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Answer the following medical question with the correct option:
Indications for fine needle aspiration in liver abscess are A) Recurrent B) Left lobe C) Refractory to treatment after 48-72 hrs D) > 10 cms size
D) > 10 cms size
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Corticosteroids are potent suppressors of the body’s inflammatory response. Which of the following conditions or actions do they suppress? A) Cushing syndrome B) Pain receptors C) Immune response D) Neural transmission
C) Immune response
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Group A streptococcus causes all except - A) Scarlet fever B) Erysipelas C) Impetigo D) Epidermolysis bullae
D) Epidermolysis bullae
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Investigation of choice to evaluate intracranial hemorrhage of less than 48 hours is - A) CT scan B) MRI C) PET D) SPECT
A) CT scan
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Fredrich's ataxia is caused by which type of mutation- A) Point mutation B) Expanded trinucleotide repeat C) Missense mutation D) Inversion
B) Expanded trinucleotide repeat
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Wound with bloody discharge belongs to which grade as per Southampton wound grading system A) Grade 1 B) Grade 2 C) Grade 3 D) Grade 4
C) Grade 3
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Cracked nipple may be- A) Due to syphilitic chancre B) Cause of retention cyst C) Pagets disease of nipple D) Forerunner of breast abscess
D) Forerunner of breast abscess
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Which of the following is used for Rickettsia - A) Weil-Felix reaction B) Rose-waler test C) Poul-Bunnel test D) VDRL
A) Weil-Felix reaction
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Common design which can be employed while fabricating a sanitary pontic: A) Bar sanitary pontic. B) Fish-belly pontic. C) Perel pontic. D) All of the above.
D) All of the above.
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Which is not a feature of pilonidal sinus: A) Branching tracts are common B) Recurrence is uncommon C) Bony involvement is uncommon D) Seen in Drivers
B) Recurrence is uncommon
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Which of the following statements are True or False? 1. Genetic polymorphisms of the P450 enzyme system, specifically CYP1A1, or chromosome fragility are associated with the development of lung cancer. 2. Cigarette smoking increases the risk of squamous and small cell lung cancer cell types only. 3. Varenicline-nicotin...
B) 1,3,4 True & 4,5 False
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Barr body is not seen in: A) Klinefelter syndrome B) Turner syndrome C) Normal female D) XXX syndrome
B) Turner syndrome
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Supracristal plane is above ? A) Highest point of iliac crest B) Anterior superior iliac spine C) Posterior superior iliac spine D) Ischeal tuberosity
A) Highest point of iliac crest
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Hyper segmented neutrophils are seen in: A) Megaloblastic anemia B) Iron deficiency anemia C) Thalassemia D) Idiopathic thrombocytopenic purpura
A) Megaloblastic anemia
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Bilateral upper limb pulse less disease is? A) Giant Cell Aeritis B) Polyaeritis Nodosa C) Aooaeritis D) HSP
C) Aooaeritis
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Biphasic pattern on histology is seen in? A) Osteosarcoma B) Osteoclastoma C) Synovial cell sarcoma D) Rhabdomyosarcoma
C) Synovial cell sarcoma
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Ramla, 65 yrs old male presents with low backpain especially at L3, anaemia and fatiguability) His investigation profile reveals -Hb =7gm%, TLC-9000/cmm, DLC -N- 55%, L-30%, M-10%, E-1%, -2%,Serum proteins-8gm %, ratio-2.9/5.9, ESR-90 and serum creatinine-3.2 mg%. Likely diagnosis is - A) Waldenstroms macroglobulinemi...
