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Stop codons are:
A, B, C i.e. UAA, UAG, UGA
4
UAA
UAG
UGA
All
Biochemistry
null
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multi
Addition of large amounts of platinum to a casting gold alloy will:
Platinum It increases strength and corrosion resistance. It also increases melting point and has a whitening effect on the alloy. It helps to reduce the grain size. The transformation between vapor, liquid, and solid is called the change of state. A change from the solid to the liquid state will require additional ener...
3
Decrease its strength and ability to be hardened
Decrease its tarnish resistance
Increase its fusion temperature
Redden the alloy
Dental
null
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multi
Corneal sensation is tested by which device?
ANSWER: (C) AesthesiometerREF: Khurana 4th Ed Pg 472See PLATE O -21 KEY PLATE O-21 KEYTESTING CORNEAL SENSATIONS:(B) To test the corneal sensations, patient is asked to look ahead; the examiner touches the corneal surface with a fine twisted cotton (which is brought from the side to avoid menace reflex) and observes th...
3
Pachymeter
Keratometer
Aesthesiometer
Vernier calliper
Ophthalmology
Cornea
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multi
The autonomic nervous system of the gut, Auerbach and Meissner plexus, are embryologically derived from the following structure:
Neurons in the enteric system are derived from neural crest cells originally associated with occipitocervical and sacral regions. It regulates gastrointestinal motility, secretory activity, vascular activity, and inflammation. The first group is the myenteric plexus (also called Auerbach's plexus), which is located bet...
1
Neural crest
Yolk sac
Primordial germ cell
Epithelial lining of gut
Anatomy
null
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multi
Anterior fontanelle closes at:
c. 12-20 months(Ref: Nelson's 20/e p 2792)Anterior fontanelle is a diamond-shaped structure at the junction of the frontal and parietal bones, that is open at birth and usually measures 22cm. The average time of closure is 18 mo, but the fontanelle can dose normally as early as 9 months.
3
2-3 months
4-7 months
12-20 months
24-30 months
Pediatrics
Growth, Development, and Behavior
4110c490-1515-4d32-a172-45de29f644e9
single
A 4-yr old male child presents with muscle weakness. His mother tells that her child has difficulty in climbing stairs and getting up from the floor. On muscle biopsy, small muscle fibrils and absent of dystrophin was found. what is the diagnosis out of given options?
Duchenne Muscular Dystrophy Progressive weakness Calf muscle involvement Pseudo hyperophy Difficulty in climbing stairs Gower sign present (+) Wheel chair bound Patient Death - CHF/ Pneumonia CPK MM: Increased IOC: - PCR for dystrophin gene (Dystrophin gene absent) Rx: - Chest Physiotherapy NOTE:Immunohistochemical stu...
2
Becker's muscle dystrophy
Duchenne muscular dystrophy
Myotonic dystrophy
Limb-girdle muscular dystrophy
Pediatrics
NEET Jan 2020
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Alternative for SMR:
(b) Septoplasty(Ref. Cummings, 6th ed., 481)Septoplasty is more conservative procedure than SMR and is the preferred surgery for DNS.
2
Tympanoplasty
Septoplasty
Caldwell-Luc operation
Turboplasty
ENT
Disease of External Nose & Nasal Septum
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single
The following structures do NOT have lymphatics, except
Lymph capillaries - Lymph capillaries (or lymphatic capillaries) begin blindly in tissues where they form a network. The structure of lymph capillaries is basically similar to that of blood capillaries, but is adapted for much greater permeability. There is an inner lining of endothelium. The basal lamina is absent or ...
1
Bone marrow
cornea
nail
hair
Anatomy
General anatomy
67e52582-50d2-4cb0-bb71-c44786c63686
multi
Investigation of choice for SPINAL METASTASIS?
MRI is the Investigation Of Choice for Most spinal imaging including: Spinal metastasis Spinal tumors Potts' spine Intramedullary spinal cord metastasis
1
MRI
BONE SCAN
XRAY SPINE
CT scan
Radiology
Magnetic Resonance Imaging
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single
A 2 year old female child was brough to a PHC with a history of cough and fever for 4 days with inability to dink for last 12 hours. On examination, the child was having weight of 5 kg and respiratory rate of 45/minute with fever. The child will be classified as suffering from -
As per history, the child has fever, cough and was unable to drink. The history points to very severe disease. classification of pneumonia. Fast breathing is present when the respiratory rate is : 1. 60 breaths/min or more in child < 2 months of age. 2. 50 breaths/min or more in child aged 2-12 months. 3. 40 breaths/mi...
1
Very severe disease
Sever pneumonia
Pneumonia
No pneumonia
Social & Preventive Medicine
Communicable diseases
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single
Imaging studies of a patient with a genetic disorder shows 'central dot sign' which is characteristic of:
Caroli disease (Todani type V choledochal cyst) is an autosomal-recessive disorder resulting cystic dilation of the intrahepatic bile ducts. Imaging methods show intrahepatic saccular or fusiform dilated cystic structures of varying sizes that communicate with the biliary tree. The presence of tiny dots with contrast e...
3
Primary sclerosing cholangitis
Liver Hamaoma
Caroli's disease
Polycystic liver disease
Surgery
null
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single
A 65 year old man has stools positive for occult blood which of the following is most likely location of bowel cancer
Distal colon cancers are M/C.
1
Sigmoid
Transverse colon
Appendix
Ascending colon
Medicine
null
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single
Appropriate size of oropharyngeal airways is measured from ?
