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135
9dcd42c3-2a9c-488b-92dc-a850cf24aefc
A patient died and relatives complain that it is due to the negligence of the doctor. According to a recent Supreme court judgment, the doctor can be charged for Medical Negligence under section 304-A, only
If he is from corporate hospital
If negligence is from inadvertent error
Gross negligence
Res ipsa Loquitur
2c
single
According to a recent supreme court judgment, the doctor can be charged for medical negligence Under section 304-A IPC (i.e. criminal negligence), only if he shows gross lack of competence/skill, gross inattention, or inaction or recklessness or wanton (gross) indifference to the patient's safety or, gross negligence.
Forensic Medicine
null
9cf16220-eae1-4074-8bfd-bf736c92ccda
Arsenic poisoning presents with symptoms mimicking -
Cholera
Dhatura poisoning
Barbiturates poisoning
Morphine poisoning
0a
single
Arsenic poisoning present with symptoms mimicking cholera. The differences are -
Forensic Medicine
null
05adec56-c65d-4f70-a86a-639c94297271
The length of a muscle at which tension is maximum is called:
Active length
Resting length
Optimal length
Maximal length
2c
multi
When a muscle at rest is stretched, its sarcomere length is changed. When this muscle is made to contract from the various lengths at rest, contractile force developed varies according to the actin-myosin interaction possible within the sarcomere. Resting length of sarcomere = 2 m. This is Li or length initial. Contrac...
Physiology
Muscle
09c835b3-838d-44b9-ae64-78e69984e51c
All of the following are the diseases occurring due to disturbance in lipid metabolism except:
Gaucher’s Disease
Niemann-Pick Disease .
Hurler syndrome.
Letterer-Siwe Disease.
2c
multi
Hurler syndrome is due to the disturbance in mucopolysaccharide metabolism.
Pathology
null
e8aa49e5-8e21-4ef4-9692-f4fa11e3139d
in bogorad syndrome damage to the parasympathetic fibres of fascial nerve takes place ?
at parotid gland
before entering in to stylomastoid foramen
just before geniculate ganglion
before entering into internal auditory meatus
1b
single
BOGORAD SYNDROME OR CROCADILE TEAR SYNDROME : damage to Para sympathetic fibres occurs before the geniculate ganglion APPLIED ASPECTS Crocodile tears syndrome/ Bogorad&;s syndrome" uncommon consequence of nerve regeneration subsequent to Bell&;s palsy or other damage to the facial nerve in which efferent fibers from th...
Anatomy
All India exam
1f034f37-1169-460b-b588-3f9f4001284f
In cotrimoxazole, sulphamethoxazole and trimethoprim are in ratio of:
2:01
1:01
5:01
4:05
2c
single
5:01
Pharmacology
null
2d0272fa-58e4-4efa-950b-070732fff29c
What is Ranula -
Retention cyst of sublingual gland
Retention cyst of submandibular gland
Extravasation cyst of sublingual glands
Extravasation cyst of submandibular glands
0a
single
Ans. is 'a' i.e., Retention cyst of sublingual gland
Surgery
null
ec0f647a-3c8b-4522-9e3a-79dd029cb8fe
What is the significance of mutation of CCR5 protein?
High resistance to HIV infection
High susceptibility to HIV infection
Causes resistance to anti retroviral therapy
Causes increased virulence of the virus
0a
single
The answer to this question is definitely 'A'.Let me explain why. HIV infects T cells that carry CD4 antigen on their surface i.e CD4 T cells.In addition HIV can also affect macrophages that bear CD4 on their surface. The first step in the HIV infection is the binding of envelope glycoprotein of HIV to the CD4 receptor...
Medicine
null
6b64b566-0b14-4001-aced-aba6dfdcda2c
Neonatal polycythemia with hyperviscosity is associated with all except
Twin - Twin transfusion syndrome
Fetal microsomia in gestational diabetes
Fetal and placental growth restriction
Transfusion at delivery
1b
multi
Fetal macrosomia in gestational diabetes is associated with neonatal polycythemia.
Gynaecology & Obstetrics
null
eb4ad003-cabb-488c-9087-e897a93e34ea
What is the diagnosis in this patient with abdominal pain?
Amyloidosis
Familial Mediterranean fever
Lead poisoning
Leukemia
2c
single
Answer C. Lead poisoningThe blue lines evident on the gums are Burton's lines, which can be present in patients with lead poisoning. The diagnosis of occupational lead poisoning was confirmed by an elevated serum lead level. The patient recovered following chelation therapy.
Medicine
Disorder of Metabolism & Connective Tissue
26488059-0733-4568-9ff9-50ba17756bc3
Selective grinding for equilibrating complete dentures is best accomplished after processing when the dentures are:
Rearticulated using original jaw relation record
Rearticulated with a new series of jaw relation
Equilibrated in the patients mouth
Spot ground in the patients mouth
1b
single
null
Dental
null
8e5c45c9-01f3-4764-bf9f-ab40adb73dd1
A hypeensive patient Sattu already receiving a drug 'X' to control his BP was prescribed a tricyclic antidepressant. This resulted in the abolition of the antihypeensive action of 'X'. Which of the following drug can be 'X'?
Enalapril
Clonidine
Atenolol
Diltiazem
1b
single
(Ref: KDT 6/e p444) TCAs abolish the antihypeensive effect of guanethidine and Clonidine by inhibiting their transpo into the adrenergic neurons.
Anatomy
Other topics and Adverse effects
dc858177-b31e-4ba3-9be8-1523cda40740
Methylene blue test is used to detect
Microorganisms
Sucrose
Fats
All of the above
0a
multi
Methylene blue test is used to detect Microorganisms.
Medicine
null
2c088222-33e6-41a8-8220-98193594e0a7
Post coital test detects all of the following. Except:
Fallopian tube block
Cervical factor abnormality
Sperm count
Sperm abnormality
0a
multi
Ans. is 'a' fallopian tube block. (Shaws, 13/e, p 202, 210 (12/e, p. 158, 164))Postcoital test can be used to study the properties of cervical mucus i.e.,. its capability to allow sperm penetration and presence of antisperm antibodies and also about ovulation.Study of cervical mucus has nothing to do with fallopian tub...
