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135
65dcf10b-180b-48ea-b792-9c4f7527ae79
Flourosis develops when water fluoride content is above 15mg/lit but it has been observed after different studies that this flourosis can also develop in people whose staple diet is
Wheat
Rice
Jowar
Bajra
2c
multi
null
Social & Preventive Medicine
null
72126bfa-c1ea-4c2b-9f58-448e87585ee1
Associated with surveillance are all of the following except: September 2007
Sentinel search
Randomisation
Information regarding trends of health status of population
Providing timely warnings of public health disasters
1b
multi
Ans. B: Randomisation Disease surveillance is an epidemiological practice by which the spread of disease is monitored in order to establish patterns of progression. The main role of disease surveillance is to predict, observe, and minimize the harm caused by outbreak, epidemic, and pandemic situations, as well as incre...
Social & Preventive Medicine
null
395e3a21-0284-4a77-a23d-9d0157e17cd9
True about C.S.F. finding in pyogenic meningitis is -
Protein ↑ sugar ↓
Protein ↓ sugar ↑
Chloride ↑ protein↓
↓ Protein ↓ chloride
0a
multi
null
Medicine
null
03f90938-4314-4d45-a40c-b464a9aacb9e
Conditions associated with an increased risk of squamous cell carcinoma of the oesophagus include all of the following except -
Barrett's Oesophagus
Achalasia cardia
Smoking
Tylosis
0a
multi
Barret's esophagus predisposes to adenocarcinoma.
Pathology
null
2cd8f58f-8c19-4ac1-93eb-9400d0d970d2
Osteoporosis is seen in -
Thyrotoxicosis
Cushmg's disease
Menopause
All of the above
3d
multi
Osteoporosis It refers to reduction ofbone mass per unit volume (loss of matrix and defective mineralisation) (Fig. 9.47). Aetiology 1.Involutional 2.Endocrinological 3.Gastrointestinal 4.Haematological 5.Rheumatological 6.Collagen vascular Normal bone Type I (postmenopausal) and Type II (senile) Hypehyroidism Hyperpar...
Medicine
Endocrinology
7ab7cd04-bff6-4ce9-a2b2-8a9c5fbfa4b4
The direct filling gold segments can be compacted:
By hand pressure alone
By hand pressure combined with a hand mallet
By using electromallet
All of the above
3d
multi
The gold segments can be compacted by hand pressure alone, by hand pressure combined with a hand mallet, or by a mechanical device  that is activated by a spring, pneumatic pressure, or electronically (using an electromallet). The direction of force application, the amount of applied pressure, and the compaction patte...
Dental
null
5f0259bf-60fb-4e72-bcc5-c6ade1450ca2
Acceptable noise levels in bed room
40dB
35dB
20dB
25dB
3d
single
Acceptable noise levels Expressed in dB (A), sound pressure levels conforming to weighting curve (A) Environment Place Acceptable noise level dB(A) Residential Bed room 25 Living room 40 Commercial Office 35-45 Conference 40-45 Restaurants 40-45 Industrial Work shop 40-60 Laboratory 40-50 Educational Class room 30-40 L...
Social & Preventive Medicine
Environment and health
60c6fbdf-5c20-4b26-84ff-20bd6a763c0d
All are causes of hypervolemic hyponatremia except
Hypothyroidism
Cirrhosis
Chronic renal failure
Nephrotic syndrome
0a
multi
Causes of hypervolemic hyponatremia Urine sodium concentration >20 mmol/L Acute or chronic renal failure Urine sodium concentration <20 mmol/L Nephrotic syndrome Cirrhosis Cardiac failure Causes of Euvolemic hyponatremia Glucocoicoid deficiency Hypothyroidism Stress Drugs Syndrome of inappropriate antidiuretic hormone ...
Medicine
Fluid and electrolytes
dd18aa21-d143-4473-9bf9-65f67be5534e
A diabetic patient developed cellulitis due to Staphylococcus aureus, which was found to be Methicillin resistant on the antibiotic sensitivity testing. All the following antibiotics will be appropriate except:
Vancomycin
Imipenem
Teicoplanin
Linezolid
1b
multi
null
Pharmacology
null
ffeaeb27-74d4-417b-9262-36f9602bccd9
Alcaftadine trial used this concentration of drug:
5%
1%
0.25%
2.50%
2c
single
* ALCAFTADINE is a H1 receptor antagonist, and can be used for allergic conjunctivitis* The trial done for alcaftadine used 0.25% solution.* The trial states: "When Alcaftadine was tested against placebo and olopatadine, only Alcaftadine 0.25% was shown to have a clinically significant reduction in conjunctival redness...
Pharmacology
Endocrinology
5ff22325-030e-4251-bb0c-37db2955f9e5
Which chromosome is responsible for the production of MIF?
Chromosome 16
Chromosome 22
X Chromosome
Y Chromosome
3d
single
Ref. Robbins Pathology. 9th edition. Page. 148   Anti-Mullerian Hormone (AMH) / Mullerian Inhibiting Factor (MIF); Mullerian-inhibiting Hormone  (MIH) / Mullerian-inhibiting Substance (MIS). AMH - Downstream genes regulated by SRY pathway SRY - Gene in “Sex determining region” - short arm of Y chromosome - Testis dete...
Unknown
null
546f2b32-9f5d-4d45-a06a-7197fe34e45f
Which of the following does not form Waldeyer's ring?
Palatine Tonsils
Adenoids
jugulodigastric node
Lateral pharyngeal bands
2c
single
Ans-CRef: Diseases of Ear, Nose & Thr oat. by Dhingra 5th edition. Chapter on diseases of pharynxExplanation:Waideyer's ringIt is formed by aggregated collections of lymphoid tissues distributed in the pharyngeal mucosa.It is formed by:AdenoidsPalatine tonsilsLingual tonsilsTubal tonsils in the fossa of RossenmullerLat...
Unknown
null
35119333-c26a-47ec-ab55-98a35570f5d3
Patient a known case off alcohol dependence after 12 to 18 hrs of last drink develops seizure for the first time in his life.possible diagnosis is rum fits. Treatment for the above mentioned patient after doing his LFT which was within normal limits
phenytoin
Thiamine
.Lorazepam
chlordiazepoxide
3d
multi
Detoxification implies removal of the toxic substance from the body, this can be done by using a drug similar to alcohol and thus benzodiazepine is chosen. This is the main drug used in treatment of alcohol withdrawal despite the problem being simple withdrawal, rum fits or delirium tremens IF LIVER FUNCTION IS WITHIN ...
