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Which of the following fats the highest concentration of saturated fatty acids -
<p> Saturated fatty acids:- Fats yield fatty acids and glycerol on hydrolysis. Fatty acids are divided into saturated fatty acids such as lauric acid, palmitic and stearic acids and Unsaturated fatty acids which are fuher divided into MUFA and PUFA. Approximate saturated fatty acid composition in : Coconut oil - 92 But...
3
Butter
Palm oil
Coconut oil
Margarine
Social & Preventive Medicine
Nutrition and health
64b177fc-9955-41b1-9755-a458e3bfc465
single
Most common cause of Hirsutism :
Ans. is a i.e. Polycystic Ovarian Disease (PCOD) Hirsutism is defined as excessive growth of androgen dependant sexual hair or male distribution of hair in a female. "The most common cause of hirsutism is Polycystic Ovarian Syndrome." "Polycystic ovarian syndrome accounts for 70 - 80% of cases of hirsutism, with idiopa...
1
Polycystic ovary disease
Arrhenoblastoma
Cushing syndrome
Congenital adrenal hyperplasia
Gynaecology & Obstetrics
null
81f1a89f-68ed-48b5-841c-6d22ad976dde
single
Family consisting of a mother and her children is
null
4
Problem family
Broken family
Dysfunctional family
Matrifocal family
Social & Preventive Medicine
null
5857d38f-a72b-402f-8fbd-59ee9a7780e3
single
In Shigella dysentery associated hemolytic uremic syndrome, the false statement is
Hemolytic Uremic Syndrome (HUS)Salient featuresLaboratory findingsVessel wall disorder characterized by deposition of localized platelet and thrombi within the renal vasculature (afferent aerioles and glomerular capillaries are most commonly affected).Presents with microangiopathic hemolytic anemia (microangiopathic de...
3
Leucocytosis
Neurological abnormalities
Hepatic failure
Thrombotic angiopathy
Pathology
All India exam
b31e655d-448b-479f-8c59-e4101f59f627
multi
Which of the following is proof of eyes being open for few hours after death
Kevorkian sign (fragmentation & segmentation of retinal vessels) is a sign seen in retina; which is independent of eye opening. it appears within minutes after death and stays there for about an hour. Tache noir is the dust deposition in the sclera in the form of two triangles on either side of iris when eyes are open....
2
Kevorkian sign
Tach noir
Both of above
None of above
Forensic Medicine
Thanatology
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multi
Most common complication seen with prostatitis is
PROSTATITIS In both acute and chronic prostatitis, the seminal vesicles and posterior urethra are usually also involved. Acute prostatitis Aetiology Acute prostatitis is common, but underdiagnosed. The usual organism responsible is Escherichia coli, but Staphylococcus aureus, Staphylococcus albus, Streptococcus faecali...
1
Epididymitis
Orchitis
Sterility
Seminal vesciculitis
Surgery
Urology
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Which CrPc is related to -
Cr.P.C. 1973- It provides the mechanism for punishment of offences against the substantive criminal law.It deals with the police duties in arresting offenders, dealing with absconders, in the production of documents and in investigating offences. Ref: K.S. Narayan Reddys Synopsis of Forensic Medicine and Toxicology 29 ...
4
Withdrawal of cases by Session Judge
Withdrawal of cases by Judicial magistrate
Withdrawal of cases by executive magistrate
Reasons to be recorded
Forensic Medicine
Medico legal procedures
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single
HIV-E is more common
Since HIV/AIDS was first repoed in Thailand in 1984, 1,115,415 adults had been infected as of 2008, with 585,830 having died since 1984. ... In 2009 the adult prevalence of HIV was 1.3%. As of 2016, Thailand had the highest prevalence of HIV in Southeast Asia at 1.1 percent, the 40th highest prevalence of 109 nations A...
4
India
Africa
Europe
Thailand
Medicine
Infection
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single
The socioeconomic status of community is best indicated by -
Infant Moality Rate is the ratio of infant deaths registered in a given year to the total number of live bihs in same year,expressed as rate per 1000 live bihs. IMR is universally regarded as not only as the most impoant indicator of health status of community but also as the level of living of people and effectiveness...
1
IMR
Under 5 moality rate
Maternal moality rate
Perinatal moality rate
Social & Preventive Medicine
obstetrics,pediatrics and geriatrics
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Investigation of choice for posterior chethral stricture is
Investigation of choice : a) Anterior Urethral stricture ⇒ Retrograde Urethrogram. b) Posterior Urethral stricture ⇒ Anterograde urethrogram.
2
Retrograde Urethrogram
Anterograde Urethrogram
IV Pydogram
Ascending Urethrogram
Surgery
null
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single
Which of following substances inhibit succinate dehydrogease in Kreb cycle?
Inhibitors of TCA Cycle Aconitase noncompetitively inhibited by Flouroacetate  Alpha Ketoglutarate Dehydrogenase noncompetitively inhibited by Arsenite  Succinate Dehydrogenase is competitively inhibited by Malonate.(Inhibitor of complex II of ETC). Harper 30th edition pg-162
3
Flouroacetate
Arsenite
Malonate
Fluoride
Biochemistry
null
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single
The hormonal factor responsible for circadian rhythm is formed from which amino acid?
