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135
3700fe42-b535-4bfd-87cb-5fe8c51847a0
Lordaceous spleen is seen in -
Alcoholic hepatitis
Chronic active hepatits
Focal amyloidosis
Diffuse amyloidosis
3d
single
Ans. is 'd' i.e., Diffuse amyloidosis Focal amyloidosis cause sago spleen
Pathology
null
839f4acb-eba1-4c13-9d04-538b3eb1e2b5
Central stellate scar on CT scans are seen in:
Renal oncocytoma
FNH
Serous cystadenoma pancreas
All of the above
3d
multi
Central stellate Scar is seen in 1. FNH 2. Fibrolamellar HCC 3.Serous cystadenoma (Pancreas) 4.Renal Oncocytoma
Surgery
Kidney and ureter
fa1474ff-384c-4f17-a5ab-f37845bd62ec
Which of the following is the causative organism for formation of Baholin cyst?
Candida
Anaerobes
Neissea
Trichomonas
2c
single
Baholin's glands (great vestibular glands) are located at the vaginal orifice at the 4 and 8 o'clock positions. Their ducts are lined with transitional epithelium and their obstruction secondary to inflammation may lead to the development of a Baholin's cyst or abscess. Baholin's cysts range in size from 1 to 3 cm. Inf...
Gynaecology & Obstetrics
null
a2fb2622-6ef0-4e81-9727-9bd5ee20dd44
Supraspinatus injury leads to which of the following:
Frozen shoulder
Winging of scapula
Cannot abduct
Cannot adduct
2c
single
Ans. (c) Cannot abductRef. Apley's System of Orthopaedics & Fractures, 8th ed. 281-82In case of supraspinatus injury, abduction is restricted.Function of Rotator Cuff Muscle* Supraspinatus: Assists deltoid in abduction of arm by fixing head of humerus against the glenoid cavity.* Infraspinatus & Teres minor: Laterally ...
Orthopaedics
Injuries Around Shoulder
5d084e42-365f-4dd0-bcfd-d48f53b878a0
Antidepressant drug is:
Pimozide
Haloperidol
Thioridazine
Citalopram
3d
single
Classification I Reversible inhibitors of MAO-A (RIMAs) Moclobemide, Clorgyline II. Tricyclic antidepressants (TCAs) NA + 5-HT reuptake inhibitors Imipramine, Amitriptyline, Trimipramine, Doxepin, Dothiepin, Clomipramine B. Predominantly NA reuptake inhibitors Desipramine, Noriptyline, Amoxapine, Reboxetine Ill. Select...
Pharmacology
Central Nervous system
ce7d2143-1d82-4d24-aa44-d6bc64ffd4a9
Which of the following about syncope is false
Another term for fainting
Is transient reversible loss of consciousness
Caused by altered circulation
None of the above
3d
multi
null
Surgery
null
315f6772-fe84-421a-9ce7-ed30d6ff1d39
Metabolism of xenobiotics is done by -
Cytochrome
Cytochrome p450
Cytochrome C
Cytochrome A
1b
single
Ans. is 'b' i.e., Cytochrome p450 o Biotransformation reactions (metabolism) of drugs can be classified :A. Non-synthetic (phase I) reactions# Metabolism brings about a change in the drug molecule by:1. Oxidation2. Reduction3. Hydrolysis4. Cyclization5. Decyclization# The new metabolite may retain biological activity o...
Pharmacology
Pharmacokinetics
9eca7c15-79cf-4d42-aa96-5a4f73bc7d81
Relationship of neurovascular bundle from above downward in intercostal space -
Nerve -Artery - Vein
Artery - Nerve -Vein
Vein - Nerve - Artery
Vein -Artery - Nerve
3d
multi
Ans. is'd' i.e., Vein - Artery - Nerveo All intercostal muscles are supplied by the intercostal nerves of the spaces in which they lie.o The neurovascular plane of thorax lies between internal intercostal and intercostalis initimi or innermost intercostal (transversus thoracis).o Neurovascular bundle lies in costal gro...
Anatomy
Blood Vessels of Thorax
0f86537a-a64f-4d10-a49e-60b77abeaeb3
True about Post traumatic fat embolism syndrome is A/E
Bradycardia occur
Systemic hypoxia may occur
Fracture mobility is a risk factor
Associated diabetes pose a risk
3d
multi
D i.e. Associated diabetes pose a risk. Fat Embolism Syndrome A syndrome caused by an inflammatory response to embolized fat globules Symptoms usually occur 1-3 days after a traumatic injury and are predominantly pulmonary (shoness of breath, hypoxemia), neurological (agitation, delirium, or coma), dermatological (pete...
Surgery
null
15e4dc9d-e521-4132-baa5-1a423d329ac5
In the length tension relationship of skeletal muscle, the length at which active tension is maximum is:
A
F
D
E
3d
single
Ans. (d) E(Ref: Guyton and Hall Physiology Review, 3rd ed/p.14)Active tension produced in the muscle is at point E.In the graph, A is the active tension curve.C is the passive tension curve.
Physiology
Muscle Physiology
47b13e4b-220e-41ef-a14e-44b99045993f
Peripheral most unit for planning of Family planning and other services under RCH program is
Sub-centre
Block/ Taluka
PHC
District
0a
single
The sub-centre level is the peripheral outpost of the existing health delivery system. Categorization Type A: Provide all recommended services except the facilities for conducting delivery is not available here. Type B (MCH sub-centre): All recommended services including facilities for conducting deliveries are availab...
Social & Preventive Medicine
NEET 2019
0448faf9-b42a-4eb2-bdf2-ab33696ad321
All are seen in organic psychosis except :
Disorientation in place, time & person
Clouding of conciousness
Hallucination
Normal common knowledge
3d
multi
D. i.e. Normal common knowledge
Psychiatry
null
9efab648-e28f-443a-9240-665752189528
False about annular pancreas
Associated with down syndrome
Bilious vomiting
Treatment is duodeno-duodenostomy
Diagnosis is by ERCP
1b
multi
Non bilious voimiting is seen in annular pancreas.
