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A patient has been allegedly bitten by cobra snake. The venom in such a bite would be:
D i.e. Neurotoxic
4
Musculotoxic
Vasculotoxic
Cardiotoxic
Neurotoxic
Forensic Medicine
null
800719a6-96c8-4dda-83d3-0cb01f9c2146
multi
Uncommon cause of upper GI bleed ?
Ans. is 'd' i.e.Carcinoma stomach
4
Varices
Erosive gastritis
Peptic ulcer
Carcinoma stomach
Surgery
null
a6099a77-075b-489a-8fb8-2eb4a58f1ebe
single
A person comes in contact with other. This is called
A i.e. Locard's principle
1
Locard principle
Quetlets rule
Petty's principle
None of the above
Forensic Medicine
null
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multi
Recommendation of shrivasthava committe was-
Recommendations creation of bands of para-professional and semi-professional health workers from within the community itself establishment of 2 cadres of health workers development of a referral service complex establishment of medical and health education commission for family planning and implementing the reforms (re...
2
Abolition of private practice
Creation of multipurpose health workers
Creation of PHC
All of the above
Social & Preventive Medicine
Health education & planning
e0cd8d4c-2ff1-44cb-8049-ecfd3e1a31e4
multi
Which of the following structure is present in posterior axillary wall?
Subscapular aery
3
Thoracodorsal aery
Long thoracic nerve of bell
Subscapular aery
Axillary aery
Anatomy
null
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multi
A 45 years of female comes in OPD with a complaint of lump in right breast. On examination a lump of 5 x 5 cm is palpated. On general examination of the axilla lymph nodes are found to be normal in size, consistency and texture. What is the MOST likely diagnosis?
A clinically normal axilla with a large tumour may be indicative of breast sarcoma, lymph node metastasis is uncommon. "Leiomyosarcomas are locally aggressive tumours and when they metastasize, it occur through hematogenous route". "Leiomyosarcoma include malignant fibrous histiocytoma and angiosarcoma". Ref: Breast Ca...
3
Ductal carcinoma
Comedo carcinoma
Angiosarcoma
Lobular carcinoma
Surgery
null
a91a8151-b065-44e1-a36c-a30b288e2469
single
In alcohol withdrawal delirium drug of choice is
B i.e. ChlordiazepoxideTreatment of alcohol withdrawal delirium:Patients withdrawing from alcohol who exhibit withdrawal phenomena should receive a 25 to 50 mg of chlordiazepoxide every 2 to 4 hours until they seem to be out of danger.Once the delirium appears, 50 to 100 mg of chlordiazepoxide should be given every 4 h...
2
Benzodiazepine
Chlordiazepoxide
Lithium
Haloperidol
Psychiatry
null
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single
The force of muscle contraction can be increased by all of the following except:
Action potential follows an all or none law. When sufficient amplitude is reached to produce a motor response, increasing the amplitude fuher will not have any effect on the motor response. Ref: Review of Medical Physiology by William F Ganong, 19th Edition Page 70 ; Biomechanics and Biology of Movement By Benno Maurus...
3
Increasing the frequency of activation of motor units
Increasing the number of motor units activated
Increasing the amplitude of action potentials in the motor neurons
Recruiting larger motor units
Physiology
null
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multi
In which condition interna! podalic version is done-
Ans. is 'a' i.e., Transverse lie in 2nd twins "Internal version is hardly indicated in singleton pregnancy in present day obstetric practice. Its only indication being the transverse lie in case of the second baby of twins".
1
Transverse lie in 2nd twins
Breech presentation
Both
null
Gynaecology & Obstetrics
Multiple Pregnancy
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multi
Large discrete ulcers in esophagus are seen in
Oesophagitis including HIV and CMV oesophagitis usually manifest as one or more large ovoid or diamond-shaped ulcers.
4
Achalasia cardia
Plummer Vinson syndrome
Esophageal carcinoma
CMV esophagitis
Radiology
Gastrointestinal Radiology
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single
Carcinoid tumour is most common in
Answer is D (Appendix); Antong, the given option the most common site of carcinoid tumour is appendix. Carcinoid tumor location, Frequency of Metastases, and Association with the Carcinoid Syndrome Site Location (% of Total) Incidence of Metastases Incidence of Carcinoid Syndrome Foregut Esophagus <0.1 - - Stomach 4.6 ...
4
Esophagus
Stomach
Jejunum
Appendix
Medicine
null
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single
Mr X is a 70-year-old male who presents with a one-year history of progressive ataxia, urinary incontinence and memory loss. He is otherwise asymptomatic. He has no significant past medical history and is not on any medication. What is the most likely diagnosis?
Normal pressure hydrocephalus: TRIAD: Progressive ataxia, urinary incontinence and memory loss (Dementia) INCREASED production of CSF at night time so ventricles get dilated along with the neighboring structures. In order to counter attack the pressure, the ventricular system gets dilated but this dilation might push t...
1
Normal pressure hydrocephalus
Cerebellar astrocytoma
Lewy body dementia
Multiple sclerosis
Medicine
Raised ICP and Brain death
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Carriers are not seen in:
The answer 'A' is based on the feedback from our users and verification by our Toppers.Note: the explanation below is based on earlier answer option 'C' Ans is 'a i.e. Measles Note-A few points about measlesMeasles virus has only one serotypeIt can't survive outside the human body for any length of timeOnly source of i...
1
Measles
Meningitis
Diphtheria
Typhoid
Unknown
null
cda10d40-8505-469e-b9bc-a405b78cf70f
single
Which of the following is not approved for treatment of leprosy?
