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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 |
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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