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Small pox vaccine was invented by?
ANSWER: (B) Edward JennerREF: Jawetz's 24th ed chapter 34Edward Jenner introduced vaccination for small pox with live cowpox virus in 1798.
2
Louis pasture
Edward Jenner
Paul Eugene
John snow
Social & Preventive Medicine
Concept of Control
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multi
ENaC mutation is associated with
ENac (Epithelial sodium channel)*ENac is a sodium transpo channel that is produced in the apical surface of all exocrine epithelial cells (All tracts and ducts)*The channel absorbs sodium from the luminal secretions and sent it back to the circulation thus maintaining the sodium level in blood and hence normal blood pr...
1
Liddle syndrome
Gordon syndrome
Baer syndrome
Giltleman syndrome
Pathology
Urinary tract
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single
Characteristic features of Rokitansky - Kuster Hauser syndrome are all of the following except:
null
3
Absent uterus
Absent vagina
Anovulation
46 - XX
Gynaecology & Obstetrics
null
b80313a6-95ff-46da-85fd-a43cacf729e2
multi
A patient with a nodular thyroid swelling is suspected to have hypehyroidism. On examination there was absence of wrinkling on forehead when looking upwards with face inclined downwards. Which term denote this sign?
Von Graefe's sign - upper eye lid lags behind the eyeball when the patient looks down. Stellwag's sign - Staring look with infrequent blinking of eyes and widening of palpebral fissure. Moebius sign - Inability to converge eyeball Joffroy's sign - Absence of wrinkling of forehead when the patient looks upwards with fac...
2
Von Graefe's sign
Joffrey's sign
Stellwag's sign
Moebius sign
Surgery
null
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single
Most dependent Bronchopulmonary segment in supine position is
Most dependent Bronchopulmonary segment in supine position is Right Superior segment.
2
Left Superior segment
Right Superior segment
Right posterior basal segment
Left posterior basal segment
Anatomy
null
52ea0f2d-e607-4605-99b0-f9f25795e169
single
Dowry deaths under IPC act -
According to Sec. 304- B IPC, where the death of a woman is caused by burns or bodily injury or occurs under abnormal circumstances within seven years of her marriage and it is shown that soon before her death she was subjected to cruelty or harassment by her husband or any relative of her husband for or in connection ...
2
304A
304B
420
498
Forensic Medicine
Medico legal procedures
f36b13dc-f4f3-49c9-8d25-639aaf8705e8
single
Gastric lavage is contraindicated in poisoning with:
B i.e. Kerosene
2
Morphine
Kerosene
Carbolic acid
Diazepam
Forensic Medicine
null
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single
Glucogenic aminoacids give rise to all of the following intermediates of citric acid cycle except-
Ans. is 'a' i.e., IsocitrateGlucogenic amino acids Component of TCA cycle producedHistidine, proline, glutamine, arginineGlutamatea-ketogiutarateIsoleucine, methioniney valine Succinyl CoATyrosine, phenylalanine FumarateTryptophanAlaninePyruvateHydroxyproline, serine, cysteine, threonine, glycine Pyruvate
1
Isocitrate
a ketoglutarate
Succinyl CoA
Fumarates
Biochemistry
Proteins and Amino Acids
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multi
A newborn male child presents with respiratory distress in the neonatal unit. His X-ray shows left hemithorax with multiple air-filled structures and mediastinal shift to the right. Which of the following represents the most likely diagnosis?
Diaphragmatic hernia in a neonate is evidenced by the presence of bowels in the thorax, characterised by multiple air-filled structures. The pleuro-peritoneal canal is a defect in the diaphragm which allows the contents of the abdomen to enter the thorax. The mediastinal structures are pushed to the opposite side leadi...
4
Cystic fibrosis
Streptococcal Pneumonia
Congenital Tumour of Lungs
Congenital diaphragmatic hernia
Radiology
null
257a3832-995c-4d20-a92b-e85df53823ca
single
Alveolar hemorrhage and hemosiderin laden macrophages -
Ans. is 'b' Goodpasture syndrome Goodpasture syndromeo Goodpasture syndrome is a rare condition characterized by rapid destruction of the kidney and diffuse pulmonary hemorrhage.o It is an autoimmune disease characterized by presence of circulating autoantibodies targeted against basement membrane oflung and kidney.o T...
2
Sarcoidosis
Goodpasture syndrome
Bronchial pneumonia
Bronchieactasis
Pathology
Pulmonary Diseases of Vascular Origin
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Maximal permissible hours of work per person per week (including the overtime) under the Factory Act 1976, should not exceed_______?
Ans. d (60 hrs ) (Ref. Park Textbook of PSM 22nd/pg. 759) Answer is d). because the question includes overtime, so 60 hours/week. If including overtime was not mentioned then it should be 48 hours/week. With 9 hours/day with rest for at least Vz hour after continuous 5 hours. "......But the option in exam was 60 yrs......
4
42 hours
48 hours
56 hours
60 hours
Unknown
null
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Gene therapy is used for
Gene transfer is a novel area of therapeutics in which the active agent is a nucleic acid sequence rather than a protein or small molecule. Most gene transfers are carried out using a vector or gene delivery vehicle because delivery of naked DNA or RNA to a cell is an inefficient process. More clear-cut success has bee...
1
All of the below
Sickle cell anemia
Thalassemia
Cystic fibrosis
Pathology
null
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multi
Hypocretin system plays a critical role in which of the following disorders?
Ans. D. NarcolepsyIt has become apparent that the hypo cretin system plays a critical role in narcolepsy. Narcolepsy is the prototypical example of sleepiness produced by a basic central nervous system dysfunction of sleep mechanisms. The etiology stems from a genetically triggered hypo cretin dysfunction and deficit. ...
