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Answer the following medical question with the correct option:
Ramu presents with recurrent attacks of cholelithiasis, USG examination shows dilated CBD of 1 cm. The next line of management is A) ERCP B) PTC C) Cholecystostomy D) Intravenous cholangiogram
A) ERCP
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Philadelphia chromosome is an example of - A) Balanced translocation B) Deletion C) Non-dysjunction D) Duplication
A) Balanced translocation
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All of the following are employed to evaluate a case of heterophoria except: A) Maddox-rod test B) Alternate cover test C) Measurement of fusional reserve D) Measurement of near point of convergence
B) Alternate cover test
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Which complex of ETC reacts directly with O2? A) I B) II C) III D) IV
D) IV
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The most impoant single function of World Health Organization is? A) Prevention and control of specific diseases B) Development of comprehensive health services C) Health literature & Information D) Biomedical research
B) Development of comprehensive health services
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Pituitary secretes all hormones except ? A) GH B) Prolactin C) Oxytocin D) Thyroxine
D) Thyroxine
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The least radiosensitive tissue is: A) Nervous tissue B) Bone C) Kidney D) Thyroid
A) Nervous tissue
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Which of the following is determined by measuring sciatic notch index in a skeleton? A) Determination of age B) Identification of sex C) Determination of race D) Cause of death
B) Identification of sex
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A two year old male child was given 8 days of cefaclor of a 10 days course. The child develops low grade fever, malaise lymphadenopathy, irritability, generalized erythematous rash which are mildly pruritic. Most probable diagnosis is A) Kawasaki disease B) Paially treated meningitis C) Infectious mononucleosis D) Typ...
D) Type 3 hypersensitivity
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Not involved in damage to cerebellum:March 2010 A) Posture B) Equilibrium C) Asthenia D) Tone
C) Asthenia
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Game keepers thumb is - A) Thumb metacarpophalangeal joint ulnar collateral ligament rupture B) Thumb metacarpophalangeal joint radial collateral ligament rupture C) Thumb interphalangeal joint ulnar collateral ligament rupture D) Thumb interphalangeal joint radial collateral ligament rupture
A) Thumb metacarpophalangeal joint ulnar collateral ligament rupture
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Right esotropia is evident with ? A) Left lateral rectus paralysis B) Right lateral rectus paralysis C) Left medial rectus paralysis D) Right medial rectus paralysis
A) Left lateral rectus paralysis
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Candida is most often implicated in causation -( A) Conjunctivitis B) Tinea capitis C) Dese rheumatism D) Thrush
D) Thrush
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Oral pills may prevent the development of: March 2011 A) Carcinoma breast B) Ovarian malignancy C) Submucus fibroid D) All of the above
B) Ovarian malignancy
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Sorghum contains excess of A) Lycine B) Arginine C) Leucine D) Histidine
C) Leucine
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Transport of molecules in simple diffusion is not determined by: A) ATP usage B) Size of molecule C) Lipid solubility D) Number of channels
A) ATP usage
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Campbell line is seen in X-ray of following projection A) Transcranial B) Transorbital C) Transpharyngeal D) Occipitomental
D) Occipitomental
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A wave in JVP is due to- A) Atrial contraction B) Ventricular filling C) Atrial filling D) Bulging of tricuspid valve in right atrium
A) Atrial contraction
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A patient after giving inhalational anaestheia developed fulminant hepatitis, patient was exposed to same drug previously. Which is the drug A) Halothane B) N20 C) Enflurane D) Isoflurane
