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A 72-year-old man presents to the emergency depament complaining of frequent nose-bleeds. What is the most likely site of acute epistaxis?
The most common source of epistaxis is Kisselbach's vascular plexus on the anterior nasal septum. Predisposing factors include foreign bodies, forceful nose-blowing, nose-picking, rhinitis and deted septum
2
Turbinate
Septum
Maxillary sinus
Ethmoid sinus
Surgery
Facial Injuries and Abnormalities
7fb8a42b-2574-49f6-bf60-439ad7a8adbe
single
Linitis plastica is a type of :
Linitis plastica is a subtype of gastric cancer that is characterized by diffuse infiltrating adenocarcinoma without obvious caers and ulcers. It is thought to originate from parietal cell poion of gastric mucosa. Because of its diffuse nature ,this form of gastric cancer ususally involves the whole stomach. Ref : Clin...
2
Gastric ulcer
Ca stomach
Duodenal ulcer
None of the above
Surgery
null
171893b3-0b02-4886-a6c9-ddd5b4d5be2b
multi
True about genital infection is?
ANSWER: (D) Clue cells are associated with Trichomonas vaginalisREF: Shaw 14th ed p. 132Drug of choice for various genital infections in women:Chlamydia : azithromycin + contact tracing , in pregnancy erythromycin is 1st DOC , amoxicillin is 2ndTrichomonas : metronidazole to both the partnersBacterial vaginosis: metron...
4
Thin frothy secretions associated with mondial infection
Patients and partners are given metronidazole for mondial infection
Tetracycline is drug of choice for trichomonas vaginalis
Clue cells are associated with gardenella vaginalis
Gynaecology & Obstetrics
Symptoms Associated with Genital Infections
d4ee997e-1c66-4f12-80e4-328b5c58d73d
multi
Long acting glucocoicoid is ?
Ans. is 'a' i.e., Dexamethasone
1
Dexamethasone
Triamcenolone
Prednisolone
Hydrocoisone
Pharmacology
null
f44e035d-1bbd-4532-ab5b-8ede8b50f985
single
An emergency room physician examines a patient who has fallen from a motorcycle and injured his shoulder. The clinician notices a loss of the normal contour of the shoulder and a abnormal-appearing depression below the acromion. Which of the following injuries did the patient most likely sustain?
The abnormal depression described is a characteristic tip-off for a dislocated shoulder joint. This is impoant to remember, as it may help you make a rapid diagnosis.Avulsion of the coronoid process of the ulna (at the elbow) can occur following a severe contracture of brachialis.Fracture of the midshaft of the humerus...
2
Avulsion of the coronoid process
Dislocated shoulder joint
Fracture of the midshaft of the humerus
Fracture of the surgical neck of the humerus
Anatomy
null
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Given below shows an examination technique. The structure being examined originated from:-
In the video ,structure being examined has originated from Anterior Tibial Aery =Dorsalis Pedis Aery Pulse can be palpated readily lateral to the Extensor Hallucis Longus Tendon (or medially to the Extensor Digitorum Longus Tendon) on the dorsal surface of the foot, distal to the dorsal most prominence of the navicular...
2
Popliteal Aery
Anterior Tibial Aery
Post Tibial Aery
Dorsal Arch of Foot
Anatomy
Blood supply, canals and triangle of lower limb
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single
False about sjogren's syndrome
Biopsy from Lip is preferred.
3
Kerato conjunctivitis sicca
Periductal and Perivascular lymphocytic infilteration
Parotid gland biopsy preferred
MALToma is most common lymphoma
Medicine
null
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multi
Proposed guideline values for Radioactivity in Drinking water is
Key guideline aspects of WHO recommended drinking water quality: – Colour < 15 true colour units (TCU) Turbidity < 5 nephlometric turbidity units (NTU) pH: 6.5 – 8.5 Total dissolved solids (TDS) < 600 mg/litre Zero pathogenic microorganisms Zero infectious viruses Absence of pathogenic protozoa and infective stages of ...
3
Gross a activity 1.0 Bq/L and Gross b activity 10.0 Bq/L
Gross a activity 1.0 Bq/L and Gross b activity 0.1 Bq/L
Gross a activity 0.1 Bq/L and Gross b activity 1.0 Bq/L
Gross a activity 10 Bq/L and Gross b activity 1.0 Bq/L
Social & Preventive Medicine
null
ecc6f4a8-9d72-4c0c-8ace-d3bf5dcb1c4a
single
In conductive deafness of right ear, Weber's test will show?
In middle ear pathology usually there is conductive deafness. With a unilateral conductive hearing loss, the tone is perceived in the affected ear. With a unilateral sensorineural hearing loss, the tone is perceived in the unaffected ear.
1
Lateralised to right side
Lateralised to left side
Normal
Centralised
ENT
null
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single
Thromboangitis obliterans is associated with ?
Ans. is 'c' i.e., HLA - B5 Thromboangitis obliterans (Berger disease) Thrombangitis obliterans is a distinctive disease that is characterized by segmental, thrombosing acute and chronic inflammation of medium sized and small sized aeries, and sometimes secondarily extending to veins and nerves. Thromboangitis obliteran...
