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Isotope used in RAIU –
RAIU stands for radioactive iodine uptake. It is a thyroid imaging method that measures the fraction of orally administered iodine isotope taken up by thyroid. 1123 is the agent of choice for RAIU.
2
I131
I123
I125
I127
Radiology
null
bc13b90b-b08a-4ec3-9512-1fd41bf29278
single
Dalen Fuch's nodules are seen in:
Sympathetic ophthalmia
1
Sympathetic ophthalmia
Phthisis bulbi
Absolute glaucoma
Pseudo xanthoma elasticum
Ophthalmology
null
6444e436-c6e3-47d1-b42e-07dc42e3ed6b
single
A 35-year-old man is admitted after severing his arm on industrial machinery. His airway is patent and there is no identifiable hindrance to breathing. Hispulse is 110 beats/min, blood pressure is 130/105 mmHg, and respiratory rate is 25 breaths/min. Which stage of shock is this patient in?
The following table illustrates the clinical signs of the different stages of hypovolaemic shock. Class I Class II Class III Class IV Percent blood loss Up to 15 15-30 30-40 >40 Pulse rate <100 >100 >120 >140 Blood pressure Normal Normal | | Pulse pressure Normal | | | Respiratory rate 14-20 20-30 30-40 >35 Urine outpu...
2
Class I
Class II
Class III
Class IV
Surgery
Shock
e91dfedb-2097-484c-a09f-8be8bb1989c5
single
True about point source epidemic is?
Common source single exposure epidemics is also known as point source epidemic. The exposure to the disease agent is brief and essentially simultaneous, the resultant cases all develop within one incubation period of the disease. Ref: 25th edition, Park's Textbook of Preventive and Social Medicine, Page no. 72
2
Occurs in more than 1 incubation period
Occurs in one incubation period
The exposure is continuous
Epidemic curve falls very slowly
Social & Preventive Medicine
Epidemiology
77347b61-64a9-408a-a09b-378facc62c5c
multi
Ichthyosis is caused by –
Syndromal ichthyosis (ichthyosis with additional characteristics) is seen in carvaj al syndrome, CHILD syndrome, Daffier 's disease, Refsum disease, Rud syndrome, Netherton syndrome, Neutral lipid storage disease, Tey syndrome, Senter syndrome.
2
Hemosiderosis
Refsum disease
Niacin deficiency
Steven johnson syndrome
Dental
null
f5cf8f88-7b73-4677-8f72-d68e184d569d
single
Herd immunity provides protection to -
Ans. is 'b' i.e., Non-immunized person Herd immunity It is the level of resistance of a community or group of people to a paicular disease. It occurs when the vaccination of a poion of the population (or herd) provides protection to unprotected (non-vaccinated) individuals. How does herd immunity provide protection to ...
2
Immunized persons
Non immunized persons
Both
None
Social & Preventive Medicine
null
ee19b137-ca0b-48a3-97be-53f9f1bef194
multi
Maximum permissible radiation dose in pregnancy is –
Maximum permissible dose in pregnancy is 5 mSv (0.5 rem).  Rem = Rad x Quality factor. Main radiation exposure during pregnancy can be by X-rays (radiography or CT), and the quality factor of X-rays is 1.  That means Rem = Rad. Therefore, the maximum permissible dose in pregnancy is 0.5 rem or 0.5 rad.
1
0.5 rad
1.0 rad
1.5 rad
2 rad
Radiology
null
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single
What is the appearance of the RBCs on the peripheral smear in physiological anaemia of the pregnancy?
Physiological anemia is due to hemodilution. Peripheral smear will be normocytic and normochromic, which is not to be confused with Iron deficiency Anemia & thalassemia where the women have microcytic hypochromic anemia
3
Microcytic and Hypochromic
Macrocytic and Hyperchromic
Normocytic and Normochromic
Microcytic and Normochromic
Gynaecology & Obstetrics
Anaemia in Pregnancy
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Which of the following is related to floor of middle ear -
Ans. is 'c' i.e., Internal jugular vein o The middle ear is shaped like a cube.o When seen in the coronal section, the cavity of the middle ear is biconcave,o The boundaries of the middle ear are as follows :I Roof or tegmental wallo Separates the middle ear from the middle cranial cavity,o It is formed by a thin plate...
3
Round window
Internal carotid artery
Internal jugular vein
Tegmen tympani
Anatomy
Ear
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single
A patient was admitted epidural anaesthesia with 15 ml of 1.5%. Lignocaine with adrenaline for hernia surgery. He devoled hypotension and respiratory depression within 3 minutes after administration of block. The most common cause would be –
Hypotension and respiratory depression after epidural anesthesia suggest high spinal anesthesia. High spinal anesthesia, i.e. spinal anesthesia ascending into the cervical levels, can occur following attempted epidural / caudal anesthesia if there is inadverent intrathecal injection. High spinal anesthesia causes sever...
4
Allergy to drug administered
Systemic toxicity to drug administered
Patient got vasovagal shock
Drug has entered the subarachnoid space
Anaesthesia
null
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multi
The investigation of choice to detect a prolapsed intervertebral disc is?
Ans. is 'b' i.e., MRI MRI is the investigation of choice for P1D because it shows the following structures clearlyo Prolapse of disco Compression of cordo Any problems with the discs above and belowo Canal Stneosiso Associated features like Ligamentum flavum hypertrophy and facetal arthropathy
2
C T Scan
MRI
Myelography
Radiograph
Orthopaedics
Thoracic and Lumbosacral Spine Injuries
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Skip lesions are seen in:
Ans is 'b' i.e. Crohn's disease FeaturesUlcerative colitisCrohn's ds* Rectal involvement in > 50%> 90%*Rectum spared* Distribution of lesionsContinuous*Skip lesions** Mucosal appearanceFriable, diffusely involvedCobblestone*appearance* Ileal diseaseRare (backwash ileitis)Common* Perianal abcess, fistulasRareCommon* Int...
