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5da9633c-c9f1-4615-85fe-35286246ce87 | Which incisor has most commonly 2 roots ? | Lower Central incisor | Lower Lateral incisor | Upper Central incisor | Upper lateral Incisor | 0a | single | null | Dental | null |
3820af0b-fef6-47cb-a059-ed539fb11747 | Regarding the anatomical snuffbox which of the following is true | Abductor Pollicis longus forms the posterior wall | Abductor pollicis longus and Extensor Pollicis brevis form the lateral wall | Basilic vein forms the roof | Floor is formed by Extensor carpi radialis longus and brevis | 1b | multi | The anatomical snuffbox, or radial fossa, is a triangular deepening on the radial, dorsal aspect of the hand - at the level of the carpal bones, specifically, the scaphoid and trapezium bones forming the floor. The Boundaries The snuffbox is bordered by a pair of parallel and intimate tendons, of the extensor pollicis ... | Anatomy | Upper limb |
853e41dc-17a9-42f4-974b-88e5ba10f65b | Pleural effusion, in standing position gravitates n the region of | Oblique fissure | Costomediastinum recess | Costodiaphragmatic recess | Cardiac knoch | 2c | single | i.e. (Costodiaphragmatic recess: (1658-66 - H17th) (306-8-CMDT-l1)* Most dependent recess of the pleura is the posterior costophrenic angle**. So in pleural effusion this recess would be filled earliest. But at least 100-200 ml of fluid. Would be required to fill this recess before it can be defected on a PA view* The ... | Medicine | Respiratory |
61370ed9-5d41-4577-8c56-63afb5c06763 | Which of the following component in diet determines glycemic index of food? | Protein | Fat | Fibre | None of the above | 2c | multi | Some foods contain different fractions of soluble and insoluble fibres that our slow release of sugar into small intestine and its absorption into blood. They are termed as food with low glycemic index. Ref: Park 22nd edition, page 568 | Social & Preventive Medicine | null |
252eaf7c-1404-4621-b79d-15dfead0a67f | Which is not a test for ovulation? | Fern test | Basal body temperature | Hysteroscopy | LH surge | 2c | single | ANSWER: (C) HysteroscopyREF: 12th edition of Novak's Gynecology p. 408METHODS TO DOCUMENT OVULATION:Luteinizing Hormone Monitoring Documentation of the LH surge represents a remarkably reproducible method of predicting ovulation. Ovulation occurs 34 to 36 hours after the onsetof the LH surge and about 10 to 12 hours af... | Gynaecology & Obstetrics | Pathology of Conception |
795165d0-78bd-443f-afb3-69f38a1eac7e | Which is the shoest acting mydriatic: March 2004 | Atropine | Tropicamide | Cyclopentolate | Homatropine | 1b | single | Ans. B i.e. Tropicamide | Pharmacology | null |
79988384-1cc1-4d42-b930-206e912e7877 | Staphylococcus is localised in which of the following infections | SSSS | TSS | Scarlatina | Carbuncle | 3d | single | Staphylococcal infections are characteristically localised pyogenic lesions. The common localised pyogenic staphylococcal infections are: Skin and soft tissue infections: Folliculitis, furuncle, abscess, wound infection, carbuncle, impetigo, paronychia and less often cellulitis. Musculoskeletal: Osteomyelitis, ahritis,... | Microbiology | Bacteriology |
c563b798-ca75-4a47-87c5-e94b56b2d282 | Sicca syndrome is associated with all, except - | Midline granuloma | Chronic active hepatitis | Rheumatoid arthritis | Scleroderma | 0a | multi | null | Medicine | null |
1042a01c-0d86-4e71-a39b-127cda205584 | Longest acting cephalosporin: | Ceftriaxone | Ceftazidime | Cefoperazone | Cefotaxime | 0a | single | Ans: a (Ceftriaxone) Ref: Tripathi, 6th ed, p. 706 10th ed, p. 735- Ceftriaxone has a long duration of action with half life of 8 hrs- Ceftazidime has half life of 1.5-1.8 hrs- Cefaperazone has half life of 2 hrs- Cefotaxime has half life of 1 hrFirst-generation cephalosporinsThird- generation cephalosporinsCefadroxil ... | Pharmacology | Anti Microbial |
5345b4b2-d875-4e74-84cf-1912bcc25f46 | A 75-year-old woman is admitted to the hospital with anginal pain. ECG reveals myocardial infarction and a right bundle branch block. During physical examination the patient has a loud second heart sound. Which of the following heart valves are responsible for the production of the second heart sound? | Aortic and pulmonary | Aortic and tricuspid | Tricuspid and mitral | Mitral and pulmonary | 0a | single | The second heart sound is caused by the closure of the aortic and pulmonary valves. The first sound by the heart is caused by the closure of the tricuspid and mitral valves. | Anatomy | Thorax |
e6070d41-76a8-4007-b3b0-8a024d1009e2 | Gluten free diet is used in - | Celiac disease | Tropical sprue | Ulcerative colitis | Irritable bowel syndrome | 0a | single | null | Pathology | null |
bfa3f41c-8c76-4678-a46f-783b0eb721c6 | A lady presented with carcinoma endometrium involving > 50 % of myometrium extending to vagina and positive peritoneal cytology but no involvement of para aortic and pre aortic nodes.What is the stage of disease? | III A | III B | III C1 | III C2 | 1b | single | As discussed earlier, 50% myometrial invasion means stage IC, positive peritoneal cytology puts it in stage III-A.
Vaginal metastasis means stage III B cancer and since this is the highest stage.