Surgery
null
d50e63ce-9c60-4868-9909-dd2af2788e10
Glucose detection can be done by the all except
Glucose oxidase
Ferric Chloride test
Dextrostix
Follin and Wu method
1b
multi
Ans: b (Ferric Chloride rest). Ref: Vasudevan 4th ed/p 191,102Ferric chloride test is positive in phenylketonuria and alkaptonuria. A transient blue green colour is seen when ferric chloride is added to the urine.Glucose oxidase test:-It is the most widely used. Used by autoanalysers. Glucose oxidase is very specific a...
Biochemistry
Carbohydrates
1522065b-fb3b-4f79-b029-2e9b67c32853
All are cerebral neurotics except
Opioids
Alcohol
Nux vomica
Cannabis
2c
multi
Neurotics: Ref: FORENSIC MEDICINE AND TOXICOLOGY Dr PC IGNATIUS THIRD EDITION PAGE 399
Anatomy
Poisoning
48c294e9-49d4-4509-a035-fd107b765f25
Primary hemostasis is disturbed in
Platelet disorder
lupus anticoagulant
hemophilia
Liver disease
0a
single
null
Pathology
null
c2fc56e3-071d-4795-918c-fe84ecd9ffa4
A scooter is hit from behind. The rider is thrown off and he lands with his head hitting the kerb. He does not move, complains of severe pain in the neck and is unable to turn his head. Well-meaning onlookers rush up to him and try to make him sit up. What would be the best course of action in this situation?
He should be propped up and given some water to drink
He should not be propped up but turned on his face and rushed to the hospital
He should be turned on his back and a support should be placed behind his neck and transported to the nearest hospital
He should not be moved at all but carried to the nearest hospital in the same position in which he has been since his fall.
2c
multi
Patients are usually transported to the emergency department on a hard backboard with neck immobilized by hard cervical collor. The head and neck to be aligned with the long axis of trunk and immobilized in supine position. The patient should be secured so that in the event of emesis; the backboard may be rotated 90° w...
Orthopaedics
null
1243f2c4-7c7b-4370-ac52-019269828554
Delirium & dementia can be differentiated by?
Loss of memory
Apraxia
Delusion
Altered sensorium
3d
single
ANSWER: (D) Altered sensoriumREF: Kaplan & Sadock's Synopsis of Psychiatry 10th ed chapter-10Repeat Psychiatry 2013 Session 1, June 2010
Psychiatry
Dementia Due to Metabolic Causes
74ec2f1b-0fee-4900-8076-57792b5ba2ba
Most common site of rhabdomyosarcoma is:
Orbit
Nasopharynx
Extremities
Hypopharynx
0a
single
Most common site of rhabdomyosarcoma is HEAD & NECK (orbit among the given options). RHABDOMYOSARCOMA Rhabdomyosarcoma arises from mesenchymal tissues. MC sites of origin: Head & neckQ (parameningealQ)>Extremities >Genitourinary tract >Trunk MC pediatric soft tissue sarcoma: RhabdomyosarcomaQ Associated with: NF, Beckw...
Surgery
Oncology
509f1dd6-4755-459d-8d9c-ba0e0041a62b
MIS is secreted by?
Sertoli cell
Leidig cell
Supporting cells
Semeniferous tubules
0a
single
ANSWER: (A) Sertoli cellREF: Ganong's 22nd ed chapter 23See previous question for explanation
Physiology
Sex Hormones
c0fff501-fcc4-4daf-8d9a-37e08df3a9f4
A 30-year-old athlete complains of amenorrhea for 1 year. Her BMI is 20 kg/m2. LH and FSH are in low normal range. Clinical and USG findings are normal. Most likely cause is:
Depression
Excessive exercise
Premature menopause
Anorexia nervosa
1b
single
Ans. is b, i.e. Excessive exerciseThis athlete has BMI =20kg/m2, i.e. she is underweightHer FSH and LH are in low normal rangeAll these findings point towards that either there is a problem in hypothalamus or pituitary.One of the causes of hypothalamic amenorrhea is excessive exercise which is the most probable cause i...
Gynaecology & Obstetrics
Disorders in Menstruation
4e12a236-c4cb-46ca-bd1b-b263f9e73129
Nikolsky's sign seen in all of the following, except:
Bullous pemphigoid
Mucus membrane pemphigoid
Toxic epidermal necrolysis
Scalded skin syndrome
0a
multi
Nikolsky's Sign A bulla can be induced on normal-appearing skin if firm lateral pressure is exerted. It is acharacteristic feature of pemphigus vulgaris Nikolsky's sign absent in- Bullous pemphigoid Positive Nikolsky's Sign Present in Pemphigus vulgaris Pemphigus foliaceus Familial benign pemphigus (Halley- Hailey d...
Pathology
null
d113ff21-8dd4-47ca-97d5-0578add8727f
EBV positivity is higher in which type of Hodgkin lymphoma:
Nodular sclerosis.
Mixed cellularity.
Lymphocyte depleted.
Lymphocyte rich.
1b
single
null
Pathology
null
2c737b12-1852-4229-8b4a-da6c71d63878
Hypercalcemia in ECG is diagnosed by:
Increased QT interval
Decreased QT interval
Increased PR interval
Tall T waves
1b
multi
Answer is B (Decreased QT interval) Hypercalcemia is characterized by a decreased QT interval.
Medicine
null
948fc365-747c-44b4-89ab-4d5d4b73e5d1
Allergic reactions to radiological contrast agents are -
Anaphylactic reactions
IgE mediated reactions
Urticaria
Edema
0a
multi
Acute non-renal reaction to a radiocontrast agent may be - Non-IgE mediated anaphylactic reactions Vasomotor / vasovagal reactions.
Radiology
null
4766b4b5-d7f4-4e48-b7a1-a0f3e2e20a22
Type I hypersensitivity reaction is mediated by:
IgG
IgM
IgD
IgE
3d
single
In immediate hypersensitivity (type I hypersensitivity)- the injury is caused by TH2 cells, IgE antibodies, and mast cells and other leukocytes. Mast cells release mediators that act on vessels and smooth muscle and pro-inflammatory cytokines that recruit inflammatory cells.
