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Answer the following medical question with the correct option:
Calibre of a firearm is? A) Distance between a land and groove B) Distance between two diagonally opposite lands C) Distance between two diagonally opposite grooves D) None
B) Distance between two diagonally opposite lands
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Neonatal meningitis is caused by A) L.monocytogenes B) Group 'B' Streptococcus C) E.Coli D) H. Influenza
B) Group 'B' Streptococcus
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Thinnest portion of sclera - A) Anterior to rectus muscle insertion B) Posterior to rectus muscle insertion C) Posterior pole D) Limbus
B) Posterior to rectus muscle insertion
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A 50 year old man presents to the clinic with multiple abcesses and discharging sinus present on his left foot. X-ray of the foot shows destructive changes in the underlying bone. Which of the following is the most likely causative organism? A) Nocardia B) Sporothrix schenkii C) Histoplasmosis D) Cryptospordiosis
A) Nocardia
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NFHS - 3 is conducted during A) 1995 B) 2000 C) 2005 D) 2010
C) 2005
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Green blue postmortem discoloration is seen in which poisoning – A) Cyanide B) Carbon monoxide C) Hydrogen sulphide D) Phosphorous
C) Hydrogen sulphide
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Cells involved in humoral immunity - A) B-cells B) T-cells C) Helper cells D) Dendritic cells
A) B-cells
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Hormone substrate concentration affects the velocity of enzymatic action. This is based upon the following: A) Zimmermann reaction B) Salkowski reaction C) Michaelis menten equation D) Liebermann-Burchard reaction
C) Michaelis menten equation
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Primary pulmonary hypertension has following features on ECG except - A) Sinus tachycardia B) ST elevation C) Increased Pwave amplitude D) Right axis deviation
B) ST elevation
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Unit of one of radiation absorbed is – A) Grey B) Roengten C) Curie D) Bequerrel
A) Grey
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The oral epithelium is attached to the enamel via A) Reticular fibers B) Collagen fibers C) Hemidesmosomes D) Desmosomes
C) Hemidesmosomes
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Cholangiography T-tube done after how many days of cholecystectomy: A) 1-5 days B) 7-10 days C) 10-14 days D) 15-20 days
B) 7-10 days
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Chlorhexidine used for hand disinfection uses concentration A) 1% B) 0.50% C) 0.20% D) 0.12%
A) 1%
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Chancroid is caused by ? A) H. Ducrei B) N. Gonnorrhea C) T. Pallidum D) H. Influenza
A) H. Ducrei
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Which of the following muscle relaxants is free of cardiovascular effects over the entire clinical dose range? A) Pancuronium B) Vecuronium C) Atracurium D) Pipecuronium
B) Vecuronium
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Which technique of facial fracture treatment involves purely closed reduction? A) Application of miniplates B) Dynamic compression plating C) Maxillo-mandibular fixation D) Use of wire osteosynthesis across fracture site
C) Maxillo-mandibular fixation
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A lady presented in the emergency department with a stab injury to the left side of the abdomen. She -was hemodynamically stable and a contrast enhanced. CT scan revealed a laceration in spleen. Laparoscopy was planned. The patient's pO2 suddenly dropped as soon as the pneumoperitoneum was created. What is the most lik...
