Reversed saphenous vein Best synthetic vascular graft: Dacron Best vascular graft for supra inguinal bypass: Dacron Best vascular gr...
3
Saphenous vein
Radial aery
Internal mammary aery
Internal jugular vein
Surgery
Thorax And Mediastinum
7b85af45-7775-4d20-988d-7f9ecd8a220b
single
Which waves is predominantly seen in EEG with eyes closed in normal alert adult?
Ans. A. Alpha wavesBandFrequency (Hz)Location NormallyDelta<4frontally in adults, posteriorly in children; high-amplitude waves* adult slow-wave sleep* in babiesTheta4-7Found in locations not related to task at hand* higher in young children* drowsiness in adults and teensAlpha8-15posterior regions of head, both sides,...
1
Alpha waves
Beta waves
Theta waves
Delta waves
Psychiatry
Sleep Disorders
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single
SERM drug used in treatment of osteoporosis aEUR'
Raloxifene Traditionally hormone replacement therapy with estrogen was being used to prevent/treat osteoporosis in postmenopausal worsen. H has been shown to reduce the risk of osteoporosis in women. But long term use of estrogen leads to range of adverse effect including cardiovascular disease, stroke, pulmonary embol...
1
Raloxifene
Estrogen
Strontium
Alendroate
Pharmacology
null
5dc249fb-caf6-42bf-b6c9-b77fe224d93b
single
Phlycten is due to -
Phlyctenular conjunctivitis - Endogenous allergy It is believed to be a delayed hypersensitivity (Type IV cell mediated) response to endogenous microbial proteins. Causative allergens are :- (i) Staphylococcus proteins (most common); (ii) Tuberculous proteins and (iii) Proteins of Moraxells axenfeld bacillus and ceain ...
2
Exogenous allergy
Endogeneous allergy
Viral keratitis
Fungal keratitis
Ophthalmology
Conjunctiva
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multi
Delayed tuberculin test response is due to-
Tuberculin test is type IV hypersensitivity reaction. Delayed or cell mediated hypersensitivity is a cell mediated response. The antigen activates specifically sensitised CD4 & CD8 T lymphocytes leading to the secretion of lymphokines and phagocyte accumulation. Reference : Anathanarayan & paniker's 9th edition, pg no:...
2
B lymphocytes
T lymphocytes
Monocytes
Histiocytes
Microbiology
Immunology
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Which muscle arises from 4th pharyngeal arch?
(a) Cricothyroid(Ref. Scott Brown, 8th ed., Vol 3; 884)We can remember it as the only muscle supplied by external laryngeal nerve (the 4th pharyngeal arch nerve) is cricothyroid hence derived by 4th arch.Rest all the muscles are derived by 6th arch nerve as they are supplied by 6th arch nerve, the recurrent laryngeal n...
1
Cricothyroid
Cricoarytenoid
Posterior cricoarytenoid
Thyroarytenoid
ENT
Larynx
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Steroid hormones are believed to enter target cells via:
null
4
Facilitated diffusion
Carrier — mediated endocytosis
Cholesterol lined pores in the plasma membrane
Simple diffusion
Physiology
null
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Gene not associated with Diabetes malitus?
PDGF-R gene is associated with glioma. Most important Genes associated with the Development of Diabetes Type 1 Diabetes
4
PPARγ
KCNJ11
CTLA4
PDGF-R
Pathology
null
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Dystrophic calcification are calcifications seen in
null
4
Skin layers
Salivary glands
Normal tissues
Dead tissue
Pathology
null
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Simultaneous perception in binocuiar vision is -
Ans. is 'a' i.e., Grade I Grades of binocular single visiono There are three grades of binocular single vision, which are best tested with the help of a synoptophore.1. Grade-1-Simultaneous perceptiony It is the power to see two dissimilar objects stimultaneously.It is tested by projecting two dissimilar objects (which...
1
Grade I
Grade II
Grade III
Grade IV
Ophthalmology
General Considerations - Definition, Classification, Pathogenesis
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All are cholinergic drugs except
Memantine acts on NMDA receptors .remaining all the drugs are indirectly acting cholinergicn drugs used in the treatment of alzhimers disease. Ref: KDT 6th ed pg 472,473
1
Memantine
Tacrine
Rivastigmine
Donepezil
Pharmacology
Autonomic nervous system
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In leprosy, the best bactericidal agent is :
Best and the fastest acting drug for leprosy is rifampicin. Clofazamine and dapsone are bacteriostatic agents.