Ans. is 'b' i.e., Tryptophan In circadian rhythm maintenance melatonin is involved which is derived from tryptophan.Tryptophan is a precursor for synthesis of niacin (nicotinic acid), serotonin and melatonin.
2
Tyrosine
Tryptophan
Phenylalanine
Histidine
Biochemistry
null
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single
Glycolipids are mostly found in
Glycolipids are mostly seen in Brain and spinalcord Two types of glycolipids are : ganglioside ,cerebroside
2
Hea
Brain
Spinalcord
Tetanus
Anatomy
General anatomy
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single
All of the following are cluster A personality disorders except:
Avoidant personality disorder is a cluster C personality disorder.
4
Schizoid personality disorder
Schizotypal personality disorder
Paranoid personality disorder
Avoidant personality disorder
Psychiatry
null
088e0510-c5b8-479c-896c-ea885642759f
multi
Which emphysema is associated with Alpha- 1 antitrypsin deficiency:
Emphysema can be classified based on pattern of enlargement of air spaces as: Panacinar Associated with a1AT deficiency Diffuse loss of parenchymal tissue mainly in lower lobes In this, air spaces are abnormally large within and across the acinar unit Centriacinar Most commonly associated with cigarette smoking Enlarge...
1
Panacinar emphysema
Paraseptal emphysema
Centriacinar emphysema
Irregular emphysema
Medicine
COPD and Asthma
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Somatic passivity is seen in?
Somatic passivity is a Schneiderian first rank of Schizophrenia. Ref : Harrison's Principles of Internal Medicine 21st ed
4
Depression
Hypomania
Body dysmorphic disorder
Paranoid Schizophrenia
Psychiatry
All India exam
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single
With accommodation at rest, total refractory power of crystalline lens is
Answer- B. 16DThe diopteric power of reduced eye is + 6OD, of which + 44D is contributed by cornea and + 16D by the crystalline lens.
2
14D
16D
18D
20D
Ophthalmology
null
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multi
Most common type of schizophrenia is:
Paranoid
2
Simple
Paranoid
Catatonic
Undifferentiated
Psychiatry
null
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single
Two of 3 family members have dinner at a local restaurant and, within 48 hours, start experiencing double vision, difficulty in swallowing and speaking, and breathing problems. These symptoms are consistent with which of the following?
Campylobacter botulinum growing in food produces a potent neurotoxin that causes diplopia, dysphagia, respiratory paralysis, and speech difficulties when ingested by humans. The toxin is thought to act by blocking the action of acetylcholine at neuromuscular junctions. Botulism is associated with high mortality; fortun...
3
Activation of cyclic AMP
Endotoxin shock
Ingestion of a neurotoxin
Invasion of the gut epithelium by an organism
Microbiology
Bacteria
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All are seen in carcinoid syndrome
Carcinoid syndrome is a paraneoplastic syndrome comprising the signs and symptoms that occur secondary to carcinoid tumors. The syndrome includes flushing and diarrhea, and less frequently, hea failure, vomiting and bronchoconstriction. It is caused by endogenous secretion of mainly serotonin and kallikrein. Ref: Inter...
2
Diarrhoea
Constipation
Liver metastasis
5-HT secretion
Surgery
Urology
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multi
Which of the following combination of iron can be given both IM and IV
null
1
Iron dextran
Iron Sorbitol Citrate Solution
ferrous Sulphate
ferrous Humourate
Pharmacology
null
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multi
Which of the following is coagulase-negative staphylococcus?
Coagulase-positive StaphylococciBesides Staph.aureus, few others are coagulase positive like Staph.intermedius and Staph.hyicusCoagulase-negative StaphylococciStaph.epidermidis; Staph.hemolyticus and Staph.saprophyticusRef: Ananthanarayan; 7th edition; Page no: 200
2
Staph. aureus
Staph. epidermidis
Staph. Intermedius
Staph. Hyicus
Microbiology
Bacteriology
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A patient present with the following lesions.Investigation shows cocci in long chains.The diagnosis is
The image shows presence of classical " honey coloured crusts"  which are seen in Impetigo contagiosa.
2
Bullous impetigo
Impetigo contagiosa
Furuncle
Cellulitis
Dental
null
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Mucin clot test is done to detect-
mucin clot test. A test of synol fluid precipitation in acetic acid, formerly used to determine whether inflammatory ahritis was present in a joint. Other tests have replaced it, such as the cell count, cultures, Gram stain, and crystal examination Also helps in detection of hyaluronic acid in synol fluid Ref Davidson ...
3
Mucin in stool
Protein in CSF
Hyaluronate in Synol fluid
Protein in pleural fluid
Medicine
Miscellaneous
78a528af-5c71-44c1-8022-65d1e66e7216
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Diagnosis on CXR is?
Ans. (d) Pneumo mediastinumIn the area of arrows a continuous diaphragm sign is noted. Normally diaphragm is seen below lungs only. This kind of presentation is noted in pneumo-mediastinum.
4
Congenital diaphragmatic hernia
Bochdalek hernia
Pneumothorax
Pneumo-mediastinum
Medicine
Pleural Effusion & Pneumothorax
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single
Which of the following is not an adverse effect of chronic amiodarone therapy?
Impoant drugs that can cause hypothyroidism are iodides, lithium, and amiodarone. Amiodarone inhibits the peripheral conversion of T4 toT3, also interferes with thyroid hormone action and cause hypothyroidism and rarely hypehyroidism may develop on chronic use. Pulmonary alveolitis and fibrosis is the most serious toxi...
