Split (3)

train · 183k rows

id stringlengths 36 36	question stringlengths 1 1.57k	opa stringlengths 1 287	opb stringlengths 1 287	opc stringlengths 1 286	opd stringlengths 1 301	cop class label 4 classes	choice_type stringclasses 2 values	exp stringlengths 1 22.5k ⌀	subject_name stringclasses 21 values	topic_name stringlengths 3 135 ⌀
9c6da4e4-51be-4e9c-ba45-01d66e332148	Endogenous triglycerides are maximum in:	Chylomicrons	VLDL	LDL	HDL	1b	single	More the fat content less will be the density The density increases from: VLDL< LDL< HDL. Hence VLDL have maximum amount of triglycerides. ENDOGENOUS TRIGLYCERIDES MAX IN : VLDL EXOGENOUS TRIGLYCERIDES MAX IN :CHYLOMICRON	Physiology	Blood Physiology
24857a2b-7c16-4b8f-948f-3a9c05a11936	From the index finger infection goes to ?	Thenar space	Hypoihenar space	Mid palmar space	Space of parona	0a	single	Ans is A ie Thenar space	Surgery	null
e4ef786f-6186-4b8e-a2cf-67db24756141	Tasks that involve exposure blood, body fluids or tissues are classified by OSHA regulations under category:	I	II	III	IV	0a	single	null	Dental	null
925e5366-cb63-4df0-a365-7a368983ceb8	Which one of the following drugs cause hypo magnesemia by increased excretion?	Frusemide therapy	Cisplatin	Digitalis	Aminoglycosides	0a	single	Ans. is 'a' i.e., Frusemide therapy "Loop diuretics cause the abolition of transepithelial potential difference that results in marked increase in excretion of Ca2++ and mg2++".	Pharmacology	null
62b40302-cbac-484e-b8ee-08038a77fa36	Which of the following is not an established antimicrobial drug synergism at clinical level?	Amphotericin B and flucytosine in cryptococcal meningitis	Carbenicillin and gentamicin in pseudomonal infections	Penicillin and tetracycline in bacterial meningitis	Trimethoprim and sulfamethoxazole in coliform infections	2c	single	Combination of a bacteriostatic and a bactericidal drug in most cases is antagonistic. Bactericidal drugs act on fast multiplying organisms whereas bacteriostatic drugs inhibit the growth. Here, penicillins are bactericidal whereas tetracyclines are bacteriostatic.	Pharmacology	Cell Wall Synthesis Inhibitors
bdfcfc98-e05e-431a-a8cd-ac6880451fc8	In what period, following delivery, does the cardiac output return to the pre-pregnancy state?	4 hours	4 weeks	6 weeks	8 weeks	1b	single	Cardiac output returns to pre labour values by one hour following delivery and pre pregnancy level by 4 weeks. Cardiac output: It stas to increase from 5th week of pregnancy reaches a peak 40-50% at about 30-34 weeks. It increases fuher during labour (50%) and immediately following delivery (70%) over pre labour values...	Gynaecology & Obstetrics	null
ff8c6385-0f57-4d64-b868-6d861904c5d1	Alkaptonuria is due to deficiency of	Alkaptonase	Tyrosinase	Phenylalanine hydroxylase	Homogentisic acid oxidase	3d	single	(D) Homogentisic acid oxidase # Enzyme defect in Ochronosis (Alkaptonuria):> Defective enzyme in alkaptonuria is Homogentisate oxidase in tyrosine metabolism.> Homogentisate accumulates in tissues and blood, and is excreted into urine.> Homogentisate, on standing, gets oxidized to the corresponding quinones, which poly...	Biochemistry	Miscellaneous (Bio-Chemistry)
509d259f-d12d-48c8-a32a-a639df2cf626	A colles fracture is	Common in adolescence	A fracture about the ankle joint	Common in elderly women	A fracture of head of the radius	2c	single	C i.e. Common in elderly women Coll's fracture is fracture of lower end of radius at its coico cancellous junctionQ (- 2.5 cm / 1.5 inch above the distal aicular surface) mostly occuring in post menopausal osteoporotic elderly womenQ ; as a result of fall on outstretched hand. (with wrist in extension). It is most comm...	Surgery	null
2062c8f1-4306-4afd-9a5f-a7f44adb9a52	IFA tablets given during pregnancy contains.	60mg elemental iron and 500ug Folic acid	100mg elemental iron and 400ug Folic acid	60mg elemental iron and 400ug Folic acid	100mg elemental iron and 500ug Folic acid	3d	single	null	Social & Preventive Medicine	null
ab4d23c4-59fc-43b3-8692-6b49c9a7e0e5	In patients with breast cancer, chest wall involvement means involvement of any one of the following structure except	Serratus anterior	Pectoralis'Majar	Intercostal Muscles	Ribs	1b	multi	.Spread into the Deeper Plane * Into pectoralis major muscle (is confirmed by observing the restricted mobility of the swelling while contracting the PM muscle). * Into latissimus dorsi muscle (extending the shoulder against resistance). * Into serratus anterior (by pushing the wall with hands without flexing the elbow...	Surgery	Endocrinology and breast
27c8dc07-8e0f-4038-b843-34449f51a942	The function of g DNA Polymerase	DNA repair	Mitochondrial DNA synthesis	Processive, leading strand synthesis	Primase	1b	single	Ref: Harper&;s Biochemistry; 30th edition; Chapter 35; DNA Organization, Replication, & Repair	Biochemistry	Structure and function of protein
0808f1ee-1ede-4ddc-b8bd-0abf43ef9419	In normal conditions of temperature and atmosphere, the rate of cooling of dead body is:	1.0 F/hour	1.5 F/hour	2.0 F/hour	2.5 F/hour	1b	single	The dead body cools at an average rate of 1.5 degree F per hour in temperate climate and 0.75 degree F in a tropical climate. According to Simpson, the cooling of the body is the only reliable indicator of the lapse of time during the first 18 hours after death. Factors controlling the cooling rate are: Condition of th...	Forensic Medicine	null
