question stringlengths 1 6.54k | choices listlengths 4 4 | answer stringclasses 4
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50 year old man with dashboard injury in RTA. Dislocation was reduced after 3 days, started complaining of pain in left hip after 6 months x-ray pelvis is normal. most relevant investigation | [
"MRI",
"USG",
"CT",
"HR - CT"
] | B | null | train | med_mcqa | null |
MCH located on - | [
"Chromosome number 6",
"Chromosome number 7",
"Chromosome number 8",
"Chromosome number 9"
] | A | (A) (Chromosome number 6) (136 Baveja 4lh) (106 D. Greenwood 18th)MAJOR HISTOCOMPATIBILITY COMPLEX (MHO* The MHC in human is known as human leucocyte antigen (HLA) complex.* The HLA complex of genes is located on short arm of chromosome 6.* They are arranged over a region of between 2000 and 4000 kilobases is size, con... | train | med_mcqa | null |
Neurogenic cause of dysphagia includes following except: | [
"Multiple sclerosis",
"Tetanus",
"Parkinsons's disease",
"Tetany"
] | D | null | train | med_mcqa | null |
Which of the following is most characteristic of sleep in a 45-year-old woman with major depressive disorder? | [
"Sleeping too many hours at night",
"Falling asleep suddenly during the daytime",
"Walking up too early in the morning",
"Having difficulty coming fully awake after sleep"
] | C | Although excessive sleeping may also occur, the sleep problem most characteristic of the major depressive disorder is early morning awakening, commonly called "terminal insomnia." Falling asleep suddenly during the daytime is narcolepsy, and cessation of breathing during sleep is sleep apnea. "Sleep drunkenness" involv... | train | med_mcqa | null |
Treatment of choice for sarcoma botryoides is | [
"Surgical excision",
"Radio therapy",
"Chemotherapy",
"Palliative therapy"
] | C | Ans is 'c' i.e., ChemotherapySarcoma BotryoidesSarcoma botryoides is a rare tumour seen in children.This tumour arises in the mesenchymal tissues of the vagina and in rare cases, in the cervix before the age of 2 years.It presents as a haemorrhagic grape-like polyp or as a fleshy mass and consists of rhabdomyoblasts wi... | train | med_mcqa | null |
Following genetic counseling in a family for Familial polyposis coli for a 15 year old person, APC gene mutation is present. Next step of screening is | [
"colonoscopy from now",
"Colonoscopy from 10 years before the detection of Ca. In family",
"Occult blood in stools every year till 30 years.",
"CECT + colonoscopy"
] | A | If APC gene mutation is present colonoscopy done from 10 years of age. | train | med_mcqa | null |
Pain sensation from the lateral extremities is transmitted by: | [
"Spino thalamic tract",
"Dorsal column",
"Corticospinal tract",
"Spinocerebellar tract"
] | A | null | train | med_mcqa | null |
A shift to the right in the biological activity dose- response curve for a hormone with no accompanying change in the maximal response indicates: | [
"Decreased responsiveness and decreased sensitivity",
"Increased responsiveness",
"Decreased sensitivity",
"Increased sensitivity and decreased responsiveness"
] | C | Ans. C. Decreased sensitivityRight or left shifts in dose-response curves indicate changes in sensitivity. Changes in maximal biological response indicate changes in responsiveness. Because there is no change in maximal response, the correct answer must relate to a change in sensitivity only. A right shift indicates de... | train | med_mcqa | null |
Select the statement which best characterises lymph capillaries | [
"Have smaller diameter than blood capillaries",
"Less permeable than blood capillaries",
"Have no endothelial lining",
"Have a discontinuous basement membrane"
] | D | Lymph capillaries - Lymph capillaries (or lymphatic capillaries) begin blindly in tissues where they form a network. The structure of lymph capillaries is basically similar to that of blood capillaries, but is adapted for much greater permeability. There is an inner lining of endothelium. The basal lamina is absent or ... | train | med_mcqa | null |
The maximum occlusal force exerted by a patient, who is edentulous would be? | [
"50 Psi",
"150 Psi",
"250 Psi",
"> 300 Psi"
] | A | null | train | med_mcqa | null |
Incubation period less than few hours | [
"Food poisoning",
"Hepatitis A",
"Influenza",
"Rabies"
] | A | Incubation period of food poisonings:
Food poisoning - Incubation period
Salmonella - 12 – 24 hours
Staphylococcal - 1 – 6 hours
Botulism - 12 – 36 hours
Cl. perfirengens - 6 – 24 hours
B. cereus (emetic form) - 1 – 6 hours
B. cereus (diarrhoel form) - 12 – 24 hours | train | med_mcqa | null |
Commonest cause of Cushing syndrome is | [
"Adrenal adenoma",
"Carcinoma",
"Atrophy",
"Hyperplasia"
] | D | MC cause of Cushing's syndrome is iatrogenic exogenous administration of steroids. MC endogenous cause of Cushing's syndrome is bilateral adrenal hyperplasia secondary to hypersecretion of ACTH from pituitary or from an ectopic non-pituitary source | train | med_mcqa | null |
Postnatally when is the growth velocity maximum ? | [
"In the first year of life",
"In the second year of life",
"In the seventh year of life",
"In adolescence"
] | A | Growth follows a sigma shaped curve.
The fetus grows fast in the first half of gestation, thereafter the rate of growth is slowed down till the baby is born.
In the early postnatal period velocity of growth is high during the first few months.
