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&;Gas&; in the tissue should be differenciates with
.*clostridial organisms can cause Extensive necrosis of muscle with production of gas (hydrogen sulphide; nitrogen; carbon dioxide) which stains the muscle brown or black. * Usually muscle is involved from origin to inseion. * Often may extend into thoracic and abdominal muscles. * When it affects the liver it causes n...
3
Pseudomyxoma peritonei
Pseudomonas infection
Clostridium nouyi
Non clostridial infection
Surgery
G.I.T
7771eec4-bd3c-4425-ad79-f0d7b2e415bd
single
Antigen antiboey reaction is detected by:
A i.e. ELISA
1
ELISA
Southern blot
Nohern blot
All
Medicine
null
92cd00f9-a083-4d4c-8dd8-d51bd270ccde
multi
Drug not given in treatment of tenia versicoloris?
Ans. is 'd' i.e., Griseofulvin Treatment of P. versicolor Systemic --> Ketoconazole, Fluconazole, Itraconazole. Topical --> Azoles (clotrimazole, econazole, micronazole, ketoconazole), selenium sulfide, sodium thiosulphate, whitfield's ointment (3% salicylic acid + 6% benzoic acid).
4
Miconazole
Selenium sulfide
Sodium thiosulfate
Griseofulvin
Skin
null
f2b5345b-32d8-4265-ac12-03c591f3eb24
single
Mucosa covering the Vermilion border of the lip is:
null
1
Keratinized mucosa.
Specialized mucosa.
Masticatory mucosa.
Lining mucosa.
Dental
null
27ff1e39-b059-41f7-b645-a7f9cf54c463
single
Treatment of Zollinger Ellison syndrome -
• GISTs: MC mesenchymal tumor of the GI tract • MC primary site for GIST: Stomach (60–70%) > small bowel (20–25%) > colorectum and esophagus (5% each). • Most GISTs are positive for CD-117 (95%), BCL-2 (80%), CD-34 (70%) • Types: Spindle cell (70%) and Epitheloid (30%) Pathology: • Arise from the muscularis propria and...
3
Total gastrectomy with removal of tumour
Partial gastrectomy
Excision of tumour alone
H2, receptor antogonist
Surgery
null
cbb5952f-281c-4f17-846f-81f13b047857
single
Toxic amblyopia can be caused by -
Ans. is 'd' i.e., All o Toxic amblyopia is chronic retrobulbar neuritis which results from the damage to optic nerve by the exogenous poisons.o It is frequently bilateral and has a chronic course with permanent visual deterioration.o The toxic agents involve may be : Tobacco, ethyl alcohol, methyl alcohol, ethylene gly...
4
Ethanol
Methanol
Ethambutol
All
Ophthalmology
Neuro-Ophthalmology
9c10a028-2ac8-4c64-bae3-9f75abcbffc1
multi
All of the following statements about Lupus Anticoagulant are true, Except.
Answer is D (Thrombotic spells can be followed by severe life threatening haemmorrhage): Bleeding episodes after Thrombotic spells may occur as a result of consumptive Thrombocytopenia. However such bleeding episodes are rare even with severe thrombocytopenia and do not lead to life threatening haemorrhage. Catastrophi...
4
May present with an isolated prolongation of APTT
May present with Recurrent Aboions
May occur with minimal clinical manifestations
Thrombotic spells can be followed by severe life threatening haemmorrhage
Medicine
null
ca76df4b-d378-4dd0-8255-0b1a540496a4
multi
All are true about bulimia nervosa except:
Ans: a (Amenorrhoea) Ref: Ahuja, 6th ed, p. Kaplan & Sadock, 8th ed, p. 2012,Amenorrhoea is not a feature of bulimia nervosa; it is seen in anorexia nervosaFluoxetine is an anti-depressant that has been approved for use in bulimia nervosa.Common characteristics of anorexia nervosa and bulimia nervosaClinical characteri...
1
Amenorrhoea
Binge eating
Purgation and vomiting
Normal body contour
Psychiatry
Miscellaneous
62444b89-4921-4086-983c-626df178ac93
multi
Nerve most commonly injured in Mc Burney incision
if direct right-sided inguinal hernia if present, during appendicectomy injury there will be ilioinguinal nerve injury. Reference SRB edition:5 page:994
4
Subcostal
Iliohypogastric N
11th thoracic
Ilionguinal
Surgery
G.I.T
f80c9a77-2503-4680-bad3-fcfae34b6d7d
single
Functional GI disorders can be differentiated from organic GI disorders by-
null
4
Abdominal pain
Diarrhoea
Tenesmus
Bleeding PR
Surgery
null
aac88bd5-8532-4afe-b5d7-80eecb7fdd61
single
Which of the following is included in auditory pathway:-
The auditory pathway - (mnemonic - SLIM 41, 42) S - superior olivary nucleus L - lateral lemniscus I - inferior colliculus M - medial geniculate body 41, 42 - area 41, 42 in superior temporal gyrus.
4
Medial lemniscus
Lateral geniculate body
Inferior olivary complex
Inferior colliculus
Anatomy
JIPMER 2018
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single
A 36-year-old, alcoholic woman presents with a 1-week history of yellow skin and sclerae. She has suffered persistent headaches. Her vital signs are normal. Physical examination reveals jaundice. Laboratory studies disclose markedly elevated levels of AST and ALT (956 and 1,400 U/L, respectively). A few days later, she...
Drug toxicity should be suspected in all cases of acute hepatitis. In this case, centrilobular necrosis suggests acetaminophen toxicity. The toxic dose of acetaminophen after a single acute ingestion is in the range of 150mg/kg in children and 7 g in adults. Acetaminophen is rapidly absorbed from the stomach and small ...
1
Acetaminophen toxicity
Fatty liver of pregnancy
Metastatic carcinoma
Reye syndrome
Pathology
Liver & Biliary Tract
c2120448-bd3b-4d8f-8963-e92e68ac69e1
single
Which of the following is the most common complication of TPN?
