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135
543b141c-025d-4360-9e46-4f4f87894d9b
A cold nodule in thyroid scintiscan mean
Nodule which is cold
Hyperactive nodule
Nodule which is nonfunctioning & malignant
Nodule which has no signs of inflammation
2c
single
null
Surgery
null
4887adf2-a741-4aab-a401-5a0d9478e00a
Earliest sensation to be lost in Hansens disease is -
Pain
Touch
Vibration
Temperature
1b
single
null
Social & Preventive Medicine
null
d2a74fda-f991-467d-8048-9ff1b10a261c
Who said these words : To study the phenomenon of disease without books is to sail an unchaed sea, while to study books without patients is not to go to sea at all -
Hamilton Bailey
Sir Robe Hutchison
Sir William Osler
J.B. Murphy
2c
multi
Ans. is 'c' i.e., Sir William Osler
Surgery
null
bdd45e8b-7a10-45e2-97b2-14e955664bd7
Which of the following contains highest protein content?
Triglycerides
HDL
LDL
VLDL
1b
single
Ans. b (HDL). (Ref. Harper, Biochemistry, 25th ed., 268)PROPERTIES OF PLASMA LIPOPROTEINS LipoproteinMajor lipidElectrophoretic mobilityMajor apoproteinsProtein content1ChylomicronTriglycerideNoneB-48, A-I, IV-2Very low density (VLDL)TriglyceridePre-betaB-100, E, C-I, II, III-3intermediateTriglyceride & density (IDL)ch...
Biochemistry
Lipids
c3fe911d-6ccd-4ad4-aaf0-4c1d19800f59
During a football game a 21-year-old wide receiver was illegally blocked by a linebacker, who threw himself against the posterolateral aspect of the runner's left knee. As he lay on the ground, the wide receiver grasped his knee in obvious pain. Which of the following structures is frequently subject to injury from thi...
Fibular collateral ligament
Anterior cruciate ligament
Lateral meniscus and posterior cruciate ligament
Fibular collateral and posterior cruciate ligament
1b
multi
This type of injury can result in the "unhappy triad" (of O'Donahue) injury, with damage to the medial collateral ligament (MCL), anterior cruciate ligament (ACL), and medial meniscus. A blow to the lateral side of the knee stretches and tears the MCL, which is attached to the medial meniscus. The ACL is tensed during ...
Anatomy
Lower Extremity
d3dd46c1-b874-4b4d-a853-27b078da2259
23-year-old medical student complaint of feeling "worried." He fears failing his clinical exam because he feels nervous about presenting a case and performing physical examination in front of examiners. He would skip bedside teaching when it would be his turn to present a case in front of his classmates and tutors. He ...
Normal shyness
Panic disorder
Generalized anxiety disorder
Social phobia
3d
single
Clinical picture of fearing presentation in public, avoidance, fear of criticism is suggestive of social phobia. It is also known as social anxiety disorder. In Generalised anxiety disorder there is free flowing anxiety at all time. In panic disorder there are recurrent panic attacks with feeling of impending doom.
Psychiatry
Neurotic, Stress Related and Somatoform Disorders
c5f701a2-e5e4-41de-8ef1-5cda236f40b2
A 1-year-old female infant is hospitalized for pneumonia. Bacterial cultures of the sputum have grown Pseudomonas aeruginosa. She has had two prior hospitalizations for severe respiratory infections. Her mother has noted that when she kisses her child, the child tastes "salty." The child has had weight loss that the mo...
Cystic fibrosis transmembrane conductance regulator
Dystrophin
a-1,4-Glucosidase
a-L-Iduronidase
0a
multi
Cystic fibrosis, Most common lethal genetic disease in Caucasian populations. Defect in the cystic fibrosis transmembrane conductance regulator (CFTR) protein Deletion of phenylalanine in position 508 (DF508 mutation). Affected patients often have multiple pulmonary infections and pancreatic insufficiency with steatorr...
Pathology
Genetics
c6a5483b-d9e5-4748-96fd-db67312cb3f7
Retinal output is mainly from
Ganglion cell layer
Layer of rods & cones
Outer nuclear layer
Outer plexiform layer
0a
single
(A) Ganglion cell layer # Retina:> Layer of rods & cones: These are the end organs of vision & are also known as photoreceptors> Outer nuclear layer: It consists of nuclei of the rods and cones.> Outer plexiform layer: It consists of connections of rod spherules and cone pedicles with the dendrites of bipolar cells and...
Medicine
Miscellaneous
02e3ddc6-35ef-4482-8e3a-ac4b9603597f
Global warming, which is true:
CO2 is the major green house gas
Stratosphere ozone layer is harmful
CFC increases the zone of stratosphere
KYOTO protocol set the target of net reduction of 20 green house gas emission
0a
multi
CO2 is the major green house gas
Social & Preventive Medicine
null
a382164d-8b96-4ac4-933d-540b7968ca22
Lathryism is due to -
Khesari dal
Aflatoxins
Aspergillus
Fluoride
0a
single
Ans. is 'a' i.e., Khesari Dal Lathvrismo Lathyrism is caused bv lathyrus sativus, commonly known as "Khesari dhal"o The toxin present in lathyrus seeds has been identified as Beta oxalyl aminoalanine (BOAA).o Toxin is water soluble,, this property has been made use of in removing the toxin from the pulse by soaking it ...
Social & Preventive Medicine
Nutrition and Health
39f4b565-9218-4de0-8aca-f48fcfc406ad
Bone tumors arising from diaphysis -a) Chondrosarcomab) Ewing's tumorc) Osteoclastomad) Chondroblastoma e) Osteid osteoma
ab
ad
bc
be
3d
single
Diaphyseal lesions : - Ewing sarcoma, Lymphomas, Fibrous dysplasia, Adamantinoma, Histiocytosis, Osteoid osteoma, Chondromyxoid fibroma, Fibrosarcoma, Fibrous cortical defect. Non ossifying fibroma
Orthopaedics
null
bf51a57c-7701-4b35-824d-64d0798e4a94
Vitamin K dependent clotting factor is
VII
I
XI
XII
0a
single
Vitamin K dependent clotting factors (VKCF) are clotting factors II (prothrombin), VII (Proconvertin), IX (Christmas factor), X (Stuart Prover Factor), protein C, protein S and protein Z.
