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Locate the renal stone with pain radiating to medial side of thigh and perineum due to slipping of stone in males ?
Ans is 'a' ie at pelvic brim The clinician is able to judge the position of the stone by the history of pain - Position of stone Site of Pain * At PUJ or upper ureter Pain radiates to the testicles * At middle of the ureter (ie at crossing of gonadal vessels and ureter) Pain is referred to Mc Burneys point on the right...
1
At pelvic brim
Intramural opening of ureter
Junction of ureter and renal pelvis
At crossing of gonadal vessels and ureter
Surgery
null
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single
PGE causes worsening in infant with ?
In patient with Pulmonary stenosis without VSD , PGE cause worsening. Ref : Ghai essential of pediatrics, eighth edition, p.no:433
1
PS without VSD
Hypoplastic left hea syndrome
Pulmonary stenosis
TGA with intact ventricular septum
Pediatrics
C.V.S
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single
Angular conjunctivitis is caused by -
Moraxella axenfeld (moraxella lacunata) is the most common causative organism for angular conjunctivitis. Ref: Parson's 21st/e p.168
3
H. influenza
Adenovirus type 32
Moraxella axenfield bacillus
Brahnmella
Ophthalmology
Conjunctiva
8ef29757-e3d2-4c97-847a-9aaf3cd19f8d
single
Most impoant factor determining convergence of light rays on retina is -
The cornea is the most imponat refractive surface of the eye with a refractive index of 1.376. The reason for msximum refraction lies in the fact that when light travel from one refractive medium to other. In eye, there are three such refracting interfaces:- i)Air, ii)Aqueous iii) lens Reference : Optics of human eye 4...
3
Length of eyeball
Dioptre power of lens
Refractive index of cornea
Physical state of vitreous
Ophthalmology
Optics and refraction
f90b3886-23e8-4319-a5d4-361d82a979bc
multi
Steriliation of culture media containing serum is by-
Ans. is `b' i.e., Micropore filter Sterilization of culture media The constituents of culture media must be carefully sterilized. Two methods are commonly used to sterilize culture media ? I )Autoclaving - Constituents like water, salts and supplements like peptone, ttyptose etc., which are heat stable, are autoclaved....
2
Autoclaving
Micropore filter
Gamma radiation
Centrifugation
Microbiology
null
2157e901-68fa-4b40-b9d7-69db4adf4da7
single
What is the angle subtended on each letter of the snellen's cha?
Visual acuity test-types consist of a series of letters arranged in lines, each diminishing in size. The breadth of the lines of which the letters are composed is such that the edges will subtend an angle of 1 minute at the nodal point of the eye at a paicular distance. Each letter is shaped such that it can be placed ...
3
5 degrees
10 degrees
5 minutes
10 minutes
Ophthalmology
Optics and Errors of Refraction
360ed0e8-0a6d-4379-ae66-cc4863f9452c
single
Not true regarding fresh frozen plasma -
Fresh frozen plasma contains components of the coagulation, fibrinolytic and complement systems and other proteins. FFP can be given without blood type-matched although agglutination reactions are possible, though very rare. There is no mention of the time period within which FFP should be given after trauma. The risks...
4
Supplies major coagulation factors
ABO match not required
Should be used in replacement of factors in DIC/trauma
To be used within 30 minutes of having trauma
Pathology
null
5432a8e0-7f1e-4502-97cc-4b78797fc5ac
multi
A 36-year-old woman presents with a 6-month history of progressive generalized itching, weight loss, fatigue, and yellow sclerae. She denies use of oral contraceptives or any other medication. Physical examination reveals mild jaundice and steatorrhea. Blood studies show a high cholesterol level of 350 mg/dL, elevated ...
Primary biliary cirrhosis (nonsuppurative destructive cholangitis) is caused by chronic destruction of intrahepatic bile ducts in the portal tracts. Primary biliary cirrhosis evolves through ductal lesions, scarring, and eventually cirrhosis. Early PBC features chronic destructive cholangitis affecting intrahepatic sma...
4
Central hyaline sclerosis
Cholangiocarcinoma
Hemosiderosis
Intrahepatic bile duct damage
Pathology
Liver & Biliary Tract
59aa61ee-d6ce-43cb-84cf-8c80acda7359
single
Testis is involved but epidydimis is spared in?
ANSWER: (A) SyphilisREF: Bailey and Love 24th ed p- 1411"Orchitis without epididymitis is seen in syphilis"CAUSES OF EPIDYDIMITIS:Chlamydia trachomatisNeisseria gonorrhoeaeE. coliUreaplasmaMycobacteriumCytomegalovirusCryptococcus
1
Syphilis
Gonorrhea
Chancroid
Chlamydia
Surgery
Male Reproductive Medicine and Sexual Dysfunction
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single
A lesion of the optic radiation involving the Meyer's loop causes which of the following type of visual field defect?
Lesion of the optic radiation produces congruous homonymous hemianopia. Lesion of Meyer's loop present in the temporal lobe produces superior quadrantanopia (pie in the sky). Lesion affecting the optic radiations in the parietal lobe produces inferior quadrantanopia. In lesions of the optic radiations visual acuity rem...
2
Homonymous hemianopia
Superior quadrantanopia
Inferior quadrantanopia
Central scotoma
Ophthalmology
null
bba72243-a62f-4573-b99e-730c9188b937
single
All of the following are true about mitochondria except
"Over a billion years ago, aerobic bacteria were engulfed by eukaryotic cells and evolved into mitochondria, providing the eukaryotic cells with the ability to form the energy-rich compound ATP by oxidative phosphorylation. Mitochondria perform other functions, including a role in the regulation of apoptosis (programme...
4
Evolved from aerobic bacteria engulfed by eukaryotic cells
Have role in regulation of apoptosis
Have their own genome
Mitochondrial diseases are paternal in inheritance
Physiology
General physiology
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multi
Double blind study means:
Blinding: Blinding can be done in three ways: (a) Single blind trial: The trial is to planned that the participant is not aware whether he belongs to the study group or control group. (b) Double blind trial: The trial is to planned that neither the investigator nor the participant is aware of the group allocation and ...
