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6a8cedf9-21c8-4a97-a4a3-2426d5352004 | Which of the following characteristics is not of much impoance in a screening test | Low cost | High safety margin | High sensitivity | High specificity | 3d | single | High specificity All are impoant attributes of screening test but among them high specificity is less impoant as Park states -'Screening test is not intended to be a diagnostic test. It is only an initial examination. Those who are found to have positive test results are refen-ed to a physician for fuher diagnostic wor... | Social & Preventive Medicine | null |
96452419-6636-48c7-a6d0-e1d684b1cbf4 | Causes of iron deficiency anemia are-a) CRFb) Young malec) Celiac sprued) Hook worme) Carcinoma cecum | bce | acde | abcd | abde | 1b | single | null | Medicine | null |
5b399597-9652-4958-8e90-3d218c133b7f | which of the following is a tri cyclic antidepressant | amitryptilline | fluoxetine | trazadone | bupropion | 0a | single | knowlede about the classes of antidepressents is very impoant as they are frequently asked in examinations amitriptilline is a tri cyclic antidepressent Fluoxetine is a selective serotonin reuptake inibitor trazadone is a serotonin antagonist and reuptake inhibitor (SARI) Bupropion is a Noradrenaline and Dopamine reupt... | Anatomy | Pharmacotherapy in psychiatry |
25f303c5-c69f-4dcd-be9e-4f3083767a78 | A 30–year old male presents with severe chest pain, breathlessness, hypotension and ECG shows ST elevation in V3, V4, V5 and. V6 leads. He will be best treated with: | Streptokinase | t–PA | Heparin | PTCA | 3d | single | null | Pharmacology | null |
c01abea7-7ffe-42eb-b6a9-34d15880b196 | thrombocytopenia is the side effect of which drug | valproate | clonazepam | aripiprazole | amisulpride | 0a | single | LETHAL SIDE EFFECTS OF VALPROATE - Hyperammonemia - Pancreatitis - Hepatic failure - Neural tube defects - Thrombocytopenia MINOR SIDE EFFECTS OF VALPROATE - Hair loss - PCOD - WEIGHT GAIN - TREMORS Ref.kaplon and sadock, synopsis of psychiatry, 11 th edition, pg no. 935 | Anatomy | Pharmacotherapy in psychiatry |
8fe21cce-6639-4ace-a59f-9c4b1a720bef | The intiating mechanism in endotoxic shock is | Peripheral vasodilation | Endothelial injury | Increased vascular permeability | Cytokine release | 3d | single | Ref Robbins. 9/e p132-133 Endothelial injury is also a cause..see the above questions In gram-negative sepsis, free LPS attaches to a circulating LPS-binding protein, and the complex then binds to the CD14 receptor on monocytes, macrophages, and neutrophils. Engagement of CD14 (even at doses as minute as 10 pg/mL) resu... | Anatomy | General anatomy |
b8225ec8-8461-4ede-b757-f651354feb30 | What % of drug is eliminated by first order kinetics after four half-life cycles? | 93.75% | 87.50% | 75.00% | 50.00% | 0a | single | Ans. a (93.75 %). (Ref. KDT, Pharmacology, 4th ed., 53)Elimination of drugsZero order eliminationRate of elimination is constant regardless of C (i.e., constant amount of drug eliminated per unit time). Cp linearly with time. Examples of drugs--ethanol., phenytoin aspirin (at high or toxic concentrations).First order e... | Pharmacology | General Pharmacology |
95ca07c4-e6bc-40cc-9bb7-3ecd6f517910 | Anti-DNAase B is used for diagnosis of | Staphylococcus | Streptococcus | Corynebacterium | Neiserria | 1b | single | Antideoxyribonuclease B ( anti-DNA as B)antibody: serological test to determine streptococcal infection. Anti-DNAase B and antihyaluronidase test are very useful for retrospective diagnosis of streptococcal pyogenes infections, where ASO titer may be low. Ref: Textbook of Microbiology; Ananthanarayanan and Panicker; 10... | Microbiology | Bacteriology |
3c494767-2e87-4648-a77e-f8386c5c2746 | Which statement is not true about Perthes disease? | It is characterized by avascular necrosis | More common in males | The bone age is same as that of the chronological age | All are true | 2c | multi | Ans. C. The bone age is same as that of the chronological ageThe bone age is typically lower than the chronological age by 1-3 years.Since the blood supply of the femoral capital epiphysis is affected, it is characterized by avascular necrosis and disordered enchondral ossification of the primary and secondary centers ... | Orthopaedics | Miscellaneous |
a395398e-aa48-4b4e-81b2-24c909683872 | Mostly granulosa cell tumors are benign. Marker for granulosa cell tumor is: | CA 19-9 | CA 50 | Inhibin | Teratoma | 1b | single | Granulosa Cell Tumor: Most are benign; however, between 5 and 25% are malignant. The tumors can produce estrogen, thus leading to endometrial hyperplasia and cancer. Microscopic morphology of granulosa cell tumor shows Call-Exner bodies (appear similar to ovarian follicle), and produce inhibin, which can be identified ... | Gynaecology & Obstetrics | null |
0585563f-db79-458c-a2b8-50540502f2ee | Most common Paraneoplastic syndrome of HCC | Hypoglycemia | Hypeension | Hypercalcaemia | Erythrocytosis | 0a | single | Para neoplastic syndromes in HCC Hypocholesterolemia(most common) Hypoglycemia Erythrocytosis Hypercalcemia Ref:Sabiston 20th edition Pgno : 1458-1463 | Anatomy | G.I.T |
3477d6c0-e927-4e15-9ea1-81921a376762 | APGAR score includes following parameters except | Heart rate | Muscle tone | Blood pressure | Body tone | 2c | multi | Ans. c (Blood pressure) (Ref Text book of PSM by Park 22nd/492)APGARSCALE# In 1953, American anesthesiologist, Virginia Apgar, published her new method for evaluating the newborn infant. This scoring system which became known as the APGAR scale later evolved into the standard for medical practice.# The test is administ... | Social & Preventive Medicine | Obstetrics, Paediatrics and Geriatrics |
2aa41409-8860-4856-b79b-f74cfcd45b11 | Which of the following ion is absorption in proximal convoluted tubule? | Na+ | Urea | K+ | Mg+ | 0a | single | Maximum sodium reabsorption occours in PCT. Ref: Ganong's review of medical physiology; 24th edition; page no: 681 | Physiology | Renal physiology |
8000c837-6d44-4898-80c6-49e19de8a2a6 | The postoperative quality of life (QOL) scores of 200 prostate cancer patients have a mean of 60 and a standard detion of 10. How many patients are expected to have a QOL score between 40 and 80? | 190 | 136 | 120 | 140 | 0a | single | The values enclosed in a normal distribution curve are:Mean +- 1 SD 68% of data Mean +- 2 SD 95% of dataMean +- 3 SD 99% of dataIn the above question,Mean = 60SD = 10Hence, the range of values from 40 to 80 i.e. 60 +- 20 (Mean +- 2 SD) would include 95% of the readings.Therefore, the total number of readings in the giv... | Microbiology | All India exam |
30995109-2ebe-4b4d-b943-1bac84e778dd | A 40 year old male patient came for routine checkup. Intra-oral examination reveal multiple teeth restored with silver amalgam restoration. Linear coefficient of thermal expansion of this restoration is? | 5 times greater than tooth structure | 2 times greater than tooth structure | 3 times greater than tooth structure | 2.5 times greater than tooth structure | 3d | single | Amalgam has a linear coefficient of thermal expansion that is 2.5 times greater than tooth structure, and it does not bond to tooth structure (unless an amalgam bonding agent is used).
