question stringlengths 1 6.54k | choices listlengths 4 4 | answer stringclasses 4
values | rationale stringlengths 0 22.5k ⌀ | split stringclasses 1
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|---|---|---|---|---|---|---|
In the mandibular arch, first preference major connector for tooth-supported RPD is: | [
"Lingual bar.",
"Lingual plate.",
"Kennedy bar.",
"All of the above."
] | A | null | train | med_mcqa | null |
Omalizumab is indicated for which of the following conditions : | [
"Multiple myeloma",
"Psoriasis",
"Bronchial asthma",
"Rheumatoid arthritis"
] | C | null | train | med_mcqa | null |
Nephrogram phase of IVP is because of dye in: | [
"Proximal convoluted tubules",
"Renal pelvis",
"Nephron",
"Collecting tubules"
] | A | Ans. Proximal convoluted tubules | train | med_mcqa | null |
Osteoahritis not seen in ? | [
"Ankle joints",
"Knee joints",
"Hip joints",
"I stmetacarpophalangeal joint"
] | A | Ans. is 'a' i.e., Ankle joints OA affects ceain joints, yet spares others. Commonly affected joints include the cervical and lumbosacral spine, hip, knee, and first metatarsal phalangeal joint (MTP). In the hands, the distal and proximal interphalangeal joints and the base of the thumb are often affected. Usually spare... | train | med_mcqa | null |
Modafinil is approved by FDA for treatment of all except : | [
"Obstructive sleep apnea syndrome (OSAS)",
"Shift work syndrome (SWS)",
"Narcolepsy",
"Lethargy in depression"
] | D | Modafinil (Provigil) :
Modafinil is an oral drug that is used for improving wakefulness in patients with excessive sleepiness.
Modafinil is used to promote wakefulness in patients with excessive sleepiness associated with :
Narcolepsy.
Obstructive sleep apnea/hypopnea syndrome and
Shift work sleep disorder.
The ex... | train | med_mcqa | null |
42 yrs old man presented with dizziness on standing, SBP falls by 50 mm Hg and HR is 52/min likely cause is - | [
"CHF",
"Inferior wall MI",
"Pheochromocytoma",
"Theophylline toxicity"
] | B | Cardiac arrest due to bradyarrhythmias or asystole (B/A cardiac arrest) is managed differently. The patient is promptly intubated, CPR is continued, and an attempt is made to control hypoxemia and acidosis. Epinephrine and/or atropine are given intravenously or by an intracardiac route. External pacing devices are used... | train | med_mcqa | null |
6 month old baby with severe pallor and hepatospenomegaly. Similar history with the sibling. Investigation of choice – | [
"Bone marrow biopsy",
"Hb electrophoresis",
"Hb estimation",
"Platelet count"
] | B | null | train | med_mcqa | null |
Relation of renal vein with aorta is - | [
"Anterior , above Superior mesenteric artery",
"Anterior, below Superior mesenteric artery",
"Anterior, below Inferior mesenteric artery",
"Posterior, below Superior mesenteric artery"
] | B | Left renal vein passes behind and below the superior mesenteric artery, crossing in front of the aorta. | train | med_mcqa | null |
With oral iron therapy, rise in hb% can be seen after | [
"1 week",
"3 weeks",
"4 weeks",
"6 weeks"
] | B | The improvement should be evident within 3 weeks of the therapy. After a lapse of few days, the hemoglobin concentration is expected to rise at the rate of about 0.7 gm/100 mL per week. Reference: Textbook of Obstetrics; Sheila Balakrishnan; 2nd Edition; Page no: 287 | train | med_mcqa | null |
All of the following are TRUE about isometric exercises, EXCEPT: | [
"S3,S4 is accentuated",
"Useful in ventricular arrhythmia",
"Increases systemic vascular resistance",
"Diastolic murmur of Mitral stenosis becomes louder"
] | B | Isometric exercise results in transient but sigificant increase in systemic vascular resistance, aerial pressure, hea rate, cardiac output, left ventricular filling pessure and hea size. Patients wit ventricular arrhythmia or myocardial infarction should avoid this as tey can increase their intensity. Isometric exercis... | train | med_mcqa | null |
In school health services the most impoant functionary should be - | [
"School teacher",
"Health worker",
"Medical officer",
"Health assistant"
] | A | In school health services the most impoant functionary is school teacher. REF. PARK'S TEXTBOOK OF PREVENTIVE AND SOCIAL MEDICAL 21ST EDITION. PAGE NO - 533 | train | med_mcqa | null |
Megaloblastic anaemia is caused by all EXCEPT : | [
"Aspirin",
"Primidone",
"Methotrexate",
"N2O"
] | A | null | train | med_mcqa | null |
Which drug is given in the pain due to diabetic neuropathy? | [
"Lamotrigine",
"Na valproate",
"Gabapentin",
"Morphine"
] | C | Ans. is 'c' i.e., Gabapentin Gabapentin* This is lipophilic GABA derivatve.* Gabapentin enhances GABA release but itself does not act as a agonist at the GABAA receptor.* It crosses to the brain and enhances GABA release but does not act as agonist at GABAA receptor.* Gabapentin is considered to be a first line drug fo... | train | med_mcqa | null |
Which of the following is not an ESTER? | [
"Amethocaine",
"Benzocaine",
"Procaine",
"Bupivacaine"
