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Which of the following diseases of the skin is the most likely to be associated with partial anodontia?
Ectodermal dysplasia is characterized by congenital dysplasia of ectodermaL structures, manifested as hypohidrosis (partial or complete absence of sweat glands) hypotrichosis and hypodontia or partial anodontia. Two types Hypohidrotic (Christ-Siemens-Touraine syndrome) most common type and includes dental manifestatio...
2
erythema multiformae
hereditary ectodermal dysplasia
keratosis follicularits
lichen Onus
Pathology
null
99d540ec-42f0-49ad-97cb-80732db7f32d
single
Early neonatal sepsis occurs within (hours) -
Ans. is 'd' i.e., 72 hours
4
8
12
36
72
Pediatrics
null
c6c67fbf-0828-44e5-8045-23e831a6fd99
single
Cylindrical dilatation of renal tubules is seen in -
null
1
Polycystic disease of kidney
Medullary cystic disease
Wilms tumour
Lipoid nephrosis
Pathology
null
fb793de0-b15e-4ee3-90fe-c6304678bb08
single
All the following are features of Tropical pulmonary eosinophilia except
In TPE Microfilaria are rapidly cleared from blood stream by the lungs . Thus, Microfilaria are sequestrated in the lungs . Ref Harrison 19th edition pg 1686-87
2
Eosinophilia>3000/mm3
Microfilaria in blood
Paroxysmal cough and wheeze
Bilateral chest mottling and increased bronchivascular markings
Anatomy
Respiratory system
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multi
Feilization occurs in which pa of the fallopian tube
REF : DUTTA OBG 9TH ED
1
Ampulla
Isthmus
Interstitial
Infundibular
Gynaecology & Obstetrics
All India exam
a9395f17-d6de-46bc-9c1e-c1f527d410a3
multi
Naturally occurring LA –
Cocaine is the only naturally occuring local anaesthetic, obtained from leaves of Erythroxylon coca.
1
Cocaine
Lidocaine
Bupivacaine
Tetracaine
Anaesthesia
null
8f009fea-3837-4f02-9018-17bf2c35519e
multi
The dangerous paicle size causing pneumoconiosis varies from ?
Ans. is 'd' i.e., 1-5 m Pneumoconiosis o Pneumoconiosis is an occupational lung disease caused by the inhalation of dust. o The development of pneumoconiosis depends on - (i) The amount of dust retained in the lungs and airways. (ii) The size, shape of the paicles --> The most dangerous paicle ranges from Ito 5 m in di...
4
100-150 m
50-100 m
10-50 m
1-5 m
Pathology
null
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single
An 6 cm simple ovarian cyst was identified in late pregnancy, what would be the best management ?:
Treatment of ovarian tumour in pregnancy depending on time of pregnancy: During pregnancy In an uncomplicated case, the best time of elective operation is b/w 14-18wks as chances of aboion are less and access to the pedicle is easy. But if the tumour is diagnosed beyond 36 weeks, tumour is removed early in puerperium. ...
3
Emergency laparotomy
Removal after after 6 weeks of puerperium
Removal early in the puerperium
Conservative as most tumors would subside
Gynaecology & Obstetrics
Obstetrics
b52bcdad-1153-4599-8c15-68193a4b1492
single
Periodontal pack is least successful in the management of?
null
4
Splinting
Antimicrobial Properties
Hemostasis
Pain elimination
Dental
null
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single
Neovascularisation is seen in
A i.e. Central vein obstruction
1
Central vein obstruction
Central retinal aery obstruction
Branch retinal vein obstruction
All of the above.
Ophthalmology
null
2b5d18cc-493a-4017-8049-6c119d013591
multi
A person present with cribriform plate fracture with CSF rhinorrhea. What will be immediate treatment?
TREATMENT OF CSF RHINORRHEA Early cases of post-traumatic CSF rhinorrhoea can be managed by conservative measures such as bed rest, elevating the head of the bed, stool softeners, and avoidance of nose blowing, sneezing and straining. Prophylactic antibiotics can be used to prevent meningitis. Acetazolamide decreases C...
4
Frequent blowing of nose
Plugging of nose with paraffin
Craniotomy
Antibiotics with wait for 7 days
ENT
All India exam
60453595-5fc3-4ef2-870b-bfc940dc9197
single
Which of the following structures is least likely to be damaged during mandibular 3rd molar extraction
null
1
Lingual artery
Lingual nerve
Inferior alveolar nerve
Inferior alveolar artery
Anatomy
null
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single
A 60 yr old female with I-1/0 8 blood transfusion in 2 years. Her Hb- 60g/L, TLC-5800, platelet-3.4 lakhs, MCV 60, RBC-2.1 lakhs/mm3. He is having hypochromic microcytic anemia. Which investigation is not needed aEUR'
Evaluation for pulmonary hemosiderosis Anemia with low RBC count, microcytotosis and hypochromia point towards iron deficiency anemia. - "Bone marrow biopsy" in iron deficiency anemia demonstrates erythroid hyperplasia and micronormoblasts reaction. - Prussian blue staining of the bone marrow aspirate and smear and bio...
