dataset
string
id
string
question
string
choices
list
rationale
string
answer
string
subject
string
medmcqa
medmcqa_1184
Doctrine of common knowledge is a variant of
[ "Medical maloccurence", "Res ipsa loquitur", "Novus actus interveniens", "Calculated risk doctrine" ]
Doctrine of common knowledge Doctrine of Common Knowledge - It is based on the assumption that the issue of negligence in the paicular case is not related to specialized knowledge or technical matters of the medical profession, but an act involving application of common knowledge. - Expes may not provide evidence regar...
B
null
medmcqa
medmcqa_22664
A phenotypically normal woman underwent a karyotype analysis for difficulties in conceiving. She was found to contain three Barr bodies, but no translocations or large deletions. Her karyotype would be best represented by which one of the following?
[ "48 XXXXY", "46 XX", "48 XXXX", "48 XXXY" ]
If the woman is expressing three Barr bodies, then she has four X chromosomes per cell, three of which have been inactivated. This would give her a total of 48 chromosomes, and four of those would be X chromosomes, for a karyotype of 48 XXXX. Any karyotype with a Y chromosome would be a male.
C
null
medmcqa
medmcqa_1750
Which of the following is an anti-pseudomonal drug of penicillin class: March 2013
[ "Nafcillin", "Dicloxacillin", "Piperacillin", "Cloxacillin" ]
Ans. C i.e. Piperacillin Extended-spectrum penicillin It is a group of antibiotics that has the widest antibacterial spectrum of all penicillins. It is also called antipseudomonal penicillins. This group includes the Aminopenicillins: Amoxicillin Ampicillin Epicillin - Carboxypenicillins: Ticarcillin Carbenicillin Urei...
C
null
medmcqa
medmcqa_33767
'First order 'symptoms of schizophrenias' schizopremia include all except:
[ "Depersonilization", "Running commentary of ones thoughts", "Primary delusion", "Somatic passivity" ]
There are 11 first rank symptoms first three are related to thoughts - thought inseion , withdrawal & broadcasting next three are related to hallucinations -1St person ,2ND person & 3RD person next three are made phenomena remember MADE VOLITION, MADE IMPULSE, MADE AFFECT (mood) Last two are Somatic passivity & Delusio...
A
null
medmcqa
medmcqa_54635
In valvular hea disease complicating pregnancy the following statements are true except :
[ "A closed mitral valvotomy can be carried out if symptoms of mitral stenosis are severe", "Open hea surgery is associated with a reduction in fetal loss", "Mitral regurgitation is usually well tolerated", "A maternal moality of 15% has been repoed in women with critical aoic stenosis" ]
Open hea surgery is associated with a reduction in fetal loss
B
null
medmcqa
medmcqa_53955
Which of the following is seen in eosinophil granules?
[ "Cathepsin", "Major basic protein", "Transferrin", "All of the above" ]
Eosinophils are abundant in immune reactions mediated by IgE and in parasitic infections. A chemokine that is especially impoant for eosinophil recruitment is eotaxin. Eosinophils have granules that contain major basic protein, a highly cationic protein that is toxic to parasites but also causes lysis of mammalian epit...
B
null
medmcqa
medmcqa_47261
Aschoff cells are -
[ "Fibroblasts", "Monocytes", "Neutrophils", "Lymphocytes" ]
The monocytes migrate to tissues and become part of the tissue (fixed) macrophages. Blood macrophages → Monocytes Tissue macrophages → Histiocytes Tissue macrophages (histiocytes) in different tissue are mentioned below – Lung: ‘Alveolar macrophages’ or ‘Dust’ cells Placenta: Hofbauer cells Brain: Microglia Kidney: M...
B
null
medmcqa
medmcqa_6323
Anti-TNF alpha drugs are used for the treatment of all of following diseases except -
[ "Systemic lupus erythematosis", "Seronegative arthritis", "Psoriatic arthritis", "Crohn's disease" ]
Ans. is 'a' i.e., Systemic lupus erythematosis The major defect in systemic lupus erythematosis is under expression of TNFa, therefore anti TNF-a have no role in their managementAnti TNF-a drugs may be used in inflammatory bowel disease, arthritis and vasculitis as these diseases are caused by overexpression ofTumour n...
A
null
medmcqa
medmcqa_23733
True statements about asbestosis
[ "Causes Lung Ca", "Pleural mesothelioma", "Peritoneal mesothelioma", "All of the above" ]
Answer is D (All of the above) : Asbestosis may be associated with Bronchogenic carcinoma, Mesotheliomas (pleural and peritoneal) and Pulmonary fibrosis.
D
null
medmcqa
medmcqa_18332
First to come in female pubey:
[ "Thelarche", "Menses", "Adrenarche", "Growth spu" ]
This question may cause a problem in the exam. If growth spu is in the choices then we must mark that s the first option since this is indeed the first event of pubey Pubey specific event which comes in first is Thelarche & then Pubarche, linear growth spu and Menarche In girls, pubeal development typically takes place...
D
null
medmcqa
medmcqa_42360
In a completely and adequately immunized child against Diphtheria, the throat swab was collected. It showed the presence of Corynaebacterium diphtheriae like organisms on Albert staining. These orgainisms can have one of the following properties on further laboratory processing -
[ "It can grow on Potassium tellurite medium", "It would show a positive Elek's gel precipitation test", "It can be pathogenic to experimental guinea pigs", "It can produce cytotoxicity in tissue cultures" ]
This child is a carrier for C.diphtheriae. Adequate vaccination can prevent the disease but not the colonization. ‘Mass immunization might result in disappearance of toxigenic strains from many populations but has no effect on carriage of nontoxigenic strains.’ Since the child is completely vaccinated, antitoxin leve...