] | D | Ans. d (Bupivacaine ) (Ref. Lee anaesthesia 12th/ 591 & Anaesthesia by Ajya yadav, 2nd, pg 105)LOCAL ANESTHETIC AGENTSEstersAmidesAll metabolised by pseudocholinesterase except cocaineMetabolised in liverHigh chances of allergic reactionsLow chances of allergic reactionsUntable solutionStable solutionEg: Amethocaine (T... | train | med_mcqa | null |
Albuminocytological dissociation is associated with | [
"Guillain-Barre syndrome",
"Subarachnoid haemorrhage",
"Pyogenic meningitis",
"Encephalitis"
] | A | (A) Guillain-Barre syndrome# GUILLAIN-BARRE SYNDROME> Diagnosis of GBS usually depends on findings such as rapid development of muscle paralysis, areflexia, absence of fever, and a likely inciting event.> Cerebrospinal fluid analysis (through a lumbar spinal puncture) and electrodiagnostic tests of nerves and muscles (... | train | med_mcqa | null |
Which of the following hazardous chemical is used as anti-knocking agent in gasoline: | [
"Arsenic",
"Asbestos",
"Lead",
"Mercury"
] | C | Another prominent lead product was tetraethyl lead, a gasoline additive invented in 1921 to solve "knocking" problems that had become commonplace with the development of high compression engines operating at high temperatures. Soon after reaching its peak 50 years later, the use of this lead compound declined as the in... | train | med_mcqa | null |
A 40-year-old man is brought to the doctor by his family for the rapid intellectual decline. Examination shows fast semi-purposive movements in hands. His father and grandfather had a similar illness. What is the diagnosis? | [
"Pre-senile Dementia",
"Lewy body dementia",
"Coicobasilar degeneration",
"Huntington chorea"
] | D | The fast semi-purposive movements - Chorea. With advancing age chorea reduces and dystonia, rigidity, and myoclonus appear. Huntington's disease has an autosomal dominant pattern of inheritance . The intellectual decline is a common feature. Presenile dementia is seen in Down's syndrome Lewy body dementia presents with... | train | med_mcqa | null |
Sitz Bath consists of which of the following ? | [
"Patient bathed in normal saline",
"Bathed in molten wax",
"Sits in a basin containing warm antiseptic lotion",
"Sits in a basin conatining molten wax"
] | C | Ans. is 'c' i.e., Sits in a basin containing warm antiseptic lotion | train | med_mcqa | null |
which of the following Is not an adverse effect of growth hormone therapy? | [
"Carpal tunnel syndrome",
"Hypoglycemia",
"Intracranial hypeension",
"Slipped femoral epiphysis"
] | B | Hypoglycemia is not an adverse effect of growth hormone therapy. growth hormone or somatotropin cause hyperglycemia by increasing the insulin resistance (REF.Essential of medical pharmacology K D TRIPATHI 6 Edition, Page No 234,235) | train | med_mcqa | null |
Treatment of squamous cell carcinoma of anal canal not involving the deeper structures include | [
"Abdomino pereneal resection",
"Wide local excision + Radiotherapy",
"Wide local excision + Chemoradiation",
"Chemoradiation"
] | D | Anal cancer # Uncommon tumour, which is usually a squamous cell carcinoma # Associated with HPV # More prevalent in patients with HIV infection # May affect the anal verge or anal canal # Lymphatic spread is to the inguinal lymph nodes # Treatment is by chemoradiotherapy in the first instance # Major ablative surgery i... | train | med_mcqa | null |
Wof is the fastest acting inhaled bronchodilator | [
"Ipratropium bromide",
"Salbutamol",
"Salmeterol",
"Formoterol"
] | B | Salbutamol (Albuterol):- A highly selective b2 agonist when inhaled from pressurized metered dose inhaler (pMDI) produces bronchodilatation within 5 min and the action lasts for 2-4 hours(sho acting,fast acting),therefore used to abo and terminate attacks of asthma, but is not suitable for round-the-clock prophylaxis. ... | train | med_mcqa | null |
Structures passing through foramen magnum include all | [
"Spinal accessory nerve",
"Spinal cord",
"Veebral aery",
"Veebral venous plexus"
] | B | B. i.e. Spinal cord Lower pa of medulla oblongata (not the spinal cord)Q passes through posterior pa of foramen magnum, and veebral aeries are transmitted through the subarachnoid space in foramen magnum.Q | train | med_mcqa | null |
At birth, which of the following structures is nearest to the size it will eventually attain in adulthood? | [
"Cranium",
"Mandible",
"Middle Face",
"Nasal capsule"
] | A | Timing of Cranial Base Growth: | train | med_mcqa | null |
Radiosensitive tumor is - | [
"Ewings sarcoma",
"Osteosarcoma",
"Renal cell carcinoma",
"Pancreatic carcinoma"
] | A | Ans. is 'a' i.e., Ewings sarcoma Radiosensitivity of different tumorsHighly sensitiveModerately sensitiveRelative resistantHighly resistanto Lymphomao Seminomao Multiple myelomao Ewings sarcomao Wilm's tumoro Dysgerminomao Small cell carcinoma of lungo Breast cancero Basal cell carcinomao Medulloblastomao Teratomao Ova... | train | med_mcqa | null |
Sulphur granules are seen in - | [
"Sulphur poisoning",
"Actinomycosis",
"H2SO4 poisoning",
"Staphylococcal infection"
