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135
e43dc72a-bfc4-47f0-8497-0e8f65446919
Sauce and cheese retinopathy is seen in :
CMV
Rubeua
Toxoplasmosis
Congenital Syphilis
0a
single
A i.e.CMV
Ophthalmology
null
7688c619-69e5-410d-ab80-54c52045bc85
Difficulty in laryngoscopy and intubation is seen in all except:
Cervical joint immobility
Modified mallampati class 2
Upper lip bite test negative.
Interincisor gap of <3cm
1b
multi
Modified mallampati classification 1 and 2 no difficulty Modified mallampati classification 3 and 4 difficulty in intubation. Mallampati classification - Standard for assessing the relationship of the tongue size relative to oral cavity. Rest all are predictors of difficult airway 1. Interincisor gap of <3 indicates in...
Anaesthesia
Pre Anesthetic Evaluation
0c680592-52c5-4cb0-9af4-a17b4eb6ce63
All of the following condition(s) are associated with raised ANCA, except -
Wegener's granulomatosis
Polyarteritis Nodosa
Microscopic Polyangitis
Churg-Strauss syndrome
1b
multi
null
Pathology
null
c74b9949-54aa-46d8-b7c8-4c6486f468c5
Most common type of HPV associated with cervical cancer ?
6, 11
5, 8
16, 18
6, 8
2c
single
Ans. is `c' i.e., 16, 18 HPV DNA of oncogenic types (High risk) in HPV-16, 18, 31, 33 and 45 - associated with cervical cancer HPV-6 and 11 (Low risk HPV) - associated with precursor lesions of cervical cancer (CIN) and Condyloma Acuminatum. In patients with epidermodysplasia verruciformis, Squamous cell cancer develop...
Microbiology
null
a5526a85-75bc-45d9-bad4-8121f2ad114d
HIV integrase inhibitor is -
Elvitegravir
Abacavir
Maraviroc
Tenofovir
0a
single
Ans. is 'a' i.e., Elvitegravir New drugs in HIV infectiono Etravirine is recently approved NNRTI. This is second generation NNRTI and is effective against HIV resistant to first generation NNRTI (Efavirenz, Delaviridine. Nevirapine).Fusion inhibitors (Entry inhibitors)o Enfluvtritide binds to Gp41 subunit of HIV envelo...
Pharmacology
Anti-Viral
70444d12-6b6d-42f8-a5ea-fb654335206d
Which derivative of fat soluble vitamin is functioning like a hormone?
A
D
E
K
1b
single
Vitamin D is really a hormone: Vitamin D is not strictly a vitamin since it can be synthesized in the skin, and under most conditions that is the major source of the vitamin. Only when sunlight exposure is inadequate is a dietary source required. ts main function is in the regulation of calcium absorption and homeostas...
Biochemistry
null
727750c7-48de-47c6-a574-8434b4db4b76
Following are features of polycythemia rubra vera except -
Increased red cell mass
Normal aerial oxygen sturation
High leucocyte alkaline phosphatase score
None
3d
multi
<p>Polycythaemia rubra vera results in increased red cell mass,aerial oxygen saturation >92%, & raised neutrophil alkaline phosphatase scores.</p><p>Reference :Harsh mohan textbook of pathology sixth editionpg no 359.</p>
Medicine
Haematology
c6df34c3-3f4b-45da-9400-b3e6f6ae8bca
Which cardiovascular change is physiological in last trimester of pregnancy -
Middiastolic murmur
Occasional atrial fibrillation
Shift of apical impulse laterally and upwards in left 4th intercostal space
Cardiomegaly
2c
multi
Ans. is 'c' i.e. shifting of apical impulse laterally and upwards left 4th intercostal space .Due to elevation of the of diaphragm consequent to the enlarged uterus the heart is pushed upwards and outwards with slight rotation to left.Before concluding the answer let's seeOther physiological C.V.S. findings in pregnanc...
Gynaecology & Obstetrics
Physiology & Histology
a57c51f7-89c0-40d8-8e9c-23bbca700725
Baby came for immunization for 1st time on 18 months. Which vaccine can be given:
Only Pentavalent vaccine
Only DPT booster and OPV
Pentavalent, OPV, DPT, Measles and mumps
Only BCG plus OPV
1b
single
Among given options only DPT Booster & OPV are given to child at 18 months of age in case of Delayed immunization. VACCINES & AGE LIMIT IN DELAYED IMMUNIZATION : Vaccine Age limit BCG, Hep B, Rotavirus, Pentavalent vaccine, fIPV, PCV till 1 yearof age. OPV, Measles, Vitamin A till 5yrs of age HiB till 6 years of age DP...
Social & Preventive Medicine
National Immunization Schedule 2020-21
bd093795-d3d3-47db-8a89-ef5bf8c8a6b7
Diabetic gangrene is due to:
Ischemia
Increased blood glucose
Altered defense by host and neuropathy
All of the above
3d
multi
Diabetic gangrene is related to: - Trophic changes from peripheral neuropathy - Ischemia as a result of microangiopathy and macroangiopathy (atherosclerosis) - Low resistance to infection because of excess sugar in the tissues
Surgery
Aerial disorders
cfe9a2f1-8ab9-4b43-acbf-7e4b4b3ccca9
Paneth cells - true is
Rich in rough endoplasmic reticulum
High zine content
Foamy cytoplasm
Numerous lysozyme granules
0a
multi
INDERBIR SINGH&;S TEXTBOOK OF HUMAN HISTOLOGY-PAGE NO:276 Paneth cells These cells are found only in the deeper pa of intestinal crypts.they contain prominent eosinophilic secretory granules with the em paneth cells seen to contain considerable rough endoplasmic reticulum
Anatomy
General anatomy
0a3cb897-0e59-4eea-9290-9e4b1aeae735
Not seen in primary pulmonary hypertension
Left parasternal heave
Right parasternal heave
Single S2
Pulmonary ejection click
1b
single
null
Medicine
null
50f1f67e-dee1-49da-a23b-360556c85b30
Frozen section examination demonstrates fibrosis and cystic spaces. Also seen are areas of compressed glands with a lobular orientation. The glands are lined by a single layer of epithelial cells with oval nuclei and regular arrangement. No true invasion of glands into the adjacent stroma is seen. This patient probably...
