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135
eb08e6c9-1723-45b4-be7b-30e419a9d40a
Characteristic toxicity of daxorubicin -
Pulmonary fibrosis
Cardiotoxicity
Peripheral neuropathy
Hemorrhagic cystitis
1b
single
Ans. is 'b' i.e., Cardiotoxicity Anthracvclineso Anthracyclines are anticancer antibiotics and they include Doxorubicin (Adriamycin) and Daunorubicin.o The major toxicity of anthracyclines is potentially irreversible cumulative dose related toxicityo They may causes arrhythmias and cardiomyopathy. Because of their card...
Pharmacology
Anti-Neoplastic Agents
88c04c95-080a-4531-a814-bcead4f26455
Which of the following event occurs during the ovulation phase ?
Increase in inhibin A level
FSH induce steroidogenesis in granulosa cells in secretory phase
Activin increases
Stimulation of the arrested meiotic division of the ovum
3d
single
The activins and inhibins are glycoproteins that belong to the transforming growth factor -b superfamily. They are secreted from granulose cells. FSH induces steroidogenesis (estradiol production) in granulosa cells in the preovulatory phase (follicular phase). Stimulation of the arrested meiotic division of the ovum o...
Gynaecology & Obstetrics
Tests of Ovulation
c8d76274-6e3b-4098-97fe-ca96618e9133
The Ames test is a method for detecting
Carcinogenesis in rodents
Carcinogenesis in primates
Teratogenesis in any mammalian species
Mutagenesis in bacteria
3d
single
Mutagenesis in bacteria The Ames test is carried out in Salmonella and detects mutations in the bacterial DNA. Because mutagenic potential is associated with carcinogenic risk for many chemicals, the Ames test is often used to claim that a paicular agent may be a carcinogen. However, the test itself only detects mutati...
Surgery
null
8f920b08-7867-470b-a775-8e219541416a
Ureteric constriction is seen at all the following positions, except
Ureteropelvic junction
Ureterovesical junction
Crossing of iliac aery
Ischial spine
3d
multi
Ureter has three constrictions, which are the most common sites of renal calculus obstruction: at the pelvi-ureteric junction (PUJ) of the renal pelvis and the ureter as the ureter enters the pelvis and crosses over the common iliac aery bifurcation at the vesicoureteric junction (VUJ) as the ureter obliquely enters th...
Anatomy
Abdomen and pelvis
baf9416d-a62c-4615-9a7b-0ffb6f81fb22
Most important muscle which opens mouth is -
Lateral pterygoid
Medical pterygoid
Masseter
Temporalis
0a
single
Lateral pterygoid depresses the mandible to open the mouth, with suprahyoid muscles.
Anatomy
null
8019ed81-e337-4d30-b30b-a0d141ffda5f
The most important factor to overcome protein energy malnutrition in children less than 3 years is –a) Supply of subsidised food from ration shopb) Early supplementation of solids in infantsc) Immunisation to the childd) Treatment of anaemia and pneumonia in infant and toddlers
a
c
ac
bc
3d
single
null
Pediatrics
null
052f5a0a-d731-4615-acdb-a34524f67b50
Temp of water used to cool the burn wound?
20ºc
25ºC
10ºC
15ºC
3d
single
15ºC is the best temp for cooling burn wound.
Surgery
null
748ad136-fb91-49b5-b49d-cc0dec682334
A male 45 years old presents to the dental clinic with pain in lower back tooth region. Intraoral examination reveals carious 36. Root canal treatment done and metal ceramic crown has to be placed. Dentist makes an impression. All of the following are the properties of the material except:
Sufficiently fluid to adapt to the oral tissues
Viscous enough to be contained in a tray
Undergoes distortion or tearing when removed from the mouth
Biocompatible
2c
multi
To produce accurate replicas of intra- and extraoral tissues, the impression materials should be: Sufficiently fluid to adapt to the oral tissues. Viscous enough to be contained in a tray. Able to transform (set) into a rubbery or rigid solid in the mouth in a reasonable time (less than 7 min).  Resistant to distortio...
Dental
null
bcdde484-d76b-42e0-b67b-8b78e40f2738
Desert rheumatism is caused by:
Cryptococcus
Candida
Coccidioides
Chromoblastomycosis
2c
single
Ans. C. CoccidioidesSporothrix (Sporotrochosis), Histoplasma (Histoplasmosis), Coccidioides (Desert rheumatism or Valley fever), Paracoccidioides (South American Blastomycosis), Blastomyces (North American Blastomycosis), Talaromycesmarneffei.
Microbiology
Mycology
12d863d3-bf65-4f3a-893e-33842561c804
A 40 year old female presented with numerous, nonitchy, erythematous scaly papules (lesions) on trunk, with few oral white mucosal plaques. She also had erosive lesions in perianal area. The probable diagnosis is
Psoriasis
Secondary syphilis
Lichen planus
Disseminated candidiasis
1b
single
B i.e. Secondary syphilis Secondary syphilis presents with generalized, symmetrical, nonitchy, coppery red maculoppular lesions (+- scales) on trunk, extremities and even palm and solesQ. Oral and genital superficial mucosal erosion (patches) are painless silver-grayQ surrounded by red periphery. And warm, moist, inter...
Skin
null
8272ad74-fd58-43e3-8640-fd6e01812272
Based on the type of life cycle, zoonoses are classified into all of the following except -
Cyclo-zoonoses
Meta-zoonoses
Anthropozoonoses
Sporozoonoses
2c
multi
Ans. is 'c' i.e., Anthropozoonoses Classification of zoonoses 1) Based on direction of transmission : (i) Anthropozoonoses, (ii) Zoonthroponoses, and (iii) Amphixenoses 2) Based on type of life cycle : (i) Direct zoonoses, (ii) Cyclo-zoonoses, (iii) Meta-zoonoses, and (iv) Sporozoonoses.
Social & Preventive Medicine
null
8ad5fa1e-3c0e-4892-839d-85aa169de40f
Testicular tumour most sensitive to radiation is-
Teratoma
Lymphoma
Mixed germ cell tumor
Seminoma
3d
single
null
Surgery
null
bd7fa1d4-b3f2-4a50-9315-054b68938f36
A 58 year old male alcoholic with chronic pancreatitis develops a palpable abdominal mass. Ultrasound reveals a 9 cm cystic lesion adjacent to the pancreas. An impoant complication that might occur if this cyst ruptured would be?
