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135
d036148a-7bdb-4cf6-ad39-be4dca693310
Which of the following drugs is effective against pseudomonas infection?
Ampicillin
Ceftriaxone
Colistin
Cefixime
2c
single
Polymyxin 8 and Colistin Polymyxin and colistin were obtained in the late 1940s from Bacillus polymyxa and B. colistinus respectively. They are active against gramnegative bacteria only; all except Proteus, Serratia and Neisseria are inhibited. Both have very similar range of activity, but colistin is more potent on Ps...
Pharmacology
Chemotherapy
8b9ffacd-f864-45de-b835-f6746007a55a
Infliximab ?
CD 20 antagonist
IL6 antagonist
Chimeric antibody against TNF alpha
Chimeric antibody against Her2-neu
2c
single
Ans. is 'c' i.e., Chimeric antibody against TNF alpha
Pharmacology
null
4ff035e3-f116-4b92-b214-d6579ee9988b
Alpha methyldopa primarily used for
Pregnancy induced hypeension
Renovascular hypeension
First line agent in hypeension
Refractory hypeension
0a
single
Methyldopa was primarily used in the past but is now used widely for pregnancy induced hypeension. Refer katzung 11e p173
Pharmacology
Cardiovascular system
920cbe2f-3212-444d-b068-7ffd8433cac7
Figure of 8 appearance is seen in
Paracoccidiomycosis
Coccidiomycosis
Blastomycosis
Sporotrichosis
2c
single
null
Microbiology
null
c79ceb7e-0bc4-465d-99d4-dec847224acb
A 22 year old woman developed small itchy wheals after physical exeion, walking in the sun, eating hot spicy food and when she was angry. The most likely diagnosis is:
Chronic idiopathic utricaria
Heat uicaria
Solar uicaria
Cholinergic uicaria
3d
multi
D i.e. Cholinergic Uicaria
Skin
null
335c1f79-9ab9-4f35-997b-69fe3c3cf0fe
All are features of Lobar pneumonia except
Homogeneous consolidation
Air bronchogram sign present
Segmental consolidation
Typical of pneumococcal infection
2c
multi
Consolidation in Lobar pneumonia in Non - segmental.
Medicine
null
2f448829-2433-4861-ac84-0533bf524c62
Frame shift mutation DOESN'T occur in multiples of:
2
3
4
5
1b
single
Ans: (b) 3Ref: Harper's Biochemistry 30th edn. / 417-18* Frame-shift mutations* The genetic code is read in form of triplets of nucleotides which are known as codons.* If one or two base pairs from the code are removed or inserted, the genetic code will be misread from that change onwards, because the genetic code is n...
Biochemistry
Molecular Genetics
01292a7b-e4cf-47a6-874f-db071aa76942
Among the following, which one is considered as 'pathologic problem' while planning treatment in orthodontics?
Tendency of lower jaw and teeth to be behind upper
Deep overbite
Minimal attached gingiva in lower anterior region
Decalcification
2c
single
Inadequate attached gingiva around crowded incisors indicates the possibility of tissue dehiscence developing when the teeth are aligned, especially with non-extraction (arch expansion) treatment. proffit page 173
Dental
null
2d1dac92-532c-4fa6-95f7-e946408ef2fb
Best view for nasal bone ?
Lateral
Towne's
Cald-well
Submentoveical
0a
single
Ans. is 'a' i.e., Lateral
ENT
null
ca9a743a-4f82-46b1-bc78-6318cb3c1e32
Which of the following is true regrading spinal cord and neuraxial blockade
Spinal cord ends at S1 in adults
Spinal anaesthesia is given below L3 level in children
Dural sac extends upto S2 in children
Spinal cord ends at lower border of L1 in children
1b
multi
Spinal cord ends at upper border of L3 in children , and at lower border of L1 in adults. The dural sac extends upto S3 in children and S2 in adults.
Anaesthesia
null
bb601f8b-bda4-43aa-83c1-494c8c72eadf
Poorest prognosis in AML is seen in which cytogenetic abnormality -
Monosomy 7
No cytogenetic abnormality
t (15, 17)
inv. 16
0a
single
null
Medicine
null
be8e712c-c757-4d8b-8f1b-f4ce2577732c
Mysthenia gravis is which type of hypersensitivity
Type I
Type II
Type III
Type IV
1b
single
null
Microbiology
null
040a5d22-db59-4751-9702-642d44b04da6
All are seen in ARDS, except :
Pulmonary edema
Decreased tidal volume
Hypercapnia
Decreased compliance
2c
multi
Answer is C (Hypercapnia): ARDS results in Type I Respiratory failure and is characterized by normal or low PaCO2 (Hypocapnia) and not Hypercapnia (see previous explanation on types of respiratory failure). ARDS (Acute Respiratory distress syndrome) ARDS is an acute form of lung injury characterized by: Increased perme...
Medicine
null
a305d620-7233-4c6a-9678-d834e10e048e
The highest E.S.R. is seen in following conditions except:
Polymyositis rheumatica
Multiple myeloma
Temporal activities
Polycythemia rubra
3d
multi
Polycythemia rubra
Pathology
null
869291f6-ecb1-4249-97c5-f863547e35aa
Pit viper beongs to -
Viperidae
Elapidae
Sea snakes
Crotalidae
3d
single
Ans. is 'd' i.e., Crotalidae o Poisonous snakes are divided into six families:Viperidae - Russell's viper, gaboon viper, saw scaled viper, puff adder. They are found in all parts of world except America.Crotalidae - Rattlesnakes, pigmy rattlesnakes, copperheads, pit viper & bush master. They are found in Asia and Ameri...