B) Multiple myeloma
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In JVP y descent is absent and X wave is prominent? Thiscsuggests: A) Restictive cardiomyopathy B) Cardiac tamponade C) Constrictive pericarditis D) Right Ventricular Failure
B) Cardiac tamponade
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Investigation of choice in the early phase of renal transplant A) IVP B) Retrograde cystourethrogram C) Ultrasonogram D) CT scan
C) Ultrasonogram
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A child with complaints of cough. Characteristic 'inspiratory whoop. Sample for investigation is – A) Nasopharyngeal swab B) Tracheal aspiration C) Cough plate culture D) Sputum culture
A) Nasopharyngeal swab
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IgA nephropathy is characterised by:- A) Hematuria occur after skin infection B) Severe Hypeension C) Normal serum levels of C3 D) Serum IgA levels have a diagnostic value
C) Normal serum levels of C3
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Which of the listed diseases is most strongly suggested by the above antibody studies? Anti-centromere High titer Anti-Scl-70 Not detected Anti-Pol-I Not detected Anti-RNP Not detected Anti-dsDNA Not detected A) CREST B) Diffuse scleroderma C) Mixed connective tissue disease D) Sjogren's syndrome
A) CREST
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Fast breathing in a 3 year old child is? A) > 60 B) >50 C) >40 D) >30
C) >40
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Predisposing factor for pneumococal pneumoniaa) CRFb) Lymphoma c) Thalassemiad) Cystic fibrosis A) abc B) bc C) acd D) bcd
A) abc
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Onion skin thickening of aeriolar wall is sees in- A) Atherosclerosis B) Median calcific sclerosis C) Hyaline aeriosclerosis D) Hyperplastic aeriosclerosis
D) Hyperplastic aeriosclerosis
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Pupillary reaction to light is still normal in lesion/injury to A) Optic nerve B) Optic disc C) Optic tract D) Optic chiasm
B) Optic disc
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Centrosome duplication takes place in - A) M phase B) GO phase C) S phase D) G2 phase
C) S phase
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Herberdens nodes are seen in: A) Rubella B) Rubeola C) Osteoarthritis D) Typhoid
C) Osteoarthritis
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In acute tubular necrosis, all are true except A) Specific gravity of urine < 1.020 B) Urine Osmolatlity > 500 C) Blood urea: creatinine ratio < 20 D) Urine sodium < 20mmol/l
D) Urine sodium < 20mmol/l
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Which of the following is used in tracking transfer of MS from mother to infant, to detect risk of early childhood caries? A) Albans test B) GC-Saliva check SM C) Dentocult lactobacilli test D) Fosdick calcium dissolution test
B) GC-Saliva check SM
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Coils are incorporated in orthodontic appliances to: A) Decrease the amount of force B) Increase the range of movement C) Increase flexibility D) Increase the amount of force
B) Increase the range of movement
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Differential Cyanosis occurs in which of the following disease: A) Severe coarctation B) PPHN C) Interrupted aortic arch D) All of the above
D) All of the above
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All drugs are used in Treatment of Mania except - A) Haloperidol B) Trihexylphenidyl C) Lithium D) Carbamazepine
B) Trihexylphenidyl
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Which of the following drug is not a uricosuric agent? A) Probenecid B) Sulfinpyrazone C) Benzbromarone D) Febuxostat
D) Febuxostat
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The gene that regulates normal morphogenesis during development is : A) FMR-1 gene B) Homeobox gene. C) P-16 D) FTEN.
B) Homeobox gene.
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Double-bubble sign in X-ray is seen in A) Colon carcinoma B) Duodenal atresia C) Acute pancreatitis D) Perforation
B) Duodenal atresia
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Card test is done for- A) Plamar interossei B) Dorsal interossei C) Abductor pollicis brevis D) Palmaris longus
A) Plamar interossei
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Infection of submandibular space is seen in: A) Ludwig angina B) Vincent angina C) Prinzmetal angina D) Unstable angina
A) Ludwig angina
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High impact resin has? A) Polysterene B) Butadine-Styrene rubber C) Polyehtyl methacrylate D) Polyamides
B) Butadine-Styrene rubber
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A 60-year-old woman complained of weakness, lethargy and easy fatigability. Investigation showed that she had iron deficiency anaemia (Hb. 8 g/dl). She was prescribed cap. ferrous fumarate 300 mg twice daily. She returned after one month with no improvement in symptoms. Her Hb. level was unchanged. On enquiry she revea...
