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135
46f8b899-d307-4ab0-8906-f26f8a5f5cfb
Retinoscopy in 5 year old is best done with:
Atropine
Homatropine
Cyclopentolate
Tropicamide
0a
single
null
Pharmacology
null
71ed60b6-c4cc-4fad-9c58-1ae876a59842
Which of the following is most characteristic of diabetic neuropathy?
it is usually bilateral
pain is not a feature
it most commonly affects the brain
it spares the autonomic system
0a
multi
Diabetic neuropathy usually presents as peripheral polyneuropathy, usually bilateral, including symptoms of numbness, paresthesia, severe hyperesthesia, and pain. Impairment of proprioceptive fibers can lead to gait abnormalities and Charcot's joints. Mononeuropathy is less common and is often spontaneously reversible....
Medicine
Endocrinology
2532d806-70f9-4268-b334-4f7fc8614702
The Loop diuretic acts at
PCT
DCT
Ascending loop
Descending loop
2c
single
(C) Ascending loop # Loop diuretics: are diuretics that act on the ascending loop of Henle in the kidney.> They are primarily used in medicine to treat hypertension and edema often due to congestive heart failure or renal insufficiency.# Mechanism of action:> Loop diuretics act on the Na+-K+-2CI' symporter (cotransport...
Pharmacology
Miscellaneous (Pharmacology)
9c01d5d9-32c0-47d5-930c-4a66cab39afc
Neointimal hyperplasia causes vascular graft failure as a result of hyperophy of
Endothelial cells
Collagen fibers
Smooth muscle cells
Elastic fibers
2c
single
Vascular injury leading to endothelial cell loss or dysfunction stimulates smooth muscle cell growth and associated matrix synthesis. Healing of injured vessels involves the migration of smooth muscle cells or smooth muscle cell precursor cells into the intima. Here these cells proliferate, and synthesize ECM in much t...
Pathology
Cardiovascular system
04fdda71-03fe-4220-a3c1-849ba4e2fd66
Increased plasma concentration of calcium is associated with: March 2009
Rickets
Osteomalacia
Primary hyperparathyroidism
Pseudohypoparathyroidism
2c
single
Ans. C: Primary hyperparathyroidism The most common cause of high calcium levels (hypercalcemia) is an overproduction of parathyroid hormone, or hyperparathyroidism. Hyperparathyroidism tends to be more common in women, and occurs in 25 out of every 100,000 individuals. Hyperparathyroidism can be the result of all four...
Medicine
null
9537c431-d912-47f2-bf40-bd02c345c611
Most sensitive investigation for abdominal trauma in a hemodynamically stable patient is-
CT Scan
Ultrasonography
Diagnostic peritoneal lavage
MRI
0a
multi
Ans. is 'a' i.e., CT Scan Investigations to rule out abdominal injury in trauma patient* Investigations are driven by the cardiovascular status of the patient.* Blood loss into the abdomen can be subtle and there may be no clinical signs (blood is not an irritant and may not initially cause any abdominal pain). If stab...
Surgery
Trauma
f9f29d54-e41a-42d6-85e7-4a89043dc92e
True about streptococcus:
Lancefield classification is based on M protein
Group ‘G’ not found in human
Group ‘B’ causes neonatal meningitis
Group ‘C’ can be isolated from vaginal flora
2c
multi
null
Microbiology
null
4088c200-1f92-43aa-bd79-95be7bf011d6
Which of the following is a persistant biochemical marker of rickets -
S.Ca++
S Alkaline phosphatase
S. Acid phosphate
S. phosphate
1b
single
Serum alkaline phosphatase is a consistent marker and is raised in all types of rickets.
Orthopaedics
null
5876fbd3-21a7-4bcb-ade1-29b0fad5c6c1
All are toxicities seen with Amiodarone therapy except -
Pulmonary fibrosis
Corneal micro-deposits
Cirrhosis of liver
Productive cough
3d
multi
Ans. is 'd' i.e., Productive cough Amiodarone is a class III antiarrhythmic drug and thus blocks potassium channel. It acts by increasing the action potential duration and effective refractory period.In spite of its present classification as class 3 drug, amiodarone also significantly blocks inactivated sodium channels...
Pharmacology
C.V.S
f4e76933-2a73-42ce-b05e-45bad97c8d15
Which of the following statements regarding prezinamide is false
One should discontinue treatment if hyperuricemia occurs
There is minimal cross resistance with INH
Polyahralgia is a common side effect
It can cause hepatotoxicity
0a
multi
Ref-Katzung 10/e p775 Pyrazinamide is a first line antitubercular drug that can cause hyperuricemia and hepatotoxicity. Non gouty ahralgia is very common adverse etfect of this drug.Hyperuricemia per se is not the indication for discontinuation of pyrazinamide.
Anatomy
Other topics and Adverse effects
d02d6a95-02d4-4597-900c-3181ae17980d
Opioid agonist are ALE aEUR'
Morphine
Codeine
Ketamine
Methadone
2c
single
Ketamine
Pharmacology
null
3186ca0a-d18e-4581-9498-23f2e177b348
All of the following statements about dislocation of the shoulder are true, except
The injury is produced by a fall with the arm fully abducted
The commonest position for the head of the humerus to move into is the subspinous
The auxiliary (circumflex humeral) nerve is likely to be injured
The easiest way to reduce it is by simple pressure with the patient under general anesthesia with muscle relaxation
1b
multi
B i.e. The commonest position for the head of the humerus to move into is the subspinous
Surgery
null
884413ca-e19b-4176-a1d3-5eecaf9933a7
Patient diagnosed to have malaria, smear shows all stages of schizonts 14-20 merozoites, yellowish - brown pigment. The type of malaria is -
Pl. falciparum
Pl. malariae
Pl. vivax
Pl. ovale
2c
multi
null
Microbiology
null
6ba158c7-60fb-4434-978f-025b4dfe554b
Exhumation can be ordered by
Doctor
Civil surgeon
District magistrate
Police commissioner
2c
single
Ans. c (District magistrate) (Ref. Parikh FMT 6th ed., p 2.90)EXHUMATION# By exhumation is meant the lawful disinterment or digging out of buried body from the grave.# It is sometimes necessary for -- Identification- Determination of cause of death (foul play suspected)# As the Hindus who form majority cremate their de...
