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a85f97a4-5672-486e-96c0-524390ff7b6b | Loosening of association is an example of: | Formal thought disorder | Schneider's first symptoms | Perseveration | Concrete thinking | 0a | single | A. i.e. Formal thought disorder | Psychiatry | null |
e285f8f2-9e35-49ee-ac39-3de894d5f47c | A 70-year-old male presents with hearing loss and tinnitus. On examination, he has a conductive type of deafness and a dull tympanic membrane on the right side. Lymph nodal enlargement of 3x3 cm was noted in the posterior triangle of the neck. Tympanogram revealed a type B wave. The most likely diagnosis is | Middle ear tumor | Nasopharyngeal malignancy | Acoustic neuroma | Tuberculosis of middle ear | 1b | single | Due to the obstruction of the eustachian tube, there is a conductive hearing loss with serious or suppurative otitis media. Tinnitus and dizziness may occur. Presence of unilateral serous otitis media in an adult should raise suspicion of nasopharyngeal growth. Rarely, the tumour grows up the tube into the middle ear. ... | ENT | Pharynx |
60ec7ba9-1faf-4d7a-8a7c-0bf0f2c84632 | For pancreatic injury true is | Most are iatrogenic | Blunt trauma most common | Urine amylase is diagnostic | HRCT is investigation of choice | 3d | multi | Answer- D. HRCT is investigation of choicePancreatic injuries are mostly due to penetrating injuries.Moderate injuries usually require operative exploration, debridement, and the placement of external drains. | Surgery | null |
d5e9201e-23dc-44ba-b779-6b77d7c2ec19 | Most common side effect of prilocaine is: | Methemoglobinemia | Respiratory arrest | Skin allergy | None | 0a | multi | Prilocaine
It is similar to lidocaine but does not cause vasodilatation at the site of infiltration and has lower CNS toxicity due to larger volume of distribution and faster clearance. One of its metabolites has the potential to cause methemoglobinaemia. Prilocaine has been used for infiltration, nerve block, spinal a... | Pharmacology | null |
82ca2116-e6ea-4d9f-8e83-0b9a0ddfaeff | Chronic simple glaucoma is a type of_____ glaucoma | Primary closed angle | Primary open angle | Secondary open angle | Secondary closed angle | 1b | single | Ans. b (Primary open angle) (Ref. Schlote, Pocket Atlas of Ophthalmology, p. 153).# Primary open-angle glaucoma is also known as chronic open-angle glaucoma, chronic simple glaucoma, glaucoma simplex. Not all people with POAG have elevated IOP, but decreasing the eye pressure further has been shown to stop progression.... | Ophthalmology | Glaucoma |
12c59d09-8bbd-4578-becc-220bf5b2dc5d | Which of the following results in thirst | Cardiac failure | Decreased plasma levels of angiotensin II | Distension of the cardiac atria | Distension of the stomach | 0a | single | Control of ThirstIncrease thirstDecrease thirst| Plasma osmolarity| Plasma osmolarity| Blood volume| Blood volume| Blood pressure| Blood pressure| Angiotensin II| Angiotensin IIDry mouthGastric distentionRef: Guyton; 13th edition; Chapter 29; Urine Concentration and Dilution | Physiology | General physiology |
6e5320ed-3c86-4922-a8ec-90baa3448f0a | Which of the following is not a component of Jones criteria for diagnosing acute rheumatic fever: March 2008 | Pancarditis | Migratory polyahritis | Erythema nodosum | Sydenham chorea | 2c | single | Ans. C: Erythema nodosum | Pathology | null |
5026b999-e8eb-40c8-970a-829fa8934a8a | Which type of placenta pre is this? | Type 4 | Type 2 | Type 1 | Type 3 | 1b | single | Type 2 placenta is a placenta in the lower segment but not covering the os. A posterior type 2, as shown in this figure, is an indication to do a caesarean section as the fetal head can compress the placenta against the sacrum when the head is entering the pelvis. This can cause fetal hypoxia. | Gynaecology & Obstetrics | Antepaum Haemorrhage |
6a335d72-a975-48f6-8ca2-da00c141833a | A 20 year old foot ball player received a hard kick in the epigastrium. A large cystic swelling appeared in the epigastrium two weeks later. The most likely diagnosis is | Hydatid cyst of liver | Amoebic liver abscess | Pseudopancreatic cyst | Hematoma of rectus sheath | 2c | multi | Pancreatic Trauma Most common mechanism in children is abdominal blunt trauma Direct compression of the epigastrium against the veebral column and a blunt object (handle bar) is typically seen after bicycle injuries Most common segment of the pancreas affected is the body Ref: Sabiston 20th edition Pgno :151-1535 | Anatomy | G.I.T |
4fa65e51-60f9-4a40-a3f6-ae4aea29fac4 | The after coming head of the baby in a breech delivery can be arrested by all of the following except: | Extended head | Hydrocephalus | Placenta pre | Incomplete dilatation of the cervix | 2c | multi | If a whole baby can make its way from breech onwards till the head, then even if there is a placenta pre, it will not obstruct the fetal head to come though since there was no obstruction to the whole fetus. | Gynaecology & Obstetrics | Labour - II |
65628947-ed97-48d9-8378-5e10aa913b8e | Absolute indication of enucleation is | Intraocular retinoblastoma | Endophthalmitis | Mutilating ocular injury | All the above | 0a | multi | null | Ophthalmology | null |
08463f6d-3bed-4618-b0f0-ebab3180dbb5 | Gettlers test is done for detecting death by: | Drowning | Hanging | Burns | Phosphorus poisoning | 0a | single | Gettlers test is done for detecting death due to drowning. According to this test, if death occured in salt water, the blood chloride concentration was greater in the left hea chambers when compared to right due to hemoconcentration. If death occured in fresh water, the blood chloride concentration was greater in the r... | Forensic Medicine | null |
