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135
8b601ecb-a0fe-445d-994d-47698fca14e9
Which is the most common cause for dissecting aneurysm of thoracic aoa?
Atherosclerosis
Medial degeneration
Syphilis
Trauma
1b
single
Aoic dissection is a catastrophic illness characterized by dissection of blood in between and along the laminar planes of the media,with the formation of a blood filled channel within the aoic wall; this channel often ruptures through the adventitia and into various spaces, where it causes either massive hemorrhage or ...
Pathology
null
f8f034da-54c4-46b7-85f5-2349904c54d0
True about slow sand filter is -
Occupies less space
More expensive
Requires longer duration
Sand size 0.4-0.7 mm
2c
multi
Option A - wrong, slow sand filter occupy more space Option B - wrong, it is less expensive Option C - correct, rate of filtration is very slow (2-3m.g.a.d.) hence takes longer time Option D - wrong, effective sand size in slow sand filter is 0.2-0.3 mm (PARK TB 25th edition pg 773)
Social & Preventive Medicine
Environment and health
0718341b-98c1-4cab-ac96-437da9a17dba
In left sided massive pneumotliorax, ECG shows all,except -
Left axis deviation
Absent R wave
Peaked P wave
Precordial T wave inversion
0a
multi
null
Medicine
null
495db5da-8521-44ff-98a3-ce9fccf53b4d
Careless handling of a suspected case of cervical spine injury may result in:
Injury to the spinal cord leading to quadriparesis or quadriplegia
Intracranial haemorrhage with cerebral imtation or unconsciousness
Cervical haematoma with compression of brachial vessels
Complete paralysis of the affected upper extremity
0a
single
A i.e. Injury to the spinal cord leading to quadriparesis or quadriplegia
Surgery
null
6d34bca6-fb61-478d-804d-8e08be26339a
Angular pregnancy refers to:
Ectopic pregnancy of Interstitial pa of FT
Intrauterine pregnancy
Heterotopic pregnancy
Ectopic pregnancy of broad ligament
1b
single
Angular pregnancy : It is defined as pregnancy implanted in one of the lateral angles of uterine cavity It may progress to term Ref: Dutta Obs 9e pg 168.
Gynaecology & Obstetrics
General obstetrics
19e9db4e-28f6-4009-be8e-fe2e4651ba07
Maximum radiation dose tolerable tissue is-
Hemopoietic tissue
Testis
Ovary
Bone
3d
single
A bone is a rigid organ that constitutes part of the vertebrate skeleton. Bones support and protect the various organs of the body, produce red and white blood cells, store minerals, provide structure and support for the body, and enable mobility.
Radiology
null
3c7fd8ca-ed62-4e5c-8816-ae806c4b7524
WHO stage IV HIV includes all, except:
Toxoplasmosis
Pneumocystic carinii
HIV wasting syndrome
Oral thrush
3d
multi
Ans is 'd' i.e. Oral thrush WHO has developed a clinical staging system, based on clinical criteria. Clinical condition or performance score, whichever is the higher, determines whether a patient is at clinical stage 1, 2, 3, or 4.Clinical Stage III Weight loss, >10% of body weightUnexplained chronic diarrhoea, > 1 mon...
Social & Preventive Medicine
Communicable Diseases
9a8bb386-410c-4e7d-861e-bb8b5e0d1483
A Patient is on regular medications for co-existing medical problems. Which of the following drugs may be stopped safely with minimal risk of adverse effects before an abdominal surgery –
Statins
Bta Blockers
ACE inhibitors/ACE Receptor Blockers
Steroids
2c
single
Angiotensin Converting Enzyme Inhibitors and Angiotensin Receptor Blockers should be discontinued 12 to 24 hours before surgery if taken only for hypertension, as they may produce hypotension, which is not responsive to conventional vasopressors. Statins, Beta Blockers and Steroids should not be stopped abruptly before...
Anaesthesia
null
09e77d7d-fa49-429b-bd2a-9fa6f656da60
A 15- year -female patient develops loss of appetite, cough followed by neck rigidity. CSF examination shows- glucose 40 mg%,protein 150mg%. chloride 52 meq/lit. with full of lymphocytes. The likely diaganosis is -
Tubercular meningitis
Brain abscess
Bacterial meningitis
Viral encephalitis
0a
single
null
Medicine
null
fba01264-4c46-40f8-8b51-ec66417f8363
The widest transverse diameter of the fetal skull is
Biparietal diameter
Occipito-frontal diameter
Bitemporal diameter
Suboccipito-frontal diameter
0a
single
Transverse diameters of fetal skull are Biparietal diameter: 9.5cm Super-subparietal: 8.5cm Bitemporal: 8cm Bimastoid: 7.5cm
Gynaecology & Obstetrics
null
1994895e-7e59-4469-bed6-ce69b80ba297
The coronary sinus
Lies in anterior pa of the coronary sulcus
Ends in right atrium
Has venae cordis minimae as its tributaries
Develops from right anterior cardinal vein
1b
single
Coronary Sinus is the largest vein of hea.it ends by opening to posterior of Right atrium. <img src=" /> BD CHAURASIA'S HUMAN ANATOMY,VOL:1,6TH EDITION,PAGE NO:266
Anatomy
Thorax
e7bfecc8-f815-41c5-bf51-2d618f79e9a4
In a denture wearing patient, there is
No bone resorption
Bone formation
Independent of denture, there is bone resorption
Initial bone resorption, followed by bone formation
2c
single
null
Dental
null
8add0ee7-5f96-4f91-ba5f-fc34ca99d3cd
A 65 year old white male in previously good health sta to notice blood in his urine. He develops pain with urination. He also thinks that the stream of his urine is weakened. He goes to his family doctor because of his symptoms. Laboratory findings show an anemia. His urinalysis is positive for red cells, white cells a...
It is likely to be an adenocarcinoma
More commonly presents with a palpable abdominal mass
Likely to cause an elevated serum acid phosphatase
Is likely to recur after treatment
3d
multi
Is likely to recur after treatment * Even after treatment, transitional cell cancers of the bladder tend to recur. * Choice (a) is incorrect because about 90% of bladder cancers are transitional cell carcinomas. * The classic triad: hematuria, flank pain, and a palpable abdominal mass is associated with renal cell carc...
