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Drug of choice in pneumonia caused by P. carinii is :
null
2
Penicillin
Cotrimoxazole
Kanamycin
Levofloxacin
Pharmacology
null
2f57aec9-3142-4903-9f8f-5cd4c9d829ba
single
Which anomaly is seen in following clinical condition?
null
1
Dental fusion
Gemination
Concrescence
Supernumerary teeth
Pathology
null
818fdc68-fa56-4120-ab69-4e8ab80f194a
single
A patient is passing stones recurrently in urine for past few years. All are due to be restrlcted in diet except-
The inverse relationship between low dietary calcium intake and an increase in stone formation is likely due to a secondary increase in urinary oxalate. While urinary calcium levels decreased in both groups, urinary oxalate levels increased in men on the low calcium diet and decreased in men on the normal calcium diet ...
2
Protein restriction
Calcium restriction
Salt restricted diet
Phosphate restriction
Medicine
Kidney
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multi
Cholestasis may lead to the following complications except -
Ans-D
4
Intrauterine fetal death
Meconium stained liquor
Preterm labour
Neonatal jaundice
Unknown
null
760614db-8cb1-41ff-b2e4-1526a5928306
multi
Not a cause of objective tinnitus ?
Ans. is 'd' i.e., Presbyacusis Tinnitus Tinnitus is ringing sound or noise in the ear. The characteristic feature is that the origin of this sound is within the patient.
4
Palatal myoclonus
Glomus tumor
Carotid aery aneurysm
Presbyacusis
ENT
null
7755315d-9b53-4c50-867c-0c0bd6ef74d7
single
The following are true about benign paroxysmal positional vertigo except -
null
2
Fatigability
Good reproducibility
Habituation
Latency
Medicine
null
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multi
Hexose sugar is not present in:
Hexose sugar is present in:Glucose, "blood sugar", the immediate source of energy for cellular respirationGalactose, a sugar in milk (and yogu), andFructose, a sugar found in honeyRibose is a pentose sugar
1
Ribose
Glucose
Fructose
Galactose
Biochemistry
null
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single
EAC rosette formation is the property of one of the following type of immune cells -
Erythrocyte antibody complement rosetting (EAC-rosetting), occurs when the antibody in the presence of complement is bound to the surface of a red blood cell. The complement binds to the tail region (Fc region) of the antibody. Finally, T-cells with a complement receptor are added and the T-cells bind to the complement...
1
T cells
B cells
Macrophages
All of the above
Microbiology
null
8a7c19f6-e396-46f9-a388-d8fd32d2601d
multi
Which of the following tumor is most commonly associated with superior vena cava syndrome:
Answer is B (Small cell carcinoma): Current Critical Care Diagnosis & Treatment 3ra /465 The incidence of superior vena caval syndrome is highest with small cell carcinoma. Superior vena caval syndrome (SVC syndrome) SVC syndrome results from an impedance in outflow from superior vena cava due to external compression T...
2
Lymphoma
Small cell carcinoma
Non small cell carcinoma
Metastasis
Medicine
null
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multi
Hemosiderin contains -
Ans. is 'b' i.e., Iron Hemosiderino It is hemoglobin derived, golden yellow to brown, granular or crystalline pigment in which form iron is stored in cells. When there is local or systemic excess of iron, ferritin forms hemosiderin granules. Thus hemosiderin pigment represents aggregrates of ferritin micelles. Under no...
2
Calcium
Iron
Magnesium
None
Pathology
Iron Deficiency and Megaloblastic Anemia
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multi
All the following are features of pseudotumor cerebri except -
null
2
Normal-sized ventricles on CT scan
Increased protein in CSF
Papilledema
Absence of focal neurological deficit
Medicine
null
86279d84-6e70-47c3-83dd-0e83d0628e50
multi
Blanket consent is consent taken: NEET 14
Ans. At the time of admission to do any surgery
4
When the patient comes to doctor for treatment
Orally when given during any procedure
Implied by gesture
At the time of admission to do any surgery
Forensic Medicine
null
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multi
The early changes in coicosteroid-induced cataract are in the form of:
Ans. Central posterior subcapsular lens changes
1
Central posterior subcapsular lens changes
Anterior coical lens changes
Nuclear changes
Diffuse lens changes
Ophthalmology
null
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single
Anthracosis is caused by -
Ans. is 'c' i.e., Coal dust * Anthracosis- Coal dust* Silicosis- Silica* Siderosis- Iron* Byssinosis- Cotton dust (textile industry)* Farmer's lung- Hay or grain dust (micropolyspora faeni)* Sequousis- Moldy red wood saw dust* Suberosis- Moldy cork dust* Detergent workers lung- Enzyme additives* Baggassosis- Sugarcane ...
3
Silica
Iron
Coal dust
Cotton dust
Social & Preventive Medicine
Occupational Health
61a0c6fc-cb12-422b-ae4e-53a40784216a
single
What is common in amalgam and ceramics?
null
1
More compressive strength but less tensile strength
More compressive strength and tensile strength
Less compressive strength but more tensile strength
Less compressive strength and tensile strength
Dental
null
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single
Pseudocholinesterase is synthesized by
Pseudocholinesterase which metabolizes succinylcholine is synthesized by liver and is present in plasma. True cholinesterase which metabolizes acetylcholine is synthesized by muscle end plate. Ref: KD Tripathi 8th ed.