] | B | Ans. is 'b' i.e., Actinomycosis Laboratory diagnosis of actinomycosis* The diagnosis is most commonly made by microscopic identification of sulphur granules (an in-vivo matrix of bacteria calcium phosphate, and host material).* The sulfur granules are bacterial colonies and will be found to consist of a dense network o... | train | med_mcqa | null |
An infant with severe respiratory distress is found to have double aoic arch during investigation. Double aoic arch is due to persistence and continued patency of the segment of ? | [
"Right dorsal aoa between the right seventh intersegmental aery and its junction with the left dorsal aoa",
"Right dorsal aoa between the right sixth intersegmental aery and its junction with the left dorsal aoa",
"Left dorsal aoa between the right seventh intersegmental aery and its junction with the left dors... | A | Aoic arch development involves the sequential development and then involution of six arch pairs, which arise from paired dorsal aoae that fuse distally. The fifth aoic arch is rudimentary. Double aoic arch is the result of persistence and continued patency of the segment of the right dorsal aoa between the origin of th... | train | med_mcqa | null |
Flail chest which of the following is not true - | [
"It can be life threatening",
"Three or more ribs should be broken at two or more places",
"The flail segment moves opposite to the chest wall",
"Work of breathing is not increased"
] | D | Ans. is 'd' i.e., Work of breathing is not increased Flail chest* Flail chest is a life-threatening medical condition that occurs when a segment of the rib cage breaks under extreme stress and becomes detached from the rest of the chest wall. It occurs when multiple adjacent ribs are broken in multiple places, separati... | train | med_mcqa | null |
Glyeaemic control in diabetes is best assessed by: | [
"HbAIC",
"Urinary glucose",
"Fasting glucose",
"Post prandial glucose"
] | A | Answer is A (HbAl C): Measurment of Glycated Hemoglobin (HbAlC) is the standard method of assessing long term glycaemic control. HbA IC should be measured in all individuals with Diabetes Mellitus as pa of their comprehensive diabetic care. | train | med_mcqa | null |
This is a sonogram demonstrating CRL of an 8 weeks fetus. The arrow in the field points to which of the following? | [
"Blighted ovum",
"Pseudo-gestational sac",
"Yolk sac",
"Gestational sac"
] | C | The above USG image shows Anaechoic (black) gestational sac with an embryo and yolk sac (arrow). The yolk sac is seen as a small well-defined anaechoic structure in side the Gestational sac.Presence of yolk sac or fetal pole within the gestation sac confirms pregnancy. Double decidua sign of the gestational sac is due ... | train | med_mcqa | null |
A random sample suggests that | [
"A person in a control group will not be a member of the experimental group",
"Any member of a group to be studied has an equal opportunity to be included in the study",
"Every nth name on a list is selected",
"Subjects are volunteers"
] | B | null | train | med_mcqa | null |
Trisomy 21 is ? | [
"Down's syndrome",
"Turner syndrome",
"Kleinfelter syndrome",
"Edward syndrome"
] | A | Ans. is 'a' i.e., Down's syndrome | train | med_mcqa | null |
Penile ulcer is painful in: | [
"Syphilis",
"LGV",
"Donovanosis",
"Chancroid"
] | D | Ans. is. 'd' i. e., Chancroid | train | med_mcqa | null |
Centre of air pollution control by WHO - | [
"Hyberabad",
"Bombay",
"Nagpur",
"Kanpur"
] | C | International action : To deal with air pollution on a world-wide scale, the WHO has established an international network of laboratories for the monitoring and study of air pollution. The network consists of two international centres at London and Washington, three centres at Moscow, Nagpur and Tokyo and 20 laboratori... | train | med_mcqa | null |
Organisms associated with fish consumption and also causes carcinoma Gallbladder | [
"Gnathostoma",
"Anglostrongyloidosis cantonensis",
"Clonorchis sinensis",
"H.dimunata"
] | C | Clonorchis sinensis Clonorchis sinensis is a liver fluke, acquired by Ingestion of raw or inadequate cooked freshwater fishes In human body, it lives within bile ducts and causes Inflammatory reaction leading to cholangiohepatitis and biliary obstruction. It is well known risk factor for cholangiocarcinoma It is a rare... | train | med_mcqa | null |
The normal process by which the existing epithelial cells of skin are replaced by new epithelial cells is called | [
"Apoptosis",
"Autolysis",
"Both",
"Any of these"
] | A | Apoptosis is a form of programmed cell death that occurs in multicellular organisms . Biochemical events lead to characteristic cell changes and death. These changes include blebbing , cell shrinkage , nuclear fragmentation , chromatin condensation , chromosomal DNA fragmentation, and mRNA decay. The average adult huma... | train | med_mcqa | null |
Projections from substantia nigra pars compacta to striatum releases | [
"GABA",
"Dopamine",
"Glutamate",
"Aspartate"
] | B | null | train | med_mcqa | null |