3
Clofazimine
Dapsone
Rifampicin
Ethionamide
Pharmacology
null
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A 39 week primigravida with breech presentation is in labour. MOST common breech presentation is:
The sacrum is the denominator of breech and there are four positions. In anterior positions, the sacrum is directed towards the iliopubic eminences and in posterior positions, the sacrum is directed to the sacro-iliac joints. The positions are, First position - left sacro-anterior- being the commonest 2nd position - ri...
2
Right sacroanterior
Left sacroanterior
Right sacroposterior
Left sacroposterior
Gynaecology & Obstetrics
null
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Cognisable offence comes under which section of Cr. P.C. -
Ans. is 'a' i.e., 2C o Cognisable offence: Section 2C Cr. PC.-it is an offence in which a police officer can arrest a person without warrant from the magistrate. Eg murder, ragging.o In such offences, the person is sent by police to the doctor for medical examination.
1
2C
2B
1A
None
Forensic Medicine
Introduction to Forensic Medicine and Medical Jurisprudence
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True about H. pylori includes all except:
Ans. is. 'a' i. e., Gram positive bacillus
1
Gram positive bacillus
Urease positive bacillus
Highly associated with deodenal ulcer
Urease breath test can be performed only in specialized labs
Microbiology
null
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A 30 year old female epileptic on phenytoin, developed weakness and fatigue. Blood examination revealed Hb = 4.6 gm. MCV = 102 fl and MCH = 40 pg/dl. What is the most probable diagnosis
Ans. is 'd' i.e. Megaloblastic anaemiaNormal valuesMCU- 86 - 98 fLMCH- 28 - 33 pg/cellHb (female) - 12-16 gm/dLLab finding in this pt. go in favour of megaloblastic anemia. H/O phenytoin intake is also suggestive of same.
4
Heart failure
Iron deficiency anemia
Phenytoin induced agranulocytosis
Megalobalstic anemia.
Pharmacology
Epilepsy
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All of the following are used for giving skeletal traction, except -
Traction Traction is defined as a pulling force to treat muscle or skeletal disorders (fractures, dislocation). There are two major types of tractions: skin & skeletal traction. A) Skin traction Here the traction is applied to the skin (using adhesive or nonadhesive tape or straps) which is indirectly transmitted t...
4
Steimann's pin
Kirschner's wire
Bohler's stirrup
Rush pin
Orthopaedics
null
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Left vertricular hypertrophy is not a feature of
null
2
Mitral regurgitation
Isolated mitral stenosis
Isolated ventricular septal defect
Aortic stenosis
Medicine
null
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Intracranial pressure may be increased by all of the following drugs except -
Ans. is 'd' i.e., Aminoglycosides
4
Hypervitaminosis A
Coicosteroids
Quinolones
Aminoglycosides
Pharmacology
null
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A 10-year old child presented with severe sore throat and a grey pseudomembrane over pharynx and tonsils. The organism causing this infection is most likely:
Ans. a. A gram positive bacillus (Ref: Harrison 19/e p978, 18/e p1189-1190: Ananthanarayan 9/e p239)A 10-year old child presented with severe sore throat and a grey pseudomembrane over pharynx and tonsils. The clinical features are strongly suggestive of a diagnosis of diphtheria, caused by Corynebacterium diphtheria, ...
1
A gram positive bacillus
A gram negative bacillus
A catalase-positive gram positive coccus that grows in clusters
A single-stranded positive sense RNA virus
Microbiology
Bacteria
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Which of the following are true for Bronchiolitis in children?
Ans. D. All of the aboveBronchiolitis primarily affects young infants (1- 6 months some may be affected upto 2 years of age), clinical manifestations are initially subtle. Infants may become increasingly fussy and have difficulty feeding during the 2 to 5-day incubation period. A low-grade fever, usually less than 101....
4
Commonly seen in children between 1- 6 months of age, but can be seen upto 2 years
RSV is the most common causative organism
Disease usually occurs in winter and spring season.
All of the above
Pediatrics
Miscellaneous
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The periodontal Index is
null
3
reversible
irreversible
partially reversible
none of the above
Dental
null
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A membrane phospholipid that does not contain glycerol is:
Sphingomyelin has got sphingosine alcohol, not the glycerol. Lecithin & cardiolipin has got glycerol in it and they are membrane phospholipid.
3
Lecithine
Cardiolipin
Sphingomyelin
Cellulose
Biochemistry
null
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The commonest space-occupying lesion in the cerebellopontine angle is
Common tumors of CP (cerebellopontine) angle are 1. Acoustic neuroma (commonest: 80- 90%) 2. Meningioma (2nd commonest: 5- 10%) Ref: Harrison; 20th edition , pubmed.com
4
Meningioma
Glioma
Neurofibroma
Acoustic neuroma
Medicine
C.N.S
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Which of the following is not a treatment modality for stress incontinence?
