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e9ad821a-c438-4965-9f77-760819dfa155
Chronic urethral obstruction due to benign prismatic hyperplasia can lead to the following change in kidney parenchyma
Hyperplasia
Hyperophy
Atrophy
Dyplasia
2c
single
Chronic urethral obstruction because of urinary calculi, prostatic hyperophy, tumors, normal pregnancy, tumors, uterine prolapse or functional disorders cause hydronephrosis which by definition is used to describe dilatation of renal pelvis and calculus associated with progressive atrophy of the kidney due to obstructi...
Anatomy
Urinary tract
e3d3c4e1-4fb2-45e7-9f88-247cc8f373b3
Which vitamin is supplied from only animal source:
Vitamin C
Vitamin B7
Vitamin B12
Vitamin D
2c
single
Ans. (c) Vitamin B12 Ref: Harrison's 19th ed. P 640* Vitamin B12 (Cobalamin) is synthesized solely by microorganisms.* In humans, the only source for humans is food of animal origin, e.g., meat, fish, and dairy products.* Vegetables, fruits, and other foods of nonanimal origin doesn't contain Vitamin B12 .* Daily requi...
Biochemistry
Vitamins and Minerals
5c38bea6-787a-44a9-b2df-88f4218ab914
All of the following are surgical options for morbid obesity except -
Adjustable gastric banding
Biliopancreatic diversion
Duodenal Switch
Roux en Y Duodenal By pass
3d
multi
Ans. is 'd' i.e., Roux en Y Duodenal Bypass Bariatric surgical procedures include:a. Vertical banded gastroplastyb. Adjustable gastric bandingc. Roux-en Y gastric bypass (Not - Roux-en Y Duodenal Bypass)d. Biliopancreatic diversione. Duodenal switcho The surgical treatment of morbid obesity is known as bariatric surger...
Surgery
Surgical Treatment Obesity
cdeedb04-fbe9-432c-937c-d53ac24475de
Following endaerectomy on the right common carotid, a patient is found to be blind in the right eye. It is appears that a small thrombus embolized during surgery and lodged in the aery supplying the optic nerve. Which aery would be blocked?
Central aery of the retina
Infraorbital aery
Lacrimal aery
Nasociliary aretry
0a
multi
The central aery of the retina is a branch of the ophthalmic aery. It is the sole blood supply to the retina; it has no significant collateral circulation and blockage of this vessel leads to blindness. The branches of this aery are what you view during a fundoscopic exam. Note: The infraorbital aery is a branch of the...
Ophthalmology
null
dc6794a3-b108-47c5-8b1b-3b4931577249
Growth hormone has its effect on growth through?
Directly
IG1-1
Thyroxine
Intranuclear receptors
1b
single
Ans. is 'b' i.e., IGI-1GH has two major functions :-i) Growth of skeletal system :- The growth is mediated by somatomedins (IGF). Increased deposition of cailage (including chondroitin sulfate) and bone with increased proliferation of chondrocytes and osteocytes.ii) Metabolic effects :- Most of the metabolic effects ar...
Physiology
null
5ab84ea8-12d1-47d4-ab22-668ebf01e64c
Scrub typhus is transmitted by: September 2004
Louse
Tick
Mite
Milk
2c
single
Ans. C i.e. Mite
Social & Preventive Medicine
null
a83de6e4-9427-4480-b404-d96621ebb640
Abnormal vascular patterns seen with colposcopy in case of cervical intraepithelial neoplasia are all except
Punctation
Mosaicism
Satellite lesions
Atypical vessels
2c
multi
Abnormal vascular pattern include punctation, mosaicism and atypical vessels.
Gynaecology & Obstetrics
null
f3bf8583-231b-4b7a-828c-179b0f9ccdd9
Per rectum examination is not a useful test for diagnosis of
Anal fissure
Hemorrhoid
Pilonidal sinus
Rectal ulcer
2c
single
PILONIDAL SINUS/DISEASE (Jeep Bottom; Driver's Bottom) Pilus--hair; Nidus--nest It is epithelium lined tract, situated sho distance behind the anus, containing hairs and unhealthy diseased granula- tion tissue. It is due to penetration of hairs through the skin into subcutaneous tissue. It forms granuloma/unhealthy gra...
Surgery
Urology
73515f05-e947-4801-8077-3abdeca95c84
Characteristics of Remifentanyl – a) Metabolised by plasma esteraseb) Short half lifec) More potent than Alfentanyld) Dose reduced in hepatic and renal diseasee) Duration of action more than Alfentanyl
ab
bc
abc
bcd
2c
single
Remifentanil is the shortest acting opioid due to its metabolism by plasma esterase → dose adjustment is not needed in liver or kidney disease. It is more potent than alfentanil : Order of potency is Sufentanil > Fentanyl = Remifentanil > Alfentanil.
Anaesthesia
null
53f79833-21b0-4336-8ef4-404c687ec807
Hypomimia is ?
Decreased ability to copy
Decreased execution
Deficit of expression by gesture
Deficit of fluent speech
2c
single
Ans. C. Deficit of expression by gestureHypomimiaHypomimia or amimia is a deficit or absence of expression by gesture or mimicry.This is usually most obvious as a lack of facial expressive mobility (mask - like facies).This is a feature of frontal subcoical disease.
Psychiatry
null
b3d1eb6c-3909-4011-ad10-d55538b81456
Naglers reaction is shown by
Clostridium tetani
Clostridium botulinum
Clostridium perfringens
Clostridium septicum
2c
single
Nagler's reaction - when Clostridium perfringens is grown in media containing 6 % agar, 5% Fildes peptic digest of sheep blood and 20% human serum, with antitoxin spread on one half of plate, colonies in the other half without antitoxin will be surrounded by a zone of opacity. No opacity around the colonies on the half...
Microbiology
Bacteriology
e529be7c-f360-4dba-b313-7f3fc240697a
Which of the following statements are True/False? 1. Hirsutism, which is defined as androgen-dependent excessive male pattern hair growth, affects approximately 25% of women. 2. Virilization refers to a condition in which androgen levels are sufficiently high to cause additional signs and symptoms. 3. Frequently, patie...
1, 2, 3 True & 4, 5 false
1, 3, 5 True & 2, 4 false
2, 4, 5 True & 1, 3 false
1, 2, 3, 4 True & 5 false
2c
multi
Here statement 1 & 3 are wrong. It is actually a direct pick from harrison, an impoant topic for entrance examinations hirsutism is seen in 10% of woman. Acromegaly rarely causes hirsutism. Ref: Harrisons Principles of Medicine, 18th Edition, Pages 380-382
Medicine
null
4e6de6fe-8c69-4553-827d-417ce597f3ac
The pharmakokinetic change occurring in geriatric patient is due to
Gastric absorption
Liver metabolism
Renal clearance
Hypersensitivity
2c
single
One of the most impoant pharmacokinetic changes associated with aging is decreased renal elimination of drugs. After age 40, creatinine clearance decreases an average of 8 mL/min/1.73 m2/decade; however, the age-related decrease varies substantially from person to person. Serum creatinine levels often remain within nor...
Anatomy
General anatomy
d64eabcf-da66-438f-a53f-7137d3bba9dd
True regarding lag phase is?
Time taken to adpt in the new environment
