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In BPH most common lobe involved is ?
Ans is C ie Median
3
Lateral
Posterior
Median
Anterior
Surgery
null
41810244-ba90-4fdd-82eb-ec1a4ddf54e3
single
Maximum contribution to the refractive power of the eye is by:
Ans. (a) Anterior surface of corneaRef: Cornea by Mannis p. 145On average anterior cornea has refractive power of +48D of convergence and posterior cornea -5D of divergence.
1
Anterior surface of cornea
Anterior surface of lens
Posterior surface of cornea
Posterior surface of lens
Ophthalmology
Elementary Optics
22d179dc-bd0c-4d9c-9bc3-dbb2f1eb874a
single
A 60-year-old male presented to medical OPD with complains of progressive difficulty in breathing. The patient was also taking amiodarone for 5 years for atrial fibrillation. Chest x ray reveals the following finding. PFTs reveals reduced Which of the following cells are damaged in the above condition: -
This is a case of chronic amiodarone toxicosis. Chest x-ray and CT scan both show patchy interstitial infiltrates in visualized lung fields. Chronic intake of amiodarone damages type l pneumocyte & results in pulmonary fibrosis which leads to respiratory distress.
2
Clara cell
Type l pneumocyte
Type ll pneumocyte
Basal cells
Unknown
Integrated QBank
dfa0f90a-6c42-4173-b807-5d361a5a77af
multi
A 60- years old man fell in the bathroom and was unable to stand, on right buttock region ecchymosis with external rotation of the leg and lateral border of foot touching the bed. The most probable diagnosis is -
Lateral border of foot touching the bed, that means there is extreme external rotation. This occurs in extracapsular neck fracture (basal / basicervical) and IT fractures.
1
Extracapsular fracture neck of femur
Anterior dislocation of hip
Intracapsular fracture neck of femur
Posterior dislocation of hip
Orthopaedics
null
70577f2c-3a49-41ae-8c31-3bef27324e9b
single
The ideal treatment for metastatic choriocarcinoma in the lungs in a young women is:
“Unlike other malignant lesion, the treatment of choriocarcinoma is mainly chemotherapy, both for local and distant metastasis.” Shaw 14/e, p 235
1
Chemotherapy
Surgery with radiation
Surgery
Wait and watch
Gynaecology & Obstetrics
null
483c0199-2df2-48f9-a116-34bd716ef98a
single
Which is a false statement about Retropharyngeal abscess?
Retropharyngeal space lies behind the pharynx between the buccopharyngeal fascia covering pharyngeal constrictor muscles and the preveebral facia (i.e. behind the pharynx and in front of preveebral fascia) On physical examination, may reveal bulging of the posterior pharyngeal wall. Dysphagia and difficulty in breathin...
4
It lies lateral to midline
Causes difficulty in swallowing and speech
Can always be palpated by finger at the post pharyngeal wall
It is present beneath the veebral fascia
ENT
null
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multi
Longest spinous process is for which vertebra:
Ans: a (C7) Ref:Snells, 6th ed, p. 821/822; BDC, 4th ed, vol 3, p. 40, vol 2, p. 182, vol 1, p. 198Characteristics of vertebrae:CharacteristicsCervicalThoracicLumbarVertebral foramenTriangularCircularTriangularVertebral bodySmall and broad from side to sideHeart shapedLarge kidney shapedSup. articular facetBackwards an...
1
C7
T2
C2
L3
Orthopaedics
Bone
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single
True about Russell bodies is/are:
Ans. d (All). (Ref. Robbins, Pathologic Basis of Disease, 6th/pg.41)SR.NO.PATHOLOGIC FEATURECLINICAL CONDITION j1Aschoff bodiesRheumatic fever2Asteroid bodiesSporotrichosis3Buniana bodiesALS4Calt-exner bodiesGranulosa cell tumor of ovary5Councilman bodiesToxic/viral hepatitis/yellow fever6Cowdry bodies (type A)Cowdry b...
4
Multiple myeloma
Intracytoplasmic bodies
Eosinophilic
All of the above
Pathology
Blood
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multi
Toxin acting on cGMP -
null
1
Heat stable E. coli toxin
Heat labile E. coli toxin
Cholera toxin
Shiga toxin
Microbiology
null
13ef6e7b-fc36-4b71-a48e-8ff031ed776e
single
Which of the following statements about omental infarction are true?
Omental Infarction Segment of Omentum susceptible to infarction as a result of torsion or venous thrombosis TYPES:- Primary omental infarction Secondary omental infarction Obesity Local trauma Chronic cough Hyperperistalsis Occupational vibrations Excessive exercise Cyst and tumor Internal hernia Diveiculitis Vasculiti...
3
Patients usually present with fever and lassitude
Diagnosis is made clinically
Most cases do not require surgery
Surgical resection is indicated in all cases
Surgery
Peritoneum
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multi
Peusis toxin acts by all of the followingmechanisms except ?
Increased calcium release from sarcoplasmic reticulum IRef: Harrison 170i/e p. 933] Peussis toxin is an exotoxin that has A and B subunits. B subunit binds to the target cells whereas A subunit acts on the target. First, the peussis toxin itself gets activated by glutathione and ATP. Once the toxin gets activated it ac...
3
ADP ribosylation of proteins associated with receptors
Increase cyclic AMP
Increased calcium release from sarcoplasmic reticulum
Acts through G alpha subunit
Microbiology
null
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multi
In a child of one month age with history of nonbilious vomiting and no weight gain with palpable epigastric lump, first investigation to be done is
Ans. b (Ultrasonography) (Ref. Bailey and Love 25th/pg. 79)CONGENITAL HYPERTROPHIC PYLORIC STENOSIS (CHPS/IHPS)# Increased incidence in firstborn male child with M:F ratio 4:1. Incidence of hypertrophic pyloric stenosis is approximately 2-5 per 1,000 births per year.# Most commonly affects boys aged 2-8 weeks# Characte...
