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Answer the following medical question with the correct option:
A neonate develops signs of meningitis at seven days of birth. The presence of which of the following infectious agent in the maternal genital tract can be the causative agent of this disease? A) Neisseria gonorrhea B) Chlamydia trachomatis C) Streptococcus agalactiae D) Haemophilus ducryi
C) Streptococcus agalactiae
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Paterson Brown Kelly syndrome is characterized by all except A) Premalignant B) Lower esophageal web C) Iron deficiency anemia D) Common in female
B) Lower esophageal web
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Auramine and rhodamine staining are used for : A) Nocordia. B) Spirochaetes. C) Rapid diagnosis of TB D) All of the above.
C) Rapid diagnosis of TB
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Neonatal seizure carries best prognosis if the cause is - A) Idiopathic B) Hypocalcemia C) Infection D) Asphyxia
B) Hypocalcemia
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Lumbosacral spine lateral view X-ray shows A) Spondylisthesis B) Pott's spine C) Spondylosis D) Ankylosing spondylitis
A) Spondylisthesis
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Most immunogenic RBC blood group system out of the given options is:- A) Kell B) Duffy C) Kidd D) Lewis antigen
A) Kell
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As per ACOG - 2001 criteria to diagnose "gestational diabetes" using GTT is plasma glucose at 2 hr more than____ mg/dL: A) 180 B) 155 C) 140 D) 126
B) 155
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Distal nail matrix forms A) Ventral Poion of nail plate B) Dorsal poion of nail plate C) Both of the above D) None of the above
A) Ventral Poion of nail plate
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Bone which is Pneumatic: A) Maxillary B) Parietal C) Temporal D) All
A) Maxillary
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A thiy year man presented with nausea, fever and jaundice of 5 days duration. The biochemical tests revealed a bilirubin of 6.7 mg/dl (conjugated 5.0 mg/dl) with SGOT/SGPT (AST/ALT) of 1230/900 IU/ml. The serological tests showed presence of HBsAg, IgM anti HBc and HBe Ag. The most likely diagnosis - A) Chronic hepati...
B) Acute hepatitis B infection with high infectivity
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Which of the following is best treatment for Grade II abdominal hypeension? A) Laparotomy B) Immediate decompression C) Hypovolemic resuscitation D) Normovolemic resuscitation
C) Hypovolemic resuscitation
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All regarding HSP is true except – a) Hematuria resolve without treatmentb) Steroids best treat skin lesionsc) Self limiting arthralgiad) Excellent prognosise) Purpura fulminans A) ab B) be C) bc D) ce
B) be
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Nutritional supplement for two year old child under ICDS scheme is - A) 200 Calorie B) 300 Calorie C) 400 Calorie D) 500 Calorie
D) 500 Calorie
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Posterior wall of the structure pierced by the Index finger is A) Aortic arch B) Azygos vein C) Pulmonary veins D) Superior Venacava
D) Superior Venacava
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Tardive dyskinesia is least common with A) Flupenthixol B) Penfluridol C) Olanzapine D) None
C) Olanzapine
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Chemotherapeutic drugs can cause: A) Only necrosis B) Only apoptosis C) Both necrosis and apoptosis D) Anoikis
C) Both necrosis and apoptosis
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Yellow color of a bruise is due to which of the following? A) Bilirubin B) Hemoglobin C) Hemosiderine D) Deoxyhemoglobin
A) Bilirubin
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Pasteruisation of milk does not kills - A) Anthrax B) Brucella C) Mycobacterium tuberculosis D) Streptococcus
A) Anthrax
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All of the following are causes of subcoical dementia except A) Alzheimer's disease B) Parkinson's disease C) HIV associated dementia D) Huntington's chorea
A) Alzheimer's disease
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All the following are criteria for outlet forceps application Except A) Fetal skull has reached pelvic floor B) Scalp is visible at the introitus without separating the labia C) Station is between 0 and +2cm D) Rotation does not exceed 45degrees
C) Station is between 0 and +2cm