Sturdevant’s Art and Science of Operative Dentistry, Mosby, 4th Edition, Page No: 155 | Dental | null |
2a3a259d-d58a-4eeb-92f7-7b78c1fad52f | which cranial nerve is present arround the origin of occipital aery of lower end of sternocleidomastoid muscle ? | spinal accesory cranial nerve | superior laryngeal nerve | hypoglossal nerve | petrosal nerve | 2c | single | hypoglossal nerve hooks arround the origin of occipital aery of lower end of sternocleidomastoid muscle ref : bd chaursia | Anatomy | All India exam |
89015da4-646e-473b-8dbd-4484e98deab0 | Husband having a suspicion that his wife is having affair with another man, diagnosis is | Delusion | Illusion | Hallucination | Delirium | 0a | multi | A delusion is false, firm (unshakeable) belief that is not accepted by other members of patient’s culture and society.
Above is an example of delusion of infidelity (morbid jealousy, Othello syndrome) i.e. False belief that one's lover has been unfaithful.
Persecutory delusions (paranoid) : The patient feels that he is... | Psychiatry | null |
8b308da1-b9b5-41ed-98cb-4453ee1d11cc | Good pasture's syndrome is characterised by - | Necrotisting hemorrhagic interstitial pneumonitis | Alveolitis | Patchy consolidation | Pulmonary edema | 0a | single | Ans. is 'a' i.e., Necrotizing hemorrhagic interstitial pneumonitis Goodpasture syndromeo Goodpasture syndrome is a rare condition characterized by rapid destruction of the kidney and diffuse pulmonary hemorrhage.o It is an autoimmune disease characterized by presence of circulating autoantibodies targeted against basem... | Pathology | Glomerular Diseases |
f99295fa-7fb4-4cef-aad2-84f36fa583ff | Which of the following is the major site of erythropoietin production during the fetal stage? | Liver | Yolk sac | Bone | Spleen | 0a | single | Erythropoietin is produced in the fetal liver in the first and second trimester.After bih, the major site of production is in the kidney.(Refer: Nelson's Textbook of Pediatrics, SAE, 1st edition, pg no. 2305 - 2306) | Pediatrics | All India exam |
0a54fd8c-e3fe-47a5-96f3-82bd00ca25c5 | Bristow elevator is used in: | Gillies approach. | Keen's technique. | Both of the above. | None. | 0a | multi | null | Surgery | null |
33166311-4058-4c88-a1ba-7d03f84ced96 | Parents of a 7 year old girl are concerned about the spacing between her front teeth. She has a habit of thumb sucking till date. Intra Oral Findings are skeletal Class I relation, overjet present & spacing in the anterior teeth. This child is expected to show which type of swallowing pattern | Retained infantile swallow | Mature or adult swallow | Classic tongue thrust swallow | Complex tongue thrust swallow | 2c | multi | The mature or adult swallow pattern appears in some normal children as early as age 3 but is not present in the majority until about age 6 and is never achieved in 10% to 15% of a typical population.
Tongue thrust swallowing in older patients superficially resembles the infantile swallow and sometimes children or adul... | Dental | null |
1bc4d1f2-7093-4a15-bb44-1be1f63b5774 | Which is the commonest abdominal mass in neonate : | Wilm's tumor | Polycystic kidney | Neuroblastoma | Rhabdomyosarcoma | 2c | single | The commonest intra - abdominal tumor in first two years of life → Neuroblastoma.
The commonest intra - abdominal tumor between 2nd to 5th year of life → Wilm’s tumor.
The commonest intro - abdominal tumor in children (no age specification) → Neuroblastoma.