Gynaecology & Obstetrics
Pathology of Conception
b82939f5-7305-4d02-a8dc-69dc47fa015d
All of the following are TRUE about ASO titre, EXCEPT:
ASO can be increased in school children
May be negative in post streptococcal glomerulonephritis
ASO titre included in major criteria in jones criteria
May not be elevated in 20% cases of carditis
2c
multi
The antistreptolysin O (ASO) titer is the most commonly used streptococcal antibody test to establish a recent streptococcal infection. It is not a major criteria but, suppoing evidence of antecedent group A streptococcal infection. An ASO titer of 240 Todd units or higher in adults or 320 Todd units or higher in child...
Pediatrics
null
7298623c-3f7d-4547-9195-7e4a2a95b705
Korner's septum is seen in:
Petrosquamous suture
Temporosquamous suture
Petromastoid suture
Frontozygomatic suture
0a
single
Petrosquamous suture
Anatomy
null
e49ed7cd-aabd-476e-8d7e-fab251f39b6d
True statement about Coarctation of the Aorta includes
Lower limb pulses are barely palpable or absent
Blood pressure is elevated distal to the lesion and reduced proximal to it
The condition is twice as common in females as males
Hypertrophy of the lower ribs may be seen in older children
0a
multi
(A) Lower limb pulses are barely palpable or absent> Coarctation of the aorta, or aortic coarctation, is a congenital condition whereby the aorta narrows in the area where the ductus arteriosus (ligamentum arteriosum after regression) inserts.> Coarctation is about twice as common in boys as it is in girls, it s common...
Medicine
Miscellaneous
2187f3e4-b243-41cd-856c-5b8327b5540e
Outdated drugs and cytotoxic wastes are disposed by:
Dumping
Destruction and disposal
Store for month and burial
Incineration
1b
single
Destruction and disposal
Social & Preventive Medicine
null
77bdb7cc-11c1-4571-9405-86e0674b6c83
10 year old boy complaints of pain in right arm near the shoulder, x-ray shows expansile lytic lesion in upper third of humerus, what is the likely diagnosis.
Aneurysmal Bone cyst
Simple bone cyst
Giant cell tumor
Osteosarcoma
1b
single
null
Orthopaedics
null
de70db00-1d5a-4c9b-8a76-d32115c813c3
Abandoning a child is punishable under which section of IPC ?
320
317
323
84
1b
single
Ans. is 'b' i.e., 317 317 IPC: Abandoning a child (7 years imprisonment +- fine)Offences related to abortion and child birth* 312,313, 314 and 315IPC: For causing voluntary miscarriage (criminal abortion).# 312 IPC: Causing miscarriage with consent (3 years of imprisonment +- fine).# 313 IPC : Causing miscarriage witho...
Forensic Medicine
Law & Medicine, Identification, Autopsy & Burn
4bc83351-c735-49df-8ebb-be694e94b631
All the following decrease skeletal muscle tone by CNS effects except:
D-tubocurarin
Diazepam
Beclofen
Mephensin
0a
multi
null
Pharmacology
null
45c775dc-00dd-4526-b78e-3a440ec6477b
Only mycobacteria which produces exotoxin -
M. tuberculosis
M. Ajarinum
M. Ulcerans
M.Bavis
2c
single
Ans. is 'c' i.e., M. Ulcerans * Buruli ulcer is caused by M. ulcerans.* It is the only mycobacteria producing a toxin.
Microbiology
Bacteria
5a2a168a-f486-43b3-9e20-e08790893530
Arrange following pas of Anesthesia machine according increasing pressure system wise i) Vaporize mounting devices ii) Hanger yoke assembly iii) Flow indicators iv) Pipe line indicator
(iii), (i), (iv), (ii)
(i), (iv), (iii), (ii)
(ii), (i), (iii), (iv)
(iii), (iv), (ii), (i)
0a
single
Anesthesia machine according increasing pressure system iii) Flow indicators i) Vaporize mounting devices iv) Pipe line indicator ii) Hanger yoke assembly
Anaesthesia
Anesthesia Machine
fa72a3bf-43ec-48f2-b193-8087cf123183
Most common cause of Genital Herpes
HSV-1
HSV-2
HSV-3 (VZV)
HSV-4 (EBV)
1b
single
Both HSV-1 and 2 can cause genital and oral - facial infection but reaction at oral - facial site is more common with HSV-1 and at the genital site with HSV-2
Microbiology
null
8940eb7b-eff3-48d7-933b-fff98c87c48b
Forced diuresis with acidification or alkalinization of urine is a common method for elimination of certain poisons/drugs from the body. The elimination of which of the following drugs is commonly enhanced by alkaline diuresis -
Amphetamines
Phenobarbitone
Phencyclidine
Theophylline
1b
single
Amongst the give options, alkaline diuresis is used in barbiturate (phenobarbitone) poisoning.
Forensic Medicine
null
dd09d3bf-b2c9-4863-9265-d1cd15dcba0a
Fluent Aphasia with preserved comprehension and impaired repetition is:
Broca's
Wernicke's
Anomie
Conduction
3d
single
Answer is D (conduction): Conduction Aphasia is a 'Fluent' Aphasia with preserved comprehension and impaired Repetition. Clinical Syndrome Non-Fluent Aphasias Fluent Aphas'as Features Transcoical Motor Wernicke's Transcoical Sensory Fluent No No No No Yes Yes Yes Yes Comprehension No No Yes Yes Yes Yes No No Repeat No ...
Medicine
null
2b40505c-97e3-4a91-8720-a5ecfdfe135f
Dosage of Vitamin-A for children between 1-3 years
5,00,000 IU
2,00,000 IU
1,00,000 IU
3,00,000 IU
1b
single
In settings where vitamin A deficiency is a public health problem** (prevalence of night blindness is 1% or higher in children 24-59 months of age or where the prevalence of vitamin A deficiency (serum retinol 0.70 umol/l or lower) is 20% or higher in infants and children 6-59 months of age), high-dose vitamin A supple...
