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Which of the following type of face bow is used to locate the exact hinge axis point:
Arbitrary face bows are used to record terminal hinge axis arbitrarily. It is most commonly used in complete denture prosthodontics. It may be of facial type or eyepiece type. Kinematic face bow is used to determine and locate the exact hinge axis point. It is attached to lower jaw. It is not used for complete denture ...
3
Facial type arbitrary.
Eyepiece type arbitrary.
Kinematic face bow.
All of the above.
Dental
null
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0.1 to 0.2 mm nebular corneal opacity is treated by –
Central nebular opacity is treated by phototherapeutic keratectomy with an excimer laser (treatment of choice) or lamellar keratoplasty.
2
Penetrating keratoplasty
Lamellar keratoplasty
Enucleation
Evisceration
Ophthalmology
null
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An old man having complaint of anorexia, weakness and paraesthesia. On investigation, his haemoglobin was 5.8g% and peripheral smear showed macrocytes and neutrophils having hypersegmented nuclei. His tendon reflexes were also sluggish. Endoscopy revealed atrophic gastritis. Deficiency of which of the following factor ...
Diagnosis of the patient is pernicious anemia. Factors favouring this diagnosis are: Megaloblastic anemia. Demyelination (decreased tendon reflexes) Atrophic gastritis So, he would require B12 supplementation.
3
Folic acid
Riboflavin
VitaminB12
None
Pharmacology
null
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multi
Which of the following does not develop from the neural ectoderm?
The structures developing from the Neural ectoderm are : Retina with its pigment epithelium Epithelial layers of ciliary body Epithelial layers of iris Sphincter and dilator pupillae muscles Optic nerve(neuroglia and nervous elements only) Melanocytes Secondary vitreous Ciliary zonules (teiary vitreous) Reference: A.K....
2
Vitreous
Aqueous
Retinal pigment epithelium
Fibres of optic nerve
Ophthalmology
Anatomy, Development and clinical examination
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Which of the following condition is diagnosed using a positive urinary anion gap?
Positive urinary anion gap is associated with distal A, as the kidney cannot excrete H+ as NH4Cl. The urinary anion gap (Na+ + K- - Cl-) reflects the ability of the kidney to excrete NH4Cl. It is used to differentiate between gastrointestinal and renal causes of hyperchloremic acidosis. In gastrointestinal cause of hyp...
4
Acidosis in Diarrhea
Diabetic ketoacidosis
Alcoholic ketoacidosis
Renal tubular Acidosis
Medicine
null
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Multiple drug resistance is transferred through:
Conjugation Sexual contact through the formation of a bridge or sex pilus is common among gram-negative bacilli of the same or another species. This may involve chromosomal or extrachromosomal (plasmid) DNA. The gene carrying the &;resistance&; or &;R&; factor is transferred onlv if another &;resistance transfer factor...
3
Transduction
Transformation
Conjugation
Mutation
Pharmacology
Chemotherapy
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Test for ovarian reserve:
Ans. c. FSH /Ref Harrison 19e p2388, 18/e p17/e p2331]Ovarian reserve is the capability of ovary to produce egg. The methods for assessing ovarian reserve are classified into Passive testing and Dynamic testing. FSH level is a method for testing passive ovarian reserve."As woman ages FSH becomes elevated in an attempt ...
3
LH
LH/FSH ratio
FSH
Estradiol
Gynaecology & Obstetrics
Pathology of Conception
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Gingival clefts may be caused by
null
2
Occlusal disharmonies
Faulty toothbrushing
Normal frenum attachment
Use of dental floss
Dental
null
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single
19 year old boy had a history of fall on out stretched hand while playing. He developed slight radial side pain and tenderness. On examination pressure along the axis of thumb is painful and x rays are normal.
C i.e. Scaphoid fracture
3
Fracture lower end radius
Wrist sprain
Scaphoid fracture
Perilunate dislocation
Surgery
null
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Electronic apex locator is used in Endodontics to determine the
null
2
Root canal morphology
Working length
Pulp stone Location
Pulp vitality
Dental
null
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single
Retinal cells which secrete acetylcholine
The cholinergic amacrine cells of the rabbit retina secrete acetylcholine by two mechanisms. One is activated by stimulation of the retina by light or depolarization of the amacrine cells by K+ ions. It requires the presence of extracellular Ca2+. The second is independent of extracellular Ca2+ and is unaffected by lar...
3
Bipolar cells
Ganglion cells
Amacrine cells
H Cells
Physiology
Nervous system
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Sodium potassium pump is a:
Sodium potassium pump is a heterodimer It has alfa and beta subunits
1
Heterodimer
Homodimer
Polymer
Monomer
Anatomy
General anatomy
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Hyperaldosteronism is associated with all except:
Ans. (d) Metabolic acidosis(Ref: Ganong, 25th ed/p.370)Clinical consequences of excess aldosterone are,#Sodium and water retention leading to expansion of ECF volume and hypertension#Excess potassium excretion by kidney (K+ loss)#Excessive urinary excretion of H+ ion leading to metabolic alkalosis
4
Hypernatremia
Hypokalemia
Hypertension
Metabolic acidosis
Physiology
Endocrinology and Reproduction
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Ideal contraceptive for newly married couple is:
Ans b. Combined OCPs Ideal contraceptive for newly married couple is combined oral contraceptive pill"Best contraceptive for newly married couple is combined oral contraceptive pill""Combined oral contraceptive has lesser failure rate than progestins. IUCDs should not be used in newly married couple.""Best contraceptiv...
