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135
5575950b-0dd1-428d-8115-d3304b2fa5bf
Which of the following organ is spared from vasoconstriction during hypovolemic shock?
Skin
Hea
Kidney
Liver
1b
single
In severe hypovolemic shock, tachycardia is replaced by bradycardia. Vasoconstriction is generalized, sparing only the vessels of the brain and hea. This widespread reflex vasoconstriction also helps in maintain the filling pressure of the hea. Ref: Ganong Review Of Medical Physiology By Barrett, 2010, Page 516.
Physiology
null
33561712-b587-4e2d-bce2-725a15f210a8
Radioactive cobalt emits:
Gamma rays
Beta rays
Alpha rays
Neutrons
0a
single
Ans. Gamma rays
Radiology
null
5d6142db-bedf-4c5f-8543-c4a2590d4c63
Transplant of kidney from mother to son is an example of:-
Autograft
Allograft
Isograft
Xenograft
1b
multi
Graft Autograft Isograft Homograft (Allograft) Heterograft (Xenograft) Tissue transplanted from one site to another on the same patient Transplant form a genetically identical donor, such as an identical twin Transplant from individual of same species Transplant from another species Xenograft Concordant Xenograft Disco...
Surgery
Transplantation
7c831812-8b4e-46af-a796-62c9bbb513a4
Paradoxical splitting of second hea sound Heard in
RBBB
ASD
VSD
LBBB
3d
single
Ref Harrison 19 th ed pg 1447 Reversed or paradoxical splitting refers to a pathologic delay in aoic valve closure, such as that which occurs in patients with left bundle branch block, right ventricular pac- ing, severe AS, HOCM, and acute myocardial ischemia. With reversed or paradoxical splitting, the individual comp...
Anatomy
General anatomy
46313719-3a95-4f25-bf3f-8d43c1c478a9
The risk of fetal varicella syndrome is maximum when the mother is infected between ________
6 to 10 weeks
8 to 12 weeks
13 to 20 weeks
20 to 28 weeks
2c
single
The highest risk of fetal varicella syndrome is when the mother develops varicella between 13 to 20 weeks. It occurs in 2% of fetuses of mothers infected at this time. Congenital infections, paicularly after 20 weeks, are uncommon. However, if the fetus or neonate is exposed to active infection judt before or during de...
Gynaecology & Obstetrics
recent papers obst
3143fd4a-8a07-42f8-bdcb-600b690a5f67
Ferrier double bow separator works on which principle?
Wedge principle
Traction principle
Slow separation
Delayed tooth movement
1b
single
The Ferrier separator is a convenient instrument for accomplishing separation. It is applied and stabilized with compound. The jackscrews of the separator are activated with the separator wrench to draw the teeth slightly apart, creating a maximum space of 0.25 to 0.5 mm. It is desirable to provide only this minimum se...
Dental
null
ec2b96df-126c-4cc0-a5b6-05aa55d13ec2
Left testicular vein drains into:
Inferior vena cava
Left renal vein
Right renal vein
Femoral vein
1b
single
Ans. B Left renal veinRef: BDC, Vol: 2 pg. 2236VENOUS DRAINAGE OF TESTIS* The veins emerging from the testis form the pampiniform plexus.* Out of this plexus finally one vein forms in each side:# On the right side: Drains into the inferior vena cava# On the left side: Drains into the left renal vein.* Femoral vein drai...
Anatomy
Abdomen & Pelvis
ac97acc0-ed1f-4688-b7f1-0805e3a0ba4f
Which is the most common type of acute myeloid leukemia?
M2
M3
M4
M5
0a
single
M2- AML with maturation is characterized by 20% or more myeloblasts in the blood or bone marrow and 10% or more neutrophils at different stages of maturation. M2- AML comprises approximately 30% to 45% of cases of AML. Patients frequently present with anemia,thrombocytopenia, and neutropenia. Morphologic features inclu...
Medicine
AML & ALL
5e169b02-53b1-438c-93fb-e59939ae1e80
A 22-year-old woman develops an acute contact dermatitis to a household-cleaning agent. Which of the following treatments is most appropriate during the bullous, oozing stage?
wet dressings
systemic corticosteroids
topical anesthetics
systemic antibiotics
0a
single
Ointments are not used, but wet dressings are applied several times a day, using Burow solution or boric acid, and baths are also included in the treatment. The key aspect of care is prevention. When contamination does occur, washing the affected area is the first mode of treatment. Oral corticosteroids are only used i...
Medicine
Skin
2e2b046d-d014-4006-8dbe-4355e54e2d41
Which of the following drug(s) comes in risk category B of FDA teratogenic risk categories for pregnancy:
Phenytoin
Resperidone
Olanazapine
Clozapine
3d
single
Ans. D. ClozapineCategory A:No risk to fetus in human studiesLevothyroxinePotassiumSupplementationMgSO4Category BAnimal studies show no riskHuman studies are lackingPenicillinsCephalosporinsMacrolidesBrimonidineClozapine is rated FDA Pregnancy Category B, despite paucity of data.Reproductive studies performed in rats a...
Psychiatry
null
8457672d-322d-426c-aa06-ae38f52fed71
Mental Health Act was passed in ?
1982
1987
1971
1950
1b
single
Ans. is 'b' i.e., 1987
Social & Preventive Medicine
null
2157d0ab-b53b-4629-8032-c17b3f993e7d
Phospholipase C acts as secondary messenger for
FSH
IH
TSH
GnRH
3d
single
Phospholipase C is an enzyme which produces inositol tri phosphate and diacylglycerol They causes release of calcium ions which act as secondary messager Epinephrine, norepinephrine, angiotensin, ADH,TRH also require calcium as secondary messager Ref:Guyton and Hall textbook of medical physiology 12th edition,page numb...
Physiology
General physiology
f51c03c9-93ba-4053-a57d-3e4b1fc74c02
Which of the following antiumor agents works by impairing de novo purine synthesis?
Acyloguanosine
5-Fluorouracil
Methotrexate (antifolate)
Allopurinol
2c
multi
Ans. is 'c' i.e., Methotrexate (antifolate) o Methotrexate and permetrexed are dihydrofolate reductase (DHF Rase) inhibitors. o These drug also inhibit thymidylate synthase and de novo purine synthesis, which contribute to methotrexate toxicity.
Pharmacology
null
4d2077b8-e2e3-4794-96ac-245fe2ddbf00
What is true about Mollaret meningitis?
