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135
847ec916-2970-4ff1-abf9-0592b3f78662
Commonest type of Retinal detachment?
Rhegmatogenous
Choroidal hemorrhage
Exudative
Tractional
0a
single
Ans. a (Rhegmatogenous). (Ref Ophthalmology by Basak 4th/ 316; Kanski's 6th/349; Parson's 20th/311).The term rhegmatogenous is derived from the Greek word rhegma, which means a discontinuity or a break. A rhegmatogenous retinal detachment (RRD) occurs when a tear in the retina leads to fluid accumulation with a separat...
Ophthalmology
Retina
60663ee8-9841-4e90-b231-9d4ad28b893c
Vaginal Ph in women of the reproductive age group is within which of the following range?
4-4.5
7-Jun
8-Jul
3-Jan
0a
single
The healthy vagina of a woman of child-bearing age is acidic, with a pH normally ranging between 3.8 and 4.5. This is due to the degradation of glycogen to the lactic acid by enzymes secreted by the Doderlein's bacillus. This is a normal commensal of the vagina. The acidity retards the growth of many strains of dangero...
Gynaecology & Obstetrics
null
d6bbfa64-ffe7-4cbe-b56b-0f97dc78cf50
Screening test for sclerodema
Anti-nuclear antibody
Ul-Ribonucleoprotein antibody
Anti- L.K.M. antibody
Anti- topoisomerase antibody
0a
single
Answer- A. Anti-nuclear antibodyANA is the screening method of choice for systemic rheumatic disease such as systemic lupus erythyematous (SLE), mixed connective tissue disease, Sjogren syndrome, scleroderma, CREST syndrome, rheumatoid ahritis, polymyositis, dermatomyositis.
Medicine
null
b3910578-dfff-41ed-8d70-e02cfff2db58
A child was brought by his mother complaining nocturnal perianal pruritus and presence of adult worms in the stool. Which of the following is the most common intestinal infection in school-age children worldwide?
Plasmodium vivax
Enterobius vermicularis
Entamoeba histolytica
Strongyloides stercoralis
1b
single
Enterobius vermicularis, the pinworm, is a common cause of intestinal infections worldwide, with maximal prevalence in school-age children. Enterobiasis is transmitted person-to-person ingestion of eggs after contact with the hands or perianal region of an infected individual, food or fomites that have been contaminate...
Microbiology
null
cbd14a48-a8dd-4d96-a06b-11544946982d
Sociology-
Study of human relationship
Study of behaviour
Both
None
2c
multi
sociology ; study of human relationships and behaviour for a better understanding of the pattern of human life. it also concerned with the effects on the individual of the ways in which other individuals think and act ref ;(page no;670)23rd edition of PARK's textbook of Preventive and Social medicine
Social & Preventive Medicine
Social science, Mental health & Genetics
2e221bd1-8592-4f12-8123-11dc83170753
Basophilic stippling is due to
Ala synthetase deficiency
Ferrochelatase deficiency
5' nucleotidase deficiency
Ala dehdrogenase deficiency
2c
single
(C) (5'- nucleotides deficiency) (880-H 18(tm))Lead intoxication is accompanied by an acquired deficiency of erythrocyte pryimidine-specific, 5'-nucleotidase.Genetically determined deficiency of this enzyme is associated with chronic hemolysis, marked basophilic stippling of erythrocytes on stained blood films, and uni...
Biochemistry
Miscellaneous (Bio-Chemistry)
b9eb5bea-46e4-4c67-a294-3eaac8b3716e
Which of the following is not true regarding wilson's disease
ATP7B mutation leading to impairment in copper metabolism
Most specific screening test is Urinary excretion of copper
Gold standard test is liver biopsy
KF ring is present in upto 30% cases
3d
multi
KF ring is present in upto 99 % of cases. ATP 7B mutation results in defective biliary copper excretion into bile as copper can't be incorporated into apoceruloplasmin. Thus copper accumulates in excess amounts in liver and brain. The copper accumulation in descemets membrane of cornea is manifested as KF rings, in the...
Biochemistry
null
c011736e-287d-437e-ba75-97fbed053ece
Clinical scenario with bag of worms
Varicocele
Hydrocele
Torsion of testis
Congenital hernia
0a
single
Answer- A. VaricoceleA varicocele is a varicose (touous) dilatation of the vein draining the testis.C/FOn palpation, testicules may feels like a bag of wormsvaricocele is painless and the only complaint of the patient is swelling.
Surgery
null
b5164f42-b322-40b6-afc0-4ff2a8c5adc6
One of the following is an example of painless midline swelling :
Branchial cyst
Thyroglossal cyst
Cystic hygroma
Carotid body tumour
1b
single
Ans is 'b' ie Thyroglossal cyst. Midline swelling of neck from above downwardsLudwig's anginaEnlarged submental lymph nodesSublingual dermoidLipoma in submental regionThyroglossal cyst Subhyoid bursitisGoitre Lipoma & enlarged lymph nodes in the suprasternal space of bumsRetrosternal goiterThymic swelling(A dermoid cys...
Surgery
Miscellaneous (Neck)
b446aa57-c6ca-4a07-836b-7cefbcb696a1
At 9 weeks, approximate CRL in mm of a fetus would be:
8 mm
2.5 mm
9 mm
5 mm
1b
single
Crown rump length(CRL) is measured from the top of the head to the bottom of buttocks excluding limbs.CRL between 9 and 11 weeks is the most accurate method of dating.Error is about +/- 5 days.CRL in cm +6.5 gives a rough estimate of gestational age in weeks.Uesful prior to amniocentesis and chorion sampling and to con...
Gynaecology & Obstetrics
Diagnosis in obstetrics
58c25cbf-aa09-474e-a62c-7575a42c9e1b
Oral contraceptive Pill (OCP) failure is seen with all except:
Rifampicin
Phenobarbitone
Valproate
Phenytoin
2c
multi
Drugs leading to OCP failure are: Rifampicin Tetracyclines Phenytoin Phenobarbitone Antifungals Cephalosporin Ritonavir for HIV (interferes with absorptionn of OCP) Ref: online resources (ncb.nlm.nih.gov)
Gynaecology & Obstetrics
Contraception
243eca1a-62cc-4ff3-9afc-d022ad7fbf00
Cholesterol from the liver is transpoed to the peripheral tissue mainly by:
HDL
LDL
VLDL
Chylomicrons
1b
single
Low-density lipoprotein/ LDLIt is one of the five major groups of lipoproteins, which in order of size, largest to smallest, are chylomicrons, VLDL, IDL, LDL, and HDL, that enable transpo of multiple different fat molecules, as well as cholesterol, within the water around cells and within the water-based bloodstream.LD...