Pediatrics
Nutrition
e3a736e8-958d-469f-b48f-1dde766f914a
'Ring sign' is seen in: September 2003
Scurvy
Congenital syphilis
Gaucher's disease
All of the above
0a
multi
Ans. A i.e. Scurvy
Surgery
null
856a3c7c-cba6-41fd-946a-3931f03e1ee2
The line joining ant. sup iliac spine to ischial tuberosity and passes a greater trochanter -
Nelaton's line
Showmakers line
Chiene's
Perkins line
0a
single
Nelaton's line : With the hip in 90 degree of flexion, a line joining the ASIS and ischial tuberosity passes through the tip of the greater trochanter on that side. In cases of supratrochanteric shortening the trochanter will be proximal to this line. Shoemaker's line : With the patient lying supine, the line joinin...
Orthopaedics
null
0a62be0c-2396-425d-83b4-54a2177105ba
Ulceration of the vulva is commonly seen in all except :
Bacterial vaginosis
Syphilis
Chancroid
Behcet's disease
0a
multi
ULCERS OF THE VULVA STD related idiopathic tuberculosis malignancy systemic syphilis herpes genitalis chancroid granulomainguinale lymphogranuloma venerum Bechet&;s disease aphthous ulcers lipschutz ulcers tubercular SCC Malignant melanoma basal cell carcinoma leukemia choriocarcinoma SLE Chron&;s disease Lichen planus...
Gynaecology & Obstetrics
Infections of the genital tract
6e4b72c5-56c1-410f-b748-20124b00de98
Which of the following is included as "proximate principles" of nutrition?
Iron
Vitamin A
Carbohydrate
Calcium
2c
single
Macronutrients are also known as proximal principles of nutrition as they form the major bulk of food consumed by us. Macronutrients include carbohydrates, proteins and fats. Ref: Park's, 21st Edition, Page 562.
Social & Preventive Medicine
null
94b2dc99-8543-4aeb-a21c-7b11fb940d1f
A 40 year old patient has undergone an open cholecystectomy. The procedure was repoed as uneventful by the operating surgeon. She has 100 ml of bile output from the drain kept in the gallbladder bed on the first post operative day. On examination she is afebrile and anicteric. The abdomen is soft and bowel sounds are n...
Order an urgent endoscopic retrograde cholangiography and biliary stenting
Urgent laparotomy
Order an urgent hepatic imino diacetic acid scintigraphy (HIDA)
Clinical observation
3d
multi
Ans. is (d) i.e. Clinical observation 100 ml. of Bile output from the patient on the 1st postop. day without any other abnormality is of no clinical significance, so does not warrant any action from the surgeon. But remember if passing of 100 ml of bile continues for 5-6 days then it is considered abnormal. It denotes ...
Surgery
null
afa27cc5-b6e9-4277-a77f-508dcbac4b16
All is true about foreign body impaction in ear except-
Objects located medial to isthmus of canal is difficult to remove
Syringing is used for removal of vegetative foreign body
Syringing uses room temperature water
Blunt hook is used to remove rounded foreign body
1b
multi
Answer- B. Syringing is used for removal of vegetative foreign bodyMethods of removing a foreign body include: forceps removal, syringing suction, microscopic removal with special instruments and postaural approach.Foreign bodies of vegetable origin such as nuts, peas and beans, are hygroscopic and should not be syring...
ENT
null
6b8d9266-d590-456f-b778-9f408d727e8d
A 17 year old female presents with a pruritic rash localized to the wrist. Papules and vesicles are noted in a bandlike pattern, with slight oozing from some lesions. The most likely cause of the rash is NOT RELATED -DERMATOLOGY
Herpes simplex
Shingles
Contact dermatitis
Seborrheic dermatitis
2c
single
Contact dermatitis causes pruritic plaques or vesicles localized to an area of contact. In this case, a bracelet or wristband would be the inciting agent. The dermatitis may have vesicles with weeping lesions. The process is related to direct irritation of the skin from a chemical or physical irritant. It may also be i...
Pharmacology
All India exam
c53a7494-6352-4388-a310-5690f44561f2
True statement regarding this diagnosis is:
Recurrence is a common complication
Common in children and rare in adults
May be overlooked as clinically occult
Is not associated with other bony/cartilagionus injury
0a
multi
Ans. A Recurrence is a common complicationThere is incongruency between Glenoid (red arrow) and Humeral head (yellow arrow) which is lying inferior to Coracoid process (blue) - suggests Sub-coracoid/Anterior shoulder dislocation. Anterior shoulder dislocation is very common, often seen in adults and is recurrent. Assoc...
Radiology
Miscellaneous
d44a96a0-f5be-4042-9cab-fe87c0ed61c3
Dye for myelography is injected in which space :
Subdural
Epidural
Subarachnoid
Extradural
2c
single
Myelography is the radiographic investigation of the spinal canal for the diagnosis of space occupying an obstructive lesion. It requires the contrast agent to be injected  into subarachnoid space. MRI has replaced myelography, these days.
Radiology
null
72479ded-b52d-46fa-acef-a92017a3bdf2
Scottish terrier sign is seen in:
AP view
PA view
Lateral view
Oblique view
3d
single
Ans. Oblique view
Radiology
null
36c69c35-1028-4614-901e-2161cf1f7525
A 17-year-old soccer player suffered a fracture to the left tibia. After his lower leg has been in a cast for 8 weeks, he found that the left gastrocnemius muscle is significantly smaller in circumference than it was before the fracture. What is the most likely explanation?
Decrease in the number of individual muscle fibers in the muscle.
Decrease in blood flow to the muscle caused by constriction from the cast.
Temporary reduction in actin and myosin protein synthesis
Progressive denervation.
2c
multi
Skeletal muscle continuously remodels in response to its level of use. When a muscle is inactive for an extended period, the rate of synthesis of the contractile proteins in individual muscle fibers decreases, resulting in an overall reduction in muscle mass. This reversible reduction in muscle mass is called atrophy.
Physiology
Muscle
b97e8604-812b-4240-be3d-5adf8d69236b
All are transmitted by fecal-oral route except ?
