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135
f905dcaa-3f9b-455d-bb86-3a0d9c48991b
Which of the following describes the reflex increase in hea rate with on atrial distension?
J reflex
Bainbridge reflex
Cushing reflex
Bezold Jarisch reflex
1b
single
Bainbridge reflex: When the hea rate is slow, intravenous infusions of blood or electrolyte solutions usually accelerate the hea. Both atria have receptors that are affected by changes in blood volume and that influence the hea rate. These receptors are located principally in the venoatrial junctions: in the right atri...
Physiology
Cardiovascular System
a8dbacc8-9492-422c-83f6-ce3f8fb92fb9
FLT3-TKD gene is located at?
13q12
11q23
11p13
4q24
0a
single
FLT3-TKD- present in approx. 30% of cases of AML. It is located on long arm of Chromosome 13. AML: Good prognosis t (15;17) t (8;21) inv 16 Poor prognosis t (6;9) inv 3 7 deletion
Medicine
AML & ALL
c3568e4d-a689-46c1-9a71-993a3e20e436
Using neem stick is an example of
Appropriate Technology
Equitable Distribution
Community Participation
Inter-Sectoral Coordination
0a
single
null
Dental
null
4bfdd156-79dc-4a63-b90d-a2223aeec859
Recovery in cataract surgery is fastest with which of the following -
ICCE
ECCE
Phacoemulsification
ECCE with ICI
2c
single
smaller incision nd post operative astigmatism. REF:khurana,pg 199
Ophthalmology
Lens
45811753-971c-413c-917b-bbd678290bd3
Intra-epithelial split is seen in :
Epidermolysis bullosa.
Bullous pemphigoid.
Pemphigus vulgaris.
All of the above.
2c
multi
null
Pathology
null
e89ba6a8-289d-4b58-97e7-557e535d0422
Haemophilia is a genetic disorder of coagulation seen only in males. It is transmitted as
X-linked dormant
Y-linked dormant
X-linked recessive
Autosomal recessive
2c
single
Mendelian diseases and their inheritance:
Social & Preventive Medicine
null
99123bf5-5cdb-4ff0-8a2e-4a3427a8e558
All of the following neurotransmitters are suspected of being involved in the pathophysiology of schizophrenia except -a) Prostaglandins E b) Norepinephrinec) Ascorbic acidd) 5-HT
a
ac
ad
b
1b
multi
null
Psychiatry
null
a5fff229-91ba-439e-812f-1926dfa4ba8f
Which of the following amino acid contains free sulphydryl group
Cysteine
Methionine
Serine
Glycine
0a
single
Ans. is 'a' i.e.,Cysteine There are two sulfur containing amino acids :?CysteineMethionineThe side chain of cysteine contains sulfhydryl group that has a pKa of approximately 8.4 for dissociation of its hydrogen sulfhydryl groups of two cystein molecules can form covalent disulfide bond to form cystine.Methionine altho...
Biochemistry
null
30b6b541-b523-4a1a-b241-8eef796868f4
Drug not contraindicated in a pregnant lady for Hypeension: March 2009
Sodium nitroprusside
Hydralazine
ACE inhibitors
Indapamide
1b
single
Ans. B: Hydralazine Intravenous form of hydralazine is useful when treating severe hypeension due to preeclampsia/eclampsia. It has got a long record of safe use during pregnancy, but troublesome adverse effects occur. It decreases systemic resistance through direct vasodilation of aerioles.
Pharmacology
null
249b20de-584a-4dd5-8f94-4df1bcb68a09
Glucose is transpoed in the presence Na+ ions in intestine. This is a type of
Secondary Active transpo
Primary active transpo
Facilitated diffusion
Simple diffusion
0a
single
The active transpo of Na+ into the ECF by Na+-K+ pump is coupled to the transpo of other substances across the cell membrane against their concentration gradient. The energy for the transpo is not directly derived from ATP hydrolysis. Na+ Cotranspo of glucose is an example(Ref: Diseases. Textbook of medical physiology-...
Physiology
General physiology
002b10de-a518-4f65-8e2b-9e306be97722
On routine examination, it is discovered that a 35-year-old woman had been exposed in-utero to Diethylstilbestrol (DES) administered to her mother, who had had a history of recurrent spontaneous aboion. This history suggests that the patient might be at increased risk of which of the following?
Adenomyosis
Clear cell adenocarcinoma
Lichen sclerosus
Squamous cell carcinoma
1b
single
Diethylstilbestrol (DES) is the risk factor for clear cell adenocarcinoma of the vagina and cervix in young women with a history of in utero exposure to DES while their mothers were pregnant.
Pathology
Uterus
7590b14b-a134-4c84-8fb5-cc6b79ea1311
The Schilling test is performed to determine the cause of -
Lactose malabsorption
Fatty acid malabsorption
Amino acid malabsorption
Cobalamin malabsorption
3d
single
null
Medicine
null
3f63787d-7816-48fe-a623-b61ba10a3001
Childhood osteopetrosis is characterized by – a) B/L frontal bossingb) Multiple # (fracture)c) Hepatosplenomegalyd) Cataracte) Mental retardation
bc
c
ac
ad
0a
single
Osteopetrosis Osteopetrosis is an autosomal recessive heredofamilial disorder in which partly calcified cartilaginous intercellular ground substance is not regularly reabsorbed & replaced by regular osteoid tissue & bone. Manifested by : Increased bone density masking the distinction between cortex & medulla, bone wi...
Pediatrics
null
497c8405-2ab3-4ed1-bf2b-2a9410609a7a
Refractive index of cornea is
1.37
1.33
1.42
1.45
0a
single
Corneal refractive index is 1.376
Anatomy
All India exam
75753f92-3e4a-4597-8f05-7eb4612ae324
First change in a dead body is:
Mummification
Greenish discolouration of RIF
Putrefaction
Maggot formation
1b
single
Greenish discolouration of RIF
Forensic Medicine
null
b0129be1-152c-426c-a210-03cddde1495c
Supports of uterus are all except
Uterosacral ligaments
Mackenrodt's ligament
Broad ligament
Levatorani
2c
multi
Ans. C. Broad ligamentCLASSIFICATIONPrimary supportsa. Muscular or activei. Pelvic diaphragmii. Perineal bodyiii. Urogenital diaphragmb. Fibromuscular or mechanicali. Uterine axisii. Pub cervical ligamentiii. Transverse cervical ligamentiv. Uterosacral ligamentv. Round ligament of uterusSecondary supportsi. Broad ligam...
