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135
9da1014e-769b-490e-ac5e-869f6be44c9a
The specific name of the anomaly shown in the following radiograph is:
Dens in dente
Dilated odontome
Dens invaginatus
Ghost tooth
1b
single
Dens in Dente  (Dens invaginatus, dilated composite odontome) The  ‘dens in dente’  is a  developmental variation which is thought to arise as a result of an invagination in the surface of tooth crown before calcification has occurred. Several causes of this condition have been proposed. These include increased localiz...
Radiology
null
cfae8a22-731e-46c9-b19c-a61874a8c618
An upper motor neuron (UMN) lesion involving cranial nerve VII would most likely produce
Contralateral weakness of the lower half of the face with sparing of the upper half of the face
Decreased gag (pharyngeal) reflex with decreased taste sensation from the posterior one-third of the tongue
Hemianesthesia of the face with flaccid paralysis of the muscles of mastication
Ipsilateral anosmia with primary amenorrhea in females
0a
single
The physical finding of facial asymmetry is suggestive of an abnormality involving the facial nerve (CN VII). The facial nucleus, which is located within the pons, is divided in half, the upper neurons innervate the upper muscles of the face, while the lower neurons innervate the lower poion of the face. It is impoant ...
Medicine
C.N.S
fe35e59a-6a23-48cd-9d49-d4c76b732c25
Dry skin seen due to excess dosage of datura is due to
Vasodilatation
Absence of sweating
Central action
Change in BMR
1b
single
One of the anticholinergic effects is dry skin due to absence of sweating due to blockade of m3 receptors on sweat glands Datura is nothing but atropine-anticholinergic drug Ref: KDT 6th ed pg 114-116
Pharmacology
Autonomic nervous system
c4ed8523-3e37-4435-beb4-088269155230
Perception of uterine contraction is known as:
Chadwik sign
Goodell sign
Palmer sign
Hegar sign
2c
single
Ans: c (Palmer sign) Ref: Dutta, 6th ed, p. 66Perception of rhythmic uterine contraction on bimanual examination in pregnancy is Palmer sign. It is done as early as 4-8 weeks. This is one of the signs used to diagnose pregnancy. There are various signs and symptoms to detect early pregnancy. These are listed below:Diag...
Gynaecology & Obstetrics
Miscellaneous (Gynae)
70b10569-cc63-437a-9040-289a02128681
The most common site of puerperal infection is:
Placental site
Cervical laceration
Episiotomy wound
Vaginal laceration
0a
single
Ans. (a) Placental siteRef. Dutta's Obstetrics, 7th ed. 1433PUERPERAL SEPSIS* An infection of the genital tract which occurs as a complication of delivery is termed puerperal sepsis.* Sources of infection may be endogenous where organisms are present in the genital tract before delivery.Mode of infection* Puerperal sep...
Unknown
null
0ea2e7b7-98ec-4c6a-b14e-00191e82a914
Maximum urease +ve is produced by -
H. pylori
P. mirabilis
K. rhinomatis
Ureaplasma
0a
single
null
Microbiology
null
ee506e28-2e58-4704-9e98-24c51e7b8718
Gas causing global warming but is not a greenhouse gas?
CO2
SO2
CFC
Ozone
1b
single
Greenhouse gases are CO2 Methane CFC 12 HCFC 22 Nitrous oxide Tetrafluoromethane SO2 is not a Greenhouse gas but it causes global warming Park's Textbook of Preventive and Social Medicine, 25th Edition, Pg 794
Social & Preventive Medicine
Environment and health
8a2ac1b0-54e0-41f7-8af2-77663eedce12
Lahsal classification is used for:
Cleft lip and palate
Tumor staging
Neurological assessment of trauma patient
None of the above
0a
multi
Any classification for such a diverse and varied condition as cleft lip and palate needs to be simple, concise, flexible and exact but graphic. It must be suitable for computerisation but descriptive and morphological. An example of such a classification is the LAHSHAL system.
Surgery
null
58e100f1-2330-418c-808e-7affdbfb1956
Features of vernal keratoconjunctivitis are – a) Papillary hypertrophyb) Follicular hypertrophyc) Herbert's pitsd) Tantra\'s Spote) Ciliary congestion
b
c
ac
ad
3d
single
Papillary hypertrophy into polygonal papilla is arranged in cobblestone or pavement stone fashion.
Ophthalmology
null
c50ba933-8ada-49ad-ae89-261452128e29
Dawn phenomenon refers to: March 2013
Early morning hyperglycemia
Early morning hypoglycemia
Hypoglycemia followed by hyperglycemia
High insulin levels
0a
single
Ans. A i.e. Early morning hyperglycemia Impoant terms Dawn phenomenon: Glucose level rise in early morning Somogyi effect: Rebound hyperglycemia may appear after 1-24 hours after moderate to severe hypoglycemia
Medicine
null
11bcf948-6178-41a5-8a01-61c59f950f12
Women with PCOS and Hirsutism, management is :
Ethinyl estradiol
Ethinyl estradiol + Cyproterone Acetate
Levonorgestrel
Ethinyl estradiol + Levonorgestrel
1b
single
Drugs used for Hirusitism: 1.Ovarian Suppression agents a.Oral Contraceptives b.Cyproterone acetate. c.GnRH agonist and antagonist. 2.Adrenal suppresion agents a.Glucocoicoids. 3.Androgen receptor blocking agents a.Spironolactone b.Flutamide. c.Cyproterone acetate. 5. 5 alpha reductase inhibitor a.Finasteride. Shaw's t...
Gynaecology & Obstetrics
PCOD, hirsutism and galactorrhea
b217634d-b373-46c2-94a8-28eba1b98f73
Gaucher's disease is inherited as?
Autosomal recessive
Autosomal dominant
X-linked recessive
X-linked dominant
0a
single
Gaucher disease results from mutation in the gene that encodes glucocerebrosidase. There are three autosomal recessive variants of Gaucher disease resulting from distinct allelic mutations. Common to all is variably deficient activity of a glucocerebrosidase that normally cleaves the glucose residue from ceramide. This...
