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d8b8b8ae-7e56-44f2-b79f-8d28e6e355c8 | Ochsner-Sherren regimen is used for:September 2009, 2010 | Appendicular abscess | Pelvic abscess | Appendicular mass | Acute appendicitis | 2c | single | Ans. C: Appendicular mass | Surgery | null |
649652f7-7250-4ef1-b5f9-b669f98efa95 | 'Routine care' in Neonatal resuscitation consists of all of the following steps EXCEPT: | Provide warmth to all babies | Suction airway of all babies | Dry the baby | Ongoing evaluation of vital parameters of all babies | 1b | multi | Suction airway of all babies- not recommended. 'Routine care' consists of : Provide warmth to all babies Proper positioning of baby Suction airways only if necessary Dry the baby Ongoing evaluation of vital parameters of all babies | Pediatrics | Neonatal Resuscitation |
00e3414c-8f67-4ea3-afd7-2e42af4f7eb2 | Which of the following is the rate limiting enzyme of bile acid synthesis | Mitochondrial 17 α hydroxylase | Cytoplasmic 7 α hydroxylase | Microsomal 7 α hydroxylase | Mitochondrial 7 α hydroxylase. | 2c | single | Microsomal 7 α hydroxylase (cholesterol 7 α hydroxylase) is the rate limiting enzyme of bile acid synthesis. This enzyme is expressed only in liver. | Biochemistry | null |
dee4b56b-2a05-4523-93b1-49cb507b5f0c | Diphyllobothrium latum causes anemia by: | Its blood sucking activities | The Production Of A Toxin That Affects Hematopoiesis | Competition with the host for vitamin B12 | Occlusion of the common bile duct | 2c | multi | Diphyllobothrium latum, also known as the fish or broad tapeworm, is the biggest worm and can reach 10 m in size. Humans acquire the infection by eating raw fish containing the larvae of the tapeworm. The worm attaches to the small intestine and causes abdominal discomfo. Nausea, diarrhea, weight loss, and pernicious a... | Medicine | null |
853e6be0-2d94-43d6-be10-6b572d62c9a3 | Amyl nitrate is most commonly administered | Intravenously | By inhalation | Sub lingually | Orally | 1b | multi | null | Pharmacology | null |
63497dfb-a998-4137-9888-40d31588e79c | A 63-year-old man presents to the emergency department because of transient symptoms of vertigo, slurred speech, diplopia, and paresthesia. He is symptom-free now, and clinical examination is entirely normal. His past medical history is significant for osteoarthritis, hypertension, and dyslipidemia. Which of the follow... | posterior circulation transient ischemic attack (TIA) | anterior communicating artery aneurysm | hypertensive encephalopathy | pseudobulbar palsy | 0a | single | Posterior circulation TIA is suggested by the constellation of symptoms (vertigo, dysarthria, and diplopia and the transient episode of his symptoms. The basilar artery is formed by the two vertebral arteries and supplies the pons, the midbrain, and the cerebellum with vertebrobasilar TIAs, tinnitus, vertigo, diplopia,... | Medicine | C.N.S. |
4312cb15-405b-48f9-8679-8b78e621ffea | Which of the following is not a ototoxic drug - | Paracetamol | Cisplatin | Quinine | Erythromycin | 0a | single | Ans. is 'a' i.e., Paracetamol Important ototoxic drugso Aminoglycosideso Cisplatino Furosemideo Deferoxamineo Quinineo Chloroquineo Interferonso Eiythromycino Bleomycino Aspirin | Pharmacology | Adverse Drug Effect |
a431f057-b176-402d-bc65-d944b828a9a0 | Which of the following is NOT a component of t RNA? | D-loop | TpsC loop | Codon arm | Variable loop | 2c | single | Component Function Acceptor stem Hydroxyl group of adenosyl nucleotide forms an ester bond with the carboxyl group of aminoacid. DHU arm (DiHydroUridine) or D arm Recognition by specific aminoacyl tRNA synthetase Anticodon arm Base pairs with the codon of mRNA TpsC arm (RiboThymidine, Pseudouridine (ps), Cytidine) Ribo... | Biochemistry | Translation |
994251d9-2136-4975-94b9-1a2b12955204 | RC-prep is a combination of? | EDTA with carbamide peroxide | EDTA with hydrogen peroxide | EDTA with sodium hypochlorite | EDTA with urea peroxide and glycol based Glyde | 3d | single | null | Dental | null |
