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Cork screw esophagus is seen in -
Ans. is 'a' i.e., Diffuse esophageal spasm o Radiological appearances of diffuse esophageal spasm have been described as:Curling esophagusCorkscrew esophagus orPseudodiverticulosiso Diffuse esophageal spasm is a motor disorder of esophagus characterized by repetitive simultaneous non-peristal tic contractions.o Symptom...
1
Diffuse esophageal spasm
Achalasia cardia
CA esophagus
Globus hystericus
Surgery
Esophageal Motility Disorders
8389f6b7-61b6-4c03-b83e-90f4af08f749
single
Site of IM injection without injuring any vessels or nerves
(B) Upper outer quadrant of buttock
2
Lower part of insertion of deltoid
Upper outer quadrant of buttock
Lower inner quadrant of buttock
Upper inner quadrant of buttock
Surgery
Miscellaneous
465f2677-85e0-42a3-9151-66705304b932
single
Highest level of integration in health service is?
The Bhore committee in 1946 gave the concept of primary health center as a basic health unit to provide as close to the people as possible an intergrated curative and preventive health care to the rural population with emphasis on preventive and promotive aspects of health care (refer pgno:904 park 23rd edition)
1
PHC
Sub centre
CHC
Distric hospital
Social & Preventive Medicine
Health care of community & international health
750c0914-64f8-45e6-888a-b919a1cea08f
single
Bruxism is mainly due to
null
1
Psychological stress
Diabetes
Functional grinding of teeth
None of above
Dental
null
446bf591-4b9c-4932-bccb-05923be4f061
multi
All of the following are risks seen in administration of pure oxygen to the hypoxic patients, except:
In some patients with severe lung disease, the hypoxic drive to ventilation becomes very important. These patients have chronic CO2 retention, and the pH of their brain extracellular fluid has returned to near normal in spite of a raised pCO2  (renal compensation). Thus, they have lost most of their increase in the sti...
3
Apnea occurs due to hypostimulation of peripheral receptors
Pulmonary edema
2,3 DPG toxicity
Convulsions
Physiology
null
04558c18-8feb-4f55-bba4-eaa9a08f74da
multi
All are feature of prematurity in neonate except
*Preterm bih, also known as premature bih, is the bih of a baby at fewer than 37 weeks gestational age* These babies are known as preemies or premmies.*Symptoms of preterm labor include uterine contractions which occur more often than every ten minutes or the leaking of fluid from the vagina.*Premature infants are at g...
3
No crease on sole
Abundant lanugo
Thick ear cailage
Empty Scotum
Pediatrics
New born infants
b00ec859-5cc9-4c12-848c-b6aa8b6c635e
multi
Which of the following statements about Wilson's disease is true -
null
2
Low serum ceruloplasmin and low urinary copper
Low serum ceruloplasmin and high urinary copper
High serum ceruloplasmin and low urinary copper
High serum ceruloplasmin and high urinary copper
Medicine
null
89381d24-f3c1-4341-96ce-e07a5ef956ae
multi
A 45-year-old construction worker suffers a penetrating wound of the left leg, which is cleaned and sutured. Three days later, the patient presents with sudden onset of severe pain at the site of injury. Physical examination shows darkening of the surrounding skin, hemorrhage, and cutaneous necrosis. The wound shows a ...
Gas gangrene (clostridial myonecrosis) is a necrotizing, gas-forming infection that begins in contaminated wounds and spreads rapidly to adjacent tissues. The disease can be fatal within hours of onset. Gas gangrene follows the deposition of C. perfringens into tissues under anaerobic conditions. Such conditions occur ...
2
Clostridium botulinum
Clostridium perfringens
Staphylococcus aureus
Staphylococcus epidermidis
Pathology
Infectious Disease
10aacb23-4436-4bfa-bef8-de629a1b847b
single
Which of the following parameters is not monitored in a patient on methotrexate therapy:
Methotrexate is an antimetabolite chemotherapeutic agent that binds to the enzyme dihydrofolate reductase, which is involved in the synthesis of purine nucleotides. This interferes with deoxyribonucleic acid (DNA) synthesis and disrupts cell multiplication. Methotrexate has long been known to be effective in the treatm...
3
Liver function tests
Lung function test
Eye examination
Hemogramz
Pharmacology
Chemotherapy
0c01a98d-699a-4354-9632-fabf3fe32813
single
A 1-year-old infant has biphasic stridor, barking cough and difficulty in breathing since 3-4 days. He has high-grade fever and leukocyte count is increased. Which of the following would not be a true statement regarding the clinical condition of the child?
CROUP (laryngotracheitis and laryngotracheobronchitis) Management Once the diagnosis of croup is made, mist therapy, coicosteroids and epinephrine are the usual treatments. Since croup is chiefly viral in etiology, antibiotics play no role. Mist therapy (warm or cool) is thought to reduce the severity of croup by moist...
3
It is more common in boys than in girls
Subglottic area is the common site of involvement
Antibiotics are mainstay of treatment
Narrowing of subglottic space with ballooning of hypo-pharynx is seen
ENT
null
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multi
In pyelonephritis the diagnostic urinary finidng is -
null
1
Pus cell cast
RBC cast
Pus cells
RBCs
Medicine
null
d6bb1295-45ad-45ec-9e5f-f847b6cf690c
single
Which is the most common site for duodenal ulcer
About 95 percentage of duodenal ulcers occur within 2 centimetres of the pylorus
1
Within 2 centimetres of pylorus
Second part of duodenum
Distal duodenum
Early part of jejunum.
