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First choice for pustular psoriasis → Retinoids (Acitretin)
Second choice for pustular psoriasis → Methotrexate | openlifescienceai/medmcqa |
PERITONSILLAR ABSCESS(QUINSY) Collection of pus between the fibrous capsule of the tonsil, and the superior constrictor muscle of the pharynx. Condition is generally unilateral. Tonsil is swollen, red, hot & congested. Uvula and soft palate are pushed to opposite side. Uvula Points towards Normal side as shown in the i... | openlifescienceai/medmcqa |
LMA does not prevent Aspiration of gastric contents.also not used in pregnancy , oropharyngeal mass, obesity | openlifescienceai/medmcqa |
Desflurane is the inhalational agent of choice in renal diseases. Isoflurane is an alternative. | openlifescienceai/medmcqa |
Tuberculosis affects posterior part of larynx more than anterior part.
Parts affected are: Inter arytenoid fold > Ventricular bands > Vocal cords > Epiglottis | openlifescienceai/medmcqa |
Trazodone (Desyrel), a triazolopyridine derivative, and nefazodone are antidepressants that are structurally different from the tricyclics, tetracyclics, and monoamine oxidase inhibitors. Trazodone is repoed to differ in that it produces no anticholinergic adverse side effects. Trazodone is also known to have a more ac... | openlifescienceai/medmcqa |
Ans. is 'a' i.e., Hemophilia AHemophilaAo Hemophilia A is due to deficiency offactor VIII.o Hemophilia A is inherited as an X-linked recessive trait.o Factor VIII is an intrinsic pathway component required for activation of factor X.o Clinical manifestations are due to defect in coagulation system : -Large post traumat... | openlifescienceai/medmcqa |
Risk factors for hernia Weakness of abdominal muscles Increased intra-abdominal pressure Patent processus vaginalis Patent canal of nuck causing indirect inguinal hernia in females Connective tissue disorders like Ehlers Danlos Syndrome. Congenital conditions like Exstrophy of bladder, Prune Belly syndrome Advancing ag... | openlifescienceai/medmcqa |
Bacteriostatic anti tubercular drugs are: Thiacetazone Ethionamide Ethambutol PAS Cycloserine | openlifescienceai/medmcqa |
Ans. is None Causes of bloody vomitus in neonates --> Stress gastritis, Hemarrhagic disease of newborn, Swallowed maternal blood | openlifescienceai/medmcqa |
MCV is found to be elevated because of dietary deficieny & impaired absorption of Folic acid in chronic alcoholics. | openlifescienceai/medmcqa |
D i.e. Xanthine oxidase | openlifescienceai/medmcqa |
Ref. API Textbook of Medicine. Pg. 510
There are two important Lateral Syndromes. PICA syndrome( Wallenberg ) and AICA syndrome. PICA syndrome is Lateral Medullary Syndrome and AICA Syndrome is Lateral Pontine Syndrome. | openlifescienceai/medmcqa |
Ans. (b) OsteopetrosisRef: Sutton 7th/1339,1355, 1365DiseaseRadiological featureOsteoporosis* Cod fish vertebrae* Pencilling-in-vertebrae (loss of density of vertebral body with radiodense end plates)Osteomalacia* Looser's zone /Pseudo fracture is the Hallmark feature (B/L radiolucent band of uncalcified osteoid due to... | openlifescienceai/medmcqa |
Most common site for undescended testis is inguinal canal | openlifescienceai/medmcqa |
Ans. (d) ThyroidRef : LB. Singh 9th ed. /116-17* Superior parathyroid derived from 4th branchial pouch* Inferior parathyroid and thymus develops from 3rd branchial arch* Most of the thyroid gland develops from thyroglossal duct (endodemal duct at foramen cecum). | openlifescienceai/medmcqa |
Heart rate, BP, cardiac output and myocardial oxygen consumption all are increased by ketamine. | openlifescienceai/medmcqa |
Ans. is 'b' i.e., Cardiac hypertrophy o There is no cardiac involvement in alport syndrome.Alport syndromeo Alport syndrome is a type hereditary nephritis characterized by glomerulonephritis, sensorineural hearing loss and eye defects. It is due to defect in a-5 chain of collagen IV (COL4 A5).o The most common inherite... | openlifescienceai/medmcqa |
i.e. (Occurs in seminiferous tubules): (11-12-IBS-Embryology 8th)Spermatozoa are formed in the walls of the seminiferous tubules of the testesSPERMATOGENESIS - formation of gametes (spermatozoa) takes only during the reproductive periods which begins at the age of puberty (12 to 16 years) and continue even though old a... | openlifescienceai/medmcqa |