A second phase of accelerated growth is during puberty. | train | med_mcqa | null |
The number of girls a woman would bear if she passes through her reproductive age with the same feility rate gives: March 2009 | [
"Total feility rate",
"Feility rate",
"Gross reproductive rate",
"Net reproductive rate"
] | C | Ans. C: Gross reproductive rate The net reproduction rate (NRR) measures the effective feility in a population, taking account not only of bihs but also of the fact that not all women born will survive to their own reproductive years. The NRR is the average number of daughters of reproductive age that a woman would hav... | train | med_mcqa | null |
Massive aminoaciduria without a corresponding increase in plasma amino acid level is characteristic of which one of the following diseases? | [
"Homocystinuria",
"Hartnup disease",
"Tyrosinemia",
"Maple syrup urine disease"
] | B | b. Hartnup disease(Ref: Nelson's 20/e p 636-642, Ghai 8/e p 653-655)Laboratory findings in Hartnup disorder:Aminoaciduria, involving neutral amino acids (alanine, serine, threonine, valine, leucine, isoleucine, phenylalanine, tyrosine, tryptophan, histidine); Plasma concentrations of neutral amino acids are usually nor... | train | med_mcqa | null |
"Poers of Infection" are - | [
"Anopheles",
"Housefly",
"Aedes",
"Cockroaches"
] | B | Houseflies are commonest and familiar insects which live close to man. House flies are exceptionally efficient mechanical spreaders of disease. They transpo microorganisms on their feet and hairy leg. Pathogenic organisms, ova, and cysts have been recovered from bodies of the housefly. House flies are called 'poers of ... | train | med_mcqa | null |
Call Exner bodies are found in - | [
"Granulosa Cell Tumour",
"Embryonal cell carcinoma",
"Choriocarcinoma",
"Androblastoma"
] | A | Ans. is 'a' i.e., Granulosa Ceil Tumour "The formation of Call - Exner bodies is a distinct feature of granulose cells and can be readily recognised in certain types of granulosa cell tumours. " | train | med_mcqa | null |
All electrolyte abnormalities are seen in immediate postoperative period, except: | [
"Negative Nitrogen balance",
"Hypokalemia",
"Glucose intolerance",
"Hyponatremia"
] | D | null | train | med_mcqa | null |
False about CA pancreas | [
"Most common site is head and uncinate process",
"Pain suggests unresectability",
"Two third patients present with diabetes",
"Acute pancreatitis never occurs in CA pancreas"
] | D | Clinical features of Carcinoma Pancreas MC site is head and uncinate process Patients with lesions that occur near the bile duct, such as those near the ampulla, head of the pancreas and uncinate process, are much likely to have obstructive jaundice Those with lesions in the body or tail of the pancreas are more likely... | train | med_mcqa | null |
Pigment providing colour to stool is - | [
"Stercobilinogen",
"Urobillinogen",
"Mevobilirubin",
"Bilirubin"
] | A | The characteristic brown colour of feces is due to the presence of pigment stercobilin (derived from stercobilinogen).
So, actually it is stercobilin (not stercobilinogen) which is responsible for the brown color of feces. Stercobilin is derived from stercobilinogen and therefore stercobilinogen is the best answer amo... | train | med_mcqa | null |
In treatment of papillary carcinomas thyroid, radioiodine destroys the neoplastic cells predominantly by: | [
"X-rays",
"Beta rays",
"Gamma rays",
"Alpha particles"
] | B | Ans. (b) Beta raysRef: Schwartz 10th edition, Page 1546* I-131 emits Beta radiation and penetrates the thyroid tissue up to 0.5mm without damaging the adjacent structures like parathyroid. | train | med_mcqa | null |
Insulin release due to closure of K+ channels is seen with ? | [
"Nataglinide",
"Acarbose",
"Exenatide",
"Sitagliptin"
] | A | Ans. is 'a' i.e., Nataglinide "Sulfonylureas and Meglititinides (nonsulfonylureas) are the two classes of Insulin secretogogues stimulate insulin secretion by interacting with the ATP-sensitive potassium channel on the beta cell." | train | med_mcqa | null |
A 65-year-old man is brought to the emergency room in a disoriented state. The patient has an odor of alcohol on his breath. Physical examination reveals palmar erythema, diffuse spider angiomata on the upper trunk and face, and gynecomastia. A liver biopsy shows micronodular cirrhosis, massive steatosis, and Mallory h... | [
"Hyperbilirubinemia",
"Hyperestrogenism",
"Hypersensitivity vasculitis",
"Hypoalbuminemia"
] | B | This patient is in hepatic coma and likely suffers from cirrhosis. Chronic liver failure in men leads to feminization, characterized by gynecomastia, female body habitus, and a change in pubic hair distribution. Other features of chronic liver disease include spider angiomata and palmar erythema. These findings are att... | train | med_mcqa | null |
Which of the following is FALSE regarding breast cancer during pregnancy? | [
"Axillary lymph node metastases in 75% of affected women",
"Mammography is sensitivity during pregnancy",
"Radiation cannot be considered for treatment",
"Less than 25% of the breast nodules are cancerous"
] | B | Breast cancer occurs in 1 of every 3000 pregnant women, and axillary lymph node metastases are present in up to 75% of these women. The average age of the pregnant woman with breast cancer is 34 years. Less than 25% of the breast nodules developing during pregnancy and lactation will be cancerous. Ultrasonography and n... | train | med_mcqa | null |
