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Answer the following medical question with the correct option:
A patient underwent Bhadrenalectomy in views of B/L pheochromocytoma 1 day later developed lethargy fatigue low BP and pulse normal No signs of volume deficit likely course A) Addisonian Crisis B) SIADH C) DI D) Cerebral salt wasting DISEASE
A) Addisonian Crisis
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Paget's disease of the nipple is treated by - A) Radiotherapy B) Radical mastectomy C) Biopsy and simple mastectomy D) Chemotherapy
C) Biopsy and simple mastectomy
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Monochorionic monoamniotic twin occurs if division occurs : A) Before 24 hours B) 1-4 days C) 4-8 days D) > 8 days
D) > 8 days
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Which is true regarding site of Meckel's diverticulum: A) 2 feet proximal to ileocaecal valve on mesentric border B) 2 feet distal to duodenojejunal flexure on antimesentric border C) 2 feet distal to D-3 flexure on mesentric border D) 2 feet proximal to ileococcal valve on antimesentric border
D) 2 feet proximal to ileococcal valve on antimesentric border
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A.M.L. with worst prognosis A) 8/21 translocation B) Inversion 16 C) Normal cytogenetics D) Monosomy 7
D) Monosomy 7
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Man is intermediate host of? A) Malaria B) Filaria C) Dengue D) Plague
A) Malaria
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Cozen's test is used for the diagnosis of - A) Tennis elbow B) Golfer's elbow C) Base bailer's pitcher elbow D) Carpal tunnel syndrome
A) Tennis elbow
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Which of the following is the most common cause of meningoencephalitis in children – A) Mumps B) Arbovirus C) HSV D) Enterovirus
D) Enterovirus
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Most preferable graft for mandibular reconstruction: A) Graft from anterior illiac crest. B) Costochondral graft. C) Fibula graft D) Any of the above.
C) Fibula graft
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A 42-year-old man experiences malaise and increasing icterus for 2 weeks. Physical examination shows jaundice, but there are no other significant findings. Serologic test results are positive for IgM anti-HAV and negative for anti-HCV, HBsAg, and IgM anti-HBc. Which of the following outcomes is most likely to occur in ...
B) Complete recovery
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Investigation of choice for diagnosing downs syndrome at 15 weeks of gestation in a mother with a history of delivering a down syndrome baby is which of the following: A) Triple screen test B) Amniocentesis C) Chorionic villous biopsy D) Ultrasonography
B) Amniocentesis
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The marked area develops from(in green colour) A) Septum Primum B) Septum secundum C) Ostium primum D) Ostium secundum
A) Septum Primum
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A middle aged female presents with increasing visual loss, breast enlargement and irregular menses. Investigation of choice would be: A) S. calcitonin B) S. prolactin C) S. hemoglobin concentration D) S. calcium
B) S. prolactin
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Processing of tactile stimulation occurs in Brodmann's area ? A) 1,2,3 B) 4, 6 C) 44,45 D) 41,42
A) 1,2,3
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Acute Lung Injury (ALI) is characterized by all except A) PaO2/FiO2 < 200mm Hg B) Bilateral interstitial infiltrates C) PCWP <18 mm Hg D) Normal Left atrial pressure
A) PaO2/FiO2 < 200mm Hg
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Vitamin acting on intranuclear receptors - A) Vitamin K B) Vitamin D C) Vitamin E D) Vitamin B1
B) Vitamin D
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A Rh negative G4P3+O has an antibody level of 15 IU/ml (IAT 1 :32) at 27 weeks.What is the most appropriate next step in the management? A) Estimate the amniotic fluid bilirubin levels B) Estimate the fetal hemoglobin levels by cordocentesis C) Estimate the middle cerebral artery peak systolic velocity D) Perform intr...
