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Craniotabes is seen in
(A) Rickets # Craniotabes is an abnormal softening or thinning of the skull, although normally present in new boms.> Seen mostly in occipital bone & posterior part of parietal bone.> Bone is soft and has a ping pong ball like feeling on pressing.> The word comes from the German work crani for skull and the Latin word t...
1
Rickets
Ostegenesis imperfect
Hydrocephalus
All of the above
Radiology
Miscellaneous
df631cf8-421d-47f8-aeb7-7c24a8423162
multi
Most common site of March fracture is?
ANSWER: (A) Shaft of 2nd and 3rd metatarsalsREF: Apley's 8th ed p. 757See APPENDIX-68 below for "ALPHABETICAL LIST OF EPONYMOUS FRACTURES"March fracture: stress fracture of second metatarsal APPENDIX - 68Alphabetical List of Eponymous FracturesFractureDescriptionMechanism of injuryAviators fractureFracture neck of talu...
1
Shaft of 2nd and 3rd metatarsals
Avulsion fracture of fifth metatarsal
Calcaneus
Olecranon
Orthopaedics
Bone
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single
A man, after skinning a dead animal, developed a pustule on his hand. A smear is prepared from the lesion showed the presence of Gram-positive bacilli in long chains which were positive for McFadyean&;s reaction. The most likely aetiological agent is
The person is likely to have anthrax caused by Bacillus anthracis. Anthrax is a zoonotic disease. Infected animals shed in discharges from mouth, nose and rectum, large numbers of bacilli that sporulate in the soil and remain as the source of infection. Bacillus anthracis is a gram-positive bacillus, found singly, in p...
3
Clostridium tetani
Listeria monocytogenes
Bacillus anthracis
Actinomyces species
Microbiology
Bacteriology
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single
Most common organism associated with cystic fibrosis
Pseudomonas may colonise s of patients with cystic fibrosis and causes recurrent pulmonary exacerbations. Ref : Essential pediatrics,O.P.Ghai,7 th edition,pg no:355
1
Pseudomonas aeruginosa (non mucoid)
Burkholderia cepacia
Pleisomonas
Aeromonas
Pediatrics
Respiratory system
512a6c8b-1e13-4a5a-bf65-61873e522931
single
A newborn presents with mid anterior abdominal wall defect. The House-surgeon is told that this swelling has a characteristic feature i.e spontaneous resolution at age of 5 years by his Professor. What could be the diagnosis?
(Umbilical hernia) (1317-18- CSDT 12th) (1289,1355 B & L 24th) (980-Baily & Love 25th) * Gastroschisis is the most common abdominal defect (726- Nelson 18th) * Ectopia vesicae (exstrophy of the bladder) - Caused by the incomplete development of the infra-umbilical part of the anterior abdominal wall, associated with in...
4
Patent urachus
Omphalocele
Ectopia vesicae
Umbilical hernia
Unknown
null
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multi
Most common form of diabetic neuropathy is: September 2009
Ans. C: Sensorimotor polyneuropathy The overall prevalence of neuropathy is 66% for type I and 59% for type II diabetes.It can be divided into: Symmetric-may present as small-fiber involvement (dysthesia of feet) or autonomic dysfunction (sexual impotence) but often both occur together. Asymmetric neuropathies are divi...
3
Cranial neuropathies
Radiculopathies
Sensorimotor polyneuropathy
Limb mononeuropathies
Medicine
null
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multi
All of the following our the diagnosis of PCOS except
BIOCHEMICAL MARKERS OF PCOD LH level is elevated and/or ratio of LH:FSH is > 3:1 Reversed estradiol:estrone ratio- The estrone level is markedly elevated. SHBG level is reduced. Androstenedione level is elevated. Serum testosterone and DHEA may be marginally elevated. Raised serum insulin level (ratio of fasting glucos...
4
Elevated LH
Reversed estradiol : estrone ratio
Reduced SHBG level
Reduced serum insulin level
Gynaecology & Obstetrics
Polycystic Ovarian Syndrome
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All of the following are Vitamin-K deficiency features EXCEPT:
Ans. (a) Associated thrombocytopenia with prolonged bleedingRef: Harrison 19th ed. / 96e-8* Vitamin-K is a fat soluble compound. It promotes blood clotting by increasing hepatic biosynthesis of prothrombin and other coagulation factors.* The best sources are green leafy vegetables, liver, cheese, butter and egg yolk. D...
1
Associated thrombocytopenia with prolonged bleeding
Deficiency is rarely seen, except in infants
Factor X is first to be affected
Warfarin causes Vitamin K deficiency
Medicine
Bleeding and Thrombotic Disorders
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multi
Which is poor man's meat
Pulses (legumes) Pulses comprise a variety of grams, also known as dhals. Most commonly eaten pulses are bengal gram (chana), red gram (tuvar or arhar), green gram (mung) and black gram (urd). Others include lentils (masur), peas and beans including soyabean. Khesari dhal (lathyrus sativus), is consumed in pas of Madhy...
2
Milk
Pulses
Fish
Egg
Social & Preventive Medicine
Nutrition and health
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single
In severe hypospadias the possibility of an intersex problem is settled by -
null
3
Careful inspection of genitals
Biopsy for gonadal tissue
Karyotyping
Hormone assay
Surgery
null
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single
Milian's ear sign is seen is
Erysipelas being a cutaneous condition can spread to ear lobule = Milian's ear sign.
2
Cellulitis
Erysipelas
Lymphangitis
Abscess
Surgery
null
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single
Morbid obesity causes death due to -
The increased moality due to obesity is brought about mainly by the increased incidence of Hypeension and coronary hea diseases . Ref-Park&;s textbook of Preventive and Social Medicine 24th edition. .
