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A 50 year old Mehta, presents to his physician every month complaining about headache which he suspects could be a brain tumour. Despite having done a normal MRI scan he is not convinced that the diagnosis ruled out. The physician thinks that he misinterprets the body sentsations and is ovely concerned about his health...
The patient in the question presents with anxiety about having a paicular diagnosis like a tumour. He is not convinced by the evidence against it. He has a belief that he has a life threatening diagnosis. This is indicative of Hypochondriasis. Hypochondriasis can be a severe anxiety or in worse cases Delusional Hypocho...
2
Pituitary Tumour
Hypochondriasis
Somatisation Disorder
Capgras Syndrome
Psychiatry
null
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single
All the following are characteristic of schizophrenia except:
C i.e. Intermittent mood changes
3
Third person hallucination
Inappropriate emotions
Intermittent mood changes
Formal thought disorder
Psychiatry
null
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multi
Most common complication of amoebic liver abscess is
Rupture into peritoneal cavity is the most common complication.
2
Rupture into Plural cavity
Rupture into peritoneal cavity
Rupture into pericardial cavity
Sespis
Surgery
null
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single
All of the following are the features of scurvy except: September 2009
Ans. C: Hypoglycemia One of the first signs of scurvy is the development of perifollicular hyperkeratotic papules, often on the shins. These appear as reddish/bluish bruise-like spots surrounding hair follicles. The central hairs are twisted like corkscrews that may break easily. The papules may join together to form l...
3
Hyperkeratosis
Ecchymosis of lower limbs
Hypoglycemia
Bleeding gums
Pediatrics
null
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multi
Four numbered instrument formula other than G.M.T. is:
null
3
Chistle
Hoe
Angle former
Hatchet
Dental
null
d8462b1e-ecae-4efc-82e9-39e51f0c6ba5
single
During the uterine contraction of labour, the uterine blood flow :
Decreases
1
Decreases
Increases
does not change
Temporarily cases
Gynaecology & Obstetrics
null
d895d8e7-e6b5-41f4-b02c-a06eac08e10a
single
Earliest site of bone involvement in hematogenous osteomyelitis -
Metaphysis of long bone is the earliest and most common site involved.
1
Metaphysis
Diaphys is
Epiphysis
Point of entry of the nutrient artery
Orthopaedics
null
e0ee02b2-06d8-45fa-a84a-d7ed526d9a60
single
Iodised salt was first staed in which country
Iodized salt The iodization of salt is now the most widely used prophylactic public health measure against endemic goitre. In India the level of iodization is fixed under the Prevention of Food Adulteration (PFA) Act and is not less than 30 ppm at the production point, and not less than 15 ppm of iodine at the consumer...
1
India
UK
Switzerland
Germany
Social & Preventive Medicine
Nutrition and health
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single
Cholera toxin-
Ans. is 'c' i.e. Causes continued activation of adenylate cyclase
3
Increases the levels of intracellular cylic GMP
Acts through the receptor the opiates
Causes continued activation of adenylate cyclase
Inhibits the enzyme phosphodiesterase
Microbiology
null
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single
Indications for ECT are all except ?
Ans. is 'd' i.e., Sever manic attack Indications of ECT Severe depression with suicial risk or with psychotic features or with stupor. Some types of schizophrenia (catatonic or paranoid) Schizophrenic or depressive stupor Severe catatonia with stupor Severe psychoses (schizophrenia or mania) with risk of suicide or hom...
4
Severe depression with suicidal risk
Catatonic schizophrenia
Severe psychosis
Sever manic attack
Psychiatry
null
e1637e14-39af-4b05-a984-930b1a170d4f
multi
In which of the following conditions, Aniridia and Hemihyperophy are most likely present ?
Ans. is 'b' i.e.,Wilm's tumour Wilm's tumour is associated with three groups of congenital malformations. o The risk of Wilm's tumour is increased in these conditions. o These are ? WAGR syndrome - It consists of o Aniridia o Mental retardation o Genital anomalies The risk of Wilm's tumour is increased by 33% in this s...
2
Neuroblastoma
Wilms' tumour
Non-Hodgkin's lymphoma
Germ cell tumour
Pathology
null
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single
Tufting of the terminal phalanges is seen in -
tufting of terminal phalanges more common in hyperparathyroidism ( Harrison 17 pg 2382)
2
Hypoparathyroidism
Hyperparathyroidism
Hypehyroidism
Hypothyroidism
Medicine
Endocrinology
e8576a1e-abb0-4248-aa43-56e8a3975b30
single
All are true about Madura mycetoma except
Clinical features of mycetoma include - painless multiple nodular swellings which may be suppurative and drain through sinuses, feet and lower legs are commonly affected. Bone involvement may lead to osteomyelitis and deformities. Ref: Textbook of Microbiology, Ananthanarayan and Paniker; 9th edition
2
Fungal infection
Presented as painful nodular lesion for many months
Discharging sinuses
Bone involvement seen
Microbiology
mycology
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multi
Hypercholesterolemia is commonly associated with: September 2005
Ans. D: All of the above The following medical conditions are the causes of Hypercholesterolemia: Nephrotic syndrome Obstructive liver disease Anorexia nervosa Cushing's syndrome Familial Hypothyroidism Chronic renal insufficiency Diabetes mellitus
4
Diabetes mellitus
hypothyroidism
Nephrotic syndrome
All of the above
Medicine
null
7d3a25a4-a5b9-4d21-9617-1b07a7056db2
multi
Deltoid muscle is supplied by -
Ans. is 'a' i.e., Axillary nerve NERVE SUPPLY OF MUSCLES OF UPPER LIMBDorsal scapular nerve (C5)Rhomboid minor, rhomboid major, levator scapulae musclesLong thoracic nerve (C5, 6, 7)Serratus anterior muscleSuprascapular nerve (C5, 6)Supraspinatus and infraspinatus musclesNerve to subclavius (C5, 6)SubclaviusLateral pec...
