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135
93b3febb-00b7-4249-ab2f-83dd0e7d3c73
Chest X-ray showing opacity in the lung with irregular calcification is suggestive of –
Lung carcinoma
Hamartoma
Hydatid cyst
Adenoma
1b
single
Irregular central calcification is characteristic of hamartoma.
Radiology
null
388e9a6d-fef7-4e4b-8168-0da83846fe14
Power of chief judicial magistrate is imprisonment up to -
7 years
5 years
3 years .
Death sentence
0a
single
null
Forensic Medicine
null
f7ccc9f7-59da-4f7d-910c-01f5d2bfce70
The commonest valvular manifestation of acute as well as previous rheumatic carditis is
Mitral stenosis
Mitral regurgitation
Aoic stenosis
Aoic regurgitation
1b
single
Mitral regurgitation (MR) is the commonest manifestation of acute as well as previous rheumatic carditis. Reference: Essential Paediatrics; O.P. Ghai; Page no: 438
Pediatrics
C.V.S
88255dc3-b023-4d6a-97cd-4afdc42442d0
In peripheral tissues which of the following contains substance P:
Plasma cell
Mast cell
Nerve terminal
Vascular endothelium
2c
single
null
Physiology
null
13e88c5e-563a-4109-9e3c-020b1643a54b
Thinnest pa of the skull
Lambdoid suture
Temporal pa of bone
Pterion
Occiput
2c
single
The anterior pa of the floor of the temporal fossa is crossed by an H shaped suture where four bones,frontal,parietal,greater wing of sphenoid and temporal adjoin each other.This area is termed the pterion. REF.B D Chaurasia's Human Anatomy VOL.3,Fouh edition
Anatomy
Head and neck
a0c65ec6-228b-46a8-b3fb-e40662190620
A 43-year-old woman with chronic alcoholism presents with shortness of breath and edema. On examination, her blood pressure is 100/60 mm Hg, pulse 110/min, JVP is 8 cm, the cardiac apex is displaced and enlarged, there are bilateral inspiratory crackles, and there is pedal edema.For the patient with vitamin deficiency ...
niacin
thiamine
pyridoxine
vitamin C
1b
single
Thiamine deficiency can cause high-output cardiac failure (wet beriberi) or neurologic symptoms (dry beriberi). In North America, thiamine deficiency occurs in alcoholics or those with chronic disease. In alcoholics, deficiency is secondary to low intake, impaired absorption and storage, and accelerated destruction. Ge...
Medicine
Endocrinology
02a20191-855f-4796-8cc7-63fa9c6ef9d0
Clinical features of anicteric Leptospirosis are all EXCEPT: March 2013
Influenza like illness like fever, hepatosplenomegaly, nausea, headache etc.
Muscle pain
High moality
Conjuctival suffusion is MC finding on physical examination
2c
multi
Ans. C i.e. High moality Leptospira Leptospirosis is transmitted by: Rat urine Leptospirosis is associated with: Rat, Ricefields, Rain Weils disease is caused by: L. icterio-hemorrhagica
Medicine
null
d25c3d6f-ee87-4a67-8084-a2c0f9d65da2
Ulcers in diabetes are precipitated by all EXCEPT: September 2012
Microangiopathic changes in blood vessels
Neuropathy
Trophic ulcers
Macroangiopathy
0a
multi
Ans. A i.e. Microangiopathic changes in blood vessels
Surgery
null
5e38c43e-63b2-49dd-8e9d-8102c93cdb68
In exocrine pancreatic cancer, the commonest tumour marker to be elevated as -
CA-125
CEA
CA-15-3
CA-19-9
3d
single
null
Pathology
null
ed99eb74-879d-452e-b935-433b74f94f53
All of the following features in the knee are recognized to be consistent with a torn medial meniscus, except
Excessive forward glide
Giving way
Locking
Mc. Murray's sign
0a
multi
A i.e. Excessive - History of twisting strain (flexion, abduction/ valgus and medial rotation of femur on fixed tibia Q/ lateral rotation of tibia on fixed femur) followed by locking of knee pintQ is diagnostic of medial meniscus tear. - Mc Murray's test, Apley grinding test and Squat tests are done to diagnose meniscu...
Surgery
null
007f0c03-fdc2-41c2-aaf3-a88bd3d122f4
`NALGONDA technique' is used in -
Endemic-fluorosis
Epidemic-dropsy
Endemic-ascites
Ncurolathyrisin
0a
single
Ans. is 'a' i.e., Endemic fluorosis interventions to prevent fluorosis a) Changing of water source o Running surface water contains lower quantities of fluoride than ground water. b) Chemical treatment Water can be chemically defluoridated in a water treatment plant. The National Environmental Engineering Research Inst...
Social & Preventive Medicine
null
d036be29-be60-4f66-baab-2803b32743be
Post moem stiffening is called: March 2005
Putrefaction
Rigor mois
Livor mois
Mummification
1b
multi
Ans. B: Rigor mois Putrefaction: It is the final stage following death in which destruction of the soft tissues of the body is mainly caused by the action of bacterial enzymes. Rigor mois/death stiffening/cadaveric rigidity: is a state of muscle stiffening sometimes with slight shoening of the fibres. Post-moem hyposta...
Forensic Medicine
null
bbf2672a-4216-4e9b-9854-fcf931caffc7
Werner's syndrome (multiple endocrine neoplasia type I) is characterised by all of the following except -
Tumours of anterior pituitary
Tumours of parathyroids
Pancreatic adenomas
Phaeochromocytoma
3d
multi
null
Medicine
null
a89aceeb-93c1-4503-afef-917af5fa307e
Renal threshold for glycosuria
100 mg/dl
180 mg/dl
300 mg/dl
350 mg/dl
1b
single
For glucose, the renal threshold is 180 mg/dl and Tm is 375 mg/min. In other words, glucose stas to appear in urine when blood level is more than 180 mg/dl, and all the glucose molecules above 375 mg are excreted in the urine. abnormal conditions, the renal threshold may be lowered so that even at lower blood levels, c...