D) Gaseous embolism through splenic vessels
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For conversion of asparatate to asparagine, nitrogen comes from ? A) Alanine B) Glutamate C) Glutamine D) Histidine
C) Glutamine
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Increased risk of cardio toxicity associated with local anesthetics requires a dose reduction in all of the following except A) Pregnancy B) Acidosis C) Pediatric D) Increased cardiac output
D) Increased cardiac output
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Bilateral subconjunctival ecchymosis is not associated with: A) Le-Fort II fracture B) Le-Fort III fracture C) Naso ethmoidal complex fracture D) Le-Fort I fracture
D) Le-Fort I fracture
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The minimum possible score in “Glasgow coma scale’’ is A) 3 B) 5 C) 1 D) 0
A) 3
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True about branchial anomaly: A) Cysts are more common than sinuses B) For sinuses surgery is not always indicated C) Cysts present with dysphagia and hoarseness of voice D) Most commonly due to 2nd branchial remnant
D) Most commonly due to 2nd branchial remnant
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Ulcerative colitis almost always involves the ... ? A) Caecum B) Sigmoid C) Right colon D) Rectum
D) Rectum
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The acrosome reaction occurs, when the sperm A) Enters the uterine cavity B) Comes in contact with zona pellucida C) Penetrates corona radiata D) Penetrates cell membrane of oocyte
B) Comes in contact with zona pellucida
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All of the following muscles are derivatives of para axial mesoderm except- A) Masseter B) diaphragm C) biceps femoris D) detrusor
D) detrusor
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Sarcoma botyroides in vagina is seen in which age- A) Less than 8vrs B) 8-16yrs C) 16-24yrs D) > 24yrs
A) Less than 8vrs
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The father of modern epidemiological surveillance is A) William Farr B) James Lind C) Edwin Chadwick D) Pettenkofer
A) William Farr
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Which among the following is the treatment of choice for senile vaginitis? A) Oral pills B) Nystatin locally C) Oestrogen cream D) Ketoconazole
C) Oestrogen cream
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Typical silvery scales of psoriasis are absent in - A) Scalp B) Knee C) Groin D) Elbow
C) Groin
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Economic benefits of any programme are compared with the costs incurred in A) Cost benefit analysis B) Cost effective analysis C) Cost accounting D) Net work analysis
A) Cost benefit analysis
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Most common tumour due to radiation arises from - A) Lung B) Liver C) Bone marrow D) Breast
C) Bone marrow
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According to RNTCP, tubercular pericarditis should be treated with which category of anti-tubercular regimen? A) Category III B) Category I C) Category II D) Category IV
B) Category I
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"Gonadotropin evaluation" For the evaluation, select the most appropriate day of a normal 28-day menstrual cycle for a woman with 5-day menstrual periods. (SELECT 1 DAY) A) Day 3 B) Day 8 C) Day 14 D) Day 21
A) Day 3
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True about vitiligo are all except: A) Surgical treatment is indicated if medical treatment fails B) Leucotrichia is associated with good prognosis C) Autoimmune condition D) Skin biopsy specimen shows abscence of melanocytes.
B) Leucotrichia is associated with good prognosis
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A 9-year-old child is restless. He is hyperactive and his teacher complaints that he does not listen to the teachings. Disturbs other students, he also shows less interest in playing. The likely diagnosis is – A) Cerebral palsy B) Attention deficit hyperactive child C) Delinnurn D) Mania
B) Attention deficit hyperactive child
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A 20-year-old woman presents with bilateral conductive deafness, palpable purpura on the legs and hemoptysis. Radiograph of the chest shows a thin-walled cavity in left lower zone. Investigations reveal total leukocyte count 12,000/mm red cell casts in the urine and 12,000/mm serum creatinine 3 ing/dL. What is the most...
C) Wegener's granulomatosis
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After a leisure trip, a patient comes with gritty pain in eye, and joint pain. What is the most probable diagnosis? A) Reiter s syndrome B) Bachet s syndrome C) Sarcoidosis D) SLE
A) Reiter s syndrome
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Distance between nodal point and cornea in Listing's Reduced eye is- A) 7.2mm B) 9mm C) 12mm D) 15.3mm
A) 7.2mm
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Body clock is maintained by - A) Suprachiasmatic nucleus B) Supraoptic nucleus C) Ventrolateral nucleus D) Thalamus
A) Suprachiasmatic nucleus
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Punishment for Rape is under which section of IPC - A) 375 B) 376 C) 312A D) 304A
B) 376
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Stomach is supplied by ? A) Coeliac trunk B) Splenic aery C) Gastroduodenal aery D) All of the above
D) All of the above
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Which of the following is the most impoant risk factor in the aetiology of intraventricular haemorrhage (IVH) in neonates? A) Coagulation disorder B) Continuous Positive airway pressure C) Pneumothorax D) Extreme prematurity
D) Extreme prematurity
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The statement “The nerve axons found among the odontoblasts and in the cell-free and cell-rich zones are nonmyelinated but are enclosed in a Schwann cell covering” A) FALSE B) TRUE C) Partially True D) Can be completely True or False.
