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Testicular tumor with best prognosis is
Seminomas are radiosensitive tumors so prognosis is good.
2
Teratoma
Seminoma
Yolk sac tumor
Sertoli cell tumor
Surgery
null
cd18524a-fd31-471b-87ea-a7931647b398
single
Vaginal epithelium is a derivative of
The wall of the vagina from the lumen outwards consists firstly of the mucosa of non keratinized stratified squamous epithelium with an underlying lamina propria of connective tissue, secondly a layer of smooth muscle with bundles of circular fibers internal to longitudinal fibers, and thirdly an outer layer of connect...
2
Mesoderm of urogenital sinus
Endoderm of urogenital sinus
Mesoderm of genital ridge
Endoderm of genital ridge
Anatomy
Abdomen and pelvis
1d9714bf-f1cf-4fd1-9263-0f1e97732e7f
single
Good prognosis in schizophrenia is/are seen in:
Ans. C. Acute onsetGood Prognosis in Schizophrenia:Late onset (Onset >35 yr)Sho duration (<6months)Obvious precipitating factorsAcute onset/ Abrupt onsetGood premorbid social, sexuaI and work historiesMood disorder symptoms(especially depressive disorders)MarriedFamily history of mood disordersGood social suppo systems...
3
Negative symptoms
Early onset
Acute onset
Family history of schizophrenia
Psychiatry
null
c067da7e-d1c7-4de1-9c4e-15ee72027526
single
Most common cause of GI bleed is -
Ans. is 'a' i.e., Duodenal ulcer o Peptic ulcer disease is the most common cause of severe UGIB, accounting for upto 50% of cases.
1
Duodenal ulcer
CA stomach
Oesophageal varices
Erosive gastritis
Surgery
Benign Gastric Disease
3102811b-2f8f-4f34-bdb5-9157eb463aea
single
Mrs Reeta Wardhan, A 50-year-old female with rheumatoid ahritis is being considered for infliximab therapy. Which of the following tests should be performed before beginning treatment?
(Ref: Katzung 11/e p633) Infliximab is a monoclona antibody against TNF-a. It is commonly used to treat moderate to severe rheumatoid ahritis paicularly in patients who have failed methotrexate therapy. TNF-a inhibitors can cause serious adverse effects, including reactivation of latent tuberculosis. All patents being ...
2
Liver function tests
PPD skin test
Pulmonary function tests
Visual examination
Pharmacology
Other topics and Adverse effects
86e555cf-2e94-49a9-858c-a0510a4f22f5
single
A 23-year-old male medical student fell asleep in his chair with Netter's Atlas wedged into his axilla. When he awoke in the morning, he was unable to extend the forearm, wrist, or fingers. Movements of the ipsilateral shoulder joint appear to be normal. Which of the following nerves was most likely compressed, produci...
The radial nerve is the most likely nerve compressed to cause these symptoms. This type of nerve palsy is often called "Saturday night palsy." One reason for this nickname is that people would supposedly fall asleep after being intoxicated on a Saturday night with their arm over the back of a chair, thereby compressing...
3
Lateral cord of the brachial plexus
Medial cord of the brachial plexus
Radial nerve
Median nerve
Anatomy
Upper Extremity
e221bf59-47dd-4a4a-a416-763509e045dd
single
True about mycoplasma -
null
3
Obligate intracellular organism
Penicillin is effective treatment
Require cholesterol for growth
Have thick cell wall
Microbiology
null
e48975c8-928c-4161-928f-a82de246125e
multi
Atopic Dermatitis is diagnosed by:
C i.e. Clinical Examination Itch (or pruritis)Q is a major diagnostic criteria whereas, Denny Morgan infra orbital fold is a minor criteria for diagnosis of atopic dermatitis. Atopic dermatitis most commonly involves flexural surfaces like antecubital and popliteal fossa Q. However, in infantile phase, face and extenso...
3
Patch test
Wood Lamp
Clinical Examination
#NAME?
Skin
null
91d6e525-0dcd-4805-98c0-0b9c7d99c3b7
single
"Row of tombstones" appearance is seen in:
Histopathology of pemphigus vulgaris Earliest changes -intercellular edema + disappearance of intercellular bridges in the lower most epidermis. Loss of coherence between epidermal cells (acantholysis) --> formation of clefts -->bullae in the suprabasal zone. Basal cells remain attached to the dermis, producing a "tomb...
2
Irritant dermatitis
Pemphigus
Pemphigoid
Herpes zoster
Dental
Blistering disorders
04f8f8d1-5a2a-445b-95a1-670e73a8794a
single
Treatment of Multiple Carboxylase deficiency is
Multiple carboxylase deficiencies is characterized by deficient activities of three biotin-dependent enzymes, propionyl coenzyme A carboxylase, pyruvate carboxylase, and beta-methylcrotonyl coenzyme A carboxylase. Multiple carboxylase deficiencies is a form of metabolic disorder involving failures of carboxylation enzy...
1
Biotin
Pyridoxine
Thiamine
Folic acid
Biochemistry
Enzymes
7bf8ea29-03ab-46a2-b347-ef6343c408f0
single
Vein of Galen drains into-
Ans. is 'a' i.e., Straight sinus * Great cerebral vein of Galen: It is formed by the union of two internal cerebral veins, is 2 cm long and drains into the straight sinus. Its tributaries are:- (a) Internal cerebral veins, (b) Basal veins, (c) Occipital veins, (d) Posterior callosal vein
1
Straight sinus
Sigmoid sinus
internal jugular vein
Superior longitudinal sinus
Anatomy
Head & Neck
402f6e78-a5fb-4d48-9ad7-95df52d6c6c9
single
A 32-years old man with pelvic fracture is in urinary retention with blood at the external urinary means. Retrograde urethrogram shows prostatomembranous disruption. The most appropriate immediate treatment is:
Posterior Urethral injury- Posterior urethra is located in the pelvis and is fixed.- In cases of pelvic fracture- posterior urethra is more prone for injury.- Most common site of injury - bulbomembranous junction. Bulbar Urethral Injury Membranous Urethral Injury More common Less common Direct blow to the perineum (Str...
