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Triangular facies is indicative of ________
Triangular facies is indicative of Russell-Silver syndrome. Russell-Silver Syndrome: Clinical features: Sho stature, triangular face(small jaw and pointed chin), microcephaly, limb and facial symmetry, 5th finger clinodactyly A few cases are due to genomic imprinting disorder involving chromosome 11 Ref: Nelson textboo...
1
Russell-Silver syndrome
Down's syndrome
Mobius syndrome
Nephrotic syndrome
Pediatrics
Genetic and genetic disorders
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single
IPC 321 deals with 0
Ans. is 'b' i.e., Voluntarily causing hurt 3191 PC : Defines hurt,o 320IPC : Defines grievous hurt,o 321 IPC : Voluntarily causing hurt,o 322 IPC : Voluntarily causing grievous hurt.o 323 IPC : Punishment for voluntarily causing hurt {no provocation, no dangerous weapon) (1 years imprisonment),o 324 IPC : Punishment fo...
2
Definition of hurt
Voluntarily causing hurt
Definition of grievous hurt
Voluntarily causing grievous hurt
Forensic Medicine
Law & Medicine, Identification, Autopsy & Burn
86d49293-5120-4917-9397-116a2b150372
single
After Giving an enzyme inhibitor,if Vmax decreases to 60% and Km is same as before. Which type of inhibition is this
Ref Rang and Dale 6th/18 . Km Vmax Competitive increases no change Noncompetitive Nochange Decreases . UnCompetitive. decreases. decreases
2
Competitive equilibrium type
Non Competitive
Competitive non equilibrium type
UnCompetitive
Anatomy
General anatomy
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single
Component of TOF include A/E -
Ans. is 'b' i.e., ASD
2
Pulmonary stenosis
ASD
Right vertncular hypertrophy
None of above
Pediatrics
Cyanotic Congenital Heart Disease
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multi
Substance which binds to substrate other than catalytic enzyme is
Non-competitive inhibition models a system where the inhibitor and the substrate may both be bound to the enzyme at any given time. When both the substrate and the inhibitor are bound, the enzyme-substrate-inhibitor complex cannot form product and can only be conveed back to the enzyme-substrate complex or the enzyme-i...
2
Competitive inhibitor
Non-competitive inhibitor
Reversible inhibitor
None of the above
Biochemistry
Enzymes
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Tear drop sign is seen in :
Tear drop sign: Agenesis of corpus callosum. Banana sign: Compression or flattening of the posterior cerebellar surface. Lemon sign: Concave deformity of the frontal bones. Both above banana sign and lemon sign seen in USG in open spina bifida Anencephaly: Absence of calvarium. Spina bifida occulta: Veebral schisis cov...
3
Spina bifida
Anencephaly
Agenesis of corpus callosum
Cystic hygroma
Gynaecology & Obstetrics
Fetus
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multi
Subarachnoid block as anaesthesia is contraindicated in
Worried about epidural hematoma
1
Haemophilia
Burgers disease
Atherosclerotic gangrene
Full stomach
Anatomy
All India exam
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single
Amount of estrogen in low dose oral contraceptive pills:
Ans. is 'a' i.e. 30 micro grams Low dose - 30microgm Very low dose - 20microgram Standard dose 50 microgram When the pill first came out in the 1960s, it had 150 micrograms of estrogen. Side effects were common, and that formula was soon taken off the market. Nowadays, the highest dose available is 50 micrograms of est...
1
30 micro grams
40 micro grams
50 micro grams
20 micro grams
Gynaecology & Obstetrics
Methods - Combined Oestrogen-Progestogen Methods
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The treatment of single lesion paucibacillary leprosy is
ROM Regimen is used in single lesion leprosy.For patients with single-lesion paucibacillary leprosy, the WHO recommends a single dose of rifampin (600 mg), ofloxacin (400 mg), and minocycline (100 mg). Multibacillary adults should be treated with 100 mg of dapsone plus 50 mg of clofazimine daily (unsupervised) and with...
4
Dapsone and rifampicin
Dapsone and clofazamine and ofloxacin
Rifampicin, ofloxacin and dapsone
Rifampicin, ofloxacin and minocycline
Pharmacology
Antibiotics
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The immunity responsible for to control epidemic spread of a pathogen
Herd immunity- Overall immunity of a community to a pathogen If Herd immunity is good- chance of epidemic is less Eradication of a communicable disease- depends on good Herd immunity Provided by mass vaccination by live vaccination to all individual at same time.
3
Innate immunity
Active acquired immunity
Herd immunity
Passive natural immunity
Unknown
null
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Vanillylmandelic acid (VMA) is excreted in urine in which of the following condition?
(C) Pheochromocytoma[?]ODOUR:oMisty/Mousy Odour of urine - PhenylketonuriaoFruity/Sweet odour - Presence of ketones.oPungent smell - Presence of bacterial / specimen contaminated with bacteria.oOdour of sweaty feet - Isovaleric acidemiaoMaple syrup - Maple syrup urine diseaseoFishy odour / Rancid butter - Hypermethioni...
3
Alkaptonuria
Phenylketonuria
Pheochromocytoma
Diabetic ketoacidosis
Biochemistry
Proteins and Amino Acids
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The following diagram is drawn to study:
SCATTER DIAGRAM Also known as ‘Correlation diagram’ or ‘Dot diagram’. Is used to depict ‘correlation (relationship) between 2 quantitative variables’. ‘Vertical axis in scatter diagram: should be the dependent or the outcome variable. In a scatter diagram, 2 imaginary lines are drawn along the distribution of dots/sca...