(Wilm's tumor is the second most common abdominal tumor in c... | Pediatrics | null |
0fa8fbe2-b593-45d7-80be-84cbbe8d12c2 | A married woman died in unnatural conditions within 5 years of her marriage. Her parents complained of frequent demand of dowry. Her autopsy will be conducted under which section: AI 10; Punjab 10 | Sec. 174 CrPC | Sec. 176 CrPC | Sec. 302 IPC | Sec. 304B IPC | 1b | single | Ans. Sec. 176 CrPC | Forensic Medicine | null |
2c1722ef-950e-486c-aca8-450a1263b312 | child rolls over by ? | 3 months | 5 months | 7 months | 8 months | 1b | single | O.P. Ghai 7th ed, page7 Achild rolls over by 5 months | Anatomy | General anatomy |
72e3ab3e-e6fb-4caf-931a-6c6209a1b385 | Platelet-activating factor is biochemically a | Prostaglandin | Glycolipid | Glycerol ether phospholipid | Leukotrienes | 2c | multi | Platelet-activating factor (PAF) (I-alkyl-2-acetyl-sn-glycerol-3- phosphocholine) is synthesized from the corresponding 3-phosphocholine derivatives. It is formed by many blood cells and other tissues and aggregates platelets at concentrations as low as 10 mol/L. | Biochemistry | null |
4ff90cee-b556-4743-bff0-875845f6ed14 | True about renal secretion---- | Maximum reabsorption in distal tubule | Urea is absorbed 100% | Glucose is reabsorbed in proximal tubule | None | 2c | multi | Ans. is 'c' i.e., Glucose is reabsorbed in proximal tubule | Physiology | null |
4811f36f-4846-4e80-ae5c-45fa6dafd801 | World diabetes day is celebrated on ? | 8th may | 8th march | 14th November | 1" december | 2c | single | Ans. is 'c' i.e., 14th November8 May - World Red Cross Day8th March - International Women's Day14th November -/ World Diabetes Dayl' December - World AIDS Day | Social & Preventive Medicine | null |
b8053c76-55ed-4f1a-aeae-8966957e86a9 | Enzymatic markers of plasma membrane include all except | 5'-nucleotidase | Adenylyl cyclase | Na+-K+-ATPase | Galactosyl transferase | 3d | multi | Markers of Plasma membrane - 5-Nucleotidase, Adenylyl cyclase, Na+K+ ATPase
Marker of Endoplasmic reticulum - Glucose-6-phosphatase
Markers of Golgi apparatus - GlcNAc transferase I, Golgi mannosidase II, Galactosyl transferase, Sialyltransferase
Marker of Mitochondria - ATP synthase, Glutamate dehydrogenase
Marker of ... | Physiology | null |
e6106c75-74bf-4de0-9937-d5f748a3a282 | According to disabilities ACT 1995. Seventh disability is usually referred to as? | Neurological abnormality | Mental illness | Substance abuse | Diability due to road traffic accident | 1b | multi | The definition of the term disability as per the provisions of the persons with disability act 1995 disability means :
Blindness.
Low vision.
Leprosy cured.
Hearing impairment.
Locomotor disability.
Mental retardation.
Mental illness. | Psychiatry | null |
0441bfa2-bcf5-4cbd-85cc-1cdaa4733fcf | All are true about peripheral-neuropathy except : | Glove and stocking anaesthesia | Proximal muscle weakness | Nerve-conduction deficit | Decreased reflexes | 1b | multi | Answer is B (Proximal Muscle Weakness): Symptoms and findings in Peripheral neuropathy whether motor or sensory are generally symmetric and 'graded distally' & not proximally. Involvement of the peripheral nerve explains both, defects in conduction as well as decreased reflexes. | Medicine | null |
bf54dfd8-9b7b-484a-bd37-f4cbe1b77903 | Commonest complication of pancreatic pseudocyst ? | Rupture | Infection | Obstruction of GIT | Hemorrhage | 1b | single | Answer is 'b' i.e. Infection "Other than pain, infection is the most common complication" - Maingot's 10/e, p 1929 Other complications are: Obstruction of GIT Hemorrhage Rupture Pseudoanetoysm - splenic aery is most frequently involved. | Surgery | null |
d456a161-f581-418e-8a4a-44f533a4ee81 | Which of the following anaesthetic agent causes adrenal suppression – | Etomidate | Thiopentone | Ketamine | Propofol | 0a | single | null | Anaesthesia | null |
3c4ede0e-5148-40ed-bb7f-5f5e6370e316 | Omeprazole effects are due to: March 2013 | Prostaglandin analogue | H, antihistamines | Proton pump inhibitor | Ulcer protective mechanism | 2c | single | Ans. C i.e. Proton pump inhibitor Omeprazole It is a proton pump inhibitor used in the treatment of: - Dyspepsia, - Peptic ulcer disease (PUD), - Gastroesophageal reflux disease (GORD/GERD), - Laryngopharyngeal reflux (LPR) and - Zollinger-Ellison syndrome. | Pharmacology | null |
389caf1e-08bc-4c0b-9f94-1b62b6276f5d | Blood supply of great toe are: | Dorsalis pedis aery | Dorsalis pedis aery | Matacarpal aery | Posterior tibial aery | 0a | single | A . i.e. Dorsalis pedis aery | Anatomy | null |
7236c633-eb43-4305-8d5b-44076cb61b0f | All of the following muscles are supplied by recurrent laryngeal nerve except | Cricothyroid | Arytenoid | Cricoarytenoid | None | 0a | multi | Cricothyroid is supplied by external laryngeal branch of superior laryngeal nerve | Anatomy | null |
7e080e57-4eec-4fca-bb60-9211849b93de | Uronic acid pathway does not have role in formation of which glycosaminoglycan proteoglycan? | Keratan sulfate | Chondroitin sulphate | Hyaluronic acid | Heparan sulphate | 0a | single | Glycosaminoglycans are heteropolysaccharide (heteropolysaccharides are polysaccharides which contain two or more different monosaccharide unit or their derivates).Glycosaminoglycans are linear (unbranched) polysaccharides, with repeating diasaccharide units. Each disaccharide unit consists of an amino sugar and an acid... | Biochemistry | null |
1d7ed2fb-68e3-450c-8474-54664af210de | 15 months old child feeding on cow milk with water wih severe wasting and bipedal edema with poor appetite ? | Kwashiorkar | Marasmus | Both | None | 0a | multi | Ans. is 'a' i.e., Kwashiorkar | Pediatrics | null |
66403b10-e00f-4673-870d-dd2bd4868698 | Which of the following has cytoplasmic receptor: | Epinephrine | Insulin | FSH | Cortisol | 3d | single | null | Pharmacology | null |
09e82fa4-121e-45e9-abb4-a31ec9441348 | The following pathological features are associated with Plasmodium falciparum except- | Cytoadherence | Sequestration | Rosetting | Tissue phase | 3d | multi | Pathology Red cells infected with malaria are prone to haemolysis. This is most severe with P. falciparum, which invades red cells of all ages but especially young cells; P. vivax and P. ovale invade reticulocytes, and P. malariae normoblasts, so that infections remain lighter. Anaemia may be profound and is worsened b... | Medicine | Infection |
5a7144e1-c1c7-4459-8a65-953340a9eed6 | The most common presentation of a blue rubber bleb nevus syndrome is: | Asymptomatic iron deficiency anemia | Cardiac conduction defects | Renal aminoaciduria | Painful peripheral neuropathy | 0a | single | Blue rubber bleb nevus syndrome is a rare disorder characterized by the development of cavernous hemangiomas, most commonly involve the skin and the GI tract. The most common presentations of blue rubber bleb nevus syndrome are either the appearance of the skin lesions alone or iron deficiency anemia. Ref: American Gas... | Medicine | null |
4c916921-6959-473f-9588-dc5d79e8b21c | Flumazenil is used for reversing the respiratory depression caused by which one of the following drugs? | Fentanyl | Midazolam | Propofol | Ketamine | 1b | single | null | Pharmacology | null |
54c559f3-0d2d-4a92-b9f4-593e4f0417f6 | Which test can detect facial nerve palsy occurring due to the lesion at the outlet of stylomastoid foramen - | Deviation of angle of mouth towards opposite side | Loss of taste sensation in anterior 2/3 of tongue | Loss of sensation over right cheek | Deviation of tongue towards opposite side | 0a | single | Injury at stylomastoid foramen causes LMN palsy, so the face sags and drawn across to the opposite side.