Rifampicin is combined with dapsone to treat paucibacillary leprosy. Rifampicin and clofazimine are combined with dapsone to treat multibacillary leprosy. A single dose of combination therapy has been used to cure single lesion paucibacillary leprosy: rifampicin (600 mg), ofloxacin (400 mg), and minocycline (100 mg). A...
3
Ofloxacin
Minocycline
Azathioprine
Rifampicin
Dental
Bacterial infections
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single
Which of the following drugs is currently widely used in treating opioid-dependent individuals?
null
2
Codeine
Methadone
Alphaprodine
Pentazocine
Pharmacology
null
47da19b3-8579-47bb-844f-b2b72cde721b
single
Late complication of Acetabular fracture:
*Early complication include sciatic nerve injury and iliofemoral venous thrombosis. Among late complication the common problem is development of secondary osteoahritis.other possible problems include Avascular necrosis of femoral head, Heterotopic ossification and joint stiffness. Early complications: 1-Venous Thromboe...
1
Avascular necrosis of head of femur
Avascular necrosis of lilac crest
Fixed deformity of the hip joint
Secondary osteoahritis of hip joint
Orthopaedics
Pelvis and Hip injuries
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single
AFP is raised in
Serum AFP levels are elevated In >70% of patients with HCC In 85-90% of patients with hepatoblastoma Ref : Sabiston 20th edition Pgno :1464
2
100% of hepatoblastoma
90% of hepatoblastoma
100% of HCC
90% of HCC
Anatomy
G.I.T
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single
Mestranol acts as contraceptic by
null
1
Inhibiting FSH secretion
Inhibiting tubal motility
Inhibiting ascent of sperm
Inhibiting Implantation
Social & Preventive Medicine
null
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single
Rabies can be transmitted by all of the following routes except -
<p> RABIES:- Rabies, an acute highly fatal viral disease of CNS caused by Lyssavirus type 1( neurotropic RNA virus). Mode of transmission- Deep bite/ scratch by an infected animal. Dogs are the main host and transmitter if rabies. Transmission can also occur when infectious material usually saliva comes into direct con...
3
Aerosol
Bites
Ingestion
Licks
Social & Preventive Medicine
Communicable diseases
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multi
To prevent exercise induced bronchial asthma drug used is -
null
1
Sodium chromoglycate
Ipratropium bromide
Terbutaline
Epinephrine
Medicine
null
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Which is the most likely to cause pulp necrosis?
To have pulp space infection, the pulp must first become necrotic. This will occur in a fairly serious injury in which displacement of the tooth results in severing of the apical blood vessels.
3
Subluxation
Extrusion
Avulsion
Concussion
Dental
null
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single
All of the following statements about Bater Syndrome and Gitelman's Syndrome are true, except:
Answer is C (Genetic defect in Bater Syndrome involves the transpo proteins in the distal tubule) Genetic defect in Bater Syndrome is located in the thick ascending limb of the loop of Henle. Features Bater Syndrome Gitelman's Syndrome (Mimics Loop Diuretics) (Mimics Thiazide Diuretics) Inheritance * Autosomal recessiv...
3
Autosomal Recessive Inheritance
Bater Syndrome Presents earlier in life than Gitelman's Syndrome
Genetic defect in Bater Syndrome involves the transpo proteins in the distal tubule
Hypercalciuria is more common in Bater Syndrome
Medicine
null
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multi
TRUE statement regarding childhood malignancy is –
Childhood malignancies i) Most common tumor in childhood is leukaemias especially acute lymphoblastic leukaemia. ii) Second most common tumor → Brain tumors iii) Third most common tumor → Lymphomas iv) Fourth most common tumor → Neuroblastoma   v) Fifth most common tumors →Wilms tumor Most of these tumors occur below...
3
Wilm's tumour is the commonest
AML is the most common malignancy
Neuroblastoma arises in the first 4 years
None of the above
Pediatrics
null
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multi
A classical expansile lytic lesion in the transverse process of a vertebra is seen in:
(b) Aneurysmal bone cystLytic Lesion in Posterior Element of Vertebrae (i.e. spinous process, transverse process, and pedicle) Expansile and Purely lytic, Aneurysmal Bone Cyst, Non-expansile and partly or extensively ossified, Osteoblastoma Body of vertebra is involved in GCT
2
Osteosarcoma
Aneurysmal bone cyst
Osteoblastoma
Metastasis
Orthopaedics
Metastatic Bone Disease
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single
Maxillary sinus drains into ?
Middle meatus
2
Inferior meatus
Middle meatus
Superior meatus
Sphenoethmoidal recess
Anatomy
null
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single
A 25 year old male patient complains of gap between his upper and lower front teeth. He was found to have an anterior open bite of 5 mm along with a tongue thrusting habit. Which speech difficulty is this patient most likely to suffer from?
null
2
Distortion
Lisp
Difficulty in production of linguo-alveolar stops
Difficulty in production of labio-dental fricatives
Dental
null
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A girl aged 20 yrs complains of headache While studying. Her vision is found to be normal. An of the following should be fuher evaluated except
History taking should be done To know Onset , duration ,progression of headache,severity Pervious any similar episodes in the past Family history of headache Personal diet menstrual history Any drug abuses Any history hypeension or DM, epilepsy,TB should be ruled out Fuher general examination should be done to rule out...
