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135
1b6f0c0d-ce39-45e7-b71d-2cc005b4191a
In facial porcelain margin, the risk of fracture can be reduced by
Increased axial depth upto 3 mm
Cavosurface margin at 90 degree
Margins of the tooth reduction at incisal edge
Providing contact during centric relationship
1b
single
null
Dental
null
5a63e7e7-94b4-42ec-86df-43251765ebc1
Tadpole cells comma shaped cells on histopathology are seen in -
Trichoepithelioma
Spideroma
Rhabdomyosarcoma
Histiocytoma
2c
single
Ans. is 'c' i.e., Rhabdomyosarcoma Histology of rhabdomvosarcoma o The diagnostic cell of rhabdomyosarcoma is rhabdomyoblast. o Rhabdomyoblast contains eccentric eosinophilic granular cytoplasm rich in thick and thin filaments. o The rhabdomyoblasts may be ? i) Round Elongated Tadpole or Strap cells. o It has three var...
Pathology
null
00546d04-832f-4485-abc7-8952dad259fe
Which of the following is not a boundary of the Koch's triangle?
tendon of todaro
IVC opening
coronary sinus ostium
septal cusp of tricuspid valve
1b
single
Koch's triangle boundaries tendon of Todaro opening of coronary sinus at the base septal cusp of tricuspid valve (. atrio ventricular valve) AV node at apex
Anatomy
Surfaces and Grooves
6d67953b-6626-46a0-a0e7-d7b4c70200da
Which of the following may create gingival deformities that require gingivoplasty to eliminate the defects:
Erosive Lichen planus
Desquamative gingivitis
Acute Herpetic gingivostomatitis
Necrotising ulcerative gingivitis
3d
single
null
Dental
null
d855ea6a-1a71-4e53-81d5-6a492d0cf969
Structures passing deep to posterior border of hyoglossus from above to downwards:
Glossopharyngeal nerve, stylohyoid ligament, lingual artery.
Stylohyoid ligament, glossopharyngeal nerve, lingual artery.
Stylohyoid ligament, lingual artery, glossopharyngeal nerve.
Lingual artery, stylohyoid ligament, glossopharyngeal nerve.
0a
multi
null
Anatomy
null
0d12cdc0-3997-418d-8dd9-dc8fde231df7
Tram-line calcification is seen in:
Ependymoma
Thrombosed cerebral vein
Meningioma
Sturge-Weber syndrome
3d
single
Sturge-Weber syndrome
Radiology
null
0efe45c8-616c-4c8b-9dee-d32528a22fea
In the cardiac cycle diagram, when does the first hea sound occur
Point A
Point B
Point C
Point D
0a
single
When ventricle begin to contract isovolumetrically the mitral & tricuspid valves close producing First hea sound Ref: Metting, Physiology pretest and review, 14th edition
Physiology
All India exam
08549e5e-9f10-4908-b2f4-5a08bc7d4832
True regarding beginning of superficial palmar arch:
At the level of proximal transverse crease of wrist
Below distal transverse crease of wrist
At the level of proximal palmar crease
At the distal border of thumb on palmar surface
1b
multi
Superficial palmar archThe superficial palmar arch is formed as the direct continuation of the ulnar aery beyond the flexor retinaculumThe proximal transverse crease lies at the level of wrist jointThe distal transverse crease corresponds to the proximal border of the flexor retinaculumThe most distal point of superfic...
Anatomy
null
47ffa9d6-c1b5-405d-b7f4-07f4f1594206
Which of the following is caused by deletion of all four alpha globin genes
Beta thalassemia major
Hb Bas
HbH
adeg thalassemia trait
1b
multi
Ans. is 'b' i.e., Hb Bas
Medicine
null
e96c0196-7107-4518-81d4-0dd791149b3a
Egg is deficient in-
Vitamin B
Vitamin C
Fat
Proteins
1b
single
Egg contains all nutrients except carbohydrate and Vitamin ‘C' Food items as Poor Sources of nutrients : Milk is a poor source of Vitamin C and Iron. Milk is a poor source of Calcium. Milk is a poor source of Carbohydrates. Food items as Rich Sources of nutrients : Halibut Liver Oil is richest source of Vitamin A...
Social & Preventive Medicine
null
9c9a4758-4c42-46ff-82fc-230e790450b4
All the following diseases are associated with peripheral blood eosinophilia except-
Allergic bronchopulmonary aspergillosis (ABPA)
Loffler's syndrome
Pulmonary eosinophilic granuloma
Churg strauss syndrome
2c
multi
null
Medicine
null
33995c15-5239-4ddf-ab5c-c80c0552730d
Which of the following is not a feature of Nicotine withdrawal?
Depression
Headache
Tachycardia
Anxiety
2c
single
In nicotine withdrawal there is bradycardia not tachycardia. The most common symptoms of nicotine withdrawal are impaired concentration, irritability, tension, disturbed sleep or drowsiness, intense longing for a cigarette/nicotine, headaches, and an increased appetite leading to weight gain.
Psychiatry
null
b4c6aa74-23eb-4375-94c0-fce0c1a6c71f
Persistent priapism in childhood is due to
Sickle cell anaemia
Hairy cell leukaemia
Paraphimosis
Urethral stenosis
0a
single
(A) Sickle cell anaemia # Priapism in childhood commonly presents as a common symptom of Sickle Cell Disease especially after puberty, mainly as low flow or as a complication of penile trauma (normally high flow, non-ischemic episodes).> This phenotypic manifestation of SCD can cause persistent impotence, erectile dysf...