Surgery
null
a2212b25-0439-44b0-b20b-ce85898138b8
Congenital hea disease is most likely in the newborn of mothers suffering from all except
Systemic lupus erythematosus
Rheumatoid ahritis
Diabetes in pregnancy
Congenital hea disease of the mother
1b
multi
Effects of SLE on pregnancy : Risks of lupus rash,anemia, leukopenia, thromboctopenia and renal failure are increased. They are increased risks of First trimester miscarriage,lupus nephritis, reccurent DVT,PIH, Prematurity,IUGR and stillbihs. Neonatal lupus syndrome is due to crossing of maternal lupus antibodies(anti-...
Gynaecology & Obstetrics
Medical, surgical and gynaecological illness complicating pregnancy
ca330576-4643-4afc-a4cd-b09edb7231fd
The epitheloid cell and multinucleated gaint cells of Granulomatous inflammation are derived from ?
Basophils
Eosinophils
CD 4 - T lymphocytes
Monocytes - Macrophages
3d
single
Ans. is 'd' i.e., Monocyte macrophages In granulomatous inflammation o Main cells involved ----> Macrophages, CD-4 helper T cells. Epitheloid cells - Macrophages that develop epithelial like appearance. Multinucleated giant cells -4 Due to fusion of epitheloid cells.
Pathology
null
6217561a-a58e-430c-a7ec-64c11fe42e48
Seven sheathed flagella is seen in -
V. cholera
H. pylori
Pseudomonas aeruginosa
Spirochetes
1b
single
null
Microbiology
null
25156396-585e-4eaf-b188-03cad542a8fe
Most impoant cause of neurotic reaction is the excessive use of:
Projection
Regression
Suppression
Sublimation
1b
single
Excessive use of regression causes neurotic illnesses. It is an immature defense mechanism in which person return to an earlier stage of development Eg- A PG Aspirant playing cricket in street with children
Psychiatry
Psychoanalysis
19e4545e-80e8-4c1c-baab-d785fb8bb8a7
Massive PPH may warrant following interventions:
Hysterectomy
Thermal endometrial ablation
Internal iliac A. ligation
Balloon tamponade
0a
multi
<p> As per WHO recommendations,if life threatening bleeding continues in case of postpaum hemorrhage, subtotal or total hysterectomy should be performed. Reference:Textbook of obstetrics,Sheila Balakrishnan,2nd edition, page no:401. <\p>
Gynaecology & Obstetrics
General obstetrics
5949e299-0e63-4844-a0f3-fbf913adf794
80 year old, asymptomatic man present with a Total Leucocyte Count of 1 lakh, with 80degA lymphocytes and 20% PMC's. What is the most probable diagnosis?
HIV
CML
CLL
TB
2c
single
Answer is C (CLL) Incidental finding of Lymphocytosis (80,000/mcL) in an elderly and asymptomatic patient suggests the diagnosis of CLL. Why is CLL the single best answer of choice here ? 'CLL is a disease of older patients wth 90% of cases occurring after the age of 50 years and median age of presentation is 65 years'...
Medicine
null
6984798d-a0b0-4b76-a9e2-c1c3d1742b0b
C.tetani is:
Aerobic, gram-positive, motile bacillus
An anaerobic, gram-negative, motile bacillus
An anaerobic, gram-positive, nonmotile bacillus
An anaerobic, gram-positive, motile bacillus
3d
single
An anaerobic, gram-positive, motile bacillus
Microbiology
null
98eb8640-dfcd-4799-839c-7c8d28232fa3
Most Imp. technical consideration at the time of doing below knee amputation is -
Post. flap should be longer than the anterior flap
Stump should be long
Stump should be sho
Ant flap should be longer than post flap
0a
single
Ans. is 'a' ie. Post flap should be longer than the anterior flop Posterior flap should be longer than the anterior flap as the posterior skin has a good blood supply (and anterior skin has poor due to lack of muscle on anterior aspect). A good blood supply helps in easy healing of stump. - Equally sho anterior and pos...
Surgery
null
b1ddd30b-4a77-4191-bd6f-c6f5bd98062a
Propey of acquiring antibiotic resistance from viral colony is by -
Transferance
Conjugation
Transduction
Mutation
2c
single
Ans. is 'c' i.e., Transduction Acquiring antibiotic resistance by viral colony (bacteriophage) is by transduction. . Drug resistance may be acquired in bacteria by Mutation Transduction (by bacteriophage ---> virus) Conjugation
Microbiology
null
e20bf0e0-987d-410c-8444-397bc6fff56b
Major bacterial enzyme responsible for putrefaction: NEET 14
Hyaluronidase
Lecithinase
Metalloproteinase
Collagenase
1b
multi
Ans. Lecithinase
Forensic Medicine
null
1a8810bc-b2de-4926-bbda-a81733e983c1
A 5-year-old child presents with history of fever off- and-on for past 2 weeks and petechial spots all over the body and increasing pallor for past 1 month. Examination reveals splenomegaly of 2 cm below costal margin. The most likely diagnosis is:
Acute leukemia
Idiopathic thrombocytopenic purpura
Hodgkin's lymphoma
Aplastic anemia
0a
multi
- Pallor (anemia), petechial spot (thrombocytopenia), fever (infection due to neutropenia) with splenomegaly suggest the diagnosis of acute leukemia. - Splenomegaly eliminates aplastic anemia - Presence of anemia and recurrent infections, go against ITP
Pediatrics
Neoplastic disorders of WBCs
6dd6fbdc-bbfd-4835-b3cb-59af3eac096e
Which of the following bacterium is non-motile?
