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FK 506 is a type of :
Tacrolimus is also known as FK-506. It is an immunosuppressant macrolide antibiotic produced by Streptomyces tsukubaensis. Muromonab CD3 is also known as OKT3. It is a monoclonal antibody against CD3 cells.
3
Immunoglobulin antibody
Non-depolarizing muscle relaxant
Macrolide antibiotic
Opioid anaesthetic
Pharmacology
null
18c41cdd-95d1-4d06-bf66-c390c7abd7ee
single
Hypnagogic hallucinations are seen in
NarcolepsyThe classic tetrad of symptoms is:i. Sleep attacks (most common): ii. Cataplexy: iii. Hypnagogic hallucinations: iv. Sleep paralysis (least common): Ref: A Sho Textbook of Psychiatry, Niraj Ahuja, 7th Edition, pg. no. 138
3
Depression
Mania
Narcolepsy
Schizophrenia
Psychiatry
Sleep disorders and eating disorders
90f75de3-670d-4edd-bfc6-5d2f0aaf04a8
multi
A baby is born with a large defect in the occipital bone through which the posterior poion of the brain has herniated. Which of the following terms best describes this lesion?
The central neurons system and its overlying bones are subject to a variety of malformations and developmental diseases. The defect described in the question stem is a cranial encephalocele, in which brain herniates through a defect in the skull bones. The most common site for such a herniation is the occipital bone. S...
1
Encephalocele
Meningocele
Myelocele
Spina bifida
Gynaecology & Obstetrics
null
82a9a6ef-0e91-4565-8449-3835409aadbd
single
Female sex chromatin is :
XX
1
XX
XO
XY
XXX
Gynaecology & Obstetrics
null
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single
Most common site of GIST is -
Ans. is 'd' i.e., Stomach Gastrointestinal stromal tumors (GlSTs)o GISTs are the most common mesenchymal neoplasm of gastrointestinal tumor.o GIST represents a distinct group of gastrointestinal tumors that originate from the interstial cells of cajal which control gastrointestinal peristalsis.o GISTs can occur anywher...
4
Ileum
Esophagus
Colon
Stomach
Pathology
Stomach
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single
The following statements are true about Tumor suppressor gene p53 except:
. Its activity in the cells decreases following UV irradiation and stimulates cell cycle
3
It regulates cetain genes involved in cell cycle regulation
Its increased levels can induce apoptosis
Its activity in the cells decreases following UV irradiation and stimulates cell cycle
Mutations of the p53 gene are the most common genetic alteration seen in human cancer
Pathology
null
70ce18fc-55c0-4eed-be36-daecf33d99dd
multi
In which layer of cornea, copper is deposited to form Kayser-Fleischer ring in Wilsons disease?
Nearly all patients with neurologic involvement in Wilson disease develop eye lesions called Kayser-Fleischer rings, green to brown depositsof copper in Descemet membrane in the limbus of the cornea.Wilson disease is an autosomal recessive disorder caused by mutation of the ATP7B gene, resulting in impaired copper excr...
3
Bowman's layer
Corneal stroma
Descemet's membrane
Corneal endothelium
Pathology
miscellaneous
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single
True about autosomal dominant type of inheritance:
Answer- D. 50% affected, if one parent affectedAutosomal dominant disorders are manifested in the heterozygous state .Both males and females are affected.Because the alleles segregate randomly at meiosis, the probability that an offspring will be affected is 50%.
4
25% affected & 50 % carrier, if one parent affected
50% affected & 75 % carrier, if both parent affected
75% affected, if both parent affected
50% affected, if one parent affected
Pathology
null
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multi
A microbiology laboratory repos growth of Staphylococcus aureus from pus drained from a breast abscess. What is the most likely condition predisposing the patient to the development of a breast abscess?
Acute mastitis, frequently complicated by breast abscess formation, typically develops in the postpaum period, when the nipples are first subjected to the physical stresses of breast feeding. Bacteria enter the breast cracks in the nipple, and flourish in the microenvironment of the lactating breast. Acute mastitis cau...
1
Breast feeding
Endocarditis
Inflammatory breast carcinoma
Menopause
Pathology
null
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single
Annexin V is associated with :
Apoptosis
1
Apoptosis
Necrosis
Aherosclerosis
Inflammation
Pathology
null
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single
Which of the following drugs have covalent interaction with its target
covalent interaction means Irreversible inhibition of enzyme. Aspirin irreversibly acitylates the cox enzyme Refer kDT 6/e p185
1
Aspirin
Penicillin
Nitric oxide
Basanta
Pharmacology
Autacoids
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single
Non-pitting oedema which does not reduce on elevation of limb belongs to which grade of lymphoedema
Brunner's grading of Lymphoedema:- Latent = Subclinical Grade I = Spontaneously reversible lymphoedema Grade II = Spontaneously irreversible lymphoedema Grade III = Irreversible skin changes like-fibrosis, fissuring in lymphoedema.
3
Latent
Grade I
Grade II
Grade III
Surgery
null
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single
When there is no other source of glucose, liver and muscle glycogen would be exhausted after
Were there no other source of glucose, liver and muscle glycogen would be exhausted after about 18 hours of fasting. As fasting becomes more prolonged, so an increasing amount of the amino acids released as a result of protein catabolism is utilized in the liver and kidneys for gluconeogenesis. Reference: Harper; 30th ...
2
12 hours
18 hours
24 hours
36 hours
Biochemistry
nutrition and digestion
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single
Patient can hear music every time when he turns on the tap and hears the sound of water. This is an example of :
Functional hallucination : here the stimulus and perecption are in same modality. V/S Reflex hallucination : here the stimulus and pereception are in different modality.