1
Axillary nerve
Upper subscapular nerve
Lower subscapular nerve
Thoracodorsal nerve
Anatomy
Back, Deltoid, and Scapular Region
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single
All the following are true about pregnancy except
Ans: a (Increased peripheral resistance) Ref: Dutta, 6th ed, p.In pregnancy due to the effect of progesterone, NO, prostaglandins or ANP there will be smooth muscle relaxation leading to decrease in systemic vascular resistance. So there is an overall decrease in diastolic BP and mean arterial BP.Changes in pregnancySk...
1
Increased peripheral resistance
Increased cardiac output
Increased stroke volume
Increased plasma volume
Gynaecology & Obstetrics
Miscellaneous (Gynae)
4e21112f-8313-441c-af33-faf1d20024b2
multi
Coical representation of body in the cerebrum is:
The primary motor coex (precentral gyrus in the frontal lobe) was mapped to show the various pas of the body and are represented (motor homunculus) with the feet at the top of the gyrus and the face at the bottom. The facial area is represented bilaterally, but the rest of the representation is generally unilateral, wi...
2
Horizontal
Veical
Tandem
Oblique
Physiology
null
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single
Experimental gingivitis was first reported by
null
4
Carranza
Newman
Robert koch
Herald Loe
Dental
null
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single
Lumpy feeling in throat relieved on taking food is attributed to ?
Ans. is 'a' i.e., Globus Pharyngeus Globus Pharyngeus Symptom where in a patient describes something stuck in throat or a sensation of lump or tightness in throat which is relieved by taking food or talking.
1
Globus pharyngeus
Pharyngeal pouch
Diveicular disease
Esophageal atresia
ENT
null
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single
Clinical feature of minimal change glomerulonephritis are all except -
Minimal change disease -clinical features are Abrupt onset of edema Severe Hypoalbuminemia selective proteinuria -urine predominantly contains albumin with minimal amounts of higher molecular weight protiens. Less common clinical features include-hypeension ,microscopic hematuria ,atopic or allergic symptoms and decrea...
3
Hypeension
Edema
Non Selective proteinuria
Fever
Medicine
Kidney
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multi
About O2 dissociation curve, true is
The affinity of Hb F for oxygen and carbon dioxide:The affinity of Hb F for oxygenThe affinity of Hb F for carbon dioxide1. Affinity for oxygen in case of HbF is more than that of HbA, i.e., it can take more oxygen than HbA at low oxygen pressure due to poor binding of 2,3 DPG by the gamma polypeptide chain.2. Because ...
3
Affinity of O2 with Hb decreases as Hb attaches to O2 in linear fashion
1 Hb attaches to 2 molecules of 2,3 DPG
O2 affinity will be equal in both HbF and HbA in the absence of 2, 3DPG
Carboxy Hb increases releases of O2 in blood (shift O2 dissociation curve to right)
Biochemistry
Metabolism of carbohydrate
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multi
Which of the following functions is associated with the oncogenic L 'MYC' in lung cancer -
null
3
Protein kinase
GTP binding protein
Nuclear binding protein
Growth factor
Pathology
null
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single
Apoptosis can occur by change in hormone levels in the ovarian cycle. When there is no fertilization of the ovum, the endometrial cells die because:
null
1
The involution of corpus luteum causes estradiol and progesterone levels to fall dramatically
LH levels rise after ovulation
Estradiol levels are not involved in the LH surge phenomenon
Estradiol inhibits the induction of the progesterone receptor in the endometrium
Gynaecology & Obstetrics
null
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multi
A lesion involving C8 nerve root will affect:
C8 nerve root supplies -1. Wrist (and Finger) flexors and2. Small muscles of hand Note: Small muscles of hand are supplied by C8; T1, More precisely T1. Supinators - C6 Wrist (and Finger) extensors--C6(7) Wrist (and Finger) flexors--C7(8) Intrinsic muscles of hand--C8; T1
2
Extensors of wrist and fingers
Flexors of wrist and fingers
Small muscles of hand
Supinators
Anatomy
Nerve supply, Nerve Lesions
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multi
Amber codon is:
Terminator Codons/Stop Codons/Nonsense Codons UAG --- Amber UGA --- Opal UAA --- Ochre Exceptions UGA can be recoded to Selenocysteine. UAG can be recoded to Pyrrolysine. UGA codes for Tryptophan in mitochondrial DNA. Reference- Harper 30th edition Pg- 415
2
UAA
UAG
UGA
UAC
Biochemistry
null
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single
A 56-year-old chronic smoker, mass in bronchus resected. What is the possible marker-
Squamous cell carcinoma is most commonly found in men and is closely correlated with a smoking histoty. Histologically, it is characterized by keratinization and intracellular bridges. Cytokeratin is a marker for keratinizing cells.
1
Cytokeratin
Vimentin
Epithelial membrane Cadherin
Leukocyte
Pathology
null
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single
Euryblepharon is?
Euryblepharon : Unilateral or bilateral horizontal widening of palpebral fissure. Usually a/w lateral canthal malposition and lateral ectropion
2
Full-thickness triangular gap in tissue of the lids
Unilateral or bilateral horizontal widening of palpebral fissure
Small eyelids
Failure of lid to develop
Ophthalmology
Lacrimal Apparatus and Eyelid Disorders
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multi
Following are the various causes of edema except:
Approximately 60% of lean body weight is water, two-thirds of which is intracellular. Most of the  remaining water is found in extracellular compartments in the form of interstitial fluid; only 5% of the body’s water is in blood plasma.  As noted earlier, edema is an accumulation of interstitial fluid within tissues.  ...