Chorda tympani is spared at this level, taste sensation over anterior 2/3 of tongue is preserved. | ENT | null |
aa95c115-57a9-4049-8635-c4bbe40c3e76 | Conn's syndrome is associated with all the following, except: | Hypeension | Hypokalemia | Muscle weakness | Metabolic acidosis | 3d | multi | Conn's syndrome is associated with metabolic alkalosis, not with metabolic acidosis. Conn's syndrome refers to primary hyperaldosteronism due to an adrenal adenoma. Increased aldosterone secretion results in hypokalemia from increased excretion of potassium and metabolic alkalosis due to increased hydrogen ion secretio... | Medicine | null |
a8da7d91-75f5-450d-966f-d3a5ba9c6369 | From 1st Jan 2007 to 30th June 2007, 22 new cases of tuberculosis were reported per 1,65,000 population. But during this period 120 suspected cases of TB were registered. What will be the incidence rate? | 133 Per 10,00,000 population | 90 Per 10,00,000 population | 75 Per 10,00,000 population | 270 Per 10,00,000 population | 0a | single | null | Social & Preventive Medicine | null |
08f6efe6-812a-4e35-9669-43519a2c7f85 | DNA is selected for genetic information compared to RNA because | It is stable | Double stranted compared to RNA | Two strands are complementary | I has genes | 0a | single | The presence of the oxygen atom in the 2nd carbon of RNA make it more prone to spontaneous hydrolysis DNA is much more stable, the half-life of spontaneous hydrolysis is about 200 million years The possibility of mutations occurring and remaining unidentified is more with uracil since cytosine can be easily deaminated ... | Biochemistry | Metabolism of nucleic acids |
ca90cc5d-eab9-4028-ab3e-c105b0fffe85 | Least A-V O2 difference is seen in ? | Hypoxic hypoxia | Anemic hypoxia | Stagnant hypoxia | Cyanide poisoning | 3d | single | Ans. is 'd' i.e., Cyanide poisoning | Physiology | null |
da9670b6-4737-40c6-bc39-ba1393755c18 | The complication least likely to occur in a pseudocyst of the pancreas | Hemorrhage | Rupture | Infection | Carcinomatous change | 3d | single | Pseudocyst complications Infection (MC) :14% Pain due to expansion Hemorrhage upto 10% Duodenal obstruction Rupture Abscess Ref: Shackelford 7th edition Pgno :1159 | Anatomy | G.I.T |
d86b98eb-c7ef-4052-ab4e-2b0c78dcdd58 | Maximum dose of lignocaine with adrenaline is (in mg/ kg) | 4 | 2 | 7 | 10 | 2c | single | Ans. c (7). (Ref. Harrisons Medicine, 18th/735)LIGNOCAINE# Maximum safest dose 3 mg/kg or 200 mg and with adrenaline 7 mg/kg or 500 mg.# Duration of effect 45 to 60 min and with adrenaline it is 2-3 hours.# Should not be given in patients with history of malignant hyperthermia.# Concentration usedo Surface topical anal... | Anaesthesia | Local and Regional Anesthesia |
510bb2c9-e6cc-46c4-b836-263b513f8c36 | Which of the following includes inflammatory bowel disease in children - | Coeliac disease | Tropical sprue | Regional ileitis | Cystic fibrosis | 2c | single | Ans. is 'c' i.e., Regional ileitis Inflammatory bowel disease o Inflammatory bowel disease (IBD) is used to represent two distinct disorders of idiopathic intestinal inflammation : i) Crohn disease or regional ileitis ii) Ulcerative colitis | Pediatrics | null |
7cabe561-11cd-4a69-b653-abd9faa09928 | Which of the following serves as the MOST DIAGNOSTIC sign of Pregnancy? | Amenorrhoea | Quickening | Foetal heart sounds | Distention of abdomen | 2c | single | Ans. C. Foetal heart soundsPresence of fetal heart sounds is considered to be one of the most diagnostic signs of pregnancy.Other absolute signs of pregnancy are mentioned as follows:* Perception of active fetal movements and Palpation of fetal parts.* Ultrasonographic evidence of gestational sac and embryo in early pr... | Gynaecology & Obstetrics | Diagnosis of Pregnancy |
c431288a-8db5-4886-a417-474f8e240dc8 | Which one of the following patterns of visual disturbance would be predicted to be demonstrable on examination of this patient? | Inferior hemifield loss | Temporal quadrantanopsia | Uniocular blindness | Macular sparing hemianopia | 0a | single | Answer A. Inferior hemifield lossDilated ophthalmoscopy of this left eye illustrates a nonrefractile plaque in the proximal superior retinal artery with retinal whitening in the superior macula signifying retinal ischemia. Superior retinal ischemia will result in a defect in the inferior visual field, as in this patien... | Medicine | C.N.S. |
47f97c1f-a28e-4c5c-8ab0-34a63cbca798 | Denominator while calculating the secondary attack rate includes - | All the people living in next fifty houses | All the close contacts | All susceptible amongst close contact | All susceptible in the whole village | 2c | multi | Ans. is 'c' i.e., All susceptible amongst close contact Secondary attack rate (SAR) SAR is defined as "the number of exposed persons developing the disease within the range of incubation period, following exposure to primary case". | Social & Preventive Medicine | null |
4db6f28c-a8a1-4469-8d2d-6e9f0a910264 | All of the following are therapeutic uses of penicillin G, except - | Bacterial meningitis | Rickettsial infection | Syphilis | Anthrax | 1b | multi | Ans. is 'b' i.e., Rickettsial infection Antibacterial spectrum of Penicillin G (Benzyl Penicillin) o PnG is a narrow spectrum antibiotic o Activity is limited primary to gram positive bacteria (and few others). o Amongst gram negative organisms, penicillin has activity against gonococci, meningococci, few Ecoli & prote... | Pharmacology | null |