Forensic Medicine
Toxicology
da14f0b5-70c9-493e-9f5e-f4cba95fd8d1
"Pointing index" is due to paralysis of:
Median nerve
Ulnar nerve
Radial nerve
Auxiliary nerve
0a
single
Ans. is 'a' i.e. Median nerve Pointing index:On asking the pt. to make a fist, it is noticed that the index finger remains straight.This is d/t Paralysis of the flexor digitorum superficialis and that of lateral half of the flexor digitorum profundus muscle (to the index finger) in median nerve palsy at a level of prox...
Orthopaedics
Peripheral Nerve Injuries
d028bfc8-59a3-4438-8af7-7393ea6cb4ab
A 25 years old female comes to your clinic for evaluation of infertility. A hysterosalpingogram reveals Asherman's syndrome. What symptoms will the patient have?
Menorrhagia
Oligomenorrhea
Polymenorrhea
Hypomenorrhea
3d
single
Ans. is d, i.e. HypomenorrheaThe typical presenting symptom in adenomyosis is hypomenorrhea, i.e. less blood loss during menstruation.
Gynaecology & Obstetrics
Endometriosis and Infertility
c2a03ce1-bcc1-4152-9f7b-bbf0ff9845c4
Anticancer drug also used in RA, produces acrolein in urine that leads to hemorrhagic cystitis
Cyclophosphamide
Busulfan
Procarbazine
Mesna
0a
single
Cyclophosphamide IMPOANT POINTS ON HEMORRHAGIC CYSTITIS: Drugs causing: Cyclophosphamide Ifosfamide Metabolite responsible: Acrolein - In Cyclophosphamide Chloracetaldehyde - In Ifosfamide Treatment: Mesna. Nitrogen mustards: 1. Cyclophosphamide: Powerful vesicant Prodrug - Activated by hepatic biotransformation to ald...
Pharmacology
null
6baabbb7-cbab-4ddb-8a82-83687e116a0e
Hyponasal voice is seen in all except
Adenoids
Nasal Polyp
Cleft palate
Habitual
2c
multi
Causes of hyponasality are Common cold Nasal allergy Nasal polyp Nasal growth Adenoids Nasopharyngeal mass Familial speech pattern Habitual Ref: PL Dhingra; Textbook of EAR, NOSE and THROAT; edition 7; Page - 357
ENT
Larynx
927baa63-8457-4b6f-8f90-3575113ca076
Filled sealants are better than unfilled due to:
High viscosity
High strength
Cotton application
Low abrasion
3d
single
null
Dental
null
3484dcf6-de53-41af-9e6b-e0c02bc24d6f
Receptor for HIV?
CD4
CD3
CD5
CD56
0a
single
Ans. (a) CD4
Microbiology
null
cc3a7f6d-55eb-4b8d-a912-a05191eee830
While doing thoracocentesis, it is advisable to introduce needle along:
Upper border of the rib.
Lower border of the rib
Lower border of the rib
In anterior pa of intercostal space.
0a
single
A i.e. Upper border of rib:
Anatomy
null
cc522bdc-db80-48f6-bebe-995fff814e8d
In circulatory biomechanics which of the following is true?
Blood viscosity is increased in anemia
Blood viscosity is decreased in polycythemia
Cardiac output is increased in anemia
Cardiac output is decreased in Beri-Beri
2c
multi
Ans. is 'c' i.e., Cardiac output is increased in anemia Cardiac output is increased in conditions which cause decrease in peripheral vascular resistance :- Exercise AV fistula or shunt Severe anemia Thyrotoxicosis Wet beri-beri About other options Blood viscosity is low in anemia and high in polycythemia.
Physiology
null
48cf81dd-12a1-48d5-ba70-9dcc672e401d
Local anesthetic that is not used topically is?
Lignocaine
Dibucaine
Tetracaine
Bupivacaine
3d
multi
Bupivacaine REF: Miller 6th e p. 590 Topical ( surface ) anesthetics Not used as surface (topical) ) anesthetics * Lignocaine * Procaine * Tetracaine * Bupivacaine * Dibucaine * Mepivacaine * Prilocaine * Cocaine
Anaesthesia
null
4fc5b8ee-da44-46b7-94c2-b836eb1336b9
Mycobacterium scrofulaceum which cause scrofula, belongs to which groups of atypical mycobacteria -
Photochromogens
Scotochromogens
Non-photochromogens
Rapid growers
1b
single
Ans. is 'b' i.e., Scotochromogens
Microbiology
null
2041597c-0b64-4562-bb25-ecd94b4ea426
Which of the following is best for transport of the newborn with maintenance of warm temperature –
Kangaroo Mother Care (KMC)
Transport incubator
Thermacol box
Hot bottle
0a
single
"Preferably mother should accompany and baby can be transported in KlI4C position. Even father can provide KII/IC during transport if mother can not a company
Pediatrics
null
7b535d72-590a-462c-881c-0898755b9b45
cove sensitization is used for
PTSD
hysteria
brain injury
alcohol use
3d
single
In cove sensitization also called as imagined punishment, the individual who wants to quit alcohol will be asked to think about adverse consequences of taking alcohol like getting arrested for drunken driving or facing a accident underintoxicated state. He would be told to dream as if if he is drunk and lies intoxicate...
Anatomy
Treatment in psychiatry
42ebdd47-f82c-4bd1-9f92-69cb9197d914
A 6 month old baby brought to emergency depament with features of cardiac failure. On examination, she found to have developmental delay and a large tongue. Echocardiography shows severe concentric LVH. The most probable diagnosis is:
Pompe disease
Von Gierke's disease
Forbe's Disease
McArdle's disease
0a
single
The type of glycogen storage disease that primarily involves the hea is Pompe disease (GSD IIa) in which acid maltase, necessary for hydrolysis of the outer branches of glycogen, is absent. There is marked deposition of glycogen within the myocardium. Affected infants are well at bih, but symptoms of growth and develop...