4
Trend of a variable over a period of time
Frequency of occurrence of events
Mean & median values of the given data
Relationship between two given variables
Dental
null
5434929b-086f-497c-92d6-647464b82f51
single
Replacing alanine by which amino acid, will increase UV absorbance of protein at 280 nm wavelength?
Aromatic side chains are responsible for the UV absorption of most proteins, which have absorption maxima between 275 nm and 285 nm Basically, this absorption of UV-light is because of conjugated double bonds present in the ring. Aromatic amino acids: Tryptophan Tyrosine Phenylalanine Absorption ismaximum for tryptopha...
1
Tryptophan
Arginine
Guanine
Lysine
Biochemistry
NEET Jan 2020
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For exhumation, the order should be given by
Exhumation is to be carried out under the orders of the appropriate authority. District Magistrate/Sub-Divisional Magistrate/Executive Magistrate are empowered to order for the exhumation. Ref : Krishnan vij Textbook of Forensic medicine and Toxicology 5th edtion ; pg no - 28
2
Judicial magistrate
Executive magistrate
Supt. off Police
Judl. I class Magistrate
Forensic Medicine
All India exam
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Protein content of breast milk is -
Ref: Park 25th edition Pgno :566
2
0.55 gm/100 ml
1.10gm/100 ml
2.20gm/100ml
3.30gm/ 100 ml
Social & Preventive Medicine
Nutrition and health
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A 40-year-old man presented with history of episodic palpitations and headaches. The patient was fine until 1 year back when the patient staed experiencing spells of rapid heabeat. These became more severe and were eventually accompanied by throbbing headaches and drenching sweats. Physical examination revealed a blood...
Episodic palpitations with throbbing headaches and profuse sweating with hypeension and tachycardia is pointing towards the clinical diagnosis of pheochromocytoma. MRI/ 18-F-DOPA findings are suggestive of pheochromocytoma. Rule of 10s for pheochromocytoma: - Ten percent of pheochromocytomas are extra-adrenal (occurrin...
3
10% of these tumours are unilateral
24-hour urinary excretion of VMA is the most sensitive test to diagnose this condition.
Histopathologically, the tumor consists of clusters of polygonal or spindle shaped chromaffin cells suppoed by sustentacular cells in a nest like pattern.
Phenoxybenzamine is a reversible alpha blocker, hence used in the challenge test to diagnose this condition.
Unknown
Integrated QBank
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Sensory innervation of cornea is by nerve
The trigeminal nerve (V) - Three Divisions V1: Ophthalmic nerve V2: Maxillary nerve V3: Mandibular nerve Ophthalmic nerve division Ophthalmic nerve is sensory. Its branches are: Frontal nerve 1. Supratrochlear: upper eyelid, conjunctiva, lower pa of forehead. 2. Supraorbital: frontal air sinus, upper eyelid, forehead, ...
3
3rd
4th
5th
6th
Anatomy
FMGE 2018
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Commonest functional tumor of pituitary gland is?
ANSWER: (D) ProlactinomaREF: Sabiston textbook of surgery, 18th ed, chapter 72Pituitary adenomas arise primarily from the anterior pituitary gland and are classified as either functional (secreting) or nonfunctional (non-secreting) tumors, with the former presentingearlier with symptoms caused by physiologic effects an...
4
Gonodotroponoma
ACTH secreting tumour
TSH secreting tumour
Prolactinoma
Surgery
Thyroid Gland
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Most common gynaecological malignancy in affluent obese women is -
Ans. is 'a' i.e., Endometrial o Most common gynaecological cancer in developed countries is endometrial cancer# Most common gynaecological cancer in developing countries like india is cervical cancer.Risk Factorso Estrogen replacement without concomitant progesterone carries a relative risl of 4.5 to 8 & persists for 1...
1
Endometrial
Cervical
Vaginal
Ovarian
Gynaecology & Obstetrics
Aetiological factors
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In beta oxidation of fatty acids carnitine is required for -
Ans. is 'b' i.e., Transport of long chain fatty acid to mitochondrial inner layer o Formation of acyl CoA (activated fatty acid) takes place in the cytosol,o Further degradation occurs in the mitochondrial matrix.o This creates a problem because the inner mitochondral membrane is impermeable to long chain acyl CoA (act...
2
Conversion ofshort chain fatty acids to long chain fatty acids
Transport of long chain fatty acid to mitochondrial inner layer
Transport of long chain fatty acid to cytoplasm
Conversion of long chain fatty acids to short chain fatty acids
Biochemistry
Oxidation of Fatty acids: Ketogenesis
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Which of the following drug helps in delay in absorption of carbohydrates?
Ans. A. AcarboseAcarbose is alpha glucosidase inhibitor. It inhibits the breakdown of complex carbohydrates to simple carbohydrates and thus they decrease the absorption.
1
Acarbose
Glipizide
Nateglinide
Pioglitazone
Pharmacology
Endocrinology
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Patient presenting with visual hallucination, tremors and rigidity
(A) Lewybody dementia# Signs and symptoms of Lewy Body Disease> Many of the symptoms of Lewy Body Disease bear a striking resemblance to Alzheimer's or Parkinson's.> However, a physician familiar with LBD will be alert to the following signs that the illness is in fact Lewy Body Disease:> Mental decline: reduced alertn...
