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135
47a7e08c-e3a3-46bf-8927-d9e194a385c1
Which of the following is freely filtered by kidney across glomerular capillariesa) Albumin (across glomerular capillaries)b) Globulinc) Creatinined) HCO3 e) Glucose
cde
acd
bde
ade
0a
single
Freely filterable substances by glomerulus -        Water -        Na+ -        Cl- -        HCO3- -        Inulin -        Glucose -        Creatinine   -        Free Calcium or phosphate
Physiology
null
de848149-c145-4341-95fd-5e7fb647e705
Antibodies associated with GTCS in SLE :
Anti neuronal ab
Anti-Ro ab
Anti-Sm ab
None
0a
multi
Ans.A Anti neuronal ab (Ref: Harrison's Internal medicine 18th/Table 319-1; 17th edition, P. 2076). Autoantibodies in Systemic Lupus Erythematosus (SLE) Antibody Prevalence, % Antigen Recognized Clinical Utility Antinuclear antibodies 98 Multiple nuclear Best screening test; repeated negative tests make SLE unlikely An...
Unknown
null
b90b1e07-21e0-4760-a2dc-8edd5fddac7d
Tonsillar fossa is bounded anteriorly by
Pharyngobasilar fascia
Palatopharyngeal fold
Buccopharyngeal fascia
Palatoglossal fold
3d
single
Tonsilar fossa is bounded by Anterior - Palatoglossal fold containing palatoglossal muscle Posterior - Palatopharyngeal fold containing palato pharyngeal muscle Apex - Soft palate, where both arches meet Base - Dorsal surface of posterior one-third of tongue. (Ref: Anatomy of head, neck and brain. Vishram Singh. P 227 ...
ENT
Pharynx
8ae09b49-665e-45e3-ac3d-869ff1a96a44
"Castration anxiety" is seen in which phase of Sigmond Freud's psychosexual stages of development
Oral
Anal
Phallic
Genital
2c
multi
Phallic phase (3-5years): Male child develops Oedipus complex (sexual feeling towards mother) and will be afraid that father may castrate him for this termed as "Castration anxiety".
Psychiatry
null
04c2701f-e97b-451d-a824-49d4c35c4ffb
Shock causes:
Stagnant hypoxia
Anemic hypoxia
Hypoxic hypoxia
Histotoxic hypoxia
0a
single
Ans: A (Stagnant hypoxia)Ref: Pat GK, Hypoxia and Oxygen Therapy, In: Textbook of Medical Physiology, 2nd ed, Abuja Publishing House 2011: 94: 754-55Explanation:Refer the explanation of previous question
Physiology
Circulation: Circulatory Shock and Its Treatment
a8b60e51-39fd-45f3-bc37-6b0ab6126430
Two or more parallel vertical surfaces of abutment teeth shaped to direct the prosthesis during placement and removal, are known as:
Orientation plane
Parallel block out
Survey lines
Guiding planes
3d
multi
null
Dental
null
2b84d3c8-a571-4f34-aaea-b58afabb9ee5
Calcium silicate based material is:
MTA
Geristore
Dieket
Retroplast
0a
single
Mineral trioxide aggregate was developed by Dr Torabinejad in 1993.  It contains tricalcium silicate, dicalcium silicate, tricalcium aluminate, bismuth oxide, calcium sulfate and tetracalcium aluminoferrite. pH of MTA is 12.5. Textbook of Endodontics Nisha Garg 3rd Ed
Dental
null
d364fa9c-b9f9-4328-bf4c-070339d50af1
Which of the following statements about Total Infra–Venous Anaesthesia (TIVA) is true –
Causes More Renal Toxicity
Reduces Cerebral Metabolic Rate
Risk of Malignant Hyperthermia is high
Inhibits Hypoxic Pulmonary Vasconstriction
1b
multi
Total intravenous anaesthesia refers to a technique in general anaesthesia using a compination of agents given solely by IV route and in the absence of all inhalation agents. TIVA (Total intravenous anaesthesia) is produced by IV propoful. Propofol decreases the cerebral metabolic rate. Propofol does not impair renal f...
Anaesthesia
null
4eafd9d8-b2ea-4f44-ac7f-a12103f61945
In Profound MR, IQ is
50-69
35-49
20-34
< 20
3d
single
IQ range for categoriesICD-10DSM-IVMild50-6950-55 to 70Moderate35-4935-40 to 50-55Severe20-3420-25 to 35-40ProfoundBelow 20Below 20-25Reference: Oxford Textbook of Psychiatry; 3rd edition; Chapter 18; Learning Disability
Psychiatry
Child psychiatry
f0a88604-cf9c-4181-87f8-e3daccd3d389
Which of the following iodinated compound is present in a maximum concentration in the thyroid?
Monoiodotyrosine (MIT)
Diiodotyrosine (DIT)
T3
Reverse T3
1b
single
THYROID HORMONE SYNTHESIS AND SECRETIONThyroid hormones are synthesized in the colloid, near the apical cell membrane of the follicular cells. Catalyzed by the enzyme thyroidal peroxidase, iodide in the thyroid cell is oxidized to iodine.The iodine enters the colloid and is rapidly bound at the 3 position to tyrosine m...
Microbiology
All India exam
7a6581e6-e0e5-4135-a642-cb80351a063c
Silicosis caused by ?
Gold
Coal
CO
Silica
3d
single
Ans. is 'd' i.e., Silica
Social & Preventive Medicine
null
e3b9ae95-2b0e-42af-a27a-f6c0b51af476
Human development index includes -
Crude death rate
Life expectancy at one year
Life expectancy at bih
All
2c
multi
Ans. is 'c' i.e., Life expectancy at bih According to 22nd/e of Park, options 'd & e' are not the components of HDI. o Expected years of schooling (not adult literacy rate) and GNI per capita (not GDP) are the components of HDI.