772d7047-aaac-4497-b0d7-ff0d7afbe7fe	Moderate exercise tachypnea is due to stimulation of which of the following receptor?	Proprioceptors	J receptors	Lung receptors	Baroreceptors	0a	single	Afferent impulses from Proprioceptors and psychic stimuli are causes for hyperventilation during the beginning of an exercise Ref: Ganong 25th ed/page 658	Physiology	Nervous system
14a2c8a1-94bc-4208-8a2a-60010adf5f5b	First radiological sign of Crohn's disease in terminal ileum is:	Aphthoid ulceration	Pseudo sacculation	Cobblestone pattern	Thickening of bowel wall	0a	multi	Ans. Aphthoid ulceration	Radiology	null
62dfffab-c0f2-449f-bdbb-8facec19c6cc	Following pathogenetic mechanisms operate in septic shock except -	Increased peripheral vascular resistance	Veno constriction	Direct toxic endothelial injury	Activation of complement	0a	multi	Ans. is 'a' i.e., Increased peripheral vascular resistance	Pathology	null
3bdad55e-b3d5-446f-8932-5917386e6c1d	All are vitamin K dependent clotting factors of hepatic origin except	II	VII	VIII	X	2c	multi	Vitamin K has an impoant role in the blood clotting process. It brings about the posttranslational modification of ceain blood clotting factors clotting factor II (prothrombin), factor VII (SPCA) factor IX (Christmas factor) factor X (Stua prower factor) they are synthesized as inactive precursors (zymogens) in the liv...	Biochemistry	vitamins
9e7bd42e-29cb-4c40-b6dd-24ff821719ec	Liver biopsy is indicated for diagnosis/evaluation of all EXCEPT?	Autoimmune hepatitis	Storage disorders	Hemangioma	Hepatocellular carcinoma	2c	multi	Ans. (c) HemangiomaRef.: Bailey & Love 26th ed. /1083Hemangioma being a vascular tumor is diagnosed by imaging techniques and liver biopsy is contraindicated. Cavernous hemangiomas arise from the endothelial cells that line the blood vessels and consist of multiple, large vascular channels lined by a single layer of en...	Surgery	Miscellaneous (Liver)
8d5f22b9-bd7e-4044-8b4a-5e434b3053b7	Post exposure vaccine of rabies already immunised patient is ?	0-3	0-3-14	0-7-28	8-04-0-1-1	0a	single	- for post - exposure treatment of person who have been vaccinated for rabies previously is given rabies vaccine on days 0 and 3 intradermally or 1 dose delivered intramuscularly. Reference : Park's textbook of preventive and social medicine, 23rd edition, pg no:280 <\p>	Social & Preventive Medicine	Communicable diseases
1955f988-e6ad-4ce1-bbd7-42b84824adc1	In depression, there is a deficiency in	5-HT	Ach	Dopamine	GABA	0a	single	SEROTONIN is produced from TRYPTOPHAN it is a neuro transmitter that controls the well being of the individual it controls drive to day to day activities, controls sleep and appetite. TRPTOPHAN helps in production of MELATONIN MELATONIN controls SLEEP A decreased level of brain 5-hydroxytryptamine (5-HT) has been theor...	Psychiatry	All India exam
320d9a3d-97f8-44cb-9c90-2aa6f7dc6040	Treatment of choice of flail chest is	Ext. fixation of flail segment & mech ventilation	Strapping	O2 administration	Intrapleural local analgesia	0a	single	.It is fracture of two or more consecutive ribs, with each rib having two or more fracture sites. Such segment is called as flail segment. Treatment Intercostal tube drainage. Applying clips to fracture ribs and fi xing above and below to normal ribs. Antibiotics like penicillins, cefotaxime. Blood transfusion,...	Surgery	Trauma
41667526-e6a8-48b9-9e87-76def11efb02	All of the following are true regarding fluid resuscitation in burn patients except	Consider intravenous resuscitation in children with burns greater then 15% TBSA	Oral fluids must contain salts	Most preferred fluid is Ringer,s lactate	Half of the calculated volume of fluid should be given in first 8 hours.	0a	multi	null	Surgery	null
abb0f2a4-a9c8-4bf5-a5d0-96ddb3922f0f	Latent phase of HIV -	Viral Replication	Sequestred in lymphoid tissue	Infective	All	3d	multi	Ans. is 'a' i.e., Viral replication, 'b' sequestred in lymphoid tissue, 'c' i.e., Infective Latent phase of HIV . After acute HIV syndrome, most of the patient's develop a clinically asymptomatic stage . Active virus replication is on going and progressive during the asymptomatic period . Lymphoid tissues are the major...	Microbiology	null
dc74d128-2460-4dc2-b763-a4ec3a4e455f	Testing of HLA-B' 5701 is recommended prior to initiation of this antiretroviral agent:-	Atazanavir	Nelfinavir	Raltegravir	Abacavir	3d	single	Testing of HLA-B' 5701 is recommended prior to initiation of abacavir. Abacavir if given in a patient who has HLA-B' 5701 causes high risk of MI.	Pharmacology	Anti-HIV Drugs
2333e1c3-23d8-45ba-9cad-a08e9f34cd62	A lady died due to unnatural death within seven years after her marriage. The inquest in this case will be done by	Forensic medicine expe	Deputy Superintendent of Police	Sub-divisional Magistrate	Coroner	2c	single	C i.e. Sub divisional magistrate	Forensic Medicine	null
2221ea82-9cbd-49a6-89cf-f1a326d35a1d	The first stated and the largest principle of the Nuremberg Code is	Autonomy	Informed consent	Justice	Confidential	1b	single	null	Dental	null
613a244e-d9f3-4f25-9ef3-d4d18e00d885	Bronchopulmonary segments in right and left lungs respectively -	9,11	11,9	10,9	8,10	2c	single	Ans. is 'c' i.e., 10, 9 Right lung Upper lobe Middle lobe Lower lobe 1. Apical 2. Posterior 3. Anterior 4. Lateral 5. Medial 6. Superior 7. Anterior basal 8. Medial basal 9. Lateral basal 10. Posterior basal Left lung Upper lobe Lower lobe 1. Apical 2. Posterior 3. Anterior } Upper division 6. Superior 7. Anterior basa...	Unknown	null