A
null
medmcqa
medmcqa_47514
Resolution of inflammation caused by - rpt Q32
[ "TNF Alfa, IL-1 and CRP", "TNF beta, IL-6 and CRP", "TNF Alfa, IL 10 and IL 1 receptor antagonist", "TNF gamma" ]
anti-inflammatory mediators terminate the acute inflammatory reaction when it is no longer needed anti-inflammatory cytokines: IL-10, TGF-beta, IL-4, IL-13 ref robbins basic pathology 9th ed page 48
C
null
medmcqa
medmcqa_29166
Acro Osteolysis is seen in
[ "Amyloidosis", "Gout", "Psoriatic arthropathy", "Multiple myeloma" ]
Acroosteolysis Sclerodeima Hyperparathyoidism Rheumatomoid arthritis Raynaud's Psoriatric arthropathy.
C
null
medmcqa
medmcqa_20942
Mouth-to-mouth respiration provides an oxygen concentration of
[ "16%", "20%", "22%", "24%" ]
The concentration of O2 in the expired air is 16%.
A
null
medmcqa
medmcqa_44164
Punctuate yellow exudates in colon, found on endoscopic examiantion are indicative of
[ "Balantidium coli", "Ulceratice colitis", "Antibiotic colitis", "Gluten induced enteropathy" ]
null
C
null
medmcqa
medmcqa_17598
A school teacher gives consent for treating a child who becomes sick during a picnic away from home town. This type of consent is known as?
[ "Paternalism", "Loco Parentis", "Vicarious liability", "Novus Actus Interveniens" ]
Loco Parentis: In an emergency involving children, when parents or guardians are not available, consent is taken from the person in charge of the child. Paternalism: Is an abuse of medical knowledge so as to disto the doctor-patient relationship in such a way that the patient is deprived of his autonomy, or his ability...
B
null
medmcqa
medmcqa_51258
Which of the following is not synthesised from tyrosine?
[ "Nor epinephrine", "Melatonin", "Thyroxine", "Dopamine" ]
null
B
null
medmcqa
medmcqa_49320
Treatment of choice for Echinococcus granulosus is?
[ "Albendazole", "Thio-bendazole", "Mebendazole", "Praziquantel" ]
Albendazole REF: 11th edition of Goodman & Gilman's The Pharmacological Basis of Therapeutics p. 710 "Albendazole is the drug of choice for cystic Hydatid disease due to E. granulosus"
A
null
medmcqa
medmcqa_28531
A 4 year boy is complaining of pain around elbow with the hand held in pronation with extension. X ray of the elbow joint is normal. What is the most probable diagnosis?
[ "Pulled elbow", "Montegia fracture", "Cellulitis", "None of the above" ]
Pulled elbow or Nursemaid elbow or Babysitter's elbow or radial head subluxation is most commonly occurs in children aged 1-4 years. The etiology is slippage of the head of the radius under the annular ligament. The distal attachment of the annular ligament covering the radial head is weaker in children than in adults,...
A
null
medmcqa
medmcqa_8224
Which is the most common syndrome associated with focal seizures with dyscognitive features in adults?
[ "Lennox Gastaut syndrome", "Mesial temporal lobe epilepsy", "Rolandic epilepsy", "Epilepsia Paialis Continua" ]
M/C syndrome associated with focal seizures with dyscognitive features is Mesial temporal lobe epilepsy. * Febrile convulsion * Focal seizures with impaired awareness "Automatism" * EEG - Temporal (U/L or B/L) spikes *MRI - Hippocampal sclerosis * Lennox Gastaut syndrome is seen in children and presents with multiple s...
B
null
medmcqa
medmcqa_11226
A 60-year-old man is brought to a psychiatrist with a 10-year history, that he suspects his neighbors and he feels that whenever he passes by they sneeze and plan against behind his back. He feels that his wife has been replaced by a double and calls police for help. He is quite well-groomed ale, occasionally consumes ...
[ "Paranoid personality", "Paranoid schizophrenia", "Alcohol withdrawal", "Conversion disorder" ]
B i.e. Paranoid schizophreniaProblems of the patient: 1. From 10 years & i.e. staed at the age of 50 years, 2. Feels that neighbors plan against him, 3. The delusion of doubles (wife has been replaced by a double), 4. He consumes alcohol occasionally. But the patient is well-groomed, ale. Approach to this case.
B
null
medmcqa
medmcqa_39840
Which of the following drug is a SERM is useful for treatment of osteoporosis?
[ "Raloxifene", "Bisphosphonate", "Strontium", "Estradiol" ]
Raloxifen has agonistic action on estrogen receptors on bone Raloxifene is a first line drug for prevention and treatment of osteoporosis in postmenopausal females. It prevent bone loss, increases bone mineral density by 0.9 percent. (REF.Essential of medical pharmacology K D TRIPATHI 6 Edition, Page No - 305)
A
null
medmcqa
medmcqa_45679
A man coming from mountain whose wife died 6 months prior says that his wife appeared to him and asked him to join her. The diagnosis is
[ "Normal grief", "Grief psychosis", "Berevement reaction", "Supernatural phenomenon" ]
B i.e. Grief psychosis Bereavement, Grief or Mourning is a psychological reaction of those who survive a significant loss. Differences between normal & abnormal grief: Identifying with deceased person such as taking on ceain admired traits or treasuring ceain possessions is normal; believing that one is the deceased pe...
