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Answer the following medical question with the correct letter choice:
<<Question:>> The amino acid, which is used in the estimation of collagen is: ---- <<Choices:>> A) Hydroxyproline B) Proline C) Lysine D) Glycine ---- <<Answer:>>
A
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<<Question:>> A child with Down's syndrome has Moon facies, retarded mentally and which of the facial characteristics: ---- <<Choices:>> A) Maxillary prognathism B) Mandibular retrognathia C) Mandibular prognathism D) Maxillary hypoplasia ---- <<Answer:>>
D
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<<Question:>> Best Age to sta bone mineral density test in female. ---- <<Choices:>> A) After 50 years B) After 55 years C) After 60 years D) After 65 years ---- <<Answer:>>
D
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<<Question:>> Haddon matrix is related to: ---- <<Choices:>> A) Injury prevention B) Communicable diseases C) Maternal and child moality D) Hypeensive disorders ---- <<Answer:>>
B
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<<Question:>> Which of the following marked arrow represent lateral semicircular canal during coical mastoidectomy: ---- <<Choices:>> A) A B) B C) C D) D ---- <<Answer:>>
C
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<<Question:>> Expected surgical procedure most frequently indicated for odontogenic cysts is: ---- <<Choices:>> A) Incision and drainage B) Sclerosing solution C) Marsupialisation D) Enucleation ---- <<Answer:>>
D
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<<Question:>> A boy complains of bleeding gums, swollen, Joints with hemorrhage into joints. His paternal and maternal uncle complains of same problem. It is due to deficiency of factor: ---- <<Choices:>> A) VIII B) IX C) X D) VI ---- <<Answer:>>
A
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<<Question:>> Deepest layer of deep cervical fascia is ---- <<Choices:>> A) Prevertebral B) Carotid sheath C) Pretracheal D) Temporal ---- <<Answer:>>
A
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<<Question:>> In the formula for urea clearance, C = U x V/P, what does U stands for: ---- <<Choices:>> A) Urinary concentration in g/24 hour B) Urinary concentration in mg/ml C) Urine osmolarity D) Urine volume per minute ---- <<Answer:>>
B
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<<Question:>> Trisodium phosphate in alginate acts as: ---- <<Choices:>> A) Retarder B) Reactor C) Accelerator D) Plasticizer ---- <<Answer:>>
A
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<<Question:>> For measuring hardness of Co-Cr alloy, which hardness test is used? ---- <<Choices:>> A) Vicat apparatus B) Cold bend C) Heat and cold bend D) Rockwell hardness test ---- <<Answer:>>
D
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<<Question:>> A patient presented with intermittent fever, no weight loss, no anorexia, but with a retroperitoneal mass. Peripheral smear findings were normal. Gross & microscopy of the mass is given. What's the diagnosis? ---- <<Choices:>> A) NHL B) Castleman disease C) Angiolymphoid hyperplasia D) Ig G4 disease ---- <<Answer:>>
B
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<<Question:>> One day after complete mouth extraction, blue black spots are seen on the neck of the patients. These spots indicate: ---- <<Choices:>> A) Thrombocytopenic purpura B) Postoperative ecchymosis C) Impaired blood circulation D) Cellulitis ---- <<Answer:>>
B
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<<Question:>> painful crater like 1.5 cm ulcer develops within one week on the hard palate mucosa of a 40 year old female. The most likely diagnosis is: ---- <<Choices:>> A) Actinomycosis B) Squamous cell carcinoma C) Pleomorphic adenoma D) Necrotizing sialometaplasia ---- <<Answer:>>
D
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<<Question:>> Most common cause of lobar hemorrhage in elderly age group ? ---- <<Choices:>> A) Hypeension B) Vascular malformation C) Coagulopathy D) Amyloid angiopathy ---- <<Answer:>>
D
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<<Question:>> Which of the following is least likely to cause infective endocarditis: ---- <<Choices:>> A) Staphylococcus albus. B) Streptococcus faecalis. C) Salmonella typhi. D) Pseudomonas aeruginosa. ---- <<Answer:>>
C
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<<Question:>> Platelet derived growth factor is released in vessels from: ---- <<Choices:>> A) Endothelial cells B) Fibroblasts C) Macrophages D) Alpha granules ---- <<Answer:>>
D
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<<Question:>> Down syndrome is caused by all except: ---- <<Choices:>> A) Trisomy of 21 chromosome B) Mosaicism of 21 chromosome C) Robertsonian translocation of 21.21, 21.18 D) Deletion of 21 ---- <<Answer:>>
