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LT antagonists are used in asthma for ?
Ans. is 'c' i.e., Prophylactic therapy for mild to moderate asthma Monteleukast and zafirleucast are cystenyl LT1 (cys LT1) receptor antagonists. They are indicated for prophylactic therapy of mild to moderate asthma as alternatives to inhaled glucocoicoids.
3
Along with beta agonists to reduce steroids
In place of beta blockers as sole therapy
Prophylactic therapy for mild to moderate asthma
Definitive therapy in acute attack of asthma
Pharmacology
null
2cc40176-09eb-457e-a8bd-b85a5dfb57d2
single
A 40 years old male was brought to the emergency with the history of colicky pain, multiple episodes of bilious vomiting with no passage of feces and flatus. X-ray abdomen was done. On the basis of findings, what is the diagnosis?
No passage of flatus - Small bowel obstruction X-ray abdomen shows - 1. Multiple dilated bowel loops and 2. Circumferential ring like pattern indicating - JEJUNAL OBSTRUCTION Small Bowel obstruction Large bowel obstruction Valvulae conniventes Thin complete lines seen in jejunum Absent Haustra Absent Thick incomplete b...
2
Duodenal obstruction
Jejunal obstruction
Ileal obstruction
Colonic obstruction
Surgery
Intestinal obstruction
450db438-a275-434f-a21e-f5d07f74c02a
single
All of the following statements about thrush are true EXCEPT
null
1
It is caused by a gram-negative fungus
It is characterized by a plaque of proliferating epithelial and other cells
It is a complication of immunosuppression or systemic disease
It can affect neonates in an epidemic fashion
Pathology
null
67373774-dfd0-488c-8180-3db03e10d9fc
multi
Which is not a common cause of Placenta Accreta?
<p> The basic cause of placenta accreta is decidual deficiency. Associated conditions include implantation in the lower uterine segment over a previous cesarean section scar or any other uterine incision,or after uterine curettage. Reference: Mudaliar and Menon&;s clinical obstetrics,12th edition, page no;330. <\p>
4
Previous LSCS
Previous curettage
Previous myomectomy
Previous placenta pre\/abrupto placenta
Gynaecology & Obstetrics
General obstetrics
c65586ce-a60d-45c2-9015-37fa8ccaa469
single
Apex of the pedodontic triangle is formed by
null
2
Mother
Child
Dentist
None of the above
Dental
null
3669ef42-d620-45cd-ae54-da334fffbec2
multi
Most cardiotoxic local anaesthetic is-
Ans. is 'a' i.e., Bupivacaine Bupivacaine (Sensoricaine. Marcaine)o Bupivacaine is 2nd most commonly used local anaesthetic (after lidocaine).o Bupivacaine has the highest local tissue irritancy amongst local anaesthetics,o It is the most cardiotoxic local anaesthetic.o Levobupivacaine (The S(-) enantiomer of bupivacai...
1
Bupivacaine
Procaine
Prilocaine
Dibucaine
Anaesthesia
Miscellaneous (Local and Regional Anesthesia)
3baddd31-12f5-44ae-8994-0cc25b66355a
single
Auspitz sign is related to –
null
2
Pemphigus
Psoriasis
Lupus vulgaris
Lichen planus
Dental
null
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single
Carney triad consists of - a) Gastric Ca b) Paraganglioma c) Pulmonary chordoma d) Carcinoma bronchus e) Chondromatosis
null
1
abc
acd
ade
ac
Medicine
null
c7b19bc2-deb2-4a22-bd60-0a666b110adc
single
Frie's test is useful for diagnosis of
null
4
Mycoplasma
Rickettsia
Sarcoidosis
Chiamydia
Microbiology
null
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single
Human papilloma virus is a:
Ref: Microbiology by Ananthanarayan and Paniker, 8th ed. pg. 549* Human papillomavirus (HPV) is a DNA virus from the papovavirus family that is capable of infecting humans.* Usually it causes no symptoms in most people, but some types can cause warts (verrucae), while others can in a minority of cases lead to cancers o...
2
RNA virus
DNA virus
Both
None
Microbiology
Virology
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multi
Most common site for carcinoid tumor is?
Ans. is 'c' i.e., Small intestine * Carcinoid tumors arise from the neuroendocrine cells (Argentaffin cells or Kulchitsky cells). The majority are found in GI tract, and more than 40% in small intestine (jejunum & ileum). The tracheobronchial tree and lungs are the next common sites involved.
3
Pituitary
Pancreas
Small intestine
Lungs
Pathology
G.I.T.
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After repeated infections manifested by cough, fever, and consolidation in lungs, the diagnosis of intralobar sequestration was established for a child. Sequestration of lung is seen MOST commonly in?
Pulmonary sequestration is nonfunctional pulmonary tissue that does not communicate with the tracheobronchial tree and receives its blood supply from one or more anomalous systemic aeries. This abnormality originates during the embryonic period of lung development. It is classified as either extralobar or intralobar.Ex...
4
Right upper lobe
Right lower lobe
Lateral basal segment
Posterior basal segment of left lung
Anatomy
null
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single
Maternal Antibody responsible for heartblock in a baby born to mother suffering from SLE
Anti-Ro antibody crosses placenta and affects conducting system of fetal heart leading to Heart block.
3
Anti-La antibody
Anti-dsDNA antibody
Anti-Ro antibody
Anti-La antibody
Pediatrics
null
598fe872-0fd6-4936-9ba1-96b848d1db1b
single
A man on return from a country complains of pain in abdomen, jaundice, with increased alkaline phosphatase and conjugated hyperbilirubinemia. USG shows blockage in the biliary tree. What could be the cause?
