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Name the dotted line being drawn:
The subcostal plane is a transverse plane which bisects the body at the level of the 10th costal margin and the veebra body L3. The transpyloric plane, also known as Addison's plane, Imaginary horizontal plane, located halfway between the suprasternal notch of the manubrium and the upper border of the symphysis pubis a...
1
Transpyloric Plane
Transcostal Plane
Subcostal Plane
Transpectoral Plane
Anatomy
Upper limb : Miscellaneous
8875236e-990b-448a-9152-c0b3e2e574c9
single
Oxygen affinity increases with
Oxygen affinity increases with left shift of O2-Hb dissociation curve. It is seen in fetal hemoglobin and carbon monoxide.Oxygen affinity decreases with right shift of O2-Hb dissociation curve. It is seen in hypoxia, high altitude, anemia, acidosis, and exercise.Ref: Medical physiology for UG students, Indu Khurana, pa...
1
Carbon monoxide
Acidosis
Hypoxia
Anemia
Physiology
Respiratory system
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A 36-year-old man from sub-Saharan Africa presents to the clinic with jaundice and right upper quadrant pain. On examination, the liver is palpably enlarged. Laboratory studies demonstrate an increase in liver enzymes. Computed tomography demonstrates a single large mass in the right lobe of the liver, and serum a-feto...
Aflatoxin B1 Fungal metabolite found on moldy nuts and grain Co-carcinogen with hepatitis B, Increase the incidence of hepatocellular carcinoma -C. sinensis is a parasite associated with cholangiocarcinoma. -Hepatitis A has no association with malignancy. -Polyvinyl chloride is associated with Angiosarcoma of the liver...
1
Aflatoxin B1
C. Sinensis
Hepatitis A
Polyvinyl chloride
Pathology
Miscellaneous
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single
Cutis anserina is a postmoem finding seen in :
Cutis anserina and postmoem lividity are two postmoem skin findings of drowning. Cutis anserina or goose skin appearance occur due to rigor mois of erector pilorum muscles of hair follicles in the skin and subcutaneous tissues. Postmoem lividity: It refers to the lividity which is seen in the dependent pas of the body....
1
Drowning
Suffocation
Lust murder
Electrocution
Forensic Medicine
null
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single
Third window effect is seen in
Ans. b. Dehiscent superior semicircular canal Dehiscence of bone overlying the superior semicircular canal can cause a constellation of vestibular and auditory symptoms and signs. These abnormalities can be understood in terms of the effect of the dehiscence in creating a third mobile window into the inner ear.
2
Perforated tympanum
Dehiscent superior semicircular canal
Round window
Oval window
ENT
null
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All of the following are done in case of VVF except
Ans. is d. i.e. MRIRef: Shaw 16th/ed, p221 & 222The Investigation done in VVF are:* Urine culture* USG* IVP* Cystoscopy* Methylene blue 3 swab test
4
Methylene blue 3 swab test
Urine culture
Cystoscopy
MRI
Gynaecology & Obstetrics
Urinary Fistulas
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Regarding yaws, all are true except:
Ans. is 'b' i.e., Sexually transmitted(Ref: Anathnarayan, 9th/e, p. 370, 377 and 8th/e, p. 377; Harrison, 19th/e, p. 1132)Penicillin is the drug of choice for all treponematosis.Non Venereal Treponemes* Mode of transmission - Direct contact not sexual.* Endemic syphilis (Bejel) - Caused by T. pallidum subsp. endemicum....
2
Caused by T. pertenue
Sexually transmitted
Cross reactive antibodies with syphilis
Drug of choice is penicillin
Microbiology
Bacteria
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multi
HPV oncogene expression is
The oncogenic potential of HPV can be related to production of two early viral genes E6&E7 Together they interact with variety of growth regulating proteins encoded by protooncogene and tumour suppressor genes E6- binds to and mediate the degradation of p53 E7-binds to Rb protein and release E2F transcription factor,al...
4
E1E2
E1E3
E3E5
E6E7
Pathology
Cardiovascular system
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single
Adamantinoma usually arise from?
ANSWER: (D) Odotogenic tissueREF: With textAmeloblastoma (adamantinoma): It is a locally aggressive tumour that arises from the odontogenic tissue and invades the maxillary sinus. Treatment is surgical excision. (Ref: Dhingra 4th ed page 195)Ameloblastoma, which arises from odontogenic epithelium and shows no ectomesen...
4
Dental lamina
Endodermal tissue
Periapical tissue
Odotogenic tissue
Pathology
Head & Neck
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multi
Malignant otitis externa is caused by ?
Ans. is 'c' i.e., P. aeruginosa Malignant otitis externa Malignant otitis externa, also called necrotizing external otitis, is a misnomer as it is not a neoplastic condition, rather it is an infectious condition. Malignant otitis externa is a disorder involving inflammation and damage of the bones and cailage at the ba...
3
S. aureus
S. albus
P. aeruginosa
E. coli
ENT
null
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All of the following are true regarding tetralogy of Fallot except:
c. Predominantly left to right shunt(Ref: Nelson's 20/e p 2211-2217, Ghai 8/e p 420-423)Right to left shunt is seen in ToF i.e. blood going from the pulmonary circulation to the systemic circulation Physical examination in a case of TOF shows: Cyanosis and clubbing, Normal jugular venous pulse (as there is no heart fai...
3
Ejection systolic murmur in second intercostal space
Single second heart sound
Predominantly left to right shunt
Normal jugular venous pressure
Pediatrics
C.V.S.
