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da8b6edb-1371-45f9-a30a-f6d30fb671be | Dienes stain is used for- | Compylobactor | Helicobacter | Rickettsiae | Mycoplasma | 3d | single | Ans. is 'd' i.e., Mycoplasma * Dienes method (Dienes staining) - For colonies of mycoplasma.* Dienes phenomenon - To detect swarming of proteus. | Microbiology | Bacteria |
80cdf4f5-320b-4aee-a461-afaf5c0e2b08 | Ear pinna develops from ____________ | Ectoderm | Endoderm | Mesoderm | All | 0a | multi | Ans:A.)Ectoderm First branchial cleft is the precursor of external auditory canal. Around the sixth week of embryonic life, a series of six tubercles appear around the first branchial cleft Branchial clefts are ectodermal in origin. | ENT | null |
fc0eb561-51fe-4840-adde-5415f48e9a95 | Staphylococcal infection causes all the following skin diseases except:- | Impetigo | Erysipelas | Ecthyma | Scalded skin syndrome | 1b | multi | Erysipelas is caused by streptococcus pyogenes. Skin diseases caused by staphylococcus aureus are: Scalded skin syndrome Cellulitis Impetigo Carbuncles Furuncles Ecthyma | Dental | Bacterial infections |
9ffa3585-53e8-4703-8c31-c7ab1732b83a | If urine dipstick shows +3, what is the protein level in mg/dl in urine | 30 mg/dl | 50 mg/dl | 100 mg/dl | 300 mg/dl | 3d | single | Answer-D. 300 mg/dl1+ = 30mg/dl2+ = 100mg/dl3+ = 300mg/dl4+ = 1000mg/dl | Medicine | null |
c0b1ad2b-a8bb-433c-bddc-b3fa6eea00c2 | Vertical crest in fundus of the internal auditary canal is k/a: | Bill's bar | Ponticulus | Cog | Falciform crest | 0a | single | Ans is 'a' i.e. Bill's Bar The internal acoustic canal is divided by transverse crest (or falciform crest) into a superior and inferior Part. The superior part is divided by vertical crest or Bill's bar into anterior and posterior parts. Antero-superior part transmits-facial nerve and nervus intermediusPostero-superior... | Anatomy | Ear |
4d9e1e3f-974d-4222-b4e8-4a2509ec610f | NOT a radiological feature of osteoarthritis | Osteophytes | Subchondral bone is translucent | Narrowing of joint space | Cystic lesions close to articular surface. | 1b | single | null | Orthopaedics | null |
0886ed8e-c013-4044-bfd4-f77593162063 | Enzyme deficiency seen in genetic diseases like | Tay sach's disease | Sickle cell anemia | Cystic Fibrosis | Wilson's disease | 0a | single | Tay-Sachs disease is a genetic disorder due to the deficiency of enzyme Hexosaminidase A. The disease occurs when harmful quantities of cell membrane components known as gangliosides accumulate in the brain&;s nerve cells, eventually leading to the premature death of the cells. symptoms: mental retardation, blindness, ... | Biochemistry | Metabolism of lipid |
4b25e8ea-b82a-480e-8e26-6a67e54a4f00 | IL-1 & TNF-alpha during inflammation are secreted by? | Plasma cells | Lymphocytes | Activated macrophages | Platelets | 2c | single | null | Pathology | null |
db5baff2-06ba-4ed8-b6c2-657d0d9a1fb5 | Prognosis for carcinoma rectum is best assessed by ? | Site of tumour | Histological grading | Size of tumours | Duration of the symptoms | 1b | single | Ans. is 'b' i.e., Histological grading | Surgery | null |
5d8c7eb5-74d0-461d-b4e7-843d575b0b0e | The most common variety of scleritis is: | Non-necrotizing anterior diffuse | Non-necrotizing anterior nodular | Anterior necrotizing with inflammation | Anterior necrotizing without inflammation | 0a | single | Ans. Non-necrotizing anterior diffuse | Ophthalmology | null |
82a88196-096d-4722-afeb-b1da3db8f372 | Verapamil belong to which class of antiarry thmic | Class I | Class II | Class III | Class IV | 3d | single | verapamil is the only class 4 anti arrhythmic drug Ref Harrison 20th edition pg 1342 | Medicine | C.V.S |
f1a67a7e-d298-4c0a-8cdf-86500fe68648 | X-ray appearance of osteosarcoma are all except - | Periosteal reaction | Codman's triangle | Soap-bubble | Sunray appearance | 2c | multi | Ans. is 'c' Le., Soap-bubble [Ref: Maheshwari 4tk/ep. 233)o X-ray of a patient with osteosarcoma shows following features : -An area of irregular destruction in the metaphysis, sometimes overshadowed by the new bone formation. The cortex overlying the lesion is eroded. There is new bone formation in the matrix of the t... | Orthopaedics | Osteogenic Sarcoma |
9692bd12-7699-4ba3-bc9a-38b870c233f9 | Axillary aery is divided into 3 pas. Which of the following muscle divides axillary aery into 3 pas? | Teres major | Teres minor | Pectoralis major | Pectoralis minor | 3d | single | Axillary aery is divided into 3 pas by pectoralis minor muscle. Axillary aery extends from the outer border of the first rib to inferior border of teres major muscle where it becomes the brachial aery. Branches of the axillary aery: First pa: Superior thoracic aery Second pa: Thoracoacromial aery Lateral thoracic aery ... | Anatomy | null |
68cc4c08-30b3-44d6-b9d4-19456d37af2a | NSAID used commonly for topical ocular use is- | Ibuprofen | Aceclofenac | Ketorolac | Acetaminophen | 2c | single | (Refer: AK Khurana Comprehensive Ophthalmology, 6th edition, pg no. 454 – 455)
Commonly used topicalocular NSAIDS
Ketorolac
Flurbiprofen
Diclofenac sodium | Unknown | null |
fa3716e6-c82c-4864-b150-696e274d9215 | Apoprotein for chylomicron remnant:- | Apo E | Apo C1 | Apo A2 | Apo A1 | 0a | single | APOPROTEIN -PROTEIN PRESENT IN LIPOPROTEIN Lipoprotein Protein Chylomicron APO B48 Chylomicron remnant APO B48 + APO E VLDL APO B100 IDL APO B100 + APO E LDL APO B 100 + APO E HDL APO A, C, E | Biochemistry | FMGE 2018 |
4ea2baaf-e75c-4f51-96bb-489a24418abc | A 65 year female presents with impacted fracture surgical neck of humerus. Treatment of choice is: | Ahroplasty | Arm-Chest strapping | Triangular sling | Wait and watch | 2c | single | C i.e. Triangular sling | Surgery | null |