Pathology
General pathology
cf099ec1-e456-4e25-9581-c1e3c70ebf28
Gamma Rays Are used in which Diagnostic Modality ?
Fluoroscopy
CT Scan
MRI
Bone scan
3d
single
Gamma Rays are used in Radioisotope studies/scintigraphy studies Bone scan is a radioisotope study done using Tc99m -MDP to detect skeletal metastasis Fluoroscopy and CT scan uses Xrays Radiowaves are used in MRI
Radiology
Radiotherapy Pa 1
537ca3ea-4815-44f3-8574-3b323a55d4e9
Fomepizole acts as antidote for -
Methanol poisoning
Cannabis poisoning
Lead poisoning
Cadmium Poisoning
0a
single
Ans. is 'a' i.e., Methanol poisoning Methyl alcohol (methanol)o Methanol is highly toxic alcohol. It is metabolized to formaldehyde (by alcohol dehydrogenas) and formic acid (by acetaldehyde dehydrogenase).o It is the accumulation of formic acid which causes toxic effects in methanol poisoning. Accumulation of formic a...
Pharmacology
Alcohol
14780361-05a8-45e7-8d7b-d1a46de1f7b9
Lymphoid tissues reach their maximum size:
In early childhood
During adolescence
At pubey
At 20 years of age
2c
single
The thymus matures at pubey, thus attaining the maximum size Ref: guyton and hall textbook of medical physiology 12 edition
Physiology
Endocrinology
436f4adf-a2cc-406d-9245-0e53856a3caa
Incubation period of gonorrhoea is -
Less than 24 hrs
1 to 2 days
2 to 15 days
12 to 25 days
2c
single
Ans. is 'c' i.e., 2 to 15 days Incubation period of gonorrhea is 2 - 8 days.
Microbiology
null
a5d46950-c9e0-489c-b62c-16307a408afb
Which of the following are causes for cholecystitis wxcept?
Estrogen
OCP
Diabetes mellitus
Obesity
2c
single
acalculous cholecystitis is not an uncommon entity, but can be commonly missed.* It is common in patients who have undergone major surgeries, trauma, burns, or any other stress or in cases of cholecystoses. * Common in ICU patients. ACUTE CHOLECYSTITIS * Commonly it occurs in a patient with pre-existing chronic cholecy...
Surgery
G.I.T
5ddab195-9356-4207-a646-c9e5f4fca467
If the maxillary right second molar is treated successfully the distal furcation involvement can best be kept plaque free by using:
Dental Floss
Perio aid
Stimudent
Rubber tip stimulator
1b
single
null
Dental
null
b2c39998-87ad-43b9-9b61-746127a347d1
NADPH actions in RBC are a/e
Produce ATP
Stabilizes the membrane
Reductive biosynthesis
GP6D deficiency causes decreased synthesis of NADPH
0a
single
ATP is not produced by NADPH. ATP is produced by reducing equivalents like NADH, FADH2. W When NADH and other reducing equivalents transfer their electrons through Electron transpo chain in the Mitochondrial inner membrane and generate proton motive force which brings about the ATP synthesis by the ATP synthase complex...
Pharmacology
All India exam
ecd84d15-a699-4eff-a3be-486c0c841edc
Which is called nerve of Wrisberg
Motor root of facial nerve
Tympanic branch of glossopharyngeal nerve
Sensory root of facial nerve
Greater auricular nerve
2c
multi
Facial nerve runs from pons to parotid. It is a mixed nerve having motor and a sensory root. The latter is also called the nerve of Wrisberg and carries secretomotor fibres to lacrimal gland and salivary glands, and brings fibres of taste and general sensation. Nerve of Wrisberg (Nervus intermedius receives fibres from...
ENT
Facial Nerve and its disorders
56bd9fb1-3392-4ec9-839c-0c1263e9aa88
A patient repoed with a history of fall on an outstretched hand, complains of pain in the anatomical snuffbox and clinically no deformities visible. The diagnosis is:
Colles' fracture
Lunate dislocation
Baon's fracture
Scaphoid fracture
3d
multi
D i.e. Scaphoid
Surgery
null
d38f5435-9fe9-45da-9b8c-856d2c0d96aa
High spinal anaesthesia is characterized by:
Hypertension, tachycardia
Hypertension, bradycardia
Hypotension, tachycardia
Hypotension, bradycardia
3d
single
Ans. (d) Hypotension, bradycardiaRef : KDT 6th ed. / 360Systemic Effects (Physiological Alterations) of Central Neu- ralxial BlocksCARDIOVASCULAR SYSTEMThe most prominent effect is hypotension which is because of the following factors:* Venodilatation which is because of sympathetic block which maintains the venous ton...
Anaesthesia
Miscellaneous General Anesthesia
f9db9af9-5ce9-40df-bfdc-33f923aea400
Iron absorption is inhibited by all except:
Vitamin C
Phytates
Caffeine
Milk
0a
multi
Ans. A. Vitamin C(Ref: Harper 31/e page 533-540)Iron absorption is enhanced by:Vitamin C, Fructose, Alcohol iron absorption is inhibited byPhytates, Oxalates, Caffeine, Calcium
Biochemistry
Nutrition & Digestion
d1289ee4-b2e5-43e1-81cd-750db86896c1
Most common nerve involved in supracondylar fracture of humerus is:
Radial nerve
Ulnar nerve
Median nerve
Anterior interosseus Nerve
3d
single
D i.e. Supracondylar fracture
Surgery
null
96d2ec41-b4bd-478f-80d8-b80c8c0fd9f0
Fistula formation due to the below etiology occurs within
24 hours
48 hours
5 days
2 weeks
2c
single
Vesicovaginal fistula: In obstructed labor, the bladder becomes an abdominal organ and due to compression of urethra between presenting part and pubic symphysis, patient fails to empty bladder. The bladder wall gets traumatized which may lead to bloodstained urine, a common finding in obstructed labor. The bases of the...