2
Barrier method
Combined OCPs
IUCD
Progesterone only pill
Gynaecology & Obstetrics
Methods - Combined Oestrogen-Progestogen Methods
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All are features of hyper-parathyroidism EXCEPT:
Ans. (c) DiarrheaRef.: Harrison 19th ed. / 2342* Hyperparathyroidism leads to increase PTH. PTH increases serum calcium by increasing dietary absorption of vitamin D3. It also ensures that the proximal convoluted tubule start loosing phosphate in urine leading to decreased serum phosphate.* The increase serum calcium l...
3
Increase serum calcium
Decreased serum phosphate
Diarrhea
Nephrocalcinosis
Medicine
Parathyroid
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24 hours after fever, maculopapular rash and erythema appears on the face of infant. This organism can also cause:
The described lesion is slapped cheek rash seen in Erythema infectiosum caused by Parvovirus B19. Parvovirus B19 also causes Pure red cell aplasia. Diseases caused by Parvo virus B19:- Erythema infectiosum (most common) Transient arrest of erythropoiesis (aplastic crisis) Papular purpuric "gloves-and-socks" syndrome (P...
3
ALL
CML
Pure red cell aplasia
Hairy cell leukemia
Pediatrics
Impoant Viral Diseases in Children
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What is the immediate management of vitreous hemorrhage in eye-
1. Complete absorption may occur without organization and the vitreous becomes clear within 4-8 weeks. 2. Organization of haemorrhage with formation of a yellowish-white debris occurs in persistent or recurrent bleeding. 3. Complications like vitreous liquefaction, degeneration and khaki cell glaucoma (in aphakia) may...
2
Steroids
No treatment
Antibiotics
Vitrectomy
Ophthalmology
null
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Cholera toxin irreversibly stimulates the cAMP-dependent pump in intestinal cells resulting in
Cholera toxin irreversibly stimulates the cAMP-dependent Cl- pump in intestinal cells resulting in massive Cl- rich watery diarrhea. Death is caused by extreme dehydration and electrolyte imbalance.
1
Cl- rich watery diarrhea
K+ rich watery diarrhea
Na+ rich watery diarrhea
Ca+ rich watery diarrhea
Microbiology
All India exam
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Least chance of cord prolapse is seen in -
Ans. is 'a' i.e., Vertex Factors associated with cord prolapseo Malpresentations - commonest being transverse (5-10%) & breech (3%) especially with flexed legs or footling and compound presentation (10%)o Contracted pelviso Prematurityo Twinso Hydramnioso Placental factors - minor degree of placenta previa with margina...
1
Vertex
Breech
Transverse
Compound
Gynaecology & Obstetrics
Classification, Symptoms, and Signs
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Minimum bone width required for a 4 mm diameter implant is about
null
1
5 mm
10 mm
12 mm
14 mm
Dental
null
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single
The organ most vulnerable to ischaemia due to shock-
The susceptibility of a tissue to hypoxia influences the likelihood of infarction. Neurons are most sensitive to hypoxia (irreversible changes develop in 3-4 minutes) followed by myocardial cells (irreversible changes develop in 20-40 minutes). Fibroblasts are amongst the most resistant cells to hypoxia.
4
Lungs
Adrenals
Kidney
Heart
Pathology
null
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18,20,22,24,26,28 and 30, Best Central tendency is determined by:-
The Metric data is evenly dispersed around the mean, and it is not skewed, Hence the best measure of central tendency is MEAN. Median is preferred in case of Ordinal data; outliers. Mode is preferred in Nominal data.
1
Mean
Median
Mode
Range
Social & Preventive Medicine
Central tendency, Dispersion
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Which of the following is true about upper 1/3' of the rectum?
Ans. is'd' i.e., It is covered by peritoneum on the sides and anteriorlylRef: Basic Human Anatomy, O'Rahilly, Muller Chapter 36)Upper 1/3'd of rectum Covered by peritoneum on the front and sidesMiddle 1/3"r of rectum Covered by peritoneum on the sides onlyLower 1/3"r of rectum Devoid of peritoneal aitachmerits
4
It is covered by peritoneum only anteriorly
It is covered by peritoneum on the front, sides and back
It has no peritoneal attachments
It is covered by peritoneum on the sides and anteriorly
Anatomy
null
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multi
STEPS is the WHO recommended tool for -
Park's textbook of preventive and social medicine 23rd edition The STEPS - the non communicable disease risk factors survey to help countries establish CMS surveillance system. It describes 3 steps: questionnaire, physical measurements and biochemical measurements. .
1
Surveillance of non-communicable disease and their risk factors
Surveillance of communicable diseases and their risk factors
Surveillance of socio-economic status of the community
Changes of trends of moality in non-communicable diseases
Social & Preventive Medicine
Non communicable diseases
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Hexokinase is
A hexokinase is an enzyme that phosphorylates hexoses (six-carbon sugars), forming hexose phosphate. In most organisms, glucose is the most impoant substrate of hexokinases, and glucose-6-phosphate is the most impoant product. Hexokinase can transfer an inorganic phosphate group from ATP to a substrate.
2
Ligase
Transferase
Oxidoreductase
Reductase
Biochemistry
Enzymes
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Wallace's rule is better known as?