Growth occurs exponentially
The plateau in lag phase is due to cell death
It is the 2nd phase in bacterial growth curve
0a
multi
Lag phase: Immediately following the seeding of a culture medium, there is no appreciable number, though there may be an increase in the size of the cells. This initial period is the time required for the adaptation to the new environment, during which the necessary enzymes and metabolic intermediates are built up in a...
Microbiology
general microbiology
35a7eac4-fd96-4184-9a5f-86bba82a5b62
A 60 yr old chronic smoker presents with painless gross hematuria of 1 day duration. Investigation of choice to know the cause of hematuria
USG
X-ray KUB
Urine routine
Urine microscopy for malignant cytology cells
3d
single
Urine microscopy for malignant cytology "Painless haematuria is by far the most common symptom of bladder cancer and should be regarded as indicative of a bladder carcinoma until proven otherwise." Bailey & Love 25/e p1336 (24/e p1363) Cigarette smoking is the main etiological factor and accounts ,for about 50% of blad...
Surgery
null
fabd82e2-8b86-429a-8adb-ac46dde1aba6
With which of the following receptors theophylline has an antagonistic interaction ?
Histamine receptors
Bradykinin receptors
Adenosine receptors
Imidazoline receptors
2c
single
null
Pharmacology
null
f79a972f-3611-4cdc-837e-ce2f9393f592
Hyper viscosity is seen in
Cryoglobulinemia
Multiple myeloma
MGUS
Lymphoma
0a
single
Ref William hematology 6/e p1268 The term cryoglobulinemia refers to the presence in the serum of proteins that precipitate at temperatures below 37 degrees C and redissolve on rewarming. ... The elective treatment for hyperviscosity syndrome, whether associated with monoclonal, mixed, or polyclonalcryoglobulinemia, is...
Anatomy
General anatomy
b1a4e1b8-fb3d-40e4-9da7-ebc8a9c0963b
For a positively skewed curve which measure of central tendency is largest
Mean
Mode
Median
All are equal
0a
multi
A distribution is negatively skewed, or skewed to the left, if the scores fall toward the higher side of the scale and there are very few low scores. In positively skewed distributions, the mean is usually greater than the median, which is always greater than the mode. Ref :
Social & Preventive Medicine
Biostatistics
26ac2e3d-bbd7-44d6-968a-feeb54cf1a92
The process of hardening a cement matrix through hydration with oral fluids to achieve greater mechanical strength is known as:
Maturation
Setting
Hardening
Mineralization
0a
single
Maturation (cement)—The process of hardening a cement matrix through hydration with oral fluids to achieve greater mechanical strength. Ref: Phillip’s Science of Dental Materials ed 12 pg 309
Dental
null
56b5a2d2-044c-4b80-b778-6fa762206f52
Superior vena cava is derived from:
Aortic arch
Pharyngeal arch
Cardinal vein
Vitelline vein
2c
single
Ans. C Cardinal veinRef; hangman's essesntial medical Embroyology pg. 57# During early embryonic development (through 4th week), paired cardinal veins drain the body. Anterior cardinal veins drain the head and upper limb buds, while posterior cardinal veins drain the body. Both the anterior and posterior veins on each ...
Anatomy
Embryology
9ecbc05b-b255-47b5-b7b1-bf55f0f21abd
Testicular artery usually arises from
Abdominal aorta below renal artery
Renal artery
Internal iliac artery
Ext iliac artery
0a
multi
Ans) a (Abdominal aorta ....) Ref Chaurasia vol 2 pg 186Testicular artery is a branch of abdominal aorta given off at the level of vertebrae L2.Venous drainageVeins emerging from the testis forms pampiniform plexus. Plexus condenses into 4 veins at the superficial inguinal ring & into 2 veins at the deep inguinal ring....
Surgery
Testis & Scrotum
2583b8c8-aeaa-47c0-86fb-5efc9f386de6
Position of vocal cord in cadaver is:
Median
Paramedian
Intermediate
Full Abduction
2c
single
The vocal fold of the excised larynx is known to be located at an intermediate position(the so-called cadaver position).
ENT
null
e9038cb9-56db-473d-9d3f-440f130295ec
Organisms that has not been cultured successfully so far is-
Leptospira
Treponema pallidum
Bordetella
Staphylococcus
1b
multi
null
Microbiology
null
b77af8ce-2e9c-4979-a544-a2331f86f6b1
Normal waist hip ratio of a female is below
0.7
0.8
0.9
1
1b
single
WHO CUT-OFF POINTS OF WHR Indicator CUT-OFF points Risk of metabolic complications Waist circumference >94 cm (M) >80 cm (W) Increased Hip cirrcumference >102 cm (M) >88 cm (W) Substantially increased Waist-Hip ratio >= 0.95(M) >= 0.80(W) Substantially increased Ref: Park 23rd edition Pgno : 400 WC & WHR, WHO Consultat...
Social & Preventive Medicine
Non communicable diseases
f5df7424-6485-43fa-ba98-6de498561a76
The most common cause of renal scaring in a 3 year old child is -
Trauma
Tuberculosis
Vesicoureteral reflux induced pyelonephritis
Interstitial nephritis
2c
single
Chronic pyelonephritis is characterized by renal inflammation and scarring induced by recurrent or persistent renal infection, vesicoureteral reflux, or other causes of urinary tract obstruction. VUR is a congenital condition that results from incompetence of the ureterovesical valve due to a sho intramural segment Ref...
Medicine
Kidney
99ae24e6-10c3-48b5-8c69-a8784ce4a4fc
A 6hours old snake bite patient comes to emergency with mild local edema at the injury site. On examination no abnormalities detected and lab repos are normal. Most appropriate management is
Incision and suction
Wait and watch
Local subcutaneous antisnake venom
Intravenous antisnake venom
1b
single
All patients with a history of snake bite should be observed for 8-12 h after the bite, if the skin is broken and the offending snake cannot be positively identified as non-poisonous. Ref: Krishnan vij ; 5th ed; Page no: 484
Forensic Medicine
Poisoning
a822c6ea-6cfd-44c1-890f-6fac4b97e16d
Which of the following agents is most commonly associated with recurrent meningitis due to CSF leaks?
Meningococci
Pneumococci
Hemophilus Influenza
E. Coli
1b
single
Intracranial CSF leaks cause bacterial meningitis, about 80% are caused by S. Pneumoniae. Other causative organisms are meningococcus, Hemophilus species and S.aurues. Ref: Clinical Pediatric Neurology By Ronald B. David, Page 217
Pediatrics
null
69e9312c-9be5-4efe-a981-6bd7be0ef65b
Treatment of choice in traumatic facial nerve injury is:
Facial sling
Facial nerve repair
Conservative management
Systemic corticosteroids
1b
single
(b) Facial nerve repair(Ref. Scott Brown, 6th ed., 1404)Since generally following trauma the facial nerve injury occurs as sudden onset. Facial decompression should be the best option.
ENT
Facial Nerve And Its Disorders
108ff605-0712-4a5b-8a74-aa8cbefc3d07
What is the best method of informing the rural population about Oral rehydration technique: March 2013 (d, f)