d5b34a55-b203-43d5-b475-0a2457c91030 | Most important side effect of insulin: | Hypoglycaemia | Lipodystrophy | Insulin resistance | Antibodies to insulin | 0a | single | Ans: a (Hypoglycaemia) no referance needed for this one !!!CAUSES OF HYPOGLYCAEMIAFasting (Postabsorptive) Hypoglycemia DrugsEndogenous hyperinsulinismEspecially insulin, sulfonylureas, ethanolInsulinomaSometimes quinine, pentamidineOther beta cell disordersRarely salicylates, sulfonamides, othersInsulin secretagogue (... | Pharmacology | Endocrinology |
b2a9a600-a583-4d2b-967c-759dcd1e4f7c | A 28-year-old man is evaluated in the primary care office for new onset rash on both legs for 1 week. He is a healthy person with no past medical illness and is not taking any medications. There is no history of recent fever but he has noticed occasional gum bleeding and one episode of nosebleed 4 days ago. He does not... | Acute lymphoblastic leukemia | Immune thrombocytopenic purpura | Leukemoid reaction | Chronic lymphocytic leukemia | 1b | multi | Chronic lymphocytic leukemia is monoclonal proliferation of mature lymphocytes, often found incidentally during routine checkup. Some patients may have constitutional symptoms such as weight loss, fever, night sweats, and fatigue. Painless lymphadenopathy is the most common physical finding. Hepatosplenomegaly can occu... | Medicine | Oncology |
e4f285b0-8771-4abe-8871-44f7b412ee65 | All of the following diseases are associated with trinucleotide repeat sequence except: | Huntington's disease | Fredreich's ataxia | Myotonica dystrophy | Hereditary motor-sensory neuropathy | 3d | multi | Rest of the options are associated with trinucleotide repeat sequence. Triple-repeat mutations (Allelic expansion disorders) Due to an increase in the number of nucleotide repeats above a ceain threshold Length of the nucleotide repeat often correlates with the severity of the disease Anticipation: When repeat length i... | Pediatrics | Genetic and genetic disorders |
42563b70-6eb4-4bb3-abc7-9c18d2603574 | Apt test is useful for diagnosis of | DIC | Swallowed Maternal blood | Haemorrhagic disease of Newborn | Neonatal Thrombocytopenic purpura | 1b | multi | The apt test is used to differentiate fetal blood from the maternal bloodReference: Nelson Textbook of Paediatrics; 20th edition | Pediatrics | Hematology |
53051e7d-15a0-410b-9de7-a7b5db934215 | Feature of delerium ? | Altered sleep | Diorientation | Autonomic disturbanes | All of the above | 3d | multi | Ans. is 'd' i.e., All of the above Clinical features of delirium Delirium has an acute onset and rapid progress. The clinical features of delirium are : ? Abnormalities of consciousness : - The most conspicuous feature is a clouding of consciousness which ranges from mild dulling to deep coma. Cognitive impairment : - ... | Psychiatry | null |
dac932fc-63c5-4432-b46a-5de7f9ab8807 | All of the following are associated with polycystic ovarian syndrome, EXCEPT: | Ovarian carcinoma | Ovarian carcinoma | Insulin Resistance | Osteoporosis | 3d | multi | Osteoporosis does not occur as a complication of Polycystic Ovarian Syndrome (PCOS). Women with PCOS have high level of estrogen, so not at risk of developing osteoporosis, but at risk of endometrial hyperplasia leading to adenocarcinoma and cancer of breast. Ref: Willaim's Gynaecology, 1st Edition, Page 385, 391; Nova... | Gynaecology & Obstetrics | null |
ec4c3c8c-eb87-4706-b91f-2d7b8251fe48 | Acrylic resins were first introduced as a denture base material in | 1925 | 1937 | 1951 | 1956 | 1b | single | null | Dental | null |
82aa9a92-f86b-45cb-b39b-d179b2f6b86f | Hill Sach's lesion is seen in: September 2003 | Recurrent dislocation of shoulder | Recurrent dislocation of patella | Pehe's disease | Slipped capital femoral epiphyses | 0a | single | Ans. A i.e. Recurrent dislocation of shoulder | Surgery | null |
22ceecbe-9d69-4317-94e2-3f689713a4f1 | Which of the following can cause recurrent Pancreatitis without any obvious seen pathology? | Pancreas Divisum | Hypertriglyceridemia | Sphincter of Oddi dysfunction | All the above | 3d | multi | Ans. (d) All the AboveRef: Bailey and Love 27th ed; pg. 1222Causes of Recurrent Pancreatitis:* Pancreas Divisum* Sphincter of Oddi Dysfunction* Pancreatic malignancy* Cystic Fibrosis* Hypertriglyceridemia induced* Idiopathic* Drugs* Gall bladder Sludge | Surgery | Pancreas |
22e3e239-1dc6-453d-9f76-da51a5a0e10d | A pregnant woman in 3rd trimester has normal blood pressure when standing and sitting. When supine, BP drops to 90/50. What is the diagnosis? | Compression of uterine artery | Compression of aorta | Compression of IVC (inferior vena cava) | Compression of internal iliac vessels | 2c | single | Ans. is c, i.e. Compression of IVC (inferior vena cava)Ref. Dutta Obs. 7/e, p 53, 54Supine hypotension syndrome:During late pregnancy Q the gravid uterus produces a compression effect on the inferior vena cava, when the patient is the supine position.This, generally results in opening up of collateral circulation by me... | Gynaecology & Obstetrics | Hypertensive Disorders in Pregnancy |
2fa16e0f-dc50-4564-9596-a816465567c2 | Delirium and schizophrenia differ from each other by: | Change in mood | Clouding of consciousness | Tangential thinking | All of the above | 1b | multi | Delirium presents with clouding of consciousness whereas in schizophrenia consciousness is intact. The mood changes and tangential thinking cannot be used for differentiation. | Psychiatry | Organic Mental Disorders |