Klebsiella spp
Citrobacter spp
Escherichia spp
Salmonella spp
0a
single
(Refer: Anantha Narayanan and Paniker’s Textbook of Microbiology, 9th edition, pg no: 19-20) Motility of Enterobacteriaceae members
Unknown
null
8bd61b57-f507-4502-8f0a-71aff202c13d
CSF on MRI appears:
Hyperintense on T1 weighed image and hypointense on T2 weighed image
Hypointense on T1 weighed image and hyperintense on T2 weighed image
Hyperintense on T1 and T2 weighed images
Hypointense on T1 and T2 weighed images
1b
single
Ans. Hypointense on T1 weighed image and hyperintense on T2 weighed image
Radiology
null
23026ebe-6fcf-4d11-9897-af458895d3ca
IQ level of intelligence 90-109 is: March 2013 (c, g)
Borderline
Normal
Low normal
Superior
1b
single
Ans. B i.e. Normal
Pediatrics
null
99fc7ac5-bf6d-48c4-8880-db67b9c6433e
The pH of vagina in adult women is :
4.5
6.5
7.5
7
0a
single
4.5
Gynaecology & Obstetrics
null
0afa7787-30b9-4622-9eac-4d3310caca1f
Narrowest part of zipping canal is known as
Minor Diameter
Major Diameter
Isthmus
Elbow
3d
single
null
Dental
null
2200925f-7b09-4543-8c63-6533bb4b2c93
1st evidence of calcification of Mandibular deciduous Lateral incisor occurs
14 wk IU
16 wk IU
17 wk IU
15 wk IU
1b
single
null
Dental
null
09ea0c6f-f9a6-4f8f-ba26-ada2bf04f236
A patient presents with mental confusion, visual and auditory hallucinations, perceived changes of body shape, swelling of the tongue and a fear of impending death after he was treated for primary chancre of syphilis with an intramuscular injection. What is the likely diagnosis?
Jarisch-Herxheimer Reaction
Hoigne Syndrome
Undiagnosed Psychosis
Schizophrenia
1b
multi
-Hoigne's syndrome is a pseudoanaphylactic or pseudoallergic reaction that occurs after the intramuscular administration of Penicillin G procaine or benzathine. These are usually embolic toxic reactions possibly due to vascular occlusion by large crystals of the Penicillin salts. It is not due to Penicillin allergy-Acu...
Psychiatry
null
bb6b9f1d-7c19-4f4f-96ec-ed7ecafbc91f
Which of the following is not a feature of Tuberculosis of the spine:
Back pain earliest symptom
Stiffness of back
Exaggerated lumbar lordosis
Cold abscess
2c
single
Ans. C. Exaggerated lumbar lordosisTuberculosis of the spine usually involves vertebral bodies and is of paradiscal type. It results in kyphosis and not lordosis due to collapse of vertebrae.
Orthopaedics
Tuberculosis of Bone & Joints
03ca888e-1bd4-4e33-ba26-a058e26055d9
Absolute contraindication of IUCD is :
Endometriosis
Iron deficiency anaemia
Dysmenorrhea
Pelvic tuberculosis
3d
single
Ans. is d i.e. Pelvic tuberculosis
Gynaecology & Obstetrics
null
83cb719f-28d2-4130-a126-116ccb9f92fb
Which of the following enzymes is stable at acidic pH?
Pepsin
Trypsin
Chymotrypsin
Carboxypeptidase
0a
single
Pepsin is an enzyme that breaks down proteins into smaller peptides (that is, a protease). It is produced in the stomach and is one of the main digestive enzymes in the digestive systems of humans and many other animals, where it helps digest the proteins in food. Pepsin exhibits maximal activity at pH 2.0 and is inact...
Biochemistry
Enzymes
ac91bf33-1006-4671-8f20-00c318561b05
The following virus can be grown only in suckling mice -
Coxsackie virus
Rhinovirus
Echovirus
Poliovirus
0a
single
It is necessary to employ suckling mice for the isolation of coxsackie virus. REF:ANANTHANARAYAN AND PANIKER'S TEXTBOOK OF MICROBIOLOGY 9TH EDITION PAGE NO:491
Microbiology
Virology
d2dd9ac2-0f98-43f2-8994-965d4c46b1c4
Mantle cell lymphomas are positive for all of the following, except ?
CD 23
CD 20
CD 5
CD 43
0a
multi
Ans. is 'a' i.e., CD 23 Mantle cell lymphoma Mantle cell lymphoma is a type of non-hodgkin lymphoma characterized by presence of tumor cells which closely resemble the normal mantle zone of B-cells that surround germinal centers. Immunophenotype of mantle cell lymphoma Mantle cell lymphoma is neoplasm of B cells. There...
Pathology
null
c7915342-a3f9-4a29-8a8b-896b6de439ef
Which of the following does not contribute to the boundaries of facial recess?
Facial nerve
Stapedius tendon
Chorda tympani nerve
Short process of incus bone
1b
single
Ans. b. Stapedius tendon (Ref: Dhingra 5/e p6)'Facial recess or the posterior sinus is a depression in the posterior wall lateral to the pyramid. It is bounded medially by the vertical part of Vllth nerve, laterally by the chorda tympani and above, by the fossa incudis. Surgically, facial recess is important, as direct...
Anatomy
Ear
b50294a0-bf80-4042-9ed9-87a6ef5e2e10
A 49-year-old woman has experienced increasing weakness and chest pain over the past 6 months. On physical examination, she is afebrile and normotensive. Motor strength is 5/5 in all extremities, but diminishes to 4/5 with repetitive movement. There is no muscle pain or tenderness. Laboratory studies show hemoglobin, 1...
Extrapulmonary tuberculosis
Hodgkin lymphoma
Lymphoblastic lymphoma
Malignant thymoma
3d
multi
Thymomas are rare neoplasms that can be benign or malignant. In one third to one half of cases, thymomas are associated with myasthenia gravis as an initial presentation (as in this case). Benign thymomas have a mixed population of lymphocytes and epithelial cells and are circumscribed, whereas malignant thymomas are i...
Pathology
Blood
f1b05546-4846-4296-b347-2d7eb97af9cf
All the following gives nerve supply to Parotid gland except
Facial nerve
Auriculotemporal nerve Tympanic plexus
Sympathetic plexus around external carotid aery
Greater auricular nerve
0a
multi
Nerve Supply of Parotid gland:1.Parasympathetic nerves are secretomotor. They reach the gland through the auriculotemporal nerve. The preganglionic fibers begin in the inferior salivatory nucleus; pass through the glossopharyngeal nerve, its tympanic branch, the tympanic plexus and the lesser petrosal nerve; and relay ...