Biosynthesis of the H, A and B antigens involves a series of enzymes (glycosyl transferases) that transfer monosaccharides. The resulting antigens are oligosaccharide chains, which are attached to lipidsand proteins that are anchored in the red blood cell membrane. The function of the H antigen, apa from being an inter... | openlifescienceai/medmcqa |
Alpha-1 antitrypsin deficiency-associated lung disease is characterized by progressive degenerative and destructive changes in the lungs (emphysema, commonly of the panacinar type). Emphysema is a chronic, usually slowly progressive illness, which most commonly causes shoness of breath. Other symptoms may include chron... | openlifescienceai/medmcqa |
C i.e. Occulomotor | openlifescienceai/medmcqa |
The costomediastinal recess is an area right next to the cardiac notch, which is an indentation in the superior lobe of the left lung. This is where the medial area of the superior lobe of the left lung would tend to expand if it became very inflated. The lung would not enter the anterior mediastinum, which is an area ... | openlifescienceai/medmcqa |
Wegener's also called Granulomatosis with polyangitis. | openlifescienceai/medmcqa |
Ureter | openlifescienceai/medmcqa |
Ans. B. K+Insulin lowers serum K+ concentration i.e., causes hypokalemia.The hypokalemic action of insulin is due to stimulation of K+ intake by the cells mainly in muscle and adipose tissue.Insulin increases the activity of Na+ - K+ ATPase in cell membrane, so that more K+ is pumped into cells. | openlifescienceai/medmcqa |
COMMON BURSITIS: *Ischial bursitis- Weaver&;s bottom *prepatellar bursitis- House maid&;s knee * Olecranon bursitis- Student&;s elbow * On lateral malleolus- Tailor&;s ankle *On great toe- Bunion. Reference- Maheshwari- 5th edn- pg 301. | openlifescienceai/medmcqa |
Ans. C. 22-24 days of gestationThe fetal heart development is a sequential process with paired cardiac tubes evident by 18 days of gestation. The two heart tubes fuse to form the primitive heart tube by day 22 of gestation. Cardiac looping usually starts at days 22-24, as the heart tube bends ventrally and towards the ... | openlifescienceai/medmcqa |
Ans. b. Measles | openlifescienceai/medmcqa |
Pituitary adenomas are most commonest cause of pituitary hormone hypersecretion and hyposecretion syndromes, common in adults. Hyperprolactinemia is the most common pituitary hormone hypersecretion syndrome in both men and women. PRL-secreting pituitary adenomas (prolactinomas) are the most common cause of PRL levels >... | openlifescienceai/medmcqa |
Ans. D. Inferior mesenteric arteryThe marginal artery of Drummond, also known as the marginal artery of the colon, is a continuous arterial circle or arcade along the inner border of the colon formed by the anastomoses of the terminal branches of the superior mesenteric artery (SMA) and inferior mesenteric artery (IMA)... | openlifescienceai/medmcqa |
Triamterene is a potassium-sparing diuretic that may protect against diuretic-induced digoxin toxicity. Dioxin toxicity may be caused by drugs that increase serum digoxin levels or increase the binding of dioxin to its receptor, the sodium potassium adenosine tri phosphatase (ATPase). Quinidine decreases digoxin volume... | openlifescienceai/medmcqa |
Ans. is 'a' i.e., children Virus Age affected . Hepatitis A Children, young adults . Hepatitis B Young adults, babies, toddlers . Hepatitis C Any age (more common in adults) . Hepatitis D Any age . Hepatitis E Young adults | openlifescienceai/medmcqa |
Sinovaginal bulbREF: Gray's anatomy 39th ed p-1385, Blueprints Obstetrics and Gynecology by Tamara L. Callahan, Aaron B. Caughey Page 140,Pediatric and adolescent gynecology by Marc R. Laufer, Donald Peter Goldstein Page 337See APPENDIX-5 for "Adult derivatives and vestigial remains of embryonic urogenital structures" ... | openlifescienceai/medmcqa |
The most common method of determining IOL power uses a regression formula called 'SRK (Sanders, Retzlaff and Kraff) formula'. The formula is P = A - 2.5L - 0.9K, where: P is the power of IOL, A is a constant which is specific for each lens type. L is the axial length of the eyeball in mm, which is determined by A-s... | openlifescienceai/medmcqa |
Corpus luteum | openlifescienceai/medmcqa |
Boundaries of carotid triangle are :
Anterosuperiorly – posterior belly of digastric.