Biochemistry
null
2fcd6367-0133-468f-b0ab-b7e2d1b74920
Metabolism of a drug primarily results in
Activation of the active drug
Conversion of prodruv to active metabolite
Conversion of lipid soluble drugs to water soluble metabolites
Conversion of water soluble drugs to lipid solible metabolites
2c
single
Ref-Katzung 10/e p50 After metabolism most of the drugs become inactive and their excreted through the kidney. Lipids soluble drugs wil be reabsprbed whereas water soluble drugs are easily excreted.thus, metabolism of drugs helps in the conversion of liquid soluble drugs to water soluble metabolites
Anatomy
Other topics and Adverse effects
d3de2a9b-30af-4952-ad68-ccad0e0c8f6a
A 43-year-old 190 cm man post a flight to Chennai presents with left-sided chest discomfort and dyspnea. On chest X-ray, there is a small area devoid of lung markings in the apex of the left lung. Diagnosis is?
Spontaneous pneumothorax
Myocardial infarction
Acute cor pulmonale
Aortic dissection
0a
multi
Ans. A Spontaneous pneumothoraxRef: CMDT 2019 pg. 325Spontaneous pneumothorax occurs from a rupture of an apical pleural bleb and is associated with tall, young males and is also seen with aeroplane ascent.
Physiology
Respiratory System
36f7a2e9-88b9-4ddb-bb97-b31926d59856
Which of the following properties make pyridostigmine different from neostigmine ?
It is more potent
It is longer acting
It produces less muscarinic side effects
It does not have any direct action on NM receptors
1b
single
Though less potent than Neostigmine, Pyridostigmine has longer duration of action (3 to 6 hrs) Duration of action of neostigmine is 0.5 to 2 hrs.
Pharmacology
null
1e24f37c-09ad-4d04-9371-b8222cc4f86b
Drug of choice for bacterial vaginosis is :
Metronidazole
Ampicillin
Ciprofloxacin
Fluconazole
0a
single
null
Pharmacology
null
c6e3a936-3b81-4d76-b263-d420b7e52646
Aniseikonia is-
Difference in the axial length of the eyeballs
Difference in the size of corneas
Difference in the size of pupils
Difference in the size of image formed by the two eyes
3d
multi
Ans. is 'd' i.e., Difference in the size of image formed by the two eyes * Anisoeikonia is defined as a condition wherein the images projected on the visual cortex from the two retinae are abnormally unequal in size or shape. Causes may be : -i) Optical aniseikonia: - When the difference between refractive error of two...
Ophthalmology
Errors of Refraction
155ea118-bec3-410a-a98d-6df17a9769cd
Middle meningeal aery passes through which foramen?
Foramen rotundum
Foramen spinosum
Foramen ovale
Jugular foramen
1b
single
The middle meningeal aery is a branch of the first pa of the maxillary aery, given off in the infratemporal fossa. In infratemporal fossa, the aery runs upwards and medially deep to the lateral pterygoid muscle and superficial to the sphenomandibular ligament. Here it passes through a loop formed by the two roots of th...
Anatomy
Head and neck
dd2304d5-06e2-4298-ab2d-2467ecf9c6fb
Denominator in General fertility rate is?
Married women in reproductive age group in a given year
Women in reproductive age group in a given year
Married women in any specified age group
Women in any specified age group
1b
single
ANSWER: (B) Women in reproductive age group in a given yearREF: Parks textbook 20th edition page419Repeat from December 2008General fertility rate: Number of live births per 1000 women in reproductive age group in a given yearGeneral marital fertility rate: Number of live births per 1000 married women in reproductive a...
Social & Preventive Medicine
Demography
80f40f82-c1f6-4565-ab80-2ced8d14f0cc
A patient presented in emergency with tachycardia, hyperthermia, bronchial dilatation and constipation. The person is likely to be suffering from overdose of:
Atropine
Organophosphorus compound
Mushroom
Paracetamol
0a
single
Ans. (A) Atropine(Ref: Modi's Medical jurisprudence and Toxicology. 23rd, 2005/92, 403, 429-430, Goodman and Gilman 12/e p234-235)These are the characteristic features of anti-cholinergic overdose.
Pharmacology
A.N.S.
5d4c0357-a1d0-4e16-a8e7-bebbc006aca9
A 58-year-old woman presents with an irregular nodularity that has developed in her right breast over the past 3 months. Mammography demonstrates irregular densities in both breasts. A needle biopsy of one breast lesion is shown. An excisional biopsy of the contralateral breast shows similar histology. Which of the fol...
Colloid carcinoma
Lobular carcinoma in situ
Malignant phyllodes tumor
Medullary carcinoma
1b
multi
Lobular carcinoma in situ arises in the terminal duct lobular unit. Malignant cells appear as solid clusters that pack and distend the terminal ducts but not to the extent of ductal carcinoma in situ. The lesion does not usually incite the dense fibrosis and chronic inflammation so characteristic of intraductal carcino...
Pathology
Breast
4dcf2da2-c342-42bc-9dcb-8be033c3796d
The following muscle is an opener of the glottis -
Lateral cricoarytenoid
Posterior cricoarytenoid
Transverse arytenoid
Inter arytenoids
1b
single
Opener (abductor) of glottis is posterior cricoarytenoid.
Anatomy
null
89a682da-dc35-41c5-b103-167c24691d9a
True about hiatus hernia
Surgery indicated in all symptomatic cases of paraesophageal
Para-esophageal type is more complicated
Para-esophageal type is common type
Common in infants
0a
multi
HIATUS HERNIA is the most common type of a diaphragmatic hernia classified into type 1 -commonest, small, reducible and is the cephalad displacement of the gastro oesophagal junction into the mediastinum. type 2 -superior migration of fundus of the stomach alongside the GE junction type 3 -combination of both sliding h...
Surgery
G.I.T
f47ad4d6-ee09-4ca7-96ca-60f3976962e3
Which of the following staphylococcal protein is a superantigen-
Exfoliative toxin
Cytolytic toxin
ProteinA
Leucocidin
0a
single
Ans. is 'a' i.e., Exfoliative toxin Examples of superantigeno Staphylococcal toxic shock syndrome toxino Staphylococcal enterotoxinso Staphylococcal exfoliative (erythrogenic) toxino Streptococcal toxic shock syndrome toxino Certain nonhuman retroviral proteinso Yersinia pseudotuberculosiso Mycoplasma arthritis,o Mouse...
