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Answer the following medical question with the correct option:
A 68-year-old patient postoperative from thyroidectomy presents with muscle cramps; Chvostek's and Trousseau's signs are noted on examination. A) Prolonged QT interval B) Short QT interval C) ST elevation D) ST depression
A) Prolonged QT interval
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Methyl xanthines acts on A) Histamine receptors B) Adenosine receptors C) Mast cells D) Cholinergic receptors
B) Adenosine receptors
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Which one of the following is characteristic of tubercu otitis media; A) Marginal perforation of tympanic membrane B) Multiple perforation of pars tensa C) Large central perforation of tympanic membrane D) Attic perforation
B) Multiple perforation of pars tensa
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True about 'Customs' is/are A) Rigid rules and laws of society B) No member can escape C) Public take active part in its enforcement D) All of the above
D) All of the above
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Smooth muscle contraction due to release of calcium, occurs because of ? A) Increased cAMP B) Calcium combining with troponin C C) Increased cGMP D) Calmodulin-dependant myosin light chain kinase
D) Calmodulin-dependant myosin light chain kinase
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ZOE is not used for permanent cementation because of? A) Less strength B) High solubility C) Poor marginal seal D) Poor pulpal protection
A) Less strength
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True Statement about silicosis - A) Produces pleural plaque B) Associated with tuberculosis C) Lower lobe infiltration D) All
B) Associated with tuberculosis
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Mutations in Marfans syndrome is in: A) Collagen B) Fibrillin C) Elastin D) Fibrin
B) Fibrillin
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The commonest type of tracheoesophageal anomaly is - A) Esophageal atresia without tracheoesophageal fistula B) Esophageal atresia with distal tracheoesophageal fistula C) Esophageal atresia with proximal tracheoesophageal fistula D) Tracheoesophageal fistula without esophageal atresia
B) Esophageal atresia with distal tracheoesophageal fistula
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In concussion trauma, damage to ocular structures is caused by: A) Mechanical tearing of the tissues B) Disruption of physiological activity by damage to tissue cells C) Vascular damage leading to ischaemia D) All of the above
D) All of the above
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Etomidate causes all except- A) Coronary insufficiency B) Decreased steroid C) Decreases Intracranial tension D) Nausea and vomiting
A) Coronary insufficiency
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Cerebral palsy in which upper limb is less affected than lower limb A) Spastic diplegia B) Spastic paraplegia C) Spastic Quadriplegia D) Spastic hemiplegia
A) Spastic diplegia
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A 45 yrs old man presents with progressive cervical lymph nodes enlargement, since 3 months; most diagnostic investigation is: A) X-ray soft tissue B) FNAC C) Lymph node biopsy D) None of the above
C) Lymph node biopsy
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Which of the following is a WRONG pair regarding features of cranial nerves: A) Most commonly involved in basal skull fracture: Facial nerve B) Most commonly involved in raised intracranial tension: Abducent nerve C) Most commonly affected in spinal anaesthesia: Abducent nerve D) Most commonly involved in intracranial...