Anaphylactic shock
Carcinomatosis
Disseminated infection
Intestinal hemorrhage
3d
single
The patient most likely has a pancreatic pseudocyst, which is a complication of pancreatitis. Pancreatic pseudocyst is not a true cyst; it is lined by granulation tissue and collagen. It contains pancreatic juices and lysed blood, so rupture would spill the active digestive enzymes onto the adjacent viscera, paicularly...
Surgery
null
c6c09df1-73cf-4647-860f-1a12e243765b
What is the wavelength of light used in light cure system:
400nm
474nm.
500nm
Any of the above.
1b
multi
The range is 400-500nm. But if question has been asked for specific wavelength then 474nm is more appropriate.
Dental
null
bbdd68bc-4f89-4524-9983-1a4d85b735b8
Signs and symptoms usually develop within 15-30 minutes of strychnine ingestion. What is the fatal dose of strychnine?
10-15 mg
20-40 mg
60-100 mg
100-120 mg
2c
multi
Strychnine poisoning: It is an alkaloid derived from the seeds of the tree Strychnos nux-vomica. The potentially fatal dose of strychnine is approximately 50-100 mg (1 mg/kg) and fatal period is 1-2 hours. Strychnine competitively antagonizes glycine, an inhibitory neurotransmitter released by postsynaptic inhibitory n...
Forensic Medicine
null
01eefdd6-df22-4655-9d65-a240d34ec725
Which of the following drugs decreases the effect of levodopa-
Carbidopa
MAO inhibitors
Vit. B complex
COMT
2c
single
Ans. is 'c' i.e., Vit. B complex Interactions of levodopa Pyridoxine abolishes the therapeutic effect by enhancing peripheral decarboxylation of levodpa. Less levodpoa is thus available to cross BBB, to be conveed into dopamine in dopaminergic neurones in CNS Phenothiazines, butyrophenones, and metoclopramide reverse t...
Pharmacology
null
388717ef-39af-45e8-9ea1-eff3b567ffa0
Which of the following contraceptives can prevent a pregnancy when used alone after an act of unprotected intercourse?
Copper IUCD
Progesterone or Combined oral contraceptives
Mifepristone
All of these can work if used within 3 days of Unprotected Intercourse
3d
multi
Emergency contraceptives IUCD: Can prevent implantation up till 5th day of unprotected inter-course Progesterone only pill: LNG 1.5 mg :can reduce tubal motility , make endometrium 'Out of Phase" for implantation of embryo Combined Pill: the Yuzpe regimen can prevent embryo implantation since the estrogen component mak...
Gynaecology & Obstetrics
Contraceptives
44a378ee-b30d-4dd0-b6cc-f99dc530ab69
First pit and fissure sealant:
Novaseal
Newseal.
Selfseal
Highseal
0a
single
null
Dental
null
353fd696-949b-42b6-a932-b68e48169889
All except one are true about spinothalamic tract
Spinothalamic tract relays in ventral posterolateral nucleus of thalamus
Lateral Spinothalamic tract forms spinal lemniscus
Lateral spinothalamic tract joins medial lemniscus
Lateral spinothalamic tract carries sensations of pain and temperature, anterior spinothalamic tract carries sensations of crude touch and pressure
2c
multi
Anterior spinothalamic tract joins medial lemniscus.
Anatomy
null
c5fc1bce-ada0-498a-a2e0-34a1d38782a1
Hypercalciuria is seen in -
Hyperparathyroidism
VitD intoxication
Sarcoidosis
All
3d
multi
<p>Primary hyperparathyroidism is a generalized disorder of calcium, phosphate, and bone metabolism due to an increased secretion of PTH. The elevation of circulating hormone usually leads to hypercalcemia and hypophosphatemia. There is great variation in the manifestations. Patients may present with multiple signs and...
Medicine
Endocrinology
f7809cc9-8123-4bc7-a1b0-22b56e2f8cb1
Following anatomical changes predisposes to angle closure glaucoma except: March 2007
Small cornea
Flat cornea
Anterior chamber shallower
Sho axial length of eyeball
1b
multi
Ans. B: Flat cornea Angle closure glaucoma is caused by contact between the iris and trabecular meshwork, which in turn obstructs outflow of the aqueous humor from the eye. Predisposing factors include sho eye, small corneal diameter, a shallow anterior chamber, and a relative anterior positioning of the lens-iris diap...
Ophthalmology
null
36f1ff34-aa98-4957-a5d0-bf285ddc86b9
Which of the following ovarian tumor is most prone to undergo torsion during pregnancy :
Serous cystadenoma
Mucinous cystadenoma
Dermoid cyst
Theca lutein cyst
2c
single
"A benign cystic teratoma is the most common neoplasm to undergo torsion, and it to the M/C benign tumor diagnosed during pregnancy." A benign cystic teratoma is synonymous to dermoid cyst. REF : gynecology book of shaw 17th
Gynaecology & Obstetrics
All India exam
23bbeaa8-bf60-4ab5-a9cb-270f7941006e
Per TCA with 3 NADH and 1 FADH2, generates how many ATP-
6
9
12
15
1b
single
Ans. is 'b' i.e., 9 o One N ADH produces 2.5 ATP and one FADH2 produces 1.5 ATP. Thus 3 NADH and 1 FADH2 will produce 9 ATP.o There is production of ATP at substrate level also. Thus total 10 ATP molecules are produced per cycle.Energetics of TCA cycles iKreb's cycle)o One turn of the TCA cycle, starting with acetyl Co...
Biochemistry
Kerbs Cycle
1c234ae9-23fb-4f5d-b49d-96e0cb9a8a78
"Microabscess of munro" is seen in:
Lichen planus
Psoriasis
Pityriasis rosea
Tbberous sclerosis
1b
single
Ans: b (Psoriasis) Ref: Pavithran's textbook of dermatology, p. 14,15Micro abscess of Munro is seen in psoriasis.PsoriasisType IType IIHeriditaryStrong HLA association (HLA CW6)Severe course and early onsetArthropathy more common.SporadicHLA unrelatedMild course and late onsetThe most important locus for psoriasis susc...
