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135
16a21d38-aedb-4249-af8c-4c80172f6106
Trials stage for experimentation of adverse drug reaction in large scale population is ?
I
II
III
IV
3d
single
Ans. is 'd' i.e., IV o Long-term adverse effects on large number of patients -f Phase IV clinical trial.
Pharmacology
null
b4cfbd2a-a8f8-4eee-b1ae-e93d49fe8c33
Blue vire technology is used in
VorTEX
VorTEX Blue
D3XF
Twisted Blue
1b
single
VorTEX uses M wire NiTi
Dental
null
53683db2-c3eb-4327-8571-41da03dcc705
Which of the following drugs is not used for the treatment of hyperkalemia?
Salbutamol
Calcium gluconate
Sodium bicarbonate
Magnesium sulphate
3d
single
drugs used for hyperkalemia- IV calcium gluconate, calcium chloride, insulin, sodium bicarbonate, albuterol, thiazide diuretics, loop diuretics New drug patiromer was recently approved for the treatment of hyperkalemia ESSENTIALS of medical PHARMACOLOGY SIXTH EDITION -KD TRIPATHI Page:323
Pharmacology
Other topics and Adverse effects
e8565503-0dee-4c8d-9bf3-ca2c6decdb95
Cataract is cases of diabetes mellitus is due to accumulation of ?
Glycated crytallins
Calcified crystallins
Glycated fibrillins
Calcified fibrillins
0a
multi
Ans. is 'a' i.e., Glycated crytallins Diabetic cataract Senile cataract tends to develop at an earlier age and more rapidly than usual in diabetic subjects. The lenses of an adult diabetic are said to be in the same condition as a non-diabetic who is 15 years older. In diabetic adults, coin- pared to non-diabetics, cat...
Ophthalmology
null
54d437cf-bb99-430f-a3f5-4d8c8cbcc1d2
All the drugs have anti-androgenic effects except
Progesterone
Dutasteride
Flutamide
Spironolactone
0a
multi
Progesterone had mild androgenic effects except for 3rd gen progesterones which are devoid of androgenic effects Flutamide,nilutamide and bicalutamide are androgen antagonists. Finasteride and dutasteride 5 alpha reductase inhibiters Spironolatone is androgen receptor antagonist Ref: HL Sharma 3rd ed Pg 595
Pharmacology
Endocrinology
211cdc24-35da-4067-8018-3fa79cd63a4e
Whooping cough is caused by?
C.dipthera
B.pertussis
M.catarrhalis
S.pneumonea
1b
single
Ans. (b) B.pertisusRef: Harrison's 18th ed ch-148
Microbiology
Bacteria
80d237ca-32b4-451c-a4e2-07d72869fd4a
UPSIT is used for testing:
Olfaction
Hearing
Vision
None of the above
0a
multi
The University of Pennsylvania Smell Identification Test (UPSIT): A far superior test to other assessments is the University of Pennsylvania Smell Identification Test (UPSIT). It is highly recommended for the evaluation of a patient with smell disorder. This test utilizes 40 forced-choice items that feature microencaps...
ENT
null
26979b55-e4f1-4c54-aef5-5ad49216f5c1
A patient at 28 weeks pregnancy presents with low grade fever, malaise, vomiting since 1 week. On examination she is icteric, Her Hb is 10 gm%, bilirubin is 5 mg/dL, SGOT and SGPT at 630 and 600 with normal platelet count. Most probable cause of her jaundice is
IHCP
Viral hepatitis
Hyperemesis gravidarum
HELLP syndrome
1b
single
Patient here has presented with prodrome of viral hepatitis. Investigations to diiferentiate various causes of jaundice in pregnancy are IHCP AFLP HELLP Viral hepatiis Bilirubin (mg/dL) 1-5, direct 2-10, direct <2 >5 SGOT/ SGPT <200 <1000 <500 500-3000 ALP Raised Normal Normal Normal/raised Platelets Normal low Low Nor...
Gynaecology & Obstetrics
Medical Illness Complicating Pregnancy
aa630a6b-699a-4750-8710-02107f8762ce
An eleven year old boy is having tinea capitis on his scalp. The most appropriate line of treatment is:
Oral griseofulvin therapy
Topical griseofulvin therapy
Shaving of the scalp
Selenium sulphide shampoo
0a
single
A i.e. Oral griseofulvin Tenia capitis is most commonly caused by Microsporum canis > Trichophyton tonsurans; and never caused by Epidermophyton as it does not involve hair. It presents with localized non-cicatrial (mostly) alopecia, itching, scaling with or without boggy swelling of scalp & easily pluckable hair. Tini...
Skin
null
c2c6e421-af34-4f5a-b456-ddc818061d2f
Causes of diffuse hyperpigmentation include all of the following except?
Busulfan administration
Nelsons syndrome
Addison disease
Hermansky-Pudlak Syndrome
3d
multi
Busulfan administration Busulfan, cyclophosphamide, 5-fluorouracil, and inorganic arsenic induce pigment production and cause diffuse hyperpigmentation Nelson's syndrome Increased ACTH (Which has paial MSH activity) due to bilateral adrenalectomy Addison's disease Increased ACTH (Which has paial MSH activity) due to de...
Medicine
Disorders of Adrenal Gland
b56428ee-670b-4741-85af-166ef32a37e4
HLA associated with Dermatitis herpetiform is:
HLA A5
HLA B27
HLA B8
HLA A28
2c
single
Ans. C. HLA B8a. Dermatitis herpetiformis is a disease characterized by erythematous vesicular or bullous lesions and severe itching. The disease most commonly occurs between 20-40 years of age and men are more commonly affected. IgA is deposited in the reticular dermis of the uninvolved skin suggesting an immune etiol...