3
Urethral catheterization
Exploration and repair of urethra
Suprapubic cystostomy
Perineal urethrostomy
Surgery
Urethra and penis
d4046ea5-3279-41b9-9cb8-d25de348862b
single
The ECG change seen in hyperkalemia is
Hyperkalemia (plasma K+ +-7.0 meq/L). The PR and QRS intervals are within normal limits. Very tall, slender peaked T waves are now present. Hyperkalemia (plasma K+ +-8.5 meq/L). The QRS complex is broad and slurred and the QRS interval has widened to 0.2 s. The T waves remain tall and slender Fuher elevation of the pla...
1
Narrowing of the QRS complex
Increased amplitude of P waves
Narrowing and peaking of T waves
Ventricular arrhythmias
Physiology
Cardiovascular system
eb13766a-30cc-4aed-b10c-819cf5b169ea
single
The most common pure germ cell tumour of the ovary
Ans. is b i.e. Dysgerminoma "Dysgerminoma is the most common malignant germ cell tumour accounting for about 40% of all ovarian cancers of germ cell origin." "Dysgerminomas are the most common malignant germ cell tumours of the ovary and have been considered the female - equivalent of seminoma." Most common germ cell t...
2
Choriocarcinoma
Dysgerminoma
Embryonal cell tumor
Malignant Teratoma
Gynaecology & Obstetrics
null
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single
Plague is transmitted by the bite of
Plague, also called Black death or Mahamari or The great death, is a zoonoses caused by yersinia pestis. Wild rodent (Tetra indica) is the natural reservoir in India. o Most effective and commonest vector for plague is rat flea. Xenopsylla cheopis is the most important species of rat flea for plague. Other important sp...
1
Rat flea
Culex mosquito
Body louse
Tse-Tse fly
Social & Preventive Medicine
null
3501f7d8-a2b3-4004-beae-f835e880c6a0
single
Extramammary paget's is seen in?
Ans. (b) Vulva(Ref: Robbins 9th ed p 999)Extramammary Paget's is rare lesion of the vulva is similar in its manifestations to Paget disease of the breast. In the vulva, it presents as a pruritic, red, crusted, maplike area, usually on the labia majora. aget disease is a distinctive intraepithelial proliferation of mali...
2
Uterus
Vulva
Vagina
Ovary
Pathology
Female Genital Tract
8ca58b0e-9523-40da-a645-6a377eafc460
single
Berbeck's granules are seen in
Ans. a (Langerhan cells). (Ref. Robbins, Pathologic Basis of Disease 6th/pg.685)HISTIOCYTOSIS# Histiocytosis represents clonal proliferation of antigen- presenting dendritic cells.# It is of two types:- Localized histiocytosis (70%) i.e. Eosinophilic granuloma. It is the most benign variety of langerhans cell histiocyt...
1
Langerhan cells
Lymphocytes
Neutrophils
Basophils
Pathology
Blood
55b6bc83-2e1f-442f-8845-8eb7a425ec36
single
Drug used in Narcoanalysis is:
Ref: Essentials of Medical Pharmacology by K.D. Tripat hi p. 109, 113.Explanation:Hyoscine (Scopalamine)Atropine substitute and quartemary ammonium compoundLess potent and longer acting than atropineUsed for esophageal and gastrointestinal spastic conditions.- Hyoscine has been used to produce sedation and amnesia duri...
4
Cocaine
Pethidine
Atropine
Scopalamine
Pharmacology
Seedatives & Hyponotics
63dd4b1f-7e1c-44f6-9bde-14272f21b7e9
single
Lipid envelope is found in which virus?
All RNA viruses are enveloped, except PARC (Picorna, Astro, Reo, Calciviridae).
2
Reo
Herpes
Picorna
All of the above
Microbiology
null
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multi
Small intestinal stricture is not seen -
There is never significant fibrosis and hence fibrous stenosis (stricture) seldom occurs in healed typhoid lesions.
2
Lymphoma
Typhoid
Tumor
TB
Pathology
null
482c0458-72c0-40b0-b661-321e6a1af3cf
multi
Reflex sympathetic dystrophy true is?
Ans. is 'a' i.e., Osteoporosis RSD is a condition that features a group of typical symptoms, including pain (often burning type), tenderness, and swelling of an exterimity associated with varying degrees of sweating, warmth and/or shiny skin. It is an abnormal sympathetic response following trauma. This is commonly enc...
1
Osteoporosis
Increased skin temp
Common in athletes
Vasoconstriction
Surgery
null
ad02ede6-41ee-456e-b247-9d399fe73bf1
multi
Which cause of death would cause an elevated level of cyanide
C i.e. Thermal burns
3
Cold
Starvation
Thermal burns
Poisoning
Forensic Medicine
null
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single
Candida infections are seen in -
Ans. is 'c' i.e., Myeloperoxidase deficiency Patients with myeloperoxidase deficiency are paicularly liable to candida infection"--Ananthanarayan Immunodeficiency Infection * Chronic-granulomatous disease Catalase positive pyogenic infections * Chediak-Higashi syndrome Pyogenic infections * Myeloperoxidase deficiency C...
3
Chronic granulomatous disease
Chediak-Higashi syndrome
Myeloperoxidase deficieny
Lazy leucocyte syndrome
Microbiology
null
cbcf664e-1feb-4762-9633-411f62a078fc
single
True about viroids is?a) Cause tumors in animalsb) Lack envelope like coveringc) Have only genetic materiald) Visible on light microscope
null
1
bc
c
ac
ad
Microbiology
null
045e8de4-4634-47df-9ebe-272f29d6d1f8
multi
True about conscious sedation are all except ?
