Sunday, 7 June 2020

Mcq part 10





Q.Narrowband UVB is effective for psoriasis and can be used in pregnancy and in childhood. It is also less carcinogenic than PUVA. The wavelength of narrowband UVB is:
A. 311-312nm
B. 315-317nm
C. 300-302nm
D. 318-320nm
E. 317-319nm

ANS: A

Q.Fluorescent UVA bulbs used for phototesting or PUVA therapy have a peak emission at:
A. 254 nm
B. 311 nm
C. 312 nm
D. 352 nm
E. 468 nm

ANS: D

Q.What bacteria may play a role in the pathogenesis of Morphea?
A. B. burgdorferi
B. H. pylori
C. E. coli
D. S. aureus
E. S. enteritidis

ANS: A

Q.Which HLA type is more commonly associated with balnitis circinata ?
A. HLA-B7
B. HLA-B15
C. HLA-B27
D. HLA-B51
E. HLA-DR4

ANS: C

Q.Human orf, also known as ecthyma contagiosum, was diagnosed in a 43 year old farmer by an astute resident dermatologist. Patient presented with a dome shaped, firm bulla with an umbilicated crust. Which of the following virus is responsible?
A. Pox virus
B. HHV-8
C. Parapox virus
D. HPV 5,8
E. Mycobacterium bovis

ANS: C

Q.A child presents with a 1 cm yellow-red nodule on the face. Pathology shows Touton giant cells.
What is the most frequent site of extracutaneous involvement in this disease?
A. Eye
B. Lung
C. Bone
D. CNS
E. Visceral

ANS: A

Q.Mast cells are derived from bone marrow ____+ cells?
A. CD3
B. CD6
C. CD20
D. CD34
E. CD68

ANS: D

Q.Sebaceous glands:
A. Respond to chemical stimuli such as hormones
B. Respond to cholinergic neural activity, exclusively
C. Respond to adrenergic neural activity, exclusively
D. Respond to both adrenergic and cholinergic stimuli
E. Respond to the local release of cytokines from inflammatory cells

ANS: A

Q.Retinoids upregulate transcription of which types of collagen?
A. 1 and 3
B. 1 and 4
C. 1 and 7
D. 3 and 7
E. 4 and 7

ANS: C

Q.Defects in what kind of structural protein lead to pyloric atresia associated with junctional
epidermolysis bullosa:
A. Collagen
B. Elastin
C. Loricrin
D. Integrin
E. Plectin

ANS: D

Q.Meibomian glands are:
A. Eccrine glands localized to the vermillion
border of the lips
B. Sebaceous glands found on the areola of the
breast
C. Sebaceous glands found on the eyelids
D. Apocrine glands found in the anogenital
regions

ANS: C


Q.Length of cochlea is
A.30 mmm
B.20 mm
C.10 mm
D.5 mm

ANS: A

Q.Bony labrynth ossified from how many centers
A.14
B.13
C.12
D .10

ANS: A

Q.Which of the following are seen in fracture temporal bone
A.racoon sign
B.battle sign
C.hemotympanum
D all

ANS: A

Q.AURICLE develops from
A. 1st arch
B. 2nd arch
C. Both
D. All pharyngeal arches

ANS: C

Q.Buttock sign is seen in
A. Congenital aural atresia sx
B. Cochlear implant sx
C. Acoustic neuroma sx
D. Glomus jugulare sx

ANS: A

Q.Tt of choice for AFRS?
A. STEROIDS
B. SX
C. ANTIFUNGAL
D. ANTIHISTAMINES

ANS: B

Q.What is criteria used for AFRS
A. BENT AND KUHN CRITERIA
B. SCHFERDOUSERS CRITERIA
C. DENDY CRITERIA
D. ALL

ANS: A

Thursday, 4 June 2020

Mcq part 9




  • Q.All of the following can be seen in trachoma except
  • A)follicular conjunctivitis
  • B)Taranta‘s spots
  • C)Herbert‘s pits
  • D)conjunctival scarring