3
HLA B27
HLA - DR4
HLA - B5
HLA - DR2
Pathology
null
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single
All are histiocytosis except -
null
2
Letterer siwe syndrome
Chloroma
Hand schuller christian triad
Eosinophilic granuloma
Pathology
null
d261323e-8dad-4231-810c-c468027569e9
multi
Anti-D should be given following Rh+ delivery within:
72 hours
3
6 hours
24 hours
72 hours
7 days
Gynaecology & Obstetrics
null
a2f140b3-6f92-49a1-af76-0e68444173cf
single
Erythema nodosum is seen in all Except
Drugs causing it are: Levofloxacin Medroxyprogesterone Minocycline Naproxen OC Penicillin Phenytoin Trimethoprim Sulfasalazine Sulphonamides *Erythema nodosum is a skin condition where red lumps appear on the shins and less commonly forearms and thighs. Often it may be the first sign of a systemic disease such as tuber...
1
Salicylate poisoning
Typhoid
Tuberculosis
Leprosy
Dental
All India exam
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multi
Platelets in stored blood do not live after
Ans. is 'c' i.e., 72 hours Platelets are provided as a pooled preparation from one or several donors, usually as a 6-unit bag, which is the usual amount given to an average-sized adult. Each unit contains approximately 8 x 101deg platelets and should increase the platelet count by about 7000-10,000/ pL in a 75kg adult....
3
24 hours
48 hours
72 hours
96 hours
Medicine
null
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single
Fallen fragment sign is a feature of
Fallen fragment sign and hinged faragemnt sing are signs of simple bone cyst SIMPLE BONY CYST : ACTIVE : Develop in patients under 10 years of age * Cyst arises adjacent to growth plate & may grow to fill most of metaphysis Bone may be slightly expanded within coical shell * May cause pathologic fracture PASSIVE : Pass...
1
Simple bone cyst
Aneuurysmal bone cyst
Giant cell tumor
Fibrous dysplasia
Anatomy
Skeletal infections
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Hepatomegaly with liver pulsations indicates
Ref Harrison 19 th ed pg 1548 AyatoSys pulsqtpuls of liver and marked hepatomegaly are characteristic features of tricuspid regurgitation.
1
TR
MR
Pulmonary hypeension
MS
Medicine
C.V.S
d62fc2c1-44e4-4c05-a182-c6e262450782
single
The Alkayat and Bramely approach to the TMJ is a modification of the:
null
3
HemicoronaL approach
Retroauricular approach
Preauricualr approach
Risdon's incision
Surgery
null
fc066eb2-f672-4727-a4d8-bf9f1063df3a
single
Rise in BBT after ovulation is by :
Ans:A.)0.5 degree Fahrenheit. Before ovulation, there is only a small amount of progesterone present in your body and your basal body temperatures (your resting temperatures) are in the lower range. After ovulation, when there is increased progesterone secreted from the corpus luteum, temperatures become elevated. The ...
1
0.5 degree Fahrenheit
1.0 degree Fahrenheit
0.5 degree Celsius
1.0 degree Celsius
Gynaecology & Obstetrics
null
d4fca8ed-a3c3-4227-9294-5a1cd92d6a2f
single
Treatment of choice in 65 year old female with impacted neck of humerus is:
A i.e. Triangular sling
1
Triangular sling
Arm chest strapping
Ahroplasty
Observation
Surgery
null
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Ectopic rest of normal tissue is known as -
Choristomas, forms of heterotopia, are closely related benign tumors, found in abnormal locations. The two can be differentiated as follows: a hamaoma is an excess of normal tissue in a normal situation (e.g. a bihmark on the skin), while a choristoma is an excess of tissue in an abnormal situation (e.g. pancreatic tis...
1
Choristoma
Hamaoma
Pheudotumor
Lymphoma
Pathology
General pathology
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Regarding Chronic Viral Hepatitis -
Classification of hepatitis In the new classification system of Hepatitis, Grading refers to the assessment of necroinflammatory activity. Chronic hepatitis represents a series of liver disorders of varying causes and severity in which hepatic inflammation and necrosis continue for at least 6 months. Earlier chronic h...
4
Hepatitis A virus infection is a common cause in children
Morphological classification into Chronic Active Hepatitis and Chronic Persistent Hepatitis are important
Fatty change is pathognomic of Hepatitis C virus infection
Grading refers to the extent of necrosis and inflammations
Pathology
null
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Administration of disulfiram in an alcoholic can cause all these side effects except: (E. REPEAT 2010)
Ref: The Pharmacological Basis of Therapeutics by Goodman and Gillman, 12th edition. Page 644 and KD Tripathis Essentials of Pharmacology, 6th edition. Page 3H6Explanation:DISULFIRAMDisulfiram irreversibly inhibits aldehyde dehydrogenase. This action is also brought about by its metabolites such as dieth y 1th iomethyl...
3
Flushing
Headache
Hypertension
Nausea
Pharmacology
Adverse Drug Effect
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Which of the following cellular body is NOT found in nucleus?
Even if you don't know about all the options and you just know about P body you can answer this question. The P body is a cytoplasmic organelle involved in mRNA metabolism. Here is where miRNA-mRNA complexes are temporarily stored. They can either undergo degradation or mRNA can be released back for translation. Nucleo...
1
P-bodies
Nucleolus
Cajal bodies
Interchromatin granule clusters
Biochemistry
Organelles
8589bfdf-a5e8-4c2b-9b2c-6e5d7fa018ad
single
Which is the only phacomatosis to be inherited on an autosomal recessive basis:
Ans. Ataxia-telangiectasia
1
Ataxia-telangiectasia
Sturge-Weber syndrome
von Hippel lindau syndrome
Neurofibromatosis
Medicine
null
815278a4-83e1-4975-87d3-e24c6f40fd93
single
What is torsional limit?
Torsional limit is the amount of rotational torque that can be applied to a "locked" instrument to the point of breakage (separation).  Obviously, an instrument should have sufficient strength to be rotated and worked vigorously without separating in the canal. Smaller instruments (less than size 20) can withstand more...