Ans. is 'c' i.e., Protective reflexes are abolished conscious sedation, protective reflexes are intact (has been explained in previous sessions).
3
CNS depression
Patient is conscious
Protective reflexes are abolished
Patient can obey commands
Anaesthesia
null
591e376d-a1cb-4891-bd19-4ad46dc295a0
multi
Which of the following antiviral drug has a dual antiviral activity that is against HBV and HIV?
Emtricitabine (FTC) ​ Emtricitabine, a fluoro derivative of lamivudine, inhibits both HIV and HBV.​ Reference: Lippincott Illustrated Reviews: Pharmacology Wolters Kluwer Sixth Edition page no 577​
3
Saquinavir
Abacavir
Emtricitabine
None of the above
Pharmacology
null
4de0c240-3204-4fd6-9c12-f06e487d193b
multi
Second generation cephalosporin that can be used orally is :
null
3
Cefepime
Cefalothin
Cefaclor
Cefadroxil
Pharmacology
null
e9895bfe-e733-4b29-a804-1b0851603194
multi
Compound used as primer in weapon is
Ans. is 'a' i.e., Potassium chlorate Cartridge (round)* Cartridge is the ammunition used in firearms. Cartridge consists of (i) Cartridge case, (ii) Propellant (gun powder), (iii) Projectile (missile) and (iv) Wads (only in shotguns.).1) Cartridge case# It is the outer shell or covering of the cartridge. In shotgun it ...
1
Potassium chlorate
Sulphur
Potassium nitrate
Nitrocellulose
Forensic Medicine
Injuries
b0525612-6517-4921-b748-9c553914ec68
single
True about primary pulmonary T.B. is:
PULMONARY TB: Pulmonary TB is conventionally categorized as primary or postprimary (adult-type, secondary). This distinction has been challenged by molecular evidence from TB-endemic areas indicating that a large percentage of cases of adult pulmonary TB result from recent infection (either primary infection or reinfec...
4
Pleural effusion
Fibrocaseous lesion
Phlyctenular keratitis
All of the above
Medicine
null
afb8fd59-6d49-4325-b6de-1d975fd3b3bd
multi
Which of the following teeth erupt earlier in the upper jaw-
Eruption usually occurs in lower jaw first except it is preceded by lateral incisors in upper jaw. ref : Dr. Narayana Reddys Synopsis of Forensic Medicine & Toxicology 27th edition pg. 35..
2
Central incisor
Lateral Incisor
Canine
First molar
Forensic Medicine
Identification
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single
Where was the last case of Smallpox occured?
The last naturally occurring case was diagnosed in October 1977 in Somalia and the World Health Organization ceified the global eradication of the disease in 1980.
1
Somalia
Libya
Sudan
Uganda
Social & Preventive Medicine
Concept of health and disease
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multi
HIV affects -a) Only T helper cellsb) T helper and macrophagesc) NK cellsd) B - lymphocytes
null
2
c
bd
ab
ac
Microbiology
null
41639ada-6a47-400d-ae98-970cf0396ea0
single
All are water borne disease, except-
Ans. is 'd' i.e., Brucellosis Water Borne diseases o Those caused by the presence of an infective agent a)Viral Hep. A, Hep E, Polio, Rota virus diarrhoea b)Bacteria Typhoid & paratyphoid. Cholera, Bacillary dysentry. E coli diarrhoea c)Prnto:oal A moebiasis, Gardiasis. d)Helminthic round worm. thread worm, hydatid dis...
4
Leptospirosis
Schistosomiasis
Fish tape worm
Brucellosis
Social & Preventive Medicine
null
25b47ae5-ea77-46de-8b84-1f6ac13e3428
multi
Which of the following is responsible for pubeal growth in females?
Ans. c. Pulsatile release of GnRH during sleep
3
Decreased level of adrenal androgens at pubey
High level of estrogen at pubey
Pulsatile release of GnRH during sleep
Increased sensitivity of HPO axis to estrogen
Gynaecology & Obstetrics
null
a2a62be8-bd2e-4fa0-b46d-d25066ea48fb
single
Unit of intensity while testing for threshold of hearing in an audiogram is:
Pure tone and speech audiograms are measured in dB HL (hearing level). In normal hearing adult person hearing threshold is 0 dB HL.dB SL (sensation level) is the intensity of sound that will produce same sensation of hearing as in a normal person. Thus in a hearing-impaired individual who already has a hearing loss of ...
1
dB SL
dB HL
dB A
dB SPL
ENT
Ear
ef7c4f35-1f98-4371-95a8-75d6027ae5b8
single
6-PhosphoGluconate dehydrogenase need
The synthesis of glucose-6-phosphate dehydrogenase and 6-phosphogluconate dehydrogenase may also be induced by insulin in the fed state,A second oxidative step is catalyzed by 6-phosphogluconate dehydrogenase, which also requires NADP+ as hydrogen acceptor.Ref: Harper&;s Biochemistry, 30th edition, page no: 210
2
NAD
NADPH
FAD
FMN
Biochemistry
Metabolism of carbohydrate
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single
Cephalic index is most useful in identification of -
Ans. is 'c' i.e., Race o Cephalic index is used for determination of race.Race determination of skeletonA) Cephalic Index (CI)# Cephalic index is defined as the index of breadth of skull.Cephalic index =Max. breadth of skull--------------------Max. AP length of skullx 100# Based of cephalic index races are clasified in...