4
Insomnia
Depression
OCD
Narcolepsy
Psychiatry
Mood Disorders
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single
Which of the following drug is aipha-glucosidase inhibitor?
Acarbose , voglibose, miglitilol are alpha glucosidase inhibitors nateglinide- glinides, pioglitazone- thiazolidinediones (REF.Essential of medical pharmacology K D TRIPATHI 6 Edition, Page No - 270)
2
Pioglitazone
Miglitol
Met-formin
Nateglinide
Pharmacology
Endocrinology
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single
Which of the following is the radiological finding of a benign gastric ulcer?
The radiographic features that suggest a benign gastric ulcer include, Projection from the lumen of the stomach Smooth lucent line (Hampton line) or collar at the neck of the ulcer Normal rugal folds that radiate to the edge of the ulcer collection Complete and permanent healing of the ulcer on repeat radiographic or e...
4
Hampton line
Collar at the neck of the ulcer
Projection from the lumen of the stomach
All of the above
Radiology
null
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Which of the following is the most probable diagnosis of the patient with the following x-ray?
Ans. is 'b' i.e., Pott's spine * Characteristic radiological feature of pott's spine is obliteration of disc space with destruction (wedge compression) of one or two adjacent vertebrae.* This feature differentiates Koch's spine from other diseases causing vertebral destruction (like metastasis, multiple myeloma), in wh...
2
Osteoporosis
Pott's spine
Metastatic bone disease
Multiple myeloma
Orthopaedics
Tuberculosis of Bone & Joints
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The metabolic derrangement in congenital pyloric stenosis is -
Ans. is 'a' i.e., Hypochloremic alkalosisClinical manifestations of congenital hyperophic pyloric stenosis Pyloric stenosis is usually not present at bih.o Nonbillous vomiting is the initial symptoms of pyloric stenosis.The vomiting usually stas after 3 weeks of age, but symptoms may develop as early as the 1st week of...
1
Hypochloremic alkalosis
Hyperchloremic alkalosis
Hyperchloremic acidosis
Hypochloremic acidosis
Pediatrics
null
278c95a3-73af-47d2-951b-491ce1252b54
single
Which of the following is a chemoreceptor?
Ans. is'a'i.e. OsmoreceptorsChemoreceptors are:-Taste buds (gustatory receptors) - OsmoreceptorsOlfactory receptors - Glucoreceptors
1
Osmoreceptors
Rods & cones
Hair cells
Merkel's disc
Physiology
null
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single
A 4 year old African child develops an infection with Chlamydia trachomatis. How does infection with this organism cause blindness?
Chlamydia trachomatis (serotypes A, B, and C) causes a conjunctival and corneal infection that is spread in developing countries by eye-seeking flies. The lesions begin with formation of lymphoid follicles in the conjunctiva. With disease progression, there is tissue necrosis, granulation tissue deposition, and scar fo...
4
Cataract formation
Hemorrhage into the anterior chamber
Hemorrhage into the posterior chamber
Scarring of the cornea
Microbiology
null
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Which of the following is not used as vector in genetics ?
The traditional viral vectors are adenoviral vectors followed by papilloma viruses and retroviruses. Retroviruses are the main and most commonly used viral vectors.Other cloning vectors for gene delivery are :-PlasmidBacteriophageCosmidBAC (Bacterial aificial chromosome)YAC (Yeast aificial chromosome).Liposomes or lipo...
2
Adenovirus
Proteasome
Liposome
Retrovirus
Biochemistry
null
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single
Suckling mice is used for isolation of ?
Ans. is 'a' i.e., Coxsackie virus It is necessary to employ suckling mice for the isolation of coxsackie viruses. Inoculation is usually made by intracerebral, subcutaneous and intraperitoneal route. Adult mice are not susceptible.
1
Coxsachie virus
Pox
Herpes
Adenovirus
Microbiology
null
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single
A patient of rheumatic hea disease with mitral stenosis and atrial fibrillation is on oral warfarin. On one OPD visit, his INR is found to be 6. What is the action to be taken?
People living with RHD need to be on medication to reduce the risk of blood clots which can cause stroke. Medication may be needed if you have a hea valve replacement operation or an abnormal hea rhythm (atrial fibrillation). The most common anticoagulation medicine is called warfarin An INR range of 2.0 to 3.0 is gene...
1
Stop warfarin, and review
Stop wairfarin, and administer fresh frozen plasma
Stop wairfarin, and administer fresh frozen plasma
Stop warfarin, and administer intramuscular vitamin K
Medicine
C.V.S
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single
What is the COMMONEST complication of CSOM?
Mastoiditis is the most common complication of CSOM. Acute mastoiditis usually accompanies or follows acute suppurative otitis media. Complications of otitis media are classified into two main groups: A.Intratemporal: Mastoiditis Petrositis Facial paralysis Labyrinthitis B.Intracranial: Extradural abscess Subdural absc...
2
Subperiosteal abscess
Mastoiditis
Brain abscess
Meningitis
ENT
null
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single
Brown-sequardsyndrome
Sites of damage in Brown-Sequard Syndrome:Ascending sensory pathway: Dorsal-column pathway, Ventrolateral spinothalamic tract.Descending motor pathways: Coicospinal tract.Effects:Ipsilateral loss of discriminative touch, vibration, and proprioception below the level of lesion - (due to lesion of fasciculus cuneatus and...