3
Amount of apical pressure that can be applied to a file to the point of breakage
The beginning of plastic deformation of the instrument
Amount of rotational torque that can be applied to a “locked” instrument to the point of breakage
Amount of force necessary so that a file does not return to its original shape upon unloading of the force
Dental
null
a99baba6-bb97-4bb0-a2c8-3e165f18203a
single
Nucleus accumbens is related to which of the following?
Ans. a (Basal ganglia). (Ref. Ganong, Physiology 21st ed., 265)NUCLEUS ACCUMBENS# Nucleus accumbens is located at the base of the striatum, and is a part of basal ganglia.# Addiction is associated with the reward system, particularly with nucleus accumbens.# The medial frontal cortex, the hippocampus, and the amygdala ...
1
Basal ganglia
Brain stem
Thalamus
Cerebellum
Anatomy
Cerebellum and Brainstem
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single
The following is not one of the 4 key cell cycle regulators which are dysregulated in a variety of human cancers
.
3
P16/INK4a
Cyclin D
P21
RB
Pathology
General pathology
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single
Ghons focus lies at ?
Ans. is 'c' i.e., Right apical parenchymal regionPrimary T.B. includes :?An area of grey white (size of approx. 1-1.50 cm) inflammatory consolidation - called ghon's focus. o Lymph node.Lymphatics and lymphatic channel.Cavity and fibrosis is seen in secondary T.B.Inhaled tubercule bacilli implanted in the distal air sp...
3
Left apical parenchymal region
Right apical parenchymal region
Sub pleural caesous lesion in right upper lobe
Sub pleural caesous lesion in left upper lobe
Pathology
null
f3e47a23-03c0-4478-8640-efd90dc95be6
single
Which is case based online TB notification system developed by the central TB Division
Case Notification can be done online through NIKSHAY, Which is case based online TB notification system developed by the central TB Division. Ref: Pg.no: 318;IAPSM Textbook of Community Medicine.
2
Nischinth
Nikshay
laksha
Yaksma
Social & Preventive Medicine
Communicable diseases
f088fc3c-6c39-4d13-82a7-46a89faf91ba
single
Which of the following statement is TRUE about NPU (net protein utilization), used in protein quality assessment?
Net Protein Utilization (NPU) is the ratio between nitrogen retained by the body and total nitrogen intake multiplied by 100. It is a product of digestibility coefficient and biological value divided by 100. It gives a more complete expression of protein quality than the amino acid score. In calculating protein quality...
2
It is the ratio of energy from protein to total energy in diet
It is the ratio between nitrogen retained by the body and total nitrogen intake multiplied by 100
It is the amount of one amino acid per gram of a protein divided by the amount of same amino acid per gram of egg protein
If the NPU is high the amount of protein requirement in diet is high
Social & Preventive Medicine
null
db533381-1477-4fac-b2cf-79b1b91396d2
multi
Which of the following statements about pulmonary hamartoma is true?
null
4
It is the most common benign tumor of lung
More common in males
Chest X-ray shows "Pop corn calcification"
All are true
Surgery
null
bc5a099c-2609-49f9-8163-e6148c3569cf
multi
What is the APGAR score of a child born blue with HR 70/ mt, floppy with feeble cry and grimacing on nasal suction?
APGAR is used to quantitatively evaluate newborns condition after bih by giving scores between 0 and 2 in each of 5 different categories assigned at 1 and 5 minutes of life. The 5 criteria used were hea rate, respiration's, muscle tone, reflex irritability and color. APGAR score for HR less than 100 is 1, grimace on na...
1
3
2
4
5
Pediatrics
null
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single
Combined oral pill reduces the risk of ?
Ans. is 'b i.e., Ovarian cancer Functional ovarian cyst o Endometrial carcinoma o Benign breast disease (fibroadenosis) Ovarian malignancy o Urerine fibroid o Premenstural tension & dysmenorrhoea Pelvic inflammatory disease o RA o Osteoporosis Ectopic pregnancy o Colon cancer o Acne
2
Breast cancer
Ovarian cancer
Cervical cancer
Vaginal cancer
Pharmacology
null
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single
Normal serum, Ca and alkaline PO4 are in
null
1
Cherubisnri
Hypothyroidism
Hyperparathyroidism
Paget's disease
Pathology
null
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single
Which of the following is true about Nephron function:
D i.e. Osmolality of intratubular content in PCT is isotonic to surrounding interstitiumAt the end of proximal tubule 60-70% of filtered solute is reabsorbed & also 60-70% of filtered water is reabsorbedQ. Thus in the proximal tubule, water moves passively out of the tubule, along osmotic gradients set up by active tra...
4
Ascending thick limb is permeable to water
Descending thin limb is impermeable to water
Osmolality of intra-tubular content in DCT is more than surrounding interstitution
Osmolality of intratubular content in PCT is isotonic to surrounding interstiti um
Physiology
null
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multi
Praziquantel is used for the treatment of
Platyhelminthes (flukes & tapeworms) DOC for all the platyhelminths is praziquantel DOC for Fasciola hepatica (liver fluke) is triclabendazole DOC for dog tapeworm is albendazole DOC for trichomoniasis is metronidazole Surgery is done for rhinosporidiosis Nematodes DOC for nematodes is albendazole DOC for filaria is di...