Unknown
null
427400b4-1c6b-4148-b389-c3be2c4f2a9e
Botulism is a disease of ?
Neural transmission caused by the toxin of the bacterium clostridium botulinum
Muscular transmission caused by the toxin of the bacterium clostridium botulinum
Neuromuscular transmission caused by the toxin of the bacterium clostridium botulinum
Non neuromuscular transmission caused by the toxin of the bacterium clostridium botulinum
2c
single
Ans. is 'c' i.e., Neuromuscular transmission caused by the toxin of the bacterium clostridium botulinum Botulinum Toxin Cl. botulinum produces a powerful exotoxin that is responsible for its pathogenicity. The toxin differs from other exotoxins in that it is not released during the life of organism. It is produced intr...
Microbiology
null
09a007cc-52a9-4d27-96ef-eeebfdc335f8
Retinoscopy is done for:
Examination of Retina
Assessing surface of cornea
Refractive errors
Examination of vitreous
2c
single
Retinoscopy is an objective method of finding out the error of refraction by the method of neutralization.The end point of neutralization is either no movement or just reversal of the movement of the pupillaryshadow. Depending upon the movement of the red reflexvis-a-vis movement of the plane mirror, Following infrence...
Ophthalmology
Optics and Errors of Refraction
57e467c2-8b02-4815-87b8-7a088410001a
The commonest location for the carcinoid tumor is which of the following?
Small intestine
Bronchus
Appendix
Stomach
0a
multi
Carcinoid tumor:- Neuroendocrine tumor, most common site being GIT and Lungs being 2nd most common In GIT, most common site is small intestine Composed of cells that contains dense-core neurosecretory granules in their cytoplasm.
Pathology
General Concepts
c8c3106e-3662-4751-9392-92821bec9a38
Persistent and inappropriate repetition of response beyond the point of relevance is called
Thought insertion
Thought block
Perseveration
Neologism
2c
multi
The patient repeats same response beyond the point of relevance. Example : What is your name? – Darshan What you ate in the morning? – Darshan Where do you live? – Darshan
Psychiatry
null
e4bd828c-013c-4531-be25-03358be1e9a3
The common etiology of periodontitis is
Occlusal trauma
Systemic factors
Local irritating factors
Hormonal defects
2c
single
null
Dental
null
14a8188c-931f-40fc-b843-800d96cad490
If the prevalene is very low as compared to the incidence for a disease, it implies -
Disease is very fatal and/or easily curable
Disease is nonfatal
Calculation of prevalence and incidence is wrong
Nothing can be said, as they are independent
0a
single
Prevalence is less than incidence 1) Disease is very fatal Most of the cases die, so at the time of calculating prevalence the number is usually less than the incidence. 2) Disease is very well curable either by rapid recovery or by treatment Most of the cases recover, so at the time of calculating prevalence the nu...
Social & Preventive Medicine
null
e8ba632f-1755-4698-aee0-94958bf3e1ec
Which of the following does not predispose to leukemia?
Genetic disorder
Alcohol
Smoking
Chemical exposure
1b
single
Ans. is 'b' i.e., Alcohol Leukemia risk factors1) Generala) Gender: Men are more likely to develop CML, CLL and AML than women.b) Age: The risk of most leukemias, with the exception of ALL, typically increases with age.2) Geneticsa) Family history: First degree relatives of CLL patients, or having an identical twin who...
Pathology
Lukemia
be728c78-6881-4937-834c-c5c5f84b4cb3
Stroma of cornea is developed from
Neural ectoderm
Surface ectoderm
Mesoderm
Neural crest
2c
single
Stroma of cornea develops from neural crest cells derived (secondary) mesenchyme. The adult cornea has developmentally three layers: Outer epithelium layer (surface ectoderm) Middle stromal layer of collagen-rich extracellular matrix between stromal keratocytes (neural crest) Inner layer of endothelial cells (neural cr...
Anatomy
General anatomy
8274b641-4990-4b62-afcd-11a12e989219
Distribution of functional renal tissue is seen by –
DMSA
DTPA
MAG3 – Tc99
1123 iodocholesterol
0a
single
Static renal scintigraphy (Tc-99 DMSA) can be used to locate functional renal mass.
Radiology
null
cee9b08f-decc-4410-ad51-a5fe28c2ab9f
Coical representation of body in the cerebrum is
Horizontal
Veical
Tandem
Oblique
1b
single
The various pas of the body are represented in the precentral gyrus, with the feet at the top of the gyrus and the face at the bottom. The facial area is represented bilaterally, but the rest of the representation is generally unilateral, with the coical motor area controlling the musculature on the opposite side of th...
Physiology
Nervous system
1a6f5875-e108-45f2-bcc9-635f9a3d3d64
Most common site of histiocytosis is -
Bone
Skin
Lung
Liver
0a
single
Langerhan's cell histiocytosis are malignant proliferation of dendritic cells or macrophages. These proliferating cells are actually Langerhan's cells of marrow origin.Reference :Harsh Mohan textbook of pathology 6th edition pg no 385.
Medicine
Haematology
76cf4cf5-07b7-4729-ae44-dc7ff42ea8a1
Tick born relapsing fever is/are caused by -
Borrelia recurrentis
Borrelia duttonii
Borrlia burgdorferi
All
1b
multi
Ans. is 'b' i.e., Borrelia duttonii
Microbiology
null
f6218ce2-ecc0-45e5-8656-1a43d722473c
Spatial relationship of every atom in a molecule is known as:
Conformation
Configuration
Both of the above
None of the above
0a
multi
The terms configuration and conformation are often confused: Configuration refers to the geometric relationship between a given set of atoms, for example, those that distinguish l- from d-amino acids. Interconversion of configurational alternatives requires breaking (and reforming) covalent bonds. Conformation refers ...