4
Pulmonary Fibrosis
hypothyroidism
hypehyroidism
Systemic lupus erythematosis
Pharmacology
Cardiovascular system
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Excretory urography is contraindicated in: March 2011
Ans. C: Multiple myeloma Contraindication to excretory/intravenous urography are 1) iodine sensitivity or previous reaction to contrast media, 2) pregnancy, 3) intractable cardiac or renal failure and 4) multiple myeloma
3
Renal aery hypeension
Single kidney
Multiple myeloma
Trauma
Radiology
null
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Best site for taking biopsy for viral oesophagitis is?
Ans. is 'a' i.e., Edge of the ulcer o In viral esophagitis d/t Herpes simplex the biopsy sample is taken from the edge of the ulcer.
1
Edge of ulcer
Base of ulcer
Adjacent indurated area around ulcer
Surrounding normal mucosa
Pathology
null
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single
Which of the following antiretrol drugs does not cause peripheral neuropathy
Lamivudine E-Emtricitabine and Lamivudine are safest NIs these are not assoscated with peripheral neuropathy or pancreatitis Refer KDT 6/e p771, 772
1
Lamivudine
Stavudine
Didanosine
Zalcitabine
Anatomy
General anatomy
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single
A 48 year old woman was admitted with a history of weakness for two months. On examination, she has enlarged cervical lymph nodes and spleen. Her hemoglobin was 10.5 g/dl, platelet count 2.7 x 109/L and total leukocyte count 40 x 109/L, which included 80% mature lymphoid cells with coarse clumped chromatin. Bone marrow...
Patient in the question stem is showing features of chronic lymphocytic leukemia. Histopathological examination in a case of CLL shows diffuse effacement of lymphocyte architecture by small to medium sized lymphocytes with clumped chromatin, indistinct or absent nucleoli and scanty cytoplasm. Chronic lymphocytic leukem...
4
A pseudofollicular pattern with proliferation centers
A monomorphic lymphoid proliferation with a nodular pattern
A predominantly follicular pattern
A diffuse proliferation of medium to large lymphoid cells with high mitotic rate
Pathology
null
4ada601f-4935-46c1-8154-240e065c3f89
single
Secular trend is demonstrated by
null
2
Pic chart
Line diagram
Scatter diagram
Pictogram
Social & Preventive Medicine
null
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single
In blood culture the ratio of blood to reagent is -
Specifics for <a href=" and panels</a> are as follows: Specimen type - Whole blood Container - Culture bottles (one aerobic and one anaerobic) for blood and green-top tube (heparin) for fungus and mycobacteria (if warranted by clinical suspicion) Collection method - Venipuncture Specimen volume - Adults: 10-20 mL per c...
3
1:05
1:20
1:10
:100
Microbiology
general microbiology
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single
A diabetic patient developed cellulite is due to S. aureus, which was found to be methicillin resistant on the antibiotic sensitivity testing. All of the following antibiotics will be appropriate except:
Ans. is 'b' i.e., Imipenem(Ref: Harrison, 18th/e, p. 1168 and 17th/e, p. 879)"The carbapenem imipenem has excellent activity against methicillin - sensitive S. aureus but not M.R.S.A." Because MRSA is resistant to all Beta-lactam antibiotics including cephalosporins and carbapenems.
2
Vancomycin
Imipenem
Teicoplanin
Linezolid
Microbiology
Bacteria
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multi
A patient using a contact lens develops a corneal infection. Laboratory diagnosis of acanthamoeba keratitis was established. The following is the best drug for treatment –
PHMD is the drug of choice. Chlorhexidene is an alternative "Treatment with PHMB or chlorhexidene is often combined with propamidine and neomycine". — Infections of eye
4
Propamidine
Neosporine
Ketoconazole
Polyhexamethylene biguanide
Ophthalmology
null
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single
Profuse watery diarrhea in an immuno-compromised child is due to:
Cryptosporidium induces severe and protracted diarrhea in AIDS patients.
1
Cryptosporidium
Amoeba
Giardia
Lactose intolerance
Pediatrics
Disorders of Gastrointestinal System Including Diarrhea
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Heat Rupture is characterized by-
Among the given options, only irregular margins are seen in heat rupture.
2
Regular margins
Irregular margins
Ruptured blood vessels
Ruptured Red Blood cells/clotted blood
Forensic Medicine
null
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single
A patient presents with mild jaundice. On examination he had splenomegaly and his USG abdomen showed gallstones. Peripheral smear showed generalized red cell targeting and occasional cells with angular crystals of hemoglobin C. Formation of hemoglobin C requires substitution of glutamic acid with which of the following...
Hemoglobin C is formed by a single amino acid substitution with lysine for glutamine at codon 6. Patients with homozygous hemoglobin C presents with mild hemolytic anemia with splenomegaly, mild jaundice, and pigment (calcium bilirubinate) gallstones. The peripheral blood smear shows generalized red cell targeting and ...
