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Familial adenomatous polyposis is characterized by all except
Familial adenomatous polyposis (FAP) Is a rare, inherited condition caused by a defect in the adenomatous polyposis coli (APC) gene - located in 5q 21 chromosome. FAP is autosomal dominant- >50% chance of inheritance in family members Has > 100 adenomatous polyps 100% RISK of malignancy Polyp formation - by 15 yrs. 100...
1
Autosomal recessive transmission
More than 100 polyps in colorectal area
Polyps seen in duodenum
Extra-intestinal manifestations are present
Surgery
JIPMER 2017
70b9add1-240f-481d-828b-c58c8fe422cf
multi
In Steiner's analysis, SNA demonstrates:
Relating the Maxilla to the Skull: The angle SNA is formed by joining the lines S-N and N-A . The mean reading for this angle is 82°. Steiners analysis demonstrates the position of maxilla and mandible in relation to the cranial base.  If the angular reading is more than 82°, it would indicate a relative forward positi...
2
Position of mandible in relation to cranial base
Position of maxilla in relation to cranial base
Maxillo-mandibular relationship
None of the above
Dental
null
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. Sulphasalazine is NOT used for the treatment of-
Sulhasalazine is not used for treatment of sarcoidosis As a treatment for sarcoidosis, these drugs are most likely to be effective in people who have skin symptoms or a high level of calcium in their blood. Hydroxychloroquine (Plaquenil) and chloroquine (Aralen) are antimalarial drugs that are used to treat sarcoidosis...
3
Crohn's disease
Rheumatoid ahritis
Sarcoidosis
Ulcerative colitis
Medicine
Miscellaneous
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Post traumatic stress disorder is differentiated from other anxiety disorders by which of the following symptoms?
This question is not about the diagnostic features of PTSD. This is about the differential diagnosis. PTSD is an anxiety disorder and it shares symptoms with other disorders. Impoant features in distinguishing the condition are given below. Differential diagnosis: Point 1: Etiologically significant trauma should be pre...
2
Nightmares
Re-living of past adverse event
Hypervigilance
Avoidance
Psychiatry
null
fa1ba371-3b43-4adc-8c74-f121d9323965
single
Which muscle is responsible for unlocking of knee?
Ans. A PopliteusRef: BDC, vol II pg. 155* Quadriceps femoris is the main and only extensor of knee.* It produces locking action as a result of medial rotation of the femur during the last stage of extension.* To reverse this lock popliteus muscle comes into action and does so by the lateral rotation of femurRemember: L...
1
Popliteus
Quadriceps femoris
Semitendinosus
Semimembranosus
Anatomy
Lower Extremity
88396977-bf8d-4ece-a0fc-575f404283d8
single
Polymorphic ventricular tachycardia can occur when terfenadine(antihistaminic):
Torsades de pointes (polymorphic ventricular tachycardia) occurs when terfenadine is taken in higher doses or when hepatic metabolism is impaired by disease or by drugs which inhibit the cytochrome P450 responsible for metabolism of terfenadine. Drugs include erythromycin, clarithromycin, ketoconazole and itraconazole....
3
Is coadministrator with azithromycin
Is coadministrator with fluconazole
Is given in higher doses
Reduces QT interval
Pharmacology
null
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Which component transfers four protons:
A i.e. NADH-Q Oxidoreductase; C i.e. Cytochrome C-Q oxidoreductase
1
NADH-Q Oxidoreductase
Cytochrome -C oxidase
Cytochrome C - Q oxidoredictase
Isocitrate Dehydrogenase
Biochemistry
null
186ba321-f9f4-4bd3-9680-24c873078dda
single
All of the following are true about Asthma, Except:
Answer is D (Small airways are not involved): Asthma involves both large and small airways but alveoli are not involved Charcot Leyden crystals may be seen in sputum: Pathology by woolf lsr (1998)/434 Sputum from Asthmatics show ceain characteristic features, including charcot leydencrystas The microscopically identifi...
4
Charcol Leydin crystals may be seen in sputum
Reversible Airflow obstruction is a characteristic feature
Large airways are involved
Small airways are not involved
Medicine
null
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multi
In emergency, which aery can be safely ligated ?
Ans. is 'a' i.e. Internal iliac
1
Internal iliac
Popliteal
Renal aeryInternal carotid
All
Surgery
null
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multi
Late metabolic acidosis is seen in-
Ans. is 'b' i.e., Preterm baby getting cow milk Late metabolic acidosis (LMA) o Late metabolic acidosis is a special type of acidosis in apparently healthy premature infant. o This hyperchloremic acidosis appeares during second and third week of life, and resolves spontaneously within a couple of weeks. Definition "An ...
2
Term infant given formula feed
Preterm baby getting cow milk
Long term breast feeding
None of the above
Pediatrics
null
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multi
Chemotherapeutic drugs can cause?
Ans. is 'c' i.e., Both necrosis and apoptosis o Injurious stimuli, e.g., radiation, cytotoxic anticancer durgs, heat and hypoxia, can induce apoptosis if the insult is mild, but large doses of same stimuli result in necrotic cell death.