Pathology
Hypersensitivity
7fe0629a-79b6-49da-b3f6-98834f2b7475
Which one of the following fungus does NOT infect hair? rpt
Epidermophyton
Microsporum
Trichophyton
Trichosporon
0a
single
trichophyton- hair, skin and nail. microsporum- hair and skin. epidermophyton- skin and nail. REF:Baveja textbook of microbiology 4th edition.
Microbiology
mycology
ffcbbee7-42f5-4545-a99a-a97c2f5e04d9
An athletic teenage girl complains of anterior knee pain on climbing stairs and on getting up after prolonged sitting. Which of the following is the most likely diagnosis?
Chondramalacia Patellae
Plica Syndrome
Bipaite Patella
Patellofemoral osteoahritis
0a
single
CAUSES: Mechanical overload of the patellofemoral joint. a) Malcongruence - patellofemoral surfaces b) Malalignment -- extensor mechanism - weakness of vastus medialis ingle injury -- damage to aicular surface CLINICAL FEATURES * Introspective teenage girl or athletic young adult * Flat foot / Knock kneed athletes * Sp...
Orthopaedics
Thigh, Knee,Leg,Foot & Ankle injuries
26e11e65-d66e-4466-a34d-cd33ff2d8714
Which of the following is true about ventilation and perfusion in alveoli in an erect posture
Ventilation/perfusion ratio is maximum at apex
Ventilation/perfusion ratio is maximum at base
Ventilation is maximum at apex
Perfusion is maximum at apex
0a
multi
Apical alveoli have low ventilation and perfusion per unit volume of the lung, whereas the basal alveoli have high ventilation and perfusion. Ventilation-perfusion ratio and the PaO2 is maximum at the apex. PCO2 is maximum at the base.
Physiology
null
e3f0225e-b157-42ed-bda4-9b090c944f9e
'Endemic Disease' means that a disease:
Occurs clearly in excess of normal expectancy
Is constantly present in a given population group
Exhibits seasonal pattern
Is prevalent among animals
1b
single
Endemic refers to the constant presence of a disease or infectious agent within a given geographic area or population group without impoation from outside. Ref: Park's Textbook Of Preventive And Social Medicine By K. Park, 19th Edition, Page 88; Park's Textbook Of Preventive And Social Medicine By K. Park, 18th Edition...
Social & Preventive Medicine
null
64256142-6e1b-4b12-b96c-99240962406d
The following are example of apoptosis except?
Graft versus host disease
Menstrual cycle
Pathological atrophy following duct obstruction
None
3d
multi
Ans. is 'None'
Pathology
null
174d5cdf-46cf-4e51-87be-111ff6342e64
Regarding point source epidemic, false statement (s) is/are:a) Rapid rise & fallb) Only infectious disease can causec) Explosived) Cases occur even after incubation periode) No secondary wave
ce
bd
cde
eb
1b
multi
Features of point source (single exposure) epidemics The exposure to the disease agent is brief and essentially simultaneous → single exposure. Because disease agent enters into all exposed persons at same time → the resultant cases all develop within one incubation period of the disease. The epidemic curve rises and...
Social & Preventive Medicine
null
ad2cf4d0-7180-45e9-b226-44b3947f0983
All of the following factors increases the level of respiratory neuron activity in the medulla, EXCEPT:
Rise in the PCO2
Rise in H+ concentration of aerial blood
Rise in Po2
Drop in Po2
2c
multi
A rise in the PCO2 or H+ concentration of aerial blood or a drop in its Po2 increases the level of respiratory neuron activity in the medulla, and changes in the opposite direction have a slight inhibitory effect. The effects of variations in blood chemistry on ventilation are mediated respiratory chemoreceptors--the c...
Physiology
null
299fe8fd-725e-42d9-af59-8b8166f670c0
All the following are characteristic of Turner Syndrome EXCEPT:
Webbing of Neck
Cubitus valgus
Umbilical Hernia
Coarctation of Aorta
2c
multi
ANSWER: (C) Umbilical HerniaREF: Robbins 7th edition page 179, http://en.vrikipedia.org/wiki/Turner_syndromeTurner syndrome or Ullrich-Tumer syndrome (also known as 'Gonadal dysgenesis") encompasses several conditions in human females, of which monosomy X (absence of an entire sex chromosome, the Barr body) is most com...
Pathology
Cytogenetic Disorders
7efd04ff-3f46-4531-b819-233d41888156
Triglycerides are maximum in:
Chylomicrons
VLDL
LDL
HDL
0a
single
A i.e. Chylomicron
Biochemistry
null
89fc1b77-c3b6-40a9-8f8f-5db4ac525b7d
A patient comes with sudden respiratory distress, on examination, bilateral basal crepts are present over chest suggestive of pulmonary edema with normal alveolar wedge pressure. The likely cause is
Narcotic overdose
Congestive hea failure
Myocardial infarction
Cardiogenic shock
0a
single
Answer is A (Narcotic overdose): Pulmonary edema with normal pulmonary capillary wedge pressure suggests a diagnosis of ARDS or non cardiogenic pulmonary edema. Narcotic overdose is the only non cardiogenic cause for pulmonary edema (ARDS) amongst the options provided and hence the answer here.
Medicine
null
4aac20f9-4129-4bff-a54c-24cddf6eecf7
Which is the most important feature to differentiate carcinoma in situ from invasive carcinoma?
Metastasis
Anaplasia
Number of mitotic spindles
Breach in basement membrane
3d
single
Penetration of basement membrane is the hallmark of invasive carcinoma. In carcinoma in situ basement membrane is not  involved.
Pathology
null
57797ea6-b76d-407a-8a22-9792bc746607
First case to come to notice of physician is:
Primary case
Secondary case
Index case
Referral case
2c
single
Index case
Social & Preventive Medicine
null
7a1f09b8-8597-485a-b205-6a96acdba10d
Cariostatic level of fluoride in drinking water is:
1 ppm
1.5 ppm
2 ppm
2.5 ppm
0a
single
Fluoridation is the adjustment of water supply to a fluoride content such that reduction of 50 to 70% in dental caries would occur without damage to teeth or other structures. In 1958, WHO produced the first report by an expert committee on water fluoridation (TRS 146) and concluded that drinking water containing about...
