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Unmet need for contraception in a 35 years female is for ?
Ans. is 'b' i.e., Limiting bih Many women who are sexually active would prefer to avoid pregnancy, but neveheless are not using any method of contraception.These women are considered to have 'unmet need' for family planning.The concept is usually applied to married women.According to the National Family Health Survey-3...
2
Spacing bih
Limiting bih
Improve maternal health
Improve family health
Social & Preventive Medicine
null
533d29aa-ae81-473a-8120-1771e0b0dd5f
single
While shaving, a 45-year-old teacher notices a marble-sized mass beneath his left ear. The mass is eventually excised, revealing which of the following benign parotid gland lesions?
Papillary cystadenoma lymphomatosum /Wahin's tumor/Adenolymphoma Exclusively seen in parotid gland Derived from salivary tissue inclusion in lymph node More common in males Associated with smoking Only tumor to show hot spot on TC99m-Peecnate Histopathology Papillary cystic pattern lined with columnar oncocytes and cub...
4
Glandular hyperophy, secondary to vitamin A deficiency
Cystic dilation
Mikulicz's disease
Wahin's tumor
Surgery
Salivary Glands
d9dbf255-f646-4fb9-bb22-a3d1657e00bb
multi
Substrate for gluconeogenesis include?
Only 5 amino acids are both glucogenic and ketogenic. Mnemonic - TTT I P Both glucogenic and ketogenic amino acids: Tryptophan Tyrosine Threonine, Isoleucine, Phenylalanine Note: there is a controversy regarding Lysine, some book says it is purely ketogenic some say it is both Ketogenic and glucogenic serine is only gl...
1
Glycerol
Leucine
Fatty acids
Acetyl CoA
Biochemistry
Classification and metabolism of amino acids
e90c3e9c-ca17-40c4-95e6-cbfca88fcc9a
single
Langerhans cells in skin are
Ans. is 'a' i.e., Antigen presenting cells
1
Antigen presenting cells
Pigment producing cells
Keratin synthesising cells
Sensory neurons
Microbiology
null
dc4a9e0f-7e84-40c9-ab1d-fc1bdb18b25c
single
Black eye is a type of-
Ans. is 'c' i.e., Ectopic bruise [Ref: Reddy 30th/ep. 167-168\o Site of bruise is at the site of impact most of the time however it may be away from the site of impact due to gravity shifting of blood, i.e., ectopic bruise. So, site of bruise does not always indicate site of violencet.o Example of ectopic bruise are : ...
3
Patterend abrasion
Ectopic abrasion
Ectopic bruise
Friction abrasion
Forensic Medicine
Injuries by Blunt Force
858f2bda-6f1f-4046-8e37-74d07bbd4469
single
Ideally Dentist population ration should be
null
3
5.597222222
1:10000
1:20000
1:40000
Dental
null
b9e8b009-e41b-4a4d-a800-1518aa31810d
multi
Tongue develops from which branchial arches?
null
4
I, II, IV
I, II, III
I, III, IV
I, II, III, IV
Anatomy
null
d94eeaad-b0ad-453d-a2c2-dbe5cd4b11f7
single
Umbilical cord attached to the margin of placenta:
Ans. (b) Battledore placentaRef. William's Obstetrics 23rd ed. Ch: 27* Normally, the cord usually is inserted at or near the center of the fetal surface of the placenta.* Cord insertion at the placental margin is sometimes referred to as a Battledore placenta. It is found in about 7% of term placentas.* Velamentous ins...
2
Circumvallate placenta
Battledore placenta
Velamentous insertion
Vasa previa
Gynaecology & Obstetrics
Abortion
dc001cab-d553-4ab2-8a47-9ee239eb12b7
multi
Cataracts in a newborn is:
a zonular refkhurana 3rd/e p. 187
1
Zonular
Nuclear
Snowflake
Cortical
Ophthalmology
Lens
4e3de300-758d-4e5b-8105-f5d2d594724b
single
The causative agent of Lyme's disease:
Borrelia burgdorferi
1
Borrelia burgdorferi
Borrelia recurrentis
Leptospira icterohemorrhagiae
Clostridium difficile
Microbiology
null
8556e900-e3b6-44a9-a4fd-d94867491a26
single
A patient presented with vomiting and ataxia. There were oxalate crystals in the urine. The patient was given ethanol and 4 methyl pyrazole for treatment. The likely diagnosis of the patient was?
Ans. (C) Ethylene glycol poisoning(Ref: Harrison 19/e p319)Symptoms of alcohol overdose along with oxalate crystalluria points towards ethylene glycol poisoning. It is confirmed because the patient is being treated with antidotes like ethanol and fomepizol (4 methyl pyrazole).
3
Methanol poisoning
Ethanol poisoning
Ethylene glycol poisoning
Diazepam poisoning
Pharmacology
Opioids
71f44cd9-e1a7-4614-a954-e78a73e718e1
single
Loeffler's syndrome is seen with all except :
Giardiasis Pulmonary diseases associated with tissue or blood eosinophilia are a heterogenous group of disorders. They are classified as : Loeffler's syndrome It is a benign acute eosinophilic pneumonia of unknown cause characterized by migrating pulmonary infiltrates and minimal clinical manifestations. These are usua...
4
>Toxocara
>Strongyloides stercoralisL. tryptophan
>Giardiasis
Giardiasis
Microbiology
null
c177181b-8569-47a7-9bc8-794167a5de49
multi
Which of the following muscles elevates the mandible?
null
2
Buccinator
Temporalis
Caninus
Lateral pterygoid
Anatomy
null
28c4628b-0e78-4fbc-88f2-307488d1c36b
single
A 60-year-old woman presents with symptoms of weight loss, anxiety, and palpitations. On examination, she has a thyroid goiter. Which of the following is the most likely cardiac finding?