3
Observer is blind about the study
Person or group being observed is blind about the study
Both observer and person or group being observed is blind about the study
Interpreters and analyzer are blind about the study
Dental
null
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multi
Glial fibrillary proteins are present in
Glial fibrillary acidic protein is a protein that is encoded by the GFAP gene in humans. Glial fibrillary acidic protein is an intermediate filament protein that is expressed by numerous cell types of the central nervous system including astrocytes and ependymal cells during development This is present in astrocytoma R...
1
Astrocytoma
Medullobalstoma
Ependydoma
All
Anatomy
Nervous system
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multi
Hyperinflation of lung in CXR is seen in?
B i.e. Congenital lobar emphysema Hyperansradiant (Radiolucent) lung on CXR is seen in EmphysemaQ - Pulmonary embolism - Pneumothorax - Polland's syndrome - Patient rotation - Macleod syndrome
2
CCF
Congenital lobar emphysema
Diaphragmatic hernia
Foreign body
Radiology
null
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True about branchial cyst; is all except
BRANCHIAL CLEFT REMNANTS : • Branchial cleft remnants typically present as a lateral neck mass on a toddler. • Structures of the head and neck are derived from 6 pairs of branchial arches, their intervening clefts and pouches. • Congenital cysts, sinuses, or fistulas result from failure of these structures to regress, ...
1
Arise from lower third of sternocleidomastoid
Peak age of presentation is 3rd decade
Cyst wall consists of lymphoid tissue
Fluid contains cholesterol crystal
Surgery
null
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All of the following are major criteria in the diagnosis of acute rheumatic fever , except
Ref Harrison 19 th ed pg 2152 Table :381-2 Major manifestations Carditis Polyahritis Chorea Erythema marginatum Subcutaneous nodules
1
Migratory polyahralgia
Subcutaneous nodules
Chorea
Carditis
Anatomy
General anatomy
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multi
A patient with following skin lesions is seen in a disease, which has ________ inheritance.
Lesions are multiple cutaneous neurofibromas. Neurofibromatosis is an autosomal dominant disease. It is associated with Cafe-au-lait spots as well.
4
X-linked recessive
X-linked dominant
Autosomal recessive
Autosomal dominant
Dental
Naevi and vessel related disorders
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Which of the following is arboviral infection -
Ans. is 'd' i.e., All of the aboveFamilyGenusSpeciesTogoviridaeAlphaviruses (group A)Chikungunya, SindbisFlaviriridaeFlavivirus (group B)Japanese encephalitis, West niley yellow fever, Dengue, Kyasanur forest diseaseBunyaviridaeBunyavirusCalifornia encephalitisPhlebovirusSandfly fever, Rift valley fever.NairovirusGanja...
4
Chikungunya
West - nile fever
KFD
All of the above
Microbiology
Virology
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The diagnosis of a patient presenting with Seizures, Mental retardation and Sebaceous adenoma is:
Answer is B (Tuberous Sclerosis): Neurological features of seizures and mental retardation together with cutaneous manifestations in the form of sebaceous adenomas are characteristic of the neurocutaneous syndrome of Tuberous sclerosis.
2
Hypothyroidism
Tuberous sclerosis
Toxoplasmosis
Down syndrome
Medicine
null
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single
All are true about Gardner's syndrome EXCEPT?
Ans. is 'b' i.e., Always in 5th decade of life
2
Protein losing enteropathy
Always in 5th decade of life
Small intestine polyp
Malignancy is common
Surgery
null
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multi
Bih is defined as
Bih: The complete expulsion or extraction from the mother of a fetus after 20 weeks gestation. In the absence of accurate dating criteria, fetuses weighing < 500 g are usually not considered as bihs but rather are termed abouses for purposes of vital statistics(Ref: William's Obstetrics; 25th edition)
1
The complete expulsion or extraction from the mother of a fetus after 20 weeks gestation
The complete expulsion or extraction from the mother of a fetus after 28 weeks gestation
The complete expulsion or extraction from the mother of a fetus after 38 weeks gestation
The complete expulsion or extraction from the mother of a fetus after 40 weeks gestation
Gynaecology & Obstetrics
All India exam
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single
Blood pressure in the dead (i.e., when hea is not beating) is:
Beating of the hea causes the pressure in the aeries and aerioles, which allows the blood to flow through the tissues, in spite of the tissue pressure surrounding the vessels. When hea stops beating, the pressure in the vessels will equilibrate with the tissue pressure - about 6-7 mm Hg.
2
Zero
6-7 mm Hg
20 mm Hg
40 mm Hg
Physiology
Circulation
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Drug of choice in Pregnant women with Secondary Syphilis :
ANSWER: (B) Benzathine PenicillinREF: Danforth's Obstetrics and Gynecology, 10th Edition page 613 Alcamos Fundamentals of Microbiology by Jeffrey C. Pommerville page 408, Blueprints Obstetrics and Gynecology By Tamara L. Callahan, Aaron B. Caughey page 175"Syphilis is a serious problem in pregnant women because spiroch...
2
Doxycycline
Benzathine Penicillin
Ceftriaxone
Cotrimoxazole
Pharmacology
D.O.C
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single
According to Biomedical waste rule 2016, Incineration or deep burial is done for which bag
null
3
White
Red
Yellow
Blue
Social & Preventive Medicine
null
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single
All the following receptors belong to the steroid receptor superfamily, EXCEPT:
Adrenergic receptors (epinephrine and norepinephrine) are membrane bound G-protein coupled receptors and does not belong to steroid receptors. Adrenaline binds to cell membrane receptors alter intracellular cAMP concentration, alter protein kinase A and regulate cell function. Ref: Essentials of Medical Pharmacology By...