Is caused by herpes simplex 2 in most of the cases
A recurrent, benign, septic meningitis
It is now referred to as "Benign rcurrent neutrophilic . . Meningitis"
All of the above
0a
multi
Harrison's principles of internal medicine 17th edition. *Most of cases of recurrent viral or aseptic meningitis including cases previously diagnosed as mollaret's meningitis are likely due to HSV-2.
Medicine
C.N.S
f358c078-ba0b-4dc3-aff7-2c5a7ba88937
Target of Fasting blood sugar & HbA1c in a gestational diabetic patient:
<90 gm/dL, HbA/c<6
<95 gm/dL, HbA1c<6
<90 gm/dL, Hb A/c<6.5
95 gm/dl; Hb A/c<6.5
3d
single
Ans is d, i.e. <95gm/dL;HbA/c<6.5(Wiliams Obs 25/e pg 1111)Metabolic goals in gestational diabetesFasting glucose <95mg/dL2 hr PP <120mg/dLHbA1c: <6.5%
Gynaecology & Obstetrics
Medical & Surgical Illness Complication Pregnancy
a5757ceb-a6f6-40a3-bd4b-60ff0c2258c8
Altruism is an example for
Narcissistic defense mechanism
Neurotic defense mechanism
Immature defense mechanism
Mature defense mechanism
3d
single
Altruism is a mature defense mechanism where an individual satisfies his internal needs by satisfying others. Ex: A person who lost his son during accidents, started educating & campaigning people about road safety measures.
Psychiatry
null
709a0b57-e5ad-4950-8577-8673c9e70b13
After vasectomy aspermia will become evident in:
2 to 3 weeks
4 to 6 weeks
8 to 10 weeks
10 to 12 weeks
3d
single
10 to 12 weeks
Gynaecology & Obstetrics
null
222785ef-3477-4e80-afb1-40450db199b4
A 32 year old housewife was found to be dead in the bedroom. Examination shows incisional wounds all over the body including her genitals. Incisional wounds on genital organs are seen commonly in:
Accidents
Suicides
Homicides
Postmoem aifact
2c
multi
Homicidal wounds are usually multiple and can occur in any region of the body. Incised wounds on the nose, ears, and genitals are usually homicidal and are inflicted on account of jealousy or revenge in cases of alleged adultery. Incised wounds situated on the back, or in a such a position as cannot be easily reached b...
Forensic Medicine
null
b4ccf8c5-45be-4658-aa8d-e66f4022d8bb
Genetic anticipation is characteristic of:
Myotonic dystrophy
Beckers muscular dystrophy
Duchenne muscular dystrophy
Emery-Dreifuss muscular dystrophy
0a
single
Genetic Anticipation refers to the progressive increase in severity of an illness as it manifests in its transmission from parent to child, occurring in a more severe form and at an earlier age with succeeding generations. It is more commonly seen in trinucleotide repeat disorders. Classical examples are Huntington's D...
Medicine
null
75711708-8ee8-4c4a-8210-002673d8d7a1
One primary oocyte forms how many ovum/ova ?
1
2
3
4
0a
single
Ans. is 'a' i.e., 1
Anatomy
null
32c560ca-8868-4016-85a3-f3ecf832142d
Alpha-fetoprotein in maternal serum and/or amniotic fluid is increased in all except
Fetal neural tube defects
Down's syndrome
Anencephaly
Encephalocele
1b
multi
In Down syndrome, the AFP is decreased in the mother's blood, presumably because the yolk sac and fetus are smaller than usual. Estriol is a hormone produced by the placenta, using ingredients made by the fetal liver and adrenal gland. Estriol is decreased in the Down syndrome pregnancy Ref Robbins 9/e pg 170
Medicine
Genetics
5d3bed5f-0338-42e9-ad24-89606ec84488
In initial stages of typhoid, salmonella can be detected in:
Faeces
Urine
Blood
All of the above
2c
multi
Blood culture: Blood culture is a very useful procedure for diagnosis of enteric fever. It is positive in approximately 90% of cases in the first week of fever, 75% of cases in the second week, 60% in the third week, and 25% thereafter till the subsidence of pyrexia. Blood cultures, however, rapidly become negative on ...
Microbiology
null
f3e4f6c6-a5bd-4172-8156-913eb996a505
Metrifonate is effective against:
Amoebiasis
Leishmaniosis
Schistosomiasis
Giardiasis
2c
single
Schistosomiasis
Pharmacology
null
6fabf2e4-8154-482f-9602-09736bc73752
Light House sign is seen in:
Acute Suppurative Otitis media
Otosclerosis
Acute mastoiditis
Meniere’s disease
0a
single
Active pulsatile discharge seen on otoscopy showing intermittent reflection of light (comparable to Light House) in ASOM.
Unknown
null
427f176d-57fb-44b0-a649-b199eb36f692
For the treatment of deep seated tumors, the following rays are used.
X- rays and Gamma- rays
Alpha rays and Beta -rays
Electrons and positrons
High power laser beams
0a
single
Ans. is 'a' i.e. X-rays and Gamma-rays X-rays and gamma rays are electromagnetic waves with highest penetrating power.For deep seated tumours rays with maximum penetrating power is required so x-rays and gamma rays are used.Harrison 141h/e states - "Megavoltage X-rays are used to irradiate internal deep seated lesions ...
Radiology
Radiation treatment planning
01653804-b81f-41df-b3ca-7dd15b853311
Comedons are characteristics of:
Acne vulgaris
Acne rosasea
SLE
d. Adenoma sebaceum
0a
single
Ans is 'a' i.e, Acne vulgaris
Skin
Acne
f3deceda-7b18-4d49-b3df-b419bffbafe8
Most common type of psoriasis is
Plaque
Guttate
Pustular
Inverse
0a
single
Psoriasis is one of the most common chronic inflammatory skin disease charecterised by well defined erythematous plaque with silvery white scales. the distribution is variable, but mostly symmetrical and seen extensor areas. The scales are loosely adherent and on complete removal of scales, a red moist surface ( Burkel...
Dental
Papulosquamous disorders
ab8c7a9d-b21f-4826-ab0f-43f368a52ab1
True about mucormycosis is?
Nose is a common site
Diabetics is not a predisposing factor
Common in India
All of the above
3d
multi
All of the above REF: Harrison 17th ed p 1261, International Journal of Infectious Diseases Volume 15, Issue 8, Pages e533-e540, August 2011 Mucormycosis Caused by -- rhizopus , rhizomucor , cunninghamella Moulds with non septate hyphae The higher prevalence of mucormycosis in India turned out to be statistically signi...
