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135
1825fbdb-260f-4277-894c-884957f106d3
Scissors gait is seen in
Poliomyelitis
Cerebral palsy
Hyperbilirubinemia
Hyponatremia
1b
single
Scissor gait is a form of gait abnormality primarily associated with spastic cerebral palsy rigidity and excessive adduction of the leg in swing plantar flexion of the ankle flexion at the knee adduction and internal rotation at the hip progressive contractures of all spastic muscles complicated assisting movements of ...
Surgery
Trauma
6d44b672-3e45-4e0b-abf8-545b81dd3967
Kaposi's sarcoma (KS) usually occurs when CD4+ lymphocyte counts are:
Above 600
Between 1000-2000
Below 200
Above 2000
2c
multi
When CD4 count falls less than 200/L, the patient develops full-blown AIDS. This stage is characterized by the development of HIV wasting syndrome with weight loss and diarrhea for 1 month. The patients with AIDS show a marked susceptibility to the development of malignancies.  Human herpes virus-8–associated Kaposi’s ...
Microbiology
null
aa6c5cbe-a0d3-41dd-a133-86704b55af0e
Caudal regression syndrome is seen in
Preeclampsia
Gestational diabetes
Sickle-Cell anemia
Systemic lupus erythematosus
1b
single
Gestational diabetes is associated with caudal regression syndrome.
Gynaecology & Obstetrics
null
78f93c5b-dc84-45c8-a709-80989ce38230
MCH located on -
Chromosome number 6
Chromosome number 7
Chromosome number 8
Chromosome number 9
0a
single
(A) (Chromosome number 6) (136 Baveja 4lh) (106 D. Greenwood 18th)MAJOR HISTOCOMPATIBILITY COMPLEX (MHO* The MHC in human is known as human leucocyte antigen (HLA) complex.* The HLA complex of genes is located on short arm of chromosome 6.* They are arranged over a region of between 2000 and 4000 kilobases is size, con...
Microbiology
Immunology
95b485b4-c2a2-453d-8f86-c65e4ffcd55a
A lady comes with melanotic pigmentation of lip, presence of multiple polyps in the intestine, and a positive family history. What is the most probable diagnosis?
Peutz-Jegher's Syndrome
Gardner's syndrome
Turcot's syndrome
Lynch syndrome
0a
single
Peutz-Jeghers syndrome (PJS) is an autosomal dominant inherited disorder characterized by intestinal hamaomatous polyps in association with a distinct pattern of skin and mucosal macular melanin deposition. Gardner syndrome, a variant of familial adenomatous polyposis (FAP), is an autosomal dominant disease characteriz...
Medicine
null
cf45ffba-7d88-46f1-9bce-05a8297ac4ba
In complicated cataract opacity develops in
Anterior capsule
Nucleus
Posterior subcapsular
Coical
2c
single
Answer-C. Posterior subcapsularComplicated cataract refers to the lens opacification secondary to some other intraocular disease, Anterior uveitis is the most common cause.Posterior coical complicated cataract : - This type of cataract is due to affections of posterior segment. This cataract is located in a posterior s...
Ophthalmology
null
b0ca1f5c-fe61-471f-8a8a-84b9aa624894
Which is a product of purine metabolism?
Uric acid
Urea
Xanthine
Beta alanine
0a
single
Uric acid is the common end product of purine catabolism. However, in non-primate mammals, Allantoin is the end product of purine catabolism as an extra enzyme, Uricase is present. OTHER OPTIONS: OPTION B: The end products of pyrimidine catabolism are NH3, CO2 & beta alanine (for Cytosine, Uracil) Option C - Xanthine i...
Biochemistry
FMGE 2019
ffeed031-b8c3-429f-b3af-59c8529f09a2
Secondary Oocyte is :
n and N
n and 2N
2n and N
2n and 2N
1b
single
Primary Oocyte – 2n. Secondary Oocyte – n and 2N. Spermatid – n and N.
Anatomy
null
d1dd9fb5-da8b-4740-9ea3-fd904710168f
Biomedical waste(s) to be discarded in Yellow :
Human anatomical waste
Animal waste
Microbiological waste
All
3d
multi
Ans. is 'a' i.e., Human anatomical waste; b i.e., Animal waste; 'c' i.e., Microbiological waste o Wastes discarded in yellow bag arc : (i) Category I (Human anatomical waste), (ii) Category 2 (Animal waste), (iii) Catagory 3 (Microbiology and Biotechnology waste), and (iv) Catagory 6 (Solid waste).
Social & Preventive Medicine
null
eed42148-8b83-4107-bf6c-01d162709782
Cervical cytology smear revealed CIN2- next step -
Colposcopy
Cryocautery
Hysterectomy
Laser ablation
0a
multi
Ans- A Colposcopy guided biopsy
Unknown
null
35d75098-0242-48cc-8a93-5f7f14ab4241
pH 7.24, PaO2 55 mm Hg, PaCO250 mm Hg, HCO3-30 mEq/L consistent with:
Respiratory acidosis
Respiratory alkalosis
Metabolic acidosis
Metabolic alkalosis
0a
single
pH < 7.35 is acidosis ; pH >7.45 is alkalosisPrimary change in HCO3- is termed as metabolic (normal range: 22-30 meq/l)If there is acidosis and HCO3- decreased, the problem is a metabolic oneIf in acidosis HCO3- is increased or normal, the problem is compensatory metabolicPrimary change in CO2 is termed as respiratory ...
Medicine
All India exam
2dbd8ee9-c3c1-48d7-b579-ab971f653b6a
Tardy ulnar nerve palsy is due to _____:
Cubitus valgus
Fixation of the nerve in the groove by osteoarthritis
Excision of elbow joint
Fracture of internal condyle
0a
single
Ans. A. Cubitus valgusTardy ulnar nerve palsy is due to cubitus valgus.Fracture of the lateral condyle of humerus in the long run can lead to complications such as cubitus valgus.Friction neuritis of the ulnar nerve as it moves over the medial epicondyle every time the elbow is flexed and extended may result in a late ...