Indirect ophthalmoscopy is done for | [
"Central retina",
"Periphery of retina",
"Sclera",
"Angle of anterior chamber"
] | B | Applications: Indirect ophthalmoscopy is essential for the assessment and management of retinal detachment and other peripheral retinal lesions. It allows 3 D stereoscopic view of the lesion . It also depicts the presence of shifting fluid,which is pathognomic of exudative retinal detachment. Reference : A K KHURANA Co... | train | med_mcqa | null |
Which is a reverse transcriptase? | [
"Topoisomerase 2",
"Telomerase",
"RNA polymerase 2",
"DNA polymerase alpha"
] | B | Telomerase, a multisubunit RNA template-containing complex related to viral RNA-dependent DNA polymerases (reverse transcriptases), is the enzyme responsible for telomere synthesis and thus for maintaining the length of the telomere. Since telomere shoening has been associated with both malignant transformation and agi... | train | med_mcqa | null |
Increased PT and Normal PTT are found in? - | [
"Von Willibrand's disease",
"Factor 7 deficiency",
"Factor 8 deficiency",
"Thrombin deficiency"
] | B | Answer is option 2, factor seven deficiency The investigations revealed normal platelet counts, deranged prothrombin time (PT) with International normalised ratio (INR) of 6.2. Activated paial thromboplastin time (aPTT) was within normal limits. Ref Robbins 9/e pg 449 | train | med_mcqa | null |
Best range of UV light used for treatment of skin diseases | [
"100 – 200 nm",
"200 – 400 nm",
"400 – 700 nm",
"> 700 nm"
] | B | UV light most commonly used in dermatology are UVB (290 - 320 mn), narrow band UVB (311 nm), and UVAi (360 - 380 nm). | train | med_mcqa | null |
Pontine hemorrhage most common cause is | [
"Hypeension",
"Diabetes",
"Trauma",
"Aneurysmal rupture"
] | A | Pontine haemorrhage, a form of Ref Harrison20th edition pg 2456 | train | med_mcqa | null |
Which of the following drugs can cause hypotension by release of histamine from mast cells? | [
"Aspirin",
"Procaine",
"Morphine",
"Sulfadiazine"
] | C | Basic drugs like morphine, d-TC(tubocurarine) and amphotericin B etc. act as histamine liberators and can cause acute reaction leading to itching and hypotension. | train | med_mcqa | null |
About 20 gms of hairs required to be preserved in | [
"Heavy metal poisoning",
"Aconite poisoning",
"Iodine poisoning",
"Codeine poisoning"
] | A | Hair and nails are preserved in heavy metal poisoning e.g. arsenic, antimony, radium, thalium. | train | med_mcqa | null |
Homeobox gene is responsible for: | [
"Segmental organization of embryo in craniocaudal direction",
"Proper organization along dorsal ventral axis",
"Stimulation for lengthening of limbs",
"All of the above"
] | A | Ans. A Segmental organization of embryo is craniocaudal directionRef: Netter's Atlas of Human Embryology, 2012 ed. pg. 10* Homeobox (HOX) gene is involved in segmental organization of embryo in cranio-caudal direction. The mutation in gene leads to formation of appendages in wrong locations.* Sonic hedge-hog gene is in... | train | med_mcqa | null |
Which of the element is found in the active site of glutathione peroxidase for its function? | [
"Chromium",
"Manganese",
"Zinc",
"Selenium"
] | D | In red blood cells, the pentose phosphate pathway is the sole source of NADPH for the reduction of oxidized glutathione catalyzed by glutathione reductase, a flavoprotein containing FAD. Reduced glutathione removes H2O2 in a reaction catalyzed by glutathione peroxidase, an enzyme that contains the selenium analog of cy... | train | med_mcqa | null |
Infection spreading via lymphatics from the lower lip first enter the blood stream at the | [
"Brachiocephalic vein",
"Inferior labial vein",
"Inferior labial artery",
"Pterygoid venous plexus"
] | A | null | train | med_mcqa | null |
A 4-year child presents with a history of hoarseness, croupy cough and aphonia, the child has dyspnoea with wheezing. The most probable diagnosis is ? | [
"Asthmatic bronchitis",
"Laryngeal foreign body",
"Bronchopneumonia",
"Retropharyngeal abscess"
] | B | Ans. is 'b' i.e., Laryngeal foreign body | train | med_mcqa | null |
All of the following are associated with hypergonadotrophic hypogonadism in males, EXCEPT: | [
"Viral orchitis",
"Klinefelter's syndrome",
"Kallman's syndrome",
"Noonan syndrome"
] | C | Kallman's syndrome is associated with hypogonadotropic hypogonadism resulting in decreased or absent GnRHsecretion. This syndrome is characterized clinically by anosmia, hypogonadism and other midline defects (cleft lip/palate, colour blindness, seizures, anosmia etc). This syndrome is due to impaired migration of GnRH... | train | med_mcqa | null |
Virginia bridge is | [
"Cast perforated resin retained fpd",
"Etched cast resin retained fpd",
"Macroscopic mechanical retention resin retained fpd",
"Chemical bonding resin retained fpd"
] | C | Macroscopic mechanical retention resin retained FPDs ("virginia bridge") | train | med_mcqa | null |
A 35 years old man gets up from sleep with sudden onset breathlessness, anxiety, palpitation, shaking hand, profuse sweating, discomfort in chest & fear of dying. There is history of similar episodes in past. Physical examination is normal. Probable diagnosis is- | [
"Panic attack",
"Anxiety disorder",
"Conversion disorder",
"Acute psychosis"