Microbiology
null
e15f33a4-86b0-4975-904f-07db36f7ae7c
Which is a direct branch of arch of aorta-
Right subclavian artery
Right common carotid artery
Brachiocephalic trunk
Right coronary artery
2c
single
Ans. is 'c' i.e., Brachiocephalic trunk o Branches of arch of aorta areBrachiocephalic trunkLeft common carotid arteryLeft subclavian arteryo Right common carotid artery and right subclavian artery arise from brachiocephalic trunk (Brachiocephalic trunk divides into right common carotid and right subclavian arteries).
Anatomy
Blood Vessels of Thorax
701d346c-45e4-4bb9-bc29-a68727db24ff
For detection of carcinoma lip, stain used is?
Giemsa
Crystal violet
Toulidine blue
Hematoxylin and eosin
2c
single
Ans. (c) Toulidine blue(Ref: Early Diagnosis and Treatment of Cancer Series: Head and Neck Cancers, Wayne Koch Pg. 54)*Toluidine blue stain is used as a marker to differentiate lesions at high risk of progression in order to improve early diagnosis of oropharyngeal carcinomas.*Toluidine blue, an acidophilic metachromat...
Pathology
Histo Pathology
36f81a36-29e7-4808-818a-f0515d6518cf
A person falsely perceives that his close friend has been replaced by an exact double. This phenomenon is referred to as:
Cotard syndrome
Fregoli syndrome
Capgras syndrome
Delusional perception
2c
multi
Capgras syndrome: false belief that a familiar person or place has been replaced with an exact duplicate. Fregoli delusion, or the delusion of doubles, is a false belief that different people are in fact a single person who changes appearance. Cotard syndrome is a false belief that they are already dead, are putrefying...
Forensic Medicine
Forensic Psychiatry
7f600a24-7cfe-4178-86e8-3dea0f2eedd7
Shoest acting muscle relaxant is:-
Tubocurarine
Succinylcholine
Pancuronium
Atracurium
1b
single
Muscle Relaxants are of two types:- MR Depolarizing Non Depolarizing Shoest Acting Depolarizing muscle relaxant -succinyl choline. Overall shoest acting muscle relaxant- succinyl choline. Action of succinyl choline last for < 5 mins. Shoest Acting Non-Depolarizing Muscle relaxant - Mivacurium.
Pharmacology
FMGE 2018
f54e86e5-ca05-46c7-9503-f0476b06088b
In which organelle (s) of hepatocyte, the elongation of long chain fatty acid takes placea) Endoplasmic reticulum (ER)b) Golgi bodyc) Mitochondriad) Lysosomese) Ribosome
ac
bc
ad
b
0a
single
Endoplasmic reticulum (E ) & i.e., Mitochondria Elongation takes place in microsomal system (endoplasmic reticulum) and mitochondrial system.
Biochemistry
null
694d95c5-25eb-4ece-a2b2-f78501402a6a
Infected gangrene of skin and subcutaneous tissues are?
Dry gangrene
Wet gangrene
Erysipelas
None of the above
1b
multi
Dry gangrene as a result of ischemia due to arterial occlusion (arteriosclerosis) by, that leads to coagulative necrosis. Wet gangrene When the overlying skin of dry gangrenous tissue is devitalized, bacterial infection is superimposed. More commonly due to venous occlusion then arterial occlusion. Erysipelas is an acu...
Pathology
null
f6b2fb39-fc4e-4259-998d-94ca10f8526c
Lesh-Nyan syndrome is due to deficiency of: (Repeat)
HGPRTase
CPS I
CPS II
PRPP synthetase
0a
single
Ans: A (HGPRTase) Ref: Harper's Illustrated Biochemistry, 29th edition. Page 335, 339 & 742Explanation:Lesh-Nyhan SyndromeThis syndrome is characterized by:HyperuricemiaUrolithiasisSelf mutilationCNS manifestationsExtrapyramidul involvement (Choreathethosis, Dystonia, Ophisthotonus)Enzyme DefectHypoxanthine-guanine Pho...
Biochemistry
Metabolism of Purines and Pyrimidines
b9817205-2b1c-45b1-98e3-091c8fde6e5e
Critical illness related coicosteroid insufficiency is seen in ?
Addison's disease
Septic shock
Acute MI
CVA
1b
single
due to aerial hypotension( Harrison 17 pg 2263)
Medicine
Endocrinology
9c75d8a0-817f-4b9d-ad36-60ac9001027b
Auditory impulse relays to
Inferior geniculate ganglion
Medial geniculate body
Medial lemniscus
Superior colliculus
1b
single
(B) Medial geniculate body > The afferent fibers in the auditory division of the eighth cranial nerve end in dorsal and ventral cochlear nuclei.> From there, auditory impulses pass by various routes to the inferior colliculi, the centers for auditory reflexes, and via the medial geniculate body in the thalamus to the a...
Physiology
Special Senses: Hearing and Equilibrium
9b8a611a-01ea-452c-9b34-c2d38fb9b27d
Which of the following is a HLA class III molecule?
HLA-G
HLA-H
TNF-α
None of the above
2c
multi
HLA class III molecule - TNF α and β  Heat shock protein Steroid 21-hydroxylase C2, C9, C3 convertase
Microbiology
null
edead9d9-92c4-4fff-a809-f02a641cace9
True about pKa is:
pH at which ionized fraction of drug equals to unionized fraction
pH at which ionized fraction of drug is more than unionized fraction
pH at which ionized fraction of drug is less than unionized fraction
pH at which ionized fraction of drug is twice unionized fraction
0a
multi
Ans. a. pH at which ionized fraction of drug equals to unionized fractionRef: Goodman Gilman 12th E/P 18pKa is the pH at which as drug is 50% ionized and 50% unionized, i.e. the fraction of ionized drug equals to the fraction of unionized drug.The effect of pH on drug ionization and unionization can be calculated for a...
Pharmacology
General Pharmacology
3515c6e5-034c-4ab1-b462-7d7de2b7fb03
Which of the following types of pancreatitis has the best prognosis?
Alcoholic pancreatitis
Gallstones induced pancreatitis
Post operative pancreatitis
Idiopathic pancreatitis
1b
multi
The prognosis is best in patients where pancreatitis is caused by a remediable cause such as cholelithiasis. Eradication of gallstones prevents fuher attacks of pancreatitis.
