NEET-PG 2013 Practice Questions

Q: What is the approximate length of the tibia in centimeters for an average adult?

35 cm. ***35 cm*** - The **tibia**, or shin bone, is the larger of the two bones in the lower leg and plays a crucial role in supporting body weight. - Its average length in adults is approximately **36-38 cm**, with **35 cm** being well within the normal range for an average adult. - Females typically have tibiae measuring **36-37 cm**, while males average **38-39 cm**. *30 cm* - A length of **30 cm** would be unusually short for an adult tibia, falling well below the normal range for average adults. - Such a short length might be associated with specific medical conditions or skeletal dysplasias. *40 cm* - A length of **40 cm** would be at the upper end or slightly above the typical average for an adult tibia. - This measurement might be seen in taller individuals, but it exceeds the average for most adults. *45 cm* - A length of **45 cm** would be comparatively long for an average adult tibia. - This measurement is significantly above average and would only be seen in very tall individuals.

Q: All of the following are anthropozoonosis except

Schistosomiasis. ***Schistosomiasis*** - This is a **human-to-human** disease, even though it involves an intermediate **snail host**. - Its life cycle does not involve transmission of pathogens from vertebrate animals to humans. *Rabies* - Rabies is a classic **anthropozoonosis**, transmitted to humans primarily through the saliva of infected animals, most commonly **dogs** and **bats**. - It involves a pathogen (rabies virus) that cycles between animals and can be transmitted to humans. *Plague* - Plague is an **anthropozoonosis** caused by *Yersinia pestis*, typically transmitted from **rodents** (e.g., rats) to humans via flea bites. - The disease maintains a natural reservoir in wild rodent populations, making it a prime example of animal-to-human transmission. *Anthrax* - Anthrax is an **anthropozoonosis** caused by *Bacillus anthracis*, transmitted to humans from infected **livestock** (e.g., cattle, sheep). - Humans usually acquire the infection through contact with infected animals or their products, or by inhaling spores.

Q: Which vaccine is associated with a risk of encephalopathy?

Measles. ***Measles*** - Among the options provided, **measles vaccine** has been reported to have a very rare association with **post-vaccination encephalitis/encephalopathy** (approximately 1 per million doses). - **Important note:** The **pertussis vaccine (particularly whole-cell DTP)** is the vaccine most classically associated with encephalopathy risk, but it is not among the options here. - The risk of encephalopathy from the measles vaccine is significantly lower than the risk from natural measles infection itself. - Modern measles vaccines are highly purified and safer than earlier formulations. *OPV* - **Oral Polio Vaccine (OPV)** is associated with **vaccine-associated paralytic poliomyelitis (VAPP)**, not encephalopathy. - VAPP occurs at a rate of approximately 1 case per 2.4 million doses due to reversion of the attenuated virus to a neurovirulent form. - Manifests as flaccid paralysis, not encephalopathy. *Rubella* - **Rubella vaccine** (component of MMR) is very safe with no significant association with encephalopathy. - Rare adverse effects include transient arthralgia (especially in adult women), mild rash, or lymphadenopathy. - Severe neurological complications are extremely rare. *BCG* - **Bacillus Calmette-Guérin (BCG) vaccine** protects against tuberculosis and is not associated with encephalopathy. - Common adverse effects are local reactions: induration, ulceration, scarring, and rarely lymphadenitis. - Disseminated BCG infection can occur in immunocompromised individuals but is distinct from encephalopathy.

Q: Which immunization is typically given at 6 months of age?

DPT vaccine. **DPT vaccine** - The DPT (diphtheria, pertussis, and tetanus) vaccine is administered in multiple doses during infancy as part of the primary immunization series. - At **6 months of age**, the **third dose of DPT** is typically given (following doses at 6 weeks, 10 weeks, and 14 weeks according to the Indian immunization schedule). - Among the options provided, DPT is the only vaccine routinely administered at 6 months of age. - This vaccine protects against three serious bacterial infections: **diphtheria**, which can cause breathing problems; **pertussis (whooping cough)**, a severe respiratory illness; and **tetanus**, which causes painful muscle spasms. *Measles vaccine* - The measles vaccine (given as part of the **MMR vaccine** or as MR vaccine in India) is typically administered at **9 to 12 months of age** for the first dose, and a second dose between 15-18 months or 4-6 years. - It is not routinely given at 6 months, as maternal antibodies can interfere with its effectiveness at this younger age. *BCG vaccine* - The BCG (Bacillus Calmette-Guérin) vaccine protects against **tuberculosis** and is given at **birth** or in early infancy as a single dose. - It is not administered at 6 months of age. *None of the options* - This option is incorrect because the **DPT vaccine** (third dose) is a standard immunization given at 6 months of age according to the Indian immunization schedule. - Multiple vaccines are actually given at 6 months (including OPV, Hepatitis B, Hib, PCV), but among the listed options, only DPT is correct.

Q: Which of the following involves the examination of pores on the skin for personal identification?

Poroscopy. ***Poroscopy*** - **Poroscopy** is the method of personal identification through the examination of the anatomical characteristics of sweat pores. - This technique analyzes the **size, shape, and relative position** of pores found on friction ridge skin, which are unique to each individual. *Podography* - **Podography** involves the study of footprints and foot impressions, primarily for gait analysis or identification based on foot morphology. - It focuses on features like arches, weight distribution, and toe patterns, rather than skin pores. *Dactylography* - **Dactylography** is the scientific study of **fingerprints** and dermatoglyphics for personal identification. - While it deals with friction ridge skin, its primary focus is on the ridge patterns (**loops**, **whorls**, **arches**), not the pores within the ridges. *Cheiloscopy* - **Cheiloscopy** is the forensic study of patterns of **fissures and grooves on the lips** for personal identification. - It analyzes the unique arrangement of **lip furrows**, which are distinct from skin pores.

