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The adverse effect of clozapine -
A: Hypertension B: Sialorrhea C: Extrapyramidal S/E D: Neuroleptic malignant syndrome
Answer: B
Most common cause of death in criminal abortion is?
A: Hemorrhage B: Sepsis C: Air embolism D: Perforation
Answer: B
Most potent statin -
A: Simvastatin B: Pravastatin C: Rosuvastatin D: Simvastatin
Answer: C
Contraception of choice for a post paum village woman with one child :
A: Barrier B: Copper T C: Oral pills D: Spermicide
Answer: B
All of the following antifungal drugs inhibit ergosterol biosynthesis EXCEPT :
A: Ketoconazole B: Fluconazole C: Amphotericin B D: None of these
Answer: C
A 33-year-old male immigrant from Taiwan presents with increasing right upper quadrant (RUQ) pain. The pain is dull, and it does not radiate or change with eating. On examination the abdomen is soft, there is a mass in the RUQ, and no ascites is clinically detected. He has a prior history of hepatitis B. His laboratory investigations reveal hepatitis B surface antigen (HBsAg) positive, hepatitis B surface antibody (HBsAb) negative, aspartate amino transferase (AST) 60 U/L, alanine amino transferase (ALT) 72 U/L, and an elevated alpha-fetoprotein level. Which of the following is the most likely diagnosis?
A: hepatoma B: hepatocellular carcinoma (HCC) C: metastatic cancer D: hepatic hemangioma
Answer: B
Which of the following is not done before ABG?
A: Allen test B: Heparin to rinse the syring C: Flexion of wrist D: Poking the aery at 45 degrees angle
Answer: C
Focal lesion in liver is best detected by
A: MRI B: CT C: USG D: PET
Answer: A
Admixed high copper alloy powder contains
A: 9-20% copper B: 13-20% copper C: 9-30% copper D: 13-30% copper
Answer: A
A patient presents with LMP 8 weeks ago. She has history of delayed cycles in the past. Which of the following is the most accurate way of dating the pregnancy?
A: Determination of uterine size on pelvic examination B: Quantitative serum HCG level C: Crown-rump length on abdominal or vaginal ultrasound D: Determination of progesterone level along with serum HCG level
Answer: C
Pectinate line is an impoant landmark because?
A: It marks a divide in nerve supply B: It marks the location of change in type of epithelium C: It represents a lymphatic and venous divide D: All of the above
Answer: D
A lady used to repeatedly wash her hands due to the fear of acquiring AIDS is due to
A: OCD B: Mania C: Depression D: Anxiety
Answer: A
A 5-year-old boy is brought to the emergency room with a fever of 103degF (38.7degC), chest pain, and productive cough. The patient has a history of recurrent pulmonary disease and respiratory distress. What microorganism recovered from the lungs of this child is virtually diagnostic of cystic fibrosis?
A: Klebsiella sp. B: Legionnella sp. C: Pneumocystis sp. D: Pseudomonas sp.
Answer: D
Conduction velocity in AV node 8c SA node-
A: 0.05 meter/sec B: 0.5 meter/sec C: 1 meter/sec D: 5 meter/sec
Answer: A
Which of the following cells do Natural killer cells attack?
A: Cells which express MHC 1 B: Cells which are not able to express MHC 1 C: MHC cells which express MHC 2 D: Cells which are not able to express MHC
Answer: B
Continues scrutiny of factors that affect the occurence of a disease is -
A: Epidemiology B: Monitoring C: Surveillance D: Screening
Answer: C
Most common site of tear in Mallory-weiss syndrome is in
A: Upper esophagus B: Mid operation C: Lower esophagus D: Cardia stomach
Answer: D
A patient presented with 2 months history of increased ICP, with massive parietal edema, CT/MRI shows single and were circumscribed region lesion
A: Granuloma B: Metastases C: Glioblastoma D: All of the above
Answer: A
Incineration is done for waste category ?
