dataset
string
id
string
question
string
choices
list
rationale
string
answer
string
subject
string
medmcqa
medmcqa_20793
Grevious injury included which of the following :
[ "Incised wound of scalp", "Lacerated wound of scalp", "Fracture radius", "Injury which kept patient away from work for 10 days" ]
C i.e. Fracture radius
C
null
medmcqa
medmcqa_37493
Ridley-Jopling classification includes all except:
[ "Lepromaious leprosy", "Borderline borderline", "Tuberculoid", "Neuritic" ]
Ans: D (Neuritic) Ref: Thappa, Essentials in Dermatology. 1st ed. Pg 236Explanation:Ridley and Jopling classified leprosy taking into account the immunological and histopathological basis in addition to clinical and bacteriological findings.ClassificationTuberculoid Tuberculoid (TT)Borderline T uberculoid (BT)Borderlin...
D
null
medmcqa
medmcqa_40218
A 39-year-old woman complains of an inability to reach the top of her head to brush her hair. History reveals that she had undergone a bilateral mastectomy procedure 2 months earlier. Physical examination demonstrates winging of both of her scapulae. Which nerves were most likely damaged during surgery?
[ "Axillary", "Spinal accessory", "Long thoracic", "Dorsal scapular" ]
The long thoracic nerve innervates the serratus anterior, which is responsible for elevation and abduction of the scapula beyond the horizontal level while maintaining its position against the thoracic wall. Along with the thoracodorsal nerve, the long thoracic nerve runs superficially along the thoracic wall and is co...
C
null
medmcqa
medmcqa_27156
Ispilateral optic atrophy with contralateral papilloedema is a feature of-
[ "Fischer syndrome", "Foster kennedy syndrome", "Vogt- kayanagi- Harada syndrome", "WAGR syndrome" ]
Suggests a tumour of the ipsilateral olfactory groove or orbital surface of the frontal lobe or of the pituitary body. This syndrome is due to optic nerve compression (optic atrophy) by the tumor and increased intra cranial pressure secondary to a mass ( tumor) causing contralateral papilloedema. Ref: Parson's 22 nd ed...
B
null
medmcqa
medmcqa_52640
Unilateral edentulous area with natural teeth both anterior and posterior to it represent Kennedy's arch.
[ "Class I", "Class II", "Class III", "Class IV" ]
null
C
null
medmcqa
medmcqa_49038
A 64-year-old man has had recurring nasal hemorrhages following surgery to remove nasal polyps. To control the bleeding, the surgeon is considering ligating the primary aerial supply to the nasal mucosa. This aery is a direct branch of which of the following aeries?
[ "Facial aery", "Maxillary aery", "Superficial temporal aery", "Superior labial aery" ]
The major source of blood supply to the nasal mucosa is the sphenopalatine aery, which is the terminal branch of the maxillary aery. The sphenopalatine aery enters the nasal cavity from the pterygopalatine fossa by passing through the sphenopalatine foramen in the lateral wall of the nasal cavity. The facial aery is a ...
B
null
medmcqa
medmcqa_2440
In isometric exercise all are increased except:
[ "Hea rate", "Cardiac output", "Mean aerial pressure", "Systemic vascular resistance" ]
D i.e. Systemic vascular resistance
D
null
medmcqa
medmcqa_21944
During exploration, a patient is found to have a tumor in the thymus that is invading the pericardium and surrounding the left and right phrenic nerves. The pathologist says that appears on frozen section to be a benign thymoma. The surgeon now should:
[ "Repeat frozen section", "Attempt as complete a resection as possible", "Close the chest and plan irradiation therapy", "Close the chest and await permanent sections" ]
Since the tumor is invading the pericardium and surrounding the left and right phrenic nerve maximum amount of tumor must be resected There is no advantage of frozen section
B
null
medmcqa
medmcqa_8601
Lipofuscin containing macrophages are a feature of?
[ "Wear and tear", "Fat deposit", "Iron deficiency", "Calcification" ]
Ans is 'a' i.e., Wear and tear Lipofuscin* It is an insoluble pigment, also known as lipochrome and wear or tear or aging pigment. Lipofuscin is not injurious to the cell or its functions.* Its importance lies in being the tell-tale sign of free radical injury and lipid peroxidation.* It is seen in cells undergoing slo...
A
null
medmcqa
medmcqa_45923
Chalcosis is seen with -
[ "Pb", "Cu", "Fe", "Hg" ]
Chalcosis refers to the specific changes produced by the alloy of copper in the eye.
B
null
medmcqa
medmcqa_20440
Neoplasm associated with Waldenstorm's macro- globulinemia also called as:
[ "Smoldering myeloma", "Primary CNS lymphoma", "Lympho plasmacytic lymphoma", "MGUS (Mono gammopathy of undetermined significance)" ]
Ref: Harrison's Principles of Internal Medicine, 18th edition, pg 942, 943, 940, 3387Explanation:Waldenstorms macroglohulinemia is a malignancy of lymphoplamsmacytoid cells that secrete IgMAssociated with lymphadenopathy, hepatosplenomegaly, hy perv i scos styNo bony lesions/renal disease like IgM myelomaElderly agePer...
C
null
medmcqa
medmcqa_18633
Which of the following is true about Reidel's thyroiditis
[ "Fibrosis involves the thyroid and surrounding neck structures", "Patient presents with hard fixed thyroid mass", "It may be associated with retroperitoneal fibrosis", "All the above" ]
Answer- D. All the aboveA rare disorder characterized by extensive fibrosis involving the thyroid and contiguous neck structures.The presence of a hard and fixed thyroid mass clinically simulates a thyroid carcinoma.It may be associated with fibrosis in other sites in the bodn such as the retroperitoneum, and appears t...
D
null
medmcqa
medmcqa_1560
Which of the following is an example of a non venereal disease -
[ "Endemic syphilis", "Gonorrhoea", "Chancroid", "LGV" ]
null
A
null
medmcqa
medmcqa_13394
True statement about burn resuscitation ?