4
Thyroid receptor
Retinoid receptor
Vitamin D3 receptor
Epinephrine receptor
Pharmacology
null
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multi
Dip at 4000hz in pure Tone audiometry indicates:-
2000Hz / Carha's Notch: seen in otosclerosis (CHL)4000Hz Dip/boiler's notch :seen in noise induced hearing loss (SNHL)Both are seen in bone conduction.
3
Otosclerosis
Meniere's disease
Noise induced hearing loss
Age related hearing loss
ENT
FMGE 2018
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single
Which of the following is responsible for respiratory burst and production of superoxide ions-
Ans. is 'D' i.e., NADPH oxidase o The final step in the microbial killing is due to reactive oxygen species called as respiratory burst. o Phagocytes require an enzyme to produce reactive oxygen species to destroy bacteria after they ingest the bacteria in a process called phagocytosis. o ROS are produced by the rapid ...
4
Hydrolase
Catalase
Peroxidase
NADPH oxidase
Pathology
Acute Inflammation - Overview and Morphologic Patterns
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Health education ?
Ans. is 'a' i.e., Health promotion Health education Health education is the profession of educating people about health. D It is the principal by which individuals and groups of people learn to behave in a manner conducive to - i) Promotion of health ii) Maintenance of health iii) Restoration of health WHO definition o...
1
Is health promotion
Is health distoion
Is delivered through public health agencies only
Does not help in prevention of cancer
Social & Preventive Medicine
null
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single
Para amino benzoic acid of breast milk prevent the infection of-
Ans. is 'a' i.e., Plasmodium vivax
1
Plasmodium vivax
Kleibsella-pneumonia
Giardia
E.coli
Pediatrics
null
c6bb3e15-6814-434e-9ca4-06464b58a657
single
Which of the following is not a indoor air pollutant?
Major air pollutants from indoor sources include carbon monoxide, polycyclic aromatic hydrocarbons, nitrogen oxides, sulphur oxides, arsenic and fluoride and radon. Park's Textbook of Preventive and Social Medicine, 25th edition, Page No. 796
4
Carbon monoxide
Nitrous oxide
Radon
Mercury
Social & Preventive Medicine
Environment and health
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single
The site where myosin heads to action in skeletal muscles are covered by
In resting muscle, troponin I is bound to actin and tropomyosin covers the site where myosin head interacts with actin. Ref: Ganong&;s Review of medical physiology;25th edition; pg: 104.
1
Tropomyosin
Troponin o
Calcium
None of the above
Physiology
Nervous system
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multi
A 13 years old child presents with a 3-year history of gradual swelling of the maxilla with medial displacement of turbinates with mild proptosis. What is the most likely diagnosis:
Ans. D Fibrous dysplasia Ref- Image - Clinical Features Patients with small, monostotic lesions may be asymptomatic, with the osseous abnormality identified incidentally on radiologic studies obtained for unrelated reasons. However, bone pain, swelling, and tenderness are common presentations in symptomatic patients. E...
4
Olfactory neuroblastoma
Angiofibroma
Carcinoma of maxilla
Fibrous dysplasia
Unknown
null
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Ritgen maneuver is done in:
Ritgen (Ritzen) maneuver is done for delivery of head in normal labour to allow controlled delivery of the head. When the head distends the vulva and perineum enough to open the vaginal introitus to a diameter of 5 cm of more, a towel-draped, gloved hand may be used to exert forward pressure on the chin of the fetus th...
4
Shoulder dystocia
For delivery of head in breech presentation
For delivery of legs in breech
For delivery of head in normal labour
Gynaecology & Obstetrics
null
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single
The managment of thyrotoxic crisis includes all the following except:
null
3
Propranolol
Hydrocortisone
Oral I131
Propylthiouracil
Pharmacology
null
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multi
A 32-year-old high altitude mountaineer is observed to have a hematocrit of 70 percent. Which of the following represents the most likely cause/explanation
At high altitude, there can be acute changes and changes due to acclimatization. Acute mountain sickness Dyspnoea, dizziness, tiredness, tachycardia, palpitation, nausea, vomiting etc. At higher altitudes- pulmonary oedema and cerebral oedema may occur. Acclimatization changes Hyperventilation leading to respirato...
1
Polycythemia with increased red cell mass
Relative Polycythemia due to dehydration
Polycythemia due to hemoconcentration
Polycythemia with high altitude pulmonary edema
Physiology
null
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A fifty-year-old man presents to his practitioner complaining that he often feels as if the room is spinning when he gets up from a recumbent position or turns his head. He has not lost consciousness and has had no chest pain. He has no cardiac history and a recent treadmill test showed no abnormalities. On examination...
Benign paroxysmal positional veigo (BPPV) is veigo that is precipitated by head position. It can be precipitated by trauma, but often no precipitating factor is identified. It generally abates after weeks to months. On exam, patients display nystagmus and the symptoms can be reproduced by head movement. In addition, th...
1
Benign paroxysmal positional veigo
Brain stem tumor
Meniere's disease
Syncope
ENT
null
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multi
NOT a definitive sign of pregnancy:
Amenorrhea can be due to many reasons including pregnancy but also PCOS, Tuberculosis, Hypothalamic causes like Kallman's & Sheehan's syndrome , Pseudocyesis etc Remaining 3 are the definite signs of Pregnancy
4
Fetal skeleton on X-ray
Fetal hea sounds
Ultrasound examination
Amenorrhea
Gynaecology & Obstetrics
Diagnosis of Pregnancy
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HbA1c reduction is maximum with use of
Mechanism of ActionExamplesHbA Reduction (%)Agent-Specific AdvantagesAgent-Specific DisadvantagesContraindicationsOralBiguanides|Hepatic glucose productionMetformin1-2Weight neutral, do not cause hypoglycemia, inexpensive, extensive experience, |CV eventsDiarrhea, nausea, lactic acidosisSerum creatinine> 15 mg/dL (men)...