Atypical ductal hyperplasia
Ductal carcinoma in situ
Lobular carcinoma in situ
Sclerosing adenosis
3d
multi
The lesion described is sclerosing adenosis. The tip-offs in the description are the references to compressed glands and lobular orientation. Sclerosing adenosis is a common component of fibrocystic disease, and occurs when fibrosis distos the normal lobular architecture. The result can be some fairly bizarre, but comp...
Pathology
null
c9d2f153-07b9-4517-8878-8a45bf84b1ad
Indications of surgery in Varicocele is/are:
Small testis
Pain
Oligospermia
All
3d
multi
Ans is a (Small testis), b (Pain), c (Oligospermia)
Surgery
null
6f60b876-6a51-4ae1-aaf6-bf5e3df14b3c
Which of the following test completely exclude chances of a disease?
Specificity
Sensitivity
Positive predictivity
Negative predictivity
3d
single
null
Dental
null
50fadc2d-4113-4d80-b51e-4e34e4e6cc3e
An 11-year-old girl becomes infected with hepatitis A and experiences mild nausea for 1 week. On physical examination, she has minimal right upper quadrant tenderness and scleral icterus. Laboratory findings include a serum AST of 68 U/L, ALT of 75 U/L, and total bilirubin of 5.1 mg/dL. Her laboratory findings most lik...
Cell membrane defects
Lysosomal autophagy
Mitochondrial swelling
Nuclear chromatin clumping
0a
single
Irreversible cell injury is associated with loss of membrane integrity. This allows intracellular enzymes such as AST and ALT to leak into the serum. All other morphologic changes listed are associated with reversible cell injury, in which the cell membrane remains intact and the cells do not die.
Pathology
Cellular Pathology
06fb0f51-28f0-4288-a6d8-298e684bf29f
ANB angle refers to
Skeletal relation
Transverse discrepancy
Dental malocclusion
None of above
0a
multi
null
Dental
null
e42127bd-364f-4ad8-94a1-4ee4e4fea5f0
The gastrosplenic ligament is derived from which of the following embryonic developmental structures?
Splenic aery
Splenic vein
Dorsal mesogastrium
Ventral mesogastrium
2c
single
Embryonically the gastrosplenic ligament is derived from the dorsal mesogastrium. The gastrosplenic ligament is a made of peritoneum that connects the greater curvature of stomach with the hilum of the spleen. It contains sho gastric vessels and left gastro-epiploic vessels.
Anatomy
null
a3172b80-1486-4717-a0e9-9b7df5d63e67
Which one of the following inherited conditions causes direct hyperbilirubinemia?
Gilbert syndrome
Type II Crigler-Najjar syndrome
Rotor syndrome
Type I Crigler-Najjar syndrome
2c
single
C. Rotor syndrome(Ref: Nelson's 20/e p 1937-1939)Disorders of bilirubin metabolismType of bilirubin elevatedDiseasesUnconjugated HyperbilirubinemiaCrigler-Najjar syndrome Types I and II (UDP GT gene mutation) Gilbert disease (UPD GT polymorphism)Conjugated HyperbilirubinemiaDubin-Johnson syndrome (multiple drug-resista...
Pediatrics
Gastro Intestinal System
c4479bba-3c59-4fc4-88f6-7c60173888d4
The following occlusal radiograph shows:
Submandibular calculus
Parotid calculus
Sublingual calculus
None of the above
0a
multi
Intraoral Radiography Sialoliths in the anterior two-thirds of the submandibular duct are typically imaged with a cross-sectional mandibular occlusal projection. The posterior portion of the duct may be demonstrated with an over-the-shoulder occlusal projection view, where the directing cone is placed on the shoulder a...
Radiology
null
f80cc270-0f5d-41b8-8655-d5ad90d59497
Transplantation of which one of "the following organs is most often associated with hyper-acute rejection?
Hea
Kidney
Lungs
Liver
1b
single
Hyperacute rejection is due to the presence in the recipient of preformed antibodies against HLA class I antigens expressed by the donor. Antibody mediated rejection generally occurs hours to days after transplantation. Kidney transplants are paicularly vulnerable to hyperacute graft rejection, whereas hea and liver tr...
Surgery
General surgery
94d47ab1-f4e0-4ca0-b8da-5a1978f17b0b
All of the following are true about user of iodine except:
It inhibits release of thyroid hormones
It causes acute inhibition of iodotyrosine and iodothyronine synthesis
It can cause iodism
Its use is contraindicated in hypehyroidism
3d
multi
Ans. d. Its use is contraindicated in hypehyroidism
Pharmacology
null
1b26e503-4f77-4831-9bea-8f4c75225dae
A–13–year old boy is referred for evaluation of nocturnal enuresis and short stature. His blood pressure is normal. The hemoglobin level is 8g/dl.urea 112 mg/dl, creatinine 6 mg/dl, sodium 119 mEq/ dl, potassium 4 mEq/l, calcium 7 mg/dl, phosphate 6 mg/dl and alkaline phosphatase 300 U/I. Urinalysis shows trace protein...
Alport's syndrome
Medullary sponge kidney.
Chronic glomerulonephritis.
Nephronophthisis
3d
multi
Features seen in this 13 yr. old boy Short Stature Nocturnal enuresis Normal B.P. Reduced hemoglobin Hyponatremia (N level in 136-145 meq/dl) Hypocalcemia (N level is 9-10.5 mg/dl) Normal potassium level (N is 3.5 to 5 meq/dl) B/L small kidneys Increased blood urea (N is 10 - 40 mg/dl) Increased alkaline phosphates (N ...