Oropharyngeal airway Guedel oropharyngeal airway (used to lift the tongue above oropharynx) Take either from the midpoint of the incisor or corner of the lip to angle of the mandible Used in unconscious person; as laryngospasm can occur in conscious person by its use
2
Incisor teeth to tragus of the ear
Corner of mouth to angle of mandible
Tip of nose to angle of mandible
Ala of nose to angle of mandible
Anaesthesia
Airway
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Boundaries of upper triangular space include all except -
-        Boundaries of upper triangular space    Medial- Teres minor    Lateral- Long head of triceps    Inferior- Teres major    Content- circumflex scapular artery
3
Teres minor
Teres major
Subscapularis
Triceps
Anatomy
null
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multi
A patient with cirrhosis of liver has the following coagulation parameters, Platelet count 2,00,000, Prothrombin time 25s/12s, Activated partial thromboplastin time 60s/35s, thrombin time 15s/ 15s. In this patient -
null
1
D-dimer will be normal
Fibrinogen will be <100 mg
ATIII will be high
Protein C will be elevated
Medicine
null
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single
Quetlet index, used to assess obesity, is represented as ?
Ans. is 'c' i.e., Weight divided by square of Height
3
Weight divided by Height
Height divided by weight
Weight divided by square of Height
Height divided by square of weight
Social & Preventive Medicine
null
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single
What is the emergent management of tension pneumothorax?
Tension pneumothorax is a medical emergency.In case of tension pneumothorax,immediate release of the positive pressure by inseion of a large-bore needle into the pleural space through the second anterior intercostal space is beneficial.If the tension is not relieved,the patient is likely to die from inadequate cardiac ...
3
Chest X-ray
Emergency room thoracotomy if unstable
Immediate needle thoracostomy in 2nd intercostal space
Tube thoracostomy in 5th ICS
Medicine
Respiratory system
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single
Oxygen dissociation cure is shifted to left by all except -
Ans. is 'd' i.e., Decreased pH
4
Increased pH
Decrease PCO2
Decreased 2,3 DPG
Decreased pH
Physiology
null
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multi
Treatment for 32 years old multipara with dysfunctional uterine bleeding (DUB) is :
Ans. is a i.e. Progesterones Guys, It is very impoant to clear your facts on Management of DUB and Polymenorrhea in different age groups. You must read the question very carefully as management of Polymenorrhea and DUB is different. First lets understand the basics regarding Polymenorrhea and DUB. Polymenorrhea : It is...
1
Progesterone
Danazol
Prostaglandins
Endometrial ablation
Gynaecology & Obstetrics
null
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single
The crude death rate of a population is 8/1000. So the beds for this population must be-
.
1
4\/1000
8\/1000
10\/1000
2\/1000
Social & Preventive Medicine
Epidemiology
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single
A 39-year-old woman claims that she injured her hand at work. She asses that the pain caused by her injury prevents her from working. She has no fuher hand problems after she receives a Rs1 Lakh workers' compensation settlement. This clinical presentation is an example of
This presentation is an example of malingering, feigning illness for obvious gain (the Rs 1 lakh workers' compensation settlement). Evidence for this is that the woman has no fuher hand problems after she receives the money. In conversion disorder, somatization disorder, factitious disorder, and factitious disorder by ...
4
factitious disorder
conversion disorder
factitious disorder by proxy
malingering
Psychiatry
Neurotic, Stress Related and Somatoform Disorders
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single
All of the following are signs of good attachment during breast feeding EXCEPT:
Ans. (c) Lower areola is more visible than upperRef : OP Ghai 8th ed./154* I would suggest you to cram this question as it has been repeated multiple times and I think will be eternally as its a basic skill for managing patients.Please refer to above explanation.
3
Baby's mouth is wide open
Baby's lower lip is everted
Lower areola is more visible than upper
Baby's chin touching the breast
Pediatrics
Newborn Infant - Parent-Infant Bonding
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multi
Which of the following is not an adverse effect of amiodarone?
Adverse effects of Amiodarone: The Thyroid (both hypo and hypehyroidism) Periphery of Peripheral neuropathy My Myocardial depression Lung Lung fibrosis Liver and Liver Toxicity Cornea is Corneal microdeposits Photosensitive Photosensitivity
4
Hypehyroidism
Corneal microdeposits
Pulmonary fibrosis
Nephrotoxicity
Pharmacology
Hematology and CVS
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single
Rotigotine is ?
Ans. is 'a' i.e., Dopamine agonist Rotigotine Rotigotine is a dopamine agonist drug and is indicated in the treatment of parkinosonism. Rotigotine is intended to be delivered through transdermal patches, so as to ensure a slow and constant dosage in a 24-hour period. Side effects are--skin reaction at the patch site, n...
1
Dopamine agonist
Dopamine antagonist
GABA agonist
GABA antagonist
Pharmacology
null
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single
Flexion extension in neck occurs at -
Ans. is 'b' i.e., Atlanto-occipital joint o Atlantoaxial joint - Rotatory movement around vertical axis (Right to left and left to right movements).o Atlanto-occipitai joint - (i) Flexion-extension around transverse axis, (ii) Slight lateral flexion around antero-posterior axis.Also knowo Atlanto-occipital joint:- Medi...