Microbiology
Immunology
1cdb7001-bfc1-4dfc-a322-8e07bd095075
Base substitution of GAC (Asp) to GAG (Glu) is an example ofa) Point mutationb) Silent mutationc) Non-sense mutationd) Conserved mutatione) Non-conserved mutation
b
c
ad
ab
2c
single
It is a point mutation because only single nucleotide is changed (C by G). It is a conserved mutation because altered AA has same properties as the original one (Both are acidic).
Biochemistry
null
11f12493-d945-4cf4-895a-2f03a5c83199
In endodontic practice, periapical radiographs are very useful in assessing the
Length of the root canal
Presence of infection in the pulp
Vitality of the pulp
All of the above
0a
multi
null
Dental
null
8fa2f17a-0e69-421f-b991-0e12699eb783
Polycystic disease of the kidney may have cysts in all of the following organs except -
Lung
Liver
Pancreas
Spleen
0a
multi
null
Medicine
null
299a77da-7720-4505-b353-42de9d8a764d
Nerve supply of Glans penis is
Genital branch of genito-femoral nerve
Ilio-inguinal nerve
Ilio-hypogastric nerve
Pudendal nerve
3d
single
Innervation of penis : nerves deriving from S2-S4. Sensory & sympathetic innervation: provided by the dorsal nerve of penis (terminal branch of pudendal nerve), which runs lateral to dorsal aery of penis. It Supplies both skin and glans. The sensory endings are more numerous on the glans). Ilioinguinal nerve branches s...
Anatomy
Abdomen and pelvis
5403aa35-174c-4b6d-9f92-2f5e16382269
All of the following structures forms the boundaries of the quadrangular space which is present under the deltoid muscle in the shoulder region, from the posterior side, EXCEPT:
Teres minor
Teres major
Surgical neck of humerus
Long head of biceps brachii
3d
multi
Structures forming the boundaries of the quadrangular space from the posterior side are:Superiorly by teres minorInferiorly by teres majorLaterally by surgical neck of humerusMedially by long head of triceps brachiiContents of the quadrangular space are:Axillary nervePosterior circumflex humeral vesselsSagging pa of sh...
Anatomy
null
cfd64677-a2b2-48b8-ba80-d66ed7ea4b88
platelet activating factor causes all except:
Vasoconstriction
Bronchodilation
Causes platelet aggregation
transmits signals between cells
1b
multi
PAF is another phospholipid derived mediator having the following inflammatory effects: Platelet aggregation Vasoconstriction Bronchoconstriction At extremely low concentration, it may cause vasodilation and increased venular permeability Increases leukocyte adhesion to the endothelium (by enhancing integrin-mediated l...
Pathology
General pathology
c38b1a5b-81a4-45cb-b60f-0ddc908bbbdd
Abductors of larynx are:
Posterior cricoarytenoids
Transverse arytenoids
Cricothyroid
All of the above
0a
multi
null
Anatomy
null
e81ee298-4428-4272-88a2-df9dd8e1798d
Skin involvement in toxic epidermal necrolysis?
< 10 %
l0 - 20%
20 - 30%
> 30%
3d
single
Ans. is 'd' i.e., > 30% Erythema multiforme It is an acute , often self limited eruption characterized by a distinctive clinical eruption, the hallmark of which is target lesions (Iris lesions). EM can present with wide spectrum of severity which can be classified into 1. Erythema multiforme minor It is simply referred...
Skin
null
f9f165c6-efce-454d-b9d3-fed5d89640eb
Coronary vasodilatation is caused by
Adenosine
Bradykinin
Histamines
Ergotamine
0a
single
Refer kDT 7/e p536 It serves as a metabolic coupler between oxygen consumption andcoronary blood flow. ... Parasympathetic stimulation of the hea (i.e., vagal nerve activation) elicits modest coronary vasodilation(due to the direct effects of released acetylcholine on the coronaries). In some types of blood vessels, th...
Pharmacology
Cardiovascular system
454478ac-1663-4038-904d-fbbd897c3607
Which of the laboratory test supports the diagnosis of preeclampsia
Platelet count 103,000 / μ L.
Creatinine 1.14 mg / dL.
Alkaline phosphatase 138 IU / L.
Total protein of 258 mg in 24 hour urine.
0a
single
Pre - eclampsia Diagnostic criteria B.P > 140 /90 mmHg after 20 weeks in previously normotensive women Proteinuria > 300 mg / 24 hours or Protein : Creatinine ratio > 0.3 or Dipstick 1 + Persistent. Platelets < 100,000 / μ L Creatinine > 1.1 mg / dL Serum transaminase levels twice normal.
Gynaecology & Obstetrics
null
1d02985f-8f24-4c3b-ae86-296606ee1f63
Craniospinal irradiation is employed in the treatment of:
Oligodendroglioma
Pilocytic astrocytoma
Mixed oligoastrocytoma
Medulloblastoma
3d
single
Medulloblastoma
Radiology
null
ed83ddcf-cdec-4211-9ecc-fa6daff7f2a2
Madelung's deformity involves -
Humerus
Proximal ulna
Distal radius
Carpals
2c
single
Ans. is 'c' i.e., Distal radiusMadelung's deformityo Madelung's deformity is a congenital disorder that affects growth of distal radius.o The primary defect is failure of normal growth of medial and palmar halves of the distal radial physis, leading to curvature in an medial (ulnar) and palmar direction,o The ulna is r...
Orthopaedics
Skeletal Infections
0cf90f52-70a5-4ea9-9888-321afc9bff82
Oolani&;s test is used in
congenital dislocation of knee
Obstetric brachial plexus injury
Developmental dysplasia of hip
Tom Smith's ahritis
2c
single
OOLANI&;STEST is used to test DDH in infants In this test the baby&;s thighs are held with the thumbs medially and the fingers resting on the greater trochanters; the hips are flexed to 90 degrees and gently abducted. In NORMAL baby, there is smooth abduction to almost 90 degrees. In CONGENITAL DISLOCATION the movement...