Ans. is 'b' i.e., Clonorchis sinesis(Ref: Harrison, 18th/e, p. 1757, 1758; 19th/e, p. 1498; Chatterjee, 12th/e, p. 136)* Among the given option only Clonorchis sinensis is a liver fluke which can cause hepatic dysfunction with jaundice and hyperbilirubinemia.
2
Fasciola buski
Clonorchis sinensis
Strongyloides
Ancylostoma
Microbiology
Parasitology
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single
Tzank smear -
Ans is 'a' i.e., HSV Tzank smearo It is done for vesiculobullous disorders.o A small, early, uninfected lesion should ideally be selected. The roof of the blister is removed with scissors, and the base of the blister gently scraped with a blunt scalpel so as not to produce bleeding. The material obtained is spread thin...
1
HSV
Psittacosis
Cryptococcus
Ricketssia
Skin
Vesiculobullous (Blistering) Disorders
5a3775ce-8f96-4a81-be2a-5c7e49dd865b
single
Hypoglycemia, jaundice, microphallus with absent septum pellucidum are characteristics of which syndrome?
Septo-optic dysplasia (De Morsier syndrome)- Underdevelopment of the optic nerve, pituitary gland dysfunction, and absence septum pellucidum Kalman syndrome: Hypogonadism and anosmia. Russell Silver syndrome: Sho stature, microcephaly, triangular facies, fifth finger clinodactyly Kearns - sayre syndrome- external ophth...
1
De morsier syndrome
Silver - Russell syndrome
Kallmann syndrome
Kearns - sayre syndrome
Pediatrics
JIPMER 2017
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multi
Mannitol produces diuresis by-
Ans. is 'a' i.e., Osmotic effect Mannitol* It is a nonelectrolyte of low molecular weight that is pharmacologically inert.* It raises osmolarity of plasma and tubular fluid.* Blood viscosity is decreased.* Mannitol decreases tubular water and electrolyte reabsorption by -1. Due to osmotic effect, fluid is retained in t...
1
Osmotic effect
Inhibition of Na K 2CL
Inhibition of Na K
Inhibition of aquaporin channels
Pharmacology
Diuretic
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Rice contains -
The protein content of rice varies from 6-9 percent. REF. PARK'S TEXTBOOK OF PREVENTIVE AND SOCIAL MEDICINE 21ST EDITION. PAGE NO - 627
1
6 % protein
12 % protein
14 % protein
0.6 % protein
Social & Preventive Medicine
Nutrition and health
5197e348-4e42-4f10-bef9-6fe16e664e80
single
A patient appears in the emergency room with a submandibular mass. A smear is made of the drainage and a bewildering variety of bacteria are seen, including branched, gram-positive rods. Which of the following is the most clinically appropriate action?
The patient probably has actinomycosis. These laboratory data are not uncommon. There is no reason to work up all the contaminating bacteria. A fluorescent microscopy test for A. israelii is available. If positive, the FA provides a rapid diagnosis. In any event, it may be impossible to recover A. israelii from such a ...
2
Consider vancomycin as an alternative drug
Determine if fluorescent microscopy is available for the diagnosis of actinomycosis
Do no further clinical workup
Suggest to the laboratory that low colony counts may reflect infection
Microbiology
Bacteria
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multi
A 15 year old male patient complains of pain in the lower back tooth. History of frequent snacking in between meals. Intra-oral examination reveals occlusal caries with 16 and 36, proximal caries between 26 and 27 and grossly carious 46. Which of the following must be used while taking a radiograph for this patient?
null
2
Round collimator
Rectangular collimator
Short pointed aiming tubes
Short source-to-skin distance
Radiology
null
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single
All the following are bulk forming laxatives except
Glycerin is hyperosmotic laxative.Ref: Katzung 13thed.Pg 1090
4
Polycarbophil
Psyllium
Methylcellulose
Glycerin
Pharmacology
All India exam
bb82112f-4527-4cac-90e7-eecfa8e43e23
multi
Which is not used in ORS:
Ans: dRef: Pedia ghai, 6th ed, p. 272
4
Sodium
Potassium
Glucose with salt
Glucose without salt
Pediatrics
Fluid & Electrolyte
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single
In diagnosing the carious lesions, the tooth surface is examined visually. Which of the following is not considered as visual examination?
The caries can be detected by  Visual methods (Cavitation, Chalky appearance of teeth) Tectile methods (Checking carefully by using an explorer)
4
Cavitations
Brownish black discoloration of pits and fissures
Opacification
Softness of the tooth surface
Dental
null
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multi
The preferred gingival finish line for veneer metal restoration is
null
2
Shoulder
Chamfer
Shoulder with bevel
Radial shoulder
Dental
null
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Neonatal meningitis is caused by –
Causes of neonatal meningitis Group B-streptococcus (str.agalactiae)     Listeria monocytogens     E.coli   Klebsiella  Streptococcus fecalis     Coagulase negative staphylococci                           Staphylococcus aureus
4
Group `B' Streptococcus
E. Coli
Klebsiella
All of these
Pediatrics
null
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multi
Posterior boundary of Carotid Triangle is formed by
Boundaries of carotid triangle IN FRONT & ABOVE- Post Belly of Digastric and Stylohyoid Muscle. IN FRONT & BELOW- Superior Belly of Omohyoid. BEHIND- Anterior Border of SternoCleidomastoid.