Surgery
Pancreas
82b26c92-f730-423d-9cc0-a2111aa699a9
All of the following conditions result in chronic thick walled pyogenic abscess except: March 2005
Inadequate surgical drainage
Virulent strain of offending organism
Prolnged course of antibiotic therapy
Presence of foreign body
1b
multi
Ans. B: Virulent strain of offending organism Virulence is by the degree of pathogenicity within a group or species of microorganisms or viruses as indicated by case fatality rates and/or the ability of the organism to invade the tissues of the host. The pathogenic capacity of an organism is determined by its virulence...
Surgery
null
652650f4-128a-40e9-89fd-8c315a0bddb8
ASD with murmur similar to MR and left axis detion ?
ASD secondum
ASD primum
Floppy mitral valve
ASD secondum with rheumatic MR
1b
single
ASD primum lead to left axis detion. Ghai essential of pediatrics, eighth edition, p.no:413
Pediatrics
C.V.S
6b21a56e-4ba2-469f-99f3-e53d2cbaf648
Amino acid which lacks chirality is
Lysine
Leucine
Histidine
Glycine
3d
single
The α-carbon of amino acids has four different groups attached to it and so is a chiral or asymmetric carbon. The only amino acid which does not have four different groups attached to α-carbon is glycine, i.e. glycine does not have chiral carbon or chirality.
Biochemistry
null
473906c5-204c-451c-a66d-b22f9400be6a
Hanging with the feet touching the ground is seen in:
Paial hanging
Complete hanging
Homicidal hanging
Suicidal hanging
0a
single
A i.e. Paial hanging
Forensic Medicine
null
c6bdf257-e9a8-4193-9ab2-6d0fd33b59ca
All of the following are indications of doing medical termination of pregnancy except ?
Pregnancy from rape
Substantial risk of delivering seriously handicapped baby
Very poor socio economic position of the family
Injury to physical and mental health of the pregnant women
2c
multi
Ans. is 'c' i.e., Very poor socio economic position of the family The conditions under which a pregnancy can be terminated under the MTP Act.1971 There are 4 conditions that have been identified in the Act : Medical :- Where continuation of the pregnancy might endanger the mother's lifeor cause grave injury to her phys...
Forensic Medicine
null
36de678f-1a80-45ca-9072-ad4e70a0f97b
Complete transection of the spinal cord at the C7 level produces all of the following effects, EXCEPT:
Hypotension
Limited respiratory effo
Anaesthesia below the level of the lesion
A-reflexia below the level of the lesion
1b
multi
Here since the lesion is at the level of C7 respiration is unlikely to be affected. The diaphragm is innervated by the phrenic nerve with a root value C3, 4, 5. Injury at this level can cause difficulty in respiration. Ref: Schwaz Pretest Surgery, Q. 709
Surgery
null
922fc3f2-0b56-4921-ade9-99a623dc1cc5
Iodised salt was first staed in which country
India
UK
Switzerland
Germany
0a
single
Iodized salt The iodization of salt is now the most widely used prophylactic public health measure against endemic goitre. In India the level of iodization is fixed under the Prevention of Food Adulteration (PFA) Act and is not less than 30 ppm at the production point, and not less than 15 ppm of iodine at the consumer...
Social & Preventive Medicine
Nutrition and health
05fd397f-6c46-4056-9871-f30f2d4efca0
A 30-year-old female, known case of PCOD, on treatment presented to the gynecologist with complaints of hirsutism. She was given a topical application cream which acted by inhibiting ornithine decarboxylase enzyme. The same drug is useful in management of which of the following parasitic infection?
East African trypanosomiasis
West African trypanosomiasis
South American trypanosomiasis
Visceral leishmaniasis
1b
single
The topical application cream which is useful in the treatment of hirsutism and acts by inhibiting ornithine decarboxylase enzyme is Eflornithine hydrochloride. The same active molecule is useful in the treatment of West African trypanosomiasis. Treatment options for African trypanosomiasis (sleeping sickness): Treatme...
Unknown
Integrated QBank
afa097b5-4101-4e0b-aa89-2c9116c3c6cd
Hyoid bone present at -
C1
C2
c3
C4
2c
single
(C) (C3) (49-BDC-3 6th, 590 Snell 9th)Hyoid Bone - at rest, it lies at the level of the third cervical vertebra behind and the base of the mandible infront.* Is a single mobile bone found in the midline.* It does not articulate with any other bones* U shaped, develops from second and third branchial arches.* It is atta...
Anatomy
Head & Neck
a00d5ec0-a315-4ef5-a4ad-9e79c40fcb37
ASD patient with murmur similar to MR and left axis detion of 40 degrees is having
TGA
Ostium secondum
Ostium primum
Floppy mitral valve
3d
single
Floppy mitral valve REF: Pediatrics: A Concise Text - Text - SK Kabra, RN Srivastava Page 135 Repeat in December 2011 The murmur is the clinching point here as the patient is having ostium primum type of ASD with MR and Ostium primum defect alone cannot produce such murmur and in question it is already mentioned that t...
Pediatrics
null
c5fd1871-8342-4a38-b009-a656b45aca60
Most common genital prolapse is:
Cystocoele
Procidentia
Rectocoele
Enterocoele
0a
single
The first event in a prolapse is the Retroversion of uterus The first and the commonest type of genital prolapse is the Cystocoele. Types of Prolapse. Uterine prolapse, Prolapse of the bladder and Prolapse of the rectum. Uterine Prolapse: Cys
Gynaecology & Obstetrics
Genital Prolapse - various presentation of prolapse and management of urinary stress incontinence (I am hanging by my nails !)
b7cdda05-e6ad-489a-b18d-95a0962bd0dd
A patient is unable to move eye outward beyond midline . The lesion is in
Trochlear nerve
Obturator nerve
Abducent nerve
None
2c
multi
The abducens nerve (CNVI) originates in the pons, thus travelling faher to its destination (the lateral rectus muscle) than the others. Perhaps because of this, isolated lesions of CNVI, manifested by ipsilateral loss of lateral gaze (and inward detion or esotropia at rest), are more common than of the others. The medi...
