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135
7fb8a42b-2574-49f6-bf60-439ad7a8adbe
A 72-year-old man presents to the emergency depament complaining of frequent nose-bleeds. What is the most likely site of acute epistaxis?
Turbinate
Septum
Maxillary sinus
Ethmoid sinus
1b
single
The most common source of epistaxis is Kisselbach's vascular plexus on the anterior nasal septum. Predisposing factors include foreign bodies, forceful nose-blowing, nose-picking, rhinitis and deted septum
Surgery
Facial Injuries and Abnormalities
171893b3-0b02-4886-a6c9-ddd5b4d5be2b
Linitis plastica is a type of :
Gastric ulcer
Ca stomach
Duodenal ulcer
None of the above
1b
multi
Linitis plastica is a subtype of gastric cancer that is characterized by diffuse infiltrating adenocarcinoma without obvious caers and ulcers. It is thought to originate from parietal cell poion of gastric mucosa. Because of its diffuse nature ,this form of gastric cancer ususally involves the whole stomach. Ref : Clin...
Surgery
null
d4ee997e-1c66-4f12-80e4-328b5c58d73d
True about genital infection is?
Thin frothy secretions associated with mondial infection
Patients and partners are given metronidazole for mondial infection
Tetracycline is drug of choice for trichomonas vaginalis
Clue cells are associated with gardenella vaginalis
3d
multi
ANSWER: (D) Clue cells are associated with Trichomonas vaginalisREF: Shaw 14th ed p. 132Drug of choice for various genital infections in women:Chlamydia : azithromycin + contact tracing , in pregnancy erythromycin is 1st DOC , amoxicillin is 2ndTrichomonas : metronidazole to both the partnersBacterial vaginosis: metron...
Gynaecology & Obstetrics
Symptoms Associated with Genital Infections
f44e035d-1bbd-4532-ab5b-8ede8b50f985
Long acting glucocoicoid is ?
Dexamethasone
Triamcenolone
Prednisolone
Hydrocoisone
0a
single
Ans. is 'a' i.e., Dexamethasone
Pharmacology
null
c0cd281b-eef0-429e-bd6c-8f73af4f8f1d
An emergency room physician examines a patient who has fallen from a motorcycle and injured his shoulder. The clinician notices a loss of the normal contour of the shoulder and a abnormal-appearing depression below the acromion. Which of the following injuries did the patient most likely sustain?
Avulsion of the coronoid process
Dislocated shoulder joint
Fracture of the midshaft of the humerus
Fracture of the surgical neck of the humerus
1b
multi
The abnormal depression described is a characteristic tip-off for a dislocated shoulder joint. This is impoant to remember, as it may help you make a rapid diagnosis.Avulsion of the coronoid process of the ulna (at the elbow) can occur following a severe contracture of brachialis.Fracture of the midshaft of the humerus...
Anatomy
null
1a84297e-5c01-4cca-9241-3f13978026de
Given below shows an examination technique. The structure being examined originated from:-
Popliteal Aery
Anterior Tibial Aery
Post Tibial Aery
Dorsal Arch of Foot
1b
single
In the video ,structure being examined has originated from Anterior Tibial Aery =Dorsalis Pedis Aery Pulse can be palpated readily lateral to the Extensor Hallucis Longus Tendon (or medially to the Extensor Digitorum Longus Tendon) on the dorsal surface of the foot, distal to the dorsal most prominence of the navicular...
Anatomy
Blood supply, canals and triangle of lower limb
0584cae7-42db-4782-9ab6-4496f639703f
False about sjogren's syndrome
Kerato conjunctivitis sicca
Periductal and Perivascular lymphocytic infilteration
Parotid gland biopsy preferred
MALToma is most common lymphoma
2c
multi
Biopsy from Lip is preferred.
Medicine
null
ecc6f4a8-9d72-4c0c-8ace-d3bf5dcb1c4a
Proposed guideline values for Radioactivity in Drinking water is
Gross a activity 1.0 Bq/L and Gross b activity 10.0 Bq/L
Gross a activity 1.0 Bq/L and Gross b activity 0.1 Bq/L
Gross a activity 0.1 Bq/L and Gross b activity 1.0 Bq/L
Gross a activity 10 Bq/L and Gross b activity 1.0 Bq/L
2c
single
Key guideline aspects of WHO recommended drinking water quality: – Colour < 15 true colour units (TCU) Turbidity < 5 nephlometric turbidity units (NTU) pH: 6.5 – 8.5 Total dissolved solids (TDS) < 600 mg/litre Zero pathogenic microorganisms Zero infectious viruses Absence of pathogenic protozoa and infective stages of ...
Social & Preventive Medicine
null
50b0b136-937b-4408-86e2-a18d77e6ab92
In conductive deafness of right ear, Weber's test will show?
Lateralised to right side
Lateralised to left side
Normal
Centralised
0a
single
In middle ear pathology usually there is conductive deafness. With a unilateral conductive hearing loss, the tone is perceived in the affected ear. With a unilateral sensorineural hearing loss, the tone is perceived in the unaffected ear.
ENT
null
823f1bec-b55b-41e9-abe5-a0e858ce1776
Thromboangitis obliterans is associated with ?
HLA B27
HLA - DR4
HLA - B5
HLA - DR2
2c
single
Ans. is 'c' i.e., HLA - B5 Thromboangitis obliterans (Berger disease) Thrombangitis obliterans is a distinctive disease that is characterized by segmental, thrombosing acute and chronic inflammation of medium sized and small sized aeries, and sometimes secondarily extending to veins and nerves. Thromboangitis obliteran...
Pathology
null
d261323e-8dad-4231-810c-c468027569e9
All are histiocytosis except -
Letterer siwe syndrome
Chloroma
Hand schuller christian triad
Eosinophilic granuloma
1b
multi
null
Pathology
null
a2f140b3-6f92-49a1-af76-0e68444173cf
Anti-D should be given following Rh+ delivery within:
6 hours
24 hours
72 hours
7 days
2c
single
72 hours
Gynaecology & Obstetrics
null
6d2dfefa-1324-4ce6-a0c5-5fbbe8d09219
Erythema nodosum is seen in all Except
Salicylate poisoning
Typhoid
Tuberculosis
Leprosy
0a
multi
Drugs causing it are: Levofloxacin Medroxyprogesterone Minocycline Naproxen OC Penicillin Phenytoin Trimethoprim Sulfasalazine Sulphonamides *Erythema nodosum is a skin condition where red lumps appear on the shins and less commonly forearms and thighs. Often it may be the first sign of a systemic disease such as tuber...
