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135
e2ddb92d-26ca-469a-884d-b11c5642876e
According to the 2010 WHO criteria what are the characteristics of normal semen analysis?
Volume 2.0 mL, count 20 million, morphology 4% progressive motility 32%
Volume 1.5 mL, count 15 million, morphology 4% progressive motility 32%
Volume 2.0 mL, count 15 million, morphology 40% progressive motility 32%
Volume 1.5 mL. count 20 million, morphology 4% progressive motility 32%
1b
single
Ans: B. Volume 1.5 mL, count 15 million, morphology 4% progressive motility 32% (Ref Dutta 6/e p222)According to 2010 WHO criteria:Characteristics of normal semen analysis:Semen CharacteristicsWHO 1999WHO 2010Volume (ml)Greater or equal to 2 mlGreater or equal to 1.5 mlSperm countGreater or equal to 20 Greater or equal...
Gynaecology & Obstetrics
null
6b310f54-5ed9-429c-a6d3-bffcb02a879d
True about head circumference measurement -
Measured in supra-orbital ridge
Measured hydrocephalus/microcephaly
Serial measurement is useful
All
3d
multi
Ans. is All Options 'a' o Head circumference is measured from the occipital protuberance to the supraorbital ridge on the forehead. Option `b' o If the head circumference growth exceeds 1 cm in 2 weeks during the first 3 months, hydrocephalus should be suspected. o In microcephally head circumference is two standard de...
Pediatrics
null
08b0d350-bf40-4796-9163-9400c7cfba31
A patient with engorged neck veins, BP 80/50 and pulse rate of 100 following blunt trauma to the chest . Diagnosis of
Pneumothorax
Right ventricular failure
Cardiac tamponade
Hemothorax
2c
single
Ref Harrison 19 th ed pg 1573-1574 Cardiac tamponade should be suspected in any patient who has a rapid down hill course and exhibits the features of rising venous pressure and falling aerial pressure following blunt trauma to the chest.
Medicine
C.V.S
d03e79f5-229e-4838-be0c-9fbbd4b466c6
Which of the following is an example of disability limitation
Reducing occurrence of polio by immunization
Resting affected limbs in neutral position
Providing calipers for walking
Arranging for schooling of child suffering from PRPP (post polio residual paralysis)
1b
single
Reducing occurrence of polio by immunization - Specific protection Arranging for schooling of child suffering from PRPP (post polio residual paralysis) - Rehabilitation Resting affected limbs in neutral position - Disability limitation Providing calipers for walking - Rehabilitation Ref : Park's Textbook of Preventive ...
Social & Preventive Medicine
All India exam
0caca1fd-8eda-4e98-ba1c-da9c9ef23a22
A 54 Old man diabetic hypeensive was brought to NIMHANS OPD with history of loss of sensation on left side of upper body, loss of facial sensation on right side. O/E there was constricted pupil, paial ptosis, anhydrosis , gait ataxia nystagmus was present on right side. which is the common aery involvement can lead to ...
9
3
11
12
1b
single
MR-Angiography of the neck (carotid and veebral aeries):1,Brachiocephalic trunk (or innominate aery).2,Right subclan aery.3,Right veebral aery.4,Right common carotid aery.5,Right internal carotid aery.6,Left veebral aery.7,Left internal carotid aery.8,Left external carotid aery.9,Left common carotid aery.10,Left subcla...
Radiology
Angiography
2e35936b-bb84-434d-bb12-970df072acac
True about dermoid cyst
Lined by columnar epithelium
Dose not contain hair
Median angle of eye is the most common site
Rupture is associated with foreign body type inflammation
3d
multi
Ans. (d) Rupture is associated with Foreign body type inflammationRef: Short Cases Das Ch. 1* Dermoid cyst is lined by squamous epithelium and contains pultaceous material inside.* Teratomatous type of dermoid cyst contains all layers -- epithelium, endothelium and mesothelium -- hence contain -- hair, muscle, teeth et...
Surgery
Plastic & Reconstructive Surgery
50b7611f-d749-41c4-9d0a-446cab756e2e
All of the following are true about pancreatic injury except
Penetrating injuries are common
Commonly isolated injuries occur
Serum amylase is raised
Peritoneal lavage is not helpful for diagnosis
1b
multi
Answer- B. Commonly isolated injuries occurIn blunt injuries which are usually the result of midline upper abdominal trauma (eg. car seat belt, cycle handle), junction of the neck and body of the pancreas are most commonly injured as they are pressed against the veebral column.Major abdominal vascular injuries are pres...
Surgery
null
f19d7b20-ac25-4ff2-ac57-f6435d24126e
The functions of which vitamin are carried through coenzyme A
B5
B9
B12
All of the above
0a
multi
null
Biochemistry
null
e80e5a1d-24b4-4d44-a6bd-e18a4697544a
NOT a good prognostic factor for TB spine
Young age
Rapid onset
Good immunity
Early onset
1b
single
null
Orthopaedics
null
ba40d64a-536e-461f-912b-4a4e6bba2011
Reduces blood pressure primarily by directly decreasing hea rate alone -
Propranolol
Prazosin
Alpha methyl dopa
Nitroprusside sodium
0a
single
Ans. is 'a' i.e., Propranolol o Methyldopa is useful in the treatment of mild to moderately severe hypeension. It lowers blood pressure chiefly by reducing peripheral vascular resistance, with a variable reduction in hea rate and cardiac output. o Prazosin and nitroprusside are vasodilators and produce reflex tachycard...
Pharmacology
null
d3bc5d60-a94b-4624-8bf1-178b20168521
Deltoid ligament is attached to all except -
Medial malleolus
Talus
Calcaneum
Lateral malleolus
3d
multi
Medial collateral ligament/Deltoid ligament is attached from medial malleolus to -        Superficial part    Tibionavicular part- Navicular tuberosity and spring ligament    Tibiocalcaneal part- Sustenticulum tali    Posterior tibiotalar part- medial tubercle and medial surface of talus -        Deep part (Anterior ...