bb3dcf10-7035-4856-ad8a-7ab2f82bed35 | Normal pregnancy can be continued in aEUR' | Primary pulmonary hypeension | Wolf-Parkinson-White syndrome | Eisenmenger syndrome | Marfan syndrome with dilated aoic root | 1b | single | Wolf Parkinson-While syndrome Marfan's syndrome Ideally, a patient with Marfan's syndrome contemplating pregnancy should have a preconceptional echocardiography to determine the diameter of the aoic root risk depends upon the diagmeter of aoic root. If it is greater than 4.0 cm, she is at significant risk for aoic diss... | Gynaecology & Obstetrics | null |
47414217-6264-4752-a1fb-86f6b30a1759 | Alpha 1 antitrypsin deficiency mechanism of transmission - | Autosomal recessive | Autosomal dominant | X linked recessive | X linked dominant | 0a | single | Ans. is 'a' i.e., Autosomal recessiveAutosomal recessive disordersMetabolicHematologicalEndocrineSkeletalNarvouso Cystic fibrosiso Phenylketonuriao Galactosemiao Homocystinuriao Lysosomal storage diso a1-antitrypsin deficiencyo Wilson diseaseo Hemochromatosiso Glycogen storage disorderso Sickle cell anemiao Thalassemia... | Pathology | Obstructive Lung Diseases |
0aa8a026-c776-4c6b-a7e2-2558da5df0cf | Which of the following is not an intracellular enzyme? | Enzymes of oxidative phosphorylation | Salivary amylase | Glycogen synthase | None of the above | 1b | multi | Intracellular enzymes:
Cytoplasm: Enzymes of glycolysis (conversion of glucose and glycogen to pyruvic and lactic acid).
Mitochondria: Enzymes of citric acid cycle and oxidative phosphorylation.
Lysosomes: Hydrolytic enzymes. | Biochemistry | null |
f14982ca-b4b4-412a-905f-40d093c03c75 | Which of the following is not a feature of chronic progressive external ophthalmoplegia | Stas with bilateral ptosis | May be associated with hea block. | Finally ocular motility palsy | Significant diplopia | 3d | multi | Chronic Progressive External Ophthalmoplegia No diplopia since it is bilaterally symmetrical No neurological involvement. Progressive generalized muscular disorder. Stas with bilateral ptosis, is symmetrical. Finally ocular motility palsy followed by paralysis occurs. | Ophthalmology | Squint |
f6648b1d-d7b0-43de-b8a5-e1685c6e47bc | Division of zygote took place on 5th day after fertilization. What is the type of twinning: | Monochorionic, Monoamniotic | Monochorionic, Diamniotic | Dichorionic, Diamniotic | Dichorionic, Monoamniotic | 1b | single | Ans. (b) Monochorionic, DiamnioticRef: Dutta 8th ed. 233Division of zygote and types of TwinningDivision of Zygote on/ afterTypes of Twining72 hours/3 daysDichorionic, DiamnioticBetween 4-8 daysMonochorionic, DiamnioticBetween 8-12 daysMonochorionic, Monoamniotic> DaysSiamese, Conjoined TwinsAlso Know* Most common type... | Gynaecology & Obstetrics | Multiple Pregnancy |
4570a05c-2ab9-4e68-b89f-bbf64d0a30e1 | Lines of Blaschko represent: | Lines along lymphatics | Lines along blood vessels | Lines nerves | Lines of development | 3d | single | Ans. (d) Lines of developmentBlaschko's lines reflect cell migration during embryogenesis of the skin. Nevi cluster along these lines | Surgery | Plastic & Reconstructive Surgery |
2990ca20-1284-47e7-a836-91651861ff58 | Commonest cause of colonic obstruction in neonates is - | Meconium ileus | Aganglionic colon | Heal atresia | Volvulusd) Hernia | 1b | single | Ans. is 'b' i.e., Aganglionic colon i) Option 'a & c' are causes of small bowel obstruction not colonic obstruction ii) Most common cause of Intestinal obstruction in a neonate is Intestinal atresia - p. 1133, 1232 Nelson | Surgery | null |
c141c98a-20dc-4589-af74-3ceb3701ff7e | Cantrell pentology include all except ? | VSD | ASD | TOF | Trisomy 21 | 3d | multi | Ans. is d i.e., Trisomy 21 o Pentalogy of Cantrell is named after James R. Cantrell, a pediatric surgeon . The pentalogy of Cantrell is an extremely rare phenomenon with an incidence estimated at around 6 per million live bihs. o It encompasses the following 5 main features. i) Pericardial or distal sternal cleft ii) S... | Pediatrics | null |