Social & Preventive Medicine
null
4d8ea9c6-e243-4402-8393-ac53373773ce
One of the constituents of the commonly used metered dose inhalers in bronchial asthma which is an air pollutant & dangerous to earth's stratosphere is -
Flurocarbons
Salbutamol
Ozone
Oxygen
0a
single
null
Medicine
null
8f5f61e2-a8ea-4d15-ba76-823918e49d3b
H. capsulatum, a dimorphic fungus, is found in soil heavily contaminated with bird droppings. Which of the following statements best describes the presence of the organism in tissue biopsies?
Yeasts with broad-based bud
Single-cell yeasts with pseudohyphae
Arthrospores
Oval budding yeasts inside macrophages
3d
multi
Histoplasma capsulatum is a dimorphic fungus that forms two types of spores: tuberculate macroconidia and microconidia. Inhalation of the microconidia transmits infection. Inhaled spores (microconidia) are engulfed by macrophages and develop into yeast forms. Most infections remain asymptomatic; small granulomatous foc...
Microbiology
Mycology
940903a9-03dd-4900-bf86-2a421380958b
Budding reproduction in tissue is seen in
Cryptococcus, candida
Candida, rhizopus
Rhizopus, mucor
Histoplasma, candida
0a
single
Cryptococcus is a yeast, candida is a yeast-like fungus. Both are reproduced by budding Histoplasma is a dimorphic fungus Mucor and Rhizopus are produced by asexual means sporangiospores Reference: Textbook of Microbiology; Baveja; 4th edition
Microbiology
mycology
e6b8da32-0a36-4ef8-8d82-e1eb2a517c9b
True about polio:
Paralytic polio is most common
Spastic paralysis seen
IM injections and increased muscular activity lead to increased paralysis
Polio drops in pulse polio immunisation given only in <3 years old children
2c
multi
False 90-95% of polio infections are asymptomatic False Acute flaccid paralysis is seen in Polio & not spastic paralysis True Risk of paralytic polio is increased by tonsillectomy, strenous physical exercise, tooth extraction,Injection (intramuscular) False OPV drops are given to all children less than 5 yr age in puls...
Pediatrics
Impoant Viral Diseases in Children
c853613f-ef01-4ea6-afc6-2a467d44aecc
The retention of dowel in a pin retained crown is increased by
Increased length, smooth surface and increased taper.
Increased length, serrated surface and increased taper.
Increased length, smooth surface and parallel sides.
Increased length, serrated surface and parallel sides.
3d
multi
Post should be at least 2/3 the root length, parallel sided and serrated for increased retention in the canal
Dental
null
08531c7b-c9f3-49f2-a8f2-e64ac23974e7
Which of the following drugs can be administered by subcutaneous route?
Albuterol
Metaproterenol
Terbutaline
Pirbuterol
2c
single
terbutaline can be given as s.c (0.25mg) in asthma.
Pharmacology
null
f00410d1-d829-45fa-8643-4dcc815bb0e6
Mycosis fungoides which is not true:
It is the most common form of cutaneous lymphoma.
Pautriers microabscess.
Indolent course and easily amenable to treatment.
Erythroderma seen and spreads to peripheral.
2c
multi
Mycosis Fungoides: Mycosis fungoides is synonymous with Cutaneous T cell lymphoma.
Medicine
null
ccb6817f-6a6b-49c6-879b-0bd13daf314d
Bacterial pyogenic parotitis affecting the parotid gland is most common after: March 2008
Uveo-parotid fever
Mumps
Debilitation after major surgery
After administration of iodine
2c
single
Ans. C: Debilitation after major surgery Acute bacterial parotitis is now infrequent, but its historical impoance. Mumps and bacterial parotitis were differentiated by 1800, but neither was effectively treated. The moality rate for bacterial parotitis was 80%. Before antibiotics and intravenous administration of fluids...
Surgery
null
f2bed904-d182-4df2-97d4-3e5d9186bc39
Patient diagnosed as squamous cell intraepithelial lesion which of the following has the highest risk for progression to carcinoma;
Low grade squamous intraepithelial neoplasia
High grade squamous intraepithelial neoplasia
Squamous intraepithelial associated with HPV 16
Squamous intraepithelial neoplasia associated with HIV
1b
single
High grade squamous intraepithelial lesion have a propensity to progress and become invasive, therefore need investigations and treatment Ref: Shaw Gynecology 17 e pg 410.
Gynaecology & Obstetrics
Gynaecological oncology
a2cc3df8-77f3-4290-a580-d66398b9439d
Autosomal recessive polycystic kidney disease features include:
Can be diagnosed intrauterine
Proceeds to renal failure till children reaches school going age
Can be palpated abdominally
Hypertension doesn't develop until late stages of the disease
0a
multi
Ans. A. Can be diagnosed intrauterineExplanationClinical features of ARPKD (Autosomal recessive polycystic kidney disease) are:Classic ARPKD is generally diagnosed in utero or within the neonatal period and characterized by greatly enlarged echogenic kidneys in diseased fetuses. (Option a)Reduced fetal urine production...
Pathology
Kidney
78c840a3-5ead-4b96-97b6-6b99a2b98f9b
You are the medical officer in charge of the immunisation programme at a sub-centre and you are informed by the local ASHA worker that one of the children who was immunised has has been dizzy. On fuher investigation it was confirmed that the symptoms were due to anxiety of pain of the injection and not as a result of t...
Vaccine reaction
Injection reaction
Programme error
Coincidental
1b
single
The following are the adverse effect following immunisation: Vaccine reaction - Here the event is caused by the inherent propeies of the vaccine when given correctly. Programme error - In this case the event is as a result of error in preparation, handling or administration of the vaccine. Coincidental - The event afte...