Skin
Papulosquamous Disorders
915a350d-3061-4491-b862-985ba3c33f91
Lipopolysaccharide structure is characteristic of -
Exotoxin
Endotoxin
Both
None
1b
multi
Endotoxins heat stable lipopolysaccharides which form an integral pa of the cell wall of gram-negative bacteria . Their toxicity depends on the lipid component. They are released only by the disintegration of the cell wall. They cannot be toxoided. They are poor antigens and their toxicity is not completely neutralized...
Microbiology
general microbiology
76557ef7-5214-427a-8413-90a88070addc
A 60-year-old nursing home resident presents with a 3-day history of progressive shortness of breath and cough. The lung examination reveals right basilar crackles. The chest x-ray shows right lower lobe consolidation. Sputum culture grows methicillin-resistant Staphylococcus aureus (MRSA) Select the most appropriate i...
Standard precautions
Contact precautions
Droplet precautions
Airborne precautions
1b
single
There are four types of isolation precautions that can be implemented in health care settings. Any given patient might require more than one type of precaution. Standard precautions apply when interacting with any patient, regardless of the diagnosis. They include hand washing before and after contact with every patien...
Medicine
Infection
0ecf9413-7f94-4e99-9b8a-04a2117f03fa
Transcripton is inhibited by:
Actinomycin D
Amanitin
Chloramphenicol
Streptomycin
0a
single
A i.e. Actinomycin
Biochemistry
null
3283dbec-c8d4-44ec-ac12-bfbc29e3a684
In preanaesthetic evaluation of airway anesthesiologist wrote Mallampati grade III. What does it signify-
Full view of soft palate uvula, tonsillar pillars
View of Soft palate and hard palate
Only hard palate
Full view of soft palate, uvula, fauces, tonsillar pillars
1b
multi
null
Anaesthesia
Pre Anesthetic Evaluation
7703cf98-9a64-4041-a77d-cb85f2f541f2
Triage is –
Treating the most serious cases
Categorisation of the patients and treating them according to the available resource
Cautery burns
Treating mentally ill patients
1b
multi
Triage When the quantity and severity of injuries overwhelm the operative capacity of health facilities, a different approach to medical treatment must be adopted. The usual principle of first come, first treated", is not followed in mass emergencies. Triage consists of rapidly classifying the injured and the likelih...
Social & Preventive Medicine
null
6bfa33f9-ad6f-4223-bd13-faee82bdbb87
All of the following are true in respect of hereditary angioneurotic edema (HAE), except:
Deficiency of C1 inhibitor (C1INH)
Uicaria
Pruritus is usually absent
Autosomal recessive disorder
3d
multi
Hereditary angioneurotic edema (HAE) It is caused by an inherited deficiency of C1 esterase inhibitor that results in excessive activation of the early components of the complement system and production of vasoactive mediators. Angioneurotic edema is classically non-pitting in nature. Uicaria(hives) may develop simulta...
Pathology
Complement system
cd88e21a-473a-4182-a3e4-c2d1f0fc7cd1
A 63-year-old bartender presents at his physician's office complaining of a painful sore on his tongue. On examination, it is found that he has an ulcerated lesion on his tongue and a mass in the submandibular gland triangle. What is the most likely diagnosis? SELECT ONE.
Lymphoma
Squamous cell carcinoma
Metastatic skin cancer
Benign mixed tumor
1b
single
The tip of the tongue drains into the submental lymph nodes, whereas, the side of the tongue drains into the submandibular lymph nodes.
Surgery
Oral Cavity
f9b9c94a-c2ec-4012-8570-0f958d5159b8
Urogenital Diaphragm is made up of the following, except:
Deep transverse Perineus
Perinial membrane
Colle's fascia
Sphincter Urethrae
2c
multi
Colle's fascia does not contribute to the Urogenital Diaphragm. It is attached posteriorly to the posterior border of the urogenital diaphragm but does not form pa of this diaphragm. Ref: BDC, Volume 2, 4th Edition, Page 332; Grants Method of Anatomy, 11th Edition, Page 244; Gray's Anatomy, 36th Edition, Page 563
Anatomy
null
9f653c6b-a97a-454f-bbbe-3bbdb88ae9b5
Stuart instrument gnathoscope is:
Non-adjustable articulator.
Semi adjustable articulator.
Fully adjustable articulator.
None
2c
multi
null
Dental
null
6370d224-85d3-4d59-bfa1-0549735dd448
Child with Type I Diabetes. What is the advised time for fundus examinations from the time of diagnosis?
After 5 years
After 2 years
After 10 years
At the time of diagnosis
0a
single
Screening for diabetic retinopathy To prevent visual loss occurring from diabetic retinopathy a periodic follow-up is very impoant for a timely intervention. The recommendations for periodic fundus examination are as follows : First examination, 5 years after diagnosis of type 1 DM and at the time of diagnosis in type ...
Ophthalmology
Vitreous and retina
c84528f1-f2b2-4a83-b7e3-1be433b899b0
Most sensitive test for H pylori is-
Fecal antigen test
Biopsy urease test
Serological test
Urea breath test
1b
single
<P>Davidson&;s principles and practice of medicine 22nd edition. *biopsbiopsy unease test is cheap,quick ,specific(95%) and sensitivity (85%)</p>
Medicine
G.I.T
a6490944-6122-4698-91d3-3be9e029c632
Which one of the following is not a green house gas ?