4
Superior belly of omohyoid
Posterior belly of digastric
Sterno hyoid
Sternocleido mastoid
Anatomy
Neck Triangles and parotid gland
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Neonatal thymectomy leads to:
Tissue Thymus dependent(collection of T-lymphocytes)Thymus-independent Bursa dependent (collection of B-lymphocytes)Spleen Periaerial lymphoid collectionMalpighian corpuscle in white pulpPerifollicular regionGerminal centreMantle layerLymph nodeParacoical area between follicles in coex and medullary cords in medullaCoi...
2
Decreased size of germinal center
Decreased size of paracoical areas
Increased antibody production
Increased bone marrow production of Lymphocytes
Medicine
All India exam
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single
Which of the following is contraindicated in diabetics with Congestive hea failure
Thiazolidinediones are associated with weight gain (2-3 kg), a small reduction in the hematocrit, and a mild increase in plasma volume. Peripheral edema and CHF are more common in individuals treated with these agents. These agents are contraindicated in patients with liver disease or CHF (class III or IV). Ref Harriso...
4
Empagliflozin
Metformin
Linagliptin
Pioglitazone
Medicine
Endocrinology
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A child aged 8 months presented with itchy, exudative lesions on the face, palms and soles. The siblings also have similar complaints. Which among the following represents the Management of Choice?
Ans. B. Topical permethrinThe child in this question indicates features of scabies caused because of Sarcoptes scabei. Treatment of choice in scabies is 5% permethrin cream.In adults, its application is usually from the neck down and after 8 to 14 hours of application it is washed off.In children less than 5 years of a...
2
Systemic ampicillin
Topical permethrin
Systemic prednisolone
Topical betamethasone
Skin
Miscellaneous
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single
Hypothyroidism in pregnancy causes:
Hypothyroidism is the most common thyroid dysfunction in pregnancy.The majority of cases of hypothyroidism are due to autoimmune diseases. If pregnant and untreated there will be increased chance of miscarriage.An association has been repoed between untreated hypothyroidism and mildly reduced IQ and neurodevelopmental ...
3
Macrosomia
Polyhydramnios
Mental retardation
Aboion
Gynaecology & Obstetrics
Medical, surgical and gynaecological illness complicating pregnancy
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single
Which of the following is false regarding point source single exposure epidemic?
Point source single epidemic is commonly caused by infectious agent but not always. The example of non infectious agents being involved include Bhopal gas tragedy, Chernobyl tragedy etc. Ref: Park, 21st Edition, Pages 60, 61.
2
Often explosive
Is caused by infectious agents only
Cases develop within incubation period only
Rapid rise and fall of epidemic curve occurs
Social & Preventive Medicine
null
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multi
This type of tray is used for taking impression of:
This tray is made by using window technique and is used for taking impression of flabby ridges. Flabby tissue is recorded using mucostatic material like low viscosity elastomers.
3
Extremely resorbed ridges
Restricted mouth opening cases
Flabby ridges
In patients with severe gag reflex
Dental
null
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single
Incubation period of swine flu-
(ref:Park's text book 23rd edition) Incubation period of swine flu is 2 - 3 days. It is caused by pandemic influenza A (H1N1) It can infect Lower respiratory tract and causes rapidly progressive pneumonia.
1
1-3 days
2-3 weeks
10-15 days
5 weeks
Social & Preventive Medicine
Communicable diseases
5baaa6b4-fdfd-4358-9911-0da675d08555
single
Cryptococcus can be readily demonstrated by ?
Ans. is b' i.e., Indian ink stain
2
Albe's stain
India ink stain
Giema's stain
Gram's stain
Microbiology
null
67e8434c-6e29-422c-997b-e297eb5b4431
single
Gas cylinder with single pin index
Entonox has an pin index number of 7 . Air - 1 , 5 ; Oxygen- 2 , 5 ; N20 - 3 , 5 . CO2 - 1 ,6 ; Cyclopropane - 3 , 6 ; Heliox - 4 , 6 . PIN index number is developed to prevent incorect cylinder attachment .
4
Oxygen
Air
Titrogen
Entonox
Anaesthesia
Anaesthetic equipments
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Medial compartment of thigh is supplied by which nerve?
Ans. B Obturator nerveRef: Gray's Basic Anatomy E-book, P 205Obturator nerve is a branch of lumbar plexus.Related to ala of sacrum.Forms the lateral boundary of ovarian fossa.Emerges out of the obturator foramen and divides into anterior and posterior.Branches of Obturator NerveA. Anterior division: Gives off:# Muscula...
2
Tibial nerve
Obturator nerve
Femoral nerve
Common peroneal
Anatomy
Lower Extremity
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single
A 30 year old man presents with 6 month history of nasal discharge, facial pain and fever. On antibiotic therapy, fever subsided. After 1 month again had symptoms of mucopurulent discharge from the middle meatus and the mucosa of the meatus appeared congested and oedematous. Next best investigation would be:
B i.e., Non contrast CT for nose & paranasal sinuses Bacterial sinusitis is uncommon in patients whose symptoms have lasted for > 7days. This diagnosis is reserved for patients with purulent nasal discharge and persistent symptoms (i.e. symptoms lasting > 7 days in adults or > 10-14 days in children). CT or sinus radio...