B
null
medmcqa
medmcqa_40402
Disulfiram and acamprosate are used for:
[ "Alcohol abstinence", "Cocaine abuse", "Opium poisoning", "Atropine over dose" ]
null
A
null
medmcqa
medmcqa_19951
True regarding scrum pox is all except
[ "Common in rugby players", "Caused by varicella zoster virus", "Acyclovir is treatment", "Vesicular Lesions and fever seen" ]
Serum pox is caused by HSV - type I.
B
null
medmcqa
medmcqa_17865
Which of the following causes opening of Eustachian tube?
[ "Salpingopharyngeus", "Levator veli palatini", "Tensor veli palatini", "None of the above" ]
The Eustachian tube/auditory tube in the adult is 36 mm in length. (Range 32-38 mm) From its tympanic end, it runs downward forward and medially joining an angle of 45° with horizontal.  In infants, the tube is shorter, wider and is more horizontal. It has two parts—a pharyngeal cartilaginous part which forms 2/3rd (24...
C
null
medmcqa
medmcqa_40734
The sputum examination under TP is done when the patient present with -a) Cough of 1-2 weeks durationb) Persistent cough of 1-2 weeks durationc) Hemoptysisd) Chest paine) Intermittent fever
[ "ab", "bc", "bd", "cd" ]
null
D
null
medmcqa
medmcqa_40098
Most suitable elevator for both elevation and curetting with minimum trauma is:
[ "Molt's curette no.2-4", "Molt's curette no.4-6", "Molt's curette no.1-2", "Molt's curette no.8-10" ]
Even though several types of elevators are available, the Molts curette no.2-4 is suitable for both elevation and curetting with minimum trauma.
A
null
medmcqa
medmcqa_45639
Bennett's fracture is fracture dislocation of base of which of the following metacarpal?
[ "3rd", "4th", "1st", "2nd" ]
Bennett's fracture dislocation is paial aicular fracture of 1st metacarpal base with trapeziometacarpal dislocation/ subluxation. Also know Rolando's fracture dislocation: It is complete fracture of 1st metacarpal. It involves whole aicular surface with comminuted T or Y intraaicular fracture. Ref: Apley's 8/e, Page 63...
C
null
medmcqa
medmcqa_46424
Which of the following is spared in modified radical mastectomy (MRM)?
[ "Pectoralis major", "Pectoralis minor", "Axillary lymph nodes", "Nipple" ]
Ans. a (Pectoralis major). (Ref. Bailey & Love Surgery, 25th ed., 842)MASTECTOMY is now only strictly indicated for large tumors, central tumor beneath or involving nipple, multifocal disease, and local recurrence or for patient preference.Simple mastectomyRadical mastectomy (Halsted)Modified radical Mastectomy (Patey'...
A
null
medmcqa
medmcqa_37315
Bird of prey sign is seen in
[ "Gastric volvulus", "Intussusception", "Sigmoid volvulus", "Caecal volvulus" ]
Sigmoid volvulus is a cause of large bowel obstruction and occurs when the sigmoid colon twists on the sigmoid mesocolon. Imaging signs areRadiograph:coffee bean signFrimann Dahl&;s sign - three dense lines converge towards the site of obstructionabsent rectal gas water-soluble contrast enema - the beak sign (or bird b...
C
null
medmcqa
medmcqa_20997
True about Dual sex therapy is?
[ "Patient alone is not treated", "Uses sildenafil", "It treats sexual perversions", "It is used for people with dual gender identities" ]
Patient alone is not treated REF: Kaplan and sadock's synopsis in psychiatry 9th ed p. 700The theoretical basis of dual-sex therapy is the concept of the marital unit or dyad as the object of therapy. In dual-sex therapy, treatment is based on a concept that the couple must be treated when a dysfunctional person is in ...
A
null
medmcqa
medmcqa_23213
Neonatal Complication in Diabetes mothers in all EXCEPT
[ "Hypocalcaemia", "Macrosomia", "Hypoglycemia", "Anemia" ]
(Anemia): (284-85-Dutta 7th edition)Neonatal complication of PM* Hypo glycaemia (<37mg/dl)* Respiratory distress syndrome* Hyperbilirubinaemia* Polycythaemia* Hypocalcaemia (< 7mg/dL)* Hypomagnesemia(< 7mg/dL)* CardiomyopathyMAJOR BIRTH DEFECTS IN INTANTS OF DIABLTIC MOTHERS (6 -10TH)CNS and skeletalCardiovascularRenal...
D
null
medmcqa
medmcqa_51290
Seat belt injury results in:
[ "Injury involving mesentery", "Splenic laceration", "Liver laceration", "Pancreatic laceration" ]
Ans: a (Injury involving mesentery) Ref: Bailey & Love, 24th ed, p. 1147* Sudden deceleration can result in a tom mesentery* If any bruising of abdominal wall or even marks of clothing is impressed into the skin, laparotomy may be indicated* Diagnostic peritoneal lavage may be helpful in this situation* Laceration of m...
A
null
medmcqa
medmcqa_3164
Defence mechanism by the bacteria which produce biofilm are all except?
[ "Antibiotics are expelled from the surface", "They stick to the surface strongly", "Antibiotics penetration into the biofilm is less", "They protect from the inflammatory mediators" ]
Biofilms: These are well-organised microcolonies of bacteria enclosed in self-produced extracellular polymer matrices known as glycocalyx. They are separated by water channels that remove water and deliver nutrients. Biofilm is one of the mechanisms of antibiotic resistance. They stick to the surface strongly. Antibiot...