Medicine
Miscellaneous
6d6451bf-c872-4d21-b72f-d9017b32e7d8
According to Motor vehicle Act 1988, punishable quantity of Alcohol in blood is
30 ml in 100 ml of blood
20 ml in 100 ml of blood
10 ml in 100ml of blood
15 ml in 100ml of blood
0a
single
(A) 30 ml In 100 ml of blood> I.P.C. Sec. 185 Driving by a drunken person or by a person under the influence of drugs. - Whoever, while driving, or at- tempting to drive, a motor vehicle -(a) has, in his blood, alcohol exceeding 30 mg Per 100 ml. of blood detected in a test by a breath analyser, or(b) is under the infl...
Social & Preventive Medicine
Miscellaneous
42f5aed6-0dd7-4fec-90bb-d0e7d17ac5da
Without breast feeding the first menstrual usually begins - weeks after delivery :
2-4 weeks
4-6 weeks
6-8 weeks
8-10 weeks
2c
multi
6-8 weeks
Gynaecology & Obstetrics
null
ba48b782-3a3d-4b2b-89c9-91fbd7b897b1
Little finger of the hand corresponds to which dermatome?
C6 dermatome
C7 derma tome
C8 dermatome
T1 dermatome
2c
single
C i.e. C8 dermatome According to International Standards for Classification of Spinal Cord Injury (ISCSCI) dorsal surface of proximal phalanx of thumb corresponds to C6, middle finger to C7 and little finger to C8.
Surgery
null
b0030ae3-5aae-47e9-87cb-69274554d590
Intraoperative wheezing can be managed by
Thiopentane
Ketamine
Methohexitone
Propofol
1b
single
Among IV induction agents,ketamine has a bronchodilator action.
Anaesthesia
Complications of anaesthesia
970bae03-9321-4ba7-94aa-585c8c879eff
In a small child diagnosed with H. influenza meningitis, what investigation must be done before discharging him from the hospital?
BERA
MBI
CT scan
X ray skull
0a
multi
Ans. (a) BERARef: OP Ghai 8th ed./619; OskisPediatrics: Principles & Practice by Julia A. McMillan
Pediatrics
CNS Infections
2eccec5b-2ca6-4e9d-8178-fd9beb791731
Eruption of Deciduous Mandibular 1st molar occur at
8-9 months
19-21 months
19-20 months
12-14 months
3d
single
null
Dental
null
4b062773-5829-45c2-97d7-3a73e9b92b11
High-risk factor for gestational hypeension include all except:
BP 150\/100 mm of Hg
Gestation age < 30 weeks
IUGR
Polyhydramnios
3d
multi
polyhydaminos is defined as excess of amniotic fluid more than 2000ml.The causes are fetal structural malformations,chromosomal anomalies,multiple pregnancy,immune hydrops fetalis,sacrococccygeal teratoma,maternal diabetes,and maternal substance abuse,chorioangioma of placenta. Refer page no 213 of Text book of obstetr...
Gynaecology & Obstetrics
Medical, surgical and gynaecological illness complicating pregnancy
10e8b882-4c7a-4ce4-8dda-1197dad997db
2nd messenger in vagal bradycardia ?
CAMP
Ca2+
DAG
None
0a
multi
Ans. is 'a' i.e., cAMP Muscarinic receptors (cholinergic receptors) in hea are M2 type. These are responsible for vagus mediated bradycardia. M2 mediated actions are through cAMP. TYPES OF RECEPTORS Drug action on receptors is a two step process ? Step 1 - Binding of drug to receptors that leads to conformational chang...
Physiology
null
de0c2144-b8e3-40fd-b3ba-dec97ef65a7d
Acute auto-graft rejection occurs within?
Few hours
< 1 month
< 6 months
6-12 months
2c
single
Hypersensitivity reaction Time 1. Hyperacute II Minutes 2. Acute IV <6 months 3. Chronic IV >6 months
Medicine
Chronic Kidney Disease & Diabetic Nephropathy
122554be-5d9e-4a19-9cc7-539e4046c610
A 2-year-old child attending daycare develops diarrhoea and gastroenteritis as a result of adenoviral infection. Which of the following adenoviral serotypes would most likely be responsible for this girl's illness?
Type 4
Type 7
Type 19
Type 41
3d
single
Adenoviral types 40, 41, and 42 have been shown to be associated with gastrointestinal disease in infants. Adenoviral types 4 and 7, commonly cause upper respiratory infections in military recruits; adenoviral types 19 and 37 have been implicated in causing epidemic keratoconjunctivitis. Ref Robbins 9/e pg 567
Pathology
All India exam
3d86b676-d6d1-4d12-8947-a56fb0183465
Sister Mary Joseph nodule is most commonly seen with: March 2011
Ovarian cancer
Stomach cancer
Colon cancer
Pancreatic cancer
1b
single
Ans. B: Stomach cancer Gastric tumour may spread the abdominal cavity to the umbilicus (Sister Joseph's nodule) Sister May Joseph's nodule: Periumbilical nodule/ hard mass Represents metastatin involvement of the paraumbilical nodes from intrapelvic or intraabdominal malignancies Seen with: - Stomach - Large bowel - Ov...
Surgery
null
d082c5c9-8dcd-4b00-b071-9de41df46b5d
Gamma camera in Nuclear Medicine is used for:
Organ imaging.
Measuring the radioactivity.
Monitoring the surface contamination
RIA.
1b
single
B i.e. Measuring the radioactivity A gamma camera, measures radioactivityQ of the substance that is taken up by specific organ or tissue of interest, by detecting gamma rays Working of gamma camera Nuclear medicine studies require the oral or intravenous introduction of very low level radioactive material (called radio...
Radiology
null
8bc21dae-68de-4ec1-bcb6-82c11c3772cc
atural family planning method ?
Abstinence
Coitus interruptus
BBT
Safe peroid
2c
single
Ans. is 'c' i.e., BBT Miscellaneous methods of contraceptions o These are (i) Abstinence, (ii) Coitus interruptus, (iii) Safe period (rhyth method), and (iv) Natural family planning methods. Abstinence o There is complete abstinence from sexual intercourse. It is not used and can hardly be considered as a method of con...
