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After an operation on femur bone, chest x-ray shows widespread mottling throughout the lung field like a snowstorm, the likely cause
null
3
Air embolism
Bacterial pneumonitis
Fat embolism
Pulmonary embolism
Orthopaedics
null
3e8affd9-1f57-4f95-9904-2b453e95abad
single
Causes of status epilepticus in a child-
Ans. is 'b' i.e., Hyponatremia Causes of status epilepticus in children o Idiopathic o Drug intoxication o Congenital/Developmental neurological abnormalities o Hypoglycemia o Meningitis, Encephalitis o Hyponatremia o Head trauma o Pyridoxin deficiency
2
Hypernatremia
Hyponatremia
Hyperkalemia
Hypokalemia
Pediatrics
null
7022a295-d3b0-4209-a66e-0a41df750b89
single
A female with genital herpes simplex is being treated in the outpatient depament. The doctor teaches her about measures that may prevent herpes recurrences and emphasizes the need for prompt treatment if complications arise. Genital herpes simplex increases the risk of:
A female with genital herpes simplex is at increased risk for cervical cancer. Genital herpes simplex isn't a risk factor for cancer of the ovaries, uterus, or vagina. HPV is the primary neoplastic-initiating event in the vast majority of women with invasive cervical cancer. HPV- 16 and -18 are the types most frequentl...
3
Cancer of the ovaries
Cancer of the uterus
Cancer of the cervix
Cancer of the vagina
Dental
Sexually Transmitted Infections
6d8e7874-11ca-4620-8d6a-3f9410c0636b
single
All are chest X-Ray features suggestive of VSD in a child, EXCEPT:
Chest X-Ray are typically normal in small VSD. In case of large VSD the findings are: 1. Cardiomegaly 2. Pulmonary plethora 3. Increased splaying of the carina with an anlge more than 90 with left main bronchi. 4. Small aoic knob 5. Increased left atrium Ref: Essentials of Pediatric Radiology, Page - 44
1
Large aoic knob
Increased splaying of the carina
Cadiomegaly
Pulmonary plethora
Radiology
null
a3e7475c-2f08-402d-a613-fa69aea7ec12
multi
The drug imatinib acts by inhibtion of:
Ans. is 'a' i.e. Tyrosine kinase Chronic myeloid leukemia is characterized by BCR-ABL translocationThe BCR-ABL translocation in chronic myeloid leukemia encodes a tyrosine kinase which is essential for cell proliferation and survivalImatinib (511-571) is a new molecularly targeted drug, which inhibits the tyrosine kina...
1
Tyrosine kinase
Glutathione reductase
Thy midile synthetase
Protein kinase
Pharmacology
Anti-Neoplastic Agents
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single
Pleomorphic adenoma is usually arise from
(Parotid gland) (546-HM) (584-Basic pathology 8th)Pleomorphic adenoma (Mixed salivary tumour) is the commonest tumour in the parotid gland and occurs less often in other major and minor salivary gland, common in females.
1
Parotid gland
Sub mandibular gland
Minor salivary gland
Superficial lobe
Pathology
G.I.T.
52808b6a-e679-468e-b70f-dcc18a310fd4
multi
Drug causing gynecomastia is :
null
1
Spironolactone
Rifampicin
Penicillin
Bumetanide
Pharmacology
null
38f57975-0b1c-4c43-b75a-f1887d517e3e
single
A young female presents with a history of fever and nodular lesion over the shin. Histopathology reveals foamy histiocytes with neutrophilic infiltration. There is no evidence of Vasculitis. Most probable diagnosis is:
Absence of vasculitis, history of fever and nodular lesions with neutrophillic infiltration may be seen in Sweet's syndrome and Erythema Nodosum. However, presence of histiocytic infiltration is rare or uncommon in Sweet's syndrome and more common in Erythema nodosum. Therefore, Erythema nodosum is the right Answer amo...
2
Sweet's Syndrome
Erythema nodosum
Erythema nodosum leprosum
Behcet's syndrome
Skin
null
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single
Chandler’s Index is used for:
Chandler Index It is the average number of hookworm eggs per gram of faeces for the entire community.
4
Filariasis
Ascariasis
Guinea worm
Ancylostoma
Unknown
null
a6053c89-bcc7-46b3-8f31-0b1618ef8e17
single
Most common site for leiomyoma in GIT ?
Stomach is the most common site for leiomyoma in GIT. Most common benign tumor of oesophagus is stomach.
4
Appendix
Jejunum
Ileum
Stomach
Pathology
null
4ae2e062-b21e-48d0-8bf6-89f40c5c1bf3
single
Tachyphylaxis is seen after use of:
null
2
Tamoxifen
Ephedrine
Morphine
Chlorpromazine
Pharmacology
null
672ddcc5-a4e8-42cd-a5b1-853eb680e541
single
Brunner's glands are present in
Ans. a (Duodenum) (Ref. BDC, Vol. II, 3rd ed., 212)THE DUODENAL GLANDS OF BRUNNER (BRUNNER'S GLAND)# These lie in the SUBMUCOSA of the duodenum.# These are small, compound tubuloacinar glands.# They secrete mucus.RegionMajor characteristicsMucosal cell types at surfaceFunction of surface mucosal cellsEsophagus# Nonkera...
1
Duodenum
Jejunum
Proximal ileum
Distal ileum
Anatomy
Small Intestine
84f0ed49-9e34-4370-951e-9451f28c65d2
single
Cayenne pepper stippling due to hemosiderin is found in:-
Cayenne pepper stippling d/t hemosiderin seen in uncircumcised patient in Plasma cell balanitis of zoon/ zoon balanitis C/F - Erythematous, shiny lesions- Over glans penis- Asymptomatic lesion- Mild pruritus- Shows cayenne pepper strippling Cayenne pepper stippling appearance is d/t purpose develops pruritic spot d/t h...