3
Family history of headache
Menstrual history
Self woh
Her interest in studies
Medicine
C.N.S
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Hot nodule in liver scan is due to(NOT RELAVENT TO PHARMACOLOGY)
50% of the focal nodular hyperplasia shows presence of Kupfer cells (phagocytes). So uptake of sulphur colloid is noted in these lesions. No uptake is seen in HCC, hepatic adenoma and metastases
2
Hepatic adenoma
Focal nodular hyperplasia
Metastasis
HCC
Pharmacology
All India exam
ef20a824-c652-490b-9ced-faf4a716d430
single
Echolalia is a recognised feature of :
A. i.e. Catatonic schizophrenia
1
Catatonic schizophrenia
Anorexia nervosa
Alzheimer's disease
All
Psychiatry
null
d9c5e1fd-08de-4fa5-9953-6b39d8f63ceb
multi
Nitric oxide is synthesised from:
NO is synthesized from l-arginine by the enzyme nitric oxide synthase (NOS). There are three different types of NOS: endothelial (eNOS), neuronal (nNOS), and inducible (iNOS). eNOS and nNOS are constitutively expressed at low levels and can be activated rapidly by an increase in cytoplasmic Ca2+. iNOS, in contrast, is ...
4
Cysteine
Cystine
Methionine
Arginine
Pathology
null
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single
A person on total parenteral nutrition was given 62.5 g of protein. Calculate the amount of nitrogen present in this amount of protein.
Approximately, Nitrogen contributes to 16% of proteins 100 gm of protein contains 16 gm of nitrogen. So, 62.5 gm of protein will contain, 62.5 X 16/100 gm of nitrogen, i.e. 10 gm of nitrogen. Extra Edge: Formula for calculating the nitrogen balance of patients: Nitrogen balance = Nitrogen intake - Nitrogen loss = (Prot...
3
32 g
6.25 g
10 g
100 g
Biochemistry
Glycine Metabolism Detail
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single
Incest is:
Intercourse within blood relation Incest Intercourse with children Pedophilia Intercourse with a married woman, other than his spouse Adultery Intercourse with lower animal Bestiality Female homosexuals Tribadism/ lesbianism Adultery- not liable for criminal prosecution but can be used as a ground for divorce or dissol...
1
Intercourse with blood relation
Intercourse with children
Intercourse with friends
Intercourse with a married woman
Forensic Medicine
Sexual offences
f3b56c4a-cf43-4e70-abe2-2452742ee667
single
A diabetic female on INH and Rifamipicin for TB developed DVT. She was staed on warfarin, PT is not raised, and next step should be
Refer KDT Anticoagulant effect of warfarin is assessed by the measurement of prothrombin time Failure of elevation of PT indicates the decreased effect of warfarin Rifamipicin is the most effective drug for tuberculosis Acenococumarin is also an oral anticoagulant Effect of warfarin stas in 4-5days However heparin need...
4
Increase the dose of warfarin
Replace warfarin with Acenococumarin
Switch Ethambutol for Rifampicin
Use LMV heparin
Pharmacology
Respiratory system
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multi
If the tooth is cut without removal of any part of crown or root is:
• Root Resection / Amputation is removal of root without removal of any crown portion • In Hemisection one root with its corresponding crown portion is cut and removed • In bicuspidisation the molar is simply cut without removal of any part of crown or root. Hemisection and bicuspidisation are suitable for mandibular m...
2
Hemisection
bicuspidisation
Amputation
Coronosection.
Dental
null
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single
29 years female, G2 P1A1 with 16 weeks amenorrhoea, lower abdominal pain and vaginal bleeding, ultrasonography shows snow storm appearance. What is the most feasible method of treatment-
Ans. is 'd' i.e., Suction evacuation o 29 yrs female with amenorrohea of 16 weeks with lower abdominal pain and vaginal bleeding and snow storm appearance on usg gives us a diagnosis of kydatidiform mole.o The most preferred definitive treatment in case of hvdatidiform mole in almost all cases is suction evacuation.It ...
4
Misoprostol administration
Hysterectomy
Mifepristone
Suction evacuation.
Gynaecology & Obstetrics
Choriocarcinoma
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Flutamide is used in CA -
Ans. is 'b' i.e., Prostate Flutamideo It is a nonsteroidal drug.o Has antiandrogenic but no other hormonal activity-.o Its active metabolite 2-hydroxyflutamide competitively blocks androgen action on accessory sex organs as well as on pituitary - inceases LH secretion by blocking feed back inhibition - testosterone sec...
2
Cervix
Prostate
Kidneys
Liver
Pharmacology
Anti-Neoplastic Agents
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single
Mycosis fungoides affects -
The histological hallmark of the mycosis fungoides is the presence of the Sezary-Lutzner cells. These are CD4 helper T cells.
1
T Cells
B Cells
NK Cells
K Cells
Pathology
null
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single
The intrapleural pressure is negative both during inspiration and expiration because:
B i.e. Thoracic cage and lungs are elastic structures
2
Intrapulmonary pressure is always negative
Thoracic cage and lungs are elastic structure
Transpulmonary pressure determines the negativity
All
Physiology
null
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multi
After giving a nerve block what is the sequence of Recovery of sensation in nerve.
null
2
Pain> Temperature> Touch > Proprioception>skeletal muscle tone(SMT)
SMT>proprioception>touch>temperature>pain
SMT>proprioception>temperature>touch>pain
It is random
Physiology
null
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single
If a patient requests his medical records, they should be provided to the patient within what period of time?
Ans. is 'd' i.e., 30 days * The patient can request his medical records, which normally should be provided to the patient within 30 days. This is a national standard.* The medical provider can extend the 30 days to a total of 60 days for good cause. The patient has to pay for the cost of copies and postage.* Others who...