Social & Preventive Medicine
null
6441d66e-9e75-4567-84fc-5841429cf182
A 45-year-old woman has pain in her fingers on exposure to cold, arthralgias, and difficulty swallowing solid food. She has a few telangiectasias over the chest but no erythema of the face or extensor surfaces. There is slight thickening of the skin over the hands, arms, and torso. What is the best diagnostic workup?
Rheumatoid factor and anti-CCP antibodies
Antinuclear, anti-Scl-70, and anticentromere antibodies
Creatine kinase (CK) and antisynthetase antibodies (such as anti-Jo-1)
BUN and creatinine
1b
multi
The symptoms of Raynaud phenomenon, arthralgia, and dysphagia point toward the diagnosis of scleroderma. Scleroderma, or systemic sclerosis, is characterized by a systemic vasculopathy of small-and medium-sized vessels, excessive collagen deposition in tissues, and an abnormal immune system It is an uncommon multisyste...
Medicine
Immunology and Rheumatology
d6ec9fb0-c8ac-45d3-897b-17c91e36e29f
Most common cause of congenital hypothyroidism:
Thyroid dysgenesis
Dvshormonogenesis
Antithyroid antibodies
Maternal Hypothyroidism
0a
single
Ref: Nelson s Textbook of Pediatrics. 19th Edition, Page: 1895.Explanation:"Most cases of congenital hypothyroidism results from thyroid dysgenesis"(Ref: Nelson)Thyroid DysgenesisSome form of thyroid dysgenesis (aplasia, hypoplasia, or an ectopic gland) is the most common cause of congenital hypothyroidism, accounting ...
Pediatrics
Thyroid Gland
5b406e59-a7a5-42f9-87ff-214ca1d5d05b
How will you calculate that how much inspired air actually ventilates the alveoli ?
Single breath N2 method
Dalton's law
Bohr equation
Boyle's law
0a
multi
Ans. is 'a' i.e., Single breath N2 method Examiner is simply asking that how will you measure anatomical dead space. When air is breathed in, only the air that reaches the alveoli paicipates in gas exchange. The air in the airways (Trachea, bronchi) is breathed out unchanged as air in them does not paicipate in gaseous...
Physiology
null
0b5c1942-9d04-4386-ab37-f33b48d8dc58
Which of the following is true about dobutamine?
It is a strong vasoconstrictor
It significantly increase hea rate
It reduces afterload
It is a potent bronchodilator
0a
multi
Ans. is 'a' i.e., It is a strong vasoconstrictor Dobutamine acts on both a and b receptors. o But on clinically employed dose only b, action is prominent i.e. an increase in force of cardiac contraction and output without a significant change in hea rate, BP and peripheral resistance. o Now you must be thinking, why I ...
Pharmacology
null
fd30811b-dbbb-4a25-81d2-d95780a6a2c8
Delusion is a disorder of: Al 07; Gujarat 07; MP 11; Bihar 12
Thought
Perception
Insight
Cognition
0a
single
Ans. Thought
Forensic Medicine
null
b46005a7-8a22-4fc6-bd61-7b5edcf73247
Cataract in galactosemia is caused by accumulation of:
Sorbitol
Galactitol
Galactose
None of the above
1b
multi
Inability to metabolize galactose occurs in the galactosemia, which may be caused by inherited defects of galactokinase, uridyl transferase, or 4-epimerase, though deficiency of uridyl transferase is the best known. Galactose is a substrate for aldose reductase, forming galactitol, which accumulates in the lens of the ...
Biochemistry
null
54397cf1-8b30-4f15-ba3e-65077646b327
Complementary RNA sequence of 5&; AGTCTGACT3&;
5' UCAGACUGA 3'
5' UCAGACUGA 3'
5' UCAGACUGA 3'
5' UCAGACUGA 3'
0a
single
Adenine complementary to uracil in RNA Guanine complementary to cytosineRef: DM Vasudevan, 7th edition, page no: 457
Biochemistry
Metabolism of nucleic acids
3f751a65-9f82-4fd6-a417-258d5cadd99e
False about autoimmune atrophic gastritis
Loss of parietal cell
Hyperplasia of G cells
Hyperchlorhydria
Hyperophy of enterochromaffin cell
2c
multi
TypeA gastritis (Autoimmune gastritis): Type A gastritis involves mainly the body-fundic mucosa. It is also called autoimmune gastritis due to the presence of circulating antibodies and is sometimes associated with other autoimmune diseases such as Hashimoto's thyroiditis and Addison's disease. As a result of the antib...
Pathology
G.I.T
0a9afe88-e829-4903-bbb9-1c1db22999a3
The commonest tumor of the myocardium is :
Myxoma
Rhabdomyoma
Sarcoma
Fibroma
0a
single
Answer is A (Myxoma) The commonest tumor of myocardium is a myxoma.
Medicine
null
d5425f2f-6f82-49cf-a67a-cb433fde0eb8
A 35-year old male presents with a history of urethral discharge for the last three days. A gram stain smear of the discharge is shown below. which of the following is true regarding the likely etiology?
Catalase and oxidase negative
Obligate intracellular organism
Pili is a virulence factor
Anaerobic
2c
multi
The given gram stain shows gram-negative diplococci within the polymorphs which is characteristic of Neisseria gonorrhoeae infection. Neisseria is not an obligate intracellular organism, it can also occur extracellularly i.e facultative intracellular. Neisseria gonorrhoeae and Neisseria meningitides are pathogenic for ...
Microbiology
Virology
f9d820d2-0e81-4cd0-9129-0244bb58c969
Transfusion reaction and erythroblastosis fetalis are-
Type I hypersensitivity
Type II hypersensitivity
Type III hypersensitivity
Type IV hypersensitivity
1b
single
Ans. is 'b' i.e., Type II hypersensitivity Schick test is an example of type III hypersensitivity or immune-complex reaction.HYPERSENSITIVITYType I (IgE mediated)Type II (IgG IgM ando Eczemacomplement mediated)o Hay fevero Blood transfusion reactionso Asthmao Erythroblastosis fetaliso Atopyo Autoimmune hemolytico Urtic...