Pediatrics
null
375089b4-90ec-433f-a608-7bdeb4cea4cb
Cane sugar is:
Glucose
Sucrose
Fructose
Maltose
1b
single
null
Biochemistry
null
c8ded23f-eeae-45a1-a3dc-18292891cd0c
Metabolic alkalosis is associated -
Fanconi's anemia
Acetazolamide
Hypocalcemia
Triamterene
1b
single
Causes of Metabolic Alkalosis I. Exogenous HCO3-loads A. Acute alkali administration B. Milk-alkali syndrome II. Effective ECFV contraction, normotension, K+ deficiency, and secondary hyperreninemic hyperaldosteronism A. Gastrointestinal origin 1. Vomiting 2. Gastric aspiration 3. Congenital chloridorrhea 4. Villous ad...
Medicine
Fluid and electrolytes
e7aea12d-84f6-4726-ae44-324b8ae93b06
Which of the following is usually bilateral carcinoma of breast?
Paget's disease
Ductal carcinoma
Lobular carcinoma
Medullary carcinoma
2c
multi
Lobular carcinoma usually presents as bilateral condition.
Pathology
null
4d023533-72f9-4e50-ab5f-73585b4e1b22
Most common cause of death in children <5 yrs age -
Respiratory infection
Diarrhoea
Prematurity
Accidents
0a
single
Ans. is 'a' i.e., Respiratory infection "During 2006, about 17% of underfive moality worldwide was due to diarrheal disease, about 19% due to acute respiratory infection, 4% due to measles and 8% due to malaria".
Social & Preventive Medicine
null
c29680d9-2482-400b-89df-18ac52250a7a
Type I muscle fibers are
Red
Anerobic
Large
Glycolytic
0a
single
Type 1 muscle fibres are present in slow muscle. They are red muscles because have greater capillary network. (REF: TEXTBOOK OF MEDICAL PHYSIOLOGY GEETHA N, PAGE NO - 44)
Physiology
General physiology
3a3e5943-1f38-4ab7-99ab-7467000a8de4
Digital clubbing is seen in all except-
Endocarditis
Pulmonary aeriovenous fistula
Tricuspid atresia
Aoic dissection
1b
multi
Tricuspid atresia symptoms in children include: Cyanosis: a blue or purple tint to lips, skin and nails. Hea murmur: the hea sounds abnormal when a doctor listens with a stethoscope. .Abnormal shape of the fingeips ("clubbing") in older children. Finger clubbing is seen in aoic dissection Ref Davidson 23rd edition pg 4...
Medicine
C.V.S
08543b29-d2b2-4b6f-83cd-a2f04f6b1925
The fluoride content of fluor protector varnish is:
2.26%
0.70%
2.70%
0.30%
1b
single
null
Dental
null
67433bd8-1970-438b-b306-ba7a7a97279e
CD - 95 in apoptosis; the death receptors initiated through -
Induces apoptosis when it engaged by fas ligand system
Cytochrom C binds to a protein Apoptosis activating (Apaf -1) factor - 1
Apoptosis may be initiated by caspase activation
Apoptosis mediated through DNA damage
0a
single
Ans. is 'a' i.e., Induces apoptosis when it engaged by fas ligand system
Pathology
null
e2c2b2ec-6acb-4b61-ac69-84fa339cafb2
Branches of cervical part of facial artery are all except
Ascending palatine.
Ascending pharyngeal
Tonsillar.
Submental.
1b
multi
Branches Of facial artery  i) Cervical part • Ascending palatine to root of tongue and the tonsil. • Tonsillar to tonsil.  • Submental to submental triangle and sublingual salivary gland. • Glandular to submandibular salivary gland and submandibular lymph nodes ii) Facial part • Superior labial to upper lip • Inferior ...
Anatomy
null
6468d23c-c28c-4833-ae7e-fcc987d6c96d
Which of the following pathologic findings is/are the strongest contraindication to breast preservation (lumpectomy with breast radiation) as primary treatment for a newly diagnosed breast cancer?
Grade 3, poorly differentiated, infiltrating ductal carcinoma
Extensive intraductal cancer around the invasive lesion
Tumor size less than 3 cm
Positive surgical margin for invasive cancer
3d
single
The only firm contraindication to wide excision and radiation (breast preservation, lumpectomy) as the primary surgical treatment for a newly discovered breast cancer is the inability to achieve an uninvolved surgical margin after excision of the tumor. A positive surgical margin requires, at least, reoperation with an...
Surgery
Breast
13d593b8-1a2b-41c7-a185-3b9e7224ad31
Cobalt is a part of which vitamin -
Retinol
Pyrodoxine
Cyanocobalamin
Vitamin C
2c
single
Ans. is 'c' i.e., Cyanocobalamin o Cobalt is a part of Cyanocobalamine
Medicine
Nutrition
68e6ec14-c2f1-430d-9407-adab2bd6f7a1
Conjugated hyperbilirubinemia
Dubin johnson syndrome
Criggler naj jar syndrome
Breast milk jandice
Gilbe syndrome
0a
single
Ans. is 'a' i.e., Dubin johnson syndrome Breast milk jaundice - Decrease bilirubin uptake across hepathocyte membrane. Entero-hepatic recirculation. Leads to indirect hyperbilirubinemia. Crigler naj jar & Gilbe syndrome (deficiency of glucuronyl transferase) <Type I - Complete deficiency Type II - Paial deficiency Decr...
Pediatrics
null
1bd13722-c8c7-4f03-8438-0fe355a17730
Double bubble sign seen in :a) Duodenal atresiab) Duodenal stenosisc) Volvulusd) Intestinal perforation
abc
bc
acd
bcd
0a
single
null
Surgery
null
029601b1-29de-46f4-8360-d0c85fc41ebd
Which of these does not cause crescentic glomerulo nephritis -
Rapidly progressive glomerulonephritis
Alpo syndrome
Goodpasture syndrome
Henoch schonlein purpura
1b
single
There are some systemic diseases that are characterized by the formation of crescents. Systemic diseases such as Goodpasture's syndrome, SLE, Henoch-Schlein purpura come under type1 RPGN and they are associated with crescent formation. Alpo's syndrome is an x-linked dominant disorder and the light microscopy shows segm...
