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-1
2
Hyalin emembrane disease presents as
[ "Pulmonary edema", "Hea failure", "Acute respiratory distress syndrome", "Pulmonary embolism" ]
1
Secondary active transport true is -
[ "Occurs only in same direction", "Occurs only in opposite direction", "Uses ATP molecule", "No carrier required" ]
1
Which muscleft is the chief mover of the mandible towards the left
[ "Left medial pterygoid", "Left lateral pterygoid", "Right medial pterygoid", "Right lateral pterygoid" ]
2
Bilateral rib notching is seen in –
[ "Coarctation of aorta", "PDA", "TAPVC", "All of the above" ]
-1
A gallstone gets impacted most commonly in which pa of common bile duct
[ "Supra duodenal", "Retro duodenal", "Ampulla of vater", "Common hepatic duct" ]
1
Which of the following is the order of activation after stimulation of Purkinje fibers is
[ "Septum β†’ Endocardium β†’ Epicardium", "Endocardium β†’ Septum β†’ Epicardium", "Epicardium β†’ Septum β†’ Endocardium", "Septum β†’ Epicardium β†’ Endocardium" ]
-1
Bariatric surgical procedures include
[ "Gastric Banding", "Gastric Bypass", "Biliopancreatic diversion", "Ileal Transposition" ]
2
The colorless or transparent pit and fissure sealants are usually
[ "Indicated only in case of rampant caries", "Accepted even though retention is limited", "Limited to buccal pits", "Indicated only before six years of age" ]
0
Which one of the following factors is labelled as cytokine in the pathogenesis of systemic inflammatory response syndrome (SIRS) ?
[ "Nitric oxide", "Complements", "Leukotrienes", "Tumor Necrosis factor" ]
2
Hypeonic urine is excreted due to absorption of water in:
[ "Collecting ducts", "DCT", "Ascending pa of loop of Henley", "Descending pa of loop of Henley" ]
-1
Impotent female is having -
[ "Gonadal dysgenesis", "Hermaphrodits", "Vaginismus", "Absence of ovary" ]
1
Which among the following causes Malta fever?
[ "Treponema pallidum", "Borrelia burgdorferi", "Brucella melitensis", "Pseudomonas aeruginosa" ]
1
Rupture of the carotid artery in the neck region. Which of the following site pressure is applied
[ "C3 vertebra", "C4vertebr", "C5 vertebra", "C6 vertebra" ]
2
Daily maintanence fluid for a child weighing 10 kg is:
[ "1000 ml/day", "800 ml/day", "500 ml/day", "1200 ml/day" ]
-1
Soft markers on ultrasonography are helpful in diagnosing?
[ "Fetal age", "Chromosomal anomalies", "Fetal size", "Site of pregnancy" ]
0
Baby born to DM have following except :
[ "Hypercalcemia", "Hypokalemia", "Hypoglycemia", "Obesity" ]
-1
Oblitration of left cardiac shadow on PA view is due to:
[ "Lingular lesion", "Left hilar lymphadenopathy", "Left lower lobe lesion", "Left upper apical lobe lesion" ]
-1
There is spontaneous rupture of the Achilles tendon in an 18 year old male. It is most likely to be due to excess stress beyond -
[ "Tendon strength", "Bone strength", "Muscle strength", "Musculotendinous junction strength" ]
-1
A 10 month of child weighing 8kg has bitot spots in both eyes. Which of the following is the most appropriate schedule to prescribed vitamin A to this child -
[ "2 lakh units intramuscular (IM) on day 0, 14", "1 lakh units IM on day 0,14", "2 lakh units on day 0, 1 and 14", "1 lakh units on day 0, 1 and 14" ]
2
All of the following drugs alter calcium hemostasis except-
[ "Flouride", "Indomethacin", "Mithramycin", "Thiazides" ]
0
Epornithic is outbreak of disease among?
[ "Animal", "Birds", "Reptiles", "Human" ]
0
Which of the following is NOT an adverse effect of cyclosporine?