A: Category 7 B: Category 9 C: Category 6 D: Category 5
Answer: C
Pathognomic factors involved in foot ulcers in DM include all, Except:
A: Trophic ulcers B: Neuropathy C: Microangiopathic changes in blood vessels D: Macroangiopathy
Answer: C
Finding on histopathological examination in liver in case of malaria is :
A: Microabscess formation B: Kupffer's cell hyperplasia with macrophage infiltration around periportal area laden with pigments. C: Non caseating granuloma D: Non specific finding of neutrophilic infiltratio
Answer: B
Which of the following is true about sickle cell red blood cells?
A: Stability B: Altered function C: Decreased oxygen carrying capacity D: Protective against adult malaria
Answer: D
Drug of choice for pneumocystis carinii ?
A: Cotrimoxazole B: Erythromycin C: Penicillin D: Metronidazole
Answer: A
A 26-year-old man is admitted through the casualty of the hospital for a heroin overdose. His hea rate is 45 beats/min, and his blood pressure is 75/40 mm Hg. Which of the following best depicts the results from an aerial blood sample?
A: pH 7.22, PaCO2 (mm Hg) 66, HCO3- (mEq/L) 26 B: pH 7.34, PaCO2 (mm Hg) 29, HCO3- (mEq/L) 15 C: pH 7.40, PaCO2 (mm Hg) 40, HCO3- (mEq/L) 24 D: pH 7.47, PaCO2 (mm Hg) 20, HCO3- (mEq/L) 14
Answer: A
Most common bone fracture in body is:
A: Radius B: Clavicle C: Femur D: Vertebra
Answer: B
Drug treatment for laryngeal stenosis is
A: Adriamycin B: Mitomycin C C: Cyclophosphamide D: Doxorubicin
Answer: B
A 40 year old presenting with dizziness on standing with systolic reduction of BP of 50mm Hg; appropriate treatment
A: Graded compression stockings B: Salbutamol C: Fludrocoisone D: b-blockers
Answer: A
WHO global programme for oral health targets for 2000 irtclude;
A: <2 DMFT at 12 years B: <3 DMFT at 12 years C: <4 DMFT at 12 years D: <5 DMFT at 12 years
Answer: B
A child aged 24 months was brought to the Primary Health Centre with complaints of cough and fever for the past 2 days. On examination, the child weighed 11kg, respiratory rate was 38 per minute, chest indrawing was present. The most appropriate line of management for this patient is ?
A: Classify as pneumonia and refer urgently to secondary level hospital B: Classify as pneumonia, sta antibiotics and advise to repo after 2 days C: Classify as severe pneumonia, sta antibiotics and refer urgently D: Classify as severe pneumonia and refer urgently
Answer: C
A 40-year-old female have a right hypochondriac pain. USG is taken. What is the inference?
A: Gall stone B: Cholecystitis C: Porcelain gall bladder D: Cholangiocarcinoma
Answer: A
Dentogingival unit comprises of
A: Gingival fibres B: Gingival fibres and junctional epithelium C: P.D. fibres and ligament D: None of the above
Answer: B
All of the following are known predisposing factors for Alzheimer's disease except :
A: Down-syndrome B: Low education level C: Smoking D: Female sex
Answer: C
Action of alpha subunit of G-protein is:
A: Binding of agonist B: Conversion of GDP to GTP C: Breakdown of GTP to GDP D: Internalization of receptors
Answer: C
A 50 year old with history of jaundice in the past has presented with right upper quadrant abdominal pain. Examination and investigations reveal chronic calculous cholecystitis. The liver functions tests are within normal limits and on ultrasound examination, the common bile ducts is not dilated. Which of the following will be the procedure of choice?
A: Laparoscopic cholecystectomy B: Open choledocholithotomy followed by laparoscopic cholecystectomy C: ERCP + choledocholithotomy followed by Laparoscopic cholecystectomy D: Laparoscopic cholecystectomy followed by ERCP + choledocholithotomy
Answer: A
Which muscle paralysis can cause ‘Winging of scapula’?