[ "Colloid preferred in initial 24 hrs", "Colloid preferred if burnt area is > 15 % of total BSA", "Half of the calculated fluid given in initial 8 hrs.", "Urine output should be maintained at 50-60 mL/hr." ]
Ans is 'c' i.e. Half of the calculated fluid given in initial 8 hrs Proper fluid management is critical to survival in a burn patient. The hypovolemic shock in burn patient is special in the sense that the total body water remains unchanged in a burn patient. The thermal injury leads to a massive fluid shift from intra...
C
null
medmcqa
medmcqa_27849
Mucous lesions are seen in :
[ "Sec. syphilis", "Dermatitis herpetiformis", "Psoriasis", "Pemphigus" ]
D i.e. PemphigusMucosa involvement is seen in Behcet's syndrome, reactive ahritis (Reiter's syndrome), Peutz Jegher syndromeQ, erythema multiforme major, Steven Johnson syndrome, TEN, lichen planusQ, lupus erythematousus, leprosy, measles (Koplik spots) Q, Fordyce spot & disease, syphilis (congenital and secondary), in...
D
null
medmcqa
medmcqa_1438
A four-year old child presents with mild fever, malaise, prupura, arithritis, abdominal pain and microscopic hematuria. What would be the most likely diagnosis -
[ "Thrombobasthenia", "Idiopathic thrombocytopenic", "Systemic lupus erythematosus", "Henoch-Schonlein purpura" ]
Ans. is 'd' i.e., Henoch-schonlein purpura
D
null
medmcqa
medmcqa_50272
Number of primodial follicles in ovary at bih are
[ "2 million", "6 million", "5 million", "10 million" ]
At bih the number of login is(primordial follicles) in an ovary is about one millionSo for two ovaries, it is about 2 millionInderbir Singh&;s Human Histology Seventh edition Pg 346
A
null
medmcqa
medmcqa_12367
In case of pelvic fracture with urethral injury, the most impoant first step in management is?
[ "Repair in injured urethra", "Fixation of pelvic fracture", "Treatment of shock and haemorrhage", "Splinting urethra with catheters" ]
Ans. is 'c' i.e., Treatment of shock and haemorrhage
C
null
medmcqa
medmcqa_10008
Choose the appropriate lettered structure in this MRI scan showing a sagittal section through the head and neck. Tears drain through the nasolacrimal duct into the space below which structure?
[ "A", "B", "C", "D" ]
(b) The inferior nasal meatus below the inferior concha receives the nasolacrimal duct.
B
null
medmcqa
medmcqa_6635
Malignant cells characteristically
[ "Have a shoer cell cycle than the normal cells in their parent tissue", "Have the same DNA content as the normal cells in their parent tissue", "Are contact inhibited in tissue culture", "Take at least 30 doubling times before they become clinically detectable" ]
Malignant cells characteristically take at least 30 doubling times before they become clinically detectable. They commonly have a longer cell cycle than the normal cells in their parent tissue. Neoplasia is a problem due to an accumulation of cells over a period of time. Malignant cells have a greater DNA content than ...
D
null
medmcqa
medmcqa_52291
Menke's kinky (Steely) hair disease occurs due to:
[ "Low copper levels", "Low zinc levels", "Low iron levels", "Low fluoride levels" ]
Menke's kinky hair disease- X-linked defect in intestinal absorption of copper. Mutation in ATP7A gene. Low levels of copper and ceruloplasmin. C/F- Progressive cerebral degeneration, growth retardation Sparse brittle hair Scurvy-like bone changes Anemia and neutropenia Failure to thrive Pili toi, trichorrhexis and mon...
A
null
medmcqa
medmcqa_11503
ULTRASOUND PROBE FREQUENCY 1. Linear a. 20 2. Endoscopic b. 10-12 3. Curvilinear c. 7-10 4. Endocavitatory d. 3-5
[ "1-C, 2-D, 3-A, 4-B", "1-B, 2-C, 3-A, 4-D", "1-B, 2-A, 3-D, 4-C", "1-B, 2-C, 3-D, 4-A" ]
Different types of Probes / transducers Curvilinear probe Linear probe Endocavitary probe - 3-5 MHz (Low frequency) - Greater wavelength - Greater penetration - Poor resolution -Used for imaging deep structures e.g. kidney, ovary, fetal pas etc. - 10-12 MHz (high frequency) -Low wavelength - Poor penetration - Good res...
C
null
medmcqa
medmcqa_16259
A 6-week pregnant lady is diagnosed with sputum positive TB. Best management is:
[ "Wait for 2nd trimester to sta ATT", "Sta Category I ATT in first trimester", "Sta Category II ATT in first trimester", "Sta Category III ATT in second trimester" ]
TB in Pregnancy Category 1 ATT can be safely given during pregnancy. Only first line drug contraindicated in pregnancy is streptomycin Pregnancy does not worsen the course of the disease although there is a higher risk of relapse during the puerperium. Pregnancy may worsen the maternal outcome in drug resistant patient...
B
null
medmcqa
medmcqa_43946
Commonest site of epistaxis is:
[ "Bony septum", "Little's area", "Superior turbinate", "Lateral wall of nose" ]
Ans: b (Little's area)Ref: Dhingra E.N.T. 3rd/e p. 217 & 2nd/e p. 176
B
null
medmcqa
medmcqa_4664
Which structure lies midway between the Anterior superior iliac spine & pubic symphysis-
[ "Femoral artery", "Deep inguinal ring", "Superior epigastric artery", "Inguinal ligament" ]
External iliac artery continues as femoral artery at mid-inguinal point.
A
null
medmcqa
medmcqa_20541
All are symptoms of hypocalcemia except
[ "Chvostek sign", "Trousseau sign", "Peaked p waves", "laryngospasm" ]
Following are symptoms seen in hypocalcemia Neuromuscular irritability circumoral and peripheral paresthesia chvostek sign (facial twitching induced by tapping on the facial nerve ) trousseau sign (forearm muscular spasm induced by inflating a pressure cuff) muscle cramps laryngospasm tetany seizures cardiac * impaired...