Forensic Medicine
Law & Medicine, Identification, Autopsy & Burn
75fd3bd6-96ac-4988-9134-eb5fec5d6722
Which of the following pa of the colon has maximum basic electrical rhythm (BER)?
Ascending colon
Descending colon
Sigmoid colon
Transverse colon
2c
single
Basic electrical rhythm (BER) is initiated by the interstitial cells of Cajal, stellate mesenchymal pacemaker cells. The rate of the BER is about 4/min in the stomach. It is about 12/min in the duodenum and falls to about 8/min in the distal ileum. In the colon, the BER rate rises from about 2/min at the cecum to about...
Physiology
null
c49b77af-453b-4d15-95e6-4722f7e86e7f
Major pa of the skin of pinna is supplied by:
Aurculo temporal nerve
Auricular branch of the vagus
Posterior auricular nerve
Great auricular nerve
3d
single
D i.e. Great auricular
Anatomy
null
f0d53dbc-18d9-4bfa-9f92-d61450708934
Crude birth rate denominator is -
Total no of live births in that year
1000 live births
Total numbers of births
Mid year population
3d
single
null
Social & Preventive Medicine
null
9a189c08-0c4f-44a5-9493-42a3fe5f69dc
As per the World Health Organisation guidelines, iodine deficiency disorders are endemic in a community if the prevalence of goiter in school age children in more than -
1%
5%
10%
15%
2c
single
Epidemiological criteria for assessing severity of IDD. Total goitre Rate (TGR) : Grade I + Grade II Median urinary iodine excretion. Thyroid volume (Ultrasound). Salt iodine content Criteria for sustainable elimination of IDD. Median Urinary Iodine Excretion 100 mcg/L Level of iodization: 1) 30ppm at production level ...
Social & Preventive Medicine
Nutrition and health
325fa77f-4b1d-4b7c-80ba-e2c309b51661
Organophosphate insecticides are all except -
Dieldrin
Fenthion
Diazinon
Propoxur
0a
multi
Organochloride compounds: DDT Lindane Methoxychlor HCH Chlordane Dieldrin Aldrin Toxaphene Kepone Mirex Organophosphorous compounds: Chlohion Diazinon Dioxathion Dimethoate EPN Malathion (OMS-1) Fenthion (OMS-2) Methyl parathion Parathion Ronnel Trichlorfon Dichlorvos Abate (OMS-786) Naled Gardona Chlorpyrifos Fenitrot...
Social & Preventive Medicine
Environment and health
4844a5dd-40f6-4894-8d8e-75b1a2e41875
Medium used to isolate M. tuberculosis contains all except ?
Malachite green
Hen's egg
Bromothymol blue
Glycerol
2c
multi
Ans. is 'c' i.e., Bromothymol blue Lowenstein-Jensen Medium (LT medium)LJ medium consists of mineral salts, asparagine, glycerol, malachite green and hen's egg.The malachite green prevents the growth of other microorganism on medium.It is used as a primary isolation medium for mycobacteria.Mineral salts are monopotassi...
Microbiology
null
def76173-b7b5-459b-babd-6ef86b0c9435
Intrauterine exposure of diethylstilboestrol is associated with -
Squamous cell carcinoma of cervix
Adenocarcinoma of endometrium
Clear cell adenocarcinoma of vagina
Sarcoma of uterus
2c
single
null
Pathology
null
837e0afb-c3ec-4aa4-93ad-25acf3acfcc8
The biological indicator used in various autoclave machines for quality check is-
Clostridium tetani
Bacillus stereothermophilus
Bacillus pumilus
Bacillus subtilis
1b
single
METHOD Sterlization control Hot air oven Autoclave Filtration Ionizing radiation (cold sterilization) Ethylene oxide Plasma sterilization Clostridium tetani non toxigenic strain, B.subtilis sub sp. niger B.Stearothermophillus Brivundimonas dimunata B. Pumilus B.Globigi B.Stearothermophillus
Microbiology
General Microbiology Pa-2 and Pa-3 (Sterilization and Bacterial Genetics)
15a6780f-24ae-494f-b810-305c3d0b6bc8
Disease elimination is helped by-
Herd immunity
Isolation
Quarantine
None
0a
multi
Ans. is 'a' i.e., Herd immunity o If the herd immunity is sufficiently high, the occurrence of an epidemic is regarded as highly unlikely.o If that high level of immunity is maintained and stepped up, by an on-going immunization programme, to the point where the susceptible persons are reduced to a small proportion of ...
Social & Preventive Medicine
Infectious Disease Epidemiology
23fd3020-f63b-4347-9bf4-dbc7772dd411
In retinitis pigmentosa, following are true except –
Pigments present
Pale waxy disc
Narrowing of vessels
ERG – normal
3d
multi
ERG is markedly subnormal in retinitis pigmentosa. There is perivascular pigment deposition, pale- waxy disc and marked attenuation (narrowing) of retinal vessels
Ophthalmology
null
76da772d-b1fa-4e52-a37d-62988939b96f
Aminoglycoside class of drugs causes hearing loss by damaging?
Inner hair cells of basal turn
Outer hair cells of basal turn
Inner hair cells of apical turn
Outer hair cells of apical turn
1b
single
Ans. is 'b' i.e., Outer hair cells of basal turn o Aminoglycosides affect exclusively outer hair cells, paicularly of basal coil of cochlea.
Pharmacology
null
31ecfe9a-45f3-46db-802c-6bf6a560b55e
A six month old infant fed totally on cow's milk has been brought with bleeding spots, anaemia, fever and generalised tenderness. On examination, there were swelling in both the lower extremities and the blood count was normal. The most likely diagnosis is?