A) Halothane
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In which case lymph nodes are resected prophylactically - A) Embryonal Rhabdomyosarcoma B) Liposarcoma C) Fibrosarcoma D) Neurofibroma
A) Embryonal Rhabdomyosarcoma
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Which of the following features indicates the presence of heart disease in pregnancy and which is not seen in normal pregnancy? A) Exertional dyspnea B) Distended neck veins C) Systemic hypotension D) Pedal edema
B) Distended neck veins
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Early movement for surgery following ankylosis is A) Harmful B) Desirable C) Unimportant D) Indicated only when ankylosis is one sided
B) Desirable
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Which of the following is preferred in treating opioid induced constipation A) Linaclotide B) Lubipristone C) Alvimopan D) Prucalopride
C) Alvimopan
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Distance of distant direct ophthalmoscopy: A) 25 cms B) 50 cms C) 75 cms D) 100 cms
A) 25 cms
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For knowing the acute adverse effects of a drug, the drug micro doses should be tested on: A) Two different species B) On rabbit, one rodent C) Two rabbits D) Two rodents
A) Two different species
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A patient undergoing surgery suddenly develops hypotension. The monitor shows that the end tidal CO2 has decreased abruptly by 155mm Hg. What is the probable diagnosis? A) Hypothermia B) Pulmonary embolism C) Massive fluid deficit D) Myocardial depression due to anaesthetic agent
B) Pulmonary embolism
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A new born baby with acute respiratory distress on day 1. X Ray chest PA view showed neumerous gas luscencies in entire left hemithorax, most likely diagnosis is A) Congenital lobar Emphysema B) Pneumatocoel hernia C) Congenital diaphragmatic hernia D) Congenital lung cyst
C) Congenital diaphragmatic hernia
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Best marker for GIST is A) CD117 B) DOG 1 C) CD 34 D) CD 43
A) CD117
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Main risk in fracture Scaphoid is: A) Non union B) Malunion C) Delayed union D) Avascular necrosis
D) Avascular necrosis
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Alkaline phosphatase contains A) Cobalt B) Zinc C) Iron D) Copper
B) Zinc
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True about Merkel cells A) Slow adapting Touch receptors B) Located in Stratum Basale C) Derived from Ectoderm D) All of the above
D) All of the above
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A patient is referred to the neurologist because of ataxia. Neurological examination reveals a loss of proprioception and a wide-based, slapping gate. Magnetic resonance imaging reveals degeneration of the dorsal columns and dorsal roots of the spinal cord. Which of the following organisms is most likely to have caused...
D) Treponema pallidum
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Lymph flow is increased by all except A) Increased vascular permeability B) Decreased capillary osmotic pressure C) Increase in interstitial fluid D) Decreased interstitial osmotic pressure
D) Decreased interstitial osmotic pressure
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Which of the following is not expected in a case of Microcytic Hypochromic Anemia: A) Reduced serum Iron B) Reduced Total RBC distribution Width C) Normal Ferritin levels D) Increased TIBC
B) Reduced Total RBC distribution Width
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True about anaesthesia breathing circuit is A) Cylinder is a pa of high pressure system B) Oxygen flush delivers less than 35 litres C) Oxygen flush delivers more than 135 litres D) Pipelines is a pa of low pressure system
A) Cylinder is a pa of high pressure system
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Edema is due to A) Increased albumin in blood and decreased globin B) Decreased albumin conc. in blood C) Increased osmotic pressure D) None of the above
B) Decreased albumin conc. in blood
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Widening of intercondylar notch of femur is seen in A) Osteoarthritis B) Rheumatoid arthritis C) Hemophiliac Artheopathy D) Charcot's joint