Pathology
Urinary tract
04de28e0-909f-44d9-aa05-9a5a4f7b650d
If a mother is donating her kidney to son, this is an example of which of the following?
Isograft
Allograft
Autograft
Xenograft
1b
multi
Donor and recipient are of same species and different individual : Allograft Donor and recipient are of same individual : Autograft Graft between different individual but of similar genetic makeup as in identical twins : Isograft Graft between different species : Xenograft For any organ transplantation, the single most...
Pathology
NEET 2019
a12d3d62-86fc-4f7d-8b00-aa7dd02b1570
Chronic thick walled pyogenic abscess may be due to the following except
Presence of a foreign body
Prolonged antibiotic therapy
Virulent strains of organism
Inadequate drainage
2c
multi
null
Surgery
null
6893b1e9-eaa8-4c07-851e-1fd10167dde4
Commonest type of vitiligo –
Vulgaris
Segmental
Acrofacial
Facial
0a
single
Most common type of vitiligo is vitiligo vulgaris.
Dental
null
6aa8b98e-485a-4844-8b74-c6f05cbcd4f2
Which one of the following drugs has narrow therapeutic range ?
Propranolol
Phenytoin
Piroxicam
Prazosin
1b
single
null
Pharmacology
null
152a8c8f-11c8-4272-a5cb-316cdca5b939
Which of the following drug does not contribute to Digoxin toxicity
Hyperkalemia
Hypercalcemia
Renal failure
Hypomagnesamia
0a
single
Refer kDT 7/e p 5116 Digoxin toxicity can induce literally every arrhythmia except for rapidly conducted atrial arrhythmias ( and ). The classic arrhythmias seen during digoxin toxicity include atrial tachycardia with a 2:1 conduction, bidirectional ventricular tachycardia and atrial fibrillation with a slow ventricula...
Pharmacology
Cardiovascular system
69da6879-e942-4c72-a5aa-bff61bbd845b
Sickness benefit under ESI is available for a maximum period of ________ days in a year-
30 days
46 days
56 days
91 days
3d
single
Ans- (D) 91 days. Reference- Benefits The section 46 of the Act envisages following six social security benefits :- (a) Medical Benefit : Full medical care is provided to an Insured person and his family members from the day he enters insurable employment. There is no ceiling on expenditure on the treatment of an Insur...
Unknown
null
084037f2-86ca-43ac-a737-8775b138a71e
Formed visual hallucinations are seen in a lesion of -
Frontal
Occipital
Temporal
Arcuate fasciculus
2c
multi
Unformed (elementary) visual hallucination:- ocular disorders, disorders of the occipital lobe, migraine. Formed visual hallucination:- Disorders of Temporal lobe, diseases of upper brain stem or thalamus (peduncular hallucinosis). Note:- Temporal lobe lesions can cause → Auditory, visual (formed) and olfactory halluci...
Psychiatry
null
5d329418-c4c0-40ad-aa75-c96791a13cfe
A 47-year-old woman develops accelerated hypertension (blood pressure 210/105 mm Hg) but no clinical symptoms except frequent headaches. Which of the following findings are most likely on examination of the fundii?
retinitis obliterans
cotton wool spots
retinal detachment
optic atrophy
1b
multi
(b) Source: (Fuster, p. 1541, 1543)Cotton wool spots, hemorrhage, and papilledema are common. Fibrinoid necrosis occurs on the arterioles of many organs. Earlier manifestations of arteriosclerosis include thickening of the vessel wall. This is manifested by obscuring of the venous column at arterial crossings.
Medicine
C.V.S.
1c0f30f9-a044-460b-af91-7bf6d9aea4f1
1 Sv is
100 rads
100 rem
Both
None
1b
multi
1 Gy = 100 rads 1 Sv = 100 rem
Radiology
null
70347f8b-069b-469f-afc6-36eb08596532
All of the following are typical auscultatory findings in mitral stenosis except:
A loud first sound
Opening snap
Mid-diastolic murmur with presystolic accentuation
Reversed splitting of the second heart sound
3d
multi
null
Medicine
null
1effcb3b-9a97-4a70-9a02-c446eb037dce
Which type of cattle poisoning occurs due to ingestion of LINSEED plant:
Aconite
Pilocarpine
Atropine
Hydro cyanic acid
3d
single
D i.e. Hydrocyanic acid
Forensic Medicine
null
fa02bd09-9c68-41af-9596-aa90ba395ef8
Which of the following presents with microcytic, hypochromic anemia: March 2013 (b, c)
Megaloblastic anemia
Iron deficiency anemia
Aplastic anemia
All of the above
1b
multi
Ans. B i.e. Iron deficiency anemiaIron deficiency anemiaIf the anemia is due to iron deficiency, one of the first abnormal values to be noted on a CBC, as the body's iron stores begin to be depleted, will be a high RBC distribution width, reflecting an increased variability in the size of RBCs.In the course of slowly d...
Pathology
null
312884c1-c288-4eef-9bbf-d45bd66e77bd
Most common eye ball tumour is
Retinblastoma
Sarcoma
Medulloblastoma
Malignant
0a
multi
Ans. is 'a' ie Retinoblastoma Retinoblastoma is the most common primary malignant intraocular tumour of childhood and the second most common of all age groups.MC primary malignant intraocular tumour of adults - Choroid melanoma*
Ophthalmology
Intra Ocular Tumour
1142587b-8ade-428b-9e7f-7291ebe152c0
Virchow's Triad that predisposes to DVT consists of all the following except -
Hypercoagubility
Endothelial injury
Increased turbulence of blood flow
Increased platelet count
3d
multi
Ans. is 'd' i.e., Increased platelet count Virchow's triado Hypercoagubilityo Changes in blood flowo Changes in vessel wallSome other important triads commonly askedo Charcots triad*(Seen in cholangitis)Jaundice, Pain & Fevero Virchows triad*(etiology of venous thromobosis)Changes in blood flow, Changes in vessel wall,...
