New 26 Pages MCQs
New 26 Pages MCQs
New 26 Pages MCQs
B. Sarcoidosis
C. Amyloidosis
D. Bronchupulmonary aspergillosis
Ans........B........Sarcoidosis
Garland's triad (also known as the 1-23 sign or Pawnbrokers sign) is a lymph
node enlargement pattern described in
sarcoidosis.
It comprises of:
right paratracheal nodes
right hilar nodes
left hilar nodes
Forensic taphonomy refers to
A. Identification of dead body
B. Postmortem changes
C. Autopsy in drowning cases
D. Tracking the path of gunshot
wound in body
Ans.......B.......Postmortem changes
Forensic taphonomy is the study of the
postmortem changes to human
remains, focusing largely on
environmental effectsincluding
decomposition in soil and water and
interaction with plants, insects, and
other animals
"Toll" in Toll like receptors (TLRs) are
homologs of which Toll protein ?
A. Drosophila
B. Penicillium
C. Aspergillus
D. Anopheles mosquito
Ans......A......Drosophila
Toll was shown to be an essential
receptor for host defense against
fungal infection in Drosophila, which
only has innate immunity
Decerebrate posturing falls into the
following grade on Glasgow Coma
Scale ?
M2
M3
M4
M5
Ans......M2...
veins
Posterior vein of left ventricle
Oblique vein of left atrium (of
Marshall)
Left marginal vein
Treatment of choice for Torsade des
pointes is
A. Potassium
B. Sodium
C. Magnesium
D. Sodium bicarbonate
Ans..........C...........Magnesium
Intravenous magnesium is the drug of
choice for torsades de pointes.
Magnesium is effective even in
patients with normal magnesium
levels.
Drug used for treating Paroxysmal
Nocturnal hemoglobinuria is
A. Eculizumab
B. Idebenone
C. Ivadrabine
D. Nivolumab
Ans......A...... eculizumab
Eculizumab is a humanized
monoclonal antibody that is a first-inclass terminal complement inhibitor
and approved for Rx of PNH and
atypical HUS.
PAIR is used for
a. Amebic liver abcscess
b. Hydatid cyst liver
c. Hemangioma Liver
d. Hepatocellular ca
Ans......B........Hydatid cyst liver
The Puncture Aspiration Injection
Reaspiration (PAIR) technique is
performed using either ultrasound or
CT guidance, involves aspiration of
the cyst contents via a special cannula,
followed by injection of a scolicidal
agent for at least 15 minutes, and then
reaspiration of the cystic contents. This
is repeated until the return is clear.
The cyst is then filled with isotonic
sodium chloride solution.
A. Phenylketonuria
B. Maple syrup urine disease
C. Homocystinuria
D. Tyrosinemia
Ans.....D....Tyrosinemia
ALSO KNOW
A. Tumor
B. Cancer
C. Fistula
D. Ulcer
ans.....B......cancer
The origin of the word cancer is
credited to the Greek physician
Hippocrates (460-370 BC), who is
considered the Father of Medicine.
Hippocrates used the terms carcinos
and carcinoma to
describe non-ulcer forming and ulcerforming tumors. In Greek, these words
refer to a crab, most
likely applied to the disease because
the finger-like spreading projections
from a cancer called to
mind the shape of a crab. The Roman
physician, Celsus (28-50 BC), later
translated the Greek term
into cancer, the Latin word for crab.
Galen (130-200 AD), another Greek
physician, used the word
oncos (Greek for swelling) to describe
tumors. Although the crab analogy of
Hippocrates and
Celsus is still used to describe
malignant tumors, Galens term is
now used as a part of the name
for cancer specialists oncologists.
Prominent superior ophthalmic vein
in MRI maybe seen in
A. cavernous hemangioma orbit
B. Capillary hemangioma orbit
C. Lymphangioma orbit
D. Carticocavernous fistula
Ans.....D...Carotico-cavernous fistula
Enlargement of the superior
ophthalmic vein (SOV), is considered a
sign of carotid-cavernous fistula best
seen on MRI.
