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Ochsner-Sherren regimen is used for:September 2009, 2010
Ans. C: Appendicular mass
3
Appendicular abscess
Pelvic abscess
Appendicular mass
Acute appendicitis
Surgery
null
d8b8b8ae-7e56-44f2-b79f-8d28e6e355c8
single
'Routine care' in Neonatal resuscitation consists of all of the following steps EXCEPT:
Suction airway of all babies- not recommended. 'Routine care' consists of : Provide warmth to all babies Proper positioning of baby Suction airways only if necessary Dry the baby Ongoing evaluation of vital parameters of all babies
2
Provide warmth to all babies
Suction airway of all babies
Dry the baby
Ongoing evaluation of vital parameters of all babies
Pediatrics
Neonatal Resuscitation
649652f7-7250-4ef1-b5f9-b669f98efa95
multi
Which of the following is the rate limiting enzyme of bile acid synthesis
Microsomal 7 α hydroxylase (cholesterol 7 α hydroxylase) is the rate limiting enzyme of bile acid synthesis. This enzyme is expressed only in liver.
3
Mitochondrial 17 α hydroxylase
Cytoplasmic 7 α hydroxylase
Microsomal 7 α hydroxylase
Mitochondrial 7 α hydroxylase.
Biochemistry
null
00e3414c-8f67-4ea3-afd7-2e42af4f7eb2
single
Diphyllobothrium latum causes anemia by:
Diphyllobothrium latum, also known as the fish or broad tapeworm, is the biggest worm and can reach 10 m in size. Humans acquire the infection by eating raw fish containing the larvae of the tapeworm. The worm attaches to the small intestine and causes abdominal discomfo. Nausea, diarrhea, weight loss, and pernicious a...
3
Its blood sucking activities
The Production Of A Toxin That Affects Hematopoiesis
Competition with the host for vitamin B12
Occlusion of the common bile duct
Medicine
null
dee4b56b-2a05-4523-93b1-49cb507b5f0c
multi
Amyl nitrate is most commonly administered
null
2
Intravenously
By inhalation
Sub lingually
Orally
Pharmacology
null
853e6be0-2d94-43d6-be10-6b572d62c9a3
multi
A 63-year-old man presents to the emergency department because of transient symptoms of vertigo, slurred speech, diplopia, and paresthesia. He is symptom-free now, and clinical examination is entirely normal. His past medical history is significant for osteoarthritis, hypertension, and dyslipidemia. Which of the follow...
Posterior circulation TIA is suggested by the constellation of symptoms (vertigo, dysarthria, and diplopia and the transient episode of his symptoms. The basilar artery is formed by the two vertebral arteries and supplies the pons, the midbrain, and the cerebellum with vertebrobasilar TIAs, tinnitus, vertigo, diplopia,...
1
posterior circulation transient ischemic attack (TIA)
anterior communicating artery aneurysm
hypertensive encephalopathy
pseudobulbar palsy
Medicine
C.N.S.
63497dfb-a998-4137-9888-40d31588e79c
single
Which of the following is not a ototoxic drug -
Ans. is 'a' i.e., Paracetamol Important ototoxic drugso Aminoglycosideso Cisplatino Furosemideo Deferoxamineo Quinineo Chloroquineo Interferonso Eiythromycino Bleomycino Aspirin
1
Paracetamol
Cisplatin
Quinine
Erythromycin
Pharmacology
Adverse Drug Effect
4312cb15-405b-48f9-8679-8b78e621ffea
single
Which of the following is NOT a component of t RNA?
Component Function Acceptor stem Hydroxyl group of adenosyl nucleotide forms an ester bond with the carboxyl group of aminoacid. DHU arm (DiHydroUridine) or D arm Recognition by specific aminoacyl tRNA synthetase Anticodon arm Base pairs with the codon of mRNA TpsC arm (RiboThymidine, Pseudouridine (ps), Cytidine) Ribo...
3
D-loop
TpsC loop
Codon arm
Variable loop
Biochemistry
Translation
a431f057-b176-402d-bc65-d944b828a9a0
single
RC-prep is a combination of?
null
4
EDTA with carbamide peroxide
EDTA with hydrogen peroxide
EDTA with sodium hypochlorite
EDTA with urea peroxide and glycol based Glyde
Dental
null
994251d9-2136-4975-94b9-1a2b12955204
single
Normal pregnancy can be continued in aEUR'
Wolf Parkinson-While syndrome Marfan's syndrome Ideally, a patient with Marfan's syndrome contemplating pregnancy should have a preconceptional echocardiography to determine the diameter of the aoic root risk depends upon the diagmeter of aoic root. If it is greater than 4.0 cm, she is at significant risk for aoic diss...
2
Primary pulmonary hypeension
Wolf-Parkinson-White syndrome
Eisenmenger syndrome
Marfan syndrome with dilated aoic root
Gynaecology & Obstetrics
null
bb3dcf10-7035-4856-ad8a-7ab2f82bed35
single
Alpha 1 antitrypsin deficiency mechanism of transmission -
Ans. is 'a' i.e., Autosomal recessiveAutosomal recessive disordersMetabolicHematologicalEndocrineSkeletalNarvouso Cystic fibrosiso Phenylketonuriao Galactosemiao Homocystinuriao Lysosomal storage diso a1-antitrypsin deficiencyo Wilson diseaseo Hemochromatosiso Glycogen storage disorderso Sickle cell anemiao Thalassemia...
1
Autosomal recessive
Autosomal dominant
X linked recessive
X linked dominant
Pathology
Obstructive Lung Diseases
47414217-6264-4752-a1fb-86f6b30a1759
single
Which of the following is not an intracellular enzyme?
Intracellular enzymes: Cytoplasm: Enzymes of glycolysis (conversion of glucose and glycogen to pyruvic and lactic acid). Mitochondria: Enzymes of citric acid cycle and oxidative phosphorylation. Lysosomes: Hydrolytic enzymes.