4
7 days
15 days
21 days
30 days
Forensic Medicine
Law & Medicine, Identification, Autopsy & Burn
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single
All of the following are true about break point chlorination, except –
Principles of chlorination                                                                                Water should be clear and free from turbidity. Turbidity impedes efficient chlorination. The chlorine demand of the water should be estimated. It is the amount of chlorine that is needed to destroy bacteria and to...
3
Free chlorine is released in water after break point chlorination
Chlorine demand is the amount needed to kill bacteria, oxidize organic matter and neutralize ammonia
1 ppm free chlorine should be present in water after break point has reached
Contact period of 1 hour is necessary
Social & Preventive Medicine
null
261250c9-a54b-4143-a192-755ca50b7b39
multi
Calculate water deficit for 50 kg male with Na=160 meg
Ans. is 'b' i.e., 2.9L half normal saline
2
2.9 L hypeonic saline
2.9 L half normal saline
1.5 L 5% dextrose in water
1.5 L 10% dextrose in water
Medicine
null
11985383-5f0a-4f6f-b392-777699ee463a
single
The carpal tunnel contains all of the following impoant structures EXCEPT
The tendon of flexor carpi radialis passes through a tunnel created by a fascial slip on the roof of flexor retinaculum.It passes neither superficial nor deep to the flexor retinaculum, it is actually embedded within the retinaculum. Median nerve, flexor pollicis longus and flexor digitorum superficialis all pass deep ...
3
Median Nerve
Flexor pollicis longus
Flexor carpi radialis
Flexor digitorum superficialis
Anatomy
Muscles of arm and forearm region & Cubital fossa
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multi
Which of the following nerves lies closest to the Whaon's duct -
Ans. is 'b' i.e., Lingual
2
Hypoglossal
Lingual
Chorda tympani
Facial
Surgery
null
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" Polychromatic luster" is a feature of
Ans. d (Complicated cataract) (Ref. Basak's ophthalmology 2nd ed., 181)COMPLICATED CATARACTS# It is a complication of any protracted intraocular inflammation, especially heterochromia, chronic iridocyclitis, retinal vasculitis, and retinitis pigmentosa.# Complicated cataract results from a disturbance of the lens metab...
4
Nuclear cataract
Cortical cataract
Zonular cataract
Complicated cataract
Ophthalmology
Lens
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All are true about non-bacterial thrombotic endocarditis, except ?
Ans. is 'b' i.e., Vegetation > 5 mm Nonbacterial thrombotic endocarditis (NBTE) NBTE is characterized by the deposition of small sterile thrombi on the leaflets of the cardiac valves. The lesions are small, ranging from 1 mm to 5 mm. They occur singly or multiply along the lines of closure of leaflet or cusps. They are...
2
Cause emboli
Vegetation > 5 mm
No inflammatory reaction
Locally nondestructive
Pathology
null
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multi
Poor wound healing may be due to all of the following except -
Ans. is 'c' i.e., Young Age Factors that adversely affect wound healing Local o Abnormal blood supply (ischemia due to arterial disease or impaired venous drainage, e.g. arteriosclerosis, varicose veins) o Infection o Presence of foreign material, necrotic tissue or excessive blood (hematoma) o Movement in injured area...
3
Smoking
Excessive tension on sutures
Young age
Diabetes
Surgery
General Management of Wounds
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Most common symptom present in undisturbed ectopic
Ans. is a i.e. Pain in lower abdomen
1
Pain in lower abdomen
Amenorrhea
Bleeding P/V
Fainting attack
Gynaecology & Obstetrics
null
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single
Sjogren syndrome is characterized by all except
Answer- B. Excessive salivationSjogren syndrome is a chronic disease characterized by dry eyes (keratoconjuctivitis sicca) and dry mouth (xerostomia) resulting from immunological mediated destruction of the lactimal and salivary gland.ExtraglandularRaynaud's phenomenonVasculititisAhralgia/AhritisLymphadenopathylymphoma...
2
Keratoconjunctivitis sicca
Excessive salivation
Splenomegaly
Lymphoma
Pathology
null
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multi
Common complications of IOL lens are except:
A i.e. 6 weeks Refraction & prescription of glasses is done after 1-2 weeks in phacoemulsification and 6-8 weeks in extracapsular cataract extractionQ If preoperatively the eye was emmetropic, a power of +10DQ is required to correct hypermetropia (not +16D, because the glasses are placed in front of eye) While in ametr...
1
Corneal dystrophy
Glaucoma
Anisocoria
Macular edema
Ophthalmology
null
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multi
Which of the following changes is false regarding a normal pregnancy?
In pregnancy there is a relative iodine deficiency and increased renal excretion. Ref: Karla Philip, 33rd Edition, Page 304
3
Fall in free T4/T3 in 3rd trimester
TSH falls in the first and second trimester but increases in the third trimester
TSH rises in the first and second trimester but falls in the third trimester
There is an increase in Thyroid binding globulin
Gynaecology & Obstetrics
null
fba95b32-34e2-4620-bf58-1f2ab4008123
multi
What lies at midinguinal point?
MID INGUINAL POINT Midpoint of line joining anterior superior iliac spine to pubic symphysis. Femoral aery, continuation of external iliac aery, begins behind the inguinal ligament at the midinguinal point. Deep ring- oval opening in fascia transversalis.1.25 cm above mid inguinal point. Superficial ring: triangular ga...