Pediatrics
null
a57bed41-700e-43ea-a1b1-6198f9e4d6f8
Which of the following complement components attaches to the crystallizable fragment of immunoglobulin M ?
C5b
C5a
Clqrs
C4b2a
2c
multi
Ans. is 'c' i.e., Clqrs Only IgM and IgG activate or fix complement the classic pathway. Of the IgGs, only IgG subclasses 1, 2 and 3 fix complement; IgG4 does not.CI, which is bound to a site in the Fc region, is composed of three proteins: Clq, CI r and Cls. Clq is an aggregate of polypeptides that bind to the Fc poio...
Microbiology
null
c6caa1fd-e9e1-4092-82c4-7ee720d41f70
All of the folowing opens into middle meatus except:
Middle ethmoidal air sinuses
Maxillary sinus
Posterior ethmoid sinuses
Frontal air sinus
2c
multi
Superior Meatus The superior meatus lies below the superior concha. It receives the openings of the posterior ethmoid sinuses.Middle MeatusThe middle meatus lies below the middle concha. It has a rounded swelling called the bulla ethmoidalis that is formed by the middle ethmoidal air sinuses, which open on its upper bo...
Anatomy
null
dede0924-f2ca-4a69-b70c-57bbb3f0d80e
RPD is indicated in all except
Long edentulous span
Multiple edentulous spaces
Excessive loss of alveolar bone
Distal abutment Loss
1b
multi
null
Dental
null
2774019b-8e71-4254-84e6-fdc603e68d3f
Which of the following instruments is shown below?
Retinoscope
Direct ophthalmoscope
Indirect ophthalmoscope
Slit lamp biomicroscope
3d
single
Ans. (d) Slit lamp biomicroscope.
Ophthalmology
Techniques of Ocular Examination and Diagnostic Tests
1e28866e-fce0-41ba-a564-d31f49716219
About cushing syndrome, true Is -
Low dose dexamethasone suppress coisone secretion
CA of adrenal is more common than adenoma
Pituitary adenoma size > 2 cm (usually)
ACTH secretion is the commonest cause
3d
multi
most cases the cause is bilateral adrenal hyperplasia due to hyper secretion of pituitary ACTH or ectopic production of ACTH by a non pituitary source ( Harrison 17 pg 2255)
Medicine
Endocrinology
268d39c0-0404-4fdf-9a16-c3a372205a35
Best test for Small intestine malabsorption of carbohydrates is :
Lund meal test :
Shilling test
D-Xylose test
Follacin test
2c
multi
Answer is C (D-xylose test) D-xylose absorption test is the most commonly employed test for carbohydrate absorption - Harrison An endoscopic mucosal biopsy is the more specific test and is now considered essential. As endoscopic small intestinal biopsy' is not provided in the options 'D-xylose test' is the answer of th...
Medicine
null
37a22b3f-52f9-434c-8f18-ed2ce069a122
A Thirty five year old female has proximal weakness of muscles, ptosis and easy fatigability. The most sensitive test to suggest the diagnosis is -
Muscle Biopsy
CPK levels
Edrophonium test
Single fiber EMG
3d
single
null
Medicine
null
be649016-c765-4f0a-a077-efe2d1c7633b
String sign is a radiological feature of -
Crohn's disease
Ulcerative colitis
Ileocecal tuberculosis
Ischemic colitis
2c
single
String sign → Congenital hypertrophic pyloric stenosis, Ileocecal tuberculosis. String sign of Kantor → Crohn's disease String of bead sign → Small bowel obstruction
Radiology
null
e6f7cfa9-39ab-4b04-9cf9-042c68522151
Alarm system (a reminder technique for digit sucking in mature children) was developed by:
Massler
Norton and Gellin
Benjamin
Pinkham
1b
single
Norton and Gellin developed 3 alarm system.
Dental
null
f4db2bbc-2f09-47bd-bfb5-a7eb1a3f525b
Which level of prolactin definitely suggest hyperprolactinemia?
200 ng/mL
150 ng/mL
50 ng/mL
100 ng/mL
0a
single
Elevations in prolactin may cause amenorrhea or galactorrhea. Amenorrhea without galactorrhea is associated with hyperprolactinemia in approximately 15% of women. In patients with both galactorrhea and amenorrhea, approximately two-thirds will have hyperprolactinemia; of those, approximately one-third will have a pitui...
Gynaecology & Obstetrics
Normal Menstruation, Abnormal Menstruation, Menopausal Physiology and forsight of conception
2688f6c0-2727-4446-ac82-aea615715ddd
Bulge sign in knee joint is seen after how much fluid accumulation-
100 ml
400 ml
200 ml
< 30 ml
3d
single
BULGE TEST is a useful method of testing when there is very little fluid in the joint.Usually occurs in medial meniscal injury. It can detect even 30 ml of fluid accumulation. After squeezing any fluid out of the suprapatellar pouch,the medial compament is emptied by pressing on the inner aspect of the joint; that hand...
Orthopaedics
Thigh, Knee,Leg,Foot & Ankle injuries
b3b8f17f-25ac-4f83-9434-0efb1f1621b8
An 11-year-old boy was brought to the pediatric OPD with multiple abscesses over his face, chest, and back. The child has a history of recurrentrespiratory infections. On examination, he has atopic excoriating skin and multiple cold abscesses on his back. What is the most probable diagnosis?