88e7f06a-09ae-48b0-a7eb-a274b49551cb | All of the following are the good prognostic features for Hodgkin's disease except - | Hemoglobin > 10g/dl | WBC count < 15000/mm3 | Absolute lymphocyte count < 600/uI | Age < 45 years | 2c | multi | null | Medicine | null |
1cb46bbd-87c8-421d-9787-3400b0fb6cc0 | All the following are primary cutaneous diseases except: | Psoriasis | Reiter's disease | Lichen planus | Icthiosis/Bowen's disease | 1b | multi | B i.e. Reiter's disease: Reiter's disease or syndrome is primarly a reactive polyahritisQ characterized by presence of non suppurative, painful, asymmetrical oligoahritis with or without urethritis, ureitis, conjunctivitis, oral ulcers and secondary cutaneous involvement in form of rashQ. Psoriasis, Bowen's disease (sq... | Skin | null |
fdfd508f-555b-4591-a257-8a60bea7a841 | A 50-year-old hypeensive woman complains of numbness and weakness in her left leg and foot. Which of the following aeries occlusion can account for this complaint? | Anterior cerebral | Anterior choroidal | Interior carotid | Middle cerebral | 0a | single | The anterior cerebral aery perfuses the paracentral lobule, which represents the motor and sensory areas of the leg and foot areas. | Anatomy | Brainstem lesions and blood supply of CNS |
26496bae-8a4a-4117-95eb-ca0fee4f721e | The following are indications for post operative radiotherapy iria case of carcinoma endometrium except : | Myometrial invasion of more than half thickness | Positive lymph nodes | Endocervical Involvement | Tumor positive for estrogen receptors | 1b | multi | Ans. is d i.e. Tumour positive for estrogen receptors Indications of adjuvant radiotherapy : Extrauterine extension. Lower uterine or cervical involvement. Papillary serous or clear cell histology. Poor histologic differentiation (Grade Ill). Myometrial penetration greater than 1/3rd of thickening. Pelvic node involvem... | Gynaecology & Obstetrics | null |
1b3faa75-5c97-4a97-bb4d-ff27e7118f0d | Most common agent responsible for Carcinoma Cervix is : | HPV 16 | HPV 18 | HPV 31 | HPV 35 | 0a | single | HPV is the primary cause of cervical carinoma High risk strains: 16, 18, 33, 35, 48 Type 16 is highly oncogenic causing invasive cancer, CIN 1 and 2 Reference : Textbook of Gynaecology; Sheila balakrishnan; 2nd edition; Pg no: 297 | Gynaecology & Obstetrics | Gynaecological oncology |
5aaf8741-70ec-480d-a943-140da581d0dc | Which one of the following is not an ionizing radiation? | Infrared radiation | X-rays | Gamma rays | Consmic rays | 0a | single | Ionising radiation is applied to radiation which has the ability to penetrate tissues and deposit its snergy within them.Includes - electro magnetic radiations(X rays ,gamma rays,) -corpuscular radiations (alpha paicles,beta paicles and protons) Non ionising radiation refers to electromagnetic radiations of wavelength ... | Social & Preventive Medicine | Environment and health |
996f39a0-3511-40da-9cf3-daa6d0528fd5 | All of the following statements are true regarding anterior axillary lymph nodes EXCEPT- | Present on anterior wall of axilla on pectoral muscle | Present along the lateral thoracic vein | Drains into central axillary lymph nodes | Drains the medial aspect of mammary gland | 3d | multi | Anterior axillary / pectoral lymph nodes are present along the lateral thoracic vein on the anterior wall of axilla on pectoral muscle. These drains the lateral aspect of mammary gland. And finally drains into central axillary lymph nodes. | Anatomy | Upper limb : Miscellaneous |
e17a299c-898c-412a-b187-a58a93f5e6d5 | A patient with increased Hypoxanthine and Xanthine in blood with hypouricemia which enzyme is deficient? | HGPase | Xanthine oxidase | Adenosine deaminase | APRtase | 1b | single | Hypouricemia- Hypouricemia and increased excretion of hypoxanthine and xanthine are associated with xanthine oxidase deficiency.Lesch-Nyhan Syndrome- The Lesch-Nyhan syndrome, an overproduction hyperuricemia characterized by frequent episodes of uric acid lithiasis and a bizarre syndrome of selfmutilation reflects a de... | Biochemistry | null |
0dde2fed-952e-43de-a2a9-ee717ea23332 | Basal cell degeneration seen in - | Lichen Planus | Psoriasis | pemphigus | Pemphigoid | 0a | single | Lichen planus is an inflammatory T cell mediated autoimmune disorder affecting skin, hair, nails and mucous membranes. Lichen planus triggers T cell mediated autoimmune damage to basal keratinocytes that manifest as altered self antigens on their surface. Ref Harrison20th edition pg 1256 | Dental | Anatomy of skin |
e8724653-37e2-4f1e-b632-a3f73e0337d9 | Recommended daily dietary allowance of vitamin A for infants is | 100-200 microgram | 300-400 microgram | 500-600 microgram | 750 microgram | 1b | multi | Recommended daily dietary allowance for vitamin A for an infant is 300-400 microgram. Ref: Page 120; Ghai essential pediatrics; 6th edition | Pediatrics | Nutrition |
efbe529f-62cb-4031-9608-c80cd58fcc15 | Bile salts undergo xenobiotics: | After conjugation with taurine and glycine | After conjugation with lysine | After conjugation with betaglucuronic acid | After conjugation with derived proteins | 2c | single | C i.e. Conjugation with betaglucuronic acid- Phase I biotransformation reactions include Hydrolysis, Hydroxylation, Reduction, Oxidation, Oxidative Deamination, Dealkaylation and Epioxidation. Mn "High RODE". Whereas phase II reactions include Glucronidation, Sulfation, Conjugation (with glucronic acid, glutathione, su... | Biochemistry | null |