3
Age
Sex
Race
Religion
Forensic Medicine
Identification - Medicolegal aspects
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single
Virchows triad include all the following except
Ans) b (Abnormalities...) Ref Bailey 25th ed pg 936Virchow described three factors important in the development of VENOUS THROMBOSIS.1) Changes in the vessels wall (endothelial damage)2) Stasis, which is diminished flow through the veins.3) Coagulability of blood (thrombophlebitis)So answer is abnormalities of venous c...
2
Stasis of blood
Abnormalities of venous channels
Hypercoagulability
Endothelial damage
Surgery
Venous Disorders
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multi
Mid-day meals provided in schools provide ?
Ans. is `b' i.e., 1/3rd of total calories & 1/2 of daily protein requirement
2
1/2 of total calories & 1/2 of protein
1/3 of total calories & 1/2 of protein
1/2 of total calories & 1/3 of protein
1/3 of total calories & 1/4 of protein
Social & Preventive Medicine
null
666ca0bc-86b2-4bc8-a9f8-7af85ee48aa2
single
Radioresistant tumor is-
Ans. is 'd' i.e.. Melanoma Radiosensitivity of different tumorsHighly sensitiveModerately sensitiveRelative resistantHighly resistanto Lymphomao Seminomao Multiple myelomao Ewings sarcomao Wilm's tumoro Dysgerminomao Small cell carcinoma of lungo Breast cancero Basal cell carcinomao Medulloblastomao Teratomao Ovarian c...
4
Lymphoma
Dvsgerminema
Breast cencer
Melanoma
Radiology
Physics of Radiotherapy
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The following radiographic finding is associated with:
The bone progresses through an osteolytic and osteoblastic phase, which usually occur simultaneously, but with the osteoblastic phase being ultimately more dominant. Thus, the radiographic appearance is that of an increased radiopacity of the jaws. The bone tends to become more granular in appearance and the lamina dur...
2
Fibrous dysplasia
Paget’s disease
Hyperparathyroidism
Osteoma
Radiology
null
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single
Side effect of clomiphene citrate includes all except :
Side effects of Clomiphene Hot flushes 10-20%, sweating due to estrogen deficiency,osteoporosis. anti estrogenic effect on cervical mucosa and endometrium, corpus Luteal Phase Defect Nausea and Vomiting Breast tenderness,weight gain Abdominal discomfo Mood swings Rashes(uicaria),headache,dizziness Multiple pregnancies ...
4
Multiple pregnancy
Increase risk of ovarian cancer
Multiple polycystic ovary
Teratogenic effect on off springs
Gynaecology & Obstetrics
Reproductive physiology and hormones in females
3239d08b-10f4-4399-8681-f07127266648
multi
A 50-year-old lady with thyroid swelling is diagnosed to have papillary carcinoma with mass having 4 cm at greatest diameter and invading strap muscles. Lymph node status was negative. What will be the stage of the disease?
Extrathyroidal extension into strap muscles is T3b, Lymph node status is N0.Patients with below 55 years any T and any N with Mo (no metastasis) is taken as Stage IIf patient was above or 55 years age, would have been stage IIT1<2cmT2 2-4 cmT3a > 4cmT3bExtrathyroidal extension into strap musclesT4Gross extrathyroidal e...
1
Stage I
Stage II
Stage III
Stage IV
Surgery
Endocrinology and breast
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single
Skin over pinna is:
Skin over the pinna is closely adherent to the perichondrium on the lateral surface while it is loosely attached on the medial surface.
2
Firm on both sides
Loose on medial side
Loose on lateral side
Loose on both sides
ENT
Anatomy of External Ear
67aadcff-1dca-4ced-ab83-5d711482ad9f
multi
Into which structure does hemorrhage occur after injury to the inferior rectal vessels?
Hemorrhage occur after injury to the inferior rectal vessels in ischiorectal fossa. The ischiorectal fossa lies in the anal triangle and is bound laterally by the obturator internus with its fascia and superomedially by the levator ani and external anal sphincter. It contains the inferior rectal vessels. Thus, haemorrh...
4
A
B
C
E
Anatomy
Development of GU system and Neuro-vascular supply of pelvis & perineum
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single
Histological finding of Reye's syndrome is
please upload a reason for this question, if anyone..
4
Budding and branching of mitochondria
Swelling of endoplasmic reticulum
Paranuclear microdense deposits
Glycogen depletion
Pathology
null
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single
Stroke is common in -
The rates of co-morbidity are higher in patients with some psychiatric disorders, compared to general population. Stroke, Ischemic heart disease, and diabetes are more common in Schizophrenia and bipolar disorder (schizophrenia >bipolor disorder). Hypertension is more common in bipolar disorder and schizophrenia (bipol...
4
Mania
Depression
Bipolar disorder
Schizophrenia
Psychiatry
null
51b0ec24-5a87-41a7-b7c9-9209b59c815b
single
drug of choice for acute attack of migraine is -
Management of migraine Avoidance of identified triggers or exacerbating factors (such as the combined contraceptive pill) may prevent attacks. Treatment of an acute attack consists of simple analgesia with aspirin, paracetamol or non-steroidal anti-inflammatory agents. Nausea may require an antiemetic such as metoclopr...
1
Sumatriptan
NSAIDS
Bromocriptine
Coicosteroids
Medicine
Miscellaneous
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single
Lupus vulgaris is -
Ans. is 'a' i.e., Tuberculosis of skin o Lupus vulgaris is most common type of cutaneous tuberculosis. Cutaneous tuberculosis | |b1Exogenous SourceEndogenousHypersensitivityo Tuberculosis chancre (Primary inoculation TB)o Tuberculosis verucosa cutiso Lupus vulgariso Scrofulodermao Orificial tuberculosiso Miliary tuberc...
