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Answer the following medical question with the correct option:
The earliest manifestations of increased intracranial pressure following head injury is : A) Ipsilateral papillary dilatation B) Contralateral papillary dilatation C) Altered mental status D) Hemiparesis
C) Altered mental status
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All are the pharmacologic therapeutic options for achalasia, EXCEPT: A) Nitrates B) Beta blockers C) Botulinum toxin D) Sildenafil
B) Beta blockers
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A 25-year-old male presented with painless testicular swelling and with history of fever and weight loss. All the following investigations are indicated in this patient, except: A) USG scrotum B) CT abdomen and pelvis C) Chest x-ray D) Trans-scrotal biopsy
D) Trans-scrotal biopsy
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Fat content is highest in _____- A) Beef B) Mutton C) Chicken D) Fish
A) Beef
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In Scaphoid fracture, impoant views are all except: A) AP B) Lateral C) Oblique D) Cone
D) Cone
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Miyagawa body is characteristically seen in A) Kala azar B) Syphilis C) Granuloma inguinale D) LGV
D) LGV
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Tom smith's arthritis is due to - A) Pyogenic infection in infancy B) TB C) RA D) OA
A) Pyogenic infection in infancy
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8 days after cesarean section a new mother presented with fever of 101.4degF. On examination her uterus is soft and extremely tender. Puerperal infection is confirmed. She mostly have: A) Vaginitis B) Endometritis C) Parametritis D) Salpingitis
B) Endometritis
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Montgomery tube used in ENT procedure is a: A) Double barrel tub B) Lobster tail tube C) Airway tube D) Silicone tube
D) Silicone tube
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Following are the propeies of Biguanides, EXCEPT: A) Decrease hepatic gluconeogenesis B) Not contraindicated in renal dysfunction C) Can be used along with sulfonylureas D) Don't stimulate insulin Release
B) Not contraindicated in renal dysfunction
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Difference between active & resting cell depend on which phase of cell cycle: A) G0 B) G1 C) G2 D) M
A) G0
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Vascular complications of acute pancreatitis include the following except - A) Splenic vein thrombosis B) Splenic artery aneurysm C) Gastroduodenal artery aneurysm D) Middle colic artery thrombosis
D) Middle colic artery thrombosis
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The drug that is never advised in pregnancy is: A) Methotrexate B) Cyclosporine C) Chloroquine D) Pyrazinamid
A) Methotrexate
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Graft versus host disease is due to ? A) Immunocompetent T cells in graft tissue B) Immunocompetent T cells in host C) Immunocompetent B cells in graft tissue D) Immunocompetent B cells in host
A) Immunocompetent T cells in graft tissue
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All the following Vasculitis causes necrotizing inflammation A) Polyarteritis nodosa B) Wegener's granulomatosis C) Kawasaki disease D) Microscopic polyangitis
C) Kawasaki disease
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The congenital Anomaly of Gallbladder shown here is A) Septum B) Diverticulum C) Normal D) Phrygian cap
D) Phrygian cap
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Painless burn in hand is seen in: A) SLE B) Syringomyelia C) Mononeuritis multiplex D) Diabetes mellitus
B) Syringomyelia
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A sewerage worker presents to OPD with acute febrile illness alongwith jaundice and conjunctivitis. His blood sample was taken and sent to lab . Lab findings are suggestive of kidney failure and elevated hepatic enzymes. Which of following is likely diagnosis ? A) Malaria B) Leptospirosis C) Peussis D) Typhoid
B) Leptospirosis
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The most common congenital esophageal anomaly is which of the following? A) Esophageal atresia B) Esophageal psuedodiveiculum C) Congenetal web D) Schatzki ring
A) Esophageal atresia
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The best site to obtain a swab in acute symptomatic gonorrhea is: A) Endocervix B) Exudate after prostatic massage C) Lateral vaginal wall D) Posterior fornix
A) Endocervix
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All are true about chaperones except A) Cause folding of proteins B) Are lipid in nature C) May have ATPase activity D) Include heat shock proteins
B) Are lipid in nature
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Millennium Development goals are to be achieved by: March 2012 A) 2005 B) 2010 C) 2015 D) 2020
C) 2015
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Most dicient larval control method ent transmission of urban malaria: A) Covering overhead tanks B) Cleaning of drains C) Filling of ditches and cesspools D) Uprooting of plants
B) Cleaning of drains
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Mood congruent delusion seen in Depression A) Delusion of grandeur B) Delusion of nihilisim C) Delusional parasitosis D) Delusion of reference
B) Delusion of nihilisim
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A 46-year-old man sustains a spider bite on his upper eyelid, and an infection develops. The physician is very concerned about spread of the infection to the dural venous sinuses of the brain emissary veins. With which of the following dural venous sinuses does the superior ophthalmic vein directly communicate? A) Cav...