C) Hemophiliac Artheopathy
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Type-II error is A) Rejecting true null hypothesis B) Rejecting false null hypothesis C) Accepting true null hypothesis D) Accepting false null hypothesis
D) Accepting false null hypothesis
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A college student is surprised one morning by painful urination and a cream-colored exudate. Any person who acquires the gram-negative microbe that causes this infection is most likely to have acquired it via which of the following? A) GI tract B) Genitourinary tract C) Nasal tract D) Respiratory tract
B) Genitourinary tract
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Most teratogenic in pregnancy A) Phenytoin B) Valproate C) Barbiturate D) Ethosuximide
B) Valproate
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. Peutz Jeghers polyps present most commonly in A) Rectum B) Colon C) Esophagus D) Jejunum
D) Jejunum
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True about anthropoid pelvis, sacrosciatic notch is : A) Wide and shallow B) Wide and deep C) Narrow and shallow D) Narrow and deep
A) Wide and shallow
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For foreign body causing sudden choking, most appropriate first line of management is? A) Tracheostomy B) Heimlich maneuver C) Airway insertion D) Laryngoscopy
B) Heimlich maneuver
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The following statements are related to occipito posterior except A) Malrotation of occiput may cause occipito sacral arrest B) 10% cases are associated with anthrapoid or android pelvis C) Incomplete forward rotation of occiput may cause deep transverse arrest D) Non rotation of occiput may cause are associated
B) 10% cases are associated with anthrapoid or android pelvis
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Basal ganglia is involved in which types of memory A) Conditioning B) Procedural memory C) Explicit memory D) None
B) Procedural memory
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HbA2 is - A) Alhpa2Beta2 B) Alpha 2 Gamma 2 C) Beta 2 Gamma 2 D) Alpha 2 Delta 2
D) Alpha 2 Delta 2
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Randomization is best done by A) Lottery system B) Computer system C) Random number tables D) All of the above
C) Random number tables
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Pleural mesothelioma is associated with- A) Asbestosis B) Berylliosis C) Silicosis D) Bagassosis
A) Asbestosis
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Vitamin for which only animal source is available is:- A) Vitamin B1 B) Vitamin B2 C) Vitamin B12 D) Vitamin C
C) Vitamin B12
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Which of the following enzymes is deficient in Niemann- Pick disease? A) Aryl sulfatase B) Glucose-6-phosphatase C) Sphingomyelinase D) Beta glucosidase
C) Sphingomyelinase
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Coombs test is A) Precipitation test B) Agglutination test C) CFT D) Neutrilization test
B) Agglutination test
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The most favoured treatment for a pelvic abscess in cul-de-sac is - A) Laparotomy B) Colpotomy C) External I & D D) Antibiotics
B) Colpotomy
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Which of the following is a zoonotic disease - A) Hydatid cyst B) Malaria C) Filariasis D) Dengue fever
A) Hydatid cyst
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Gene for folate carrier protein located on ? A) Chromosome 10 B) Chromosome 5 C) Chromosome 21 D) Chromosome 9
C) Chromosome 21
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Ramu, 15 yrs of age presents with haemorrhage 5 hrs after tonsillectomy. Treatment of choice is A) External gauze packing B) Antibiotics & mouth wash C) Irrigation with saline D) Reopen immediately
D) Reopen immediately
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Which of the following statement is false regarding phenobarbitone? A) It acts primarily at the GABA: BZD receptor -chloride ion channel complex B) It can cross the placenta C) Contra-indicated in Acute intermittent porphyria D) It has no significant drug interactions with warfarin
D) It has no significant drug interactions with warfarin