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Not an indication for tooth grinding:
null
1
Wear facets
TMJ pain
Crepitus
Cemental wear
Dental
null
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single
Both OX 2 and OX 19 are seen as positive test in case of:
RMSF(Rocky mountain spotted fever)
2
Scrub typhus
RMSF(Rocky mountain spotted fever)
Epidemic typhus
Scrub typhus
Microbiology
null
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Most common foreign body to cause penetrating injury to ciliary body
Ans. (b) Hammer and chisel Ref: A.K. Khurana 6th ed. /163, 437
2
Ball
Hammer and chisel
Gun bullet
Vegetative material
Ophthalmology
Symptomatic Conditions
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True about Mallory Weiss tear
MALLORY WEISS SYNDROME is seen in adults with severe prolonged vomiting, causing a longitudinal tear in the mucosa of the stomach at and just below the cardia, leading to severe haematemesis.Violent vomiting often may be due to a migraine or veigo or following a bout of alcohol.* Presents with severe vomiting and later...
4
Hamman mediastinum
Esophagus perforates at all layers
Auscultation - Crunching sound
Symptoms improves after conservative Mx
Surgery
G.I.T
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Esmolol is a sho acting b blocker because
* Esmolol - Shoest acting b blocker * Nadolol - Longest acting b blocker * Esmolol is metabolized by pseudocholinesterase hence it is sho acting. * Drugs metabolized by pseudocholinesterase SUCCINYLCHOLINE ESMOLOL REMIFENTANIL
2
It has more plasma protein binding
Its plasma hydrolysis by esterases is rapid
It has high lipid solubility
It has high oral bioavailability
Pharmacology
Sympathetic System
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Nonavalent HPV vaccine consists of
Nonavalent HPV is 6, 11, 16, 18, 31, 33, 45, 52 and 58 Bivalent HPV is (HPV 16 and 18) Quadrivalent HPV vaccine is (HPV 6, 11, 16 and 18)
2
HPV (6,11,16,18,32,34,45,52 and 58)
HPV (6,11,16,18,31,33,45,52 and 58)
HPV(6,11,16,18,31,33,46,53 AND 59)
HPV(6,11,16,18,31,33,46,52 AND 58)
Microbiology
null
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Patients undergoing splenectomy require following vaccinations except
Postsplenectomy septicaemia may result from Streptococcus pneumoniae, Neisseria meningitides, Haemophilus influenzae and Escherichia coli. (Oppounist post-splenectomy infection (OPSI))If elective splenectomy is planned, consideration should be given to vaccinating against pneumococcus, meningococcus C (both repeated ev...
4
Pneumococcus
Gonococcus
Haemophilus
Influenza
Surgery
General surgery
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Enzyme used in PCR is
In step 3 i.e polymerization : New DNA strands are synthesized by Taq polymerase. This enzyme is derived from bacteria Thermus acquaticus that are found in hot springs.Therefore the enzyme is not denatured at high temperature. REFERENCE : DM.VASUDEVAN.TEXTBOOK; SEVENTH EDITION; PAGE NO :638.
2
Reverse transcriptase
Taq polymerase
RNA polymerase
null
Biochemistry
Metabolism of nucleic acids
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Glucose is transpoed in pancreas through which receptor?
The transcellular movement of glucose, in this case, involves one additional component: a unipo (Figure 40-19) that allows the glucose accumulated within the cell to move across the basolateral membrane and involves a glucose unipoer (GLUT2).Glucose uptake into muscle and adipose tissue is controlled by insulin, which ...
2
GLUT 1
GLUT 2
GLUT 3
GLUT 4
Biochemistry
Metabolism of carbohydrate
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single
A female with depression is resistant to antidepressants. Cognitive therapy for depression was developed by:
Cognitive behavioral therapy (CBT), a structured psychotherapeutic strategy, is an effective alternative to pharmacotherapy in the initial treatment of depression, developed by American psychiatrist Aaron T. Beck. Ref: Josephson S.A. . "Cognitive Behavioral Therapy an Effective Adjunct to Medications in Treatment-Resis...
2
Ellis
Beck
Godfrey
Meicheinbanon
Psychiatry
null
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single
Which is NOT a clinical feature of Addison's disease:March 2004
Ans. C i.e. HypopigmentationHyperpigmentation is a feature of Addison's disease, paicularly of sun-exposed areas and at pressure points, such as the neck, knees and knuckles.
3
Hypoglycemia
Hyponatremia
Hypopigmentation
Hyperkalemia
Pathology
null
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single
Which one of the following is not included as major criteria in Jones criteria?
Rheumatic fever is characterized by a constellation of findings out of which major criteria of Jones include: (1) migratory polyahritis of the large joints, (2) pancarditis, (3) subcutaneous nodules, (4) erythema marginatum of the skin, and (5) Sydenham chorea, a neurologic disorder with involuntary rapid, purposeless ...
4
Pancarditis
Ahritis
Subcutaneous nodules
Elevated ESR
Pathology
Rheumatic Fever
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Absolute contraindication of conservative breast cancer therapy is
Ans. is 'b' i.e. History of previous radiation Conservative breast cancer management: Absolute Contraindications Pregnancy 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 i...
2
Large pendulous breast
History of previous radiation
Axillary node involvement
Subareolar lump present
Surgery
null
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single
Deep inguinal ring is the defect in:
Ans. d (Fascia transversalis). (Ref. BD Chaurasia, Anatomy 2nd vol., 3rd ed., 61, 177)Surgical anatomy of Inguinal region:AreaAnatomySuperficial inguinal ring# It is a triangular aperture in the aponeurosis of the external oblique and lies 1.25 cm above the pubic tubercle.# The ring is bounded by a superomedial and an ...
4
External oblique
Transverse abdominis
Internal oblique
Fascia transversalis
Anatomy
Abdominal Wall
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Inverse agonist of the benzodiazepine receptor is:
null
3
Phenobarbitone.
Flumazenil.
Beta carboline.
Gabapentin.
Pharmacology
null
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single
Dissociative conversion disorder was previously described as -
The term "hysteria" which was once prevalent is no more in use. Instead, these disorders are now called dissociation or conversion disorders.
1
Hysteria
Dementia precox
Melancholia
Hypochondriasis
Psychiatry
null
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single
All are true about trigone of bladder except ?