Thyroid disease may affect the heart muscle directly or there may be excessive sympathetic stimulation. Common symptoms of thyrotoxic heart disease include palpitations, exertional dyspnea, and worsening angina. Atrial fibrillation is particularly common in older individuals.
3
prolonged circulation time
decreased cardiac output
paroxysmal atrial fibrillation
pericardial effusion
Medicine
C.V.S.
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single
Pedigree analysis - Analyze the following pedigree and give the mode of inheritance ?
Ans. is 'c' i.e., Mitochondrial inheritance i) Disease is manifesting in both males and females. ii) But, the disease is transmitting to next generation only by females (mother). Both these are characteristics of mitochondrial diseases. Mitochondrial diseaes o Mitochondria' DNA is the only non-chromosomal DNA in human ...
3
Autosomal recessive
Autosomal dominant
Mitochondrial inheritance
X linked dominant
Pediatrics
null
fc690b3b-cf20-4f32-91cb-aa396ad9ffb8
single
Term cafe coronary was coined by -
Ans. is 'a' i.e., Roger Haugen "A popular term 'cafe coronary * was coined by Dr. Roger Haugen, Medical Examiner of Broward County, Florida for such impaction of food in the respiratory passage ".-- Krishan Vij
1
Roger Haugen
J. Morton
NeilMarkson
M.Hoppefield
Forensic Medicine
Misc.
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single
Demyelinating disorder among the following is
Multiple sclerosis is a autoimmune disorder It leads to demyelination of myelinated nervefibers Ref:Guyton and Hall textbook of medical physiology 12th edition,page number:72,73
1
Multiple sclerosis
Typhoid
Cholera
All
Anatomy
General anatomy
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multi
IL1 antagonist is -
Ans. is 'a' i.e., Anakinra Drugs used for Rheumatoid arthritisDisease modifying antirheumatic drugs (DMARDs)Biologic response modifier (BRMs)Adjuvant drugs1. Immunosuppresants - Methotrexate, azathioprine, cyclosporine2. Sulfasalazine3. Choloroquine or hydroxychloroquine4. Leflunomide5. Gold sod. thiomalate, Auranofin6...
1
Anakinra
Abatacept
Adalimumab
Leflunomide
Pharmacology
Immunomodulator
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single
Direct filling gold formed by electrolytic precipitation is called by all the terms, EXCEPT:
Electrolytic Precipitate Gold Another form of direct filling gold is microcrystalline gold powder formed by electrolytic precipitation, which is sandwiched between sheets of gold foil and formed into strips. It is also called mat or sponge gold. Granular (Powdered) Gold Gold powders in agglomerated form can also be pre...
2
Crystalline gold
Granular gold
Mat gold
Sponge gold
Dental
null
462f3921-fa1d-4251-b741-2e6560cd9f15
multi
Predominant blood supply to the supraduodenal bile duct is from vessels:
Approximately 60% of the blood supply to the supraduodenal bile duct originates from the pancreaticoduodenal and retroduodenal aeries, whereas 38% of the blood supply originates from the right hepatic aery and cystic duct aery and 2 percent is non-axial.Ref: Gray's Anatomy (40th Edition), Pages 1177, 1185; Essentials o...
1
Which run upward from the major vessels located near the lower pa of bile duct such as the gastroduodenal and retro duodenal aery
Which run downward along the bile duct from right hepatic aery
That arise from hepatic aery proper as it carries up along the common bile duct and supplies it with twigs in a non-axial distribution
That run from cystic aery
Anatomy
null
d5a87c4f-e16b-49d9-a4d2-cead5773e7ee
single
The commonest gastric polyp is -
null
1
Hyperplastic polyp
Inflammatory polyp
Adenomatous polyp
Part of familial polyposis
Surgery
null
a09c2aa3-f5f1-4c8f-b2a8-303606082514
single
Which of the following is not involved in intrinsic pathway?
Factor VII is required for the activation of Factor X in extrinsic pathway Ref: Ganong's Review of Medical Physiology Twenty-Third Edition Page No:533
4
Factor XII
Factor XI
Factor IX
Factor VII
Physiology
Cardiovascular system
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single
General feility rate is a better measure of feility than the crude bih rate because the denominator includes
General feility rate is the number of live bihs per 1000 women in the reproductive are group ( 15-44 or 49 years) in a given year GFR = number of live bih in an area during the year X 1000/ mid year female population age group 15-44 (or 49) in the same area in same year General feility rate is a better measure of feili...
1
15 - 45 years of aged females
Midyear population
Total women population
Married women population
Social & Preventive Medicine
Demography and family planning
ed61802c-f45f-439f-b718-ba40d08c79bb
single
Not a feature of Hartnup's disease:
c. Mental retardation(Ref: Nelson's 20/e p 636-642, Ghai 8/e p 653-655)Clinical features of Hartnup disease:Most children with Hartnup defect remain asymptomaticMajor clinical manifestation in symptomatic patient is cutaneous photosensitivity: pellagra-like rash on sun exposureSome patients may have intermittent ataxia...
3
Pellagroid skin lesion
Cerebellar ataxia
Mental retardation
Psychological disturbances
Pediatrics
Inborn Errors of Metabolism
dbc3c190-1406-46cc-a5bf-d91d4a4fb320
single
A 65-year-old chronic smoker presents with a rapidly enlarging large hilar mass on a chest film associated with significant adenopathy. He also experiences recurrent hypoglycemic spells these days. A provisional diagnosis of Lung carcinoma being considered which of the following subtype will most commonly lead to this ...
Small cell - Mediastinal adenopathy, - Hilar mass, - Small or invisibleftlung nodule, - High metastatic potential, - Rapid growth. - May be associated with Hypoglycemia, Cushing's syndrome, Inappropriate secretion of ADH, excessive gonadotropin secretion.