3
Strongyloidiasis
Trichomoniasis
Schistosomiasis
Rhinosporidiosis
Pharmacology
FMGE 2019
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All of the following muscles forms the boundary of the suboccipital triangle found in the suboccipital region of the neck, EXCEPT:
The suboccipital triangle is bounded by rectus capitis posterior major and the obliquus capitis superior and inferior muscles. The floor of this triangle is formed by the posterior occipitoatlantal membrane and the posterior arch of the C1 veebrae.Contents of the triangle are:Veebral aerySuboccipital nerveGreater occip...
4
Obliquus capitis superior muscle
Obliquus capitis inferior muscle
Rectus capitis posterior major muscle
Rectus capitis posterior minor muscle
Anatomy
null
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multi
A ranula is most appropriately described by which of the following statements?
Ranula is a cystic swelling in the floor of the mouth due to the obstruction of one or more ducts of the sublingual gland. It does not always represent a mucus retention cyst, it is more commonly a mucus extravasation cyst. It is neither a type of Epulis nor a type of thyroglossal cyst. Ref: The Medical Student's Vade ...
3
It is a type of Epulis
A form of thyroglossal cyst
A cystic swelling in the floor of mouth
A type of mucus retention cyst
Surgery
null
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multi
Wire loop lesion seen in lupus nephritis is due to
Subendothelial immune complex deposits may create a circumferential thickening of the capillary wall, forming "wire loop" structures on light microscopy. This condition is seen in lupus nephritis. 50% of SLE patients have clinically significant renal involvement Currently there are six pattern of glomerular disease Whe...
1
Capillary wall thickening
Basement membrane thickening
Subepithelial deposits
Sclerosis of mesangium
Pathology
Auto Immune Disorders Introduction
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multi
Not true regarding suprachoroidal hemorrhage:
Suprachoroidal hemorrhage needs immediate management. Suprachoroidal Hemorrhage Rare dreaded complication of intraocular surgery. Bleeding from long or sho posterior ciliary aery into suprachoroidal space. Risk Factors: Uncontrolled hypeension, advancing age, systemic cardiovascular disease, glaucoma, vitreous loss, in...
4
Shallowing of anterior chamber
Expulsion of intraocular contents
Bleeding from sho posterior ciliary aery into suprachoroidal space
Self resolving
Ophthalmology
Cataract Surgery
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multi
In Adenoids hyperophy, treatment is
When symptoms are not marked, breathing exercises, decongestant nasal drops, and antihistaminics. When symptoms are marked adenoidectomy is done. (Ref: Diseases of Ear, Nose and Throat, PL Dhingra; 7th edition, pg no. 276)
1
Nasal decongestants
Antibiotics
B-blockers
B2-agonists
ENT
Pharynx
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single
Simplest and most common method to measure variation is:
Range: The difference between the smallest and largest value results in a set of data. Simplest and most common method to measure variation is range. Reference: Essentials of Preventive and Community Dentistry, Soben Peter, 4th ed page no 395
4
Mean
Median
SD
Range
Dental
null
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single
The most common type of congenital atresia is
Type C is the most common type of tracheoesophageal fistula. It involves proximal esophageal atresia with distal TEF.
1
Proximal blind end, distal end communicating with trachea
Distal blind end, proximal end communicating with trachea
Proximal and distal ends open and communicating with trachea
Both ends bleed
Pediatrics
null
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multi
In Indoor air pollution, carbon monoxide is produced by -
Indoor air pollution originates from both outdoor and indoor sources, is likely to contribute to population exposure than the outdoor environment. The indoor environment represents an impoant microenvironment in which people spend a large pa of the time. Carbon monoxide, an indoor pollutant source include fuel/tobacco ...
4
Combustion equipment
Stove
Gas heaters
All of the above
Social & Preventive Medicine
Environment and health
de5c9f90-b4f2-4538-9bba-7ec59139b776
multi
Hay's sulpher test is used to detect which of the following ?
Ans. is 'a' i.e., Bile salts in urineTestsUsed forRothera's test (nitroprusside test) Ketone bodies in urine :- acetone and acetocetate Gerhardt's test (ferric chloride test) Ketone bodies in urine :- acetoacetate. Benedict's test Reducing sugars in urine Fehling's test Reducing sugars in urine Hay's sulpher test Bile ...
1
Bile salts in urine
Reducing sugar in urine
Ketone bodies in urine
Urobilinogen in urine
Biochemistry
null
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single
Commonest cause of rupture of spleen is
spontaneous splenic rupture, which remain widely accepted to date: Mechanical effect of distention secondary to leukemic infiltration of the spleen, paicularly the capsule; splenic infarct with capsular hemorrhage and subsequent rupture; Ref Davidson edition23rd pg812
3
Chronic malaria
Infectious mononucleosis
Leukemia
Chronic kala azar
Medicine
G.I.T
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single
Left renal vein crosses aoa:
C i.e., Anterior below the superior mesenteric aery
3
Posterior at level of superior mesenteric aery
Anterior above the level of superior mesenteric aery
Anterior below the superior mesenteric aery
Anterior below the inferior mesenteric aery
Anatomy
null
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multi
There is a case of infanticide. During the post-moem examination, the doctor performs Breslau's second life test. This test detects changes in which of the following organ
Ans. d. Stomach and intestine Breslau's Second Life Test (Stomach Bowel test) Principle: It assumes that a live born child would respire and therefore would also swallow some air into the stomach and bowelQ. Thus detecting the presence of air in stomach and intestine (positive test) proves live bih (even in absence of ...
4
Brain
Hea
Lung
Stomach and intestine
Forensic Medicine
null
d78f6470-7851-4412-98b6-a286818093e1
single
Epiphora seen in all except:
null
2
Lefort 2
Zygomatic complex fracture.