Biochemistry
Metabolism of carbohydrate
293e83de-08ea-42e6-9e30-09b227cd0b4c
Bulls eye retinopathy is seen in toxicity of-
Quinine
Tobacco
Ethanol
Chloroquine
3d
single
Chloroquine and hydroxychloroquine can cause toxic retinopathy due to their binding of melanin in the retinal pigmented epithelium (RPE) as well as direct toxicity to retinal ganglion cells. Early findings include mottling of the RPE and blunted foveal reflex. As the retinopathy progresses, a bull's-eye maculopathy dev...
Ophthalmology
Diagnosis and Treatment of Retina
2d3b2382-b950-4829-b6ee-2a5bdd5b97b2
The following are indications for performing thoracotomy after blunt injury of the chest, except
1000 ml drainage after placing intercostal tube
Continuous bleeding through intercostal tube of more than 200 ml/hour for three or more hours
Cardiac tamponade
Rib fracture
3d
multi
Ans. is 'd' i.e. Rib fracture
Surgery
null
04b2d580-5ad1-43aa-adba-3f040da14405
Landau reflex is absent in:
Hypotonia.
Hypertonia.
Mental abnormality.
All of the above.
3d
multi
null
Dental
null
4ee1235e-9682-46b5-9b9e-3a3d5fcf7577
True regarding colovesical fistula
Most commonly presents with pneumaturia
Most commonly caused by colonic cancer
More common in females
Readily diagnosed on barium enema
0a
multi
.* Left sided growth presents with colicky pain, altered bowel habits (alternating constipation and diarrhoea), palpable lump, distension of abdomen due subacute/ chronic obstruction. Later may present like complete colonic obstruction. Tenesmus, with passage of blood and mucus, with alternate constipation and diarrhoe...
Surgery
G.I.T
14c2bbae-1d49-4072-86cd-09d38dc763c3
All of the following are true about lateral cutaneous nerve EXCEPT:
Supplies skin over the lateral skin of thigh
Supplies skin over the medial aspect of thigh
Arises from L2 and L3
It is a purely sensory nerve
1b
multi
Ans. B Supplies skin over the medial aspect of thighRef: Clinical Anatomy, 11th ed. pg. 251* The femoral nerve supplies the skin of the medial and anterior aspects of the thigh via its medial and intermediate cutaneous branches.* The lateral aspect is supplied by the lateral cutaneous nerve of the thigh (L2-3).* As its...
Anatomy
Nerves of Lower Extremity
ede64527-ce9c-43c6-b551-a66207e8a053
Persistant vomiting most likely causes -a) Hyperkalemiab) Acidic urine excretionc) Hypochloraemiad) Hyperventilation.
a
c
bc
ad
2c
single
Persistent vomiting leads to loss of large amount of gastric fluid. Gastric fluid consists of large amount of HCL along with potassium Thus the metabolic abnormality associated with repeated vomiting is metabolic alkalosis in combination with hypochloretnia and hypokaletnia. In the early stages the kidneys are able to ...
Medicine
null
ac9268be-eadc-400c-8042-6f677e271937
Which of the following lesion is least likely to be eccentric?
GCT
Simple bone cyst
Osteochondroma
Aneurysmal bone cyst
1b
single
Simple Bone cyst is seen in metaphysis or in diaphysis and it can be least likely to be at an eccentric location. Aneurysmal bone cyst is the lesion most likely to occur in ecentric location. All other lesions might sta from centre but ultimately during presentation,they present as eccentric lesion.
Orthopaedics
Ohopedics Oncology
b2455ded-d50b-4698-b4a4-cfd09af60698
Which of the following is an anti-apoptotic gene?
C-myc
p53
bcl-2
bax
2c
single
Ans. (c) bcl-2
Pathology
Apoptosis
c8421ff4-4298-45c5-8963-e28140a6df3c
True about pilocytic astrocytoma all except -
Long survival
Total surgical resection possible
Can involve posterior fossa
Median age at presentation is more than 80 years
3d
multi
Pilocytic astrocytomas are relatively benign tumors, typically affecting children and young adults. Most commonly located in the cerebellum, they also may involve the third ventricle, the optic pathways, spinal cord, and occasionally the cerebral hemispheres. There is often a cyst associated with the tumor, and symptom...
Pathology
Nervous system
edb50111-0070-48ac-a6b7-ae54f244ca80
Decreased vascularity of fibroid is seen with :
GnRH agonist
Danazol
Mifepristone
All
3d
multi
Ans. is a, b, and c i.e. GnRH analogues; Danazol; and Mifeprestone As I have already explained in previous question, the drugs used to decrease blood loss / vascularity of fibroid during surgery are :
Gynaecology & Obstetrics
null
4c7a4299-ab06-4482-a7d9-95f8f0adef1a
Intercourse in closely related individual in relation -
Incest
Adultery
Bestiality
Tribadism
0a
single
Ref:Textbook of forensic medicine and toxicology (V.V.Pillay) 17th edition, page no. 404 Incest is defined as natural sexual intercourse between two persons so closely related that they are forbidden by law to marry. Incest most frequently occurs between members of nuclear family, and the victim s are most often childr...
Forensic Medicine
Sexual offences and infanticide
e7175c65-376b-40e8-8ee9-ed3ae5cfc60e
Drug metabolized by Glutathionation is
Benzodiazepines
Dapsone
Fosfomycin
Nicotinic acid
2c
single
Fosfomycin and Ifosfamide are metabolized by glutathionation.
Pharmacology
null
f0db5ac0-ee6e-413f-82ab-0ccbff11eab1
A 19-year-old man is brought to the emergency department with a stab wound at the base of the neck (zone I) (Figure below). The most important concern for patients with such injuries is which of the following?For the purpose of evaluating penetrating injuries, the neck is divided into three zones. Zone I is below the c...