2
Ulcerative colitis
Crohn's disease
Typhoid
Tuberculosis
Surgery
Small Intestine - Crohn's Disease
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Baholin's cyst is caused by :
Ans. is c i.e. Gonococcus Baholin cyst It is the commonest cyst of the vulva.deg The cyst represents dilatation of Baholin glanddeg / duct as a result of fibrosis which follows either infection or trauma. It was formerly believed that the infection was invariably Gonococcaldeg but almost any organism can be responsible...
3
Candida
Anaerobes
Gonococcus
Trichomonas
Gynaecology & Obstetrics
null
a26b4f9d-9550-4335-a042-b2f5eab00f0e
single
In delirium tremens all of the following statements are TRUE, EXCEPT:
Delirium tremens is the most serious alcohol withdrawal syndrome which begins 3 to 5 days after cessation of drinking and lasts for up to 72 hours. Patients are usually confused and agitated. Other characteristic features includes fever, sweating, tachycardia, hypeension, and hallucinations. Death can result from conco...
4
Gross tremor
Seen in alcoholic withdrawal
Fits may occur
Clear orientation
Psychiatry
null
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multi
In chronic arsenic poisoning the following samples can be sent for laboratory examination,except -
Arsenic is rapidly cleared from the blood and is distributed to various organs and tissues, where it is detectable for prolonged periods. Blood sample is thus of use only in a case of acute poisoning, but not in chronic poisoning. In chronic poisoning arsenic is found in hair, nails, bones, skin etc. and its detection ...
4
Nail clippings
Hair samples
Bone biopsy
Blood sample
Forensic Medicine
null
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Dangerous area of scalp is -
Ans. is 'c' i.e., Subaponeurotic tissueo The scalp is soft tissue which covers the calvaria of skull. It consists of five layers and can be memorised by a mnemonic using the initial letters of the word. SCALPa) Skinb) Close network of connective tissue (superficial fascia)c) Aponeurosis (galea aponeurotica) with occipi...
3
Superficialfacia
Aponeurosis
Subaponeurotic tissue
Pericranium
Anatomy
Scalp Face & Temple
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Reservoir of tetanus bacilli is
Ans. b (Soil). (Ref. Ananthanarayan, Microbiology, 4th/pg.245)TETANUS# Caused by Clostridium tetani# Seen following deep or penetrating wound in relatively avascular areas# More prevalent in developing countries# Seen in neonate (tetanus neonaturum) following the use of cow dung on the umbilicus# Microbiology- Gram-pos...
2
Human
Soil
Water
Hospital waste
Microbiology
Clostridium
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single
Which local anesthetic has a shoer duration of action?
Procaine has least duration among the following. Procaine,Bencocaine,chlorprocaine all of them are sho acting LA. <img class="fr-fic fr-dib" style="width: 300px;" src=" />Ref: Katzung 13e pg: 443
2
Lidocaine
Procaine
Bupivacaine
Ropivacaine
Pharmacology
Anesthesia
228c7caa-eb0f-4fd1-9fdd-faf6f6a72d9e
single
What is the risk of an affected individual transmitting an autosomal dominant disease to his/her offspring?
a. 50%(Ref: Nelson's 20/e p 593, Ghai 8/e p 641)
1
50%
100%
25%
60%
Pediatrics
Genetics And Genetic Disorders
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single
Duplex ultrasonography combines:
Ans. B. B-mode imaging and pulse-wave doppler examinationAn objective assessment of the severity of disease is obtained by noninvasive techniques. These include digital pulse volume recordings, doppler flow velocity waveform analysis, duplex ultrasonography (which combines b-mode imaging and pulse-wave doppler examinat...
2
A-mode imaging and pulse-wave Doppler examination
B-mode imaging and pulse-wave Doppler examination
M-mode imaging and power Doppler examination
M-mode imaging and waveform analysis
Radiology
Miscellaneous
15233f25-3c48-417e-8344-5be8365dc510
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Roll back malaria included all except -
Insecticides nets, Strengthening health system, Develop new insecticide,. REF. PARK'S TEXTBOOK OF PREVENTIVE AND SOCIAL MEDICINE 21ST EDITION. PAGE NO - 243
4
Insecticides nets
Strengthening health system
Develop new insecticide
Training health workers
Social & Preventive Medicine
Communicable diseases
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multi
Perinatal prevention of mother to child, which of the following steps are useful –
null
4
Elective Caesarian section
Avoid breast feeding
ART prophylaxis
All of these
Pediatrics
null
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multi
Charcot&;s triad Except
Seen in ascending cholangitis, stone in the CBD due to impaction causes obstruction and stasis. obstruction causes jaundice and pain, stasis leads to infection, bacteremia and fever Reference SRB edition: 5 page:651
4
Pain
Fever
Jaundice
Anaemia
Surgery
G.I.T
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multi
Nasal swabs preserved in -
Ans- C. Ref- Textbook of Forensic Medicine and Toxicology, Fifth Edition - Krishan Vij Explanation - Cocaine can be recovered by sampling from recent injection sites, or by swabs from the nasal mucosa. Brain is an excellent source for its detection where cocaine may be found not only in dopamine-rich areas such as caud...