Psychiatry
Symptoms and signs in psychiatry and classification
9dd660ae-436a-45b0-bb9e-9bc9cc72ac80
Smooth muscle relaxant nitric oxide is synthesized from:
Methionine
Cyseine
Arginine
Ornithine
2c
single
Ans. (c) ArginineRef: Harper's Biochemistry 30th edn. 1314, 660-61
Biochemistry
Amino Acid Metabolism
7bebb540-b5ea-4b48-b037-cf6dab19b1c8
A person presents with fever and altered consciousness. Investigations reveal anemia with fragmented red blood cells, platelet count of 20,000/mm', serum creatinine of 3.0 mg % and normal PT and aPTT. Which of the following is the most appropriate treatment for the patient:
Plasma Exchange Therapy
Coicosteroids and Intravenous
Immunoglobulins
Anticoagulation with Heparin
0a
single
Answer is A (Plasma Exchange Therapy): Plasma Exchange Therapy is the treatment of choice for TTP Pentad of Fever, Microangiopathic Hemolytic Anemia, Thrombocytopenia (platelets count = 20,000), Renal Failure (I'verum creatinine) and Neurological dysfunction (altered consciousness) together with normal tests of coagula...
Medicine
null
8aebf433-743a-4d4f-a59d-a09b2b29dc49
Mc Ardles diseaae is due to:
Liver Phosphorylase deficiency
Muscle Phosphorylase deficiency
Lysosomal alpha-1,4-glucosidase deficiency
G6PD Deficency
1b
single
Muscle Phosphorylase deficiency
Biochemistry
null
f0981937-0e4a-437c-8ed9-39b4d6d6569f
In Tzank smear multinucleated cells are seen in:
Chicken pox
Psoriasis
Molluscum contagiosum
Pemphigus vulgaris
0a
single
A i.e. Chicken pox - In patients with vesico-bullous lesions and oral ulcer (mucosal involvement), the diagnosis is pemphigus vulgaris and the bed side diagnostic Tzank test from floor of bullae shows acantholysis with numerous acantholytic keratinocyte cellsQ. In Tzank smear diagnostic multinucleated giant cells with ...
Skin
null
b6d0045b-4033-4eac-840a-cd4470cf9a52
Drug of choice for the treatment of type 2 Brittle Asthma is?
b-adrenergic agonist
Inhaled coicosteroids
Antileukotrines DM
Subcutaneous epinephrine
3d
single
Type 2 Brittle asthma, are symptom-free patients developing sudden onset acute attack of asthma requiring mechanical ventilation or even death. These patients should ideally keep an auto-injector of epinephrine. Type 1 Brittle asthma is characterized by >40% variation in P.E.F.R for >50% of the time. It is managed with...
Medicine
COPD and Asthma
19585c4a-70e7-4b96-9518-db97780b16d2
A 3 year old boy was admitted to the hospital for high fever and difficulty in breathing. He had been well until 4 days before admission, when he developed sneezing and a runny and stuffy nose followed by a non-productive cough on next day. This was followed by appearance of characteristic rash on face, trunk, extremit...
Hecht Giant cell pneumonia
SSPE
Orchitis
Otitis media
2c
multi
This is a case of measles. The face is completely erythematous and there is an erythematous maculopapular rash on the trunk and extremities, with large confluent areas on the back. 3RD image shows the classical appearance of the Koplik spots, an exanthem (mucosal rash) that is felt to be pathognomonic (distinctly chara...
Unknown
Integrated QBank
7f17385c-a314-46ec-9563-19a409ba6114
In which of the following, 'Zellballens' are seen?
Gastric carcinoma
Angiosarcoma
Pheochromocytoma
Colon carcinoma
2c
multi
Ans. C. Pheochromocytoma. (Ref. Robbin's 8th/pg. 1159)Robbins pathology 8th edition, page no.1159.......# Microscopically, pheochromocytomas are composed of polygonal to spindle-shaped chromaffin cells and their supporting cells, compartmentalized into small nests, or "Zellballen," by a rich vascular network.Histopatho...
Pathology
Endocrine
b804d1e5-b8c5-455e-8f72-874cc56c25d2
The minimum level of TSH that can he detected by TSH assay of the third generation thyroid function tests is which of the following?
0.4 lU/ml
0.04 IU/ml
0.004 lU/ml
4 IU/ml
1b
single
Functional sensitivities for three generations of TSH assays: First generation: Functional sensitivity is 1-2 IU/mL Second generation: Functional sensitivity is 0.1-0.2 IU/mL Third generation: Functional sensitivity is 0.01-0.02 IU/mL Among the options more appropriate is 0.04 IU/mL Ref: Aicle: Evolution of TSH Assays:...
Biochemistry
null
a47e16f8-68ab-4c56-89fd-a1c9dd7aad7b
A 70yr old male has a pathological fracture of femur. The lesion appears a lytic on X- rays film with a circumscribed punched out appearance .The curetting from fracture site is most likely to show which of the following?
Diminshed and thinned trabecular bone
Sheets of atypical plasma cells
Metaplastic prostatic adenocarcinoma
Malignant cells forming osteoid bone
1b
single
Olf patients along with lytic circumscribed punched our X- rays appearance suggests multiple myeloma. Multiple myeloma most often presents as multifocal destructive bone tumours composed of plasma cells throughout the skeletal system.(ref Robbins 9/e p599,7/679)
Anatomy
Haematology
b74101fe-ae8c-4e05-9641-2981c447191b
The positioning of the needle is TRUE regarding thoracocentesis in which of the following statements?
Upper border of the rib
Lower border of the rib
Center of the intercostal space
Anterior to the intercostal space
0a
multi
The needle should be kept close to the upper border of the rib to avoid injuring the intercostal vessels and nerve in the subcostal groove. Ref: Snell's Clinical Anatomy, 7th Edition, Page 61
Anatomy
null
feb1b947-995f-4a14-9b14-5cc1f1a50062
Which is not true about Fragile X syndrome
Large testis
Pigmented nevi
Large ear present
Long face
1b
multi
Fragile X syndrome is associated with the loci Xq27.3 on the distal long arm of the X chromosome. In affected males, it is mainly characterized by mental retardation, macroorchidism, autistic behaviour, facial features like long face, large ears, prominent square jaw Pigmented naevi are not seen associated with fragile...