4e47debe-8050-42e4-820c-a794a2055160	Necrotizing granulomatous inguinal lymphadenopathy is caused by -	Syphilis	Granuloma inguinale	Sarcoidosis	All	0a	multi	Ans. is 'a' i.e., Syphilis	Microbiology	null
22eb540a-c4e8-4cc0-9c61-7d139d6fe6e3	Meningomyelocele patient after being operated developed hydrocephalus due to -	Arnold chiari malformation	Injury to absorptive surface	Central canal injury	Arachnoidal block	0a	single	Meningoceles (or meningomyeloceles) are commonly associated with Arnold Chiari malformation which cause hydrocephalus. Ref : CSDT 13/e p852	Surgery	Head and neck
453c7308-da02-436e-879b-a35a773a60cf	Wernicke's hemianopic pupillary response is seen in lesion of-	Optic tract	Optic chiasm	Optic radiation	Lateral genicular body	0a	single	. *Wernicke's hemianopic pupil indicates lesions of optic tract . In this condition light reflex is absent when light is thrown on temporal half of retina of affected side and nasal half of opposite side. Ref Harrison20th edition pg 2456	Medicine	C.N.S
2d48c323-7cc4-4f3d-9be7-3e036e9a64e1	In which of the following condition, positive Rinne test is seen?	Presbycusis	CSOM	Otosclerosis	Wax impacted ear	0a	single	PRESBYCUSIS Sensorineural hearing loss associated with physiological aging process in the ear is called presbycusis. It usually manifests at the age of 65 years but may do so early if there is hereditary predisposition, chronic noise exposure or generalized vascular disease. Four pathological types of presbycusis have ...	ENT	All India exam
bc07c53d-51ad-47f5-91af-b09d4f56099e	Which of the following inhalational agents is the induction agent of choice in children:	Methoxyflurane	Sevoflurane	Desflurane	Isoflurane	1b	single	null	Pharmacology	null
bcb1495a-1c10-4078-b5f7-ebb128e27d3a	Mechanism of action of Aspirin	Inhibit PGI2 formation	Inhibit TXA2 formation	Stimulate TXA2 formation	Stimulate platelet aggregation	1b	single	Ans. (b) Inhibit TXA2 formationRef KDT 6th ed. / 609; Katzung 9th ed. / 446Thromboxane helps in platelet aggregation.* TXA2 formation is suppressed at very low doses of aspirin.* Aspirin blocks thromboxane formation by inhibiting COX activity by enzyme COX1 and TX- synthase irreversibly.	Pharmacology	Antiplatelets and Fibrinolytics
0e379d9f-7b96-4c13-a5ed-584a5b7d3ac1	Fibroadenoma is commonly seen in which age group:	Young females	Old females	Reproductive age group	Neonates	0a	single	Ans. is 'a' i.e.Young females o Fibroadenosis, Fibrocystic disease, chronic mastitis & mastopathy are old nomenclature used to describe the spectrum of benign breast disease. The new name coined to avoid all the confusing names is ANDI i.e. Aberration of normal development and involution.o The basic principles behind A...	Surgery	Fibroadenoma
dcaa3904-056a-4792-9e03-23e5e42d83e3	Rarest variety of multiple myeloma:	IgM	IgD	IgE	IgG	2c	single	Ans: c (IgE) Ref: Harrison's, 16th ed, p. 657; 17th, ed, p. 703Multiple myeloma represents a malignant proliferation of plasma cells derived from a single clone. The serum M component is IgG in 53% of patients, IgA in 25% and IgD in 1 %. IgE is very rare. The most common translocation is t( 11:14).Myeloma is more commo...	Medicine	Immunology and Rheumatology
538e59ad-e782-482e-8f33-6a8dbec73f2a	Game Keeper's thumb is	Ulnar collateral ligament injury of MCP Joint	Radial collateral ligament injury of MCP joint	Radial collateral ligament injury of CMC joint	Ulnar collateral ligament injury of CMC joint	0a	single	A i.e. Ulnar collateral ligament injury of MCP Joint	Surgery	null
69fd217c-951a-417f-bf26-b3d31320d621	Goose skin also called cutis anserina is seen in	Drowning	Lightening	Electrocution	Throttling	0a	multi	Goose skin is seen in drowning. (usually cold water). It is due to contraction of erector pili muscles, attached to hair follicle.	Forensic Medicine	null
6ce0a52a-3d5b-4f09-9712-f6066b8cfc61	Lesser sac of stomach is bounded by:	Posterior wall of stomach	Visceral surface of spleen	Under surface of liver	All	0a	multi	A. i.e. Posterior wall of stomach - Lesser sac/ Omental bursa is bounded anteriorly by stomach, caudate lobe of liver, lesser omentum & greater omentum (ant. 2 layers); and posteriorly by structures forming stomach bed (i.e. diaphragm, pancreas, spleen etc) & greater omentum (posterior 2 layers) Lesser sac or omental b...	Anatomy	null
f747f49f-3b62-421d-ac2b-482c0e111f5c	The color code of plastic bag for disposing microbial laboratory culture waste-	Black	Red	Blue	Yellow	1b	single	Ans. is `b' i.e., Red Microbial laboratory culture wastes are category No. 3. o Category 3 wastes have color code Fellow or red. o See above explanation.	Social & Preventive Medicine	null
8aa81bcd-6a68-4968-9f6f-d87030a90024	True about Conn's syndrome	TK+	Proximal myopathy	Ted plasma rennin activity	Edema	1b	multi	Answer is B (Proximal myopathy): Conn syndrome is associated with hypokalenzia and muscle weakness (proximal myopathy) Patients with Conn's syndrome characteristically do not have edema, and Plasma rennin activity is typically low (decreased).	Medicine	null
db2bad34-e67f-40c6-8225-6dac65e7641c	A 70-year-old female presented to the OPD with deforming ahritis of hands which is B/L symmetrical. Various deformities were observed. A lymph nodal mass is also observed in the cervical region. Which of the following markers would be most likely positive if the biopsy of the lymph node is done: -	BCL-2	BCL-1	BCL-6	BCL-3	2c	single	This is a case of rheumatoid ahritis. 1st image shows the boutonniere's deformity. 2nd image shows the Z-deformity of the thumb. 3rd image shows the trigger finger. Most common lymphoma associated with RA is DLBCL. Most common marker of DLBCL is BCL-6 > BCL-2	Unknown	Integrated QBank