Biochemistry
null
4a269911-3efa-4b4f-aea0-1d096a841670
IPC code related to age for valid consent is?
85
86
87
88
2c
single
Ans. is 'c' i.e., 87o Section 87 of the IPC says that a person above 18 years of age can give valid consent and Section 89 of the IPC says that a child under 12 years of age cannot give a valid consent.Other optionso 85 and 86 I PCs are related to drunkenness and criminal responsibility.o 88 IPC: Act not intended to ca...
Forensic Medicine
Introduction to Forensic Medicine and Medical Jurisprudence
383948b7-bbde-4c78-b992-e507c6a9fa27
A patient of 40 years male got a blow on the angle region of mandible and he is asymptomatic. The x-rays of that region shows a radiopaque line with very sharp undercut in the lower border of mandible which may be due to:
Sutural diastasis
Overlapping sign
Separation sign
Non union sign
1b
single
null
Surgery
null
ca06d177-cb7e-4b41-be31-1bbb70024a84
The dose of Dopamine used for renal vasodilatation is?
2.5 ug/kg/min
5-10 ug/kg/min
10-20 ug/kg/min
1-2 ug/kg/min
3d
single
Dopamine is used in the treatment of shock - cardiogenic, hypovolemic, and septic shock. It is especially useful when there is renal dysfunction and low cardiac output because dopamine increases renal blood flow and thereby GFR. Dopamine stimulates the hea - increases FOC, CO, BP. It is also sho acting. Its dose is 2-5...
Pharmacology
Autonomic nervous system
22492e18-1b16-4b47-9535-29e29360ac8a
Smokeless Gun powder contains
Nitrocellulose
Charcoal
Potassium
Sulphur
0a
single
SMOKELESS gun powder: Single base: Nitrocellulose Double base: Nitrocellulose + Nitro-glycerine Triple base: Nitrocellulose + Nitroglycerine + Nitroguanidine
Forensic Medicine
Ballistics
50e3bd81-d9f2-4f65-90cb-e2200388cfaf
What is the content of ethinyl estradiol in very low dose oral contraceptives ?
30 pig
25 ps
20ug
151.tg
2c
single
Ans. is 'c' i.e., 20 jutg o Very low dose OCPs ---> 20 mg ethinyl estradiol. o Conventional OCPs --> 30-50 mg ethinyl estradiol (mostly 30 g)
Social & Preventive Medicine
null
cc763197-f7c6-4eb8-b8c4-6cb5a8fc46e7
True statement about widal test in typhoid is-(
Widal test is confirmative in endemic areas
Antibiotic treatment does not alter widal test results
Previous infection alters widal test
Widal test does not alter with prior vaccination
2c
multi
Ans. is 'c' i.e., Previous infection alters widal test . Person who have had prior infection or immunization may develop an anamnestic response during unrelated fever and may show false positive reaction. This may be differentiated by repetition of test after a week. The anamnestic response shows only a transient rise,...
Microbiology
null
ad5476c5-846a-4e03-92aa-21de351fe700
Schizophrenia mostly occurs in -
Adolescents
Children
Middle age
Old age
0a
single
Schizophrenia starts in late adolescence and early adulthood (15-20 years).
Psychiatry
null
c5bd1350-d0c4-4af3-af0a-dbb5e1f8ac06
ECG of a patient with snake bite is shown below. What is the abnormality seen?
Hyperkalemia
Hypokalemia
Myocarditis
Bigemini
0a
single
ECG changes typically occur when serum potassium is < 3 mEq/L, and include ST segment sagging, T wave depression, and U wave elevation. With marked hypokalemia, the T wave becomes progressively smaller and the U wave becomes increasingly larger . Ref Davidson 23rd edition pg 370
Medicine
Fluid and electrolytes
f200b6b4-21bc-4c16-af08-f0b0d01cf944
The following condition is treated with
Systemic antifungal therapy
Systemic antiviral therapy
Systemic corticosteroids
Systemic antibiotics
2c
single
The picture and the description are characteristic features of Pyostomatitis vegetans . It is usually treated by corticosteroids
Pathology
null
493fcd5d-a3d7-42a1-a531-98cd155e1412
A 72-year-old woman presents with bone pain and tenderness in her lower extremities and left clavicle. Physical examination reveals tenderness to palpation on her lower legs and left midclavicle. Laboratory studies reveal elevated calcium, decreased phosphate, and elevated parathyroid hormone (PTH). X-ray reveals the f...
Paget disease of the bone
Osteomalacia
Osteoporosis
Osteitis fibrosa cystica
3d
single
Ans. (d) Osteitis fibrosa cystica.The patient in this question has hyperparathyroidism (elevated PTH) and is showing clinical symptoms for osteitis fibrosa cystica, a disease in which cystic bone spaces are filled with brown fibrous tissue. This disease is associated with hyperparathyroidism because PTH first acts on o...
Orthopaedics
Hyperparathyroidism
f7573eda-70b1-4f8e-9ad6-633f7af9df9e
For the immediately life-threatening injuries of the chest "Laryngeal obstruction", select the proper intervention. (SELECT 1 INTERVENTION)
Endotracheal intubation
Cricothyroidotomy
Subxiphoid window
Tube thoracostomy
1b
single
Airway obstruction denotes partial or complete occlusion of the tracheobronchial tree by foreign bodies, secretions, or crush injuries of the upper respiratory tract. Patients may present with symptoms ranging from cough and mild dyspnea to stridor and hypoxic cardiac arrest. An initial effort should be made to digital...
Surgery
Trauma
da047165-1bc5-42a3-a9e7-cf51843daa75
All of the following conditions are associated with systolic thrill in left 2nd and 3rd intercostal space, EXCEPT:
Pink TOF
Subpulmonic VSD
Pulmonic stenosis
Ebstein's anomaly
0a
multi
Pink TOF is not commonly associated with a left upper parasternal systolic thrill. It is associated with a systolic thrill in second and third intercostal space. The physiology of TOF depends primarily on the severity of pulmonary stenosis and on the size of the VSD. Pink TOF is said to occur in patients with a large V...