3
Only necrosis
Only apoptosis
Both necrosis and apoptosis
Anoikis
Pathology
null
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Which of the following nerve is involved in Frey's syndrome?
Syndrome (Gustatory Sweating) aka auriculotemporal syndrome: Frey's syndrome arises as a complication of parotid surgery usually manifesting several months after the operation. lt is characterised by sweating and flushing of the preauricular skin during mastication causing nuisance to the person or social embarrassment...
3
Trigeminal
Mandibular
Ariculo temporal
Lingual
Surgery
null
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Opening of mouth is caused by:
Ans. A Lateral pterygoidRef: Grays, 41st ed. pg. 507-508* The primary function of the lateral pterygoid muscle is to pull the head of the condyle out of the mandibular fossa along the articular eminence to protrude the mandible.* The effort of the lateral pterygoid muscles acts in helping lower the mandible and open th...
1
Lateral pterygoid
Medial pterygoid
Temporalis
Masseter
Anatomy
Neuroanatomy
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All are true about streptococcus Except
Mucoid colonies are due to the production of the capsule of hyaluronic acid not due to M-protein. Growth characteristic of Strep. pyogenes: On blood agar, virulent stains form matt or mucoid colonies while avirulent from glossy colonies. M, T, R are proteins found on the outer pa of the cell wall and forms the basis of...
1
M-protein is responsible for production of mucoid colonies
M-protein is responsible for virulence
Mucoid colonies are virulent
Classified based on their haemolytic propeies.
Microbiology
All India exam
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What is monitored in a patient of Pre eclamsia ?
Ans. is 'd' i.e. All of the abov Investigations in a case of Pre eclampsia* URINE for proteins/albumin. 24 hours urine protein* CBC: There is hemoconcentration so HB values are false elevated. Low platlets indicate HELLP syndrome* Sr uric acid: It is a biochemical marker of preeclampsia. Raised levels (>4.5 mg/dl) indi...
4
Uric acid
Platlet count
LFT
All of the above
Gynaecology & Obstetrics
Miscellaneous (Gynae)
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In a young female of reproductive age an absolute contraindication for prescribing oral contraceptive pills is:
Ans-D i.e., Impaired liver function Repeat Q No 173 (Nov. 2004)Absolute contraindications include:A personal h/O thromboembolic venous, arterial or cardiac disease or severe or multiple risk factor for these. Transient cerebral ischaemic attacks without a headache.Infective hepatitis, until 3 months after liver functio...
4
Diabetes
Hypertension
Obesity
Impaired liver function
Unknown
null
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A tracheostomised patient, with poex tracheostomy tube, in the ward, developed sudden complete blockage of the tube. Which of the following is best next step in the management?
Immediate removal of the tracheostomy tube is best next step in the management in the above case -Suction of tube with sodium bicarbonate is done to avoid the blockage. -Suction of the tube with saline can't be used when there's a complete obstruction. - Jet ventilation is done below the level of larynx, when we're ope...
1
Immediate removal of the tracheostomy tube
Suction of tube with sodium bicarbonate
Suction of tube with saline
Jet ventilation
ENT
Ca Larynx
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All of the following are well recognised predisposing factors for adult respiratory distress syndrome, except:
Status asthmaticus is an example of type 2 respiratory failure while ARDS is type 1 respiratory failure. All other choices lead to cytokines release and damage the alveoli leading to ARDS.
3
Multiple blood transfusions
Septicemia
Status asthmaticus
Toxic gas inhalation
Medicine
Respiratory Failure
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Gottron papules is seen in ?
Ans. is 'a' i.e., Dermatomyositis
1
Dermatomyositis
Scleroderma
Sarcoidosis
Behcets syndrome
Skin
null
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Which among the following is the BEST irrigating fluid during ECCE?
BSS plus a balanced salt solution enhanced with bicarbonate, dextrose and glutathione. It is specially used for surgeries requiring prolonged irrigation such as phacoemulsification, pars plana vitrectomy and automated extracapsular cataract extraction. Balanced sterile solution is a sterile physiologically balanced irr...
4
Ringer lactate
Normal saline
Balanced salt solution
Balanced salt solution + glutathione
Ophthalmology
null
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Acute Gouty ahritis is seen early in treatment following -
All of the above Rapid lowering of urate level in chronic gout, by any means, may precipitate an attack of acute gout, probably by causing the dissolution of tophi. o It is therefore usual to give prophylactic suppressive treatment with indomethacine, colchicine or steroid cover during first 2 months of allopurinol or ...
4
Probenecid
Allopurinol
Rasburicase
All of the above
Pharmacology
null
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Chandler's index is associated with: September 2006
Ans. B: Hook worm Morbidity and moality from hookworm infection depend much on the worm load. Chandler worked out an index on the basis of an average number of hookworm eggs per gram of feces for the entire community, Chandler's index is still used in epidemiological studies of hookworm disease. By this index, worm loa...
