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Answer the following medical question with the correct option:
Bacteriostatic antitubercular drug among the following is : A) Isoniazid B) Rifampicin C) Streptomycin D) Ethambutol
D) Ethambutol
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Yoke muscle pair is A) Rt LR and Rt MR B) Rt so and Lt Io C) Rt LR and Lt MR D) All the above
C) Rt LR and Lt MR
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Causes of restrictive cardiomyopathy are - A) Amyloid B) Sarcoidosis C) Storage disease D) All of the above
D) All of the above
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3-year-old child comes in ER with Hv'o vomiting, loose watery motion for 3 days, on examination, the child was drowsy, sunken eye. Hypothermia and skin pinch take time to revert back, diagnosis A) No dehydration B) Mild dehydration C) Some dehydration D) Severe dehydration
D) Severe dehydration
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A 50 years old lady presented with lump in the left breast, which has developed suddenly in weeks. Perimenstrual symptoms are present. No associated family history. On examination, the lump is well circumscribed, fluctuant, 1.5 cm oval in shape. Most likely diagnosis: A) Breast cyst B) Galactocele C) Fibroadenoma D) Breast cancer
A) Breast cyst
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HIV can - A) Cross blood brain barrier B) RNA virus C) Inhibited by 0.3% H2O2 D) Thermostable
A) Cross blood brain barrier
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Heamorrhagic external otitis media is caused by A) Influenza B) Proteus C) Streptococcus D) Staphylococcus
A) Influenza
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A 7 year old male patient presents to the clinic for routine dental examination and has history of frequent snacking and sugary beverages. Intraoral examination shows multiple pit and fissure caries and subsurface enamel porosity manifesting as milky white opacity. Tactile probing should not be used in this case because of all of the following EXCEPT? A) Insertion of the explorer into the suspected lesion inevitably disrupts the surface layer covering very early lesions, thereby eliminating the possibility for remineralization of the decalcified area B) Probing of lesions and suspected lesions results in the transport of cariogenic bacteria from one area to another C) Frank lesions requiring restoration are generally apparent visually without the need for probing. D) It may induce spontaneous bleeding
D) It may induce spontaneous bleeding
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Most dangerous paicles causing pneumoconiosis are of size A) A. 1-5 micron B) B. <1 micron C) C. 5-15 micron D) D. 10-20 micron
A) A. 1-5 micron
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Calculate the deficit for a 60 kg person,with Hb - 5 g/dl add 1000 mg for iron stores. A) 1500 B) 2500 C) 3500 D) 4000
B) 2500
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Which of the following is not a cause of glomerular proteinuria? A) Diabetes Mellitus B) Amyloidosis C) Multiple myeloma D) Nil Lesion
C) Multiple myeloma
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Which of the following does not cause Insulin release- A) Rosiglitazone B) Nateglinide C) Glimipiride D) Tobutamide
A) Rosiglitazone
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Which of the following endocrine tumors is most commonly seen in MEN I ? A) Insulinoma B) Gastrinoma C) Glucagonoma D) Somatotrophinoma
B) Gastrinoma
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The following is the least useful investigation in multiple myeloma : A) ESR B) X-Ray C) Bone scan D) Bone marrow biopsy
C) Bone scan
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Most common organism causing ventilator associated pneumonia - A) Legionella B) Pneumococcus C) Pseudomonas D) Coagulase negative staphylococcus
C) Pseudomonas
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A 2-week-old baby is irritable and feeding poorly. On physical examination, the infant is irritable, diaphoretic, tachypneic and tachycardic. There is circumoral cyanosis, which is not alleted by nasal oxygen. A systolic thrill and holosystolic murmur are heard along the left sternal border. An echocardiogram reveals a hea defect in which the aoa and pulmonary aery form a single vessel that overrides a ventricular septal defect. What is the appropriate diagnosis? A) Atrial septal defect B) Coarctation of aoa, preductal C) Patent ductus aeriosus D) Truncus aeriosus
D) Truncus aeriosus
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prophylaxis for Pneumocystis carinii is indicated in HIV positive patents When CD4 count is- A) <300 cells/mm3 B) < 200 cells / mm3 C) < 100 cells/mm3 D) < 50 cells / mm3
B) < 200 cells / mm3
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index finger infection spreads to - A) Thenar space B) Mid palmar space C) Hypothenar space D) Flexion space
A) Thenar space
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Acute appendicitis is best diagnosed by - A) History B) Physical examination C) X-ray abdomen D) Ba meal
B) Physical examination
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All are clinical features of chalcosis except A) Kayser - Fleischer ring B) Sun - flower cataract C) Deposition of golden plaques at the posterior pole D) Dalen- fuch's nodules.