A: Serratus anterior B: Supraspinatus C: Teres minor D: Deltoid
Answer: A
True about proximal fragment In supratrochantric fracture is
A: Flexion B: Abduction C: External rotation D: All of the the above
Answer: D
The BEST method for teaching mothers about using ORS is:
A: Group discussion B: Demonstration C: Lecture D: Flannel graph
Answer: B
A female wanted to have an emergency contraception after an unprotected intercourse. Which of these is NOT useful as an emergency contraceptive?
A: LNG IUD B: Oral Mifepristone C: Oral Levonorgestrel D: Cu-containing IUD
Answer: A
A characteristic feature of Still's disease -
A: Prominent kidney involvement B: Rashes C: Positive Rheumatoid factor D: Neutropenia
Answer: B
Which of the following is false regarding endemic bladder stones?
A: Always associated with recurrence B: High incidence in cereal based diet C: Peak incidence in 3 years old children in India D: Most common type is ammonium urate or calcium oxalate
Answer: A
Which of the following is present normally in the urine of a pregnant women in the third trimester and lactation?
A: Glucose B: Lactose C: Galactose D: Fructose
Answer: A
All are major symptoms of sinusitis except ?
A: Nasal bluckage B: Facial congeion C: Nasal congestion D: Halitosis
Answer: D
Which of the following is the most widespread method of genetic transfer among bacteria?
A: Transformation B: Transduction C: Lysogenic conversion D: Conjugation
Answer: D
Which of the following is not an inflammatory mediator
A: Tumor necrosis factor B: Myeloperoxidase C: Interferons D: Interleukins
Answer: B
A drug given for metoclopramide induced dystonic reaction is :
A: Pheniramine B: Promethazine C: Chlorpromazine D: Prochlorperazine
Answer: B
Compared with cow's milk, mother's milk has more?
A: Lactose B: Vitamin D C: Proteins D: Fat
Answer: A
When pulp cannot be extirpated in narrow canals, which of the following can be used
A: Obtundant B: Astringent C: Haemostatic D: Mummifying agent
Answer: D
A man presented with persistent ear pain and discharge, retro-orbital pain and modified radical mastoidectomy was done to him. Patient comes back with persistent discharge, what is your diagnosis?
A: Diffuse serous labyrinthitis B: Purulent labyrinthitis C: Petrositis D: Latent mastoiditis
Answer: C
Child presents with linear verrucous plaques on the trunk with vacuolisation of keratinocytes in S.Spinosum and S.Granulosum. Diagnosis is ?
A: Incontinenta pigmenti B: Delayed hypersensitivity reaction C: Verrucous epidermal nevus D: Linear darriers disease
Answer: C
A swelling behind the ear suggest fracture of:
A: Zygomatic complex B: Temporal bone C: Orbital floor fracture D: Condylar fracture
Answer: D
Best test to detect pneumoperitoneum is:
A: Chest X-ray B: X-ray abdomen in supine position C: X-ray abdomen in supine position D: X-ray abdomen in lateral decubitus
Answer: D
In the intraepthielial region of the mucosa of intestine the predominant cell population is that of
A: B cell B: T cell C: Plasma cells D: Basopils
Answer: B
Terry Thomas sign is seen in
A: Keinbock's disease B: Carpal dislocation C: Calcaneal disorder D: Hip trauma
Answer: B
The basic reason for "reperfusion injury" to the myocardium is:
A: Generation of free radicals B: Extension of the ischemic zone C: Increased ICF D: Increased ECF
Answer: C
The maxillary teeth which have single antagonist are:
A: Lateral incisors B: Permanent canines C: Permanent central incisors D: Third molars
Answer: D
A 5-year-old girl is brought to the physician after her parents noticed red blood in her stool. Physical examination reveals mucocutaneous pigmentation. Small bowel radiography discloses multiple, small- to medium-sized polyps that are diagnosed pathologically as hamartomas. Which of the following is the most likely diagnosis?
A: Congenital teratoma B: Hyperplastic polyp C: Peutz-Jeghers polyp D: Tubular adenoma
Answer: C
First indices to change in iron deficiency anemia is -
A: S. Iron B: Total iron binding capacity C: S. Ferritin D: S. Haemoglobin concentration
Answer: C
Which of the following is associated with the disease pathology seen in this child?
