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Answer the following medical question with the correct option:
All are features of renal tubular acidosis type I except A) Stone in kidney B) No anion gap C) Hypokalemia D) Fanconi's syndrome
D) Fanconi's syndrome
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The characteristic lesion of atherosclerosis is - A) Fibrinoid necrosis of the media B) Giant cell reaction in the retina and internal elastic lamina C) Organised thrombus in the affected segment D) 'Fibro-fatty' lesion in the intima of the blood vessel
D) 'Fibro-fatty' lesion in the intima of the blood vessel
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Botulinum toxin causes? A) Tachycardia B) Bilateral cranial nerve involvement C) Fever D) Hypertension
B) Bilateral cranial nerve involvement
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The disadvantage of Marshall Marchetti Krantz procedure compared with other surgical alternatives for treatment of stress urinary incontinence includes: A) Urinary retention B) Increased incidence of urinary tract infections C) High failure rate D) Osteitis pubis
D) Osteitis pubis
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In a study done to establish smoking as a risk factor for a disease, 30 out of 50 smokers developed the disease while 10 out of 50 non-smokers developed the disease. Odds ratio is? A) 6 B) 3 C) 5 D) 10
A) 6
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High tracheostomy is done in which one of the following condition? A) Vocal cord palsy B) Tracheomalacia C) Foreign body D) Laryngeal cancer
D) Laryngeal cancer
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Most common cause of respiratory distress after bih in first 24 hours is - A) Neonatal sepsis B) Meconium aspiration C) Bacterial pneumonia D) Air embolism
B) Meconium aspiration
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Bone marrow examination of a 2 year old child with massive splenomegaly and pancytopenia showed cells with wrinkled paper appearance of cytoplasm. What could be the possible diagnosis? A) Niemann Pick disease B) Gaucher disease C) Acute Leukemia D) Hereditary spherocytosis
B) Gaucher disease
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Rind sign is seen: A) Marfan syndrome. B) Osteopetrosis. C) Fibrous dysplasia. D) All of the above.
C) Fibrous dysplasia.
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Which one of the following morphological characteristic is representative of all posterior maxillary teeth? A) Marked mesial concavity on crowns and roots. B) Tips of cusps are well within the confines of the root trunks. C) From mesial/distal aspect, crowns are rhomboidal in shape. D) From mesial/distal aspect, all m...
D) From mesial/distal aspect, all maxillary posterior crowns are trapezoidal with shortest uneven side toward occlusal surface.
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Which of the following statements is not true for contact ulcer ? A) The commonest site is the junction of anterior l/3rd and middle l/3rd of vocal cord and gastroesophageal reflux is the causative factor. B) Can be caused by intubation injury. C) The vocal process is the site and is caused/aggravated by acid reflux. ...
A) The commonest site is the junction of anterior l/3rd and middle l/3rd of vocal cord and gastroesophageal reflux is the causative factor.
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All of the following show false negative result on EPT (electric pulp testing) except: A) Teeth with calcified canal B) Immature teeth C) Sedated patient, either alcohol or drugs D) Moist gangrenous pulp
D) Moist gangrenous pulp
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Ekbom syndrome is:- A) Narcolepsy B) Restless leg syndrome C) Pica D) Delusion of nihilism
B) Restless leg syndrome
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Elemental iron supplementation in Iron deficiency anemia is - A) 300-400 mg B) 150-200 mg C) 100-150 mg D) <100 mg
C) 100-150 mg
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Pendred syndrome due to mutation of ? A) Baillin B) Pendrin C) Fibrillin D) Reticulin
B) Pendrin
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Lyophilization means A) Sterilizations B) Freeze drying C) Burning to ashes D) Exposure to formation
B) Freeze drying
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True about relations of renal aery and vein ? A) Left renal vein passes behind aoa B) Renal aery passes in front of IVC C) Right renal vein shoer than left renal vein D) Renal aery is a branch of internal iliac aery
C) Right renal vein shoer than left renal vein
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A 62-year-old man is admitted to the emergency department due to increasing difficulty in urinating over a period of several months. Physical examination reveals prostatic hypertrophy. After several unsuccessful attempts to catheterize the penile urethra, the urologist orders drainage of the urinary bladder by the leas...