Which of the following is the best parameter to assess fluid intake in a poly-trauma patient? | [
"Urine output",
"BP",
"Pulse",
"Pulse oximetry"
] | A | null | train | med_mcqa | null |
Intraspecies competition is the competition among ? | [
"Species",
"Individuals of a population",
"Individuals of a community",
"Populations and their regulatory factors"
] | B | Ans. is 'b' i.e., Individuals of a population . Intraspecies competition - competition within a single population . Interspecies competition - is between two or more different population. | train | med_mcqa | null |
Highly repetitive DNA is seen in: | [
"Centromere",
"Microsatelite DNA",
"Telomere",
"All"
] | A | A i.e. Centromere; B ie. Microsatelite DNA ; C i.e. Telomere | train | med_mcqa | null |
All of the following are true regarding cephalosporins, except: | [
"Bacteriocidal agents",
"Active against only gram negative",
"Resistant to beta lactamases by Bird generation cephalosporins",
"None of the above"
] | B | Bacteriocidal agents | train | med_mcqa | null |
A 4-month-old boy is brought to the you. His parents repo that the child stopped breathing at home, turned blue around his lips, and felt limp. After vigorous shaking of the infant and several mouth-to mouth breaths, the boy's color returned to normal, and he resumed breathing. The infant's condition is best described ... | [
"Obstructive apnea",
"Central apnea",
"Apparent life-threatening event (ALTE)",
"Pneumonia"
] | C | An apparent life-threatening event (ALTE) is an episode of apnea associated with marked change in color and muscle tone. Such that an observer typically believes the infant will die without vigorous stimulation or resuscitation. Central apnea is cessation of breathing without respiratory effo, whereas obstructive apnea... | train | med_mcqa | null |
A 6 year old patient, who was admitted for a dog bite on the face, unexpectedly developed anaphylaxis to a test dose of Augmentin. He developed stridor which needs immediate intubation. You are the only available doctor at the time. You have a No.3 curved blade laryngoscope ready and you have asked for an Endotracheal ... | [
"3.5mm",
"4.5mm",
"5.5mm",
"6.5mm"
] | C | Internal diameter of an ET tube in children = (age in years/4) + 4.0 mm = (6/4) +4.0 mm = 5.5 mm 3-3.5 is the internal diameter for a neonate For an adult male - 8.5 mm For an adult female - 7.5 mm Ref: Oxford Handbook of Clinical Specialities, Page 627 | train | med_mcqa | null |
A 30-year-old man who was recently staed on haloperidol 30mg/day developed hyperpyrexia, muscle rigidity, akinesia, mutism, sweating, tachycardia and increased blood pressure. The investigations showed increased VVBC count, increased creatinine phosphokinase. There is no history of any other drug intake or any signs of... | [
"Drug overdose",
"Neuroleptic malignant syndrome",
"Drug induce Parkinsonism",
"Tardive dyskinesia"
] | B | B i.e. Neuroleptic malignant syndrome | train | med_mcqa | null |
Keloid formulation is not seen over | [
"Ear",
"Face",
"Neck",
"Eyelids"
] | D | null | train | med_mcqa | null |
The most common neoplasm of kidney is | [
"Wilm' s tumour",
"Renal cell carcinoma",
"Renal adenoma",
"Haemagioma"
] | B | null | train | med_mcqa | null |
In transtentorial herniation, a pa of the brain is displaced from the supratentorial to the infratentorial compament through the tentorial opening. It results in all of the following, EXCEPT: | [
"Cheyne stokes respiration",
"Decerebration",
"Ipsilateral hemiparesis",
"Ipsilateral oculomotor paresis"
] | C | The uncus (on the medial aspect of the temporal lobe) herniates under the tentorium cerebelli. The uncus can compress the oculomotor nerve (CN III), compromising the parasympathetic fibers and resulting in ipsilateral pupillary dilation with associated ophthalmoplegia ("down and out"). Cheyne-Stokes respirations are co... | train | med_mcqa | null |
Not true about Zika virus, | [
"Microcephaly",
"Transmitted by Aedes mosquito",
"Mother to child transmission via Breast feeding",
"Zika is Flavi virus"
] | C | null | train | med_mcqa | null |
All of the following anticancer drugs are cell cycle non-specific except? | [
"Cisplatin",
"Vincristine",
"Mitomycin-C",
"Cyclophosphamide"
] | B | CELL CYCLE NON-SPECIFIC DRUGS 1. Alkylating agents Melphalan Cyclophosphamide Nitrosourea 2. Platinum compounds Cisplatin Carboplatin Oxaliplatin 3. Anthracyclines Doxorubicin Daunorubicin Epirubicin Mitoxantrone 4. Antitumor antibiotics Dactinomycin Mitomycin-C | train | med_mcqa | null |
Period of cornmunicability of measles is- | [
"3 days before and 10 days after appearance of rashes",
"3 weeks after appearance of rashes",
"I week before appearance of rashes",
"4 days before and 5 days after appearance of rashes"
] | D | Ans. is 'd' i.e., 4 days before and 5 days after appearance of rashes t Ref: Park 24th/e p. 157; Community Medicine with Recent by Suryakantha 4th/e p. 328]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.Rubella : 7 days before symptoms t... | train | med_mcqa | null |