1
Evaluation for pulmonary hemosiderosis
Urinary hemosiderin
Bone marrow examination
G I endoscopy
Pathology
null
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single
Nitrates are not used in -
Ans. is 'c' i.e., Renal colic Uses of nitrates Angina pectoris MI CHF and acute LVF --> nitroglycerine i.v. can be used Act by decreasing preload (LV filling pressure). Biliary colic and esophageal spasm (achalasia cardia) Acute coronary syndrome (unstable angina and non-ST segment elevation Ml). Cyanide poisoning
3
CCF
Esophageal spasm
Renal colic
Cyanide poisoning
Pharmacology
null
8cbcdc81-71bc-4881-8c3b-97c543fdd8ee
single
Natural uncoupler is-
Ans. is 'a' i.e., Thermogenin o Amongst the given options, a, b and c are uncouplers. o However, only thermogenin, among these three is a natural (physiological) uncoupler. Uncouples o As the name suggests, these compounds block the coupling of oxidation with phosphorylation. These compounds allow the transfer or reduc...
1
Thermogenin
2, 4-dinitrocresol
2, 4 Dinitrophenol
Oligomycin
Unknown
null
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single
All of the following statements about hairy cell leukemia are true except:
Hairy cell leukemia is a type of B-cell leukemia. Clinical feature: Massive splenomegaly Increase chances of infections DIAGNOSIS 1. BLOOD Pancytopenia Phase contrast microscopy- Hairy projections Staining- TRAP 2. Immunophenotyping CD11 + CD25+ CD103 + Annexin A1 + ( Best marker) 3.BM examination BM aspiration - Dry t...
2
Splenomegaly is conspicuous
Results from an expansion of neoplastic T-lymphocytes
Cells are positive for Taarate Resistant Acid phosphatase
The cells express CD25 consistently
Pathology
Non Hodgkin Iymphoma
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multi
A decrease in which of the following parameters will shift the O2 dissociation curve to the right?
Left shift (high affinity for O2) Right shift (low affinity for O2) Temperature decrease increase 2.3-DPG decrease increase p(CO2) decrease increase p(CO) increase decrease pH (Bohr effect) increase (alkalosis) decrease (acidosis) Type of haemoglobin Fetal haemoglobin Adult haemoglobin
1
pH
Paial pressure of CO2
2,3 DPG concentration
Temperature
Physiology
null
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single
Kussumauls breathing
Rapid,deep(Kussmaul) breathing usually implies metabolic acidosis but may also occur with pontomesencephalic lesions. Ref:Harrison's medicine -18th edition,page no:2251.
4
Metabolic alkalosis
Respiratory alkalosis
Respiratory acidosis
Metabolic acidosis
Medicine
Respiratory system
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single
Dislocation of lens is seen in:
C i.e. Homocystinuria
3
Trachoma
Diabetes mellitus
Homocystinuria
Turner's syndrome
Ophthalmology
null
cdb53cc4-0c9c-410a-9cf0-c6bd71a0b51a
single
Which of the following is not a prodrug-
Ans. is 'd' i.e., Diazepam Prodrug o Few drugs are inactive as such and need conversion in the body to one or more active metabolites. Such a drug is called a prodrug. Prodrug Levodopa Enalapril - Methyldopa Chloralhydrate Dipivefrine Oxcarbazepine Prednisone Bacampicillin Sulfasalazine Cyclophosphamide Mercaptopurine ...
4
Enalapril
Oxcarbazepine
Chloral hydrate
Diazepam
Pharmacology
null
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Cause of "bloody" vomitus in a neonate
Meckel&;s dieiculum may cause severe hemorrhage due to peptic ulceration. The blood is usually passed per rectum and is maroon in colour. it may cause bloody vomitus. Ref : BAILEY AND LOVE&;S SHO PRACTICE OF SURGERY,24 TH EDITION PG NO:1159
1
Meckel's diveiculum
Intussusception
Malrotation
Cholecystitis
Pediatrics
Gastrointestinal tract
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single
Lancinating pain around the tonsils during eating is indicative of
(B) Glossopharyngeal neuralgia # Nerve Supply of Tonsils:* Lesser palatine branches of sphenopalatine ganglion (CN V) and glossopharyngeal nerve provide sensory nerve supply.
2
Trigeminal neuralgia
Glossopharyngeal neuralgia
Facial neuralgia
None of the above
ENT
Miscellaneous (E.N.T.)
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multi
Bird of Prey" sign is seen in the radiographic barium examination of:
Sigmoid volvulus
3
Gastric volvulus
Intussusception
Sigmoid volvulus
Caeca! volvulus
Radiology
null
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single
A 30-year-old woman sustained a traumatic blow to her right breast. Initially, there was a 3-cm contusion beneath the skin that resolved within 3 weeks, but she then felt a firm, painless lump that persisted below the site of the bruise 1 month later. What is the most likely diagnosis for this lump?
Fat necrosis is typically caused by trauma to the breast. The damaged, necrotic fat is phagocytosed by macrophages, which become lipid-laden. The lesion resolves as a collagenous scar within weeks to months. The firm scar can mammographically and grossly resemble a carcinoma. An abscess may form a palpable but painful ...
2
Abscess
Fat necrosis
Fibroadenoma
Inflammatory carcinoma
Pathology
Breast
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multi
The basis of Korotkoff sound is
The sounds of Korotkoff are produced by turbulent flow in the brachial aery. When the aery is narrowed by the cuff, the velocity of flow through the constriction exceeds the critical velocity and turbulent flow results.
3
Aoic valve closure
Production of hea sound
Aerial turbulence
Aerial valve expansion
Physiology
Cardiovascular system
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single
Aganglionic segment is encountered in which part of colon in case of Hirchsprung's disease -
Ans. is 'a' i.e., Distal to dilated segment "The major feature of Hirschsprung ds is an absence of ganglion cells in the neural plexus of the intestinal wall, together with hypertrophy of nerve trunks. The absence of ganglion cells gives rise to a contracted non-peristaltic segment with a dilated hypertrophied segment ...