Pathology
Blood
d1ff0e34-c83f-4f9b-bc10-2aa2d078ddb6
All of the following is true about peritonsillar abscess except?
Bulge in soft palate
Does not involve floor of mouth
Abscess is collected lateral to the superior constrictor
Trismus is commonly associated
2c
multi
Peritonsillar abscess is a collection of pus outside the capsule in peritonsillar area between capsule (medially) and superior constrictor muscle (laterally). So, pus collection is medial to superior constrictor (not laterally).
ENT
null
be7d3347-278e-4384-bcd4-771afcb2879d
Which of the following elements is not required for hydroxylation of proline in collagen synthesis?
Vit C
O2
Dioxygenases
Pyridoxal phosphate
3d
single
Fe2+ and a-ketoglutrate are also needed in hydroxylation of proline for collagen synthesis.
Biochemistry
null
657a171b-0ec3-4f83-b820-de7c38dac6ac
Ketoacidosis without glycosuria is seen in
Aspirin poisoning
Rena tubular
Prolonged starvation
Paracetamol poising
2c
single
Starvation: In starvation, the dietary supply of glucose is decreased. Available oxaloacetate is channeled to gluconeogenesis. The increased rate of lipolysis is to provide alternate source of fuel. The excess acetyl CoA is conveed to ketone bodies. The high glucagon level ors ketogenesis. The brain derives 60-75% ofen...
Biochemistry
Metabolism of lipid
d11037b4-be95-4774-aca8-85632000750c
Nerve supply of rhomboids major -
Spinal accessory nerve, cranial pa
Spinal accessory nerve, spinal pa
Dorsal scapular nerve
Thoracodorsal nerve
2c
single
Ans. is'c' i.e.,Dorsalscapular nerveRhomboids major and minor are supplied by dorsal scapular nerve.
Anatomy
null
0c42cf22-7023-491a-8719-0149f13e7823
All are ototoxic drugs except -
Streptomycin
Vancomycin
Furosamide
Atropine
3d
multi
Ans. is 'd' i.e.. Atropine Important ototoxic drugso Aminglycoside antibiotics:Streptomycin, gentamycin, tobramycin, neomycin, fcanamycin, amikacin, sisomycino Other antibiotics: Erythromycin, vancomycin, polymixin B, colistin, Ampicillino Loop diuretics: Furosemide, Ethacrynic acido Antineoplastics : Cisplatin, carbop...
ENT
Ear
dd4339a1-ffbc-4df4-b456-4060bfc0ca63
Skin biopsy in leprosy is characterizedby:
Pariappendegial bacilli
Pariappendegeal lymphocytosis
Perivascular lymphocytosis
All of above
3d
multi
D i.e. All of above Skin Biopsy of Leprosy - Lymphocytes, epitheloid cells, granuloma, Langhans type giant cell infiltration around blood vessels, appendages & nervesQ - Foam cells which consists of histiocytes loaded with lipid globules derived from the leprosy bacilli; (in LL) - Z - N stain show large no. of lepra ba...
Skin
null
4b0e6799-7383-4e79-9f94-124d5887539d
Infections which are transmitted from man to veebrate animals are called?
Anthropozoonosis
Zooanthroponosis
Amphixenosis
Enzootics
1b
multi
Anthropozoonosis are diseases transmitted from veebrate animals to man. Eg. Plague, Rabies Amphixenosis are infections that are maintained in both man and veebrate animals. Eg. T.Cruzi, S. Japonicum Enzootics are endemics occurring in animals. Epornithic is an epidemic of disease in bird population Ref: Park, 21st Edit...
Social & Preventive Medicine
null
829ba070-db18-416c-b1db-bf74a02c9f50
Which of the following is seen in hyperemia?
Decreased arteriolar blood flow to the tissue
Increased arteriolar blood flow to the tissue
Increased venous blood flow in the tissue
Decrease venous blood flow in the tissue
1b
single
Ans. is 'b' i.e., Increased arteriolar blood flow to the tissue * Hypermia and congestion are the terms used for increased volume of blood within dilated vessels of an organ or tissue.* Hyperemia is an active process resulting from augmented blood flow to tissue because of arteriolar dilatation, at the site of inflamma...
Pathology
Hemodynamics
8e856812-19ab-40ff-b6e7-3b7a469bf19b
Froment signs are positive in injury of which nerve
Median
Ulnar
Radial
Musculocutaneous nerve
0a
single
Froment's sign is clinical testing of adductor pollicis .Give the patient a thin book and ask him to grasp it firmly between thumb and index fingers of both hands. If the muscle is healthy and acting normally, the thumb will be straight. but if paralyzed,the thumbs are flexed at IP joints. This is because adductor poll...
Anatomy
Upper limb
b9305c6c-e6f8-4af4-be11-6e1b41693ad9
Ganja is obtained from -
Dried leaves
Fresh leaves
Flowering tops
Roots
2c
single
null
Forensic Medicine
null
8eb12997-9f45-43ff-b3ab-860a81455501
Which of the following is most prominent symptom of acoustic neuroma?
Ataxic gait
Diplopia
Sensorineural hearing loss
Parasthesia
2c
single
Ans:. (c) Sensorineural hearing lossRef Dhingras ENT. 5th ed. /124ACOUSTIC NEUROMA* Acoustic neuroma is also known as vestibular schwannoma, neurilemmoma or eighth nerve tumor.* It arises from superior division of vestibular nerve.* The tumor arises from the Schwann cells of the vestibular, but rarely from the cochlear...