467199b8-81d2-477c-aea5-7b59224bcf45 | Sheehan syndrome is due to: | Adrenal haemorrhage | Pituitary haemorrhage | Hypothalaamic hemorrhage | Pancreatic haemorrhage | 1b | single | Ans: b (Pituitary haemorrhage) Ref:Harrison, 16th ed, p. 2078Sheehan syndrome refers to panhypopituitarism after postpartum pituitary apoplexy.Apoplexy is an endocrine emergency that may result in severe hvpoglycaemia. hypotension. CNS haemorrhage and death.The hyperplastic enlargement of the pituitary during pregnancy... | Gynaecology & Obstetrics | Miscellaneous (Gynae) |
b11dfc3e-a1d5-4256-a29f-ddb08de8e380 | Lymes disease all are true except ? | Borellia bourgdorferi replicates locally and invades locally | Infection progresses inspite of good humoral immunity | Polymorphonuclear lymphocytosis in CSF suggest meningial involvement | IgA intrathecally confirms meningitis | 2c | multi | Ans. is 'c' i.e., Polymorphonuclear leucocytosis in C.S.F. suggests meningeal involvement Spread of infection and immune response in lyme disease Borrelia burgdorferi is transmitted to humans the bite of ixodes tick vector Borrelia burgdorferi is inoculated in the skin, where local replication takes place locally and o... | Microbiology | null |
e9841753-72a1-4f8c-8375-a967e4a0bf87 | The ratio of concentration of drug in co-trimoxazole trimethoprim and sulfamethoxazole is: | 1:02 | 1:03 | 1:05 | 3:01 | 2c | single | Trimethoprim is usually given orally, alone or in combination with sulfamethoxazole, which has a similar half-life. Trimethoprim-sulfamethoxazole can also be given intravenously. Trimethoprim is well absorbed from the gut and distributed widely in body fluids and tissues, including cerebrospinal fluid. Because trimetho... | Pharmacology | null |
b1cf0dd3-bf12-41fe-8d87-ee8ada94a093 | Which is the last organ to be dissected during autopsy in asphyxial death? | Neck | Head | Abdomen | Thorax | 0a | single | The autopsy in a case of a suspected asphyxial death has to be thorough including conventional neck dissection protocol. Dissection of the neck is performed after removal of the brain and thoracic organs in order to provide a clean bloodless field for the study of neck organs and prevents any aifactual seepage of blood... | Forensic Medicine | null |
e43692cb-196e-4ee2-8082-324750ba68f2 | A young man back from leisure trip has swollen knee joints & foreign body sensation in eyes. Likely cause is - | Reiter's syndrome | Sarcoidosis | Behcet's disease | SLE | 0a | single | Ans. is 'a' i.e., Reiter's syndrome Arthropathy following a recent leisure trip suggests reactive arthritis.Eye involvement points towards Reiter's syndrome.Reactive arthritis refers to acute nonpurulent arthritis, complicating an infection elsewhere in the body.Reiter's syndrome is one of the classic forms of reactive... | Medicine | Miscellaneous (Infection) |
b8dc0f9e-c922-42b5-bda5-09cdc5c66150 | Widest spectrum aminoglycoside is – | Streptomycin | Amikacin | Framycetin | Netilmicin | 1b | single | null | Pharmacology | null |
067b5e15-9b62-4272-a3d0-e594516950c5 | Cataract is seen in following except: | Glucocorticoid administration | Rheumatoid arthritis | Hypoparathyroidism | Galactosemia | 1b | multi | Ans. is 'b' i.e. Rheumatoid arthritis Aetiological classification of cataract:Senile CataractDevelopmental or congenitalComplicated cataractTraumaticMetabolicDiabetes*Tetany (hypoparathyroidism)Hypoglycemia*Galactosemia*Galactokinase deficiency*Lowe's syndrome*Wilson's disease*Maternal infectionRubella*Toxoplasma*CMV*T... | Ophthalmology | Acquired Cataract |
18cfcfe7-c8c7-4a7e-a108-383ee96a1e75 | All of the following are seen in digitals toxicity except | Ventricular bigeminy | Paroxysmal arial tachycardia with fast ventricular rate | Regularization of atrial fibrillation | Bidirectional ventricular tachycardia | 1b | multi | Ref-critical care toxicology 4/e p395 Digital characteristics cause atrial tachycardia with AV block, it does not cause at atrial tachycardia with fast Venturicular rate | Pharmacology | Cardiovascular system |
511d43a1-27e9-4d74-9564-91eb23024678 | Iron absorption occurs from | Ileum | Small intestine and jejunum | Stomach | Oesophagus | 1b | multi | Almost all iron absorption occur in duodenum & upper jejunum (proximal small intestine). Absorption of the majority of nutrients takes place in the jejunum, with the following notable exceptions: Vitamin B12 and bile salts are absorbed in the terminal ileum. Water and lipids are absorbed by passive diffusion throughout... | Physiology | null |
3b2c538e-be58-4f09-9208-196ffb8bd3c4 | Which of the following is an example of hyaline cailage? | Epiglottis | Thyroid cailage | Apex of Arytenoid Cailage | Pinna | 1b | single | Thyroid cailage is a type of hyaline cailage. Hyaline cailage is the most common type of cailage, in adults this is replaced by bone by a process called enchondral ossification. In the aicular surface of bone, costal cailage, nose, larynx, trachea and bronchi hyaline cailage persist throughout life and does not calcify... | Anatomy | null |
2e26d0f6-5088-411a-9f5a-f951227c5f56 | DEC (Di–ethyl–carbamazine) is used for the treatment of : | Filariasis | Dracunculiasis | Schistosomiasis | Taeniasis | 0a | single | null | Pharmacology | null |
535c95ae-2fce-4a02-aba3-5905414bf29c | Orthopnea is heart failure develops due to | Reservoir function of pulmonary veins | Reservoir function of leg veins | Reservoir function of pulmonary arteries | Reservoir function of leg arteries | 2c | single | When a normal individual lies down, the pulmonary blood volume increases by up to 400 mL
When the person stands up this blood is discharged into the general circulation.