Carbon monoxide
Methane
Nitrous oxide
Water vapour
0a
single
null
Social & Preventive Medicine
null
9c850b9e-6896-4fea-a10c-a40c386b50e8
Cushing syndrome is characterized by all except *
Hypoglycemia
HT
Proximal myopathy
Centripetal obesity
0a
multi
Cushing&;s syndrome characterised by centripetal obesity , hypeension, fatigability, weakness, edema , glucosuria( Harrison 17 pg 2254)
Medicine
Endocrinology
367f2590-d02c-400d-a24e-62f07f9c3a83
Ligation of the common hepatic aery will compromise blood flow in
Right and Left gastric aery
Right gastric and sho gastric aeries
Right gastroepiploic and sho gastric aeries
Right gastric and right gastroepiploic aery
3d
single
Rt. Gastric aeryarises from common hepatic aery andRt. Gastroepiploic aeryarises fromgastroduodenal aerywhich is a branch of common hepatic aery. Therefore,ligation of common hepatic aerywill lead to impaired blood supply inRt. Gastric aeryandRt. Gastroepiploic aery. Left gastric aery arises from CT. Sho gastric aeries...
Anatomy
NEET Jan 2020
2afc9066-405a-492b-853a-563be05d8967
Typhoid investigation of choice in 1st week
Blood culture
Widal test
Stool culture
Urine culture
0a
single
(A) Blood culture # Typhoid investigation of choice code 'BASU'> 'B' i.e. Blood culture in the first week (Better is Bone Marrow culture)> 'A' i.e. Antibodies (Widal) in the second week> 'S' i.e. Stool culture in the third week> 'U' i.e. Urine culture in the 4th week> Widal test shows diagnostic titre for S. typhii usu...
Microbiology
Misc.
47621d9e-75f4-4063-89af-689adf96ea46
In T.B/ a ‘case’ is”
Cough
Mantoux positive
Sputum positive
X-ray positive
2c
single
null
Social & Preventive Medicine
null
13770ca2-ab13-4fb0-9063-e529942cfc84
A series of posters which are continuous and gives an idea about a subject is called:
Flannel graph
Exhibit
Model
Flip chart
3d
multi
Ans: d (Flip chart) Ref: Park, 19h ed, p. 717Flip chart- They consist of a series of charts, each with an illustration pertaining to the talk to be given. They are meant to be shown one after another. The message on the chart must be brief and to the point.Flannel graph- A piece of rough flannel or khadi fixed over a w...
Social & Preventive Medicine
Health Education & Health Planning
0c7ccf96-2f53-4cc1-92b9-9ad5727c9124
Perforation of stomach is more common due to ingestion of -
Nitric acid
Sulphuric acid
Hydrochloric acid
Carbolic acid
1b
single
Stomach perforation is more common with H2SO4.
Forensic Medicine
null
eda17337-84cb-4657-bf5a-0ee53af11dd0
Which of the following inflammatory mediator doesn't cause fever:
Nitric oxide
Prostaglandin
IL-1
TNF-alpha
0a
single
Pyrogens A pyrogen is a substance that induces fever. These can be either internal (endogenous) or external (exogenous) to the body. The bacterial substance lipopolysaccharide (LPS), present in the cell wall of some bacteria, is an example of an exogenous pyrogen. Endogenous Pyrogens IL 1 TNF PGs Depyrogenation may be ...
Pathology
null
843bdf04-a802-42e3-bcaa-4da85a4ad02d
Brown tumour is seen in
Hyperparathyroidism
Hypoparathyroidism
Hypothyroidism
Hypehyroidism
0a
single
Brown's tumour: This is an expansile bone lesion, a collection of osteoclasts. It commonly affects the maxilla or mandible, though any bone may be affected. Commonly seen in Hyperpathyroidism Ref: Maheshwari 6e pg 313.
Orthopaedics
Tumors
3151783f-6288-4824-a09a-7abfa85fdbb8
The technique for accurate quantification of gene expression is
Nohern blot
PCR
Real-Time Reverse Transcriptase PCR
Reverse Transcriptase PCR
2c
single
PCR Real-time PCR Traditional PCR For accurate quantification of the amount of initial DNA in the reaction Detects the DNA by electrophoresis at the end-point of the reaction
Biochemistry
Techniques in molecular biology
e495dbdf-d02e-4521-800a-8efe5652f0e6
A patient presents to the doctor with diplopia when looking towards the right. On examination, he is unable to move his right eye laterally past the midline. Damage to which of these nerves would produce this clinical presentation?
Abducent nerve
Trochlear nerve
Optic nerve
Oculomotor nerve
0a
multi
Clinical Presentation is of impaired abduction of one eye (right eye) d/t damage of VI nerve. Lateral rectus is paralysed
Medicine
Myasthenia Gravis and Muscular dystrophy
c8b01303-b011-42c7-8f59-bde3f4a0854f
Who was the first to determine the sequence of a polypeptide?
Pehr Edman
Frederick Sanger
John Kendrew
Oakley Fulthrop
1b
single
Sanger was the first to determine the sequence of a polypeptide. Mature insulin consists of the 21-residue A chain and the 30-residue B chain linked by disulfide bonds. Frederick Sanger reduced the disulfide bonds, separated the A and B chains, and cleaved each chain into smaller peptides using trypsin, chymotrypsin, a...
Biochemistry
null
312aad7e-ec53-492c-83c7-c4df7ec4fe11
Indications of circumcision are all except:
Balanoposthitis
Religious beliefs
Peyronie's disease
Paraphimosis
2c
multi
Indications of Circumcision Phimosis Religion (Jews and Muslims) Paraphimosis Balanitis or balanoposthitis Recurrent UTI BXO (balanitis xerotica obliterans)
Surgery
Urethra and penis
4d551e8e-a274-4906-979e-f4634303ec9e
The arrow marked structure is which part of corpus callosum:
Rostrum
Genu
Body
Splenium
3d
multi
Ans. D. SpleniumThe arrow marked structure is splenium of corpus callosum.
Anatomy
Neuroanatomy
4960bf3c-c50d-4980-b9b5-d438221a1db2
Cytosolic cytochrome C plays an impoant function in -
Apoptosis
Cell necrosis
Electron transpo chain
Cell division
0a
single
Ans. is 'a' i.e. ApoptosisMechanism ofApoptosiso Apoptosis is induced by a cascade of molecular events that may be initiated in distinct ways but culminate in the activation of caspases.o Caspases are central to the pathogenesis of apoptosiso The process of apoptosis is divided into two phasesi) Initiation phase --> Du...
Pathology
null
191286fd-7564-4cb8-a6e6-bcd68395b12b
Trigeminal nerve has how many nucleus?