Hyperkalemia is a feature in following
conditions EXCEPT
a) Insulin deficiency
b) Calcitonin Deficiency
c) Aldosterone deficiency
d) Severe Obesity
Ans......D....Severe obesity
Abacavir - hypersensitivity
Indinavir - renal calculi nephrolithiasis
Greenish color of bruise is due to
A. Hemoglobin
B. Hemosiderin
C. Bilirubin
D. Hematoidin
Ans......D.....hematoidin
b. Intracranial hypertension
c. Demyelination
d. Intracranial abscess
Ans is c.......demyelination
The open ring sign (white matter
crescent sign) is a relatively specific
sign for demyelination, helpful in
distinguishing between ring
enhancing lesions. The enhancing
component is thought to represent
advancing front of demyelination and
thus favours the white matter side of
the lesion. The open part of the ring
will therefore usually point towards
the grey matter.
Also NOTE: McDonald's MRI criteria
are used for Multiple sclerosis
Cracked mud retina seen in
a. CMV retinitis
b. Acute retinal necrosis
c. Progressive outer retinal necrosis
d. Retinitis pigmentosa
Ans......C.....
Progressive outer retinal necrosis
(PORN), first described in 1990, is seen
in patients who are
immunocompromised (e.g., AIDS)
who present with rapid outer retinal
necrosis.
Multifocal lesions with deep retinal
opacification are characteristic of
PORN.
About 30 percent of patients have
deep outer retinal lesions in the
macula, which become confluent to
form a cherry red spot. They
classically have a cracked mud
appearance where there is perivenular
clearing of the retinal opacification.
This fracture has been dubbed the
"unsolved fracture" for more than a
century...
A. Fracture neck of femur
B. Fracture shaft of femur
C. Vertebral fracture
D. Fracture scaphoid
Ans.....A
B. Shoulder
C. Knee
D. Hip
13. CAMP test is used to detect
infection caused by
a) Streptococcus equsimilis
b) Streptococcus agalactiae
c) Streptococcus viridans
d) Staphylococcus aureus
14. NIH Swab is used for the recovery
of the eggs of
a) Ancylostoma duodenale
b) Enterobius vermicularis
c) Ascaris lumbriocoides
d) Trichinella Spiralis
15. Kidney transplantation is an:
(a) Allograft
(b) Isograft
(c) Xenograft
(d) Syngeneic graft
Ans for yestday's set
CBBBA
Next set.......
1. A 14-year-old girl has a 1-day
history of pain in the right ear. She
swims every morning. The right ear
canal is red and swollen. She has pain
when the auricle is pulled or the
tragus is pushed. Which of the
following is the most likely diagnosis?
A. Acute otitis media
B. Bullous myringitis
C. Chronic otitis media
D. External otitis
2. World health day is on
A. January 7
B. April 7
C. Dec 1
D. January 14
3. All are anti-VEGFs in treating
macular edema except
A. Bevacizumab
B. Ranibizumab
C. Adalimumab
D. Pagaptanib
C. Edwards syndrome
D. Pataus syndrome
4. Cri du Chat syndrome is a/w
chromosome
A. 5
B. 6
C. 7
D. 8
5. Quilty effects is seen in
A. Lung transplants
B. Cardiac transplants
C. Renal transplants
D. Skin grafting
Ans to yestday's set...........
1-C; 2-B; 3-A; 4-A; 5-B
Next set.............
1. Lucid interval is characteristic
pathognomonic feature of:
A. Extradural haemorrhage
B. Intracerebral haemorrhage
C. Tumour in the frontal lobe
D. Intracerebral abscess
2. Dietls crisis occurs in:
A. Hydronephrosis
B. Tuberculosis of kidney
C. Acute intussusception
D. Wandering spleen
3. Landmark study in the management
of postoperative endophthalmitis was
a. BRAVO study
b. ONTT study
c. EVS study
d. HEDS study
4. Submandibular gland surgery may
result in damage to the following
nerves, except:
A. Buccal branch of the facial nerve
B. Accessory nerve
C. Hypoglossal nerve
D. Glossopharyngeal nerve
5. A 60-year-old man develops a
tremor in his fingers. The tremor is
most pronounced when he reaches for
his coffee cup or points to an object.
