dataset
string
id
string
question
string
choices
list
rationale
string
answer
string
subject
string
medmcqa
medmcqa_22556
What is ideal time for Preoxygenation?
[ "3-5 min", "1- 3min", "5-8 min", "2-3 min" ]
Preoxygenation entails replacement of the nitrogen volume of the lung (as much as 95% of FRC) with oxygen in order to provide a reservoir for diffusion into the alveolar capillary blood after the onset of apnea. To provide effective preoxygenation, a methodical approach is necessary. The impoance of preoxygenation with...
A
null
medmcqa
medmcqa_47100
A patient presents with lower gastrointestinal bleed. Sigmoidoscopy shows ulcers in the sigmoid. Biopsy from this area shows flask-shaped ulcers. Which of the following is the most appropriate treatment?
[ "Intravenous ceftriaxone", "Intravenous metronidazole", "Intravenous steroids sulphasalazine", "Hydrocoisone enemas" ]
Amoebic Colitis MC site of amoebic colitis : Cecum and ascending colon Flask shaped ulcers on colonoscopu confirms the diagnosis of amoebic colitis Drug Therapy for Amebiasis Asymptomatic carrier: Luminal agents (Iodoquinol, paromomycin) Acute colitis: Metronidazole and Luminal agents Amebic livet abscess: Metronidazol...
B
null
medmcqa
medmcqa_16510
A 23-year-old male patient presented with a history of back pain, which is more in the morning and relieved by bathing in warm water. What is the likely additional finding present in this patient?
[ "Marrow fibrosis", "Distal phalangeal joint involvement", "Pleural nodules", "Decreased chest wall expansion" ]
Ans. d. Decreased chest wall expansion (Ref: Harrison 19/e p2170, 18/e p2775)History of back pain, which is more in the morning and relieved by bathing in warm water is characteristic of spondylo arthropathy, like ankylosing spondylitis. Ankylosing spondylitis leads to extra-parenchymal restrictive lung disease, associ...
D
null
medmcqa
medmcqa_22304
The most common tooth to get impacted (excluding the third molars) is
[ "Maxillary canine", "Mandibular canine", "Maxillary II premolar", "Mandibular II premolar" ]
null
A
null
medmcqa
medmcqa_45766
Sequelae of Trachoma are all EXCEPT
[ "Ectropion", "Entropion", "Pinguecula", "Corneal vascularization" ]
(Ectropion) (66-Khurana 4th) (168-Parson 20th)SEQUELAE OF TRACHOMA1. Sequelae in the lids - may be trichiasis, entropion** tylosis (thickening of lid margin) ptosis, maderosis and ankloblepharon2. Conjunctival sequelae - include concretions, pseudocyst xerosis and symblepharon3. Corneal sequelae - may be corneal opacit...
A
null
medmcqa
medmcqa_22377
Investigation of choice for Interstitial Lung Disease?
[ "Plain chest X-ray", "HRCT", "MRI", "Ultrasonography" ]
Ans. b (HRCT) (Ref. Harrison 18th/ p 1554)High Resolution Computerized Tomography # BASIC PRINCIPLE:- "Bone algorithm" (Basic Principle)0- Narrow beam collmation- 1 mm sections- Small field of view- Large matrix size# INDICATIONS (Investigation of choice for):- LUNGS:* Interstitial Lung Disease (ILD)* Bronchiectasis ("...
B
null
medmcqa
medmcqa_2487
Which of the following fuel gases used for soldering, has the highest heat content
[ "Hydrogen", "Natural gas", "Acetylene", "Propane" ]
null
D
null
medmcqa
medmcqa_44954
An increased dose of spinal anaesthetic is indicated in a patient who has/is
[ "Ascites", "Increased height of the patient", "Pregnant", "Obese" ]
All others are reasons for decreasing the dosage
B
null
medmcqa
medmcqa_39763
Maximum radiation exposure is by
[ "Radiography", "CT abdomen", "Radionuclide scan", "X-ray Abdomen" ]
Examination Effective total dose (mSv) Chest radiograph 0.06 Skull radiograph 0.2 Pelvis radiograph 0.65 Lumbar spine radiograph 1.3 Upper GI series (Barium) 2.45 Abdomen radiograph 0.55 Barium enema 2.8 to 4 IVP/IVU 1.6 Extremities 0.01 Enteroclysis 1.5 CT chest 8 CT abdomen 10 CT head 3.5 RNI 4.8
B
null
medmcqa
medmcqa_9590
Sho acting anesthetic agent used for day care surgery is: September 2005, 2010
[ "Diazepam", "Ketamine", "Propofol", "Sevoflurane" ]
Ans.: C: Propofol Propofol is a sho-acting, intravenously administered hypnotic agent. Its uses include the induction and maintenance of general anaesthesia, sedation for mechanically ventilated adults, and procedural sedation. Propofol is unrelated to barbiturates, and has largely replaced sodium thiopental (Pentothal...
C
null
medmcqa
medmcqa_21413
Which pa of the intrahepatic bile duct is involved in Type 2 cholangiocarcinoma ?
[ "Division of both ducts and not extending outside", "Common hepatic duct only", "Secondary hepatic ducts", "Extends beyond hilum" ]
Cancers of the hepatic duct bifurcation have also been classified according to their anatomic location (BISMUTH'S CLASSIFICATION). In this system, Type I tumors are confined to the common hepatic duct. Type II tumors involve the bifurcation without involvement of secondary intrahepatic ducts. Type IIIa involves right s...
A
null
medmcqa
medmcqa_39133
Major current for depolarization in Purkinje fiber is of:
[ "Na+", "Ca++", "K+", "Cl-" ]
Purkinje fiber is a fast-response type or rapidly depolarizing fiber. The rapid depolarization is due a rapid influx of Na+ through the fast Na+ channels. Major current for depolarization in pacemaker cells is due to Ca++
A
null
medmcqa
medmcqa_46633
Which of the following is related to floor of middle ear?
