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135
586ef1ea-10ea-434c-b773-add47542a822
Osteoporosis is characterized by all the following except -
Decreased bone mineral density
Decreased Serum Calcium, phosphorus and alkaline phosphatase is seen
Glucocorticoids can cause osteoposis
Dorsolumbar spine is the most coomon site of osteoporotic fracture
1b
multi
Ans. is 'b' i.e.. Decreased Serum Calcium, phosphorus and alkaline phosphatase is seen o Osteoporosis is a state of decreased mass per unit volume of a normally mineralized bone. Osteoporosis is the commonest metabolic bone disease. Osteoporosis is characterized by an abnormally low bone mass (low bone density) and def...
Orthopaedics
Metabolic Disorders Leading to Osteosclerosis
6ec07cfe-92b2-4fad-a939-0b7c65d2ee83
Insulin causes lipogenesis by all, EXCEPT:
Increasing acetyl CoA carboxylase activity
Increasing the transpo of glucose into the cell
Inhibits PDH
Decreased intracellular cAMP level
2c
multi
Insulin increases the activity of PDH (Pyruvate dehydrogenase). Insulin increases the recruitment of GLUT to the surface of various cells and thus increases the uptake of insulin various cells. Insulin has got inhibitory effect on adenylyl cyclase activity and so cause dephosphorylation. Insulin increases the activity ...
Biochemistry
null
7fda6e2f-c97e-4aeb-a25e-5204a199a381
MOA of Teduglutide in sho bowel syndrome?
GLP-2 inhibitor
HT1a inhibitor
GLP-1 analogs
C-peptide analogs
0a
single
Ans. A. GLP-2 inhibitorGlucagon-like peptide-2 (GLP-2) - Impoant intestinotrophic growth factor & mediator of intestinal adaptation.FDA approved teduglutide (Gattex--NPS) to treat sho bowel syndrome in adult patients requiring additional nutrition from I.V. parenteral nutrition.Effectively improves fluid absorption.
Pharmacology
null
7bb13976-634c-4905-8f5c-c26a3ceb709c
All of the following is true about basal cell carcinoma except
most common site is upper eyelid
locally invasive
rarely metastasizes
associated with exposure to sun
0a
multi
null
Surgery
null
9a8c3913-7c3c-41e6-9235-c751b13e9dce
Brachial cyst is lined by:-
Columnar epithelium
Cuboidal epithelium
Squamous epithelium
Ciliated columnar epithelium
2c
single
Brachial cyst is lined by squamous epithelium. A branchial cyst develops from the vestigial remnants of the second branchial cleft, is lined by squamous epithelium and contains thick, turbid fluid. The cyst usually presents in the upper neck in early or middle adulthood and is found at the junction of the upper third a...
Surgery
Neck
8c01a192-ef37-4813-9287-f51835f3a084
All of the following are true about Frederich's ataxia except-
Autosomal recessive
Spinal cord, dorsal root ganglion cell are primarily involved
Weakness in lower limbs
Plantar flexor response
3d
multi
null
Medicine
null
4ee56b82-4319-49ee-a513-aec33a38abf2
Years of life lost due to premature death and years lived with disability is known as
HALE
DALY
Sullivan's index
HDI
1b
single
DALY Number of years lost due to ill-health, disability or early death 1 DALY = 1yr of healthy life lost Ref : Park&;s Textbook of Preventive and Social Medicine; 23rd edition - Pgno. 26
Social & Preventive Medicine
Concept of health and disease
0157775b-af9e-470a-8f40-927e0d35daab
Most specific antibody in SLE is -
Anti nuclear
Anti Sm
Anti Ro
Anti histone
1b
single
Ans. is 'b' i.e., Anti Sm Auto anti bodies in Systemic Lupus Erythematosuso Antinuclear antibody-best screening test.o Anti DS DNA antibody-Specific for SLE only in high litres.o Anti Smantbody-Specific for SLE.o Anti Ro (SS - A) antibody-Predisposes to Sicca syndrome, subacute cutaneous lupus and neonatal lupus with c...
Pathology
Autoimmune Diseases
d68fab39-0df2-4846-a5d7-65cc7b5f181b
Waxy flexibility is a feature of -
Echopraxia
Catatonia
Stereotype
Mannerism
1b
single
Ans. is 'b' i.e., Catatonia Disorders of motor activityo Disorder of motor activity may beMannerism Odd, repetitive and goal directed movements, e.g., waving, saluting.Stereotype Odd, repetitive movements which are not goal directed e.g., rocking to and fro. Repetition of speechs (words, phrases) may also occur. Sterot...
Psychiatry
Schizophreniform Disorder
584fba2e-5b9f-499f-8f8c-a75e1cd9aa13
Graft rejection is ?
Cell mediated
Humoral
Both
None
2c
multi
Ans. is 'c' i.e., Both
Pathology
null
aab24930-96ba-4192-b1bf-24d497d10a96
AFP is a marker is tumor marker for -
Hepatocellular carcinoma
Prostate carcinoma
Renal cell carcinoma
Colon carcinoma
0a
single
Ans. is 'a' i.e., Hepatocellular carcinoma Tumor MarkersCancerNon-Neoplastic ConditionsHormonesHuman chorionic gonadotropino Gestational trophoblastic disease, gonadal germ cell tumoro Medullary' cancer of the thyroido PheochromocytomaPregnancyCalcitoninCatecholaminesOncofetal AntigensAlphafetoproteinCarcinoembryonic a...