A) Lower pH is required for absorption of oral iron salts
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Contusion usually result from A) Cut injury B) Crush injury C) Blunt trauma D) Penetrating injury
C) Blunt trauma
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Pain insensitive structure in brain is: A) Falx cerebri B) Dural sheath surrounding vascular sinuses C) Middle meningeal aery D) Choroid plexus
D) Choroid plexus
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In which phase of sleep, does the bruxism occur? A) NREM 2 B) NREM 3 C) REM sleep D) NREM 4
A) NREM 2
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80 year old, asymptomatic man present with a Total Leucocyte Count of 1 lakh, with 80% lymphocytes and 20% PMC's. What is the most probable diagnosis? A) HIV B) CML C) CLL D) TB
A) HIV
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In a patient with cardiac output 5 liters/minute and body surface area 1.7 m2 what will be the cardiac index A) 3 liter/ min/ m2 B) 4 liter/min/m2 C) 5 liter/ min/ m2 D) 2.5 liter/ mkin/ m2
A) 3 liter/ min/ m2
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Most common type of lung cancer is? A) Small cell carcinoma B) Adenocarcinoma C) Squamous cell carcinoma D) Large cell carcinoma
B) Adenocarcinoma
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Zygote with zona pellucida reaches uterine cavity by- A) 2 days B) 4 days C) 5 days D) 6 days
B) 4 days
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A male was brought unconscious to the hospital with external injuries. CT brain showed no midline shift, but basal cisterns were compressed with multiple small hemorrhages. What is the diagnosis: A) Cortical contusion B) Cerebral laceration C) Multiple infarcts D) Diffuse axonal injuries
D) Diffuse axonal injuries
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Rosettes are characteristically seen in A) Retinoblastoma B) Melanoma C) Dysgerminoma D) Lymphoma
A) Retinoblastoma
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Which structure of Hb can do function? A) Primary, secondary , teiary B) Primary & secondary C) Primary, secondary , teiary, quaernary D) Teiary & quaernary
D) Teiary & quaernary
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The law stating that "the relative frequency of each gene allele tend to remain constant from generation to generation" is known as ? A) Mendel's law B) Hardy-Weinberg law C) David-Morgan's law D) Lamarck's law
B) Hardy-Weinberg law
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In patients with asthma due to an allergic cause, the serum levels of which immunoglobulin increases? A) IgD B) IgM C) IgA D) IgE
D) IgE
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Varicella zoster virus belongs to which family of DNA viruses ? A) Poxviridae B) Herpesviridae C) Adenoviridae D) Papovaviridae
B) Herpesviridae
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What is the definitive finding of G6PD- A) Bite cells B) Intravascular hemolysis C) Splenomegaly D) Hemoglobinuria
B) Intravascular hemolysis
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A 60-year-old alcoholic woman presents to the emergency room with fever, chills and shoness of breath. The sputum is rusty-yellow and contains numerous neutrophils, red blood cells and Gram-positive cocci. A chest X-ray shows diffuse haziness over both lungs. One week following admission, the patient develops empyema. ...
D) Pleural space
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In a 60-year-old female with polydipsia, water deprivation test was performed and the values obtained are as following -Baseline: Na - 139 mEq, K-3.6mEq. Osm.plasma-274 mosm/l, Osm. urine-150 after vasopressin: Na-142mEq, K-3.9mEq, Plasma osm-271 mosm/ l,Urine osm - 489 mosm/l. These findings suggest a diagnosis of - ...
A) Cranial diabetes insipidus
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Follow ing are the side effects of thiazides except- A) Hypokalemia B) Hypocalcemia C) Hepatic coma D) Impotence
B) Hypocalcemia
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In a ceain population, there were 4050 bihs in the last one year. There were 50 still-bihs. 50 infants died within 7 days whereas 150 died within the first 28 days. What is the neonatal moality rate A) 50 B) 62.5 C) 12.5 D) 49.4
B) 62.5
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Bacterial meningitis in children (2 months-12 years) is usually due to the following organisms EXCEPT: A) Streptococcus pneumoniae B) Neisseria meningitides C) H. influenzae type B D) L. Monocytogenes
D) L. Monocytogenes
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A 70-year-old male presented to the OPD with complaints of abdominal pain, nausea, headache, malaise, persistent fever for 2 weeks along with constipation. On examination a characteristic rash was observed on the trunk and chest. BP - 120/70 mm of Hg HR- 65 bpm Hepatomegaly Splenomegaly Blood culture did not show any o...