2
Reflex hallucination
Functional hallucination
Visual hallucination
1st person auditory hallucination
Psychiatry
null
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multi
Which enzyme is a enzyme regulatory step in cholesterol synthesis?
Ref: Textbook of Medical Biochemistry, Eighth Edition, Dr (Brig) MN Chatterjea Rana Shinde: page no: 431
2
HMG CoA synthase
HMG CoA reductase
Phosphomevalonate kinase
Diphosphomevalonokinase
Biochemistry
Metabolism of lipid
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multi
Which one of the following statements regarding water reabsorption in the tubules is true?
Maximum of filtered water (60-70%) is reabsorbed in the proximal tubule, with or without Vasopressin. This is independent of the fluid and electrolyte status of the body and is caused by the osmotic gradient created by Na+ reabsorption. Obligatory water reabsorption- (Independent of ADH)- 85% -        Proximal tubule- ...
1
The bulk of water reabsorption occurs secondary to Na+ reabsorption
Majority of facultative reabsorption occurs in proximal tubule
Obligatory reabsorption is ADH dependent
20% of water is always reabsorbed irrespective of water balance
Physiology
null
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multi
A case of suspected homicide comes to a doctor. He is supposed to inform police under section of CrPC:
Ans. b. 39 `Section 39 of CrPC gives a list of offences, the information regarding which is to be mandatorily provided to the police. That is, the doctor is duty bound to provide information about these enlisted offences (in Sec 39 CrPC) to the police.' Impoant Criminal Procedure Codes (CrPC) CrPC Description 39 Doctor...
2
37
39
174
176
Forensic Medicine
null
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single
If a normal individual receives an insulin injection that lowers plasma glucose to 30 mg/dl, which of the following hormones will NOT be released?
null
4
ACTH
Epinephrine
Growth hormone
Aldosterone
Medicine
null
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single
Supratemporal lental subluxation is seen in -
null
2
Weil's marchasani syndrome
Marfans
Hunters
Homocystinuria
Pathology
null
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single
Tetanus is noticed usually in
B i.e. Wounds contaminated with faecal matter * Wounds containated with fecal matter & soil are most prone for tetanus developmentQ* Tetanus may develop in chronic conditions, such as skin ulcers, abscesses, and gangrene, burn, frost bite, middle ear infections. It is also associated with surgery, aboion, child bih, bo...
2
Burn cases
Wounds contaminated with faecal matter
Open fractures
Gunshot wounds
Surgery
null
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multi
Maintainence of BP according to intracranial pressure is-
Ans. is ''a' i.e., Cushing reflex o When intracranial pressure is increased, the blood supply to RVLM neurons is compromised, and the local hypoxia and hypercapnia increase their discharge.o The resultant rise in systemic arterial pressure (Cushing reflex) tends to restore the blood flow to the medulla and over a consi...
1
Cushing reflex
Cushing disease
Starling's reflex
Gometz reflex
Physiology
Circulation: Arterial Pressure Regulation - Role of Kidney
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True about Insulin action is:
C i.e. Required for transpo of glucose, aminoacid, K+ & Na+
3
Causes neoglucogenesis
Not useful for growth & development
Required for transpo of glucose, aminoacid, K+ & Na+0
Catabolic hormone
Physiology
null
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multi
Low dose radiotherapy is given for:
Ans. Seminoma
1
Seminoma
Malignant melanoma
Osteosarcoma
Chondrosarcoma
Radiology
null
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single
Metal on Metal articulation should be avoided in -
Based on the articulating surfaces of the prosthesis, THR may be of the following type:- Metal on poly: One surface is metallic (femoral side) and the other is of polyethene (on the acetabular side). Metal on metal: Both articulating surfaces are of metal. Ceramic on ceramic: Both articulating surfaces are of ceramic...
2
Osteonecrosis
Young female
Inflammatory arthritis
Revision surgery
Orthopaedics
null
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A young man presents with asymptomatic macules and erythematous painless lesion over glans with generalised lymphadenopathy. Treatment of choice in this condition:
Ans. b. Benzathine penicillin
2
Ceftriaxone
Benzathine penicillin
Acyclovir
Fluconazole
Skin
null
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single
Quality indicator of MCH services
Ans. is 'a' i.e., IMR o IMR is best indicator for:- i) Health status of a community. ii) Level of living. iii) Effectiveness of MCH services. o IMR is second best indicator of socioeconomic status of country (under 5 moality rate is more refined indicator for socioeconomic status).
1
IMR
MMR
CMR
None
Social & Preventive Medicine
null
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multi
Ideal cholesterol level should be below
null
3
300
220
200
350
Social & Preventive Medicine
null
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XXY klinfilter which has extra?
Ans. is 'a' i.e., X-chromosome The major numerical disorders of chromosomes are 3 autosomal trisomies Trisomy 21 -- Down syndrome Trisomy 18 -- Edwards syndrome Trisomy 13 -- Patau syndrome Four types of sex chromosomal aneuploidies: Turner syndrome (usually 45,X) Klinefelter syndrome (47,XXY) 47,XXX 47,XYY By far the ...
1
X-chromosome
Y chromosome
Both
None
Pediatrics
null
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multi
A 5-year-old child presents with confusion, increased salivation, lacrimation, fasciculations, miosis, tachycardia, and hypotension. Which of the following poisons can cause these manifestations?
Increased salivation, lacrimation, miosis, fasciculation, tachycardia and confusion, all are seen in organophosphate poisoning.