3
Drowning
Anaphylaxis
Cocaine poisoning
None
Forensic Medicine
Forensic Toxicology - Concepts, Statutes, Evidence, and Techniques
cfd372d5-768e-4263-af02-709bf463901d
multi
Who are NOT benificaiaries of ICDS scheme -
parks textbook of preventive and social medicine 23rd edition * major beneficiaries of ICDS are pregnant women,nursing mothers,other women 15-45years,children less than 3years,children in age group 3-6years,adolescent girls11-18years.
2
Adoslescent females
School going children
Pregnant females
Lactating females
Social & Preventive Medicine
obstetrics,pediatrics and geriatrics
5a1522e2-e76c-4743-9bc9-c0be1c6a6d9f
single
Which of the following is the best method for radiation protection of the operator?
Operators of radiographic equipment should use barrier protection when possible, and barriers should contain a leaded glass window to enable the operator to view the patient during exposure. When shielding is not possible, the operator should stand at least two meters from the tube head and out of the path of the prima...
1
Standing behind a lead barrier
Wearing a lead apron
Following the "position and distance" rule
Standing 6 feet away from the X-ray tube during exposure
Radiology
null
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PPIs are use used in
Ans. is'd'i.e., All of the above PPI are the DOC for peptic ulcer (gastric or duodenal), GERD, ZE syndrome, prevention of aspiration pneumonia and NSAID induced gastric / duodenal ulcers. Note - PGEI analogue (Misoprostol) is specific drug for prevention and treatment of NSAID induced ulcer, but DOC is PPI.
4
ZE syndrome
NSAIDs induced peptic ulcer
Gastroesophageal reflux
All of the above
Pharmacology
null
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multi
Treatment of choice for endogenous depression with suicidal tendency -
null
3
Lithium
Chlorpromazine
ECT
Psychoanalysis
Psychiatry
null
80ad821e-76dd-4b14-a138-f1bbf48c0c1c
single
True about nenatal necrotizing enterocolitis ?
Ans. is d i.e., All of the above Neonatal necrotizing enterocolitis Neonatal necrotizing enterocolitis is the most common life threatening emergency of gastrointestinal tract in the new born period. o The disease is characterized by various degree of mucosal or transmural necrosis of the intestine. o It occurs in prema...
4
Abdominal distension
Pneumoperitoneum
Decreased bowel sounds
All of the above
Pediatrics
null
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multi
When do we have to sta antibiotics to prevent post-operative infection?
Ans. is 'd' i.e., 1 hour before surgery & continue after surgery Prophylactic antibiotics are administered before the skin incision is made. Repeat dosing occurs at an appropriate interval, usually 3 hours for abdominal cases or twice the half-life of the antibiotic. Perioperative antibiotic prophylaxis generally is no...
4
2 days before surgery
After surgery
1 week before surgery
1 hour before surgery & continue after surgery
Surgery
null
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single
Succinyl CoA is formed by all except ?
Histidine, proline, glutamine, arginineGlutamatea a-ketoglutaratelsoleucine, methionine, valineSuccinyl CoATyrosine, phenylalanineFumarateTryptophanAlanine a PyruvateHydroxyproline, serine, cysteine, threonine, glycinePyruvate
1
Proline
Isoleucine
Methionine
Valine
Biochemistry
null
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multi
Causes of female pseudohermaphroditism –
Ambiguous genitalia (Hermaphroditism) Ambiguous genitalia is defined as a discrepancy between the external genitals and internal gonads. They can be categorized : - Female pseudohermaphroditism Male pseudohermaphroditism True hermaphroditism Female pseudohermaphroditism. Genotype is XX Gonads are ovaries External ...
2
17–alpha hydroxylase deficiency
21–alpha hydroxylase deficiency
Mixed gonadal dysgenesis
All of the above
Pediatrics
null
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multi
A patient of multiple myeloma presents with bony lesions. What is the best marker for prognosis of the disease -
null
3
Bone marrow plasma cell
Serum calcium level
Beta 2 microglobulin
Beta microglobulin
Medicine
null
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single
All are tests for sperm except -
Luminol test is used for blood stain (luminol spray).  Florence test, barberio's test and acid phosphatase test are used for semen.
2
Florence test
Luminol test
Barberio test
Acid phosphatase
Forensic Medicine
null
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multi
All of the following statements about Xanthogranulomatous inflammation are true, except:
Tuberculosis is usually associated with caseating granulomatosis. Xanthogranulomatous inflammation is not seen in tuberculosis. Ref: Robbins pathologic basis of disease 6th edn/page 977.
4
Foam cells are seen
Yellow nodules are seen
Multinucleated Giant cells are seen
Assoicated with Tuberculosis
Pathology
null
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multi
Which of the following has the worst prognosis
null
2
Cholecystectomy
Splencetomy
Nephrectomy
Appendicetomy
Medicine
null
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single
Single pelvic ala is present in:
Ans. B. Naegele's pelvisNaegele's pelvis - Ala on one side is absenta. Robert's pelvis - Ala on both sides are absentb. Osteomalacic pelvis - the shape of inlet is triradiatec. Rachitic pelvis - shape of inlet is reniformd. The expected date of delivery can be calculated by Naegele's rule
2
Robert's pelvis
Naegele' s pelvis
Osteomalacia pelvis
Rickets pelvis
Gynaecology & Obstetrics
Contracted Pelvis
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Skin scrapping & KOH mounting is done for ?
Ans. is 'c' i.e., Fungus Laboratory diagnosis of fungal infection Laboratory diagnosis of fungal infection depends on : ? l. Recognition of the pathogen in tissue microscopy : - Tissue specimens, such as skin scraping, are generally examined as wet mounts after treatment with 10% KOH. KOH (alkali) digests cells and oth...