D. Soleus
d) nitroglycerine
B. Letulles method
C. Gohn method
D. Rokitanksy method
2. Siderosis is caused by
A. Steel
B. Copper
C. Mercury
D. Brass
3. Topical retinoids used in acne
treatment are all except
A. Adapalene
B. Tazoretene
C. Benzoyl peroxide
D. Tretinoin
4. Tree bark appearance in vessel wall
is seen in
A. Tuberculosis
B. Syphilis
C. Rheumatoid arthritis
D. Wegeners granulomatosis
5. Indian evidence act was enacted in
A. 1871
B. 1872
C. 1901
D. 1902
Answers to yestday set.....
1-A; 2-A; 3-C; 4-B; 5-B....
2. Steel - has ferrous content (alloy of
IRON and carbon) - so siderosis
there...mentioned in parsons.........as
for the rest - they are routine one
liners...
Aaron's sign, Rosving's sign, Bastedo's
sign and Dieulafoy's triad is a/w
A. Acute mestenteric ischemia
B. Splenic rupture
C. Acute periotnitis
D. Acute appendicitis
Ans.....D........Acute appendicitis
+ Aaron's sign: a referred pain or
feeling of distress in the
epigastrium or precordial region, on
continuous firm
pressure over McBurney's point, in
acute appendicitis.
+ Bastedo's sign: pain and tenderness
in the right iliac fossa on inflation of
the colon with air, in cases of chronic
appendicitis.
+ Rovsing's sign: pain at McBurney's
point induced in cases
of appendicitis, by pressure exerted
over the descending
colon.
+ Dieulafoy's triad: tenderness,
muscular contraction and
skin hyperaesthesia at McBurneys
point in appendicitis.
1. The rule of 10 is usually applied for:
A. Adrenal cortical tumours
B. Pheochromocytoma
C. Myelolipoma
D. Adrenal metastases
2. The surgeon who introduced catgut
in surgery was:
A. Astley Cooper
B. Lord Lister
C. John Hunter
D. Syme
3. The triad of Whipple is a feature of:
A. Carcinoma head of pancreas
B. Islet cell adenoma of pancreas
C. Chronic pancreatitis
D. Acute pancreatitis
4. The fold of Treves is:
A. The fold of mucus membrane
projecting into the lumen of the
rectum
B. The ileo-appendicular fold of
peritoneum
C. The fold of mucus membrane
around the ampulla of Vater
D. The fold of peritoneum over the
inferior mesenteric vein
5. Astley-Cooper ligament is:
A. Medial end of inguinal ligament
B. Pectineal part of inguinal ligament
C. Fibres along the ileopectineal line
D. Linea semilunaris
Ans.......to yest'days one-liners
1-B; 2-B; 3- B; 4-B, 5- B
degeneration is due to ?
a. Lipofuscin
b. Urochrome
c. Lipochrome
d. Bilirubin
Ans.....B......urochrome
+ In the nuclear cataract the hardened
central lens nucleus appears yellowish
or brown. The color results from an
accumulation of UROCHROME.
+ The colored lens absorbs blue light
distorting color vision - hence
following cataract surgery some ptnts
c/o blue vision - cyanospia - a normal
phenomenon
Road to health chart was designed by
(an earlier TNPG qn)
a. David Hasselhoff
b. David Morley
c. David Gower
d. David Goliath
Ans......B..........David Morley..
Ans yes the options were weird......but
then when the question was a general
knowledge question - so thot options
could be general knowledge based.......
:).
- David Hasselhoff - The "Baywatch"
guy
- David Gower - the stylish English left
handed batsman from the 1980s
- David Goliath - no one keeps that
name ! - stoyr of David and Goliath
from the bible !!
Myerson's sign maybe seen in
a. Multiple sclerosis
b. Parkinson's disease
c. Neurocysticercosis
d. Creutzfeldt Jakob disease
Ans...B.....Parkinson's disease
Tapping the glabella (i.e., between the
patients eyebrows) causes blinking,
which typically ceases after several
taps. Persistent blinking (i.e., more
than 4 or 5 blinks) in response to
glabellar tapping is abnormal, and is
called Myersons sign.