3
Valine
Leucine
Lysine
Arginine
Pathology
null
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multi
In a Anti-moem burn which is NOT true:
D i.e. Non albuminous bulla
4
Line of redness
Increase in enzymes
Vesicle formation
Nonalbu minus bulla
Forensic Medicine
null
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multi
True about HCG: September 2012
Ans. B i.e. Prevent involution of corpus luteum Beta-HCG HCG is secreted by: Synctiotrophoblasts Structurally HCG has: 2 subunits, It is a glycoprotein
2
Produced by cytotrophoblast
Prevent involution of corpus luteum
Value reaches maximum level at 20 week of pregnancy
Its secretion stas after 2 day of ovulation
Gynaecology & Obstetrics
null
fced41ab-8259-402e-9432-ad84c2c8a183
multi
Which is NOT a clinical feature of Addison's disease -
there is no hypocalcemia , there is weakness and fatiguability , hyperkalemia , hyponatremia, hypotension, hypoglycemia( Harrison 17 pg 2263)
3
Hypoglycemia
Hyponatremia
Hypocalcemia
Hyperkalemia
Medicine
Endocrinology
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single
Commonest stone in case of UTI
Phosphate or struvite stones are infection stones associated with urea-splitting organisms i.e. Proteus, Pseudomonas, Providencia, Klebsiella, Staphylococci and Mycoplasma. The high ammonium concentration desired from urea-splitting organisms results in an alkaline urinary pH, required for the precipitation of phosphat...
1
Phosphate
Urate
Cysteine
Calcium oxalate
Anatomy
Urology
9705a10d-a159-4160-8cb8-84a1aed061a6
single
Cryopercipitate is Rich in which of the following clotting factor
ref Robbins 7/e p664 Cryoprecipitate is prepared from plasma and contains fibrinogen, von Willebrand factor, factor VIII, factor XIII and fibronectin. Cryoprecipitate is the only adequate fibrinogen concentrate available for intravenous use. Cryoprecipitateis available in pre-pooled concentrates of five units.
4
Factor 2
Factor5
Factor 7
Factor 8
Anatomy
General anatomy
f1d292e5-8c6d-48d5-8c37-3b525d8182c0
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Jefferson fracture is:
Ans. B. C1 fracture* Jefferson's fracture: Sudden severe load on the top of the head may cause a 'bursting' force which fractures the ring of the atlas.* There is no encroachment on the neural canal and, usually, no neurological damage.
2
C2 fracture
C1 fracture
Fracture of talus
Atlanto- axial dislocation
Orthopaedics
Spinal Injuries
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single
All are true statements regarding Lemborexant except :
Lemborexant FDA approved drug for the treatment of insomnia which got its approval after two Phase III clinical trials namely SUNRISE I and SUNRISE II. Useful in insomnia ,characterized by difficulties with sleep onset and/or sleep maintenance. Orexin neuropeptide signaling system plays a role in wakefulness. Blocking ...
2
It is used in the treatment of Insomnia
It is an orexin receptor agonist
It is useful in patients with difficulties with sleep onset/maintenance
The most common adverse effect is somnolence
Pharmacology
Sedative-Hypnotics and Parkinsonism
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Which of the following is/are criteria for the expectant management in pre-eclampsia excepts
Ans. b. B.P.>140/90 mm HgCriteria for severe Preeclampsia:A persistent SBP of > 160 mm Hg systolic or DBP of > 110 mmHgPersistent severe epigastric painCerebral or visual disturbancesOliguria <400ml/24hrProtein excretion of > 5gm/dayHELLP syndromeRetinal haemorrhage, exudates or papilledemaIntrauterine growth restricti...
2
Platelet count <100000 ml
B.p.>140/90 mm Hg
Urine output < 400mUday
Persistent headache
Gynaecology & Obstetrics
null
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multi
All are complication of formula fed baby over human milk fed baby except :
Ans. is d i.e. Vit. K deficiency Formula feeds contain a host of vitamin and minerals, as well as trace elements (zinc, mangnese, copper, iodine) and electrolytes. in formula feeds vitamin K is added in higher levels than in breast milk to reduce the risk of hemorrhagic diseases in new born. So, vitamin K deficiency ca...
4
Necrotizing enterocolitis
Otitis media
Hypocalcemia
Vit K deficiency
Gynaecology & Obstetrics
null
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multi
All of the following are true about type 1 HLA except?
Ans. (d) First line defense mechanism(Ref: R 9th/pg 191)a. True; It is present on all nucleated cells including antigen presenting cells as well as plateletsb. True; It activates cytotoxic T cell and kill virus infected cellc. True; It is present on platelets also, which are non- nucleated cellsd. False; It is a part o...
4
Present on APC
Activate cytotoxic T cell and kill virus infected cell
Present on nucleated cells
First line defense mechanism
Pathology
Immunity
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multi
Jeeps disease is known as
Pilonidal sinus is seen in drivers mainly hairy jeep drivers in military.
4
Hemorvhoids
Fissure in ano
Fistula in ano
Pilonidal sinus
Surgery
null
8b4a922b-bf1b-44b4-83c0-f0e57cd6cda1
single
nosocamial infection after how many hours ?
*Any infection causing illness that was not present or in its incubation period when the subject entered hospital or received treatment in outpatient clinic. *Infections are considered Nosocomial if they first appear 48 hours or more after hospital admission or within 30 days after discharge. *"Nosocomial" comes from t...