D) Dalen- fuch's nodules.
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Bidextrous grip is seen at what age? A) 4 months B) 5 months C) 6 months D) 7 months
A) 4 months
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A victim of Tsunami has difficulty in overcoming the experience. She still recollects the happening in dreams and thoughts. The most likely diagnosis is A) Post traumatic stress disorder B) Conversion disorder C) Panic disorder D) Phobia
A) Post traumatic stress disorder
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A tumor has the following characteristic retrobulbar location within the muscle cone, well defined capsule, presents with slowly progressive proptosis, easily resectable, occurs most commonly in the 2nd to 4th decade. Most likely diagnosis is - A) Capillary hemangioma B) Cavernous hemangioma C) Lymhangioma D) Hemangiopericytome
B) Cavernous hemangioma
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For Status epilepticus, treatment of choice is: September 2012 A) Ethosuximide B) Sodium valproate C) Lamotrigine D) Lorazepam
D) Lorazepam
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All are subjective tests for audiometry except: A) Tone decay B) Impedance audiometry C) Speech audiometry D) Pure tone audiometry
B) Impedance audiometry
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The mesial surface of the crown is almost parallel to long axis and the root of a: A) Maxillary 1st premolar B) Mandibular 2nd Premolar C) Maxillary canine D) Mandibular canine
D) Mandibular canine
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Tonic neck relfex is lost in lesion of - A) Cerebral coex B) Midbrain C) Medulla D) Spinal cord
C) Medulla
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More than 90% patients of CREST syndrome with the limited cutaneous form of this disorder make which of the following autoantibodies? A) Anti-centromere B) Anti-DNA topoisomerase l C) Anti-double-stranded DNA D) Anti-Golgi
A) Anti-centromere
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Name of mumps vaccine is A) Jeryl Lynn B) Edmonshon Zagreb C) Schwatz D) Moraten
A) Jeryl Lynn
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Sacro-Iliac joint involvement is common in which condition? A) Ankylosing spondylitis B) Rheumatoid arthritis C) Reiter's syndrome D) Osteoarthritis
A) Ankylosing spondylitis
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Infertility issues with leiomyoma can be addressed by A) Combined oral contraceptive pills B) DMPA C) GnRH agonist D) Ulipristal
C) GnRH agonist
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An adult male sustained accidental burns and died 1 hour later. Which of the following enzymes will be increased in the burn area? A) ATPase B) Aminopeptidase C) Acid phosphatase D) Alkaline phosphatase
A) ATPase
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Recommended daily dietary requirment of folate (folic acid) in children ? A) 80-120 mg B) 200 mg C) 400 mg D) 600 mg
A) 80-120 mg
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Alcohol dependence is seen which of the following phase A) Oral B) Phallic C) Anal D) Latency
A) Oral
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CAMP acts through: A) Activation of protein kinase B) Activation of adenylate cyclase C) Ca2+ release. D) All
A) Activation of protein kinase
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A four-fold increase in the titre obtained in Weil- Felix reaction is diagnostic of - A) Rickettsial infection B) Fungal infection C) Spirochetal infection D) Viral infection
A) Rickettsial infection
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The diameter of Tricuspid orifice is A) 2cm B) 2.5cm C) 3cm D) 4cm
D) 4cm
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Most common cause of hirsutism in a teenage girl: A) Ovarian disease B) Pheochromocytoma C) Obesity D) Adrenogenital syndrome
A) Ovarian disease
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CSF is stored at:Kerala 11 A) 4degC B) -20degC C) Room temperature D) -70degC
A) 4degC
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Gastrosplenic ligament is derived from? A) Splenic artery B) Splenic vein C) Dorsal mesogastrium D) Ventral mesogastrium
C) Dorsal mesogastrium
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A 59-year-old male is found to have a 3.5-cm mass in the right upper lobe of his lung. A biopsy of this mass is diagnosed as a moderately differentiated squamous cell carcinoma. Workup reveals that no bone metastases are present, but laboratory examination reveals that the man's serum calcium levels are 11.5 mg/dL. This patient's paraneoplastic syndrome is most likely the result of ectopic production of A) Parathyroid hormone B) Calcitonin C) Parathyroid hormone-related peptide D) Calcitonin-related peptide