2
Opium
Organophosphorus
Dhatura
Organochlorine pesticide
Forensic Medicine
null
333afe0a-3f1c-47c2-8d39-b6d23fe95c3e
single
Which of the following does not result in the release of nitric oxide
Refer katzung 11e 180-181 nitric oxide donors include Sodium nitroprusside organic nitrates nitrates Hydralazine Propofol Nebivolol
1
Fenoldopam
Hydralizine
Nitroprusside
Nitroglycerin
Pharmacology
Cardiovascular system
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single
In which of the following infections mosquito is the main vector?
The yellow fever virus is transmitted by the bite of female mosquitoes (the yellow fever mosquito, Aedes aegypti. After transmission of the virus from a mosquito the viruses replicate in the lymph nodes and infect dendritic cells in paicular. Hepatitis-A and Cholera are transmitted through feco-oral route. Leprosy is t...
3
Hepatitis - A
Cholera
Yellow fever
Leprosy
Social & Preventive Medicine
null
bfc4b4fb-de12-4f16-922f-3a1ee38ddd54
single
In a subclan aery block at outer border of 1st rib, all of the following aeries help in maintaining the circulation to upper limb, EXCEPT:
A rich anastomosis exists around the scapula between branches of subclan aery (first pa) and the axillary aery (third pa). This anastomosis provides a collateral circulation through which blood can flow to the limb when the distal pa of subclan aery or the proximal pa of axillary aery is blocked. Scapular anastomoses o...
2
Subscapular aery
Superior thoracic aery
Thyrocervical trunk
Suprascapular aery
Anatomy
null
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multi
A compound serving a link between citric acid cycle and urea cycle is:
The fumarate formed may be funnelled into TCA cycle to be converted to malate and then to oxaloacetate to be transaminated to aspartate. Thus, the urea cycle is linked to TCA cycle through fumarate. Reference: Vasudevan 7th  ed, pg 204
4
Malate
Citrate
Succinate
Fumarate
Biochemistry
null
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A 8 years boy with headache, supracellar mass, with bilateral hemianopia, showing the following MRI scan of head. What is the diagnosis
(A) Craniopharyngioma[?]Craniopharyngioma:Craniopharyngioma are pituitary gland tumor develop from the embryogenic remnants in pituitary gland.Present at any time during childhood, tumor is congenital &d arises from squamous epithelial cell rests of the embryonic Rathke's pouch.The neoplasm is usually cystic & benign.C...
1
Craniopharyngioma
Pituitary apoplexy
Nasopharyngeal fibroma
Hypothalamic glioma
Pediatrics
Childhood Tumors
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single
Drug of choice for schizophrenic patient with poor oral absorption is:
Clozapine
3
Haloperidol
Fluphenazine
Clozapine
Olanzapie
Psychiatry
null
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single
Nasopharyngeal carcinoma affects which age group
* Age:- It is mostly seen in fifth to seventh decades but may involve younger age groups. It is not uncommon to see the cancer of nasopharynx in the twenties and thiies. * Sex:-Males are three times more prone than females. (Ref: Diseases of Ear, Nose and Throat, P.L Dhingra, 7th edition, page 284)
4
Children
Adolescents
3rd decade
5th decade
ENT
Pharynx
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The technique employed in radiotherapy to counteract the effect of tumour motion due to breathing is known as
Gating Respiratory gating : It is a technique in radiotherapy in which the radiation is applied during that phase of respiratory cycle in which the tumour is in the best range. This is to prevent unnecessary radiation exposure to normal structures.
3
Arc technique
Modulation
Gating
Shunting
Radiology
Radiotherapy Pa 1
24273860-3e7a-46a3-a884-7338e8d07211
single
paprika sign during debridement is crucial in management of which of the following condition?
paprika sign is the appearance of live bone after removal of sequestrum. Bone Debridement: * The goal of debridement is to leave healthy, ble tissue. Debridement of bone is done until punctuate bleeding is noted called the "PAPRIKA SIGN" * Copious irrigation with io to 14 L of normal saline is expected. * The extent of...
1
chronic osteomyelitis
osteosarcoma
osteoid osteoma
brodie's abscess
Anatomy
Skeletal infections
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single
Effect ot progesterone on lipids :
Lowers HDL & increases LDL
3
Lowers LDL, increases HDL
Lowers HDL and LDL
Lowers HDL & increases LDL
Increases LDL and HDL
Gynaecology & Obstetrics
null
4abba5e6-bb47-44db-a385-989cad5b93a5
single
In which of the following poisoning, pralidoxime is ineffective?
Oximes are used to displace organophosphates from the active site of acetylcholinesterase, thus reactivating the enzyme. Pralidoxime is a specific antidote that restores acetylcholinesterase activity by regenerating phosphorylated acetylcholinesterase and appears to prevent toxicity by detoxifying the remaining organop...
2
Organophosphorus
Carbaryl
Both of the above
None of the above
Pharmacology
null
4aa46fcb-7ab8-43e8-ab12-a789d5ea2700
multi
The earliest indicator of response after staing iron in a 6 year old girl with iron deficiency is:
Following iron therapy in a child with iron deficiency anemia, initial bone marrow response is seen within 48hours. The earliest response seen is a rise in the level of reticulocyte which occur by the 2nd to 3rd day. This is followed by elevation of hemoglobin level. After the correction of the hemoglobin levels, body ...
1
Increased reticulocyte count
Increased hemoglobin
Increased ferritin
Increased serum iron
Pediatrics
null
a2db7511-91e3-4d11-b036-eccd84a3505f
single
The patient with oro-cutaneous hamaomatous tumours, gastrointestinal polyps, abnormalities of the breast, thyroid gland and genitourinary system is suffering from which of the following?