2
Enzymes of oxidative phosphorylation
Salivary amylase
Glycogen synthase
None of the above
Biochemistry
null
0aa8a026-c776-4c6b-a7e2-2558da5df0cf
multi
Which of the following is not a feature of chronic progressive external ophthalmoplegia
Chronic Progressive External Ophthalmoplegia No diplopia since it is bilaterally symmetrical No neurological involvement. Progressive generalized muscular disorder. Stas with bilateral ptosis, is symmetrical. Finally ocular motility palsy followed by paralysis occurs.
4
Stas with bilateral ptosis
May be associated with hea block.
Finally ocular motility palsy
Significant diplopia
Ophthalmology
Squint
f14982ca-b4b4-412a-905f-40d093c03c75
multi
Division of zygote took place on 5th day after fertilization. What is the type of twinning:
Ans. (b) Monochorionic, DiamnioticRef: Dutta 8th ed. 233Division of zygote and types of TwinningDivision of Zygote on/ afterTypes of Twining72 hours/3 daysDichorionic, DiamnioticBetween 4-8 daysMonochorionic, DiamnioticBetween 8-12 daysMonochorionic, Monoamniotic> DaysSiamese, Conjoined TwinsAlso Know* Most common type...
2
Monochorionic, Monoamniotic
Monochorionic, Diamniotic
Dichorionic, Diamniotic
Dichorionic, Monoamniotic
Gynaecology & Obstetrics
Multiple Pregnancy
f6648b1d-d7b0-43de-b8a5-e1685c6e47bc
single
Lines of Blaschko represent:
Ans. (d) Lines of developmentBlaschko's lines reflect cell migration during embryogenesis of the skin. Nevi cluster along these lines
4
Lines along lymphatics
Lines along blood vessels
Lines nerves
Lines of development
Surgery
Plastic & Reconstructive Surgery
4570a05c-2ab9-4e68-b89f-bbf64d0a30e1
single
Commonest cause of colonic obstruction in neonates is -
Ans. is 'b' i.e., Aganglionic colon i) Option 'a & c' are causes of small bowel obstruction not colonic obstruction ii) Most common cause of Intestinal obstruction in a neonate is Intestinal atresia - p. 1133, 1232 Nelson
2
Meconium ileus
Aganglionic colon
Heal atresia
Volvulusd) Hernia
Surgery
null
2990ca20-1284-47e7-a836-91651861ff58
single
Cantrell pentology include all except ?
Ans. is d i.e., Trisomy 21 o Pentalogy of Cantrell is named after James R. Cantrell, a pediatric surgeon . The pentalogy of Cantrell is an extremely rare phenomenon with an incidence estimated at around 6 per million live bihs. o It encompasses the following 5 main features. i) Pericardial or distal sternal cleft ii) S...
4
VSD
ASD
TOF
Trisomy 21
Pediatrics
null
c141c98a-20dc-4589-af74-3ceb3701ff7e
multi
Not true about Ribozyme is:
RIBOZYME - Ribozymes are RNA molecules with catalytic activity At least five distinct species of RNA that act as catalysts have been identified. Three are involved in the self processing reactions of RNAs while the other two are regarded as true catalysts (RNase P and rRNA). (1) rRNA- 23S RNA (prokaryotes) - 28s RNA (e...
1
It is a protein
Involved in transesterification
Involved in peptide bond formation
Catalyst RNA
Biochemistry
DNB 2018
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multi
Under Vision 2020, to check visual acuity, teacher will refer school child to
Under Vision 2020, to check visual acuity, teacher will refer school child to Vision Centre Vision 2020 Right to Sight Major aim - eliminate avoidable blindness by 2020. They are Global India 1. Cataract 1. Cataract 2. RE + Low vision 2. RE + Low vision 3. Childhood blindness 3. Childhood blindness 4. Trachoma 4. Trach...
4
Service centre
Training centre
Centre for excellence
Vision centre
Social & Preventive Medicine
NCDs: CHD, HTN, DM, RF, Cancers, Obesity, Blindness
b88e1497-2b8e-4534-95d1-bcb90f363cdd
single
Chemoattractants among the following are?
Ans. is 'b' i.e., Leukotriene B4 and C5a o Chemoattractant:- C5a (most potent), IL-8, LTB4, PAF, bacterial products, Lymphokine, Kallikrein.o C5a is the most potent chemoattractant
2
Histamine
Leukotriene B4 and C5a
Leukotriene C4 and C3a
Bradykinin
Pathology
Chemical Mediators and Regulators of Inflammation
45fc1a21-5962-42ec-afc1-97b33c99944e
single
In humans, where does depolarisation of cardiac ventricular muscle stas from?
In humans, depolarization of the ventricular muscle stas at the left side of the interventricular septum and moves first to the right across the mid poion of the septum. The wave of depolarization then spreads down the septum to the apex of the hea. It then returns along the ventricular walls to the AV groove, proceedi...
2
Posterobasal pa of ventricle
Left side of inter ventricular septum
Uppermost pa of interventricular septum
Basal poion of ventricle
Physiology
null
7f6ecbfa-68cd-4aeb-8799-18a470fba3e8
single
All are true about hypertrophic obstructive cardiomyopathy except
null
3
Assymetrical septal hypertrophy
Systolic ventricular dysfunction is absent
Anterior leaflet movement is delayed
Cardiac output is diminished
Medicine
null
9b587133-c817-4ffe-a967-1565bc050734
multi
When preparing a 3/4th crown on maxillary incisor tooth, the proximal grooves should generally be parallel to the
null
3
Long axis of the tooth
Gingival 2/3rd of the labial surface
Incisal 2/3rd of the labial surface
Short axis of the tooth
Dental
null
ae03dccf-94b7-4472-9c9a-e44605f7493b
multi
Gluconeogenesis enzyme stimulated in starvation
In starvation, there is excessive breakdown of fatty acids resulting in the formation of Acetyl CoA in the liver. They ensure the conversion of pyruvate to oxaloacetic acid. It acts as allosteric activator of the enzyme pyruvate carboxylase and inhibits pyruvate dehydrogenase of Glycolysis.
