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