2
3
4
5
2c
single
Ans. C.4Trigeminal nerve has four nuclei - 3 sensory and 1 motor nucleus.The sensory nucleus is divided into three parts, from rostral to caudal (top to bottom):a. The mesencephalic nucleusb. The chief sensory nucleus (or "main sensory nucleus" or "principal nucleus")c. The spinal nucleus
Anatomy
Neuroanatomy
ea9fb68f-419c-49f2-afdd-70bf2f887538
The deformity of tibia in triple deformity of the knee is?
Extension, Posterior subluxation & external rotation
Flexion, posterior subluxation & external rotation
Flexion, posterior subluxation & internal rotation
Extension, Anterior subluxation & internal rotation
1b
single
Flexion, posterior subluxation & external rotation REF: Apley's 8th ed p. 42 Triple deformity of knee consists of flexion, posterior subluxation of tibia and external rotation of tibia Treatment: ATT, Ahrodesis Causes: TB, Rheumatoid ahritis
Surgery
null
06b2dc5c-f116-4fab-af5d-d1a871ead700
Dates are rich source of -
Calcium
Iron
Vit C
Carotene
0a
single
In dates calcium present is 120mg,vitamin C is 3,carotene is 44mg per 100mg of datesREF. PARK'S TEXTBOOK OF PREVENTIVE AND SOCIAL MEDICAL 21ST EDITION. PAGE NO - 581
Social & Preventive Medicine
Nutrition and health
4ec3d9d4-5ffd-480b-8d09-6da1c6c56a59
Punishment for issuing false ceificate -
4 years
5 years
6 years
7 years
3d
multi
Sec 197 IPC: Issuing or signing the false ceificate Imprisonment up to 7 years. Ref: Dr. K.S. Narayan Reddy's Synopsis Of Forensic Medicine & Toxicology, 29th edition, Chap 3, Page-31.
Forensic Medicine
Medico legal procedures
89be0dc2-dd3f-4f6f-96c8-ac2a0b756003
What is the most common site of origin of thrombotic pulmonary emboli?
Deep leg veins
Lumen of left ventricle
Lumen of right ventricle
Mesenteric veins
0a
single
An embolus is a detached intravascular mass that has been carried by the blood to a site other than where it was formed. Emboli basically can be thrombotic or embolic, but most originate from thrombi. These thromboemboli, most of which originate in the deep veins of the lower extremities, may embolize to the lungs.
Pathology
null
68df4129-d0e0-4870-bb70-85973c2d81db
FDA approved antifungal treatment of mucormycosis?
Liposomal Amphotericin
Amphotericin B deoxycholate
Amphotericin B taurocholate
Voriconazole
1b
single
Amphotericin B Deoxycholate is the only FDA approved drug for mucormycosis.Ref: Harrison 18th/pg 1663
Pharmacology
Antibiotics
b3fc662b-c03c-4aad-890a-c3a29c8d82b2
Which of the following nipple discharge is most probably; physiological:
B/L spontaneous discharge
B/L milky discharge with squeezing from multiple ducts
U/L bloody discharge
U/L bloody discharge with squeezing from a single duct
1b
single
Ans. (b) B/L milky discharge with squeezing from multiple ductsRef: Bailey and Love 27th edition page 864* Bilateral milky discharge is from physiological lactation All other secretions may be pathological.
Surgery
Breast
d42a5a04-3ef1-4bf5-a3a1-2c22d3b7df66
Hallmark of breast malignancy on mammography?
Low density lesion
Smooth margins
Clusters of microcalcification
Popcorn calcification
2c
multi
Ans. c (Clusters of microcalcification) (Ref Graingerys Diagnostic Radiology, 4th ed., 2239)Diagnostic mammography verses screening mammography# Diagnostic mammography should not be confused with screening mammography, which is performed after a palpable abnormality has been detected. Diagnostic mammography is aimed at...
Radiology
Obstetrics And Gynaecology
7f2cf9d8-4c80-4c60-a04d-a515fdbebe0c
Not intravenous Anasthetic agent
Ketamine
Thiopantone
Etomidate
Cyclopropane
3d
single
D i.e. Cyclopropane
Anaesthesia
null
d08cf83f-9769-4daa-959e-9a969e7e9316
Computed Tomography (CT scan) is least accurate for diagnosts of:
1cm size Aneurysm in the Hepatic Aery
1cm size Lymph node inthe para-aoic region
1cm size Mass in the tail of pancreas
1cm size Gall stones
3d
multi
D i.e. 1 cm size Gall stones CT scan has a very limited role in diagnosis of gall stone (Cholelithiasis) as only a minority (20-60%) of gall bladder stones are visibleQ which show calcification. Most (70%) stones are cholesterol stones and 93% of them are radiolucent). CT scan, however, can evaluate complications such ...
Radiology
null
fe10cfb8-060c-499a-bf7a-af52adb9b4b6
Fetal hea can be detected earliest with trans-vaginal sonography at (from the last menstrual period
35 days
38 days
53 days
46 days
3d
single
46 days
Gynaecology & Obstetrics
null
fbef921b-9d5d-4de1-82c5-a5af4c3cbfda
NO is synthesized by -
Uracil
Aspartate
Guanosine
Arginine
3d
single
Ans. is 'd' i.e., Arginine * Nitric oxide, also called endothelium-derived-relaxing factor (EDRF), is formed from amino acid arginine, by the action of the enzyme NO synthase, which is cytosolic.ArginineNO synthase-------Citrulline + NO
Physiology
General
896d2131-ff4f-4c9e-8caf-f66de89c020f
The serum concentration of which of the following human Ig is maximum:
IgG
IgA
IgM
IgD
0a
single
IgG
Microbiology
null
043e59d9-f32d-4479-b10a-a6f22f7e5c0d
All the following are maternal adverse outcomes which are increased in women with threatened aboion except:
Placenta pre
Placental abruption
Manual removal of placenta
Gestational diabetes
3d
multi
Adverse Outcomes That are Increased in Women with Threatened AboionMaternalPerinatalPlacenta prePPROM & PROM Placental abruptionPreterm bihManual removal of placentaLow bih weightCesarean deliveryFetal growth restrictionFetal and neonatal feath(Ref: William's Obstetrics; 25th edition)
Gynaecology & Obstetrics
All India exam
a0bfc6c8-0bd3-4847-83ab-2f6d53612e78
A 12 year old male patient complains of pain in upper front teeth region and gives a history of fall while playing 30 minutes ago. Intra oral examination reveals intrusion of maxillary right central incisor by 2 mm. What is the most appropriate treatment for this patient?