3
Leprosy
Varicella
Fungus
HSV
Skin
null
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Dermatophytes can affect: March 2012
Ans: D i.e. All of the above Three genera of dermatophytes infect skin and appendages: Trichophyton (skin, hairs and nails), Microsporum (skin and hairs) and Epidermophyton (skin and nails)
4
Hair
Nail
Scalp
All of the above
Skin
null
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multi
Bradykinin causes:
Bradykinin acts in the early stage of inflammation and its effects include: Smooth muscle contraction Vasodilatation Increased vascular permeability Pain. Mohan H. Textbook of pathology. Jaypee Brothers Medical Publishers; 2015. Page: 126
2
Vasoconstriction
Pain at the site of inflammation
Bronchodilation
Decreased vascular permeability
Microbiology
null
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single
Which of the following is Autosomal Dominant:
Answer A (Retinoblastoma) : Retinoblastoma presents dominant inheritance with variable penetrance
1
Retinoblastoma
Ataxia telangiectasia
Bloom's syndrome
Xeroderma pigmentosa
Medicine
null
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single
True statement about Ribozyme
The substrate for ribozymes is often an RNA molecule, and it may even be pa of the ribozyme itself Ribozymes vary greatly in size. A self-splicing group I intron may have more than 400 nucleotides. The hammerhead ribozyme consists of two RNA strands with only 41 nucleotides in all. As with protein enzymes, the three-di...
1
RNA molecular that acts catalytically to change itself or another RNA molecule
t-RNA
m-RNA
Ribosome
Anatomy
All India exam
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multi
Majority of patients with HNPCC have mutations in ?
Ans. is 'b' i.e., MSH 2 Hereditary Nonpolyposis colorectal cancer (HNPCC) is caused by inherited mutations in genes that encode proteins responsible for the detection, excision, and repair of errors that occur during DNA replication.
2
MSH I
MSH 2
MSH3
MSH4
Pathology
null
7db5f54f-335a-4352-8ae0-824723afa52b
single
One year old male child with cat\'s eye reflex and raised IOT –
Leukocoria with raised IOT is characteristic of retinoblastoma.
3
Toxplasma gondii infection
Toxcara canis
Retinoblastoma
Retinopathy of prematurity
Ophthalmology
null
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All of the following drugs are used for treatment of hyperkalaemia, EXCEPT:
Beta agonists are used for shifting potassium into the cells in patients with hyperkalemia with ECG changes. Drugs used to treat hyperkalemia in patients with ECG changes are: Intravenous calcium gluconate (stabilize cardiac membrane) IV insulin, beta 2 agonists, IV NaHCO3 (shift potassium into cells) Methods of potass...
4
Calcium gluconate
Sodium bicarbonate
Intravenous infusion of glucose with insulin
Beta blockers
Medicine
null
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Haverhill fever is caused by ?
Ans. is 'b' i.e., Streptobacillus moniliformis Streptobacillus moniliformis causes rat-bite fever in humans.It enters the body through the wound caused by the rat bite.The infection also occurs by the ingestion of water, milk or food contaminated with rat excreta. In these cases, the infection is known as 'Haverhill fe...
2
Baonella henselae
Streptobacillus moniliformis
Eikenella corrodens
Coccidioides
Microbiology
null
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Primordial germ cells originate in the
Primordial germ cells originate in the epiblast Primordial germ cells (PGCs), also known as primitive sex cells originate in the epiblast at the caudal end of the primitive streak. PGCs are the precursors of gametes in both genders. PGCs arise in the epiblast during the 2nd week of development. They pass through the pr...
2
Gonads at the 4th week of embryonic develpment
Epiblast at 2nd week of embryonic development
Gonads at 2nd month of embryonic development
Yolk sac at 4th week of embryonic development
Anatomy
All India exam
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single
Which bacteria is known as pfeiffer's bacillus
H influenzae - pfeiffer's bacillus M pneumoniae - Eaton's agent B pseudomallei - Whitmore bacillus.
1
Hemophilus Influenzae
Mycoplasma pneumoniae
Burkholderia pseudomallei
Hemophilus aegyptius
Microbiology
null
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multi
Lutembacker syndrome includes all except-
Ans. is 'c' i.e., VSD * Lutembacher syndrome is defined as a combination of mitral stenosis and a left-to-right shunt at the atrial level.* Typically, the left-to-right shunt is an atrial septal defect (ASD) of the ostium secundum variety.
3
Mitral stenosis
ASD
VSD
Left to right shunt
Pediatrics
C.V.S.
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multi
Which of the following drug is used postop to reverse the effect of heparin used intraoperatively in cardiac surgery?
Ans. is 'a' i.e., Protamine sulfate Protamine Sulfate* It is a strongly basic, low molecular weight protein obtained from the sperm of certain fish.* Given i.v.it neutralises heparin weight for weight, i.e. 1 mg is needed for every 100 U of heparin.* For the treatment of heparin induced bleeding, due consideration must...
1
Protamine sulfate
Vitamin K
Tranexamic acid
Factor VIII concentrate
Pharmacology
Hematology
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single
An infant presents with irritability, increased tone of extremities and recurrent seizures. Tissue examination reveals globoid cells in parenchyma around blood vessels. What is the most probable diagnosis?
(Refer: Nelson’ss textbook of pediatrics, 19th edition, pg no: 2071-2072) Krabbe disease (KD)/globoid cell leukodystrophy Autosomal recessive neurodegenerative disorder. Characterized by severe myelin loss and the presence of globoid bodies in the white matter. Deficiency of lysosomal enzyme galactocerebroside β- gala...
2
Taysach’s disease
Krabbe disease
Adrenoleukodystrophy
Kanavan’s disease
Unknown
null
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single
Which of the following antibodies is most frequently seen in Antiphospholipid Syndrome ?