Lefort 3
Nasal complex fracture.
Surgery
null
f3658b79-bceb-4664-9ede-25365152ba2c
multi
Microspherocytosis in peripheral blood smear are seen in-
Spherocytosis is characterized by presence of spheroidal rather than biconcave disc shaped red cells. Spherocytes are seen in hereditary spherocytosis ,autoimmune hemolytic anaemia and in ABO hemolytic disease of newborn like Thalassemia Reference: textbook of Pathology ,7th edition Author: Harsha Mohan, page number 26...
4
Congenital spherocytosis
Autoimmune acquired haemolytic anaemia
Thalassemia
All of the above
Pathology
Haematology
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multi
The femoral hernia - Base of the sac lies at (Saphenous opening - Landmark). Related to pubic tubercle
Ans. (a) Below and LateralRef: Bailey and Love 27th edition Page 1035* Hernia appears below and lateral to Pubic tubercle and lies in upper leg rather than lower abdomen.* Please note Femoral hernia is seen below the inguinal ligament.
1
Below and lateral
Below and medial
Above and lateral
Above and medial
Surgery
Hernia
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multi
Secondary attack rate of peussis in unimmunization household contacts of peussis
Ans. is 'd' i.e., 90% SAR of some impoant infectious diseases Measles Rubella Chicken pox Peussis Mumps 80% 90 - 95% -- 90% -- 90% 86%
4
30%
40%
60%
90%
Social & Preventive Medicine
null
eae3b67e-8648-4e2e-9c8f-59a92bacf93a
single
All off the following are components of nephrotic syndrome except -
null
3
Edema
Hypercoagulability
Hypocholesterolemia
Infection
Medicine
null
7027c2ce-1a54-4f5b-9473-7c2238e86e3d
multi
A 25yr old male presented to OPD with complain of recurrent oral ulcers and congested eyesOn enquiry he has h/o prior hospital admission for venous thrombosis What is the condition he is suffering from
Behcet&;s Disease: A delay in the diagnosis of Behcet&;s disease is common. Knowing what to look for can help you take control of the disease Eye Inflammation -Occurs in more than 50% of patients and can result in blurry vision, sensitivity to light pain and redness. Can lead to blindness if untreated. Mouth Sores - On...
3
SLE
Reiter's syndrome
BEHCETS DISEASE
Wegner's Granulomatous
Medicine
All India exam
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single
Most common site of carcinoma of paranasal sinus is?
Ans. (c) MaxillaryRef: Dhingra's 4th ed p-195
3
Frontal
Ethmoid
Maxillary
Sphenoid
ENT
Nose and PNS
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single
Criteria to diagnose PID include all of the following except:
Criteria for the diagnosis of PID: - Minimum Criteria 1) Lower abdominal tenderness 2) Adnexal tenderness 3) Cervical motion tenderness. Additional criteria 1. Culture and senstivity of Endometrial biopsy Vaginal swab Cervical swab Culture media for Gonorrhea: Thayer Main media Chlamydia: Mc Coy cell lines (PCR preferr...
3
Uterine tenderness
Cervical motion tenderness
Nausea and Vomiting
Adnexal tenderness
Gynaecology & Obstetrics
Genital Tract Infections (Too hot to handle!)
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multi
Tumor induced hypoglycemia is seen in all , EXCEPT:
Tumor induced hypoglycemia Mesenchymal tumors, hemangiopericytomas, hepatocellular tumors, adrenal carcinomas produce excessive amounts of insulin-like growth factor type II (IGF-II) precursor, leading to insulin-like actions and hypoglycemia. Ref: Harrison,E-18,P-830
4
Mesenchymal tumors
Hepatocellular carcinoma
Adrenal carcinoma
Lymphoma
Medicine
null
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multi
Which of the following are not included under 10 chemicals of major public health concern by WHO:
Many chemicals can, when properly used, significantly contribute to the improvement of our quality of life, health and well-being. But other chemicals are highly hazardous and can negatively affect our health and environment when improperly managed.10 chemicals or groups of chemicals of major public health concern are:...
4
Arsenic
Asbestos
Dioxin
Radium
Social & Preventive Medicine
null
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single
A neonate having congenital diaphragmatic hernia developed respiratory distress. Breath sounds were decreased on the left side. After bag and mask ventilation. ET tube was put and the maximal cardiac impulse shifted to the right side. What should be the next step in management ?
The tube is inseed into the nose or mouth and slid into the stomach. The formula is then put into the tube and flows through it into the stomach. A nasogastric tube with a guide wire is a soft silicone tube that may be left in place for up to a month. Reference: GHAI Essential pediatrics, 8th edition
2
Confirm the position of endotracheal tube by x-ray chest
Remove tube & Reattempt intubation
Naso gastric tube inseion
Chest x-ray
Pediatrics
New born infants
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multi
Megaloblastic anemia is due to?
Ans. is 'a' i.e., Folic acid deficiency * Megaloblastic anemia is an anemia which results from inhibition of DNA synthesis during red blood cell production.* It is characterized by many large immature and dysfunctional red blood cells (megaloblasts) in the bone marrow, and also by hypersegmented neutrophills.* Vit B12 ...