Dental
null
d8d01a7d-f8aa-4973-85bd-fdb6c71f7cfd
Temperature in autoclaving -
160degC for 45 minutes
170deg for 18 minutes
120degC for 15 minutes
126degC for 20 minutes
2c
single
Ans. is 'c' i.e., 120degC for 15 minutes MethodTemperature (degC)Holding time (in minutes)Autoclave12115 12610 1343Hot air oven16045 17018 1807.5 1901.5
Microbiology
General
23f81bda-30da-45f3-bf14-5a87aa750ed9
Token economy is used in the treatment of
Schizophrenia
Depression
Dementia
Delirium
0a
single
Token economy: It is a form of behavior modification designed to increase desirable behavior and decrease undesirable behavior with the use of tokens. Individuals receive tokens immediately after displaying desirable behavior. The tokens are collected and later exchanged for a meaningful object or privilege. The primar...
Psychiatry
Schizophrenia Spectrum and Other Psychotic Disorders
92234148-a3cf-4086-8afd-c995c0c200ec
Tarsal tunnel syndrome is caused with which ahritis:
Ankylosing spondylitis
Osteoahritis
Rheumatoid ahritis
Psoriatic ahritis
2c
single
Rheumatoid ahritis "Inflammation from rheumatoid ahritis results in a higher incidence of tarsal tunnel syndrome."- Current geriatric diagnosis,& treatment By C. Seth Landefeld, Robe Palmer, Mary Anne Johnson p459 "Carpal tunnel syndrome may be the presenting feature of rheumatoid ahritis."- Oxford textbook of rheumato...
Surgery
null
d2b8a480-044c-49e6-8bd5-c0618500da12
Hysteroscopical excision can be done for all EXCEPT:
Uterine fundus fibroid
Submucous fibroid
Subserous fibroid
Endometrial polyp
2c
multi
Ans. (c) Subserous fibroidRef: Shaws 15th ed. 1359* Uterine fibroids are noncancerous growths of the uterus that often appear during childbearing years. It is aka leiomyomas* They aren't associated with an increased risk of uterine cancer and almost never develop into cancer.Types* Intramural fibroids are located withi...
Gynaecology & Obstetrics
Treatment and Recurrence
b80d3334-9e5d-4412-a29e-8e81e0994210
Length of ureter is:
15 cm
20 cm
25 cm
30 cm
2c
single
25 cm
Anatomy
null
37d371b5-af6c-465d-9177-568f6dcd3932
A case of road traffic accident (A) came with head injury, BP is 90/60, pulse is 150/min. Which anesthetic agent should be used for induction.
Thiopentone
Ketamine
Halothane
Succinylcholine
0a
single
A i.e. Thiopentone In head injury, induction is preferably done by thiopental or propofol (both neuroprotective)Q and a rapid onset NMBD (usually rocuronium or mivacurium) following adequate preoxygenation hyperventilation by mask. A barbiturate (thiopentone) - opioid - N20-NMBA technique is commonly used or intraopera...
Anaesthesia
null
b19ef51d-5fc4-4683-b041-e620855474d3
Which of the following has the lowest Vitamin A
Pappaya
Mango
Amla
Orange
2c
single
Ans) c (Amla) Ref Park 20th ed p 531Vitamin A is seen in most green and yellow fruits and vegetables Retinol equivalent of:* Ripe mango-313* Pappaya - 118* Orange - 25Amala is one of the richest source of Vit C both in fresh as well as in dry condition.
Social & Preventive Medicine
Nutrition and Health
50c3d3f3-039b-49bd-8cba-3d10b040640a
Plasma membrane of cell is bounded to cytoskeleton by which of the following?
Spectrin
Ankyrin
Tubulin
Laminin
1b
single
In erythrocytes and most other cells ankyrin mediates the interaction between plasma membrane and cytoskeleton. Ankyrin also binds to the 100nm, rod shaped, antiparallel alpha beta heterodimers of spectrin and thus secures the cytoskeleton to the plasma membrane. Other membrane proteins with the same function are Cl-/H...
Physiology
null
6eb01dd5-8876-4f51-a566-aa3a5cef98df
Best means of giving hepatitis B vaccine is
Subcutaneous
Intradermal
Intramuscular deltoid
Intramuscular gluteal
2c
single
Ans. is 'c' i.e., Intramuscular Deltoid Prophalyxis against HBV . Both passive and active immunization are available for HBV infection prophylaxis. . Passive prophylaxis is by hepatitis B immune globulin (HBIG). . Active immunization is by recombinant hepatitis B vaccine. . These are two recombinant vaccines : Recombiv...
Microbiology
null
27b9183b-19b4-4455-b82a-49ee03348762
Father’s blood group is ‘A’ & mother’s blood group is ‘AB'. Which of the following blood group is not possible in any of their children?
A
B
O
AB
2c
single
null
Pathology
null
6ce9762e-504b-4033-bb3f-e9ac49c3110e
Neutral amino acid is -
Aspartate
Arginine
Glycine
Histidine
2c
single
Ans. is 'c' i.e., Glycine Neutral amino acidsAcidic amino acidsBasic amino acidsAlanineAspartic acid (aspartate)ArginineAspargingGlutamic acid (glutamate)HistidineCysteineGlycineGlutaminelsoleucineLeucineMethionineProlinePhenylalanineSerineThreonineTyrosineTryptophanValine Lysine
Biochemistry
Primary Structure of Proteins
8fa5ad57-040f-4241-a68a-a12e04706902
First agent shown to be effective in maniac phase of BPD is
Lithium
Valproate
Lamotrigine
Carbamazepine
0a
single
.lithium was the frst agent to be used for mania it has mood stabilizing propey it was introduced by John F Cade it is liver friendly drug it has to be introduced in caution with renal derangements it can cause of hypothyroidim it should be given with caution with ACE inhibitors, NSAIDS, Angiotensin receptor antagonist...