Dental
All India exam
3110facf-3a67-4a68-a82d-fd0b1f2001a1
Platelets in stored blood do not live after
24 hours
48 hours
72 hours
96 hours
2c
single
Ans. is 'c' i.e., 72 hours Platelets are provided as a pooled preparation from one or several donors, usually as a 6-unit bag, which is the usual amount given to an average-sized adult. Each unit contains approximately 8 x 101deg platelets and should increase the platelet count by about 7000-10,000/ pL in a 75kg adult....
Medicine
null
d133ec16-3763-4312-96d9-b2d4fc1fa053
Fallen fragment sign is a feature of
Simple bone cyst
Aneuurysmal bone cyst
Giant cell tumor
Fibrous dysplasia
0a
multi
Fallen fragment sign and hinged faragemnt sing are signs of simple bone cyst SIMPLE BONY CYST : ACTIVE : Develop in patients under 10 years of age * Cyst arises adjacent to growth plate & may grow to fill most of metaphysis Bone may be slightly expanded within coical shell * May cause pathologic fracture PASSIVE : Pass...
Anatomy
Skeletal infections
d62fc2c1-44e4-4c05-a182-c6e262450782
Hepatomegaly with liver pulsations indicates
TR
MR
Pulmonary hypeension
MS
0a
single
Ref Harrison 19 th ed pg 1548 AyatoSys pulsqtpuls of liver and marked hepatomegaly are characteristic features of tricuspid regurgitation.
Medicine
C.V.S
fc066eb2-f672-4727-a4d8-bf9f1063df3a
The Alkayat and Bramely approach to the TMJ is a modification of the:
HemicoronaL approach
Retroauricular approach
Preauricualr approach
Risdon's incision
2c
single
null
Surgery
null
d4fca8ed-a3c3-4227-9294-5a1cd92d6a2f
Rise in BBT after ovulation is by :
0.5 degree Fahrenheit
1.0 degree Fahrenheit
0.5 degree Celsius
1.0 degree Celsius
0a
single
Ans:A.)0.5 degree Fahrenheit. Before ovulation, there is only a small amount of progesterone present in your body and your basal body temperatures (your resting temperatures) are in the lower range. After ovulation, when there is increased progesterone secreted from the corpus luteum, temperatures become elevated. The ...
Gynaecology & Obstetrics
null
f3b48a53-7f67-4ec9-880c-b84293b27f62
Treatment of choice in 65 year old female with impacted neck of humerus is:
Triangular sling
Arm chest strapping
Ahroplasty
Observation
0a
single
A i.e. Triangular sling
Surgery
null
33860565-6383-42b3-928d-75ce858ce0a4
Ectopic rest of normal tissue is known as -
Choristoma
Hamaoma
Pheudotumor
Lymphoma
0a
single
Choristomas, forms of heterotopia, are closely related benign tumors, found in abnormal locations. The two can be differentiated as follows: a hamaoma is an excess of normal tissue in a normal situation (e.g. a bihmark on the skin), while a choristoma is an excess of tissue in an abnormal situation (e.g. pancreatic tis...
Pathology
General pathology
7b5854a9-ba69-482b-9f76-9a49efef85db
Regarding Chronic Viral Hepatitis -
Hepatitis A virus infection is a common cause in children
Morphological classification into Chronic Active Hepatitis and Chronic Persistent Hepatitis are important
Fatty change is pathognomic of Hepatitis C virus infection
Grading refers to the extent of necrosis and inflammations
3d
single
Classification of hepatitis In the new classification system of Hepatitis, Grading refers to the assessment of necroinflammatory activity. Chronic hepatitis represents a series of liver disorders of varying causes and severity in which hepatic inflammation and necrosis continue for at least 6 months. Earlier chronic h...
Pathology
null
a63f9b16-59a0-4402-b1d5-b12d30b89fc0
Administration of disulfiram in an alcoholic can cause all these side effects except: (E. REPEAT 2010)
Flushing
Headache
Hypertension
Nausea
2c
multi
Ref: The Pharmacological Basis of Therapeutics by Goodman and Gillman, 12th edition. Page 644 and KD Tripathis Essentials of Pharmacology, 6th edition. Page 3H6Explanation:DISULFIRAMDisulfiram irreversibly inhibits aldehyde dehydrogenase. This action is also brought about by its metabolites such as dieth y 1th iomethyl...
Pharmacology
Adverse Drug Effect
8589bfdf-a5e8-4c2b-9b2c-6e5d7fa018ad
Which of the following cellular body is NOT found in nucleus?
P-bodies
Nucleolus
Cajal bodies
Interchromatin granule clusters
0a
single
Even if you don't know about all the options and you just know about P body you can answer this question. The P body is a cytoplasmic organelle involved in mRNA metabolism. Here is where miRNA-mRNA complexes are temporarily stored. They can either undergo degradation or mRNA can be released back for translation. Nucleo...
Biochemistry
Organelles
815278a4-83e1-4975-87d3-e24c6f40fd93
Which is the only phacomatosis to be inherited on an autosomal recessive basis:
Ataxia-telangiectasia
Sturge-Weber syndrome
von Hippel lindau syndrome
Neurofibromatosis
0a
single
Ans. Ataxia-telangiectasia
Medicine
null
a99baba6-bb97-4bb0-a2c8-3e165f18203a
What is torsional limit?
Amount of apical pressure that can be applied to a file to the point of breakage
The beginning of plastic deformation of the instrument
Amount of rotational torque that can be applied to a “locked” instrument to the point of breakage
Amount of force necessary so that a file does not return to its original shape upon unloading of the force
2c
single
Torsional limit is the amount of rotational torque that can be applied to a "locked" instrument to the point of breakage (separation).  Obviously, an instrument should have sufficient strength to be rotated and worked vigorously without separating in the canal. Smaller instruments (less than size 20) can withstand more...
Dental
null
0d016065-bf04-4122-8243-6d2be310c274
Nucleus accumbens is related to which of the following?