b7e80a47-fb23-4b16-a4b6-02ef9c8d9bfb | Glomerulonephritis associated with AIDS is? | Focal segmental GN | PSGM | MPGN | Membranous GN | 0a | single | Ans. is 'a' i.e., Focal segmental GNMost characteristic lesion of HIV-associated nephropathy is collapsing glomerulopathy, a morphological variant of focal segmental glomerulosclerosis.Morphological changes in FSGS o Sclerosis of some glomeruli with involvement of only a poion of capillary tuft.o Collapse of GBM.o Incr... | Pathology | null |
52242f0b-ac3b-4bb9-9864-c8f75dc8a602 | Streptokinase causes increase in ? | Plasmin | Thrombin | Kallikrein | Angiotensin II | 0a | multi | Ans. is 'a' i.e., Plasmin Streptokinase Fibrinolytic drug Obtained from group C streptococci Streptokinase is inactive as such. It combines with' circulating plasminogen molecules to form an activator complex, which then causes limited proteolysis of other plasminogen molecules to generate active enzyme plasmin. | Pharmacology | null |
ede92cbf-a1a2-4fd2-b983-3820c921c22d | Which of the following is a finding in biopsy of mesothelioma of pleura- | Myelin figurers | Desmosomes | Wiebel-Palade bodies | Intense fibrosis | 3d | single | Ans. is `d' i.e., Intense fibrosis o Benign mesothelioma consists of dens fibrous tissue with occasional cysts filled with viscid fluid. o Microscopically, the tumors show whorls of reticulin and collegen fibers among which are interspersed spindle cells resembling fibroblasts. | Pathology | null |
055dbeb3-89c2-4aaf-b196-b0a836199ffb | A 3 year old girl with normal developmental milestones except that she staed speaking by the age of four. She does not play with other children and wants to eat, play and sleep in her own way. She often has temper tantrums related to any new changes. What is the likely diagnosis? | ADHD | Autism | Specific learning disorder | Mental retardation | 1b | multi | Autism is charecterised by a developmental delay in speech, communication difficulties, lack of social skills, difficulty in coping with change, rigid preferences and routines which is pervasive and persistent from childhood. | Psychiatry | null |
757a7432-afc3-4d6f-acd8-a4ceb05eb6a3 | All are true regarding selective estrogen receptor down (SERD) Fulvestrant exept | Used for treatment of advanced breast cancer | Is a selective estrogen antagonist | Is slower, sho acting and less safer than SERMS | Administered as once month i.m. dose | 2c | multi | Fulvestrant is more efficient than tamoxifen,used in the treatment of metastatic ER positive breast cancer. It is a selective estrogen antagonist and is administered as 250mg monthly i.m Injections. (Ref.Essentials of medical pharmacology TD Tripathi 7th edition page no 313) | Pharmacology | Endocrinology |
0c4caa13-4138-4b3a-8450-d1e591f6987c | Hormone produced by endodermal sinus tumor is | Both 2 & 3 | Alpha1 antitrypsis | AFP | hCG | 0a | multi | null | Pathology | null |
67b14d31-c4f1-4564-9d84-7bca5532ca03 | Which of the following antimalarial drug cause neruopsychiatric reactions and convulsions? | Halofantrine | Lumefantrine | Aemisinin derivatives | Mefloquine | 3d | single | Neuropsychiatric reactions, convulsions and encephalopathy are the major side effects of mefloquine. Halofantrine is associated with cardiac conduction defects and and aretmesinin derivatves occassionally cause anaphylaxis. Lumefantrine is usually well tolerated. Ref: Harrisons principles of internal medicine, 18th edi... | Pharmacology | null |
f49d7a8f-a307-42a2-aee1-2f77edee8276 | Neurotrophic keratopathy is caused by – | Bell's palsy | Facial and trigeminal nerve palsy both | Trigeminal nerve palsy | All of the above | 2c | multi | Neuroparalytic keratitis occurs due to interruption of sensory impulses over trigeminal nerve. | Ophthalmology | null |
d4dd9847-56db-41cb-86b9-4fd611cff431 | Blow out fracture orbit may involve | Floor | Apex | Lateral wall | Base | 0a | multi | Since medial wall is the weakest wall ,it can be involved in blow out fracture along with the floor. Such patients present with subcutaneous emphysema Refer khurana 6/e 410 | Anatomy | General anatomy |
afc1140e-e255-4c54-8e3e-780f3ba4a68f | Peripheral eosinophilla is not a characteristic feature of- | Hypersensitivity pneumonitis | Allergic aspergillosis | Tropical eosinophilia | Loeffler's syndrome | 0a | multi | Hypersensitivity pneumonitis or extrinsic allergic alveolitis,is an inflammatory disorder of the lung involving alveolar walls and terminal airways that is induced by repeated inhalation of a variety of organic agents in a susceptible host.Bronchoalveolar lavage in patients with HP consistently demonstrates an increase... | Medicine | Respiratory system |
60053d50-6586-4386-960e-bacae8f6302e | All of the following statements about SACH feet are true, except: | 'SACH' stands for 'Solid Ankle Cushioned Heal' | Forms the base of a lower limb prosthesis | May wear out with time | Wooden keel absorbs the impact of heel strike | 3d | multi | D i.e. Wooden keel absorbs the impact of heel strike The SACH (Solid Ankle Cushioned Heel) foot is the most basic non aiculated foot design that forms the base (or terminal pa) of lower limb prosthesisQ. It has a central wooden keel and a compressible cushioned rubber (foam) heel. The heel absorbs the impact (shock) of... | Surgery | null |
0a376524-bcb3-4ad4-9a43-8926f79d031b | Tuberculosis of skin is called as – a) Lupus vulgarisb) Lupus pernioc) Lupus profundusd) Scrofuloderma | b | c | ad | ab | 2c | multi | Lupus vulgaris is the most common type of cutaneous tuberculosis.