Biochemistry
null
0795784b-58fb-4729-b7d4-44455e0a52f5
Q fever is caused by -
Pseudomonas
Francisella
Coxiella burnetii
Rickettsia typhi
2c
single
null
Microbiology
null
1a785cf5-9e32-45a8-aef6-3727273fcb5e
Mac Callum plaques in rheumatic hea disease are
Left atrium
Left ventricle
Right atrium
Right ventricle
0a
multi
Mac Callum's plaques is a condition featuring the thickening of left atrium's wall and its endocardial wall above the mitral valve due to fibrosis. It is one complication of chronic rheumatic hea disease. Other complications of chronic rheumatic hea disease are valvular effect (stenosis, insufficiency or can be both), ...
Pathology
Cardiovascular system
3c3d0f99-c5ae-4637-a115-29cc518e91bc
Same amino acid is coded by multiple codons d/t following :
Degeneracy
Frame-shift mutation
Transcription
Mutation
0a
single
Ans. is 'a' i.e. Degeneracy There are 20 amino acids, to be coded by 61 codons, so every amino acid except methionine and tryptophan are represented by more than one codon. This is k/a degeneracy or redundancy.The genetic code is made up of codons. Codons consist of a sequence of three nucleotides i.e. it is a triplet ...
Biochemistry
Regulation of Gene Expression
4f43d974-8475-4551-8544-35aa0f63cf59
Features of histocytosis are all except -
Antigen processing cells
CD1a marker present
CD127 marker
Osteolytic lesions
2c
multi
Answee is option 3,CD127 marker The tumor cells of malignant histiocytosis generally expressed the monocyte markers CD11b, CD11c, CD14, and CD45, especially after induction with phorbol ester. In contrast, the tumor cells of true histiocytic lymphoma exhibited a marker expression very similar to that of Reed-Sternberg ...
Pathology
Haematology
8bdbe442-f7d0-4211-beec-62597d41a0e1
SAFE strategy use in
Inclusion conjunctivitis
Ophthalmia neonatorum
Trachoma
Haemorrhagic conjunctivitis
2c
single
SAFE strategy - for prophylaxis against trachoma and prevention of blindness S - Surgery for trichiasis - Teiary prevention A - Antibiotic - AZITHROMYCIN (D/O/C) - secondary prevention F - Facial hygiene - primary prevention E - Environmental changes - primordial prevention
Ophthalmology
Community Ophthalmology
63832d2f-9fc2-4765-84c1-64eb4000a231
In carcinoma cheek what is the best drug for single drug chemotherapy
Cyclophosphamide
Vincristine
Danorubicin
Cisplatin
3d
single
Single-agent chemotherapy is used as palliative therapy in head and neck cancers with the recurrent or metastatic form of cancer. The drugs which are used are - Cisplatin Methotrexate 5 Fu Paclitaxel Docetaxel Sometimes combinations of these drugs are used . a) Treatment of localized head and neck cancers - These tumor...
Surgery
Head and neck
db79919c-864f-4975-b021-0f82d3565d40
Zinc phosphide is -
Rodenticide
Insecticide
Larvicide
All
0a
multi
Rodenticides They are 2 groups: 1) Single dose /acute(Zinc phosphide and Barium carbonate), 2) multiple doses/cumulative(warfarin, diphacinone, coumafuril, pindone). Zinc phosphide is an efficient single dose rodenticide. Rats are killed by about 3 hours. Due to the good safety record, low cost, and reasonably high eff...
Social & Preventive Medicine
Environment and health
c1f7c20c-3dcc-4ce5-b8f5-0dec789caea0
In Pediatric advanced life support, intraosseous access for drug/fluid administration is recommended for pediatric age of –
< 1 year age
< 5 years age
< 6 years age
Any age
2c
single
null
Pediatrics
null
b07534c9-5f99-43f2-925a-f8d3dbefeacd
The content of base pair A in the DNA is 15%, what could be the amount of G in DNA according to Chargaff's base pair rule?
15%
85%
35%
70%
2c
single
Chargaff's rules state that DNA from any cell of all organisms should have a 1:1 ratio (base Pair Rule) of pyrimidine and purine bases and, more specifically, that the amount of guanine is equal to cytosine and the amount of adenine is equal to thymine. This pattern is found in both strands of the DNA. %A = %T and %G =...
Biochemistry
null
d791371e-e38c-472e-8f1f-1485dec17744
Most common type of breast carcinoma is: September 2010
Lobular
Sarcoma
Ductal
Granuloma
2c
single
Ans. C: Ductal Ductal carcinoma in situ (DCIS): DCIS, the most common type of non-invasive breast cancer, is confined to the ducts of the breast. DCIS is often first detected on mammogram as microcalcifications (tiny calcium deposits). With early detection, the five-year survival rate for DCIS is nearly 100%, provided ...
Surgery
null
eb208623-fd0a-4741-9401-2543a8103f6b
The braggs peak is found in:
Proton beam
Microwave
UV Rays
Infrared
0a
single
Ref: Internet source: Medscape RadiologyExplanation:Bragg peak is a concept utilized in giving focused radiotherapy using ionizing radiation to a tumor without affecting the normal healthy surrounding tissuesOptions B.C and D are examples of non-ionizing radiation.Bragg's peakThe Bragg peak is a peak on the Bragg curve...
Radiology
Fundamentals In Radiology
d07ac509-7eed-4df4-ad8b-e34d852dabbd
One of the following is an agglutination test in the diagnosis of typhoid:
Wide test
Eleks test
Mantoux test
Wasserman test
0a
single
null
Microbiology
null
dafad5d1-ec83-4570-a212-ddaa563e732f
A 43-year-old man presents with signs and symptoms of peritonitis in the right lower quadrant. The clinical impression and supportive data suggest acute appendicitis. At exploration, however, a tumor is found; frozen section suggests carcinoid features. For each tumor described, choose the most appropriate surgical pro...