Cowden's syndrome or multiple hamaoma syndrome is a rare autosomal dominant syndrome characterised by orocutaneous hamaomatous tumours, gastrointestinal polyps, abnormalities of the breast, thyroid gland and genitourinary system. The gastrointestinal polyps are generally benign and malignant transformation is seen very...
2
Familial adenomatous polyposis
Cowden's syndrome
Peutz Jeghers' syndrome
Juvenile polyposis
Medicine
null
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single
Vaccine routinely given in pregnancy :
Tetanus
3
Influenza
Oral polio
Tetanus
Rabies
Gynaecology & Obstetrics
null
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single
Shortest acting local anaesthetic agent is –
Chlorprocaine is the shortest acting LA. Amongst the given options procaine is shortest acting.
1
Procaine
Lidocaine
Tetracaine
Bupivacaine
Anaesthesia
null
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single
Indication for fundoplication?
Ans. is 'a' i.e., GERD o Fundoplication is indicated in patients of GERD in following conditions-Patients with evidence of severe esophageal injury (ulcer/stricture/barrett's).No response''relapse/incomplete resolution on medical therapy.Patients with long duration of symptoms.Patients with persistant symptoms at a you...
1
GERD
Gastric volvulus
Diaphragmatic eventration
Bockdelec's hernia
Surgery
Benign Gastric Disease
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Contraindications for Medical aboions are all except:
Age is no contraindication for medical aboion. Contraindications for medical aboions; Hemoglobin less than 8 gm% Undiagnosed adnexal mass Uncontrolled seizure disorder Uncontrolled coagulation disorders etc
1
Age more than 35 years
Hemoglobin less than 8 gm%
Undiagnosed adnexal mass
Uncontrolled seizure disorder
Social & Preventive Medicine
Other FP Methods and New Initiatives in Family Planning
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All of the following are true about bacillus anthrax except
The anthrax toxin is encoded by a separate plasmid. It is a complex of three fractions: A)Edema factor B)Protective antigen factor and C)Lethal factor Reference: Textbook of Microbiology; Anathanarayan and panicker's; 10th edition; Page no: 249
4
Plasmid is responsible for toxin production
Cutaneous anthrax generally resolves spontatneously
Capsular polypeptide aids virulence by inhibiting phagocytosis
Toxin is a complex of two fractions
Microbiology
Bacteriology
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Concentration of agar used for solid agar to Inhibit Proteus swarming
For solid agar - 1-2% For Semisolid agar - 0.5% For solid agar to inhibit proteus swarming - 6%
3
1-2%
0.50%
6%
5%
Microbiology
null
956e7573-b8b6-4a2d-9b3b-05ffae1b94e0
single
Actions of cholecystokinin include which one of the following?
FUNCTIONS: Stimulates pancreatic acinar cell enzymes secretion. Causes contraction of gallbladder. Secretion of enzyme-rich pancreatic juice. Increases enterokinase secretion
4
Contraction of gall bladder
Secretion of pancreatic juice rich in enzymes
Increases the secretion of enterokinase
All
Physiology
null
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multi
For anesthesiology mild systemic disease included in ASA grade-
Ans. is 'b' i.e., 2 ASA GradePatient conditionASA 1Normal healthy patient (no physical or mental illness)ASA 2Mild systemic disease not limiting functional activity(mild heart disease, DM, Mild hypertension, Anemia, Old age, obesity, mild chronic bronchitis)ASA 3Severe systemic disease that limits activity but not inca...
2
1
2
3
4
Anaesthesia
Anaesthesia For Special Situations
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A 40 year old female reports of sudden bouts of anxiety which would occur anytime and associated with sweating, palpitation, derealization, and feeling of going crazy. These episodes would last for 20 -25 minutes. So much so that she fears of having these episodes in future. All routine investigations are normal. What ...
Ans. C. Panic disorderPanic attack: acute intense attack of anxiety accompanied by feelings of impending doom.Symptoms during panic attack usually involve* Sudden onset of palpitations, Sweating, Trembling or shaking,* Shortness of breath, Feelings of choking, Chest pain,* Nausea/abdominal distress, Feeling dizzy, unst...
3
Generalized anxiety disorder
Obsessive-compulsive disorder
Panic disorder
Tourette's syndrome
Psychiatry
Anxiety & Stress
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Which one of the following is a stomach poison for the larvae of insects of medical importance?
Insecticides are substances used to kill insects. They are contact poisons,stomach poisons,fumigants. Stomach poisons are those which when ingested cause death of the insects. Examples are paris green and sodium flouride. DDT and pyrethrum are synthetic and natural contact poisons respectively. Parks textbook of pre...
2
DDT
Paris green
Pyrethrum
Antilarva oil
Social & Preventive Medicine
null
a7c607b9-13ce-4e1c-b6b9-d5e9d99f9b49
single
Which of the following change occur secondary to hypercarbia?
Hypercarbia from any cause increase the release of catecholamines and cause hypeension. It cause increase in HR, myocardial contractility, high systolic blood pressure, wide pulse pressure, greater cardiac output and higher pulmonary pressures. Effects of hypercarbia are: Increased respiratory drive Anxiety, restlessne...
4
Miosis
Cool extremities
Bradycardia
Hypeension
Physiology
null
f29a16e9-b61e-4cbe-bf8d-efb5ab71dbb2
single
Vaccine preventable neonatal disease is
null
2
Tuberculosis
Tetanus
Pertussis
Measles
Social & Preventive Medicine
null
b401f233-8a2f-43a3-a4da-d2410734b990
single
Sumatriptan exerts antimigraine action through which receptors?