C) Parathyroid hormone-related peptide
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Crossing over, true is; A) Occurs during diplotene stage B) Between non sister chromatids of homologous chromosomes C) Between sister chromatids of homologous chromosomes D) Between non homologous chromosomes sister chromatids
B) Between non sister chromatids of homologous chromosomes
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Bloom Richardson grading - A) Carcinoma breast B) Carcinoma lung C) Carcinoma prostate D) Cercinoma ovary
A) Carcinoma breast
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Which among the following is FALSE about congenital toxoplasmosis? A) IgA is better than IgM in detection B) Diagnosed by detection of IgM in cord blood C) IgG is diagnostic D) Not recalled
C) IgG is diagnostic
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Superior suprarenal aery originates from: A) Abdominal aoa B) Renal aery C) Inferior phrenic aery D) Splenic aery
C) Inferior phrenic aery
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Most common cause of Papillary necrosis is A) Diabetes Mellitus B) Sickle cell anaemia C) Analgesics D) Pyelonephritis
C) Analgesics
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Alzheimer's disease is associated with: September 2012 A) Delerium B) Delusion C) Dementia D) All of the above
C) Dementia
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Essential amino acids are all except: A) Leucine B) Lysine C) Methionine D) Proline
D) Proline
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What is tuberculoma? A) Granuloma present in the lungs B) Tuberculous periapical granuloma C) Tuberculous lesion of the lymph nodes D) None of the above
B) Tuberculous periapical granuloma
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Clinical features of rheumatic fever are all except- A) Cardiomegaly B) Joint pains C) ST segment elevation D) Increased PR interval
A) Cardiomegaly
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A dense persistent nephrogram may be seen in all of the following except: A) Acute ureteral obstruction B) Systemic hypeension C) Severe hydronephrosis D) Dehydration
B) Systemic hypeension
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Most common type of mesentric cyst is A) Entergenous cyst B) Chelolymphalic cyst C) O mental cyst D) Urogenital cyst
B) Chelolymphalic cyst
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According to WHO, membranous glomerulonephritis seen in SLE, is - A) Class II B) Class III C) Class IV D) Class V
D) Class V
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All the following can be used to grow human viruses except? A) Continuous cell lines B) Suckling mice C) Embryonated egg D) Enriched media
D) Enriched media
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When a child is not able to perform the following motor functions such as skipping, walking on heels, hopping in place or going forwards in tandem gati, his motor development is considered to be below ? A) 3 years B) 4 years C) 6 years D) 8 years
B) 4 years
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The alveoli are filled with exudate. The air is displaced, converting the lung into a solid organ. This description suggests- A) Chronic bronchitis B) Bronchial asthma C) Bronchiectasis D) Lobar pneumonia
D) Lobar pneumonia
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Antoni A & Antoni B Pattern's are seen in A) Schwannoma B) Neurofibroma C) Meningioma D) Teratoma
A) Schwannoma
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Incised wound which is not a feature ? A) Length is the greatest dimention B) Width is more than the thickness of the blade C) Margins are inveed D) Hesitation cuts are seen in suicidal attempt
C) Margins are inveed
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Which among the following NOT a pharmacological action of opioids A) Cough suppression B) Anti-emesis C) Miosis D) Truncal rigidity
B) Anti-emesis
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Which one of the following is a malignant bone tumour? A) Osteoid osteoma B) Chondroma C) Chondrosarcoma D) Osteochondroma
C) Chondrosarcoma
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New born term baby born by vaginal delivers' had respiratory' distress, grunt, with scaphoid abdomen -Most probable diagnosis is - A) HMD B) Diphragmatic hernia C) Pneumothorax D) Meconium aspiration syndrome