D) Most commonly involved in intracranial aneurysm: Optic Nerve
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A 6 months old baby coming with /o increasing difficulty in breathing of 2 days duration and on examination baby is afebrile & B/L wheeze & CXR shows B/L hyperinflation of the lungs with normal WBC count, the diagnosis is – A) Bronchiolitis B) Asthma C) Ch. Bronchitis D) Pneumonia
A) Bronchiolitis
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The half life of I133 - A) 4 hours B) 4 days C) 6 days D) 8 days
D) 8 days
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Which is the principle for management of diabetic foot? A) Control of DM B) Topical antibiotics is paramount C) Protection of the other limb D) Early amputation
A) Control of DM
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Not a complication of total parenteral nutrition A) Hyperammonemia B) Hypercholesterolemia C) Neutrophil dysfunction D) Hyperphosphatemia
C) Neutrophil dysfunction
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Which drug resistance differentiates the non fermenters, Psedomonas and burkholderia? A) Resistance to ampicillin B) Resistance to ceftazidime C) Resistance to ciprofloxacin D) Resistance to polymyxin B
D) Resistance to polymyxin B
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Fluid best for postmortem investigation? A) CSF B) Vitreous C) Synovial fluid D) Serum
B) Vitreous
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All are false about tigecycline, except: A) Dose reduction in renal failure B) 90% pseudomonas strains are sensitive C) Oral and parenteral bioavailability is same D) Not preferred in UTI
D) Not preferred in UTI
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Misoprostol is a: A) Prostaglandin E1 analogue B) Prostaglandin E2 analogue C) Prostaglandin antagonist D) Antiprogestin
A) Prostaglandin E1 analogue
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The mechanism responsible for sustained vascular smooth muscle contraction is A) Sustained calcium release from SERCA pump B) Vascular smooth muscle tone C) Latch bridge mechanism D) Henneman principle
C) Latch bridge mechanism
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Gastro-colic reflex is related to : A) Mass peristalsis B) Segmental movement C) Pendular movement D) Colonic cases
A) Mass peristalsis
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Middle cardiac vein is accompanied by A) Anterior interventricular aery B) Left circumflex aery C) Posterior Interventricular aery D) Diagonal aery
C) Posterior Interventricular aery
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Killian's dehisence is seen in ? A) Oropharynx B) Nasopharynx C) Cricopharynx D) Vocal cords
C) Cricopharynx
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White piedra is caused by A) Piedraia hoae B) Pityrosporum orbiculares C) Hoae werneckii D) Trichosporon beigelii
D) Trichosporon beigelii
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An 86-year-old man has become progressively unable to live independently for the past 10 years, and he now requires assistance with bathing, dressing, toileting, feeding, and transfers in and out of chairs and bed. On physical examination, he has no motor or sensory deficits. He cannot give the current date or state wh...
A) Aggregation of Ab peptide
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The commonest site for hypertensive intracerebral bleed is: A) Putamen. B) Cerebellum. C) Pons. D) Midbrain.
A) Putamen.
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Which amino acid spares the use of methionine - A) Cysteine B) Glycine C) Histidine D) Arginine
A) Cysteine
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All are factors determining diffusion across membrane except A) Temperature B) Particle size C) Membrane pore size D) Concentration gradient (Repeat, 2008)
B) Particle size
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Which of the following statement is false about the condition depicted in given diagram ? A) Caused by deficiency of Radial bone and thumb B) Hand is deted to Ulnar side . C) Associated conditions are Holt Oram syndrome and VACTERL . D) Preferred management is Pollicization and Centralization of ulna .
B) Hand is deted to Ulnar side .
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Minimum concentration of reduced hemoglobin required for cyanosis is - A) 1 gm/dl B) 3gm/dl C) 7gm/dl D) 9gm/dl
C) 7gm/dl
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Mechanism of action of zileuton:- A) Cyclooxygenase inhibitor B) 5-lipooxygenase inhibitor C) 5-phosphodiesterase inhibitor D) Prevents mast cell degranulation
B) 5-lipooxygenase inhibitor
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Menstrual regulation is done upto: September 2010 A) 35 days of Amenorrhea B) 42 days of Amenorrhea C) 49 days of Amenorrhea D) 56 days of Amenorrhea
C) 49 days of Amenorrhea
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A road traffic accident patient presents with breathlessness. Differentiation between cardiac tamponade and tension pneumothorax is best done by? A) Pulse pressure B) Pulse volume C) JVP D) Breathing sounds
D) Breathing sounds
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An orphan population of 7-13 yrs age has been put on lacto vegetarian diet, which study it was? A) Turku study B) Hope wood house study C) Vipeholm study D) Tristan da cunha study
B) Hope wood house study
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Biopsy of a persistent exophytic area on the vulva of a 60 year old woman demonstrates a squamous epithelial lesion. No koilocytes are seen. The lesions show papillary projections composed of disordered, squamous epithelium with well differentiated cells. The basement membrane at the dermal-epidermal junction is focall...