2
MRI of the sinuses
Non-Contrast CT of the nose and para-nasal sinuses
Plain x-ray of the para-nasal sinuses
Inferior meatus puncture
Radiology
null
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Co-arctation of aorta may be associated with all of the following except -
null
3
Bicuspid aortic value
Turner syndrome
Renal artery stenosis
PDA
Medicine
null
c30b88dc-af1a-433b-a1b4-0be880ced436
multi
Nonshivering thermogenesis is due to
Non-shivering thermogenesis occurs in brown adipose tissue (brown fat) that is present in all eutherians (swine being the only exception currently known). Brown adipose tissue has a unique uncoupling protein (thermogenin, also known as uncoupling protein 1) that allows the uncoupling of protons moving down their mitoch...
2
Acetylcholine
Norepinephrine
Dopamine
Serotonin
Physiology
Nervous system
57ddfa79-cb34-48cd-9ec1-f87c9331e8b8
single
Which of the following structures does the ureter cross on an abdominal radiograph?
The ureter crosses the pelvic brim over the sacroiliac joint. The ureter lies over the transverse processes of the lumbar veebrae on an abdominal film. The ureter turns medially to enter the bladder over the ischial spine, not the ischial tuberosity. The ureter passes into the bladder along the line between the ischial...
3
The bodies of the lumbar veebrae.
Ischial tuberosity.
Sacroiliac joint.
Pubic tubercle.
Anatomy
GIT 1
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single
Androgen receptor blocking drug is :
Ans. is 'b' Cyproterone acetate Cyproterone acetate is a Potent Antiandrogen competes with dihydrotestosterone for the intracellular androgen receptor and inhibits its binding.
2
Tamoxifen
Cyproterone acetate
Mifepristone
Nalondrone
Pharmacology
Endocrinology
399b32e9-b693-45aa-9927-dd9c051882ff
single
Worst prognosis is seen in which type of schizophrenia?
Most common-paranoid Best prognosis-catatonic Worst prognosis-simple Personality deterioration-hebephrenic Ref: Essentials of postgraduate psychiatry By JN Vyas 1st ed Pg 365-370
4
Paranoid
Catatonic
Hebephrenic
Simple
Psychiatry
Schizophrenia and other psychotic disorders
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single
Anterolateral ahroscopy of knee is for ?
Ans. is 'a' i.e., To see patella femoral aiculation Standard Poals In Knee Ahroscopy : Anterolateral poal ? Almost all the structures within the knee joint can be seen except the posterior cruciate ligament, the anterior poion of the lateral meniscus and the periphery of the posterior horn of the medial meniscus in tig...
1
To see patella femoral aiculation
To see the posterior cruciate ligament
To see the anterior poion of lateral meniscus
To see the periphery of the posterior horn of medial
Surgery
null
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single
A 25 year old male with roadside accident underwent debridement and reduction of fractured both bones right forearm under axillary block. On the second postoperative day the patient complained of persistent numbness and paresthesia in the right forearm and the hand. The commonest cause of this neurological dysfunction ...
In local anesthetic toxicity there is circumoral (perioral) numbness and tongue paresthesia (not paresthesia & numbness in hand & fore arm). This patient is having signs of peripheral nerve injury. The involvement of the peripheral nerve is characterized by paresthesias, numbness, hypoesthesia, pain and neurological dy...
3
Crush injury to the hand and lacerated nerves
A tight cast or dressing
Systemic toxicity of local anaesthetics
Tourniquet pressure
Anaesthesia
null
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Which of the following is associated with Pretibial myxedema
null
1
Thyrotoxicosis
Hypothyroidism
Hyperparathyroidism
All
Surgery
null
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A new born is noted to have a large head and sho limbs. On fuher examination, sho broad fingers, a small face, and low-normal length are noted. The trunk appears long and narrow. To confirm the diagnosis you should
Achondroplasia is the diagnosis 1st Achondroplasia is a genetic disorder that results in dwarfism. Obtain skeletal radiographs Ref : Nelson paediatrics
2
Order an ophthalmologic examination
Obtain skeletal radiographs
Order choromosome analysis
Examine the parents
Pediatrics
Growth and development
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multi
Next step of Management of smear +ve but negative cha X-ray of TB presumptive pt
Slide repoing The number of bacilli seen in a smear reflects disease severity and patient infectivity. Therefore, it is impoant to record the number of bacilli seen on each smear. Laboratory technicians should examine both the sputum samples from each TB suspect. They must record the result of each sputum sample with t...
2
Repeat X-ray
Sta ATT
Do CBNAAT
Repeas smear
Social & Preventive Medicine
Communicable diseases
521e6628-634d-4bb7-8e87-7b8274dea19a
multi
upper pa of the popliteal fossa arrangement of structure is (medial to lateral)?
popliteal fossa upper - aery-vein-nerve ( avn) lower - nerve -vein- aery (nva) (from media to lateral ) ref : bd chaurasia
1
aery - vein- nerve
vein-aery-nerve
nerve-vein-aery
aery-nerve-vein
Anatomy
All India exam
12fe138e-2c61-4a8d-a6ec-70f3f30487d3
single
The most common cause of Addison's disease is
Ans. is 'a' i.e., Autoimmune adrenalitis o Most common cause (60%-70%) of primary adrenocoicol insufficiency (Addison'discases) is autoimmune adrenelitis. o Other common cause are. Tuberculosis -*Most common cause of Addison's disease in India . AIDS Metastatic cancers
1
Autoimmune adrenalitis
Meningococcal septicemia
Malignancy
Tuberculosis
Pathology
null
b69d6290-421f-4e2f-92ac-8714eca2cb7c
single
The commonest pre-malignant condition of oral cancer is
Leukoplakia is the most common (~ 85%) of the premalignant lesions of the oral cavity.