Therefore, this patient has endometrial cancer belonging to stage III B. | Gynaecology & Obstetrics | null |
c2c1a454-c497-4bfb-b401-514728761496 | Drug of choice for anaerobic infection is | Amphotericin B | Metronidazole | Aminoglycoside | Macrolide | 1b | single | Ans. is 'b' i.e., Metronidazole * Metronidazole is a prototype nitroimidazole which has broad spectrum cidal activity against the anaerobic micro-organisms including giardia lamblia.* It doesn't affect the aerobic bacteria.* It is selectively toxic to anaerobic and micro-aerophilic micro-organisms.* In anerobic conditi... | Pharmacology | Anti Microbial |
b6b26951-01dc-442f-ae96-db59e03a0aa9 | Which of the following is non-competitive inhibitor of intestinal alkaline phosphatase? | L-Alanine | L-Tyrosine | L-Tryptophan | L-Phenylalanine | 3d | single | Ans. d (L-Phenylalanine) (Ref. Biochemistry by Vasudevan, 4th ed., 57; 5th ed., 55-56)ALKALINE PHOSPHATASE# The pH optimum for the enzyme reaction is between 9 and 10.# It is activated by magnesium and manganese.# Zinc is a constituent ion of ALR# It is produced by osteoblasts of bone, and is associated with the calcif... | Biochemistry | Enzymes |
01c13702-1b90-4d6f-a141-5b5c0453b1d8 | Cells responsible for basal cell carcinoma are ? | Melanocytes | Epidermal cells | Merkel's cells | Dermal cells | 1b | single | Answer-B. Epidermal cellsBasal cell carcinoma (BCC) is a nonmelanocytic skin cancer (ie, an epithelial tumor) that arises from basal cells (i.e, small, round cells found in the lower most layer of the epidermis). | Pathology | null |
ccc8b1f6-843d-421a-81d9-50a41138710d | A five year old girl is brought to a pediatrician because she is developing breasts. Physical examination shows large hyperpigmented macules with irregular margins on one side of her back. Which of the following bony abnormalities would most be likely associated with these symptoms? | A combination of osteitis fibrosa cystica and osteomalacia | A generalized thinning of bony spicules | Excessive bony deposition with obliteration of marrow | Multiple localized whorls of connective tissue | 3d | single | McCune-Albright syndrome is the combination of precocious sexual development, irregularly shaped ("coast of Maine") pigmented skin macules, and polyostotic fibrous dysplasia. The latter condition is characterized by local bony defects containing unmineralised whorls of connective tissue. Renal osteodystrophy refers to ... | Gynaecology & Obstetrics | null |
29735677-15e7-4b29-ae79-ab2ddeda079c | Person having heterozygous sickle cell trait is protected from infection of: | P. falciparum | P. vivax | Pneumococcus | Salmonella | 0a | single | Ans. a. P. falciparum (Ref: Robbins 9/e p390, 8/e p387)Person having heterozygous sickle cell trait is protected from infection of P. falciparum."People who are heterozygous for the sickle cell trait (HbS) become infected with P. falciparum, but they are less likely to die from infectionQ. The HbS trait causes the para... | Pathology | Hemolytic anemia |
325096c3-7a1e-4e07-96b7-777f78ce434e | In Protein Energy Malnutrition which of the following immunoglobulin is reduced most? | IgG | IgM | IgA | IgE | 2c | single | Most common immunoglobulin reduced in Protein Energy Malnutriton is IgA which is involved in mucosal immunity. Low levels of IgA increases the susceptibility of infections in children with PEM. | Pediatrics | null |
9964d5c0-baf0-41f4-aa81-1aa0e413853d | Which of the following is not a cause of secondary polycythemia? | High Altitude | Myeloproliferative changes | Pheochromocytoma | Cerebellar hemangioblastoma | 1b | single | null | Physiology | null |
dc4fa8b7-5d8d-46c2-b981-36e496997aaf | Imaging modality of choice to localize Neuroendocrine tumors? | USG | CT | MRI | Somatostatin receptor scintigraphy | 3d | single | Imaging modality of choice to localize Neuroendocrine tumors is Somatostatin receptor scintigraphy. Whole body planar images (A) of a 99m Tc HYNIC TOC study of a recently detected case of pancreatic NET reveals the uptake in the primary (arrow) and the metastatic lesions which are localized on the transaxial SPECT/CT i... | Radiology | Neuroradiology |
425b0b4c-fe2e-45d2-a97f-a81aaf84e042 | Which of the following may be the effect of positive 'g' acceleratory force on the body of ator:September 2011 | Increased cardiac output | Initial rise and then fall of blood pressure | Thrombocytopenia | Pooling of blood in lower body | 3d | multi | As. D: Pooling of blood in lower bodyDuring exposure to positive 'g' for the first few seconds, blood is thrown into the lower pas of the body, therefore, venous return to hea decreases resulting in fall in cardiac output and systolic BPAngular acceleration or centrifugal force.If a fighter pilot is diving at the rate ... | Physiology | null |
cef4da9b-e2e4-4f6e-a3f2-7f3b75916ee3 | The prognosis of rhabdomyosarcoma is likely to be poor if the site of the tumor is ? | Orbit | Paratesticular | Extremity | Urinary bladder | 2c | single | Ans. is 'c' i.e. Extremity Rhabdomyosarcomas of the extremities have alveolar histology which is associated with aggressive tumor biology. Also know RMS is the most common malignant tumor of the soft tissues in infants and children. MC site is head & neck region Among head & neck, orbit is the most common site. | Surgery | null |