2
Atlanto-axial joint
Atlanto-occipital joint
C6-C7 joint
C7-T1 joint
Anatomy
Osteology of Head and Neck
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single
Among the following muscles, the one that is found in the first layer of the sole is:
Flexor digitorum brevis
2
Adductor hallucis
Flexor digitorum brevis
Flexor digiti minimi brevis
Flexor hallucis longus
Anatomy
null
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multi
Turner's syndrome is characterized by following except:
Ans. D. Tall stature. (Ref. Harrison's 18th/pg. 3049; Chapter 349.)Turner's Syndrome (Gonadal Dxsgenesis: 45.X)# PATHOPHYSIOLOGY- Approximately one-half of individuals with Turner's syndrome have a 45,X karyotype, about 20% have 45,X/46,XX mosaicism, and the remainder have structural abnormalities of the X chromosome s...
4
Renal malformations
Primary amenorrhea
Lymphedema
Tall stature
Medicine
Genetics
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XDR means extensive drug resistance to
Ans. (d) All of the aboveRef.: K. Park 23rd ed. /199-200Definition of Extensive Drug Resistance* Resistance to both isoniazid (H) and rifampicin, and* Resistance to 1 fluoroquinolones and* Resistance to one 2nd line injectables out of 3 (kanamycin, amikacin, capreomycin).Older Definition of XDR* Resistance of isoniazid...
4
H+R
1 Fluoroquinolone
Minimum of 1 injectable drug
All of the above
Social & Preventive Medicine
Tuberculosis
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multi
Which of the following statements about Insulinoma is true:
Answer is A (Present in Pancreas): The most common site of Insulinomas is the Pancreas.
1
Present in Pancreas
Mostly malignant
Surgery is usually not required
Usually multiple
Medicine
null
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multi
Bitemporal hemianopic field defect is charactersitic of:
C i.e. Pituitary tumour
3
Glaucoma
Optic neuritis
Pituitary tumour
Retinal detachment
Ophthalmology
null
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single
A 62-year-old man develops scaling and non-scaling patches, and plaques over his chest and back. They are itchy, but not painful. The rest of the examination is normal, except for lymphadenopathy. Examinations of the blood film and skin biopsy histology, both, reveal unusually large monocytoid cells. Which of the follo...
These large cells are typical of Sezary syndrome, a leukemic form of cutaneus T-cell lymphoma (CTCL). This is frequently an early presentation of mycosis fungoides or CTCL. There may be a relationship to human T-cell lymphotropic virus (HTLV) I and II, but it is not universal. CTCL is a malignancy of helper T cells (CD...
3
leukemia
visceral B-cell lymphoma
primary cutaneous T-cell lymphoma
viral infection (usually Epstein-Barr)
Medicine
Skin
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multi
In Endometrial carcinoma, which of the following tumor suppressor gene occurs?
o PTEN is a tumor suppressor gene which is implicated in the causation of endometrial and prostate carcinoma.
3
P53
Rb
PTEN
APC
Biochemistry
null
b4c5b684-0fd0-403b-8f4f-c8b305e21192
single
Which amino acid is regarded as collector of amino groups?
First step in catabolism of amino acids is the transfer of NH3 group from amino acid to Alpha Keto- Glutarate forming Glutamate- known as Transamination. So Glutamate is regarded as collector of amino groups. Note:-The safe non-toxic form of ammonia transpo in blood from most body tissues is Glutamine. Collector is Glu...
4
Aspaate
Arginine
Cysteine
Glutamate
Biochemistry
Urea cycle
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Breast conservation surgery is contraindicated in-
Ans. is 'a' i.e., Pregnancy Conservative breast cancer managementAbsolute ContraindicationsPregnancy is an absolute contraindication to the use of breast irradiation. However, in many cases, it may be possible to perform breast-conserving surgery in the third trimester and treat the patient with irradiation after deliv...
1
Pregnancy
Axillary node involvement
Subareolar lump tnt
Large pendulous breast
Surgery
Breast Cancer - Treatments
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A child had pustular lesion on leg. On gram staining gram positive cocci are seen. To establish the diagnosis of Group A streptococcal erythroderma, the test used is?
Streptococcal erythroderma is caused by streptococcus pyogenes. Sensitivity to bacitracin is employed as a convenient method for differentiating str.pyogenes from other hemolytic streptococci. Pustule: A vesicle filled with leukocyte. Most common cause is virus. Most common bacterial cause is str.pyogenes. Str.pyogenes...
4
Bile solubility test
Novobiocin sensitivity
Optochin sensitivity
Bacitracin sensitivity
Microbiology
null
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single
The term 'recrudescence' in malaria refers to:
Ans. c. Recurrence of sexual parasitemia after completion of treatment
3
Same as relapse in P.vivax and P ovale malaria
Resistance to antimalarial drugs
Recurrence of sexual parasitemia after completion of treatment
Reinfection with the same species
Microbiology
null
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single
A male with azoospermia. On examination size of testis normal FSH normal testosterone normal. Most probable cause is
A normal level of FSH in azoospermia suggests an obstructive lesion in the vas or epididymis. High FSH may indicate primary gonadal failure.
4
MAL descended testis
Klinefelter's syndrome
Kallmann's syndrome
VAS obstruction
Gynaecology & Obstetrics
null
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multi
Reticulocytosis is not a feature of
Ref Harrison 19 th ed pg 630 Progressive CKD is usually associated with a moderate to severe hypoproliferative anemia; the level of the anemia corre- lates with the stage of CKD. Red cells are typically normocytic and normochromic, and reticulocytes are decreased.