def674ba-077c-4d02-9863-fb4ef7d8998c | Which of the following do not cause hardness of water? | Calcium carbonate | Calcium sulfate | Calcium bicarbonate | Magnesium bicarbonate | 0a | single | Ans. a. Calcium carbonateRef: Parks Text book of Preventive and Social Medicine, 24th Ed; Page No-763Hardness is defined as soap destroying power of water.Hardness is mainly due to 4 dissolved compounds:Calcium bicarbonateCalcium sulfateMagnesium bicarbonateMagnesium sulfateOther compounds responsible for hardness are ... | Social & Preventive Medicine | Biostatistics |
208c5211-1866-4a53-af2b-c3146bc0b99c | Which among the following is the drug of choice for iridocyclitis? | Atropine | Steroid | Pilocarpine | Timolol | 0a | single | Although in a case of iridocyclitis, patient's eye is erythematous and cells are present in the anterior chamber, antibiotics are not indicated. The goals of pharmacotherapy are to reduce pain and inflammation through the use of cycloplegics and coicosteroids. To immobilize the iris and decrease pain, one may find trop... | Ophthalmology | null |
d9baef69-de6f-4355-a843-a6e466cae784 | Saints triad includes all except | Gall stones | Cholangitis | Diveiculosis | Hiatus hernia | 1b | multi | Saint's triad is a medical condition in which there is concurrence of gallstones,hiatus hernia,diveiculosis of colon. Reference:SRB's manual of surgery,5th edition,page no:641. | Surgery | G.I.T |
ea2d0a08-5f7f-479b-9138-ea6f2db14a7c | Benign prostatic hyperplasia first develops in the | Periurethral transition zone | Peripheral zone | Central zone | Anterior fibromuscular stroma | 0a | single | Benign prostatic hyperplasia arises from submucosal glands of periurethral transitional zone with stromal proliferation and adenosis forming a nodular enlargement. It eventually compresses the peripheral zone glands into a false capsule and causes the appearance of typical 'lateral' lobes. Reference : page1345 Bailey a... | Surgery | Urology |
1511d0bd-3573-4309-b1ff-b7405f560fb3 | Curve A signifies which of the following? | Pulmonary fibrosis | Atelectasis | Emphysema | ARDS | 2c | single | Curve A - increased in Emphysema Curve B - normal Curve C--> decreased in pulmonary fibrosis | Medicine | Interstitial Lung Disease |
a137b24d-c3b6-457b-ad87-b697b005e147 | In Glassgow Coma Scale which of the following is not a parameter? | Verbal | Eye | Motor | Sensory | 3d | single | null | Surgery | null |
8fa6f2d1-5030-459a-9850-9f1e1642ab28 | A 43-year-old woman is diagnosed with mitral valve stenosis. During physical examination the first heart sound is abnormally loud. Which of the following heart valves are responsible for the production of the first heart sound? | Aortic and mitral | Aortic and tricuspid | Tricuspid and mitral | Mitral and pulmonary | 2c | multi | The first heart sound is caused by the closure of the tricuspid and mitral valves. The second heart sound is caused by the closure of the aortic and pulmonary valves. | Anatomy | Thorax |
11f74298-8fb8-427a-aac5-26621c9b8429 | The single most common cause of pyrexia of unknown origin is - | Mycobacterium tuberculosis | Salmonella typhi | Brucella spp | Salmonella paratyphi A | 0a | single | Pyrexia of unknown origin is definedvas a temperature persistently above 38 degree celsius for more than 3 weeks,without diagnosis despite initial investigations during 3 days of inpatient care or after more than two outpatient visits. Specific organisms associated with PUP are tuberculosis( extrapulmonary - most commo... | Medicine | Infection |
d935ead8-b913-4e1e-b282-268d98d3e18e | The Earliest sign of male puberty is : | Pubic hair | Axillary hair | Hoarseness of voice | Testicular enlargement | 3d | single | In boys, first visible sign of puberty and hallmark of SMR2 is testicular enlargement, beginning as early as 9½ years. This is followed by penile growth during SMR3. Peak growth occurs when testis volumes reach approximately 9-10 cm3 during SMR4. Under the influence of LH and testosterone, and prostate enlarge. The lef... | Unknown | null |
58223b39-75dd-434f-86f6-370c765eb15a | According to "Delhi Anatomy Act 1957", a person died in a road traffic accident, the body can be said to be unclaimed after. | 24 hours | 48 hours | 72 hours | 96 hours | 3d | single | Unclaimed bodies to be used for anatomical examination.-- (1) Where a person under treatment in a hospital whether established by or vesting in, or maintained by, the Government or any local authority, dies in such hospital and his body is unclaimed, the authorities incharge of such hospital shall, with the least pract... | Forensic Medicine | Miscellaneous |
dc54425c-264f-47e3-a0df-b015b51aa525 | Glutathione peroxidase which protect erythrocytes against hemolysis contain the following element: | Chromium | Manganese | Zinc | Selenium | 3d | single | In red blood cells, the pentose phosphate pathway is the sole source of NADPH for the reduction of oxidized glutathione. Reduced glutathione removes H2O2 in a reaction catalyzed by glutathione peroxidase, an enzyme that contains the selenium analog of cysteine (selenocysteine) at the active site. The reaction is impoan... | Biochemistry | null |
e0248427-4241-4407-a494-b325afb804d0 | Which of the following drug is used to perform stress echo? | Noradrenaline | Adenosine | Adrenaline | Dobutamine | 3d | single | Dobutamine acts on beta 1 and beta2 receptors the hea contains beta1 receptors by stimulating beta1 receptors, dobutamine is producing stress-used for a stress echocardiogram An (echo) is a test used to assess the hea's function and structures. A stress echocardiogram is a test done to assess how well the hea works und... | Pharmacology | Cardiovascular system |
aa793140-3b4f-4524-8bb1-48e8020986e7 | Acantholysis is due to destruction of – | Epidermis | Subepidermis | Basement membrane | Intercellular substance | 3d | single | Acantholysis occurs in → epidermis
Acantholysis is due to destruction of → Intercellular substance containg desmoglein. | Dental | null |