C) Retropubic space (of Retzius)
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Calculate the specificity of the screening test: Screening test results Diseased Not diseased Total Positive 400 200 600 Negative 100 600 700 Total 500 800 1300 A) 70 per cent B) 75 per cent C) 80 per cent D) 85 per cent
B) 75 per cent
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Among the following disorders which is not seen more in males than females? A) Autism B) Conduct disorder C) Oppositional defiant disorder D) Anorexia Nervosa
D) Anorexia Nervosa
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OCP's are contraindicated in women receiving which of the following drug ? A) Rifampicin B) Ethambutol C) Streptomycin D) Pyrazinamide
A) Rifampicin
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All of the following statements are true regarding cavernous sinus thrombosis EXCEPT: A) Loss of jaw jerk B) Inferior Ophthalmic Vein can spread infection from dangerous area of face C) Ethmoidal Sinusitis is the most common cause D) Loss of sensation around the eye
A) Loss of jaw jerk
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A 25 year old male presents to the dental clinic with black spots on his tooth. Intra-oral examination reveals pit and fissure caries with 16. Which of the following ICDAS score will be given to this tooth based on the histological depth of the lesion? A) Lesion depth in P/F was 50% inner enamel and 50% into the outer...
C) Lesion depth in P/F with 100% in dentin - score 5
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CASPAR criteria is used in diagnosis A) Psoriatic ahritis B) Rheumatoid ahritis C) Ankylosing spondylitis D) Reactive Synovitis
A) Psoriatic ahritis
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Which one of the following gross appearances of a kidney is most characteristic of malignant nephrosclerosis? A) Broad U-shaped coical scars overlying dilated calyces in renal poles B) Depressed coical areas overlying necrotic papillae of varying stages C) Multiple small petechial hemorrhages on the surface D) Multipl...
C) Multiple small petechial hemorrhages on the surface
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Ketamine acts an which receptor A) GABAA B) GABAB C) NMDA D) Glutamate
C) NMDA
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DNA sequencing by the Sanger method takes advantage of which propey of DNA synthesis to generate a sequencing ladder? A) Addition of nucleotides requires a free OH group on the 3' end of the DNA strand B) DNA has a free 5' phosphoryl group C) DNA polymerase has proofreading capabilities D) Nucleotides are linked by ph...
A) Addition of nucleotides requires a free OH group on the 3' end of the DNA strand
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Septum secundum arises from: A) Bulbus cordis B) Primitive ventricle C) Primitive atrium D) Sinus venosus
C) Primitive atrium
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Most common type of schizophrenia is A) Paranoid B) Catatonic C) Hebephrenic D) Simple
A) Paranoid
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The rationale for giving prophylactic antibiotics at the beginning of a surgical procedure can be thought of as an attempt to prevent the bacteria from entering which of the following growth phases? A) Death phase B) Lag phase C) Log phase D) Phase of decline
C) Log phase
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Cells seen in MI at 48 hours are A) polymorphs B) Fibroblasts C) Lymphocytes D) Macrophages
A) polymorphs
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Initiation of impulse stas in A) Axon B) Axon hillock and initial segment C) Cell body D) Dendritic tree
B) Axon hillock and initial segment
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The investigation of choice for acute cholecystitis is: A) USG B) HIDA-Scan C) CT-Scan D) OCG
A) USG
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Which of the following emits gamma radiations only? A) Strontium 89 B) Technetium 99m C) Phosphorus 32 D) Tin 117m
B) Technetium 99m
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Which among the following is not a copper deficiency disease: A) Hunter's disease. B) Wilson's disease. C) Menke's syndrome. D) Hepatolenticular degeneration.
A) Hunter's disease.
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All of the viruses cause pneumonia except: A) Cytomegalovirus B) Mumps C) Measles D) Retrovirus
B) Mumps
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An 84-year-old man has had a reducible hernia in the right groin for 17 years. One day before admission to the hospital, he complains of abdominal pain; because of the swelling, the hernia has become irreducible. At operation, part of the wall of the cecum is noted to form a portion of the hernia sac. What is the herni...