Pediatrics
Genetic and genetic disorders
0396fe06-5dce-4bc8-a248-41f78be325ec
A cervical Pap smear repo stating that "koilocytic atypia is present" indicates the:-
Presence of high-grade cervical intraepithelial neoplasia
Cytologic effect of herpesvirus type 2
Cytologic effect of human papillomavirus
Presence of chlamydial infection
2c
single
HPV infection of squamous cells Produces wrinkled nuclei surrounded by a clear halo. This is called koilocytosis. Whether it is indicative of a low or a high grade lesion in the cervix requires tissue documentation. This is usually obtained with a colposcopic biopsy.
Gynaecology & Obstetrics
Cervical Carcinoma
cabc9178-7f7c-4156-bbce-e0e922d6195b
All of the following statements are true except?
Microglial cells are modified macrophages in Brain
Hofbauer cells are modified macrophages in placenta
Stellate cells are modified macrophages in Liver
Osteoclasts are modified macrophages
2c
multi
Kupffer cells are modified macrophages in Liver.
Pathology
null
1ce0f4fe-b29c-4d82-a5d0-e8a1b38614f3
The term &;disease control&; employs all of the following except
Reducing the complications
Reducing the risk of fuher transmission
Reducing the incidence of the disease
Reducing the prevalence of the disease
3d
multi
Disease control - reducing the disease incidence to a level at which it is no longer a public health problem. Disease elimination - interruption of transmission of disease, reduction to zero of incidence and continued measures to prevent re-establishment. Disease eradication - permanent reduction to zero of the worldwi...
Social & Preventive Medicine
Concept of health and disease
00b9d19c-6824-48d9-a4ed-73bdb3070dfe
Erythema nodosum is seen in A/E
Salicylate poisioning
Typhoid
Tuberculosis
Leprosy
0a
single
A i.e. Salicylate poisioning
Skin
null
fd8bd231-ac6f-402c-9650-388364e6e6b5
Oxytocin causes all except -
Lactogenesis
Milk ejection
Contraction of uterine muscle
Myoepithelial cell contraction
0a
multi
Ans. is 'a' i.e., Lactogenesis Impoant actions of oxvtocin are : Contraction of uterine smooth muscle (directly by acting on GPCR and indirectly by release of PG and LTs). Milk ejection by contraction of myepithelial cells surrounding mammary alveoli. At high concentration; anti-diuretic and vasopressor action can be s...
Pharmacology
null
d53e364f-59d0-4413-8642-6483bf9a41d5
One of the following is a definite sign of death due tob drowning :
Sand and mud in the mouth of nostrils
Fine lathery froth in the mouth of nostrils
Washerman's hands and feet
Diatoms in bone marrow
3d
single
D i.e. Diatoms in bone marrow
Forensic Medicine
null
2aef15be-1714-4a48-8a08-cf84e05bfdee
Sweating is not present in:
Heat syncope
Heat cramp
Heat stroke
Heat fatigue
2c
single
Ans. c. Heat stroke (Ref: Reddy 33/e p319; Parikh 6/e p381)Sweating is not present in Heat stroke."Heat stroke (hyperpyrexia, sunstroke, systemic hyperthermia): This is attributed to an impaired functioning of the heat regulating mechanism caused by failure of cutaneous circulation and sweating. It is due to prolong ex...
Forensic Medicine
Injuries
85ab3ebf-4d99-4725-9012-daa41f6a3139
In Indoor air pollution, carbon monoxide is produced by
Combustion equipment
Stove
Gas heaters
All of the above
3d
multi
(All of the above) (593 - Park 19th) (642-Park 20th)Sources of Indoor air pollutantsPollutantSources* Respirable particle* Carbon monoxide* Nitrogen - dioxide* Sulphur dioxide* Formaldehyde* Ozone* Radon and daughters* Asbestos* Mineral fibresTobacco smoke, stove, Aerosol spraysCombustion equipment, stove, Gas heatersG...
Social & Preventive Medicine
Environment and Health
feb84fa1-9664-47f3-98ad-7411a4e33a18
In the first step of Heme synthesis, what is required -
Fe
Folate
Glycine
Histidine
2c
multi
Two starting materials of heme synthesis are succinyl-CoA and glycine. Pyridoxal phosphate is also required.
Biochemistry
null
47228bcf-cf77-4a20-b1aa-7a491d26851d
Nephrotic syndrome in children is caused by
Minimal change disease
RPGN
MPGN
FSGS
0a
single
NEPHROTIC SYNDROME:- Characterised by massive proteinuria, hypoalbuminemua and edema, hyperlipidemia is often associated. Some patients show hematuria and hypeension. Heavy proteinuria( more than 1g/metre square/day) is the underlying abnormality leading to hypoalbuminemia ( serum albumin below 2.5g/dl). The resultant ...
Pediatrics
Urinary tract
1102427c-62b4-4cc6-8059-24b664b2550e
Given three genera of mosquitoes (('ulex, Anopheles and Aedes) act as vectors for which of the following diseases world w ide -
Malaria
Dengue
Filariasis
Yellow Fever
2c
single
Ans. is 'c' i.e., Filariasis o Filariasis is transmitted by all four genera of mosquitoes including Anopheles, Aedes, Culex and Mansonoides.
Social & Preventive Medicine
null
895d8a6c-69c9-4ee1-8757-546226f971e5
Chromosomal translocation characteristic in acute promyelocytic leukemia is:
t ( 15; 17)
t ( 22; 9)
t ( 21; 17)
t ( 8; 21)
0a
single
In AML with the t(15;17),acute promyelocytic leukemia (M3 stage) ,auer rods present (most common stage associated with DIC) t(8,21) AML With maturation stage (M2 stage) t(16,16) associated with best prognosis. Presence of "FAGGOT CELLS" is a characterstic feature of AML M3 (acute promyelocytic leukemia) Faggot cells ar...
Pathology
Acute Myelogenous Leukemia
3d498037-92d6-4170-82c5-74713006f449
All the following drugs are effective in t/t of ptyriasis versicolor except –
Selenium sulphide
Ketoconazole
Grieseofulvin
Clotrimazole
2c
multi
Griseofulvin is effective only against dermatophytes. It is ineffective against T. versicolor and candida.