4
Paroxysmal nocturnal hemoglobinuria
Following acute bleeding
Hereditary spherocytosis
Anemia in CRF
Anatomy
Haematology
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single
Which of the following antimicrobial agents act solely on the gram positive bacterial cell wall ?
Ans. is 'd' i.e., Vancomycin o Among the given options only vancomycin acts on cell wall.
4
Ciprofloxacin
Gentamicin
Tetracycline
Vancomycin
Pharmacology
null
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A patient presents to the emergency department with self-harm and indicates suicidal intent. Which of the following conditions does not warrant an immediate specialist assessment -
Serious physical illness, Formal thought disorders (Schizophrenia), social isolation (depression) and acute alcohol intoxication are all established risk factors for suicidal ideation / completed suicide and should be assessed by a mental health specialist. An accurate specialist assessment cannot, however, be performe...
2
Formal thought disorder
Acute alcohol intoxication
Chronic severe physical illness
Social isolation
Psychiatry
null
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Erb's paralysis involves -
Ans. is 'a' i.e., C5 C6ERB'S PARALYSISo One region of upper trunk (C? CJ of the brachial plexus is called Erb 'is point where six nerv es meet.Erb's pointo Injury at this point results in Erb's paralysis.o The injury is due to undue separation of the head from the shoulder, which may be seen in : -i) Birth injuryii) Fa...
1
C5C6
C8T1
T1T2
null
Orthopaedics
Erb's Palsy
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Retropharyngeal space extends from base of skull to:
Retropharyngeal space: It lies behind the pharynxbetween the buccopharyngeal fascia covering pharyngeal constrictor muscles and the pre vertebral fascia. It extendsfrom the base of skull to the bifurcation of trachea. Thespace is divided into two lateral compartments (spaces ofGillette) by a fibrous raphe. Each lateral...
2
Hyoid bone
Bifurcation of trachea
Angle of mandible
Cricoid cartilage
Unknown
null
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single
Dennie Morgan folds are seen in
Ans. b (Atopic dermatitis) (Ref. H - 18th/pg. 52, 52)Half of patients with Atopic dermatitis (AD) present within the first year of life, and 80% present by 5 years of age. About 80% ultimately coexpress allergic rhinitis or asthma. The infantile pattern is characterized by weeping inflammatory patches and crusted plaqu...
2
Lichen planus
Atopic dermatitis
Keratosis pilaris
Nummular eczema
Skin
Dermatitis Erythema
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The maximum ozone concentration in polluted atmosphere is dependent on the concentration and ratio of nitrogen oxides and which one of the following-
Ans. is 'c' i.e., Valate organic compounds Ground level ozone is formed from Nitrogen Oxides (NO) and valati le organic compounds (VOC), e.g., Methane
3
Carbon monoxide
Lead
Volate organic compounds
Sulphur dioxide
Social & Preventive Medicine
null
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single
All of the following causes decrease in BP except
Vasomotor discharges affect autoregulation.With sympathetic stimulation, the constant-flow, or plateau, pa of the pressure-flow curve is extended to the rightThat is, greater increases in pressure can occurSo, inhibition of vasomotor centre decreases sympathetic drive which results in decreased blood pressure. Vagal st...
2
Inhibition of vasomotor centre
Disinhibition of vasomotor center
Vagal center Stimulation
Sympathetic inhibition
Physiology
Cardiovascular system
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multi
In a case of acute exacerbation of asthma, salbutamol was given and no improvement noticed, intravenous corticosteroids and aminophylline was given and condition improved. What is the mechanism of corticosteroid in acute asthma?
ANS. ACorticosteroids has a dual effect in acute asthma with an early facilitatory effect on airway beta 2 adrenoreceptor sensitivity and a later effect on airway inflammation, which further emphasizes the need for corticosteroids to be administered as early as possible during an acute asthma attack.# Newer monoclonal ...
1
Corticosteroid increase bronchial responsiveness to salbutamol
Corticosteroids cause direct bronchodilation when used with xanthines
Corticosteroids indirectly increase the effect of xanthines on adenosine receptor
Corticosteroids increase mucociliary clearance.
Pharmacology
Asthma
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Which of the following is a negative stain:
Ans. (a) Negrosin(Ref: Bancroft's histological techniques, 7th edition)Examples of negative stain are:*Negrosin: Stains bacteria, Cryptococcus, test for viability (sperms)*India Ink: Stains Cryptococcus
1
Negrosin
Fonatana
ZN stain
Albert stain
Pathology
Histo Pathology
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single
Primigravida with full term, complains of faintness on lying down and se feels well when turns to side or sitting position. This is due to:
SUPINE HYPOTENSION SYNDROME (POSTURAL HYPOTENSION): During late pregnancy, the gravid uterus produces a compression effect on the inferior vena cava when the patient is in supine position. In 90% cases this, however, results in opening up of the collateral circulation by means of paravertebral and azygos veins. In some...
2
Increased abdominal pressure
IVC compression
Increased intracranial pressure
After heavy lunch
Gynaecology & Obstetrics
null
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Myotonic dystrophy is inherited in chromosomes -
Myotonic dystrophy is associated with a trinucleotide CTG repeat expansion on chromosome 9. This expansion affects the mRNA for the dystrophila myotonia protein kinase (DMPK). Myotonic dystrophy The characteristic feature of myotonic dystrophy is myotonia, i.e., the sustained involuntary contraction of a group of mu...