1
Distal to dilated segment
In whole colon
Proximal to dilated segment
In dilated segment
Surgery
Colon, Rectum, and Anus - Diagnostic Evaluation
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single
Estimation of the following hormones is useful while investigating a case of gynecomastia except-
Gynecomastia refers to enlargement of the male breast. It is caused by excess estrogen action and is usually the result of an increased estrogen-to-androgen ratio. True gynecomastia is associated with glandular breast tissue that is >4 cm in diameter and often tender. Evaluation of a case of gynecomastia should include...
2
Testosterone
Prolactin
Estradiol
Luteinising hormone
Medicine
Endocrinology
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multi
Light requirement in watch manufacturing company is -
The recommended illumination (IES Code)in watch manufacturing company is 2000-3000 lux Rule of thumb is that the illumination must be 30 times higher the level at which ask can be just done. Parks textbook of preventive and social medicine.K Park. Edition 23.page no:741.table2.
1
2000-3000 Lux
5000-10000 Lux
10000-20000 Lux
50000 Lux
Social & Preventive Medicine
Environment and health
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single
Drug with membrane stabilizing activity is?
ANSWER: (D) OxprenololREF: KDT 6 th edition page 140Membrane stabilizing activity (in propanolol, oxprenolol, acebutolol). This activity is claimed to contribute to the antiarrhythmic action, but appears to be significant only at high doses
4
Nadolol
Atenolol
Carvedilol
Oxprenolol
Pharmacology
Anti Adrenergic System
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single
Which of the following statement is/are true of all paramyxoviruses -a) They contain a single standed RNA genome of negative polarityb) Envelope is derived from the host cells plasma membranec) They have a cytoplasmic site of replicationd) They enter the body by the respiratory route
Paramyxoviruses are negative sense single stranded Enveloped RNA viruses Site of riboncleoprotein synthesis is cytoplasm and envelop is derived from host cell plasma membrane They are important pathogens of infants and children and responsible for major part of acute respiratory infections and Infection is acquired by ...
2
acd
abcd
abc
ab
Microbiology
null
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multi
Venous congestion of liver affects ?
Ans. is 'c' i.e., Centrilobular zoneNutmeg liver or chronic passive congestion or Congestive hepatopathy :?Chronic passive congestion is liver dysfunction due to venous congestion, usually right sided cardiac dysfunction (right sided cardiac decompenstion).When there is right sided cardiac decompensation, the blood bei...
3
Midzone
Perihepatic zone
Centrilobular zone
All the above
Pathology
null
14bb9049-9498-4c54-a58d-00d280a2689b
multi
In alcohol withdrawal which is not seen -
Blackout occurs during acute intoxication (not during withdrawal). All the other options can occur in alcohol withdrawal.
2
Seizure
Blackout
Coarse tremor
Hallucination
Psychiatry
null
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multi
Pitting of nails is seen in – a) Lichen planusb) Psoriasisc) Pemphigusd) Arsenic poisoning
null
1
ab
a
ad
bc
Dental
null
e49e563a-e976-4592-8762-c5f83f274e0a
single
A triphasic withdrawal syndrome follows an abrupt discontinuation of ______ use.
Cocaine use produces a mild physical, but a strong psychic dependence. A triphasic withdrawal syndrome follows an abrupt discontinuation of chronic cocaine use. Signs and symptoms : In the early phase (crash phase, 9 h to 4 days), there is anorexia, depression, agitation, excessive craving, hypersomnia, fatigue and exh...
4
Alcohol
LSD
Heroin
Cocaine
Forensic Medicine
Drug Abuse
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single
Lamivudine is given when?
Lamivudine belongs to the set of antiviral agents effective against hepatitis B virus infection. Given case repos on liver injuries after ceain antiviral agent treatments, this study examined the effects of lamivudine on alanine aminotransferase (ALT) and total bilirubin (TB) using a medical system database Ref Harriso...
3
HBeAg positive
HBeAg negative
ALT >_ 2 ULN
Viral DNA> 10(square) copies
Medicine
C.N.S
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single
In PML, all of the following are seen except :
Answer is C (CD15 / 34 both seen in same cell) Acute promyelocytic Leukaemia (PML : FAB M3) * This is a type of Acute Myeloid Leukaemia (AML) and has been classified as the M3 category according to the FAB morphological classification.9 * It constitutes 5 - 10% of all AML (Robbin's / Ghai) Pathological characteristic o...
3
Retinoic acid is used in treatment
15/17 translocation
CD 15/34 both seen in same cell
Associated with DIVC
Medicine
null
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multi
All the following are true of Paget disease Except
Paget disease is a disorder of unknown origin, which occurs in older people and involves either a single bone or several bones. It is not associated with systemic metabolic disturbances, and some pas of the skeleton are always spared. The bones show marked thickening, owing to excessive osteoblastic and reduced osteocl...
4
It affects elderly individuals
It may be monostotic or polyostotic
There is an imbalance between osteoblastic and osteoclastic activity
Deformed long bones result from coical bone thinning
Orthopaedics
Avascular necrosis and osteochondroses
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multi
True about keratoconus are all of the following except: September 2005
Ans. B: It manifests just after bih Keratoconus is frequently due to a congenital weakness of the cornea, though it manifests itself after pubey. However it can occur secondarily following trauma or Down's syndrome. Keratoconus is divided into mild, moderate, and advanced. Mild keratoconus - External and corneal signs ...