Skin
Autoimmune Skin Disorders
7c4484cb-3400-4421-804e-eff019039d41
Which virus can cause hemorrhage -
Parvovirus
Adenovirus
HPV
Coronavirus
1b
single
Adenovirus causes Acute hemorrhagic cystitis in children and generalized exanthem. REF:ANANTHANARAYAN AND PANIKER'S TEXTBOOK OF MICROBIOLOGY 9TH EDITION PAGE NO:482
Microbiology
Virology
14e68a28-4e89-4467-8a0b-0099bf31f5c7
Residual volume of lung in an average adult male is: (Repeat)
3.0 L
0.9 L
1.2 L
1.9 L
2c
single
AnsL C (1.2 L) Ref: Davidson, 21st ed, pg 651Explanation:Refer Medicine 2013 question explanation.TLC: Volume of air in the lungs following maximal inspiration ( N= 5-6L)FVC: Maximum amount of air exhaled following maxima] inspiration ( N= 4.8L)VT: Volume of air entering and leaving lungs during normal respiration ( N+...
Medicine
Respiratory Function
a6f34d32-c56f-4339-9ebc-00726cc9e4aa
Scrofula is a tuberculosis of:
Skin
Lymphnode
Spine
Lungs
1b
single
null
Medicine
null
1960f57f-7561-4de1-a267-24eeef8f4535
The commonest teeth involved in transposition are:
Maxillary central incisor and lateral incisor
Maxillary canine and first premolar
Maxillary 1st premolar and 2nd premolar
Maxillary canine and lateral incisor
1b
single
null
Dental
null
d9e3512a-cb34-460b-8045-60083ae8387c
A 30 year old person met with a roadside accident. On admision his pulse rate was 120/minute, BP was 100/60 mmHg. Ultrasonagraphy examination revealed laceration of the lower pole of spleen and haemoperitoneum. He was resuscitated with blood and fluid. Two hours later, his pulse was 84/minute and BP was 120/70 mm Hg. T...
Exploring the patient followed by splenectomy
Exploring the patient followed by excision of the lower pole of spleen
Splenorrhaphy
Continuation of conservative treatment under close monitoring system and subsequent surgery if further indicated
3d
single
null
Surgery
null
3b332f26-5d8e-4b75-8eb5-aeddeed72dd1
Most potent analgesic agent among following
Nitrous oxide
Nitric oxide
CO2
Oxygen
0a
single
Ans. a. Nitrous oxide above options, most potent analgesic agent is Nitrous oxide. "Nitrous oxide- 50:50 nitrous oxide and oxygen has revolutionized it as analgesic agent; it has been used as an analgesic agent in obstetric surgeries; dental procedures; in acute trauma; burn dressings and cardiac pain as well."- Wiley ...
Anaesthesia
null
c2ce9c2f-a113-464f-87c9-b79c47a28302
Stye is other name of -
Chalazion
Hordeolum internum
Hordeolum externum
None of the above
2c
multi
Ans. is 'c' i.e., Hordeolum externum o Acute infection of Zeis (Moll) glando Acute infection of tarsal gland (Meibomian gland)o Chronic infection of tarsal gland (Meibonium gland)-Stye (Hardoleum externum)- Hardoleum internum -Chalazion
Ophthalmology
Anomalies in the Position of Lashes and Lid Margin
fc3316cb-d9ad-484c-a77f-a120bbc671f4
All of the following are associated with better prognosis in schizophrenia, EXCEPT
Late onset
Married
Negative symptoms
Acute onset
2c
multi
(C) Negative symptoms PROGNOSTIC FEATURES OF SCHIZOPHRENIA GoodBadHistoryPrevious psychiatric HistoryNoPresentFamily HistoryNegativePositiveFamily History +ve ofMood disordersSchizophreniaPreuproid adjustmentGoodPoorWork HistorySteadyUnsteady / UnemployedMartial statusMarriedUnmarriedSocial SupportGood (High social cla...
Psychiatry
Miscellaneous
c3199e7e-3cd5-4dbe-8ba6-48f7ce32ec47
The carpal tunnel syndrome can be caused by all, EXCEPT:
Hypothyroidism
Tuberculosis
Pregnancy
Acromegaly
1b
multi
Many systemic conditions are strongly associated with carpal tunnel syndrome (CTS). These conditions may directly or indirectly affect microcirculation, pressure thresholds for nerve conduction, nerve cell body synthesis, and axon transpo or interstitial fluid pressures. Peurbations in the endocrine system, as observed...
Surgery
null
9727639c-a3c4-4506-96c7-4cab7fe2ad7e
Tentative cut is a feature of?
Fall from the height
Homicidal assault
Accidental injury
Suicidal attempt
3d
multi
D i.e. Suicidal attempt
Forensic Medicine
null
84bb22ea-eb0c-4e14-8c87-ed1342f5efd2
A patient with sore throat has a positive Paul Bunnel test. The causative organism is :
EBV
Herpes virus
Adeno virus
Cytomegalovirus
0a
single
Paul Bunell test is the standard diagnostic procedure of infectious mononucleosis which is caused by EBV. Paul Bunell test detects heterophile antibody. Paul Bunell test In this test inactivated serum (56 0 C for 30 minutes) in doubling dilutions is mixed with equal volumes of a 1% suspension of sheep erythrocytes. A...
Microbiology
null
c08898f8-1435-4b47-8e11-5485cfc8fe3f
Which type of haemorrhoids is treated by the injection of sclerosing agent?
External haemorrhoids
Internal haemorrhoids
Prolapsed haemorrhoids
Thrombosed haemorrhoids
1b
single
Injection sclerotherapy is the treatment of choice of internal hemorrhoids. It helps in reducing the size of the hemorrhoids and stop it from bleeding. A solution containing either quinine and urea or phenol is used as the sclerosing agent. Hemorrhoids are swollen veins around the anus and in the rectum that may protru...
Surgery
null
d2c006cc-ab7a-4fb0-a136-a56389060d18
Ureteric injury is most commonly associated with which of the following
Anterior colporraphy
Vaginal hysterectomy
Weheim hysterectomy
Abdominal hysterectomy
2c
single
Ureteric injury has an incidence of 0.1-1.5% of all pelvic surgery The highest risk is for Weheim Radical hysterectomy since this surgery involves stripping of the ureteric fascia and that can compromise the ureteric blood supply and hence a devascularisation injury.