Chalk and talk/Lecture
Demonstrations
Role play
Flash cards
1b
single
Ans. B i.e. Demonstrations Demonstration involves showing by reason or proof explaining or making clear by use of examples or experiments. Put more simply, demonstration means to clearly show
Social & Preventive Medicine
null
24b17b1d-0dac-4da1-b215-22451784b9b6
Lymph vessel which drain the posterior 1/3 rd of the tongue:
Basal vessel.
Marginal vessel.
Central vessel.
Lateral vessel.
0a
single
null
Anatomy
null
e7f60d58-db4c-4067-981b-2988a9de88ff
Risk factors associated with post-operative nausea and vomiting following strabismus surgery are all except -
Age < 3years
Duration of anesthesia > 30 mins
Personal or family history of post - op nausea and vomiting
Personal or family history of motion sickness
0a
multi
Ans. is 'a' i.e., Age < 3 years Post operative nausea and vomiting (PONY) following strabismus surgery It can cause post - op wound dehiscence, hematoma, orbital hemorrhage and aspiration. 30 % of all procedures are associated with PONV. Major risk factors are: Age > 3years Duration of anesthesia > 30 mins Personal or ...
Anaesthesia
null
7f11c629-b766-486f-a98e-6de0a2be8ae3
All are True about Acute Osteomyelitis except
Common in children
Severe pain
Involves Epiphyseal plate
Treatment involves 6 weeks of Antibiotics
2c
multi
null
Orthopaedics
null
7a14deed-5c09-443b-9221-10f3a70fb6a4
Anterolateral ahroscopy of knee is for:
To see patellofemoral aiculation
To see the posterior cruciate ligament
To see the anterior poion of lateral meniscus
To see the periphery of the posterior horn of medial meniscus
0a
single
Standard poals in knee ahroscopy Anterolateral poal Almost all the structures within the knee joint can be seen except- posterior cruciate ligament anterior poion of the lateral meniscus periphery of the posterior horn of the medial meniscus in tight knees. Anteromedial poal Additional viewing of lateral compament Post...
Orthopaedics
Spos Injury
05e92aa4-f149-49d2-bfb3-48263f7de421
Regarding vaginal candidiasis which one of the following is false:
Cottage cheese like secretions are seen
Intense pruritus
Most common in non-pregnant women
Buds and hyphae seen in KOH preparation
2c
multi
Ans. C. Most common in non-pregnant womenCandidiasis is caused by Candida albinism which thrives in an acidic medium with an abundant supply of carbohydrates. It is found commonly in pregnancy, and in patients on oral contraceptives, antibiotics and. corticosteroids. It is also seen in patients with diabetes. It causes...
Gynaecology & Obstetrics
Miscellaneous (Obs)
d27fbb91-ef90-4092-9175-636be25c357f
25 year old patient Suspected to have a pneumoperitoneum. Patient is unable to stand. Best x-ray view is
Left lateral decubitus view
Right lateral decubitus view
Supine
Prone
0a
single
Left lateral decubitus view demonstrates the air between dense shadow of liver and the abdominal wall.
Radiology
null
2b42ac45-27a8-4304-b28d-7554722e76ba
What is the most probable poal of entry of Aspergillus?
Puncture wound
Blood
Lungs
Gastrointestinal tract
2c
single
Aspergillus species are widely distributed on decaying plants, producing chains of conidia. Aspergillus species unlike Candida species do not form the pa of normal flora of humans. They are ubiquitous in the environment; hence transmission of infection is mostly exogenous. Aspergillus transmission occurs by inhalation ...
Microbiology
Mycology
836756cc-2b92-483b-a8cc-302b578a9eaa
For TOF management in antenatal period includes ?
Balloon valvotomy
Open hea surgery
Karyotyping
Aspirin
2c
multi
Ans. is 'c' i.e., KaryotypingTOF has been associated with untreated maternal diabetes, phenylketonuria, and intake of retinoic acid.Associated chromosomal anomalies occur in 30% cases and include trisomies 21, 18, 13 and 22q11 microdeletion, especially in pulmonary atresia and absent pulmonary valve syndrome (APVS).The...
Pediatrics
null
08255d75-8015-4389-b7ce-7621634c98d2
What change will be seen in vertebral column in ochronosis-
Calcification of disc
Bamboo spine
Increased disc space
None
0a
multi
Ans. is 'a' i.e., Calcification of discAlkaptonuria# It is due to deficiency of homogentisate oxidase. As a result homogentisic acid (homogentisate) is excreted execessively in urine, There are three important characteristic features in alkaptonuria-Urine becomes dark after being exposed to air. It is due spontaneous o...
Orthopaedics
Anatomy of Bone & Fracture Healing
55b3bce3-3a08-4770-a6c6-c416160de22e
If solid line represent the rigid height, then the following diagram with excessive inter arch space is classified in?
Class - 1
Class - 2
Class - 3
Class - 4
1b
single
null
Dental
null
476a3ecd-7c42-4c85-9982-1ce80c95ab82
Pearsonian measure of skewness -
Mode - Mean/ SD
Mean - Mode/ SD
SD/Mode - mean
Mean - Mode/ SD
1b
single
Ans. is b' i.e., Mean-Mode Measures of Skewness o There are following measures of skewness 1. Karl pearson's measure The formula for measuring skewness is divided into a) absolute measure Skewness = Mean - Mode b) relative measure The relative measure is known as the Coefficient of Skewness and is more frequently used ...
Social & Preventive Medicine
null
509f300d-f354-48fb-a2c9-fb1a55cb8e00
Following are the causes of sudden loss of vision except ?
Angle closure glaucoma
Endophthalmitis
Central serous retinopathy
Corneal ulceration
3d
multi
Ans. is 'd' i.e., Corneal ulceration
Ophthalmology
null
cb8dbb33-9f74-4e01-8ac3-fe295178d2a1
All of the following are features of Lymph node histology except
Subcapsular sinus present
Both Efferent and Afferent are present
Coex and Medulla are present
Red pulp and White pulp are present
3d
multi
Red pulp and White pulp are present in spleenHistologically, a lymph node is subdivided into three regions: coex, paracoex, and medulla. All three regions have a rich supply of sinusoids, enlarged endothelially lined spaces through which lymph percolates.The afferent lymph vessels pierce the capsule on the convex surfa...
Anatomy
General anatomy
21ab1846-bbea-4bca-bd03-8933fa61ea5d
During Sx for meningioma, the left paracentral lobule was injured. It would lead to paresis of
Rt. Leg and perineus
Left face
Right face
Right shoulder & trunk
0a
single
Ans. is 'a' i.e Rt. Leg and perineum Paracentral lobule:On the medial surface of cerebral hemisphere, the U shaped gyrus around the end of the central sulcus is the paracentral lobule.Motor cortex is located in the precentral gyrus on the superolateral surface of the hemisphere and in the anterior part of the paracentr...
Anatomy
Cerebrum
af3f9375-99f2-4495-8e66-c875d70c9612
Which of the following bacterial meningitis is associated with sudural effusion?
H. influenza
Neisseria meningitits
Streptococcus pneumonia
