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135
e01a29aa-d803-4615-b4ba-11bb60fe795e
Treatment of Helicobacter pylori are EXCEPT
Clarithromycin
Cisapride
Bismuth subsalicylate
Metronidazole
1b
multi
(Cisapride) (1124-CMDT- 08) (949-H17th)Helicobacter pylori* Drug of choice - Amoxicillin + Clarithromycin + Proton pump inhibitor (PPI)* Alternative drugs - Bismuth subsalicylate + Tetracycline + metronidazole + PPI
Medicine
G.I.T.
af8c73d6-1cb8-4ff4-b7bb-005c3ce54d28
Thrombosis of the Superior branch of middle cerebral aery leads to:
Motor aphasia
Urinary retention
Bitemporal hemianopia
Grasp reflex
0a
single
* In the Syln fissure, the MCA in most patients divides into superior and inferior divisions (M2 branches). * Branches of the inferior division supply the inferior parietal and temporal coex, Branches from the superior division supply the frontal and superior parietal coex. * Hence due to damage of the blood supply of ...
Medicine
Stroke and TIA
8b4fbfa6-301d-4237-b641-24ca4795381f
The most sensitive index for renal tubular function is :
Specific gravity of urine
Blood urea
GFR
Creatinine clearance
0a
single
Ans. is 'a' specific gravity of urineThe main function of renal tubules is concentration of urine and this can be measured by the specific gravity of urine.
Physiology
Glomerular Filtration, Renal Blood Flow, and Their Control
9501a69a-97d0-49fc-9c4b-1679800c2265
Which of the following are situated away from the coding region:
Promoter
Enhancer
Operator
All
3d
multi
A i.e. Promoter; B i.e. Enhancer; C i.e. Operator
Biochemistry
null
aca3ff44-15fd-439c-a3ee-862a0a6116fe
The ideal method of representation of frequency distribution with continuous variable:
Line diagram
Histogram
Simple bar diagram
Component bar diagram
1b
single
Histogram
Social & Preventive Medicine
null
83fb5a08-cdb0-48b2-b8cf-f9e769e86ada
Characteristic feature of Rheumatic carditis is ?
Pericarditis
Endocarditis
Myocarditis
Pancarditis
3d
single
Ans. is 'd' i.e., Pancarditis During Acute Rheumatic fever, diffuse inflammation and Aschoff bodies may be found in any of the three layers of hea - pericardium, myocardium or endocardium - PANCARDITIS.
Pathology
null
5e75ce5d-ee9e-4f15-8887-981329a4cf4e
Which of the following is true about hypothermia during anesthesia?
Beneficial to patients
Prevented by giving warm fluids
Body looses heat mainly by conduction
Always occur irrespective of the type of anesthesia
1b
multi
Ans. b. Prevented by giving warm fluids Hypothermia during anesthesia can be prevented by giving warm fluids. Hypothermia During Anesthesia Mild hypothermia is extremely common during anesthesia and surgery. The physiological effects of hypothermia may have significant potential for detrimental effects on patient well-...
Anaesthesia
null
21d10fa5-a20c-47a6-a1df-5a189dc38707
All are true about innate immunity except -
Non-specific
First line of defence
Not affected by genetic affected
Includes complement
2c
multi
Innate immunity is the first line of defense against infection. it is non specific. It is the resistance to infections that an individual possess by viue of his or her genetic and constitutional make up. Reference : Anathanarayan & paniker's 9th edition, pg no:78 <\p>
Microbiology
Immunology
caa044a5-1c87-439b-96ab-805acec92271
Sputum positive TB is?
1 out of 2 sputum sample +ve
2 out of 3 sputum sample +ve
BACTEC +ve
None
0a
multi
One positive specimen out of the two sputum specimens is enough to declare a patient as smear positive TB Reference; Park&;s Textbook of preventive and social medicine, 24th edition.Pg no. 193
Social & Preventive Medicine
Communicable diseases
21e2dbbb-2eca-475d-8cd6-a4d08972052e
Which of the following is RNA with catalytic activity?
Ribonuclease P
Peptidyl transferase
Sn RNA
All of the above
3d
multi
RNA with catalytic activity is known as Ribozyme. All the 3 enzymes given as Options are Ribozymes.
Biochemistry
null
6b01ac12-4343-4f44-b384-4af8f9913859
Wernicke's encephalopathy occurs due to deficiency of
Vitamin B1
Vitamin B2
Vitamin B6
Vitamin B12
0a
single
(A) Vitamin B1 # Dry Beriberi involves both the peripheral and the central nervous systems.> Peripheral nerve involvement is typically asymmetric motor & sensory neuropathy with pain, paresthesias& loss of reflexes.> The legs are affected more than the arms. Central nervous system involvement results in Wernicke-Korsak...
Biochemistry
Miscellaneous (Bio-Chemistry)
4947d33d-f3c0-4e71-91e6-02fc54b8fdab
Deltoid ligament is attached to all except
Medial malleolus
Talus
Calcaneum
Lateral malleolus
3d
multi
DELTOID LIGAMENT:- Very strong Triangular shape Present on medial side of ankle. Ligament is crossed by the tendons of Tibialis posterior and flexor digitorum longus. Prone to injuries in inversion.Superficial and deep pa. Both pas have common attachments above to the apex and margins of medial malleolus. Superficial p...
Anatomy
Lower limb
086d021b-af51-42e1-b696-cf266ff3783d
Acute osteomyelitis can best be distinguished from soft tissue infection by –
Clinical examination
X–Ray
CT scan
MRI
3d
single
MRI is the best radiographic imaging technique for the identification of abscess and for differentiation between bone and soft tissue infection.