Gynaecology & Obstetrics
Endometrial Carcinoma and Hysterectomy
38ecdd98-df6f-411d-be4c-55c9c0351809
Non-gonococcal urethritis is caused by: September 2012
Chlamydia
LGV
Syphilis
Gardnella vaginalis
0a
single
Ans. A i.e. Chlamydia
Skin
null
4d36c77c-6b44-4c1b-8958-8eaca910d120
X-ray proximal femur in a patient with pain hip. The deformity shown is:
Blade of grass deformity
Shepherd crook deformity
Chicken wire appearance
Corduroy appearance
1b
single
"Fibrous dysplasia of proximal femur has shepherd crook deformity".
Orthopaedics
Ohopedics Oncology
8e92e460-98d9-4709-82eb-dc613ac32980
Which is the initial Imaging modality of choice for Insulinoma?
USG
CT abdomen
Somatostatin Receptor Scan (SRS)
E.U.S
3d
single
For PETs in the pancreas, EUS is highly sensitive, localizing 77-100% of insulinomas, which occur almost exclusively within the pancreas. Tests for location of pNET: Somatostatin Receptor Scintigraphy is the initial imaging modality but is less available. Helical CT scan has a sensitivity of 82-94%. Gadolinium based MR...
Medicine
Disorders of Adrenal Gland
59429376-b4be-4af9-b035-c7a411764c38
Prostate is supplied by:
Sympathetic + Parasympathetic
Parasympathetic
Sympathetic
None
0a
multi
Ans: A (Sympathetic + Parasympathetic) Ref: Gray's Anatomy, 40th edition, pg.1245Explanation:The superior hypogastric plexus conveys the sympathetic nerves from the pre-ganglionic fibres are derived from LI and L2The parasympathetic fires are derived from the pelvic splanchnic nerves which convey preganglionic fibres f...
Anatomy
Male Genital System
d58861b2-6284-4da2-9e76-695c3dea6bfa
Consider the following statements about Jacuzzi syndrome and mark the true statement .
It is caused by Pneumococcus .
It is also known as hot tub folliculitis .
It is progressive illness .
It is always a painless condition .
1b
multi
Jacuzzi syndrome :- It is caused by Pseudomonas aeruginosa This condition arises due to inflammation of hair follicles (haiub folliculitis). It is usually self limiting condition . It can be extremely painful or itchy condition .
Microbiology
Systemic Bacteriology (Haemophilus, Yersinia, Spirochaetes, Ricketssia, Chlamydia, Mycoplasma and Miscellaneous Bacteria)
18fbc52c-b20e-4e34-b38a-1192d9bb0afb
Resistance to ciprofloxacin is due to:
Transduction
Transformation
Conjugation
Mutation
3d
single
Ref: Goodman & Gillman's 13th ed. P 1016* Ciprofloxacin is one of the fluoroquinolones along with norfloxacin, ofloxacin, levofloxacin, spartloxacin, etc.* MOA of quinolones: The quinolone antibiotics target bacterial DNA gyrase and topoisomerase IV.* The quinolones inhibit gyrase-mediated DNA supercoiling at concentra...
Pharmacology
Anti Microbial
b367b9cf-ff74-48e3-a093-c058682b4633
Which of the following enzyme does not catalyse the irreversible step in glycolysis
Hexokinase
Phosphoglycero kinase
Pyruvate kinase
Phosphofructokinase
1b
multi
Glycolysis Site of occurrence Cytosol Aerobic glycolysis Glucose - Pyruvate ; 8 ATP Anaerobic glycolysis Glucose - Lactate ; 2 ATPReaction occurring in aerobic conditions only Glyceraldehyde 3 phosphate - 1,3- bisphosphoglycerate Inhibitors Glyceraldehyde 3 phosphateIodo acetate 1,3 bisphosphoglycerate Arsenite Enolase...
Biochemistry
Metabolism of carbohydrate
6e3a0771-c097-4d3e-95eb-2014f45d9280
All are affected in Graft-Versus host reaction :
Skin
>G.I.T
>Liver
>Lung
3d
multi
Lung Graft versus host disease Graft versus host disease occurs in any situation in which immunologically competent cells or their precursors are transplanted into immunologically crippled patients and the transferred cells recognize alloantigens in the host. Graft versus host disease occurs most commonly in the settin...
Pathology
null
b5f9f3bb-7342-4ce3-a996-11c7e8b3bea8
A dens in dente is usually caused by:
An abnormal proliferation of pulp tissue
Denticle formation within the pulp tissue
A deep invagination of the enamel organ during formation
A supernumerary tooth bud enclaved within a normal tooth.
2c
multi
null
Pathology
null
062db933-3632-4c3f-8822-ffe12b939cd2
A 21 year old lady with a history of hypersensitivity to neostigmine is posted for an elective caesarean section under general anesthesia. The best muscle relaxant of choice in this patient should be:
Pancuronium
Atracurium
Rocuronium
Vecuronium
1b
single
B i.e. Atracurium You might be thinking that this Q has never been asked, but think a while and try to understand that around which concept the Q is based. In other words, they are trying to ask that which muscle relaxant will not require reversal? I think now you need no explanation - In pancuronium reversal is often ...
Anaesthesia
null
eaf9ff19-57b6-4215-9647-887d1883d8a6
In a perfect smile, the ratio of width to height of maxillary incisor is:
8:10
6:08
10:14
20:25
0a
single
null
Dental
null
cc2b7e6b-0cf8-4057-a15d-6e4e7ef49c1e
Which of the Hepatitis B Virus serological marker indicates the first evidence of Hepatitis B infection?