B) TRUE
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Which of the following drug shows the phenomenon of vasomotor reversal of Dale after administration of an Alpha adrenergic blocker A) Adrenaline B) Nor-adrenaline C) Isoprenaline D) All of the above
A) Adrenaline
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Dexmedetomidine acts on which receptor for its analgesic action - A) 5HT2A B) D2 C) a2A D) D5
C) a2A
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Precocious puberty may be seen in all of the following conditions except. A) Granulosa - cell tumour B) Head - injury C) Corticosteroid intake D) Hyperthyroidism
D) Hyperthyroidism
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For each description, choose the neurotransmitter with which it is usually associated: Ingestion of l-tryptophan increases the levels of this substance in the brain. A) Serotonin B) Norepinephrine C) Dopamine D) Acetylcholine
A) Serotonin
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In a child with respiratory distress, failure to thrive. His sweat chloride leveles were estimated 35 meq/L and 41 meq/L. What is next best test to do cystic fibrosis for diagnosis aEUR' A) Nasal transmembrane potential difference B) DNA analysis AF 508 mutation C) CT chest D) 72 hour fecal fat estimation
C) CT chest
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False about Turner's syndrome are all except: A) Long stature B) Normal gonads C) Normal intelligence D) Normal breast
C) Normal intelligence
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Which one of the following statements is false with regard to Xanthogranulomatous pyelonephritis in children - A) Often affects those younger than 8 years of age. B) It affects the kidney focally more frequently than diffusely C) Boys are affected more frequently. D) Clinical presentation in chidren is same as in adul...
A) Often affects those younger than 8 years of age.
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Burning epigastric pain is due to - A) Vomiting B) Reflux esophagitis C) Duodenal ulcer D) Gastric ulcer
B) Reflux esophagitis
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Stunning of myocardium without any acute coronary syndrome is:- A) Subendocardial infarction B) Restrictive cardiomyopathy C) Takotsubo cardiomyopathy D) Transmural infarction
C) Takotsubo cardiomyopathy
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All of the following are indications for eicosanoids or their inhibitors EXCEPT: A) Aboion B) Essential hypeension C) Patent ductus aeriosus D) Transposition of the great aeries
B) Essential hypeension
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Following are the characteristics of Cryptococcus neoformans EXCEPT A) Noncapsulated fungus infecting man B) Causes meningitis C) Melanin production related to virulence D) Basidiomycetes yeast
A) Noncapsulated fungus infecting man
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"Sampling error" occurs due to the variation in results- A) Between one sample and another B) Between the observations of two individuals C) Due to the use of many instruments in the study D) Due to the multiple readings taken on the same instrument
A) Between one sample and another
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Most sensitive test for metastatic deposit is: A) Isotope scan B) CT scan C) Skeletal survey D) Tomography
A) Isotope scan
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Drumstick appearence is seen in : A) Cl. tetani B) Cl. tetanomorphum C) Cl. sphenoids D) All of the above
D) All of the above
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Which is the teeth referred to if by haderup classification it is denoted as (- 4) ? A) Upper canine B) Lower first premolar C) Upper second premolar D) Lower first molar
B) Lower first premolar
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A 47-year-old HIV-positive man is brought to the emergency room because of weakness. The patient has HIV nephropathy and adrenal insufficiency. He takes trimethoprim-sulfamethoxazole for PCP prophylaxis and is on triple-agent antiretroviral treatment. He was recently started on spironolactone for ascites due to alcohol...