Medicine
null
59bf6216-151b-4e33-b1e2-1b29748e9fd9
Which of the following is not example of Pseudopubey?
Tumor of hypothalamus
Ovarian tumor
Tumor of adrenal gland
All of above
3d
multi
Ans. is 'd' i.e., All of above
Pediatrics
null
aefae278-4d5e-4b1b-bcbf-f304a7a4cad7
Angiogenesis is
Formation of the new blood vessels
Repair by connective tissues
Formation of the blood clot
All of the above
0a
multi
(Formation of the new blood vessels) (71-72-R) (70-72- Basic pathology 8th)ANGIOGENESIS or neovascularization by which preexisting vessels send out capillary sprouts to produce new vessels.Angiotensis is a critical process in the healing at sites of injury in the development of collateral circulations at sites of ische...
Pathology
Blood Vessels
d26f2b15-ca73-44ed-a7c6-ba1eb8f16c3a
In Cushing syndrome, which of the following are seen -
|Aldosterone
|Aldosterone
|Epinephrine
|norEpinephrine
0a
single
Cushing syndrome is a disorder resulting from increased adrenocoical secretion of coisol, due to any one of several sources: ACTH-dependent adrenocoical hyperplasia or tumor, ectopic ACTH-secreting tumor, or excessive administrations of steroids; characterized by truncal obesity, moon face, acne, abdominal striae, hype...
Physiology
Endocrinology
7d3d2faf-63b7-4dc9-8f00-07017a1d0213
True about chancroid is
Incubation period is 3 to 10 weeks.
Characterised typically by prodromal symptoms and systemic reaction.
Painful ulcer with irregular erythematous non-indurated margins.
Ulcer base is hard, indurated.
2c
multi
Chancroid: Incubation period = 3 to 10 days It lacks systemic reaction and prodrome. Ulcer base is soft.
Gynaecology & Obstetrics
null
ee776915-2a77-4fcc-a515-dc5221cd3ea1
Highest level of health care is
Primary health care
Tertiary care
Child care
Secondary level care
1b
single
null
Social & Preventive Medicine
null
44797cd6-43bc-4f0e-966a-28785d2d9a54
All the following muscles are supplied by Anterior division of Obturator Nerve except
Pectineus
Adductor Longus
Gracilis
Adductor Magnus
3d
multi
The main nerve supply to muscles of the adductor compament is the obturator nerve. The adductor longus and the gracilis are supplied by the anterior division of this nerve. The adductor brevis is supplied by the anterior division or by the posterior division. The adductor magnus has a double nerve supply. Its adductor ...
Anatomy
Lower limb
6ca3d5c3-6a99-4011-a0f5-b3a923f44569
Pedigree analysis – Analyze the following pedigree and give the mode of inheritance –
Autosomal recessive
Autosomal dominant
Mitochondrial inheritance
X linked dominant
2c
single
This pedigree chart has the following two characteristics: -      The disease is manifesting in both males and females. But, the disease is transmitting to the next generation only by females (mother). Both these are characteristics of mitochondrial diseases. Mitochondrial diseases Mitochondrial DNA is the only non-...
Pediatrics
null
df3d5830-ab1b-4552-a792-7fdcb57a5393
Gracey curettes are area specific instruments because:
They are used in the specific areas of the US
They adapt to specific areas of the tooth or root
They have more than one angle per cutting edge
They are used for root planning
1b
single
null
Dental
null
3137698f-4b1f-45f8-9701-97d2969262ca
Suspended animation may be seen with :
Electrocution
Strangulation / hanging
Drowning
Burn
0a
single
A i.e. Electrocution Suspended animation (i.e. apparent death) is seen in electrocution & apparently drowned (not drowning)Q
Forensic Medicine
null
ac7debce-c420-47f2-ac55-0fc8398f0f3a
A young man underwent surgery for the removal of Glomus tumor. Glomus tumor is seen commonly in:
Liver
Adrenals
Pituitary
Finger
3d
single
Glomus tumor is a benign soft-tissue extremity tumors, these lesions arise from dermal neuro myo aerial apparatus (glomus bodies). Glomus tumor more commonly affects the hand. In addition to the severe pain, point tenderness and cold sensitivity are associated with these lesions and subungual glomus tumors typically ap...
Surgery
null
ca68969c-14af-437d-8cdb-82fbfade7c4e
Not a manifestation of anaphylactic shock: CMC (Ludhiana) 11
Hypotension
Vasoconstriction
Bronchospasm
Laryngeal edema
1b
single
Ans. Vasoconstriction
Forensic Medicine
null
9084586c-edaa-42c5-ac06-b9fe8c5a2c52
TOF - include all except ?
Pulmonary stenosis
VSD
ASD
RVH
2c
multi
Ans. is 'c' i.e., ASD Tetrologv of 'allot Cyanotic hea disease (MC). Defect in infundibular septum leads to : Pulmonary stenosis. VSD (Not ASD) Dextroposition and overriding of aoa. Right ventricular hyperophy (NOT LVH). Pink TOF (Acyanotic TOE) when PS is mild to moderate balanced shunt tnt across the VSD, pt not have...
Pediatrics
null
4aaa1c7a-f8cb-417b-a4bd-30ad0afb04ba
Which of the following is a MDG ?
Reduce by 2/3" the tinder five moality by year 1990-2015
Halve the prevalence of HIV-AIDS by 2015
Reduce maternal moality by 50%
Combat PEM & diarrhoea
0a
single
Ans. is `a' i.e., Reduce by 2/3" the under five moality by year 1990-2015
Social & Preventive Medicine
null
59f63253-8911-4deb-a386-a6bc11fa2488
The blood supply of the Jejunum is through the-
Inferior mesenteric artery
Superior mesenteric artery
Pancreatico duodenal artery
Ileocolic artery
1b
single
Ans. B. Superior mesenteric arteryArterial supply to the gastrointestinal tract:-a. The arterial supply to the gastrointestinal tract is derived from the anterior midline visceral branches of the aorta. There are usually three anterior branches, the coeliac trunk and the superior and inferior mesenteric arteries. Varia...