A: Leg length discrepancy B: Airway involvement C: Glaucoma D: Growth hormone deficiency
Answer: C
Self etching primers
A: Simultaneously etch and prime dentin and enamel B: Etches enamel only C: Only bonds to enamel D: Only removes smear layer
Answer: A
Patient came with hydrops and scarring of cornea. What would be the treatment modality you would opt for him:
A: Penetrating Keratoplasty B: Endothelial lamellar Keratoplasty C: Deep anterior lamellar keratoplasty D: Collagen cross linking
Answer: A
Incubation period of Mumps -
A: 4-5 days B: 7-15 days C: 12-24 days D: 50 days
Answer: C
Drainage of venous blood from testes following division of testicular vein for treatment of varicocele is by: March 2009
A: Cremasteric vein B: Dorsal vein of penis C: Internal pudendal vein D: Pampiniform plexus
Answer: A
In Moore's classification of omphalocole (examphalos), type I umbilical defect is less than ________ cm.
A: 0.5 B: 2.5 C: 3.5 D: 4.5
Answer: B
A patient with fibrous dysplasia can be treated by
A: Surgical excision B: Removal of adjacent teeth C: Irradiation of the Lesion D: Conservative surgery
Answer: D
Lyme disease is transmitted by -
A: Rat flea B: Tick C: Mite D: None
Answer: B
A 35-year-old woman, on hemodialysis for chronic renal disease, complains of pain in the hands. On examination, the joints are normal with no inflammation or tenderness on palpation. Lab values reveal a low calcium, high phosphate, and high PTH level. What is the most likely diagnosis? (See Figure below.)
A: scleroderma B: gout C: secondary hyperparathyroidism D: pseudogout
Answer: C
Hyaline in islets of Langerhans resemble -
A: Mucin B: Amyloid C: Glycolipid D: Phospholipid
Answer: B
Emphysema aquosum is associated with?
A: Dry drowning B: Wet drowning C: Immersion syndrome D: Secondary drowning
Answer: B
Fosphenytoin different from phenytoin in which of the following-
A: Can be used in absence seizures B: Can be mixed with saline C: Can be given orally D: It is the drug of choice for myoclonic seizures
Answer: B
Macrocytic anemia is seen in all EXCEPT -
A: Vitamin B12 deficiency B: Hemolytic anemia C: Post hemorrhagic anemia D: Anemia of chronic disease
Answer: C
Chyluria is due to-
A: Carcinoma B: Tuberculosis C: Filaria D: Malaria
Answer: C
Which of the following is true about pathophysiology of skeletal fluorosis?
A: Fluorine increases PTH levels by direct action B: Fluoroappatite crystals are resistant to osteoclasts C: Fluorine decreases vitamin D levels D: Fluorine erodes bone, thereby decreasing bone density
Answer: B
Patient is on Autocoids for 1 year now complains of severe pain Epigastrium relieved by antacid drugs. He complaints of Right Iliac fossa pain and loss of liver dullness. Diagnosis is:
A: Perforation of duodenum B: Diverticulitis C: Gastroenteritis D: Enteric perforation
Answer: A
Upon contact between the sperm head and the zona pellucida, penetration of the sperm into the egg is allowed because of
A: The acrosome reaction B: The zona reaction C: The perivitelline space D: Pronuclei formation
Answer: A
A person switches from high fat diet to low fat diet with compensatory increase in carbohydrates to maintain the same calories. Which of the following fat component will be increased ?
A: Chylomicron B: VLDL C: IDL D: HDL
Answer: B
G-cells are present mostly in- G-cells are present mostly in-
A: Fundus B: Cardia C: Pyloric antrum D: Body
Answer: C
Which type of cells are prominently infiltrated in Rheumatoid arthritis?