D) <img style="max-width: 100%" src=" />
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Mrs. A is hesitant about children having kinky hair disease because her two sisters had sons who had died from kinky hair disease. Her mother's brother also died of the same condition. Which of the following is the possible mode of inheritance in her family? (AI 2004) A) X-linked recessive B) X-linked dominant C) Auto...
A) X-linked recessive
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All the following are indications for termination of pregnancy in APH patient except : A) 37 weeks B) IUD C) Transverse lie D) Continuous bleeding
C) Transverse lie
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Risk of malignancy in cold nodule of thyroid is A) 0.10% B) 2% C) 20% D) 30%
C) 20%
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Which of the following presents as a cutaneous vasculitis in patients with lepromatous leprosy? A) Lepra type I reaction B) Lepra type II reaction C) Lucio phenomenon D) Reversal phenomenon
C) Lucio phenomenon
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All of the following vaccines can prevent pneumonia except: A) Measles B) Rubella C) Pneumococcal D) H. influenza
B) Rubella
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Regarding amoebic liver abscess which of the following is true: A) Multiple abscess are more common B) Most of the patients have a history of dysentery at the time of presentation C) May rupture into the pleural cavity D) For asymptomatic luminal carriers metronidazole is the drug of choice
C) May rupture into the pleural cavity
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The projection of ameloblast into the enamel matrix, is known as A) Tomes fibers B) Tomes process C) Tomes fibrils D) Tomes network
B) Tomes process
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The arrow is pointing towards which of the following structures? A) Spleen B) Renal AERY C) BOWEL LOOP D) Pancreatic tail
D) Pancreatic tail
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Fraying and cupping of metaphyses of long bones in a child does not occur in: A) Rickets B) Lead poisoning C) Metaphyseal dysplasia D) Hypophosphatasia
B) Lead poisoning
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Bih and death registration act came into force on 1st april,------ A) 1968 B) 1969 C) 1970 D) 1971
B) 1969
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Gustatory hallucinations are most commonly associated with - A) Temporal lobe epilepsy B) Grand mal epilepsy C) Anxiety disorders D) Tobacco dependence
A) Temporal lobe epilepsy
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Behaviour therapy to change maladaptive behaviour using the response as reinforcer uses the principles of- A) Classical conditioning B) Modeling C) Social learing D) Operant conditioning
D) Operant conditioning
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In X-Ray right border of mediastinum is formed by all except: A) SVC B) Right Atrium C) Right Ventricle D) Right Brachiocephalic Vein
C) Right Ventricle
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All are toxicities seen with Amiodarone therapy except aEUR' A) Pulmonary fibrosis B) Corneal micro-deposits C) Cirrhosis of liver D) Productive cough
D) Productive cough
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All of the following drugs can cause gynaecomasia except A) Digoxin B) Amiloride C) Cimetidine D) Spironolactone
B) Amiloride
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Out of 10 relatives exposed to a primary case, of measles, 6 developed measles. Secondary attack rate of measles- A) 10-Apr B) 10-Jun C) 6-Apr D) 4-Jun
B) 10-Jun
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A 50 year old male with positive family history of prostate cancer has come to you for a screening test. The MOST sensitive screening test to pickup prostate cancer is: A) DRE B) PSA C) DRE + PSA D) Endorectal Coil MRI with TtW and T2W images
C) DRE + PSA
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Ranson's critaria for prognosis in acute pancreatitis include all except : A) WBC>16,000 cells/cumm B) Age over 55 years C) AST > 250 U/100 ml D) S. amylase > 350 I.U.
D) S. amylase > 350 I.U.