Basal ganglia
Brain stem
Thalamus
Cerebellum
0a
single
Ans. a (Basal ganglia). (Ref. Ganong, Physiology 21st ed., 265)NUCLEUS ACCUMBENS# Nucleus accumbens is located at the base of the striatum, and is a part of basal ganglia.# Addiction is associated with the reward system, particularly with nucleus accumbens.# The medial frontal cortex, the hippocampus, and the amygdala ...
Anatomy
Cerebellum and Brainstem
4aa47177-69b5-418d-9888-4f7d6da4f27a
The following is not one of the 4 key cell cycle regulators which are dysregulated in a variety of human cancers
P16/INK4a
Cyclin D
P21
RB
2c
single
.
Pathology
General pathology
f3e47a23-03c0-4478-8640-efd90dc95be6
Ghons focus lies at ?
Left apical parenchymal region
Right apical parenchymal region
Sub pleural caesous lesion in right upper lobe
Sub pleural caesous lesion in left upper lobe
2c
single
Ans. is 'c' i.e., Right apical parenchymal regionPrimary T.B. includes :?An area of grey white (size of approx. 1-1.50 cm) inflammatory consolidation - called ghon's focus. o Lymph node.Lymphatics and lymphatic channel.Cavity and fibrosis is seen in secondary T.B.Inhaled tubercule bacilli implanted in the distal air sp...
Pathology
null
f088fc3c-6c39-4d13-82a7-46a89faf91ba
Which is case based online TB notification system developed by the central TB Division
Nischinth
Nikshay
laksha
Yaksma
1b
single
Case Notification can be done online through NIKSHAY, Which is case based online TB notification system developed by the central TB Division. Ref: Pg.no: 318;IAPSM Textbook of Community Medicine.
Social & Preventive Medicine
Communicable diseases
db533381-1477-4fac-b2cf-79b1b91396d2
Which of the following statement is TRUE about NPU (net protein utilization), used in protein quality assessment?
It is the ratio of energy from protein to total energy in diet
It is the ratio between nitrogen retained by the body and total nitrogen intake multiplied by 100
It is the amount of one amino acid per gram of a protein divided by the amount of same amino acid per gram of egg protein
If the NPU is high the amount of protein requirement in diet is high
1b
multi
Net Protein Utilization (NPU) is the ratio between nitrogen retained by the body and total nitrogen intake multiplied by 100. It is a product of digestibility coefficient and biological value divided by 100. It gives a more complete expression of protein quality than the amino acid score. In calculating protein quality...
Social & Preventive Medicine
null
bc5a099c-2609-49f9-8163-e6148c3569cf
Which of the following statements about pulmonary hamartoma is true?
It is the most common benign tumor of lung
More common in males
Chest X-ray shows "Pop corn calcification"
All are true
3d
multi
null
Surgery
null
54f65873-b2d3-4556-ac81-cc5df04ef2cf
What is the APGAR score of a child born blue with HR 70/ mt, floppy with feeble cry and grimacing on nasal suction?
3
2
4
5
0a
single
APGAR is used to quantitatively evaluate newborns condition after bih by giving scores between 0 and 2 in each of 5 different categories assigned at 1 and 5 minutes of life. The 5 criteria used were hea rate, respiration's, muscle tone, reflex irritability and color. APGAR score for HR less than 100 is 1, grimace on na...
Pediatrics
null
23800c7d-f450-4618-8ad1-dec07afbca40
Combined oral pill reduces the risk of ?
Breast cancer
Ovarian cancer
Cervical cancer
Vaginal cancer
1b
single
Ans. is 'b i.e., Ovarian cancer Functional ovarian cyst o Endometrial carcinoma o Benign breast disease (fibroadenosis) Ovarian malignancy o Urerine fibroid o Premenstural tension & dysmenorrhoea Pelvic inflammatory disease o RA o Osteoporosis Ectopic pregnancy o Colon cancer o Acne
Pharmacology
null
f4ce2f0d-e160-45bf-bc71-5197853e18c1
Normal serum, Ca and alkaline PO4 are in
Cherubisnri
Hypothyroidism
Hyperparathyroidism
Paget's disease
0a
single
null
Pathology
null
c8a8d554-a164-4fe5-a238-0b9d45f2b43e
Which of the following is true about Nephron function:
Ascending thick limb is permeable to water
Descending thin limb is impermeable to water
Osmolality of intra-tubular content in DCT is more than surrounding interstitution
Osmolality of intratubular content in PCT is isotonic to surrounding interstiti um
3d
multi
D i.e. Osmolality of intratubular content in PCT is isotonic to surrounding interstitiumAt the end of proximal tubule 60-70% of filtered solute is reabsorbed & also 60-70% of filtered water is reabsorbedQ. Thus in the proximal tubule, water moves passively out of the tubule, along osmotic gradients set up by active tra...
Physiology
null
9f4fdb68-9c73-4aab-9ca1-0795a41db7f3
Praziquantel is used for the treatment of
Strongyloidiasis
Trichomoniasis
Schistosomiasis
Rhinosporidiosis
2c
single
Platyhelminthes (flukes & tapeworms) DOC for all the platyhelminths is praziquantel DOC for Fasciola hepatica (liver fluke) is triclabendazole DOC for dog tapeworm is albendazole DOC for trichomoniasis is metronidazole Surgery is done for rhinosporidiosis Nematodes DOC for nematodes is albendazole DOC for filaria is di...
Pharmacology
FMGE 2019
b8bbbd76-f7be-4655-a714-06392a42c9a9
All of the following muscles forms the boundary of the suboccipital triangle found in the suboccipital region of the neck, EXCEPT:
Obliquus capitis superior muscle
Obliquus capitis inferior muscle
Rectus capitis posterior major muscle
Rectus capitis posterior minor muscle
3d
multi
The suboccipital triangle is bounded by rectus capitis posterior major and the obliquus capitis superior and inferior muscles. The floor of this triangle is formed by the posterior occipitoatlantal membrane and the posterior arch of the C1 veebrae.Contents of the triangle are:Veebral aerySuboccipital nerveGreater occip...
Anatomy
null
eebb0b50-dd7b-40ab-9430-0f60818b102c
A ranula is most appropriately described by which of the following statements?