Gynaecology & Obstetrics
Obstetrical Anatomy
ececfd67-7320-4339-96d7-5803f507a47e
Most common site of primary spinal tumor
Intramedullary; Extradural
Intramedullary only
Intradural; Extramedullary
Intra axially only
2c
multi
- MC spinal tumor - Metastasis - MC primary spinal tumor - Nerve sheath tumor - MC intra - Medullary tumor - Astrocytoma - MC site of primary spinal tumor - Intra-dural; Extra medullary
Surgery
CNS Tumors
689ccf30-8cce-477c-8161-2ff8ec748244
Warfarin induced skin necrosis is seen in ?
Protein C deficiency
Protein S deficiency
Hemophillia
Antithrombin III deficiency
0a
single
Ans. is 'a' i.e., Protein C deficiency o Warfarin - induced skin necrosis occurs in patients with undiagnosed protein C deficiency.
Pharmacology
null
d1cd5c04-ce98-45b7-8141-b11f3802e444
Neo-adjuvant chemotherapy used esophageal carcinoma
Doxorubicin
Cisplatin
5-Fu-Leucovarin
Mitomycin C
1b
single
Neoadjuvant chemotherapyNeoadjuvant chemotherapy is the administration of therapeutic agents before the main treatment.Neoadjuvant therapy aims to:Reduce the size or extent of cancer.Makes procedures easier and more likely to succeed.Reduces the consequences of a more extensive treatment.Single agent chemotherapyCombin...
Pathology
All India exam
5f892117-3e89-4f00-b541-b00b4eefc67c
A 40-year-old woman who is a known case of anxiety disorder and has prominent symptoms of frontal headache is being treated with a procedure in which the tension in the frontalis muscle is measured regularly. The readings are projected on to a computer screen, which patient can see. She is then taught to use mental tec...
Implosion
Biofeedback
Aversive conditioning
Flooding
1b
single
The treatment technique described here is biofeedback. In this treatment, the patient is being given ongoing physiological information, in this case the muscle tension in the frontalis muscle. With the help of his feedback, she learns to use mental techniques to control the tension and keep her muscles in a relaxed sta...
Psychiatry
Neurotic, Stress Related and Somatoform Disorders
23ab1a89-238a-4edd-9824-a154c5b043b2
The special stain used for treponema pallidum is
Giemsa staining
Gram staining
Fontanna silver
Ziel Neelson
2c
multi
null
Microbiology
null
14f55294-96c2-4db8-8bf5-e8d23f4d8536
Regarding sexual differentiation of the fetus?
Gonadal development begins at 5th week of intrauterine life
Y chromosome determines the differentiation of ovaries.
Female external genitalia development is completed by 10 weeks.
Male sexual differentiation occurs earlier than females
3d
single
Goandal development begins at 5th week of intrauterine life and Male sexual differentiation occurs earlier than female."The differentiation of the gonadal ridge into the testis by 43-50 days (7-8 wks) of gestation is a rapid phenomenon that contrasts with the slower and delayed development of the ovary, which will not ...
Anatomy
null
b73d4f0f-95bb-4676-82ac-7ebff6a78a7b
The following agent decrease gastric motility except-
Naloxone
Morphine
Codeine
Pethidine
0a
multi
Ans. is 'a' i.e., Naloxone o Opioids decrease GI motility.o Naloxone is opioid antagonist (at all receptors), thus it will counteract the GI effect of opioids.Naloxoneo It antagonizes all action of morphine (sedation is less completely reversed),o It is the drug of choice for acute morphine poisoning.o It is also used ...
Pharmacology
G.I.T
55d82ff9-e362-4abd-831a-d4c411fa622e
Water lily appearance in chest X-ray suggestive of the following condition:
Bronchiectasis
Bronchopleural fistula
Hydatid cyst
Sequestration cyst of lung
2c
single
Chest X-ray finding of hydatid cyst of the lung: Dense homogenous opacity Collapsed laminated membrane produces an irregular projections in a fluid level due to rupture of the cyst- 'Water-lily appearance' Crescentic cap of air, when it communicates into bronchial tree Ref: Srb's Manual of Surgery By Bhat, 2012, Page 1...
Radiology
null
5af076ca-87ad-40b2-8b7b-706847483013
Which of the following is the most common cancer of thyroid
Anaplastic carcinoma
Follicular carcinoma
Papillary carcinoma
Medullary carcinoma
2c
single
Papillary carcinoma is the most common malignancy of thyroid, accounts to 70-80% of all thyroid malignancies. It has the best prognosis of all thyroid cancers. Source : Sabiston 20th edition pg : 900
Surgery
Endocrinology and breast
f4bdbc93-73aa-4fd7-a4fc-44d1bba50b10
Osgood schlatter disease?
Tibial tuberosity
Femur head
Navicular
Calcaneum
0a
single
Ans. is 'a' i.e., Tibial tuberosity
Surgery
null
ace87d4b-02d9-4939-b177-54f6ba66af0b
DOC in P. jeroveci
Clotrimazole
Cotrimoxazole
Penicillin
none
1b
multi
Drug of choice for Pneumocystis jirovecii pneumonia is co-trimoxazole,with adjunctive doses of steroid if the patient has hypoxia.Pneumocystis jirovecii pneumonia is common in immunocompromised individuals,like HIV positive patients.In P.jirovecii pneumonia,symptoms of cough and breathlessness can be present for severa...