Upper extremity ischemia
Cerebral infarction
Exsanguinating hemorrhage
Mediastinitis
2c
multi
Exsanguinating hemorrhage is the predominant risk, because bleeding may not be easily recognized, given that bleeding into the pleural cavity and mediastinum can occur. The abundant collateral blood supply generally protects against upper extremities or cerebrovascular compromise.
Surgery
Trauma
d01f4d5a-640b-4432-8764-5055e142ca2c
Westermark's sign is seen in:
Pulmonary embolism
Pulmonary sequestration
Pulmonary alveolar proteinosis
A.B.P.A (Allergic Broncho-pulmonary Aspergillosis)
0a
multi
Ans. (a) Pulmonary embolismRef: Harrison 19th ed. /1633Westermark sign is due to focus of oligemia in pulmonary embolism (PE). The sign develops due to following reasons:* Dilation of the pulmonary arteries proximal to the embolus* Collapse of the distal vasculature creating the appearance of a sharp cut off on chest X...
Radiology
Imaging of Interstitial Lung Disease
f5ca7424-6532-4d88-836e-f909bb1f468f
Which is not a content of inguinal canal -
Spermatic cord
Ilioinguinal nerve
Genital branch of genitofemoral nerve
Inferior epigastric artery
3d
single
Ans. is 'd' i.e.. Inferior epigastric artery Contents of inguinal canalo Spermatic cord in male or round ligament of uterus in female.o Ilioinguinal nerve : It enters through the interval between external and internal oblique muscles,\o Genital branch of genitofemoral nerve is a constituent of spermatic cord.
Anatomy
Abdominal Wall
badd1e7b-38f7-46ed-a0dd-d8aa384bb201
True about ACE inhibitors are all except:
Contraindicated in asthma
Lacks postural hypotension
Decreases potassium concentration
Does not affect quality of life
2c
multi
The  adverse effect profile of all ACE inhibitors is similar. One adverse effect is: Hyperkalaemia: This is likely in patients with impaired renal function and in those taking K+ sparing diuretics, NSAIDs or blockers. In others, significant rise in plasma K+ is rare. It does not cause decrease in K+ concentration. Refe...
Pharmacology
null
4b7f4b57-5292-4a41-afef-5581dfe17eb9
Which of the following ophthalmological anomaly is seen in WAGR syndrome
Lens coloboma
Retinitis pigmentosa
Aniridia
Trabeculodysgenesis
2c
single
Some impoant syndromes and their associations to be remembered Down's syndrome: Congenital cataract Rubella Syndrome : Congenital Cataract WAGR Syndrome: Aniridia Gillepsie syndrome: Aniridia FRASER Syndrome: Cryptophthalmos Marfan's syndrome: Subluxation of lens Patau Syndrome: PHPV
Ophthalmology
Investigation in ophthalmology and miscellaneous topics
ab4bb103-8e0c-46f8-a95a-214f91fa7762
ACTH is produced by which of the following Bronchogenic carcinomas
Adenocarcinoma
Small cell carcinoma
Squamous cell carcinoma
Branchoalveolar carcinoma
1b
multi
Answer is B (Small cell carcinoma): Small cell carcinomas are the most common bronchogenic carcinomas associated with paraneoplastic syndrome and ectopic hormone production including ACTH. ACTH may also be uncommonly produced by non small cell variants including adenocarcinoma and squamous carcinomas, but small cell ca...
Medicine
null
532b0cc2-1223-4027-b7a8-1b0e134e9ccf
A female married to a normal male but her father had vitamin D resistant rickets. So what are the chances that her childrens will be colour blind: March 2013
0%
50%
75%
100%
1b
single
Ans. B i.e. 50% X-linked dominant are transmitted by an affected heterozygous female to half her sons and half her daughters and by an affected male parent to all his daughters but none of his sons, if the female parent is unaffected.
Pathology
null
ce712b90-6afa-4815-ae0c-103083ca90ae
All of the following are described surgical procedures for CTE V except -
Dwyer's osteotomy
Posteromedial soft tissue release
Triple Arthrodesis
Salter's osteotomy
3d
multi
Ans. is 'd' i.e., Salter's osteotomy
Orthopaedics
Management In Orthopedics
8e729c50-bd16-4d00-994c-3fa4844f89a5
Rubrospinal tract influences -
Posture and balance
Valuntary activity
Vestibuloocular stimuli
All of the above
1b
multi
Ans. is'b' i.e., Voluntary activityActions of extrapyramidal systemsReticulospinal (Rubrospinal tracts -+ voluntary and reflex (involuntary) activity.
Physiology
null
f0c6b2a7-3f1f-41ef-8d5c-9ffe67f76416
NOT a content of Rectus sheath among the following is
Pyramidalis
Superior epigastric artery
T12
T6
3d
single
Thorcoabdominal nerves (T7 - T11) and Subcostal nerve ( T12) are the nerves of Rectus sheath. T6 is not the content of Rectus sheath
Anatomy
null
dcfb69b0-034c-4be7-863b-0bc5bcce6bcd
Characteristic feature of Otosclerosis are all except:
Conductive deafness
Positive Rinne's test
Paracusis willisii
Mobile ear drum
1b
multi
Tuning Fork Tests in OtosclerosisRinnes test-negativeWebers test-lateralised to ear with greater conductive lossAbsolute bone conduction-normal (It is decreased in cochlear otosclerosis)Pure tone audiometry-shows loss of air conduction more for lower frequency. * Tympanic membrane is normal and mobile in 90% cases. Sch...
ENT
null
5eed4503-aa75-4be8-a1e6-eb59a99c505b
Long term potentiation means
Enhancement of signal transmission
Increased number of receptors
Increased number of neurons
Increased muscle tone
0a
single
(A) Enhancement of signal transmission# LONG-TERM POTENTIATION (LTP): a long-lasting strengthening of the response of a postsynaptic nerve cell to stimulation across the synapse that occurs with repeated stimulation and is thought to be related to learning and long-term memory.> Long-term potentiation (LTP) is a long-l...