2
Can be seen in Down's syndrome
It manifests just after bih
Munson sign is characteristic
Corneal transplantation is needed in severe cases
Ophthalmology
null
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multi
Vaccines prepared by embryonated hen's egg are:
Ans. (b) Rabies Vaccine that grows in embryonated eggs: Influenza Yellow fever (17 D strain) Rabies (Flury strain) Mumps Varicella vaccine growns in chick embryo fibroblast culture. Rubella - RA 27/3 vaccine produced in human diploid fibroblast. No eggs culture vaccine of measles are produced. All are tissue culture va...
2
Measles
Rabies
Rubella
Varicella
Microbiology
null
2db106ce-b897-42ee-9a27-426ad09ebd9b
single
How does the distal nephron differ functionally from the proximal tubule?
Proximal and distal convoluted tubule The site of action of acetazolamide is the proximal convoluted tubule and the site of action of the thiazides is the distal convoluted tubule. The distal nephron has a negative luminal potential because it is poorly permeable to negatively charged ions. Therefore, when Na+ is reabs...
1
The distal nephron has a more negative intraluminal potential than the proximal tubule.
The distal nephron is less responsive to aldosterone than the proximal tubule.
The distal nephron is more permeable to hydrogen ion than the proximal tubule.
The distal nephron secretes more hydrogen ion than the proximal tubule does.
Physiology
Excretory System (Kidney, Bladder) Acid-Base Balance
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multi
Which is the commonest abdominal mass in neonate -
Ans. is 'c' i.e., Neuroblastoma The commonest intra-abdominal tumor in first two years of life Neuroblastoma The commonest intra-abdominal tumor between 2"d to 5th year of life - Wihn's tumor The commonest intra-abdominal tumor in children (no age specification) Neuroblastoma (Wilm's tumor is the second most common abd...
3
Wilm's tumor
Polycystic kidney
Neuroblastoma
Rhabdomyosarcoma
Pediatrics
null
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single
Mode Is:
null
2
Arthimetic average of the values
Most frequently occurring observations
Middle observation when arranged in ascending or descending order
Adding all values and then dividing by number of values
Dental
null
1b5e262d-5de9-4bba-9be3-700742a17b82
multi
A patient gets tingling when his bed light is flashed suddenly. Which type of hallucination is this :
"Example of reflex hallucination : when the light flashes the patient gets tingling sensation".
3
Hypnagogic hallucinations
Hypnopompic hallucinations
Reflex hallucinations
Functional hallucinations
Psychiatry
null
25bb124e-1c6e-4c60-b8a2-640a5ba80f2f
multi
Which of the following amino acids is most responsible for the buffering capacity of hemoglobin and other proteins?
Remember that a buffer is most effective when its pKa is within the pH range of the surrounding medium. Histidine is the only amino acid with good buffering capacity at physiologic pH. The imidazole side chain of histidine has a pKa around 6.0 and can reversibly donate and accept protons at physiologic pH. Arginine and...
4
Arginine
Aspaic acid
Glutamic acid
Histidine
Biochemistry
null
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single
Which of the following is NOT associated with elevation Right hemi-diaphragm:
Ans. (c) CholecystitisCholecystitis is inflammation of gall bladder wall.Radiological evaluation does not show elevation of right hemidiaphragm in these cases.AMOEBIC LIVER ABSCESS* Chest radiographs are abnormal in the majority of patients with amebic hepatic abscesses. Findings include elevation of the right hemi-dia...
3
Amebic abscess
Pyogenic abscess
Cholecystitis
Sub diaphragmatic abscess
Surgery
Miscellaneous
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single
All of the following drugs are useful in the treatment of a patient with acute bronchial asthma except
null
3
Ipratropium
Salbutamol
Montelukast
Hydrocortisone
Medicine
null
67b9dd5a-cc76-4ca3-b129-4b2a9dc05a4c
multi
Mydriasis is/are caused by:
D i.e. Atropine Pinpoint pupils are seen in - 'Car Chlor Or Mor' i.e. Carbolic acid, Chloral hydrate, Organophosphorus, Morphine (opiate)Q and 'New Horn' i.e. neurosyphilis/tabes dorsalis (spinal miosis or small, irregular Argyll Robeson pupil) and Horner's syndrome. Atropine and cocaine cause mydriasisQ Barbiturate po...
4
Homer syndrome
Neurosyphilis
Organophosphorus poisoning
Atropine
Forensic Medicine
null
4d79e291-8a7b-4f4e-aba6-4e1123ba0d21
single
Which of the following techniques use piezoelectric crystals -
Ans. is 'a' i.e., Ultrasonography o Ultrasonography is based on piezoelectric effect.o MRI is based on gyeromagneticproperty of proton (H+).Ultrasonography (USG) / Ultrasoundo USG is performed with the pulse-echo technique. By the virtue of piezoelectric effect in the ultrasound probe (or transducer), electric energy i...
1
Ultrasonography
X-ray diffraction
NMR imaging
Xeroradiography
Radiology
Ultrasonography, CT, and MRI
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single
A patient with hypeension is also having aoic dissection. Anti-hypeensive agent of choice is: September 2008
Ans. A: Sodium Nitroprusside Antihypeensive therapy in acute aoic dissection aims specifically to lessen pulsatile load or aoic stress, in order to retard the propagation of the dissection and prevent aoic rupture. The goals of treatment are to prevent myocardial ischemia, decrease left ventricular afterload, decrease ...
1
Sodium nitroprusside
Reserpine
Pindolol
Nifedipine
Pharmacology
null
23637300-9b66-4e37-bfac-6dcd82e06399
single
The parietal peritoneum covering the inferior surface of the diaphragm transits its sensory information via the phrenic nerve. In the case of peritonitis in the parietal peritoneum on the inferior surface of the diaphragm, pain may be referred through which of the following nerves?