- Most common complication of central venous catheterization (CVC): catheter related sepsis - Most dangerous complication following CVC: pneumothorax
1
Catheter related complications
Acidosis
Acalculous cholecystitis
Hypokalemia
Surgery
Fluid, Electrolyte and Nutrition
4bc74613-580e-48fa-b555-56d9abd95ad8
single
All of the following are true for anorexia nervosa except: March 2012
Ans: A i.e. Menorrhagia Anorexia nervosa Signs and symptoms of anorexia include amenorrhoea, bradycardia, hypothermia, constipation etc. Laboratory markers of anorexia includes decreased FSH, LH and T, and increased Coisol Bulimia (binging and purging with vomiting, laxatives, or diuretics) may be seen in 50% of patien...
1
Menorrhagia
Decreased FSH levels
Bulimia
Hypothermia
Gynaecology & Obstetrics
null
507977ba-4564-4ef5-8aa3-749a75c80f30
multi
In which of the following conditions left atrium is not enlarged:
Answer is B (ASD) ASD is associated with an enlarged right atrium & right ventricle to accommodate large volume of bloilL The left atrium is not enlarged because it decompresses itself by shunting blood to the right atrium at a minor difference in pressure. The left atrium may enlarge once Eisen menger's syndrome devel...
2
Ventricular septal defect
Atrial septal defect
Aoopulmonary window
Patent ductus aeriosus
Medicine
null
4e2f8569-0d3a-45e9-b82b-6bef42f46f86
single
As per the latest guidelines which of the following dehydration status requires ORT prescription –
null
4
Mild dehydration
Moderate dehydration
Some dehydration
Any dehydration
Pediatrics
null
d91f8e17-dd22-471c-abcc-b44f155a8710
single
Broadest neuroretlnal rim is seen in -
The neuroretinal rim is significantly (P < 0.008) broadest in the inferior disc region followed by the superior disc region, the nasal region, and the temporal region
2
Sup pole
lnf pole
Nasal pole
Temporal lobe
Ophthalmology
Vitreous and retina
a7e8b6ae-dff9-4b0a-ab1e-9873e148dc51
single
What is the definitive method of diagnosing pulmonary embolism?
CT pulmonary angiography is the first line diagnostic test for pulmonary embolism.It has the advantages of visualising the distribution and extent of the embolism,or highlighting an alternative diagnosis,such as consolidation,pneumothorax or aoic dissection. Reference:Davidson's medicine-22nd edition,page no:722.
4
Ventilation perfusion imaging
Positron Emission Tomography
High Resolution CT
Pulmonary angiography
Medicine
Respiratory system
c75355d6-8de3-4c18-bb93-ca7f8e89a6f0
single
Apple jelly noddule is seen in ?
Ans. is 'a' i.e., Lupus vulgaris Lupus vulgaris Lupus vulgaris is a chronic and progressive form of cutaneous tuberculosis that occurs in tuberculin sensitive patients. It is the most common type of cutaneous tuberculosis and has most variable presentation. Seen in children and young adults, though no age is exempted. ...
1
Lupus vulgaris
Cutaneous anaphylaxus
Erythroderma
Erysepals
Skin
null
75292784-aad5-47ad-8c06-e8b91174f420
single
Urine turns dark on standing in: (Repeat)
Ans: A (Alkaptonuria) Ref: Harrison's Principles of Internal Medicine 18th edition & Harper's illustrated Biochemistry, 28th edition. Chapter 29, pp 254)Explanation:AlkaptonuriaDue to deficiency in homagentisic acid oxidaseResults in the accumulation of homogentisic acidThe illness has three characteristic symptoms;Hom...
1
Alkaptonuria
Maple syrup urine disease
Phenyl ketonuria
Acute intermittent porphyria
Medicine
Disorder of Metabolism & Connective Tissue
87c80595-3ca9-48d1-83e1-ac36b00614f5
single
Breast cancer mainly spreads to the veebrae
Answer- C. Batsons venous plexusMetastasis of breast cancer to bone, and especially to thoracic veebrae, is common due to the direct connection between the intercostal veins draining the breast and the internal veebral plexus ako known as Batson's plexus.
3
Aerial route
Direct Invasion
Batsons venous plexus
Via Axillary lymph nodes
Surgery
null
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single
Differentiating features between neurosis and psychosis, In psychosis
Psychosis is defined as gross impairment in reality testing Marked disturbance in personality, with impairment in social, interpersonal and occupational functioning Marked impairment in judgement and absent understanding of the current symptoms and behaviour(loss of insight) Presence of the characteristic symptoms like...
2
Insight is preserved
Lack of insight
Personality and behavior preserved
null
Psychiatry
Schizophrenia and other psychotic disorders
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multi
Ear papilloma is a type of
Ear papilloma is a type of wa.Squamous papillomas (SPs) are benign neoplastic lesions usually affecting the skin, oral mucosa, upper aerodigestive tract and genital organs. It is believed that the human papilloma virus (HPV) is an etiological factor of papillomas; thus, they are also called viral was Ref Harrison 20th ...
1
Wa
Exostosis
Cutaenous horn
Dermoid cyst
Dental
All India exam
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single
In infant, bone marrow biopsy is done from ?
Ans. is 'c' i.e., Tibia Sternum : --> Hematopoitically active Site in cooperative patient like adult Ilium : Apprehesive patient Useful in older children & adult Tibia : Useful in newborn & infant and children below 2 year of age.
3
Sternum
Iliac crest
Tibia
All of above
Pediatrics
null
429a1946-f7e4-401b-bea6-8f4981e7d016
multi
A 60-year-old man is brought to the emergency department because of new symptoms of double vision and discomfort in his left eye. He reports no other neurologic symptoms. On physical examination, there is ptosis of the left eyelid, the eye is rotated down and out, and the pupil is 3 mm and reactive to light. The right ...
Third nerve palsy can result in ptosis of the eyelid. There is also loss of the ability to open the eye, and the eyeball is deviated outward and slightly downward. With complete lesions, the pupil is dilated, does not react to light, and loses the power of accommodation. In diabetes, the pupil is often spared. The sixt...