Anatomy
null
70ea7dce-ec50-4579-b44a-170f5166f757
All of the following are true about Methicillin resistance in MRSA, except
Resistance is produced as a result of altered PBP's
Resistance may be produced by hyperproduction of beta lactamase
Resistance is primarily mediated/transmitted plasmids
Resistance may be missed at incubation temperature of 37 oC during susceotibility testing
2c
multi
Penicillin resistance is of three types: Production of beta-lactamase Alteration in the penicillin-binding protein PBP2a and changes in bacterial surface receptors, reducing binding of beta-lactam antibiotics to cells.This resistance also extends to cover beta-lactamase-resistant penicillins such as methicillin and clo...
Microbiology
Bacteriology
0ebe3f44-1f04-43fe-bc7f-64bf0c2b9f03
Wenckebachk phenomenon is defined as-
Progressive lengthening of PR interval till a beat is dropped
Slurred QRS complex
Irregular heart rate & permature ventricular beats
Shortened ST intervals
0a
single
null
Medicine
null
f9d95fe1-86f5-4bb4-ba55-f16176001c7d
A 65-year-old male from bihar with a pneumonia has a sputum culture that is positive for a staphylococcal strain that is b-lactamase- positive. Which is the best choice of penicillin therapy in this patient?
Ampicillin
Oxacillin
Ticarcillin
Penicillin G
1b
single
Oxacillin is classified as a penicillinase-resistant penicillin that is relatively acid-stable and, therefore, is useful for oral administration. Major adverse reactions include penicillin hypersensitivity and interstitial nephritis. With the exception of methicillin, which is 35% bound to serum proteins, all penicilli...
Surgery
null
ab9ea2c3-33ee-4cb8-aa9e-cf6f7ad9ec3f
Which of the following is not true about acute retropharyngeal abscess
Dysphagia
Swelling on posterior wall of pharynx
Toicollis
Caries of cervical spine is usually a common cause
3d
multi
CLINICAL FEATURES 1. Dysphagia and difficulty in breathing are prominent symptoms as the abscess obstructs the air and food passages. 2. Stridor and croupy cough may be present. 3. Toicollis. The neck becomes stiff and the head is kept extended. 4. The bulge in the posterior pharyngeal wall. Usually seen on one side of...
ENT
Pharynx
73279e3b-fcbd-4602-8454-9b1e9e288472
As regards to intraocular retinoblastoma, which one of the following statements is false:
94% of cases are sporadic
Patients with sporadic retinoblastoma do not pass their genes to their offsprings
Calcification in the tumor can be detected on ultrasound scan
Reese-Ellswoh classifiction is useful in predicting visual prognosis following radiotherapy
1b
multi
B i.e. Patients with sporadic retinoblastoma do not pass their genes to their offsprings
Ophthalmology
null
92e77e09-9050-4828-9c00-1698589ec643
Inquest of Dowry death is done by: September 2009
Police
Magistrate
Coroner
Medical examiner
1b
single
Ans. B: Magistrate Sec 304-B IPC (Dowry death): where the death of the woman is accused by any burn/bodily injury or occurs otherwise than under normal circumstances within seven years of her marriage and it is shown that soon before her death she was subjected to cruelty by her husband/relative in connection with dema...
Forensic Medicine
null
cbb0511a-dc46-415d-bfb9-d076f4a45fd3
Which of the following structures of the mind work on an unconscious level?
The id only
The id and the ego only
The id, ego, and superego
The ego and superego only
2c
single
In Freud's structural theory, the mind is divided into the Id, Ego, and Superego The id operates completely on an unconscious level, and is the most primitive pa .It works on pleasure principle While the ego and superego operate paly on an unconscious and paly on preconscious and conscious levels. Ego is based on reali...
Psychiatry
Psychoanalysis
c9e449e3-23ba-4a4e-8db2-d049e2dcb8da
All of the following are virulence factors of peussis, except:
Tracheal cytotoxin
Peussis toxin
Capsule
Peactin
2c
multi
Ans. is. 'c' i. e., Capsule
Microbiology
null
50a5837a-3d84-401e-898a-58c854cb66aa
Articulator based on Theory of an equilateral triangle is:
Bonwill's theory articulator.
Conical theory articulator.
Spherical theory articulator.
None
0a
multi
Bonwill's theory articulators  • This articulator was designed by WGA Bonwill. • According to the Bonwill's theory of occlusion, the teeth move in relation to each other as guided by the condylar and the incisal guidances. • Bonwill's theory is also known as the Theory of equilateral triangle, according to which, the d...
Dental
null
7887f8ef-daa4-4a2b-97e9-b2d6280fd0e7
Which of the following is a premalignant lesion of squamous cell carcinoma?
Dermatofibroma
Granuloma annulare
Actinic keratosis
Behcet's disease
2c
single
Actinic Keratosis & Bowen's disease are premalignant lesions of squamous cell carcinoma.
Dental
null
224b0531-3fb6-4e56-8428-9931f70ebf35
Complications of tuberular meningitis include all except
Hydrocephalus
Coical venous thrombosis
Cerebral Aery Thrombosis
Cranial Nerve Palsy
1b
multi
harrison's textbook of internal medicine 17th edition . *paresis of cranial nerves(ocular nerve in paicular ) is a frequent finding ,and involvement of cerebral aeries may produce focal ischemia . *The ultimate evolution is towards coma ,with hydrocephalus and intracranial tension.
Medicine
C.N.S
779fc337-11a9-4af8-8019-0c80276765cf
Laser used in cutting out cataract capsule is
Nd : YAG laser
Argon laser
DYE laser
Diode
0a
single
A i.e. Nd:YAG Laser
Ophthalmology
null
327099b8-c7a5-4eb0-b93f-0a0a655131aa
All of the following result in endogenous pigmentation of teeth except:
Tetracycline
Fetal jaundice
Erythroblastosis fetalis.