715018af-71c6-4e9f-b210-f366f7ee0a69 | Which or face presentation : | Anencephaly | Contracted pelvis | Thyroid swelling | All | 3d | multi | Ans is a, b and c i.e. Anencephaly, Contracted pelvis and thyroid I know it is difficult to mug up the causes of different malpresentations. To help you out I am telling you an easy way to remember the causes of face presentation. Causes or I-ace presentation : A. Causes similar in face and breech presentation : D - IU... | Gynaecology & Obstetrics | null |
4a42eac7-828d-4d86-95f1-8f321189074a | Best investigation to diagnose fetal age is : | Serial Ultrasound | Amniocentesis | Fundal height measurement | X-ray | 0a | single | Serial Ultrasound | Gynaecology & Obstetrics | null |
a2d4ed3e-ec82-4ad7-8d37-e517d16b01fa | T. pallidum was discovered by - | Schaudinn and Hoffmann | Ellerman and Bang | Two | Robe koch | 0a | multi | Ans. is 'a' i.e., Schaudinn and Hoffmann | Microbiology | null |
37a35ff5-8cde-4917-8ead-0e20cb728011 | Causative organism of SARS - | H1N1 | Corona virus | Rotavirus | RSV | 1b | single | Severe Acute Respiratory syndrome was caused by coronavirus. REF:ANANTHANARAYAN AND PANIKER'S TEXTBOOK OF MICROBIOLOGY 9TH EDITION PAGE NO-560 | Microbiology | Virology |
d59b3cc7-e936-4262-b773-b76a8d035a44 | Massage and the application of liniments to painful area in the body relieves pain due to | Stimulation of endogenous analgesic system | Release of endorphins by the first order neurons in the brain stem | Release of glutamate and substance P in the spinal cord | Inhibition by large myelinated afferent fibers | 3d | single | Ans. (d) Inhibition by large myelinated afferent fibers(Ref: Ganong, 25th ed/p.172)Massaging and applying counterirritants over the injured area relieves pain. The reason being gate-control mechanism of pain modulation | Physiology | Nervous System |
a5dd85c8-bd05-434d-aab5-058b29971793 | In the intra-epithelial region of the mucosa of intestine the predominant cell population is that of | B cell | T-cells | Plasma cells | Basophils | 1b | single | Ans. is 'b' i.e., T-cellsAround 15% of the cells in the small intestinal epithelium are lymphocytes. These Intraepithelial lymphocytes (IEL) are viually all T lymphocytes but, unlike other T cells, most express the CD8 subset marker.The functions of this large populations of T cells are unknown. | Pathology | null |
f7ec1e83-ae59-40a7-86c2-9096092a3b67 | A 48 years old female suffering from severe menorrhagia (DUB) underwent hysterectomy. She wishes to take hormone replacement therapy. Physical examination and breast are normal but X-ray shows osteoporosis. The treatment of choice is: | Progesterone | Estrogen progesterone | Estrogen | None | 2c | multi | Osteoporosis in this patient is due to estrogen deficiency. Estrogens are efficacious when administered orally or transdermally. Various types of estrogens (conjugated equine estrogens, estradiol, estrone, esterified estrogens, ethinyl estradiol, and mestranol) reduce bone turnover, prevent bone loss, and induce small ... | Gynaecology & Obstetrics | null |
d30a8ee2-3b03-4168-8bad-76d1fa4b4d90 | Muscle acting both at knee and ankle joint is/are-a) Gastrocnemiusb) Soleusc) Plantarisd) Tibialis posteriore) Flexor hallucis longus | a | bc | ac | b | 2c | multi | Muscles acting on both hip and knee
- Rectus femoris
- Sartorius
- Tensor fascia lata
Muscles acting on both knee and ankle
- Gastrocnemius
- Plantaris
Muscles acting on both ankle and toes
- Extensor hallucis longus
- Extensor digitorum longus
- Flexor hallucis l... | Anatomy | null |
71555d59-eeea-47da-b491-b2b6a662e97e | A person suffered an injury in right eye with a tennis ball. Following which he developed pain and on fundus examination a red spot is seen at the macula. What is the most probable diagnosis | Berlin's edema | Macular bleed | Macular hole | Macular tear | 0a | multi | A i.e. Berlin's edema | Ophthalmology | null |
58358de8-a5e1-4bd1-9d32-70c17b4dd6e2 | Surfactant appears in amniotic fluid at: | 20 wk | 28 wk | 32 wk | 4 wk | 1b | single | Begins to appears in amniotic fluid between 28-32 weeks. Surfactant synthesis begins in fetal lungs at 20 week Mature surfactant in adequate amount- >35 weeks | Pediatrics | Respiratory Disorders in neonates |
98008e16-5448-4ec6-bb50-a86d7a5a1cd1 | NICE project is associated with: | Female literacy | Population control | Rural infrastructure | Care of elderly | 3d | single | National Institute of Social Defence has launched NICE project (National Initiative on Care for Elderly) in 2000. Ref: National Health Programmes in India, J.Kishore, 10th edition pg: 795 | Social & Preventive Medicine | null |
21ccfd25-2de4-4c76-a545-4e8e20990135 | OCP protects against all EXCEPT: September2012 | Hepatic adenoma | Fibroadenoma breast | Carcinoma ovary | Uterine malignancy | 0a | multi | Ans. A i.e. Hepatic adenoma OCP's administration may result in hepatic adenoma. Oral contraceptive pills Protects against: - Uterine Ca, - Ovarian Ca, - RA, - Endometriosis etc. | Gynaecology & Obstetrics | null |
048c132e-5ea5-4868-9595-f9596dd2e9bd | Grossly disorganised, severe personality deterioration and worst prognosis is seen is : | Hebephrenic | Catatonic | Simple | Paranoid | 0a | single | A. i.e. Hebephrenic | Psychiatry | null |