All of the following statements about SIADH are true except: | [
"Serum sodium is low, typically < 135 meq/1",
"Urinary sodium excretion is low / normal",
"Water loading test may be used",
"Vaptans are new FDA approved agents for treatment of SIADH"
] | B | Answer is B (Urinary sodium excretion is low / normal): SIADH is typically characterized by high urinary sodium (Increased rate of excretion of. odium). Syndrome of Inappropriate ADH Secretion (SIADH) is associated with increased secretion of vasopressin (ADH), which leads to increased absorption of water producing dil... | train | med_mcqa | null |
Feature of Apoptosis | [
"Cell is enlarged",
"Karyorrhexis",
"Plasma membrane intact",
"Enzymatic digestion"
] | C | Features of Necrosis and ApoptosisFeatureNecrosisApoptosisCell sizeEnlarged (swelling)Reduced (shrinkage)NucleusPyknosis - karyorrhexis - karyolysisFragmentation into nucleosome-sizefragmentsPlasmamembraneDisruptedIntact; altered structure,especially orientation of lipidsCellularcontentsEnzymatic digestion;may leak out... | train | med_mcqa | null |
In Alzheimer&;s disease (AD) which of the following is not seen: | [
"Aphasia",
"Acalculia",
"Agnosia",
"Apraxia"
] | C | Aphasia, Apraxia, Acalculia and Agnosia may all be seen in Alzheimer&;s Dementia. Agnosia in Alzheimer&;s disease usually presents late in the disease and is not included in the ICD-10 Diagnostic criteria for dementia in Alzheimer&;s disease with early onset and hence may be selected as the single best answer by exclus... | train | med_mcqa | null |
Indicator of severe pre-eclampsia: | [
"lUGR",
"Diastolic BP>110 mm of Hg",
"Pulmonary edema",
"Systolic BP> 160"
] | A | Severe preeclampsia is characterised by DBP 110 mm of Hg or more ,SBP 160 mm of Hg or more ,proteinuria 5 g in 24 hrs,headache,visual disturbances,epigastric pain,oliguria,thrombocytopenia,increased liver enzymes,increased creatinine,IUGR and pulmonary edema. Refet page np 257 of Text book of obstetrics,sheila balakris... | train | med_mcqa | null |
In the etiology of dental caries, one of the following is
not an environmental factor | [
"Saliva",
"Micro organisms",
"Refined carbohydrates",
"Structure of the tooth"
] | D | null | train | med_mcqa | null |
Localised langerhans cells histiocytosis affecting head & neck is - | [
"Letterer-siwe disease",
"Pulmonary langerhans cell histiocytosis",
"Hand-schuller-christian disease",
"Eosinophilic granuloma"
] | D | Unifocal and multifocal unisystem Langerhans cell histiocytosis(eosinophilic granuloma)is characterised by proliferation of Langerhans cells admixed with variable number of eosinophils , lymphocytes , plasma cell, and neutrophils .Eosinophils are usually , but not always a prominent component of the infiltrate .It typi... | train | med_mcqa | null |
Choriocarcinoma commonly metastasize to:
a.Brain
b. Lung
c. Vagina
d. Ovary
e. Cervix | [
"ab",
"bc",
"cd",
"de"
] | B | Most common sites of metastases in choriocarcinoma are:
Lung (80%) > Vagina (30%) > Pelvis (20%) > Liver (10%) and Brain (10%) | train | med_mcqa | null |
All of the following are seen in lead poisoning except: | [
"Hallucinations",
"GIT disturbances",
"Peripheral neuritis",
"Encephalitis"
] | A | null | train | med_mcqa | null |
True about iron deficiency anemia in children – a) Iron absorption from terminal ileumb) Cow milk contain less iron than breast milkc) Serum ferritin depletes firstd) Decreased alertnesse) Decreased Red cell distribution width (RDW) | [
"ab",
"bc",
"cd",
"ac"
] | C | Iron is absorbed from proximal small intestine mainly from the duodenum.
Cow milk has a slightly more amount of iron than breast milk, However, the bioavailability of iron of breast milk is much greater than cow milk.
Clinical manifestations
Pallor is a most important sign of iron deficiency. In fact WHO recommended... | train | med_mcqa | null |
A patient with a hyperlipoproteinemia would most likely benefit from a low-carbohydrate diet if the lipoproteins that are elevated in the blood belong to which class of lipoproteins? Choose the one best answer. | [
"Chylomicrons",
"VLDL",
"LDL",
"HDL"
] | B | VLDL is produced mainly from dietary carbohydrate, LDL is produced from VLDL, and chylomicrons contain primarily dietary triacylglycerol. Elevated HDL levels are desirable and are not considered to be a lipid disorder. HDL also contains low levels of triglyceride. A low-carbohydrate diet would be expected to reduce the... | train | med_mcqa | null |
Perthes affects age group- | [
"< 4 yrs",
"4 - 8 yrs",
"10 - 25 yrs",
"> 25 yrs"
] | B | Ans. is 'b' i.e., 4-8 yrs PERTH E'S DISEASE (LEGG-CALVE PERTHE S DISEASE)o Perthe's disease is also known as osteochondritis deformans juvenilis or Coxa plana or Pseudocoxalgia. Perthe's disease is an osteochondritis of the epiphysis of the femoral head (capital femoral epiphysis). In the disease, the femoral head beco... | train | med_mcqa | null |
A 45-year-old male with history of recurrent ureteric calculi presented with fever. Right-sided nephrectomy was performed. Gross view and histology have been provided. What is your diagnosis? | [