Hyper IgE syndrome
Hyper IgM syndrome
Carcinoid syndrome
Wiskott aldrich syndrome
0a
single
From the above clinical history and examination, the most probable diagnosis is Hyper IgE syndrome (Job's syndrome). It is an autosomal dominant primary immunodeficiency disease caused by a mutation of STAT3 gene. Neutrophils do not generate an immune response, probably due to a defect in chemotaxis. Patients present w...
Microbiology
Immunology
ef67c9a8-9deb-49f6-a1ad-caba454e0b0a
Material used in verterbroplasty is :
Isomethyl methacrylate
Isoethyl methacrylate
Polyethyl methacrylate
Polymethyl methacrylate
3d
single
Ans. is 'd' i.e. Polymethyl methacrylate Vertebroplasty and kyphoplasty are interventional radiologic procedures for the treatment of the intense pain refractory to medical management or bracing caused by vertebral compression fracture associated with osteoporosis, tumors, and trauma.Vertebroplasty and kyphoplasty invo...
Orthopaedics
Management In Orthopedics
9c4029de-9c28-4ae8-959e-c8b0eb3fce8b
All of the following are false regarding Vacuum assisted closure Except -
Due to negative pressure , bacterial counts decrease and cell proliferation increases in the wound.
Continuous pressure of +125 mm hg is applied.
It causes interstitial edema , thereby increasing blood flow and better healing.
Suitable to be used over malignancy if present in wound.
0a
multi
VACUUM ASSISTED CLOSURE/NEGATIVE PRESSURE WOUND THERAPY(NPWT) NPWT promotes wound healing by applying a vacuum through a special sealed dressing. Continued vacuum draws out the fluid (interstitial fluid) from wound and increase blood flow to the area. As a result, bacterial counts decrease and cell proliferation increa...
Surgery
General Surgery
f3dc8239-3a5e-49a4-965e-b644963a9660
Which of the following is not found in cerebral palsy?
Hypotonia
Microcephaly
Ataxia
Flaccid paralysis
3d
single
Cerebral palsy is a static encephalopathy and a disorder of posture and movement often associated with seizures and deficit in the motor, language, and social milestones due to insult to the developing brain.MICROCEPHALY is a feature of cerebral palsy because of insult to the developing brain.DYSTONIC CP is associated ...
Pediatrics
All India exam
1455c58f-89a0-47fa-a763-b4ea704aa815
When observations are made before and after the exposure to the factor, it is -
Chi-square test
Unpaired T-Test
Paired T-Test
ANOVA test
2c
single
Ref:Parks 23rd edition pg 852 Tests of significance: Qualitative: Chi- square : 2 or more than 2 groups Mc Nemar test : 1 group. ( before and after intervention) Quantitative: Paired T test: 1 group Student T test/ unpaired T test: 2 groups Anova: more than 2 groups.
Social & Preventive Medicine
Biostatistics
5dc7f2d1-546b-4fd3-b333-1be488ea9724
The symmetrical radiopacities marked with arrow are most likely:
Genial tubercle
Mental ridges
Mylohyoid ridges
Both 1 and 2
1b
multi
On periapical radiographs of the mandibular central incisors, the mental ridge (protuberance) may occasionally be seen as two radiopaque lines sweeping bilaterally forward and upward toward the midline. They are of variable width and density and may be found to extend from low in the premolar area on each side up to th...
Radiology
null
ce5dba32-2e1e-47a0-b9ce-e961ad0b5cbc
An absent kidney is found in
1:200 individuals
1:700 individuals
1:1400 individuals
1:5000 individuals
2c
single
About 1 in 1400 people have a single kidney. Sometimes a ureter and renal pelvis are present with no kidney. The contralateral kidney is typically hyperophied. Reference: page 1282 Bailey and Love's sho practice of surgery 26th edition ( note : according to 27th edition Complete absence of one kidney occurs in 1 in 500...
Surgery
Urology
cef9da83-f3f7-4b8c-84a4-59e80996324f
A 50 years old male presents with massive splenomegaly. His differential diagnosis will include all, except
Chronic mycloid leukemia
Polycythemia rubra vera
Hairy cell leukemia
Aplastic anemia
3d
multi
Diseases Associated with massive splenmegaly. Chronic myclogenous leukemia Gaucher's disease Lymphomas Chronic lymphocytic leukemia Hairy cell leukemia Sarcoidosis Myelofibrosis with myeloid metaplasia Autoimmune hemolytic anemia Polycythemia vera Diffuse splenic human giomatosis
Pathology
null
efd87ce0-0877-43c1-9116-151799332e09
For cast restorations the cavity wall should have a taper of
30-45 degree
5-10 degree
2-5 degree
none of the above
2c
multi
null
Dental
null
b563d140-a778-4077-99e0-143148f02d06
All of the following statements regarding nasolabial cyst are TRUE, EXCEPT:
Arises from odontoid epithelium
Presents submucosally in anterior nasal floor
Bilateral
Usually seen in adults
0a
multi
Nasolabial cyst are common developmental cyst arising outside the bone in the nasolabial fold below the alae nasi. It usually affects women in their 4th to 5th decade. Microscopically the cyst is lined by non cililated pseudostratified columnar epithelium. Complete surgical excision is the treatment of choice.
ENT
null
c2e38fe6-a36d-491d-9ca2-dacfb5d8e6bc
Darrier's sign is seen in -
Darrier's disease
Urticaria pigmentosa
Allergic vasculitis
Atopic dermatitis
1b
multi
Ans. is 'b' i.e., Urticaria pigmentosao Urticaria pigmentosa is a familial cutaneous disorder characterised by generalised distribution of red brown macules,o Each lesion represents a collection of mast cells in the dermis with hyperpigmentation of overlying epidermis,o The most characteristic features is that these le...