ENT
Tumors
496e6325-e954-4bb1-8588-33faa6edb9d6
Neutral substances are transported across the cell membrane by
Porins
lonophore
Lipopolysaccharides
Diffusion
3d
single
Neutral substances cross membranes based on their concentration gradient. That occurs by diffusion.
Physiology
null
40a17d4a-52ca-4f20-95d8-0dd59ce19c60
In disaster management all are true except
Mitigation before a disaster strikes
Response in pre-disaster phase
Yellow colour is for medium priority
Gastroenteritis is commonest infection after disaster
1b
multi
STAGES OF DISASTER CYCLE: Disaster mitigation: Measures designed to either prevent hazards from causing emergency or to lessen the effects of emergency Disaster preparedness Disaster impact Disaster response: Search rescue and first aid, field care, Triage, Tagging, Identification of dead Stage of health and medical re...
Social & Preventive Medicine
Hospital waste and disaster management, Occupational health
9ade0c73-19c5-46e4-8357-233fae432230
A woman has a fracture of the left tenth and eleventh ribs. The organ most likely to get injured by these fractured ribs is
Descending colon
Jejunum
Le adrenal gland
Spleen
3d
single
It is the most commonly injured organ in the abdomen.
Anatomy
All India exam
6546bab8-0532-461a-a84a-9a2a0a41790c
All of the following nerves pass through Jugular foramen except:
9th
10th
11th
12th
3d
multi
D i.e. 12th nerve
Anatomy
null
c9f451d9-c950-4e2d-82d8-52b9972c8301
In a 70 year old male who was working in asbestos factory for 10-15 years. On routine X-ray, a mass was seen in right apical region of the lung. Biopsy was taken from the mass, Which of the following is seen on electron microscopic examination -
Neumerous long, slender microvilli
Melanosomes
Desmosomes
Neurosecretary granules in the cytoplasm
0a
single
. Neumerous long, slender microvilli
Pathology
null
631cfb22-d691-4d1f-b744-237147217018
A 3 hours old neonate with apnea is on bag and mask ventilation for last 30 seconds, now showing spontaneous breathing with heart rate 110/min. The next step should be –
Discontinue ventilation
Continue ventilation
Give chest compression
ET intubation
0a
multi
null
Pediatrics
null
51659504-0ac0-41a9-b586-7c61ac4e1834
All are true about Desvenlafaxine except
It is a D2 receptor antagonist
Can cause priapism
Can cause glaucoma
Can cause hyperlipidemia
0a
multi
Desvenlafaxine is an antidepressant of the serotonin-norepinephrine reuptake inhibitor class from Wyeth.
Pharmacology
All India exam
3b8da52d-16c5-43fa-b14f-290c4a4d9173
A patient presents to emergency with a pinpoint pupil, salivation lacrimation, tremors and red tears. Plasma cholinesterase level Was 30% of normal. Most probable Diagnosis is:
Organophospahte Poisoning
Dhatura Poisoning
Opioid Poisoning
Pontine hemorrhage
0a
single
organophosphates are anticholinesterases so it reduces cholinesterase level. op compounds have muscurnic, nicotinic, and central actions so it causes lacrimation, salivation, tremors.
Pharmacology
null
3702ea9b-1933-4954-8046-f2153eb6d775
Na+ K+ pump which enzyme is used
ATPase
GTpase
Acetyl CoA
NADPH
0a
single
Ans. (a) ATPaseIn primary active transport, the energy is derived directly from breakdown of ATPOne of these ATPases is sodium-potassium adenosine triphosphatase (Na, K ATPase), which is also known as the Na, K pump
Physiology
General
f1096874-9aa5-420e-934d-5285d7e2f3cd
In Fitzgerald and Hallpike differential caloric test, cold-water irrigation at 30 degrees centigrade in the left ear in a normal person will include -
Nystagmus to the right side
Nystagmus to the left side
Direction changing nystagmus
Positional nystagmus
0a
multi
null
ENT
null
e67670c1-1e43-43f3-be38-88bb8365910a
Insulin is required for glucose transpo in all of the following except: March 2009
RBC
Skeletal muscles
Adipose tissue
Hea muscles
0a
multi
Ans. A: RBCInsulin facilitates entry of glucose into muscle, adipose, and several other tissues.The only mechanism by which cells can take up glucose is by facilitated diffusion through a family of hexose transpoers. In many tissues - muscle being a prime example - the major transpoer used for uptake of glucose (called...
Biochemistry
null
5dedc621-eddc-412e-b88b-dbe5103ba920
Most common cause of idiopathic interstitial pneumonia is
Sarcoidosis
Organizing pneumonia
Idiopathic pulmonary fibrosis
Lipoid pneumonia
2c
single
Idiopathic pulmonary fibrosis is the most common form of idiopathic interstitial pneumonia.It is characterised by exeional dyspnea,non productive cough,inspiratory crackles with or without digital clubbing.HRCT show patchy,predominantly basilar,subpleural reticular opacities,traction bronchiectasis and honeycombing.Pul...
Medicine
Respiratory system
263b39c7-68a0-4cc4-8781-95a4b8907c93
Not true about the anal canal is:
Completely lined by stratified squamous epithelium
Supplied by pudendal nerve
Drained by veins forming poosystemic anastomosis
Pa below pectinate line is spupplied by inf. Rectal aery
0a
multi
A. i.e. Completely lined by stratified squamous epithelium
Anatomy
null
8cf99b5d-1758-464f-9137-90c4bf948e01
Phenylbutazone use as an NSAID is restricted because :
It has lower anti-inflammatory efficacy than other NSAIDs
It has potential to cause agranulocytosis
It has weak analgesic action
It alters the protein binding and metabolism of many drugs
1b
single
null
Pharmacology
null
61a8f69d-8c49-40a5-813e-a51014f79b45
In a 4 x 5 table for Chi-square test, what is the degree of freedom?