Surgery
null
87ee3561-0361-47ce-a3e9-ce784b0f4848
single
The emeiocytosis or reverse pinocytosis requires which ion
C i.e. Ca++
3
Na+
K+
Ca++
Mg++
Physiology
null
26c553d7-73d8-4557-ba34-b109e6570a71
single
True regarding fibromuscular dysplasia are all except
OCPS predispose Fibromuscular dysplasia affects mainly medium and large aeries. Sometimes alteration of the normal normal structure of the aerial wall gives rise to true aneurysms. There is also associated irregular hyperplasia. Muir's Textbook of pathology Edited by JR Anderson, 12 th edition, page no 14.36 Answer is ...
2
Medium size vessels
OCPS predispose
Aneurysm may occur
Irregular hyperplasia
Pathology
Breast
35460f1d-b643-48f4-961c-79bfece2e380
multi
Which is the longest chromosome?
Chromosome 1 is the longest chromosome. In a karyotype, chromosomes- arranged according to their length and banding features. Chromosomes 1 to 22 are arranged according to their length, in the descending order. Chromosome X is longer than the Y Chromosome.
1
Chromosome 1
Chromosome 21
Chromosome 14
Chromosome X
Pediatrics
Types of Genetic Disorders
8be8cc74-06d4-4cae-a62f-8c0c3e75c2ef
single
Oculomotor nerve leaves cranium through:
Ans a) superior orbital fissureStructure passing through Superior orbital fissureMedialMiddleLateralInferior ophthalmic veinSympathetic nerves around internal carotid arteryNasociliary nerveOtulomotur nerveAbducent nerveSuperior ophthalmic veinlacrimal nerveFrontal nerveTrochlear nerveMnemonic- Inferior sympathyMnemoni...
1
superior orbital fissure
Inferior orbital fissure
Foramen magnum
Optic canal
Anatomy
Cranial Nerves
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single
A 33 year old male presented with homonymous hemianopia. He also has ataxia and personality changes. Characteristic inclusions are seen in oligodendrocytes. What is the MOST probable diagnosis in this patient?
Progressive multifocal leukoencephalopathy(PML) is characterized pathologically by multifocal areas of demyelination of varying size distributed throughout the brain but sparing the spinal cord and optic nerves. Characteristic microscopic feature: 1. Oligodendrocytes have enlarged, densely staining nuclei that contain ...
1
Progressive multifocal leukoencephalopathy
Cruetzfeld-Jacob disease
Japanese encephalitis
Poliomyelitis
Medicine
null
2d6e6d86-98d1-4e79-a5ff-ae3a3978a3c0
single
Pilocarpine is drug of choice in -
Ans. is 'b' i.e., Acute angle-closure glaucoma Important factsAngle-closure glaucomao Treatment of choice for acute congestive glaucoma - Laser iridotomy( 1st choice), Peripheral iridescence (2nd choice)o Drug of choice for acute congestive glaucoma - Pilocarpineo Initially, IOP is controlled (the first drug used) - Sy...
2
Open angle glaucoma
Acute angle closure glaucoma
Pigmentary glaucoma
None
Unknown
null
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multi
Anaesthesia breathing circuit recommended for spontaneous breathing is
TypeA or Magills circuit is used in Spontaneous ventilation. Type D is used in controlled ventilation. TypeB and Type C are obselete nowadays
1
Mapleson A
Mapleson B
Mapleson C
Mapleson D
Anaesthesia
Anaesthetic equipments
c403aa56-c462-44e1-af85-3a42285d2252
single
Pancreatic juice becomes thick if it has impaired
As the volume of pancreatic secretion increases, its Cl- concentration falls and its HCO3- concentration increases.The magnitude of the exchange is inversely propoionate to the rate of flow.In cystic fibrosis where this exchange mechanism is lost, pancreatic secretions become dehydrated and thickenedREF: GANONG&;S REVI...
2
Na secretion
Cl- secretion
Na+ H+ exchange
H+ secretion
Physiology
G.I.T
9cd093d8-fc91-4d49-bcfb-8e37654b2f4a
single
All of the following are acceptable criteria for water quality except -
The dissolved oxygen content of water is influenced by the raw water temperature,composition,treatment and any chemical or biological processes taking place in the distribution system.No health based guideline value has been recommended (refer pgno:720 park 23rd edition)
1
Dissolved O2 of 5 mg\/L
Nitrates of 1 mg\/L
Nitrites of 1-2 mg\/L
Free & saline NH3 of 0.05 mg\/L
Social & Preventive Medicine
Environment and health
058da16d-efb1-4856-8c25-096bea8e1a78
multi
Name of the procedure
This is V-to-Y advancement. Commonly used for fingeips and extremities.Ref: Bailey and love, 27e, page: 641
3
Z plasty
Rhomboid flap
V-Y advancement flap
Rotation flap
Surgery
All India exam
55737765-73f5-4057-a726-0584f11dede2
single
Taurine seen in bile acid metabolism is synthesized from which amino acid ?
Ans. is 'b' i.e., Cysteine Taurine is synthesized from cysteine. Synthesis of other impoant amino acid is as follows :? Glutamate is synthesized from a-ketoglutarate by enzyme glutamate dehydrogenase. Glutamine is synthesized from glutamate by enzyme glutamine synthase. Alanine is synthesized from pyruvate by transamin...