] | A | Ans. is 'a' i.e., Panic attack * Sudden onset of breathlessness, anxiety, palpitation and feeling of impending doom suggest the diagnosis of panic attack (severe anxiety)* A panic attack has following characteristics: -A. Discrete episode of intense fearB. Abrupt onset (sudden onset)C. Reaches as maximum within few min... | train | med_mcqa | null |
When do progesterone levels rise to their highest point during the female hormonal cycle? | [
"Between ovulation and the beginning of menstruation",
"Immediately before ovulation",
"When the blood concentration of LH is at its highest point",
"When 12 primary follicles are developing to the antral Stage"
] | A | The corpus luteum is the only source of progesterone production, except for minute quantities secreted from the follicle before ovulation. The corpus luteum is functional between ovulation and the beginning of menstruation, during which time the concentration of LH is suppressed below the level achieved during the preo... | train | med_mcqa | null |
Burkholderia cepacia is intrinsically resistant to | [
"Ciprofloxacin",
"Polymyxin",
"Cotrimoxazole",
"Ceftazidime"
] | B | (B) Polymyxin[?]BURKHOLDERIA CEPACIA COMPLEX is a group of Gram negative, catalase positive and lactose non fermenting species (nine species).oThis microrganism causes pneumonia in immunocompromized patients and lung disease in patients affected by cystic fibrosis or chronic granulomatosis disease.oPathogenesis: organi... | train | med_mcqa | null |
Fatty liver with hepatomegaly is seen in: | [
"Marasmus",
"Metabolic syndrome",
"Wilson disease",
"Nutmeg liver"
] | B | OPTION B: Metabolic syndrome - Obesity - Fatty liver Option A: Marasmus do not have hepatomegaly rather kwashiorkor will have hepatomegaly Option C: Wilson disease leads to Cirrhosis Option D: Nutmeg liver leads to Cirrhosis Best test for fatty liver = Gamma GGT Alcoholic liver disease + fatty liver - Best Test - SGOT ... | train | med_mcqa | null |
In Toxoplasmosis , the oocyst and pseudocyst are respectively seen in : | [
"Tissue, faeces",
"Human, cats",
"Cats, human",
"Feces, tissue"
] | C | Toxoplasmosis Cat -Enteric cycle occurs-Oocyst formed Man-Pseudocysts (Tissue cysts) contain slowly dividing forms called bradyzoites.(no oocyst formation) Tachyzoites are crescent shaped trophozoites. | train | med_mcqa | null |
Acute intermittent porphyria is precipitated by which of the following drug/s? | [
"Chlorpropamide",
"Phenytoin",
"Griseofulvin",
"All the above"
] | D | Ans. is 'd' i.e., All the above * Barbiturates* Griseofulvin* Chlorpropramide* Rifampicin* Oral contraceptives* Estrogen* Phenytoin* Sulfonamides SAFE drugs in Porphyria* Narcotic analgesics* Penicillin and derivatives* Glucocorticoids* Bromides* Aspirin* Streptomycin,* Insulin* Atropine,* Acetaminophen* Benzodiazepine... | train | med_mcqa | null |
As a nasal decongestant, pseudoephedrine should be used cautiously in patient with any of the following conditions except: | [
"Hypertension",
"Hyperthyroidism",
"Ischemic heart disease",
"Urinary incontinence"
] | D | Pseudoephedrine, a mixed direct- and indirect-acting sympathomimetic, may raise blood pressure and cardiac oxygen requirement, potentiate the cardiac effects of thyroid hormone, and increase urinary retention in patients with prostatic hypertrophy. It is not contraindicated in cases of urinary incontinence, and may a... | train | med_mcqa | null |
The number of ciliary processes is about: | [
"20-30",
"50-60",
"70-80",
"90-100"
] | C | Ans. 70-80 | train | med_mcqa | null |
True about multipotential connective tissue cells is: | [
"These are most radiosensitive",
"These are most radioresistant",
"They have intermediate sensitivity",
"None of the above"
] | C | Multipotent connective tissue cells:
These cells have intermediate sensitivity.
These cells divide when there is a demand for more cells.
Eg: Endothelial cells, fibroblasts, mesenchymal cells. | train | med_mcqa | null |
All are treatment modalities of OCD except: | [
"Exposure & response prevention",
"Psychoanalytic psychotherapy",
"Clomipramine",
"MAO inhibitors"
] | D | D i.e. MAO inhibitor | train | med_mcqa | null |
In what period, following delivery, does the cardiac output return to the pre-pregnancy state? | [
"4 hours",
"4 weeks",
"6 weeks",
"8 weeks"
] | B | Cardiac output returns to pre labour values by one hour following delivery and pre pregnancy level by 4 weeks. Cardiac output: It stas to increase from 5th week of pregnancy reaches a peak 40-50% at about 30-34 weeks. It increases fuher during labour (50%) and immediately following delivery (70%) over pre labour values... | train | med_mcqa | null |
Management of Appendicular mass/ abscess: March 2013 (a, c, e, f, g, h) | [
"Antibiotics only",
"Immediate appendectomy",
"Antibiotics and appendectomy 6 weeks later",
"Wait & watch"
] | C | Ans. C i.e. Antibiotics and appendectomy 6 weeks later Append icular abscess The conservative management of appendicular mass can be summarized by mnemonic "ABCDEF" which is A: Analgesic, Antibiotic, antipyretic B: Bed rest C: Chaing (vital sign, size of the mass) D: Diet (Keep Nil by Mouth) E: Exploratory laparotomy K... | train | med_mcqa | null |
Which of the following ovarian tumor is most prone to undergo torsion during pregnancy? | [
"Serous cystadenoma",
"Mucinous cystadenoma",
"Dermoid cyst",
"Theca lutein cyst"