Vitamin B deficiency
3d
multi
Discoloration of either deciduous or permanent teeth may occur as result of tetracycline deposition during prophylactic or therapeutic or therapeutic regimens instituted either in the pregnant female or postpartum in the infant. Tetracycline and its homologues have a selective affinity for deposition in bone and tooth ...
Pathology
null
2c4ed118-565e-4d7c-a09b-3cfd20badacf
Painful syndrome with increased reaction to a stimulus and an increased threshold; faulty identification and localization of stimulus, is called as:
Causalgia.
Hyperpathia.
Hyperasthesia.
Phantom pain.
1b
multi
null
Pathology
null
d9fa6f07-9545-418e-9ca3-298503bee865
Michaelis-Gutmann bodiesare found in:
Malakoplakia
Xanthogranulomatous pyelonephritis
Nail patella syndrome
APKD
0a
single
Michaelis-Gutmann bodies (M-G bodies) M-G bodies are concentrically layered basophilic inclusions found in the urinary tract. They are 2 to 10 mm in diameter, and are thought to represent remnants of phagosomes mineralized by iron and calcium deposits. M-G bodies are a pathognomonic feature of malakoplakia, a distincti...
Pathology
Miscellaneous
dadd4d0e-4f66-48c8-ab69-cdd7b9f3085d
All passes through lesser sciatic foramen, except?
Inferior gluteal vessels
Internal pudendal vessels
Pudendal nerve
Nerve to obturator internus
0a
multi
Inferior gluteal vessels
Anatomy
null
49a05ad5-f43b-4d82-b796-79b0eea384a3
Most successful application of tumor markers
Screening in asymptomatic periodicity
Effect of treatment and early detection
Differentiating benign from malignant
Staging the extent of disease
1b
single
Answer: b) Effect of treatment and early detection( style="font-size: 1.04761904761905em; font-family: Times New Roman, Times, serif">)Tumor markers* Just an adjunct to diagnosis, and establishing a diagnosis on the basis of tumor markers alone (especially a single result) is associated with pitfalls because of the pro...
Pathology
Neoplasia
e880ca78-67ae-4dfe-9800-808953706064
Which of the following statements i strue about bacteriophage
it is bacterium
Uit imparts toxigenicity to bacteria
It helps in transformation
It transfer only chromosomal gene
1b
multi
Bacteriophage is a type of virus that soecifically infects bacteria and fungi.
Microbiology
null
d2f15913-5875-44df-8e1c-4e4d9b96c969
In which of the following Mentalisation based therapy is used?
Antisocial personality disorder
Obsessive compulsive personality disorder
Avoidant personality disorder
Borderline personality disorder
3d
single
Ans. D. Borderline personality disorderMentalization-based treatment: psychotherapy for borderline personality disorder is called mentalization-based therapy (MBT). Mentalization is a social construct that allows a person to be attentive to the mental states of oneself and of others; it comes from a person's awareness ...
Psychiatry
Personality Disorders
dbc47b86-3b2c-4ac9-9191-8f8fa35b6e9a
Auditory hallucinations are seen in except:
Schizophrenia
Acute and transient psychotic disorder
Delirium tremens
Panic disorder
3d
multi
Ans: D (Panic disorder) Ref: Kaplan & Sadock's Synopsis of Psychiatry. 10th editionExplanation:Hallucination is a perceptual pathology where perception occurs without real, external stimuli/ objects. (The other is Illusion- where objects are present but perceived otherwise. E.g.. rope perceived as snake).The presence o...
Psychiatry
Schizophreniform Disorder
087d65e0-de98-41d0-95f0-0bffb437a5c4
Secondary deposits from prostatic carcinoma is commonest in
Bone
Kidney
Liver
Brain
0a
single
null
Surgery
null
bfbfbecf-0c53-4d94-ba03-a4b1b4ed9341
All of the following are autosomal dominant disorder except?
Von hippel lindau disease
Achondroplasia
Duchenner muscular dystrophy
Multiple endocrine neoplasia
2c
multi
Duchenne muscular dystrophy is x linked recesive disorder.
Pathology
null
2261ccb7-f2d7-4e87-83a2-bfa412aab52d
Which of the following is not a complication of helicobacter pylori
GERD
Peptic ulcer disease
Maltoma
Chronic gastritis
0a
single
null
Surgery
null
ae6a8d72-5242-437f-94d2-a45acb1dd296
A 35-year old lady G4 P3 presents to the emergency dept. with amenorrhea of 12 weeks with excessive vomiting and bleeding per vaginum. On examination her pulse is 90/min., BP is 150/110 mm Hg, on PA examination uterus is of 20 wks size. Your most possible diagnosis is:-
Gestational hypeension
Molar pregnancy
Poly-Hydramnios
Antepaum hemorrhage
1b
single
The above given history is suggestive of molar pregnancy as: women have uterine growth that is more rapid than expected.(uterine size>POG) excessive nausea and vomiting are significant. on USG, snowstorm /honeycomb appearance is seen in molar pregnancy Gestational hypeension is characterized by hypeension after 20 week...
Gynaecology & Obstetrics
Obstetrics
6c36cef4-fde7-41c9-8412-c9ad468514a7
5-year old male child presented to AIIMS pediatrics OPD with severe transfusion requiring anemia and Jaundice. On examination Liver and spleen were palpable 5 cm below the costal margin. Peripheral smear analysis showed the following? What is your diagnosis?
Nutritional anemia
Aplastic anemia
Autoimmune hemolytic anemia
Thalassemia
3d
single
Ans. (d) ThalassemiaSevere transfusion requiring anemia and Jaundice with smear showing Anisopoikilocytosis and targets on smear suggests Thalassemia.