Orthopaedics
Injuries Around Arm & Elbow
bd55f3d9-bf4e-4f7d-a452-0b059324c46a
All are chemokines except -
IL-8
IL-1
Histamine
Eotaxin
2c
multi
Histamines are most impoant vasoactive amines , formed by decarboxylation of histidine found in granules of mast cells, basophils & in platelets. Reff: Ananthanarayan & Panikers textbook of microbiology 9th edition pg: 164
Microbiology
Immunology
0c662544-29f5-4b23-9bcc-a631b6a320ad
Phacoemulsification is done with
Laser
Ultrasound
Cryo
UV light
1b
single
Ans. b (Ultrasound) Ref: AK Khurana, 4th ed, p. 193In phacoemulsification nucleus is emulsified & aspirated by phacoemulsification. Phacoemulsifier acts through a titanium needle ( hollow 1 mm needle)It vibrates in its longitudinal axis at an ultrasonic speed of40000 times a second and thus emulsifies nucleusAdvantage:...
Ophthalmology
Lens
224f073a-8ed8-472b-8d1e-f4e81f1f5ee2
On the 4th postoperative day of laparotomy a patient presents with bleeding & oozing from the wound. Management is :
Dressing of wound & observe for dehiscence
IV fluids
Send for USG abdomen
Sta treatments for peritonitis
1b
single
Ans. is 'b' i.e. IV fluids
Surgery
null
286f06c4-a6df-4f41-b1dd-5d45c3f7a484
Mondor's disease is?
Congenital breast disease
Carcinoma breast
Radiation induced carcinoma breast
Superficial thrombophlebitis of breast
3d
single
ANSWER: (D) Superficial thrombophlebitis of breastREF: Schwartz 9th ed chapter 17MQNDOR'S DISEASEMondor's disease is a variant of thrombophlebitis that involves the superficial veins of the anterior chest wall and breast. In 1939, Mondor described the condition as "string phlebitis ," a thrombosed vein presenting as a ...
Surgery
Miscellaneous (Breast)
0cc23057-3bfd-4f91-84a2-c5295721496e
Most commonly used material post pulpectomy is:
ZOE.
Gutta-percha.
META PEX.
All of the above.
0a
multi
null
Dental
null
5bd2a1cf-5aef-4f3e-b779-2849e142ed7f
All of the following measure the plaque index except:
Ramjford index
Moller's index
OHI-S index
Loe and Silness
1b
multi
null
Dental
null
f08d1a37-23da-46fe-8431-5bf5ff7fd29e
In chronic alcoholism which of the following is seen-a) Delirium tremensb) Wernicke's syndromec) Korsakoff psychosisd) All of the above
a
bc
ac
ad
1b
multi
Some guides have given, option `d' as the answer. But delirium tremens is not a chronic complication; it is a symptom of alcohol withdrawal. Wernicke's-Korsakoff's syndrome (Wernicke's encephalopathy and Korsakoff's psychosis) is a chronic complication of alcoholism.
Forensic Medicine
null
211d65d5-47a5-4747-91a7-120512bc82de
Most radiosensitive tumor of the following is-
Supraglottic Ca
Ca glottis
Ca nasopharynx
Subglottic ca
2c
single
null
ENT
null
5879fa64-2412-432e-9eec-9e44223323e5
The parasympathetic supply to otic ganglion comes from: (Repeat)
7th cranial nerve
8th cranial nerve
9th cranial nerve
3rd cranial nerve
2c
single
Ans: C (9th cranial nerve) Ref: Gray Is Anatomy. 40th edition, pg. 495Explanation:Pharyngeal Arches and Their DerivativesArchnumberArch nameEmbryoniccartilageCartilage derivativeMuscleNerveArterylMandibularQuadrateMeckel's* Incus* Malleus* Anterior ligament of malleus* Spine of sphenoid* Sphenomnndibular ligament* Geni...
Anatomy
Head & Neck
31433d81-0cc7-4225-b858-8aba31c1534b
All of the following drugs can precipitate acute attack of asthma except -
Pheylbutazone
Naproxen
Glucocoicoids
Aspirin
2c
multi
Ans. is 'c' i.e., Glucocoicoids Drugs precipitating asthma o NSAIDs Heparin Heparin Nitrofurantoin beta-blockers Opioids Disulfiram Organophosphates Phenylbutazone, Naproxen and Aspirin are NSAIDS.
Pharmacology
null
ccfe3ef3-a59c-4563-b625-14ac18ed5ae1
Best preventive measure againts tetanus neonatorum-
Active immunization of mother
Passive immunization of child
Active immunization of child
Passive immunization of mother
0a
single
Active immunisation with tetanus toxoid to mother will protect both mother and child.2 doses should be given. Reference; Park&;s Textbook of preventive and social medicine, 24th edition.Pg no. 331
Social & Preventive Medicine
Communicable diseases
cc01e2e0-6470-4a6a-8834-a4eabfa4f3aa
A 5-year-old child is brought to the emergency room with massive, painless bleeding from the rectum. Colonoscopy fails to demonstrate a lesion in the colon or anus. Upper endoscopy fails to demonstrate esophagitis, gastric ulcer or duodenal ulcer. A 99mTc (technetium) scan demonstrates an abnormality in the lower half ...
Appendix
Cecum
Duodenum
Ileum
3d
single
A Meckel's diveiculum is caused by failure of obliteration of the vitello-intestinal duct. It is classically located in the distal ileum within 30 cm of the ileocecal valve, and the structure is a true diveiculum with mucosa, submucosa, and muscularis propria. Many Meckel's diveicula contain ectopic pancreatic tissue o...