1
CVS complication
Pickwickian syndrome
Hypothyroid crisis
Cushing syndrome
Social & Preventive Medicine
Non communicable diseases
97ee91f9-9d25-4f5e-86b4-f0108cdcef43
single
A 60-year-old woman visits the ophthalmologist because of eye pain. Tests show that her right eye has an intraocular pressure of 22 mm Hg and her left eye has an intraocular pressure of 25 mm Hg. Which of the following is the most likely cause of eye pain in this woman?
This woman has open-angle glaucoma, which is the most common type of glaucoma. Glaucoma is the second leading cause of blindness worldwide after cataracts. Blindness occurs because of damage to the optic nerve. The high intraocular pressure causes blood vessels and axons of the optic nerve to be compressed at the optic...
3
Decreased hydraulic resistance of trabecular meshwork
Decreased production of aqueous humor
Increased hydraulic resistance of trabecular meshwork
Increased production of aqueous humor
Physiology
Special Senses
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single
The enzyme PeudochoIinesterase acts on:
Suxamethonium is Succinyl choline. Abnormal Psuedocholinestrase is a hereditary defect. In such people S-ch doesn't get metabolized. Usual dose results in prolonged apnoea and paralysis that lasts for hours. Aificial ventilation and blood transfusion are needed to supply Psuedocholinestrase. From padmaja 4th edition Pa...
4
Decamethonium
Tubocurarine
Gallamine
Suxamethonium
Pharmacology
Anesthesia
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multi
Foramen Ovale in middle cranial fossa transmits
(B) Mandibular nerve # Foramen ovale;> Mnemonic:> At the base of the skull, the foramen ovale (skull) is in the greater wing of the sphenoid bone in the middle cranial fossa and transmits the mandibular division of the trigeminal nerve, otic ganglion, accessory meningeal artery, lesser petrosal nerve and emissary veins...
2
Spinal accessory nerve
Mandibular nerve
Middle meningeal artery
Maxillary artery
Anatomy
Misc.
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single
All are premalignant conditions of oral cavity except:
All the given options increase the risk of carcinoma of oral cavity but, oral Lichen planus has the least risk as it is Low-risk or Equivocal lesion. Conditions associated with Malignant Transformation HIGH RISK LESIONS Medium-risk Lesions Low-risk or Equivocal Lesions Erythroplakia Speckled Erythroplakia Chronic Hyper...
3
Chronic hyperplastic canidiasis
Oral submucosal fibrosis
Oral lichen planus
Leucoplakia
Surgery
FMGE 2018
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Most common cause of acute mesenteric ischemia is:
Acute Mesenteric Ischemia : • Emboli (50%) : −− Arrhythmia, Valvular disease, Myocardial infarction −− Hypokinetic ventricular wall −− Cardiac aneurysm, Aortic atherosclerotic disease • Thrombosis (25%) : Atherosclerotic disease • Nonocclusive (5–15%) : −− Pancreatitis, Heart failure, Sepsis. −− Cardiac bypass, Burns, ...
3
Arterial thrombosis
Venous thrombosis
Embolism
Non occlusive disease
Surgery
null
951ebad4-a476-4214-80bd-06cf96ce5d86
single
Irreversible ototoxicity is caused by -
Ans. is 'a' i.e., Cisplatin "Cisplatin induced hearing loss is usually bilateral and irreversible"Drugs causing ototoxicityA) Vestibular (primarily)o Aminoglycosides o Mustineo Quinidineo Quinineo Chloroquineo Vancomycino Furosemide o Ethacrynic acido Salicylates (high dose)B) Auditory (primarily)o NSAIDso Ethacrynic a...
1
Cisplatin
Cyclophosfamide
Bleomycin
Chlorambucil
Pharmacology
Adverse Drug Effect
fe017295-57fa-41b0-a161-bb69aff183ba
single
A 2 years old child comes with one-year h/o of generalised oedema. His B.P. is 107/70mm urine examination shows hyaline cast, proteinuria +++, WBC & RBC are nil. the likely diagnosis is –
It is a case of nephrotic syndrome due to minimal change disease (MCD). MCD is the most common cause of nephrotic syndrome in children* Microscopic findings of urine in MCD Proteinuria Principally albumin (which is a low molecular weight protein) High molecular weight proteins are seen in minimal amounts. This type o...
1
Selective proteinuria
Uremia
Focal segmental glonurulosclerosil
Low serum complement level
Pediatrics
null
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single
Which of the following is the most radiosensitive ovarian tumors?
Ans. is a, i.e. DysgerminomaRef: Bailey & Love 24th/ed, p22l"Below the age of 20 years 60% of the tumors are of germ cell origin and in girls under the age of 10 years almost 85% are of germ cell origin and are invariably malignantIn females with HNPCC gene mutation along with BSO, hysterectomy should also be done as t...
1
Dysgerminoma
Dermoid cyst
Serous cystadenoma
Endodermal sinus tumor
Gynaecology & Obstetrics
Carcinoma Ovary
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single
Hunters syndrome due to deficiency of -
Ans. is 'a' i.e., Iduronate sulfatase (Ghai 7th/ep. 639) o Iduronate sulfate sulfatase def. - Hunter syndrome o Hexosaminidase dediciencv seen in Tay-sachs disease o Glucocerebrosidase def. - Gaucher disease
1
Iduronate sulfatase
Hexosaminidase
Glucocerebrosidase
a-L Iduronidase
Pediatrics
Inborn Errors of Metabolism
6c7720d6-5bab-4682-b874-da3bb562e606
single
Simple Basal media is?
Ans. is 'a' i.e., Simple nutrient agar A culture medium is a liquid or gel designed to suppo the growth of microorganism or cell. A culture medium may be liquid or solid. A culture medium may be? i) Basal (Simple) media This is simple with no added ingredients. It may be liquid ( peptone water) or solid (Nutrient agar)...