Dental
null
6bd41a77-1b70-4dd4-80b0-be366aded9c3
Euvolemic hyponatremia is seen in:
Adrenocortical failure
Burns
SIADH
Cirrhosis
2c
single
Ans. C. SIADHHypervolemic hyponatremia -- Both sodium & water content increase: Increase in sodium content leads to hypervolemia and water content to hyponatremia. Total body water and sodium are regulated independently* Cirrhosis of the liver* Congestive heart failure* Nephrotic syndrome in the kidneys* Massive edema ...
Medicine
Endocrinology
0a23a2b4-6d4c-4c8b-a3e3-2be96d49c72d
Congenital larygeal stridor also know as
Laryngeal web
Laryngomalocia
Laryngeal atenosis
Vocal cord palsy
1b
single
null
ENT
null
d15f7cba-283c-4014-96b5-cdb6a4e53f55
A patient came to casualty for acute bronchial asthma after treatment for glaucoma. The probable drug may be
Timolol
Betoxalol
Lantanoprost
Anticholinesterase
0a
single
Timolol is a non selective Beta blocker and can precipitate acute attacks of asthma in a susceptible individual blockade of Beta 2 receptors. Betaxolol is a cardioselective Beta blocker and is less likely to cause this adverse side effect Refer kDT 6/e p 139
Pharmacology
Autonomic nervous system
6ee8cd57-fbd5-4120-b0af-9aa94fb4c832
Which of the following drug is not used in influenza?
Oseltamivir
Amantadine
Ribavirin
Acyclovir
3d
single
Ans. D. AcyclovirOseltamivir is neuraminidase inhibitor which can be given for both influenzas A and B. Amantadine is drug which inhibit the uncoating of influenza A virus RNA. Ribavirin has a broad spectrum antiviral activity which inhibit the synthesis of viral RNA. Acyclovir mainly inhibit the viral DNA and its drug...
Pharmacology
Anti Microbial
4710e7fb-fd64-45f7-8812-cc7a3b5f16e4
Periphery of retina is best visualized with :
Direct ophthalmoscopy
Indirect ophthalmoscopy
Retinoscopy
USG
1b
single
Indirect ophthalmoscopy can be used to examine the entire retina, even out to its extreme periphery, the ora serrata. This is possible for two reasons. Optical distoions caused by looking through the peripheral lens and cornea interfere very little with the indirect ophthalmoscopic examination compared with the direct ...
Ophthalmology
null
94db2c98-02a6-47df-8544-ce520e9d0133
Acute Primary Amoebic meningoencephalitis true is-
Meningitis caused by acanthamoeba species is acute in nature
Diagnosis is by demonstration of trophozoite in CSF
Caused by faeco-oral transmission
More common in tropical climate
1b
multi
Diagnosis of acute primary amoebic meningoencephalitis is established by microscopic examination of the cerebrospinal fluid which contains trophozoite and red cells but no bacteria. About other options Acanthamoeba causes chronic meningoencephalitis, while Naegleria fowleri is responsible for acute cases of meningoen...
Microbiology
null
1691ffc3-2b64-4287-870d-be82f9c288e9
In a patient with Foville's syndrome all of the following cranial nerves are involved, EXCEPT:
Facial
Trochlear
Trigeminal
Abducens
1b
multi
In a patient with foville's syndrome there is involvement of the V, VI, VII and VIII cranial nerves. The lesion in this syndrome affects the dorsal pa of the brain stem thereby involving structures such as medial longitudinal fasciculus, pontine paramedian reticular formation, fifth nerve and sympathetic neruons. These...
Ophthalmology
null
e0f9b9fd-db34-4c61-8f96-3714356d3158
Cervical rib arises from:
C6
C7
C8
T
2c
single
It is a Fibrous band arising from C7, which inserts on 1st thoracic rib.
Surgery
null
47af1ea4-82c5-46fa-bc25-7c3ce2f14af8
Left-Right movement of skull occurs at
C2 - C3
Atlanto - occipital joint
Atlanto - axial joint
C4 - C5
2c
single
Left-Right movement of skull occurs at Atlanto - axial joint. Up - down movement of skull occurs at Atlanto - occipital joint.
Orthopaedics
null
faf7f665-d0c5-48e9-a718-f4c1483e5d38
Ophthalmoplegic migraine means
When headache is followed by complete paralysis of the IlIrd and VIth nerve on the same side as the hemicrania
When the headache is followed by paial paralysis of the IIIrd nerve on the same side as the hemicrania without any scotoma
Headache is associated with IIIrd, IVth and VIth nerve paralysis
Headache associated with optic neuritis
1b
single
B i.e. When the headache is followed by paial paralysis of 3rd nerve without any scotoma Ophthalmoplegic migrane is characterized by recurrent episodes of migraine like headache accompanied mostly by recurrent, ipsilateral and transient paresis of 3rd (most common), 6th (rare) and/ or 4th (rarest) cranial nervesQ. It i...
Ophthalmology
null
ec2ef1de-05e1-4bd6-bd26-de89cb411383
What causes mallet finger?
Extensor tendon rupture
Bony avulsion of distal phalanx at the extensor tendon
Strain and subsequent stretching of the extensor tendon
All the above
3d
multi
Mallet finger: A finger flexed at the DIP joint due to avulsion or rupture of extensor tendon at the base of the distal phalanx. Mallet finger occur due to forced flextion of the finger tip. Hyper- extension splint is the treatment for atleast 6-8 weeks.
Orthopaedics
Fracture Management
9661c611-14d2-45e2-b72a-a11230c52409
All of the following diseases show abnormal folding of proteins except :
Creutzfeldt-jabok disease
Prion disease
Multiple sclerosis
Amylidosis
2c
multi
Multiple sclerosis[Ref: Harrison 171h/e p. 2647; Harper 27th/e p. 38; Lippincott p. 20j The process of protein folding is remarkably efficient, but sometimes it can go wrong. Incorrectly folded proteins are considered to be the cause of many diseases. Amvloidoses The common characteristic of all amyloidoses is the coll...
Surgery
null
75c3512b-39d8-42d7-a397-0106e6775458
Enteric fever is caused by -
S typhi
Sparatyphi A
S paratyphi C
All of the above
3d
multi
Ans. is 'd' i.e., AH of the above Enteric fevero The term enteric fever includes typhoid fever caused by S.typhi and paratyphoid fever caused by S. paratyphi A, B and C.o The ability to resist intracellular killing and to multiply with in these cells is a measure of virulence of salmonella.o The incubation period for S...
Microbiology
Enterobecteriaceae
66511959-4ba2-4dfb-a253-822c7ce684d2
FNAC cannot detect which of the following?
