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tRNA molecules vary in length from
tRNA molecules vary in length from 74 to 95 nucleotides, like many other RNAs, are also generated by nuclear processing of a precursor molecule.Ref: Harper&;s Biochemistry; 30th edition; Chapter 34; Nucleic Acid Structure & Function
3
10-24 nucleotides
24-46 nucleotides
74-95 nucleotides
96-120 nucleotides
Biochemistry
Metabolism of nucleic acids
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single
Non-oliguric acute renal failure is commonly seen in -
null
2
Pre-renal azotemia
Aminoglycoside toxicity
Acute glomerulonephritis
Septic shock
Medicine
null
e05592db-e619-43fa-9d07-e1270c9454fe
single
Paial closure of nose is done in which condition:-
Atrophic Rhinitis:Atrophic chronic inflammatory disease characterized by progressive atrophy of the nasal mucosa and the underlying bone of the turbinates associated with excessive crusting which leads to nasal obstruction. Sx- Young's operation: Closure of both the nostril following elevation of the nasal vestibular f...
2
Allergic rhinitis
Atrophic rhinitis
Vasomotor rhinitis
Occupational rhinitis
ENT
NEET Jan 2020
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multi
Morbilliform eruptions is seen in – a) Scarlet feverb) Rubellac) Toxic shock syndromed) Measlese) Mumps
Viral infections causing nzorbilhform eruptions are measles, rubella, erythema infectiosum, EBV, CMV, adenovirus, echovirus, early HIV, coxasackie virus. Scarlet fever and toxic shock syndrome cause scarlatiniform eruption.
2
c
bd
ab
ac
Dental
null
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single
Which of the following is most common complication of celiac plexus block aEUR'
Hypotension The most common complication of celiac plexus is postural hypotension which is largely due to blockade of the lumbar sympathetic chain. Celiac plexus The celiac plexus is situated retroperitoneally in the upper abdomen. It is at the level of T12 and L1 veebrae, anterior to the crura of the diaphragm. It is ...
1
Hypotension
Retroperiton&al hemorrhage
Pneumothorax
Intravascular injection
Anaesthesia
null
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single
Lord's and Jaboulay's operation is done for:March 2011
Ans. D: HydroceleProcedures for acquired hydroceles:Lord's operation is suitable when the sac is reasonably thin walledEversion of the sac with placement of the testis in a pouch prepared by dissection in the fascial planes of the scrotum is an alternative (Jaboulay's procedure)
4
Rectal prolapse
Fistula in Ano
Inguinal hernia
Hydrocele
Surgery
null
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single
Mummification is enhanced by -
Mummification requires absence of moisture and continuous action of dry and warm air. Dr. Narayana Reddys Synopsis of Forensic Medicine & Toxicology 27 th edition pg. 87.
3
Moist and hot air
Moist and cool air
Dry and hot air
Dry and cool air
Forensic Medicine
Death and postmortem changes
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single
Cell wall of fungi does not contain
Cell wall of fungi contain-chitin,mannan,polysaccharides. Cytoplasmic membrane contains sterols
1
Sterols
Chitin
Mannan
Polysaccharides
Microbiology
null
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multi
Which of the following statement is TRUE about testis?
Gubernaculum is either a pair of folds of peritoneum that attach to the caudal end of the gonads (testes in males and ovaries in females). Toward the end of fetal development, the testis begins its descent from the abdomen to the scrotum. The peritoneum covering the testis becomes the processus vaginalis, and the guber...
2
Ectodermal origin
Gubernaculum is attached to caudal end
Surrounded by peritoneal tunica albuginea
By 28th week it reach at scrotum
Anatomy
null
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multi
Which of the following is not supplied by the anterior division of mandibular nerve (V3)?
MANDIBULAR NERVE DIVISION: TRUNK- 1.Meningeal 2.Nerve to medial pterygoid supplies; tensor veli palatini,tensor tympani,medial pterygoid ANTERIOR DIVISION- 1.Deep temporal 2.Lateral pterygoid 3.Masseteric 4.Buccal; skin of cheek POSTERIOR DIVISION- 1.Auriculotemporal:auricular,superficial temporal,aicular to TMJ,secret...
4
Temporalis
Masseter
Lateral pterygoid
Medial pterygoid
Anatomy
Head and neck
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single
Plunging goitre is
Refer Robbins page no 1092 Multinodular goiters are multilobulated, asymmetrically enlarged glands that can reach weights of more than 2000 gm. The pattern of enlargement is quite unpredictable and may involve one lobe far more than the other, producing lateral pressure on midline structures, such as the trachea and es...
3
Solitary nodule
Colloid goitre
Retro sternal goitre
Medullary carcinoma
Anatomy
Musculoskeletal system
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Cell wall synthesis is inhibited by all of the following, EXCEPT:
Tetracyclines act by inhibiting the protein synthesis and they do not inhibit the cell wall synthesis. Antibiotics that act by inhibiting cell wall synthesis are Penicillins Cephalosporins, Cycloserine, Vancomycin and Bacitracin. Ref: KDT, 6th Edition, Page 668; Essentials of Medical Pharmacology By K D Tripathi, 6th E...
3
Amoxycillin
Penicillin G
Tetracycline
Cefotetan
Pharmacology
null
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multi
All pulmonary function abnormalities are seen in COPD it , Except -
null
4
Decreased FEV1
Decreased maximum expiratory flow rate
Increased residual volume
Decreased diffusing capacity
Medicine
null
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multi
Diaphragmatic hernia can occur through all the following, except
.