Skin
General
2e70fe87-78f9-4b7d-a7b0-121781b78acc
Melatonin is secreted by parenchymal cells of pineal gland. Fever causes:
Thermoregulatory centre to shift to new level
Resetting of skin temperature
Both of the above
None of the above
0a
multi
Thermoregulatory centre to shift to new level
Physiology
null
37531bef-c2e6-448a-aa9a-e37a17d4db63
Which of the metabolic abnormality is seen in multiple myeloma?
Hyponatremia
Hypokalemia
Hypercalcemia
Hyperphosphatemia
2c
single
null
Pathology
null
62624a25-a7eb-467f-9e11-cc045b3b99bc
An adult presented with hematemesis and upper abdominal pain. Endoscopy revealed a growth at the pyloric antrum of the stomach. CT scan showed growth involving the pyloric antrum without infiltration or invasion into surrounding structures and no evidence of distant metastasis. At laparotomy neoplastic growth was obser...
Closure of the abdomen
Antrectp, u amd vagotomy
Paial gastrectomy + Distal pancreatectomy
Paial gastrectomy + Distal pancreatectomy + splenectomy
2c
multi
Palliative procedures like palliative paial gastrectomy, anterior gastrojejunostomy, Devine's exclusion procedure, luminal stenting in proximal inoperable growths, chemotherapy are used in inoperable cases. * In early carcinoma proper lymph nodal clearance is impoant. Antrectomy is also called as hemi-gastrectomy. Remo...
Surgery
G.I.T
c0aee457-26c3-42cc-a1e8-7fd4fccd0207
Which of the following is an anti-coagulant for atrial fibrillation in a patient with prior history of stroke, with reduced risk of haemorrhage?
Vitamin K antagonists
Apixaban
Clopidogrel
Ticlopidine
1b
single
Anticoagulants are the treatment of choice in patients with atrial fibrillation and prior stroke or transient ischemic attack (TIA). Vitamin K antagonists such as warfarin have long been the mainstay of therapy, but a new set of anticoagulants has emerged as a reasonable alternative that may indeed prove to have better...
Medicine
null
e8f17b12-1cdd-4ea4-9f5d-ef03a47d41ff
The cause of oedema in nephritic syndrome
Increase in plasma protein concentratn
Decrease plasma protein concentratn
Reduced plasma osmotic pressure
Sodium and water retention
3d
single
Robbins page no p922 Glomerular diseases presenting with a nephritic syn- drome are often characterized by inflammation in the glomeruli. The nephritic patient usually presents with hematuria, red cell casts in the urine, azotemia, oliguria, and mild to moderate hypeension. Proteinuria and edema are common, but these a...
Pathology
Urinary tract
a94f1530-2ef9-4d91-a5c6-056e2180420f
Triple assessment for carcinoma breast includes :
History, clinical examination, biopsy/cytology
Clinical examination, mammography, biopsy/cytology
History, clinical examination, ultrasonography
Observation, ultrasonography, biopsy/cytology
1b
single
Triple assessment comprises of : Clinical examination (palpation). Radiological imaging (mammography or USG). Pathological assessment (Biopsy or cytology).
Radiology
null
63fc1595-897d-4cd1-aff2-b44bc651e84b
EC O157:H7, shiga toxin-producing strain of E. coli can be distinguished from other strains of E.coli by using the following medium:
Hektoen agar
Sorbitol
Blood agar
LJ medium
1b
single
Shiga toxin-producing E coli (STEC) are named for the cytotoxic toxins they produce. There are at least two antigenic forms of the toxin referred to as Shiga-like toxin 1 and Shiga-like toxin 2. STEC has been associated with, Hemorrhagic colitis Severe diarrhea Hemolytic uremic syndrome resulting acute renal failure Mi...
Microbiology
null
42f7afcf-c9f3-48d5-bb82-6c749036138a
Amylin is secreted by which cell of pancreas?
Alpha cells
Beta cells
Gamma cells
Delta cells
1b
single
Amylin, or islet amyloid polypeptide (IAPP), is a 37-residue peptide hormone. It is cosecreted with insulin from the pancreatic b-cells in the ratio of approximately 100:1.Ref: Ganong&;s review of medical physiology 23rd edition Page no: 315
Physiology
G.I.T
6d8e49b2-7017-4dca-b017-85f516181804
Putrefaction process is delayed by :
Peritonitis
Ansarca
Carbolic acid
Sepsis
2c
single
Carbolic acid delays the process of putrefaction. Peritonitis, ansarca, sepsis enhances the process of putrefaction.
Forensic Medicine
null
868974ec-5ea4-4b32-995b-5c99bbac2576
Initial preferred investigation for thyroid nodule is:
FNAC
Radionucleide test
Thyroid function test
USG
2c
single
Initial investigation done in STN is thyroid function test(TFT) Investigation of choice in STN for diagnosis is FNAC Solitary Thyroid Nodule: Initial investigation done in STN is thyroid function test (TFT) If TFT is raised, next investigation is thyroid scan , (For hot nodules, RAI ablation or surgery is done; For war...
Surgery
Endocrinology and breast
5e32f377-76df-42e4-98b5-69b6c90477c3
Longest fetal diameter:
Biparietal
Suboccip tobregmatic
Occipitofrontal
Mentovertical
3d
single
Ans is d, i.e. MentoverticalFetal diameters-AP diameters are always longer than Transverse diameter of fetal head.Longest diameter is-Mentovertical diameter (14 cms) followed by submentovertical diameter.
Gynaecology & Obstetrics
Fetal Skull and Maternal Pelvis
0192ace1-b1f2-4dfa-8257-3a84efa89e67
Which of the following is an impoant distinguishing characteristic of H. pylori as compared to Campylobacter species?