It is a type of Epulis
A form of thyroglossal cyst
A cystic swelling in the floor of mouth
A type of mucus retention cyst
2c
multi
Ranula is a cystic swelling in the floor of the mouth due to the obstruction of one or more ducts of the sublingual gland. It does not always represent a mucus retention cyst, it is more commonly a mucus extravasation cyst. It is neither a type of Epulis nor a type of thyroglossal cyst. Ref: The Medical Student's Vade ...
Surgery
null
9dd42e5f-7689-4b21-a5bd-0b56a54ea09e
Wire loop lesion seen in lupus nephritis is due to
Capillary wall thickening
Basement membrane thickening
Subepithelial deposits
Sclerosis of mesangium
0a
multi
Subendothelial immune complex deposits may create a circumferential thickening of the capillary wall, forming "wire loop" structures on light microscopy. This condition is seen in lupus nephritis. 50% of SLE patients have clinically significant renal involvement Currently there are six pattern of glomerular disease Whe...
Pathology
Auto Immune Disorders Introduction
5ed21383-a10e-4460-83d9-bcba068f9674
Not true regarding suprachoroidal hemorrhage:
Shallowing of anterior chamber
Expulsion of intraocular contents
Bleeding from sho posterior ciliary aery into suprachoroidal space
Self resolving
3d
multi
Suprachoroidal hemorrhage needs immediate management. Suprachoroidal Hemorrhage Rare dreaded complication of intraocular surgery. Bleeding from long or sho posterior ciliary aery into suprachoroidal space. Risk Factors: Uncontrolled hypeension, advancing age, systemic cardiovascular disease, glaucoma, vitreous loss, in...
Ophthalmology
Cataract Surgery
ac47df4c-9a66-44f9-b67b-16953833820d
In Adenoids hyperophy, treatment is
Nasal decongestants
Antibiotics
B-blockers
B2-agonists
0a
single
When symptoms are not marked, breathing exercises, decongestant nasal drops, and antihistaminics. When symptoms are marked adenoidectomy is done. (Ref: Diseases of Ear, Nose and Throat, PL Dhingra; 7th edition, pg no. 276)
ENT
Pharynx
62400aaa-4f1e-4fc9-b2a3-093c34c51c19
Simplest and most common method to measure variation is:
Mean
Median
SD
Range
3d
single
Range: The difference between the smallest and largest value results in a set of data. Simplest and most common method to measure variation is range. Reference: Essentials of Preventive and Community Dentistry, Soben Peter, 4th ed page no 395
Dental
null
8614a4fa-7e45-450c-9fc3-44ffdf2b6d8f
The most common type of congenital atresia is
Proximal blind end, distal end communicating with trachea
Distal blind end, proximal end communicating with trachea
Proximal and distal ends open and communicating with trachea
Both ends bleed
0a
multi
Type C is the most common type of tracheoesophageal fistula. It involves proximal esophageal atresia with distal TEF.
Pediatrics
null
de5c9f90-b4f2-4538-9bba-7ec59139b776
In Indoor air pollution, carbon monoxide is produced by -
Combustion equipment
Stove
Gas heaters
All of the above
3d
multi
Indoor air pollution originates from both outdoor and indoor sources, is likely to contribute to population exposure than the outdoor environment. The indoor environment represents an impoant microenvironment in which people spend a large pa of the time. Carbon monoxide, an indoor pollutant source include fuel/tobacco ...
Social & Preventive Medicine
Environment and health
305a31db-f7e9-49c1-9a5d-b94a210bedaa
Hay's sulpher test is used to detect which of the following ?
Bile salts in urine
Reducing sugar in urine
Ketone bodies in urine
Urobilinogen in urine
0a
single
Ans. is 'a' i.e., Bile salts in urineTestsUsed forRothera's test (nitroprusside test) Ketone bodies in urine :- acetone and acetocetate Gerhardt's test (ferric chloride test) Ketone bodies in urine :- acetoacetate. Benedict's test Reducing sugars in urine Fehling's test Reducing sugars in urine Hay's sulpher test Bile ...
Biochemistry
null
8e412bc1-b871-4c09-9a69-407089314770
Commonest cause of rupture of spleen is
Chronic malaria
Infectious mononucleosis
Leukemia
Chronic kala azar
2c
single
spontaneous splenic rupture, which remain widely accepted to date: Mechanical effect of distention secondary to leukemic infiltration of the spleen, paicularly the capsule; splenic infarct with capsular hemorrhage and subsequent rupture; Ref Davidson edition23rd pg812
Medicine
G.I.T
632476ad-001b-4cd7-aa9a-30b5825b81cd
Left renal vein crosses aoa:
Posterior at level of superior mesenteric aery
Anterior above the level of superior mesenteric aery
Anterior below the superior mesenteric aery
Anterior below the inferior mesenteric aery
2c
multi
C i.e., Anterior below the superior mesenteric aery
Anatomy
null
d78f6470-7851-4412-98b6-a286818093e1
There is a case of infanticide. During the post-moem examination, the doctor performs Breslau's second life test. This test detects changes in which of the following organ
Brain
Hea
Lung
Stomach and intestine
3d
single
Ans. d. Stomach and intestine Breslau's Second Life Test (Stomach Bowel test) Principle: It assumes that a live born child would respire and therefore would also swallow some air into the stomach and bowelQ. Thus detecting the presence of air in stomach and intestine (positive test) proves live bih (even in absence of ...
Forensic Medicine
null
f3658b79-bceb-4664-9ede-25365152ba2c
Epiphora seen in all except:
Lefort 2
Zygomatic complex fracture.
Lefort 3
Nasal complex fracture.
1b
multi
null
Surgery
null
95cf3f18-23ff-47c2-b318-e97bc774fa9d
Microspherocytosis in peripheral blood smear are seen in-
Congenital spherocytosis
Autoimmune acquired haemolytic anaemia
Thalassemia
All of the above
3d
multi
Spherocytosis is characterized by presence of spheroidal rather than biconcave disc shaped red cells. Spherocytes are seen in hereditary spherocytosis ,autoimmune hemolytic anaemia and in ABO hemolytic disease of newborn like Thalassemia Reference: textbook of Pathology ,7th edition Author: Harsha Mohan, page number 26...