Polio
Typhoid
Ascaris
Dracunculiasis
3d
multi
Ans. is 'd' i.e., Dracunculiasis
Social & Preventive Medicine
null
f42ac82d-19bf-4717-a4fd-6b89a47b5029
KOH wet mount is prepared for
Bacteria
Virus
Fungus
Parasite
2c
single
KOH preparation: Specimen is placed in a drop of 10%KOH on a slide and covered with a cover slip. It is heated gently and examined under a microscope. Yeast cells and hyphae may be observed. Reference: Textbook of Microbiology; Baveja; 4th edition .
Microbiology
mycology
304e23fb-47c2-4e0d-9340-21d0ae96edf7
All of the following 'Reforms' have been proposed by the world health repo (2008), EXCEPT:
Service Reforms
Leadership Reforms
Policy Reforms
Economic Reforms
3d
multi
The World Health Repo 2008 lists four sets of PHC (Primary Health Care) Reforms which are necessary to refocus health systems towards health for all. These are universal coverage reforms, service delivery reforms, public policy reforms and leadership reforms. Economic reforms are not included in this repo. Ref: The Wor...
Social & Preventive Medicine
null
3f122b49-eaa9-4f50-93e3-fc8e707292bc
Fluoride is used in
Blood glucose estimation samples
Urine glucose estimation samples
Both 1 & 2
None of the above
0a
multi
The high energy compound phosphoenol pyruvate is generated from 2-phosphoglycerate by the enzyme enolase. This enzyme requires Mg2+ or Mn2+ and is inhibited by fluoride. For blood  glucose estimation in the laboratory, fluoride is added to the blood to prevent glycolysis by the cells, so that blood glucose is correctly...
Biochemistry
null
28e3b5c4-6b89-4ef0-a7cc-02880830d62c
Among the following, which of the following 5-PDE inhibitor has the longest duration of action?
Sildenafil
Vardenafil
Tadalafil
Udenafil
2c
single
Ans. is 'c' i.e., Tadalafil o Tadalafil is the longest acting phosphodiesterase inhibitor used for erectile dysfunction. Its half life is 17.5 hours.
Pharmacology
null
5535d3b5-4725-46a7-8c50-3a997ca933eb
What is the naturally occurring form of vitamin D in the human skin?
Calciferol
7 hydroeholesterol
25 hydroxy cholecalciferol
1,25 dihydroxy cholecalciferol
0a
multi
Calciferol is a fat-soluble, crystalline unsaturated alcohol produced by ultraviolet irradiation of ergosterol in plants. It is used as a dietary supplement in the prophylaxis and treatment of rickets, osteomalacia, and other hypocalcemic disorders. Also called ergocalciferol, ole vitamin D2, vitamin D2. See also ricke...
Physiology
Endocrinology
7a4f97ef-4cd9-447b-b22c-4c17a685ca19
All of the following diuretics acts from luminal side of renal tubules except:
Loop diuretics
ENAC blockers
Aldosterone antagonists
Mannitol
2c
multi
Aldosterone receptor antagonists acts from interstitial side.
Pharmacology
null
d7f4f29c-0148-4f2e-81e8-de73e5921f2f
The following is not an atypical antipsychotic
Thioridazine
Clozapine
Olanzapine
Resperidone
0a
single
Ans. is 'a' i.e. Thioridazine The most important distinction in modem day classification of antipsychotic drug is between the classical agents (typical) agents such as chlorpromazine, haloperidol and Zuclopenthixol and the atypical antipsychotics which include clozapine, risperidone, olanzapine and quetiapine.The atypi...
Psychiatry
Pharmacotherapy Management of Children and Adolescents
55134f03-7430-49dd-a5ce-c1e3c430e994
First to come in female pubey:
Thelarche
Menses
Adrenarche
Growth spu
3d
single
This question may cause a problem in the exam. If growth spu is in the choices then we must mark that s the first option since this is indeed the first event of pubey Pubey specific event which comes in first is Thelarche & then Pubarche, linear growth spu and Menarche In girls, pubeal development typically takes place...
Gynaecology & Obstetrics
Pubeal Changes
d3bc78f2-a6ac-4ba8-8275-99c764adf27e
The disposal of night soil and refuse is by?
Chemical sterilization
Burning
Composting
Any of the above
2c
multi
Ans. is 'c' i.e., Composting
Social & Preventive Medicine
null
e542fbf2-ed4f-4ab7-9740-b0c5d790c522
Components of 60 S subunit of ribosome are
5.8 S
23 S
16 S
18 S
0a
single
The mammalian ribosome has a sedimentation consisting of 80s unitIt has larger 60s subunit and another smaller 40s subunit The larger ribosomal subunit has 28s, 5.8S, and 5S rRNA And small subunit has only 18SrRNA
Biochemistry
Metabolism of nucleic acids
560f150b-bc8e-4860-b3eb-3caa6ea8e706
A 28-year-old lady has put on weight (10 kg over a period of 3 years) and has oligomenorrhoea followed by amenorrhoea for 8 months. The blood pressure is 160/100 mm of Hg. Which of the following is the most appropriate investigation?
Serum electrolytes
Plasma coisol
Plasma testosterone and ultrasound
T3, T4 and TSH
1b
single
Weight gain + Oligomenorrhea --->Cushing syndrome. Coisol inhibits gonadotropin release that explains the amenorrhea. Hypeension in these patients is secondary to increased coisol that has some mineralocoicoid activity also. Excess glucocoicoids also interfere with central regulatory systems, leading to suppression of ...
Medicine
Cushing Syndrome
7515a9d4-4e94-443a-b66a-24d3b980b5ba
Some mRNA has self-splicing activity. The removal of introns is/are done by
Occur in intron that from Ribozyme
Self-splicing introns
Lariats intermediates are formed
All of these
3d
multi
In molecular biology and genetics, splicing is a modification of an RNA after transcription, in which introns are removed and exons are joined. This is needed for the typical eukaryotic messenger RNA before it can be used to produce a correct protein through translation. For many eukaryotic introns, splicing is done in...