Pathology
Misc. (R.B.C)
94fac3b2-4abf-470f-b241-45020ac5bda3
Alveoli are kept dry because of
Surfactants
Glycorprotiens
Buffers Bohr's
Effect
0a
single
Pulmonary surfactant is a mixture of lipids and proteins which is secreted into the alveolar space by epithelial type II cells. The main function of surfactant is to lower the surface tension at the air/liquid interface within the alveoli of the lung. Ref: guyton and hall textbook of medical physiology 12 edition page ...
Physiology
Respiratory system
80a90539-0106-47e9-ba11-ea762544e24e
Gluten free diet is beneficial in -
Psoriasis
Exfoliative dermatitis
Dermatitis herpetiformis
Pemphigoid
2c
single
<p>DERMATITIS HERPETIFORMIS Chronic intensely pruritic vesiculobullous disorder. Site- extremities and trunk Clinical features:- Intense episodic pruritus. Skin lesions- erythematous papules which rapidly turn into tiny firm grouped vesicles Vesicle rupture and crusted excoriated lesions seen. Disease worsens on dietar...
Dental
Vestibulobullous disorders
71898ce8-8d79-41c6-a7a2-0ee20e954744
Positive zone of enamel caries is the:
Translucent zone
Dark zone
Body of the lesion
Surface zone
1b
single
The dark zone This lies adjacent and superficial to the translucent zone. It has been referred to as the ‘positive zone’ because it is usually present. This zone is formed as a result of demineralization and appears dark brown in ground sections examined by transmitted light after imbibition with quinolone.
Pathology
null
7d5acd14-4c9d-4528-accc-46ed586492c8
All are transmitted by blood except-
Parvovirus B-19
Hepatitis B
Epstein Bar virus
Cytomegalovirus
2c
multi
Epstein-Barr virus is acquired saliva,either by droplet infection or environmental contamination in childhood or by kissing among among adolescents & adults.Infections transmitted by blood include hepatitis (HBV,HCV), CMV infection,syphilis,malaria,toxoplasmosis,HIV infection.Reference :Davidson's principles & practice...
Medicine
Haematology
e24c14a9-8ccc-433c-a75e-6137accfc9b9
Referred otalgia from base of tongue or oropharynx is carried by nerve?
Cranial nerve V
Cranial nerve VII
Cranial nerve IX
Cranial nerve X
2c
single
The Jacobson nerve, tympanic branch of glossopharyngeal nerve (cranial nerve IX) directly innervates the ear but also has pharyngeal, lingual, and tonsillar branches to supply the posterior one-third poion of the tongue, tonsillar fossa, pharynx, eustachian tube, and parapharyngeal and retropharyngeal spaces. So any pa...
Anatomy
null
8e529e14-0d39-4b0f-a852-b7ea8051f42d
Palatoglossus is supplied by:
Glossopharyngeal nerve
Hypoglossal nerve
Cranial accessory nerve
Mandibular nerve
2c
single
All intrinsic and extrinsic muscles of tongue are supplied by hypoglossal nerve except palatoglossus which is supplied by cranial accessory nerve.
Anatomy
null
bd746969-cda5-4950-a017-db4363249f61
Soiling index is used to monitor:
Water pollution
Air pollution
Soil pollution
All of the above
1b
multi
Ans. (b) Air pollutionRef: Park 23rded. 1736Indicators of Air Pollution* Smoke or Soiling index: A known volume of air is filtered through a white filter paper under specified conditions and the stain is measured by photoelectric meter. Smoke concentration is estimated and expressed as micrograms/cubic metre of air as ...
Social & Preventive Medicine
Air
267c2917-6ae6-4833-bd21-00bf62b9821d
An individual has been determined to have hypertriglyceridemia, with a triglyceride level of 350 mg/dL (normal is <150 mg/dL). The patient decides to reduce this level by keeping his caloric intake the same, but switching to a low-fat, low-protein, high-carbohydrate diet. Three months later, after sticking faithfully t...
Phospholipids
Triglycerides
Amino acids
Carbohydrates
3d
single
Dietary glucose is the major source of carbon for synthesizing fatty acids in humans. In a high-carbohydrate diet, excess carbohydrates are converted to fat (fatty acids and glycerol) in the liver, packaged as VLDL, and sent into the circulation for storage in the fat cells. The new diet has reduced dietary lipids, whi...
Biochemistry
Lipids
c90ff315-1d5e-4bca-acb6-baed3da353b7
The following method of recording centric jaw relation has the advantage reproducilibility and cross verification
Tactile method
Nick and notch method
Needle house
Gothic arch tracing
1b
single
null
Dental
null
f67a9825-b3b4-46d7-a2a7-c3e1251f914b
FALSE with respect to Progestase is
It releases 65 mcg of progesterone per day
Effective life is 1 year
It is a subdermal implant
It reduces menstrual blood loss
2c
multi
Progesterone IUD (Progestase) The veical shaft is fitted with a capsule containing 38 mg of progesterone dispensed in silicone oil. It delivers progesterone to the uterus at the rate of 65 micrograms/day. Though a few sources claim the effectiveness to be of 2 years, the US Food and Drug Administration (USFDA)-approved...
Gynaecology & Obstetrics
Contraceptives
0ce0e0c5-d001-4197-b568-e1c63e36ff2d
A female patient presented with left iliac fossa pain for the past 6 months. On investigation, a 3 cm left renal pelvic stone was found with no hydroureteronephrosis, normal functioning kidneys on both sides and no distal obstruction. The ideal management would be
Percutaneous nephrolithotomy (PCNL)
Extra-corporeal shock wave lithotripsy (ESWL)
Laparoscopic nephrolithotomy
Medical dissolution therapy with oral potassium citrate
0a
multi
Ans. a. Percutaneous nephrolithotomy
Surgery
null
82681966-9c0f-4ac1-be68-c4c4d2926f21
Fatal close of potassium cyanide is?