C
null
medmcqa
medmcqa_47385
A Postmenopausal woman presents with pruritic white lesions on the vulva. Punch biopsy of a representative area is obtained. Which of the following histologic findings is consistent with the diagnosis of Lichen sclerosis?
[ "Blunting or loss of Rete pegs", "Excessive hyalinisation", "Acute inflammatory infiltration", "Increase in the number of cellular layers in the epidermis" ]
Lichen Sclerosis Small bluish-white papules that coalesce into white papules Pruritus('Itch-scratch' cycle), dyspareunia, dysuria Histology-Moderate hyperkeratosis with epithelial thinning, acanthosis, basement membrane thickening. Loss of rete hyalinization in dermis Ca vulva of Keratinizing types which is Unifocal an...
A
null
medmcqa
medmcqa_8833
According to Sigmund Freud, which of the following best describes primary processes?
[ "Typically conscious", "Absent during dreaming", "Nonlogical and primitive", "Characteristic of the neuroses" ]
Primary process thinking is primitive, nonlogical, and timeless. Primary processes characterize the operational style of the id and are manifested in dreams. According to Freud's theory; condensation, displacement, and symbolic representation are forms of primary processes.
C
null
medmcqa
medmcqa_51485
True regarding pseudomembranous colitis are all except -
[ "It is caused by clostridium difficile", "The organism is a normal commensal of gut", "It is due to production of phospholipase A", "It is treated by vancomycin" ]
Ans. is 'c' i.e., It is due to production of phospholipase A
C
null
medmcqa
medmcqa_18854
Finkelstein's test is positive in:
[ "Perilunate dislocation", "Scaphoid fracture", "Dislocation of shoulder", "Dequervain's tenosynovitis" ]
Ans. D. Dequervain's tenosynovitisDequervain's disease which is stenosing tenosynovitis of the first extensor compartment of the forearm at the level of the wrist. The physician grasps the patient's thumb and fingers holding the forearm with the other hand then quickly deviates the wrist to the ulnar side, this causes ...
D
null
medmcqa
medmcqa_3007
All can predisposes to non cirrhotic poal fibrosis, EXCEPT:
[ "Xenobiotics exposure", "Arsenic contaminated water", "Repeated intestinal exposure", "Radiation exposure" ]
Noncirrhotic poal hypeension is a group of disorder characterized by increase in poal pressure,due to intrahepatic or pre hepatic lesions, and absence of cirrhosis of the liver. Etiopathogenesis of NCPF xenobiotics exposure and various Immunologic abnormalities(Abnormalities of T-lymphocytes and adhesion molecules) Rep...
D
null
medmcqa
medmcqa_32188
Which of the following factors in bile juice is responsible for preventing the precipitation of cholesterol and formation of gallstones
[ "High alkaline condition", "High concentration of bicarbonates", "Bile salts", "Bile pigments" ]
Bile salts (salts of cholic & chenodeoxycholic acids)form micelle which makes cholesterol soluble and prevents formation of gallstones
C
null
medmcqa
medmcqa_38463
A baby is born at 27 weeks of gestation required mechanical ventilation for next 4 weeks & 02 for next 1 week. He maintained at room temperature subsequently. As per new Bronchopulmonary dysplasia definition, he has which of the following ?
[ "Mild BPD", "Moderate BPD", "Severe BPD", "No BPD" ]
Ans. is 'c' i.e., Severe BPD
C
null
medmcqa
medmcqa_11008
Anticholinergics cause all except?
[ "Tachycardia", "Mydriasis", "Bronchoconstriction", "Constipation" ]
Ans. is 'c' i.e., Bronchoconstriction. Anticholinergic agents cause bronchodilatation. ACTIONS: CNS: In toxic/high doses: Maximal excitatory effect. Eye: Mydriasis - Paralysis of sphincter pupillae. Cycloplegia - Paralysis of accommodation. Increased intraocular pressure in people with shallow anterior chamber. It give...
C
null
medmcqa
medmcqa_46810
All of the following statements about Androgen Insensitivity Syndrome are true except :
[ "Patients have an XY genotype", "Pubic hair are abundant", "Sho vagina may be present", "Ovaries are absent" ]
Ans. is b i.e. Pubic hair are abundant Breasts are well developed whearas pubic hair and axillary hair are scanty in case of testicular feminising syndrome (Androgen Insensitivity Syndrome).
B
null
medmcqa
medmcqa_19195
Claviceps fusiformis is active ingredient in which of the following toxins?
[ "Aflatoxin", "Sanguinarine", "Pyrazolidone", "Ergot alkaloid" ]
Ans. d (Ergot alkaloid) (Ref. Text book of PSM by Park 22nd/ 610)Ergot is not a storage fungus, but a field fungus, e.g., Claviceps fusiformis. Symptoms are acute but rarely fatal and include nausea, repeated vomiting, giddiness and drowsiness extending peripheral gangrene due to vasoconstriction of capillaries. Ergot-...
D
null
medmcqa
medmcqa_24959
Anemia of chronic disease is differentiated from iron deficiency anemia by the presence of-
[ "| TIBC", "|TIBC", "| Serum ferritin", "| Bone marrow iron store" ]
<p>In anemia of chronic diorder, a defect in transfer of iron from macrophages to developing erythroid cells in the marrow leads to reduced availability of iron for haem synthesis despite adequate iron stores ,elevating serum ferritin levels.Thus total iron binding capacity is low to normal in contrast to iron deficien...
B
null
medmcqa
medmcqa_37946
Which of the following has more anti-thyroid action
[ "I131", "Sodium Iodide", "Carbimazole", "Neomercazole" ]
Radioactive Iodine (I131) Therapy I131 is an effective agent for delivering high radiation doses to thyroid tissue It emits mainly beta radiation (90%), which penetrates only 0.5mm of the tissues & allow therapeutic effects on thyroid without any damage to the surrounding structures, paicularly parathyroid Mechanism of...