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All of the following are indication of steroids in TB except? A) Bone TB B) Tubercular meningitis C) Pericardial effusion D) Massive pleural effusion
A) Bone TB
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Regular drinking of which of the following fruit juices can prevent UTI? A) Raspberry B) Grape C) Cranberry D) Orange
C) Cranberry
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Bitewing radiographs are best suited to monitor: A) Unerupted teeth B) Crestal bone levels C) Crown preparations D) Endodontic procedures
B) Crestal bone levels
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Exposure of left subclan aery by supraclavicular approach does NOT require cutting of: A) Sternocleidomastoid B) Scalenus anterior C) Scalenus medius D) Omohyoid
C) Scalenus medius
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All are derivatives of septum transversum except: A) Falciform ligament B) Ligamentum teres C) Coronary ligament D) Mesentary of Lesser sac
B) Ligamentum teres
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All of the following vaccines can prevent pneumonia, except: A) Measles B) Rubella C) Pneumococcal D) H. influenzae
B) Rubella
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Von gerke's disease is associated with A) Branching enzyme B) Debranching enzyme C) Phosphorylase D) Glucose 6 phosphatase
D) Glucose 6 phosphatase
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Streptococcus causes: A) Cellulitis B) Gangrene C) Pyoderma D) UTI
A) Cellulitis
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A patient at 30 weeks gestation presents with complaints of vaginal bleeding. She is admitted to a labor room for evaluation. Fetal hea rate is 130 bpm with no accelerations or decelerations. Ultrasonography reveals a placenta covering a poion of the internal cervical os. She currently shows no active vaginal bleeding....
B) Resuscitation and observation in high risk ward
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Inferior angle of scapula is at what level of rib A) 5th B) 6th C) 7th D) 8th
C) 7th
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A 30 year old male came with complains of unilateral blurred vision with floaters since 15 days. On examination, AC flare and cells were seen with 'headlight in fog' appearance on indirect ophthalmoscopy. Also, a single inflammatory focus of fluffy retinochoroiditis lesion is seen. What is the diagnosis? A) Cytomegalo...
B) Toxoplasmosis chorioretinitis
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True about methicillin-resistant Staphylococcus aureus (MRSA) is A) Isoxazolyl penicillin is highly effective B) All MRSA are multidrug resistance C) Vancomycin is effective D) MRSA are more virulent than sensitive strains
B) All MRSA are multidrug resistance
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Haemophilus parainfluenza requires which of the following factors A) Factor V B) Factor X C) Both factor V and X D) Factor XI
B) Factor X
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Which of the following is an oncogenic RNA virus A) Hepatitis B virus B) Human papilloma viruses C) Epstein Barr virus D) Hepatitis C virus
D) Hepatitis C virus
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Most common Vagal carcinoma is A) Squamous cell ca B) Adenocarcinorna C) Botroid's tumor D) Columnar hyperplasia
A) Squamous cell ca
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A girl presents with; primary amenorrhea; grade V thelarche, grade II pubarche; no axillary hair: likely diagnosis is : A) Testicular feminisation syndrome B) Mullerian agenesis C) Turners syndrome D) Gonadal dysgenesis
A) Testicular feminisation syndrome
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Gamma radiations are used for sterilizing - A) Syringes B) Cystoscopes C) Dressing aprons D) Metal instruments
A) Syringes
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Which of the following statements about Xanthogranulomatous Pyelonephritis 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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Sodium valprote in patient with bipolar mood disorder can cause - A) Peripheral neuropathy B) Hepatotoxicity C) Renal failure D) Cystitis
B) Hepatotoxicity
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Maximum loss of sodium in a child occurs in A) Gastric juice B) Ileal fluid C) Non cholera Diarrhoea D) Cholera
B) Ileal fluid
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Which of the following is required in the formation of the structure of Haemoglobin? A) Copper B) Tyrosine C) Histidine D) Leucine