1
Metformin
Anagliptin
Voglibose
Rosiglitazone
Medicine
Endocrinology
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Posterior w all of axilla is formed by -
Ans. is 'c' i.e., Subscapularis Axilla (armpit)o The axilla is a pyramidal space situated between the upper part of the arm and the chest wall. It resembles a four sided pyramid, and has following : (i) an apex (ii) a base (iii) four walls (anterior, posterior, medial and lateral).Anterior (pectoral) wall Formed by (i)...
3
Pectoralis major
Subclavius
Subscapularis
Intercostal muscles
Anatomy
Pectoral Region, Axilla & Brachial Plexus
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Macrophages are found in:
Ans. is 'c' i.e. late phase of inflammation Neutrophils predominate in the early phase of inflammation (the phase occuring within 24 hrs) whereas macrophages enter the area in late phase of inflammation ie. after 24-48 hrs. Neutrophils remain predominant cells for upto 72 hrs, after which the macrophages take over as p...
3
Phase of scar formation
Phase of repair
Late phase of inflammation
Early phase of inflammation
Pathology
Misc. (W.B.C)
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All of the following are true about obstructive sleep apnea syndrome except:
Ans. a. Females affected more than males
1
Females affected more than males
Commonly associated with hypeension
Day time sleepiness is seen
>5 episodes of apnea per hour
ENT
null
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multi
Superior relationship of omental foramen is
Omental foramen(epiploic foramen, foramen of Winslow ) has following border: anterior: the free border of the lesser omentum, known as the hepatoduodenal ligament. This has two layers and within these layers are the common bile duct, hepatic aery, and hepatic poal vein. posterior: the peritoneum covering the inferior v...
3
Hepatoduodenal ligament
Inferior vena cava
Caudate lobe of liver
1st pa of duodenum
Anatomy
Abdomen and pelvis
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Proto-Oncogene associated with Familial Medullary thyroid carcinoma is
Proto-OncogeneAssociated tumorKRASColon, lung, and pancreatic tumorsBRAFMelanomas, leukemias, colon carcinoma, othersRETMultiple endocrine neoplasia 2A and B, Familial medullary thyroid carcinomasKITGastrointestinal stromal tumors, seminomas, leukemiasRef: Robbins and Cotran Pathologic Basis of Disease; 9th edition; Ch...
3
KRAS
BRAF
RET
KIT
Pathology
General pathology
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Milk teeth total number in human being
Milk teeth: Dental formula in children is 2,1,0,2. That is in one half of each jaw 2 incisors 1 canine 0 premolars 2 molars As there are 4 half's , 5x4= 20. There are 20 milk teeth. Ref : Ghai ,9th edition, chapter 2
1
20
28
32
24
Anatomy
General anatomy
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single
In takayasu arteritis there is -
null
4
Intimal fibrosis
Renal hypertension
Coronary aneurysm
All of the above
Medicine
null
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multi
Wliich of the following is needed for conversion of norepinephrine to epinephrine:
Ans. (c) PENMTRef.:KDT 6th ed. /116* PENMT is Phenylethanolamine N- methyl transferase and is found in the cytosol of only cells of adrenal medullary cells.* PNMT uses S- adenosylmethionine (SAMe) as a cofactor to donate the methyl group to norepinephrine, creating epinephrine.* Epinephrine is synthesized in the medull...
3
COMT
MAO
PENMT
SAM
Pharmacology
Adrenergic System
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Common ocular manifestation in Trisomy 13 is –
Cleft lip, cleft palate, scalp defects suggest Trisomy 13 or patau syndrome. Trisomy 13 and Trisomy 18 share several clinical features. The highest discriminatory values are for ectodermal scalp defects and harelip and cleft palate in trisomy 13 and elongated skull and simple arches on all digits for trisomy 18.  Tris...
2
Capillary hemangioma
Bilateral microphthalmos
Neurofibroma
Dermoid cyst
Pediatrics
null
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single
A 54 year old man presents to a physician with headaches. A complete blood count demonstrates a hematocrit of 62%. The peripheral smear showed normocellular erythrocytes, with increased reticulocytes and nucleated red cells. Bone marrow biopsy demonstrates increased numbers of erythrocytic precursors. Cancer of which o...
The hematologic finding is erythrocytosis, which can be caused by abnormal erythropoietin secretion by renal cell carcinoma (i.e., a paraneoplastic syndrome). Absolute erythrocytosis also occurs in a number of other conditions, such as hypoxia, other types of renal disease, some tumors (e.g., hepatocellular carcinoma, ...
2
Colon
Kidney
Ovary
Prostate
Pathology
null
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All are associated with decreased sense of smell except?
Gullain barre syndrome does not present with anosmia Non-motor symptoms of Parkinsonism are constipation, anosmia, and REM behavior sleep disorder. Kallmann syndrome presents with anosmia due to olfactory bulb agenesis/ hypoplasia. HIV infection can also affect olfactory bulbs leading to anosmia
3
Parkinsonism
Kallmann Syndrome
Gullain barre syndrome
HIV infection
Medicine
Parkinsonism and other movement disorders
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Ohopnea is hea failure develops due to
When a normal individual lies down, the pulmonary blood volume increases by up to 400 mL When the person stands up this blood is discharged into the general circulation. This shift is the cause of the decrease in vital capacity in the supine position and is responsible for the occurrence of ohopnea in hea failure. Ref:...
3
Reservoir function of pulmonary veins
Reservoir function of leg veins
Reservoir function of pulmonary aeries
Reservoir function of leg aeries
Physiology
Cardiovascular system
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single
All of the followimg statements are NOT true of Klebsiella pneumonia -
null
3
Upper lobe involvement
Bulging fissure sign
Ampicillin is drug of choice
It is otherwise known as Friedlander's pneumonia
Medicine
null
e11b80ca-26f8-49d9-a205-e4500c11a408
multi
Most impoant feature to diagnose severe pneumonia?