Physiology
Misc.
64904449-12d5-46c5-8a8a-1e67d65021a4
Cell matrix adhesion are mediated by
Cadherins
Integrins
Selectins
Calmodulin
1b
single
ref, Robbins 8/e p96;9/ep24 The cell adhesion molecules are classified into four main families: Immunoglbulin family CAMs Cadherins Selectins
Anatomy
General anatomy
6a047e35-14a3-4113-b771-eab1ae877f45
Mr.X fired his gun at Mr.Y who moved and escaped with the bullet only grazing his arm. There was only a little bleeding and no other significant injury. Mr. X is liable for arrest under which section of IPC?
302
304
324
326
2c
single
In the question there is simple injury by a dangerous weapon, hence 324 IPC IPC Sections related to Hu etc:- 319. Definition of Hu (Any Bodily pain, Infirmity or Disease) 320. Definition of Grievous hu. 321 Defines Voluntarily causing hu 322 DefinesVoluntarily causing Grievous hu 323 Punishment for causing hu: Up to 01...
Forensic Medicine
FMT Q Bank
71ee777b-5172-4b88-bf04-9f6dd530db8c
Fasciotomy- all of the following are cut except
Skin
Superficial fascia
Deep fascia
Muscles
3d
multi
Answer- D. MusclesFasciotomy or fasciectomy is a surgical procedure where the fascia is cut to relieve tension or pressure commonly to treat the resulting loss of circulation to an area of tissue or muscle.Fasciotomy is a limb-saving procedure when used to treat acute compament syndrome
Surgery
null
b730ca3a-4a7e-46ee-a552-e7138e78acb1
Identical twins can be differentiated by:-
Finger print
DNA fingerprinting
Blood grouping
Age
0a
single
Fingerprints are the impressions of the patterns formed by the papillary or epidermal regions of the fingeips. The patterns are not inherited and paternity cannot be proved through fingerprint patterns The pattern is different even in identical twins.
Forensic Medicine
NEET 2019
7c831812-8b4e-46af-a796-62c9bbb513a4
Paradoxical splitting of second hea sound Heard in
RBBB
ASD
VSD
LBBB
3d
single
Ref Harrison 19 th ed pg 1447 Reversed or paradoxical splitting refers to a pathologic delay in aoic valve closure, such as that which occurs in patients with left bundle branch block, right ventricular pac- ing, severe AS, HOCM, and acute myocardial ischemia. With reversed or paradoxical splitting, the individual comp...
Anatomy
General anatomy
a940caed-2946-4333-ba9c-c6c108cb0e62
Optic nerve injury following sinus surgery is due to removal of which ethmoidal cells?
Haller
Agger nasi
Onodi cells
Bullae cells
2c
multi
Onodi cell "Onodi cell" is the posterior most posterior ethmoid cell extending lateral to the sphenoid sinus. While removing disease from the Onodi cells there are chances of injury to optic nerve and internal carotid which lie in the vicinity. The posterior ethmoidal cells in the floor of orbit are known as "Haller ce...
ENT
JIPMER 2018
e2404706-3191-423e-b556-737ce8d206e8
What is ultimate strength:
Stress at the point of fracture.
Total energy stored in the body at the point of fracture.
Maximum stress beared by body before fracture.
None of the above.
2c
multi
option A is fracture strength. Option B is toughness
Dental
null
54674627-92b8-4061-959a-c3b89edc7487
Little finger of hand corresponds to which of the following dermatomes:
C6
C7
C8
T1
2c
single
C i.e. C8Thumb corresponds to C6; middle & ring fingers to C7; and little finger to Cs dermatomesQ
Anatomy
null
cd54d8e4-bdeb-4551-b6b7-5c241b11252f
Human fibroblast cell line is used for cultivation of ?
Adenovirus
Poliovirus
HIV
Measles
1b
single
Ans. is b i.e., Poliovirus Human diploid fibroblasts (HDF) cell line is used for cultivation of coxsackie A7, 9, 16; CMV; Echovinis; enteroviruses; HSV-1, 2; Poliovirus; parainfluenzavirus, rhinovirus and VZV.
Microbiology
null
ca960582-fc6f-4685-9ee6-62a4f3c33b76
All are true about estrogen, EXCEPT:
Causes cholestasis
Used in treatment of gynacomastia
Used in H
Increased risk of breast cancer
1b
multi
They promote the development of female secondary sexual characteristics, such as breast development. So it is not used in treatment of gynaecomastia. Estrogen and other hormones are given to postmenopausal women as a pa of hormone replacement therapy (H) in order to prevent osteoporosis as well as treat the symptoms of...
Gynaecology & Obstetrics
null
25d82a6e-edb0-4005-88e7-702bcf370c80
Patients with 'Hemophilia A' have bleeding disorder because of -
Lack of platelet aggregation
Lack of reaction accelerator during activation of factor X in coagulation cascade
Neutralization of antithrombin III
Release of Thromboxane A2
1b
single
null
Pathology
null
bd41ca8e-4d04-498c-943d-79b85a4829e5
Not true about tubercular bacilli -
Facultative anaerobe
Discovered by Robert Koch
Gram positive
Has thick cell wall
0a
multi
Ans. is 'a' i.e., Facultative anaerobe* M. tuberculosis was discovered by Robert koch.* M. tuberculosis is gram-positive, obligate aerobe, acid-fast, straight or slightly curved rod. Electron microscopy shows thick cell wall.* M. tuberculosis is acid-fast bacillus and resists decolorization by 20% H2SO4. Acid fastness ...
