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Scar endometriosis can occur following :
Ans. is d i.e. All of the above Endometriosis sometimes occurs in abdominal wall scars following operations on uterus or tubes and is known as Scar endometriosis. Operations most likely to be followed by scar endometriosis Hysterotomydeg * Classical cesarean sectiondeg Myomectomydeg * Ventrofixationdeg Following operat...
4
Classical Cesarean Section
Hysterotomy
Episiotomy
All of the above
Gynaecology & Obstetrics
null
583121fc-95c1-4e8a-bd7d-f80f1d223566
multi
Which of the following is the most common predisposing factor for placenta accreta?
Placenta accreta is the attachment of placenta directly to the myometrium without any intervening decidua basalis Impoant risk factor : * Placenta pre ( most common ) * Prior cesarean section
4
Myomectomy
Recent curettage
Previous cesarean section
Placenta pre
Gynaecology & Obstetrics
Placenta - Types and their complications
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single
What is the best characterizes of the sinusoids
sinusoids - In some tissues the 'exchange' network is made up of vessels that are somewhat different from capillaries, and are called sinusoids. Sinusoids are found typically in organs that are made up of cords or plates of cells. These include the liver, the adrenal coex, the hypophysis cerebri, and the parathyroid gl...
2
Have smaller diameter than lymph capillaries
Are not found in skeletal muscle
Have a continuous endothelial lining
Have a continuous basement membrane
Anatomy
General anatomy
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multi
The chest CXR of patient shows?
CXR shows the presence of reticular nodular shadows in both lung fields. Choice A is ruled out since emphysema shows hyperinflation with flattening of the diaphragm. Choice C and D are associated with increased CT ratio and cardiac borders can be ruled out. Hence answer by exclusion is choice B
2
Emphysema
Reticular shadows
Batwing edema
Kerley B lines
Medicine
Interstitial Lung Disease
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single
Elschnig&;s pearls are a sign of
After cataract It is also known as 'secondary cataract'. It is the opacity which persists or develops after extracapsular lens extraction. Causes: (i) Residual opaque lens matter may persist as after cataract when it is imprisoned between the remains of the anterior and posterior capsule, surrounded by fibrin (followin...
1
Secondary cataract
Cystoid macular oedema
Chronic uveitis
All of the above
Ophthalmology
Lens
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multi
Regarding urinary bladder stone one is Not true ?
Answer is 'b' i.e. Uric acid stones are dropped from above It is the oxalate stones that are usually dropped from above (i.e. formed in the kidney and dropped in the bladder through ureter). Uric acid stones are mostly formed within the bladder. In general most of the bladder calculi are formed within the bladder itsel...
2
Common in Paediatric pt in tropics than that of non tropical areas
Uric acid stones are dropped from above
Jack stone is due to urea splitting bacteria
Commonly distal passage obstruction cause stone
Surgery
null
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A 13 year old boy has bilateral gynecomastia. i is height is 148 cm, weight 58 kg; the sexual maturity rating is stage 2. The gynecomastia is most likely due to –
null
3
Prolactinoma
Testicular tumour
Pubertal gynecomastia
Chronic liver disease
Pediatrics
null
7b660d57-98de-454d-aa47-292b265f3ec2
single
Following is used to stain fungi
null
1
PAS
Fontana stain
Ferrous trichrome
Pearls prussian blue
Pathology
null
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single
Fluoresciene stain is used in the eye to stain ?
Ans. is 'a' i.e., Cornea Impoant corneal examinations Keratometry, Corneal topography Specular microscopy Slit lamp Pachymeter Placido's disc Fluorescein, Alacian blue & Bengal rose stain Window reflex, slit lamp biomicroscopy, Placidos' disc Used for Curvature of cornea Corneal endothelial density Corneal opacity Thic...
1
Cornea
Retina
Choroid
Iris
Ophthalmology
null
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single
Hea failure cells are -
Ans. is `b' i.e., Pigmented alveolar macrophageso Hea failure cells (siderophages) are hemosiderin containing macrophages in alveoli that are seen in left ventricular failure and denote previous episodes of pulmonary edema.Left sided hea failure o The major morphological and clinical effects of LVF are due increased ba...
2
Lipofuscin granules in cardiac cells
Pigmented alveolar macrophages
Pigmented pancreatic acinar cells
Pigment cells seen in liver
Pathology
null
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single
Submental lymph nodes drains from -
Ans. is 'a' i.e., Centre of lower lips Submental lymph nodeso These lymph nodes lie on the mylohyoid in the submental triangle. The receive afferents from superficial tissue below chin, central part of lower lip, adjoining gums, anterior part of the floor of the mouth and tip of the tongue. These nodes, themselves, dra...
1
Centre of lower lips
Posterior 1 /3 of tongue
Anterior 2/3 of tongue
Angle of mouth
Anatomy
Oral Cavity & Tongue
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Amoebic liver abscess most commonly affects -
Ans. is 'a' i.e., Right lobe of liver Amoebic Liver abscesso Caused by Entamoeba histolytica whose cysts are acquired through the feco-oral route and their trophozoites reach the liver through portal venous systemo Like pyogenic abscess they are also common in rt. lobe of livero Clinical Picture# the typical clinical p...