Orthopaedics
Pediatric orthopedics
3afe2b18-fcdd-45f6-a8fd-b3c0dfd1fb02
Ideal substance for measuring GFR should have all characteristics except
Should be secreted in tubules
Should be non-toxic
Should not remain in the body
Should not be protein bound
0a
multi
The Ideal substance to measure GFR is Inulin or following reasons ; It is non-toxic; It is freely filterable by the glomeruli; it is not bound to proteins It is neither secreted nor reabsorbed by the tubules; It is not synthesized, stored, or destroyed by the kidney . Thus, Filtered inulin = excreted inulin .Hence, it ...
Physiology
Excretory System (Kidney, Bladder) Acid-Base Balance
0162ce88-9a94-42db-8938-08238b68b6a9
Oakley fulthrope procedure is
Agglutination test
Precipitation test
Flocculation test
None of the above
1b
multi
Antibody (antiserum) is incorporated in agar, poured into a tube and allowed to harden. A second layer of agar without antibody is placed above and allowed to solidify. Antigen solution is placed above the agar. The precipitin band appears in the plain agar column. Ref ananthnarayana and panikers microbiology textbook ...
Microbiology
general microbiology
e63d1654-b436-409b-97bb-ce86e94001e9
A 75-year-old male presented with chief complaint of pain in the right shoulder. CXR is shown below. Which of the following could be the cause of pain in this patient?
Pancoast tumor
Sarcoidosis
Subclan aery aneurysm
Mesothelioma
0a
single
CXR shows a mass in the right lung apex and there is associated destruction of the right 2nd and 3rd ribs posteriorly. A combination of an apical mass along with the destruction of the rib is characteristic of Pancoast tumor/ Superior Sulcus Tumor. MRI is a more sensitive investigation in identifying the extension of t...
Radiology
Respiratory Radiology
4576d171-ac5f-42c6-84ba-f3e86f79ce79
A 50-year-old woman undergoes neurosurgery for resection of a well-circumscribed intracranial neoplasm attached to the dura. The tumor compressed the underlying brain parenchyma without infiltration. Which of the following is the most likely diagnosis?
Aeriovenous malformation
Glioblastoma multiforme
Medulloblastoma
Meningioma
3d
single
The gross features of this dural-based tumor are consistent with meningioma, the most frequent benign intracranial neoplasm. It arises from meningothelial cells and histologically consists of whorls of elongated cells with scattered psammoma bodies. The benign behavior of this tumor is apparent from its "pushing" patte...
Pathology
null
3a350579-5527-497a-a945-3bbe92a0eb47
Nodular growth of alveolus is seen in
Paget's disease
Osteomas
Cementifying fibroma
All of the above
2c
multi
null
Pathology
null
df743e95-6d5a-4074-bd20-3de5f7b3f2da
Which is the commonest indication of classical cesarean section?
Transverse lie
Cord prolapse
Dense adhesion in lower uterine segment
Placenta praevia
2c
single
ANSWER: (C) Dense adhesion in lower uterine segmentREF: William's obs 22nd e p- 5987Classical caesarean section is not done these days f however its done in cases where the lower segment is not approachable. Uterine incision is made on upper segment above the reflection of uterovesical fold of peritoneum.Indications of...
Gynaecology & Obstetrics
Caesarean Section
6f5ebded-1fcb-49d1-adae-f50b9276951e
All of the followoing non-mycobacterial microorganisms display acid fastness, EXCEPT:
Nocardia
Fusobacterium nucleatum
Rhodococcus
Isospora
1b
multi
Microorganisms other than mycobacteria that display some acid fastness includes Nocardia, Rhodococcus, Legionella micdadei, Protozoa Isospora and Cryptosporidium. Reference: Harrisons Principles of Internal Medicine, 18th Edition, Page 1340
Medicine
null
507388f1-e7c4-4a65-ad2a-fdaa745c1236
Surgery of choice for chronic acquired dacryocystitis
Dacryocystorhinostomy
Dacryocystectomy
Conjunctivo-cystorhinostomy
None
0a
multi
Ans. is 'a' i.e., Dacryocystorhinostomy Treatment of chronic dacryocystitis Congenital Adult (acquired) Massage over lacrimal sac with antibiotic eye drops Conservative :- Massage, antibiotic drops, probing, Syringing (irrigation) with normal saline & syringing antibiotic solution Dacryocystorhinostomy (DCR) :- Surgery...
Ophthalmology
null
ba2e4638-bbf9-49ae-8b50-94754cee792e
A mother presents to the neonatology OPD with her baby because of yellow extremities. On examination, there is petechial rash over the body, hepatosplenomagaly, microcephaly. What is the causative organism?
CMV
Rubella
HSV
Varicella
0a
single
Features of congenital CMV infection are: petechial rash, jaundice, hepatosplenomegaly, microcephaly, periventricular calcification, deafness, chorioretinitis,IUGR. congenital rubella syndrome: triad of cardiac defects, cataract and conductive hearing loss neonatal herpes presents as skin lesions with eye involvement, ...
Microbiology
Virology
b754c93f-eda8-477c-b582-1ac1d8db3ae6
Preformed enterotoxins are formed by ?
Clostridium tetani
E.coli
Shigella sonnei
Clostridium perfringens
3d
single
null
Microbiology
null
fafbad81-7ace-48ca-8cd1-8f7c56ecd112
Smokeless gun powder is composed of ?
KMnO4
HCN
Nitrocellulose
Sulphur
2c
single
Ans. is 'c' i.e., Nitrocellulose Smoke producing powder :- Black powder (black gun powder), Pyrodex. Smokeless powder :- Black powder plus nitrocellulose/nitrocellulose + nitroglycerine/nitroglycerine + nitrocellulose nitroguanidine. Semismokeless powder :- 80% black powder plus 20% smokeless powder.
Forensic Medicine
null
9c48faba-2728-434e-9a9d-2b2deca3ed57
Soap bubble appearance on Xray is seen in which bone tumor ?
Osteogenic sarcoma
Giant cell tumor
Multiple myeloma
Chondroblastoma
0a
single
Ans. is 'A' i.e., Rheumatoid ahritis Repeat from previous sessions. See explanation-3 of session-3.
Surgery
null
8032284b-83c7-456d-afd8-063ac949ba68
Which of the following is the organism causing chronic burrowing ulcer?