1
Simple nutrient agar
Alkaline peptone water
Glucose broth
Blood agar
Microbiology
null
2632384a-37a5-400c-96db-cb5bfbfcbbac
single
A child presents with hepatomegaly and bilateral lenticular opacities. Which of the following enzyme deficiency will NOT cause such features?
Inability to metabolize galactose occurs in the galactosemias, which may be caused by inherited defects of galactokinase, uridyl transferase, or 4-epimerase, though deficiency of uridyl transferase is best known. Galactose is a substrate for aldose reductase, forming galactitol, which accumulates in the lens of the eye...
4
Galactose-1 -phosphate uridyl transferase
UDP-galactose-4-epimerase
Galactokinase
Lactase
Biochemistry
null
bd63f5d5-8454-42ef-bf8e-2a4b17a44307
single
Which of the following has fibromuscular stroma ?
The prostatic pa of the urethra develops from the pelvic (middle) pa of the urogenital sinus (endodermal origin). Endodermal outgrowths arise from the prostatic pa of the urethra and grow into the surrounding mesenchyme. The glandular epithelium of the prostate differentiates from these endodermal cells, and the associ...
3
Testis
Liver
Prostate
Urinary bladder
Anatomy
Abdomen and pelvis
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single
A 60-year-old female complains of dry mouth and a gritty sensation in her eyes. She states it is sometimes difficult to speak for more than a few minutes. There is no history of diabetes mellitus or neurologic disease. The patient is on no medications. On exam, the buccal mucosa appears dry and the salivary glands are ...
(Braunwald, 15/e, pp 1947-1949.) The complaints described are characteristic of Sjogren syndrome, an autoimmune disease with presenting symptoms of dry eyes and dry mouth. The disease is caused by lymphocytic infiltration and destruction of lacrimal and salivary glands. Dry eyes can be measured objectively by the Schir...
2
Lip biopsy
Schirmer test and measurement of auto antibodies
IgG antibody to mumps virus
Use of coicosteroids
Surgery
null
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multi
A girl presented with symptoms of pharyngitis. Group A hemolytic pharyngitis is due to?
Local infection is the most common cause of inflammation of pharyngeal structures or acute pharyngitis. Group A beta-hemolytic streptococcus is a common causative organism in both pharyngitis and tonsillitis. Local infection and inflammation cause lymph node enlargement, swelling, erythema, and pain.
1
Local infection
Hematogenous spread
Lymphatic spread
None of the above
Microbiology
null
34fe1df1-4bc5-4d2c-bb2c-9660d9acb238
multi
Pseudomyxoma peritonei is seen in:
null
3
Serous cystadenoma
Pseudomucinous cyst
Mucinous cystadenoma
Teratoma
Gynaecology & Obstetrics
null
9297fd36-11ff-48a8-b24f-e20f3523a51c
single
Bad dreams are a rare adverse effect of which of the following drug?
Erectile dysfunction, impotence, bad dreams and hallucinations can be seen with beta blockers REFERENCES: KDT 6th ed pg 135-140 Goodman Gillman 12th ed pg 280-285
1
Atenolol
Prazosin
Nifedipine
Furosemide
Pharmacology
Autonomic nervous system
245c5385-5895-4b8a-a5a9-596de3dd353f
single
Lowest chance of recipient failure in transplant is seen in:
Ans. (b) IsograftRef: Bailey 26th ed, page 1426* Isograft: A graft between identical donor such as identical twin* Hence the rejection rate is the lowest
2
Allograft
Isograft
Xenograft
Heterotropic graft
Surgery
Transplantation
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multi
A patient presented with thunder clap headache followed by unconsciousness with pregressive 111 ranial nerve palsy. Likely diagnosis is
davidson's principles and practices of medicine 22nd edition. *85% of SAH are caused by saccular or berry aneurysm arise from bifurcation of cerebral aeries *SAH typically presented with a sudden ,severe ,thunderclap headache (often occipital) , which lasts for hours or even days,often accompanied by vomitting , raised...
2
Extradural hemorrhage
Aneurysmal subarachnoid hemorrhage
Basilar migraine
Cluster headache
Medicine
C.N.S
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single
A new born child developed respiratory depression in neonatal ward. Which of the following drug is the cause -
Ans is 'a' i.e., Opioids
1
Opioids
Barbiturates
Diazepam
Propofol
Pediatrics
null
3763002e-a4ef-49ea-afa5-f41f2ab9ad97
single
TRUE regarding chi square test is
Ref: Parks 23rd edition pg 852 Chi-square test offers an alternate method of testing the significance of difference between two propoions. Advantage: it can also be used when more than 2groups are to be compared.
3
Null hypothesis is equal
Doesn't test the significance
Measures the significance of difference between two propoion
Tests correlation and regression
Social & Preventive Medicine
Biostatistics
e8c7168d-0c68-4a0a-a2c3-b9a34238619f
multi
Necrotizing epitheloid cell granulomas are seen in all, except -
Mycobacterium leprae infection leads to formation of non caseating granulomas, which is not necrotising.the lesions are erythematous type Basic Pathology, Robbins. Page no.: 56
4
Tuberculosis
Wegener's granulomatosis
Cat's Scratch disease
Leprosy
Pathology
General pathology
f07ae124-fa9b-427b-a11e-ffc7733f4b0d
multi
Splenic infarction is associated with
.
2
Typhoid
IMN
CML
Paroxysmal nocturnal hemoglobinuria
Anatomy
All India exam
a21a7057-ed18-470d-986b-4dcaafc042d0
single
Treatment of dacryocystitis in three months old child-
*Spontaneous recanalization of obstructed nasolacrimal duct occurs during first 6-8 weeks and sometimes after 6-12 months in 90%of infants. Therefore up to 9-12months only massage and antibiotic drops are indicated. After the age of 12 months high pressure syringing is indicated.