Pathology
Hallmarks of Cancer
6cdd152c-277a-472a-bb60-36cb3448d662
A 6-year-old child presented with history of recurrent upper respiratory tract infections, mouth breathing, nasal obstruction and hearing impairment. Management will be:
Tonsillectomy
Adenoidectomy with grommet insertion
Myringotomy with grommet
Myringotomy
1b
single
Symptoms of nasal obstruction, mouth breathing and hearing impairment are due to adenoids, and adenoidectomy would be required. Since the child also suffers from hearing impairment (due to otitis media with effusion), a myringotomy with grommet insertion will be required. Simply doing myringotomy (optimised) will lead ...
ENT
Nose and PNS
bd789587-e592-4318-a1dd-f1f16dbd4690
Histamine acts on-
G protein coupled receptors
Ligand gated ion channels
Enzyme linked receptors
Intracellular recepters
0a
single
Ans. is 'a' i.e., G protein coupled receptors o Histamine acts on G-protein coupled membrane receptors : -i) H1 histaminic receptors - Linked to adenylyl cyclase and act through cAMPii) H2 histaminic receptors - Linked to IP3-DAG system.o Muscarinic receptors (cholinergic receptors) in heart are M2 type. These are resp...
Physiology
Chemical Messengers: Receptors
53aa60d3-dae9-4a87-83ee-356175d98fdf
Total score in standard minimental status examination (MMSE) is
25
30
32
35
1b
single
Ans. b (30) (Ref Harrison's medicine 17th/ Table 365-5)Cognitive and Neuropsvchiatric ExaminationBrief screening tools such as the mini-mental state examination (MMSE) help to confirm the presence of cognitive impairment and to follow the progression of dementia.The MMSE, an easily administered 30-point test of cogniti...
Psychiatry
Miscellaneous
7538e508-8cb8-49c3-a76b-f4e22a21489a
Lack of Homogentisate oxidase enzyme causes
Phenylketonuria
Alkaptonuria
Maple syrup urine disease
Homocystinuria
1b
single
(B) Alkaptonuria # ALKAPTONURIA: The defective enzyme in alkaptonuria is homogentisate oxidase in tyrosine metabolism. Homogentisate accumulates in tissues & blood, gets oxidized to the corresponding quinones, which polymerize to give black or brown colour. For this reason, the urine of alkaptonuric patients resembles ...
Biochemistry
Miscellaneous (Bio-Chemistry)
fd72d462-31c0-41ad-87b8-7dba476792ab
Enzyme involved in binding of & for conjugated bilirubin formation is
Kinases
Ligases
Syntheses
Transferases
3d
single
In the liver, bilirubin is conjugated with glucuronic acid by the enzyme glucuronyltransferase, making it soluble in water: the conjugated version is the main form of bilirubin present in the "direct" bilirubin fraction. Much of it goes into the bile and thus out into the small intestine. Ref biochemistry satyanarayana...
Biochemistry
Structure and function of protein
640ca244-c2ea-4513-ac49-55433008a3d8
Most common hallucination in delirium are ?
Auditory
Visual
Olfactory
Tactile
1b
multi
Ans. is 'b' i.e., Visual (Ref: Niraj Ahuja &/e p. 2Q, Essential of clinical psychiatry 4h/e p. 319)Visual hallucinations are most common in delirium.Auditory hallucinations are common in schizophrenia.
Psychiatry
null
702dfadc-d831-4505-9d52-8fba75741425
The complications of shoulder presentations are all of the following except
Fetal death
Uterine rupture
Obstructed labour
Shoulder dystocia
3d
multi
Complications of shoulder presentation Cord prolapse Tonic contraction of uterus Obstructed labor Rupture of uterus
Anatomy
Abnormal labor
1544707e-ade2-46b9-9da7-a8f145a80f2c
Lung capillary volume is -
50 ml
150 ml
300 ml
500 ml
1b
single
Ans. is 'b' i.e., 150 ml o Total capillary blood valume in lung- 104 ml.o Total pulmonary capillary surface area - 70 m2o Volume of blood per alveolus - 4.7 x 10-7 ml.o Capillary surface area per alveolus - 23.4 x l04 cm2o Number of capillary segments - 280 x 109
Physiology
Functional Anatomy - Respiratory System
74ad26ed-3bbc-4bc6-b4db-531eddfbbdb4
Diethylstilbesterol causes the following defects expect
Renal anomalies
Incompetent cervix
T saped uterus
Vaginal adenosis
0a
single
Diethylstilbesterol defects Neural tube defects Vaginal and cervical adenosis Clearcell adenocarcinoma Uterine anomalies Cryptorchidism Testicular hypoplasia TEXTBOOK OF OBSTETRICS,SHEILA BALAKRISHNAN,PG NO:565,2nd edition
Gynaecology & Obstetrics
Congenital malformations
4b2f2c50-b4a2-468a-92c0-9aafa39fbd9a
Who introduced cocaine in psychiatry :(
Freud
Jung
Milar
Stanley
0a
single
A. i.e. Freud
Psychiatry
null
c0f9166f-2e4f-4a2c-b790-c73ffcc50e4b
An eleven year old boy is having Tinea capitis on his scalp. Which of the following is the most appropriate line of treatment of this condition?
Shaving of the scalp
Oral griseofulvin therapy
Topical griseofulvin therapy
Selenium sulphide shampoo
1b
single
Tinea capitis is the infection of skin of scalp and hair by fungi. Microsporium and Trichophyton tonsurans are the most common causative organisms. Oral Griseofulvin is the drug of choice for Tinea capitis. Other oral drugs which are useful includes ketoconazole, itraconazole and tebinafine. Ref: Oski's Essential Pedia...