3
21
20
19
24
Pathology
null
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single
Kehr's sign seen in splenic rupture is -
null
1
Pain over left shoulder
Pain over right scapula
Periumbilical pain
Pain over renal angle
Surgery
null
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single
Deficiency of hypocretin leads to
Hypocretin is a neurotransmitter that promotes wakefulness and it's deficiency leads to Narcolepsy.
3
Somnambulism
Bruxism
Narcolepsy
Restless leg symdrome
Psychiatry
null
c5d33c87-b5e9-42f5-b878-fe3949dfc9ee
single
Which of the element is found in the active site of glutathione peroxidase for its function?
In red blood cells, the pentose phosphate pathway is the sole source of NADPH for the reduction of oxidized glutathione catalyzed by glutathione reductase, a flavoprotein containing FAD. Reduced glutathione removes H2O2 in a reaction catalyzed by glutathione peroxidase, an enzyme that contains the selenium analog of cy...
4
Chromium
Manganese
Zinc
Selenium
Biochemistry
null
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single
Pulmonary vascular resistance is reduced by:
Acutely increasing pulmonary venous pressure will raise capillary pressure and result in recruitment and distension of the capillaries. The other choices are incorrect because removing one lung greatly reduces the vascular bed, 10% oxygen breathing results in hypoxic pulmonary vasoconstriction, reducing lung volume to ...
4
Removal of one lung
Breathing a 10% oxygen mixture
Exhaling from functional residual capacity to residual volume
Acutely increasing pulmonary venous pressure
Physiology
Respiratory System Pa 1
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single
All can cause pulmonary eosinophilia except-
Trichnella does not pass through the lungs during its life cycle. The other three pass through the lungs as a pa of their life cycle. They cause Loffler's syndrome - in which eosinophils accumilate in the lungs in response to parasitic infection. Strongyloides can also cause Loffler's syndrome. Reference: Ananthanaraya...
2
Necator americanus
Trichinella spiralis
Ankylostoma duodenale
Ascaris lumbricoides
Microbiology
parasitology
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True about Standard Deviation Curve
(A) Mean = Median# STANDARD DEVIATION:> The standard deviation is the most frequently used measure of deviation. In simple terms, it is defined as 'Root -Means - Square- Deviation'.> SD is the "average" degree to which scores deviate from the mean.> More precisely, you measure how far all your measurements are from the...
1
Mean = Median
Mean = 2 X Median
Median = variance
Standard deviation = 2 variance
Social & Preventive Medicine
Miscellaneous
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multi
Paris green is a -
Paris green or copper acetoarsenite is emerald green, microcrystalline powder practically insoluble in water. Paris green is a stomach poison and to be effective it must be ingested by larvae. Paris green kills anopheles larvae as they are surface feeders. Bottom feeding larvae are also killed when applied as special g...
1
Stomach poison
Contact poison
Repellent
Rodenticide
Social & Preventive Medicine
Environment and health
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single
A patient in shock comes to you in trauma ward. You examine him and decide not to give him vasoconstrictors. Which is the type of shock your patient is having ?
Sympathomimetic drugs are indicated in all types of shock except secondary shock. In this condition, there is reflex vasoconstriction. Alpha blockers are useful in this type of shock.
3
Neurogenic shock
Haemorrhagic shock
Secondary shock
Hypotension due to spinal anaesthesia
Pharmacology
Sympathetic System
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Superior thyoid artery is a branch of -
Ans. is 'a' i.e., External carotid artery Branches of external carotid arteryFrom medial sideAscending pharyngealFrom frontSuperior thyroid arteryLingual arteryFacial arteryFrom behindOccipital arteryPosterior auricular arteryTerminal branchesSuperficial temporal arteryMaxillary artery
1
External carotid artery
Internal carotid artery
Common carotid artery
Arch of aorta
Anatomy
Head & Neck
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Hodgkin's lymphoma with lacunar cells is?
Ans. is 'b' i.e., Nodular sclerotic type Distinctive features of different types of HD1) Nodular sclerosis* It is the most common variant of HD. It is the only variant which is equally common in females and males (all other variants are more common in males). It occurs in adolescent and young adults. It frequently invo...
2
Mixed cellularity type
Nodular sclerotic type
Lymphocyte predominant type
Lymphocytic depletion type
Pathology
Neoplasia
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Crystallization and storage of insulin requires ?
Ans. is `b' i.e., Zn++ Zinc ions are essential for the formation of hexameric insulin and hormone crystallization. Following the synthesis of proinsulin, zinc promotes the formation of proinsulin hexamers and increases its solubility before conversion to insulin. Proinsulin binds 30 zinc ions, of which 2 to 4 are coord...
2
Mn++
Zn++
Cu++
Ca++
Pharmacology
null
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multi
Genital elephantiasis is caused by-
Ans. is 'b' i.e., LGV o LGV is caused by chlamydia trachomatis, serotypes L1, L2, L3. Serotype L2 is the most common cause. The clinical course of LGV consist of following three stages:-1) First stage (Primary LGV):- Self limited, Single, asymptomatic, painless, nonbleeding genital ulcer.2) Secondary stage:- Painful in...
2
Herpes genitalis
LGV
Gonorrhea
Syphilis
Skin
S.T.D.
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In MRI the field used is
MR scans are obtained by placing the patient in a static magnetic field of 0.02 to 4 tesla (T) strength.