2
Barium study
Ultrasonography
Endoscopy
CT scan
Radiology
G.I.T.
d162aa0f-73fb-4b2f-b534-f342049c862a
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Basophilic inclusion bodies are seen in:
Ans. is 'a' i.e., Adenovirus Inclusion bodies are aggregates of stainable substances in the nucleus or cytoplasm.Cowdry inclusion bodies are classified into two groups called type A and B.Type A included those (a) which were granular and (b) which produced a severe reaction in the cell leading to death.Type B were thos...
1
Adenovirus
Polio virus
Measles virus
Herpesvirus
Microbiology
Virology
cabfef07-a296-4062-bdf9-cd30bdf90703
single
XDR -TB is resistant to -
null
3
AKT (HRZE)
HRKN
HRKO
HREEt
Medicine
null
a40b54bd-2f03-4388-9776-7bd5a3518dbd
single
Persistent primary hyperplastic vitreous is associated with -
Persistent hyperplastic primary vitreous (PHPV), also known as Persistent Fetal Vasculature (PFV), is a rare congenital developmental anomaly of the eye that results following failure of the embryological, primary vitreous and hyaloid vasculature to regress seen in Trisomy 13 -patau syndrome,Norrie disease,Walker-warbu...
1
Patau syndrome
Edward syndrome
Trisomy 14
Downs syndrome
Ophthalmology
Vitreous and retina
504ead3e-b960-4b7c-bb31-f10fca67c36b
single
The drug mainly causing afterload reduction is:
ACE inhibitors are mixed dilators. They inhibit the generation of angiotensin II resulting in dilatation of aerioles which decreases peripheral vascular resistance and thereby after load. Nitrates are primarily venodilators- decrease Cardiac output mainly calcium channel blockers are mainly aeriolar dilators -decreases...
2
Digoxin
Captopril
Dobutamine
Frusemide
Pharmacology
Cardiovascular system
42d4b5ac-4d66-4d2a-acab-46eaaf4f6ffe
single
All are poor prognostic for multiple myeloma except
A - Commonest mutation associated with multiple myeloma is 13q deletion. Poor prognostic factor associated with multiple myeloma are: 1. t (14 16) 2. 1q gain 3. 3.t (4 14) Risk Stratification in Myeloma CHROMOSOMAL ABNORMALITIES Method Standard Risk (80%) (Expected Survival 6-7+ Years) High Risk (20%)(Expected Survival...
1
t (11 14)
t (14 16)
1q gain
t (4 14)
Pathology
JIPMER 2018
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multi
A 22-year-old primigravida gives birth to a boy at 38 weeks' gestation. On physical examination, the infant appears normal except for an abnormal right hip click with the Ortolani maneuver. Ligamentous laxity of the hip is noted. The mother asks if there is any risk that future children will be born with a similar malf...
This is developmental dysplasia of the hip. Most congenital malformations, particularly malformations that are isolated defects, have no readily identifiable cause. Most defects are believed to be caused by the inheritance of a certain number of genes and by the interaction of those genes with environmental factors. Th...
2
<1%
5%
25%
50%
Pathology
Disease of Infancy & Childhood
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multi
A female presents with the history of slashed wrists and attempted suicide, now present with similar history. The diagnosis is:
Ans. is 'a' (Border line personality disorder) The symptomatic profile of the pt. is in accordance with Borderline personality disorder.Characteristics of Borderline personality disorder is -Unstable mood & behaviourSuicide attemptsBoredomFeeling of emptiness & lonelinessImpulsivenessThe diagnosis can be confused with ...
1
Borderline personality disorder
OCD
Conversion Reaction
Histrionic personality
Psychiatry
Personality Disorders
27c34477-bdb9-4b4f-b965-80c81d622f6a
single
An anti-arrhythmic drug that is not proarrhythmic?
Ans. a (Lignocaine). (Ref. KD Tripathi, Pharmacology, 6th /513)# Most anti-arrhythmic can themselves precipitate serious arrhythmias i.e., they have arrhythmogenic potential, hence called proarrhythmic.- Encainide, flecainide, moricizine have higher incidence of sudden death.# Terfenadine, astemizole, cisapride and hal...
1
Lignocaine
Disopyramide
Amiodarone
Moricizine
Pharmacology
C.V.S
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single
A 59-year maie pg cNvitts with dimness of near vision. On examination, the media was clear in both the eves. What would he the next step?
Ans. a. Refraction with near add A 59-year-old male presents with dimness of near vision. On examination, the media was clear in both the eyes. For diminuation of vision this age, one should think for cataract; but in this case, media (cornea/aqueothens/vitreous) is clear, so cataract is ruled out As there is dimness o...
1
Refraction with near add
Refraction under atropine
Radial keratotomy
Cataract surgery
Ophthalmology
null
00d9ac30-d331-44aa-8b01-484a7093b0a2
multi
Acute hyponatremia become symptomatic at:
Hyponatremia is commonly defined as a serum sodium <135 mmol/L (<135 mEq/L). In patient with hyponatremia that develops over hours, life-threatening seizures and cerebral edema may occur at values as high as 125 mmol/L. In contrast some patients with more chronic hyponatremia that has slowly developed over months to ye...
2
<135 mEq
<125 mEq
<120 mEq
<110 meq
Medicine
Fluids and Electrolyte Imbalance
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single
Which among the following is the most common site of ectopic phaeochromocytoma?
Almost all pheochromocytomas (about 90%) occur in the abdomen, and most of these (85%) are in the adrenal medulla. Extra-adrenal pheochromocytomas (including sympathetic and parasympathetic paragangliomas) are found in the perirenal area, the organ of Zuckerkandl, the urinary bladder, the hea, the neck, and the posteri...