20
16
12
9
2c
single
Ans. (c) Used to test ignificanc of association between two quantititve dataRef : K. Park 23rd ed. / 852* DEGREE OF FREEDOM: it is the no. of observations in a dataset that can freely vary once the parameters have been estimated.* It is used in chi-square test and t-test.* DOF: (c-1) (r-1), where c is no. of columns an...
Social & Preventive Medicine
Statistical Tests
d5fd2827-02a2-46e3-abd8-a47779b37b1e
Tumor-containing cells of all three germ layers are called -
Leiomyoma
Squamous cell carcinoma
Adenocarcinoma
Teratoma
3d
multi
All Tumors, benign or malignant, have two basic components → Proliferative neoplastic cells → constitute parenchyma. Supportive stroma → made up of connective tissue and blood vessels. The name of tumor is usually based on the cell, e.g. smooth muscle cell tumor → leiomyoma or leiomyosarcoma, skeletal muscle cell t...
Pathology
null
7851da8a-b507-4718-a6f6-22c699726c35
All are recommended for treatment of Primary lung abscess except:
Moxifloxacin
Clindamycin
Amoxicillin- clavulanate
Metronidazole
3d
multi
Metronidazole alone is never recommended in the treatment of lung abscess, It is effective against anaerobic organism but the streptococci (Microaerophilic) will be spared which are often the component of flora causing lung abscess. Treatment regimen 1. Clindamycin- 600 mg IV TDS When fever disappear and clinical impro...
Medicine
Pneumonia
c7cf9220-3bbe-4b02-af42-36f6e18f636f
In Conn's disease, there is an excess of:
Adrenaline
Aldosterone
Cortisol
Noradrenaline
1b
single
null
Medicine
null
4fe371ea-8f9b-4f35-b5d9-557b9007fbcf
Removal of only Level VI Lymph nodes is called as:
Type 3 Modified radical neck dissection
Central neck dissection
Functional neck dissection
Supraomohyoid neck dissection
1b
multi
null
Surgery
null
c857f164-768c-4cd8-8a80-b3df0acd7a1a
About ICF, true is
14 L
20 % of body weight
28 L
33% of body weight
2c
multi
Intracellular Fluid (28L)- 40% Body Weight- 67% TBW.
Physiology
null
1b526833-0797-4e27-97d6-c8ade61fa915
Brodie syndrome is
When all the teeth are in scissor bite
Open bite in children
Skeletal Class III condition
Cleft palate with cleft lip
0a
multi
Brodie syndrome is an abnormality of transverse occlusal relationships and was named after Allan G. Brodie, who was the first author to present the case of a patient with this malocclusion in 1952 .  Other names can be found in the literature: Brodie bite, exaggerated occlusion, or even scissors bite. The term “syndrom...
Dental
null
6a2b8123-1d13-4e04-bda4-c35deb243d67
Thrombocytopenia, macerated skin lesions, rash and periostitis in a newborn are seen in –
Erythroblastosis fetalis
Cytomegalovirus infection
Syphilis
HIV infection
2c
single
null
Pediatrics
null
01721b9b-d4aa-44c2-af91-69e189bf27d3
Complication of measles are all except –
Myocarditis
Appendicitis
SSPE
Pancreatitis
3d
multi
null
Pediatrics
null
1db0f36b-6da4-4bad-afd3-21472d25d828
Cyclodevelopmental type of transmission is seen in-
Malaria
Filaria
Plague
Cholera
1b
single
Ans. is 'b' i.e., Filaria o Transmission by vectors may be of following types :A) Mechanical transmission# The infectious agent is mechanically transported by vector, e.g., through souling of feet of flying arthropod.# There is no development or multiplication of infectious agent within the vector.B) Biological transmi...
Social & Preventive Medicine
Infectious Disease Epidemiology
af7d433b-6ae6-4d10-955a-ed1497095352
Among the following, the maximum redox potential is for:
NADH/NAD
Succinate/Fumarate
Ubiquinone
Fe+3/ Fe+2
3d
multi
D i.e. Fe2+ Because electrons tend to flow spontaneously from carries of lower redox potential (Edeg) to carries of higher redox potential. The order (sequence) of electron carriers in ETC of mitochondria (and so the increasing order of redox potential) is Substrate --> NADP+ /NADPH --> NADVNADH --> NADH dehydrogenase ...
Biochemistry
null
4575f58c-2424-4a82-a388-19210106f0b6
MHC II are not presented by -
macrophage
Dendritic cells
Lymphocytes
Eosinophils
3d
single
MHC (major histocompatibility complex) class II molecules are a family of molecules normally found only on antigen-presenting cells such as dendritic cells, mononuclear phagocytes, some endothelial cells, thymic epithelial cells, and B cells Reff: Ananthanarayanan & Panikers textbook of microbiology 9th edition pg: 140
Microbiology
Immunology
8f254bbd-19c7-49b9-b37a-3bd5aac3c71d
10 year old boy developed hoarseness of voice following on attach of diphtheria, No other significant OLE or VR is paralysed, treatment of choice is
Get foam infection of right VC
Fat injection of rigth VC
Thyroplasty Type 1
Walt for spontaneous recovery
3d
single
It is right recurent Laryageal nerve palsy, hense only hoarsness is seen,so wait for recovery.
ENT
null
d59057a1-370c-4678-a0be-c83d3c2fa445
Which of the following is not true regarding ETC-
Occurs in mitochondria
Generates ATP
No role of inorganic phosphate
Involves transport of reducing equivalent
2c
multi
Ans. is 'c' i.e., No role of inorganic phosphate o Inorganic phosphate (Pi) is required in ETC to generate ATP.ADP + Pi -- ATPo ETC occurs in mitochondria and involves transfer of reducing equivalent to generate ATP.