Peptostreptococcus
Streptococcus viridans
Streptococcus pyogenes
Microaerophilic streptococci
3d
single
Chronic Burrowing ulcer is also known as Meleney's ulcer. This type of ulcer is caused by a hemolytic microaerophilic Streptococci, and usually develops after surgery on the intestinal or genital tract. Ref: A Manual On Clinical Surgery, By, S.Das,Page, 52, 53; Oxford Textbook Of Surgery, 2000, 2nd Edition, Page 105; T...
Surgery
null
0fe8da2a-b479-4374-827c-f22506065666
Most common tumour in undescended testis is :
Seminoma
Teratoma
Both of the above
None of the above
0a
multi
Approximately 95% of testicular tumors are derived from germ cells. Seminomas tend to remain localized in the testis for a longer period, are radiosensitive, and metastasize to lymph nodes, whereas nonseminomatous neoplasms metastasis sooner, are radioresistant, and tend to metastasize hematogenous routes. Risk factors...
Surgery
null
cf7e3e58-15c3-4be0-92c3-49d9a86194ce
The following are DDT resistant except –
Phlebotomos
Culex fatigans
Anopheles stephenci
Musca domestica
0a
multi
null
Social & Preventive Medicine
null
d160454a-5e3d-4ac5-ac4d-94ad47598216
Which of the following local anaesthetics belongs to the ester group ?
Procaine
Bupivacaine
Lignocaine
Mepivacaine
0a
single
null
Pharmacology
null
8a4d5f43-f89b-4dc9-979d-c4fc563e3e16
Which of the following disorder is an indication for the use of steroids in neonates?
Brochopulmonary dysplasia
Pulmonary hypoplasia
Oesophagial atresia
None
0a
multi
Bronchopulmonary disorder is a chronic lung disorder which occur in children born prematurely with low bihweight and who recieved prolonged mechanical ventilation to treat respiratory distress syndrome. Treatment modalities includes use of surfactant, inhalational glucocoicoids with beta 2 agonists .
Pediatrics
null
05e499dd-a3f0-44c4-96ec-36bcb3903871
Somatosensory area I largest representation is for
Arm
Leg
Back
Head
0a
single
Coical areas for sensation from trunk and back are small, whereas large areas are concerned with impulses from hand and pas of mouth. And from the figure 11-4 it is evident that area for hand is more than face. Ref: Ganong&;s review of medical physiology; 23rd edition; pg:175
Physiology
Nervous system
aa3a44ca-cb09-4cff-9509-9489656b2710
In trichomonas - vaginalis:
Greenish discharge
White curdy discharge
Blood stained discharge
Milky discharge
0a
single
(Greenish discharge) (125-Smaw's 13th) (107-S14th)* Trichomoniasis - 70% show typical discharge, which is profuse, thin creamy or slightly green in colour irriting and frothy discharge (almost self diagnostic)Multiple small punctate strawberry spots on the vaginal vault and portio-vaginalis of the cervix {strawberry va...
Gynaecology & Obstetrics
Miscellaneous (Gynae)
c9b0f706-4272-4fd3-9e93-014bd9fa1c6a
Regarding sudeck's osteodystrophy all are true except
Burning pain
Stiffness & swelling
Erythematous & cyanotic discolouration
Self limiting & good prognosis
3d
multi
D i.e. Self limiting & good prognosis - International Association for the Study of Pain (IASP) has advocated the term complex regional pain syndrome type 1 (CRPS-1) for reflex sympathetic dystrophy and term complex regional pain syndrome type 2 (CRPS-2) to describe causalgia or similar signs and symptoms associated wit...
Surgery
null
5f9b1731-0ff2-4829-8422-02239380bbde
Increased BMR is associated with -
Increased body fat store
Increased glvcognenesis
Increased glycolysis
Increased lipogenesis
2c
single
Ans. is 'c' i.e., Increased glycolysis o Increased BMR is associated with hyper metabolic state which is characterized by :-Carbohydrate metabolismi) | Glycolysis| Gluconeogenesis| Glvcogenesis| GlyeogenolysisLipid metablism| Lipogenesis| Lipolysis| Cholesterol Synthesis| Triacylglycerol Synthesis| Lipoprotein degradat...
Physiology
Endocrinology metabolism
e119d536-dfe4-42de-bcc0-19dc904c2d06
Histone acetylation causes
Increased Heterochromatin formation
Increase Euchromatin formation
Methylation of cystine
DNA replication
1b
single
Histone acetylation and deacetylation are the processes by which the lysine residues within the N-terminal tail protruding from the histone core of the nucleosome are acetylated and deacetylated as pa of gene regulation. Histone acetylation and deacetylation are essential pas of gene regulation. These reactions are typ...
Biochemistry
Metabolism of nucleic acids
8eef54ce-533c-4949-b808-361194d39bda
A pregnant woman of >35 weeks gestation has SLE. All of the following drugs are used in treatment except:
Methotrexate
Sulfasalazine
Prednisolone
Chloroquine
0a
multi
Methotrexate is very effective in treating Systemic Lupus erythematosus(SLE) but during pregnancy, it can cross the placenta and cause the teratogenic effect to the fetus. The main teratogenic effect caused by Methotrexate is cleft palate, hydrocephalus, multiple defect, and fetal death. ESSENTIALS OF MEDICAL PHARMACOL...
Pharmacology
Immunomodulators
f7662a77-5cde-4d1a-b20a-7ab41ddbc252
Boorheave syndrome involves perforation of esophagus after
Burns
Acid ingestion
Stress
Vomiting
3d
single
Ans. is 'd' i.e., Vomiting [Ref: CSDT 13th/ep.444 & 11th/e p. 490; Schwartz 9th/ep.874 & 8th/e, p. 906; Bailey & Love 25th/e p.1014 & 24th/ep.996}* Boerhaave's syndrome is spontaneous perforation of the esophagus, occuring usually due tosevere barotrauma when a person vomits against a closed glottis. The pressure in th...
Surgery
Oesophagus
6c996da0-a628-4219-bcef-dc60fcd67e92
Horner syndrome causes all, except:
Enophthalmos
Mydriasis
Anhidrosis
Narrowed palpebral fissure
1b
multi
Mydriasis
Ophthalmology
null
33680ea3-80aa-489b-8303-8c1f24847266
β - blocker toxicity is treated by
Atropine
Insulin
Fomepizole
Glucagon
3d
single
Glucagon is used to treat Overdose of β - blockers Fomepizole is used to Ethylene Glycol poisoning.