Medicine
Respiratory system
93570cb3-b590-4c7f-a659-4d296a92092b
Undue restlessness in a patient during the immediate post burn period is often a manifestitation of ?
Hypoxia
Hypovolemia
Hyperkalemia
Anxiety
3d
single
Ans. is 'd' i.e., Anxiety
Surgery
null
24d02c3f-3f3f-4ed2-a9c6-ff0ecf163b5c
Type D personality has been recently found to be a risk factor for:
Coronary artery disease
Depression
Personality disorder
Schizophrenia
0a
single
Ans. a. Coronary artery disease Type D personality has been recently found to be a risk factor for coronary' artery disease."Type A personality (behavior pattern) includes competitiveness, time urgeny, and hostility.""Type D (distressed) personality is not oniy a risk factor for development of ischemic heart disease, i...
Psychiatry
Personality Disorders
a52d8314-4e54-4986-9763-836902eee7fa
All of the following genetic syndromes are associated with Acute Myeloid Leukemia, except:
Down's Syndrome
Klinefelter's Syndrome
Patau Syndrome
Turner's Syndrome
3d
multi
Of all the options given Turner's syndrome is not found to be associated with increased incidence of acute myeloid leukemia (AML). Down's syndrome, Klinefelter's Syndrome, Patau Syndrome are associated with AML. Ref: Harrison's Principles of Internal Medicine16th Edition, Page 631; Excellent Care for Cancer Survivors: ...
Pediatrics
null
c21e9c93-2115-449c-a45f-9a41f926a9bc
RBC cast in the microscopic examination of the urine is an indicator of
Acute glomerulonephritis
Acute pyelonephritis
Chronic glomerulonephritis
Nephrotic syndrome
0a
single
(A) Acute glomerulonephritis THE GLOMERULAR SYNDROMEAcute nephritic syndromeHematuria, azotemia, variable proteinuria, oliguria, edema, and hypertensionRapidly progressive glomerulonephritisAcute nephritis, proteinuria, and acute renal failureNephrotic syndrome>3.5 gm proteinuria, hypoalbuminemia, hyperlipidemia, lipid...
Pathology
Misc.
96340200-ba8a-425c-aeab-c288fc83ab1d
EKG finding of ventricular premature beats-
Fusion beat
Narrow QRS complex
AV Dissociation
Wide QRS complex
3d
single
PVCs are characterized by premature and bizarrely shaped QRS complexes that are unusually long (typically >120 msec) and appear wide on the electrocardiogram (ECG). These complexes are not preceded by a P wave, and the T wave is usually large and oriented in a direction opposite the major deflection of the QRS. pvc is ...
Medicine
C.V.S
4228433a-cba4-490a-9b04-097a8601a6fd
Cardiopulmonary manifestation of hyperthyroidism-a) Tachycardiab) Sinus bradycardiac) Cardiomegalyd) Low output cardiac failure
a
bc
ac
b
2c
single
null
Medicine
null
e3b79ab2-495a-428d-b1b9-c26d76272f96
A patient presented with a hard swelling in this right testis. All are true statements except:
Trans scrotal biopsy is needed
Inguinal exploration is done
High inguinal exploration should be done
Scrotal USG is done
0a
multi
Ans. (a) Trans scrotal biopsy is needed* Chevassu maneuver biopsy is done inguinal.* Transcrotal biopsy will disseminate the tumor cells to Inguinal nodes
Surgery
Urethra & Penis
11b6929a-7f6b-409c-a98c-59ac3a2b2225
Which of the following is common with Streptococcus infection?
Cellulitis
Gangrene
Pyoderma
UTI
0a
single
Ref: Microbiology by Ananthanarayan and Paniker, 8th ed. pg. 205SKIN AND SOFT TISSUE INFECTION BY STREPTOCOCCUS1. Erysipelas-diffuse infection involving the superficial lymphatics2. Impetigo-superficial infection of skin (pyoderma)3. Cellulitis-cellulitis is caused mainly by hemolytic streptococci. It specifically affe...
Microbiology
Bacteria
eacec070-a402-4eb3-845e-8452e0ee972d
A 40-year-old man without a significant medical history comes to the emergency room with a 3-day history of fever and shaking chills, and a 15-minute episode of rigor. He also reports a cough productive of yellow-green sputum, anorexia, and the development of right-sided pleuritic chest pain. Shortness of breath has be...
Recent exposure to a family member with influenza
Respiratory rate of 36/min
Recent sexual exposure to an HIV-positive patient
Purulent sputum with gram-positive diplococci on Gram stain
1b
single
Because of the development of effective oral antibiotics (respiratory fluoroquinolones, extended spectrum macrolides), many patients with community-acquired pneumonia (CAP) can be managed as an outpatient as long as compliance and close follow-up are assured. The CURB-65 score is a validated instrument for determining ...
Medicine
Respiratory
dd418072-cc4b-4cbf-9612-6c013781d955
Pramlintide is ?
Synthetic amylin analogue
Inhibitor of DPP 4
GLP 1 analogue
PPAR gamma
0a
single
Ans. is 'a' i.e., Synthetic amylin analogue NEWER ANTIDIABETIC DRUGS Exenatide Exenatide is a synthetic glucagon-like peptide - 1 (GLP-1) analogue. GLP-1 is an impoant incretin that is released from gut in response to oral glucose. But GLP-1 can not be used clinically as it is degraded rapidly by enzyme dipeptidly pept...
Pharmacology
null
b229e7ff-2046-4e4c-99b7-374e67773db3
The operation of plication of inferior lid retractors is indicated in -
Senile ectropion
Senile entropion
Cicatricial entropion
Paralytic entropion
1b
single
Plication of inferior lid retractors is done to strengthen them. This operation is performed in severe cases of senile entropion or when recurrence occurs after other procedures. It is known as the Jones, Reeh and Wobig operation.