Pathology
Haematology
975e70c3-c06a-4d9a-b3c8-f5d5b4ce66b2
The femoral hernia - Base of the sac lies at (Saphenous opening - Landmark). Related to pubic tubercle
Below and lateral
Below and medial
Above and lateral
Above and medial
0a
multi
Ans. (a) Below and LateralRef: Bailey and Love 27th edition Page 1035* Hernia appears below and lateral to Pubic tubercle and lies in upper leg rather than lower abdomen.* Please note Femoral hernia is seen below the inguinal ligament.
Surgery
Hernia
eae3b67e-8648-4e2e-9c8f-59a92bacf93a
Secondary attack rate of peussis in unimmunization household contacts of peussis
30%
40%
60%
90%
3d
single
Ans. is 'd' i.e., 90% SAR of some impoant infectious diseases Measles Rubella Chicken pox Peussis Mumps 80% 90 - 95% -- 90% -- 90% 86%
Social & Preventive Medicine
null
7027c2ce-1a54-4f5b-9473-7c2238e86e3d
All off the following are components of nephrotic syndrome except -
Edema
Hypercoagulability
Hypocholesterolemia
Infection
2c
multi
null
Medicine
null
d4bc2db7-2248-49cf-bab9-b9077a1d2075
A 25yr old male presented to OPD with complain of recurrent oral ulcers and congested eyesOn enquiry he has h/o prior hospital admission for venous thrombosis What is the condition he is suffering from
SLE
Reiter's syndrome
BEHCETS DISEASE
Wegner's Granulomatous
2c
single
Behcet&;s Disease: A delay in the diagnosis of Behcet&;s disease is common. Knowing what to look for can help you take control of the disease Eye Inflammation -Occurs in more than 50% of patients and can result in blurry vision, sensitivity to light pain and redness. Can lead to blindness if untreated. Mouth Sores - On...
Medicine
All India exam
e69985aa-39d2-4eef-9e51-9d727f2167a4
Most common site of carcinoma of paranasal sinus is?
Frontal
Ethmoid
Maxillary
Sphenoid
2c
single
Ans. (c) MaxillaryRef: Dhingra's 4th ed p-195
ENT
Nose and PNS
215a54ec-ede2-47da-a6fc-bdd10bb55df2
Criteria to diagnose PID include all of the following except:
Uterine tenderness
Cervical motion tenderness
Nausea and Vomiting
Adnexal tenderness
2c
multi
Criteria for the diagnosis of PID: - Minimum Criteria 1) Lower abdominal tenderness 2) Adnexal tenderness 3) Cervical motion tenderness. Additional criteria 1. Culture and senstivity of Endometrial biopsy Vaginal swab Cervical swab Culture media for Gonorrhea: Thayer Main media Chlamydia: Mc Coy cell lines (PCR preferr...
Gynaecology & Obstetrics
Genital Tract Infections (Too hot to handle!)
539dbfbc-0806-4ffe-a1e6-e533d5734b0b
Tumor induced hypoglycemia is seen in all , EXCEPT:
Mesenchymal tumors
Hepatocellular carcinoma
Adrenal carcinoma
Lymphoma
3d
multi
Tumor induced hypoglycemia Mesenchymal tumors, hemangiopericytomas, hepatocellular tumors, adrenal carcinomas produce excessive amounts of insulin-like growth factor type II (IGF-II) precursor, leading to insulin-like actions and hypoglycemia. Ref: Harrison,E-18,P-830
Medicine
null
9e3ed819-0878-4455-88e4-2fbc54d5552f
Which of the following are not included under 10 chemicals of major public health concern by WHO:
Arsenic
Asbestos
Dioxin
Radium
3d
single
Many chemicals can, when properly used, significantly contribute to the improvement of our quality of life, health and well-being. But other chemicals are highly hazardous and can negatively affect our health and environment when improperly managed.10 chemicals or groups of chemicals of major public health concern are:...
Social & Preventive Medicine
null
2b0be795-63e7-4eea-9fa5-c24080448861
A neonate having congenital diaphragmatic hernia developed respiratory distress. Breath sounds were decreased on the left side. After bag and mask ventilation. ET tube was put and the maximal cardiac impulse shifted to the right side. What should be the next step in management ?
Confirm the position of endotracheal tube by x-ray chest
Remove tube & Reattempt intubation
Naso gastric tube inseion
Chest x-ray
1b
multi
The tube is inseed into the nose or mouth and slid into the stomach. The formula is then put into the tube and flows through it into the stomach. A nasogastric tube with a guide wire is a soft silicone tube that may be left in place for up to a month. Reference: GHAI Essential pediatrics, 8th edition
Pediatrics
New born infants
12296266-9971-474b-8ebe-c3a07f71883d
Megaloblastic anemia is due to?
Folic acid deficiency
Vitamin B6 deficiency
Defect in RNA synthesis
Defect in protein synthesis
0a
single
Ans. is 'a' i.e., Folic acid deficiency * Megaloblastic anemia is an anemia which results from inhibition of DNA synthesis during red blood cell production.* It is characterized by many large immature and dysfunctional red blood cells (megaloblasts) in the bone marrow, and also by hypersegmented neutrophills.* Vit B12 ...
Pathology
Blood
a4aa1d86-c6fa-4fed-b38a-745db30d5896
Hypoglycemia is a recognized feature of all of the following conditions, except -
Uieinia
Acromegaly
Addison's disease
Hepatocellular failure
1b
multi
null
Medicine
null
4ed53669-818e-4a3c-87d0-7ebae729cd64
Sinusoidal heart rate pattern is seen in:
Placenta previa
Vasa previa
Battledore placenta
Succenturiate placenta
1b
single
Sinusoidal Pattern: Stable baseline heart rate of 120 to 160 beats/min with regular oscillations. Amplitude of 5 to 15 beats/min (rarely greater). Long-term variability frequency of 2 to 5 cycles per minute. Fixed or flat short-term variability. Oscillation of the sinusoidal waveform above or below a baseline. Absence...