1
Right lobe of liver
Left lobe of liver
Portal vein
Right pleural cavity
Surgery
Hepatic Tumors, Cysts, and Abscesses
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Apple-jelly nodules is/are seen in:
Ans: A (Lupus vulgaris) Apple jelly nodules:characterized by yellow-brown nodules with tiny darker granules. On probing, the noduies are soft jelly-like"- Neena Khanna 3rd/217Lupus Vulgaris Neena Khanna 3rd/217MorphologySingle (or few) lesions.Well demarcated, annular or arcuate plaques which slowly extend centrifugall...
1
Lupus vulgaris
DLE
Lichen planus
Psoriasis
Skin
C. Mycobacteria
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Both PT and APTT are prolonged in -
Ans. is 'a' i.e., Factor II deficiencyo Prolongation of both PT and A PPT is typically seen in deficiency of involoved in the common pathway, namely factor //, factor V and factor X (and fibrinogen).o Heparin in clinical concentrations is typically associated with isolated prolongation of APTT while PT is normal be cau...
1
Factor II deficiency
Thrombocytopenia
Factor VII deficiency
Heparin therapy
Medicine
Bleeding and Thrombotic Disorders
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multi
Fejereskov and Thylstrup index is used for
null
2
Caries Index in primary teeth
Index to measure Fluorosis
Gingival Bleeding Index
Periodontal Index
Dental
null
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single
At which level the somites initially form-
The first pair of somites develop a short distance posterior to the cranial end of the notochord, and the rest of the somites from caudally.
2
Thoracic level
Cervical level
Lumbar level
Sacral level
Anatomy
null
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multi
An infant has papulovesicular lesions on palms, soles, face and trunk. The diagnosis would he
Ans. a. Scabies Scabies: Primary lesions are of three types:Q Burrow: Serpentine (S-shaped) path traversed by parasite in stratum corneumQ. It is pathognomic of lesion. Papules and papulovesicles: Due to hypersensitivityto the mite Fine pin head size follicular papules Scalp, face, palms and soles are characteristicall...
1
Scabies
Atopic dermatitis
Uicaria
Seborrhoic dermatitis
Skin
null
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Blood supply of femoral head is:
B i.e. Obturator aery
2
Femoral aery
Obturator aery
Internal pudendal aery
All
Anatomy
null
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multi
Hyperpolarization is due to
In hyperpolarization the membrane becomes more negative It is due to continued potassium efflux or chloride ion influx. Ref:Guyton and Hall textbook of medical physiology 12th edition,page number:67,68,69
1
Influx of chlorine
Influx of potassium
Influx of sodium
All
Anatomy
General anatomy
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Which of the following cancer makes up the majority in reproductive tract neoplasms during pregnancy?
Cancer in the reproductive tract may also complicate pregnancy and of these cervical neoplasia makes up the majority.Cervical > Ovary > Uterus, Vulva or Vagina(Ref: William's Obstetrics; 25th edition)
2
Vaginal
Cervical
Uterine
Ovarian
Gynaecology & Obstetrics
All India exam
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Resistance to acyclovir is most commonly due to mutation in a viral gene that encodes a protein that:
(Ref: KDT 6/e p768) Nucleoside/tide analogues (like acyclovir) act by conveing to NTPs. First phosphorylation step occurs inside the virs and resistance occurs if there is mutation in this gene.
2
Conves viral RNA into DNA
Phosphorylates acyclovir
transpos acyclovir into the cell
Transpos acyclovir out of the cell
Pharmacology
Other topics and Adverse effects
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Which of the following stages of gypsum expansion shows initial crystal growth?
Imagine that the initial mix is represented in the figure (stage I) by the three round particles of hemihydrate surrounded by water. Under normal setting conditions, the crystals of the dihydrate begin to form on the nuclei. The water around the particles is reduced by hydration and these particles are drawn more close...
2
I
II
III
IV
Dental
null
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In neonates, spinal cord ends at:March 2010 and 2012, March 2013
Ans. C: L3
3
L1
L2
L3
L4
Anatomy
null
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single
Which of the following is the most important interaction in the formation of cell membrane lipid bilayer and in lipid-protein interaction?
Interactions in the cell membrane. -        Hydrophobic (most important)– Between lipids- Information of lipid bilayer​ Transmembrane proteins and lipids -        Van der walls interaction Between lipids- Information of lipid bilayer​ Transmembrane proteins and lipids -        Electrostatic bonds Between transmemb...
1
Hydrophobic interactions
Both hydrophobic and convalent interactions
Covalent bonds
Hydrogen bonds
Physiology
null
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multi
Spot the diagnosis in the following IVU
Note the ectopic kidney seen in the pelvis on left side above the urinary bladder. This patient had solitary right kidney, which was normal in position. Ectopic kidneys are found in one in 1000 people, usually on the left near the pelvic brim. The other kidney is generally normal. A diseased ectopic kidney may present ...
4
Horse shoe kidney
Bladder diveiculum
Pelvic mass
Ectopic kidney
Radiology
Genitourinary radiology
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Which of the following is true regarding the principle of use of MRCP
MRI cholangiography and MRI cholangiopancreaticography (MRCP) are imaging techniques used to evaluate the biliary system. Heavily T2- weighted images are used to provide an overview of the biliary system and pancreatic duct Excellent diagnostic - quality images are obtainable, with high sensitivity and specificity for ...