4
Increase in hydrostatic pressure
Decreased colloid osmotic pressure
Due to lymphatic obstruction
Decrease in intravascular pressure
Pathology
null
125df560-d31d-4400-8ee5-9650e2da4d77
multi
Eutectic mixture of local anaesthetic (EMLA) cream is -
Ans. is 'b' i.e., Lidocaine 2.5% + Prilocaine 2.5% o Eutectic mixture of local anesthetics (EMLA) is unique topical preparation which can anaesthetize intact skin. It is a mixture of 2.5% lidocaine and 2.5% prilocaine.
2
Bupivacaine 2.0% + Prilocaine 2.5%
Lidocaine 2.5% + Prilocaine 2.5%
Lidocaine 2.5% + Prilocaine 5%
Bupivacaine 0.5% + Lidocaine 2.5%
Pharmacology
null
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single
Which of the following is seen in Wilson disease?
In Wilson disease, low serum ceruloplasmin and high urinary copper seen.
2
High ceruloplasmin
Low ceruloplasmin and high urinary copper
Low serum copper
Low urinary copper
Pediatrics
null
0c555885-76a1-405d-bb08-1b23ed633866
single
Acute non suppurative otitis media in adults is due to -
A high incidence of NPC (Nasopharyngeal Carcinoma) in Souct East Asia and Southern China correlates with the high incidence of OME (Otitis Media with Effusion) in adults in these regions.” Scotts Brown 7/e, vol 3 p. 3389 "Presence of unilateral serous otitis media in an adult should raise suspicion of nasopharyngeal gr...
4
Allergic-rhinitis
URTI
Trauma
Malignancy
ENT
null
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multi
The physical properties of the compacted gold(restoration) are probably more greatly influenced by:
There is no evidence that the differences in physical properties among the various forms of gold are clinically significant. The physical properties of the compacted gold (restoration) are probably more greatly influenced by the competence of the dentist in manipulating and placing the gold material.   Ref:   Phillip’s Sc...
1
Competence of the dentist in manipulating and placing the gold material
Hardness of the gold used for filling the prepared cavity
Physical properties of various types of gold used for filling the prepared cavity
None of the above
Dental
null
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multi
The following are indications for performing thoracotomy after blunt injury of the chest, except -
null
4
1000 ml drainage after placing intercostal tube
Continuous bleeding through intercostal tube of more than 200 ml/hour for three or more hours
Cardiac tamponade
Rib fracture
Surgery
null
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multi
Nux Vomica is -a) Vegetable poison containing atropineb) Seed containing poisonc) Used as a cattle poisond) Used to induce vomiting in poison
Nux vomica seeds contain strychnine. Strychnine is used as a respiratory stimulant, rodenticide, cattle poison, and for killing stray dogs.
4
a
c
ac
bc
Forensic Medicine
null
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single
A 43-year-old woman complains of fatigue and night sweats associated with itching for 2 months. On physical examination, there is diffuse nontender lymphadenopathy, including small supraclavicular, epitrochlear, and scalene nodes. CBC and chemistry studies (including liver enzymes) are normal. Chest x-ray shows hilar l...
The long-term nature of these symptoms, the fact that the nodes are nontender, and their location (including scalene and supraclavicular) all suggest the likelihood of malignancy. Although infectious mononucleosis and toxoplasmosis can cause diffuse lymphadenopathy, these infections are usually associated with other ev...
1
Excisional lymph node biopsy
Monospot test
Toxoplasmosis IgG serology
Serum angiotensin-converting enzyme level
Medicine
Oncology
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multi
Decreased ovulation / impaired ovulation casued by :
Ans.is D.)All i.e: Minipill (progesterone only pill); IUCD; and Norplant Norplant offers long-term contraception through the use of subdermal capsules filled with levonorgestrel. The six capsules are implanted in the inside pa of the upper arm. The levonorgestrel is released from the capsules gradually, providing contr...
4
Minipill (prgesterone only pill)
IUCD
Norplant
All
Gynaecology & Obstetrics
null
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multi
Which of the following conditions characterised by episodes of excessive and uncontrolled eating -
null
2
Anorexia nervosa
Bulimia nervosa
Body dysmorphobia
All of the above
Psychiatry
null
80803838-c436-48f8-bd2c-fee4a382a310
multi
The predominant isoenzyme of LDH in the cardiac muscle is
Lactate dehydrogenase (LDH) is a tetrameric enzyme consisting of two monomer types: H (for hea) and M (for muscle) that combine to yield five LDH isozymes: HHHH (I1), HHHM (I2), HHMM (I3), HMMM (I4), and MMMM (I5).Isozyme I1 predominates in hea tissue and isozyme I5 in the liver. Thus, when LDH levels rise in blood pla...
1
LDH - 1
LDH - 2
LDH - 3
LDH - 5
Microbiology
All India exam
24cfcec2-53c9-458a-ab12-dbcaa813212e
single
A person experiences throbbing pain at night. It is due to
null
1
Acute pulpal degeneration
Acute periodontal abscess
Chronic pulpitis
Cellulitis
Pathology
null
64f96b89-1f2c-4a0a-944a-8fe05a5891d1
single
What is the size of paicle is rapid sand filter?
The effective size of the sand paicle is 0.4-0.7 mm in case of the rapid sand filter and 0.2-0.3 mm in case of the slow sand filter. (PARK TB 25th edition pg 774)
4
0.1 mm
0.2
0.5
0.4 to 0.7 mm
Social & Preventive Medicine
Environment and health
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single
Regulation of blood flow is maintained by
(Refer: Ganong's Review of Medical Physiology 24thedition, pg no: 570-572, 577)
4
Aeries
Venules
Capillaries
Aerioles
Anatomy
All India exam
869c5c34-e9ab-4533-8b39-7923074198ea
single
Reservoir of plagu e is -
Ans. is -b' i.e., Wild rat Life cycle of plague bacilliReservoir of infection - Wild rodent (Tetra indica)Vector - Rat flea{Xenopsvlla cheopis in north IndiaXenopsylla astia in south India Modes of transmissionCommensalrats(Rattus rattus)|Rat flea|Man(Most common mode)Wild rodents|Wild rodent flea|Man|Wild rodents (Tet...