Ans. is 'b' i.e., Chest indrawing The only sign for severe pneumonia is chest indrawing
2
Cyanosis
Chest indrawing
Nasal flaring
Fast breathing
Social & Preventive Medicine
null
49e201fc-c129-456c-87ab-b57ab2caf95a
single
The best cosmetic results for large capillary (po wine) hemangiomas are achieved by
.Po wine stain (Naevus flammeus): It presents at bih and persists throughout life without any change. Spontaneous regression will not occur. It presents as smooth, flat, reddish blue/intensely purple area; common in head, neck and face; often with maxillary and mandibular dermatomes of 5th cranial nerve. Eventually sur...
2
Excision and split-thickness skin
Laser ablation
Cryosurgery
Tattooing
Surgery
Urology
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single
In the base of the skull, which of the following foramen is most anteriorly placed?
The foramina in base of skull, in an order from anterior to posterior Foramen ovale. Canaliculus innominatus (sometimes) Foramen spinosum. Carotid canal. Jugular foramen. Stylomastoid foramen. Sometimes, emissary sphenoidal foramen or foramen of Vesalius is situated between foramen ovale and scaphoid fossa in base of...
3
Stylomastoid foramen
Foramen spinosum
Foramen ovale
Juglar foramen
Anatomy
null
9a9d6ff4-7ade-4b83-8187-f86e81509231
single
Long compression is used for which fracture ?
Ans. is 'b' i.e., Calcaneum Bulk foot compression dressing is given to treat inoperable calcaneal fractures.
2
Talus
Calcaneum
Fibula
Femur
Surgery
null
5b893f12-befb-448a-8108-3734bb11bd9d
single
Most common form of diaphragmatic hernia is:
The most common variant of a congenital diaphragmatic hernia (CDH) is a posterolateral defect, also known as a Bochdalek's hernia. Ref: Schwaz's principle of surgery 9th edition, chapter 39.
1
Bochdalek hernia
Morgagni hernia
Paraesophageal hernia
None of the above
Surgery
null
ca9fc8d1-a207-4eaa-982a-9c6087bf2224
multi
How is moderate malnutrition defined?
A score of <-2SD to > -3SD score indicates moderate malnutrition. The WHO classification of malnutrition: A score of <-2 to > -3SD indicated moderate malnutrition A score of <- 3SD indicates severe malnutrition A score of +2 to +3 SD indicated overweight A score of > +3 indicates obesity The indicators of undernutritio...
2
Weight for age <-2SD
Weight for height <-2SD to >-3SD
Weight for age <-3SD
Weight for height +2SD to +3SD
Pediatrics
Nutrition
60379397-95e2-49bb-985f-e46b5b3f88ce
single
which anti epileptic on long term use causes PSEUDOLYMPHOMA ?
anti epileptic drugs causing pseudolymphoma phenytoin (m/c) > phenobarbitone primidone ref : kd tripathi 8th ed
1
phenytoin
phenobarbitones
valproate
carbamizapine
Pharmacology
All India exam
592c1b66-0e4e-4aae-b05f-177129de42bd
single
Omalizumab is indicated for which of the following conditions :
null
3
Multiple myeloma
Psoriasis
Bronchial asthma
Rheumatoid arthritis
Pharmacology
null
32f070b1-2f5a-4ba0-bf17-dd2dc59fcf12
single
Artery involved in 3rd cranial nerve lesion?
Ans. (b) Posterior communicatingRef: Harrison 18/e, chapter 275, Principles and practice of emergency neurology Sid M shah and Kevin M Kelly Textbook of ophthalmology vol. 1 by sunitaagarwal
2
Anterior communicating
Posterior communicating
Posterior cerebral
Anterior cerebral
Medicine
Cranial Nerve Disorders
d879006a-6ac9-41aa-b25a-b4ab3dc70070
single
Henoch Schoenlein Purpura is characterized by following except:
Ans D. Thrombocytopenia. (Ref. H - 17th / pg. 2128)# Purpura in 'Henoch Scholein purpura' is due to vasculitis and not thrombocytopenia.HENOCH-SCHONLEIN PURPURA (anaphylactoid purpura)Definition:# It is a small vessel vasculitis, is a distinct systemic vasculitis syndrome characterized by:- palpable purpura, arthralgia...
4
Palpable purpura
Renal failure
GIT hemorrhage
Thrombocytopenia
Medicine
Blood
d76508a0-6b0f-4dc7-8633-786f413ae053
multi
Perforin ?
Ans. is 'b' i.e., Cytotoxic T cell Cytotoxic T Lymphocyte-Mediated Apoptosis Cytotoxic T lymphocytes (CTLs) recognize foreign antigens presented on the surface of infected host cells. Upon activation, CTLs secrete perforin, a transmembrane pore-forming molecule, which promotes entry of the CTL granule serine proteases ...
2
NK cell
Cytotoxic T cell
Plasma cell
Monocyte
Pathology
null
13b9d0c1-d849-4645-9c66-0a555c087f8c
single
Ultra structurally , endothelial cells contain
ref Robbins 9/e p76 Weibel-Palade bodies (WPBs) are the storage granules of endothelial cells, the cells that form the inner lining of the blood vessels and hea. They store and release two principal molecules, von Willebrand factor and P-selectin, and thus play a dual role in hemostasis and inflammation.
1
Weibel palade bodies
Langerhan's granules
Abundant glycogen
Kallikrein
Anatomy
General anatomy
f22b4b12-8709-438e-8e44-fceeb33e8b5e
multi
Mallory hyaline changes seen in all except?
Mallory Hyaline changes- globular red hyaline material visualized within hepatocytes in: Intestinal bypass Wilson's disease Biliary cirrhosis Indian childhood cirrhosis Cholestatic jaundice Focal nodular hyperplasia Hepatocellular carcinoma N.A.S.H
4
Wilson's disease
Indian childhood cirrhosis
Primary biliary cirrhosis
Hepatitis E
Medicine
Liver
3a7b2a59-be00-4e86-a5db-d5f1df002d30
multi
Meralgia paraesthetica is ?