2
Serine
Cysteine
Methionine
Glycine
Biochemistry
null
7d4c4bb3-bc13-4582-b7ed-2bf6be7e1fb7
single
Color of diphtheretic membrane is -
Ans. is 'a' i.e., Grey
1
Grey
White
Yellow
Cream
Pediatrics
null
b68e8780-e5e0-497d-b4dd-412b59d46af8
single
why do GLYCOPYROLATE is used as pre-anesthetic medication ?
* Actions of glycopyrrolate are similar to atropine except for some differences,as given below.. * CNS-minimal CNS effects. * CVS-increased hea rate is to a lesser extent and for shoer duration than atropine,hence ,lodynamic sLao.ay when used as premedication. * Similar actions on RS,GIT,GUT and other smooth muscles an...
1
no central effect as it do not cross BBB
as it have few side efects
as it increases pharyngeal secreation
no post surgical complications
Pharmacology
All India exam
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single
The pregnant female dies while doing illegal abortion. The doctor can be punished under
Refer the byte "Legal sections".
3
303 IPC
316 IPC
314 IPC
315 IPC
Forensic Medicine
null
9474d18f-c420-499c-9ffa-e3cf63e02632
single
Rodent ulcer is ?
Ans. is 'c' i.e., Basal cell carcinoma Advanced basal cell carcinoma may ulcerate and extensive local invasion of bone or facial sinus may occur after many years of neglected or in unusually aggressive tumors, explaining the archaic designation rodent ulcer.
3
Infectious ulcer
Hypersensitivity
Basal cell carcinoma
Squamaous cell carcinoma
Pathology
null
be55a778-57b1-428b-81aa-eadcc0f835cc
single
Select the drug which is used exclusively in organ transplantation and autoimmune diseases, but not in cancers:
CALCINEURIN INHIBITORS (Specific T-cell inhibitors) Cyclosporine Mech of action:- It inhibits T lymphocyte proliferation, IL-2 and other cytokine production as well as response of inducer T cells to IL-1. Cyclosporin binds with protein cyclophiin-A and inactivate calcineurin and the transcription of genes involved in s...
2
Cyclophosphamide
Cyclosporine
Methotrexate
6-Mercaptopurine
Pharmacology
Immunomodulators
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single
Injury to cervical nerve C5, C6 causes:
Ans. (a) Erb's paralysisRef: Apley's orthopedics 9th ed./ 279-80Erb's paralysis- Erb's palsy or Erb-Duchenne palsy is a paralysis of the arm caused by injury to the upper group of the arm's main nerves, specifically the severing of the upper trunk C5-C6 nerves.Position of hand in Erb's paralysis: Adducted, Internally r...
1
Erb's paralysis
Klumpke paralysis
Horner syndrome
Central cord syndrome
Orthopaedics
Injuries Around Shoulder
5113b363-cc89-49f9-b933-2d19da307f05
single
'Doughnut' sign and 'Coiled spring' appearance are seen in
(A) Intusussception # Ultrasound Axial images of intussusception showed a doughnut pattern.> Hypoechoic external ring was formed by the everted returning limb of intussusceptum and, to a lesser degree, by the intussuscipiens.> Doughnut's center varied according to the scan level.> Scans obtained at the middle or at the...
1
Intussusception
Meckel's diverticulum
Intestinal malrotation
Volvulus
Surgery
Miscellaneous
c68fc590-b588-4406-ab87-e017156f5472
single
Vertical compaction of warm gutta-percha technique was given by?
null
3
Grossman
Ingle
Schilder
Cohen
Dental
null
03bafb10-eb8e-4315-8282-0d779e83fbe8
single
Worldwide accepted minimum dose of penicillin in latent syphilis-
null
3
4.8 mega units
6.0 mega units
7.0 mega units
10 units
Medicine
null
74e9a3ee-7ccd-479c-b3a2-f28774850ddd
single
Profuse watery diarrhea in an immuno compromised child is due to -
Ans. is 'c' i.e., Giardia Diarrhea in immunocompromised child (AIDS) include bacterial (salmonella, compylobacter) ,protozoal (giardiasis, cryptosporidium), and viral (CMV, HSV) causes.
3
Cryptococcus
Amoeba
Giardia
Lactose intolerance
Pediatrics
null
7db0f85c-3610-4da8-ace7-87fd78e444b2
single
Latest retinoid drug used in acne is: March 2005
Ans. C: Adapalane Adapalene is an aromatic naphthoic acid derivative. Adapalene is stable in the presence of light and resistant to oxidation by benzoyl peroxide. Additionally, it differs from tretinoin/ retinoic acid in its affinity for various retinoic acid receptors. Moreover, adapalene is a very effective antiacne ...
3
Retinoic acid
Clindamycin
Adapalane
Azelaic acid
Skin
null
6309e1e8-eff8-48f6-a9e8-4bce44338d1b
single
Metabolic changes associated with excessive vomiting includes the following
Vomiting causes loss of gastric secretions which include HCl & K+ ions, resulting in metabolic alkalosis, hypokalemia and hypochloremia. However note that the moderate to severe hypokalemia seen with excessive vomiting is not merely explained by loss of K+ ions in vomiting. "In fact the hypokalemia is primarily due to ...
3
Metabolic acidosis
Hyperchloremia
Hypokalemia
Decreases bicarbonates
Anatomy
General surgery
15eaf7e0-9e13-4bfa-a263-cf102ecc5fe8
single
Gastric lavage in contraindicated in which of the following poisonings?
Ans. A. Hydrocarbon poisoningGastric lavage involves the passage of a oro gastric tube with sequential administration and aspiration of small volumes of normal saline with the intent of removing toxic substances present in the stomach. Contraindications to gastric lavage include ingestion of hydrocarbons because of hig...