2
Domestic rat
Wild rat
Rat flea
Man
Microbiology
Yersinia
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single
Which of the following is true of fat embolism -
symptomatic fat embolism syndrome characterized by pulmonary insufficiency, neurologic symptoms, anemia, thrombocytopenia, and a diffuse petechial rash, which is fatal in 10% of cases. Clinical signs and symptoms appear 1 to 3 days after injury as the sudden onset of tachypnea, dyspnea, tachycardia, irritability, and r...
1
Thrombocytopenia
Macroglobulinemia
Prothrombin time increased
Fat globules in urine
Pathology
General pathology
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multi
Which of the following is an ionotropic receptor?
Nicotinic cholinergic receptor- Ionotropic receptor Muscarinic cholinergic receptor- G-protein coupled receptor Glucocoicoid receptor- Intracellular receptor Insulin receptor- Enzymatic receptor
2
Muscarinic cholinergic receptor
Nicotinic cholinergic receptor
Glucocoicoid receptor
Insulin receptor
Pharmacology
Pharmacodynamics
406db337-2a68-47c2-9441-61ba2a338916
single
False regarding levels of cardiac biomarkers following ischemic injury to the heart
Answer: b) Troponin returns to normal in three days (HARRISON 19TH ED, P-1600)SERUM CARDIAC BIOMARKERSCKCardiac Troponins* CK-MB - most sensitive early marker (but overall less sensitive than troponin), but not specific* Starts to rise within 4-12 hrs, peaks at 24 hrs, falls to normal in 48-72 hrs* CK(but not CK-MB) al...
2
Troponin peaks earlier than CK-MB
Troponin returns to normal in three days
CK-MB is less sensitive than troponin
CK-MB returns to normal in 48-72 hours
Medicine
C.V.S.
4b75fd9d-b247-4b52-9aa9-f69d0e69b548
multi
Which of the following is a membrane-bound enzyme that catalyzes the formation of cyclic AMP from ATP?
An enzyme that catalyzes the conversion of adenosine triphosphate (ATP) to cyclic adenosine monophosphate (cAMP) and inorganic pyrophosphate (PPi ).It is activated by the attachment of a hormone or neurotransmitter to a specific membrane-bound receptor.Ref: DM Vasudevan, 7th edition, page no: 504, 506
4
Tyrosine kinase
Polymerase
ATP synthase
Adenylate cyclase
Biochemistry
Endocrinology
6c253265-bd34-4fe3-a4bc-0f0424953617
single
A 3 week old child presented to the pediatrician with meningitis. A presumptive diagnosis of late onset of a perinatal infection was made. The CSF culture was positive for gram positive bacilli. Which of the following characteristic of this bacteria would be helpful in differentiating it from other bacteria agents?
(D) Motility at 25degC # Common causes of Meningits according to age are;> First 2 months of life: Group B and D streptococci (Streptococcus agalactiae) Gram negative enteric bacilli (Escherichia coli) Listeria monocytogenes H. influenzae (type b & non-encapsulated strain) - Rare> 2 months to 12 years of age: S. pneumo...
4
Ability to grow on Blood agar
Ability to produce catalase
Fermentative attack on sugars
Motility at 25degC
Microbiology
Misc.
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single
A one year old child preents with sho stature, lethargy, & constipation. Clinical examinaton shows a palpable goiter. Laboratory investigations revealed a low T4 and elevated TSH which of the following is the most likely diagnosis.
Ans is 'a' i.e., Thyroid Dyshormonogenesis o This child has :? i) Thyroid swelling ii) Low T4 & High TSH iii) Abnormal weight gain and poor activities o All these suggests the diagnosis of congenital hypothyroidism due to thyroid disorder (In hypothalamic diseases, TSH levels will be low). o The most common cause of no...
1
Thyroid Dyshormonogenesis
Thyroid Dysgenesis
Central Hypothyroidism
TSH Receptor Blocking Antibody
Pediatrics
null
4a3a0d33-1a1e-4912-94e7-e1e4ee4e65ba
single
Most common malignant tumor of nose is
Squamous cell carcinoma constitutes 80% of all malignant neoplasms of the nasal cavity. It may arise from vestibule, lateral wall of the nasal cavity or anterior pa of the nasal septum. Most of them are seen in men above 50 years of age. Ref: Textbook of diseases of ENT; PL Dhingra; 7th edition, pg no. 229
1
Squamous cell carcinoma
Basal cell carcinoma
Malignant melanoma
None of the above
ENT
Nose and paranasal sinuses
5522c86f-be7b-49e9-bded-8d4e84544ac1
multi
Thinnest part of lens is?
ANSWER: (B) Posterior poleREF: Cataract and refractive surgery: Volume 1; Volume 1 by Thomas Kohnen (Dr. med.), Thomas Kohnen, Douglas D. Koch page 134, Age-Related Changes Of The Human Eye by Carlo Cavallotti, Luciano Cerulli page 68In all age groups, the thinnest part of the lens capsule was found at the posterior po...
2
Anterior pole
Posterior pole
Posterior capsule
Apex
Ophthalmology
Miscellaneous (Lens)
3721ab84-d625-462b-a8c1-c3ba9b492d69
single
A 50-year-old woman complains of weakness, profuse watery diarrhea, and crampy abdominal pain. She reports a 10-lb weight loss. Her serum potassium is 2.8 mEq/L. Select the most likely diagnosis.
WDHA or vasoactive intestinal polypeptide (VIPoma) is characterized by voluminous diarrhea, 5 L or more daily, rich in potassium, which looks like watery tea. The diarrhea is secretory and if refractory to antidiarrheal agents. Patients are weak, with metabolic acidosis and hypokalemia. Octreotide decreases diarrhea vo...