C) Sliding hernia
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In which of the following conditions is negative nitroblue tetrazolium dye test result seen? A) Tuberculosis B) Chronic granulomatous disease C) Severe combined Immunodeficiency D) DiGeorge syndrome
B) Chronic granulomatous disease
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Red velvety stomach is seen in? A) Lead B) Arsenic C) Copper D) Mercury
B) Arsenic
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Manifestations of acute dissection include all of the following except A) Pericardial tamponade B) AR C) MR D) AMI
C) MR
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Which of the following is a contraindication to nonoperative management of splenic injury? A) Prior hematologic disorder B) HIV-positive patient C) Hemodynamic instability D) Multiple other solid-organ injuries
C) Hemodynamic instability
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Luftsichel sign is seen in A) Right upper lobe collapse B) Right middle lobe collapse C) Left upper lobe collapse D) Left lower lobe collapse
C) Left upper lobe collapse
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Drug effective against pseudomonas is: A) Penicillin G B) Gentamicin C) Tetracycline D) Chloramphenicol
C) Tetracycline
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Fastest acting anti-thyroid drug is A) Sodium Iodide B) Propyl thiouracil C) Methimazole D) Thiocyanate
A) Sodium Iodide
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Austin's classification for ossicular chain defects depends on - A) Malleus head and stapes footplate B) Malleus handle and stapes suprastructure C) Malleus head and stapes suprastructure D) Malleus head and stapes head
B) Malleus handle and stapes suprastructure
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Vital capacity and timed vital capacity is decreased in all except: A) Asthma B) Scoliosis C) Pneumonia D) Emphysema
B) Scoliosis
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Dohlmans procedure is used for - A) Zenkers diverticulum B) Carcinoma esophagus C) Carcinoma larynx D) Nasal carcinoma
A) Zenkers diverticulum
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Which of the following is the most common etiological agent in paranasal sinus mycoses? A) Aspergillus spp B) Histoplasma C) Conidiobolus coronatus D) Candida albicans
A) Aspergillus spp
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Systolic BP of a group of 200 people follows normal distribution. Mean BP is 120 mm Hg and standard deviation 10. Which of the following is true -a) 68% of people have BP between 110-130 mmHgb) 95% of people have BP between 110-130 mm Hgc) 95% ofpeople have BP between 100-140 mm Hgd) 99% of pepole have BP between 100-1...
C) ac
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Gama globulins are synthesized in - A) Liver B) Lung C) Plasma cells D) Spleen
C) Plasma cells
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Which of these tests is the first to be performed in a patient with the following presentation? A) ABG sampling B) IGF- 1 levels C) RA factor D) HLA- B27 levels
B) IGF- 1 levels
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A 62-year-old man presents with pallor, fatigue, and dyspnea on exeion. A complete blood count reveals microcytic hypochromic anemia. The likely cause of this hematological finding is? A) Increased iron requirement B) Gastrointestinal bleeding C) Hypersplenism D) Hemolytic anemia
B) Gastrointestinal bleeding
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Which of the following is a prokinetic drug with no dopamine antagonism? A) Chlorpromazine B) Metoclopramide C) Domperidone D) Mosapride
D) Mosapride
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A patient with psoriasis was staed on systemic steroids. After stopping treatment patient developed generalized pustules all over his body, the most likely cause is: A) Drug induced reactions B) Pustular Psoriasis C) Bacterial infection D) Septicemia
B) Pustular Psoriasis
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All of the following statement about atrial myxomas are true, except: A) Most common site is Left Atrium B) Most common in young individuals C) Distant metastasis are rare D) Most myxomas are familial
D) Most myxomas are familial
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All of the following are used in the management of hyperkalemia except: March 2007 A) Calcium gluconate B) Sodium bicarbonate C) I.V. infusion with glucose and insulin D) I.V. KC1 infusion
D) I.V. KC1 infusion
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Most common site of aortic dissection - A) Ascending aorta B) Arch. of aorta C) Descending aorta D) Abdominal aorta
A) Ascending aorta
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Which of the following mutation seen in Cowden syndrome? A) PTCH mutation B) PTEN mutation C) STK11 mutation D) SMAD4 mutation
B) PTEN mutation