Anti-HBs
Anti-HBc
HBeAg
HBsAg
3d
single
null
Social & Preventive Medicine
null
c6c0cc00-6f53-4e2d-a9b8-67177369ffca
Adenoidectomy is contraindicated in
SOM
CSOM
Bleeding disorder
None
2c
multi
Adenoidectomy contraindicated in 1. Bleeding disorder 2. Acute infection of upper respiratory tract 3. Cleft palate or submucous palate Re: Textbook of Ear, Nose and Throat, Dhingra, 6th Edition; Pg no: 431
ENT
Diagnostic and operative ENT
e805ad44-6f84-4e4e-8d52-bdbe959caebe
Diagnosis in a ten year old boy with recurrent epistaxis and a unilateral nasal mass is
Antrochoanal polyp
Hemangioma
Angiofibroma
Rhinolith
2c
single
Nasopharyngeal fibroma/Juvenile nasopharyngeal angiofibroma is a major cause for recurrent epistaxis in adolescent males. It is testosterone dependent. Benign tumour but locally invasive Ref - PL DHINGRA diseases of ear nose and throat, 6th edition
ENT
Nose and paranasal sinuses
cb97fa3d-0934-4156-a50e-67066127ca0f
Watson-Jones approach is done for?
Neglected club foot
Muscle paralysis
Valgus deformity
Hip replacement
3d
single
(d) Hip replacement- Watson-Jones operation is anterolateral approach to the hip joint.There are four commonly used approaches to the hip joint:- Anterior or Smith-Peterson- commonly used to access the hip in cases of suspected septic arthritis - Anterolateral or Watson-Jones- is used for hemi or total hip arthroplasty...
Orthopaedics
Congenital Talips Eqino Varvs (C.T.E.V.)
c2c15c69-0256-4e18-9a76-415acf181cc3
A bullet fired form a gun is not released. It is ejected out with the subsequent shot. It is known as -
Dum dum bullet
Rocketing bullet
Ricochet bullet
Tandem bullet
3d
single
If during firing, the bullet remains in the barrel; during subsequent firing two bullets, one behind the other are projected out → called as Tandem bullet.
Forensic Medicine
null
afc3ccd6-a5e9-4731-9ccf-3dde8d7e5d39
To notify a slide as AFB negative minimum how many fields should be checked? ?
20
100
50
200
1b
single
Ans. is `b' i.e., 100
Microbiology
null
64db11fe-2f9b-4a5b-8a00-d7a49bbedec7
N-myc gene amplification is seen in which of the following tumors?
Burkitt's lymphoma
Small cell lung carcinoma
Neuroblastoma
All of the above
2c
multi
N-myc amplification seen in neuroblastoma. C-myc amplification - Burkitt's lymphoma L-myc amplification - lung carcinoma
Pathology
null
40999861-2dcd-4ff3-89e5-c5328ac7faea
Minimum angle of resolution when visual acuity is 6/6
1 min of arc
5 min of arc
10 min of arc
15 min of arc
0a
single
Answer-A. 1 min of arcVisual acuity is the first test performed after taking history.Measurement of the central visual acuity is essentially an assessment of function of the fovea centralis.An object must be presented so that each poion of it is separated by a difinite interval, known as minimum angle of resolution (MA...
Ophthalmology
null
3c103424-fa8e-47d0-9533-85a8c9ed4138
Pigmented "muddy brown" granular cast is characteristic of
Prerenal ARF
Ischemic or nephrotoxic ATN
Postrenal ARF
Chronic renal failure
1b
single
AKI from ATN due to ischemic injury, sepsis, or ceain nephrotoxins has characteristic urine sediment findings: pigmented "muddy brown" granular casts and tubular epithelial cell casts. These findings may be absent in more than 20% of cases Ref: Harrison 19e pg: 1805
Medicine
Kidney
371aa6db-6e82-460f-92f4-cb7d5302827d
A 35-year-old hypertension patient. CXR shows?
Left ventricular hypertrophy
Pulmonary artery hypertension
Coarctation of aorta
Cor pulmonale
2c
single
Ans. (c) Coarctation of aorta.
Radiology
Cardiac and Pericardiac Imaging
550be516-3a36-465d-8ffd-b9ca47f342a4
7Which is the most prominent spinous process?
T1
C7
C6
L5
1b
single
C7 is most prominent spinous process seen at the neck region just above T 1 veebrae BD CHAURASIA HUMAN ANATOMY Vol 3
Anatomy
General anatomy
339e3abc-9e6c-497e-8c02-8cabbcb14b35
Phase 4 clinical trial is carried out:
Before the marketing approval of a drug
After a drug is marketed
For drugs used in rare diseases
For drugs used in pediatric patients
1b
single
null
Pharmacology
null
61ee5d5b-a825-45ff-806c-7de6b7e3b1d9
If a fracture, gives the pattern of the striking surface of the weapon it is called
Comminuted fracture
Ring fracture
Pond fracture
Signature fracture
3d
multi
Signature fracture This is a depressed comminuted fracture produced by an object with a small striking surface and will give the pattern of the striking surface of the weapon which caused it like a hammer, butt of a rifle, etc. The weapon which caused the injury can be identified. Ref: FORENSIC MEDICINE AND TOXICOLOGY ...
Anatomy
Special topics
e582dc54-cfe0-4df2-a9f4-63329a66858e
Which of the following is not used in diagnosis of insulinoma -
72 hours fasting blood glucose levels
C peptide levels
Insulin/glucose ratio
D-xylose test
3d
single
null
Medicine
null
3a8e7aa5-55e3-4312-8dd6-e177633a5173
Crude birth rate is a simplest measure of fertility because it includes
Mid year population
Total population
Live births only
Pre-term births
0a
single
Crude birth rate : Number of live births in a year per 1000 mid-year population. CBR is simplest indicator of fertility : Total mid-year population is not exposed to child bearing thus it doesnot give true idea of fertility of a population.