Pediatrics
null
3d877a08-491e-4345-9597-a52c4ecc7836
Kangaroo mother care .True is -
Can be done by father also
Indicated for LBW babies
Effective thermal control
All of the above
3d
multi
Ans. is 'd' i.e., All of the above o Repeat from All India Dec-15
Pediatrics
Newborn Infant - Parent-Infant Bonding
fdc63900-a247-4f02-84df-77b94bfebac2
Acute Osteomylitis in children most commonly affects-
Metaphysis
Diaphysis
Epiphysis
Physis
0a
single
Ans. is 'a' i.e., Metaphysis Metaphysis is most commonly involved in acute osteomyelitis as-o Long loop vessels are present leading to easy bacterial seeding o Excessive bone turnover in this regiono It has thin cortexo It has relatively fewer phagocytic cells
Orthopaedics
Osteomyelitis
dc0e3465-17c6-4f28-b982-2da431e37880
Commonest cause of non - engagement at term, in primi is:
CPD
Hydramnios
Brow presentation
Breech
0a
single
Engagement is said to occur when the greatest transverse diameter of the presenting part, has passed through the pelvic inlet. In all cephalic presentations, the greatest transverse diameter is always the biparietal. Engagement occurs in multipara with commencement of labour in the late Ist stage after rupture of membr...
Gynaecology & Obstetrics
null
1aad7a29-6a65-43a9-afda-12e3bbeb80d3
Which part of DNA is most susceptible to radiation?
Nucleotides
Nucleosides
Histones
Double helix
3d
single
(D) Double helix > Relatively flexible areas of the DNA double helix are most susceptible to damage.> Radiation can damage the DNA "double helix" - a two-stranded, twisting molecule - in a variety of ways: 1) by knocking off one or more of the DNA "bases" known by the letters A, T, G, and C, which form the bonds betwee...
Radiology
Radiotherapy
342b45b7-50b0-4c40-aeb0-cfaaac309d7e
Drug used for Buerger's disease
Propranolol
Xanthinol nicotinate
GTN
All the above
1b
multi
A drug used in Buerger's disease is Xanthinol nicotinate. xanthine nicotinate tablet was used daily once earlier. Now, graded injection of xanthine nicotinate 3000 mg from day 1 to 9000 mg on day 5 is used to promote ulcer healing. It also helps to increase claudication distance as a temporary basis. Beta blockers such...
Surgery
Vascular surgery
e7930f3d-05fe-4cd2-96e0-d2883862f318
Cutaneous infection due to exogenous exposure to TB bacilli in a person who is already sensitized by previous exposure to TB leads to:
Lupus vulgaris
TB chancre
Erythema induratum
TB veruccosa cutis
3d
single
TB verrucosa cutis also called as anatomist's / pathologist's wart ,presents as wart / cauliflower like hypertrophic lesions typically over fingers and feet.
Dental
null
1d693ade-8d09-4a3d-9c0a-d75747bae255
Spermatogenesis is mostly controlled by
Inhibin
FSH
LH
GnRH
2c
single
Spermatogenesis is the process in which spermatozoa are produced from spermatogonial stem cells by way of mitosis and meiosis. The initial cells in this pathway are called spermatogonia, which yield primary spermatocytes by mitosis. The primary spermatocyte divides meiotically (Meiosis I) into two secondary spermatocyt...
Physiology
Endocrinology
b64c2848-0e12-41f7-b291-2421e250ecf1
Which lesion displays an ill-defined border?
Periapical cyst
Sclerosing osteitis
Soft tissue capsule
Multiple myeloma
1b
single
Ill-Defined Borders Blending Border: A blending border is a gradual, often wide zone of transition between the adjacent normal bone trabeculae and the abnormal appearing trabeculae of the lesion. The focus of this observation is on the trabeculae and not on the radiolucent marrow spaces. Examples of conditions with thi...
Radiology
null
89f1fc8f-a728-4ccf-aa39-31bee8fa38aa
In a 2 months old infant undergoing surgery for biliary atresia, you would avoid one of the following anaesthetic
Thiopentone
Halothane
Propofol.
Sevoflurane
1b
single
B i.e. Halothane Among all these options only halothane is hepatotoxic so it should be avoided Lets revise some impoant facts. All coagulation factors with exception of factor VIII (8) & von wille brand factor are produced by liverQ Vit K is necessary for synthesis of prothrombin (factor II) and factor VII, IX and XQ. ...
Anaesthesia
null
98b996a4-70f3-4d71-a394-3bebf7b7650f
Skin grafting done on wound following major skin taken from twin brother:
Isograft
Allograft
Autograft
Xenograft
0a
multi
Ans. (a) IsograftRef: Bailey 26th Edition Page 1408* Isograft: A graft between identical donor such as identical twin* Autograft: A graft from one site to another on the same patient* Allograft: Graft from individual of same species.* Xenograft: Graft from another species
Surgery
Transplantation
e476792d-b36e-42fd-889a-cfad35d4693d
Tuberculides are seen in
Lupus vulgaris
Scrofuloderma
Lichen scrofulosorum
Erythema nodosum
2c
single
(Lichen scrofulosorum) (202-Behl lCfh, 1756-Dorland 28th, 219- Neena khanna)TUBERCULIDES - Group of disease where the evidence for a tuberculous etiology is not definite {May be hypersensitivity reaction) but which show a tuberculous granuloma on histology and respond to ATT)Conditions included in TuberculidsCutaneous ...