D
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<<Question:>> Which of the following is the most common organism found in retreatment cases of periapical abscess? ---- <<Choices:>> A) E. faecalis B) Trepenoma denticola C) S. mutans D) Actinomyces ---- <<Answer:>>
A
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<<Question:>> Maximum chances of fracture are present when which of these forces are present on a bone: ---- <<Choices:>> A) Tension B) Torsion C) Compression D) Either of the three ---- <<Answer:>>
A
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<<Question:>> Phrenic nerve chiefly supplies? ---- <<Choices:>> A) Stomach B) Diaphragm C) Oesophagus D) Ileum ---- <<Answer:>>
B
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<<Question:>> Regional Odontodysplasia is most common in ---- <<Choices:>> A) Mandibular premolar B) Mandibular canine C) Mandibular third molar D) Maxillary central incisor ---- <<Answer:>>
D
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<<Question:>> During surgical excision of the parotid gland the following structures may be damaged: ---- <<Choices:>> A) Lesser occipital nerve, hypoglossal nerve, chorda tympani B) Facial nerve and auriculotemporal nerve C) Submandibular duct D) Cervical fascia ---- <<Answer:>>
B
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<<Question:>> A dye injected in to space to see the joint is known as: ---- <<Choices:>> A) Arthrography B) Arthroscopy C) Arthroplasty D) Orthopantogram ---- <<Answer:>>
A
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<<Question:>> An elderly male presents with T3NO laryngeal carcinoma. What would be the management? ---- <<Choices:>> A) Neoadjuvant chemotherapy followed by radiotherapy B) Concurrent chemoradiotherapy C) Radical radiotherapy followed by chemotherapy D) Radical radiotherapy without chemotherapy ---- <<Answer:>>
B
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<<Question:>> Which is the only anterior teeth with Mesiodistal size more than Cervicoincisal dimension ---- <<Choices:>> A) Deciduous lower central incisor B) Permanent lower central incisor C) Deciduous upper lateral incisor D) Permanent upper lateral incisor ---- <<Answer:>>
C
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<<Question:>> Which of the following abnormalities is commonly seen in a fetus with congenital CMV infection: ---- <<Choices:>> A) Colitis B) Myocarditis C) Blood dyscrasias D) Pulmonary cyst ---- <<Answer:>>
C
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<<Question:>> White radiating Lines can be observed in case of Lesions of ---- <<Choices:>> A) Lichen planus B) Erythema multiforme C) Pemphigus D) Leukoplakia ---- <<Answer:>>
A
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<<Question:>> Which among the following is not true about ankylosing spondylitis? ---- <<Choices:>> A) Enthesis is the primary site of pathology B) More common in Females C) TNF plays an impoant role in the pathogenesis of ankylosing spondylitis D) Sacroiliitis is the earliest manifestation of ankylosing spondylitis ---- <<Answer:>>
B
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<<Question:>> Cephalosporin active against pseudomonas aeruginosa ---- <<Choices:>> A) Cefoperazone B) Cefaclor C) Ceftriaxone D) Cefotaxime ---- <<Answer:>>
A
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<<Question:>> The least effect on the prognosis of a periodontal disease is ---- <<Choices:>> A) Suppuration from the pocket B) Furcation involvement C) Alveolar bone loss D) Co-operation and motivation of the patient ---- <<Answer:>>
A
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<<Question:>> Occulomotor nerve passes through ---- <<Choices:>> A) Foramen rotundum B) Superior orbital fissure C) Inferior orbital fissure D) Foramen ovale ---- <<Answer:>>
B
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<<Question:>> A child presents to the emergency with a history of ingestion of button battery, on X-ray it was found in the stomach or duodenum. What is the next step? ---- <<Choices:>> A) Endoscopic removal of battery B) Wait and watch C) Repeat X-ray after 5 days D) Immediate laparotomy ---- <<Answer:>>
B
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<<Question:>> A child with tetralogy of fallot uses which of the following positions – ---- <<Choices:>> A) Supine B) Prone C) Squatting D) Leaning forwards ---- <<Answer:>>
C
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<<Question:>> True about Arrangement of hydroxyapatite crystals in Enamel rods? ---- <<Choices:>> A) In center orientation of hydroxyapatite crystal is 0 degree B) Orientation of hydroxyapatite crystals at periphery is 45 degree C) Both D) None ---- <<Answer:>>