Ans. is 'a' i.e., 5HT ID/IB * Sumatriptan is the first selective 5-HT1D/1B receptor agonist; activates other subtypes of 5-HT1 receptors only at very high concentrations, and does not interact with 5-HT2, 5-HT3, 5-HT4-7, a or b adrenergic, dopaminergic, cholinergic or GABA receptors.
1
5HT1D/1B
5 HT2
5HT3
5HT4
Pharmacology
C.N.S
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Birth rate is -
Fertility By fertility is meant the actual bearing of children. A woman's reproductive period is roughly from 15 to 45 years - a period of 30 years. Measurement of fertility are :- Birth rate    General fertility rate (GFR)  General marital fertility rate (GMFR)  Age specific fertility rate (ASFR)     Age specific ...
1
Live birth/1000 mid yr. population
Birth/1000 mid yr population
Live birth/10000 mid yr. population
Live birth/10,000 population of reproductive age group (15-45)
Social & Preventive Medicine
null
40f1e19d-595f-4151-8eb4-915e3940e005
single
Patient with 20 weeks size uterus & vesicular mole. Treatment is:
Ans. is 'd' i.e., Suction evacuation * Vacuum aspiration: Suction evacuation is the treatment of choice for hydatidiform mole, regardless of uterine size. After most of the molar tissue has been removed by aspiration, oxytocin is given. After the myometrium has contracted, thorough but gentle curettage with a large sha...
4
Induction of labour
Methotrexate
Hysterotomy
Suction evacuation
Gynaecology & Obstetrics
Miscellaneous (Gynae)
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single
Influenza virus belongs to family -
Ans. is 'c* i.e., Orthomyxoviridae RNA VirusesPicornaviridae:Poliovirus, Coxsackievirus, Eehovirus, Enterovirus, Rhinovirus, Hepatitis A virusCalicivtridae: Norwalk virus. Hepatitis E virusTogaviridae: Rubella virus, Eastern equine encephalitis virus, Western equine encephalitis virusFlaviviridae: Yellow fever virus, D...
3
Picomaviridae
Calciviridae
Orthomyxoviridae
Paramyxoviridae
Microbiology
Myxo Viruses
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single
Diabetic neuropathy is a:
ANSWER: (D) All aboveREF: Harrison 16th ed page 2165'Diabetic neuropathy occurs in 50% of individuals with long-standing type 1 and type 2 DM. It may manifest as polyneuropathy, mononeuropathy, and/or autonomic neuropathy""Most common form of diabetic neuropathy is distal symmetric polyneuropathy. It most frequently pr...
4
Distal symmetric sensory polyneuropathy
Mononeuritis
Autonomic neuropathy
All above
Medicine
Diabites & Inappropriate Antidiuretic Hormone
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multi
Vitamin K is required for
Carboxylation The only known biological role of vitamin K is as a cofactor for an enzyme carboxylase that catalyzes carboxylation of glutamic acid residues on vitamin K-dependent proteins. The key vitamin K-dependent proteins include: Coagulation proteins: factors II (prothrombin), VII, IX and X Anticoagulation protein...
4
Hydroxylation
Chelation
Transamination
Carboxylation
Biochemistry
null
627c6677-b31d-4ba4-b33c-eb894c70f00a
single
Which of the following most often causes cholestatic jaundice:
Erythromycin estolate
2
INH
Erythromycin estolate
Pyrazinamide
Ethionamide
Pharmacology
null
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single
Commonest cause of loss of vision in non- proliferative diabetic retinopathy is –
Macular edema is the most common cause of loss of vision in NPDR.
2
Vitreous heamorrhage
Macular edema
Detachment of retina
Subretinal haemorrhage
Ophthalmology
null
6cadc5c0-a5dd-4025-bef4-984f1fb5f90f
single
"Telescope fingers" occur in
Ahritis mutilans (A feature of psoriatic ahritis) This is a deforming erosive ahritis targeting the fingers and toes; it occurs in 5% of cases of PsA. Prominent cailage and bone destruction results in marked instability. The encasing skin appears invaginated and 'telescoped' ('main en lorgnette') and the finger can be ...
3
Rheumatic ahritis
Rheumatoid ahritis
Psoriatic ahritis
Reiter's ahritis
Medicine
Immune system
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single
Vasanti, a 25-year-old-girl, presents with complaints of fever and weakness. On examination there is splenomegaly of 3 cm below the costal margin.Hb is 8 gm/dL, TLC is 3,000/mm3 , platelet count is 80,000 mm3. Which of the following is the least likely diagnosis -
null
3
Acute lymphocytic leukemia
Anemia of chronic disease
Aplastic anemia
Megaloblastic anemia
Medicine
null
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single
A 30-year-old patient complains of pain abdomen for 5 days, with similar history in recent past as well. On examination, localized tenderness in right upper quadrant on deep palpation is observed. A slight yellowish discoloration of skin is noted as well. USG examination reveals the following findings. If this patient ...
Cholesterol stone Pigment stone Mixed stone The USG shows BILIARY ASCARIASIS which is associated with pigment gall stones. Unconjugated bilirubin is normally a minor component of bile, but it will increase when infection of the biliary tract occurs that leads to release of microbial b-glucuronidases, which hydrolyze bi...
2
<img style="max-width: 100%" src=" />
<img style="max-width: 100%" src=" />
<img style="max-width: 100%" src=" />
Gallstones are not associated with above clinical scenario.
Unknown
Integrated QBank
0be9175d-db8c-4da5-840c-38cb1060028d
multi
Which muscle originates from tibia, fibula and interosseous membrane?