"Chronic pyelonephritis with hydronephrosis",
"Renal cell carcinoma",
"Autosomal dominant polycystic kidney disease",
"Cystic dyspiastie kidney"
] | A | Ans. a. Chronic pyelonephritis with hydronephrosis (Ref: Robbins 9/e p933-935, 8/e p943-961)In a 45-year old male with history of recurrent ureteric calculi, who presented with fever: Right-sided nephrectomy was performed. Grossly kidney shows hydronephrosis with evidence of scarring. Microscopically changes predominan... | train | med_mcqa | null |
True about suspended animation: PGI 10 | [
"Common phenomenon",
"Can be voluntary",
"Similar to molecular death",
"None"
] | B | Ans. Can be voluntary | train | med_mcqa | null |
Macrophages- false statement is? | [
"Derived from monocytes",
"Harbor Mycobacteria",
"Involved in Type 3 HSN",
"Produces TNF and interleukins"
] | C | Ans. (c) Involved in Type 3 HSN(Ref: Robbins 9th/pg 210)A. TrueMonocytes in tissues are known as MacrophagesB. TrueMacrophages engulf Mycobacteria but are not able to kill it; So they harbor MycobacteriaC. FalseMacrophages are involved in Type 4 Hypersensitivity & not type 3, which is immune- complex mediatedD. True*. ... | train | med_mcqa | null |
Which of the following support the Spring ligament? | [
"Tibialis posterior",
"Peroneus longus",
"Abductor hallucis",
"All of the above"
] | A | Ans. A. Tibialis posterior.The plantar calcaneonavicular ligament (spring ligament) is a ligament on the underside of the foot that connects anterior margin of the sustentaculum tali of the calcaneus to the plantar surface of the navicular. This ligament not only serves to connect the calcaneus and navicular, but suppo... | train | med_mcqa | null |
Oral evidence is more impoant than written testimony as: | [
"Oral evidence cannot be cross-examined",
"Oral evidence can be cross-examined",
"Documentary evidence requires no proof",
"None"
] | B | Oral evidence is more superior to documentary evidence, as the witness can be cross examined. Doctor's repo is accepted only when he comes and deposes oral evidence in the cou ( S. 45 IEA). Exceptions to oral evidence: Dying declaration. Expe opinion given in a book or treatise. Evidence of doctor recorded in a lower C... | train | med_mcqa | null |
Lateral skull view of palatal tori is used to know | [
"Extent",
"Pneurnatization",
"Bone pattern",
"Location"
] | C | null | train | med_mcqa | null |
Pathognomic features of Maxillary sinusitis is | [
"Mucopus in the middle meatus",
"Inferior turbinate hyperophy",
"Purulent nasal discharge",
"Atrophic sinusitis"
] | A | Clinical features of maxillary sinusitis: Constitutional symptoms: fever, general malaise and body ache. Headache Pain: It is typically situated over the jaw but may be referred to gums or teeth. Occasionally, it is referred to the ipsilateral supraorbital margin. Tenderness: pressure or tapping over the anterior wall ... | train | med_mcqa | null |
Reslizumab is used in : | [
"Psoriasis",
"RSV infection",
"Asthma",
"Crohn's disease"
] | C | Reslizumab is a monoclonal antibody against IL - 5 and thus inhibits recruitment of eosinophils. It is used in cases of asthma. | train | med_mcqa | null |
Cataract is caused by all except – | [
"Ultraviolet radiation",
"MRI",
"Infrared radiation",
"Microwave radiation"
] | B | Radiation cataract is caused by ionizing & non-ionizing radiations e.g. UV rays, neutron, radium, ultrasonics; but MRI has no radiation exposure. | train | med_mcqa | null |
The largest organ of the body is: | [
"Skin",
"Liver",
"Gluteus maximus",
"Femur"
] | A | (Skin): Ref: 278, 281-K=-Sembulingam physiology3rd* The liver is the largest gland in the body and has a wide variety of functions (265-Snell7th)* The liver is the largest gland in the body. (283-BDC-2)* Femer is the longest and the strongest bone of the body (16-B DC-2)* Skin is the largest organ of the body (278-K- S... | train | med_mcqa | null |
Carotene is not found in high amounts in – | [
"Tomato",
"Cabbage",
"Potato",
"Spinach"
] | C | null | train | med_mcqa | null |
Which one of the following statements about biguanides is not true - | [
"Don't stimulate insulin release",
"Don't stimulate insulin release",
"Renal Dysfunction is not a contraindication for their use",
"Renal Dysfunction is not a contraindication for their use"
] | C | Ans. is 'c' i.e., Renal dysfunction is not a contraindication for their use o Biguanides are contraindicated in hypotensive states, cardiovascular, respiratory, hepatic and renal disease and in alcoholics because of increased risk of lactic acidosis. About other options o Biguanides do not cause insulin release. o Thei... | train | med_mcqa | null |
All of the following come in relation with the urethral crest which is situated in the prostatic pa of the urethra, except: | [
"Ejaculatory ductus",
"Prostatic utricle",
"Prostatic sinus",
"Colliculus seminalis"
] | A | Ejaculatory ductus | train | med_mcqa | null |