[ "Round window", "Internal carotid aery", "Internal jugular vein", "Tegmen tympani" ]
The floor or Jugular Wall of the middle ear is formed by a thin plate of bone which separates the middle ear from the superior bulb of the internal jugular vein. This plate is a pa of the temporal bone, Near the medial wall, the floor presents the tympanic canaliculus which transmits the tympanic branch of the glossoph...
C
null
medmcqa
medmcqa_37245
Which of the following is the most common functioning pancreatic islet cell tumour ?
[ "Gastrinoma", "Glucagonoma", "Insulinoma", "Vipoma" ]
null
C
null
medmcqa
medmcqa_29142
In Anterior dislocation of the shoulder the nerve involved is:
[ "Radial nerve", "Circumflex nerve", "Ulnar nerve", "Median nerve" ]
B i.e. Circumflex nerve - Most common early complication of anterior dislocation of shoulder is nerve injuryQ- Most commonly injured nerve in anterior dislocation of shoulder is circumflex branch of axillary nerveQ.- The higher frequency of circumflex nerve injury is accounted for by the sho fixed course of the nerve r...
B
null
medmcqa
medmcqa_10434
only epithelium in the body in which type4 collagen is absent in basal lamina:
[ "Oral epithelium", "Sulcular epithelium", "Gingival epithelium", "Junctional epithelium" ]
null
D
null
medmcqa
medmcqa_7793
The most common finding associated With fibromyalgia syndrome is-
[ "High ESR", "Musculoskeletal pain without local tenderness", "Spontaneous resolution of symptoms", "Tiredness and insomnia" ]
The defining symptoms of fibromyalgia are chronic widespread pain, fatigue, sleep disturbance, and heightened pain in response to tactile pressure (allodynia). Other symptoms may include tingling of the skin (paresthesias),prolonged muscle spasms without muscle tenderness weaknessin the limbs, nerve pain, muscle twitch...
B
null
medmcqa
medmcqa_48582
Which of the following does not go into chromic hepatitis stage -
[ "HBV", "HCV", "HDV", "HEV" ]
Hepatitis E infection is mild&self limited&there is no carrier state. it does not lleadto chronic hepatitis REF:<\p> MICROBIOLOGY ANANTHA NARAYANAN NINTH EDITION PAGE.550
D
null
medmcqa
medmcqa_46714
True about methicillin-resistant staphylococcus aureus (MRSA) -a) Isoxazolyl penicillin is highly effectiveb) All MRSA are multidrug resistantc) Vancomyin is effectived) MRSA are more virulent than sensitive strainse) Resistance develop due to altered binding protein
[ "bcde", "abd", "abcd", "acde" ]
Methicillin resistance staphyloccus aureus (MRSA) MRSA is a bacterium responsible for several difficult to treat infections in humans. It may also be referred to as multidrug resistant staphyloccus aureus or oxacillin resistant staphylococcus aureus (ORSA) MRSA is by definition any strain of staphyloccus aureus tha...
A
null
medmcqa
medmcqa_26621
All are measures of dispersion around central value except-
[ "Mode", "Variance", "Standard deviation", "Standard error of mean" ]
Mode is a measure of central tendency not dispersion around central tendency. Measure of dispersion (variation) The measures of central tendency (mean, median, mode) serve to locate the center of distribution, but they do not reveal how the items are spread out on either side of the center. This characteristic of a f...
A
null
medmcqa
medmcqa_29100
Gonococci have affinity for -
[ "Vaginal mucosa", "Epithelium of urethra", "Testis", "All of the above" ]
Ans. is 'b' i.e., Epithelium of urethra "The pili of gonococcus has affinity for the columnar epithelium of urethra". -- Richard M Hyde"Virulent gonococci have affinity to adhere to urethral epithelial cells even in the presence of the violent flushing of urine".* N. gonorrhoeae is exclusively (obligate) a human pathog...
B
null
medmcqa
medmcqa_11082
For resuscitation in burn shock the following transfusion is advised
[ "Plasma", "Packed cell volume", "Whole blood volume", "Crystalloids & Colloids" ]
(D) Crystalloids & Colloids # Both crystalloid and colloid solutions are equally effective in restoring cardiac output and intravascular volume.> PARKLANDS formula for total fluid requirement in 24 hrs; 4 ml *TBSA%* body weight in kgs: 50% give in first 8 hrs
D
null
medmcqa
medmcqa_19540
Hypophosphatemia is a caused by
[ "Primary hypothyroidism", "Primary hyperparathyroidism", "Primary hyperthyroidism", "Hypoparathyroidism" ]
null
B
null
medmcqa
medmcqa_36529
Which of the following mucopolysaccharidosis present with clear cornea?
[ "Hurler disease", "Hunter disease", "Scheie disease", "Morquio disease" ]
Hunter's disease and sanfilippo disease present with clear cornea.
B
null
medmcqa
medmcqa_12573
SLE like reaction is caused by?
[ "Hydralazine", "Rifampicin", "Paracetamol", "Furosemide" ]
ANSWER: (A) HydralazineREF: Harrison's Internal Medicine 17th ed chapter 113The list of substances that can induce lupus-like disease is long. Among the most frequent are;Antiarrhythmic: procainamide, disopyramide, and propafenoneAntihypertensive: hydralazine; several angiotensin-converting enzyme inhibitors and beta b...