Microbiology
Bacteria
6d6db6e9-cc75-45d3-9a91-1afcfa84b67b
A posthumous child is:
Still born
Child born after father s death
Child born after mother s death
Fictitious child claimed by a women as her own
1b
single
Ans. (b) Child born after father's deathRef: The Essentials ofFSM by K.S. Narayan Reddy 31st ed./369* Posthumous child: child born after father's death, the mother being conceived by the said father.* Suppositious child: Fictitious child claimed by a women as her own, a women may pretend pregnancy & deliver and later p...
Forensic Medicine
Abortion and Delivery
9d1e779e-608d-43d0-b5dc-323865e348c3
All of the following are characteristic of Datura poisoning except -
Delirium
Diplopia
Pin-point pupils
Dysphagia
2c
multi
In datura poisoning, there is dilatation of pupil (not pin point pupil). Features of datura poisoning are described as '9D':- Dry hot skin: 'Hot as a hare'.   Dilatation of cutaneous blood vessels causing a facial flash. 'Red as a beet'.                     Dilatation of pupil with loss accommodation and unresponsive...
Forensic Medicine
null
9f44a29a-e1e8-4f05-89a2-e778dba5b633
The Most common cause of perinatal mortality is
Anoxia
Prematurity
Congenital anomalies
Toxaemia
1b
single
(B) Prematurity # Direct causes of death: About 80% of the perinatal deaths are related to perinatal hypoxia, low birth weight, infection & intracranial haemorrhage.> The undetermined group is reduced to 15%.> Thus autopsy study is essential in any perinatal; mortality study when the real causes of death can only be as...
Pediatrics
Miscellaneous
8e1da54b-d431-4cf2-a82e-eb3fa5e6a84a
who introduced camhor for patients for production of seizures for management of mental illness
adler
medunna
freud
cerletti
1b
single
HISTORY * Medunna ====IM injection of camphor to induce seizures * Ugo cerletti and lucio bini==== ECT in a catatonic patient INDICATIONS * DEPRESSION SUICIDAL IDEAS-------------- first choice * CATATONIC SCHIZOPHRENIA * SCHIZOPHRENIA * MANIA * ELECTRODE PLACEMENT * Most commonly used=== bi fronto temporal * More cogni...
Anatomy
Treatment in psychiatry
d68aa589-253a-4de3-bd61-770ce26a466b
All of the following are true about Sibson's fascia except
Attached to cervical pleura
Arises from scalenus anterior
Subclavian arched over it
Attached to C7
1b
multi
Ref. Gray’s anatomy.  41st edition. Page. 446,896. Topic, Subtopic – Thorax, fascia Sibson's Fascia: The suprapleural membrane, also known as Sibson fascia, is a dense fascial layer that is attached to the inner border of the first rib and costal cartilage anteriorly, C7 transverse process posteriorly and to the medias...
Unknown
null
b65b99da-87a9-4044-a344-1115dce14ba1
Atopic dermatitis is diagnosed by –
Patch test
Wood lamp
Clinical examination
IgE
2c
single
Diagnosis of atopic dermatitis is largely clinical and is facilitated by using major and minor criteria.
Dental
null
f2c44da5-1e91-42c2-8b20-5e28dc20bd8a
Colour vision is with the help of:
Rods
Cones
Cortex
Optic disc
1b
single
Ans: b (cones) Ref: Ganong, 22nd ed, p. 159A straight forward question! Cones play a very important role in colour vision and rods in night vision (dim light)Cones are the visual receptors which impart to the eye, the ability for colour visionThere are three types of cone pigments:- Cvanolabe- Ervthrolabe- ChlorolabeTh...
Physiology
Nervous System
35869fd4-cc38-467d-aea4-f879870660cb
Which of the following drugs is not used for induction of labour?
PGE2
PGE1
Mifepristone
Betamethasone
3d
single
Ans is 'd' i.e., Betamethasone o Following are the drugs used in medical induction of labour:# Prostaglandins PGE2, PGE1# Oxytocin# Mifepristone
Gynaecology & Obstetrics
Induction of Labour
53429823-6faf-4881-9039-05c8e917f05f
A 23 yr. old female came with arthritis, Malar rash, oral ulcers, serositis (pleuritis or pericarditis). The likely investigation to be positive is
Anti nuclear antibody
Anti collagen antibody
Anti epithelial antibody
Antigen antibody complexes
0a
single
(A) Anti nuclear antibody # Antinuclear antibody (ANA) tests are positive in 5 to 10 percent of the general population, a rate that increases with age.> Thus, given a one in 20 frequency for ANAs and a one in 2,000 frequency for systemic lupus erythematosus, only one in 100 persons with a positive ANA test will have th...
Medicine
Miscellaneous
64f000df-d251-4053-a749-59e42a6c0f07
Coagulative necrosis is commonly seen in all except:
Tuberculosis
Encephalitis
Sarcoidosis
Wet gangrene
1b
multi
Coagulative necrosis is the most common type of necrosis, there is protein denaturation with preservation of cell and tissue frame work. It is usually seen in all solid organs, exception is brain (liquefactive necrosis). Ref: Tanley L. Robbins, Ramzi S. Cotran, (2012) , Chapter 1, "Cell Injury", In the book, "Pocket Co...
Pathology
null
c7d20b95-74f8-41fb-a7ea-9ae86712b8c3
The process by which fusion of part of a cell membrane occurs is/are
Cell division
Endocytosis
Exocytosis
Virus replication
1b
single
Ans. (b) EndocytosisEndocytosis is the process of taking contents inside the cell. It involves fusion of two cell membranesExocytosis is release of contents from inside of the cell to outside. It involves fusion of vesicles inside the cell to its cell membrane
Physiology
General
f63787e1-1585-498f-b85f-9ce283743f2b
In a standard deviation of 2, confidence limit is
68.30%
95.40%
99.70%
76.20%
1b
single
(B) 95.4% # In a NORMAL CURVE, the area between one standard deviation on either side of the mean will include 68%, the area between two standard deviations 95.4% and the area between three standard deviations will include 99.7% of the values in the distribution.> In a Normal curve: Area between one standard deviation ...
