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Answer the following medical question with the correct option:
An ICU patient on atracurium infusion develops seizures after 2 days. The most probable cause is: A) Accumulation of landonosine B) Allergy to drug C) Due to prolong infusion D) All
A) Accumulation of landonosine
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Difficulty in grasping objects is characterised by which type of cerebral palsy ? A) Dyskinetic B) Ataxic C) Spastic D) Mixed
B) Ataxic
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The most impoant determinant of prognosis in Wilm's tumor: A) Stage of disease B) Loss of heterozygosity of chromosome 1p C) Histology D) Age less than one year at presentation
C) Histology
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Which of the following drugs is a full agonist at opioid receptors, has excellent oral bioavailability, analgesic equipotency to morphine and a longer duration of action with milder withdrawal symptoms on abrupt discontinuation? A) Fentanyl B) Hydromorphone C) Methadone D) Nalbuphine
C) Methadone
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Which of the following disease is transmitted by rat flea? A) Trench fever B) Chages disease C) Oriental sore D) Endemic typhus
D) Endemic typhus
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Crew haircut appearance in X-ray skull and Gamna Gandy bodies are seen in - A) G-6-PD deficiency B) Hodgkin's lymphoma C) Hereditary spherocytosis D) Sickle cell anaemia
D) Sickle cell anaemia
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Sequestration of lung is seen in: A) Right upper lobe B) Right lower lobe C) Lateral basal D) Posterior pa of left lung
D) Posterior pa of left lung
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The sialographic appearance of a normal salivary gland is A) Branching with bloom B) Branching with leaves C) Branchless with fruit laden D) Branchless with leaves
A) Branching with bloom
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Myositis ossificans is most common around the -- joint A) Knee B) Elbow C) Wrist D) Hip
B) Elbow
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Remission with SSRI or TCA patient again having relapse. There may be deficiency of ? A) Pyridoxine B) Cobalamine C) Ascorbate D) Retinol
B) Cobalamine
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Socratic Method of Education consists of: A) Lecture B) Seminar C) Group discussion D) Panel discussion
C) Group discussion
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Degree of mental disability of a child (low IQ), who is able to speak well enough for most communication needs, is classified as: A) Moderate B) Mild C) Severe D) Profound
B) Mild
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In parathyroid crisis with sudden elevations of calcium over 16 mg/dl; the treatment consist of: A) Intravenous Vitamin D B) Parathyroidectomy for removal of adenoma C) Thyrocalcitonin D) Intravenous bicarbonate
B) Parathyroidectomy for removal of adenoma
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In a 25 day cycle ovulation occurs on : A) 14th day B) 13'h day C) 11'h day D) 12'h day
C) 11'h day
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The taste sensation to the anterior 2/3rd of the tongue is subserved by? A) Chorda tympani nerve B) Jacobson's nerve C) Glossopharyngeal nerve D) Trigeminal nerve
A) Chorda tympani nerve
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Which of the following aminosteroid neuromuscular blocker is safe in renal disease patients A) Pancuronium B) Atracurium C) Doxacurium D) Vecuronium
D) Vecuronium
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Amino acid linking Kreb's cycle & urea cycle:- A) Aspaate B) Fumarate C) Alanine D) Arginine
A) Aspaate
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Which is not true about Down's syndrome A) Decreased humerus length. B) Decreased nuchal fold thickness. C) Decreased femur length. D) Duodenal atresia.
B) Decreased nuchal fold thickness.