The wall of the urinary bladder consists of an outer serous layer, a thick coat of smooth muscle and a mucous membrane.The mucous membrane is lined by transitional epithelium.The trigone is a smooth triangular region of the internal urinary bladder formed by the two ureteral orifices and the internal urethral orifice.H...
1
Mucosa is loosely attached to the underlying musculature
Mucosa is smooth
Lined by transitional epithelium
Derived from absorbed pa of the mesonephric duct
Anatomy
null
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Most reliable method of identification is:
Ans. (B). Galton methodFingerprinting is the most specificQ method of identification.Gabon's system describes about fingerprinting.
2
Gustafson method
Galton method
Anthropometry
Scars
Forensic Medicine
Identification - Medicolegal aspects
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Regarding lung volumes, which of the following is true: March 2009
Ans. B: Residual volume keeps alveoli inflated between breaths The amount of air that moves into the lungs with each inspiration (or the amount that moves out with each expiration) is called the tidal volume (500 ml). The air inspired with a maximal inspiratory effo in excess of the tidal volume is the inspiratory rese...
2
Functional residual capacity accounts for 75% of total lung capacity
Residual volume keeps alveoli inflated between breaths
Vital capacity increases in elderly
Residual volume is about 500 ml
Physiology
null
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multi
Which of the following muscle is not supplied by recurrent laryngeal nerve
All the muscles which move the vocal cord ( abductors, adductors or tensors) are supplied by the recurrent laryngeal nerve except for the cricothyroid muscle. The latter receives its innervation from the external laryngeal nerve which is a branch of superior laryngeal nerve. Ref: PL Dhingra Textbook of Ear, Nose and Th...
4
Post cricoarytenoid
Thyroarytenoid
Lateral cricoarytenoid
Cricothyroid
ENT
Larynx
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All are true regarding sarcoma botryoides except:a) Seen in vaginab) Grape like clusters are seenc) Seen in elderly womend) It is an adenocarcinomae) Familial incidence is common
null
3
abd
acd
cde
ade
Gynaecology & Obstetrics
null
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Drug of Choice for hypehyroidism in pregnancy:
In a case of thyrotoxicosis during pregnancy, lodine-131 is contraindicated. Propylthiouracil is the drug of choice for thyrotoxicosis in pregnancy. It is highly protein bound and therefore less amount of drug is transferred across placenta and in milk. With carbimazole and methimazole there is risk of fetal hypothyroi...
3
Methimazole
Carbimazole
Propylthiouracil
I-131
Gynaecology & Obstetrics
Medical Illness Complicating Pregnancy
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Lateral pressure theory for tongue thrust habit was given by:
Bridgeman put forward the lateral pressure theory for tongue thrust habit in 1859.
2
Finn
Bridgeman
Benjamin
Pinkham
Dental
null
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Profuse watery diarrhoea in an immune compromised child is due to
Giardiasis caused by Giardia lamblia is a major cause of diarrhoea in children and travellers. Individuals with malnutrition,humoral immunodefeciencies,and cystic fibrosis are particularly susceptible. Features: acute diarrhoea with sudden onset of explosive, watery foul smelling stools, along with nausea and anorexia,...
3
Cryptococcus
Amoeba
Giardia
Lactose intolerance
Pediatrics
null
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The MOST common site of Tuberculosis in female genital tract is?
The fallopian tube is the most frequently involved pa of the genital tract in tuberculosis. Also Know: A young girl with pubeal menorrhagia should be investigated for genital tuberculosis if she fails to respond to standard hormonal therapy. Ref: Shaw's Textbook of Gynaecology, 13th Ed, page 147; 14th Ed, page 137.
4
Cervix
Endometrium
Ovaries
Fallopian tubes
Gynaecology & Obstetrics
null
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multi
Which chemical mediator is an arachidonic acid metabolite produced by cyclo oxygenase pathway
ref Robbins 9/e p84 Prostaglandin H2 is a type of prostaglandin and a precursor for many other biologically significant molecules. It is synthesized from arachidonic acid in a reaction catalyzed by a cyclooxygenase enzyme It is acted upon by: Prostacyclin synthase to create prostacyclin Thromboxane-A synthase to create...
4
LXA4
LXB4
5HETE
PGH 2
Anatomy
General anatomy
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62 year old Male patient presents to the OPD with Right ear pain and reduced hearing. On examination EAC is blocked and shows wet news paper appearance. which organism is causing this Otomycosis
M/C Organism causing Otomycosis is Aspergillus Niger, has wet news paper appearance. Candida shows cotton wool appearance.
2
Aspergillus fumigatus
Aspergillus Niger
Candida
Tinea
ENT
null
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A 45-year-old woman has a severe asthmatic exacerbation and requires an aerial blood gas specimen for management. If you are planning to draw the sample from the brachial aery, where should you inse the needle
The brachial aery lies superficial and just medial to the tendon of the biceps brachii in the cubital fossa. The contents of the cubital fossa from medial to lateral are: the median nerve, the brachial aery and the tendon of biceps brachii. Note: * The brachial aery lies deep to the bicipital aponeurosis. It usually di...
3
In the lateral aspect of the arm, between the biceps and triceps brachii muscles
Just lateral to the biceps tendon in the cubital fossa
Just medial to the biceps tendon in the cubital fossa
Just medial to the tendon of the flexor carpi radialis muscle at the wrist
Anatomy
General anatomy
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A 64-year-old woman is admitted to the ICU with the clinical diagnosis of acute respiratory distress syndrome (ARDS) secondary to pneumonia. She requires intubation and mechanical ventilation. On the second ICU day, she is difficult to ventilate, requiring increased airway pressures. On physical examination, vital sign...
This poable chest x-ray taken in the ICU shows an intubated patient with hyperlucent lines in the soft tissue with striations along the fibromuscular bundles of the neck and chest musculature. There is a faint paracardiac hyperlucent line representing air around the pericardium. The diaphragm leaflets are seen clearly ...