1
48hrs
72hrs
7 days
1 day
Medicine
All India exam
ed77e81f-62e5-4fba-95e3-eb3db0a17d42
single
Thermoregulatory response activated by cold is-
* In cold environment, muscular contractions are increased and there is increased heat production Increased muscular contraction can be due to: 1) Increased tone of muscles. 2) Voluntary activities like foot stamping, hand rubbing, spoing activities etc. * Hypothalamic stimulation in cold environment brings about the f...
3
Cutaneous vasodilatation
Anorexia
Increased voluntary activity
Increased respiration
Surgery
null
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Chlaymydia in asymptomatic carriers, the most sensitive test is -
Ans. is 'b' i.e., Nucleic acid amplification test . Recently Nucleic acid amplification tests (NAAT), have'been developed for chlamydial infections. . These tests are well suited for screening ( asymptomatic carriers) as well as diagnosis. . These tests are the most sensitive and specific chlamydial diagnostic methods ...
2
Tissue culture
Nucleic acid amplification test
Serology
Serum electrophoresis
Microbiology
null
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single
20 yr old female diagnosed previously with adenocarcinoma stomach and on examination following is seen;
Sister Mary joseph nodule - Cutaneous metastatic deposit around umbilicus (Not Lymph node) Lymph Node involvement in Ca stomach - Involvement of left supraclavicular LN - Virchow's Node (Aka Troisier's Sign) - Involvement of Axillary LN - Irish nodes - Palpable intraperitoneal metastasis on digital rectal examination -...
1
Sister Mary joseph nodule
Umbilical granuloma
Infected umbilical hernia
Irish node
Surgery
FMGE 2019
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single
Hypertrichosis is seen with following drugs EXCEPT:
(Barbiturates) (276-H 16th) (301-345-H17th)Hypertrichosis - Occurs in use of phenytoin, minoxidil, or cyclosporine, Diazoxide, Androgens, oral contraceptives containing androgenic progestins.
3
Minoxidil
Cyclosporine
Barbiturates
Phenytoin
Medicine
Drugs
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Tafenoquine - anti TB drug has been approved in July 2018 for
orally active 8 amino qinolone. It is a heame polymerase inhibitor. it is a prodrug and is active againist all liver forms includung hypnozoits. Molucular target is not exactly kmown
2
Radicle cure of P falciparum
Radicle cure of P vivax
Clinical cure of P falciparum
Clinical cure of P vivax
Pharmacology
All India exam
5c025311-06f3-474d-b902-40705765ee7e
single
Difference b w the incidence in exposed and non exposed group is best given by
attributable risk : Attributable Risk(AR) (sometimes called Attributable Propoion or Attributable Fraction) is a measure of the prevalence of a condition or disease. Given a group of people exposed to a risk, it&;s the fraction who develop a disease or condition. ref : park 21st ed
3
relative risk
attributable risk
population attributable risk
odd's ratio
Social & Preventive Medicine
All India exam
c8c881e1-934a-45b5-8d98-241692c75dbc
single
A 55-year old man presented with a two-day history of headache, fever and generalized weakness. He had received a cadaveric kidney transplant 5 years earlier. His medications included 5 mg oftacrolimus twice a day and 10 mg of prednisone daily. On neurologic examination, he was confused and incoherent Cranial nerves we...
Nocardiosis is an infectious disease affecting either the lungs (pulmonary nocardiosis) or the whole body (systemic nocardiosis). It is due to infection by a bacterium of the genus Nocardia, most commonly Nocardia asteroides or Nocardia brasiliensis. It is most common in adult males, especially those with a weakened im...
3
Cerebral toxoplasmosis
Listeria monocytogenes infection
Nocardia asteroides infection
Miliary tuberculosis
Medicine
Miscellaneous
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multi
Positive Screening test for Diabetes Mellitus:-
Screening test is a search for an unrecognized disease/defect in Apparently healthy individuals by means of RAPIDLY APPLIED TESTS. RBS is used for screening of Diabetes mellitus. Rest all tests are diagnostic tests. Screening tests of impoant diseases: Leprosy - Hypoanesthesia HIV - ERS Breast cancer - Mammography Cerv...
1
RBS > 200mg/dl
GTT > 200mg/dl
HbA1C > 6.5 %
FBS > 126 mg/dl
Social & Preventive Medicine
Sensitivity, Specificity, PPV, NPV
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Vascular sign of narath is seen in-
Vascular sign of Narath *Normally femoral pulse is felt in the groin against head of the femur. *In posterior dislocation of hip the vessels fall back unsuppoed, so femoral aerial pulsation, which isn't felt against the head of the femur will be feeble or even, may not be palpable. Ref: Textbook of Ohopaedics by kotwal...
1
Dislocation of hip
Dislocation of knee
Dislocation of elbow
Dislocation of shoulder
Orthopaedics
Pelvis and Hip injuries
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Most frequent tooth to be impacted is
Impacted tooth Is the tooth that has failed to erupt completely or paially to its correct position in the dental arch and its eruption potential has been lost. Order of frequency Mandibular 3rd molar (i.e. Lower 3rd molar) Maxillary 3rd molar (Upper 3rd molar) Maxillary canine
2
Upper third molar
Lower third molar
Upper premolar
Lower premolar
Surgery
Head and neck
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The gold standard investigation for renal aery stenosis in an 21 year old girl :
Angiography is the gold standard and definitive means to diagnose RAS, except for the risk of contrast reaction. In screening for stenosis of the main renal aeries and differentiation from fibromuscular dysplasia, the use of 3D contrast enhanced MRA provides optimum method for its detection and allows the demonstration...