3
0.05 tesla
100 tesla
1.1 tesla
11 tesla
Radiology
null
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Ribnotching of 4-9th ribs with double bulging is seen in :
Answer is C (Coarctation of Aoa) Rib notching and double bulge sign are characteristic radiological signs of coarcation of aoru Signs in coarctation of aoa Abnormal Aoic arch Commonest finding Site of narrowing may be seen as an identation. e Classic '3 signQ or double bulge sign' Q on left border of aoic shadow is for...
3
Aoic aneurysm
Aoic dessection
Co-arctation of aoa
Diaphragmatic hernia
Medicine
null
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ICDS does not include
null
3
Immunisation
Health education
Family planning
Nutrition
Social & Preventive Medicine
null
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The following are related to uterine souffle except :
Uterine souffle is due to increase in blood flow through the dilated uterine vessels.Reference:DC Dutta&;s Textbook of obstetrics,8th edition,page no:79
3
It is a soft blowing systolic murmur heard on the sides of pregnant uterus
The sound is synchronous with the maternal pulse
It is due to increased blood flow through the placental site
It can be heard even in a big fibroid
Gynaecology & Obstetrics
General obstetrics
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The side effect of phenytoin when its plasma concentration is above therapeutic level is :
null
1
Ataxia
Gum hypertrophy
Osteomalacia
Hirsutism
Pharmacology
null
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Apoptotic genes regulating programmed cell death type 2, autophagy is:
C i.e.BCL-2Ref: Genetic Home ReferenceExplanation:Autophagy:Autophagy is a process in which a cell eats its own contents (Greek: auto, self; phagy, eating).It involves the delivery of cytoplasmic materials to the lysosome for degradation.Autophagy is an adaptive response that is enhanced during nutrient deprivation, al...
3
p53
BAX
BCL-2
None of the above
Pathology
Cellular Pathology
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A 6-year-old boy is taken to a paediatrician because he has developed pain in his right hip. On physical examination, the doctor feels a large mass near the iliac crest. Plain X-ray films demonstrate a large lytic lesion of the ilium. MRI studies show that the tumor appears to arise in the bone, but extends into the ad...
Ewing sarcoma is the second most common type of bone tumor (after osteosarcoma) in children and adolescents. The tumor is usually a lytic bone lesion, and often both invades the medullary cavity of the bone and extends into extraosseous tissues. Grossly, the tumor is often tan-white in color and shows focal areas of he...
2
Chondrosarcoma
Ewing sarcoma
Giant cell tumor of bone
Malignant fibrous histiocytoma
Surgery
null
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multi
Best mode to control leprosy eradication programme is -
<p> Early diagnosis and treatment. Reference:Park&;s textbook of preventive and social medicine,K.Park,23rd edition,page no:321. <\p>
2
Mass chemotherapy
Early diagnosis and treatment
High risk chemotherapy
Health education
Social & Preventive Medicine
Communicable diseases
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single
Polyribosyl ribitol phosphate PRP antigen is present in the capsule of H. influenzae
Capsular polysaccharide of serotype b has PRP antigen that is also used in vaccine preparation because of it's immunogenic propey.
2
Serotype a
Serotype b
Serotype c
Serotype d
Anatomy
Bacteriology
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Lower lip blood supply:
Ans. B Labial nasal arteryRef: Gray's Anatomy 41st ed. P 498* External carotid artery gives rise to facial artery branch, which has several branches over face.* Superior labial-supplies to upper lip and antero-inferior part of nasal septum.* Inferior labial-supplies to lower lip.* Lateral nasal-to the ala and dorsum of...
2
Angular artery
Lateral nasal artery
Labial artery
Greater palatine artery
Anatomy
Neuroanatomy
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The most common accessory pathways leading to WPW syndrome is:
Answer is A (Left free wall) Left free wall accessory pathways are most common. 'Left free wall accessary pathways are most common followed by posteroseptal, right free wall and anteroseptal locations ' -'Braunwald Hea Diseases: Review & Assessment' by Lilly (2012)/Q249 The most common accessary pathway connects the le...
1
Left free wall
Posteroseptal
Right free wall
Anteroseptal
Medicine
null
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multi
Site for 1st order bone grafting -
Option a, b, c, d & e all can be used as a source of bone graft. However, most common and primary source of bone graft is iliac crest of pelvis.
1
Pelvis
Tibial metaphysis
Medial malleolus
Femoral condyle
Orthopaedics
null
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multi
Crocodile tears is due to
Crocodile tears or gustatory lacrimation is due to faulty regeneration of parasympathetic nerve fibres. Ref: Dhingra 6th edition pg. 98
4
Cross innervation of facial nerve fibers
Cross innervation of trigeminal nerve fibers
Improper regeneration of trigeminal nerve
Improper regeneration of facial nerve
ENT
Ear
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The hormone associated with cold adaption is
Thyroxine increases the metabolism.
2
Growth hormone
Thyroxine
Insulin
Melanocyte stimulating hormone
Physiology
null
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single
All of the following may occur in Down's syndrome except-
Ans. is 'b i.e., Undescended testis Undescended testis has not been described as an association with Down's syndrome.
2
Hypothyroidism
Undescended testis
Ventricular septa! defect
Brushfield's spots
Pediatrics
null
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multi
All are seen in malignant hyperthermia except –
There is tachycardia (not bradycardia).