  • ANS:B 

  • Q.Superior tarsal muscle is supplied by the :
  • A)Third cranial nerve
  • B)Sympathetic nerve fibres
  • C)Parasympathetic nerve fibres
  • D)Seventh cranial nerve

  • ANS: B 

  • Q.Sceleral buckling is done in
  • A)Proliferative diabetic retinopathy
  • B)Retina detachment
  • C)Retinal edema
  • D)Retinal hemorrhage

  • ANS: B 

  • Q.Earliest finding in diabetic retinopathy is
  • A)Micro aneurysm
  • B)Macro aneurysm
  • C)Both of above
  • D)None of above

  • ANS: A 

  • Q.Major complication of trachoma that can cause blinding is
  • A)Follicles formation
  • B)Corneal scaring and entropion
  • C)Papillary hypertrophy
  • D)Corneal scaring and ectropion

  • ANS: B 

  • Q.Glaucoma mainly involves
  • A)Central 30 degree field loss
  • B)Central 60 degree field loss
  • C)Peripheral 30 degree field loss
  • D)Peripheral 60 degree field loss

  • ANS: A 

  • Q.Bence-jones protein is a type of:
  • A)heavy chain protein
  • B)delta protein
  • C)light chain protein
  • D)gamma protein

  • ANS: C

  • Q.Age-sex trend in population can be shown by:
  • A)histogram
  • B)population pyramid
  • C)percentage
  • D)graph 

  • ANS: B

  • Q.What is the significant bacterial count in a urine sample obtained from suprapubic puncture?
  • A)> 1000/hpf
  • B)> 100/hpf
  • C)> 10/hpf
  • D)single cell/hpf 

  • ANS: D

  • Q.What is the major constituent of sewage?
  • A)Inorganic waste
  • B)H2O
  • C)nitrogenous waste
  • D)NO2

  • ANS: B 

  • Q.Enzymatic digestion is seen in : 
  • A)coagulation necrosis
  • B)liquefaction necrosis
  • C)fat necrosis
  • D)none

  • ANS: A

  • Q.If in a family one of the parents died or left the family, then it is: 
  • A)family problem
  • B)single parent family
  • C)broken family
  • D)all 

  • ANS: C

  • Q.The specific marker for MI:
  • A)LDH
  • B)CPK MB
  • C)SGOT
  • D)troponin I and T

  • ANS: D 

  • Q.Which of the following is wrong about juvenile diabetes?
  • A)Insulitis
  • B)significant family history
  • C)ketosis
  • D)insulin needed

  • ANS: B 

  • Q.During fasting, all of the following substances are utilized for gluconeogenesis except:
  • A)pyruvate
  • B)lactate
  • C)glycerol
  • D)acetyl coA

  • ANS: D 

  • Q.Best drug for treatment of vomiting in pregnancy is:
  • A)cyclizine
  • B)promethazine
  • C)domperidone
  • D)pethidine

  • ANS: B 

  • Q.Stroke volume reflects:
  • A)length of muscle
  • B)contractility of muscle
  • C)both
  • D)none

  • ANS: C 

  • Q.Neutropenia is commonly not seen in:
  • A)SLE
  • B)DLE
  • C)aplastic anemia
  • D)none

  • ANS: B 

  • Q.Alkaline phosphatase is not raised in:
  • A)osteoporosis
  • B)osteodystrophy
  • C)fractures
  • D)osteomalacia

  • ANS: A 

  • Q.Which of the following drugs is not a dihydrofolate reductase inhibitor?
  • A)pyrimethamine
  • B)sulfamethoxazole
  • C)cotrimoxazole
  • D)all

  • ANS: B

Sunday, 15 March 2020

Mcq part 8

10% Formaldehyde is used for sending Biopsy specimens,Why?