19c6db14-863c-464b-9686-cd9f667f1efc	All occurs in botulism except -	Diplopia	Diarrhoea	Dysphagia	Dysarthria	1b	multi	null	Microbiology	null
6d3bcbe1-ad50-423f-b18c-84d1f202db8a	In Erb's palsy, the limb is in which position:	Extended, laterally rotated, pronated	Extended, laterally rotated, supinated	Extended, medially rotated, pronated	Extended, medially rotated, supinated	2c	multi	Ans. C. Extended, medially rotated, pronatedErb's paralysis is caused by the excessive increase in the angle between the head and shoulder, which may occur by fall from the back of horse and landing on shoulder or traction of the arm during birth of a child.This involves upper trunk (C5 and C6 roots) and leads to a typ...	Anatomy	Upper Extremity
4ecbc774-ba99-4ca2-9f49-5bbda4db978a	All are congenital myopathies except	Central core myopathy	Nemaline myopathy	Z band myopathy	Centronuclear myopathy	2c	multi	3 forms of congenital myopathies that may present in adulthood are central core disease, nema line myopathy and centronuclear myopathy. Ref Harrison20th edition pg 2345	Medicine	C.N.S
7c1e8327-8e45-41d8-8245-d7d315cc2cb9	The breast becomes fully differentiated during pregnancy and lactation. All the following statements are true regarding the pregnant and lactating breast, EXCEPT:	The terminal lobular units are most affected during pregnancy	Cuboidal luminal epithelial cells show vacuolization	Fat droplets occur in the cytoplasm of the epithelium	There is an increase in the interlobular connective tissue	3d	multi	The breast becomes fully differentiated during pregnancy and lactation. The terminal lobular units are most affected during this physiologic state. Several histologic changes occur in the terminal ducts and lobules with enlargement and formation of new lobular units early in pregnancy. By the end of the second trimeste...	Gynaecology & Obstetrics	null
c93fc1ae-163f-4dcd-b0c3-acd2d768db85	Doppler effect results from change in -	Amplitude of sound	Frequency of sound	Direction of sound	None of the above	1b	multi	Doppler effect is due to shift in sound frequency as the sound as reflected from the moving Red blood cells. If the motion of RBC is towards the transducer, the returning sound wave has higher frequency than transmitted wave. If the motion of RBC is away the transducer, the returning sound wave has lower frequency than...	Radiology	Fundamentals in Radiology
ad9753c7-59ba-4dba-8a41-3db22091b7f0	Most common site of extra - pulmonary TB in children is ?	Abdominal	Genitourinary	Lymphnode	Congenital	2c	single	Ans. is 'c' i.e., Lymphnode Most common site of extra pulmonary TB is lymphnode Most children who develop tuberculosis disease experience pulmonary manifestations 25 to 35 percent of children have an extrapulmonary presentation. The most common extrapulmonary form of tuberculosis is lymphatic disease accounting for abo...	Pediatrics	null
a974a74f-0d17-48e1-a531-2ebf38fe6f8f	Which thalamic nucleus projects to the striatum?	Centromedian nucleus	Mediodorsal nucleus	Ventral anterior nucleus	Ventral lateral nucleus	0a	single	The striatum (caudate nucleus & putamen) receives thalamic input from centromedian nucleus. centromedian nucleus- largest of the intralaminar nuclei.	Anatomy	Brainstem, cerebellum and ventricles
d7492de5-a53b-4074-8127-211d021c7436	Early cord clamping is done is all except :	Rh isoimrnunization	Fetal asphyxia	Postmaturity	Prematurity	2c	multi	Postmaturity	Gynaecology & Obstetrics	null
4da21f1e-64fa-4bec-8467-6d4648ce0867	Lipid is required in the average diet because it	has a high caloric value	provides essential fatty acids	aids in absorption of carbohydrates	is necessary for storage of carbohydrates	1b	single	null	Biochemistry	null
bded7fa3-2db5-4605-8711-dac35c000714	You are the MO in charge in a PHC and there has been a plague epidemic in your area. Which of the following measure is the LEAST appropriate for controlling epidemic?	Rapid treatment of cases with streptomycin	Vaccination of all susceptible individuals	Isolation of contacts	Early diagnosis and notification	1b	multi	After vaccination it takes about 5-7 days for the immunity to develop. So it should be carried out at least a week before the expected outbreak. This vaccination is only used for prevention and not control of outbreak. Also know: Tetracycline is the drug of choice for chemoprophylaxis against plague. Ref: Park, Edition...	Social & Preventive Medicine	null
4b511c5f-b932-4747-805e-27de5a563979	In Fetal Life RBC are produced in all except	Liver	Lymph node	Spleen	Bone marrow	1b	multi	In fetal life, RBC is produced in 3 phases according to growth of foetusMesoblastic stage: In yolk sacHepatic stage: In Liver and spleenMyeloid phase: In bone marrowRef: Medical Physiology Indu Khurana 2015 edition page No:104	Physiology	Cardiovascular system
8ee972d7-51bf-4587-a6da-2e0be2eebe0f	A 42 year old man in Mumbai is being treated for Atrial Fibbrillation (AF). You suspect thromboembolism on fuher investigatins. Thromboembolism of axillary aery can affect all of the following vessels, EXCEPT:	Post circumflex humeral	Suprascapular aery	Subscapular aery	Superior thoracic aery	1b	multi	Suprascapular aery is a branch of thyrocervical trunk of the subclan aery, not axillary aery. The axillary aery has several smaller branches. First pa (1 branch) Superior thoracic aery Second pa (2 branches) Thoraco-acromial aery Lateral thoracic aery Third pa (3 branches) Subscapular aery Anterior humeral circumflex a...	Anatomy	null