Ans. is 'b' i.e., Lateral cutaneous nerve of thigh The neuropathy affecting the lateral cutaneous nerve of thigh is called meralgia paraesthetica. Cheralgia paraesthetica is a neuropathy of the hand - superficial branch of the radial nerve. The area affected includes: 1) Base of thumb, near the anatomical snuffbox 2) B...
2
Medial cutaneous nerve of thigh
Lateral cutaneous nerve of thigh
Lateral cutaneous nerve of hand
Medial cutaneous nerve of hand
Surgery
null
38e25175-0099-4ddc-9eda-af9fc73b3451
single
The following can be used to antagonise the action of heparin in case of overdose
HEPARIN ANTAGONIST Protamine sulfate Given i.v. it neutralises heparin weight for weight, i.e. 1 mg is needed for every 100 U of heparin. For the treatment of heparin induced bleeding, due consideration must be given to the amount of heparin that may have been degraded by the patient's body in the mean time. However, i...
4
Heparan sulfate
Dextran sulfate
Ancrod
Protamine sulfate
Pharmacology
Hematology
c0911f53-c0b7-4240-a823-1b2675744bfd
single
A 11 month old child presents with complaints of respiratory distress. On examination there is bilateral crepitation and wheezing. Which of the following is the most likely cause –
The child presenting with respiratory distress and bilateral crepitations and wheezing, we have to suspect brochiolitis. Differential diagnosis of diseases which are frequently asked
3
Pneumonia
Adenovirus
Respiratory synchytial virus
Rhinovirus
Pediatrics
null
a833ba0a-c25f-4c8a-8d75-dceab87e4437
single
Preimplantation genetic diagnosis is
Preimplantation genetic diagnosis is technique to identify genetic abnormalities in eggs or embryos prior to their transfer. Whereas, preimplantation genetic screening aims to identify embryonic aneuploidy resulting from gamete meiotic errors.
2
Identify embryonic aneuploidy resulting from gamete meiotic errors
Identify genetic abnormalities in eggs or embryos prior to their transfer
Identify risk for transmission of non inherited diseases
None of the above
Gynaecology & Obstetrics
null
93524af7-6b26-4a05-bb77-cda54054310d
multi
The right costo-phrenic line extends up to the level of which rib in the mid-axillary line -
The inferior margin of pleura extends onto diaphragm at the level of (Costodiaphragmatic line) -        8th rib in the midclavicular line -        10th rib in mid-axillary line -        12th rib at the lateral border of erector spinae. The lower border of lungs extends till the level of -        6th rib in the midclavi...
2
6th
10th
8th
12th
Anatomy
null
a076441e-85bf-480e-ac24-6382d594c257
single
Annexin V on non-permeable cell is indicative of.?
Apoptotic cells express phospatidylserine in the outer layers of there plasma membrane. This phospholipid moves out from the inner layers where it is recognized by a number of receptors on the phagocytes .These lipids are also detected by binding of a protein called Annexin V.
1
A. Apoptosis
B. Necrosis
C. Cell entering replication phase
D. Cell cycle arrest
Anatomy
General anatomy
2778adea-50cc-42b9-a51a-8b3e9facc4fa
single
In a young patient presenting with recurrent vitreous hemorrhage, diagnosis is –
Eale's disease is characterized by recurrent bilateral vitreous hemorrhage in young adult (20-30 yrs) males.
1
Eale's disease
CRVO
Proliferative retinopathy
Coat's disease
Ophthalmology
null
895cabe5-1b29-4a4e-951b-89218db88268
single
True of autosomal dominant polycystic kidney disease I and II respectiely -The most likely site of ectopic opening would be -
Three forms of ADPKD have been identified. ADPKD-1 accounts for 85% of cases its gene is found on chromosome 16p ADPKD-2 its gene has been mapped to chromosome 4q it appears to have a later age of onset of symptoms and renal failure than ADPKD-1 ADPKD-3 it has not been mapped to a gene uptill now.
2
Chromosomes 16 and 5
16 and 4
11 and 5
11 and 4
Surgery
null
92d118d6-a44f-4eba-ad38-3ea08b2ec53b
multi
Telogen phase of hair growth lasts for ?
Ans. is 'c' i.e., 100 days The most impoant feature of hair follicle is that their activity is cyclic. Hair grows at 0.4 mm per day and as it reaches a definitive length, it is shed to be replaced by a new hair. Hair undergoes through 3 different phases of hair cycle :? 1) Anagen phase (Phase of activity and growth) Th...
3
1 day
10 days
100 days
1000 days
Skin
null
3afb3e27-71e5-4dce-b0ab-b9cc74542f5f
single
Test used to detect semen: Gujarat 10; MAHE 11
Ans. Barberio's test
3
Phenolphthalein test
Reine's test
Barberio's test
Takayama test
Forensic Medicine
null
a7202a89-afc9-4333-ae75-253b2d9ad917
single
Kolmer test is a screening test done for
null
1
Syphilis
Tuberculosis
Gonorrhea
Lymphoma
Microbiology
null
99809572-aad3-4763-8b17-c299ab600a77
single
DTPA scan of hypeensive young lady is normal, USG shows small kidney on left side. Next investigation will be ?
Ans. is 'c' ie. Digital Subtraction angiography Hypeension in a young female is most probably due to renal aery stenosis (cause fibromuscular dysplasia) DTPA scan which shows the GFR* comes to be normal because of increased renin activity. Digital subtraction angiography or Doppler U/S will show the stenosis. Now MRA (...
3
CT Scan abdomen
Retrograde pyelogram
Digital subtraction angiography
DMSA
Surgery
null
93d4afff-2f2b-43e0-92bd-729a4d7e5d4a
multi
Nysten's rule peains to ?
Ans. is 'a' i.e., Rigor mois Rigor mois It is defined as contraction, stiffening, shoenig and opacity of muscles after death. It occurs after molecular (cellular) death. In tropical countries (e.g. india), it begins 1-2 hours after death, takes fuher 2 hours to develop, and lasts for 18-36 hours in summer and 24-48 hou...