4
Esophageal opening
Costoveebral triangle
Costal and sternal attachment of diaphragm
Inferior vena cava opening
Surgery
All India exam
a7713178-e11e-4dc3-bc36-93492f749416
multi
Absent swallow tail sign is seen in
SWALLOW TAIL SIGN: The Swallow tail sign describes the normal axial imaging appearance of nigrosome-1 within the substantia nigra on high resolution T2*/SWI weighted MRI. Absence of the sign (absent swallow tail sign) is repoed to have a diagnostic accuracy of greater than 90% for Parkinson disease. Figure showing norm...
3
Huntington's chorea
Alzheimer's disease
Parkinsonism
Progressive supranuclear palsy
Radiology
Neuroradiology
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Which pathogens adhere to respiratory epithelium -
RSV was obtained from children with lower respiratory tract infection.Because ut caused cell fusion and the firmation of multinucleated syncitia in cell cultures it was named RSV . REF:ANANTHANARAYAN AND PANIKER'S TEXTBOOK OF MICROBIOLOGY 9TH EDITION PAGE NO:510
1
RSV
Influenza
Parainfluenza
HBV
Microbiology
Virology
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Marker for B lymphocytes
Ref immunology by Roitt 6/e p 29; 30; 19 ;9/e p191 CD 19,20,22 are main markers of human B cells .othersB cell markers are CD72 and CD78
2
CD34
CD33
CD19
CD20
Anatomy
General anatomy
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Lignocaine can be used in all except -
Ans. is 'd' i.e., Convulsion o Lidocaine can be used in surface anaesthesia, infiltration anaesthesia, conduction block, spinal anaesthesia, epidural anaesthesia, intravenous regional anaesthesia (intravasular infiltration anaesthesia) and in arrhythmias (ventricular tachyarrhythmias).
4
Ventricular fibrillation
Spinal anaesthesia
Epidural anaesthesia
Convulsions
Pharmacology
null
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A 63-year old man presented with massive splenomegaly, lymphadenopathy and a total leucocyte count of 17000 per mm3. The flow cytometery showed CD 19 positive, CD 5 positive, CD 23 negative, monoclonal B-cells with bright kappa positively comprising 80% of the peripheral blood lymphoid cells. The most likely diagnosis ...
Answer is A (Mantle cell lymphoma) The given clinical profile is suggestive of mantle cell lymphoma as explained below. (Mean Age = 63 yrs) Mantle cell lymphoma Presents in the middle aged and the elderly Clinical profile - Painless lymphadenopathy - Splenomegaly - Occasional GI involvement
1
Mantle cell lymphoma
Splenic lymphoma with villous lymphocytes
Follicular lymphoma
Hairy cell leukemia
Medicine
null
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Most common site of gastrointestinal stromal tumor (GIST) is:-
- Stomach is most common site of GIST. - MC benign tumor of stomach - Leiomyoma - MC malignant tumor of stomach - Adenocarcinoma - MC malignant gastric tumor that bleeds - Leiomyosarcoma - MC mesenchymal tumor of abdomen - GIST
3
Small intestine
Colon
Stomach
Liver
Pathology
Stomach
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multi
30 yrs female presented with unilateral breast cancer associated with axilary lymph node enlargement. Modified radical mastectomy was done, fuher treatment plan will be
Adriamycin based chemotherapy followed by tamoxifen depending on.... Stage I & II breast cancers (Early invasive breast cancers) are managed by 1) Primary therapy for local management & 2) Adjuvant therapy Primary therapy consists of : - Mastectomy with assessment of axillary lymph node status (or modified radical mast...
2
Observation and followup
Adriamycin based chemotherapy followed by tamoxifen depending on estrogen/progesterone receptor status
Adriamycin based chemotherapy only
Tamoxifen only
Surgery
null
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A 22-year-old primigravida notes absent fetal movement for 2 days. The fetus is delivered stillborn at 19 weeks' gestation. The macerated fetus shows marked hydrops fetalis and a large posterior cystic hygroma of the neck. At autopsy, internal anomalies include aortic coarctation and a horseshoe kidney. Which of the fo...
The findings listed are characteristic of Turner syndrome (monosomy X), which accounts for many first- trimester fetal losses. The hygroma is quite suggestive of this disorder. Fetuses with this finding are rarely live-born. Trisomy 18 can be marked by multiple anomalies, but overlapping fingers and a short neck are mo...
1
45, X
47, XX, +18
47, XX, +21
47, XYY
Pathology
Genetics
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Main highlight of IMNCI is ?
Ans. is `d' i.e., 0-5 years of age
4
0-7 days of infant
0-14 days of infant
Sick infant more than sick child
0-5 years of age
Pediatrics
null
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single
Osseocailaginous junction on the dorsum of nose is?