1
Carboxylase
Pyruvate dehydrogenase
Pyruvate kinase
Glucokinase
Biochemistry
Metabolism of carbohydrate
cc49d868-220f-4d2a-8b8e-9d6af30226d3
single
What is false regarding wandering spleen?
Wandering spleen- when position is not fixed due to laxity of ligaments or previous surgery - twisting of vascular pedicel - splenic congestion . Wandering Spleen Wandering spleen is an unusual condition with normal spleen having a long loose & vascular splenic pedicle but lacks ligamental attachments. Clinical Feature...
2
Chronic torsion leads to splenomegaly
Treatment of choice is splenectomy only
Infarction & torsion are common
It is encapsulated with long vascular pedicle
Surgery
Spleen
6613d3be-6e49-4979-859d-1d7e5bdc2c85
multi
Age group for concrete operational stage:
According to Piaget Cognitive theory, the sequence of development has been categorized into 4 major stages. • Sensorimotor stage (0 to 2 yrs) • Pre-operational stage (2 to 6 yrs) • Concrete operational stage (7 to 12 yrs) • Formal operational stage (11 to 15 yrs)
3
0-2 yrs
2-6 yrs
7-12 yrs
11-15 yrs
Dental
null
aae6e5d7-180d-48a9-bc15-e457b7c7338a
single
Culex mosquito spreads all of the following disease except: March 2008
Ans. C: Yellow fever The yellow fever mosquito, Aedes aegypti (= Stegomyia aegypti = Aedes (Stegomyia) aegypti), is a mosquito that can spread the dengue fever, Chikungunya and yellow fever viruses. The mosquito can be recognized by white markings on legs and a marking in the form of a lyre on the thorax.
3
Viral ahritis
West Nile fever
Yellow fever
Bancroftian filariasis
Social & Preventive Medicine
null
a3551789-5a54-40bb-b2a7-531ea6c0a1cb
multi
Organism associated with fish consumption and also causes carcinoma gallbladder:
• Clonorchis sinensis is a liver fluke, acquired by ingestion of raw or inadequately cooked freshwater fishes. • In human body, it lives within bile ducts and causes inflammatory reaction leading to cholangiohepatitis and biliary obstruction. • It is a well known risk factor for cholangiocarcinoma. • It is a rare, but ...
3
Gnathostoma
Anglostrongyloidosis cantonensis
Clonorchis sinensis
H. dimunata
Surgery
null
ced3ceaa-5cf9-4ebe-8555-55842c20f9c7
multi
Which of the following statements about Recommended Dietary Allowances (RDA) is true
A i.e. RDA is statistically defined as two standard detions (SD) above Estimated Average Requirement (EAR)
1
RDA is statistically defined as two standard detions (SD) above Estimated Average Requirement (EAR)
RDA is defined as being equal to the Estimated Average Requirement (EAR)
RDA is defined as being equal to Adequate Intake (AI)
RDA is defined as the recommended minimum requirement
Physiology
null
b169ae17-afb8-432c-985b-f692b73ced92
multi
Third tubercle of femur provides attachment to?
Ans. (a) Gluteus maximusRef: Gray's anatomy 39th ed. H433
1
Gluteus maximus
Gluteus medius
Gluteus minimis
Piriformis
Anatomy
Osteology of Lower Extremity
a366691d-cfb4-4861-b9c6-298e54189296
single
Genu of internal capsule carries -
Desending (efferent) fibers passing through genu of internal cpsule are corticonuclear fibers.
4
Optic radiation
Corticospinal
Corticorubral tract
Corticonuclear tract
Anatomy
null
d0e239f1-8cfa-4d0b-8334-6acb7a671c36
single
FIGLU Test is used for deficiency of -
Ans. is 'd' i.e., Folic acid Assessment of folate deficiencyo Following tests are used for assessment of folate deficiency.Blood levelNormal level in scrum is about 2-20 nanogram/mJ and about 200 micorgram.'ml of packed cells.Histidine load test or FIGLU excretion test :- Histidine is normally metabolized to formimino ...
4
Vitamin B ,
Riboflavin
Niacin
Folic acid
Biochemistry
Vitamins
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single
Which is not found in CNS in a case of AIDS
Ref Robbins 9/e p250-255 Pathogenesis of CNS Involvement The pathogenesis of the neurologic manifestations in AIDS deserves special mention because, in addition to the lymphoid system, the nervous system is a major target of HIV infection. Macrophages and cells belonging to the monocyte-macrophage lineage (microglial c...
3
Perivascular giant cells
Vacuolization
Inclusion bodies
Microglial nodules
Anatomy
General anatomy
608794b2-d8c4-47c8-9ed1-e47fc7f109a1
single
The term 'id' was coined by -
Structural theory of mind (the id, ego and superego) was given by Sigmund freud.
1
Freud
Skinner
Wayker
Blueler
Psychiatry
null
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single
'Maltese Cross' is a characteristic feature of:
Babesia Microti is a parasitic blood-borne disease transmitted by deer tick (Ixodes scapularis) does not infect liver cells. Its clinical symptoms is similar to malaria, so diagnosis is really confusing. Under the microscope, the merozoite form of the microti lifecycle in red blood cells forms a cross-shaped structure,...
2
Cryptococcus Neoformans
Babesia Microti
Blastomycosis
Penicillium Marneffei
Microbiology
null
cf018b40-d1ed-4924-a461-1f5ba09d387e
single
30 year old female presents with a painful, red, warm nail fold since last 7 days. Patient is applying various home remidies like turmeric powder , warm saline compressions with out any relief .The most probable diagnosis is
Paronychia is inflammation around a finger or toenail. Paronychia is a nail disease that is an often tender bacterial or fungal infection of the hand or foot, where the nail and skin meet at the side or the base of a finger or toenail. The infection can sta suddenly (acute paronychia) or gradually (chronic paronychia) ...