1
Liver
Plasma
Muscle end plate
Nerve ending
Pharmacology
All India exam
b7495466-d23f-4582-a6ee-d617fc00cf42
single
Chemoreceptor Trigger Zone is:
Area postrema
4
Pons
Lateral hypothalamus
Ventral hypothalamus
Area postrema
Physiology
null
8bb51b08-de49-4c3a-8f19-230323292a64
single
Parenteral nutrition is not used in:
Ans is d i.e. Pancreatitis
4
Enterocutaneous fistula
Burns
Crohn's disease
Pancreatitis
Surgery
null
1a2d2e19-27fb-4cb1-a613-6cf7dc324416
single
The most common side effect of IUD inseion is-
Ans. is 'a' i.e., Bleeding
1
Bleeding
Pain
Pelvic infection
Ectopic pregnancy
Social & Preventive Medicine
null
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single
The difference between a typical cervical and thoracic veebrae is, which of the following:
The transverse process of cervical veebrae is pierced by a foramen called foramen transversarium. It is not seen in thoracic and lumbar veebrae.Ref: Human Anatomy, B D Chaurasia, 4th Edition, Volume 3, Chapter 1, Page 40, 41; Textbook of Anatomy with Colour Atlas, Inderbir Singh, 4th Edition, Chapter 6, Page 84.
2
Has a triangular body
Has a foramen transversarium
Superior aicular facet directed backwards & upwards
Has a large veebral body
Anatomy
null
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single
A person with defective blue color appreciation is called ?
Ans. is `d' i.e., Tritanomalous
4
Deuteranomalous
Deuteranopia
Tritanopia
Tritanomalous
Ophthalmology
null
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multi
MC side effect of lithium: March 2003
Ans. B i.e. Fine tremors
2
Polyuria
Fine tremors
Polydipsia
Weight gain
Psychiatry
null
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single
Which of the following is not an ophthalmic emergency:
Ans. Macular hole
1
Macular hole
Retinal Detachment
CRAO
Acute primary angle closure glaucoma
Ophthalmology
null
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single
An 5 year old male patient complains of multiple decayed teeth and has a history of frequent snacking and consumption of sugar containing beverages. Intraoral examination shows multiple interproximal carious lesions. Which of the following caries management protocol is not suitable for this child?
Caries-Risk Assessment Form for Children 6 Years Old or Younger
3
Recall after 3 months
Professional topical fluoride treatment every 3 months
Professional topical fluoride treatment every 6 months
Radiographs every 6 months
Dental
null
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multi
Most common presenting feature of adult hypopituitarism is
In adults decreased pituitary function is first shown by hypogonadism.
2
Hypothyroidism
Hypogonadism
Addison’s disease
Hyperprolactinemia
Medicine
null
b6f76302-1666-43f3-9aa4-bb76433a7165
single
Which of following is/are not the feature of Henoch?Schonlein Purpura (HSP)
C. i.e. Thrombocytopenia
3
Abdominal pain
Splinter haemorrhage
Thrombocytopenia
Epistaxis
Skin
null
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single
A genetic disorder renders fructose 1,6 -- bisphosphates in liver less sensitive to regulation by fructose 2,6 -- bi-phosphate. All of the following metabolic changes are observed in this disorder except:
Ans. A. Level of fructose 1,6--biphosphate is higher than normalFructose 2,6 - biphosphate acts to decrease the activity of fructose 1,6 - bisphosphates. When the enzyme becomes less sensitive to regulation, the inhibitory effect is lost and the enzyme activity increases. The following effects are observed:a. Level of ...
1
Level of fructose 1,6--biphosphate is higher than normal
Level of fructose 1,6 -- biphosphate is lower than normal
Less pyruvate is formed
Less ATP is formed
Biochemistry
Carbohydrates
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multi
Which point in the below natural history of disease marks the onset of symptoms?
(c) C* Point A marks the entry of infectious agent into the host* Point B marks the subclinical phase where symptoms and signs are not visible, but the disease agent induces tissue and physiological changes* Point C marks the Clinical horizon when symptoms and signs appear* Point D is present inside the Clinical phase ...
3
A
B
C
D
Social & Preventive Medicine
Concept of Health and Disease
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single
Pulmonary embolism is caused due to
null
1
Deep vein thrombosis of leg
Increase in pulmonary tension
Fracture of pelvic region
Heart disease
Medicine
null
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single
Verocay bodies are seen in
Schwannoma are well circumscribed encapsulated masses that abut the associated nerve without invading it
4
Memingioma
Hemangioma
Glioma
Shwannoma
Anatomy
General anatomy
fa486197-aa01-4961-9b8b-7db900d6170d
single
The fibers of the coicospinal tract pass through which structure?
Coicospinal fibers pass through the Medullary Pyramid Extra edge Tracts Function Lateral coicospinal and rubrospinal tracts Control distal limb muscles for fine motor and skilled voluntary movements. Anteriorcoicospinal tract and tectospinal, reticulospinal, and vestibulospinal tracts Control the postural adjustments a...