A) Cavernous sinus
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Distichiasis is A) Increased number of lashes in the lower eyelid B) Growth of eyelashes from Meibomian Orifices C) Hyperpigmentation of eyelashes D) Increased thickness of eyelashes
B) Growth of eyelashes from Meibomian Orifices
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Change in length of upper anterior teeth in complete denture teeth setting, which sounds are affected: A) f, v B) d, t C) Dentoalveolar sounds D) b, p, m
A) f, v
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A very ill 3-year-old child is brought into the emergency room with a fever. On physical examination, the child has large cervical lymph nodes and a desquamating skin rash that involves the palms, soles, and mouth. This child should be monitored for the development of which of the following conditions? A) Abdominal ao...
D) Coronary aery aneurysm
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All of the follow ing are risk factors for carcinoma gall bladder, except - A) Typhoid carriers B) Adenomatous gall bladder polyps C) Choledochal cysts D) Oral contraceptives
D) Oral contraceptives
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Peripheral pulmonic stenosis is associated with A) Subaoic stenosis B) Takayasu's aeritis C) William syndrome D) Coarctation of syndrome
C) William syndrome
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Helmet Cells are characteristic of A) Hemolytic uremic syndrome B) Polysplenia C) Spherocytosis D) Acanthocytosis
A) Hemolytic uremic syndrome
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Blisters are seen in A) 1st degree burn B) Superficial 2nd degree burn C) Deep 2nd degree burn D) 3rd degree burn
B) Superficial 2nd degree burn
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Fetal and maternal blood can be differentiated by A) Kleihaurbetke test B) Apt test C) Bubbling test D) Osmotic fragility test
B) Apt test
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A child with pyoderma becomes toxic and presents with respiratory distress. His chest radiograph shows patchy areas of consolidation and multiple bilateral thin-walled air containing cysts. The most likely etiological agent in this case is – A) Mycobacterium tuberculosis B) Staphylococcus aureus C) Mycobacterium avium...
B) Staphylococcus aureus
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Counter transference is - A) Patient's feelings towards therapist B) Doctor's feelings towards the patient C) Psycic connection between patient and diseas D) Type of Defence mechanism
B) Doctor's feelings towards the patient
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Phase 4 clinical trials is carried out: A) Before the marketing approval of a drug B) After a drug is marketed C) For drugs used in rare disease D) For drugs used in pediatric patients
B) After a drug is marketed
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RET proto oncogene is located on which chromosome: A) 9 B) 10 C) 11 D) 12
B) 10
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With reference to neoplasia, the term 'tumor progression means A) Spread of cancer to distant sites B) Rate of growth of tumors C) Abi1ity of cancer cells to resemble their normal counterpa D) Sequential appearnace of features of increasing malignancy
D) Sequential appearnace of features of increasing malignancy
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Which of the following statements about Xanthogranulomatous is not true - A) Foam cells are seen B) Associated with tuberculosis C) Yellow nodules are seen D) Giant cells may be seen
B) Associated with tuberculosis
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All of the following are clinical features of myxoma, EXCEPT: A) Fever B) Clubbing C) Hypeension D) Embolic phenomenon
C) Hypeension
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Mesentric tumours are A) Usually solid B) Usually cystic C) Highly malignant D) Highly vascular
B) Usually cystic
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A 60 yr old smoker came with the history of painless gross hematuria for one day. The investigation of choice would be : A) Urine routine and microscopy B) Plain x-ray KUB C) USB KUB D) Urine for malignant cytology
D) Urine for malignant cytology
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A patient with autoimmune thyroditis present with hypothyroidism. Which of the following is true A) Thyroid peroxidase antibodies B) Painless enlargement of thyroid C) Common in men D) No malignant risk
A) Thyroid peroxidase antibodies
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One of the following disease will show urinary bladder calcification radiologically which resembles fetal head in pelvis: A) Tuberculosis B) Schistosomiasis C) Chronic cystitis D) Malignancy
B) Schistosomiasis
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A 20-year-old woman complains of weakness that is worse in the afternoon, worse during prolonged activity, and improved by rest. When fatigued, the patient is unable to hold her head up or chew her food. She often notes diplopia when driving home from work. On physical examination, she has no loss of reflexes, sensatio...