Medicine
Skin
ec9fb91b-78f9-4d68-987a-226a2e715fff
N. gonorrhea causes -
Urethritis
Salpingitis
Conjunctivitis
All
3d
multi
Ans. is All-`a' i.e., Urethritis; 'b' i.e., Salpingitis; 'c' i.e., Cervicitis
Microbiology
null
298d8c60-b34a-476f-b9e0-9ce94c49625c
A child has a vocabulary of4-6 words however the main mode of communication and social interaction continues to be non-verbal what is the most likely developmental age of the child -
12 months
15 months
18 months
24 months
1b
single
Ans. is 'b' i.e., 15 months o Vocabulary of 4-6 words in addition to jargon is achieved by 15 months of age. However
Pediatrics
null
fafccadc-a2ad-4a98-91f1-9fdcc0bf1284
Not true about rt. kidney is -
Rt. kidney is preferred over the left for transplantation
It is lower than the left kidney
Rt. renal vein is shorter than the left
Rt. kidney is related to the duodenum
0a
multi
It is left kidney, not Rt. that is preferred for transplantation because it has a longer renal vein which simplifies the transplantation operation.
Surgery
null
101bcce3-bed1-4a7b-809b-aa8e1dcd8cd9
Selective plating medium for V. cholerae is:
Carry-Blair medium
TCBS agar
VR medium
MacConkey medium
1b
single
AQns. is. 'b' i. e., TCBS agar
Microbiology
null
80d7667f-bebe-452c-b674-9e799dfe6ec7
Acetazolamide can be used in all except
Epilepsy
Cute mountain sickness
Cirrhosis
Glaucoma
2c
multi
Acetazolamide is a carbonic anhydrase inhibitor USES: 1. Glaucoma: as an adjuvant to other ocular hypotensives 2. Epilepsy: increases co2 levels- inhibits seizures to some extent- used only for catamenial epilepsy- epilepsy during menses 3. Acute mountain sickness - by increasing co2 and stimulating the breathing cente...
Pharmacology
Kidney
a04055b0-51a8-4fdc-86fb-2da44acc516c
Renal function failure is best evaluated by?
DTPA
DMSA
Iodohippurate
All
3d
multi
Ans. All options are correct i.e., 'a, b, c
Surgery
null
d2e3332b-879b-4e74-85cc-e95297af87ea
Antidote for oxalic acid poisoning:
BAL
Animal charcoal
Calcium gluconate
Magnesium
2c
single
C i.e. Calcium gluconate
Forensic Medicine
null
d0e89bb0-e4b4-47f1-8e28-286831a0bd73
A patient met with Road traffic Accident with subsequent injury to the left knee. Dial test was positive. What could be the cause:
Medial Collateral Ligament Injury
Medial Meniscal Injury
Lateral Meniscus Tear
Posterolateral Corner Injury
3d
single
D i.e. Posterolateral Corner Injury
Surgery
null
852e7046-1cd1-4af0-8a52-618b6dfa2603
In erythema migrans, which papilla of tongue are absent:
Fungiform
Foliate
Filliform
Circumvallate
2c
multi
null
Pathology
null
75c30c8b-b8f7-42d5-8562-a82aa37bfd63
Lymphatic drainage of ovary?
Deep inguinal
Superficial inguinal
Obturator
Paraaoic
3d
single
Ans. is 'd' i.e., Para-aoicLymphatics of the ovary drain to para-aoic nodes alongside the origin of the ovarian aery (L2).
Anatomy
null
c37aa578-d4a3-44f4-9a7a-89a17f447383
Hernia occurring in a potential space posterior to gastrojejunostomy is called
Bochdalek's Hernia
Peterson's Hernia
Littre's Hernia
Richter's Hernia
1b
multi
Answer- B. Peterson's HerniaPetersen hernias are a type ofinternal hernia which occurs in the potential space posterior to a gastrojejunostomy.This hernia is caused by the herniation of intestinal loops through the defect between the small bowel limbs, the transverse mesocolon and the retroperitoneum, after any type of...
Surgery
null
86fca861-ba48-46bc-97e8-7ea2811bf202
Ahritis involving DIP, PIP, 1st carpometacarpal with sparing of MCP and wrist joints is typical of:
Osteoahritis
Rheumatoid ahritis
Ankylosing spondylitis
Psoriatic ahritis
0a
single
Osteoahritis characteristically involves distal interphalangeal joint (Heberden's node), proximal interphalangeal joint (Bouchard's node), 1st carpometacarpal joint (base of thumb) of hand with sparing of metacarpophalangeal joint and wrist joint. Fig. Joints involved in osteoahritis
Orthopaedics
Joint disorders
18d563aa-625b-4a07-af62-c6f963da99a2
False about malignancy in ulcerative colitis:
Mean age is 30 years
Anaplastic cancers are common
Poor prognosis as compared to sporadic
Evenly distributed
2c
multi
Colitis associated colon cancer Arise from flat dysplasia or dysplasia associated lesion or mass Multiple synchronous colon cancer in 12% Mean age: 30 years Distributed uniformly throughout the colon Mucinous or anaplastic cancers are more common Poor prognosis in sporadic cancer is seen .
Surgery
Inflammatory bowel disease
14d590e3-1ae4-4d4b-893e-5693a5658346
In oogenesis, which of the following events occurs immediately following the completions of meiosis II?
Degeneration of the zona pellucida
Sperm penetration of the corona radiata
Formation of a female pronucleus
Appearance of the blastocyst
2c
single
The secondary oocyte is arrested in metaphase of meiosis II, and it will remain in this meiotic stage until feilization occurs. Following feilization, the secondary oocyte completes meiosis II, forming a mature ovum and a polar body. The nucleus of the mature ovum is called the female pronucleus, which fuses with the m...