This shift is the cause of the decrease in vital capacity in the supine position and is responsible for the occurrence of orthopnea in heart failure. | Physiology | null |
57ef66d4-145d-49e6-9997-57439a71aead | If APGAR score is 6, at 5 minutes of life, then what is the interpretation? | Child is normal | Moderate asphyxia | Severe birth asphyxia | It requires immediate resuscitation | 1b | single | b. Moderate asphyxia(Ref: NNF & WHO guidelines)Apgar scoreInterpretation0-3Severe birth asphyxia4-7Moderate birth asphyxia>7Normal | Pediatrics | New Born Infants |
b49e6429-4cc8-43c4-bb0d-e9a9b878aa0b | All are true regarding Hodgkin's lymphoma, except : | CNS is the commonest site of involvement | Characteristic cell is a Reed Sternberg cell | Mediastinal involvement is common in nodular--sclerosis type. | Eosinophils, plasma cells and neutrophils increase | 0a | multi | Answer is A (CNS is the commonest site of involvement) CNS involvement is an uncommon feature of Hodgkins. disease CNS involvement is an uncommon feature with Hodgkins disease: This may occur as : Sudden spinal cord compression in advanced progressive disease. Headache and visual disturbance in very rare patients with ... | Medicine | null |
597c072a-fe70-49d3-a775-42803e04cbcb | The index age group for deciduous teeth in year is: | 12 | 5 | 35 - 44 | 65 - 74 | 1b | single | null | Dental | null |
0bf251e9-f900-490d-93e6-748806c396df | In organophosphorus compound poisoning, atropine can reverse all the following signs except - | Lacrimation | Diaphoresis | Diarrhea | Muscle weakness | 3d | multi | Atropine given in organophosphorus poisoning has effects on muscarinic manifestations; it has no effect on nicotinic manifestations like muscle weakness, fasciculations, cramps, and areflexia. | Forensic Medicine | null |
36e089e2-16a3-4153-9779-887021d1e6ff | Which of the following is not involved in synthesis of pyrimidines? | Glutamine | CO2 | Aspaic acid | Glycine | 3d | single | The pyrimidine synthesis is a similar process than that of Purines(Purines Synthesis). In the de novo synthesis of Pyrimidines, the ring issynthesized first and then it is attached to a ribose-phosphate to for a pyrimidinenucleotide. Pyrimidine rings are assembled from bicarbonate, aspaate, and Ammoni | Biochemistry | Metabolism of nucleic acids |
b8f7f067-4910-4e2d-aaec-1c90bc8f670f | The closest pre-pubeal increase in height each year is | 1-2cm | 3-4cm | 5-7cm | 8-10cm | 2c | single | Length at bih - 50cms At the end of 1st year-75 cms Increase in length is 25cm/yr -1st year of bih At the end of 4yrs - 100cm. From there on till 12 yrs ( i.e, pre pubeal age) increase in height is 6cm per year. There is marked acceleration in height during pubey. Ref- Ghai , Chapter 2 | Pediatrics | Growth and development |
fe3d0afd-eeb0-4c45-84b1-a11ae4386833 | Maximum liver toxicity is seen with which anti -TB drug? | Isoniazid | Rifampicin | Pyrazinamide | Streptomycin | 2c | single | Ans. is 'c' i.e., Pyrazinamide Three first line antitubercular drugs are associated with hepatotoxicity :? i) Rifampicin ii) INH iii) Pyrazinamide Of the three, rifampicin is least likely to cause hepatocellular damage, although it is associated with cholestatic jaundice. Pyrazinamide is the most hepatotoxic of the fir... | Pharmacology | null |
10be456a-fb44-413d-8716-f9a04ec67aa4 | A 20 year old college student working pa-time in a pediatric AIDS clinic develops a viral exanthem with a rash. Her blood is drawn and tested for specific antibodies to varicella-zoster (chickenpox). Anti-varicella immunoglobulin belonging to which of the following antibody classes would indicate that she is immune to ... | IgA | IgD | IgE | IgG | 3d | single | The immunoglobulin that represents past exposure to an antigen is IgG. It is the predominant antibody in the secondary response and is an impoant defense against bacteria and viruses. In the secondary response, a much larger amount of IgG antibody is produced than IgM, and the levels of IgG tend to persist for a much l... | Medicine | null |
d465b923-acc9-4cab-a5fa-9f5c09c6d0f0 | Actinomyces viscous that initially colonises the PDL environment most likely attaches to the pellicle or saliva coated surface through? | Membrane protein | Heat sensitive protein | Fimbriae | Outer membrane protein | 2c | multi | null | Microbiology | null |
b0e4fd42-0451-4e7b-aa03-f1eb166fbb80 | Unilateral breast involvement with scaly skin around the nipple and intermittent bleeding is suggestive of: September 2005 | Galactocoele | Pagets disease | Eczema | Sebaceous cysts | 1b | single | Ans. B: Pagets disease Paget's disease of the breast is an eczema-like change in the skin of the nipple, and is a superficial manifestation of an underlying breast cancer. The underlying breast cancer may be an invasive breast cancer or ductal carcinoma in situ (DCIS). In DCIS, the cancer cells are completely contained... | Surgery | null |
c50f0560-37eb-48d4-a9c3-9d1ce550c742 | Pouches are lined by which germ layer? | Endoderm | Ectoderm | Mesoderm | Both Mesoderm and Ectoderm | 0a | multi | Pouches inside are lined by Endoderm Clefts outside are lined by Ectoderm | Anatomy | Pharyngeal Arches |