Anatomy
Head and neck
d0d9acdc-758a-4ee9-8c49-4268b44b6ac2
Drug used for trabeculectomy
Mitomycin-C
Azathioprine
Cituximab
Ketorolac
0a
single
The main reason of failure of trabeculectomy surgery is scarring and closure of drainage site  Antimetabolites prevent scarring and can be used to increase the success rate of trabeculectomy  The most commony used antimetabolites are mitomycin-C and 5-fluorouracil.
Pharmacology
null
f8d007a2-5b7d-42a2-84f0-3f73aee7c754
Mycetoma is caused by the following agents except?Allescheria boydii
Allescheria boydii
Madurella mycetomii
Trichosporum beigelli
Nocardia asteroides
2c
multi
Ans. is 'c' i.e., Trichosporum beigelli
Microbiology
null
70c26cf5-08ab-46f2-b453-a6281613b4d7
35 year old lady with post coital bleeding, Management is :
Clinical examination and Pap smear
Visual examination with Lugol iodine
Visual examination with acetic acid
Colposcopy
3d
single
Post coital bleeding is the typical symptom of Cervical cancer It is managed by colposcopy and abnormal areas are biopsied Reference : Textbook of Gynaecology; Sheila balakrishnan; 2nd edition; Pg no: 299, 302
Gynaecology & Obstetrics
Gynaecological oncology
512a5330-2114-4f96-888d-172f82ae5edd
Tetralogy of Fallot classically consists of the combination of ail except -
Obstruction to right ventricular outflow (pulmonary' stenosis)
Ventricular septal defect (VSD)
Dextroposition of the aorta with septal over-ride
Left ventricular hypertrophy
3d
multi
Ans. is 'd' i.e., Left ventricular hypertrophy Tetralogy of Falloto TOF is the commonest congenital heart disease.o Constituents of TOF# Ventricular septal defect# Overriding or dextroposed aorta# Pulmonic stenosis# Right ventricular hypertrophy. Hemodynamics of Tetralogy of Falloto The severity of obstruction to the r...
Medicine
Congenital Heart Disease
a641c018-61a4-44bd-8c39-5b21bc5a88a0
Transition from G2 to M phase of the cell cycle is controlled by:
Retinoblastoma gene product
p53 protein
Cyclin E
Cyclin B
3d
single
null
Pathology
null
8ce986e7-8e35-472b-a758-060d971764c2
The drug having higher concentration in the bone:
Piperacillin
Vancomycin
Clindamycin
Paramomycin
2c
single
Poor bone penetration. - B lactams - Vancomycin - Aminoglycoside Good bone penetration (Higher concentration in Bone) * Tetracycline * Macrolide * Clindamycin
Pharmacology
Protein Synthesis Inhibitors
af047b9d-6afa-40f5-8b35-15c9c467606c
All are complication of formula fed baby over human milk fed baby except:
Necrotizing enterocolitis
Otitis media
Hypocalcemia
Vit K deficiency
3d
multi
Formula feeds contain a host of vitamin and minerals, as well as trace elements (zinc, mangnese, copper, iodine) and electrolytes. In formula feeds vitamin K is added in higher levels than in breast milk to reduce the risk of hemorrhagic diseases in new born. So, vitamin K deficiency can never be a complication of form...
Gynaecology & Obstetrics
null
4e29d62e-fdb0-4637-9a68-bc6804c0d950
Local anesthetics depress transmission first in
Group A alpha-fibers
Group A bita-fibers
Group B fibers
Group C fibers
3d
single
Local anesthetics depress transmission in the group C fibre before they affect group A touch fibres. Ref: Ganong&;s Review of medical physiology;25th edition; pg: 95.
Physiology
Nervous system
ddb10731-4670-4e6b-8be4-7a90b1fbea5b
Which of the following is the reason for the development of a simple lentigo?
Increased melanin
Increased melanocytes
Increased melanosomes
All of the above
1b
multi
Ans. B. Increased melanocytesSimple lentigo occurs due to an increase in melanocytes at dermal-epidermal junction.* Simple Lentigo also known as Lentigo simplex is a light- to dark-brown or black macule that does not fade away once it appears.* They usually appear during childhood and increase in number until the age o...
Skin
Skin Lesions And Disorders Of Pigmentation
099c6fd5-2c90-4431-9b77-15a9534223d7
Which drug is given in delayed vomiting after chemotherapy -
Metoclopramide
Hyoscine
Domperiodone
Aprepitant
3d
single
Ans. is 'd' i.e., Aprepitant o Cisplatin can induce vomiting within 24 hours or after 2 days. DOC for the early vomiting is ondensetron while for delayed vomiting is aprepitant (substant P antagonist).
Pharmacology
null
ad8703a3-7762-4682-a77d-31afd4048ccb
Fried Egg Colonies are produced by?
Chlamydia
Mycoplasma
Niesseria
Diphtheria
1b
single
ANSWER: (B) MycoplasmaREF: Jawetz 24th edition Section III. Bacteriology Chapter 26Mycoplasma Cultures:1. The material is inoculated onto special solid media and incubated for 3-10 days at 37degC with 5% CO2 (under microaerophilic conditions), or into special broth and incubated aerobically. One or two transfers of med...
Microbiology
Mycoplasma
39988692-28a9-4dac-aa69-554872a51a45
Bacteroides are often implicated in the causation of: September 2004
UTI
Empyema
Uretheritis
Conjunctivitis
1b
single
Ans. B i.e. Empyema
Microbiology
null
45f67446-34c2-4e8a-a1d3-b763c4b62416
Which of the following is the most common presenting symptom of non-cirrhotic poal hypeension?
Chronic liver failure
Ascites
Upper gastrointestinal bleeding
Encephalopathy
2c
single
Clinical assessment Haematemesis is red with clots when bleeding is rapid and profuse, or black ('coffee grounds') when less severe. Syncope may occur and is caused by hypotension from intravascular volume depletion. Symptoms of anaemia suggest chronic bleeding. Melaena is the passage of black, tarry stools containing ...