Anatomy
Introduction and gametogenesis.
fd04f177-dd1d-4061-a178-608484a3e472
Venous return to hea during quiet standing is facilitated by all of the following factors, except
Calfmuscle contraction during standing
Valves in perforators
Sleeve of deep fascia
Gravitational ihcrease in aerial pressure
3d
multi
During quiet standing gravity act against venous return to the heaGravity induces peripheral pooling of blood in leg instead.Calf muscle contraction pushes the blood towards heavalves prevents backflowRef: Medical Physiology Indu Khurana 2015 edition pAge No:220
Physiology
Cardiovascular system
d49be83b-ca03-47fb-b02b-307fc2ad4e2a
CYP-450 inducers are:
Cimetidine
Ketoconazole
erythromycin
DDT
3d
single
eg for enzyme inducers of cyp3a4 - phenobarbitone, rifampin, glucocoicoids, Phenobarbitone also induces CYP2Bl and rifampin also induces CYP2D6.Isoniazid and chronic alcohol consumption induce CYP2El.Other impoant enzyme inducers are- chloral hydrate, phenylbutazone, griseofulvin, DDT. Erythromycin, cimetidine, ketocon...
Pharmacology
General pharmacology
50ee058e-a81c-4548-9f65-9c87c1a8dec1
Flagella not true
Locomotion
Attachment
Protein in nature
Antigenic
1b
multi
Flagella They are long unbranched sinuous filaments which are organs of locomotion . Each flagellum consist of 3 distinct part the filament the hook and the basal body.the filament is external to the cell and connected to the hook at the cell surface  Structure: The Hook-Basal bodyportion is embedded in the cell envelo...
Microbiology
null
6867c7a9-c7d8-44fe-b266-2c6ca6443b7c
How is endotoxin shock initiated?
Endothelial injury
Peripheral vasodilation
Increased vascular permeability
Cytokines action
0a
single
. Endothelial injury
Pathology
null
a8507886-bf89-4018-8e46-ef0c37539a34
Which among the following is true about Super antigens?
They bind to the cleft of the MHC
Needs to processed before presentation
They are presented by APC' S to T cells
Directly attached to lateral aspect of TCR B chain
3d
multi
A group of antigens have been termed superantigens because they stimulate a much larger number of T cells than would be predicted based on the specificity of combining site diversity. This causes a massive cytokine release. The action of superantigens is based on their ability to bind directly to MHC proteins and to pa...
Microbiology
null
4053e2a3-3f27-46e5-9966-a284e869e4fd
A 12 year old boy presents with hemetemesis, malena and mild splenomegaly. There is no obvious jaundice or ascitis. The most likely diagnosis is:
EHPVO
NCPF
Cirrhosis
Malaria with DIC
0a
single
Answer is A (EHPVO): Presence of hemetemesis, malena and splenomegaly suggests a diagnosis of poal hypeension. The most common cause of poal hypeension in a male child (12 year old boy) is Extra Hepatic Poal Vein Obstruction (EHPVO). EHPVO is therefore the single best answer by exclusion Non Cirrhotic Poal Fibrosis pre...
Medicine
null
0db06833-8bc5-4fb2-bcd7-76a96d467489
In decoicate animal which reflex is lost?
Hopping and placing reflex
Tonic neck reflex
Tonic labyrinthine reflex
Stretch reflex
0a
single
Removal of the cerebral coex (Decoication) produces decoicate rigidity which is characterized by flexion of the upper extremities at the elbow and extensor hyperactivity in the lower extremities. The flexion can be explained by Rubio spinal excitation of flexor muscles in the upper extremities; the hyperextension of lo...
Physiology
Nervous system
7c2c79cd-74a0-4f3a-9fa7-4ac7ab153238
Which of the following is universal donor blood group -
A
B
AB
O
3d
single
Individuals with type O Rh D negative blood are often called universal donors, as they do not contain antigen A and B on the surface of their RBC and those with type AB Rh D positive blood are called universal recipients ref:harsh mohan text book pathology
Pathology
Haematology
b627bb86-bb26-4984-97da-93723e4418cb
Three policemen, with difficulty, drag an agitated and very combative young man into an emergency room. Once there, he is restrained because he reacts with rage and tries to hit anyone who approaches him. When it is finally safe to approach him, the resident on call notices that the patient has very prominent veical ny...
Amphetamine
PCP
Cocaine
Meperidine
2c
multi
Hallucinogens (Psychotomimetics, psychedelics, psychotogens) are drugs which alter mood, behaviour, thought and perception in a manner similar to that seen in psychosis. These are as:1. Lysergic acid diethylamide (LSD) 2. Psilocybin3. Harmine 4. Bufotenin5. Mescaline (Phenyl alkyl amines) 6. Phencyclidine7. Lysergic ac...
Psychiatry
null
0b513b50-7780-48d7-9ee6-567c60972fd2
A 25-year soldier is trapped in an avalanche in Siachen glacier. He is airlifted to the base hospital. On admission the pulse is thready and BP is unrecordable. ECG strip is shown below. All of the findings are seen except:
Bradycardia
Osborn wave
ST segment elevation
Atrial bigeminy
3d
multi
V5 lead recording shows: HR of 50 bpm with absence of P wave Presence of Osborn wave at the J point. Concomitant ST Elevation is noted. The patient is suffering from hypothermia which explains the ECG change. Atrial bigeminy should have discernible P wave.
Medicine
ECG and Arrhythmia 2
bbb9e019-e487-4da9-be2b-d12eb9bb15d6
Incidence rate is measured by -
Case control study
Coho study
Cross sectional study
Cross over study
1b
single
Ans. is 'b' i.e., Coho study Coho study analyses the following data :?1) Incidence rate among exposed and nonexposed2) Estimation of riska) Relative risk (risk ratio)b) Attributable risk (risk difference)c) Population attributable riskIncidence rateo In coho study, incidence rate can be determined directly in those exp...