3
Intra liminal dye is used to create the three dimension view of the structures
Dye is instilled percutaneously first then MRI is used
Use of heavily T2-weighted image without contrast to create the three dimensional image of the biliary tree using MIP algorithm
Use of systemic Gadolinium as a contrast agent to create the three dimensional image of the biliary tree
Anatomy
G.I.T
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A 5 years old boy presents with hepatomegaly, hypoglycaemia, ketosis. The diagnosis is:
Ans. B. Glycogen Storage Disorder(Ref: Nelson 20e Chapter 715 Defects in metabolism of Carbohydrates)Patients with type IGSD may present in the neonatal period with hypoglycemia and lactic acidosisThese children often have doll-like faces with fat cheeks, relatively thin extremities, short stature, and a protuberant ab...
2
Mucopolysaccharidosis
Glycogen storage disorder
Lipopolysaccharidosis
Diabetes mellitus
Biochemistry
Carbohydrates
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Early fusion of coronal suture along with other skull sutures is seen in:
Premature closure of the coronal suture results in a ahigh, tower-like cranium, called oxycephaly or turricephaly. It is more common in females.
2
Brachycephaly
Oxycephaly
Trigonocephaly
Scapocephaly
Anatomy
null
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In Hanup's disease, the following amino acids are excreted into the urine
Hanup disease reflects impaired intestinal and renal transpo of tryptophan and other neutral amino acids.The defect limits tryptophan availability for niacin biosynthesis and accounts for the pellagra-like signs and symptomsHarper 30th edition Pg: 308
3
Basic amino acids
Acidic amino acids
Neutral amino acids
Hydrophilic aminoacids
Biochemistry
Metabolism of protein and amino acid
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The contribution of operation of sodium potassium electrogenic pump for the development of net -90 millivolt on resting membrane potential is
null
1
-4 millivolt
-80 millivolt
-70 millivolt
+4 millivolt
Surgery
null
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Malleus and Incus are derived from?
A i.e. First arch
1
First arch
Second arch
Third arch
Fouh arch
Anatomy
null
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multi
Which of the following is known to cause Pedal Botryomycosis -
null
3
Actinomyces somaliensis
Nocardia asteroides
Staphylococcus aureus
All of the above
Microbiology
null
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multi
A farmer is found convulsing in the farm. Diarrhea, sweating and urination are apparent. Pupils are pin point. Drug poisoning is suspected. Most probable cause is:
Ans. C. Organophosphate poisoningThese are characteristic features of anti-cholinesterase (organophosphate and carbamate) poisoning.A. Symptom due to muscarinic actions: (DUMBELS)* Diarrhoea, Diaphoresis* Urination* Miosis* Bronchoconstriction* Excitation CNS* Lacrimation,* SalivationB. Symptom due to nicotinic action:...
3
Acetaminophen overdose
Amphetamine toxicity
Organophosphate poisoning
Atropine poisoning
Pharmacology
Anaesthesia
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In post-ductal coarctation of aoa, collaterals may be formed by which of the following:
Suprascapular aery, Subscapular aery, Posterior intercostal aery and Veebral Aery may all form channels for collateral ciculation in coarctation of aoa. The veebral aery is probably the least prominent pathway for collateral circulation amongst the options provided and hence may be accepted as the single best answer by...
4
Veebral aery
Suprascapular aery
Subscapular aery
null
Anatomy
null
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multi
Which enzymatic mutation is responsible for immortaity of cancer cells
Prevention of telomere shortening with every cell division, due to activity of telomerase is the cause of immortality in cancer cells, germ cells, and stem cells as it protects from cellular aging and apoptosis.
3
DNA reverse transcipatase
RNA polymerase
Telomerase
DNA polymerase
Biochemistry
null
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Because of an inflammatory bowel disease (Crohn's disease) and a small bowel obstruction leading to bowel ischemia, an elderly woman requires bypass of her ileum and jejunum and is scheduled for a gastrocolostomy. The surgeon will ligate all aeries that send branches to the stomach. Which of the following aeries may be...
The inferior pancreaticoduodenal aery does not supply the stomach. All the other aeries supply the stomach.
3
Splenic aery
Gastroduodenal aery
Inferior pancreaticoduodenal aery
Left gastroepiploic aery
Anatomy
Stomach and aerial supply of abdomen
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Multiple drug resistance is transferred through -
Ans. is 'c' i.e., Conjugation Resistance to multiple drugs is transmitted by R factor (plasmid) o R factor is transferred from one bacterium to other by conjugation. o Transduction and mutation usually cause resistance to one drug. o Transformation is not involved significantly in drug resistance.
3
Transduction
Transformation
Conjugation
Mutation
Pharmacology
null
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single
Which line of death ceificate represent major antecedent cause of death -
Ans. is 'c' i.e., Ic International death ceificate The basis of moality data is death ceificate. For ensuring national and international comparability, it is necessary to have a uniform and standardized system of recording and classifying deaths. For this purpose WHO has recommended international death ceificate. Consi...
3
Ia
Ib
Ic
II
Social & Preventive Medicine
null
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single
Which of the following is not associated with mucous secretion?
Panthet cells are not associated with mucous secretion, it secretes lysozyme and also has some phagocytic functions. Goblet cells are specialized mucus secreting cells present throughout the intestine. Brunners glands are found in the submucosa of small intestine, they produce viscid, mucoid, alkaline secretion which n...