Scrofuloderma is 2nd most common type of cutaneous tuberculosis. | Dental | null |
5b2bd5bf-5605-4476-909e-25a80dea63c5 | Following is a bacterial infection | Pyoderma gangrenosum | Impetigo herpitformis | Pitted keratolysis | Mycosis fungoides | 2c | single | Pitted keratolysis shallow pits on palms and soles causative organism: coryneform bacteria most common in: hyperhidrotics, marshy lands, housewives treatment: topical antibacterials pyoderma gangrenous: neutrophilic dermatosis of skin and mucous membranes impetigo herpitiformis: pustular psoriasis of pregnancy mycosis ... | Dental | Bacterial infections |
87f73f76-15af-4a6f-a09c-23df9285b46b | What laboratory test is most appropriate for this patient? | Alpha-fetoprotein | Beta2-microglobulin | Calcitonin | Insulin-like growth factor-1 | 2c | single | Answer C. CalcitoninThis patient had multiple flesh-colored papules on the eyelids, lips, and tongue. This phenotype is suggestive of multiple endocrine neoplasia (MEN) type 2B (MEN-2B), an autosomal dominant condition characterized by medullary thyroid cancer among other features. Serum calcitonin can be used to scree... | Medicine | Endocrinology |
903187a9-8080-4c63-a1c4-a5881708159a | In osteoporosis there is - | Decrease in absolute amount of bone mass | More common in male | Radiographs show normal bone density | Hormonal replacement therapy | 0a | single | Osteoporosis occurs because of a defect in attaining peak bone mass and/or because of accelerated bone loss. In normal individuals, bone mass increases during skeletal growth to reach a peak between the ages of 20 and 40 years but falls thereafter (see Fig. 25.52). In women there is an accelerated phase of bone loss af... | Medicine | Endocrinology |
c0f6b4b3-adb5-49eb-9c2b-697de35a2090 | Testicular artery is a branch of: | Common iliac artery | Abdominal aorta | Internal iliac artery | External iliac artery | 1b | single | Ans. B Abdominal aorta* Testicular artery is a branch of abdominal aorta.* Please refer' the image given below: | Anatomy | Abdomen & Pelvis |
df753230-cb9b-4f67-8f85-b4c1d93464e0 | Isolation in patient with Salmonellosis is done | Till fever subsides | Till 3 stool test are negative | Till Widal becomes negative | For 48 hrs of Chloramphenicol treatment | 1b | single | null | Social & Preventive Medicine | null |
e66dd7d9-1c97-4522-981d-c78b8148b904 | Treatment of choice for angiofibroma - | Surgery | Radiotherapy | Both | Chemotherapy | 0a | multi | "In nearly every other circumstance, however, surgery is the treatment of choice".
—Logan Turner | ENT | null |
69218697-18c9-4e89-9dfe-69cca3039a61 | Prostacyclin is mainly produced by- | Platelet | Vascular endothelium | Prostate | Testis | 1b | single | Ans. is 'b' i.e., Vascular endotheliumArachidonic acid metabolites During inflammation, various biologically active lipid mediators are derived from membrane phospholipid. o Arachidonic acid is derived from dietry sources or by conversion from the essential fatty acid (linoleic acid).It does not occur free in cell but ... | Pathology | null |
2cbb87a1-4f45-4139-aa40-636c92cad9b5 | A person who is intoxicated is not considered responsible for his actions under - | Section 84 IPC | Section 85 IPC | Section 82 IPC | Section 87 IPC | 1b | single | Sec 85 IPC states that nothing is an offence which is done by a person who, at the time of doing it, is, by reason of intoxication, incapable of knowing the nature of the act, or that he is doing what is either wrong, or contrary to law; provided that the thing which intoxicated him was administered to him without his ... | Forensic Medicine | Medico legal procedures |
b980ef1f-f337-435c-8922-82b0b58535a4 | A 2-year-old child presented with recurrent pain abdomen, failure to thrive and iron deficiency anemia refractory to Iron therapy. His anti TTG anti-body titres were 300 U/L. An upper GI endoscopy was done and duodenal biopsy was taken which showed the following. What is the diagnosis? | Crohn disease | Hirschsprung disease | Celiac disease | Congenital lactase deficiency | 2c | single | Intestinal biopsy showing villous atrophy, crypt hyperplasia, intraepithelial lymphocytic infiltration in the given case scenario, suggest a diagnosis of Celiac disease | Pediatrics | Disorders of Gastrointestinal System Including Diarrhea |
fac80edf-241c-4e55-8879-1f532bd02f38 | &;WHO STEPS&; is used for | Communicable diseases | Non-Communicable diseases | Immunodeficient diseases | Autoimmune diseases | 1b | multi | Who has developed a survey methodology known as"the STEPS Non-communicable Disease Risk Factors Survey" The methodology prescribes three steps - Questionnaire, physical measurements and biochemical measurements.Park 23e pg: 364 | Social & Preventive Medicine | Non communicable diseases |
2445bd18-c326-4ad4-9c59-3c014317d19d | How much time later should ROP screening be done for a 2 week old baby being treated in NICU for sepsis, who was born at 28 wk gestation? | 2 weeks | 4 weeks | 6 weeks | 8 weeks | 0a | single | First screening - carried out at 32 weeks of post menstrual age (PMA) or 4 weeks of postnatal age, whichever is later In the given scenario, baby is born at 28 week gestation, so 1st screening should be done at 4 weeks postnatal age i.e 32 weeks PMA As the baby is already 2 weeks old screening for ROP should be done 2 ... | Pediatrics | Neonatal sepsis |
cd126947-f2d9-4196-add9-6bcf9c36de81 | Not true about GIST - | Stomach is the most common site | High propensity of malignant change | Associated with c-KIT mutation | Histology shows spindle shaped cells | 1b | multi | The prognosis depends on tumor size, mitotic index & location.