Biochemistry
null
2e9cefeb-be0b-4d41-8013-bbaafbf35f1f
The risk factors of acute pelvic inflammatory disease (PID) are the following except:
Menstruating teenagers who have multiple sex partners
IUD users
Women with monogamous partner who had vasectomy
Previous history of acute PID
2c
multi
null
Gynaecology & Obstetrics
null
db0f17bc-c137-4334-98ca-6fc7dae6de09
Linear coefficient of thermal expansion of metal used for metal ceramic restoration range from:
11.5-12.5 x 10-6/°C
10.5-11.5 x 10-6/°C
13.5-14.5 x 10-6/°C
16.5-17.5 x 10-6/°C
2c
single
Most porcelains have coefficients of thermal expansion between 13.0 and 14.0 × 10 −6 /°C, and metals between 13.5 and 14.5 × 10 −6 /°C. The difference of 0.5 × 10 −6 /°C  in  thermal  contraction between metal and porcelain causes the metal to contract slightly more than does the ceramic during cooling. This condition ...
Dental
null
effbecff-c59b-467c-93de-385b6bde19e3
Most sensitive indicator of iron deficiency anemia
Packed cell volume
Hemoglobin
Serum ferritin
Serum iron
2c
single
Ans. (c) Serum ferritin(Ref: Robbins 9th/pg 649-652)Among the options provided, most sensitive marker in iron deficiency anemia is Serum ferritin.Serum ferritin reflects the storage of Iron which is decreased even in the pre-latent stage of Iron deficiency Anemia and is the most sensitive marker.
Pathology
Misc. (R.B.C)
0638a7ab-0848-4a71-85b9-0e640a776016
Assessment of malnutrition is done by:-
Mid-arm circumference (MAC)
Body mass index
Weight for age
All of the above
3d
multi
Assessment of: Nutritional status in children: weight for age (growth cha) > MAC Nutritional status in adults : body mass index Best indicator for growth & development in children - weight for age.
Social & Preventive Medicine
Growth and Development
fe471883-66aa-40ff-8892-ffc0d6faf3b6
Thoracic Sympathetic Chain is situated :
In front of posterior mediastinum
Passes superficial to medial arcuate ligament
Near heads of 2nd to 10th rib
In front of veebral column
2c
single
C. i.e. Near heads of 2nd to 10th rib Thoracic sympathetic trunk is a ganglionated chain situated on each side of thoracic veebraQ and crosses the neck of 1st rib, heads of 2" to 10th ribs and bodies of 11th & 12th rib.Q The whole chain descends in front of posterior intercostal vessels & intercostal nervesQ, and passe...
Anatomy
null
cd6ff05f-adae-4d66-a110-6a00475e793a
A 30 year old lady c/o sudden onset breathlessness, anxiety, palpitation & feeling of impending doom. Physical examination is normal. What is the diagnosis -
Panic attack
PTSD
Conversion disorder
Acute psychosis
0a
single
Ans. is 'a' i.e., Panic attack DSM-IV Criteria for a Panic AttackA panic attack is a period of intense fear or discomfort, developing abruptly and peaking within 10 minutes, and requiring at least four of the followingChest pain or discomfortQChills or hot flushesDerealization (feeling of unreality) or depersonalizatio...
Unknown
null
238cc302-2725-4050-a53b-09b6b93ed482
The typical temperature of an autoclave (operating at 30 psi of pressure is)
121degC
100degC
63degC
134degC
3d
single
Two types of autoclave are used in laboratories and hospitals. * Moist heat at 121 degree Celsius X 15-20 minutes (Pressure-15 psi) * Moist heat at 134 degree Celsius X 3 minutes (Pressure-30 psi)
Microbiology
General Microbiology (Sterilization and Bacterial Genetics)
2333a97a-0a8b-42c3-abef-44268bce9ac6
Diagnosis of tularemia is confirmed using agglutination testing. In the standard tube agglutination test, what should be the single antibody titre for making the test positive?
1:40
0.097222222
0.125
0.152777778
3d
single
A single antibody titer 1:160 is interpreted as a presumptive positive result for diagnosing tularemia. Agglutination test is used to confirm the diagnosis of tularemia. A fourfold increase in titer between paired serum samples collected 2-3 weeks apa is considered diagnostic. Late in infection, titers of 1:20-1:80 may...
Medicine
null
75dec336-846c-4432-8b7a-b50b769633df
Satellite nodules are seen in
Fungal corneal ulcer
Tuberculosis
Sarcoidosis
Viral ulcer
0a
single
o Features of fungal corneal ulcer are
Ophthalmology
null
fe096cad-b07f-466a-b8c8-333162344754
Hamman's sign is seen in:
Pulmonary thromboembolism
Pulmonary atelectasis
Pneumomediastinum
Intralobar pulmonary sequestration
2c
single
Hamman's sign is the Crunching sound heard with every heart beat because of heart beating against air fill.
Surgery
null
d750e534-6c3a-42c3-9e72-3c31744961a4
Venom of sea snake is mostly -
Neurotoxic
Haemolytic
Myotoxic
Hepatotoxic
2c
single
null
Forensic Medicine
null
555916e5-6bb6-4646-83a4-02bd38c93338
Which of the following streptococcal antigen cross reacts with synol fluid?
Carbohydrate (group A)
Cell wall protein
Capsular hyaluronic acid
Peptidoglycan
2c
multi
Antigens cross reactivity between Streptococcus antigens and the corresponding human antigen Streptococcal component Human tissue Capsular hyaluronic acid Synol fluid Cell wall protein Myocardium Group A carbohydrate Cardiac valves Cytoplasmic membrane antigen Vascular intima Peptidoglycans Skin antigens
Microbiology
Systemic Bacteriology Pa 1 (Gram Positive Cocci, Gram Negative Cocci)
e0c1c405-cb0c-4b44-9b76-53be27a44eee
Drug of choice for primary prophylaxis for acute rheumatic fever?
Erythromycin-1.2 million units
Erythromycin-1.2 lakh units
Benzathine penicllin-1.2 lakh units
Benzathine penicillin-1.2 million units
3d
single
Prophylaxis of ARF: 1.primary-To stop streptococcal pharyngitis to procede to ARF In this,Antibiotics are given for a week. DOC-injection benzathine penicillin-1.2 million units(wt>27kgs);0.6 million units(wt<27 kgs). if patient is allergic to penicillins then macrolides are preferred. 2.secondary prophylaxis-To preven...