A.Sterilisation
B.To prevent autolysis
C. TO stain cells
D. TO denature proteins
E.autolysis of cell

ANS: E


Q . The analytical study where population is the unit of  
study is: 
A . Cross sectional 
B . Ecological 
C . Case-control 
D . Cohort 

ANS: B

Q .Residence of three villages with three different types  
of water supply were asked to participate in a study  
to identify cholera carriers. Because several cholera  
deaths had occurred in the recent past, virtually  
everyone present at the time submitted to examination.  
The proportion of residents in each village who were  
carriers was computed and compared. This study is a: 
A . Cross- sectional study 
B . Case-control study 
C . Concurrent cohort study 
D . Non-concurrent 

ANS: A

Q . All of the following are quantitative variables except: 
A . Serum cholesterol
B . Weight 
C . Gender 
D . Celsius temperature scale 

ANS: C

Q . Histogram is used to present which kind of the data: 
A . Nominal 
B . Continous 
C . Discrete 
D . Any of above 

ANS: B

Q . Measurement of blood pressure is which type of data: 
A . Nominal 
B . Ordinal  
C . Interval 
D . Continous 

ANS: D

Q . Which of the following variables is measured on the oridinal scale?   
A . Type of anemia 
B . Severity of anemia 
C . Hemoglobin level 
D . Serum ferritin level 

ANS: B

Q . Histogram is used to describe:  
A . Quantitative data of a group of patients 
B . Qualitative data of a group of patients  
C . Data collected on nominal scale 
D . Data collected on ordinal scale 

ANS : A

Q .True regarding autism is:-
A . A metabolic disorder
B . Caused due to teratogenic drugs
C . Impaired reciprocal social and interpersonal interaction
D . Neuro developmental disorder 

ANS: C

Q . All of the following are true for Korsakoff s psychosis except:-
A . Organic amnestic slmdrome
B . Loss of insight
C . Deficiency of cyanocobalamin
D . It may follow wernicke's encephalopathy

ANS: C

Q . Which of the following is not true about hallucination?
A . It is a disorder of perception
B . It is always pathological
C . It is different from imagery
D . It occurs on objective space

ANS: B

Q . Geographic cough is seen in?
A . Asthma,
B . Histoplasmosis
C . Occupational exposure,
D . Gastroesophageal reflux

ANS: B

Q . Abdominal approach is used in?
A. Thiersch operation
B. Delorme’s operation
C. Altemier’s procedure
D. Ripstein’s operation

ANS: D

Q . ALL ARE TRUE REGARDING HEPATITIS C INFECTION EXCEPT? 
All are true regarding hepatitis C infection except?
A. Serum transaminase level is a good predictor of the level of liver fibrosis
B. Telaprevir is effective in management
C. 3% risk of vertical transmission
D. Sharing toothbrushes is a risk factor for transmission

ANS: A

Q . The cause of Postpartum blues is:
A. Decreased progesterone
B. Increased prolactin
C. Decreased estrogen
D. Decreased estrogen and progesterone

ANS: D

Q . Latent phase of labour ends at cervical dilatation of:
A. 1–2 cm
B. 2–3 cm
C. 3–5 cm
D. 7–8 cm

ANS: C

Q . Nucleus ambiguus does not include:
A. VIth Nerve nucleus
B. IXth Nerve nucleus
C. Xth Nerve nucleus
D. XI Nerve nucleus

ANS: A

Q .Intraocular muscle supplied by Edinger Westphal nucleus:
A. Ciliary muscle
B. Superior oblique
C. Lateral rectus
D. Medial rectus

ANS: A

Q . Inhibitory postsynaptic potential (IPSP) is due to which of the following?
A. K+ influx
B. Na+ influx
C. Ca++ influx
D. Cl- influx

ANS: D

Q . All of the following mechanisms might account for a reduced risk of upper genital tract infection in users of progestin releasing IUDs, except:
A. Reduced retrograde menstruation
B. Decreased ovulation
C. Thickened cervical mucus
D. Decidual changes in the endometrium

ANS: B

Q . Quantity of water available per capita considered adequate to meet the needs of all urban domestic purposes?
A. 100-150 L
B. 150-200 L
C. 200-250 L
D. 250-300 L

ANS: B


Wednesday, 4 March 2020

mcq part 7

Mnemonicsmed mcq part 7


Q.Heat rupture is characterized by
a) Regular margins
b) Irregular margins
c) Ruptured blood vessels
d) Ruptured red blood cells

