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Which of the following type of joint is classified as immovable joint?
Immovable joints or synahroses are classified into three types: sutures, gomphoses and synchondroses. Aicular surfaces of the two bones are held together by fibrous connective tissue.Sutures are fibrous joints with closely united opposing surfaces such as the coronal suture.Gomphoses are joints which has a conical proc...
4
Sutures
Gomphoses
Synchondroses
All of the above
Anatomy
null
8927e0d1-33f1-4c2b-8a52-3c1afdc2131e
multi
Which anti-tubercular drug is implicated in the causation of transient memory loss?
Isoniazid (lsonicotinic acid hydrazide, H): Isoniazid is the antitubercular drug parexcellence, and an essential component of all antitubercular regimens, unless the patient is not able to tolerate it or bacilli are resistant. lt is primarily tuberculocidal. Fast multiplying organisms are rapidly killed, but quiescent ...
2
Ethionamide
Isoniazid
Ethambutol
Pyrazinamide
Pharmacology
Chemotherapy
d4b9342f-b2ec-4391-8031-737ea646bcbe
single
Smita is a case of infeility. What is the right time in her menstrual cycle to do endometrial biopsy.
Ans. is c i.e. 20 - 22 days ENDOMETRIAL BIOPSY OPD procedure for hormonal evaluation in case of infeility / DUB/TB. Usually performed in pre - menstrual phase from lateral wall of vagina. Interpretation : Presence of secretory endometrium Progesterone phase (cycles has been ovulatory) Presence of proliferative endometr...
3
12 - l4 days
17 - 19 days
20 - 22 days
3-5days
Gynaecology & Obstetrics
null
c759b34c-69a0-4f16-b3b2-b7872e38d23b
single
Main pancreatic duct is derived from:
The pancreas develops from the two endodermal buds, dorsal and ventral, that arise from the pa of the gut that later forms the second pa of the duodenum. The ventral bud forms the lower pa of the head, and the uncinate process of the pancreas, while the upper pa of the head, the body and the tail are formed from the do...
1
Paly from the dorsal pancreatic bud and paly from the ventral pancreatic bud
Dorsal pancreatic bud only
Ventral pancreatic bud only
None of the above
Anatomy
null
223efc56-5980-4f2a-bd33-7749ba5eb231
multi
White lesion with definite precancerous potential
null
1
Leukoplakia
Discoid lupus Erythematosus
Lichen Planus
All of the above
Pathology
null
43d6dd9b-b724-49ec-8142-6de1e24b4b5b
multi
Neil Mooser reaction or Tunica reaction is useful to diffferentiate between?
ANSWER: (A) R. prowazekii 8t R. typhiSelf Assessment & Review Microbiology Immunology 4th edition by Chaurasia page 224, Textbook of Microbiology & Immunology by Subhash Chandra Parija page 427"R. typhi is differentiated from R. prowazekii by Neil Moser reaction and by partial DNA homology"NEIL MOSER REACTION: Neil Mos...
1
R. prowazekii & R. typhi
R. typhi & R. rickettsia
R. prowazekii & R. rickettsia
R. rickettsii 8c C. burnetti
Microbiology
Bacteria
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A 22-year-old homeless person with a known drug abuse problem and multiple opportunistic infections has a positive PPD (purified protein) test. Which of the following is the most common way this infection is acquired?
The respiratory tract is a common portal of entry to such airborne organisms as M. tuberculosis. This is why respiratory precautions must be taken when patients are harboring viable M. tuberculosis. The GI tract is usually infected from ingestion of contaminated food or water (Shigella, Salmonella, and Campylobacter) o...
4
GI tract
Genital tract
Nasal tract
Respiratory tract
Microbiology
Bacteria
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single
C D-99 is for -
CD 99 is a marker associated with the diagnosis of Ewing's sarcoma. Granulosa cell tumour is also often found to be associated with CD 99.
1
Ewing's sarcoma
SLL
Dermatofibroma protruberans
Malignant histiocytic fibroma
Pathology
null
ac775d3d-777d-4a60-894f-b079e297018e
single
40 db compared to 20 db is -
SPL = Sound pressure level If a sound has an SPL of 1000 i.e (103) times, the reference of sound, it is expressed as 20 × log 1000 = 20 × 3 = 60 dB (as log 1000 = 3) Now in the Q sound is 20 dB, that means to get 20 as the answer, 20 has to be multiplied by 1, i.e the SPL of this sound is 10 (because log 10 is 1). Now ...
3
Double
10 times
100 times
1000 times
ENT
null
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single
Common carotid artery is palpated at?
null
1
Upper border of cricoid cartilage
Upper border of thyroid cartilage
Hyoid bone
Cricothyroid membrane
Anatomy
null
87124c5b-528e-4571-91b3-34379256ad8b
single
Oral hairy leukoplakia is caused by ?
Oral hairy leukoplakia is caused by EBV. EBV causes: - Infectious mononucleosis - Naso pharyngeal carcinoma - Burkitts lymphoma - Hodgkin's lymphoma / Non Hodgkin lymphoma - Tonsillar carcinoma - Oral hairy leukoplakia. (Refer to the image below) - Duncan syndrome. fig:- Oral hairy leukoplakia Other viruses in the opti...
2
CMV
EBV
Kaposi sarcoma
Varicella zoster
Microbiology
Virology (General Propeies, DNA Viruses)
248ccfb6-0555-4852-9c1a-dd459f0c079f
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Anterior relations of right ureter are all EXCEPT
Abdominal aery divides into common iliac aery which divides into external and internal iliac aeries. Gonadal aeries crosses ureter anteriorly. Right colic aery a branch of superior mesentric aery crosses ureter anteriorly. Left colic aery branch of inferior mesentric aery crosses ureter anteriorly. But bifurcation of r...