Follicular carcinoma
Papillary carcinoma
Colloid goiter
Hashimoto's thyroiditis
0a
single
Ans. a. Follicular carcinoma (Ref: Robbins 9/e p1097, 8/e p1123; Schwartz 9/e p1364, 1357; Sabiston 19/e p901-902; Bailey 26/e 765, 25/e p775)FBI AC cannot detect follicular carcinoma.'The hallmark of all follicular adenomas is the presence of an intact, well-formed capsule encircling the tumor. Careful evaluation of t...
Surgery
Thyroid Malignancies
b006bb32-d600-4a03-86ec-474c2f4123e4
Radio-frequency ablation is done for
Ventricular tachycardia
PSVT
WPW
Atrial tachycardia
2c
single
Ablation bypass tract offers a permanent cure of supraventricular tachycardias. The advantage of radio-frequency catheter ablation has viually eliminated the need for surgery Ref Harrison 20th edition pg 1567
Anatomy
General anatomy
afbb9828-ce13-467a-bdd6-768d5b4d8691
A person brings gifts for her wife next day after having fight with her. This is an example of
Reaction formation
Aim inhibition
Undoing
Suppression
2c
single
Undoing is a neurotic defense mechanism where an act is done to nullify a previous act.
Psychiatry
null
5b61bf6e-4e68-4c2c-a84e-9b31ee94f9a8
All of the following are true about excitation-contraction coupling except
Acetylcholine is released at the nerve terminal
Calcium is pumped back into the sarcoplasmic reticulum during relaxation
Calcium is released from sarcoplasmic reticulum during contraction.
Calcium binds to tropomyosin to initiate muscle contraction.
3d
multi
Calcium binds to troponin to initiate exitation contraction coupling Troponin is present attached to tropomyosine Ref:Guyton and Hall textbook of medical physiology 12th edition,page number:82,83,84
Physiology
General physiology
ba1e4de0-be97-4807-8760-753e3b0ca5f2
Lisch nodule seen in-
Sympathetic ophthalmitis
Neurofibromatosis
Chronic iridocyclitis
Trachoma
1b
single
*Lisch nodules are the most common type of ocular involvement in NF-1. These nodules are melanocytic hamaomas, usually clear yellow to brown that appear as well- defined, dome-shaped elevations projecting from the surface of the iris. Ref: Harrison 18th/e p.2964
Ophthalmology
Miscellaneous
91b75df8-05c3-454a-9d60-6e892fc3f88d
Needle biopsy of solitary thyroid nodule in a young woman with palpable cervical lymph nodes on the same sides demonstrates amyloid in the stroma of lesion. Likely diagnosis is
Medullary carcinoma thyroid
Follicular carcinoma thyroid
Thyroid adenoma
Multinodular goitre
0a
single
Presence of thyroid nodule along with palpable cervical lymph nodes and amyloid histologically is clearly indicative of Medullary Carcinoma Thyroid, as explained before. Ref : Bailey 25/e p797
Anatomy
Endocrinology and breast
e4184f7b-e742-4833-a74c-37c40d58e1e4
All the following are the features of the Kuntscher (K) nail devised by a German surgeon for internal fixation of femoral fractures except
It is clover leaf in cross section
The nail has eye at one end
The nail is a hollow with a slot on one side
The fixation by k nailing is based on the three point fixation
1b
multi
The K nail is a hollow tube with a slot on one side. It is clover shaped cross section. The fixation by K nailing based on the three point fixation i.e when a straight rod passes through a curved medullary cavity It fixes the bones at three points at either ends and at the isthmus. The clover leaf shape is designed to ...
Surgery
null
c13415ae-9119-46ee-a554-e9db0ecbaf7a
Slice of tissue X-rays is:
Tomography
Mammography
Contrast studies
All of the above
0a
multi
A i.e. Tomography Hounsfield units (CT number) represent average linear attenuation coefficientQ. The Hounsfield scale is an arbitray one with air at-1000 and water at 0 units as fixed pointsQ. Fat which is less dense than water also has a negative value (- 20 to - 100 range). CT has been designated a high dose procedu...
Radiology
null
b1375587-d8f5-45c4-9846-c5aeefd46ab7
Child knows his/her sex by age of-
2 year
3 year
4 year
5 year
1b
single
Ans, is 'b' i.e., 3 year AgeMilestone2 MonthSocial smile3 MonthRecognise mother6 MonthStmger anxiety9 Monthwave bye - bye12 MonthComes when called15 MonthJargon18 MonthsCopies parents task2 yearAsk for food, drink, shows toys3 yearKnow full name & gender4 yearPlays in group.5 yearHelps in household task, decrease & und...
Pediatrics
Developmental-Behavioral Screening and Surveillance
a772d32d-5bed-4959-a7ea-3b703fb06621
Treatment of choice for Intrahepatic Cholestasis in Pregnancy is:
Cholestyramine
Ursodiol (Ursodeoxycholic acid)
Coicosteroids (Dexamethasone)
Antihistaminics
1b
single
Ursodeoxycholic acid (10-15 mg/kg/day) is the drug of choice in the treatment of intrahepatic cholestasis in pregnancy. It relieves pruritus, reduces bile salt levels in maternal serum and may reduce the frequency of fetal complications. It improves serum liver test and liver histology in cholestatic disease. Ref: Oxfo...
Gynaecology & Obstetrics
null
d3af455d-1c68-46a1-8c41-958be61663ec
Skin over the angle of mandible and parotid area is supplied by -
Greater auricular nerve
Posterior auricular nerve
Auriculotemporal nerve
Facial nerve
0a
single
null
Anatomy
null
51ba8067-6955-4dda-8913-a27c2eda6bdf
Ruptured tendon is most commonly seen in
Stab injury
Soft Tissue tumour
Overuse
Congenital defect
2c
single
C i.e. Overuse Most frequent cause of paial or complete rupture of a muscle or tendon is eccentric overloadQ of the muscle tendon unit. One factor contributing to muscle overload is fatigue (due to over use)Q, which makes the muscle unable to absorb as much as eccentric force before overload. Strains most commonly occu...
Surgery
null
7320bf6f-8358-450e-82d6-3619eab761ae
Which of the following doesn't elevate the larynx?
Sternohyoid
Thyrohyoid
Mylohyoid
None
0a
multi
Elevators: Primary elevators act directly as they are attached to the thyroid cartilage and include stylopharyngeus, salpingopharyngeus, palatopharyngeus and thyrohyoid. Secondary elevators act indirectly as they are attached to the hyoid bone and include mylohyoid (main), digastric, stylohyoid, geniohyoid. Depressors:...