4
Place a chest tube
Change antibiotics
Perform an open thoracotomy
Continue management, minimizing volutrauma
Radiology
Fundamentals in Radiology
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Stage I seminoma testis, t/t of choice is
Ans. is 'b' i.e. high inguinal orchidectomy & radiotherapy Testicular Cancer - is mainly of two types - Germ cell tumors (GCT) 95% - Non germinal neoplasms -- 5% (includes leydig cells, seoli cells, gonadoblastoma) Germ cell tumors are of 2 types Seminomas (More common, better prognosis) Nonseminomas i.e. - Embryonal C...
2
high inguinal orchidectomy
high inguinal orchidectomy & radiotherapy
radiotherapy and chemotherapy
trans-scrotal orchidectomy
Surgery
null
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A child is presenting with erythmatous follicular papules on trunk. There are areas of normal skin within the lesions. There is thickening of Palms & soles. This child is suffering from -
Pityriaisis rubra pilaris is a rare chronic papulosquamous disorder characterised by 1. reddish orange scaly plaques 2.palmoplantar keratoderma 3.keratotic follicular papules etiology: unknown.sometimes autosomal dominantly in herited, hypovitaminosis A, HIV, hypogammaglobulinemia, staphlococcus are the predisposing fa...
2
Pityriasis rosea
Pityriasis rubra pilaris
Psoriasis
Seborrheic dermatitis
Dental
Papulosquamous disorders
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Long acting glucocorticoid is -
Ans. is 'a' i.e., Dexamethasone Relative activity of systemic corticosteroids CompoundGlucoMineraloEquiv, dose (antiinflammatory)Short acting, (Biological t 1/2 < 32 hr)1. Hydrocortisone (cortisol)1120 mgIntermediate acting, (Biologiat t 1/2 12-36 hr)2. Prednisolone3. Methylprednisolone4. Triamcinolone4550[?]80[?]505 m...
1
Dexamethasone
Triamcenolone
Prednisolone
Hydrocortisone
Pharmacology
Endocrinology
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Swarming growth on culture is characteristic of which Gram-negative organism
1. Swarming - Proteus has an ability to swarm (or spread) on solid media. They spread on the surface of the plate in successive waves to form a thin filmy layer in concentric circles. This is known as swarming. 2. Organism which swarm: Proteus, Clostridium tetani, V. parahemolyticus, and Serratia. Clostridium welchii -...
4
Clostridium welchii
Clostridium tetani
Bacillus cereus
Proteus mirabilis
Microbiology
General Microbiology Pa 1 (History, Microscopy, Stains and Structure and Physiology of Bacteria)
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A 15 year old boy complains of jerky movements which gets precipitated during awakening in the morning. There is no history of loss of conciousness. EEG showed 4-6 / second spike and wave pattern. What is the child suffering from
Juvenile Myoclonic Epilepsy Seen in adolescence age group Myoclonic jerks seen in morning EEG: 4-6 / seconds spike and wave pattern.
2
Lennox Gestaut syndrome
Juvenile Myoclonic Epilepsy
Rolandic epilepsy
West syndrome
Pediatrics
null
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CSF findings in a patient with tubercular meningitis: March 2012
Ans: C i.e. Raised protein, decreased glucose, increased lymphocytes Conditions and CSF findings Subarachnoid hemorrhage presents with normal/slightly raised WBC, normal glucose and raised protein Viral meningitis presents with 10-2000 lymphocytes (normal 0-4 X 106/L), normal glucose and normal/increased protein Tuberc...
3
Raised protein, normal glucose, increased WBC
Raised protein, normal glucose, increased lymphocytes
Raised protein, decreased glucose, increased lymphocytes
Raised protein, decreased glucose, increased neutrophils
Medicine
null
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Maximum refraction takes place between?
Tear film and cornea REF: khurana 4th ed page 26 "Maximum refraction in eye takes place between tear film and cornea"
2
Air tear film
Tear film and cornea
Cornea and aqueous
Aqueous lens
Ophthalmology
null
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The syndrome of inappropriate ADH secretion is characterized by the following:
In SIADH, the excessive retention of water expands extracellular and intracellular volume. This explains Dilutional Hyponatremia. Since the urine is concentrated hence urine sodium mEq/unit of time can be explained. Another plausible explanation is that expanded volume leads to release of ANF and resultant natriuresis ...
1
Hyponatremia and urine sodium excretion > 20 mEq/L
Hypernatremia and urine sodium excretion > 20 mEq/L
Hyponatremia and hyperkalemia
Hypernatremia and hyperkalemia
Medicine
Disorders of pituitary gland
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Epidemics of conjunctivitis are known to occur with:
Ans. Both of the above
4
Bacterial infections
Viral infections
None of the above
Both of the above
Ophthalmology
null
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Carha's notch in audiometery is seen in:
Carhas notchBone conduction is normal in otosclerosis.In some cases there is a dip in bone conduction curve which is maximum at 2000 Hz / 2 KHZ called as Carhas notch.Carhas notch is seen only in bone conduction curve.It disappears after successful stapedectomy/stapedotomy. The reason why it disappears after successful...
4
Ocular discontinuity
Haemotympanum
Otomycosis
Otosclerosis
ENT
null
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Ophthalmia nodosa occurs due to:
Ans. Irritation by hair of caterpillar
4
Leprotic conjunctivitis
Syphilitic conjunctivitis
Sarcoidosis conjunctivitis
Irritation by hair of caterpillar
Ophthalmology
null
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A 35 year old female patient, Radha, having children aged 5 and 6 years has history of amenorrhea and galactorrhea. Blood examination reveals increased prolactin. The CT of the head is likely to reveal:
Patient with amenorrhea, galactorrhea and increased prolactin level give the diagnosis of prolactinoma which is the most common pituitary adenoma. Ref: Current Obs and Gynae Diagnosis and Treatment, 9th Edition, Page 152 ; Harrison's Principles of Internal Medicine, 14th Edition, Page 1989 and 17th Edition, Pages 2200,...