Recurrence or metastasis common for mitotic active tumors & more than 10cm but not for others. | Pathology | null |
03600963-2f59-4d57-a88a-6e36403c1c87 | Postural hypotension Is the common side effect of which of the following' | ACE inhibitors | Alpha receptor blockers | Selective beta1 blockers | Aeriolar dilators | 1b | single | Ref-KDT 6/ Possible side-effects of alpha-blockers include: sudden drops in blood pressure when sitting up or standing up. headaches or nausea. swollen legs or ankles. tiredness, weakness or feeling lethargic. sleep disturbance. tremor. rash or itchiness of the skin. Postural hypotension | Anatomy | Other topics and Adverse effects |
2e1ee52e-baad-4d88-b4a8-3b600675b173 | Which of the following is the brownish coloured substance seen in hea failure cells? | Hemosiderin | Lipofuscin | Myoglobin | Bilirubin | 0a | single | The brownish pigment seen in hea failure cells are hemosiderin. Hea failure cells are hemosiderin laden macrophages seen in the lung after development of congestion and pulmonary oedema. Lipofuscin are yellow brown pigment granules which are composed of lipid containing residues of lysosomal digestion. It is considered... | Pathology | null |
2d9ec9f0-4fc7-48e8-869c-4073e9713c95 | In Peibaldism ? | Inheritance pattern is autosomal dominant | Mutations of the KIT ligand, stem cell factor (SCF) | Is associated with deafness | Is characterized by excess melanocytes in the affected area | 0a | single | Ans. is 'a' i.e., Inheritance pattern is autosomal dominantPiebaldism Hypopigmentation disorderCaused by absence of melanocytes in the affected area.Autosomal dominant inheritance.There is a defect in the KIT proto - oncogene that codes for the KIT receptor. Thus defect in melanocyte survival results in hypopigmentatio... | Pathology | null |
ffb86e1a-5bec-4de1-8251-78965ad9f591 | A patient with history of chest trauma presents to the emergency depament with a BP of 90/70 mm Hg and a Pulse rate of 120/min. The patient is observed to be sho of breath using his accessary muscle of respiration. The JVP is not elevated. The most likely diagnosis is: | Tension Pneumothorax | Massive Hemothorax | Cardiac tamponade | None of the above | 1b | multi | Answer is B (Massive Hemothorax): Features of Shock in a patient with Chest- Trauma without an elevated JVP suggest a diagnosis of Massive Hemothorax. Tension Pneumothorax Cardiac Tamponade Massive Hemothorax Simple Pneumothorax resenting Feature Respiratory Distress (Shock may be the presenting feature but less common... | Medicine | null |
f6219b9c-2b5d-4bfa-b175-86d12a02047a | All of the following are vasodilators except: | Methyl dopa | Nitroprusside | Hydralazine | Diazoxide | 0a | multi | null | Pharmacology | null |
393a9e22-e304-45ee-bae0-9b528090f288 | In cleft lip surgery rule of 10 says | 10 weeks of age, having 10 dL/mg Hb and weight 10 pounds | 10 weeks of age, having 10 dL/mg Hb and weight 10 kgs | 10 months of age, having 10 dL/mg Hb and weight 10 pounds | 10 months of age, having 10 dL/mg Hb and weight 10 kgs | 0a | single | null | Pathology | null |
a985771a-a8fd-467d-a1e0-14f4869d07b2 | OVAL cells seen in stem cells of - | Liver | Skin | Cornea | Bone | 0a | single | Stem cells are located in sites called niches. These include:
Epidermal stem cells located in the bulge area of the hair follicle serve as stem cells for the hair follicle and the epidermis.
Intestinal stem cells are located at the base of a colon crypt, above Paneth cells.
Liver stem cells (commonly known as OVAL cel... | Pathology | null |
27eb72a0-d151-4a27-98bb-d65d794d728a | The quantity of water considered adequate in urban areas (in liters per day person) is - | 50-100 | 100-150 | 150-200 | 200-250 | 2c | single | A daily supply of 150-200 litres per capita is considered adequate to meet the needs for urban domestic purposes. But again it depends on the climate, standard of living and habits of people. Park's Textbook of Preventive and Social Medicine, 25th edition, Page No. 766 | Social & Preventive Medicine | Environment and health |
be40043a-8e4b-4124-ba21-66cf0607d86f | An anaesthesia resident was giving spinal anaesthesia when the patient had sudden aphonia and loss of consciousness. What could have happened? | Total spinal | Partial spinal | Vaso vagal attack | Intra vascular injection | 2c | single | Development of sudden aphonia and loss of consciousness while giving spinal anaesthesia (during injection of spinal anaesthesia) suggest the diagnosis of vaso-vagal attack. It often occurs in young, nervours and anxious patients during injection in a sitting position. It is characterized by sudden and transient loss of... | Anaesthesia | null |
deab0437-c9a4-4ec6-bd14-52d442c8e312 | A neonate is brought with an inguinal swelling which is smooth, transparent, fluctuating swelling, which is prolonged into the inguinal canal, and receives an impulse when the child coughs or struggles. Congenital hydrocele is diagnosed after examination. What is the suggested treatment modality in this case? | No treatment before 5 years | Herniorraphy | Herniotomy | Eversion of sac | 2c | single | Congenital hydrocele results from a persistence of processus vaginalis. As the testis descends from its retroperitoneal position to beyond the internal ring, it carries with an anteromedial diveiculum of peritoneum (the processus vaginalis). The process of obliteration of the processus vaginalis begins at 32 weeks gest... | Surgery | null |
7c7c2275-edb7-4c89-999e-036f5495eeaa | Loud S1 is caused by- | Calcified mitral valve | Mitral Regurgitation | Sho PR interval | Bradycardia | 2c | single | Loud S1: Tachycardia Sho PR Interval. Mitral stenosis Tricuspid stenosis Soft S1: Bradycardia Prolonged PR Interval Aoic regurgitation Pulmonary regurgitation. Ref : Harrison's 20th edition pg 1563 | Medicine | C.V.S |
29c81ebc-ef77-4793-8f00-5e281b9ae6b7 | A 58-year-old man has the sudden onset late one evening of severe pain in his left great toe. There is no history of trauma. On examination there is edema with erythema and pain on movement of the left 1st metatarsophalangeal joint, but there is no overlying skin ulceration. A joint aspirate is performed and on microsc... | Hyperglycemia | Positive antinuclear antibody | Hyperuricemia | Hypercalcemia | 2c | single | Many patients with gout will have hyperuricemia, but not all. The big toe is the most common joint involved with gout. Acute gouty attacks are associated with intense pain from acute inflammation.