3
Erythroplasia of Queyrat
Paget's disease
Plasma cell balanitis of zoon
Bowen's disease
Dental
JIPMER 2018
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Loss of extension of little ring finger, hypothenar atrophy is seen in injury of:
Ans. c. Ulnar nerve before division into superficial and deep branches (Ref: BDC 4/vol-I/123) Nerve damaged in case of numbness of little and ring finger, atrophy of hypothenar muscles is ulnar nerve, before division into superficial and deep branches. Supplied muscles Ulnar Nerve (C7C8T1) Musician's NerveQ Median Nerv...
3
Post interosseous nerve
Radial trunk
Ulnar Nerve
Median nerve
Anatomy
Hand
6d044ab3-6c3e-42c1-9467-583675478961
single
Deficinecy of enzyme hexosaminidase, subunit causes -
Tay-Sachs Disease (GM2 Gangliosidosis: Deficiency in Hexosaminidase b Subunit) Gangliosidoses are characterized by accumulation of gangliosides, principally in the brain, as a result of a deficiency of a catabolic lysosomal enzyme. Depending on the ganglioside involved, these disorders are subclassified into GM1 and GM...
1
Tay - Sach's disease
Hurler's syndrome
Fabry disease
Pompe disease
Pathology
Pediatrics, environment and nutrition
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single
A woman has a bilateral headache that worsens with emotional stress; she has two children, both doing badly in school; diagnosis is
A tension-type headache (TTH) is a syndrome characterized by bilateral tight, band-like discomfo, builds slowly, fluctuates in severity, episodic or chronic (present >15 days per month).Usually occurs without accompanying features such as nausea, vomiting, photophobia, phonophobia, osmophobia, throbbing, and aggravatio...
3
Migraine
Cluster headache
Tension headache
Trigeminal neuralgia
Medicine
All India exam
bd8e2393-f07d-493e-8a47-04a0548ccfe5
multi
Subcapsular orchiectomy is done for cancer of ?
Ans. is 'b' i.e., Prostate
2
Testes
Prostate
Penis
Urethra
Surgery
null
e8ddbb46-0383-4152-934d-337873f0390a
single
All the following are tricyclic antidepressants except
there are several types of antidepressants namely tri cyclic antidepressent=== amitriptilline, clomipramine, imipramine, noriptilline SSRI=================fluoxetine, paroxetine, fluvoxamine, seraline, citalopram, escitalopram SNRI=================venlafaxine, desvenlafaxine, duloxetine Mianserin is tetracyclic and aty...
1
Mianserin
Imipramine
Protriptyline
Maprotiline
Psychiatry
Mood disorders
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FDA indications of inhaled NO is?
Ans. is 'b' i.e., Pulmonary hypeension in newborn According to Goodman Oilman "Inhaled nitric oxide has been approved by FDA for use in newborns with persistent pulmonary hypeension and has become the first line therapy for this disease. In this disease state NO inhalation has been shown to reduce, significantly, the n...
2
Malignant hypeension
Pulmonary hypeension in newborn
Cyanotic CHD
None of the above
Anaesthesia
null
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multi
Epiphyseal enlargement is seen in
D i.e. Juvenile Rheumatoid
4
Rickets
Scurvy
Spondo-epiphyseal dysgenesis
Juvenile Rheumatoid Ahritis
Radiology
null
5d6bfb9f-6b4c-4227-a686-27a6e5f54d90
single
The laboratory evidence of flare in SLE is:
SLE FLARE: LAB RESULTS Increases in quantities of anti-dsDNA herald a flare, paicularly of nephritis or vasculitis It may be associated with declining levels of C3 or C4 complement. Antibodies to Sm is specific for SLE and assist in diagnosis; anti-Sm antibodies do not correlate with disease activity or clinical manife...
1
Increase in titre of anti-dsDNA
Increase in titre of ANA
Increase in anti-Sm
Elevation of ESR
Medicine
null
800bd0a9-d05f-48af-9c17-ce161396c2e4
single
Vulvar carcinoma accounts for what percentage of genital tract malignancies?
Ans. is 'b' i.e.,3 - 5%Vulval CarcinomaIt occurs in 17/100,000 females.It accounts for 3 - 5% of the genital tract malignanciesIt usually occurs in post menopausal females with median age of 60 years.It has increased association with obesity, hypeension, diabetes and multiparity.
2
0.5 - 1%
3 - 5%
7 - 11%
13 - 15%
Gynaecology & Obstetrics
null
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single
The most common manifestation of congenital toxoplasmosis -
null
2
Hydrocephalus
Chorioretinitis
Hepatospienomegaly
Thrombocytopenia
Pediatrics
null
761a8cc3-8cf9-4737-a55c-1391f69af678
single
PR interval in ECG denotes
Ans. (c) Atrial contractionRef: Ganong, 25th ed/p.525PR interval#From the onset of P wave to the beginning of QRS complex#Duration - 0.12 to 0.20 sec#Denotes atrial contraction and Atrioventricular (AV) conduction time
3
Isovolumetric contraction of ventricle
Insovolumetric relaxation of heart
Atrial contraction
None
Physiology
Heart, Circulation, and Blood
45757e59-a6c2-4c25-b233-19106a744738
multi
A 60-year-old male diabetic and hypeensive patient was found unconscious in the morning. On examination pulse rate is 120/min, BP=160/100 mm Hg. What is the next step to be done for management?
Choice C is ruled out since no features of raised ICP are given. Choice D is ruled out since BP lowering is done in case of CNS events if the BP> 185/110 mm Hg. Moreover, CT is required for diagnosis of a CNS event. At lower BP values reducing BP would be counterproductive and can lower Brain perfusion. Now we have to ...