1
Hydrocarbon poisoning
Excessive intake of anti- tubercular drugs
Excessive intake of iron tablets
Excessive intake of Paracetamol
Pediatrics
Fluid & Electrolyte
604210a5-0359-4e52-8ebf-d479606c7b4a
single
A patient is admitted with 3rd episode of deep venous thrombosis. There is no history of any associated medical illness. All of the following investigations are required for establishing the diagnosis except-
null
3
Proteing C deficiency
Antithrombin III deficiency
Antibodies to factor VIII
Antibodies to cardiolipin
Medicine
null
d3a56302-74f2-44d5-994d-b057262a57f7
multi
Calcium hydroxide is preferred to ZOE fillings below a composite resin restoration as:
null
3
Calcium hydroxide forms a calcific bridge
Eugenol irritates the inflamed pulp
Eugenol interferes with the setting of composite resins
None of the above
Dental
null
8a56a37c-3edc-44c1-9d94-2976fc77907a
multi
Which of the following enzyme deficiency is the most common cause of pseudohermaphroditism in a female child?
Most common cause of female pseudohermaphroditism is congenital adrenal hyperplasia mostly caused by deficiency of the enzyme 21 hydroxylase. Due to this enzyme deficiency, there is deficient production of adrenal coisol and aldosterone and overproduction of adrenal androgens.
4
3 - hydroxylase deficiency
11 - hydroxylase deficiency
17 - hydroxylase deficiency
21- hydroxylase deficiency
Medicine
null
1b1888f5-401c-4c13-ac3f-7ed889e02c00
single
All the following in the Light's criteria are suggestive of exudative pleural effusion except -
Ans. is 'b' i.e.. Pleural fluid ADA <16 Diagnostic criteriao The Light's Criteria Rule is a traditional method of differentiating transudates and exudates that measures serum and pleural fluid protein and LDH.According to the traditional Light's Criteria Rule, if at least one of the following three criteria lie, compon...
2
Pleural fluid protein : serum protein ratio > 0.5
Pleural fluid ADA < 16
Pleural fluid LDH : serum LDH ratio >0.6
Pleural fluid L DH > two thirds of the upper limitof serum LDH
Medicine
Pleural Effusion & Pneumothorax
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multi
Most common inherited cause of Aplastic anemia
M/C acquired cause - Idiopataic. M/C inherited - Fanconi anemia.
2
Idiopathic
Fanconi anemia
Scwachman - diamond syndrome
Down syndrome
Medicine
null
49a21df6-cf26-426c-8efc-c9571574016e
single
Acute mechanical large bowel obstruction should be operated early because -
null
3
Electrolyte imbalance due to third space loss
Septicaemia from absorption of bowel contents
Early gangrene and perforation
Respiratory embarrassment to massive abdminal distension
Surgery
null
5895bf7d-2066-4ca8-a538-d3abe95b3709
single
Most potent stimulator of naive Tcells?
Ans. is 'a' i.e., Mature dendritic cells . Mature B cells and T-cells before antigenic exposure are called naive B and T cells respectively. Sequence of events in activation of naive T cells : . Immature dendritic cells in the epidermis are called langerhans cells. . These immature dendritic cells ( langerhans cells) c...
1
Mature dendritic cells
Follicular dendritic cells
Macrophages
B cell
Microbiology
null
802ec030-da3e-42af-89d4-46e661001969
single
Which of the following is the national level system that provides annual national and state level reliable estimates of feility?
General Feility Rate (GFR):It is the "number of live bihs per 1000 women in the reproductive age-group (15-44 or 49 years) in a given year".GFR = in the same area in same year] x 1000General feility rate is a better measure of feility than the crude bih rate because the denominator is restricted to the number of women ...
4
Civil registration system
Census
Ad-noc survey
General feility rate
Social & Preventive Medicine
Demography and family planning
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single
Graft from homozygotic twin is known as ?
Ans. is 'b' i.e., Isograft Graft from homozygotic (identical) twin is called as isograft. Graft A tissue graft is a medical procedure in which tissue from a donor is used to replace missing or damaged tissue on a patient ( recipient).
2
Autograft
Isograft
Allograft
Xenograft
Microbiology
null
52b5f48e-1f7a-423d-8e17-715cddcffded
multi
Cumulative increase in the height of the baby at 6 months:
Ans: B (18 cm) Ref: Nelson Textbook of Pediatrics, 19th edition and Achar Textbook of Pediatrics, 4th edition.Explanation:Average Length/Height at different Postnatal AgesAt Birth - 50 cmAt 3 months - 60 cmAt 6 months - 65 cmAt 9 months - 70 cmAt 1 year - 75 cmAt 2 years - 87.5 cmAt 4 years - 100 cmAt 8 years-125 cmAt ...
2
9 cm
18 an
24 cm
6 cm
Pediatrics
Assessment of Growth
26b4a1ae-3cbb-4108-8408-6e37cc5e0ebc
single
Management of stone on CBD includes following except
Medical dissolution of stone is used for gallstones, not the CBD stones CBD ctones are rarely asymptomatic, often present with complication CBD stones should be treated, if diagnosed. Treatment options include ERCP, laparoscopic or open CBD exploration Ref : Bailey and love 27th edition Pgno : 1200
3
ERCP
Laparoscopic CBD exploration
Medical dissolution of stone
Endosphincteric removal
Anatomy
G.I.T
aca34e5a-2714-4851-98e9-3c25b4980009
multi
What is the probable diagnosis in the patient with below flow volume loop (FVL)?