C) Estimate the middle cerebral artery peak systolic velocity
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Brucella abous primarily affects A) Dog B) Cattle C) Swine D) Goat
B) Cattle
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Eustachian tube opens due to contraction of which of the following muscles A) Buccinator B) Levator palati C) Stylohyoid D) Stylopharyngeus
B) Levator palati
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In a case of hypertrophic pyloric stenosis, the metabolic disturbance is A) Respiratory alkalosis B) Metabolic acidosis C) Metabolic alkalosis with paradoxical aciduria D) Metabolic alkalosis with alkaline urine
C) Metabolic alkalosis with paradoxical aciduria
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Agar polymer has A) Brush heap structure B) Interdigitation structure C) Fish belly structure D) All of the above
A) Brush heap structure
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Otic barotrauma results due to - A) Ascent in air B) Descent in air C) Linear acceleration D) Sudden acceleration
B) Descent in air
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A 70-year-old man with a history of emphysema and progressive dyspnea is admitted with mild hemoptysis. On exam, he is afebrile; he has a left-sided chest wall scar from a previous thoracotomy with decreased breath sounds in the left lung field. There are wheezes and rhonchi heard in the right lung field. The CXR is sh...
B) Metastatic lung disease from lung primary
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Veins are an example of A) Conducting vessels B) Distributing vessels C) Resistance vessels D) Capacitance vessels
D) Capacitance vessels
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All the following are true about Rheumatoid arthritis except - A) Positives for Anti-IgG antibody B) Juxta-articular osteoporosis C) Morning stiffness D) C Reactive protein indicates better prognosis
D) C Reactive protein indicates better prognosis
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Which of the following is not a clinical presentation of Pituitary Apoplexy? A) Headache B) Hypotension C) Hypeension D) Vomiting
C) Hypeension
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"Tentative cuts" are seen in? A) Homicide B) Suicide C) Accidental D) Fall from height
B) Suicide
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Hyperkalaemia can occur in all, except- A) Insulin deficiency B) Metabolic acidosis C) Acute renal failure D) Cushing's syndrome
D) Cushing's syndrome
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Confirmatory tests for C. diphtheriae - A) Serological tests B) Isolation in selective media C) Tests for toxin D) All of the above
B) Isolation in selective media
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All of the following are true regarding R5 strain of HIV except A) Utilizes CCR5 Co-receptor B) Predominates in late stages of HIV C) Transmits HIV efficiently D) Infects microglial cells
B) Predominates in late stages of HIV
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After the pericardial sac has been opened anteriorly during surgery, by passing a surgical clamp through the transverse sinus, surgeons can stop/dive circulation of blood in A) Superior an inferior vena cava B) Aoa and pulmonary veins C) Aoa and pulmonary trunk D) SVC and pulmonary veins
C) Aoa and pulmonary trunk
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A person comes with right eye 6/60 and left eye 3/60. He shall be categorized into which type of blindness. A) Manifest B) Social C) Economical D) No blindness
C) Economical
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Following TPN, one expects weight gain after - A) 2 days B) 7 days C) 4 weeks D) 6 weeks
B) 7 days
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A 53-year-old woman presents with a 1-cm invasive carcinoma of the breast, detected on mammography. She feels well and has no other symptoms. On examination the lump is palpable, and there are no axillary lymph nodes. Which of the following is the most appropriate local therapy for her tumor? A) simple mastectomy with...