Enterococcus
0a
single
Chronic Subdural Empyema It may be primary infection of subdural space from sinusitis focus causing suppuration and pus formation. It can be complication of the chronic subdural haematoma. It is due to secondary bacterial infection of collected clot/fluid. Infection is from sinusitis scalp (common)/through earlier trau...
Surgery
Trauma
af913acc-4ca3-4266-a199-86b667524325
All of the following statements are true regarding hyperophy, except:
Occurs due to synthesis and assembly of additional intracellular components.
There is an increase in the size of the cells.
Cells capable of division respond to stress by hyperophy and hyperplasia.
There is an increase in the number of cells.
3d
multi
The increased size of the cells is due to the synthesis and assembly of additional intracellular structural components. Hyperophy refers to an increase in the size of cells, which results in an increase in the size of the affected organ. Cells capable of division may respond to stress by undergoing both hyperplasia and...
Pathology
Reversible Cell Injury
90c75fdd-c6c6-4320-8411-9a5a750b5c5d
Glucose sympo occurs with:
Na+
Ca++
K+
Cl-
0a
single
A i.e. Na+
Physiology
null
4fb5da8e-6fa9-4308-829d-bef54d70af7c
All are true about temporal arteritis except -
Can leads to sudden bilateral blindness
More corrunon in females
Worsen on exposure to heat
Mostly affects elderly
2c
multi
null
Medicine
null
9595ba1f-bc34-42ab-8603-45961b925ad0
Of the various modalities used in the treatment of re-threatening effects of hyperkalemia which one of the following as the most rapid onset of action ?
Hemodialysis
Sodium bicarbonate infusion
Insulin and glucose infusion
Intravenous calcium gluconate
0a
single
null
Medicine
null
b801715b-75b9-41bd-8f3c-828469d01266
In chronic alcoholism the rate limiting component for alcohol metabolism excluding enzymes is/are : (PGI Dec 2008)
NADP
NAD+
NADPH
FADH
1b
single
Ans : B (NAD+) & C (NADPH) In chronic alcoholism rate limiting component for alcohol metabolism is NAD* & NADPHOxidation of ethanol by alcohol dehydrogenaseQ & NADQ leads to excess production of NADHSome metabolism of ethanol takes place via a cytochrome P450 dependent microsomal ethanol oxidising systme (MEOS) Q invol...
Biochemistry
Biosynthesis of Fatty Acids and Eicosanoids
12b668e8-af03-47d7-bc80-41dec978da4d
Minimum level of iodine iodized salt reaching the consumer level according to iodine programme should be:-
5 ppm
30 ppm
15 ppm
20 ppm
2c
single
National Iodine deficiency disorder programme , 1992: - National goitre control programme, 1962 is conveed to NIDDCP, 1992 - Impact indicators: Major indicator - Urinary iodine excretion levels ( generally measured in pregnant women over 24hrs) Others - Neonatal hypothyroidism , Goitre - Level of salt iodinisation: 30 ...
Social & Preventive Medicine
Other NHPs
8a72ed74-b546-481b-bf0c-0c812ce2f3df
True statement regarding specific death rates
Specific for age and sex
Identify particular group or groups "at risk" for preventive action
Find out cause or disease specific
All of the above
3d
multi
(A1I of the above) (54- Park 20th)Specific death rates - may be (a) cause or disease specific e.g. TB, cancer, accidents (b) Related to specific groups e.g. age specific, sex specific, age and sex specific etc.* Rates can also be made specific for many others variables such as income, religion, race, housing etc.* Spec...
Social & Preventive Medicine
Concept of Health and Disease
6d21ae16-b1b7-42d3-ba62-7e310d8b0198
Pre-exposure prophylaxis for rabies is given on days
0, 3, 7, 14, 28, 90
0, 3, 7, 28, 90
0, 3
0, 7, 28
3d
single
New recommended regimen/Schedule (New guidelines( Type of prophylaxis Regimen Post exposure Intramuscular Essen Regimen (1-1-1-1-1) Day 0,3,7,14,28 Post exposure intradermal Updated Thai Red Cross Regimen (2-2-2-0-2) Day 0,3,7,28 Post exposure in vaccinated individuals Day 0,3 Pre-exposure prophylaxis Day 0,7,21/28 Min...
Social & Preventive Medicine
Communicable diseases
bf09d252-e987-480b-9a17-fe566ad398b9
Regarding Sjogren's syndrome, all are true except: September 2010
Keratoconjuctivitis sicca
Rheumatoid ahritis
Epiphora
Autoimmune in nature
2c
multi
Ans. C: Epiphora SjOgren's syndrome (also known as "Mikulicz disease" and "Sicca syndrome", is a systemic autoimmune disease in which immune cells attack and destroy the exocrine glands that produce tears and saliva SjOgren's syndrome can exist as a disorder in its own right (Primary Sjogren's syndrome) or it may devel...
Ophthalmology
null
a79732e1-a0c9-4e81-bce6-fbcacaaab4e7
Best indicator of antemoum drowning is :
Froth in mouth and nostrils
Cutis anserina
Washerman's hand
Water in nose
0a
single
A i.e. Fine froth in mouth & nostril
Forensic Medicine
null
432ce240-2b6c-47aa-afd7-18bd49806239
Splenomegaly may be a feature of: March 2013
Megaloblastic anemia
Sickle cell anemia
Thalassemia
G6PD deficiency
1b
single
Ans. B i.e. Sickle cell anemia Splenomegaly Splenomegaly refers strictly to spleen enlargement, and is distinct from hyperspineism , which connotes overactive function by a spleen of any size. Splenomegaly and hypersplenism should not be confused. Each may be found separately, or they may coexist. Clinically if a splee...
Pathology
null
e6c29c8b-af47-4dd6-8154-663358bed3b8
Gp2b3A inhibitors are all except -
Abciximab
Eptifibatide
Tirofiban
Prasugrel
3d
multi
Ans. is 'd' i.e., Prasugrel Glycoproteins lIb / IIIa inhibitorso The platelet glycoprotein mediates platelet aggregation via binding of adhesive proteins such as fibrinogen and Von Willebrand factor.o GP lib / Ilia inhibitors, inhibit platelet aggregation by blocking GPIIb / IlIa.o They are more complete inhibitors tha...
Pharmacology
Antiplatelets and Fibrinolytics
81b24099-1d53-4130-ac61-72364a99d53f
True of case control studies -
It proceeds from cause to effect
Odds ratio can be calculated
Incidence can be calculated
Needs many patients
1b
multi
null
Social & Preventive Medicine
null
c08137c8-34c0-4f03-9b07-227dfeb8ec8e
All of the following could include the mechanism or function of oxigenases, EXCEPT:
Incorporate 2 atoms of oxygen
Incorporate 1 atom of oxygen
Required for hydroxylation of steroids
Required for carboxylation of drugs
3d
multi
Carboxylation is a function of carboxylase enzymes which belong to the class of 'Ligases'. It is not a function of oxygenase enzymes. Monoxygenases incorporate one atom of oxygen and play an impoant role in hydroxylation of steroids. Dioxygenases incorporate 2 atoms of oxygen into the substrate. Ref: Harper's Illustrat...
Biochemistry
null
95a23ec3-c2d6-40f4-890f-bece76c568cd
According to recent SC judgment, doctor can be charged for medical negligence under 304-A, only if: AIIMS 12
He is from corporate hospital