1
Leukoplakia
Aphthous ulcer
Lichen planus
Erythro-leukoplakia
Surgery
null
c900005a-3693-4386-96bc-946a8b394846
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Maxillary sinus epithelium is made of ?
Ans. is'b'i.e., Ciliated columnarLining epithelium of paranasal sinuses is ciliated columnar with goblet cells.
2
Pseudostratified columnar
Ciliated columnar
Simple columnar
Stratified squamous non-keratinized
Anatomy
null
58915bc9-4f7a-4258-89dc-ee13244853b4
single
Failure rate of vasectomy is
null
2
0.20%
0.10%
3%
10%
Gynaecology & Obstetrics
null
b60a1bab-3549-4118-b325-bb825639f9ff
single
Best treatment of refractory ascites is?
Refractory ascites can be managed by: Trans-jugular intra-hepatic peritoneal shunt (TIPS) Serial large volume paracentesis (LVP) with albumin. TIPS is superior to LVP in reducing the re-accumulation of ascites but is associated with an increased frequency of hepatic encephalopathy Extra Edge: Diagnostic criteria for re...
2
AV shunt
TIPS
Frusemide with Low volume paracentesis
Distal splenorenal shunt
Medicine
Cirrhosis
168237c7-2799-4dde-95fe-b47edd638e13
single
Tomato ketchup retina is seen in
(Refer: AK Khurana Comprehensive Ophthalmology, 6th edition, pg no. 271 - 272)Central Retinal Vein Occlusion (CRVO)FeaturesNon-Ischemic CRVO Ischemic CRVO Epidemiology Most common (75%)Moderate visual acuity lossLess common (25%)Severe visual acuity lossPathogenesis Slight RAPD with mild touosity & dilatation of retina...
2
Central retinal aery occlusion
Central retinal vein occlusion
Coats disease
Sickle cell retinopathy
Ophthalmology
Vitreous and retina
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single
The ideal tidal volume in a patient ventilated for ARDS is-
The ideal tidal volume in a patient ventilated for ARDS is 6mL/kg predicted body weight.Moality was significantly lower in this low TV patients(31%) compared to the conventional TV (12 mL/kg predicted body weight) ventilation(40%). Despite its life-saving potential mechanical ventilation can aggravate lung injury in se...
1
6 mL/kg
10 mL/Kg
l4 mL/kg
2O mL/kg
Medicine
Respiratory system
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single
In caissons, disease pain in joint is because of
Caisson's disease has many synonyms : as:- Bends - Decompression sickness - Diver's paralysis - Dysbarism.It occurs in divers, compressed air is taken in order to match the pressures at deep sea.The air contains Nitrogen in almost 70 % of the mixture.At high pressures in the sea, the pressure over the body is balanced ...
1
Nitrogen bubble
Oxygen bubble
Carbon monoxide
Air in joint
Physiology
Respiratory system
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single
Which one of the following gastrointesinal disorders predisposes to urolithiasis
.Outcome of Sho Bowel Syndrome * Severe malabsorption. * Severe dehydration. * Gallstone formation due to altered bile metabolism. * Urinary calculi due to increased oxalate level. * Water and electrolyte imbalance. * Diarrhoea is common. * Recurrent bacterial enteritis. * Fulminant hepatic failure often can occur. ref...
2
Peutz - jegher's syndrome
Sho bowel syndrome
Familial polyposis coli
Ulcerative colitis
Surgery
G.I.T
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single
Effect of PIH on GFR is:
The changes are conspicous in the glomerulus which becomes enlarged.(Glomerular Endotheliosis) Endothelial cells swell up and fibrin like deposits occur in the basement membrane. Lumen may be occluded. Interstitial cells between the capillaries proliferate. There is associated spasm of the afferent glomerular aerioles....
2
GFR Increase
Decreases GFR
GFR remains the same
GFR can increase or decrease
Gynaecology & Obstetrics
Medical, surgical and gynaecological illness complicating pregnancy
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single
True statement about orphan drugs:
Ans. (b) Drugs used for rare disease* Drugs which are developed specifically for rare diseases are called orphan drugs.* These drugs are difficult to research, develop, and market due to lack of financial benefits.* Because of this a separate law known as 'The Orphan Drug Acf was passed in 1983.* Examples include defer...
2
Drugs used for orphans
Drugs used for rare disease
Easily available drugs
Drugs with excessive financial benefits
Pharmacology
General Pharmacology
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multi
Bile strictures are seen in
Biliary strictures are most commonly present post operatively(80%),especially following laparoscopic cholecystectomy.It can also occur following open cholecystectomy,biliary surgery,gastrectomy,liver surgery,duodenal and pancreatic surgery. Choledocholithiasis(CBD stones) can lead to recurrent attacks of cholangitis an...
1
Cholelithiasis
Malignancy
Post operative
Worm infestation
Surgery
G.I.T
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single
Banana and lemon sign is seen in which fetal anomalies :
Signs of Spina bifida on USG : Small biparietal diameter Ventriculomegaly Frontal bone scalloping or the so called Lemon sign. Elongation and downward displacement of the cerebellum, the so called Banana sign Effacement or obliteration of the cisterna Magna. Ref:Williams Obs 23e pg 354,355.
1
Neural tube defect
Hydrops fetalis
Twins
IUD
Anatomy
General obstetrics
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single
Pellagra is due to deficiency of: September 2006, 2009
Ans. C: Niacin Pellagra is caused by a chronic lack of niacin (vitamin B3) in the diet. It can be caused by decreased intake of niacin or tryptophan, and possibly by excessive intake of leucine. It may also result from alterations in protein metabolism in disorders such as carcinoid syndrome. A deficiency of the amino ...