C
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<<Question:>> Predisposing clinical condition for endodontic flare up? ---- <<Choices:>> A) Acute periapical abscess B) Acute apical periodontitis C) Asymptomatic necrotic pulp with periapical lesion D) Pain and swelling since the treatment ---- <<Answer:>>
C
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<<Question:>> Regarding ASO titre all are seen except – ---- <<Choices:>> A) ASO can be increased in school children B) May be negative in post streptococcal glomerulonephritis C) ASO titre included in major criteria in jones criteria D) May not be elevated in 20% cases of carditis ---- <<Answer:>>
C
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<<Question:>> 28 yr with infeility lapro tube uterus healthy ovary diagnosis - ---- <<Choices:>> A) PCOS B) Ovarian cyst C) Fibroid D) Endometriosis ---- <<Answer:>>
D
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<<Question:>> Which of the following is not the branch of external carotid aery in Kiesselbach's plexus? ---- <<Choices:>> A) Anterior Ethmoidal aery B) Sphenopalatine aery C) Greater palatine aery D) Septal branch of superior labial aery ---- <<Answer:>>
A
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<<Question:>> Excess of plasma level of lignocaine can cause cardiovascular collapse due to: ---- <<Choices:>> A) Myocardial depression B) Vagal stimulation C) Syncope D) CN5 excitability ---- <<Answer:>>
A
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<<Question:>> Best noninvasive investigation to check for bility of myocardium is: ---- <<Choices:>> A) FDG-18 PET CT B) MIBG scintigraphy C) Echocardiogram D) Thallium scintigraphy ---- <<Answer:>>
A
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<<Question:>> Regarding Japanese encephalitis vaccine, what is not true? ---- <<Choices:>> A) Not given for infants less than 6 months B) Two primary doses given to children in the one to three year age group C) Booster doses are given after I year and repeated every 3 years D) In endemic areas vaccination is given to cover children between one to nine years age group. ---- <<Answer:>>
D
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<<Question:>> Role of Negative reinforcement: ---- <<Choices:>> A) Makes negative to positive B) Makes positive to negative C) Makes negative to more negative D) None of the above ---- <<Answer:>>
C
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<<Question:>> All are features of reversible cell injury EXCEPT ---- <<Choices:>> A) ER swelling B) Dens deposition of mitochondria C) Bleb D) Detachment of ribosome ---- <<Answer:>>
B
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<<Question:>> Which of the following is urethane dimethacrylate (UDMA) resin based endosealer? ---- <<Choices:>> A) Endorez B) Real seal C) Raeko sealer D) Tubli seal ---- <<Answer:>>
A
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<<Question:>> A patient is diagnosed of oral cancer of stage T3N2M0 ---- <<Choices:>> A) Surgery B) Surgery + radiotherapy C) Chemotherapy alone D) Surgery + chemotherapy ---- <<Answer:>>
B
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<<Question:>> GFR is increased by all except? ---- <<Choices:>> A) Increased renal blood flow B) Efferent aeriole constriction C) Renal stone in ureter D) Decreased oncotic pressure ---- <<Answer:>>
C
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<<Question:>> Muscle that attaches to zygomatic process of maxilla: ---- <<Choices:>> A) Masseter B) Buccinator C) Middle temporal D) Medial pterygoid ---- <<Answer:>>
A
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<<Question:>> Patient complaint of loose immediate dentures today morning, and also told that this happened 2-3 days back also. What could be the possible reason ---- <<Choices:>> A) Patient forgot how to insert the denture B) Continuous healing of defect C) Due to shrinkage of resin D) Due to reduction of diameter of defect ---- <<Answer:>>
B
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<<Question:>> All of the following are true about the given instrument except ---- <<Choices:>> A) Can be done in prone or lateral position B) To find out infiltrative and granulomatous disorders C) Breath holding not necessary D) Platelet count of 40000 is a contraindication ---- <<Answer:>>
D
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<<Question:>> A 22 years old gravida 3 para 2 lady delivers a normal child followed by delivery of an intact placenta. Following delivery, the lady develops severe per vaginal bleeding after 30 minutes. On table sonogram revealed retained placental tissue. What is the suspected type of placenta? ---- <<Choices:>> A) Membranous placenta B) Placenta fenestrae C) Placenta accreta D) Placenta succenturiata ---- <<Answer:>>