1
Pain loss in the opposite side of lesion
Fine touch lost in opposite side of lesion
UMN paralysis in opposite side of lesion
LMN paralysis in opposite side of lesion
Physiology
Nervous system
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single
Beryllium exposure is associated with-
null
2
Pulmonary fibrosis
Granulomatous lung disease
Lung cancer
Chronic bronchitis
Pathology
null
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single
Judet view of X-ray is used for viewing injury of what ?
*Judet view of X- ray is for acetabular (pelvis) fracture. Ref : Maheshwari J Essential Ohopaedics 9th/e p.38 & 5th/e p.38,369
1
Pelvis
Calcaneum
Scaphoid
Spine
Orthopaedics
Pelvis and Hip injuries
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single
Sellick's maneuver is used for
Ans. (b) To prevent gastric aspirationRef : Miller's Anaesthesia 7th ed. 12430* Sellick s manuever is a method of preventing regurgitation of an anesthesized patient during endotracheal intubation by applying pressure to the cricoid cartilage.* Or in other words, Sellicks maneuver is application of backward pressure on...
2
To prevent alveolar collapse
To prevent gastric aspiration
To facilitate Respiration
To reduce dead space
Anaesthesia
Miscellaneous General Anesthesia
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Best diagnostic test for cholestasis of pregnancy:
Liver function tests, including serum bile acids are Evaluated. Bile acids are the specific measure of the diagnosis and monitoring. Liver USG is to be done to exclude cholelithiasis. Reference: Textbook of Duttas, 9th edition ,page 271
2
Serum bilirubin
Bile acid
Serum alkaline phosphatase
Serum transaminase
Gynaecology & Obstetrics
Medical, surgical and gynaecological illness complicating pregnancy
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single
Which of the following stimulate adenylate cyclase with G-protein coupled action -
Ans. is 'b' i.e., Cholera toxin Cholera toxino V. cholerae produces cholera toxin, the model for enterotoxins, whose action on the mucosal epithelium is responsible for the characteristic diarrhoea of the cholera.o Cholera toxin is a protein complex made up of six subunits - a single copy of 'A' subunit (Port A) and fi...
2
Shiga toxin
Cholera toxin
Diphtheria toxin
Pseduomonas toxin
Microbiology
Vibrio
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All of the following serve as intracellular second messengers in receptor-mediated signal transduction except
GPCR do not act as intracellular messengers thery are receptors present on the trans membranes of the cell and help in ligand binding and cell signalling different secondary messengers include cAMP, IP3/DAG,cGMP and some times calcium. Ref: KDT 6/e pg. 39
4
CyclicAMP
Inositoltrisphosphate
Diacylglycerols
G proteins
Pharmacology
All India exam
ae142b9f-b2b2-4650-a0b3-f36c22561ce0
multi
Conditions predisposing to leukemia include all except-
Ans. is 'c' i.e., Inflections mononucleosis Conditions predisposing to acute leukemias o Myelodysplastic syndrome o Ataxia telangiectasia o Chronic myeloproliferative disorders o Down syndrome o Iosnizing radiation and ceain toxic chemicals. o Klinefelter's syndrome o Bloom syndrome o Neurofibromatosis o Fanconi anemia
3
Ionising radiation
Myelofibrosis
Inflectious mononucleosis
Polycythemia vera
Pathology
null
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multi
Significant bacteriuria is defined as presence of_____ bacteria per ml of urine.
Ans. d (> 1,00,000) (Ref. H-18th, Chapter 288; Ananthanarayan Microbiology 7th/pg. 276)Hass and other investigators have established that in the presence of active infection in the urinary tract the urine will contain 1,00,000 or more/mL. The level is, therefore, considered to represent significant bacteriuria.SIGNIFIC...
4
100-1000
1000-10,000
10,000-1,00,000
>1,00,000
Medicine
Infection
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All are pa of management of acute variceal haemorrhage except
The medical management of acute variceal haemorrhage includes the use of vasoconstricting agents, usually somatostatin or octreotideBalloon tamponade (Sengstaken-Blakemore tube or Minnesota tube) can be used in patients who cannot get endoscopic therapy immediately or who need stabilization prior to endoscopic therapy....
4
Sengstaken-Blakemore tube
Octreotide
Band ligation
Beta blockers
Medicine
G.I.T
83a1ca1c-5988-43f7-bdcc-18f97b96f7d8
multi
Occulo-cutaneous albinism is associated with?
Ans. is 'd' i.e., All of the above "Actinic skin damage, squamous cell carcinoma and basal cell carcinoma are well recognized complications of occulocutaneous albinism; malignant melanoma is much less common complication." - A practical guide human cancer genetics 4th/e; p 192"Increased skin cancer among albinos is mos...
4
Squamous cell carcinoma
Basal cell carcinoma
Melanoma
All of the above
Skin
Disorder of Pigmentation
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multi
A radio-opaque mass continuous with the cementoenamel junction attached to the distal surface of the first premolar is:
null
2
Hyper Keratosis
Calculus
Food debris
Epithelial attachment
Radiology
null
e5b38a91-e398-4e11-9551-b7d18cdd722d
single
A 55yr old man with dementia was given a natural alkaloid. Which of the following could it be-
Ans. is 'c' i.e., Galantamine Galantamine: o It is a natural alkaloid which selectively inhibits cerebral acetylcholinesterase and has some direct agonistic action on nicotinic receptors as well. o It has produced cognitive and behavioral benefits in Alzheimer's disease
3
Tacrine
Donepezil
Galantamine
Rivastigmine
Pharmacology
C.N.S
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single
RBC should be transfused with a needle having which of the following size?
Big sized needle is used to reduce the risk of hemolysis and speed up the blood flow rate. As per the norms, the needle to be used in the adults for blood transfusion is 18-20 guage. The transfusion has to be staed within 30 minutes and finish within 4hrs of issue from the blood bank.