2
Medial lemniscus
Medullary pyramid
Posterior funiculus
Medial longitudinal fasciculus
Physiology
Nervous System
3895ac37-67b2-4e84-9dda-8b7c1a0bff91
single
Which of the following is the "Least common" complication of measles -
Ans. is 'd' i.e., SSPE o Subacute sclerosing panencephalitis (SSPE) is a rare complication of measles, which develops many years after the initial infection - PSM
4
Diarrhoea
Pneumonia
Otitis media
SSPE
Social & Preventive Medicine
null
da757b01-796d-4acf-8a72-884d1780659a
single
Which of the following facilitates comparison between different radiations?
EQUIVALENT (RADIATION-WEIGHTED) DOSE: The equivalent dose (HT) is used to compare the biologic effects of different types of radiation on a tissue or organ. Particulate types of radiation have a high LET and are more damaging to tissue than radiation with low LET, such as x rays. This relative biologic effectiveness of...
2
Rad
Rem
Quality factor exposure
Roentgen
Radiology
null
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single
Myocarditis is caused bya) Pertussisb) Measlesc) Diptheriad) Scorpion sting
null
1
bc
c
ac
ad
Pathology
null
6ffd899a-4d4b-4216-b8ac-6e16a4b0daa1
single
Mean head circumference at birth is
Head circumference:-  Measured with a nonstretchable tape passing through the maximum point of occipital protuberance posteriorly and at a point just above the glabella anteriorly. Head circumference must be compared with that of mother to know any familial variations. If the head circumference is more than expected,...
4
48-51 cm
38-40 cm
42-45 cm
33-35 cm
Pediatrics
null
cf780ade-30c3-4c43-b56f-0608bdf588f1
single
All of the following are potassium sparing diuretics except :
null
4
Triamterene
Spironolactone
Amiloride
Indapamide
Pharmacology
null
c55ab349-d8dc-40d0-bfed-f975bf800dbb
multi
A farmer presents with pustules, which show Gram Positive Cocci on smear. Culture shows Beta hemolysis, and organisms are Catalase negative. To show that the identified organism is group A streptococci, which of the following test should be done?
Streptococci are catalase negative and beta hemolytic. Group A beta hemolytic streptococci can be differentiated from other beta hemolytic streptococci by bacitracin sensitivity. Streptococcus pyogenes is bacitracin sensitive whereas streptococcus agalactiae is bacitracin resistant. Both are beta hemolytic. Ref: Textbo...
1
Bacitracin sensitivity
Optochm sensitivity
Novobiocin sensitivity
Bile solubility
Microbiology
null
54d581fc-bc92-40d3-a5ef-ece8727c42bc
single
Which of the following is not seen in haemolytic anemia?
Ceain changes are seen in hemolytic anemias regardless of cause or type. Anemia and lowered tissue oxygen tension trigger the production of erythropoietin, which stimulates erythroid differentiation and leads to the appearance of increased numbers of erythroid precursors (normoblasts) in the marrow. Compensatory increa...
2
Hemosiderosis
Hemochromatosis
Cholelithiasis
None of the above
Pathology
null
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multi
Which of the following propeies make pyridostigmine different from neostigmine
Ref-KDT 7/e p108 Pyridostigmine acts for 3 to 6 hours as compared to 0.5 to 2 hourshours dur of action of neostigmine. It is less impoant than neostigmine Rest of the propeies are similar to neostigmine
2
It is more potent
It is longer acting
It produces less muscarinic side effects
It does not have any direct action on NM receptor
Anatomy
Other topics and Adverse effects
54384581-7d62-408c-9730-d87c55509823
single
All the following are features of Cardiac muscle Except
Some Differences among Skeletal, Cardiac, and Smooth MuscleNoSkeletal MuscleCardiac MuscleSmooth Muscle1StriatedStriatedNonstriated2No syncytiumSyncytialSyncytial3Small T tubulesLarge T tubulesGenerally rudimentary T tubules4Sarcoplasmic reticulum well developed andCa2+ pump acts rapidlySarcoplasmic reticulum present a...
4
Striated
Large T tubules
Troponin system present
Caldesmon is impoant regulatory protein
Biochemistry
miscellaneous
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multi
All correlates with USG findings of congenital pyloric stenosis except:
D i.e. High gastric residuesUltrasonography is the investigation of choice to confirm diagnose of hyperophic pyloric stenosis with accuracy > 95% (approching almost 100%)Q. USG visualizes thickened and elongated pyloric canalQ. USG criteria for diagnosis include >16 mm pyloric length and >4mm pyloric muscle wall thickn...
4
> 95% accuracy
Segment length >16mm
Thickness >4mm
High gastric residues
Radiology
null
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multi
All of the following are true about multiple myeloma except -
The chromosomal alterations in multiple myeloma include translocations in t(11;14) & t(4;14) & deletion of 13q.Reference : Harsh mohan textbook of pathology 6th edition pg no 381.
2
Osteolytic bone disease
(18-14) translocation
Light chain proliferation
Bence-Jones proteins in urine
Medicine
Haematology
5b028914-7122-4a86-afbd-cf660d24964b
multi
Drug of choice for obsessive - compulsive neurosis is :
SSRIs are the drugs of choice for OCD. However, amongst the given options no drug is SSRI. Amongst the tricyclic antidepressants, clomipramine is the DOC.
4
Imipramine
CPZ
Carbamazapine
Clomipramine
Psychiatry
null
043c2c51-76e1-4dbb-8ffa-78dcaffc2822
single
What is diagnostic of fresh myocardial infarction In ECG-
Ref: R Alagappan - Manual of Practical Medicine 4th Edition.pg no:184 ECG * May be normal initially and hence serial ECGs must be taken. * ST elevation and T-wave inversion with pathological Q-waves are typically seen in leads adjacent to the infarcted segment of myocardium. * Reciprocal ST depression or T-wave inversi...