Anatomy
Blood Vessels of Abdomen and Pelvis
5f276bd3-64f5-4c53-ade1-b0b2834ba3cc
Good prognosis in schizophrenia is indicated by:
Soft neurological signs
Affective symptoms
Emotional Blunting
Insidious onset
1b
single
Good Prognostic Factors Poor Prognostic Factors (1) Late Onset (1) Younger age of onset (2) Catatonic features (2) Disorganized type (3)Pyknic Built (3) Asthenic built (4) No Family history (4) Family history present (5)Acute onset 5) Chronic type (6) Emotions are preserved (6) Blunting of affect or atypical Feature Pr...
Psychiatry
null
94ebeb17-c3b1-4be2-afd9-d615160485b1
In rabies pathological lesions in CNS are -
Brainstem encephalitis
Cranial nerve arteritis
Neuronal loss
Neurofibrillary tangles
0a
single
Rabies is a severe encephalitis, mainly involves. Rhombencephalon ( rain stem - midbrain and the floor of the fourth ventricle in the medulla). Basal ganglia Spinal cord Dorsal root ganglion.
Pathology
null
b91ee142-66c1-405c-9c3f-47c450995652
Color of postmoem lividity in hypothermic deaths: NEET 13
Purple
Deep red
Cherry red
Bright pink
3d
single
Ans. Bright pink
Forensic Medicine
null
1006257b-c0b6-4b98-b4d3-b97dac082fab
Clozapine was the first antipsychotic drug. Which of the following is an indication for the use of Clozapine?
Resistant schizophrenia
Akathesia
First drug to be used for schizpophrenia
Used for schizophrenia with depression
0a
single
Clozapine has been approved for, Patients with schizophrenia who have failed to respond adequately to typical neuroleptic drugs (treatment-resistant schizophrenia) Patients who are intolerant of typical neuroleptic drugs because of EPS or tardive dyskinesia Patients who are at high risk for suicide Ref: Meltzer H.Y., B...
Psychiatry
null
d51af7b6-faa2-4abe-971a-b6b2ab12d46b
All of the following are nonselective beta blockers with additional actions except -
Carvedilol
Betoxalol
Caeolol
Labetolol
1b
multi
Ans. is 'b' i.e., Betoxalol
Pharmacology
null
a2c82225-4b8e-4ceb-8770-adeff7cefafc
Facial nerve palsy is seen in the following fracture
Anterior cranial fossa
Middle cranial fossa
Cranial vault
Posterior cranial Fossa
1b
single
null
Surgery
null
56206226-b0f9-43f1-9d90-d76b77757a1f
MIC-2 is a marker of-
Ewing's sarcoma
Osteosarcoma
Dermatofibrous protruberans
Alveolar cell sarcoma
0a
single
Ans. is 'a' i.e., Ewing's Sarcoma o MIC 2 (CD 99) is a specific marker for Ewing's sarcoma and peripheral primitive neuroectodermal tumors.
Pathology
null
ffc86f0a-271c-4df4-9a30-e0fff74972dd
Type of speech seen in nasopharyngeal carcinoma -
Rhinolalia clausa
Rhinolalia aperta
Hot potato voice
Hoarse voice
0a
single
Nasopharyngeal carcinoma causes denasal speech, i.e. Rhinolalia clausa.
ENT
null
bea38473-5b3f-4bcb-b990-b86112d3bed2
Cirsoid aneurysms most commonly occur in which of the following vessels?
Aoic arch
Splenic aery
Saphenous vein
Superficial temporal aery
3d
single
Cirsoid aneurysms are rare aeriovenous malformations of the scalp and extremities. Cirsoid aneurysms of the scalp are fed by the superficial temporal aery
Surgery
Cardio thoracic surgery
239083f1-487c-4a72-838a-1e416548e2fa
Sinuses are not seen in -
Kidney
Spleen
Endocrine gland
Liver
0a
single
A i.e. Kidney
Anatomy
null
678e6f66-4d6a-4934-9a92-73fba01fb004
Most common pattern of Penumonia seen in Klebsiella infection is
Lobar Pneumonia
Bronchopneumonia
Interstitial Pneumonia
Miliary Pneumonia
0a
single
Ans. is 'a' i.e., Lobar Pneumonia
Medicine
null
10da5a5c-047a-4a45-aa1b-40d9d5781591
ApoE, ApoC is synthesized by ?
Liver
Kidney
Intestine
RBCs
0a
single
Liver Site of synthesisLiver & intestine A-I ,Liver A-V , B-00, C (C-I, C-11, C-III), EIntestine A-IV, B-48Spleen, brain, testes adrenal --> A- D
Biochemistry
null
871df950-34b1-439c-b451-9a627e646c55
A 40 year old woman is on treatment for CLL. Over the past few months she noticed swellings in the neck and axilla which was rapidly increasing in size. She complains of feeling feverish and experiences weight loss. Which of the following is responsible?
Richter transformation
Progression of CLL
Development of secondary infections
Immunodeficiency associated hemolytic anemia
0a
single
CLL: Chronic Lymphocytic leukemia (CLL):- Neoplastic proliferation of native B cell; . Transformation to diffuse large B cell Lymphoma is marked by enlarging lymph node or spleen and worsening of symptom. This phenomenon is called Ritcher Transformation. Dx by flow cytometry positive for CD19/20, CD 5/23 Tx: Fludarabin...
Pathology
Chronic Lymphocytic Leukemia
da1bcc2f-d0e5-43e4-bc4d-5fb583522a60
Recurrent oral ulcers with pain and erythematous halo around them, diagnosis is –
Apthous ulcer
Herpes
Chicken pox
Measels
0a
single
Recurrent oral ulcers with erythematous halos suggest the diagnosis of Aphthous ulcer.
Dental
null
f6c5860a-1cad-4e08-9941-cc15095d6dc0
Following changes are true about pregnancy, EXCEPT:
Blood volume maximum at 36 weeks
Cardiac output maximum at 30 weeks
Ureter dilates maximum in middle pregnancy
Serum cholesterol is maximum at 32 weeks
0a
multi
The blood volume stas to increase from about 6th week,expands rapidly thereafter to maximum 40-50% above the nonpregnant level at 30-32 weeks. The cardiac output stas to increase from 5th week of pregnancy,reaches its peak 40-50% at about 30-34 weeks. Serum LDL and Cholesterol will reach a maximum of 260 mg/100 ml at n...