] | C | Ans. is c, i.e. Dermoid cystRef. Novak 14/e, p 510; Dutta Obs. 6/e, p 310"Incidence of dermoid cyst increases two times in pregnancy and it becomes the most commonly diagnosed ovarian tumour during pregnancy." --Dutta Obs. 7/e, p 310"A benign cystic teratoma is the most common neoplasm to undergo torsion." --Novak 14/e... | train | med_mcqa | null |
Which of the following conditions are associated with paucity - immune crescentic glomerulonephritis? | [
"Henoch - Schonlein Nephritis",
"Lupus Nephritis (SLE)",
"Microscopic polyangitis",
"Nephritis in Alpo's syndrome"
] | C | Microscopic polyangiitis is an ill-defined autoimmune disease characterized by a systemic, pauci-immune, necrotizing, small-vessel vasculitis without clinical or pathological evidence of necrotizing granulomatous inflammation. It is type III Rapidly progressive glomerulonephritis (RPGN). Around 90% patient s will have ... | train | med_mcqa | null |
Maximum amount of incisor retraction achieved is: | [
"7 mm",
"16 mm",
"9 mm",
"26 mm"
] | A | null | train | med_mcqa | null |
The following regarding colostomy are true except : | [
"A colostomy is an artificial opening made in large Bowel to divert the faeces to the exterior",
"Temporary colostomy is established to defunction an anastomosi",
"Permanent colostomy is formed after the resection of Rectum by the abdominoperinea technique",
"Double barreled colostomy is commonly done nowaday... | D | • Bailey says “Double-barrelled colostomy was designed so that it could be closed by crushing the intervening ‘spur’ using an enterotome or a stapling device. It is rarely used now, but occasionally the colon is divided so that both ends can be brought to the surface separately, ensuring that the distal segment is comp... | train | med_mcqa | null |
Person having heterozygous sickle cell trait is protected from infection of | [
"P. falciparum",
"P. vivax",
"neumococcus",
"Salmonella"
] | A | Ans. a. P. falciparum | train | med_mcqa | null |
In which of the following tissues is glucose transpo into the cell enhanced by insulin? | [
"Brain",
"Lens",
"Red blood cells",
"Adipose tissue"
] | D | Under conditions of low insulin, most GLUT4 is sequestered in intracellular vesicles in muscle and fat cells.Insulin induces a rapid increase in the uptake of glucose by inducing the translocation of GLUT4 from these vesicles to the plasma membrane.As the vesicles fuse with the plasma membrane, GLUT4 transpoers are ins... | train | med_mcqa | null |
Which of the following molecules delivers iron to tissues by binding to specific cell surface receptors: | [
"Ferritin",
"Ferredoxin",
"Hemosiderin",
"Transferrin"
] | D | Transferrin is a b1-globulin synthesized in the liver and is the transpoer of iron. Transpo of Iron For transpo, ferrous iron needs to be oxidised to ferric iron. This is done by hephaestin, a membrane-associated ferroxidase protein. In the blood, ceruloplasmin, a copper-containing ferroxidase oxidises any ferrous iron... | train | med_mcqa | null |
In a middle aged male having back pain, syndesmophytes involving4 continous vertebrae are seen on Xray. The patient has - | [
"DISH",
"Ankylosing spondylitis",
"Rheumatoid arthritis",
"Osteoarthritis"
] | B | Ans. is 'b' i.e., Ankylosing spondylitiso Back pain with syndesmatophytes in a middle aged man suggest the diagnosis of ankylosing spondylitis.Ankylosing spondylitis (marie-strumpell disease)o Ankylosing spondylitis is a chronic progressive inflammatory disease of the sacroiliac joints and the axial skeleton,o Prototyp... | train | med_mcqa | null |
Albe&;s stain is used for | [
"Staphylococcus",
"Corynebacterium diphtheriae",
"Clostridium Perfringes",
"Clostridium Tetani"
] | B | Albe 's or Neisser's stain: smears of Corynebacterium diphtheriae when stained with Albe's stain will show the bacilli with metachromatic granules. Delicate green bacilli with purple-blue metachromatic granules can be seen. Bacilli take up stain due to metachromatic granules which are composed of polymetaphosphate and ... | train | med_mcqa | null |
vital capacity of 45 yr old male patient is 4000ml , with IRV = 500ml , ERV = 500ml with respiratory rate of 22/min, calculate minute ventilation of the patient ? | [
"66",
"120",
"33",
"100"
] | A | minute ventilation = tial volume x respiratory rate ref : guyton andhall | train | med_mcqa | null |
Damage to trochlear nerve causes which muscle palsy? | [
"Superior Oblique",
"Lateral Rectus",
"Inferior oblique",
"Inferior rectus"
] | A | Ans. is 'a' i.e., Superior Oblique Oculomotor nerveMedial rectus. Inferior rectus, Superior rectus, Inferior obliqueTrochlear nerveSuperior ObliqueAbducensLateral rectus | train | med_mcqa | null |
Interval between Primary case and Secondary case known as:- | [
"Incubation period",
"Serial interval",
"Generation time",
"Case detection time"
] | B | Serial Interval - Interval between primary case and secondary case. Incubation Period- Entry of organism till first sign / Symptom. Generation time - Interval between entry of organism till maximum infectivity of that person or case. | train | med_mcqa | null |
All of the following are true about intrinsic Asthma,Except: | [
"Increasing Incidence",
"Allergic Asthma is more common in young patients",
"Idiosyncratic Asthma is more common older patients",
"IgE is increased in Idiosyncratic Asthma"
] | D | Answer is D (IgE is increased in Extrinsic Asthma) Asthma Extrinsic Asthma / Allergic Asthma History of Atopy is present Attacks related to environmental exposures IgE antibody levels are | ed Early onset of disease (young) Usually is less severe, intermittent Asthma that may however progress to severe persistent Asthm... | train | med_mcqa | null |