Social & Preventive Medicine
Miscellaneous
491722f2-e232-4614-a39b-2798fa6a599c
Bruxism is -
Walking during sleep
Nocturnal enuresis
Grinding of teeth during sleep
Sleep apnoea
2c
single
Bruxism is grinding of teeth which occurs during stage 3 & 4 of NREM sleep.
Psychiatry
null
8fedacb2-6b30-4c70-bc10-db2208692715
Which of the following are the slowly adapting mechan- oreceptors present in the skin that are very sensitive to perpendicular indentation?
Pacinian corpuscles
Meissner's corpuscles
Merkel discs
Ruffini end organs
2c
single
Ans. c (Merkel discs). (Ref. Ganong Physiology 21st ed., 125)MECHANORECEPTORS# Four types of mechanoreceptors in glabrous skin are-two in the superficial layers (Meissner's corpuscles and Merkel discs) and two in the subcutaneous tissue (Ruffini endings and Pacinian corpuscles).Meissner's corpuscles# are rapidly adapti...
Physiology
Nervous System
3093d0ef-734f-40e0-86cb-307bb88dd9d5
All the following are contents of sub-occipital triangle, except -
Vertebral artery
Dorsal ramus of C1 nerve
Suboccipital plexus of vein
Occipital artery
3d
multi
Contents of suboccipital triangle are vertebral artery (3rd part), suboccipital nerve (dorsal ramus of C1) and suboccipital venous plexus. Occipital artery lies in occipital triangle.
Anatomy
null
a2771a6e-ade7-41a3-9d7b-8fd295ff3f79
Spring catarrh is which type of hypersensitivity reaction -a) type Ib) type IIc) type IIId) type IVe) type V
b
ad
ac
ab
1b
single
null
Microbiology
null
83afde3d-cab3-43b1-9516-8851ee4aae59
Which of the following feature on second trimester ultrasound is not a marker of Down's
Single umbilical aery
Choroid plexus cyst
Diaphragmatic hernia
Duodenal atresia
1b
single
Ans. is b i.e. Choroids plexus cyst Abnormalities associated with Down's syndrome (as listed in Benacerraf and Callen). Brachycephaly (sho frontal lobe) Ventriculomegaly Flat facies, small earsdeg Increase nuchal fold thickness Absent nasal bone Cystic hygroma (more associated with trisomy 18) Sho humerus and femur Cli...
Gynaecology & Obstetrics
null
1aa35815-cfe7-4f1e-97ce-90279ad6378f
Endotoxin consists of _____.
Lipopolysaccharide
M protein
Hyaluronidase
Lactic acid
0a
single
Endotoxin or lipopolysaccharide is found in the cell walls of gram-negative bacteria.
Microbiology
null
49acc7df-98d2-48d6-913f-9096cf8a75d0
A young boy, Rahul presents with massive hemetemesis. He had fever for 15 days few days back which was treated with few drugs. Clinical examination reveal moderate splenomegaly). No other history is positive) Probable diagnosis is:
Drug induced gastritis
Oesophageal tear
Bleeding duodenal ulcer
Oesophageal varices
3d
single
Answer is D (Oesophageal varices) Oesophageal variceal bleeding secondary to poal hypeension .should always be the initial diagnosis in a young patient presenting with massive hematemesis and a moderate to large splenomegaly' Features in our of oesophageal varices: Most common presentation of oesophageal varices is G.I...
Medicine
null
0c42e23b-e0cc-4943-95be-8c89b97ecf68
Rosette cataract is seen due to:
Trauma
Copper foreign body
Diabetes
Hyperparathyroidism
0a
single
Trauma. Ring/ pettal shaped marking on the lens. Ref: AK khurana 7th ed.
Ophthalmology
All India exam
86e659c4-5cac-4f40-901e-382eb0b352ea
Most common type of shoulder dislocation is:March 2011
Posterior
Anterior
Inferior
Superior
1b
single
Ans. B: AnteriorShoulder joint is the commonest joint in the body to dislocateAnterior shoulder dislocation is much more common than posterior dislocationShoulder dislocation:MC joint to dislocate in body: ShoulderMC type of shoulder dislocation: Subcoracoid/ inferiorRarest type of shoulder dislocation: PosteriorPoster...
Surgery
null
bf8ed96b-aa32-445d-9ecc-ae4d511ee4df
Bechet's disease is characterized by:
Hypopyon
Hyphema
Subconjuctival hemmorrhage
Scleritis
0a
single
Hypopyon REF: Khurana 4th ed p. 156 Uveitis in bechet's disease Bilateral Recurrent iridocyclitis Hypopyon Viteritis Periphlebitis Retinitis
Ophthalmology
null
24880a89-0350-4a70-ae96-700976e0deed
Central anticholinergics are used in treatment of all except-
Akathisia
Parkinsonism
Acute dystonia
Neuroleptic malignant syndrome
3d
multi
Ans. is 'd' i.e., Neuroleptic malignant syndrome o Central anticholinergics are ineffective in neuroleptic malignant syndrome. o Central anticholinergics are not used in tardive dyskinesia and neuroleptic malignant syndrome.
Pharmacology
null
75706930-7ea0-4c58-b8db-1df8e976221d
A 32-year-old woman is evaluated in the clinic for symptoms of polyuria and polydipsia. She has no significant past medical history and her only medication is the oral contraceptive pill.Her physical examination is entirely normal. Urine and serum biochemistry investigations are suggestive of central diabetes insipidus...
hypothalamic tumor
hyperintense signals in the cerebral cortex
agenesis of the corpus callosum
lack of hyperintense signals from the posterior pituitary
3d
multi
Because DI is usually caused by destruction, or agenesis, of the posterior pituitary, its normal signaling is lost. Pituitary DI can also result from trauma, tumors (both primary and secondary), granulomas, infections, inflammatory diseases, chemical toxins, congenital malformations, and genetic disorders.Depending on ...