TIBIALIS POSTERIOR:Origin: upper two-thirds of lateral pa of posterior surface of tibia below the soleal line.Posterior surface of fibula in front of medial crest Posterior surface of interosseous membrane.Popliteus: arises from lateral surface of lateral condyle of femur.origin is intracapsular.lateral meniscus of kne...
4
Popliteus
Flexor digitorum longus
Flexor hellus longus
Tibialis posterior
Anatomy
Lower limb
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single
Boutonneuse fever is caused by-
Boutonneuse fever (also called, fievre boutonneuse, Kenya tick typhus, Indian tick typhus, Marseilles fever, African tick-bite fever, or Astrakhan fever) is a fever as a result of a Rickettsial infection caused by the bacterium Rickettsia conorii Transmitted by the dog tick - Rhipicephalus sanguineus.
2
Rickettsia japonica
Rickettsia conorii
Rickettsia sibirica
Rickettsia australis
Microbiology
Systemic Bacteriology (Haemophilus, Yersinia, Spirochaetes, Ricketssia, Chlamydia, Mycoplasma and Miscellaneous Bacteria)
5455a00a-9205-4442-9ff4-193a6ea4cf9a
single
Which of the following is the least filtered in glomerules? (Which substance is least lost in urine)
Hemoglobin is the least filtered in glomerules and when it is secreted in high levels it is called hemoglobinuria most common in porphyrias. Ref: Ganong's review of medical physiology; 24th edition; page no; 678
1
Haemoglobin
Albumin (<150mg/24 hrs normally)
Myoglobin
Inulin
Physiology
Renal physiology
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multi
Structures lying deep to posterior belly of digastricare all. Except:
Retromandibular vein Ref: BDC Anatomy 4/e vol. III p157; Gray's Anatomy 40/e p441The Retromandibular vein lies superficial to the posterior belly of digastric.Structures lying deep to the posterior belly of digastric are:a.Transverse process of atlasb.Muscles- hyoglossus, superior oblique and the rectus capitis lateral...
1
Retromandibular vein
Hypoglossal nerve
Hyoglossus muscle
Occipital aery
Anatomy
null
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multi
A 60-year-old woman with no past medical history has an elevated blood pressure of 165/80 mm Hg on routine evaluation. Repeated measurements over the next month confirm the elevated pressure. Physical examination, routine blood count, and biochemistry are all normalFor patient with high blood pressure, select the most ...
Thiazides have been a cornerstone in most trials of antihypertensive therapy. Their adverse metabolic consequences include renal potassium loss leading to hypokalemia, hyperuricemia from uric acid retention, carbohydrate intolerance, and hyperlipidemia. The current U.S. Joint National Committee (JNC-7) guidelines sugge...
1
thiazides
spironolactone
clonidine
prazosin
Medicine
C.V.S.
103017e3-b606-4e18-8dbf-16bd7144f2a8
multi
In which of the following types of Carcinoma Breast, Comedo growth pattern in seen ?
- Historically, ductal carcinoma in situ (intraductal carcinoma) has been divided into five architectural subtypes : comedocarcinoma, solid, cribriform, papillary and micropapillary. Comedocarcinoma is characterized by solid sheets of pleomorphic cells with high grade nuclei and central necrosis The necrotic cell membr...
1
Ductal carcinoma in situ
Medullary carcinoma
Lobular carcinoma in situ
Infiltrating lobular carcinoma
Unknown
null
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single
Syndrome of Inappropriate secretion of Anti-Diuretic hormone (SIADH) may be seen in all of the following except?
CAUSES OF SIADH: Neoplastic Pulmonary CNS Drugs Other Small cell Mesothelioma Stomach Pancreas Bladder Prostate Endometrium Thymoma Leucaemia LymphomaSarcoma Pneumonia Abscess TB Aspergillosis Asthma Cystic fibrosis PPV Abscess Meningitis AIDS SDH SAH CVA Head Trauma MS GBS Desmopressin Oxytocin* Vasopressin SSRIs* Ant...
4
Use of vincristine
Oat cell carcinoma of lung
Porphyria-acute attack
Primary pulmonary emphysema
Medicine
Disorders of pituitary gland
667e1c07-c04b-4e91-b02b-69f49c7d9713
multi
An increase in the concentration of 2,3 DPG may be seen in all of the following, except
null
4
Anemia
Hypoxia
Inosine
Hypoxanthine
Physiology
null
bf47b81c-0792-46b5-9df0-6c6804aee196
multi
Norepinephrine is metabolized by which of the following enzymes
Both COMT and MAO breakdown norepinephrine. Ref:- KD Tripathi
3
COMT
MAO
Both
Neither
Pharmacology
Autonomic nervous system
570cb668-667f-4c91-8344-963ebb06c7a8
multi
Force not acting in an enzyme substrate complex :
Vander Walls' forces are too weak, to actively paicipate in formation of enzyme- substrate complex. Forces contribute in binding are:- Hydrogen bondingQ- Ionic (electrostatic) bonding- Hydrophobic interactionEnzymes function to decrease the activation energy so that reactions can occur at normal body temperature. The s...
3
Electrostatic
Covalent
Van der waals
Hydrogen
Biochemistry
null
d00f10ef-a045-4bfd-8007-eef651692f29
single
Thrombocytopenia is caused by: -
Causes of thrombocytopenia: I. -Decreased production of platelets: 1)selective impairment of platelet production: a)drug induced : alcohol , thiazides . b) Infections : measles, HIV .Disseminated intravascular coagulation (DIC) occurs as a complication of a wide variety of disorders. DIC is caused by the systemic activ...