Psychiatry
All India exam
de54500c-c3b6-4d20-b7b8-9b480e76d70e
Second generation cephalosporin that can be used orally is
Cefipime
Cephalothin
Cefaclor
Cefadroxil
2c
multi
Ans. c (Cefaclor). (Ref. Pharmacology by KD Tripathi - 6th/pg. 704)GenerationOralParenteral1stCephalexinCefadroxilCephradineCephalothinCefazolin2ndCefaclorCefuroximeCefuroximeCefoxitin3rd QCefiximeCefpodoximeCefdinirCeftibuteCefoperazoneCefotanimeCeftizoximeCeftriaxoneCeftazidime4th--CefepimeCefpirome
Pharmacology
Anti Microbial
6c53aa49-1461-415a-95dd-505e28795a8c
Life span of house fly is?
5 days
10 days
1 month
1 year
2c
single
The complete life cycle from egg to adult may take 5 to 6 days during summer in India, but at other times it may take 8 to 20 days. Flies do not generally live longer than 15 days in summer and 25 days during winter Eggs - 8 to 24 hours, Larvae - 2 to 7 days, Pupae - 3 to 6 days, Adults 5-20 says. Park's Textbook of Pr...
Social & Preventive Medicine
Environment and health
ed4575f9-15ea-4eb0-a990-88d8eceb397d
Iceberg phenomenon is depicted by all of the following diseases except:
Influenza
Hypeension
Measles
Malnutrition
2c
multi
Iceberg phenomenon is not shown by diseases which have no carrier state such as: - Rabies - Tetanus - Measles - Rubella - Peussis Tip of iceberg Submerged pa of iceberg Composition Clinical cases Latent, inapparent, pre symptomatic, Undiagnosed cases and carriers Visibility to clinician Visible Invisible Prime impoance...
Social & Preventive Medicine
Screening
51ed6d0c-c3b4-4ce7-91af-d459060c70ec
Reticulocytes are stained by
Methylviolet
Brilliant cresyl blue
Sudan black
Indigo carmine
1b
single
Ref Robbins 9/e p635 Reticulocytes are stained in living state in-vitro so staining with dyes like brilliant cresyl blue and new methylene blue is preferred road supra vital staining Brilliant cresyl blue is a supravital stain used for counting reticulocytes. It is classified as an oxazine dye
Anatomy
Haematology
b484756d-c878-4f88-9b50-d1d703f215b9
True about CSF finding in pyogenic meningitis is -
CSF contains no organisms
↓Chloride ↓ glucose
↑T Glucose ↑protein
↑ Chloride,↓ glucose
1b
multi
null
Medicine
null
d4bcd923-bde3-4ae3-b986-124ec840f9e4
In patient with anterior uveitis, decrease in vision due to involvement of posterior segment can occur because of
Exudative RD
Cystoid macular edema (CME)
Vitreal floaters
Inflammatory disc edema
1b
single
B i.e. Cystoid macular edema (CME)
Ophthalmology
null
46e4e352-d153-43c9-bf21-5452e1cc87f2
An old patient Ram Kishore having asthma and glaucoma is to receive a b blocker. Regarding b blocking drugs:
Metoprolol blocks b2 receptors selectively
Esmolol's pharmacokinetics are compatible with chronic topical use
Nadolol lacks b2 blocking action
Timolol lacks the local anaesthetic effects of propanolol
3d
single
Metoprolol is a cardioselective (b1 selective) blocker and not b2 selective. Esmolol is the shoest acting b -blocker and is useful for acute treatment. Nadolol is a non-selective b-blocker. It blocks both b1 as well as b2 receptors. Propanolol possesses maximum local anaesthetic activity whereas timolol lacks this prop...
Pharmacology
ANS
66211855-40d9-432a-8909-970bdbe3426f
Which of the following is false about watermelon stomach
Watermelon stomach is more common in females
Causes upper GI bleeding
Treatment is argon photocoagulation
Dilated veins present in the fundus.
3d
multi
Dilated veins and capillaries are present in the antrum
Surgery
null
db17b5ea-bed2-466c-82f8-570204c9719f
Nerve injured in fracture of medial epicondyle of humerus -
Anterior interosseous
Median
Ulnar
Radial
2c
single
Ans. is 'c' i.e., UlnarSite of injuryNerve injuredFracture surgical neck humerusAxillary nerveFracture shaft humerusRadial nerveSupracondylar fractureMedian nerve (anterior interosseous branch)Medial epicondyle fractureUlnar nervePosterior dislocation of HIPSciatic nerveFibular neck fractureCommon peroneal nerve
Orthopaedics
Humerus Fractures
825ebdc8-7b2c-4302-81ab-385c2dfac29b
Hydroxyethyl starch is used as:
Plasma expander
Inotropic agent
Vasodilator
Type of dextran
0a
single
It is a blood volume expander used in treatment of hypovolemia; adjunct in leukapheresis to improve harvesting and increase the yield of granulocytes by centrifugation. Mechanism of Action: Produces plasma volume expansion by viue of its highly colloidal starch structure. Onset of action: Volume expansion: I.V.: Approx...
Pharmacology
null
f17acfd6-c2ab-4e59-bcc0-42d0be2146fa
In a study, dye ABC is used to measure cardiac output and blood volume. The dye is replaced with a new dye XYZ which diffuses more rapidly out of the capillaries. This would affect the study by
Normal cardiac output, altered blood volume
Altered cardiac output, normal blood volume estimation
Both altered
Both normal
0a
multi
In estimation of cardiac output by the dye, the dye is injected through a vein and then blood is collected from the artery after a single cycle through the heart. So there is no diffusion out through the capillaries in between. Hence the cardiac output is unchanged in the given scenario. But the measured blood volume i...