3
fourth nerve palsy
diabetic autonomic neuropathy
third nerve palsy
sixth nerve palsy
Medicine
C.N.S.
a5526967-130a-4bd4-a6cc-3663aa0b37c3
single
Mechanism of action of beta-Lactam antibiotics would be
null
2
Inhibition of bacterial protein synthesis by binding to subunit of bacterial ribosomes
Inhibition of cell wall peptidoglycan synthesis by competitive inhibition of transpeptidases
Reduced drug causes strand breaks in DNA.
Inhibition of DNA synthesis by inhibiting DNA-Dependent RNA Polymerase
Pharmacology
null
d4f06476-b47f-4bf7-9d32-531db1974a8e
multi
Interosseous membrane of forearm is piereced by
-The anterior interosseous nerve and vessels lie in close relation to the anterior surface of the interosseous membrane of forearm stretching between the interosseous borders of radius and ulna.At the upper margin of the pronator quaadratus, the anterior interosseous vessels pass through the interosseous membrane to en...
2
Brachial aery
Anterior interosseous aery
Posterior interosseous aery
Ulnar recurrent aery
Anatomy
Upper limb
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single
Pre-anaesthetic medication is given to
Preanaesthec medication Premedication (Preanaesthec medication) refers to the use of drugs before anaesthesia to make it more pleasant and safe. The aims are : 1. Relief of anxiety and apprehension preoperatively and to facilitate smooth induction. 2. Amnesia for preoperative and postoperative events. 3. Supplement a...
1
All of the above
Reducon of secreon of saliva
To prevent undesirable reflexes
Reduce anxiety and fear
Anaesthesia
null
f40f86c2-439d-4abf-acfc-ce2f1ee4a413
multi
Attachment of Sibson's fascia is at -
Ans. is 'd' i.e., C7 o The part of thoracic inlet, on either side, is enclosed by a dense fascial sheeth called suprapleural membrane (or Sibson's fascia or diaphragm of superior thoracic aperture),]o ft is tent shaped (triangular in shape).o Its attachments areApex is attached to transverse process of seventh cervical...
4
C1
C2
C5
C7
Anatomy
Upper Extremity
d23cf2d0-37de-4f51-81aa-af22275c7568
single
Median nerve involvement is most common with:
Ans: B (Supracondylar fracture) Ref: Practical Fracture Treatment by Ronald McRae 4th edition, p 147-148, 159Explanation:Median nerve injury is common with supracondylar fractures in children with an incidence of 6 to 16%.The Anterior Interosseos distribution of the nerve is more commonly affected.This nerve is injured...
2
Elbow dislocation
Supracondylar fracture
Lateral condyle fractrue
Olecranon fracture
Orthopaedics
Supracondylar Fracture
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multi
Period between the possible time of detection and the possible time of diagnosis is
Ans. a (Lead time) (Ref. Park's textbook of PSM 22nd/p 95)Lead Time# It is advantge gained by screening, i.e., period between diagnosis by early detection and diagnosis by other means.# It is period between the possible time of detection and possible time of diagnosis.Latent Period# Time between exposure to a risk fact...
1
Lead time
Screening time
Generation time
Serial interval
Social & Preventive Medicine
Screening for Disease
8c70b474-32cd-418d-a31c-542ebeeba7d8
single
Which of the following laser works on UV waves
null
4
CO2 laser
Diode
Er YAG
KrF
Dental
null
fae6aca6-fe60-4be5-8c03-4564fa53016a
single
Drug of choice for Bier's block ?
Ans. is 'd' i.e., Lidocaine Intravenous regional Anaesthesia (Bier's block) Intravenous regional anaesthesia (IVRA) is used most often for surgery of the forearm and hand, but can also be used for distal leg and foot. First IV canula is inseed usually in the dorsum of hand. Then tourniquet cuff is applied to proximal a...
4
Bupivacaine
Etidocaine
Ropivacaine
Lidocaine
Anaesthesia
null
38c759dd-adf5-40de-ac37-ac0cb59ae6ea
single
Purpose of the post treatment retention of an orthodontic case is:
null
1
To allow bony changes
To prevent tongue thrusting
To encourage the space closure
To Let the patient get used to the new functional position of the teeth
Dental
null
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multi
Characterstic features of opioid withdrawal is:
Opiod withdrawal symptoms are lacrimation,sweating, yawning, anxiety, apprehension, restlessness, rhinorrhoea and tremors seen 8-12 hours after the last dose. Ref KD Tripathi 8th ed.
1
Rhinorrhea and lacrimation
Seizures
Delirium Tremors
Transient visual, tactile or auditory hallucinations
Pharmacology
Central Nervous system
41f65611-de17-4bd9-a239-22c81642fc83
multi
A 26 year old female complaining of scratchy croaky voice. Which of the following is true:
Scratchy croaky is a high pitched sound arising due to rubbing of vocal cords in adductor dysphonias. The best treatment here will be percutaneous botulinum injection in the thyroarytenoid muscle.
3
The best treatment is botulinum in cricoarytenoid
Type I thyroplasty can be used as treatment
Adductor dysphonia is the cause
Abductor dysphonia is the cause
ENT
Vocal Fold Palsy
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multi
Sulcus bleeding index measures:
null
3
Gingivitis
Dental plaque
Gingival bleeding
Gingival recession
Dental
null
b4139362-4f53-4721-b1f0-8fa87e9e2fc8
single
Normal PCO2 of arterial blood is:
Ans: b (40 mmHg.) Ref:Ganong, 22nd ed, p. 607Partial pressure (mmHg) Arterial bloodVenous bloodPO29540PCO24046Carrying capacityoxygen19.6ml/dl15.6ml/dl Carbon dioxide49ml/dl53ml/dl1 gm Hb can carry 1.39 ml of oxygen, when fully saturated.1.34 ml oxygen in vivo.1 gm Hb carries 3.34 mg Iron in it.Oxygen entering the body...