A premature baby of a diabetic mother was kept in incubator in neonatal ICU following respiratory distress. Which of the following indicates RDS in a newborn? | [
"Onset after 6 hours of age",
"Antenatal coicosteroid therapy in mother",
"Air bronchogram on chest X-ray",
"Term gestation"
] | C | Radiological features of respiratory distress syndrome (RDS): Reticulogranular pattern Ground glass opacity Low lung volume Air bronchogram Whiteout lung (in severe disease) Must know: Hyaline membrane disease (HMD) or respiratory distress syndrome (RDS): It is common in preterm babies less than 34 weeks of gestation. ... | train | med_mcqa | null |
The following drug is not helpful in the treatment of ectopic pregnancy: | [
"Methotrexate",
"Misoprostol",
"Actinomycin-D",
"RU486"
] | B | Misoprostol (PGE1) has been used for cervical ripening which is used for induction of labour. It doesn't have any role in management of ectopic pregnancy. Ref:Text Book of Obstetrics By Dutta, 6th Edition, Pages 175, 189, 505 | train | med_mcqa | null |
Dicumarol is a drug that impairs the utilization of vitamin K by the liver. Dicumarol therapy, therefore, would decrease the plasma concentration of which of the following procoagulants? | [
"Prothrombin",
"Fibrinogen",
"Factor XI",
"Ac-globulin (factor V)"
] | A | Dicumarol inhibits the action of vitamin K, which is a necessary cofactor for the enzyme that catalyzes the conversion of glutamic acid residues to g-carboxyglutamic acid residues.Six of the proteins involved in clotting require conversion of a number of glutamic acid residues to g-carboxyglutamic acid residues before ... | train | med_mcqa | null |
Factors which reduce postprandial glycaemia include all of the following EXCEPT - | [
"Small particle size of food",
"Presence of enzyme inhibitors in food",
"Inadequate cooking of starch",
"Resence of protein and fat in association with carbohydrate"
] | A | null | train | med_mcqa | null |
The histological features of shock includes? | [
"ATN",
"Pulmonary congestion",
"Depletion of lipids in adrenal coex",
"All"
] | D | Ans. is 'a' i.e., ATN; 'b' i.e., Pulmonary Congestion; 'c' i.e., Depletion of lipid in adrenal coex Morphological changes in shock o The cellular and tissue changes induced by shock are essentially of those of hypoxic injury as final pathway in all types of shock is reduced tissue perfusion and decreased oxygen supply.... | train | med_mcqa | null |
Which of the following is the selective media for vibrio? | [
"TCBS",
"Stua",
"Skirrows",
"MYPA"
] | A | Vibrios are curved, Gram-negative rods commonly found in saltwater. Cells may be linked end to end, forming S shapes and spirals. They are highly motile with a single polar flagellum, non-spore-forming, and oxidase-positive, and they can grow under aerobic or anaerobic conditions. The cell envelope structure is similar... | train | med_mcqa | null |
Alpha methyldopa is primarily used for: | [
"Pregnancy induced hypertension",
"Renovascular hypertension",
"First line agent in hypertension",
"Refractory hypertension"
] | A | Ans. (A) Pregnancy induced hypertension(Ref: Katzung 11th/e p173)'Methyl-dopa was widely used in past but is now used primarily for hypertension in pregnancy | train | med_mcqa | null |
Action of metalloproteinase ? | [
"Degradation of collagen",
"Polymerization of collagen",
"Oxidation of collagen",
"Stimulation of collagen"
] | A | Ans. is 'a' i.e., Degradation of collagenDegradation of collagen and other ECM (extracellular matrix) proteins is achieved by matrix metalloproteinases (MMPs).MMPs is a family of enzymes that have in common a 180-residue zinc protease domain.Matrix metalloproteinases include :-Interstitial collagenase (MMP-1, 2, and 3)... | train | med_mcqa | null |
Most common viral infection in kidney transplant recipients- | [
"B3V",
"HSV",
"CMV",
"HBV"
] | C | Cytomegalovirus is the most common infection in renal transplant recipients. The most common oppounistic infections in renal transplant recipients - Peritransplant (<1month) Wound infections Herpes virus Oral candidiasis Urinary tract infection Early (1-6months) Pnemocystis carinii CMV Legionella listeria Hep -B, C Lat... | train | med_mcqa | null |
Psoriasis is exacerbated by- | [
"Lithium",
"B- blockers",
"Antimalarials",
"All of the above"
] | D | D. i.e. All | train | med_mcqa | null |
During water analysis in a hostel, amoebic cysts were seen. The best step to manage it is – | [
"Iodine",
"Boiling",
"U.V Rays",
"Chlorination"
] | A | "Amoebic infection is spread by ingestion of food or water contaminated with cysts. since an asymptomatic carrier may excrete upto 15 million cysts/day. Prevention of infection requires adequate sanitation and eradication of cyst carriage. In high risk areas infection can be minimized by avoidance of unpeeled fruits an... | train | med_mcqa | null |
Inclusions in oligodendrogliocytes is a feature of aEUR' | [
"Creutzfeldt-Jakob disease",
"CIDP",
"HSV",
"Progressive multifocal leukoencephalopathy"
] | D | Progressive multifocal leukoencephalopathy Progressive multifocal leucoencephalopathy :? . Progressive multifocal leucoencephalopathy is a progressive disorder cause by J.C. virusdeg. . The main cells affected in the disease are oligodendrocytesdeg. . Since oligodendrocytes are concerned with myelination, progressive m... | train | med_mcqa | null |