1
Lewybody dementia
Alzhimers
Frontotemporal dementia
Parkinsonism
Psychiatry
Miscellaneous
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False statement regarding this condition:
Ans. d. Itching and scaling seenAlopecia AreataInitial lesion is a circumscribed, totally bald, smooth patchExclamation mark hairs seenHLA DR4, DR5, DQ3 associatedSpares grey white hairs leading to "Going white/Turning grey overnight phenomenon"No itching or scaling
4
Associated with HLA DR4, DR5, DQ3
Exclamation mark seen
Spares grey and white hairs
Itching and scaling seen
Skin
General
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Contraindication for platelet transfusion are all except:-
Platelet transfusion is done in :- Thrombocytopenia Non functional Platelet Platelet is not given in thrombocytopenic condition where the cause of low platelet is due to presence of antibody against antigen on platelet. Such as:- Heparin Induced Thrombocytopenic (HIT) Immune Thrombocytopenic (ITP) In condition like TTP...
1
Flavivirus infection
Thrombotic thrombocytopenic purpura
Immune thrombocytopenic purpura
Heparin induced thrombocytopenia
Pathology
Bleeding disorder
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Diagnose the condition in the given x -ray
Ans. is 'b' i.e., Monteggia fracture * This is the fracture of upper third of ulna with dislocation of the radial head. It is usually called "tracherous lesion" because the dislocation is often missed - monteggia fracture.
2
Colie's fracture
Monteggia fracture
Galeazzi fracture
Gun stock fracture
Orthopaedics
Injuries Around the Fore Arm & Wrist
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A 37-year-old woman is suffering from carcinoma of the uterus(fundus area) . Cancer cells are likely to metastasize directly to which of the following lymph nodes?,
The superficial inguinal nodes receive lymph from the buttocks, labium majora, upper uterus and the lower pas of the vagina and anal canal. These nodes have efferent vessels that drain primarily into the external iliac and common iliac nodes and ultimately to the lumbar (aoic) nodes. The internal iliac nodes receive ly...
3
External iliac nodes
Internal iliac nodes
Superficial inguinal nodes
Aoic (lumbar) nodes
Anatomy
Development of GU system and Neuro-vascular supply of pelvis & perineum
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In zinc polycarboxylate modified setting time and increased manipulative properties are due to
null
4
Bismuth Oxide
Stannic Oxide
Magnesium Oxide
Stannous Oxide
Dental
null
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Repetitive irresesistable thought to do something-
Ans. is 'b' i.e., Obsession Obsessive compulsive disorder (OCD)o OCD is an anxiety disorder which is characterized by recurrent, unwanted thoughts (Obsessions) and repettive behaviors (compulsions). o An obsession has following characteristic : -i) An idea, impulse or image which intrudes into the conscious awareness r...
2
Phobia
Obsession
Compulsion
Anxiety
Psychiatry
Symptoms & Signs
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Neurotransmitter present in nigro-striatal pathway is: March 2012
Ans: B i.e. Dopamine Neurotransmitters Cholinergic i.e.acetylcholine secreting neurons, are present in the pathway that emerges from cerebral coex to end in neostriatum Dopaminergic neurons,are present in the nigro-striatal pathway GABAergic fibres are present in pathway that connect cerebral coex to substantia nigra
2
Acetylcholine
Dopamine
Epinephrine
GABA
Physiology
null
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After curettage re-epithelisation occurs in
null
3
1-2 days
2-3 days
one week (2-7 days)
two weeks
Dental
null
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single
Increased velocity of conduction in a nerve is oured by
In unmyelinated fibers, electrical impulses (action potentials) travel as continuous waves, but, in myelinated fibers, they "hop" or propagate by saltatory conduction. ... Myelin decreases capacitance and increases electrical resistance across the axonal membrane (the axolemma) Ref: guyton and hall textbook of medical ...
1
Increased capacitance
Decreased capacitance
Increased resistance
Increased velocity
Physiology
Nervous system
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The structural proteins are involved in maintaining the shape of a cell or in the formation of matrices in the body. The shape of these proteins is
Collagen is the most abundant of the fibrous proteins that constitute more than 25% of the protein mass in the human body. Other prominent fibrous proteins include keratin and myosin. These fibrous proteins represent a primary source of structural strength for cells (i.e., the cytoskeleton) and tissues.Ref: Harper 28th...
2
Globular
Fibrous
Stretch of beads
Planar
Biochemistry
Structure and function of protein
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All are used for treating Pulmonary hypertension except -
null
4
Endothelin receptor antagonists
Phosphodiesterase inhibitors
Calcium Channel Blockers
Beta blockers
Medicine
null
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AH the following drugs are to be avoided in hyperophic cardiomyopathy except
The primary goal of medications is to relieve symptoms such as chest pain, shoness of breath, and palpitations. Beta blockers are considered first-line agents, as they can slow down the hea rate and decrease the likelihood of ectopic beats. For people who cannot tolerate beta blockers, nondihydropyridine calcium channe...