Social & Preventive Medicine
null
dc05e667-659f-4f8f-a534-b329a1b356cc
Bicipital aponeurosis lies over which structure in cubital fossa:-
Median cubital vein
Radial nerve
Brachial aery
Anterior interosseous aery
2c
single
Bicipital aponeurosis lies superficial to the brachial aery and median nerve. -lies deep to superficial veins. -provides protection for the deeper structures during venepuncture at cubital fossa. -routinely released to decompress the median nerve
Anatomy
Muscles of arm and forearm region & Cubital fossa
77e67056-21d4-4dad-ba62-f785e6ce4e38
Postponing paying attention of conscious impulse or conflict is a mature defence mechanism known as -
Sublimation
Suppression
Humor
Anticipation
1b
single
Suppression is pushing of unwanted feelings into unconscious which has reached conscious awareness.
Psychiatry
null
3779c7ae-2be8-498b-adc9-45465595bf19
The commonest site of perforation during colonoscopy is -
Caecum
Hepatic flexure
Splenic flexure
Sigmoid colon
3d
single
• Risks of colonoscopy: Perforation and hemorrhage • MC site of bleeding after colonoscopy: Stalk after polypectomy. • MC site of perforation during colonoscopy: Sigmoid colon • Perforation can be caused by excessive air pressure, tearing of the antimesenteric border of the colon from excessive pressure on colonic loop...
Surgery
null
cbd91783-e901-4672-9ec1-7f58bce041da
A 74-year-old woman develops occipital headache, vomiting, and dizziness. She looks unwell, her blood pressure is 180/100 mm Hg, pulse is 70/min, and respirations are 30/min. She is unable to sit or walk because of unsteadiness. Over the next few hours, she develops a decline in her level of consciousness.For the above...
basal ganglia hemorrhage
cerebellar hemorrhage
pontine hemorrhage
lobar intracerebral hemorrhage
1b
multi
Cerebellar hemorrhage, when mild, may present with only headache, vomiting, and ataxia of gait. Patients may complain of dizziness or vertigo. The eyes may be deviated to the side opposite the hemorrhage. Nystagmus is not common, but an ipsilateral sixth nerve palsy can occur. This is the only type of intracerebral hem...
Medicine
C.N.S.
6c5c0933-9307-485a-a14b-305f77c287ef
Which is an uricosuric drug-
Allopurinol
Probenecid
Indomethacin
Aspirin
1b
multi
Ans. is 'b' i.e., Probenecid Uricosuric drugs are probenacid, sulfinpyrazone and benzbromarone.
Pharmacology
null
8556ec34-5fc9-46de-8be9-bce2fbd3ea06
After an incised wound ,new collagen fibrils are seen along with a thick layer of growing epithelium.The approximate age of the wound is
4-5days
About 1week
12-24hrs
24-48 hrs
0a
single
Ref Robbins 9/e p106 Incised wound for the formation of collagen and new tissue, thick layer of epithelial ,and granulation tissue formation along with new blood vessels requires atleast 4_5 days
Anatomy
General anatomy
7a277163-0216-4d34-838f-3f4ca53d763c
After delivery, a 28 year old pre ecclamptic primigra has a soft uterus with moderate-to-heavy bleeding. There is no laceration and there is PPH diagnosed due to uterine atony. Which of the following is the best management option?
0.2-mg intramuscular (IM) ergonovine (Methergine)
20 units of IV oxytocin
10 units of oral oxytocin
250 mg prostaglandin F2-alpha orally
1b
multi
Ergot derivatives should not be given in patients with hypeension since this is classically known to increase blood pressure. A high BP may provoke a post paum ecclampsia Oxytocin is not orally effective . Prostaglandin F2-alpha is given IM.
Gynaecology & Obstetrics
Pregnancy induced Hypeension
784827e3-b944-4c14-98d5-ed648eb38bc8
Trendlenburg's test done for varicose veins is for detection of:
Perforator in competency
Deep veins patency
Saphenofemoral incompetency
Site of perforators
2c
single
Ans: C (Saphenofemoral incompetency) Ref : 74 A Manual on Clinical Surgery S. DasExplanation:Clinical Examination of Varicose VeinsBrodie-Trendelenherg TestDone to determine the incompetency of Saphenofemoral valve.Patient is placed in recumbent position.Limbs are raised to empty the veins. Veins are milked proximally ...
Surgery
Varicose Veins
1a161e71-2d41-43e3-a3ed-4317413c6d86
Arrange the following 4 enzymes of gluconeogenesis in sequence: A. Pyruvate carboxylase B. Glucose - 6 - phosphatase C. Phosphoenol pyruvate carboxy kinase D. Fructose 1,6 Bisphosphatase
D-C-A-B
A-C-D-B
B-A-D-C
C-D-B-A
1b
single
null
Biochemistry
Gluconeogenesis
463091e2-e514-46e3-aedb-931a3af6545e
Specific poison for succinate dehydrogenase is ?
Cyanide
Malonate
Arsenite
Fluoride
1b
single
B i.e. Malonate
Biochemistry
null
3a63a6c3-1c1d-4578-a6b2-08e42456d546
Most common widespread zoonotic disease in the world is -
Rabies
Leptospirosis
Brucella
Anthrax
1b
single
<p> Leptospirosis is the most wide zoonotic disease in the world. Reference:Park&;s textbook of preventive and social medicine,K.Park,23rd edition,page no:291. <\p>
Social & Preventive Medicine
Communicable diseases
e68f5568-fcaa-4ff5-b664-5065ebba2d96
Post operative muscle ache is caused by
d-TC
Suxamethonium
Gallamine
Pancuronium
1b
multi
null
Anaesthesia
Muscle relaxants
aa9ef9b2-7854-491c-baf4-6df499428906
Blood stained sputum may be the only symptom in?
Bronchiectasis
Carcinoma bronchus
Adenoma bronchus
Pulmonary T.B.