3
Deep inguinal ring
Superficial inguinal ring
Femoral aery
Saphenous vein
Anatomy
Lower limb
f2fceaf5-93e8-4d84-aedd-17176867c657
single
True about dashboard injury:
Ans. :B > A (Lower pole of patella fracture); B (Posterior dislocation of hip C (Fracture lateral condyle femur); D(Fracture of head of femur) "In motor accident, the occupant of car is thrown forwards & his knee stikes against the dashboard; & the force is transmitted up the shaft, resulting in posterior dislocation o...
2
Lower pole of patella fracture
Posterior dislocation of hip
Fracture lateral condyle femur
Fracture of head of femur
Orthopaedics
Dislocation of Hip
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Goblet cells in conjunctiva are least dens in which pa -
Goblets cells are least dense in upper temporal fornix. Ref: Wolfs 8th/e p.61
2
Nasal
Temporal
Inferior
null
Ophthalmology
Conjunctiva
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multi
In which of the following trinucleotide repeat mutation occurs in coding regions of DNA?
In Huntington's disease CAG repeat mutation occurs in coding regions of DNA.
2
Myotonic dystrophy
Huntington's disease
Fragile x syndrome
Friedeich ataxia
Pathology
null
8406c736-60dd-4ee3-a6cc-5bf0130531ab
single
Which of the following drug causes least sedation?
Loratadine is a second-generation tricyclic H1 histamine antagonist which acts as a selective inverse agonist of peripheral histamine H1-receptors. As a "non-sedating" antihistamine, loratadine causes less sedation and psychomotor retardation than the older antihistamines because it penetrates the blood brain barrier t...
4
Hydroxazine
Phenergan
Chlopheneramine
Loratidine
Pharmacology
null
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single
All are true about listeria except:
Ans. is. 'c' i. e., Characteristic tumbling motility at 37degC
3
Gram positive
PALCAM agar is used for isolation
Characteristic tumbling motility at 37degC
Umbrella shaped growth
Microbiology
null
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multi
MC ocular manifestation of mumps is
A i.e. Dacroadenitis Mumps Most common manifestation of mumps (in all age groups) is parotitis Q 2nd most common manifestation of mumps in postpubeal males is orchitis Q Aseptic meningitis is common manifestation of mumps in both children & adults. Most common ocular manifestation of mumps is dacryoadenitis Q
1
Dacrodenitis
Chorioretinitis
Anterior uveitis
Memb. conjunctivitis
Ophthalmology
null
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single
True about Giardia is -
Option 1 Agents of Traveller's diarrhea: Enterotoxigenic Escherichia coli (10-45%)- Single most impoant agent Enteroaggregative E. coli (5-35%)- Emerging enteric pathogen with worldwide distribution Campylobacter jejuni (5-25%)- More common in Asia Salmonella- Common in India Others- Aeromonas, Plesiomonas, and Vibrio ...
1
May cause traveller's diarrhea
Giardia inhabits mainly ileum
Trophozoites are infective to man
None of the above
Microbiology
Parasitology Pa 1 (Protozoology)
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multi
A new born with recurrent vomiting, cynosis after each feed is likely to be suffering from
Clinical features : The presence of maternal polyhyramnios and single umbilical aery should ale the pediatrician to look for atresia of the upper GIT.Association of congenital anomalies of veebrae, anorectal region,hea,kidneys or limbs should arouse suspicion.The newborn baby has excessive drooling ,saliva is frothy an...
1
Tracho oesophageal fistula
Tetrology of fallot
Congenital hyperophic pyloric stenosis
ARDS
Pediatrics
Gastrointestinal tract
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multi
Synergistic muscle of right inferior oblique:
Ans. (B) Right Superior rectus Agonist-antagonist pairs are muscles of the same eye that move the eye in opposite directions. The agonist is the primary muscle moving the eye in a given direction. The antagonist acts in the opposite direction to the agonist. For example, the right lateral rectus is the antagonist to th...
2
Right Superior oblique
Right Superior rectus
Left Inferior rectus
Left superior rectus
Unknown
null
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Most common complication of supracondylar of the humerus :
Ans. is 'b' i.e. Cubitus Varus deformity Malunion is the commonest complication of a supracondylar fracture and results in a cubitus varus deformity alsok/a Gun stock deformity.*t/t: Corrected only for cosmetic reason, t/t is a supracondylar corrective osteotomy* (French osteotomy)
2
Brachial artery injury
Cubitus varus
Myositis - ossificans
VIC
Orthopaedics
Supracondylar Fracture
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Grid" is a device which is used for:
Ans. Reducing scattered radiation
1
Reducing scattered radiation
Reducing patients exposure time
Reducing the contrast of the X-ray
All of the above
Radiology
null
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Propofol infusion syndrome all Except
Propofol infusion syndromeA lethal syndrome, associated with infusion of propofol for 48 hours or longerOccurs in children and critically illOccurs as a result of failure of free fatty acid metabolism and failure of the mitochondrial respiratory chain.Features are-cardiomyopathy with acute cardiac failure, metabolic ac...
3
Occurs with infusion of propofol for 48 hours or longer
Occurs in critically ill patients
Features are nausea and vomiting
Features are cardiomyopathy, hepatomegaly
Anaesthesia
All India exam
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multi
True about sertoli cell tumours of ovary are all EXCEPT:
(Secretes female hormones) (356-Shaw's 13th) (380-S14th)Sex-cord stromal tumours -* Granulosa-stromal cell tumours - theca cell tumours* Androblastoma - Sertoli-lcydig cell tumour* Gynandroblastoma (granulosa cell and arrhenoblastoma)* Unclassified* The embryonic sex cords may differentiate along the male line giving r...