1
Organ of Zuckerkandl
Bladder
Filum terminale
Celiac plexus
Pathology
null
d85b2727-c18c-4ec4-b76f-701dbc39d6f9
single
A pregnant lady with persistent variable decelerations with cervical dilatation of 6 cm is planned for emergency LSCS. Which of the following is NOT done in management while preparing patient for surgery
Variable decelerations are attributed to umbilical cord compression A supine position will have a mechanical compression from the fetus on the umbilical cord resulting in fetoplacental insufficiency and is hence avoided. Patient is therefore made to lie in left lateral position till surgery Catheerisation is done and I...
1
Supine position
O2 inhalation
I.V. fluid
Foleys catheterisation
Gynaecology & Obstetrics
Labour - II
ead4cdd8-5a8c-443d-8f39-2586c9200f28
single
Drug not to be given in ishchemic hea disease
Refer kDT 6/e p547 Isopreterenol is a beta adrenergic agonists and is contraindicated in ishchemic hea disease. As it can increase myocardial oxygen demand by causing tachycardia
3
Atenolol
ACE inhibitor
Isopreterenol
Streptokinase
Pharmacology
Cardiovascular system
4adc2b68-447f-4114-b5c0-cc4af2d9d3f7
single
Type of collagen found in basement membrane is ?
Ans. is `d i.e., Type IVTypes of collagen There are at least 28 distinct types of collagen made up of over 30 distinct polypeptide chains Type I is the most abundant collagen. The impoant ones are :?Type of collagen DistributionType] Skin, tendon, bone, corneaType 11 Aicular cailage, interveebral disc, Vitreous humorTy...
4
Type I
Type II
Type III
Type IV
Biochemistry
null
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single
Sex ratio of children population in the age group of 0-6 years according to the 2011 census is -
This information has been added in 22nd /e of Park Child sex ratio (9-6 years) has reached an all time low of 914 since 1961. The fall has been 13 points from 927 (in 2001) to 914 (in 2011) for the country.
2
940
914
944
933
Social & Preventive Medicine
null
a1420a4a-3dd0-45f2-b6e7-af2d4a1e674c
single
In a study, it is observed that the right ovary ovulates more than the left all are possible explanation for the same except
Right ovary ovulates more becauseAnatomical asymmetryDifference in blood supplyEmbryonal causes
3
Anatomical asymmetry
Difference in blood supply to both sides
Right handedness is more common in population
Some embryological basis
Gynaecology & Obstetrics
Reproductive physiology and hormones in females
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multi
Flaring of anterior ends of the ribs is characteristically seen in
C i.e. Rickets Flaring of anterior ends of rib is charcteristically seen in ricketsQ and beaded ribs are found in osteogenesis imperfectaQ. Other causes of multiple anterior rib flaring are - achondroplasia, scurvy, thanatophoric dysplasia & normal variants.
3
Neurofibromatosis
Scurvy
Rickets
Hypothyroidism
Radiology
null
18c21cc8-7b1f-4524-be7c-296f8ff484ee
multi
By what coagulation pathway does clotting occur in blood sample collected in a capillary tube?
The extrinsic pathway begins with the release of tissue thromboplastin(tissue factor ) in response to vascular injury or contact between traumatized extravascular tissue and blood. Since there is no source of tissue thromboplastin release as the blood is with the capillary tube, thus clotting proceeds intrinsic pathway...
2
Extrinsic pathway
Intrinsic pathway
Any of the above
Fibrin stabilization
Physiology
Blood Physiology
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multi
Which of the following is not a component of Innate immunity?
The major components of innate immunity are epithelial barriers that block entry of microbes, phagocytic cells (mainly neutrophils and macrophages), dendritic cells, natural killer (NK) cells, and several plasma proteins, including the proteins of the complement system.The adaptive immune system consists of lymphocytes...
4
Epithelial barriers
NK cells
Dendritic cells
Helper T lymphocyte
Pathology
General pathology
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single
The primary goal of glucocorticoid treatment in rheumatoid arthritis is:
null
1
Suppression of inflammation and improvement in functional capacity
Reversal of the degenerative process
Development of a sense of well-being in the patient
Prevention of suppression of the hypothalamic pituitary adrenal axis
Pharmacology
null
07591866-0def-4565-80ca-cac70717e2bd
single
Fracture ala signature is a type of -
Ans. is 4b' i.e.. Depressed fracture of skull o Fracture -ala-signature / signature fracture is also known as depressed fracture of skull vault.o Depressed fracture (signature fracture or fracture-ala signature) :1c caused by a heavy w eapon with a small striking surface, e.g. hammer which causes a piece of skull bone ...
2
Gutter fracture
Depressed fracture of skull
Ring fracture at foramen magnum
Sutural separation
Forensic Medicine
Misc.
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single
ASD is associated with all of the following features, except:
Left atrial hyperophy or dilatation is not seen in ASD, instead it is seen in Mitral stenosis. In ASD, left atrium has two outflow tracts. One into L.V through mitral valve and the other into R.A through ASD. These two outflow tracts cause resistance against which the L.A pump is decreased, thus explaining absence of L...
3
Right atrial hyperophy
Pulmonary aerial hypeension
Left atrial hyperophy
Right ventricular hyperophy
Medicine
null
97472f92-8e77-490d-bb13-773d41e25a52
multi
Regarding Golgi tendon organ true isa) Senses dynamic length of muscleb) Involved in reciprocal innervationc) α-motor neuron stimulationd) Senses muscle tension
Reciprocal innervation is seen in -        Stretch reflex- Reciprocal inhibition   -        Golgi tendon organ reflex- Reciprocal excitation
1
bd
d
ab
ac
Physiology
null
98a06e3d-5b62-4219-80e5-023aafa2f1a6
multi
In a child with exercise-induced asthma, which is done –
Treatment of exercise-induced asthma Exercise-induced bronchospasm should be anticipated in all asthma patients. Treatment immediately prior to vigorous activity or exercise is usually effective. Treatment is - Short-acting inhaled β-agonist plus cromolyn. or Short-acting inhaled β-agonist plus nedocromil.