3
Riboflavin
thiamine
Niacin
Pyridoxine
Social & Preventive Medicine
null
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single
First layer of sole has
SOLE OF THE FOOT:- 4 layers of muscles Muscles of first layer:-1. Flexor digitorum brevis2. Abductor hallucis 3. Abductor digiti minimi Muscles of second layer:-1. Tendons of FDL2. Tendon of FHL3. flexor digitorum accessorius 4. Lumbrical muscles Muscles of third layer:-1. Flexor hallucis brevis 2. Flexor digiti minimi...
1
Abductor hallucis
Flexor hallucis longus
Flexor hallucis brevis
Adductor hallucis
Anatomy
Lower limb
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multi
Interocclusal space is:
null
1
Space between upper and lower teeth
Space between maxilla and mandible at rest
Space between the jaws when muscles that elevate and depress the mandible are in minimum tonic contraction
None of the above
Dental
null
ac29ab7d-8870-4790-8fa8-bf7e18f2f057
multi
Which of the following drug is not used against pseudomonas? (UP 2005)
Because community-associated methicillin-resistant Staphylococcus aureus (CA-MRSA) causes more than one half of all staphylococcal infections in most communities, empiric therapy with penicillins or cephalosporins may be inadequate. Some expes recommend combination therapy with a penicillinase-resistant penicillin or c...
4
Piperacillin
Carbenicillin
Ticarcillin
Oxacillin
Pharmacology
Chemotherapy
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single
First lymph node involved in maxillary carcinoma:
In paranasal sinus tumors Lymphatic spread: Nodal metastases are uncommon and occur only in the late stages of disease. Submandibular and upper jugular nodes are enlarged. Maxillary and ethmoid sinuses drain primarily into retropharyngeal nodes, but these nodes are inaccessible to palpation. Systemic metastases are rar...
2
Submental
Submandibular
Clavicular
Lower jugular
ENT
null
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single
The most effective step in MCH is
The objectives of MCH care are- Reduction of morbidity and mortality rates of mothers  and children  Promotion of reproductive health Promotion of the physical and psychological development of child within family  This is achieved by working under the following sub components-  Maternal health  Family planning Child...
1
Maternal health promotion
Child health promotion
School health promotion
Non formal education of the mother
Social & Preventive Medicine
null
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multi
Agonist is having
Ref-KDT 6/e p41 Agonist have intrinsic acriacti 1 because Intrinsic activity is a measure of the ability of a drug that is bound to the receptor to generate an activating stimulus and produce a change in cellular activity. Both agonists and antagonists can bind to a receptor. However, only agonist molecules can activat...
1
Affinity with intrinsic activity 0
Affinity with intrinsic activity 1
Affinity with intrinsic activity -1
None
Anatomy
General anatomy
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multi
The following bacteria are most often associated with acute neonatal meningitis except:
Neisseria meningitidis is not associated with acute neonatal meningitis. Option 1, 2, 3, 4 Causes of Meningitis are: a) Neonatal < 1 Month: - Bacterial causes: Esch. coli > Group B Streptococci >Other Gram Negative bacilli> Listeria monocytogenes. - Viral and Protozoal Infection: TORCH, Varicella Zoster and HIV. - Spir...
3
Escherichia coli
Streptococcus agalactiae
Neisseria meningitidis
Listeria monocytogenes
Microbiology
Systemic Bacteriology (Gram Positive Bacilli, Gram Negative Bacilli)
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multi
A 35-year-old man presented to the casualty with agitation, global confusion, disorientation, hallucinations and autonomic hyperactivity. On history taking, he had his last alcohol drink 5 days ago. Which of the following can be used in the immediate treatment of the condition?
The clinical presentation suggests severe alcohol (ethanol) withdrawal or Delirium Tremens. The immediate management includes the use of long-acting benzodiazepines. In the given choices both Chlordiazepoxide (Librium) and Diazepam are long acting. However, Chlordiazepoxide (Librium) is longer acting than diazepam. The...
4
Diazepam
Carbamazapine
Morphine
Chlordiazepoxide
Psychiatry
null
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multi
Which among the following is essential for wound healing:
Deficiency of vitamin C causes reduced cross-linking of tropocollagen to collagen.
3
Vitamin A
Vitamin D
Vitamin C
Carbohydrate
Pathology
null
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single
Which of the following is referred to as Luxatio erecta?
"Inferior (downward/subglenoid) dislocation of shoulder is known as luxatio erecta". Inferior dislocation of shoulder It is caused by severe hyper abduction force. With the humerus as the lever and acromion as fulcrum, the humeral head is lifted across the inferior rim of the glenoid socket and pokes into axilla (subgl...
2
Tear of the glenoid labrum
Inferior dislocation of shoulder
Anterior dislocation of shoulder
Defect in the humeral head
Surgery
null
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single
Commonest spinal tumour is -
Ans. is 'c' i.e., Neurofibroma
3
Meningioma
Ependymoma
Neurofibroma
Neuroblastomas
Surgery
null
be7496b3-3a9a-4c54-9c8e-beb0c5a96284
single
All are features of Pompe&;s disease except
Type II(Pompe) disease results from lysosomal storage of glycogen in skeletal muscles,cardiac muscles, and central nervous system.There is progressive cardiomyopathy.ECG shows left axis detion,sho PR interval & large QRS.Hea failure with dyspnoea and cyanosis may occur.Skeletal muscles show hypotonia and marked weaknes...