ANSWER: (C) Rule of 9 in burn assessment REF: Schwartz's 9th ed chapter 8 table 8-2, Bailey & Love 25th ed page 382, Practical plastic surgery by Zol B. Kryger, Mark Sisco page 155
3
Rule of 10% in pheochromocytoma
Rule of 6 in burns assessment
Rule of 9 in burns assessment
None
Surgery
Pathophysiology of Burn and Inhalation Injury
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The water can in the larynx (saccules) are present in:
It is a diveiculum of mucous membrane which stas from the anterior pa of laryngeal ventricle extending between the vestibular folds and lamina of thyroid cailage. The saccule has plenty of mucous glands whose main purpose is to lubricate the vocal cords (vocal cord is devoid of mucous glands) and hence is known as wate...
4
Paraglottic space
Pyriform fossa
Reinke's space
Laryngeal ventricles
ENT
null
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Which of the following structures give origin to the Primordial Germ cells?
Primordial germ cells normally develop from the wall of the yolk sac close to allantois. After folding of the embryo these cells are present in the wall of hindgut. The primordial germ cells then migrate along the dorsal mesentery of hindgut by active ameboid movement and reach the developing gonad. The primordial germ...
3
Chorion
Amnion
Yolk sac
Cord blood
Anatomy
null
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single
The maintenance of posture in a normal adult human being depends upon:
A i.e. Integrity of Reflex arc'Postural Reflexes not only maintain the body in an upright balanced position but also provide the constant adjustments necessary to maintain a stable postural background for voluntary activity'- Ganong 22"V207Integrity of the postural reflex arc is therefore the single best answer of choi...
1
Integrity of reflex arc
Muscle power
Type of muscle fibers
Joint movements in physiological range
Physiology
null
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A patient arrives at your office with their full gold crown in hand. They explain to you that another dentist delivered it last week. You then examine the crown and the preparation. Which of the following hand instruments is used for creating retentive features in dentin ?
A special type of excavator is the angle former. It is used primarily for sharpening line angles and creating retentive features in dentin in preparation for gold restorations. It also may be used when placing a bevel on enamel margins. The angle former is mon-angled and has the primary cutting edge at an angle (other ...
2
Enamel hatchet
Angle former
Straight chisel
GMT
Dental
null
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In strychnine poisoning, convulsions occur because of the antagonist effects at receptors for:
(Ref: KDT 6/e p469) GABA is the principal inhibitory neurotransmitter in the brain and glycine is the inhibitory amino acid in the spinal cord. By antagonizing the glycine receptors, strychnine can result in convulsions and other stimulatory symptoms.
2
Aspaate
Glycine
GABA
Glutamate
Anatomy
Other topics and Adverse effects
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All are true about Huntington's disease except -
null
3
Chorea
Behavioral disturbance
Early onset of memory loss
Cog- wheel rigidity.
Medicine
null
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Investigation of choice for small intestine tumor:
Ans. CT scan with contrast
4
Ba meal follow through
Echo
X-ray abdomen
CT scan with contrast
Radiology
null
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multi
Involvement of pyramidal tract leads to all of the following except
Ans. is 'b' i.e., Fasciculation
2
Spasticity
Fasciculation
Hyper-reflexia
Positive babinski sign
Medicine
null
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Pudendal nerve supplying motor pa to external sphincter is derived from?
S2-S3 roots. There are two sphincters of the urethra a. Internal urethral sphincter (also k/a sphincter vesicae) - it is involuntary in nature - made up of smooth muscle - supplied by sympathetic nerves, from lower thoracic & upper lumbar segments of spinal cord b. External urethral sphincter (also k/a sphincter vesica...
4
L5-S1 roots
51-S2 roots
L2-L3 roots
S2-S3 roots
Anatomy
null
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Following are principles in the treatment of compound fractures except
B i.e. Immediate wound closure
2
Wound debridement
Immediate wound closure
Tendon repair
Aggressive antibiotic therapy
Surgery
null
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multi
All are seen in acute Iridocyclitis except:
C i.e. Mucopurulent discharge Mucopurulent discharge is a feature of acute conjunctivitis not acute iridocyclitisQ.
3
Pain
Ciliary congestion
Mucopurulent discharge
Small pupil
Ophthalmology
null
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multi
One of the following is not included in the major criteria for rheumatic hea disease?
Guidelines of diagnosis used by the American Hea Association include major and minor criteria (ie, modified Jones criteria). In addition to evidence of a previous streptococcal infection, the diagnosis requires 2 major Jones criteria or 1 major plus 2 minor Jones criteria. Major criteria are as follows: Carditis, Migra...
4
Ahritis
Carditis
Erythema marginatum
Raised ASLO titer
Pediatrics
null
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Which statement is false regarding familial adenomatous polyposis :
Ans. is 'a' i.e. males are usually carriers Familiar polyposis coli is an autosomal dominant* condition affecting males and females equally.It is characterized by presence of thousands of adenomatous polyps throughout the large bowel.Carcinomatous change* supervenes in these polyps in 100% of cases by the age of 30-35y...
1
Males are usually carriers
Autosomal dominant inheritance
If not treated progress to malignancy in 100% of cases
Males and females are affected equally.