Anti- beta 2 glycoprotein antibodies are the most frequently observed antibodies in patient with APLA syndrome amongst the options provided
4
Beta 2 microglobulin antibody
Anti-nuclear antibody
Anti-centromere antibody
Anti- beta 2 glycoprotein antibody
Pathology
null
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In extra amniotic 2nd trimester medicolegal termination of pregnancy, which of the following is used?
Ans. is a, i.e. Ethacrydine lactateRef. Dutta Obs. 7/e, p 173Ethacridine lactate is drug of choice for extra-amniotic instillationAvailable as injection Emcredil (0.1%)Foleys catheter is introduced into extra-amniotic or extraovular space and bulb is inflated by 10-20 ml of Ethacridine solution.Dose is calculated as 10...
1
Ethacrydine lactate
Prostaglandin
Hypertonic saline
Glucose
Gynaecology & Obstetrics
Abortion
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Advantage of LSCS are all EXCEPT:
Lateral extension REF: Dutta 6th ed p. 595 ADVATNAGES OF LSCS Less blood loss Perfect apposition Less peritoneal infections Less morbid Better apposition of margins Minimal wound hematoma Less chance of gutter formation Lateral extension of the incision leading to hemorrhage is a complication or disadvantage of LSCS
1
Lateral extension
Less blood loss
Minimal wound hematoma
Less chance of gutter formation
Gynaecology & Obstetrics
null
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multi
A 48 year old woman presented with self inflicted injuries, auditory hallucinations, and delusional disorder. A routine MRI revealed a tumor invloving the posterior limb of the internal capsule and the structure medial to it. Which of the following structures are likely to be affected?
The thalamus lies medial to the posterior limb of the internal capsule. The internal capsule seperates the thalamus and the caudate nucleus from the lentiform nucleus (globus pallidus+ putamen). It is V-shaped in horizontal section and is divided into the anterior limb, genu, posterior limb, retrolenticular pa, and sub...
3
Globus pallidus
Putamen
Thalamus
Caudate nucleus
Anatomy
Brain
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multi
An infant present with bilateral white pupillary reflex. On slit lamp examination a zone of opacity is observed around the fetal nucleus with spoke like radial opacities. The most likely diagnosis is:
Ans. Lamellar cataract
2
Cataracto Centralis Pulverulenta
Lamellar cataract
Coronary cataract
Posterior polar cataract
Ophthalmology
null
5f65c276-d57a-42fc-86bc-e1018d053568
single
All of the following agents decreases bone resorption in osteoporosis, Except -
A drug used in osteoporosis Inhibit resorption: - Bisphosphonates, denosumab, cinacalcet, calcitonin, estrogen, SERMS, gallium nitrate. Stimulateformation : -Teriparatide, calcium, calcitrial, fluorides,. Both actions : - Strontium, renelate. Drugs decreasing bone resorption initially increase bone mineral density (...
4
Alendronate
Etidronate
Strontium
Teriparatide
Orthopaedics
null
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multi
Irradiation can be used to sterilize all except
null
4
Bone graft
Suture
Artificial tissue graft
Bronchoscope
Microbiology
null
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multi
A patient presents with secondaries to the adrenals. The most common site of primary is -
null
1
Lung
Kidney
Breast
Stomach
Medicine
null
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single
When an association between two variable is explained by a third variable due to indirect association. It is called as?
.confounding bias is used as a third variable to explain the association between two variables caused due to indirect association ref:park&;s textbook of preventive and social medicine,22nd edition,pg no 71
2
Cognitive bias
Confounding bias
Berkessonian bias
Indirect bias
Social & Preventive Medicine
Epidemiology
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multi
In PML, all of the following are seen except -
Acute promyelocytic leukemia (APML, APL) is a subtype of acute myeloid leukemia (AML), a cancer of the white blood cells. In APL, there is an abnormal accumulation of immature granulocytes called promyelocytes. The disease is characterized by a chromosomal translocation involving the retinoic acid receptor alpha (RARa ...
3
Retinoic acid is used in treatment
15/17 translocation may be seen
CD 15/34 both seen in same cell
Associated with Disseminated intravascular coagulation (DFVC)
Medicine
Haematology
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multi
Which of the following statements about facilitated diffusion is true?
Ans. (b) It requires a carrier proteinIf Diffusion happens without energy but with the help of carrier protein, it's called facilitated diffusionOne good example of a substance that use facilitated diffusion carrier protein is GLUCOSE transport using Glucose Transporters (GLUT)
2
It is a form of active transport
It requires a carrier protein
Rate of transport is proportionate to the concentration gradient
Requires creatine phosphate
Physiology
General
df554c6f-23aa-441e-b247-e0d197b68fb5
multi
A 32-year-old patient has decreased pain and temperature sensation in the upper extremities, atrophy of the intrinsic muscles of his hand, and brisk deep tendon reflexes in the upper extremity. Your diagnosis?
The patient is an adult with decreased pain and temperature sensation in the upper extremities, atrophy of the intrinsic muscles of his hand, and brisk deep tendon reflexes in the upper extremity. This constellation of clinical findings strongly suggests syringomyelia, which most commonly affects the cervical spinal co...
3
Amyotrophic lateral sclerosis
Multiple sclerosis
Syringomyelia
Subacute combined degeneration
Medicine
C.N.S
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single
Which sinus is the last sinus to appear radiologically on X-ray?
Ans. is'c'i.e., Frontal sinus[Ref Textbook Of The Ear, Nose And Throat By De Soum, C. Et Al. p 394)
3
Maxillary sinus
Sphenoid sinus
Frontal sinus
Ethmoidal air cells
ENT
null
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multi
Blood group antigens chemically are
Ans is 'b' i.e.,Glycoprotein The ABO antigens are determined to be glycoproteins and glycolipids.