Negligence is from inadveent error
Simple negligence
Gross negligence
3d
single
Ans. Gross negligence
Forensic Medicine
null
3c3ba303-b196-45de-8ced-6c888c9e0d4e
Which of the following is very difficult to induce antibody -
Polysaccharide
Protein
Antigen
Effector
0a
single
An antigen is any substance that causes an immune system to produce antibodies against it. Antigens are usually peptides, polysaccharides or lipids. In general, molecules other than peptides (saccharides and lipids) qualify as antigens but not as immunogens since they cannot elicit an immune response on their own. Ref:...
Microbiology
Immunology
452b1926-6027-40a1-a934-6d58f2a8caed
Prevalence is a:
Rate
Ratio
Propoion
None of the above
2c
multi
Tools of measurement in epidemics: - Rate = x 1000/ 10000/ 100000 ; a is pa of b - Ratio = a/b ; a is not a pa of b - Propoion = x 100 = % ; a is pa of b Prevalence = No. of all current cases of a disease at a time /Estimated total population at that time X 100 Hence, Prevalence is a propoion (Prevalence is NOT a Ratio...
Social & Preventive Medicine
Epidemiology
9531838e-9009-47d8-8d6e-3880fab47804
S2 is best appreciated in -
3rd left intercostal space
2nd right intercostal space
4th left intercostal space
5th left intercostal space
0a
single
Ans. is 'a' i.e., 3rd left intercostal space o Best areas to auscultate for both components of the second heart sound (A2 and P2) are either the left sternal border at the level of second intercostal space (Pulmonic area) or the left sternal border at the level of third intercostal space (Erb s point).
Medicine
General
764ad788-556b-49cd-b976-c93086492894
Position of limb in posterior dislocation of hip -
Flexion, abduction & external rotation
Flexion, adduction & internal rotation
Flexion, adduction & external rotation
Flexion, abduction & internal rotation
1b
single
Ans. is 'b' i.e., Flexion, adduction & internal rotation Hip conditionDeformitySynovitisArthritisPosterior dislocationAnterior dislocationFemoral neck fractureIntertrochantric fractureFlexion, abduction, external rotation, apparent lengtheningFlexion, adduction, internal rotation, true shorteningFlexion, adduction, int...
Orthopaedics
Congenital Dislocation of Hip (C.D.H.)
52e6dc81-fb25-495d-b941-543e03158f7c
Drug causing malignant hyperthermia:(Asked twice in the exam)
Cisatracurium
Suxamethonium
Propofol
Thiopentone
1b
single
Ans. b. SuxamethoniumSuxamethonium is the drug most commonly responsible for causing malignant hyperthermia.'Drugs causing malignant hyperthermia are- succinylcholine (most common cause), halothane (MC inhalational agent), iso/des/sevo/methoxy- fluranes, lignocaine, TCA, MAO inhibitors and phenothiazines.''Thiopentone ...
Anaesthesia
Complications Of Anaesthesia
91d73a6d-7f5b-44bb-b0ac-477ea9338efb
Household insectiside used for malaria-
Malathion
Pyrethrum
Paris green
Permethrin
0a
single
Ans. is 'a' i.e., Malathion* Insectisides used for control of malaria are-i) Residual sprapy-# In residual spray, spraying of houses with residual insectisides is done. Residual insectisides remains active over extended periods i.e., they have residual action even after the time of spray.# Commonly used residual insect...
Social & Preventive Medicine
Environment and Health
d9f648af-a752-4368-999d-05e13c345ce0
False about obstructive jaundice
Unconjugated bilirubin
Pruritus
Pale stools
Icterus
0a
multi
Obstructive jaundice Most common surgical cause of obstructive jaundice is CBD stones Characterized by dark urine, pale coloured stools, icterus and Pruritus Presence of urobilinogen in urine rules out obstructive jaundice USG is the best test to differentiate medical from surgical jaundice Unconjugated bilirubin is no...
Anatomy
G.I.T
0e3852f0-45a6-493c-96d5-aefe1e0fa769
All of the following structure lies outside the cavernous sinus except
Sphenoidal air sinus
Internal carotid aery
Foramen lacerum
Maxillary nerve
3d
multi
structures outside the sinus: 1. Superiorly: optic tract, optic chiasma, olfactory tract, internal carotid aery and anterior perforated substance. 2.inferiorly: foramen lacerum and the junction of the body and greater wing of the sphenoid bone 3.medically: hypophysis cerebri and sphenoidal air sinus 4.laterally: tempor...
Anatomy
Head and neck
1d4ccb9d-1924-4aa6-b07c-0ed46fe31c20
Which of the following is the best procedure done for intrapaum fetal monitoring:
Fetal echocardiography
Fetal scalp pH
Continuous electrical fetal hea monitoring
Physical examination
2c
single
Electrical Fetal hea monitoring is useful as: (1) Provides accurate information, (2) Helpful in diagnosing fetal distress, (3) Directs about intervention to prevent fetal death or morbidity, (4) It is superior to intermittent monitoring methods.
Gynaecology & Obstetrics
Intra Uterine Growth Restriction, Intrapaum and Antepaum Fetal Surviellance
236d1eb1-f2e1-43b0-90f3-f88deff358cb
Which of the following is measured by the device, Bellow's spirometer?
TLC
RV
Closing volume
ERV
3d
single
The spirometer is a simple device for measuring gas volumes. The frequently used water spirometer, rolling seal spirometer and bellows spirometer. The last two are not water-filled and are more poable. The VT, IRV, ERV, IC, and VC can all be measured with a spirometer (as can the forced expiratory volume in 1 second , ...
Physiology
null
a2630da3-17a1-4149-b424-4b04b2c42f1c
Which of the following is a newly emerging food poisoning organism
Salmonella typhimurium
Enterococcus
Diphtheria
Pseudomonas
0a
single
Ans: a (Salmonella typhimurium) Ref: Ananathanarayan,7th ed, p. 303Of the above given, S. typhimurium causes food poisoningSalmonella gastroenteritisS. typhimurium is the most common cause of food poisoning due to salmonella species.Incubation period--6-24 hrsFood poisoning is never caused by S. typhi. Source of transm...
Microbiology
Enterobecteriaceae
f94f9f8f-fb28-44f0-9381-3dca473e305d
Atherosclerosis initiation by fibroblast plaque is mediated by injury to ?
Smooth muscle
Media
Adventitia
Endothelium
3d
single
Ans. is 'd' i.e., Endothelium The most acceptable hypothesis for the pathogenesis of atherosclerosis is "the response to injury hypothesis". According to this hypothesis, atherosclerosis is a chronic inflammatory response of the aerial wall initiated by injury to endothelium. Pathogenesis of atherosclerosis Following s...
Pathology
null
bdf94942-49c0-4d9a-b990-a7bfb7099857
The WBC that is considered “second line of defence” is:
Neutrophil
Eosinophil
Basophil
Monocyte
3d
single
Monocyte is considered as the second line of defence.   Phagocytosis by Macrophages. Macrophages are the end-stage product of monocytes that enter the tissues from the blood. When activated by the immune system, they are much more powerful phagocytes than neutrophils, often capable of phagocytizing as many as 100 bacte...