A) Autoantibodies directed against the postsynaptic acetylcholine receptor causing neuromuscular transmission failure
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A 24-year-old accountant complains of a white discharge from his breasts. He is most likely experiencing which one of the following? A) A tumor of the posterior pituitary that could be surgically removed B) Excessive production of OT in the hypothalamus C) Deficient testosterone receptors in the mammary glands D) A pr...
D) A prolactinoma that would decrease its secretory activity in response to bromocriptine (an analog of dopamine)
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Which of the following are supratentorial tumors? A) Craniopharyngioma B) Medulloblastoma C) Astrocytoma D) Ependymoma
A) Craniopharyngioma
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All are actions of coisol on the skin and connective tissue except A) Antiproliferative for fibroblasts B) Antiproliferative for keratinocytes C) Loss of collagen D) Hyperpigmentation
D) Hyperpigmentation
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Lipoma becomes malignant commonly at which site: A) Subcutaneous B) Sub-aponeurotic C) Retroperitoneal D) Intermuscular
C) Retroperitoneal
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A 9 month infant presents with a head circumference of 39 cm. All of the following can be the underlying causes EXCEPT? A) Edward syndrome B) Maternal smoking C) Alexander disease D) Congenital Toxoplasmosis
C) Alexander disease
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. If blood gas analysis reveal pH = 7.52, pCO2=3O; pO2= 105.This will be compensated by? A) Compensatory respiratory acidosis B) Compensatory respiratory alkalosis C) Compensatory metabolic acidosis D) Compensatory metabolic alkalosis
C) Compensatory metabolic acidosis
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Corneal lesion seen in Hutchinson triad associated with congenital syphilis is: September 2006 A) Disciform keratitis B) Interstitial keratitis C) Phylectenular keratitis D) Mooren ulcer
B) Interstitial keratitis
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Chemoprophylaxsis is..................... prevention - A) Primordial B) Primary C) Secondary D) Teiary
B) Primary
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Which of the following is not a cause of hypermetropia: September 2009 A) Sho axial length of the eyeball B) Flat cornea C) Increased refractive index of the coex of lens D) Anterior dislocation of the lens
D) Anterior dislocation of the lens
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An eight years old child is suffering from transient synovitis of the hip joint. Which of the following statement is false A) May follow upper respiratory tract infection B) WBC count and ESR are usually normal. C) The hip is typically held in adduction and internal rotation D) Widening of joint space will be seen on ...