1
Tuberculosis of skin
Basal cell carcinoma
Squamous cell carcinoma
Fox bite
Skin
C. Mycobacteria
320e8d10-b18d-4eee-84a1-f311dd8abd3d
single
At autopsy, a body is found to have copious fine leathery froth in mouth and nostrils which increased on pressure over chest. Which of the following was the most likely cause of death?
Presence of fine, white, leathery froth seen at the mouth and nostrils is one of the most characteristic external signs of drowning. It is white or rarely blood stained, lather-like, abundant and increase in amount with compression of chest. Even after wiping it gradually reappears, especially if pressure is applied to...
3
Epilepsy
Hanging
Drowning
Opium poisoning
Forensic Medicine
null
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single
All are mechanisms of IUCDs except:
Mechanism of Action: Several mechanisms are responsible for the contraceptive effect of an IUCD. The presence of a foreign body in the uterine cavity renders the migration of spermatozoa difficult. A foreign body within the uterus provokes uterine contractility through prostaglandin release and increases the tubal peri...
4
Chronic endometrial inflammation
Increase the motility of tubes
Inducing endometrial atrophy
Inhibition of ovulation in >80% of the users
Gynaecology & Obstetrics
Contraception
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multi
Which of the following is not a feature of lateral cerebellar lesion?
Resting tremors are seen in Parkinsonism In cerebellar lesions intension tremors are seen. Tremors are rhythmic oscillatory movements of a body pa. Reference: Harrison20th edition pg 2256
1
Resting tremor
Dysahria
Nystagmus
Loss of Co-ordination of movements
Medicine
C.N.S
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single
Reversible diabetic nephropathy is characterized by:
Microalbuminuria (<300 mg/day or <300mg/d) shows that diabetic nephropathy is reversible. Overt proteinuria ie >300mg/d is usually irreversible.  The most common histological pattern in DM is Diffuse Glomerulosclerosis.  The most typical histological pattern in DM is Kimmelstiel-Wilson lesion (nodular glomerulosclerosi...
1
Microalbuminuria
Macroalbuminuria
Kimmelstiel Wilson lesion
Diffuse glomerulosclerosis
Medicine
null
77d0436e-f3d3-4355-b814-9c762f534a41
single
Side effect of minoxidil which is used as therapeutic use?
Ans. B. Hair growthMinoxidil is arteriolar dilator. Its peculiar side effect is hair growth which is used in patients suffering from alopecia.
2
Bradycardia
Hair growth
Gynecomastia
Vasodilation
Pharmacology
C.V.S
cefc2124-0fb6-490f-8acf-3ce31567b49a
single
A child presents with peripheral circulatory failure. The aerial pH is 7.0, pCO2 of 15 mmHg, p0276 mmHg. Which of the following will be the immediate therapy-
Ans. is b' i.e., Bolus of Ringers lactate It is a case of metabolic acidosis (lactic acidosis) due to peripheral circulatory failure (It is a common knowledge that in cases of peripheral circulatory failure metabolic acidosis occurs due to production of lactic acid). In moderate or mild cases of metabolic acidosis i.e....
2
Sodium bicarbonate infusion
Bolus of Ringers lactate
Bolus of hydroxyethyl starch
Dopamine infusion
Pediatrics
null
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single
Most common site of squamous cell carcinoma:
Lateral border of tongue is the most common site of squamous cell carcinoma. Carcinoma of the tongue accounts for more than 50% of intraoral cancers in the United States. Two-thirds of lingual carcinomas appear as painless, indurated masses or ulcers of the posterior lateral border; 20% occur on anterior lateral or ven...
2
Floor of the mouth
Tongue
Buccal mucosa
Lip
Pathology
null
705539d1-1662-46aa-b963-9e0bcddb37b3
single
Bag and mask ventilation is contraindicated in ?
Ans. is 'c' i.e., Diaphragmatic hernia o In diaphragmatic hernia, the abdominal contents herniating into thoracic cavity have already compromised ventilation. o Giving bag and mask ventilation to this patient will worsen the condition of the patient as air will also enter in the stomach and fuher compress the lungs. o ...
3
Cleft lip
Meconium aspiration
Diaphragmatic hernia
Multicentric bronchogenic cyst
Pediatrics
null
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single
In right handed individuals, the left cerebral hemisphere is more developed than the right cerebral hemisphere. The left cerebral hemisphere is mainly responsible for
Ans. d.Written and spoken language
4
Appreciation of music
Spatial orientation
Visual stimuli processing
Written and spoken language
Physiology
null
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single
The best restoration for posterior tooth with an undermined cusp with caries is:
null
1
Cast gold
Silver amalgam
Direct gold filling
Pin retained amalgam restoration
Dental
null
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single
A child is brought to the pediatric OPD with high grade fever of 24 hours duration. History reveals 3 episodes of chest infection and passage of foul smelling stools. The most probable diagnosis is:
High grade fever and recurrent chest infection along with passage of foul smelling stools (steatorrhea) suggests a diagnosis of cystic fibrosis. In cystic fibrosis because of pancreatic exocrine insufficiency, foul smelling stool (steatorrhea) is common. Cystic fibrosis: Autosomal recessive disease Mutation in cystic f...
1
Cystic fibrosis
Maple syrup urine disease
Bilirubin conjugation defect
Criggler Najar syndrome
Pediatrics
Other Respiratory Disorders
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single
Acanthosis involves –
Acanthosis This term is used to describe an increase in a number of cells in the spinous cell layer or prickle cell layer of the epidermis.
1
Str spinosum
Str granuolosum
Str Basale
Str corneum
Dental
null
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single
Criteria for wholesome water?