2
Round worm
Hook worm
Pin worm
Tape worm
Social & Preventive Medicine
null
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Heparin is the commonly used anticoagulant in cardiac surgery. All of the following are true about heparin except-
Ans. is 'a' Weakest acid found in living organism Heparin is a direct acting anticoagulant Chemical nature and preparationHeparin is a sulfated mucopolysaccharide which occurs in the secretory granules of mast cells.It is the strongest organic acid in the body and in the solution it carries an electronegative charge.It...
1
Weakest acid found in living things
Most commercial preparations of heparin now utilize pig intestinal slimes
Act via Antithrombin activation
Produce thrombocytopenia
Pharmacology
Anticoagulants and Coagulants
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One of the following is the first enzyme to be released at the site of wound?
Ref - Krishan Vij textbook of forensic medicine and toxicology 5e pg - 202
2
Aminopeptidase
ATPase
Acid phosphatase
Alkaline phosphatase
Forensic Medicine
Mechanical injuries
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Sign of diabetic ketoacidosis is-
Physical findings of diabetic ketoacidosis are tachycardia, dehydration/hypotension, hypothermia, tachypnea/Kussmaul respirations/ respiratory distress, abdominal tenderness (may resemble acute pancreatitis or surgical abdomen), lethargy/obtundation/cerebral edema/possibly coma. Reference : page 2418 Harrison's Princip...
3
Loss of sweating
Depression
Dehydration
Absent deep tendon reflexes
Medicine
Endocrinology
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Which of the following drug is used in scabies as single oral dose agent: March 2011
Ans. C: Ivermectin Ivermectin is used as single oral dose of 200 microgram/ kg body weight It can be repeated after 2 weeks It is indicated in epidemics of scabies in orphanages and Norwegian scabies Scabies: Incubation period: 4 weeks Pathognomic lesion: Burrow, which lies in stratum corneum MC site in infants: Scalp,...
3
Permethrin
Retinoids
Ivermectin
Co-trimoxazole
Skin
null
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Most common complication after ERCP is
Complication perforation(1.3%)/hemorrhage (1.4%),pancreatitis (4.3%) and sepsis (3-30%). Bailey & Love 26th, 208
1
Acute Pancreatitis
Acute cholangitis
Acute cholecystitis
Duodenal perforation
Surgery
G.I.T
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Progesterone production in the ovary is primarily by:
null
3
Stroma
Corpora albicans
Corpora lutea
Mature follicles
Physiology
null
8ce680ed-3297-4dda-bb9b-ec514e2f3279
single
Which of the following clinical situations is associated with an increase in predominantly conjugated ("direct") bilirubin?
Of the conditions listed, only pancreatic head tumors are associated with an increase in conjugated ("direct") bilirubin (obstructive jaundice). Increased levels of unconjugated ("direct") bilirubin result from hemolysis over liver defects that impair uptake or conjugation mechanism in liver cells (Gilbe's syndrome, Cr...
4
Physiologic jaundice of the neonate
Kernicterus Following Rhesus Incompatibility
Gilbe's Syndrome
Pancreatic head tumor
Surgery
null
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The use of kinematic face bow is contraindicated in the edentulous patients because
null
4
It has to be used on the mandibular ridge
Recording base may be unstable on the edentulous mandible
Movement of bases may lead to inaccuracy in recording hinge axis
All of the above
Dental
null
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multi
Regarding carcinoma Gallbladder true statement
Clinical features Most commonly presents with right upper quadrant pain often mimicking cholecystitis and cholelithiasis Weight loss, jaundice and abdominal pain are less common presenting symptoms Chronic cholecystitis with a recent change in quality or frequency of the painful episodes in 40% patients Malignant bilia...
2
Squamous cell carcinoma is the most common
Present with jaundice
Good prognosis
65% survival after surgery
Anatomy
G.I.T
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multi
Which anaesthetic agent increases intracranial tension among the following
All inhalational anaesthetics directly act on cerebral blood vessels→vasodilatation→increase cerebral blood flow→ increase intracranial tension
4
Thiopentone
Propofol
Lignocaine
Sevoflurane
Anaesthesia
null
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single
Granules of Eleidin are present in which of the following layer?
Stratum Lucidum - Also called clear cell layer. Present only in skin of palms and soles. Translucent due to presence of refractile Eleidin granules
2
Stratum corneum
Stratum lucidum
Stratum spinosum
Stratum basale
Dental
Layers of epidermis, dermis
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Which of the following drug is a long acting beta–2 agonist ?
null
2
Albuterol
Salmeterol
Pirbuterol
Orciprenaline
Pharmacology
null
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Antidepressant drug used in nocturnal enuresis is:
Sleep related enuresis- Treatment Bed alarms (behavioral therapy)- TOC Desmopressin (DOC) Imipramine (TCA Antidepressant)
1
Imipramine
Fluoxetine
Trazodone
Seraline
Psychiatry
Sleep Disorders
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Five days after an uneventful cholecystectomy, an asymptomatic middle-aged woman is found to have a serum sodium level of 125 mEq/L. Which of the following is the most appropriate management strategy for this patient?
The initial, and often definitive, management of hyponatremia is free-water restriction. Symptomatic hyponatremia, which occurs at serum sodium levels less than or equal to 120 mEq/L, can result in headache, seizures, coma, and signs of increased intracranial pressure and may require infusion of hypeonic saline. Rapid ...