Skin
null
784919c8-cdf7-4c3b-8d7d-1e125d122f3d
The % formaldehyde in buckely's formocresol is
15%
19%
25%
20%
1b
single
null
Dental
null
1b55184c-f242-4a92-8d7d-73c9c8b21a60
Drug used only for treatment of postprandial hyperglycemia is
Alpha glucosidase inhibitors
Rapaglinide
Sulfonylureas
Metformin
1b
single
Alpha glucosidase inhibitors - effect on both prandial and post prandial sugar ,that act as competitive inhibitors of enzymes needed to digest carbohydrates Rapaglinide is used only for treatment of postprandial hyperglycemia Sulfonylureas is for maintenance of type 2 DIABETES MELLITUS Metformin is drug of choice for t...
Pharmacology
Pancreas
9b7127ee-a391-43df-860d-90e87137c2b9
Asteroid bodies may be produced by:
Sporothrix
Sporotrichosis
Phialophora
Aspergillus
1b
single
Sporotrichosis
Microbiology
null
9d4160cc-66d4-42c7-806c-657af0c73534
Staphylococcal toxic syndrome is due to
Enterotoxin A
Enterotoxin B
Enterotoxin C
Enterotoxin D
1b
single
Toxic shock syndrome(TSS) is a potentially fatal multisystem disease presenting with fever, hypotension, myalgia, vomiting, diarrhea, mucosal hyperemia and an erythematous rash which desquamates subsequently.TSST(Toxic shock syndrome toxin) type 1 (formerly also known as enterotoxin type F or pyrogenic exotoxin C) is m...
Microbiology
Bacteriology
88b66d08-f8db-4fd9-ae6e-315ca171d540
all the following drugs are renal toxic except ?
tetracycline
tigecycline
minocycline
doxycycline
1b
multi
TIGECYCLINE : Its a glycycline compound similar to tetracycline uses : plague,mycoplasma,ricketessia,borellia, vrsa it is resistent to efflux excreated by bile so reno safe drug ref : kd tripathi 8th ed
Pharmacology
All India exam
5b3842a0-b7c7-425b-9848-9277235b643b
MAC of the volatile agent is reduced in all of the following except
Elderly
Acute alcoholic intoxication
Pregnancy
Hypernatremia
3d
multi
Hypernatremia causes CNS excitation thus increases MAC. Pregnancy decreases MAC because there is increase in progesterone level in pregnancy. progesterone has sedative effect on brain. age decreases MAC by 6%/decade Acute alchohol intoxication produce sedation thus decreases MAC
Anaesthesia
Inhalational Anesthetic Agents
116943d7-d5b9-408c-97d4-dde46acccfb8
Juvenile idiopathic ahritis includes all the following categories EXCEPT:
Psoriatic ahritis
Enthesitis related ahritis
Systemic ahritis
Reactive ahritis
3d
multi
Juvenile Idiopathic Ahritis includes : Systemic JIA- Systemic involvement seen Oligoaicular- Affects four or fewer joints, often the knee or ankle. Polyaicular ahritis, rheumatoid factor negative Polyaicular ahritis, rheumatoid factor positive Psoriatic ahritis Enthesitis-related ahritis Undifferentiated ahritis
Pediatrics
Other disorders of bone
a29500ac-c296-4f3a-97b9-e5c6a6e79de1
Post moem staining in case of "CO" poisoning is:
Blue
Brown
Bright red
Cherry red
3d
single
Cherry red
Forensic Medicine
null
e8095d18-e025-49fc-a172-b1dd1764aa97
Adult haemoglobin consists of which one of the following tetramer of chains ?
2α+ 2β
2α+ 2δ
2β + 2γ
2α + 2γ
0a
single
null
Medicine
null
9f0baf90-7007-40a0-a8c7-422064423ba9
Enteric fever is caused by ?
S typhi
S paratyphi A
S paratyphi C
All of the above
3d
multi
Ans. is 'd' i.e., All of the above Enteric fever The term enteric fever includes typhoid fever caused by S.typhi and paratyphoid fever caused by S. paratyphi A, B and C. The ability to resist intracellular killing and to multiply with in these cells is a measure of virulence of salmonella. The incubation period for S. ...
Microbiology
null
af470992-4105-4c8a-bc3c-0e4713f005f8
Degloving injury is overlsion injury involving
Skin only
Skin and subcutaneous tissue, with intact fascia
Skin and subcutaneous tissue along with fascia
Skin, subcutaneous tissue and muscle
2c
single
Degloving injury is avulsion injury involving skin and subcutaneous tissuewith intact fascia.
Surgery
null
5a24ae6a-fb64-41fd-a0b0-bad7c64af906
Secondary granules in neutrophil are:
Proteolytic enzymes
Nucleotidase
Lactoferrin
Catalase
2c
single
Lactoferrin is an enzyme present in the secondary granules of neutrophils. Neutrophil has 2 granules - primary & secondary. Enzymes present in these 2 are given below
Pathology
null
52dec404-7e46-46ca-b9d3-482d5954b372
Mapleson’s classification of anesthetic breathing system
Describes four systems A, B, C, D
Classifies the Bain system as Mapleson
Describes the T-piece as M
Describes the T-piece system as requiring a fresh gas flow rate of 1.5 – 2 times the minute volume
1b
single
The Mapleson D may be described as a co-axial modification of the basic T-piece system, developed to facilitate scavenging of waste anaesthetic gases. Circuit
Unknown
null
78047766-bc3e-4e0e-bbe7-b2b0c3125222
A primigravida came with 6 cm cervical dilatation with contraction rate of 3/10 minutes. Which stage of labor is she in?