The above FVL is a typical of fixed central airway obstruction (Either above or below the thoracic inlet) such as tracheal stenosis. In this, there is limitation to peak flow rate,Flattened inspiratory and expiratory curves are seen. Other FVL patterns: 1.Normal 2. Airflow obstruction:- COPD 3. Fixed Upper Airway obstr...
2
Restrictive airway disease
Tracheal stenosis
Obstructive airway disease
None of the above
Medicine
Pneumonia
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multi
The minimum amount of normal perfused liver parenchyma to be left intact when a hepatic resection is planned is -
• Up to 70% to 75% of the hepatic volume may be resected with good recovery in patients with relatively normal hepatic parenchyma (without active hepatitis, cirrhosis, or metabolic defects), as long as the remnant liver has adequate portal venous and hepatic arterial inflow, adequate hepatic venous outflow, and adequat...
2
10%
20%
50%
75%
Surgery
null
774ab5f8-e8e6-4f6a-91dc-40a557440ba6
single
A -wave in JVP indicates:
Ans. B: Atrial contraction Waves - a - presystolic; produced by right atrial contraction - c - bulging of tricuspid valve into the right atrium during ventricular systole (isovolumic phase) - v - occurs in late ventricular systole; increased blood in right atrium from venous return Descents - x - combination of atrial ...
2
Atrial relaxation
Atrial contraction
Bulging of tricuspid valve into right atrium
Ventricular contraction
Medicine
null
4e76e295-d695-4d8c-b795-264e5186c088
single
A 35 year old pregnant female at 40 weeks gestational age presents with pain and regular uterine contractions every 4-5 min. On arrival,the patient is in lot of pain and requesting relief immediately. Her cervix is 5cm dilated. What is the most appropriate method of pain control for this patient?
When complete relief of pain is needed throughout labour,epidural analgesia is safest and simplest. Ref: Williams Obs 24e pg 513 .
4
Intramuscular morphine
Pudendal block
Local block
Epidural block
Anatomy
General obstetrics
fcf4abbf-fe47-4b4b-b27d-2afe8a0b5019
single
A 2- year old child presented with leucocoria in the right eye since 2 months. On examination a total retinal detachment was present in the same eye. Ultrasound B scan revealed a heterogenous subretinal mass with calcification. The most likely clinical diagnosis is:
B i.e. Retinoblastoma Leukokoria in a child less than 6 years with hetrogenous mass & calcification on USG or CT scan is diagnostic of retinoblastomaQ. It may lead to secondary glaucoma & retinal detachment.
2
Coats- disease
Retinoblastoma
Toxocariasis
Retinal tuberculoma
Ophthalmology
null
1e33f98a-cb77-40fe-8115-41bded664a76
single
Sudden cardiac death may occur in all of the following except :
Answer is D (Ventricular septal defect) Amongst the options provided ventricular septal defect is the least likely diagnosis to result in sudden cardiac death. Hyperophic and Dilated Cardiomyopathy : The cardiomyopathies (Hyperophic and Dilated) are the second most common category of diseases associated with risk of 'S...
4
Dilated cardiomyopathy
Hyperophic cardiomyopathy
Eisenmenger's syndrome
Ventricular septal defect
Medicine
null
ed015873-2b73-4192-9511-2b835c96271c
multi
Bleeding vessel in haemorrhoids is
Bleeding vessel in haemorrhoids is superior rectal vein which is a branch of inferior mesenteric vein at the level of rectum. Dilation of these vessels leads to bleeding leading to internal haemorrhoids. Veins are better option than aery.
2
Superior rectal aery
Superior rectal vein
Middle rectal aery
Middle rectal vein
Anatomy
Pelvis and Perineum 3
39860116-7589-4aa9-94e1-7e56a9332a0d
single
Hydrochloric acid is produced by?
Ans. C Oxyntic cellsRef: Ganong, 23rd ed. pg. 431-32Secretion in Stomach* Oxyntic cell (parietal cell) secretes: HCl and intrinsic factor of castle* Chief cell (zymogen or peptic cell) secrete: pepsinogen* G cell secrete: Gastrin* D cell secrete: Somatostatin* ECL cells secrete: Histamine
3
G-cell
D-cell
Oxyntic cells
Chief cells
Physiology
G.I.T.
6883af60-1b54-43ce-be20-2222bc1d1027
single
Which of the following is shown in the diagram shown below?
Ans. (c) Entropion.The image shows presence of lower eyelid Entropion which is a malposition showing inversion of eyelid margin. The subtype is of involutional type with relative Enophthalmos.
3
Chalazion
Stye
Entropion
Ectropion
Ophthalmology
Anomalies in the Position of Lashes and Lid Margin
347fdf37-2f39-4c03-baba-938c71badf0f
single
Which of the following contract together with stapes to stiffen the ossicular chain and protect the inner ear from noise damage?
Stapedius and tensor tympani muscles contract through a neural reflex arc mediated by loud sounds (>80 dB). They act to stiffen the ossicular chain and protect the inner ear from noise damage, paicularly at low frequencies. In contrast, cholesteatoma formation in the middle ear can contact the ossicular chain, increasi...
2
Scala media
Tensor tympani
Scala vestibuli
Semicircular canal
ENT
null
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single
Recommended level of fluoride in drinking water?
Ans. is 'b' i.e., 0.5 - 0.8 mg/L The recommended level of fluoride in drinking water in the country is accepted as 0.5 to 0.8 mg/ Liter. -Park Maximum permissible limit is 1.5 mg/Lit.