2
Administration of hypeonic saline solution
Restriction of free water
Plasma ultrafiltration
Hemodialysis
Anaesthesia
Preoperative assessment and monitoring in anaesthesia
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Reversible cause of dementia is -
Ans. is 'c' i.e., Hypothyroidism Causes of dementiaReversible causesSurgically treatableMedically treatableo Normal pressure hydrocephaluso Brain tumors (frontal lobe tumor)o Meningiomao Subdural hematoma (Head injury)o Hydrocephaluso Hypothyroidismo Depressiono HIV infectiono Alcohol abuseo Vitamin B12, Folate, Niacin...
3
Alzheimer's disease
Parkinsonism
Hypothyroidism
Vascular dementia
Psychiatry
Dementia Due to Metabolic Causes
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A obese female having hirsutism on laboratory investigation has high level of LH and androgens. Likely cause is-
Ans. is 'a' i.e., PCOS o The clinical and laboratory features of the patient described in the question match with those of PCOS as depicted in the table. So the most appropriate answer is PCOS.Clinical features of polycystic ovarian diseaseClinical featureHannonalSequelaeo Young womano | E2. levelo Diabaetes (15%)o Cen...
1
PCOS
Exogenous steroid ingestion
Turner syndrome
Kleinfelter syndrome
Gynaecology & Obstetrics
Disorders of Ovulation - Anovulation
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Which of the following is a feature of papillon lefevre syndrome?
null
4
destructive periodontitis
palmar-plantar keratosis
calcification of dura
all the above
Dental
null
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All are used in the management of head injury patient except?
Glucocoicoids are useful for management of vasogenic edema from tumor or brain abscess. In contrast glucocoicoids are avoided in case of head trauma, ischemic and hemorrhagic stroke. Norepinephrine or pressor therapy is used to maintain a MAP to maintain CPP> 60 mm Hg. Sedation is done with propofol or midazolam. Neuro...
4
Neuromuscular paralysis
Nor-epinephrine
Sedation
Glucocoicoids
Medicine
Raised ICP and Brain death
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Not a premalignant condition: March 2005
Ans. A: Retinitis pigmentosaGIT premalignant conditionsOf the four major primary small-bowel tumors (adenocarcinomas, lymphomas, carcinoid, and leiomyosarcomas), adenocarcinomas and lymphomas are associated with diseases that seem to increase the risk of developing these malignancies.Immunoproliferative small intestina...
1
Retinitis pigmentosa
Crohn's disease
Ulcerative colitis
Leukoplakia
Medicine
null
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Which of the following is false about Takotsubo Cardiomyopathy
Echo comes back to normal in two weeks.
4
Due to major catecholamine discharge
Lv Contractile dysfunction
Presents with acute chest pain
Echo never reverts back to normal
Medicine
null
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In rheumatic heart disease, infective endocarditis is detected by echocardiogram and the largest vegetations seen are due to-
null
3
Streptococcus viridans
Staphylococcus aureus
Candida albicans
Salmonella typhi
Medicine
null
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Hereditary non-polyposis colorectal cancer (HNPCC) has an increased risk of all the following except
Hereditary non-polyposis colorectal cancer (Lynch syndrome)Hereditary non-polyposis colorectal cancer (HNPCC) is characterised by an increased risk of colorectal cancer and also cancers of the endometrium, ovary, stomach and small intestine.It is an autosomal dominant condition caused by a mutation in one of the DNA mi...
4
Endometrium
Ovary
Stomach
Pancreas
Surgery
G.I.T
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Iodine RDA is -
Ans. is 'c' i.e., 150 microgram o The RDA of iodine for adults is 150 microgram.GroupRecommended daily intakePreschool children (0-59 months)School children (6 - 12 years)Adults (>12 years)Pregnancy and lactation90 meg120 meg150 meg250 meg
3
300 microgram
500 microgram
150 microgram
50microgram
Social & Preventive Medicine
Nutrition and Health
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Spanish windlass was practices in Spain as a method of execution. It is a type of:
Garrotting Garrotting: One of the methods of hemicidal strangulation The victim is attacked from behind without warning and strangled by grasping throat or by throwing a ligature over the neck and tightening it quickly. In this way a single assailant can kill a healthy robust adult. Garrotting was practices as a mode o...
3
Bansdola
Mugging
Garrotting
Hanging
Forensic Medicine
null
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Dispropoionately increased blood urea levels compared to serum creatinine (urea creatinine ratio 20:1) can be seen in the following except -
Intrinsic or intrarenal acute renal failure (ARF) occurs when direct damage to the kidneys causes a sudden loss in kidney function. The most common causes of intrinsic acute renal failure are acute tubular necrosis (ATN), acute glomerulonephritis (AGN), and acute interstitial nephritis (AIN) . Ref Harrison20th edition ...