[ "Hirsutism", "Nephrotoxicity", "Hypeension", "Hypoglycemia" ]
2
Epithelium of cornea is
[ "Stratified squamous non Keratinizing", "Stratified squamous Keratinizing", "Collumnar Keratinized", "Collumnar non Keratinized" ]
-1
Ligamentum teres is:
[ "Remnant of ductus aeriosus", "Remnant of umbilical vein", "Remnant if ductus venosus", "Remnant of umbilical aery" ]
0
Structures passing through obturator foramen are all except -
[ "Obturator nerve", "Obturator aery", "Obturator vein", "Internal pudendal vessels" ]
2
The Earliest sign of male pubey is
[ "Pubic hair", "Axillary hair", "Hoarseness of voice", "Testicular enlargement" ]
2
Mechanism of action of Tetanospasmin:-
[ "Inhibition of GABA release", "Inhibition cAMP", "Inactivation of Ach receptors", "Inhibition of cGMP" ]
-1
Characteristic radiological feature of fibrous dysplasia-
[ "Thickened bone matrix", "Coical erosion", "Ground glass appearance", "Bone enlargement" ]
1
A 9-year-old girl presents for evaluation of regular vaginal bleeding. History reveals the thelarche at the age of 7 years and adrenarche at the age of 8 years. The most common cause of this condition in girls is:
[ "Idiopathic", "Gonadal tumors", "McCune-Albright syndrome", "Hypothyroidism" ]
-1
Frameshift mutation occurs due to:
[ "Transition", "Transversion", "Inseion", "Point mutation" ]
1
Not controlled directly by ACTH-
[ "Glucocorticoids", "Aldosterone", "DHEA", "Epinephrine" ]
2
True about berry-aneurysm is following except ?
[ "Associated with familial syndrome", "Most common site of rupture is apex which causes SAH", "Wall contains smooth muscle fibroblasts", "90% occurs at ant. pa of circulation at branching point" ]
1
Earliest clinical indicator of sodium loss is
[ "Altered sensorium", "Reduced skin turgor", "Arrhythmia", "Orthostatic hypertension" ]
-1
Feature(s) of Allergic conjunctivitis is/are all except:
[ "Itching", "Papillary'hyperplasia", "Presence of abundant eosinophils in the discharge", "Usually present throughout year" ]
2
The combination of alcohol and disulfiram results in nausea and hypotension as a result of accumulation of:
[ "Acetaldehyde", "Acetate", "Methanol", "NADH" ]
-1
Possible contra indications for periapical surgery are
[ "Controlled diabetis mellitus", "The danger of damage to adjacent structures", "A history of rheumatic fever", "Congenital heart disease" ]
0
Lymph node biopsy of an AIDS patient shows: March 2009
[ "Wahin-Finkeldey cells", "Marked follicular hyperplasia", "'Moth-eaten appearance'", "All of the above" ]
2
In oesophageal ca which Neoadjuvant chemotherapy is used -
[ "Cisplatin", "Cyclophosphamide", "Doxorubicin", "Methotrexate" ]
-1
Choriocarcinoma commonly metastasize to: a.Brain b. Lung c. Vagina d. Ovary e. Cervix
[ "ab", "bc", "cd", "de" ]
0
In burns least useful is
[ "Normal saline", "Blood", "Dextran", "Ringer lactate" ]
0
Alpha 1 antitrypsin deficiency is associated with-
[ "Panacinar-emphysema", "Centriacinar-emphysema", "Paraseptal-emphysema", "Irregular-emphysema" ]
-1
Blocking out undercuts in cavity preparation for CAD/CAM inlay is carried out by:
[ "Dentist after final cavity preparation stage", "Laboratory technician before wax pattern preparation", "The system automatically during the optical impression", "Dentist in the wax preparation" ]
-1
Sternocleidomastoid is supplied by all of the following aeries, EXCEPT?