2c
single
Ans. is 'c' i.e., Adenoma bronchus
Surgery
null
1e61071d-fa24-4df4-b39d-ad51308c63e2
Inherited hyperammonemia is a result of deficiency of which enzyme of Krebs-Henseleit urea cycle?
Malate dehydrogenase
Isocitrate dehydrogenase
N-acetyl glutamate synthetase
Succinate dehydrogenase
2c
single
Inherited hyperammonemias are a group of six diseases caused by inborn deficiencies of the enzymes of the Krebs-Henseleit urea cycle. The enzymes involved are: 1. N-acetyl glutamate synthetase 2. Arbamyl phosphate synthetase (CPS) 3. Ornithine transcarbamylase (OTC) 4. Argininosuccinic acid synthetase (citrullinemia) 5...
Biochemistry
null
598d5484-6c3d-4983-aa72-cafaf6a4719a
Punishment for infanticide comes under -
IPC102
IPC324
IPC302
IPC300
2c
single
Ref:Textbook of forensic medicine and toxicology (V.V.Pillay) 17th edition, page no.377 Infanticide refers to the deliberate killings of chlid below the age of one year.In England, Germany, UK, there is a clear-cut distinction between homicide and infanticides. In India, no such distinction exists, and accuse is punish...
Forensic Medicine
Sexual offences and infanticide
ed76ceeb-7206-424c-b2b0-222a1d226703
Carotid artery stenosis screening invivo choice is -
USG
CT
MRI
Doppler
3d
single
Ans. is 'd' i.e., Doppler o Color doppler ultrasonography is the screening method of choice (not simple USG : option a is incorrect),o Carotid angiography is the investigation of choice for diagnosis,o MRI is the investigation of choice for demyelinating disorder, e.g. multiple sclerosis.Investigations in nervous syste...
Radiology
Head and Neck Imaging
9696296f-f81e-42b8-90e5-398da9c83945
Proposed guideline value for Radioactivity in drinking water is:
Gross a activity 0.1 Bq/L and Gross b activity 1.0 Bq/L
Gross a activity 1.0 Bq/L adn Gross b activity 0.1 Bq/L
Gross a activity 1.0 Bq/L and Gross b activity 10.0 Bq/L
Gross a activity 10 Bq/L and Gross b activity 1.0 Bq/L
0a
single
Key guidelines aspects of WHO recommended drinking water quality: Colour <15 true colour units (TCU) Turbidity <1 nephlometric turbidity units (NTU) pH: 6.5-8.5 Total dissolved solids (TDS) <500 mg/Litre Zero pathogenic microorganisms Zero infectious viruses Absence of pathogenic protozoa and infective stages of helmin...
Social & Preventive Medicine
Environment and health
ec9dbeb5-1b72-43fd-869c-896778e840e3
Lens develops from?
Endoderm
Mesoderm
Surface ectoderm
Neuroectoderm
2c
single
Ans. c (Surface ectoderm). (Ref. Human Embryology by IB Singh, 6th/352)LENS# LENS develops from surface ectoderm.# Compared to the cornea, it has a much lower converging power of 17 diopters because of the relatively similar refractive indices of aqueous humor, lens, and vitreous body (cornea 42 D).# However, the lens ...
Ophthalmology
Lens
36d1d9e0-62d6-4065-832c-1fedd97d046c
Features of neurogenic shock are
↑Peripheral resistance ↓ cardiac output
↑ Venous return ↑ cardiac output
↓Peripheral resistence↓cardiac output
Venoconstriction ↓cardiac output
2c
single
null
Medicine
null
eee99c0a-bd81-4fc8-9fa2-3e168d8be995
Palm of one hand is placed horizontally across the mouth and nostrils in
Manual strangulation
Palmar strangulation
Garrotting
Mugging
1b
multi
palmar strangulation Here the palm of one hand is placed horizontally across the mouth and nostrils, it's pressure being reinforced by placing the other palm on the top of it at right angles, the heel of the palm above pressing upon the front of the neck. Ref: TEXTBOOK OF FORENSIC MEDICINE AND TOXICOLOGY KRISHNAN VIJ F...
Forensic Medicine
Asphyxia
90172650-01d2-4312-8c6d-5f71bbe8695c
In RDS all of the following statements are true except
Usually occurs in infants born before 34 weeks of gestation
Is more common in babies born to diabetic mothers
Leads to cyanosis
Is treated by administering 100% oxygen
3d
multi
Administration of 100% oxygen may increase the O2 load on fetal lung tissue. Hence, it is not given . Reference: GHAI Essential pediatrics, 8th edition
Pediatrics
New born infants
b9799e1c-a706-43df-8a51-7f1fa165d79c
National program for prevention and control of Cancer, Diabetes, Cardiovascular disease and stroke (NPCDCS), true is -
Separate centre for stroke, DM, cancer
Implementation in some 5 states over 10 districts
District hospital has specialised facilities
Subcentre has facility for diagnosis and treatment
2c
multi
Ans. is 'c' i.e., District hospital has specialised facilities Sational program for prevention and control of cancer, diabetes, cardiovascular diseases and stroke (NPCDCS1 Introduction Single centre fi- cancer, diabetes, cardiovascular disease, stroke. 100 districts in 21 states being covered in 1 1 th live year plan. ...
Social & Preventive Medicine
null
5a242165-f06e-49de-9b9c-0cc4e1303f75
All of the following are ACTH independent Cushing syndrome except :
Pituitary adenoma
Adrenal hyperplasia
Adrenocoical carcinoma
McCune Albright Syndrome
0a
multi
ACTH dependent Cushing syndrome is caused by : ACTH producing pituitary adenoma Ectopic ACTH Bronchial or pancreatic carcinoid Small cell cancer of lung Medullary carcinoma of thyroids Pheochromocytoma ACTH Independent Cushing syndrome is caused by : Adrenocoical adenoma/ carcinoma Primary pigmented nodular adrenal dis...