Ahritis
Poliomyelities
Osteomyelities
Scurvy
3d
multi
Ans. is 'd' i.e., ScurvyExclusive feeding on Cow's milk in a 6 months infant with anemia, bleeding, fever and generalized tenderness suggest the diagnosis of scurvy.Cow's milk does not contain sufficient amount of Vitamin C. On the other hand breast milk contains sufficient Vitamin C.Clinical manifestations of scurvy o...
Pediatrics
null
eefe4735-a79e-4cfd-8cae-84308296fa1d
Which of the following is not true in obstructive lung disease?
FEV|
TLC|
FVC|
Reduced timed vital capacity
1b
multi
Ans. (b) TLC |Ref: Harrison 19th ed. / 306e-2fParameterObstructiveRestrictiveFEV1REDUCEDREDUCEDTLCNORMAL/ INCREASEDREDUCEDFVCREDUCEDREDUCEDFEV1/FVC RATIOREDUCEDNORMAL/INCREASEDRESIDUAL VOLUMEINCREASEDDECREASED
Medicine
Chronic Obstructive Pulmonary Disease
e1727ef5-d204-4767-9e02-f090639fb286
Which of the following Antiepileptic acts by opening Potassium channel?
Ezogabine
Felbamate
Lacosamide
Gabapentin
0a
single
null
Pharmacology
null
7d435cfd-c3c1-47eb-9db5-6ea56f801628
Normal CD4:CD8 ratio is
3:01
2:01
1:02
1:03
1b
single
Ans. b (2:1) (Ref. Harrison's Principles of Internal Medicine 16th ed., 2019)CD4/CD8 Ratio# The ratio of 2:1 found in normal tissues.# In HIV infection the CD4 count is often decreased and the CD8 count increased so the ratio might 'invert', that is become less than 1.AIDS Diagnosis:* < 200 CD4 count,* HIV Positive wit...
Pathology
Immunity
2a769350-8300-4499-ae2e-9dc723aa6715
Which group of streptococcus grow at > 60degC -
A
B
C
D
3d
single
Option 1, 2, 3 Heat tolerance test (60oC) is negative for Group A, B, C Streptococci. Option 4 Enterococcus is heat resistant. Enterococcus grows in presence of 6.5% NaCl, pH 9.6 and temperature >55oC which differentiate it from Group D streptococci.
Microbiology
Systemic Bacteriology Pa 1 (Gram Positive Cocci, Gram Negative Cocci)
81f1689f-eddf-4365-96fa-863bb23a1ae7
Which of following are associated with external oblique muscle -a) Pouparts ligamentb) Lacunar ligamentc) Superficial inguinal ringd) Conjoint tendone) Cremaster muscle
ab
abc
acd
bcd
1b
single
Internal oblique forms cremasteric muscle. Internal oblique and transversus abdominis form the conjoint tendon. Poupart's ligament, lacunar ligament, pectineal ligament, superficial inguinal ring, and external spermatic fascia are all formed by external oblique muscle.
Anatomy
null
c49daf84-fbda-40da-b8f0-c972e0a61b01
IgE is secreted by -
Mast cell
Basophils
Eosinophils
Plasma cells
3d
single
IgE is synthesised by plasma cells. Monomers of IgE consist of two heavy chains (e chain) and two light chains, with the e chain containing 4 Ig-like constant domains Reff: Ananthanarayanan & Panikers textbook of microbiology 9th edition pg:136
Microbiology
Immunology
3974ae54-1b34-40d7-95bc-05618d526915
A 25 year old married male presents with infeility. He had undergone retroperitoneal lymphnode disection at age of 15 years for embryonal carcinoma of right testis. Semen analysis shows-quantity-0.5 ml, no. sperm, no fructose. Biopsy of testis shows normal spermato genesis. Best treatment here would be ?
Aificial insemination of donor
Penile-prosthesis
Microtesticular aspiration and intracyto plasmic injection
None of the above
2c
multi
Ans. is 'c' i.e., Microtesticular Aspiration and intra-cytoplasmic injection Absence of sperms in presence of normal spermatogenesis along with absence of fructose is suggestive of an obstruction in the ejaculatory duct (as described in previous chapter - Prostate & seminal vesicles) "Sperm aspiration techniques are in...
Surgery
null
7f775dbd-b0e1-4901-b30b-3692df793fac
The lamina propria, a layer of dense connective tissue is:
Thicker in anterior than posterior part of the palate.
Thicker in posterior than anterior part of the palate.
Not found in the posterior part of the palate.
Not found in the anterior part of the palate.
0a
single
The lamina propria may attach to the periosteum of the alveolar bone , or it may overlay the submucosa.
Dental
null
60956c24-8b5c-4a54-82df-9fadf05a9573
Drug which is used in lie detection (truth serum)
Glycopyrrolate
Solifenacin
Hyoscine
Acetylcholine
2c
single
Hyoscine or scopolamine and thiopentone sodium are the drugs used in lie detection .they are considered as truth serum .under CNS depression it is implied that the patient usually tells the truth Ref: Goodman Gillman 11th ed pg 231-232
Pharmacology
Autonomic nervous system
76b320f7-0fb2-4f8e-a70f-fb59e77e8be2
Test for allergic rhinitis -
CT Scan
X-ray
Nasal Smear
MRI
2c
multi
Ans. is 'c' i.e.. Nasal Smear o A nasal smear can sometimes be helpful for establishing the diagnosis of allergic rhinitis.o The presence of eosinophils is consistent with allergic rhinitis.