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Which of the following is common risk factor for coronary heart disease except ? A) Family H/O of IHD B) Decreased homoscystinaemia C) HDL <40 mg/dL D) Type 1 DM
B) Decreased homoscystinaemia
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The function of common neutrophils ,monocytes, macrophages is A) Immune response is reduced B) Phagocytosis C) Liberation of histamine D) Destruction of old erythrocytes
B) Phagocytosis
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Causes of Acalculous cholecystitis are the following except A) Bile duct stricture B) Schistosomiasis C) Prolonged TNP D) Major operations
B) Schistosomiasis
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A patient using contact lenses developed corneal infection. On investigation diagnosis of acanthomoeba keratitis is made. Which of the following is the drug of choice? A) Propamidine B) Neosporine C) Ketoconazole D) Polyhexamethylene biguanide
D) Polyhexamethylene biguanide
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Lisfranc fracture dislocation A) Fracture dislocation through tarso-metatarsal joints B) fracture dislocation through ankle joint C) Fracture dislocation through subtalar joints D) Fracture dislocation through mid-tarsal joints
A) Fracture dislocation through tarso-metatarsal joints
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Type 1 diabetes mellitus is associated with- A) Male gender B) Old age C) Gestational diabetes D) HLADR3
D) HLADR3
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Z score is used in - A) Nominal data B) Normal distribution curve C) t test D) Chi square test
B) Normal distribution curve
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Dimercaprol is/are used in poisoning with -a) Pbb) Hgc) Asd) Acetaminophene) Iron A) abc B) bc C) acd D) bcd
A) abc
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Which of the following is not the cause of macrocytic anemia A) Orotic aciduria B) Lesch Nyhan syndrome C) Transcobalamin deficiency D) Abetalipoproteinemia
D) Abetalipoproteinemia
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Organophosphate inhibits - A) Anionic site ofAchEs B) Esteratic site ofAchEs C) Ach D) None
B) Esteratic site ofAchEs
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To achieve a net reproduction rate (NRR) of 1, the couple protection rate (CPR) should be: A) 20% B) 30% C) 40% D) 60%
D) 60%
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SeICIDs are derivatives of: A) Chloroquine B) Retinoic acid C) Thalidomide D) None of the above
C) Thalidomide
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Calcium Gluconate is not used in CPR in which condition : A) Hypocalemia B) Hypokalemia C) Hypokalemia D) Calciunwttitagonism
B) Hypokalemia
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A 55-year-old farmer develops recurrent cough, dyspnea, fever, and myalgia several hours after entering his barn. He has had similar reactions several times previously, especially when he feeds hay to his cattle. Which of the following statements is true? A) The presence of fever and myalgia indicates that this is an ...
C) The causative agents are often thermophilic actinomycete antigens.
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All of the following produces cavitating lesion in the chest radiograph except: March 2010 A) Caplan's syndrome B) Hematoma C) Squamous cell carcinoma lung D) Hamaoma
D) Hamaoma
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The disclosing agent used in modified Quigley Hein plaque index is: A) Carbol fuchsin B) Basic fuchsin C) Sodium Fluorescein D) Two tone dye
B) Basic fuchsin
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Antibodies most specific for drug induced lupus are - A) Anti ds DNA B) Anti Sm C) ANA D) Antihistone
D) Antihistone
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Young female presents with hypeension with VMA >14 mg/day, associated with - A) Medullary Ca Thyroid B) Von Hippel Lindau disease C) Sturge weber syndrome D) All
D) All
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Sweaty feet odour in body fluids occur due to deficiency of A) Biotin B) Isovaleryl-CoA dehydrogenase C) Thiamine linked decarboxylase D) Leucine transaminase
B) Isovaleryl-CoA dehydrogenase
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Vitamin causing Encephalomalacia A) Vit E B) Vit A C) Vit D D) Vit B
A) Vit E
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Sex cord stromal tumours of the ovary include all except: A) Luteomas B) Gynandroblastomas C) Seoli-Leydig cell tumours of the ovary D) Theca-fibroma
A) Luteomas
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Itching is produced by the stimulation of all except: A) C fibres B) Naked nerve endings C) Histamine D) Pacinian corpuscles
D) Pacinian corpuscles
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Minimum depth for the lining of a sanitary well is A) 5 meters B) 6 meters C) 7 meters D) 8 meters
B) 6 meters
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Which of the following reflexes is not present at bih A) Asymmetric Tonic Neck Reflex B) Moro's Reflex C) Symmetric tonic neck reflex D) Crossed extensor reflex
C) Symmetric tonic neck reflex
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Diameter of the optic disc is A) 1.5mm B) 2.5mm C) 3.5mm D) 5 mm
A) 1.5mm
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VDRL is an example of- A) Slide agglutination B) Tube agglutination C) Slide flocculation D) Tube flocculation
C) Slide flocculation
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A 34-year-old woman is admitted to the hospital after a car collision. Physical examination reveals a mallet finger. Which of the following conditions is expected to be present during radiographic examination? A) A lesion of the ulnar nerve at the distal flexor crease of the wrist B) A separation of the extension expa...