89ab6795-8533-4097-afcd-b2499cc76e8d | A 72-year-old man with COPD develops acute shortness of breath and presents to the hospital. He appears uncomfortable: blood pressure is 120/90 mm Hg, pulse 100/min, oxygen saturation 85% on room air. On examination of the chest, there is absent fremitus, absent breath sounds, and hyper resonant percussion of the right... | acute asthmatic attack | complete pneumothorax | large pleural effusion | atelectasis | 1b | multi | Careful physical examination can be very useful in diagnosing many common pulmonary disorders. Atelectasis and large pleural effusions both can present with decreased fremitus, dullness or flatness to percussion, and absent breath sounds. In atelectasis, tracheal shift, if present, is toward the affected side, and the ... | Medicine | Respiratory |
64c10a60-df89-4757-9fc8-22a9be167b8f | Which of the following antihypertensive drug is not used in pregnancy?(AIIMS May 2015, 2014) | Enalapril | Labetalol | Nifedipine | Hydralazine | 0a | single | Ans. a. Enalapril (Ref: Williams Obstertrics 24/e p1006; Goodman and Gilman 12/e p736; Dutta 7/e p228; Katzung 12/e p299)Enatapril is the antihypertensive drug, which is not used in pregnancy."Angiotensin-Converting Enzyme Inhibitors: These drugs inhibit the conversion of angiotensin-I to the potent vasoconstrictor ang... | Gynaecology & Obstetrics | Management and Long-Term Consequences |
09e96b89-6a4f-4bd5-a10a-f3591177249a | A 4-year-old boy is seen 1 h after ingestion of a lye drain cleaner. No oropharyngeal burns are noted, but the patient's voice is hoarse. Chest x-ray is normal. Of the following, which is the most appropriate therapy? | Immediate esophagoscopy | Parenteral steroids and antibiotics | Administration of an oral neutralizing agent | Induction of vomiting | 1b | single | Corrosive injuries of the esophagus most frequently occur in young children due to accidental ingestion of strong alkaline cleaning agents. Significant esophageal injury occurs in 15% of patients with no oropharyngeal injury, while 70% of patients with oropharyngeal injury have no esophageal damage. Signs of airway inj... | Surgery | Heart & Pericardium |
a602db65-4860-4bd6-afa2-1f90b75b431a | The diagnostic procedure not done in case of pheochromocytoma – | CT scan | MRI | FNAC | MIBG scan | 2c | single | "Percutaneous fine-needle aspiration of chromaffin tumors is contraindicated; indeed, pheochromocytoma should be considered before adrenal lesions are aspirated."
"Catastrophic hypertensive crisis and fatal cardiac arrhythmias can occur spontaneously or may be triggered by intravenous contrast dye or glucagon injectio... | Radiology | null |
f10ba407-29f8-42da-9c64-4752d464abc6 | which of the following is a temperment type | novelty seeking | histirionic | anakastic | narcisstic | 0a | single | temperment is a genitically related body biases in the modulation of conditioned behavioral responses to various external stimuli. there are 4 types of temperment namely novelty seeking reward dependence harm avoidance persistence this is a impoant question that is asked in entrance examinations Ref.Kaplon and sadock, ... | Psychiatry | Symptoms and signs in psychiatry and classification |
6202a9a2-9169-405d-9a15-4640ac3544bb | Visual field defect in pituitary tumour with suprasellar extension is: | Visual field defect in pituitary tumour with suprasellar extension is: | Binasal hemianopia | Homonymous hemianopia | Pie in the sky vision | 0a | single | A chiasmatic lesion (often owing to a pituitary tumor or a lesion around the sella turcica) can injure the decussating axons of retinal ganglion cells within the optic chiasm. These axons originate in the nasal halves of the two retinas. Thus, this type of lesion produces bitemporal hemianopsia, characterized by blindn... | Ophthalmology | null |
01574861-fd5b-4f47-8e4c-b2c3ee12b6da | Risk factors for Endometriosis are all except | Nulliparity | Smoking | Early menarche | Alcohol consumption | 1b | multi | Smoking is protective factor for Endometriosis. | Gynaecology & Obstetrics | null |
d2affa67-2915-4f63-8585-e9aac44c666b | A 36 year old male presents with weakness, pallor and bleeding gums. His HB was 7g %, total leukocyte count 1,10,000 cumm with many immature WBCs, which are positive for MPO and Platelet count 22,000/cumm | AML | CML | ALL | CLL | 0a | multi | Leuocyte - 1,10,000/ cumm
Peripheral smear contains immature WBCs
MPO test is positive
Recause of all three reasons patient is suffering from AML. | Pathology | null |
b7b31b1a-ca16-431f-80ef-3382a8009d27 | Not true in narcolepsy is- | Cataplexy | Sleep architecture normal | Loss of muscle tone | Hallucination | 1b | multi | Ans. B. Sleep architecture normalThere is disturbed REM sleep.Cataplexy (sudden loss of muscle tone) is the most common accessory symptom.There may be hallucinations mostly hypnagogic and hypnopompic | Psychiatry | null |
adc15f1a-58d8-4a9e-b600-280e1f174a05 | A tumor has the following characteristics - retrobulbar location within the muscle cone, well defined capsule, presents with slowly progressive proptosis, easily resectable, occurs most commonly in the 2nd to 4th decade. Most likely diagnosis is - | Capillary hemangioma | Cavernous hemangioma | Lymhangioma | Hemangiopericytoma | 1b | single | Ans. (b) Cavernuos hemangiomaRef: Kanski's 7/e, p. 105* Cavernous hemangioma is the most common benign, intraconal tumour in adults.* Presents with slowly progressive unilateral proptosis* CT - well circumscribed oval lesion, encapsulated | Ophthalmology | Orbit |