ENT
Nose and PNS
84c1acbb-2e66-49b4-b38b-b9f7359dedfa
TRUE about normal curve is all, EXCEPT:
Bell shaped
Symmetrical about the mean
Mean, mode and median coincides
Value of mean is 1
3d
multi
Normal or Gaussian distribution has the following features: Bell shaped Symmetrical about the mean Mean, mode and median coincides Ref: Medical biostatistics, 1st edition pg: 126
Social & Preventive Medicine
null
84166851-7abd-4243-a850-61c41c361cf2
The Ducts of Bellini are typically seen in
Pancreas
Liver
Kidney
Submandibular salivary gland
2c
multi
Inderbir Singh's Human Histology Sixth edition Pg 304 The space between renal columns constitute ducts of bellini
Anatomy
General anatomy
dbb6a4db-35a1-42d7-85a5-cb8246dcb910
In apoptosis which is/are involved
Apaf-1
Bcl2
Caspases
Programeed cell death
0a
single
Cytochrome c is a component of the electron transpo chain in mitochondria. ... Cytochrome c is also involved in initiation of apoptosis. Upon release ofcytochrome c to the cytoplasm, the protein bindsapoptotic protease activating factor-1 (Apaf-1).which is very impoant for cellular apoptosis Ref guyton and hall textboo...
Physiology
General physiology
66c6c3eb-83bd-499a-952a-5528d96ca0c5
Maximum pressure in left ventricle is seen in which phase of cardiac cycle ?
Isovolumetric contraction
Ventricular ejection
Protodiastole
Rapid ventricular filling
1b
single
Ans. is 'b' i.e., Ventricular ejection During ventricular ejection phase, when the steeply rising left ventricular pressure exceeds the aoic pressure (120 mm Hg), it is able to push open the aoic valve and eject the blad into the aoa, making the onset of ventricular ejection. PHASE OF CARDIAC CYCLE A cardiac cycle refe...
Physiology
null
0c7e2ba7-3604-4673-9c7d-d9fd32781c14
A 4-year-old female brought to the casualty department with multiple fractured ribs, and inconspicuous history from parents. On examination show multiple bruises and healed fractures. The probable diagnosis is -
Polytrauma for evaluation
Flail chest
Munchausen syndrome
Battered baby syndrome
3d
single
child abuse have certain characteristic features : Inflicted fractures of the shaft are more likely to be spiral rather than transverse. A classic finding is a chip fracture in which a corner of the metaphysis of a long bone is torn off with damage to epiphysis and periosteum. Bruises, Petechiae and Ecchymosis... a...
Orthopaedics
null
53b97e98-0641-415d-84d3-4f6ae2fb1017
Which of the following statements is TRUEregarding spermicides found in vaginal foams, creams, and suppositories?
The active agent in these spermicides is nonoxynol-9
The active agent in these spermicides is levonorgestrel
Effectiveness is higher in younger users
Effectiveness is higher than that of the diaphragm
0a
multi
All spermicides contain an ingredient, usually nonoxynol-9, that immobilizes or kills sperm on contact. Spermicides provide a mechanical barrier and need to be placed into the vagina before each coital act. Their effectiveness increases with increasing age of the women who use them, probably due to increased motivation...
Gynaecology & Obstetrics
Contraceptives
0e8a0096-a5c6-40eb-a77d-ca1d07717ced
Sickness benefit under ESI is available for a period-
30 days
46 days
57 days
91 days
3d
single
Ans. is 'd' i.e., 91 days Sickness benefit under ESI* The sickness benefit is payable for a maximum period of 91 days in any continuous period of 365 days.* The daily rate is 50% of the average daily wage.* Extended sickness benefit - In this, persons suffering from certain long term diseases are entitled to Extended s...
Social & Preventive Medicine
Occupational Health
44e59998-01ac-49cb-ad34-ec1de4985672
Negative BMR is observed with:
Pituitary disturbance
Thyroid disturbance
Parathyroid
All of the above
1b
multi
null
Physiology
null
1c3d5617-2e2d-4071-b693-6a2b1d7bb1c3
Black piedra is caused by ?
Piedraia hoae
Trichosporon asahi
Trichosporon ovoides
Trichosporon inkin
0a
single
Ans. is 'a' i.e., Piedraia hoae Piedra is an asymptomatic superficial fungal infection of the hair shaft also known as trichomycosis nodu- laris. Black piedra is caused by Piedraia hoae, whereas white piedra is caused by pathogenic species of the Trichosporon genus, namely Trichosporon asahii, Trichosporon ovoides, Tri...
Skin
null
b886dd10-e154-48e8-834f-7e87cd0e5a5c
Asepsis means -
Absence of pathogenic microbes
Disinfection of the surface
Prevention of infection
Destroying all forms of micro organism
0a
multi
null
Microbiology
null
22f5299b-4c33-44bb-842f-fc63393776c4
Notching of ribs occurs in all, EXCEPT:
Coarctation of aoa
Neurofibromatosis
Hypothyroidism
Osteogenesis imperfecta
2c
multi
Hypothyroidism is not associated with rib notching. Inferior rib notching is much commoner than superior notching. Causes of inferior rib notching are coarctation of aoa, tetralogy of Fallot, superior venacava obstruction, Blalock-Taussig shunt, neurofibromatosis. Causes of superior rib notching include, hyperparathyro...
Medicine
null
daf0b8f9-21e9-4a81-95be-0803c77e186d
Sense organ which is having efferent supply
Golgi tendon organ
Organ of coi
Retina
Taste bud
1b
single
Ans. is 'b i.e., Organ of coiAfferent (sensory) neurons carry information form sense organs to CNS (brain & spinal cord).Hair cells (in organ of coi) are the sensory recepors which are also innervated by efferent neurons.
Physiology
null
bfc166ab-500e-43f6-99b1-509356d54f80
Local anaesthetic with prolonged action -
Procaine
Cocaine
Lidocaine
Dibucaine
3d
single
Ans. is 'd' i.e., Dibucaineo Dibucaine is the longest acting local anaesthetico Chlorprocaine is the shortest acting local anaesthetico Decreasing order of duration : - Dibucaine > Bupivacine = Tetracaine = Ropivacaine =Etidocaine > Prilocaine = Lignocaine = Mepivacaine = Cocaine > Procaine > Chlorprocaine.