4
Gonadal vessels
Root of mesentery
Ileocolic vessels
Bifurcation of right common iliac aery
Anatomy
GIT 1
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multi
Cherry red color in postmoem staining is a feature of poisoning with: WB 08; NEET 13
Ans. CO
4
Nitrites
Aniline
Phosphorus
CO
Forensic Medicine
null
29259a0a-b8ed-42e7-a331-fb623d3565cb
single
In a complete section of the ulnar nerve at the wrist, disability of the hand results from the paralysis of
Interossei involve all digits hence produce complete disability. Hypothenar muscles are paralyzed but affect only the muscles of the little finger. Branches to FDP and FCU are given off in the forearm and hence intact in a wrist lesion.** Both interossei, hypothenar effected, question asks which causes more disability ...
3
Flexor carpi ulnaris
Flexor digitorum profundus
Interossei
Hypothenar muscles
Anatomy
Upper limb
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In acoustic neuroma, cranial nerve to be involved earliest is
The earliest cranial nerve to be involved is V nerve causing reduced corneal sensitivity. Ref: Textbook of diseases of ENT, PL Dhingra, 7th edition, pg no. 125
1
5
7
9
10
ENT
Ear
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single
A previously healthy infant presents with recurrent episode of abdominal pain. The mother says that the child has been passing altered stool after episodes of pain, but gives no history of vomiting or bleeding per rectum. Which of the following is the most likely diagnosis -
Ans is 'b' i.e., Intussuception o The infant in question has: (i) Recurrent episodes of abdominal pain (ii) Passing of altered stools after episodes of pain (iii) No vomiting or bleeding per rectum. o Most common presentation of rectal polyps and Meckel's diveiculum is painless rectal bleeding (option a & c are ruled o...
2
Rectal Polys
Intussuception
Meckel's Diveiculum
Necrotizing Enterocolitis
Pediatrics
null
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single
Best way to diagnose lower small intestinal obstruction
null
4
Pain abdomen
Abdominal distension
Profuse vimitting
Multiple air gas shadows on X - ray
Surgery
null
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The best indicator of acute malnutrition is
Severe acute malnutrition is defined by a very low weight for height (below-3z scores of the median WHO growth standards), by visible severe wasting, or by the presence of nutritional edema.(Refer: Nelson's Textbook of Pediatrics, SAE, 1st edition, pg no. 301)
1
Weight for height
Weight for age
Height for age
BMI <2SD
Pediatrics
All India exam
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Organism lacking cell wall:
Ans: d (Mycoplasma) Ref: Ananthanarayanan, 7th ed, p. 395Mycoplasma are a group of bacteria that are devoid of cell walls and so highly pleomorphic with no size and shape.The cells are bounded by a soft trilaminar unit membrane containing sterols.Cell wall: Between capsule & cytoplasmic membrane-CELL WALL COMPONENTS Gr...
4
Bacillus
Actinomycetes
Chlamydiae
Mycoplasma
Microbiology
Mycoplasma
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multi
Thermally dimorphic fungus is all except:
Ans. C. CandidaDimorphic fungi:Have yeast form in host & in vitro at 37degon enriched media and hyphal (mycelial) form in vitro (25degC) e.g.1. Histoplasma capsulatum2. Coccioidesimmitis3. Paracoccidioides Brasiliensis4. Blastomyces dermatitidis5. Sporothrixschenckii6. Penicillium marneffi
3
Coccidioidomycosis
Blastomycosis
Candida
Histoplasmosis
Microbiology
Mycology
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Which of the following is not an antioxidant
Antioxidant vitamins are beta carotene, vitamin A, vitamin C and vitamin E.
4
Beta carotene
Vit C
Vit E
Vit B1
Biochemistry
null
f60d6f99-6acc-4217-bdc1-86007979c079
single
Laser irodotomy is done in: March 2012
Ans: A i.e. Angle closure glaucoma Management of glaucoma Nd: YAG iridotomy (both eyes) is done in acute, subacute & chronic primary angle closure glaucoma Surgical procedures for primary open angle glaucoma include laser trabeculoplasty & trabeculectomy if required Angle closure because of fibrosis/ Neovascular glauco...
1
Angle closure glaucoma
Open angle glaucoma
Neovascular glaucoma
Congenital glaucoma
Ophthalmology
null
695c4664-8ae8-472e-b38e-ef5ace8b57f8
single
For which of the following condition Tanner staging system is used?
Tanner stages was developed to describe normal pubeal development. With pubey, primary sexual characteristics of the hypothalamus, pituitary, and ovaries initially undergo an intricate maturation process. This maturation leads to the complex development of secondary sexual characteristics involving the breast, sexual h...
4
Down's syndrome
PKU
Precocious pubey
Normal pubey
Pediatrics
null
cc12247a-0f83-4ce5-9d61-c6d237161e8f
single
CLIP staging systems is used for classification for which of the following disease?
Hepatoma Table: Clip Staging Systems for Hepatocellular Carcinoma CLIP Classification Points Variables 0 1 2 1.Tumor number Single Multiple - Hepatic replacement by tumor (%) <50 <50 >50 2.Child - pugh score A B C 3. Fetoprotein <400 <400 -
2
CA colon
Hepatoma
Wilson's disease
Ulcerative colitis
Surgery
null
15217cd9-d4da-4a29-9ad2-61e2ef95d6df
single
Surgery of choice for congenital cataract ?
Ans. is 'a' i.e., ECCE Surgery for congenital or developmental cataract Cataract surgery is the treatment of choice for congenital and developmental cataract. Extracapsular cataract extraction (extracapsular removal of the cataractous lens) is the surgery of choice.This is done by phacoemulsification. Intracapsular cat...