Medicine
G.I.T
9cefa42f-1f40-4991-893d-c4460b177694
All are true about minimal change G.N. except –
Selective proteinuria
IgG deposition in mesangium
Common in age group 2–9 years
Responds to steroid's
1b
multi
There is no deposition of immune reactants.
Pediatrics
null
cdbdc1a8-e81e-4095-81f7-bd429592b67f
Median weight of 100 children was 12 kgs. The Standard Detion was 3.Calculate the percentage coefficient of variance -
25%
35%
45%
55%
0a
single
Ans. is 'a' i.e., 25% o We cannot calculate cofficient of variance here, because value of mean has not been provided (value of median is given). o Only in standard normal curve mean = median. o But in that case both are '0' (In standard normal normal curve mean = median = mode = 0) o I am clueless here. o It you take, ...
Social & Preventive Medicine
null
ef025b54-42ed-4570-b1db-13c1297b896e
After entering a radiolucent lesion in a 30 year old man, hollow cavity without epithelial lining is seen, the most probable diagnosis is
Aneurysmal bone cyst
Static bone cavity
Hemorrhagic bone cyst
Ameloblastoma
2c
single
null
Pathology
null
da608efd-0994-4d2c-81a3-68ef44a7330c
Paraxial mesoderm develops into
Somites
Mesonephric duct
Notochord
All of the above
0a
multi
Human embryology Tenth edition Inderbier Singh Page no 62At first, the cells of paraxial mesoderm are homogeneously arranged later the mesoderm get segmented The segment are two categories somitomeres and somites
Anatomy
General anatomy
5845360f-0f63-4c00-b2ef-d31fa8a08d28
Acute infection of hepatitis B virus is diagnosed by:
IgM antibody of Hbs Ag
IgM antibody of Hbc Ag
IgG antibody of Hbs Ag
IgG antibody of Hbc Ag
1b
single
Ans. is 'b' IgM antibody of HBcAg (Ref. November 2001, Micro, Harrison 17/e p 1943-44,1933-34 & 16/e, p 1823-24).
Medicine
Virology
3ed08838-cd5d-427f-bc1d-37b43e1e2516
Testicular feminisation syndrome is associated with :
46 XX
Presence of vagina
Primary amenorrhea
Sho stature
2c
single
Primary amenorrhea
Gynaecology & Obstetrics
null
ff55298e-34c8-45c2-8bbd-e9720d4b1269
The prognosis of rhabdomyosarcoma is likely to be poor if the site of the tumour is
Orbit
Para testicular
Extremity
Urinary bladder
2c
single
Rhandomyosarcoma Rhabdomyosarcoma Arises from Mesenchymal tissues MC sites of origin : Head and neck (Parameningeal) > Extremities > Genitourinary tract > Trunk MC pediatric soft tissue sarcoma : Rhabdomyosarcoma Associated with : NF, Beckwith- Weidman syndrome, Li-Fraumeni and fetal alcohol syndrome Prognosis of Rhabd...
Surgery
Urology
621d0fa8-97a4-404f-b45e-4720e1739a4f
Intrauterine exposure of diethylstiboesterol is associated with -
Squamous cell carcinoma of cervix
Adenocarcinoma of endometrium
Clear cell adenocarcinoma of vagina
Sarcoma of uterus
2c
single
Ans. is 'c' i.e., Clear cell adenocarcinoma of vagina
Pathology
null
4d34f335-a7a0-4e7b-a163-2cb757d9149d
The lateral pterygoid muscle attaches to which of the following?
Lateral surface of the lateral pterygoid plate.
Medial surface of the lateral pterygoid plate.
Lateral surface of the medial pterygoid plate.
Medial surface of the medial pterygoid plate.
0a
single
The inferior head of the lateral pterygoid muscle attaches to the lateral surface of the lateral pterygoid plate of sphenoid bone. Its superior head attaches to the infratemporal crest of the greater wing of sphenoid bone. The deep fibers of the medial pterygoid muscle attaches to the medial surface of the lateral pter...
Anatomy
null
f922d485-3312-4c75-bfdc-d60fdf15b64a
A 30-year-old male is diagnosed with Peutz-Jeghers syndrome. What findings is consistent with the diagnosis?
Adenomas
Hamartomas
Adenomatous polyps
Villoglandular polyps
1b
single
Peutz-Jeghers syndrome is rare but should be considered if pigmented spots are found on the lips, mouth, or hands. Hamartomas are not neoplasms; the name is derived from the Greek hamartos, which refers to the misfiring of a javelin. The tissues appropriate to the site misfire and are arranged in an irregular order.
Surgery
Small & Large Intestine
18a4d13c-d58d-4320-80b0-59f4142de7d8
Ebstein anomaly is due to maternal intake of:
Lithium
Copper
Cobalt
Nickel
0a
single
a. Lithium(Ref: Nelson's 20/e p 2211-2217, Ghai 8/e p 420-423)Maternal drugCongenital heart diseasePhenytoinVSD, ASD, coarctation of aorta, PDAValproateCoarctation of aorta, aortic stenosis, pulmonary atresia, VSDLithiumEbstein anomaly, Tricuspid atresiaAlcoholASD. VSD
Pediatrics
C.V.S.
af74bc36-3c45-40e5-8451-6fbd0afd6ba9
The most common anomaly seen in the fetus of a mother taking lithum carbonate is -
Cardiac deformities
Neural tube defect
Limb reduction
Genitourinary de formi ties
0a
single
Ans. is 'a' i.e., Cardiac deformities o It causes Ebstein anomaly.
Pediatrics
null
88c34357-7eac-4b07-a681-3274cbf087d0
D Tubocurarine acts by
Inhibiting nicotinic receptors at myoneural junction
Inhibiting nicotinic receptors at autonomic ganglion
Producing depolarising block
By inhibiting re-uptake of acetyl choline
0a
single
Refer Katzung 10/e p 429 D-Tubocurarine is a skeletal muscle relaxant that acts by competitive inhibition of NM receptors at neuron muscular junction
Pharmacology
Anesthesia
8827a60f-3cf9-43a7-ae58-83f268e4e5e1
All of the following are true about the Herd Immunity for infectious diseases except:
It refers to group protection beyond what is afforded by the protection of immunized individuals
It is likely to be more for infections that do not have a sub-clinical phase
It is affected by the presence and distribution of alternative animal hosts
In the case of tetanus it does not protect the individual
1b
multi
Occurrence of clinical and subclinical infection in a community is responsible for herd immunity. Herd immunity; * It is the level of resistance of a community or group of people to a paicular disease. * Herd immunity provides an immunological barrier to the spread of disease in the human herd. * The epidemic wave decl...