D
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<<Question:>> In ALL patient; at which stage can the orthodontic treatment be done: ---- <<Choices:>> A) During chemotherapy B) Before chemotherapy C) 2 years after remission D) Any time as not affected by ALL ---- <<Answer:>>
A
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<<Question:>> Which diseases are infectious but not communicable? ---- <<Choices:>> A) Measles B) Mumps C) Scarlet fever D) Tetanus ---- <<Answer:>>
D
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<<Question:>> Deepening the pulpal floor during cavity preparation provides for ---- <<Choices:>> A) Outline form B) Retention form C) convenience form D) Resistance form ---- <<Answer:>>
D
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<<Question:>> Clinically acceptable limit of run out: ---- <<Choices:>> A) 0.012 B) 0.023 C) 0.15 D) 0.032. ---- <<Answer:>>
B
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<<Question:>> A 30-year-old gentleman has exce' cep at work attributed to sleep discomfo at night. He also has recent history of falling while paying with friends. What are the other features that can be seenassociated with his condition? ---- <<Choices:>> A) Paralysis during sleep-wake transition with hallucinations B) Snoring with witnessed sleep apnea C) Pain in the legs before going to sleep D) Generalized seizures in the wake state ---- <<Answer:>>
A
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<<Question:>> Improved Drinking water source protect from ---- <<Choices:>> A) Fecal matter B) Teratogenic C) Inorganic D) Not Recalled ---- <<Answer:>>
A
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<<Question:>> Most constant and valuable trait to differentiate among maxillary 1st , 2nd and 3rd molars is ---- <<Choices:>> A) Relative position of DL groove B) Relative position of ML groove C) ML cusp size D) Oblique ridge size ---- <<Answer:>>
A
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<<Question:>> The odontoblasts killed during cavity preparation are derived from: ---- <<Choices:>> A) Unaffected odontoblasts from the pulp B) Undifferentiated cells C) Histocytes D) Osteoblasts ---- <<Answer:>>
B
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<<Question:>> All are true about aneuploidy except: ---- <<Choices:>> A) 30% of trisomy 21 fetus die in utero B) 80% of trisomy 18 fetus die in uero C) Occurrence of aneuploidy has no relation with the progression of mother's age D) The recurrence risk for nondysjunctional aneuploidy is 1% higher ---- <<Answer:>>
C
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<<Question:>> The following is the ovum of a helminth. What is true about the helminth? ---- <<Choices:>> A) Transmission is through ingestion of infected pork B) Both adult and larval stages are seen in humans C) The helminth causes a transient self-resolving infection in humans D) Drug of choice for this condition is albendazole ---- <<Answer:>>
B
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<<Question:>> Progenitor hematopoietic stem cells originate in ---- <<Choices:>> A) Bone marrow B) Thymus C) Lymph Node D) Spleen ---- <<Answer:>>
A
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<<Question:>> Long face syndrome patient with increased lower facial height, the palatal plane will be: ---- <<Choices:>> A) Posteriorly downward B) Upward posteriorly C) Downward anteriorly D) No change ---- <<Answer:>>
A
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<<Question:>> Which of these is most commonly used as pre-anesthetic medication? ---- <<Choices:>> A) Atropine B) Promethazine C) Scopolamine D) Glycopyrrolate ---- <<Answer:>>
D
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<<Question:>> If a permanent first molar is lost, the permanent second molar drifts to the: ---- <<Choices:>> A) Buccal side B) Distal side C) Mesial side D) Lingual side ---- <<Answer:>>
C
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<<Question:>> The best marker for neural tube defect is: ---- <<Choices:>> A) Acetyl glucosonidase B) Acetyl cholinesterase C) Alpha fetoprotein D) Chorionic gonadotrophin ---- <<Answer:>>
B
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<<Question:>> Transmits which disease ---- <<Choices:>> A) Kyasanur forest disease B) Scrub typhus C) Japanese encephalitis D) Leptospirosis ---- <<Answer:>>
B
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<<Question:>> A female come to gynaeoPD for preconceptual counseling, with history of two second trimester aboions. What is the next investigation you will advice ---- <<Choices:>> A) TVS B) hysteroscopy C) Endometrial biopsy D) chromosomal abnormalities ---- <<Answer:>>