2
Diuretics
blockers
Digitalis
Nitrates
Medicine
C.V.S
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Delayed dentition is seen in ____________
.Abnormalities in tooth eruption (timing and sequence) is often caused by genetics and may result in malocclusion. In severe cases, such as in Down syndrome,congenital hypothyroidism & rickets , the eruption may be delayed by several years and some teeth may never erupt Reference: GHAI Essential pediatrics, 8th
4
Down syndrome
Congenital hypothyroidism
Rickets
All of the above
Pediatrics
Growth and development
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Neoadjuvant Chemotherapy is used In all except
Thyroid carcinoma are extra ordinarily resistant to chemotherapy Neoadjuvant chemotherapy is admistration of chemotherapy before surgery or radiation therapy whereas adjuvant chemotherapy is used after surgery or radiation Refer CMDT 2010-/667
3
Esophageal carcinoma
Breast carcinoma
Thyroid carcinoma
Non small cell carcinoma of lung
Pharmacology
Chemotherapy
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Which of the following is not true regarding competitive inhibition?
In competitive inhibition, since the inhibitor is structural analog of substrate, excess substrate can abolish the inhibition.
4
Km increases
Inhibitor is structural analog of substrate
Statins are competitive inhibitors of HMG CoA Reductase
Excess substrate do not abolish the inhibition
Biochemistry
null
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multi
A man found dead in suspicious situation. Injuries are seen all over the body. Antemoem injury is characterized by all, EXCEPT:
Difference between ante-moem and post-moem wounds: Trait Ante-moem wounds Post-moem wounds Edges The edges are swollen, eveed, retracted, and wound gapes. Edges do not gape, but are closely approximated. Haemorrhage Abundant and usually aerial. Slight or more and venous Spuing Signs of spuing of aerial blood on the bod...
4
Wound gaping
Aerial bleeding
Vital reaction present
Diminished enzyme activity
Forensic Medicine
null
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Which of the following statements is/are true about ostium secundum ASD
Ostium secundum ASD characterized by wide fixed split second hea sound,ejection systolic murmur in pulmonary area,shunt murmur will be absent. ECG shows right axis detion & right ventricular hyperophy. Ref : Ghai essential of pediatrics, 8th edition, p.no:413
1
Fixed splitting of 2nd hea sound
Narrow splitting of 2nd hea sound
Lt axis detion in ECG
Shunt murmur prominent
Pediatrics
C.V.S
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Indication for cryoprecipitate is
Medical uses for giving cryoprecipitate include: Haemophilia - Used for emergency back up when factor concentrates are not available. von Willebrand disease - Not currently recommended unless the last reserve. ddAVP is the first line, followed by factor concentrates. Hypofibrinogenaemia (low fibrinogen levels), as can ...
2
DIC
vWD
Haemophilia b
Severe plasma loss
Pathology
miscellaneous
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A patient with bipolar disorder staed lithium therapy. The maximum therapeutic level of lithium in serum is:
Concentrations considered to be effective and acceptably safe are between 0.6 and 1.5 mEq/L. The range of 1.0-1.5 mEq/L is ored for treatment of acutely manic or hypomanic patients. Serum concentrations of Li+ have been found to follow a clear dose-effect relationship between 0.4 and 1.0 mEq/L, but with a corresponding...
3
0.1 meq/L
0.4 meq/L
1.0 meq/L
1.8 meq/L
Psychiatry
null
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In cyclo-propagative transmission, the disease agent undergoes
Biological transmission of vector borne diseases: Cyclo-Propagative : The agent changes in both form and number, eg: Malaria parasite in mosquito Propagative : The agent merely multiplies in vector, but no change in form, eg: Plague bacilli in rat fleas Cyclo-Developmental : The disease agent undergoes only development...
3
Only development
Only multiplication
Change in form and numbers
No change
Social & Preventive Medicine
Communicable diseases
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A 45 years old male patient a known case of Crohn's disease presents with recent flare-ups suggestive of fistulas. He was admitted and treated with immune-suppressive. Unfortunately, he got reactivation of his tuberculosis as a result of the side effects of the treatment. Which of the following immunosuppressive medica...
Answer: b) InfliximabTREATMENT OF INFLAMMATORY BOWEL DISEASEAminosalicylates* 5-aminosalicylic acid (formulations known as mesalamine): acts topically in the colon.* Sulfasalazine (5-ASA + sulphapyridine), olsalazine (5-ASA+5-ASA) and balsalazide (5-ASA+ amino benzoyl Alanine) are effective for the treatment of ulcerat...
2
Methotrexate
Infliximab
Azathioprine
Mizorbine
Pharmacology
Immunomodulator
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Gene of Wilsons disease is:
Gene Disease ATP 7Agene Menke disease ATP 7B gene Wilson's disease
2
ATP 7A
ATP 7B
ADP 7A
ADP 7B
Pathology
Bilirubin Metabolism
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The professional antigen presenting cells are
Professional APC Express MHC class II molecules Dendritic cells Immature dendritic cells (Langerhans cells) Macrophages B cells Non - professional APC Do not express MHC class II molecules Stimulated by cytokines like IFN Fibroblasts Thymic epithelial cells Thyroid epithelial cells Glial cells Pancreatic beta cells End...
2
Endothelial cells
Dendritic cells
T cells
B cells
Pathology
General pathology
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All of the following are seen in adrenal insufficiency except
Refer Harrison 19th/ p 2325 Adrenal insufficiency results in weight loss
3
Hyperkalemia
Fever
Weight gain
Postural hypotension
Pharmacology
Endocrinology
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All the following are true about piedra except
White piedra is caused by Trichosporon beigelli
2
Piedra is nodule formation on hair shaft
White piedra is caused by piedrae hortae
Piedrae hortae is a phaeoid fungus
Piedrae hortae produces reddish brown colonies
Microbiology
null
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multi
Flash backs are seen with
A i.e. LSD Spontaneous recurrence of LSDQ, or sometimes cannabis use experience even during a withdrawl state is known as Flash back LSD intoxication causes bad tripsQ ie acute panic reaction in which the individual experiences a loss of control over his self.