2
20 mmHg
40 mmHg
60 mmHg
80 mmHg
Physiology
Heart, Circulation, and Blood
c55dcbef-1875-4359-921b-35b1dd0e38da
single
Amniocentesis is early pregnancy for genetic disorders is a kind of -
Ans. is 'c' i.e., Secondary prevention
3
Primordial prevention
Primary prevention
Secondary prevention
Teiary prevention
Social & Preventive Medicine
null
3a7c16f7-5714-4223-b2ca-ace4672ce887
single
Which of the following is inactive during normal respiration?
Ventral group of respiratory neurones are inactive during normal respiration Ref: guyton and hall textbook of medical physiology 12 edition page number: 370,371,372
3
Pre-Botzinger complex
Dorsal motor neurons
Ventral VRG group of neurons
Pneumotaxic centre
Physiology
Respiratory system
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single
A 10-month-old infant presents with acute intestinal obstruction. Contrast enema X-ray shows the intussusceptions, Likely cause is
Bailey writes - "The condition is encountered most commonly in children, in whom it occurs in an idiopathic form, with a peak incidence at 3-9 months. Between 70% and 90% of cases are classed as idiopathic, and an associated illness such as gastroenteritis or urinary tract infection is found in 30%. It is believed that...
1
Payers patch hypertrophy
Mekel's diverticulum
Mucosal polyp
Duplication cyst
Surgery
null
d3bb8bc9-d483-4fef-b7f1-94d91db85cbf
single
Most common obstetrics nerve palsy?
Ref. DC Dutta's Textbook of Obstetrics. Pg 511 The commonest form of obstetric palsy encountered in puerperal period is foot drop. It is usually unilateral and appears shortly after delivery or during first day postpartum or so. It is thought to be  due to stretching of the lumbosacral trunk by the prolapsed interverte...
1
Foot drop
Facial nerve
Median nerve
Radial nerve
Unknown
null
ee1e2996-5911-4a78-9132-b814e75489bb
single
Which of the following is predisposing factor for papillary carcinoma of thyroid?
null
4
Irradiation
Thyroglossal cyst
Hashimoto’s thyroiditis
All of the above
Surgery
null
f9d7859a-8215-44c5-9e30-6760c1458bb2
multi
Whenever there is stone in the bile duct which of the following raises -a) Bile saltsb) Bilirubinc) Amylased) SGPT
null
2
ac
ab
ad
bc
Medicine
null
f185d72f-91c3-4f43-a589-0cdf36464405
single
Kerion is seen in :
Ans is 'b' Dermatophytosis Dermatophytosis is superficial fungal infection of the skin.These infections are restricted to the invasion of homys structures, Stratum corneum, Nail & Hair.Tinea is group name for highly contagious mycelial fungus. There are 3 distinct genera in this group.1. Epidermophyton (No hair involve...
2
Pityriasis
Dermatophytosis
Candidiasis
Trichomoniasis
Skin
Dermatophytosis
27a39aca-a36a-4f5b-8b7c-e35be4a85ff1
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Commonest malignancy in HIV patient ?
Ans is 'a' ie. Kaposi Sarcoma Neoplastic ds seen in AIDS a) Kaposi Sarcoma (MC)* d) Multiple Myeloma b) Non-Hodgkins lymphoma (2nd MC)* e) Melanoma c) Hodgkins lymphoma f) Cervical, brain, testicular, oral cancers
1
Kaposi sarcoma
Adenoma of stomach
Astrocytoma
CNS lymphoma
Surgery
null
4d75b82f-85f2-4226-8d04-4f9cd3582a50
single
False about paial mole:
A paial mole may not present with the classical features of a complete mole .Vaginal bleeding is a usual symptom.Many a time it may present as an incomplete or missed aboion and be diagnosed only after histopathological examination.If a fetus is present it may have the stigmata of triploidy like early onset intrauterin...
2
Caused by triploidy
Can be diagnosed very early by USG
Can present as missed aboion
Rarely causes persistent GTD
Gynaecology & Obstetrics
General obstetrics
a3850efc-7707-4466-90ff-214813f67c76
multi
Timing of removal of sutures at scalp ?
At scalp sutures can be removed at 6-8 days
4
3-4 days
4-5 days
10-12 days
6-8 days
Surgery
Sutures and Anastomoses
571bd48e-fcb7-4ed9-833f-b3d680f803a6
single
Fordyce spots are from
null
1
Sabaceous glands
Sweat glands
Endocrine glands
Mammary glands
ENT
null
2e0e49c0-f177-41e6-bc88-237b476edaa7
single
Cholecystocaval line separates
Chdecystocaval line Line drawn from IVC and gall bladder divides liver into 2 halves - right and left lobes.
2
Caudate lobe and quadrate lobe
Physiological left and right half of liver
IVC and gall bladder
Caudate lobe and IVC
Anatomy
null
b7d40a43-371c-4f6e-9802-4c84c4171a01
multi
Unilateral supranuclear lesion of facial nerve involves
null
3
Whole of face
Only ipsilateral upper part of the face
Only contra lateral lower part of the face
Whole of lower face
Anatomy
null
40330351-90f6-48ef-90f9-c196d403b967
single
Prognosis of a disease can be given by -
.the time interval between invasion by an infectious agent and appearance of the first sign or symptom of the disease in question is called incubation period.factors that determines it includes generation time,infective dose,poal of entry and individual susceptibility.it is helpful in tracing the source of infection,pe...
2
Secondary attack rate
Incubation time
Latency
Serial interval
Social & Preventive Medicine
Epidemiology
006428f5-1027-4321-b4fa-3337584a406c
single
Fractional excretion of sodium < 1 is seen in
Ans. is 'a' i.e., Pre renal azotemia * Urine Diagnostic Indices in differentiation of prerenal Vs Intrinsic Renal FailureDiagnostic IndexPrerenalARFIntrinsic Renal ARF* Fractional Excretion of Na<1> 1* Urine Sodium Concentration (mmol/L)<10>20* Urine Creatinine to Plasma Creatinine ratio>40<20* Urine osmolality (mosmol...