1
Rigor mois
Identification
Bullet injuries
Putrefaction
Forensic Medicine
null
4e6ad930-959d-48a7-8a7a-d1d127592e92
single
Best drug for chronic gout in patient with renal impairment is:
Ans. (C) Allopurinol(Ref: KDT 8th/e p217)*NSAIDs like naproxen have no role in chronic gout*Uricosuric drugs like probenecid and sulfinpyrazone are ineffective in the presence of renal insufficiency*Allopurinol is drug of choice for most cases of chronic gout.
3
Naproxen
Probenecid
Allopurinol
Sulfinpyrazone
Pharmacology
C.N.S
b2da8c31-74e4-4964-9188-50d172637b65
multi
The most common side effect associated with chronic use of phenothiazines is -
Ans. is 'c' i.e., Tardive dyskinesia All the options mentioned in the question are extra pyramidal disorders seen with administration of phenothiazines. However Tardive dykinesia is the one, which occurs with chronic use, all others manifesting as more acute responses. Tardive dyskinesia o Purposeless involuntary facia...
3
Akathisia
Parkinsonism
Tardive dyskinesia
Muscular dystonia
Pharmacology
null
6b14803c-5562-415c-82d8-465ae219a677
single
Causative agent of angular conjunctivitis
Angular conjunctivitis commonly caused by Moraxella lacunata and S. Aureus.
2
Moraxella catarrhalis
Moraxella Lacunata
Gonococcus
Meningococcus
Microbiology
null
8e80c87a-7d81-43a2-89ec-07dc494f8494
single
Spirochaetes can be identified by : March 2005
Ans. D: Dark field microscopy Laboratory examinations for syphilis: In its primary and secondary stages, syphilis can often be diagnosed by dark-field examination of fresh exudate obtained from lesions. Because the exudates from non-syphilitic lesions may also contain spiral organisms, the result must be interpreted wi...
4
Levaditi stain
Fontana stain
Gram stain
Dark field microscopy
Medicine
null
4b04d995-d036-48fb-8128-ba969f790a1a
single
Is Lesser petrosal a branch of?
The glossopharyngeal nerve gives the impoant branch-the tympanic branch also called the Jacobson&;s nerve. It leaves the inferior ganglion and enters middle ear through the tympanic canaliculussituated at the bony edge between the jugular foramen and carotid canal. It forms the tympanic plexus over the promontory of th...
4
Occulomotor nerve
Abducens nerve
Facial nerve
Glossopharyngeal nerve
Anatomy
Head and neck
b8e9e831-e5ab-4d5e-8bda-d86185886ad8
single
Two carbon atoms leave in the form of CO2 in the TCA cycle are derived from -
Ans. is 'b' Le., Acetyl CoA o TCA cycle consists of sequential reactions. It begins with condensation of four carbon oxaloacetate molecule with 2 carbon acetyl CoA molecule to form six carbon citrate molecule. In a subsequent reaction, two carbon atoms are lost in the form of CO2 at two different reactions. A series of...
2
Oxaloacetate
Acetyl CoA
Succinyl CoA
fumarate
Unknown
null
00bb80f5-8d41-4e16-b6a7-af7d342a266a
single
Alcoholic blackouts are seen at levels of alcohol in blood
Acute Alcohol Intoxication: Blood Alcohol concentration Symptoms 20 - 30 mg / dL Decreased concentration decreased motor performance 30 - 80 mg/dL Signs of intoxication appears, worsening of motor symptoms and thinking ability. 80 - 200 mg /dL Incordination 200 - 300 mg / dL Alcohol blackout (Anterograde ...
3
20-30 mg/dL
80-200 mg/dL
200 - 300 mg/dL
> 300 mg/dL
Psychiatry
null
08b230d7-bb26-4025-8b18-099ce3cfe9fb
single
Metabolic changes in burns include all except
Burns is characterized by negative nitrogen balance.
2
Metabolic acidosis
Positive nitrogen balance
Hypermetabolic rate
Electrolyte imbalance
Surgery
null
76af2003-467b-4b81-a538-335965753f46
multi
Which of the following is not a step as part of the technique for a shallow (partial) pulpotomy?
null
4
Rubber dam isolation
Pulp tissue removed to about 2 mm below the exposure
Use of a large round carbide bur in slow speed handpiece to remove tissue
Restoration of the cavity with a hard-setting cement
Dental
null
225f2ddf-8a64-4153-8156-03d9f9beaaec
multi
A red cell with a volume of 100 cu.microns and intracellular osmolality of 300 mOsm was placed in a solution with an osmolality of 100 mOsm. What will be the final volume of this cell?
pi Vi = pf Vf 100 x 300 = 100 x Vf Vf = 300 Pi - initial osmolality; Pf - final osmolality Vi - initial volume; Vf - final volume
4
33.33 cu.microns
50 cu.microns
150 cu.microns
300 cu.microns
Physiology
Transpo Processes
de1fb06c-d57c-413e-a2a1-172240baaded
single
Vagal stimulation of heart causes ?
null
2
Increased heart rate
Increased RR interval in ECG
Increased cardiac output
Increased force of contraction
Pharmacology
null
307175ea-ad96-41a6-96a1-914a827c49bf
single
All of the following molecules/enzymes may contribute in generating free oxygen radicals within neutrophils for killing intracellular bacteria, except-
* Catalase, present in peroxisomes, catalyzes the decomposition of hydrogen peroxide (2H2O2 - O2 + 2H2O). It is one of the most active enzymes known, capable of degrading millions of molecules of H2O2 per second. *iNOS, the type that is involved in microbial killing, is expressed when macrophages are activated by cytok...
4
Nitric oxide
Fenton's reaction
NADPH oxidase
Catalase
Pathology
Oxygen dependent bacterial killing
ee30af61-adbd-4641-b36b-919ba943a120
multi
Most aggressive type of cyst Which causes hollowing of mandible:
Dentigerous cyst is potentially capable of becoming an aggressive lesion, with considerable bone expansion, facial asymmetry, hollowing out of the entire ramus upto the coronoid process or condyle. Moreover the epithelium of the dentigerous cysts is pluripotential, and can give rise to ametobtastoma, epidermoid carcino...