D) IV calcium gluconate
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Which metal poisoning can be detected analysing bone : A) Arsenic B) Nickel C) Chromium D) Lead
A) Arsenic
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Kawasaki disease is associated with all except: A) Erythema B) Posterior cervical lymphadenopathy C) Thrombocytopenia D) Conjunctivitis
C) Thrombocytopenia
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Among Bipyridyl herbicides, 1) Diquat is only half as toxic as paraquat 2) Diquat doesnot produce pulmonary toxicity A) Both are true B) Both are false C) 1 is true, 2 is false D) 2 is true, 1 is false
A) Both are true
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Which of the following is a new drug recently approved for treatment of neovascular age related macular degeneration? A) Brolucizumab B) Istradefylline C) Lefamulin D) Upadacitinib
A) Brolucizumab
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Cancer management in which of following malignancies has dramatically increased the survival? A) Esophagus carcinoma B) Glioblastoma multiforme C) ALL in children D) Cholangiocarcinoma
C) ALL in children
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Which of the following is not component of acinus? A) Pulmonary lobule B) Respiratory bronchioles C) Alveolar ducts D) Alveolar sac
A) Pulmonary lobule
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All are true regarding Tinea versicolor except: A) Orange fluorescence inWood lamp examination B) Caused by Malessesia globosa C) Griseofulvin is the drug of choice D) Both hypo and byperpigmented lesions
C) Griseofulvin is the drug of choice
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External ballottement can be done after how many weeks of gestation: Manipal 10 A) 6 weeks B) 16 weeks C) 20 weeks D) 24 weeks
C) 20 weeks
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Which of the following is initial investigation of choice for a patient presenting with solitary nodule of thyroid: March 2005 A) Thyroid function test B) FNAC C) Radionuclide scan D) MRI
B) FNAC
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A 26 year old man died suddenly during spoing activity. At autopsy the hea revealed chamber and septum Hyperophy. The most likely diagnosis is A) HOCM B) DCM C) Arrhythmogenic cardiac problem D) Restrictive cardiomyopathy
A) HOCM
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Tertiary vitreous is represented by- A) Zonular system B) Ciliary body C) Anterior uvea D) Lens
A) Zonular system
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All of the following are features of chronic tonsillitis except A) Pus in crypts B) Congestion of anterior pillar C) Congestion of posterior pillar D) Enlargement of jugulodigastric lymph nodes
C) Congestion of posterior pillar
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Several segments of the polypeptide chain of integral membrane proteins usually span the lipid bilayer. These segments frequently (NOT RELATED) A) Adopt an a-helical configuration B) Contain many hydrophilic amino acids C) Form covalent bonds with cholesterol D) Contain unusually strong peptide bonds
A) Adopt an a-helical configuration
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Enzyme deficiency responsible for gout are all except: A) PRPP synthase B) Pseudogout enzyme C) 5 - phosphoribosyl amido transferase D) Glucose 6 phosphatase
B) Pseudogout enzyme
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Dracanculosis elimination program, which of the following activities is not evaluated to know the extent of goal achievement ? A) Provision of protected water sources B) Health education C) Chemical disinfection of water sources D) Registration of new cases
D) Registration of new cases
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A major causal factor in some cases of hypogonadism is A) Reduced secretion of gonadotropin-releasing hormone (GnRH) B) Hypersecretion of pituitary LH and FSH as the result of increased GnRH C) Excess secretion of testicular activin by Seoli cells D) Failure of the hypothalamus to respond to testosterone
A) Reduced secretion of gonadotropin-releasing hormone (GnRH)
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Lumbar hemiveebra results due to the abnormal development of the following embryonic structure: A) Dorsal sclerotome B) Intermediate cell mass C) Notochord D) Ventral sclerotome
D) Ventral sclerotome
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Which of the following is the most common central nervous system parasitic infestation- A) Echinococcosis B) Sparganosis C) Paragonimiasis D) Neurocysticercosis
D) Neurocysticercosis
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All are used to treat hypercalcemia, EXCEPT : A) D-penicillamine B) Corticosteroid C) Biphosphonate D) Mithramycin
A) D-penicillamine
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Crystal of pseudogout is made up of ? A) CPPD B) Urate C) Calcium carbonate D) Xanthine
A) CPPD