3
Aspirin
Acyclovir
DIC
Henoch-schonlein purpura (HSP)
Pathology
Haematology
03206583-d9fc-4207-a636-3e519a807ef5
single
Which of the following is not a stimulus for normal/resting ventilation?
J receptors are activated by pulmonary congestion, increase in the interstitial fluid volume of the alveolar wall, hyperventilation, and intravenous injection of chemicals like capsaicin. So, J receptors are not a stimulus for normal respiration Ref: Ganong 25th ed/page 658
2
Stretch receptors
J receptors
PO2
PCO2
Physiology
Nervous system
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single
Most common recurrence sites or metastatic sites of malignancy following pelvic surgery are all except :
Recurrence sites of malignancy Ca Cervix : 30% recurrence after 5 years and sites are pelvic side walls and central pelvis Choriocarcinoma : lower third of the vagina and vulva Carcinoma body : by implantation in vulva,vaginal vault pg no:365] SHAW'S TEXTBOOK OF GYNECOLOGY,15th edition D.C.DUTTA'S TEXTBOOK OF GYNECOLOG...
2
Carcinoma cervix -- Lateral pelvic wall and central pelvis
Carcinoma ovary -- Lung
Chorionepithelioma - Suburethral anterior vaginal wall
Carcinoma body --Vault of vagina
Gynaecology & Obstetrics
Gynaecological oncology
41952947-7f42-40dd-b5b8-3a511c095332
multi
Bifurcation of trachea is at
Trachea bifurcates at the lower border of fouh thoracic veebrae. <img src=" /> BA CHAURASIA'S HUMAN ANATOMY VOLUME 1. 6TH EDITION.page no-280
2
Upper border of T5
Lower border of T4
Upper border of T4
Lower border of T5
Anatomy
Thorax
682aaa77-f36e-40bd-bcaa-8817f7f46eea
single
Alopecia universalis is?
Ans. is 'b' i.e., Loss of all body hair * In alopecia aerata, when there is total loss of scalp hair it is called Alopecia totalis. When there is loss of total body hair it is referred as Alopecia universalis. Alopecia along the scalp margin is called ophiasis. An inverse ophiasis pattern (sisaphio) is when it spares o...
2
Loss of all the scalp hair
Loss of all body hair
Loss hair at the scalp margin
Male pattern hair loss
Skin
Alopecia
bfbabf13-c697-45a2-918c-43d6d82c5824
multi
Bent inner tube sign is seen in
Ans. (a) VolvulusRef: Manipal Manual of surgery, 4th ed./739* In sigmoid volvulus, the X ray abdomen erect shows hugely dilated sigmoid loop called bent inner tube sign.* Acute sigmoid volvulus presents as intestinal obstruction and starts after straining at stool. It occurs in anti-clockwise direction and after one an...
1
Volvulus
Intussusception
Intestinal obstruction
Gastric antral vascular ectasia
Surgery
Oesophagus
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single
Von-Meyenburg's complexes are seen in -
Von Meyenburg Complexes Close to or within the portal tract, these are small clusters of modestly dilated bile ducts embedded in a fibrous, sometimes hyalinised stroma. Although these "bile duct microhamartomas" may communicate with the biliary tree, they generally are free of the pigmented material tree. They presuma...
2
Brain
Liver
Kidney
Spleen
Pathology
null
ac16887f-e72a-40d8-bd38-3167ee70e5ba
single
A male patient 56 year old complains of swelling in legs. He is a known case of hypertension and is under treatment. On general physical examination pitting oedema is seen on legs and TSH level 3mU/L. Which of the following is not a cause of this condition?
Most leg swelling is caused by oedema, the accumulation of fluid within the interstitial space. Unilateral swelling usually indicates a localised pathology in either the venous or the lymphatic system, while bilateral oedema often represents generalised fluid overload combined with the effects of gravity. However, all ca...
4
Increase in hydrostatic pressure
Decreased colloid osmotic pressure
Due to lymphatic obstruction
Myxedema
Pathology
null
2d48cae1-1034-49c4-ac7f-c149443edd6d
single
Open anterior fontanelle, bruit present. Midline lesion in brain diagnosis -
Ans. is 'a' i.e., Malformation of vein of galen o Open anterior fontanel seen in all 4 condition.o Cranial Bruits which is heard over anterior fontanel may be seen normally in children upto 4 years of age.o AV malformation of middle cerebral artery or vein of galen.o Severe anemia, raised intracranial pressure may also...
1
Malformation of vein of galen
Congenital hydrocephalus
Down syndrome
Rickets.
Pediatrics
Nervous System Disorders
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single
FeCl3 test is used in diagnosis of: NEET 14
Ans. Phenol
4
Hydrochloric acid
Acetic acid
Alcohol
Phenol
Forensic Medicine
null
a7a0f166-d01b-4cb0-8e13-1cb5db633eb5
single
Enchondral ossification is/are seen in-
Endochondral (enchondral) ossification → long bones, vertebrae, pelvis, skull base bones. Intramembranous ossification → Skull vault, maxilla, most of mandible, and clavicle.
1
Long bones
Flat bones of skull
Clavicle
Mandible
Anatomy
null
17100076-4f4b-4c84-b7b0-0d57f8ca70f5
single
Cubitus varus deformity in supracondylar fracture of humerus is usually due to
Ans. c (Coronal tilt) (Ref. Bailey & Love surgery, 24th/pg. 375; Orthopedics by John Ebnezar - Pg.155)Malunion (gunstock deformity/cubitus varus) can result from tilt in the coronal plane, and is the most common late complication of supracondylar fracture.SUPRACONDYLAR FRACTURE OF HUMERUS# There are two types of suprac...