Ans. is 'a' i.e., Free from pathogenic organisms
1
Free from pathogenic organisms
Should be colourless
Should be free of chlorine
Should be clear
Social & Preventive Medicine
null
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single
High anion gap metabolic acidosis is seen in
Causes of HAGMA CO, CN Alcoholic ketoacidosis and starvation ketoacidosis Toluene Metformin, Methanol Uremia DKA Pyroglutamic acidosis, paracetamol, phenformin, propylene glycol, paraldehyde Iron, Isoniazid Lactic acidosis Ethylene glycol SalicylatesRef: Ganong&;s review of medical physiology 23rd edition Page no: 684
3
Diarrhea
A
Diabetes
None
Physiology
General physiology
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multi
Concentric hyperophy of left ventricle is seen in -
Ans. is 'b' i.e., Hypeensiono Concentric hyperophy In pressure overload, e.g. hypeension and aoic stenosis. o Eccentric hyperophy ---> In volume overload, e.g. in aoic regurgitation.
2
Mitral stenosis
Hypeension
Aoic regurgitation
None
Pathology
null
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multi
All the following are Causes of acute renal failure except
Other Causes : Congestive cardiac failure. NSAIDs. Cyclosporine. Acute glomerulonephritis.
4
Hypovolemia
Rhadomyolysis
Snake bite
Pyelonephritis
Medicine
null
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multi
A patient from Himachal pradesh gets a thorn prick & subsequently presents with a verrucous lesion on feet which on microscopy revealed "Copper penny bodies". The diagnosis is
History of thorn prick and verrucous or cauliflower like appearance and presence of copper penny bodies suggests of chromoblastomycosis.
2
Sporothrix
Chromoblastomycosis
Eumycecoma
Verruca vulgaris
Dental
null
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single
Commonest cancer in burn scar is -
Answer is 'a' i.e. Sq. Cell Ca. Malignancy arising in burn scar is k/a Marjolin's ulcer. It is most commonly squamous cell ca, although basal cell carcinomas may also be seen.
1
Sq. cell Ca
Fibrosarcoma
Adenoa Ca
Adeno-squamous Ca
Surgery
null
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single
The ideal place to record body temperature in dead body is -
Ans. is 'a' i.e., Rectum o Most common site for recording temperature is the rectum.o Thermameter is inserted in rectum around 8-10 cm for 2 minutes.o Other sites for recording temperature are nose, ear (external auditory meatus), vagina, and under liver.
1
Rectum
Axilla
Mouth
Groin
Forensic Medicine
Death and Medicolegal Aspects
303bbb0d-4ae7-410b-ab49-4c0816e8e238
single
A person comes to you for advice regarding alcohol intake. He consumes alcohol daily and want to know the safe limit for drinking as he wants to avoid liver damage. What would be the approximate safe limit of alcohol in this scenario?
210 gm of alcohol for men and 140 gm of alcohol in women per week is considered safe limit for drinking, if liver damage is to be avoided. Also know: % of alcohol in different beverages Rum - 50 to 60% Whisky, gin, brandy - 40 to 45% Po, sherry - 20% Wine - 10 to 15% Beer - 4 to 8% Ref: Textbook of Forensic Medicine an...
1
210 gm/week
310 gm/week
410 gm/week
510 gm/week
Forensic Medicine
null
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single
Spongiform degeneration of cerebral coex occurs in -
Spongiform Encephalopathy (Creutzfeldt-Jakob Disease) Spongiform encephalopathy, also called Creutzfeldt-Jakob disease (CJD) or mad-cow disease, though included under the group of viral encephalitis but is caused by accumulation of prion proteins. Prion proteins are a modified form of normal structural proteins present...
1
Creutzfeldt-Jakob disease
Subacute sclerosing panencephalitis
Fatal familial insomnia
Cerebral toxoplasmosis
Pathology
Nervous system
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single
Congenital Coxa yarn is treated by -
Treatment is by a subtrochanteric corrective osteotomy.
2
Fixation by SP Nail
Osteotomy
Bone grafting
Traction
Orthopaedics
null
ef16ab64-2a35-4959-84fa-3bf69c23d59e
single
A young boy of 18 years gets recurrent busts of otitis externa after swimming. Which of the following methods should be recommended?
Use of 2% acetic acid or dilute alcohol is the most-effective method to prevent otitis externa after swimming. Antibiotic, antifungal or steroid containing drugs are not recommended for prophylaxis.
2
Not to swim
Use 2% acetic acid after swimming
Use ear drops containing an antibiotic and steroid
Use an antifungal ear drops after swimming
ENT
Ear
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single
In the immediate post operative period, body potassium is
There is increased Adreno cortical activity which causes Na+ retention & K+ excretion.
4
Exchanged with calcium
Exchanged with magnesium
Retained in body
Excreted excessively
Surgery
null
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single
Which of the following is not involved in Wernicke's Korsakoff psychosis-
Ans. is 'd' i.e., Hippocampus o Hippocampus is not involved in Wernicke 's korsakoff syndromeo The areas commonly affected include the:-# Medial dorsal thalamic nucleus# Mammillary bodies# Periaqueductal grey matter# Floor of the fourth ventricle which include the occular motor and vestibular nuclei.o The lesions of we...
4
Mamillary body
Thalamus
Periventricular Grey matter
Hippocampus
Medicine
Miscellaneous (C.N.S.)
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single
Koebner's phenomenon is seen in all except
Ans. c (Tinea corporis). (Ref. Harrison, Medicine, 18th/Ch. 52)KOEBNER'S PHENOMENON: (ISOMORPHIC RESPONSE)# Epidermal injury may stimulate lesions to subsequently develop in the area of the injured skin. When the injury occurs in streaks, the ensuing papules will develop in linear array - Koebner's phenomenon.# Koebner...
3
Psoriasis
Warts
Tinea corporis
Molluscum contagiosum
Skin
Papulosquamous Disorders
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multi
Etheromanias refer to ?
Ans, B. Ether addictionEther addiction or etheromania is the addiction to inhalation or drinking of diethyl ether.