The intersection of the two nasal bones with the frontal bone is known as NASION. The junction of the lower end of the internasal suture with the lower cailaginous pa of the nose is a mid line I known as RHINION. ( Ref Cummings 6th edition, Pg no. 493 )
3
Nasion
Columella
Rhinion
Glabella
ENT
Nose and paranasal sinuses
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A multiparous woman delivered by a village dai (midwife) presents on the 22nd postnatal day with bleeding per vaginam with clost. On examination, the uterus is 14-16 weeks, the internal os is open, and there is bleeding through the os. The likely cause of this bleeding is -
Ans-C
3
Excessive postnatal physical work
Perineal tears
Retained bits of placenta and membranes
None of the above
Unknown
null
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A 20 year old male has presented with repeated episodes of hematemesis. There is no history of jaundice or liver decompensation. On examination the significant findings include splenomegaly (8 cms below costal margin), and presence of esophageal varices. There is no ascites or peptic ulceration. The liver function test...
null
2
Extahepatic portal venous obstruction
Non cirrhotic portal fibrosis
Cirrhosis
Hepatic venous outflow tract obstruction
Surgery
null
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Deficiency of the 'intrinsic factor of Castle' causes -
null
2
Megaloblastic anemia
Pernicious anemia
Cooley's anemia
Aplastic anemia
Pathology
null
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A 32 year old female presented with anxiety, palpitations, and diarrhea. Lab studies show elevated T4, TSH levels are low & increased long acting thyroid stimulating antibody titres. A diagnosis of Graves disease is made. But then the patient came to emergency with sudden onset of acute chest pain. CT angiography which...
Patients with Graves disease produce higher levels of T4, as a result they are mildly iodine deficient, thus T4 production is somewhat limited. Iodinated contrast reverses iodine deficiency and may precipitate worsening of hypehyroidism. It may make iodine-125 therapy less successful because thyroid iodine uptake is de...
1
Iodinated contrast exposure in patients with Graves disease may exacerbate hypehyroidism.
Pulmonary embolism is exceedingly rare in Graves disease.
Radiation exposure in patients with hypehyroidism is associated with increased risk of subsequent malignancy.
Tachycardia with Graves disease limits the image quality of CT angiography and will not allow accurate assessment of pulmonary embolism.
Medicine
Diseases of Thyroid
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Gas gangrene is caused by:
Ans: B (Clostridium perfringens) Ref: Ananthnarayan R, Paniker CKJ. Textbook of Microbiology. 8th Edition. Hyderabad: Universities Press; 2(X)9. Pg. 251Explanation:Gas gangreneCaused byCl. perfringensCl. septic uniCl. odematieunsCl. sporogenesCl histolyticum (Aerotolerant anaerobe)Virulence factorsExotoxins - hemolytic...
2
Clostridium botulium
Clostridium perfringens
Clostridium difficile
Clostridium tetani
Microbiology
Clostridium
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Contrasts used in USG:
C i.e. Sonavist Ultrasound contrast agents (UCAs) It consists of microbubbles filled with air or gases, which acts as echo - enhancer by increasing acoustic impedence at the interface b/w gas & blood. The ideal USCA, should have:no biological effect with repeat doses. low : attenuation, blood gas solubility & diffusivi...
3
Urograffin
Ultragraffin
Sonavist
Conray
Radiology
null
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Cavernous sinus thrombosis following infection of anterior maxillary teeth most often from spread of infection along
null
3
Facial artery
Angular artery
Ophthalmic vein
Pterygoid plexus
Surgery
null
5d2a8a7a-1f66-4409-833c-4cb69e0b410d
single
Which of following is a composite index?
null
3
DMFT
OHI
Russel's index
OHI-S
Dental
null
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Incidence of cord prolapse is least in :
Ans. is a i.e. Frank breech Cord Prolapse Cord prolapse is the condition where the umbilical cord lies below the presenting pa after rupture of membranes. In cord presentation, the membranes are intact. In occult cord prolapse the cord is by the side of the presenting pa, but not felt by the examining fingers. Cord pro...
1
Frank breech
Footling presentation
Transverse lie
Brow presentation
Gynaecology & Obstetrics
null
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single
A female who underwent laproscopic appendicectomy for acute appendicitis, on post op. day 2 bumped her nose on to a table. She developed difficulty in breathing and examination showed a swelling in the anterior pa of the nasal septum. Next line of management is:
Nasal septal hematoma is a rare but potentially serious complication of nasal trauma. The trauma allows blood to pass into both mucoperichondrial planes. Because the septal cailage has no blood supply of itself and receives all of its nutrients and oxygen from the perichondrium, untreated septal hematoma may lead to de...
1
Incision and drainage
Oral antibiotics for 7-10 days
Observation
IV antibiotics
ENT
null
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Which characteristic often distinguishes cardiogenic shock from hypovolemic shock?
C: Cardiogenic shock has a narrow pulse pressure while hypovolemic shock has a widened pulse pressure. A: Options A, B, and D are all similar characteristics of the hypovolemic and cardiogenic shock.
3
Tachycardia.
Increased respiratory rate.
Narrow pulse pressure.
Oliguria.
Medicine
null
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6 months old infant with Hb of 6 gm% has anaemic features with peripheral blood showing target cells. Family history of similar complaints is (Positive). Diagnosis can be best done with which of the following -
Ans. is 'a' i.e., Hb Electrophoresis Presence of : 1. Anaemia (Hb < 6%), Target cells, 3. Increase reticulocytes suggests the diagnosis of thalassemia. o Thalassemia is a hemoglobin disorder. Hemoglobin disorders are diagnosed by electrophoresis. o Diagnosis of thalassemia is confirmed by serum electrophoresis.
1
Hb electrophoresis
ELISA
Coomb's Test
Osmotic fragility
Pediatrics
null
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single
Which anesthetic modality is to be avoided in sickle cell disease?
Prevention of conditions that favor suckling is the basis of peri-operative management. Supplemental oxygen is recommended during and after regional anesthesia/GA. Circulatory stasis can be prevented with hydration and anticipation of intraoperative blood loss in order to avoid acute hypovolemia Normothermia is desira...