Social & Preventive Medicine
null
9c3c0ec4-d46c-487d-aa81-c1d077b72634
Malaria is transmitted in Rural areas by ?
Anopheles stephensi
Anopheles dirus
Anopheles culicifacies
None
2c
multi
Ans. is 'c' i.e., Anopheles culicifacies
Social & Preventive Medicine
null
43f177c2-8ec9-4b91-8fa3-9f8666e9e23c
A chest physician performs bronchoscopy in the procedure room of the out patient department. To make the instrument safe for use in the next patient waiting outside, the most appropriate method to disinfect the endoscope is by :
70% alcohol for 5 min
2% glutaraldehyde for 20 min
2% formaldheyde for 10 min
1% sodium hypochlorite for 15 min
1b
single
2% Glutaraldehyde is knows as cidex (Aldehyde disinfectant) specially effective against tubercle bacilli, fungi and viruses. It is most commonly used for cystoscope, endoscope, bronchoscopes etc., which can’t be disinfected by heat. Also used to treat corrugated rubber anesthetic tubes and face masks, plastic endotrach...
Microbiology
null
ab70e73a-fc33-4c3a-b823-8a8beb9a3350
In cap stage, the cell in the centre of enamel organ secrete glycosaminoglycans, which are:
Hydrophobic
Hydrophilic
Both
None
1b
multi
The cells in the centre of enamel organ synthesize and secrete glycosaminoglycans into the extracellular compartment between the epithelial cells. Glycosaminoglycans are hydrophilic and so pull water into the enamel organ. The increasing amount of fluid increases the volume of the compartment of the enamel organ, and t...
Dental
null
8c48c235-48b0-439b-a1dc-3cba3e307a4f
A 56 year old female presented with breast carcinoma and she was prescribed herceptin (trastuzumab). Which of the following statement regarding this drug is true ?
It is an antibody produced entirely from mouse containing no human component
It is a monoclonal antibody produced by injecting her-2 antigen
Injection of herceptin increases antibody response
The protein HER 2/Neu is expressed in increased amount by breast cancer cells
1b
multi
It is a monoclonal antibody produced by injecting HER-2 antigen; 'cl' i.e., The protein HER2/NEU is expressed in increased amount by breast cancer cells Cancer cells express ceain antigen on their surface. These antigens can be made the target of chemotherapies. Specific antibodies have been developed against these cel...
Pharmacology
null
69eb8ad9-e91a-4690-8900-03f12a71243e
Which IUCD acts for 10 yrs -
Cu-T 200 B
Nova-T
Cu-T 380A
Multi load-250
2c
single
Ans. is 'c' i.e., Cu-T 380A "The Cu-T 380A is approved for use for 10 years. However, the Cu-T 380A has been demonstrated to maintain its efficacy over at least 12 years of use" . --Park Intra-uterine devices o An intrauterine device is a long acting reversible contraceptive bih control device placed in the uterus. o T...
Social & Preventive Medicine
null
da684292-2411-447d-b9b4-f4f7423b6f11
Which of the following Pneumoconioses is caused by Thermoactinomyces Sacchari?
Silicosis
Anthracosis
Byssinosis
Bagassosis
3d
single
null
Social & Preventive Medicine
null
c47191d7-2785-4598-919c-142135bc0da1
Most common rheumatic disease in children is ________
Juvenile idiopathic ahritis
Juvenile ankylosing spondylitis
Systemic lupus erythematosus
Morphea
0a
single
The most common rheumatic disease in children is Juvenile idiopathic ahritis (JIA), Juvenile idiopathic ahritis represents a homogenous group of chronic disorders charcterized by Ahritis in >/= 1 joint Age at onset: <16 years Duration of disease: >/=6 weeks Ahritis is clinically defined as: Swelling or effusion, or the...
Pediatrics
Musculoskeletal disorders
031f5052-1948-4511-a62a-9ef83e1a8d4d
In which of the following form of imaging, Harmonic imaging is related-
Sonography
Digital radiography
MRCP
Nuclear imaging
0a
single
Harmonic imaging is a newer technique in ultrasonography. Harmonic imaging exploits non-linear propagation of ultrasound through the body tissues. The high-pressure poion of the wave travels faster than low pressure resulting in distoion of the shape of the wave. This change in waveform leads to the generation of harmo...
Radiology
Fundamentals in Radiology
21ffa169-efaa-4e41-973f-7d84e6e2cbd2
What is the net amount of ATP's formed in aerobic glycolysis?
5
8
10
15
1b
single
During aerobic glycolysis the number of net ATPs formed are 8. Steps involved in the formation of ATP during glycolysis are: Conversion of 2 molecules of glyceraldehyde 3 phosphate to 1,3 bisphoglycerate release 2 molecules of NADH which yield 6 ATP. Conversion of 2 molecules of 1,3 BPG to 3 phosphoglycerate yield 2 AT...
Biochemistry
null
fc1ef4e7-de11-4d75-9018-83d0559265e8
Anchovy sauce pus is a feature of ?
Amebic liver abscess
Lung abscess
Splenic abscess
Pancreatic abscess
0a
single
Ans. is 'a' i.e., Amebic liver abscess In amebic liver abscesses the liquified material within the abscess cavity is a mixture of RBCs, leucocytes and broken down liver cells. This looks chocolate or reddish brown in colour and is k/a 'chocolate' or 'anchovy' sauce.
Surgery
null
283efcee-61ac-40e8-8f37-e38c17ece139
Aerial blood Gas analysis in a bottle contaiing heparin causes a decrease in value of :
pCO2
FICO3
pH
All of the above
3d
multi
Answer is D (All of the above) Dilution of a sample with heparin can cause erroneously low value for pH, pCO2 and HCO3-. Heparin and Blood Gas Measurements Heparin is the preferred anticoagulant for blood gas specimens Heparin is used in blood gas syringes to avoid coagulation of the blood sample, as clots interfere wi...