4
Squamous cell carcinoma
Adenocarcinoma
Large cell carcinoma
Small cell tumour
Physiology
All India exam
92f196ac-38d1-4c7a-a105-1e81ee9771cb
multi
Which is not a feature of non cirrhotic poal HT?
.
1
Ascites
Hematemesis
Splenomegaly
All are seen
Pathology
All India exam
3d6b9b3f-4cc9-4124-b3b9-5a277cafa472
multi
Giardiasis is best diagnosed by:
Presence of both cysts and trophozoites in stools
2
CFT
Presence of both cysts and trophozoites in stools
Presence of cysts only
Haemaglutination
Microbiology
null
72a47942-3629-4c23-8eb8-b019611b3578
multi
Biopsy of the parotid gland in Sjogren’s shows:
"The earliest histologic finding in both the major and the minor salivary glands is periductal and perivascular lymphocytic infiltration." (Ref: Robbins) Sjogren Syndrome It is an immune-mediated destruction of the lacrimal and salivary glands characterized by dry eyes {keratoconjunctivitis sicca) and dry mouth (xeros...
4
Neutrophils
Eosinophils
Basophils
Lymphocytes
Pathology
null
8e945d84-4300-492e-afe2-abc8eb94978d
single
The disease for which vaccination ceificate is required for international travel is -
All travellers including infants exposed to the risk of yellow fever or passing through an endemic zones of yellow fever should possess a valid international ceificate of vaccination against yello fever before they are allowed to enter yellow fever receptive areas. Reference; Park&;s Textbook of preventive and social m...
3
Cholera
Hepatitis
Yellow fever
Tetanus
Social & Preventive Medicine
Communicable diseases
be631359-fec9-4679-a547-17af77ae61a7
single
24 hours after fever, maculopapular rash and erythema appears on the face of infant. This organism can also cause
It’s caused by Parvo B19 virus, and it causes the following diseases Erythema infectiosum Fifth disease. Slapped cheek appearances. Arthropathy. Transient Aplastic crisis. Hydrops fetalis (most sensitive period 2nd trimester) Myocarditis. PPGSS Papular - Purpuric Gloves & Stock Syndrome.   Transient Aplastic Crisis ...
3
ALL
CML
Pure red cell aplasia
Hairy cell leukemia
Unknown
null
de894dbd-c6d5-49fb-a648-ad2168104f4d
multi
Cementum is primarily
null
3
Amorphous
Organic
Inorganic
Soft tissue
Dental
null
f8326564-efdc-4101-9458-c619df9a03a9
single
Which of the following is not a bronchodilator
Classification: bronchodilators: beta 2 agonists anticholinergics and methylxanthines like caffeine and theophylline ref KD Tripathi 8th ed
3
Beta 2 agonist
Methylxanthines
Steroids
Anticholinergics
Pharmacology
Respiratory system
f3853730-b776-4d1a-b5bb-79acbd7c19aa
single
Difference between contusion and post-moem lividity is that post-moem lividity-
The synopsis of forensic medicine & toxicology;Dr k.s narayan reddy; 28th edition;pg.no. 88; Contusion or bruises are not washable but postmoem lividity is washable. Also refer page no.106
2
Shows sequential color change
Easily washable
Shows diffuse irregular margins
Has raised enzyme levels
Forensic Medicine
Mechanical injuries
9cbc1d25-945b-4668-845e-9f12595dc681
single
Fomepizole acts as antidote for ?
Ans. is 'a' i.e., Methanol poisoning Methanol is highly toxic alcohol. It is metabolized to formaldehyde (by alcohol dehydrogenas) and formic acid (by acetaldehyde dehydrogenase). It is the accumulation of formic acid which causes toxic effects in methanol poisoning. Accumulation of formic acid results in lactic acidos...
1
Methanol poisoning
Cannabis poisoning
Lead poisoning
Cadmium Poisoning
Pharmacology
null
3837875e-2eac-4904-af61-61ac9ee459f5
single
Chancroid is caused by?
Ans:A.)H. Ducrei CHANCROID (SOFT SORE) This venereal infection is caused by the Gram-negative bacillus Haemophilus ducreyi. One to 5 days post-infection, a soft sloughy ulcer appears on the penis or vulva. The treatment of choice is erythromycin (500 mg 6-hourly for 14 days).
1
H. Ducrei
N. Gonnorrea
T. Pallidum
H. Influenza
Skin
null
cc5c8086-8a24-4dcb-9202-24f929fcdfa4
multi
Blue daper syndrome is associated with
null
1
Tryptophan malabsorption
Tryptophan hyperabsorption
Tyrosine malabsorption
Tyrosine hyperabsorption
Biochemistry
null
8c2a6208-86a2-48f7-969b-a5b04b9bedce
single
Pentavalent immunoglobin is -
Ans. is 'c' i.e., IgiMValency of antibodyo The valency of antibody refers to the number of antigenic determinants that an individual antibody molecule can bind.o The valency of all antibodies is at least two and in some instances more.AntibodyValencyIgG2IgA2,4IgM10IgD2IgE2Though the theoretical valency of Ig M is ten, ...
3
IgA
IgG
IgM
IgE
Microbiology
Immunology
f8fbb990-f838-4b99-8978-552096725a83
single
BCR ABL gene mutation is seen in ?
ANSWER: (A) CMLREF: Robbins 7th ed p. 697BCR gene on chromosome 9 gets translocated to ABL gene on chromosome 22 leading to the formation of a fusion protein with a tyrosine kinase activity.
1
CML
AML
CLL
ALL
Unknown
null
3e037a56-18d3-4a0c-a4bc-c41a21d18aa5
multi
T helper cells recognizes -
MHC restriction T cells (in contrast to B cells) cannot be activated by soluble antigens. Therefore, presentation of processed antigen by antigen presenting cells is required for induction of cell mediated immunity. T cell receptors recognizes peptide antigens that are displayed by major histo compatibility complex (M...