2
Secrete male hormone
Secrete female hormones
Androblastomas
Gynandroblastoma
Gynaecology & Obstetrics
Miscellaneous (Gynae)
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multi
Which of the following is a specific sign of fetal death characterized by overlapping of skull bones?
Ans. a (Spalding's sign) (Ref. Reddy FMT 23rd ed., p 87)Intrauterine fetal death# A specific sign of fetal death is absent cardia Somatic motion# Non specific signs of fetal death (not seen before 48 hours after death):- Spalding sign--overlapping fetal skull bones- 'Halo ' sign of head--due to scalp edema- Dolichoceph...
1
Spalding's sign
Buddha sign
Helmer's sign
Any of the above
Gynaecology & Obstetrics
Miscellaneous (Gynae)
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multi
Charcot leyden crystal seen in?
ANSWER: (A) Allergic rhinitisREF: Harrison's 18th ed chapter 60Repeat 2012 Session I (Microbiology)Charcot leyden crystals are derived from eosinophils . They are indicative of a disease involving eosinophilic inflammation or proliferation, such as is found in allergic reactions and parasitic infections. Charcot-Leyden...
1
Allergic rhinitis
Acute sinusitis
Nasal polyp
Acute tonsillitis
ENT
Rhinitis
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multi
Which of the following is not a constituent of the succus entericus ?
Trypsin is formed from trypsinogen in the small intestine. It is not a constituent of the intestinal juice Intestinal juice or succus entericus- Small intestine-crypts of Lieberkuhn Enzymes present in the succus entericus are: Protein digestion: aminopeptidases ,carboxypeptidases. Erepsin: conves proteoses & peptones i...
4
Erepsin
Enterokinase
Invease
Trypsin
Physiology
Gastrointestinal System
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single
Leukotrienes cause all of the following, EXCEPT:
Principal Inflammatory Actions of Arachidonic Acid Metabolites (Eicosanoids) ACTION EICOSANOIDS Vasodilation PGI2 (prostacyclin), PGE1, PGE2, PGD2 Vasoconstriction Thromboxane A2, leukotrienes C4, D4, E4 Increased vascular permeability Leukotrienes C4, D4, E4 Ref: Robbins 8th edition Chapter 2.
1
Vasodilation
Vasoconstriction
Increased vascular permeability
None of the above
Pathology
null
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multi
Menopause transition of a female is from:
Ans. is c, i.e. 40-51 yearsRef: Williams gynae 3rd/ed, p471Menopause:Transition is between 40-51 years.Average duration = 4-7 yearsAverage age of menopause = 41.5 years.
3
30-49 years
35-49 years
40-51 years
40-60 years
Gynaecology & Obstetrics
Miscellaneous (Gynae)
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single
Which is not a method of primordial prevention of diseases?
Identification of TB cases is a secondary method of prevention. The rest are primary method of prevention. Primordial prevention consists of actions and measures that inhibit the emergence of risk factors in the form of environmental, economic, social, and behavioral conditions and cultural patterns of living etc. For ...
4
Regular exercise
Abstinence from alcohol intake
Dietary change
Identification of cases of Tuberculosis
Social & Preventive Medicine
null
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All are tuning fork tests except
Cold-air caloric test: This test is done when there is perforation of the tympanic membrane because irrigation with water in perforation is contraindicated. The test employs Dundas Grant tube, which is a coiled copper tube wrapped in cloth. The air in the tube is cooled by pouring ethyl chloride and then blown into the...
2
Schwaback test
Grants test
Rinne's test
Weber's test
ENT
Ear
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multi
Screening method of medullary carcinoma thyroid is:
Medullary Carcinoma Thyroid (MTC): Neuroendocrine carcinoma arising from parafollicular ‘C’ cells of thyroid. Parafollicular ‘C’ cells are derived from the ultimobranchial bodies and secrete calcitonin. ‘C’ Cells are concentrated superolaterally in thyroid lobes, from where MTC usually develops. Most MTCs (75-80%) ari...
1
Serum calcitonin
Serum calcium
Serum alkaline phosphatase
Serum acid phosphatase
Surgery
null
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Naturally occurring local anesthetic:(1997)
aRef: KDT, 5th ed, p. 324 & 4th ed, p. 165
1
Cocaine
Procaine
Lignocaine
Bupivacaine
Pharmacology
Anaesthesia
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multi
A paicular genetic disorder appears in three consecutive generations of a family without any sex predilection. It was also noticed that phenotypically normal family members were having healthy offspring . What is the pattern of inheritance in this disorder?
The pattern of inheritance in this disorder is autosomal dominant. Points in our: Autosomal dominant disorders have a veical mode of transmission (individuals of two generations are affected-Parent and children affected) Genetic disorder has appeared in three consecutive generations of a family without any sex predilec...
2
Autosomal recessive
Autosomal dominant
Mitochondrial inheritance
Uniparenteral disomy
Pediatrics
Genetic and genetic disorders
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multi
The muscles acting upon the temporomandibular joint for various actions are given below, EXCEPT?
The muscles acting upon the TMJ are primarily the muscles that generate the various movements associated with chewing; hence, these muscles are often called the muscles of mastication.Temporalis muscle: The temporalis muscle elevates the mandible.Masseter muscle: It elevates the mandible. It works functionally with the...