B) Diphragmatic hernia
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Confirmatory test for syphilis is-rpt qun A) FTA-ABS B) VDRL C) PCR D) Culture and sensitivity
A) FTA-ABS
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The placenta secretes a hormone that is utilized in the early detection of pregnancy. This hormone is: A) Endothelial growth factor (EGF) B) Human chorionic gonadotropin (hCG) C) Human chorionic somatotropin (HCS) D) Relaxin
B) Human chorionic gonadotropin (hCG)
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Ulceration of the vulva is commonly seen in all except A) Bacterial vaginosis B) Syphilis C) Chancroid D) Behcet's disease
A) Bacterial vaginosis
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Thalidomide can be used in all of the followingconditions except? A) Behcet syndrome B) HIV associated peripheral neuropathy C) HIV associated mouth ulcers D) Erythema nodosum leprosum
B) HIV associated peripheral neuropathy
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In children with classical galactosemia all are true except: A) E. coli neonatal sepsis is common B) Elimination of galactose in diet will not reverse cataract C) Galactose conves to galactitol which is toxic to brain D) Children with Duae variant of galactosemia are asymptomatic
B) Elimination of galactose in diet will not reverse cataract
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When a person changes position from standing to lying down, following change is seen: A) Hea rate increases B) Venous return to hea increases immediately C) Cerebral blood flow increases D) Blood flow at apices of lung decreases
B) Venous return to hea increases immediately
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Metrorrhagia is A) Heavy menstrual bleeding B) Intermenstrual bleeding C) Break through bleeding D) Post coital bleeding
B) Intermenstrual bleeding
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Effective red cell diameter A) Different in males and females B) Diameter of 500 microns C) Thalassemia minor anemia may present with normal RBC diameter D) Mixed iron and folic deficiency anemia produce microcytic
C) Thalassemia minor anemia may present with normal RBC diameter
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The most impoant indication for surgical repair of a Bicornuate Uterus is - A) Infeility B) Dysmenorrhoea C) Menorrhagia D) Recurrent aboions
D) Recurrent aboions
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Uses of α2 agonists are all EXCEPT: A) To produce sedation B) Glaucoma C) Benign hyperplasia of prostate D) Hypertension
C) Benign hyperplasia of prostate
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Treatment of solitary rectal ulcer are A/E:a) Laxativesb) Rectopexyc) Bandingd) Sclerosant injectione) Enema A) cd B) bc C) bd D) ac
A) cd
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Craniotabes is seen in following except – A) Rickets B) Syphilis C) Osteogenesis imperfecta D) Thalassemia
D) Thalassemia
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Maternal moality rate is - A) Maternal deaths / 100000 live bihs B) Maternal death /100 live bihs C) Maternal death /1000 bihs D) Maternal death /1000 live bihs
A) Maternal deaths / 100000 live bihs
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Colour of crystals in positive Florence test is - A) Yellow B) White C) Purple D) Dark Brown
D) Dark Brown
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Factor Xa is necessary for conversion of prothrombin to thrombin A) Only in the extrinsic pathway B) Only in the intrinsic pathway C) As part of both extrinsic and intrinsic pathways D) Only if the normal blood clotting cascade is inhibited
C) As part of both extrinsic and intrinsic pathways
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True about Rotameter – A) Rotameter reading may not get affected by dirt inside the tube B) Rotameter reading may not get affected by static electricity C) The height to which bobbin rises indicates the flow rate D) A rotameter is a variable pressure flowmeter
C) The height to which bobbin rises indicates the flow rate
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Neurocysticercosis is treated by all the following drugs, EXCEPT - A) Albendazole B) Niclosamide C) Flubendazole D) Praziquantel
B) Niclosamide
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What is an ideal method to prevent aspiration pneumonia? A) Cuffed endotracheal tube B) Inhalational anaesthesia C) Increased intra abdominal pressure D) Full stomach
A) Cuffed endotracheal tube