5 mg
10 mg
20 mg
200 mg
3d
single
200 mg REF: Textbook Of Forensic Medicine and Toxicology: Principles and Practice by Vij page 695 Fatal dose of cyanide: HCN gas - 100-200 ppm in air HCN liquid- 50-60 mg KCN, NaCN- 150-300 mg (200 mg as per Parikh)
Forensic Medicine
null
79e75dc7-5762-4840-8820-ec4efad4ac45
Most common uterine malformation associated with renal anomalies
Bicornuate
Unicornuate
Septate
Didelphys
1b
single
Unicornuate uterus is seen in 1% cases; Due to failure of development of one mullerian duct or failure of migration to proper location Most commonly associated with abnormality of urinary tract anomaly usually of kidney It is diagnosed by absence of round ligament and fallopian tube on the opposite side Associated with...
Gynaecology & Obstetrics
Congenital malformations
545c4712-e2ad-4373-8478-3f262744a31a
Following is transmitted as autosomal dominant disorder-
Albinism
Sickle cell anemia
Hereditary spherocytosis
Glycogen storage disease
2c
single
Ans. is 'c' i.e., Hereditary spherocytosis Hereditary spherocytosis is an autosomal dominant disorder. o Other three disorders (given in question) are autosomal recessive.
Pathology
null
36d42cd9-f435-481b-9b1b-95b242100816
Hyperophy is -
Increase in cell number
Increase in cell size
Decrease in cell number
Decrease in cell size
2c
single
Ans. is 'c' i.e., Increase in cell size Hyperophy o Hyperophy refers to an increase in the size of cells without increase in the number, resulting in an increase in the size of tissue. o Hyperophy involves cell enlargement without cell division. o So, hyperophied organ has just larger cells, but no new cells (by contra...
Pathology
null
e29ae369-4373-4bd9-be42-7068604c837d
All of the following are sources of vitamin A except:
Egg
Milk
Sunflower seeds
Tomato
2c
multi
Ans. is 'c' i.e., Sunflower seeds
Social & Preventive Medicine
null
5c529861-7adb-496d-83dd-6187bb2369a2
U-serrated pattern in direct immunofluorescence is seen in:
Epidermolysis bullosa acquisita
Bullous pemphigoid
Linear IgA disease
Dermatitis herpetiformis
0a
single
Epidermolysis bullosa acquisita: Direct immunofluorescence shows, linear IgG, Ig A, Ig M at the basement-membrane zone with diagnostic U-serrated pattern. Patients' skin split through the lamina lucida with 1 mol/L salt demonstrates the IgG antibodies to be bound to the dermal aspect of the blister. N serrated pattern ...
Skin
null
5fe906fe-b644-439c-8113-28470ccbe593
Which of the following does not cause sideroblastic anemia?
INH
L-DOPA
Myelodysplastic anemia
Mercury
3d
single
Maturation Disorders: The presence of anemia with an inappropriately low reticulocyte production index, macro- or microcytosis on smear, and abnormal red cell indices suggests a maturation disorder. Maturation disorders are divided into two categories: nuclear maturation defects, associated with macrocytosis, and cytop...
Medicine
C.V.S
52ab7db0-ab3e-4989-8a7e-7d61d4a9c148
All are true about poliovirus, except -
Type I is responsible for most epidemics
Very difficult to eliminate Type I
Type I responsible for vaccine paralytic polio myelitis
Type I most commonly associated with paralysis
2c
multi
Poliovirus type 1 ia responsible for most epidemics of paralytic poliomyelitis. ANANTHANARAYAN AND PANIKER'S TEXTBOOK OF MICROBIOLOGY 9TH EDITION PAGE NO:490
Microbiology
Virology
4d230a88-42cb-498f-bae2-1699a666e077
Hiatus semilunaris is present in
superior meatus
Middle meatus
Inferior meatus
Sphenoethmoidal recess
1b
single
Middle meatus: Uncinate process is a hook-like structure running in from anterosuperior to the posteroinferior direction in the middle meatus. It&;s postero superior border is sharp and runs parallel to the anterior border of bulla ethmoidalis. This gap between the two is called hiatus semilunaris .it is two-dimensiona...
ENT
Nose and paranasal sinuses
1b80901d-e414-4d7b-9994-ba7f897d57ea
A young patient presents to the ophthalmology clinic with loss of central vision. There is no obvious family history. ERG and EOG were observed to be normal. Which of the following is the most likely diagnosis?
Stargardt's disease
Best's Vitelliform Dystrophy
Retinitis Pigmentosa
Cone- Rod Dystrophy
0a
single
Loss of central vision with a normal ERG and EOG is consistent with a diagnosis of Stargardt's disease. Stargardt's disease is an autosomal recessive disorder and hence a negative family history is not uncommon.
Ophthalmology
null
dc289ecb-337b-4b35-ae21-efb2ebb94f0a
All of the following are mediators of acute inflammation except:
Angiotensin
Prostaglandin E2
Kallikrein
C3a
0a
multi
Kallikreins like:- Bradykinin PGs Complement components are mediators of acute inflammation.
Pathology
Basic Concepts and Vascular changes of Acute Inflammation
5f28025d-d57a-4dda-95c9-dfc70b313581
Hamptoms Hump is seen in:
Pulmonary embolism
Tuberculosis
Bronchogenic Ca
Pneumonia
0a
single
Ans. Pulmonary embolism
Radiology
null
91a00a2d-6587-4bbe-b8cd-de40281b0d24
Oxygen affinity is increased by all of the following except:
Alkalosis
Hypoxia
Increased HbF
Hypothermia
1b
multi
B i.e. Hypoxia
Physiology
null
6c82144e-84f5-4653-8ea9-6bfd86240366
All of the following statements regarding branchial cysts are true except
Seen in mediastinum
50-70% occur in lung
Are commonly infected
Multilocular
1b
multi
.BRANCHIAL CYST It arises from the remnants of second branchial cleft. Normally 2nd, 3rd, 4th clefts disappear to form a smooth neck. Persistent 2nd cleft is called as cervical sinus which eventually gets sequestered to form branchial cyst. Features * Swelling in the neck beneath the anterior border of upper third of t...