1
Pituitary adenoma
Craniopharyngioma
Sheehan's syndrome
Pinealoma
Gynaecology & Obstetrics
null
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single
Deficiency of GpIIb-IIIa results in which of the following condition?
Platelet activation by ADP triggers a conformational change in the platelet GpIIb-IIIa receptors that induces binding to fibrinogen, a large protein that forms bridging interactions between platelets that promote platelet aggregation. Predictably, inherited deficiency of GpIIb-IIIa results in a bleeding disorder (Glanz...
1
Glanzmann thrombasthenia
Wiskot Aldrich syndrome
Bernard Soulier syndrome
None of the above
Pathology
null
2e71ccfe-35d3-4649-85f1-5eca337047ae
multi
What is the minimum recommended consumption level of PUFA by the WHO/ FAO expe group on diet, nutrition and prevention of chronic diseases?
As per the WHO/ FAO expe group recommendation, the following ranges have been decided: Total fat in diet: 15-30% Saturated fatty acids< 10% PUFAs 6-10% O-3 fatty acids: 1-2% O-6 fatty acids: 5-8% Trans fatty acids < 1% Ref: Park, 21st Edition, Page 565.
2
5%
6%
8%
10%
Social & Preventive Medicine
null
c75147a4-25eb-4f14-ac92-ba8d654ea2d2
single
"Sundowning" is seen in :
Sundowning is seen in cases of Delirium as worsening of symptons occur in the evening.
3
Night blindness
Parkinsonism
Delirium
Solar urticaria
Psychiatry
null
5945a759-c961-49ab-8a95-0f1ef53c3f14
single
If a parenteral needle stick injury/ occurs in a Health Care Worker dealing with AIDS patient; which of the following are necessary?
(C) Zidovudine (AZT) prophylaxis to health care worker # Treatment of Needle stick injury of a health care worker: Immediately clean the contaminated area by washing under running water# Post exposure prophylaxis should be started within 1 hour of injury Zidovudine 250 mg BD- for 1 month Lamivudine 150 mg BD-- Indinavi...
3
Serial serological testing of the source person
Serial serological testing of the healthcare worker
Zidovudine (AZT) prophylaxis to health care worker
Wash the part with soap and water
Surgery
Miscellaneous
976c93c2-7f6d-4d22-adf9-f63686dff1bb
single
ACTH secretion is highest during -
Ans. is 'c' i.e., Morning o Coisol levels in blood are normally elevated at 8.00 AM and decrease to less than 50% by midnight.
3
Noon
Evening
Morning
Night
Pediatrics
null
419398f2-e09d-4255-9baa-dc6c91ce22df
single
Renal aery stenosis is caused by all except
Renal aery stenosis: aCauses- Atherosclerotic disease(most common cause) - Fibromuscular Dysplasia(FMD) - Extrinsic compression of the vessel a It is considered a specifically treatable "secondary" cause of hypeension a Pathogenesis: Critical levels of stenosis - reduction in perfusion pressure - Activation of the reni...
4
Atherosclerosis
Fibromuscular dysplasia
Takayasu aeritis
Buerger's disease
Medicine
All India exam
1140f8ca-3b4d-40b0-b4c4-da70d0780f3e
multi
Herpes zoster ophthalmicus is
It is due to reactivation of herpes in ophthalmic branch of trigeminal nerve.
2
Reactivation of herpes in optic nerve
Reactivation of herpes in trigeminal nerve
Reactivation of herpes in occulomotor nerve
herpes in immunocompromised
Microbiology
null
5debd42c-8272-4117-b56d-5343e3ea078e
single
Pulmonary hypertension in COPD is due toa) Constriction of pulm vesselsb) Hypoxiac) Interstitial fibrosisd) Bronchoconstriction
null
1
ab
a
ad
bc
Medicine
null
7d8c7885-5afd-41dc-8f4a-eb611ac04fc5
single
A male patient presents with headache, profuse sweating and palpitations with a blood prssure of 180/120 mmHg. The drug of choice would be -
Answer- D. Phenoxy benzamineSymptoms of the patient suggests pheochromocytoma .The drug of choice for pheochromocytomas is phenoxybenzamine
4
Nifedipine
Labetalol
Prazocin
Phenoxy benzamine
Medicine
null
1b1fbe73-6d4c-46c0-aeb5-59a5a67c69e3
single
Feature of a NiTi file that a surface project axially from the central core to the cutting edge between the flutes is known as:
Land: It is the area between the flutes which projects axially from central core to the cutting edge. Rake angle: It is the angle formed by leading-edge with the radius of file. Acute angle is considered as a negative rake angle and obtuse angle is  considered as a positive rake angle. Taper: It signifies per millimete...
2
Taper
Land
Pitch
Rake angle
Dental
null
146e5d08-2d13-45b3-b222-5f8971e62365
multi
WHO Malaria Mass Drug Administration –
First you should know what does mass prophylaxis mean in malaria. In areas with high malaria prevalence, presumptive treatment is given to all people. This is know as mass treatment. Presumptive treatment is given when API is >2
2
API >5
> 2
15
25
Social & Preventive Medicine
null
50283d71-2ff0-4491-bbe2-ab83b38c0256
single
A nine month old boy of Sindhi parents presented to you with complaints of progressive lethargy, irritability & pallor since 6 months of age. Examination revealed severe pallor. Investigation showed Hb-3.8 mg%; MCV-58 fl; MCH-19.4 pg/cell. Blood film shows osmotic fragility is normal (target cells and normoblasts). X-r...