Ophthalmology
null
a69ec1f0-17d5-42ee-b5fa-605c3ddd8802
A 74-year-old woman has symptoms of shortness of breath on exertion and waking up at night. Her physical examination reveals a JVP at 8 cm, extra third heart sound, lung crackles, and pedal edema. She is started on furosemide 80 mg/day for heart failure, while further investigations are performed.For the above patient ...
metabolic acidosis
metabolic alkalosis
respiratory acidosis
respiratory alkalosis
1b
multi
Diuretics are a common cause of metabolic alkalosis. The disorder can occur in volume expanded patients in whom the alkalosis is unresponsive to sodium chloride loading, as in primary hyperaldosteronism or volume contraction with secondary hyperaldosteronism, as in this case.
Medicine
Oncology
4b0df041-afc1-4417-a87a-12f56c6505e6
who is the sceintist who got noble prize for his contribution for psychosurgery
erik erikson
alfred adler
manfred bleuler
egaz moniz
3d
single
* Jacobson=================lobotomy in chimpanzees * Almedia lima+ egaz moniz===PF leukotomy * Subcaudate tractotmy======OCD * Limbic leukotomy=========OCD and depression * Anterior capsulotomy Anterior cingulotomy Ref. kaplon and sadock, synopsis of psychiatry, 11 th edition, pg no. 1065
Anatomy
Treatment in psychiatry
ede08409-7c4c-4d8e-9826-9ecffaf0d4ae
In a patient presenting with diarrhoea due to vibrio cholera, which of the following will be present ?
Abdominal pain
Presence of leukocytes in stool
Fever
Neutrophilia
3d
single
Ans. is 'd' i.e., Neutrophilia On laboratory evaluation there will be : Mild neutrophilic leukocytosis (neutrophilia) Elevated hematocrit Elevated BUN and creatinine Normal sodium, potassium and chloride levels. Markedly reduced bicorbonate level Elevated anion gap Acidosis (Low pH)
Microbiology
null
70b5334f-5e21-46c6-9702-60a00883a9be
Neuroleptic malignant syndrome is characterized by
Bradycardia
Labile hypeension
Hypotonia
Hypothermia
1b
single
Features of Neuroleptic malignant syndrome Increased body temperature >38degC (>100.4degF), orConfused or altered consciousnessDiaphoresis "sweat shock"Rigid musclesAutonomic imbalanceLabile hypeension Metabolic acidosis (Refer: Kaplan and Saddock's Synopsis of Psychiatry, 10th edition, pg no: 995)
Pathology
All India exam
dcefa365-acfb-4337-9290-29900a9bf39b
Treatment for clostridial myonecrosis is :
Amikacin
Penicillin
Ampicillin
Gentamicin
1b
single
null
Pharmacology
null
89620158-70ac-4154-bd9c-f4067a8d2fc4
Coicosteroids suppress: September 2009
GH
ACTH
FSH
LH
1b
single
Ans. B: ACTHFree glucocoicoids inhibit ACTH secretion, and the degree of pituitary inhibition is propoionate to the circulating glucocoicoid level. The inhibitory effect is exeed at both the pituitary and the hypothalamic levels. The inhibition is due primarily to an action on DNA, and maximal inhibition takes several ...
Physiology
null
b3fa9be8-59f2-4dce-8cb3-3d0ddb7bd16d
Eicosanoids are derived from
Oleoc acid
Linoleic acid
Linolenic acid
Archidonic acid
3d
single
EICOSANOIDSThey are 20 C compounds (Greek, eikosi = twenty), derived from arachidonic acid. Their names are:1. Prostanoids, containing1-a. Prostaglandins (PGs);1-b. Prostacyclins (PGIs);1-c. Thromboxanes (TXs)2. Leukotrienes (LTs)Ref: DM Vasudevan - Textbook of Biochemistry, 6th edition, page no: 163
Biochemistry
Metabolism of lipid
79d04333-2603-44df-8b46-2c93185d7405
The end product of glycolysis under anaerobic conditions is:
Lactic acid
Pyruvic acid
Acetoacetic acid
Oxaloacetic acid
0a
single
null
Biochemistry
null
440a4785-047d-466a-bd81-6c094e8728be
Kary otyping is done in which phase of cell cycle-
Anaphase
Metaphase
Telophase
S phase
1b
single
Ans. is 'b' i.e., Metaphase o To produce a karyotype, one must obtain cells capable of growth and division as karyotyping is done by arresting mitosis in dividing cells in metaphase.o Karyotyping is the study of chromosomes and is used in cytogenetics to study the chromosomal abnormalities,o After arresting the cells i...
Pathology
Cytogenetic Disorders
326cdfc0-0002-4381-9fe2-ec91af35b2b5
Which one of the following lysosomal storage disorder is associated with mental retardation?
Metachromatic leucodystrophy
Fabry's disease
Tay Sach's disease
All of the above
3d
multi
(D) All of the above# Metachromatic leukodystrophy (MLD, or Arylsulfatase A deficiency) is a lysosomal storage disease which is commonly listed in the family of leukodystrophies. Leukodystrophies affect the growth and/or development of myelin, the fatty covering which acts as an insulator around nerve fibers throughout...
Pediatrics
Miscellaneous
9fa97b8c-d9d3-4693-895c-e9b6afeb31b7
Diagnosis of beta Thalassemia is established by
NESTROFT Test
Hb A1c estimation
Hb electrophoresis
Target cells in peripheral smear
2c
single
Diagnostic test for thalassemia is Hb electrophoresis. NESTROFT Test - Naked Eye Single Tube Red Cell Osmotic Fragility Test - used for screening for Thalassemia HbA1c - Used to assess long term glycemic control in diabetics (blood sugar control over past 3 months) Target cells - A feature of thalassemia, but not diagn...
Pediatrics
Hematology
c8bcda87-63f5-4e44-8614-fe090f9ecabb
The best marker to diagnose thyroid related disorder is
T3
T4
TSH
Thyroglobulin
2c
single
Answer is C (TSH) : The enhanced sensitivity and specificity of TSH assays have greatly improved laboratory assessment of thyroid function - Harrison With rare exceptions a normal TSH level excludes a primary abnormality of thyroid function.- Harrison Approach to thyroid testing: Because TSH change dramatically in resp...