2
Order CT scan
Check blood glucose
Give intravenous mannitol
Immediately reduce BP with antihypeensives
Medicine
Brain Hemorrhage
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multi
A 60 years old male presented to OPD with bleeding PR. On DRE, growth was felt at by the tip of index finger. On sigmoidoscopy, there was an ulcero-proliferative growth located 6 cm from anal verge. On CECT, liver and lungs were not involved. After chemoradiation, what is the next best step?
Ca. rectum - Length of surgical anal canal - 3 cm - Growth on DRE - (10 cm) - In rectum - Growth Located >5 cm above anal verge - LAR - Growth located at Anorectal junction or <5 cms from anal verge - APR Stage I - Surgical excision Stage II Stage III Stage IV Neo adjuvant chemoradiation + Surgical excision
2
Observation an follow up
Low anterior resection
Abdominoperineal resection
Haman's procedure
Surgery
GIT
34858cbf-f9a2-4930-9af1-89f53157bc8a
multi
Which of the following bone tumor arise from epiphysis?
Chondroblastoma is an uncommon benign neoplasm consisting of chondroid tissue mixed with more cellular tissue. In 98% cases it arise from the epiphysis. Osteoid osteoma is most commonly located in the proximal medial femoral coex just distal to the lesser trochanter. In long bones it is mostly located in the diaphysis ...
4
Osteoid osteoma
Chondrosarcoma
Ewing's sarcoma
Chondroblastoma
Surgery
null
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single
Resting membrane potential of neuron is
The magnitude of resting membrane potential from tissue to tissue ranges from - 9 to - 100.RMP of nerve Fibre is - 70mV(REF: TEXTBOOK OF MEDICAL PHYSIOLOGY GEETHA N 2 EDITION, PAGE NO 22)
2
+70mv
-70mv
+90mv
-90mv
Physiology
General physiology
9978bf8d-9aeb-41e9-82e8-2ed07f541d77
single
Which of the following will be the most important adjuvant therapy in a case of fungal corneal ulcer –
Cycloplegics are used in any corneal disease as a symptomatic treatment. Atropine ointment or eye drop is the DOC.
1
Atropine sulphate eye ointment
Dexamethasone eye drops
Pilocarpine eye drops
Lignocaine eye drops
Ophthalmology
null
187e7c8d-4974-4221-9ceb-09a1771acbb1
single
Which of the following techniques is the best for differentiating recurrence of brain tumour from radiation therapy induced necrosis?
Ans. PET scan
3
MRI
Contrast enhanced MR1
PET scan
CT scan
Radiology
null
049b766c-1986-43e2-9cb6-67dbf36d91d7
single
The most common extracranial solid tumor in pediatric age group is ____:
Ans. D. Neuroblastoma* Neuroblastoma - is the most common intra-abdominal malignancy and also, the most common extracranial solid tumor in children.* It is an embryonal cancer of the peripheral sympathetic nervous system.* The median age for diagnosis is 22 months and 90% of cases are diagnosed by 5 years of age.* Othe...
4
Juvenile pilocytic astrocytoma
Chloroma
Retinoblastoma
Neuroblastoma
Pediatrics
Childhood Tumors
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Mechanism of action of donepezil is :
null
1
Centrally acting reversible anticholinesterase
Centrally acting irreversible anticholinesterase
Irreversible cholinergic action
Reversible anticholinesterase
Pharmacology
null
68591efd-6d00-4693-9656-c00d277125d9
multi
Purpura fulminans is seen in?
Purpura fulminans is a severe form of DIC resulting from thrombosis of extensive areas of the skin. It predominantly affects young children following viral or bacterial infection, paicularly those with inherited or acquired hypercoagulability due to deficiencies of the components of the protein C pathway.
1
Protein C deficiency
Protein S deficiency
AT III deficiency
Factor 5 leiden mutation
Medicine
Platelet & Coagulation disorders
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single
A 4-month-old infant has undergone surgical treatment for meningo myelo encephalocele. A CT tomogram of head was made immediately after birth (see Figure below). At birth, an operation was carried out in the posterior cranial fossa to partially replace brain cerebellar contents to an intracranial position. In investiga...
Abnormal elongation of the medulla and lower cranial nerves may be evident in Arnold- Chiari syndrome. Additional features include fusion of the corpora quadrigemina, leading to a "beaked" tectum; partial or complete absence of the corpus callosum; and microgyria. The corpora quadragemina are relay stations for hearing...
3
Fusion of the frontal lobes
Fusion of the temporal, parietal, and occipital lobes
Abnormal elongation of the medulla and lower cranial nerves
Partial or complete absence of the pituitary gland
Surgery
Nervous System
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multi
A man presents with weakness, tachycardia, sweating, palpitations, giddiness on fasting which is prompltly relieved with food intake. What is the most probable diagnosis?
Ref: Robbins Pathologic Basis of Disease, 8'k edition. & Bailey and Love's Short Practice of Surgery 25th EditionExplanation:INSULINOMAfi-cell tumors (insulinomas) are the MC of pancreatic endocrine neoplasms.They may be responsible for the elaboration of sufficient insulin to induce clinically significant hypoglycemia...
1
Insulinoma
Pancreatic ca
Carcinoid
Zollinger Ellison syndrome
Surgery
Pathophysiology - Pancreatic Endocrine Tumors
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True about Thrombocytopenic pupura is?
Ans. is 'c' i.e., Thrombosis in cerebral vessels Thrombotic thromhocytopenic purpura (TTP) o TTP is included among group of diseases called thrombotic microangiopathic which are characterised by widespread thrombosis in microcirculation. o The other disorder which is included in this group include hemolytic uremic synd...
3
Haemolysis is extravasular
Normal renal function test
Thrombosis in cerebral blood vessels
Immediate cure following plasmapheresis
Pathology
null
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Which of the following is a superantigen
Superantigens  Certain species of infectious microorganisms produce powerful, immunostimulatory and disease-causing toxins called superantigen, so called because of their ability' to a polyclonally active large fraction ( up to 20% ) of T cell population.  Superangens are potent acvators of T-lymphocytes.  Superange...