Social & Preventive Medicine
null
ef53cda0-a03b-4af9-a073-a1a259c73515
which layer of cornea helps in maintaining hydration OF stroma of cornea
Descement membrane
Endothelium
Epithelium
stroma
1b
single
REF : AK KHURANA 7TH ED
Ophthalmology
All India exam
5ec2edf6-b8d6-4749-adb8-b59edea3d6a0
Palpable purpura is caused by
HSP
PAN
Microscopic polyangitis
All of the above
3d
multi
palpable purpura is due to deposition of immune complexes at the site, seen in HSP,Ahritis, gut vasculitis,glomerulonephritis, bacterial endocarditis, gonococcaemia,meningococcaemia and rocky mountain spotted fever. Page no.309. Reference IADVL's concise textbook of dermatology
Dental
Autoimmune skin disorders
ad8bb65c-78a2-4a2d-a02d-54da5e687b59
Amount of calories and protein given to a pregnant women under ICDS is
500kcals and 35g protein
200kcal and 10g protein
500kcal and 10g protein
350kcal and 25g protein
0a
single
null
Social & Preventive Medicine
null
cdbfb887-d897-43b8-86df-d21d3543c82b
Tricyclic antidepressant are contraindicated in:
Glaucoma
Brain tumor
Bronchial asthma
Hypeension
0a
single
Due to anticholinergic action, TCAs should be avoided in glaucoma These agents block muscarinic acetylcholine receptors, resulting in anticholinergic effects (e.g., dry mouth, blurred vision, urine retention, constipation); they are contraindicated in patients with glaucoma.
Psychiatry
Mood Disorders
16880d89-b7b5-4219-b75d-cb5470b9947e
With DMPA, the next injection may be taken latest by:
12 weeks
13 weeks
15 weeks
17 weeks
3d
single
DMPA is effective for 13 weeks. It has grace period of 4 weeks, which means that this woman can get her next injection before completed 17 weeks. If she comes later than 17 weeks, then she will be given injection but will have to use backup for next 7 days, as injections would take time to become effective.
Social & Preventive Medicine
Other FP Methods and New Initiatives in Family Planning
ef501e13-e970-49b5-a16c-bc29cd12da9a
Regarding furosemide true statement is:
Acute pulmonary edema is an indication
Acts on PCT
Mild diuresis
Given only by parenteral route
0a
multi
Ans. (A) Acute pulmonary edema is an indication(Ref: Katzung 10/e p250)Furosemide possesses vasodilatory action which is responsible for quick relief in LVF and pulmonary edema (used i.v.). It can be used orally as well as parenterally.
Pharmacology
Diuretics and Antidiuretics
b0ec7a67-4379-4bd5-9e8b-d27e75dffec5
During surgery for aortic arch aneurysm under deep hypothermic circulatory arrest which of the following anaesthetic agent administered prior to circulatory arrest that also provides cerebral protection?
Etomidate
Thiopental Sodium
Propofal
Ketamine
1b
single
(B) Thiopental Sodium # Uses of Thiopentone Sodium:> Induction of anaesthesia;> Maintenance of anaesthesia for short procedures;> Basal narcosis by rectal administration;> Treatment of status epilepticus;> Reduction of intracranial pressure;> Fordiagnostic operative neurological procedures.
Anaesthesia
Miscellaneous
d271c97e-fde5-49e2-b61d-166058eca9f2
Neonatal fat necrosis resembles which of the following – a) Post steroidal panniculitisb) Erythema induratumc) Lipodermatosclerosisd) Lupus panniculitis
abc
ad
acd
bde
2c
single
I think there is printing mistake in this question. There should be except in this question. In that case answer will be erythema induratum. Neonatal fat necrosis, post-steroidal panniculitis, Lipodermatosclerosis and lupus panniculitis belong to same group, i.e. Mostly lobular panniculitis without vasculitis. Erythema...
Dental
null
a2cdaace-15bf-4028-8fd6-2fe652470d71
Which of the following is NOT TRUE regarding PROPOFOL ?
It is used in day care anesthesia
It is contraindicated in porphyria
Commercial preparation contains egg extract
It does not cause airway irritation
1b
multi
Ketamine is safe in porphyria.
Anaesthesia
null
82931b21-d013-43f3-8b5c-ef3511c09481
First clinical feature of cerebello-pontine angle tumor is ?
Reduced lacrimation
Loss of corneal reflex
Hoarseness of voice
Exaggerated tendon reflexes
1b
single
Answer- B. Loss of corneal reflexAbsent corneal reflex is the earliest sign of cerebellopontine (CP) angle tumors like acoustic neuroma.
Surgery
null
c90a2bc3-d7b5-4b0b-bc4d-3d73e312f106
A 5-year-old boy comes with overnight petechial spots 2 weeks back he had a history of abdominal pain and no hepatosplenomegaly. Diagnosis is –
Aute lymphatic leukemia
Aplastic anemia
Idiopathic thrombocytopenis purpura
Acute viral infection
2c
single
Petechial spots without hepatosplenomegaly in a 5-year-old boy suggest the diagnosis of ITP. About other options Acute leukaemia Acute leukaemia will give features of involvement of all the three lineages i.e. anaemia (erythrocyte involvement) fever (due to neutrophil involvement) bleeding (due to platelet involvement...
Pediatrics
null
03f9d7f7-e479-43cc-b5fe-9b154a52bc8e
Bevacizumab is used for treatment of carcinoma of:
Breast
Stomach
lung
None of the above
0a
multi
The use of bevacizumab (a monoclonal antibody to VEGF) was recently approved by the U.S. Food and Drug Administration (FDA) for use in metastatic breast cancer in combination with paclitaxel chemotherapy. This approval was based on results from a phase III trial by the Eastern Cooperative Oncology Group. The group's E2...
Surgery
null
208c8dfe-a772-49a0-aba0-ded7d7fd038f
Zero order kinetics is shown by which drug -
Digoxin
Theophylline
Phenobarbitane
Etomidate
1b
single
Ans. is 'b' i.e., Theophylline 1 o Drugs showing zero/pseudo-zero order kinetics :# Phenytoin# Tolbutamide# Theophylline# Warfarin# Alcohol# Salicylates (Aspirin)
Pharmacology
Pharmacokinetics
77f64b2b-ee99-4de6-99ff-2d1afb33dbff
Homer's syndrome consists of-
miosis and endopthalmos
miosis and exopthalmos
miosis and proptosis
miosis and ptosis
3d
single
D i.e. Miosis and ptosis Homer's syndrome presents with - ENopthalmos Q, Ptosis Q, Anhidrosis, Loss of ciliospinal reflexes Q, MiosisQ (Mnemonic - "NO-PALM") Way of remembering - all things are decreased whether it be the size of pupil (miosis), or proptosis of eye (enopthalmos), or palpebral size (ptosis), or unilater...