This child is having microcytic (MCV-58Fl), hypochromic(MCHC-19.4pg/cell) anemia with normal osmotic fragility. This is suggestive of iron deficiency anemia (Normal Hb at this age is 12g/dL, MCV is 78 fL). Severe iron deficiency will produce bizzare peripheral blood smear with severely hypochromic cells, target cells, ...
1
Iron deficiency anemia
Acute lymphoblastic anemia
Hemoglobin D disease
Hereditary spherocytosis
Pediatrics
null
068c6274-bd22-4e30-86f2-1bd02f12411a
multi
All are major criteria for AIDS except-
null
3
10% weight loss
Diarrhoea for 1 month
Cough for 1 month
Fever for 1 month
Social & Preventive Medicine
null
b9203ca3-6daf-41d6-adfc-639bcaef35f1
multi
Secondary attack rate is defined as-
Ans. is 'b' i.e., Number of cases developing disease within incubation period following exposure to primary case * SAR is defined as "the number of exposed persons developing the disease within the range of incubation period, following exposure to primary case".SAR=No of exposed persons developing disease within the ra...
2
Number of total cases developing disease within maximum incubation period
Number of case developing disease within incubation period following exposure to primary care
Number of cases developing diseare after exposure to primary case in any period of time
Number of cases developing after exposure to secondary case
Social & Preventive Medicine
Epidemiology
b19cf9e7-cc26-4aa8-be45-7b6717d85164
single
Hepatitis B vaccine should be given as per which schedule: September 2005
Ans. C: 0, 1, 6 months The dose for the adult is 10-20 micrograms initially and again at 1 and 6 months. Children under 10 years should be given half of the adult doses at the same intervals or at 6, 10 and 14 weeks as per Indian National Immunization Schedule. For greater reliability of absorption, deltoid is the pref...
3
0,1,6 days
0,1,6 weeks
0,1,6 months
0,1,6 years
Social & Preventive Medicine
null
4c6f5de1-747d-4d45-b21e-af05452477a3
single
A 5 year old boy comes with overnight petechial spots 2 weeks back he had history of abdominal pain and no hepatosplenomegaly. Diagnosis is ?
Ans. is 'c' i.e., Idiopathic thrombocytopenic purpura Petechial spots without hepatosplenomegaly in a 5 year old boy suggest the diagnosis of ITP. About other options Acute leukemia o Acute leukemia will give features of involvement of all the three lineages i.e. anemia (erythrocyte involvement) fever (due to neutrophi...
3
Aute lymphatic leukemia
Aplastic anemia
Idiopathic thrombocytopenis purpura
Acute viral infection
Pediatrics
null
a4cb0c0b-24db-47ac-be8e-bb580a2ab19d
single
All of the following steps in synthesis of thyroid hormones is catalysed by thyroid peroxidase enzyme except
Iodide trapping is not catalysed by thyroid peroxidase. Oxidation, organification and coupling are catalysed by it. Steps in synthesis and secretion of thyroid hormone: Thyroglobulin synthesis by thyroid follicular cells Iodide trapping:Na+ - I- sympoer (NIS) actively transpos I- into the follicular cells. This is inhi...
4
Coupling
Oxidation
Organification
Iodide trapping
Physiology
Endocrinology
ff403e70-2be9-4b48-8f2d-7c621ad70dfb
multi
Largest lymphoid organ is
(B) Spleen [BDC II4-279# Largest lymphatic organ in the human body is the spleen.> Primary function of the spleen is to purify the blood and store blood cells.> It helps the immune system identify and combat foreign antibodies.> Spleen consists of white pulp and red pulp.> White pulp generates blood cells and synthesiz...
2
Liver
Spleen
Thymus
Kidney
Anatomy
Misc.
e91e7fd1-be6f-4a7d-b9b8-378944a3e01d
single
Which of the following tumor does have perineural spread?
Perineural spread from head and neck tumors most commonly occurs with squamous cell carcinoma and adenoid cystic carcinoma. Perineural spread most commonly involves cranial nerve V (all three divisions may be involved) and may be retrograde (toward the brain) or anterograde (toward the orbit). Perineural tumor extensio...
4
Wahin's tumor
Mucoepidermoid carcinoma
Mixed tumors
Adenoid cystic tumor
Surgery
null
2ac3af21-236b-45e3-b840-a78d8f839e6e
single
What type of joint is the growth plate
Epiphysis & diaphysis of bone is connected by growth plate/ epiphyseal plate It is made up of hyaline cailage Epiphyseo-diaphyseal joint is primary cailaginous joint called synchondrosis
2
Fibrous
Primary cailaginous
Secondary cailaginous
Plane joint
Anatomy
Osteology
4e36eb89-22a9-4557-afd6-d0c2b6c85d31
single
In newborn the most common cause of intestinal obstruction is
null
3
Annular pancreas
Esophageal atresia
Duodenal atresia
Jejunal atresia
Surgery
null
1417033f-fe69-46b1-9cce-c386d49b4eaa
single
Which one of the following is not included in the treatment of malignant melanoma-
null
1
Radiation
Surgical excision
Chemotherapy
Immunotherapy
Surgery
null
72ae5d1f-88c9-4e9c-822a-070361cd113c
single
A sign of Aphakia ?
Ans. is 'd' i.e., Iridodonesis Aphakia Aphakia refers to absence of crystalline lens from the eye. Most common cause of aphakia is surgical removal of cataractous lens. Other causes are congenital absence of lens, traumatic absorption of lens matter and posterior dislocation of lens. The typical signs of aphakia are de...