Observe and allow the tooth to erupt without intervention.
Repositioned surgically and stabilized for 4 to 8 weeks by means of a flexible splint with endodontic intervention.
If no movement is evident after 2 to 4 weeks, the tooth may be repositioned either orthodontically or surgically with endodontic intervention.
If no movement is evident after 2 to 4 weeks, the tooth may be repositioned either orthodontically or surgically without endodontic intervention.
0a
multi
The treatment for a permanent tooth with a closed root end, and intruded less than 3 mm, is to allow the tooth to erupt without intervention. If no movement is evident after 2 to 4 weeks, the tooth may be repositioned either orthodontically or surgically before ankylosis can take place. If the tooth is intruded 7 mm or...
Dental
null
a708c39a-b8ee-4a4d-9726-7667101f37a1
Drug of choice for generalized anxiety disorder is:
Alprazolam
Buspirone
Venlafaxine
Beta - blockers
0a
single
Benzodiazepines are the drug of choice for generalized anxiety disorder. However, it must be remembered that benzodiazepines can cause dependence. The other drugs which can be used include SSRIs buspirone and venlafaxine.
Psychiatry
Neurotic, Stress Related and Somatoform Disorders
932f3bf1-7e93-421e-9aa9-e6e69711a487
Arlts line is seen in
Vernal keratoconjunctis
Pterygium
Ocular pemphigoid
Trachoma
3d
single
Arlts line is a linear scarring on the upper palpebral conjunctiva in patients of trachoma REF:Refer Khurana 6th edition page number 69
Ophthalmology
Conjunctiva
a0da453b-7aa2-4b9c-b8ec-4b1b199435fe
Squeeze technique is used for?
Retrograde ejaculation
Premature ejaculation
Erectile dysfunction
UTI
1b
single
Ans. is 'b' i.e., Premature ejaculation * Squeeze technique (Seman's technique) is used for premature ejaculation. When the male partner experiences 'ejaculatory inevitability' the female partner 'squeezes' the penis on the coronal ridge thus delaying ejaculation.
Psychiatry
Sexual Disorders
4ae9e117-b6e3-4eeb-9335-e4bbf743faec
A young male patient presents with complete rectal prolapse. The surgery of choice is
Abdominal rectopexy
Delerom's procedure
Anterior resection
Goodsall's procedure
0a
multi
Surgery is required, and the operation can be performed the perineal or the abdominal approaches. An abdominal rectopexy has a lower rate of recurrence,As an abdominal procedure risks damage to the pelvic autonomic nerves, resulting in possible sexual dysfunction, a perineal approach is also usually preferred in young ...
Surgery
G.I.T
c74cd94a-75eb-4a1c-9019-420e7d94e183
The drug that inhibits uterine contractility and cause pulmonary edema is:
Ritodrine
Nifedipine
Indomethacin
Atosiban
0a
single
Pulmonary edema is a serious complication of beta-adrenergic therapy (ritodrine) and MgSO4. This complication occurs in patients receiving oral or (more common) intravenous treatment. It occurs more frequently in patients who have excessive plasma volume expansion, such as those with twins or those who have received ge...
Gynaecology & Obstetrics
null
1505775f-141a-4481-ae30-e9cb74d410f4
Influenzae virus belongs to which family?
Paramyxovirus
Orthomyxovirus
Bunyaviridae
Togaviridae
1b
single
Ans. (b) OrthomyxovirusRef: Appendix-141 for viruses classification
Microbiology
Virology
2862835b-d210-4435-b5e4-7d0a40e9c673
Composition of toned milk is approximately close to:
Cow
Buffalo
Human
Goat
0a
single
Toned milk is a blend of natural milk and made up milk. It contains 1 pa water, 1 pa natural milk and 1/8 th pa of skimmed milk powder. It has composition almost equivalent to cow milk. Ref: Park, 22nd edition pg: 584
Social & Preventive Medicine
null
c9c58ad2-64f1-454b-a5a8-a0f8956216d4
Noble prize for sequencing insulin aminoacid sequence & molecular structure was given to:
Banting & Macleod
Sanger
Charles Best
Paul Berg
1b
single
B i.e. Sanger
Physiology
null
24e6e46a-91bb-4c8d-9047-170fe6250e05
Several weeks after surgical dissection of her left axilla for the removal of lymph nodes for staging and treatment of her breast cancer, a 32-year-old woman was told by her general physician that she had "winging" of her left scapula when she pushed against resistance during her physical examination. She told the phys...
The upper trunk of her brachial plexus
The posterior division of the middle trunk
Roots of the brachial plexus
The posterior cord of the brachial plexus
2c
multi
The long thoracic nerve was injured during the axillary dissection, resulting in paralysis of the serratus anterior. The serratus anterior is important in rotation of the scapula in raising the arm above the level of the shoulder. Its loss results in protrusion of the inferior angle ("winging" of the scapula), which is...
Anatomy
Upper Extremity
bd6532f4-2b73-4d11-89e0-62fab8726242
Post transplant lymphoma is ?
T cell
B cell
Null cell
NK cell
1b
single
B cell Nearly 1 to 20% of people who receive a solid organ transplant develop a lymphoma. - Lymphomas have also been repoed (though less .frequently) after bone-marrow transplants .for other disorders. Why does it happen? - Post-transplant lymphomas are almost always related to infection by the Epstein Barr Virus (EBV)...
Surgery
null
0dbb238f-db5f-4372-b689-79519f31f7f5
The following insulin can be given intravenously?