2
Prophylaxis with steroids
Prophylaxis with Beta, agonist
Prophylaxis with theophyline
Breathing excercise
Pediatrics
null
11dca1fa-4fd8-42c0-a254-d7bbcd03d61a
single
Zinc supplement given in 12 month baby
null
4
10 mg/day
5 mg/day
15 mg/day
20 mg/day
Social & Preventive Medicine
null
8cdd0f2f-7d2c-408c-a544-8ad0462d5840
single
Which of the following food components has maximum thermic effect?
Thermic effect (specific dynamic action) is highest for protein. It indicates energy expenditure above resting metabolic energy.
2
Carbohydrate
Protein
Fat
All the 3 have equal value
Biochemistry
null
fefc505f-8a09-48b5-9161-bbb6908d630f
multi
The most common consequence of bleaching nonvital teeth is:
There have been reports of external cervical root resorption following intracoronal bleaching procedures. This is probably caused due to the diffusion of hydrogen peroxide through unprotected dentinal tubules leading to resorptive changes in the periodontium.  The caustic nature of hydrogen peroxide can cause the necro...
2
Discolouration
Cervical resorption
Apical periodontitis
Root resorption
Dental
null
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single
All are radiosensitizer except –
null
3
5-Fu
BUDR
Cyclophosphamide
Hydroxyrea
Radiology
null
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multi
A 67-year-old woman complains of paresthesia's in the limbs. Examination shows loss of vibratory sense, positional sense, and sense of light touch in the lower limbs. She is found to have pernicious anemia. Endoscopy reveals an ulcer in the body of the stomach. What does she most likely have?
Patients with pernicious anemia have achlorhydria and an increased risk (about 5%) of developing gastric carcinoma. There is a deficiency in vitamin B12 that leads to megaloblastic anemia and neurologic involvement (subacute degeneration of the dorsal and lateral spinal columns).
3
Excess of vitamin B12
Deficiency of vitamin K
Cancer of the stomach
Gastric sarcoma
Surgery
Stomach & Duodenum
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single
Blood transfusion should be completed within how many hours of initiation-
Ans. is 'a' i.e., 4 hours o Blood transfusion should be completed in less than 4 hours because of the dangers of bacterial proliferation. which may occur as blood warms to room temperature."One unit of red cells is often given in 1 to 4 hours. Infusion of a unit for longer than 4 hours in not recommended, as there is a...
1
4 hours
6 hours
8 hours
12 hours
Medicine
Transfusion
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single
Quality of the X-ray beam is governed by:
null
1
kVp
mA
Filament current
Length of the X-ray tube
Radiology
null
d9e0c264-1531-4714-8cee-a3ceed7b607d
single
Marker for granulosa cell tumor:
Ans. is 'c' i.e. Inhibin Inhibin is a peptide hormone produced by ovarian granulosa cells that are made up of an alpha sub unit and Beta subunit.Inhibin are of two types - inhibin A and inhibin B.Both inhibin A and B can be elevated in granulosa cell tumours but inhibin B levels are usually elevated more.Typical cutoff...
3
CA 19-9
CA 50
Inhibin
Teratoma
Gynaecology & Obstetrics
Tumor Markers
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single
Which of the following is a topical sulfonamide ?
Ans. is 'b' i.e., Mafenide Classfication of sulfonamides Sho acting - Sulfadiazine, Sulfisoxaxole, Sulfamethizole, Sulfacystine. Intermediate acting - Sulfamethoxazole. Long acting - Sulfadoxine, Sulfamethopyrazine. Topical Sulfonamides - Sulfacetamide sodium, Mafenide, silver sulfadiazine. Sulfonamide for RA and ulcer...
2
Sulfadoxine
Mafenide
Sulfamethopyrazine
None
Pharmacology
null
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multi
Most common site for the osteoporotic veebral fracture is ?
Ans. is 'a' i.e., Dorsolumbar spine Osteoporosis is an asymptomatic disorder unless complications (predominantly fractures) occur. Most common symptom of osteoporosis is back pain secondary to veebral compression fracture. Dorso-lumbar spine is the most frequent site. Other common sites of fracture are lower end radius...
1
Dorsolumbar spine
Cervical spine
Lumbosacral spine
Dorsal spine
Surgery
null
52de65be-fb41-4cef-9bc8-80cacfde86db
single
1930. The first-line drug therapy in chronic myeloid leukemia is -
Imatinib,dasatinib, and nilotinib specifically inhibit BCR ABL tyrosine kinase activity and reduce the uncontrolled proliferation of white cells They are recommended as first line therapy in chronic phase CML,producing complete cytogenic response(disappearance of the Ph chromosome) Reference :Davidson&;s principles & p...
4
Hydroxycarbamide
Alpha-interferon
Busulphan
Imatinib
Medicine
Haematology
4be31a0c-1f42-4c83-bb8a-36c3bc5bccdd
single
All of the following are features of Mobiz type I block except-
Type 1 Second-degree AV block, also known as Mobitz I or Wenckebach periodicity, is almost always a disease of the AV node. ... Today, Mobitz I hea block is characterized by progressive prolongation of the PR interval on consecutive beats followed by a blocked P wave (i.e., a dropped QRS complex Ref Harrison 20th editi...
1
Constant PR interval
Normal QRS morphology
Regular atrial rhythm
Atrial rate more than ventricular rate
Medicine
C.V.S
8136966a-0466-49fe-a024-7bc232dda041
multi
In multibacillary leprosy the follow up examination after adequate treatment should'be done yearly for -
Ans. is 'c' i.e., 5 years Surveillance after treatment o Clinical surveillance of cases after completion of treatment is an impoant pa of the current recommendations for multidrug therapy. o It is essential for the assurance of long term success of treatment and for the early detection of any relapses. o The recommenda...