Anaesthesia
Miscellaneous (Local and Regional Anesthesia)
fecc884c-e78b-4852-b0a6-e158601b8125
In . sided hemithorax on chest X-ray PA view what can be excluded:
CCF
TB
Pulmonary infarct
None of the above
0a
multi
A i.e. CCF Congestive cardiac failure is a condition which presents with B/L changes in chest X RayQ - so it can be excluded by seeing U/L hemithorax on chest X Ray, if it is normal.;
Radiology
null
c4d6fa3b-a648-4c82-9e87-3c2aa24ea876
The response to shock includes which of the following metabolic effects?
Increase in sodium and water excretion
Increase in renal perfusion
Decrease in cortisol levels
Hyperkalemia
3d
single
The biochemical changes associated with shock result from tissue hypoperfusion, endocrine response to stress, and specific organ system failure. During shock, the sympathetic nervous system and adrenal medulla are stimulated to release catecholamines. Renin, angiotensin, antidiuretic hormone, adrenocorticotropin, and c...
Surgery
Trauma
0a631a65-b2a8-417e-9fa8-25cbb3cea67f
Leukemoid reaction is seen in:
Acute infection
Erythroleukemia
Myelomatosis
Hemorrhage
0a
single
Acute infection Persistent neutrophilia of 30,000-50,000 cells/ul, or greater is known as leukemoid reaction. It is a term used to distinguish this degree of neutrophilia from leukemia. In a leukemoid reaction, the circulating neutrophils are mature and not cion ally derived. leukemoid reaction is seen in ACUTE INFECTI...
Surgery
null
3dce9767-584e-490a-bcd7-1267ab5bed72
Intracellular calcification begins in which of the following organelles?
Mitochondria
Golgi body
Lysosomes
Nucleus
0a
single
Calcium may be deposited at sites of cell death, resulting in pathologic calcification. Initiation of intracellular calcification occurs in the mitochondria of dead or dying cells that accumulate calcium.
Pathology
Reversible Cell Injury
26fdaad3-3f6d-444e-aa1c-2e4f526f15e0
Popkorn cells are found in
Hodgkins Lymphoma
Non Hodgekins lymphoma
Multiple myeloma
Iron deficiency anaemia
0a
single
null
Pathology
null
d5a9e83b-dc17-46a3-9383-a9ead8de1d6c
Vasodilators in Meniers disease are useful because they:
Dilate tympanic vessels
Decrease endolymph secretion
Increase endo lymph reabsorption
Area of no use
2c
single
Ans: c (Increase endolymph reabsorption)Ref: Dhingra E.N.T. 3rd/e p. 129 & 2nd/e p. 103One of the etiological factors for menier's disease is poor vascularity & poor absorption. Vasodilators improve vascularity and therby absorption.
ENT
Menier's Disease
33c88d4c-cc2e-4015-b07c-fb27af811f00
Froments test is used in
Ulnar nerve injury
Median nerve injury
Radial nerve injury
Axillary nerve injury
0a
single
Froment's sign: the patient is asked to grip a card firmly between thumbs and index fingers; normally this is done using the thumb adductors while the interphalangeal joint is held extended. In patients with ulnar nerve injury or palsy, because the adductor pollicis is weak, the patient grips the card only by acutely f...
Orthopaedics
All India exam
413ebe85-1aca-40c2-a89f-8e6d69b883b9
Which of the following is a primary skin lesion?
Crust
Atrophy
Purpura
Induration
2c
single
Ans. C. Purpura* Purpura is a primary skin lesion.* Purpura is a condition of red-or purple-discolored spots on the skin that do not blanch on applying pressure. The spots are caused by bleeding underneath the skin usually secondary to vasculitis or dietary deficiency of vitamin C.Other Options:Option a: Crusts (scabs)...
Skin
Miscellaneous
da681051-eee3-46a2-b7b3-b9bdae16e717
Germ cells appear in yolk sac at :
3 weeks
6 weeks
9 weeks
5 weeks
0a
single
As early as the third week of gestation, primordial germ cells appear in the endoderm of yolk sac, and these migrate along the dorsal mesentry to the urogenital ridge by the eighth week Reference: Shaw's textbook of Gynaecology 15th edition page 27
Gynaecology & Obstetrics
General obstetrics
8615e8c6-d60b-4404-95b5-6cb18395796f
Which of the following inhalational anaesthetic agent can cause hepatitis on repeated use?
Halothane
Isoflurane
Sevoflurane
Ether
0a
single
Halothane causes hepatitis .It can also cause arrhythmia by making adrenaline more adrenogenic, i.e , Adrenaline Shows more adrenogenic action when halothane is used. Hence it should not be used in conditions where adrenaline is high ,i.e, pheochromocytoma
Pharmacology
FMGE 2019
58e52b30-980e-4ffe-b626-52efb255ed4d
Which of the following organism is biggest -
Balantidium coli
Entamoeba coli
Escherichia coli
Entamoeba histolytica
0a
single
largest protozoal parasite of human Lives in large intestine Two stages- trophozoite and cyst (refer pgno:82 baveja 3 rd edition )
Microbiology
parasitology
dbaa874e-c58b-4801-94c9-4126a558ef90
All of the following are seen in the Horner’s syndrome, except :
Drooping of upper eyelid
Enophthalmos
Dilated pupil
Loss of sweating of same sides of face
2c
multi
null
Unknown
null
00e8a051-7cc4-48f9-9e04-ea20af4ecb35
NOT of use in bipolar disorder: September 2012
Carbamazepine
Phenytoin
Sodium valproate
Lamotrigine
1b
single
B i.e. Phenytoin Phenytoin It acts to suppress the abnormal brain activity seen in seizure by reducing electrical conductance among brain cells by stabilizing the inactive state of voltage-gated sodium channels. Aside from seizures, it is an option in the treatment of trigeminal neuralgia in the event that carbamazepin...