1
Folic acid deficiency
Vitamin B6 deficiency
Defect in RNA synthesis
Defect in protein synthesis
Pathology
Blood
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Hypoglycemia is a recognized feature of all of the following conditions, except -
null
2
Uieinia
Acromegaly
Addison's disease
Hepatocellular failure
Medicine
null
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multi
Sinusoidal heart rate pattern is seen in:
Sinusoidal Pattern: Stable baseline heart rate of 120 to 160 beats/min with regular oscillations. Amplitude of 5 to 15 beats/min (rarely greater). Long-term variability frequency of 2 to 5 cycles per minute. Fixed or flat short-term variability. Oscillation of the sinusoidal waveform above or below a baseline. Absence...
2
Placenta previa
Vasa previa
Battledore placenta
Succenturiate placenta
Gynaecology & Obstetrics
null
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ECG change seen in hypocalcemia: (Repeat 2011)
Ans: A (QT prolongation) Ref: Harrison's Principles of Internal Medicine, 18ed.Explanation:Clinical Manifestations of HypocalcemiaPatients with hypocalcemia may be asymptomatic if the decreases in serum calcium are relatively mild and chronic.Moderate to severe hypocalcemia is associated with paresthesias, usually of t...
1
QT prolongation
Prolonged PR interval
Shortened PR interval
QT Shortening
Medicine
C.V.S.
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single
Most commonly injured organ in blunt trauma of abdomen is -
Ans. is 'b' i.e., Spleen "The spleen is the intra-abdominal organ most frequently injured in blunt trauma"- Sabiston 18/e* Blunt trauma: In blunt trauma the organs most commonly injured are the solid organs:# Spleen (MC)# Liver# Kidney* In addition to spleen, liver and kidney, extreme blunt force to the upper abdomen m...
2
Liver
Spleen
Small intestine
Pancreas
Surgery
Trauma
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Which of the following is NOT TRUE about primary HSV infections?
null
3
Primarily affects the anterior portion of the mouth
Causes acute gingivits
Occurs as epidemic
Shows prodromal symptoms
Pathology
null
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Burn involving one lower limbs in adult correspondence to area:
Ans: D (18 %) Determination of Burn Size Sabiston 19th/523# Burn size is generally assessed by the so-called rule of nines . In adults, each upper extremity and the head and neck are 9% of TBSA, the lower extremities and the anterior and posterior aspects of the trunk are 18% each, and the perineum and genitalia are as...
4
4.50%
9%
13.50%
18%
Surgery
Initial Care of the Burn Patient
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Extensive abrasions are found all over the body of a pedestrian lying by the road side. What is the likely cause ?
In secondary injury, when the body is rolled over after the impact, the skin may show abrasions of more than two surfaces (front, back and sides).
3
Primary Impact Injury
Secondary Impact Injury
Secondary Injury
Postmortem artifact
Forensic Medicine
null
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multi
Qualitative data presentation diagrams are all except:
Data Presentation
4
Pie diagram
Pictogram
Spot map
Frequency polygon
Dental
null
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multi
Amyloidosis of hea presents with -
Cardiac amyloidosis may affect the way electrical signals move through the hea (conduction system). This can lead to abnormal heabeats (arrhythmias) and faulty hea signals (hea block). The condition can be inherited. This is called familial cardiac amyloidosis Ref Davidson 23rd edition pg 456
1
Arrhythmia
AV block
|Ed mass/voltage
AS
Medicine
C.V.S
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All can occur due to blunt trauma of eye except -
1. Lids: Ecchymosis, Black eye, avulsion of the lid, traumatic ptosis. 2. Orbit: Fracture of the orbital walls, orbital haemorrhage, orbital emphysemas. 3. Lacrimal apparatus: Laceration of canaliculi, dislocation of lacrimal gland. 4. Conjunctiva: Subconjunctival haemorrhage, chemosis, lacerating tears of the conjunct...
3
Berlin's edema
Angle recession
Sympathetic ophthalmitis
Rosette cataract
Ophthalmology
Ocular trauma
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A 40-year-old woman is suspected of having a carotid body tumor. Which one of the following is most characteristic of such a tumor?Carotid body tumor
Carotid body tumor is the most common type of paraganglioma in the head and neck region, followed by the glomus jugular tumor. Carotid body tumor grows slowly, rarely metastasizes, and may secrete catecholamines. The tumor usually is supplied by the external carotid artery, and dissection to remove it off the carotid b...
4
They secrete catecholamines.
They are more common at sea level.
They arise from structures that respond to changes in blood volume.
They arise from the structures that respond to changes in PO2.
Surgery
Miscellaneous
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Neuroendocrine cells in the lungs are:
APUD (amine precursor uptake and decarboxylation) cells are neuroendocrine cells found in respiratory system, G.I. tract and other organs; they manufactrure amines (e.g. 5-HT). These cells form carcinoid tumors.
4
Dendritic cells
Type I pneumocytes
Type II pneumocytes
APUD cells
Physiology
Respiratory System Pa 1
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Dopamine and noradrenaline reuptake inhibitor is:
Bupropion This inhibitor of DA and NA uptake has excitant rather than sedative propey. It is metabolized into an amphetamine like compound. It has been marketed in a sustained release formulation as an aid to smoking cessation. In clinical trials it has been found to yield higher smoking abstinence and quitting rates t...
2
Clozapine
Bupropion
Zolpidem
Miazapine
Pharmacology
Central Nervous system
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Complication of blood transfusion can be all except -
Ans. is 'c' i.e., Metabolic acidosis The question is most probably about complications of massive blood transfusion.Massive Blood Transfusion * Massive blood transfusion is generally defined as transfusion of one to two volumes of patient's own blood volumes (For most adults that is equivalent to 10-20 units.)Complicat...