Pharmacology
null
4254bc4f-f865-4cf4-ab70-9270f4c1cc58
Investigation of choice for studying Renal Coical mass
99 Tc DTPA
53 Cr Study
99 Tc DMSA
99 Tc Pyrophosphate
2c
single
C i.e. 99 - Tc - DMSA DTPA (Renogram) DMSA (Isotope Scanning) - DTPA is freely filtered at glomerulus with no - Tc.99 DMSA is used for renal morphological tubular reabsorption or excretion (i.e. GFR = (anatomic) imagine Excretory function) - This compound gets fixed in renal tubules & images - DTPA is useful for evalua...
Radiology
null
50480672-ddf7-4412-a22d-f5c2e40ba730
Drugs commonly used in pre-anaesthetic medication are all except
Diazepam
Scopolamine
Morphine
Succinyl choline
3d
multi
Succinylcholine is a neuro muscular blocker used during induction of General anaesthesia. Drugs used in premedication include benzodiazepines like midazolam, diazepam; opioids like morphine, fentanyl; anticholinergics like atropine, scopolamine, glycopyrrolate.
Anaesthesia
Preoperative assessment and monitoring in anaesthesia
b4436360-48dd-4337-8e67-bc1dfe217b09
All are the criteria for medical management of ectopic pregnancy except:
Asymptomatic patient.
Serum r3-hCG level <2000 IU/L.
Pregnancy diameter <5 cm.
Unruptured tube.
2c
multi
Ans. C. Pregnancy diameter <5cmCriteria are:a. Asymptomatic patient.b. Serum b-hCGlevel<2000IU/L.c. Pregnancy diameter <2cm.d. Unruptured tube.e. Non-active bleeding.f. No fetal cardiac activity on USG.g. <100ml blood in the pouch of Douglas.
Gynaecology & Obstetrics
Ecotopic Pregnancy
7e7c24a7-d1f5-4176-98f9-4ad600b4b853
Stain with parasite having Charcot-Layden crystals but no pus cells:
Giardia
Taenia
E. histolytica
Trichomonas
2c
single
Ans. is 'c' i.e., E. histolytica(Ref: Harrison, 19th/e, p. 1685; D.R. Arora, 2nd/e, p. 26, 27)* Fecal finding in amoebiasis are:I. Charcot-Leyden crystals.II. Positive test for heme.III. Paucity (lack) of neutrophils (pus cells).
Microbiology
Parasitology
ae99c0de-0afd-424b-ab63-6996aaca70cc
A 75-year-old man with a history of myocardial infarction 2 years ago, peripheral vascular disease with symptoms of claudication after walking half a block, hypeension, and diabetes presents with a large ventral hernia. He wishes to have the hernia repaired. Which of the following is the most appropriate next step in h...
He should undergo an electrocardiogram (ECG).
He should undergo an exercise stress test.
He should undergo coronary aery bypass prior to operative repair of his ventral hernia
He should undergo a persantine thallium stress test and echocardiography.
3d
multi
The patient should undergo persantine thallium stress testing followed by echocardiography to assess his need for coronary angiogram with possible need for angioplasty, stenting, or surgical revascularization prior to repair of his hernia. Although exercise stress testing is an appropriate method for evaluating a patie...
Anaesthesia
Preoperative assessment and monitoring in anaesthesia
3d126d95-be95-4772-930c-b971bb9844eb
Hypokalemia is not present in :
Vomiting
Diarrhoea
Patient on diuretics
Chronic renal failure
3d
single
null
Pathology
null
672f6da4-031c-4fd4-a3c8-82380b837cab
Which of the following drugs used to treat MDR TB can cause hypothyroidism:
Kanamycin
Pyrazinamide
Ethionamide
None of the above
2c
multi
Adverse effects of Ethionamide Gastro-intestinal: epigastric discomfo, anorexia, nausea, metallic taste, vomiting, excessive salivation, and sulfurous belching Psychiatric: hallucination and depression Hepatitis Hypothyroidism and goitre with prolonged administration Gynaecomastia, menstrual disturbances, impotence, ac...
Social & Preventive Medicine
null
063541e0-be6a-40c1-9ecc-c77edff6fa72
Classic Galactosemia is due to deficiency of:
Hexosaminidase
Glucocerebroside
Sphingomyelinase
Galactose-1-Phosphate-Uridyl-Transferase
3d
single
Galactose 1-Phosphatase Uridyltransferase (GALT) the rate-limiting enzyme of galactose metabolism is deficient in galactosemia. Galactose undergoes an exchange reaction with UDP-glucose to produce glucose 1-phosphate and UDP-galactose, using the rate-limiting enzyme galactose 1-phosphate uridyltransferase (GALT). Galac...
Biochemistry
Metabolism of carbohydrate
685c0e6e-7573-4d01-b851-209ace716bdb
A female presents with placenta previa with active bleeding and blood pressure of 80/50 mm Hg and pulse rate of 140 bpm. The choice of anaesthesia for emergency cesarean section in this female is?
General anesthesia with intravenous propofol
General anesthesia with intravenous ketamine
Spinal anesthesia
Epidural anesthesia
1b
single
Ans. (B) General anesthesia with intravenous ketamine(Ref: Williams Obstetrics 24th/e p518; Morgan 4th/197-199)The patient is presenting with shock, so spinal anesthesia cannot be used. Among the general anesthetics, ketamine is drug of choice for induction in patients with low blood pressure.
Pharmacology
Anaesthesia
18c24529-5b3f-4fc1-b10f-817217a5c21f
Drug of choice in bacterial vaginosis is :
Metronidazole
Doxycycline
Clindamycin
Ciprofloxacin
0a
single
Metronidazole
Gynaecology & Obstetrics
null
a1c634a7-2789-4634-b3f3-e006d7e3c649
Which of the following statements is wrong regarding hematoma
MRI needed to access haematoma
GCS assessment helps in prognosis
Haematoma must be operated
All of the above
2c
multi
Ref. Sabiston Textbook of Surgery. Pg. 436   Hematoma A hematoma is a localized collection of blood outside the blood vessels ,due to either disease or trauma including injury or surgery and may involve blood continuing to seep from broken capillaries . A hematoma is initially liquid in form spread among the tissues i...
Unknown
null
01c76c90-d1ae-401b-8c4d-05f1fbfcb318
Lymphatic drainage of upper outer quadrant of breast ?