2
MHC class I
MHC class II
Processed peptides
Surface Ig
Microbiology
null
d70c4174-b6c6-47ee-9f2d-eaa96feb9ece
single
Most sensitive test for detection of argemone oil?
Ans. is 'b' i.e., Paper chromatography o Paper chromatography is the most sensitive test. o Note : In previous question, paper chromatography was not there in options, therefore the answer was nitric acid test.
2
Nitric acid test
Paper chromatography
Phosphatase test
Methylene blue test
Social & Preventive Medicine
null
25bc3186-87e9-49ac-a35f-23ab56d52254
single
Prostaglandin inhibiting action of Aspirin is useful in the treatment of all of the following conditions except
Inhibition of prostaglandin synthesis is responsible for analgesia, antipyretic, anti-inflammatory and antiplatelet action of aspirin. this action is also utilised in the treatment of PDA. high doses of Aspirin causes uricosuria various therapeutic doses result in hyperuricemia these effects are and related to its acti...
3
Analgesia and antipyresis
Closure of ductus aeriosus
Uricosuria
Anti-inflammatory and antiplatelet aggregation
Anatomy
General anatomy
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multi
Dermatological sign of carcinoma stomach is?
ANSWER: (C) Acanthosis NigransREF: Fitz Patricks Dermatology 6th Edition Page 1612, Harrison's 18th ed chapter 53Indirect repeat Dermatology 2008,2003 (See table of TYPES AND CAUSES OF ACANTHOSIS NIGRICANS) 8t Surgery June 2009
3
Palmoplantar keratoderma
Acquired ichthyosis
Acanthosis Nigrans
Acrokeratosis paraneopiastica
Unknown
null
e6998cf5-3304-4583-85b3-bcd046bba191
single
Which one of the following statements best describe pseudoaneurysm
Pseudoaneurysm Wall is not formed by all the three layers Pseudoaneurysms can arise from Primary defects in the aoic wall (e.g -After trauma or contained aneurysm rupture) Anastomotic or cannulation site leaks that occur after cardiovascular surgery. Anastomotic pseudoaneurysms can be caused by Technical problems Deter...
1
Focal dilation of vessel in which intimal and medial layers are disrupted and the dilated segment is lined by adventitia
Focal dilation of a vessel only involving one poion of the circumference
Apparent dilation of a vessel due to intrinsic narrowing proximal and distal to the point of apparent narrowing
Dilation of a vessel, though not to the size necessary to be diagnosed as a true aneurysm
Surgery
Aerial disorders
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multi
'Brush burn' is
Ans. a (An abrasion) (Ref. FMT by Reddy. 27th/ Pg. 145 & FMT by Krishan Vij 4th/Pg. 282-283).# An abrasion (or a graze) is a superficial injury involving only the outer layers of the skin and not penetrating the full thickness of the epidermis.# A graze is an injury, which is produced when a broad surface of the skin s...
1
An abrasion
Electric bum
Chemical bum
Contusion
Forensic Medicine
Injuries by Blunt Force
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single
Characteristic feature of nephritic syndrome in children -
Ans. is 'c' i.e., RBC casts in urine Acute nephritic syndrome o Nephritic syndrome is a collection of signs associated with disorders affecting the kidneys, more specifically glomerular disorders and is characterized by haematuria, protenuria, hypeension, edema and oliguria. 1. Haematuria The haematuria is slight givin...
3
Lipid casts in urine
WBC casts in urine
RBC casts in urine
Albumin in urine
Pediatrics
null
61c5b173-b4f5-4f85-bae9-e71d5daaae2d
single
A 24-year old woman notices increasing shortness of breath after recent treatment for right lower lobe pneumonia. She has no fever, cough, or sputum production. On examination, the pertinent findings are decreased fremitus, dullness on percussion, and absent breath sounds of the right lower lung. In addition, the trach...
Careful physical examination can be very useful in diagnosing many common pulmonary disorders. Atelectasis and large pleural effusions both can present with decreased fremitus, dullness or flatness to percussion, and absent breath sounds. In atelectasis, tracheal shift, if present, is toward the affected side, and the ...
3
acute asthmatic attack
complete pneumothorax
large pleural effusion
atelectasis
Medicine
Respiratory
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multi
6 years old girl with vaginal spotting. Diagnosis is –
A foreign body is commonly responsible for vaginal bleeding in pediatric patients.
2
Ovarian cancer
Foreign body
Sexual abuse
PID
Pediatrics
null
67c7cfaf-92b0-4a73-b5ed-f40706303bf0
single
McNaughton's rule is related to:
- Mc Naughton's rule is related to Criminal responsibility of Insane person - Sec. 84 IPC also deals with the Criminal responsibility of Insane person Section 84 IPC embodies McNaughton rules as follows: "Nothing is an offence which is done by a person who, at the time of doing it, by reason of unsoundness of mind, is ...
2
IPC 82
IPC 84
IPC 87
IPC 85
Forensic Medicine
FMGE 2019
85e668dd-1745-4551-b067-07530de468e3
single
How many vascular segments are present in each kidney?
Ans. is 'c' i.e., 5o Renal artery Right renal artery is longer and passes behind I VC. Renal artery divides into : -Posterior division :- Supplies posterior segment.Anterior division :-Divides further into 4 branches to supply apical, upper anterior, middle anterior and lower segments.o Thus, there are five vascular se...
3
3
4
5
6
Anatomy
KUB & Adrenal Gland
559f2623-e217-473b-9119-6638df93c6ac
single
Why are rounded internal line angles desirable in the preparation of amalgam restorations in primary teeth?
They decreases internal stresses in the restorative material. Due to the small size of primary molars and, therefore, small restorations as well, it is helpful to reduce stresses within the restorative material. It has been demonstrated that rounded internal line angles aid in reducing stress when compared to sharp int...