Ophthalmology
null
199f259d-96d3-41c2-ab65-b2f197b9e065
When is this gross motor milestone attained by a child?
6 months
12 months
15 months
24 months
2c
single
The given picture shows a child creeping upstairs, that comes at around 15 months age; Another impoant milestone that appears at around 15 months age is Jargon speech
Pediatrics
Impoant Motor Milestones
1593ebaf-98c7-4ef9-9d4d-42c9256c4388
Which one of the following drugs is not a uterine relaxant?
Isoxsuprine
Dopamine
Salbutamol
Terbutaline
1b
single
Isoxsuprine, magnesium, ritodrine, salbutamol, and terbutaline to some extent, atosiban, calcium channel blockers could act as uterine relaxants or tocolytics Ref: KD Tripathi 8th ed
Pharmacology
Endocrinology
708505d4-4b0f-4318-8357-b98f309b06ef
An example of a preventive antioxidant is:
Catalase
Tocopherol
Superoxide dismutase
Urate
0a
single
Antioxidants fall into two classes: Preventive antioxidants, which reduce the rate of chain initiation.  ex: Catalase and other peroxidases such as glutathione peroxidase. Chain-breaking antioxidants, which interfere with chain propagation.  ex: Superoxide Dismutase, Uric Acid, Vitamin E (Most powerful). Key Concept:...
Biochemistry
null
d3c60f05-6e90-4e51-972c-214bf57febf8
Daily loss of Iron per day in a healthy adult male is
0.06 mg
0.6 mg
60 mg
600 mg
1b
single
null
Pathology
null
9c03246d-2a4e-4a7a-88ab-8f5fc6c46c3c
Characteristic of exudative fluid is -
Low protein content
Specific gravity < 1.012
Normal vascular permeability
Cellular debris
3d
single
Ans. is 'd' i.e., Cellular debris Types of edema fluidIn edema, the fluid accumulated in interstitial fluid may be either a transudate or an exudate. Exudate is an inflammatory fluid that contains high protein content, cellular debris, and specific gravity >1.020. It occurs due to increased vascular permeability.Transu...
Pathology
null
a4c4fe6b-4189-408a-ac7d-ddb17b135d08
A 30 yrs old gentleman after sustaining road traffic accident present in emergency with BP 100/60 mmHg, Pulse 120 min and C.T. shows splenic laceration at inferior border. after 2 units of blood transfusion, patients conditions are - BP 120/70 mmHg and pulse 84/min; the next line of management is -
Laparotomy
Splenorrhaphy
Continue the conservative treatment and take subsequent measures on monitoring the pt.
Splenectomy
2c
single
null
Surgery
null
e36f1466-0658-47ae-ad2e-c9b0d9ba34da
Largest turbinate is
Superior
Inferior
Middle
All are of the same size
1b
multi
Conchae or turbinates are the curved bony projections directed downwards and medially.Below and lateral to each concha is the corresponding meatus.From above downwards the conchae are superior, middle, and inferior nasal conchae. Sometimes a 4th concha, the concha suprema is also present. Superior and middle nasal conc...
Anatomy
Head and neck
50dd2953-7b13-49b4-bb4f-bb4da425b6c5
The following statments are true for negri bodies except -
They are pathognomic of rabies
They are found in the brain
They are cytoplasmic inclusion bodies
They do not contain rabies virus antigen
3d
multi
Ans. is 'd' i.e., They do not contain rabies virus antigen
Microbiology
null
322ac080-3d88-498f-8887-d1e20f3c0efe
Complications of tuberular meningitis include all except-
Hydrocephalus
Cortical venous thrombosis
Cerebral Artery Thrombosis
Cranial Nerve Palsy
1b
multi
null
Medicine
null
f588a6e8-4f5b-4372-a417-d6dabcfacbcb
HIV transmission to the newborn is most commonly and effectively by
LSCS
Vaginal delivery
Perinatal
Breast feeding
1b
single
Ans. b (Vaginal delivery). (Ref. Harrison's Principles of Internal Medicine, 16th/pg.38, 1082)MATERN AL-FETAL/INFANT TRANSMISSION# The predominant cause of HIV infection in children is transmission of the virus from the mother to the newborn during the perinatal period.# The majority of cases of mother-to-child (vertic...
Gynaecology & Obstetrics
Miscellaneous (Gynae)
f90c2ea0-83e0-40e4-8e4f-44da91897d4e
A patient presents with headache for one hour on awakening, associated with nasal stuffiness and reddening of eye. Suggestive of
Cluster headache
Tension headache
Migraine
All of the above
0a
multi
(A) Cluster headache # Cluster headache (CH) is an idiopathic syndrome consisting of recurrent brief attacks of sudden, severe, unilateral periorbita pain> Attacks of CH are typically short in duration (5-180 min) and occur with a frequency from once every other day to 8 times a day, particularly during sleep. As oppos...
Medicine
Miscellaneous
fae31830-511d-4800-b067-f9e20c5fddd7
Actinomycosis is a
Aerobic bacterial disease
Anaerobic bacterial disease
Aerobic fungal disease
Anaerobic fungal disease
1b
single
null
Microbiology
null
1f976616-c259-4834-8aa2-8ba19fd0ca06
Hematuria during labour in previous is sign of -
Impending rupture of scar
Urethral trauma
Prolong labour
Sepsis
0a
single
Ans. is a i.e. Impending rupture of scar Now friends - here in the question it is asked specifically that hematuria is seen in a patient with previous LSCS during labour - which indicates impending rupture of scar? "There are no reliable signs of impending uterine rupture that occurs before labor, although the sudden a...