1
Bradycardia
Hyperkalemia
Metabolic acidosis
Hypertension
Anaesthesia
null
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multi
Best diagnostic method for breast lump is ?
Ans is 'c' ie. Biopsy First investigation is -------> FNAC Best & the definitive investigation is -------> Open biopsy Preferred method -------> Core needle biopsy "Core-needle biopsy is the preferred method for diagnosis of palpable or nonpalpable breast abnormalities." - Schwaz 9/e p425 The diagnosis of breast cancer...
3
USG
Mammogram
Biopsy
FNAC
Surgery
null
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single
Lignocaine can be used in all except-
Lignocaine Injection belongs to two groups of medicines known as local anaesthetics and antiarrhythmic drugs. Local anaesthetics stop pain and feeling in the area around where it is injected; antiarrhythmic drugs work by restoring irregular and/or rapid hea beats to normal.
4
Ventricular fibrillation
Spinal Anaesthesia
Epidural Anaesthesia
Convulsion
Anaesthesia
Regional Anesthesia
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multi
Recommended contact period in chlorination -
Ans. is 'b' i.e., 1 hour Principles of chlorinationo Water should be clear and free of turbidity.o Chlorine demand of the water should be estimated, which is the amount of chlorine needed to destroy bacteria, oxidize all organic matter and neutrilize all ammonical substances present in water. The point at which the chl...
2
30 minutes
1 hour
2 hours
3 hours
Social & Preventive Medicine
Water
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single
Hyl's law is used to determine:-
Hyl's law: To detemine the sex of the sternum In males, the body is longer than twice the length of manubrium. In females, the body is shoer than twice the length of manubrium.
2
Ageing of skull
Sexing of sternum
Ageing of sternum
Sexing of skull
Forensic Medicine
Human identification
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single
The receptor through which M-tropic HIV strains bind
.
1
CCR5
CXCR4
CXCR5
Any of the above
Pathology
All India exam
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multi
All of the following are antioxidant except:September 2005
Ans. B: Vitamin BAntioxidants are a group of compounds that help to protect the body from the formation and elimination of free radicals. Free-radicals are formed from exposure to sunlight and pollution and also as a byproduct of cell metabolism. Alcohol, cigarette smoke, stress and even diet also affect the level of f...
2
Vitamin A
Vitamin B
Vitamin C
Vitamin E
Social & Preventive Medicine
null
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multi
A six year old male baby presents to a hospital with recurrent gross hematuria for 2 years. There is no h/o burning mictuition or pyuria. Urine routine examination domonstrated no pus cells and urine culture was sterile. Serum c3 levels were normal. What is the most Probable diagnosis -
Wilms' tumor, also known as nephroblastoma, is a cancer of the kidneys that typically occurs in children, rarely in adults.It is named after Max Wilms, the German surgeon (1867-1918) who first described it Wilms' tumor has many causes, which can broadly be categorized as syndromic and non-syndromic. Syndromic causes of...
1
Wilm's tumour
IgA nephropathy
Post-strepcoccal glomerulonephritis
Urinary tract Infection
Medicine
Kidney
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single
Which of the following hazardous chemical is used as anti-knocking agent in gasoline:
Another prominent lead product was tetraethyl lead, a gasoline additive invented in 1921 to solve "knocking" problems that had become commonplace with the development of high compression engines operating at high temperatures. Soon after reaching its peak 50 years later, the use of this lead compound declined as the in...
3
Arsenic
Asbestos
Lead
Mercury
Social & Preventive Medicine
null
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single
Maximum rise in Prolactin levels is seen with:
Risperidone is the single most likely Atypical Antipsychotic associated with a high likelihood of inducing Hyperprolactinemia. Amongst the options provided. Maximum rise in Prolactin levels is seen with Risperidone. With the exception of risperidone and paliperidone, atypical antipsychotic agents show limited (olanzapi...
4
Clozapine
Olanzapine
Ziprasidone
Risperidone
Pharmacology
Central Nervous system
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single
Which of the following are the features of pernicious anemia?
Features of pernicious anemia: Hyper-segmented neutrophils Howell-Jolly bodies Megaloblasts Macro-ovalocytosis Ataxia, Subacute combined degeneration of spinal cord Increase levels of methyl malonyl CoA, homocysteine
4
Hyper-segmented neutrophils
Subacute combined degeneration of spinal cord
Gastric mucosal atrophy
All of the above
Pathology
Megaloblastic Anemia
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multi
Acute Papilloedema present with A/E:
C i.e. Severe loss of vision In papilloedema there is painless gradually progressive loss of vision (negligible ie usually not severeQ) which is usually bilateralQ which occurs after a long time only when optic atrophy sets in. So, Papilloedema ultimately leads to postneuritic optic atrophyQ and visual loss is not a fe...
3
Post neuritic atrophy
Increase blind spot
Severe loss of vision
Hypermic field
Ophthalmology
null
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single
Soft contact lenses are made of
Soft contact lenses: Soft contact lenses are made up of HEMA (hydroxyethylmethacrylate) which is hydrophilic. Advantages : Being soft and oxygen permeable, they are most comfoable and so well tolerated. Disadvantages : Problems of proteinaceous deposits, getting cracked, limited life, inferior optical quality, more cha...
2
Polymethyl methacrylate
Hydroxymethyl methacrylate
Silicone
Glass
Ophthalmology
Optics and refraction
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single
A 56-year-old woman diagnosed with cancer in her left breast underwent a mastectomy with axillary lymph node dissection. Postoperatively, she develops marked swelling of the left arm that has persisted for 6 months. Now on physical examination, her temperature is 36.9deg C. Her left arm is not tender or erythematous, a...