53edd076-17b8-472b-a829-593da1ba9c8b	Mad Cow disease (Bovine Spongioform Encephalopathy) is similar in man to -	Alzheimer's Disease	Creutzfeldt Jacod Disease	Huntingtons Chorea	Picks Disease	1b	single	CJD is a subacute preaenile encephalopathy with progressive incordination and dementia ending fatally in about a year.It is a prion disease. prion disease in animals include scrapie,mink encephalopathy,BSE madcow disease.These are caused by slow virus group B. REF:ANANTHANARAYAN AND PANIKER'S TEXTBOOK OF MICROBIOLOGY 9...	Microbiology	Virology
37ab693c-1ef5-4533-a7cd-035636f4a5b2	Vitamin A deficiency is considered a public health problem if prevalence rate of night blindness in children between 6 months to 6 years is more than –	0.01%	0.05%	0.10%	1.00%	3d	single	Prevalence criteria for determining the Xerophthalmia problem in a community	Social & Preventive Medicine	null
e9526637-79b0-4eab-a3a4-e7e66f3f8158	A young man weighing 65 kg was admitted to the hospital with severe burns in a severe catabolic state. An individual in this state requires 40 kcal per kg body weight per day, 1 gm of protein/kg body weight/day. This young man was given a solution containing 20% glucose and 4.25% protein. If 3000 ml of solution in infu...	The patient would not be getting sufficient protein	The calories supplied would be inadequate	Both protein and calories would be adequate	Too much protein is being infused	2c	multi	Calories are calculated by catabolism of glucose (not proteins). Glucose: Amount of glucose in 20% glucose in 3000 ml of solution: 3000 x 20/100 = 600 gms 1 gm glucose on catabolism produces: 4.2 kcal 600 gms of glucose would produce: 600 x 4.2 = 2520 kcal Protein: Percentage of protein in fluid: 4.25% Percentage of...	Surgery	null
51e6713b-912e-482c-9a6d-e067741e4eb9	Which of the following is used to take cervical smear:	Pipelle spatula	Sims spatula	Ayre's spatula	Colposcope	2c	single	Ayre's spatula Used to take cervical smear(Pap smear) It is a wooden spatula with U shaped openings on one side and a flat surface on another. Takes sample from squamocolumnar junction.	Gynaecology & Obstetrics	Cervical Carcinoma
cffcc32d-42e2-4fb0-852b-cdca81886964	Antidiabetic used safely in renal failure	Metformin	Glimeperide	Glibenclamide	Rosiglitazone	3d	single	Ans. is 'd' i.e., Rosigtitazone	Pharmacology	null
b3d9f89d-7924-427f-b875-3e1c7fb0e5ac	Usual site of TB bursitis -	Prepatellar	Subacromial	Subdeltoid	Trochanteric	3d	single	TB is is still a common infection in developing countries. After lung and lymph nodes bone and joint is the next common site of TB in the body. The commonest bursa involved in TB is trochanteric bursa resulting in trochanteric bursitis. REF:Essential ohopaedics- Maheshwari- 5th edn - pg no 182.	Orthopaedics	Bony dysplasia and soft tissue affection
eb9d548f-8a1a-4fb5-bb9f-1a6bf545a95e	Which of the following statements about lepromin test is not true -	It is negative in most children in first 6 months of life	It is diagnostic test	It is an impoant aid to classify type of leprosy disease	BCG vaccination may conve lepra reaction from negative to positive	1b	multi	LEPROMIN TEST The test is performed by injecting intradermally 0.1 ml of lepromin into the inner aspect of the forearm of the individual. As a routine, the reaction is read at 48 hours and 21 days. Two types of positive reactions have been described: (a) EARLY REACTION : The early reaction is also known as Fernandez re...	Social & Preventive Medicine	Communicable diseases
9830e794-73a8-4129-8e06-38034a902855	An 8-year old child was brought to you for a high grade fever of 3 days duration with vomiting headache and decreased responsiveness. Examination revealed a distressed child , in shock with maculopapular and ecchymotic rashes on the skin with bleeding from venepuncture sites and hepatomegly. Investigation showed PCV =6...	Meningococcemia with DIC	Dengue heamorrhagic fever	Leptosporisis	Complicated malaria	1b	single	Generalized body aches, high grade fever followed by clinical deterioration and bleeding diathesis with raised hematocrit (65%) and low platelet and leucopenia strongly suggest dengue haemorrhagic fever, although meningococcemia is always a close diagnosis and many times requires serological confirmation. Complicated m...	Surgery	null
f31a85eb-1839-4c41-af04-3b1bb83c9b82	False about trans fatty acid	Increase risk of cardiovascular disease	Fried foods have high content of TFA	Hydrogenation increases TFA	Hydrogenation decreases TFA	3d	multi	Trans fatty acids (TFA) are atherogenic. They lower HDL level and elevate LDL level. TFA is present in dairy products and hydrogenated edible oils. It is widely used in the food industry since it increases the shelf life of fried food. Cooking media containing PUFA and fast food preparations have a high content of tran...	Biochemistry	Metabolism of lipid
250ed57f-7f66-41fe-88f4-30d0764ab611	The most accurate imaging for the diagnosis of pulmonary embolism is -	CT SCAN of chest	MRI of chest	X - ray chest	CT pulmonary angiography	3d	single	Ans. is 'd' i.e., CT pulmonary angiography o Invasive pulmonary angiography is the most accurate method for diagnosis of PE, it is an invasive procedure. # Investigation of choice for PE - Chest CT with contrast (especially MDCTA) # Investigation of 2nd choice - Lung scan (V/Q scan) # Best investigation for PE - Chest ...	Radiology	Respiratory System