Oxidase production
Catalase production
Urease production
Curved shape
2c
single
Both Campylobacter and Helicobacter Belong to the family Campylobacteriaceae. Both are GNspiral-shaped or comma-shaped bacteria. Catalase and oxidase positive. Urease however, is produced only by Helicobacter.
Microbiology
Systemic Bacteriology (Haemophilus, Yersinia, Spirochaetes, Ricketssia, Chlamydia, Mycoplasma and Miscellaneous Bacteria)
fed4a923-ccb8-4b73-9708-40b1f845532c
True about Hepatocellular Carcinoma ?
Most prevalent malignancy
Commonest liver tumor
HBV predisposes
Patient present in early stage
2c
multi
Ans. is 'c' i.e. HBV predisposes Most common cancers in the world are --> Lung > Breast > Colorectal. As already stated before, HCC presents quite late and thus only 15-20% cancers are resectable. Most patients with unresectable lesions die within a year after diagnosis.
Surgery
null
c9ac6ed6-300b-4992-9c12-bdbeab2d2b7c
From A drugs which acts through inhibition of integrase activity of virus ?
Raltegravir
Tiprinavir
Enfuviide
Etravirine
0a
single
Ans. is 'a' i.e., Raltegravir
Pharmacology
null
e1a175d6-8a8b-4925-a0dc-c486737eee31
A 33 yr /M has history of A, now complaints of pain left hip. On examination there is Flexion, External Rotation of left lower limb is present. There is 7 cm shoening of left lower limb, there is a gluteal mass felt which moves with the movement of femoral shaft, most probable diagnosis could be?
Anterior dislocation of hip
Central fracture dislocation
Posterior dislocation
Pipkin's type 4 fracture
3d
single
Anterior dislocation is ruled out because it will have Flexion Abduction External Rotation with lengthening and anterior femoral head (Mass that moves with femur shaft is femur head). Central dislocation is ruled out because it will have shoening and femur head palpable on per rectal examination. Posterior dislocation ...
Orthopaedics
Pelvis and Hip Injury
2458763e-1057-4cab-8f4c-e000556faf40
C-reactive proteins are -
Alpha-1 globulin
Beta-1 globulin
Alpha-2 globulin
All
1b
multi
Ans. is 'b' i.e., Beta-1 globulin C-reactive is a nonspecific inflammatory acute phase protein. It is a beta globulin which is produced in the liver.
Microbiology
null
b457fb36-1ee1-4af3-915b-e128af60b160
Wood's lamp is made up of -
9% nickel oxide with 6% barium silicate
9% nickel oxide with 9% barium silicate
6% nickel oxide with 6% barium silicate
9% nickel oxide with barium silicate
3d
single
Wood's Lamp It is a low intensity ultraviolet light(360nm) emitted by a high pressure mercury lamp fitted with a special filter made up of 9% nickel oxide and silica.
Dental
Fungal infections
fb0e5556-9c34-4764-8f98-b662d4efa4bb
In carcinoid syndrome, the ap of hea mostly affected is:
Outflow tract of RV
Inflow tract of RV
Inflow tract of LV
Outflow tract LV
1b
single
Answer is B (Inflow tract of RV) The most commonly involved valve in, carcinoid syndrome is tricuspid valve which forms the inflow tract of Right ventricle. Most commonly involved pa of hea : Inflow tract of RV (Tricuspid valve) Second most commonly involved pa of hea : Outflow tract of RV (Pulmonic valve)
Medicine
null
412a173a-22e2-487d-ae6e-5be7fb36ae32
Forceps used for maxillary fracture disimpaction
Rowe's
Bristows
Ashs
Walshams
0a
single
null
Surgery
null
6ca325b0-59fa-4428-90b7-a91578778f8e
Premature atherosclerosis causing death is seen in:
Fabry's disease
Vitamin E deficiency
Abetalipoproteinemia
Spinocerebellar ataxia
0a
single
Fabry's disease is an X-linked dominant disorder. Angiokeratoma corporis diffusum is another name for it. Neuropathy usually stas in the childhood. It is overshadowed by complications arising from the associated premature atherosclerosis that lead to death by the fifth decade of life. ALSO KNOW: Fabry's disease is caus...
Medicine
null
e702181c-7216-4b23-9a09-87ec18055cda
Pharmacovigilance means:
Monitoring of drug safety
Monitoring of unethical trade of drugs
Monitoring pharma students
Monitoring drug efficacy
0a
single
Pharmacovigilance has been defined by the WHO as the ''science and activities relating to the detection, assessment, understanding, and prevention of adverse effects or any other drug-related problems'' The information generated by pharmacovigilance is useful in educating doctors about the adverse drug reaction and in ...
Pharmacology
General pharmacology
d13b6018-1e13-4b73-8907-fbce9db98e0c
When the black band of a CPITN probe is completely visible while in gingival sulcus, it means
The individual has advanced periodontal disease
The individual has pockets between 4 and 5 mm
The individual needs comprehensive periodontal surgery
The individual has calculus and needs scaling and oral hygiene instructions
3d
single
null
Dental
null
e5d4a9c1-c129-4b4a-a018-1d9ae1610247
Ligament of poupart is
Linea alba
Pectineal ligament
Lacunar ligament
Inguinal ligament
3d
single
Ligament of poupart is another name for Inguinal ligament
Anatomy
null
fb061a24-1aa1-4647-b111-a5c44a57f236
Individuals with alcoholic cirrhosis of the liver may develop severe hepatotoxicity after doses of acetaminophen that are not toxic to individuals with normal liver function. This increased sensitivity to acetaminophen's toxicity is due to :
Decrease availability of acetaldehyde dehydrogenase
Decreased hepatocellular stores of glutathione
Decreased activity of Cytochrome P450 enzymes
Increased liver blood flow
1b
single
null
Pharmacology
null
24029ee3-dd7f-4123-b0f9-987a14bdcde9
The chromosomal complement of a primary oocyte is-
23X
23Y
46XX
46XY
2c
single
Ans- (C) Primary oocyte
Gynaecology & Obstetrics
Obstetrical Anatomy
1301534f-397c-49c9-a09d-b4d04770bc3d
Most affernt fibers from the lateral geniculate nucleus terminate in the primary visual coex is:
Layer 1
Layer 2 and 3
Layer 4
Layer 5 and 6
2c
single
Most fibers from the lateral geniculate nucleus (LGN) end in layer 4 of the primary visual coex. Ref: Ganong's Review of Medical Physiology, 22nd Edition, Page 161; Berne and Levy Physiology, 5th Edition, Page 129.