3
Daily probing
Weekly probing
Massaging
Syringing
Ophthalmology
Diseases of orbit, Lids and lacrimal apparatus
888bab57-94b5-4217-83e0-137a49250f78
single
Which of the following is a killed vaccine ?
Ans. is 'd' i.e., Japanese encephalitis Live attenuated Inactivated or killed Immunoglobulins Bacterial Bacterial Human normal Subunit Vaccines BCG Typhoid Hepatitis A,B Hepatitis B Typhoid oral Cholera Measles Typhoid Vi antigen Viral Peussis Rabies Toxoids Oral Polio(Sabin) Meningitis Tetanus Diphtheria Yellow fever ...
4
Hepatitis B
Measles
Yellow fever
Japenese encephalitis
Microbiology
null
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single
Malignancy in a multinodular goiter is most often:-
Follicular ca: - Seen in iodine deficient areas - M/C malignancy in long standing goiter - M/c malignancy in multinodular goiter Papillary ca: - Seen in iodine sufficient areas - M/C thyroid malignancy Anaplastic ca: - Rare; m/c seen in females - Usually seen in 7th - 8th decade of life Medullary ca: - Arise from Paraf...
1
Follicular carcinoma
Papillary carcinoma
Anaplastic carcinoma
Medullary carcinoma
Surgery
FMGE 2018
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single
Dohle bodies are seen in which of the following?
Döhle bodies are basophilic leukocyte inclusions located in the peripheral cytoplasm of neutrophils. They are said to be remnants of the rough endoplasmic reticulum. Conditions associated with Dohle bodies: Burns Infections Physical trauma Neoplastic diseases Wissler’s disease May-Hegglin anomaly (seen in neutrophil, ...
2
Multiple myeloma
Burns
Waldenstrom macroglobulinemia
Lymphoma
Pathology
null
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single
Diagnosis of TB acc to DOTS?
1 or 2 positives put of 2 sputum smear is considered as smear positive TB Ref: PARK&;S TEXTBOOK OF PREVENTIVE AND SOCIAL MEDICINE 23rd edition pg 429
1
1 out of 2 samples positive
2 out of 3 samples positive
3 out of 3 samples positive
null
Social & Preventive Medicine
Health programmes in India
acdceff5-d185-49ab-943e-37a56b507fb2
multi
True about naltrexone is all except:
null
4
Acts on opioid receptors
Is used in treatment of alcohol dependence
Is used to reduce craving in dependence
Is an opioid agonist
Pharmacology
null
b7ae2f8e-8097-431f-afc1-a167dd5063e6
multi
A person developed anterior wall MI and died within 2 hours of onset of the symptoms. The pathological autopsy of the hea and observation of the involved myocardium under light microscopy, is underway. What will the finding be, if any?
Though usually no finding may be present in the 1st four hours, there may be waviness of myocytes and on electron microscopy disruption of the sarcolemma and mitochondrial amorphous densities may be present. Coagulative necrosis begins only after 4 hours and neutrophilic infiltration occurs only after 12 hours. Here th...
3
Beginning of coagulation necrosis
Neutrophilic infiltration
Waviness of myosite fibres at the border
Well developed phagocytosis of dead cells
Pathology
null
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multi
Facilitation of flexor muscle tone is by
Rubrospinal tract facilitates flexor muscle and inhibits extensor muscles. Vestibulospinal tract facilitates extensor muscle of lower limb and inhibits flexors.
3
Vestibulospinal tract
Tectospinal tract
Rubrospinal tract
Reticulospinal tract
Physiology
null
e7347dce-3efd-4214-bc30-0aa2696ef978
single
Chromosomal number of primary cnermatecvte is
Ans. is a i.e. 44XY
1
44 XY
22 XY
22 XX
46 XX
Gynaecology & Obstetrics
null
143da966-f4fa-4e3b-a805-ce5b421b97c0
single
50 yr old female presented with lump in right breast. She was diagnosed having Luminal A carcinoma. All are true about this cancer except ?
Luminal A breast cancer Seen in elderly females M/c subtype ER/ PR positive Her 2 /Neu negative Low proliferation rate Ki 67 : low Best prognosis among subtypes Responsive to hormonal chemotherapeutic agents like tamoxifen and aromatase inhibitors, Respond poorly to non- hormonal chemotherapy drugs like paclitaxel. Imm...
3
M/C subtype
Best prognosis
ER/ PR negative
Response poor to paclitaxel
Pathology
Breast
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multi
True about benzodiazepines ?
Ans. is 'c' i.e., Lorazepam is shoer acting than temazepam Lorazepam has VA 10-20 hours, while Temazepam has VA 10-40 hours. About other options BZDs do not increase or decrease the release of GABA, they bind on GABAA receptors and increase Cl- conductance - GABA facilitatory action. Flumazenil (not atropine) is the an...
3
Increased release of GABA
Antagonzing release of GABA
Lorazepam is shoer acting than temazepam
Atropine is its antagonist
Pharmacology
null
98207879-4732-40a9-9fa6-0d137ab9a3c2
multi
A darkfield microscope would be useful in examining blood for:
null
1
Treponema
Actinomyces
Streptococcus
Mycobacterium
Microbiology
null
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single
Curling ulcer is seen in -
Answer is 'a' i.e. Burns Curling ulcer is seen in Burn Cushing ulcer is seen in head injury.
1
Burns
Head injury
Trauma
Surgical operations
Surgery
null
981530a3-ec36-4c2e-a0c1-581066d8cb23
single
Which one of the following muscles of the soft palate supplied by the mandibular nerve?
null
3
Levator palati
Palat glossus
Tensor palati
Musculus uvulae
Anatomy
null
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single
Pain is carried to
Neurons in the spinal dorsal horn process sensory information, which is then transmitted to several brain regions, including those responsible for pain perception. The dorsal horn provides numerous potential targets for the development of novel analgesics and is thought to undergo changes that contribute to the exagger...