1
ECCE
ICCE
Needling
Discission
Ophthalmology
null
ee26b531-d2bf-4ece-ac91-920eab9e9266
single
Which of the following is/are true about medial longitudinal fasciculus (MLF) and its lesion except
Ans. (a) Unilateral lesion result in adduction palsy of opposite eyeRef: Kanski 7/c, p. 839MLF lesion leads to contralateral gaze defect with ipsilateral adduction defect.It helps in horizontal gaze, that is both eyes moving towards right or left, Conjugate or version movement
1
Unilateral lesion result in adduction palsy of opposite eye
MLF connects sixth cranial nerve nucleus of one side with the third cranial nerve nucleus of the other side
MLF is responsible for conjugate eye movements
It is an integral component of saccadic eye movements
Ophthalmology
Strabismus
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multi
Commonest causative organism for ASOM in 2 years child is:
Most common cause of acute otitis media:Streptococcus pneumonia / pneumococcus (35-40% cases)H. influenza (25-30%)M. catarrhalis (10-20%)
1
Pneumococcus
H. influenzae
Staphylococcus
Streptococcus
ENT
null
3d77f281-3d08-4c70-92a1-acc7f00a0cca
single
Subclan steal syndrome results due to obstruction of
The proximal pa of left subclan is blocked on left side so no flow in veebral and to left arm. Blood from right veebral enters left veebral and flows back to supply left arm.
1
1st pa of subclan aery
2nd pa of subclan aery
3rd pa of subclan aery
Subclan vein
Anatomy
Head and neck
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CA-125 is marker for: September 2007
Ans. B: Ovarian cancerCA-125 is an antigen present on 80 percent of nonmucinous ovarian carcinomas.It is defined by a monoclonal antibody (0C125) that was generated by immunizing laboratory mice with a cell line established from human ovarian carcinoma.It circulates in the serum of patients with ovarian carcinoma and w...
2
Breast cancer
Ovarian cancer
Pancreatic cancer
Colon cancer
Pathology
null
5552a5a0-79e0-4ec9-833d-499a52a19700
single
Unit of turbidity is calculated by ?
Ans: A. Measuring the scattered light at 90degIT is involved with measuring the amount of transmitted light (and calculating the absorbed light) by paicles in suspension to determine the concentration of the substance in question.Amount of absorbed light, and therefore, concentration is dependent on, Number of paicles,...
1
Measuring the scattered light at 90deg
Measuring the scattered light at 180deg
Measuring the scattered light at 270deg
Measuring scattered light at 135deg
Biochemistry
null
ef71ee7a-72f6-482f-a666-3a09cbc798d0
single
Rh incomatibility is -
Ans. is 'b' i.e., Type II hypersensitivityo Rh incomplatability (erythroblastosis fetalis) is a type II hypeosensiutivity.
2
Type I hypersensitivity
Type II hypersensitivity
Type III hypersensitivity
Type IV hyperseninsitivity
Pathology
null
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single
How should the lingual extension of the mandibular impression be tested
null
3
By functional movements of the facial muscles
By vigorous extreme movements of the tongue
By functional movements of the tongue
By lateral and protrusive movement of the mandible
Dental
null
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single
Protein synthesis
null
1
ER
Mitochondria
Cytosol
Golgi apparatus
Biochemistry
null
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Bilateral proptosis in children is the most common presentation of:
Ans. b. Leukemi Leukemic infiltration into the orbit (chloroma) is the most common cause of bilateral proptosis in children amongst the option provided. The most common cause of bilateral proptosis in children is not definitively established, but metastatic neuroblastoma and/or leukemia (chloroma) should be considered ...
2
Neurofibromatosis
Leukemia
Cavernous hemangioma
Malignant fibrous Histiocytoma
Ophthalmology
null
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single
Mammography was performed in 45 year old female for screening of breast cancer. The finding is suggestive of
Mammography Soft tissue radiographs are taken by placing the breast in direct contact with ultrasensitive film and exposing it to low-voltage, high-amperage x-rays. The dose of radiation is approximately 0.1 cGy and, therefore, mammography is a very safe investigation. The sensitivity of this investigation increases wi...
2
Benign lesion
Malignant lesion
Indeterminate
No opinion can be given
Anatomy
Endocrinology and breast
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single
Transducin is a protein found in:
Retina REF: Ganong 22nd edition, chapter 8, http://en.wikipedia.org/wiki/Transducin Transducin (also called Gt) is a heterotrimeric G protein that is naturally expressed in veebrate retina rods and cones. Mechanism of action: Heterotrimeric Transducin (alpha-beta-gamma subunits) is activated by a conformational change ...
2
Glomerulus
Retina
Skeletal muscle
Adrenal medulla
Ophthalmology
null
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single
Which is true of cholesteatoma:
Ans. B Erodes the bone Normally middle ear is not lined by keratinising squamous epithelium. If keratinising squamous epithelium is present anywhere in the middle ear or mastoid, it is called as cholesteatoma. The term cholesteatoma literally means - "Skin in the wrong place." It is a misnomer because neither it contai...
2
Physiological
Erodes bone
Benign neoplasm
Contains cholesterol
ENT
null
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multi
True about Salter harris classification is-
Salter-Harris types Feature 1 Fracture line is entirely with in Physis causing epiphyseal slip 2 Fracture line extends from physis into the Metaphysis (Thurston-Holland's fragment sign) 3 Fracture line extends from physis into the Epiphysis causing epiphyseal split 4 Fracture line extends across the Epiphysis, (aicular...