Pathology
Small and Large Intestines
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III nerve palsy causes all of the following except -
Features of 3rd(occulomotor) nerve palsy Paralysis of superior rectus, inferior rectus, medial rectus and inferior oblique. Eye is down and out due to unopposed action of superior oblique and lateral rectus. Medial & upward gaze is not possible. Paralysis of sphinctor pupillae → Loss of ipsilateral direct and consensu...
3
Ptosis
Mydriasis
Medial deviation of eyeball
Pupillary reflex lost
Ophthalmology
null
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multi
Which neck swelling moves on swallowing
Ans. is 'b' i.e., Thyroid gland
2
Submandibular salivary gland
Thyroid gland
Supraclavicular lymph gland
Sternomastoid tumour
Surgery
null
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multi
"Stary sky" appearance is seen in -
The tumor consists of sheets of a monotonous (i.e. similar in size and morphology) population of medium-sized lymphoid cells with high proliferative activity and apoptotic activity. The "starry sky" appearance seen under low power is due to scattered tingible body-laden macrophages (macrophages containing dead apoptoti...
1
Burkitt's lymphoma
Mantle cell lymphoma
Extra nodal marginal Zone B-cell lymphoma of MALT type
Chronic myeloid leukemia
Pathology
Haematology
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Cardiomyopathy is caused by
Ref: Katzung 14th ed. pg. 964-65; KDTy 6th ed. pg. 826-27* Doxorubicin and daunorubicin are anti-tumor antibiotics. Activity of Daunorubicin is limited to acute leukemia while doxorubicin is effective in several solid tumors.# MOA: Cause breaks in DNA strands by activating topoisomerse II and generating quinolone type ...
2
Actinomycin D
Doxorubicin
Mitomycin C
Mitoxantrone
Pharmacology
Anti-Cancer
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Restrictive and constrictive cardiomyopathy occurs together in
The etiologies of RCM may be grouped into broad categories as follows: Primary/idiopathic: Endomyocardial fibrosis (EMF), loeffler eosinophilic endomyocardial disease Secondary: Infiltrative, amyloidosis (the most common cause of RCM in the United States), sarcoidosis , progressive systemic sclerosis (scleroderma) , he...
4
Radiation
Adriamycin
Post cardiotomy
Amyloidosis
Medicine
C.V.S
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Centromere is almost at the tip of the chromosome in:
Types Of CHROMOSOMES:
3
Metacentric
Submetacentric
Acrocentric
Telocentric
Pathology
null
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Action of topoisomerase III -
Ans. is 4d' i.e., Single strand breako Topoisomerase I - Removes negative supercoiling.o Topoisomerase II - Relaxes positive supercoils and forms negative supercoiling by condensation, of chromosome,o Topoisomerase III - Can introduce single strand breaks during recombination that are required for DNA to be exchanged b...
4
Remove positive supercoil
Remove negative supercoil
Form negative supercoid
Single strand break
Biochemistry
DNA Replication
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Fracture scaphoid is usually seen in
Scaphoid fracture is more common in young adults. Its rare in children and in elderly people. Fracture occurs through the waist of scaphoid. Rarely, occurs through tuberosity. It may be either a crack or a displaced fracture. On examination tenderness on scaphoid fossa or anatomical snuff box. Complications: avascular ...
3
Elderly male
Elderly postmenopausal female
Young active adult
Children
Orthopaedics
Forearm wrist and hand injuries
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True about apoptosis is all, except -
Ans. is 'c' i.e., Apoptosis of cells induce Inflammatory reaction oThe two most striking features of apoptosis are: 1. In contrast to necrosis it does not elicit inflammation 2. Considerable apoptosis may occur in tissues before it becomes apparent in histological section (because it occurs very rapidly). Morphological...
3
Considerable apoptosis may occur in tissues before it becomes apparent in histology
Apoptotic cells appear round mass of the intensely eosinophillic cytoplasm with dense nuclear chromatin fragments
Apoptosis of cells induce inflammatory reaction
Macrophages phagocytose the apoptotic cells and degrade them.
Pathology
null
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Classical triad of Budd-Chiari syndrome:
BUDD-CHIARI SYNDROME TRIAD- Ascites + Hepatomegaly + Abdominal pain . Treatment Side to Side Poo-caval Shunt is the most effective therapy.
3
Fever, jaundice, abdominal pain
Fever, ascites, jaundice
Hepatomegaly, abdominal pain, ascites
Abdominal pain, jaundice, Hepatomegaly
Surgery
Liver
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Most common disease of human body is:
Dental caries, the most common disease in the mouth, is also the most common disease of the entire body. The first step in treating this disease is to identify it, and radiology is one of the best tools available to do so.
4
Gingivitis
Hypertension
Diabetes
Dental caries
Radiology
null
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Volcano ulcers in esophagus are seen in:
Volcano ulcers - Herpetic esophagitis - odynophagia Candida esophagitis Whitish plague adheres to wall of esophagus
1
Herpetic esophagitis
Candida esophagitis
Apthous ulcer in Crohn
HIV esophagitis
Medicine
viral infection
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Mesangial cells are contracted by
Contraction Relaxation Endothelins ANP AngiotensinII Dopamine Vasopressin PGE2 Norepinephrine cAMP Platelet-activating factor Platelet-derived growth factor Thromboxane A2 PGF2 Leukotrienes C4 and D4 Histamine Ref: Ganong's Review of medical physiology 25th edition. Page: 678 Table 37-3
1
Histamine
Nitric oxide
Bradykinin
Dopamine
Physiology
Cardiovascular system
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A 40-year-old non-alcoholic male patient presented to the OPD with jaundice, lethargy, ahralgia, skin pigmentation, loss of libido, polyuria, polydipsia and exeional dyspnea. O/E, Hepatosplenomegaly Increased pigmentation and spider angiomas Ahropathy Ascites Loss of body hair and testicular atrophy Iron studies were d...