Anatomy
null
f55e61bb-8c22-4a86-bbf9-c616e6fa5566
The skeletal classification of malocclusion is given by
Calvin case
Martin Dewey
Paul Simon
E.H. Angle
2c
single
null
Dental
null
88569ef1-1856-40aa-87c2-e535c96987ee
Single disease control strategy done by program known as
Horizontal program
Veical program
Interventional program
Volunteer program
1b
single
Health systems are made up of: * "Horizontal system" of general services, providing prevention and care for prevailing health problems. "Veical programmes" for specific health conditions .
Social & Preventive Medicine
PH Care, Elements & Principles
7123eae6-a54e-46b7-a60e-502c21f10253
Epidermoid carcinoma of renal pelvis is usually associated with -
Multiple papilomas
Pelvic calculus
Tuberculosis of kidney
Filariasis
1b
multi
null
Surgery
null
c77892dc-e6ff-4032-b645-858c8ff9ba2c
True about silent mutation in gene : (PGI Nov 2009)
No change in mRNA
No change in Amino acid sequence in protein
No expression of protein
No change in expression of protein
1b
multi
Ans:B (No change in Amino acid sequence in protein) &D(No change in expression of protein) Silent MutationsThere may be no detectable effectQ because of the degeneracyQ of the code.This would be more likely if the changed base in the mRNA molecule were to be at the third nucleotide of a codon. Because of wobbleQ, the t...
Microbiology
Immunology
78e4e592-fc6f-48a0-98f9-e69be5954971
For a patient undergoing anticoagulant therapy, who requires unavoidable dental surgical treatment, the dental surgeon should:
Not take up the patient till the therapy is over
Bring down the dosage and proceed further
Adjust the dosage before and after dental visit
Consult the physician of the patient for joint decision
3d
single
null
Surgery
null
f088fdf7-bcd4-47b7-ac06-81eb459f492f
A patient with conjunctival infection, which led to corneal perforation, was positive for Gram-negative coccoid appearance on Gram stain. Fuher investigation showed small translucent colonies, which is oxidase positive. What could be the most probable causative organism?
Moraxella catarrhalis
Neisseria gonorrhoea
Pseudomonas aeruginosa
Acinetobacter actinatus
1b
multi
Ans. b. Neisseria gonorrhea Gram negative coccoi with small translucent colonies, which is oxidase positive is Neisseria gonorrhea. Hyperacute Conjunctivitis of Adults or Gonococcal Conjunctivitis Disease affects adults, predominantly males Infection directly spreads from genitals to eye Markedly decreased incidence of...
Ophthalmology
null
79b357de-c01d-4654-8f20-05def7aaafbd
Conditions predisposing to leukemia include all except -
Ionising radiation
Myelofibrosis
Infectious mononucleosis
Polycythemia vera
2c
multi
null
Pathology
null
39a82898-60e0-406b-b86b-211196d6eb90
Gene duplication plays an impoant role in the evolution of
mRNA
rRNA
tRNA
hnRNA
0a
single
Analysis of the human genome suggests novel genes created by retroposition may play an impoant role in primate evolution. However, data from non-human primates is still scarce. A comprehensive comparison was thus performed among four primate genomes (human, chimpanzee, orangutan, and macaque), which detects elevated ra...
Biochemistry
Metabolism of nucleic acids
eb1cfdd6-a1f0-4e30-abb7-56fd77476247
Which does not cause malignant hypehermia
Isoflurane
Desflurane
N2O
Enflurane
2c
single
Malignant hypehermia (MH) is a rare (1:15,000 in pediatric patients and 1:40,000 in adult patients) genetic hypermetabolic muscle disease, the characteristic phenotypical signs and symptoms of which most commonly appear with exposure to inhaled general anesthetics or succinylcholine (triggering agents). MH may occasion...
Anaesthesia
Complications of anaesthesia
f9d33407-a31e-43bd-a285-9ebd89199cea
The stomach wash for phenol poisoning is done with?
10% glycerin
KMnO4
Alkaline water solution
Saline water
0a
single
Ans. a (10% glycerin). (Ref. Parikh, FMT, 5th/pg.l68)PHENOL OR CARBOLIC ACID POISONING# Corrosive poison# Hardening of the tissues occurs with it.# Thorough gastric lavage with 10% glycerine in water + MgS04 till phenolic odour emited.# Then, about 2 ounces of liquid may be left in stomach.
Forensic Medicine
Toxicology
9a22a264-5893-423d-ba03-21b0840c54ec
Treatment of orthostatic hypotension is
Dopamine
Diuretics
Fludrocortisone
Calcium channel blockers
2c
single
null
Medicine
null
98802414-2f8f-452c-b6ae-6ee455cbe19a
A 3-year-old male child is brought by his father with complaint of recurrent infections despite proper treatment and hygiene. While reviewing his history, pediatrician notices that the child has been infected multiple times with S. aureus, Pseudomonas & E. coli. Which of the following test will be useful to diagnose co...
Negative nitroblue-tetrazolium test
Positive nitroblue-tetrazolium test
Increased IgM, Decreased IgG, IgA, and IgE
Increased IgE and IgA, Decreased IgM
0a
single
Given scenario suggests diagnosis of Chronic granulomatous disease. Chronic granulomatous disease. Due to NADPH oxidase defect Subtypes: X linked recessive Autosomal recessive Gp 91 PHOX defect Gp 47 PHOX defect Gp 67 PHOX defect C/F: Recurrent infections: by catalase positive organism.Eg- S. aureus, Pseudomonas, Nocar...
Microbiology
Immunology Pa 1 (Immune Response, Antigen-Antibody Reactions, Hypersensitivity, Structure of Immune System, Immunodeficiency Disorders)
54b60f76-5cf3-431e-b060-a761f05f8b0f
False about informed consent: AIIMS 07; AFMC 12
Alternate procedures/treatment to be concealed from the patients
Patient must be told about the risks
Patient must be explained about the whole procedure
Patient must be explained in the language he understands
0a
multi
Ans. Alternate procedures/treatment to be concealed from the patients
Forensic Medicine
null
4e770d24-c09d-4c8e-b183-ba54af84844a
Which number blade is useful for Crevicular incision :
10
11
12
15
2c
single
Crevicular incision is also known as Second incision for which 12 number blade is used.