Gynaecology & Obstetrics
null
d55b85d6-b5b0-4049-ac05-239d780a8097
Which of the following is approved for the treatment of cystic fibrosis with G551D mutation?
Biostrophin
Peginesatide
Lumacaftor
Ivacaftor
3d
single
Biostrophin is a vehicle for gene therapy in Duchenne and Becker's muscular dystrophyPeginesatide is an erythropoietin analog for anemia of chronic kidney diseaseLumacaftor is a CFTR potentiator for cystic fibrosis with F508 mutationIvacaftor is a CFTR potentiator for cystic fibrosis with G551D mutation
Microbiology
All India exam
1cf2e045-7ce8-4400-935b-4b418ad386fe
Cortical blindness
Normal pupillary light reflexes with complete visual loss
Increased pupillary light reflexes with complete visual loss
Normal pupillary light reflex with partial loss of sight
Increased pupillary light reflexes with partial loss of sight
0a
single
A. i.e. (Normal pupillary light reflexes with complete visual loss) (306 - Khurana 4th)CORTICAL BLINDNESS* Most common cause is bilateral occipital lobe infarction* Unilateral infarction leads to contralateral homonymous congruous hemianopiaClinical features* Vision and visual fields are markedly decreased* Sparing of ...
Ophthalmology
Neuro-Ophthalmology
d6f97ab8-4c2c-4f77-9990-8a7420dd1651
AML with worst prognosis -
8/12 translocation
Inversion 16
Normal cytogenetics
Monosomy 7
3d
single
null
Pathology
null
d69eaf10-2504-4ae6-b952-3b8b7feacb4e
Biological amnesia is -
Lack of interest
Presenile dementia
Opioid addiction
Hypothyroidism
1b
single
Biological amnesia:- Head injury (concussion/brain bruises), drugs (Marijuana, alcohol), brain disease (Korsokoff syndrome, Brain tumors, multiple sclerosis, presenile dementia), temporary disturbances in brain blood supply, and transient global amnesia. Psychological amnesia :- Childhood amnesia, dream amnesia, defens...
Psychiatry
null
69c73554-b26f-4569-b236-88493905cccb
A 25-year-old woman presents with symptoms of fatigue and weakness. On examination, there is diplopia, ptosis, weakness, and fatigability of muscles on repeated use. Which of the following is the most likely diagnosis?
myasthenia gravis
multiple sclerosis
TIAs
muscular dystrophy
0a
single
The distribution of muscle weakness is characteristic with early involvement of the cranial nerves, especially the lids and extraocular muscles. Women are more frequently affected than men (3:2 ratio), and the age for peak incidence in women is in the third or fourth decade.
Medicine
C.N.S.
4a5b4e2a-2737-431a-af68-1563f15c589a
Decompression of endolymphatic sac is the treatment for
Menier's disease
BPPV
Labyrinthitis
Otosclerosis
0a
single
(A) (Meniere's disease) (104- Dhingra 6th)Surgical Treatment of Meniere's Disease1. Conservative procedures2. Destructive procedures3. IntermittentA. Decompression of Endolymphatic sacB. Endolymphatic shunt operationC. Sacculotomy (fick's operation)D. Section of vestibular nerveE. Ultrasonic destruction of vestibular l...
ENT
Ear
9578f748-1e87-4ad9-be94-ceb7a674a204
Subcostal nerve is -
Ventral rami of T6
Dorsalrami of T6
Ventralrami of T12
Dorsalrami of T 12
2c
single
Ans. is 'c' i.e., Ventral rami of T12 o Ventral rami of upper 11th thoracic spinal nerves are known as intercostal nerves and ventral ramus of T12 is known as subcostal nerve.o Upper six intercostal nerves supply thoracic wall whereas lower five intercostal nerves and subcostal nerve supply thoracic and anterior abdomi...
Anatomy
Thorax
59c75220-9b11-48e3-afb7-684f88ec8d33
Progesterone is added to estrogens in H to achieve wof effects
Decrease the estrogen action on the breast
Decrease the occurrence of endometrial cancers
Increase the effectiveness of the estrogens
Inhibit bone resorption
1b
single
Hormone replacement therapy (H) In nonhysterectomised postmenopausal women estrogen therapy is supplemented with a progestin for 10-12 days each month to counteract the risk of inducing endometrial carcinoma. Ref:- kd tripathi; pg num:-318
Pharmacology
Endocrinology
03bf9390-59fb-47e7-83c3-64e0d668b0d4
Sedation as an adverse effect is MOST with which of the following atypical antipsychotics?
Risperidone
Olanzapine
Quetiapine
Aripiprazole
2c
single
null
Psychiatry
null
71284d6b-d978-4521-acc9-bc21413cf691
Which of these amino acids will migrate slowest to the anode end at the physiological pH?
Aspaic acid
Glycine
Lysine
Valine
2c
single
At physiological pH basic aminoacid (positive charged a.a) will move slowest towards anode (positively charged electrode).Basic amino acids are: Arginine (Most basic), Lysine and Histidine (Weakly basic)
Biochemistry
null
bccdebf3-a26b-44da-8de3-d2fd3649528e
Which of the following is a useful marker to detect autophagy in cells?
BAK
BAX
LC3
BID
2c
single
Autophagy ("self-eating") is the process in which the starved cell eats its own components in an attempt to reduce nutrient demand to match the supply. Some of the cell debris within the autophagic vacuoles may resist digestion and persist in the cytoplasm as membrane-bound residual bodies. An example of residual bodie...