D) local excision and axillary dissection followed by radiation therapy
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Septic arthritis is caused by: A) N.gonorrhoea B) E.coli C) Mycobacterium tuberculosis D) All of the above
D) All of the above
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CURB 65 criteria include all except A) Age more than or equal to 65 B) RR more than 30/min C) Systolic BP more than 90mmHg D) BUN level more than 7mmol/L
C) Systolic BP more than 90mmHg
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The arrow is located in which of the following structures? A) Left costophrenic angle B) Left cardiophrenic angle C) Right costophrenic angle D) Right cardiophrenic angle
C) Right costophrenic angle
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Koeppe nodules are present on – A) Cornea B) Conjunctiva C) Iris D) Retina
C) Iris
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Live attenuated vaccines are A/E A) Measles B) Rabies C) Oral polio D) Yellow fever
B) Rabies
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Trantas spots are seen in - A) Vernal conjunctivitis B) Eczematous conjunctivitis C) Ophthalmia nodosa D) Tularemia
A) Vernal conjunctivitis
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A 65 yr. old man developed severe acute onset breathlessness within few hours of an aortic valve replacement. X-Ray diagnosis is? A) Gross bilateral pleural effusion B) Left tension pneumothorax C) Pericardial tamponade D) Entire left lung collapse
C) Pericardial tamponade
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Which of the following is a function of the golgi apparatus? A) Modification of proteins B) mRNA synthesis C) Protein storage D) tRNA synthesis
A) Modification of proteins
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Median nerve injury at wrist, is commonly tested by: A) Contraction of abductor pollicis brevis B) Contraction of flexor pollicis brevis C) Loss of sensation on palm D) Loss of sensation on ring finger
A) Contraction of abductor pollicis brevis
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Palpatory thud, audible slap is seen in- A) Tracheal foreign body B) Bronchial foreign body C) Laryngeal foreign body D) None
A) Tracheal foreign body
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Weight gain Is seen In all except- A) Cushings syndrome B) Hypothyroidism C) Pheochromocytoma D) Insulinoma
C) Pheochromocytoma
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A 25-year-old female patient came with complaints of anemia and seventh and eighth nerve palsy. As a pa of evaluation, X-ray of the skull and spine revealed the following abnormalities:- What is the Diagnosis based on the above findings? A) Paget's disease B) Osteogenesis imperfecta C) Osteomalacia D) Osteopetrosis
D) Osteopetrosis
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Most common presentation in congenital rubella syndrome is- A) Salt and pepper retinopathy B) Low birth weight C) Nerve deafness D) Patent ductus arteriosus
C) Nerve deafness
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Which of the following is false regarding Amestest A) Salmonella typhimurium is used B) Mutated bacteria fail to grow in absence of histidine C) It is used for testing mutagens D) Developed by Bruce. N. Ames in 1970s
B) Mutated bacteria fail to grow in absence of histidine
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Conceptus reaches uterine cavity at which stage? A) 1 cell B) 2 cell C) 16 cell D) 32 cell
D) 32 cell
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Optimum unit of preventive, curative and promotive health care is A) Appropriateness B) Availability C) Adequacy D) Comprehensiveness
D) Comprehensiveness
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The amino acid deficiency that could be expected in a case of high cereal intake and poor nutritional bance is which of the follwoing? A) Alanine B) Lysine C) Methionine D) Cysteine
B) Lysine
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Certificate for vaccination during international travel is required in case of A) Japanese Encephalitis B) Cholera C) Yellow fever D) Yellow severe and Cholera
C) Yellow fever
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A 23-year-old man is admitted to the emergency department with a deep, bleeding stab wound of the pelvis. After the bleeding has been arrested, an MRI examination gives evidence that the right ventral primary ramus of L4 has been transected. Which of the following problems will most likely be seen during physical exami...