2
Ingrowing finger nail
Acute paronychia
Chronic paronychia
Onychomycosis
Dental
miscellaneous
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single
ECG was performed on a total of 700 subjects with complaints of acute chest pain. Of these, 520 patients had myocardial infarction. Calculate the positive predictive value of ECG is: MYOCARDIAL INFARCTION ECG PRESENT ABSENT TOTAL POSITIVE 416 9 425 NEGATIVE 104 171 275 TOTAL 520 180 700
Positive predictive value=true positive/(true positive+ false positive) 416/425 x 100= 98% Ref: Medical biostatistics, 1st edition pg: 201
4
40%
55%
95%
98%
Social & Preventive Medicine
null
673029bc-50cd-43ed-92e9-decd5b755560
single
Hemiplegia is commonly associated with infarction of the area of distribution of the -
null
2
Anterior cerebral artery
Middle cerebral artery
Posterior cerebral artery
Anterior communication artery
Medicine
null
4a493b2b-58e2-4346-8ffa-e4e11cf71a74
single
All of the following statements are true about Congenital Rubella, EXCEPT:
The first trimester of pregnancy is the most disastrous time for the foetus as the organs are developing. Infection in the second trimester may cause deafness but those infected after week 16 suffer no major abnormalities. Ref: Textbook of Obstetrics By Dutta, 6th Edition, Page 299; Park's Textbook Of Preventive And So...
4
It is diagnosed when the infant has IgM antibodies at bih
It is diagnosed when IgG antibodies persist from more than 6 months
Most common congenital defects are deafness, cardiac malformations and cataract
Infection after 16 weeks of gestation results in major congenital defects
Social & Preventive Medicine
null
008b744f-6b17-45ec-9810-7e188e85ea93
multi
Extra intestinal manifestations associated with inflammatory bowel disease are all except
null
3
Uveitis
Sclerosing cholangitis
Osteoarthritis
Skin nodules
Medicine
null
86d4d0a2-9c30-4627-8c2e-ddfb63616810
multi
Rectum is inflated with air, pain occurs in right iliac fossa. Which sign
an obsolete sign: in chronic appendicitis, pain and tenderness in the right iliac fossa on inflation of the colon with air. The definition information forBastedo sign is provided by Stedman&;s.
3
Aaron sign
Battle sign
Bastedo sign
Meburney sign
Surgery
G.I.T
69ee06c8-273d-4e90-bc28-3de8133a351d
single
Which of the following OPV ls are usable?
Rules for VVM use in India Rules 1: If the inner square is lighter than the outer circle, the vaccine may be used (Vials 1, 2) Rules 2: If the inner square is the color as, or darker than, the outer circle, the vaccine must not be used (Vials 3, 4).
2
Only 1
Only 1, 2
Only 1, 2, 3
Only 3, 4
Social & Preventive Medicine
Cold Chain in India
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single
In leprous neuritis, there is a) Intracutaneous thickening of the nerve b) Facial palsy c) Occurs in warm and moist areas d) Palpable peripheral nerves are present e) > 10 lesions may be found
null
1
abde
abd
abcd
acd
Medicine
null
ea561b34-510a-455e-bb92-55d76a18dabb
single
Major carbohydrate store in body is:
Major carbohydrate store in the body is Hepatic glycogen, Hepatic glycogen maintains blood glucose concentration. No glycogen is stored in adipose tissue. In % glycogen stored in muscles> liver Body stores energy in the form of carbohydrates (glycogen) and not in form of fats because : Fats cannot be metabolized anaero...
1
Hepatic glycogen
Blood glucose
Glycogen in adipose tissue
None of the above
Biochemistry
Glycogen
955a031c-8c68-49a7-8591-ea5bad580d8b
multi
Difference between post burn rupture & incised wound -
Reff: The synopsis of forensic medicine& Toxicology 28th edition pg: 167 Heat ruptures: These are produced by splitting of soft pas at the joints. They may be confused with the incised or lacerated wounds. Can be differentiated from them by the absence of bleeding; presence of intact vessels and nerves; irregular margi...
2
Seen in front of the thigh
Intact blood vessels & nerve at floor of the wound
Bleeding from the wound
Small and multiple
Forensic Medicine
Thermal injury
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multi
All are true regarding typhoid ulcer except ?
Ans. is 'b' i.e., Placed transversely along the ileumo Typhoid ulcers are placed longitudinally along the ileum.o On the other hand. Tubercular ulcers are placed transversely along the ileum (Mnemonic: (neck) tie lies longitudinal on body).Features of Tvhoid ulcer ?Salmonella typhi primarily affects the ileum and colon...
2
Perforation is less common in children below 5yrs
Placed transversely along the ileum
Multiple ulcer found in terminal ileum
Perforation occurs in 3rd week
Pathology
null
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multi
The Study of postmoem process of a dead body and their interpretation is
Forensic taphonomy is the interdisciplinary study and interpretation of postmoem processes of human remains. Thanatology is the study that deals with death in all its aspects. Entomology is the study of the form and behaviour of insects. Myiasis is a condition caused by infestation of the body by fly maggots. Putrefact...
3
Thanatology
Putrefaction
Taphonomy
Entomology
Forensic Medicine
Thanatology
598181a0-31fd-4d52-99e7-0d4a48339843
single
The most common nerve damaged during open hernia repair -
Ans. is 'a' i.e., Ilioinguinal nerve o All the three nerves ie genifotemoral, ilioinguinal & iliohypogastric are branches of the lumbar plexus and all may be injured in op. for hernia.Ilioinguinal-Nerveo Enters the inguinal canal by piercing the internal oblique muscle (not through the deep ring),o It then emerges from...