This is a case of haemochromatosis with C282Y mutation. HPE image shows Prussian blue-stained section, hepatocellular iron appears blue. The most common HFE mutation is a cysteine-to-tyrosine substitution at amino acid 282 (called C282Y). The other common mutation is H63D (histidine at position 63 to aspaate). DETERMIN...
1
C282Y
H63D
H62D
C283Y
Unknown
Integrated QBank
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A preterm neonate with hyaline membrane disease needs to be treated with:
d. Surfactant(Ref: Nelson's 20/e p 854)Systemic or inhaled corticosteroids have been used, mainly in those infants with RDS, who continue to require respiratory support & in whom bronchopulmonary dysplasia (BPD) develops.Routine use of corticosteroids for the prevention or treatment of BPD is not recommended by the Ame...
4
Dexamethasone
Betamethasone
Hydrocortisone
Surfactant
Pediatrics
New Born Infants
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In normal diurnal variation, intraocular pressure is:
Ans. Highest on awakening and lowest during evening
1
Highest on awakening and lowest during evening
Lowest during morning and highest during evening
Highest in the morning and evening
Lowest in the morning and evening
Ophthalmology
null
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Example of syndesmosis joint is: September 2007
Ans. B: Tibiofibular Joint I. Six types of synol joints are: Hinge Ball-and-socket Pivot Condyloid (angular or ellipsoidal) Plane (gliding) Saddle. - The elbow is an example of a hinge joint. Here, the convex and concave aiculating bones allow movement along one plane, similar to a door. -The shoulder and hip are the o...
2
Tibiotalar joint
Tibiofibular joint
Elbow joint
Carpometacarpal joint
Surgery
null
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single
Epidemic dropsy results from -
Sanguarine,a toxic alkalpid from argemone oil interfers with the oxidation of pyruvic acid which accumulates in the blood causing epidemic dropsy.seeds of argemone mexicana closely resembles mustard seeds.(Ref.PARK'S textbook of social and preventive medicine 21st edition page no.608)
2
Dhatura poisoning
Argemone poisoning
Aluminum phosphide poisoning
Organophosphorus poisoning
Social & Preventive Medicine
Nutrition and health
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single
Sullivan's Index is
Sullivan's Index : Life expectancy - Duration of disability.
1
Disability Free Life expectancy(DFLE)
Disability Adjusted Life expectancy(DALE)
Quality Adjusted Life Expectancy(QALE)
Health Adjusted Life Expectancy(HALE)
Social & Preventive Medicine
null
1f72a502-fe4a-474e-ac7e-35763a68c907
single
Which structure prevents spread of infection from middle ear to brain
Tegmen tympani forms the roof of the middle ear and it also extends posteriorly to form a roof of aditus and antrum. Reference: Dhingra 6th edition
1
Tegmen tympani
Cribriform plate
Fundus tympani
Petrous apex
ENT
Ear
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single
Systolic murmur in TOF is due to ?
Ejection systolic murmur in TOF is due to pulmonary stenosis. Ref : Ghai essential of pediatrics, eighth edition, p.no:420
2
VSD
Pulmonary stenosis
ASD
None
Pediatrics
C.V.S
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multi
Longest cranial nerve is
The word "vagus" means wandering in Latin. This is a very appropriate name, as the vagus nerve is the longest cranial nerve. It runs all the way from the brain stem to pa of the colon. Ref - medscape.com
1
Vagus
Trigeminal
Trochlear
Olfactory
Anatomy
Head and neck
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single
A patient with sputum positive pulmonary tuberculosis is on ATT for the last 5 months but the patient is still positive fo AFB in the sputum. This case refers to -
- any patient treated with category I of DOTS who has a positive s near at 5 months of the treatment should be considered as failure case. - the patient should be staed with Category II treatment afresh. Reference : Park's textbook of preventive and social medicine, 23rd edition, pg no:188 <\p>
2
New case
Failure case
Relapse case
Drug defaulter
Social & Preventive Medicine
Communicable diseases
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single
Hypercarbia is characterized by:
Excess CO2 in aerial blood (hypercarbia/hypercapnia) has a direct peripheral effect; it causes cutaneous vasodilation. However, it acts on the VMC, resulting in increased sympathetic vasoconstrictor discharge. This will result in vasoconstriction in other vascular beds. These effects tend to cancel out, yet there is in...
4
Miosis
Cool extremities
Bradycardia
Hypeension
Physiology
Respiratory System Pa 3
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single
Which of the following drug have high volume of distribution of drug?
Ans. A. Lipophilic. (Ref KDT 6th/pg. 19; Harrison's 17th edition, page 29)APPARENT VOLUME OF DISTRIBUTION (Theoretical volume occupied by the total absorbed drug amount at the plasma concentration.)# Vd = amount of drug in the body / plasma drug concentrationFactors governing the volume of drug distribution:# Lipid: Wa...