Pharmacology
null
c7b3b5b4-75eb-466c-9dce-673365965955
An unstable and emotional temporary social group with a leader is known as –
A band
A crowd
A herd
A mob
3d
single
Crowd and mob are related terms. Crowd means a large number of persons gathered together. A crowd can be a crowd of random people doing different things or it may be people with one intent or purpose. Mob is highly emotional crowd whose members have with one intent or purpose and are engaged in or are ready to engage i...
Social & Preventive Medicine
null
75d0000b-236f-41a9-aba3-8392f1a4448e
Horse shoe kidney lies below the level of:
Coeliac trunk
Superior mesenteric aery
Inferior mesenteric aery
Median sacral aery
2c
single
Inferior mesenteric aery
Anatomy
null
610fe6bb-5934-48c4-80c7-5cc59f011780
Berkesonian bias is a selection bias which occurs in?
Community-based studies
Hospital-based studies
Laboratory-based studies
Natural exposure studies
1b
single
Ans. is 'b' i.e., Hospital-based studies
Social & Preventive Medicine
null
e8a59d75-6f7a-4df1-ae1e-454f8df1a4b4
A case-control study is conducted to assess the relationship between poor diet and coronary artery disease. They enroll cases from cardiac floors in hospitals and controls from primary care physician offices in a single metropolitan area, Diet for the past 10 years was recorded using an in-person interview. On average,...
Berkson’s bias
Loss to follow-up
Observer bias
Recall bias
2c
multi
null
Social & Preventive Medicine
null
64566e03-e83f-48fd-adda-ada1cb56c288
How to avoid lipodystrophy in diabetics?
Avoid insulin injection
Change injection sites
Give injection on same site
Give injection on alternate days
1b
single
By changing the injection site every day, the incidence of lipodystrophy can be reduced significantly. Ref: KD Tripathi 8th ed.
Pharmacology
Endocrinology
c0698704-f7cc-47ea-9e5d-223e1daef6f3
Which one of the following is a distinguishing feature of Edward's syndrome-
Hypotonia
Hypotelorism
Holoprosencephaly
Rocker bottom feet
3d
single
Ans. is 'd' i.e., Rocker bottom feet
Pediatrics
null
e680ed3b-80ae-40d1-869e-6dd5bc6c7a1d
Which is not an antiviral drug:
Vidarbine
Acyclovir
Zidovudine
Mitomycin
3d
single
dRef: KDT, 5th ed, p. 725, 783, 770 & 4th ed, p. 781
Pharmacology
Anti Microbial
57f326c2-5f05-427e-9153-8c2c7147fd55
True about varicella vaccine is ?
Poorly immunogenic
Duration 4-6 months
Avoid salicylates for 4-6 weeks
Given to child< 12 months when they do not have chicken pox
2c
multi
Ans. is 'c' i.e., Avoid salicylates for 4-6 weeks A live attenuated varicella virus vaccine is safe and currently recommended between 12-18 months of age who have not had chicken pox.The vaccine is very immunogenic, sero-conversion occurs in 95% of children after a single dose.A duration of immunity is not known, but i...
Social & Preventive Medicine
null
c3b948a2-a28d-4a91-a18f-724bb9519b66
For every case of poliomyelitis the subclinical cases of poliomyelitis to be estimated
500 children and 50 adults
750 children and 75 adults
1000 children and 75 adults
1000 children and 50 adult
2c
single
null
Social & Preventive Medicine
null
9957b17f-6ab6-4b25-8309-cd9fb1c616c0
A young lady presents to your office with complain of copious vaginal discharge, but there is no cervical discharge on per speculum examination. Which of the following should be given for the management
Metronidazole and fluconazole
Metronidazole and azithromycin
Metronidazole and doxycycline
Fluconazole only
0a
single
Ans.'a'Metronidazole and fluconazole
Gynaecology & Obstetrics
null
a66b563f-a396-49c9-b25b-fa97bffe2b50
Development of hepatic central lobular necrosis secondary to acetaminophen overdose can be prevented effectively by which of the following if given within a few hours after ingestion :
N–acetylcysteine
Dimercaprol
Sodium nitrite
Amyl nitrite
0a
single
null
Pharmacology
null
a750d39a-844c-4fc6-9253-9e6d171a80c4
A 50 year old male patient complains of reduced mouth opening. Patient gives h/o RTA 1 week back. Submentovertex view x-ray was taken which revealed zygomatic arch fracture. Which of the following is true regarding the central beam in this x-ray-
It is parallel to the image receptor
It is directed from skull to the mandible
It is centered about 2 cm anterior to a line connecting the right and left condyles
It is posterior to a line connecting the right and left coronoid process
2c
multi
Submentovertex view- The central beam is perpendicular to the image receptor, directed from below the mandible toward the vertex of the skull (hence the name submentovertex), and centered about 2 cm anterior to a line  connecting the right and left condyles. White and Pharoah, Oral radiology, ed 7th, pg-161
Radiology
null
a28d8d30-2766-445e-8c51-672337d6e6f0
A 3 week old boy is brought to pediatrics emergency depament with projectile vomiting which is non bilious. On physical examination, firm, olive like mass is noted in the epigastric region post breastfeed and USG revealed thickened pyloric muscle. What is the most likely pathological finding if the pylorus muscle is bi...
<img style="max-width: 100%" src=" />
<img style="max-width: 100%" src=" />
<img style="max-width: 100%" src=" />
<img style="max-width: 100%" src=" />
0a
single
The clinical symptoms, examination with USG findings of thickened pyloric muscle (>3mm) and elongated pyloric canal (>15mm) reveal the diagnosis as CHPS- congenital hyperophic pyloric stenosis which has hyperophy of circular muscle as depicted in option A Hyperophy-Small spindle-shaped (uterine smooth muscle cells) fro...
Unknown
Integrated QBank
848a156f-a358-4028-a5a9-dc5e6ddf252f
Which of the following is NOT a constituent of Virchow's triad?