The laryngeal muscle most responsible for stretching (elongating) the vocal ligament is the: | [
"Posterior cricoarytenoid",
"Lateral cricoarytenoid",
"Thyroarytenoid",
"Cricothyroid"
] | D | Cricothyroid draws the thyroid cailage forward, tensing the vocal ligaments. This is the one muscle innervated by the external branch of the superior laryngeal nerve. Posterior cricoarytenoid is a very impoant muscle; it's the only muscle that adducts the the vocal folds. This muscle is innervated by the inferior laryn... | train | med_mcqa | null |
Coenzyme A is formed from which vitamin? | [
"C",
"B4",
"Nicotinic acid",
"Pentothenic acid"
] | D | CoA biosynthesis requires cysteine, pantothenate (vitamin B5), and adenosine triphosphate (ATP).it is naturally synthesized from pantothenate (vitamin B5), which is found in food such as meat, vegetables, cereal grains, legumes, eggs, and milk.Pantothenate (vitamin B5) is phosphorylated to 4'-phosphopantothenate by the... | train | med_mcqa | null |
Which of the following is an approach in health education: | [
"Regulatory approach",
"Service approach",
"Educational approach",
"All of the above"
] | D | Approaches in Health Education:
Regulatory approach
Service approach
Educational approach
Primary Health Care approach | train | med_mcqa | null |
Which of the following alpha-blocker drug is used in the treatment of benign hypertrophy of prostate without producing significant hypotension? | [
"Dexazosin",
"Phentolamine",
"Terazosin",
"Tamsolusin"
] | D | Ans. d (Tamsulosin). (Ref. KD Tripathi 6th/pg. 135)DRUG USED FOR BHP# Alpha-adrenergic blockers:- Terazosin,- Tamsulosin,- Doxazosin:# A 5-a reductase inhibitor - finasteride- Finasteride prevents conversion of testosterone to dihydrotestosterone.# Cyproterone acetate (Anti-androgenic drug) is used for medical castrati... | train | med_mcqa | null |
Paradoxical suicide is | [
"Suicide seen in caretakers of depression",
"Suicide seen in children of depressed individuals",
"Suicide seen in parents of depressed individuals",
"Suicide seen after initiation of treatment"
] | D | "Paradoxical suicide": Antidepressants to patients cures the motor symptoms first followed by mood, hence the patient after initiation of antidepressants become active enough and may commit suicide. | train | med_mcqa | null |
Which of the follwoing statements is false regarding simple benign febrile seizures? | [
"It is the commonest seizure disorder of childhood",
"Has no genetic predisposition",
"Commonly occurs between 6 months to 1 year of age",
"It is usually a generalised tonic clonic seizure"
] | B | Studies have mapped the febrile seizure gene to chromosome 19p and 18q. An autosomal dominant inheritance pattern is demonstrated in some families. Reference: 1. O P Ghai, 5th Edition, Page 407 2. Nelson, 17th Edition, Page 2310 | train | med_mcqa | null |
Progressive cognitive impairment in Alzheimer's disease is characterized by - | [
"Nominal aphasia",
"Recent memory loss",
"No behavioral abnormalities",
"All"
] | B | Alzheimer's disease is characterized by early impairment of recent memory. | train | med_mcqa | null |
Lipids are transferred from intestine to liver by | [
"Chylomicrons",
"VLDL",
"HDL",
"LDL"
] | A | . | train | med_mcqa | null |
Drug indicated in case of subarachnoid hemorrhage: | [
"Nimodipine",
"Amlodipine",
"Diltiazem",
"Verapamil"
] | A | Ans. A. NimodipineNimodipine is cerebro selective calcium channel blocker. Given in patients with hemorrhagic stroke. Nicardipine also have similar effects. This drugs reverse the cerebral vasospasm. | train | med_mcqa | null |
Sun-ray appearance is characteristic of | [
"Osteoclastoma",
"Osteosarcoma",
"Ewing's sarcoma",
"Osteoid osteoma"
] | B | Osteosarcoma is the second most common, and a highly malignant primary bone tumour. Sun-ray appearance: In X-ray, as the periosteum is unable to contain the tumour, the tumour grows into the overlying soft tissues. New bone is laid down along the blood vessels within the tumour growing centrifugally, giving rise to a '... | train | med_mcqa | null |
Structure related to ligamentum arteriosum - | [
"Left recurrent laryngeal nerve",
"Right recurrent laryngeal nerve",
"Internal carotid artery",
"External carotid artery"
] | A | Ans. is 'a' i.e., Left recurrent laryngeal nerve Recurrent laryngeal nerveso Recurrent laryngeal nerves (right and left) are branches of inferior ganglion of vagus nerve.o On right side it arises in the root of neck and winds around first part of right subclavian artery. It may be anterior (superficial) or posterior (d... | train | med_mcqa | null |
Which of the following Non invasivemethod is used in detecting position of the tubes in ventilation | [
"Oximatry",
"Capnograph",
"PCB tube",
"ECG"
] | B | (Capnograph): (192- Davidson 21st edition)CAPNOGRAPHY - The CO2 concentration in inspired gas is zero, but during expiration-after clearing the physiological dead space. It rises progressively to reach a plateau which represents the alveolar or end tidal CO2 concentration. This cyclical changes in CO2 concentration or ... | train | med_mcqa | null |
"Learned behavior which has been socially acquired" is called - | [
"Culture",
"Custom",
"Acculturation",
"Euthenics"