Q: What does testamentary capacity refer to?

Ability to make a valid will. ***Ability to make a valid will*** - **Testamentary capacity** specifically refers to the legal and mental competence required to create a legally binding **last will and testament**. - It ensures that the testator understands the nature of the act, the extent of their property, and the natural objects of their bounty (i.e., those who would reasonably expect to inherit). *Ability to create a will* - While related, this option is too broad; it doesn't emphasize the **legal validity** or the specific cognitive requirements involved in the process. - Simply "creating" a will may involve just writing it down, but it doesn't guarantee the **mental capacity** needed for it to be enforceable. *Ability to understand legal documents* - This is a general cognitive ability that is necessary but insufficient to define **testamentary capacity**. - A person might understand legal documents generally but lack the specific awareness of their assets or beneficiaries required for a valid will at a given time. *None of the options* - This is incorrect because the first option accurately describes **testamentary capacity**.

Q: Most common site for hydatid cyst

Liver. ***Liver*** - The **liver** is the most common site for hydatid cysts, accounting for approximately **60-70%** of cases [1]. - It often leads to **biliary obstruction** and liver dysfunction, highlighting its impact on the organ. *Kidney* - Hydatid cysts in the **kidney** are rare and account for a small percentage of cases (around **2-5%**). - Symptoms are often nonspecific, including **flank pain** or hematuria, which are not primary concerns. *Brain* - While the **brain** can be affected, it is not a common site; CNS involvement occurs in only **1-2%** of hydatid disease cases. - Symptoms are related to increased intracranial pressure or focal neurological deficits, not typical for hydatid cysts. *Lung* - The **lung** is another site for hydatid cysts but accounts for about **10-20%** of cases. - Presentation may include **cough** and chest pain, making it less common compared to liver involvement.

Q: A plant prick can produce sporotrichosis. Which of the following statements about sporotrichosis is false?

It is an occupational disease of butchers, doctors. ***It is an occupational disease of butchers, doctors*** - Sporotrichosis is an **occupational hazard for gardeners, florists, and agricultural workers** due to exposure to decaying plant matter, not typically for butchers or doctors. - The disease is caused by **direct inoculation** of the fungus *Sporothrix schenckii* into the skin, often through a thorn prick or minor trauma. *Most cases are acquired via cutaneous inoculation* - This statement is **true** as sporotrichosis is primarily caused by **traumatic implantation** of fungal spores into the skin. - Common sources include **thorns, splinters, sphagnum moss**, and other plant materials. *Enlarged lymph nodes extending centripetally as a beaded chain are a characteristic finding* - This statement is **true** and describes the classic **lymphocutaneous sporotrichosis**, where lesions and **nodular lymphangitis** track along lymphatic channels. - The "beaded chain" appearance refers to the multiple subcutaneous nodules formed along the lymphatic vessels. *Is a chronic mycotic disease that typically involves skin, subcutaneous tissue and regional lymphatics* - This statement is **true** because sporotrichosis is a **slow-progressing fungal infection** that primarily affects the skin, the tissue just beneath the skin, and the lymphatics draining the infected area. - While systemic dissemination can occur in immunocompromised individuals, the **cutaneous and lymphocutaneous forms** are most common.

Question 1

What is the approximate length of the tibia in centimeters for an average adult?

Accepted Answer

35 cm

Answer

30 cm

Answer

40 cm

Answer

45 cm

Question 2

All of the following are anthropozoonosis except

Accepted Answer

Schistosomiasis

Answer

Rabies

Answer

Plague

Answer

Anthrax

Question 3

Which vaccine is associated with a risk of encephalopathy?

Accepted Answer

Measles

Answer

OPV

Answer

Rubella

Answer

BCG

Question 4

Which immunization is typically given at 6 months of age?

Accepted Answer

DPT vaccine

Answer

Measles vaccine

Answer

BCG vaccine

Answer

None of the options

Question 5

What is meant by blanket consent in a medical context?

Accepted Answer

Taken at the time of admission for routine medical procedures

Answer

Oral consent

Answer

Written consent

Answer

When the patient comes to doctor for treatment

Question 6

Which of the following involves the examination of pores on the skin for personal identification?

Accepted Answer

Poroscopy

Answer

Podography

Answer

Dactylography

Answer

Cheiloscopy

Question 7

What does testamentary capacity refer to?

Accepted Answer

Ability to make a valid will

Answer

None of the options

Answer

Ability to create a will

Answer

Ability to understand legal documents

Question 8

Which of the following statements regarding resistance of penicillin in Staphylococcus aureus is false?

Accepted Answer

Hospital strains predominantly produce a unique type of penicillinase.

Answer

Methicillin resistance is due to alterations in penicillin-binding proteins (PBPs).

Answer

Penicillinase production is mediated by plasmids.

Answer

Penicillinase production can be transmitted by transduction.

Question 9

Most common site for hydatid cyst

Accepted Answer

Liver

Answer

Lung

Answer

Brain

Answer

Kidney

Question 10

A plant prick can produce sporotrichosis. Which of the following statements about sporotrichosis is false?

Accepted Answer

It is an occupational disease of butchers, doctors

Answer

Enlarged lymph nodes extending centripetally as a beaded chain are a characteristic finding

Answer

Most cases are acquired via cutaneous inoculation

Answer

Is a chronic mycotic disease that typically involves skin, subcutaneous tissue and regional lymphatics

NEET-PG 2013

Anatomy

Community Medicine

Forensic Medicine

Microbiology