A
null
medmcqa
medmcqa_53244
62-year-old female has kidney stone and treated with PCNL. After 2 days she again comes to OPD with chills and fever. What is the complication?
[ "Bacterial sepsis", "Acute pancreatitis", "Splenic injury", "Ureteric stricture" ]
Bacterial sepsis Complications relating to PCNL include: Injury to the spleen, pleura and colon. Haemorrhage (MC) Sepsis. Extravasation due to rupture of the collecting system. Retained stone fragments. Open surgery to the kidney is sometimes more complicated after PCNL.
A
null
medmcqa
medmcqa_36957
A woman who has developed chickenpox 2 days ago is admitted in labor.What is the best method to prevent infection in the neonate?
[ "Administer varicella zoster immunoglobulin (VZIG) to the neonate soon after birth", "Administer varicella zoster vaccine to the neonate", "Perform a cesarean section immediately", "Prevent breastfeeding" ]
Ans. is a, i.e. Administer varicella zoster immunoglobulin (VZIG) to the neonate soon after birthSince the mother developed the infection two days before the delivery, there is no time for the mother to develop antibodies. Therefore, the neonate will be non-immune and is at risk of developing chickenpox. Neonatal infec...
A
null
medmcqa
medmcqa_48069
All the following supply blood to Palatine tonsil except
[ "Lingual aery", "Facial aery", "Ascending Pharyngeal aery", "Sphenopalatine aery" ]
Palatine Tonsil (The Tonsil)Blood supply:1.Main source: The Tonsillar branch of the facial aery.2.Additional sources: (a) Ascending palatine branch of facial aery; (b) Dorsal lingual branches of the lingual aery; (c) Ascending pharyngeal branch of the external carotid aery; and (d) The greater palatine branch of the ma...
D
null
medmcqa
medmcqa_42244
All of the following are vitamin K dependent coagulation factors except:
[ "Factor X", "Factor VII", "Factor II", "Factor VIII" ]
Clotting factors II, VII, IX and X are vitamin K dependent factors. Six of the proteins involved in clotting require conversion of a number of glutamic acid residues to γ-carboxyglutamic acid residues before being released into the circulation, and hence all six are vitamin K-dependent. These proteins are factors II (p...
D
null
medmcqa
medmcqa_16225
Most common site for fibroids in uterus is:
[ "Subserous", "Intramural", "Submucous", "Cervical" ]
Ans: (b) Intramural Ref: Shaw s Textbook of Gynaecology 15th Edition Pg 352.Explanation:Uterine FibroidsFibroids are the most common benign solid tumours in femalesMost common tumour of uterus.Fibroids are estrogen dependent for growthProgesterone inhibits their growth.GnRH shrinks size of fibroidIncreases in size duri...
B
null
medmcqa
medmcqa_16529
Which of the following statements about Lambe Eaten Myaesthenic syndrome is true:
[ "Tensilon test is positive", "Extraocular muscles are most commonly involved", "Incremental response to repeated electrical stimulation", "Associated with adenocarcinoma of lung" ]
Answer is C (Incremental response to repeated electrical stimulation ): Lambe Eaten Myaesthenic syndrome presents with an incremental response to repeated electrical stimulation. Lambe Eaten Myasthenia Syndrome What it is & Associations Paraneoplastic syndrome Associated with - Small cell carcinoma lung - Ceain autoimm...
C
null
medmcqa
medmcqa_42036
A contrast study of the pulmonary vessels reveals several pulmonary veins entering the left atrium. How many pulmonary veins entering the left atrium is most likely be seen?
[ "Two", "Three", "Four", "Six" ]
At the wall of the left atrium four pulmonary veins deliver oxygenated blood into the left atrium. Commonly, there are four pulmonary veins with separate ostia into the left atrium. Knowledge of aberrant pulmonary veins such as accessory or conjoined veins and incidental left atrial diveicula can help guide procedures ...
C
null
medmcqa
medmcqa_21503
What is the color coding of the bag used in hospitals to dispose off human anatomical wastes such as body pas:
[ "Yellow", "Black", "Red", "Blue" ]
Ref : Park's Textbook of Preventive medicine
A
null
medmcqa
medmcqa_181
True about methicillin-resistant Staphylococcus aureus (MRSA) is
[ "Isoxazolyl penicillin is highly effective", "All MRSA are multidrug resistance", "Vancomycin is effective", "MRSA are more virulent than sensitive strains" ]
Penicillin resistance may also be due to alterations in penicillin-binding protein PBP2a and changes in bacterial surface receptors, reducing binding of beta-lactam antibiotics to cells. This resistance also extend to cover beta lactamase resistant penicillin such as methicillin and cloxacillin(MRSA) Some of these stra...
B
null
medmcqa
medmcqa_23194
Pontine valentine toxin produced by Staphylococcus is an example for
[ "Simple antigen", "Super antigen", "Hapten", "Immunoglobulin" ]
Pontine valentine toxin of Staphylococcus superantigen which produces lot of stimulation producing massive release of antibodies Ref: Textbook of Microbiology Baveja 5th ed Pg 112
B
null
medmcqa
medmcqa_39049
With respect to repair of cleft palate, the soft palate is first repaired, ideal time for which is?
[ "12 months", "9 months", "6 months", "3 months" ]
Timing of primary cleft lip and palate procedures Cleft lip alone Cleft palate alone Cleft lip and palate Unilateral: one operation at 5-6 months Bilateral: One operation at 4-5 months Soft palate only: One operation at 6 months Soft and hard palate: Two operations Soft palate at 6 months Hard palate at 15-18 months Un...
C
null
medmcqa
medmcqa_13991
IQ of 98 is classed at which level of intelligence?
[ "Idiot", "Normal", "Superior", "Near genius" ]
Explanation: Level of intelligence IQ range Idiot 0-24 Imbecile 25-49 Moron 50-69 Borderline 70-79 Low normal 80-89 Normal 90-109 Superior 110-119 Very superior 120-139 Near genius 140 and above Ref: Park's textbook of Preventive and Social Medicine, 21stedition, page-629.