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True about anaerobic glycolysis is A) 2 ATP from 1 glucose B) 32 ATP from 1 glucose C) 26 ATP from 1 glucose D) 28 ATP from 1 glucose
A) 2 ATP from 1 glucose
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1 meq/ L of hardness of water is equivalent to presence of: A) 25 mg calcium bicarbonate in 1 litre of water B) 50 mg calcium bicarbonate in 1 litre of water C) 100 mg calcium bicarbonate in 1 litre of water D) 150 mg calcium bicarbonate in 1 litre of water
B) 50 mg calcium bicarbonate in 1 litre of water
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Which of the following is characterised by typical ash - grey slough A) Furuncle B) Carbuncle C) Erysipeals D) Cellulitis
B) Carbuncle
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Umbilical vesicle attains full development in? A) 2 week B) 4 week C) 6 week D) 7 week
B) 4 week
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All are derivatives of Rathkes pouch except ? A) Pars intermedia B) Pars tuberalis C) Neurohypophysis D) Pars distalis
C) Neurohypophysis
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True of the following - A) Interstitial nephritis is associated with salt losing nephropathy B) Idiopathic hypercalciuria is a X-linked recessive disease C) Calcitonin deficiency causes hyperphosphatemia D) Idiopathic hypercalciuria commonly presents with hematuria
A) Interstitial nephritis is associated with salt losing nephropathy
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In Burkitt's lymphoma, translocation seen is chromosome - A) 12 - 14 translocation B) 8 - 14 translocation C) 4 - 8 translocation D) 12- 18 translocation
B) 8 - 14 translocation
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A 40-year-old male complained of tachypnea. On examination his respiratory rate is 32/min with pulmonary hypeension and BP 132/90 mmHg. JVP was raised. What is your diagnosis? A) Aoic dissection and rupture B) Esophageal rupture C) Tension pneumothorax D) Right ventricular hyperophy
D) Right ventricular hyperophy
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Larval control is an impoant method of mosquito control. All of the following are larval control measures, EXCEPT: A) DDT B) Paris green C) Gambusia D) Intermittent irrigation
A) DDT
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Calcium channel blocker used in subarachnoid hemorrhage A) Nefidipine B) Nicardipine C) Nimodipine D) Nitrendepine
C) Nimodipine
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A 25 year old G2P, at 39 weeks gestation is electing to have spinal anaesthesia for a repeat cesarean section. 5 minutes after bupivacaine spinal injection, the patient becomes hypotensive and is complaining of tingling in her fingers with subjective difficulty breathing. Her oxygen saturation remains 100% and blood pr...
C) Decrease in volume of CSF in subarachnoid space facilitated higher spread of local anaesthetics
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Which is autosomal recessive? A) Achondraplasia B) Beta thalassemia C) Marfans syndrome D) Hereditary spherocytosis
B) Beta thalassemia
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The most common causative organism for lobar pneumonia Is A) Staphylococcus aureus B) Streptococcus pyogenes C) Streptococcus pneumoniae D) Haemophilus influenzae
C) Streptococcus pneumoniae
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Larval form in stool is found in ? A) Strongyloides B) Ancylostoma duodenale C) Necator americanus D) All
D) All
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Muscle attached to the tubercle of 1st cervical vertebrae A) Scalenus anterior B) Scalenus medium C) Scalenus minimum D) Scalenus posterior
B) Scalenus medium
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Which of the following Schistosoma is seen in the veins of the bladder and Pelvic Organs? A) Schistosoma japonicum B) Schistosoma mansoni C) Schistosoma haematobium D) Schistosoma intercalatum
C) Schistosoma haematobium
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A tumour arising in a burns scar is likely to be A) Basal cell carcinoma B) Squamous cell carcinoma C) Malignant melanoma D) Fibrosarcoma
B) Squamous cell carcinoma
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All the following increases drug metabolism by activating cytochrome enzyme, EXCEPT: A) Tetracycline B) Cimetidine C) Rifampicin D) Phenobarbitone
B) Cimetidine
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Which of the follow ing interleukin is secreted by T helper 2 cells - A) IL 11 B) IL7 C) IL l D) IL13
D) IL13
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During starvation, Brian utilizes A) Glycogen B) Fattey acids C) Ketone bodies D) None
C) Ketone bodies
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ECT in depressive phase of MDP is useful because it- A) Produces recurrence B) Reduces recurrence C) Shortens duration D) Increases drug effects
C) Shortens duration
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In chronic obstructive pulmonary disease all are seen EXCEPT - A) Low FEV1 B) Increased FEV1 / VC ratio C) Smoking strongly associated D) Partially reversible by bronchodilator therapy
B) Increased FEV1 / VC ratio