e1c3e10b-30d3-4eca-bb2f-7f96d54f5af3 | Confounding cannot be removed by? | Assign confounders to both cases and controls | Stratification | Matching | All of the above | 3d | multi | All of the above REF: Park 20' edition page 68, http://en.wikipedia.org/wiki/Confounding There are various ways to modify a study design to actively exclude or control confounding variables In Case-control studies assign confounders to both groups, cases and controls, equally. In Coho studies matching is often done by ... | Social & Preventive Medicine | null |
15daca23-72a0-4a00-bd7e-6d7b34592f7b | Differences between IMNCI and IMCI include the following - | Identification and classification of common illnesses like malaria, diarrhoea, malnutrition | Incorporated guidelines on immunization | Training time devoted to sick young infant is more than for a child | IMNCI includes 0-7 days age programme | 3d | single | <p> The Indian version of IMCI has been renamed as IMNCI. One of the major highlight is inclusion of 0-7 days age in the program. Reference:Park&;s textbook of preventive and social medicine,K.Park,23rd edition,page no:460. <\p> | Social & Preventive Medicine | Health programmes in India |
5fa30104-9e41-42ae-b785-9f27e35e75e7 | Most commonly retained primary tooth is: | Maxillary first molar. | Mandibular first molar. | Maxillary lateral incisor. | Mandibular 2nd molar. | 3d | single | null | Dental | null |
a36b3478-8cad-43e2-8d03-3c48f95b5469 | A patient with leukemia on chemotherapy develops acute right lower abdominal pain associated with anemia, thrombocytopenia and leukopenia. Which of following is the clinical diagnosis? | Appendictis | Leukemic colitis | Perforation peritonitis | Neutropenic colitis | 3d | single | Answer is D (Neutropenic Colitis) Acute Right sided lower quadrant pain following chemotherapy in an immunocompromised host in characteristic of Neutropenic colitis. Tvphilitis : Syn : Neutropenic colitis, Necrotizing colitis, Necrotizing enteropathy, ileocoecal syndrome or cecitis. This syndrome is classically seen in... | Medicine | null |
13eb3fa8-bc1a-4867-9b5f-1358f9265c36 | The collagen triple helix structure is not found in - | Cytoplasm | Golgi apparatus | Lumen of endoplasmic reticulum | Intracellular vesicles | 0a | single | Triple helix formation occurs in endoplasmic reticulum at procollagen level.
Triple helix of procollagen is packed into secretory intracellular vesicles in the Golgi-apparatus.
These vesicles then secrete the procollagen into extracellular space where it is converted to tropocollagen (collagen monomer).
Tropocollagens ... | Biochemistry | null |
fdbc36b6-e71f-4628-97b2-d860700fac55 | A young boy had a flea bite while working in a wheat grain godown. After 5 days he developed fever and had axillary lymphadenopathy. A smear was sent to the laboratory to perform a specific staining. Which one of the following staining method would help in the identification of the suspected pathogen - | Albert staining | Ziehl-Neelsen staining | McFadyean's staining | Wayson staining | 3d | single | null | Microbiology | null |
c4897870-8be9-4870-8339-26c065e9294e | A 10 years old boy, suffering from nephrotic syndrome developed peritonitis. Which of the following organism is most commonly responsible? | E. coli | Klebsiella | Group A streptococci | Bacteroides fragilis | 2c | single | Spontaneous bacterial peritonitis (SBP): ASCITES Children - MCC is Nephrotic syndrome Due to bacterial translocation M/C organism responsible Adults: E. coli Children: Group A streptococci | Surgery | Peritoneum |
108b4765-9c79-43e9-b9bf-5b54351a471f | Calculate the range from the following distribution – | 10 | 15 | 20 | 25 | 1b | single | Don’t get confused by size and number.
Just look for largest and smallest value.
Largest value = 75
Smallest value = 60
Range = 75 - 60 =15 | Social & Preventive Medicine | null |
29380deb-8d7c-4c99-8e92-9ec38aa87e1f | 40 years old female with a 2 cms nodule in the breast & a proved metastatic node in the axilla, treatment is? | Quadrantectomy | Mastectomy with local radiotherapy | Patey's with adjuvant chemotherapy | Halstedt's operation with tamoxifenFibroadenosis | 2c | single | Ans. is 'c' i.e. Patey's with adjuvant chemotherapy | Surgery | null |
5f5fabef-1e6b-4fa6-9131-b76e2a48e32e | All of the following statements about Miliary Tuberculosis are true Except - | May occur following primar in fection | May occur follwoing secondary reactivation | Sputum microscopy is usually negative | Montoux is always positive | 3d | multi | Ans. is 'd' i.e., Montoux is always positive o Montoux test is not always positive in cases of miliary tuberculosis.o It may be regative /non reactive as result of energy.Miliary Tuberculosis may occur foil only primary infection and secondary reactivationo Miliary tuberculosis is due to hematogenous dissemination of t... | Medicine | Bacteriology |
d4366622-7dc7-488a-9785-00572dc69a1d | According to WHO, membranous glomerulonephritis seen in SLE, is ? | Class II | Class III | Class IV | Class V | 3d | single | Ans. is 'd' i.e., Class V KIDNEY INVOLVEMENT IN SLE (LUPUS NEPHRITIS) A. Glomerular disease T1. here are several versions of WHO classification of lupus nephritis ? Minimal or no detectable abnormalities (class 1) It occurs in less than 5% of patients. Has best prognosis. 2. Mesangial lupus glomerulonephritis (class II... | Pathology | null |
aa5714a4-20eb-42ac-a4b9-48551ecb7134 | Majority of the hormone levels will decrease with aging. Which of the following hormone does NOT obey this rule? | Growth hormone | Prolactin | Testosterone | Aldosterone | 1b | single | Growth hormone, Testosterone, aldosterone will decrease with aging, but prolactin level increases with aging. Ref:Harrisons Principles of Internal Medicine, 18th Edition, Page 575 | Medicine | null |