B
null
medmcqa
medmcqa_22943
Cause to effect progression is seen in all EXCEPT:
[ "Case control study", "Ecological study", "Cohort study", "Randomized control trial" ]
ANSWER: (A) Case control studyREF: Park 20th edition page 67 Repeat in December 2011Cause to effect (disease) = prospective study (cohort study)Effect (disease) to cause = retrospective study (case control study)RCT and ecological studies are also prospective studies
A
null
medmcqa
medmcqa_23346
Which s not seen in MEN I
[ "Parathyroid adenoma", "Pancreatic cancer", "Prolactinoma", "Medullary carcinoma thyroid" ]
Ans. is 'd' i.e., Medullary Ca o MEN (Multiple endocrine neoplasia) or MEA (Multiple endocrine adenomatosis) syndrome are characterized by familial occurances of multiple endocrine neoplasms,o 3 types of MEN Syndrome are recognized.MEN I (or Wermer's Syndrome) consists of -o Pituitary adenoma (or hyperplasia)o Parathyr...
D
null
medmcqa
medmcqa_36709
Ultrasound is not useful in:
[ "CBD stones at distal end", "Breast cyst", "Ascites", "Full bladder" ]
a) CBD stones at distal end of CBD .
A
null
medmcqa
medmcqa_34948
Drug resistance transmitting factor present in bacteria is:
[ "Plasmid", "Chromosome", "Intros", "Centromere" ]
Drug resistance: It refers to unresponsiveness of a microorganism to an AMA, and is akin to the phenomenon of tolerance seen in higher organisms. Resistance may be developed by mutation or gene transfer: Gene transfer (infectious resistance) from one organism to another can occur by: 1.Conjugation: Sexual contact throu...
A
null
medmcqa
medmcqa_26432
The process by which leukocytes are arranged along the endothelium is called:
[ "Margination", "Rolling", "Diapedesis", "Chemotaxis" ]
Ans: a (Margination) Ref: Robbins, 7th ed, p.The sequence of events of leukocyte journey from vessel lumen to interstitial tissue is divided into the following steps.a) Margination: leukocyte accumulation along endothelial surface.b) Rolling: Tumbling of leukocyte along the endothelium with transient adherence.c) Adhes...
A
null
medmcqa
medmcqa_18374
A diabetic patient developed cellulitis due to staphylococcus aureus, which was found to be Methicillin resistant on the antibiotic will be appropriate except:
[ "Vancomycin", "Imipenem", "Tecichoplanin", "Linezoiid" ]
Vancomycin, Teicoplanin and Linezolid are all active against most Methicillin-resistant Staphylococcus aureus (MRSA). Although some strains of MRSA are susceptible to Imipenem, most strains are not susceptible. Ref: British Society Guidelines for Antimicrobial Chemotherapy; Neonatal and Pediatric Pharmacology: Therapeu...
B
null
medmcqa
medmcqa_12873
Contraindications for breast feeding are all except
[ "Hepatitis - B infection of mother", "Tetracycline treatment of mother", "Acute bacterial mastitis", "All" ]
Ans. is a, b and c i.e. Hepatitis B infection of the mother; acute bacterial mastitis; and Tetracycline Breast feeding is not contraindicated in case of maternal hepatitis B infection as explained in previous question. Option '13' Lithium is contraindicated during pregnancy (see Answer 6) Option 'c' i.e. Acute bacteria...
D
null
medmcqa
medmcqa_50618
Anti tobacco day is: September 2009
[ "1May", "15-May", "25-May", "31-May" ]
Ans. D: 31st May World No Tobacco Day is observed around the world every year on May 31. It is meant to encourage a 24-hour period of abstinence from all forms of tobacco consumption across the globe.
D
null
medmcqa
medmcqa_40024
A 45-year-old woman is seen by her primary care physician complaining of intermittent colicky pain in the right upper quadrant (RUQ), staing sholy after eating a meal, and lasting about 30 min. During these episodes, she feels bloated and nauseated. The patient also states that over the past 2 days, her stools have bec...
[ "<img style=\"max-width: 100%\" src=\" />", "<img style=\"max-width: 100%\" src=\" />", "<img style=\"max-width: 100%\" src=\" />", "Inflammation of hepatic Glisson's capsule" ]
A- Gallstones in gallbladder B- Bile duct obstruction due to gall stones C- Premature activation and leakage of pancreatic enzymes This middle-aged woman has the typical symptoms of biliary colic, which is intermittent crampy abdominal pain in the epigastric region of the RUQ, sometimes radiating to the right shoulder....
B
null
medmcqa
medmcqa_31746
The Iron requirement in pregnant and non-pregnant women respectively:
[ "40-50mg; 20-25mg", "20-25mg; 15-20mg", "15-20mg; 40-50mg", "10-15mg; 15-20mg" ]
The total content of iron in an adult body is 3-5 g.  About 70% of this occurs in the erythrocytes of blood as a constituent of hemoglobin.  At least 5% of body iron is present in myoglobin of muscle.  Heme is the most predominant iron-containing substance.  lt is a constituent of several proteins/enzymes (hemoproteins...
A
null
medmcqa
medmcqa_1682
A 50 year old lady presented with history of pain upper abdomen, nausea, and decreased appetite for 5 days. She had undergone cholecystectomy 2 years back. Her bilirubin was 10 mg/d1, SGPT 900 1U/L SGOT 700 IU/L and serum alkaline phosphatase was 280 IU/L. What is the most likely diagnosis ?
[ "Acute pancreatitis", "Acute cholangitis", "Acute viral hepatitis", "Posterior penetration of peptic ulcer" ]
Answer is C (Acute viral Hepatitis) Prodromal symptoms of nausea and anorexia, presence of pain in upper abdomen together with characteristic laboratory features (elevated bilirubin, elevated SCOT and SGPT>500 with SGPT > SGOT, and elevated alkaline phosphates to < 3 times normal) suggest the diagnosis of viral hepatit...