Medicine
null
990b1332-d986-4edc-881b-aab460bd0f50
Which of the following medications is contraindicated in the treatment of an acute attack of gout?
Allopurinol
Colchicines
Coicosteroids
Indomethacin
0a
multi
Gout is a metabolic disease process with abnormal amounts of urates in the body characterized by recurring acute ahritis. The diagnosis is verified by the presence of urate crystals in the fluid of affected joints. Treatment of an acute attack may include non-steroidal anti-inflammatory drugs, colchicines or coicostero...
Surgery
null
97f6ee3d-dbee-446c-809d-c482e31fd2a3
Which is the most common joint involved in thalassemia?
Hip
Knee
Shoulder
Ankle
1b
single
Ans. B. Knee* Most common joint involved in thalassemia is Knee joint.* Most common orthopedic symptom in thalassemia is leg pain.
Orthopaedics
Arthritis
c33d940c-8646-490c-b27d-b5c74e6718dd
The drug of choice to treat Chlamydia infection in pregnancy is:
Tetracycline
Doxycycline
Erythromycin
Penicillin
2c
single
From the options listed in the question erythromycin is the drug used in the treatment of chlamydial infections in pregnancy. Erythromycin should be given for 7-10days. According to the latest recommendation Azithromycin 1gm as a single dose is the drug of choice in Chlamydia infection during pregnancy. As a prophylaxi...
Gynaecology & Obstetrics
null
86d28be8-e596-467b-ad3b-f9fd9a4d4496
Malignant hypehermia is caused by
Succinylcholine + halothane
Propranolol
Lidocaine
Bupivacaine
0a
single
Ans. is 'a' i.e., Succinylcholine + halothane
Anaesthesia
null
b2c5523c-93c3-4e50-aa2b-2b05c1c58acd
In indentation tonometry:
Plunger indents a hard eye more than a soft eye
Lower scale readings are obtained in high intraocular pressure
Low scleral rigidity gives high reading of intraocular pressure
All of the above
1b
multi
Ans. Lower scale readings are obtained in high intraocular pressure
Ophthalmology
null
ae089b5b-42c2-4fd8-92eb-6dfbd02faaa0
Umbilical aery is a branch of
Coeliac aery
Superior mesenteric aery
Anterior division of internal iliac aery
Posterior division of internal iliac aery
2c
single
Anterior division of internal iliac aeryA pa of Umbilical aery persists as superior vesical aery and remaining aery becomes obliterated forming medial umbilical ligament.
Anatomy
Abdomen and pelvis
56abe362-8b87-48c7-9f9b-743a3e54394a
Which one of the following ultrasound marker is associated with greatest increased risk for Trisomy 21 in fetus
Echogenic foci in heart
Hyperechogenic bowel
Choroid plexus cysts
Nuchal edema
3d
single
(D) Nuchal edemaINCIDENCE OF MAJOR & MINOR DEFECTS/MA Trisomy 21NormalLikelihood ratio for isolated marker* Nuchal Fold33.5%0.6%9.8* Short humerus33.4%1.5%4.1* Short femur41.4%5.2%1.6* Hydronephrosis17.6%2.6%1.0* Echogenic focus in heart28.2%4.4%1.1* Echogenic bowel13.3%0.6%3.0* Major defect21.4%0.65%5.2
Radiology
Miscellaneous
d31c893b-c738-43b3-8b25-7322204bf152
Proper technique of endotracheal intubation involves: March 2012
Flexion of neck
Flexion of the neck and extension of the atlantooccipital joint
Extension of the neck
Extension of the neck and flexion of the atlantooccipital joint
1b
single
Ans: B i.e. Flexion of the neck and extension of the atlanto-occipital joint Optimal head and neck positioning while intubation is obtained by flexion of the neck and extension of the atlanto-occipital joint
Anaesthesia
null
985e5759-85f7-4159-a88e-b34cf58d1bff
Which animal is used to test pathogenicity in Cryptococcus neoformans?
Mice
Guinea pig
Rabbit
Monkey
0a
single
CD1-cryptococcus D strain-infected mice were examined for survival and fungal loads in either brain or lung during the course of infection. Ref: Baveja 5th ed pg: 565
Microbiology
mycology
16960a19-981f-4840-ae52-08495d1b577c
A 10 year old boy complains of discoloration of upper front teeth. He was on tetracycline therapy few years ago and also gives a history of chronic productive cough. General physical examination shows increased chest diameter and clubbing of fingers. USG findings are suggestive of cystic degeneration of pancreas. Which...
There is high incidence of open bite malocclusion in such patients.
These patients should preferably be treated in a more upright position.
The use of sedative agents that interfere with pulmonary function should be avoided.
The incidence of dental caries in these patients is high.
3d
multi
Cystic Fibrosis  The  genetically altered protein affects exocrine gland function. The defective exocrine gland function leads to microobstruction of the pancreas, which results in cystic degeneration of the pancreas and, ultimately, a digestive enzyme deficiency producing malabsorption of nutrients.The defective gene ...
Dental
null
29d127c6-12f3-41e1-9f33-e9181c476ed3
Mifepristone is not used in:
Threatened aboion
Fibroid
Ectopic pregnancy
Molar pregnancy
0a
single
In case of threatened aboion ,patient presents with amenorrhoea followed by painless vaginal bleeding,but may sonetimes accompained by mild abdominal cramps and backache. Treatment modalities include hormobe therapy with natural progesterone is sometimes given on an empirical basis,anti D is given ,if patient is Rh neg...
Gynaecology & Obstetrics
General obstetrics
918d1af4-1661-4a50-8f87-e2a8c1a7ec31
Endoscope tube is sterilized by-
Glutaraldehyde
Formalin
Autoclaving
Boiling
0a
single
null
Microbiology
null
0981a1f5-c8ec-433e-a8c0-5ab90e5af6b2
Accumulation of homogentisic acid causes which of the tissue changes?