807db8d7-a8ff-4b70-9030-4d3ef236f604 | A 4 month old boy with fever and cough for 3 days. The child O/E has rhonchi; RR 48/min. no chest indrawing. Which of the following is false? | Treatment for wheeze | Antibiotics should not be given | Child has pneumonia | Fever should be treated | 2c | multi | Ans. C. Child has pneumoniaBreathing difficulty can be a prominent sign of pneumonia. Up to 2 months, RR >60/min is considered as breathing difficulty. In age group 2-12 months, RR >50 is considered as breathing difficulty. So in 4 month old child, RR-48/min is not breathing difficulty or pneumonia | Pediatrics | Respiratory System |
28b55428-a979-4e23-9b8c-11973a2d17f8 | All of the following muscles are paralyzed in trauma to median nerve at the wrist except - | Adductor pollicis | Abductor pollicis | First two lumbicals | Muscles of the Thenar eminence | 0a | multi | Adductor pollicis is the only thenar muscles, which is supplied by ulnar nerve. | Orthopaedics | null |
cd5dcae4-94e5-4c12-90a2-83d344121a41 | Peritoneum is opened in all of the following sterilization procedures except : | Mini lap | Laparoscopy | Vasectomy | Transvaginal tubectomy | 2c | multi | Ans. is c i.e. Vasectomy Vasectomy consists of dividing the vas deferens and disrupting the passage of sperms. It is done through a small incision in the scrotum under LA. There is no need to open the peritoneum. | Gynaecology & Obstetrics | null |
c8e6c557-4695-4d31-b60d-0ab19081c647 | Digoxin can accumulate to toxic levels in patients with: | Renal insufficiency | Chronic hepatitis | Advanced cirrhosis | Chronic pancreatitis | 0a | single | Digoxin is primarily excreted unchanged by the kidney, mainly by glomerular filtration. Rate of excretion is altered parallel to creatinine clearance. Its t½ is prolonged in elderly patients and in those with renal insufficiency: dose has to be reduced.
Digoxin is a cumulative drug. When maintenance doses are given ... | Pharmacology | null |
a7172d75-b450-4c83-b33d-272eabbc851c | Shape of normal distribution curve? | J shape | U shape | Bell shape | None | 2c | multi | Ans. is 'c' i.e., Bell shape o Standard normal curve (Gaussian distribution) is bell shape curve. | Social & Preventive Medicine | null |
18692390-0771-4904-84e1-86e063f895c0 | Rhinitis medicamentosa is caused by excessive use of ? | Topical decongestants | Topical steroids | Systemic decongestants | Systemic steroids | 0a | single | Ans. is 'a' i.e., Topical decongestants Rhinitis medicamentosa Caused by excessive use of topical decongestant nasal drops. It is treated by withdrawal of nasal drops, sho course of systemic steroid therapy and in some cases surgical reduction of turbinates, if they have become hyperophied. | ENT | null |
38c05330-1414-4363-8197-c1fcc08b928b | A synchronous cardioversion is given in | AF | Ventricular fibrillation | Atrial flutter | Ventricular tachycardia | 1b | single | null | Medicine | null |
101ee2a3-3b90-43f7-a86b-b6de3f99ee2d | The type of Hodgkin's lymphoma include -a) Nodular sclerosisb) Lymphocyte depletionc) Mixed cellularityd) Mantle cell lymphomae) Lymphoplasmacytic | ab | abc | acd | bcd | 1b | single | Hodgkin lymphoma
The term "Hodgkin lymphoma" encompasses a group of lymphoid neoplasm that is characterized by the presence of distinctive neoplastic giant cells called Reed-Sternberg cells.
Reed-sternberg cells induce the accumulation of reactive lymphocyt... | Pathology | null |
31dc9921-1eee-4d72-adba-34d3e10f08e4 | Most malignant carcinoma of the bladder is - | Malignant vinous tumour | Solid tumour | Carcinomatous ulcer | Adenocarcinoma | 1b | single | Muscle Invasive tumor nearly always solid. | Surgery | null |
c59942b7-24ee-4511-81d9-5ca2f3c716e7 | True about serratus anterior ? | Causes protraction | Causes lateral rotation | Supplied by thoracodorsal nerve | Forms lateral boundary of axilla | 0a | multi | Serratus anterior causes protraction of scapula.It is supplied by long thoracic nerve (Nerve of Bell).It forms medial boundary of axilla.Serratus anteriorOrigin : Outer surface of upper 8 ribs by 8 digitations (multipennate muscles).Inseion : Medial border of scapula and inferior angle.Nerve supply : Long thoracic nerv... | Anatomy | null |
d8523096-5a84-4ad6-b752-28b1f588fb3a | You are planning a screening program for a paicular disease in your community. Which of the following is the MOST cost effective method of screening? | Multiphasic screening | Mass screening | High risk screening | Any of the above | 2c | multi | High risk screening is the most productive as it is done on the high risk groups. Here there is proper utilisation of resources. Mass screening involves the whole population, so it is done in the entire population irrespective of the risk. In multiphasic screening 2 or more screening test for a single disease is used f... | Social & Preventive Medicine | null |
3bec7da6-b38e-4252-a948-10060f973331 | In patients of leprosy, Lepromin test is used for: | Treatment | Prognosis | Diagnosis | Epidemiological investigations | 1b | single | Ans. is 'b' i.e. Prognosis [Ref: Park 20/e, p 282 (19/ep271, 18/e p258)JLepromin test is not a diagnostic test, as it may give positive result in normal subjects and negative results in lepromatous and near-lepromatous cases.Uses of Lepromin testto evaluate the immune status (cell mediated immunity) of leprosy patients... | Social & Preventive Medicine | Communicable Diseases |
82d94dfe-7c15-46a1-b7dc-8168bb0d7066 | Non hormonal drug to prevent post menopausal osteoporosis is : | Alendronate | Estrogen | Raloxifene | Parathyroid | 0a | single | Ans. is a i.e. Alendronate Alenderonate, Etidronate, Pamidronate, Ibandronate are bisphosphonates which inhibit bone resorption, and are very effective for both osteoporosis prevention and treatment. Uses : * Postmenopausal osteoporosis Paget's disease Osteolytic bone metastasis. Caution : Patient should be instructed ... | Gynaecology & Obstetrics | null |