1st stage
2nd stage
3rd stage
4th stage
0a
single
ANS. A* 1st stage (onset of true labor pain to full cervical dilatation)* 2nd stage (delivery of baby)* 3rd stage (delivery of placenta* 4th stage (1 hour observation).# Pictorial representation of stages of labor
Gynaecology & Obstetrics
Normal Labour
96f5c0be-3c55-4e47-92cc-8304f74ea234
In a Right handed person, left parietal lobe injury may he associated with all of the following except.
Aphasia
Acalculia
Urinary incontinence
Inferior quadrantic Anopsia
2c
multi
Answer is C (Urinary incontinence): Urinal:3rdincontinence is a feature of frontal lobe lesion and not parietal lobe lesion. Aphasia, Acakulia and Inferior quadrantic anopsia are all features of dominant (left) parietal lobe injury. Unilateral Parietal Lobe Contralateral hemisensory loss Astereognosis Agraphaesthesia C...
Medicine
null
1266e03d-0eb5-4ef4-b406-869f0e7c8e12
Which among the following is most resistant to plasmodium falciparum infection?
Adult male
Adult female
Children
Newborn infant
3d
single
Ans: d (Newborn..) Ref: Park, 19th ed, p. 213Even though malaria affect all ages, newborn infants have considerable resistance to infection with P. falciparum.This has been attributed to the high concentration of fetal haemoglobin during the first few months of life which suppress the development of P. falciparum.
Social & Preventive Medicine
Communicable Diseases
b43b8771-750c-47c4-a594-c0847748059c
Liking to wear clothes of opposite sex: NEET 13
Fetishism
Masochism
Transvestism
Sadism
2c
single
Ans. Transvestism
Psychiatry
null
1731c6aa-34f0-42a5-b696-63248d306948
Trethowan sign is used in radiological diagnosis of?
TB Hip
Pehes Disease
Slipped Capital Femoral Epiphysis
Avascular Necrosis of head of femur
2c
single
TRETHOWAN'S SIGN In normal hip a line drawn tangential to superior femoral neck (Klein's line) intersects small poion of lateral capital epiphyseal. In posterior displacement of epiphyses the line doesn't intersect.
Radiology
Radiology Q Bank
12a51307-9ec2-49c4-8245-f4df4a807445
Thymoma is associated with-
Myasthenia gravis
Polycythemia
Ectopic ACTH
Polyarteritis nodosa
0a
single
Ans. is 'a' i.e., Myasthenia gravis o Thymomas are associated with a wide variety of paraneoplastic disorders the most common of which is mvaesthenia graviso Mvaesthenia eravis is seen in about 30-40% cases of ThymomaParaneoplastic syndromes associated with ThymomaAutoimmuneEndocrine disordersNeuromuscular syndromeHema...
Medicine
C.N.S.
7e0bc909-357a-44e2-b391-6867743916b9
Antimicrobial agent by inhibition of cell wall wall synthesis is
Erythromycin
Tetracycline
Lomefloxacin
Cefepime
3d
multi
Refer KDT 6/e p 668 Cefepime is a beta lactam antibiotic It acts by inhibiting cell wall synthesis
Pharmacology
Chemotherapy
22d88395-0e90-47d9-a5a2-5c8e0772c32a
Periodic acid schiff stain shows block positiveity in
Myeloblasts
Lymphoblasts
Monoblasts
Megakaryoblasts
1b
single
null
Pathology
null
ab06d9b4-7f9c-4e9f-a1ce-a7520a8e68b5
A complex interaction among lymphocytes, inflammatory cells and other cellular elements in connective tissue are mediated by a series of low molecular weight proteins called
Bradykinin
Histamine
Cytokines
Kallikrein
2c
multi
null
Dental
null
7e7ca971-5fe0-4e70-bc29-f7ae5912ab42
Lid retraction is caused by?
Bimatoprost
Latanoprost
Brimonidine
Apraclonidine
3d
single
Ref:KD Tripathi pharmacology 7th edition (page.no: 154) Apraclonidine causes eyelid retraction due to stimulation of a1 receptor. Brimonidine cause less prominent lid retraction due to weaker a1 activity Ref-Drug facts and comparison 2006/2257
Pharmacology
Autonomic nervous system
3993a3d7-1d62-4f8a-8be3-ca66a050a388
False regarding croup is ?
Disease include epiglottis, laryngitis, laryngotrachictis
Brassy cough is main presenting feature
Causes upper airway obstruction
All of above
2c
multi
Ans. is 'c' i.e., Causes upper airway obstruction Croup is variety of condition which include acute epiglottis, laryngitis, trachiobronchitis. Infection of lower respiratory tract. Brassy cough main presenting feature. Treatment Humidified I.V. fluid Antibiotics Nebulisation Steroid.
Pediatrics
null
7a916149-ca05-4769-b8b9-7ed390328a70
Residual urine is?
Urine left in the urinary bladder after micturation
Normal phenomenon
Never seen with urinary bladder dysfunction
Common finding of examination anxiety
0a
single
Initially urinary bladder respond at irregular intervals to adequate internal distance and by contraction of detrusor muscle. these contractions are not powerful enough or well coordinator result in incomplete maturation. Thus a large volume of urine may be left in the bladder called as residual urine. Ref: page no 584...