D) Vulvar squamous cell carcinoma
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"Phantom calyx/Amputated calyx" on IVU is feature of? A) Tuberculosis B) Hydronephrosis C) Bilharziasis D) UPJ obstruction
A) Tuberculosis
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Following are the features of raised intracranial tension except - A) Altered sensorium B) Papilloedema C) Convulsions D) Tachycardia
D) Tachycardia
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In primary open-angle glaucoma pilocarpine eye drops lowers the intraocular pressure by its direct action on the: A) Trabecular meshwork B) Ciliary epithelium C) Longitudinal fibres of the ciliary muscle D) All of the above
C) Longitudinal fibres of the ciliary muscle
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Formaldehyde gas sterilization is employed for? A) Sterilizing hea lung machines B) Glass materials C) Paper and cloth D) Fumigation of operation theater
D) Fumigation of operation theater
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All of the following statements about Penicillin resistance are true, Except - A) beta-Lactamase production is the most common mechanism of resistance B) Alteration in target PBPs is an impoant resistance mechanism in gram negative bacteria C) Alteration in permeability/penetration of antibiotic causes resistance only...
B) Alteration in target PBPs is an impoant resistance mechanism in gram negative bacteria
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Phlyctenular conjunctivitis false is- A) The most common cause is tuberculosis B) The lesions are typically found near the limbus C) Predominantly affects children D) Is a type IV hypersensitivity reaction
A) The most common cause is tuberculosis
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A patient of glaucoma with bronchial asthma presents to the emergency with status asthamaticus, causative agent might have been) A) Pilocarpine eye drop B) Timolol eye drop C) Betaxolol eye drop D) Levobunolol eye drop
B) Timolol eye drop
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Loosening of association is an example of: A) Formal thought disorder B) Schneider's first symptoms C) Perseveration D) Concrete thinking
A) Formal thought disorder
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A 70-year-old male presents with hearing loss and tinnitus. On examination, he has a conductive type of deafness and a dull tympanic membrane on the right side. Lymph nodal enlargement of 3x3 cm was noted in the posterior triangle of the neck. Tympanogram revealed a type B wave. The most likely diagnosis is A) Middle ...
B) Nasopharyngeal malignancy
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For pancreatic injury true is A) Most are iatrogenic B) Blunt trauma most common C) Urine amylase is diagnostic D) HRCT is investigation of choice
D) HRCT is investigation of choice
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Most common side effect of prilocaine is: A) Methemoglobinemia B) Respiratory arrest C) Skin allergy D) None
A) Methemoglobinemia
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Chronic simple glaucoma is a type of_____ glaucoma A) Primary closed angle B) Primary open angle C) Secondary open angle D) Secondary closed angle
B) Primary open angle
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Which of the following results in thirst A) Cardiac failure B) Decreased plasma levels of angiotensin II C) Distension of the cardiac atria D) Distension of the stomach
A) Cardiac failure
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Which of the following is not a component of Jones criteria for diagnosing acute rheumatic fever: March 2008 A) Pancarditis B) Migratory polyahritis C) Erythema nodosum D) Sydenham chorea
C) Erythema nodosum
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Which type of placenta pre is this? A) Type 4 B) Type 2 C) Type 1 D) Type 3
B) Type 2
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A 20 year old foot ball player received a hard kick in the epigastrium. A large cystic swelling appeared in the epigastrium two weeks later. The most likely diagnosis is A) Hydatid cyst of liver B) Amoebic liver abscess C) Pseudopancreatic cyst D) Hematoma of rectus sheath
C) Pseudopancreatic cyst
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The after coming head of the baby in a breech delivery can be arrested by all of the following except: A) Extended head B) Hydrocephalus C) Placenta pre D) Incomplete dilatation of the cervix
C) Placenta pre
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Absolute indication of enucleation is A) Intraocular retinoblastoma B) Endophthalmitis C) Mutilating ocular injury D) All the above
A) Intraocular retinoblastoma
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Gettlers test is done for detecting death by: A) Drowning B) Hanging C) Burns D) Phosphorus poisoning
A) Drowning
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Most important side effect of insulin: A) Hypoglycaemia B) Lipodystrophy C) Insulin resistance D) Antibodies to insulin
A) Hypoglycaemia
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A 28-year-old man is evaluated in the primary care office for new onset rash on both legs for 1 week. He is a healthy person with no past medical illness and is not taking any medications. There is no history of recent fever but he has noticed occasional gum bleeding and one episode of nosebleed 4 days ago. He does not...