1403d387-68ec-4529-a358-cec7507ec6a5 | A 20 year old woman presents with bilateral conductive deafness, palpable purpura on the legs and hemoptysis. Radiograph of the chest shows a thin-walled cavity in left lower zone. Investigations reveal total leukocyte count 12000/mm3, red cell casts in the urine and serum creatinine 3mg/dL. What is the most probable d... | Henoch-Schonlein purpura | Polyaeritis nodosa | Wegener's granulomatosis | Disseminated tuberculosis | 2c | multi | Answer is C (Wegener's granulomatosis) The patient in question has been depicted to have one manifestation each of the classical triad as mentioned below along with skin lesion in the _Pm of palpable purpura and hence the answer is clearly Wegener's granulomatosis. Wegener's granulomatosis in its classical form present... | Medicine | null |
c19730c4-fd96-435a-a359-6eef794521c9 | Progesterone of choice in emergency contraception is the following: | DMPA | Levonorgestrel | Norgestrel | Micronised progesterone | 1b | single | Postcoital contraceptive methods prevent implantation or cause regression of the corpus luteum and are highly efficacious if used appropriately. Levonorgestrel is more effective and is associated with fewer side effects than the combination estrogen-progestin regimens. Other hormone-based emergency contraception: Estro... | Gynaecology & Obstetrics | null |
023c7862-ae74-4462-a686-d6f414132e1d | The best way to diagnose the degree of placenta pre is | Trans vaginal sonography | Double set-up examination | Observation during C.S. | Examination of placenta after delivery | 0a | single | Trans vaginal sonography | Gynaecology & Obstetrics | null |
220c0f54-c60b-41d1-8439-19d73b39a92f | HLA HI gene codes for - | Immunological reaction in graft rejection | Complement | Graft versus host reaction | Immunoglobulins | 1b | single | Ans. is 'b' i.e., Complement | Microbiology | null |
b1056bb5-b952-4250-8766-dce9f8671688 | Which among the following is known as 'Eaton agent' which causes respiratory infection? | Corynebacterium | Pseudomonas | Mycoplasma | Streptococcus | 2c | single | M. pneumoniae pneumonia is also referred to as Eaton agent pneumonia (the organism having first been isolated in the early 1940s by Monroe Eaton), primary atypical pneumonia, and "walking" pneumonia. A mild tracheobronchitis with fever, cough, headache, and malaise is the most common syndrome associated with acute M pn... | Microbiology | null |
4e7bafcd-2e70-4d2d-949d-8cff7ffe2e10 | In type 4 thyroplasty, vocal cord is | Medially displaced | Laterally displaced | Lengthened | Shoened | 2c | multi | Thyroplasty Isshiki divided thyroplasty procedures into 4 categories to produce a functional alteration of vocal cords. Type I: It is medial displacement of vocal cord as in achieved in Teflon paste injection. Type II: It is lateral displacement of the vocal cord and is used to improve the airway. Type III: It is used ... | ENT | Larynx |
ab0ebd4f-575d-4225-b10e-b9afb0e76c43 | Reduvid bug transmitts- | Kalaazar | Relapsing fever | Trench fever | Chagas disease | 3d | single | Ans. is 'd' i.e., Chaga's disease Arthopods Arthropod borne diseases1) Mosquito:1) AnophelesMalariaFilaria (Not in India) 2) CulexJapanese encephalitisWest nile feverBancroftian filariasisViral arthritis 3)AedesYellow feverDengueDengue hemorrhagic feverChikangu nya feverRift valley feverFilaria (Not in India)Zika virus... | Social & Preventive Medicine | Communicable Diseases |
ce3ced3e-8b09-4d84-a037-3ca75d27c417 | The most frequent direction in which the articular disc gets displaced is | Anterior and lateral direction | Posterior and lateral direction | Anterior and medial direction | Posterior and medial direction | 2c | single | null | Surgery | null |
743a9419-5cb8-4613-b173-715d35a86a15 | Initially renal aeries are branches of | Aoa | Common iliac aery | External iliac aery | Internal pudendal aery | 1b | multi | Initially the renal aeries are branches of the common iliac aeries, then the distal end of aoa and when kidneys are located at a higher level, they receive new branches from the aoa. Normally the caudal renal vessels undergo involution and disappear. Ref - pubmed.com | Anatomy | Abdomen and pelvis |
d194d866-639a-4074-9bc7-ce86e0b583ab | The following is/are true of a descending aoic dissection: | It originates distal to the subclan aery. | It is usually found in hypeensive patients. | It may extend the entire length of the aoa. | All of the above | 3d | multi | Descending Aoa dissections Almost always seen in hypeensive patients. Diagnosis is made by locating the tear in the aoa distal to the left subclan aery. Type III dissections may involve only the descending thoracic aoa but can extend the entire length of the aoa. | Surgery | Aerial disorders |
6a3197d8-5784-4d09-927c-0492ffc8bda9 | Eligible couple register is maintained at | Sub center | PHC | District hospital | Community Hospital | 0a | single | null | Social & Preventive Medicine | null |
92beb499-a292-44f9-8073-3c01eea17cd4 | Which of the following develop first during dependence of a substance - | Tolerance | Physical dependence | Psychological dependence | Withdrawal symptoms | 2c | single | Ans. is 'c' i.e., Psychological dependence Drug dependenceo Drug dependence, as the name suggests, is a state where a person becomes dependent on a drug despite knowing the harmful effect of the drug.o This state arises from repeated, periodic or continuous administration of a drug, that results in harm to the individu... | Pharmacology | Pharmacodynamics |