1
Paneth cell
Goblet cell
Brunner's glands
Crypts of Lieberkuhn
Physiology
null
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Which of the following cranial nerves do not carry parasympathetic outflow
Parasympathetic cranial nerves are 3-occulomotor 7-facial 9-glossopharyngeal 10-vagus Refer kDT 7/e p78
2
Occulomotor
Trochlear
Facial
Glossopharyngeal
Pharmacology
Autonomic nervous system
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Which is not given in anaphylactic reaction?
null
3
Epinephrine
Anti-histamine
Blood transfusion
Beta-adrenergic agonists
Pharmacology
null
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A hospitalized patient has an ejection fraction of 0.4, a hea rate of 95 beats/min, and a cardiac output of 3.5 L/min. What is the patient's end-diastolic volume?
First, calculate stroke volume from the cardiac output and hea rate: Cardiac output = stroke volume x hea rate; thus, stroke volume = cardiac output/ hea rate = 3500 mL/95 beats/min = 36.8 mL. Then, calculate end-diastolic volume from stroke volume and ejection fraction: Ejection fraction = stroke volume/end-diastolic ...
4
14 mL
37 mL
55 mL
92 mL
Physiology
Cardiac Output
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Phantom limb is an example of disorder of:
Perception is defined as any information which is perceived through sensory organs In phantom limb, the patient feels sensations in the amputated limb which in reality is not present. Hence, it's a disorder of perception.
2
Thought
Perception
Cognition
None of the above
Psychiatry
Basics of Psychiatry
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The most common prescription medication for sialorrhea
Traditional medications for the treatment of drooling target the reduction of saliva production using anticholin- ergic mechanisms. While they will reduce salivary output, they do not treat the underlying neuromuscular problems, so some patients may find the anticholinergic side effects out - weigh the benefit of the d...
1
Glycopyrrolate
Atropine sulphate
Scopolamine
Amitriptyline
Pathology
null
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True about Measles rash appearance:
RASH IN MEASLES Stas 12-24 hours after appearance of Koplik spots. Retro -auricular origin spreads to other pas of body (fades in opposite direction). Takes 1 - 2 days to cover body * Fever is highest and patient is sickest on day of rash.
3
Along with Koplik spots
1-2 days before Koplik spots
1-2 days after Koplik spots
Post measles stage
Social & Preventive Medicine
Respiratory Infections
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multi
Grading disease severity as mild, moderate, severe is an example of which scale?
There are characteristics that should be measured in terms of quantities but nonavailability of a good instrument compels measure in terms of what is called an ordinal scale. Example is disease severity measured as mild, moderate or severe. Ref: Medical biostatistics, 1st edition pg: 99
2
Nominal
Ordinal
Interval
Ratio
Social & Preventive Medicine
null
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Which of the following antitubercular drugs is not hepatotoxic
Refer KDT 6/e p743 Streptomycin and Ethambutol are not hepatotoxic Read carefully option (c) is Ethionamide AMD not Ethambutol
4
Isoniazid
Rifampicin
Ethionamide
Streptomycin
Pharmacology
Chemotherapy
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Landau-Kleffner syndrome is characterized by all of following except
Ans. C. Normal EEG during sleep Ref : Nelson Textbook of Pediatrics 20th/ed p2837ExplanationLandau-Kleffner syndrome is a condition of unknown cause characterized by:# Loss of language skills attributed to auditory agnosia in a previously normal child# Seizures (focal, generalized tonic-clonic, atypical absence, partia...
3
Seizure
Loss of language skill
Normal EEG during sleep
Normal brain CT scan
Pediatrics
Central Nervous System
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Nicotinic acid ?
Ans. is 'a' i.e., Increases HDL Nicotinic acid (Niacin) There arc three main type of lipases related to metabolism of lipoproteins ? Lipoprotein lipase - Present in blood vessels and causes hydrolysis of tryglyceride content of VLDL and chylomicrones. Hepatic lipase - Conves IDL to LDL by hydrolysing the triglyceride c...
1
Increases HDL
Increased triglyceride synthesis
Type II hyperlipoproteinemia
Decreased hydrolysis of VLDL
Pharmacology
null
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Circulus aeriosus iridis major is formed by the anastomosis of
Anterior ciliary aeries: These are derived from the muscular branches of ophthalmic aery. These aeries pass anteriorly in the episclera, give branches to sclera, limbus and conjunctiva; and ultimately pierce the sclera near the limbus to enter the ciliary muscle; where they anastomose with the two long posterior ciliar...
3
Long posterior ciliary aeries with sho posterior ciliary aeries
Long posterior ciliary aeries with anterior conjunctival aeries
Long posterior ciliary aeries with anterior ciliary aeries
Anterior ciliary aeries with sho posterior ciliary aeries
Ophthalmology
Anatomy, Development and clinical examination
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single
A 20 year old patient presents with syncope. His current ECG is shown below. His elder brother had died suddenly while watching television. The patient was given Cardioversion and subsequent cardiac MRI revealed fibro-fatty changes in RV myocardium. What is the diagnosis of this patient?
Arythmogenic RV dysplasia(ARVD) ECG shows HR of 300/min with broad complex tachycardia. Variation in amplitude of QRS complexes which indicates a diagnosis of polymorphic Ventricular Tachycardia. In acute setting DC shock 200 J Biphasic should be given. The Cardiac MRI repo showing fibro-fatty changes in RV myocardium ...
2
Hyperophic obstructive Cardiomyopathy
Arythmogenic RV dysplasia
Brugada syndrome
Tako- Tsubo Cardiomyopathy
Medicine
ECG and Arrhythmias 1
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Most common phase I biotransformation reaction is?
Ans. is 'a' i.e., Oxidation Oxidation is the most impoant metabolizing reaction.