2
Ventralhom
Dorsal horn
Substantia nigra
None of the above
Physiology
Nervous system
381145cd-340c-46e5-8372-adc634b2595a
multi
Activation of the baroreceptor reflex
The baroreceptors are stretch receptors in the walls of the heart and blood vessels. The carotid sinus and aortic arch receptors monitor the arterial circulation. The baroreceptors are stimulated by distention of the structures in which they are located, and so they discharge at an increased rate when the pressure in t...
1
Is primarily involved in short-term regulation of systemic blood pressure.
Leads to an increase in heart rate because of inhibition of the vagal cardiac motor neurons.
Inhibits neurons in the CVLM.
Excites neurons in the RVLM.
Physiology
null
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single
Cyclic trend is shown by-
Ans. is 'd' i.e., All of the above Cyclic trend* Some diseases occur in cyclic spread over a short period of time which may be week, days, months or years.* This is due to naturally occuring variation in herd immunity.* A build up of susceptible is again required in the herd before there can be another attack.* It may ...
4
Measles epidemic
Influenza pandemic
Rubella epidemic
All of the above
Social & Preventive Medicine
Epidemiology
801c9cd9-c0fb-4985-9d2a-7a788f0f8fb2
multi
Which among the following is not a feature of Unhappy triad of O' Donoghue?
Ans. is 4d' i.e., Fibular collateral ligament injury [Ref: Apleys 9k/ep. 876}o The most common mechanism of ligament disruption of knee is adduction (valgusj, flexion and internal rotation of femur on tibia which usually occur in sports in which the foot is planted solidly on the ground and leg is twisted by rotating b...
4
ACL injury
Medial meniscus injury
Medial collateral ligament injury
Fibular collateral ligament injury
Orthopaedics
Knee Ligament Injuries
a59df964-6514-41bd-a4b4-65056ccbd28e
single
The phenomenon of suspended animation may be seen in -
Suspended animation may be seen in electrocution, drowning, cholera, after anesthesia, shock, sunstroke, cerebral concussion, narcotic poisoning, new born infants and yogis/voluntary.
2
Throttling
Drowning
Strangulation
Brain hemorrhage
Forensic Medicine
null
fc0836d3-2912-4a30-8c37-2d345221cd4e
single
Endolymph is rich in ?
Ans. is 'd' i.e., K+Fluid in inner ear There are two main fluids in the inner ear : -(i) Perilymph (ii) EndolymphPerilymphIt resembles ECF and is rich in Nu+ ions. It fills the space between bony and the membranous labyrinth, i.e., Scala vestibuli and scala tympani. It communicates with CSF through the aqueduct of Coch...
4
Na+
Cl-
HCO-3
K+
Anatomy
null
1cb6e023-55fb-42b1-8337-481524031876
single
A 30 year old woman with a bad obstetric history presents with fever. The blood culture from the patient grows gram-positive small to medium coccobacilli that are pleomorphic, occurring in sho chains. Direct wet from the culture shows tumbling motility. The most likely organism is -
. Ans. is 'a' i.e., Listera monocytogenes . The impoant clues in this question are . Organisms are gram positive coccobacilli . Organisms are pleomorphic and occuring in sho chains. . There is tumbling motility. . All these are the features of Listeria monocytogens. . Corynebacteria are gram positive bacilli (not cocco...
1
Listera monocytogenes
Corynebacterium sp
Enterococcus sp.
Erysipelothrix rhusiopathiae
Microbiology
null
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multi
Clinical goal for prevention of coronary hea disease aims at lowering the ratio of cholesterol/ HDL below: September 2011
Ans. C: 3.5 A ratio of less than 3.5 has been recommended as a clinical goal for CHD prevention Total cholesterol Desirable: less than 200 milligrams (preferably 180) Borderline: 200-239 milligrams High: 240 milligrams and above LDL cholesterol Desirable: less than 130 milligrams Borderline-high: 130-159 milligrams Hig...
3
1.5
2.5
3.5
4.5
Social & Preventive Medicine
null
cfda5844-09cb-4cf0-b188-5df78f64ccf0
single
All of the following statements regarding jaundice in a newborn are true, Except ________
A rapidly rising unconjugated bilirubin concentration, or absolute levels >340 mmol/L (20 mg/dL), puts the infant at risk for bilirubin encephalopathy, or kernicterus. Under these circumstances, bilirubin crosses an immature blood-brain barrier and precipitates in the basal ganglia and other areas of the brain. The con...
3
Physiological jaundice usually peaks after 48 hours
Breast milk jaundice usually peaks after 7 day
High levels of conjugated bilirubin may cause kernincterus
All of the above are true
Pediatrics
New born infants
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Systemic eosinophilia with Renal failure is found in all, except:
. Chronic Interstitial Nephritis
2
Drug Induced Interstitial Nephritis
Chronic Interstitial Nephritis
Atherosclerotic Renal Failure
Polyaeritis Nodosa
Pathology
null
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multi
A 16-year-old female presents with cryptomenorrhea and with normal secondary sexual characters. Investigation of choice is
(C) Genital exam for out flow obstruction # Girls with Imperforate Hymen present with colicky abdominal pain which is often cyclic.> Menarche has not yet set in, however the secondary sexual characters have been well developed.> As vagina gets progressively & increasingly distended with menstrual blood, pressure sympto...
3
MRI brain
Prolactin estimation
Genital exam for out flow obstruction
null
Gynaecology & Obstetrics
Miscellaneous (Gynae)
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multi
Contractile dysfuncation seen in which type of cardiomyopathy?
Dilated cardiomyopathy (DCM) is characterized by progressive cardiac dilation and contractile (systolic) dysfunction, usually with concurrent hyperophy; regardless of cause, the clinicopathologic patterns are similar. DCM results in systolic (contractile) dysfunction. Causes include myocarditis, toxic exposures (e.g., ...