2
OKC
Dentigerous cyst
Nasopalatine cyst.
Globulomaxillary cyst
Pathology
null
a6fcdb35-19bb-41fc-9b95-9bc415fddeb6
single
A 69-year-old man with a history of recurrent pancreatitis treated with corticosteroids now has increasing fatigue for 2 years. He does not drink alcohol and has no evidence of gallbladder disease. On examination, there are no abnormalities. Laboratory studies show his serum creatinine is 5 mg/dL and urea nitrogen is 4...
Bilateral hydronephrosis, without hydroureter or bladder dilation, suggests that the problem involves both ureters. Obstructive uropathy has led to chronic renal failure with uremia. The elevated IgG4 suggests a fibroinflammatory process with IgG4-secreting plasma cells in the retroperitoneum; this process is part of a...
3
Nephrolithiasis
Polypoid cystitis
Retroperitoneal fibrosis
Renal cell carcinoma
Pathology
Male Genital Tract
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multi
Gunpowder on clothing can be visualized by: AI 11
Ans. Energy dispersive X-ray
4
Magnifying lens
UV rays
Infrared rays
Energy dispersive X-ray
Forensic Medicine
null
4fa64d68-4b2a-45be-b45e-c3fb00ed5c3e
single
Which of the folio wing is the least com mon bacteria responsible for Acute Exacerbation of Chronic Bronchitis -
.Ans. is 'd' i.e., Staphylocccus aureus Most common bacterias associated with acute excerbation in COPDo Hemophilus influenzao Moraxella catarrhaliso Streptococcus pneumoniae
4
Streptococcus pneumoniae
Moraxella catarrhalis
Haemophilus influenza
Staphylocccus aureus
Medicine
Chronic Obstructive Pulmonary Disease
c267171f-ea98-48a4-9188-25d88666163a
single
Which nerve needs to be carefully identified during parotid gland surgery?
The basic principle of facial nerve dissection is to avoid any unnecessary stimulation of the nerve. Specific tools used in dissection vary from surgeon to surgeon and include cold, bipolar electrocauterization, and ultrasonic dissection. Most surgeons caution against the use of a monopolar cautery in close proximity t...
2
Trigeminal nerve
Facial nerve
Chorda tympani
Greater petrosal nerve
ENT
Ear
dc87f99f-66bf-46b5-82ae-05db08d9026b
single
IPC 304B is related to -
IPC 304 - Punishment of culpable homicide, not amounting to murder IPC 304 A - Death caused by negligence IPC 304 B - Dowry death : 10 years of imprisonment which can extend to life. IPC 498 - Punishment for cruelty by husband or his relatives. Ref ; Narayana reddy 33rd ed.
2
Punishment for cruelty by husband or his relatives
Dowry death
Death caused by negligence
Punishment of culpable homicide, not amounting to murder
Forensic Medicine
All India exam
98b9c85b-e601-4c2a-b071-0fcb7f05fa5e
single
A child with VSD develops the following findings. There is no history of fever. What is the probable cause of these findings?
--> Clubbing & cyanosis in a child with VSD, with no history of fever, is suggestive of Eisenmenger syndrome. --> EISENMENGER SYNDROME: Any untreated congenital cardiac defect with intracardiac communication that leads to pulmonary hypeension, reversal of flow , cyanosis. --> VSD + FEVER + CLUBBING --> suggestive of IN...
2
Infective endocarditis
Eissenmenger syndrome
Cyanotic spell
Patent ductus aeriosus
Pediatrics
Acyanotic congenital hea diseases
6dea5e66-ea79-433e-991b-e0de9fad6dc2
single
In a small child diagnosed with H. influenza meningitis. What investigation must to be done before discharging him from the hospital?
a. BERA(Ref: Nelson's 20/e p 2936-2948, Ghai 8/e p 563-565)Sensorineural hearing loss is the most common sequelae of bacterial meningitis; So a hearing evaluation should be done before discharge of a child with meningitis, from hospital.
1
BERA
MRI
CT scan
X-ray skull
Pediatrics
Central Nervous System
1ac1d2ca-7bd3-4dbd-8a2f-644d6e2f7916
multi
Endometrial biopsy in infertility" is done at
C. i.e. (21 - 23rd day of menstrual cycle) (222 - Dutta 4th) (142 - Shaw's 14th)ENDOMETRIAL BIOPSY - most reliable method to study the endometrium is by obtaining the material by curettage after dilatation of the cervix usually under general anaesthesiaIndication of Dilatation and CurettageDiagnosticInfertility, DUB, P...
3
3-6 days of menstrual cycle
5-7 days of menstrual cycle
21 - 23rd day of the menstrual cycle
24 - 26th days of the menstrual cycle
Gynaecology & Obstetrics
Miscellaneous (Gynae)
7b2a9322-e4fd-4282-ae41-d2db753f9114
single
What Vitamin A supplementation in a 10 month old child with Xeropthalmia is?
Vitamin A therapy: Treatment schedules apply to all stages of active xerophthalmia viz. XN, X1A, X1B, X2, X3A and X3B. Oral administration is the recommended method of treatment. However, in the presence of repeated vomiting and severe diarrhoea, intramuscular injections of water-miscible preparation should be preferre...
3
One dose of 1 lakh units
Two doses of 1 lakh units
Three dose of 1 lakh units
Two doses of 2 lakh units
Ophthalmology
null
a45c065a-506b-47f1-8ea0-8cc597e30de3
single
Effect of environment on genes is called-
Ans. is 'c' i.e., Euthenics
3
Positive Eugenics
Negative Eugenics
Euthenics
Enthenics
Social & Preventive Medicine
null
244cbe9c-9195-49cd-9b28-a2eba1f2aadd
multi