3
Hyperkalemia
Citrate toxicity
Metabolic acidosis
Hypothermia
Medicine
Transfusion
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Regarding Clostridium perfringens gas gangrene, false is -
Ans. is. 'c' i.e., Most common toxin is hyalronidase . The most common and most impoant toxin produced by CL perfringensis a- toxin (lecithinase). Clostridium perfringens food poisoning . Some strains of type A Cl. perfringens produce poisoning. They are characterised by the marked heat resistance of their spores and t...
3
Common cause of gas gangrene
Nagler reaction positive
Most common toxin is hyaluronidase
Food poisoning strain of Cl. perfringens produces heat resistant spores
Microbiology
null
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Mark the false statement among given options regarding malaria species :
Plasmodium species P. falciparum infects RBC's of all ages P. vivax infects RBC's < 14 d. P. malariae infects old RBC's. P. ovale selectively infect reticulocytes.
2
P. vivax infects RBC's < 14 days
P. falciparum infects young RBC's only
P. ovale selectively infect reticulocytes
P. malariae infects old RBC's.
Microbiology
Parasitology Pa 1 (Protozoology)
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Pseudotumor cerebri is seen in
* Pseudotumour cerebri(idiopathic intracranial hypeension) usually occur in obese young women . Ref Harrison20th edition pg 2456
1
Obese women in the age group 20-40 yrs
Obese males 20-40 yrs.
Thin females 50-60 yrs.
Thin males 50-60 yrs.
Medicine
C.N.S
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A young child presented with history of passage of dark colored with urine with reduced urine output. He has a past history of abdominal pain, fever, and bloody diarrhea for 4 days which resolved on its own. There is absence of peripheral edema or rashes. Investigations show anemia, thrombocytopenia, and elevated blood...
- Child given is presenting with classical history of hemolytic uremic syndrome In HUS, there is initial history of diarrhea caused d/t E-coli which causes damage to endothelial cells resulting in thrombotic microangiopathy affecting kidney. Typical Causative agent: Escherichia coli strain O157:H7 infection; Endothelia...
2
Elevated haptoglobin level
Elevated serum indirect bilirubin
Elevated thrombin and prothrombin time
Low fibrinogen and elevated D-dimer level
Pathology
Hemolytic Anemias: Basic concepts and classification
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A child draws circle at –
null
4
12 months
24 months
30 months
36 months
Pediatrics
null
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Neonatal septicemia is most commonly caused by ?
Ans. is 'a' i.e., Group B streptococci
1
Group B Streptococci
E.coli
Streptococcus viridans
Staphylococcus aureus
Pediatrics
null
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All are true about pulmonary embolism,except -
null
1
Chest pain is the most common symptom
Most commonly presents within 2 weeks
More is the survival time, more is the chance of . recovery
Arises from leg veins
Medicine
null
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multi
All the following are true regarding blood supply to the kidney, EXCEPT?
Blood supply to the kidney: The renal aery arises from the aoa at the level of the second lumbar veebra. Each renal aery usually divides into five segmental aeries that enter the hilum of the kidney. Lobar aeries arises from each segmental aery, one for each renal pyramid. Each lobar aery gives off two or three interlo...
1
It is a type of poal-circulation
Stellate veins drain superficial zone
Its segmental aeries are end-aeries
The renal aery divides into five segmental aeries before entering the hilum
Anatomy
null
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Best IOL is:
B i.e. Posterior chamber Classical signs of aphakia are - a deep anterior chamber, iridodonesis (tremulousness of iris), only 2 images on Purkinje's test, dark (jet black) papillary reflexQ and highly hypermetropic small disc on fundus examination with markedly defective vision for both far and near d/t high hypermetro...
2
Ant chamber
Post chamber
Iris suppoed
Angle suppoed
Ophthalmology
null
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Most common cause of urinary retention in children includes
(A) Posterior urethral valves # Posterior urethral valves: These constitute an important cause of distal urinary tract obstruction in boys.> Dribbling, abnormal urinary stream, palpable bladder and recurrent UTI are the usual presenting features.> The presence of severe obstruction in the urinary tract in utero may lea...
1
Posterior urethral valves
Urethral stenosis
Urethral aplasia
Ectopic ureteric opening
Surgery
Miscellaneous
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Spectacle shown below is used in
Ans. (c) Bifocal for pediatric aphakiaRef: Diagnosis and Management of Ocular Motility Disorders by Alec M. Ansons, Helen Davis 3/e, p. 36These are straight type/ executive type bifocals with a central lie dissecting the visual axis, such that the top of the reading segment passes just below the middle of the pupil whe...
3
Bifocal for presbyopia
Bifocal for adult aphakia
Bifocal for pediatric aphakia
Progressive bifocal for presbyopia
Ophthalmology
Elementary Optics
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Not a treatment option for psoriasis -
Ans is 'd' i.e. Oral corticosteroids Treatment options for psoriasisSystemic medicineso Acitretino Cyclosporineo Razoxaneo Biological therapieso Colchicineo Antithyroid drugs (methimazole, propylthiouracil)o Methotrexateo Hydroxyureao Mycophenolate mofetilo Goldo Zidovudineo AzathioprineTopical medicines for psoriasiso...
4
Retinoids
Methotrexate
Cyclosporine
Oral corticosteroids
Unknown
null
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A patient at 22 weeks gestation is diagnosed as having IUD which occurred at 17 weeks but did not have a miscarriage. The patient is at increased risk of :
Dead fetus if retained for more than 4-5 weeks, release thromboplastin which leads to DIC Ref: Datta Obs 9e pg 304.