A) Reduction or loss of sensation from the me dial aspect of the leg
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Which enzyme's activity is increased in low insulin/glucagon level? A) Hexokinase B) Glucokinase C) Glucose-6-phosphatase D) Pyruvate kinase
C) Glucose-6-phosphatase
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If biochemical test gives the same reading of r given sample on repeated testing, it is inferred that the measurement is - A) Precise B) Accurate C) Specific D) Sensitive
A) Precise
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Most common cadiac anomaly in Turner's syndrome is ? A) Coarctation of aoa B) Bicuspid aoic valve C) Vetricular septal defect D) Atrial septal defect
B) Bicuspid aoic valve
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Which of the following is a contraindication to the use of Beta Blockers:- A) Glaucoma B) Tachycardia C) Bronchial asthma D) Hypeension
C) Bronchial asthma
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Taking off ones clothes and running naked in a public race is called ? A) Mooning B) Exhibitionism C) Voveyrism D) Undinism
B) Exhibitionism
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Ureterovaginal fistula should best be treated by- A) Ureteroneocystostomy B) End-to-end anastomosis through an ureteric catheter C) Implantation into colon D) Ileal conduit
A) Ureteroneocystostomy
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'Flower vase' appearance on intravenous urogram is seen in A) Duplex system with upper moeity ureterocele B) Polycystic kidney disease C) Horse-shoe kidney D) Retro-caval ureter
C) Horse-shoe kidney
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Which of the following is not a tumor marker - A) CEA B) Tyrosinase C) Human leucocyte antigen A2 D) AFP
C) Human leucocyte antigen A2
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The suture between the two halves of the Frontal bones is A) Metopic B) Symphysis C) Mendosal D) Coronal
A) Metopic
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Amotivational syndrome is seen in - A) Cannabis B) Cocaine C) Amphetamine D) LSD
A) Cannabis
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Due to an effective prevention program, the pre valence of an infectious disease in a community has been reduced by 90%. A physician continues to use the same diagnostic test for the disease that she has always used. How have the test’s characteristics changed? A) Its sensitivity has increased B) Its positive predicti...
D) Its negative predictive value has increased
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MgSO4 is contraindicated in eclampsia if following occurs during treatment EXCEPT - A) Urine output is <30 ml/hr B) Respiratory rate < 16 C) Diastolic BP <90 D) Knee jerk absent
B) Respiratory rate < 16
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Which of the following is/are an example/examples of non-Mendelian inheritance? A) Genomic imprinting B) Uniparental disomy C) Mitochondrial inheritance D) All of the above
D) All of the above
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A gun shot wound can not be evaluated as entrance or exit wound due to surgical alteration of wound. The phenomenon is called A) Kennedy phenomenon B) Rayalaseema phenomenon C) Blow back phenomenon D) Rat hole phenomenon
A) Kennedy phenomenon
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The deepest point between the anterior nasal spine and superior prosthion is A) Subspinale B) Supranasale C) Infra spinale D) gnathion
A) Subspinale
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All the following are helpful in the initial treatment of severe hypercalcemia associated with hyperparathyroidism except: A) Hydration with saline B) Forced diuresis with loop diuretics C) Glucocoicoids D) Pamidronate
C) Glucocoicoids
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All the following language milestones develop at 15 months of age of except A) Follows simple commands B) Responds to his/her name C) Names a familiar object D) Identifies 1 or more pas of body
D) Identifies 1 or more pas of body
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A new born who has frothing of mouth. Cyanosis is present on day one. The most probable diagnosis is: A) Lung hypoplasia B) Lung cyst C) Diaphragmatic hernia D) Esophageal atresia
D) Esophageal atresia
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A 27-year-old, previously healthy man suddenly collapses at a party where both legal and illicit drugs are being used. En route to the hospital, he requires resuscitation with defibrillation to establish a normal cardiac rhythm. On physical examination, his temperature is 40deg C; respirations, 30/ min; heart rate, 110...