A. Syphilis
B. Gonorrhea
C. Behcet's disease
D. Cysticercosis
Ans.....C......Behcet's disease
a. Prostate
b. Pancreatitis
c. Pulmonary X-rays
d. Pregnancy
Ans.....A..........Prostate
d. Wernicke's encephalopathy
Ans....(B).....Epilepsy
Lafora disease: progressive myoclonus
epilepsy ; lafora bodies - abnormal
glycogen clumps in neurons......
ALSO KNOW
+ Hirano bodies: Alzheimer's disease
+ Bunina bodies: ALS
All are used for treating osteoporsis
except
a. Zoledronic acid
b. Pamidronate
c. Denosumab
d. Natalizumab
Ans....D........Natalizumab
Zoledronic acid and pamidronate - IV
biphsophonates
Denosumab - monoclonal antibody
that prevents conversion of
preosteoclast to mature osteoclast.
ALSO KNOW:
+ Teriparatide used in osteoporsis Rx analog of PTH; it stimulates the
production of new collagenous bone
matrix
Sampolaesi's line is seen in
a. cornea
b. angle of the eye
c. retina
d. optic chiasma
Ans.....B > A.......a controversial
question from a recent exam
Technically Sampolaesi's line is a
pigmented line just anterior to
Schwalbe's line......considering that
Schwalbe's line is a peripheral
termination of Descemet's membrane
A (cornea) may be marked as answer;
BUT sampolaesi's line is seen clinically
ONLY by gonioscopy - in the angle of
the eye (B)
Medulloblastoma belongs to grade
______ as per WHO classification ?
I
II
III
IV
Ans.....D.....IV
MedulloBLASToma and
GlioBLASToma - Grade IV
Osteitis and osteomyelitis maybe
complications with which vaccine?
a. MMR
b. BCG
c. HiB
d. Hepatitis B
Ans....B.......BCG
Osteitis and OSteomyelitis - BCG
ALSO KNOW - Vaccine associated
reactions (add to MAGIC 7/e Pg 247)
+ Toxic shock syndrome - Measles
+ Acute cerebellar ataxia ,
Pneumonitis - Varicella
+ Transient thrombocytopenia measles, MMR, HiB vaccine
+ Intussusception - Rotavirus vaccine
Exanthem subitum is caused by
a. Herpes virus
b. EBV
c. Poxvirus
d. Togavirus
Ans....(A)....Herpesvirus
Exanthem subitum (Roseola infantum)
is a common childhood disease. The
causative organism is human
herpesvirus 6 (HHV-6).
The classic presentation of roseola
infantum is a 9- to 12-month-old infant
who acutely develops a high fever and
often a febrile seizure.
After 3 days, a rapid defervescence
occurs, and a morbilliform rash
appears
Winking owl sign seen in
a. vertebral metastases
b. neurofibromatosis
c. maxillary sinusitis
d. orbital metastases
Ans.....A......vertebral metastases
Erosion of the pedicles (the "winking
owl" sign) is the earliest radiologic
finding of vertebral tumor. - H'son
18th.
In 2008, a series of suicides planned
over the internet in
Japan cam to be known as The
Japanese Detergent Suicide
technique........gas involved was
a. Carbon monoxide
b. hydrogen sulfide
c. sulfur hexaflouride
d. hydroegn cyanide
Ans....b.....hydrogen sulfide
Was an earlier AIIMS question..........if
u r interested read more here.....
Ozurdex intravitreal implant consist of
_______ mg of dexamethasone (prev
AIIMS numerical question)
a. 0.5
b. 0.6
c. 0.7
d. 1.0
Ans.....C....0.7
OZURDEX (dexamethasone
intravitreal implant) 0.7 mg is a
biodegradable implant injected into
the eye (vitreous; approved for
-- macular edema following branch
retinal vein occlusion (BRVO) or
central retinal vein occlusion (CRVO)
and
-- NON infectious posterior uveitis
Eosinophilia is the presence of >
_________ eosinophils per microlitre of
blood
a. 400
b. 500
c. 600
d. 700
Ans..... B 500
Eosinophilia is the presence of > 500
eosinophils per microL of blood H'son 18th
Few more.........