3
QT interval prolongation
Pmitrale
ST segment elevation
ST segment depression
Medicine
C.V.S
b3b5bce1-8db9-4b8c-a18b-2d9be31bd647
single
Major hormone secreted by zona reticularis of adrenal coex ?
Ans. is `d i.e., AndrogensThe adrenal coex is divided into three zones (outer to inner) : Zona glomerulosa, zona fasciculata and zona reticularis.All three coical zones secrete coicosterone, but the active enzymatic mechanism for aldosterone biosynthesis is limited to the zona glomerulosa whereas the enzymatic machanis...
4
Glucocoicoids
Mineralcoicoids
Aldosterone
Androgens
Physiology
null
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single
Which drug used in bronchial asthma needs monitoring-
Ans. is 'a' i.e., Theophylline o Theophylline has low safety margin and therefore requires therepeutic drug monitoring.
1
Theophylline
Cromoglycate
Salmeterol
Terbutaline
Pharmacology
null
cb85e971-03f7-4a50-84d9-cf0a30ce19b9
single
The most common extranodal site for non-hodgkin lymphoma is
*Lymphomas are divided broadly into Hodgkins and Non-Hodgkin&;s lymphomas. *Two-thirds of Non-Hodgkin&;s lymphoma present as generalized lymphadenopathy(Nodal sites).*One third of the cases present at an extranodal site. *Extra nodal sites include the gastrointestinal tract, upper aerodigestive tract, salivary glands, ...
1
Stomach
Brain
Intestine
Tonsils
Pathology
Haematology
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single
Basic defect in HbS is -
null
2
Altered function
Altered solubility
Altered stability
Altered O2 binding capacity
Medicine
null
cce3bc7b-32ed-4c4e-88d4-8e52464c92f9
single
Blindness in child is most commonly due to
Most common cause of childhood blindness is vitamin A deficiency Refer: Khurana 6th edition page number 382
1
Keratomalacia
Congenital cataract
Glaucoma
Injuries
Ophthalmology
Conjunctiva
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single
Bleuler's symptoms for schizophrenia are all except
Eugen Bleuler's Fundamental Symptoms of Schizophrenia (Also called as 4 A's of Bleuler) 1. Ambivalence: Marked inability to decide for or against 2. Autism: Withdrawal into self 3. Affect disturbances: Disturbances of affect such as inappropriate affect 4. Association disturbances: Loosening of associations; thought di...
4
Loosening of association
Affect disturbances
Autism
Hallucinations
Psychiatry
Schizophrenia and other psychotic disorders
cac9e035-d246-4b9a-b436-a00b490cdb4b
multi
Stage of contraction of family stas at
Ans. is 'c' i.e., Leaving home of first child
3
Bih of first child
Bih of last child
Leaving home of first child
Marriage
Social & Preventive Medicine
null
854d6a1f-7def-4e0c-91af-9d0598ffa837
single
Phelp's sign is seen in:
Phelp's sign Phelp sign This sign is seen on CT scan In CT- in case of glomus jugulare tumor the normal crest between the carotid canal and jugulare tumor is absent whereas it is not so in case of glomus tympanicum
1
Glomus jugulare
Vestibular Schawannoma
Maniere's disease
Neurofibromatosis
ENT
null
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single
Fastest acting receptor/transduction mechanism is
Ref-KDT 6/e p40 Drugs acting and ionotropic receptor are fast acting where as those acting through nuclear receptors are slowest in action
3
Adenylyl cyclase-cyclic AMP pathway
Phospholipase C-IP3:DAG pathway
Intrinsic ion channel operation
Nuclear receptor
Anatomy
Other topics and Adverse effects
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single
A boy comes from Bihar with non-anesthetic hypopigmented atropic patch over face, diagonosis is
C i.e. Indeterminate leprosy Points in our of diagnosing indeterminate leprosy: - Epidermal atrophyQ Non scaly & AnesthesiaQ (if present) Resident of high leprosy prevelence state? (Bihar)
3
P. alba
P. versicolour
Indeterminate leprosy
Borderline leprosy
Skin
null
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single
Which structure is not transmitted by foramen ovale?
Ans. A Middle meningeal arteryRef: Netter's Clinical Anatomy, 3rd ed. pg. 460Structures transmitted via foramen ovale (M.A.L.E.)* Mandibular nerve-V3* Accessory meningeal artery* Lesser petrosal nerve* Emissary veinExtra edgeForamen rotundumMaxillary nerve V2Foramen LacerumInternal carotid arteryLesser petrosal nerveGr...
1
Middle meningeal artery
Accessory meningeal artery
Lesser petrosal nerve
Emissary vein
Anatomy
Neuroanatomy
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single
A mother has been diagnosed with chicken pox. She delivered 7 days ago a term infant that appears to be healthy. The baby is afebrile. Which of the following is the most appropriate step in management?
If a normal full-term newborn is exposed to chickenpox 2 or more days after delivery, VZIG and isolation are not necessary because these babies appear to be at no risk for complications. VZIG should be given to the infant immediately after delivery if the mother had the onset of varicella within 5 days prior to deliver...