325cea6e-fa62-48a6-a64a-7a36a9987906	Arborescent marks' or 'filigree burns' are seen in	Radiation	Electrical burns	Chemical burns	Lightening	3d	single	Ans. d (Lightening) (Ref. Forensic Medicine Reddy, 17th/ Page 261; Forensic Medicine 1st /Apurva Nandy, 286)# Filigree burns are seen in lightening# Crocodile Flash Burns and "arc eye" are seen in Electrical Injuries# Joule Burn is seen in Electrical Injuries# Spark Burns are seen in Electrical InjuriesLIGHTENING# Mode...	Forensic Medicine	Injuries
43769ae4-5859-4e02-b398-aa78af02e333	In thromboasthenia there is a defect in –	Platelet aggregation	Platelet adhesion	Decreased ADP release	Desordered platelet secretion	0a	single	Platelet adhesion Platelet adhesion referes to the binding of platelets to subendothelial matrix. Platelet membrane glycoprotein Ib-IX is essential for platelet adhesion to subendothelial matrix. Platelet aggregation Platelet aggregation referres to adherence of platelets to one another. Platelet membrane glycoprot...	Pediatrics	null
0963ad31-2cad-4b7f-9b7c-9cc7a2aa50c2	When the mouth is opened wide, modiolus becomes	Mobile	Supple	Immobile	None of the above	2c	multi	null	Anatomy	null
47fcc196-6094-4a7a-9da0-714604945a2d	O2 which is about 21% of inspired air exerts a partial pressure of	160 mmHg	240mmHg	580mmHg	760mmHg	0a	single	In inspired air, partial pressure of O2- 158mmHg	Physiology	null
7116c23a-b084-43c6-bd37-5f0d347d458f	Safe yield of water source -	Adequate supply for 95% of the year	Adequate supply for 60% of the year	Adequate supply for 80% of the year	None	0a	multi	The safe yield is generally defined as the yield that is adequate for 95% of the year. The safe yield of the source must be sufficient to serve the population expected at the end of the design period which may be to 10 to 50 years in future. (PARK TB of social and preventive medicine pg 766 25th edition)	Social & Preventive Medicine	Environment and health
54c576d7-cd4c-49c8-b29b-f46b9f35e68a	Risk factors for coronary aery disease (CAD) -	High HDL	LowLDL	Increased homocysteine levels	Decreased fibrinogen levels	2c	single	Ref: R Alagappan - Manual of Practical Medicine 4th Edition.pg no:182 Risk Factors Category I (For which interventions have been proved to lower CVD risks) 1. Raised LDL cholesterol 2. Reduced HDL cholesterol 3. Atherogenic diet 4. Cigarette smoking 5. Hypeension 6. LVH 7. Thrombogenic factors Category II (For which in...	Medicine	C.V.S
4333f94c-3c8e-45c1-a418-565ddb70a59c	Most crucial part of tuberculosis control programme is –	Contact tracing	BCG vaccination	Treatment of sputum positive cases	Treatment of X–ray positive cases	2c	single	The most powerful weapon in tuberculosis control is → case finding and t/t. Cases are defined by WHO as a patient whose sputum is positive for tubercle bacilli.	Social & Preventive Medicine	null
c263efe1-a3cc-4d2e-99ac-9bfd2f3f4510	Corynebacterium diphtheriae can be grown within 6-8 hour on -	Potassium tellurite media with iron	MacConkey's agar	Dorset egg medium	Loeffler's serum slope	3d	single	null	Microbiology	null
5fb4f479-0262-40c7-b225-81e37976f738	Which of the following is present intracellularly in muscle cells -	Insulin	Coicosteroid	Epinephrine	Glucagon	1b	single	Ans. is `b' i.e., Coicosteroids o Insulin, epinephrine and glucagon act on membrane receptors. o Coicosteroids act on intracellular (cytoplasmic receptors).	Pharmacology	null
dd0157b2-47cf-40f9-9892-bddacf5a3cb1	In the Forrest classiflcation for bleeding peptic ulcer with a visible vessel or pigmented protuberance is classified as -	FI	FIIa	FIIb	FIIc	0a	single	Clinical features of Peptic ulcers Peptic ulcer disease is a chronic condition with spontaneous relapses and remissions lasting for decades, if not for life. The most common presentation is with recurrent abdominal pain that has three notable characteristics: localisation to the epigastrium, relationship to food and ep...	Medicine	G.I.T
4047e5cc-11b8-4cc4-9880-ca53e29a51ff	The predominant colonic bacteria are -	Largely aerobic	Largely anaerobic	E. coli	Staphylococci	1b	single	Ans. is 'b' i.e., Largely anaerobic " The greatest number of bacteria found in colon are bacteriods, a group of gram- negative, anaerobic, non-spore forming bacteria. "-------Todar s 68o Anaerobic bacterias exist as components of the normal flora on the mucosal surfaces of humans and animals,o The major reservoirs of t...	Microbiology	Nonsporing Anaerobes
c6626fd2-3714-4fd2-9f57-56d8b156a742	A PTT is required for monitoring of ?	Streptokinase	Warfarin	Heparin	Tranexamic acid	2c	single	Ans. is'c'i.e., Heparin(Ref KDT &/e p. 598, 599; Katzung llnle p. 592)	Pharmacology	null
c1bd0b7c-5e1a-4750-8325-868736f028ec	Cresentic glomerular deposits are seen in -	Wegener's granulomatosis	Polyarteritis nodosa	Thromboangiitis obliterans	All of the above	0a	multi	null	Pathology	null
86793249-d813-4a1e-b902-3f773bf363a8	Irreversible pulpitis leads to:	Coagulative necrosis.	Liquefaction necrosis.	Caseous necrosis.	All of the above.	1b	multi	Pulpal Necrosis As stated before, pulp is encased in rigid walls, it has no collateral blood circulation, and its venules and lymphatics collapse under increased tissue pressure. Therefore irreversible pulpitis leads to liquefaction necrosis	Dental	null