1
Dilated cardiomyopathy
Restrcited cardiomyopathy
Hyperophic cardiomyopathy
Infiltrative cardiomyopathy
Medicine
C.V.S
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single
Salter's Scale is a useful method employed in the field to measure:
Bathroom weighing scale is unreliable instrument for measuring weight of children For field conditions, Salter's Spring Scale is quite satisfactory as it is easy to carry.
4
Mid arm Circumference
Length at bih
Skin fold thickness
Bih weight
Pediatrics
Growth
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single
Which of the following is the best indicator for long-term nutritional status?
Height for age is the best indicator for long-term nutritional status (chronic malnutrition) Weight for age is the most commonly used index, but it doesnot differentiate between wasting and stunting. Hence, it has limited clinical significance A low weight-for-height, or wasting, indicates acute malnutrition Ref: Nelso...
2
Mid-arm circumference
Height for age
Weight for age
Weight for height
Pediatrics
Nutrition
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single
The main vector of Dengue fever is -
null
1
Aedes aegypti
Aedes albopictus
Aedes polynesiensis
Aedes scutellaris
Social & Preventive Medicine
null
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single
In ICD-11, which of the following were added?
The new International Classification of Diseases (ICD), ICD-11, was revealed by the World Health Organization (WHO) on 18th June 2018, with changes to gender incongruence, the addition of gaming disorders, and better tracking of antimicrobial resistance. This is the first revision of the codes to be completely electron...
4
Traditional medicine
Gaming Disorder
Gender Incongruence
All the above
Social & Preventive Medicine
Concept of health and disease
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multi
Lead time is defined is ?
Ans. is 'b' i.e., Time between point where the diagnosis is made by screening test to usual diagnosis In respect to screening test and diagnostic test, a disease passes through following phase, sequentially. Disease onset - Disease process just staed. First possible point of diagnosis - The earliest point in disease pr...
2
Time between diagnosis and treatment
Time between point where the diagnosis is made by screening test to usual diagnosis
Time between disease onset and outcome
Time between usual time of diagnosis and outcome
Social & Preventive Medicine
null
dd96146f-a6bf-4867-819c-0dc38751bb56
single
In a population, total births in a year are 3050. There are 50 still births, 100 neonates die in first 7 days and 150 die in next 8-28th day life. Calculate Neonatal Mortality Rate.
null
3
250
100
83
90
Social & Preventive Medicine
null
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single
Menier's disease characterized by all EXCEPT :
Ans. is 'a' i.e. . Diplopia Meniere's disease (also k/a endolymphatic hydrops)Main pathology is distention of the endolymphatic system due to increased volume of endolymph.Cardinal symptoms:Episodic vertigoFluctuating hearing lossTinnitusSense of fullness or pressure in the involved ear.Diplacusis is seen in Meniere's ...
1
Diplopia
Tinnitus
Vertigo
Fullness of pressure in ear
ENT
Ear
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multi
Most common ovarian malignancy in post menopausal period is
Ans a Ref: Sheila balakrishnan page 256Epithelial tumor: Majority are seen in post menopausal woman, peak incidence between 50-60.30-40:peak incidence of borderline tumorsLess common under 40 yrsMost common epithelial tumor is serous cystadenoma followed by mucinous.Sex cord stromal tumors: can occur at all ages Germ c...
1
Serous cystadenoma
Fibroma/thecoma
Teratoma
Mucinous tumor
Surgery
Miscellaneous
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single
Recurrence rate of ectopic pregnancy in a patient previously treated for ectopic-
A previous history of ectopic pregnancy is the strongest risk factor for another ectopic pregnancy. The increased incidence is due to both : presence of previous factors that led to initial ectopic and potential damage to fallopian tube from the prior ectopic and its treatment. Chance for intrauterine pregnancy: 40 % C...
2
25%
15%
30%
50%
Gynaecology & Obstetrics
Ectopic Pregnancy (Hello ! Where are you ?)
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Hernia with highest rate of strangulation:
Ans. (c) Femoral herniaRef.: Bailey & Love 26th ed. Ch. 60 / 960* High risk of strangulation is seen with femoral hernia as it has lacunar ligament (Gimbernat's) medially. This is a strong curved ligament with a sharp unyielding edge which impedes reduction of a femoral hernia.* 50% of cases present as an emergency
3
Direct inguinal hernia
Indirect inguinal hernia
Femoral hernia
Incisional hernia
Surgery
Femoral Hernias
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The skin overlying the region where a venous "cut down" is made to access the great saphenous vein is supplied by
(Femoral nerve) * Great saphenous vein lies in the medial side of the leg and thigh, it is the MC site of venous cut down * It is accompanied by saphenous nerve all along, the nerve which supplies the medial aspect of the leg and dorsum of the foot till the ball of great toe. * Saphenous nerve itself is a branch of fem...
1
Femoral nerve
Tibal nerve
Sural nerve
Superficial perineal nerve
Surgery
null
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Single best moality indicator
ref: Park&;s 23rd edition pg 58 ASDR(Adjusted Standardised Death Rate): here, age adjustment or age standardisation is made, which removes confounding effect of different age structures and yields a single standardised or adjusted rate, by which the moality experience can be compared directly.
3
CDR
PMR
ASDR
CFR
Social & Preventive Medicine
Epidemiology
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single
Conn’s Syndrome is characterized by increased synthesis of
→  Conn’s Syndrome is a rare health problem, that occurs when the adrenal glands make too much aldosterone. This problem is also known as primary hyperaldosteronism.  → Aldosterone is a hormone, that controls salt and potassium level in the blood pressure.Too much leads to high blood pressure.  → It is common is female...