Fothergill's repair is used to treat uterine prolapse. Ref: Shaw's Textbook of Gynaecology, 12th Edition, Pages 138-39.
4
Kelly suture
Stanley's combined vaginal and supra pubic operation
Marshall-Marchetti-Krantz Procedure
Fothergill's repair
Gynaecology & Obstetrics
null
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Drug showing additional nitric oxide activity:
Ans. D. NebivololAll the drug mentioned are selective beta 1 blockers. Out of all nebivolol has additional nitric oxide activity which increase the level of cGMP and thus causing vasodilation.
4
Atenolol
Metoprolol
Bisoprolol
Nebivolol
Pharmacology
C.V.S
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Synytial osteoclastic giant Cells are seen in all except
Refer Robbins page no 8th edition
1
Osteosarcoma
Ewings sarcoma
Chondroblastoma
Aneurysmal bone cyst
Anatomy
Musculoskeletal system
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A chronic alcoholic presented with repeated episodes of non-bilious vomiting after meals. On the basis of CECT findings, what is the diagnosis?
Symptoms are s/o pancreatitis In the given CT scan, pancreatic psudocyst is seen Pancreatic Pseudocyst - MC cystic lesion of pancreas (75%)- Not lined by Epithelium, but with granulation tissue - M/C cause of pseudocyst - Alcohol- More common in chronic pancreatitis > Acute pancreatitis- MC complication- Infection (14%...
2
Gastric outlet obstruction
Pseudocyst
Carcinoma pancreas
Chronic pancreatitis
Surgery
Pancreas
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Drug of choice for impetigo herpetiformis is -
Only indication for use of systemic steroids is generalized pustule psoriasis in pregnancy( impetigo herpetiformis). From illustrated synopsis of dermatology and sexually transmitted diseases neena khanna 5th edition page no 56
1
Prednisolone
Dapsone
Acitretin
Methotrexate
Dental
Papulosquamous disorders
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A man with chills, fever, and headache is thought to have "atypical" pneumonia. History reveals that he raises chickens and that approximately 3 weeks ago he lost many them to an undiagnosed disease. The most likely diagnosis of this man's condition is
Ornithosis (psittacosis) is caused by Chlamydia psittaci. Humans usually contract the disease from infected birds kept as pets or from infected poultry, including poultry in dressing plants. Although ornithosis may be asymptomatic in humans, severe pneumonia can develop. The disease is cured easily with tetracycline
4
Anthrax
Q fever
Relapsing fever
Psittacosis
Microbiology
Systemic Bacteriology (Haemophilus, Yersinia, Spirochaetes, Ricketssia, Chlamydia, Mycoplasma and Miscellaneous Bacteria)
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Openings of the tube of bronchoscope are known as-
Bronchoscope is similar to esophagoscope, but has openings at the distal part of the tube, called Vents which help in aeration of the side bronchi.
3
Holes
Apertures
Vents
Any of the above
ENT
null
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Treatment of choice for the other eye in open angle glaucoma is
Ans. (b) Laser trabeculoplasty* Please refer to above explanation* Treatment of choice for primary angle closure glaucoma (fellow eye, latent stage, subacute or intermittent stage , chronic stage) is laser iridotomy* Peripheral surgical iridectomy can also be used.* In acute congestive stage of PACG drug of choice is P...
2
Peripheral iridectomy
Laser trabeculoplasty
Laser iridotoomy
Trabeculectomy
Ophthalmology
Surgical Procedures For Glaucoma
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Massive Splenomegaly is least likely to be associated with which of the following Myeloproliferative disorders:
Answer is C (Essential Thrombocytosis (ET)) Essential Thrombocytosis is not associated with massive splenomegaly. 'Physical Examination in Essential Thrombocytosis is generally unremarkable except occassionally for mild splenomegaly. Massive splenomegaly is indicative of another Myeloproliferative disorder in paicular ...
3
Chronic Myeloid Leukemia (CML)
Polycythemia Vera (PV)
Essential Thrombocytosis (ET)
Primary Myeloproliferative (PMF)
Medicine
null
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. Gartners cyst can be differentiated from cystocele by all except:
null
3
Not reducible
No impulse on coughing
Presence of rugosities of overlying vaginal mucosa
None of above
Gynaecology & Obstetrics
null
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Axillary nerve supplies
Posterior division of axillary nerve supplies the posterior pa of deltoid muscle and teres minor. Teres minor is one of the muscle in rotator cuff muscles. B D Chaurasia 7th edition Page no : 180
2
Supraspinatus
Teres minor
Teres major
Infraspinatus
Anatomy
Upper limb
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A 32 yrs lady having 10 yrs old child of down syndrome is presenting at 9th week of pregnancy. what will be advice by doctor?