Anatomy
Head and neck
14b4e0a0-db11-434f-a13a-1657d0325ff0
100 % Oxygen therapy used in
Cluster headache
Migraine
Congenital spherocytosis
COPD
0a
single
(A) Cluster headache # CLUSTER HEADACHES are rare, extremely painful, & debilitating headaches that occur in groups or clusters.> These headaches affect one side of the head (unilateral) & may involve tearing of the eyes & a stuffy nose.> Unlike migraines, more men experience this type of headache than women.> They can...
Anaesthesia
Miscellaneous
fd4c1028-f2b6-4589-b6f1-e63b3b2f0ff0
A 55-year-old woman has been steadily gaining weight for the past 30 years. She underwent cholecystectomy for cholelithiasis 5 years ago. She does not smoke. She is now 164 cm (5 ft 4 in) tall and weighs 126 kg (BMI 47). On physical examination, she has a decreased range of motion with pain on movement of the knees. La...
Colonic adenocarcinoma
Endometrial carcinoma
Hepatocellular carcinoma
Pulmonary adenocarcinoma
1b
multi
This patient is morbidly obese. The extra weight puts a strain on joints, particularly the knees, increasing the risk for osteoarthritis. Although the overall risk of cancer increases with obesity, the relationship between endometrial carcinoma and obesity is well established. About 80% of individuals with type 2 diabe...
Pathology
Environment & Nutritional Pathology
18fb2ea1-320e-4495-81a1-20cc31590757
Scutum is present in
Roof
Lateral wall
Anterior wall
Posterior wall
1b
multi
The scutum in the ear is a sharp bony spur formed by the superior wall of the external auditory canal and the lateral wall of the tympanic cavity. REF.BDC VOL.3,SIXTH EDITION
Anatomy
Head and neck
7a739367-a927-41e8-93c3-5c48a60a6c45
GnRH analogue used in hormonal treatment of carcinoma prostate?
Goserelin
Nilutamide
Cyproterone acetate
Finasteride
0a
single
Ans. a (Goserelin) (Ref. KDT 6th/pg. 239)Many analogues of GnRH, e.g. Buserelin, Goserelin, Leuprolide, Nafarelin, Triptorelin, have been developed: are 15-150 times more potent than natural Gn RH and longer acting. The superactive GnRH agonists are used as nasal spray or injected s.c. Long-acting preparations for once...
Pharmacology
Endocrinology
38f77387-118a-421a-a3b6-95a4b5959a0e
True regarding changes in respiratory system in pregnancy
Respiratory rate increase
Vital capacity remains unchanged
Tidal volume increase
Total lung capacity increases
2c
multi
Respiratory rate/min 15 15 UnaffectedVital capacity 3200 3300 Almost unchangedTidal volume (ml) 475 675 +40%Residual volume (ml) 965 765 -20%Total lung capacity 5000 4750 -8%
Gynaecology & Obstetrics
All India exam
ec13bc31-f496-4c4b-868a-fe3177a77dcf
Which is used for calculation of ejection fraction?
MUGA
SPECT using thallium 201
PET myocardial perfusion imaging
Sestamibi scan with pharmacological stress
0a
multi
Nuclear Imaging of hea: MUGA scan (Multi-gated acquisition scan): Tc 99m labeled RBC is used Evaluate ventricular function / ejection fraction- Cardiac ventriculography (but most accurate investigation for ventricular function is -MRI) Tc99m labeled RBC is very sensitive investigation for detecting minimal lower GIT bl...
Radiology
Nuclear medicine
2b695fe4-3d39-464e-b5aa-64308d967321
Which of the following is not a premalignant lesion / condition:-
Chronic hyperophic candidiasis
Oral submucosal fibrosis
Lichen planus
Leukoplakia
0a
single
Chronic hyperophic candidiasis is a long term infection of candida seen in the middle aged male patients, smokers. There is a membrane formation, But its not a premalignant condition. Premalignant lesion: Oral submucous fibrosis Lichen planus Leukoplakia (MC premalignant lesion seen in smokers & tobacco chewers)
ENT
Oropharynx
a02aef9e-52fe-4e18-9aff-3b1a6918b2a0
All of the following statements about atrial myxomas are true, except:
Most common site is left atrium
More common in females
Tumor plop in systole
Raynaud phenomenon
2c
multi
* Tumour plop sound is a low pitch sound heard in diastole when the tumour impacts against the opening mitral valve. * Myxomas- present with peripheral or pulmonary emboli or with constitutional signs and symptoms- fever, weight loss, cachexia, Raynaud's phenomenon, hypergammaglobulinemia, anemia, polycythemia, leukocy...
Medicine
Murmurs
5e8e357a-75a3-4ea8-9630-d895f04dd24e
What is the most likely diagnosis in this patient who was having difficulty swallowing?
Amyloidosis
Amyotrophic lateral sclerosis
Pellagra
Pernicious anemia
1b
multi
Answer B. Amyotrophic lateral sclerosisWith his difficulty swallowing, the patient's tongue atrophy represents a bulbar symptom, and is most consistent with a diagnosis of amyotrophic lateral sclerosis (ALS). The patient also had clinical and neurophysiological evidence of upper-motor-neuron and lower-motor-neuron invo...
Medicine
Miscellaneous
427d6c07-a478-4888-96e8-223a9bed372f
Adrenalin increases all of the following blood pressures significantly except
Systolic
Diastolic
Mean BP
Pulse pressure
1b
multi
Adrenaline given by slow infusion causes a rise in systolic but fall in diastolic BP, peripheral resistance sometimes may decrease because vascular beta 2 receptors are more sensitive than alpha receptors. beta 2 receptors produce vasodilatation causing fall in diastolic at times Mean BP generally rises. Pulse pressure...
Pharmacology
Autonomic nervous system
9d99b5b0-1654-439b-9e07-03f062f675f2
Integration of health services was first proposed by?
Bhore committee
Jungallwalla commite
Mudaliar commite
Srivastava commite
1b
multi
ANSWER: (B) Jungallwalla commiteREF: Park 20th ed p. 778See APPENDIX-45 below for "Health planning committee" APPENDIX - 45Health Planning CommitteeBHORECOMMITTEE1946Before 1st five year planIntegration of preventive and curative servicesPrimary health Centre (short term plan-1 PHC/40,000 population & long term plan ak...
Social & Preventive Medicine
Health Planning and Management
48765209-ed81-4243-abff-c5769b263667
20-year-old female presents with a cystic swelling in the neck- It moves up with protrusion of tongue.