3
3 years
2 years
5 years
10 years
Social & Preventive Medicine
null
8ed03fe7-2d0b-47e7-a762-46897bfae3dd
single
Which of the following is the branch of forensic medicine which is a study of death in all its aspects?
Thanatology deals with death in all its aspects. It deals with scientific study of death, types of death, postmoem changes, and its medicolegal significance. The word "death" denotes the death of a human being (S.46, I.P.C.). Ref: The Essentials of Forensic Medicine and Toxicology, 27th edition, Page 119.
4
Trichology
Ornithology
Odontology
Thanatology
Forensic Medicine
null
498264db-c74f-427e-90a4-29cda58cf98f
multi
All are characteristic radiological features of cardiogenic pulmonary edema except:
Ans: D (Oligemia) Ref: Harrison's Principles of Internal Medicine 18th ed.Explanation:There are two basic types of pulmonary edema. One is cardiogenic edema caused by increased hydrostatic pulmonary capillary pressure.The other is termed non-cardiogenic pulmonary- edema, and is caused by either altered capillary membra...
4
Bilateral infiltrates
Cardiomegaly
Kerlev B lines
Oligemia
Radiology
Cardiac and Pericardiac Imaging
80d8b077-14dc-4277-a868-57a0482d5197
multi
Whipworm among the following is
Species Disease/Most affected Form/Transmission Diagnosis Treatment Trichuris trichiura WhipwormCecum, appendicitis, andrectal prolapse EggsIngested Barrel-shaped eggs with bipolar plugs in stools Albendazole Ref: Ananthanarayana textbook of Microbiology 9th edition Pgno : 172-175
2
Enterobius vermicularis
Trichuris trichiura
Necator americanus
Strongyloides stercoralis
Microbiology
parasitology
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A patient presented with headache and flushing He has a family history of his relative having died of a thyroid tumour. The investigation that would be required for this patient would be -
This patient is having MEN syndrome more specifically MEN type 2, which includes. Medullary carcinoma of thyroid and Pheochromocytoma Headache and flushing are manifestation of pheochromocytonia which can be diagnosed by measuring catecholamine level in urine or blood
3
Chest X-ray
Measurement of 5 HIAA.
Measurement of catecholamine
Intravenous pyelography
Surgery
null
0dc8f9c5-c3e6-44cf-9c53-31671a03c3d6
single
Which of the following statements about Cefepime is true
Refer Goodman Gilman 12th/1498 Cefepime is 4th generation cephalosporin with good activity against pseudomonas. It is given 8-12 hourly
1
It is a 4th generation cephalosporin
Once a day dosing is given
It is not active against pseudomonas
It is a prodrug
Pharmacology
Chemotherapy
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multi
Cri du chat syndrome involve:
Cri du chat (named after cry of infant like that of a cat) syndrome occurs due to deletion of short arm of chromosome 5. Mohan H. Textbook of pathology. Jaypee Brothers Medical Publishers; 2015. Edition 7. Page 254
4
Chromosome 13
Chromosome 18
Chromosome 22
Chromosome 5
Pathology
null
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single
A 32-year-old woman is found to have an empty sella.Which is the most common endocrine evaluation you would expect to find in this patient?
The empty sella syndrome is frequently encountered as the result of x-ray examination of the head for reasons other than suspected pituitary disease. It occurs commonly in obese multiparous women with hypeension. An incomplete diaphragm sella is thought to allow an arachnoid diveiculum containing cerebrospinal fluid to...
4
Hyperprolactinemia
ACTH deficiency
Hypogonadotropic hypogonadism and hyposmia
No abnormalities
Gynaecology & Obstetrics
null
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single
Treatment of chlamydia pneumonia is-
null
1
Erythromycin
Ceftriaxone
Penicillin
Sulphonamide
Medicine
null
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single
All are seen in chronic MS except-
The first hea sound (S 1 ) is usually accentuated and slightly delayed. The pulmonic component of the second hea sound (P 2 ) also is often accentuated, and the two components of the second hea sound (S 2 ) are closely split. The opening snap (OS) of the mitral valve is most readily audible in expiration at, or just me...
3
Mid diastolic murmur
Opening snap
S3
Loud S1
Medicine
C.V.S
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multi
Tandem bullet is?
Ans is 'b' i.e. Bullet not released on first fire but comes out with second bullet on second shot Tandem bullet (Piggey tail bullet)o It is called one-behind-other bullet because two bullets are ejected one after the other, when first bullet failed to leave the burrel and is ejected by subsequently fired bullet.o There...
2
Bullet which left for long in the body
Bullet not released on first fire but comes out with second bullet on second shot
Bullet that leaves a visible mark in path that a person can see
Bullet deviated from its path
Forensic Medicine
Death and Investigations
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single
Muscle of fascial expression, which is not supplied by facial nerve ?
Ans. is 'd' i.e., Levator palpebrae superioris Nerve supply of face Each half of the face is supplied by foueen nerves, one is motor and the rest are sensory. Motor supply is derived from facial (7") nerve which supplies all facial muscles except levator palpeprae sperioris, which is supplied by sympathetic fibers and ...
4
Orbicularis oris
Orbicularis oculi
Frontalis
Levator palpebrae superioris
Anatomy
null
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single
Which of the following is used as a thickening agent in dentifrices?
null
4
Calcium Carbonate, Calcium Phosphate and Calcium Sulphate
Sodium Bicarbonate, Aluminium Oxide
Sodium Lauryl Sulphate and Sodium Lauryl Succinate
Carboxymethyl Cellulose, alginate amylase
Dental
null
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single
Temporary and permanent hardness of water is removed by -
REMOVAL OF HARDNESS: Temporary hardness: Boiling Addition of lime Addition of sodium carbonate Permutit process (Na2 Al2 SiO2 H2O) Permanent hardness: Addition of sodium carbonate Base exchange process (permutit process) Park's Textbook of Preventive and Social Medicine, 25th edition, Page No. 787
3
Boiling
Addition of lime
Permutit method
All
Social & Preventive Medicine
Environment and health
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multi
All are true about Bullous keratopathy except ?