A
null
medmcqa
medmcqa_41336
Neointimal hyperplasia causes vascular graft failure as a result of hyperophy of-
[ "Endothelial cells", "Collagen fibers", "Smooth muscle cells", "Elastic fibers" ]
repeated question Neointimal hyperplasia first develops with damage to the aerial wall, followed by platelet aggregation at site of injury, recruitment of inflammatory cells, proliferation and migration of vascular smooth muscle cells, and collagen deposition.Neointimal hyperplasia Neointimal Hyperplasia refers to prol...
C
null
medmcqa
medmcqa_17470
The triangular area bounded by clitoris, fourchette and labia minora is
[ "Fossa navicularis", "Fouchette", "Vestibule", "Vulva" ]
Vestibule : It is a triangular area bounded Anteriorly by clitoris Posteriorly by fourchette Either side by labia minora Ref: D.C. Dutta's Textbook of Gynaecology, 6th edition, page no: 2
C
null
medmcqa
medmcqa_16014
A 40 year old female presents with swelling in the neck. O/E it is a 2x2 cm nodule on the right lobe of thyroid. No palpable cervical nodes. FNAC shows features of papillary carcinoma. Treatment of choice
[ "Total thyroidectomy", "Right hemithyroidectomy", "Hartley-Dunhill operation", "Subtotal thyroidectomy" ]
Answer: a) Total thyroidectomy (SABISTON 19TH ED, P-908)PAPILLARY CARCINOMA (80%)Most common type of thyroid carcinomaMore common in womenMostly in the age group 25 - 50Mutations in RET or BRAF geneAssociated with previous exposure to ionizing radiationHistologyNuclei: optically clear or empty appearance - groundglass ...
A
null
medmcqa
medmcqa_4919
'Y' descent of the IVP is due to:
[ "Atrial relaxation", "Closure of the right ventricle", "Opening of the triscuspid valve", "Opening of the left ventricle" ]
(Opening of the tricuspid valve): Ref: 1306-H, 569-G (1384-HI7th) (512- Ganong 23rd)Jugular venous pulse: (JVP)* Positive presystole 'a wave' is produced by venous distension due to right atrial contraction and is the dominant wave in the JVP.* Large 'a wave' indicates that the right atrium is contracting against an in...
C
null
medmcqa
medmcqa_25358
Which of the following markers is specific for gastrointestinal stromal tumor (GIST):
[ "CD 117", "CD 34", "CD123", "S-100" ]
Ans. (a) CD 117(Ref: Robbins 9th/pg 775; 8th/pg 789)Most useful diagnostic marker is c-kit (CD117) detectable in 95% of the patients.
A
null
medmcqa
medmcqa_7591
At the end of the year 1990, the population of primary health centre was 30,000 and there were 120 cases of pulmonary tuberculosis. At the end of the year 1991, the population was 30,600 and 30 new cases were detected and 2 cases had died. Based on this data all of the following rates can be calculated except
[ "incidence", "Prevalence", "Case fatality", "Propoional moality" ]
Ref: Parks 23rd edition pg 58 Propoional moality rate from a specific disease = no. of deaths from the specific disease in a yr / total deaths from all causes in that yr x100. Here the denominator is unavailable. So can&;t be calculated.
D
null
medmcqa
medmcqa_41204
About tuberculoid leprosy, false is –
[ "CMI is depressed", "CMI is increased", "A single anesthetic patch", "None" ]
How can cell mediated immunity (CMI) be increased in leprosy infection. It is decreased in leprosy. Tuberculoid leprosy has minimum decrease in CMI (maximally preserved CMI), where as lepromatous leprosy has maximum decrease in CMI.
B
null
medmcqa
medmcqa_9468
Anterior pa of interventricular septum is supplied by -
[ "Right coronary aery", "Left coronary aery", "Posterior descending coronary aery", "None" ]
Anterior 2/3rd of septum is supplied by LCA and posterior 1/3rd is by RCA
B
null
medmcqa
medmcqa_374
For satisfactory vision the minimum illumination accepted is –
[ "15 to 20 foot candles", "30 to 40 candles", "40 to 50 candles", "70 to 90 candles" ]
null
A
null
medmcqa
medmcqa_45076
Which of the following is not associated with chorioamnionitis?
[ "Preterm labour", "Endometritis", "Abruptio placentae", "Placenta accreta" ]
Ans-D i.e. Placenta accretaComplications of ChorioamnionitisPremature rupture of membrane (M.C.)Premature laborEndometritisParametritisEarly placental separation (Abruptio Placenta)Diagnosis of chorioamnionitisDiagnosis of chorioamnionitis is clinicalIt requires-The presence of Fever >=100deg F or 37.8degC andAt least ...
D
null
medmcqa
medmcqa_53164
A 26-yr girl at 31 weeks gestation C/O a 4-week H/O a pustular eruption that developed initially on the periumbilical skin. Subsequently the eruption spread to involve the breasts, back, flexures and proximal limbs. There was cutaneous pain, fever & malaise. O/E the lesions were pustules were arranged in concentric rin...
[ "Corticosteroids", "Methotrexate", "Topical itraconazole", "Third generation cephalosporins" ]
Ans. A Corticosteroidsa. The patient is suffering from Generalized pustular psoriasis of pregnancy.b. A widespread pustular eruption occurring in pregnancy, as characterized by this patient, was originally called 'impetigo herpetiformis', but is now generally regarded as generalized pustular psoriasis (GPP) of pregnanc...
A
null
medmcqa
medmcqa_6647
Food standards for international food market utilizes?
[ "ISI", "AGMARK", "Codex alimentarius", "Bureau of India standards" ]
Ans. is 'c' i.e., Codex alimentarius Food standard These are :? a) CODEX ALIMENTARIUS: The Codex Alimentarius Commission, which is the principle organ of the joint FAO/WHO Food Standard Programme formulates food standards for international market. The food standard in India are based on the standard of the codex alimen...