1
Advise the mother to continue regular baby care
Hospitalize the infant in the isolation ward
Administer acyclovir to the infant
Administer varicella-zoster immunoglobulin(VZIG) to the infant
Pediatrics
Congenital Infections
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multi
Which of the following is not carried in dorsal column of spinal cord:March 2011
Ans. C: Heat sensationLateral spinothalamic tract carries fibers of all type of pain and temperature impulses (both hot and cold)Spinothalamic tractIt transmits information to the thalamus about pain, temperature, itch and crude touch.The pathway decussates at the level of the spinal cord, rather than in the brainstem ...
3
Proprioception
Vibratory sense
Heat sensation
Touch
Physiology
null
1a1fcb41-b8f9-42f8-b9bd-96117a390543
single
Homonymous hemianopia may be seen in lesion of all of the following, EXCEPT:
Lesion of the optic chiasma result in bitemporal hemianopia not homonymous hemianopia. Lesions of the visual pathway and corresponding field defects: Lesion of optic nerve: Ipsilateral blindness Lesion through proximal pa of optic nerve: Ipsilateral blindness with contralateral quadrantanopia. Lesion of optic tract: Ho...
1
Optic chiasma
Optic tract
Optic radiation
Occipital lobe
Ophthalmology
null
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multi
Age related dementia has been associated with increased levels of
Identification of modifiable risk factors provides a crucial approach to the prevention of dementia.. The findings are consistent with moderately raised plasma total homocysteine (>11 mmol/L), which is common in the elderly, being one of the causes of age-related cognitive decline and dementia Ref Harrison20th edition ...
1
Homocysteine
Cysteine
Tourine
Methionine
Medicine
C.N.S
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single
All are true regarding brachial plexus injury, except:
Preganglionic lesions have a poor prognosis as these do not recover and are surgically irreparable. Postganglionic lesions have better prognosis than preganglionic lesions and histamine test is useful in making the distinction
1
Preganglionic lesions have a better prognosis than postganglionic lesions
Erb's palsy causes paralysis of the abductors and external rotators of the shoulder
In Klumpke's palsy, Horner's syndrome may be present on the ipsilateral side
Histamine test is useful to differentiate between the preganglionic and postganglionic lesions
Orthopaedics
Nerve Injuries - 1
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multi
Harpender's Callipers are used to;
Ans. A. Measure Skin fold thicknessSkin fold thickness is an indication of the subcutaneous fat. Triceps skin fold thickness is the most representative of the total subcutaneous fat upto 16 years of age. It is usually above 10mm in normal children whereas in severely malnourished children it may fall below 6mm.
1
Measure skin fold thickness
Measure mid arm circumference
Measure height
Measure chest circumference
Pediatrics
Nutrition
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multi
Fracture of necessity is used to describe -
Ans. is 'b' i.e., Galleazzi fracture * "Closed reduction is usually not successful due to the deforming forces of the muscles. Hence, open reduction and internal fixation is the preferred method of treatment. Campbell noted this in 1941 and termed Galeazzi fracture as "Fracture of necessity".
2
Cottons fracture
Galeazzi fracture
Monteggia fracture
Rolando fracture
Orthopaedics
Injuries Around the Fore Arm & Wrist
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single
Aerobic oxidation of reduced cytochromes shows P/O ratio of
ADP:O or P:O Ratio: The NAD-dependant dehydrogenases such as malate, pyruvate, a-ketoglutarate, isocitrate, etc. produce three high energy phosphate bonds for each pair of electrons transferred to O2 because they have P: O ratio of 3. Thus P: O ratio is a measure of how many moles of ATP are formed from ADP by phosphor...
2
4
3
2
1
Biochemistry
Respiratory chain
7221157a-034f-434d-9caa-0be1df43e3ce
single
Glycine is useful in all of the following except
Spermine is a type of polyamine.This is aliphatic amine and it is synthesized from ornithine. Key enzyme is ornithine decarboxylase. REFERENCE : DM.VASUDEVAN.TEXTBOOK; SEVENTH EDITION ; PAGE NO : 229
3
Purine synthesis
Creatine synthesis
Spermine synthesis
Heme synthesis
Biochemistry
Metabolism of nucleic acids
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multi
A couple presents to a clinic for work-up of infeility after 5 years of unprotected intercourse. The wife denies any medical problems and notes regular menstrual cycles. The husband states that he has had chronic sinusitis and lower respiratory tract infections. Physical examination of the woman is unremarkable. Examin...
The husband is suffering from Kaagener's syndrome, an autosomal recessive disorder characterized by infeility, situs inversus, chronic sinusitis, and bronchiectasis. The underlying cause of these varied manifestations are defects in the dynein arms, spokes of microtubule doublets of cilia in the airways and the reprodu...
3
Azoospermia
Germinal cell aplasia
Immotile sperm
Isolated gonadotropin deficiency
Pediatrics
null
46c816fb-8129-4d37-8962-267642a78efe
single
Most common diaphragmatic hernia in children is:
(Through the f oramen of Bochdalek): Ref: 873 - LB (894-B & L 25th)Hernia through the foramen of Bochdolek - (Posterolateral) This is rarely the persistence of the pleuroperitoneal canal and the opening is in the dome of the diaphragm posteriorly* It is the most common diaphragmatic hernia in children* TRIAD of respira...