Anteroinferiorly – superior belly of omohyoid.
Posteriorly – sternocleidomastoid muscle. | openlifescienceai/medmcqa |
Ref Robbins 8/e p1159; 9/e p1135 There is no histological feature that reliably predicts clinical behaviour .Infact, cellular and nuclear pleomorphism, including the presence of giant cells, and mitotic figures are often seen in benign pheochromocytoma.while cellular monotony is paradoxical associated with an aggressiv... | openlifescienceai/medmcqa |
Seronegative spondyloahropathies PAIR Psoriatic ahritis Ankylosing spondylitis Inflammatory bowel disease Reactive ahritis (Reiter's syndrome) Features Absence of serum autoantibodies Associated with HLA B27 Onset before 40 years Presence of uveitis, spine/large joint peripheral ahritis | openlifescienceai/medmcqa |
Ans. is 'c' i.e., Corpulence index Different indices use to determine obesity are:A. Body mass index/Qnetelet's index - FAO/WHO recommends it's use internationally as reference standard for assessing the prevalence of obesity in a community . | openlifescienceai/medmcqa |
Phrygian cap is a clinically innocuous entity in which a paial or complete septum (or fold) separates the fundus from the body of the gallbladder. Reference: Harrisons Principles of Internal Medicine, 18th Edition, Page 2616 | openlifescienceai/medmcqa |
Causes of bilateral recurrent laryngeal nerve paralysis are Thyroid surgery, Carcinoma thyroid, cancer cervical esophagus, cervical lymphadenopathy. | openlifescienceai/medmcqa |
In this graph constant Pressure is achieved which is seen in Pressure Control Ventilation. The major benefit of PCV is ability to control peak alveolar pressure which is a pressure most closely related to alveolar distention and injury, Thus PCV is protecting alveoli from overdistension. Pressure control modes of venti... | openlifescienceai/medmcqa |
Health promotion is "the process of enabling people to increase control over, and to improve health . It is not directed against any paicular disease, but is intended to strengthen the host through a variety of approaches (interventions). The well--known interventions in this area are: i. health education ii.environmen... | openlifescienceai/medmcqa |
Ans. is 'a' i.e., Has borne atleast two childrenThe Planned Parenthood Federation of America has described an ideal IUCD candidate as a woman who:Has borne atleast one childHas no history of pelvic diseaseHas normal menstrual periodsIs willing to check the IUCD tailHas access to follow up and treatment of potential pro... | openlifescienceai/medmcqa |
Ans. is 'c' i.e., 30 days Insanity is characterized by ceain abnormal mental and behavioral patterns. Simply insane means unsound mind, i.e. insane is the person which has unsound mind. Conversely sanity means sound mind (compos mentis). Lucid interval is the period of sanity (sound mind) in an insane person, i.e. peri... | openlifescienceai/medmcqa |
CTEV deformities:* Equinus deformity occurs primarily at the ankle joint. Other tarsal joints also contribute to it.* Inversion deformity occurs primarily at the subtalar joint. The inveed calcaneum takes the whole foot with it so that the sole faces medially.* Forefoot adduction deformity occurs at the midtarsal joint... | openlifescienceai/medmcqa |
Codfish Veebra is seen in 1. Osteoporosis > Osteomalacia 2. Sickle cell disease 3. Hereditary spherocytosis 4. Homocystinuria 5. Renal osteodystrophy 6. Osteogenesis imperfecta 7. Gaucher's disease | openlifescienceai/medmcqa |
. | openlifescienceai/medmcqa |