Medicine
Cushing Syndrome
396db5cd-55ab-434e-b14e-5c2742dd08d9
Hereditary spherocytosis is characterized by: March 2004
Anemia
Splenomegaly
Jaundice
All of the above
3d
multi
Ans. D i.e. All of the above
Pathology
null
653fbea7-3a1f-41e2-87fc-e541eb92292b
Ketamine can be given by all of following routes except-
IV
IM
SC
Nasally
2c
multi
Ketamine has been administered intravenously, orally , rectally, intramuscularly and epidural route and very rare intranasal but not subcutaneous
Anaesthesia
Intravenous Anesthetic Agents
f8d93899-b196-427e-9c0e-0f2a4e909a21
All of the following are features of Devic's syndrome (neuromyelitis optica), except?
Separate attacks of acute optic neuritis and myelitis
Optic neuritis is either unilateral or bilateral
Brain MRI is typically normal
It has a fulminant demyelinating process and progress to death in 1-2 year
3d
multi
Devic's disease is a variant of multiple sclerosis. Fulminant demyelinating process is seen with another variant called Marburg's variant.
Medicine
null
23a3d4a0-103f-4d6c-bcb9-dc8bab68b013
Which of the following is true about calcification of teeth?
Calcification of primary teeth is almost complete at time of birth
Calcification of all primary teeth and few permanent teeth complete at birth
Calcification of all permanent teeth complete at birt
Calcification of primary teeth starts around birth
0a
multi
null
Dental
null
2cb2be45-b5db-4716-b3a6-84875ab3ee77
A 7 years old boy presented with painful boggy swelling of scalp, multiple sinuses with purulent discharge, easily pluckable hairs and lymph nodes enlarged in occipital region. Which one of the following would be most helpful for diagnostic evaluation?
Bacterial culture
Biopsy
KOH mount
Patch test
2c
single
Ans. c. KOH mount
Skin
null
2bd24bb6-bc8e-44cd-b4da-e5b6808aaa6d
All the following are seen in Hyperparathyroidism except
Subperiosteal erosion of bone
Loss of lamina dura
Calvarial thickening
Pepper - pot skull
2c
multi
Calvarial thickening is a feature of Hypoparathyroidism.
Radiology
null
edf16f12-4d4c-48c3-bb35-478666e34498
Spore forming anaerobic gram positive bacilli ?
Bacillus Anthracis
Clostridia
Corynebacterium
Peptostreptococcus
1b
single
Ans. is 'b' i.e., Clostridia There are two medically impoant spore forming bacteria. Both of them are 'gram positive' `bacilli' :-Aerobic : BacillusAnaerobic (obligate anaerobes) : Clostridia.
Microbiology
null
daf88486-94e5-4799-960e-a3fc5137e1ab
Drug of choice for Falciparum Malaria is:-
Chloroquine
Mefloquine
ACT
Proguanil
2c
single
DOC for Falciparum Malaria - ACT.( Aemisinin based Combination therapy ) In Noh Eastern states:- ACT-AL co-formulated tablet of Aemether-20 mg / Lumefantrine - 120 mg. Primaquine 0.75 mg/ kg Body weight on day 2. 2. In Other States:- ACT-SP -Aesunate 50 mg tablet for 3 days and Sulphadoxine (500mg) - Pyremethamine (25m...
Social & Preventive Medicine
VBDs, Arboviral & Viral Infections, Surface Infections
b44f4bc6-30c3-4cd1-81b2-f172a886dea9
All are causes of white-dot syndrome except:
Fuch's heterochromic uveitis
VKH syndrome
HIV retinopathy
Sympathetic ophthalmitis
3d
multi
Ans. Sympathetic ophthalmitis
Ophthalmology
null
12af2d6a-1cf7-4dda-ab1d-0044c5ad8243
Maximum flow of Type1 inlay wax at 45degree
2%
3%
10%
70%
3d
single
null
Dental
null
a7bcda01-d462-4e60-bd9c-394439c1f79f
Platypnea is seen with?
Hepato-pulmonary syndrome
Hepato-renal syndrome
Renal aery stenosis
Kyphoscoliosis
0a
single
Platypnea: Increase dyspnea on sitting position Seen in 1. Atrial myxoma 2. Hepatopulmonary syndrome
Medicine
Acute Kidney Injury
013a96ca-7ed9-437b-bdf4-e7482a816fa3
Neuro lathyrism results due to
Aflatoxin
Pyruvic acid
BOAA
Sanguinarine
2c
single
null
Social & Preventive Medicine
null
9dda09e1-8bdc-4fae-be9e-ef95d04e3f71
Factor V Leiden is caused due to a mutation that results in a substitution at position 506 glutamine to which of the following:
Alanine
Arginine
Glycine
Glutamine
1b
single
Mutation in factor V (called the Leiden mutation, after the city in the Netherlands where it was discovered) causes recurrent DVTs. The mutation results in a glutamine to arginine substitution at position 506 that renders factor V resistant to cleavage by protein C. As a result, an impoant antithrombotic counter-regula...
Pathology
null
0729894e-e71d-4e69-8f53-5ae6a8ee75c2
Kunkel's test is done to demonstrate presence of ................. in blood.
Lead
CuSO4
CO
Dhatura
2c
single
Carbon monoxide (CO)
Forensic Medicine
null
7af5d515-19b4-4b9c-b795-224e68a0176b
In which case cystometric study is indicated -
Neurogenic bladder
Stress incontinence
Fistula
Urge incontinence
0a
single
Cystometric studies are urodynamic studies in which the pressure changes in the bladder is simultaneously measured with bladder filling and during micturition. It helps in accurate assessment of detrusor and sphincter activity especially if a neurogenic abnormality is suspected. Though it is also used in stress inconti...