4
Shallow anterior chamber
White pupillary reflex
Absent 1st & 2nd Purkinje images
Iridodonesis
Ophthalmology
null
bcfcf165-d7c5-45d8-a61d-b54213b1309b
multi
Ramsted's operation is for -
Ans. is 'd' i.e., Congenital pyloric stenosis
4
Duodenal atresia
Volvulus of small intestine
Anorectal malformation
Congenital pyloric stenosis
Surgery
null
1e1a13b0-dae2-4242-a549-c00da2af13d7
multi
All are true about normal response curve except:
Ans: C (SD=0) Ref: Textbook of Preventive and Social Mediciner K Park,21st edition feb 2011.page no:788.Explanation:The standard normal curve : smooth,bell shaped.perfectly symmetrical curve (based on infinitely large number of observations).Total area of curve=lMean=0SD=1Mean, median and mode all coincides.
3
Bell shaped
Total area of curve=l
SD = 0
Mean, mode, median coincide
Social & Preventive Medicine
Measures of Central Tendency and Distribution
0f1d8eb7-4254-4fc2-b261-7474c195dec0
multi
Pseudo buboes are found in -
Ans-C
3
Chancroid
LGV
Granuloma inguinale
All of the above
Unknown
null
a914e13a-e7fa-4e8c-9c69-56d8190225cc
multi
Facial nerve is injured during parotid surgery. Best management -
Ans. is 'a' i.e., Immediate repair o Iatrogenic facial nerve injury' is most common after mastridctomy. When this occurs interoperatively, it is explaned. Injury' to greater than 50% of the neural diameter of facial nerve is addressed either with primary reanestomosis or reconstructed with the use of a nerve graft.o Re...
1
Immediate repair
Repair at a later date
Physiotherapy
Nothing
Surgery
Miscellaneous (Salivary Gland)
70959751-a89c-4cc7-8992-e1bc4d9919d9
single
Cystic fibrosis is associated with all except -
Ref:Textbook of pathology (harsh mohan)6th edition, page no.645 Cystic Fibrosis Cystic fibrosis of the pancreas or fibrocystic disease is a hereditary disorder characterised by viscid mucous secretions in all the exocrine glands of the body (mucoviscidosis) and associated with increased concentrations of electrolytes i...
4
Infeility
Azoospermia
Nasal polyps
Renal failure
Pathology
Respiratory system
8a5cd77b-3fec-4ec6-b951-2338feecc51a
multi
Nucleus of basal ganglia
Ans. (c) Caudate(Ref: Ganong, 25th ed/p.243)Basal ganglia nuclei are,#Caudate and Putamen#Globus pallidus#Substantia nigra#Subthalamic nucleus
3
Dentate
Thalamus
Caudate
Red nucleus
Physiology
Nervous System
0ed8062c-b58a-4a22-b7c4-3d599693d6ab
single
Time of ovulation is detected by all EXCEPT:September 2012
Ans. B i.e. Urine FSHPhysiologyBest predictor of ovulation: Pre-ovulatory rise in LHIn normal menstrual cycle, progesterone is secreted by: Corpus luteumInhibin is secreted by: Graffian follicleLH precedes ovulation by: 24 hours (Ovulation coincides with LH surge)Ovulatory period: Corresponds to 14 days before next men...
2
Urine LH
Urine FSH
Serum progesterone
Basal body temperature
Gynaecology & Obstetrics
null
881330ed-d200-4b9a-957f-4babf3b0f731
multi
The most common site for hypeensive bleed is?
Answer is C (Putamen): The putamen (Basal Ganglia) is the most common site for hypeensive haemorrhage External capsule refers to a thin layer of white matter that separates the lateral pa of lentiform nucleus (putamen) from claustrum and is invariably damaged along with the putamen.
3
Pons
Putamen
Frontal lobe
Thalamus
Medicine
null
950a3c8a-8d39-4668-b678-03165043f3b8
single
The intercondylar distance can be adjusted in the
null
3
Hanau H2 articulator
Hanau arcon H2 articulator
Whipmix articulator
Mean value articulator
Dental
null
2889edbb-a36a-47d9-84ae-76c5412aff5f
single
The time interval between invasion by an infectious agent and appearance of the first sign or symptoms of the disease is
(B) Incubation period # Incubation period:> "The time interval between invasion by on infectious agents and appearance of the first sign or symptom of the disease in question"> Generation time:> It is the interval of time between receipt of infection by a host and maximal infectivity of that host. In general generation...
2
Generation time
Incubation period
Lead time
Latent period
Social & Preventive Medicine
Miscellaneous
cd636e25-ab8b-44b9-a748-a2a25e4248be
single
A 51-year-old complains of abdominal pain of 2-month duration. A CT scan of the patient's abdomen is shown. An angiogram indicates that several arteries of the gastrointestinal tract are occluded due to atherosclerosis, producing bowel ischemia. Which of the following arteries is most likely occluded in the CT scan?
(c) Source: GAS 336; GA 147, 160 The arrows in the CT scan point to the descending colon. Therefore, the left colic artery, which supplies the descending colon, is the one most likely occluded in the CT scan. The middle colic, right colic, and ileocolic artery supply the ascending colon, and the marginal artery provide...
3
Middle colic
Right colic
Left colic
Iliocolic
Anatomy
Abdomen & Pelvis
101f52c2-eea8-4fcf-b5f0-13104b1e6399
single
Pick up the wrong type of Cell in myelodysplastic syndrome
Ringed sideroblasts with iron laden mitochrondria P. Seudo - pelger - Huet → Neutrophics with only two lobes Pawn Ball megakaryocytes - megakaryocytes with multiple nuclei Threre are three type of cells found in MDS.
2
Ringed Siduoblasts
Megakaryocytes with normal single multilobulated nuclei
P - seudo - pelger - Huet
Pawn - Ball megakaryocytes.
Pathology
null
26856f96-2ab3-482b-8128-6d4762d9d0a6
multi
A man comes with aphasia, is unable to name things and repetition is poor. However, comprehension, fluency and aiculation are unaffected. He is probably suffering from
A patient with conduction aphasia presents with inability to name things and poor repetition of language. These features are evident in other conditions as well but since the comprehension is good, it's not a case of Wernicke's and on the other hand intact fluency rules out Broca's aphasia Ref: Gray's39e/p-518
3
Anomic aphasia
Transcoical sensory aphasia
Conduction aphasia
Broca's aphasia
Anatomy
Brain
fe251672-44ca-4cb6-ba3e-13d8754db590
single
Treatment of retained CBD stone is?