Protamine zinc insulin
Ultra lente insulin
Semi lente insulin
Regular insulin
3d
single
Ans. is 'd' i.e., Regular insulin o All preparations are administered by S.C. route except regular insulin which can be given
Pharmacology
null
95402f8f-9fc6-4fbe-b0bf-0b93e29ec537
What is the net ATP's formed in glycolysis?
5
7
10
15
1b
single
ATP formation in glycolysis: Reaction Catalyzed by Method of ATP Formation ATP per mol of Glucose Glyceraldehyde 3-phosphate dehydrogenase Respiratory chain oxidation of 2 NADH 5 Phosphoglycerate kinase Substrate-level phosphorylation 2 Pyruvate kinase Substrate-level phosphorylation 2 Total 9 Consumption of ATP for re...
Biochemistry
null
d6b152b3-2f1c-456e-b088-89c7a688d88d
Megaloblastic anemia, glossitis, pharyngeal ulcers, and impaired immunity. For each disorder above, select the dietary deficiency that is likely to be responsible.
Folate deficiency
Thiamine deficiency
Niacin deficiency
Vitamin D deficiency
0a
multi
Folate deficiency can occur from a number of etiologies including poor intake or absorption; in high-demand diseases such as sickle cell; and in inborn errors of metabolism. It can also be seen in conjunction with a variety of medication uses including high-dose nonsteroidal anti-inflammatory drugs (NSAIDs), methotrexa...
Pediatrics
Growth, Development, and Behavior
2684a5b9-ae21-4e5c-b8f4-57af48761299
Tamsulosin belongs to
5a-reductase inhibitors
a1a receptor blockers
a1a receptor agonist
5a-transferase inhibitors
1b
single
The mainstay of treatment for LUTS due to BPH is a1-adrenergic receptor blockers.a-adrenergic receptors are the most common adrenergic receptors in the bladder, and a1 is the most common subtype in the lower urinary system, prostate, and urethra. The action of a1 blockers is to relax the smooth muscle in the bladder ne...
Surgery
Urology
7337300c-9dda-47ab-a11b-d90393654d18
Krukenberg adenocarcinoma of the ovary can occur as a result of metastases from all except-
Stomach
Breast
Liver
Pancreas
2c
multi
Metastatic gastrointestinal & breast neoplasm to ovary are referred to as krukenberg tumors and are characterized by bilateral metastasis composed of mucin-producing signet-ring cells. The primary sites are → Stomach (most common), Pancreas, Colon, Gall bladder, Breast.
Pathology
null
009c363a-0b34-4788-90a2-cfcc721883d1
All of the following are true about fibrolamellar carcinoma of the liver except:
More common in females
Better prognosis than HCC
AFP levels always greater than 1000
Occur in younger individuals
2c
multi
It is AFP-negative, but patients typically have elevated neurotensin levels, normal liver function tests, and no cirrhosis. Ref: Harrison's Internal Medicine, 14th Edition, Page 580, 15th Edition, Page 590 and 18th Edition, Pages 784-785; Concise Pathology, 2nd Edition By Para Chandrasoma, Clive Roy Taylor, Page 650.
Surgery
null
7c886df8-fcfd-4a58-abc1-bb457169a4d0
A patient with H. Pylori infection is treated with drugs. The best method to detect presence of residual H.Pylori infection in this person is which of the following?
Rapid urease test
Urea breath test
Endoscopy and biopsy
Serum anti H.Pylori titre
1b
single
Urea breath test is a test with high sensitivity and specificity for Helicobacter pylori. It is a non-invasive test used to diagnose and confirm elimination of H.pylori infection. Ref: Davidson's principles and practice of Medicine, 20th Edition, Chapter 22, Page 886; Harrison's Principles of Internal Medicine, 17th Ed...
Medicine
null
3c819270-3cb0-4760-9776-8c4d79c35a15
BRCA-1 postive women have ____% increased risk of breast carcinoma
10
20
40
60
3d
single
Ref: schwaz's principle of surgery 10th edition Pg no :514-515 Sabiston 20th edition pgno: 832
Anatomy
Endocrinology and breast
0dac301f-8874-4292-9164-3e794bb9eeb4
Structures in the portal triad are all except:
Hepatic artery
Hepatic vein
Portal vein
Bile duct
1b
multi
Ans. B. Hepatic veinThe hepatic lobules are small divisions of the liver defined at the microscopic (histological) scale. The hepatic lobule is a building block of the liver tissue, consisting of a portal triad, hepatocytes arranged in linear cords between a capillary network, and a central vein.A portal triad is a dis...
Anatomy
Abdomen & Pelvis
711e4df3-e0c5-4c62-98f7-d0dc37d23035
Enzyme used in PCR is ?
Reverse transcriptase
Tag polymerase
RNA polymerase
None
1b
multi
Ans. is 'b' i.e., Taq polymerase PCR is a method of enzymatic amplification of a target sequence of DNAe.It is sensitive, selective (specific) and extremely rapid means of amplifying any desired sequence of double stranded DNAe, which can be as sho as 50-100 base pairs (bp) and as long as 10 kbp.In PCR, the DNA to be a...
Biochemistry
null
2a1cecb3-2d8b-484b-bf5d-bd2f14b2c71d
In depression , there is deficiency of:
5-HT
Acetylcholine
Dopamine
GABA
0a
single
Ref: Katzung 14th ed. Monoamines like serotonin and nor-adrenaline are deficient in depressive patients, therefore reuptake inhibitors of these monoamines are used for treatment of depression.
Pharmacology
Central Nervous system
fa17097e-1697-4408-95f1-d7a74f1a8a06
The subcostal angle during pregnancy is:
85deg
95deg
105deg
75deg
2c
single
The lower ribs flare out,the subcostal angle increases from 68deg to 103deg,the transverse diameter of the chest increases by 2 cm and the diaphragm rises by about 4 cm in pregnancy. Refer page no 80 of text book of obsteics,sheila balakrishnan,2 nd edition.
Gynaecology & Obstetrics
General obstetrics
387dbab7-913f-442f-a989-2fec48896ffd
Rickety rosary seen in all except –
Rickets
Scurvy
Chondrodystrophy
Syphilis
3d
multi
Rachitic (Rickety) rosary The prominent knobs of bone at costochondral junctions of rickets patient is known as rachitic rosary or beading of ribs. The knobs create the appearance of large beads under the skin of the rib cage, hence the name by analogy with the beads of a rosary. Differential diagnosis of enlargement...