C) The hip is typically held in adduction and internal rotation
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Half-life of T3 A) 10 hours B) 2 day C) 6 days D) 10 days
B) 2 day
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Typhoid oral vaccine is given ? A) 1, 3, 5 days B) 1, 2, 3 days C) 1, 2, 4 days D) 1, 7, 14 days
A) 1, 3, 5 days
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Commonest site of lytic lesion in multiple myeloma is: A) Veebral column B) Femur C) Clavicle D) Pelvis
A) Veebral column
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The length of the feeding tube to be inseed for transpyloric feeding is measured from the tip of A) Nose to the umblicus B) Ear lobe to the umblicus C) Nose to the pelvis D) Ear lobe to the pelvis
B) Ear lobe to the umblicus
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Difference in expression of gene in the sibling as inherited by the father is termed as: A) Mosaicism B) Anticipation C) Mutation D) Replication
A) Mosaicism
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Infantile atopic dermatitis commonly involves A) Flexors B) Extensors C) Head & neck D) Perianal area
B) Extensors
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Oligohydroamnios is AFI- A) <8cm B) <5cm C) <2 cm D) <1 cm
B) <5cm
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Thoracic duct opens into: A) Subclan vein B) Internal jugular vein C) Right brachiocephalic vein D) Left brachiocephalic vein
D) Left brachiocephalic vein
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The incidence rates of Clostridium difficile are measured in both hospitals and nursing homes throughout a particular county. Those with low rates of infection were marked as having an effective nosocomial infection prevention strategy, while those with high rates were marked as having an ineffective strategy If the De...
A) Chi-squared test
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All of the following are features of splenic rupture on plain X-ra3, abdomen except: A) Obliteration of psoas shadow B) Obliteration of splenic outline C) Obliteration of colonic air hubble D) Elevation of left hemidiaphragm
C) Obliteration of colonic air hubble
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Most common organism implicated in causation of necrotizing fascitis: A) Staphylococcus aureus B) Streptococcus pyogenes C) Clostridium perfringens D) Pneumococcus
B) Streptococcus pyogenes
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Stature of an unknown person can be found out from long bones, by applying all the following formulas except A) Trotter and Glesser B) Karl Pearson C) Haase D) Dupeuis and Hadden
C) Haase
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Pediatric fracture of mandible pattern is typically seen as: A) Downwards and forwards. B) Downwards and backwards. C) Zig zag pattern due to presence of tooth buds. D) Comminuted fractures.
C) Zig zag pattern due to presence of tooth buds.
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Node of Ranvier is seen in A) Cell body B) Dendrites C) Axons D) Terminal butons
C) Axons
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Which one of the following test is used to detect malingering - A) Stenger's test B) Buinge's test C) Weber 's test D) Rinne's test
A) Stenger's test
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The thick filament is made up of Heavy chain of myosin Light chain of myosin Dystrophin Titin A) 1, 3, and 4 B) 2, 3 and 4 C) 1 and 2 D) 3 and 4
C) 1 and 2
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Megaloblastic anemia is caused by - A) Phenytoin B) Lithium C) Lead D) Chloroquine
A) Phenytoin
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Endometriosis is common in : A) Multiple B) Peri menopausal age C) Nullipara D) Virgins
C) Nullipara
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A 70-year-old female patient was readmitted to a local hospital with fever and chills following cardiac surgery at a major teaching institution. Blood cultures were taken and a Gram-positive coccus grew from the blood cultures within 24 hours. Initial tests indicated that this isolate was resistant to penicillin. The m...