663e1ee6-caf3-48ee-9b78-68be1978e0bb | The commonest hip injury in the elderly patients is: | Stress fracture | Extracapsular fracture | Impacted fracture neck of femur | Sub capital capsular fracture neck of femur | 1b | single | (b) Extracapsular fracture- "The femoral neck is the common site of fracture in the elderly". "Moreover fracture intertrochanteric femur occurs in elderly patients even more than fractures of femoral neck itself". | Orthopaedics | Pelvis & Injuries |
78d020db-d1b7-407d-a263-78e1c5065973 | Longest pa of optic nerve - | Intraocular | Intracranial | Intraorbital | Intracranial | 2c | single | The optic nerve is about 47- 50 mm in length and can be divided into 4 pas : intraocular (1mm), intraorbital (30mm), intracanalicular (6-9mm)and intracranial (10mm). Refer comprehensive ophthalmology 6th edition , A K Khurana , page no. 310 | Ophthalmology | Neuro-ophthalmology |
41400604-e18e-4e00-b055-19705a32ada9 | Best method of assessing foetal well being at term is by serial estimation of : | Oestriol | Pregnanidiol | HPL | All of the above | 0a | multi | Oestriol | Gynaecology & Obstetrics | null |
3dd69318-e06d-4fcc-99a2-52652236e433 | Absent moro's reflex is seen in which of the following conditions | Neonatal hypoglycemia | Erb's Palsy | Fracture clavicle | Stage III hypoxic Ischaemic Encephalopathy (HIE) | 3d | single | Absent Moro's reflex seen in:
Stage III HIE
Kerincterus
Down syndrome
Brisk / Exaggerated Moro's reflex seen in;
Stage I HIE
Neonatal hypoglycemia
Asymmetric moro's reflex seen in:
Fracture clavicle
Erb's palsy
Congenital hemiplegia. | Pediatrics | null |
5f768c19-e195-418b-b869-c960115e9172 | An individual with megaloblastic anemia is found to have a significant folate deficiency. Erythropoiesis is hampered in this man due to his inability to perform which type of enzymatic reaction? | Acyl transfer | Carboxylation | Decarboxylation | Methylation | 3d | single | Folic acid is a pteridine vitamin that exists as tetrahydrofolate (TH4) in its most reduced form. TH4 can accept methyl, methylene, or formyl carbons and transfer them as methyl groups. This function is vital in nucleotide and amino acid synthesis. Pantothenic acid is a key vitamin in acyl transfer reactions. It forms ... | Biochemistry | null |
bb60a744-f5cb-42dd-900a-6838510d8691 | Endemic disease is defined as a disease- | Occurance regularly in expected frequency | Occurance irregularly from time to time | Occurance in excess of expected frequency | Occurance in large population | 0a | single | Ans. is 'a' i.e., Occurance regularly in expected frequency * Sporadic - Disease occuring irregularly from time to time.* Endemic - Disease occuring regularly in expected frequency.* Epidemic - Disease occuring in excess of expected frequency.* Pandemic - Epidemic affecting a large proportion of population over a wide ... | Social & Preventive Medicine | Epidemiology |
7b4280db-6043-415c-b9af-1d63ebd17155 | Most common GI manifestation in HIV infection is - | Amebiasis | Cryptosoporidiosis | Giaridiasis | Hook Worm infestation | 1b | single | Chronic small bowel diarrhea may be due to HIV enteropathy.typically present with chronic watery diarrhea & wasting without fever.Infection with one of three unicellular organisms is responsible for most cases: cryptosporidiosis,mucrosporidiosis, isosporiasis. Reference: Harrison20th edition pg 789 | Medicine | Infection |
c81b47c7-08c8-454b-bea4-6b3640e5a35f | "Interface dermatitis" is a histological feature of | Psoriasis | Lichen planus | Pityriasis rosea | Dermatophytosis | 1b | single | Interface dermatitis includes diseases in which the primary pathology involves the dermo-epidermal junction. (hence called interface). The salient histological findings include basal cell vacuolization, apoptotic keratinocytes (colloid or Civatte bodies), and obscuring of the dermo-epidermal junction by inflammatory ce... | Dental | Papulosquamous disorders |
2c9b1a26-b712-4f53-a9ac-9b9b84a6e464 | Obesity Predisposes to all except - | Hypoventilation | Hypertension | Hyperventilation | Diabetes Melitus | 2c | multi | null | Medicine | null |
1c2213b8-bcd6-4a50-9afd-c95e1d5c74de | Best anaesthetic drug to be given in day care surgery: | Ketamine | Sevoflurane | Desflurane | Propofol | 3d | single | Ans. (d) PropofolRef: KDT 6th ed./373-374PROPOFOL* Anesthesia of choice for day care surgery.* Short acting, action diminishes the same day.* Advantage: has anti emetic property. It is safe in porphyria.* Disadv: Causes myocardial depression and hypotension. | Anaesthesia | Miscellaneous General Anesthesia |
86cb795c-cb60-412b-87ff-0a0509802b0e | Dialysis is not indicated in toxicity of | Lithium | Methanol | Salicylates | Digitalis | 3d | single | Refer kDT 6/e p 499 Indications for Dialysis: A Mnemonic And Explanation Severe fluid overload. Refractory hypeension. Uncontrollable hyperkalemia. Nausea, vomiting, poor appetite, gastritis with hemorrhage. Lethargy, malaise, somnolence, stupor, coma, delirium, asterixis, tremor, seizures, Pericarditis (risk of hemorr... | Pharmacology | Cardiovascular system |
306b45b9-f851-4dde-9e41-cd5e4aa1b201 | Insal-Salvati index is used for | Olecranon | Patella | Talus | Scaphoid | 1b | single | a-length of patellar ligament b-length of patella INSAL-SALVATI index=a/b Normal range is 0.8 -1.2 If ratio increases it suggests patella is at a higher level-PATELLA ALTA If ratio decreases it suggests patella is at a lower level -PATELLA BAHA ref:apley's 9th edition pg no.565 | Orthopaedics | Thigh, Knee,Leg,Foot & Ankle injuries |