Medicine
null
c07322bc-4b43-4c1a-839e-154aefcc3aa5
A 25-year-old woman rushes to an emergency depament because she is afraid she is dying. She is experiencing chest pain, a sensation of choking, nausea, and tingling sensations up and down her arms. When the screening nurse examines the patient, her face is flushed and sweating. Her pulse is 140/min and respirations are...
Angina
Heaburn
Myocardial infarction
Panic attack
3d
multi
This woman had a panic attack. These are common, affecting more than one third of the general population each year. The etiology appears to be a combination of both biological and psychological dysfunction. The sensations and physiologic changes can be very dramatic and, in addition to the features cited in the questio...
Psychiatry
null
c9e96e06-eb4c-4afa-9f0f-2926cabc0d43
Lallo, 25 yr old man, presented with h/o of pain, redness & watering of left eye for last 1 day. There is also intolerance to light. Most probable diagnosis is-
Keratitis
Acute anterior uveitis
Acute posterior uveitis
Simple glaucoma
1b
multi
Ans- B.
Ophthalmology
Uveal Tract
29833043-9eb4-4c6a-8721-a02140da54d7
Chronic desquamative gingivitis is seen in which type of lichen planus:
Atrophic lichen planus.
Hypertrophic lichen planus.
Ulcerative lichen planus.
Hyperplastic lichen planus.
0a
single
null
Pathology
null
5d9e616e-a025-4394-8499-77a7649bc148
Which of the following hormone is secreted by the kidney?
Renin
1,25 DHCC
Erythropoietin
All of above
3d
multi
All hormones are produced from kidneyRef: Ganong&;s review of medical physiology; 24th edition; page no; 702
Physiology
Renal physiology
2672889a-8b90-4813-b61e-dbbdfb0cf946
Treatment of whooping cough is :
Rifampicin
Tetracycline
Erythromycin
Ampicillin
2c
single
Ans. is 'c' Erythromycin DOC for pertussis infection - ErythromycinDOC is one of the favorites of all paper setters. Below given list will be helpful to tackle these type of questions.Drug of choice for suspected or proved microbial pathogens (according to Harrison's 16th/e)Infective organismDrugs of choiceReferenceCom...
Pharmacology
D.O.C
e0a1f6cf-a79c-499d-972b-4893da974e2b
Which is false regarding HCG?
It is a glycopeptide
Synthesized by cytotrophoblast
Doubling time is 2 days
High levels are seen in multiple pregnancies
1b
multi
Ref: Text book of Obstetrics by D. C.Dutta. 7th, ed. Pg. 58Explanation:Human chorionic Gonadotrophin (HCG)HCG is a glycoprotein, it consists of a and b subunits, a subunit of HCG is biochemically similar to LH.FSH and TSH.HCG is synthesized by syncitiotrophoblast.Half life of HCG is 24 hrs and Doubling time is 1.4 to 2...
Gynaecology & Obstetrics
Endocrinology in Relation to Reproduction
ac8c6eb7-5d0e-484e-9724-09e452e22dc1
Which of the following anticancer drug can result in "disulfiram reaction"
Lomustine
L-Asparginase
Procarbazine
Busulfan
2c
single
Procarbazine is a type of alkylating agent which can result in "Disulfiram reaction". Other side effects include cheese reaction, serotonin syndrome, behavioral and personality changes.
Pharmacology
null
14685537-938f-4e57-baba-8e812791d1d2
All are branches of coeliac trunk except:
Splenic artery
Hepatic artery
Left gastric artery
Right gastric artery
3d
multi
Ans. D. Right gastric arteryThe celiac trunk is the first major branch of the abdominal aorta. It is 1.25 cm in length. Branching from the aorta opposite disc between T12 & L1, it is one of three anterior branches of the abdominal aorta (the others^ are the superior and inferior mesenteric arteries).The three main bran...
Anatomy
Abdomen & Pelvis
e3ce3de0-0e8c-4c75-a1ec-922b24ba09e2
In a patient with cervical disc prolapse the management includes
Immediate restrictive exercises
Skeletal traction and manipulation
Immediate surgery to prevent neurological complications
Medical management only
2c
single
(C) Immediate surgery to prevent neurological complications # Cervical disc prolapse the management includes:> Heat and analgesics are soothing but, as with lumbar disc prolapse, there are only three satisfactory ways of treating the prolapse itself.> Rest: A collar will prevent unguarded movement; it may be made of fe...
Orthopaedics
Miscellaneous
a47d8327-ba56-47b2-9108-a5e27cbc6682
Which one of the following does not represent the submerged portion of the iceberg?
Diagnosed cases under treatment
Undiagnosed cases
Pre-symptomatic cases
Carriers sub clinical cases
0a
single
Ans. (a) Diagnosed cases under treatment* Iceberg Phenomenon of disease: Disease in a community may be compared to an iceberg- Floating tip is what physician sees in community, i.e., clinical cases- Vast submerged portion of iceberg represents hidden mass of disease i.e., latent, inapparent, pre-symptomatic and undiagn...
Social & Preventive Medicine
Gram-Positive Infections - Corynebacterial Infections
1cf284da-38f3-4ca3-8d2d-98bff9087a03
Insulin causes ?
Inhibition of glycolysis
Gluconeogenesis
Induction of lipogenesis
Increased glycogenolysis
2c
single
Ans. is 'c' i.e., Induction of lipogenesis ACTIONS OF INSULIN Insulin affects the metabolism of carbohydrates, lipids and proteins. Effects on carbohydrate metabolism The overall effect of insulin is to decrease blood glucose level. Insulin increases the utilization of glucose and decreases its production by its follow...
Physiology
null
d3aee949-a90b-4953-9725-d5f4ec11b751
Which of the following is best diagnosis of this neonate who is excessively hungry, warm with flushed skin?