1
LSD
Cocaine
Opiate
Amphetamine
Psychiatry
null
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single
The maxillary lateral incisor is smaller than the maxillary central incisor on all aspects EXCEPT which one of the following?
null
4
Crown length
Mesiodistal crown width
Faciolingual crown width
Root length
Dental
null
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Infliximab is:
Infliximab: It is a chimeric monoclonal antibody which binds and neutralizes TNF-alpha dose- 3-5 mg/kg is infused i.v. every weeks. An acute reaction comprising of fever, chills, Uicaria, bronchospasm, rarely anaphylaxis may follow infusion. Susceptibility to respiratory infections is Increased and worsening of CHF has...
1
IgG1 chimeric monoclonal antibody against TNF a
IgG1 fully human monoclonal antibody against TNF a
IgG4 chimeric monoclonal antibody against TNF a
P75 TNF receptor fusion protein
Pharmacology
Immunomodulators
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Difference in Acne rosacea & Acne vulgaris
Erythema and papulo-pustule (papules and pustules) are seen both in Acne rosacea and Acne vulgaris Comedones are absent in Acne rosacea (a characteristic feature of Acne vulgaris) Ref Harrison 20th edtion pg 1213
4
Pustule
Erythema
Papule
Absence of comedone
Dental
All India exam
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single
In case of malpractice punishment is given by :
D i.e. High cou
4
State medical council
MCI
IMA
High cou
Forensic Medicine
null
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78 year old Wilson was undergoing TURP. The biopsy shows adenocarcinoma. What is your next line of management?
Man< 65 years have to undergo radical prostatectomy.
4
Radiotherapy
Chemotherapy
Surgery followed by radiotherapy
Conservative management
Surgery
null
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All are indicators for air pollution , except ?
Ans. is 'a' i.e., CO2 o Carbon dioxide is also an air pollutant, but it is not used as an air pollution indicator. o Park writes -- "It is not commonly regarded as an air pollutant although man generates enormous amount of it in combustion process using coal, oil and gas. Carbondioxide is a natural constituent of the a...
1
CO2
SO2
Soiling Index
Smoke index
Social & Preventive Medicine
null
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multi
Muscle pain after anaesthesia is caused by:
C i.e. Suxamethonium
3
Vecuronium
D-tubocurare
Suxamethonium
All
Anaesthesia
null
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All are features of somatization disorder except:
D i.e. Professional patients
4
Frequently changing pain sites
Sexual symptoms
Paresthesia
Professional patients
Psychiatry
null
4b2ae64e-c582-41dd-b5b1-3f916c54f084
multi
Haemaochromatosis is defined as: March 2013
Ans. D i.e. Syndrome caused by systemic iron overload Hemochromatosis It is the abnormal accumulation of iron in parenchymal organs, leading to organ toxicity. It is the most common autosomal recessive genetic disorder and The most common cause of severe iron overload.
4
Syndrome caused by deficient iron absorption
Syndrome caused by increased iron excretion
Syndrome caused by iron deficiency in diet
Syndrome caused by systemic iron overload
Pathology
null
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single
Most active form of Vitamin D -
Ans. is 'c' i.e., 1, 25 dihydroxycholecalciferoi o Vitamin D is the major vitamin involved in the absorption of calcium.o Beside dietary intake, cutaneous synthesis is the other and more important source of vitamin D (cholecalciferol) in the body. The keratinocytes of stratum corneum of the epidermis of skin contain 7-...
3
7-dehydrocholesierol
25-hydroxy-cholecalciferol
1, 25dihydroxvcholecalciferol
24, 25 dihydroxycholecalciferol
Physiology
Endocrinology metabolism
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single
Muscle not paralysed in retrobulbar block-
*A retrobulbar block is a regional anaesthetic nerve block in the retrobulbar space, the area located behind the globe of the eye. Injection of local anaesthetic into this space constitutes the retrobulbar block. This injection provides akinesia of the extraocular muscles by blocking cranial nerves II,III, VI, thereby ...
1
Superior oblique
Lateral rectus
Superior rectus
Medial rectus
Ophthalmology
Miscellaneous
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single
Unwinding of DNA is done by
In addition to binding to the nucleosome, the H1 protein binds to the "linker DNA" (approximately 20-80 nucleotides in length) region between nucleosomes, helping stabilize the zig-zagged 30 nm chromatin fiber Ref-Sathyanarayana 4/e p360
3
DNA polymerase
DNA primase
Helicase
DNA ligase
Biochemistry
Metabolism of nucleic acids
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single
Correlation diagram is:
null
3
Ogive
Histogram
Scatter diagram
Pie diagram
Dental
null
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single
MEN 1 syndrome is associated with all EXCEPT
Medullary carcinoma of thyroid REF: Harrison's Internal Medicine 17th ed Chapter 345 Table 345-1, http://en.wikipedia.org/ wiki/Multiple_endocrine_neoplasia Some people think that option (D) was Pheochromocytoma not Medullary carcinoma of thyroid. However Table 345-1 of Harrison enumerates Pheochromocytoma as a rare po...