D) Avulsion fracture of the dorsum of the distal phalanx
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Positive forced duction test is seen in- A) Extraocular muscle palsy B) Mechanical restriction of ocular movement C) Concomitant squit D) None
B) Mechanical restriction of ocular movement
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Treatment of choice of bleeding gastric ulcer: A) TV and drainage B) Antrectomy C) Distal gastrectomy D) Under running of ulcer
D) Under running of ulcer
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Which of the following hormones is mainly responsible for skeletal maturation: A) Testosterone B) Estrogen C) Growth hormone D) Testosterone/ estrogen ratio
B) Estrogen
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Which virus cannot be cultivated - A) Vaccinia B) Variola C) Molluscum contagiosum D) Cowpox
C) Molluscum contagiosum
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Best marker for cardiac events- A) hsCRP B) Homocysteine levels C) Interleukin-6 D) P. selection
A) hsCRP
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All are true regarding Psoriasis except: A) Ahritis in 5% B) Abscess is seen C) Head, neck and face are not involved D) No scaly, red lesions are seen in inframammary and natal area.
C) Head, neck and face are not involved
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Maximum oogonia can be seen In ovaries at A) 7th month of intrauterine life B) 5th month of intrauterine life C) At birth D) At puberty
B) 5th month of intrauterine life
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A rapidly destructive infection of nose and paranasal sinuses in diabetics is: A) Histoplasmosis B) Sporotrichosis C) Mucormycosis D) Sarcoidosis
C) Mucormycosis
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Schizophrenia can be treated with all of the following except- A) Pemoline B) Olanzapine C) Sulpiride D) Chlorpromazine
A) Pemoline
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Relatively newer agent latanoprost is now being used. Which of the following statements is true regarding this agent? A) It is PGF2α derivative used in glaucoma B) It is selective α1 blocker used in benign hypertrophy of prostate C) It is a 5α reductase inhibitor used to reduce the size of enlarged prostate gland D) I...
A) It is PGF2α derivative used in glaucoma
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Savlon contains A) Cetrimide + Chlorhexidine B) Cetrimide + Chlorhexidine + butyl alcohol C) Cetrimide + butyl alcohol D) Cetrimide + cetavlon
A) Cetrimide + Chlorhexidine
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LMP-1 gene plays a role in oncogenesis induced by: A) Human T cell leukemia virus type I B) Hepatitis B virus C) Epstein-Barr virus D) Human papilloma virus
C) Epstein-Barr virus
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The earliest response of pulpitis is: A) Cyst formation B) Calcification C) Hyalinization D) Formation of dental granuloma
C) Hyalinization
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All of the following are indications of Pneumococcal vaccine except: A) Cochlear implant B) International travel C) Diabetes D) Immunocompromised
B) International travel
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Charbon is a term used for A) Leptospirosis B) Cutaneous tuberculosis C) Bubo of plague D) Malignant pustule
D) Malignant pustule
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Post - menopausal bleeding is associated with all except: A) Ca cervix B) CIN C) Ca ovary D) Endometrial Ca
B) CIN
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Onion - peel appearance is seen in - A) Ewing's sarcoma B) Osteoma C) Osteosarcoma D) Osteoclastoma
A) Ewing's sarcoma
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Contraindications for a breast conservative surgery include all except A) Diffuse suspicious microcalcifications B) Known genetic predisposition C) Tumor > 5cm D) Age > 50 years
D) Age > 50 years
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Which of the following virus produces punched out ulcer in the esophagus and biopsy demonstrate multinucleated epithelial cells with intranuclear inclusions at the margin of ulcer? A) Cytomegalovirus (CMV) B) Herpes simplex virus (HSV) C) Adenovirus D) Coxasackie virus
B) Herpes simplex virus (HSV)
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A patient on phenytoin therapy develops depression, for which he was prescribed tricyclic anti-depressants. He now complains of lassitude and his Hb reading is 8 gm/dl, the next step in the management of this patient is: A) Chest X ray B) MCV should be estimated C) GGT should be estimated D) None of the above