1
Ilioinguinal nerve
Iliohypogastric
Genitofumoral
None
Unknown
null
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multi
In diagnosis of retinitis pigmentosa ERG is:
Ans. Less sensitive than the EOG
2
More sensitive than the EOG
Less sensitive than the EOG
Equally sensitive as EOG
None of the above
Ophthalmology
null
47979134-412a-4a97-a8f2-30cf6343e3b0
multi
In which one of the following conditions is gas under diaphragm not seen
After spontaneous rupture, the pressure in the oesophagus rapidly increases and burst at its weakest point in lower one-third, sending a stream of material into the mediastinum and often into the pleural cavity. Thus pneumomediastinum is formed Reference: Bailey and Love edition: 24 page no: 996
4
Perforated duodenal ulcer
Typhoid perforation
After laparotomy
Spontaneous rupture of oesophagus
Surgery
G.I.T
b53c338c-ee25-4e1e-a179-2128253d1803
single
Positive Acute phase reactants are all except :
Acute phase reactants - Plasma proteins which are either increased or decreased during inflammation. Proteins which are increased are called as Positive Acute phase reactants and which are decreased are know as Negative Acute phase reactants.
2
Serum Amyloid A protein
Transthyretin
Fibrinogen
Hepcidin
Biochemistry
Classification and metabolism of amino acids
00db36d3-7ad3-46b9-a884-e6ff24eb54ce
multi
Which of the following phase is characterized by presence of δ waves?
C represents NREM 3 phase which is characterized by presence of δ waves. NREM 3 is also called as "deep sleep".
3
A
B
C
D
Psychiatry
null
e7e36b78-6f70-45fc-b117-19c6915c41f7
single
True statement(s) regarding feeding of HIV-infected child is/are -
Ans. is 'c' i.e., Exclusively top feeding o HIV infection can be transmitted from infected mother to fetus by breast feeding (though this is the least common mode of veical transmission for HIV). o It seems reasonable for women to substitute infant formula (top feeding) for breast milk if they are known to be HIV infec...
3
Breast feeding for 4-6 months then sta weaning
Breast feeding for 1 year then sta weaning
Exclusively top feeding
All
Pediatrics
null
22059021-ff43-4f27-8c9c-fe13983eb72a
multi
The modified class III preparation uses a dovetail on the lingual side in:
Lingual dovetail is required for large preparations in maxillary canines.  It is prepared only after completion of proximal portion, because otherwise tooth structure needed for isthmus between proximal portion and dovetail might be removed when the proximal outline form is prepared. Nisha Garg, Amit Garg. Textbook of...
1
Maxillary canine
Mandibular canine
Mandibular central incisor
Mandibular lateral incisor
Dental
null
5b1a1289-b252-4650-af9c-882567db9658
single
The child rolls over by -
Ans. is 'b' i.e., 5 months Age Milestone 3 Month Neck holding 5 Month Rolls over 6 Month Sit with support 8 Month Sit without support 9 Month Stand with support 12 Month Stand without support Walk with support 15 Month Walk alone, creep upstair
2
3 months
5 months
7 months
8 months
Unknown
null
69378c11-c9f8-4ba0-996b-43d4a16f6f8f
single
Krabbe’s disease caused by deficiency of
null
3
Sphingo myelinase
Alpha galactosidase
Galacto cerebrosidase
Aryl sulfatase A
Biochemistry
null
f3dc145a-9af5-46a5-a688-27dbe27b2fc2
single
Beta agonist which is used for stopping premature labor is:
null
2
Carvedilol
Terbutaline
Pindolol
Nadolol
Pharmacology
null
9fb68698-0716-4133-b474-651e3b41da71
single
Which of the following lesions is NOT an infection from human papilloma virus?
null
4
Verruca vulgaris
Focal epithelial hyperplasia
Condyloma acuminatum
None of the above
Microbiology
null
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multi
Which of the following is a debranching enzyme:
Debranching enzyme is a Bifunctional enzyme with two activities Glucan transferase Amylo a-1,6-glucosidase breaks the alpha (1-6) glycosidic bond present at the branch point of glycogen in glycogen breakdown. Other Options: Glycogen synthetase transfer glucose from UDP-glucose to glycogenin. Glycogen branching enzyme (...
3
Glycogen synthetase
Glucose-6-phosphatase
Amylo alpha-1,6-glucosidase
Amylo (1,4)-(1,6) trans glycosylase
Biochemistry
Glycogen
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single
Which of the following synaptic transmitter is NOT a peptide, polypeptide or protein
D. i.e. (Serotonin) (95 - 96- Ganong 22nd) (1081-82- A.K. Jain 3rd)* Dopamine, Norepinephrine, Epinephrine, Serotonin. Histamine are AMINES* Polypeptides are - Substance P*, other tachykinins, Vasopressin, oxytocin, CRH, TRH, GRH,Somatostatin, GnRH, Endothelins, /3-Endorphin*, Endomorphins Enkephalins*, Dynorphins,Chol...
4
Substance P
Met-enkephalin
b-Endorphin
Serotonin
Physiology
Nervous System
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single
At which level of heat stress index it is not possible to work comfoably causing threat to health:
HEAT STRESS INDEX(HSI): HSI% Consequence of 8 hour exposure 0 No thermal strain 10-30 Mild-Moderate heat stress, Minimal impairement in work 40-60 Severe heat stress, Threat to health if not fit 70-90 Very severe heat stress, only few can sustain it 100 Maximum heat stress, only young fit acclimatized can sustain it >1...
2
20-40
40-60
60-80
80-100
Social & Preventive Medicine
Environment and health
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single
Rosiglitazone mechanism of action is ?
Ans. is 'a' i.e., Acts as PPAR gamma agonist Rosiglitazone It is oral antidiabetic drug They are selective agonists for nuclear peroxisome proliferator activator receptor gamma (PPAR gamma) expressed in the fat and muscle cells. It enhances transcription of several insulin responsive genes. Reverse insulin resistance b...