3
Prerenal failure
CCF
Intrinsic renal failure
Hypovolemia
Medicine
Kidney
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For RNA, which blotting technique is used -
Ans. is 'b' i.e., Northern blot TechniqueSample analyzedGel usedProbeSouthern blotDNAQYesRadioactive DNAAllele specific oligonucleotide (ASO)DNANoAllele specific oligonucleotideMicroarravm-RNA or c-DNANoDNA probeNorthern blotRNAQYesDNA probeWestern (immuno) blotProtein QYesLabeled antibody QSouth Western blotProtein DN...
2
Western blot
Northern blot
Southernblod
None
Biochemistry
Molecular Biology Techniques
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Which bacteria acts by inhibiting protein synthesis?
Ans. is 'a' i.e., Pseudomonas
1
Pseudomonas
Staphylococcus
Streptococcus
Klebsiella
Microbiology
null
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Panthothenic acid is coenzyme of which of the following reaction (s):
D i.e. Acetylation Pantothenic acid is necessary for synthesis of coenzyme A (CoA)Q, which functions as a coenzyme for acetylation reactionsQ
4
Dehydrogenation
Oxidation
Decarboxylation
Acetylation
Biochemistry
null
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Delusion that someone from high socio economic status is loving you is in -
null
3
Othello syndrome
Capgras syndrome
De clerambault syndrome
Franklin syndrome
Psychiatry
null
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single
Oesophageal motility disorder are best diagnosed by?
Answer is B (Endoscopy): Dysphagia for solids alone suggests a probable mechanical cause for dysphagia such as carcinoma, stricture or esophageal web. The investigation of choice for such cases is Endoscopy.
2
Barium studies
Endoscopy
24 hour pH monitoring
Manometry
Medicine
null
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Quinine given to a patient of falciparum malaria caused sweating and palpitation, the likely cause is?
Ans. is 'c' i.e., Hypoglycemia o Sweating and palpitations suggest hypoglycemia; which can occur due to quinine. Cinchonism is characterized by ringing in ears, nausea, vomiting, veigo, headache, mental confusion, difficulty in hearing and vision. Hypotension and cardiac arrhythmias develop on rapid i.v. injection.
3
Cinchonism
Hyperglycemia
Hypoglycemia
Hypokalemia
Pharmacology
null
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Good pasture's syndrome is characterized by all of the following, except:
Answer is B (Leucocytoclastic Vasculitis) Leucocytoclastic vasculitis is not a typical feature of Good pasture's syndrome Triad of Goodpasture's syndrome (Ferri 's Color Atlas & Text of Clinical Medicine) Glomerulonephritisdeg (RPGN; crescents) Pulmonary HaemorrhageQ (Diffuse Alveolar Haemorrhage) Antibodies to basemen...
2
Glomerulonephritis
Leucocytoclastic Vasculitis
Diffuse alveolar haemorrhage
Presence of antibodies to Basement Membrane
Medicine
null
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Main source of energy derived from
Glycogen is the reserve carbohydrate in animals. It is stored in liver and muscles.The phosphorylated enzyme is less sensitive to allosteric inhibitors. Thus even if cellular ATP and glucose-6-phosphate are high, Phosphorylase will be active. The glucose-1-phosphate produced from glycogen in the liver may be conveed to...
2
Fat
Glycogen
Lactate
Ketone
Biochemistry
Metabolism of carbohydrate
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Reverse Coarctation is seen in
Reverse Coarctation ;weak or absent pulse in upper limb + pulse present in lower limb.
2
Giant cell arteritis
Takayasu arteritis
Polyarteritis nodosa
Microscopic polyangitis
Medicine
null
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Measures involved in sentinel surveillance includes all of the following except.
Ans. (d) Identifying cases free of disability* Surveillance: Is the ongoing systematic collection and analysis of data and the provision of information which leads to action being taken to prevent and control a disease, usually one of an infectious nature* Surveillance is of many types:- Passive Surveillance: Data is i...
4
Identifying missing cases in notification of diseases
Identifying new cases of infection
Identifying old and new cases
Identifying cases free of disability
Social & Preventive Medicine
Concept of Control
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Which of the following drug crosses placenta
(Warfarin) (601-KDT6th)* WARFARIN - It crosses placenta and is secreted in milk however quantity of active form is generally insufficient to affect the suckling infants* HEPARIN - does not cross BBB or placenta**- It is the anticoagulant of choice during pregnancy*** Bleeding due to overdose is the most serious complic...
2
Heparin
Warfarin
Dicumarol
Nicoumalone
Pharmacology
Hematology
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Vocal cord palsy is not associated with -
null
1
Vertebral secondaries
Left atrial enlargement
Bronchogenic carcinoma
secondaries in mediastinum
ENT
null
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Thymic hypoplsia is seen in which of the following
Ref Robbins 9/e p224 Thymic Hypoplasia: DiGeorge Syndrome DiGeorge syndrome results from a congenital defect in thymic development with deficient T cell maturation. T cells are absent in the lymph nodes, spleen, and peripheral blood, and infants with this defect are extremely vulnera- ble to viral, fungal, and protozoa...
4
Wiskott Aldrich syndrome
Digeorge syndrome
IgA deficiency
Agammaglobulinamia
Anatomy
General anatomy
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Rett's syndrome occurs due to deficiency of ?