eadc6bb1-cde3-4d1a-881c-f6ad3fabff72	Michaelis Gutmann bodies are seen in	Brucellosis	Melioidosis	Tularemia	Malakoplakia	3d	single	Michaelis guttman bodies (malacoplakia) # Chronic granulomatous infection as a result of the inability of macrophages to kill phagocytosed E. coli. # Most commonly affects immunosuppressed(BMT> HIV/AIDS) # Most commonly affects GU tract; may affect skin of perianal/genital region (ulcerated abscesses and soft polypoid ...	Dental	Bacterial infections
8a16a0f2-307a-402b-9eee-cca38278086d	The classic opportunistic infection in acquired immune deficiency syndrome is:	Apthous stomatitis	Tuberculosis	Pneumocystis carinii pneumonia	Herpetic gingivostomatitis	2c	single	null	Microbiology	null
ddb4ad48-7c72-4260-9004-7e25d4b7b644	A female undergone surgery for left breast cancer 3 yrs back now developed blue nodule on same side -	Lymphangiosarcoma	Recurrence	Hemangioma	Cellulitis	0a	single	Ans. is 'a' i.e.. Lymphangiosarcoma o Angiosarcoma is a vascular tumor which may arise de novo in the breast or as a complication of the radiation therapy."This vascular tumor may occur de novo in the breast, but the clinically important presentation is in the dermis after breast radiation or in the lymphedematous uppe...	Surgery	Breast Cancer - Prognosis and Follow-Up
2f67e365-82f7-43fc-9f39-794048f1fd3a	ICD 10	Revised every 5 years	Consists of 10 chaptors	Arranged in 3 volumes	Produced by UNICEF	2c	single	ICD-10 is the 10th revision of the International Statistical Classification of Diseases and Related Health Problems (ICD) Medical classification list by the World Health Organization (WHO); Revised every 10years Consists of 21chapters The ICD-10 consists of: Tabular lists containing cause-of-death titles and codes (Vol...	Social & Preventive Medicine	Concept of health and disease
da49bbfe-593e-4e75-a045-3f161fbc28e6	Nail involvement is not a feature of :	Psoriasis	Drug induced lupus erythematous	Dermatophytosis/Tenia	Lichen Planus	1b	single	B i.e. DLE	Skin	null
4586b374-15e7-4bde-8619-cb4b4db547d6	The oropharyngeal and oesophageal candidiasis following long-term therapy with a broad spectrum antibiotic can be best treated with:	Griseofulvin	Amphotericin	Fluconazole	Sulfonates	2c	single	null	Pharmacology	null
6a02fa10-5ffa-4225-8c7e-f42f3418aeeb	The acid fast staining characteristic of Mycobacteria appears to be due to which of the following cell wall constituent	Mycolic acid	Lipopolysaccharide	Lipid A	N-acetyle muramic acid	0a	multi	(A) Mycolic acid # Acid fastness is attributed to the organisms' high content of mycolic acids, long chain cross-linked fatty acids and other cell wall lipids.	Microbiology	Misc.
8f8318b1-f44f-488a-af3b-05fe570988ae	Not a common cause of meningitis in a child of age 8 years is:	S. pneumococci	H. influenza	S. aureus	Meningococci	2c	single	S. aureus REF: Nelson 17th edition page 863, "Meningitis due to S. aureus is not common; it is associated with cranial trauma and neurosurgical procedures ( e.g. craniotomy, cerebrospinal fluid shunt placement) and less frequently with endocarditis, parameningeal foci (e.g., epidural or brain abscess), diabetes mellitu...	Pediatrics	null
1dba5623-0038-4bfb-9b4d-e4328800c742	Primary intentional healing which is true ?	Neovascularization is maximum by day 5	Neovascularization is maximum by day 3	Neutrophils appear at wound margins on day 3	The epidermis recovers its maximum thickness by day 7	0a	multi	Ans. is 'a' i.e., Neovascularization is maximum by day 5Skin wound healingSkin wounds are classically described to heal by primary or secondary intention.A. Healing by primary intention It occurs in wounds with opposed edges, e.g., surgical incision.The healing process follows a series of sequantial steps : ?Immediate ...	Pathology	null
b11ba634-8dfe-4168-ac3b-750e77bc539b	The late features of kernicterus include all except –	Hypotonia	Sensorineural hearing loss	Choreoathetosis	Upward gaze palsy	0a	multi	null	Pediatrics	null
7a623a06-ad91-4b21-a823-2f5a54cc476f	What is the most characteristic of congenital hypertrophic pyloric stenosis?	Affects the first born female child	The pyloric tumor is best felt during feeding	The patient is commonly marasmic	Loss of appetite occurs early	1b	single	Ans. (b) The pyloric tumour is best felt during feedingRef: Sabiston 20th Edition, Page 1869* Baby is not marasmic. It feeds vigorously in between the episodes of vomiting	Surgery	Stomach & Duodenum
e262c609-f143-4bf2-a573-65c62a85bdc1	Which of the following drug binds only with the anionic site of cholinesterase ?	Physostigmine	Neostigmine	Edrophonium	Pyridostigmine	2c	single	Physostigmine, neostigmine and pyridostigmine are carbamates by chemical nature, they bind to both esteritic as well as anionic site whereas edrophonium is an alcohol and binds to anionic site only.	Pharmacology	null
0fa43662-7890-4460-a368-bb774fd35529	A child was treated for H. Influenza meningitis for 6 month. Most impoant investigation to be done before discharging the patient is:	MRI	Brainstem evoked auditory response	Growth screening test	Psychotherapy	1b	single	H. Influenza Type Meninigtis It is frequent in children between the ages of 3 and 12 months. Residual auditory deficit is a common complication. - Ghai 6th/ed Since, residual auditory deficit is a common complication of H. influenza meningitis, audiological test to detect the deficit should be performed before discharg...	ENT	null