1
Pre renal azotemia
Acute tubular necrosis
Acute ureteral obstruction
Interstitial nephritis
Medicine
Chronic Kidney Disease and Uremia
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single
Electrical alternans in ECG is characteristic of
Electrical alternans is an electrocardiographic phenomenon defined as an alternating amplitude or axis of the QRS complexes in any or all leads. It is most commonly associated with a large pericardial effusion and impending threat of cardiac tamponade Ref Davidson 23rd edition pg 467
2
Severe bronchial asthma
Pericardial effusion
Severe LVF
AR
Medicine
C.V.S
d790b3ba-8f6a-4b0a-a8fa-8a331b2b1a3f
single
A 50-year-old woman develops a sudden, severe headache and is taken to the emergency department. On examination, she has nuchal rigidity. Her blood pressure is 115/83 mm Hg. A lumbar puncture is done; the CSF shows numerous RBCs, no neutrophils, a few mononuclear cells, and a normal glucose level. The Gram stain result...
About 1 in 50 individuals have a saccular (berry) aneurysm. Although this lesion is present at birth as a congenital defect in the arterial media at intracerebral arterial branch points, it can manifest later in life with aneurysmal dilation and possible rupture. These aneurysms are the most common cause of spontaneous...
4
Bleeding from cerebral amyloid angiopathy
Hematoma formation from arteriolosclerosis
Middle cerebral artery thromboembolism
Rupture of an intracranial berry aneurysm
Pathology
Central Nervous System
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single
A patient 12-year-old presents with midline neck swelling , this swelling moves upwards during protrusion of tongue, patient describes this as painless and gives a long history of its presence, what is the most common site for this condition?
Ans. (b) Subhyoid.Thyroglossal cyst is the diagnosis of the given image, this is a remnant of thyroglossal duct.* It is an example or tubulodermoid lined by pseudostratified ciliated columnar epithelium* Cholesterol crystals may be present and carcinomatous changes may occur* Positions in order of frequency1. Subhyoid2...
2
Suprahyoid
Subhyoid
Beneath the foramen cecum
Floor of mouth
Surgery
Evaluation of a Thyroid Nodule
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single
Mirizzi syndrome is:
Ans. (a) GB stone compressing common hepatic ductCSENDES CLASSIFICATION of Mirizzi Syndrome -5 types.* Type 1: Only compression of Common Duct.* Type 2: Erosion less than 1/3rd* Type 3: Erosion more than 1/3rd* Type 4: Total destruction* Type 5: Associated Cholecysto Enteric Fistula
1
GB stone compressing common hepatic duct
GB carcinoma invading IVC
GB stone causing cholecystitis
Pancreatic carcinoma
Surgery
Gall Bladder & Bile Ducts
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single
Which of the following statement is false regarding subclan steal syndrome ?
Most commonly involved Vessel - Left SCA > Right SCA Reversal in the blood flow in the ipsilateral veebral aery to compensate for a proximal stenosis of SCA . Majority of cases are asymptomatic but severe stenosis can lead to Transient veebrobasilar ischemia .
2
Most commonly stenosed vessel is Left Subclan aery .
Reversal of blood flow in the contralateral veebral aery .
Reversal is to compensate for a proximal stenosis of Subclan aery .
Majority cases are asymptomatic .
Surgery
Aerial disorders
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multi
Which of the following mydriatics has the shortest duration of action?
Ans. is 'd' i.e., Tropicamide Following table enumerates the salient features mydriatic durgs:Salient features of common cycloplegic and mydriatic drugsSI. NoName of the drugAge of the patient when indicatedDasage of instillationPeak effectTime of performing retinoscopyDuration of actionPeriod of postcycloplegic testTo...
4
Atropine
Homatropine
Cyclopentolate
Tropicamide
Pharmacology
A.N.S.
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single
Which of the following Toll-like receptor is most specific for bacterial recognition?
Lipopolysaccharide is an integral part of Gram negative bacterial cell wall.
4
TLR-1
TLR-2
TLR-3
TLR-4
Dental
null
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single
Ovarian cyst in children presents with pain due to all except
Pain from ovarian cysts stems from 3 sources Expansion of ovarian cortex. Peritoneal bleeding from rupture. Ovarian torsion.
4
Peritoneal bleeding from rupture
Ovarian torsion
Expansion of ovarian cortex
Stretch of Infundibulopelvic ligament
Gynaecology & Obstetrics
null
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multi
All of the following maneuvers are used in shoulder dystocia, EXCEPT:
Mauriceau-Smellie-Veit maneuver is used to assist in the delivery of the fetal head manually. While the other three maneuvers (McRobes' maneuver, Woods corkscrew maneuver andsuprapubic maneuver) are used in shoulder dystocia. Ref: Management of labor and delivery By Robe K. Creasy; pages 364-366, 328-350; Shoulder Dyst...
4
Woods Corkscrew Maneuver
Mc Robes Maneuver
Suprapubic Pressure
Mauriceau - Smellie Veit Maneuver
Gynaecology & Obstetrics
null
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multi
Infectivity of chicken pox last for :
“Period of communicability of varicella range from 1 to 2 days before the appearance of rash, and 4 to 5 days there after.” Park 18/e, p 123 The patient ceases to be infectious once the lesions have crusted. Scabs are not infective. So, option “a” is wrong. Important features of chicken pox : Causative Agent - Varicel...
2
Till the last scab falls off
6 days after onset of rash
3 days after onset of rash
Till the fever subsides
Microbiology
null
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Not a vit. K dependent factor:
D i.e. XII- Vit K dependent factors: factor II (prothrombin), VII, IX, X protein C and SQ- Vit K is a necessary cofactor for the enzyme that catalyzes carboxylation of glutamic residue in these proteins, necessary for their action- PT is first to be prolonged in Vit K deficiency.Q ( factor VII has sho t1/2)
2
II
VII
IX
XII
Physiology
null
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single
Known Associations of Coeliac disease include the following except
IDDM and thyroiditis are endocrine associations but Addison's disease is not recognised as such, although there is a predominance of autoimmune diseases.