Ochronosis
Tyrosinemia
Albinism
Tyrosinosis
0a
single
Ochronosis is the bluish black discoloration of ceain tissues, such as the ear cailage and the ocular tissue, seen with alkaptonuria. Alkaptonuria is a rare autosomal recessive metabolic disorder caused by deficiency of homogentisic acid oxidase. This deficiency results in accumulation and deposition of homogentisic ac...
Biochemistry
null
ac6de9dc-ff07-4ad0-a80d-2f9c07e18922
Vidian nerve is-
Mandibular nerve
Deep petrosal nerve
Nerve of pterygoid canal
Lesser petrosal nerve
2c
single
Ans. is 'c' i.e., Nerve of pterygoid canal * Greater petrosal nerve joins the deep petrosal nerve to form vidian nerve (nerve to pterygoid canal) and carries secretomotor fibres to the lacrimal gland, nasal gland, Palate gland and pharyngeal gland after relaying in pterygopalatine ganglion.
Anatomy
Neuroanatomy
4429d82c-a733-4050-b1ad-2f06acb3da94
Longest diameter of fetal skull is?
Occipito frontal
Submentobregmatic
Suboccipito frontal
Mento vertical
3d
single
Ans. (d) Mento verticalRef : D.C. Dutta 8th ed. / 94-97DIAMETERS OF SKULL* The antero-posterior diameters of the head which may engage are:DiametersMeasurment (In Cm)PresentationSuboccipito-bregmatic9.5 cmVertexSuboccipito-frontal10 cmVertexOccipito - frontal11.5 cmVertexMento-vertical: extend from mid-point of chin to...
Gynaecology & Obstetrics
Fetal Skull and Maternal Pelvis
5372f5ff-529c-4573-8a6f-bdc17382ca4d
Ethambutol causes
Retro bulbar neuritis
Deafness
Red urine
Peripheral neuritis
0a
single
Refer Katzung 10/e p774 KDT 6/e p 742 Ethambutol causes retobulbar neuritis It can result in red green colour blindness
Pharmacology
Chemotherapy
c9444f82-6da9-4b47-8c10-bc5fddbe0545
Most common cause of mediastinitis is -
Tracheal rupture
Esophageal rupture
Drugs
Idiopathic
1b
single
null
Medicine
null
50943f9e-5734-4e4e-bc97-92f14df5c08d
Mechanism of action of dipyridamole -
Adenosine reuptake inhibition
Increases PGI,
Inhibits cycloxygenase
None
0a
multi
Ans. is 'a' i.e., Adenosine reuptake inhibition o Dipyridamole is a powerful coronary dilator; increases total coronary flow by preventing uptake and degradation of adenosine. Remember o Dipyridamol potentiates the action of PG12.
Pharmacology
null
acd00099-3c84-4338-b38f-0c4c38df9810
Antisera are prepared from
Guinea pig
Rabbit
Rat
Horse
3d
single
AntiseraIs a material prepared in animalsPassive immunization was achieved by the administration of antisera or antitoxins prepared from horsesAdministration of antisera give rise to serum sickness and anaphylactic shock(Refer: K. Park's Textbook of Preventive and Social Medicine, 24th edition, pg no:112)
Pathology
All India exam
a0856131-6e08-429a-93e8-dcb92030f20f
Which of the following is secondary level of prevention: March 2005
Prophylactic drug administaion
Admitting disabled child in special schools
Vaccination
Cervical pap smear checking
3d
single
Ans. D: Cervical pap smear checking The levels of prevention: Primordial prevention is prevention of the emergence/development of the risk factors in countries/population in which they have not yet appeared. e.g. obesity and hypeension prevention Primary prevention methods are used before the person gets the disease. P...
Social & Preventive Medicine
null
6cfdfee6-7e0c-4fdb-96ce-7b852ca060d3
Which of the following is a rare occurrence
Enamel meet cementum at a point
Enamel overlaps cementum
Cementum overlaps enamel
Both never meet
1b
multi
null
Dental
null
93cf086e-88f0-4787-a348-79c1b868f7f0
Perfusion pressure is
Arterial pressure
Venous pressure
Arterial–venous pressure difference
Pressure in left ventricle
2c
single
Perfusion pressure is arterial pressure minus venous pressure.
Physiology
null
935efc93-2251-4ee0-b71a-bd7e2c447c19
A study comparing the behavioral and developmental changes in a normal brain with a damaged brain is:
Neuropsychology
Neurodevelopmental psychology
Child psychology
Criminal psychology
0a
single
Ans. a. Neuropsychology (Ref: www.wikipedia.org/Neuropsychology)A study comparing the behavioral and developmental changes in a normal brain with a damaged brain is Neuropsychology.'Clinical neuropsychology is the application of neuropsychological knowledge to the assessment, management, rehabilitation of the people wh...
Psychiatry
Cognitive Development
b10e65c8-8ab8-4df7-9836-2b565266775b
Bleeding from peptic ulcer most commonly involve
Gastroduodenal aery
Left gastric aery
Splenic aery
Sho gastric aery
0a
single
Bleeding peptic ulcer MC indication for operation and principal cause of death in PUD patients The most significant hemorrhage occurs when duodenal or gastric ulcers penetrate into branches of the gastroduodenal aery or left gastric aery, respectively Incidence of peptic ulcer bleeding decreased over past decade, but M...
Surgery
G.I.T
371f286d-8379-498b-87ea-2ee56f2a3df0
A female developed brown macule on the cheek, forehead and nose after exposure to light following delivery of a baby, the diagnosis is
SLE
Chloasma
Photodermatitis
Acne rosacea
1b
single
Answer is B (Chloasma): Patient has a characteristic 'brown' macule on cheek, with no history suggestive of any systemic involvement, with positive history of delivery of a baby suggesting pregnancy.
Medicine
null
9be3cf83-0f3e-4d9b-b6d3-d0a21c94de49
Which of the following drugs have maximum capacity to lower serum triglyceride levels?