Physiology
null
cbc8a1b1-532c-490e-a17d-9168083fabae
Mark the true statement regarding use of Lithium in maniac-depressive psychosis?
Monotherapy for acute episodes
Monitoring of serum concentration is not useful for guiding dose adjustment
Can result in leucocytosis
Can result in hypehyroidism on long term use
2c
multi
Lithium Use : Prophylaxis of mania alone, with sedatives in acute mania. Monitoring of S. concentration is significant to know the toxicity of drug S/E of Lithium Lithium use for a long time causes benign and reversible T-wave flattening Seizures Polyuria and compensatory polydipsia Dermatitis, folliculitis, vasculitis...
Pharmacology
Psychiatric Illness
2b7ff41e-66e4-467a-97ec-9ea4e5e98cbc
Determination of Pulp vitality by pulse oximeter based on:
Beer's law.
Pascal's law.
Doppler law.
Poisslues law.
0a
single
Pulse oxymetry- Based on Beer Lambert law Utilization of a probe that transmits red (640 mm) and infrared light Photo detector as a receptor site Different absorption ability of light by oxygenated and deoxygenated haemoglobin leads to changes in the amount of light differently absorbed by the vascular bed before reac...
Dental
null
c5165fb3-3a59-49ed-9de0-4dbbced2cf08
An Isograft indicates transfer of tissues between -
Unrelated donors
Related donors
Monozygotic twins
From the same individual
2c
single
null
Surgery
null
e197f947-1bdd-4efd-887a-b72faa9441c5
All of the following are causes of congenital blindness Except
Toxoplasmosis
Congenital rubella
Vitamin A deficiency
Cataract
2c
multi
Causes of congenital blindness:ToxoplasmosisCongenital cataractsGenetic diseaseCongenital rubellaCongenital glaucomaUsher syndrome(Refer: Nelson's Textbook of Pediatrics, SAE, 1st edition, pg no. 318 - 319)
Pediatrics
All India exam
b15c5039-0f3c-4195-8331-35b9632899c7
Hypersecretory glaucoma is seen in –
Epidemic dropsy
Marfan's syndrome
Hypertension
Diabetes
0a
single
"In epidemic dropsy, glaucoma is wide angle glaucoma, with normal chamber and angle. Outflow is within normal limits. The queous shows raised level of histamin, prostaglandin and protein suggesting that glaucoma is hypersecretory". _ Mukherjee
Ophthalmology
null
01b9f068-4db2-45e5-94b8-19d4f7d290f7
A 14-year-old girl presents with quadriparesis, facial palsy, winging of scapula and ptosis. There is h/o similar illness in father and brother but less severe. Her CPK level is also raised (500IU/L). She is probably suffering from?
Emery-Dreifuss muscular dystrophy
Becker muscular dystrophy
Limb-girdle dystrophy
Scapulofaciohumeral dystrophy
3d
single
Facial muscle involvement is not seen with Becker and Limb-girdle muscular dystrophy Emery Dreifuss and Becker are XLR disease so can't be present in a girl child. Hence by exclusion the diagnosis is Dx: Scapulo-Faciohumeraldystrophy. Facio-Scapulo-humeral dystrophy Autosomal dominant inheritance and has an onset in ch...
Medicine
Myasthenia Gravis and Muscular dystrophy
44e3f7ec-ad90-49bc-9f91-54f959bae81b
Which of the following is true statement regarding human eye
Cornea cut off wavelength upto 400 nm
Normal eye medium will permit wavelength of 400- 700 nm
Even after cataract surgery UV rays are not penetrated
Lens will not reflect light
1b
multi
Ans. b (normal rye medium will permit wavelength of 400- 700 ntn) Ref: yanoff 3rd ed p 383, internet sitesCornea and lens act as special filters absorbing the more energetic wavelength of the electromagnetic spectrum that can damage the retina. Cornea absorbs wavelength below 295nm where as lens absorbs strongly in the...
Ophthalmology
Anatomy
6a19df3c-6af0-4673-8e2b-02d86ddc7523
Which of the following muscle is not a hybrid muscle
Pectoralis major
Extensor digitorum
Flexor digitorum profundus
Brachialis
1b
single
Extensor digitorum Hybrid muscles are the muscles having more than one nerve supply Pctoralis major: lateral & medial pectoral nerves Brachialis: additional proprioceptive fibres from radial nerve, in addition to its muscular nerve, musculocutaneous nerve. Extensor digitorum is supplied by the posterior interosseous ne...
Surgery
null
161fc4a5-e9fb-44c6-9a4b-2d734cf01ebc
Delayed union of fracture of a bone follo-wing a surgical treatment may be due to
Infection
Inadequate circulation
Inadequate mobilization
All of the above
3d
multi
D i.e. All
Surgery
null
f18b19db-efc0-40d3-accd-5d2dcb3b1879
What is the pressure of inspiration?
Intrapleuarl
Transpulmonary
Trans chest wall
Alveolar pressure
0a
multi
Ans: a (Intrapleural) Ref: Ganong,22nd ed,p. 6651The main pressure in lung related to inspiration is intrapleural pressure.Intrapleural pressure.The pressure in the intrapleural space between the lungs and chest wall is intrapleural pressure.Intrapleural pressure changes from -2.5 to -6 mmHg during inspiration. During ...
Physiology
Respiratory System
cdfbd205-6f98-4cdc-9d76-29c0e9887cef
One standard detion in normal standard curev includes value-
50%
68%
95%
100%
1b
single
Ref:Parks 23rd edition pg 849. 1SD : confidence limit = 68% 2SD : confidence limit = 95% 3SD : confidence limit = 99.7%
Social & Preventive Medicine
Biostatistics
d000623f-eba6-4e64-8cc0-3ed932403fce
Foam cells are seen in infection with which virus ?
Measles
EBV
Molluscum contagiosum
RSV
1b
single
Ans. is 'b' i.e., EBV EBV encephalomyelitis shows :Abnormal white matter with perivascular infiltrates of inflammatory cells and foam cells.Some myelin is replaced by lipid-filled macrophages and hyperplastic astrocytes.
Microbiology
null
fc374693-12de-4ca4-8854-34bd1a9c686b
During extraction of the upper first molar, the mesio buccal root is missing and is suspected to have been pushed into the maxillary sinus. The best position for the patient immediately after the incident is
To position the patient upright
To position the patients in a semi inclined posture to visualize the perforation
Trendelenberg position
Reverse trendelenberg position
0a
single
null
Surgery
null
ffa5b47b-7d02-489f-9bcf-f6753b2be449
Rescue P.C.I is done for which of the following?
Persistent chest pain with ST elevation > 60 min after thrombolysis
Persistent chest pain with ST elevation > 30 min after thrombolysis
Persistent Chest pain with ST elevation >90 min after thrombolysis
Pain with ST elevation for >120minutes after thrombolysis
2c
single
Option C = Rescue P.C.I. After thrombolysis ST Elevation begin to reduce If ST Elevation persisting in spite of thrombolysis. So it's failure of thrombolysis | within 90 minutes Rescue PCI Types of PCI Primary PCI done for STEMI (Door to device time < 90 minutes). Delayed PCI done for Unstable Angina NSTEMI Rescue PCI ...
Medicine
Acute coronary syndrome
fefb2a6d-129a-4ebd-9100-fcdb862c98a2