C) Cocaine
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Finnish of nephrotic syndrome is caused by defect in following protein aEUR' A) Nephrin B) Podocin C) Alpha actinin D) CD2 activated protein
A) Nephrin
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Which of the following is true for Klinefelter's syndrome? A) 45X0 B) Arm span and height more C) Attains puberty normally D) Normal testis and genitalia
B) Arm span and height more
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Battledore placenta is associated with highest risk of A) Fetal anomalies B) Cord avulsion C) Uterine inversion D) Single umbilical artery
B) Cord avulsion
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Main aim of root planning is to remove: A) Plaque B) Calculus C) Necrotic cementum D) All of the above
C) Necrotic cementum
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Ann Arbor classification is used for? A) Retinoblastoma B) Nephroblastoma C) Neuroblastoma D) Hodgkin lymphoma
D) Hodgkin lymphoma
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A boy presents with complaints of hypoaesthesia and wasting of thenar eminence. The nerve most likely to damaged in this patient? A) Musculocutaneous nerve B) Median nerve C) Ulnar nerve D) Radial nerve
B) Median nerve
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CYP 3A4 enzymes are affected by: a) Fexofenadine b) Phenytoin c) Carbamazepine d) Azithromycin e) Penicillin A) ab B) bc C) ad D) bd
B) bc
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A patient with CSOM presents with diplopia on seeing towards left side. Most probable cause: A) Right lateral sinus thrombophlebitis B) Right petrositis C) Left petrositis D) Left lateral sinus thrombophlebitis
C) Left petrositis
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Virus responsible for infectious mononucleosis is A) RNA paramyxo virus B) Varicella zoster virus C) Epstein Barr virus D) Coxsackie virus A 16
C) Epstein Barr virus
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Sequestrum means: A) It is necrosed bone, separated from its surrounding B) It is a broken tooth piece C) It is new bone formed in osteomyelitis D) It is necrosed tooth
A) It is necrosed bone, separated from its surrounding
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A surgeon operates on a patient with a pheochromocytoma involving the adrenal gland. He requests examination of intraoperative frozen sections by the pathology laboratory. Which of the following criteria can be used to determine if the lesion is benign or malignant? A) Blood vessel invasion B) Cannot be determined by ...
B) Cannot be determined by microscopic examination
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Mycosis fungoides affects: A) T cells B) B cells C) NK cells D) Keratinocytes
A) T cells
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Neurofibrillary tangles with senile plaques are seen in - A) Parkinson's disease B) Alzheimer's disease C) Schizophrenia D) Tuberous sclerosis
B) Alzheimer's disease
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In CCF there is - A) Oliguria B) Polyuria C) Oliguria during day and polyuria during night D) Anuria
A) Oliguria
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Verrucaous carcinoma of penis is causes by A) HPV11 B) HPV16 C) HPV18 D) HPV32
A) HPV11
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Root value of radial nerve is: A) C3,4,5,6,7 B) C4,5,6,7,8 C) C5,6,7,8; T1 D) C6,7,8; T1,2
C) C5,6,7,8; T1
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Collagen distributed in rhabdomyosarcoma cells? A) Type V B) Type XII C) Type XIX D) Type XXIV
C) Type XIX
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All of the following drugs reduce afterload, except: A) Enalapril B) Propranolol C) Hydralazine D) Sodium nitroprusside
B) Propranolol
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Which of the following is the gas which produces systemic toxicity without causing local irritation? A) Ammonia B) Carbon monoxide C) Hydrocyanic acid D) Sulfur dioxide
B) Carbon monoxide
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Warthin Finkeldey giant cells are seen in: A) Mumps B) Rubella C) Measles D) Polio
C) Measles
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Australian antigen is: A) HB Ag B) HBs AG C) HBV D) None of the above
B) HBs AG
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Which is not a feature of Kallman syndrome? A) Micropenis B) Primary amenorrhea C) Mirror movements of hands D) Mental retardation
D) Mental retardation
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The parasympathetic secretomotor fibres to parotid traverse through the following, except A) Otic ganglion B) Tympanic plexus C) Greater petrosal nerve D) Aurico temporal nerve
C) Greater petrosal nerve
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Rapid change of presbyopic glasses is seen in A) Senile cataract B) Retinal detachment C) Intumescent cataract D) Open angle glaucoma
D) Open angle glaucoma
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Topical antiviral drugs not indicated in : A) Dendritic ulcer B) Met herpetic ulcer C) Stromal necrotizing keratitis D) All
B) Met herpetic ulcer
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The typical appearance of "spider leg" on excretory urography is seen in A) Hydronephrosis B) Polysystic kidney C) Medullary sponge kidney D) Renal cell carcinoma
B) Polysystic kidney
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Which of the following is not a feature of Acute congestive glaucoma – A) Deep angle B) Painful condition C) Vertically oval pupil D) Increased intraocular pressure
A) Deep angle
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Deficiency of vit D will cause: A) Scurvy B) Rickets C) Phrynoderma D) Beriberi
B) Rickets