3
Renal scan
Ultrasound Doppler
Renal angiography
3D Contrast-enhanced MRA
Radiology
Genitourinary radiology
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Premature fusion of coronal, sphenofrontal and frontoethmoidal sutures is seen in?
Premature fusion of coronal, sphenofrontal and frontoethmoidal sutures is seen in Turricephaly 1. Turricephaly Cone-shaped head caused by premature fusion of coronal, sphenofrontal and frontoethmoidal sutures 2. Dolicocephaly Due to premature closure of sagittal suture produces a long and narrow skull Also called scaph...
1
Turricephaly
Dolicocephaly
Plagiocephaly
Trigoncephaly
Pediatrics
Abnormalities of Head Size
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Pulled elbow means
Pulled elbow occurs in children between 2-5 years of age. The head of radius is pulled paly out of annular ligament when child is lifted by the wrist. The child stas crying and is unable to move an affected limb. There might be swelling at the elbow.its not possible to see the subluxated head in x-ray as it is still ca...
2
Fracture of head of radius
Subluxation of head of radius
Fracture dislocation of elbow
Fracture ulna
Orthopaedics
Elbow injuries
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Most common site of lymphangiosarcoma is
Most common site of lymphangiosarcoma is arm following mastectomy, Occurs commonly after radical lymph nodes dissection- stewa treves syndrome Reference- SRB - 5th edition, sarcoma, page 311.
4
Liver
Spleen
Retroperitoneum
Post mastectomy arm
Surgery
Vascular surgery
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The following ocular structure in not derived from surface ectoderm:
B i.e. Sclera
2
Crystalline lens
Sclera
Corneal epithelium
Epithelium of lacrimal glands
Anatomy
null
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One of the following is not true of International Classification of Disease -
Ans. is 'b' i.e., It was devised by UNICEF ICD was devised by WHO.
2
It is revised once in 10 years
It was devised by UNICEF
The 10th revision consists of 21 major chapters
It is accepted for National and International use
Social & Preventive Medicine
null
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Operations for varicose veins are best accomplished by-
null
1
Stripping
Multiple subcutaneos ligatures
Subfascial ligatures
Division and ligation at the superficial venous system
Surgery
null
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All of the following metabolic functions occur in the mitochondria, Except:
B i.e. Biosynthesis of fatty acids
2
Beta-oxidation of fatty acids
Biosynthesis of fatty acids
Protein synthesis
Citric acid cycle
Physiology
null
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Management of a child with severe PEM having loose stools includes ________
Management of a child with severe protein-energy malnutrition (PEM) having stools includes Use of low sodium ORS for Rehydration 5ml/Kg every 30 min for first 2 hours. Donot give IV fluids unless the child is in shock Give ReSoMal (low sodium rehydration solution for malnutrition) 5ml/Kg every 30 min for first 2 hr ora...
4
Initiation of IV fluids immediately
Administration of 50ml of 10% glucose orally, if unconsious
Continuation of aggressive hydration, even after dehydration resolves
Use of low-sodium oral rehydration solution (ORS) for rehydration 5 ml/Kg every 30 min for the first 2 hours
Pediatrics
Nutrition
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Which one of the following statements truly represents bell's paralysis -
Bell's paralysis is a lower motor neuron type of facial nerve palsy of unknown etiology, i.e., idiopathic nature. Lower motor neuron type of palsy causes ipsilateral paralysis, therefore bell's palsy causes ipsilateral facial paralysis. Except for facial nerve paralysis, another neurological examination is normal.
3
Hemiparesis and contralateral facial nerve paralysis
Combined paralysis of the facial, trigeminal, and abducens nerves
Idiopathic ipsilateral paralysis of the facial nerve
Facial nerve paralysis with a dry eye
ENT
null
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0steomas, adenomatous polyps of intestine & periampullary carcinomas are seen in
Gardner's Syndrome Gardner's syndrome is combination of familial polyposis coli and ceain extra-colonic lesions such as multiple osteomas (paicularly of the mandible and maxilla), sebaceous cysts and connective tissue tumours. mnemonics: GARDEN In FOREST Gardener syndrome Familial polyposis coli, Osteoma Retinal epithe...
4
Cowden syndrome
Peutz Jegers syndrome
FAP
Gardener syndrome
Pathology
G.I.T
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All are contents of the Femoral traingle except
Femoral triangle : Lateral - Saorius Medial - Adductor longus Base - Inguinal ligament Contents - Femoral nerve, Femoral aery, Femoral vein,deep inguinal lymphatics, nerve to pectineus. Ref : Gray's Anatomy The Anatomical Basics of Clinical Practice 41 e pg 1362.
3
Femoral nerve
Femoral vein
Superficial inguinal lymphatics
Nerve to pectineus
Anatomy
Lower limb
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Fatty acids are stored as ?
Ans. is 'b' i.e., TriglyceridesTriglycerides (TGs) are formed by esterification of one molecule of glycerol with three molecules of fatty acids. Therefore, they are also called as triacylglycerol (acyl for fatty acid). Fatty acids esterified through their carboxyl group, resulting in a loss of negative charge and forma...