2
With a 16-18 G needle
With a 18-20 G needle
With a 20-22 G needle
With a 22-24 G needle
Pathology
Blood transfusion
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Least common ion in EOF is
Predominent ions in ECF are Na+ and Cl-predominent ions in ICF are K+ ,Mg+,phosphate Table1.3.3 of Textbook of physiology AK Jain 4th edition page no.27.
2
Na
K+
CI
HCO3
Physiology
General physiology
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single
Pregnant patient can be safely given
null
2
Tetracycline
Paracetamol
Metronidazole
Barbiturates
Pharmacology
null
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single
Pancytopenia with hypercellular marrow may be seen due to all of the following except:
Answer is C (Dyskeratosis Congenita ) Dyskeratosis congenita (constitutional aplastic anemia) is associated with Pancytopenia and a Hypocellular bone marrow Myelodysplasia, PNH and Sarcoidosis may all be associated with Pancytopenia and a cellular bone marrow
3
Myelodysplasia
Paroxysmal Nocturnal Hemoglobinuria
Dyskeratosis congenita
Sarcoidosis
Medicine
null
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multi
Scrub typhus is positive for
Scrub typhus aka chigger borne typhus is caused by orientia tsutsugamushi.In a heterephile agglutination test(weil Felix reaction), the sera of scrub typhus patients agglutinated only OX K strain of proteins mirabilis without getting agglutinated with OX 19 and OX 2 ...as some rickettsiae and ceain strains like OX K ,O...
1
OX K
OX 2
OX K and OX 19
OX 19 only
Microbiology
Bacteriology
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single
A patient is NOT able to look downward. Which muscle may be paralyzed?
MUSCLES helping in looking down - Inferior rectus - primary function supplied by 3rd cranial nerve Superior oblique - secondary function-suppliecd by 4th cranial nerve
1
Superior oblique
Superior rectus
Inferior oblique
Lateral rectus
Ophthalmology
Squint
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single
Reduced enamel epithelium is
null
2
Thin layer laid by ameloblasts on tooth surface after they finish formation of enamel matrix
Reduced epithelial enamel organ to a few layers of cells
Once the tip of crown emerge, the reduced enamel cuticle
All of the above
Dental
null
dc9f6c86-c865-4eab-b5bc-3779b4f4d65f
multi
All of the following statements about hereditary hemochromatosis are true Except
Answer is C (Desferroxamine is the treatment of choice): The therapy of hematochromatosis involves removal of excess body iron Iron removal is best acieved by periodic phlebotomies which is the treatment of choice for Hematochromosis. Chelating agents like desferoxamine are less effective and indicated when anemia or h...
3
Ahropathy involving small joints of hands may be seen
Skin pigmentation is a frequent presentation
Desferroxamine is the treatment of choice
Hypogonadism may be seen
Medicine
null
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multi
Femto Laser assisted cataract removal done using laser of how much wavelength
Femtolaser (1053 nm) is the new paradigm in the Ophthalmology. Its uses are: *Laser assisted cataract surgery *Refractive surgery * Keratoplasty *Intracorneal ring segments for keratoconus Nd:YAG laser has a wavelength of 1064 nm, Frequency doubled Nd:YAG has wavelength of 532 Argon Fluoride laser has a wavelength of 1...
2
1064
1053
532
193
Ophthalmology
Cataract
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single
Baby born to patient suspected of chlamydial infection sample to be taken for diagnosis?
The chlamydia trachomatis cause inclusion blenorrhea, a neonatal form of inclusion conjunctivitis. It develops when infant is infected in the bih canal. The specimen of choice in this case is conjunctival scrapings, where characteristic inclusion bodies can be demonstrated. Image : Follicles on the bulbar conjunctiva, ...
1
conjunctival
Urethral
Urine sample
Blood
Pediatrics
Infectious disease
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single
Wooden chest rigidity is seen with
Fentanyl induced chest wall rigidity seen with high bolus dose of fentanyl. CWR related to opiate administration was first described by Hamilton and Cullen in 1953 . Following opiate administration, clinicians may observe significant difficulty with mask ventilation, respiratory arrest, and a rigid chest wall; this phe...
2
Morphine
Fentanyl
Remifentanyl
Pentazocine
Anaesthesia
Intravenous Anesthetic Agents
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single
Which of the following are risk factors for Angiosarcoma
Option A, B, C are all risk factors for Angiosarcoma.
4
Polyvinylchloride
Arsenic
Thorotrast
All of the above
Pathology
null
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multi
All are true statements about Hernias EXCEPT
(A) Abdominal hernia needs no repair # Hernia is the bulging of part of the contents of the abdominal cavity through a weakness in the abdominal wall.> Causes of hernia: Basic design weakness Weakness due to structures entering and leaving the abdomen Developmental failures Genetic weakness of collagen Sharp and blunt ...
1
Abdominal hernia needs no repair
Femoral hernia needs repair
Small hernia is more dangerous than large hernia
Painful strangulated hernia should be repaired even after being reduced after anaesthetics and analgesics
Surgery
Miscellaneous
43797348-72ff-44e8-9371-dd458dbc2dbc
multi
Dyskeratosis is characteristic feature of ?