1. Carneys triad is associated with all
except
A. GIST
B. Male preponderance
C. pulmonary chondroma
D. manifests in younger age group
2. Dubois abscess is seen in
A. skin
B. thymus
C. adrenals
D. eyelids
3. Component of corpora
quadrigemina is
A. Fourth ventricle
B. Medulla
C. Superior colliculus
D. Sigmoid sinus
Ans.........B.....B......C
Carney triad: extra-adrenal
paraganglioma, GIST, and pulmonary
chondroma; MC in young females
Dubois abscess: thymus (a/w
congenital syphilis)
Corpora quadrigemina = sup + inf
colliculus
Few qns
1. "Piano Key Sign" is positive in
A) Carpal Instability
B) Proximal Radioulnar Joint
Instability
C) Distal Tibiofibular Joint Instability
D) Distal Radioulnar Joint Instability
2. Dyslipidemia can be a side effect of
A. Ramipril
B. Thiazides
C. Amlopdepine
D. Amiloride
3. Acute hemorrhagic cystitis may be
seen with
A. Methotrexate
B. Azathioprine
C. Cyclophosphamide
D. Paclitaxel
Ans.....D B C
Piano key sign - DRUJ instaibility was asked in MH SSET and COMEDK
earlier
Thiazides - dyslipidemia
Cyclophopshamide - cystitis - str
forward qn
All are features of Addisonian
(Adrenal) crisis except
a. abdominal pain
b. hypertension
c. hyponatremia
d. hypoglycemia
Ans....B....HTN
An acute adrenal crisis can manifest
with vomiting, abdominal pain, and
hypovolemic shock.
Hyponatremia is common (although
not diagnostic); hyperkalemia,
metabolic acidosis, and hypoglycemia
also may be present.
1. Stiles Crawford effect is with respect
to
A. Cornea
B. Retina
C. Crystalline lens
D. Cataractous lens
2. Ames test is used to detect
A. Action potential
B. Mutagenic potential
C. Cataractogenic potential
D. Emetogenic potential
3. Kveim sitzbach test is diagnostic for
A. Amyloidosis
B. Sarcoidosis
C. Tuberculosis
D. Brucellosis
4. touton giant cells are seen in
A. tumors
B. xanthomas
C. RHD
D. TB
B. Hartmann's solution
C. Refrigerator door
D. Refrigerator freezer compartment
Ans is ......A.....Campden's solution
This was a JIPMER qn......Campden's
solution is a metabisulphite solution
used for fruit bottling and is used for
preserving fruit bite marks.
ALSO KNOW
Chocolate with bite marks are
preserved in refrigerator (NOT frozen)
Kaufman white scheme is for
serotyping of
a. clostridia
b streptococci
c. staphylococci
d. salmonella
Ans....D.....salmonella
The Kauffman and White classification
scheme is a system that classifies the
genus Salmonella into serotypes,
based on surface antigens.
ALSO KNOW
-- Selection of cells rich in H antigens
may be made using a device, named
Craigie's tube
SPIKES approach is used
a. during CPR in infant
b. during CPR in adult
c. for critically ill patient in ICU
d. for epileptic found in non hospital
settings
Ans....C....for critically ill patient in
ICU
SPIKES approach is a protocol for
disclosing unfavorable information
breaking bad newsto cancer
patients about their illness.
Straightforward and practical, the
protocol meets the requirements
defined by published research on this
topic. The protocol (SPIKES) consists
of six steps
S = "Setting Up"
P = "Perception"
I = "Invitation"
K = "Knowledge"
E = "Empathising and Exploring"
S = "Strategy and Summary"
Urinary bladder develops from the
a. Pronephros
b. mesonephros
c. metanephros
d. urogenital sinus
Ans.....(D)....urogenital sinus
Bladder develops from urogenital
sinus.
ALSo KNow
-- Epithelium of trigone of the bladder
is derived from the absorbed
mesonephric / WOLFFIAN ducts
(mesoderm).