Appendectomy
Segmental ileal resection
Cecectomy
Right hemicolectomy
3d
single
Carcinoid tumors are most commonly found in the appendix and small bowel, where they may be multiple. They have a tendency to metastasize, which varies with the size of the tumor. Tumors <1 cm uncommonly metastasize. Tumors >2.0 cm are more often found to be metastatic. Metastasis to the liver and beyond may give rise ...
Surgery
Breast
51772696-f57f-4655-8a8a-62cbe6c5b8c3
Gillette's space is:
Retropharyngeal space
Peritonsillar space
Parapharyngeal space
None
0a
multi
The retropharyngeal space is divided by a midline fibrous raphe into two spaces known as space of Gillette. Peritonsillar space is the space between the capsule of tonsil and the circular muscles of the pharynx. This contains a loose areolar tissue. Infection of this space is known as quinsy.
ENT
Nasopharynx
f0b993f2-f688-4900-838b-d8913cf6e699
Demography deals with all except-
Mortality
Fertility
Morbidity
Marriage
2c
multi
Demography is the scientific study of human population. It focuses its attention on three readily observable human phenomena :- Change in the population size (growth or decline). The composition of population. The distribution of population. It deals with five "demographic processes", namely fertility, mortality, m...
Social & Preventive Medicine
null
f03368b3-5c81-461d-9289-84ed90ae1828
Disulfiram-like reaction is caused by: Kerala 11
Acamprostate
Metronidazole
Tetracycline
Digitalis
1b
single
Ans. Metronidazole
Forensic Medicine
null
00ae43a1-f24e-4a3a-8958-da8a30a89e8f
CVS change in pregnancy -
Slight right axis deviation in ECG
Slight left axis deviation in ECG
Diastolic murmur
Pulse rate is decreased
1b
single
Ans. is 'b' i.e., Slight left axis deviation in ECG Cardiovascular systemo Anatomical changes heart is pushed upwards & outward. Apex beat is shifted in 4th intercostals space. A systolic murmur can be heard in apical or pulmonary area. Mammary' murmur is a continuous hissing murmur audible over tricuspid area in left ...
Gynaecology & Obstetrics
Cardiovascular System
1f1f4d8b-14ed-4afc-b684-9670358bb006
Most cases of paraneoplastic syndrome are associated with which type of lung carcinoma?
Small Cell Ca
Bronchogenic Ca
Bronchoalveolar Ca
Adeno Ca
0a
multi
Ref: Robbins Pathologic Basis of Disease, 8th edition, Pg: 677Explanation:"Paraneoplastic syndromes are common in patients with lung cancer, especially those with SCLC. and may be the presenting finding or the first sign of recurrence " (Ref: Harrison)"'Any one of the histologic types of tumors may occasionally produce...
Pathology
Clinical Aspects of Neoplasia
50aa4b96-c396-4f83-9f80-06d48747e5d6
A 7-year-old boy has severe microcytic anemia due to beta-thalassemia major (homozygous). He requires frequent blood transfusions (once every 6 weeks) to prevent the skeletal and developmental complications of thalassemia. Which of the following medications is also indicated in the treatment of patients requiring frequ...
oral calcium supplements
fresh frozen plasma (FFP)
desferrioxamine
penicillamine
2c
single
Iron chelation with desferrioxamine will reduce the toxicity from iron overload if given regularly in high doses. The most lethal toxicity of iron overload is iron infiltration of the myocardium, with resultant dysfunction and death. Penicillamine has no role in the treatment of thalassemia patients requiring frequent ...
Medicine
Blood
a33b7887-a762-4f30-969d-0af65ac626e1
Botulinum toxin is used for the treatment of: DNB 08
Blepharospasm
Risus sardonicus
Strabismus
All
3d
multi
Ans. All
Forensic Medicine
null
ac394adb-8534-4888-b3ac-2c9f7a08bc1f
The most common mechanical failure for metal-ceramic restorations is
Debonding of the porcelain from the metal.
Shrinkage of the porcelain at mouth temperature.
Debonding of the PFM from the tooth.
None of the above
0a
multi
null
Dental
null
881164ac-4865-412d-8731-70f680482931
HHH syndrome is due to defect in ?
Tryptophan metabolism
Histidine transpoer
Branched chain AA metabolism
Ornithine transpoer
3d
single
Ans. is 'd' i.e., Ornithine transpoer Hyperornithinaemia, hyperammonaemia, homocitrullinuria (HHH) syndrome is an autosomal recessive disorder of ornithine transpo caused by mutations in gene SLC 25A15 encoding the ornithine transoer protein (ORNT1).There is defective activity of the ornithine transpoer across the mito...
Biochemistry
null
0eac0839-25af-42df-92ac-e35e70059808
Main action of superior rectus -
Extorsion
Intorsion
Elevation
Depression
2c
single
Ans. is 'c' i.e., Elevation There are six extraocular muscles in each eye.MusclePrimary ActionSecondary ActionSuperior rectusElevationAdduction and intorsionInferior rectusDepressionAdduction and extorsionMedial rectusAdduction Lateral rectusAbduction Superior obliqueIntorsionAbduction and depressionInferior obliqueExt...
Anatomy
Orbit
a8d44268-9dca-48f4-91e0-da77822fc0ff
The major regulator of platelet production is the hormone thrombopoietin (THPO), which is produced by
Kidneys
Liver
Liver and kidneys
Spleen and lymph nodes
2c
single
Thrombopoietin (THPO) also known as megakaryocyte growth and development factor (MGDF) is a protein that in humans is encoded by the THPO gene.Thrombopoietin is a glycoprotein hormone produced by the liver and kidney which regulates the production of platelets. It stimulates the production and differentiation of megaka...
Physiology
Endocrinology
d74b9d1b-96d9-46fa-b621-acd271c5b648
Ovicidal drug for scabies is –
BHC
DDT
HHC
Permethrin
3d
single
null
Social & Preventive Medicine
null
7840a039-46df-4741-b2e6-0bba8e00f9c0
Not characteristic feature of granuloma ?