2
0.2-0.5 mg/L
0-5-0.8 mg/L
0.8-1.2 mg/L
1.2-2.0 mg/L
Social & Preventive Medicine
null
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single
All lesions are seen in leprosy except –
Leprosy is not a vesiculo-bullous (blistering) disorder.
3
Erythematous Macule
Hypopigmented patch
Vesicles
Flat & raised patches
Dental
null
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multi
Choose the appropriate lettered structure in this MRI scan showing a sagittal section through the head and neck. Tears drain through the nasolacrimal duct into the space below which structure?
(b) The inferior nasal meatus below the inferior concha receives the nasolacrimal duct.
2
A
B
C
D
Anatomy
Head & Neck
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single
Tetracycline ointment for mass prophylaxis:
Ans. 0.1%
1
0.10%
0.50%
1%
5%
Ophthalmology
null
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single
Late Complication of radiotherapy
Mucositis (Inflammation of mucosa) is a late complication.
3
Nausea
Thrombocytopenia
Mucositis
Erythema
Radiology
null
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single
HIV primarily infects?
ANSWER: (A) CD4+ cellsREF: Jawetz, Melnick, & Adelberg's Medical Microbiology, 24TH edition Chapter 44Repeat Microbiology December 2010
1
CD4* cells
CD8+ cells
NK cells
All of these
Microbiology
Human Immunodeficiency Virus
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multi
The magnetic field in MRI is measured in
Tesla =magnetic fieldHounsfield units =CT numberMHz = To denote probe frequency in USGThe units of magnetic field strength are Gauss and Tesla. Tesla was the father of alternating current and Gauss was German mathematician. 1Tesla = 10 KG = 10, 000 Gauss Gauss is a measure of low magnetic field strength. Eah's magnetic...
2
Hounsfield units
Tesla
MHz
None
Radiology
All India exam
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multi
A 42 yr old engineer developed redness of the glans and radial fissuring of the prepuce 2 weeks ago. A potassium hydroxide preparation of scrapings from the glans showed pseudohyphae and buds. Which one of the following systemic illness should he be screened for?
Visualization of pseudohyphae s/o candidiasis and DM is a predisposing factor for it. Candidiasis Predisposing factors or conditions (especially for disseminated form): DM Antibacterial agents Indwelling urinary catheters Parenteral glucocoicoids Neutropenia Abdominal and thoracic surgery Immunocompromised state Patien...
2
Pulmonary tuberculosis
Diabetes mellitus
Systemic candidiasis
Chronic renal failure
Dental
Sexually Transmitted Infections
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single
Treatment of choice for congenital hydrocele?
Ans. B. Herniotomy. (Ref. Bailey and Love 26th/pg. 1382; 381).# In congenital hydrocele, the processus vaginalis is patent and connects with the peritoneal cavity. The communication is usually too small to allow herniation of intra-abdominal contents. Pressure on the hydrocele does not always empty it but the hydrocele...
2
Sac eversion
Herniotomy
Conservative
Hernioraphy
Surgery
Testis & Scrotum
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single
Which one of the following is not associated with carbohydrate digestion, absorption, or both?
Enterokinase is an intestinal enzyme that activates trypsinogen as it enters the small intestine from the pancreas. Enterokinase is secreted into the lumen by mucosa cells, but much of it adheres to the enterocyte membrane. Once activated, trypsin can fuher activate itself as well as other inactive proteases. Amylase i...
4
Amylase
Sucrase
Secondary active transpo
Enterokinase
Physiology
G.I.T
129cb58b-a145-45fb-acf9-ee930371ec72
multi
Bilateral facial palsy is seen in-
null
2
Myaesthania gravis
Guillain Bane
Muscular dystrophy
Duchnene muscular dystrophy
Medicine
null
480f70d6-9eba-40b1-ae75-d6e002152468
single
Which of the following is the late toxic manifestation of diphtheria in child?
Polyneuropathy and myocarditis are late toxic manifestations of diphtheria. Myocarditis is typically associated with dysrhythmia of the conduction tract and dilated cardiomyopathy. Other complications of diphtheria include pneumonia, renal failure, encephalitis, cerebral infarction, and pulmonary embolism. Neurologic m...
2
Renal failure
Myocarditis
v
Septicemia
Pediatrics
null
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single
When can a child begin to take a biscuit to his mouth?
By 6 months, a child can begin to take a biscuit to his mouth. By 12 months, he can try to feed self with a cup but spills some of contents. By 15 months, he can drink from cup without much spilling By 18 months, he can feed himself well with a spoon
3
2 months
4 months
6 months
9 months
Pediatrics
Impoant Motor Milestones
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single
Early recovery of Sudeck's atrophy can be best seen by:
It is claimed to be the most successful treatment
2
Intraarterial injection of articaine.
Intraarterial injection of novacaine.
Both.
None.
Surgery
null
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multi
If a conraceptive has failure rate of 15, how many unplanned pregnancies will the female have in her reproductive period.
Ans. is 'c' i.e., 4.5 Failure rate per HWY =Total accidental pregnancies--------------------------Total months of exposurex 1200"A woman's reproductive period is roughly from 15 to 45 years, i.e a period of 30 years"------ Park24th/e - 521* Thus,15 =Total accidental pregnancies--------------------------30 x 12x 1200Tot...