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About biotransformation untrue is: A) Inactive metabolites are formed B) Active metabolites are formed C) More fat soluble metabolites are formed D) More H2O soluble metabolites are formed
C) More fat soluble metabolites are formed
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Transpo of Ascorbic acid to lenses done by A) Myoinositol B) Choline C) Taurine D) Na/K ATPase
A) Myoinositol
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Woods lamp used in diagnosis of – a) P. versicolorb) Vitiligoc) Porphyriad) Psoriasise) Lichen planus A) abc B) bc C) acd D) bcd
A) abc
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Which of the following liver disorders is a compli¬cation associated with oral contraceptives? A) Drug-induced hepatitis with fatty change B) Cholangiocarcinoma C) Cavernous hemangiomas D) Intrahepatic cholestasis
D) Intrahepatic cholestasis
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Neonatal mortality is calculated as – A) Number of deaths of children < 28 days per 1000 live birth B) Number of death of children < 28 days per 1000 still birth C) Number of death of children < 28 days per 1000 total birth D) None
A) Number of deaths of children < 28 days per 1000 live birth
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A patient on NSAIDS with gastric ulcer and H. pylori infection - the treatment of choice is: A) H. pylori eradication B) No need for eradication C) Check after 8 weeks and let patient continue with NSAIDS D) Check after 16 weeks and let patient continue with NASAIDS
A) H. pylori eradication
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Which receptors are blocked in Myasthenia Gravis. A) Ach receptors B) Calcium receptors C) Sodium receptors D) Opioid receptors
A) Ach receptors
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Klumpke’s paralysis affect- A) C3C6 B) C 6 C7 C) C 8T1 D) C4C5
C) C 8T1
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Antifolate cancer drug are - A) Methotrexate B) Azathioprine C) Cycl osporin D) Vincristine
A) Methotrexate
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A 42-year-old man is brought to you after suffering a grand mal seizure. There is no history of recent illness, fever, headache, seizures, or head trauma. Neurologic exam shows the patient to be ale and oriented. No focal abnormalities are noted. A CT scan of the head reveals multiple punctate calcifications, and two e...
D) Neurocysticercosis
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Serial interval is A) Interval between primary and secondary case B) Interval between first case and last case C) Interval between primary case and all subsequent cases multiplied by secondary attack rate D) Interval between incubation period and gestational period
A) Interval between primary and secondary case
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Whey : Casein ratio in breast milk is A) 3:07 B) 8:03 C) 7:03 D) 3:08
C) 7:03
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Which organ is the primary site of hematopoiesis in the fetus before midpregnancy - A) Bone B) Liver C) Spleen D) Lung
B) Liver
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Chromolacryorrhea is seen in poisoning with: WB 09 A) Cobra B) Organophosphorus C) Dhatura D) Carbolic acid
B) Organophosphorus
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Opsonins are A) C3a B) IgM C) Carbohydrates binding protein D) Selectins
C) Carbohydrates binding protein
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No of inpatient beds in PHC ? A) 6 B) 10 C) 20 D) 25
A) 6
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In a child with respiratory distress, failure to thrive. His sweat chloride levels were estimated at 35 meq/L and 41 meq/L. What is next best test to do cystic fibrosis for diagnosis - A) Nasal transmembrane potential difference B) DNA analysis AF 508 mutation C) CT chest D) 72-hour fecal fat estimation
A) Nasal transmembrane potential difference
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The average fatal period of copper poisoning is A) 30-60 minutes B) 1-3 days C) 3-7 days D) 7-14 days
B) 1-3 days
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Most common cause of empyema is - A) Bronchopleural fistula B) Tubercular pneumonia C) Bacterial pneumonia D) Pleurisy
C) Bacterial pneumonia
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Bacteria with tuft of flagellae at one end are called- A) Monotrichate B) Bipolar C) Peritrichate D) Lophotrichate
D) Lophotrichate
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All are causes of chronic granulomatous uveitis except- A) Sarcoidosis B) Tuberculosis C) Brucellosis D) Fuchs heterochromic iridocyclitis
D) Fuchs heterochromic iridocyclitis
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A 24-year-old sex worker from Mumbai develops chronic abdominal pain, low-grade fever, diarrhea, and malabsorption. He saw later found to be positive for HIV. Oocysts are demonstrated in the stool. Which of the following organisms is most likely to be the cause of the patient's diarrhea? A) Diphyllobothrium latum B) E...