Physiology
null
2bab1ed2-2183-483b-a128-7a34e52f1cc6
A 40 year old male brought to the emergency room with a stab injury to the chest.On examination pt is found to be hemodynamically stable. The neck veins are engorged and the hea sounds are muffled .The following statements are true for this pt except -
Cardiac tamponade is likely to be present
Echocardiogram should be done to rule out pericardial blood
Entry wound should be sealed with occlusive dressing
Emergency thoracotomy should be done
3d
multi
Pericardial tamponade Pericardial tamponade must be differentiated from tension pneumothorax in the shocked patient with distented neck veins It is most commonly the result of penetrating trauma. Characterized by Beck's Triad (MDH) : Muffled hea sounds, distended neck veins & Hypotension Diagnosis Chest X-Ray : Enlarge...
Surgery
Trauma
c997a4aa-bcbf-4f5c-8e24-e40ac6c86cbb
Nagler's reaction is shown by ?
Clostridium tetani
Clostridium welchii
Mycobacterium tuberculosis
Mycobacterium leprae
1b
single
null
Microbiology
null
bae4c5b6-61b7-41f8-bcec-1a7cc01dc7fa
Using a lens of +14D, magnification of fundus of an emmetropic eye in indirect ophthalmoscopy is: March 2013 (e)
5 times
10 times
15 times
25 times
3d
single
Ans. D i.e. 5 times
Ophthalmology
null
9065f47e-5e37-4cda-a7aa-f12052c9a741
The characteristic feature of catatonic schizophrenia is
Stupor
Rigidity
Negativism
All of the above
3d
multi
(D) All of the above
Psychiatry
Miscellaneous
21b58724-2e4c-4a78-86f0-401280e11c97
A diabetic with orbital cellulitis and maxillary sinusitis shows hyaline, narrow, septate and ranching hyphae with invasion of the blood vessels fungus on microscopy. Which is the causative fungus ?
Candida
Rhizospora
Aspergillus
Histoplasma
2c
single
Ans. is 'c' i.e., Aspergillus Diagnosis of Aspergillus infection: o Histologic examination of affected tissue reveals either infarction, with invasion of blood vessels by many fungal hvphae, or acute necrosis, with limited inflammation and hyphae. o Aspergillus hyphae are hyaline, narrow, and septate, with branching at...
ENT
Head & Neck Infections
0aa4162b-2f25-444c-8ddc-d2715009e7a2
Partogram is used to -
Assess the fetal well-being in labour
Assess the condition of the baby at birth
Record the events of pregnancy
Assess the progress of labour
3d
single
Ans: D
Unknown
null
963206a7-9a26-4a3a-a19f-4b8cbc891b88
Mcdonald stitch is applied in the following conditions except:
Incompetent os
Septate uterus
Placenta previa
Bad obstetrical history
2c
multi
Contraindications to Circlage operation: Intra uterine infection Ruptured membranes H/o vaginal bleeding Severe uterine irritability Cervical dilatation > 4 cm
Gynaecology & Obstetrics
null
509bd76b-ca61-41c9-b92e-bf0f681cedde
In early stages, how is acute alveolar abscess is diagnosed:
No change.
A diffuse radiolucency.
PDL widening.
None of the above.
2c
multi
PDL widening can be the method for diagnosing the acute alveolar abscess in early stage, while chronic alveolar abscess presents as more distinct radiographic lesion.
Dental
null
91ea791b-0f1d-48df-b99b-371703fdfcf6
Specific reason to disallow the sample for culture -
Sample brought within 2 hr of collection
Sample brought in sterile plastic container
Sample brought in formalin
Sample obtained after cleaning the collection site
2c
multi
Sample brought in formalin are not allowed for culture,as it may loose it's characteristic propeies specific to that organism. Ref ananthnarayana and panikers microbiology textbook
Microbiology
general microbiology
e8890ea7-5e0a-4ef3-8b16-8f7160b983c1
The spirometer can estimate all the following except
Total lung capacity
Forced expiratory volume in 1 second
Peak expiratory flow
Vital capacity
0a
multi
The total lung capacity (TLC), about 6,000 mL, is the maximum amount of air that can fill the lungs (TLC = TV + IRV + ERV + RV Ref: guyton and hall textbook of medical physiology 12 edition page number:326,327,328
Physiology
Respiratory system
4305dbde-56fb-4145-9478-4392cd99c850
Epidural anaesthesia decrease risk of – a) Headacheb) Hypotensionc) Meningitisd) Arachnoiditis
abc
ad
bc
acd
3d
single
As dura is not punctured in epidural anesthesia, chances of postdural puncture headache, meningitis and arachnoiditis are less.