3
3.5
4
4.5
5
Social & Preventive Medicine
Demography and Family Planning
55de7bde-6151-487a-8261-1036a52b3774
single
Saturated fatty acids is maximum in which of the following:
Saturated fatty acids are a long-chain carboxylic acid that usually has between 12 and 24 carbon atoms that has no double bonds.Thus, saturated fatty acids are saturated with hydrogen (since double bonds reduce the number of hydrogens on each carbon).example; 1) Lauric acid (12 C) 2) Myristic acid (14 C) 3) Palmitic ac...
2
Sunflower oil
Coconut oil
Soyabean
Safflower oil
Biochemistry
null
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single
Shortest diameter is:
Ans. is b, i.e. Obstetric conjugateRef. Dutta Obs. 9/e, p 80-81Anteroposterior diameters of the pelvic inlet.DiametersFeatureMeasurement IObstetric conjugate* It is the distance between the midpoint of the sacral promontory to prominent bony projection in the midline on the inner surface of the symphysis pubis.* It is ...
2
Diagonal conjugate
Obstetric conjugate
True conjugate
All are equal
Gynaecology & Obstetrics
Fetal Skull and Maternal Pelvis
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multi
Drug used in severe hypercalcemia -
Medical Management 1.Rehydration until serum calcium level falls (4-6 litres of normal saline in first 24 hrs) 2.Correct electrolyte imbalance and give frusemide 100 mg 1-2 hours 3.Other methods to decrease serum calcium are: a.Salmon calcitonin 200-400 IU 8 hourly subcutaneously b.Mithramycin 25 ug/kg IV c.Neutral pho...
4
Furosemide
Prednisolone
Pamidronate
All
Medicine
Endocrinology
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multi
The aqueous flare is best demonstrated by:
Ans. Biomicroscope
1
Biomicroscope
Keratoscope
Pentoscope
Ophthalmoscope
Ophthalmology
null
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single
Best investigation when there is clinical suspicion of pulmonary embolism in a patient is -
CT pulminary angiography is the first-line diagnostic test.It has the advantages of visualising the distribution and extent of the emboli,or highlighting an alternative diagnosis,such as consolidation,pneumothorax, or aoic dissection.A definitive diagnosis of PE depends on visualisation of an intraluminal filling defec...
2
D - Dimer assay
Multi detector CT angiography
Doppler ultrasound
Catheter angiography
Medicine
Respiratory system
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single
In EEG, delta waves are seen:
Ans. C. In deep sleep Type Frequency (Hz)LocationNormallyPathologicallyDeltaup to 3frontal, high amplitude (20- 200uV)Adults*deep sleep* infants* subcortical lesions* diffuse lesionsTheta4-7 HzParietal and temporal regions* young children*drowsiness (early sleep)* focal subcortical lesionsAlpha8 -12 HzParietal and occi...
3
Due to reticular system
When the thalamus is cut off from pons
In deep sleep Type
These originate from thalamocortical area
Physiology
Nervous System
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single
Mottled enamel occurs due to:
null
1
Fluorosis
Trauma
Hypocalcemia
Congenital syphilis
Dental
null
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single
Thimble bladder is seen in -
Ans. is 'a' i.e., Tuberculosis o Bladder tuberculosis is almost always secondaryto renal tuberculosiso The disease starts at the ureteric opening, the earliest evidence being pallor of the mucosa due to submucosal edema.o Subsequently tiny white transluscent tubercles develop all over. Gradually these tubercles enlarge...
1
Tuberculosis
Pyelonephritis
Radiation cystitis
Chemical cystitis
Surgery
Miscellaneous (Bladder)
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single
"Crumbled egg appearance" in liver is seen in?
Ans is 'c' i.e., Hydatid liver disease
3
Hepatic adenoma
Chronic amoebic liver abscess
Hydatid liver disease
Haemangioma
Surgery
null
0343a5b4-6ed7-4b6e-bb3c-1321ff16e6ee
single
Alkalinization of urine ameliorates the toxicity of which of the following drugs
refer Goodman Gilman 12/e p85 Alkalinization of urine speeds the clearance of weakly acidic drugs like. Aspirin Phenobarbitone Chlotpropapamide Methotrexate
4
Arabinoside -cytosine
Ifosfamide
Cisplatin
Methotrexate
Pharmacology
Chemotherapy
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single
Cystic hygroma may be associated with:
Cystic hygroma Cystic hygromas are multiloculated cystic spaces lined by endothelial cells It results due to sequestration of a poion of jugular lymph sac from the lymphatic system Cysts are filled with clear lymph and are lined by endothelium Turner's syndrome is associated with cystic hygroma Most cystic hygromas inv...
1
Turner's syndrome
Klinefelter's syndrome
Down's syndrome
All of the above
Surgery
Neck
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multi
Minimum separable distance for two-point threshold test is greatest at?
The size of the receptive fields for light touch can be measured by the two-point threshold test. In this procedure, the two points on a pair of calipers are simultaneously positioned on the skin and one determines the minimum distance between the two caliper points that can be perceived as separate points of stimulati...
3
Lips
Palm of hand
Back of scapula
Dorsum of hand
Physiology
Nervous system
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single
Osmotic adaptations are all except
null
3
Due to osmolysis
In brain cells
Due to urea & glucose mainly
Protects against large H2O shift
Physiology
null
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multi
Erotomania is seen in: NEET 13
Ans. Bipolar mania
1
Bipolar mania
Unipolar mania
Neurosis
Obsessive compulsive disorder
Forensic Medicine
null
555781f4-8aff-4159-9cf5-149f27324f75
single
Antibodies to one of the following infection are not transmitted to a child –
Protective Antibodies against pertussis do not cross placenta. So, early immunization is desired.