Gynaecology & Obstetrics
null
f8266a58-ee21-4053-ab67-6534c473efa3
ECG change seen in hypocalcemia: (Repeat 2011)
QT prolongation
Prolonged PR interval
Shortened PR interval
QT Shortening
0a
single
Ans: A (QT prolongation) Ref: Harrison's Principles of Internal Medicine, 18ed.Explanation:Clinical Manifestations of HypocalcemiaPatients with hypocalcemia may be asymptomatic if the decreases in serum calcium are relatively mild and chronic.Moderate to severe hypocalcemia is associated with paresthesias, usually of t...
Medicine
C.V.S.
850f236c-636e-4fc7-80b9-23d4918b131d
Most commonly injured organ in blunt trauma of abdomen is -
Liver
Spleen
Small intestine
Pancreas
1b
multi
Ans. is 'b' i.e., Spleen "The spleen is the intra-abdominal organ most frequently injured in blunt trauma"- Sabiston 18/e* Blunt trauma: In blunt trauma the organs most commonly injured are the solid organs:# Spleen (MC)# Liver# Kidney* In addition to spleen, liver and kidney, extreme blunt force to the upper abdomen m...
Surgery
Trauma
be70420b-7736-4e1a-8a8b-7f964ec858a1
Which of the following is NOT TRUE about primary HSV infections?
Primarily affects the anterior portion of the mouth
Causes acute gingivits
Occurs as epidemic
Shows prodromal symptoms
2c
multi
null
Pathology
null
f2d8ca39-c3cb-496c-878a-34fb412d91e8
Burn involving one lower limbs in adult correspondence to area:
4.50%
9%
13.50%
18%
3d
single
Ans: D (18 %) Determination of Burn Size Sabiston 19th/523# Burn size is generally assessed by the so-called rule of nines . In adults, each upper extremity and the head and neck are 9% of TBSA, the lower extremities and the anterior and posterior aspects of the trunk are 18% each, and the perineum and genitalia are as...
Surgery
Initial Care of the Burn Patient
851ad153-10a8-4bd6-bb0f-8ce62374d0e1
Extensive abrasions are found all over the body of a pedestrian lying by the road side. What is the likely cause ?
Primary Impact Injury
Secondary Impact Injury
Secondary Injury
Postmortem artifact
2c
multi
In secondary injury, when the body is rolled over after the impact, the skin may show abrasions of more than two surfaces (front, back and sides).
Forensic Medicine
null
107b3190-6205-4818-87ef-b5bca3fc465a
Qualitative data presentation diagrams are all except:
Pie diagram
Pictogram
Spot map
Frequency polygon
3d
multi
Data Presentation
Dental
null
fa0cd48b-e903-4467-a64f-9acab04f3d36
Amyloidosis of hea presents with -
Arrhythmia
AV block
|Ed mass/voltage
AS
0a
single
Cardiac amyloidosis may affect the way electrical signals move through the hea (conduction system). This can lead to abnormal heabeats (arrhythmias) and faulty hea signals (hea block). The condition can be inherited. This is called familial cardiac amyloidosis Ref Davidson 23rd edition pg 456
Medicine
C.V.S
7dd15b49-5150-4f85-b214-f5d7483c0a0b
All can occur due to blunt trauma of eye except -
Berlin's edema
Angle recession
Sympathetic ophthalmitis
Rosette cataract
2c
multi
1. Lids: Ecchymosis, Black eye, avulsion of the lid, traumatic ptosis. 2. Orbit: Fracture of the orbital walls, orbital haemorrhage, orbital emphysemas. 3. Lacrimal apparatus: Laceration of canaliculi, dislocation of lacrimal gland. 4. Conjunctiva: Subconjunctival haemorrhage, chemosis, lacerating tears of the conjunct...
Ophthalmology
Ocular trauma
4918392d-6ba5-4553-9bf2-cc4b5744244e
A 40-year-old woman is suspected of having a carotid body tumor. Which one of the following is most characteristic of such a tumor?Carotid body tumor
They secrete catecholamines.
They are more common at sea level.
They arise from structures that respond to changes in blood volume.
They arise from the structures that respond to changes in PO2.
3d
single
Carotid body tumor is the most common type of paraganglioma in the head and neck region, followed by the glomus jugular tumor. Carotid body tumor grows slowly, rarely metastasizes, and may secrete catecholamines. The tumor usually is supplied by the external carotid artery, and dissection to remove it off the carotid b...
Surgery
Miscellaneous
aa61320f-a139-4ff6-b1a0-251125bf76e1
Neuroendocrine cells in the lungs are:
Dendritic cells
Type I pneumocytes
Type II pneumocytes
APUD cells
3d
single
APUD (amine precursor uptake and decarboxylation) cells are neuroendocrine cells found in respiratory system, G.I. tract and other organs; they manufactrure amines (e.g. 5-HT). These cells form carcinoid tumors.
Physiology
Respiratory System Pa 1
2c9629ac-1c00-4a49-b0b1-68248bd55d70
Dopamine and noradrenaline reuptake inhibitor is:
Clozapine
Bupropion
Zolpidem
Miazapine
1b
single
Bupropion This inhibitor of DA and NA uptake has excitant rather than sedative propey. It is metabolized into an amphetamine like compound. It has been marketed in a sustained release formulation as an aid to smoking cessation. In clinical trials it has been found to yield higher smoking abstinence and quitting rates t...
Pharmacology
Central Nervous system
fb4a2117-c18b-4156-ac0d-36c146d4d741
Complication of blood transfusion can be all except -
Hyperkalemia
Citrate toxicity
Metabolic acidosis
Hypothermia
2c
multi
Ans. is 'c' i.e., Metabolic acidosis The question is most probably about complications of massive blood transfusion.Massive Blood Transfusion * Massive blood transfusion is generally defined as transfusion of one to two volumes of patient's own blood volumes (For most adults that is equivalent to 10-20 units.)Complicat...
Medicine
Transfusion
94d0150b-987c-47c8-b917-80c0d0f02824
Regarding Clostridium perfringens gas gangrene, false is -
Common cause of gas gangrene
Nagler reaction positive
Most common toxin is hyaluronidase
Food poisoning strain of Cl. perfringens produces heat resistant spores
2c
multi
Ans. is. 'c' i.e., Most common toxin is hyalronidase . The most common and most impoant toxin produced by CL perfringensis a- toxin (lecithinase). Clostridium perfringens food poisoning . Some strains of type A Cl. perfringens produce poisoning. They are characterised by the marked heat resistance of their spores and t...