Endoscopic Sphincterotomy REF: Maingot's 10th e p. 1746 Retained stone: stones diagnosed sholy after cholecystectomy Recurrent stone: diagnosed months or years after Treatment of retained stones: Found on T tube cholangiogram Removal of stones radiologically after maturation of T tube tract after 4 weeks Treatment of r...
1
Endoscopic Sphincterotomy
Laparoscopic CBD exploration
Percutaneous stone extraction
ESWL
Surgery
null
a8983a46-d196-4648-9bd3-a150734ad77d
single
The secretomotor fibres supplying lacrimal gland relay in:
null
2
Otic ganglion
Pterygopalatine ganglion
Submaxillary ganglion
None of the above
Anatomy
null
007ee2fe-c2aa-4d4d-8372-55b135450856
multi
Obstructive sleep apnea may result in all of the following except?
OSAHS raises 24-hour mean blood pressure. The increase is greater in those with recurrent nocturnal hypoxemia and is at least 4-5 mmHg. The resultant hypoxia also leads to pulmonary aery constriction leading to PAH. Other effects of OSAHS- Personality and mood changes, depression and anxiety, sexual dysfunction- impote...
3
Systemic hypeension
Pulmonary hypeension
Hea block
Impotence
Medicine
Cystic fibrosis & Sleep apnea
f81d3290-f994-4388-887e-1b17c8ff3ed0
multi
Type of anaemia caused by pulmonaryTB -
<p>Pulmonary TB causes anemia of chronic disorder .In anemia of chronic disorder, the type of anemia is normocytic normochromic, but may have slight microcytosis & hypochromia.</p><p>Reference :Harsh mohan textbook of pathology sixth edition pg no 302.</p>
4
Iron-deficiency
Megaloblastic
Sideroblastic
Microcytic Hypochromic anaemia
Medicine
Haematology
63350cad-0409-4103-8f2c-df1a38ccbab7
single
Illuminated frenzel glasses are used in detecting-
Frenzel goggles are a diagnostic tool used in ophthalmology, otolaryngology and audiovestibular medicine for the medical evaluation of involuntary eye movement (nystagmus). They are named after Frenzel, a German physician Ref AK khurana 6/e p515
1
Nystagmus
Heterophoria
Esotropia
Astigmatism
Ophthalmology
Neuro-ophthalmology
dbd5670a-a8bd-4e26-acbd-e796d6844a89
single
True about mosquito preventive nets are all except?
Ans. is 'c' i.e.,Best pattern is circular The best pattern of mosquito net is the rectangular net.There should not be a single rent in the net.The Size of openings in the net is of utmost impoance, the size should not exceed 0.0475 inch in any diameter.The number of holes in one square inch in usually 150..
3
Hole size < 0.0475
150 holes per square inch
Best pattern in circular
There should be no rent
Social & Preventive Medicine
null
55a22567-0540-44a8-aad7-3708a21592a8
multi
Vitamin E toxicity causes
(A) Reduce platelet aggregation # Vitamin E Toxicity:> It is likely that patients with vitamin E toxicity have been using vitamin E supplements; obtain the dose and duration of vitamin E usage. Assess concurrent use of anticoagulants or aspirin.> A nutritional assessment for vitamin K deficiency is useful in patients w...
1
Reduce platelet aggregation
Polyneuropathy
Spinocerebellar ataxia
Retrolental fibroplasia
Medicine
Miscellaneous
ce989026-8bf4-4a60-ac7e-7459d4241688
single
Which condition doctor is passive -
In psychoanalysis (classical psychoanalysis) the therapist remains passive, whereas in psychoanalytic psychotherapy therapist talks quite a lot.
1
Classical psychoanalysis
Psychoanalytic psycoanalysis
Both
null
Psychiatry
null
ed968123-6a6d-4b0a-af08-54ec89d43c9f
multi
Vascular dementia is characterised by all except
Dementia is a chronic organic mental disorder, characterized by the following main clinical features: 1. Impairment of intellectual functions, 2. Impairment of memory (predominantly of recent memory, especially in early stages), 3. Deterioration of personality with lack of personal care. Reference: A sho textbook of Ps...
1
Visual hallucination
Memory deficit
Emotional liability
None of the above
Psychiatry
Organic mental disorders
3e81811b-bd7f-43a5-8203-fa2d8825f85a
multi
Drug used in heparin overdose is
Refer Katzung 11/e p 593 Protamine sulfate is antidote of heparin overdose whereas vitamin K is used as antidote for warfarin toxicity
1
Protamine sulfate
Phylloquinone
Ticlopidine
Clopidogrel
Pharmacology
Respiratory system
7aa03a0f-8d5c-4aed-8a9b-0705c1f7968b
multi
The common cause of subarachnoid hemorrhage Is
*Subarachnoid hemorrhage commonly,but exclusively results from rupture of congenital berry aneurysms in the interpeduncular cistern . Subarachnoid haemorrhage, a medical emergency, is usually from a bulging blood vessel that bursts in the brain (aneurysm). It may lead to permanent brain damage or death if not treated p...
3
Aerio-venous malformation
Cavernous angioma
Aneurysm
Hypeension
Medicine
C.N.S
1096f571-bc78-403c-bf07-054040494600
single
Which one of the following is a cyanotic congenital hea disease ?
TOF is a cyanotic hea disease. Ref : Ghai essential of pediatrics, eighth edition, p.no:420
4
Patent ductus aeriosus
Atrial septal defect
Ventricular septal defect
Tetralogy of Fallot
Pediatrics
C.V.S
53855652-c7dc-4492-bb08-c133862d1229
multi