Dental
null
cf49180b-57ae-497a-bba8-96a56dfe38d2
Solitary erythematous oval lesion with central clearing giving target appearance is seen with?
Erythema migrans
Erythema annulare
Erythema multiformie
All of the above
0a
multi
Erythema migrans secondary to Lyme disease is an erythematous oval lesion with central clearing. The classic "bull's-eye" occurs in this. Erythema migrans is the term applied to skin lesions of Lyme borreliosis. Caused by Borrelia burgdorferi Transmitted by bites from Ixodes ticks. The primary lesion of erythema migran...
Dental
Bacterial infections
d8174a15-b4ba-4a4c-8716-3d5fc24cd004
Histiocytosis X is seen in except -
Hand schuller Christian disease
Eosinophilic granuloma
Letter-siwe syndrome
Torres syndrome
3d
multi
Ans. is 'd' i.e., Torres syndrome Langerhans cell histiocytosis (Histiocvtosis X) C.) Histocytosis X is characterized by proliferation of Langerhans histiocytes (tissue macrophages). o It is subdivided into three categories : - i) Letterer - Siwe syndrome ii) Hand -Schuller-Christian disease iii)Eosinophilic granuloma....
Pediatrics
null
7eee192e-69ed-4c8f-b09c-bfcab70985c0
Not true about Eltor vibrio 01-
Animals are the only reservoir
Epidemiologically indistinguisible from V. cholera O-139
Human acts as vehicle for spread
The efficacy of vaccine against Eltor vibrio is great
0a
multi
null
Microbiology
null
037cebd2-3585-4aa5-a3f3-98a08ccd98f9
A 40-year-old woman admitted with fever, chills, and changing mental status is transferred to the ICU with a clinical suspicion of sepsis. Examination shows sinus tachycardia, no murmur, and clear lung fields. The patient is given IV fluids aggressively for hydration. Blood cultures are drawn and the patient is placed ...
Perform an urgent echocardiogram
Administer protamine sulfate
Sta inotropic agents
Withdraw the catheter
3d
multi
This chest x-ray shows a pulmonary aery catheter inseed through the internal jugular vein. The PA catheter extends peripherally beyond the right ventricular shadow and past the main pulmonary aery branches into the subsegmental vessels. The patient presents with sepsis and septic shock. It is impoant to determine the f...
Radiology
Fundamentals in Radiology
67ff8877-4273-443f-ad82-44dff0061dc0
"Colon Carcinogenesis" is associated with all except:
APC
k RAS
B-catenin
Mismatch repair
3d
multi
Mismatch repair
Pathology
null
ed1a3ec7-266c-4783-99f6-2c15c38548aa
Which defect in RBC is shown below ?
Cabot ring
Basophilic stippling
Heinz bodies
Toxic granules
2c
single
Ans. (c) Heinz bodiesImage source - style="font-family: Times New Roman, Times, serif">
Unknown
null
37f89b56-ed0e-419b-858e-b215841497a0
Malrotation presents with which of the following features: 1. Mass abdomen 2. Bleeding PR 3. Bilious vomiting 4. Hematemesis
1 & 2
2 & 3
1 & 3
3 & 4
1b
single
"Bilious vomiting is the first sign of the volvulus, and all infants with bilious vomiting must be evaluated rapidly to ensure that they do not have intestinal malrotation with volvulus. If left untreated, vascular compromise of the midgut initially causes bloody stools, but eventually results in circulatory collapse" ...
Surgery
null
4eb78972-bfbf-436f-9cee-68232b2163d7
Closure of Neural tube begins at which of the following level?
Cervical region
Thoracic region
Cephalic end
Caudal end
1b
single
Fusion of neural folds begins in middle and gradually extend in cranial and caudal directions REFERENCE: TEXTBOOK OF CLINICAL EMBRYOLOGY... VISHRAM SINGH SECOND EDITION..PAGE NO:52
Anatomy
General anatomy
44452663-87a9-4889-a7a1-da3f9d717baf
A 45-year-old male has multiple grouped vesicular lesions present on the T10 segment dermatome associated with pain The most likely diagnosis is -
Herpes zoster
Dermatitis herpetiformis
Herpes simplex
Scabies
0a
single
Ans. is 'a' i.e., herpes zoster * Here is a D/d of commonly asked vesico bullous disorders* So the crux is -Painful lesions are seen in Herpes infection.Painless lesions are seen in-Dermatitis herpetiformis Pemphigoid Pemphigus Erythema multiformeDermatomal involvement-Herpes zosterItchy lesions-Dermatitis herpetiformi...
Unknown
null
22f45302-4183-4557-ad02-7d3086c0f56b
Concentration of sodium in RL is
154
120
130
144
2c
single
Sodium concentrations in various crystalloids and colloid Hamann's (RL) 130mmol/L Normal saline (0.9% NaCl) 154mmol/L Dextrose saline (4% dextrose in 0.18 saline) 30mmol/L Gelofusine 150mmol/L Hemacel 145 mmol/L Hetastarch - Lactated potassium saline injection (Darrow's solution) 121mmol/L Ref: Bailey and love 27th edi...
Surgery
General surgery
606d2532-2a10-494d-a9ad-2eecd37d27cb
MC cause of aboion in first trimester is, defect in:
Placenta
Uterus
Embryo
Ovarian
2c
single
Ans. is c i.e. Embryo As explained earlier most common cause of aboion in first trimester are chromosomal abnormalities involving the zygote or embryo
Gynaecology & Obstetrics
null
b97145e8-ab1b-4a7e-bb4f-121e99e8e8cd
All are true regarding pes planus except:
There is collapse of medial longitudinal arch
The heel becomes valgus and foot pronates at the subtalar-mid complex joint
Jack's test differentiates between flexible and rigid deformity
One of the common type of tarsal coalition is calcaneonavicular & it is autosomal recessive
3d
multi
PES PLANUS (FLAT FOOT) Flat foot refers to obliterated medial longitudinal arch Heel is often in valgus called as planovalgus Pes Planus is of 2 types: (Differentiated by Jack's test) Flexible: Disappears on non-weight bearing. Management is conservative Rigid: Due to congenital veical talus or RA or infection or tarsa...