2
Carbohydrate
Glycoprotein
Phospholipids
Polysaccharide
Pathology
null
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multi
Lactiferous duct of breast contraction is due to:
Ans. C. Oxytocin* Oxytocin primarily results in stimulation of two specific types of muscular contraction:* Uterine muscular contraction during parturition* Breast lactiferous duct myoepithelial contraction during milk let down reflex.A Brief on Breast Functional Anatomy* The areola is central, pigmented portion of bre...
3
Progesterone
Estrogen
Oxytocin
Prolactin
Gynaecology & Obstetrics
Endocrinology in Relation to Reproduction
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single
A patient presents to the emergency depament with uniocular diplopia. Examination with oblique illumination shows golden crescent while . examination with co-axial illumination show a dark crescent line. Which of the following is the most likely diagnosis -
Ectopia lentis is a displacement or malposition of the eye's crystalline lens from its normal location. A paial dislocation of a lens is termed lens subluxation or subluxated lens; a complete dislocation of a lens is termed lens luxation or luxated lens. Uniocular diplopia is due to paial aphakia. Edge of subluxated le...
4
Lenticonus
Coloboma
Microspherophakia
Ectopia lentis
Ophthalmology
Lens
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single
A young patient is hospitalized with petechiae of oral mucous membrane, marginal gingival hemorrhage and with a platelet count of 45,000/ cc. The BT and Clot Retraction time are increased, RBC and TLC are normal. He is suffering from:
null
2
Infectious mononucleosis
Thrombocytopenic purpura
Leukemia
Hemophilia
Pathology
null
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The monoclonal antibody useful in the treatment of PNH is:
By blocking the complement cascade downstream of C5, eculizumab abolishes complement-dependent intravascular hemolysis in all PNH patients, and significantly improves their quality of life. Reference: Harrisons Principles of Internal Medicine, 18th Edition, Page 884
2
Rituximab
Eculizumab
Infliximab
Adalimumab
Medicine
null
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single
Which of the following agents is likely to cause cerebral calcification and hydrocephalus in a newborn whose mother has history of taking spiramycin but was not complaint with therapy –
This question is straight forward; spiramycin is in pregnancy is given for toxoplasmosis. Prenatally acquired T.gondii may infect the brain and retina of the fetus and can cause chorioretinitis, intracerebral calcifications, and hydrocephalus. Cerebral calcification and hydrocephalus may also occur with congenital CMV ...
2
Rubella
Toxoplasmosis
CMV
Herpes
Pediatrics
null
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Most malignant tumor of salivary glands -
Ans. is 'c' i.e., Adenoid cystic carcinoma
3
Pleomorphic adenoma
Wahin tumor
Adenoid cystic carcinoma
Acinic cell tumor
Pathology
null
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single
On MRI, the differential diagnosis of spinal cord edema is:
Myelomalacia is a increased T2w signal in the spinal cord where the spinal cord is atrophic with gliosis producing small and bright appearence of spinal cord
2
Myelodysplasia
Myelomalacia
Myeloschisis
Cord tumors
Radiology
Musculoskeletal Radiology
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single
The graph shown in the illustration is known as:
Ans. B. Cystometrograma. Cystometry, also known as flow cystometry, is a clinical diagnostic procedure used to evaluate bladder function. Specifically,b. it measures contractile force of the bladder when voiding. The resulting chart generated from cystometric analysis is known as a CYSTOMETROGRAM (CMG), which plots vol...
2
Nephrogram
Cystometrogram
Pyelograph
None of the above
Physiology
Kidneys and Body Fluids
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multi
Perineal body muscles include all of the following except?
Ans. is 'd' i.e., IliacusTen muscles of perineum converge and interlace in the perineal body -A) Two unpaired - (i) External anal sphincter, (ii) Fibres of longitudinal muscle coat of anal canal.B) Four paired:- (i) Bulbospongiosus, (ii) Superficial transverse perenei, (iii) Deep transversus perenei, (iv) Levator ani.I...
4
External anal sphincter
Levator ani
Deep transverse perenei
Iliacus
Anatomy
null
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multi
Phobia is defined as -
Ans. is 'b' i.e., Excessive unreasonable fear about a specific situation o Phobia is persistent and morbid fear of specific situation, object or activity.Phobic disorderso Phobia is persistent and morbid fear of specific situation, object or activity. The fear is morbid because : - a) The fear is irrational: The object...
2
Palpitation on thinking about a definite entity
Excessive unreasonable fear about a specific situation
Perception without stimulation
Altered perception
Psychiatry
Specific Phobia
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Carbohydrates malabsorption is detected by:
Breath hydrogen test: used to identify the specific carbohydrate (lactose, sucrose, fructose, or glucose) that is malabsorbed. Ex: Lactose, if not absorbed in the small intestine, reaches the colon, where it is fermented to sho-chain organic acids, releasing hydrogen that is detected in the lactose breath test Rapid ur...
1
Breath hydrogen test
Nitrogen breath test
Fecal nitrogen
Rapid urease test
Pediatrics
Disorders of Gastrointestinal System Including Diarrhea
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single
Shy, self oriented and relationship problems are seen in which personality disorder:
Persons with Schizoid personality disorder will be shy, isolated and uncomfortable with human interactions & hence relationship problems.