Rhinophyma is a complication of rosacea. It can be treated surgically by shaving off the excessive tissue with a scalpel, but regrowth occurs in time. There is very little evidence to support the association between alcoholism and rhinophyma. The other conditions do not cause flushing or blushing-type appearance. Psori... | openlifescienceai/medmcqa |
Answer is C >A (ASD > VSD) Wide physiological splitting may be seen in both VSI) and AS!) but it is more characteristic of ASD. ASD is the single best anterior of choice. | openlifescienceai/medmcqa |
DNA is a polymer of deoxyribonucleotides. | openlifescienceai/medmcqa |
Ans. is 'a' i.e., Ascending pharyngeal A Branches of external carotid arteryFrom medial sideAscending pharyngealFrom frontSuperior thyroid arteryLingual arteryFacial arteryFrom behindOccipital arteryPosterior auricular arteryTerminal branchesSuperficial temporal arteryMaxillary artery | openlifescienceai/medmcqa |
Ans. (a) Atropine eye dropsRef: Kanski 7/e, p. 179; Khurana 6/e, p. 104Cycloplegic - 1% atropine eye drops or ointment are used to* Reduce pain from ciliary spasm* Prevent formation of posterior synechiae* Increase blood supply to uvea* Reduce exudation and hyperemia | openlifescienceai/medmcqa |
Ans. is 'c' i.e., Category 6 | openlifescienceai/medmcqa |
The locations for the different types of hormone receptors are generally the following:1. In or on the surface of the cell membrane. The membrane receptors are specific mostly for the protein, peptide, and catecholamine hormones.2. In the cell cytoplasm. The primary receptors for the different steroid hormones are foun... | openlifescienceai/medmcqa |
Resin Modified GIC is used as a base below the composites, as using eugenol containing bases cause retardation of the polymerization reaction. | openlifescienceai/medmcqa |
Ans. is 'c' i.e., Obstetric hemorrhage | openlifescienceai/medmcqa |
All of the options are therapeutic indications of Laparoscopy. | openlifescienceai/medmcqa |
Ans. is 'a' i.e., All the samples should not contain coliform organisms | openlifescienceai/medmcqa |
Nerve supply of anal canalMucous membrane above pectinate line is supplied by autonomic nerves (sympathetic L1 L2 and parasympathetic: S2 S3 S4) and therefore is insensitive to pain.Pa below the pectinate line is supplied by somatic nerves (inferior rectal nerve a branch of pudendal nerve) and therefore is sensitive to... | openlifescienceai/medmcqa |
The two indications for inseion of an IVC filter are (1) active bleeding that precludes anticoagulation and (2) recurrent venous thrombosis despite intensive anticoagulation. Ref: Harrisons Principles of Internal Medicine, 18th Edition, Page 2176. | openlifescienceai/medmcqa |
- Celiac sprue is associated with Anti-tissue transglutaminase Ab Anti-endomysial Ab Anti-gliadin Ab OTHER OPTIONS: - Tropical sprue is infectious disease most commonly caused by E.coli involving complete small intestine resulting in iron, folic acid & vit B12 deficiencies - Crohn's disease is inflammatory bowel diseas... | openlifescienceai/medmcqa |
Ans. Right ventricle | openlifescienceai/medmcqa |
Pneumoperitoneum: Best projection to demonstrate pneumoperitoneum: Chest X-Ray If the patient cannot get into an erect position then left lateral decubitus projection is required Patient should be in that position for 10 minn at least for air rise up By careful technique even 1 ml of air can be detected Supine Film Sig... | openlifescienceai/medmcqa |
Ans. is 'a' i.e., Canker SoresAphahous ulcers o Also known as Canker Soreso These are superficial Ulcerations of oral mucosa.o The lesions may be Single or multiple.o Ulceration is surrounded by an erythematous halo and is Covered by a thin exudate. | openlifescienceai/medmcqa |