B) Immune thrombocytopenic purpura
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All of the following diseases are associated with trinucleotide repeat sequence except: A) Huntington's disease B) Fredreich's ataxia C) Myotonica dystrophy D) Hereditary motor-sensory neuropathy
D) Hereditary motor-sensory neuropathy
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Apt test is useful for diagnosis of A) DIC B) Swallowed Maternal blood C) Haemorrhagic disease of Newborn D) Neonatal Thrombocytopenic purpura
B) Swallowed Maternal blood
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Feature of delerium ? A) Altered sleep B) Diorientation C) Autonomic disturbanes D) All of the above
D) All of the above
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All of the following are associated with polycystic ovarian syndrome, EXCEPT: A) Ovarian carcinoma B) Ovarian carcinoma C) Insulin Resistance D) Osteoporosis
D) Osteoporosis
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Acrylic resins were first introduced as a denture base material in A) 1925 B) 1937 C) 1951 D) 1956
B) 1937
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Hill Sach's lesion is seen in: September 2003 A) Recurrent dislocation of shoulder B) Recurrent dislocation of patella C) Pehe's disease D) Slipped capital femoral epiphyses
A) Recurrent dislocation of shoulder
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Which of the following can cause recurrent Pancreatitis without any obvious seen pathology? A) Pancreas Divisum B) Hypertriglyceridemia C) Sphincter of Oddi dysfunction D) All the above
D) All the above
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A pregnant woman in 3rd trimester has normal blood pressure when standing and sitting. When supine, BP drops to 90/50. What is the diagnosis? A) Compression of uterine artery B) Compression of aorta C) Compression of IVC (inferior vena cava) D) Compression of internal iliac vessels
C) Compression of IVC (inferior vena cava)
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Delirium and schizophrenia differ from each other by: A) Change in mood B) Clouding of consciousness C) Tangential thinking D) All of the above
B) Clouding of consciousness
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Glomerulonephritis associated with AIDS is? A) Focal segmental GN B) PSGM C) MPGN D) Membranous GN
A) Focal segmental GN
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Streptokinase causes increase in ? A) Plasmin B) Thrombin C) Kallikrein D) Angiotensin II
A) Plasmin
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Which of the following is a finding in biopsy of mesothelioma of pleura- A) Myelin figurers B) Desmosomes C) Wiebel-Palade bodies D) Intense fibrosis
D) Intense fibrosis
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A 3 year old girl with normal developmental milestones except that she staed speaking by the age of four. She does not play with other children and wants to eat, play and sleep in her own way. She often has temper tantrums related to any new changes. What is the likely diagnosis? A) ADHD B) Autism C) Specific learning...
B) Autism
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All are true regarding selective estrogen receptor down (SERD) Fulvestrant exept A) Used for treatment of advanced breast cancer B) Is a selective estrogen antagonist C) Is slower, sho acting and less safer than SERMS D) Administered as once month i.m. dose
C) Is slower, sho acting and less safer than SERMS
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Hormone produced by endodermal sinus tumor is A) Both 2 & 3 B) Alpha1 antitrypsis C) AFP D) hCG
A) Both 2 & 3
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Which of the following antimalarial drug cause neruopsychiatric reactions and convulsions? A) Halofantrine B) Lumefantrine C) Aemisinin derivatives D) Mefloquine
D) Mefloquine
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Neurotrophic keratopathy is caused by – A) Bell's palsy B) Facial and trigeminal nerve palsy both C) Trigeminal nerve palsy D) All of the above
C) Trigeminal nerve palsy
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Blow out fracture orbit may involve A) Floor B) Apex C) Lateral wall D) Base
A) Floor
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Peripheral eosinophilla is not a characteristic feature of- A) Hypersensitivity pneumonitis B) Allergic aspergillosis C) Tropical eosinophilia D) Loeffler's syndrome
A) Hypersensitivity pneumonitis
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All of the following statements about SACH feet are true, except: A) 'SACH' stands for 'Solid Ankle Cushioned Heal' B) Forms the base of a lower limb prosthesis C) May wear out with time D) Wooden keel absorbs the impact of heel strike
D) Wooden keel absorbs the impact of heel strike