Anatomy
null
a6c7c209-64d7-4129-9160-0b52c65a1b58
Acromegaly is due to excess of:
Somatomedin
Growth hormone
Somatostation
Insulin
1b
single
Ans. (b) Growth hormone(Ref: Ganong, 25th ed/p325.)Excess levels of growth hormone causes Gigantism (before the closure of epiphysis) and Acromegaly (After the closure of epiphysis)
Physiology
Endocrinology and Reproduction
6ff15e50-6c6e-419a-8945-4ff940027367
Condition (s) associated with hypokalemia except -
Typo I Renal Tubular Acidosis ( A)
Type II A
Type IV A
Pencillin therapy
0a
multi
Type IV A is the only type characterized by a hyperkalemic, hyperchloremic acidosis. CAUSES OF HYPOKALEMIA Inadequate potassium intake Eating disorders : Anorexia, bulimia, starvation, pica, and alcoholism Dental problems: Impaired ability to chew or swallow Povey: Inadequate quantity or quality of food (eg, "tea-and-t...
Medicine
Fluid and electrolytes
8d8b916d-e4fe-4b4d-8964-e641619ad6dd
If pneumocephalus created either by surgery or by performance of a pneumoencephalogram, it is suggested that nitrous oxide be avoided for how many days –
4 days
5 days
6 days
7 days
3d
single
Once the pneumoencephalum has developed nitrous oxide should not be used for 1 week.
Anaesthesia
null
ee52abb9-ad94-47b2-aeb1-b65cd4a3028a
False regarding Primary hyperparathyroidism is
Most cases are sporadic
It is the earliest and most common manifestation of MEN1 syndrome
Autosomal recessive inheritance seen in association with MEN syndrome
80% cases due to enlargement of a single gland or parathyroid adenoma
2c
multi
PHPT results from the enlargement of a single gland or parathyroid adenoma in approximately 80% of cases, multiple adenomas or hyperplasia in 15% to 20% of patients, and parathyroid carcinoma in 1% of patients. Most cases of PHPT are sporadic. It also occurs within the spectrum of a number of inherited disorders such a...
Anatomy
All India exam
792df70f-e703-41d9-8c35-b0a6b9c06729
Lichenisation occurs in which layer of skin?
Stratum malpighi
Stratum corneum
Stratum lucidum
Stratum granulosum
0a
single
Ans. is 'a' i.e., Stratum malpighi
Skin
null
146d0f8e-4460-4909-8cbe-de3c287dc40f
TRUE/FALSE statements about carpal tunnel syndrome are: 1. Occurs in pregnancy 2. Affects medial three and half fingers 3. Associated with hypothyroidism 4. Froment sign positive 5. Median nerve involvement is present
1,2,3 true & 4,5 false
1,3,5 true & 2,4 false
1,2,3,4 true & 5 false
1,2,3,5 true & 4 false
1b
multi
Carpal tunnel syndrome is caused by the compression of the median nerve at wrist and is most common type of nerve entrapment syndrome. This is usually due to excessive use of the hands and occupational exposure to repeated trauma. Infiltration of the transverse carpal ligament with amyloid (as occur in multiple myeloma...
Surgery
null
a569f8de-a4b1-4e92-b057-159c070100fd
HLA testing aids in the diagnosis of which ocular affection: March 2010
Conjunctivitis
Uveitis
Retinitis
Viteous hemorrhage
1b
single
Ans. B: Uveitis Conditions associated with uveitis in which HLA testing is employed: Ankylosing spondylitis is a type of ahritis that mainly affects the spine. This can cause recurrent ahritis. It is mostly associated with HLA B27 Reiter's syndrome is an inflammatory ahritis common in young men - often caused by chlamy...
Ophthalmology
null
06d74933-95e3-4819-88a8-31564de07144
A newborn baby presented with profuse bleeding from the umbilical stump after birth. Rest of the examination and PT, APTT are within normal limits. Most probable diagnosis is -
Factor X deficiency
Glanzmann thrombasthenia
Von willebrand disease
Bernard soulier disease
1b
single
Normal PT and APTT exclude option a and c because PT is raised in factor X deficiency and APTT is raised in Von Willebrand disease. So we are left with Glanzmann's thrombasthenia and Bernard Soulier syndrome. Both these disorder are platelet function disorders and can result in neonatal bleeding. Disorders of platelet ...
Pathology
null
d075e8c3-bb4c-402a-bbc9-8b4ef7a0e914
A 27-year-old male presents with a testicular mass, which is resected and diagnosed as being a yolk sac tumor. Which one of the listed substances is most likely to be increased in this patient's serum as a result of being secreted from the cells of this tumor?
Acid phosphatase
a fetoprotein (AFP)
Alkaline phosphatase
b-human chorionic gonadotropin (b-hCG)
1b
single
Germ cell tumors of the testis often secrete enzymes or polypeptide hormones, examples of which include a fetoprotein (AFP) and human chorionic gonadotropin (hCG). AFP is synthesized by the fetal gut, liver, and yolk sac. It may be secreted by either yolk sac tumors (endodermal sinus tumors) or embryonal carcinomas. AF...
Pathology
miscellaneous
4c29006f-e3b9-43ec-aa27-ed568e5a3062
In a 2-year-old child refractive error test is done with:
1% atropine ointment
1% atropine eye drop
Tropicamide 0.5%
Eucatropine 5%
0a
single
(Ref: K.D. Tripathi 8th ed. P 131)Atropine 1% ointment is preferred for refractive error test in children below 5 years. It is applied 24 hours and 2 hours before the procedure.The shorter acting agents like homatropine, tropicamide and cyclopentolate does not produce effective cycloplegia in children (ciliary muscle t...
Pharmacology
A.N.S.
dc3e6a75-bd2d-4dee-b556-718bd78cb434
The commonest cause of metabolic alkalosis is -
Cancer stomach
Pyloric stenosis
Small-bowel obstruction
Diuretics
1b
multi
null
Surgery
null
f1940d2b-ee3e-4daf-8e13-f8a0e2f6787d
Inhaling the cloth soaked in drug is
Bagging
Spraying
Huffing
Sniffing
2c
single
Sniffing: Inhaling fumes from the liquid in anopen container.Bagging: Placing the chemical in a bag and thenputting it over the face.Huffing: Applying the chemical to a cloth/rag andthen inhaling it by covering nose and mouth withthe cloth/rag.