1
Watery, diarrhea, hypokalemia, and achlorhydria (WDHA) syndrome
Somatostatinoma
Glucagonoma
Insulinoma
Surgery
Pancreas
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single
A malignant tumor of childhood, that metastasizes to bones most often, is -
Ans. is 'b' i.e., Neuroblastoma `Metastasis present in 60-70% of children at time of diagnosis are usually to the skeleton, characteristically to the facial bones and the skull and to the bone marrow and nodes'
2
Wilm's tumor
Neuroblastoma
Adrenal gland tumors
Granulosa cell tumor of ovary
Pediatrics
null
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single
Kaagener's syndrome includes all of the following except
Kaagener's syndrome is associated with situs inversus ,sinusitis,and bronchiectasis Ref Harrison 19th edition pg 1695
4
Situs inversus
Bronchiectasis
Sinusitis
Cystic fibrosis
Anatomy
Respiratory system
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multi
Complete apneusis will result if transection is done at:September 2011
Ans. A: Lower PonsAn area in lower pons is referred to as apneustic centre and the activity of the neurons of this area is inhibited by afferents in the vagus nerve from the airway and lungsIf yogi are cut, arrest of respiration occurs in inspiration, called apneusisApneustic centerSituated in the lower ponsIt promotes...
1
Lower Pons
Lower Medulla
Midbrain
Cerebellum
Physiology
null
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single
Treatment of choice for annular pancreas is -
Ans B Reference Sabiston Textbook of Surgery. 20th edition. Annular pancreas results from aberrant migration of the ventral pancreas bud which leads to circumferential or near-circumferential pancreas tissue surrounding the second portion of the duodenum This abnormality may be associated with other congenital defects,...
2
Division of pancreas
Duodeno-duodenostomy
Duodeno-jejunostomy
Roux-en-Y loop
Surgery
Pancreatic Vascular Anatomy and Innervation
16d5a54e-fb3a-4453-8caa-f6ec9a909d62
single
The penicillin G preparation with the longest duration of action is :
null
1
Benzathine penicillin
Sodium penicillin
Potassium penicillin
Procaine penicillin
Pharmacology
null
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single
Dementia in ICD 10 is classified under
ICD CHAPTERS ICD is a text book for classification of psychiatric disorders. The below table comprises chapter numbers dealing with various psychiatric disorders. Ref.Kaplon and Sadock, synopsis of Psychiatry, 10th edition
1
F00
F10
F20
F30
Anatomy
General anatomy
aa0a4737-eed2-4bcd-ac64-ccae94781100
single
Mechanism of action of fibrates in treatment of hyperlipidemia is ?
Ans. is 'a' i.e., Activator of lipoprotein lipase
1
Activator of lipoprotein lipase
PPAR alpha agonist
Decreased synthesis of VLDL
Inhibitor of CETP
Pharmacology
null
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single
A 25 yr old male is found unconscious . In the ER , ABG is performed and reveals :pH - 7.25, PCO2- 60, PO2- 65 and HCO3 -26. What is the diagnosis?
- pH. 7.25 (acidosis) , PCO2 - 60 (raised ) , HCO3- 26 (normal) - Respiratory acidosis HCO3 is Normal so respiratory acidosis uncompensated
1
Respiratory acidosis uncompensated
Respiratory alkalosis compensated
Metabolic acidosis uncompensated
Metabolic alkalosis compensated
Medicine
ABG Analysis Simplified
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single
Secular trend in Influenza due to
null
1
Antigenic shift
Antigenic drift
Endemicity
None of the above
Social & Preventive Medicine
null
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multi
Rope seen as snake is an example of -
Ans. is 'a' i.e., Illusion o Illusions are altered perception in which a real external object is combined with imagery to produce false internal percept. In simple w ords, illusion is misinterpretation of an actual sensory input For example: -Hearing once name in a train whistle : - Train whistle is a real external sti...
1
Illusion
Hallucination
Delusion
Pseudohallucination
Psychiatry
Symptoms & Signs
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multi
Refraction at anterior surface cornea is maximum because
.
2
Anterior surface of cornea has smaller curvature
There is greater difference between refractive indices of air & cornea
It is avascular transparent tissue
All of the above
Pathology
All India exam
a6c8b9d9-e7a9-44e0-b2d7-f5a7977f1cb2
multi
Which one of the following is not performed in Lichtenstein tension free hernioplasty?
null
3
High ligation of indirect hernia sac
Mesh sutured to the conjoint tendon and inguinal ligament
Conjoint tendon sutured to inguinal ligament
Spermatic cord is placed in two tails of the internal ring
Surgery
null
325da761-98ed-494a-b433-74a880a03ac7
single
The splenic artery usually follows a tortuous course along which of the following structures?
- The splenic artery, the largest branch of the celiac trunk, follows a tortuous course posterior to the omental bursa, anterior to the left kidney, and along the superior border of the pancreas
3
Left kidney
Greater curvature of the stomach
Pancreas
Transverse colon
Unknown
null
260ceef5-5d5b-4677-a98c-2bebe38f874a
multi
lactose in per 100 grams of breast milk -
Ans. is 'd' i.e., 7.5 Nutritive value of milks compared (value per 100 grams) BuffaloCowGoatHumanFat(g)6[?]54[?]14[?]53[?]4Protein(g)4-33[?]23[?]31[?]1Lactose(g)51444[?]67[?]4Calcium(mg)21012017028Iron(mg)0[?]20[?]20[?]3 Vitamin C(mg)1213Minerals(g)0[?]80[?]80[?]80[?]1Water(g)81[?]08786[?]888Energy(kcal)117677265
4
3.4
4.4
5.1
7.5
Social & Preventive Medicine
Nutrition and Health
be53b0f1-156c-4d00-9771-5124d21cae79
single
For international comparison, the WHO expert committee defines ‘still birth’ as birth of dead and under weight of fetus more than _____
null
4
500
2000
1500
1000
Social & Preventive Medicine
null
e52d5462-faa2-4d8a-8c0b-d877b9ab53c5
single
Beta 2 agonist used in rescue therapy in acute respiratory conditions are all except -
Ans. is 'd' i.e., Ketotifen BronchodilatorsDrugs reducing inflammationa) b2 SympathomimeticsLeukotriene antagonistsMast cell stabilizersCorticosteroidsAnti-IgE antibodyo Salbutamolo Terbutalineo Montelukasto Sodium cromoglycatea) Systemico Omalizumabo Bambuteralo Salmeterolo Zafirlukasto Ketotifeno Hydrocortisone o For...