C
null
medmcqa
medmcqa_37108
Cause of unilateral dysmenorrhea
[ "One horn of malformed uterus", "Endometriosis with unilateral distribution", "Small fibroid at the utero tubal junction", "All of the above" ]
Causes of unilateral dysmenorrhea : One horn of malformed uterus Endometriosis with unilateral distribution Small fibroid at the utero - tubal junction. Ovarian dysmenorrhea Right ovarian vein syndrome Colonic or caecal spasm. REF : gynecology book of shaw 17th
D
null
medmcqa
medmcqa_10005
Recurrent chalazion is predisposed to develop which of the following type of malignancy?
[ "Squamous cell carcinoma", "Basal cell carcinoma", "Adenocarcinoma", "Epidermoid Carcinoma" ]
Recurrent chalazion can predispose to the development of adenocarcinoma. Chalazion is a sterile, focal, chronic inflammation of the eyelid that results from obstruction of a meibomian or Zeis gland. It is commonly associated with rosacea and posterior blepharitis. They point towards the conjunctival surface and if its ...
C
null
medmcqa
medmcqa_8006
Botulism is a disease of -
[ "Neural transmission caused by the toxin of the bacterium Clostridium botulinum", "Muscular transmission caused by the toxin of the bacterium Clostridium botulinum", "Neuromuscular transmission caused by the toxin of the bacterium Clostridium botulinum", "Non neuromuscular transmission caused by the toxin of ...
Ans. is 'c' i.e., Neuromuscular transmission caused by the toxin of the bacterium Clostridium botulinumBotulinum Toxino CL botulinum produces a powerful exotoxin that is responsible for its pathogenicity.o The toxin differs from other exotoxins in that it is not released during the life of organism. It is produced intr...
C
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medmcqa
medmcqa_52600
Spongiosis is seen in :
[ "Acute eczema", "Lichen Planus", "Psoriasis", "Pemphigus" ]
A i.e. Acute eczema
A
null
medmcqa
medmcqa_5470
All are present in dense granules of platelets EXCEPT:
[ "ADP", "vWF", "Calcium", "Serotonin" ]
Vwf REF: Ganong 22"' ed chapter 27 Platelet has (a) Dense granules: contain the non-protein substances that are secreted in response to platelet activation, including serotonin, ADP, and other adenine nucleotides (b)Alpha granules: contain secreted proteins other than the hydrolases in lysosomes. These proteins include...
B
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medmcqa
medmcqa_43927
DNA replication and transcription occurs in which direction:
[ "5'- 3'", "5'- 5'", "3'- 5'", "3'- 3" ]
Function Direction Synthesis of DNA 5'- 3' DNA replication of both leading & lagging strand 5'- 3' Transcription 5' - 3' Template strand is read in 3' - 5'
A
null
medmcqa
medmcqa_27164
A 60 year old female is suffereing from renal failure and is on hemodialysis since last 8 years. She developed carpal tunnel syndrome. Which of the following will be associated?
[ "AL", "AA", "ATTR", "Beta 2 microglobulin" ]
Ans. is 'd' i.e., Beta2 microglobulino Patient on long-term hemodialysis for renal failure develop amyloidosis as a result of deposition of beta2 microglobulin.
D
null
medmcqa
medmcqa_19557
Which of the following is most likely to produce a junctional scotoma
[ "Meningioma", "Craniopharyngioma", "Pituitary gland enlargement", "All the above" ]
Junctional scotoma is due to lesion at junction of Optic nerve and chiasma. Which is m/c due to meningioma.
A
null
medmcqa
medmcqa_53780
The following liver specimen shows?
[ "Postnecrotic cirrhosis", "Dubin-Johnson syndrome", "Miliary tuberculosis (TB)", "Nutmeg liver" ]
Ref: Harsh Mohan, 7th ed. pg. 92* The specimen shows presence of mottled appearance of liver where dark congestion is noted. This is diagnostic of nutmeg liver.* Dubin-Johnson has a black liver texture and is therefore ruled out.* Postnecrotic cirrhosis has visible scarring on surface and is therefore ruled out* Miliar...
D
null
medmcqa
medmcqa_34809
A patient came with abduction limitation of right eye and horizontal diplopia. Which nerve can possibly be paralyzed
[ "2nd Nerve", "3rd Nerve", "4th Nerve", "6th Nerve" ]
Lateral rectus Palsy 1. Lesion of Abducens nerve 2. Abduction limitation due to paralysis of lateral rectus 3. Convergent squint and diplopia (horizontal) on long standing palsy. 4. Patient present with turn towards the side of affected muscle Associations Millard Gubler syndrome: Ipsilateral 6th nerve palsy with contr...
D
null
medmcqa
medmcqa_28353
The following is an X-linked mucopolysaccharidoses:
[ "Hurler's syndrome", "Hunter's syndrome", "Scheie's syndrome", "Sanfilippo's syndrome" ]
b. Hunter's syndrome(Ref: Nelson's 20/e p 737-743, Ghai 8/e p 661)All mucopolysaccharidoses are autosomal recessive except Hunter's disease which is inherited as X-linked recessive.
B
null
medmcqa
medmcqa_44170
Long-term tamoxifen therapy may cause:
[ "Endometrium Ca", "Ovary Ca", "Cervix Ca", "Vagina Ca" ]
Long-term tamoxifen therapy is a predisposing factor for endometrial hyperplasia and cancers. Malignancies caused by Long-term tamoxifen therapy: Carcinoma endometrium-it is the most common carcinoma associated with it. Uterine sarcoma. Rarely liver cancer with a long-term high dose. Non-malignant effects of tamoxife...
A
null
medmcqa
medmcqa_34926
A 67-year-old man has severe cirrhosis of the liver. He most likely has enlarged anastomoses between which of the following pairs of veins?