Orthopaedics
Neuromuscular disorders
60150bc4-6eae-4ca7-abb7-570104978999
The following statements are true about Tumour Suppressor Gene p53 except -
It regulates cetain genes involved in cell cycle regulation
Its increased levels can induce apoptosis
Its activity in the cells decreases following UV irradiation and stimulates cell cycle
Mutations of the p53 gene are the most common genetic alteration seen in human cancer
2c
multi
Ans. is 'c' i.e., Its activity in the cells decreases following UV irradiation and stimulates cell cycle
Pathology
null
12c866c8-22e0-40d7-af76-4ceec267c3f2
These nail changes are seen in
Lichen planus
Psoriasis
Darier disease
Onychomycosis
1b
single
Fingernail involvement in psoriasis appears as punctate pitting, onycholysis, nail thickening, or subungual hyperkeratosis The nail matrix will have pitting, which appears as punctate depressions that are small, shallow, and various shapes and sizes. Characteristically, they are isolated and deep, though they may occur...
Dental
Papulosquamous disorders
8fa82c7b-8643-40ec-b9da-22974e60eb8a
Neuropraxia is a condition characterized by
Division of nerve sheath
Division of axons
Division of nerve fibres
Physiological block
3d
single
Ans. (d) Physiological blockRef Apley's 8th/ 231Patterns of nerve injuryNeuropraxiaAxonotmesisNeurotmesis* Reversible physiological nerve conduction block* It is seen in crutch palsy tourniquet palsy, and Saturday night palsy.* There is loss of conduction because of axonal interruption but the nerve is in continuity an...
Orthopaedics
Nervous System
3d164993-aeee-4bb8-9202-daf820ef2ea2
Sinusoids are seen in all of the following except
Liver
Kidney
Lymph nodes
Spleen
1b
multi
Sinusoids are found in the liver, lymphoid tissue, endocrine organs, and hematoploietic organs such as the bone marrow and the spleen. Sinusoids found within terminal villi of the placenta are not comparable to these because they possess a continuous endothelium and complete basal lamina.
Anatomy
Abdomen and pelvis
6129f3b8-5103-4746-9183-b973b0ee1224
Acid base based polyacrylic cements have most important property of
Bio adhesion
Reparative dentin formation
Bond strength
Severe irritant to pulp
0a
single
null
Dental
null
9351841b-34f7-4b57-bc91-41dbc30158ab
A 55-year-old male presents with features of obstructive jaundice. He also reports a weight loss of seven kilograms in last two months. On CT scan, the CBD is dilated till the lower end and the main pancreatic duct is also dilated. Pancreas is normal. The most likely diagnosis is:
Choledocholithiasis
Carcinoma gallbladder
Hilar cholangiocarcinoma
Periampullary carcinoma
3d
multi
Ans. (d) Periampullary carcinoma* Periampullary cancer presents with dilatation of both Pancreatic and Bile ducts.* Of the sites of cancer in Pancreas - Periampullary cancer has better prognosis than Head of pancreas cancer because of early presentation.
Surgery
Pancreas
ee18b44d-017e-4a94-a69d-be65d46b87ea
Which type of cells are not found in stomach:
Chief cells
Parietal cells
Argentaffin cells
Goblet cells
3d
single
Goblet cells
Anatomy
null
9ccf6348-49f5-453c-9f75-37a99ac5ea3d
Sorghum is pellagrogenic due to excess content of
Lysine
Threonine
Leucine
Tryptophan
2c
single
Jowar (sorghum) Jowar is also known as kaffir corn or Milo. It is a major crop grown in India next only to wheat and rice. For several population groups, it is a staple diet. The protein content of jowar varies from 9 to 14 per cent, and the proteins are limiting in lysine and threonine. Ceain varieties of jowar have a...
Social & Preventive Medicine
Nutrition and health
939bac28-0796-4854-b4e4-e6288fd461d7
In infants, the cause of blindness arising out of oxygen toxicity is -
Degeneration of crystalline lens
Growth of blood vessels into vitreous followed by fibrosis
Damage to cornea
Enzymic defect in lens
1b
multi
Ans. is 'b' i.e., Growth of blood vessels into vitreous followed by fibrosis
Pediatrics
null
20fbf251-0343-4a4f-ac7e-e7d8b00bd382
Papilloedema is characterised by all of the following, EXCEPT:
Loss of retinal venous pulsations
Transient obscurations of vision
Sudden painless loss of vision
Disc oedema
2c
multi
C i.e. Sudden painless loss of vision In papilloedema there is painless gradually progressive loss of vision which is usually bilateralQ which occurs after a long time only when optic atrophy sets in. "Visual acuity is not affected by Papilloedema unless it is severe, long standing, or accompanied by macular edema & ha...
Ophthalmology
null
2191e565-9e6f-4762-9921-24087383f685
In the diagram below A-D represent depolarization of ventricles. Which one represents "R" wave?
A
B
C
D
2c
single
Ans. C. (C).a. P waveThe P wave is a small deflection wave that represents atrial depolarization.b. PR intervalThe PR interval is the time between the first deflection of the P wave and the first deflection of the QRS complex.c. QRS wave complexThe three waves of the QRS complex represent ventricular depolarization. Fo...