d6707c41-01d1-4aa5-8bf7-65a813ad025a | Female with secondary amenorrhea with serum prolactin level 75 ng/ml is to be treated with ? | Cabergoline | Ganirelix | Clomiphene | Estradiol | 0a | single | Ans. is 'a' i.e., Cabergoline | Pharmacology | null |
5fb30acc-3fb3-43e7-8f27-8ac97f798b58 | Monckenbergs sclerosis invloves - | Intima | Media | Externa | All the layers | 1b | multi | null | Pathology | null |
f8372894-5988-4bfd-983b-c8958f10fd3f | The four major bile acids found in humans are synthesized from: | Cholesterol | Amino acids | Bilirubin | Protein | 0a | single | When considering bile as a digestive secretion, it is the bile acids that represent the most impoant components. They are synthesized from cholesterol and secreted into the bile conjugated to glycine or taurine, a derivative of cysteine. Ref: Barrett K.E., Barman S.M., Boitano S., Brooks H.L. (2012). Chapter 25. Overvi... | Physiology | null |
225c70b2-aa6a-42b4-8d52-9f75856c5bdf | A 67 year old elderly male presents with headache, recurrent infections and multiple punched out lytic lesions of X-ray skull and lumbago for last 1 months.The investigadon that will be help in establishing a diagnosis is - | Protein electrophoresis | Serum calcium | Alkaline phosphatase levels | PSA levels | 0a | single | Ans. is 'a' i.e., Protein electrophoresis Clinical features of multiple myeloma:-o Peak age of incidence of multiple myeloma is between 50 and 60 years.o The clinical features stem from the effects of-Infiltration of organs, particularly bones, by the neoplastic plasma cells.The production of excessive immunoglobulin w... | Medicine | Blood |
43318d4c-0943-4c9f-9646-f6a2fb64b83a | A newborn within few hours of bih, developed bile stained vomiting and epigastric distention. On examination abdomen is scaphoid with visible peristalsis in the upper abdomen. Per rectal examination shows no stool in the rectum. Xray abdomen shows air trapped in stomach and proximal duodenum. What is the treatment of c... | Ramstedt pyloromyotomy | Duodenoduodenostomy | Conservative management | Barium enema and air enema | 1b | single | This newborn is showing features of duodenal atresia. The most common method of treatment of duodenal atresia is duodenoduodenostomy or duodenojejunostomy. Duodenal atresia is associated with congenital defects such as: - Down's syndrome - Cardiovascular malformation - Annular pancreas - Malrotation - Esophageal atresi... | Surgery | null |
99e3f42c-4d73-4d87-b58e-69e0de6f2fa9 | Bridge therapy is employed in | Mononeuritis multiplex | Rheumatoid arthritis | Osteoarthritis | Caplan syndrome | 1b | multi | In RA , acute symptoms is controlled with steroids , followed by treatment with DMARD. This is called bridge therapy | Unknown | null |
03a87f56-f061-4dc2-be63-12b3b0e02c46 | Job's syndrome is the following type of immuno deficiency disease - | humoral immunodeficiency | Cellular immunodeficiency | Disorder of complement | Disorder of phagocytosis | 3d | single | Job's syndrome is a disorder of phagocytosis. Characterized by multiple large cold staphylococcal abscess containing large quantities of pus, occurring repeatedly in the skin and in various organs with little inflammatory response. Pathogenesis is pra primary defect in phagocytic function. Reference : Anathanarayan & p... | Microbiology | Immunology |
562a26c1-857f-41c3-9f46-95d0f18e7cba | Epithelial rests of Malassez are found in | Pulp | Gingiva | Periodontal Ligament | Alveolar mucosa | 2c | single | null | Dental | null |
74f87d7c-83be-49fa-843e-0ccabc34b044 | In the following natural history of disease. What is B-X duration - | Lead time | Lag time | Screening time | None | 2c | multi | Ans. is 'c' i.e., Screening time o In respect to screening test and diagnostic test, a disease passes through following phase, sequentially. i) Disease onset - Disease process just started. ii) First possible point of diagnosis - The earliest point in disease process where a diagnosis can be made, i.e., before this poi... | Social & Preventive Medicine | Concept of disease causation |
ab9c5d29-89b2-4411-8226-496aa1f224e5 | Main function of GTR is/are: | Space maintenance | Clot stabilization | Wound contraction | All of the above | 3d | multi | null | Dental | null |
2ab8db6f-6ca9-4fd2-a0d9-eeb6f1a30b0f | Latanoprost acts in glaucoma by | Increasing trabecular outflow | Increasing uveoscleral outflow | Releasing pupillary block | Decreasing aqueous humour production | 1b | single | Prostaglandin derivative Latanoprost(0.005%): It is a synthetic drug which is an ester analogue of prostaglandin F2-a. It acts by increasing uveoscleral outflow and by causing reduction in episcleral venous pressure. It is as effective as timolol. It has additive effect with pilocarpine and timolol. Its duration of act... | Ophthalmology | Glaucoma |
c3612ca4-cd68-4f9f-a691-4174b60ccfc9 | Lesion not seen in Lepromatous leprosy is:- | Macule | Papule | Nodule | Vesicle | 3d | single | Lepromatous leprosy The first clinical manifestations are usually dermal (because early nerve involvement is usually asymptomatic) Leonine facies occur due to diffuse involvement of the facial skin Early symptoms Nasal symptoms of stuffiness, discharge and epistaxis, and oedema of legs and ankles due to increased capil... | Dental | Mycobacterial Infections |