[ "Inferior phrenic and superior phrenic", "Left colic and middle colic", "Left gastric and esophageal", "Lumbar and renal" ]
Cirrhosis of the liver would lead to inability of the portal system to accommodate blood flow. Blood backs up toward systemic circulation, draining to the inferior vena cava, with pooling at areas of portal-caval anastomoses. The left gastric vein (portal) meets the esophageal vein (caval) and enlarges or expands in in...
C
null
medmcqa
medmcqa_53283
A 50 year old male had fever for 1 week, abdominal distention and loss of appetite. It is not responding to antibiotics and antimalarials. Widal test is negative but RK39 dipstick test was positive. Which drug can be used?
[ "Bedaquiline", "Linezolide", "Fluconazole", "Amphotericin B" ]
rk-39 dipstick test is used for diagnosis of Leishmaniasis. DOC of Kala-Azar/ Visceral leishmaniasis - Single dose of Liposomal-Amphotericin B Alternative- Sodium Stibogluconate Miltefosine (Oral)
D
null
medmcqa
medmcqa_6344
All of the following are true about herd immunity, EXCEPT:
[ "It can be achieved by immunizing a population with a vaccine that interrupts transmission", "The live virus in the vaccine can replicate in the immunized person and spread to other members of the population", "Herd immunity can be achieved only by vaccines.", "The vaccine must prevent transmission of the vir...
Herd immunity can be achieved by immunizing a population with a vaccine that interrupts transmission, such as the live, attenuated polio vaccine, but not with a vaccine that does not interrupt transmission, such as the killed polio vaccine (even though it protects the immunized individual against disease). In addition,...
C
null
medmcqa
medmcqa_21612
Ideal media to transport the avulsed tooth is:
[ "Socket.", "Milk", "Water.", "Saline." ]
IDEAL media to transport avulsed tooth is → in SOCKET  NATURAL media → MILK (low fat) is the best media for storage of avulsed tooth.
A
null
medmcqa
medmcqa_19180
A 24 years old primigravida wt = 57 kg, Hb 11,0 gm% visits an antenatal clinic during 2nd trimester of pregnancy seeking advice on dietary intake. She should be advised -
[ "Additional intake of 300 K.cal", "Additional intake of 500 K.cal", "Additional intake of 650 K.cal", "None" ]
Ans. is 'None' o Females have increased energy requirments during vulnerable periods such as lactation & pregnancy.
D
null
medmcqa
medmcqa_45695
False about alcoholic anonymous is:
[ "It is a self help group", "It follows 12 steps to quite alcohol", "It includes recovered patients and volunteers", "It provides incentives for quitting alcohol" ]
No incentives are given in alcoholic anonymous Alcoholic anonymous : One of the most popular forms of alcohol addiction management and recovery suppo is Alcoholics Anonymous(AA), a spiritual12-Step program. It is a peer recovery and self-help program.
D
null
medmcqa
medmcqa_47818
Non Hodgkin's lymphoma ------ diffuse,large cell type-------- belongs to -
[ "Low grade", "Intermediate grade", "High grade", "None of the above" ]
Ans. is 'b' i.e., Intermediate grade
B
null
medmcqa
medmcqa_21824
Which of the following is not true in relation to glycoproteins -
[ "The carbohydrate units of glycoprotein have several repeats", "Carbohydrate content is same but proteins are different", "Carbohydrate chain is often linear", "All of these" ]
Glycoproteins are proteins to which oligosaccharides are covalently attached. The oligosaccharide chains of glycoproteins lack a serial repeating unit; this is in contrast to the carbohydrate chains in proteoglycans that consists of repeating disaccharide units (amino sugar and acid sugar). The carbohydrate unit of ...
D
null
medmcqa
medmcqa_4299
Most common indication for liver transplant in children is -
[ "Viral hepatitis with fulminant hepatic failure", "Biliary atresia", "Metabolic disease", "Hepatic tumor" ]
Ans. is 'b' i.e., Biliary atresia Pediatric liver transplantationo Biliary atresia is commonest indication for liver transplantation in pediatric age group.o Other causes are : -Progressive primary liver diseaseStable liver disease with significant morbidityMetabolic liver diseaseFulminant hepatic failure
B
null
medmcqa
medmcqa_2653
Cholera patient having stool output 1000-1500 mL/day is known as:
[ "Cholera mitis", "Cholera dumdum", "Cholera magna", "Cholera gravis" ]
Ans. D. Cholera gravisExplanationVibrio choleraThey are curve (comma-shaped) gram negative, bacilli that are actively motile (single polar flagellum).Classification:Based on salt requirementHalophilic vibrios: They can't grow in the absence of salt. They can tolerate salt at 7-10%. examples are V. parahaemolyticus, V. ...
D
null
medmcqa
medmcqa_51314
Proteins seen in chromosomes are called
[ "Nucleotides", "Histones", "Apoproteins", "Glycoproteins" ]
Histones are the most abundant histone proteins.
B
null
medmcqa
medmcqa_33677
Would closure for clean wounds within 6 hours of injury without risk of contamination
[ "Primary closure", "Delayed primary closure", "Secondary closure", "Tertiary closure" ]
Primary Closure Also known as healing by primary intention Have a small, clean defect that minimizes the risk of infection Requires new blood vessels and keratinocytes to migrate only a small distance Surgical incisions, paper cuts and small cutaneous wounds usually heal by primary closure. Fastest type of closure by s...
A
null
medmcqa
medmcqa_8541
Sicca complex is used for:
[ "Primary Sjogren syndrome.", "Secondary Sjogren syndrome.", "Benign lymphoepithelial lesion.", "All of the above." ]
null
A
null
medmcqa
medmcqa_742
Which is not an 'Assisted Reproductive Technique' :-
[ "GIFT", "ZIFT", "IVF", "Intra-Uterine Insemination" ]
Assisted Reproductive Technology (A) comprises of a group of procedures done for treatment of infeility that have in common the handling of male and female gametes outside the body. All these procedures involve surgical removal of eggs known as egg retrieval. Assisted Reproductive Techniques A. GIFT - Gametes Intra Fal...