3
Cholera toxin
Diphtheria toxin
TSST
Vero-cytoxin
Microbiology
null
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single
Infection become localized in the form of abscess, bacteria responsible for this is:
Pyogenic organisms, predominantly Staphylococcus aureus, cause tissue necrosis and suppuration. Pus is composed of dead and dying white blood cells, predominantly neutrophils, that have succumbed to bacterial toxins. An abscess is surrounded by an acute inflammatory response composed of a fibrinous exudate, oedema and ...
2
Streptococci
Staphylococci
Actinomyces
All of the above
Pathology
null
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multi
All are the feature (s) of chancorid except:
Ans: d. Typically indurated, Chancroid or soft sore is characterized by tender non-indurated irregular ulcers on the genitaliaThe infection remains localized, spreading only to the regional lymph nodes which are enlarged & painful"Haemophilus ducreyi: After an incubation period of 4-7 days, the initial lesion--a papule...
4
Ulcer bleed easily
Painful
Bubo formation
Typically indurated
Microbiology
null
2f0a6154-7376-459f-bb93-9ee6eb9d39c8
multi
Lateral boundary of cubital fossa is formed by -
Ans. is 'd' i.e., Brachioradialis o Lateral boundary of cubital fossa is formed by brachioradialis and medial boundary is formed by pronater teres. Cubital FossaLateral boundryBrachioradialisMedial boundryPronater teresBaseLine joining the two epicondyles of humerusApexPoint joining lateral and medial boundriesFloorBra...
4
Biceps
Pronater teres
Brachialis
Brachioradialis
Anatomy
Arm and Cubital Fossa
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single
BCG should be given: September 2005
Ans. A: Immediately after bih Bacillus Calmette-Guerin/BCG is a vaccine against tuberculosis that is prepared from a strain of the attenuated (weakened) live bovine tuberculosis bacillus, Mycobacterium bovis, that has lost its virulence in humans by being specially cultured in an aificial medium for years. The bacilli ...
1
Immediately after bih
At the age of 1 month
At the age of 6 months
At the age of 1 year
Social & Preventive Medicine
null
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Not associated with malignancy: JIPMER 13
Ans. Turner syndrome
2
Down's syndrome
Turner syndrome
Noonan syndrome
Klinefelter syndrome
Forensic Medicine
null
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single
N K cells activity is enahnced by -
IL-2 promote growth and differentiation of T & B cells , cytotoxicity of T & NK cells Reff: Ananthanarayan & Panikers textbook of microbiology 9th edition pg: 154 table 15.3
3
IL-1
TNF
IL-2
TGP-b
Microbiology
Immunology
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single
Shenton's Line is present in-
*Shenton's line is an imaginary line drawn along the inferior border of the superior pubic ramus and along the infero- medial border of the neck of femur. REF:Ref: Maheshwari J.Essential Ohopaedics 6th/e p.222
4
knee
Shoulder
Elow
Hip
Anatomy
null
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single
Chance of subsequent baby having NTD when first baby was born with NTD -
Ans. is 'b' i.e., 4%The recurrence risk of neural tube defect is :3 - 5 % if a couple has previously had a child with either anencephaly or spina bifida.5% if either parent was born with a NTD.10% if a couple has two affected children
2
2%
4%
10%
20%
Gynaecology & Obstetrics
null
a3cbf092-5849-4e46-98e4-4c7aa5714d4f
single
Most common histological variety of Uterine carcinoma is?
ANSWER: (C) AdenocarcinomaREF: Novaks gynaecology 14th ed.pg no 1350Uterine sarcomas are, in general, the most malignant group of uterine tumorsAbout 90% of women with endometrial carcinoma have vaginal bleeding or discharge as their only presenting symptom.The risk for endometrial cancer is 4 to 8 times greater in pos...
3
Squmous cell carcinoma
Columnar cell carcinoma
Adeno carcinoma
Mixed carcinoma
Gynaecology & Obstetrics
Carcinoma Endometrium
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In restraining of child everything involved except
null
1
Avoidance
Discrimination
Pedi wrap and papoose board
Aversive conditioning
Dental
null
0746a7bc-ded7-4861-a9a0-8a54282ca85b
multi
Action of intramedullary 'K' nail is
B i.e. Three - point fixation
2
Two-point fixation
Three-point fixation
Compression
Weight concentration
Surgery
null
3acff2e2-e05c-42e2-b0d3-59c49b6bf74d
single
Hyperacute rejection is due to
Hyperacute rejection occurs when preformed anti-donor antibodies are present in the circulation of the recipient. Such antibodies may be present in a recipient who has previously rejected kidney transplant, Multiparous women, Prior blood transfusionsHyperacute Rejection occurs within minutes or hours after transplantat...
1
Preformed antibodies
Cytotoxic T lymphocyte mediated injury
Endothelitis caused by donor antibodies
Circulating macrophage mediated injury
Surgery
General surgery
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single
Site of bleeding in Gastro-esophageal varices:
Ans is A (Sho Gastric veins), B (Right Gastric veins), & C (Left Gastric veins) "Varices in the distal esophagus and proximal stomach are a component of the collateral network that dives high-pressure poal venous flow through the left and right gastric veins and the sho gastric veins to the azygous system."- Sabiston 1...
4
Sho Gastric veins
Right Gastric veins
Left Gastric veins
All
Surgery
null
78671892-8186-4a19-9e29-0ee349dc34e4
multi
Which of the following is NOT an important/ frequent/well-known manifestation of an adverse drug reaction?
null
4
Agranulocytosis
Aplastic anaemia
Haemolysis
Leukaemia
Pharmacology
null
5323df28-e1f1-449c-af03-95c860de8e98
single
Painless burn in hand is a characteristic feature of?