71351d28-bdfb-4a97-b705-d30b23e0742a | The fear of dark/night is called as- | Agoraphobia | Claustrophobia | Nyctophobia | Thanatophobia | 2c | multi | Agoraphobia - fear of places which is difficult to escape such as crowded, enclosed or open places Claustrophobia - fear of closed places Nyctophobia - fear of dark Thanatophobia - fear of death Xenophobia - fear of stranger Acrophobia - fear of heightsc Cynophobia - fear of dogs | Psychiatry | Neurotic, Stress Related and Somatoform Disorders |
c222ee6e-2363-43e0-a30b-b8dd7a435012 | Raygat's test is based on: NEET 14 | Weight of lung | Specific gravity of lung | Consistency of lung | Volume of lungs | 1b | single | Ans. Specific gravity of lung | Forensic Medicine | null |
b0b148ce-93a9-44b5-9e09-33b18e55eb99 | Sweat glands are which types of gland: | Simple tubular | Simple coiled tubular | Compound tubular | Compound acinar | 1b | single | Sweat glands are simple coiled tubular glands. Ducts of sweat glands are lined by Stratified Cuboidal Epithelium. | Anatomy | Glands & Connective tissue |
604d3185-8b4d-42b1-9c0d-df2b267dd2ca | Merciful anosmia is seen in - | Nasal polyp | Atrophic rhinitis | Rhinosporidiosis | Rhinoscleroma | 1b | single | Ans. is 'b' i.e., Atrophic rhinitis Clinical features of atrophic rhinitis o The disease is mostly seen in females and tends to appear during puberty. o The disease is always bilateral except in case of DNS where it is seen on the wider side. o There is foul smell from the nose making the patient a social outcast thoug... | Unknown | null |
c162b570-cf3e-4c8f-9783-2c7fd8413efa | Ideal angle the sharpening stone must form with the face of the blade is | 70 - 80 degrees | 90 - 100 degrees | 100 - 110 degrees | 120 - 130 degrees | 2c | single | null | Dental | null |
a2dd69e3-7dd5-4c49-ab35-5163277a3230 | Cognitive theory of child development was given by | Sigmund freud | Erik Erikson | Jean piaget | Brenner c | 2c | single | null | Dental | null |
fd6bb1f0-3fe6-493c-8819-c3dcb21ff6ca | Pyruvate forms alanine by: | Oxidation | Transamination | Hydroxylation | Hydroxylation | 1b | single | Transamination of pyruvate forms alanine. Similarly, transamination of oxaloacetate forms aspaate Ref: Harper 28thedition, chapter 27. | Biochemistry | null |
afbbb437-e17d-4c4a-8701-9a82feffa0ec | "Adam's test" is done for: | Diagnosis of thoracic outlet syndrome | To differentiate between structural and postural scoliosis | To check the perfusion of hand | To check Progression of nerve regeneration | 1b | single | Ans. B. To differentiate between structural and postural scoliosis* Adams forward bend test helps to differentiate functional and structural scoliosis.* Functional scoliosis will disappear on forward bending while structural scoliosis will not. | Orthopaedics | Peripheral Nerve Injuries |
fe184362-7e88-415d-878d-15131fba6d83 | For pulmonary maturation, Which is required during gestation? | Cortisol | Surfactant | Amniotic fluid | Acetylcholine | 1b | single | null | Physiology | null |
957958ce-8ab3-4fbb-a894-ad1f33dcbe5b | Multiple necrotic ulcers in prepuce of penis with tender, suppurative inguinal nodes is caused by- | Chalmydia | Hemophilus ducreyi | Herpes simplex | Syphilis | 1b | single | B i.e. Hemophillus | Skin | null |
4f11416b-35a3-4d4b-9fb6-3dbb21f008d2 | Which of the following is least likely associated with vascular injury - | Fracture supracondylar femur | Fracture supracondylar humerus | Fracture shaft of femur | Fracture shaft humerus | 3d | single | The fractures most often associated with damage to a major aery are those around the knee and elbow, and those of the humeral and femoral shafts. The aery may be cut, torn, compressed or contused, (a) (b) either by the initial injury or subsequently by jagged bone fragments. Even if its outward appearance is normal, th... | Orthopaedics | Important complications in orthopaedics |
1d6262e1-9f3c-45e1-ba8d-001e806ecf46 | The difference between leukemia and leukemoid reaction is done by - | Leukocyte alkaline phosphatase | Immature cells | Total leukocyte count | E.S.R. | 0a | single | Leukemoid reaction is defined as a reactive excessive leukocytosis in peripheral blood resembling that of leukemia in a subject who doesnot have leukemia. Leucocyte alkaline phosphatase (LAP) score in the cytoplasm of mature neutrophils is high in leukaemoid reaction whereas reduced in CML .It is very useful to disting... | Pathology | Haematology |
95a6bf04-788e-47d0-9c75-93cc983ea8b2 | Which one the following does NOT primarily involve an action K+ channels? | Hypoxic Pulmonary Vasoconstriction | Insulin secretion by Sulfonylurea | Carotid body discharge with reduced O2 | Dantrolene in the treatment of Malignant Hypehermia | 3d | single | Hypoxic pulmonary vasoconstriction and carotid body discharge are brought about by the O2-sensitive K+ channel. Insulin secretion by sulfonylurea is brought about by its action the ATP-sensitive K+ channel on the pancreatic b-cell. Malignant hypehermia is a disorder of excitation-contraction coupling, resulting from ge... | Physiology | Cell Membrane and transpo protiens |
2aca5893-1604-40c2-80ee-53e08e33a730 | Paroxymal noctural hemoglobinuria is due to ? | Acquired red cell defect | Congential red cell defect | Auto immune defect | Lead poisoning | 0a | single | Ans. is 'a' i.e., Acquired red cell defect Paroxysmal Nocturnal hemoglobinuria (PNH). o PNH is the only hemolytic anemia caused by an acquired intrinsic defect in the cell membrane. o PNH results from acquired mutation that inhibits the synthesis of Glycosylphospatidylinositol (GPI). Several protective proteins called ... | Pathology | null |