A
null
medmcqa
medmcqa_32056
The staging system for thymoma was developed by:
[ "Masaoka", "Yokohama", "Todani", "Kluive" ]
The staging system for thymoma was developed by Masaoka The stage is increased on the basis of the degree of invasiveness. The 5-year survival in stage I, 96%; stage II, 86%; stage III, 69%; stage IV, 50%. The French Study Group on Thymic Tumors (GETT) has modified the Masaoka scheme based on the degree of surgical rem...
A
null
medmcqa
medmcqa_27480
Which of the following represents the indication for In-situ DNA nick end labeling technique?
[ "To detect fraction of cells in apoptotic pathways", "To detect fraction of cells in S phase", "To detect p53 gene product", "To detect bcr/abl gene" ]
It is an in-situ method for detecting areas of DNA which are nicked during apoptosis.In-situ methods for labeling apoptotic cells are used to demonstrate the DNA fragments produced by endonucleolytic cleavage directly within tissue sections. The in-situ methods makes use of enzymes that label 3'-OH ends that results fr...
A
null
medmcqa
medmcqa_10767
Not a cause of Gynaecomastia:
[ "INH", "Cimetidine", "Digitalis", "Pyrazinamide" ]
Pyrazinamide
D
null
medmcqa
medmcqa_47697
In a rape indence occurred in child of 5yrs the hymen is
[ "Ruptured because it is thin", "Ruptured because it is situated superficially", "Don't rupture because it is thick and elastic", "Dont rupture because it is situated deeply" ]
ref : narayana reddy
D
null
medmcqa
medmcqa_14476
Double blind study means:
[ "Observer is blind about the study", "Person or group being observed is blind about the study", "Both observer and person or group being observed is blind about the study", "Interpreters and analyzer are blind about the study" ]
Blinding: Blinding can be done in three ways: (a) Single blind trial: The trial is to planned that the participant is not aware whether he belongs to the study group or control group. (b) Double blind trial: The trial is to planned that neither the investigator nor the participant is aware of the group allocation and ...
C
null
medmcqa
medmcqa_25062
Which does not requires BIOTIN?
[ "Acetyl CoA to Malonyl CoA", "Pyruvate to Oxaloacetate", "Glutamate to GABA", "Propionyl CoA to Methyl Malonyl CoA" ]
Biotin (Vitamin B7) is required mainly in carboxylation reactions- Acetyl CoA to Malonyl CoA is done by enzyme Acetyl CoA carboxylase. Pyruvate to Oxaloacetate is done by enzyme Pyruvate carboxylase. Propionyl CoA to Methyl Malonyl CoA is done by enzyme Propionyl CoA carboxylase. =Glutamate to GABA conversion is a simp...
C
null
medmcqa
medmcqa_47669
All are true regarding Jarisch-Hexiemer's reaction, except
[ "Occurs in late syphilis", "Acute febrile reaction", "Ophthalmic involvement worsens", "Prednisolone for 3 days given in treatment" ]
(C) Ophthalmic involvement worsens # Jarisch-Herxheimer reaction:> The Herxheimer reaction (also known as or Herx) occurs when large quantities of toxins are released into the body as bacteria (typically Spirochete bacteria) die, due to antibiotic treatment or rapid detoxification.> Typically the death of these bacteri...
C
null
medmcqa
medmcqa_39201
‘A’ wave in Electro Retinogram corresponds to the activity
[ "Rods and cones", "Pigment epithelium", "Ganglion cell layer", "Nerve fibre layer" ]
The electroretinogram (ERG) is a diagnostic test that measures the electrical activity generated by neural and non-neuronal cells in the retina in response to a light stimulus. The electrical response is a result of a retinal potential generated by light-induced changes in the flux of trans retinal ions, primarily sodi...
A
null
medmcqa
medmcqa_36565
True about anaphylactoid reaction caused by NSAIDs-
[ "Caused by all NSAIDs", "COX-2 inhibitors are safe", "Related to hypersensitivity reaction", "Not related to inhibition of COX" ]
Ans. is 'b' i.e., COX-2 inhibitors are safe
B
null
medmcqa
medmcqa_2926
A 38 year old female presents to the physician with complaints of excessive thirst and urination for the past 4 weeks. Her appetite has been normal and she has not had diarrhea. Blood chemistry showed mildly elevated glucose and glucagon. Physical examination reveals tenderness in the left upper quadrant and an erythem...
[ "Acinar cell", "Alpha cell", "Beta cell", "Delta cell" ]
The symptoms described are typical for a patient with glucagon excess. Glucagon is secreted by alpha cells of the pancreatic islets of Langerhans. Increased levels are rare, usually due to carcinoma (70%) or adenoma (30%) of the islets. Two-thirds of patients with carcinoma have liver metastasis at the time of diagnosi...
B
null
medmcqa
medmcqa_10518
Ground glass cells of Hadziyannis are seen in
[ "Bone", "Liver", "Thyroid", "Prostate" ]
Ans. is 'b' i.e., Liver
B
null
medmcqa
medmcqa_7612
Local anaesthetic usually used for retrobulbar block -
[ "Bupivacaine", "Procaine", "Tetracaine", "Prilocaine" ]
Ans. is 'a' i.e., BupivacaineRetrobulbar anaesthesiao In this technique local anaesthetic is injected behind the eye into the cone formed by extraocular muscles.o Retrobulbar injection is given with a special needle which is having a rounded tip. This needle penetrates the lower lid at the junction of the middle and la...
A
null
medmcqa
medmcqa_3894
Drug contraindicated in pregnancy is :
[ "Enalapril", "Hydralazine", "Frusemide", "Aldactone" ]
Frusemide
C
null
medmcqa
medmcqa_29502
A boy presented in the OPD with minimal pleural effusion on the right side. The best method to detect this would be :
[ "Left side chest X-ray", "Right side chest X-ray", "Right lateral decubitus chest X-ray", "Left lateral decubitus chest X-ray" ]
Ans. is 'c' is Right lateral decubitus chest X-ray Most dependent recess of the pleura is the posterior costophrenic angle*.So in pleural effusion this recess would be filled earliest. But at least 100-200 ml of fluid would be required to fill this recess before it can be detected on a PA view.Therefore in cases of min...