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Tuberculosis of skin is called as – a) Lupus vulgarisb) Lupus pernioc) Lupus profundusd) Scrofuloderma A) b B) c C) ad D) ab
C) ad
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Following is a bacterial infection A) Pyoderma gangrenosum B) Impetigo herpitformis C) Pitted keratolysis D) Mycosis fungoides
C) Pitted keratolysis
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What laboratory test is most appropriate for this patient? A) Alpha-fetoprotein B) Beta2-microglobulin C) Calcitonin D) Insulin-like growth factor-1
C) Calcitonin
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In osteoporosis there is - A) Decrease in absolute amount of bone mass B) More common in male C) Radiographs show normal bone density D) Hormonal replacement therapy
A) Decrease in absolute amount of bone mass
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Testicular artery is a branch of: A) Common iliac artery B) Abdominal aorta C) Internal iliac artery D) External iliac artery
B) Abdominal aorta
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Isolation in patient with Salmonellosis is done A) Till fever subsides B) Till 3 stool test are negative C) Till Widal becomes negative D) For 48 hrs of Chloramphenicol treatment
B) Till 3 stool test are negative
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Treatment of choice for angiofibroma - A) Surgery B) Radiotherapy C) Both D) Chemotherapy
A) Surgery
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Prostacyclin is mainly produced by- A) Platelet B) Vascular endothelium C) Prostate D) Testis
B) Vascular endothelium
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A person who is intoxicated is not considered responsible for his actions under - A) Section 84 IPC B) Section 85 IPC C) Section 82 IPC D) Section 87 IPC
B) Section 85 IPC
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A 2-year-old child presented with recurrent pain abdomen, failure to thrive and iron deficiency anemia refractory to Iron therapy. His anti TTG anti-body titres were 300 U/L. An upper GI endoscopy was done and duodenal biopsy was taken which showed the following. What is the diagnosis? A) Crohn disease B) Hirschsprung...
C) Celiac disease
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&;WHO STEPS&; is used for A) Communicable diseases B) Non-Communicable diseases C) Immunodeficient diseases D) Autoimmune diseases
B) Non-Communicable diseases
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How much time later should ROP screening be done for a 2 week old baby being treated in NICU for sepsis, who was born at 28 wk gestation? A) 2 weeks B) 4 weeks C) 6 weeks D) 8 weeks
A) 2 weeks
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Not true about GIST - A) Stomach is the most common site B) High propensity of malignant change C) Associated with c-KIT mutation D) Histology shows spindle shaped cells
B) High propensity of malignant change
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Postural hypotension Is the common side effect of which of the following' A) ACE inhibitors B) Alpha receptor blockers C) Selective beta1 blockers D) Aeriolar dilators
B) Alpha receptor blockers
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Which of the following is the brownish coloured substance seen in hea failure cells? A) Hemosiderin B) Lipofuscin C) Myoglobin D) Bilirubin
A) Hemosiderin
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In Peibaldism ? A) Inheritance pattern is autosomal dominant B) Mutations of the KIT ligand, stem cell factor (SCF) C) Is associated with deafness D) Is characterized by excess melanocytes in the affected area
A) Inheritance pattern is autosomal dominant
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A patient with history of chest trauma presents to the emergency depament with a BP of 90/70 mm Hg and a Pulse rate of 120/min. The patient is observed to be sho of breath using his accessary muscle of respiration. The JVP is not elevated. The most likely diagnosis is: A) Tension Pneumothorax B) Massive Hemothorax C) ...
B) Massive Hemothorax
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All of the following are vasodilators except: A) Methyl dopa B) Nitroprusside C) Hydralazine D) Diazoxide
A) Methyl dopa
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In cleft lip surgery rule of 10 says A) 10 weeks of age, having 10 dL/mg Hb and weight 10 pounds B) 10 weeks of age, having 10 dL/mg Hb and weight 10 kgs C) 10 months of age, having 10 dL/mg Hb and weight 10 pounds D) 10 months of age, having 10 dL/mg Hb and weight 10 kgs
A) 10 weeks of age, having 10 dL/mg Hb and weight 10 pounds
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OVAL cells seen in stem cells of - A) Liver B) Skin C) Cornea D) Bone
A) Liver
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The quantity of water considered adequate in urban areas (in liters per day person) is - A) 50-100 B) 100-150 C) 150-200 D) 200-250
C) 150-200