D
null
medmcqa
medmcqa_44058
After postmoem exam body has to be handed over to investigation :
[ "Investing police officer", "Relative of victim", "Magistrate", "The civil authorities" ]
A i.e. Investigating officer
A
null
medmcqa
medmcqa_10705
All of the following hormones have receptors on the plasma membrane of target tissue except
[ "Vasopressin", "Thyroxine", "Growth hormone", "NO" ]
The locations for the different types of hormone receptors are generally the following:1. In or on the surface of the cell membrane. The membrane receptors are specific mostly for the protein, peptide, and catecholamine hormones.2. In the cell cytoplasm. The primary receptors for the different steroid hormones are foun...
B
null
medmcqa
medmcqa_15630
Potency of inhalational anesthetic agent is measured by-
[ "Minimum alveolar concentration", "Diffusion coefficient", "Dead space concentration", "Alveolar blood concentration" ]
Ans. is 'a' i.e., Minimum alveolar concentration o Minimum alveolar concentration (MAC) & Oil: gas partition cofficient (lipid solubility) - Measure of Potencyo Blood : gas partition coefficient - measure blood solubility and speed of induction & recovery.Minimal alveolar concentration (MAC)o Most important measure of ...
A
null
medmcqa
medmcqa_49646
67-year-old woman, sona has a 3 month history of increasing right shoulder pain. She is now unable to lift her arm to brush her hair or to take vessels off a shelf in the kitchen. She denies any numbness or tingling or radiation of the pain down her arm. On physical examination, she exhibits weakness in abduction and e...
[ "Brachial plexus injury", "Glenohumeral osteoahritis", "Proximal humerus fracture", "Rotator cuff tear" ]
The above history describes a rotator cuff tear. Patients classically have difficulty doing overhead activities. On physical examination, she has weakness with abduction and external rotation of her shoulder. The supraspinatus is responsible for abduction and the infraspinatus is responsible for external rotation of th...
D
null
medmcqa
medmcqa_50506
Movement of protein from nucleus to cytoplasm can be seen by:
[ "FISH", "FRAP", "Confocal microscopy", "DNA microscopy" ]
Ans. B. FRAPFRA Pisa technique used to study Fluid mosaic model of cell membrane, movement of proteins etc.FRAP is fluorescence recovery after photobleachingThe techniqueFlourescent dyes emit coloured light when it is illuminated, but if a very high intensity light is used then the sedyes are unable to fluorescence. Ot...
B
null
medmcqa
medmcqa_15625
Which of the following is best type of inquest at the international level ?
[ "Coroner's inquest", "Police inquest", "Medical examiner's inquest", "Magistrates inquest" ]
Medical examiner's system type of inquest is the best type of inquest. In this system, the medical expert carries out the inquiry into the death. He visits the scene of the crime and examines the dead body. He then conducts a postmortem examination on the dead body. Thus, he is in a better situation to correlate the ...
C
null
medmcqa
medmcqa_26495
Kaloo, 40 year old adult man on medication for psychiatric illness for the last 2 weeks, suddenly develops marked rigidity, immobility, fever, fluetuating BP and hea rate. Most likely diagnosis ?
[ "Akathisia", "Parkinsonism", "Malignant neuroleptic syndrome", "Catatonic schizophrenia" ]
Ans. is 'c' i.e., Neuroleptic malignant syndrome
C
null
medmcqa
medmcqa_31827
Trauma and Injury Severity score (TRISS) includes
[ "GCS + BP+RR", "S+ISS+Age", "S+ISS+GCS", "S+GCS+BP" ]
TRISS methadology is impoant because it attempts to combine the Revised trauma score (S),physiologic component of injuryand the Injury severity score (ISS), anatomic component of injury. It also incorporates patient&;s age. Reference: Greenfield&;s Surgery - Scientific Principles & Practices, 5th edition, Page no :390-...
B
null
medmcqa
medmcqa_42228
Which of the following conditions cannot be detected by bone scintigraphy?
[ "Avascular necrosis", "Fractures", "Osteomyelitis", "None" ]
null
D
null
medmcqa
medmcqa_53021
Which one of the following is the most common location of hypeensive intracranial hemorrhage occurring in the brain?
[ "Pons", "Medulla oblongata", "Putamen/external capsule", "Cerebral coex" ]
Hypeensive intraparenchymal hemorrhage usually results from spontaneous rupture of a small penetrating aery deep in the brain. The most common sites are the basal ganglia (especially the putamen), thalamus, cerebellum, and pons. The two most common sites of hypeensive hemorrhage are the putamen and the thalamus, which ...
C
null
medmcqa
medmcqa_24422
A child has a 2-week history of spiking fevers, which have been as high as 40degC (104degF). She has spindle-shaped swelling of finger joints and complains of upper sternal pain. When she has fever, the parents note a faint salmon-colored rash that resolves with the resolution of the fever. She has had no conjunctiviti...
[ "Rheumatic fever", "Juvenile idiopathic arthritis", "Toxic synovitis", "Septic arthritis" ]
Juvenile idiopathic arthritis (JIA, formerly known as juvenile rheumatoid arthritis) frequently causes spindle-shaped swelling of finger joints and can involve unusual joints such as the sternoclavicular joint. Presentation of JIA occurs as either polyarthritis (five or more joints, systemic symptoms not so severe or p...
B
null
medmcqa
medmcqa_1494
Non-specific esterase is present in -
[ "Megakaryocytic leukaemia", "Lymphocytic leukaemia", "Erythroleukemia", "AML" ]
null
D
null
medmcqa
medmcqa_10557
Lucid interval is seen in ?
[ "Extradural hemorrhage", "Subdural hemorrhage", "Intracranial hemorrhage", "Ans. is 'a' i.e., Extradural hemorrhage" ]
Ans. is 'a' i.e., Extradural hemorrhage
A
null