Fever associated with infection
Accelerates bacterial and viral replication
Left shifts the oxygen dissociation curve
Is due to interleukin-1 released from CD4 T-helper cells
Increase oxygen release to tissue
3d
single
Fever right shifts the oxygen dissociation curve, which allows for a greater release of oxygen to the tissue, making oxygen easily available to neutrophils and monocytes for use in the oxygen-dependent myeloperoxidase system of bactericidal killing. Having more oxygen available to tissue also enhances wound healing. In...
Physiology
General physiology
8cf45c14-9de1-4f72-a51c-e0ab03cd4518
Last organ to putrefy in females is?
Liver
Uterus
Brain
Breast
1b
single
Ans. is 'b' i.e., Uterus Order of putrefactiono Order of appearance of putrefaction from earliest to last is : larynx, trachea > stomach, intestine > spleen, liver > brain, lungs > heart > kidney, bladder > uterus/prostate > bone.o Amongst the soft tissues uterus in female and prostate in malesm are last to undergo put...
Forensic Medicine
Injuries
567e1d6a-5444-4e1a-b07a-98417b051c28
Hamartomatous lung tissue is?
Hypoplasia of lung
Congenital cyst
Lobar sequestration
Congenital cystic adenomatoid malformation
3d
single
Ans. (d) Congenital cystic adenomatoid malformation(Ref: Robbins 9th/pg 670; 8th/pg 679)Congenital cystic adenomatoid malformation (CCAM): Hamartomatous Q or dysplastic lung tissue, usually confined to one lobe.
Pathology
Respiration
c50f51df-27d7-43e6-9be6-4b89df294edb
Test for diagnosis of pyogenic meningitis is?
Widal
CSF PCR
CSF examination
PET scan
2c
single
ANSWER: (C) CSF examinationREF: Harrison 17th ed chapter 376The diagnosis of bacterial meningitis is made by examination of the CSF. The need to obtain neuroimaging studies (CT or MRI) prior to LP requires clinical judgment.A broad-range PCR can detect small numbers of viable and nonviable organisms in CSF and is expec...
Microbiology
Bacteria
22c45247-65d6-4168-aa89-428eb6ccf1c3
Causes of thickened gallbladder wall on ultrasound examination are all except:
Postprandial state
Cholecystitis
Congestive cardiac failure
Kawasaki disease
3d
multi
Ans: D (Kawasaki disease) Ref: Manual of Emergency Critical Care Ultrasound Vicke E Noble. 2nd ed. Pg 156Explanation:Kawasaki disease is associated with hydrops of gallbladder.Gallbladder Wall Thickening A gallbladder wall that is thickened is a sign of inflammation. This is a non-specific finding, and many other patho...
Radiology
Abdominal Radiography
0210576a-e7fd-40c4-b51e-acd13de82132
In caloric test, cold water stimulation causes movement of eye -
Some side
Opposite side
Up
Do\vn
1b
single
Ans. is 'b' i.e., Opposite side [Ref: Dhingra 5th/e p. 48}o Each ear is irrigated twice : once with cold water (70C below the body temperature, i. e. 300C) and then with warm water (70C above the body temperature, i.e. 440C).o Cold water provokes nystagmus towards the opposite ear, while warm water provokes nystagmus t...
ENT
Assessment of Vestibular Function
b9c3c5cc-127b-46a2-bfdc-d23bd2412409
Which of the following is not false about annual risk of TB
ARI of 1% = 75 new cases
Current ARI in India is 1.7%
It is represents new cases of TB
It is assessed by tuberculin conversion in previously non-vaccinated children
3d
multi
Incidence of TB infection (Annual infection rate, Annual risk of Infection ARI) : Percentage of population under study who will be newly infected (not diseased or cases) with TB among Non-infected in 1 year. Expresses attacking force of TB in community In developing countries 1% ARI corresponds to: 50 SS +ve cases per ...
Social & Preventive Medicine
Communicable diseases
f6c9fd05-bcda-4397-bcaa-a17d65107ad3
A 12-year-old girl presents to the casualty with symptoms of fever, shoness of breath, and cough. A chest X-ray reveals complete consolidation of the lower lobe of the left lung. Cultures of the lower lobe of the left lung would most likely reveal which organism?
Streptococcus pneumoniae
Staphylococcus aureus
Klebsiella pneumoniae
Pseudomonas aeruginosa
0a
single
The history and findings are consistent with a lobar pneumonia. The most common etiologic agent of lobar pneumonia is Streptococcus pneumoniae. ESSENTIALS OF DIAGNOSIS Productive cough, fever, rigors, dyspnea, early pleuritic chest pain Consolidating lobar pneumonia on chest radiograph Lancet-shaped gram-positive diplo...
Microbiology
null
19de7ff4-cb68-4c51-afe3-07a425f20c91
IgA deposits on skin biopsy
Henoch Schouleiln puspura
Giant cell aeritis
Microscopic polyangitis
Wegener's granulomatosis
0a
single
A.i.e. Henosch Schonlein purpura
Skin
null
8705fb60-c237-4804-a9cf-8adbb631bcd3
A Dentin 'Primer'?
Etches the dentin
It increases the surface energy & wets the dentin surface
Removes the smear layer
Conditions the dentin
1b
single
null
Dental
null
d0b35238-78a6-454d-9bc9-65180db85bbb
Which of the following hormonal activity is expected immediately prior to Ovulation?
LH surge
FSH surge
Progestrone surge
Estrogen surge
0a
single
Ovulation occurs due to the effect of increased concentration of LH. In the pre-ovulatory phase of the menstrual cycle, the ovarian follicle will undergo a series of transformations called cumulus expansion, which is stimulated by FSH. This is followed by LH surge.
Physiology
null
e2e8a056-13c0-457f-945f-da4fdb9afbd6
Following are fibrous joints :
Pubic symphysis
Fronto parietal suture
Manubrio sternal joint
Inf. radio ulnar joint
1b
single
B. i.e. Frontoparietal sutureSkull sutures (except sphen-occipital), vomer- sphenoid rostrum schindylesisQ, inferior tibiofibular syndesmosis and dentoalveolar gomphosis (tooth socket) joints are fibrous joints. A Schindylesis is a specialized suture where a rigid bone fits into a groove on a neighbouring element eg a ...
Anatomy
null
df59eac7-87b1-4805-9c47-0caf96a3450d
For exhumation the order should be passed by -
Chief judicial magistrate
Executive magistrate
Police officer
Session judge
1b
single
The body is exhumed only when, there is written order from the executive magistrate.
Forensic Medicine
null
aeb420c2-ede8-48bc-9400-a5ae531f15ee
The radiograph of a 32 year old patient is shown below. The patient is asymptomatic and the lesion revealed in the radiograph is an accidental finding. The most likely diagnosis is:
Stafne’s bone cavity
Radicular Cyst
Dentigerous cyst
Lateral periodontal cyst
0a
single
Radiological signs: The lesion presents as a chance radiographic finding. It is a round or an ovoid (<3 cm) uniform radiolucency with a well-defined, usually corticated, margin. Stafne’s bone cavity is non-expansile and is found below the mandibular canal just anterior to the angle of the mandible. The location of Staf...
Radiology
null
End of preview. Expand in Data Studio