Ans is 'b' i.e. Syringomyelia * In Syringomyelia, there sensory deficit in upper extrimities in the form of loss of pain and temperature sensations with touch and vibration being intact.
2
Thalamic syndrome
Syringomyelia
Cord compression
SLE
Pathology
Central Nervous System
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single
Insulin is secreted along with the following molecule in a 1:1 ratio
Glucagon-like peptide 1 (GLP-1) is an appetite suppressing substance found in the brain and intestine. In the brain, GLP-1 acts as a satiety signal. In the intestine, it slows emptying of the stomach and stimulates the release of insulin from the pancreas.Pancreatic polypeptide is a 36-amino acid peptide secreted by is...
3
Pancreatic polypeptide
Glucagon
GLP- 1
Somatostatin
Physiology
Endocrinology
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single
Blood loss during major surgery is best estimated by:
Measurement of blood loss during surgery (Gravimetric Method) Blood loss during operation is measured by: Weighing the swabs after use and subtracting the dry weight and fluid used + volume of blood collected in suction bottles (after subtracting irrigating fluid)
2
Visual assessment
Suction bottles
Transesophageal USG Doppler
Cardiac output by thermodilution
Surgery
null
1dec6929-4aca-4d43-8ea8-9050b3226867
single
Which drug can cause psychosis: September 2004
Ans. B i.e. Amfetamine
2
Ofloxacin
Amfetamine
Capreomycin
Rifampicin
Psychiatry
null
33a13c98-b450-4bd7-8b74-6fde20ad4c46
single
Fast muscle fibers are?
Ans. is'd'i.e., Glycolytic(Ref: Principles of medicalphysiolog p. 512)TYPES OF MUSCLE FIBERS:Two fibers types:Type I/red fibersType II/white fibers.Motor unit contains only one muscle fibers type:I.e., All motor unit fibers are either type-I or type II.Hence, named accordingly.CHARACTERISTICS OF MUSCLE FIBER TYPES:Para...
4
Red
Oxidative
Tonic
Glycolytic
Physiology
null
1fbfc98a-f744-4f57-8a6e-45cb51c84e27
single
Which is the first line of treatment for overactive bladder?
Behavioural therapy includes bladder training, pelvic floor exercise, fluid management.
2
Antimuscarinic drug
Behavioural therapy
Cholinergic drug
Botulinum toxin type A
Pharmacology
null
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single
Within practical limits, using less water in mixing plaster will result in a set product that
null
2
Contracts
Is stronger
Is more porous
Is less brittle
Dental
null
44b196a5-e155-4fd9-ad33-bc7bb3b38a41
single
Drug for prophylaxis of malaria in chloroquine resistant P.falciparum ?
Ans. is 'a' i.e., Mefloquine Chemoprophylaxis of malaria Chemoprophylaxis is recommended for travellers from non-endemic areas, and as a sho term measure for soldiers, police and labour forces serving in highly endemic areas. Chemoprophylaxis should begin a week before arrival in malarious area and continued for at lea...
1
Mefloquine
Quinine
Halofantrine
Aesunate
Social & Preventive Medicine
null
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single
Mala-N contains
MALA-N contains levonorgestrel 0.15 mg and ethinyl estradiol 0.03mg MALA-N is supplied free of cost through all PHC&;s, Urban family welfare centres etc. Reference : Park&;s textbook of preventive and social medicine, 23rd edition, Page no: 500
1
Ethinyl estradiol 30 mcg
Norgesterol 50 mcg
Ethinyl estradiol 50 mcg
Progesterone 10 mg
Social & Preventive Medicine
Demography and family planning
aa2018bc-4a47-4b17-82be-063f77abddb1
single
Retinoblastoma is bilateral in
Retinoblastoma: It is a malignant glioma of the retina, usually unilateral, that occurs in young children and usually is hereditary. In about 30 % of patients retinoblastoma is bilateral. The initial diagnostic finding is usually a yellow or white light reflex seen at the pupil (cat's eye reflex).
4
100 % of cases
1 % of cases
50 % of cases
30 % of cases
Ophthalmology
All India exam
95f19616-1ba6-474a-9ac1-9fa96ccad686
single
Which of the following is most common fingerprint pattern
The patterns of fingerprints : Loops-these reconstitute 60-70 percent patients encountered Whorl-represent 25-30 percent patients encountered Arch -represent about 5 percent of patients encountered Least commonly encountered is composite Refernce:Essentials of Forensic Medicine and toxicology PG no 2,vol 3
1
Loops
Whorl
Composite
Arches
Forensic Medicine
Identification
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single
Outer blood retinal barrier is formed by
Outer blood retinal barrier is formed by retinal pigment epithelium Blood Retinal Barrier * Outer BRB: Formed by RPE * Inner BRB: Formed by endothelium of microvasculature
3
Internal limiting mebrane
Endothelium
Retinal pigment epithelium
Ganglion cells
Ophthalmology
Retina
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single
Which of the following radiographic presentation cannot be seen in a patient with intussusception?
Radiographic signs of Intussusception: 1. Target sign 2. Crescent sign 3. Absent liver edge sign (also called the absence of the subhepatic angle) 4. Bowel obstruction 5. May have a normal x-ray The corkscrew sign describes the spiral appearance of the distal duodenum and proximal jejunum seen in midgut volvulus. It ha...
2
Target sign
Corkscrew sign
Crescent sign
Normal radiograph
Surgery
G.I.T
a5724364-a404-4a60-9ce4-8a1dc8e5b405
single
Cervix contains
Cervix contains mainly collagen and only 10 % of muscle fibres.