Surgery
null
a18b8864-370a-4ef2-a61f-1265eba77975
Fish tank granuloma is seen in -
Mfortuitum
Mkansasi
Mmarinum
M leprosy
2c
single
Ans. is 'c' i.e., M. Marinum o Fish tank granulomaalso called ' swimming pool granuiomaf is caused by M. marinum.Principal types of opportunist mycobacterial disease in man and the usual causative agents.DiseasesUsual causative agentLymphadenopathyM. avium complexM. scrofulaceumSkin lesionPost-trauma abscessSwimming po...
Microbiology
Bacteria
f30e750a-793d-4431-9be7-df8681f20a4f
TYNDALLISATION is a type of
intermittent sterilization
pasteurisation
boiling
autoclaving
0a
multi
null
Microbiology
null
6928a986-b002-4115-9c81-631f67d6c07a
A 49-year-old female taking ibuprofen for increasing joint pain in her hands presents with increasing pain in her midsternal area. Gastroscopy reveals multiple, scattered, punctate hemorrhagic areas in her gastric mucosa. Biopsies from one of these hemorrhagic lesions reveal mucosal erosions with edema and hemorrhage. ...
Active chronic gastritis
Acute gastritis
Autoimmune gastritis
Chronic gastritis
1b
single
Gastritis is a nonspecific term that describes any inflammation of the gastric mucosa. Acute gastritis refers to the clinical situation of gastric mucosal erosions (not mucosal ulcers). Acute gastritis is also known as hemorrhagic gastritis or acute erosive gastritis. Acute gastritis is associated with the use of nonst...
Pathology
miscellaneous
3ce61463-a3ad-4e05-8e97-b404f9f04e0e
Sedimentation coefficient of Ig E is:
7S
8S
11S
20 S
1b
single
Ans : b 8S Ref: Ananthanarayanan 8th editionSvedberg unit - a sedimentation constant of 1 x 1013sec. Sedimentation unit is studied by ultracentrifugation - for diversity of antibody moleculeIgG -7IgA -7IgM -19Ig D -7IgE -8
Microbiology
Immunology
5f8a32c1-31db-477e-99cd-467e1f443720
DNA dependent RNA synthesis is inhibited by:
Rifampicin
Ethambutol
Colchicine
Chloromycetin
0a
single
Rifampicin
Pharmacology
null
9e9842eb-7ec0-4d06-9a22-bbcb97151aec
Iliac crest involvement is common in which condition: March 2007
Ankylosing spondylitis
Rheumatoid ahritis
Reiter's syndrome
Osteoahritis
0a
single
Ans. A: Ankylosing Spondylitis The basic pathologic lesion of ankylosing spondylitis occurs at the entheses, which are sites of attachment to bone of ligaments, tendons, and joint capsules. Enthesopathy results from inflammation, with subsequent calcification and ossification at and around the entheses. Inflammation wi...
Surgery
null
17a37bf5-e78b-48f2-be15-16c1049d1427
A 40-year-old man presents with a 2-week history of recur- rent oral ulcers, genital ulcers, intermittent arthritic pain of the knees, and abdominal pain. Physical examination reveals shallow ulcerations of the mucosa of the glans penis, as well as oral aphthous ulcers and conjunctivitis. Which of the following is the ...
Behyet disease
Genital herpes
Gonorrhea
Polyarteritis nodosa
0a
multi
Behget disease is a systemic vasculitis characterized by oral aphthous ulcers, genital ulceration, and ocular inflammation, with occasional involvement of the nervous, gastrointestinal, and cardiovascular systems. The mucocutaneous lesions show a non-specific vasculitis of arterioles, capillaries, and venules. The caus...
Pathology
Blood Vessels
c6e0048e-68f8-493d-8bdf-bcd1afea8f1e
About biotransformation not true ?
Active metabolite generation
Polar to less polar
Less polar to more polar
Generate active drug from prodrug
1b
multi
Ans. is 'b' i.e., Polar to less polar
Pharmacology
null
be876641-0cee-4b0d-973f-af68790776da
In which phase of cell cycle, proof reading occurs?
G1
S
G2
M
1b
single
EVENTS PHASE of cell cycle Proofreading S phase Most repairs G1 phase Mismatch repair G2 phase
Biochemistry
Molecular Biology
2435c2fd-0ab9-4097-9969-6ce371e46532
The number of ATPs generated in krebs cycleare ?
12
24
15
30
1b
single
Ans. is 'b' > b' i.e., 24 One turn of the TCA cycle, staing with acetyl CoA produces 10 ATPs. When the staing molecule is pyruvate, the oxidative decarboxylation of pyruvate, the oxidative decarboxylation of pyruvate yields 2.5 ATPs and therefore, 12.5 ATPs are produced when staing compound is pyruvate. Since, two mole...
Biochemistry
null
10fa25e5-2afd-4660-bd47-8759e3004d33
Child with mild squint. Intrauterine, bih history, developmental history till date all normal. Corneal reflex normal. All other eye parameters normal except exaggerated epicanthal fold. Diagnosis ?
Pseudostrabismus
Accomodative squint
Exophoria
Esophoria
0a
multi
Ans. is 'a' i.e., Pseudostrabismus Epicantnic fold causes Pseudoesotropia (Pseudostrabismus).