Forensic Medicine
Drug Abuse
1177731e-9eba-40ef-ac5f-dc50d365c16d
Local anaesthetic injected directly into the tissue ?
Infiltration anaesthesia
Nerve block
Field block
Bier's block
0a
single
Ans. is 'a' i.e., Infiltration anaesthesia o Infiltration anaesthesia is the injection of local anaesthetic directly into tissue without taking into consideration the course of cutaneous nerve.
Pharmacology
null
58813a07-d607-4bbb-9b13-70a8219eb853
Which doesnot form a part of thoracic outlet?
Brachial plexus
Subclavian vein
Apex of lung
Second rib
3d
single
(D) Second rib# Thoracic outlet syndrome: Scalenus anticus syndrome> "This is a symptom complex resulting from compression of the neurovascular bundle (artery, vein, or nerves) at the superior thoracic outlet as it courses through the neck and shoulder.> Cervical ribs, abnormalities of the scalenus anticus muscle, prox...
Anatomy
Misc.
d60172b9-0796-4cc9-98b0-25c9f1b4e287
CECT with nodular enhancement is suggestive of
Hepatic adenoma
FNH
Hemangioma
Cholangiodenoma
2c
single
Most common benign tumor of the liver Mainly seen in women of 45 years Small capillary hemangiomas(no clinical significance), larger cavernous hemangioma Usually single and <5 cm in diameter, occur equally in right and left liver Giant hemangioma: lesion>5cm Pathology Microscopically: Endothelium-lines, blood filled sp...
Anatomy
G.I.T
2072ec42-9613-4f33-9bd7-b5da9fed198d
Phospho-dephosphorylation of phosphofructokinase and fructose 1, 6, biphosphatase by fructose 2, 6,biphosphate regulation is seen in
Brain
Liver
Adrenal cortex
RBC
1b
single
Fructose 2, 6-biphosphate has unique role in regulation of glycolysis and gluconeogenesis in liver.
Biochemistry
null
f15b1abc-6619-4b1d-870e-8a107412d0bd
True about OCG is – a) First done by Graham Cole in 1942b) Dye ingested at rate of 1 ml/kgc) USG has replaced itd) Dye used is telepaque
ab
cd
bd
ac
1b
multi
OCG was introduced by Graham and Cole in 1924 (not in 1942). Two doses of 3 gm of dye is given --> first dose 14 hours, and second dose 3-4 hours prior to post-contrast examination. OCG has largely been replaced by USG Dye most commonly used is Na/Ca Ipanoic acid (Telepaque).
Radiology
null
ecef24f3-51ab-418d-8dd6-0f60326ab766
Tom Smith arthritis involves
Knee
Hip
Ankle
Wrist
1b
single
Ans. b (Hip) (Ref Maheshwari orthopedics 4th/165)TOM SMITH ARTHRITIS# Septic arthritis of hip joint in infant# Acute onset with rapid abscess formation# Head of femur is cartilaginous at this age and hence rapidly and completely destroyed by the pyogenic process.# Affected limb shorter and hip movements are increasd in...
Orthopaedics
Infection of Bones & Joints
6b7dca06-0169-4695-9dbb-ca4ec5ae2a0d
Hypoglycemia caused by anti-hyperglycemic drugs like sulfonylureas can be classified as (adverse drug reaction):
Type A
Type B
Type C
Type D
0a
single
Type A: Augmented pharmacologic effects - Dose dependent and predictable e.g. hypoglycemia caused by anti-hyperglycemic drugs like sulfonylureas. Type B: Bizarre effects (or idiosyncratic) - Dose independent and unpredictable e.g. allergic reactions caused by penicllins. Type C: Chronic effects e.g. peptic ulcer caused by...
Pharmacology
null
7263b821-0d71-475c-8740-99da8be3c669
Most realistic approach in managing a difficult child in dental clinic is
Disregard the behavior of child
Make child familiar with clinical atmosphere
Physical methods to make child accept for treatment
None of the above
1b
multi
null
Dental
null
cb386a79-982e-412d-a4c3-788e55412c25
The drug which inhibits the rate-limiting step of acetylcholine synthesis is
Vesamicol
Hemicholinium
Botulinum toxin
Cocaine
1b
multi
Rate limiting step is mediated by choline acetyltransferase which is blocked by hemicholinium. Ref: KD T ripathi 8th ed.
Pharmacology
Autonomic nervous system
ed0010b2-0b77-4318-b175-c472686a8287
The toxic substance responsible for floppy baby syndrome is
Lithium
Cadmium
Antimony
Barium
0a
single
It is seen in newborn babies breastfed by lithium-ingesting mothers due to disruption of afferent inputs from stretch receptors. Manifesting as hypotonicity, lethargy, and cyanosis (floppy baby syndrome).
Forensic Medicine
Toxicology - 1
bbcd7637-a220-4c69-bbca-9dd130bc0c03
WHO surveillance is done in all EXCEPT
Relapsing fever
Malaria
Polio
Cholera
0a
multi
(Relapsing fever) (115,204, Park 20th)SURVEILLANCE - defined as "the continuous scrutiny of all aspects of occurance and spread of disease that are pertinent to effective control"* The ultimate objective of surveillance is prevention* International surveillance: At the international level, the WHO maintains surveillanc...
Social & Preventive Medicine
Communicable Diseases
710177ef-c2f6-428b-a34f-cd5551e23e0f
Convergent muscle among the following is
Subscapularis
Deltoid
Temporalis
Pectoralis minor
2c
single
Convergent muscle is one where all the fibres converge at the insertion (Fan shaped) Eg - Temporalis
Anatomy
null
92128fc6-e798-4064-9771-7e45042b7f96
Choose the drug which blocks basal as well as stimulated gastric acid secretion without affecting cholinergic, histaminergic or gastrin receptors
Loxatidine
Pirenzepine
Omeprazole
Famotidine
2c
single
Omeprazole:- It is the prototype member of substituted benzimidazoles which inhibit the final common step in gastric acid secretion. The only significant pharmacological action of omeprazole is dose dependent suppression of gastric acid secretion; without anticholinergic or H2 blocking action. It is a powerful inhibito...