4
Pancreatic tumors
Anterior pituitary adenomas
Parathyroid adenoma
Medullary carcinoma of thyroid
Medicine
null
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multi
Which of the following is true regarding cretinism –a) Short limbs compared to trunkb) Proportionate shorteningc) Short limbs and short statured) Short limbs and long stature
"The child's growth is stunted and the extremities are short. The hands are broad and the fingers are short". "The child appears short and stocky".
2
a
ac
ad
b
Pediatrics
null
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multi
Flaring of Anterior ends of ribs are seen in?
Rachitic Rosary is Flaring Of anterior ends of ribs at the costochondral junctions seen in Rickets.
3
Neurofibromatosis
Hyperparathyroidism
Rickets
Coarctation of Aoa
Radiology
Musculoskeletal Radiology
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single
Thickness of cornea is best measured by:
Ans. Pachymeter
2
Keratometer
Pachymeter
Optometer
Pentoscope
Ophthalmology
null
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single
Sun damage causes malignant transformation of skin by
The most significant cause of BCC and SCC is UV exposure whether through direct exposure to sunlight or by aificial UV light sources (tanning beds). Both UVA and UVB can induce DNA damage through free radical formation (UV A) or induction of pyrimidine dimers (UVB). The sun emits energy across the UV spectrum whereas t...
1
Free radical formation
Induction of purine dimers
mutation of p53
Direct DNA damage
Medicine
Oncology
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single
Carbamazepine may be used in all except
C i.e. SchizophreniaCarbamazapine is drug of choice for: Carbamazepine is also used in:Trigeminal neuralgiaQ 1. MPDQ (especially in rapid cyclers)Complex paial seizureQ 2. Alcohol detoxificationQ- But in alcohol withdrawal preferred drugs are chlordiazepoxide > diazepam
3
Mania
Alcohol withdrawl
Schizophrenia
Trigeminal Neuralgia
Psychiatry
null
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multi
True about superior oblique origin and inseion?
Superior Oblique muscle: Origin : from body of sphenoid (superomedial to optic canal - opening in lesser wing of sphenoid ) Inseion - Sclera of the eyeball posterior to equator of eyeball Trochlea gives trochlear nerve supplying S.O.M Actions of S.O.M: depression, abduction & intorsion
2
Originate from common tendinous ring and inseed into sclera behind the equator
Originate from the body of sphenoid and inseed into the sclera behind the equator
Originate from lesser wing of sphenoid and inseed into sclera in front of equator
Originate from greater wing of sphenoid and inseed into sclera in front of equator
Anatomy
Eye, Nose and Ear
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multi
A 30 year old female presents to the dermatology OPD with complaints of asymptomatic yellowish papules around the vermilion border of upper lip. What is the cause of the above condition?
The condition is Fordyce's spots due to ectopic sebaceous glands found in about 25% of population above 35 years. Ref: Rook Textbook of Dermatology, 8th Edition, Page 42.86.
2
Ectopic apocrine glands
Ectopic sebaceous glands
Apocrine gland hyperplasia
Sebaceous gland hyperplasia
Skin
null
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multi
Select the neurologic disorder not associated with antiphospholipid antibodies.
In Antiphospholipid Ab patient can develop antibody induced cerebritis. Antiphospholipid antibodies is a hypercoagulable state -patient will develop ischemic stroke not hemorrhagic. Demyelinating disease: Ab can be attacking myelin sheath & nerve get demylinating. Headache and seizures can also occur in pt. with antiph...
2
Demyelinating disease
Hemorrhagic stroke
Headache
Seizures
Medicine
Stroke and TIA
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single
A 20 year old male with history of fever and enlarged lymphnodes and sore throat, suspected to have infections mononucleosis and was ordered a Paul Bunnel test. What is the principle of the test:
Ans. (a) i.e. Heterophile agglutination test
1
Heterophile agglutination test
Neutralization test
Complement fixation test
Agglutination reaction
Microbiology
null
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single
Treatment for fracture neck of femur in a 70 year old patient with avascular necrosis of head of femur?
THA (Total Hip Ahroplasty) is usually indicated for the patients with a femoral neck fracture who meet the following criteria: Poor general health or frailty. Pathological hip fracture. Severe osteoporosis. Inadequate closed reduction. Displaced fracture that is several days old. Pre-existing hip disease (eg, rheumatoi...
1
Total hip replacement
Total knee replacement
Unicondylar knee replacement
Hemiahroplasty
Orthopaedics
Ohopaedics Q Bank
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A 30 year old male came with complains of unilateral blurred vision with floaters since 15 days. On examination, AC flare and cells were seen with 'headlight in fog' appearance on indirect ophthalmoscopy. Also, a single inflammatory focus of fluffy retinochoroiditis lesion is seen. What is the diagnosis ?
Answer- B. Toxoplasmosis chorioretinitisToxoplasmosis is caused by Toxoplasma gondii, an obligate intracellular protozoan.Symptoms: Unilateral acute or subacute onset of floaters, blurring and photophobia.'Spill-over' anterior uveitis is common. It may be granulomatous or resemble Fuchs uveitis syndrome; elevated IOP m...
2
Cytomegalovirus retinitis
Toxoplasmosis chorioretinitis
Toxocariasis
Sarcoidosis
Ophthalmology
null
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The histological features of the coeliac disease include all of the following Except –
In celiac disease, the proximal intestine is commonly involved while in tropical sprue whole of the intestine is involved. Biopsy of intestine in celiac sprue demonstrates. Villous atrophy, loss of microvilli brush border The crypts are hyperplastic and become elongated. Presence of following cells on lamina propria → ...