Physiology
Renal physiology
c9880772-f1fd-4ba4-9556-ab4798c22ce1
Wredin's test is significant in live born fetus related to
Lungs
Stomach
Skull
Middle ear
3d
single
Wredin's test After bih, the gelatinous substance in the middle ear is replaced by air through Eustachian tube. This is now considered as not a reliable test. Ref: FORENSIC MEDICINE AND TOXICOLOGY Dr PC IGNATIUS THIRD EDITION PAGE 351
Forensic Medicine
Sexual offences and infanticide
29234ce1-2113-4f42-af98-0ca20228e289
Which of the following do not form violet colour in Biuret test?
Dipeptides
Alanine
Lactose
All of the above
3d
multi
Biuret test is for proteins. This test requires minimum of two peptide bonds.
Biochemistry
null
bc79240e-c3df-4cb0-a51f-143e7e4371b0
All the following features are seen in neurons from dorsal root ganglia, EXCEPT:
They are multipolar
They contain lipofuscin granules
They have centrally located nuclei
They are derived from neural crest cells
0a
multi
Dorsal root ganglion consist of sensory neurons which are pseudounipolar and have no synaptic connections in the ganglion. They are classified as pseudounipolar because it lacks dendrites and has a single axon that bifurcate into a centrally efferent branch that functions as a dendrite to carry afferent sensory signals...
Anatomy
null
9ef4ee56-cfdd-46ab-9eed-40695f304cf9
lesion producing incongrous Homonymous Hemianopia with Wernicke's Hemianopia pupil
Optic tract
Visual coex
Optic radiation
Optic Nerve
0a
single
ref : ak khurana 7th ed
Ophthalmology
All India exam
93574400-04c8-4aa0-8cf8-bcc4c5d78097
The probable interval between throat infection and onset of rheumatic fever is
2-4 hours
2-4 days
2-4 weeks
2-4 months
2c
single
Rheumatic fever is an acute, immunologically mediated, multisystem inflammatory disease that occurs after group A b-hemolytic streptococcal infections (usually pharyngitis, but also rarely with infections at other sites such as skin). Acute rheumatic fever occurs most often in children; the principal clinical manifesta...
Pathology
Cardiovascular system
84262175-a878-4dca-8836-c9594f099fd2
A 50-year-old obese man with hyperlipidemia, hypertension, and type 2 diabetes mellitus comes to the physician for a routine examination During the visit he asks, “What is my risk of having a heart attack?” While searching your information database, which of the following represents the best study design to address h...
Case-control study
Case series
Cohort study
Cross-sectional study
2c
single
null
Social & Preventive Medicine
null
c9d82358-382f-459e-9630-e9f21d5898f7
Hemodialysis associated with amyloid pattern -
AA
AL
Beta-2-microglobulin
ATTR
2c
single
b2-Microglobulin, a component of MHC class I molecules and a normal serum protein, has been identified as the amyloid fibril subunit (Ab2m) in amyloidosis that complicates the course of patients on long-term hemodialysis. Ab2m fibers are structurally similar to normal b2m protein. This protein is present in high concen...
Pathology
General pathology
9137ec12-29a9-4273-b474-9b9ac9c1d65e
Maxillary posteriors proximally are
Trapezoid
Rhomboid
Pentagonal
Triangular
0a
multi
null
Dental
null
66401b6e-3d77-4a39-ba85-d5ee7af05961
Example of Multiphase screening is:
Chest X-ray for TB large population
Annual health check up
Pap smear in old females
Mammography in all young female
1b
multi
Multiphasic screening: application of two or more screening tests in combination to a large number of people at one time. Example: annual health check ups. Multipurpose screening: screening by more than one test done simultaneously to detect more than one disease. Example: screening of a pregnant women for VDRL, HIV, H...
Social & Preventive Medicine
Screening
689d1308-f50c-4f53-9803-71f92562eb2e
Which of this pa of veebral canal will show secondary curves with concavity backward?
Cervical
Thoracic
Sacral
Coccyx
0a
single
In veebrates, cervical veebrae (singular: veebra) are the veebrae of the neck, immediately below the skull. Thoracic veebrae in all mammalian species are those veebrae that also carry a pair of ribs, and lie caudal to the cervical veebrae.
Anatomy
Head and neck
0d4920e2-90a4-4799-8428-33630d9eed8c
What is the X-ray view used for optic canal/orbital foramen?
Water's view
Towne's view
Rhese view
Caldwell's view
2c
single
RHESEView XRay views for evaluating Orbit : Rhese view is used for Optic Canal Caldwell View is for Superior Orbital fissure Townes View for Inferior Orbital Fissure Waters View for Orbital Floor Caldwell's view Frontal sinus, superior orbital fissure CXR Erect view Pneumoperitoneum Ipsilateral lateral decubitus Minima...
Radiology
X-RAYS
77113d5f-19c2-4789-8a32-85e8592de8ac
Malignancy in pheochromocytoma is indicated by-
Vascular invasion
Mitotic figures
Capsular invasion
metastasis
3d
single
"Because malignant and benign pheochromocytomas may have an identical histological appearance, the only absolute criterion of malignancy is metastasis" ​"The diagnosis of malignant pheochromocytoma is made only when metastasis is demonstrated"
Pathology
null
c4c228ad-76f5-4927-bb73-fd8f8e6108d9
Visual acuity of 6/60 is classified as
Blind
Low vision
Visual morbidity
Normal vision
1b
single
This means you can see at 6 metres what someone with standard vision could see from 60 metres away. The figures 6 / 60 or 3 / 60 are how the result of a Snellen test are written. The first number given is the distance in metres from the cha you sit when you read it Low vision is the term used to describe significant vi...