C) Histidine
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The medial bulging of the pharynx is seen in - A) Pharyngo maxillary abscess B) Retropharyngeal abscess C) Peritonsillar abscess D) Paratonsillar abscess
A) Pharyngo maxillary abscess
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Laryngeal mirror is warmed before use by placing: A) Glass surface on flame B) Back of mirror on flame C) Whole mirror into flame D) Mirror in boiling water
A) Glass surface on flame
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The condition associated with their formation is A) Hypomotility of gall bladder B) Accelerated cholesterol crystal nucleation C) Hypersecretion of mucus D) All of the above
D) All of the above
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Charcot leyden crystals in stool are seen in: A) Bacillary dysentery B) Amoebic dysentery C) Giardiasis D) Cholera
B) Amoebic dysentery
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Muscle relaxant that can be used in a patient with high serum bilirubin of 6.0 and serum creatinine of 4.5 mg/ dL? A) Atracurium B) Vecuronium C) Pancuronium D) Mivacurium
A) Atracurium
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Helix in a finger spring for mesial movement lies A) Mesial to the tong axis of the tooth B) Distal to the Long axis of the tooth C) In line to the long axis of the tooth D) Perpendicular to the long axis of the tooth
C) In line to the long axis of the tooth
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Diuretic causing gynaecomastia is - A) Lubiprostone B) Spironolactone C) Cimetidine D) Chlorthalidone
B) Spironolactone
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DNA foot printing is used to detect A) Single nucleotide polymorphisms B) Variable number of tandem repeats C) Parent of origin of the child D) DNA-protein interaction
D) DNA-protein interaction
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Replacement dose of thyroxine is A) 0.1 - 0.2 mg B) 0.3 - 0.4 mg C) 1 - 2 mg D) 3 - 4 mg
A) 0.1 - 0.2 mg
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Insulin of choice in a patient with Diabetic ketoacidosis? A) Lispro B) Deterimer C) Aspart D) Regular Insulin
D) Regular Insulin
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Which radioisotope of Iodine is used in the treatment of hypehyroidism? A) I123 B) I125 C) I131 D) I132
C) I131
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Virus causing cervical cancer in the ectocervix - A) HPV16 B) HPV17 C) HPV11 D) HPV19
A) HPV16
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The commonest systemic abnormality associated with renal cell carcinoma Is - A) Hypeension B) Polycythemia C) Elevated ESR D) Pyrexia
C) Elevated ESR
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Which hormone is not affected by menstrual cycle - A) Estrogen B) Progesterone C) Gonadotropins D) Prolactin
D) Prolactin
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In the primary survey of a severely wounded patient 'cABCDE', 'c' stands for A) Care about surroundings B) Call for help C) Catastrophic haemorrhage D) Cardiac status
C) Catastrophic haemorrhage
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Schwannoma arises most frequently from: A) Vestibular Nerve B) Trigeminal nerve C) Cochlear Nerve D) Facial Nerve
A) Vestibular Nerve
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Which of the following toxic states is not associated with anemia? A) Clostridial sepsis B) Snake venom C) Lead poisoning D) Listerosis
D) Listerosis
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Enzyme deficiency in glycogen storage disease type 5 is: A) Glucose 6 phosphatase B) Acid maltase C) De branching enzyme D) Myophpsphorylase deficiency
D) Myophpsphorylase deficiency
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The following are recognised signs any symptoms of raised intracranial tension in a 9 month old infant, except – A) Bulging fontanel B) Diplopia C) Papilloedema D) Increase in head size
C) Papilloedema
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Which of the following is the root value of achilles tendon reflex? A) L1, L2 B) L3, L4 C) S1, S2 D) S3, S4
C) S1, S2
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Commonest trophozite infection by sexual intercourse - A) Entamoeba histolytica B) Trichomonas vaginalis C) Trepanoma palidium D) Giabrdia intestinales
B) Trichomonas vaginalis
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Maternal moality is maximum in which period - A) Antepaum B) Peripaum C) Postpaum D) None
B) Peripaum