Pathology
Apoptosis
d6d6ce93-fa80-4059-8410-f2f4440170d1
Non - union is a complication of :
Scaphoid
Colle's
Inter- trochanteric of hip
Supra condylor of the humerus
0a
single
A i.e. Scaphoid Fracture Fracture head & neck femur, fracture body of talus and fractures through waist of scaphoid most commonly leads to nonunion and avascular necrosis due to poor blood supplyQ
Surgery
null
665ac470-bde9-42b7-94ce-d937039c75c4
A 3-day old baby feeds poorly, vomits on feeding. Urine Benedict's test is +ve. The reducing substance present in the urine is:
Glucose
Sucrose
Fructose
Galactose
3d
single
Galactosemia: Classic galactosemia is caused by almost total deficiency of galactose-1-phosphate uridyltransferase. Severely deficient neonates present with vomiting, jaundice, and hepatomegaly on initiation of lactose-containing feedings. Renal Fanconi syndrome, cataracts of the ocular lens, hepatic cirrhosis, and sep...
Pediatrics
null
e12cd6e4-8b01-47fa-89d7-265c244db3bf
A 9 year old child disturbs other people, is destructive, interferes when two people are talking, does not follow instructions and cannot wait for his turn while playing a game. He is likely to be suffering from:
Emotional disorders
Behavioral problems
No disorder
Attention deficit hyperactivity disorder
3d
single
This child has symptoms of hyperactivity and impulsivity and the most likely diagnosis would be attention deficit hyperactivity disorder. Symptoms of ADHD: - Inattention - Hyperactivity - Impulsivity - Other symptoms- Destructive behavior, irritability, and aggression.
Psychiatry
Child Psychiatry
9403dc8d-1ba1-49e6-8825-b177038d0b67
Which of the following is a monovalent cation that can reverse a digitalis induced arrhythmia ?
Digibind antibodies
Lignocaine
Magnesium
Potassium
3d
single
null
Pharmacology
null
6a755468-08ab-4560-a198-7841c60a7c15
Which of the following aery is not involved in the formation of Kiesselbach's plexus?
Anterior ethmoidal aery
Posterior ethmoidal aery
Greater palatine aery
Sphenopalatine aery
1b
single
Kiesselbach's area or Little's area, is a region in the anteroinferior pa of the nasal septum, where four aeries anastomose to form a vascular plexus called Kiesselbach's plexus. The aeries which forms the plexus are: ? Anterior ethmoidal aery (from the ophthalmic aery) ? Sphenopalatine aery (from the maxillary aery) ?...
ENT
null
2c7a8db3-7911-47b2-8d1f-59f675ac120d
Allergic bronchopulmonary aspergillosis is characterized by all EXCEPT
Bronchial asthma
Pleural effusion
Centra bronchiectasis
Not respond to steroid
3d
multi
(Not respond to steroid) (241-CMDT-10) (1259-H17th)* High doses of prednisone for at least 2 months is treatment of choice"* ABPA occurs in atopic asthmatic (particularly glucocorticoid dependent) individuals of age 20-40 years and non asthmatic individuals eg cystic fibrosisDiagnostic criteria for Bronchopulmoanry-Asp...
Medicine
Respiratory
19c1563d-b26b-4948-97d4-39158becef3f
Most powerful chain breaking antioxidant:
Vitamin C
Alpha - tocopherol
Catalase
Glutathione peroxidase
1b
single
Alpha- tocopherol is most powerful chain breaking anti-oxidants. 2 Classes of antioxidants Chain breaking anti - oxidants : (They interfere with chain propagation) Alpha - tocopherol Beta - carotene Vitamin C Super oxide dismutase (SOD) Uric acid/Urate Polyphenols Preventive antioxidants: (They reduce the rate of chain...
Biochemistry
Miscellaneous
90b750e1-c186-44cb-84b1-1cda994f6801
Acute non-suppurative sialdenitis is seen in:
Acute bacterial sialadenitis
Mumps
Chronic bacterial sialadenitis
Necrotizing sialometaplasia
1b
single
null
Pathology
null
5e9ed470-12cd-4b13-a77c-3e8c8dda1daa
All of the following modalities can be used for in situ ablation of liver secondaries , except
Ultrasonic waves
Cryotherapy
Alcohol
Radio-frequency
0a
multi
Ultra sonic waves are not described as a method of local Ablative therapy for liver secondaries Local ablative therapy for liver secondaries Crypotherapy Radio-frequency or microwave ablation Ethanol, acetic acid, chemotherapy, hot saline Ref: Sabiston 20th edition Pgno :1464-1465
Anatomy
G.I.T
d6900265-17e6-48b5-92d1-a828d156d917
Predisposing factors of carcinoma endometrium are all EXCEPT
Obesity
Late menopause
Multiparity
Unopposed administration of estrogen
2c
multi
(Multiparity) (573-74-Shaw's 14th)Multiparity is common in carcinoma cervix, while carcinoma of endometrium women are either nulliparous or of low parityPredisposing Factors in Carcinoma Endometrium* Peak incidence is 55-70 years* An Early menarche and late menopause is characteristic* Unopposed and unsupervised admini...
Gynaecology & Obstetrics
Miscellaneous (Gynae)
d943a92c-d1c3-456b-90eb-78defc33aed7
Vagal stimulation of the hea causes:
Increased hea rate
Increased R-R interval in ECG
Increased force of hea contraction
Increased cardiac output
1b
single
Increased R-R interval in ECG Vagus is the parasympathetic supply to the hea. Its stimulation causes: - Decreased hea rate - Decreased force of hea contraction - Decreased cardiac output R-R interval is the time interval between consecutive hea beats in the electrocardiogram. So a decrease in hea rate increases the R-R...
Physiology
null
031e44a5-b16c-4eb8-b82a-b6beff3efb5f
This surgical blade is used for
Minor surgical procedures
Suture removal
Abscess drainage
Abdominal incision
1b
single
This is Number 12 surgical blade. It is used for suture removal.
Surgery
null
4734fb95-2116-4921-a6d9-4d40090ef712
Type of necrosis in pancreatitis ?
Fibrinoid
Coagulative
Fat
Caseous
2c
single
Ans. is 'c' i.e., Fat Fat necrosis is seen most frequently in acute pancreatitis due to leakage of lipase. Fat necrosis Fat necrosis may be of two types : ? 1. Enzymatic fat necrosis This is due to action of lipase on adipose tissue. It occurs most frequently in acute pancreatitis due to leakage of lipase. Depending on...