3
General Anesthesia
Brachial Plexus Block
Intravenous Regional Anesthesia
Spinal Anesthesia
Pharmacology
null
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Structure of proteins can be detected by all, except:
High pressure liquid chromatography (HPLC)
1
High pressure liquid chromatography (HPLC)
SDS Page
NMR spectrometry
Crystallography
Biochemistry
null
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Nerve injured in fibular neck fracture -
Ans. is 'a' i.e., Common peronealSite of injuryNerve injuredFracture surgical neck humerusAxillary nerveFracture shaft humerusRadial nerveSupracondylar fractureMedian nerve (anterior interosseous branch)Medial epicondyle fractureUlnar nervePosterior dislocation of HIPSciatic nerveFibular neck fractureCommon peroneal ne...
1
Common peroneal
Tibial
Sural
Femoral
Orthopaedics
Peripheral Nerve Injuries
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Which of the following is not a type of suffocation-
Throttling is a form of manual strangulation, not a form of suffocation. Suffocation deaths: SmotheringQ Occlusion ofexternal air passagesQby hand, pillow, plastic bag etc ChokingQ Occlusion ofinternal air passagesQby foreign body, food paicles etc Overlaying Compression of chestQ, when mother shares bed with baby Gagg...
4
Choking
Gagging
Smothering
Throttling
Forensic Medicine
Hanging and strangulation
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Clavipectoral fascia splits to enclose subclavius and pectoralis minor, and continues as ?
Clavipectoral fascia It is a strong sheet of fascia, situated deep to pectoralis major muscle and extends from the pectoralis minor to the clavicle. It splits in upper pa to enlose subclavius and splits in lower pa to enclose pectoralis minor. Below this it is continuous as suspensory ligament. Traced upward, it splits...
4
Axillary sheath
Costocoracoid ligament
Costoclavicular ligament
Suspensory ligament
Anatomy
null
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single
For Arsenic poisoning Antidote is
null
4
Penicillamine
E.D.T.A
Desferrixamine
B.A.L
Pharmacology
null
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single
Sperms acquire motility in
Sperm motility describes the ability of sperm to move properly through the female reproductive tract. the ability to move forward is acquired in the epididymis Ref: Ganong&;s review of medical physiology; 24th edition; page no:-422
2
Testis
Epididymis
VAS deferences
Seminal vesicles
Physiology
Endocrinology
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True about major depression is/are -
Feeling of worthlessness or excessive guilt is one of the diagnostic criteria major depression.
3
Common in males
Markedly diminished interest in all activities most of the day but no fatigue or loss of energy or psychomotor retardation.
Feeling of worthlessness or excessive guilt
All
Psychiatry
null
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Which of the following factor does not contribute for maintaining occlusal stability?
null
1
Embrasures
Tooth structure
Loss of teeth
Periodontal disease
Dental
null
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Which of the following is ester local anesthetics -
Local Anaesthetics are divided in two group Aminoamide and Aminoesters Aminoester - sho acting - cocaine , procaine and chloroprocaine long acting - Benzocaine and Tetracaine Aminoamide - intermediate acting - lignocaine , prilocaine ,mepivacaine long acting - Bupivacaine , Ropivacaine , Dibucaine Aminoester Local Anes...
1
Cocaine
Lidocaine
Mepivacaine
Prilocaine
Anaesthesia
Regional Anesthesia
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In urban which Anopheles species is seen-
Ans. is 'a' i.e., Stephensi Vector of malariao Vector for malaria is female anapheline mosquito.o There are six primary vectors of malaria in India : -An. culicifacies : - It is the main vector in rural and periurban areas. It is highly zoophilic. Species 4 A' is a vector for P. vivax and P.falciparum, whereas species ...
1
Stephnsi
Culicifacies
Fluvitalis
null
Social & Preventive Medicine
Communicable Diseases
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multi
A 26-year-old healthy man comes to your clinic for an annual wellness examination. He does not take any medications. He smokes half pack of cigarettes daily. He tells you that his father died of colon cancer at the age of 45. He also has a 25-year-old cousin who recently had colonoscopy for rectal bleeding was found to...
Familial adenomatous polyposis (FAP) is characterized by the appearance of thousands of adenomatous polyps throughout the large bowel. It is transmitted as an autosomal dominant trait. It is associated with a deletion in the long arm of chromosome 5, which contains the APC gene. The colonic polyps are usually evident b...
3
MEN1
RET
APC
MSH
Medicine
Oncology
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single
In normal delivery, breast feeding should be staed?
Ans is d None o Breast feeding should be initiated within 30 min. of a normal vaginal delivery. o Breast feeding should be initiated within 4 hrs of delivery by caesarian section.
4
6 hour after delivary
2 hour after delivary
4 hour after delivary
null
Social & Preventive Medicine
null
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multi
Mark the FALSE statement about Myotonic dystrophy type 1:
Myotonic dystrophy Type 1: defect on chromosome 19 Type 2: defect on chromosome 3 CTG repeats C/F Muscle weakness distal Tenting of upper lips Wasting of temporalis, masseter leading to hatchet facies Testis atrophy Myotonia Posterior subcapsular cataracts First degree hea blocks Myotonic dystrophy type 2 (DM2) causes ...
2
Due to defect in Chromosome 19
Proximal muscle weakness
Tenting of upper lips
Wasting of temporalis, masseter leading to hatchet facies
Medicine
Channelopathies and Neuropathies
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This is Xray showing
X-ray of the radius, AP and Lateral views, showing osteoclastoma (giant cell tumour) of the lower end of the radius (A lytic tumour, with no new bone formation) 'Soap-bubble' appearance - the tumour is homogeneously lytic with trabeculae of the remnants of bone traversing it, giving rise to a loculated appearance. No c...