Biochemistry
Respiratory Chain
fb2233fe-d181-4709-9867-421cb911dfdc
A patient with mitral stenosis had to undergo surgery. A pre-anaesthetic checkup revealed the increased liver enzymes. Which of the following inhalational agent should be preferred in this patient?
Xenon
Enflurane
Halothane
Sevoflurane
0a
single
Halothane is hepatotoxic and all fluorinated anesthetic agents can cause a dose-dependent decrease in arterial BP and de­pression of heart. Xenon has minimal effect on CVS function.
Pharmacology
null
f6e046fe-f188-4627-9efa-99e5849a7a9a
What is the mechanism of acute rheumatic fever -
Cross reactivity with endogenous antigen
Innocent by slender effect
Due to toxin secretion by streptococci
Release of pyrogenic cytokines
0a
single
Ans. is 'a' i.e., Cross reactivity with endogenous antigen Acute Rheumatic fever results from immune response to group A streptococci.The main factor responsible for virulence in infection with streptococcal A group is "M" protein.The body mounts an immune response against streptococci A organism by producing antibodie...
Pathology
Rheumatic Fever
2593506f-3fef-43ea-aa88-64e4e0972136
A 25 year old man has pigmented macules over the palms, soles and oral mucosa. He also has anemia and abdominal pain. Which one of the following is the most likely diagnosis?
Cushing's syndrome
Albright's syndrome
Peutz-Jegher's Syndrome
Incontinentia pigmenti
2c
single
Cushing Syndrome Presents with lemon on sticks with hypeension and anemia Albright syndrome At least 2 / 3 features: 1. Polyostotic fibrous dysplasia 2. Cafe-au-lait skin pigmentation 3. Autonomous endocrine hyperfunction (eg, gonadotropin-independent) Peutz Jehgers syndrome Located primarily around the nose and mouth,...
Medicine
Bleeding from the GUT and diseases of esophagus
12eaea52-577a-4177-bb33-722c93f60e88
Features of hypothyroidism in infancy include the following except
Premature closure of posterior fontanelle
Coarse facies
Umbilical hernia
Constipation
0a
multi
Hypothyroidism characterized by wide open ( delayed closure) of posterior fontanelle,umbilical hernia,large head,coarse facies,constipation. Reference : Ghai essential of pediatrics, eighth edition, p.no:517,table 17.6.
Pediatrics
Endocrinology
43d02088-0eba-4efd-95f5-80e687ca650b
Secondary attack rate of chicken pox is -
60
50
90
40
2c
single
Secondary attack rate of chicken pox is high, upto 90%.
Social & Preventive Medicine
null
354bd6c3-d5cb-4932-8678-9eefa9d0a2b7
NOT a feature of Horner's syndrome?
Loss of taste sensation
Ptosis
Anhydrosis
Miosis
0a
single
(A) Loss of taste sensation # HORNER'S SYNDROME results due to interruption of the sympathetic nerve supply to the eye. It is characterized by the classic Triad of Miosis (constricted pupil), Partial ptosis, & Loss of hemifacial sweating (Anhidrosis).> Von Passow syndrome is an association of Horner syndrome with iris ...
Surgery
Nervous System
441580c4-1d55-4a02-a694-0651d75ca36f
Efficiency of measles vaccine -
55%
75%
85%
100%
0a
single
<p>MEASLES VACCINE:- Live attenuated vaccine Person to person transmission of measles vaccine strains has never been documented. Freeze dried product. In the year 2010, the worlds two most populous countries made promising advances in measles control: china held the largest ever SIA , vaccinating > 103 million children...
Social & Preventive Medicine
Communicable diseases
7c830a33-effb-4273-8e3e-ab396e470bfb
Which of the following is not a medicated sealer:
Zinc oxide.
AH26.
RC2B.
Endomethasone.
1b
single
The basic ingredient of the medicated sealer is zinc oxide, but usually they contain other contraindicated ingredients, including paraformaldehyde. Sargenti advocated the use of a sealer containing 6.5% paraformaldehyde and lead that was marketed as N2 and later as RC2B. Lead is toxic to the humans and adds little bene...
Dental
null
da147c87-f8f0-4c1a-82f5-fffe621e5ddc
Hutchinson's teeth involves -
Incisors
Premolars
Molars
Canine teeth
0a
single
null
Medicine
null
6b5ea946-7f17-4c68-98c3-57f65d489752
For the following statements, select the most likely type of thyroid cancer.Has the best prognosis of all thyroid malignancies.
anaplastic thyroid cancer
follicular cancer of the thyroid
lymphoma of the thyroid
papillary cancer of the thyroid
3d
multi
Papillary cancer has the best prognosis of all thyroid cancers. Although it is 7 times more common than follicular cancer, fewer people die from it. Even with follicular cancer, most patients will die of other diseases. In common with other thyroid cancers, age seems to be an independent risk factor for poor prognosis.
Medicine
Oncology
dab2dcae-117e-4067-aa85-dd39805fb555
Investigation of choice for acute osteomyelitis?
CT Scan
MRI
Bone Scan
PET
1b
single
MRI is the investigation of choice for Acute Osteomyelitis MRI is the Investigation Of Choice For evaluating Bone Marrow pathologies Avascular Necrosis of the femur Pehes disease Ankylosing Spondylitis Stress fracture Figure: MRI showed advanced osteomyelitis of the distal femur with a central bone sequestrum and septi...
Radiology
Magnetic Resonance Imaging
7aac1177-842b-4443-abf8-c6e88e809051
In type -II respiratory failure, there is
Low p02 and low pCO2
Low p02 and high pCO2
Normal p02 and high pCO2
Low p02 and normal pCO2
1b
single
Type ll respiratory failure occurs as a result of alveolar hypoventilation and results in the inability to eliminate carbon dioxide effectively.It can be caused by drug overdose,brainstem injury,hypothyroidism,myasthenia gravis,Guillain -Barre syndrome,electrolyte derangements,myopathy,etc.So there will be hypoxia and ...