Pathology
null
a33179ad-9af1-4a36-8c24-55eb2aa3a4de
True about kinematic facebow are all, except
It locates the true (exact) centre of condylar rotation or transverse horizontal axis.
It is preferred in full mouth reconstruction.
It usually requires a fully adjustable articulator.
None of the above
3d
multi
null
Dental
null
ebbebcea-40e5-4371-aea2-063bf5cff0c7
A post partial gastrectomy patient presents with neurological symptoms. Most probable diagnosis is:
Folic acid deficiency
Thiame deficiency
Vitamin B12 de fid ency
Iron deficiency
2c
single
Ref: Bailey unci Love's Short Practice of Surgery 25th EditionExplanation:Postoperative complications of gastrectomyLeakage of the oesophagojejunostomy.Leakage from the duodenal stumpParaduodenal collectionsBiliary peritonitisThe presence of septic collections along with a very radical vascular dissection may lead to c...
Surgery
Postgastrectomy Complications
05f98cd7-0ecf-4734-8a37-bab796921add
Which antineoplastic agent is an antifolate drug:
Methotrexate
Adriamycin
Vincristine
Cyclophosphamide
0a
single
Methotrexate
Pharmacology
null
a0f9b646-cc92-4fe5-9df8-351a1e4b8fa2
A 38-year-old woman shows evidence of early cataracts, hair loss, atrophy of skin, osteoporosis, and accelerated atherosclerosis. This patient has most likely inherited mutations in both alleles of a gene that encodes which of the following types of intracellular proteins?
Deaminase
Helicase
Oxidase
Polymerase
1b
multi
Helicase. Werner syndrome is a rare autosomal recessive disease characterized by early cataracts, hair loss, atrophy of the skin, osteoporosis, and accelerated atherosclerosis. Affected persons are also at risk for development of a variety of cancers. Unlike Hutchinson-Gilford progeria, patients with Werner syndrome ty...
Pathology
Cellular Pathology
3cf70421-5d32-4072-a3d9-c903a111d3e1
ER-positive status in Ca Breast indicates -
Prognosis
Etiology
Site
None
0a
multi
Estrogen receptor (ER) positive breast carcinomas are generally slow-growing and respond well to hormonal treatment. Gene expression profiling, which can measure the relative quantities of mRNA for essentially every gene, has identified five major patterns of gene expression in invasive ductal carcinoma. 1. Luminal A ...
Pathology
null
2b0593b3-d3d7-45ea-b605-a6d7e8cf90a5
Replacement & periodic examination in radiation industary is recommended ?
Every month
Every 2 months
Every 6 months
Every year
1b
single
Ans. is 'b' i.e., Every 2 months Preventive measures in radiation industeriesInhalation, swallowing or direct contact with the skin should be avoided.In case of X-rays, shielding should be used of such thickness and of such material as to reduce the exposure below allowable exposures.The employees should be monitored a...
Social & Preventive Medicine
null
ef0bd6aa-c74b-4356-bcfb-a6e37e2c7971
HCV is -
Enveloped RNA
Nonenveloped RNA
Nonenveloped positive strand RNA
Enveloped negative strand RNA
0a
multi
HCV is a 50-60 nm virus with a linear single stranded RNA genome enclosed within a core and surrounded by an envelope carrying glycoprotein spikes. REF:ANATHANARAYAN AND PANIKER'S TEXTBOOK OF MICROBIOLOGY 9TH EDITION PAGE NO:549
Microbiology
Virology
5b9fce8f-b048-4367-8f75-7a6d5e61f423
In Hutchinson's triad in newborn child, what is not seen?
Interstitial keratitis
Notched incisors
Deafness
Cataracts
3d
single
Cataracts REF: Harisson's 18`11 ed chapter 169 Hutchinson's triad is named after Sir Jonathan Hutchinson (1828-1913). It is a common pattern of presentation for congenital syphilis, and consists of three phenomena: interstitial keratitis, Hutchinson incisors, and eighth nerve deafness
Pediatrics
null
c573307f-a883-49a9-8606-6fc0eb90bf82
ERCP in pancratitis is done to know about – a) Gall stoneb) Associated cholangitisc) Ascitesd) Pancreatic divisume) Annular pancreas
abcd
abde
acde
ade
1b
multi
ERCP can be used in pancreatitis to evaluate conditions which can predispose to pancreatitis (e.g. Gall stone, pancreatic divisum, annular pancreas) and associated biliary cholangitis.
Radiology
null
6a70538e-84dc-4b2f-ac22-9f3d086912ed
A 63-year-old man becomes oliguric 2 days following an open cholecystectomy. Which of the following findings would suggest that prerenal ARF is a major factor in the etiology?
postural hypotension
fractional excretion of sodium is 3%
specific gravity is 1.012
the urine sodium is 30 mEq/L
0a
single
Although evidence of volume contraction cannot confirm prerenal ARF, as this can progress into intrinsic renal failure, it suggests that prerenal factors are contributing. In prerenal ARF, specific gravity is usually > 1.020 and sodium concentration is < 10 mmol/L. The fractional excretion of sodium relates sodium clea...
Medicine
Kidney
6200c3c6-7943-4c38-bc10-a6fea4f305e8
Grade III intraventricular hemorrhage is
Intraventricular hemorrhage alone
Hemorrhage limited to germinal matrix
Hemorrhage with ventricular dilatation
Parenchymal extension of hemorrhage
2c
single
Grade I - Hemorrhage limited to the germinal matrix Grade II - Intraventricular hemorrhage Grade III - Hemorrhage with ventricular dilatation Grade IV - Parenchymal extension of hemorrhage.
Gynaecology & Obstetrics
null
c47fff66-a500-4de2-b22c-bda36d49ec30
Motor protein in organ of corti -
Kinesin
Albumin
Dynein
Myosin
3d
single
Ans. is 'd'i.e.. Myosin o The inner hair cells of organ of corti have 50-200 ciliated structure called stereocilia.o The top of each stereocilium is linked to the side of next adjacent higher stereocilium by means of a thin filamentous strucuture called the tip-link.o Mechanically gated ion channels are located at thes...