Fibrates
Statins
Niacin
Ezetimibe
0a
single
Fibrates: maximum capacity to lower serum triglyceride levels. Statins: Max. LDL lowering capacity ANTI-DYSLIPIDEMIC AGENTS Group Mechanism Drugs Special points Statins HMG CoA reductase inhibition Atorvastatin, Rosuvastatin Max LDL lowering capacity Fibrates Stimulation of PPAR-alpha Clofibrate Fenofibrate Gemfibrozil...
Pharmacology
Hypeension, Arrhythmias, Dyslipidemia
e756791f-bb97-4080-a14a-e44151dfb28b
Which of the following is not a Sarcolemmal P proteins?
Sarcoglycan
Dystrophin
Dystroglycan
Perlecan
3d
single
Perlecan is a large multidomine proteolycan that binds to and cross links many ECM components and cell surface molecules Ref:Guyton and Hall textbook of medical physiology 12th edition,page number:8,9,10
Physiology
General physiology
bb8a3ac8-133b-4d43-960c-bafbf985797e
An alcoholic was found to be dead by cardiac arrest due to hydrocution. Hydrocution is:
Electrocution in water
Dry drowning
Drowning in cold water
Postmoem immersion
2c
single
Hydrocution or Immersion syndrome or Submersion inhibition: Death results from cardiac arrest due to vagal inhibition as a result of, Cold water stimulating the nerve endings of the surface of the body Water striking the epigastrium Cold water entering eardrums, nasal passages, and the pharynx and larynx which cause st...
Forensic Medicine
null
06516a95-23a9-4b53-bd31-4eea6e9ef274
In lag screw technique, what is the function of counter-sink?
Assures appropriate receptacle for screw head
It is the hole made in the distal fragment that engages the screw threads
It is the hole made in the proximal segment that does not engage the screw threads
It is non functional
0a
single
To flush the obliquely place screw head with the rest of the proximal cortex, countersink is made that acts as a receptacle for engaging the end of screw head.
Surgery
null
3965851f-3090-4671-912b-7665b052e09d
Aplastic anaemia is common with
Chloramphenicol
Cephalosporin
Tetracycline
Penicillin
0a
single
null
Pathology
null
cd0b697f-3518-48dc-802f-5fc1a44bf87e
Father of serial extraction philosophy in USA is
Kjellgren
Nancy
Dewel
Hotz
1b
single
null
Dental
null
667f41c0-9c18-4576-82d9-3469aacaa066
Coffee bean sign is a radiologic finding in which of the following abdominal condition?
Ileocaecal TB
Sigmoid volvulus
Ulcerative colitis
Crohn's disease
1b
single
Volvulus refers to torsion of the bowel. It most commonly occurs in the sigmoid colon or caecum of constipated elderly adults who have redundant loops of colon on a long mesentery and are therefore at risk of the colon twisting around its mesenteric axis. Coffee bean sign is a radiologic feature of sigmoid volvulus whi...
Radiology
null
7de409bf-cd0a-429d-bd32-cc73478b5fe4
WRONG about ileum as compared with jejunum is
Sho club shaped Villi
Long vasa recta
More lymphoid nodules
More fat in mesentery
1b
single
Jejunum has long and sparse vasa recta as compared to ileum. Jejunum are thick walled and peritoneal windows are transparent as compared to ileum. Peyer patches are present in ileum which are absent in jejunum. Jejunum have 1 or 2 rows of aerial arcades whereas ileum have 4 to 5 aerial arcades Ileum have sho club shape...
Anatomy
Small and Large intestine
45397293-4be1-40c0-b0b6-521085dc34ea
Mammalian Mitochondria are involved in all of the following except –
Fatty acid synthesis
DNA synthesis
Fatty acid oxidation (β-oxidation)
Protein synthesis
3d
multi
Protein synthesis is a cytoplasmic process.    Fatty acid synthesis starts with the production of Acetyl Co A within the mitochondria .    β-oxidation of fatty acid oxidation also occurs in mitochondria .    Mitochondrial DNA synthesis occurs within the mitochondria . Protein synthesis Process whereby DNA encodes for t...
Unknown
null
51ad7498-e67c-489d-9372-7003d935e92b
Cluster headache is characterized by all, except:
Affects predominantly females
Unilateral headache
Onset typically in 20-50 years of life
Associated with conjunctival congestion
0a
multi
Answer is A (Affects predominantly females) : Cluster headache affects predominantly males. Men are affected 3 times more often than women.
Medicine
null
3c4a75e8-6bc1-4bc7-8fe5-d4d89672194d
Which of the following is an approach in health education:
Regulatory approach
Service approach
Educational approach
All of the above
3d
multi
Approaches in Health Education: Regulatory approach Service approach Educational approach Primary Health Care approach
Dental
null
5c2000d8-e073-4ce4-80a4-81ea457a9b18
Blood supply of breast:
Internal thoracic aery
Lateral thoracic aery
Intercostal aery
All
3d
multi
A i.e. Internal thoracic aery; B i.e. Lateral thoracici aery; C i.e. Inter costal aery
Anatomy
null
0c9047e5-b926-442d-b636-60c2f4852de8
Which of the following is involved in transpo of large molecules from cytoplasm to the cell nucleus?(2018)
Calthrin
Caveolin
Flotillin
Impoins
0a
single
Clathrin mediated endocytosis is responsible for the internalization of many receptors and the ligands bound to them--including, for example, nerve growth factor(NGF). Rafts and caveolae,are involved in cholesterol regulation and transcytosis. Ref:- Ganong, pg num:-46, 47
Physiology
General physiology
2c2fac42-cd92-43b1-b6aa-7ed8c9e3cdee
The cause of hyperuricemia and gout in glucose-6- phosphatase deficiency is
More formation of pentose
Decreased availability of glucose to tissues
Increased accumulation of sorbitol
Impaired degradation of free radicals
0a
single
Purine overproduction and hyperuricemia in von Gierke disease (glucose-6-phosphatase deficiency) occurs secondary to enhanced generation of PRPP precursor, i.e. ribose-5-phosphate (a pentose). In glucose-6-phosphatase deficiency, glucose-6-phosphate cannot be converted to glucose. Accumulated glucose-6-phosphate is the...