Thyroid swelling
TG cyst
Sublingual gland swelling
Ranula- plunging
1b
single
Ans. (b) TG cyst* Thyroglossal cyst moves with protrusion of tongue* Other swellings which move only with deglutition are - Subhyoid bursitis, Midline Dermoid cyst and Thyroid swelling.
Surgery
Neck
f2d7fd4c-7fce-453e-9cb5-8ada2755fd0b
Acromegaly results due to excessive release of:
Thyroxine
Growth hormone
Insulin
Glucagon
1b
single
Ans. B. Growth hormoneIn Acromegaly there is excessive release of Growth Hormone. It occurs after the epiphyseal closure and is characterized by increase in the size of hands, facial changes, excessive hair, thickening of skin etc.
Biochemistry
Endocrinology
6df7272f-e366-48e7-af61-007e1e1faed2
Formication and delusion of persecution occurs together in abuse with:
Cocaine
Amphetamine
Cannabis
LSD
0a
single
In cocaine psychosis formication occur along with delusion of persecution and is known as cocaine bug. Formication refers to the sensation of small animals crawling over the body. Cocaine is a natural stimulant derived from the leaves of coca plant. In the brain it increase the level of neurotransmitters like norepinep...
Psychiatry
null
239ef0bd-6293-4606-bf1e-572cb83a6505
How much % of glucose gets reabsorbed in late PCT?
2
5
7
10
0a
single
-In the first half of the proximal tubule, Na+ is reabsorbed by co-transpo along with glucose, amino acids & other solutes. -IInd half of proximal tubule, Little glucose & few amino acids remain to be absorbed. Instead Na+ is mainly absorbed with chloride ions. Higher concentration of Cl- compared with the early proxim...
Physiology
Excretory System (Kidney, Bladder) Acid-Base Balance
60284368-e762-42f1-b701-c466f1958d65
Presbycusis is
Loss of accommodation power
Hearing loss due to ageing
Noise induced hearing loss
Congenital deafness
1b
single
Presbycusis is a sensorineural hearing loss associated with ageing. Manifests at the age of 65years (Ref: Diseases of EAR, NOSE AND THROAT by PL DHINGRA - 6th Edition)
ENT
Ear
1de8acf1-a4e4-4a4a-8fd6-12f16f9e61fc
Sacral-teratoma/sacrococcygeal teratoma is a derivative of -
Primitive streak
Ectoderm
Hypoblasts
Cranial neuropore
0a
single
Answer- A. Primitive streakGastrulation & Hensen's node:In 2nd week - Gastrulation occurs - Establishes 3rd germ layer (mesoderm).Gastrulation begins with primitive streak formation in caudal region of epiblast.Primitive node or Hensen's node or primitive knot:Thickening formed at cranial end of primitive streak.Sacroc...
Surgery
null
c869cbf5-7e43-42d2-b2b2-b90b34e70b7f
How does gall bladder effect on pH of bile?
Makes bile pH neutral
Bile pH decreases from 8 - 8.6 to 7 - 7.6.
Bile pH increases from 7 - 7.6 to 8 - 8.6.
No effect on bile pH
1b
multi
Bile pH decreases from 8 - 8.6 to 7 - 7.6. Alteration of Bile pH: Becomes less alkaline during storage. Bile pH decreases from 8 - 8.6 to 7 - 7.6.
Physiology
null
b2cbe304-6ff9-4cfd-af27-f0d98ce1f91b
Severity of disease is assessed by:
Secondary attack rate
Case fatality rate
Prevalence rate
Incidence rate
1b
single
Ans. is 'b' i.e. Case fatality rate Case fatality rate represents the killing power of the disease. It is closely related to virulence of the disease.
Social & Preventive Medicine
Epidemiology
80ce7deb-d842-4d14-b331-639a47978f7d
A patient with long standing multinodular goitre develops hoarseness of voice ; also, the swelling undergoes sudden increase in size. Likely diagnosis is:
Follicular ca
Papillary ca
Medullary ca
Anaplastic ca
0a
single
Hoarseness of the voice and sudden increase in size of swelling in a patient with multinodular goitre indicate malignant changes. Hoarseness of the voice indicates recurrent laryngeal involvement or vocal cord paralysis. Incidence of Follicular carcinoma is high in endemic goitrous areas, with long standing multinodula...
Surgery
null
f6efb07c-78b3-4b4b-b6f3-5cec518a6675
As per MCI regulations, a medical practitioner should maintain the records of in patients for a minimum period of
2 years
3 years
4 years
5 years
1b
single
(Refer: Rajesh Bardale - Principles of Forensic medicine & Toxicology, 1st edition, pg no: 32) Every physician shall maintain the medical records pertaining to his / her indoor patients for a period of 3 years from the date of commencement of the treatment in a standard proforma laid down by the Medical Council of Indi...
Unknown
null
b51f4902-9cb5-4ddd-a261-a8853c7c6a36
Patient presents with recurrent duodenal ulcer of 2.5 cm size, procedure of choice:
Truncal vagotomy and antrectomy
Truncal vagotomy and gastrojejunostomy
Highly selective vagotomy
Laparoscopic vagotomy and gastrojejunostomy
0a
single
Ans. (a) Truncal vagotomy and antrectomyRef: Sabiston 20th edition, page 1206* For recurrent duodenal ulcer we have to do TV and also remove the acid producing part- Antrum to get the best possible result.
Surgery
Stomach & Duodenum
4a6d39a4-27b8-4017-9b6f-6114ba939f6d
All are cestodes EXCEPT
Treponema pallidum
Echinococcus
Taenia solium
Taenia saginata
0a
multi
Ref: Harrisons 19th ed. pg. 1146; table 245e1* Cestodes are helminthes. Example of cestodes:CestodesIntermediate hostDefinitive hostTaenia soliumPigManTaenia saginataBeefManEchinococcus granulosusMan, camels and sheepDogEchinococcus multilocularisRodents and humansFoxes, dogs and catsH. nanaManManD. latumCyclops, fresh...
Microbiology
Mycology
515cc7ea-4713-46a5-8062-4210b9aeef57
Which pa of subclan aery is affected by stenosis is:
First pa
Second pa
Third pa
All pas are equally affected
0a
multi
Most common etiology of subclan stenosis is atherosclerosis, and it mostly affects the ostium or proximal pa of subclan aery. Ref: Peripheral and Cerebrovascular Intervention By Deepak L. Bhatt, Page 102
Surgery
null
586daa2f-3bc5-4a48-8da5-21374ee1bf07
The order of caries susceptibility of primary teeth is:
2nd molar>1st molar>canine
1st molar>2st molar>canine
Canine>1st molar>2nd molar
Canine>2nd molar>1st molar
0a
single
Caries susceptibility of primary teeth (in descending order) 2nd molar > 1st molar > canine > lateral incisor > central incisor Caries susceptibility of permanent teeth (in descending order) 1st molar > 2nd molar > Max. 2nd PM > Max. 1st PM & Mand. 2nd PM > Max. central & lateral incisor > Max. canine & Mand. 1st PM > ...