Ans. is 'b' i.e., Biotin
2
Niacin
Biotin
Carotene
Vit D
Pediatrics
null
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The Triat in which the parents are clinically normal and only siblings are affected but males and females are affected in equal propoions is:
AR
2
AD
AR
XLD
XLR
Pathology
null
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multi
Vitamin K is ivolved in the posttranslational modification?
null
1
Glutamate
Aspartate
Leucine
Lysine
Biochemistry
null
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True about primary peritonitis
(D) Occurs with Cirrhosis of liver # # PRIMARY (SPONTANEOUS) BACTERIAL PERITONITIS> Peritonitis is either primary (without an apparent source of contamination) or secondary.> The types of organisms found and the clinical presentations of these two processes are different. In adults, primary bacterial peritonitis (PBP) ...
4
Mostly monobacterial
It is chemical peritonitis proceeds secondary peritonitis
Needs peritoneal lavage
Occurs with Cirrhosis of liver
Surgery
Miscellaneous
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Osgood Schlatter disease is associated with osteochondritis of
Types of Osteochondritis and Nomenclature Traction apophysitis (chronic strain injuries) Tibial Tuberosity Osgood-Schlatter Calcaneum Sever The lower pole of patella Sinding-Larsen&;s
3
Patella
Femur medial condyle
Tibial tubercle
Femur lateral condyle
Microbiology
All India exam
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single
Datura seeds resemble -
↵The seeds of datura closely resemble those of the capsicum universally used over India as a condiment, and the difficulty of their detection is enhanced by the fact that, apart from the bitterness, the poison-seeds have little taste and as impure salt is generally used in India.
2
Ricinus communis
Capsicum
Opium
None
Forensic Medicine
null
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Measles is infective for:
Measles/English Measles is spread through respiration (contact with fluids from an infected person&;s nose and mouth, either directly or through aerosol transmission), and is highly contagious -- 90% of people without immunity sharing a house with an infected person will catch it. The infection has an average incubatio...
2
One day before and 4 days after rash
Four days before and five days after rash
Entire incubation period
Only during scabs falling
Microbiology
All India exam
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True about Caspases is?
ANSWER: (A) Involved in apoptosisREF: Robbins pathology 7th edition page 27-29Caspases are essential in cells for apoptosis, or programmed cell death, in development and most other stages of adult life, and have been termed "executioner" proteins for their roles in the cell Some Caspases are also required in the immune...
1
Involved in apoptosis
Cause necrosis
Involved in pain pathway
Are cytokines inhibitor
Pathology
Apoptosis
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Metachromatic granules are stained by?
Ans. is 'a' i.e., Ponder's stain
1
Ponder's stain
Negative stain
Gram's stain
Leishman stain
Microbiology
null
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Finger print bureau was first established in the following country:
Dactylography or fingerprint system or dermatoglyphics or Galton system was first used in India in 1858, by Sir William Herschel in Bengal. Sir Francis Galton systematised this in 1892. Finger print bureau was first established in Kolkata.Fingerprints are impressions of patterns formed by the papillary or epidermal rid...
1
India
England
USA
France
Forensic Medicine
null
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Which of the following drug acts against Pseudomonas -
Ans. is 'a' i.e., Piperacillin Drugs acting against Pseudomonas. o Penicillins- Piperacillin, Carbenicillin, Ticarcillin, Mezlocillin. o Cephalosporins - Ceftazidime, Cefoperazone, Cefepime. o Carbapenems- Imipenem, meropenem o Monobactams - Aztreonam. o Aminoglycosides - Tobramycin, Gentamycin, Amikacin. o Fluroquinol...
1
Piperacillin
Methicillin
Nafcillin
Cloxacillin
Pharmacology
null
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Cicatrial Alopecia is seen in:
C. i.e. DLE
3
Tenia Capitis
Psoriasis
DLE
Alopecia Aereta
Skin
null
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single
According to Spetzler-Main criteria, how much score is given for a 5 cm nidus with AV malformation?
Spetzler-Main AVM grading scale. Graded Feature Points Assigned Size of AVM < 3 cm 3-6 cm >6 cm 1 2 3 Eloquence1 of adjacent brain Noneloquent Eloquent 0 1 Venous drainage Superficial Deep 0 1 'Eloquent areas include: visual, language, and sensorimotor coex; the thalamus and hypothalamus; the internal capsule; the brai...
3
3
4
2
5
Surgery
JIPMER 2018
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Which of these following statements is wrong about Tacrolimus?
The side effects of Tacrolimus includes, nephro and hepato toxicity. It can also cause hypeension, tremors, seizure, diabetes mellitus and blurred vision. It should be better avoided with other hepato and renal toxicity drugs. Ref: Manzoor M. Khan (2008), Chapter 4 "Immunesupressive Agents", In the book, "Immunopharmac...