Ans. is 'a' i.e., Seen in Macular dystrophy Fuch's epithelial - endothelial dystrophy Fuch's dystrophy-slowly progressive bilateral condition affecting females more than males. Primary open angle glaucoma is associated with this condition. Stages and clinical features i) Stage of cornea guttata Hassal - Henle type of e...
1
Seen in Macular dystrophy
Treatment is lamellar keoplasty
Lenses can be prescribed for such patients
Seen in Fuch's dystrophy
Ophthalmology
null
04c9fc0c-747a-4138-a35c-411e3744b4f9
multi
Succinyl CoA is formed from which glucogenic acid ?
Ans. is 'c' i.e., Valine
3
Tyrosine
Phenylalanine
Valine
Proline
Biochemistry
null
68a0a138-c54b-4434-89dc-26502971639a
single
A middle-aged man presents with a lower jaw swelling. Clinically, there is expansion of the left ramus and the X-ray mandible shows soap bubble appearance. What is the clinical - diagnosis?
Ameloblastoma/Adamantinoma is a rare, benign or cancerous tumor of odontogenic epithelium (ameloblasts, or outside poion, of the teeth during development) much more commonly appearing in the lower jaw than the upper jaw. Diagnosis Ameloblastoma is tentatively diagnosed through radiographic examination and must be confi...
2
Keratocyst
Adamantinoma
Aneurysmal bone cyst
Odontogenic myxoma
Surgery
Head and neck
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multi
Cephalic index is for determination of -
Ans. is 'b' i.e., Race Race determination of skeletonCephalic Index (Cl)Cephalic index is defined as the index of breadth of skull.Max. breadth of skull ,Cephalic index = ------------------------------------------------------100Max. AP length of skullBased of cephalic index races are clasified into following threeDolic...
2
Sex
Race
Height
Weight
Forensic Medicine
Identification - Medicolegal aspects
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single
Fluorescent dye for ophthalmological diagnosis is injected in:
A i.e. Ante-cubital vein In Fluorscein angiography for diagnosis of ophthalmological diseases dye is injected through Cubital VeinQ
1
Antecubital vein
Popliteal vein
Femoral vein
Subclan vein
Ophthalmology
null
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single
Not a Cause of Salt & Pepper retinopathy
Salt and pepper retinopathy: Fundoscopic examination reveals granular, pigmentary mottling in the macula and periphery, with punctuate hypopigmentation & hyperpigmentation Causes of Salt & Pepper retinopathy * Congenital Syphilllis * Rubella * Thioridazine *Birdshot chorioretinopathy * Stargardt (rarely)
4
Congenital Syphilllis
Rubella
Thioridazine
Healed macular edema
Ophthalmology
Retina
4d4a763e-0d72-4a35-9df8-e6fb4a2d674f
single
Which of the following does not posses both DNA and RNA?
Ans. c. Virus
3
Bacteria
Fungus
Virus
Spirochete
Microbiology
null
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multi
Successful treatment of a Zenker diveiculum involves?
Treatment of Choice -Cricopharyngeal Myotomy + Diveiculoplexy (most common among elderly, diabetics for which Diveiculoplexy is a safer procedure) Other alternative procedures: - -Diveiculectomy (for larger diveicula's > 4cm) - Diveiculo-esophagostomy (aka Dohlman procedure) -performed endoscopically.
3
Diveiculopexy
Resection of the diveiculum
Either diveiculopexy or resection with cricopharyngeal myotomy
Observation
Surgery
Esophagus
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single
Pain along the medial aspect of the arm in a post-mastectomy patient is due to?
POST MASTECTOMY PAIN The breast, axilla and upper are innervated by a variety of nerves; the lateral cutaneous branch of T2 (intercostobrachial nerve), T3 and T4 provide innervation to the anterior chest wall and upper back, the torso and nipple. Sympathetic innervation of the cutaneous structures of the breast is pr...
2
Phantom breast pain
Intercostobrachial neuralgia
Neuroma pain
Other nerve injury pain
Surgery
null
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single
First immunoglobin to appear following infection:
IgM
2
IgG
IgM
IgA
IgE
Microbiology
null
add77709-1c73-4b15-9e18-9ca689c6558a
single
Ridley-Jopling classification includes all except:
Ans: D (Neuritic) Ref: Thappa, Essentials in Dermatology. 1st ed. Pg 236Explanation:Ridley and Jopling classified leprosy taking into account the immunological and histopathological basis in addition to clinical and bacteriological findings.ClassificationTuberculoid Tuberculoid (TT)Borderline T uberculoid (BT)Borderlin...
4
Lepromaious leprosy
Borderline borderline
Tuberculoid
Neuritic
Skin
C. Mycobacteria
04875fb5-2297-4445-a418-72d975fcaca7
multi
When an intervention is applied to community to evaluate its usefulness, it is termed as a trial for-
.
1
Efficacy
Effectiveness
Efficiency
Effect modification
Social & Preventive Medicine
Biostatistics
c8ec8c08-7b7e-475b-a61d-472c54c86151
single
Hepatitis D virus (delta agent) is a defective virus that can replicate only in cells already infected with which of the following viruses?
Hepatitis D virus is a defective virus with an RNA genome and a hepatitis B surface antigen envelope. Two types of HDV infection occur: simultaneous HDV and HBV infection, or HDV superinfection with chronic HBV infection. Diagnosis is made by demonstrating IgM or IgG antibodies, or both.