4
They increase retention
They conserve tooth structure
They increase resistance
They decreases internal stresses in the restorative material
Dental
null
f70f5f9a-8ce6-4d59-a745-0209fba667f3
single
Bence Jones proteins are best described as:
Ans. is 'c' i.e., Kappa and Lambda chains (Ref: Ananthanarayan, 9th/e, p. 99 and 8th/e, p. 100)* A Bence Jones protein is a monoclonal globulin protein or immunoglobulin light chain found in the urine, with a molecular weight of 22-24 kDa. Detection of Bence Jones protein may be suggestive of multiple myeloma or Walden...
3
u chains
g chains
Kappa and Lambda chains
Fibrin split products
Microbiology
Immunology
30b1b21e-ba0b-448c-9282-616068182906
single
Dichotomy means -
Dichotomy means fee splitting or bribery or commissioning. Receiving commissions on referral of a patient to a doctor or forwarding commissions, both are included under dichotomy. Dichotomy is infamous conduct as defined under the rules and regulations of MCI, 2002. If a doctor repeatedly indulges in dichotomy, a warni...
3
Erasure of name
Disclosure of secrets of patients
Fee-splitting
Adultery
Forensic Medicine
null
63e60c88-3798-41cf-8fce-094236cfcefd
single
DNA of HBV is?
Ans- D Ref 1 - Although HBV is among the smallest viruses in terms of virion and genome size, it has numerous unique features that make it completely distinct from other DNA viruses. It has a partially double stranded DNA with highly complex genome organization, life cycle and natural history. Remarkably distinct from ...
4
Single-stranded
Double-stranded
Partially single stranded
Partially double stranded
Unknown
null
1892c57a-6ae0-4f47-9b73-ca107368784c
multi
A 5-week-old male infant is born without a thymus or inferior parathyroid glands. Which of the following pharyngeal arches is most likely involved?
Absence of the thymus and inferior parathyroid glands would be due to defective development of the third pharyngeal pouch, their normal site of origin. The first pouch gives rise to the tympanic membrane and cavity. The second pouch gives rise to the palatine tonsils and tonsillar sinus. The fourth pharyngeal pouch giv...
3
First
Second
Third
Fourth
Anatomy
Head & Neck
ddc3fcd0-d23e-43d3-82c4-dd3c09c2ca8b
single
Pompholyx affects:
Ans. d. Palm & solesPompholyx is a form of recurrent palmoplantar eczema with firm deep-seated vesicles on sides of finger giving sago grain or tapioca like feel
4
Groin
Trunk
Scalp
Palm and soles
Skin
Papulosquamous Disorders
f976b21a-e63e-4739-8974-7e91b47a8adb
single
Best quality proteins are found in highest quantities in –
Rice proteins are richer in lysine than other cereal proteins, and for this reason, rice protein is considered to be a better quality.
1
Rice
Wheat
Ragi
Bajra
Social & Preventive Medicine
null
085c111d-3fcc-4d63-bf73-460634a665da
single
Jet black pigmentation of tongue with tactile hallucination is a feature of which substance use
Chronic cannabis use can lead to jet black pigmentation of tongue. And patients may also have feeling of insects crawling under the skin also known as magnan phenomenon.
3
Heroin
Cannabis
Cocaine
LSD
Psychiatry
null
3bfea1d3-8e52-41f1-b07a-d6f69aa2d916
multi
In extended supraomohyoid neck dissection, lymph node dissection is done upto:
null
3
2
3
4
5
Surgery
null
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single
SIADH -- all are features except,
Low blood pressure due to volume depletion The serum sodium concentration is normally regulated by ? The balance of water intake. Renal excretion of sodium and ADH mediated water conservation by distal renal tubule. These processes are mediated by ? Stimulation of thirst Secretion of ADM Feedback mechanisms of the reni...
4
Decreased sodium, maintaining the concentrating ability of the urine osmolality (> 100 mOsm)
Normal sodium balance maintained indicating excess urinary sodium is due to efficient sodium intake
Hypouricemia
Low blood pressure due to volume depletion
Surgery
null
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multi
The following statements regarding Turner syndrome are true except -
Occurence of Turner syndrome is not affected by maternal age. It is Down's syndrome which is affected by maternal age (Risk of Down's syndrome increases after 35 yrs. of maternal age*)
1
Occurence of Turner syndrome is influenced by maternal age.
Most patients have primary amenorrhoea.
Most patients have short stature.
Edema of hands and feet is an important feature during infancy.
Medicine
null
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multi
A 33-year-old man presents at OPD complaining of fever and headache. On examination, he had leukopenia and increased liver enzymes, and inclusion bodies were seen in his monocytes. History revealed that he went on camping and remembered removing a tick from his leg. Which of the following diseases is most likely causin...
All the listed diseases except Q fever are tick-borne. The rickettsia C. burnetii causes Q fever, and humans are usually infected by aerosol of a sporelike form shed in milk, urine, feces, or placenta of infected sheep, cattle, or goats. Lyme disease is caused by a spirochete, Borrelia burgdorferi, and produces the cha...
2
Lyme disease
Ehrlichiosis
Rocky Mountain spotted fever
Q fever
Microbiology
Systemic Bacteriology (Haemophilus, Yersinia, Spirochaetes, Ricketssia, Chlamydia, Mycoplasma and Miscellaneous Bacteria)
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single
The causative agent of Primary Amoebic Meningoencephalitis is:
(C) Naegleria fowleri # Human infection of naegleria comes from water containing the amoebae and usually follows swimming or diving in ponds.> Patients are mostly previously healthy young adults and children.> The amoebae invade the nasal mucosa, pass through the olfactory nerve and initiate an acute meningitis and enc...
3
Endolimax nana
Dientamoeba fragilis
Naegleria fowleri
Entamoeba histolytica
Microbiology
Misc.