2
It is one of the macrolide antibiotic
It can be safely administered with any nephrotoxic drug
Glucose intolerance is a well known side effect
It is used as prophylaxis for transplant rejection
Pharmacology
null
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Macrosomia is a
Macrosomia:- A condition where a baby is large before bihFactors causing macrosomia:Mother having diabetesMother having gestational diabetesObese mother(Refer: Nelson's Textbook of Pediatrics, SAE, 1st edition, pg no. 777, 897 - 899)
1
Large size baby
Big mouth
Large head
Large tongue
Pediatrics
All India exam
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single
Which one of the following device conves radioactive emissions to light for detection?
Scintillation counter: It measures ionizing radiation. The sensor, called a scintillator, consists of a transparent crystal, usually phosphor, plastic, or organic liquid that fluoresces when struck by ionizing radiation. A sensitive photomultiplier tube (PMT) measures the light from the crystal. The PMT is attached to ...
3
Geiger counter
Photographic film
Scintillation counter
Radiotracer
Radiology
Nuclear medicine
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Enterobius commonly inhabit the: September 2011
Ans. D: Caecum Adult Enterobius vermicularis worms inhabit the caecum, appendix and adjacent poions of the ascending colon, lying closely applied to the mucosal surface. Pinworm (genus En terobius)/Threadworm/Seatworm, It is a nematode (roundworm) and a common human intestinal parasite, especially in children. It inhab...
4
Duodenum
Jejunum
Ileum
Caecum
Microbiology
null
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Which of the following results in increase in secretion of ADH?
Ans: C HypovolemiaRef: Guyton 12th/e p. 9051Hypovolemia (Decreased ECF) stimulates the release of ADH.Vasopressin secretion is increased by: - i) Increased osmolarity (osmotic pressure) of plasma; ii) Decreased ECF volume; iii) Pain, emotion, stress, exercise; iv) Nausea and vomiting; v) Standing; vi) Clofibrate, Carba...
3
Hypervolemia
Hypeension
Hypovolemia
Decrease osmolarity
Physiology
null
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Urine osmolality in Diabetes insipidus is
Diabetes insipidus is condition characterised by excessive thirst excretion of large amounts of severely diluted urine Those with diabetes insipidus continue to uinate large amount of urine in spite of water deprivation.Ref: DM Vasudevan, 7th edition, page no: 373
1
<150 mmol/L
<300 mmol/L
<600 mmol/L
<900 mmol/L
Biochemistry
Endocrinology
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1-a hydroxylation in Vitamin-D metabolism takes place in
Vitamin D is a fat-soluble vitamin molecule found in fish liver oils, and also produced in the skin when subjected to ultraviolet rays from sunlight. The main function of the vitamin is to increase the utilization of calcium and phosphorus in bones and teeth. A mixture of several forms of vitamin D: Vitamin D3 is synth...
3
Skin
Liver
Kidney
Blood
Physiology
Endocrinology
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Magaldrate is conveed by gastric acid to ?
Ans. is `c' i.e., Magnesium hydroxide and Aluminium hydroxide Magaldrate: Magaldrateis a common antaciddrug that is used for the treatment of duodenal and gastric ulcers, esophagitis from gastroesophageal reflux. Magaldrate is a hydroxymagnesium aluminate complex that is conveed rapidly in gastric acid to Mg(OH), and A...
3
Magnesium hydroxide
Magnesium hydroxide and calcium carbonate
Magnesium hydroxide and Aluminium hydroxide
Calcium carbonate and aluminium hydroxide
Pharmacology
null
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Which of the following nerves are affected after spinal anaesthetic block –
Local anesthetics block generation and conduction of nerve impulse at all part of neuron where they come in contact, without causing structural damage. Thus not only sensory but motor impulses and autonomic control is also interrupted.
4
Motor and sensory only
Sensory and autonomic nerve only
Sensory nerves only
Sensory, autonomic and motor nerves
Anaesthesia
null
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Drug of choice for Treponema Pallidum is?
ANSWER: (A) Penicillin GREF: Microbiology, Volume 2; Volume 9, Part 2 edited by E. Edward Bittar, Neville Bittar p; 241See APPENDIX-65 for "SEXUALLY TRANSMITTED DISEASES""Parenteral penicillin G remains the treatment of choice for syphilis (Treponema pallidu and resistance to penicillin has not been reported"
1
Penicillin G
Tetracycline
Azithromycin
Doxycycline
Pharmacology
D.O.C
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If hemoglobin status of a population with mean value is 10.3 gm % with SD 2 gm%, then 5% population will be below what value of Hb?
.
2
6.67
7.35
9
8.6
Social & Preventive Medicine
Biostatistics
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single
Inclusion body conjunctivitis true is all except:
Ans. Present only in infants
2
Self limiting
Present only in infants
Occurs while passage from bih canal
Caused by chlamydia
Ophthalmology
null
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A 55 year old man, a chronic smoker is brought to emergency with history of polyuria, polydipsia, nausea and altered sensorium for last two days. He had been diagnosed as having squamous cell carcinoma of lung two months prior to this. On examination, he was lethargic and confused. An ECG was normal except for a narrow...
null
2
Hypematremia
Hypercalcemia
Hypokalemia
Hyponatremia
Medicine
null
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EBV causes all EXCEPT:
ANSWER: (C) Verrucous lymphomaREF: Jawett's 24th edition Section IV. Virology > Chapter 33. Herpesviruses Cancer by EBV:EBV is recognized as a cause of Burkitt's lymphoma, nasopharyngeal carcinoma, Hodgkins disease, and some other lymphomas. Sera from patients with Burkitt's lymphoma or nasopharyngeal carcinoma contain...