C
null
medmcqa
medmcqa_10354
Subacute sclerosing panencephalitis is associated with -
[ "Mumps", "Measles", "Exanthema subitum", "Erythema infectiosum" ]
Subacute sclerosing panencephalitis This is a rare, chronic, progressive and eventually fatal complication of measles, presumably a result of an inability of the nervous system to eradicate the virus. It occurs in children and adolescents, usually many years after the primary virus infection. There is generalised neuro...
B
null
medmcqa
medmcqa_15639
Main cause of congestive splenomegaly.
[ "CCF", "Malaria", "DIC", "Banti syndrome" ]
Ans. (d) Banti syndromeRef: Internet sourcesBanti syndrome:* Congestive splenomegaly caused by obstruction of Portal veins, Splenic Veins, Hepatic veins resulting in Portal hypertension, Ascites, Thrombocytopenia, Leukopenia and Upper GI haemorrhage.
D
null
medmcqa
medmcqa_31285
atural family planning method ?
[ "Abstinence", "Coitus interruptus", "BBT", "Safe peroid" ]
Ans. is 'c' i.e., BBT Miscellaneous methods of contraceptions o These are (i) Abstinence, (ii) Coitus interruptus, (iii) Safe period (rhyth method), and (iv) Natural family planning methods. Abstinence o There is complete abstinence from sexual intercourse. It is not used and can hardly be considered as a method of con...
C
null
medmcqa
medmcqa_36479
The Electron Microscopy is viually diagnostic in renal biopsy study of:
[ "Goodpasture's syndrome", "Churg-Strauss syndrome", "Alpo syndrome", "Wegner's granulomatosis" ]
For Alpo syndrome, the most diagnostic morphologic lesion is seen only by electron microscopy as an irregularly thickened GBM, with splitting of the lamina densa into interlacing lamellae that surround electron-lucent areas.
C
null
medmcqa
medmcqa_22055
An infant can regard his parent's face, follow to midline, lift his head from the examining table, smile spontaneously, and respond to a bell. He does not yet regard his own hand, follow past midline, nor lift his head to a 45deg angle off the examining table. Which of the following is the most likely age of the infant...
[ "1 month", "3 months", "6 months", "9 months" ]
At one month, infants typically regard face, follow items to the midline, begin to vocalize, respond to a bell, and lift their head from the examining table. An 8-week-old child normally should be able to smile and coo when smiled at or talked to. Not until about 3 months of age would an infant be expected to follow a ...
A
null
medmcqa
medmcqa_34390
Which of the following is indicated by the pedigree given below?
[ "Adopted into family", "Adopted out of family", "Identical twins", "Nonidentical twins" ]
null
C
null
medmcqa
medmcqa_4296
Which of the following drugs is most useful for acute depression and has good side effect profile?
[ "RIMA", "SSRIs", "Tricyclic Antidepressants", "Non selective MAO-inhibitors" ]
Most effective drug for acute depression is SSRI i.e. Selective serotonin reuptake inhibitors. They are drug of choice for the same. They have very less side effects as compared to tricyclic antidepressants.
B
null
medmcqa
medmcqa_28089
A 53-year-old woman presents with a 1-cm invasive carcinoma of the breast, detected on mammography. She feels well and has no other symptoms. On examination the lump is palpable, and there are no axillary lymph nodes. Which of the following is the most appropriate local therapy for her tumor?
[ "simple mastectomy with axillary dissection", "radiation therapy to breast and axilla", "local excision plus radiation therapy", "local excision and axillary dissection followed by radiation therapy" ]
Breast-conserving surgery is now recommended for small tumors. Radiation therapy will decrease local recurrence rates. For tumors < 1 cm, adjuvant therapy is indicated only if axillary nodes are positive. Therefore, in this case, an axillary dissection will provide important therapeutic information. However, this is an...
D
null
medmcqa
medmcqa_22922
Most common location of carcinoid in GI tract is
[ "Stomach", "Small bowel", "Appendix", "Colon" ]
Relative distribution of neuroendocrine tumours in different organs.Appendix40%Small bowel25%Rectum15%Lung10%Colon6%Stomach5%Duodenum2%Ref: Bailey and Love 27e pg: 853
C
null
medmcqa
medmcqa_30883
A 24-year-old female graduate student repos increasing shoness of breath with exercise and has recently noticed dyspnea on mild activity. One day before presenting at the office, she experienced sudden loss of consciousness while shopping at a grocery store. On physical examination, vital signs are: pulse 88 bpm; tempe...
[ "A loud A2 on cardiac auscultation", "Right arm swelling", "Rib notching", "A loud P2 on cardiac auscultation" ]
The lateral view shows that the anterior clear space behind the sternum is occupied above a poion of the lower one-third of the cardiac shadow. The truncus of the right pulmonary aery seen in front of the trachea is very large and the left main pulmonary aery coursing over the left upper lobe bronchus is greater than 1...
A
null
medmcqa
medmcqa_27732
Armoured Endotracheal tube is used in:
[ "Pediatric surgery", "Neurosurgery", "Cardiac surgery", "Thoraxic surgery" ]
Neurosurgery
B
null
medmcqa
medmcqa_3296
According to International Health Regulations, there is no risk of spread of yellow Fever if the Aedes aegypti index remains below
[ "5%", "1%", "10%", "8%" ]
International Health Regulations (IHRs) of WHO covers 7 diseases: – Cholera – Plague – Yellow Fever – Smallpox – Wild Polio Virus – Human Influenza – SARS International measures to restrict the spread of Yellow Fever (IHRs): – Travellers: - Must possess a valid International certificate of vaccination (validity 10da...