2
Adrenaline
Aldosterone
Corticosteroids
None of the above
Medicine
null
9406f9c9-0e9e-4df0-accc-d80c8b7ae857
multi
Skin lesion in meningococcal meningitidis is due to
The endotoxin lipopolysaccharide of Meningococci is released by autolysis.- vascular endothelium is paicularly sensitive to the endotoxin. All major inflammatory cascade systems, as well as cytokines and nitric oxide, are triggered and unregulated. Reference: Textbook of Microbiology; Anathanarayan and panicker's; 10th...
2
Exotoxin
Endotoxin
Allergic reaction
Direct vascular Damage
Microbiology
Bacteriology
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multi
True about thromboxane-A2 is?
Ans. is 'b' i.e., Platelet aggregation
2
Vasodilatation
Platelet aggregation
Potentiation of edema
Formed in endothelium
Pathology
Inflammation & Repair
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multi
Mrs. X, Primigravida at 36weeks complains of generalized pruritis with increased intensity in soles. Diagnosis is
Clinical presentation of Intrahepatic Cholestasis of Pregnancy:Pruritus develops in late pregnancy, although it occasionally manifests earlier. There are no constitutional symptoms, and generalized pruritus shows a predilection for the soles. Skin changes are limited to excoriations from scratching. Biochemical tests m...
1
Intrahepatic cholestasis of pregnancy
HELLP
Viral hepatitis
Acute fatty liver of pregnancy
Gynaecology & Obstetrics
Medical, surgical and gynaecological illness complicating pregnancy
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Mucosa is never involved in which of the following disorders –
Mucosal involvement Common                →   Pemphigus Rare                      →   Pemphigoid Not involved          →   Dermatitis herpetifo
1
Dermatitis herpetiformis
Pemphigus vulgaris
Epidermolysis bullosa acquisita
Toxic epidermal necrolysis
Dental
null
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single
A 50-year-old pulmonologist is diagnosed with pulmonary tuberculosis and staed on standard drug therapy. After 1.5 months, the patient has developed fatigue, low grade fever, muscle aches, bone pains and body aches. The patient also complains of pleuritic chest pain. His sputum tests negative for acid fast bacilli. On ...
Patient's symptoms including constitutional symptoms, ahralgia and pleuritic chest pain with positive anti-histone antibodies and recent use of isoniazid point towards the diagnosis of drug induced lupus erythematosus. Drugs undergoing acetylation in liver with the help of N-acetyl transferase are responsible for major...
3
Sulfation
Glucuronide conjugation
Acetylation
Hydroxylation
Anatomy
Integrated QBank
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All are component of Obesity Surgery-Moality Risk Score (OS-MRS) EXCEPT:
Type-2 Diabetes mellitus is not a component of the Obesity Surgery-Moality Risk Score (OS-MRS). Obesity Surgery-Moality Risk Score (OS-MRS):clinically useful score to predict moality risk in patients undergoing gastric bypass Risk factor Score Age >45 yr 1 BMI >50 kg/m2 1 Male gender 1 Hypeension 1 DVT/PE 1 Risk Catego...
2
Age >45 yr
Type-2 DM
Hypeension
Male gender
Surgery
Robotics, Laparoscopy and Bariatric Surgery
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A 60 year old male was diagnosed with end stage kidney disease 5 years ago & has been managed with hemodialysis since then. He is also hypeensive & diabetic. He is not compliant with his medications & hemodialysis schedule & now presented with bone pain & dyspnea. CXR shows hazy bilateral infiltrates. Chest CT shows gr...
Given scenario suggests the diagnosis of teiary hyperparathyroidism- commonly seen in patients with chronic kidney disease who are poorly compliant with therapy. Features- bone pain, ectopic calcification & pruritus. Hypoxemia and ground-glass infiltrates on chest CT represent ectopic calcification of the lungs. A tech...
4
Calcitriol 0.5 mg IV with hemodialysis with sevelamer three times daily
Calcitriol 0.5 mg orally daily with sevelamer 1600 mg three times daily
More aggressive hemodialysis to achieve optimal fluid and electrolyte balance
Parathyroidectomy
Medicine
Disorders of Parathyroid Gland
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Which of the following CLASP human experiment:
Ans. C. Main center for the experiment was in United kingdomCLASP human experiment:Correspondence to: CLASP Co-ordinating Centre, Harkness Building, Radcliffe Infirmary, Oxford OX2 6HE, UK- http: // www,researchgate.netCLASPThe impact of aspirin on proteinuric preeclampsia and its fetal sequelae in CLASP was ceainly sm...
3
Main center for the experiment was Geneva
Main center for the experiment was Tokoyo
Main center for the experiment was in United kingdom
Heparin low dose given
Pharmacology
null
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single
Which of the following is not a teiary amine derivative?
Ans. b. Glycopyrrolate Glycopyrrolate is a synthetic quaternary anticholinergic drug, which doesn't cross the blood brain barrier and completely lacks central effects.
1
Atropine
Glycopyrrolate
Scopolamine
Hyoscine
Pharmacology
null
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single
Confocal scanning laser ophthalmoscope uses ?
Ans. is 'b' i.e., Diode laser Confocal scanning laser ophthalmoscope It is an instrument using confocal laser system to provide and analysethree dimentional image of the optic nerve head, peripapillary retina, and macular region. It uses a 670 nm diode laser and measures the amount of light reflected froma series of 16...
2
Infrared laser
Diode laser
Excimerlaser
YAG laser
Ophthalmology
null
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single
Incubation period of gonorrhoea is
Gonorrhea is a venereal disease that has been known since ancient times. The disease is acquired by sexual contact. Caused by Neisseria gonorrhoeae. The first step in infection is adhesion of gonococci to the urethra or other mucosal surfaces. Pili are involved in this adhesion. Adhesion is rapid and firm so that mictu...