Gynaecology & Obstetrics
null
0cc43bbf-b8c2-4b1d-bd37-7c7e4ee2cc04
All the following statements are true for influenza viruses except:
Helical symmetry
Single stranded non segmented RNA
Haemagglutinin and neuraminidase spikes present
RNA dependent RNA polymerase
1b
multi
Influenza viruses show following features: 1. Influenza viruses are spherical or filamentous,posses helical symmetry, enveloped paicles 80-120 nm in diameter. 2. Influenza virus is composed of a characteristic segmented single-stranded RNA genome, a nucleocapsid, and an envelope. 3. The viral genome is a single-strande...
Microbiology
Virology Pa-2 (RNA Virus Pa-1,2 & Miscellaneous Viruses)
50681a5d-7f76-45cf-acec-0ae1f90be392
Macrocytic anaemia in children is produced by all except -
Thiamine deficiency
Orotic acideueia
Copper deficiency
Liver disease
2c
multi
Ans. is 'c' i.e., Copper deficiency Morphology of RBC o Normal human red blood cells are biconcave discs (diskocytes) with a.mean diameter of about 7.5 m. o The hemoglobin of red cells is located peripherally, leaving an area of central pallor equal to approximately 30-35% of diameter of the cells. o Cells of normal si...
Pediatrics
null
5d91f850-5ef8-48bb-a9cc-454a319e447f
Lateral Medullary Syndrome involves all of the following cranial nerves, Except:
Vth CN
IXth CN
Xth CN
XII CN
3d
multi
Answer is D (XII CN): Cranial Nerve XII is involved in the Medial medullary syndrome and not in Lateral medullary syndrome. Lateral Medullary Syndrome involves the spinal nucleus of the trigeminal nerve and its tract (CN V); Vestibular nuclei (CN VIII); Nucleus Ambiguous (IX, X, XI) and fibers of the cranial nerves IX ...
Medicine
null
3f2f30a9-5c4f-4db7-9933-13a683d791be
Bivalent meningococcal vaccine is ?
A Y
A C
C y
A W-I35
1b
single
Ans. is 'b' i.e., A C Two type of meningococcal vaccine develop Unconjugated polysaccharide vaccine. Conjugated group C vaccine. Polysaccharide vaccines Internationally marketed meningococcal polysaccharide vaccines are o Bivalent (A and C), Trivalent (A, C and W-135) Tetravalent (A, C, Y and W-135). The vaccines are p...
Pediatrics
null
b445b76d-ac16-42f5-88da-c9b4568a7490
All of the following organization have their head quarter at Geneva except
UNICEF
WHO
ILO
None
0a
multi
null
Social & Preventive Medicine
null
61d3a8c2-b431-4f0c-a93a-c331d03081ec
A patient has extremely enlarged palatine tonsils. You suggest surgical removal of the tonsils, but you do explain that there is a small risk of the surgery, which may result in which of the following?
Loss in the ability to taste salt in the anterior two-thirds of the tongue
Loss in the ability to protrude her tongue, thus limiting her ability to lick an ice cream cone
Weakness in the ability to open her mouth fully when eating an apple due to damage to the innervation to the lateral pterygoid muscle
Loss in the ability to taste in the posterior one-third of the tongue and perhaps some difficulty in swallowing
3d
multi
The palatine tonsil sits in the lateral wall of the oropharynx in the palatine arch posterior to the palatoglossus muscle and anterior to the palatopharyngeus muscle. In the bed of the palatine tonsil runs the glossopharyngeal CN (IX) that carries afferent information back to the brain regarding both general sensation ...
Unknown
null
e5c3b933-b83b-4958-8d85-36b0df103ff4
A per NFHS III data, the wealthiest state is:
Delhi
Haryana
Punjab
Goa
0a
single
Delhi has the highest percentage of population (70%) in the highest quintile of wealth index, followed by Goa (55%). States with low wealth index include Chhattisgarh and Orissa. Ref: Park 21st edition page: 639.
Social & Preventive Medicine
null
8a8bbee3-1643-49cb-80bf-ce2b5dc26bc2
Calcification is best detected by -
X-ray
USG
CT scan
MRI
2c
single
Calcification is best detected by CT scan.
Radiology
Fundamentals in Radiology
e378f41d-27cf-41ba-b577-630f46627607
A 9 year old girl was admited for dialysis. On laboratory examination her potassium levels were 7.8 mEq/L. Which of the following would quickly lower her increased potassium levels -
IV calcium gluconate
IV Glucose and insulin
Oral kayexalate in sorbitol
IV NaHCO3
1b
single
null
Medicine
null
b0db7678-d4d6-4201-b2d6-c1917154c718
A 3-day-old male has a noticeably small mandible. A CT scan and physical examinations reveal hypoplasia of the mandible, cleft palate, and defects of the eye and ear. Abnormal development of which of the following pharyngeal arches will most likely produce such symptoms?
First arch
Second arch
Third arch
Fourth arch
0a
multi
The listed symptoms are typical of first arch syndrome because the first arch normally gives rise to muscles of mastication, mylohyoid, anterior belly of the digastric, tensor tympani, tensor veli palatini, malleus, and incus. Abnormal development of the second arch would affect the muscles of facial expression, the st...
Anatomy
Head & Neck
7474fb77-a4a0-4d31-87d9-3e4064bde12e
Both antibody dependent and independent complement pathway converge on which complement component?
C3
C1q
C8
C1r
0a
multi
null
Microbiology
null
e45dae80-605d-4607-840d-88b3f6ae54fa
A 70-year male utters same answers to all questions. He is suffering from
Mania
Schizophrenia
Organic brain disease
Convulsions
2c
multi
Same answers to all questions' can be seen in schizophrenia, mania and organic brain disease also but the age factor in this question is pointing more towards organic brain disease like dementia. Hence option C is more appropriate answer among the given options. Reference: The peak ages of onset of schizophrenia are 10...