Medicine
Endocrinology
68a9f9ed-36a3-4909-892d-896bc31f7e9f
Bastio surgery for refractory LV hyperophy is:
Patch repair
MR repair
Ventriculectomy
Ventriculoplasty
2c
single
Bentall&;s Operation For aoic root aneurysm repair Reimplantation of coronary ostia into composite graft Bastio surgery For Left Ventricular hyperophy Ventriculectomy is done Ref: Bailey 27th edition Pgno: 936
Surgery
Cardio thoracic surgery
beef3762-f432-401f-ad81-e5dc24fb7a23
Insulin decreases:
Glucose uptake
Glycogen synthesis
Protein synthesis
Lipolysis
3d
single
Lipolysis
Physiology
null
8775df43-990f-4483-a7c4-4a115796c2a3
Obesity in a child of age 2 years is defined as:
Weight for height more than double of expected
Weight for age more than double of expected
BMI >30
BMI >95th percentile
3d
single
d. BMI >95th percentile(Ref: Nelson's 20/e p 307-315, Ghai 8/e p 528-529)Obesity in children is defined as BMI >95th percentile; Body mass index (BMI) is equal to weight/height2 (in kg/m2).
Pediatrics
Endocrinology
8f5b1a94-95f0-44a0-9815-ea32292b81ca
A 32-year-old male is a known hypertensive and is being planned for cholecystectomy. Which of the following anaesthetic agents is contraindicated in this person?
Propofol
Ketamine
Midazolam
Etomidate
1b
single
Ans. (B) Ketamine(Ref: Katzung 11th/e p437; KDT 8th/e p411)Ketamine increases all pressures (blood pressure, intracranial tension, intraocular pressure) in the body. It is therefore intravenous anesthetic of choice for shock and should be avoided in hypertensive patients (increases blood pressure). Further it is contra...
Pharmacology
Anaesthesia
ad952767-f201-4cfb-8fa7-a278166adb56
Methysergide is banned as it causes ?
Pulmonary fibrosis
Pleural effusion
Syncope
Myocarditis
0a
single
Ans. is 'a' i.e., Pulmonary fibrosis Methysergide It is chemically related to ergot alkaloids and antagonizes the action of serotonin on smooth muscles including that of blood vessels, withot producing ergot like effects. It is a potent 5HT2A/2C antagonist. It has been used for migraine prophylaxis, carcinoid and postg...
Pharmacology
null
ac1f1fb1-6f9f-4fda-8b62-8ebc59bc4199
Methylergometrine is used in the prophylaxis of
Migraine
Postpartum hemorrhage
PIH
None of the above
1b
multi
null
Pharmacology
null
2d2b23e9-0c8b-4dd8-962a-9c57e1814a29
Dohlman's procedure is used for:
Rectal prolapse
Esophageal achalasia
Cancer oesophagus
Zenker's diverticulum
3d
single
Ans. (d) Zenker's diverticulumRef: Sabiton 20th Edition, Page 1019* Dohlman Endoscopic stapling procedure is indicated for diverticulum >3cm size
Surgery
Oesophagus
32969959-f253-4aa0-909a-7469159e0617
Treatment of Bipolar disorder includes:
Anti-depressant drugs
Lithium carbonate
ECT
All
3d
multi
A, C, B i.e. Anti-depressant drugs, ECT, Lithium carbonate
Psychiatry
null
8ccf2a0b-1e21-473e-bf74-a9a5ad73b46a
Which of the following hallucinations is pathognomonic of schizophrenia -
Auditory hallucinations commanding the patient
Auditory hallucinations giving running commentry
Auditory hallucinations criticizing the patient
Auditory hallucinations talking to patient
1b
multi
Third person hallucinations, e.g. voices heard arguing, commenting or discussing the patient or giving a running commentary on one's action; are characteristic of schizophrenia.
Psychiatry
null
ea14bdfd-f253-4f88-a94d-dbd8f6df3fd1
A 9-year-old girl presents with menarche. History reveals thelarche at the age of 7 years and adrenarche at the age of 8 years- the M/C cause of this condition in girls is:
Idiopathic
Gonadal tumor
Mc cure albright syndrome
Hypothyroidism
0a
single
Precocious pubey It is the appearance of appropriate secondary sexual charecters before the age of 8 years and occurance of menstruation before the age of 10 years The most common cause is constitutional(idiopathic -75% cases) due to premature activation of HPO Axis. SHAW&;S TEXTBOOK OF GYNAECOOGY,Pg no:56,15th edition
Gynaecology & Obstetrics
Sexuality and intersexuality
641f4330-b32b-47a2-8951-0ff03d85380f
After an injury to an axon, the subsequent degeneration of all axonal fibres distal to the injury, all fibres proximal to the injury are unaffected, this type of degeneration is known as:
Retrograde degeneration.
Wallerian degeneration.
Transneuronal degeneration.
None
1b
multi
null
Pathology
null
12ea6f33-181d-4e00-8beb-e8934360cccb
Drug-induced colitis is most frequently associated with
Neomycin
Vancomycin
Clindamycin
Chloramphenicol
2c
single
Clindamycin: This potent lincosamide antibiotic is similar in mechanism of action (inhibits protein synthesis by binding to 50S ribosome) and spectrum of activity to erythromycin with which it exhibits paial cross resistance. Modification of the ribosomal binding site by constitutive methylase enzyme confirs resistance...
Pharmacology
Chemotherapy
eb10d9bd-8912-429c-b989-f979a692cad4
Refractive error concerned most commonly with divergent strasbismus is: September 2012, March 2013
Myopia
Astigmatism
Hypermetropia
Astigmatism
0a
single
Ans. A i.e. Myopia
Ophthalmology
null
a8402ace-41cf-4dd8-b465-84bb2417f75c
A 45 year old male has multiple grouped vesicular lesions present on the TN segment dermatome associated with pain. The most likely diagnosis is
Herpes zoster
Dermatitis herpetiformis
Herpes simplex
Scabies
0a
single
Painful vesicles along the distribution of a dermatome suggest the diagnosis of Herpes zoster.