Sub acute - Sclerosing pan - encephalitis (SSPE) is caused by | [
"Measles",
"Mumps",
"Rubella",
"Small pox"
] | A | (Measles) (137-Park 20th)* Subacute sclerosing pan-encephalitis (SSPE) is a rare complication which develops many years after the initial measles infections. It is characterized by progessive mental deterioration leading to paralysis, probably due to persistence of the virus in the brain.* Measles vaccination definitel... | train | med_mcqa | null |
Monitoring for Iodine levels is done by | [
"Urinary excretion of Iodine",
"TSH, T3 and T4 levels",
"Iodine level in soil",
"All of the above"
] | D | null | train | med_mcqa | null |
Which of the following is true for phosphofructokinase | [
"It uses fructose 1, 6 bisphosphate as substrate",
"It generates ATP",
"It catalyses an irreversible reaction in glycolysis",
"It is activated by increased levels of ATP and citrate"
] | C | Phosphofructokinase catalyses the first committed step of glycolysis. It is the rate limiting enzyme of glycolysis. The reaction is irreversible. | train | med_mcqa | null |
Where is torus aoicus located | [
"Left atrium",
"Right atrium",
"Aoa",
"Left ventricle"
] | B | Torus aoicus is a buldge in the right atrial septum sited superiorly and anteriorly. It is produced due to adjacent nonocoronary aoic sinus at the base of ascending aoa. It is superior to coronary sinus and anterior to fossa ovalis. | train | med_mcqa | null |
DNA supercoiling is done by | [
"DNA polymerase I",
"DNA polymerase II",
"DNA polymerase III",
"DNA topoisomerase"
] | D | Enzymes that catalyze topologic changes of DNA are called topoisomerases. Topoisomerases can relax or inse supercoils, using ATP as an energy source. DNA gyrase is a type of topoisomerase Harper30e pg: 362 | train | med_mcqa | null |
Which is the most common metastatic disease causing SVC syndrome? | [
"Ca Bronchus",
"Ca Breast",
"Ca Veebrae",
"Ca Stomach"
] | B | Breast cancer is the most common metastatic disease causing SVC syndrome. Lung cancer is the most common cause of SVC syndrome. Non Hodgkins lymphoma is the second most common cause. Primary mediastinal malignancies such as thymoma and germ cell tumors account for less than 2% cases. | train | med_mcqa | null |
Temperature of pasteurization: | [
"121 degrees for 15 minutes",
"63 degrees for 30 minutes",
"160 degrees for 1 hour",
"140 degrees for 1 hour"
] | B | Ans. B. 63 degrees for 30 minutes.a. Holder method of pasteurization-moist heat at 63 C for 30 minutesb. Flash method of pasteurization-moist heat at 72 C for 15-20 seconds followed by quickly cooling to 13 C.c. Ultra-High Temperature (UHT) of pasteurization-moist heat 140degC for 15 sec/ 149deg C for 0.5 sec. | train | med_mcqa | null |
All are effect of parasympathetic system on hea except - | [
"Negative chronotropic",
"Negative ionotrophic",
"Negative dromotropic",
"All are seen"
] | B | Ans. is 'b' i.e., Negative inotropic | train | med_mcqa | null |
Distention of abdomen with passage of large amount of urine is known as? | [
"Dietl's crisis",
"Anderson's Hynes crises",
"Meteriorism",
"None"
] | A | Ans. a (Dietl's crisis). (Ref. Bailey and Love, 25th/pg.l293)Position of stoneSite of PainAt PUJ or upper ureterPain radiates to the testiclesAt middle of the ureter (i.e. at crossing of gonadal vessels and ureter)Pain is referred to Me Burneys point on the right side resembling appendicitis and on left side simulates ... | train | med_mcqa | null |
Live attenuated vaccine: | [
"Measles",
"Rabies",
"Hepatitis B",
"Typhoid"
] | A | Answer: A. Measles. (Ref Park's Textbook of PSM 22nd/Pg.99)Answer is measles not typhoid as typhoid may be inactivated also but measles is always live attenuated.LIVE VACCINES (e.g., BCG, measles, oral polio etc.)Live vaccines are prepared from live (generally attenuated) organisms. These organisms have been passed rep... | train | med_mcqa | null |
Systemic steroids are not used in treatment of? | [
"Pemphigus vulgaris",
"Bullous pemphigoid",
"Dermatitis herpetiformis",
"Pemphigus foliaceus"
] | C | Systemic steroids are not required in DH Dapsone is D.O.C. S/E of Dapsone: Hemolysis and Methemoglobinemia. | train | med_mcqa | null |
About lidocaine, all are true except : | [
"LA effect",
"Cardiac arrhythmia",
"Ester",
"Acts on mucous membranes"
] | C | C i.e. Ester | train | med_mcqa | null |
Tripod fracture is the name given for - | [
"Zygomatic fracture",
"Maxillary fracture",
"Mandibularfracture",
"Temporal fracture"
] | A | Ans. is 'a1 i.e., Zygomatic fracture o Zygoma fracture is also known as tripoid fracture.Clinical features of zygoma fractureo Considerable swelling over zygomatic arch is common and makes clinical diagnosis more difficult.o Flattening of malar prominence.o Step-deformit of infraorbital margin.o Anaesthesia in the dist... | train | med_mcqa | null |
Tibialis posterior is inseed in all the tarsal bones, except: | [
"Calcaneus",
"Intermediate cuneiform",
"Cuboid",
"Talus"
] | D | Talus | train | med_mcqa | null |
All of the following organs contain aneurysm in polyarteritis nodosa except ? | [