4
Terbutaline
Salbutamol
Bambuterol
Ketotifen
Pharmacology
Asthma
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multi
A 25 year old patient complains of Crushing chest discomfort for 45 minutes, no significant medical history. ECG is normal. His chest pain improved with sublingual nitroglycerin diagnosis is
DES → Chest pain simulate that of MI Pain can be precipitated by drinking cold liquids.
1
Diffuse esophagial spasm
Myocardial infarction
Anxiety attack
scleroderma
Medicine
null
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single
Average hospital waste produced per bed per day in Government hospital –
The solid wastes generated in hospital and nursing homes generally varies as follows : 1/2 to 4kg/bed/day - Govt. hospital 1/2 to 2kg/bed/day - Private hospital 1/2 to 1kg/bed/day - Nursing home. Out of all these 45-50% of the wastes are infectious.
2
1–5-2.0 kg
0.5–4 kg
0.5–1 kg
0.5–2 kg
Social & Preventive Medicine
null
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single
Unilateral injury to hypoglossal nerve leads to all, EXCEPT?
Hypoglossal nerve is not involved in the transmission of taste sensation.General sensation from anterior 2/3rd of tongue is carried by lingual nerve, taste sensation is carried by chorda tympani a branch of facial nerve. Glossopharyngeal nerve carries both taste and general sensation from posterior 1/3rd of tongue. Pos...
3
Hemiatrophy of involved side
Detion of tongue towards the same side
Loss of taste sensation over the opposite half of the tongue
Fasciculation of the tongue
Anatomy
null
5b52d6a7-c4d5-44fd-a817-4c6d8782aedb
multi
Most likely affected organ in Mayer Rokitansky Kuster Hauser syndrome is
Mayer-Rokitansky-Kuster-Hauser syndrome includes vaginal agenesis with variable mullerian duct abnormalities accompanied in some cases by renal, skeletal, and auditory abnormalities.Berek and Novak&;s Gynecology; 15th edition; Chapter 30; Amenorrhea
2
Ovary agenesis
Vaginal agenesis
Fallopian tubes absent
Bicornuate uterus
Gynaecology & Obstetrics
Infertility
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multi
Commonest site of peptic ulcer is -
Ans. is 'a' i.e., 1st pa of Duodenum Duodenum, 1st poion Stomach, usually antrum At the gastro - esophageal junction, in the setting of gastroesophageal reflux or Barrett's esophagus Within the margins of a gastrojejunostomy In the duodenum, stomach or jejunum of patients with Zollinger-Ellison Syndrome Within or adjac...
1
Ist pa of duodenum
IInd pa of duodenum
Distal 1/3 of stomach
Pylorus of the stomach
Surgery
null
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single
The only valid method to assess periodontal regeneration is
Clear evidence of a new attachment apparatus can be determined only by histologic analysis of tissue blocks obtained from the healed area.
4
Radiographic analysis
Clinical attachment level
Reentry operation
Histologic analysis
Dental
null
89fb67b4-203a-4d76-adf1-2b36b632747f
single
All of the following imaging finding is diagnostic of Adenomyosis
CT - is insensitive for adenomyosis. Presence of calcifications strongly favours fibroids rather than adenomyosis.
4
Thickness of low signal intensity junctional zone >12mm on T2 - weighted images.
Rain shower appearance of myometrium with coarsened echotexture.
Linear striations and subendometrial echogenic nodular appearance on USG.
Calcifications seen on CT - Scan.
Gynaecology & Obstetrics
null
e52e446a-d984-4161-a0da-9e1c52f9ffb2
multi
Best confirmation for pregnancy at six weeks?
Ans. is a, i.e. USG for cardiac activityRef. Dutta Obs. 7/e, p 147With transvaginal scanning, cardiac activity is reliably seen in the uterus by 6 weeks, and by TAS cardiac activity by 7 weeks, cardiac activity confirms pregnancy.The level of hCG are not the best confirmatory test for pregnancy as hCG in plasma and uri...
1
USG for cardiac activity
Doppler
Estimation of serum beta-hCG in urine
Bimanual palpation
Gynaecology & Obstetrics
Diagnosis in Obstetrics
b9f7e052-05cd-4e9b-b81c-d1b26e75a569
single
Fracture mandible with edentulous jaw is best treated with -
• Condylar neck is the weakest part of the mandible and MC site of fracture • Mandible may fracture directly at the point of the blow • Indirectly where the force from the blow is transmitted and the mandible fractures at a point of weakness distant from the original blow, known as ‘guardsman’ fracture. • ‘Butterfly’ f...
1
External fixator
Minerva-plaster
Interdental wiring
Intermaxillary elastic traction
Surgery
null
2190ef79-4208-478b-a45a-c9bcca834892
single
Middle segment pancrectomy avoided in
.95% subtotal pancreatectomy. * Distal pancreatectomy--Spleen, body and tail of the pancreas are removed--Child's operation. * Puestow's operation--As the duct is dilated more than 8 mm, duct can easily be opened longitudinally. After removing all stones from the duct, it is anastomosed to the jejunum as Roux-en-Y anas...