B
null
medmcqa
medmcqa_41496
A 30 year old man had a road traffic accident and sustained fracture of femur. Two days later he developed sudden breathlessness. The most probable cause can be:
[ "Pneumonia", "Congestive heart failure", "Bronchial asthma", "Fat Embolism" ]
Ans. D. Fat EmbolismThe fat globules released from the bone marrow (due to trauma/orthopedic procedures) are deposited in the pulmonary capillary bed. This causes ischemia and inflammation. The symptoms appear 12-72 hours after the trauma. Initial symptoms are tachycardia and tachypnea. There may be high spiking fever ...
D
null
medmcqa
medmcqa_37806
Alvarado score is used for
[ "Acute cholecystitis", "Acute appendicitis", "Acute apncreatitis", "Acute epidydimitis" ]
Answer- B. Acute appendicitisScoring system for Acute Appendicitis: Alvarado Score:The diagnosis of appendicitis is based primarily on clinical history and physical examination assisted by blood counts. A number of clinical and laboratory based scoring systems have been devised to assist diagnosis.The most widely used ...
B
null
medmcqa
medmcqa_32489
A 58-year-old woman presents with a 2-month history of abdominal discomfort and dark stools. Physical examination shows pallor but no evidence of jaundice. Laboratory studies disclose a microcytic, hypochromic anemia, with a hemoglobin level of 6.7 g/dL. A barium swallow radiograph reveals a "leather bottle" appearance...
[ "Fungating adenocarcinoma", "Gastric leiomyosarcoma", "Gastric lymphoma", "Linitis plastica" ]
Diffuse adenocarcinoma constitutes10% of all stomach cancers. No true tumor mass is seen macroscopically. Instead, the wall of the stomach is conspicuously thickened and firm, accounting for the radiologic "leather bottle" appearance. When the entire stomach is involved, the term linitis plastica is applied. The invadi...
D
null
medmcqa
medmcqa_1571
The incidence of mental illness is the maximum if the causal factors affect a paicular period -
[ "Perinatal period", "First five years of life", "School age", "Adolescence" ]
The incidence of mental illness is the maximum if the causal factors affect a paicular period of first five years of life crucial points in the life cycle of human being which are impoant from the view of mental health are prenatal period, first five years of life, school child , adolescence, old age. ref ;(page no;832...
B
null
medmcqa
medmcqa_35273
Neurological complications following rabies vaccine are common with
[ "Duck egg vaccine", "Chick embryo vaccine", "Semple vaccine", "HDCS vaccine" ]
(B) Chick embryo vaccine # Egg vaccines:> Duck egg vaccine prepared from a fixed virus adapted for growth in duck eggs and inactivated with beta propiolactone was used, but was discontinued because of its poor immunogenicity. A purified, more potent duck egg vaccine was developed, but was supplanted by tissue culture v...
B
null
medmcqa
medmcqa_22320
Treatment of choice in nasopharyngeal carcinoma.
[ "Chemotherapy", "Radiotherapy", "Chemo given with radiation", "Surgery" ]
Radiotherapy: It is the treatment of choice for nasopharyngeal cancer. Stage I and II are treated by radiotherapy alone while Stage III and IV require concomitant radiation and chemotherapy or radiation followed by chemotherapy.
B
null
medmcqa
medmcqa_3222
The highest frequency of palpable metastasis in neck on presentation is -
[ "Carcinoma tongue", "Buccal mucosa", "Alveolus", "Lip" ]
"Among oral cavity cancers, cancers of the mobile tongue have a high incidence of occult and clinical cervical lymph node metastasis". ─ Head & Neck surgery : otolaryngology
A
null
medmcqa
medmcqa_8506
Which group of streptococcus grow at > 60degC -
[ "A", "B", "C", "D" ]
Option 1, 2, 3 Heat tolerance test (60oC) is negative for Group A, B, C Streptococci. Option 4 Enterococcus is heat resistant. Enterococcus grows in presence of 6.5% NaCl, pH 9.6 and temperature >55oC which differentiate it from Group D streptococci.
D
null
medmcqa
medmcqa_54736
Which of the following is NOT a content of medial wall of middle ear:
[ "Oval window", "Round window", "Processus cochleariformis", "Aditus ad antrum" ]
Ans. (d) Aditus ad antrumReft Dhingra's ENT 6th edj 5-6* Aditus ad antrum is located on posterior wall. It is a doorway to antrum of mastoid.* Antrum is largest mastoid air cell.
D
null
medmcqa
medmcqa_12123
Which of the following drugs cause relaxation of LES? 1. Nitrates 2. Histamine blockers 3. Morphine 4. Atropine 5. Calcium channel blockers
[ "1,2 & 3", "1,4 & 5", "1,2 & 5", "All" ]
Factor causing relaxation of LES Factor increasing LES pressure Pharmacological agents:nitrates, anticholinergics, barbiturates, calcium channel blockers, caffeine, theophylline, diazepam, dopamine, prostaglandin E1 and E2 and meperidine Pepperdine Chocolate Coffee Alcohol Smoking Fat Antacids Cholinergics Domperidone ...
B
null
medmcqa
medmcqa_12219
Centroacinar cells are present in ?
[ "Pancreas", "Parotid gland", "Prostate", "None" ]
Ans. is 'a' i.e., Pancreas Pancreas It is a mixed exocrine and endocrine gland. A . Exocrine pa The exocrine poion is a compound acinar gland, consists of pancreatic acini. The acini of pancreas consist of a group of pyramid-shaped acinar cells' (pancreatic parenchymal cells) arranged around a small lumen. The centroac...