Incorrect 1. Hyperglycemia is a feature of diabetes mellitus, which is associated with peripheral vascular disease that inc... | Unknown | null |
dadfc3d3-3910-4af8-9181-01dafc85be7a | Which of the following is absent in hemolytic anemia? | Increased indirect bilirubin | Increased direct bilirubin | Increased reticulocyte count | Jaundice | 1b | single | Ans. (b) Increased direct bilirubinIncreased indirect bilirubin and not direct bilirubin are the findings in hemolytic anemia MCV%S%A%A2 %FASN35-3862-65<3.5<1SSN88-930<3.55-10S/bdegthalassaemiaL88-930>3.55-10 | Pathology | Misc. (R.B.C) |
a84f7f15-3741-4882-9cb9-3395ac219b70 | All of the following muscles are supplied by Tibial component of Sciatic nerve Except | Adductor magnus | Semimembranosus | Semitendinosus | Short head of Biceps fermoris | 3d | multi | Only Short head of Biceps fermoris is supplied by common peroneal component of Sciatic nerve. | Anatomy | null |
488c4984-6839-4ba0-8e8d-3854f8a0d2e3 | Superficial thrombophlebitis is seen in - | Trousseau's syndrome | Burger's disease | Raynaud's disease | Kawasaki syndrome | 0a | single | Ans. is 'a' i.e., Trousseau's syndrome * Migratory superficial thrombophlebitis is known as Trousseau's syndrome.Trousseau's Syndrome* It is characterized by recurrent episodes of thrombophlebitis in superficial veins which changes locations over time (thrombophlebitis migrans or migratory thrombophlebitis).* The clot ... | Pathology | Blood Vessels |
d5b797a4-ab9f-4b08-8174-1c40f1cff97a | Sweat gland near the lid margins | Moll | Zeis | Meibomian | Krause | 0a | single | Ans. is 'a' i.e., MollGlands of Moll (Moll's gland) are apocrine sweat glands just next to the eyelashes.Zeis glands are sebaceous glands near lid margins.Meibomian gland (tarsal glands) are specialized sebaceous gland at the rim of eyelids inside the tarsal plate.Krause's glands are accessory lacrimal glands underneat... | Anatomy | null |
50b83bfb-431f-4d4f-8cf2-9ff34056a82e | Abnormalities of the optic lens are recognized in: | Hypoparathyroidism | Homocystinuria | Congenital rubella | All | 3d | multi | A, B, C i.e. Hypoparathyroidism, Homocystinuria, Congenital rubella - Microspherophakia is usually presence of small, relatively spherical lens with increased A-P thickness and steeper A-P curvatues. It is usually bilateral and may be caused by mesodermal defect, such as Marfan syndrome, WeillMarchesani syndrome and hy... | Ophthalmology | null |
99abaf6b-a2c1-4e8d-8258-dbeef255ba64 | Commonest site of march is: | Involves shaft of 2 & 3 rd metatarsals | Avulsion of 5th metatarsals | Calcaneus involved | Olecranon involved | 0a | single | A i.e. Involves shaft of 2 & 3 rd metatarsals * March fracture is a stress fatigue fracture of second metarsalQ* Avulsion fracture of base of fifth metatarsal is known as pot hole injury or Robe Jones fracture | Surgery | null |
047ad949-4b68-4176-99e9-9b3e345ba523 | All are true regarding mesothelioma except | Bilaterally symmetrical | Associated with asbestos exposure | Histopathalogy shows biphasic pattern | Occurs in late middle age | 0a | multi | Mesothelioma is an asbestos exposure releated tumor having Mean age of presentation as 50-70 years. Microscopically it may have both epithelioid and sarcomatoid patterns (biphasic pattern). Option ‘a’…. ‘Pleural mesotheliomas are more commonly right sided (R:L ratio is 3:2) may be because of greater size of right sided... | Pathology | null |
6dd6be4e-55fd-42f9-b1a6-9a0b641fad2f | Alpha-fetoprotein is increased in following except: | Open neural tube defect | Down's syndrome | Oesophageal atresia | Exomphalos | 1b | multi | Down's syndrome | Gynaecology & Obstetrics | null |
ea552b89-9aec-4ffb-9522-a532def3c897 | In clinical aniridia all of the following are true except: | Iris is completely absent | Usually familial condition | May be associated with congenital glaucoma | Ciliary processes may be visible | 0a | multi | Ans. Iris is completely absent | Ophthalmology | null |
53a3ac0e-3a5a-4afc-816e-74ec6cb53dac | Optic atrophy is characteristic feature of poisoning by | Lead | Phosphorus | Ethyl alcohol | Methyl alcohol | 3d | single | (D) Methyl alcohol # Ocular features of Methyl alcohol poisoning:> Visual disturbances like photophobia and blurred or misty vision (snowfield vision), seeing spots, central and peripheral scotomata decreased light perception concentric diminution of visual fields for colour and form, followed by fairly sudden failure ... | Forensic Medicine | Misc. |
66f394c5-6622-41dc-807d-a6fb81012a90 | Aery cannulated most commonly for invasive blood pressure monitoring is: March 2013 (f) | Femoral aery | Carotid aery | Radial aery | Ulnar aery | 2c | single | Ans. C i.e. Radial aery | Surgery | null |
b7c43077-913d-4431-b99c-3da3071270d6 | Two litres of normal saline in 4 hours will stimulate secretion of - | Atrial natriuretic peptide | IL - 2 | TNF - alpha | Prostaglandins | 0a | single | null | Medicine | null |
68e5fee4-ce6c-4a39-8a7e-a44d1f018231 | Tobey-Ayer test and Crowe-Beck test are used for? | Lateral sinus thrombosis | Petrositis | Cerebral abscess | Subarachnoid hemorrage | 0a | single | Ans. is 'a' i.e., Lateral sinus thrombosis Tobey-Ayer-Queckenstedt sign is used in the diagnosis of unilateral and bilateral lateral sinus thrombophlebitis. In cases where the lateral sinus is obstructed on one side, compression of the jugular vein on the intact side causes a rise in CSF pressure, whereas compression o... | ENT | null |
18c45616-34ac-44ff-8dd1-4134349e2402 | Which of the following factors in the stephan's curve is related to the caries incidence and sugar intake: | Physical form of sugar | Frequency of sugar intake | Ph of plaque | Quantity of sugar intake | 2c | multi | null | Pathology | null |
db0bcd8c-53c8-48bb-ad72-eb388b04e96c | Which of the following intravenous anaesthetic agent pharmacokinetic does not change on renal and hepatic dysfunction - | Propofol | Thiopentone | Etomidate | Ketamine | 0a | single | Propofol is metabolized by liver and kidney mainly. but its metabolism exceeds hepatic blood flow, thus having extrahepatic and renal route as well. in liver and kidney dysfuction its metabolism is not delayed making its use safe. | Anaesthesia | Intravenous Anesthetic Agents |