A
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<<Question:>> The pattern of change of disease of mortality and morbidity where the pandemics of infection are replaced by degenerative and manmade disorders as the main cause of morbidity and mortality is known as? ---- <<Choices:>> A) Epidemiological transition B) Demographic transition C) Paradoxical transition D) Reversal of transition ---- <<Answer:>>
A
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<<Question:>> IV loading dose of MgSo4 prophylaxis in pre-eclampsia? ---- <<Choices:>> A) 8ml MgSo4+10ml of NS B) 10ml MgSo4+10ml of NS C) 8ml MgSo4+12ml of NS D) 12ml MgSo4+8 ml of NS ---- <<Answer:>>
C
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<<Question:>> Bond found in GIC is: ---- <<Choices:>> A) Covalent bond B) Ionic bond C) Hydrogen bond D) Metallic bond ---- <<Answer:>>
B
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<<Question:>> An adolescent male patient came with pain in calf muscles on exercise. On biopsy excessive amount of glycogen present was found to be present in the muscle. What is the most likely enzyme deficiency? ---- <<Choices:>> A) Muscle debranching enzyme B) Phosphofructokinase I C) Glucose 6 phosphatase D) Phosphorylase enzyme ---- <<Answer:>>
D
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<<Question:>> A 20-year-old male presents with hard painless testicular swellingon investigation AFP is 3080. No paraaoic or iliac nodes as well as no mediastinal lymph nodes found. usG shows uniform echotexture and small areas of necrosis surrounding structures are normal.What is the next best steP: ---- <<Choices:>> A) FNAC B) Trucut bioPsY C) High inguinal orchidectomy D) PET-CT ---- <<Answer:>>
C
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<<Question:>> What would be the ideal management of a woman with infeilty who is detected to have bilateral cornual block on hysterosalpingography? ---- <<Choices:>> A) Tuboplasty B) In-vitro feilization C) Hydrotubation D) Hysteroscopy and laparoscopy ---- <<Answer:>>
D
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<<Question:>> Following renal disorder is associated with worst pregnancy outcome: ---- <<Choices:>> A) Systemic lupus erythromatosus B) IgA nephropathy C) Autosomal dominant polycystic kidney disease D) Scleroderma ---- <<Answer:>>
D
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<<Question:>> Shape of 1st Maxillary molar ---- <<Choices:>> A) Rhomboid B) Rounded triangular C) Trapezoid D) Square ---- <<Answer:>>
A
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<<Question:>> Topical steroids is most effective in: ---- <<Choices:>> A) Dermal atrophy B) Eczematous dermatitis C) Bullous lesions due to HSV D) Herpes Zoster ---- <<Answer:>>
B
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<<Question:>> Stable element in Ti6Al4V in alpha phase is? ---- <<Choices:>> A) V B) Al C) Ti D) Al, V ---- <<Answer:>>
B
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<<Question:>> All of the following carry proprioception from head and neck except: ---- <<Choices:>> A) Facial nerve B) Trigeminal nerve C) Glossopharyngeal nerve D) Cranial accessory nerve ---- <<Answer:>>
D
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<<Question:>> Which of the following is not true about latent phase of labour? ---- <<Choices:>> A) According to ACOG it stas after 3-4 cm cervical dilatation but they are planning to increase it to 5 cm B) Begins at the end of active phase and is a pa of 1st stage of labour C) Patient may present with false labour due to mild cramps D) Stas with contractions of the uterus ---- <<Answer:>>
C
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<<Question:>> A patient with a history of fall after hypoglycemic episode presents with pain in bilateral preauricular region and deviation of the mandible to right side on mouth opening, probable diagnosis will be ---- <<Choices:>> A) Fracture of right condyle B) Fracture of left condyle C) Dislocation of left condyle D) Dislocation of both condyles ---- <<Answer:>>
A
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<<Question:>> The instrument shown in fig is used for ---- <<Choices:>> A) Rapid separation B) Slow separation C) Not used for separation D) Depends on force for separation ---- <<Answer:>>
B
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<<Question:>> Tongue develops from all of the following except ---- <<Choices:>> A) Tuberculum impar B) Hypobranchial eminence C) Lingual swellings D) Arytenoid swellings ---- <<Answer:>>
D
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<<Question:>> Polishing of composite is problematic due to ---- <<Choices:>> A) Soft matrix and hard filler particles B) Hard filler particles C) Hardness of matrix and filler particles D) None of the above ---- <<Answer:>>