3
Osteosarcoma
Osteochondroma
Osteoclastoma
Ewing sarcoma
Orthopaedics
Tumors
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Overjet and overbite of malocclusion is assessed using WHO survey from 1997 with the help of the instrument:
null
2
Williams probe
CPI probe
Measuring scale
Straight probe
Dental
null
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single
Investigation of choice for meningeal carcinomatosis in CNS:
D i.e. Gd-MRI Investigation of choice for meningeal carcinomatosis is Gd enhanced MRIQ (especially for detection of focal spread, bulky disease and metastases from solid tumor). Demonstration of tumor cells/tumor markers in CSF is definitive & often considered gold standard; but has suboptimal/moderate overall sensitiv...
4
NE-CT
PET
SPECT
Gd-MRI
Radiology
null
2c124685-3ce5-4818-8824-baf1c5aed421
single
28-year-old G3P2 woman at 35 weeks' gestation presents with painful uterine contractions with dark, altered vaginal bleeding. On examination, uterus is tender, BP is 160/100, PR 100/min, and P/V shows altered blood, with 2 cm vaginal dilatation. Which of the following describes the most likely etiology of her bleeding?
This is a case of Pre eclampsia complicated by abruption as her BP is high, uterus is tender and altered blood is seen per vaginum Placenta pre and vasa pre usually present with painless bleeding. Show is cervical mucous plug that is released prior to or at the time of onset of labour. It is mucoid in consistency and i...
2
Placenta pre
Placenta abruption
Bloody show
Vasa pre
Gynaecology & Obstetrics
Obstetrics
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single
Prohibition of paicipation in toure by a doctor comes under: MP 10; NEET 15; COMEDK 15
Ans. Declaration of Tokyo
1
Declaration of Tokyo
Declaration of Helsinki
Declaration of Oslo
Declaration of Geneva
Forensic Medicine
null
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single
Coccidioides immitis is identified in tissues on the basis of which of the following
Laboratory diagnosis of coccidioidomycosis: 1. Demonstration of spherules containing endospores in: (a) sputum or smears from the lesion stained by calcofluor white and (b) in biopsy material stained by hematoxylin and eosin, silver, or PerIodic acid-Schiff stains. H & E staining
4
Budding yeast cells with pseudohyphae
Yeast like forms with very large capsules
Chlamydospore
Endosporulating spherules
Microbiology
Mycology
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single
Northern Blot is used to detect
Southern Blot - DNA Northern Blot - RNA Western Blot - Proteins.
2
Proteins
RNA
DNA
Enzymes
Biochemistry
null
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single
Most effective way of preventing hospital infection is:
Ans. C. Hand washingHand of healthcare personnel ae the most important reservoir for transmission of healthcare associated infections
3
Fumigation
Sterilization
Hand washing
Early diagnosis and treatment
Microbiology
General
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single
Commonest metastasis in Renal Cell Carcinoma is to
null
1
Lung
Bone
Adrenal
Liver
Surgery
null
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single
A 32 yr old man present to ER with history of high-grade fever, dyspnea and fatigue. On physical examination reveals a new holosystolic murmur that is best heard over cardiac apex. Skin examination shows following skin lesion. What is most likely diagnosis?
Janeway lesion are nontender, macular and erythematous lesions on palms and soles of patient with acute infective endocarditis. Osler nodes are tender, violaceous nodules typically located in pulp of fingers and toes seen in patient with infective endocarditis. Libman Sack endocarditis occurs in up to 25% of patient wi...
2
Rheumatic hea disease
Infective endocarditis
Libman sack endocarditis
Kaposi sarcoma
Pathology
Endocarditis
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single
Shelf life of a drug is:-
Shelf life: It is the time for which drug can be sold by the pharmacist. It is calculated as time between expiry date and manufacturing date.
1
Time from manufacturing date to expiry date
The time after which the drug loses its potency
Time in which 93% of drug is eliminated
The time after which drug become toxic
Pharmacology
Pharmacodynamics
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In primary atypical pneumonia inflammatory cells accumulate in -
Inflammatory infiltrates are virtually localized within the walls of the alveoli.
3
Alveolar lumen
Bronchioles
Alveolar wall
Pleural space
Pathology
null
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multi
Infectious cause of Erythematous rashes are seen in
(A) Measles # Characteristic erythematous, nonpruritic, maculopapular rash of measles begins at the hairline and behind the ears, spreads down the trunk and limbs to include the palms and soles, and often becomes confluent. At this time, the patient is at the most severepoint of the illness. By the fourth day, the rash...
1
Measles
Typhoid fever
Yellow fever
Malaria
Medicine
Miscellaneous
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single
Troponin-T is preferable to CPK-MB in the diagnosis of acute myocardial infarction (MI) in all of the following situations except:
Answer is C (Reinfarction after four days) Because cardiac troponins are elevated for prolonged periods (> I week) an episode of recurrent ischaemia after four days would be more readily diagnosed with a marker that remains elevated in blood more briefly such as cKMB .4,41, returns to normal levels by 72 hours. Limitat...