Ans. is 'a' i.e., Bupivacaine Bupivacaine (Sensoricaine, Marcaine) Bupivacaine is 2nd most commonly used local anaesthetic (after lidocaine). Bupivacaine has the highest local tissue irritancy amongst local anaesthetics. It is the most cardiotoxic local anaesthetic. Levobupivacaine (The S(-) enantiomer of bupivacaine) ... | openlifescienceai/medmcqa |
Helium is used because it decreases the turbulence. | openlifescienceai/medmcqa |
Ans. is 'a' i.e., Lippes loop IUD devicePregnancy (failure) rateExpulsion rateFirst generation * Lippes loop3[?]0 (maximum)19[?]1 (maximum)Second generation * CuT - 36 * CuT -2003[?]07[?]8* CuT - 380A0[?]5 - 0[?]85* Nova T0[?]75[?]8* Multiload - 2500[?]52[?]2* Multiload -3750[?]12[?]1Third generation * Progstasert1[?]5... | openlifescienceai/medmcqa |
Cathode:
The cathode in an x-ray tube consists of a filament and a focusing cup. The filament is the source of electrons within the x-ray tube. It is a coil of tungsten wire approximately 2 mm in diameter and 1 cm or less in length. Filaments typically contain approximately 1% thorium, which greatly increases the relea... | openlifescienceai/medmcqa |
Ans. is 'b' i.e. Homeobox gene Homeobox geneis associated with normal morphogenesis.Their expression results in the production of localized cellular condensation of primitive mesenchyme in the sites of future bones.They play an important role in patterning of limbs, vertebrae and craniofacial structures.Mutations in Ho... | openlifescienceai/medmcqa |
Clinical manifestations of Aspergillus: Pulmonary aspergillosis (MC form) Allergic bronchopulmonary aspergillosis (ABPA) Asthma Extrinsic allergic alveolitis Aspergilloma (fungal ball) and Chronic cavitary pulmonary aspergillosis. Invasive sinusitis, chronic granulomatous sinusitis, maxillary fungal ball and allergic f... | openlifescienceai/medmcqa |
Cytotoxic drugs and discarded medicine comes under category no 5. Category no 5 should be disposed in black colour plastic bag Reference : Park&;s textbook of preventive and social medicine, 23rd edition, pg no: 793,794 | openlifescienceai/medmcqa |
Penicillins and cephalosporins are called beta-Iactam drugs because of the impoance of the intact BETA-lactam ring for antimicrobial activity. -Lactamases inactivate these drugs by breaking the single bond in their BETA-lactam ring. BETA-Lactamases are coded for by either a transferable plasmid or by the genome of the ... | openlifescienceai/medmcqa |
Ref: KDT 7th/393 Flumazenil is a benzodiazepine antagonist. It has no role in alcohol detoxification. | openlifescienceai/medmcqa |
In Alveolar rhabdomyosarcoma, there is frequently fusion of the FOXO1 gene to either the PAX3 or the PAX7 gene, rearrangements marked by the presence of (2;13) or(1;13) translocations, respectively. PAX3 is a transcription factor that initiates skeletal muscle differentiation, and it appears that the chimeric PAX3-FOXO... | openlifescienceai/medmcqa |
Unsaturated fatty acids are also designated o3 (omega 3) family--Linolenic acids o6 family--Linoleic and Arachidonic acids ( o9 family--Oleic acid.Ref: DM Vasudevan - Textbook of Biochemistry, 8th edition, page no: 76 | openlifescienceai/medmcqa |
Ans. is 'a' i.e., Short term fluctuation * Point source (single exposure) epidemic is short term fluctuation.* There are three kinds of time trends or fluctuations in disease occurenceA. Short term fluctuations - epidemics.B. Secular trends or long term fluctuations.C. Periodic fluctuation. | openlifescienceai/medmcqa |
In humans, fetal irradiation is associated with microcephaly (irradiation at 8 to 15 weeks gestation) and mental retardation (irradiated at 8 to 25 weeks gestation).