cd13ba0a-d9d5-4d89-a834-a6f6fd3dc4d2 | Not true about Ribozyme is: | It is a protein | Involved in transesterification | Involved in peptide bond formation | Catalyst RNA | 0a | multi | RIBOZYME - Ribozymes are RNA molecules with catalytic activity At least five distinct species of RNA that act as catalysts have been identified. Three are involved in the self processing reactions of RNAs while the other two are regarded as true catalysts (RNase P and rRNA). (1) rRNA- 23S RNA (prokaryotes) - 28s RNA (e... | Biochemistry | DNB 2018 |
b88e1497-2b8e-4534-95d1-bcb90f363cdd | Under Vision 2020, to check visual acuity, teacher will refer school child to | Service centre | Training centre | Centre for excellence | Vision centre | 3d | single | Under Vision 2020, to check visual acuity, teacher will refer school child to Vision Centre Vision 2020 Right to Sight Major aim - eliminate avoidable blindness by 2020. They are Global India 1. Cataract 1. Cataract 2. RE + Low vision 2. RE + Low vision 3. Childhood blindness 3. Childhood blindness 4. Trachoma 4. Trach... | Social & Preventive Medicine | NCDs: CHD, HTN, DM, RF, Cancers, Obesity, Blindness |
45fc1a21-5962-42ec-afc1-97b33c99944e | Chemoattractants among the following are? | Histamine | Leukotriene B4 and C5a | Leukotriene C4 and C3a | Bradykinin | 1b | single | Ans. is 'b' i.e., Leukotriene B4 and C5a o Chemoattractant:- C5a (most potent), IL-8, LTB4, PAF, bacterial products, Lymphokine, Kallikrein.o C5a is the most potent chemoattractant | Pathology | Chemical Mediators and Regulators of Inflammation |
7f6ecbfa-68cd-4aeb-8799-18a470fba3e8 | In humans, where does depolarisation of cardiac ventricular muscle stas from? | Posterobasal pa of ventricle | Left side of inter ventricular septum | Uppermost pa of interventricular septum | Basal poion of ventricle | 1b | single | In humans, depolarization of the ventricular muscle stas at the left side of the interventricular septum and moves first to the right across the mid poion of the septum. The wave of depolarization then spreads down the septum to the apex of the hea. It then returns along the ventricular walls to the AV groove, proceedi... | Physiology | null |
9b587133-c817-4ffe-a967-1565bc050734 | All are true about hypertrophic obstructive cardiomyopathy except | Assymetrical septal hypertrophy | Systolic ventricular dysfunction is absent | Anterior leaflet movement is delayed | Cardiac output is diminished | 2c | multi | null | Medicine | null |
ae03dccf-94b7-4472-9c9a-e44605f7493b | When preparing a 3/4th crown on maxillary incisor tooth, the proximal grooves should generally be parallel to the | Long axis of the tooth | Gingival 2/3rd of the labial surface | Incisal 2/3rd of the labial surface | Short axis of the tooth | 2c | multi | null | Dental | null |
cc49d868-220f-4d2a-8b8e-9d6af30226d3 | Gluconeogenesis enzyme stimulated in starvation | Carboxylase | Pyruvate dehydrogenase | Pyruvate kinase | Glucokinase | 0a | single | In starvation, there is excessive breakdown of fatty acids resulting in the formation of Acetyl CoA in the liver. They ensure the conversion of pyruvate to oxaloacetic acid. It acts as allosteric activator of the enzyme pyruvate carboxylase and inhibits pyruvate dehydrogenase of Glycolysis. | Biochemistry | Metabolism of carbohydrate |
6613d3be-6e49-4979-859d-1d7e5bdc2c85 | What is false regarding wandering spleen? | Chronic torsion leads to splenomegaly | Treatment of choice is splenectomy only | Infarction & torsion are common | It is encapsulated with long vascular pedicle | 1b | multi | Wandering spleen- when position is not fixed due to laxity of ligaments or previous surgery - twisting of vascular pedicel - splenic congestion . Wandering Spleen Wandering spleen is an unusual condition with normal spleen having a long loose & vascular splenic pedicle but lacks ligamental attachments. Clinical Feature... | Surgery | Spleen |
aae6e5d7-180d-48a9-bc15-e457b7c7338a | Age group for concrete operational stage: | 0-2 yrs | 2-6 yrs | 7-12 yrs | 11-15 yrs | 2c | single | According to Piaget Cognitive theory, the sequence of development has been categorized into 4 major stages.