Ans. D. Supraclavicular nervesThe phrenic nerve consists of contributions from spinal nerve levels C3 to 5.Therefore, when sensory information comes from the parietal peritoneum on the inferior diaphragmatic surface, it may refer through spinal nerves at the same levels.a. Supraclavicular nerve shares levels with the C...
4
A
B
C
D
Anatomy
Abdomen & Pelvis
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single
Operation of choice in GERD is
Operations for GORD are based on the creation of an intra-abdominal segment of oesophagus, crural repair and some form of wrap of the upper stomach (fundoplication) around the intra-abdominal oesophagus.Nissen fundoplication is one of the commoner procedures done.Ref: Bailey and Love 27e pg: 1078
2
Highly selective vagotomy
Fundoplication
Hellers myotomy
Gastrectomy
Surgery
G.I.T
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single
Non immunized susceptible diphtheria contacts should receive:
Non immunized contacts should receive prophylactic penicillin or erythromycin. They should also be given 1000 to 2000 units of antitoxin and actively immunized against diphtheria. Ref: Park 21st edition, page 151.
3
Erythromycin
Penicillin and diphtheria antitoxin
Penicillin, diphtheria antitoxin and DPT vaccine
No treatment is required
Social & Preventive Medicine
null
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single
In emergency tracheostomy following structures are damaged except:
Structures which lie below the midline viz. isthmus of thyroid and thyroid ima aery can be damaged in emergency tracheostomy. Inferior thyroid veins emerge at the lower border of the isthmus form a plexus in front of the trachea and drains into brachiocephalic vein can be damaged during tracheostomy but inferior thyroi...
3
Isthmus of thyroid
Inferior thyoid vein
Inferior thyroid aery
Thyroid ima
ENT
null
b26f9e12-8ccc-4167-8993-772c0c0474d2
multi
Intrinsic factor is required for absorption of ?
Ans. is 'b' i.e., Vitamin B12
2
Folic acid
Vitamin B12
Vitamin B
Vitamin B2
Physiology
null
dc937900-30c6-4d2f-bc61-c0ef53433063
single
After a normal prenatal period, a lady developed sudden HTN and bleeding from all places. Diagnosis is:
(A) DIC# Disseminated Intravascular Coagulation (DIC), also known as disseminated intravascular coagulopathy or less commonly as consumptive coagulopathy, is a pathological process characterized by the widespread activation of the clotting cascade that results in the formation of blood clots in the small blood vessels ...
1
DIC
Aplastic anemia
ITP
APLA
Gynaecology & Obstetrics
Miscellaneous (Obs)
cb1b8cdc-6739-46ea-9ee2-0b98f038a538
multi
Which of the following is the best test to diagnose bleeding in DIC?
Fibrin degradation product (FDP) is the best test to diagnose bleeding in DIC. D-Dimer assay is for screening | PT & | aPTT seen in a lot of conditions - so not best.
4
Increased PT
Increased aPTT
Decreased fibrinogen
Increased fibrin degradation products
Medicine
Platelet & Coagulation disorders
65934f28-68d3-447f-b328-b5c56b393fae
single
Chlorhexidine as a root canal irrigant is
null
4
Active against gram +ve , gram –ve bacterias and to some extent Virus with lipid envelop.
Normally used at 2% conc
A poly biguinide
All of the above
Dental
null
536aa21e-dde9-4e75-b75a-648a9b27589b
multi
Inferior border of scapula lies at the level of which rib?
ANSWER: (C) 7thREF: Gray's Anatomy 40th Ed Ch: 49Indirect repeat Anatomy 2012 Session II, 2013 Session 1The inferior angle overlies the seventh rib or intercostal space and T7
3
5th
6th
7th
8th
Anatomy
Back, Deltoid, and Scapular Region
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Most common complication of acute pancreatitis is -
null
2
Pancreatic abscess
Pseudocyst
Phlegmon
Pleural effusion
Medicine
null
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single
Marble bone disease, characterized by increase in bone density is due to mutation in the gene encoding:
Ans. B. Carbonic Anhydrase IIIn osteoporosis, also called as marble bone disease there is increased bone density. It is due to mutation in gene encodingcarbonic anhydrase II enzyme. The deficiency of this enzyme in osteoclasts leads to inability of bone resorption.
2
Carbonic Anhydrase I
Carbonic Anhydrase II
Carbonic Anhydrase III
Carbonic Anhydrase IV
Biochemistry
Enzymes
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Cidex is
null
1
Gluteraldehyde
Alcohol
A phenolic compound
A caustic agent
Surgery
null
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single
Hemorrhagic fever is caused by -
kyasanur forest disease a hemorrhagic fever found in Karnataka. It is an arboviral disease. a new arbovirus genetically related to RSS isolated REF:ANANTHANARYANAN TEXTBOOK OF MICROBIOLOGY 9EDITION PGNO.524
3
West-Mile fever
Sandfly fever
Ebola virus
All of the above
Microbiology
Virology
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multi
Initial stage of clinical union of bone is equivalent to
The first signs of union are seen in stage of hard callus formation A. Clinical sign:fracture is no more mobile B. Radilogical sign :callus is seen on X ray *hard callus is immature woven bone* Ref: Maheshwari 9th/e p 12
1
Callus formation with woven bone
Woven bone Formation
Haematoma formation
Calcification formation only
Orthopaedics
Anatomy and physiology of bone and fracture healing
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multi
A two-year-old child presents with persistent diarrhea, acidic stools and presence of one percent of reducing substance in the fresh stools. What is the most probable diagnosis?