77cf3fea-4139-4734-8c1d-01fb5bc01694 | Which of the following is not recommended in the treatment of chronic low back pain - | NSAIDs | Bed rest for 3 months | Exercises | Epidural steroid injection | 1b | single | LOW BACK PAIN Also known as lumbago (at times referred to as waist pain) is pain (as name implies) in the lower back (lumbar) region. Typically, the commonest area of back pain is the low back (lumbar region) and sometimes it spreads to the buttocks or thighs. LBP may radiate into * groin * buttocks * upper thigh (post... | Orthopaedics | Spinal injuries |
96b71be8-ad0f-457b-80e2-b6e0c0adf883 | Eugene Blueler's 4As include following except - | Autism | Affect | Anhedonia | Association | 2c | multi | Ans. is 'c' i.e., Anhedoniao Eugen Bleuler renamed dementia precox as Schizophrenia. He recognized that schizophrenia is a group of disorders rather than a distinct entity. Therefore, he used the term, a group of schizophrenias.o Bleuler described the characteristic symptoms (fundamental symptoms) for schizophrenia whi... | Social & Preventive Medicine | Mental Health |
023fdbb3-7624-4eb1-b846-b06170a57cb3 | What should be the loss of hearing at least for Weber's test to lateralise - | 5 dB | 10 dB | 15 dB | 20 dB | 0a | single | null | ENT | null |
aa1c8797-50a7-4776-be74-4d5703efa0d4 | All of the following structures pass through superior orbital fissure EXCEPT: | Inferial ophthalmic vein | Lacrimal nerve | Trigeminal nerve | Nasociliary nerve | 2c | multi | Ans. C Trigeminal nerveRef: Gray's 41st ed. pg. 667, BDC, 6th ed. Vol-III pg. 206-7Structures passing through superior orbital fissureSuperior orbital fissureUpper part/ LateralMiddle part (through tendinous ring)Lower/Medial part* Superior Opthalmic vein* Lacrimal nerve* Frontal nerve* Trochlear nerveMn - "Superior LF... | Anatomy | Neuroanatomy |
60d9bf14-bfc0-420d-a7c1-ddb76c67165e | Lymph nodes not involved in Ca endometrium is: | Para-aortic | Presaral | Inferior mesenteric | Inguinal | 2c | single | Lymphatic drainage of uterus: Lymph nodes Involved in ca endometrium.... BDC Vol II, 3th ed p 319
Upper lymphatics (from fundus)
From cornua
Middle lymphatics (from body)
Lower lymphatics (from cervix)
Para aortic
Superficial Inguinal nodes.
External iliac nodes.
External iliac node, Internal iliac nodes.
Besides the... | Gynaecology & Obstetrics | null |
87f14aed-ed47-4e4f-ae96-7b6c42d3191e | Two months after knowing that his son was suffering from leukemia, a 45 year old father presents with sleep deprivation, lethargy, headache and low mood. He interacts reasonably well with others, but he absented himself from work. The most probable diagnosis is : | Depression | Psychogenic headache | Adjustment disorder | Somatization disorder | 2c | single | The information in this question is :
Stressor (knowledge about medical disorder in a child).
Mild depressive symptoms → low mood, sleep deprivation but normal social interaction Symptoms within 3 months of stressor.
The diagnosis is adjustment disorder. | Psychiatry | null |
f05ea4ae-10e7-4ce3-8f17-2f62a12e51f6 | Highest transmission of hepatitis B from mother to fetus occurs if the mother is infected during: | Ist trimester | IInd trimester | IIIrd trimester | At the time of implantation | 2c | single | Viral hepatitis is the commonest cause of jaundice in pregnancy in the tropics.
Hepatitis A (HAV):
Infection is spread by faecal-oral route.
Diagnosis is confirmed by detection of IgM antibody to hepatitis A (anti HAV Igm).
Disease is usually self limited and fulminant hepatitis is rare.
Perinatal transmission is rare... | Gynaecology & Obstetrics | null |
b4fe3d7f-30d7-4cf1-9541-714bf2641923 | Location of testis is higher on | Right side | Left side | May be on right or left side | Same level on both sides | 0a | multi | Their testes function best at temperatures lower than their core body temperature. Their testes are located outside of the body, suspended by the spermatic cord within the scrotum. ref - BDC 6e vol2 pg223 | Anatomy | Abdomen and pelvis |
e3ebaeed-fc41-45a7-85b7-365c7760066c | Fructose 2-6 biphosphate is | Intermediate of glycosis | Positive allosteric regulation of PFK1 (Phospho-fructokinase 1) | Ne gative allosteric regulation of PFK1 | Positive allosteric regulation of PFK2 | 3d | multi | Fructose-2,6-bisphosphate(F-2,6-BP) increases the activity of phosphofructokinase.F-2,6-BP formed from fructose-6-phosphate by the action of an enzyme called PFK2Ref: DM Vasudevan, 7th edition, page no: 113 | Biochemistry | Metabolism of carbohydrate |
b3652730-6b51-4e12-b351-59cda75bf0ba | After doing a graft repair of a thoraco-abdominal aneurysm, the patients developed weakness. Most propable cause for this: | Decreased blood supply to the lower limbs | Thoraco splanchnic injury | Discontinuation of aeria radicularis magna | Lumbosacral nerve injury | 2c | single | Aeria Radicularis Magna: Aeria radicularis magna (aery of Adamkiewicz) is the main source of blood supply to the anterior spinal aery in the thoracolumbar segment of the spinal cord. It arises from either one of the lower posterior intercostal aeries (T9-T11) or of the subcoastal aery (T12), or less frequently of the u... | Surgery | Vascular surgery |
6ec536bd-39ea-4f79-9dd7-b06f4748947f | Bacteria divide rapidly in: | Log phase | Lag phase | Stationary phase | Decline phase | 0a | single | Ans. A. Log phaseLag phase: Max cell size, preparation for growth; log phase: Minimum cell size, rapid cell division, antibiotics act of log phase; stationary phase: Productions of exotoxins, spores, antibiotics, granules; decline phase: Bacterial death, release of endotoxins, poor Gram stain reaction | Microbiology | General |
38aee1a8-1830-4eeb-a552-4d098b877efb | In burns management, which of the following is the medium of choice: | Dextrose 5% | Normal saline | Ringer lactate | Isolyte-M | 2c | single | Ans. C: Ringer lactate | Surgery | null |