Anaesthesia
null
0fb4c8ba-06e5-40bc-bb6f-7d42cbba6df0
Gamma Carboxylation of what requires vitamin K
Glutamine
Glutamic Acid
Glycine
Aspaate
1b
single
Biochemical functions of Vitamin K The functions of vitamin K are concerned with blood clotting process. lt brings about the post- translational (after protein biosynthesis in the cell) modification of ceain blood clotting factors. The clotting factors ll (prothrombin), Vil, lX and X are synthesized as inactive precurs...
Biochemistry
All India exam
fadf01f3-49bd-4d36-9244-db8fee63b26a
Which of the following is not an anti androgenic drug ?
Flutamide
Spironolactone
Finasteride
Cypionate
3d
single
Ans. is 'd' i.e., Cypionate
Pharmacology
null
a20b05b3-292f-4d3f-8c37-6a750c56f54c
12 years old male presented with intensely itchy grouped vesicles on buttock, trunk and scalp. On exposure to wheat they exaggerate. Diagnosis is -
Herpes simplex
Dermatitis herpetiformis
Pemphigus vulgaris
Bullous impetigo
1b
single
Ans is 'b' i.e. Dermatitis herpetiformis o Among given options only dermatitis herpetiformis is a gluten sensitivity disorder and aggravates on on eating gluten (wheat, rye, barley).Other features in favour of diagnosis areo Intense itching (characteristic feature)o Distribution of lesion - buttock, trunk and scalpo Ag...
Skin
Eosinophilic Dermatoses
427eab8b-80f7-4b9d-bef8-568f7171baad
Causes of a painless limp in infancy includes:
Congenital dislocation of hip
Infantile coxa vara
Poliomyelitis
All of the above
3d
multi
Painless Limp Painful Limp 1-3 years age group: DDH Cerebral palsy Muscular dystrophy Infantile coxa vara 4-10 years age: Limb length discrepancy Poliomyelitis Legg Calve Pehes disease Slipped capital femoral epiphysis Osteochondritis dissecans -Lateral surface of medial femoral condyle Ahritis/Synovitis/Osteomyelitis
Orthopaedics
Pediatric Ohopedics
7cc077c6-674f-4607-826a-fedc6f8359b5
Functions of plasmin are all except-
Fibrinolysis
Activation of collagenase
Destruction of VWF
Stabilization of fibrin
3d
multi
Ans. is 'd' i.e., Stabilization of fibrin * Plasmin is a proteolytic enzyme which belongs to serine protease family.* Its function are:-i) Fibrinolysis by break down of fibrin - It is the major function.ii) Activation of Collagenaseiii) Break down of matrix proteins (fibrin, fibronectin, thrombospondin, laminin) and vo...
Physiology
Heart, Circulation, and Blood
fcb3a478-0394-4019-a961-895418c7baf1
What is the extent of spinal cord in an adult?
Lower border of L1
Tip of Coccyx
Upper border of L3
S2
0a
single
Ans. is 'a' i.e., Lower border of LI * Spinal cord begins at foramen magnum and, in adults, ends at lower border of LI.StructureExtends uptoAdult spinal cordInfant spinal cordLower border of L} or upper border of L2Upper border of L3 vertebraeFilum terminalePiamaterTip of coccyxDural sheathSubdural spaceSub arachnoid s...
Anatomy
Neuroanatomy
e89c0dce-e2fc-4848-b0ca-d979a55522cc
Which of the following are common physiological problems in neonates:
Erythema toxicum
Transitional stools
Mongolian spots
All of the above
3d
multi
Ans. D. All of the aboveNeonates may have minor physiological peculiarities which are of no serious consequences. These include(i) Regurgitation of milk (most neonates take out small amount of curdled milk soon after feed. Child is usually active and vomitus is never yellow or green colour)(ii) Transitional stools: It ...
Pediatrics
New Born Infants
baecb9cc-1a82-4b24-b4bf-039591c233b1
The following is a marker of acute hepatitis B infection-
DNA polymerase
Hepatitis core antigen
Anti HBs
IgG to core antigen
0a
single
HBV-DNA can be measured by PCR in the blood. Viral loads are usually in excess of 105 copies/mL in the presence of active viral replication, as indicated by the presence of e antigen. In contrast, in individuals with low viral replication, who are HBsAg- and anti-HBe-positive, viral loads are less than 105 copies/mL. T...
Medicine
G.I.T
bfdb31ea-9207-4a5d-9828-7146bd23e160
Binding of gp 120 causes:
Infection of target cell
Facilitation of co-receptor
Fusing of virus and target cell
None
1b
multi
Ans. b. Facilitation of co-receptor
Microbiology
null
c8287cdc-beb7-4892-b8ba-56609b8c8ada
Following is not a variety of entropion ?
Pathological
Spastic
Cicatrix
Involutional
0a
single
Ans. is 'a' i.e., Pathological
Ophthalmology
null
4466c5a9-336a-4ece-bb29-0f5a79fe78e1
Tendon Xanthomas are seen in
Familial hyper cholesterolemia
Familial hyper lipidemia
Familial beta lipoprotenemia
Familial lipoprotein lipase deficiency
0a
single
null
Medicine
null
ec34669b-33da-4a90-b011-b5060b5f08be
All or none law refers to:
Action potential
Resting potential
Membrane potential
None
0a
multi
Action potential
Physiology
null
84ccdd2e-85e7-4cf7-8ddc-06df9ccf024a
If a biochemical test gives the same reading for a sample on repeated testing, it is inferred that the measurement is:
Precise
Accurate
Specific
Sensitive
0a
single
Criteria of screening test Acceptability – The test should be acceptable to population to which it is going to be applied. Repeatability  (reliability, precision, reproducibility)  –  The test must give consistent results when repeated more than once on the same individual or material under the same condition. Validit...
Dental
null