3
Less than 24 hrs
1 to 2 days
2 to 15 days
12 to 25 days
Microbiology
Bacteriology
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Lecithin Sphingomyelin ratio in amniotic fluid is used to assess the maturity of :
Fetal lung
2
Fetal liver
Fetal lung
Placenta
Fetal kidney
Gynaecology & Obstetrics
null
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single
Whipples triad is seen in -
null
1
Islet cell tumour
Ca head pancreas
Argentaffinoma
Cholangiocarcinoma
Surgery
null
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single
Palpable pupura is seen in all conditions except –
Vasculitis of small vessels cause palpable purpura, whereas giant cell arteritis affects large vessels.
3
Cryoglobulinuria
H.S. pupura
Gaint cell arteritis
Drug induced vasculitis
Dental
null
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multi
A 60-year-old industrial worker presents with shortness of breath for the past week. Blood withdrawn shows thick brownish red Color. Diagnosis?
Ans. C. Meth-hemoglobinemia* Sickle cell anemia has a pediatric presentation.* Hemolytic anemia will cause pallor and not brown discoloration of blood.* In G6PD in event of intravascular hemolysis the hemoglobinuria will cause a black urine. Therefore, by exclusion the answer is meth-hemoglobinuria.
3
Sickle cell anemia
Hemolytic anemia
Meth-hemoglobinemia
G-6-P-deficiency
Medicine
Blood
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single
A radiolucency in bone without periosteal bone reaction is seen in
Any lesion of bone destruction that has ill-defined borders and a lack of peripheral bone response (sclerosis) should be viewed with suspicion. Squamous cell carcinoma originating in bone  The internal structure is wholly radiolucent with no evidence of bone production and very little residual bone left within the cent...
1
Squamous cell carcinoma
Garres osteomyelitis
Osteosarcoma
Chronic osteomyelitis
Radiology
null
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single
Carcinoma tongue most frequently develops from:
Most common site of carcinoma tongue is middle of lateral border or the ventral aspect of the tongue followed by tip and dorsum.
2
Tip
Lateral border
Dorsal poion
All poions equally
ENT
null
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multi
Low risk type of HPV
<p>HPV Human papilloma virus More than 200 types known .100 have been sequenced. These virus invade squamous epithelium and trigger cell proliferation. Viruses mainly being transmitted by fomites ,scratching, and auto inoculation. Low risk type-6 and 11 {Reference: IADVL textbook of dermatology, vishalakshi Vishwanath ...
2
Type-16
Type-6
Type-18
Type-31
Dental
Sexually transmitted diseases
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single
Me Naughten's rule is?
Ans. is 'a' i.e., Person is not responsible if he is not of a sound mind o According to Me Naughtcn's rule, a person is not responsible for his act, if has unsound mind at the time of act.o The criminal responsibility of an insane is judged as per the following rules :1) MC Naughten rule (legal test or right or wrong t...
1
Person is not responsible if he is not of a sound mind
Person is held responsible even if he is not of sound mind
Person is always held responsible
Any of the above
Forensic Medicine
Forensic Psychiatry
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multi
Nerve injured in subcoracoid dislocation of humerus is
null
1
Axillary nerve
Radial nerve
Brochial plexus
Median nerve
Orthopaedics
null
83e635a1-6643-4e84-8735-fc5496602a57
single
Most common feature of opiate poisoning: NIMHANS 11
Ans. Respiratory depression
1
Respiratory depression
Hypotension
Bradycardia
Hypothermia
Forensic Medicine
null
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single
Which of the following is not a feature of rosacea?
Rosacea is a chronic disease affecting fair skinned middle aged adults characterised by flushing and telangiectasia in early stage, papules and pustules in inflammatory stage, papules and induction and rhinophyma in chronic stage. Ref: Rook textbook of Dermatology, 8th edition, Page : 43.1-3
3
Flushing
Telangiectasia
Mucosal ulcerations
Rhinophyma
Skin
null
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single
Levator ani muscle supplied by:
(Pudendal nerve) Ref: 394-BDC-2, 349-Snell 7thThe levator ani is supplied by:1. A branch from the fourth sacral nerve2. A branch either from the inferior rectal nerve or from the perineal division of the pudendal nerveBranches of the Sacral Plexus and Their DistributionBRANCHESDISTRIBUTION,Superior gluteal nerve- G. me...
2
Superior gluteal nerve
Pudendal nerve
Common peroneal portion
Internal iliac nerve
Anatomy
Abdomen & Pelvis
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single
A female multipurpose worker does not do –
FHW does not do malaria surveillance hereself. FHW assists the male health worker in maintaining a record of cases of malaria, TB and leprosy.
2
Distribute condoms
Malaria suruveillance
Birth death statistics
Immunisation of mothers
Social & Preventive Medicine
null
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single
Protein that initiates synthesis of RNA primers
Classes of Proteins Involved in Replication Protein Function DNA polymerases Deoxynucleotide polymerization Helicases ATP -driven processive unwinding of DNA Topoisomerases Relieve torsional strain that results from helicase-induced unwinding DNA primase Initiates synthesis of RNA primers Single-strand binding proteins...
3
SSBs
DNA Ligase
DNA Primase
Topoisomerases
Biochemistry
Metabolism of nucleic acids
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single
Volcano ulcers in esophagus are seen in
Answer- A. Herpetic esophagitisThe ulcers of herpes esophagitis can haye a punctate, linear, stellate, or volcano-like appearance, often with a thin halo fo edemaat the margins.The ulcers may be clustered together or widely separated with normal intemening mucosa.
1
Herpetic esophagitis
Candida esophagitis
Apthous ulcer in crohn
HIV esophagitis
Medicine
null
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single
Which of the following drug is not a GPIIb / III a antagonist?
Prasugrel is an antagonist of P2 Y12 receptors of ADP like clopidogrel.
4
Tirofiban
Abciximab
Eptiifibatide
Prasugrel
Pharmacology
null
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single