95ede403-e28b-4b57-a174-57f4cda063ce	Early onset and bad prognosis is seen in:	Catatonic Schizophrenia	Hebephrenic Schizophrenia	Paranoid Schizophrenia	Simple Schizophrenia	1b	single	Early onset and bad prognosis is seen in Disorganized / hebephrenic schizophrenia According to DSM 4, types of schizophrenia Paranoid schizophrenia Most common type Characterized by predominant positive symptoms Late onset and good prognosis Catatonic schizophrenia Predominant catatonic or motor symptoms Best prognosis...	Psychiatry	Schizophrenia Spectrum and Other Psychotic Disorders
a4e07c9e-6e65-4f21-96df-638a786f650c	Which of the following is/are extracellular matrix protein:	Collagen	Laminin	Fibronectin	All	3d	multi	A, B, C i.e. Collagen, Laminin, Fibronectin	Physiology	null
ef1581ed-ad1c-4463-8c01-e3faebf1ef44	A patient on aspirin for long period is selected for elective surgery. What should be done	Stop aspirin for 7days	Infusion of fresh frozen plasma	Go ahead with surgry maintaining adequate hemostasis	Infusion of platelet concentration	2c	single	In moderate-risk to high-risk patients who are receiving acetylsalicylic acid and require noncardiac surgery, continuing acetylsalicylic acid around the time of surgery is suggested instead of stopping acetylsalicylic acid 7 to 10 days before surgery.	Anaesthesia	null
23d2b2b2-30b1-406e-b3ec-8ef7bdac692b	In one-stage Full mouth disinfection scaling is done in 2 visits within:	48 hours	24 hours	36 hours	12 hours	1b	single	The oral cavity offers a range of different niches (mucosa, tongue, tonsils, saliva and teeth, etc.) where the bacteria can adhere and survive. The transmission of bacteria from one niche to another is likely to occur. If this transmissions occurs at high speed (nothing but translocation), it could jeopardize the outco...	Surgery	null
75163497-ec11-4a87-8381-4fbc3e90cba3	Hemotoxylin bodies seen in	SLE	PAN	Rheumatoid ahritis	Wegener's granulomatosis	0a	single	Ref Robbins 9/e p218 Systemic lupus erythematosus (SLE) is a multisystem auto- immune disease of protean manifestations and variable clinical behavior. Clinically, it is an unpredictable, remit- ting and relapsing disease of acute or insidious onset that may involve viually any organ in the body; however, it affects pr...	Anatomy	General anatomy
a5901dde-fd98-41d0-939a-0934f63cd41a	Which is caused by Rickettsia?	Weil's disease	Rocky mountain spotted fever	Scrub typhus	Lymes disease	1b	single	Ans. (b) Rocky mountain spotted fever Family rickettsiae includes six genera: - Rickettsia - Ehrlichia - Orientia - Anaplasma - Neorickettisa - Coxiella	Microbiology	null
6a0835f9-b4d8-49c9-b337-459a26f1f299	Mother of a 10 year old male child is concerned that he appears smaller than other boys of his age. Intraoral examination reveals that the patient is in his mixed dentition stage. Permanent incisors and 1st molars are found to be present. Mandibular permanent canines are erupting and maxillary deciduous molars are pres...	Witt’s analysis	Demirjian’s system	Steiner’s analysis	Fishman’s index	3d	multi	FISH MAN'S SKELETAL MATURITY INDICATORS Keonord S Fishman proposed a system for evaluation for skeletal maturation in 1982, Fishman made use of four anatomical sites located on the thumb, third finger, fifth finger and radius. Note: Witt’s and Steiner’s analysis are cephalometric analysis and not a method to analyze ...	Dental	null
c9b846c7-9702-4560-8cdd-c76dfa6e3ab4	Which of the following investigation is not necessary for investigating optic neuritis?	MRI head and orbit	ESR	USG B scan	Visual Fields	2c	single	USG B scan is not useful for evaluating optic neuritis. MRI head and orbit is needed for evaluation of optic neuritis to rule out MS. ESR- \|sed in infectious causes of optic neuritis. Visual fields are used for follow up and extent of vision loss. OCT (Optical coherence tomography)- used to see amount of optic nerve ed...	Ophthalmology	Neuro Ophthalmology
b2b00e6c-8f8f-46d8-9cf9-b2cd25e8e0c1	Risk of congenital heart disease in first degree relative is	0.5 to 0.6%	2 to 6%	5 to 6%	20 to 25%	1b	single	Ans. b (2 to 6%). (Ref. Nelson, Textbook of Paediatrics, 18th/pg. 1878)Congenital heart disease occurs in# 0.5 to 0.8% of live births.# 3 to 4 % of stillboms.# 10 to 25% of abortuses.# 2% of premature infants (except PDA)# 0.8% of normal population.# 2-6% after birth of a child with CHD or if parent affected.# 20-30% w...	Pediatrics	C.V.S.
79e59cb9-1968-410f-a615-01970f628e0b	Cerebral malaria most commonly attends infection with which of the following	Plasmodium malariae	Plasmodium vivax	Plasmodium falciparum	Plasmodium ovale	2c	single	Cerebral malaria involves the clinical manifestations of Plasmodium falciparum malaria that induce changes in mental status and coma and is accompanied by fever. Without treatment, cerebral malaria is fatal in 24-72 hours and the moality ratio is between 25 to 50 percent. The common histopathologic finding is the seque...	Microbiology	parasitology
91c103c3-f8ce-47f8-856d-5ddbb67727b3	Fever occurs due to -	IL 1	Endoephin	Enkephalin	Histamine	0a	single	Ans. is 'a' i.e., IL1 Pyrogeneso Pyrogenes are substances that cause fever.o Pyrogens may be exogenous or endogenous* Exogenous- Bacterial toxins* Endogenous- IL0-l,TNF-a, IL-6, Interferons, Cilioiy's neurotropic factoro These pyrogenes increase the level of PGE2 in the hypothalamus that elevates the thermoregulatory s...	Pathology	Chemical Mediators and Regulators of Inflammation

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