2
Measles
Pertusis
Diphtheria
Polio
Pediatrics
null
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single
According to Herrington classification the decerebrate rigidity is characterised by all EXCEPT
(Rigidity occurs in all muscles of the body) (210-11 Ganong 22nd) (692- Guyton 11th) (247- Ganong 23rd)DECEREBRATE - RIGIDITY -* When the brain stem of an animal is sectioned below the mid level of the mesencephalon. But the pontine and medullary reticular system as well as the vestibular system are left intact, the an...
1
Rigidity occurs all muscles of the body
Increased in the rate of discharge of the 'y' efferent neuron
Increased excitability of the motor neuron pool
Decerebration produces no phenomenon akin to spinal shock
Physiology
Nervous System
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multi
BCRABL gene mutation is seen in? (A)CML (B)AML (C)CLL (D)ALL
Chronic Myeloid leukemia o Chronic myeloid leukemia is a stem cell disease that is characterized by leucocytosis with granulocyc immaturies, basophilia, splenomegaly and disnct chromosomal abnormality - Philadelphia (Ph') chromosome. It is one of the chronic myeloproliferave disorders. Pathogenesis of chronic mveloid l...
3
B
C
A
D
Pathology
null
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multi
An infant brought to emergency, unresponsive, bradycardia, shallow breathing. Next step of management:
d. Cardiopulmonary resuscitationThe sequence of resuscitation in infants & children is C-A-B (compressions, airway, breathing) rather than A-B-C i.e initiate CPR with chest compressions, rather than with rescue breaths
4
IV epinephrine
IV atropine
Stabilize the airway and assist breathing
Cardiopulmonary resuscitation
Pediatrics
Respiratory System
cf45ae1c-0f7c-4bb7-8a47-d955393746da
multi
Which protein prevents contraction by covering binding sites on action and myosin :
D i.e. Tropomyosin
4
Troponin
Calmodulin
Thymosin
Tropomyosin
Physiology
null
5d0d25fe-d12c-4a6f-916f-495aee7b985a
single
The most common causative organism of canaliculitis is
Chronic canaliculitis is an uncommon condition, frequently caused by Actinomyces israelii, anaerobic Gram-positive bacteria. Occasionally scarring and canalicular obstruction may result. Presentation is with unilateral epiphora associated with chronic mucopurulent conjunctivitis refractory to conventional treatment. Th...
3
HSV
Candida albicans
Actinomyces israelii
Nocardia asteroides
Ophthalmology
Nasolacrimal Disorders
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single
Fever increase w ater losses by ______ ml/day per degree Celsius -
Ans. is 'b' i.e., 200 ml/day per degree Celsius \
2
100
200
400
800
Medicine
Infection
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single
In root, the inner cell layer of root sheath induce the formation of:
The inner cell layer of the root sheath forms from the inner enamel epithelium or ameloblasts in the crown, and enamel is produced. In the root, these cells induce odontoblasts of the dental papilla to differentiate and form dentin. The root sheath originates at the point that.
4
Coronal Dentin.
Ameloblasts.
Enamel.
Odontoblasts.
Dental
null
6e57cf40-5e9e-42fd-aa04-bfca460aa3ac
single
The impression material with lowest viscosity is
Impression plaster is a β-calcium sulfate hemihydrate used at a water/powder ratio of approximately 0.5 to 0.6. Its fluidity makes it suitable for making impressions of soft tissues in the uncompressed state, a characteristic of mucostatic impression material. Ref: Phillips 12 ed page no 177
1
Plaster of paris
Agar-agar
Zinc oxide eugenol
Elastomers
Dental
null
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single
PCR detects
Polymerase chain reaction (PCR) is a technique used in molecular biology to amplify a single copy or a few copies of a piece of DNA across several orders of magnitude, generating thousands to millions of copies of a paicular DNA sequenceRef: DM Vasudevan, 7th edition, page no: 638
3
Antigen
Antibody
Nucleic acid
All of the above
Biochemistry
Metabolism of nucleic acids
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multi
Factors which help in descent of presenting pa during labour are all except
Factors facilitating descent are Uterine contraction and retraction Bearing down effos Straightening of the fetal ovoid specially after rupture of membranes
4
Uterine contraction and retraction
Straightening of the fetal axis
Bearing down effos
Resistance from the pelvic floor
Anatomy
General obstetrics
af4e3b0f-4651-42de-81e7-f9fac0864483
multi
Which of the following is the earliest sign of lead poisoning?
Facial pallor paicularly of the mouth is the earliest and most consistent sign of chronic lead poisoning and is due to vasospasm. Chronic poisoning results from a daily intake of 1-2mg of lead. Other characteristic features of chronic lead poisoning are anaemia (punctate basophilia), lead line, colic and constipation, ...
1
Facial pallor
Colic and constipation
Punctate basophilia
Encephalopathy
Forensic Medicine
null
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multi
BRCA1 gene is located on?
BRCA1 gene is located on the chromosome 17. Mutations in the BRCA1, BRCA2, account for 80% of cases of familial breast cancer. In addition to breast cancer, women with BRCA1 mutation have a substantially higher risk of epithelial ovarian cancers & men have a slightly higher risk of prostate cancer. Likewise mutation in...
3
Chromosome 12
Chromosome 21
Chromosome 17
Chromosome 22
Pathology
null
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single
Recruitment of follicles is caused by
FSH is responsible for recruitment of follicles.
2
LH
FSH
Inhibin β
GnRH
Gynaecology & Obstetrics
null
f175cb06-0cdb-48da-a01b-9d85f235c8a8
single