Surgery
Gall Bladder & Bile Ducts
cf226055-5d45-4361-9daf-260c037e9571
Intracellular accumulation of which of the following forms Russell bodies ?
Immunoglobulins
Cholesterol
Phospholipids
Lipoproteins
0a
single
Intracellular accumulation of immunoglobulins that can occur in plasma cells or RER forms large rounded , eosinophilic Russell bodies. Multiple aggregates of Russell bodies forms Mott cells. Dutcher bodies- single and usually large pale staining nuclear inclusions that are common in IgA myeloma.
Pathology
Plasma Cell Disorders and Multiple myeloma
091040cd-9efd-4a07-9638-27851919b2cb
The most common intracranial site of hypeensive aemorrhage is:
Basal ganglia
Brainstem
Cerebellum
Hippocampus
0a
single
Answer is A (Basal ganglia): The putamen (basal ganglia) is the most common site of hypeensive haemorrhage' - Harrison 16th/2390
Medicine
null
6a37ea21-3ed8-4a72-9885-ef343594f09c
Terminal heamaturia occurs in
Urethra
Prostatic urethra
Kidney
Prolate
1b
single
(Prostatic urethra) (411, 434. S. Das-clinical surgery 7th)* Most common cause of haematuria is cystitis**Bladder stone - Heamaturia is characterised by the passage of a few drops of bright-red blood at the end of micturition and is due to the stone abrading the vascular trigone-a fact that also accounts for the pain (...
Surgery
Miscellaneous
1954d1b1-1c75-4ac2-bab1-ca73ebb3c4d1
Regarding antibiotics true are :
No prophylaxis for clean contaminated surgery
No prophylaxis for gastric ulcer surgery
Prophylaxis for colorectal surgery
Local irrigation with antibiotic contraindicated when systemic antibiotics given.
2c
multi
Surgical site infections or also k/a wound infections are infections of the tissue, organs or spaces exposed by surgeons during the performance of an invasive procedure. they are classified as below Classification of Surgical Wounds Clean Wound (Class I) include those in which no infection is present; only skin micro...
Surgery
null
14716527-0142-4f7d-83a0-cce0b2be23f3
Schwannoma of spinal nerve roots is seen in?
Neurofibromatosis 1
Neurofibromatosis 2
Turcot syndrome
Li - Fraumeni syndrome
0a
single
Schwannoma is a benign tumor arising from Schwann cells of cranial and spinal nerve roots. NF-1 is associated with an increased incidence of schwannomas of spinal nerve roots. MC schwannoma is vestibular schwannoma or acoustic neuroma arises from vestibular poion of 8th cranial nerve. Patients with NF-2 have an inciden...
Medicine
Intracranial Space Occupying Lesion
2c102093-2f7f-4c1c-9258-24cf0245c7a7
Linitis plastica is seen in
Carcinoma of liver
Carcinoma stomach
Carcinoma lung
Carcinoma esophagus
1b
single
(Carcinoma stomach) (557-Harsh Mohan 6th ,786-Robbin-Pathologic-Basis of disease 8th)Leather bottle appearance termed linitis plastica seen in gastric adenocarcinoma. Breast and lung cancers that metastasize to the stomach may also creat a linitis plastica- like appearanceSCIRRHOUS CARCINOMA (Linitis plastica) - the st...
Pathology
G.I.T.
682367a0-2015-4ab4-9552-c18a3f7c09f0
Ovulation in a women with 28 day cycle occurs at-
14 days prior to mensturation
Just before LH surge
Just after corpus leuteal maturation
Due to progesterone rise
0a
single
Ans. is 'a' i.e., 14 days prior to mensturation o The length of the secretory' phase is remarkably constant at about 14 d, and the variations seen in the length of the menstrual cycle are due for the most part to variations in the length of the proliferative phase. Thus ovulation occurs 14 days before the start of next...
Physiology
Sex Hormones
665d2c3f-41b7-48df-8f45-f673c1a6b1cd
Which of the following does not belong to gestational trophoblastic tumour
Chorioangioma
Placental site trophoblastic tumour
Choriocarcinoma
Hydatidiform mole
0a
single
Gestational trophoblastic diseases include : Hydatiform mole Invasive mole Placental site trophoblastic tumor Choriocarcinoma Ref: Dutta Obs 9e pg 180.
Gynaecology & Obstetrics
General obstetrics
d8f53524-a488-40f2-88eb-3dc9614f70e3
D.latum transmitted by ?
Cercaria through cyclops
Cercaria through fish meal
Plerocercoid through fish meal
Metacercaria in cyclops
2c
single
Ans. is 'c' i.e., Plerocercoid through fish meal
Social & Preventive Medicine
null
7d1b82cb-8b41-4728-adde-595365ba6198
Death due to suffocation are all, except: AI 08
Smothering
Choking
Throttling
Gagging
2c
multi
Ans. Throttling
Forensic Medicine
null
00baddb3-747f-4ec1-8da2-09a28934fb26
Which of the following antipsychotic isn't available as depot preparation for the treatment of psychosis?
Aripiprazole
Olanzapine
Clozapine
Haloperidol
2c
single
Clozapine isn't available as depot of long-acting muscular injection. clozapine is a drug that is used for trreatment of TREATMENT RESISTANT SCHIZIOPHRENIA patients the main adverse effects of clozapine was AGRANULOCYTOSIS, MYOCARDITIS, SIALORRHEA, SEIZURES, PARALYTIC ILEUS Ref: Essentials of postgraduate psychiatry By...