Physiology
null
e390c9ee-1682-4281-9a5d-69ef32c51592
A 23-year-old male patient presents to the OPD with nausea, vomiting, & four episodes of loose stools. On history taking, he reveals to have consumed food from a restaurant 3 hours back. The most likely etiologic organism is
Staphylococcus aureus
Bacillus cereus
Salmonella
Vibrio cholerae
0a
single
Staphylococcus causes nausea, vomiting, and diarrhea 2-6 hrs after consuming contaminated food (other organisms causing food poisoning within the same time period of 2-6 hrs is Bacillus cereus-Emetic strains). Enterotoxin produced by Staphylococcus: It is a preformed toxin that is heat stable (Most of the other exotoxi...
Microbiology
Bacteriology
1c052be9-16b8-495a-9178-6de9eb1eea43
Radiation dose monitoring in occupational personal is done by
TLD Badge
Linear accelerator
Collimators
Grid
0a
single
ref : david sutton
Radiology
All India exam
aa3866be-aee3-4351-b3fe-53b5fef45745
Drug that is mostly used to decrease the suicidal tendencies in Manic Bipolar Disorder
Fluoxetine
Lithium
Carbamazepine
Risperidone
1b
single
(B) Lithium # With Lithium treatment, patients have been shown to present a decreased risk of suicide (especially when treated with Lithium) and a reduction of frequency and severity of their episodes, which in turn moves them toward a stable life and reduces the time they spend ill.> In order to maintain their state o...
Psychiatry
Miscellaneous
5dae295c-d438-4d18-a08b-0b9b61fc251d
Horner's syndrome is characterized by all of the following except:
Miosis
Enopthalmos
Ptosis
Cycloplegia
3d
multi
Cycloplegia is not a feature of Horner's syndrome. Ref:Walsh and Hoyt's Clinical Neuro-Ophthalmology: The Essentials By Frank Buon Walsh, Nancy J. Newman, William Fletcher Hoyt, Neil R. Miller, Valerie Biousse, John B. Kerrison, 2007, Page 304
Ophthalmology
null
2341e12f-b099-4ee7-88c5-bcf8633513c8
All have high hepatic clearance EXCEPT
Labetalol
Simvastatin
Morphine
Paracetamol
3d
multi
(D) Paracetamol HEPATIC CLEARANCE OF DRUGSLOWHepatic ClearanceINTERMEDIATEHepatic ClearanceHIGHHepatic Clearance* Carbamazepine* Caffeine* Lignocaine* Diazepam* Fluoxetine* Morphine* Ibuprofen* Midazolam* Pethidine* Phenytoin* Omeprazole* Propranolol* Warfarin* Paracetamol* Zidovudine> Low Hepatic Clearance does not me...
Pharmacology
Miscellaneous (Pharmacology)
53bf2d60-6d9e-4ebc-bead-127208b84915
Most common site for diveiculosis is?
Sigmoid colon
Ascending colon
Transverse colon
Spleenic flexure
0a
single
Ans. is 'a' i.e., Sigmoid colon The sigmoid colon is the most common site of diveiculosis.
Pathology
null
8ef3db7a-6d2f-4ab3-949c-124841f2d408
Green blue postmortem discoloration is seen in which poisoning -
Cyanide
Carbon monoxide
Phosphorous
Hydrogen sulphide
3d
single
Ans. is 'd' i.e., Hydrogen sulphide o Color of post-mortem staining in various poisoning:POISONCOLORCarbon mono-oxide and hypothermiaCherry redHCN, bumsBright redNitrites, potassium chlorate, potassium bicarbonateChocolate orNitrobenzene, acetanilide, bromates, aniline (causing methaemoglobinuria)Copper brownPhosphorou...
Forensic Medicine
Forensic Toxicology - Concepts, Statutes, Evidence, and Techniques
183875da-7b38-4723-a650-3dd8f50addb6
Consent given by a person who is intoxicated with ethanol is invalid, this comes under
Sec 87 IPC
Sec 92 IPC
Sec 90 IPC
Sec 89 IPC
2c
single
Refer the byte "Legal sections".
Forensic Medicine
null
92d211cd-5177-41ba-b636-3ad6f1fff272
Anti-phospholipid Antibody syndrome is Characterized by all except
Antibodies directed against phospholipid binding proteins.
Inhibition of syncytiotrophoblast differentiation.
Central nervous system involvement is least common.
High risk of placental infarction and early-onset pre-eclampsia.
2c
multi
Central nervous system involvement is one of the most prominent clinical manifestations in APLAS.
Gynaecology & Obstetrics
null
902d2bec-86b6-411d-b2fb-c99b5174c6c8
Injury caused to the pedestrian in a vehicular accident due to his/her striking onto the object on road is known as -
Primary injury
Secondary injury
Acceleration injury
Decceleration injury
1b
single
Secondary injury is caused by person violently falling on ground (road) or on stationary object.
Forensic Medicine
null
1ab5ff17-c5a4-4853-b0c9-2e89ceae29bb
Pseudorosettes are seen in
Retinoblastoma
Ophthalmia nodosa
Phacolytic glaucoma
Trachoma
0a
single
Microscopic pathological study in Retinoblastoma shows various patterns like Homer-wright Flexner wintersteiner Fleurettes Refer khurana 6/e
Anatomy
General anatomy
241e47bb-1cc1-4a0f-af10-a9e7877ef2af
Patient died during surgery/under anesthesia, which among here applies for the surgeon?
174 (3) CrPC
174 CrPC
39 CrPC
176 CrPC
1b
single
174 CrPC- Procedure for inquest in unnatural death 174 (3) CrPC- Inquest rights for deaths of a married woman within 7 years of her marriage either by suicide or under any other suspicious circumstances. 39 CrPC- Public should intimate the police in case of any crime. 176 CrPC- It gives the procedure of inquest by Magi...