Presence of acidic stools with reducing substance positive, suggests a diagnosis of lactose intolerance.
2
Cystic fibrosis
Lactose intolerance
Rotavirus induced diarrhea
Intestinal tuberculosis
Pediatrics
Disorders of Gastrointestinal System Including Diarrhea
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single
Drug of choice for mycoplasma pneumonia is
Treatment options for acute M.pneumoniae infection include macrolides (e.g., oral azithromycin, 500 mg on day 1, then 250 mg/d on days 2-5), tetracyclines (e.g., oral doxycycline, 100 mg twice daily for 10-14 days), and respira-tory fluoroquinolones Ref Davidson edition23rd pg 585
4
Penicillin
Tetracycline
Cefuroxime
Erythromycin
Anatomy
Respiratory system
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A 6 year old female patient complains of pain due to a decayed lower right 2nd molar. During the treatment, patient becomes uncooperative and throws a tantrum. The dentist then asks the mother to step out of the operatory, after which the child begins to cooperate. The example demonstrated by the dentist falls under wh...
Omission (also called time-out), involves removal of a pleasant stimulus after a particular response. For example, if a child who throws a temper tantrum has his favorite toy taken away for a short time as a consequence of this behavior, the probability of similar misbehavior is decreased.
3
Positive reinforcement
Negative reinforcement
Omission
Punishment
Dental
null
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multi
Desks provided with table top to prevent neck problems in an example of
Specific protection comes under Primary prevention. It prevents risk factor from progressing to disease. Ref : Park&;s Textbook of Preventive and Social Medicine; 23rd edition; Page 42
3
Primordial prevention
Secondary prevention
Specific protection
Disability limitation
Social & Preventive Medicine
Concept of health and disease
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single
Glutamine synthetase is a -
Ans. is 4b' i.e., Ligase /Ref Essential of biochemsitry p. 186]o All synthases are ligases.o All digestive enzymes are hydrolases.o Lyases are:DecarboxylasesAldolasesHydratasesEnolaseFumaraseArginosucinaseEnzyme classImportant enzymesOxidoreductaseOxidases, Dehydrogenases, Hydroperoxidases, (catalase, peroxidase), oxyg...
2
Isomerase
Ligase
Lyase
Transferase
Biochemistry
Amino Acid Metabolism
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single
Which of the following is not an accepted method of randomization-
Ans. is 'b' i.e., Odd/even day hospital admission Methods of Randomization o Randomization is accomplished in a number of classic ways 1. Lottery method Suppose 10 patients are to be put in a control group or the trial group out of 100 available. The serial numbers of patients are noted on 100 cards and then shuffled w...
2
Computer drawn randomization
Odd/even day hospital admission
Lottery
Random number table
Social & Preventive Medicine
null
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single
A 23 year old profession footballer sufferd a twisting injury to his right ankle. On examination there is a lot of swelling around the medial malleolus but xray doesn't show any fracture. The structure injured could be -
Answer- A. Deltoid LigamentDeltoid ligament injuries involve the deltoid ligament that forms the medial pa of the anHe joint.It attaches the medial malleolus to multiple tarsal bones.It occurs due to eversion and/orpronation injury, or can be associated with lateral ankle fractures.
1
Deltoid Ligament
Anterior talofibular ligament
Spring ligament
Tendo Achilles
Surgery
null
4ad04b23-b54c-4899-b245-1f0f020dc71b
multi
Von Willebrand&;s factor is synthesized in which one of the following -
The Von willebrand factor is synthesized in the endothelial cells ,megakaryocytes and platelets While the principal site of synthesis of factor VIII is the liver Reference :textbook of Pathology ,7th edition ,Author: Harsha Mohan, page number 314.
1
Vascular endothelium
Macrophages
Liver
Eosinophils
Pathology
Haematology
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Persistence of Moro's reflex is abnormal beyond the age of –
"In a normal infant, the Moro's reflex begins to fade at three months of age and gradually disappears at 4-6 months. When it persists beyond 6 months it indicates a delay in CNS development." ---------- Tachdjian "Moro's reflex disappears by six months in a normal infant." ------------ Ghai
4
3rd month
4th month
5th month
6th month
Pediatrics
null
5004bc72-a76c-481a-a5ea-b5d2609651b5
single
Which of the following statements regarding live vaccines is false
When 2 live vaccines are required they should be given either simultaneously at different sites or with an interval of at least 3 weeks.In case of live vaccines,protection is generally achieved with a single dose of vaccine (refer pgno:103 park 23 rd edition)
1
Two live vaccines cannot be administered simultaneously
Booster doses are not required when live vaccines are administered
Single dose gives lfe long immunity
Live vaccine contains both major and minor antigens
Social & Preventive Medicine
Epidemiology
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multi
All are alkylating agents, except ?
Ans. is 'a' i.e., 5 Fluorouracil
1
5-FU
Melphalan
Cyclophosphamide
Chlorambucil
Pharmacology
null
86ac2881-be7e-4ad6-87bf-f793f6e39f01
multi
True about VSD are all except -
Ans. is 'c' i.e., Reverse spliting of S2 Hemodynamics of VSD o A VSD results in shunting of oxygenated blood from left to right because left ventricle has more pressure than right Left to right shunt. o Blood flow from left to right ventricle due to high pressure gradient --> Pansystolic murmur and systolic thrill. o B...