Psychiatry
Schizophrenia and other psychotic disorders
782a8699-5d7e-4d6b-b96c-69d40c9d41c1
All of the following drugs can be used for diabetes insipidus, except :
Amiloride
Furosemide
Chlorpropamide
Carbamazepine
1b
multi
null
Pharmacology
null
4d920461-1eab-47fd-9171-a46ccc0abdff
The finnish type of congenital nephritic syndrome occurs due to gene mutation affecting the following protein -
Podocin
Alpha-actinin
Nephrin
CD2 activated protein
2c
single
Ans. is 'c' i.e., Nephrin Congenital nephrotic syndrome o Infant who develop nephrotic syndrome within the first 3 months of life are considered to have congenital nephrotic syndrome. o The most common cause of this syndrome is finnish-type congenital nephrotic syndrome, an autosomal recessive disorder. o Two most comm...
Pediatrics
null
4822057d-b550-441d-b708-8af55327fbca
Musde that originates from bone and interosseous membrane is?
Peroneus longus
Peroneus brevis
Tibialis anterior
Tibialis posterior
2c
single
ANSWER: (C) Tibialis anteriorREF: Grays anatomy 40th ed chapter 83, Snell's 8th ed ch: 10Tibialis anterior is a superficial muscle and is therefore readily palpable lateral to the tibia. It arises from the lateral condyle and proximal half to two-thirds of the lateral surface of the tibial shaft; the adjoining anterior...
Anatomy
Leg
836334b1-66f5-4c95-869e-9cf9dcfe0f7d
False about customs-
Laws are inspired by customs
staing point is convention
Followed by only primitive societies
Customs are powerful
2c
multi
customs are numerous and powerful.The staing point of custom is convention.Laws are generally custom inspired.The highly developed societies of the modern world are just as replete with social customs as the primitive societies of the past. Ref:(p.727) 25TH edition Park's textbook of preventive and social medicine
Social & Preventive Medicine
Social science, Mental health & Genetics
505e84d4-0eae-4de9-8861-c726fde461f6
Oral contraceptive failure occurs with:
Phenytoin
Phenobarbitone
Rifampicin
All
3d
multi
null
Pharmacology
null
40acb45a-17a3-47bf-aba3-7e4798fe1439
Type of blood flow seen in the apex of the lung is
No flow, P(ALV) > Ppc
Intermittent flow, P(ALV) < Ppc during diastole
Intermittent flow, P(ALV) < Ppc during systole
Continuous flow, P(ALV) < Ppc
2c
single
Zone 2: Intermittent blood flow only during the peaks of pulmonary aerial pressure (Ppc) because the systolic pressure is then greater than the alveolar air pressure (PALV), but the diastolic pressure is less than the alveolar air pressure.
Physiology
Respiratory system
9ae9396f-c252-4e25-aa52-93d3b6ee9ba3
Which of the following is increased in lipoprotein lipase deficiency
VLDL
LDL
HDL
Chylomicrons
3d
single
Chylomicrons Lipoprotein lipase deficiency (Type I hyperlipoproteinemia) results in increased level of chylomicrones.
Biochemistry
null
c8d4f0fa-46b1-4787-bf8f-4d539c97810f
A 24-year-old woman appears at 8 weeks of pregnancy and reveals a history of pulmonary embolism 7 years ago during her first pregnancy She was treated with intravenous heparin followed by several months of oral warfarin (Coumadin) and has had no further evidence of thromboembolic disease for over 6 years. Which of the ...
Having no evidence of disease for over 5 years means that the risk of thromboembolism is not greater than normal
Impedance plethysmography is not a useful study to evaluate for deep venous thrombosis in pregnancy
Doppler ultrasonography is not a useful technique to evaluate for deep venous thrombosis in pregnancy
The patient should be placed on low-dose heparin therapy throughout pregnancy and puerperium
3d
multi
Patients with a history of thromboembolic disease in pregnancy are at high risk of developing it in subsequent pregnancies. Impedance plethysmography and Doppler ultrasonography are useful techniques even in pregnancy and should be done as baseline studies. Patients should be treated prophylactically with low-dose hepa...
Gynaecology & Obstetrics
Medical & Surgical Illness Complication Pregnancy
4bc3b91a-0dce-48c3-895a-25c7b626d9ae
Low risk type of HPV:
Type-16
Type-6
Type-18
Type-31
1b
single
Ans. b. Type-6
Microbiology
null
1548f2bf-3c86-4680-84fd-bb5af4e6f13f
A child is presenting features of hyperparathyroidism. All of the following are true about him except
Raised serum calcium
Raised serum phosphorus
Raised alkaline phosphatase
Resorption of minerals from bones
1b
multi
null
Medicine
null
b1326ed6-920f-4233-9bb8-1a18a85ba270
Which of the following amino acid is required for synthesis of hemoglobin?
Alanine
Glycine
Arginine
Histidine
1b
single
Synthesis of Heme The enzyme ALA synthase condenses glycine with succinyl CoA to form delta-aminolevulinic acid (ALA) (Chapter 21). It is the key enzyme of heme synthesis.Ref: DM Vasudevan - Textbook of Biochemistry, 6th edition, page no: 185
Biochemistry
Metabolism of protein and amino acid
5603ad82-45ca-4521-94fa-020fed85fa12
Total number of TB cases in a community of 6000 population 150. Number death due to TB are 30. What is the TB specific death rate (per 1000 population) ?
20
10
5
0-5
3d
single
Ans. is 'd' i.e., 0-5 Specific death rates When analysis is planned to throw light on etiology, it is essential to use specific death rates. The specified death rate helps identify paicular 'at risk' group (s) for prevention. It also permits comparison between different causes within same population. The specific death...
Social & Preventive Medicine
null
e5d3d589-566f-4aac-b56c-d7dc4bf7f725
Ovulation coincides with :
Estrogen surge
Progesterone surge
FSH surge
LH surge
3d
single
LH surge
Gynaecology & Obstetrics
null
b4ad6fec-9445-48c5-a7ad-fea59fc0c972
Skin graft for facial wounds is taken from:
Medial aspect of thigh
Cubital fossa
Groin
Post auricular region
0a
single
The thigh, is most frequentluy used as a donor site, but almost anywhere else can be used. Grafts are harvested using a skin graft knife or a power dermatome.