4
Thurston Holland sign is seen in type IV injury
Type I injury has worst prognosis
Type II injury is fracture of necessity
Physeal crushing injury occurs in type V
Orthopaedics
Ohopaedics Q Bank
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multi
Coffee bean appearance is seen with:
Sigmoid volvulus produces a characteristic bent inner tube or coffee bean appearance, with the convexity of the loop lying in the right upper quadrant. Gastrografin enema shows a narrowing at the site of the volvulus and a pathognomonic bird's beak Ref: Schwaz's principle of surgery 9th edition, chapter 29.
2
Testicular torsion
Volvulus
Meconium ileus
Ileal atresia
Surgery
null
24206150-a13f-4ea0-94c9-462301403dc3
single
Bed of tonsil is formed by-
Ans. A. Superior constrictorThe tonsillar bed-a. The lateral or deep surface of the tonsil spreads downwards, upwards and forwards.b. Inferiorly, it invades the dorsum of the tongue, superiorly, the soft palate, and, anteriorly, it may extend for some distance under the palatoglossal arch.c. This deep, lateral aspect i...
1
Superior constrictor
Middle constrictor
Inferior constrictor
Platysma
Anatomy
Oral Cavity & Tongue
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Tumor lysis syndrome is associated with all of he following laboratory feature except-
Ans. is 'b' i.e., Hypercalcemia Tumour lysis svndrome|Destruction of large number of rapidly proliferating cellsHyperuricemiaHyperphosphatemiaHyperkalemia|||Uric acid pptCauses reciprocalArrhythmiasin tubulesdecrease in calcium || Renal failure-Hypocalcemia
2
Hyperkalemia
Hypercalcemia
Hyperuricemia
Hyperphosphatemia
Medicine
Hypercalcemia and Hypocalcemia
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multi
The superior vesical arteries are direct branches of the
The umbilical artery is a branch of the internal iliac artery. In the fetus, the umbilical artery passes over the bladder and continues up the anterior body wall to the umbilical cord and out to the placenta. As it passes the bladder, it gives rise to the superior vesical arteries. After birth, the part of the artery d...
2
Internal iliac artery
Umbilical artery
Internal pudendal artery
External pudendal artery
Unknown
null
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single
GABA- B receptor is which type of receptor -
Ans: B. Metabotropic transmembrane receptor(Ref : KDT //e p. 399, 402 6 6h/e p. 395; Katzung 17th/e p' 377-378; lP/e p' 355)Metabotropic recePtors:Are G-protein coupled receptors which act through second messenger.Examples: GABA-B receptors, Muscarinic (M1 to M5)
2
Inotropic receptor
Metabotropic transmembrane receptor
Ligand gated ion channel
Intrinsic ion channel
Pharmacology
null
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single
Neutrophilic leukocytosis, lymphoenia, and eosinopenia are most likely associated with which of the following disorders?
Neutrophilic leukocytosis, lymphopenia, and eosino­penia are most likely associated with Cushing syn­drome and the hypercortisolism associated with the syndrome. Cortisol decreases neutrophil adhesion in the peripheral blood, thus releasing the marginating pool into the circulation. Cortisol also increases lym­phocyte ...
4
Endotoxic shock
Typhoid fever
Whooping cough
Cushing syndrome
Unknown
null
2d6b6d15-a17f-4c83-a4cc-6f33e14a3bb8
single
Which of the following hormones is an example of a peptide hormone?
null
1
Parathormone
Adrenaline
Cortisol
Thyroxine
Physiology
null
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single
Which of the following is unaffected in leprosy
The unique feature of leprosy is its predilection for the surface of the body and also for the cool part of the surface. Ovary and other deeply placed glands and organs are unaffected.
3
Cooler part of the body
Surface of the body
Ovary
All of the above are affected in leprosy
Surgery
null
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multi
Antihypeensive not contraindicated in pregnancy?
Ans. is 'b' i.e., Labetolol See above question
2
Spironolactone
Labetolol
Sodium nitroprusside
ACE inhibitor
Pharmacology
null
1c996c09-8453-4598-811d-bc607a43c5bd
single
Which of the following is a synol joint of the condyloid variety?
A condyloid joint is a modified ball and socket joint that allows primary movement within two perpendicular axes, passive or secondary movement may occur on third axes. These joints allow flexion, extension, abduction, and adduction movements (circumduction). Examples include the wrist-joint (Radiocarpal joint ) metaca...
4
First carpometacarpal joint
Metacarpal phalanges joint
Interphalangeal joint
Radiocarpal joint
Anatomy
General anatomy
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Which of the following diseases is under international surveillance: March 2010
Ans. D: All of the above
4
Influenza
Malaria
Polio
All of the above
Social & Preventive Medicine
null
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multi
Most common primary intraocular tumor in children
Ans. (a) RetinoblastomaRef: Kanski 7/e, p. 510Retinoblastoma - most common intraocular tumor in children.Rhabdomyosarcoma - most common orbital malignant tumor in children.
1
Retinoblastoma
Malignant melanoma of choroid
Malignant melanoma of ciliary body
Rhabdomyosarcoma
Ophthalmology
Retina
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single
Drug used in ameliorative test for myasthenia gravis is:
Ans. (B) Edrophonium(Ref: KDT 8th/e p121)Drug used in ameliorative test (tensilon test) for myasthenia gravis is edrophonium. It is a cholinergic drug and can be used for diagnosis of myasthenia gravis because of its short duration of action (10 - 30 min.)
2
Physostigmine
Edrophonium
Tacrine
Pyridostigmine
Pharmacology
A.N.S.
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Glycoproteins are ?
Glycoprotein are conjugated proteins. They consists of protein to which sho branched, oligosaccharides are covalently attached.Proteoglycans are carbohydrates to which small amount of protein is attached. Proteoglycans consists of 95% of carbohydrate and 5. 5% of protein. To know the structure of proteoglycans, one sho...