1
Oxidation
Hydrolysis
Cyclisation
Reduction
Pharmacology
null
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Sulfasalazine is used in -
Ans. is 'a' i.e., Ulcerative colitis Inflammatory bowel disease (crohn's disease & ulcerative colitis)o 5-aminosalicylic acid (5-ASA) is the main anti-inflammatory compound that acts locally in colon. It is the first line of treatment in mild to moderate UC and CD. When given alone 5-ASA is absorbed > 80% in proximal i...
1
Ulcerative colitis
Osteoarthritis
Gouty arthritis
Irritable bowel syndrome
Pharmacology
G.I.T
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Kaposi sarcoma is caused by: March 2013
Ans. C i.e. HHV 8 Kaposi sarcoma (KS) It is a tumor caused by Human herpesvirus 8 (HHV8), also known as Kaposi sarcoma-associated herpesvirus (KSHV). It was originally described by Moritz Kaposi , a Hungarian dermatologist practicing at the University of Vienna in 1872. It became more widely known as one of the AIDS-de...
3
HHV 6
HHV 7
HHV 8
All of the above
Microbiology
null
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multi
All of the following are examples of microdeletion syndromes, EXCEPT:
The term contiguous gene syndrome refers to genetic disorders that mimic a combination of single-gene disorders. They result from the deletion of a small number of tightly clustered genes. Because some are too small to be detected cytogenetically, they are termed microdeletions. The application of molecular techniques ...
4
Wilms' tumor-aniridia complex
Miller Dieker syndrome
Velocardiofacial syndrome
None of the above
Medicine
null
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All are true for PTSD except
D i.e. Anxiolytic is treatment of choice
4
Hippocampus & amygdala
Anhedonia
Depression and quilt
Anxiolytic is treatment of choice
Psychiatry
null
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multi
Which of the following is true regarding Pneumothorax?
Spontaneous pneumothorax in most patients occurs from the rupture of blebs and bullae. Primary spontaneous pneumothorax (PSP) is typically observed in tall, young people without parenchymal lung disease and is thought to be related to increased shear forces in the apex. Secondary spontaneous pneumothoraces (SSP) occur ...
4
May occur in asthma patient
Pleuritic chest pain may be present
Decreased breath sounds
All the above
Medicine
null
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multi
'Herald patch' is seen in:
Ans. A. Pityriasis rosea. (Ref. Harrison's 18lh/pg. 367)In Pityriasis rosea, initially, there is a single 2- to 6-cm annular salmon-colored patch (herald patch) with a peripheral rim of scale, followed in days to weeks by a generalized eruption involving the trunk and proximal extremities.Pityriasis rosea:# It is an ac...
1
Pityriasis rosea
Pityriasis rubra pilaris
Pityriasis lichenoides et varioliformis acuta
Pityriasis alba
Skin
Papulosquamous Disorders
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single
Common fungus causing corneal ulcer -a) Aspergillusb) Mucorc) Fusariumd) Sprothrix
null
4
a
bc
ad
ac
Microbiology
null
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single
A 34-year-old man is brought to the emergency room by his family because of extreme lethargy. After further questioning, he admits to taking a large number of phenobarbital tablets. Which of the following is the most appropriate next step in management?
Activated charcoal absorbs barbiturates very effectively and is useful in decontamination of the GI tract. Renal elimination of phenobarbital is enhanced by alkalinization of the urine to a pH of 8 with sodium bicarbonate and fluids. Hemodialysis and hemoperfusion are reserved for extreme cases with refracting hypotens...
2
acidification of urine to pH 3.0
repetitive administration of activated charcoal
ipecac to induce vomiting
hemoperfusion
Medicine
Miscellaneous
abd22ebe-9179-43ca-b09c-8fdb4d8bf4f6
multi
Degree of freedom for 2/2 contingency table is?
Ref: Parks 23rd edition Degree of freedom = (r-1)(c-1) =(2-1)(2-1)= 1
1
1
Zero
2
4
Social & Preventive Medicine
Biostatistics
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single
Most common cause of lobar hemorrhage in the elderly
Answer- C. Amyloid angiopathyLobar intracerebral hemorrhage is bleeding in the largest pa of the brain called the cerebrum.Intracerebral hemorrhage are attributed to hypeensive vasculopathy in small penetrating brain aeries and subcoical vessels in patients with amyloid angiopathy.Amyloid angiopathn a chronic depositio...
3
Coagulopathy
Aneurysm
Amyloid angiopathy
Trauma
Medicine
null
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single
Which of the following is not true about spasmodic dysphonia
SPASMODIC DYSPHONIA Spasmodic dysphonia is also called as laryngeal dysphonia. The condition is characterised by spasm of phonatory muscles. It is a neurological disorder and is of following types: (A) Adductor spasm (M/C):- Adductor muscles go into spasm lead ing to strained and strangled voice (scratchy creaky voice)...
1
Local laryngeal disorder
May be associated with other focal dysphonia
Patient with the abductor type have strained and strangled voice
Botulinum toxin is the standard treatment for it
ENT
Larynx
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multi
Which of the following organism is biggest ?
Ans. is 'a' i.e., Balantidium coli
1
Balantidium coli
Entamoeba coli
Escherichia coli
Entamoeba histolytica
Microbiology
null
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single
Drug producing haematological side effect is:
Ans: A (Nitrous oxide) Ref: Ajax Yadav, Short Textbook of Anesthesia, 1st edition, pg 59.Explanation:Nitrous oxide produces Aplastic anemia and Megaloblastic anemiaNITROUS OXIDE (LAUGHING GAS)Stored as liquid in blue color cylinderE5 times more heavier than air35 times more soluble than nitrogenAnesthetic propertiesIt ...