Surgery
Cardio thoracic surgery
472013b2-f8db-48b2-92b1-faf1be869410
Contraindications to OC pills :
Hea disease
Epilepsy
Liver failure
All
3d
multi
Ans is a, b, c all Hea disease; Liver failure; and Epilepsy disease and liver failure are absolute contraindications of OCP's whereas Epilepsy is relative contraindication of OCP's. OCP's are used for the management of Menorrhagia so menorrhagia is an indication for use of OCP's
Gynaecology & Obstetrics
null
ba0c40ce-8b17-44a4-ac1d-deaec180a2d1
Which of the following strength of xylocaine is used as topical anaesthetic for tonometry?
4% xylocaine
3% xylocaine
2% xylocaine
1% xylocaine
0a
single
Schiotz tonometer is commonly used to measure IOP, it measures the depth of corneal indentation by the plunger while tonometer is loaded with a given weight. Before placing the plunger barrel of a tonometer on the cornea, 4% xylocaine is used to anaesthetise the cornea. Tonometry is the method of estimation of intraocu...
Ophthalmology
null
d576fe79-c7e4-425c-9945-197c782428c6
All are components of Laurence Moon Biedl syndrome, EXCEPT -
Digital anomaly
Asthenic built
Mental retardation
Hypogonadism
1b
multi
In Lawrence Moon - Beidle syndrome the patient is obese, not asthenic Other features are - Mental retardation Retinitis pigmentosa Polydactyly Hypogonadotropic hypogonadism (This causes Amenorrhoea)
Medicine
null
9db71381-35df-4364-a53a-0f5c862e59c1
Which one of the following condition is not associated with cupping and fraying of metaphyses of long bones in children?
Rickets
Lead poisoning
Metaphyseal dysplasia
Hypophosphatasia
1b
single
Cupping and fraying of metaphysis of long bones does not occur in lead poisoning. In lead poisoning bone changes become radiologically evident 3 months after chronic lead poisoning. Changes include dense metaphyseal bands exceeding coical density of same bone, found in growing skeleton. Interference with normal modelin...
Radiology
null
6620af95-9069-463d-8c51-a6222946a1bf
Which of the following is an amine hormone?
TSH
T4
Insulin
FSH
1b
single
Three general classes of hormone exist : ?1) Proteins and polypentideMost of hormones in the body are polypeptides and proteins. In general, polypeptides with 100 or more aminoacids are called proteins, and those with fewer than 100 amino acids are referred to as peptides.Proteins and peptide hormones are synthesized o...
Biochemistry
null
00705a91-8040-4fd4-8d6a-245aca1611c8
Heart failure cells are?
Neutrophills
Macrophages
Lymphocytes
Lymphocytes
1b
single
Ans. is 'b' i.e., Macrophages o Heart failure cells are Hemosiderin laden alveolar macrophages.o Heart failure cells are a manifestation of pulmonary congestion and edema (as seen in heart failure)o Pulmonary edema & pulmonary infarction can be differentiated by the presence of heart failure cells in pulmonary edema.
Pathology
C.V.S
6ad7481f-56dd-49f9-9656-28e75f9ce6f8
BETA-blockers are used in all, EXCEPT
Hypertension
Thyrotoxicosis
Variant angina
All of the above
2c
multi
Ans. is 'c' i.e., Variant angina [Ref: K.D.T. 5th/e page 127\We all know that attacks of variant angina occur due to coronary vasospasm.So, the drugs which relieve coronary vasospasms will used in variant angina (C.C.B.'S, Nitrates) b blockers are contraindicated in these patients because b blockers, instead of dilatin...
Pharmacology
Anti Adrenergic System
5514eb5c-64aa-4d12-8459-0d52ed0b83f7
Which of the following vaccines has maximum efficacy after a single dose –
Tetanus toxoid
DPT
Measles
Typhoid
2c
single
null
Pediatrics
null
91a8bd37-527a-4e62-a4aa-81b91900d0c6
The Radiological hallmark of Osteo SA-
Soap bubble appearance
Sun ray appearance
Osteoid formation by neoplastic cells
Cotton wool appearance
1b
multi
Ans. is 'b' i.e. sunray appearance .X-ray features of Osteosarcoma.Area of irregular destruction of metaphysesErosion of the overlying cortex.New bone formation in the matrix of the tumor*Periosteal reaction* (which is irregular; periosteal reaction in osteomyelitis is smooth)Codman's triangle*Sun-ray appearance*
Radiology
Imaging of Musculoskeletal Tumors
847b53f8-085a-4564-9ab6-ec0fb3bab19a
The following is true of vancomycin EXCEPT :
It is a bactericidal antibiotic active primarily against gram positive bacteria
It acts by inhibiting bacterial protein synthesis
It is an alternative to penicillin for enterococcal endocarditis
It can cause deafness as a dose related toxicity
1b
multi
null
Pharmacology
null
fe1abe60-10cf-4eed-b4d1-ab58e9826979
MAC of halothane is –
0.75%
1-2%
6%
2%
0a
single
null
Anaesthesia
null
56dd3e3f-9f5d-4669-8000-e0ba5537ae68
The only medial branch of external carotid artery is -,
Lingual
Maxillary
Superior thyroid
Ascending pharyngeal
3d
single
Only branch arises from medial side of ECA is ascending pharyngeal artery.