Damage to endothelium due to injury or inflammation
Diminished rate of blood flow
Increased coagulability of blood
Increased venous blood pressure
3d
single
null
Pathology
null
7034b11d-1407-4c4d-a666-c137f06fadb3
When assessing tooth mobility the best indicator is
Condition of gingival periodontal fibers
Horizontal crown displacement
Root displacement within the remaining periodontal ligament
Amount of calculus and plaque present
2c
single
null
Dental
null
3838d8e2-4653-45c6-a638-b5b4ab8286d7
Recall bias is most commonly associated with which study design-
Case control study
Coho study
Coho case control study
Cross sectional study
0a
multi
.<p>1`when cases and controls are asked questions about their past history,it may be more likely for the cases to recall the existence of ceain events or factors,than the controls who are healthy individuals.cases may have a different recall of past events than controls.</p><p>ref;park&;s textbook of preventive and soc...
Social & Preventive Medicine
Epidemiology
14867ac3-30ed-419e-8441-885184977594
In aluminum phosphide poisoning, which is NOT true: AIIMS 10; Punjab 11
Accumulation of acetylcholine at NM junction
Cytochrome oxidase inhibition
Phosphene formation
Metabolic acidosis
0a
multi
Ans. Accumulation of acetylcholine at NM junction
Forensic Medicine
null
6ec5028e-43b6-4f77-975b-737123f541f0
To prevent synechiae formation after nasal surgery, which one of the following packings is the most useful -
Mitomycin
Ribbon gauze
Ribbon gauze with liquid paraffin
Ribbon gauze steroids
0a
single
Now, Mitomycin is being increasingly used for this purpose and is proving more useful. Mitomycin is an anticancer agent that has shown to decrease scar formation after E.N.T. surgery. It is an anti fibroblastic agent and thus prevents the wound healing and subsequent synechiae formation. It is useful in preventing syne...
ENT
null
bb2da234-b6f2-4782-9156-99c748cf4b6e
A 75-year-old male patient is a known case of a pulmonary disease and is being treated with inhalational coicosteroids and daily theophylline.The patient was admitted to a hospital for urinary retention few days back and catheterization was done. However, the condition got complicated with urinary tract infection and t...
Amoxicillin
Ceftriaxone
Nitrofurantoin
Ciprofloxacin
3d
single
Theophylline is metabolized mainly by CYP1A2 hepatic microsomal enzyme. Inhibitors of CYP1A2: Cimetidine Ciprofloxacin Erythromycin Others are: - Aemisinin Atazanavir Enoxacin Ethinyl estradiol Fluvoxamine Furafylline Galangin Mexiletene Tacrine Thiabendazole Zileuton All these drugs inhibit the metabolism of theophyll...
Unknown
Integrated QBank
58769b68-42c5-4c1f-90a8-772411ea8c38
Safety muscle of tongue is
Hyoglossus
Genioglossus
Palatoglossus
Styloglossus
1b
single
null
Anatomy
null
6d379f1c-8d18-4de6-b19b-867c27c4a9b6
Most common cause of death in measles ?
Encephalitis
Meningitis
Dehydration
Pneumonia
3d
single
Answer- D. PneumoniaMost commot cause of death in measles is pneumonia
Medicine
null
d241fa04-6033-4ffa-8aa0-999355e09d91
Earliest symptom of Congenital Glaucoma
Lacrimation
Blepharospasm
photophobia
Diminision of vision
2c
single
Earliest but nonspecific symptom of Congenital Glaucoma is photophobia
Ophthalmology
null
ba8ae3c4-e7ea-4c99-9e79-589c6040cb73
Pathognomic features of acute rheumatic fever is -
Pericarditis
Myocarditis
Mitral stenosis
Aschoffs nodules
3d
single
null
Pathology
null
6ea2350a-1c7f-4b28-88a3-20f5e425ddd2
Etomidate causes all except ?
Coronary insufficiency
Decreased steroid
Decreases Intracranial tension
Nausea and vomiting
0a
multi
Ans. is 'a' i.e., Coronary insufficiency Etomidate produces little cardiovascular and respiratory depression --> Agent of choice for cardiovascular surgeries (bypass, aneurysms, valve surgery). Etomidate is the most cardiostable inducing agent. Etomidate has the highest incidence of nausea and vomiting amonst inducing ...
Pharmacology
null
edf059f4-ae92-4489-91e3-9f16e5c30372
Ranolazine is a?
Vasodilator
Antianginal
Antihypertensive
Antiarrhythmia
1b
single
ANSWER: (B) AntianginalREF: KDT 6th edition page 522, 536, Katzung 12th edition page 205CLASSIFICATION OF ANTIANGINAL DRUGSNitrates:Short acting: Glyceryl trinitrate (GTN, Nitroglycerine)Long acting: Isosorbide dinitrate (short acting by sublingual route), Isosorbide mononitrate, Erythrityl tetranitrate, Pentaerythrito...
Pharmacology
Anti-Anginal
03b39f02-9508-4745-8f22-d2a1989c71e4
Which of the following hypothesis was initially given for etiology of schizophrenia?
Serotonin Hypothesis
Dopamine hypothesis
Learned helplessness
Cognitive theory
1b
multi
Ans. B. Dopamine hypothesisThe dopamine hypothesis of schizophrenia or the dopamine hypothesis of psychosis is a model attributing symptoms of schizophrenia (like psychoses) to a disturbed and hyperactive dopaminergic signal transduction. The model draws evidence from the observation that a large number of antipsychoti...
Psychiatry
Schizophrenia
c1938106-fdf4-4389-8c80-ed8d7c904e90
Following a motor vehicle accident, a truck driver complains of severe abdominal pain. Serum amylase level is markedly increased to 800 U. Grey Turner's sign is seen in the flanks. Pancreatic trauma is suspected. Which statement is true of pancreatic trauma?
It is mainly caused by blunt injuries.
It is usually an isolated single-organ injury.
It often requires a total pancreatectomy.
It may easily be overlooked at operation.