1
Through the foramen of Bochdalek
Through the foramen of Morgagni
Traumatic rupture of the diaphragm
Eventration of the diapliragm
Surgery
Hernia
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single
A 25 year old male presents to emergency dept. following a road traffic accident. On examination there is pelvic fracture and blood at urethral meatus. Following are true about pt except -
Ans is (a) anterior urethra is most likely the site of injury The pa of urethra most likely injured in pelvic fracture is membranous urethra (a pa of post. urethra) - Post. Urethra includes -- Prostatic + membranous urethra - Anterior urethra includes -- Bulbar + penile urethra The anterior urethra (paiularly bulbar ur...
1
Anterior urethra is the most likely site of injury
Retrograde urethrography should be done after the pt is stabilized.
Foley catheter may be carefully passed if the RGU is normal
Rectal examination may reveal a large pelvic hematoma with the prostate displaced superiorly
Surgery
null
ad5457cd-c0a1-41da-9049-608e84f0dc1b
multi
Loss of foot processes of podocytes is characteristically seen in?
Ans. is 'b' i.e., Lipoid nephrosis * Effacement (loss) of foot process of perietal epithelial cells (podocytes) is most commonly noted in minimal change disease (lipoid nephrosis).* However, it may be seen other causes of nephrotic syndrome like membronous GN, FSGS, IgA nephropathy (a type of mesangioproliferative GN),...
2
Good pasture syndrome
Lipoid nephrosis
PSGN
Lupus nephritis
Pathology
Kidney
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multi
A codon codes for a single amino acid. This characteristic is called ?
Ans. is 'b' i.e., Unambiguous Characteristics of genetic codes Genetic codes have following characteristics ? 1) Universal :- Each codon specifically codes for same amino acid in all species, e.g. UCA codes for serine and CCA codes for proline in all organisms. That means specificity of codon has been conserved from ve...
2
Non-overlapping
Unambiguous
Non-punctate
Degeneracy
Biochemistry
null
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multi
Vaccine associated paralytic polio is due to
VAPP - Vaccine associated paralytic polio is due to polio virus type 3 VDPV - Vaccine derived poliovirus is due to poliovirus type 2.
3
Polio virus type 1
Polio virus type 2
Polio virus type 3
None of the above
Social & Preventive Medicine
null
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multi
Population control can be best achieved by
null
2
Education
Spacing between pregnancies
Early sterilization
Nutrition
Social & Preventive Medicine
null
7eeb5206-3c9c-48bc-9bb7-a546bad7ad01
single
Time period between entry of organism to body to maximum infectivity is -
Ans is 'c' i.e., Generation time * Generation time - Period from receipt of infection to maximal infectivity.* Serial interval - Gap between onset of primary case and secondary case.
3
Lead time
Median incubation period
Generation time
Serial inverval
Social & Preventive Medicine
Epidemiology
bb4f7d51-4e48-45b6-b55d-f65c837eb20f
single
False about syphilis is :
Syphilitic ulcers(Chancre) are usually single in number, butter like, hard in consistency and typically painless.
3
Incubation period is 9-90 days
Secondary syphilis is due to hematological dissemination
Syphilitic ulcers(Chancre) are extremely painful
"General paresis of Insane" is due to CNS involvement in tertiary syphilis.
Dental
null
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multi
EB Virus is associated with which carcinoma:
null
3
Carcinoma of larynx
Carcinoma of bladder
Nasopharyngeal carcinoma
Chronic lymphocytic leukemia
Medicine
null
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single
A 20 year old is found to have blood pressures of 134/82 and 136/83 on two separate occasions. He will be classified as:
When systolic and diastolic blood pressures fall in different categories, the higher category is taken to classify the individual's blood pressure. Classification of blood pressure measurements: Category Systolic BP Diastolic BP Normal <130 <85 High normal 130-139 85-90 Stage 1 hypeension 140-159 90-99 Stage 2 hypeensi...
2
Normotensive
High normal BP
Stage 1 hypeension
Stage 2 hypeension
Social & Preventive Medicine
null
b108bf67-6fc6-49cf-9035-ce21564e1d89
single
Mitochondria of a sperm is seen in ?
Mitochondrial granules are seen enveloping the spiral threads around the axial filament present in the body of the sperm. Sperm: The human sperm possesses a head, a neck, a connecting piece or body, and a tail.Head is oval or elliptical, but flattened,its anterior two-thirds are covered by a layer of modified protoplas...
3
Head
Neck
Body
Tail
Anatomy
null
17a0557a-cd50-42fc-9f04-c7691c2fa215
single
Increase in cytosolic calcium from intracellular storage, during smooth muscle contraction is/are due to: (PGI Dec 2008)
Ans : D (IP3-DAG) & E (Ca2+ channel) Source of Calcium Ions & in Smooth Muscle Contraction Mechanism InvolvedAlmost all the calcium ions that cause contraction enter the muscle cell from the extracellular fluid at the time of action potential or other stimulusSarcoplasmic reticulum (the source of intracellular Ca2+), w...
4
CAMP
CGMP
CCMP
1P.-DAG
Physiology
Chemical Messengers: Receptors
bec07264-b37b-4a12-a323-77e88f676fda
single
Reactivation tuberculosis is almost excusively a disease of the -
Secondary TB is due to reactivation and involves Lung particularly the apical and posterior segments of upper lobe.