1
Lipophilic
Hydrophilic
Highly protein bound
Drug with low therapeutic index
Pharmacology
General Pharmacology
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single
Most common cardiac involvement in Rheumatoid arthritis is
(B) Pericarditis # CARDIAC COMPLICATIONS OF RHEUMATOID ARTHRITIS> Pericarditis: Asymptomatic. One-third of patients with seropositive RA.> Myocarditis.> Endocarditis.> Conduction defects.> Coronary vasculitis.> Granulomatous aortitis.
2
Conduction defects
Pericarditis
Myocarditis
Infective Endocarditis
Medicine
Miscellaneous
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single
Young Helmholtz theory is associated with which of the following?
The Young-Helmholtz theory of color vision in humans postulates the existence of three kinds of cones, each containing a different photopigment and that are maximally sensitive to one of the three primary colors, with the sensation of any given color being determined by the relative frequency of the impulses from each ...
1
Colour vision
Nerve conduction
Nerve conduction
None of the above
Ophthalmology
null
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multi
Regarding congenital hypertrophic pyloric stenosis true statement is:
Ans. (b) On non feeding a mass is palpated in right upper quadrantRef: Bailey and Love 27th Edition, Page 128Congenital Hypertrophic Pyloric Stenosis* Diagnosed by clinical finding* During a test feed a visible gastric peristalsis is seen passing from left to right across upper abdomen.* In a relaxed baby (nonfeeding):...
2
On feeding an olive mass palpated in epigastric region
On nonfeeding a mass is palpated in right upper quadrant
Mass is felt in umbilical region
A palpable mass is seen in right iliac fossa
Surgery
Stomach & Duodenum
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multi
Which congenital heart disease is associated with pre excitation ?
null
3
Atrial Septal Defect
Bicuspid Aortic Valve
Ebstein's Anomaly
Patent Ductus Arteriosus
Medicine
null
3994eaf7-b17f-4adb-bebc-2585cdc89033
single
The MOST commonly used chemotherapeutic agent in trans aerial chemoembolisaion for hepatocellular carcinoma is:
Doxorubicin, Cisplatin and Mitomycin all are used in TACE. However the most commonly used agent is Doxorubicin. Ref: Quality-Improvement Guidelines for Hepatic Transaerial Chemoembolization: Cardiovasc Intervent Radiol
1
Doxorubicin
Cisplatin
Mitomycin C
5 FU
Medicine
null
81de7992-2502-46af-9d9b-59a74acec651
single
Which of the following muscle act as tensor of vocal cord?
Cricothyroid Vocalis which is the internal pa of thyroarytenoid act as tensor of vocal cord. Muscles acting as abductors of vocal cords: posterior cricoarytenoid Adductors of vocal cords: lateral cricoarytenoid, interarytenoid and thyroarytenoid (external pa). Muscles which acts as openers of laryngeal inlet: Thyroepig...
2
Vocalis
Cricothyroid
Cricoarytenoid
Thyroarytenoid
ENT
null
2b7fa72e-2316-4014-bbe7-a979903ff20a
single
Doc for Cryptosporidium parvum is
Nitazoxanide is Doc for Cryptosporidium. Cotrimoxazole is Doc for Cyclospora and isospora.
1
Nitazoxanide
Cotrimoxazole
Ivermectin
DEC
Microbiology
null
3831d323-da2c-4f5c-af28-ac9d570f3019
single
All of the following are features of cochlear hearing loss except-
Ans. is 'b' i.e., Speech discrimination is highly impaired Cochlear SNHLRetrocochlear SNHLDamage to hair cellsDamage to VIII nerve and its connectionsRecruitment presentRecruitment AbsentNo significant tone decaySignificant tone decaySISI PositiveSISI NegativeSpeech discrimination not highly impairedSpeech discriminati...
2
SISI test is positive
Speech discrimination is highly impaired
No tone decay
Damage to hair cells
ENT
Hearing Loss
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Testing of Hypothesis is
null
2
Descriptive epidemiology
Analytical
Experimental
None of the above
Social & Preventive Medicine
null
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multi
Which is the best investigation to detect Pneumoperitoneum?
The term pneumoperitoneum refers to the presence of air within the peritoneal cavity. The most common cause is a perforation of the abdominal viscus--most commonly, a perforated ulcer. At least 2 radiographs should be obtained, including a supine abdominal radiograph and either an erect chest image or a left lateral de...
3
Plain X ray abdomen, erect
Left lateral decubitus
Plain X ray chest, erect
CT Scan
Radiology
null
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single
Index of duration of malnutrition is -
<p> Malnutrition: Defined as a pathological state resulting from a relative or absolute deficiency or excess of one or more essential nutrients. It comprises: Undernutrition, Overnitrition, Imbalance and Specific deficiency. Main victims are children under 15 years. Children under 5 years are hit the hardest. Malnutrit...
2
Weight for height
Height for age
Weight for age
None
Social & Preventive Medicine
Nutrition and health
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multi
All are components of Meig's syndrome. Except -
Ans. is 'd' ' Pericardial effusion (Ref : Shaws, 13/e, p 365 (12/e, p 322))."Meigs syndrome is combination of ovarian fibroma* with ascites* and hydrothorax* usually right sided" - Shaws, 12/e.Other than fibroma, other ovarian tumours associated with this syndrome are -Granulosa tumours*Brenner tumour*
4
Pleural effusion
Ovarian tumour
Ascitis
Pericardial effusion
Gynaecology & Obstetrics
Presentation (Carcinoma Ovary)
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multi
With which heart diseases in Pregnancy is prognosis worst:
Ans. a (Eisenmenger's syndrome). (Ref. Textbook of obstetrics D C Dutta 6th ed. 296)HEART DISEASE IN PREGNANCY# The risk of fetal congenital malformations is increased by 3-10% if either parents have congenital lesions. In mother with AV septal defect, risk of having concordant abnormality in baby is very much high.# M...