3d
multi
Because of its protected retroperitoneal location, pancreatic injury occurs with deep penetrating wounds or with significant blunt trauma to upper abdomen. Blunt trauma accounts for less than 20-30% of all pancreatic injuries. The most common site of injury is at the neck of the pancreas where the pancreatic tissue is ...
Surgery
Pancreas
280d069b-ad71-460a-b0bc-4595827dc941
Incisura is absent in ?
Aoic valve replacement
Aoic stenosis
Cardiac tamponade
Hypovolumic shock
1b
single
The occurrence and magnitude of the incisura of the central aoic pressure were shown in 66 patients to depend on the functional state of the aoic valve. In normal subjects and children with congenital aoic stenosis (with thin flexible leaflets), the incisura ranged between 6 and 14 mm Hg. With aoic regurgitation, the i...
Medicine
C.V.S
9bbe9753-b444-41e7-a370-8d0a50c6d05a
Concerning the gastrointestinal (GI) tract during pregnancy, which of the following is true?
Gastric emptying time is increased in each trimester
Epulis is a systemic highly vascular swelling of mucosal membranes
Gastric emptying time is shoened during labor
Pyrosis is caused by reflux of acidic secretions into the lower esophagus
3d
multi
Heaburn (pyrosis) is the feeling of substernal burning, often radiating to the neck. It is caused by the reflux of acidic (or, rarely, alkaline) material into the esophagus, it is highly specific for gastroesophageal reflux disease. Epulis: A pyogenic granuloma is a common, benign proliferation of connective tissue in ...
Gynaecology & Obstetrics
null
f3f1ef55-8598-4df6-93b3-1ab2262025fd
Which of the following is positive in Follicular lymphoma?
Bcl 2
Bcl 6
Bcl 1
Bcl 10
0a
single
Follicular lymphoma likely arises from germinal center B cells and is strongly associated with chromosomal translocations involving BCL2. Its hallmark is a (14;18) translocation that juxtaposes the IGH locus on chromosome 14 and the BCL2 locus on chromosome 18. The t(14;18) is seen in up to 90% of follicular lymphomas,...
Pathology
NEET 2019
553ee2ab-c91a-4c8a-b7a7-bd53e0ec3670
Acute hemorrhagic conjunctivitis is seen with -
Adenovirus
Staphylococcal
Pneumococcus
Hemophilus
0a
single
Hemorrhagic conjunctivitis is caused by picornaviruses (Enterovirus-70, coxsackievirus A24) and sometimes Adenovirus type11. Ref: Duker 2nd/e p.229
Ophthalmology
Conjunctiva
07d58e75-c74b-4b0f-a10c-4924b8fb02cb
Risk of scar rupture in previous LSCS with lower segment scar is -
1%
5%
10%
50%
0a
single
Ans. is 'a'i.e., 1% o The risk of lower segment scar - rupture is low (0[?]2-1[?]5%) and even if it does occur, maternal death is much less and the perinatal mortality is about 1 in 8.o Previous history of classical caesarean section or hysterotomy makes the woman vulnerable to unpredictable rupture of the uterus. This...
Gynaecology & Obstetrics
Caesarean Section
c6c30862-8805-4cb5-b9f6-dc27a941f0a7
A surgeon excises a portion of liver of the left of the attachment of the falciform ligament. The segments that have been resected are -
Segment la and 4
Segment 1 and 4b
Segment 2 and 3
Segment 1 and 3
2c
single
The portion of liver on the left side of falciform ligament is left (anatomical) lobe of liver. And in Couinaud's functional segmentation of liver, the segment number 2, 3, 4a and 4b form the left liver lobe.
Anatomy
null
1b85c30c-9f01-4686-9a4b-00e9bfe421f1
Urea is synthesized in all except
Liver
Kidney
Brain
Spleen
2c
multi
The ammonia from all over the body thus reaches liver.It is then detoxified to urea by liver cells, and then excreted thougth kidneys. Urea is the end product of protein metabolism. Since mammals including humanbeings excrete amino nitrogen mainly as urea , they are referred to as ureotolic.Although , ammonia is toxic ...
Biochemistry
Metabolism of nucleic acids
01a183fa-fb4a-496c-9b4a-550a0db5fd01
Epsilon aminocaproic acid (EACA) can be used in the treatment of adverse effects caused by :
Streptokinase
Heparin
Warfarin
Any of the above
0a
multi
null
Pharmacology
null
b675a12c-103a-4aba-a3a6-f9709213c66e
Which of the following is not a parameter for the WHO classification of malnutrition:
Symmetrical edema
Weight for height
Weight for age
Height for age
2c
single
Weight-for-age is not a parameter for the WHO classification of malnutrition. It has limited clinical significance as it does not differentiate between wasting and stunting. WHO Classification Parameter Moderate malnutrition Severe malnutrition Symmetrical edema no yes Weight/height (wasting) <-2SD to >-3SD (70 to 79% ...
Pediatrics
Nutrition
1ef61630-4200-42ad-9f76-c00eb6906e32
Popliteal aneurysm-All are true except-
Presents as a swelling behind the knee
Presents with symptoms due to complication
Surgery is indicated in case of complication
Uncommon among peripheral aneurysm
3d
multi
• Occur in conjunction with aortic aneurysm in 40% cases • Most isolated iliac aneurysm involve common iliac artery (70%) and internal iliac artery (20%) • Multiple iliac aneurysms occur in most patients and are bilateral in 33% cases Etiology • Occur in association with atherosclerosis • Can also occur in pregnancy in...
Surgery
null
1cc21a8e-5355-4b28-a460-6737a6b8d783
Metabolic Syndrome has following features except
High triglycerides
High blood pressure
High blood sugar
High HDL levels
3d
multi
The metabolic syndrome (syndrome X, insulin resistance syndrome) consists of a constellation of metabolic abnormalities that confer increased risk of cardiovascular disease (CVD) and diabetes mellitusThe major features of the metabolic syndrome include central obesity, hyperiglyceridemia, low levels of high-density lip...
Social & Preventive Medicine
Non communicable diseases