Dyskeratosis - Premature or abnormal keratinization Seen in -1. Malignant condition : Squamous cell carcinoma2. Premalignant : Bowen's disease3. Benign conditions :a. Darier's diseaseb. Hailey-hailey disease
1
Darier's disease
Pemphigus vulgaris
Psoriasis
Tinea capitis
Dental
Histopathological findings
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single
All of the following anibiotics act by interfering with cell was formation EXCEPT:
(Ref: KDT 6/e p668) Clindamycin acts by inhibiting the protein synthesis
4
Ceftriaxone
Vancomycin
Cycloserine
Clindamycin
Pharmacology
Other topics and Adverse effects
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multi
Arrange the following causes of NCD deaths as per decreasing order of frequency? A. Cancers B. Cardiovascular diseases C. Diabetes D. Respiratory diseases
The four main NCDs are cardiovascular diseases, cancers, diabetes and chronic lung diseases. The leading causes of NCD deaths in 2016 were Cardiovascular diseases ( 44% of all NCD deaths) Cancers (22% of all NCD deaths) Respiratory diseases, including asthma and chronic obstructive pulmonary disease (9% of all NCD deat...
3
A>D>C>B
D>A>B>C
B>A>D>C
C>B>D>A
Social & Preventive Medicine
NCDs: CHD, HTN, DM, RF, Cancers, Obesity, Blindness
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single
Which of the following arteries supplying uterus is insensitive to hormonal changes
Basal arteries are relatively insensitive to hormonal changes.
3
Radial arteries
Spiral arteries
Basal arteries
None of above
Gynaecology & Obstetrics
null
c307ee39-f96e-44e2-b191-f2076ef28ed7
multi
Keroin is caused by -
Ans. is 'c' i.e., Dermatophytes Kerion is a hypersensitivity and inflammation reaction in tinea capitis caused by zoophilic species of dermatophytes (T. verruca and T. mentagrophytes).
3
Candida
Streptococcus
Dermatophytes
Herpes
Microbiology
null
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single
Niacin deficiency cause
Niacin This vitamin differs from the other vitamins of the B-complex group in that an essential amino acids tryptophan serves as its precursor. Another characterstic of niacin is that it is not excreted in urine as such, but is metabolised to two major methylated derivatives. N-methyl-nicotinamide N-methyl pyridone...
1
Pellagra
Scurvy
Rickets
Lathyrism
Social & Preventive Medicine
null
605cdaf0-d20d-49eb-b99d-d1204b02fdac
single
A neonate develops signs of meningitis at seven days of birth. The presence of which of the following infectious agent in the maternal genital tract can be the causative agent of this disease?
(C) Streptococcus agalactiae
3
Neisseria gonorrhea
Chlamydia trachomatis
Streptococcus agalactiae
Haemophilus ducryi
Microbiology
Misc.
e4859480-39f8-45de-9791-6b0e4c52acbd
single
Paterson Brown Kelly syndrome is characterized by all except
Upper esophageal/ Post cricoid webs are seen . ref - Harrisons internal medicine 20e pg 566 , davidson medicine 23e pg796
2
Premalignant
Lower esophageal web
Iron deficiency anemia
Common in female
Medicine
C.V.S
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multi
Auramine and rhodamine staining are used for :
null
3
Nocordia.
Spirochaetes.
Rapid diagnosis of TB
All of the above.
Pathology
null
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multi
Neonatal seizure carries best prognosis if the cause is -
Ans. is 'b' i.e., Hypocalcemia o Hypocalcemic seizures carry good prognosis. o Idiopathic seizures have bad prognosis.
2
Idiopathic
Hypocalcemia
Infection
Asphyxia
Pediatrics
null
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single
Lumbosacral spine lateral view X-ray shows
(A) Spondylisthesis# Spondylolisthesis is the forward displacement of a vertebra, especially the fifth lumbar vertebra, most commonly occurring after a break or fracture. Backward displacement is referred to as retrolisthesis.> Variant "listhesis," resulting from division of this compound word, is sometimes applied in ...
1
Spondylisthesis
Pott's spine
Spondylosis
Ankylosing spondylitis
Radiology
Miscellaneous
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Most immunogenic RBC blood group system out of the given options is:-
Most immunogenic RBC blood group system:- ABO Blood Grouping > Rh> Kell. If there is mismatch b/w two individual on differential expression of the Kell ag, this can be responsible for Hemolytic diseases of new born (HDN) Duffy Receptor/Ag on RBC which facilitate the entry of plasmodium vivax. Therefore, those individua...
1
Kell
Duffy
Kidd
Lewis antigen
Pathology
Hematopoeisis: Basic concepts
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multi
As per ACOG - 2001 criteria to diagnose "gestational diabetes" using GTT is plasma glucose at 2 hr more than____ mg/dL:
Ans-B (Ref. William's Obstetrics 22nd /Table 52 - 4).American College of Obstetricians and Gynecologists 2001 Criteria for Diagnosis of Gestational table: DiabetesUsing the 100-g Oral Glucose Tolerance Test: Plasma/ Serum Carpenter and CoustanNational Diabetes Plasma Data GroupStatusmg/dLmmol/Lmg/dLmmol/LFasting955.310...
2
180
155
140
126
Unknown
null
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single
Distal nail matrix forms
Ref:- Review of Dermatology by Alikhan; pg num:-11
1
Ventral Poion of nail plate
Dorsal poion of nail plate
Both of the above
None of the above
Dental
Anatomy of skin
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multi
Bone which is Pneumatic:
A i.e., Maxillary
1
Maxillary
Parietal
Temporal
All
Anatomy
null
3fd39508-1c2c-4c36-9432-647b605837a0
multi
A thiy year man presented with nausea, fever and jaundice of 5 days duration. The biochemical tests revealed a bilirubin of 6.7 mg/dl (conjugated 5.0 mg/dl) with SGOT/SGPT (AST/ALT) of 1230/900 IU/ml. The serological tests showed presence of HBsAg, IgM anti HBc and HBe Ag. The most likely diagnosis -
HBs Ag is the first marker appear in the blood after infection. Anti-HBc is the earliest antibody seen in blood.HBeAg indicates infectivity REF:MICROBIOLOGY ANANTHA NARAYANAN NINTH EDITION PAGE.546&547
2
Chronic hepatitis B infection with high infectivity
Acute hepatitis B infection with high infectivity
Chronic hepatitis B infection with low infectivity
Acute hepatitis B infection with low infectivity
Microbiology
Virology
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Which of the following is best treatment for Grade II abdominal hypeension?