Pediatrics
null
4b431f3b-aa06-46f8-b9ba-a5b2069ddcd7
Drug commonly used in t/t of endometriosis -
LH
GnRH analogues
MPA
FSH
1b
single
Ans. is 'b' i.e., GnRH [Ref: Shaw's Gynae 15th/ e p. 473) Both B and C are correct. However- Commonly used is B. Treatment of endometriosis Asymptomatic minimal cases:- Observe for 6-8 months & investigate infertility Symptomatic cases:- Drug treatment OCPs Mirena lUCD Progesterone Androgens GnRH analogues Aromatase in...
Unknown
null
d16c817a-d794-4f0d-921c-cd46260e44f3
The physiological change occurs in a cardiac muscle cell when there is plateau phase of action potential is:
Influx of Na
Influx of Ca2+
Influx of K+
Closure of voltage gated K channels
1b
single
The transmembrane action potential of single cardiac muscle cells is characterized by, Rapid depolarization (phase 0) Initial rapid repolarization (phase 1) Plateau (phase 2) Slow repolarization process (phase 3) that allows return to the resting membrane potential (phase 4). The initial depolarization is due to Na+ in...
Physiology
null
1c1438f8-a53f-4344-9b04-d6aef6c45b20
All of the following are principles of tendon transfers except
There should be no contracture at the joint
The line of pull must be straight
One tendon must do one function only
A muscle power less than 3 can also be used
1b
multi
Answer- B. The line of pull must be straightAdequate strengthThe tendon chosen as a donor for transfer must be strong enough to perform its new function in its altered position.Selecting an appropriate motor is impoant because a muscle will lose one grade of strength following transfer. Do not transfer muscle that has ...
Surgery
null
454e0232-51d4-4716-a4be-77cf79de52c4
Which of the following procedure is not done in CHC?
Aboion
Blood transfusion
Caesaran section
Urine microscopy and culture sensitivity
3d
single
Care of routine and emergency cases in surgery Care of routine and emergency cases in medicine 24-hour delivery services,including normal and assisted deliveries Essential and emergency obstetric care Full range of family planning services including laparoscopic services Safe aboion services Newborn care Routine and em...
Social & Preventive Medicine
Health education & planning
a8a2f5fe-e22a-4ea7-9292-df1dc87f615d
Which of the following is not an indication of amniocentesis for chromosomal anomaly detection?
Gestation diabetes
Previous Down's child
Maternal age more than 35
Parents with chromosomal anomaly
0a
single
Ans, is a, i.e. Gestation diabetesRef. Dutta Obs. 7/e, p 647; Fernando Arias 3/e, p 46, 47; COGDT 10/e, p 107, Williams Obs. 23/e, p 299, 300Amniocentesis or chorionic villi sampling should be offered to the following class of patients:-Singleton pregnancy and maternal age 35 years or above.-Twin pregnancy at age over ...
Gynaecology & Obstetrics
Diagnosis in Obstetrics
8f335e06-3180-4f20-b679-c84e66f8027f
Multiple painful ulcers over glans without in duration is suggestive of –
LGV
Granuloma inguinale
Chancroid
2° syphilis
2c
single
Chancre, LGV, Donovanosis Indurated ulcer (firm induration). HSV Non-indurated ulcer. Chancroid → Can be both either Non-indurated or soft induration (but there is no firm induration, therefore usually considered as non-indurated).
Dental
null
dfd79457-cb55-4120-876a-0c8b5c8df84e
Which view is best for viewing hollow viscus perforation
Erect
Supine
Right lateral
Left lateral
0a
single
The PA erect abdominal radiograph is often obtained in conjunction with the AP supine abdominal view in the acute abdominal series of radiographs. When used together it is a valuable projection in assessing air fluid levels, and free air in the abdominal cavity. Ref: Internet
Surgery
G.I.T
cea76f00-c75d-498c-baf5-b24a22f45b6b
A child presents with massive hemetemesis and systemic hypotension. He has no fever or other significant history. Examination reveal massive splenomegaly but no hepatomegaly. Likely diagnosis is
Hepatocellular carcinoma
Bleeding duodenal ulcer
Oesophageal varices
Non-cirrhotic poal fibrosis
3d
single
Answer is D (Non cirrhotic poal fibrosis): NCPF is suspected in a patient presenting with symptoms of poal hypeension with: YOUNG AGE Moderate/Large Splenomegaly NO FEATURES SUGGESTIVE OF LIVER CELL FAILURE -No Jaundice (uncommon) - No Ascitis (uncommon) - No Hepatomegaly (uncommon) - No Stigmata of liver cell failure ...
Medicine
null
63689d44-95bd-45db-bbbf-b6aa59bfb122
Initial treatment of keloid
Topical steroid
Intralesional steroid
Excision
Radiotherapy
1b
single
Answer- B. Intralesional steroidIntralesional injection of steroid (Triamcinolone acetate) is now recommended as the first line of t/t for keloid.
Surgery
null
63d9496b-f572-4dd7-8863-fda99f500dd1
Edema feet is not a feature of:
Conn syndrome
Hypothyroid
CHF
Nephrotic syndrome
0a
single
Ans. A. Conn syndromea. In Conn syndrome there is profound hypokalemia that leads to nephrogenic diabetes insipidus.b. Although excess of sodium is reabsorbed due to high amount aldosterone, but excess of water is lost. Hence edema feet is not a feature in Conn syndrome.
Medicine
Endocrinology
b1b27cac-4175-44da-95e7-091b8c0139b0
Not the signs of accidental injury in a child: CMC (Vellore) 10
Subdural hematoma
Abrasion on the knees
Swelling in the occiput
Bleeding from the nose
0a
single
Ans. Subdural hematoma
Forensic Medicine
null
2dc3be2f-c446-4c40-8a26-875f952c4a48
Ash leaf maculae is found in :
Tuberous sclerosis
Neurofibromatosis
Lymphangioma
None
0a
multi
A i.e. Tuberous sclerosis
Skin
null