1
Schizoid personality disorder
Paranoid personality disorder
Borderline personality disorder
Antisocial personality disorder
Psychiatry
null
96c51d5d-c0d5-45f2-b6fe-f796860f1d0f
single
Best test for detecting seminal stain is:
Image 1.- p30 test (Best test for seminal fluid is microscopy.) Image 2 -Barberio's test Image3-Florence test Image 4-Acid phosphatase test Some hot points for Blood Stain and Semen1. For identification of a blood stain the most reliable test is Spectroscopic test.2. Screening bloodstain --> presence of enzyme Peroxida...
1
<img style="max-width: 100%" src=" />
<img style="max-width: 100%" src=" />
<img style="max-width: 100%" src=" />
<img style="max-width: 100%" src=" />
Forensic Medicine
FMT Q Bank
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single
Grade I benign prostate with outflow obstruction is best treated with -
• MC indication for surgery is symptoms interfering with quality of life (bothersome symptoms and symptoms of BOO). • TURP (Gold standard) : −− Cystoscopic removal of strips of prostatic tissue using diathermy loop. Two techniques; NESBIT technique (preferred maver mayer technique) −− Best irrigant fluid is 1.5% glycin...
2
Retropubic prostatectomy
Transurethral resection
Transvesical prostatectomy
Androgen therapy
Surgery
null
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single
Which of the following forms Anterior boundary of Middle mediastinum?
BOUNDARIES OF MIDDLE MEDIASTINUM: Anteriorly - sterno-pericardial ligaments Posteriorly - esophagus, descending thoracic aoa, Azygos vein On each side - Mediastinal pleura
1
Sterno-pericardial ligaments
Oesophagus
Azygos vein
Descending thoracic aoa
Anatomy
Surfaces and Grooves
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single
Herring Breuer reflex is an increase in ?
Ans. is 'b' i.e., Duration of expirationThe Hering-Breuer inflation reflex is an increase in the duration of expiration produced by steady lung inflation, and the Hering-Breuer deflation reflex is a decrease in the duration of expiration produced by marked deflation of the lung.
2
Duration of inspiration
Duration of expiration
Depth of inspiration
Depth of expiration
Physiology
null
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single
A PATIENT WAS ON LITHIUM THERAPY FOR BIPOLAR DISORDER FOR 6MONTHS SHE KEPT THE FAST FOR FEW DAYS .SHE PRESENTED WITH S3 , COARSE TREMORS , CONFUSION AND WEAKNESS OF LIMBS. WHICH OF THE FOLLOWING SHOULD BE DONE NEXT TO ASSESS HER CONDITION ?
REF : KD TRIPATHI 8TH ED
4
S.ELECTROLYTES
ECG
MRI
S.LITHIUM LEVELS
Pharmacology
All India exam
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single
A child can withhold and postpone bowel movements by the age of:
Ans: b (3 years) Ref: OP Ghai,6th, ed, p. 47At the age of 3 years, a child can withhold and postpone his bowel movements.* Gastrocol ic reflex weakens by 4 months* Bowel movement becomes irregular without any relation to eating by 7 months.* Toddler can walk to the toilet by the age of 15 to 18 months and is usually re...
2
2 years
3 years
5 years
4 years
Pediatrics
Growth, Development, and Behavior
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single
10 year old girl with primary amenorrhoea, absent breasts, malformed uterus. The most likely diagnosis:
Ans. is 'b' i.e. Turner's syndrome Swyer syndrome (Pure gonadal dysgenesis)Patients with pure gonadal dysgenesis have XY karyotype.In these cases primitive germ cells do not migrate to the genital ridge so testis will not develop instead, the patients have streak gonads.Normal testis secretes Mullerian inhibiting facto...
2
MRKH syndrome
Turner's syndrome
Swyer syndrome
Mixed gonadal dysgenesis
Gynaecology & Obstetrics
Genital Differentiation
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single
Which of the following is not seen in scoline apnea
Ans. d. It occurs due to deficiency of cholinesterase
4
It is due to succinylcholine
It can be inherited
Patients usually do not die of scoline apne they are properly managed
It occurs due to deficiency of cholinesterase
Skin
null
06134934-d5fe-47b7-a653-3ef276b36dbb
multi
Diabetic gangrene is due to -
Ans. is 'd' i.e., All of the above
4
Ischemia
Increased blood glucose
Altered defense by host and neuropathy
All of the above
Surgery
null
2e237c12-b3f6-4771-ac63-b2780e15be83
multi
Maximum damage to skin is caused by
Ans. c (Orthovoltage X-ray) (Ref. Harrison's medicine 17th ed. 484)# External Beam therapy unit includea. X-ray machine orb. Teletherapy unit (i.e. Linear Acclerator or Cobalt-60 unit)# Beams used for external radiotherapy are# X-ray beams:a. Conventionalb. Superficial: 40 to 120 kVc. Orthovoltage: 250 to 400 kVd. Mega...
3
Super voltage X-ray therapy
Mega voltage X-ray
Orthovoltage X-ray
Cobalt-60
Radiology
Fundamentals In Radiology
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single
Egyptian opthalmia is-
Trachoma (previously known as Egyptian ophthalmia) is a chronic keratoconjunctivitis, primarily affecting the superficial epithelium of conjunctiva and cornea simultaneously. It is characterised by a mixed follicular and papillary response of conjunctival tissue It is still one of the leading causes of preventable blin...
2
Spring Catarrh
Trachoma
Intersitial keratitis
xerophthalmia
Ophthalmology
Conjunctiva
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single
An alcoholic person comes to your office, he can't tell his name, there is gross incordination in walking and his eye is deviated to one side. What is your diagnosis?
Incordination in walking (ataxia), and deviation of the eye to one side (ophthalmoplegia due to 6th nerve palsy) and inability to tell his name (suggests of confusion) in an alcoholic suggest the diagnosis of Wernicke's encephalopathy.