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7 years old child presents with a lesion in upper tibia. X ray shows radioluscent area with Codmans triangle and Sunray appearance. Diagnosis is A) Ewing sarcoma B) Osteosarcoma C) Osteoid Osteoma D) Chondrosarcoma
B) Osteosarcoma
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Invasive carcinoma differs from carcinoma in situ by: March 2005 A) Abnormal nuclear morphology B) Pleomorphism C) Breached basement membrane D) Mitoses
C) Breached basement membrane
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A 40 year old diabetic presents with blackish nasal discharge and a mass in the nose, likely diagnosis is: A) Mucormycosis B) Actinomycosis C) Rhinosporiodosis D) Histoplasmosis
A) Mucormycosis
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True about Arterioles is A) Resistance B) Exchange C) Reservoir D) Pressure
A) Resistance
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Neuroendocrine tumors (NET) can be best detected by: A) PET scan B) HRCT scan C) MRI D) Radionuclide scan
D) Radionuclide scan
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All of the following statements about Miliary Tuberculosis are true Except: A) May occur following primary infection B) May occur following secondary reactivation C) Sputum microscopy is usually negative D) Montoux is always positive
D) Montoux is always positive
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With increased flow to loop of Henle, decreased in GFR is by ? A) Countercurrent exchanger B) Glomerulotubular balance C) Tubulo-glomerular feedback D) Countercurrent multiplier
C) Tubulo-glomerular feedback
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The most common site of esophageal adenocarcinoma is: A) Upper 1/3rd B) Middle 1/3rd C) Lower 1/3rd D) Upper 2/3rd
C) Lower 1/3rd
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Wheal and Flare reaction is which type of Hypersensitivity? A) Type I B) Type II C) Type III D) Type IV
A) Type I
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Which of the folio wing is not a pox virus- A) Cow pox B) Molluscum contagiosum C) Smallpox D) Chicken pox
D) Chicken pox
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Colipase acts with: A) Lipoprotein lipase B) Pancreatic lipase C) Gastric lipase D) Salivary lipase
B) Pancreatic lipase
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The normal value of P50 on the oxyhaemoglobin dissociation curve in an adult is A) 1.8 kPa B) 2.7 kPa C) 3.6 kPa D) 4.5 kPa
C) 3.6 kPa
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Confirmation of appendicitis A) Clinical examination B) USG abdomen C) X-ray abdomen D) Raised TLC\/DLC
A) Clinical examination
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Which of the following substances is a growth factor that is capable of inducing all the steps necessary for angiogenesis? A) . EGF B) TGF -a C) PDGF D) Basic fibroblasts growth factor
D) Basic fibroblasts growth factor
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The postmarketing trial comes under A) Phase 1 clinical trial B) Preclinical trial C) Phase 3 clinical trial D) Phase 4 clinical trial
D) Phase 4 clinical trial
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In case of hepatic porphyria the safe anti convulsant- A) Phenytoin B) Carbamazepine C) Valparate D) Paraldehyde
D) Paraldehyde
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All are complications of ileal resection EXCEPT: March 2004 A) Megaloblastic anemia B) Iron deficiency anemia C) Gastric hypeension D) Malabsorption syndrome
B) Iron deficiency anemia
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Annerix V on non permeable cell is indicative of A) Apoptosis B) Necrosis C) Cell entering replication phase D) Cell cycle arrest
A) Apoptosis
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Heating at 60degC for 30 minute would isolate: A) Staphylococci B) Enterococci C) Micrococci D) Streptococci
B) Enterococci
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A neonate is note to have an abnormally shaped face with a very small jaw. On examination he has systolic murmur. Several hours after bih, the baby develops convulsions and tetany. Serum chemistries show Sodium 40mEq/L Potassium 4mEq/L Chloride 100mEq/L Bicarbonate 24mEq/ L Magnesium 2mEq/L Calcium 5mEq/dL Glucose 100m...