Anatomy
General anatomy
747dd49c-84ba-43b4-8634-c6894b6e7db7
A 48 year old woman has developed chronic renal failure, and a renal scan showed bilaterally enlarged kidneys with multiple cysts. She had a sudden onset severe headache. A cerebral angiogram demonstrated marked narrowing of cerebral aery branches near the base of the brain, consistent with vasospasm, but no intraparen...
Bacterial meningitis
Severe atherosclerosis
Malignant hypeension
Subarachnoid hemorrhage
3d
multi
The blood irritates the aeries. This effect is often delayed by several days following the initial hemorrhagic event. Berry aneurysms are located in the circle of Willis at the base of the brain, and rupture leads to extravasation of blood into the subarachnoid space. Her renal scan suggests a diagnosis of dominant pol...
Pathology
null
aa5ff81c-8e1b-48ae-a837-ddade00d50f8
Commonest presentation of neurocysticercosis is:
Seizures
Focal neurological deficits
Dementia
Radiculopathy
0a
single
Answer is A (Seizures): "These is wide variety of presentation of Neurocysticercosis depending on the intensity of the infestation, the localization of cystecerci and the degree of inflammatory reaction. Epilepsy (seizure activity) is the most common manifestation occurring in upto 50% cases - API text book of Medicine...
Medicine
null
1f7c58ec-7687-4ac0-a058-5e134d926733
Dermatophyte affecting the hair, nail, and skin is
Trichophyton
Epidermophyton
Microsporum
Malassezia
0a
single
The three genera of medically impoant dermatophytes (literally, skin-plants) are Epidermophyton, Microsporum, and Trichophyton.--Trichophyton: infects skin, hair, and nails-- Microsporum: infects hair and skin-- Epidermophyton: infects nails and skinRef: Sherris Medical Microbiology; 6th edition; Chapter 5; Medically R...
Microbiology
mycology
a4a6cc05-724d-4f09-914e-7d8578ea81e7
All are TRUE about protease activated receptors, EXCEPT:
Family of three seven transmembrane protein
Activated by thrombin
Releases PGE2
Protects epithelial cells
0a
multi
Protease activated receptors (PARs), a family of four seven-transmembrane G protein-coupled receptors (PAR1, PAR2, PAR3, PAR4), act as targets for signalling by various proteolytic enzymes (thrombin, trypsin). PARs are characterized by a unique activation mechanism involving the proteolytic unmasking of a tethered liga...
Physiology
null
8dc69128-b495-4fc3-a3ab-a1958a437934
A 10-year-old boy developed hoarseness of voice following an attack of diphtheria. On examination his right vocal was paralysed. The treatment of choice for paralysed vocal cord will be:
Gel foam injection of right vocal cord
Fat injection of right vocal cord
Thyroplasty type-I
Wait for spontaneous recovery of vocal cord
3d
single
Diphtheria is known to cause cranial nerve palsies and peripheral neuritis. It may cause paralysis of palate, pharynx, larynx and face. Recovery may also occur in a few weeks or months. Thus patient has a chance to recover vocal cord paralysis and the wait and watch policy would be the right option. Also compensation b...
ENT
Larynx
373c97b2-3a16-4e6b-a515-c9c5f359d638
Floor of body of lateral ventricle is formed by
Septum pellucidum
Rostrum of corpus callosum
Thalamostriate vein
Genu of corpus callosum
2c
multi
Floor of body of lateral ventricle is formed by  Caudate nucleus Thalamostriate vein Thalamus upper  surface  Body of fornix upper surface Rostrum of corpus callosum forms floor, septum pellucidum forms medial wall, and genu of corpus callosum forms anterior wall of anterior horn of lateral ventricle.
Anatomy
null
1d38c8ab-3725-429b-95f4-abbf87479984
Sensations which are appreciated in thalamus
Propioception
Pain and temperature
Tactile sensations
All
3d
multi
Thalamus acts as the sensory relay station for all sensors Ref: guyton and hall textbook of medical physiology 12 edition page number:691,692,693
Physiology
Nervous system
3dcc2d48-f678-4bcf-adbf-102ccb0e4514
A 70-year-old man is evaluated in emergency department for symptoms of dyspnea, orthopnea, and paroxysmal nocturnal dyspnea. His past medical history is significant for hypertension, type 2 diabetes, chronic kidney disease, and hypothyroidism. Medications are furosemide, enalapril, atorvastatin, metformin, and insulin....
ectopic atrial tachycardia
atrial flutter with 2 :1 AV conduction
sinus tachycardia
supraventricular tachycardia
1b
single
The cardiac rhythm is atrial flutter with 2:1 AV conduction. QRS complexes occur with perfect regularity at a rate of about 150/min. Their normal contour and duration indicate that ventricular activation occurs normally via the AV junction-His-Purkinje system. Flutter waves, regular ventricular rate at 150/min make the...
Medicine
C.V.S.
eaa50c90-ebaf-4a95-9782-b6ab83432b7c
A young patient presents with history of dysphagia more to liquid than solids. The first investigation you will do is:
Barium Swallow
Esophagoscopy
Ultrasound of the chest
C.T. Scan of the chest
0a
multi
Ans. is 'a' i.e. Barium swallow H/O of dysphagia with more to liquids than solids suggests achalasia cardia. In all other obstructive causes of esophagus, dysphagia for solids is seen firstDiagnosis of Esophageal diseaseAny esophageal disease is first diagnosed by radiographic evaluation.Schwartz says that "The first d...
Surgery
Diagnostic Evaluation of the Esophagus
3707a2cf-27df-4b2a-9d16-6dbec86dfd7b
A patient is suspected to have vestibular schwanomma. The investigation of choice for its diagnosis is
Gadolinum enhanced MRI
Contrast enhanced CT
SPECT
PET scan
0a
single
null
Radiology
null
c7e2dfd0-a3e5-4e45-9bd3-63086dce5da4
True about spinal cord:
In adults spinal cord ends at lower border of L1 veebra
In newborn may extend up to L3
Cauda equine extends from lumbar veebra to coccyx
All
3d
multi
A, B, C i.e. In adults spinal cord ends at lower border of Li veebra, In newborn may extend up to L3, Cauda equine extends from lumbar veebra to coccyx
Anatomy
null
6cc42404-d37c-472c-97a3-8bde5bbaa163
Kerley B lines are seen in
Pulmonary edema
Congenital hea disease
Sarcoidosis
All of the above
3d
multi
Kerley A lines are 1-2mm non- branching lines radiating from the hilum, 2-6 cm long. They represent thickened deep interlobular septa. Kerley B lines are transverse non- branching 1-2 mm lines at the lung bases perpendicular to the pleura 1-3cm long. They represent thickened interlobular septa.