Physiology
Heart, Circulation, and Blood
89299fcd-bf42-4bb8-b20b-0cdc577bc801
Fully embryonated egg of trichuris trichiura contains
Eight blastomeres
Unsegmented ova
Rhabditiform larva
Ciliated embryo
2c
single
null
Microbiology
null
8ef60370-a6c1-4264-b837-ade67b118a64
During post transcriptional modification of RNA the following process does not take place:
Splicing
5'capping
3'polyadenylation
Glycosylation
3d
single
Ans. D. GlycosylationRNA produced after transcription is hn RNA. To form m RNA it undergoes modifications to remove intervening sequence called introns by splicing. For this 5'capping and 3'tailing is done to stabilize RNA.
Biochemistry
Molecular Genetics
c5fb9d8e-d442-4afb-a682-188c4af51c3c
A 65-year-old smoker presents with hoarseness, hemoptysis and a hard painless lump in the left supraclavicular fossa. Which of the following is the most appropriate diagnostic step -
Undeake an open biopsy of the neck lump
Undeake a radical neck dissection
Do fine needle aspiration cytology
Give a trial of Anti tuberculous therapy
0a
multi
Ans. is 'a' i.e., Undeake an open biopsy of the neck lump
Surgery
null
2dcfdf00-22ae-4888-a360-c446cae20eb4
Chlorhexidine on tooth causes
No stain
Brownish yellow stains
Greenish yellow stain
Blue back stain
1b
single
null
Dental
null
340b0221-5590-495d-9d96-49e1f9f38659
Pseudohyponatremia is found in all of the following EXCEPT:
Severe hyperlipemia
Extreme hyperproteinemia
Aldosterone excess
Hypothyroidism
2c
multi
Hyponatremia is defined as a plasma level less than 135 meq/L. Most often it reflects excess water, rather than less of Na+, in the plasma. Hence, plasma becomes hypo-osmolar in most instances. Hyponatremia with a normal plasma osmolality is the so-called "pseudohyponatremia". It occurs when plasma lipids or proteins a...
Physiology
Endocrine System
27fbaf11-357f-47e0-ad2a-c741e737a852
Polio virus infection can result in all, except -
Anterior horn cell damage
Autonomic involvement
Respiratory involvement
Paralysis in > 70% of cases
3d
multi
null
Medicine
null
c16e22b6-f5d0-435a-b3eb-00404bb856d6
Urea cycle is linked to TCA cycle by -
Arginine
Ornithine
Oxaloacetate
Fumarate
3d
single
Ans. is 'd' i.e., Fumarate |Ref: Harper 29th/e p. 276-277]o Fumarate is released during urea cycle, which is an intermediate of Kreb's cycle, thus linking the two.Both urea cycle and TCA cycle have been explained in previous years.
Biochemistry
Urea Cycle and Disorders
0b261c1b-5465-4b91-a5c9-5b6bfa0afaff
Both antibody-dependent and independent complement pathway converge on which complement component?
C5
C3
Clq
C8
1b
multi
Complement is a collective term that describes a system of about 20 proteins, many of which are enzyme precursors. All these are present normally among the plasma proteins in the blood as well as among the proteins that leak out of the capillaries into the tissues. They are usually inactive i.e. enzyme precursors They ...
Pathology
null
5abccba0-ac25-4a82-aa76-af29e59409b7
Weight gain in pregnancy depends on all except?
Smoking
Pre pregnancy weight
Ethnicity
Maternal age
0a
multi
FACTORS INFLUENCING WEIGHT GAIN IN PREGNANCY Maternal age - Increased weight gain in younger women Physical activity - Several studies have demonstrated an inverse relation between weight gain and level of physical activity Prepregnancy weight - Weight gain in pregnancy is generally inversely propoional to BMI (Body Ma...
Gynaecology & Obstetrics
All India exam
1e788c02-44f2-4449-ac38-6ca132fe2116
True about combination therapy with anakinra and infliximab in rheumatoid arthritis patients is:
Combination should be avoided
Combination is superior to methotrexate plus etanercept
Combination is superior to methotrexate alone
Combination is equally effective as oral triple therapy
0a
multi
Ans. A. Combination should be avoidedRef: Harrison's Principles of Internal Medicine 19th/ed, p2147Explanation# Option a: Anakinra (IL 1 antagonist) and infliximab (anti-TNF) should not be combined.# Both agents restrict inflammatory process markedly and lead to high rate of serious infections.# This finding is observe...
Pharmacology
Immunomodulator
ba0d4611-9418-4b54-bbae-c32e4a742d18
T helper cells recognises -
MHC class I
MHC class II
Processed peptides
Surface Ig
1b
single
CD4+ T cells have TCRs with an affinity for Class II MHC Ref: Ananthanarayanan & Panikers textbook of microbiology 9th edition pg: 135
Microbiology
Immunology
35680715-3d6a-4682-8087-92b19324e409
Which of the following is not a contraindication for use of digitalis:
Acute rheumatic carditis
Thyrotoxicosis
WPW syndrome
Hyperkalemia
3d
single
null
Pharmacology
null
e4958250-5d35-4cae-8d1e-af35dec6617d
Aldose reductase inhibitor drugs are useful in
Cataract
Diabetes mellitus
Hereditary fructose intolerance
Essential fructosuria
1b
single
Ans. is 'b' i.e., Diabetes mellitus Aldose reductase catalyzes the NADPH-dependent conversion of glucose to sorbitol, the first step in polyol pathway of glucose metabolism. Aldose reductase inhibitors are a class of drugs being studied as a way to prevent eye and nerve damage in people with diabetes mellitus. Examples...
Medicine
null
d7870fb8-928a-40e1-943a-cbdc834832d5
Abortion stick used in criminal abortion causes abortion by the mechanism of
Uterine contraction
Stimulation of uterine nerves
Uterine infection & necrosis
Placental separation
0a
single
Ans. is 'a' i.e. Uterine contraction Abortion stick is a thin wooden or bamboo stick about 15 to 20 cm long, or a twig of similar length from some irritant plant as mentioned below.When the stick is used it is equipped at one end with cotton wool or a piece of cloth soaked in an irritant substance as mentioned below.Th...
Forensic Medicine
Misc.