C
null
medmcqa
medmcqa_36037
Antidote for copper poisoning is: March 2009
[ "D-penicillamine", "Potassium ferrocyanide", "BAL", "Desferrioxamine" ]
Ans. B: Potassium ferrocyanide Treatment of copper poisoning: Stomach wash with 1 percent solution of potassium ferrocyanide which acts as an antidote by forming an insoluble cupric ferrocyanide Emetics are contraindicated Demulcent drinks form insoluble albuminate of copper Castor oil Chelation with penicillamine/ EDT...
B
null
medmcqa
medmcqa_46978
Thistle-tube appearance of pulp chamber is a feature of:
[ "Coronal dentin dysplasia", "Regional odontodysplasia", "Dentinogenesis imperfecta", "Amelogenesis imperfecta" ]
null
A
null
medmcqa
medmcqa_52832
The operative treatment in Hirschsprung's disease is only undeaken when child -
[ "Is 2 years of age", "Is at least 8 kg in weight and thriving", "Has no distension of abdomen", "Has failed to respond to conservative treatment" ]
Ans. is 'b' i.e., Is at least 8 kg. in weight and thriving 10 kg is given in both Bailey & Schwaz
B
null
medmcqa
medmcqa_33295
Osteoporosis is characterized by-
[ "Increased serum alkaline phosphatase", "Decreased bone density", "Wasting of muscles", "Looser's zone seen" ]
*Osteoporosis is characterized by an abnormally low bone mass and defects in bone structure, a combination of which renders the bone unusually fragile and at greater than normal risk of fracture. * Osteoporosis means "porous bones," causes bones to become weak and brittle -- so brittle - that even mild stresses like be...
B
null
medmcqa
medmcqa_1229
Testamentary capacity refers to: AP 10; NEET 15
[ "Ability to make a valid will", "Criminal liability", "Right to vote", "Ability to give evidence" ]
Ans. Ability to make a valid will
A
null
medmcqa
medmcqa_33788
Morbid jealousy is associated with -
[ "Alcohol", "Heroin", "LSD", "Charas" ]
Ans. is 'a' i.e., Alcohol o Morbid jeolousy with delusions of infidelity about wife (othello syndrome) is extremely common in alcoholism. Morbid jealousy can also occur in schizophrenia, manic phase of bipolar illness, OCD, depression or anxiety disorder.
A
null
medmcqa
medmcqa_3674
The following are causes of secretory diarrhoea except-a) Vibrio choleraeb) Inflammatory bowel diseasec) Lactose intoleranced) Gastrinoma
[ "a", "c", "ac", "bc" ]
null
D
null
medmcqa
medmcqa_5494
Which is the appropriate age for Repair of Cleft palate
[ "6 month to 1 year", "12 to 15 month", "At puberty", "Just after birth" ]
Ans is 'a' i.e. 6 months to 1 year [Ref: Sabiston 18/e p2138 (17/e, p2188); Schwartz 9/e pl658; Bailey & Love 25/e p661 (24/e, p648; 23rd/e p589)\Timing of Repair of Cleft PalateAccording to Sabiston - before 12 monthsAccording to Schwartz -at 9 to 12 months of ageAccording to Bailey & Love - between 6 and 18 monthsSab...
A
null
medmcqa
medmcqa_25714
Pacemaker regulating the rate of respiration
[ "Pneumotaxic centre", "Dorpal group of nucleus", "Apneustic centre", "Pre-Botzinger complex" ]
The pre-Botzinger complex (preBotC) is a cluster of interneurons in the ventral respiratory group of the medulla of the brainstem. This complex has been proven to be essential for the generation of the respiratory rhythm in mammals Ref: guyton and hall textbook of medical physiology 12 edition page number:370,371,372
D
null
medmcqa
medmcqa_13016
In recent memory loss, probable lesion is in
[ "Thalamus", "Temporal lobe", "Frontal lobe", "All of the above" ]
The Neuropsychology of Autobiographical Memory The medial temporal lobe memory system includes the hippocampus formation and the adjacent parahippocampal and perirhinal coices. The hippocampus is not the place where the content of memories is stored, but rather appears to contain a set of neural links to the content, w...
B
null
medmcqa
medmcqa_16101
CLO test is used for -
[ "H. pylori", "Brucella", "Gonorrhoea", "EBOLA" ]
Answer- A. H. pyloriRapid urease test, also known as the CLO test (Campylobacter-like organism test), is a rapid diagnostic test for diagnosis of Helicobacter pylori.
A
null
medmcqa
medmcqa_21737
Microsbrasion technique of stain removal was given by:
[ "Kroll.", "McInnis.", "Nutting.", "Stewart." ]
KROLL → “MICROABRASION technique“18%  HCl.  Indication of microabrasion:  Fluorosis stains/any stains–limited to depth, not more than 0.2 to 0.3 mm.
A
null
medmcqa
medmcqa_11401
Carcinoma of the cheek:
[ "Characteristically is columnar-celled.", "Has a recognized association with chewing gum", "Has a recognized association with chewing betel nut", "Has a recognized association with geographic tongue" ]
null
C
null
medmcqa
medmcqa_14233
A 55 year old cardiac patient who wason long term treatment comes for follow up visit.The physician observes the following finding on opthalmologicalexamination.Which drug prescribed by the physician would most probably be responsible for this?