Radiology
Respiratory Radiology
e44ef7eb-7130-4726-90e4-7d93d231d7e3
All are causes of Antepartum hemorrhage (APH) except:
Placenta previa
Abruptio placenta
Circumvallate placenta
Battledore placenta
3d
multi
Causes of Antepartum Hemorrhage Placenta previa Abruptio placenta Vasa previa Circumvallate placenta Local causes like: Polyp Carcinoma cervix Varicose veins Trauma Unclassified or indeterminate Circumvallate placenta It is an uncommon cause of antepartum hemorrhage. In this condition, the chorionic plate which ...
Gynaecology & Obstetrics
null
2e0de350-fa42-43c8-93be-88126bd1666c
An 11-year-old boy presents with pain in his right leg. A radiograph shows a "sunburst" appearance with bone destruction, soft tissue mass, new bone formation, and sclerosis limited to the metaphysis of the lower femur. select the type of bone lesion with which it is most likely to be associated (SELECT 1 LESION)
Osteoma
Osteoid osteoma
Osteoblastoma
Osteosarcoma
3d
single
Osteosarcoma, or osteogenic sarcoma, usually is seen in patients between the ages of 10 and 25 years. The distal femur is the site most frequently involved. The radiograph has a blastic, or sunburst, appearance. The tumor is not sensitive to radiation but does respond well to combination chemotherapy followed by surgic...
Surgery
Orthopedics
8aa70395-b1cc-4a6f-bb15-6e39f530f6c8
The alveolar aerial gradient is highest in which of the following?
ILD
Pulmonary Embolism
Acute severe asthma
Foreign body leading to upper airway obstruction
1b
single
The alveolar aerial PO2 difference is obtained by subtracting the aerial PO2 from the alveolar PO2. The normal alveolar-arial PO2 gradient is between 5-15 mm Hg.The alveolar aerial gradient is useful measure of ventilation perfusion mismatch. ILD- Due to pulmonary fibrosis, diffusion defect will lead to significant red...
Anatomy
Respiratory system
a6ccd759-4fda-4e2b-87f0-7a055fc2881c
Most common cause of Fulminant hepatic failure?
HAV
HBV
HCV
HDV
3d
single
Hepatitis D virus Hepatitis D accounts for maximum number of fulminant cases of viral hepatitis, a sizable propoion of which are associated with HBV infection. Superinfection with HDV in patients of chronic hepatitis B infection leads to fulminant hepatic failure
Medicine
Hepatic encephalopathy & hepatic failure
c95bccfe-22cd-4bde-8574-167a4ce31877
White infracts are seen in which of the following
Kidney
Spleen
Hea
All the above
3d
multi
Ref Robbins 8/e p128; 7/e p138 see explanations of earlier question White infarcts occur with aerial occlusions in solid organs with end-aerial circulations (e.g., hea, spleen, and kidney), and where tissue density limits the seepage of blood from adjoining patent vascular beds (Fig. 3-17, B). Infarcts tend to be wedge...
Anatomy
General anatomy
82c1f862-fc83-47c8-a868-621c01f777ef
Which of the following is not a self-retaining urinary catheter: March 2011
Foley
Malecot
Gibbon
Red rubber
3d
single
Ans. D: Red rubber
Surgery
null
ccdf8806-65e8-4a02-9182-e6991080f9f2
Complete unilateral congenital cataract should preferably be operated:
Within a few weeks of bih
At the age of 6 months
At the age of 2 years
At the age of 5 years
0a
single
Ans. Within a few weeks of bih
Ophthalmology
null
d4e32216-832c-4031-852b-5783c0aa08cc
all the following are non-competitive inhibitors except ?
arsenate
fluoroacetate
arsenate
disulfuram
0a
multi
Enzyme Inhibitors * Competitive inhibitors bind to the active site of an enzyme, competing with the substrate ex: arsenate ,oxamate,malonate, sulfonamide,methotrexate,ethanol,dicumurol * Noncompetitive inhibitors bind to another pa of an enzyme, causing the enzyme to change shape and making the active site less effecti...
Biochemistry
All India exam
7c928844-c0e5-4915-9835-da8ff12cdf90
Which of the following is the LEAST common immunologic manifestation of HIV infection?
Cutaneous reactions to drugs
Anaphylactic reactions to drugs
Anticardiolipin antibodies
Oligoaicular ahritis
1b
single
Anaphylactic reactions to drugs In contrast to the profound immunodeficiency that characterizes most manifestations of AIDS, a host of immunologic and rheumatologic disorders are common in patients with HIV infection. Ceainly the most common such reaction is cutaneous manifested sensitivity to the antibiotics required ...
Surgery
null
64eea1fd-2ddc-4254-8612-b187b3a7e22b
Efferent from cerebellum is through
Granule cells
Golgi cells
Purkinje cells
Basket cells
2c
single
The outgoing Purkinje axons constitute the sole output from the cerebellar coex and exe an inhibitory influence on intracerebellar nuclei.granule cells are the only intrinsic neurons. of cerebellum which is excitatory.(Ref: Vishram Singh textbook of clinical neuroanatomy second edition pg 116)
Anatomy
Brain
9ab9e783-7515-4e31-84a4-215ff3cd01b5
Which one given below is a DNA virus?
Polio virus
Adenovirus
Parvovirus
Hepatitis A virus
1b
single
Adenovirus are grp of medium sized non envolped double stranded DNA REF:ANANTHA NARAYAN TEXT BOOK OF MICROBIOLOGY 9EDITION PGNO.480
Microbiology
Virology
70fdbe86-3890-4a35-a1f9-0eb7d39d1abd
Inquest for custodial death is held by: September 2005
Doctor
Magistrate
Sub-inspector
District attorney
1b
single
Ans. B: Magistrate Simply stated, the death if a person in custody whether of the police or judicial will amount to Custodial Death. The Magistrate inquest is mandatory for any death of a person in custody to ensure examination of the circumstances leading to death.