1
Wernicke's encephalopathy
Korsakoff's psychosis
Alcoholic hallucination
Delirium tremens
Psychiatry
null
2f53b391-aa4c-42a7-bf19-6d9bdac5d44e
multi
Lateral ventricle is connected to third ventricle by?
Ans. is 'a' i.e., Foramen of Monro Ventricles of brain These are cavities in the brain lined by ependyma and filled with CSF.They contain choroid plexuses with secrete CSF.These are four fluid filled intercommunicating cavities within the brain :- (i) two lateral ventricles (right and left), (ii) third ventricle, and (...
1
Foramen of Monro
Foramen of luschka
Foramen of magendie
Median foramen
Anatomy
null
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single
A 28-year-old woman patient who is 13 weeks pregnant presents for an antenatal clinic appointment. The patient feels embarrassed when asked to provide a urine sample and produces enough for a urine dipstick test only which is positive for leukocytes and nitrites. The patient denies any symptoms. The most appropriate tr...
The treatment of symptomatic and asymptomatic bacteriuria is impoant to prevent complications in pregnancy. Empiric treatment for common organisms such as Escherichia coli and Proteus should be administered while maintaining safety. Penicillins and cephalosporins, such as cephalexin (D), are safe for use during pregnan...
4
Trimethoprim
Quinolone
Tetracycline
Cephalexin
Gynaecology & Obstetrics
null
5a535999-e674-4c2b-8dba-993873bd0abc
single
Which one of the following amino acid residue is carboxylated by Vitamin K?
Vitamin K is the cofactor for g-carboxylation of glutamate residues of protein to produce g-carboxy glutamate (gla). This process is known as Vitamin K epoxide cycle (as illustrated in the image below).
2
Aspaate
Glutamate
Tryptophan
Tyrosine
Biochemistry
Vitamins and Minerals
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single
Tricyclic Anti depressant are contraindicated in
A i.e. Glucoma
1
Glucoma
Brain Tumor
Bronchial Asthma
Hypeension
Psychiatry
null
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single
Esophagus is present in all except
It passes through the mediastinum in both the superior and the inferior posterior sections before entering the abdominal cavity by passing through the right crus of the diaphragm at the level of the tenth thoracic veebrae. ref - BDC vol1 6e pg 282
3
Superior mediastinum
Middle mediastinum
Anterior mediastinum
Posterior mediastinum
Anatomy
Thorax
8dd5e278-cb20-44b4-93fe-3707df14ca4e
multi
Fatty acid present in breast milk which is impoant for growth & CNS development is:
Human milk contains 30 times more DHA than cow's milk- predominant fatty acid in brain and retina
1
Docosahexaenoic acid
Palmitic acid
Linoleic acid
Linolenic acid
Pediatrics
Breast Milk & Breast Feeding
cf3f18d3-934d-4438-9529-16219c2471c7
single
All are true regarding course of ureter in pelvis except
Obturator vessels and nerve lie laterally in relation to ureter at pelvic brim.
3
Ureter passes over bifurcation of common iliac artery
It is crossed by ovarian vessels where it enters true pelvis
Obturator vessels and nerve lie medially in relation to ureter at pelvic brim
Ureter pierces lateral ligament where ureteric canal is developed.
Gynaecology & Obstetrics
null
a45dab96-8b72-43bb-957b-061c33e01a4b
multi
Treatment of hypoglycemia due to insulin is all except
Adrenaline is a counter-regulatory hormone. Hypoglycemia is managed by glucose or oral carbohydrates or oral juices or Glucagon other counter regulatory hormones are growth hormone,steroids. Ref: Harrison16th ed. Pg 2185
3
Glucagon
Glucose IV
Adrenaline
Candy
Pharmacology
Endocrinology
a71f8e27-18fc-4738-8993-aae9da82226d
multi
In Rh Isoimmunization, exchange transfusion is indicated in all of the following except:
d. Hydrops fetalis(Ref: Nelson's 20/e p 871-879, Ghai 8/e p 172-176)Indications of Exchange transfusion in a neonate with Rh incompatibility are:Cord hemoglobin <10g/dL or Cord bilirubin >5mg/dLDirect coomb's test positive & H/o kernicterus or severe erythroblastosis in a sibling.
4
Cord blood hemoglobin < 10 g/dl
Cord bilirubin is more than 5 mg/dl
DCT positive & History of previous sibling affected
Hydrops fetalis
Pediatrics
New Born Infants
f52286c5-82a8-40d9-a2fd-e4d335755bc0
multi
Which of the following is the BEST way to treat medullary carcinoma of thyroid?
Treatment of choice for the medullary carcinoma of thyroid is the Total thyroidectomy + modified radical neck dissection. But the option is not provided among options. As total thyroidectomy is provide in option 3 and 4 so answer should be either 3 or 4 Now as far as radioiodine is concerned, it is clearly mentioned in...
4
Near total thyroidectomy + Radioiodine
Subtotal thyroidectomy + Radiotherapy
Total thyroidectomy + Radioiodine
Total thyroidectomy + Radiotherapy
Surgery
null
0b045249-a47c-465f-b498-922239cb2264
single
Hea-lung machines are sterilized by?
ETHYLENE DIOXIDE its action is due to alkylating the amino ,carboxy,hydroxyland sulphydrl groups in protein molecules. In addition it reacts with DNA and RNA. It is use as a disinfectant presents a potential toxicity to human beings including mutagenicity and carcinogenicity. it diffuses through many types of porous ma...
2
Glutaraldehyde
Ethylene oxide
Carbolic acid
Aqueous solution of iodine
Microbiology
general microbiology
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single