3
Cardiomyopathy
Skeletal myopathy
Hyperglycemia
Hepatomegaly
Pediatrics
Metabolic disorders
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multi
The “Shoe Leather Survey” was given by
Fluoride was established as the causative factor for mottling of enamel through the historical studies conducted by Trendley H. Dean, known  as the "Shoe Leather Survey".
1
Trendley H. Dean
Frederick McKay
Greene Black
J. M. Eager
Dental
null
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single
Primary dentition shows teeth eruption by
Primary dentition Ref: Ghai 9th edition, table 2.2 Upper jaw lower jaw Central incisor 8-12 mnths 6-10 mnths Lateral incisor 9-13 mnths 10-16 mnths First molar 13-19 mnths 14-18 mnths Canine 16-22 mnths 17-23 mnths Second molar 25-33 mnths 23-31 mnths
3
6 wks
12 wks
6 months
12 months
Anatomy
General anatomy
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single
Causative particle in asbestosis is?
Ans. (a) Amphibole(Ref: Robbins 9th/pg 689)Serpentine Q (M.C) and Amphibole Q (more pathogenic) as particles are asbestor particle associated with asbestosis.
1
Amphibole
Crysolite
Tridymite
Gristobalite
Pathology
Respiration
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single
Which of the following antipsychotic is a partial agonist at D2 receptors?
All antipsychotics are antagonists at D2 receptors except Aripiprazole which is a partial agonist.
3
Olanzapine
Ziprasidone
Aripiprazole
Quetiapine
Psychiatry
null
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single
True about measles vaccine is that it is -
<p>MEASLES VACCINE:- Live attenuated vaccine Person to person transmission of measles vaccine strains has never been documented. Freeze dried product. Before use ,the lyophilised vaccine is reconstituted with sterile diluent. Diluent must be cooled before reconstitution but it should not be freezed.After reconstitution...
1
Thermolabile
Thermostable
Bonth
None
Social & Preventive Medicine
Communicable diseases
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multi
Transthoracic compliance formula:-
Various pressures in thoracic cage. 1. Intra pleural pressure - - Intra pleural pressure is the pressure of the fluid in the thin space b/w the lung pleura & the chest wall pleura - It's a slight negative pressure. - Normal pleural pressure at the beginning of inspiration is about - -5 cm H2O (at rest) - At rest - - 5c...
2
C = Vt x RR /PEEP
C = V/AIv p - atmospheric pressure
C = Vt/Pplt - PEEP
C = Vt/Pk - Pplt
Physiology
JIPMER 2018
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single
Mitsuda reaction is read after -
null
3
3 days
3 hours
3 weeks
3 months
Microbiology
null
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single
A 45 year old male, known case of Rheumatoid ahritis is on a monotherapy since many years. Symptoms of RA are controlled but suddenly patient develops blurring of vision. Which of the following drug is responsible for sudden affect on vision?
-Hydroxychloroquineis used for the treatment of rheumatoid ahritis. - Taking hydroxychloroquine for a long-term or at high doses may cause irreversible damage to the retina of your eye. (Bull's Eye Retinopathy) Blurred vision, trouble focusing Distoed vision, blind spots Changes in your colour vision Hazy or cloudy vis...
4
Leflunomide
Methotrexate
Sulfasalazine
Hydroxychloroquine
Medicine
NEET Jan 2020
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single
Generated 3-4 Hz spike and slow wave complex is seen in
During an absence seizure, your brain&;s electrical signals repeat themselves. A person who has absence seizures may also have altered levels of neurotransmitters. Hyperventilation or flashing lights may trigger an absence seizure in others. Doctors may never find a specific cause for some patients. Abscence seizure : ...
2
GTCS
Abscence seizure
Simple paial seizure
Myoclonic epilepsy
Pediatrics
Central Nervous system
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single
Which Lung Cancer resembles Pneumonia with Air Bronchogram sign?
*Bronchoalveolar carcinoma resembles pneumonia on a chest x ray *Has Aerogenous spread,along the bronchial wall called Lepidic growth *CT angiogram sign is also seen in Bronchoalveolar Ca
4
Squamous Cell Ca
Large Cell CA
Small Cell Ca
Bronchoalveolar CA
Radiology
Respiratory Radiology
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multi
Insulin mediated glucose uptake occurs through
D i.e. GLUT-4
4
GLUT-1
GLUT -2
GLUT- 3
GLUT -4
Physiology
null
03728e73-1c20-4993-a66b-3814bdce0b06
single
A 45-year-old businesswoman arrives in your office with vague abdominal complaints. She has noticed melenic stool. Upon performing a sigmoidoscopy, you find a 4-cm mass in the upper colon. You should immediately order a blood test for which of the following tumor markers?
The best-characterized human tumor-associated antigens are the oncofetal antigens. CEA is a glycoprotein and member of the immunoglobulin gene superfamily and is elevated in colorectal cancer. a-Fetoprotein (AFP) is analogous to albumin and elevated in hepatocellular carcinoma. Prostate-specific antigen (PSA) is elevat...
4
a-Fetoprotein
Anti-tumor antibody
Antitumor light chains
Carcinoembryonic antigen (CEA)
Microbiology
Immunology
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single
Efficacy of a new drug A is compared with an existing drug B in :
null
3
Clinical trial phase I
Clinical trial phase II
Clinical trial phase III
Clinical trial phase IV
Dental
null
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single
Most common site for retinal break is
Upper temporal region is most common site for retinal break The mechanism most commonly involves a break in the retina that then allows the fluid in the eye to get behind the retina. A break in the retina can occur from a posterior vitreous detachment, injury to the eye, or inflammation of the eye. Other risk factors i...