1
Nitrous oxide
Halothane
Ketamine
Sevoflurane
Anaesthesia
Miscellaneous General Anesthesia
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single
A patient presents with endocrinopathy. fibrous dysplasia of bone and hyperpigmentation. What should be the possible diagnosis?
Mc Cune Albright syndrome is a triad of Precocious puberty (endocrinopathies) fibrous dysplasia, cafe-au-lait spots.
3
Ollier's syndrome
Mazabraud syndrome
Mc Cune-Albright syndrome
Maffucci's syndrome
Pathology
null
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single
Paneth cells characterized by
Paneth cells are zinc-containing cells widely distributed in Lieberkuhn's crypts of small intestine in many species, but their function has remained obscure. Our previous study showed that a single intravenous injection of diphenylthiocarbazone (dithizone), a zinc chelator, forms zinc-dithizonate complexes in the cytop...
2
More number of lysosomal enzyme
High concentration of zinc
More concentration of EFR
Foamy cells
Pathology
G.I.T
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single
The following drug has significant drug interaction with the digoxin except
Cholistyramine inhibits intestinal absorption of digoxin Thiazides result in hypokalemia and thus me precipitate digitalis toxicity by pharmacodynamic interaction Quinidine and verapamil reduces the excretion of digoxin and Thus may precipitate the toxicity(pharmakokinetic interaction) Refer kDT 6/e p499
4
Cholestyramine
Thiazide diuretics
Quinidine
Amlodipine
Pharmacology
Cardiovascular system
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multi
Acute cholinesterase inhibitors intoxication include all of the following except
Cholinesterase inhibitors have cholinomimetic actions. The major source of such intoxications is pesticide use in agriculture.The dominant initial signs are those of muscarinic excess: miosis, salivation, sweating, bronchial constriction, vomiting, and diarrhea. Central nervous system involvement (cognitive disturbance...
2
Salivation, sweating
Mydriasis
Bronchial constriction
Vomiting and diarrhea
Pharmacology
Autonomic nervous system
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multi
Calcium is absorbed from:
All the divalent cations, except Mg++ , are absorbed from duodenum. Mg++ is absorbed from ileum. Calcium is absorbed mainly in duodenum and upper jejunum, not whole of jejunum.
1
Duodenum
Jejunum
Ileum
Colon
Physiology
Gastrointestinal System
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single
A 62-year-old childless woman noticed a blood-tinged vaginal discharge twice during the past month. Her last menstrual period was 10 years ago. Bimanual pelvic examination shows that the uterus is normal in size, with no palpable adnexal masses. There are no cervical erosions or masses. Her body mass index is 33. Her m...
Postmenopausal vaginal bleeding is a red flag for endometrial carcinoma. Such carcinomas often arise in the setting of endometrial hyperplasia. Increased estrogenic stimulation is thought to drive this process, and risk factors include obesity, type 2 diabetes mellitus, hypertension, and infertility. Choriocarcinomas a...
1
Adenocarcinoma
Choriocarcinoma
Leiomyosarcoma
Malignant mullerian mixed tumor
Pathology
Female Genital Tract
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single
Aquaporin deficiency cause?
1. Nephrogenic diabetes insipidus: Aquaporin 2" gene mutation impede the normal functionality of the kidney water channel, which results in the kidney being unable to absorb water. Autosomal recessivemanner. 2. Liddle syndrome: Gain of function of epithelial Na channel (ENaC) 3. Bater syndrome:- Defect in "Na-K-2Cl cot...
1
Nephrogenic diabetes insipidus
Liddle syndrome
Baer syndrome
Gitelman syndrome
Medicine
NEET Jan 2020
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single
Sonographic criteria for diagnosing PCOD includes all except
Presence of 12 or more cysts on ultrasound is diagnostic of PCOD.
2
Enlarged ovaries > 10mL
Presence of > 20 cysts in ovary
Cyst size 2 → 9 mm
Cysts in either one or both ovaries
Gynaecology & Obstetrics
null
6596667c-daff-4ad9-838f-1d7e370bf7d1
multi
Letrozole belongs to which group?
Ans. is 'd' i.e., Aromatase inhibitors Aromatase inhibitorso Aromatase inhibitors are drugs which inhibit the enzyme Aromatase.o Aromatase is an enzyme responsible for the conversion of testosterone (androgens) to estrogens.o This conversion of androgens to estrogens occur in several tissues including ovary, adrenal co...
4
SERM
SERD
LHRH analogues
Aromatse inhibitors
Pharmacology
Sex-Hormone
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single
CAD predisposing factors-a) Homocysteinemiab) ↓ Lipoprotein Bc) ↑ Fibrinogend) ↑ HDLe) ↑ plasminogen activator inhibitors 1
Homocysteine and Prothrombotic (↑ fibrinogen and ↑ plasminogen activator inhibitors) factors are emerging risk factors for atherosclerosis and coronary heart disease.
4
acd
bde
cde
ace
Pathology
null
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single
Drug of choice for prophylaxis of acute mountain sickness is?
DOC for acute mountain sickness are Carbonic anhydrase inhibitors like Acetazolamide. BEST treatment is to descent down because it occurs due to decreased pO2 at high altitudes. DOC for motion sickness is Hyoscine.