1
Proteins to which glucose is attached
Carbohydrate to which protein is attached
Protein to which lipid and glucose is attached
None of the above
Biochemistry
null
3c6a5b87-f537-4037-bb07-d7e35539d513
multi
Not given in under supervised regimen:
Dapsone
2
Clofazimine/ethambutol
Dapsone
Rifampicin
Pyrazinamide
Social & Preventive Medicine
null
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Interstitial lung disease is seen in -
Ref:Textbook of pathology (Harsh mohan) 6th edition,page no.495 ILD ASSOCIATED WITH CONNECTIVE TISSUE DISEASES A number of connective tissue diseases or collagen diseases may result in chronic interstitial fibrosis and destruction of blood vessels. The lung involvement in impoant forms of collagen diseases is briefly c...
4
Rheumatoid ahritis
Sjogrens syndrome
SLE
all of the abobe
Pathology
Respiratory system
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multi
A 45 years old female patient presents with abdominal discomfort. On pelvic examination, there is enlargement of uterus with absence of nodularity. She is sexually active and uses contraception. Biopsy revealed extension of endometrial glands to the myometrium. The most accurate diagnosis is
Answer: a) Adenomyosis.ADENOMYOSIS (Uterine Endometriosis)/ diffuse endometriosis internaPresence of functioning endometrial glands and stroma in the myometrium.Normal endometrial glands grow into the myometrium.Myometrial cells around become hypertrophy and hyperplasia compensativelyProposed by Cullen in 1908, the the...
1
Adenomyosis
Endometriosis
Leiomyomatosis
Endometrial hyperplasia
Gynaecology & Obstetrics
Miscellaneous (Gynae)
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A 9 year-old girl presents with an annular plaque on the arm with peripheral scale. Topical nystatin ointment is prescribed and 2 weeks later the rash is unchanged. What is the next best step?
Characteristic lesions on arm with annular plaque and peripheral scaling is seen in dermatophyte infection Treatment involves the use of oral terbinafine, fluconazole, itraconazole, griseofulvin or one of several well-tried topical preparations.
1
Sta appropriate antifungal with efficacy against dermatophytes.
Sta an oral antibiotic
Topical coicosteroid
Longer course of nystatin
Dental
Fungal infections
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The most common pure germ cell tumor of the ovary is:
Dysgerminoma is the most common malignant germ cell malignancy of the ovary, accounting for about 40% of all ovarian cancers of germ cell origin. Ref: Multimodality Therapy in Gynecologic Oncology By BU. Sevin, 1996, Page 137
2
Choriocarcinoma
Dysgerminoma
Embryonal cell tumor
Malignant Teratoma
Gynaecology & Obstetrics
null
5f55cadf-277c-418b-adbe-76357c2d84a1
single
What is the minimum amount of taper that should be maintained for an ideal tooth preparation:
null
4
4 degree
5 degree
6 degree
12 degree
Dental
null
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single
A woman presents to a dermatologist because she has lost almost all the hair on her body, including scalp hair, eyebrows, eyelashes, armpit and groin hair, and the fine hairs on her body and extremities. She most likely has a variant of which of the following?
Alopecia areata is caused by an autoimmune attack on hair follicles. It has a wide range of clinical severity, with most cases involving a localized patch of hair (which regrows within 1 year in half of the patients). The hair that does regrow may be gray or depigmented. More severe cases can involve the entire scalp (...
1
Alopecia areata
Androgenic alopecia
Chronic cutaneous lupus erythematosus
Lichen planopilaris
Skin
null
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multi
In apoptosis, Apaf-1 is activated by release of which of the following substances from the mitochondria ?
Ans is 'd' i.e., Cytochrome CApoptosis is induced by a cascade of molecular events all of which culminate in the activation of caspases. 'In the cytosol cytochrome C binds to a protein called Apaf I (Apoptosis activating factor - 1) and the complex activates caspase 9'
4
Bel - 2
Bax
Bcl - XL
Cytochrome C
Pathology
null
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single
A child presents with sepsis. Bacteria isolated showed beta hemolysis on blood agar, resistance to bacitracin, and a positive CAMP test. The most probable organism causing infection is:
Streptococcus agalactiae is a group B hemolytic streptococci. They are normal flora of the female genital tract and an impoant cause of neonatal sepsis and meningitis. They hydolyze sodium hippucrate, typically beta hemolytic, gives a positive response to cAMP (Christie, Atkins and Munch-Peterson) and resistant to baci...
2
S. Pyogenes
S. Agalacitae
Enterococcus
S. Pneumoniae
Microbiology
null
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Which of the following is not a Contraindication of vaginal delivery after previous Caesarean?
null
3
Previous Classical C/S
No History of Vaginal Delivery in the past
Breech presentation in previous pregnancy
Puerperial infection in previous pregnancy
Gynaecology & Obstetrics
null
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single
A lady presented with secondary amenorrhea 6 months after having an aboion. Her FSH levels were measured as 6 mlU/ml what is the most probable diagnosis:
Since the lady in the question is having secondary amenorrhea following an aboion, uterine synechiae is the most likely cause. Low normal FSH level is consistent with uterine abnormality. (Normal serum FSH value in adult is woman is 5-20 mlU). Ref: Novak's, 14th Edition, Chapter 27; Speroff, 7th Edition, Chapter 11; Sh...
4
Pituitary failure
Ovarian failure
Fresh pregnancy
Uterine synechiae
Gynaecology & Obstetrics
null
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single
Normal junctional Zone thickness of uterus is
Junctional zone thickness is normally 5mm.