[ "Digoxin", "Verapamil", "Amiodarone", "Propranolol" ]
The image shows “vortex keratopathy”.Here,there is a whorl-like pattern of epithelial deposits in the cornea. - Causes (Ref:Parsons’ 21 s ted) a) Drugs- Amiodarone,Chloroquine,Phenothiazines,Indomethacin b) Fabry’s disease and its carrier state - The whorl like pattern shows the direction of migration of corneal epithe...
C
null
medmcqa
medmcqa_40032
A man is found comatose in his room, having taken an unknown number of sleeping pills. An aerial blood sample yields the following values: pH 7.10, HCO3 - 12 meq/liter, PaCO2 66 mm Hg. This patient's acid - base status is most accurately described as:
[ "Uncompensated metabolic acidosis", "Uncompensated respiratory acidosis", "Mixed respiratory and metabolic acidosis", "Respiratory acidosis with paial renal compensation" ]
null
C
null
medmcqa
medmcqa_8722
Weil felix reaction is heterophile antibodies reaction due sharing of Rickettsial antigen with
[ "Shigella", "Proteus", "Chlamydia", "Mycoplasma" ]
Ans. is 'b' i.e., Proteus Weil felix reaction This reaction is an agglutination test in which sera are tested for agglutinins to 0 antigens of ceain nonmotile proteus strains OX -19, OX - 2 and OX - K. The basis of the test is the sharing of an alkali - stable carbohydrate antigen by some rickettsiae and by ceain strai...
B
null
medmcqa
medmcqa_38010
Which of the following is a plasma expander similar to the albumin, has a molecular weight of 30,000 and causes less hypersensitivity reactions but should be used with caution?
[ "Hydroxy ethyl starch (HES)", "Dextran", "Polygeline", "Polypyrrolidone" ]
Ans. c. Polygeline Polygeline is a plasma expander similar to the albumin, has a molecular weight of 30,000 and causes less hypersensitivity reactions but should be used with caution. Polygeline Polypeptide with average MW 30,000Q Exes oncotic pressure similar to albuminQ Not antigenic, hypersensitivity reactions are r...
C
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medmcqa
medmcqa_40894
Superficial perineal muscles include
[ "Iliococcygeus", "Ischiococcygeus", "Bulbospongiosus", "Levator ani" ]
The superficial perineal pouch is a compament of perineum.Its inferior border is superficial perineal fascia.Superior border is perineal membrane. Superficial perineal pouch consist of :Ischiocavernous muscle , Bulbospongiosus , Superficial transverse perineal muscle etc Ref - BDC 6e Vol2 pg 350
C
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medmcqa
medmcqa_5825
Indicators of bone formation include all of the following except -
[ "Osteocalcin", "Alkaline phosphatase", "Hydroxyproline", "Type 1 procollegen" ]
Markers of bone formation Bone-specific alkaline phosphatase Osteocalcin Serum peptide of type I procollagen / Type I collagen extension peptide
C
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medmcqa
medmcqa_27762
GnRH analogue used in hormonal treatment of carcinoma prostate?
[ "Goserelin", "Nilutamide", "Cyproterone acetate", "Finasteride" ]
Ans. a (Goserelin) (Ref. KDT 6th/pg. 239)Many analogues of GnRH, e.g. Buserelin, Goserelin, Leuprolide, Nafarelin, Triptorelin, have been developed: are 15-150 times more potent than natural Gn RH and longer acting. The superactive GnRH agonists are used as nasal spray or injected s.c. Long-acting preparations for once...
A
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medmcqa
medmcqa_10414
Treatment of choice in a postmenopausal lady with atypical endometrial hyperplasia is ;
[ "Estrogens", "Hysterectomy", "Progestogens", "Radiotherapy" ]
Hysterectomy
B
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medmcqa_15819
Complication of blood transfusion can be all except -
[ "Hyperkalemia", "Citrate toxicity", "Metabolic acidosis", "Hypothermia" ]
Ans. is 'c' i.e., Metabolic acidosis The question is most probably about complications of massive blood transfusion.Massive Blood Transfusion * Massive blood transfusion is generally defined as transfusion of one to two volumes of patient's own blood volumes (For most adults that is equivalent to 10-20 units.)Complicat...
C
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medmcqa
medmcqa_17433
Vaccines at PHC are stored in -
[ "Ice box", "ILR", "Deep freezer", "None" ]
Ans. is 'b' i.e., ILR [Ref: Park 22nd/ep. 102)o At PHC levelDeep freezer (small) - For preparation of ice packsIce-lined refrigerators: ILR (small) - For storage of vaccinesCold Chain Components (equipments) & Levels in IndiaLevelComponentTemperatureStorage durationState/Regional levelWalk-in-cold rooms (WIC)+2degCto+8...
B
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medmcqa
medmcqa_23514
Maximum postprandial motility is seen in
[ "Ascending colon", "Transverse colon", "Descending colon", "Sigmoid colon" ]
Nonpropagating colonic motor activity increased in all colonic segments immediately after eating the meal (p less than 0.05). The increase in motility was significantly greater in the descending colon than in the transverse and sigmoid colon (p less than 0.05). In one-half of the subjects propagating contractions occur...
C
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medmcqa
medmcqa_37540
Which of the following is a non - selective MAO inhibitor?
[ "Moclobemide", "Rasagiline", "Selegiline", "Isocarboxazid" ]
Reversible inhibitors of MAO - A :  Moclobemide. Selective  inhibitors of MAO - B :  Selegiline, Rasagiline. Non - selective inhibitors of MAO : Isocarboxazid, Phenelzine.