3
Bedside diagnosis of MI
Postoperatively (after CABG)
Reinfarction after 4 days
Small infarcts
Medicine
null
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multi
Immunosuppressant drug inhibiting the action of IL–2 without inhibiting its transcription is :
null
4
Prednisolone
Cyclosporine
Tacrolimus
Sirolimus
Pharmacology
null
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single
Most common site for berry aneurysm rupture
Ans. is 'a' i.e., Anterior circulation of brain The most common sites in descending order of frequency are - Li Proximal poion of anterior communicating aery (at the junction of anterior communicating aery with cerebral aery) At the origin of the posterior communicating aery from the stem of the internal carotid aery. ...
1
Anterior circulation of brai
Posterior circulation of brain
Ascending aoa
Descending aoa
Medicine
null
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single
Most important factor determining convergence of light rays on the retina is –
The cornea is the most important refractive surface of the eye with a refractive index of 1.376. The reason for maximum refraction lies in the fact that when light travel from one refractive medium to other, refraction will be more if the difference between the refractive index of the two surfaces is more. In the eye, ...
3
Length of eyeball
Dioptre power of lens
Refractive index of cornea
Physical state of vitreous
Ophthalmology
null
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multi
The superior oblique muscle is supplied by -
Superior oblique is supplied by 4th (trochlear) nerve.
2
3 rd cranial nerve
4 th cranial nerve
5 th cranial nerve
6 th cranial nerve
Ophthalmology
null
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single
Femoral neck fracture of 4-week-old in an young adult should be best by treated one of the following:
(b) Reduction of fracture and femoral osteotomy with fixation- >3 weeks fracture in <65 years age group-reduction and fixation along with Osteotomy/Bone grafting.
2
Total hip replacement
Reduction of fracture and femoral osteotomy with fixation
Prosthetic replacement of femoral head
Reduction of fracture and multiple screw fixation
Orthopaedics
Pelvis & Injuries
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single
Maximum function of corpus luteum occurs :
9 days after ovulation
4
At ovulation
Before ovulation
3 days after ovulation
9 days after ovulation
Gynaecology & Obstetrics
null
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single
A person is liable for punishment for perjury which is defined under?
Ans. d. Section 193 of IP A person is liable for punishment for perjury, which is defined under section 193 of IPC. Section 191 IPC defines perjury and section 193 IPC describes the punishment. "Perjury means giving willful false evidence. The witness is liable to be prosecuted for perjury and the imprisonment may exte...
4
Section 190 of IPC
Section 191 of IPC
Section 192 of IPC
Section 193 of IPC
Forensic Medicine
null
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single
Which of the given test is used for assessing posterior glenohumeral instability?
Common posterior instability tests include the jerk test, posterior stress test, Kim test, and load and shift test. Crank test is for superior labral pathology which is similar to the McMurray test for the knee. The crank test attempts to catch labrum tears between the two joint surfaces. Both the "hop" test and the "f...
1
Jerk test
Crank test
Fulcrum test
Sulcus test
Surgery
null
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A known case of Crohn's disease presented with worsening fatigue over the last 2 months. The 50 year old lady was on Infliximab for the past 2 years and did not have many relapses. Lab findings revealed, Hemoglobin - 8 gm/dl Low serum iron Low serum ferritin Increased TIBC Low transferrin saturation The peripheral bloo...
This is a case of iron deficiency anemia in the setting of the Crohn's disease. 1st image shows microcytic hypochromic anemia. 2nd image shows a Normal HPLC pattern of hemoglobin, hence ruling out thalassemia. The iron studies differentiate the following types of anemia. Feature Iron deficiency anemia Anemia of chronic...
1
Iron deficiency anemia
Thalassemia
Sideroblastic anemia
Anemia of chronic disease
Anatomy
Integrated QBank
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multi
In which one of the following diseases are intestinal polyps associated with malignancy ?
null
3
Ulcerative colitis
Crohn's disease
Gardner's colitis
Peutz-jegher's syndrome
Medicine
null
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single
Features of restrictive lung disease is
Answer is D (FEVI/FVC increase and compliance decreases): Restrictive lung diseases are characterized by decreased compliance and increased FEVIFI"C FENT' & FVC Forced Vital Capacity (FVC) is decreased Forced expiratory flow rates are relatively preserved (FEV1 is preserved) FEV1 / FVC When FEVI is considered as a perc...
4
FEV1/FVC decreases and compliance decreases
FEV1/FVC increases and compliance increases
FEV1/FVC decreases and compliance increases
FEV1/FVC increases and compliance decreases
Medicine
null
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single
Pneumatoceles in chest X-ray in an infant with breathlesness, tachycardia, fever and respiratory failure suggests a diagnosis of:
Respiratory tract infections caused by S. aureus A) In children, it can cause serious respiratory tract infections in newborns and infants; these infections present as shoness of breath, fever, and respiratory failure. Chest x-ray may reveal pneumatoceles (shaggy, thin-walled cavities). B) In adults, nosocomial S. aure...
1
S.aureus
Klebsiella
Pneumothorax
Air embolism
Medicine
null
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single
Bipolar II disorder includes
D i.e. Major depression & hypomania
4
Cyclothymic disorder
Dysthemia
Single manic episode
Major depression & hypomania
Psychiatry
null
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single
Clostridia is?
Gram positive obligate anaerobe REF: Jawetz's microbiology 24th edition chapter 12 "The clostridia are large anaerobic, gram-positive, motile rods"
2
Gram positive aerobe
Gram positive obligate anaerobe
Gram negative rods
Gram negative bacillus
Microbiology
null
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single
All of the following are true about acarbose, EXCEPT:
Acarbose is an alpha-glucosidase inhibitor which reduce intestinal absorption of starch, dextrin, and disaccharides by inhibiting the action of alpha-glucosidase in the intestinal brush border. Inhibition of this enzyme slows the absorption of carbohydrates from the GI tract and blunts the rate of rise of postprandial ...