Physiology
Special Senses: Hearing and Equilibrium
f12b9d8b-817b-4959-864e-6d7958f62f71
In acute pulmonary embolism, the ECG finding may include all except
S1Q3T3 pattern
P. pulmonale
Sinus tachycardia
T-wave inversion in leads V1 to V4
2c
multi
The most frequently cited abnormality, in addition to sinus tachycardia, is the S1Q3T3 sign: an S wave in lead I, a Q wave in lead III, and an inveed T wave in lead III. This finding is relatively specific but insensitive. RV strain and ischemia cause the most common abnormality, T-wave inversion in leads V1 to V4.Ref:...
Medicine
All India exam
db16bb23-bff4-4cb7-bd09-5c6ef652b29e
A baby assessed at 5 minutes after bih is found to be blue with irregular gasping respiration. Hea rate(HR) is 60 beats/min, and a grimace is seen with some flexion of extremities. The Apgar score for this newborn is _______
0
2
3
4
3d
single
In this baby: Color: Score 0 Hea rate, < 60 beats/min: score 1 Grimace: score 1 Some flexion of the extremities: score 1 Irregular respiration: Score 1 Thus total score is 4 APGAR SCORING SYSTEM: Appearance 0 points 1 point 2 points Appearance (Skin color) Blue/Pale Pink body, blue extremities Pink Pulse Absent <100 BP...
Pediatrics
New born infants
3799807c-a2ee-499e-b67e-a1f5dbdd7e31
Which of the following is true regarding Fluorescence?
Spontaneous illumination in dark
Release of longer wavelength light on absorbing light of shorter wavelength
Release of shorter wavelength light on absorbing light of longer wavelength
Continuous emission of lights of different wavelength
1b
multi
Ans. b. Release of longer wavelength light on absorbing light of shorter wavelength (Ref: Tietz' Fundamentals of Clinical Chemistry 5/e p75; Lehninger 4/447; Harper 29/e p311)In Fluorescence, there is release of longer wavelength of light on absorbing light of shorter wavelength is seen.FluorescenceIt is the emission o...
Biochemistry
Miscellaneous (Bio-Chemistry)
2bedfa2d-89e6-4b68-a66b-0a09e24d0121
Which immunoglobulin acts as receptor on B cell?
Ig G
Ig A
Ig M
Ig D
2c
single
Ig M REF: Jawetz's, Melnick, & Adelberg's Medical Microbiology, 24TH edition chapter 8. Immunology B-cell Receptor for Antigen: B cells express a form of IgM that is located on the cell surface. Cell surface IgM has the same antigen specificity as the secreted IgM antibody molecule. This is achieved by a differential R...
Microbiology
null
6d12df2a-58a0-42b0-ab88-ab08f24f23f8
All of the following statements are true about the disease where the following rash is noted except:
The causative agent is Parvovirus B19
This disease also known as Roseola infantum
Reticulate lacy exanthem may be noted on the trunk and extremities
Clinical features are usually seen in healthy individuals
1b
multi
Ans. B. This disease also known as Roseola infantumThe image depicts the characteristic slap cheek appearance seen in 5th Disease Synonym: Erythema infectiosumParvovirus B19 most classically causes erythema infectiosum (EI), a mild febrile illness with rash. It often occurs in outbreaks among school-aged children, alth...
Skin
Miscellaneous
4fd176cf-a2a5-4375-90bb-f8b5e2c7789c
Antibody against tumor cells -
MHC-I
MHC-II
Anti viral
Differentiated antigen
0a
single
null
Pathology
null
2b2a67fe-eb47-44a8-98bd-74fc38f3e98d
Chest X-ray findings in tuberculosis associated with HIV are all except: September 2005
Disseminated tuberculosis
Lupus vulgaris
Pleural effusion
Hilar lymphadenopathy
1b
multi
Ans. B: Lupus vulgaris Lupus vulgaris is a cutaneous manifestation of tuberculosis.
Medicine
null
0ea97814-61c9-437d-8b1f-3329f9c3ae64
Clinical features of nasopharyngeal angiogibroma are -a) 3rd to 4th decadesb) Adolescent malec) Epistaxis and nasal obstruction are the cardinal symptomd) Radiotherapy is the Rx of choicee) Arises from posterior nasal cavity
bce
bc
acd
ace
0a
single
NFA occurs in adolescent males. Nasal obstruction and epistaxis are the most common presenting symptoms. It arises in the posterior part of nasal cavity near the sphenopalatine foramen. Treatment of choice is surgery.
ENT
null
abc20001-ea11-4125-9424-fbc2227c1090
Resistance to zidovudine develops due to-
Mutations at reverse transcriptase
Increased efflux of the drug from inside the cell
Increased metabolism of the drug
Decreased zidovudine 5 triphosphate formation
0a
single
Ans. is 'a' i.e., Mutations at reverse transcriptase "Resistance to Zidovudine occurs by point mutation which alters reverse transcriptase enzyme. In the past when AZT was used alone, > 50% patients became nonresponsive to AZT within 1-2 years therapy due to growth of resistant mutants" - KDT
Pharmacology
null
8f2472b9-84d1-4132-8d15-3aa051b8169a
The pulmonary function test done on this patient of asthma would be
Non-infarmative
Obstructive pattern
Restrictive pattern
Destructive pattern
1b
single
The patient is having atopic asthma.Pulmonary function tests in asthma show an obstructive pattern with reduced FEV1,FEV1/FVC ratio.Reversibility is demonstrated by a >12% and 200 ml increase in FEV1 15 minutes after an inhaled sho acting beta2 agonist or in some patients by a 2 to 4 week trial of oral coicosteroids. R...
Medicine
Respiratory system
da8ad635-0037-47a4-a762-fc15e38a3525
Macrophages in nervous system is known as:
Schwann cells
Oligodendrocytes
Astrocytes
Microglia
3d
single
Microglia are scavenger cells that resemble tissue macrophages and remove debris resulting from injury, infection, and disease (eg, multiple sclerosis, AIDS-related dementia, Parkinson disease, and Alzheimer disease). Microglia arise from macrophages outside of the nervous system and are physiologically and embryologic...
Physiology
null