2
Acute psychosis post ether anaesthesia
Ether addiction
Excessive ether use drug anaesthesia
None
Psychiatry
null
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multi
Which of the following does not occur in a patient with gastrinoma?
Ans. is 'c' i.e., Basal acid output (BAO) less than 15mEq/litre BAO is usually more than 15 meq/h in pts with gastrinoma (> 80% cases).A gastrinoma is a neuroendocrine tumour that secretes gastrin.The chronic hypergastrinemia leads to - gastric acid hypersecretion - peptic ulcer disease as well as diarrhoea.Symptoms of...
3
Epigastric pain
Diarrhoea
Basal acid output (BAO) less than 15 mEq/ litre
Serum gastrin levels >200 pg/ml
Medicine
Stomach
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single
True about Apoptosis all EXCEPT -
Ans. is 'b' i.e., Inflammation is present o The two most striking features of apoptosis are:" 1.1n contrast to necrosis it does not elicit inflammation2. Considerable apoptosis may occur in tissues before it becomes apparent in histological section (because it occurs very rapidly).
2
Annexin 5 is marker
Inflammation is present
Cell shrinkage
Clumping of chromatin
Pathology
null
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multi
Resperidone increases the risk of:
Ref: KDT 6/e p429 *Risperidone is an atypical anti-psychotic agent. *It carries no risk of blood dyscrasias. *EPS occur at higher dose (>6mg/day) *It is less epiletogenic than clozapine. It cause rise of prolactin during therapy. It can cause SIADH.
2
Cerebrovascular accidents
Extrapyramidal symptoms
Agranulocytosis
Diabetes insipidus
Pharmacology
Central Nervous system
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single
Dose of lignocaine for spinal anesthesia is `)/0 of:
5%
1
5
25
50
75
Anaesthesia
null
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single
Any edentulous space created by the loss of a canine and any two contiguous teeth is best restored with:
Missing maxillary canine or mandibular canine (one tooth) come under complex  fixed partial dentures and central incisor, lateral incisor and 1st premolar acts as abutments, where as for other teeth(incisors, premolars and molars) the adjacent teeth in relation to the missing tooth are enough to act as abutments. FPD r...
2
FPD
RPD
Both
Depends upon the status of the abutment.
Dental
null
6e83f5a3-9b6d-43b8-906b-78974d2adb73
multi
A peripheral smear with increased neutrophils, basophils, eosinophils, and platelets is highly suggestive of
The peripheral blood picture of this patient is quite characteristic of chronic myeloid leukemia. Chronic  myeloid  leukemia  is  a  stem  cell  disease  that  is  characterized  by  leukocytosis  with  granulocytic  immaturities,  basophilia, splenomegaly and distinct chromosomal abnormality Philadelphia chromosome.
3
Acute myeloid leukemia
Acute lymphoblastic leukemia
Chronic myelogenous leukemia
Myelodysplastic syndrome
Pathology
null
2e5a6855-28b0-4984-93d4-1dd90c3425d1
single
Cleft lip is repaired at: (Repeat)
Ans: A (2 - 4 months) Ref: Nelson's Textbook of Pediatrics. 19th Edition Explanation: Timing of elective surgery for various conditions Cleft lip 3 months Cleft soft palate. 3 months Cleft hard palate. 12-15 months Combined soft and hard palate. 1 year Combined lip and soft palate. 3 months Hypospadias. 6-12 months Umb...
1
2 - 4month
1-4 weeks
6-12 months
12-18 months
Unknown
null
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single
Most common causative organism for ascending cholangitis is -
null
3
Streptococcus
Proteus
E. coli
Anaerobes
Medicine
null
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single
Parachute reflex disappears _____
The parachute reflex occurs at 7-8 months of age and remains throughout life. It can be evoked by holding the infant&;s trunk and then suddenly lowering the infant as if he or she were falling. The arms will spontaneously extend to break the infant&;s fall. This reflex is a prerequisite to walking. Ref: Nelson textbook...
4
at 3 months
at 6 months
at bih and reappears at 9 months
Never
Pediatrics
New born infants
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single
In leucopenia, which cell type is predominantly involved?
Leucopenia   The absolute granulocyte count is particularly low (below 1500/µl) with relative lymphocytosis. The neutrophils are morphologically normal, but their alkaline phosphatase score is high. Reference:  Textbook of Pathology, Harsh Mohan, 7th ed page no 302
2
Erythrocytes
Granulocytes
Eosinophils
Monocytes
Pathology
null
124b65fd-0f8a-4e01-a3ae-224657803c7a
single
Which of the following pharyngeal pouch give rise to ultimobranchial body?
Pharyngeal pouch V give rise to ultimobranchial body which is a pa of the thyroid gland that give rise to parafollicular or C cells. Pharyngeal pouches and their derivatives: Pharyngeal pouchStructures derivedIMiddle ear cavity, eustachian tube, tympanic membraneIIPalatine tonsil, tonsillar fossaIIIInferior parathyroid...
4
II
III
IV
V
Anatomy
null
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single
The beginning of the thoracic duct is known as the:
The cisterna chyli, or the beginning of the thoracic duct, receives the right and left lumbar trunks. The cisterna lies on the bodies of the upper two lumbar veebrae between the right crus of the diaphragm and the abdominal aoa and represents a dilated receptacle for the lymph gathered from the lower pa of the body. Re...
4
Intestinal lymph trunk
Bronchomediastinal lymph trunk
Jugular lymph trunk
Cisterna chyli
Anatomy
null
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single
Galton's system is used for:
Ans. Dactylography
1
Dactylography
Poroscopy
Ridgeology
Anthropometry
Forensic Medicine
null
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single
After using transdermal nitroglycerin skin patches for 1 week, a patient with an 8-month history of chronic stable angina pectoris observes an increasing frequency of mild angina episodes during exeion. The patient has been conscientiously applying a new patch every morning immediately after removing the old one. The p...