1
5 mm
10 mm
15 mm
20 mm
Gynaecology & Obstetrics
null
a945448c-93ec-44dc-8423-7aecc0ef8baf
single
Which branch of facial nerve supplies muscles of lower lip?
Ans. D Mandibular branchRef: Gray's Anatomy 41st ed. P 502Branches of facial nerve on face:* Temporal branch: Aka frontal branch; supplies muscles of forehead and orbicularis oculi muscle* Zygomatic branch: Supplies upper cheek and orbicularis oculi muscle* Buccal branch: Emerges from anterior border of parotid gland b...
4
Temporal branch
Cervical branch
Buccal branch
Mandibular branch
Anatomy
Neuroanatomy
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single
Trapezoid body is associated with: (PGI Dec 2006)
Ans : A (Auditory pathway) Trapezoid body is related to auditory pathwayQAuditory PathwaySuperior olivary nucleusQ -Lateral lemniscusQ -Inferior colliculusQ & Inferior brachium - Medial geniculate bodyQMedial geniculate body is related to auditory pathway1 whereas Lateral geniculate body is related to visual pathway9
1
Auditory PathwayQ
Visual pathway
Pyramidal tract
Gustatory pathway
Anatomy
Pathways of the Nervous System
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single
Acidification of urine occur in?
Acidification of urine occur in PCTRef: Ganong&;s review of medical physiology; 24th edition; page no; 712
2
Collecting ducts
PCT
Ascending limb of loop of henle
Descending limb of loop of henle
Physiology
Renal physiology
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single
Pantothenic acid containing coenzyme is involved in:
Pantothenic acid containing coenzyme is Coenzyme A, which is involved in Acetylation reactions. Biochemical Role of Pantothenic Acid- Acyl carrier protein: Role in fatty acid synthesis CoA: has role in TCA, haem synthesis, lipogenesis, fatty acid oxidation. Active group of CoA is a free SH group or Thiol to which acyl ...
2
Carboxylation
Acetylation
Decarboxylation
Dehydrogenation
Biochemistry
Vitamins and Minerals
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single
Statement true about ketone bodies is
KETOSISUnder ceain metabolic conditions associated with a high rate of fatty acid oxidation, liver produces considerable quantities of compounds like acetoacetate and b-OH butyric acid, which pass by diffusion into the blood. Acetoacetate continually undergoes spontaneous decarboxylation to produce acetone. These three...
3
Major source of energy supply to liver
They are derived from cholesterol
Their levels increase in starvation
Levels are raised in fed state
Biochemistry
Metabolism of lipid
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multi
'Saw tooth' appearance on barium enema may be seen in: March 2004
Ans. A i.e. Diveicular disease of colon
1
Diveicular disease of colon
Carcinoma colon
Colitis
Polyps
Surgery
null
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single
All of the following regarding esophagus are true except:
Ans b) Lower one third is lined by transitional epitheliumEsophagus- LiningMucosa - stratified squamous non keratinized epitheliumSubmucosa - mucous gland throughout its length and lymphoid tissueMuscularis externa - toughest layerUpper one third - Striated muscleMiddle one third - Striated & smooth muscleLower one thi...
2
Length is 25 cms
Lower one third is lined by transitional epithelium
Upper two third is lined by stratified squamous epithelium
pass behind the Lt main bronchus
Anatomy
Thorax
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multi
The injury to the marked area of skull will cause intracranial hemorrhage due to damage to which vessel
The marked structure is Pterion. It is the 'H' shaped point where frontal, parietal,temporal and sphenoid bones meet togather. Middle meningeal Aery lies under this point and is vulnerable to damage leading to EDH. Intracranial hemorrhage Type Vessel involved Head CT Epidural Middle meningeal aery Lenticular shaped Sub...
2
Middle cerebral aery
Middle meningeal aery
Anterior cerebral aery
Deep temporal aery
Anatomy
Neuroanatomy, Head and Neck
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Chronic constipation in children is seen in all A/E
Causes of constipation : Intestinal drugs metabolic neuromuscular others hirschsprung,sdisease anal stenosis anal fissure anteriorly displaced anal opening stricture narcotics vincristine psychotropics cystic fibrosis hypothyroidism panhypopituitarism cerebral palsy psychomotor retardation spinal cord lesions myotonic ...
2
Hirschspring disease
Jejunal polyp
Hypothyroidism
Stricture
Pediatrics
Gastrointestinal tract
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Dilantoin sodium may cause -
null
2
Follicular hyperplasia
Paracortial hyperplasia
Sinus histiocytosis
Atrophy of lymph nodes
Pathology
null
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single
Most common pancreatic neoplasm in MEN I -
null
1
Gastrinoma
Insulinoma
Somatostatinoma
Glucagonoma
Medicine
null
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single
At a constant blood flow, an increase in the number of perfused capillaries improves the exchange between blood and tissue because of
.
1
Greater surface area for the diffusion of molecules
Faster flow velocity of plasma and red blood cells in capillaries
Increased permeability of the microvasculature
Decreased concentration of chemicals in the capillary blood
Pathology
All India exam
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single
What will the estimated Pa02 after giving Fi02 at 0.5 in a normal person?
Answer- D. > 200 mmHgln normal person, the measured PA O2 should equal to 5 x FiO2 . For example, a patient breathing 40% O (FiO2 of 0.4) should have a PaO2 5 x 40 = 200 mmHg. A PA O2 less than 4 to 5 times the FiO2 suggest poor lung function or hypoventilation.
4
> 50 mmHg
> 100 mmHg
> 150 mmHg
> 200 mmHg
Medicine
null
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single
On external examination the classical presentation of the body of traumatic asphyxia is?