4
Epilepsy with posterior cerebellar calcification
IgA nephropathy
Oesophageal carcinoma
Addison's disease
Pathology
All India exam
b3e1ad1e-e784-4894-823e-e4c8ae613a51
multi
Indication for tracheostomy are all, EXCEPT:
Indications for tracheostomy are Flail chest, Head injury, Foreign body, Tetanus etc. Cardiac tamponade is not an indication for tracheostomy.
3
Flail chest
Head injury
Cardiac Tamponade
Foreign body
Surgery
null
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multi
In normal pregnancy b-Hcg doubles in
With early normal progressing uterine pregnancies, the mean doubling time for serum bhCG levels was approximately 48 hours. The lowest normal value for this increase was 66 percent.Reference: William&;s Obstetrics; 24th edition; Chapter 19; Ectopic Pregnancy
2
24hours
48hours
72hours
90hours
Gynaecology & Obstetrics
General obstetrics
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single
The preferred bypass procedure in case of non resectable carcinoma of head of pancreas is
It is preferable to use bile duct rather than the gall bladder.Cholecystojejunostomy is easier to perform,but the bile must then drain through the cystic duct,which is narrow and ,if the cystic duct is inseed low into the bile duct,it is vulnerable to occlusion by tumour growth. Bailey & Love 26th edition ,page no.1140...
4
Cholecystojejunostomy
Cholecystogatrostomy
Choledochoduodenostomy
Choledochojejunostomy
Surgery
G.I.T
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single
Resting membrane potential depends mainly on-
Ans. is "a' i.e., K o This question has been repeated in many exams.o The RMP is principally due to concentration difference (chemical difference) of K+ in ECF and ICF. In neurons, the resting membrane potential is usually about -70 mV, which is close to the equilibrium potential for K+. Here, it is worth noting that R...
1
K
Na
Cl
HCO3
Physiology
Nerve Physiology
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single
Bilirubin secretion is stimulated by
Bile salts are the most important cholerectic or the substance that increases bile secretion. Cholecystokinin (CCK) is the most important cholagogue or substance that increases gallbladder contraction.
1
Bile salts
Bile pigments
Secretin
CCK
Physiology
null
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single
The primary action of the neurotransmitter Nitric oxide (NO) in the gastrointestinal tract is:
Nitric oxide (NO) is an inhibitory neurotransmitter of enteric motor neurons that mediates Gastrointestinal smooth muscle relaxation. Unlike most neurotransmitters and hormones, NO does not act a membrane bound receptor. Instead NO readily diffuses into adjacent target cells to directly activate guanylcyclase and media...
3
Vasodilatation
Vasoconstriction
Gastrointestinal smooth muscle relaxation
Gastrointestinal slow smooth muscle contraction
Physiology
null
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Feilization is complete when
At feilization, the secondary oocyte complete meiosis 2 to form a mature oocyte and a second polar body Ref: Gray's 39e/p-210-220
2
1st polar body is formed
2nd polar body is formed
Primary oocyte is formed
Secondary oocyte is formed
Anatomy
General anatomy
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single
Hutchinson's secondaries in skull are due to tumors in which of the following organs?
Hutchison's secondaries in the skull and orbit arise from left sided adrenal neuroblastoma. Secondaries in the skull mimics spicular osteogenic sarcoma. It is common in late childhood. Pepper type is right sided adrenal neuroblastoma with liver secondaries. It common in infants.Neuroblastoma is the commonest childhood ...
4
Lungs
Breast
Liver
Adrenals
Pathology
null
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single
A 40-year-old HIV positive male, presented with complaints of a characteristic rash over his back and buttocks. The rash was painful and has worsened over the past 3 days. Physical examination is unremarkable. Rest of the skin examination is normal. A smear was prepared from the lesions. All of the following drugs are ...
This is a case of Herpes zoster/ Shingles. The image shows hemorrhagic vesicles and pustules on an erythematous base in a dermatomal distribution. 2nd image shows a Tzanck smear with classical multinucleate giant cells seen in varicella. Drugs approved are: - Valcyclovir Famciclovir Acyclovir Ganciclovir is approved fo...
3
Acyclovir
Valcyclovir
Ganciclovir
Famciclovir
Unknown
Integrated QBank
208d5276-fba3-4b94-97b1-4fdeac62322a
multi
Most specific histological lesion in diabetic nephropathy is -
Repeated Question
4
Glomerular crescents
Immune complex deposition
Occlusion of glomeruli with fibrin caps
Nodular glomerulosclerosis
Pathology
Urinary tract
d279db47-3e37-46b3-b1fd-60420998a907
single
Not true about bile salts
Bile is made up of the bile acids, bile pigments, and other substances dissolved in an alkaline electrolyte solution that resembles pancreatic juice. About 500 mL issecreted per day. Some of the components of the bile are reabsorbed in the intestine and then excreted again by the liver (enterohepatic circulation). The ...
2
Contain amino acid
Acts by increasing surface tension
They are amphipathic
Responsible for emulsification of fat
Physiology
G.I.T
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multi
The metabolic derangement in congenital pyloric stenosis is –
Clinical manifestations of congenital hypertrophic pyloric stenosis Pyloric stenosis is usually not present at birth. Nonbullous vomiting is the initial symptoms of pyloric stenosis. The vomiting usually starts after 3 weeks of age, but symptoms may develop as early as the 1st week of life and as late as the 5 months...
1
Hypochloremic alkalosis
Hyperchloremic alkalosis
Hyperchloremic acidosis
Hypochloremic acidosis
Pediatrics
null
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single
All of the following are boundaries of Trautman's triangle except:
Ans b): Inferior petrosal sinusBoundaries of Trautman's triangle-Boundaries of Citelle's angle -Bony labyrinthSigmoid sinusSigmoid sinusSuperior petrosal sinusMiddle fossa dura plateSolid angle- angle formed by three semicircular canalsContent of canal of Huguier- Chorda tympaniDorello's canalIts the groove of 5th nerv...