Medicine
Respiratory system
009497e9-718b-4d0c-8d6e-c4c573ceda56
All of the following are side effects of valproic acid, except-
Alopecia
Hepatitis
Nephrotoxicity
Skin rash
2c
multi
Ans. is 'c' i.e., Nephrotoxicity
Pharmacology
null
fba8d06d-65fa-4b3b-8837-33fdf06c56aa
Superficial inguinal ring in the female transmits:
Broad ligament of uterus
Round ligament of the uterus
Cardinal ligament
None of the above
1b
multi
The superficial inguinal ring is a triangular apeure in the aponeurosis of the external oblique muscle and is situated above and medial to the pubic tubercle. In the female, the superficial inguinal ring is smaller and difficult to palpate; it transmits the round ligament of the uterus.
Anatomy
null
94d1ee06-8b7c-4aea-8117-f8785f94e2f0
Dimorphic fungi are all except
Coccidioidomycosis
Blastomycosis
Candida
Histoplasma
2c
multi
Candida is a yeast-like fungus and is not having a mycelial phase Reference: Textbook of Microbiology; Baveja; 4th edition
Microbiology
mycology
eae63efc-4068-44a0-ab42-68265997b09c
A 50 year old male patient complains of tremors in his hand while working. Patient is a dentist and is working since 25 years. Lab investigations reveal urine mercury level at 200 microgm/L. Which of the following symptoms would been seen in this patient?
Irritability
Kidney inflammation
Swollen gums
Nervous system disturbance
0a
single
null
Dental
null
3eeb5e05-25b0-417c-bd0d-a063059cd32d
Vaginal atresia is associated with all except:
Lack of development of lower part of vagina
Normal secondary sexual characteristic
Female external genitalia
Presence of cervix
3d
multi
Ans. is d, i.e Presence of cervixRef: Williams gynae 3/e, pg 419* Vaginal atresia is a condition where the urogenital sinus fails to develop hence lower part of vagina is absent & is replaced by a fibrous strand.* Genotype of female =46XX* Gonads = Normal ovaries* Secondary sexual characteristics are normal* Upper repr...
Gynaecology & Obstetrics
Malformation of the Female Generative Organs
d5323a1f-be93-4db3-bec1-cc413b8b27f2
Water Deprivation Test is used to assess
Glomerular Function
Proximal Tubular Function
Distal Tubular Function
Renal Plasma Flow
2c
single
Answer is C (Distal Tubular Function) Water Deprivation Test is used to assess Distal Tubular Function. Water Deprivation Test Water deprivation test is used to assess the tubule's ability to concentrate urine. When a normal person is deprived of water, ADH secretion occurs, which acts on the distal tubule and collecti...
Medicine
null
f051a4b8-c56a-4ccf-88f5-972a05a3c57e
How does MDR gene act?
Block drug activation
Block intracellular DNA synthesis
Cause efflux of drug
DNA repair inhibition
2c
single
The multidrug resistance (MDR) gene encodes a protein that actively pumps drugs out of tumor cells. This gene confers resistance on a variety of antitumor drugs, including the antibiotics and plant-derived compounds. Tumor resistance to a given chemotherapeutic agent can often be overcome by the administration of multi...
Pharmacology
null
7bddcbfa-f624-4ed3-8041-0c8cdda54e74
Hypertonic urine is excreted due to absorption of water in
Collecting ducts
DCT
Ascending part of loop of Henley
Descending part of loop of Henley
0a
single
Concentrated urine is formed due to the reabsorption of water in collecting ducts.
Physiology
null
f856b1be-93be-4cb7-aadc-8635305572c1
Propey of acquiring antibiotic resistance from the viral colony is by -
Transferance
Conjunction
Transduction
Mutation
2c
single
TRANSDUCTION: the transfer of a poion of the DNA from one bacterium to another by a bacteriophage is known as transduction. bacteriophages are viruses that parasitize the bacteria and consist of a nucleic acid core and a protein coat. a phage paicle may have its core beside its own nucleic acid a segment of host DNA. W...
Microbiology
general microbiology
fa38ca50-98a0-403c-ae21-eaf1900ec3eb
An young man is brought to casualty with history of hematemesis. There is mild splenomegaly on examination. Cause of bleeding is: March 2009
Gastritis
Oesophageal varices
Tumour
Leukaemia
1b
single
Ans. B: Oesophageal varices Physical findings in esophageal varices: Pallor may suggest active internal bleeding. Low blood pressure, increased pulse rate, and postural drop of blood pressure may suggest blood loss. Parotid enlargement may be related to alcohol abuse and/or malnutrition. A hyperdynamic circulation with...
Medicine
null
36a88ca2-f645-46e3-b9f0-aa53b6698f66
Facial nerve supplies
Risorius
Anterior belly of digastric
Lateral pterygoid
Zygomaticus
0a
single
Facial nerve is the motor nerve of the face. its five terminal branches, temporal, zygomatic, buccal, marginal mandibular and cervical emerge from the parotid gland and diverge to supply the various facial muscles as follows. Temporal - frontalis, auricular muscles,orbicularis oculi. Zygomatic- orbicularis oculi. Bucca...
Anatomy
Head and neck
2636b2b5-895f-4a90-af3b-a77e423c3ce1
All of the following statements about Zenker&;s diveiculum are true Except
Acquired diveiculum
Lateral X-rays on Barium swallow are often diagnostic
False diveiculum
Out pouching of the anterior pharyngeal wall, just above the cricopharyngeus muscle
3d
multi
It is a protrusion of mucosa through Killian's dehiscence, a weak area of posterior pharyngeal wall between thyropharyngeus (oblique fibres) and cricopharyngeus(transverse fibres) of the inferior constrictor muscle of pharynx. Barium swallow-lateral view shows pharyngeal pouch. It is a false diveiculum because it conta...
Surgery
G.I.T