Ans. is 'c' i.e., Masque ecchymotique The characteristic external findings in case of traumatic asphyxia are : i) Mosque ecchymotique refers to the classical appearance of ? Florid red or blue congestion of face and neck with variable involvement of the upper thorax, back and arms. Deep cyanosis of face. Numerous petec...
3
Facial abrasions
Contused chest
Masque ecchymotique
Depressed chest
Forensic Medicine
null
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single
Integrated Management of Childhood Illness (IMCI) initiative was taken to prevent morbidity and moality from all of the following, EXCEPT:
The Integrated Management of Childhood Illness (IMCI) was developed by the WHO and UNICEF in order to improvise child health in the aspects of immunization, nutrition, disease prevention and health promotion. The neonatal tetanus was not included in the list of commonest childhood problems. Ref: Park's Textbook of Soci...
4
Malaria
Malnutrition
Otitis Media
Neonatal tetanus
Social & Preventive Medicine
null
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multi
A 40 year old man who is alcoholic is admitted to hospital with acute pancreatitis. He is now having vomiting and feels dizzy while standing. On examination, the patient has severe epigastric tenderness in the right upper quadrant and decreased bowel sounds. Bluish discolouration is seen around the umbilicus. What is t...
Patient with acute pancreatitis have following C/F: Low grade fever Tachycardia Hypotension Severe abdominal pain of increasing intensity which radiated to back Bowel sounds become absent Bluish discolouration present in periumbilical area (cullen's sign), occurs because of hemoperitoneum Blue-red-purple or green-brown...
1
A CT of the abdomen is likely to show severe necrotizing pancreatitis.
Abdominal plain film is likely to show pancreatic calcification.
Concomitant appendicitis should be ruled out.
He likely has a pancreatico-aoic fistula.
Medicine
Budd chiari syndrome & Pancreatitis
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single
Which of the following is not a cause of microcephaly?
Primary causes of microcephaly in children are - Mnemonic - Cannot See PEFR in Children Cri-du-chat Syndrome Smith Lemli Optiz Syndrome Patau syndrome Edward syndrome Familial Rubinstein Taybi syndrome Cornelia de Lange syndrome Also Know Acquired MIcrocephaly Q R - Rett's syndrome A - Angelmann Syndrome S - Seckel syn...
2
Angelman syndrome
Taysach's disease
Rett's syndrome
Phenyl ketonuria
Pediatrics
Paediatrics
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single
Which is the most common cytogenetic abnormaltiy in adult myelodysplastic syndrome (MDS) -
null
4
Trisomy 8
20q-
5q-
Monosomy 7
Medicine
null
9c0beae6-da4c-45aa-ab77-44323e4a8265
single
All of the following are used to assess the nutritional status of an individual, except –
null
3
Urinary nitrogen excretion
Mid arm circumference
Serum immunoglobulin
Serum transferrin
Social & Preventive Medicine
null
8f798d1c-0fd6-4af2-8f57-933071d40bee
multi
Bronchopulmonary segments in right and left lungs are
THE BRONCHOPULMONARY SEGMENTS - These are well-defined sectors of the lung, each one of which is aerated by a teiary or segmental bronchus. Each segment is pyramidal in shape with its apex directed towards the root of the lung. There are 10 segments on the right side and 10 on the left Ref : B D Chaurasia's Human Anato...
3
9 and 11
11 and 9
10 and 10
8 and 10
Anatomy
Thorax
01815054-3edb-41be-a332-f85eeeb4fb8e
single
Salivary protein which prevents transmission of HIV via saliva is
The low rate of recovery of infectious HIV from saliva could reflect not only relatively low virus content but also direct antiviral properties of saliva fluid, such as the secretory leukocyte protease Inhibitor. It blocks cell receptors needed for entry of virus. A salivary protein called secretory leucocyte protease ...
3
Sialoperoxidase
Secretory IgA
Salivary leukocyte proteinase inhibitor
Histidine rich proteins
Pathology
null
ae1183ee-5ed8-47d6-9683-2d1a9e9d8c87
single
The layer of the retina in touch with vitreous humor
Internal limiting layer is in touch with vitreous LAYERS OF RETINA 1. Inner limiting membrane 2. Nerve fiber layer 3. Ganglion cell layer 4. Inner plexiform layer 5. Inner nuclear layer 6. Outer plexiform layer 7. Outer nuclear layer 8. External limiting membrane 9. Photoreceptor layer 10. Retinal pigment epithelium.
2
Retinal pigment epithelium
Internal limiting membrane
Outer nuclear layer
Ganglion cell layer
Ophthalmology
Ophthalmology Q Bank
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single
A man presents with history of hemetemesis of about 500 ml of blood. On examination, spleen is palpable 5 cms below the left costal margin. The most likely diagnosis is:
Answer is A (Poal Hypeension) Hemetemesis in a patient with palpable splenomegaly suggests a diagnosis of variceal blood secondary to poal hypeension. Hemetemesis from Gastric ulcer, Mallory Weiss tear and/or drug induced gastritis is not associated with splenomegaly.
1
Poal Hypeension
Gastric ulcer
Drug induced
Mallory Weiss Tear
Medicine
null
21b6c87e-6295-4c65-9d3b-93d0573591dc
multi
Drug highly distributed to body fat -
Ans. is 'd' i.e., Thiopentone Redistribution of drugso Highly lipid soluble drugs get initially distributed to organs with high blood flow i. e. brain, heart, kidney etc.o Later, less vascular but more bulky tissues take up the drug- plasma concentration falls and the drug is withdrawn from the highly perfused sites.o ...