Reference: White and Pharoah, Oral radiology, ed 8th, pg-96 | openlifescienceai/medmcqa |
Answer is D (Involvement of anterior limb of internal capsule): Anterior choroidal aery supplies the posterior limb of Internal capsule (and not anterior limb of internal capsule). Anterior choroidal aery arises from the internal carotid aery and supplies the posterior limb of internal capsule. The complete syndrome of... | openlifescienceai/medmcqa |
Ans. D: Decreased AFP level Alpha-fetoprotein is made in the pa of the womb called the yolk sac and in the fetal liver, and some amount of AFP gets into the mother's blood. In neural tube defects, the skin of the fetus is not intact and so larger amounts of AFP is measured in the mother's blood. In Down syndrome, the A... | openlifescienceai/medmcqa |
. | openlifescienceai/medmcqa |
Disease Features Early carcinoma colon Cancer of right side of colon present with occult bleeding Left side with obstructive symptoms. Cancers arising in the rectosigmoid are often associated with hematochezia, tenesmus, and narrowing of the caliber of stool. Sigmoid diveiculitis Age : 59 years Abrupt in onset, usually... | openlifescienceai/medmcqa |
* Ascending Aoic Aneurysms are commonly associated with vasculitis and syphilis with aoa involvement. Point to be remembered: * M/C cause for Abdominal & thoracic aoic aneurysm - Atherosclerosis. | openlifescienceai/medmcqa |
Poal Vein | openlifescienceai/medmcqa |
Ans. is 'd' i.e., None of the above o All are true. o Mechanism of action of oral contraceptive pills: i) Inhibition of ovulation :Both estrogen and progesterone act on HPO axis. The release of GnRH from the hypothalamus is prevented through a negative feedback mechanism. ii) Producing static endometrial hypoplasia: Th... | openlifescienceai/medmcqa |
Ans. is 'c' i.e., TOF Tetralogy of fallot is the commonest cyanotic congenital hea disease. Cyanotic Congenitial hea diseases o Cyanotic CHDs are Right to Left shunts. o These are fuher divided into : ? 1) Cyanotic CHD with decreased pulmonary blood flow. This group includes TOF, Pulmonary atresia with intact septum, t... | openlifescienceai/medmcqa |
(Gastroduodenal artery) (263-BDC-2 4th) (261-Snell 7th)* Superior pancreatico duodenal artery is a branch of Gastroduodenal artery* Inferior pancreatico duodenal artery is a branch of superior mesenteric arteryHEPATIC ARTERY - branchesSUPERIOR MESENTERIC ARTERY branches* Right gastric artery* Gastroduodenal artery-*Rig... | openlifescienceai/medmcqa |
Ans. is 'a' i.e., Rotor syndrome | openlifescienceai/medmcqa |
Ans. a (Hiatus hernia). (Ref. LB 25th ed., 1024)PARAOESOPHAGEAL ('ROLLING') HIATUS HERNIA# Rolling hiatus hernias are dangerous# Unlike sliding hiatus hernia a rolling hiatus hernia is a true hernia that is prone to complications. True paraoesophageal hernias in which the cardia remains in its normal anatomical positio... | openlifescienceai/medmcqa |
A bright cone of light radiating from tip of malleus to the periphery in the anteroinferior quadrant of the tympanic membrane Ref: Dhingra 6th edition | openlifescienceai/medmcqa |
. Translocation involving cMYC gene | openlifescienceai/medmcqa |
Ans. is 'b' i.e., Chromosome 3 | openlifescienceai/medmcqa |
Administration of penicillin along with aminoglycoside does not increase the risk of aminoglycoside renal toxicity. Aminoglycosides are highly effective against gram negative bacteria whereas penicillins are effective against gram positive bacteria. Penicillins also increase the bactericidal activity of aminoglycosides... | openlifescienceai/medmcqa |
Answer is D (Repeated Gross Hematuria): The most common presentation of IgA Nephropathy is with recurrent episodes of Gross (Macroscopic) Hematuria during or immediately following an upper respiratory tract infection 'Recurrent attacks of Painless Gross Hematuria represent the classic clinical presentation of IgA Nephr... | openlifescienceai/medmcqa |
Convalescent carriers excrete the bacilli for 6-8 weeks.Persons who excrete the bacilli for more than a year after a clinical attack are called chronic carriers.In chronic carriers, the organism persists in the gallbladder. Vi antibodies are present in about 80% 0f chronic carriersFecal carriers are more frequent than ... | openlifescienceai/medmcqa |
Rheumatoid Ahritis | openlifescienceai/medmcqa |
Peripheral lymphocytes | openlifescienceai/medmcqa |
Ans. A: Hyperplastic change in the lining mucosa of esophagusBarrett esophagus is a premalignant condition that involves the distal esophagus and appears to be related to chronic gastroesophageal reflux (GORD).There is metaplastic change in the lining mucosa of esophagus.Usually there are no paicular severe symptoms, a... | openlifescienceai/medmcqa |
Abdominal aneurysms are most often related to underlying aortic atherosclerosis. This patient has multiple risk factors for atherosclerosis, including diabetes mellitus, hypertension, and smoking. When the aneurysm reaches this size, there is a significant risk of rupture. An aortic dissection is typically a sudden, li... | openlifescienceai/medmcqa |
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