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EAC rosette formation is the propey of one of the following type of immune cells ? A) T-cells B) B-cells C) Macrophages D) All of the above
A) T-cells
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Mid tracheostomy is done at which of the following level? A) 3-4 rings of tracheal cartilage B) 5-6 rings C) 1-2 rings D) 2-3 rings
D) 2-3 rings
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Which of the following represents the indication for In-situ DNA nick end labeling technique? A) To detect fraction of cells in apoptotic pathways B) To detect fraction of cells in S phase C) To detect p53 gene product D) To detect bcr/abl gene
A) To detect fraction of cells in apoptotic pathways
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The need for vitamin B12 and folic acid inthe formation of red blood cells is related primarily of their effects on: A) Synthesis and release of erythropoietin from the kidney B) Absorption of iron from the gut C) DNA synthesis in bone marrow D) Hemoglobin formation in the red blood cell
C) DNA synthesis in bone marrow
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A 3-year-old child is admitted to the emergency department with a particularly severe attack of asthma. Which of the following is the most important factor in increasing the intrathoracic capacity in inspiration? A) "Pump handle movement" of the ribs-thereby increasing anterior-posterior dimensions of the thorax B) "B...
D) Descent of the diaphragm, with protrusion of the abdominal wall, thereby increasing vertical dimensions of the thoracic cavity
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Harish 45 years old male admitted in hospital, says that nurse who is treating him is not actually nurse, his wife has replaced her and trying to killed him. Diagnosis. A) Capgrass syndrome B) Fregoli syndrome C) Cotard syndrome D) Alport syndrome
B) Fregoli syndrome
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A 40 year old married male thinks that he is multitalented and is always overconfident. He never listens to his family or friends. Infact whenever anyone gives him any advice, he thinks that they have some motive against him. He is always suspicious of his wife.All these are feature of? A) Borderline personality disor...
C) Paranoid personality disorder
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Wilm's Tumour is associated with all. except ? A) Hemihyperophy B) Beckwith syndrome C) Aniridia D) Polycystic kidney
D) Polycystic kidney
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Function of hepatic stellate cells are A) Vitamin A storage B) Formation of sinusoids C) Increase blood perfusion D) Phagocytosis
A) Vitamin A storage
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A 16-year-old girl presents with a painfully enlarged lymph node in her right axilla and low grade fever. Peripheral blood counts are within normal limits. The lymph node is biopsied, and numerous granulomas filled with neutrophils and necrotic debris are observed. Which of the following organisms could produce this di...
A) Baonella henselae
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Calculate the filtration,if GFR = 125 ml / min and renal plasma = 625 ml / min A) 5% B) 20% C) 50% D) 10%
B) 20%
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Characteristics of SIRS includes the following except - A) Leukocytosis B) Thrombocytopenia C) Infectious or noninfectious cause D) Oral temperature > 38°C
B) Thrombocytopenia
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Which of the following condition increase chance of hyponatremia in patient treated with antidepressant: A) Old age B) Low weight C) Cold climate D) Obesity
A) Old age
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Renal GFR is estimated by A) TC99 DMCA B) TC99DMSA C) Tc99 DTPA D) All
C) Tc99 DTPA
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Infraclavicular lesion of tuberculosis is known as - A) Ghon 'S focus B) Puhl's focus C) Assman's focus D) none
C) Assman's focus
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Veebral rotation in scoliosis is checked in- A) Forward bending B) Backward bending C) Sideways D) Without bending
A) Forward bending
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A 9 months old child is brought to you in the emergency with complaints of cough and coryza since last 2 days. Since last 1 day child is having noisy breathing which increases on crying. On examination you find a stridor which the mother was explaining as noisy breathing. What is your diagnosis? A) Croup B) Bronchioli...