Tolerance to organic nitrates may develop in a few days or less, depending on the dose and frequency of administration. Continuous exposure to nitroglycerin through use of a transdermal skin patch has frequently caused nitrate tolerance. A daily 10-to-14-hour drug-free period will prevent nitrate tolerance. Nitrate tol...
3
A sudden onset of vasospastic angina
Engaging in vigorous exercise
Cellular tolerance to organic nitrates
Induction of cytochrome P450 enzyme by nitroglycerin
Medicine
C.V.S
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single
Regarding Precipitous labour , all of the following statements are true EXCEPT ?
Precipitous labor It is an extremely rapid labor and delivery, resulting in expulsion of the fetus in<3 hours. It is frequently followed by uterine atony. The uterus that contracts with unusual vigor before delivery is likely to be hypotonic after delivery. Adverse perinatal outcomes from rapid labor are there such as ...
3
An expulsion of the fetus in < 3 hours
Can be frequently followed by uterine atony
Neonatal outcome is uniformly good
Maybe associated with uterine, cervical or vaginal lacerations
Gynaecology & Obstetrics
Labour - III
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multi
Meals supplied in mid day meals programme should provide: September 2005, March 2013 (g)
Ans. C: 1/3 calories and 1/2 proteins Mid-day meal programme/school lunch programme is in operation since 1961 with the major objective of attracting more children to schools and retain them so that literacy improvement of children could be brought about. The meal supply should provide at least one-third of the total e...
3
1/2 calories and 1/2 proteins
1/2 calories and 1/3 proteins
1/3 calories and 1/2 proteins
1/3 calories and 1/3 proteins
Social & Preventive Medicine
null
5eae8f2e-6151-4a23-b771-318e4b117105
single
All are features of Vit. D intoxication, except ?
Ans. is 'd' i.e., Oliguria There is polyuria (not oliguria) Hvpervitaminosis D o The sign and symptoms of vitamin D intoxications are secondry to hypercalcemia which is caused by - i) Excessive bone resorption (major cause) --> Vit D causes bone resorption. ii) Increased calcium absorption o Manifestations are ? 1. GIT...
4
Nausea and vomiting
Muscular weakness
Anorexia
Oliguria
Pediatrics
null
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multi
Fifth clinical sign i.e., loss of function (functio laesa) was added by:
Acute inflammation Four cardinal signs of inflammation was given by Celsus. Rubor (redness) Tumor (swelling) Calor (heat) Dolor (pain). These signs are hallmarks of acute inflammation. A fifth clinical sign, loss of function (functio laesa), was added by Rudolf Virchow in the 19th century. Metchinkoff described process...
1
Rudolf Virchow
Elie Metchinkoff
Louis Pasteur
George Bernard
Pathology
Basic Concepts and Vascular changes of Acute Inflammation
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single
Tumor marker relevant with ovarian carcinoma is:
Answer is A (CA 125) : Manual of Clinical Surgery by Kirk CA 125 is the most commonly used tumor marker for ovarian cancer - Kirk CA-125 is found in derivatives of Coelomic epithelium, including pleura pericardium and peritoneum but is not detected in normal ovarian tissue.
1
CA-125
CA-19.9
CD-30
CD-25
Medicine
null
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single
Incision for medicolegal autopsy include all except?
Ans. is 'c' i.e., Modified 'I' shaped Types of primary skin incisions are :?I-shaped incision: Extending from the chin straight down to symphysis, passing to the side the umblicus.Y-shaped incision: Begins close to acromion process and then extends down below the breast across to xiphold process from where it is carrie...
3
'T' shaped
'Y' shaped
Modified 'I' shaped
Modified 'Y' shaped
Forensic Medicine
null
7cba5599-7c22-4ec7-a5f4-b3c37d43d54d
multi
The secondary flare is necessary for class II cast gold inlay preparation for several reasons, but basically the direction of the flare results in:
Secondary flare: It is a flat plane superimposed peripherally to the primary flare. Advantages are: Secondary flare ensures cavosurface margins to extend into embrasures (self-cleansing area). Permits easy burnishing and finishing of the restoration. Produces more obtuse-angled and stronger cavosurface margin. In cla...
3
Good aesthetics
60° marginal metal which is burnishable
40° marginal metal which is burnishable
10° marginal metal which is burnishable
Dental
null
289b88c1-5efa-40e2-a78d-7c83bbaea9c9
multi
In dermatomyositis which is not seen
*DM is a distinct entity identified by a characteristic rash accompanying or more often preceding muscle weakness. this includes heliotrope rash ,erythema of knuckles with a raised violaceous scaly eruption(Gottron's sign). *Dilated capillary loops at the base of fingernails are also characterised *Palma areas of finge...
1
Salmon patch
Gottron's papules
Peringual telangiectasia
Mechanic finger
Medicine
C.N.S
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single
Skin graft vestibuloplasty prevent relapse by:
null
1
Forming a barrier to reattachment of muscle to periosteum
Promoting osteogenesis to establish a bone barrier to loss of sulcus depth
Causing an inhibitory effect on fibroblasts in the underlying tissue
None of the above
Surgery
null
61847e4b-068d-4f49-9fef-08dae45d16dc
multi
A person who comes in contact with a case of coronavirus (COVID- 19) needs to be followed up for
A person who comes in contact with a coronavirus(COVID-19) case (confirmed or probable) needs to be followed up for apperance of symptoms of coronavirus for the maximum incubation period of 14 days. Treatment: There is no specific antiviral treatment recommended for COVID-19. People with COVID-19 should receive suppoiv...
4
7days
21days
42 days
14 days
Microbiology
Virology
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single