Medical multiple-choice training pool

Public multiple-choice medical questions from three repositories, read at the pinned revisions named below and laid out twice. Train on either layer or on both.

pool.jsonl

Every source rewritten into one shape, 219695 rows, one JSON object per line, with these fields.

Field What it holds
id a row identifier unique within this file
question the question text, as its source publishes it
options the answer options, as a list of strings
answer the letter of the correct option, A for the first option listed
subject the subject label the source gives the row, or unknown
language the language of the row
source the name of the source directory the row came from
source_repo, source_revision the dataset and the revision it was read at
source_subset, source_split, source_id where the row sits in that set
provenance_class how the row came to exist
licence the licence of the source it came from
licence_citation the file that states that licence

The options of every row were permuted once when this file was built, under the recorded seed 20260912, and the answer letter is written in the permuted order, so that a source which publishes its correct option in a fixed position cannot teach that position. Rows are deduplicated across sources on the question together with its option set, keeping the first source that carries the question in the order of the sections below.

Two rules qualify that. The first is that a row one of whose options points at the others rather than answering the question keeps the option order its source published and the gold letter that goes with it, because permuting it would leave the pointer aimed at whatever landed above it. An option counts as a pointer when it is a bare All, None, Both, Neither or Either, with or without a full stop; or a phrase starting with one of those or with Any that reaches the above, these, those, them, the options, the choices, the answers or the statements, with the common misspellings of the connecting words and of above allowed for, and with a bare numeral counting as a quantifier only where it counts the other options as in two of the above; or a pointer written as option letters, A+B or a, b, g or both a and c. The phrase has to start within the first three words of the option, which is what keeps an ordinary answer such as two standard deviation above the mean out of the rule. 12843 rows here are in their source's order for that reason and the rest are permuted. Those rows keep their source's positional lean along with its order: their gold letters are A 3404, B 2738, C 2423, D 4270, E 8, against a flat distribution over the permuted rows.

The second is that a row two of whose options say the same thing once whitespace and case are set aside is not in this file at all, because its key names one letter while another letter is equally correct: 774 rows were dropped for that. Those rows are still in the untouched layer, which restates no answer key of its own.

sources/

The same data untouched, 238859 rows, one directory per source, holding the files at the paths, in the file format and with the columns its own repository publishes. Nothing here was renamed, reshaped, reordered or deduplicated. Use this layer if you want a field the rewritten one drops, such as the written explanations in MedMCQA or the concept phrases in MedQA, or if you would rather order the options yourself.

The sources

sources/medmcqa

Indian medical entrance examination questions, AIIMS and NEET PG, 1991 to the present, with the examining body's own answer key. From openlifescienceai/medmcqa at revision 91c6572c454088bf71b679ad90aa8dffcd0d5868, files data/train-00000-of-00001.parquet, data/validation-00000-of-00001.parquet. 186399 rows here, of which 167611 also appear in pool.jsonl. Language English, provenance class human, licence apache-2.0. Its own fields are id, question, opa to opd for the four options, cop for the zero-based index of the correct one, choice_type, exp for a written explanation, subject_name, topic_name.

Worth knowing. The apache-2.0 tag covers the packaging rather than the examination boards' copyright in the underlying questions, which the dataset card does not address. The published test split carries no answer key and is not here.

sources/medqa_usmle

United States medical licensing examination questions in their four-option English form, most of them clinical vignettes of several hundred words. From bigbio/med_qa at revision 484a6c066fe8e75c83edea0c88b5169316714fcd, files med_qa_en_4options_source/train-00000-of-00001.parquet. 9746 rows here, of which 9744 also appear in pool.jsonl. Language English, provenance class human, licence mit. Its own fields are meta_info naming the examination step, question, options as key and value records, answer_idx naming the correct key, answer repeating its text, metamap_phrases.

Worth knowing. The Hub repository these files are read from states no licence, so the licence recorded on every row is the one the corpus's own repository publishes it under. No licence speaks to the examining boards' copyright in the questions themselves. Only the train split is included.

sources/medqa_mainland

Mainland China national medical licensing examination questions in their four-option form, in simplified Chinese. From bigbio/med_qa at revision 484a6c066fe8e75c83edea0c88b5169316714fcd, files med_qa_zh_4options_source/train-00000-of-00001.parquet. 27400 rows here, of which 27048 also appear in pool.jsonl. Language Chinese, provenance class human, licence mit. Its own fields are meta_info naming the textbook chapter, question, options as key and value records, answer_idx naming the correct key, answer repeating its text.

Worth knowing. The Hub repository these files are read from states no licence, so the licence recorded on every row is the one the corpus's own repository publishes it under. No licence speaks to the examining boards' copyright in the questions themselves. Only the train split is included.

sources/medqa_taiwan

Taiwan medical licensing examination questions, in traditional Chinese. From bigbio/med_qa at revision 484a6c066fe8e75c83edea0c88b5169316714fcd, files med_qa_tw_source/train-00000-of-00001.parquet. 11298 rows here, of which 11289 also appear in pool.jsonl. Language Chinese, provenance class human, licence mit. Its own fields are meta_info naming the examination, question, options as key and value records, answer_idx naming the correct key, answer repeating its text.

Worth knowing. The Hub repository these files are read from states no licence, so the licence recorded on every row is the one the corpus's own repository publishes it under. No licence speaks to the examining boards' copyright in the questions themselves. Only the train split is included.

sources/headqa

Spanish healthcare specialisation examinations, the state examinations sat by medicine, nursing, pharmacology, psychology, biology and chemistry graduates, in their English translation. From openlifescienceai/headqa at revision 38ce88d993b9e1c018de65169812f64e6f3289ef, files train.json, validation.json. 4016 rows here, of which 4003 also appear in pool.jsonl. Language English, provenance class human, licence mit. Its own fields are id, topic_name, and a data record holding Question, Options as a letter to text map, Correct Answer as the text and Correct Option as the letter.

Worth knowing. The re-upload these files are read from states no licence. The authors publish the corpus under MIT where they distribute it themselves, so redistribution here rests on that rather than on a statement attached to these files. Its subjects run past medicine into biology, chemistry and psychology, and the topic field is how to select. The published test split is not here.

Provenance and licences

Every row was written by a person. All three repositories publish questions written for human medical examinations, sat by candidates for a licence or a place, which is the provenance class human. Nothing in the pool was generated by a model.

Every source here is permissive and every row carries the licence it is under with a citation to the file that states it: apache-2.0 for MedMCQA from the tag on its own repository, MIT for MedQA from the LICENSE of github.com/jind11/MedQA, MIT for HeadQA from the LICENSE of github.com/aghie/head-qa. The two Hub re-uploads state no licence of their own, which is why the citation is to the corpus's own repository, and a source whose licence could not be cited that way is not here. None is share-alike and none is non-commercial, so the pool composes to no restrictive term. It is offered as other all the same, because no licence in this chain speaks to the examining boards' copyright in the underlying questions.

Filtering

Rows whose question duplicated or closely paraphrased a question in a held-out evaluation set were removed before publication, from both layers alike, by a word 8-gram overlap check (938 rows) followed by an embedding similarity check (107 rows). That evaluation set is not distributed here. Nothing else was filtered: no subject, no language and no difficulty was selected for or against, so the pool still holds the biology, chemistry and psychology questions its multi-subject sources carry alongside the clinical ones, and the subject field is how to select what you want.

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