Ophthalmology
null
9c66c905-3a4a-440e-973f-270b04fe9a86
Pain-sensitive intracranial structure is:
Piamater
Pial vassels
Duramater
Brain matter
2c
single
C i.e.Duramater
Physiology
null
afa909b3-f7e2-4c1c-9747-9638994735ce
Not used for iron poison in: FMGE 09; NEET 13
Magnesium hydroxide
Desferrioxamine
Gastric lavage
Penicillamine
3d
single
Ans. Penicillamine
Forensic Medicine
null
23294025-db77-485a-a342-16e13930f3b2
Posterior relations of the head of the pancreas include all of the following, except:
First pa of the duodenum
Common bile duct
Inferior vena cava
Aoa
0a
multi
The posterior relations of the head of the pancreas include the common bile duct, inferior vena cava and the right and left renal veins terminating into it. The first pa of the duodenum is an anterior relation of the head of the pancreas.Ref: Clinical Anatomy, By Richard S. Snell, 6th edition, Page 230; Clinical Anatom...
Anatomy
null
daea259a-2232-46db-8d5a-e04d5a1d4c5c
Which of the following events is involved in cleavage of the zygote during week 1 of development?
A series of meiotic divisions forming blastomeres
Production of highly differentiated blastomeres
An increased cytoplasmic content of blastomeres
A decrease in size of blastomeres
3d
single
Cleavage is a series of mitotic divisions by which the large amount of zygote cytoplasm is successively paitioned among the newly formed blastomeres. Although the number of blastomeres increases during cleavage, the size of individual blastomeres decreases until they resemble adult cells in size.
Anatomy
Development period- week 1,2,3,4
2490c0e2-5e57-46de-a276-0163f4b35337
A female child with virilization, hypertension with low plasma renin diagnosis is :
21α hydroxylase deficiency
11 β hydroxylase deficiency
3β hydroxylase deficiency
Conn’s syndrome
1b
single
9] Congenital adrenal hyperplasia represents a group of autosomal recessive inherited, metabolic errors, each characterized by decency or total lack of a particular enzyme involved in the biosynthesis of cortical steroids, Steroidogenesis is then channelled into other pathways leading to increased production of androge...
Medicine
null
0b9a50a8-7210-4ff5-81f6-b49dee01c09b
'Patterned' abrasion is variety of:
Linear abrasion
Pressure abrasion
Sliding abrasion
Superficial bruise
1b
single
Ans. is 'b' ie pressure abrasion (Ref: Parikh; 6/e, p4.3).An abrasion is a superficial injury involving only the superficial layers of the skin (epidermis only), caused by friction and / or pressure between the skin and some rough object or surface. It bleeds very slightly, heals rapidly in a few days and leaves no sca...
Forensic Medicine
Sexual Offenses
1d267206-3dd2-462b-9b44-8a3a48c31c12
Pimozide belongs to class of:
Thiothixanthene
Phenothiazine
Butyrophenone
Diphenyl butyl piperidine
3d
multi
Thioxanthenes are flupenthioxol. Butyrophenones are haloperidol, trifluperidol , penfluridol. Phenothiazines are Chlorpromazine, triflupromazine , thioridazine, flufenazine. Promazine belongs to the group of other of other hetero cyclics that is diphenyl butyl piperidine. Ref: KD Tripathi 8th ed.
Pharmacology
Central Nervous system
7b33754c-beaa-43e5-81f5-f4c3f8bf2245
Which of the following drugs is antipseudomonal penicillin?
Cephalexin
Dicloxacillin
Piperacillin
Cloxacillin
2c
single
null
Pharmacology
null
b3dcc864-5d6f-4d14-b6bf-143f4d777784
Following poisoning retards putrefaction: NEET 13
Aluminium phosphide
Lead
Arsenic
Copper
2c
single
Ans. Arsenic
Forensic Medicine
null
3bad3d0c-b14c-4ec4-a203-a124976139a0
True statements about parotid gland
Duct opens oppsite to upper 2nd molar tooth
Duct pierces Masseter
Develops from ectoderm
Secretomotor fibres come from facial nerve
0a
multi
The duct runs forwards for a sho distance between the buccinator and the oral mucosa. Finally, the duct turns medically and opens into the vestibule of the mouth(gingivobuccal vestibule)opposite the crown of the upper second molar tooth. Notes: Parotid abscess may be caused by spread of infection from the opening of pa...
Anatomy
Head and neck
17b8471f-d82c-4236-a843-66e19ce561b0
Which of the following statement is false about hydrocele?
Arises due to patent processus vaginalis
Wait for 5 years for spontaneous closure of congenital hydrocele
Lord's plication of sac for small hydrocele
Jaboulay's eversion of sac for medium hydrocele
1b
multi
Treatment of Hydrocele Congenital Hydrocele: Usually spontaneous obliteration by 2 years age. If persists then Herniotomy. Treatment of Vaginal Hydrocele 1. Small hydrocele: Lord's procedure (Plication of sac)Q 2. Medium hydrocele: Jaboulay's procedure (Eversion of sac)Q 3. Large hydrocele: Excision of sacQ
Surgery
Testis and scrotum
0efb3876-ad2b-44d1-99c9-73c50708d75b
The main difference between dental stone and dental plaster is:
Chemical composition
Self life
Shape and size of particles
Solubility in water
2c
single
null
Dental
null
fa6f9581-fb3b-49be-b366-c97793f765ff
A normally developing 10 months old child should be able to do all of the following except –
Stand alone
Play peak to boo
Pick up a pellet with thumb and index finger
Build a tower of 3–4 cubes
3d
multi
A child starts trying to build a tower of cubes (2 cubes) by the age of 1 year. About other options Child can stand with support by 9 months. Child can play peak-a-boo game by 10 months. Child can pick up a pellet with thumb and index finger (pincer grasp) by 9 months.
Pediatrics
null
2d7752b3-6526-4bba-90a1-b7862767573b
Lines of Blaschko&;s are along
Lymphatics
Nervs
Developmental
Blood vessels
2c
single
Blaschko&;s lines, are lines of normal cell development in the skin. These lines are invisible under normal conditions.
Anatomy
General anatomy
864d863c-3c3f-4f72-b1dc-bf0ec9e8d0c3
All the teeth in patient’s mouth are similarly affected as shown in the radiograph. What is the most likely anomaly?