1
Eisenmenger's syndrome
Aortic Stenosis
Mitral Stenosis
MVP
Gynaecology & Obstetrics
Miscellaneous (Gynae)
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single
All of the following are seen in Coarctation of Aorta, except-
Ans. is 'd' i.e., Boot Shaped Heart Coarctation of Aorta -o Symptoms of coarctation of Aorta occurs due to decrease in blood supply distal to Aortic obstruction.o Narrowing or constriction of lumen in coarctation of Aorta may occur anywhere along its length but is most common distal to the origin of the left subclavian...
4
Diminution of femoral pulsations
High incidence of associated Bicuspid aortic valve
Left ventricular Hypertrophy
Boot Shaped Heart
Medicine
Diseases of the Aorta
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multi
Hernia into pouch of Douglas is ..... hernia -
Ans. is 'd' i.e., Berger's Beclard's hernia ---> is the femoral hernia through the opening of the saphenous vein (named after Pierre Augustin Beclard) [Ref: www.whonamedit.comj
4
Beclard's
Bochdaleks
Blandin's
Berger's
Surgery
null
4a4a7fb9-64fa-486c-97de-91c1d3acb790
single
Most common cerebellar tumor in children
Refer Robbins page no 8/e
3
Medullobalstoma
Epdendymoma
Astrocytoma
PNET
Anatomy
General anatomy
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single
"Blow-out" fracture of orbit involves:
Ans. All of the above
3
Floor
Medial wall
All of the above
None of the above
Ophthalmology
null
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multi
According to Herrington classification, the decerebrate rigidity is characterized by all except
In decerebrate rigidity, there is rigidity in extensor muscles of all the four extremities (not all muscles of the body). Decerebration Complete transection of the brain stem between the superior and inferior colliculi permits the brain stem pathways to function independently of their input from higher brain structures...
1
Rigidity occurs in all the muscles of the body
Increase in the rate of discharge of the Y efferent neuron
Increased excitability of the motor neuron pool
Decerebration produces no phenomenon akin to spinal shock
Physiology
All India exam
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multi
The type of chisel with the shank and blade slightly curved is:
null
2
Straight chisel
Wedelsaedt chisel
Enamel hatchet
GMT
Dental
null
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single
Platlets can be stored at
Ans. is (a) i.e. 20-24degC for 5 days
1
20-24degC for 5 days
20-24degC for 8 days
4-8degC for 5 days
4-8degC for 8 days
Surgery
null
6ed2cf7f-2512-4f53-96be-ea458a6e3410
single
Enlarged liver with Hepatocellular dysfunction seen In-
Pathophysiology Normally, dietary copper is absorbed from the stomach and proximal small intestine and is rapidly taken into the liver, where it is stored and incorporated into caeruloplasmin, which is secreted into the blood. The accumulation of excessive copper in the body is ultimately prevented by its excretion, th...
1
Wilson's disease
Budd. Chiari syndrome
Alcoholic hepatitis
NASH
Medicine
G.I.T
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single
The major cause of us is
Favus is a chronic infection caused most commonly by T schoenleinii and usually affecting the scalp. Most common organism associated with us is Trichophyton schoenlenii. E. floccosum- cause Tinea unguium (nail beds) M. canis- cause ECTOTHRIX(infection of hair) T. rubrum- cause Tinea cruris (groin area)
4
M. canis
E. floccosum
T. rubrum
T. schoenlenii
Microbiology
Mycology
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single
Time difference between screening test and standard test is known as-
<p>Screening is the search for unrecognised disease or defect by means of rapidly applied tests ,examinations or other procedures in apparently healthy individuals. Lead time is the advantage gained by screening.it is the time period between diagonosis by early detection and diagonosis by other means.That is lead time ...
1
Lead time
Generation time
CIP
Lag time
Social & Preventive Medicine
Screening
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single
Uncommon complication of meckels diveiculum is: September 2005
Ans. C: Malignancy Epidemiology - More common in males by ratio of 3:2 Lifetime complication rate: 4% - More than 50% of complications occur before age 10 History-Initial repo by Hildanus in 1598, Detailed description by Johann Meckel in 1809 Pathophysiology: Meckel's Diveiculum - Incomplete vitelline duct (omphalomese...
3
Intussusception
Diveiculitis
Malignancy
Increased bleeding
Surgery
null
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single
A 50-year-old male patient presented to the OPD with the complaint of progressive dysphagia for 4 months both to solids and liquids but more to the solids. There was history of significant weight loss, loss of appetite, pain while swallowing, a hoarse voice and cervical lymphadenopathy. Upper GI endoscopy and barium st...
This is a case of carcinoma esophagus (squamous cell carcinoma) 1ST image shows a mass in the lumen of the esophagus. 2nd image shows the rat tailing seen on Barium swallow in carcinoma esophagus. 3rd image shows the classical keratin pearl seen in squamous cell carcinoma. Barret's esophagus is a risk factor adenocarci...