4
Hepatitis A virus
Epstein-Barr virus
Hepatitis G virus
Hepatitis B virus
Microbiology
Virology
f3306c88-eca4-4fc3-ae94-8d536d2464df
single
All are seen in D.I.C except:
DIC: Findings include the prolongation of PT and/or aPTT; platelet counts <100,000/mL3. The presence of schistocytes (fragmented red cells) in the blood smear with elevated levels of FDP is diagnostic of DIC. Fibrinogen can be decreased or normal but NEVER increased in cases of DIC.
1
Hyperfibrinogenemia
Increase fibrin degradation products
Prolonged PT
Increased APTT
Medicine
Platelet & Coagulation disorders
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multi
All of the following will produce conductive hearing loss except
Otosclerosis, serous otitis media, suppurative otitis media come under acquired causes of conductive hearing loss Endolymphatic hydrops which is Meniere's disease is associated with sensorineural deafness. Ref: Dhingra 7e pg 32,34.
3
Otosclerosis
Serous otitis media
Endolymphatic Hydrops
Suppurative otitis media
ENT
Ear
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multi
In area having annual parasite index of less than 2, the following is to be done -
Park's textbook of preventive and social medicine 23rd edition. *API is a sophisticated measure of malaria incidence in a community. It is based on intensive active and passive surveillance and cases are confirmed by blood examination.
4
Passive surveillance only
2 rounds of DDT yearly
Entomological surveillance
All positive cases blood smear to be done monthly
Social & Preventive Medicine
Health programmes in India
7ccfb229-8d02-4a2b-ad16-45502e7cce5b
multi
Best prognosis amongst the following histological variants of breast carcinoma is seen with -
.
2
Intraductal
Colloid (mucinous)
Lobular
Medullary
Anatomy
General anatomy
eda78251-1567-4d6d-abd7-ff624941415c
single
Following statement is true concerning Galactorrhea except:-
All the patients with Hyperprolactinemia do not present with Galactorrhoea Elevations in prolactin may cause Amenorrhea or Galactorrhea or both Normal Prolactin levels Males: 2-20 ng/mL Females (non-pregnant): 2-30 ng/mL Pregnant females: 10-200 ng/mL Galactorrhea , secondary to hyperprolactinemia, is associated with A...
4
Serum prolactin (PRL) is usually above 25-30 ng/ml
Prolactin is the most impoant hormone involved in pathophysiology of Amenorrhoea-Galactorrhea syndrome
Associated with menstrual disturbances & infeility
Amenorrhea with hyperprolactinemia always accompanies Galactorrhea
Gynaecology & Obstetrics
Polycystic Ovarian Syndrome
637d12fc-0bcd-4cb6-b5bd-71e550f0e69d
multi
Pheochromocytoma is usually associated with: September 2007
Ans. C: Neurofibromatosis Pheochromocytoma linked to MEN II ca be caused by RET oncogene mutations. Both syndromes are characterized by pheochromocytoma as well as thyroid cancer (thyroid medullary carcinoma). MEN IIA also presents with hyperparathyroidism, while MEN IIB also presents with mucosal neuroma. Pheochromocy...
3
Pancreatic exocrine carcinoma
Astrocytoma
Neurofibromatosis
Neuroblastoma
Pathology
null
3fe8c275-dfd3-49be-9adc-e102917b0666
multi
What is the embryolgical remnant of median umbilical ligament?
Median umbilical ligament is a remnant of urachus If patent urachus in adults, urine dribbles from umbilicus known as wheeping umbilicus
1
Urachus
Allantois
Amnion
Yolk sac
Anatomy
General anatomy
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multi
Another name for oral thrush is ?
Ans. is 'a' i.e., Candidiasis Oral thrush Also called: oral candidiasis It is the fungal infection of the oral cavity. It is caused by candida albicans. It manifests as greyish white patches on the oral mucosa and tongue.\\When wiped off it leaves an erythematous mucosa. This is more common in infants and children. Adu...
1
Candidiasis
Herpangina
Vincent's infection
Hand foot and mouth disease
ENT
null
73642435-022f-4008-867c-22e392c5f126
single
Drug of choice for treatment of CML is:
Answer is A (Imatinib) The drug of choice for drug treatment of CML is Imatinib mesylate.
1
Imatinib
Hydroxyurea
IFN-Alfa
Infliximab
Medicine
null
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single
Marker of Chronic Kidney disease
Others: Liver type Fatty acid Binding protein.
4
NGAL
Kim - 1
Asymmetric Dimethylarginine
All of the above
Medicine
null
d8df36dd-24af-4a2c-b7eb-1d48dce83b82
multi
A 30 year old pregnant woman devolopes tuberculosis. Which of the following antitubercular drugs should not be used -
Ans. is 'c' i.e., Streptomycin o Streptomycin is an aminoglycoside antibiotic contraindicated in pregnancy due to risk of fetal ototoxicity. o Recommended treatment in pregnancy is (2HRZ + 4HR) for 6 months by WHO and British Thoracic Society. o Ethambutol can be added during late but not early pregnancy. o In India, t...
3
INH
Rifampicin
Streptomycin
Ethambutol
Pharmacology
null
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single
A young female presents with history of dyspnea on exertion. On examination, she has wide, fixed split S2 with ejection systolic murmur (III/VI) in left second intercostal space. Her ECG shows left axis deviation. The most probable diagnosis is:
c. Ostium primum atrial septal defect(Ref: Nelson's 20/e p 2189, Ghai 8/e p 413)Wide fixed splitting of S2 in association with ejection systolic murmur suggests the diagnosis of atrial septal defectThe presence of left axis deviation in A.S.D., suggests ostium primum type of defect.
3
Total anomalous pulmonary venous drainage
Tricuspid atresia
Ostium primum atrial septal defect
Ventricular septal defect with pulmonary arterial hypertension
Pediatrics
C.V.S.
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single
Lowe's syndrome is characterised by the following except-
Ans. is 'b' i.e., Undescendended testes Lowe's syndrome It is also known as oculocerebrorenal syndrome of Lowe. o It is X-linked disorder. It is characterized by : i) Congenital cataract ii) Mental retardation iii) Fanconi syndrome --> Aminoacidurina o The disease is caused by mutation in the OCRL1 gene, which encodes ...