[ "Occipital", "Posterior auricular", "Thyrocervical trunk", "Superior thyroid" ]
0
Stereognosis will be lost in the lesion of:
[ "Fasciculus gracilis", "Fasciculus cuneatus", "Anterior spinothalamic tract", "Lateral spinothalamic tract" ]
0
Lateral boundary of cubital fossa is formed by:
[ "Brachioradialis", "Pronator teres", "Brachialis", "Biceps" ]
-1
Second gas effect is seen with -
[ "Ether", "Nitrous oxide", "Desflurane", "Sevoflurane" ]
0
Elastic cartilage is present in-
[ "Thyroid cartilage", "Epiglottis", "Cricoid", "Arytenoid cartilage" ]
0
Example of electrical synapse:
[ "Tight junction", "Gap junctions", "Anchoring junction", "Neuromuscular junction" ]
0
All are medically important streptococci except -
[ "Strep. pyogenes", "Strep. agalactiae", "Strep. equisimilis", "Strep. salivarius" ]
2
True about meningiomas-
[ "More common in men", "50% are malignant", "95% cure rate following treatment", "Arise from arachnoid layer" ]
1
A 52-year-old alcoholic notices a skin rash on his chest, and also has symptoms of diarrhea and abdominal pain. On examination, he has a scaly and pigmented rash on the sun-exposed areas of his skin, the abdomen is soft, and his short-term memory is impaired. He has dermatitis, diarrhea, and dementia syndrome.For the patient with vitamin deficiency or excess, select the most likely diagnosis
[ "niacin", "thiamine", "pyridoxine", "vitamin C" ]
-1
The transmembrane adhesive molecules present in hemi desmosomes which specifically binds to basal lamina glycoprotein laminin are
[ "integrin Ξ±6-Ξ²4", "the catenins desmoplakin", "cadherins desmoglein", "Ξ± and Ξ² catenin" ]
-1
Tarsometatarsal amputation and Intertarsal amputation known as respectively,
[ "Lisfranc and Pirogoff", "Lisfranc and Chopart", "Chopart and Lisfranc", "Chopart and Pirogoff" ]
0
A 19-year-old man presents to the clinic complaining of early fatigue and muscle cramps while playing sports. He is fine when walking or doing less intense levels of work. On physical examination, he appears well and the vital signs are normal. Muscle bulk, tone and strength in the proximal muscles are normal. There is no muscle fatigue with repetitive arm grip exercises. After an exercise stress test, his serum creatine kinase (CK) is elevated and lactate level is normal. Which of the following is the most likely diagnosis?
[ "Gaucher disease", "Tay-Sachs disease", "McArdle disease (glycogen storage disease)", "hemochromatosis" ]
1
A 36-year-old lady presents with a 20 yrs duration fluctuant and translucent swelling on right side of her neck. No other history available. No other findings on examination of neck. What is the most probable diagnosis?
[ "Lymph cyst", "Lymph node", "Colloid nodule", "Cold abscess" ]
-1
Tumorogenesis in aging is due to -
[ "Telomerase reactivation", "Telomerase inactivation", "Increased apoptosis", "Suppression of proto-oncogenes" ]
-1
All are true regarding typhoid ulcer EXCEPT: September 2012
[ "Ileum is the common site", "Bleeding is common", "Stricture is usual and causes obstruction", "Perforation is common" ]
1
All are true regarding paroxysmal nocturnal haemoglobinuria, except-
[ "Haemosiderinuria", "Pancytopenia", "Increased alkaline phosphatase", "Cellular marrow" ]
1
The lesion listed below that would most likely pursue a benign course is :-
[ "Vaginal adenosis", "Adenomyosis", "Extramammary Paget's disease", "Endometrial hyperplasia" ]
0
Chromophobe variant of renal cell carcinoma is associated with -
[ "VHL gene mutations", "Trisomy of 7 and 17 (+7, +17)", "3 p deletions (3p-)", "Monosomy of 1 and Y (-1, -Y)" ]
2
Canakinumab is a monoclonal antibody against:
[ "IL-1", "IL-2", "IL-5", "IL-6" ]
-1
Minimum amount of GI bleed to cause malena is
[ "10 ml", "40 ml", "60 ml", "115 ml" ]
1
Sympathetic innervation of heart is by -
[ "T1-T3", "T1 - T5", "c) T3-T7", "L1 - L5" ]
0
All of the following can induce methemoglobinemia EXCEPT:
[ "Nitroglycerine", "Procaine", "Prilocaine", "Phenytoin" ]
2
Kamli Rani, 75-years -old woman present with post myocardial infarction after 6 weeks mild CHF. There was past H/O neck surgery for parathyroid adenoma 5 years ago, ECG shows slow atrial fibrillation. Serum Ca2+ 13.0 mg/L and urinary Ca2+ is 300 mg/24 hr. On examination there is small mass in the Para tracheal position behind the right clavicle. Appropriate management at this time is:
[ "Repeat neck surgery", "Treatment with technetium-99", "Observation and repeat serum Ca2+ in two months", "Ultrasound-guided alcohol injection of the mass" ]
2
True regarding multiple myeloma is all, EXCEPT-
[ "Bone pain", "Lytic lesions", "Increased alkaline phosphatase", "Tarterate resistance, acid phosphatase positive" ]
1
All are true for transplanted kidney except
[ "Humoral antibody responsible for rejection", "CMI is responsible for rejection", "Previous blood transfusion", "HLA identity similarity seen in 1:100 people" ]
2
Non-coding RNAs are
[ "siRNA", "miRNA", "tRNA", "mRNA" ]
-1
'Brush burns' are synonymous with
[ "Graze abrasion", "Scalds", "Electrical injury", "Injury by a brush" ]
-1
Cervical cone biopsy in a case of carcinoma cervix causes all, except :
[ "Bleeding", "Cervical stenosis", "Infection", "Spread of malignancy" ]
2
A 57-year-old man arrives at the emergency room complaining of weakness, fatigue, and intermittent fever that has recurred for several weeks. The patient had a cardiac valvular prosthesis implanted 5 years ago. Blood cultures grew ceain gram-positive cocci on which catalase and coagulase test were done. The gram-positive organisms failed to ferment mannitol, and their growth was inhibited by novobiocin. CATALASE TEST SLIDE COAGULASE TEST Lesions seen on skin What is the most likely infectious agent?
[ "Staphylococcus aureus", "Staphylococcus epidermidis", "Staphylococcus saprophyticus", "Streptococcus viridans" ]
0
A patient aged 63 years, is diagnosed to have severe aplastic anemia. HLA compatible sibling is available. The best option of treatment is :
[ "Anti-thymocyte globulin followed by cyclosporine", "A conventional bone marrow transplantation from the HLA identical sibling", "A non-myeloablative bone marrow transplantation from the HLA identical sibling", "Cyclosporine" ]
-1
Cobblestone appearance is seen in
[ "Spring Catarrh", "Viral conjunctivitis", "Bacterial conjunctivitis", "Phlyctenular conjunctivitis" ]
-1
Not a molecular motor:
[ "Kinesin", "Dynein", "Actin", "Myosin" ]
1
True about anaplastic thyroid carcinoma:a) Common in elderlyb) Well encapsulatedc) Will not invade surrounding structuresd) Distant metastasis commone) Some degree of differentiation to Papillary and Follicular types seen
[ "acd", "bde", "ade", "ad" ]
1
Recommended Dietary allowance in pregnancy are -
[ "+100-300 cal", "35 mg Iron", "4 mg folic acid", "2500 mg Mg" ]
0
Which of the following is not a feature of chronic tonsillitis?
[ "Fever", "Halitosis", "Recurrent attacks of sore throat", "Choking spells at night" ]
-1
Which of the following muscle relaxants causes maximal pain on injection –
[ "Succinyl choline", "Vecuronium", "Rocuronium", "Cistracurium" ]
1
Steroids are indicated in all of the following forms of tuberculosis except:
[ "Meningitis", "Pericarditis", "Ileo-caecal tuberculosis", "Adrenal involvement" ]
1
Which of the following is false about viral thyroditis?