abdb9953-9157-4e07-849d-dcfeffbe2432 | True about hydatid cyst of liver -a) Caused by E. granulosusb) In 80% cases cyst is singlec) Blood culture helpfuld) Surgery is the only treatment. | ac | a | ad | ab | 3d | multi | null | Surgery | null |
04046919-853c-4fa7-a230-cb04d8f5f55e | Which of the following drug is not a pa of the triple therapy immuno suppression for post-renal transplant patients? | Cyclosporine | Azathioprine | FK 506 | Prednisolone | 2c | single | Triple therapy immunosuppression given to all post-renal transplant recipients for 0-3 months includes, a calcineurin blocker (cyclosporine or tacrolimus), an anti-proliferative agent (mycophenolate mofetil or azathioprine) and a coicosteroid such as predisolone. FK 506 is not a pa of 'triple therapy'. Ref: Bailey and ... | Surgery | null |
29c31bdc-23da-46c5-9576-c983219481c7 | Christmas tree cataract is seen in: | Down's syndrome | Rubella | Myotonic dystrophy | Diabetes | 2c | single | Ans. Myotonic dystrophy | Ophthalmology | null |
888efad5-2cdc-4140-a544-98fdc4a1eabd | Most common cause of infant morntality? | LBW | Injury | A | Tetanus | 2c | single | Most common cause of Infant moality is upper respiratory tract diseases. REF. PARK'S TEXTBOOK OF PREVENTIVE AND SOCIAL MEDICAL 21ST EDITION. PAGE NO - 522 | Social & Preventive Medicine | obstetrics,pediatrics and geriatrics |
308e9dba-0307-445a-802b-53a9bfd288b4 | Hemolytic uraemic syndrome associate with | E. coli 0157 | Malaria | Parvovirus B19 | Baonela henselae | 0a | single | EHEC Entero haemorrhagic E.coli Cause HUS Shiga like toxin or Verotoxin (VT-1& VT-2) Aka verotoxigenic E.coli Culture media is Sorbitol mac-Conkey agar (SMAC) and Rainbow agar used Diarrhoea causing E coli EPEC - Entero Pathogenic Attaching/Effacing lesions to villi EIEC - Entero Invasive resemble shigellosis & sereny ... | Microbiology | FMGE 2019 |
c1636604-5115-45f8-9743-faf7abc74347 | Chloroquine is used in the treatment of : | DLE | Pemphigus | Psoriasis | Nummular eczema | 0a | single | chloroquine is a rapidly acting erythrocytic schizontocide against all species of plasmodia; controls most clinical attacks in 1-2 days with disappearance of parasites from peripheral blood in 1-3 days. The mechanism of action of chloroquine is not completely known. It is actively concentrated by sensitive intraerythro... | Pharmacology | Chemotherapy |
22108973-c532-4831-9d70-458e3eed507b | Post mortem caloricity is seen with - | Arsenic | Lead | Datura | Strychnine | 3d | single | Ans. is 'd' i.e., Stry chnine Post mortem caloricity:o The temperature of body remains raised for first two hours or so after death.o It is seen with:WTten the regulation of heat production has been severely disturbed before death as in sunstroke & some nervous disordersWhen there has been a great increase in heat prod... | Forensic Medicine | Injuries |
7d5e23c0-6d32-463f-80d1-6b3380390c65 | All of the following are true about Graves disease except | Cardiac failure is common | Hypertrophy and hyperplasia or thyroid gland is due to TSH- Rab | Remissions and exacerbations are not infrequent | It is highly vascular with audible bruit | 2c | multi | null | Surgery | null |
78da649d-f03a-4f88-a258-015549f553b7 | A 55 year old man, a chronic smoker is brought to emergency with history of polyuria, polydipsia, nausea and altered sensorium for last two days. He had been diagnosed as having squamous cell carcinoma of lung two months prior to this. On examination, he was lethargic and confused. An ECG was normal except for a narrow... | Hypematremia | Hypercalcemia | Hypokalemia | Hyponatremia | 1b | multi | Answer is B (Hypercalcemia) : Presence of a shoened QT interval along with a history ofpolyuria and altered sensorium in a patient with squamous cell carcinoma suggest a diagnosis of hypercalcemia secondary to paraneoplastic syndrome. The Paraneoplastic syndromes in Broncogenic carcinoma could lead to several electroly... | Medicine | null |
c8da052f-cc2c-43ec-9b24-2e15c301cd5a | Induction of labour is indicated in all of the following except | Diabetes | Hypertension | Renal disease | Heart disease | 3d | multi | null | Gynaecology & Obstetrics | null |
b10fa62f-6306-4080-8c73-887d3c82aaa6 | All are examples of competitive enzyme blockage except | Cyclooxygenase by Aspirin | Thymidylate synthase by 5-FU | Coagulation by Dicumarol | DHFR by Methotrexate | 0a | multi | Kinetics of enzyme inhibition Competitive inhibitionNon competitive inhibitionKm Increased No change V max No change Decreased Significance Drug action Toxicological (Refer: Harper's Illustrated Biochemistry, 26th edition, pg no: 67-68) | Anatomy | All India exam |
0fc53684-29c8-47b5-8cd6-e7555dc923e6 | The lecithin sphingomyelin (L/S) ratio is measured for assessing maturity of the following organ: | Lung | Brain | Hea | Spleen | 0a | single | The lecithin/sphingomyelin (L/S) ratio for assessment of fetal pulmonary maturity. Before 34 weeks, lecithin and sphingomyelin are present in amniotic fluid in similar concentrations. At 32 to 34 weeks, the concentration of lecithin relative to sphingomyelin begins to rise. In the absence of complications, the ratio of... | Gynaecology & Obstetrics | null |
9ae662cb-fa0f-4a93-8c8c-dad68746c54e | Time interval between inoculation of infection to maximum infectivity is - | Lead time | Median incubation period | Generation time | Serial inverval | 2c | single | An infection becomes apparent only after a ceain incubation period which is defined as the time interval between invasion by an epidemiological agent and the appearance of first sign or symptoms. During incubation period the infectious agent undergoes multiplication in the host Incubation period is of fundamental impoa... | Social & Preventive Medicine | Epidemiology |