C) Thymus
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Eschar is seen in all the Rickettsial diseases excent: A) Scrub typhus B) Rickettsial pox C) Indian tick typhus D) Endemic typhus
D) Endemic typhus
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Drugs undergoing acetylation include all except - A) Dapsone B) Metoclopramide C) Procainamide D) INH
B) Metoclopramide
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Structures that passes through Foramen Magnum include all, EXCEPT: A) Ascending cervical aery B) Accessory nerve C) Veebral aeries D) Spinal aeries
A) Ascending cervical aery
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Investigation of choice for Acute pancreatitis: September 2005 & 2006 A) X-ray abdomen B) CT scan C) USG D) ERCP
B) CT scan
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A 17-year-old boy sustains serious head and neck trauma during a football game. Physical examination shows a positive Babinski sign. What pa of the brain has most likely been damaged in this boy? A) Anterior motor neurons B) Cerebellum C) Coicospinal tract D) Premotor coex
C) Coicospinal tract
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Which of the following cement is called as Artificial dentin? A) Type 2 GIC B) Silicophosphate C) Amalgam D) Zinc phosphate
B) Silicophosphate
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Biotin is required for the activity of A) Pyruvate carboxylase B) Lactate dehydrogenase C) Succinate thiokinase D) Phosphohexose isomerase
A) Pyruvate carboxylase
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Patients with mutations leading to defective beta-oxidation of fatty acid usually have hypoglycemia because of A) Less ATP for gluconeogenesis B) Less acetyl CoA for glucose formation C) Increased fatty acids decrease glucose utilization D) Fatty acids inhibit transpo of glucose for metabolism
B) Less acetyl CoA for glucose formation
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Korsakoff's psychosis is caused by deficiency of vitamin A) Vitamin B1 B) Vitamin B2 C) Vitamin C D) Vitamin D
A) Vitamin B1
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Apoptosis- all are true except? A) Normal physiological process of programmed cell death B) Products removed by phagocytosis C) Plasma membrane zeiosis D) Causes inflammation that damage surrounding cells
D) Causes inflammation that damage surrounding cells
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Histamine is secreted by: A) Enterochromaffin cell B) Parietal cell C) Oxyntic cell D) Chief cell
A) Enterochromaffin cell
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Which of the following drug does not form active metabolite ? A) Flunitrazepam B) Diazepam C) Oxazepam D) Nitrazepam
C) Oxazepam
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Which of the following is not a clinical feature of Endophthalmitis? A) Vitritis B) Corneal edema C) Hypopyon D) Cranial nerve palsies
D) Cranial nerve palsies
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Fouh hea sound is caused by A) Closure of AV valves B) Closure of semilunar valves C) Rapid ventricular filling D) Atrial contraction
D) Atrial contraction
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After pituitary stalk resection, all hormones are affected except A) Prolactin B) FSH C) ADH D) ACTH
C) ADH
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A 37-year-old woman presents with shortness of breath on exertion. She has a past history of rheumatic fever as a child. On cardiac auscultation, there is a loud S1 and a mid-to-late low-pitched diastolic murmur. You suspect she has mitral stenosis. Which of the following findings is most likely to be seen on the CXR i...
D) straightening of the left heart border
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Toxin involved in the streptococcal toxic shock syndrome is A) Pyrogenic toxin B) Erythrogenic toxin C) Hemolysin D) Neurotoxin
A) Pyrogenic toxin
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Patient of juvenile myoclonic epilepsy on valproate comes to you at 5 months of pregnancy with level H scan normal what will you advise? A) Change the drug B) Continue the drug in same dose C) Decrease the dose of drug D) Increase the dose of drug
B) Continue the drug in same dose
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Equilibrium potential for an ion is calculated by: A) Gibbs Donnan Equilibrium B) Nernst Equation C) Goldman Equation D) None of the above
B) Nernst Equation
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On putting an internal jugular vein catheter, a patient has developed sudden onset severe respiratory distress. Clinical diagnosis is? A) Pneumothorax B) Sepsis C) ARDS D) Infective endaeritis
A) Pneumothorax
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duration criteria for bulimia nervosa is A) 3 months B) 5 months C) 4 months D) 6 months
A) 3 months
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Most common site of CIN is : A) Squamo-coiumnar junction B) Ectocervix C) Endocervix D) Nabothian gland
A) Squamo-coiumnar junction
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Brucellosis can be transmitted by all EXCEPT A) Contect with infected placenta B) Ingestion of raw vegetables from infected farms C) Person to person transmission D) Inhalation of infected dust or aerosol
C) Person to person transmission
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The veins of the pericardium drain into A) Superior vena cava B) Inferior vena cava C) Azygos vein D) Left brachiocephalic vein
A) Superior vena cava