2
Cystadenoma
Tumors of head of pancreas
Tumors of tail of pancreas
Tumor of neck of pancreas
Surgery
G.I.T
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single
Moth eaten alopecia is seen with:
null
2
Leprosy
Syphilis
Fungal infection
Cylindroma
Surgery
null
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single
A 24-year-old woman is pregnant at 14 weeks with her first baby. She feels well and the pregnancy is uncomplicated. Routine screening is positive for chronic viral hepatitis for which perinatal transmission is of major epidemiologic significance.For the above patient with viral hepatitis, select the most likely viral a...
In neonates, the transmission of hepatitis B results in a 90% probability of developing chronic infection. The ongoing infection (often resulting in hepatoma) is a major cause of morbidity and mortality in many parts of the world.
2
hepatitis A virus
hepatitis B virus
hepatitis C virus
hepatitis D virus
Medicine
G.I.T.
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multi
Malignancy in a multinodular goiter is most often: September 2012
Ans. A i.e. Follicular carcinoma Thyroid carcinoma Rarest: Anaplastic Ca Worst prognosis: Anaplastic Ca Best prognosis: Papillary Ca Associated with MEN II: Medullary Ca Developing in thyroglossal cyst: Papillary Ca Least malignant: Papillary Ca Developing in Hashimoto's thyroiditis: Papillary Ca MC type: Papillary Ca ...
1
Follicular carcinoma
Papillary carcinoma
Anaplastic carcinoma
Medullary carcinoma
Surgery
null
3ac9cf4a-484b-4d0d-974e-12143c3449c3
single
Tyrosine is synthesized from-
Ans. is 'b' i.e., Phenylalanine o Phenylalanine metabolism is initiated by its oxidation to tyrosine which then undergoes oxidative degradation.
2
Tryptophan
Phenylalanine
Histidine
Methionine
Biochemistry
Amino Acid Metabolism
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single
Breast conservation surgery is indicated in one of the following conditions -a) T1 breast tumorb) Multicentric tumorc) Extensive in situ cancerd) T4b breast tumor
null
4
a
bc
ad
ac
Surgery
null
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single
All of the following investigations are used in FIGO staging of carcinoma cervix except :
Investigations permitted by FIGO for clinical staging of Cervical cancer Examination under anaesthesia to assess parametrial and rectal spread Barium enema Proctoscopy Sigmoidoscopy Cytoscopy Intravenous Pyelogram Chest and Skeletal X-rays Reference : Textbook of Gynaecology; Sheila balakrishnan; 2nd edition; Pg no: 26...
1
CECT
Intravenous pyelography
Cystoscopy
Proctoscopy
Gynaecology & Obstetrics
Gynaecological oncology
a5a560eb-6ef0-4d53-9993-905bcfd00abf
multi
About Pneumocystis pneumonia the true statement is:
Pneumocystis jirovecii is a fungus responding to Cotrimoxazole. It causes opportunistic pneumonia in patients with HIV infection.  The most common radiology finding is a normal X-ray chest.  However, the most typical X-ray is  a bat wing distribution of infiltrates with pneumocysts in peripheral fields.  Steroids are c...
2
The causative organism is a protozoan
Drug of choice is Trimethoprim-Sulfamethoxazole (Cotrimoxazole)
Most common radiological appearance is a bat wing distribution of infiltrates with pneumocysts in peripheral fields
Steroids have no role in the therapy of Pneumocystis pneumonia
Medicine
null
ec1f5df6-63df-4f69-835e-0cb8852b0501
multi
Phosphate test is used to check -
<p> Pasteurization of milk:- Heating of milk to such temperatures and for such periods of time as are required to destroy any pathogens that may be present while causing minimal changes in the composition, flavour and nutritive value. Methods of pasteurisation:- 1. Holder method- milk is kept at 63-66 deg C for at leas...
4
Specific gravity of milk
Bacteriological quality of milk
Fat content of milk
Pasteurization of milk
Social & Preventive Medicine
Nutrition and health
2a1d90fb-20e8-46b1-ae38-c1ddec88845f
single
Best test for assessment of iron status is -
<p>In the development of anemia , firstly storage iron(ferritin) depletion occurs during which iron reserves are lost without compromise of the iron supply for erythropoiesis. So it is the best test for assessment of iron status .</p><p>Reference :Harsh mohan textbook of pathology sixth edition pg no 299 </p>
2
Transferrin
Ferritin
Serum iron
Hemoglobin
Medicine
Haematology
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single
The central nebular corneal opacity is easily treated with -.
Nebular corneal opacity. It is a faint opacitywhich results due to superficial scars involvingBowman's layer and superficial stroma . A thin, diffuse nebula covering thepupillary area interferes more with vision than thelocalised leucoma away from pupillary area.Fuher, the nebula produces more discomfo topatient due to...
1
Phototherapeutic keratectomy
Penetrating keratoplasty
Gas permeable contact lens
Soft contact lens
Ophthalmology
Cornea and sclera
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single
Laudanosine is a metabolite of:
Ans. (A) Atracurium(Ref: Miller 7th/e p880)Both atracurium and cis-atracurium are eliminated by Hoffman's elimination. Atracurium is also metabolized by liver to some extent and result in production of a metabolite, laudanosine that can cause CNS toxicity including seizures. On the other hand cis-atracurium is almost c...
1
Atracurium
Cis-atracurium
Pancuronium
Vecuronium
Pharmacology
Anaesthesia
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single
All of the following statements about Androgen Insensitivity Syndrome are true, except:
Androgen Insensitivity Syndrome is characteristically associated with scanty or no pubic hair and not abundant pubic hair. Patients have a XY genotype with absence of ovaries and a sho vagina. Ref: Shaw's Textbook of Gynaecology; 13th edition, Pages 105 and 279; Hormones, Brain, and Behavior, Volume 5 edited by Donald ...