Psychiatry
Symptoms and signs in psychiatry and classification
a56763bc-c352-4c23-b642-a21d9e8ab352
Onset of post spinal headache is usually at hours after spinal anesthesia
0 - 6
12-Jun
Dec-72
72 - 96
2c
multi
Ans. is 'c' i.e., 12 - 72
Anaesthesia
null
d5d4974a-df75-4137-9cd7-6ee47853675b
A 6-year old child who presented with perianal pruritus, excoriation of skin and nocturnal enuresis was found to be infected with a parasite causing autoinfection. The infective form of parasite for humans is the -
Filariform larvae
Embryonated egg
Adult female
Adult male
1b
single
Enterobius vermicularus mainly affects children. The gravid female worm lays ova around the anus ,causing itching especially at night .The ova are often carried to the mouth on the fingers & so re-infection or human to human infection takes place. Reference: Harrison20th edition pg 1120
Medicine
Infection
94629f44-0289-4926-a894-50171a3a65f8
Child admitted with meningitis. Examination reveals gram negative diplococci. History of previous similar infection is present with same organism. Which of the following should be suspected?
Complement deficiency
Immunoglobulin deficiency
T cell
8 cell
0a
single
Ans: A (Complement deficiency) Ref: Harrison's Principles of Internal Medicine, 17th edition, 2008, Chapter 136, pg: 911 and Nelson Textbook of Pediatrics, 19th editionExplanation:Defects in Complement SystemHost DefectDisease or Therapy Associated With DefectCommon Etioiogic Agent of InfectionC3* Congenital liver dise...
Unknown
null
b13fa39b-62c9-4877-b6e5-c1b386861443
Non coding RNAs are:
siRNA
miRNA
tRNA
All
3d
multi
A, B, C, i.e. siRNA, miRNA, tRNANoncoding (nc) RNAs are all RNAs that do not encode protein. They are also called non protein coding (npc) RNA, non-messenger (nm) RNA, small (s) RNA, and functional (fl RNA. The gene (DNA sequence) from which a nc-RNA is transcribed as end product is called non coding RNA gene or RNA ge...
Biochemistry
null
1dab90a8-f70c-433e-aac7-9eb65f9dcaae
All of the following is true about achalasia cardia except-
Lower esophageal sphincter does not relax normally
Males are affected more than the females
Absence of gastric air bibble is a sign seen on X-ray
Manometry is the most confirmatory investigation
1b
multi
Ans. is 'b' i.e., Males are affected more than the females * Achalasia cardia is a motor disorder of the esophageal smooth muscle in which the LES does not relax normally with swallowing, & the esophageal body undergoes nonperistaltic contractions. (Primary peristalsis is absent or reduced).* The pathogenesis of Achlas...
Surgery
Oesophagus
5fe6b0be-96aa-40dd-b1fe-278f019af66d
Fenestration operation is which type of tympanoplasty?
Type - 2
Type - 3
Type - 4
Type - 5
3d
single
Types of Tympanoplasty Wullstein classified tympanoplasty into five types . Type I Defect is perforation of tympanic membrane which is repaired with a graft. It is also called myringoplasty. Type II Defect is perforation of tympanic membrane with erosion of malleus. Graft is placed on the incus or remnant of malleus. T...
ENT
Diagnostic and operative ENT
9763004d-12e1-47d2-9aca-84d92a81c335
External Cephalic Version (ECV) is contraindicated in all of the following , EXCEPT?
Twins
Flexed breech
Premature Rupture of membranes
Previous abruption
1b
multi
ECV -Absolute contraindications : Placenta pre Multifetal gestation Severe contracted pelvis - Relative contraindications Early labor oligohydramnios or rupture of membranes structural uterine abnormalities fetal growth restriction prior abruption
Gynaecology & Obstetrics
Labour - normal, abnormal, malposition, malpresentation and their management
b980912a-a874-4aee-8904-510c8fca188f
The external urethral sphincter is located in which of the following regions?
Ischiorectal fossa
Extrapeoneal space
Retropubic space
Deep perineal space
3d
single
The external urethral sphincter is the voluntary sphincter composed of skeletal muscle, the sphincter urethrae muscle. This muscle, along with the deep transverse perineal muscle, are in the deep perineal space and form the muscular layer of the urogenital diaphragm. The internal urethral sphincter is composed of smoot...
Anatomy
Abdomen and pelvis
eddbc9e8-174f-49a7-8823-2ad55950c8db
Neurotransmitter released in response to raised blood pressure:
Acetylcholine
Adrenaline
Dopamine
Nor-adrenaline
0a
single
Ans. A. AcetylcholineWhenever blood pressure rises, there is reflex stimulation of baroreceptors. These release Ach and depress the heart.
Pharmacology
A.N.S.
5f114658-03b5-4e65-8899-536cf718b503
A 43-year-old man is hit in the face with a baseball bat and presents to the emergency department with massive facial swelling, ecchymosis, and an elongated face. There is mobility of the middle third of the face on digital manipulation of the maxilla. What is the likely diagnosis?
Lambdoid injury
Odontoid fracture
LeFort III fracture
Palatal split
2c
multi
The physical findings are characteristics of a Le Fort III fracture (Figure below). In this injury, the fracture passes through maxilla and nasal bones and above the zygomatic bone.Classic Le Fort fracture patterns
Surgery
Trauma
1e259266-70f7-4b47-9298-cd0827bfb831
Ovary develop from:
Mullerian duct
Genital ridge
Genital tubercle
Mesonephric duct
1b
single
Ans. is b, i.e. Genital ridgeRef: Dutta Gynae 8th/ed, p38Male and female derivatives of embryonic urogenital structures.Part of female genital systemOriginates fromOvaryGenital ridgeFallopiantubesUterus CervixUpperpartofvagina [?][?][?][?][?][?][?][?][?] Mullerian/paramesonephric ductLower part of vaginaSinovaginal bul...
Gynaecology & Obstetrics
Malformation of the Female Generative Organs