2
Sigmoid sinus
Inferior petrosal sinus
Superior petrosal sinus
Bony labyrinth
Anatomy
Head & Neck
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multi
Neurotransmitter playing major pa in the pathogenesis of Alzheimer's disease ?
Ans. is 'c' i.e., Acetylcholine Neurotransmitters in Alzheimer's disease Acetylcholine has a major role in memory functions and deficiency in cholinergic functioning is associatedwith memory disturbances paicularly sho term memory. In Alzheimer's disease there loss of cells in the nucleus basalis of meyernet results in...
3
Serotonine
Norepinephrine
Acetylcholine
Dopamine
Psychiatry
null
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single
A 45 years old female presented to OPD with dull aching pain to right upper quadrant. She has two kids and taking OCPs from the last 5 years. Nodular enhancement was seen in the mass lesion on MRI. Which of the following is false about given condition ?
History - (i) Patient is a female(ii) H/o OCP from last 5 years C/F - Asymptomatic Incidentally detected on radiological investigation Dull aching pain in right upper quadrant On CECT - Peripheral nodular enhancement - Suggestive of hemangioma Hemangioma - MC benign Tm of liver Most patient remain asymptomatic (if tumo...
4
M/C benign tumor of liver .
FNAC / Biopsy are contraindicated .
Rarely associated with Kasabach Meritt syndrome .
Treatment of choice is Radical Excision .
Surgery
Liver
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multi
In X-ray right border of mediastinum is formed by all EXCEPT
Right mediastinal border is formed by right innominate (brachiocephalic) vein, SVC, right atrium, and IVC (IVC may not be visible in PA view).
3
SVC
Right atrium
Right ventricle
Right brachiocephalic veins
Radiology
null
52d77dd6-26dc-472e-b5fe-a08ea41c60c6
multi
Dorsal column lesions are associated with loss of:
Ans: C (Proprioception) Ref: Harrison's Principles of Internal Medicine, 18th ed.Explanation:The posterior column (dorsal column)It refers to the area of white matter in the dorsomedial side of the spinal cord.It is made up of the fasciculus gracilis and fasciculus cuneatusIt is part of an ascending pathway that is imp...
3
Ankle jerk
Knee jerk
Proprioception
Superficial abdominal reflexes
Medicine
C.N.S.
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single
Sequence of events in glycogenolysis?
A i.e. Phosphorylase, Glucan transferase, Debranching, Phosphorylase- In well fed state (also called absorptive stage) insulin suppresses glucose -6- phosphatase activity and causes glucose 6 -phosphate to enter glycogenesisR (to form glycogen).- Active glycogen phosphorylase a in both tissues (i.e. muscle and liver) i...
1
Phosphorylase, Glucan transferase , Debranching, Phosphorylase
Debranching, Phosphorylase, transferase, phosphorylase
Transferase , phosphorylase, Debranching, phosphorylase
Any of the above
Biochemistry
null
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multi
T. pallidum was discovered by
Ans. a (Schaudin and Hoffman) (Ref. Anantanarayan, Microbiology, 8th/ p. 5; 377)Treponema pallidum, the causative agent of syphilis, was discovered by Schaudinn and Hoffmann (1905) in the chancres and ingunal nodes of syphilitic pts. Pallidum refers to pale staining.Important discoveries in MicrobiologySr. no.Scientist...
1
Schaudin and Hoffman
Ellerman and Bang
Twort
Robert Koch
Microbiology
Bacteria
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multi
A 34 year old male with chest trauma presents with sudden onset respiratory distress which is increasing. Hyper-resonant note is observed on the left side. Which of the following is the most appropriate immediate emergent management?
Answer is A (Needle puncture and emergent decompression): Sudden Onset Respiratory Distress (which is increasing) and a Hyper-resonant percussion note in a patient with history of chest trauma suggest a diagnosis of Tension Pneumothorax. Needle puncture and emergent decompression is the treatment of choice for Tension ...
1
Needle puncture and emergent decompression
Tube inseion
Antibiotic and oxygen
No treatment needed
Medicine
null
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single
Savlon contains -
Ans. is 'a' i.e. Cetrimide + chlorhexidine o Savlon contains - Chlorhexidine gluconate (hibitane) + Cetrimide (cetavlon) in various percentages.
1
Cetrimide + Chlorhexidine
Cetrimide + Chlorhexidine + butyl alcohol
Cetrimide + butyl alcohol
Cetrimide + Cetavlon
Social & Preventive Medicine
null
3b388c16-4867-4269-bf3f-43b17b25f706
single
Hvpervitaminosis A causes -
Ans. is 'd' i.e., All of above Vitamin A Toxicityo Anorexia, slow growth, drying and cracking of skin, enlargement of liver and spleen, swelling and pain of long bones, bone fragility", increased intracranial pressure, alopecia, carotenemia; fetal abnormalities.Vitamin A deficiencyo Nyctalopia, photophobia, xerophthalm...
4
Benign cranial hypertension
Craniotabes
Liver damage
All of above
Pediatrics
Vitamin A
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multi
A 67-year-old man, chronic smoker, presented to the ER with sudden, intense and persistent abdominal and back pain along with altered mental status. O/E: - Hypotension Tachycardia Cyanosis. On abdominal examination, a tender, pulsatile and an expansile mass was noted in the umbilical and the epigastric region. Patient ...
This is a case of abdominal aoic aneurysm rupture into the intraperitoneal cavity leading to frank shock. Image 1 shows abdominal aoic aneurysm. Image 2 shows hyperdense crescent sign which is a sign of impending aoic rupture Abdominal Aoic Aneurysm Males > females Incidence increases with age Cigarette smoking is a po...