D) Isospora belli
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Causes of raised J.V.P. with hypotension are all except - A) Cardiac tamponade B) Right ventricular M.I. C) Hea failure D) 2nd Degree A.V. block
D) 2nd Degree A.V. block
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Rate limiting enzyme in bile acid synthesis - A) Desmolase B) 21a-hydroxylase C) 7a-hydroxylase D) 12a-hydroxylase
C) 7a-hydroxylase
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A study of patients more than 25 years of age with body mass index above 30, dyslipidemia, hypertension, and fasting glucose averaging 115 mg/ dL is performed. They have adipose tissue abnormalities including increased non-esterified fatty acid release, altered adipokines with decreased adiponectin, greater proinflamma...
B) Caloric restriction
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What complication should one expect when PCNL is done through 11th intercostal space A) Hydrothorax B) Hematuria C) Damage to colon D) Remnant fragments
A) Hydrothorax
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Saccharolytic species of clostridia - A) Cl. tetani B) Cl. cochlearum C) Cl. septicum D) None
C) Cl. septicum
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Both temporary and permanent hardness of water can be removed by: A) Boiling B) Adding lime C) Adding sodium carbonate D) None of the above
C) Adding sodium carbonate
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Hyperbilirubinemia with the absence of urobilinogen in urine is seen in: A) G6PD enzyme deficiency B) Cirrhosis of liver C) Paroxysmal Nocturnal Hemoglobinuria D) Obstruction of the common bile duct
D) Obstruction of the common bile duct
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Galeazzi fracture is fracture of: A) Upper end of ulna B) Lower end of ulna C) Upper end of radius D) Lower end of radius
D) Lower end of radius
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All the following criteria contribute to a successful direct pulp capping procedure except: A) Haemorrhage from the exposure site is easily controlled B) The exposure site is small, less than 0.5mm in diameter C) Exposure site is the consequence of infected dentin extending into the pulp D) Exposure occurred in a clea...
C) Exposure site is the consequence of infected dentin extending into the pulp
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The commonest of death in ARDS is A) Hypoxemia B) Hypotension C) Non-pulmonary organ failure D) Respiratory failure
C) Non-pulmonary organ failure
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For the population of 10000, Trench method sanitary landfill pit of depth 2m is to be constructed. How much area is required per year? A) 1 acre B) 2 acres C) 3 acres D) 4 acres
A) 1 acre
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Least effect on myocardial contractility A) Ether B) Halothane C) Trilene D) Isoflurane
D) Isoflurane
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Receptor responsible for decrease in aqueous humor formation: A) Beta 1 B) Alpha 2 C) M2 D) Beta 2
B) Alpha 2
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All are used for Bier's block except A) Lidocaine B) Prilocaine C) Dibucaine D) Chlorprocaine
C) Dibucaine
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Methylene blue 3 swab test is done for urinary fistulae. Source of leakage if the lowermost swab gets stained: March 2010 A) Ureter B) Urinary bladder C) Urethra D) None of the above
C) Urethra
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Bilateral ptosis is not seen in- A) Marfan's syndrome B) Myaesthenia gravis C) Myotonic dystrophy D) Kearns sayre syndrome
A) Marfan's syndrome
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Mucopolysacchidosis, which is a lysosomal storage disease, occurs due to abnormality in: A) Hydrolase enzyme B) Dehydorgenase enzyme C) Lipase enzyme D) Phosphatase
A) Hydrolase enzyme
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All of the following are direct causes of Acute lung injury, EXCEPT: A) Aspiration B) Toxic gas inhalation C) Cardiopulmonary bypass with hea lung machine D) Lung contusion
C) Cardiopulmonary bypass with hea lung machine
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Aspiration of liquid vomitus into trachea or bronchi results in: A) Bronchitis B) Atelectasis C) Lung abscess D) Pleurisy
A) Bronchitis
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CXR of a patient is shown. What is the next investigation to be done in the patient? A) Ventilation perfusion scan B) Bronchoalveolar lavage C) Exploratory laparotomy D) High resolution CT scan
C) Exploratory laparotomy