] | A | Culture is defined as Learned behavior which has been socially acquired Acculturation means culture contact , when there is contact between two people with different types of culture, there is diffussion of culture both ways The mere existence of a society, the mere pluralityof individuals gives rise to customs from wh... | train | med_mcqa | null |
In obstruction of the large gut rupture occurs at the | [
"Cecum",
"Ascending colon",
"Transverse colon",
"Descending colon -"
] | A | null | train | med_mcqa | null |
All of the following are seen in polycythemia rubra vera except - | [
"Increased Vit B12, binding capacity (>9000 micromols/dL)",
"Decreased LAP score",
"Leucocytosis",
"Increased platelets"
] | B | null | train | med_mcqa | null |
The most common mode of transmission of Pasteurella multocida is - | [
"Animal bites or scratches",
"Aerosols or dust",
"Contaminated tissue",
"Human to human"
] | A | null | train | med_mcqa | null |
A 24-year-old woman presents with foot and leg weakness that is progressively getting worse over the past 1 week. Initially, she developed tingling in her feet and noticed that they would drag, but now she has difficulty standing and walking due to the leg weakness. Three weeks ago she had a "chest cold," which resolve... | [
"diabetic neuropathy",
"alcoholic neuropathy",
"Guillain-Barre syndrome",
"cyanide poisoning"
] | C | Guillain-Barre syndrome often appears days to weeks after a viral upper respiratory or gastrointestinal (GI) infection. The initial symptoms are due to symmetric limb weakness. Paresthesia may be present. Unlike most other neuropathies, proximal muscles may be affected more than distal muscles early in the disease. Ten... | train | med_mcqa | null |
Which of the follow ing lesion is characteristic of diabetic nephropathy? | [
"Hyaline arteriosclerosis",
"Nodular glomerulosclerosis",
"Renal Amyloid deposits",
"Fibrinoid necrosis"
] | B | Ans: B (Nodular glomerulosclerosis) Ref: Robbins Pathologic Basis of Disease, 8th editionExplanation:Diabetic NephropathyThe term diabetic nephropathy is applied to the conglomerate of lesions that occur in the diabetic kidney.Most common lesions involve the glomeruli and are associated clinically with three glomerular... | train | med_mcqa | null |
Drug having analgesic and moderate anti-inflammatory property: | [
"Paracetama!",
"Nimusulide",
"Ketorolac",
"Diflunisal"
] | C | Ans; c (Ketorolac) Ref: Tripathi, 6th ed, p. 194Ketorolac has potent analgesic and modest anti-inflammatory action. It is rapidly absorbed after oral and IM administration. It is commonly used to relieve mild to moderate post surgical pain.Nimusulide-The analgesic, antipyretic, and anti-inflammatory action of nimesulid... | train | med_mcqa | null |
The infectivity of chicken pox lasts for | [
"Till the last scab falls",
"6 days after onset of rash",
"3 days after onset of rash",
"Till the fever subsides"
] | B | Period of communicability: Chicken pox: 1-2 days before to 4-5 days after appearance of rash. Measles: 4 days before to 5 days after appearance of rash. Diphtheria: 14-28 days from disease onset Poliomyelitis: 7-10 days before and after onset of symptoms. CHICKEN POX: Also known as &;Varicella&; Causative agent: Varice... | train | med_mcqa | null |
Trident hand is seen in - | [
"Achondroplasia",
"Mucopolysaccharidosis",
"Diphyseal achlasia",
"Cleidocranial dystosis"
] | A | Ans. is "a* i.e., Achondroplasia o Trident hand is seen in achondroplasia.Important radiological featuresDiseaseo Trident Hando Champagne glass pelviso Scottish terrier dog orScottish dog wearing a col loro Be-headed scotty dog signo Inverted napoleon's Hat signo Gulfs wing appearanceo Opera glass deformityo Cup and pe... | train | med_mcqa | null |
A 48 year old man with an onset of macules and papules, ulcers and eschars on the upper and lower extremities, hands, genitals, face, as well as nasal and oral mucosae. The rash was accompanied by severe malaise, fever, ahralgia, paraesthesia, and microhematuria. Cryoglobulins and high titers of circulating immune comp... | [
"Aerial ulcer",
"Venous ulcer",
"Neurotrophic ulcer",
"Vasculitic ulcer"
] | D | vasculitic ulcer * Significantly elevated antinuclear antibodies, rheumatoid factors, or other more specific immunologic tests may tend to suppo the diagnosis of vasculitic process. | train | med_mcqa | null |
According to the Bismuth / Strasberg classification 'Cystic blow out' is classified as: | [
"Type A",
"Type B",
"Type C",
"Type D"
] | A | Cystic blow out' is a type of biliary duct injury in cholecystectomy patient. According to Strasberg classification it falls into Type A injury. Ref: Complication in Surgery By Michael W. Mulholland, Gerard M. Dohe, 2nd Edition, Page 432 | train | med_mcqa | null |
The diagnositc test for cerebral cysticercosis | [
"MRI",
"Non contrast CT scan",
"Contrast CT scan",
"Plain x-ray"
] | B | null | train | med_mcqa | null |
All are side effects of steroids except | [
"Skin atrophy",
"Telangiectasia",
"Folliculitis",
"Photosentivity"
] | D | Refer KDT 6/e p 855 Steroids are used for treatment of Photosentivity Other effects like skin atrophy Telangiectasia Folkiculitis Can be caused by steroids | train | med_mcqa | null |
Mechanism of action of spermicide is : | [
"Activating acrosomal enzyme",
"Inhibit glucose transpo enzyme",
"Disrupting cell membrane motility",
"Vaginal enzyme alteration"
] | C | Disrupting cell membrane motility | train | med_mcqa | null |
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