408cf7b3-55e5-4e77-8dd5-0645987fab30 | Lining of fallopian tube is - | Ciliated columnar epithelium | Cuboidal epithelium | Non Keratinizing squamous epithelium | Ependyma | 0a | multi | Ans. is 'a' i.e., Ciliated columnar epithelium Types of epitheliumTissue or organSimple squamousLung alveoliMesothelium lining serous surfacesEndocardium and endotheliumLoop of henle in nephronKeratinized stratified squamousEpidermis of skinDuct of sebaceous glandNon keratinized stratified squamousTongue, tonsil, phary... | Anatomy | Abdomen & Pelvis |
81a3214a-9c77-4616-8f44-bdbd0ffde9dd | What is the function of zona pellucida? | Prevent wrong implantation of embryo | Formation of blastocyst | Prevention of multiple sperm entry | Prevent wrong attachment of sperm | 2c | single | Ans. C. Prevention of multiple sperm entry* Zona pellucida is a glycoprotein layer surrounding the membrane of oocytes.* Once sperms reach ova, there is release of hyaluronidase - penetration of corona radiata and cumulus cells by sperm.* Glycoproteins on the outer surface of the sperm then bind with glycoproteins on t... | Gynaecology & Obstetrics | Obstetrical Anatomy |
a75fc225-d3d7-41f5-bc84-8ab2fb228e10 | Which of the following is a triple negative breast cancer - | Colloid Cancer | Secretory cell cancer | Acinic Cell Carcinoma | Mucinous Carcinoma | 1b | single | Answer- B. Secretory cell cancerUpon histologic examination, triple-negative breast tumors mostly fall into the categories of secretory cell carcinoma or adenoid cystic types (both considered less aggressive); medullary cancerc and grade 3 invasive ductal carcinonas with no specific subtype; and highly aggressive metas... | Surgery | null |
10bf55c4-c083-422f-8073-ea3f150b4945 | Which of the following is not true about
hashimoto’s thyroiditis? | More common in females | HLA B8 association | Presents after 6-8 weeks of upper respiratory tract infection | Can lead to thyroid lymphoma | 2c | multi | Viral thyroiditis presents 4 to 6 weeks after upper respiratory tract infection. | Surgery | null |
19719da0-0c7d-4dd3-9552-eb1d07ccb33e | Best prognosis for reversibility is seen in : | lsthmo -- isthmic type | Isthmic -- ampullary type | Ampullary -- interstitial type | Ampullary -- timbrial type | 0a | single | Ans. is a i.e. isthmo -isthmic type Read the following lines "lt is impoant to select the site of tuba! ligation carefully which should ideally be done at the tubal isthmus. This is because in the event of the patient desiring a tubal recanalization procedure, the isthmoisthmic anastomosis carries the best chances of s... | Gynaecology & Obstetrics | null |
298d8769-ee24-4374-9743-54f5b1f755a6 | Thiamine is coenzyme for all the following enzymes except | a-ketoglutarate dehydrogenase | Pyruvate dehydrogenase | Succinate dehydrogenase | Transketolase | 2c | multi | Vitamin Functions Deficiency Disease B1 Coenzyme in pyruvate and a-ketoglutarate dehydrogenases, and transketolase; regulates Cl- channel in nerve conduction Peripheral nerve damage (beriberi) or central nervous system lesions (Wernicke Korsakoff syndrome) Reference: Harper; 30th edition; Page no: 550 | Biochemistry | vitamins |
ca29c6de-ee94-4be5-9637-cefb08eca4f9 | Most specific antiemetic for Chemotherapy induced vomiting is | Domperidone | Granisetron | Tegaserod | Doxylamine | 1b | single | 5HT3 Antagonists *5HT3 antagonists like Ondansetron, Granisetron, Dolasetron, Tropisetron and Palanosetron are the most specific and effective agents in the management of chemotherapy-induced nausea vomiting and in nausea associated with upper abdominal irradiation. Ref:- Goodman & Gilman's Pharmacological basis of The... | Pharmacology | Gastrointestinal tract |
01c8035a-7a48-4c2c-ac93-a5bf489ec9e7 | Griseofulvin is given for the treatment of onychomycosis for finger nail for a period of: | 2 weeks | 6 weeks | 2 months | 6 months | 3d | single | The treatment of dermatophytosis using Griseofulvin is as follows: Dosage - 125 - 250 QID with meal Finger nails - 4 - 6 months Toenails - 8 - 12 months Ref: Illustrated Synopsis of Dermatology and STD's By Neena Khanna, Page 121 | Skin | null |
5f2b875e-7c82-45ef-875b-027c5500d9ba | In normal delivery, breast feeding should be started | 1/2 hour after delivery | 2 hour after delivery | 4 hour after literary | 6 hour after delivery | 0a | single | Breast feeding should be iniated within 30 min. of a normal vaginal delivery!.
Breast feeding should be initiated within 4 hrs of delivery by caesarian section. | Social & Preventive Medicine | null |
1dcc788e-1253-4d75-ae6c-b3e04ab06366 | Eruption cyst | Transforms into dentigerous cyst | Regresses after eruption of the tooth | Is found in the place of the missing tooth | Is a type of dentigerous cyst | 1b | single | null | Pathology | null |
f74988dd-d67b-4fae-9076-5c1a380ee29a | Green coloured urine seen in: (PGI June 2007) | Kerosene | Organophosphorus poisoning | Carbolic acid | Paracetamol | 2c | single | Ans. C (Carbolic acid poisoning) "Carbolic acid {phenol) poisoningQ urine may be colorless or slightly green' at first but turns greenQ or even black on exposure to air"- Reddy 27th/470 | Forensic Medicine | Forensic Toxicology - Concepts, Statutes, Evidence, and Techniques |
9570fd75-8938-44be-9905-d458c991b390 | Following are predispositions of Alzheimer's disease except: | Down's syndrome | Head trauma | Smoking | Low education group | 2c | multi | Smoking is considered to be one of the protective factors in Alzheimer's disease; however this finding has been inconsistent across the studies. Risk factor for Alzheimer disease Age Head injury HTN Insulin resistance Depression Down syndrome | Psychiatry | Organic Mental Disorders |
1effde2e-a003-4bfa-936f-705281850d30 | In post-term pregnancy, there is increased risk of all except : | Post-paum hemorrhage | Meconium aspiration syndrome | Intracranial hemorrhage | Placental insufficiency leading to fetal hypoxia | 0a | multi | Post-paum hemorrhage | Gynaecology & Obstetrics | null |
524cc9ca-f9a2-4fb8-ae21-647704756666 | True about Erb's Palsy | Abduction and Internal rotation | Claw hand is seen | C5, C6 roots affected | Supination seen | 2c | multi | null | Orthopaedics | null |
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