Anatomy
null
bd8c0b35-bcac-4737-b563-b815815fe2a4
All of the following statements about leptospirosis are true except -
Infection acquired by direct contact with infected urine
Mortality is 5-15% in severe cases
Antibodies are usually detectable in the first week
IV penicillin is recommended for treatment of severe cases
2c
multi
null
Microbiology
null
2f61fd48-8583-4faa-a374-29964f1dfc4c
Saddleback/ biphasic fever is seen in: September 2004
Typhoid
Dengue
Brucellosis
Trench fever
1b
single
Ans. B i.e. Dengue
Social & Preventive Medicine
null
61385afe-50d8-47de-bfef-0061a5208801
Increasing number of services in rural areas is a part of –
Intersectoral coordination
Equitible distribution
Appropriate technology
None
1b
multi
The first key principle in the primary health care strategy is equity or equitable distribution of health services. At present health services are mainly concentrated in the major towns and cities resulting in inequality of care to the people in rural areas. Primary health care aims to redress this imbalance by shiftin...
Social & Preventive Medicine
null
5093537c-dcbf-43c4-ada4-1c4191e4b800
Through which of the following does glucose mediated insulin release occur?
ATP sensitive K+ channels
cAMP
Carrier mediated
Receptor phosphorylation
0a
single
Glucose-mediated insulin release occurs through ATP sensitive K+ channels. Increased blood glucose concentration is the primary controller of insulin secretion. Inside the beta cells, glucose is conveed to glucose-6-phosphate and later ATP is generated. This ATP closes ATP sensitive potassium channels, leading to rise ...
Physiology
Endocrinology
6fef74cb-efb9-4fb5-ad4f-f84132d3e35a
Most common primary intraocular neoplasm in a child is -
Metastasis
Retinoblastoma
Basal cell carcinoma
Squamous cell carcinoma
1b
single
Ans. is 'b' i.e., Retinoblastoma
Ophthalmology
Intra Ocular Tumour
7a13d6a1-3f9d-445b-bda1-0f0b97e46d54
All are principles of primary health care EXCEPT:
Intersectoral coordination
Community participation
Appropriate technology
Decentralised approach
3d
multi
ANSWER: (D) Decentralised approachREF: Park 20th edition page 792Principles of primary health care:Equitable distributionCommunity participationIntersectoral coordination4. Appropriate technology
Social & Preventive Medicine
Community Healthcare
051344ca-e236-476e-a129-77e4e9ef4cb8
The following infection resembles malignancy ?
Echinococcus granulosus
E. multilocularis
E.vogeli
E. oligahus
1b
single
Ans. is 'b i.e., E. multilocularis The chief character of E. multilocularis cyst is its tendency to proliferate, thereby resembling a neoplasm.
Microbiology
null
56e2c7c0-ff2e-4304-acc9-ef64b0545c72
Aedes agypti can fly -
100 m
200 m
1000 m
3-5 km
0a
single
The flight range of different mosquitoes: Anopheles - 3 to 5 km Culex - 11 km Aedes - 100 m REFERENCE: PARK'S TEXTBOOK OF PREVENTIVE AND SOCIAL MEDICINE, 25TH EDITION, PG NO. 831
Social & Preventive Medicine
Environment and health
4b4ebe10-3854-4223-b6a8-cc76e1465ebf
Which of the following is false about salmeterol: March 2010
Regular use may worsen asthma
First long acting selective beta-2 agonist
Effective for acute asthmatic attacks
More beta-2 selective agonist than salbutamol
2c
multi
Ans. C: Effective for acute asthmatic attacks Salmeterol is a first, long acting beta-adrenoceptor agonist (LABA), usually only prescribed for severe persistent asthma following previous treatment with a sho-acting beta agonist such as salbutamol. The primary noticeable difference of salmeterol to salbutamol is that th...
Pharmacology
null
9f0f6c02-8e8b-472b-a901-e26e41325374
A 30 year old male patient presented with anterior granulomatous uveitis, ahralgia and respiratory difficulties. Probable diagnosis is
Ocular sarcoidosis
TB
Behcet's syndrome
HLA B27 Uveitis
0a
single
A i.e. Ocular sarcoidosis - Bechet's syndrome and HLA B27 associated uveitis are ruled out as both are non granulomatous. Sarcoidosis may cause granulomatous pan-uveitis, periphlebitis (causing candle wax drippingsQ or en taches de bougie), pulmonary lesions (Vt progressive dyspnea, pulmonary HTN & cor pulmonary), skin...
Ophthalmology
null
930416ae-f9f7-4c6d-a245-32f698f4dbac
Most common cause of Budd Chiari syndrome is -
Idiopathic
Valves in hepatic veins
Hepatocellular carcinoma
Thrombosis of hepatic veins
3d
single
null
Medicine
null
294248b5-9a39-4827-ba10-747b6fd3ccb0
Neostigmine is used for reversing the adverse effect of:
dTC + pancuronium
d TC only
Alcuronium only
Ketamine complication
0a
single
A i.e. dTC + Pancuronium As d-TC & Panduronium, both are non-depolarizing muscle relaxant, so neostigmine is used to reverse the drugs.
Anaesthesia
null
30ec7899-eda9-489e-a1b3-33420bfd38b1
Sensory neural deafness associated with hereditary nephritis is seen in
Fanconi syndrome
Berger's disease
Albright syndrome
Alpo's syndrome
3d
single
Clinically patients with Alpos syndrome develop hematuria, thinning and splitting of GBM's,mild proteinuria (<1-2g/24hrs) which appears late in the course followed by chronic glomerulosclerosis leading to renal failure associated with sensorineural deafness. There r four forms of alpos syndrome Type 1 classic As -x lin...
Medicine
Kidney
c2f992e4-f76b-4ac2-8561-705cba46ad4d
A rubber industry worker presents with abdominal colic and severe anemi His blood examination reveals basophilic stippling of RBCs and microcytic anemi What is the likely diagnosis?