2
Cholesterol
Triglycerides
Sphingomyelin
null
Biochemistry
null
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Mainstay of treatment of glue ear:-
Glue ear: - Long standing collection of serous / mucoid fluid in the middle ear cavity.- CHL (25-30 DB)- B curve on Tympanometry Mainstay treatment of glue ear should be treat the cause, like if its adenoids or tumor so removing it would be the treatment. But the cause is not mentioned in the question. So the mainstay ...
2
Radical Mastoidectomy
Myringotomy + aeration to middle ear
Temporal bone resection
Tonsillectomy & adenoidectomy
ENT
FMGE 2018
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Bilateral centrocaecal scotoma more marked with red than white colour is a feature of:
Ans. Tobacco amblyopia
1
Tobacco amblyopia
Leber's disease
Papilledema
Quinine amblyopiafs
Ophthalmology
null
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Area of the brain most commonly undergoing atrophy in Alzheimer's disease:
Ans. a. Temporoparietal (Ref: Harrison 19/e p2598, 18/e p3304-3308)Area of the brain most commonly undergoing atrophy in Alzheimer's disease is Temporoparietal.'Pathologically, atrophy is distributed throughout the medial temporal lobes, as well as lateral and medial parietal lobes and lateral frontal cortex.'- Harriso...
1
Temporoparietal
Parieto-occipital
Frontoparietal
Temporo-occipital
Medicine
Dementia
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All of the following statements about parvovirus B-19 are true, except -
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1
<10% spread by transplacental route
Respiratory route is the primary mode of transmission
It is a DNA virus
Affects erythroid progenitors
Microbiology
null
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Protective species or non cariogenic bacteria among the following is/are:
null
4
Veillonella.
Capnocytophega.
Streptococcus mitis.
Both AB
Pathology
null
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False about sternocleidomastoid is
Actions of sternocleidomastoid - When one sternocleidomastoid muscle contracts, a) It turn the chin to the opposite side, b) It can also tilt the head towards the shoulder of same side Ref : B D Chaurasia's Human Anatomy , sixth edition, volume 3 , pg. no. 89
4
Arises from sternum and clavicle
Inses on mastoid process
Motor supply by spinal accessory nerve
Tilt the head on opposite side
Anatomy
Head and neck
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All of the following methods are used for the diagnosis of HIV infection in a 2 month old child, except -
diagnosis of HIV in 2 month old child is by p24 Sg asday ,PCR&viral culture.ELISA id not used REF:<\p> MICROBIOLOGY ANANTHA NARAYANAN NINTH EDITION PAGE.575
3
DNA_PCR
Viral culture
HIV ELISA
p24 antigen assay
Microbiology
Virology
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Which of the following is not a good source of vitamin D?
Good sources of vitamin D include fatty fish,fish liver oils, egg yolk etc. Milk is not a good source of  vitamin D. Reference: Satyanarayana- Biochemistry, 3rd edition, pg-128
2
Fatty fish
Milk
Fish liver oils
Egg yolk
Biochemistry
null
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Otoacoustic emissions arise from:
Ans. B Outer hair cellsOtoacoustic Emissions (OAEs)Otoacoustic emissions are acoustic signals emitted from the cochlea to middle ear and into the external ear canal where they are recordeD.They are low intensity sounds probably generated by acute mechanical contraction of the outer hair cellsThey are produced either sp...
2
Inner hair cells
Outer hair cells
Both inner and outer hair cells
Organ of Coi
ENT
null
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An obese female having hirsutism on laboratory investigation has a high level of LH and androgens. Likely cause is
The clinical and laboratory features of the patient described in the question match with those of PCOS as depicted in the table. So the most appropriate answer is PCO
1
PCOS
Exogenous steroid ingestion
Turner syndrome
Kleinfelter syndrome
Gynaecology & Obstetrics
null
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Common ocular manifestation in Trisomy 13 is :
Ans. is 'b' i.e. Bilateral microphthalmos Abnormalities seen in trisomy 13 {Patau's syndrome)MicrophthalmiaMicrocephaly and mental retardationCleft lip and palatePolydactylyCardiac defectsUmbilical herniaRenal defectsRocker bottom feet
2
Capillary hemangioma.
Bilateral microphthalmos.
Neurofibroma.
Dermoid Cyst.
Ophthalmology
Anatomy
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Embryonal rhabdomyosarcoma is seen in ?
Ans. is 'a' i.e., Face; 'b' i.e., Neck; 'c' i.e., Nasal cavity Embryonal rhabdomyosarcoma o Embryonal rhabdomyosarcoma is the most common subtype of rhabdomyosarcoma, observed in children. o The tumor can occur at any site but the two most common sites are: i) Head and neck (including face and nose) --> Most common Gen...
4
Face
Neck
Nasal cavity
All
Pathology
null
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The role of mitochondria is in all of the following, except:
Mitochondria is not involved in Fatty acid biosynthesis. Fatty acid biosynthesis takes place in cytosol.
4
ATP production
Apoptosis
Tricarboxylic acid cycle
Fatty acid biosynthesis
Biochemistry
null
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Which is the most common type of shock in surgical practice
Hypovolemic shock is probably the most common form of shock, and to some degree is a component of all other forms of shock. Hypovolemic shock is due to reduced circulating volume. Reference : Bailey & Love, 27th Edition, page no = 13.
2
Cardiogenic
Hypovolemic
Neurogenic
Septic shock
Surgery
General surgery
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Swimming pool odor in classical of which inborn error of metabolism?