D
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medmcqa
medmcqa_41375
Analysis done for expenditure of large proportion for small number and vice versa -
[ "ABC analysis", "SUS analysis", "HML analysis", "VED analysis" ]
null
A
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medmcqa
medmcqa_22750
The regulator proteins are
[ "Troponin", "Tropomyosine", "Both", "None" ]
Both troponin and tropomyosine are the regulator proteins for muscle contraction Ref:Guyton and Hall textbook of medical physiology 12th edition ,pag number:86,87
C
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medmcqa
medmcqa_44221
Which of the following enzyme does not catalyze the irreversible step in glycolysis -
[ "Hexokinase", "Phosphoglycerate kinase", "Pyruvate kinase", "Phosphofructo kinase" ]
Ans- B Glycolysis (Embden Meyerh of Pathway) Definition: Glycolysis is a process by which glucose molecules are metabolized through a series of enzymatic reactions into 2 molecules of pyruvate. Site Of GlycolysisCytosol Purpose: Aerobic glycolysis produces 7 moles of ATP per mole of glucose and 2 moles of pyruvate (Ref...
B
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medmcqa
medmcqa_32705
Which of the following is true regarding non-competitive enzyme inhibition?
[ "Vmax increases", "Vmax decreases", "Km increases", "Km decreases" ]
In case of non-competitive enzyme inhibition Vmax decreases and Km remains the same.
B
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medmcqa
medmcqa_47880
The simplest alloy is a
[ "Solid solution", "Eutectic alloy", "Peritectic alloy", "Ternary alloy" ]
null
A
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medmcqa
medmcqa_12739
The following are components of Kawasaki disease, except:
[ "Purulent conjunctivitis", "Pedal edema", "Truncal rash", "Pharyngeal congestion" ]
Kawasaki disease is associated with bilateral non purulent conjunctival injection. Pedal edema, Truncal rash and Pharyngeal congestion are all features of Kawasaki disease. Ref: Nelson's Book of Pediatrics 17th Edition, Page 824; Essential Pediatrics, O.P.Ghai, 6th edition, Chapter 21, Page 586.
A
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medmcqa
medmcqa_48695
All are true about spermatocytic seminoma except:
[ "Three types are there", "Seen in 65 years of age group", "Slow growing tumour", "Clinically and histologically not related to seminoma" ]
Ans: a (3 types are there) Ref: Robbins, 7th ed, p. 1042Spermatocytic seminoma is a non seminomatous slow growing testicular tumour seen in old age. It does not have three types.Spermatocytic seminoma* Both clinically & histologically distinct from seminoma* Variant of germ cell tumour that do not arise from an intratu...
A
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medmcqa
medmcqa_4875
Treatment of chronic dacrocystitis -
[ "Dacrocystorhinostomy", "Antibiotics", "Probing", "All of the above" ]
Conservative treatment by probing and lacrimal syringing, Dacrocystorhinostomy, Antibiotics are used. Ref : ak khurana 6th edition page no 394 REF IMG
D
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medmcqa
medmcqa_15176
The cresecent forming glomerulonephritis is -
[ "RPGN", "Acute GN", "Membranous GN", "Membrano proliferative GN" ]
null
A
null
medmcqa
medmcqa_53710
Amacrine cells are seen in:
[ "Retina", "Skin in the axilla", "Inner ear", "Blood" ]
Ans. A. Retinaa. A special category of micro-neurons, lacking an obvious axon, consists of amacrine cells.b. In these cells nervous conduction is apparently possible in either direction along their dendrite-like processes.c. Amacrine cells have long been known in the retina where they lie in synaptic contact with gangl...
A
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medmcqa
medmcqa_46766
Syncitiotrophoblast is seen in:
[ "Partial mole", "Complete mole", "Choriocarcinoma", "Placental site of trophoplastoma" ]
Ans. (c) ChoriocarcinomaRef: Shaws 15th ed. 1424CHORIOCARCINOMA* Generally, choriocarcinoma is a part of a mixed germ cell tumour. Its origin as a teratoma can be confirmed in prepubertal girls, when the possibility of its gestational origin can be definitely excluded. The tumours are very vascular.* Histologically the...
C
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medmcqa
medmcqa_17919
Which of the following condition is associated with giant 'v' waves in a JVP?
[ "VSD", "TR", "Complete hea block", "AF" ]
Giant v waves are seen in tricuspid regurgitation and VSD. v wave in a JVP represents atrial filling and occur during ventricular systole. In tricuspid regurgitation there is an accentuated v wave followed by a rapid y descend. In progressive TR, v wave merges with the c wave and the right atrial and juglar vein wavefo...
B
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medmcqa
medmcqa_14087
Best management of contaminated wound with necrotic material:
[ "Debridement", "Tetanus toxoid", "Gas gangrene serum", "Broad spectrum antibiotics" ]
Ans. a. Debridement (Ref: Sabiston 19/e p2011; Bailey 25/e p26, 39-40)Best management of contaminated wound with necrotic material is debridement.'Managing the acute wound: After assessment, a thorough debridement is essential. A wound should be explored and debrided to the limit of blood staining. Devitalised tissue m...
A
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medmcqa
medmcqa_23493
Dopamine acts on D2 receptors that have an inhibitory effect on prolactin secretion. Now if D2 receptors are blocked, which of the following effects will not be seen:
[ "Visual disturbance", "Gonadal dysfunction", "Headache", "Excessive lactation" ]
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A
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medmcqa
medmcqa_41557
Localised langerhans cells histiocytosis affecting head & neck is -
[ "Letterer-siwe disease", "Pulmonary langerhans cell histiocytosis", "Hand-schuller-christian disease", "Eosinophilic granuloma" ]
Unifocal and multifocal unisystem Langerhans cell histiocytosis(eosinophilic granuloma)is characterised by proliferation of Langerhans cells admixed with variable number of eosinophils , lymphocytes , plasma cell, and neutrophils .Eosinophils are usually , but not always a prominent component of the infiltrate .It typi...