Social & Preventive Medicine
null
33aec826-9735-4fe6-af9e-cad5cbeddd7b
A 45 yr old female complains of progressive lower limb weakness, spasticity, urinary hesitancy. MRI shows intradural enhancing mass lesion. MOST likely diagnosis is:
Dermoid cyst
Intradural lipoma
Neuroepithelial cyst
Meningioma
3d
single
Meningioma are now the most common primary brain tumor. On an MRI it appears as a paially calcified densely enhancing extra axial tumor arising from the dura. Occasionally it has a dural tail, consisting of thickened, enhanced dura extending like a tail from the mass. Meningiomas are typically located over the cerebral...
Surgery
null
3df0b09c-82b6-4985-bf71-d5c6e8158c49
A man has just received his fourth DUI citation. The judge orders an alcohol dependency program complete with a medication that makes him have nausea and vomiting if he drinks alcohol while taking the medication. The drug-induced illness is caused by the buildup of which one of the following?
Ethanol
Acetaldehyde
Acetate
Acetyl-CoA
1b
single
The court-ordered medication is disulfiram. Disulfiram inhibits ALDH, which greatly reduces the amount of acetaldehyde that is converted to acetate. This causes an accumulation of acetaldehyde, which is the substance responsible for the symptoms of a "hangover," including nausea and vomiting. Alcohol dehydrogenase redu...
Biochemistry
Lipids
65040f25-fa91-4d71-b152-0517bd966710
Factors which decrease the cement space for a complete crown would be
Thermal and polymerization shrinkage of the impression material
Use of a solid cast with individual stone dies
Use of an internal layer of soft wax
Use of resin or electroplated dies
3d
single
null
Dental
null
173cfacb-d6d6-49ce-ab63-0377edecdf14
Middle part of jugular foramen transmits all of the following cranial nerves except:
Glossopharyngeal nerve
Vagus nerve
Hypoglossal nerve
Accessory nerve.
2c
multi
null
Anatomy
null
98e49ad5-794f-449f-b976-f8da7114bacd
Early childhood caries or baby bottle tooth decay is usually seen in the age group of _____ month old child?
18-36
24-36
18-Jun
18-Dec
0a
multi
Early childhood caries or baby bottle tooth decay is usually seen in the 18 to 36 month old child, although it can be seen even in younger patients.
Dental
null
804ee5d3-5128-4fe2-a485-37b78f0c217e
Body temperature in Fahrenheit is an example of which of the following scales?
Nominal
Ordinal
Interval
Ratio
2c
single
Metric scale is fuher divided into interval and ratio scales. In an interval scale, there is no absolute zero, such as in body temperature. A temperature of 105? F cannot be interpreted as 5% higher than 100? F. Ref: Medical biostatistics, 1st edition pg: 99
Social & Preventive Medicine
null
05984fe2-80e8-4fd0-bc43-387369e511f3
Which one of the following is not included in the treatment of malignant melanoma?
Radiation
Surgical excision
Chemotherapy
Immunotherapy
0a
single
Ans. is 'a' i.e., Radiation Radiation is the best answer. Schwaz 9/e writes- "although initially thought to be ineffective in the treatment of melanoma, the use of radiation therapy, regional and systemic chemotherapy, and immunotherapy are all under investigation."
Surgery
null
f99e92c2-0243-4372-b8a9-3c025fc15c37
Regarding Xenon anesthesia all are true accept
Slow induction and recovery
Non explosive
Minimal cardiovascular side-effects
Low blood solubility
0a
multi
Xenon Advantages of Xenon Anesthesia 1. Ine (probably nontoxic to liver and kidney with no metabolism) 2. Minimal effect on CVS function 3. Lowest blood solubility (Lowest blood gas paition coefficient) therefore rapid induction and recovery. 4. Does not trigger malignant hypehermia 5. Environmental friendly 6. Non-exp...
Pharmacology
Miscellaneous
c2c80117-21f3-43c9-b78b-c75a58426d9f
The only neuron in retina showing action potentials are
Rods and cones
Bipolar cells
Amacrine cells
Ganglion cells
3d
single
Ganglion cells are a type of neuron located near the inner surface of the retina and are the final output neurons of the veebrate retina. Ganglion cells collect visual information in their dendrites from bipolar cells and amacrine cells and transmit it to the brain throughout their axon to the brain. Ref: guyton and ha...
Physiology
Nervous system
024dd67f-5af2-4f51-8633-e8b06ea3bf54
Cavernous hemangioma is characterized by:
Reticulated popcorn like configuration
Well defined nidus
Well defined aerial feeder
Phlebectasis
0a
single
A i.e. Reticulated popcorn like configuration T2 gradient echo MRI is the investigation of choice for identification of cavernous angioma (cavernous hemangioma or cavernoma), which typically demonstrates a mass characterized as popcorn in appearance (mulberry shaped lesion)Q.
Radiology
null
547e9291-be3f-40e9-9681-5e2a913b4a79
Munsell scale and lab system measure:
Quantity of color
Quality of color
Both
None
0a
multi
A popular system for the visual determination of color is the Munsell color system, the parameters of which are represented in three dimensions, hue, value, and chroma. These three parameters constitute the three dimensions of “color space”.
Dental
null
2620835a-2319-4907-87cd-93de5b17dcdd
Which flexor muscle is attached to hook of hamate?
Flexor pollicis brevis
Flexor pollicis longus
Flexor digiti minimi
Flexor carpi ulnaris
2c
single
Ans. is 'c' i.e., Flexor digiti minimi
Anatomy
null
a0e5a51c-40c3-425c-abee-4dfcd1399511
Nikolsky sign is positive in all except –
Pemphigus
Bullous pemphigoid
Toxic epidermal Necrolysis
Staphylococcal skin scaled syndrome
1b
multi
null
Dental
null
2ff94bbd-cb1b-4f7a-b2e3-5f557b788f60
The enzyme not involved in substrate level phosphorylation is:
Succinyl thiokinase
Phosphofructokinase
Pyruvate kinase
Phosphoglycerate kinase
1b
single
(Refer: Harper’s Illustrated Biochemistry, 27th edition, pg no: 172 – 185) Oxidative phosphorylation The energy released as a result of biological oxidation is trapped in the form of higher energy phosphate bonds in ATP by phosphorylation of ADP.