Abdominal compament syndrome grading system Grade Bladder pressure (mm Hg) Clinical features Treatment I 12-15 None Nomovolemic resuscitation II 16-20 Oliguria, Splanchnic hypoperfusion Hypovolemic resuscitation II 21-25 Anuria, increased ventilation pressure Decompression IV >25 Anuria, Increased ventilation pressure ...
3
Laparotomy
Immediate decompression
Hypovolemic resuscitation
Normovolemic resuscitation
Surgery
Trauma
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All regarding HSP is true except – a) Hematuria resolve without treatmentb) Steroids best treat skin lesionsc) Self limiting arthralgiad) Excellent prognosise) Purpura fulminans
HSP usually has mild glomerulonephritis, which usually resolves spontaneously without treatment. Glucocorticoids decrease arthralgia and abdominal pain but have no role in skin or renal disease. Arthralgia is self limiting, non-deforming but incapaciating. Overall prognosis of HSP is good. Purpura fulminans is a hemorr...
2
ab
be
bc
ce
Dental
null
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multi
Nutritional supplement for two year old child under ICDS scheme is -
Ans. is 'd' i.e., 500 calories o Under ICDS Scheme supplementary nutrition is given to: Children below 6 yrs Nursing mothers Expectant mothers o The aim is to supplement nutritional intake for 1) Each child 6-72 months of age --) 500 calories and 12-15 grams ofprotein (financial norm of Rs 6.00 per child per day). 2) S...
4
200 Calorie
300 Calorie
400 Calorie
500 Calorie
Social & Preventive Medicine
null
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single
Posterior wall of the structure pierced by the Index finger is
The structure pierced by Index finger is Transverse sinus. The posterior wall of Transverse sinus is Superior Venacava.
4
Aortic arch
Azygos vein
Pulmonary veins
Superior Venacava
Anatomy
null
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multi
Tardive dyskinesia is least common with
Ans. c (Olanzapine) (Ref: Harrison's internal medicine, 16th ed., p 2418)ATYPICAL ANTIPSYCHOTICS (Noval antipsychotics like)# Atypical antipsychotics (clozapine, risperidone, olanzapine, quetiapine, ziprasidone, and aripiprazole) significantly lower the risk of tardive dyskinesia (TD) compared to typical antipsychotics...
3
Flupenthixol
Penfluridol
Olanzapine
None
Psychiatry
Pharmacotherapy In Psychiatry
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multi
Chemotherapeutic drugs can cause:
Ans. is 'c' i.e., Both necrosis and apoptosis Chemotherapeutic drugs can cause both necrosis and apoptosis, but it is apoptosis which is the basis of action of chemotherapeutic drugs.Apoptosis is a process by which single cell are removed from the midst of living tissue by fragmentation into membrane bound particles an...
3
Only necrosis
Only apoptosis
Both necrosis and apoptosis
Anoikis
Pathology
Neoplasia
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multi
Yellow color of a bruise is due to which of the following?
The yellow color is due to degradation of hemoglobin to bilirubin. Deoxyhemoglobin is responsible for bluish bruise seen on the first day after the injury. Bruises change color over time, because of the degradation of haemoglobin in the blood. However, the timescale of this degradation is not fixed, and it is therefore...
1
Bilirubin
Hemoglobin
Hemosiderine
Deoxyhemoglobin
Forensic Medicine
null
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single
Pasteruisation of milk does not kills -
Pasteurization doesn't kill thermoduric bacteria nor the bacterial spores. REF. PARK'S TEXTBOOK OF PREVENTIVE AND SOCIAL MEDICAL 21ST EDITION. PAGE NO - 606
1
Anthrax
Brucella
Mycobacterium tuberculosis
Streptococcus
Social & Preventive Medicine
Nutrition and health
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All of the following are causes of subcoical dementia except
Coical Dementia's * Early Presentation of 4A's (Amnesia, Apraxia, Aphasia, Agnosia, Acalculia) Seen in: Alzheimer Disease Creutzfeldt Jacob Disease Picks disease & other Frontotemporal Dementia. Sub-coical Dementia Involves Sub-coical Structures (Like Basal Ganglia, Cerebellum, Brain Stem Nuclei) first * Present with m...
1
Alzheimer's disease
Parkinson's disease
HIV associated dementia
Huntington's chorea
Psychiatry
Organic Mental Disorders
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All the following are criteria for outlet forceps application Except
ProcedureCriteriaOutlet ForcepsScalp is visible at the introitus without separating the labiaFetal skull has reached pelvic floorFetal head is at or on perineumRotation does not exceed 45degreesLow ForcepsLeading point of fetal skull is at station >= +2cm, and not on the pelvic floora) Rotation is 45 degrees or lessb) ...
3
Fetal skull has reached pelvic floor
Scalp is visible at the introitus without separating the labia
Station is between 0 and +2cm
Rotation does not exceed 45degrees
Gynaecology & Obstetrics
Abnormal labor
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multi
All of the following are indication of steroids in TB except?