Anterior axillary
Posterior axillary
Paratracheal
None of the above
0a
multi
Ans. is 'a' i.e., Anterior axillary Most lymph, especially that from the superior lateral quadrant and center of breast, drains into the axillary lymph nodes, which, in turn, are drained by the subclan lymphatic trunk. Among the axillary nodes, the lymphatics end mostly in the anterior groups and paly the posterior and...
Anatomy
null
47b518a6-ae5a-41f5-844c-f8600566a119
Opsonization takes place through-
C3a
C3b
C5a
C5b
1b
single
1. All the three complement activation pathways(classical , alternate , lectin) lead to activation of C3, resulting in the production of C3b. Hence, C3b is considered as the central molecule in the activation of the complement cascade. 2. The C3b has two impoant functions to perform First, it combines with other compon...
Microbiology
Immunology Pa 2 ( Hybridoma Technology, Complement Pathways, Interferon, Structure and Functions of Immune Cells )
8f93655c-7854-4f09-8e6d-6a7c069934c7
What is your diagnosis:-
Orbital blow out fracture
Orbital roof fracture
Oculomotor nerve paralysis
Retrobulbar hemorrhage
0a
single
Following image shows a defect in the orbital floor and the 'tear drop' sign in the antrum characteristic of blow out fractures of orbit. WATER'S view on X-RAY is helpful in eliciting orbital blow out fracture
Ophthalmology
NEET 2019
5128c5e1-196b-437a-a49c-1e4d76550deb
All are true about fully frozen Ice pack except:-
Smallest component of cold chain
Two vaccines are kept in two holes inside the ice pack
Fill water up to horizontal mark with plain tap water
Can store vaccines for 24hrs
3d
multi
Fully Frozen Ice Pack; Fill water up to horizontal mark with plain tap water. Smallest Component of cold chain. If there is any leakage such ice-packs should be discarded. 2 vaccines are kept in two holes inside the ice pack. Can maintain vaccine temeprature for 2-4 hours.
Social & Preventive Medicine
Cold Chain in India
0ba63640-144c-4bf2-8b75-abf5d58e6260
Most common presentation of nasopharyngeal carcinoma is?
Neck mass
Trotter's triad
Ophtalmoplegia
Glue ear
0a
single
Ans. is'a'i.e., Neck mass(Ref: Dhingra Sn/e p. 265)Neck mass is the most common presentation (60-90%) due to cervical lymphadenopathy.
ENT
null
fae2e6b5-dc74-41c8-bfb1-bec207d42898
Sixth cranial nerve lies at?
Midbrain
Pons
Medulla
Cerebellum
1b
single
Sixth cranial nerve which supplies the lateral rectus muscle of the eyeball. one nerve fibre supplies approximately six muscles fibers. Abducent nucleus is situated in the upper pa of the floor of fouh ventricle in the lower pons, beneath the facial colliculus.ventromedially it is closely related to the medial longitud...
Anatomy
Head and neck
2de776e2-b80b-436f-8d38-1e94de429857
Treatment of Ca Cervix IIIB include -
Wertheims hysterectomy
Schauta ' s hysterectomy
Chemotherapy
Intracavity brachytherapy followed by external beam radiotherapy
3d
single
Ans-D i.e., Intracavity brachytherapy followed by external beam radiotherapy Stage 1IA * Invasion limited to the measured stromal invasion with the maximum depth of 5mm and not wider than 7 mm IA1 * Invasion of stroma not greater than 3 mm in depth and no wider than 7mmIA2 * Measured invasion of stroma greater than 3mm...
Unknown
null
ed341a70-2030-4fd9-8202-cf1783f2ffef
Which of the following inhalational anesthetic agent is contraindicated in liver disease?
Methoxyflurane
Halothane
Ether
Isoflurane
1b
single
Ans. b (Halothane). (Ref. Lee's synopsis of Anesthesia 12th ed. 163)Ether may cause a transient depression of liver function but does not cause significant damage.HALOTHANE# Dose: 0.5% (MAC 0.75%)# Actions: analgesic, anaesthetic# Advantages:- Potent and effective,- Allows for high FI02 delivery,- Bronchodilatation,- L...
Anaesthesia
General Anesthesia
681c0cca-aa29-4b61-8012-ae40901ba66b
X - linked inheritance of alport's syndrome is due to mutation of _________
COL4A5 gene
COL4B6 gene
COL3A5 gene
COL4A3 gene
0a
single
Mutation of COL4A5 gene ⇒ X - linked inheritence Mutation of COL4A3 ,COL4A4 gene ⇒ Autosomal inheritence
Physiology
null
fb4ca388-2f12-49e0-8ebc-071e1a420f5a
A chemical is tested for carcinogenicity by examining its mutagenic effects on bacterial cells in culture. Which of the following tests is used to make this determination?
Ames test
Nitroblue tetrazolium test
Watson-Schwaz test
Widal test
0a
single
The test described is the Ames test, which measures damage to DNA and correlates well with carcinogenicity in vitro. It is relatively inexpensive to perform, compared to other tests of carcinogenicity, and is frequently used as a screening test for potential carcinogens. The nitroblue tetrazolium test is used to examin...
Medicine
null
c4a6018e-a1ce-4ac7-9805-834983d40f15
Treatment of choice for a patient with acquired vesicoureteric reflux with UTI?
Cotrimoxazole
Bilateral reimplantation of ureter
Injection of Collagen in the ureter
Endoscopic resection of ureter
0a
single
Acquired renal scarring results from an episode or repeated episodes of acute pyelonephritis caused by infected urine in the presence of VUR. Infection activates a cascade of mediators, which leads to renal epithelial cells damage. Treatment with antibiotics during the first week after infection appears to limit inflam...
Surgery
null
c50a663a-53e8-41a5-99a6-04ab818d3ad0
Which structure is present in the anatomical snuff box?
Ulnar artery
Radial artery
Median nerve
Radial nerve
1b
single
Ans. B Radial arteryRef: BDC, 6th ed. vol. I pg. 122; Gray's 41st ed. pg. 790* The anatomical snuffbox is formed by the tendons of extensor polloicis longus and brevis, and abductor pollicis longus.* It has the radial artery running in the floor of the snuffbox, and the radial nerve passing to the dorsum of the hand.* ...