1
Lungs
Bones
Joints
Brain
Pathology
null
0438dd44-725c-4110-94d7-279659a9b55f
single
Whcih vesiculobullous diseaes is associated with enteropathy?
Dermatitis herpetiformis is an autoimmune blistering disease that is strongly associated with coeliac disease. Almsot all patient with dermatitis herpetiformis have evidence of villous atrophy on Intestinal biopsy, even if they have no gastrointestinal symptoms. Reference : Davidson, 23rd Edition, page no : 1256.
4
Pemphigus
Linear IgA dermatosis
Chronic bullous disease of childhood
Dermatitis herpetiformis
Medicine
G.I.T
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single
All are reversible injury of cell, except -
Ans. is 'b' i.e., Karyorrhexis
2
Vacuole
Karyorrhexis
Fat accumulation
Cell wall swelling
Pathology
null
e65b5e52-4ed7-4f02-ade6-03aab1ebc42d
multi
Pyramids are formed by
The pyramidal tracts include both the coicospinal and coicobulbar tracts. These are aggregations of upper motor neuron nerve fibres that travel from the cerebral coex and terminate either in the brainstem (coicobulbar) or spinal cord (coicospinal) and are involved in control of motor functions of the body.The coicospin...
4
Arcuate nucleus
Vestibular nuclei
Interstitial cells of cajal
Lateral coicospinal tract
Physiology
Nervous system
9bf0734f-da78-48f5-8db8-19d233168e6e
single
In which one of the following type of hernia do the abdominal viscera from a pa of the wall of hernial sac?
As a result of slipping of the posterior parietal peritoneum on the underlying retroperitioneal structures, the posterior wall of the sac in sliding hernia is not formed by peritoneum alone, but by the sigmoid colon and its mesentery on the left, the accident), is called magical thinking. This type of reasoning is typi...
2
Pantaloon hernia
Sliding hernia
Richter's hernia
Indirect inguinal hernia
Surgery
null
6c2b97fa-f601-405f-b46a-cb726b0a9a66
multi
Most malignant form of NHL is -
null
1
Diffuse large cell
Small cell lymphocytic lymphoma
Follicular cleavage
Large cell follicular
Medicine
null
a147add8-e969-4996-82a3-6e8829d276cc
multi
A 16-year-old girl with primary amenorrhea comes to OPD with bilateral inguinal swelling. She has normal breast development with no pubic hair. USG shows absent uterus. The diagnosis is:
Testicular feminization syndrome (androgen insensitivity syndrome): XY karyotype with a female phenotype androgens are present but do not act at a peripheral level due to a receptor defect. the embryological development, which is dependent on androgens in a male fetus, does not happen and hence by default a female form...
1
Androgen insensitivity syndrome
Turner syndrome
Mullerian agenesis
Klinefelters Syndrome
Gynaecology & Obstetrics
Intersex
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single
Cause of vasodilation in spider nevi
B i.e. EstrogenIn chronic liver disease (especially cirrhosis) and pregnancy, impaired estrogen metabolism and consequent hyper estroenemiaQ leads to spider angiomata/nevi (superficial, toous aerioles, that unlike simple telangiectases, typically fill from the center outwards and occur invariably on upper half of body)...
2
Testosterone
Estrogen
FSH
Hepatotoxin
Physiology
null
61db1de1-7932-4912-afb4-b2e029a8db71
single
A 2 year old man presents with superficial gash on his forehead. The wound is bleeding profusely, but examination reveals no fracture. The physician suspects a hypersensitive cardiac reflex. The patient's epicranial aponeurosis (galea aponeurotica) is penetrated, resulting in severe gaping of the wound. The structure o...
A layer containing blood vessels * A mnemonic device for remembering the order in which the soft tissues overlie the cranium is SCALP: Skin, Connective tissue, Aponeurosis, Loose connective tissue, and Periosteum. * The scalp proper is composed of the outer three layers, of which the connective tissue contains one of t...
1
A layer containing blood vessels.
The dura mater.
The periosteum (pericranium).
The tendon of the epicranial muscles (occipitofrontails).
Surgery
null
9185edee-9a04-46c9-9bb5-a6fe1d49f662
single
On 5th postoperative day after laparoscopic cholecystectomy, a 50 years old lady presented with . upper quadrant pain with fever and 12 cm subhepatic collection on CT and ERCP shows cystic duct leak. The best management is -
Ans : (b) i.e. percutaneous drainage of fluid
2
Immediate laparotomy
Percutaneous drainage of fluid
Laparotomy and surgical exploration of bile duct and T-tube inseion
All
Surgery
null
908efa13-9177-47b6-8161-afffaba5de51
multi
Hardest bone of the body is?
Ans. D Osseus labyrinthRef: Gray's Anatomy, 41st ed. pg. 644* Osseous labyrinth is considered as hardest bone of the body. It is embedded in petrous part of temporal bone, which is also known as "rock bone".* American edition of British encyclopedia states: "The labyrinth of the ear is formed of cochlea, 3 semicircular...
4
Head of humerus
Calcaneum
Tibial condyle
Osseus labyrinth
Anatomy
Joints
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single
Attempts to quantitate clinical conditions on a graduated scale, thereby facilitating comparison among populations examined by the same criteria and methods is:
"A numerical value describing the relative status of a population on a graduated scale with definite upper and lower limits, which is designed to permit and facilitate comparison with other populations classified by the same criteria and methods". - Russell A.L.  "Epidemiologic indices are attempts to quantitate clinic...