D
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medmcqa
medmcqa_28119
Mallory hyaline changes seen in all except?
[ "Wilson's disease", "Indian childhood cirrhosis", "Primary biliary cirrhosis", "Hepatitis E" ]
Mallory Hyaline changes- globular red hyaline material visualized within hepatocytes in: Intestinal bypass Wilson's disease Biliary cirrhosis Indian childhood cirrhosis Cholestatic jaundice Focal nodular hyperplasia Hepatocellular carcinoma N.A.S.H
D
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medmcqa
medmcqa_30382
A child who bleeds from gums and has swollen knee–probably due to –
[ "Hemophilia", "ITP", "Scurvy", "Trauma" ]
null
A
null
medmcqa
medmcqa_18202
Accoustomed way of doing things
[ "Belief", "Opinions", "Habits", "Attitude" ]
null
C
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medmcqa
medmcqa_26241
Bleeding spots seen on removal of scales in psoriasis is called as:
[ "Auspitz sign", "Punctuate hemorrhage", "Nikolyski's sign", "Darriersign" ]
A. (Auspita sign) On removal of scales bleeding spot is called auspitz sign Punctate haemorrahage is also found in psoriasis - Neena Khanna 3rd/ 40PsoriasisAuspitz sign a characterstic finding of plaque psoriasis in which removal of scales leads to pinpoint bleedingCharacteristically presents with silvery mica scaleTyp...
A
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medmcqa
medmcqa_52392
Isolation is required to break the transmission of all the following diseases, except:
[ "Swine flue", "Tetanus", "Mumps", "Measles" ]
Tetanus is not transmitted from person to person. Its spores or bacteria enters the body through abrasions, wounds or umbilical stump. In presence of an anaerobic environment, it grows and relaeses the toxin and cause the disease. Mumps, measles and swine flu are spread through respiratory droplets and require isolatio...
B
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medmcqa
medmcqa_36605
Which of the following true about burns?
[ "4th degree burns should not be washed with water", "Early skin grafting gives better results", "Face burns should never be left open", "Silver sulfadiazine is painful on application" ]
Burns always should be washed. Face burns can left open with Silver sulfadiazine application. Mafenide acetate is painful on application.
B
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medmcqa
medmcqa_49894
Antipsychotic drug with least extra pyramidal side effect is:
[ "Triflupromazine", "Thioridazine", "Pimozide", "Trifluoperazine" ]
Extrapyramidal motor disturbances ) are intimately linked to the antipsychotic effect, but are more prominent in the high potency compounds and least in thioridazine, clozapine and other atypical antipsychotics. A predominance of lower frequency waves occurs in EEG and arousal response is dampened. However, no consiste...
B
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medmcqa
medmcqa_13288
Fatty liver in Kwashiorkor occurs due to
[ "High carbohydrate content in the diet", "High fat content in the diet", "Lack of substrates for protein synthesis in liver", "Lack of substrates for gluconeogenesis in liver" ]
Fatty liver is seen in some cases of kwashiorkor, but not in marasmus. Fatty liver is due to decreased lipoprotein synthesis.Ref: DM Vasudevan, page no: 440
C
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medmcqa
medmcqa_31255
In which leukemia, autoimmune hemolytic anemia is most common -
[ "ALL", "AML", "CML", "CLL" ]
<p>Autoimmune hemolytic anemia may occur as a complication of chronic lymphocytic leukemia.About 20% of cases of CLL develop a coomb&;s positive autoimmune hemolytic anemia.This is due to the presence of warm antibodies (Ig G) that coat RBC&;s that are reactive at room temperature .Red cells coated with Ig G along with...
D
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medmcqa
medmcqa_51309
In a very tall patient with arm span > height the thumb projects beyond palm when flexed. This sign is known as?
[ "Arachnodactyly", "Finger sign", "Steinberg's sign", "Wrist sign" ]
Ans. (c) Steinberg's sign. * The image shows Thumb sign seen in Marfan syndrome where the hand is clenched without assistance, the entire thumbnail projects beyond the border of the hand (Steinberg's sign) * Other skeletal findings in Marfan's syndrome are 1. Dolichostenomelia (long, thin limbs) 2. Arm span substantial...
C
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medmcqa
medmcqa_2238
Chest radiographs of children with foreign body aspiration
[ "Are always abnormal", "May show over inflation of the involved lung", "Always show the foreign body", "Commonly show pneumothorax" ]
In foreign body aspiration a radiograph is vital as the object may be radio opaque. often its not radio opaque or is obscured by the cardiac shadow or the inflammatory response. over inflation of affectedlung due to inflammatory response. Ref : BAILEY AND LOVE&;S SHO PRACTICE OF SURGERY,24 th edition ,PG NO:852
B
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medmcqa
medmcqa_9241
Which of the following releases single wavelength of energy?
[ "QTH", "PAC", "LED", "Argon lasers" ]
null
D
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medmcqa
medmcqa_15371
Hypocalcemia is characterized by all of the following features, EXCEPT:
[ "Numbness and tingling of circumoral region", "Hyperactive tendon reflexes", "Shoening of Q-T interval in ECG", "Carpopedal spasm" ]
Hypocalcemia is characterised by prolongation of Q-T interval in ECG. Moderate to severe hypocalcemia is associated with paresthesias, usually of the fingers, toes, and circumoral regions. On physical examination, a Chvostek's sign (twitching of the circumoral muscles in response to gentle tapping of the facial nerve j...
C
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