1
Controls both pre and post-prandial hyperglycemia
When it is given alone, there is no risk of hypoglycemia
It is an alpha glucosidase inhibitor
It delays progression of diabetes
Pharmacology
null
5b82c5ff-2d6b-4711-9be6-2928767a8be1
multi
Laryngofissure is :
Laryngofissure is defined in as follows: "The operation of opening the larynx by a median incision through the thyroid cailage with the formation of a wide window: for the removal of cancer of the larynx; median laryngotomy." This operation is an extremely useful and practical tool in the practice of the laryngologist....
1
Opening the larynx in midline
Making window in thyroid cailage
Removal of arytenoids
Removal of epiglottis
ENT
null
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single
Pictorial diagram of Frequency distribution is
Histogram is pictorial diagram of frequency distribution. Histogram represent condineous quantitative data.
1
Histogram
Pic chart
Spot map
Bar chart
Social & Preventive Medicine
null
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single
All the following features are true about Brunner Glands except
They are present in Submucosa. Brunner glands secrete a mucous, alkaline fluid in response to parasympathetic stimulation. This fluid helps neutralize the acidic chyme that enters the duodenum from the pyloric stomach. The glands also manufacture the polypeptide hormone urogastrone (also known as human epidermal growth...
1
Present in Lamina Propria of Duodenum
Secretes Alkaline mucus and NaHCO3
Secretes Urogastrin Hormone
Stimulates Epithelial proliferation
Anatomy
General anatomy
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multi
ORS WHO glucose in mmol/L
(A) 75 CONCENTRATIONS OF INGREDIENTS IN REDUCED OSMOLARITY ORSIngredientg/LMolecule/ionmmol/L* Sodium chloride (NaCI)2.6Sodium75* Glucose, anhydrous (C6H12O6)13.5Glucose75* Potassium chloride (KCI)1.5Potassium20* Chloride65 * Trisodium citrate, dehydrate Na3C6H5O7-2H2O2.9Citrate10
1
75
120
9
111
Social & Preventive Medicine
Miscellaneous
79d92ead-1a95-4371-9125-7d016c0fc2e3
single
Cleft lip is due to the nonfusion of
Human embryology Tenth edition Inderbier Singh Page no:160 Harelip: when one or both maxillary process do not fuse with the medial nasal process, this gives rise to defect in the upper lip. These may vary in degree and unilateral or bilateral
2
Maxillary process with lateral nasal process
Maxillary process with medial nasal process
Maxillary process with mandibular process
All of the above
Anatomy
General anatomy
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multi
True about oxytocin are all except -
Ans. is 'd' i.e., Causes contraction of lower segmentOxytocino Oxytocin is a nonapeptide, synthesized predominantly in the paraventricular nucleus of the hypothalamus along with its binding protein neurophysin II. Oxytocin has following physiological actions : -Uterus : - It increases the force and frequency of uterine...
4
Synthesized by paraventricular nucleus of hypothalamus
Secreted by posterior pituitary
Causes uterine contraction of body
Causes contraction of lower segment
Physiology
Endocrinology metabolism
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multi
Weber Fechner law is related with
The magnitude of the sensation felt is proportional to the log of the intensity of the stimulus strength.
4
Amplitude
Surface area
Number of sensory fibre involvement
Stimulus discrimination
Physiology
null
d49e7a11-584a-4cb7-8f18-eefeeb2ad86d
single
The labia minora arises embryologically from which of the following structures?
In the female, the urogenital folds remain unfused and form the labia minora. Embryological structure Genital derivatives Labio scrotal swelling labio majora and scrotum Genital ridge testis , ovary Urogenital folds labia minora Urogenital sinus urinary bladder, urethra And lower pa of vagina.
4
Phallus
Labioscrotal swellings
Sinovaginal bulbs
Urogenital folds
Anatomy
Development of GU system and Neuro-vascular supply of pelvis & perineum
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multi
Which of the following is a minor criteria for diagnosis of Rheumatic Fever (RF) according to modified Jones criteria?
Modified Jones criteria (modified in 1992 by AHA) for diagnosis of Rheumatic fever includes fever, ahralgia, elevated APR (ESR & C reactive protein), prolonged PR interval on ECG. Ref: Essential Pediatrics, OP Ghai - 6th Edition, Page 377; Harrison 16th Edition, Page 1978; Moss and Adams' Hea Disease in Infants, Childr...
3
ASO titre
Past History of Rheumatic Fever
Fever
Subcutaneous nodules
Pediatrics
null
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single
Which of the following patients needs to be staed on multidrug therapy for TB?
A 17 year old with a lymph node biopsy growing Mycobacterium tuberculosis * Active tuberculosis at any site (the presence of culturable organisms or evidence of progressive disease) mandates multidrug therapy. * For patients with latent tuberculosis infection, treatment with a single drug will suffice to kill the small...
2
A 43 year old with a history of tuberculosis treated with three drugs for 6 months, who has calcified granulomas on his chest X-ray.
A 17 year old with a lymph node biopsy growing Mycobacterium tuberculosis
A 51 year old nurse who was inadveently exposed to a patient with active pulmonary tuberculosis in an emergency room for 30 minutes
A 34 year old man with cough and expectoration for 4 weeks, not responding to oral amoxycilin and symptomatic management.