3
Nasopharyngeal carcinoma
Burkitt s lymphoma
Verrucous lymphoma
Hodgkin's lymphoma
Microbiology
Virology
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All of the following are required more during lactation as compared to pregnancy, except ?
Ans. is 'a' i.e., Iron Required more during lactation as compared to pregnancy : Energy, Vitamin A, thiamin, riboflavin, Vitamin C, niacin, and Vitamin B12. Required more during pregnancy : Iron, protein, and folate. Same requirment in pregnancy and lactation : Fat, calcium, zinc, magnesium, and vitamin B6.
1
Iron
Vitamin A
Niacin
Energy
Social & Preventive Medicine
null
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multi
Not a B cell marker -
. CD 134
3
CD 19
CD 20
CD 134
CD 10
Pathology
null
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Actinomycosis is commonly seen in -
null
2
Tibia
Mandible
Scapula
Femur
Medicine
null
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In sebaceous glands, accumulation of sebum leads to:
Ans. b. Acne4 steps in pathogenesis of Acne are:Sebum productionHyperkeratosis of pilosebaceous unitPropionibacterium acnes colonization of pilosebaceous unit Inflammation
2
Milia
Acne
Epidermoid cyst
Miliaria
Skin
General
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A young girl presents with abdominal pain and a recent change in bowel habit, with passage of mucus in stool. There is no associated blood in stool and symptoms are increased with stress. The most likely diagnosis is-
Childhood Chronic ill health in childhood or adolescent IBD may result in growth failure, metabolic bone disease and delayed pubey. Loss of schooling and social contact, as well as frequent hospitalisation, can have impoant psychosocial consequences.Treatment is similar to that described for adults and may require gluc...
1
Irritable bowel syndrome
Ulcerative colitis
Crohn's disease
Amebiasis
Medicine
G.I.T
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Length of umbilical cord is?
ANSWER: (C) 30-100 cmsREF: Dutta 6th ed p. 40The normal length of umblical cord is around 50cms with usual variation between 30-100 cms
3
40-50 cms
60- 120 cms
30-100 cms
25-40 cms
Gynaecology & Obstetrics
The Amnion and Umbilical Cord
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Vinyl chloride has been implicated in -
null
1
Angiosarcoma of liver
Angiofibroma of nose
Hepatomas
Bladder cancer
Pathology
null
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Vitamin B12 intrinsic factor absorption occurs in
Most of the vitamins are absorbed in the upper small intestine, but vitamin B12 is absorbed in the ileum.Vitamin B12 binds to intrinsic factor and the complex is absorbed across the ileal mucosa.Vitamin B12 and folate absorption are Na+ independent.Other vitamins are absorbed by carriers that are Na+ cotranspoers.(Ref:...
2
Duodenum
Ileum
Jejunum
Colon
Physiology
G.I.T
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Splenunculi are commonly seen in
A. (Hilum of spleen) (1103-B & L 25th)ACCESSORY SPLEEN (Splenunculi) - probably results from a failure of infusion of splenic embryonic tissues* They are located near the hilum of the spleen in 50% of cases and related to the splenic vessels or behind the tail of pancreas in 30%. The remainder are located in the mesoco...
1
Hilum of spleen
Tail of spleen
Mesocolon
Splenic ligaments
Surgery
Spleen
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Causative agent of Favus is:
Ans. A. Tinea schoenleiniiFavous usually affect scalp, but occurring occasionally on any part of the skin and even at times on mucous membrane, caused by Tinea schoenleinii.
1
Tinea schoenleinii
Tinea rubrum
Malassezia furfur
Epidermophyton floccosum
Skin
Fungal Infection
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Zona Pellucida disappears by:-
Zona pellucida is thick membranous covering made up of glycoprotein, the microvilli of oocyte and follicular cells project into zona pellucida for nutrition. it prevent polyspermy and implantation. Blastocyst forms at 4th day and by the end of 5th day, zona pellucida disappears and implantation takes place at 6th -7th ...
3
Before ferilisation
During feilization
5th day after feilization
7th day after feilization
Anatomy
Development period- week 1,2,3,4
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Storage form of thyroid hormone-
The synthesis and storage of thyroid hormones occurs between the follicular cells and the colloid. The storage form of thyroid hormone is thyroglobulin. Thyroglobulin is a large glycoprotein synthesized in the follicular cells and has a molecular weight of around 650 000 with about 140 tyrosine residues, depending on t...
3
Tri-iodo tyrosine
Tri - iodo thyronine
Thyroglobulin
Di-iodo tyrosine
Medicine
Endocrinology
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Congenital hepatic fibrosis is a characteristic feature of
Infantile and Iuvenile forms are associated with congenital Hepatic fibrosis.
2
Multicystic renal dysplasia
ARPKD
Familial juvenile nephronophthisis
Medullary sponge kidney
Pathology
null
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