Pharmacology
Gastrointestinal tract
d6866d3e-c901-43ff-95c6-37c0ebfe6609
Tinea pedis is caused by which of the following -
E. floccosum
M. furfur
M. canis
E. werneckii
0a
single
Tinea pedis ( Athlete foot ) - Infection of web space between the toes Caused by Epidermophyton floccosum
Microbiology
Mycology
e8a4e83f-88e1-4cea-b5cd-573bec010aaf
Which of the following is not seen in imaging of acute pyelonephritis?
Grossly enlarged kidney
Focal areas of hypoechogenicity
Perinephric edema
Increased vascularity
3d
single
Ref: Cavorsi A'. Prabhakar P, Kirby C. Acute pyelonephritis. Ultrasound Q 2010;26(2): 103-5 ami Ultrasound: A Practical Approach to Clinical Problems, Edited by Edward I. Bluth, Page 465 and Genitourinary Imaging by Shailendra Chopra, Thieme PublishersExplanation:"The affected kidney is enlarged, areas of relative isch...
Radiology
CT and MRI of the Kidney
aec922d3-7897-4037-a2bd-4e80d2383964
The interval of time between receipt of infection by a host and maximum infectivity is known as
Median incubation period
Screening time
Generation time
Minimum incubation period
2c
single
Ans. c (Generation time) (Ref. Text book of PSM by Park 22nd/96)Generation time: is the time interval between receipt of infection by host and max. infectivity1Median incubation periodTime required for 50% of cases to occur following exposure.2Incubation periodPeriod of entry of organism to appearance of first sign or ...
Social & Preventive Medicine
Concept of Health and Disease
4b5cc976-e3f5-404d-87dc-1e68ef359c67
Most common cause of proptosis in adults is -
Orbital cellulitis
Thyroid Ophthalmopathy
Carotico - cavernous fistula
Trauma
1b
single
Ans. is 'b' i.e., Thyroid Ophthalmopathy o The most common cause of unilateral proptosis in children is orbital cellulitis.o The most common cause of unilateral proptosis in adults is thyroid ophthalmopathy.
Ophthalmology
Proptosis, Enophthalmos, Developmental Anomalies
d844ee84-474f-45f9-82bf-c4e074171e91
Glucogenic amino acid transported to the liver most commonly -
Alanine
Glycine
Lysine
Leucine
0a
single
Ans. is 'a' i.e., Alanine o Transport of alanine from muscle to liver (glucose-alanine cycle) has two functions :-Providing substrate for giuconeogenesisTransport of ammonia (NH4+) to liver for urea synthesis.o During the first few days of starvation, there is a rapid breakdown of muscle protein, providing aminoacids f...
Biochemistry
Amino Acids Basics
180c140a-2e74-480c-80c4-84444955fd37
True regarding autonomic system is :
High center of integration is medulla oblongata.
Conduction autonomic fibers are same as in somatic motor fibers.
Preganglionic parasympathetic fibers are lengthier.
Ratio of pregnanglionic and post ganglionic fibers is 20:1.
2c
multi
Ans. is 'c' is Preganglionic parasympathetic fibres are more lengthy The cell bodies of the post ganglionic parasympathetic neurons are located on or near the body of the viscera and therefore postganglionic neurons are very short.Whereas the cell bodies of the preganglionic parasympathetic neurons are located in the i...
Physiology
Autonomic Nervous System
c214e8df-96ab-4ec2-a03c-9ae1635e925c
All of the following statements are true regarding the submandibular gland except?
Lingual nerve loops around the submandibular duct
Facial aery is related to superficial pa of the gland
The gland is wrapped around the posterior border of mylohyoid
Gland is made up of small superficial pa and large deep pa
3d
multi
Submandibular gland Consist of large superficial pa and small deep pa Wrapped around the posterior border of Mylohyoid muscle. Lingual nerve loops around the submandibular duct Facial aery is related to superficial pa of the gland
Anatomy
Neck Triangles and parotid gland
26c93082-d155-4d7a-8292-212ab8fba98b
Which of the following is not evaluated using 99mm Tc- DMSA scintigraphy?
Renal anomalies
Renal pseudomass
Renal scarring
Renal artery stenosis
3d
single
Ans DDMSA scan is used to study renal morphology thus out of given options only renal artery stenosis is not a renal morphological defect. Renal artery stenosis is studied by Captopril-DTPA scan
Radiology
Genito Urinary System
f02d5b03-7dc1-4011-8742-807506ec2ff6
DNA fingerprinting was first developed by?
Alec jeffreys
William herschelle
Edward hennery
Francis galton
0a
single
DNA fingerprinting was developed by Alec JeffreyQ. Brain finger printing invented by Dr.Lawrence FarrelQ Brain Fingerprinting (Brain Mapping): Brain mapping is a group of neuroscience techniques based on the mapping the activities of the different areas of the brain. The electrical activities of the brain is measured &...
Forensic Medicine
Human identification
a7eff991-869d-47d5-b2ee-4423876fa389
Valve of Rosenmuller is present in which pa of lacrimal system?
Puncta
Canaliculi
Lacrimal sac
Nasolacrimal duct
1b
single
Answer- B. CanaliculiValve of Rosenmuller is a small flap of mucosa in lacrimal canaliculus at its junction with lacrimal sac.
Ophthalmology
null
9dd8e20a-0f91-4796-a7d3-aad496ee33da
A 22 year old man presents to ENT OPD complaining of itching, earache and discharge from the ear. Discharge is watery in consistency and have musty odour. On examination, doctor found black headed filamentous growth which resembled wet blotting paper. Which of the following is likely diagnosis in this case?
Acute Otitis externa
Otomycosis by Aspergillus niger
Otomycosis by Aspergillus fumigatus
Otomycosis by Candida
1b
single
-Patient is suffering from otomycosis due to Aspergillus niger. Otomycosis Fungal infection of the external auditary canal C/F: Intense itching Pain in the ear (More with Aspergillus flavus) Watery discharge with a musty odour The fungal mass have wet blotting paper/newspaper appearance Causes - Aspergillus niger Asper...
ENT
Diseases of External Ear
b1dd8f8a-ab61-4c33-a902-bc777d93d4b4
Length of LES is ?
1-2 cm
3-4 cm
1-2 mm
3-4 mm
1b
single
Ans. is 'b' i.e., 3-4 cm The lower esophageal sphincter (LES) is a bundle of muscles at the low end of the esophagus, where it meets the stomach.When the LES is closed, it prevents acid and stomach contents from traveling backwards from the stomach.The LES muscles are not under voluntary control.Lower esophageal splinc...
Anatomy
null