Dental
null
94d3ba3e-a852-45a0-a71f-f07be92a41b2
The average whey/casein ratio in breast milk is:
60:40:00
80:20:00
0.888888889
40:60
0a
single
a. 60:40(Ref: Nelson's 20/e p 286-290, Ghai 8/e p 150-161)Human milk contains two types of proteins 60% is: whey and 40% is casein; helps in quick & easy digestion.
Pediatrics
Nutrition
7bbf015b-5cd8-4bd9-9418-cea8a26a05c3
Most common Cerebellopontine angle tumour is:
Acoustic neuroma
Cholesteatoma
Meningioma
None of the above
0a
multi
(a) Acoustic neuroma is the most common benign tumour of the CP angle.(Ref. Cummings, 6th ed., 2748)The next most common tumour here is meningioma followed by epidermoid, i.e. cholesteatoma.
ENT
Acoustic Neuroma
62b4bca1-4dc8-40e3-8da9-416ca37b58bd
A young man with pulmonary tuberculosis presents with massive recurrent hemoptysis. For angiographic treatment, which vascular structure should be evaluated first:
Pulmonary aery
Bronchial aery
Pulmonary vein
Superior vena cava
1b
single
B i.e. Bronchial aery In 95% of cases of massive recurrent hemoptysis, the source of blood are systemic bronchial aeryQ rather than pulmonaryaery; So these are the vascular structures which should be evaluated first. Type of Bleeding Source - Hemoptysis - Bronchial aeryQ - Epidural hemorrhage - Middle meningeal aeryQ -...
Radiology
null
82badcf4-d46d-46f6-ac50-f9d695719785
Shoest acting local anaesthetics ?
Lignocaine
Bupivacaine
Etidocaine
Chlorprocaine
3d
single
Ans. is 'd' i.e., Chlorprocaine Sho duration Low potency Intermediate duration (30-90 min) Intermediate potency Long duration (> 120 min) High potency Chloiprocaine (shoest acting) Procaine Lignocaine o Mepivacaine o Prilocaine a Cocaine Bupivacaine o Tetracaine o Etodicaine o Ropivacaine Dibucaine (longest acting)
Anaesthesia
null
64e7f588-39c0-43bc-bed1-7638132866be
Morphine causes vomiting by acting on-
C.T.Z
Gastric mucosa
Both of the above
None of the above
0a
multi
Ans. is 'a' i.e., C.T.Z
Pharmacology
null
3dd27b58-9ff0-4665-b80f-e6c10e154bdf
In oxidative phosphorylation, which of the following links the respiratory chain and ATP production?
Physical methods
Chemical methods
Chemiosmotic methods
Conformational changes
2c
single
Mitchell's chemiosmotic theory postulates that the energy from oxidation of components in the respiratory chain is coupled to the translocation of hydrogen ions (protons, H+) from the inside to the outside of the inner mitochondrial membrane. The electrochemical potential difference resulting from the asymmetric distri...
Biochemistry
null
31ebfc1f-65c4-4144-86f8-956f16d01b4c
Most common cause of death in patient on chronic hemodialysis:-
Uremia
Infection
Cardiovascular disease
Malnutrition
2c
single
Dialysis has || morbidity & moality as compared to kidney transplantation Complicationsof hemodialysis: 1. Hypotension (M/c) 2. M/c complication in recurrent hemodialysis = accelerated atherosclerosis 3. Dialysis dementia due to Ab2 amyloid 4. Carpal tunnel syndrome 5. Dialysis disequilibrium (Cerebral oedema, seizures...
Medicine
Chronic Kidney Disease & Diabetic Nephropathy
28cf6076-df4d-4aff-aace-67ff8897c0db
Drugs causing aplastic anaemia include:
Chlorpromazine
Allopurinol
Diclofenac
All of the above
3d
multi
Common drugs & toxins implicated in etiology of aplastic anemia: Drugs Chemicals A. Dose-dependent action - Cytotoxic drugs Benzene B. Idiosyncratic action Insecticides (Organophosphates, organochlorine) Antibacterials (Sulphonamides, Chloramphenicol) Pentachlorophenol (an antibacterial, fungicide & wood-preservative) ...
Pathology
Aplastic Anemia
cdadfbf1-6381-408c-8be2-48d516e72d63
In acute diarrhea following is used to decrease duration and severity -
zn
mg
fe
ca
0a
single
Recent studies suggest that administration of zinc along with new low osmolarity oral rehydration solutions / salts (ORS), can reduce the duration and severity of diarrheal episodes for up to three months. Reference: GHAI Essential pediatrics, 8th edition
Pediatrics
All India exam
d10a1c30-14ea-49d0-87fd-c1f45da92c70
Ring enhancing brain lesion are seen in all except
Lymphoma
Toxoplasmosis
Radiation necrosis
Intracranial hemorrhage
3d
multi
Intracranial hemorrhage does not show ring enhancing brain lesion.
Radiology
null
8adc8a84-b0a1-4b6c-b076-91ba05e9a37e
Efferent tracts from cerebellum arises from:
Purkinje cells
Deep cerebellar nuclei
Cerebellar cortex
Vermis of cerebellum
0a
single
The deep nuclei provide the only output for the spinocerebellum, & neocerebellum. Purkinje cell axons are the only output from the cerebellar cortex, generally pass to deep nuclei.
Anatomy
null
37f48ce1-e795-4946-93ca-72e081c6f44d
Regulation of coronary circulation is
Autonomic
Antoregulatory
Chemical
All of them
3d
multi
Coronary circulation is regulated by chemical factors, physical factors, hormonal factors, neural factors, and autoregulation. Products of metabolism like CO2, H+, K+, lactic acid, adenosine, bradykinin, prostaglandin, adenine nucleotide etc produces vasodilation. Physical factors are BP, Peripheral resistance, Hea rat...
Physiology
Cardiovascular system
5022ffee-cf95-4dfb-8414-552ffdeba12b
Which among the following is not a predisposing factor for hepatocellular carcinoma?