ANS: B

Q.The most recent advance in non-invasive cardiac output monitoring is use of:
A)PA catheter
B)Thermo-dilution technique
C)Echocardiography
D)Electrical impedance cardio-graph technology

ANS: C  

Q.The most likely diagnosis in a new born who has radio-opaque shadow with an air -fluid level in the chest along with hemi-vertebra of the 6th thoracic vertebra on plain x-ray is-
A)Congenital diaphragmatic hernia
B)Esophageal duplication cyst
C)Bronchogenic cyst
D)Staphylococcal pneumonia

ANS: A 

Q.Which of the following imaging modalities is most sensitive for evaluation of extra adrenal pheochromocytoma?
A)USG
B)CT
C)MRI
D)MIGB Scan

ANS: D 

Q.Which of the following imaging modality is most sensitive to detect early renal tuberculosis?
A)IV urography
B)Ultrasound
C)Computed tomography
D)MRI

ANS: A 

Q.Native T cell get activated by 
A)NK cell 
B)Dendritic cell 
C)Macrophage 
D)B lymphocytes

ANS: C 

Q.Immuno-histochemistry marker to differentiate thymoma from ALL is 
A)CD1a
B)TdT
C)Cyto-keratin
D)CD3

ANS: B 

Q.In apoptosis, all are seen except: 
A)Intact plasma membrane
B)Absence of Inflammation
C)Cellular Swelling
D)Programmed cell death

ANS: C 

Q.Immune privilege site is 
A)Optic nerve 
B)Seminiferous tubule 
C)Area postrema 
D)Spinal cord

ANS: B

 Q.Which of the following is correct regarding T3 and T4 acting on THR? 
A)It activates Phospholipase A
B)It acts as a transcription factor
C)It acts by increasing cAMP
D)It is a tyrosine kinase receptor

ANS: B 

Q.Dapsone is used as anti-bacterial, antifungal and as an immuno-modulator. What is the mechanism behind all these actions?
A)Cell wall synthesis inhibition
B)Folic acid synthesis inhibition
C)Protein synthesis inhibition
D)PABA inhibition

ANS: B 

Q.Active metabolite of nitropruside act 
A)Phospho-kinase 1, 2
B)Guanylyl cyclase
C)Phospholipase A
D)Phospholipase C

ANS: B 

Q.Phase I trial is done to test 
A)Safety
B)Efficacy
C)Dose
D)Pharmacokinetics

ANS: A 

Q.Of the following drugs increase bleeding when given to a patient on Warfarin except: 
A)Isoniazid
B)Amiodarone
C)Carbamazepine
D)Cimetidine

ANS: C 

Q. If carbamazepine is added to valproate, which of the following side-effect increases? 
A)Thrombocytopenia
B)Hepatotoxicity
C)Hyper-ammonemia
D)Pancreatitis

ANS: B 

Q.Schedule of drug to be sold only on prescription is 
A)H
B)P
C)G
D)X

ANS: A 

Q.Morphine should not be given in 
A)Ischemic pain
B)Cancer pain
C)Biliary colic
D)Postoperative pain

ANS: C 

Q.Which of the following drug causes gynecomastia and nephrolithiasis? 
A)Lamivudine
B)Indinavir
C)Ketoconazole
D)Zidovudine

ANS: C


Q.Which one of the following is gametocidal Bfor all malarial parasite species? 
A)Quinine
B)Chloroquine
C)Primaquine
D)None

ANS: C


Q.Lithium use in pregnancy leads to which effect on baby? 
A)CVS defect
B)Urogenital defect
C)Neural tube defect
D)Facial defects

ANS: A 

Q.Which of the following drug is used to prevent acute mountain sickness? 
A)Acetazolamide
B)Dexamethasone
C)Diltiazem
D)Digoxin

ANS: A

Monday, 2 March 2020

Mnemonicsmed Mcqs part 6


Mnemonicsmed Mcqs

 A 27-year-old man has been maintained on 300mg of clozapine for treatment-refractory schizophrenia. He had responded well to it and had been free of positive symptoms until the last three weeks when he developed the same symptoms again. The patient denies noncompliance and his family confirmed that he has been taking his medication as advised.
Which one of these is the most appropriate immediate step in his management?
A)Obtain clozapine serum levels
B)Enquire about smoking status
C)Add augmentation agent
D)Increase the dose of clozapine
E)Evaluate psychosocial stressors