4
Smoking
Plummer Vinson syndrome
Achalasia cardia
Barrett's esophagus
Unknown
Integrated QBank
b801d5fc-5dd0-42fe-805a-c989a5ae0eba
multi
Tumorgenesis in Aging is due to:
Telomerase reactivation
1
Telomerase reactivation
Telomerase inactivation
Increased apoptosis
Suppression of proto-oncogenes
Pathology
null
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single
Patient came with H/O prolonged labour (15 hrs) in emergency. On examination there were signs of obstructed labour. Ideal position for the patient to undergo the cesarean section?
In this condition, position should be supine with wedge under right hip so the position will be a bit tilted towards the left to prevent compression of vena cava and the hea will get sufficient various return, giving good output to fetus.
3
Prone position with legs in stirrup
Trendelenberg with legs in stirrup
Supine with wedge under right hip.
Semi fowler position
Gynaecology & Obstetrics
Labour - III
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single
Resting membrane potential is maximally affected by which ion-
Ans. is 'b' i.e., K+ "RMP is mainly due to difference of concentrations ofK+ ions in ECF and ICF". -- Chaudhari* The cell membrane is selectively permeable. Due to presence of potassium leak channels K+ ions are freely permeable but permeability of Na+ is much less. In the generation of RMP, following sequence of event...
2
Na+
K+
Ca2+
Cl-
Physiology
General
531fe815-9d3b-4664-a1c2-f4d24b4155ec
multi
All of the following are true about Ebola virus except?
Ebola virus belongs to Filoviridae.
2
Incubation period is 2-21 days
Belongs to flaviviridae
Bowl of spaghetti appearance seen
Investigation of choice is RT - PCR
Microbiology
null
bc9ace10-1e3d-4c85-8998-9175fffc2335
multi
Which one of the following is NOT an Endocrine Myopathy?
(C) Myasthenia gravis # ENDOCRINE MYOPATHY:> Major categories of endocrine myopathy include those associated with Adrenal dysfunction (as in Gushing disease or steroid myopathy); Thyroid dysfunction (as in myxedema coma or thyrotoxic myopathy); Parathyroid dysfunction (as in multiple endocrine neoplasia); Pituitary dys...
3
Addison's disease
Cushing's disease
Myasthenia gravis
Primary Hypoparathyroidism
Medicine
Miscellaneous
a2826d60-20a4-4746-b247-283463241eda
single
Which of the following is true regarding anthracoid bacilli?
Anthracoid bacilli usually grow in penicillin agar. Their growth is not inhibited by chloral hydrate. They usually grow at 45 degree celsius. They are not susceptible to gamma phage. They are motile, non capsulated bacilli which grow in sho chains.
3
No growth in penicillin agar
Growth inhibited by chloral hydrate
Not susceptible to gamma phage
No growth at 45 degree celsius
Microbiology
Systemic Bacteriology (Gram Positive Bacilli, Gram Negative Bacilli)
f6973d3c-7cea-4ce9-b300-cfa1bb765f4c
multi
Magistrate inquest can be done by all except
Magistrate inquest This is conducted by Executive Magistrates They are Collector Deputy collector Revenue Divisional Officer Tahsildar Ref: FORENSIC MEDICINE AND TOXICOLOGY Dr PC IGNATIUS THIRD EDITION PAGE 7
4
Collector
Deputy collector
Tahsildar
Village officer
Anatomy
General anatomy
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multi
Pasteur developed the vaccine for
Pasteur introduced an attenuated vaccine for chicken pox, cholera, anthrax and rabies. Development of vaccine for hydrophobic marked a milestone in the development of immunisation in medicine.
4
Anthrax
Rabies
Chicken cholera
All of the above
Microbiology
general microbiology
969a4476-2375-4998-aa47-1808325145e7
multi
All of the following statements regarding total anomalous pulmonary connection are true except –
Hemodynamics of TAPVC TAPVC results in the pulmonary venous blood reaching the right atrium which also receives the systemic venous blood. This results in volume overload to right atrium -p Right atrial enlargement. Larger volume of blood reaches the right ventricle --> Right ventricle enlargement. The blood flow to ...
2
The total pulmonary venous blood reaches the right atrium
Always associated with a VSD
The oxygen saturation of the blood in the pulmonary artery is higher than that in the aorta
Infracardiac type is always obstructive
Pediatrics
null
25b37aef-8126-47cb-83fe-241675f21322
multi
Which of the following drugs should not be used in a setting of severe hypeension in elderly on empirical basis
Postsynaptic, selective a-adrenoreceptor antagonists lower blood pressure by decreasing peripheral vascular resistance. They are effective antihypeensive agents used either as monotherapy or in combination with other agents. However, in clinical trials of hypeensive patients, alpha blockade has not been shown to reduce...
4
Enalapril
Amlodipine
Chlohiazide
Prazosin
Medicine
C.V.S
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single
A 30 year old male patient complains of food lodgment and pain in lower right back teeth region. RCT was done with 46 and 45 was missing. Cast metal restoration was planned. The distortion during the fabrication of this prosthesis is because of all of the following except-
DISTORTION Any marked distortion of the casting is probably related to a distortion of the wax pattern. This type of distortion can be minimized or prevented by proper manipulation of the wax and handling of the pattern. Unquestionably some distortion of the wax pattern occurs as the investment hardens around it. The s...
4
Configuration of the pattern
Type of wax used
Thickness of the pattern
None
Dental
null
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multi