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single
Adult polycystic kidney disease is inherited:March 2005
Ans. D: Autosomal dominantAutosomal dominant polycystic kidney disease (ADPKD) is one of the most common inherited disorders. It is the most frequent genetic cause of renal failure in adults,It is a multisystemic and progressive disorder characterized by the formation and enlargement of cysts in the kidney and other or...
4
X-linked dominant
X-linked recessive
Autosomal recessive
Autosomal dominant
Pathology
null
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single
A 5-year-old child refuses to sleep in his bed, claiming there are monsters in his closet and that he has bad dreams. The parents allow him to sleep with them in their bed to avoid the otherwise inevitable screaming fit. The parents note that the child sleeps soundly, waking only at sunrise. Choose the sleep disturbanc...
Sleep disturbances are fairly common in childhood. Many children resist going to bed, and parents frequently give in just to get the child to sleep by allowing the child to sleep in the parents' bed or allowing them to stay up late. Unfortunately, children learn remarkably well how to get what they want, and the parent...
3
Night terrors
Nightmares
Learned behavior
Obstructive sleep apnea
Pediatrics
Growth, Development, and Behavior
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multi
Monetary benefit is measured in
ref : park 21st ed
4
Program budgeting system
Network analysis
Cost effective analysis
cost benefit analysis
Social & Preventive Medicine
All India exam
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single
A 26-year-old woman complains of early fatigue and weakness in doing strenuous activity. Her symptoms are worse near the end of the day. She appears well, muscle bulk, tone, and reflexes are normal. Handgrip strength decreases with repetitive testing.For the above patient with muscle weakness, select the most likely an...
Diurnal fluctuations and pathologic fatigue are common in disorders of neuromuscular transmission (e.g., myasthenia gravis). (Ropper, pp. 1250-1251)
3
anterior horn cell
peripheral nerve
neuromuscular junction
muscle
Medicine
C.N.S.
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multi
Reichert-Meissl number:
Ans. A. 0.1NKOHReichert-Meissl number is defined as the number of moles of 0.1NKOH required to Completely neutralize the soluble volatile fatty acids distilled from 5g fat.
1
0.1 N KOH
0.5 KOH
0.1 N NaOH
0.5 NaOH
Biochemistry
Structure & Function of Protein
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single
This kind of graph can be seen in all of the following condition except
In hyperventilation the EtCO2 value will decrease. Increases ETCO2 is seen in thyrotoxicosis, fever (increased CO2production) and high spinal anesthesia (alveolar hypoventilation). Factors affecting ETCO2 Increased ETCO2 Decreased ETCO2 Metabolism Hypehermia Fever Thyrotoxicosis Pain Shivering Metabolism Hypothermia Me...
3
Ventilatory malfunction
hypoventilation
hyperventilation
malignant hyperpyrexia
Anaesthesia
Anaesthesia Q Bank
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multi
A patient was hospitalized after an automobile accident. The wounds became infected and the patient was treated with tobramycin, carbenicillin, and clindamycin. Five days after antibiotic therapy was initiated, the patient developed severe diarrhea and pseudomembranous enterocolitis. Antibioticassociated diarrhea and t...
Patients treated with antibiotics develop diarrhea that, in most cases, is self-limiting. However, in some instances, paicularly in those patients treated with ampicillin or clindamycin, a severe, life-threatening pseudomembranous enterocolitis develops. This disease has characteristic histopathology, and membranous pl...
3
Clostridium sordellii
Clostridium perfringens
Clostridium difficile
S. aureus
Microbiology
Bacteriology
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single
Which of the following muscle is derived from 1st pharyngeal arch ? (2019)
.
1
Anterior belly of digastric
Posterior belly of digastric
Stylopharyngeus
Tensor tympani
Anatomy
All India exam
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single
Which of the following is an autosomal dominant metabolic disorder -
Mutations involving single genes follow one of three patterns of inheritance: autosomal dominant, autosomal recessive, or X-linked. Autosomal Dominant Inheritance Familial hypercholesterolemia Huntington disease Marfan syndrome Ehlers-Danlos syndrome Hereditary spherocytosis Neurofibromatosis, type 1 Adult polycystic k...
4
Cystic fibrosis
Phenylketonuria
Alpha-I anti-trypsin deficiency
Familial hypercholesterolemia
Pathology
General pathology
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single
Which of the following statements is true about capillaries
Capillaries contain 5% of the blood volume.
1
Contains 5% of total blood volume
Contain 10% of total blood volume
Velocity of blood flow is maximum
Offer maximum resistance to blood flow
Physiology
null
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multi
A Patient falls down often with behavioral change and enuresis. What is the condition associated with him?
Ans- B. Normal pressure hydrocephalus Frontotemporal dementia - Associated with poor behavioral control, decision making, and language.Normal-pressure hydrocephalus - Associated with gait disturbance, behavioural change, enuresis, and dementia.Parkinson's disease - Associated with tremor and muscular stiffnessAlzheimer...
2
Frontotemporal dementia
Normal pressure hydrocephalus
Parkinson's disease
Alzheimer's disease
Psychiatry
null
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multi
Life spon of a housefly ?
Ans. is 'd' i.e., 15-20 days Houseflies 'Houseflies should be regarded as a sign of insanitation' and their number as index of that sanitation. Impoant species : Musca domestica, M. vicinia, M. nebula, M. sorbens Life span : 15-25 days Eggs : 8-24 hours Larvae (maggots) : 2-7 days Pupae : 3-6 days Adults : 5-20 days Im...
4
1-2 days
5-10 days
10-15 days
15-20 days
Social & Preventive Medicine
null
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single
Threshold radiation dose for hematological syndrome is?
Ans. is'a'i.e., 2 GyBone marrow or hematological syndrome:- Full syndrome occurs with a dose between 0.7 and 3 Gy (70-300 rads).The destruction of bone marrow cells results in pancytopenia.