2
Crypt hyperplasia
Increase in thickness of the mucosa
Increase in intraepithelial lymphocytes
Increase in inflammatory cells in lamina propyria
Pediatrics
null
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multi
Which of the following transmits 'Chagas' disease?
Reduviid bugs live exclusively on blood of animals including humans and transmit Trypanosoma cruzi which causes Chagas' disease. Chapter: Environment and health Ref: Park 21st edition, page: 720.
3
Itch Mite
Lice
Reduviid bugs
Sand fleas
Social & Preventive Medicine
null
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single
Which inhibits gastric secretion ?
A i.e. Secretin Gastrin is a hormone which is produced by G-cells in the lateral wall of glands in the antral poion of gastric mucose. It is also found in pancreatic islets in fetal life, gastrinomas of pancreas, and pituitary glandQ, hypothalamus, medulla oblongata and in vagus & sciatic nerves.
1
Secretin
Insulin
High gastric pH
Calcium
Physiology
null
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single
Squamous cell carcinoma of esophagus m/c site -
Ans. is 'b' i.e., Middle 1/3rd o Esophageal Carcinoma is of two common histological types:-Squamous cell Ca - the MC type in worldAdenocarcinoma - where incidence is increasing at a rapid rate and is now the MC type in USA.o Distribution of Squamous Cell Ca.# Upper 1/3-10%# Middle 1/3-60%# Lower 1/3-30% o Adenocarcinom...
2
Upper 1/3rd
Middle 1/3rd
Lower 1 /3rd
Lower end of esophagus
Surgery
Esophageal Diseases - Gastroesophageal Reflux Disease, Carcinoma
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Test for RNA:-
Nohern Blotting detects RNA. Nohern blot - RNA Southern blot- DNA Western blot- Proteins See treasure for details
1
Nohern blot
Southern blot
Immuno blot
South-Western blot
Biochemistry
Techniques in molecular biology
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single
X-ray of which of the following would be most appropriate for determining bone age at 7 months?
Ans. a (Shoulder) (Ref OP Ghai 6th/p. 6; 7th/p. 4)Additional Educational Points:To determine the skeletal age in:# Radiograph of SHOULDER is most helpful = infant between 3 and 9 months.# A single film of hands and wrist = adequate in children between 1 and 13 years.# Film of elbow and hip = Between 12 and 14 years chi...
1
Shoulder
Medial end of clavicle
Wrist
Knee
Pediatrics
Growth, Development, and Behavior
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single
A 27-year primigravida presents with pregnancy induced hypeension with blood pressure of 140/ 100 mm of Hg at 32 weeks of gestation. If there are no complications, the pregnancy should be best terminated at:
A diagnosis of gestational hypeension is made when (1) maternal blood pressure is elevated to >= 140 mm Hg systolic or >= 90 mm Hg diastolic on 2 occasions 6 hours apa in a previously normotensive woman >= 20 weeks' gestation, and (2) there is no evidence of proteinuria. For the patient with mild gestational hypeension...
2
40 completed weeks
37 completed weeks
35 completed weeks
34 completed weeks
Gynaecology & Obstetrics
null
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single
Most common cause of cervical neoplasia is
Human papilloma virus *Oncogenic DNA virus which are grouped into high and oncogenic risk HPVs*High oncogenic risk HPVs(HPV16 and 18) -main cause of cervical cancers and also vaginal, vulvar, penile, anal, tonsillar and oropharyngeal carcinomas.*Low oncogenic risk HPVs (HPV 6 and 11) - causes vulvar, perineal and peria...
3
HPV 6
HPV 11
HPV 16
HPV36
Pathology
Endocrinology
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single
Which of the following is a contraindication to the use of Beta Blockers:
option A-beta blockers are used in glaucoma e.g betaxolol Option D: Propranolol used Option B: B- Blockers used in tachycardia Option C: Only MI having decrease in HR(Bradycardia) . B Blocker is C/I NTG is also C/I Metoprolol is also C/I DOC is ATROPINE For unrecordable pressures we given IV fluids
3
Glaucoma
Accessory pathway mediated Tachycardia
Inferior wall MI
Thyroid storm
Medicine
NEET 2019
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multi
The following teratogenic effect is seen with which of the following?
The picture shows thin upper lip, smooth philtrum and sho palpebral fissure - these 3 features are typical of fetal alcohol syndromeRef:CMDT 2010 pg 979
1
Alcohol
Methanol
Ethylene glycol
Smoking
Pharmacology
All India exam
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single
Osteomeatal complex connects:
(a) Nasal cavity with maxillary sinus(Ref. Cummings, 6th ed., 752)All the structures of the middle meatus together constitutes osteomeatal complex. The osteomeatal complex connects the nasal cavity with maxillary, frontal and anterior ethmoid sinuses.Spheno-ethmoidal recess connects Sphenoid sinus with nasal cavity.Nas...
1
Nasal cavity with maxillary sinus
Nasal cavity with sphenoid sinus
The two nasal cavities
Nasal cavity with lacrimal sac
ENT
Congenital Lesions and Stridor
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single
In the estimation of statistical probability, Z score is applicable to -
null
1
Normal distribution
Skewed distribution
Binomial distribution
Poisson distribution
Social & Preventive Medicine
null
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single
Least soluble anesthetic agent is
Blood-gas paition coefficient, also known as Ostwald coefficient for blood-gas, is a term used in pharmacology to describe the solubility of inhaled general anesthetics in blood. The coefficient is defined as the ratio of the concentration in blood to the concentration in gas that is in contact with that blood when the...