A: B cells B: T-cells C: NK-cells D: Both B & T Cells
Answer: B
Most common cause of isolated splenic metastasis is:
A: Carcinoma pancreas B: Carcinoma stomach C: Carcinoma ovary D: Carcinoma cervix
Answer: C
Cellular oxidation is inhibited by :
A: Cyanide B: Carbon dioxide C: Chocolate D: Carbonated beverages
Answer: A
Which of the following includes the contents of the orbit
A: Orbital and bulbar fascia B: Abducent nerve C: Superior Ophthalmic Veins D: All of the Above
Answer: D
Pulse pressure in severe aoic regurgitation is equal to-
A: 30-45mmHg B: 45-60mmHg C: 60-75 mmHg D: 75-90 mm Hg
Answer: D
Transplacental exchanges that take place are essential to the well being of the fetus. Which of those listed below is NOT a method?
A: Simple diffusion B: Active transpo C: Endocytosis D: Exocytosis
Answer: D
Superficial inguinal lymph nodes drain from all of the following except:
A: Urethra B: Anal canal below the pectinate line C: Glans penis D: Perineum
Answer: C
Which of the following anticancer drug can cause flagellated dermatitis?
A: Cisplatin B: L-asparginase C: Doxorubicin D: Bleomycin
Answer: D
Hypoplastic defects in permanent central and lateral incisors are likely to result due to severe illness or other factors during:
A: First nine months of life B: First two years of life C: First month of life D: Two or three years of life
Answer: A
The commonest cranial nerve involved in acoustic neuroma is:
A: IX B: VI C: VIII D: X
Answer: C
The first case introduced into the population group to be studied is called:
A: Index case B: Primary case C: Initial case D: Reference case
Answer: B
Long thyroid stimulating agent is
A: Antibody to thyroid globulin B: Antibody to thyroid cell receptors C: Antibody to thyroxine D: Antibody to thyroid cells
Answer: B
Pungent volatile anesthetic agents are:
A: Halthane B: Isoflurane C: Sevoflurane D: Desflurane
Answer: B
What are the minimum and maximum possible values of Glasgow Coma Score?
A: Minimum = 3, Maximum = 15 B: Minimum = 0, Maximum = 13 C: Minimum = 0, Maximum = 15 D: Minimum = 3, Maximum = 18
Answer: A
Iron is absorbed in: March 2012
A: Stomach B: Duodenum C: Ileum D: Duodenum + Jejunum
Answer: B
Falanga is -
A: Suspension by wrist B: Beating of feet C: Placing electric wires in vagina D: Clamping of thighs between bamboos
Answer: B
The most ideal explanation for recurrence of odontogenic keratocyst is
A: Increased mitotic activity of the epithelial lining B: Friability of the epithelial lining C: Presence of satellite cysts or daughter cysts D: Continued proliferation of rests of dental lamina
Answer: C
Cognitive model of depression is given by ?
A: Ellis B: Beck C: Godfrey D: Meicheinbanon
Answer: B
A 22 years old man presents with a solitary 2 cm space occupying lesion of mixed echogenecity in the right lobe of the liver on USG. The rest of the liver is normal. Which of the following test should be done next?
A: Ultrasound guided biopsy of the lesion B: Hepatic scintigraphy C: Hepatic angiography D: Contrast enhanced CT scan of the liver
Answer: B
Dye used for myelography
A: Conray 320 B: Myodil C: Dianosil D: Iopaoic acid
Answer: B
Which is NOT pyrogenic Interleukin
A: IL-1 B: TNF-a C: IL-4 D: IL-6
Answer: C
A 45-year old male presented with severe respiratory distress. O/E he had pedal edema, bilateral crepitation on auscultation. He was admitted to emergency department and expired 2 days of admission. Lung biopsy done suggested the following. What is your diagnosis?
A: CMV pneumonitis B: Small cell Ca lung C: Tuberculosis D: Heart failure cells
Answer: D
Murder is.............. offence.
A: Cognizable, non-compoundable and non-bailable B: Cognizable, compoundable and bailable C: Non-cognizable, non-compoundable and non-bailable D: Non-cognizable, compoundable and bailable
Answer: A
In stage III ovarian cancer patient with upper abdominal disease < 5cm, management of choice is
A: Debulking surgery B: Mantle cell irradiation C: Abdomino-pelvic radiotherapy D: Neo-adjuvant chemotherapy
Answer: A