Chronic inflammatory infiltrate
Epitheloid cell
Giant cell
PMN's with fibrinoid necrosis with cellular infiltrates
3d
single
Ans. is 'd' i.e., PMN's with fibrinoid necrosis with cellular infiltrates Polymorphonuclear leucocytes or neutrophils have a major role in acute inflammatory response. They are typically seen in acute inflammation. While granuloma formation is seen during chronic inflammatory response. The cells predominating during ch...
Pathology
null
d290ecea-3582-469b-9f1c-605c1b5343ab
Highest cholesterol content is seen in -
LDL
VLDL
Chylomicrons
IDL
0a
single
Ans. is 'a' i.e., LDL o Maximum triglyceride contento Maximum exogenous triglyceride o Maximum endogenous triglycerideo Maximum cholesterol content----ChylomicronsChylomicronsVLDLLDL
Biochemistry
Cholesterol and Lipoproteins
0ba83f4d-c887-4fb4-8d5a-8bfeacc363dd
A 70 year old male chronic smoker is diagnosed of having cancer of the urinary bladder. It is confined to the trigone and extention is upto the submucosa. The management would be -
Complete Transurethral resction
Complete Transurethral resection with intravesical chemotherapy
Palliative Radiotherapy
Radical Cystectomy
1b
multi
Ans. is 'b' i.e., Complete Transurethral resection with intravesical chemotherapy Management of bladder cancero Cystoscopy and transurethral resection or biopsy# initially, any pt. with hematuria is examined by cystoscopy and any tumor seen is removed by transurethral resection (if possible) or biopsied.o Further treat...
Surgery
Bladder Cancer
a6ff0248-7d9c-4ad2-8a2c-e3bdbac7cb23
True about leimyosarcoma breast
Axillary lymph mode dissection is mandatory
Well encapsulated
Follow up not required
Mastectomy is mainstay treatment
1b
multi
.LEIOMYOSARCOMA * It arises from smooth muscle. Cut section shows whorled appearance. * It is undetermined grade. * It is common in retroperitoneum and viscera, but can occur in limbs and skin. * Recurrence is common. It has got poor prognosis. * It can occur in the piloerector muscle of skin; inferior vena cava; pulmo...
Surgery
Endocrinology and breast
3ff93778-1c2c-4ca7-abe3-6eac35f63da4
Which of the following is not a component of APACHE score
Serum potassium
Serum calcium
Serum sodium
Creatinine
1b
single
Acute Physiology And Chronic Health Evaluation (APACHE) II scoring system It incorporates 12 physiological and laboratory parameters as well as age and comorbid conditions to estimate severity of any disease process The 12 physiologic variables are BT| HR at CWG SHOP - 2 Mean aerial blood pressure Temperature Hea rate....
Anatomy
G.I.T
1a446593-68ab-44dc-b071-59f1df3eae5d
False about Immunoglobulins is
Y shaped heterodimer composed of four polypeptide chains
All four H and L chains are bound to each by disulfide bonds
Antibody contains two types of light chain and one type of heavy chain
There are 5 classes of H chains and two classes of light chains
2c
multi
Any antibody contains one type of light chain and one type of heavy chain.
Microbiology
null
8aa8350f-8eea-46f8-a906-8d1883be30b6
What is the pathology of edema in nephrotic syndrome
Reduced plasma protein
Sodium and water retention
Increased venous pressure
Hyperlipidemia
1b
single
Ans. b. Sodium and water retention Sodium and water retention is the pathology of edema in nephrotic syndrome. The nephrotic syndrome is characterized by proteinuria, edema, and hypoalbuminemia. Renal sodium retention and changes in variables of the Starling equation are fundamental to the pathophysiology of nephrotic ...
Pediatrics
null
c802c9cb-803d-429f-a93e-2ac0a7e31251
The median of values 2, 5, 7, 10, 10, 13, 25 -
10
13
25
5
0a
single
null
Social & Preventive Medicine
null
e4064f61-2974-4c75-98e7-f596d8b1fefd
What percentage of Lente Insulin is amorphous?
70%
30%
50%
90%
1b
single
Insulin Lente is 70% crystalline (ultra lente) and 30% amorphous (semi lente). It is an insulin - zinc suspension
Pharmacology
Pancreas
36f7e19c-fc3e-4c88-a114-c2389d1ec279
A 30-year-old women presents a history of amenorrhoea and impaired vision of six month's duration. Physical examination shows everything except for pale optic discs and diminished visual acuity. The most likely diagnosis is -
Pituitary adenoma
Craniopharyngioma
Hypothalamic glioma
Benign intracranial hypertension
0a
multi
null
Medicine
null
6aa8eb32-4a8f-4b60-8316-9d62447ba053
Lobar pneumonia is caused predominantly by:
Klebsiella pneumoniae
Staphylococcus pyogenes
Haemophilus influenzae
Streptococcus pneumoniae
3d
single
Most cases of lobar pneumonia are caused by S. pneumoniae (reclassification of the pneumococcus). Streptococcal or pneumococcal pneumonia involves one or more lobes and is often seen in alcoholics or debilitated persons.
Pathology
null
516d73fb-c117-4aa4-b41c-6ba3fd437647
Caudate lobe of liver is ?
I
III
IV
VI
1b
single
Ans. is 'a' i.e., I
Anatomy
null
14ce18d2-975a-4d72-aa37-973c5f7a4a18
Nucleosomes are
DNA+RNA
DNA+Histones
RNA+Histones
DNA+RNA+Histones
1b
single
Nucleosomes : The double stranded DNA wraps twice around a histone octamer formed by H2A, H2B, H3 and H4. This super - twisted helix forms a spherical paicle of 10nm diameter ; called Nucleosome. The function of the Nucleosomes is to condense DNA ; this arrangement also stabilises the DNA. REF : DM.VASUDEVAN.TEXTBOOK; ...