1
2 Gy
6 Gy
15 Gy
50 Gy
Radiology
null
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single
Which of the following drug causes hemorrhagic cystitis ?
null
1
Cyclophosphamide
Cycloserine
Ciprofloxacin
Cyclosporine
Pharmacology
null
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single
Causes of reduced bioavailability of a drug includes
When the metabolism of a drug is high during its passage from the site of absorption into the systemic circulation, the rate, and extent of absorption of that drug decreases. absorption- amount of drug reaching the systemic circulation from the site of administration (Ref.Essentials of medical pharmacology TD Tripathi ...
1
High first pass metabolism
Increased absorption
IV drug administration
High lipid solubility
Pharmacology
Endocrinology
547bbe6f-6b25-4205-9307-84e6a79f1467
single
Which strain of streptococci is implicated in neonatal meningitis is:
Group-B
2
Group-A
Group-B
Group-C
Group-D
Microbiology
null
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single
ASO (Antistreptolysin o) test Is used for the diagnosis of-
Ref: R Alagappan - Manual of Practical Medicine 4th Edition.pg no:146-147 Jones Criteria for Diagnosis of Rheumatic Fever Major Criteria Carditis Pancarditis, seen in 50-60% of patients, develops within the first 2 weeks of rheumatic fever. Pericarditis is evidenced by presence of a pericardial rub, myocarditis by tach...
3
Rheumatoid ahritis
Typhoid fever
Rheumatic fever
Rickettsial fever
Medicine
C.V.S
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single
All the following enzymes are involved in the metabolism of xenobiotics except
Oxidation, reduction, and hydroxylation are phase 1 reactionsCyp. 450 is the most common enzyme involved in the metabolism of various drugs in phase 1 and phase 2.Methylase - phase 2 reactionRef: Goodman Gillman 11th ed, pg 71
2
Hydroxylase
Cytochrome oxidase
Cytochrome P450
Methylase
Pharmacology
General pharmacology
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multi
Which of the following sites is not involved in a posterior cerebral aery infarct:
Answer is D (Anterior Coex) : Anterior Coex (Frontal lobe) is not involved in posterior cerebral aery infarct Posterior Cerebral Aery infarcts The posterior Cerebral Aery supplies the midbrain, thalamus, lateral geniculate bodies, posterior poion of choroid plexus, occipital lobes, inferior and medial aspect of the tem...
4
Midbrain
Thalamus
Temporal lobe
Anterior Coex
Medicine
null
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single
For a weight of 98 kgs and height of 175 cms, BMI is:
32
2
28
32
36
46
Social & Preventive Medicine
null
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single
Highest fat content is present in:
Fat content of food items: Food item Fat content Jowar 4% Bajra 6.5% - Highest fat content Rice 3% Wheat 3%
3
Rice
Wheat
Bajra
Jowar
Social & Preventive Medicine
Proteins, Fats, Rich Sources
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single
Most accurate treatment of erectile dysfunction:
A i.e. SildenafilSildenafil is only approved & effective oral agent for erectile dysfunctionQ. It is useful in wide range of e.d.including - pyschogenic, diabetogenic, vasculogenic, post radical prostatectomy (nerve sparing procedure) & spinal cord injury.It acts by inhibiting phosphodiesterase - 5 (PDE-5)Q & releasing...
1
Sildenafil
Master and johnson technique
B-blockers
Papaverine
Psychiatry
null
068c6788-406e-40bf-8a95-b9f30debe91f
single
Secondary amyloidosis complicates which of the following
Ref Robbins 9/e p257;8/e p253;7/e p261 TB , bronchiectasis and chronic osteomyelitis were the most impoant underlying conditions but with the advent of effective antimicrobial chemotherapy the connective tissue disorders such as rheumatoid ahritis , ankylosing spondylitis and inflammation bowel disease . paicularly cro...
4
Pneumonia
Chronic glomerulonephritis
Irritable bowel sydrome
Chronic osteomyelitis
Anatomy
General anatomy
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single
A patient underwent breast conservation surgery for 3 cm lesion along with sentinel lymph node biopsy., which showed one-third of sentinel lymph nodes are positive for macrometastasis. Next step is
Lymphatic metastasis in Carcinoma Breast: Lymphatic spread in CA breast occurs through subareolar lymphatic plexus of Sappey&;s lymphatic plexus, cutaneous lymphatics & inflammatory lymphatics. Lymphatic metastasis occurs primarily to the axillary (75%) & internal mammary lymph nodes. Tumors in the posterior one-third ...
1
Completion axillary lymph node dissection chemotherapy and radiotherapy
MRM with level I lymphadenectomy
MRM with level III lymphadenectomy
Only chemotherapy and radiotherapy
Surgery
Endocrinology and breast
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multi
“Smack” is the “common” name for
Heroin or di-acetyl-morphine is about two times more potent than morphine in injectable form. Apart from the parenteral mode of administration, heroin can also be smoked or ‘chased’ ( chasing the dragon), often in an impure form (called ‘ smack’ or ‘ brown sugar’ in India). Heroin is more addicting than morphine and c...
1
Heroin
Cocaine
Opium
None
Psychiatry
null
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multi
All of the following are signs of uterine scar dehiscence except: September 2009
Ans. C: Strong Uterine Contractions The signs and symptoms of uterine rupture largely depend on the timing, site, and extent of the uterine defect. Uterine rupture at the site of a previous uterine scar is typically less violent and less dramatic than a spontaneous or traumatic rupture because the scar is relatively av...
3
Tachycardia
Fetal distress
Strong uterine contractions
Falling BP
Gynaecology & Obstetrics
null
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multi
Young female with 3 day fever presents with headache, BP 90/60 mmHg, Hea rate of 114/min, and pin point spots developed distal to BP cuff. Most likely organism is:
Ans. (c). i.e. N. meningitidis The patient here is under state of shock (hypotension, tachycardia) in conjunction with meningitis (headache fever)and rash. Meningococcal meningitis is the most common meningitis complicated by shock. CLINICAL MANIFESTATION OF MENINGOCOCCAL DISEASE Rash A nonblanching rash (petechial or ...