2
Mainly muscle fibres
Mainly collagen
Both muscle and collagen are in equal proportion
None of the above
Gynaecology & Obstetrics
null
e242aeb4-47c8-4331-ae6f-19b02a530994
multi
Calcification around the joint is seen in:
A i.e. Pseudogout In pseudogout (CPPD), there is intra & peri-aicular calcificationQ due to radio dense deposits are deposited in menisci & aicular hyaline cailage.
1
Pseudogout
Hyperparathyroidism
Rh. ahritis
Gout
Radiology
null
2a3148e2-464e-491d-98ab-8ca190e4e970
single
A child develop skin tumor with blisters on exposure to sunlight. Irregular dark spots on the skin were also found. He is very likely has defect in which of the following mechanism?
Ans. a. Thymidine dimmers repair (Ref: Harper 27/e p345-346; Lehning 5/e p1003)This patient is most likely have xeroderma pigmentosa, in which damage produced by UV-rays is caused due to formation of pyrimidine (mainly thymidine) dimmers.The damage produced by UV rays is caused due to formation of pyrimidine (mainly th...
1
Thymidine dimmers repair
Base excision repair
Mismatch repair
Double strand break repair
Biochemistry
Molecular Genetics
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single
The clinical use of leuprolide include all the following except
Refer KDT 6/e p 239 GnRH agonists as well as antagonists can cause hit flushes, loss of libido and osteoporosis as adverse effects
2
Endometriosis
Osteoporosis
Prostate cancer
Precocious pubey
Pharmacology
Endocrinology
34768824-b627-4e02-a12a-3069c7e9c617
multi
Dumping syndrome is due to:
Answer is B (Presence of Hypeonic Contents in small intestine) DUMPING SYNDROME refers to a syndrome of abdominal and vasomator symptoms which results from dumping of food stuffs with a high osmotic load, front the stomach, into the small bowel. Loss of storage capacity of stomach and ablation, by pass or destruction o...
2
Diarrhoea
Presence of hypeonic content in small intestine
Vagotomy
Reduced gastric capacity
Medicine
null
45c68e1a-39bd-4f44-b7fd-301f60386209
multi
Meniere's disease is:
(b) Endolymphatic hydrops(Ref. Cummings, 6th ed., 2331)Meniere's is also known as endolymphatic hydrops.There is no condition called Perilymphatic hydrops.Otospongiosis also known as otosclerosis is fixation of foot plate of stapes.Coalescent mastoiditis is infection of the mastoid air cells and is a complication follo...
2
Perilymphatic hydrops
Endolymphatic hydrops
Otospongiosis
Coalescent mastoiditis
ENT
Otosclerosis
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single
Bictegravir was approved by FDA recently for
Bictegravir (an Integrase Inhibitor) is a component of the fixed-dose combination product bictegravir/emtricitabine/tenofovir alafenamide (brand name: Biktarvy), which received marketing approval for the treatment of HIV infection by U.S. Food and Drug Administration in February 2018.
4
Cystic fibrosis
TB
Hypeension
HIV
Pharmacology
All India exam
98626654-2e98-438a-8a62-6a8c78867cb2
single
Sinus arrhythmia is due to-
Answer-C. Fluctuating parasympathetic response during respirationSinus rhythm with a beat-to-beat variation in the P-P interval (the time between successive P waves), producing an irregular ventricular rate.Sinus arrhythmia is a normal physiological phenomenon, most commnonly seen in young, healthy people.The hea rate ...
3
Sinus node disease
Exaggerated response to sympathetic system
Fluctuating parasympathetic response during respiration
Decreased hea rate in inspiration
Medicine
null
f7982d79-b9e1-41ac-a378-c69f1afe897e
single
Lovibond profile sign is seen in ?
Ans. is 'c' i.e., Clubbing Clinical indicators of clubbing are Lovibond profile sign and cuh's modified profile sign". Lovibond angle is the angle located at the junction between the nail plate and proximal nail fold. It is normally less than 160deg. In clubbing, the angle exceeds 180deg (Lovibond profile sign).
3
Koilonychia
Platynochia
Clubbing
Onycholysis
Skin
null
989ea808-e1cf-4ec8-bd78-dba14489ea2e
single
All are true regarding Rabies virus, except?
It is a bullet shaped virus with a single serotype. It is detected by immunofluoresence. The rabies virus is a neurotropic virus. These viruses areenveloped and have a single stranded RNA genome with negative-sense. All transcription and replication events take place in the cytoplasm inside a specialized "virus factory...
4
Single Stranded RNA virus
Linear
Negative sense
Space vehicle shaped
Microbiology
null
ef614fae-b369-466f-bf78-15e084318f6c
multi
OsteoscLerosis of bone occurs due to
null
3
Decreased host resistance
Increase in the virulence of organisms causes infection
Increased host response
Occurs in immunocompromised patients
Pathology
null
b17bd4ab-a488-47e7-a654-383ef09bef3d
single
Not true about retinoblastoma -
Ans. is 'c' More common in males o Retinoblastoma is the most common intraocular tumor in children. The tumor is confined to infancy and very young children (1-2 years). There is no sex predisposition. Retinoblastoma is unilateral in 70-75% of cases and bilateral in 25-30% of cases.o Gaze Fixation starts developing in ...
3
Bilateral in 20-30%
Affects age group 1-5 years
More common in males
Leukocoria is earliest symptom
Ophthalmology
Intra Ocular Tumour
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multi
Which of the following artery passes between the roots of the auriculotemporal nerve?
Middle meningeal artery passes between roots of auriculotemporal nerve.
2
Maxillary artery
Middle meningeal artery
Superficial temporal artery
Accessory meningeal artery
Anatomy
null
3e03b82c-ad2f-40b7-8089-28030721c153
single
Ethambutol is safer in patient of:
All first line drugs used against M.Tuberculosis are hepatotoxic except Ethambutol. But it requires dose adjustment in renal failure.