Biochemistry
null
6b781930-2bde-424b-9658-fa0b73086482
Heimlich valve is used for drainage of
Pneumothorax
Hemothorax
Emphyema
Malignant plural effusion
0a
single
The Heimlich valve(flutter valve)is a small one-way valve used for chest drainage that empties into a flexible collection device & prevents return of gases or fluids into the pleural space.The heimlich valve is less than 13 cm long and facilitates patient ambulation. Reference:SRB's manual of surgery,5th edition,page n...
Surgery
Cardio thoracic surgery
2e5ef67d-2a49-4c8a-ac19-ce68f946f3dc
A 47 year old alcoholic presents with acute upper left abdominal pain with pain on palpation. The pain is referred to his back. Lab results reveal a low serum calcium level. His hypocalcemia probably reflects which of the following?
Caseous necrosis
Coagulative necrosis
Enzymatic fat necrosis
Gangrenous necrosis
2c
single
The patient most likely has acute pancreatitis, which is commonly caused by either alcoholism or impaction of a small gallstone in the common bile duct. Acute pancreatitis causes the release of many digestive enzyme precursors, which are then conveed to the active form in the damaged tissues. These enzymes degrade the ...
Pathology
null
e8c2242d-9009-4827-8101-d0c5653db213
Not true about Vi polysaccharide vaccine of typhoid-
Single dose is given
Revaccination at 3 years
Given at birth
Given subcutaneously
2c
multi
Ans. is 'c' i.e., Given at birth Antityphoid vaccineso Two safe and effective vaccines are licensed and available1) The Vi polysaccharide vaccine (TYPHIM Vi Vaccine)# It contains purified Vi capsular polysaccaride from Ty2 strain.# It is given as single dose by subcutaneous or intramuscular route.# It confers protectio...
Microbiology
Enterobecteriaceae
e9035180-5452-481d-b478-cc0fc7ac295e
True about Rheumatic carditis -
Only endocarditis
Only myocarditis
Only Pericarditis
Pancarditis
3d
multi
Ans. is `d' i.e., Pancarditis Rheumatic carditis Seen in 40-60% of patients. o Usually seen within 3 weeks. o It is a pancarditis involving all the three layers --> Myocardium, endocardium & Pericardium. o Rheumatic carditis is the only manifestation of acute RF that has the potential to cause long term disability and ...
Pediatrics
null
e0c1998a-cf88-429b-bc8d-7561b4f6e7b6
Infective dose of salmonella typhi ?
10 bacilli
1000 bacilli
103-106 bacilli
1010 - 1012 bacilli
2c
single
Ans. is 'c' i.e., 103-106 bacilli In human volunteer experiments, the infective dose was found to be 103-106 bacilli.
Microbiology
null
ce050908-63b2-4815-989b-c8e038dd88db
Following are tests to confirm blood stains except
Phenolphthalein test
Takayamma test
Florence test
Teichmann's test
2c
multi
To find out whether the stain is blood or Not: 1. Catalytic color test Phenolphthalein test Oho-toluidine test Benzedine test 2. Crystal test Hemin crystal test(Teichmann's test) Hemochromogen crystal test(Takayamma test) Ref: FORENSIC MEDICINE AND TOXICOLOGY Dr PC IGNATIUS THIRD EDITION PAGE 317
Forensic Medicine
Sexual offences and infanticide
b3b6d560-b40b-47fa-8447-32db5bf6d60a
Following are true of transferable drug resistance except :
Multiple drug resistance simultaneously
Virulence of bacteria same
Prevented by drug combinations
Very high degree of resistance
2c
multi
Drug Resistance 1. Transferable drug resistance cannot be prevented by use of drug combinations. Drug combinations are used to get synergistic effect of antibiotics on pathogens in serious diseases. 2. Antimicrobial resistance can be of two types:-* Intrinsic Resistance: It is the innate ability of a bacterium to resis...
Microbiology
General Microbiology (Sterilization and Bacterial Genetics)
9a8daf09-c05b-46ae-8757-e7f1419bf696
A 40-year-old patient is suffering from carotid body tumor. Which of the following is the best choice of treatment for him?
Excision of tumor
Radiotherapy
Chemotherapy
Carotid artery ligation both proximal and distal to the tumor
0a
multi
Ans. (a) Excision of tumorRef: Schwartz 10th Edition Page 678* It is a non-chromaffin paraganglioma* 10% have family history* FNAC and Biopsy are contraindicated* Carotid Angiogram shows - LYRE sign* Excision of the tumor is the treatment of choice.* It rarely metastasize and growth is very slow hence in old age no nee...
Surgery
Miscellaneous
854c1cb0-67cc-4ce6-af71-c1e9dfe6740c
CD4 is a marker for?
Stem cells
All leukocytes
B - cells
T - cells
3d
multi
Ans. is 'd' i.e., T - cells o See above explanation.
Pathology
Cells and Tissues of Immune System
3446d087-7da7-4920-8306-5d162d45d0c9
Neonatal complications of the fetus in a diabetic include all the following except :
Hypoglycemia
Polycythemia
Hypocalcemia
Omphalitis
3d
multi
Omphalitis
Gynaecology & Obstetrics
null
35bb356a-20a4-4965-a56b-e20cde619f47
Pneumactocele is commnly found in case of-
Pneumocystis jirovecii pneumonia
Staphylococal pneumonia
Klebsiella pneumonia
Pseudomonas pneumonia
0a
single
Pneumocystis jirovecii pneumonia can present with progressive dyspnoea,dry cough & fever.Chest X ray shows bilateral interstitial infiltrate spreading out from hilar region.High resolution CT is more sensitive,showing typical 'ground-glass 'interstitial infiltrates.Pneumatocoeles can occur and may rupture,resulting in ...
Medicine
Respiratory system