A
null
medmcqa
medmcqa_11936
Lathyrism results due to:
[ "Aflatoxin", "BOAA", "Pyruvic acid", "Sanguinarine" ]
BOAA
B
null
medmcqa
medmcqa_7966
Earliest symptom of Congenital Glaucoma
[ "Lacrimation", "Blepharospasm", "photophobia", "Diminision of vision" ]
Earliest but nonspecific symptom of Congenital Glaucoma is photophobia
C
null
medmcqa
medmcqa_32694
A 36 month old girl shows frontal bossing and wrist enlargement. Diagnosis is -
[ "Rickets", "Scurvy", "Beri Beri", "Osteomalacia" ]
Ans. is 'a' i.e., RicketsClinical features of ricketso Clinical manifestations of rickets are usually manifested by 6 months of age. Rickets is unusual below the age of 3 months.Clinical features of rickets are :o Skull: Craniotabes (earliest manifestation), frontal and parietal bossing; widened sutures; delayed closur...
A
null
medmcqa
medmcqa_26739
True about endotracheal intubation (during the process) is all except:
[ "Hypeension & tachycardia", "Raised IOT", "Raised ICT", "Increased esophageal peristalsis" ]
D i.e. Increased esophageal peristalsis
D
null
medmcqa
medmcqa_28087
Varicella zoster virus belongs to which family of DNA viruses -
[ "Poxviridae", "Herpesviridae", "Adenoviridae", "Papovaviridae" ]
Ans. is 'b' i.e., Herpesviridae DNA virusesPoxviridae :-Variola, vaccinia, cowpox, monkeypox, tanapox, mofluscum contagiosumHerpesviridae :- HSV-1, HSV-2, varicella-zoster, EBV, CMV. HTLV-1, RK-virusAdenoviride :- AdenovirusParvoviridae :-Parvovirus, Adenosatello virus, DensovirusPapovaviridae :-Papilloma virus (HPV), ...
B
null
medmcqa
medmcqa_22202
All are true regarding METHANOL poisoning except:
[ "Hemodialysis should be done when serum methanol cencentration is above 50 mg/dl", "Fomepizole acts by inhibiting aldehyde dehydrogenase", "High anion gap metabolic acidosis is seen in severe cases", "Visual disturbances are commonly seen" ]
Ref: Katzung 12/e p398 Fomepizole inhibits alcohol dehydrogenase and not aldehyde dehydrogenase *Serum methanol concentration above 20 mg/dl is an indication to sta treatment and above 50 mg/dl is for Hemodialysis. *Metabolic product formaldehyde and fornic acid is responsible for blindness and high anion gap metabolic...
B
null
medmcqa
medmcqa_53442
Hereditary pancreatitis is characterised by all of the following except
[ "Autosomal recessive inheritance", "Increased risk of pancreatic cancer", "80% penetrance", "Increased risk of chronic pancreatitis" ]
Hereditary pancreatitis: Is a autosomal dominant condition. Hereditary factors are increasingly being recognized as a significant cause of pancreatitis. Hereditary pancreatitis is characterized by recurrent attacks of severe acute pancreatitis often beginning in childhood and ultimately leading to chronic pancreatitis....
A
null
medmcqa
medmcqa_53905
Essential amino acid amongst the following ?
[ "Arginine", "Lysine", "Threonine", "All" ]
Ans. is 'd' i.e., All
D
null
medmcqa
medmcqa_22728
Cicatrising alopecia with perifollicular blue–gray patches is most commonly associated with –
[ "Pitting of nails", "Whitish lesions in the buccal mucosa", "Arthritis", "Discoid plaques in the face" ]
Cicatricial alopecia with perifollicular blue-grey patches indicates in favour of lichen planus. Whitish lesion in buccal mucosa (Lacey pathern) is characteristic of lichen planus
B
null
medmcqa
medmcqa_11585
Palmaris Brevis is supplied by:
[ "Median nerve", "Ulnar Nerve", "Radial Nerve", "Musculocutaneous nerve" ]
Ans. B. Ulnar Nervea. In the proximal forearm, ulnar nerve gives muscular branches to: (a) flexor carpi ulnaris, and (b) medial half of flexor digitorum profundus.b. In the mid-forearm, it gives off palmar cutaneous branch, which provide sensory innervation to the skin over the hypothenar eminence.c. About 5 cm proxima...
B
null
medmcqa
medmcqa_1064
Combined oral pill reduces the risk of:
[ "Breast cancer", "Ovarian cancer", "Cervical cancer", "Vaginal cancer" ]
null
B
null
medmcqa
medmcqa_13858
which of the following is a SSRI
[ "clomipramine", "fluoxetine", "milnacipran", "trazadone" ]
SSRI * IMPOANCE Most widely prescribed antidepressant * MECHANISM Specifically acts on serotonin transpoers and increases serotonin in synapse. DRUGS FLUOXETINE FLUVOXAMINE DAPOXETINE CITALOPRAM ESCITALOPRAM ESCITALOPRAM SERALINE PAROXETINE USE FLUOXETINE=============CHILDHOOD DEPRESSION FLUVOXAMINE===========OCD DAPOX...
B
null
medmcqa
medmcqa_8692
Most common side effect of IUDs
[ "Pain abdomen", "Increased vaginal bleed", "Abortion", "Pelvic Infleammatiom" ]
Most common side effect : Increased vaginal bleed. 2nd most common side effect : Pain.
B
null
medmcqa
medmcqa_26020
In a patient with wide-complex tachycardia, the presence of all of the following in the ECG indicates ventricular tachycardia except-
[ "Atrioventricular dissociation", "Fusion beats", "Typical right bundle branch block", "Capture beats" ]
Absence of a "RS complex," Concordance of QRS simply means "all up" or "all down. right bundle branch block (RBBB) is a hea block in the right bundle branch of the electrical conduction system During a right bundle branch block, the right ventricle is not directly activated by impulses travelling through the right bund...