4
Diltiazem
Digoxin
Dexamethasone
Acetazolamide
Pharmacology
Kidney
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single
In modern day obstetrics, most common cause of rupture uterus is -
Ans. is 'b' i.e., Previous LSCS scar rupture * Disruption in the continuity of all uterine layers: endometrium, myometrium and serosa anytime beyond 28 weeks of pregnancy is called rupture of uterus.Incidence* 1 in 2000 to 1 in 200 deliveries. Rupture uterus from obstructed labor is becoming less because of improved ob...
2
Prolonged labour
Previous LSCS scar rupture
Forceps delivery
Internal podalic version
Gynaecology & Obstetrics
Miscellaneous (Gynae)
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single
Which one of the following serum levels would help in distinguishing an acute liver disease from chronic liver disease -
null
4
minotransaminase
Alkaline phosphatase
Bilirubin
Albumin
Medicine
null
24c0ce75-6e0e-47e2-aa9d-0c035ee63291
single
Which of the following features are of naso alveolar cyst
null
2
An ovoid shaped radiolucency above the lateral incisor and canine teeth
Erosion of base above lateral incisor and canine teeth
An inverted funnel shaped radiolucent lesion above the roots of lateral incisor and canine teeth
A pear shaped radiolucent Lesion between roots of lateral incisor and canine teeth
Pathology
null
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multi
A child develops non blanching macules and papules on lower extremities, mild abdominal pain and skin biopsy showed IgA deposition. Most appropriate diagnosis is -
Henoch-Schonlein purpura (HSP), also known as IgA vasculitis, is a disease of the skin, mucous membranes, and sometimes other organs that most commonly affects children. In the skin, the disease causes palpable purpura (small, raised areas of bleeding underneath the skin), often with joint pain and abdominal pain. With...
2
Drug induced vasculitis
HSP
Wegener's granuloniatosis
Kawasaki disease
Dental
Autoimmune skin disorders
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single
Not true about iodophores ?
Ans. is 'a' i.e., Inorganic compounds Iodine Iodine is more sporicidal than chlorine. Iodine is often used in aqueous and alcoholic solution as skin disinfectant. Aqueous and alcohol based povidone iodine preparations (Betadine) are best and safe skin disinfectants (antiseptics). Iodophores are organic compounds that s...
1
Inorganic compounds
Release iodine
Surfactants
Disifectant
Social & Preventive Medicine
null
fbabcda6-88f3-4f70-90b3-84f966b8e17c
multi
Giant cells seen in Measles are called?
Lymphoid organs typically have marked follicular hyperplasia, large germinal centers and randomly distributed multinucleated giant cells called Wahin-Finkeldey cells, which have eosinophilic nuclear and cytoplasmic inclusion bodies.Found in the paracoical region of hyperplastic lymph nodes in some patients of measles a...
4
Hp bodies
Inclusion containing polykaryon
Koplik cells
Wahin-Finkeldey cells
Pathology
null
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multi
The term anisometropia indicates
Ans. Refractive error
1
Refractive error
Long vision
Sho vision
Ageing process
Ophthalmology
null
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single
A 40-year-old man presents to casualty with history of regular and heavy use of alcohol for 10 years and morning drinking for one year. The last alcohol intake was three days back. There is no history of head injury or seizures. On examination, there is no icterus, sign of hepatic encephalopathy or focal neurological s...
Ans. A i.e. Diazepam
1
Diazepam
Haloperidol
Imipramine
Naltrexone
Psychiatry
null
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multi
The features of uterine contraction in spastic lower segment are all except
Fundal dominance ,which indicates that the intensity is strongest ath the fundus,(not at the lower segment) with a gradual decrease downwards. Refer page no 109 of Text book of obstetrics ,sheila balakrishnan,2 nd edition.
1
Presence of fundal dominance
There may be reversed polarity
Inadequate relaxation in between contractions
Basal tonus is usually raised above the critical level of 20 mm Hg
Gynaecology & Obstetrics
Abnormal labor
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multi
10 year old child with posterior fossa mass. On biopsy following features were seen. What are these dense eosinophilic fibers marked with arrow?
Ans. (a) Rosenthal fibers*Rosenthal fibers are eosinophilic, corkscrew fibers found in pilocytic astrocytoma, the most common primary brain tumor in children. They contain two heat-shock proteins (aB-crystallin and hsp27) as well as ubiquitin.*They are seen in Alexander disease and, pilocytic astrocytoma.
1
Rosenthal fibers
The Alzheimer type II astrocyte
Corpora amylacea
null
Pathology
Central Nervous System
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multi
A large baby is born with which complication in pregnancy
Ans. is a i.e. Gestational diabetes
1
Gestational diabetes
Gestational hypeension
Cardiac disease
Anaemia
Gynaecology & Obstetrics
null
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single
A woman was involved in an accident in which her left leg was crushed and immediate amputation had to be done but you couldn't get a prior consent as the victim was unconscious and the relatives were not available. Later her husband sues you you for doing an amputation without a valid consent. Which of the following se...
Any harm caused to a person in good faith, even without consent is not an offence if the circumstances are such that it is impossible for the person to signify consent and has no guardian from whom it is possible to obtain a consent in time for the thing to be done in benefit as per section 92 IPC. Also know: As per se...