Microbiology
null
d00d9e5b-8e3f-437c-b269-24ea9efc3552
Mark the false statement among given options regarding malaria species :
P. vivax infects RBC's < 14 days
P. falciparum infects young RBC's only
P. ovale selectively infect reticulocytes
P. malariae infects old RBC's.
1b
multi
Plasmodium species P. falciparum infects RBC's of all ages P. vivax infects RBC's < 14 d. P. malariae infects old RBC's. P. ovale selectively infect reticulocytes.
Microbiology
Parasitology Pa 1 (Protozoology)
b8fbf315-07b4-4587-8b4a-d9cb786bf049
Pseudotumor cerebri is seen in
Obese women in the age group 20-40 yrs
Obese males 20-40 yrs.
Thin females 50-60 yrs.
Thin males 50-60 yrs.
0a
single
* Pseudotumour cerebri(idiopathic intracranial hypeension) usually occur in obese young women . Ref Harrison20th edition pg 2456
Medicine
C.N.S
e9ad66fe-0c0c-46c3-98d8-2032a5e0d0dd
A young child presented with history of passage of dark colored with urine with reduced urine output. He has a past history of abdominal pain, fever, and bloody diarrhea for 4 days which resolved on its own. There is absence of peripheral edema or rashes. Investigations show anemia, thrombocytopenia, and elevated blood...
Elevated haptoglobin level
Elevated serum indirect bilirubin
Elevated thrombin and prothrombin time
Low fibrinogen and elevated D-dimer level
1b
single
- Child given is presenting with classical history of hemolytic uremic syndrome In HUS, there is initial history of diarrhea caused d/t E-coli which causes damage to endothelial cells resulting in thrombotic microangiopathy affecting kidney. Typical Causative agent: Escherichia coli strain O157:H7 infection; Endothelia...
Pathology
Hemolytic Anemias: Basic concepts and classification
2a71a98d-c29e-4205-b367-d31be86f878b
A child draws circle at –
12 months
24 months
30 months
36 months
3d
single
null
Pediatrics
null
29b33ed2-8f01-4c5e-aff0-6ae15aab11eb
Neonatal septicemia is most commonly caused by ?
Group B Streptococci
E.coli
Streptococcus viridans
Staphylococcus aureus
0a
single
Ans. is 'a' i.e., Group B streptococci
Pediatrics
null
70b42e7e-af39-4be5-a23a-8aa080f4c8af
All are true about pulmonary embolism,except -
Chest pain is the most common symptom
Most commonly presents within 2 weeks
More is the survival time, more is the chance of . recovery
Arises from leg veins
0a
multi
null
Medicine
null
c2a11f8f-f100-4662-ade5-2ed49f003e34
All the following are true regarding blood supply to the kidney, EXCEPT?
It is a type of poal-circulation
Stellate veins drain superficial zone
Its segmental aeries are end-aeries
The renal aery divides into five segmental aeries before entering the hilum
0a
multi
Blood supply to the kidney: The renal aery arises from the aoa at the level of the second lumbar veebra. Each renal aery usually divides into five segmental aeries that enter the hilum of the kidney. Lobar aeries arises from each segmental aery, one for each renal pyramid. Each lobar aery gives off two or three interlo...
Anatomy
null
db88be30-8b40-4025-b452-17c59a344a96
Best IOL is:
Ant chamber
Post chamber
Iris suppoed
Angle suppoed
1b
single
B i.e. Posterior chamber Classical signs of aphakia are - a deep anterior chamber, iridodonesis (tremulousness of iris), only 2 images on Purkinje's test, dark (jet black) papillary reflexQ and highly hypermetropic small disc on fundus examination with markedly defective vision for both far and near d/t high hypermetro...
Ophthalmology
null
96eea8f3-3fd7-4e2e-b965-0b0a38a7f042
Most common cause of urinary retention in children includes
Posterior urethral valves
Urethral stenosis
Urethral aplasia
Ectopic ureteric opening
0a
single
(A) Posterior urethral valves # Posterior urethral valves: These constitute an important cause of distal urinary tract obstruction in boys.> Dribbling, abnormal urinary stream, palpable bladder and recurrent UTI are the usual presenting features.> The presence of severe obstruction in the urinary tract in utero may lea...
Surgery
Miscellaneous
4da05b93-ba48-4e84-bddf-55483d8955a9
Spectacle shown below is used in
Bifocal for presbyopia
Bifocal for adult aphakia
Bifocal for pediatric aphakia
Progressive bifocal for presbyopia
2c
single
Ans. (c) Bifocal for pediatric aphakiaRef: Diagnosis and Management of Ocular Motility Disorders by Alec M. Ansons, Helen Davis 3/e, p. 36These are straight type/ executive type bifocals with a central lie dissecting the visual axis, such that the top of the reading segment passes just below the middle of the pupil whe...
Ophthalmology
Elementary Optics
57ea40be-5600-44ce-bf9f-19681c720643
Not a treatment option for psoriasis -
Retinoids
Methotrexate
Cyclosporine
Oral corticosteroids
3d
multi
Ans is 'd' i.e. Oral corticosteroids Treatment options for psoriasisSystemic medicineso Acitretino Cyclosporineo Razoxaneo Biological therapieso Colchicineo Antithyroid drugs (methimazole, propylthiouracil)o Methotrexateo Hydroxyureao Mycophenolate mofetilo Goldo Zidovudineo AzathioprineTopical medicines for psoriasiso...
Unknown
null
632165f8-b2fa-4fac-9d71-91368d100870
A patient at 22 weeks gestation is diagnosed as having IUD which occurred at 17 weeks but did not have a miscarriage. The patient is at increased risk of :
Septic aboion
Future infeility
Consumptive coagulopathy with hypofibrinogenemia
Ectopic pregnancy
2c
single
Dead fetus if retained for more than 4-5 weeks, release thromboplastin which leads to DIC Ref: Datta Obs 9e pg 304.