C
null
medmcqa
medmcqa_12022
A neonate was found to have periventricular calcifications on CT brain. The best method for the diagnosis of this etiological agent is ______
[ "Urine examination", "Liver Biopsy", "Blood examination", "CSF examination" ]
Urine examination is one of the best methods to diagnose congenital cytomegalovirus infection, in which periventricular calcification is seen For diagnosis of congenital CMV infection, urine and saliva are the best specimens for culture and saliva and cord blood are the best specimens for polymerase chain reaction (PCR...
A
null
medmcqa
medmcqa_22737
Which one of the following diseases characteristically causes fatty change in liver?
[ "Hepatitis B virus infection", "Wilson s disease", "Hepatitis C virus infection", "Chronic alcoholism" ]
Fatty liver is also known as hepatic steatosis. It happens when fat builds up in the liver. Having small amounts of fat in your liver is normal, but too much can become a health problem When fatty liver develops in someone who drinks a lot of alcohol, it's known as (AFLD) Refer robbins 9/e
D
null
medmcqa
medmcqa_18244
Which of the following vessel is injured in Hemothorax patient?
[ "Pulmonary aery", "Pulmonary vein", "Bronchial aery", "Intercostal aeries" ]
"The most common cause of massive Hemothorax in blunt injury is continuing bleeding from torn intercostal vessels or occasionally from the internal mammary aery secondary to the fracture of ribs"
D
null
medmcqa
medmcqa_48409
A child Mahesh has been diagnosed to be having vitamin D dependent rickets. The most appropriate vitamin D preparation for him is:
[ "Calciferol", "Cholecalciferol", "Calcifediol", "Calcitriol" ]
(Ref: KDT 6/e p390) Most active vitamin D preparation is calcitriol.
D
null
medmcqa
medmcqa_22605
Vasopressin is synthesized in the:
[ "Anterior pituitary", "Hypothalamus", "Juxtaglomerular apparatus", "Vasomotor centre" ]
Vasopressin. Vasopressin, also called antidiuretic hormone, is even more powerful than angiotensin II as a vasoconstrictor, thus making it one of the body’s most potent vascular constrictor substances. It is formed in nerve cells in the hypothalamus of the brain but is then transported downward by nerve axons to the po...
B
null
medmcqa
medmcqa_14207
widening of the the cailaginous pa of the external auditory canal ?
[ "otoplasty", "myringoplasty", "tympanoplasty", "meatoplasty" ]
Z memamtoplasty conchal incision incision extend to superior ear canal
D
null
medmcqa
medmcqa_46212
Kleptomania means
[ "Irresistible desire to set fire", "Irresistible desire to steal things", "Compulsive hair pulling", "Pathological gambling" ]
Disruptive, Impulse-Control & Conduct Disorder: include intermittent explosive disorder, pyromania, kleptomania, conduct disorder*, antisocial personality disorder* , oppositional defiant disorder*. (* - usually described as a type of personality disorders) Feature Of Impulse-Control Disorders failure to resist an impu...
B
null
medmcqa
medmcqa_33887
In which of the following a 'Coeur en Sabot' shape of the hea is seen:
[ "Tricuspid atresia", "Ventricular septal defect", "Transposition of great aeries", "Tetralogy of Fallot" ]
Coeur en Sabot' or boot shaped hea is seen in Tetralogy of Fallot. The cardiac silhouette resembles that of a 'boot' or wooden shoe in 'Coeur en Sabot'. Ref: O P Ghai Essential Pediatrics, 6th Edition, Page 406
D
null
medmcqa
medmcqa_38911
Jurisdiction of land assessment comes under -
[ "Supreme court", "Sessions court", "District court", "None of above" ]
o Boundry disputes (Jurisdiction of land assessment) is handled by executive magistrate, e.g. collector, deputy collector or Tahsildar (district magistrate). o It does not pertain to supreme, sessions or district court.
D
null
medmcqa
medmcqa_7111
Massive splenomegaly with pancytopenia-
[ "CLL", "Pure red cell aplasia", "CML", "Myelofibrosis" ]
Chronic idiopathic myelofibrosis shows symptoms like anaemia, leukocytopenia, thrombocytopenia ,with massive splenomegaly ,hepatomegaly is present in half the cases. petechial and other bleeding problems are found in about 20% cases reference: textbook of Pathology 7th edition author Harsha Mohan page number 340
D
null
medmcqa
medmcqa_16745
Which of the following inducing agent produces cardiac stability?
[ "Etomidate", "Ketamine", "Halothane", "Thiopentone" ]
Etomidate  It is another induction anaesthetic (0.2- 0.5 mg/kg) which has a briefer duration of action  (4-8 min). than thiopentone; produces little cardiovascular and respiratory depression, but motor restlessness and rigidity is more prominent as are pain on injection or nausea and vomiting on recovery. It is a poor ...
A
null
medmcqa
medmcqa_36224
Epilepsy is defined as:
[ "One or more unprovoked seizures", "Two or more unprovoked seizures", "Three or more unprovoked seizures", "Four or more unprovoked seizures" ]
Epilepsy is a condition where the patient has 2 or more episodes of unprovoked seizures.
B
null
medmcqa
medmcqa_26424
Radiological feature of sarcoidosis -
[ "Hilar lymphadenopathy", "Hilar lymphadenopathy with parenchymal lung changes", "No Hilar lymphadenopathy with parenchymal lung changes", "All of the above" ]
Ans. is 'd' i.e., All of the above o The chest radiographic manifestations of sarcoidosis have been divided into five stages# Stage 0-Normal chest radiograph# Stage 1-Bilateral hilar lymphadenopathy# Stage 2-Bilateral hilar lymphadenopathy writh parenchymal disease.# Stage 3-Only parenchymal disease (no hilar lymphaden...