1
Section 92 IPC
Section 52 IPC
Section 88 IPC
Section 90 IPC
Forensic Medicine
null
abf304fc-1d14-47cc-bace-facd6622a965
single
The Rorschach Inkblot test consists of a set of .......... standardized inkblots. These vary in colour, shading, form, and complexity.
Rorschach Inkblot test- Evaluation of Personality, it contains 10 cards having ambiguous inkblot patterns and the subject has to interpret what he is seeing in the card from preselected options Extra Edge Thematic Apperception Test- Test is built on the assumption that people's stories reveal impoant aspects of their n...
4
5
7
9
10
Psychiatry
Miscellaneous
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single
Following are acute porphyrias except
The acute porphyrias are acute intermittent porphyria (AIP), variegate porphyria (VP), aminolevulinic acid dehydratase deficiency porphyria(ALAD) and hereditary coproporphyria (HCP). The non-acute porphyrias are X-linked dominant protoporphyria (XLDPP), congenital erythropoietic porphyria (CEP), porphyria cutanea tarda...
4
ACUTE INTERMITTENT PORPHYRIA
Variegate porphyria
Heriditary corpoporphyria
Porphyria cutanea tarda
Medicine
Genetics
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multi
Which of the following glycolytic enzymes is used in gluconeogenesis?
Aldolase is the enzyme which catalyses reversible reaction of glycolysis. So this enzyme is utilised in gluconeogenesis. Glucokinase, pyruvate kinase and phosphofructokinase are enzymes which catalyse the reversible reaction of glycolysis.
2
Glucokinase
Aldolase
Pyruvate kinase
Phosphofructokinase
Biochemistry
null
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single
An organism with sterols in their cell wall is
“Mycoplasma lacks a rigid cell wall and they are bounded by a triple-layered unit membrane that contains sterols. ” Mycoplasma PPLO - by Nocard & Roux • Smallest free-living organism • Gram-negative.highly pleomorphic organism, stained by Giemsa • Found in the form of elementary bodies & filaments of various size • Fac...
1
Mycoplasma
Bacillus
Streptococcus
Spirillum
Microbiology
null
fb8542e4-9450-477c-b516-27143d0ad578
multi
Gas' in the tissue should be differenciated with -
null
3
Pseudomyxoma peritonei
Pseudomonas infection
Clostridium nouyi
Non clostridial infection
Surgery
null
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single
Chest X-ray of an industrial worker exposed to asbestos for 20 yrs shows diffuse appearance of lower lobe with 'comet tail' infarct on PA view. The most likely diagnosis is:
This is a case of mesothelioma secondary to asbestos exposure. The diffuse appearance of lower lobe with 'comet tail' infarct is typical of mesothelioma. Ref: Aicle: The Comet Tail Sign1; 1999
1
Mesothelioma
Lobular collapse
Bronchogenic carcinoma
Round atelectasis
Radiology
null
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single
Most common presentation of Renal cell carcinoma is
null
2
Abdominal mass
Hematuria
Flank pain
Nocturia
Medicine
null
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single
In starvation, earliest to become depleted -
Ans. is 'a' i.e., CarbohydratesMetabolic alteration during fasting-starvationo he metabolic changes observed in fasting are generally opposite to those described for absorptive (fed) state. In the absence of food, plasma levels of glucose, amino acids, and TGs fall, triggering a decline in insulin secretion and an incr...
1
Carbohydrates
Proteins
Fats
null
Physiology
Pancreas
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multi
Endocrinologic factors associated with recurrent aboion include all of the following except-
Endocrinologic factors associated with recurrent aboion include - Luteal phase insufficiency Diabetes mellitus Hypersecretion of luteinizing hormone (LH) Thyroid disease Insulin resistance Polycystic ovarian syndrome, Hyperprolactinemia Decreased ovarian reserve.
4
Thyroid disease
Hyperprolactinemia
Luteal phase insufficiency
Reduced secretion of luteinizing hormone (LH)
Gynaecology & Obstetrics
Aboions, Spontaneous & Induced Emergency Contraception (Hey,whats the hurry !)
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multi
Primitive streak remanants give rise to ?
Sacrococcygeal teratoma (SCT) is a type of tumor known as a teratoma that develops at the base of the coccyx (tailbone) and is thought to be derived from the primitive streak. Sacrococcygeal teratomas are benign 75% of the time, malignant 12% of the time, and the remainder are considered "immature teratomas" that share...
3
Neuroblastomas
Wilm's tumour
Sacrococcygeal teratoma
Hepatoblastoma
Surgery
Urology
ac9978e4-fe06-4656-82e9-14d693aeab6f
single
Which is safest to be used in asthmatic patients:
C i.e. Chloral hydrate
3
Nitrazepam
Phenobarbitone
Chloral hydrate
All hypnotics are safe
Anaesthesia
null
1f5ebaf0-ca14-4175-9319-e2ffb82cc9f5
multi
True statements about the twin-to-twin transfusion syndrome include which of the following?
In the twin-to-twin transfusion syndrome, the donor twin is always anemic, owing not to a hemolytic process but to the direct transfer of blood to the recipient twin, who becomes polycythemic. The recipient may suffer thromboses secondary to hyper-transfusion and subsequent hemoconcentration. Although the donor placent...
2
The donor twin develops hydramnios more often than does the recipient twin
Gross differences may be observed between donor and recipient placentas
The donor twin usually suffers from a hemolytic anemia
The donor twin is more likely to develop widespread thromboses
Gynaecology & Obstetrics
Obstructed Labour
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multi