4
Digoxin
Heparin
Mannitol
Thiopentone
Pharmacology
Pharmacokinetics
79c0056a-2005-49a1-b97d-103ba754cadd
single
30 years old woman presents in gynaec OPD with complaints of recurrent aboions and menorrhagia. Her USG showed 2 sub-serosal fibroids of 3 x 4 cm on anterior wall of uterus and fundus, which is best line of management:-
Myomectomy is best treatment for such young patients with incomplete family Advantages of laparoscopic myomectomy: Type 5,6,7 fibroids are easily removed by this procedure Less blood Loss Earlier Recovery Criteria 3-4 fibroids of <=5 cm Single Fibroid of 15 cm Uterine embolisation may result in compromised blood flow l...
3
TAH with BSO
Myolysis
Myometomy
Uterine aery embolisation (UAE)
Gynaecology & Obstetrics
Fibroids
345fed8e-0564-44b7-84d7-94ceb9f43d59
multi
Uncal herniation leads to paralysis of which cranial nerve-
Ans. is 'a' i.e., 3rd nerve o Uncal herniation is a common subtype of transtentorial herniation in which the innermost part of the temporal lobe, the uncus, can be squeezed so much that it moves towards the tentorium and puts pressure on the brainstem, most notably the midbrain.o The uncus can squeeze the oculomotor ne...
1
3rd nerve
5th nerve
7th nerve
9th nerve
Ophthalmology
Diseases of the Optic Nerve
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single
All are true about familial male limited precocious pubey, EXCEPT:
Familial male limited precocious pubey is also called testotoxicosis. FACTS : It is an autosomal dominant disorder It presents as premature androgenization of boys Testosterone is elevated, LH is suppressed in the condition Treatment options : 1. Ketoconazole - Inhibits testosterone synthesis. 2. Flutamide - Used as an...
3
It is also called Testotoxicosis
Autosomal dominant condition
Testosterone and LH levels are elevated
Flutamide can be used for treatment
Medicine
null
1bfe123f-db86-4644-804d-10251f9f0a71
multi
Longest acting sulphonamide is -
Ans, is 'd' i.e., Sulfadoxine Sulfonamideso Sulfonamides are bacteriostatic and act by inhibiting folic acid synthesis by inhibiting enzyme folate synthatase.o Bacteria synthesize their own folic acid of wTtich para aminobenzoic acid (PABA) is a constituent - Sulfonamides, being structural analogues of PABA, inhibit ba...
4
Sulphadiazine
Sulfacytidine
Sulfamethoxazole
Sulfadoxine
Pharmacology
Anti Microbial
9c8a9f8d-a2ae-4f01-8dca-27608fa3e98d
single
Interleukin produced characteristically by THt?
Ans. is 'a' i.e., Interleukin-2
1
Interleukin 2
IL 5
ELy
All
Pathology
null
aba58bc9-c3b1-4972-8900-d3696917311b
multi
Clostridium botulinum toxin acts by:
Ans. c (Blocking Ach release at synapses & NMJ). (Ref. Harrison's, 18th/ Chapter 141. Botulism; KDT 5th/76)BOTULISM (Food-borne botulism, Wound botulism, Intestinal botulism).Pathogenesis:# Of the eight distinct toxin types described (A, B, Cl, C2, D, E, F, and G), all except C2 are neurotoxins\# C2 is a cytotoxin of u...
3
Blocking parasympathetic system
Blocking local reaction
Blocking Ach release at synapse & NMJ
Acts on spinal cord
Microbiology
Clostridium
f8b172ad-efde-4b15-b490-96f1827804bd
single
Streptococcus pyogenes shows pathogenicity by all except?
Ans. is 'c' i.e., Pili Virulence factors of str. pyogenes Str. pyogenes forms several exotoxins and enzymes which contribute to its virulence, but M protein is the most impoant of these.
3
M protein
Pyrotoxin
Pili
Streptolysin O
Microbiology
null
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multi
Anthropometric assessment, which does not show much change in 1–4 years –
During 1-5 years of age, the mid-upper arm circumference (MUAC) remains reasonably static between 15-17 cm among healthy children because fat of early infancy is gradually replaced by muscles.
1
Mid arm circumference
Skin fold thickness
Chest circumference : Head circumference ratio
Height
Pediatrics
null
2dfcd6ae-228e-4dfd-8314-0377121c25f4
single
A patient comes with all the lower premolars and first molar removed, should the second molars be removed why?
null
3
Yes, it will help in taking support from the ridge
No, 2nd molars will help in determining the vertical dimension
No, because for designing RPD, sound posterior tooth with good bony support should not be extracted
Yes, it will help in extending the denture to retromolar pad to have good retention
Dental
null
01676b91-f79b-418d-b432-7e6c66ea76f2
multi
Impoant step in national TB control programme are all except -
Ans. is 'b' i.e., Treatment of contact o Treatment of contacts is not recommeded in NTP. o Isolation of sputum positive cases is not recommended in NTP. About other options' o Detection of maximum number of cases and their treatment is sho term (operational) objective of NTP. o Vaccination of newborns and infants with ...
2
Treatment of sputum positive cases
Treatment of contacts
BCG vaccination
All
Social & Preventive Medicine
null
75f1bd8c-8d10-4312-b3fe-782478461094
multi
Thickness of lead apron to prevent radiation –
Lead aprons (0.5mm of lead) will reduce the intensity of scattered X-ray over 90% and should be worn by all workers regularIy associated with x-ray procedures.
3
1mm
3mm
0.5mm
7mm
Social & Preventive Medicine
null
1ec0cfbc-f312-4eb0-b450-e7d6f5f98b33
single
Main action of superior rectus
Actions of superior rectus Veical axis: elevation Main action horizontal axis: addicts Anterioposterior axis: rotates medially (intorsion) Ref: BDC volume 3:sixth edition pg 211
3
Extorsion
Intorsion
Elevation
Depression
Anatomy
Head and neck
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single