Forensic Medicine
JIPMER 2018
03d5bd64-e292-4459-bc5a-afc2ff4be2df
Plateau phase of cardiac muscle is due to
East Na + channel opening
Opeaning of Ca++Na+ channels
Opeaning of Slow Ca++ channels
Opeaning of K + channels
2c
single
Ca2+ influx through more slowly opening Ca2+ channels produces the plateau phase The initial depolarization is due to Na+ influx through rapidly opening Na+ channels Repolarization is due to net K+ efflux through multiple types of K+ channels Ref: Ganong's Review of Medical Physiology Twenty-Third Edition Page No:491
Physiology
Cardiovascular system
a94f0c07-e18d-4aef-9fa7-836031049954
Nodes of Rouviere -
Retropharyngeal node
Parapharyngeal node
Adenoids
None
0a
multi
Retropharyngeal nodes are divided into medial and lateral groups. Most superior node of the lateral group is called the node of Rouviere. Also know Krause's node :- Lymph nodes situated at the jugular foramen.
ENT
null
07514480-3862-415c-bf25-f3e783953b8e
Dose of vitamin A during pregnancy -
600 mg
800 mg
950 mg
350 mg
1b
single
During pregnancy recommended allowance of vitamin A is 800mcg . REF. PARK'S TEXTBOOK OF PREVENTIVE AND SOCIAL MEDICAL 21ST EDITION. PAGE NO - 616
Social & Preventive Medicine
Nutrition and health
1831bad5-97af-48bd-8840-f0e4d14f24dd
Basis of division of anatomical segments of liver are all, EXCEPT:
Hepatic aery
Hepatic vein
Poal vein
Bile duct
1b
multi
The proper hepatic aery, poal vein, and common hepatic duct enter/exit the liver at the poa hepatis as the 'poal triad'. The central branch first divides into two larger branches, functionally subdividing the liver into left pas and right pas. The poal triad continue to ramify within the liver, forming a total of eight...
Anatomy
null
af02c5df-bc4f-4b5d-8476-96f85a788878
Which one of the following hepatitis viruses have significant perinatal transmission –
Hepatitis E virus
Hepatitis C virus
Hepatitis B virus
Hepatitis A virus
2c
single
Features of Hepatitis viruses
Pediatrics
null
0062094b-0ad3-4f89-b506-8fad48b8e9d8
Yellow fluorescence on wood&;s lamp is seen in -
Tuberous sclerosis
Pseudomonas infection
Tinea versicolor
Erythrasma
2c
single
PITYRIASIS VERSICOLOR:-Tinea versicolor.Macules with fine scaling.Causative organism: dimorphic fungi.genus Malassezia globosa and M.furfur. Clinical features:- Hypo/hyperpigmented macules with fine ,branny scales. The lesions may coalesce to involve large areas,forming map like structures. Scraping the surface will ac...
Dental
miscellaneous
60566198-b289-4c99-a6e8-e44d12f1512b
A 3-year-old girl has normal developmental milestones except the delay in speech. She has difficulty in concentration, communication and relating to others and does not make friends but plays with herself. Likely diagnosis is
ADHD
Autism
Specific learning disorder
Mental retardation
1b
multi
Autism Absent social smile Lack of eye to eye contact Lack of awareness of others existence or feelings and treats people as furniture Lack of attachment to parents and absence of separation anxiety No or abnormal social play prefers solitary games Marked impairment in making friends Absence of fear in presence of dang...
Psychiatry
Child psychiatry
7863770a-d822-46da-a63d-99008d54c6c8
HMB 45 is tumor marker for -
Malignant melanoma
Mesothelioma
Bronchogenic carcinoma
Pancreatic carcinoma
0a
single
Ans. is 'a' i.e., Malignant melanoma Markers for melnnonaS-100 - 90% of tumors are positiveHMB-45 - More specific but less sensitive than S-100TA-90Important markersTumoro S-100. HMB-45o TA-90o NMP-22MelanomaMelanoma, colon & breast ca.Urinary bladder ca.Neuroendocrine tumors (small cell ca of lung, carcinoid tumor & n...
Unknown
null
1d46fb0d-5dde-494f-a837-07bc9634c0d3
Distichiasis is-
Abnormal inversion of eyelashes
Abnormal extra row of cilia
Abnormal eversion of eyelashes
Misdirected cilia
1b
single
*Distichiasis i.e. an abnormal extra row of cilia taking place of meibomian glands. Ref: Khurana ophthalmology 7th/e p.386
Ophthalmology
Diseases of orbit, Lids and lacrimal apparatus
581c6beb-e42f-4d2c-b1cd-ba060733e953
A newborn baby presents with absent anal orifice and meconuria. What is the most appropriate management:
Transverse colostomy
Conservative management
Posterior saggital anorectoplasty
Perineal V-Y plasty
0a
single
The presence of meconium in urine reflects some form of communication between the urinary tract and rectum, and suggests a high type of anorectal malformation. Such patients require a diveing colostomy. The colostomy decompresses the bowel and provides protection during the healing of subsequent repair. Posterior Saggi...
Surgery
Pediatric Surgery
86f9366c-c8ec-4db7-941e-2039bb0fcc42
Incidence of choriocarcinoma is seen more after:
Ectopic pregnancy
Spontaneous abortion
Normal delivery
Cesarean section
1b
single
Ans. is 'b' i.e., Spontaneous abortion * Among all the cases of choriocarcinoma:# 50% develop following a hydatidiform mole#' 25% develop following an abortion# 20% develop following a full-term pregnancy and 5% develop following an ectopic pregnancy* As vesicular mole is not in the options, abortion is the answer.
Gynaecology & Obstetrics
Miscellaneous (Gynae)
7ed96f96-dac3-4ca1-859d-a876eaffc917
BISAP score is used for to assess severity of
Pancreatitis
Pancreatic absess
Pseudocyst of pancreas
Pseudocyst of pancreas
0a
single
null
Surgery
null
b75da2fa-d419-4749-babc-0aac63715d22
On mammogram, all of the following are the features of a malignant tumor except:
Spiculation
Microcalcification
Macrocalcification
Irregular mass
2c
multi
Ans. C...MACROCALCIFICATION is seen in fibroadenomaAlso know Distinguishing features between benign and malignant lesions on mammogram Benign Malignant Opacity Smooth margin Ill defined margin, Irregular stellate, spiculated margin, comet tail Low density High density Homogeneous In homogeneous Thin halo wide halo Calc...