Biochemistry
Metabolism of nucleic acids
afcf2c4b-7cb9-4c0e-89ec-bdae76f9594c
Bilirubin is the degradation product of -
Albumin
Globulin
Heme
Transferrin
2c
single
Bilirubin metabolism Bilirubin is the end product of heme degradation. The heme is derived from - Senescent erythrocytes by the mononuclear phagocytic system in the spleen, liver and bone marrow (major source). Turnover of hemoproteins (e.g. cytochrome p.450). Heme is oxidized to biliverdin by heme oxygenase. Bil...
Pathology
null
379c03f7-98f8-4103-9b24-d6156d077f63
Which is not Glucogenic ?
Arginine
Histidine
Glycine
Lysine
3d
single
Ans. is 'd' i.e., Lysine
Biochemistry
null
426676ce-551e-4255-b9ef-6ddd41215de4
Linear enamel caries is called as:
Odontoclasia.
Occult caries
Fluoride bomb
None of the above
0a
multi
In odontoclasia Gross destruction of labial surface of anterior maxillary teeth occurs.
Pathology
null
90824b97-47ee-4a0c-b80d-f74e52e63940
A 3-day-old newborn was born with ectopia cordis. Despite the efforts of doctors at the pediatric intensive care unit the infant died from cardiac failure and hypoxemia. Which of the following embryologic events is most likely responsible for the development of such conditions?
Faulty development of the sternum and pericardium, secondary to incomplete fusion of the lateral folds
Interruption of third pharyngeal arch development
Interruption of fourth pharyngeal arch development
Interruption of fifth pharyngeal arch development
0a
single
Ectopia cordis is a condition in which the heart is located abnormally outside the thoracic cavity, commonly resulting from a failure of fusion of the lateral folds in forming the thoracic wall. This is incompatible with life because of the occurrence of infection, cardiac failure, or hypoxemia. Faulty development of t...
Anatomy
Thorax
a7514580-916e-4526-9d2d-c4272d25363b
All of the following predominantly involve the white matter EXCEPT?
Alexander disease
Canavan disease
Neuronal ceroid lipofuscinosis
Adrenoleukodystrophy
2c
multi
Gray matter diseases White matter diseases Clinical features Seizures, impaired vision, dementia Motor problems Examples Neuronal ceroid lipofuscinosis Biotinidase deficiency Pyridoxine deficiency Mitochondrial disorders Alexander disease Canavan disease Adrenoleukodystrophy Metachromatic leukodystrophy Krabbe disease
Pediatrics
Lysosomal Storage Diseases
07ee5c19-9aba-4a8a-898d-a77a9a26d211
What is not true regarding venous ulcer?
It is managed by stripping superficial saphenous venous system
It may be associated with Klippel Trenaunay syndrome
It is found in elderly males
Biopsy is required for long standing ulcer
2c
multi
Ans: c. (It is found in elderly males)Ref: Cuschieri, 4th ed. pg. 903, 904Characteristic features of venous ulcer: It is seen at the gaiter area- on the medial side. Edges will be sloping Base of the venous ulcer is fixed to the deeper tissues Surrounding tissues show signs of chronic venous hypertension - eczema, pigm...
Surgery
Venous Disorders
baea1774-64a1-4a22-b47c-90e9bd704a1a
All are the features of rheumatoid ahitis except?
Osteosclerosis of joint
Soft tissue swelling
Narrowing of joint space
Periaicular osteoporosis
0a
multi
Ans. is 'a' i.e., Osteosclerosis of joint Radiological features of RA Following features are seen on X-ray :- Reduced joint space Erosion of aicular margins Subchondral cysts Juxta-aicular rarefaction Soft tissue shadow at the level of the joint because of joint effusion or synol hyperophy Deformities of the hand and f...
Surgery
null
cd137273-f33c-4ddb-a271-a12639c930d9
The number of deaths prevented as a result of paicular health programme is best evaluated by:
Cost accounting
Cost benefit analysis
Cost effective analysis
None of the above
2c
multi
Cost effective analysis evaluates the benefits of a paicular health programme in terms of results achieved, like number of lives saved or number of days free from disease. Ref: Park 22nd edition pg: 814.
Social & Preventive Medicine
null
1a8cf513-90f3-4437-8ca0-bcd01b00b094
Diagnostic criterion for infective endocarditis includes all EXCEPT:
Rheumatoid factor
ESR
Positive blood culture
Positive ECG
1b
multi
ESR REF: Harrison's 17th ed Chapter 118 The duke's criteria for Infective endocarditis Major Criteria 1. Positive blood culture Typical microorganism for infective endocarditis from two separate blood cultures Viridans streptococci, Streptococcus bovis, HACEK group, Staphylococcus aureus, or Community-acquired enteroco...
Medicine
null
c6246fcc-3d57-4d48-83e4-0807839fd692
True about celiac disease -a) Villous atrophyb) Crypt hyperplasiac) Infiltration of lymphocytesd) Cryptitise) Superficial layer thinning
ab
abc
acd
bcd
1b
multi
Characteristic histopathological features in celiac disease are: Intraepithelial lymphocytosis (Increased numbers of intraepithelial CD8 T lymphocytes). Crypt hyperplasia Villous atrophy Cmyptitis refers to inflammation of an intestinal crypt. It is not a feature of celiac disease. It is seen in Inflammatory bowel ...
Pathology
null
7c1db26f-e677-442a-95f1-f872ded8cfc4
Longest acting L.A
Bupivacaine
Tetracaine
Xylocaine
Procaine
1b
single
B i.e. Tetracaine
Anaesthesia
null
1132ce4d-5e2f-4faf-8c64-c959a5d90c80
When is the World No Tobacco Day celebrated?