Tyrosinemia - Boiled cabbage odor. Hawkinsinuria - Swimming pool odor. Phenylketonuria - Mousey odor. Multiple carboxylase deficiency - Tomcat urine.
2
Tyrosinemia
Hawkinsinuria
Phenylketonuria
Multiple carboxylase deficiency
Biochemistry
null
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Round, ribbon-shaped, ovoid, bowling pin and kidney-bean are all types of root canals seen on
null
4
Oblique section
Longitudinal section
Sagittal section
Cross section
Dental
null
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All of the following are the electrocardiographic features of severe hyperkalemia except-
Effects of hyperkalaemia on the ECG Serum potassium > 5.5 mEq/L is associated with repolarization abnormalities: Peaked T waves (usually the earliest sign of hyperkalaemia) Ref Harrison 20th edition pg 1456 Serum potassium > 6.5 mEq/L is associated with progressive paralysis of the atria: P wave widens and flattens PR ...
2
Peaked T waves
Presenceof U waves
Sine waves pattern
Loss of P waves
Medicine
C.V.S
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With the use of DMPA contraceptive, the side effects are all of the following EXCEPT:
Ans. is 'a' ie change in quantity and quality of breast milk. Change in quantity and quality of breast milk is seen with the use of estrogen contraceptives not progesterone.Infact is a plus point of DMPA that it does not affect lactation. It can be therefore used in the post-partum period, without affecting the lactati...
1
Change in quantity and quality of breast milk
Weight gain
Irregular bleeding
Increased reproductive tract inflection
Social & Preventive Medicine
Family Planning
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All of the following are features of atrial myxoma except: September 2008
Ans. B: HypeensionFindings of atrial myxoma?Jugular venous pressure may be elevated, and a prominent a wave may be present.A loud S1 is caused by a delay in mitral valve closure due to the prolapse of the tumor into the mitral valve orifice (mimicking mitral stenosis).P2 may be delayed. Its intensity may be normal or i...
2
Clubbing
Hypeension
Emboli
Fever
Pathology
null
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Fluid, which has high potassium and low sodium contents, is -
null
3
CSF
Ectolymph
Endolymph
Pleural fluid
ENT
null
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A healthy 22-year-old female medical student with normal kidneys decreases her sodium intake by 50% for a period of 2 months. Which of the following parameters is expected to increase in response to the reduction in sodium intake?
A reduction in sodium intake leads to a decrease in extracellular fluid volume and therefore a decrease in aerial pressure. The decrease in aerial pressure stimulates renin release, which in turn leads to an increase in the formation of angiotensin II. The angiotensin II increases the renal retention of salt and water ...
4
Aerial pressure
Atrial natriuretic peptide release
Extracellular fluid volume
Renin release
Physiology
null
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'C' wave in JVP is due to-
Answer is B (Tricuspid valve bulging into right atrium) The 'C' Wave is a positive wave produced by the bulging of tricuspid valve into the right atrium during right Ventricular isovolumetric systole and by impact of the carotid aery adjacent to the jugular vein.
2
Atrial contraction
Tricuspid valve bulging into right atrium
Right atrial filling
Rapid ventricular filling
Medicine
null
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Which is the most common complication of this Rash?
Ans. (c) Secondary skin infectionsNotice the presence of vesicles on an erythematous base caused by varicella-zoster virus. The most common complication of chicken pox is secondary skin infections.Image source- style="font-family: Times New Roman, Times, serif">
3
Otitis media
Bronchopneumonia
Secondary skin infections
Reye syndrome
Microbiology
Bacteria
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A patient while lifting a heavy weight presents with sudden onset pain in the lower back radiating along the postero-lateral thigh and lateral leg to the big toe with numbness. The most likely diagnosis is:
C i.e. L4 -- L5 Disc prolapsed Sudden onset lower back pain with radioculopathy while lifting something heavy from ground (i.e. in spinal flexion) indicates acute PIVD (prolapsed of interveebral disc). Pain or paresthesia along posterolateral aspect of lower thigh, anterolateral aspect of knee and leg and dorsal surfac...
3
L5 fracture
L3 - IA Disc prolapsed
L4 - L5 Disc prolapsed
L5 - SI Disc prolapse
Surgery
null
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In glycolysis, the first committed step is catalysed by
Phosphofructokinase catalyzes the committed step of glycolysis, meaning that once fructose 1, 6 - bisphosphate is formed it must go for the glycolytic pathway only.
4
2, 3 DPG
Glucokinase
Hexokinase
Phosphofructokinase
Biochemistry
null
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In pantamograph, if patient chin is placed anterior to the focal trough, the structures appears to be
null
1
Blurred and Diminished
Blurred and Magnified
Either magnified or diminished
Only Blurred
Radiology
null
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single
Lacrimal punctum of upper and lower eyelids are?
Ans. is 'a' i.e., They are opposed
1
They are opposed
No relation
Upper punctum is medial
Upper punctum is lateral
Ophthalmology
null
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Diameter of the optic disc is –
Actually, optic disc is vertically oval with vertical diameter 1.88 mm and horizontal diameter 1.76 mm. However, some textbooks (like khurana) have metioned it as circular area of 1.5 mm diameter.
2
0.5 mm
1.5 mm
2.5mm
3.5 mm
Ophthalmology
null
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