Unknown
null
79e99245-a83c-4586-ad85-9503956afc34
Dexmedetomidine is
Selective alpha 2 blocker
Agent of choice for conscious sedation
Less sensitive to alpha 2 receptors than clonidine
Good analgesic
1b
single
Dexmedetomidine is alpha 2 agonist, more sensitive than clonidine. It is used to produce conscious sedation.
Anaesthesia
null
560ed87b-8128-4ed4-a031-e7ab811481a5
All of the following are features of MEN IIa, except-a) Pituitary tumorb) Pheochromocytomac) Medullary carcinoma thyroidd) Neuromas
ad
c
ac
ab
0a
multi
null
Medicine
null
09d524db-de46-4afc-97c7-b155d1a2b052
Which does not contribute to Enterobillary Fistula -
Duodenal ulcer
Gall stones
Gastric ulcer
Carcinoma gall bladder
2c
multi
null
Surgery
null
f1483896-9b92-44b4-99f5-111c175feffe
Shoest acting non benzodiazepine sedative is:
Zolpidem
Zaleplon
Zopiclone
Midazolam
1b
single
Amongst the three Z drugs, zaleplon has the shoest half life of one hours, half life of zolpidem is 2.4 hours whereas that zopiclone is 5 hours. Midazolam is a benzodiazepine
Psychiatry
Miscellaneous
a006d753-e819-4876-8108-217d0450d732
A 4-year-old male child presents with muscles weakness. His mother tells that her child has difficulty in climbing stairs and getting up from the floor. On muscle biopsy, small muscle fibrils and absent of dystrophic was found. What is the diagnosis out of given option?
Beck's muscle dystrophy
Duchenne muscular dystrophy
Myotonic dystrophy
Limb-girdle muscular dystrophy
1b
multi
Duchenne Muscular Dystrophy Progressive weakness Calf muscle involvement Pseudo hyperophy Difficulty in climbing stairs Gowersign present (+) Wheel chair bound Patient Death - CHF/ Pneumonia CPK MM: Increased IOC: - PCR for dystrophin gene (Dystrophin gene absent) Rx: - Chest Physiotherapy NOTE:Immunohistochemical stud...
Medicine
NEET Jan 2020
9703cb3f-62b5-47b2-8674-eae8439f4231
Which of the following is a Mortality Indicator?
Life Expectancy
Notification Rate
DALY
Bed turn-over ratio
0a
single
Ans. (a) Life Expectancy* Life Expectancy is a 'Positive mortality indicator'ALSO REMEMBER* DALY is a type of disability rate* Bed turn-over ratio is a type of heath care utilization rate
Social & Preventive Medicine
Indicators of Health
6a33a749-4f99-455d-8bd3-7aafbcdd3dec
In oral poisoning with carbamate insecticide_______ may be hazardous
Pralidoxime
Atropine
Magnesium sulfate purgative
Gastric lavage with activated charcoal
0a
single
Refer kDT 7/e p 111 Oximes are in effective in carbamate poisoning. Rathre, this can worsen the poisoning due to weak anticholinesterase activity by its own
Pharmacology
Autonomic nervous system
665f972a-3ede-4202-b7e4-c56cf9604f8b
need for thinness inspite of being lean is a feuture of
anorexia nervosa
bulimia nervosa
metabolic syndrome
binge eating
0a
single
Anorexia nervosa Anorexia nervosa is a eating disorder where the patient has decreased weight and altered body image and persistent desire to maintain thinness * Gender==== more common in females * Age=======adolescence * Comorbidity=== depression and social phobia * Duration====3 months * Criteria= * Intense fear of b...
Anatomy
Sleep disorders and eating disorders
512983d1-1ded-4985-ba72-98855f97996e
Point shource epidemic is -
Short term fluctuation
Periodic fluctuation
Long term fluctuation
Secular trend
0a
single
Ans. is 'a' i.e., Short term fluctuation * Point source (single exposure) epidemic is short term fluctuation.* There are three kinds of time trends or fluctuations in disease occurenceA. Short term fluctuations - epidemics.B. Secular trends or long term fluctuations.C. Periodic fluctuation.
Social & Preventive Medicine
Epidemiology
c84acafe-d506-4852-8c7c-236473e2344f
The length of distal convoluted tubule is ?
2 mm
5 mm
8 mm
12 mm
1b
single
B i.e., 5 mm
Physiology
null
8a49d043-fe46-4f3b-8c74-002e67778573
Which of the following is not a cause of features of primary hyperaldosteronism?
Cushing syndrome
Adrenal adenoma
Adrenal hyperplasia
Chronic CCF
3d
single
Chronic CCF will lead to low GFR. The subsequent activation of RAAS will lead to increased renin and secondary aldosteronism. Causes of primary hyperaldosteronism : Conn syndrome (adrenal adenoma): 60% Bilateral adrenal hyperplasia (Micronodular): 60% Cushing syndrome Syndrome of apparent mineralocoicoid excess Adrenoc...
Medicine
Cushing Syndrome
c4cb5c3a-1c87-4595-b67f-3e2239c5907f
Not affected in multiple myeloma -
IgG
IgA
IgM
IgD
2c
single
Types of monoclonal protein in multiple myeloma include IgG,(55%),IgA(21%), light chain only(22%), others(D,E,non-secretory about 2%).Reference :Davidson's principles & practice of medicine 22nd edition pg no 1046.
Medicine
Haematology
82f6faef-3385-4eef-9ac5-0d2a9f593519
Whispering produces a sound of:
20-30db
30-40db
40-50db
50-60db
0a
single
Sound levels of some noises: Whisper: 20-30db Normal conversation 60-70db Mechanical damage; 150-160db Acceptable noise levels: expressed in db (A), sound pressure levels conforming to weighing curve (A) acceptable noise level < 85dbAuditory fatigue > 90 dbPermanent hearing loss > 100 dbTympanic membrane damage > 160 d...
Social & Preventive Medicine
Air, Light, Sound, Housing, Radiation, Waste Disposal