In the above conditions, steroids given as 1 mg/kg/day and paperd gradually over 6.8 weaks.
1
Bone TB
Tubercular meningitis
Pericardial effusion
Massive pleural effusion
Pediatrics
null
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multi
Regular drinking of which of the following fruit juices can prevent UTI?
Ans. c. Cranberry (Ref: Campbell Urology 10/e p294; Smith 17/e p207)Regular drinking of cranberry juice can prevent UTI."Alternatives to antibiotic therapy so the treatment of recurrent cystitis/UTI include intravaginal estriol, lactobacillus vaginal suppositories, and cranberry juice taken orallyQ.""Cranberry juice is...
3
Raspberry
Grape
Cranberry
Orange
Surgery
Miscellaneous (Kidney & Uterus)
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single
Bitewing radiographs are best suited to monitor:
Bitewing (also called interproximal) images include the crowns of the maxillary and mandibular teeth and the alveolar crest on the same receptor.   Bitewing receptors are particularly valuable for detecting interproximal caries in the early stages of development before it becomes clinically apparent. Because of the hor...
2
Unerupted teeth
Crestal bone levels
Crown preparations
Endodontic procedures
Radiology
null
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single
Exposure of left subclan aery by supraclavicular approach does NOT require cutting of:
Scalenus medius muscle lies postero-inferior to subclan aery and is not required to be cut.
3
Sternocleidomastoid
Scalenus anterior
Scalenus medius
Omohyoid
Anatomy
Head and neck blood supply and scalp
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single
All are derivatives of septum transversum except:
B i.e. Ligamentum teres
2
Falciform ligament
Ligamentum teres
Coronary ligament
Mesentary of Lesser sac
Anatomy
null
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multi
All of the following vaccines can prevent pneumonia, except:
b. Rubella(Ref: Nelson 20/e p 1545)Pneumonia is the most common cause of death in measles. It may manifest as giant cell pneumonia caused directly by the viral infection or as superimposed bacterial infection. The most common bacterial pathogens are Streptococcus pneumoniae, Hemophilus influenzae, and Staphylococcus au...
2
Measles
Rubella
Pneumococcal
H. influenzae
Pediatrics
Immunization
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multi
Von gerke's disease is associated with
null
4
Branching enzyme
Debranching enzyme
Phosphorylase
Glucose 6 phosphatase
Biochemistry
null
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single
Streptococcus causes:
Ans. (a) CellulitisRef: Microbiology by Ananthanarayan and Paniker 8th ed. 1205# SKIN AND SOFT TISSUE INFECTION BY STREPTOCOCCUS-* Erysipelas-diffuse infection involving the superficial lymphatics* Impetigo-superficial infection of skin (pyoderma)* Cellulitis-cellulitis is caused mainly by hemolytic streptococci* Lymph...
1
Cellulitis
Gangrene
Pyoderma
UTI
Microbiology
Streptococci
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single
A patient at 30 weeks gestation presents with complaints of vaginal bleeding. She is admitted to a labor room for evaluation. Fetal hea rate is 130 bpm with no accelerations or decelerations. Ultrasonography reveals a placenta covering a poion of the internal cervical os. She currently shows no active vaginal bleeding....
For the management, we follow McAfee Johnson Regime, the aim is to continue pregnancy for fetal maturity without compromising the maternal health. If the duration of pregnancy is <37 weeks, active vaginal bleeding is absent, mother and fetal well being is assured then resuscitation and observation in high risk ward is ...
2
Cesarean delivery
Resuscitation and observation in high risk ward
Amniocentesis to assess fetal lung maturity and plan delivery
Gentle cervical examination to assess dilatation and amnionic membrane status
Gynaecology & Obstetrics
Antepaum Haemorrhage
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single
Inferior angle of scapula is at what level of rib
The eighth rib is just below the inferior angle of the scapula. The lower ribs can be identified on the back by counting down from the eighth rib so at the level of inferior angle of scapula is related to 7th rib. Ref : B D Chaurasia's Human Anatomy , seventh edition ,volume 1 , pg. no., 62
3
5th
6th
7th
8th
Anatomy
Upper limb
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single
A 30 year old male came with complains of unilateral blurred vision with floaters since 15 days. On examination, AC flare and cells were seen with 'headlight in fog' appearance on indirect ophthalmoscopy. Also, a single inflammatory focus of fluffy retinochoroiditis lesion is seen. What is the diagnosis?
Ans. is 'b' i.e., Toxoplasmosis chorioretinitis * Toxoplasmosis is caused by Toxoplasma gondii, an obligate intracellular protozoan.* Symptoms: Unilateral acute or subacute onset of floaters, blurring and photophobia.* 'Spill-over' anterior uveitis is common. It may be granulomatous or resemble Fuchs uveitis syndrome; ...
2
Cytomegalovirus retinitis
Toxoplasmosis chorioretinitis
Toxocariasis
Sarcoidosis
Ophthalmology
Retina
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single
True about methicillin-resistant Staphylococcus aureus (MRSA) is
Penicillin resistance may also be due to alterations in penicillin-binding protein PBP2a and changes in bacterial surface receptors, reducing binding of beta-lactam antibiotics to cells. This resistance also extend to cover beta lactamase resistant penicillin such as methicillin and cloxacillin(MRSA) Some of these stra...