"Liver",
"Lung",
"Kidney",
"Pancreas"
] | B | null | train | med_mcqa | null |
Vinca alkaloids act on: | [
"G phase",
"S phase",
"Mitotic spindle",
"M phase"
] | C | Ans. C. Mitotic spindleVinca alkaloids are mitotic inhibitors. They disrupt the polymerization of microtubules. They inhibit the chromosomes to move apart and there is metaphase arrest. They are cell cycle specific and act on mitotic spindle. | train | med_mcqa | null |
Contraindication of local anaesthesia is | [
"Diabetes mellitus",
"Clotting disorder",
"Hypertension",
"Renal disease"
] | B | (Clotting disorders): Ref: 50. LB (199-B &L 25th)* Contraindication of LA are local infection and clotting disorders, Not only does local infiltration spread the infection, but local anaesthetic drugs are ineffective in condition of acidity as produced by infection. Local infiltration in the presence of a clotting diso... | train | med_mcqa | null |
Tuberculate macroconidia is characteristic of | [
"Darling's disease",
"Gilchrist's disease",
"Chicago disease",
"Desert rheumatism"
] | A | Tuberculate macroconidia seen in Histoplasmosis also called Darling's disease. | train | med_mcqa | null |
The MOST sensitive test to diagnose GERD is: | [
"24 hour ambulatory pH monitoring",
"Upper GI endoscopy",
"Basal acid output measurement",
"Bernstein test"
] | A | Gastroesophageal Reflux Disease (GERD) Classic symptoms of gastroesophageal reflux are - water brash and substernal heaburn. Endoscopy is a sensitive test for diagnosis of esophagitis but will miss nonerosive reflux disease (NERD) MUST KNOW: The most sensitive test for diagnosis is 24-h ambulatory pH monitoring. Ref: H... | train | med_mcqa | null |
Which of the following statements about Insulinoma is true: | [
"Present in Pancreas",
"Mostly malignant",
"Surgery is usually not required",
"Usually multiple"
] | A | Answer is A (Present in Pancreas): The most common site of Insulinomas is the Pancreas. | train | med_mcqa | null |
Causative particle in asbestosis is? | [
"Amphibole",
"Crysolite",
"Tridymite",
"Gristobalite"
] | A | Ans. (a) Amphibole(Ref: Robbins 9th/pg 689)Serpentine Q (M.C) and Amphibole Q (more pathogenic) as particles are asbestor particle associated with asbestosis. | train | med_mcqa | null |
Moderate increase in serum aminotransferases with ASTiALT > 3 is suggestive of | [
"Acute viral hepatitis",
"Prolonged hypotension",
"Alcoholic liver disease",
"Drug hepatotoxicity"
] | C | Ans. c (Alcoholic liver disease) (Ref: Harrison's Internal medicine 18th/Table 307-2)AST, ALTPredictors of alcoholic liver diseaseMild to moderate increaseMarked increaseAST> ALT= 2:1- suggestive.Fatty Liver pregnancyDrug-induced hepatitisAST > ALT = 3:1- Highly suggestive.Alcoholic liver diseaseCCFr GTP- Raised in all... | train | med_mcqa | null |
Which of the following statement are not related to pathogenesis of idiopathic pulmonary fibrosis? | [
"Smoking",
"Age less than 20 years",
"Loss of function mutation in TE and TERC gene",
"Mutations in genes encoding components of surfactant"
] | B | Idiopathic pulmonary fibrosis aka Cryptogenic fibrosing alveolitis It is characterized by recurrent alveolar epithelial injury. SMOKING is one of the most impoant etiological factor. Seen in patient more than 50 years It is also associated with altered activity of surfactant. Histopathological Hallmark -Usual interstit... | train | med_mcqa | null |
Widmark's formula is used for estimating ? | [
"Time since death",
"Stature of a person",
"Quantity of alcohol consumed",
"Time since infliction of injury"
] | C | Widmark evolved a formula which takes into account the size and sex of the person and the type of alcoholic liquor consumed. The formula is a = prc,where a, is weight of alcohol(in g)in the body,p,is the body weight(in kg);c, is the concentration of alcohol in the blood(in mg per kg);and r is a constant(0.6 for men and... | train | med_mcqa | null |
Long acting insulin preparations are frequently administered by: | [
"Oral route",
"Intramuscular route",
"Intradermal route",
"Subcutaneous route"
] | D | null | train | med_mcqa | null |
Thymoma with hypogammaglobulinemia is also known as: | [
"Goods syndrome",
"Capgras syndrome",
"Fregoli syndrome",
"Todd syndrome"
] | A | Thymoma with hypogammaglobulinemia : Good's syndrome. The Capgras syndrome is a disorder in which a person thinks that a friend, spouse, parent, or other close family member has been replaced by an identical impostor. Fregoli syndrome is the delusional belief that one or more familiar persons, usually persecutors follo... | train | med_mcqa | null |
24 hour normal fluid requirement for a one year old child weighing 8 kg is | [
"700 ml",
"800 ml",
"900 ml",
"1000 ml"
] | B | Ans: (b) 800 mlRef : OP Ghai 8th ed./73f 293The fluid requirement of children less than 10 kg is 100ml per kg of body weight. The preffered fluid shall be N/5 in 5% dextrose with added potassium for daily requirements. | train | med_mcqa | null |
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