Neonatal Thyrotoxicosis
Neonatal lupus
Cretin
Progeria
0a
single
Ans. (a) Neonatal thyrotoxicosis.Notice the lid retraction and presence of stare sign. This coupled with history proves that the child has increased sympathetic drive and increased BMR. This is caused by transfer of thyroid stimulating immunoglobulin across the placenta. Image source .. style="font-size: 1.047619047619...
Pediatrics
Endocrinology
bd06ab7c-18e6-4a0c-96f9-ebbe6245b4b1
Colorado tick fever is the only known human infection caused by
Reovirus
Coltivirus
Rotavirus
Corona virus
1b
single
Coltiviruses form another species within the Reoviridae. The virus paicle is 80 nm in diameter with a genome consisting of 12 segments of double-stranded RNA, totaling about 29 kbp. Colorado tick fever virus, transmitted by ticks, is able to infect humans.Reference:Jawetz, Melnick, & Adelberg's Medical Microbiology; 27...
Microbiology
Virology
de272a11-c3d5-4171-918b-b6d416befb09
Number of t-RNA present in cells is
23
25
28
30
0a
single
The number of tRNAs in most cells is more than the number of amino acids used in protein synthesis (20) and also differs from the number of amino acid codons in the genetic code (61)Ref: DM Vasudevan, 7th edition, page no: 596, 597
Biochemistry
Metabolism of nucleic acids
0b863cbd-74d8-48df-9787-5cabfda414dd
Which of the following characteristics is not of much impoance in a screening test-
Low cost
High safety margin
High sensitivity
High specificity
3d
single
ref: ref: Park&;s 23rd edition pg 137 Screening test must satisfy the criteria of acceptability, repeatablity and validity, desides others like yield, simplicity, safety, rapidity, ease of administration and cost. Specificity: defined as the ability of a test to correctly identify those who do not have the diesase, tha...
Social & Preventive Medicine
Screening
b3744288-04bc-4412-bedd-99fda5e8f4e7
A 50 year old female presents to the OPD with shoness of breath. On examination she is hypotensive, has soft hea sounds and elevated JVP. Her ECG shows reduction in the amplitude of QRS complexes. Which of the following is the investigation of choice for diagnosing her condition?
USG
PET
2 - D Echocardiography
M - mode Echocardiography
2c
single
Patient in the question is showing features of cardiac tamponade. 2D echo is the investigation of choice in diagnosing tamponade. It shows reduced right ventricular cavity diameter and collapse of right ventricular free wall and right atrium. M - mode echocardiography is used to study valvular functions. Ref: Harrison'...
Medicine
null
2bf3cc17-cf49-4fc2-bef7-290caaf2d1e2
Not a posterior mediastinal tumor :
Neurofibroma
Lymphoma
Thymoma
Gastroenteric cyst
2c
single
Ans is 'c' ie Thymoma Mediastinum- is situated b/w the lungs in the center of the thorax.It is divided into 3 compartmentsAnterior or Anterosuperior it lies in front of the anterior pericardium & tracheaMiddle mediastinum or Visceral compartment it lies within the pericardial cavity including the tracheaPosterior media...
Surgery
Mediastinum, Cysts, and Neoplasms
e2be848d-a911-40fd-848e-235eefb20182
The component of future T.M.J shows development at ?
6 weeks
10 weeks
18 weeks
16 weeks
1b
single
null
Dental
null
def5bcbb-25e9-4c20-bccd-72f6180d84ab
A 35-year-old woman develops an itchy rash over her back, legs, and trunk several hours after swimming in a lake. Erythematous, edematous papules are noted. The wheals vary in size. There are no mucosal lesions and no swelling of the lips. The most likely diagnosis is
Urticaria
Folliculitis
Erythema multiforme
Erythema chronicum migrans
0a
single
(a) Source: (Braunwald, 15/e, pp 318, 323, 822, 1061, 1917-1918.) Urticaria, or hives, is a common dermatologic problem characterized by pruritic, edematous papules and plaques that vary in size and come and go, often within hours. Mast cells may be stimulated by heat, cold, pressure, water, or exercise. Immunologic me...
Skin
Miscellaneous
b3a26a4b-588e-4f7b-bd20-b6734d9a8979
Alpha-1- antitrypsin deficiency presents as?
Emphysema
Bronchitectasis
Empyema
Bronchogenic carcinoma
0a
single
Ans. (a) EmphysemaRef: Robbins 8thEdn /684y 685, Harrison 18,hed chapter 309, Nelson Textbook of Pediatrics, 18th ed chapter 390
Pediatrics
Disorders of the Respiratory Tract
024b28aa-a82e-4fb4-ab13-4d6c5c74a28d
A 35-year-old male presents with bald patches and with no scars. The patches are well demarcated with broken hair at the edges. Diagnosis is:
Alopecia areata
Androgenic alopecia
DLE
Telogen effluvium
0a
single
Ans. a. Alopecia areataAlopecia areata is a form of non-scarring alopecia with the edges showing coudability sign and exclamation hairsAndrogenic alopecia presents with diffuse involvement of frontotemporal regions and vertex, sparing occiputTelogen effluvium presents with diffuse involvement of scalp, with a history o...
Skin
General
a5f89a0b-a58d-4c20-a67b-177bc6b8f0ca
Several antiviral compounds have been developed during the last decade. One such compound is ribavirin, a synthetic nucleoside structurally related to guanosine. Ribavirin therapy has been successfully used against
Respiratory syncytial virus
Herpes simplex virus
Hepatitis B
Group A coxsackievirus
0a
multi
Ribavirin is effective to varying degrees against several RNA- and DNA-containing viruses in vitro. It has been approved for aerosol treatment of respiratory syncytial virus infections in infants. Intravenous administration has proved effective in treating Lassa fever.
Microbiology
Virology
086c1a13-1b92-4ccb-88bf-765883fcaae4
Commonest site for extranodal lymphoma is
Liver
Stomach
Small intestine
Large intestine
1b
multi
Ans. (b) Stomach(Ref: Wintrobe's 12th/pg 2177)Commonest site for extranodal lymphoma is StomachGastrointestinal tract is the most common site for extranodal NHL (10 to 15% of all NHL).Stomach accounts for 50% of gastrointestinal lymphomas
Pathology
Misc. (W.B.C)