3
Posterior displacement
Posterior angulation
Coronal tilt
All of the above
Orthopaedics
Injuries Around Arm & Elbow
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multi
An 80-year-old man is brought to dermatology OPD by his son for recently noticed skin lesion. A biopsy is carried out with HPE as shown. Which of the following option cannot be used as a management for the above clinical scenario?
All of the given options are used in the management of the basal cell carcinoma. Skin lesion shows pearly rolled telangiectatic borders with central ulceration suggestive of BCC. HPE: shows lobulated nest of neoplastic cells with retraction and palisaded basal layer. Findings are suggestive of BASAL CELL CARCINOMA. Tre...
4
Moh's micrographic surgery
Photodynamic therapy
Electrodessication
NONE
Unknown
Integrated QBank
afe00c40-a00f-4ef1-9946-1dda84842754
multi
The antibiotic of choice of pertussis is –
Treatment of pertussis DOC → Macrolides (Erythromycin, Azithromycin, Clarithromycin) Alternative → Cotrimoxazole
3
Ampicillin
Gentamicin
Erythromycin
Penicillin
Pediatrics
null
213891b8-9743-4614-b7d2-bee7d7684f83
single
Most common indication for operation in tuberculosis of intestine is -
null
1
Obstruction
Perforation
Mass abdomen
GI symptoms
Surgery
null
37a77224-2282-4125-bffa-8d5b72583ffd
single
Hepatitis virus without envelope:
Ans. (a) HAV Ref. Harrison 19/e, p 2006, 18/e, p 2539 HAV is a nonenveloped ss RNA virus of picorna family For details see answer no 12 of chapter 27.
1
HAV
HBV
HCV
HDV
Microbiology
null
a40cf5c4-480e-4b66-a96b-a6432e8bc6d6
single
Most common tumor to extend from intracranial to orbit is-
*Meningiomas commonly arise from the dura of sphenoid wing, i.e.sphenoid wing meningioma. Ref:Opthalmic oncology p.84.
4
Astrocytoma
Pituitary adenoma
Craniopharyngioma
Sphenoidal wing meningioma
Ophthalmology
Tumors
abe3b105-dac3-4b70-89d3-37c44439d767
single
Ninhydrin test is used for ?
Ans. is 'b' i.e., Amino acids Impoant chemical reactions of amino acids Following are some impoant chemical reactions. A. Reaction used to determine amino acid sequence in polypeptide chain : - Generally, amino terminal (N-terminal) of amino acid is tagged with some reagent. It is split off by hydrolysis and tagged ami...
2
Bile salts
Amino acids
Nucleic acid
Lipids
Biochemistry
null
7a038185-a481-44b3-8879-64cf38f62c5d
single
Colipase is an enzyme found in--------?
Pancreatic juice contains lipase, colipase, phospholipase A & B Colipase: Facilitates the action of lipase Prevents inactivation of lipase by bile salts SALIVA: 2 types of secretion 1. Serous: contains ptyalin (a amylase ) - digest carbs 2. Mucus: contains mucin - for lubrication & protection STOMACH: Mucus neck cells ...
3
Saliva
Bile
Pancreatic juice
Succus entericus
Physiology
FMGE 2017
e09ebb34-ac1f-4bbe-8502-120b05141534
single
Thrush refers to
null
2
Acute atrophic candidiasis
Acute pseudomembranous candidiasis
Chronic atrophic candidiasis
Chronic hyperplastic candidiasis
Pathology
null
578be829-4e1a-4ce7-94ef-d1a1c2e87eca
single
Optic atrophy can be caused by....poisoning :
C i.e. Methyl alcohol
3
Phosphrous
Ethyl alcohol
Methyl alcohol
Lead
Forensic Medicine
null
167c9f8b-eebb-419c-a52c-a2fa9a21388e
single
Which of the following is the least likely complication after massive blood transfusion, except
Massive transfusion can lead to coagulopathy and metabolic complications. MC cause of death after massive transfusion: dilutional coagulopathy or DIC. Transfusion of 15-20 units of blood components causes dilutional thrombocytopenia. After massive blood transfusion initially transient hyperglycemia due to glucose in pr...
4
Hyperkalemia
Citrate toxicity
Hypothermia
Metabolic acidosis
Surgery
General surgery
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multi
The drug X is used in osteoporosis. Its mechanism of action is shown in the Figure below. X is likely to
New drug for osteoporosis: 1. Teriparatide: PTH with 1-34 amino acid, stimulates osteoblast.2. Strontium ranelate: dual action: stimulate osteoblast and inhibit osteoclast.3. Denosumab: monoclonal antibody against rank ligand.
3
Teriparatide
Alendronate
Denosumab
Estrogen
Pharmacology
Endocrine
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single
Pharmacodynamics includes
Pharmacodynamics- the branch of pharmacology concerned with the effects of drugs and the mechanism of their action. Ref-KDT 7/e p1
4
Drug Elimination
Drug excretion
Drug Absorption
Mechanism of action
Anatomy
General anatomy
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single
In an RTA, a patient sustained soft tissue and Brachial plexus injuries with nerve affected in weakness of extensors of entire arm, forearm, hand with shoulder flexion, and extension. This is suggestive of involvement of
(C) C5 to T1 # 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> Postganglionic lesions: Disruption proximal to the dorsal root ganglion Avul...
3
Middle and lower cord
C5,6,7
C5 to T1
Posterior trunk
Orthopaedics
Miscellaneous
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single