Unknown
null
a2daf894-78cf-45b2-9c88-67b0db80b8dd
DNA fingerprinting can be done with all, except: UP 07; Delhi 08; NEET 13
RBC
WBC
Saliva
Spermatozoon
0a
multi
Ans. RBC
Forensic Medicine
null
c20ce6ec-cc27-4176-a692-a3b64d9cb5a1
Spleen is derived from -
Ventral mesogastrium
Dorsal mesogastrium
Septum transversorium
Allantois
1b
multi
Ans. is 'b' i.e., Dorsal mesogastrium o Spleen develops as a collection of mesenchymal cells in the dorsal mesogastrium.o Initially the splenic tissue is arranges as a number of lobules which later join together to form a single spleen. The notches in the superior border of adult spleen are representatives of growth th...
Anatomy
Spleen
c29b2b3f-c2db-4444-b891-44c5fd14d90f
The following vaccine, if contaminated can cause Toxic Shock Syndrome (TSS) -
Measles vaccine
DPT
Hepatitis B
Typhoral
0a
single
Toxic shock syndrome (TSS) occurs while measles vaccine is contaminated or the same vial is used for more than one session on the same day or next day. Now the question arises, why only measles vaccine causes TSS more commonly and not the other commonly used vaccines? : - It is due to the absence of preservatives. Pres...
Social & Preventive Medicine
null
ca229cd0-dd50-452e-84fd-e55fe5d73fd6
Name the technique which usually involves teaching the patient how to induce a state of deep muscle relaxation and describing imaginary scenes relevant to his fear:
Desensitization
Contingency management
Hypnosis
None
0a
multi
Desensitization: The technique usually involves teaching the patient how to induce a state of deep muscle relaxation and describing imaginary scenes relevant to his fear. Indications of desensitization are: Child's initial visit. At subsequent appointments when introducing dental procedures which are new to the patien...
Dental
null
6c74dfb0-dd94-4905-905d-6d2b5e5c76cf
Best way to confirm that no stones are left back in the CBD?
Choledochoscope
Palpation
Cholangiogram
ERCP
2c
single
Ans. is 'c' i.e., Cholangiogram o "An operative cholangiogram at time of cholecystectomy will also demonstrate presence or absance of bile duct stones".o "If a CBD exploration was performed and a T-tube left in place, a T-tube cholangiogram is done before its removal".
Surgery
Gallstone Disease
a340624c-9ff1-41f3-a1ef-779661cd68d5
Fallopian tube dysmotility is seen in ?
Noonan syndrome
Turner syndrome
Kaagener syndrome
Marfan syndrome
2c
multi
Kaagener syndrome Repeat from Nov 09 Q no. l58
Surgery
null
8947272a-306b-4737-8811-13ae1d67e8df
Definite diagnosis of pregnancy include all, except: Kerala 09; 11
Fetal hea sound
Palpation of fetal pas
Fetal skeleton on X-ray
hCG in blood
3d
multi
Ans. hCG in blood
Forensic Medicine
null
2122dd25-fcb9-43cd-b51f-e8a881e4912f
Which of the following is a precancerous condition of cancer stomach?
Peptic ulcer
Chronic gastric atrophy
Achalasia cardia
Curling's Ulcer
1b
single
Premalignant Conditions of gastric carcinoma Atrophic gastritis: Both type A (autoimmune pernicious anemia) and type B (associated with H. Pylori) atrophic gastritis are associated with increase risk for gastric cancer. Gastric Polyp: Gastric polyp are of 5 type - inflammatory, hamaomatous, heterotopic, hyperplastic an...
Surgery
null
5070a51d-4bab-46ed-ba4b-f4039a963075
Following are the normal features in temporomandibular joint except
Joint sound
Pain while opening the mouth
Deviation of the mouth in opposite while opening the mouth in eccentric movements
None of the above
1b
multi
null
Surgery
null
96a5ee5c-1e10-4c58-a3a4-bdcea20abcc4
Confirmatory test for syphilis -
VDRL
FTA-ABS
RPQ
None
1b
multi
null
Microbiology
null
e12f3e1c-5f3c-41ba-bd76-b894607f9128
Feature of slow filter (w.r.t. fast filter) is/are:
Occupies less space
Highly skilled operation
Poor bacterial quality
Takes more time for purification
3d
single
Ans. is 'd' i.e. Takes more time for purification o Slow sand filter occupies large area (more space). o Slow and filter requires less skilled operation. o Slow sand filter removes more bacteria and has better bacterial control (99.9-99.99%) o Slow sand filter requires longer duration for purification. o Size of sand i...
Social & Preventive Medicine
null
fa4bce2e-c09a-4d19-a97b-7e00b9e3c8c3
Whitnall's Tubercle is present in
Lateral wall of Orbit
Medial wall of Orbit
Roof of Orbit
Floor of Orbit
0a
multi
Whitnall&;s or zygomatic tubercle is a palpable elevation on the zygomatic bone just within the orbital margin. It provides attachment to the lateral check ligament of the eyeball.Reference: Chaurasia Head and Neck; 6th edition; Page no: 27
Anatomy
Head and neck
f9a43bc3-3a43-4b54-ab11-21d9b90c04fa
Extended spatulation of ZnPO4
Prolongs the setting time
Decreases the setting time
Does not alter the setting time
All of the above
0a
multi
null
Dental
null
ece6207f-fd4d-404d-a11d-60edcbb83413
Privation of any member of joint is a .... hu:
Simple
Grevious
Serious
Dangerous
1b
single
B i.e. Grevious
Forensic Medicine
null
4ea65394-f23f-4418-ba9b-7215bd9b2e83
All of the following are associated with supracondylar fracture of humerus, except-
It is uncommon after 15 yrs of age
Extension type fracture is more common than the flexion type
Cubitus varus deformity commonly results following malunion
Ulnar nerve is most commonly involved
3d
multi
Median nerve, especially anterior interosseous branch, is injured most commonly.