Forensic Medicine
null
7c1ac5f3-4a4b-4639-9c62-a8e0dbc2a0c2
A 32 years old male has got clean wound without laceration. He had booster dose of TT 6 years back. What is next line of management?
Wound care with single dose of tetanus toxoid
Wound care with Human Tet Ig with tetanus toxoid single dose
Wound care with complete course of tetanus toxoid
Wound care with no immunization
0a
single
Ans. is 'a' i.e., Wound care with single dose of tetanus toxoidThe given patients belongs to category B (Booster dose between 5-10 years back). Thus, the requires wound care and single dose of TT.
Social & Preventive Medicine
null
7ddec216-bfc6-459f-871e-1cdb70f99366
Most commonly abused opioid is
Morphine
Diacetyl morphine
Codeine
Fentanyl
1b
single
Heroine-brown sugar /diacetylmorphine is the most commonly abused opioid opiods works on mu, kappa and delta receptor. there is a new recpetor that is introduced that is called as orphanin receptor opiod withdrawl is a distressing experience for the patient that makes the patient to take the sunstance again the main cl...
Psychiatry
Substance abuse
f6b76768-5b22-4ac4-8a17-6c9bff226961
Which stage of LGV infection is associated with bubos?
First stage
Second stage
Third stage
Throughout all stages
1b
multi
LGV infection:Primary stage:Small, painless, papulovesicular (Ext.genitalia)Usually unnoticedI/P: 3 days to 5 weeksSecondary stage:About 2 weeks later- lymphatic spread to draining lymph nodesMen -Inguinal L.N women -Intrapelvic & Para rectal nodesBubo(enlarge, suppurate, adherent to the skin)- break down- sinuses -dis...
Anatomy
All India exam
905d840e-5814-4e4b-94f4-67697f27586a
The true statement about the epidemiology of H.pylori is :
In developed world 80 % of population is affected before the age of 20
The prevalence is increasing in developed world
Most of the infected are children in developed countries
Poor socioeconomic status and less education predisposes to higher colonization rates
3d
multi
PREVALENCE OF H.PYLORI: The prevalence of H. pylori varies throughout the world In developing world, 80% of the population are infected by the age of 20. In the United States this organism is rare in childhood. The overall prevalence of H. pylori in the United States is 30% The rate of infection with H. pylori in indus...
Medicine
null
73d855e2-11af-4a94-b253-3a7ad252efdc
Aspergilloma has -
Septate hyphae
Pseudohyphae
Metachromatic hyphae
No hyphae
0a
single
null
Microbiology
null
6727d45c-4f29-4459-acc2-cded534e3d5f
Air embolism is best diagnosed by?
| End tidal CO2
| End tidal N2
Doppler study
Ultrasound
2c
single
Transesophageal echocardiography (TEE):- has the highest sensitivity for detecting the presence of air in the right ventricular outflow tract or major pulmonary veins. - It can detect as little as 0.02 mL/kg of air administered by bolus injection. It also has the added advantage of identifying Paradoxical Air Embolism ...
Medicine
Thromboembolism and Fat Embolism Syndrome
15fdc129-6689-47c2-9c85-92772476f7c7
All of the following nutritional assessment methods indicate inadequate nutrition, except:
Hb < 11.5 g/dl during 3rd trimester of pregnancy
Increased 1-4 year moality rate
Bih weight < 2500 gm
Decreased weight for height
0a
multi
Hemoglobin Ref: CURRENT Medical Diagnosis and Treatment, 2008, Page 677; Essential Pediatrics By O P Ghai, 6th Edition, Page 101; Nelson's Textbook of Pediatrics, 18th Edition, Page 228; Park's Textbook of Preventive and Social Medicine, 19th Edition, Pages 515-518
Pediatrics
null
49578c14-29db-427f-a970-e33b1a269802
Most common type of vaginal carcinoma is :
Squamous cell carcinoma
Adenocarcinoma
Transitional cell carcinoma
Columnar cell Ca
0a
single
Squamous cell carcinoma
Gynaecology & Obstetrics
null
43424600-dbca-4794-b14e-92d49c4e46e4
PSA > 2Ong/mL is seen in:
Prostate cancer
BPH
Prostatitis
Meatastatic carcinoma
0a
single
Ans is a (Prostate cancer) Though increased levels of PSA is seen in Prostate cancer, BPH and Prostatitis; levels above 20 ng/mL would be seen almost only in Prostate cancer. BPH and prostatitis would not cause such a rise in PSA.
Surgery
null
44c0dbf1-71f0-4037-b7ec-315f1a93d653
First external sign of decomposition in a dead body: NEET 13
Decomposition of liver and intestine
Greenish discoloration over right iliac fossa
Greenish discoloration over dependent pas
Bloodstained froth from mouth
1b
single
Ans. Greenish discoloration over right iliac fossa
Forensic Medicine
null
85023e0e-def4-4687-9ee3-71079f8c9daa
A 60-year-old man is in a car crash in which he is the driver. He did not have a seat belt or an airbag. He is found to have multiple rib fractures over his right chest. His pulse is weaker during inspiration. What are the most likely diagnoses?
Flail chest
Empyema
Diaphragm rupture
Cervical rib
0a
single
Flail chest should be suspected in multiple rib fractures where the individual rib is divided in two places. Paradoxical movement results in lung compression as the flail segment moves inward during inspiration.
Surgery
Trauma
69d2cb16-44d6-48a5-85c5-79d6b5511301
Which of the following structure is not supplied by uterine aeries ?
vagina
ovary
urater
lateral one third of uterine tube
3d
single
The uterus is supplied : (1) Chiefly by the two uterine aeries which are markedly enlarged during pregnancy; and (2) paly by the ovarian aeries. The uterine aery is a branch of the anterior division of the internal iliac aery. Apa from the uterus, the uterine also gives branches to: (1) The vagina; (2) the medial two-t...
Anatomy
Abdomen and pelvis