218b8351-aaf9-437d-8eec-e0843c3c0436
Which of the following post is most difficult to bond in the root canal:
Zirconia ceramic post.
Carbon fiber reinforced post.
Polyethylene fiber reinforced post.
Glass fiber reinforced post.
0a
single
It is because zirconia cannot be etched.
Dental
null
44326465-758f-48ec-aca1-5d98db6514ef
An 80 year old asymptomatic woman on a routine examination was detected to have a monoclonal spike on serum electrophoresis (IgG levels 1.5 g/dl). Bone marrow revealed plasma cells of 8%. Which of the following represents the most likely diagnosis?
Multiple myeloma
Indolent myeloma
Monoclonal gammopathy of unknown significance
Waldenstorm's macroglobulinemia
2c
single
Patient is showing features of monoclonal gammopathy of unknown significance. It refers to a clinical condition, defined by the presence of monoclonal immunoglobulin production without evidence of myeloma, waldenstorms macroglobulinemia or other lymphoproliferative disorder. It is an incidental finding detected by elev...
Medicine
null
9c69bdc9-6721-4a42-9a9a-c642144cb021
Patient with cirrhosis is positive HBs Ag+ and has increased levels of alpha feto protein. What is the most probable diagnosis ?
Submassive hepatic necrosis
Hepatocellular carcinoma
Massive hepatic necrosis
None of the above
1b
multi
Ans. is `b' i.e., Hepatocellular carcinoma Cirrhosis, hepatitis B positive and alpha fetoprotein strongly suggests hepatocellular carcinoma.
Pathology
null
5fb1f637-4197-401f-9a3e-c2c0b9357df3
Opioid induced constipation is treated by
Loperamide
Biperiden
Alvimopan
Naltrexone
2c
single
Alvimopan, Naloxegal & Methyl naltrexone are peripherally acting opioid antagonists used to treat opioid induced constipation & paralytic ileus.
Pharmacology
null
d0e9d2f6-8205-4053-88d9-119904e3ecbf
The schedule of HDCV in rabies is-
0,3, 7,14, 28
0, 3, 14, 28, 90
3, 7, 14, 16,18
0, 7, 14, 16, 18
0a
single
Ans- A 0,3, 7,14, 28 Ref- Vaccine Post-exposure prophylaxis depends on the type of contact with the confirmed or suspect rabid animal, as follows: 1. Wound treatment Thorough washing of the wound with soap/detergent and water, followed by the application of ethanol or an aqueous solution of iodine or povidone. 2. Passi...
Unknown
null
1ddc2d2d-4dbe-4ef4-adb3-7eb9e22d8f79
Anticoagulant used for chelating calcium -
E DTA
Oxalate
Sodium citrate
All of the above
3d
multi
Answer-D. All of the aboveMost of the anticoagulants used in the laboratory act by binding calcium as an insoluble salt or soluble but un-ionized salt.Thesecalciumchelatinganticoagulantsare :-EDTADouble oxalateSodium citrateSodiumJluoride
Pathology
null
1a2bdd8a-fe2f-4287-9c96-0858ce6ea07b
Warm antibody hemolytic anemia is seen in all expect
Stibophen
Methyl dopa
Penicillin
Quinidine
0a
multi
Warm antibody type hemolytic anaemia can be induced by drugs. A small portion of patients receiving methyl dopa develop AIHA .They are tolerance breaking drugs Penicillin antibiotics develop antibodies agaist RBC , drug complex which induces hemolysis.  Quinidine forms a complex with plasma protein to which an antibody...
Pathology
null
0f420b10-3f43-4507-a395-2e9ab7ffabda
Abnormality to check if lithium is given to a pregnant female -
Cardiac anomaly
Neural tube defect
Facial defect
Urogenital defect
0a
single
Ans. is 'a' i.e., Cardiac anomaly Lithium is a weak teratogen in human.The main effects attributable to lithium are increased cardiac malformation in the fetus especially "Ebsteins anomaly".Lithium may increase the incidence of Ebstein9s anomaly in fetus but it is not contraindicated during pregnancy.Lithium is not con...
Pharmacology
C.N.S
e39214ef-57b8-44b6-aad4-3ce8242baefc
The most common cause of Volkmann's ischaemic contracture (V.I.C) in a child is:
Intercondylar fracture of humerus
Fracture both bone of forearm
Fracture lateral condyle of humerus
Supracondylar fracture of humerus
3d
multi
D i.e. Supracondylar fracture humerus
Surgery
null
5f4ea12f-ea51-405a-9743-1b3c804afd31
DIC is seen with all except -
Accidental hemorrhage
Black water fever
Amniotic fluid embolism
Overdosage with Vitamin K
0a
multi
Disseminated intravascular coagulation (DIC) is an acute or chronic disorder causing thrombosis or hemorrhage, which occurs as a secondary complication of an underlying disease. It is characterized by consumption of coagulation factors caused by intravascular activation of the coagulation sequence, which leads to the f...
Pathology
null
a1a4ca53-4f92-430a-82a9-87ac53c99cd6
Circular DNA is found in:
Virus
Chloroplast
Bacteria and Mitochondria both
All
3d
multi
Circular DNA is found in viruses (eg polyoma virus has double stranded & porcine virus has single stranded circular genome), prokaryotes (most bacterial DNA is circular), blue green algae as well as in eukaryotic cells like mitochondrial DNA or plasmid DNA and in chloroplast.A distinguishing characteristic of prokaryot...
Biochemistry
null
10c5d751-b270-497d-82f1-937e4940c279
Clayton is used in a close breathing system for the purpose of
As a hardner
As an absorbent
As a softner
As an indicator
3d
single
D i.e. As an indicator
Anaesthesia
null
0920976b-00c7-4a2b-9c9a-ec5149f5bb2d
The rate-limiting step in the synthesis of bile acids is catalyzed by:
12a-Hydroxylase
7a-Hydroxylase
HMG coA reductase inhibitors and bile acid sequestrant
25-hydroxycholecalciferol 1-hydroxylase
1b
multi
The rate-limiting step in the formation of bile acids is the 7a-hydroxylation of cholesterol, catalyzed by a microsomal NADPH-dependent enzyme 7a-hydroxylase. 12a-Hydroxylase is also involved in the bile acid synthesis, but is not regulated. HMG CoA reductase and pyro diphosphomevalonate decarboxylase are both choleste...