The population risk for Down syndrome is approximately 1 in 800 live bihs and the recurrence risk after the bih of an affected child is approximately 1-2 %. As the lady is already having a child with Down's , the doctor will advice her Chorionic Villous sampling (CVS) to assess fetal karyotype to check for Trisomy 21 c...
3
Blood investigation can definitely say if it is down's
USG diagnosis can be definite
Plan a Chorionic Villous sampling
There is no use of any fuher investigations as the patients age is lesser than 35 yrs
Gynaecology & Obstetrics
Intra Uterine Growth Restriction, Intrapaum and Antepaum Fetal Surviellance
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Dietary cholesterol is transported to extrahepatic tissue by
LDL It is worth noting that dietary cholesterol is not directly transported to extrahepatic tissues. Though the major function of chylomicrons is to transport exogenous triglyceride to various tissues, it also transports the other dietary lipids (including cholesterol) to the liver after conversion into chylomicron re...
2
VLDL
LDL
Chylomicrons
HDL
Biochemistry
null
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The cells of the enamel organ which differentiate into future ameloblasts are
Fate of various cells in enamel organ: Inner enamel epithelium — differentiate into ameloblasts Stellate reticulum — collapses and does not exist Outer enamel epithelium — cells flattens and thrown into folds.
1
Cells of inner enamel epithelium
Cells of outer enamel epithelium
Cells of stellate reticulum
Cells of stratum intermedium
Dental
null
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The correlation coefficient can range from:
null
3
0 to + 1
0 to -1
-1 to +1.
0 to 100
Dental
null
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Mauriacs syndrome is characterised by all except
It is a rare complication of type 1 diabetes mellitus in children assoasiated with Growth impairment Hepatomegaly Cushingoid features
1
Diabetes
Obesity
Dwarfism
Cardiomegaly
Anatomy
Musculoskeletal system
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Berlin's edema is due to
(Refer: AK Khurana Comprehensive Ophthalmology, 6th edition, pg no. 431)Berlin's edema (commotio retinae) is a common condition caused by blunt injury to the eye. It is characterized by a decreased vision in the injured eye a few hours after the injury. Under examination, the retina appears opaque and white in color in...
1
Blunt trauma to eye
Extradural hemorrhage
Choroidal melanoma
Parsplanitis
Ophthalmology
Ocular trauma
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The following are Not predisposing factors for genuine stress incontinence, except:
Detrusor Instability, Genuine stress incontinence is defined as urinary leakage occurring during increasedbladder pressure. It is caused by sphincter weakness. Detrusor instability, urethral diverticulum, neurological cases are responsible.
3
Pregnancy
Endometriosis
Detrusor instability
PID
Unknown
null
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Commonest nerve involved in leprosy is:
A i.e. Ulnar nerve
1
Ulnar
Median
Radial
Sciatic
Skin
null
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Testes completely descend in the scrotum by the age of?
End of 9th month of intrauterine life PhaseIntrauterine agePosition of testisTransabdominal phaseUp to the sta of 3rd monthEntrance of future inguinal canal (internalinguinal ring)Transinguinal phaseBetween 4 to 5 monthsNo descent7th to 9th monthPasses through inguinal canalBefore bihInto the scrotum
3
End of 7th month of intrauterine life
End of 8th month of intrauterine life
End of 9th month of intrauterine life
After bih
Anatomy
null
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Lymphocytic infiltration is diagnostic in :
Dysgerminoma
2
Brenner's tumour
Dysgerminoma
Dermoid cyst
Struma ovarii
Gynaecology & Obstetrics
null
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Amino acid required for conversion of norepinephrine to epinephrine:-
Norepinephrine to Epinephrine conversion requires SAM (S-Adenosyl Methionine). Enzyme involved is Phenylethanolamine N-methyl transferase. Coisol is the activator. Synthesis of Catecholamines (Dopamine, NE and E) from Tyrosine. SAM (S - adenosyl methionine) is synthesized from dietary methionine with the help of enzyme...
3
Lysine
Phenyl-alanine
Methionine
Tryptophan
Biochemistry
NEET 2019
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WHICH OF THE FOLLOWING ANTIHYPEENSIVES DRUG IS AVOIDED IN PATIENTS WITH HIGH SERUM URIC ACID LVELS?
REF : KD TRIPATHI 8TH ED
4
ENALAPRIL
PRAZOCIN
ATENALOL
HYDROCHLOR THIAZIDE
Pharmacology
All India exam
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