3
Left to right shunt
Pansystolic mormor
Reverse spitting of S2
Left atrial hyperophy
Pediatrics
null
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multi
The most common causative organism for external otitis in adults is:
Otitis externa is an inflammatory and infectious process of the external auditory canal. Pseudomonas aeruginosa and Staphylococcus aureus are the most commonly isolated organisms. Less commonly isolated organisms include Proteus species, Staphylococcus epidermidis, diphtheroids, and Escherichia coli.
3
Streptococcus viridans
Staphylococcus epidermidis
Pseudomonas aeruginosa
E. coli
ENT
null
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single
Insulin is secreted along with the following molecule in a 1: 1 ratio:
D i.e. C - PeptideInsulin has two interchain (A7 - B7, & A20 - B19) and one intrachain (A6 - All) disulfide bridges with in AB hetrodimeric structureQ.Insulin is synthesized as pre-pro-hormone (MW 11, 500), which makes it difficult to synthesize insulin in laboratory even after synthesizing A, B chains. This pre prohor...
4
Pancreatic polypeptide
Glucagon
GLP-1
C- peptide
Physiology
null
9b010130-0fa2-4f72-be34-28fc5a00335f
single
A 20 year old boy c/o hearing of voices, aggressive behavior since 2 days. He has fever since 2 days. When asked to his family, they says that he has been muttering to self and gesticulating. There is no h/o of psychiatric illness. Likely diagnosis is
Acute psychosis ??? [Ref: Kaplan and Saddock synopsis of Psychiatry 10/e p 516-5171We are unable to reach a conclusive diagnosis with the information provided in the question.Acute onset, presence of fever, no history of psychiatric illness suggests delirium.But, the diagnosis of delirium cannot be made definitively in...
2
Dementia
Acute psychosis
Delirium
Delusional disorder
Psychiatry
null
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single
The most impoant prognostic factor in breast carcinoma is
Stage I and II has got better prognosis. Spread to axillary nodes is the most impoant prognostic indicator. Age: Younger the age worser the prognosis. Sex: Carcinoma male breast has got worser prognosis compared to female breast. Because of early spread in carcinoma male breast. Atrophic scirrhous has got best prognosi...
2
Histological grade of the tumor
Stage of the tumor at the time of diagnosis
Status of estrogen and progesterone receptors
Over expression of p-53 tumour suppressor gene
Surgery
Endocrinology and breast
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Which of the following is associated with > 20% risk of chromosomal anomalies?
Omphalocele is a midline abdominal wall defect. The abdominal viscera (commonly liver and bowel) are contained within a sac composed of peritoneum and amnion from which the umbilical cord arises at the apex and center. When the defect is less than 4 cm, it is termed a hernia of the umbilical cord; when greater than 10 ...
1
Omphalocele
Gastroschisis
Cleft lip
Spina bifida
Pathology
null
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single
Features of SLE include all of the following except -
null
2
Recurent abortion
Sterility
Coomb's positive hemolytic anemia
Psychosis
Medicine
null
164960d2-bd93-4fbe-9720-22f492db5fd1
multi
Multiple myeloma most common part involved is-
Ans. is 'a' i.e., Bone marrow Multiple mveiomao Multiple myeloma is a plasma cell neoplasm characterized by involvement of the skeleton at multiple sites,o Plasma cells proliferate abnormally and the proliferated plasma cells infiltrate various organs, particularly bone marrow, but can also spread to lymph nodes and ex...
1
Bone marrow
Cortex of bone
Metaphyses
Epiphyses
Pathology
Multiple Myeloma
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single
All are the causes of neovascular glaucoma except:
Ans. Central serous retinopathy
4
Intraocular tumour
Central retinal vein occlusion
Diabetic retinopathy
Central serous retinopathy
Ophthalmology
null
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multi
False about Corona viruses?
Corona viruses are enveloped.
1
Corona viruses are non-enveloped
Spreads by coughing and sneezing
Most of them infect animals and birds
Human infection is rare
Microbiology
null
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multi
Copper sulfate poisoning manifests with
COPPER Poisonous Compounds: (1) Copper sulphate (blue vitriol) occurs in large, blue crystals. (2) Copper subacetate (verdigris), occurs in bluish-green masses or powder. Signs and Symptoms: Increased salivation, burning pain in the stomach with colicky abdominal pain, thirst, nausea, eructations and repeated vomiting....
3
High anion gap acidosis
Rhabdomyolysis
Acute hemolysis
Peripheral neuropathy
Forensic Medicine
Poisoning
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single
Which of the following enzyme is associated with the conversion of androgen to oestrogen in a growing ovarian follicle is:
Aromatase enzyme: In a normal ovary, LH acts on the theca interstitial stromal cells, whereas FSH acts on granulosa cells. In response to LH the thecal cells secretes androgen, and the produced androsendione is conveed in the granulosa cells to estrogen by the action of aromatase enzyme. Ref: Physiology By James N. Pas...
1
Aromatase
5 alpha reductase
Desmolase
Isomerase
Physiology
null
41c5ee5c-1991-4635-9440-79789fec69c6
single
All of the following may occur in Noonan syndrome except:
c. Infertility in females(Ref: Nelson's 20/e p 2744-2746, Ghai 8/e p 640-641)Turner syndromeNoonan syndromeKaryotype 45, XOKaryotype normalInfertileFertile but delayed pubertySeen only in femalesMay be seen in males or femalesIntelligence normalIntellectual disability present
3
Hypertrophic cardiomyopathy
Cryptorchidism
Infertility in females
Autosomal dominant transmission
Pediatrics
Genetics And Genetic Disorders
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multi
Gas gangrene is caused by all except
Gas gangrene is rapidly spreading, edematous myonecrosis occurring characteristically in association with a severe wound of extensive muscle mass contaminated by pathogenic clostridia. Most frequently encountered is clostridium perfringes. Also caused by clostridium novyi, Clostridium septicum and clostridium histolyti...