Ophthalmology
Optics and refraction
73dce61e-3260-4f4f-87d3-276743dacc14
Not true regarding Irritable bowel syndrome
Improvement with defecation
Most common is diarrhea followed by constipation
Onset associated with a change in frequency of stool
Onset associated with a change in form of stool
1b
multi
Most common is constipation followed by diarrhea.
Medicine
null
297965bb-2d36-4d5c-b847-9788e7df8ac6
Ahritis is not a pa of
Lupus
Psoriasis
Wegner's granulomatosis
Reiter's syndrome
2c
single
Lupus has non-erosive, intermittent polyahritis. Diagnostic criteria for ahritis in SLE includes non-erosive ahritis involving two or more peripheral joints characterised by tenderness, swelling or effusion.Psoriatic ahritis involves PIP, DIP, MCP and wrist. Sparing of any joint may or may not be present.Reiter's syndr...
Medicine
All India exam
e8c4ead0-348a-4e4a-8cb4-ce73b4574cdb
After a solid organ transplantation, which of the following is responsible for acute graft rejection.?
C3a
C3b
C5a
C4d
3d
single
Ans. (d) C4d(Ref: Robbins 9th/234)Acute antibody-mediated rejection is manifested mainly by damage to glomeruli and small blood vessels. Typically, the lesions consist of inflammation of glomeruli and peritubular capillaries, associated with deposition of the complement breakdown product C4d, which is produced during a...
Pathology
Immunity
164d1fb4-dd04-4f25-b3f0-f6c355b0ee86
Infant with no social smile, no eyebrows, protruded tongue. Diagnosis –
Cretinism
Down's syndrome
Mucopolysaccharidosis
Rickets
0a
single
null
Pediatrics
null
1473fda2-4619-4005-9e9f-b9eeeda3cf98
Infra-abdominal calcificaition in a plane X-ray abdomen is most often seen in -
Meconium ileus
Meconium peritonitis
Meconium plug syndrome
Necrotising enterocolitis
1b
single
Ans. is 'b' i.e., Meconium peritonitis
Surgery
null
e36b9ed0-1929-437b-9faa-50b35fd59680
Which of the following pattern is reflected in the flow volume curve?
Obstructive airway disease
Restrictive airway disease
Mixed pattern airway disease
Central hypoventilation syndrome
0a
single
Ans. (a) Obstructive airway disease.
Radiology
Imaging of Interstitial Lung Disease
129603a6-bc4f-4411-b0aa-2f353e679ab2
The commonest site of fracture in Base of Skull?
Anterior Cranial fossa
Middle cranial fossa
Posterior cranial fossa
Lateral cranial fossa
1b
single
The common sites of fracture in the skull are:(a) The parietal area of the vault.(b) The middle cranial fossa of the base. This fossa is weakened by numerous foramina and canals.The facial bones commonly fractured are: (a) The nasal bone and (b) the mandible.Some clinical features of petrous temporal bone fractureBattl...
Anatomy
Head and neck
ce3564db-0650-49f6-8bd2-2a88c70e9394
While giving IANB nerve block, postoperatively the patient complains of trismus due to:
Injection into buccinator
Injection into parotid capsule
Injection into medial pterygoid
Paralysis of nerve
2c
single
Trismus is inability to open mouth due to muscle spasm. It is caused by injection into medial pterygoid muscle resulting in hematoma formation or infection. The application of heat and administration of antibiotics relieve the symptoms.
Surgery
null
e4bdf480-c628-403f-b50c-30218eaa03ed
Which of the following is the most common manifestation of hemophilia?
Hemoptysis
Hemarthrosis
Hematemesis
Mucosal bleeding
1b
single
Ans. (b) Hemarthrosis(Ref: Robbins 9th ed p 663)In all symptomatic haemophilia cases there is a tendency toward easy bruising and massive hemorrhage after trauma or operative procedures. In addition, "spontaneous" hemorrhages frequently occur in regions of the body that are susceptible to trauma, particularly the joint...
Pathology
Bleeding Disorders
99b49bf8-d816-4d6e-8e66-b946d343f86f
Which is not used in the treatment of endometriosis :
Danazol
Tamoxifen
Medroxyprogesterone
GnRH analogues
1b
single
Tamoxifen
Gynaecology & Obstetrics
null
adb8b98a-ddb0-401f-b5f4-e96d6b390244
Which one of the following is a cause for "Restrictive cardiomyopathy" -
Alcohol
Hemochromatosis
Amyloidosis
Sarcoidosis
2c
single
null
Medicine
null
77c25799-730d-496b-88a9-7e68e88acaba
Prussak space is in
Epitympanum
Mesotympanum
Hypotympanum
Inner Ear
0a
single
null
ENT
null
3cc5b850-44e1-42a9-ba29-26be91aafbcc
A 60 year old man presents with non productive cough for 4 weeks: He has grade I clubbing, and a lesion in the apical lobe on xray. Most likely diagnosis here is -
Small cell ca
Non small cell ca
Fungal infection
Tuberculosis
1b
multi
null
Medicine
null
7ff9f301-09ee-485e-95b5-677be5d7b51a
Serum C3 is persistently low in the following, EXCEPT:
Post streptococcal glomerulonephritis
Membranoproliferative glomerulonephritis
Lupus nephritis
Glomerulonephritis related to bacterial endocarditis
0a
multi
Post streptococcal glomerulonephritis is associated with normal C4 levels and decreased CH50 and C3 levels in more than 90% of the cases, and these return to normal in 1 -3 months. A normal serum complement in the acute phase as well as hypocomplementemia lasting longer than 1-3 months should raise the suspicion of a d...