1
Liver disease
Kidney disease
Gout
Both 1 and 2
Pharmacology
null
4ed6e899-6187-4086-b16e-87e30e01a2b2
multi
The age changes in dentin include:
The age changes in dentin include the formation of sclerotic dentin and dead tracts. Hydroxyapatite crystals are laid down in the intertubular dentin and within dentinal tubules to block the tubules, against the entry of bacteria, etc. The dentin then becomes transparent in transmitted light, hence often called transpa...
3
Sclerotic dentin
Dead tracts
Both
None
Dental
null
b1bd64eb-8730-4c67-b90e-22e177ab50e0
multi
Oil drop cataract is characteristic of ?
Ans. C) Galactosemia Oil drop cataract Commonly seen in patients with galactosemia (a recessively inherited inborn error of carbohydrate metabolism). Accumulation of dulcitol (galactose reduction product) within the lens cells leads to increased intracellular osmotic pressure and fluid influx into the lens.
3
Diabetes
Chalcosis
Galactosemia
Wilson's disease
Ophthalmology
null
438f68a9-6e98-4d3e-b706-97146f74c8ac
single
D–tubocurarine acts by –
All non-depolarizing blockers (D-tubocurarine) act as competitive antagonist of acetylcholine on nicotinic (Nm) receptors at myoneural junction.
1
Inhibiting nicotinic receptors at myoneural junction
Inhibiting nicotinic receptors at autonomic ganglion
Producing depolarizing block
By inhibiting reuptake of acetylcholine
Anaesthesia
null
8350f6f8-cdb3-45ff-8468-ed8e6c5a1bdd
single
Hyperkalemia without ECG changes may be treated with all except :
Calcium antagonizes the cardiac conduction abnormalities induced by potassium. In the given question, the patient has no ECG changes; therefore calcium gluconate will not be useful. Use of calcium gluconate should be restricted to life-threatening hyperkalemia.
1
Calcium gluconate
Salbutamol
Na bicarbonate
Insulin with dextrose
Pharmacology
null
8e138438-da17-490e-9eaf-d46862303f7d
multi
Growth hormone secretion is decrease by all except
(C) Sleep > Stressful stimuli also increases GH levels.> Whereas REM sleep decreases GH secretion, but going to sleep increases it.# Stimulators of growth hormone (GH) secretion include: peptide hormones; GHRH (somatocrinin) through binding to the growth hormone-releasing hormone receptor (GHRHR) Ghrelin through bindin...
3
Glucose
Stressful stimuli
Sleep
Somatostatin
Physiology
Misc.
7cc28cb2-7b58-4770-b077-691b44c8492b
multi
Nitrates are contraindicated with
Sildenafil & Tadalafil are the PDE-5 inhibitors which are contrainidicated with Nitrates to prevent severe hypotension.
4
Sulphonylureas
Immunomodulators
SSRI's
PDE-5 inhibitors
Pharmacology
null
dcb4e06e-4461-4dc4-846d-cc2f2eb86f85
single
In low ovarian reserve,anti mullerian hormone level will be:
Ans. A. <1AMH and ovarian reserveAMH of 1.0 has very poor ovarian reserveThe central concept for the measurement of blood levels of AMH to determine ovarian reserve is this: women with lower AMH levels have a lower ovarian reserve than women with high AMH levels. AMH is currently being used by feility specialists to he...
1
<1
4-Jan
>7
>10
Gynaecology & Obstetrics
null
c25aa1bc-32fd-4bf7-93fa-c3fe65034669
single
Which are segments of upper lobe of right lung ?
Right upper lobe segments-apical,posterior,anterior B D CHAURASIA'S HUMAN ANATOMY UPPER LIMB THORAX-VOLUME1 SIXTH EDITION,Page no-241
3
Anterior, posterior, medial
lateral,medial,superior
Apical, anterior, posterior
Basal, medial, lateral
Anatomy
Thorax
694aecb0-4eb3-4026-aff1-322c0dec77d5
single
Most common among the Non-Hodgkin s Lymphoma (NHL) is
(A) Diffuse large B-cell lymphoma (DLBCL or DLBL)[?]Diffuse Large B-Cell LymphomaoDiffuse large B-cell lymphoma (DLBCL) is the most common form of NHL.oEach year in the United States there are about 25,000 new cases.oThere is a slight male predominance. The median patient age is about 60 years, but DLBCL also occurs in...
1
Diffuse large B-cell lymphoma (DLBCL or DLBL)
Haiiy cell Leukemia
Burkitt's lymphoma
Mantle Cell lymphoma
Pathology
Blood
294792e4-d7d2-4a8b-919b-95346c69d425
single
Placental enlargement is seen in which of the following infections except?
Ans. D.PlasmodiumMaternalMaternal diabetesRh incompatibilityAnemiaChronic intrauterine infection: TORCH (Toxoplasmosis, rubella, CMV, herpes), syphilis, VZV, Parvovirus B-19.Alpha - thalassemiaFetalHigh output hea failureUmbilical vein obstructionHydrops fetalis (all causes)Sacrococcygeal teratomaBeckwith - Wiedemann s...
4
Toxoplasma
CMV
Parvovirus
Plasmodium
Gynaecology & Obstetrics
null
ca357e08-beb9-4ef8-b31e-81740da2ac57
multi
Apoptosis is characterized by all of the following EXCEPT
(D) Inflammation # Cell undergoing apoptosis shows a characteristic morphology:> Cell shrinkage and rounding are shown because of the breakdown of the proteinaceous cytoskeleton by caspases.> Cytoplasm appears dense, and the organelles appear tightly packed.> Chromatin undergoes condensation into compact patches agains...
4
DNA fragmentation
Chromatin condensation
Cell shrinkage
Inflammation
Pathology
Misc.
2e878337-829f-4a66-8144-5fea39438d02
multi
Internal pudendal aery is a branch of ?