4
Cl. Histolyticum
Cl. novyi
Cl. septicum
Cl. Sporogenes
Microbiology
Bacteriology
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multi
60 yrs old, air in biliary tree, colicky abdominal pain hyper-peristaltic abdominal sounds diagnosis -
Answer- A. Gall stone ileusPresence in air in biliary tract along with sign of intestinal obstruction is characteristic of gall stone ileus.
1
Gall stone ileus
Hemobilia
Cholangitis
Pneumobilia
Surgery
null
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multi
The term applied when it is doubtful whether there will be space for all the teeth in mixed dentition analysis is:
Space supervision  It is a term applied when it is doubtful, according to the mixed dentition analysis, whether there will be room for all the teeth. Prognosis for supervision is always questionable, where as prognosis is always good for regaining space and for space maintenance. Space supervision cases are those that...
3
Space maintenance
Space regaining
Space supervision
None of the above
Dental
null
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multi
Absence seizures are seen in:
Ans. is 'c' Petit mal epilepsy "Absence seizures or (Petit mal epilepsy is characterized by sudden, brief lapses of unconsciousness without loss of postural control line seizures typically lasts for only seconds, consciousness return as suddenly it was lost, and there is no postictal confusion.Absence seizures are usua...
3
Grand mal epilepsy
Myoclonic epilepsy
Petitmal epilepsy
Hyperkinetic child
Medicine
Seizures and Epilepsy
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single
Which of the following enzymes contain manganese as its cofactor?
Manganese: Cofactor for enzymes, e.g., arginase, pyruvate carboxylase. Enzymes that require a metal ion cofactor are termed metal-activated enzymes to distinguish them from the metalloenzymes for which bound metal ions serve as prosthetic groups. Reference-Satyanarayana Pg- 405
2
LDH
Arginase
Hexokinase
DNA polymerase
Biochemistry
null
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single
Ergometrine is not used for initiation of labour because -
Ans. is 'b' i.e., Fetal hypoxia
2
Show onset of action
Fetal hypoxia
Increases blood pressure
Act on D2 receptors to cause vomiting
Pharmacology
null
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single
A 60-year-old man presents to the emergency department with chest pain described as retrosternal chest pressure radiating to the jaw. The symptoms started at rest and coming and going, but never lasting more than 15 minutes. He has a prior history of hypertension and smokes 1 pack/day. He is currently chest-pain free a...
A period of 24-48 hours is usually allowed to attempt medical therapy. Cardiac catheterization and angiography may be followed by bypass surgery or angioplasty. For those who do settle down, some form of subsequent risk stratification (e.g., exercise ECG) is indicated.
2
IV streptokinase
coronary angiography
exercise testing
oral aspirin
Medicine
C.V.S.
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multi
Which of the following manifestations is not a clinical manifestation of parvovirus infection?
null
4
Erythema infectiosum
Polyarthropathy
Pure Red Cell aplasia
Tropical sprue
Medicine
null
996a33c2-e56e-4942-b088-96020426e714
single
Which one of the following statements about the gap junction is true?
The gap junction channel regulates the passage of ions and small molecules from cell to cell, excluding those having a molecular weight greater than 1200 Da. The tight junction is the zone of adhesion around the apical perimeter of adjacent cells. The other statements are characteristics of desmosomes.
3
It extends as a zone around the apical perimeter of adjacent cells.
It possesses dense plaques composed in pa of desmoplakins.
It permits the passage of ions from one cell to an adjacent cell.
Its adhesion is dependent upon calcium ions.
Anatomy
Cailage tissue & cell junctions
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multi
The muscle responsible for falsetto voice of puber phonia is
Cricothyroid is the main tensor responsible for the falsetto voice in puberphonia. There is hyperkinetic function and spasm of cricothyroid muscle. Ref:- TB of ENT Hazarika; pg num:- 636
4
Vocalis
Thyroarytenoid
Posterior cricoarytenoid
Cricothyroid
ENT
Larynx
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multi
The virus, which spreads by both hermatogenous and neural route is -
The virus multiplies initially in the epithelial cells of the alimentary canal and the lymohatic tissues from tonsil to peyer's patches. It then spreads to the rwgiinal lymoh node and enters blood stream. Direct neural transmission ti the CNS may also occur. REF:ANANTHANARAYAN AND PANIKER'S TEXTBOOK OF MICROBIOLOGY 9TH...
3
Rabies virus
Varicella zoster virus
Poliovirus
E.B. Virus
Microbiology
Virology
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multi
The esophagus crosses the diaphragm at the level of:
The oesophagus is a muscular tube 25 cm (10 in) long, which connects the pharynx to the stomach. It begins in the neck, level with the lower border of the cricoid cailage and the sixth cervical veebra. It descends largely anterior to the veebral column through the superior and posterior mediastina, passes through the d...
3
T8
T9
T10
T11
Anatomy
null
5d0a032c-1b73-405b-af2f-4a612432f97f
single
Constriction of the afferent aeriole to the kidney glomerulus results in:
The kidney is innervated primarily by the sympathetic nervous system, and as such, regulates the contraction of the smooth muscle surrounding the afferent and efferent aerioles of the glomerulus. Sympathetic stimulation to the efferent glomerular aerioles causes their constriction and increases the filtration rate, lea...
1
Reduction of glomerular filtration rate and decreased urinary output
Increased urine output
Increased glomerular filtration rate and no change in urine output.
Decreased urine output
Physiology
null
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single