B) MCV should be estimated
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Which of the following medical conditions does not mimic an anxiety disorder state? A) Hyperparathyroidism B) Pheochromocytoma C) Hypoglycaemia D) Alcohol withdrawal
A) Hyperparathyroidism
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A 40 year old man consumes alcohol & creates public nuisance. The punishment in this scenario is dealt under which section of IPC? A) 85 IPC B) 510 IPC C) 300 IPC D) 86 IPC
B) 510 IPC
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This hypeensive patient was admitted with right-sided hemiplegia. Plain CT scan shows? A) Ischemic infarct in left parietal lobe B) Hemorrhage in left thalamus and internal capsule C) Hemorrhage in left frontal lobe D) Ischemic infarct in right internal capsule
B) Hemorrhage in left thalamus and internal capsule
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Rule of Hasse is used to determine: A) The age of fetus B) Height of an adult C) Race of a person D) Identification
A) The age of fetus
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Dew drops on rose petal appearance is seen infection with ? A) Varicella zoster virus B) Herpes genitalis C) Candida D) T. rubrum
A) Varicella zoster virus
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A 20 year female patient with 6th cranial nerve palsy on T2 weighted MRI shows a hyperintense lesion in cavernous sinus which shows homogenous contrast enhancement. Most probable diagnosis is? A) Schwannoma B) Meningioma C) Cavernous sinus hemangioma D) Astrocytoma
B) Meningioma
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Which structure can be felt at the lower part of the medial border of stemocleidomastoid:- A) subclavian artery B) Common carotid artery C) Internal mammary artery D) Maxillary artery
B) Common carotid artery
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In eleventh five year plan, target of raising sex ratio of age group 0-6 years by 2016-2017 is: A) 950 B) 955 C) 960 D) 965
A) 950
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While walking or standing, posture is maintain by ? A) Basal ganglia B) Hypothalamus C) Cerebellum D) Amygdala
C) Cerebellum
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Which one of the following drugs is not contraindicated in bronchial asthma? A) Morphine B) Propanolol C) Stropine D) Nitroglycerine
D) Nitroglycerine
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A patient with cancer developed extreme degree of radiation toxicity. Fuher history revealed that the dose adjustment of a paicular drug was missed during the course of radiotherapy. Which of the following drugs required a dose adjustment during radiotherapy in order to prevent radiation toxicity? A) Vincristine B) Da...
B) Dactinomycin
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Sialography is used to detect anomaly of: A) Salivary duct only B) Salivary gland C) Salivary gland & duct D) Salivary gland tumours
C) Salivary gland & duct
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Characteristic of XO chromosomal defect Is : A) Sho stature B) Webbed necked C) Infeility D) All of the above
D) All of the above
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Digitalis toxicity can cause: A) Hyperkalemia B) Nausea C) Arrhythmias D) All of the above
D) All of the above
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Most common cause of unilateral parotid swelling in a 27 yr old male is - A) Warthins tumor B) Pleomorphic adenoma C) Adenocarcinoma D) Haemangioma
B) Pleomorphic adenoma
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True about blood transfusion reaction - A) Complement mediated severe haemolysis B) Renal blood flow is decreased C) Transfusion should not be stopped D) Death is not seen
B) Renal blood flow is decreased
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Which of the following statement is false about submandibular sialadenitis A) Viral infections are more common B) Bacterial occurs due to stone C) Painful swelling D) None of the above
A) Viral infections are more common
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A30-year-old male had severely itchy popular vesicular lesions on extremities knee, elbows and buttocks for one year. Direct immunofluorescence staining of the lesions showed IgA deposition at dermo epidermal junction. The most probable diagnosis is: A) Dermatitis herpetiform B) Pemphigus vulgaris C) Nummular eczema D...