1
Acts as PPAR gamma agonist
Inhibitor of alpha glucosidase
Acts as amylin analogue
Acts as dipeptidyl peptidase inhibitor
Pharmacology
null
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A person was brought by police from the railway platform. He is talking irrelevant. He is having dry mouth with hot skin, dilated pupils, staggering gait and slurred speech. The most probable diagnosis is:
Features of dhatura poisoning: (All Datura plants contain tropane alkaloids such as scopolamine, hyoscyamine, and atropine) Dilatation of pupils Dryness of mouth Difficulty in speech Dysphagia Dilatation of cutaneous blood vessels Dry, hot skin Drunken gait Delirium Drowsiness Reference The Synopsis of FORENSIC MEDICIN...
4
Alcohol intoxication
Carbamates poisoning
Organophosphorous poisoning
Dhatura poisoning
Forensic Medicine
Miscellaneous
72c5bae5-7b8a-4ed6-b835-368a8f5c9b7b
single
Which of the following layers of epidermis is known as "prickle layer"?
Ans. B. Stratum spinosumStratum spinosum is also called as the prickle cell layer.* Stratum spinosum consists of intercellular attachments, also called desmosomes.* These desmosomes appear like spines on microscopy; hence, it is called as the prickle layer.* Their spiny (Latin, spinosum) appearance is due to the shrink...
2
Stratum basale
Stratum spinosum
Stratum granulosum
Stratum corneum
Skin
Anatomy of Skin
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single
Energy currency of the cell is
Cellular energy can be stored in high-energy phosphate compounds, including adenosine triphosphate (ATP). This ubiquitous molecule is the energy storehouse of the body. On hydrolysis to adenosine diphosphate (ADP), it liberates energy directly to such processes as muscle contraction, active transpo, and the synthesis o...
2
Nucleotide diphosphate
Nucleotide triphosphate
Deoxynucleotide diphosphate
Nuceotide monophosphate
Physiology
General physiology
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single
Commonest type of cong. cyanotic hea disease is
Most common cyanotic hea disease is tetrology of fallot encountered beyond the age of 1 yr constituting almost 75% of all blue patient. Ref : Ghai essential pediatrics,eighth edition, P.no:420
3
ASD
VSD
TOF
PDA
Pediatrics
C.V.S
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single
CRF with anemia best treatment -
Ans. is 'b' i.e., Erythropoietin o Chronic kidney disease leads to normocyih normochronic anemiaThe kidney is the primary' site of erythropoietin production in the adult. Erythropoietin enhances the growth and differentiation of erythropoietin progenitors.With increasing renal dysfunction decreased level of erythropoie...
2
Iron
Erythropoietin
Blood transfusion
Folic acid
Medicine
Anemia and RBC Disorders
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A 32-year-old woman was admitted to the hospital with a complaint of pain over her umbilicus. Radiographic examination revealed acute appendicitis. The appendix was removed successfully in an emergency appendectomy. One week postoperatively the patient complained of paresthesia of the skin over the pubic region and the...
The ilioinguinal nerve, which arises from the L1 spinal nerve, innervates the skin on the medial aspect of the thigh, scrotum (or labia majora), and the mons pubis. It has been injured in this patient. The genitofemoral nerve splits into two branches: The genital branch supplies the scrotum (or labia majora) whereas th...
2
Genitofemoral
Ilioinguinal
Subcostal
Iliohypogastric
Anatomy
Abdomen & Pelvis
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A 70–year–old man presents with deterioration of vision 3 weeks after cataract extraction and IOL implantation. Slit lamp examination shows honeycomb maculopathy and Fluorescein angiography (FA) shows 'flower petal' hyperfluorescence. The most likely diagnosis is –
Unexpected visual loss, 3 weeks after cataract surgery with 'honey comb maculopathy' and 'flower petal' hyperfluorescence on Fluorescin Angiography is characteristic of Cystoid macular Edema.
4
Age related macular degeneration (ARMD)
Central serous Retinopathy (CSR)
Macular Dystrophy
Cystoid Macular Edema
Ophthalmology
null
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All of the following statements about Trientine are true, EXCEPT:
Trientine is a copper chelating agent. It is the second line of therapy in the treatment of Wilson's disease. It is less potent than penicillamine. It is used in patients intolerant to penicillamine. it can produce gastric disturbance, iron deficiency anemia due to iron chelation and sideroblastic anemia. Ref: Mitochon...
1
More potent than penicillamine and orally absorbed
Alternative to penicilliamine in non tolerant
Not given with iron within two hours of ingestion
May cause iron deficiency anemia
Pharmacology
null
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multi
RET gene mutation is associated with which malignancy -
Ans. is 'b' i.e., Medullary carcinoma thyroid o RET p ratoon cumene is a growth factor receptor (receptor tyrosine kinase)o The RET protein Is a receptor for the glial cell lined derived neurotrophic factor and structurally related proteins that promote cell survival during neural development.
2
Pheochromocytoma
Medullary carcinoma thyroid
Lymphoma
Renal cell carcinoma
Pathology
Thyroid and Parathyroid
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Most reabsorption out of
Glucose is maximumly reabsorbed in normal condition.Ref: Ganong&;s review of medical physiology; 24th edition; page no; 682
1
Glucose
Urea
Na+
HCO3
Physiology
Renal physiology
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The tumour exclusively found in parotid gland:
Wahin tumour/papillary cystadenoma lymphomatosum is viually restricted to parotid gland. Occur more commonly in male than female.
1
Wahin tumour
Adenocarcinoma
Pleomorphic adenoma
Acinar cell tumour
Surgery
null
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single
Which of the following finding on MR imaging distinguishes vaginal atresia from mullerian agenesis
Presence of cervix distinguishes vaginal atresia from mullerian agenesis.