1
Upper temporal
Lower temporal
Upper nasal
Lower nasal
Ophthalmology
Vitreous and retina
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single
Thromboxane is produced by?
Ans. a (Platelets). (Ref. Robbin, Pathology, 6th ed., 70, 71; Harper's biochemistry 27th ed. Table 50-3)# Platelets contain the enzyme thromboxane synthetase and hence TXA2, is major product in these cells.Thromboxane A2# TxA2, a potent platelet-aggregating agent and vasoconstrictor, is itself unstable and rapidly conv...
1
Platelets
Leukocytes
Vessel wall
RBCs
Pathology
Blood
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multi
Cerebral malaria is most commonly associated with which of the following?
Appropriately and promptly treated, uncomplicated falciparum malaria (i.e., the patient can swallow medicines and food) carries a moality rate of 0.1%. However, once vital-organ dysfunction occurs or the total propoion of erythrocytes infected increases to >2% (a level corresponding to >1012 parasites in an adult), moa...
3
Plasmodium vivax
Plasmodium malariae
Plasmodium falciparum
Plasmodium ovale
Microbiology
null
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single
Which of the following is a step in the gluconeogenic pathway?
Pyruvate to acetyl co A is an anaerobic step in oxidation of glucose Glucose 6 phosphate to fructose 6 phosphate is a step in glycolysis oxaloacetate to citrate is a step in krebs cycle
4
Pyruvate to Acetyl co A
Glucose 6 phosphate to fructose 6 phosphate
oxaloacetate to citrate
oxaloacetate to phosphoenol pyruvate
Biochemistry
Metabolism of carbohydrate
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multi
any behaviour is assosiated with reward will be increased in frequency. this is based on
Behavioral therapy is learning given by BF Skinner , according to him all behaviors are learned phenomenon and thus can be unlearned Positive reinforcement a type of reinforcement when a behavior is rewarded there is more chance that the behavior is repeated Negative reinforcement is that when a behavior is done and an...
2
mindfulness therapy
behavior therapy
psychodynamic therapy
cognitive therapy
Anatomy
General anatomy
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single
The following drug is NOT useful during acute attack of bronchial asthma :
null
3
Salbutamol
Hydrocortisone
Cromolyn sodium
Theophylline
Pharmacology
null
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single
Not True about Bedaquiline
Given in > 18 years aged patients Contraindicated in pregnancy and cardiac - arrhythmia.
4
Inhibits mycobacterial ATP synthase
Given for MDR - TB patients
Contraindicated in pregnancy
Given in > 10 years aged patients
Social & Preventive Medicine
null
e8fdfbc8-7c3a-4943-8cb3-230389545a94
multi
At how many weeks of gestation is amniocentesis mostly performed ?
Amniocentesis is often performed between 15 and 20 weeks of gestation. Chorionic villus sampling (CVS) is an alternative to amniocentesis and is usually performed either transervically or trans abdominally between 10 and 12 weeks of gestation .
2
10-12 weeks
12-20 weeks
20-25 weeks
25-30 weeks
Gynaecology & Obstetrics
null
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single
Treatment of choice for mycosis fungoides in tumor stage is?
Ans. is 'b' i.e., Chemotherapy Treatment of mycosis fungoides (Cutaneous T-cell lymphoma)Patch stage (good response) (stage-1)Potent topical corticosteroidsUltraviolet BPsoralens + UVA (PUVA)Plaque stage (moderate response) (stage-2)Electron beam therapyPUVATopical nitrogen mustardTumor stage (Poor response) (stage-3)L...
2
PUVA therapy
Chemotherapy
Electron beam therapy
Topical corticosteroids
Skin
Skin Cancer
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single
Duke's stage C2 refers to carcinoma -
Duke's staging is used for colorectal cancer. In Dukes 'C' stage, there is involvement of regional lymphnodes. Duke's staging has been explained earlier.
4
Bladder penetrating the extravesical fat
Bladder with metastasis to internal iliac lymph nodes
With histological features of 75% anaplastic cells
Rectum with metastasis to inferior mesentric lymph nodes
Pathology
null
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single
Helicobacter pylori is not associated with:-
Helicobacter pylori is associated with: Acute gastritis Peptic ulcer disease Chronic atrophic gastritis Autoimmune gastritis Promotes pernicious anemia Adenocarcinoma of stomach Non-Hodgkin's gastric lymphoma.
3
Gastrointestinal lymphoma
Gastric cancer
Gastric leiomyoma
Peptic ulcer
Microbiology
Systemic Bacteriology (Haemophilus, Yersinia, Spirochaetes, Ricketssia, Chlamydia, Mycoplasma and Miscellaneous Bacteria)
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single
Calcipotriene is a
A topical vitamin D analogue (calcipotriene) and a retinoid (tazarotene) are also efficacious in the treatment of limited psoriasis and have largely replaced other topical agents such as coal tar, salicylic acid, and anthralin. Ref: Harrison 19e pg: 348
4
Vitamin A analogue
Vitamin B analogue
Vitamin C analogue
Vitamin D analogue
Dental
Papulosquamous disorders
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single
Most common serotype of listeria causing infections:
Ans. is. 'a' i. e., 1/2a
1
1/2a
1/3a
1/3b
1/2c
Microbiology
null
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single