Anatomy
Hand
ae3233a6-b891-437c-a23d-b867b16cc94d
All are true of pond's fracture, except: CMC (Vellore) 13
No brain damage
Seen in infants
Depressed fracture of the skull
Shearing of the dura is not seen
2c
multi
Ans. Depressed fracture of the skull
Forensic Medicine
null
113cbc72-d9fa-4c8a-8789-07ab6519e5fc
Triacylglycerol and Cholesteryl ester are
Non polar lipids
Polar lipids
Amphipathic lipids
None of the above
2c
multi
In general, lipids are insoluble in water since they contain a predominance of non polar (hydrocarbon) groups. However, fatty acids, phospholipids, sphingolipids, bile salts, and to a lesser extent, cholesterol contain polar groups. Therefore, a part of the molecule is hydrophobic, or water insoluble; and a part is hyd...
Biochemistry
null
e3c6ba67-0bb9-47bc-8dbe-0a3c5032b890
which level the somites initially form ?
Thoracic level
Cervical level
Lumbar level
Sacral level
1b
multi
Ans. is 'b' i.e., Cervical levelThe first pair of somites develop a sho distance posterior to the cranial end of the notochord, and the rest of the somites from caudally."By the 20" day, the first pair of somites have formed in neck region." Textbook of embryologyParaxial mesoderm differentiates into somites. By the en...
Anatomy
null
d0282acd-973f-43db-afda-728d97c5caaa
All are common sites of primary for bone metastasis except-
Breast
Prostate
Brain
Kidney
2c
multi
Ans. is 'c' i.e., Brain o Metastatic bone disease is the commonest malignancy of bones and is much more common than primary bone tumors.o The commonest sites for bone metastases are vertebrae (most common), pelvis, the proximal half of the femur and the humerus.o Extremities distal to elbow and knee are least commonly ...
Orthopaedics
Bone
678be4de-b094-419e-965a-79267dd551fa
Mendelsons syndrome is:
Aspiration of gastric contents
Aspiration of nasal mucous
Hypersensitivity to inhalational anesthetics
Faulty intubation syndrome
0a
single
Aspiration of gastric contents
Anaesthesia
null
c9bd5a27-98ad-47e1-8ad2-a3fa927325ea
Agoraphobia is commonly associated with:-
Schizophrenia
Bipolar disorder
Panic disorder
OCD
2c
single
Agoraphobia: An irrational fear of open spaces or places where reaching a secure or safe base is difficult Commonest phobia encountered in clinical practice More common in women than men Panic disorder is commonly associated with agoraphobia Can cause significant dysfunctionality The individuals suffering from agorapho...
Psychiatry
Neurotic, Stress Related and Somatoform Disorders
2d2cc185-f35b-4636-a5e5-31ea856a63e5
Earliest symptom showing improvement from classical triad of Wernicke's incephalopathv. to thiamine therapy ?
Ataxia
Ophthalmoplegia
Confusion
All are equally responsive
1b
multi
Ans. is 'b' i.e., Ophthalmoplegia Response to thiamine treatment in Wernicke's encephalopathy Ocular symptoms :- Earliest to respond, ophthalmoplegia (ocular palsies) improves within hours of thiamine administration. However, horizontal nystagmus may persist. Ataxia :- Ataxia responds more slowly than ocular palsies an...
Psychiatry
null
c6a056d3-05d8-403d-b1a6-6507c057756d
Chicken pox is infective
2 days before and 5 days after rash appearance
2 days before and 2 days after rash appearance
4 days before and 4 days after rash appearance
4 days before and 5 days after rash appearance
0a
single
null
Social & Preventive Medicine
null
0ee9366e-3b4a-4b87-b1e9-b148d7f9d468
Sulphur of cysteine are not used/utilised in the body for the following process/product:
Help in the conversion of cyanide to thiocyanate
Thiosulphate formation
Introduction of sulphur in methionine
Disulphide bond formation between two adjacent peptide
2c
single
Ans. C. Introduction of sulphur in methionine.Methionine is an essential amino acid, so it cannot be synthesized from Cysteine.But Sulphur of cysteine is donated by sulphur of methionine.This is called transulfuration reaction.PLP is the coenzyme of transulfuration.The reaction is catalysed by Cystathionine beta Syntha...
Biochemistry
Proteins and Amino Acids
786a53cc-3c17-4fc9-9ab5-45d843a4debc
Not true about angioneurotic edema ?
Pitting edema of face, lips and mucous membrane
C1 Esterase inhibitor deficiency can cause it
Extreme temperature exposure can provoke it
Known with ACE inhibitors
0a
multi
Edema of angineurotic-edema is non-pitting. C1 esterase inhibitor deficiency can cause hereditary angioneurotic edema. Angioedema is a well known adverse effect of ACE inhibitors.
Dental
null
58de8fd8-b552-43df-977e-8cfc155e2023
Following are Granulomatous vasculitis except
Churg Straus disease
Takayasu's aeris
Wegener's granulomatosis
Buerger's disease
3d
multi
.
Surgery
All India exam
ecb16c97-08e3-404e-8590-e331367db1f7
The most common site of metastasis in neuroblastoma?
Lung
Liver
Lymph nodes
Veebrae
2c
single
Metastatic spread, which is more common in children older than 1 yr of age at diagnosis, occurs local invasion or distant hematogenous or lymphatic routes. The most common sites of metastasis are the regional or distant lymph nodes, long bones and skull, bone marrow, liver, and skin. Lung and brain metastases are rare,...
Pediatrics
Childhood tumors
e9756f7b-0bae-4823-9860-0c73c6670d08
Which of the about the composition of new ORS is wrong?
NaCl-2.6 grams\/litre
KCI - 1.5grams \/litre
Glucose - 13.5 grams\/litre
Total osmolarity - 300 mmol\/1
3d
single
Total osmolarity is 245 mmol/litre. Reference:Park&;s textbook of preventive and social medicine,K.Park,23rd edition,page no:224. <\p>
Social & Preventive Medicine
Communicable diseases
4f1fcd2d-bba0-49c0-83fb-82ecd5525673
Root value of femoral nerve?
Dorsal divisions of ventral primary rami of lumbar 2, 3, 4
Ventral divisions of ventral primary rami of lumbar 2, 3, 4
Ventral divisions of dorsal primary rami of lumbar 2, 3, 4
Dorsal divisions of dorsal primary rami of lumbar 2, 3, 4
0a
single
Root value of Femoral nerve: Dorsal divisions of ventral primary rami of lumbar 2, 3, 4 segments of spinal cord.Ref: Chaurasia; Volume 2; 6th edition; Page no: 62
Anatomy
Lower limb