1
5.5 cm
5.4 cm
4.5 cm
4.4 cm
Unknown
Integrated QBank
282655ba-1e02-4053-b58b-69e96104c7f6
single
Which of the following is not an example of pure gold restorative material?​
Direct gold restorations are the only type of restorations that use pure metal, namely gold, with the exception of one type of direct gold, i.e., electralloy. Direct gold materials can be classified into two main categories: precipitated gold and gold foil. Electralloy is an actual alloy of gold and calcium, with the c...
2
E-Z gold​
Electralloy​
Goldent​
Mat gold​
Dental
null
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multi
Which of the following organism is implicated in the causation of botryomycosis
Staphylococcus aureus and other pyogenic bacteria may occasionally cause a mycetoma-like lesion called botryomycosis. Ref: Textbook of Microbiology; Ananthanarayan and Paniker's; 10th Edition; Page No: 401
1
Staphylococcus aureus
Staphylococcus albus
Pseudomonas aeruginosa
Streptococcus pneumoniae
Microbiology
Bacteriology
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single
Hydrophobic amino acid is
Amino acids having non-polar side chaindthese include Alanine,Valine,Leucine,Isoleucine,Methionine,Proline,Phenylalanine and Tryptophan.These groups are HYDROPHOBIC (waater repellant) and lipidophilic REFERENCE ; DM VASUDEVAN TEXTBOOK SEVENTH EDITION PAGE NO :26
1
Alanine
Tyrosine
Glycine
Histidine
Biochemistry
Structure and function of protein
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single
Which of the following is a high ceiling diuretic ?
Ans. is 'a' i.e., Furosemide o Loop diuretics are called high ceiling diuretics because, progressive increase in dose is matched by increasing diuresis, i.e. they have a high ceiling effect. o Furosamide is a loop diuretics.
1
Furosemide
Spironolactone
Acetazolamide
Thiazide
Pharmacology
null
1f97e145-c7d8-4632-b465-79a5135ce13c
single
Which of the following is derived from 3rd pharyngeal arch?
Lesser cornu of hyoid- 2nd Thyroid cailage- 4th arch Cricoid- 6th arch
4
Cricoid cailage
Thyroid cailage
Lesser cornu of hyoid
Greater cornu of hyoid
Anatomy
All India exam
b2ebc0f4-2540-4d6d-8ce2-ebd962938623
single
ATRA is used in treatment of tumour which is associated with which of the following
PML RARA So AML M3 is associated with PML RARA fusion product And the treatment AML M3 is ATRA or arsenic trioxide ref : robbins 10th ed
1
PML RARA
BCR ABL
C myc
CEBPA
Pathology
All India exam
126aa8b9-978a-433b-a7ec-255c4ec63693
single
Continuous contact lens wear may lead to -
Ans. is 'a' i.e., Giant papillary conjunctivitis o Giant Papillary Conjunctivitis (GPC) is the formation of small-sized nodules (called 'papillae', 0.3-1mm size or larger) on the inner side of the eyelids (on the conjunctiva); leading to foreign body sensation, persistent irritation, discharge of watery mucus, among ot...
1
Giant papillary conjunctivitis
Anterior uveitis
Nuclear Cataract
Trachoma
Ophthalmology
Inflammations of Conjunctiva - Allergic and Granulomatous
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single
True about PMSMA except:-
PMSMA - Pradhan Mantri Surakshit Matritva Abhiyaan: * Launched by Ministry of health & family welfare. * Free antenatal check-up of pregnant women with paicipation of Private doctors. * Held at Govt. hospitals on 9th of every month. * Logo for PMSMA.
2
Pradhan Mantri Surakshit Matritva Abhiyaan
Free antenatal check-up of pregnant women with paicipation of Govt. doctors
Held at Govt. hospitals on every 9th of month
Launched by Ministry of health & family welfare
Social & Preventive Medicine
Health Schemes
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multi
A 25 years old female develops serous otitis media of left ear with cough and occasional hemoptysis and hematuria and epistaxis for one and half months her hemoglobin is 7 gm. B.P is > 170/100, proteinuria +++, RA - ve and ANCA - ve, the likely cause is?
Answer is A>D (Wegener's granulumatosis > Goodpasture's Syndrome); The patient in question is presenting with characteristic clinical triad of Wegener's granulomatosis, namely, Vasculitis of upper respiratory tract (serous otitis media, epistaxis), Vasculitis of lower respiratory tract (cough and hemoptysis) and vascul...
1
Wegener's granulomatosis
Rheumiatoid ahritis
Rapidly proliferative glomerulonephritis
Goodpasteur's syndrome
Medicine
null
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single
Which of the following is true about oral therapy for iron deficiency anemia?
Discussing about the options one by one, a. Only 10% of the iron given by oral route gets absorbed.- so option 1 is wrong b. Reticulocytosis appears in 48-72 hours, peaking at 5-7 days - so option 2 is wrong c. Clinical response to treatment appears within 24 hours - so option 3 is wrong d. The normalization of body ir...
4
In 300 mg elemental iron given, 100 mg gets absorbed
Reticulocytosis appears in one to 2 weeks and then peaks in 3-4 weeks
Response to treatment stas appearing in 4 weeks
Decrease in absorption occurs with improvement of symptoms
Pediatrics
Nutritional anemia
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multi
LES pressure is decreased by all except
LES pressure- 10-25mm Hg LES presssure decreased by Alcohol, smoking, fat Coffee, Chocolate, Mint Barbiturates, Atropine, diazepam, theophylline Ref; katzung 12th ed.
3
Alcohol
Fat
Protein
Peppermint
Pharmacology
All India exam
a3d1a9e5-b670-48ff-b9dd-268dd43d9725
multi
Average Mental IQ according to Wechsler's Scale is –
Wechsler Adult Intelligence Scale (WAIS) : David Wechsler (1939), published the first intelligence test designed for an adult population; It was the first IQ test based on Normal/Gaussian distribution'. It is currently in its fourth edition (WAIS-IV). The original WAIS (Form I) was published in February 1955, as a revi...
3
70–79
80–89
90–109
110–119
Social & Preventive Medicine
null
c8411e9b-ca27-4204-97b4-8c524023e5b3
single