Orthopaedics
null
113d3d08-588a-4f15-8cf8-aaa8546ffc45
Golgi tendon apparatus conveys message to cns, depends upon
Tension in muscle
Length of muscle
Rapaidity of contraction
Blood supply
0a
single
The Golgi tendon organ (GTO) (also called Golgi organ, tendon organ, neurotendinous organ or neurotendinous spindle) is a proprioceptive sensory receptor organ that senses changes in muscle tension. It lies at the origins and inseion of skeletal muscle fibers into the tendons of skeletal muscle. It provides the sensory...
Physiology
General physiology
4e6981a4-1144-4e58-a5d9-ca14a5b595d6
FRC is volume of air in lung after ?
Maximal inspiration
Maximal expiration
Normal inspiration
Normal expiration
3d
single
Ans. is d i.e., Normal expiration
Physiology
null
76f1428f-1754-41ba-8a15-135665844338
An infant presented with erythematous lesions on cheek and extensor aspect of upper and lower limbs. There is a family history of Asthma. The probable diagnosis is:
Air borne contact dermatitis
Atopic dermatitis
Seborraehic dermatitis
Infectious eczematoid dermatitis
1b
single
History of atophy (asthma) in family, with erythematous lesions on face (cheek) and extensor surface of limbs is suggestive of atopic dermatitis. Ref: Pediatric Allergy, Asthma And Immunology By Arnaldo Cantani, 2008, Page 511; Harrison's Principles of Internal Medicine 16th Edition, Page 268; Roxburgh's Common Skin Di...
Skin
null
fae6b4a7-8bcc-4a7b-a00f-48808631bc7d
Microbiological waste should be segregated in which color bag:
Yellow
Red
Blue
Black
0a
single
Ans. A. YellowColor coded bagItemYellow bagInfectious non-plastic (Anatomical & microbiological)Red bagInfectious plastic wasteWhite/Translucent sharp container (Puncture proof box)Metal sharpBlue container (Puncture proof box)Broken glass items and metal implants
Microbiology
General
0aed05a7-9800-4a25-b58c-17cfe6bac91b
Which of the following is a dynamic cause of intestinal obstruction: March 2011
Gall stone
Paralytic ileus
Mesenteric vascular obstruction
Ogilvie syndrome
0a
multi
Ans. A: Gall stoneGall stone causes dynamic ileus (intraluminal cause)Adynamic cause of intestinal obstruction includes 1) paralytic ileus, 2) mesenteric vascular occlusion and 3) pseudo-obstructOgilvie's syndrome is acute colonic pseudo-obstruction
Surgery
null
f2ac43ce-1b23-47d7-9595-ca5515515b0f
Which of the following is not a rapidly growing atypical mycobacteria causing lung infections -
M. chelonae
M.fortuitum
M.abscessus
M.kansasii
3d
single
null
Microbiology
null
fe374efe-4600-4d12-9ed1-1d9f8aafca4a
All of the following anticancer drugs are cell cycle non-specific except?
Cisplatin
Vincristine
Mitomycin-C
Cyclophosphamide
1b
multi
CELL CYCLE NON-SPECIFIC DRUGS 1. Alkylating agents Melphalan Cyclophosphamide Nitrosourea 2. Platinum compounds Cisplatin Carboplatin Oxaliplatin 3. Anthracyclines Doxorubicin Daunorubicin Epirubicin Mitoxantrone 4. Antitumor antibiotics Dactinomycin Mitomycin-C
Pharmacology
Cytotoxic Anticancer Drugs
90f33636-ab0a-4db3-a03d-4270bd9045f8
Pulmonary plethora is seen in ?
TAPVC
TOF
EBSTIEN ANAMOLY
TRICUSPID ATRESIA
0a
single
PLETHORA= INCREASED PULMONARY MARKINGS SEEN IN TAPVC, ASD,VSD, TGA REF : BRAUWALD CARDIOLOGY
Medicine
All India exam
efbbddb0-4fdd-4365-829b-a677f25dfd63
A 40-year-old patient presents with an inability to keep the arm in contact with the chest. When the arm is forcibly brought into contact with the chest there is winging of the scapula. There is a history of repeated intramuscular injections into the deltoid muscle. What is the diagnosis?
Serratus anterior muscle palsy
Poliomyelitis
Deltoid contracture
Neglected anterior dislocation of shoulder
2c
single
Ans. C. Deltoid contractureThe above history and examination suggest a diagnosis of deltoid contracture.* Deltoid contracture can be congenital or acquired. Anatomical aberrations, repeated intramuscular injections into the deltoid, chronic infection due to the injected drugs and pressure ischemia are all causes of acq...
Orthopaedics
Injuries Around Shoulder
1f878ad7-2362-466d-9d06-a8e0e6e6bc15
Most common site of metastasis for Breast Carcinoma is
Thoracic veebra
Pelvis
Femur
Lumbar veebra
3d
single
1) Bone(most common) (70%) - in order -lumbar veebrae, femur, ends of long bone, thoracic veebrae, ribs, skull 2)Liver 3)Lung- causes malignant pleural effusion and cannon ball secondaries. 4)Brain- causes increased ICP 5)Adrenals and ovaries Reference: SRB's Manual of Surgery, 6th Edition, page no = 530.