Prophylaxis with vitamin C is helpful
in preventing
A) Flurosis
B) Neuro Lathyrism
C) Iodine deficiency
D) Botulism
Ans....(B).....Neurolathyrism
a. linguine sign
b. meniscus sign
c. double line sign
d. toothpaste sign
Ans...(A)...Linguine sign
a. Pneumothorax
b. Pneumoperitoneum
c. Pneumoencephaloecele
d. Pericardial effusion
Ans....(B).......pneumoperitoenum
ALSO KNOW
-- Meniscus sign: Air is seen between
the Aspergillus fungal ball and the
wall of the cavity
-- Double line sign: Avascular necrosis
of femoral head on MRi
-- Toothpaste sign: Represents an
A) HBVDNA
B) HBeAg
C) HBcAg
D) AntiHBeAg
Ans....(B).....HBeAg ....MHCET 2014 qn
Hepatitis B virus (HBV) precore
mutants are associated often with
highly productive infection in
hepatitis B surface antigen (HBsAg)
carriers lacking hepatitis B e antigen
(HBeAg) but positive for anti-HBe,
rendering serological identification of
infectious individuals unreliable.
von Herick's method is useful for
assessing
a. grade of posterior subcapsular
cataract
b. thickness of cornea
c. depth of anterior chamber
d. macular edema post cataract
surgery
Ans....(C).....depth of anterior chamber
a. sinus tachycardia
b. atrial fibrillation
c. supraventricular tachycardia
d. HOCM
Ans.....A.....sinus tachycardia
a. Exanitide
b. Canagliflozin
c. Saroglitazar
d. Sitagliptin
Ans....(b).....canagliflozin
-- The kidneys reabsorb glucose via
sodium glucose co-transporters
(SGLTs), primarily SGLT2.
-- Canagliflozin provides SGLT2
inhibition, reducing renal glucose
ALSO KNOW
-- Quetiapine is a/w cataracts
Vogts triad includes all except
A. Seizures
B. Mental retardation
C. Choroidal hemangioma
D. Adenoma sebaceum
Ans...C
Vogts triad in tuberous sclerosis
includes EPILOIA= EPIlepsy, LOw Iq
and Adenoma sebaceum
Shifting sands of Sahara syndrome
may be seen as a complication of
A. LASIK
B. Scleral buckling surgery
C. Squint surgery for paralytic squint
D. Glaucoma calve implant
- Sands of the Sahara syndrome, or
diffuse lamellar keratitis (DLK) as it is
more commonly called, is an
exaggerated interface inflammation
following lamellar refractive surgery.
- While all LASIK patients on careful
examination have a few white blood
cells in the interface on the first
postoperative day, in DLK there is a
continuous sheet of cells.
- These are MC seen in the periphery
of the flap, especially superiorly.
- Most patients respond to topical
steroids.
Ludloff's sign is seen in
a. # neck of humerus
b. # lesser trochanter femur
c. # medial epicondyle humerus
d. # lateral epicondyle humerus
Ans....(B).....# lesser trochanter
Bcl-2 is anti-apoptotic.
Whenever it is over-expressed in
tumours, cells will have a prolonged
surviva
Ferriman Gallwey score is used to
clinically grade
a. extent of endometriosis
b. hirsutism
c. alopecia
d. area of burns
Ans...(B).....Hirsutism
Ferriman Gallwey score is most
widely used method for visually
scoring excess terminal body or facial
hair growth for the clinical or
investigational assessment of Hirsutism.
Modified Ferriman- Gallwey (mFG)
scoring system used now considers 9
body areas.
Poland syndrome - all are true except
a. absence of pectoralis major
b. syndactyly and brachydactyly
c. right side MC affected
d. females MC affected
Ans.....(D)......females MC affected
Poland syndrome:
(symbrachydactyly)
- rarely a/w dextrocardia
Widened intercondylar notch and
squared inferior margin of the
patella....seen in
A. Osteoarthritis
B. Hemophilic artyhritis
C. Juvenile rheum arthritis
D. Psoariatic arthropathy
Ans....(B)...Hemophilic arthritis
- Squaredpatella(flattenedinferiorly).
- Widened intercondylar notch
- Tibiotalar slanting.
- Talar tilt
3.
4.
5.
6.
7.