1st May
31st May
1st August
31st August
1b
single
World no tobacco day is celebrated on 31st May. Ref: Health policies and programmes in India, D.K. Taneja 11th edition page: 368
Social & Preventive Medicine
null
ac74077a-dcdc-4b47-9984-cf7728d699b7
Antemortem and postmortem wounds could be differentiated by all, except -
Everted margins
Blood clots in surrounding
Swollen edges
Sharp edges
3d
multi
Antemortem wound shows gaping, everted and swollen edges with vital reactions of inflammation, infection and healing. It bleeds freely and shows extensive, deep and firmly adherent clotting (staining) of surrounding tissue which can't be washed away.
Forensic Medicine
null
c257f1bc-13d1-425a-92b1-2cc5770a2136
The normal range of total serum bilirubin is:
0.2-1.2 mg/100 ml
1.5-1.8 mg/100 ml
2.0-4.0 mg/100 ml
Above 7.0 mg/100 ml
0a
multi
Ans. A.0.2-1.2mg/100mlIncrease in serum bilirubin (2.4mg/dl) leads to jaundice. Bilirubin in serum exists in two forms: Free/unconjugated/indirect bilirubin which is water insoluble. Conjugate/direct bilirubin which is water soluble. Can be estimated by Van den Berg's diazo reaction.
Biochemistry
Miscellaneous (Bio-Chemistry)
5367a4f7-2571-49b1-907e-55c08c59072b
The structure that integrates impulses for eye-hand coordination is:
Superior colliculus
Frontal eye field
Pretectal nucleus
Area 17
0a
single
Superior colliculus integrates impulses for eye-hand coordination to control rapid directional movements of the two eyes. VISUAL PATHWAY Other impoant areas of the brain involved in visual pathway: Suprachiasmatic nucleus of the hypothalamus, to control circadian rhythms; Pretectal nuclei in the midbrain, to elicit ref...
Physiology
Special Senses
db5e30fe-4689-4c72-96a9-c8ba12d1233a
Autopsy of a specimen shows pale infarction. Pale infarct is seen in all of the following organs, EXCEPT:
Hea
Spleen
Lung
Kidney
2c
multi
Classification of Infarcts: Pale (white, anemic) infarcts: They occur as a result of aerial obstruction in solid organs such as the hea, kidney, spleen, and brain that lack significant collateral circulation. The continuing venous drainage of blood from the ischemic tissue accounts for the pallor of such infarcts. Red ...
Pathology
null
dbd390f4-2413-4045-8fbf-0815018a37ed
Accumulation of homogentisic acid causes?
Ochronosis
Tyrosinemia
Albinism
Tyrosinosis
0a
single
ANSWER: (A) OchronosisREF: Clinical Paediatric Dermatology by Thappa - Page 156, Differential diagnosis in internal medicine: from symptom to diagnosis - Page 347, http:.//en.wikipedia,org/wiki/Ochronosis,http: // en. wikipedia .org/wiki/AlkaptonuriaRepeat from December 2009, June 2009Ochronosis is the syndrome caused ...
Biochemistry
Amino Acid Metabolic Disorder
b35ee18a-9b55-4523-9a0f-4d2940c65ccd
All of the following are anti-Pseudomonal drugs except:-
Piperacillin
Cefoperazone
Ceftazidime
Cefadroxil
3d
multi
DRUGS EFFECTIVE AGAINST PSEUDOMONAS Beta lactam antibiotics Carboxypenicillins i. Carbenicillin ii. Ticarcillin Ureidopenicillin i. Piperacillin ii. Azlocillin iii. Mezlocillin Carbapenems i. Imipenem ii. Doripenem iii. Meropenem Monobactams i. Aztreonam Cephalosporins i. Ceftazidime ii. Cefoperazone iii. Moxalactam iv...
Pharmacology
Cell Wall Synthesis Inhibitors
9a8d423e-4c0a-4c17-943f-e194724eb6cd
Oronasal intubation is not indicated in?
Lefort 1 #
Lefort 2 and 3 #
Parietal bone #
Mandibular #
1b
single
Nasal intubation is contraindicated in severe fractures of midface, nasal fracture and basilar skull fracture
Surgery
null
be933adc-1c1a-4898-9057-3f88155639bb
Which of the following is a characteristic radiological finding in neonatal necrotizing enterocolitis –
Gas in the portal system
Gas in the intestinal wall
Pneumoperitonium
Air fluid levels
1b
multi
null
Pediatrics
null
fa7655c4-415a-4d08-99e1-6654faff9848
All of the following drugs can be administered in acute hypeension during labour,except
IV Labetalol
IV Nitroprusside
IV Hydralazine
IV Esmolol
1b
multi
Sodium nitroprusside is contraindicated in eclampsia. Contraindications. Sodium nitroprusside should not be used for compensatory hypeension (e.g. due to an anteriovenous stent or coarctation of the aoa). It should not be used in patients with inadequate cerebral circulation or in patients who are near death. Refer kDT...
Pharmacology
Cardiovascular system
77c3a79e-78a3-45f4-9d99-2455207bc7a9
Most common type of TAPVC -
Supracardiac
Cardiac
Infracardiac
Mixed
0a
single
Ans. is 'a' Supracardiac * Total anomalous pulmonary venous connection (TAPVC) is characterized by abnormal drainage of pulmonary veins into the right heart either by direct connection into the right atrium or into its tributaries.* According to the site or level of connection of the pulmonary veins to the systemic ven...
Pediatrics
C.V.S.
6a6bf3af-a219-40a7-b86a-a2c8e12f7bf7
All of the following benzodiazepines can be used in the elderly and those with liver disease EXCEPT:
Lorazepam
Oxazepam
Triazolam
Diazepam
3d
multi
Benzodiazepines which are short acting and not metabolized by the liver include: S: Short-acting BZD T: Triazolam, Temazepam O: Oxazepam L: Lorazepam E: Estazolam
Pharmacology
null
40f84df1-a2ea-4167-a016-9d564791dcaf
Barr body is seen in :
Turners syndrome
Klinefelters syndromeTesticular feminisation
Tesiicular leminisation syndrome
46 XY
1b
single
Klinefelters syndrome
Gynaecology & Obstetrics
null