ANS: A

Q.A 21-year-old girl presents with inability to produce voice. She developed this after a fight with her in-laws and husband. There is no indication of head injury and collateral information obtained is consistent with this. Physical and neurological examination is within normal limit.
What test is best at this stage to ascertain whether the loss of speech is due to neurological injury or functional neurological symptom disorder?
A)Magnetic resonance imaging
B)Electromyography
C)Request a cough
D)Nerve conduction studies
E)Head-up-tilt test

ANS: C

Q.A ladypresented to emergency with altered sensorium and hypotension. She is taking antidepressant medications. ECG shows wide QRS complex and right axis deviation. What should be given for management of this patient?
A)I.V sodium bicarbonate 
B)Wait and watch 
C)Physostigmine 
D)Antiarrhythmic

ANS: A

Q.3 yr old girl has delayed developmental milestone, delayed speech, difficultyin concentrating on studies, plays with herself & does not make friends. Diagnosis is
A)Autism 
B)ADHD
C)Specific learning disorder 
D)Mental retardation

ANS: A

Q.Naltrexone is used in opioid dependence to
A)Prevent respiratory depression 
B)Prevent relapse
C)Treat withdrawal symptoms
D)Detoxification of opioid overdose

ANS: D

Q.A 6-year-old boy presented with a history of not making friends with other children. Further history revealed that he was also not attached to his parents, he was interested in playing with himself only. In addition, he shows repetitive head banging, and hand wringing. It is also noted he gets agitated if his routine is changed. There is history of birth asphyxia. The most possible diagnosis is
A)Rett's syndrome 
B)Autistic disorder 
C)Conduct disorder 
D)Schizophrenia

ANS: B

Q. A patient after starting on treatment with haloperidol presents with hyperthermia,confusion and sweating. Examination shows labile blood pressure and increased muscle tone. The most appropriate investigations to be done here are
A)CT brain and hemogram 
B)Hb%, Serum electrolytes. 
C)ECG, chest X-ray and Hb% 
D)Hemogram, CPK and renal function tests

ANS: D

Q.Confabulation means
A)Misinterpretation of stimulus by one of the special sense organs
B)Perception in absence of a stimulus
C)Making stories to fill in the gaps caused by memory loss
D)None of the above

ANS: C

Q.A married female patient aged 24 years presents to the emergency with history of short lasting episode of behavioral changes and unresponsiveness in which she is agitated, accompanied by smacking of the lips, and thrashing movements
of the limbs. On recovery the patient is not able to recall the episode. Further history does not reveal any stressors. The most likely diagnosis is
A)Chorea gravidarum 
B)Temporal lobe epilepsy
C)Panic attacks 
D)Dissociative disorder

ANS: B

Q.A patient after starting on treatment with haloperidol presents with hyperthermia,confusion and sweating. Examination shows labile blood pressure and increased muscle tone. The most appropriate investigations to be done here are
A)CT brain and hemogram 
B)Hb%, Serum electrolytes.
C)ECG, chest X-ray and Hb% 
D)Hemogram, CPK and renal function tests

ANS: D


Q.A 35 year old male was found by the police wandering in a city. He was unable to give information on his home address or other family members. He appeared to be well groomed, and would be able to converse with others. On examination, there was no medical illness or presence of psychotic symptoms.

Urine screening revealed negative for any psychoactive substances. Most likely diagnosis is
A)Dissociative fugue 
B)Dissociative amnesia
C)Schizophrenia 
D)Dementia

ANS. : A

Q.Anaesthesia for ECT was previously induced with 
_, a short-acting barbiturate. However, this agent became increasingly difficult to obtain, and _is the most widely used alternative. This injection can be painful, and it can also decrease seizure length and delay or abolish convulsions.  may be preferred in patients in whom it is difficult to induce a seizure.

ANS: methohexital/propofol/ketamine