af95c7d0-1765-4e90-834e-06f692e4e567 | Acanthosis nigricans is caused by which drug - | Amphotericin-B | Ketoconazole | Nicotinic acid | Nalidixil acid | 2c | single | null | Medicine | null |
7c8ce370-3539-4dcc-8faa-e720f166c83c | Cone biopsy is indicated in all the following conditions except: | Indefinite diagnosis on colposcopy | CIN-III | Cervical metaplasia | Microinvasive carcinoma | 2c | multi | null | Gynaecology & Obstetrics | null |
19b893df-b597-4627-a7ed-fb21b8494e96 | Which of the following is a better predictor of vagal tone | Basal heart rate | Ejection fraction | Stroke volume | LVET | 0a | single | In the given options, all are influenced by sympathetic and parasympathetic activity. Right vagus mainly innervates SA node, right atrium and left vagus innervates left atrium, AV node, a bundle of His. But vagal innervation of the ventricle is sparse. Hence, vagal stimulation strongly inhibits heart rate (strong - neg... | Pharmacology | null |
1ba79d5e-bb1c-42d0-b041-68ccc6587e50 | Which of the following is a physiological uncoupler of oxidative phosphorylation: | 2, 4dinitrophenol | Cyanide | Thermogenin | Cyanide | 2c | single | Uncoupler: Uncoupler means electron flow (oxidation) is occurring but phoshorylation is not occurring. This will lead to reduced ATP formation as phosphorylation is not occurring. It will stimulate electron transpo in order to produce more ATPs. Thermogenin, a protein present in brown fat, is a natural/physiological un... | Biochemistry | ETC |
95b6320b-9adb-42fb-a4bc-f11223161419 | Metachromatic Granules are stained by - | Ponder's stain | Negative stain | Gram's stain | Leishman stain | 0a | single | The granules are often situated at the poles of the bacilli and are called Polar bodies they are more strongly Gram positive than the rest of the bacterial cell stained with Loefflers methyelene blue the granules take up a bluish purple colur and are hence called Metachromatic Granules . They are also called Volutin or... | Microbiology | general microbiology |
f205259c-bc33-453b-92ca-9b41105c9d70 | Which of the following is the most common side effect seen with fluoxetine therapy? | Seizure | Anxiety | Hypotension | Loose stools | 1b | single | Fluoxetine is an SSRI and it's adverse effects are nausea, vomiting, insomnia, headache, restlessness, anxiety and sexual dysfunction. Inhibition of platelet function may result in ecchymosis. Ref KD Tripati 8th ed. | Pharmacology | Central Nervous system |
1476b7a3-8969-47b3-8d68-dfdfcd296042 | A mother gave bih to a male baby in her home 2 days ago. The mother complaints that she is anxious, unable to tolerate heat and is fatigued most of the time, and repos that she has not gained much weight despite having an increased appetite. She also told that before pregnancy too she had similar complaints. On examina... | Hea failure | Constipation | Third-degree hea block | Macrocephaly | 0a | single | Neonate is probably at risk for neonatal thyrotoxicosis. Neonatal thyrotoxicosis: Occurs due of maternally acquired thyrotropin receptor-stimulating antibody (TRSAb). Usually disappears within 2 to 4 months as the concentration of TRSAb falls. Unlike TRSAb, TSH does not cross the placenta. All forms of thyrotoxicosis a... | Pediatrics | Thyroid disorders |
91246682-d886-47ec-9024-2c2156e9de1f | Toxic shock syndrome occurs after one of the following vaccinations | DPT | Recombinant DNA vaccine against hepatitis B | Oral polio vaccine | Measles vaccine | 3d | single | TSS occurs when measles vaccine is contaminated or the same l is used for more than one section on the same day or next day, the vaccine should not be used after 4hrs of opening the l. Symptoms - watery diarrhoea, vomiting and high fever are repoed within few hours of measles vaccine. Ref: Park&;s textbook of preventiv... | Microbiology | Virology |
79db9540-ebff-4195-8a4b-9e3512123c8e | Which of the following statement is not true about domperidone? | It rarely causes extrapyramidal side effects | It is a D2 receptor antagonist | Its antiemetic efficacy is higher than metoclopramide | It causes loose stool | 2c | multi | Domperidone is an antiemetic which is classed under prokinetic drugs. It is a D2 antagonist; But it crosses blood brain barrier poorly - hence extrapyramidal side effects are rare, hyperprolactinemia can occur. Its antiemetic efficacy is LOWER than metoclopramide. Side effects are much less than with metoclopramide; dr... | Pharmacology | Central Nervous system |
82148d5e-8855-47ae-a824-a6e3447496e9 | A 30-year-old male patient presents with complaints of weakness in right upper and both lower limbs for last 4 months. He developed digital infarcts involving 2nd and 3rd fingers on right side and 5th finger on left side. On examination. BP was 160 140 mm Hg. all peripheral pulses were palpable and there was asymmetric... | Polyarteritis nodosa | Systemic lupus erythematosus | Wegener's granulomatosis | Mixed cryoglobulinemia | 0a | multi | null | Medicine | null |
b2ba9bbe-eaa5-4777-a118-8342b11801a9 | The rate of tarnish and corrosion of class II cast material having VHN 200 is | 0% | 2 to 3% | 5 to 10% | <1% | 0a | single | null | Dental | null |
eafcd589-2ba8-4183-ad9e-c2256f69a2b1 | Trismus is due to spasm of which muscle? | Orbiculis | Lateral pterygoid | Mentalis | Medial pterygoid | 3d | single | Ans. D Medial pterygoidRef: Gray's Anatomy 41st ed. P 552* Trismus/Lock jaw is painful reflex muscle spasm. It occurs due to spasm of muscle of mastication and leads to inability to open the oral cavity* Trismus occurs due to involvement of masseter or medial pterygoid muscle or due to sub mucosal fibrosis.* Note: Infe... | Anatomy | Neuroanatomy |
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