Anatomy
Abnormal labor
5adb902b-138f-4776-9960-4ac6b5258624
An agent added to local anesthetics to speed the onset of action is:
Methylparapben
Bicarbonate
Fentanyl
Adrenaline
1b
single
* LAs are weak bases. These require penetration inside the neuron for their action. For entry in the neuron, LAs have to cross the neuronal membrane. * Unionized drugs (lipid soluble) can easily cross the membrane, therefore addition of NaHCO3 in the local anaesthetic solution (weak bases are un-ionized in the alkaline...
Pharmacology
Anaesthesia
a8dfe724-5dc9-42ed-9ddf-a54261dd295e
Shaking palsy is associated with poisoning with :
Lead
Mercury
Arsenic
Strontium
1b
single
B i.e Mercury
Forensic Medicine
null
9fb1cb24-5cdb-4546-b177-315c55166bc7
About the treatment of esophageal cancer, false statement is:
5% of patients survive 5 years after the diagnosis
The efficacy of primary radiation therapy for squamous cell carcinomas is similar to that of radical surgery
Surgical resection of all gross tumor is feasible in only 45% of cases
Chemotherapy is highly effective and sometimes curable
3d
multi
ESOPHAGEAL CARCINOMA: The prognosis is poor. 5% of patients survive 5 years after the diagnosis Surgical resection of all gross tumor is feasible in only 45% of cases About 20% of patients who survive a total resection live 5 years. The efficacy of primary radiation therapy for squamous cell carcinomas is similar to th...
Surgery
null
9f21fc0b-e389-4b03-b3ec-0e9ad6335ca3
Aery to bleed in duodenal ulcer haemorrhage -
Splenic aery
Gastroduodenal aery
Left gastric aery
Sup. mesenteric aery
1b
single
Gastro duodenal aery is the most common aery involved in duodenal ulcer hemorrhage. Also, remember A peptic ulcer is the most common cause of massive upper gastrointestinal bleed (Duodenal ulcers > Gastric ulcers) Bleeding ulcers in the duodenum are usually located on the posterior surface of the duodenal bulb. Ref : B...
Anatomy
G.I.T
d37d68b2-301a-407a-b495-fb37c94e2254
In PCR, DNA polymerase is used in
DNA replication
DNA Elongation
DNA Mulitiplication
All
2c
multi
All PCR applications employ a heat-stable DNA polymerase, such as Taq polymerase (an enzyme originally isolated from the bacterium Thermus aquatics).This DNA polymerase enzymatically assembles a new DNA strand from DNA building blocks, the nucleotides, by using single-stranded DNA as a template and DNA oligonucleotides...
Biochemistry
Metabolism of nucleic acids
ac5b8795-5e6d-4abd-890f-58e120cb2718
Abdominal pain in Henoch Schonlein purpura is due to -
Mucosal erosions and swelling of the G1 mucosa
Gastrointestinal hemorrhage
Volvulus
Associated pancreatic inflammation
0a
single
Ans. is 'a' i.e., Mucosal erosions and swelling of the GI mucosa Abdominal pain in HSPo The second most frequent symptom of Henoch-Schonlein purpura is abdominal pain, which occurs in up to 65 percent of cases. The most common complaint is colicky abdominal pain, which may be severe and associated with vomiting. Stools...
Pediatrics
Urinary Tract
3dc7cfae-f1fa-4b38-9b68-c95eebbad9ff
An 8 year old child has shown of lack of interest in studies for last 6 months. He has frequent quarrels with his parents and has frequent headaches as anexcuse to avoid school. What would be the most appropriate clinical diagnosis in this patient?
Rule out migraine
Rule out depression
Rule out an oppositional defiant disorder
Leave him as normal adolescent problem
2c
single
Since the person in the question is showing a hostile behavior which is impairing his academic activities for the last 6 months, the most appropriate next step would be to rule out Oppositional defiant disorder.Oppositional defiant disorder is a recurrent pattern of negativistic, hostile or defiant behavior that lasts ...
Psychiatry
null
2a8e61f3-085c-4603-b331-de0078d6e5f9
A 12-year-old boy had a gradually progressive plaque on a buttock for the last 3 years. The plaque was 15 cm in diameter, annular in shape, with crusting and induration at the periphery and scarring at the centre. The most likely diagnosis –
Tinea corporis
Granuloma annulare
Lupus vulgaris
Borderline leprosy
2c
multi
This boy has Annular plaque On buttock Crusting at periphery Scarring at centre These suggest the diagnosis of lupus vulgaris. Annular lesions  When the lesions of a skin disease are arranged in ring shape, they are called annular lesions.
Dental
null
8645b537-d9e7-4c02-9cab-4b8243d03a55
Mortality rate of measles in developing countries-
10%
20%
30%
40%
0a
single
Ans. is 'a' i.e., 10% o Measles-associated mortality is usually higher among the very' young and very old.o Mortality in developing countries may be as high as 10 to 15% due to one or several factors, including the early age of infection, malnutrition, diarrhea, concomitant-secondary bacterial infections, and lack of a...
Social & Preventive Medicine
Demography
d6769ec4-39f6-42e1-9ac0-18c66834f738
Which of the following deciduous molars bears the greatest resemblance to a premolar
Maxillary first
Maxillary second
Mandibular first
Mandibular second
0a
single
null
Dental
null
1616a1f9-40d0-4c00-a173-e4c6034e812d
Most common site of berry's aneurism is -
Trifurcation of internal carotid artery
Junction of anterior cerebral and anterior communicating artery
Bifurcation of basilar artery
Middle cerebral artery
1b
single
Ans. is' b' i.e., Junction of anterior cerebral and anterior communicating artery Most common sites of Berry's Aneurysma. Junction of anterior cerebral and anterior communicating arteryb. Bifurcation of MCAc. Trifurcation of CIAd. Bifurcation of basilar artery
Surgery
Cerebrovascular Disorders
d6580615-593b-4dd2-9b96-b00ae36f18b2
Smoothest and maximum polishability is the property of:
Traditional composite
Microfilled composite
Hybrid composite
Small particle filled composite
1b
multi
These properties are due to low filler loading, hence microfilled composites are principally used for anterior esthetic restorations.
Dental
null
9aedd786-31d8-4f3a-b9fa-70695b268688
Which of the following is the most common cause of late neurological deterioration in a case of cerebro- vascular accident -
Rebleeding
Vasospasm
Embolism
Hydrocephalus
1b
single
null
Medicine
null