1
Indices
Survey
Biostatistics
Analysis
Dental
null
68cc5bf3-b2f3-48c7-8e69-a0de005ee8dd
single
All of the following are habbit disorders, except:
Tics are rapid and reccurent moments for brief duration and it is not included under habbit disorders.
2
Thumb sucking
Tics
Temper tantrums
Nail biting
Psychiatry
null
0414746a-af4a-4c7b-8115-345ed67fc1fd
multi
Incidence of TB in a community is measured by
Epidemiological indices of TB Incidence of TB infection (Annual infection rate, Annual risk of infection - ARI) : percentage if population understudy who will be newly infected with TB among Non-infected in 1 year Express attacking force of TB in community In developing countries 1% ARI corresponds to : 50 SS +ve cases...
1
Sputum positive
Tuberculin test positive
Sputum culture positive
Mantoux test positive
Social & Preventive Medicine
Communicable diseases
26b982ce-a8ee-41e6-a1a5-2458fc1d0745
single
Treatment of choice for endocervical polyp is
Polyp is categorized and defined by ultrasound, saline sonography, hysteroscopy with or without histopathology It is treated by polypectomy Ref: Shaw Gynecology 17 e pg 132.
3
Vaginal hysterectomy
Conisation
Polypectomy
Radiotherapy
Gynaecology & Obstetrics
Disorders of menstruation
60c937a6-f37d-4577-a46d-ec58cfb4a61d
single
A standard normal distribution has
(B) A mean of 0 and a standard deviation of 1# STANDARD NORMAL DISTRIBUTION is defined as a normal distribution with a mean of 0 & a standard deviation of 1.> Normal (or Gaussian) distribution is a very commonly occurring continuous probability distribution--a function that tells the probability that any real observati...
2
A mean of 1 and a standard deviation of 1
A mean of 0 and a standard deviation of 1
A mean larger than its standard deviation
All scores within one standard deviation of the mean
Pharmacology
Miscellaneous (Pharmacology)
707e2f54-493c-458a-ab13-f4953820c86a
multi
All the following will appear caries in an X-ray except
null
3
Acrylic resin
Calcium hydroxide
ZOE
Composite
Radiology
null
7c609405-b6f2-4b41-82a9-17114b38c3aa
multi
When gases flow through an orifice which factor is least likely to affect turbulence
Ans. (c) Pressure of gas(Ref: Ganong, 25th ed/p.629)Whether the air flow is laminar or turbulent is determined by Reynolds numberReynolds number =rDV/eWhere,r-Density of the gasD-Diameter of the airwaysV -Velocity of gase -Viscosity of gasPressure of gas is not in the formula for Reynolds number
3
Density of gas
Viscosity of gas
Pressure of gas
Diameter of orifice
Physiology
Respiratory System
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single
In all of the following sympathectomy is effective except
null
1
Intermittent claudication
Hyperhydrosis
Raynaud's disease
Causalgia
Surgery
null
95fa2487-b2f6-48ff-a5d5-51cc485b521f
multi
Presence of delta sign on contrast enhanced CT SCAN suggests presence of ?
Ans. is 'a' i.e., Lateral Sinus thrombophlebitis LATERAL SINUS THROMBOPHLEBITIS (SIGMOID SINUS THROMBOSIS) Lateral or sigmoid sinus thrombophlebitis arises from inflammation in the adjacent mastoid. It may occur as a complication of : ? Acute coalescent mastoiditis CSOM and cholesteatoma Clinical features Hectic Picket...
1
Lateral Sinus thrombophlebitis
Cholesteatoma
Cerebellar abscess
Mastoiditis
ENT
null
819068f4-79e8-4955-8a42-5a6681c85a77
single
Bronchogenic sequestration is seen in which lobe -
Bronchogenic sequestration refers to the presence of a discrete mass of lung tissue without any normal connection to the airway system. Intralobar sequestrations are found most frequently in the posterior basal segment of the left lower lobe. Blood supply to the sequestered area arises not from the pulmonary arteries b...
1
Left lower lobe
Right upper lobe
Left middle lobe
Left upper lobe
Pathology
null
211abb46-f5a2-4373-b0be-5dda0ea24266
single
In triage green colour indicates -
Ans. is 'a' i.e., Ambulatory patients There are 4 triage categories I. Green - Minor/Ambulatory 3. Yellow - Delayed 2. Red -- Immediate 4.Black - Dead or nonsalvageable Minor (Green) they should be separated from the general group at the beginning of the triage operations ( k/a "Walking wounded" these patients can be u...
1
Ambulatory patients
Dead or moribund patients
High priority treatment or transfer
Medium priority or transfer
Surgery
null
837a30f4-823a-42a0-9246-33509701ab95
single
Which of the following is seen in Vitamin D deficiency-
Vitamin D deficiency leads to impaired intestinal absorption of calcium, resulting in decreased serum total and ionized calcium values. This hypocalcemia results in secondary hyperparathyroidism, a homeostatic response that initially maintains serum calcium levels at the expense of the skeleton. Due to the PTH-induced ...
1
Increased alkaline phosphatase
Decreased phosphate in urine
Hyperphosphatemia
Decreased alkaline phosphatase
Medicine
Endocrinology
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single