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Defect in Amyloid protein folding occurs in: A) Alzheimer disease B) Creutzfeldt-Jakob disease C) Scrapie disease D) Bovine spongiform encephalopathy (BSE)
A) Alzheimer disease
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Bacteria is not shed in - A) Carrier state B) Latent infection C) Incubation period D) Subclinical infection
B) Latent infection
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Possible mechanisms causing pain in patients with endometriosis include all except A) Local peritoneal inflammation B) Deep infiltration with tissue damage C) Collection of shed menstrual blood in endometriotic implants D) Septic seeding of the endometriotic implants
D) Septic seeding of the endometriotic implants
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Most common malocclusion found in people is: A) Class I with incisor crowding B) Class II division 1 C) Class II division 2 D) Class III
A) Class I with incisor crowding
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Accidental small splenic rupture is treated with - A) Catgut sutures B) Silk sutures C) Omental patch D) Catgut suturing with omental patch
D) Catgut suturing with omental patch
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In presence of secondary sexual characters cause screening for primary amenorrhea is done at A) 12years B) 14 years C) 16 years D) 18 years
C) 16 years
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The primary function of basal ganglia is A) Preprogramming of voluntary activity B) Control of equilibrium C) Sensory integration D) Short term memory
A) Preprogramming of voluntary activity
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Diagnostic of antemortum drowning - A) Palatauf's hemorrhage B) Weeds and grass in clenched hands C) Emphysema aquosum D) Water in esophagus
B) Weeds and grass in clenched hands
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Endoscopic stapling procedure would be ideal in A) Pharyngeal pouch B) Gastric ulcer C) Esophageal varices D) Perforation
A) Pharyngeal pouch
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Which artery is dissected most commonly following arteriography by femoral route – A) Celiac trunk B) Superior mesenteric artery C) Inferior mesenteric artery D) Gastroduodenal artery
C) Inferior mesenteric artery
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Which of the following is poor prognostic factor in a child with ALL? A) Age 2-8 yrs B) Total leucocyte count < 50,000 C) t (9;22); t (4;11); t (1;19) D) Absent blasts in peripheral smear
C) t (9;22); t (4;11); t (1;19)
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A 74 yr old male patient was brought to the OPD by his daughter complaining of urinary incontinence and ataxia, also he has difficulty in calculating simple arithemetics and memory loss. What is the probable diagnosis A) Normal pressure hydrocephalus B) Vascular dementia C) VIT B12 dofficiency D) Tabes dorsalis
A) Normal pressure hydrocephalus
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Commonest presentation of Ca rectum is: A) Diarrhoea B) Constipation C) Bleeding P/R D) Feeling of incomplete defaecation
C) Bleeding P/R
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Cavity conditioning in ART is done by A) Cocoa Butter B) Petroleum Jelly C) 37% Phosphoric Acid D) 10% Polyacrylic Acid
D) 10% Polyacrylic Acid
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All of the following factors tend to increase the volume of distrubtion of a drug except A) High plasma protein binding B) Low ionization at physiological pH values C) High lipid solubility D) High tissue binding
A) High plasma protein binding
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All the following are characteristic of Dhatura poisoning except: A) Delirium B) Diplopia C) Pin-point pupils D) Dysphagia
C) Pin-point pupils
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A dead body is having cadaveric lividity of bluish green colour. The most likely cause of death is by poisoning due to: A) Hydrocyanic acid B) Hydrogen sulphide C) Oleander D) Sodium nitrite
B) Hydrogen sulphide
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A 20 year old female was diagnosed with granulose cell tumor of the ovary. Which of the following bio markers would be most useful for follow-up of patient? A) Inhibin B) CA50 C) CA 19-9 D) Neuron – specific enolase
A) Inhibin
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A patient with bilirubin value of 8mg/dl and serum creatinine of 1.9 mg/dl is planned for surgery. What is the muscle relaxant of choice in this patient? A) Vecuronium B) Pancuronium C) Atracurium D) Rocuronium
C) Atracurium
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The parotid duct is known as A) Whaon's duct B) Stenson's duct C) Duct of Santorini D) Duct of Wirsung
B) Stenson's duct
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Sure sign of malignancy is A) Mitosis B) Polychromasia C) Nuclear pleomorphism D) Metastasis
D) Metastasis