Surgery
Endocrinology and breast
c7dc4138-78a0-47d3-a887-5be40e19f29f
Life-threatening intravascular hemolysis, due to a toxin with lecithinase activity, occurs with sepsis due to:
Pseudomonas
Babesia
Parvovirus B 19
Clostridium perfringens
3d
single
Life-threatening intravascular hemolysis, due to a toxin with lecithinase activity, occurs with Clostridium perfringens sepsis. Reference: Harrisons Principles of Internal Medicine, 18th Edition, Page 881
Medicine
null
ff3b3ccd-3f29-417b-9202-780dfd3a49a2
Causes of atonic PPH are following except :
Fibroid
Multiple pregnancy
Multiparity
Preeclamptic
3d
multi
Preeclamptic
Gynaecology & Obstetrics
null
eae6bf1b-9984-45d5-a3f8-4193ace9a603
Inspiratory stridor is found in what kind of lesions
Supraglottic
Subglottic
Tracheal
Bronchus
0a
single
Airway obstruction above the glottis - an inspiratory stridor Obstruction in the lower trachea & bronchi - indicative of expiratory stridor Lesion in glottic or subglottic lesion. - A biphasic stridor So answer is option a - supraglottis Ref : PL Dhingra 7th edition ; pg num:- 333,334
ENT
Ear
64056ecd-4d50-4e9b-8d75-3db2f9b2b40a
Which class of antifungals inhibits the synthesis of the fungal cell wall
Polyene macrolides
Echinocandins
Azoles
Allylamines
1b
multi
ECHINOCANDINS Caspofungin It is the first and the prototype member of the class, active mainly against Candida and Aspergillus mechanism of action:- It inhibits the synthesis of b-1, 3-glucan, which is a unique component of the fungal cell wall. Cross linking between chitin (a fibrillar polysaccharide) and b-1, 3-gluca...
Pharmacology
Antibiotics
50cb501b-0fcf-4db6-8805-5fd33bfd9233
All are tubal patency tests EXCEPT
Tubal CO2 insufflation test
Laproscopy
Fern test
HSG
2c
multi
Ans. c (Fern test). (Ref. Shaws, Textbook of Gynaecology, 12th/pg.l62)Tests for tubal patencyTests for ovulation1CO2 insufflation/Rubin's test (obsolete)BBT2HSGEndometrial biopsy3Laproscopic chromopertubationFern test4Sonosalpingography and standard USGFolliculometry (USG) -noninvasive, accurate, safe5HysteroscopyHormo...
Gynaecology & Obstetrics
Gynaecological Diagnosis
77a8f345-34ec-4ca0-9427-d4ae760f0768
Lacerated wound looks like incised wound over:
Scalp
Abdomen
Thigh
Forearm
0a
single
A i.e. Scalp
Forensic Medicine
null
c011f63b-f4c5-440b-9145-de7d3d328bff
All of the following are features of hallucinations, except:
It is independent of the will of the observer
Sensory organs are not involved
It is as vivid as that in a true sense perception
It occurs in the absence of a perceptual stimulus
1b
multi
B i.e. Sensory organs are not involved
Psychiatry
null
ad32342f-b600-4732-bbf5-cd40523d5d6b
Which of the following drugs should NOT be used in the setting of severe hypeension in elderly on empirical basis?
Enalapril
Amlodipine
Chlohiazide
Prazosin
3d
single
For the elderly, alpha blockers like prazosin can cause severe hypotension and 1st dose hypotension DOC for elderly with severe HTN - CCBs DOC for HTN with diabetes- ARBs or ACE inhibitors Ref:Tripati 8th edition
Pharmacology
Cardiovascular system
73c60d44-81e8-4901-a10e-562ff41a8662
The following structures are felt on per rectal examination except
Bulb of penis
Ureter
Anorectal ring
Urogenital diaphragm
1b
multi
During this procedure, areas which can be palpated are: the bulb of the penis, the urogeital diaphram-, the annorectal ring, and other nearby anatomical landmarks. However, structures like the ureter(the two tubes that run from each kidney to the urinary bladder), and the urethra (which, in a male, is divided into thre...
Anatomy
Abdomen and pelvis
457bf29d-69ba-445a-a021-44b8dffc3f29
The commonest valvular lesion in SLE-related cardiac disease is-
Tricuspid regurgitation
Mitral regurgitation
Mitral stenosis
Aoic regurgitation
1b
single
Valvular involvement is the most encountered form of hea disease in systemic lupus erythematosus (SLE). Immunoglobulin and complement deposition in the valvular structure will subsequently lead to Libman-Sacks vegetations, valve thickening, and valve regurgitation. Valvular stenosis is rarely seen.resulting in mitral r...
Medicine
C.V.S
2f49b4af-af74-4ff4-b756-562e621b1319
Most common epithelial tumor of lacrimal gland:-
Adenoid cystic carcinoma
Pleomorphic adenoma
Squamous cell carcinoma
Non hodgkins lymphoma
1b
single
Pleomorphic adenoma are most common epithelial tumors of lacrimal gland Lacrimal tumors High Yield Facts Pleomorphic adenoma are most common epithelial tumors of lacrimal gland Adenoid cystic adenocarcinoma are most common malignant tumors of lacrimal gland. They are usually painful Present with superotemporal mass and...
Ophthalmology
Nasolacrimal Disorders
0dc60e40-e86d-4bb9-85bd-ed96a4a8d1b9
Digoxin acts by inhibiting:
Na K ATPase
Ca channel
K channel
Adenyl cyclase
0a
single
Ans: a (Na K ATPase) Ref: Tripathi, 6th ed, p. 499All cardiac glycosides are potent and highly selective inhibitors of the active transport of Na+ and K+ across cell membranes by their reversible binding to the alpha subunit of the. Na+, K+- ATPase the elimination 11 /2 for digoxin is 36 hours in patients with nonnal r...
Pharmacology
C.V.S