8c3f5293-93e7-458d-996c-6fbda96c5c71 | Which of the following is utmost important factor considered in balanced occlusion with little change in esthetics and change in inclination or amplitude leads to the loss of facial appearance? | Inclination of condyle guidance | Compensating curve of spec. | Inclination of incisal guidance | Cuspal height and angulation | 2c | single | null | Dental | null |
b04d29ea-23e7-4046-8162-e8d110dffdc0 | A 55 year old patient with disseminated tuberculosis is prescribed drugs. Which of the following might be seen in patient of TB, who has regularly been injecting intramuscular injection of streptomycin: | Blindness | Increased AST levels | Impotence | Deafness | 3d | single | Deafness | Pharmacology | null |
b9321602-1020-4daa-9653-4b91bee1122c | A 10 year old male child presents with pallor and h/o blood transfusion 2 months back. On investigation, Hb-4.5 gms, Total count-60,000,Platelet count-2 lakhs and CD 10+ve, CD 19+ve, CD 117 +ve, MPO +ve and CD 33 -ve. What is the most probable diagnosis? | ALL | AML | Undifferentiated leukemia | Mixed phenotypic a/c leukemia | 3d | multi | . Mixed phenotypic a/c leukemia | Pathology | null |
6a34a33e-d967-4df0-ae6a-c33faa5d09b7 | The severity of pelvic pain in endometriosis correlates best with : | Number of implants | Depth of invasion | Stage of disease | Ca 125 levels | 1b | single | Depth of invasion | Gynaecology & Obstetrics | null |
f3fcbbee-915a-4c8c-8d9a-e0858c2cf6c7 | Drugs that can enhance action of sulfonylurea include the following, except: | Salicylates | Diazoxide | Propranolol | Cimetidine | 1b | multi | Drugs that enhance SU action (may precipitate hypoglycaemia) are-
(a) Displace from protein binding: Phenylbutazone, sulfinpyrazone, salicylates, sulfonamides.
(b) Inhibit metabolism/excretion: Cimetidine, ketoconazole, sulfonamides, warfarin, chloramphenicol, acute alcohol intake (also synergises by causing hypoglycae... | Pharmacology | null |
bde0ff51-c563-4e22-ac3c-e5228ae74af6 | All are true about Migratory motor complex except | Also knows as Broom sticks of GIT | It starts immediately after meals | It is controlled by motilin hormone | It clears contents of stomach and small intestine in between the meals | 1b | multi | Migratory motor complex resumes 90 - 120 mins after the meal and occurs at interval of 90 mins till next meal. | Physiology | null |
74bf3532-83e7-42a6-ae27-ac89b576e0cf | Diastatic fracture is | Seperation of the cranial sutures | Also known case "Fracture a-la-signature" | There are two or more intersecting lines of fracture | A linear fracture involving the whole thickness of the bone | 0a | single | (Seperation of the cranial sutures) (222-Reddy's 29th)DIASTAT1C OR SUTURAL FRACTURES - separation of the sutures occurs only in young persons due to a blow on head with blunt weapon* It may occur alone but often is associated with fracture* It is usually seen in saggital sutures* These are particularly common in traffi... | Forensic Medicine | Injuries |
994eadd4-a1a7-4f9a-b56d-2832d5ffc54d | Which one of the following is the drug of choice for treating systemic fungal infection ? | Griseofolvin | Amphotericins | Ketoconazole | trimoxazole | 1b | single | Amphotericin B is an antifungal medication used for serious fungal infections and leishmaniasis. The fungal infections it is used to treat include aspergillosis, blastomycosis, candidiasis, coccidioidomycosis, and cryptococcosis. For ceain infections it is given with flucytosine Ref Harrison20th edition pg 1078 | Medicine | Infection |
ee0bf0a7-78d6-4efd-9a4c-e464223a0dd1 | Normal anion gap is seen in all except | Ureterosigmoidoscopy | Methanol poisoning | Renal tubular acidosis | Diarrhoea | 1b | multi | Ans: b) Methanol poisoning (Ref: Harrison 17th edition/ Page 291-292)Anion gap is the measure of unmeasured anions.AG = Na+-Normally anions = cationsAny increase in anions other than Cl- or HCO3- will cause decrease in Cl- or HCO2 so that total anions is same in quantity. Eg increase in acetate, lactate, methanol, phos... | Medicine | Fluid & Electrolyte |
bac6588c-f023-4176-8cf6-86e2011080a0 | Which of the following amino acids is involved in one carbon pool? | Glycine | Proline | Threonine | Hydroxyproline | 0a | single | Ans. is 'a' i.e., Glycine* Goups, containing a single carbon atom are called one carbon groups. One carbon groups are formed from following amino acids during their metabolism:- Serine, glycine, histidine and tryptophan. One carbon groups formed during metabolism are: methyl (CH3), methylene (CH2), methenyl (C H), form... | Biochemistry | Proteins and Amino Acids |
5905f2c6-84d3-454e-84de-4197e78922d3 | The ratio of anaerobe to aerobes in stool is | 10:01 | 100:01:00 | 1000:01:00 | 10000 : 1 | 2c | single | The mean number of bacteria in colon exceeds 10^11 bacteria/ gram of faecal matter. Approximately 99.9% of these bacteria are anaerobic in the colon. 300 to 400 different species or types of bacteria can be found. So the ratio of anaerobes to aerobes in the stool is 1000:01. Ref: Baveja textbook of microbiology; 4th ed... | Microbiology | general microbiology |
ba9920ca-a1f8-4cf8-a118-33ebfa617c8b | Antidiabetic drug with insulin independent action is ? | SGLT2 inhibitor | DPP4 inhibitor | Meglitinide analogues | GLP1 agonist | 0a | single | Ans. is'a'i.e., SGLT 2 inhibitor(Ref: KDT p.270)Sodium-glucose cotranspo-2 (SGLT-2) inhibitor: Dapagliflozin - antidiabetic drugs - action independent of insulin | Pharmacology | null |
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