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A mutation that results in a value replacement for glutamic acid at position 6 of the B chain of hemoglobin 5 hinders normal hemoglobin function and results in sickle-cell anemia when the patient is homozygous for this mutation. This is an example of which of the following types of mutation? A) Deletion B) Frameshift C) Inseion D) Missense
D) Missense
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Which of the following vessel does not cross the midline of the body: A) Left gonadal vein B) Left renal vein C) Left brachiocephalic vein D) Hemiazygous vein
A) Left gonadal vein
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Daily maintenance fluid for a child weighing 24 kg is: A) 1000 mL/day B) 800 mL/day C) 1540 mL/day D) 1580 mL/day
D) 1580 mL/day
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OCP protects against all EXCEPT: September2012 A) Hepatic adenoma B) Fibroadenoma breast C) Carcinoma ovary D) Uterine malignancy
A) Hepatic adenoma
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In a chronic alcoholic, all the following may be seen in the liver except - A) Fatty degeneration B) Chronic hepatitis C) Granuloma formation D) Cholestatic hepatitis
C) Granuloma formation
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Ring sideroblasts, with iron laden occurs in A) Endoplasmic reticulum B) Nucleus C) Mitochondria D) Nuclear membrane
C) Mitochondria
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Signal from Baroreceptors goes to - A) Caudal ventrolateral medulla B) Rostral dorsolateral medulla C) Nucleus of tractus solitarius D) None of the above
C) Nucleus of tractus solitarius
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Intrinsic factor of castle is secreted by which of the following cells in gastric glands A) Chief cells B) Parietal cells C) Enterochromaffin cells D) B cells
B) Parietal cells
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Which is not echogenic while doing ultrasonography- A) Bile B) Gas C) Bone D) Gall stones
A) Bile
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Features of mycotic aneurysm are all except A) Bacterial endocarditis is common etiology B) Commonly it is fusiform aneurysm C) Aorta and visceral vessels affected commonly D) Multilobed aneurysm with narrow neck
B) Commonly it is fusiform aneurysm
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Microvesicular fatty liver is caused by - A) DM B) Valproate C) Starvation D) IBD
B) Valproate
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Child protection scheme is under which ministry - A) Ministry of health and family welfare B) Ministry' of Social welfare C) Ministry' of women and child development D) Ministry of education
C) Ministry' of women and child development
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Indication for surgery in a case of adrenal incidentaloma A) Size>5 cm B) Bilateral adrenal metastasis C) Functional tumor D) All of the above
D) All of the above
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In case control study of buccal carcinoma- A) CA is commoner in zarda pan users than non users B) Zarda pan is a cause of buccal CA C) Zarda pan is associated with buccal CA D) If use of zarda pan is stopped, number of cases will reduce
C) Zarda pan is associated with buccal CA
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Nephrotic syndrome is characterised by A) Proteinuria B) Hyperlipidemia C) Oedema D) All
D) All
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All the following are the risk factors for cervical cancer except A) Young age at first intercourse B) Multiple sexual paners C) Low parity D) Low socioeconomic status
C) Low parity
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Characteristic feature of korsakoff psychosis is A) Disorientation B) Delirium C) Coarse tremor D) Amnesia
D) Amnesia
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Person preoccupied by worries about ill health is : A) Hypochondriac B) Maniac C) Depressed D) Delirium
A) Hypochondriac
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Terminal branches of facial nerve are all, EXCEPT: A) Mandibular nerve B) Marginal branch C) Temporal D) Cervical
A) Mandibular nerve
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Which of the following is orexigenic? A) Serotonin B) Ghrelin C) OCX D) GA
B) Ghrelin
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Metformin is NOT effective in lowering of blood sugar level in which of the following patients? A) Non diabetics B) Obese diabetics C) Type 2 diabetics D) Diabetics not responding to sulfonylureas
A) Non diabetics