eed7f22c-7b8e-4a89-bfb9-743ad1deb8ec | Brain blood supply | 55 ml/100 gm/min | 400 ml/100gm/min | 100 ml/100gm/min | 200 ml/100gm/min | 0a | single | - Brain blood supply - 750ml/min OR 55ml/100gm/min OR 13.9% of cardiac output | Physiology | null |
696fb565-382f-4880-9a9a-f8c5c3d95c09 | Methotrexate blocks the synthesis of thymidine monophosphate by inhibiting the activity of the enzyme: | Dihydrofolate reductase | Orotate phosphoribosyl transferase | Ribonucleotide reductase | Dihydroorotase | 0a | single | Ans. A. Dihydrofolate reductasea. Synthesis of nucleic acids take place by de-nove and salvage pathway. In pyrimidine synthesis thymidine monophosphate is synthesized from uridine monophosphate by thymidylate synthase.b. Methylation occurs by N5-N10 tetrahydrofolate which is converted to dihydrofolate.c. Dihydrofolate ... | Biochemistry | Molecular Genetics |
9d1e307f-fc4c-4fc6-9f7d-b56278199a46 | Dorsal scapular nerve supplies - | Teres minor | Serratus anterior | Trapezius | Levator scapulae | 3d | single | Muscles supplied by dorsal scapular nerve
- Levator scapulae
- Rhomboid major
- Rhomboid minor | Anatomy | null |
036bad02-0362-4fcd-8581-8303c9809768 | Which drug is vassopressin V2 receptor selective agonist - | Lypressin | Desmopressin | Terlipressin | None | 1b | multi | Ans. is 'b' i.e., Desmopressin o Lypressin - Agonist on V1 & V2.o Desmopressin - Selective V2 agonisto Terlipressin - Prodrug of vasopressin. | Pharmacology | Diuretic |
3ebddd3c-11ae-4378-a409-89340eb0c063 | Comment on this CTG | Normal | Early deceleration | Late deceleration | Variable deceleration | 3d | single | null | Unknown | null |
946611ac-7163-487c-ac33-eddd8b0c71b1 | Which of these best describes the renal angle - | Angle between the lattissimus dorsi and the 12th rib. | Angle between the erector spinae and the iliac crest | Angle between the 12th rib and the erector spinae | Angle between the 12th rib and the rectus abdominis | 2c | single | null | Anatomy | null |
45e59530-0ce3-491a-b049-16e0021bada3 | Acetyl CoA is generated primarily in mitochondria. However, fatty acid synthesis from acetyl CoA occurs extramitochondrial (in the cytosol). By which one of the following mechanisms does acetyl CoA leave the mitochondrion and enter the cytosol? | The acetyl group is transferred to carnitine to form acetyl carnitine, which is transpoed across the inner mitochondrial membrane to the cytosol where it reacts with CoA to regenerate acetyl CoA | Acetyl CoA condenses with oxaloacetate to form citrate, which is transpoed into the cytosol where it is cleaved to generate acetyl CoA and oxaloacetate in an ATP-dependent reaction | Acetyl CoA reacts with carbon dioxide to form malonyl CoA, which is transpoed across the mitochondrial membrane | The mitochondrial membrane permits permeation of acetyl CoA by active transpo | 1b | single | Carnitine transfers fatty acids from cytosolic fatty acyl CoA to form mitochondrial fatty acyl CoA. The conversion of acetyl CoA to malonyl CoA occurs in the cytosol. Coenzyme A cannot pass through the inner mitochondrial membrane. Acetoacetyl CoA has to be conveed to HMG CoA before it is conveed to acetoacetate. Ref: ... | Biochemistry | null |
13ce22c0-9200-41c5-bddc-a15f987547c2 | Brown pigmentation is seen in which disease | Addison’s disease | HHyperthyroidism | Nephritis | All of the above | 0a | multi | null | Pathology | null |
96862e70-0685-4d5f-b833-8bdcb723ed26 | In 3-year-child with polio paralysis, tendon transfer operation is done at: | 2 months after the disease | 2 years after the disease | 6-12 months after the disease | After skeleton maturation | 1b | single | Tendon transfers: Done to equalise an unbalanced paralysis or to use the motor power of working muscles for more useful functions. Not done before 5 years of age as the child has to be manageable enough to be taught proper exercises. As the child is 3 years old, tendon transfer should be done after 2 years (at 5 years ... | Orthopaedics | Nerve Injuries - 1 |
77fd9fb5-aa63-46fd-8b21-be7f01be285a | The absolute contraindication for Electro Convulsive Therapy {ECT} is | Raised Intra Cranial Tension | Vascular Dementia | Diabetic Retinopathy | Peripheral Neuropathy | 0a | single | CONTRA INDICATIONS * NO ABSOLUTE Contra indication RELATIVE CONTRAINDICATION -----------------Brain tumour with midline shift / arrythmia Ref.Kaplon and sadock, synopsis of psychiatry, 11 th edition, pg no. 1065 | Psychiatry | Treatment in psychiatry |
e87e54af-470d-4118-9488-0a6d7a043c8d | The sensitive period for tetracycline induced discolouration in the permanent maxillary mandibular incisors and canines is | 3 months postpartum to 7th year of Life | 4 months in utero to 3 months postpartum | 5 months in utero to 9 months postpartum | Birth to 7th year | 0a | single | null | Pathology | null |
4dff9ee3-d8a1-4f29-bad7-9ab14e0e9e7f | Sialograhy of normal salivary gland reveals the ductal architecture as having an appearance of | Sausage string | Fruit-Laden tree | Leafless tree | Bailin hand | 2c | single | null | Pathology | null |
eb690583-32cc-4d8b-b97b-52f14a23d31c | Visual acuity is a measure of: | Light sense | Form sense | Contrast sense | All of the above | 1b | multi | Ans. Form sense | Ophthalmology | null |