Dental
null
a92f546a-63c0-4deb-b33a-8684b2986738
All are true about salivary gland tumor except:
Parotid gland is most common site of involvement
Warthin tumour almost always found in the parotid gland
Minor gland tumours are mostly malignant
Parotid tumours are mostly malignant
3d
multi
Ans: D (Parotid tumours...) Tumours of minor salivary glands are histologically similar to those of major glands; however, up to 90 per cent of minor salivary gland tumours are malignant"- L&B 26th/722'Warthin tumour (papillary cystadenoma Lymphomatosum): It arise almost alwaysQ in the parotid gland (the only tumour vi...
Surgery
Salivary Gland Neoplasms
af2dc32f-ef07-481e-89fb-6be45381b2f5
Cold water is not used for ear cleaning because
It will make the wax hard
Damage to tympanic membrane
Caloric stimulation caused by cold water
It will cause infection
2c
single
temperature for ear syringing - 370c because if you decrease or increase the temperature we can stimulate lateral semicircular canal in the middle ear and patient will have veigo and nystagmus (caloric stimulation )
ENT
FMGE 2018
e4968201-321c-4f4f-8a0e-88acca259449
In selecting a screening test for a disease which of the following should not be considered?
Cost of the test
Efficacy of the treatment
Knowledge of the physician about the disease
Sufferings from disease to the people
2c
single
null
Social & Preventive Medicine
null
eebb147f-dcca-4156-b0c2-626e6f563626
A patient Secta is diagnosed to be having iron deficiency anemia. The agent that can be used to improve the absorption of iron is:
Antacids
Tetracyclines
Phosphates
Ascorbic acid
3d
single
(Ref: KDT 6/e p582, 583) Substances improving the absorption of iron Substances improving the absorption of iron 1. Acid 1. Antacids 2. Reducing substances like ascorbic acid 2. Phosphates 3. Meat 3. Phytates 4. Tetracyclines 5. Food in the stomach
Pharmacology
Other topics and Adverse effects
adfb9ef7-c544-463e-96e0-8e731d2553a9
A 38 year old woman with a history of multiple sexual paners is most at risk for which of the following?
Bladder carcinoma
Cervical carcinoma
Endometrial carcinoma
Ovarian carcinoma
1b
single
In a sense, cervical carcinoma can be considered a "sexually transmitted disease," since human papilloma virus (typically strains HPV-16 or HPV- 18) is transmitted venereally. In our culture, HPV-related dysplasia of the cervix is common, even in the 18-28 year old group, and carcinomas of the cervix (more rare now tha...
Microbiology
null
af8ee806-de0d-4a5d-ad94-256297259ac8
A 60 year old male presented to the emergency with breathlessness, facial swelling and dilated veins on the chest wall. The most common cause is:
Thymoma
Lung cancer
Hodgkin's lymphoma
Superior vena caval obstruction
3d
multi
Answer is D (Superior Vena cava obsuction) : The patient in question is presenting with classical signs and symptoms of superior mediastinal syndrome or Superior vena caval syndrome. Lung cancer is the commonest cause of superior vana caval syndrome or SVC obstruction. As the options provided include superior vena cava...
Medicine
null
ad9a87f4-f091-43b2-9b37-ed5e0b56c8f2
A boy is suffering from acute pyelonephritis. Most specific urinary finding will be -
W.B.C. casts
Leucocyte esterase test
Nitrite test
Bacteria in gram stain
0a
single
Wbc casts are seen in- Interstitial nephritis Acute pyelonephritis Allograft rejection Malignant infiltration of the kidney. Rbc casts - GN vasculitis Malignant hypeension Thrombotic microangiopathy Granular casts- ATN GN vasculitis Tubulointerstitial nephritis. Ref:Harrison 20 th edition pg no. 2106
Medicine
Kidney
935e7374-d944-437c-8def-873a9fe649b6
Type of pontic indicated in the given case :
Modified ridge lap pontic.
Ovate pontic.
Sanitary pontic.
Spheroidal pontic.
1b
single
null
Dental
null
e7c1fd00-ac03-45c1-8411-49d121f34a34
Delusion is not seen in -
Depression
Anxiety
Schizophrenia
Mania
1b
single
null
Psychiatry
null
c66cb76e-e084-44b5-a7c1-f42888c4fea3
High viscosity of saliva in children increases the incidence of caries
Statement is true
Statement is partially true
Statement is false
Statement is partially false
1b
multi
null
Dental
null
2eed2f5c-2a83-48c7-b42d-49733ec66187
All of the following changes may be observed in a normal pregnancy, EXCEPT:
Increase in blood viscosity
Fall in serum iron concentration
Increase in serum iron binding capacity
Increase in blood oxygen carrying capacity
0a
multi
During pregnancy there is a dispropoionate increase in plasma and RBC volume which produces a state of hemodilution during pregnancy. During pregnancy plasma volume increases upto 50%. RBC volume increases to the extend of 20-30%. The advantages of hemodilution are: Diminished blood viscosity ensures optimum gaseous ex...
Gynaecology & Obstetrics
null
334e6d47-5c33-41dc-a356-c35431c7df81
"Double bubble" sign with absent distal bowel air shadows on X-ray abdomen is characteristic of
Duodenal webs
Duodenal atresia
CHPS
All of the above
1b
multi
Ans. b (Duodenal atresia) (Ref. Bailey and Love 26th/ 119)Duodenal atresia may take the form of a membrane or the proximal and distal duodenum may be completely separated. Prenatal ultrasound finds a 'double bubble' in the fetal abdo- men with polyhydramnios. There is an association with Down syndrome. Postnatally, the...
Radiology
G.I.T.