2
Amount of upper vaginal dilatation
Presence of cervix
Length of atresia
Hymeneal ring
Gynaecology & Obstetrics
null
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single
A 40 year old female patient complains of swelling on both the legs. Patient is pregnant (3rd trimester). Which type of thrombosis is most likely to be present in this patient?
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1
Venous
Arterial
Mural
Saddle
Pathology
null
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multi
Wire loop lesions are often characteristic for the following class of lupus nephritis:
Answer is C (Diffuse Proliferative Glomerutonephritis) Wire loop lesions are most charachteristic of diffuse proliferative glomerulonephritis (Class IV WHO) but may also be seen in focal proliferative glomerulonephritis (Class III WHO). Most characteristic of: Lupus Nephritis Class IV (Diffuse Lupus Nephritis) Also see...
3
Mesangial proliferative glomerulonephritis(WHO class II)
Focal proliferative glomerulonephritis (WHO class III)
Diffuse proliferative glomerulonephritis (WHO class IV)
Membranous glomerulonephritis (WHO class V)
Medicine
null
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All are zoonotic disease EXCEPT
[Cl (Rabies) (642- Park 19th) (692-Park 20th)LISTS OF ZOONOTIC DISEASES IN MANA. Bacterial InfectionsAnthrax, Brucellosis, Ornithosis, Q-fever, Leptospirosis, Tuberculosis, PlagueB. Viral InfectionsCow pox, Monkey pox, Eastemequine encephalitis, Ross-river fever, Yellow fever, JE, Lassa fever, RabiesC. Protozoal Infect...
3
Brucellosis
Leptospirosis
Scabies
Rabies
Social & Preventive Medicine
Communicable Diseases
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multi
Wasting of the intrinsic muscles of the hand can be expected to be due to injury which nerve ?
- Ulnar nerve innervates 15 of 20 intrinsic muscles of hand.Hence, its injury results in wasting of intrinsic muscles of hand - Musculocutaneous, radial, ulnar & median nerves are all impoant to hand function. - Musculocutaneous and radial nerves allow forearm supination; the radial nerve alone innervates the extensor ...
1
Ulnar nerve
Radial nerve
Brachial nerve
Axillary nerve
Surgery
Miscellaneous
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single
Which drug is used for Achalasia cardia-
null
1
Nifedipine
Propranolal
Atenolol
Bethnecol
Surgery
null
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single
Wilm's tumor is associated with all the following except :
Warn' s tamer : Wilm's tumor, also known as nephroblastoma, is the most common malignant tumor of kidney in children. Etiology. Most of the tumor are sporadic. 1- 2% may have family history. Familial predisposition to wilm's tumor is inherited in an autosornal dominant manner. Mutation of the following genes are seen ...
3
Aniridia
Beckwith syndrome
Polycystic kidney
Hemi – hypertrohy
Pediatrics
null
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multi
Which of the following conditions is associated with maximum hearing loss?
Maximum hearing loss occur when there is ossicular interruption with intact tympanic membrane (54dB). Ossicular interruption with perforation result in 38dB hearing loss, hearing loss in ottitis media with effusion averages about 26-30 dB. Paial or complete fixation of the stapes results in conductive hearing loss that...
3
Otitis media with effusion
Paial fixation of the stapes footplate
Ossicular disruption with intact tympanic membrane
Disruption of malleus and incus as well tympanic membrane
ENT
null
b56a553c-15c3-46b3-b1c4-4904eb304f71
multi
Mucopolysaccharide hyaluronic acid is present in which among the following:
Hyaluronic acid is a sulphate free mucopolysaccharide. It is present in vitreous humor of the eye. It is also present in skin, synol fluid, umbilical cord, hemolytic streptococci and in rheumatic nodule. It occurs both free and salt like combination with proteins and forms ground substance of the mesenchyme, an integra...
1
Vitreous humor
Cornea
Blood vessels
Lens
Ophthalmology
null
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single
The development of resistance to conventional treatment has led WHO to recommned the use of combination therapies containing aemisinin derivative (aemisinin-based combination therapies also known as ACTs). All of the following combination therapies are recommended if such resistance is suspected, except -
Ans. is 'b' i.e. Aesunate plus quinine The WHO recommended ACTs (aemisinin-based combination therapies) o Aemether + lumefantrine o Aesunate + sulfadoxine-pyrimethamine o Aesunate + amodiaquine o Aesunate + mefloquine o Dihydroaemisinin + piperaquine.
2
Aemether plus lumefantrine
Aesunate plus quinine
Aesunate plus pyrimethamine-sulfadoxine
Aesunate plus mefloquine
Pharmacology
null
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multi
A 66-year-old man presents with a sudden onset of diabetes, anorexia, weight loss, epigastric pain with radiation to back. Next best investigation for this patient is?
Ans. B CT abdomenRef: Bailey and Love: 26th ed. page 1137* The clinical history of epigastric pain radiating to back points to pancreatic etiology. This patient may have developed pancreatic cancer. Sudden onset of diabetes in the elderly is also suggestive. The best imaging modality to image chronic pancreatitis or pa...
2
Ultrasound of abdomen
CT abdomen
Enteroclysis
Triple contrast barium enema
Physiology
Misc.
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single
3M-mix antibiotic paste includes the following as intracanal medicament
null
1
Ciprofloxacin, Metronidazole, Minocycline
Norfloxacin, Metronidazole, Minocycline
Ciprofloxacin, Cefixime, Minocycline
Norfloxacin, Metronidazole, Cefixime
Dental
null
a1d7f89e-aee4-4fee-9bec-542e7d3906b0
single
The labiodental sounds are
null
1
f,v,ph
s,z,c
f,z,s
f,v,z
Dental
null
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single
Kwashiorkor is similar to marasmus in that both diseases have __________
Both marasmus and kwashiorkor are associated with anemia. Marasmus is characterized by a low calorie intake. Dietary deficiencies are compensated for by the breakdown of protein and fats. Key findings include: Growth failure, Aleness, Hunger, Monkey-like appearance , Broomstick extremities , Muscle wasting, Mild anemia...