The surgery disrupted lymphatic return, resulting in functional lymphatic obstruction and lymphedema of the arm. The lymphatic channels are important in scavenging fluid and protein that have leaked into the extravascular tissues from the intravascular compartment. Although the amount of fluid that is drained through t...
4
Cellulitis
Congestive heart failure
Decreased plasma oncotic pressure
Lymphedema
Pathology
Hemodynamics
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single
SCID which is true -
Ans. is 'a' i.e., .4denosine deaminase deficiency SODX-Linked recessiveAutosomal recessiveo Most common type of SC ID (50-60%)o Adenosine deaminase deficiencyo Mutation in the common y-chain(.Most common autosomal recessivesubunit of cytokine (IL-2) receptorsform of SCID) o Mutation in JAK - 3 o Mutation in recombinase...
1
Adenosine deaminase deficiency
Decreased circulating lymphocytes
NADPH oxidase deficiency
Cl esterase dificiency
Pathology
Disease of Infancy & Childhood
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multi
Which fungicide is used as a spray for the control of bagassosis-
- bagassosis is the occupational disease of lung caused by inhalation of sugarcane dust. - it is caused due to a thermophilic actinomycete, Thermoactinomyces sacchari. - preventive measures include bagasse control done by keeping the moisture content above 20 percent and spraying the bagasse with 2 percent propionic ac...
3
2% acetic acid
2% formic acid
2% propionic acid
25% pmhenyl mercury
Social & Preventive Medicine
Hospital waste and disaster management, Occupational health
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single
Pellegra deficiency of -
Ans. is 'a' i.e., Niacin Beri-berio Deficiency of thiamine (Vit Bl)o Can be dry (neural involvement)o Wet (cardiac involvent)o AcutePellagrao Niacin (Vit B3) defo Dermatitiso Diarrheao Dementia
1
Niacin
Thiamine
Riboflavin
Folate
Pediatrics
Micronutrient Mineral Deficiencies
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single
A 33-year-old woman has had fever and increasing fatigue for the past 2 months. Over the past year, she has noticed the soreness of her muscles and joints and has had a 4-kg weight loss. On physical examination, her temperature is 37.5degC, pulse is 80/min, respirations are 15/min, and blood pressure is 145/95 mm Hg. S...
Lupus nephritis is one manifestation of systemic problems related to immune complex deposition, including fever, arthralgias, myalgias, pancytopenia, and serositis with pericarditis and pleuritis, which are characteristic of systemic lupus erythematosus (SLE). Renal disease is common in SLE, and a renal biopsy helps to...
3
Anti centromere antibody
Anti-DNA topoisomerase I antibody
Anti-double-stranded DNA antibody
Anti-glomerular basement membrane antibody
Pathology
Kidney
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single
Sudden onset of cough followed by increasing dyspnea is characteristic of
PatientsMC presents with chest pain, often sharp and pleuritic and may lead to severe respiratory embarrassment or becomes dull and persistent.Dyspnea is the 2nd MC symptom.Less common symptoms include a nonproductive cough and ohopnea.Physical findings may be normal if the Pneumothorax is less than 25%.Characteristic ...
4
Pleural effusion
Lobar pneumonia
Myocardial infarct
Pneumothorax
Pathology
All India exam
a2526611-906c-4455-ac54-adffd8e24a35
single
Spider leg appearence is seen in:
Ans: A (Adult polycystic kidney disease) Ref: Harrison's online. 18th ed.Explanation:Some important features in Contrast RadiographsSpider leg appearance -- Polycystic kidneyCobra head appearance -- UreteroceleFlower vase appearance of ureters -- Horse shoe kidnexSandy patches -- Schistosomiasis of bladderSoap bubble a...
1
Adult polycystic kidney disease
Wilm's Tumor
Horse shoe kidney
Vesicoureteral reflux
Radiology
CT and MRI of the Kidney
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single
Pseudo bubo is seen in ?
Ans. is 'a' i.e., Donovanosis
1
Donovanosis
LGV
Chancroid
Leprosy
Skin
null
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single
Erysipeloid is transmitted by
ERYSIPELOID Caused by Erysipelothrix rhusiopathiae present on dead animal matter (swine) Transmitted by contact with animal Presents as pain, swelling and purplish erythema at the site of inoculation Causes Whale finger Penicillin - DOC
4
Droplet
Feco-oral Mosquito bite
Mosquito bite
Contact with animal
Dental
Bacterial infections
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single
Indirect hyperbilirubinemia are seen in ?
Ans is 'c' i.e., Gilbe syndrome
3
Dubin-Johnson syndrome
Rotor syndrome
Gilbe syndrome
Gallstone
Pediatrics
null
4801e2ae-44db-492f-b02b-db74e841a52b
multi
The following are true for Bordetella pertussis except:
Ans. is 'd' i.e., Infection can be prevented by a acellular vaccineRef: (Harrison, 19th/e, p. 1021 and Ananthanarayan, 9th/e, p. 333)Vaccine prevents disease not infection.
4
It is a strict human Pathogen
It can be cultured from the patient during catarrahal stage
It leads to invasion of the respiratory mucosa
Infection can be prevented by a acellular vaccine
Microbiology
Bacteria
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multi