Type 1 dentinal dysplasia
Type 2 dentinal dysplasia
Taurodontism
Amelogenesis imperfecta
1b
multi
Dentinal dysplasia Dentinal dysplasia is an inherited condition affecting both dentitions. It is divided into two types: Type I (radicular dentinal dysplasia) and Type II (coronal dentinal dysplasia). It occurs less frequently than dentinogenesis imperfecta. Clinical features Type I is the more frequent type. Teeth eru...
Radiology
null
4ad3b836-706a-47a9-9ccc-68d9feb2f5e7
Middle aged female with mass in sella turcica hormone increased is -
Prolactin
Thyroxine
Extrogen
ADH
0a
single
The sella turcica is a saddle shaped depression of the sphenoid bone. It forms the caudal border of the pituitary gland. Sella turcica is an anatomically complex area with a number of different potential pathologies especially neoplastic process. Pathologies of sella turcica can lead to important clinical presentations...
Medicine
null
3d26c59a-23b7-4f94-bd3a-46c52e94717f
Hyoid bone fracture most common occurs in ?
Manual strangulation
Hanging
Smothering
Traumatic asphyxia
0a
single
Ans. is 'a' i.e., Manual strangulation As manual strangulation (throttling) is among the most violent form of asphyxia, hyoid fracture and other injury to neck structures is more common.
Forensic Medicine
null
e8e89c2e-3ded-4f79-8b72-c4c15b0e0022
"Acute Meningoencephalitis" is caused by:
E. histolytica
Nageleria
Giardia
E.coli
1b
single
Nageleria
Microbiology
null
d700bd56-0b0c-44cc-9099-5986224e73ba
The process of destroying all microbes including spores is called :
Disinfection
Antisepsis
Asepsis
Sterilization
3d
multi
null
Microbiology
null
6ff91b9c-ef2d-4e23-8bbe-91abe79cf929
All are major symptoms of sinusitis except
Nasal blockage
Facial congestion
Nasal congestion
Halitosis
3d
multi
According to Rhinosinusitis task force definition of sinusitis,Major criteria-Facial pain, pressure, congestion, nasal obstruction, nasal/postnasal discharge, hyposmia and feverMinor criteria- Headache, halitosis, and dental painRef: Hazarika; 3rd ed; Pg 328
ENT
Nose and paranasal sinuses
fd69db25-3857-40ab-acb4-d7aedc45b959
Most sensitive nerve fiber to hypoxia
A
B
C
All are equally sensitive
1b
multi
Question repeated
Physiology
Nervous system
344ff8fd-3b80-4311-9f67-a5f54e3e0fff
Nasal septum is formed except by
Perpendicular plate of ethmoid
Vomer
Nasal bone
Lateral cailage
3d
multi
The bony pa is formed by: 1.Vomer 2.Perpendicular plate of ethmoid 3.Nasal spine of frontal bone 4.Rostrum of sphenoid 5.Nasal crest of nasal, palatine and maxillary bones. NOTES: The cailaginous pa is formed by; 1.Septal cailage 2.Septal process of inferior nasal cailages The cuticular pa is formed by; 1.Fibrofatty ti...
Anatomy
Head and neck
041f5188-7539-4b9a-8784-b7ebf0f10021
Metoprolol is preferred over Propranolol as it: September 2010
Is more potent in blocking beta-1 receptors
Is more potent in blocking beta-2 receptors
Is more effective in suppressing essential tremors
Impairs exercise capacity
0a
single
Ans. A: Is more potent in blocking beta-1 receptors Metoprolol is cardioselective beta blocker, more potent in blocking beta-1 than beta-2 adrenergic receptors.
Pharmacology
null
6acbf6b1-7c5c-42a8-a0f9-cae7485b9eb3
All will predispose to atherosclerosis, except
Homocystinemia
Fibrinogen
Calcium
Lipoprotein A
2c
multi
Elevated plasma levels of  homocysteine are associated with increased risk of atherosclerosis, thrombosis and hypertension. Lipoprotein A inhibits fibrinolysis, therefore predisposes to atherosclerosis. Atherosclerosis (Greek  athere-mush)  is a complex disease characterized by thickening or hardening of arteries due t...
Biochemistry
null
c4dbe11c-2ef0-4043-adcb-5a068e9afe0e
Most serious complication seen in other eye after traumatic injury to one eye: March 2005, September 2008
Subconjunctival hemorrhage
Corneal edema
Sympathetic ophthalmia
Sudden loss of vision
2c
single
Ans. C: Sympathetic ophthalmia Sympathetic ophthalmia (SO) is a condition in which serious inflammation attacks the sound eye after injury (including intraocular surgeries) to the other. It is the most dreaded complication of unilateral severe eye injury, as it can leave the patient completely blind. Symptoms may devel...
Ophthalmology
null
efdbc8fc-57c6-4154-b35f-0907d23ad414
Least commonly seen in conduct disorder seen in girls:-
Run away from home
High risk sexual behavior
Physical aggression
Emotional bullying
2c
single
Conduct disorder - Persistent pattern of antisocial behavior in which the individual repeatedly breaks social rules and carries out aggressive acts.in conduct disorder they do it deliberately usually characterized by aggression and violation of the rights of others boys with conduct disorder show physical & relationshi...
Psychiatry
JIPMER 2018
4a4c2a4f-37d5-469b-a65e-107ee1b863da
Which of the following aminoglycosides has the highest nephrotoxicity?
Paromomycin
Streptomycin
Amikacin
Neomycin
3d
single
null
Pharmacology
null
3d486b16-b896-442c-8c67-2e9530e89fce
Least conduction velocity is seen in:
AV node
Purkinje fibers
Bundle of His
Ventricular myocardial fibres
0a
single
null
Physiology
null