2dfb3b2c-dbe9-43f4-b5d5-a6d773c5dfe8 | Acute exacerbation of COPD is done by all except: | Pneumococcus | Moraxella catarrhalis | H. influenza | Staph. aureus | 3d | multi | Bacterias like Pneumococcus , Moraxella catarrhalis are implicated in exacerbation of COPD. | Medicine | null |
26060a0f-d58a-4ed3-9641-14926845a1e5 | Which one of the tissues putrefies late: Gujarat 07; WB 09; Jharkhand 11; NEET 13; JIPMER 14 | Brain | Prostate | Liver | Stomach | 1b | single | Ans. Prostate | Forensic Medicine | null |
8e34ba21-a399-41d8-a07d-2f494ed05902 | All the following are congenital cysts except | External angular dermoid cyst | Sebaceous cyst | Branchial cyst | Thyroglossal cyst | 1b | multi | null | Surgery | null |
4793093c-bc21-4353-96e8-c71736c28389 | Bone resorption markers are all except - | Tartrate resistant acid phosphatase | Osteocalcin | Cross linked-N-telopeptides | Urine total free deoxypyridinoline | 1b | multi | Osteocalcin is marker of bone formation (not bone resorption). | Pathology | null |
a7e892d8-077e-43c0-8d5a-02e267f26384 | Acidic amino acids are - | Asparagine | Arginine | None | Lysine | 0a | multi | Proline is a unique amino acid and has an immino group (=NH) instead of an amino (NH2) group found in other amino acid. Methionine & Cysteine are sulfur containing aminoacids. The propey of photochromicity (i.e. absorbance of ultraviolet light at 250-290nm esp 280nm) is seen with aromatic amino acid (tryptophan > tyros... | Biochemistry | null |
163e4b32-8bbc-434c-b07a-8434b2dec2e8 | Commonest "Benign" Tumor of Liver is : | Hamatoma | Hemangioma | Adenoma | Adenoma | 1b | single | Hemangioma | Pathology | null |
4638db86-4c0f-4379-8ee2-f933bf277705 | Diaphragm develops from - | Ectoderm | Mesoderm | Endoderm | Neuroectoderm | 1b | single | Ans. is 'b'i.e., Mesoderm Development of diaphramo Diaphragm develops from 4 structures derived from mesoderm which unite to form a sheet.1) Septum transversum:- Gives origin to sternal part and central tendinous region.2) Pleuroperitoneal membrane:- Dorsal paired portion.3) Dorsal mesentry of oesophagus:- Gives origin... | Anatomy | Body Cavities and Diaphragm |
e1f7fd87-130d-4af8-b420-8262a5f1637c | A.M.L. with worst prognosis among the following is: | 8/21 translocation | Inversion 16 | Normal cytogenetics | Monosomy 7 | 3d | single | Monosomy 7 is the second most frequent cytogenetic abnormality in the marrow cells of patients with myelodysplasia. It often occurs in marrow cells of subjects exposed to chemicals or radiation and is associated with a poor prognosis and rapid transformation to AML. The syndromes usually are not associated with special... | Medicine | null |
394552be-45f8-4119-8f46-379c9303189e | Most common hormone deficiency seen after intracranial radiation therapy – | Prolactin | Gonadotropins | ACTH | Growth hormone | 3d | single | Growth hormone deficiency is a most common endocrinal complication of intracranial radiotherapy. | Radiology | null |
792c6798-8915-448b-b472-de517c9c2bb4 | All of the following statements are true about diphtheria except: | Toxin production depends on lysogenic conversion by beta phage | Non sporing, non-motile and non-capsulated | Toxin detection is done by ELISA test in serum | Faucial diphtheria is commonest type | 2c | multi | Ans. C. Toxin detection is done by ELISA test in serum.Toxin is produced locally and is absorbed from the local site of multiplication causing toxemia. However, toxin may not always be detectable in the serum. | Microbiology | Bacteria |
675bc205-0d36-46bf-9883-fec6688fd7ec | Mechanisms for regulating enzyme activity are ALL EXCEPT | Covalent modification | Allosteric activation | Competitive inhibition | Induction of genes for enzyme synthesis | 2c | multi | Ans. is (c) Competitive inhibition [Ref: Harper 319`Ve p. 89-94; Lippincott 6"/e p. 62-64; Vasudevan 5thie p. 42-50; ShindeAs the name suggests, there is competition between inhibitor and normal substrate for the catalytic binding site of the enzyme. This is because both the inhibitor and the normal substrate have simi... | Biochemistry | null |
da684292-2411-447d-b9b4-f4f7423b6f11 | Which of the following Pneumoconioses is caused by Thermoactinomyces Sacchari? | Silicosis | Anthracosis | Byssinosis | Bagassosis | 3d | single | null | Social & Preventive Medicine | null |
a5affc31-d1d5-4f34-b949-ca4423bd3384 | Kaposi's sarcoma is more commonly seen in patient with | AIDS | Amyloidosis | Leukemia | HSV infection | 0a | single | null | Pathology | null |
30a42fba-ff9c-489e-8cbc-283a20ae4c62 | A 35-year-old nonsmoking male has been diagnosed with emphysema. His father died of emphysema at age 30, but he smoked. His father also had cirrhosis and recurrent pancreatitis but did not drink alcohol. Which one of the following inheritance patterns typifies this disease process? | Autosomal dominant | Incomplete dominance | Codominant | Autosomal recessive | 2c | single | a-1 Antitrypsin (A1AT) deficiency is a codominant process. Codominance means that multiple versions of the gene may be active or expressed, and the genetic trait is caused by the effects of both the expressed alleles. The SERPINA1 gene on chromosome 14 codes for A1AT, which is a protein that protects tissues (especiall... | Biochemistry | Molecular Genetics |
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