D
null
medmcqa
medmcqa_41618
Most common cause of small intestinal obstruction in adults is
[ "Malignancy", "Crohn's disease", "Hernia", "Adhesions" ]
Adhesions account for more than 50% of small intestine obstruction. They follow appendicitis or other pelvic operations.
D
null
medmcqa
medmcqa_5301
Rosette cataract is seen in -
[ "Blunt trauma", "Diabetes", "Galactosemia", "Congenital Rubella" ]
Ans. is 'a' i.e., Blunt trauma o Repeat from previous sessions.
A
null
medmcqa
medmcqa_38563
A patient presents with diplopia with limitation of adduction in the left eye and abducting saccades in right eye. Convergence is preserved. Most likely etiology is:
[ "Paial 3rd nerve palsy", "Internuclear ophthalmoplegia", "Duane's reactionary syndrome", "Absence of medial rectus muscle" ]
Internuclear ophthalmoplegia (INO) results from damage to the medial longitudinal fasciculus ascending from the abducens nucleus in the pons to the oculomotor nucleus in the midbrain. Damage to fibers carrying the conjugate signal from abducens interneurons to the contralateral medial rectus motoneurons results in a fa...
B
null
medmcqa
medmcqa_17074
The intensity of sound that does not cause ear damage-
[ "80", "100", "120", "150" ]
Ans. is 'a' Le., 80 o Intensity is the strength of sound which determines its loudness. It is usually measured in decibels (dB). o Following are intensities when a person is at a distance of one meter from a sound source. Whisper 30 dB Normal conversation 60 dB Shout 90 dB Discomfort of ear 120 dB Pain in ear 130 dB o ...
A
null
medmcqa
medmcqa_43586
Ifosfamide belongs to which group of anticancer drugs-
[ "Alkylating agents", "Antiimetobolites", "Mitotic inhibitors", "Topoisomerase inhibitors" ]
Ans. is 'a' i.e., Alkylating agents Ifosfamide belongs to alkylating agentIt is an analogue of cyclophosphamide.It is used in combination for germ cell testicular cancer and is widely used to treat pediatric and adult sarcomas. Adverse effect of If sodamide:-Ifosfamide has virtually the same toxicity profile as cycloph...
A
null
medmcqa
medmcqa_7568
Fracture shaft of humerus causes damage to?
[ "Median nerve", "Ulnar nerve", "Axillary nerve", "Radial nerve" ]
ANSWER: (D) Radial nerveREF: Keith and Moore's anatomy 4th ed p. 761Radial nerve injury is commonly associated with:Fracture shaft of humerusSaturday night palsyInjection palsy
D
null
medmcqa
medmcqa_32764
Which of the following is not always a true odontogenic infection
[ "Periapical abscess", "Periodontal abscess", "Maxillary sinusitis", "None of the above" ]
→ Orofacial infections may be odontogenic or non-odontogenic in nature. → Majory of odontogenic infections are caused by the endogenous bacteria present in the oral cavity. Eg: Periapical and periodontal infections. → Most of non-odontogenic infections are associated with an underlying medical condition Eg: Non-odontog...
C
null
medmcqa
medmcqa_11676
True about blood pressure measurement is all/except:
[ "Cuff width should be 40% of arm circumference", "Diastolic blood pressure is indicated by fouh Korotkoff sound", "Small cuff measures spuriously elevated Diastolic blood pressure", "Monkenberg sclerosis causes pseudohypeension" ]
Answer is B (Diastolic BP is indicated by 4th Kovotkoffs sound) Diastolic blood pressure is indicated by the 5th fbuh Korotkoff sound (not by fouh Korotkoff sound). Diastolic blood pressure is best indicated by fifth Korotkoff sound Korotkoff sounds are produced by turbulent flow in aery 1. Faint, clear, tapping sounds...
B
null
medmcqa
medmcqa_7942
Which enzy me is irreversibly inhibited by aspirin?
[ "Lipooxygenase", "Cyclooxygenase", "Thromboxane synthase", "Phospholipase" ]
Ans. is 'b' i.e., Cyclooxygenase o Aspirin, indomethacin and diclofenac are NSAIDs.o All NSAIDs inhibit cvcloxvgenase.NON STEROlPOL ANTIINFL.AMM ATORY PRI GS (NSAIDS)o Also called "nonnarcotic, nonopioid or aspirin tike analgesicso Important drugs are1. Nonselective Cox inhibitors (traditional NSAIDs)o Aspirino Diclofe...
B
null
medmcqa
medmcqa_38383
Which of the following is/ are the side effect/ s of using argon laser ?
[ "Hypopigmentation", "Crusting", "Keloid formation", "All the above" ]
Ans. is 'd' i.e., All the above Argon Laser Wavelength 488 - 514 nm Penetration depth of 1 mm, which can be increased by cooling Side effects: crusting and possible blistering of skin, irreversible hypopigmentation, transient hyperpigmentation, punctate atrophic or hyperophic scars, keloid formation.
D
null
medmcqa
medmcqa_28110
Treatment of choice for the chronic dacrocystitis:
[ "Syringing", "Dacrocystectomy", "Conjunctivo-dacryocystorhinostomy", "Dacrocystorhinostomy" ]
Ans. (d) DacrocystorhinostomyRef.: A.K. Khurana 6th ed. /395-96Dacrocystits is inflammation of the lacrimal sac# CHRONIC PACROCYSTITIS* Chronic dacryocystitis is more common than the acute dacrocystitis.* Cause: Vicious cycle of stasis and mild infection of long duration.* Factors responsible for stasis of tears in lac...
D
null