Radiation effects
Benzene poisoning
Lead poisoning
Sideroblastic anemia
2c
single
null
Social & Preventive Medicine
null
1006e103-eab6-4d8e-8902-2ddeb7fd7f92
Harakari practiced in Japan is
Homicidal stab injury
Suicidal stab injury
Judicial hanging method
Suicidal hanging
1b
single
Harakari practiced in Japan is suicidal stab injury. It is a form of ritual suicide by disembowelment.
Forensic Medicine
null
907a1ee5-10f6-4abf-9a50-cc746adaa423
Which nerve is compressed in carpal tunnel syndrome -
Median nerve
Ulnar nerve
Radial nerve
Axillary nerve
0a
single
Ans. is 'a' i.e., Median nerve f Ref: Basics of orthopaedics 2nd/e p. 718]Carpal tunnel syndromeo Carpal tunnel syndrome is the most common and widely known entrapment neuropathy in which the body's peripheral nerve is compressed or traumatized. Carpal tunnel syndrome occurs when the median nerve is compressed in the c...
Orthopaedics
Peripheral Nerve Injuries
5ed4981e-0509-44b4-9fa6-6556c3bfa93d
Which of the following tuberculoides is characterized by involvement of sweat glands & hair follicle with non caseating epithelioid granuloma?
Lichen scrofulosorum
Miliary tuberculosis
Papulonecrotic tuberculide
Lupus vulgaris
0a
single
Ans. A. lichen scrofulosorumHistopathology of Lichen scrofulosorum shows hair follicle infiltrated with mononuclear cells and occasional epithelioid cells, and upper dermal granuloma formed by mononuclear cells and epithelioid cells. Ziehl-Neelsen may demonstrate AFB.
Skin
Bacterial Infection of Skin
5b1ea2c7-d78d-41ce-ba09-5b3390e2c5c1
Which of the following doesn't cause urethritis in males?
H. Ducreyi
Trichomonas vaginalis
N. Gonorrhoea
Chlamydia trachomatis
0a
single
H. Ducreyi causes soft chancre/ chancroid. It doesn't cause urethritis in males. Infectious cause of urethritis- Neisseria gonorrhea Chlamydia trachomatis Trichomonas vaginalis Mycoplasma genitalum HSV Adenovirus Ureaplasma urealyticum
Dental
NEET Jan 2020
50147f48-725c-404b-82f8-822ea688b9e5
Following is are the clinical feature's of lepromatous leprosy
Leonine facies
Loss of libido and impotence
Saddle nose
All the above
3d
multi
Important clinical features oflepromatous leprosy Diffuse erythema, ngling, nasal stuffiness or ep is tax is are earliest manifestations. Nodules with predelicon for external ears, Madarosis (loss of eyelashes and eye brow s), Saddle nose (Collapse of nasal bridge) and perforation of palate. Testicular involvement ...
Dental
null
5cd68b00-fffd-4ba8-86b6-bba5ae922e1a
Co-efficient of thermal expansion is highest for:
Amalgam
Silicate cement
Gold alloy
Acrylic resin
3d
multi
null
Dental
null
f58887fe-7ce2-45d9-a92a-f22d97e3b3d9
A person can give valid consent for routine clinical examination if he is above the minimum age of
12 years
16 years
18 years
21 years
0a
multi
Section 90 in The Indian Penal Code "Consent known to be given under fear or misconception.--A consent is not such a consent as it intended by any section of this Code, if the consent is given by a person under fear of injury, or under a misconception of fact, and if the person doing the act knows, or has reason to bel...
Forensic Medicine
Identification
d83075bd-cc79-419a-8344-e3dce9b2f083
Which of the following is the FAD-linked dehydrogenase of TCA cycle?
Isocitrate dehydrogenase
Malate dehydrogenase
Succinate dehydrogenase
a ketoglutarate dehydrogenase
2c
single
Ans. c)Succinate dehydrogenase is the only 1 FAD-linked dehydrogenase in TCA cycle
Biochemistry
TCA Cycle
2fc04c9e-2836-454b-92e3-56a662f0cded
Human growth hormone has:
One polypeptide chain and one intra chaindisulphide bond
One polypeptide chain and two intra chaindisulphide bond
Two polypeptide chains joined by onedisulphide bond
Two polypeptide chains joined by twodisulphide bond
1b
single
Ans. B. One polypeptide chain and two intra chaindisulphide bondGrowth hormone or somatotrophin consists of a single polypeptide with a molecular weight of about 21500. It consists of 191 amino acids. There are two disulfide bridges between the adjacent cysteine residues. GH brings about positive nitrogen balance by re...
Biochemistry
Miscellaneous (Bio-Chemistry)
b2e0f573-ddb2-4bb2-be16-6e186cf125c9
Pericardial effusion is best diagnosed by: September 2004
USG
Angiography
Gallium scan
Echocardiography
3d
multi
Ans. D i.e. Echocardiography
Radiology
null
5c2c1c66-366f-44ee-896e-8e2c89e0f316
Aims of abbreviated laparotomy
Decreased chance of infection
Early ambulation
Early wound healing
Hemostasis
3d
single
null
Surgery
null
4404dd1e-7b37-484e-b439-7e00d09bd832
Hinge fracture is seen in
Vault
Ant cranial fossa
Middle cranial fossa
Posterior cranial fossa
2c
single
Skull base fractures Anteruor cranial fossa Subconjunctival hematoma CSF Rhinorrhea Carotico-cavernous fistula Periorbital hematoma or "Raccoon eyes" Middle cranial fossa fracture CSF otorrhea Hemotympanum Ossicular disruption Battle sign : Bruising behind the ear 7th and 8th cranial nerve palsies Ref: Bailey and love ...
Surgery
Trauma
f2373f00-7735-4bae-93f2-b28603b2d1de
Skin flap is used in all except -
Bone
Tendon
Burn wound
Cailage
2c
multi
Ans. is 'c' i.e., Burn wound
Surgery
null