Surgery
null
c7e86739-b175-4abd-91dd-fd101a869ec6
A bacterium can divide every 20 minutes. Beginning with a single individual, how many bacteria will be there in the population if there is exponential growth for 3 hours?
512
440
18
1024
0a
single
A bacterium can divide every 20 minutes and exponential growth is for 3 hours, Thus, C = 1, And r = 1 (it doubles every time) n = 3 hours/20 minutes = 9 times Thus P = C (1 + r)n = 1 (1 + 1)9 = 29 = 512
Social & Preventive Medicine
null
10f45014-6171-4d58-9246-c4ecc2500a62
Maximum scattering in X-ray plate occurs in
Carbon
Mercury
H+
Ca++
0a
single
Scattering is directly propoional to the number of electrons available in the outer shell of the atom. option A : Carbon has 4 outer shell electrons option B : mercury has 2 outer shell electrons option C : H+ has 0 outer shell electrons option D : Ca++ has 0 outer shell electrons
Radiology
Fundamentals in Radiology
53e940cc-f5d2-4a13-9bb5-f5de4a2536da
Suxamethonium is:
Non depolarizing muscle relaxant
Depolarising muscle relaxant
Direct acting muscle relaxant
All of the above
1b
multi
Suxamethonium is Succinyl choline that is a depolarising blocker. Suxamethonium chloride, also known assuxamethonium or succinylcholine, is a medication used to cause sho-term paralysis as pa of general anesthesia. This is done to help with tracheal intubation or electroconvulsive therapy. It is given either by injecti...
Pharmacology
Anesthesia
153a819f-3b16-435a-8e69-d13e2de09a5b
Alcohol/ethanol induced fatty liver is caused by increased in ratio of?
NAD* to NADH
NADH to NAD'
NADPH to NADP*
NADP' to NADPH
1b
single
Ans. is 'b' i.e., NADH to NAD,Ethyl alcohol (ethanol) is readily absorbed from GIT and degraded by oxidation (oxidative process).Liver is the major site for ethanol oxidation.Excess alcohol intake leads to excessive production of NADH with a concomitant decrease in NAD+ which causes Hypoglycemia, Inhibition of p- oxida...
Biochemistry
null
934fc0f0-40e5-4842-a380-f3b7cbc47b7e
Which statement is not true about hallucinations?
It is as vivid as a real perception
It occurs in inner subjective space
It is independent of will of observer
It occurs in the absence of any perceptual stimulus
1b
multi
Criteria for hallucination Occur in the absence of any object or stimulus Hallucination are as vivid as a real perception Occur in outer and objective space Not in the control of patient Inner & subjective space - pseudo hallucination M/c hallucination - auditory hallucination Tactile hallucination is seen in cocaine i...
Psychiatry
Schizophrenia Spectrum and Other Psychotic Disorders
5d354476-ed36-48f5-9648-85c47b171228
Which muscle does NOT contribute to dorsal digital expansion
Interossei
Lumbricals
Extensor digitorum
Adductor pollicis
3d
single
Dorsal digital expansion is a tendinous modification of extensor digitorum and receives attachment of lumbricals, interossei but not adductor pollicis. Lumbricals andinterossei- MCP Flexion & IP extension their attachments to dorsal digital Expansion
Anatomy
Upper limb : Miscellaneous
60e5498d-0b30-4d62-bb3a-65857d971c93
A 2-year-old boy is brought in by his mother because of the bloody stool after ingestion of unknown amount of rat poison (coumarin based). He is admitted and treated with fresh frozen plasma and vitamin K after his prothrombin time (PT) was found to be prolonged. What is the reason for bloody stool in this case?
Local irritation of bowels because of the ingestion of rodenticide
Coumarin is antagonizing vitamin K reductase necessary for production of factors VIII and IX
Coumarin is antagonizing vitamin K reductase necessary for production of factors II, VII, IX & X
Coumarin caused disseminated intravascular coagulation (DIC)
2c
single
Answer: c) Coumarin is antagonizing vitamin K reductase necessary for production of factors II, VII, IX and X* Vitamin K is necessary for production of factors II, VII, IX, and X. Coumarin will antagonize vitamin K reductase and can result in the bloody stool after poisoning* Irritation of bowels is possible, but it wo...
Pathology
Blood
2a4f0cdd-4726-433c-bfb6-650ee2856c7a
Most common organism responsible for gas gangrene
Clostridium perfringens
Clostridium difficile
Clostridium tetani
Clostridium septicum
0a
single
null
Microbiology
null
48366942-1f59-4965-8daa-85008f3c4e02
Which of the following statements about healthy, intact capillaries is true?
They control blood pressure.
They are lined by a simple columnar epithelium
They have a smooth muscle coat.
They inhibit clot formation.
3d
multi
The smooth endothelial lining of intact, healthy capillaries inhibits clot formation. They are lined by a single layer of endothelial cells They do not have a smooth muscle coat. They do not control blood pressure
Physiology
Circulation
f775ddd0-0968-41d3-8d5a-bfb1526a4cf6
Repetition of a study in a given group is
Panel study
Cohort study
Group study
High risk
0a
single
null
Dental
null
fbac8c3e-b327-4f12-9a8b-93deba9fc2b3
All are carried through anterolateral system except:March 2005
Proprioception
Temperature
Pain
Crude touch
0a
multi
Ans. A: ProprioceptionAnterolateral system carries:PainThermal sensationsCrude touch and pressure sensations capable only of crude ability on the surface of the bodyTickle and itch sensationsSexual sensationsProprioception is carried in dorsal column-medial lemniscal system
Physiology
null
a2f9b1be-1205-42b5-a2a4-b0265e03ea73
A 30 year old male, who met with a A, regained conscious after 36 hours. It was then discovered that the patient is unable to create new memories. The probable site of lesion for this symptom is
Amygdala
Neocoex
Hippocampus
Hypothalamus
2c
single
From the history, it is clear that the patient is suffering from anterograde amnesia. Therefore the site of lesion is hippocampus. Hippocampus is the primary structure within temporal lobe involved in conversion of sho-term memory to long-term memory. Hippocampal cognitive map is inappropriately reactivated during a de...