Pathology
null
b9e45cd1-dbdf-4e75-beee-5b63f62adef3
Primary treatment of middle Ear Cholesteatoma is -
Surgery
Medical and Surgery
Radiotherapy
Chemotherapy
0a
single
null
ENT
null
0549cfba-26c0-4dd1-954a-5d2a055705b8
All of the following components or qualities of stored whole blood tend to decrease over time except:
Red blood cell viability
Potassium concentration
PH
Platelet activity
1b
multi
null
Medicine
null
6e202518-4095-4e4f-a178-1476d92328c7
Tonsillectomy is contraindicated in which of the following situations ?
Diphtheria (after four weeks)
Acute tonsillitis
For avulsion of glossopharyngeal nerve
Suspected tonsillar malignancy
1b
single
null
ENT
null
cdaf6005-0f85-4bb2-bc38-cdb589ec0aba
Viral DNA is integrated into Bacterial DNA in:
Transduction
Lysogenic conversion
Transformation
Conjugation
1b
single
Ans. (b) Lysogenic conversion
Microbiology
null
e45230c6-70a1-4839-9496-a3f433bd89f9
Anesthetic agent used in ECT is
Ketamine
Thiopentone
Propofol
Methohexitol
3d
single
Methohexitol is a barbitutate used as induction agent in ECT.
Psychiatry
null
86807420-10ab-48d8-ab95-98930978783d
Ferning of cervical mucus (fern test) is due to:
Presence of NaCl under progesterone effect
Presence of NaCl under estrogenic effect
LH/FSH
Mucus secretion by Glands
1b
single
Fern test- A specimen of cervical mucus obtained using a platinum loop or pipette is spread on a clean glass slide and allowed to dry. When viewed under low power microscope during the estrogenic phase, a characteristic pattern of fern formation is seen. Ferning is due to the presence of high NaCl and low protein conte...
Gynaecology & Obstetrics
Infertility
ad476174-31d7-4e38-adba-f43cd8efb396
Abdominal compament syndrome is characterized by the following except -
Hypercarbia and respiratory acidosis
Hypoxia due to increased peak inspiratory pressure
Hypotension due to decrease in venous return
Oliguria due to ureter obstruction
3d
multi
Ans. is `d' i.e., Oliguria due to uretic obstruction
Surgery
null
f9e5a89d-3084-48b1-be3a-d8835046cef2
All of the following factors are responsible for resurgence of malaria, except:
Drug Resistance in Parasite
Insecticide Resistance in vectors
Antigenic mutations in parasite
Use of bed nets
3d
multi
Mosquito nets are a personal protection measure from mosquito bites during sleep. They are not responsible for resurgence of malaria. Ref: Preventive and Social Medicine, by K.Park, 19th edition, Page 210, 219, 346, 628; Harrison's Principles of Internal Medicine, 16th edition, Page 1221.
Social & Preventive Medicine
null
b685b155-b089-497d-bd27-324767143f70
What is the treatment for stage 2 nonseminomatous tumors
Chemotherapy
RPLND followed by chemotherapy
Radiotherapy
Chevassu manoeuvre
1b
single
Nonseminomatous tumors aur chemosensitive. BEP regimen is used for stage 1 For stage 2 RPLND followed by chemotherapy is used
Surgery
null
342831c3-d298-400c-abf9-eff4c484a525
P. carnii is primarily a pathogen of:
Rabbit
Human
Rat
Dog
0a
single
Ans. a. Candida
Microbiology
null
ed26922b-ba58-4053-a1e6-69b6bd940139
Trimetazidine acts by
Inhibiting Rhokinase
Inhibits Molecular light chain kinase (MLCK) and increase cGMP
Inhibits pFox enzyme and inhibits β - oxidation of Fatty acids
Inhibits sodium channels and decreases funny current
2c
single
It  inhibits pFox enzyme and inhibits β - oxidation of fatty acids and increases glucose oxidation. Thus reduces the oxygen consumption & demand in an ischaemic cell.
Pharmacology
null
b785bf74-e385-4f16-b1ae-df13243b1c9d
Hanging curtain sign seen in ?
Pityriasis rosea
Pityriasis Versicolor
Psoriasis
Pityriasis Alba
0a
single
ANSWER: (A) Pityriasis roseaREF: Dermatology. 1995: 190(3):252. PubMed PMID: 7599393, Clinical Pediatric Dermatology - By Thappa Page 104Repeat Dermatology June 2010
Unknown
null
16d8fc47-09ef-4bb3-8b77-43033ed1a40c
Right border of the hea in a chest X-ray is not formed by:
WC
SVC
Right atrium
Aoa
3d
single
Ans. Aoa
Radiology
null
3069f160-f2b2-4016-b109-cfb595ac49b5
What is TRUE about antinuclear antibody (ANA) -
Anti-RNA antibody is specific for SLE
Double stranded Anti-DNA is specific for SLE
ANA normally present in 80%
None of the above
1b
multi
Ans. is 'b i.e., Double stranded Anti-DNA is specific for SLE "Antibodies to double - stranded DNA and the Smith (Sm) antigen are viually diagnostic of SLE". -- Robbins Antibodies in SLE SLE is an autoimmune disease and the fundamental defect is a failure of mechanism that mantain self tolerance. o Failure of tolerance...