2
Hypophosphatamic rickets
Undescended testes
Defect in the CNS and eyes
Aminoaciduria
Pediatrics
null
8d5efc6b-fed6-45b9-996b-e0b80ae98abf
multi
Lowest projection of ligamentum denticulatum lies at which level -
Ans. is 'b' i.e., T12 L1 "The last of the dentate ligament lies between the exiting twelfth thoracic and first lumbar spinal nerves " -- Gray s Ligamentum denticulatumo Running longitudinally along each lateral margin of the spinal cord there is a thickening of piamater that projects laterally.o This thickening is the ...
2
T9 T10
T12 L1
S2 S3
S4 S4
Anatomy
Misc.
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single
Manifestations of endemic cretinism include:
c. Strabismus and spastic diplegias(Ref: Nelson's 20/e p 2669-2773, Ghai 8/e p 516-521)The term endemic cretinism includes two different overlapping syndromes: Neurologic and Myxedematous.In Neurological Cretinism, there is goiter, but the child is euthyroid; Deaf mutism, squint and cerebral diplegia are usually presen...
3
Deafness and facial nerve involvement
Blindness and hypothyroidism
Strabismus and spastic diplegias
Multinodular goitre and mental retardation
Pediatrics
Endocrinology
c8611e7e-3b34-41f4-8828-d1d6152d6cb1
single
Which of the following is seen in Seropositive Rheumatoid Arthritis?
(D) All of the above[?]Rheumatoid arthritis (RA) is a chronic inflammatory disease of unknown etiology marked by a symmetric, peripheral polyarthritis.It is the most common form of chronic inflammatory arthritis & often results in joint damage and physical disability.Because it is a systemic disease, RA may result in a...
4
Multiple joints affected
Symmetrical joint symptoms
Morning stiffness, joint pain and swelling
All of the above
Orthopaedics
Arthritis
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multi
Which of the following is the rationale to perform a spinal tap on a newly diagnosed client with leukemia?
B: A spinal tap can determine if leukemia has infiltrated to the cerebral spinal fluid (CSF). A: A spinal tap can be done to rule out bacterial meningitis but this is not the reason for the test on a client with leukemia. C&D: Spinal tap is not done to identify the classification of leukemia and to decrease intracrania...
2
To rule out bacterial meningitis
To check if leukemia has spread to the cerebral spinal fluid
To classify the type of leukemia
To lower the pressure in the brain
Pathology
null
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single
A drug X has affinity to bind with albumin and Y has 150 times more affinity to bind with albumin than X. TRUE statement is :
Ans. is 'a' Drug X will be available more in tissues In the question drug X has 150 times lower affinity to bind with albumin than drug Y and it is clearly given in the book that highly plasma protein bound drugs are largely restricted to the vascular compartment and tends to have lower volume of distribution. So it is...
1
Drug X will available more in tissues
Drug Y will be more available in tissues
Free cone, of drug X in blood will me more
Toxicity of Y will be more
Pharmacology
Pharmacokinetics
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multi
Runt disease is due to
Runt disease is graft versus host disease produced experimentally in Laboratory animals.
2
Hypogammaglobulinemia
GVHD
Autoimmunity
Immunosuppression
Microbiology
null
a589dde8-a0de-4027-8e99-021821c4ecdf
single
All decrease CO2 absorption in circuit except
A i.e. Resistance in circuit 3 times of minute volumeQ volumeQ " v:shapes="_x0000_s1027">CO2 absorbers increase circuit resistanceQ. Granule size is a compromise between high resistance & high absorptive surface area of small granules and lower resistance to gas & lesser absorptive surface area of larger granules (d/t ...
1
Resistance in circuit
Flow
Dead Space
Tidal Volume
Anaesthesia
null
a8cbffb4-a41f-4132-908f-8507078c325c
multi
All of the .following are, true about multiple myeloma except -
null
2
Osteolytic bone disease
t (18-14) translocation
Light chain proliferation
Bence-Jones proteins in urine
Medicine
null
13ea5957-cee4-4f06-ae99-0dea7fa8fa14
multi
The total volume of CSF is :
C i.e 150 ml
3
50 ml
100m1
150 ml
275 ml
Physiology
null
d1c6b9ed-c142-4f1f-b616-a81c8ec6cc54
single
Cause of death in breech delivery
Ans. is a i.e. Intracranial hemorrhage Intracraniai hemorrhage is the most common cause of fetal loss. occurs due to tear of tentorium cere.belli and falx cerebri. It is caused by traumatic delivery of the after coming head of breech or too rapid delivery of the soft head of a premature baby.
1
lntracranial hemorrhage
Aspiration
Atlanto axial dislocation
Asphyxia
Gynaecology & Obstetrics
null
14770f5e-a613-41c0-b7f5-4f6aeb92a11e
single
Which of these is true regarding CML :
Answer is A (Size of splenomegaly indicates prognosis) Splenomegaly or size of enlarged spleen is used as a prognostic indicator in CML as pa of the 'Sokal index'. Sokal index: Prognosis in CML -- % of Circulating blasts Spleen size Platelet count Age Cytogenetic clonal evaluation In CML, the dominant cell lines in the...
1
Size of splenomegaly indicates prognosis
Phagocytic activity of WBC is reduced
Sudan black stain is specific for myeloblast
Myeloblast, granuloblast and lymphoblast become PH chromosome +ve. -ve following remission
Medicine
null
de84c523-759f-4bd4-9ab0-fb522f99b8bb
multi
Best result in tuboplasty are seen in :
Isthmic - Isthmic type
1
Isthmic - Isthmic type
Isthmic - ampullary type
Cornual implantation
Removal of hydrosalpinx
Gynaecology & Obstetrics
null
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single