2
Patients have an XY genotype
Pubic hair are abundant
Ovaries are absent
Sho vagina may be present
Gynaecology & Obstetrics
null
4876c1d3-8486-4de2-9e22-f494a8b963ed
multi
Which of the following statements is true of hereditary spherocytosis (HS)?
Discussing the options about HS - a. TRUE D/t chronic hemolysis, pigmented stones are formed in gall bladder. b. FALSE In newborns, Spherocytosis & reticulocytosis are frequently minimal or absent c FALSE Hemolysis in hereditary spherocytosis is mainly extravascular d. FALSE 75% cases of HS have autosomal dominant inhe...
1
Pigment-type of gall stones are common
Diagnosis can be made in neonatal period easily by examination of a blood film
Intravascular hemolysis is a common feature
Autosomal recessive inheritance in majority of the cases
Pathology
Hemoglobinopathies: Sickle cell anemia
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multi
Renal aery stenosis may occur in all of the following except
In PAN, renal involvement most commonly manifests as hypeension, renal insufficiency, or hemorrhage due to microaneurysms. Takayasu aeritis may cause renal stenosis.Ref: Harrison's 18/e p2375, 2796
4
Atherosclerosis
Fibromuscular dysplasia
Takayasu aeritis
Polyaeritis nodosa
Medicine
All India exam
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multi
Melanocytic marker is?
Ans. is 'b' i.e., HMB-45 Markers for melanocytes1) S-100 - 90% of tumors are positive2) HMB-45 - More specific but less sensitive than S-1003) TA-904) Tyrosinase5) Microphthalmia transcription factor 6) Melan-A
2
CD99
HMB-45
NMP-22
CA-125
Pathology
Hallmarks of Cancer
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single
Methotrexate is used in all except -
Ans. is 'a' i.e., Sickle cell anemia Methotrexate in Rheumatoid arthritisMethotrexate is now considered the first line DMARD agent for most patients with Rheumatoid arthritis.Methotrexate is effective in reducing the signs and symptoms of Rheumatoid arthritis as well as slowing or halting radiographic damage.It has rel...
1
Sickle cell anemia
Psoriasis
Rheumatoid arthritis
Ankylosing spondylitis
Pharmacology
Anti-Neoplastic Agents
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multi
A 55-year-old patient presents to you with a history of recent myocardial infarction with a 5- day hospital stay while away on a business trip. According to his repos he had mild congestive hea failure then, but is asymptomatic now with normal physical exam. You recommend which of the following medications?
(Braunwald, 15/e, pp 1323-1327.) The administration of an angiotensin conveing enzyme inhibitor has been shown to prevent or retard the development of hea failure in patients with left ventricular dysfunction and to reduce long-term moality when begun sholy after an MI. This relates to inhibition of the renin- angioten...
1
An ACE inhibitor
Digoxin
Furosemide (Lasix)
Hydralazine plus nitrates
Surgery
null
186f8e78-828c-4efe-99ee-f27d768c9964
single
All of the following are Typical Antipsychotics, EXCEPT
(A) Risperidone # TYPICAL ANTIPSYCHOTICS> Phenothiazines: Chlorpromazine (Thorazine) Fluphenazine (Prolixin) - Available in decanoate (long acting) form Perphenazine (Trilafon) Prochlorperazine (Compazine) Thioridazine (Mellaril) Trifluoperazine (Stelazine) Mesoridazine Promazine Triflupromazine (Vesprin) Levomepromazi...
1
Risperidone
Haloperidol
Chlorpromazine
Pimozide
Psychiatry
Miscellaneous
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multi
Visual acuity is: March 2012
Ans: D i.e. Ability to discriminate 2 points Some common terms Refractory power/ optical power is the ability of eye to bend light as it passes through the eye The minimum angle of resolution (MAR) is arrived at by dividing the denominator by the distance at which the letters were read The necessary increase in converg...
4
Refractive power of eye
Dividing denominator with distance at which the letters can be read on Snellen cha
Ability to increase converging power of eye
Ability to discriminate 2 points
Ophthalmology
null
a7db75f3-e41c-4cfe-9992-19c9617bc07d
single
Method of measuring blood loss is/are:
null
4
Weighing swab.
Measurement of swelling in closed fractures.
Measurement of blood clot.
All of the above.
Surgery
null
faf5b15e-2513-465d-ab97-2069f4755137
multi
Which of the following is best indicator of prognosis of soft tissue sarcoma -
Ans. is 'd' ie tumor grade "Histologic grade remains the most impoant prognostic factor for patients with sarcomas."- Schwaz "Sabiston writes - Current staging system for soft tissue sarcoma focus on histological grade of the tumor, size of the primary tumor, and the presence or absence of metastasis. Histologic grade ...
4
Tumor size
Histological type
Nodal metastasis
Tumor grade
Surgery
null
7d93c56f-5b88-4f25-b00f-3cbf872116dd
single
Complement complex that attacks cell membrane is:
The complement complex attacking the cell membrane is membrane attack complex having a composition of C56789. Action of this complex leads to entry of fluid and ions inside the cells leading to cell lysis. Complement system has three main functions:- Inflammation Opsonization Cell lysis
4
C12345
C23456
C34567
C56789
Pathology
Complement system
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single
Drugs which increase the level of theophylline include :
Drugs which inhibit theophylline metabolism and increase its plasma level are: Erythromycin Ciprofloxacin Cimetidine OCP Allopurinol Agents which induce theophylline metabolism and decrease its plasma level are : Smoking Phenytoin Rifampicin Phenobarbitone
4
Ciprofloxacin
Cimetidine
Allopurinol
All of these
Pharmacology
null
17b2c8e5-ee66-4265-9207-c85d99b6a03f
multi