3
Brucella abous
Brucella suis
N. meningitidis
Staphylococcus aureus
Microbiology
null
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single
The most impoant cells in type I hypersensitivity
Ans. is 'b' i.e., Mast cells Type I hypersensitivity (Immediate hypersensitivity) o It is a rapidly developing immunological reaction occuring within minutes after the combination of an antigen with antibody bound to mast cells in individuals previously sensitized to the antigen. o Immediate hypersensitivity reactions ...
2
Macrophages
Mast cells
Neutrophils
Lymphocytes
Pathology
null
5ba62b8f-9bcd-4646-b9b0-59c0b5374ff6
single
Atrial fibrillation may occur in all the following conditions, except-
Answer is B (Hypothroidism) Atrial Fibrillation is associated with hypehyroidism and not hypothyroidism Impoant causes of Atrial Fibrillation Cardiovascular causes of Atrial Fibrillation Rheumatic Hea disease (Includes mitral stenosis and mitral regurgitation) Non Rheumatic Mitral valve disease Chronic Hypeension Cardi...
2
Mitral stenosis
Hypothyroidism
Dilated cardiomyopathy
Mitral regurgitation
Medicine
null
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multi
High Glycemic index is defined as value more than?
High Glycemic index foods have values of 70 or greater and include baked potato, white bread and white rice. Low Glycemic index foods have values of 55 or lesser and include multi grain breads, pasta, legumes.
3
55
60
70
100
Medicine
Diabetes Mellitus
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single
Threshold of hearing in a young normal adult is ?
Ans. is'a'i.e.,0 dBAudiometric zeroThreshold of hearing, i.e. The faintest intensity which a normal healthy person can hear will vary from person to person.The International Standards Organisation (ISO) adopted a standard for this, which is represented as the zero level on the audiometer (0 dB).According to ISO, audiom...
1
0 dB
10 dB
20 dB
30 dB
ENT
null
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single
A 4 years old child suffered from a fall on outstretched hand. X rays revealed a fracture with the fracture line at the physes with a small metaphyseal fragment. There was no epiphyseal fracture. What type of injury by Salter harris Classification is this?
(Refer: Mohindra’s Fundamentals of Orthopedics, 2nd edition, pg no. 510) Type II: the fracture involves the physis and a triangle of metaphyseal bone (Thurston Holland sign).  This is the commonest type of epiphyseal injury accounting for 73 percent of cases over 10 years of age.
2
I
II
III
IV
Unknown
null
09c3f34a-2b4e-4d25-95be-5400d3505f02
multi
Positive hepatojugular reflux is found in all of the following conditions except -
Ans. is 'c' i.e., Associated with decreased afterload [Ref: CMDT 2007p. 318; British Medical Journal May 1999\ Hepatojugular refluxThis is done by applying firm pressure with the palm of the hand to the right upper quadrant of the abdomen for 10- 30 seconds with the patients breathing quietly while the jugular vein is ...
3
Tricuspid regurgitation
Right heart failure
Decreased after load
Increased capillary bed pressure
Medicine
Liver
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multi
A neurodevelopmental disorder which is characterized by impaired social interaction, impaired verbal and nonverbal communication, and restricted and repetitive behavior is description for:
Autistic disorder (childhood autism) Social deficits. Examples include babies who don't like being held, and also reduced eye contact, unusual facial expressions, lack of gestures, poor understanding of others' feelings, lack of empathy, and few peer relationships. Communication deficits. Speech in autistic children sh...
1
Autism
Anxiety disorder
Antisocial personality disorder
Paranoid schizophrenia
Psychiatry
Psychoanalysis
495f0900-664e-40bb-aee1-3b9ed066445f
single
Adrenal aldosteronoma is best diagnosed by -
Ans is option 1 HRCT The usual screening test is to measure the serum potassium level. If it is low, diagnostic tests are done including measuring blood and urinary aldosterone levels and blood renin levels. In Conn's syndrome, the aldosterone is elevated and the renin is suppressed. If these tests are diagnostic then ...
1
HRCT
MRI
JVP
KUB
Medicine
Endocrinology
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single
A 70 year old male chronic smoker is diagnosed of having cancer of the urinary bladder. It is confined to the trigone and extention is upto the submucosa. The management would be
Answer- B. Complete transurethral resection with intravesical chemotherapyTreatment-T1Complete TUR followed by intravesical chemo- or immunotherapy or radical cystectomy
2
Complete transurethral resction
Complete transurethral resection with intravesical chemotherapy
Palliative radiotherapy
Radical cystectomy
Surgery
null
38155835-cc1e-47d5-81d4-0a7d66fc0fae
multi
Weakness of extensor Hallucis longus is due to which nerve root mainly?
Ans. is 'a' i.e., L5 Important muscles and their chief myotomesMuscleMyotomeExtensor Hallucis LongusL5Tibialis anteriorL4Flexor Hallucis LongusS1GastrosoleusS1Gluteus Medius and MinimusL5Gluteus MaximusS1Quadriceps FemorisL3
1
L5
L4
S1
S2
Anatomy
Lower Extremity
92ca23bf-50f0-4ae9-9b09-37f2bc1cac64
multi
Which of the following is not branch of the basilar aery ?
Posterior communicating aery is a branch of internal carotid aery. The other branches of basilar aery are: Superior cerebellar aery Posterior cerebral aeries . The branches of cerebral pa of internal carotid aery are: Ophthalmic aery Anterior cerebral aery Middle cerebral aery Posterior communicating aery Anterior chor...
4
Labrynthine aery
Anterior inferior cerebellar aery
Pontine aery
Posterior communicating aery
Anatomy
Brain
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single