Ans. is `a' i.e., Anterior division of internal iliacBranches of anterior division of internal iliac aery are : (i) Superior vesical, (ii) Middle rectal, (iii) Inferior vesical (in males), (iv) Internal pudendal, (v) Vaginal (in females), (vi) Uterine (in females), (vii) Obturator, and (viii) Inferior gluteal.Branches ...
1
Anterior division of internal iliac
Posterior division of internal iliac
Anterior division of external iliac
Posterior division of external iliac
Anatomy
null
76294a31-d4e8-4b3b-8aa8-16a1168f0aeb
single
In amyloidosis, the following appearance will be seen in
X-ray crystallography and infrared spectroscopy demonstrate a characteristic cross-b-pleated sheet conformation.This confirmation is seen regardless of the clinical setting or chemical composition and is responsible for the distinctive Congo red staining and birefringence of amyloid.By electron microscopy, all types of...
1
X-ray crystallography
Electron microscope
Spiral electron microscope
Congo red stain
Pathology
General pathology
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multi
Daisy head colonies are seen with -
Ans. is 'b' i.e., Corynebacterium Diphtheriae
2
Staph. Aureus
Corynebacterium diphtheriae
Staph. Pyogenes
Anthrax
Microbiology
null
04d81502-541a-4e26-b3ce-36bf793a6873
single
True about pectoralis major muscle
PECTORALIS MAJOR:-Origin: Small clavicular head- medial half of anterior aspect of clavicle.Sternocostal head- lateral half of sternum upto 6th cailage., and medial pas of 2nd to 6th costal cailages.Inseion:-U shaped inseion into lateral lip of bicipital groove.Nerve supply:-Lateral pectoral( C5-C7)Medial pectoral (C6-...
3
Abductor & Internal rotator of shoulder
Blood supply by perforating branch of internal thoracic aery
Blood supply by thoraco acromial aery
Nerve supply by intercostal aery
Anatomy
Upper limb
645ee434-e40f-4962-afa8-045865c623de
multi
Characteristic feature of Systemic Juvenile Idiopathic Arthritis is
Systemic Juvenile Idiopathic Arthritis It begins at below 16 years of age NSAIDs are given  Ra factor is negative Uveitus is seen in oligoarticular JIA
4
Uveitis is a feature
It occurs after 16 years of age
NSAIDs are contraindicated
RA factor is negative
Pediatrics
null
aee54667-ff80-4a7a-a196-550c4646a259
single
Which of the following is not a cause of acute pancreatitis ?
Ans. is 'd' i.e., Magnetic resonance cholangiopancreatography (MRCP) Causes of Acute Pancreatitis Common causes Gallstones (including microlithiasis) - most common Hyperiglyceridemia Endoscopic retrograde cholangiopancreatography (ERCP), especially after biliary manometry. Trauma (especially blunt abdominal trauma) Pos...
4
Hypercalcemia
Thrombotic thrombocytopenic purpura
Cystic fibrosis
Magnetic resonance cholangiopancreatography (MRCP)
Pathology
null
a2ec1ac4-09e9-4b05-8020-505ab64c9d78
single
For an arterial blood content of 20 mL oxygen per 100 mL blood and venous blood content of 15 mL oxygen per 100 mL of blood, how much oxygen is transferred from blood to tissue if the blood flow is 200 mL/min?
Ans. B. 10 mL/minThe amount of oxygen exchanged is equal to the product of the blood flow and the arterial venous oxygen content difference: 200mL/minx(20mL/100mL-15mL/100mL)=10mL/min.
2
5 mL/min
10 mL/min
15 mL/min
20 mL/min
Physiology
Heart, Circulation, and Blood
854a5440-6eff-4f6e-a900-a22be4196eba
single
Which of the following infection affects fetal growth?
Ans: d (All) Ref: Dutta, 6th ed, p. 296All the above infections cause IUGR.Causes oflUGR:3. Placental* Placenta previa* Abruptio placenta* Circumvallate placenta* Infarction4. Idiopathic - 40%1. Maternal* Constitutional* Maternal nutrition* Maternal diseases - anaemia, HTN, heart disease etc.* Toxins - alcohol, drugs, ...
4
CMV
Rubella
Herpes simplex
All
Gynaecology & Obstetrics
Miscellaneous (Gynae)
a29dc6b1-1d35-4689-b1db-473e257807d1
multi
What is true about chorda tympani?
Chorda tympani from facial nerve provides preganglionic secretomotor fibres ( parasympathetic fibres ) to the glands. Ref : B D Chaurasia's Human Anatomy, seventh edition , volume 3 , pg. no., 136.
3
Postganglionic sympathetic
Postganglionic parasympathetic
Preganglionic parasympathetic
Postganglionic parasympathetic
Anatomy
Head and neck
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multi
Whiff test is positive in:
Ans. is c, i.e. Trichomonas infectionRef: Williams Gynae 3rd/ed, p52* Whiff Test:Vaginal discharge +10% KOH gives a Fishy odour.This test is characteristic of BV with vaginal pH >4.5 and this stems from diminished acid production by bacteria.Similarly Trichomonas vaginals infection is also associated with anaerobic ove...
3
Candidians
Chlamydial infection
Trichomonas vaginitis
HSV infection
Gynaecology & Obstetrics
Sexually Transmitted Disease in the Female
8540be06-254f-4daa-9214-ce0d1b2911cf
single
A drug that binds to and inhibits Gp IIb/IIIa glycoprotein and is responsible for platelet antiaggregatory effects is:
Aspirin Clopidogrel Ticlopidine 3 Act on TXA2 2 Act on ADP Abciximab Tirofiban Eptifibatide Act on GpIIb/IIIa
4
Clopidogrel
Enoxaparin
Fondaparinux
Tirofiban
Pharmacology
Hematology
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single