D) image_question
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A girl falls in love with a film star & believes that he also loves her. It is best exemplified by? A) Persecutory delusion B) Grandiose delusion C) Erotomania D) Nymphomania
C) Erotomania
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What is the recommended drug for treatment of leptospirosis? A) Penicillin B) Tetracycline C) Azithromycin D) Erythromycin
A) Penicillin
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All are true about ESBL except - A) Sensitive to carbapenems B) Ambler classification is based on molecular structure C) Classification is based on 3rd g. cefalosporin sensivity D) 3rd & 4* g. cefalosporin sensivity testing is must to confirm the ESBL
D) 3rd & 4* g. cefalosporin sensivity testing is must to confirm the ESBL
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Most common symptom of posterior uveitis - A) Pain B) Photophobia C) Lacrimation D) Diminished vision
D) Diminished vision
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The enzyme used for the mapping of hypersensitive sites in recombinant DNA research is? A) DNA ligase B) DNA polymerase I C) DNase I D) Polynucleotide kinase
C) DNase I
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As a general rule, veins carry A) Urine B) Lymph fluid C) Oxygenated blood D) Deoxygenated blood
D) Deoxygenated blood
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Which of the following is associated with Down syndrome: March 2010 A) Raised PAPP-A level B) Decresed beta-HCG level C) Raised estriol level D) Decreased AFP level
D) Decreased AFP level
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Right anterior quadrant of the scalp is supplied by the following arteries EXCEPT A) Right supra orbital artery B) Right supra trochlear artery C) Right superficial temporal artery D) Right maxillary artery
D) Right maxillary artery
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One of the following groups of enzymes does not exhibit stereospecificity A) Oxidoreductases B) Isomerases C) Lyases D) Transferases
B) Isomerases
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RDA cover of nutrient requirement of- A) 50% of individuals B) 75% of individuals C) 98% of individuals D) Same as adequate intake
C) 98% of individuals
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Sandfly transmitts which disease- A) Oraya fever B) Oriental sore C) Kala-azar D) All of the above
D) All of the above
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H pylori causes all except A) Peptic ulcer B) Maltoma C) Carcinoid tumor D) Gastric carcinoma
C) Carcinoid tumor
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Investigation of choice for diagnosis of splenic rupture – A) Peritoneal lavage B) Ultrasound C) CT scan D) MRI
C) CT scan
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True about shunt vessels A) Evenly distributed throughout the skin B) Role in nutrition C) Play a role in thermoregulation D) No autonomic nervous regulation
C) Play a role in thermoregulation
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All of the following may be present in Duane&;s retraction syndrome except A) Suppression B) Head turn C) Narrowing of palpebral apeure in abduction D) Limitation of abduction
C) Narrowing of palpebral apeure in abduction
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Fracture of talus without displacement in x-ray would lead to -a) Osteoarthritis of ankleb) Osteonecrosis of head of talusc) Avascular necrosis of body of talusd) Avascular necrosis of neck of taluse) Non union A) ac B) bc C) ad D) b
A) ac
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Chelating agent used in mercury poisoning is - A) Calcium disodium edetate B) Desferrioxamine C) Penicillamine D) BAL
D) BAL
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Drug used in irritable bowel syndrome with constipation is A) Lubiprostone B) Loperamide C) Alosetron D) Clonidine
A) Lubiprostone
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Which of the following malignancy is MOST sensitive to radiotherapy? A) Serous cystadenoma B) Dysgerminoma C) Mucinous cystadenoma D) Teratoma
B) Dysgerminoma
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An epidemiologic study evaluates the rate of dental caries and tooth abscesses among children living in communities within a metropolitan area. Investigators discover that the rate is high among children living in an upper-middle-class community but low in children living in a community below the poverty level. The lev...
B) Fluoride
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The diagnosis of gout is best established by the presence of A) Synol uric add crystals B) Intracellular uric acid crystals C) Elevated serum uric acid D) Involvement of the first metatarsal phalangeal joint
B) Intracellular uric acid crystals
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Obesity indices are - A) Broca's index B) Ponderal index C) Quetelet index D) Corpulence index
A) Broca's index
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Organised glomemler deposits in kidney is present in- A) Amyloidosis B) Diabetes millitus C) IgA nephropathy D) Cry oglobulinemia
C) IgA nephropathy
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Drug of choice for severe Falciparum malaria in pregnancy is: A) Aresunate B) Artemether C) Chloroquine D) Quinine
D) Quinine
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A 37-yrs-old man in DKA has yellowish papules scattered over his trunk and extremities. A tube of plasma that is collected from the patient develops a turbid supernate. This is consistent with which type of hyperlipoproteinemia? A) Type I B) Type II C) Type III D) Type V
D) Type V
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Radiation exposure during infancy has been linked to A) Breast B) Melanoma C) Thyroid D) Lung
C) Thyroid