3
Septic aboion
Future infeility
Consumptive coagulopathy with hypofibrinogenemia
Ectopic pregnancy
Anatomy
Abnormal labor
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An agent added to local anesthetics to speed the onset of action is:
* LAs are weak bases. These require penetration inside the neuron for their action. For entry in the neuron, LAs have to cross the neuronal membrane. * Unionized drugs (lipid soluble) can easily cross the membrane, therefore addition of NaHCO3 in the local anaesthetic solution (weak bases are un-ionized in the alkaline...
2
Methylparapben
Bicarbonate
Fentanyl
Adrenaline
Pharmacology
Anaesthesia
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Shaking palsy is associated with poisoning with :
B i.e Mercury
2
Lead
Mercury
Arsenic
Strontium
Forensic Medicine
null
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About the treatment of esophageal cancer, false statement is:
ESOPHAGEAL CARCINOMA: The prognosis is poor. 5% of patients survive 5 years after the diagnosis Surgical resection of all gross tumor is feasible in only 45% of cases About 20% of patients who survive a total resection live 5 years. The efficacy of primary radiation therapy for squamous cell carcinomas is similar to th...
4
5% of patients survive 5 years after the diagnosis
The efficacy of primary radiation therapy for squamous cell carcinomas is similar to that of radical surgery
Surgical resection of all gross tumor is feasible in only 45% of cases
Chemotherapy is highly effective and sometimes curable
Surgery
null
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Aery to bleed in duodenal ulcer haemorrhage -
Gastro duodenal aery is the most common aery involved in duodenal ulcer hemorrhage. Also, remember A peptic ulcer is the most common cause of massive upper gastrointestinal bleed (Duodenal ulcers > Gastric ulcers) Bleeding ulcers in the duodenum are usually located on the posterior surface of the duodenal bulb. Ref : B...
2
Splenic aery
Gastroduodenal aery
Left gastric aery
Sup. mesenteric aery
Anatomy
G.I.T
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In PCR, DNA polymerase is used in
All PCR applications employ a heat-stable DNA polymerase, such as Taq polymerase (an enzyme originally isolated from the bacterium Thermus aquatics).This DNA polymerase enzymatically assembles a new DNA strand from DNA building blocks, the nucleotides, by using single-stranded DNA as a template and DNA oligonucleotides...
3
DNA replication
DNA Elongation
DNA Mulitiplication
All
Biochemistry
Metabolism of nucleic acids
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Abdominal pain in Henoch Schonlein purpura is due to -
Ans. is 'a' i.e., Mucosal erosions and swelling of the GI mucosa Abdominal pain in HSPo The second most frequent symptom of Henoch-Schonlein purpura is abdominal pain, which occurs in up to 65 percent of cases. The most common complaint is colicky abdominal pain, which may be severe and associated with vomiting. Stools...
1
Mucosal erosions and swelling of the G1 mucosa
Gastrointestinal hemorrhage
Volvulus
Associated pancreatic inflammation
Pediatrics
Urinary Tract
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single
An 8 year old child has shown of lack of interest in studies for last 6 months. He has frequent quarrels with his parents and has frequent headaches as anexcuse to avoid school. What would be the most appropriate clinical diagnosis in this patient?
Since the person in the question is showing a hostile behavior which is impairing his academic activities for the last 6 months, the most appropriate next step would be to rule out Oppositional defiant disorder.Oppositional defiant disorder is a recurrent pattern of negativistic, hostile or defiant behavior that lasts ...
3
Rule out migraine
Rule out depression
Rule out an oppositional defiant disorder
Leave him as normal adolescent problem
Psychiatry
null
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A 12-year-old boy had a gradually progressive plaque on a buttock for the last 3 years. The plaque was 15 cm in diameter, annular in shape, with crusting and induration at the periphery and scarring at the centre. The most likely diagnosis –
This boy has Annular plaque On buttock Crusting at periphery Scarring at centre These suggest the diagnosis of lupus vulgaris. Annular lesions  When the lesions of a skin disease are arranged in ring shape, they are called annular lesions.
3
Tinea corporis
Granuloma annulare
Lupus vulgaris
Borderline leprosy
Dental
null
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multi
Mortality rate of measles in developing countries-
Ans. is 'a' i.e., 10% o Measles-associated mortality is usually higher among the very' young and very old.o Mortality in developing countries may be as high as 10 to 15% due to one or several factors, including the early age of infection, malnutrition, diarrhea, concomitant-secondary bacterial infections, and lack of a...
1
10%
20%
30%
40%
Social & Preventive Medicine
Demography
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single
Which of the following deciduous molars bears the greatest resemblance to a premolar
null
1
Maxillary first
Maxillary second
Mandibular first
Mandibular second
Dental
null
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Most common site of berry's aneurism is -
Ans. is' b' i.e., Junction of anterior cerebral and anterior communicating artery Most common sites of Berry's Aneurysma. Junction of anterior cerebral and anterior communicating arteryb. Bifurcation of MCAc. Trifurcation of CIAd. Bifurcation of basilar artery
2
Trifurcation of internal carotid artery
Junction of anterior cerebral and anterior communicating artery
Bifurcation of basilar artery
Middle cerebral artery
Surgery
Cerebrovascular Disorders
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single
Smoothest and maximum polishability is the property of:
These properties are due to low filler loading, hence microfilled composites are principally used for anterior esthetic restorations.
2
Traditional composite
Microfilled composite
Hybrid composite
Small particle filled composite
Dental
null
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multi
Which of the following is the most common cause of late neurological deterioration in a case of cerebro- vascular accident -
null
2
Rebleeding
Vasospasm
Embolism
Hydrocephalus
Medicine
null
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