A) Dermatitis herpetiform
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Synaptic transmission in the autonomic ganglion is usually: A) Adrenergic B) Peptidergic C) Cholinergic D) Mediated by substance P
C) Cholinergic
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If alternate of medicine were accepted as a modality of therapy, then 'Yoga' would be best described as a form of- A) Physiotherapy B) Preventive Medicine C) Emergency Medicine D) Caloric usurper
B) Preventive Medicine
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Which of he following is not a cyclin dependent kinase (CDK) inhibitor? A) p21 B) p27 C) p53 D) P57
C) p53
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Which one is not the bad prognostic sign for pancreatitis - A) TLC > 16000 B) Calcium less than 8 mmol/L C) Glucose > 200 mg% D) Prothrombin > 2 times the control
D) Prothrombin > 2 times the control
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While performing a vaginal delivery for a nulliparous woman, after successful delivery of the baby and placenta, you observe that a perineal laceration has extended to involve the external anal sphincter. All are true regarding this except? A) It could have been avoided had you practiced a routine episiotomy B) Lack o...
A) It could have been avoided had you practiced a routine episiotomy
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Frued is known for A) Psychoanalysis B) Cognitive therapy C) Counselling D) Flooding
A) Psychoanalysis
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True about “MACH BAND” is/are: A) It is the grey shadow of incipient occlusal lesion B) It is an optical illusion of area of increased density of unaffected teeth C) “Diagnodent” laser light; helps to quantify mineral loss of occlusal surface D) Light fluorescence helps to quantify mineral loss on proximal surface
B) It is an optical illusion of area of increased density of unaffected teeth
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Mirabegron is a: A) Beta 3 agonist B) Beta 3 antagonist C) Beta 1 agonist D) Beta 1 antagonist
A) Beta 3 agonist
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True about MgSO4: A) Tocolytic B) Used in Management of eclempsia C) Cause neonatal respiratory depression D) All of the above
D) All of the above
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What will be the PA O2 when FiO2 is 0.5? A) >100 B) >150 C) >250 D) .>500
C) >250
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Hassall's corpuscles are found in- A) Lymph nodes B) Spleen C) Liver D) Thymus
D) Thymus
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Double apical impulse is seen in - A) MR B) AR C) AS D) MS
C) AS
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True about iron deficiency anemia in children A) Iron absorption from terminal ileum B) Cow milk contain less iron than breast milk C) Serum ferritin depletes first D) Decreased aleness
C) Serum ferritin depletes first
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'Le facies sympathique' is a condition seen in cases of: A) Hanging B) Strangulation C) Throttling D) Railway accidents
A) Hanging
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A patient has the following findings-splenomegaly, low RBC count, normal WBC, and platelet count and peripheral blood smear shows teat drop cells. Repeated M aspiration is unsuccessful. The probable diagnosis is - A) Thalassemia B) Chronic myeloid leukemia C) Iron deficiency anaemia D) Myelofibrosis
D) Myelofibrosis
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Which of the following enzyme require NAD as a cofactor? A) Citrate Synthase B) Isocitrate Dehydrogenase C) a-Ketoglutarate dehydrogenase D) Succinate Thiokinase
C) a-Ketoglutarate dehydrogenase
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Agent which on addition to a colony inhibits its growth and on removal the colony regrows is - A) Bacteriostatic B) Bactericidal C) Antibiotic D) Antiseptic
A) Bacteriostatic