2
Temporalis muscle
Occipitofrontalis
Masseter muscle
Medial pterygoid muscle
Anatomy
null
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multi
Wave V in BERA corresponds to -
Ans- B Waves of BERA can be remembered by auditory pathway. WAVE 1-Distal part of 8th nerve WAVE 2-Proximal part of 8th nerve WAVE 3-Cochlear nucleus(lower pons) WAVE 4-Superior Olivary Nucleus WAVE 5-Lateral Lemniscus WAVE 6-Inferior colliculus WAVE 5 is most reliable most rhobust and reproducible and last wave to dis...
2
Inferior colliculus
Lateral lemniscus
Cochlear nucleus
Eighth-nerve
ENT
Assessment of Vestibular Function
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Absolute proof of monozygosity is determined by:
The most definite proof of monozygosity is DNA finger printing by DNA microprobe technique. Summary of Determination of Zygosity
1
DNA finger printing
Intervening membrane layers
Sex of the babies
Reciprocal skin grafting
Gynaecology & Obstetrics
null
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single
Thinnest pa of lens is
Lens capsule is a thin, transparent, hyaline membrane surrounding the lens which is thicker over the anterior than the posterior surface. The lens capsule is thickest at pre-equator regions(14u) and thinnest at the posterior pole (3u) Ref;A.K.Khurana; 6th edition; Page no:179
2
Anterior pole
Posterior pole
Posterior capsule
Apex
Ophthalmology
Lens
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single
Volume of the orbit is
Volume of the orbit is 30ml Orbit" can refer to the bony socket, or it can also be used to imply the contents. In the adult human, the volume of the orbit is 30 millilitres (1.06 imp fl oz; 1.01 US fl oz), of which the eye occupies 6.5 ml (0.23 imp fl oz; 0.22 US fl oz). Ratio of volume of orbit to eyeball is 4.5:1 Ref...
4
120ml
100ml
60ml
30ml
Ophthalmology
Anatomy, Development and clinical examination
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single
Decoction is used in CHF associated with
Ref-Katzung 11/e p219 Digital should be for patients Who remain symptomatic even on diuretics and ACE inhibitor With hea failure who are in atrial fibrillation and acquire ventricular rate control NOTE: digitals is contraindicated in HOMC and higher output cardiac failure
3
HOCM(hyperophic obstructive cardiomyopathy)
High output failure
Atrial fibrillation with high ventricular rate
All of the above
Pharmacology
Cardiovascular system
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multi
In a data collected from nitrogen wash-out method in a patient, volume of nitrogen was found to be 800 mL in his residual volume (RV). How much is the RV in this patient?
In all the respiratory volumes, 80% fraction is of nitrogen. Thus, if total nitrogen volume in the RV is 800 mL, then RV is 1000 mL. (80% of 1000 mL is 800 mL.)
3
400 mL
800 mL
1000 mL
1600 mL
Physiology
Respiratory System Pa 1
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single
True about multipotential connective tissue cells is:
Multipotent connective tissue cells: These cells have intermediate sensitivity. These cells divide when there is a demand for more cells. Eg: Endothelial cells, fibroblasts, mesenchymal cells.
3
These are most radiosensitive
These are most radioresistant
They have intermediate sensitivity
None of the above
Radiology
null
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multi
First heart sound corresponds to:
The first heart sound (S1) includes mitral and tricuspid valve closure.  The First heart sound is associated with closure of the A-V Valves. The Second heart sound Is associated with closure of the Aortic and Pulmonary Valves. The Third heart sound occurs at the beginning of the middle third of diastole. Occasionally ...
2
Mitral valve opening
Mitral valve closing
Aortic valve closing
None of the above
Medicine
null
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multi
Factors precipitating Hepatic encephalopathy include all EXCEPT
null
2
Infection
Magnesium Trisilicate therapy
Hypokalaemia
Gastrointestinal bleeding
Medicine
null
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multi
A 26-years women presents with a palpable thyroid nodule, and needle biopsy demonstrates amyloid in the stroma of the lesion. A cervical lymph node is palpable on the same side as the lesion. The preferred treatment should be:
MEDULLARY CARCINOMA THYROID Neuroendocrine carcinoma arising from parafollicular &;C&; cells of thryoid Parafollicular &;C&; cells are derived from the ultimobranchial bodies & secrete calcitonin &;C&; cells are concentrated superolaterally in throid lobes, from where MTC usually develops. Most MTCs (75-80%) arise spor...
3
Removal of the involved node, the isthmus, a poion of the opposite bone and he enlarged lymph node
Removal of the involved lobe, the isthmus, a poion of the opposite lobe, and he enlarged lymph node
Total thyroidectomy and modified neck dissection on the side of the enlarged lymph node
Total thyroidectomy and irradiation of the cervical lymph nodes
Surgery
Endocrinology and breast
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single
In managing a seven year old child, the dentist should keep in mind that a child at this age is
null
2
Frequently negative
Susceptible to Praise
Generally uncooperative
Prone to sensation anxiety
Dental
null
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multi
Struma ovarii is
Struma ovarii is the most common type of specialised teratoma. It is composed of mature thyroid tissue and may present as hyperthyroidism.
1
Teratoma of ovary
Thyroid gland tumor in pregnancy
May present as hypothyroidism
Ovarian stromal hyperplasia
Pathology
null
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single
Mikulicz cell & Russell bodies are seen in
(Refer: PL Dhingra, Textbook of Ear, Nose, Throat, 6thedition,pg no: 156)Granulomatous disease of the nose BacterialFungalUnspecified causeRhinoscleroma Syphilis TuberculosisLupusLeprosy RhinosporidiosisAspergillosis Mucormycosis CandidiasisHistoplasmosis Blastomycosis Wegner's granulomatosisNon-healing midline granulo...