1
Desflurane
Sevoflurane
Halothane
Methoxyflurane
Anaesthesia
General anaesthesia
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single
False about orbital cellulitis
null
2
Leads to paralysis of 3rd,4th,6th nerve
Involves sympathetic plexus
Unilateral
Loss of vision
ENT
null
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multi
Ligamentum denticulatum is:
null
1
Only a pair of pial extension
A dural derivative
Arachnoid extension only
Extends to sacral segments only
Anatomy
null
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single
True about carcinoma vulva
Ans. is a, b and c i.e. Spreads to superficial inguinal nodes: Spreads to iliac nodes: Seen after menopause; Viral predisposition; and Radiotherapy given Vulva) cancer : 2 - 4% of all malignancies of female genital tract. Age : occurs in 6" or 7" decade. Most common histologic type is epidermoid cancer (squamous cell C...
4
Spreads to superficial inguinal nodes and Radiotherapy given
Spreads to iliac nodes
Seen after menopause and Viral predisposition
All
Gynaecology & Obstetrics
null
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multi
Most commonly associated ion with remineralisation of enamel
null
2
Ca+2
F–
Po4–2
K+
Dental
null
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single
Fetal hemoglobin has more affinity for oxygen than adult hemoglobin because ?
Ans. is 'b' i.e., Low affinity for 2,3 DPG Make it very clear in mind that higher affinity of fetal hemoglobin for oxygen is due to low affinity of HbF for 2,3DPG (not due to decreased 2, 3-DPG concentration). HbF does not combines to 2, 3-DPG as avidly as adult hemoglobin.
2
Decreased 2,3 DPG concentration
Low affinity for 2,3 DPG
Increase 2,3 DPG concentration
Reduced pH
Physiology
null
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single
Serum C3 is persistently low in the following except -
Blood findings: Complement levels in post-streptococcal GN: Transient reduction during the disease Return to normal in 6-8 weeks. Urinary findings: Oliguria Mild proteinuria Hematuria(smoky or cola colored urine) Red cell casts or dysmorphic red cells (red cells with cellular protrusions or fragmentation) Ref: RAM DAS ...
1
Post-streptococcal glomerulonephritis
Membranoproliferative glomerulonephritis
Lupus nephritis
GlomerulonePhritis related to bacterial endocarditis
Pathology
Urinary tract
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multi
Typical JVP finding in cardiac tamponade
Ref Harrison 19 th ed pg 1462 Cardiac tamponade is characterized by jugular venous diatenaiod ( increased JVP) with a prominent X descent but an ,absent Y descent.
1
Absent 'Y' descent
Prominant 'a' wave
Absent 'a' wave
Prominant 'Y' wave
Anatomy
General anatomy
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single
Classic triad of congenital rubella includes all except?
Ans. is 'c' i.e., RetinitisThe classic triad for congenital rubella syndrome is: Sensorineural deafness (58% of patients) Eye abnormalities -- especially retinopathy, cataract, and microphthalmia (43% of patients) Congenital heart disease -- especially pulmonary artery stenosis and patent ductus arteriosus (50% of pati...
3
Cataract
Deafness
Retinitis
CHD (congenital heart disease)
Microbiology
Virology
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multi
Most common cause of vaginal discharge in prepubeal girls is
A foreign body in the vagina is a common cause of vaginal discharge in young girls, which may appear purulent or bloody.Ref: Berek and Novak&;s Gynecology; 15th edition; Chapter 14
3
Precocious pubey
Urethral prolapse
Foreign body
Germ cell tumor
Gynaecology & Obstetrics
Infections of the genital tract
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single
Least toxic organiophosphorus compound is:
Ans. is 'c' i.e., Malathion
3
DDT
Paris green
Malathion
Parathion
Social & Preventive Medicine
null
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single
Satellite lesions in the cornea may be seen in
MYCOTIC CORNEAL ULCER Etiology : The fungi which may cause corneal infections are: i. Filamentous fungi e.g., Aspergillus, Fusarium, and Penicillium. ii. Yeasts e.g., Candida and Cryptococcus. Clinical features: Signs: A typical fungal corneal ulcer has following salient features 1) Corneal ulcer is dry-looking, greyi...
2
Viral corneal ulcer
Fungal corneal ulcer
Bacterial corneal ulcer
None of the above
Ophthalmology
Cornea and sclera
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multi
All or none phenomenon is a feature of -
Ans. is 'a' i.e., Action potential
1
Action potential
Local potential
Electronic potential
Post-synaptic potential
Physiology
Nerve Physiology
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multi
Number of bed recommended for community health center -
Ans. is 'd' i.e., 30 * Each community health centre covers a population of80000 to 1,20 Lakh.* It has 30 beds and specialist in Surgery, Medicine, Obstetrics & Gynaecology, and pediatrics with x-ray and laboratory facilities.* For strengthening preventive and promotive aspects of health care, new non-medical (not medic...
4
5
10
20
30
Social & Preventive Medicine
Healthcare of the Community & International Health
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single
This ahropod transmits
Image shows - Sandfly . transmits Leishmaniasis Trypanosoma brucei: tse tse fly Trypanosoma cruzi: reduviid bugs (Triatomine). Plasmodium vivax: female anopheles
3
T. brucei
T. cruzi
Leishmania donovani
Plasmodium vivax
Microbiology
Parasitology
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single