4
A normal total caloric intake
A fatty liver
An apathetic affect
Anemia
Pediatrics
Nutrition
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multi
RD k diagnosed by:
Ans. All
4
+90 D
Hurby lens
3 mirror contact lens
All
Ophthalmology
null
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multi
The process of primary colonizing bacteria adhering to tooth surface providing new receptors for attachment other bacteria is known as
null
3
Attachment
Translocation
Co-adhesion
Biofilm
Dental
null
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single
'Chancre redux' is a clinical feature of:
Chancre redux : Recurrence of the primary sore at its original site during the first two years of the disease (Relapsing stage of syphilis). Pseudochancre redux : Gummatous (teiary stage) recurrence at the site of the primary chancre.
1
Early relapsing syphilis
Late syphilis
Chancroid
Recurrent herpes simplex infection
Dental
Sexually Transmitted Infections
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Gettlers test is for -
Ans. is 'd' i.e., Drowning Gettler testo Gettler test is done for drowning. It estimates chloride content of blood from both sides of heart. Normally the chloride content is equal in the right and left chambers of the heart (600 mg/100 ml). In fresh water drowning due to hemodilution the chloride content is decreased a...
4
Hanging
Strangulation
Bums
Drowning
Forensic Medicine
Biological Materials & Stains
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single
Which of the following organelles is the major site for anaerobic metabolism?
Oxidative phosphorylation occurs in the mitochondria. The TCA cycle occurs in the mitochondrial matrix. The electron transpo chain occurs on the inner mitochondrial membrane. Anaerobic metabolism occurs in the cytoplasm of most cells. The mitochondria are the site of aerobic metabolism. The Golgi apparatus is responsib...
4
Centrioles
Mitochondria
Golgi apparatus
Cytoplasm
Biochemistry
null
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single
Mc Naughten's rule :
A i.e. Section 84
1
Section 84
Section 85
Section 86
Section 87
Forensic Medicine
null
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single
Soft water has hardness levels of -
Level of hardness is expressed in terms of milliequivalents per litre where one milliequivalent is equal to 50mg calcium carbonate in one litre of water. The level of hardness of hard water is equal to 3-6mEq/L or 150-300 mg/L. CLASSIFICATION LEVEL OF HARDNESS (mEq./L) LEVEL OF HARDNESS (mg/L) soft water <1 <50 moderat...
1
<50
100
150
>200
Social & Preventive Medicine
Environment and health
5c2d4711-a8a9-494b-8c16-3f0932e1588b
single
In Krebs cycle, which of the following catalyses the step in which the first CO2 is released?
null
2
Aconitase
Isocitrate dehydrogenase
Succinate thiokinase
Succinate dehydrogenase
Biochemistry
null
b93e3e2d-a1b9-4bad-82f3-88b04f8beb47
multi
Which of the following variant of CAH presents with mineralocoicoid deficiency?
Deficiency in CAH Glucocoicoid Mineralocoicoid Androgens 21 hydroxylase Reduced Reduced Increased 3 b hydroxyl-steroide dehydrogenase Reduced Reduced Increased 11 b hydroxylase Reduced Increased Increased 17 a hydroxylase Reduced Increased Decreased P450 oxidoreductase Reduced Increased Decreased
4
11b hydroxylase deficiency
17a hydroxylase deficiency
P450 oxidoreductase dehydrogenase
3b hydroxyl-steroid dehydrogenase
Medicine
Disorders of Adrenal Gland
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single
Indicator used in autoclave is -
Ans: b (Bacillus stearothermophilus) Ref: Ananthanarayan, 7th ed,p. 78 Autoclaving: (Moist heat) (121degC X 15 min under 15 lb/sq.inch pressure) - dressings, gloves, glass syringes, culture media, suture materials except catgut. Sterilizing control is by bacillus stearo thermophilus. Hot air oven: (Dry heat) (160degCX ...
2
Clostridium tetani
Bacillus stearothermophilus
Bacillus pumilis
Bacillus subtilis Var Niger
Microbiology
General
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single
All of the following are done in behavior therapy to increase a behavior except:
A i.e. Punishment Punishment & frustrative-non reward lead to decrease in resultant behavior, whereas both positive & negative reinforcements increases (reinforces) the frequency of a paicular response. Operant conditioning describes how consequences of a behavior lead to an increase or decrease in that behavior. Behav...
1
Punishment
Operant conditioning
Negative reinforcement
Reward
Psychiatry
null
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multi
The cough response caused while cleaning the ear canal is mediated by stimulation of-
“Irritation of the auricular branches of the vagus in the external ear (by ear wax, syringe, etc.) may reflexly cause cough, vomiting, or even death due to sudden cardiac inhibition.” Auricular branch of the vagus nerve is also known as Arnold’s nerve or Alderman’s nerve. Also Know Similarly irritation of recurrent lar...
3
The V cranial nerve
Innervation of external ear canal by C1 and C2
The X cranial nerve
Branches of the VII cranial nerve
ENT
null
9d7a394f-36ee-49bd-b4cf-89155e5557bc
single
O2 dissociation curve is shifted to right in all except-
Ans. is 'd' i.e., Metabolic alkalosis o Hypercapnea (raised CO2), rise in temprature and increased 2, 3 DPG cause righward shift of O2 dissociation curve,o Metabolic alkalosis causes leftward shift.o Alkalosis (increased pH), increased HbF, and hypothermia (decrease in temperature) cause a leftward shift of oxygen diss...
4
Hypercapnea
Rise in temperature
Raised 2, 3 DPG level
Metabolic alkalosis
Physiology
Principles of Gas Exchange - Respiratory Membrane
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