Surgery
null
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single
Immunoglobulin found in B lymphocyte -
Immunoglobulin D (IgD) is an antibody isotype that makes up about 1% of proteins in the plasma membranes of immature B-lymphocytes where it is usually coexpressed with another cell surface antibody called IgM. Reff: www.mayoclinic.com
4
IgA
IgE
IgG
IgD
Microbiology
Immunology
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single
Consultation-liaison (CL) psychiatry involves diagnosing:
Consultation liaison psychiatry is the speciality of psychiatry which deals with the psychiatric illness in medically ill patients.
1
Psychiatric illness in medically ill
Medical illness in psychiatric patients
Suicidal tendency in psychiatric patients
Suicidal tendency in medically ill
Psychiatry
Miscellaneous
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multi
Pehe's disease is Osteochondritis of the epiphysis of the: March 2013 (g)
Ans. C i.e. Femoral head Osteochondritis Pehes disease: - Osteochondritis of femoral head - Adduction is unaffected - IOC for Pehes disease: MRI Osteochondritis of lunate: Kienbock's disease Osteochondritis of tibial tubercle: OschGood's Schlatter's disease Osteochondritis of calcaneum: Sever's disease
3
Capitulum
Lunate
Femoral head
Calacaneal tuberosity
Surgery
null
2f295b89-f319-4522-bfa0-e9f86230818b
single
Kayser Fleischer ring is found in which layer of cornea?
Kayser-Fleischer rings take the form of a crescentic rusty-brown discoloration of the deepest layer of the cornea (Descemet membrane). In the purely hepatic stage of the disease, the rings may not be evident (in 25 percent of cases), but they are viually always present (if properly sought) once the neurologic signs man...
3
Bowman's Capsule
Substantia propria
Descemet's membrane
Endothelium
Ophthalmology
null
d045839b-30c9-4d23-80ac-3d095bcfc2ba
single
Retro peritoneal fibrosis is caused by drug
,
1
Methysergide
Melphalan
Cyclosporine
All
Anatomy
General anatomy
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multi
Post term labour is seen in:
Causes of Post-term pregnancy: Wrong dates: due to inaccurate LMP (most common). Biologic variability (Hereditary) may be seen in the family. Maternal factors: Primipara/elderly multipara/H/o previous prolonged pregnancy, sedentary habit. Fetal factors: Congenital anomalies: Anencephaly – (Abnormal fetal HPA axis), ad...
3
Hydramnios
PID
Anencephaly
Multiple pregnancy
Gynaecology & Obstetrics
null
41b3430d-ee9c-4d97-be92-0394b40ff954
single
Denominator for calculating perinatal moality rate is: September 2009
Ans. B: 1000 live bihs 164. Perinatal moality, defined as number of stillbihs (28 weeks of gestation and more) and deaths in the first week of life (early neonatal deaths) per 1,000 live bihs, is a useful additional indicator, and work is ongoing to improve estimates of stillbih rates, a major component of perinatal mo...
2
1000 bihs
1000 live bihs
1000 still bihs
1000 population
Social & Preventive Medicine
null
166fb457-11f7-4675-939f-207cca8605dc
single
A 40 year old patient with a single kidney presents with a solitary exophytic mass of 4 cm localized at its lower pole. Which amongst the following is the best recommended management option?
Paial Nephrectomy is the surgical treatment of choice for a small localized tumor in patients with a solitary kidney. Ref: Minimally Invasive Cancer Management By Frederick L. Greene, B. Todd Heniford, Page 265; Glenn's Urologic Surgery By Sam D. Graham, Thomas E. Keane, Page 6
1
Paial Nephrectomy
Radical Nephrectomy
Radical Nephrectomy with dialysis
Radical Nephrectomy with immediate Renal Transplantation
Surgery
null
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multi
Endochondral ossification is seen in
Long bones and medial end of clavicle bone develop by endochondral ossification Flat bones of skull; facial skeleton; mandible and lateral end of clavicle develop by intramembranous ossification. Ref: Gray's39e/p185-210
1
Clavicle
Mandible
Nasal bones
Flat bones of skull
Anatomy
General anatomy
39178e0d-5e46-40dc-b646-411cd5e19f93
single
A patient was being treated with a drug that interfaces with the activity of enzyme pyruvate ferredoxin oxidoreductase; Which of the following is the most likely organism causing infection in this patient?
For Taenia saginata(Beef tapeworm): Praziquantel, Niclosamide Niclosamide Niclosamide is a highly effective drug against cestodes infesting man-Taenia saginata, T. solium, Diphyllobothrium latum and Hymenolepis nana, as well as threadworm. The drug appears to act by inhibiting oxidative phosphorylation in mitochondria ...
1
Beef tapeworm
Whipworm
Cryptosporidium
Try panosoma
Pharmacology
Chemotherapy
02772718-8ad7-4122-8ea5-6fd703c1a068
single
Which of the following bariatric procedures is primarily intended to induce weight loss through malabsorption and restriction?
Bariatric procedures are classified as restrictive, malabsorptive, or a combination of restrictive and malabsorptive in the mechanism of weight loss that they induce. Restrictive operations include adjustable gastric band and gastric sleeve, malabsorptive operations include duodenal switch and biliopancreatic diversion...
3
Adjustable gastric band
Sleeve gastrectomy
Roux-en-Y gastric bypass (RYGB)
Duodenal switch
Surgery
Robotics, Laparoscopy and Bariatric Surgery
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single