Physiology
Nervous system
1b6087ec-ef1a-4153-b1fe-cf4d0bf23dbf
Uncooked Fish eating causing Megaloblastic Anemia is due to ?
H. nana
Taenia saginata
Echinococcus
Diphyllobothrium Latum
3d
multi
Diphyllobothrium latum /Fish tapeworm DH-Man, IH-1st- cyclops 2nd- fish if man eats uncooked fish then larvae is ingested changes to ADULT forms-these adult forms settle up in small and large intestine - these decreases VIT B12absorption - causing megablastic anaemia
Microbiology
Parasitology Pa 2 (Helminthology)
dfa78158-98e0-4600-b45a-86c85a1d4932
Tinea seen after inadvertent treatment with topical steroid is:
Tinea incognito
Vagabond disease
Tinea versicolor
Tinea capitis
0a
single
Ans: a (Tinea incognito) Ref: Davidson, 20th ed, p. 1083Inadvertent topical steroid application leads to worsening of the signs (tinea incognito) Chronic infestation with louse results in a post inflammatory hyperpigmentation and thickening of the skin known as "vagabond disease".Tinea versicolorCaused by malazzesia fu...
Skin
Fungal Infection
bf76e53c-acaa-478b-8973-96cff20a4466
T.J.Crow
Coined the term "Dementia Praecox"
Gave 11 First rank symptoms
Divided Schizophrenia into 2 subtypes , Type I & Type II
Gave 4 'A's of Schizophrenia.
2c
single
Type I Type II Positive Symptoms Negative Symptoms CT and MRI normal CT and MRI shows enlarged ventricles Good Prognosis Bad Prognosis
Psychiatry
null
5385a471-41b5-4566-bad5-6ee56b7841ef
Pityriasis rotunda is:
Fungal infection
Bacterial infection
Pityriasis affecting nail
Variant of Ichthyosis
3d
single
Pityriasis rotunda - Pityriasis rotunda is described as a persistent, large, sharply defined circular patch of dry ichthyosiform scaling with no inflammatory changes. Variant of Ichthyosis Fixed, annular, scaling, dry-skin change More often seen in the African and Asian races Associated with neoplasia, paicularly Hepat...
Dental
Tumours of skin
54fd4aec-2dde-446f-b3ac-4ea8ec38f5b3
Mercury poison acts on:
Proximal convoluted tubule
Distal convoluted tubule
Loop of Henle
Collecting ducts
0a
single
A i.e. Proximal convoluted tubule
Forensic Medicine
null
848b5c6f-298c-4a96-9e1e-35480f9c0a3c
Kreb's cycle is the second metabolic pathway involved in the catabolism of carbohydrates into energy. First substrate of Kreb's cycle is:
Pyruvate
Glycine
HQ
Lipoprotein
0a
single
Pyruvate enters the Krebs cycle (Citric acid cycle or Tricarboxylic acid cycle) following its conversion to acetyl-CoA; the reaction is catalyzed by pyruvate dehydrogenase that links glycolysis to the citric acid cycle and produces one molecule of NADH. Ref: Janson L.W., Tischler M.E. (2012). Chapter 6. Carbohydrate Me...
Biochemistry
null
7099717f-249d-4617-b1d9-4680a79af5e7
Muller's maneuver is ?
Forceful expiration against closed glottis
Forceful inspiration against closed glottis
Forceful expiration against open glottis
Reverse of Valsalva's maneuver
3d
single
Ans. is 'd' i.e., Reverse of Valsalva's maneuver Muller's maneuvre : - A flexible endoscope is passed through the nose and the patient asked to inspire vigrously with nose and mouth completely closed. Look for collapse of the soft tissues at the level of base of tongue and just above the soft palate. Level of pharyngea...
ENT
null
861a5317-24d9-465a-8534-1d3079e7985b
Collagen 7 is present in which layer of Basement membrane zone
Hemi-desmosomes
Salt split layer
Lamina Densa
Sublamina Densa
3d
single
SUBLAMINA DENSA * Contains anchoring fibrils, anchoring plaques, elastic microfibrils (without elastin), and linkin . Anchoring Fibril :- * Primary constituent is type VII collagen; appears larger than anchoring filaments and emanates perpendicularly down from lamina densa into papillary dermis. * Connects lamina densa...
Dental
Anatomy of skin
aec0d463-2498-4037-b2a9-56e514feb96b
Hematocrit relates to which of the following:
Total blood volume
Total RBC volume
Total WBC volume
Plasma filtrate
1b
single
null
Physiology
null
fa061a03-0979-4abe-9f63-303c2259b509
The cremaster muscle is innervated by which of the following nerves
Genital branch of the genitofemoral nerve
Ilioinguinal
T12
Femoral
0a
single
CREMASTER MUSCLE:- Consists of muscle fasciculi embedded in cremasteric fascia. The fasciculi form superficial loops from middle one-third of upper surface of inguinal ligament and deep loops from pubic tubercle, pubic crest, and conjoint tendon. Fully developed in males. In females only few fibres. Muscle along with t...
Anatomy
Lower limb
ea6d19ad-5263-4ef5-9ca9-5421dd659284
All are true in megaloblastic anaemia except -
Microcytes
Megakaryocytes
Decrease in Platelets
Neurological symptoms
0a
multi
null
Pathology
null
b35383ea-bc7c-45c7-8def-8a8ebb5335db
The pivot test is for:
Anterior cruciate ligament
Posterior cruciate ligament
Medial meniscus
Lateral meniscus
0a
single
The pivot shift test was positive for anterior cruciate deficiency. A pivot shift demonstrates a non-functioning ACL. Ref: Surgical Techniques for the Knee By Fred D. Cushner, W. Scott, Giles R. Scuderi, 2006 ; Apley's System of Ohopaedics and Fractures, 8th Edition, Pages 705, 708
Surgery
null