[ "Self limiting", "Painful", "Initial hypothyroid state", "Raised ESR" ]
1
Expansible pulsating secondary metastasis is a feature of
[ "Basal cell carcinoma", "Renal cell carcinoma", "Osteogenic sarcoma", "Carcinoma prostate" ]
0
Most common cause of bleeding for massive hemothorax in blunt trauma to chest is from
[ "Intercostal vessels", "Bronchial vessels", "Pulmonary vessels", "Internal mammary aery" ]
-1
The main clinical significance of sliding type hiatus hernia is:
[ "Propensity for GERD", "High risk of barrett's esophagus", "High chance for dieulafoy's lesion", "Dysphagia is common" ]
-1
The fascia of Denonvilliers -
[ "Membranous layer of fascia of the thigh", "Perirenal fascia", "Fascia between the rectal ampulla and the prostate and the seminal vesicles", "Posterior layer of perirenal fascia" ]
1
How many items are there in Mini mental state examination (MMSE)?
[ "10", "15", "20", "30" ]
2
Accidental from a needle stick, an unknown quantity of blood from an AIDS patient is injected into a nurse, lab reports of the patient show CD4 count 20/microL and a viral RNA load of more than 10^7copies/ml. What action should be taken regarding the treatment of the nurse
[ "Monitor the nurse's blood to determine whether HIV transmission has occurred or not.", "Treat with full doses of zidovudine for 2weeks.", "Add acyclovir to the 4weeks zidovudine regimen", "Administer zidovudine with lamivudine for 4weeks." ]
2
According to Lecompte (1987), the following are the recommendations for topical application of high potency fluoride products EXCEPT-
[ "No more than 2 g of gel per tray or approximately 40% of tray capacity should be dispensed.", "The use of a saliva ejector during the procedure is recommended.", "Following the procedure, the patient should be instructed not to expectorate.", "When utilizing custom individually fitted trays, utilize only 5-10 drops of products per tray." ]
1
Ion required for exocytosis is -
[ "Potassium", "Sodium", "Calcium", "Magnesium" ]
1
Essential radiological feature of acute mastoiditis is:
[ "Temporal bone pneumatization", "Clouding of air cells of mastoid", "Rarefaction of petrous bone", "Thickening of temporal bone" ]
0
All the following are features of Wilson's disease except:
[ "Increased copper content in liver", "Increased ceruloplasmin", "Mental changes", "Features of chronic active hepatitis" ]
0
Pelvic exentration is known as ?
[ "Miles Operation", "Lyods operation", "Finch operation", "Brunshwings operation" ]
2
Seen in a fresh dead body, which of the following features is suggestive of antemortem drowning?
[ "Fine leathery forth", "Thick mucoid forth", "Blood stained forth", "Any of the above" ]
-1
What is the latest reference to body length in ICD-10 to call it perinatal moality rate?
[ "28cm", "30cm", "35cm", "38cm" ]
1
Palpatory thud audible slap is seen in:
[ "Tracheal foreign body", "Bronchial foregion body", "Laryngeal foreign body", "None" ]
-1
An example for primary prevention of dental diseases is:
[ "Scaling & polishing and filling", "Extractions, RCT and periodontal surgeries", "Wearing gloves and sterilization of the instruments", "Replacements of Lost teeth and orthodontic treatments" ]
1
Pseudogestational sac is seen in
[ "Missed aboion", "Threatened aboion", "Inevitable aboion", "Ectopic pregnancy" ]
2
A 50 years old patient presented to the skin OPD with erythematous scaly plaques over trunk and extremities for last l0 years. Lesions are occasionally itchy. There is history of remission and relapse with exacerbation during winters. Most likely diagnosis is?
[ "Lichen planus", "Psoriasis vulgaris", "Pityriasis rosea", "Seborrhic dermatitis" ]
0
Child with primary amenorrhoea with negative progesterone challenge test but positive combined progesterone and estrogen test. Diagnosis may be :
[ "Mullerian agenesis", "PCOSD", "Asherman syndrome", "Prolactinoma" ]
2
The average whey/casein ratio in breast milk is:
[ "60:40:00", "80:20:00", "0.888888889", "40:60" ]
-1
All of the following agents act by intracellular receptors EXCEPT:
[ "Thyroid hormones", "Vitamin D", "Insulin", "Steroids" ]
1