Hepatitis B
Females
Hepatitis C
Afla toxins
1b
single
Ans: b (Females) Ref: Robbins, 7th ed, p. 924; Harrison, 16th ed, p. 535; Sabiston, 17th ed, p. 1548Hepatocellular Ca is more common in males (about 4 times). Other 3 options are definitely predisposing factors for HCCHepatocellular CaMore common in males60 - 90% asso.with cirrhosis liverRisk Factors;1. Hepatitis B& C2...
Pathology
Liver & Biliary Tract
a640f9f7-1797-418d-b3da-422bc9c02056
A female is presented with a breast lump of size 20 cm with no lymphadenopathy no metastasis. Her TNM staging would be
T2 N0 M0
T3 N0 M0
T4a N0 M0
T4b N0 M0
1b
single
T0 - No evidence of primary T1 - Tumor less than 2cm T2 - Tumor of size 2-5cm T3 - Tumor greater than 5cm in greater dimention. T4 - Any tumor with direct extension to chest wall or skin or both. T4a is tumor extending to chest wall while T4b is tumor infiltrating the skin and T4c is tumor showing both chest wall and s...
Surgery
Endocrinology and breast
acae9d3c-b3f1-4afe-8cc6-8580dfa9b38c
Bedsore is an example of which of the following type of ulcer?
Tropical ulcer
Trophic ulcer
Venous ulcer
Post thrombotic ulcer
1b
single
Bedsore and perforating ulcers are typical examples of trophic ulcers. Trophic ulcers have punched-out edge with slough in the floor resembling a gummatous ulcer. Factors predisposing its development are: injury, anemia, moisture, pressure and malnutrition. Ref: Bailey and Love's Sho Practice of Surgery, 24th Edition, ...
Surgery
null
0d4e35ad-587c-471e-b919-7b4ea422dc54
Which one of the following statements is TRUE regarding neonatal sepsis?
Refusal to suck, poor cry and lethargy are common features
Neutrophilia is the hallmark of neonatal sepsis
Sepsis occurs on the 4th day and is mostly due to microbes from maternal genitalia
Antibiotics are withheld till the causative bacterium & drug sensitivity are known through culture-sensitivity testing
0a
multi
a. Refusal to suck, poor cry and lethargy are common features(Ref: Nelson's 20/e p 918-922)Discussing the options one by one,a.True; These are the earliest and very common features of neonatal sepsisb.False, Neutropenia & not neutrophilia is a feature of neonatal sepsisc.False, Sepsis can occur anytime in the neonatal ...
Pediatrics
New Born Infants
04e526c6-d4b5-40d2-885b-f222b2968983
A trained dal caters for a population of -
1000
2000
3000
4000
0a
single
Ans. is 'a' i.e., 1000 Local dais (Traditional bih attendants) Under Rural Health Scheme, all categories of local dies are trained to improve their knowledge in the elementry concepts of : - i) MCH ii) Sterilization (Small family norm) Training Training is for 30 working days. o They are paid a stipend o/ Rs. 300 durin...
Social & Preventive Medicine
null
6e99fe44-a901-40e7-b67e-47eb292f660a
Mitochondria havea) Plasmid DNAb) Circular DNAc) Single stranded DNAd) Double stranded DNA
bd
d
ab
ac
0a
single
Mitochondrial DNA is small circular double stranded DNA molecule.
Biochemistry
null
9521d706-b485-4ed9-b61f-c6911404b08c
A child presented with headache, dizziness, intermittent claudication with occasional dyspnoea. The most probable diagnosis in -
ASD
PDA
TOF
Coarctation of aoa
3d
single
Ans is 'd' i.e., Coarctation of aoa Clinical manifestations of COA Symptoms of coarctation of aoa occurs due to decrease in blood supply distal to aoic obstruction. o If obstruction is distal to left subclan aery, manifestations are due to aerial insufficiency to lower limbs. Intermittent claudication Pain Weakness of ...
Pediatrics
null
5238c3b8-b2d3-42ef-b94a-3b7f87a2715a
A child presents with fever, stridor and barking cough. His X-ray is given below: Following is true about the patient:
Symptoms are predominantly caused by involvement of subglottis
Antibiotics should be started immediately
X-ray is showing thumb sign
Caused by H. influenzae b
0a
multi
(a) Symptoms are predominantly caused by involvement of subglottis(Ref. Cummings, 6th ed., 3049; Scott Brown, 8th ed., Vol 1; 326)
ENT
Infections and Inflammatory Conditions
3b86bda0-cc45-449d-bc8a-dc160b9c2d26
What is the diagnosis in this patient with axillary lymphadenopathy?
Bacterial felon
Erysipelas
Herpetic whitlow
Paronychia
2c
single
Answer C. Herpetic whitlowDirect fluorescence antibody testing of vesicular fluid confirmed the presence of herpes simplex virus type 2, consistent with the diagnosis of herpetic whitlow. The patient responded to treatment with oral acyclovir.
Medicine
Skin
1dba69ab-3ddd-4778-a3df-82a7d91cfa48
A 40-year-old man, a known case of diabetes and on medication for the past 10 years comes to OPD with a history of abdominal pain, weakness, lightheadedness, palpitations and shoness of breath. On examination, glossitis along with hyperpigmentation of skin of dorsum of hands and feet and abnormal pigmentation of hair w...
Metformin
Pioglitazone
Vildagliptin
Exenatide
0a
single
This is a case of megaloblastic anemia due to Metformin intake. Lab findings show increased mcv, LDH, indirect bilirubin and normal iron studies, and low reticulocyte, WBC and platelet count. Pbs shows hypersegmented neutrophil. Bone marrow aspiration study shows megaloblasts. Metformin causes megaloblastic anemia as a...
Unknown
Integrated QBank
1fb0c8e6-be65-48ab-9d2d-24191ab7671f
A sexually active, long distance truck driver&;s wife comes with vaginal discharge. Under Syndromic Approach, which drug should be given?
Metronidazole, Azithromycin, Fluconazole
Metronidazole
Azithromycin
Metronidazole and Fluconazole
0a
multi
<p> Metronidazole,azythromycin,fluconazole. It is syndromic management of vaginal discharge for symptomatic paner. Reference:Park&;s textbook of preventive and social medicine,K.Park,23rd edition,page no:334. <\p>
Social & Preventive Medicine
Communicable diseases