A) Croup
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The major contribution to the semen from: A) Testes B) Seminal vesicles C) Prostate D) Bulbourethral and urethral glands
B) Seminal vesicles
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Uric acid is formed by ? A) Catabolism of proteins B) Catabolism of ketones C) Catabolism of purines D) Catabolism fo pyrimidines
C) Catabolism of purines
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The weight of the upper limb is transmitted to the axial skeleton by ? A) Coracoclavicular ligament B) Coracoacromial ligament C) Costroclavicular ligament D) Coracohumeral ligament
A) Coracoclavicular ligament
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Secondary caries is least likely seen with: A) Silicate cement B) Zinc phosphate C) Polycarboxylate D) GIC
A) Silicate cement
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One of your patients is diagnosed with retinoblastoma. He has a single tumor in one eye. The patient is worried whether his children would suffer from the same condition. What test could be used to determine whether it is a heritable or sporadic tumor? A) DNA footprinting B) Fluorescence-activated cell soing (FACS) C)...
D) PCR
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Cytochrome C of the bacteria has 50% identity of amino acid sequence with that of a human. Which of the following is the most conserved parameter in these two proteins A) Quarternary structure B) Tertiary structure C) Amino acid sequence D) Loop and turn segments
B) Tertiary structure
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To test hepatic function to assess bleeding disorder clinical test done is: A) CT, BT B) PTT C) Factor 8 D) None of the above
B) PTT
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In Peutz-Jeghers syndrome, polyps are seen in A) Colon B) Rectum C) Small bowel D) Stomach
C) Small bowel
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Which statement regarding the renal involvement associated with SLE is true? A) Clinically apparent renal disease occurs in 90% of affected persons B) Interstitial nephritis is a rare finding on renal biopsy C) Renal biopsy is not initially necessary in patients with deteriorating renal function and active urine sedim...
C) Renal biopsy is not initially necessary in patients with deteriorating renal function and active urine sediment
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Kenny Packs were used in the treatment of - A) Poliomyelitis B) Muscular dystrophy C) Polyneuropathies D) Nerve Injury
A) Poliomyelitis
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A 74-year-old woman presents with acute chest pain and shoness of breath. Cardiac catheterization demonstrates occlusion of the left anterior descending coronary aery. Laboratory studies and ECG are consistent with acute myocardial infarction. Which of the following is the most likely pathological finding in the affect...
B) Collagen-rich scar tissue
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Which of the following Scaphoid fracture is most prone to develop Avanscular necrosis? A) Fracture of waist of scaphoid B) Fracture of tubercle C) Fracture of distal pole D) All of the above
A) Fracture of waist of scaphoid
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First line of treatment for keloid is A) Intralesional injection of steroid B) Local steroid C) Wide excision D) Radiotherapy
A) Intralesional injection of steroid
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A 9 yr old girl has difficulty in combing hairs and climbing upstairs since 6 months. She has Gower's sign positive and maculopapular rash over metacarphalangeal joints. What should be the next appropriate investigation to be done? A) ESR B) RA factor C) Creatine kinase D) Electromyography
C) Creatine kinase
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During delivery there is a perineal tear involving the anal sphincter but anal mucosa is not involved. Which is the degree of tear? A) I B) II C) III D) IV
C) III
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Ranula is a - A) Mucous cyst B) Tumor C) Submandibular gland swelling D) Swelling on dorsum of tongue
A) Mucous cyst
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Most sensitive investigation for diagnosis of Meckel's diverticulum is? A) USG B) CT Scan C) Barium enema D) 99m-Tc pertechnetate scan
D) 99m-Tc pertechnetate scan
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Which is a Chemoattractant - A) C5a B) Cl C) C3 D) C2
A) C5a
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If a patient is absolutely allergic to LA, the specific drug used in place of it is: A) Chlorpheniramine maleate B) Benzalkonium chloride C) Diphenhydramine hydrochloride D) Ketamine hydrochloride
C) Diphenhydramine hydrochloride
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Cherry red postmortem staining is seen in A) Cyanide B) Carbon monoxide C) Nitrites D) Phosphorus
B) Carbon monoxide