A
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<<Question:>> Lithium should be stopped how many days before anaesthesia ---- <<Choices:>> A) 1 day B) 2 days C) 3 days D) 4 days ---- <<Answer:>>
C
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<<Question:>> A 10 year old boy presents with midline swelling arising from cerebellum the diagnosis is – ---- <<Choices:>> A) Astrocytoma B) Glioblastoma multiforme C) Ependymoma D) Medulloblastoma ---- <<Answer:>>
D
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<<Question:>> Mast cells are ---- <<Choices:>> A) Absent in both inflamed and normal pulp. B) Present in normal pulp C) Present in inflamed pulp only. D) Absent in inflamed pulp only. ---- <<Answer:>>
C
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<<Question:>> Which of the following is associated with a low concentration of ionized calcium in the serum? ---- <<Choices:>> A) Hypothyroidism B) Osteogenesis imperfecta C) Paget's disease of the bone D) Tetany ---- <<Answer:>>
D
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<<Question:>> All of the following are done to remove Confounding except ---- <<Choices:>> A) Randomization B) Random Selection C) Matching D) Blinding ---- <<Answer:>>
B
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<<Question:>> Asseion: In a patient admitted to hospital for community acquired pneumonia, combination therapy of beta lactams and azithromycin is given.Reason : This combination covers gram positive organisms and anaerobes. ---- <<Choices:>> A) Both reason and asseion are true B) Asseion is true but reason is false. C) Asseion is true but reason is paially true for asseion D) Both asseion & reason are not true. ---- <<Answer:>>
B
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<<Question:>> Heart of controlled trial? ---- <<Choices:>> A) Blinding B) Experiment C) Randomization D) Intervention ---- <<Answer:>>
C
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<<Question:>> Definitive treatment for the condition shown in radiograph below is? ---- <<Choices:>> A) Apexogenesis B) Revascularisation C) Calcium Hydroxide apexification D) MTA barrier formation ---- <<Answer:>>
D
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<<Question:>> A patient is taking drugs for rheumatoid ahritis and has a history of cataract surgery 1 year back, the patient presented with sudden painless loss of vision, probable diagnosis is? ---- <<Choices:>> A) CME B) Macularhole C) Chloroquine toxicity D) Chronic choroiditis ---- <<Answer:>>
C
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<<Question:>> Tumor cells in chronic lymphocytic leukemia or small lymphoblastic lymphoma (CLL/SLL) arisefrom which of the following? ---- <<Choices:>> A) Mature B cell B) Naive B cell C) Centrocytes of germinal center D) Progenitor B-cell ---- <<Answer:>>
B
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<<Question:>> Positive pivot shift test in knee is because of injury to - ---- <<Choices:>> A) Posterior cruciate ligament B) Anterior cruciate ligament C) Medial meniscus D) Lateral meniscus ---- <<Answer:>>
B
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<<Question:>> An apical radiolucent area present in central incisor after 4 months of RCT is due to: ---- <<Choices:>> A) Inadequate obturation & leakage from main canal B) Leakage from accessory canal C) Leakage from gingival crevice D) Leakage from access opening ---- <<Answer:>>
A
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<<Question:>> Low apparent volume of distribution of drug indicates that: ---- <<Choices:>> A) Drug has low half life B) Drug has low bioavailability C) Drug has low efficacy D) Drug is not extensively distributed to tissue ---- <<Answer:>>
D
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<<Question:>> All of the following are true about lumbar puncture except: ---- <<Choices:>> A) Level of needle inseion should be L I -L2 veebral junction B) The bevel end of needle should face up C) Needle should be inseed in a slightly cephalad direction D) Legs should be straightened for CSF pressure measurement ---- <<Answer:>>
A
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<<Question:>> Hormone Replacement therapy is not indicated in: ---- <<Choices:>> A) Hot flashes B) Prevention of CAD C) Osteoporosis D) Vaginal atrophy ---- <<Answer:>>
B
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<<Question:>> If sodium channel inactivation is prolonged then which property of nerve conduction is hampered? ---- <<Choices:>> A) Decreased relative refractory period B) Increased conduction blockade C) Increased upward stroke velocity D) Decreased downward stroke velocity of refractory period. ---- <<Answer:>>
C