Biochemistry
null
f76a4382-9f3c-4a8d-bd9c-a93716652ef6
The buffering capacity of a buffer is maximum when the pH is equal to:
0.5 pKa
pKa
pKa+1
2 pKa
1b
single
Buffering capacity of a buffer is most effective when the concentrations of salt and acid are equal or when pH = pKa. The effective range of a buffer is 1 pH unit higher or lower than pKa. pKa refers to the pH at which the concentration of the acid equals that of the base. Phosphate buffer is effective at a wide range ...
Biochemistry
null
1db635ce-d401-442c-9e8b-e9fd0c1d100d
All are X-ray findings of RA except:
Reduced joint space
Soft tissue shadow
Periaicular new bone formation
Subchondral cyst
2c
multi
Radiological features of RA are Evidence of soft tissue swelling and joint effusion Symmetrical involvement Juxta-aicular osteopenia (within weeks) Loss of aicular cailage and bone erosions (after months) Narrowing of joint space Aicular destruction and joint deformity, e.g. subluxation of atlantoaxial and cervical joi...
Orthopaedics
Joint disorders
8188094e-f3ea-4f12-bc2e-e8b68b804231
Cellular suppo is provided by:
Mitochondria
Cytoskeleton
Golgi apparatus
All
1b
multi
Cytoskeleton froms framework of the cell It has microtubules, microfilaments,intermediate filaments
Anatomy
General anatomy
d776592c-8996-422d-8cf8-efb02898075f
After a meal of pizza, dietary lipid is absorbed by the small intestine and transported in the lymph mainly as
VLDLs
Free fatty acids bound to albumin
Chylomicrons
LDLs
2c
multi
Ans. C. ChylomicronsThe small intestine transports dietary triglyceride as chylomicrons in lymph. VLDLs are secreted by the small intestine during fasting. Although some dietary fatty acids are transported in the portal blood bound to albumin, it is not the predominant pathway for the transport of dietary lipids to the...
Physiology
G.I.T.
6890b2de-674b-452f-b016-0cbca62ca572
Mesothelioma is caused by –
Asbestosis
Silicosis
Baggasois
Anthracosis
0a
single
Asbestosis There are two distinct geometric forms of asbestos - Serpentine chrysolite Amphibole (crocidolite) Serpentine chrysolite accounts for most of the asbestos used in industry. Both serpentine and amphibole can cause all asbestosis related disease except for mesotheloma, which is usually associated with am...
Social & Preventive Medicine
null
cfcac655-98cf-43df-ae68-859cc8eac2a1
Meconium is excreted by a new born till _______ day:
2
3
6
4
1b
single
The baby may pass meconium in utero or soon after birth, but all healthy newborn babies must evacuate within 24 hours of birth. During the first 2..3 days the baby passes black, tarry (like tar) 'meconium' stools which are followed by greenish (transitional) stools for the next 1 or 2 days. The normal breastfed baby us...
Gynaecology & Obstetrics
null
2da18416-e7fd-4079-9099-05618a8da885
Lanatoprost used topically in glaucoma primarily acts by:
Decreasing aqueous humour formation
Increasing uveoscleral outflow
Releasing pupillary block
All
1b
multi
B i.e. Increased uveoscleral outflow Prostaglandin analogues (e.g. latanoprost Q, unprostone, bimatoprost, travoprost) lower intraocular pressure by stimulating a prostanoid receptor in ciliary muscle. This causes the release of matrix metalloproteinases and increase the uveoscleral outflow. Q Latanoprost lower IOP by ...
Ophthalmology
null
5ab2d5be-8081-4571-8f97-6104439e2737
Main cell of shedding are:
Osteoclasts.
Odontoclasts.
Fibroblasts.
All of the above.
1b
multi
Odontoclasts are the main shedding cells.
Dental
null
84733d91-02fd-4eda-a7b5-9de87d086c77
Home to bilirubin conversion is carried out by
Heme oxygenase
Heme reductase
Heme isomerase
Heme hydrolase
0a
single
Within the macrophage, heme derived from haemoglobin is broken down by heme oxygenase, conveing it to biliverdin Carbon monoxide and iron arereleased as by-productsReference: Harper biochemistry 30th edition page no 672
Biochemistry
miscellaneous
793bef1c-96fb-47f4-856b-1c07a23eef73
A 60-year-old farmer presents with multiple patches of discoloration on his face. Biopsy of lesional skin reveals actinic keratosis. Which of the following terms best describes this response of the skin to chronic sunlight exposure?
Atrophy
Dysplasia
Hyperplasia
Hypertrophy
1b
single
Dysplasia. Actinic keratosis is a form of dysplasia in sun-exposed skin. Histologically, such lesions are composed of atypical squamous cells, which vary in size and shape. They show no signs of regular maturation as the cells move from the basal layer of the epidermis to the surface. Dysplasia is a preneoplastic lesio...
Pathology
Cellular Pathology
5388484b-194a-4c2e-a9fa-4cfee3df7341
Krogman's formula is related to: Odisha 11
Race
Age
Sex
Stature
2c
single
Ans. Sex
Forensic Medicine
null
e1110c5c-bcc3-4f75-9e36-52055c54638f
Drug of choice in drug induced parkinsonism is:
Levodopa
Benzhexol
Amantidine
Carbidopa
1b
single
Ans. (B) Benzhexol(Ref: KDT 8/e p460)Central anticholinergics like trihexy phenydyl (Benzhexol) are the only drugs effective in drug induced Parkinsonism.
Pharmacology
C.N.S