2
Isoxazolyl penicillin is highly effective
All MRSA are multidrug resistance
Vancomycin is effective
MRSA are more virulent than sensitive strains
Microbiology
null
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multi
Haemophilus parainfluenza requires which of the following factors
Factor X has a group of heat stable compounds that synthesize enzymes like cytochrome and catalase involved in aerobic respiration. Since H influenza grows aerobically, it's needs it
2
Factor V
Factor X
Both factor V and X
Factor XI
Microbiology
Bacteriology
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multi
Which of the following is an oncogenic RNA virus
Ref Robbins 8/e p315,9/e p328 Hepatitis C virus is only oncogenic RNA virus in the options.otherd mentioned are oncogenic DNA viruses Hepatitis C Virus Epidemiology and Transmission. HCV also is a major cause of liver disease. The worldwide carrier rate is esti- mated at 175 million persons (a 3% prevalence rate, rangi...
4
Hepatitis B virus
Human papilloma viruses
Epstein Barr virus
Hepatitis C virus
Anatomy
General anatomy
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single
Most common Vagal carcinoma is
Ans. is a i.e. Squamous cell Ca Vaginal carcinoma Primary cancer of vagina are very rare. Most common age group is Elderly females - 70 years. Most common histologic type is Squamous cell carcinoma Most common site is Upper third of Posterior wall of vagina. Mostly asymptomatic Patient may present with abnormal vaginal...
1
Squamous cell ca
Adenocarcinorna
Botroid's tumor
Columnar hyperplasia
Gynaecology & Obstetrics
null
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single
A girl presents with; primary amenorrhea; grade V thelarche, grade II pubarche; no axillary hair: likely diagnosis is :
Testicular feminisation syndrome
1
Testicular feminisation syndrome
Mullerian agenesis
Turners syndrome
Gonadal dysgenesis
Gynaecology & Obstetrics
null
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single
Gamma radiations are used for sterilizing -
null
1
Syringes
Cystoscopes
Dressing aprons
Metal instruments
Microbiology
null
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single
Which of the following statements about Xanthogranulomatous Pyelonephritis is not true?
Xanthogranulomatous Pyelonephritis is an uncommon complications of UTI. It is frequently seen in patient with urinary tract obstruction. It is not associated with Tuberculosis. Ref: Stua G. Silverman, Richard H. Cohan, (2007), Chapter 6, "Renal Infections", In the book, "CT Urography: An Atlas", USA, Page 94; Smith's U...
2
Foam cells are seen
Associated with Tuberculosis
Yellow nodules are seen
Giant cells may be seen
Pathology
null
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multi
Sodium valprote in patient with bipolar mood disorder can cause -
Ans is 'b' i.e., Hepatotoxicity Adverse effect of Valproate1) Neurological - Ataxia, sedation,tremor2) Systemic- Hepatotoxicity, thromobocytopenia,GI irritation, weight gain, transient alopecia, hyperammonemia, pancreatitis,coagulation disorder
2
Peripheral neuropathy
Hepatotoxicity
Renal failure
Cystitis
Pharmacology
Epilepsy
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single
Maximum loss of sodium in a child occurs in
Ans. is 'b' i.e., heal fluid Cations and anions in biological fluids in meq/dl Fluid Sodium Potassium Chloride Gastric juice 60 10 85 heal fluid 130 10 115 Diarrhea stool 10-90 10-80 10-110
2
Gastric juice
Ileal fluid
Non cholera Diarrhoea
Cholera
Medicine
null
861327be-6776-4776-a001-3a9bc3f2be7c
single
Which of the following is required in the formation of the structure of Haemoglobin?
The Beta-chain of Hb begins with valine and histidine. Both these amino acids are impoant in the synthesis and structure of heamoglobin. Alignment according to helical designation makes homology evident: Residue F8 is the proximal heme-linked histidine, and the histidine on the distal side of the heme is E7. The iron a...
3
Copper
Tyrosine
Histidine
Leucine
Biochemistry
null
585c6c7d-d1ca-4cbb-8daa-ead9bfe4ceff
single
The medial bulging of the pharynx is seen in -
Pharyngomaxillary space (Parapharyngeal space or lateral pharyngeal space) is lateral to the pharynx. Obviously the abscess of this space will produce the bulge medially, i.e. medial bulge of the pharynx.
1
Pharyngo maxillary abscess
Retropharyngeal abscess
Peritonsillar abscess
Paratonsillar abscess
ENT
null
623e5329-88d1-4826-ae15-42d70afc333e
single
Laryngeal mirror is warmed before use by placing:
(a) Glass surface on flame(Ref. Dhingra, 6th ed., 384)Laryngeal mirror is warmed before use by placing the glass surface on flame to prevent fogging caused due to breathing.Putting back of mirror on flame or will heat its back surface also which when held against the soft palate of the patient, while doing I/L, will ca...
1
Glass surface on flame
Back of mirror on flame
Whole mirror into flame
Mirror in boiling water
ENT
Anatomy of Larynx
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single
The condition associated with their formation is
Ans. (d) All of the above* The figure shows gall bladder filled with gall stones. Causes of its formation can includea. Hypomotility of gall bladderb. Accelerated cholesterol crystal nucleationc. Hypersecretion of mucus.
4
Hypomotility of gall bladder
Accelerated cholesterol crystal nucleation
Hypersecretion of mucus
All of the above
Pathology
Liver & Biliary Tract
00979c1a-09ee-460e-92c2-52f438e593aa
multi
Charcot leyden crystals in stool are seen in:
Ans. is 'b' i.e., Amoebic dysentery(Ref: Harrison, 18th/e, 1685)Charcot-Leyden crystals are slender and pointed at both ends, consisting of a pair of hexagonal pyramids joined at their bases. They consist of lysophospholipase (galectin 10), an enzyme synthesized by eosinophils, and are produced from the breakdown of th...
2
Bacillary dysentery
Amoebic dysentery
Giardiasis
Cholera
Microbiology
Parasitology
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