Pathology
null
c0d7d813-5c23-4401-907d-ad38792cbd2d
Stratified squamous epithelium is seen in all of the following EXCEPT
Vagina
Skin
Gall bladder
Tongue
2c
multi
Stratified squamous epithelium is seen in skin and all the openings since it is protective It is present in skin, vagina and in tongue but not in gall bladder which is lined by simple columnar epithelium with microvilli
Anatomy
Epithelial tissue
1c527626-f4c1-442b-9347-6217c9c2a997
Which statement about first order kinetics is TRUE?
Constant amount of drug is eliminated
Rate of elimination remains constant
Rate of elimination is directly propoional to drug concentration
Free drug concentration increases after successive doses
2c
multi
In first order/exponential kinetics: Rate of elimination is propoional to the plasma drug concentration Clearence and tl/2 remains constant Constant fraction of the drug is eliminated in unit time Most of the drugs follow first order kinetics Zero order/linear kinetics Rate of elimination remains constant irrespective ...
Pharmacology
null
0c87ae18-5c61-4fb2-8257-4b9d354e30aa
Hatter's shake is seen in
Phosphorus poisoning
Mercury poisoning
Arsenic poisoning
Lead poisoning
1b
single
Ans. is 'b' i.e., Mercury poisoning * Metallic mercury (para or quick silver) is not poisonous on ingestion, as it is not absorbed. But its vapours are poisonous. Mercuric compounds being soluble are more poisonous than mercurous compounds. Mercuric chloride (HgCl2), also called corrosive sublimate or perchloride of me...
Unknown
null
26305e4d-fcfb-4dd3-8ab1-97155500c841
CT scan was invented by-
Hounsfield
Roentgen
Cormack
Tesla
0a
single
Ans. is 'a' i.e., Hounsfield * A new method of forming images from X-rays (i.e. CT/CAT) was developed and introduced into clinical use by a British physicist Godfrey Hounsfield in 1972.* Godfrey Hounsfield is considered as the inventor of CT/CAT.
Radiology
Fundamentals In Radiology
a088334a-56d0-4114-8914-01b7ff31c049
Maximum concentration of coisol is seen at which time of day?
Early morning
Noon
Late evening
Midnight
0a
single
Coisol is the principal glucocoicoid produced by the zona fasciculata of the adrenal coex. It promotes gluconeogenesis and lipolysis, suppresses protein synthesis, inhibits inflammatory and immune responses, and has mild mineralocoicoid(for example, hypernatremic, kaliuretic, antidiuretic) effects. Most plasma coisol i...
Physiology
Endocrinology
72f8ad37-61d7-406c-b86b-acfc37d34b87
Which of the following in an example of an amine precursor uptake and decarboxylation (APUD) type of tumor in the lung?
Squamous cell carcinoma
Adenocarcinoma
Bronchial hamaoma
Bronchial carcinoid
3d
single
A bronchial carcinoid is an example of an amine precursor uptake and decarboxylation (APUD) tumor or neuroendocrine tumor. This name is applied to ceain cells of the endocrine organs (e.g., anterior pituitary, pancreatic islets, C-cells in the thyroid, adrenal medulla, paraganglia) as well as single cells in various ti...
Medicine
Oncology
a6ab3fc1-7759-41fd-95fc-7b5207d13843
Which enzyme deficiency causes tyrosinemia type 1?
Fumaryl acetoacetate hydrolase
Tyrosine transaminase
HGA oxidase
Tyrosinase
0a
single
Fumarylacetoacetate is then hydrolyzed to fumarate and acetoacetate by a hydrolase (step 6, Fig.17.2). This results in the production of a glucogenic product (fumarate) and a ketone body (acetoacetate). Hence phenylalanine and tyrosine are paly glucogenic and paly ketogenic. Impoant Specialized Products from TyrosineRe...
Biochemistry
vitamins
4d9e6613-0c17-40aa-88e5-0cabdad79ba2
Xylometazoline nasal drops given before nasotracheal intubation to
Vasoconstriction of nasal mucosa
Dilatation of orifices
Decrease secretion
Dilation of posterior
0a
single
null
Pharmacology
null
220d25ea-a29f-438c-8f53-805044a6f51c
Most difficult criterion to establish Causal Association in aetiology of a disease is
Specificity of association
Strength of association
Temporality
Biological plausibility
0a
single
null
Social & Preventive Medicine
null
ad4bc5c1-a118-4334-8d05-8447b3edce24
Which one of the following in the characteristic feature of juvenile myoclonic epilepsy ?
Myoclonic seizures frequently occur in morning
Complete remission is common
Response to anticonvulsants is poor
Associted absence seizures are present in majority of patients
0a
single
Ans. is 'a' i.e., Myoclonic seuzures frequently occur in morning Juvenile myoclonic epilepsy-is an epilepsy syndrome. Epilepsy syndromes are disorders in which epilepsy is a predominant feature and there is sufficient evidence to suggest a common underlying mechanism. Juvenile Mvoclonic Epilepsy o It is characterized b...
Pediatrics
null
4895a5bc-f578-4481-8428-95c7cbf6fc7d
In oogenesis, first meiotic division completes ?
After ovulation
Before ovulation
During ovulation
At feilization
1b
single
Ans. is 'b' i.e., Before ovulation
Physiology
null
2b72e468-4dc7-4e9a-b850-d76a797a4326
Fetal growth is maximally affected by ____________
GH
Insulin
Coisol
Thyroxin
1b
multi
Fetal growth is affected by Fetal hormones Fetal growth factors (IGF1 &2) Placental factors Maternal factors Amongst the foetal hormones, thyroxine and insulin have role in tissue accretion and differentiation in foetus. Growth hormone levels are high but are not known to have any influence on the foetal growth. Ref- G...
Pediatrics
Growth and development