1
Rhinoscleroma
Rhinophyma
Rhinosporidiosis
Plasma cel1 disorder
Pathology
All India exam
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single
The following poisons act by causing inhibition of complex IV of respiratory chain except
Ans. b (Malonate) (Ref. Harper 28th/108; 109)Harper 18thA08:The classic poisons H2S, carbon monoxide, and cyanide inhibit Complex IV and can therefore totally arrest respiration. Malonate is a competitive inhibitor of Complex II.PoisonInhibits1. Barbiturates (amobarbital)2. Malonate3. Antimycin A and dimercaprol4. H2S,...
2
Cyanide
Malonate
H2S
CO
Biochemistry
Respiratory Chain
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multi
All are true about gastrinoma except:
Ans. (c) Most common site is pancreas* MC site is Duodenum (50-70%) > Pancreas (20-40%)* Duodenal primary spread to lymph nodes commonly* Pancreatic gastrinomas spreads to liver commonly* In duodenum MC site is 1st part >2nd Part.* 70-90% cases are located in PASSARO TriangleDiarrheas:* Explosive diarrhea - carcinoid t...
3
Mostly found in gastrinoma triangle
Increases acid production
Most common site is pancreas
Lymphadenectomy is not required as there is no improvement in survival
Surgery
Pancreas
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multi
Anion gap decreases with all except?
Anion gap decreases in Nephrotic Syndrome Protein losing enteropathy Plasma cell dyscrasia (M.myeloma)
2
Plasma cell dyscrasia
Ethylene glycol
Protein losing enteropathy
Nephrotic syndrome
Medicine
ABG Analysis Simplified
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multi
Gene responsible for renal cell carcinoma is located on?
Von Hippel-Lindau(VHL) syndrome: Half to two-thirds of individuals with VHL develop renal cysts and bilateral, often multiple, renal cell carcinomas. Current studies implicate the VHL gene in the development of both familial and sporadic clear cell carcinoma.clear cell carcinoma accounting for 70-80% of renal cell canc...
1
Chromosome 3 p
Chromosome 6
Chromosome 9
Chromosome 22
Pathology
Urinary tract
2a1099fd-137d-4307-9d78-2bbf248dfccf
single
The following situations are associated with rise of temperature after death except:
A i.e. Burns In burns, there is lot of evaporation from raw surface 1/t heat loss, so it leads to algor mois (cooling) not post moem caloricity.
1
Burns
Heat stroke
Pontine hemorrhage
Septicemia
Forensic Medicine
null
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multi
Bone infarcts are seen in:
- Sickled cells can cause microvascular occlusion affecting Bones - Hand foot syndrome; Avascular necrosis of femur; H-shaped/ cod-fish/ fish mouth veebra. Brain - coma/ altered consciousness/ stroke, Skin - chronic, non-healing ulcer Spleen - autosplenectomy Pulmonary circulation - Acute chest syndrome
3
Iron deficiency anemia
Thalassemia
Sickle cell anemia
Hereditary spherocytosis
Pathology
Hemoglobinopathies: Sickle cell anemia
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single
Systolic murmur in TOF is due to?
b. Pulmonary stenosis(Ref: Nelson's 20/e p 2223-2225, Ghai 8/e p 424-426)Ejection systolic murmur in TOF is due to pulmonary stenosis.The intensity and duration of this systolic murmur is inversely proportional to the severity of TOF.
2
VSD
Pulmonary stenosis
ASD
null
Pediatrics
C.V.S.
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multi
Posterior femoral muscles are supplied by -
Ans. is 'c' i.e., Sciatic nerve o Posterior thigh muscles (posterior femoral muscles) are supplied by sciatic nerve.Posterior thigh musclesMuscleOriginInsertionNerve supplyActionSpecial remarksBiceps femorisLong head: Conjoint origin with semitendin- osus from inferomedial impression on upper half of ischial tuberosity...
3
Femoral nerve
Obturator nerve
Sciatic nerve
Sural nerve
Anatomy
Posterior Compartment of Thigh & Popliteal Fossa
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single
Which of the following is the principal buffer in interstitial fluid?
Principal buffers in the body:
3
Hemoglobin
Other proteins
H2CO3
H2PO4
Physiology
Concepts in physiology
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single
A newly posted junior doctor had difficulty in finding out base deficit/excess for blood in a given patient. An experienced senior resident gave him advice to find' out quick method to determine acid-base composition of blood based on pCO2. Which of the following method did the suggest ?
null
4
Redford nomogram
DuBio's nomogram
Goldman Constant
Siggaard-Anderson nomogram
Medicine
null
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single
Steroid refractory ulcerative colitis is said to be present in a patients who have active disease despite:
Patients with ulcerative colitis who have active disease despite prednisolone up to 0.75 mg/kg/day over a period of 4 weeks is called steroid refractory. Also know: Steroid-dependent colitis Unable to reduce steroids below the equivalent of prednisolone 10 mg/day within 3 months of staing steroids, without recurrent ac...
2
Prednisolone up to 0.5 mg/kg/day over a period of 4 weeks
Prednisolone up to 0.75 mg/kg/day over a period of 4 weeks
Prednisolone up to 1 mg/kg/day over a period of 4 weeks
Prednisolone up to 1.5 mg/kg/day over a period of 4 weeks
Medicine
null
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single