• Sensorimotor stage (0 to 2 yrs)
• Pre-operational stage (2 to 6 yrs)
• Concrete operational stage (7 to 12 yrs)
• Formal operational stage (11 to 15 yrs) | Dental | null |
a3551789-5a54-40bb-b2a7-531ea6c0a1cb | Culex mosquito spreads all of the following disease except: March 2008 | Viral ahritis | West Nile fever | Yellow fever | Bancroftian filariasis | 2c | multi | Ans. C: Yellow fever The yellow fever mosquito, Aedes aegypti (= Stegomyia aegypti = Aedes (Stegomyia) aegypti), is a mosquito that can spread the dengue fever, Chikungunya and yellow fever viruses. The mosquito can be recognized by white markings on legs and a marking in the form of a lyre on the thorax. | Social & Preventive Medicine | null |
ced3ceaa-5cf9-4ebe-8555-55842c20f9c7 | Organism associated with fish consumption and also causes carcinoma gallbladder: | Gnathostoma | Anglostrongyloidosis cantonensis | Clonorchis sinensis | H. dimunata | 2c | multi | • Clonorchis sinensis is a liver fluke, acquired by ingestion of raw or inadequately cooked freshwater fishes.
• In human body, it lives within bile ducts and causes inflammatory reaction leading to cholangiohepatitis and biliary obstruction.
• It is a well known risk factor for cholangiocarcinoma.
• It is a rare, but ... | Surgery | null |
b169ae17-afb8-432c-985b-f692b73ced92 | Which of the following statements about Recommended Dietary Allowances (RDA) is true | RDA is statistically defined as two standard detions (SD) above Estimated Average Requirement (EAR) | RDA is defined as being equal to the Estimated Average Requirement (EAR) | RDA is defined as being equal to Adequate Intake (AI) | RDA is defined as the recommended minimum requirement | 0a | multi | A i.e. RDA is statistically defined as two standard detions (SD) above Estimated Average Requirement (EAR) | Physiology | null |
a366691d-cfb4-4861-b9c6-298e54189296 | Third tubercle of femur provides attachment to? | Gluteus maximus | Gluteus medius | Gluteus minimis | Piriformis | 0a | single | Ans. (a) Gluteus maximusRef: Gray's anatomy 39th ed. H433 | Anatomy | Osteology of Lower Extremity |
d0e239f1-8cfa-4d0b-8334-6acb7a671c36 | Genu of internal capsule carries - | Optic radiation | Corticospinal | Corticorubral tract | Corticonuclear tract | 3d | single | Desending (efferent) fibers passing through genu of internal cpsule are corticonuclear fibers. | Anatomy | null |
b90d8171-031a-4e53-9143-7c1b816c3d29 | FIGLU Test is used for deficiency of - | Vitamin B , | Riboflavin | Niacin | Folic acid | 3d | single | Ans. is 'd' i.e., Folic acid Assessment of folate deficiencyo Following tests are used for assessment of folate deficiency.Blood levelNormal level in scrum is about 2-20 nanogram/mJ and about 200 micorgram.'ml of packed cells.Histidine load test or FIGLU excretion test :- Histidine is normally metabolized to formimino ... | Biochemistry | Vitamins |
608794b2-d8c4-47c8-9ed1-e47fc7f109a1 | Which is not found in CNS in a case of AIDS | Perivascular giant cells | Vacuolization | Inclusion bodies | Microglial nodules | 2c | single | Ref Robbins 9/e p250-255 Pathogenesis of CNS Involvement The pathogenesis of the neurologic manifestations in AIDS deserves special mention because, in addition to the lymphoid system, the nervous system is a major target of HIV infection. Macrophages and cells belonging to the monocyte-macrophage lineage (microglial c... | Anatomy | General anatomy |
ebd915c1-c672-4cbc-bf0b-1556d01917bb | The term 'id' was coined by - | Freud | Skinner | Wayker | Blueler | 0a | single | Structural theory of mind (the id, ego and superego) was given by Sigmund freud. | Psychiatry | null |
cf018b40-d1ed-4924-a461-1f5ba09d387e | 'Maltese Cross' is a characteristic feature of: | Cryptococcus Neoformans | Babesia Microti | Blastomycosis | Penicillium Marneffei | 1b | single | Babesia Microti is a parasitic blood-borne disease transmitted by deer tick (Ixodes scapularis) does not infect liver cells. Its clinical symptoms is similar to malaria, so diagnosis is really confusing. Under the microscope, the merozoite form of the microti lifecycle in red blood cells forms a cross-shaped structure,... | Microbiology | null |
3854a4e9-6dad-4fea-b771-de00f38b08b3 | 30 year old female presents with a painful, red, warm nail fold since last 7 days. Patient is applying various home remidies like turmeric powder , warm saline compressions with out any relief .The most probable diagnosis is | Ingrowing finger nail | Acute paronychia | Chronic paronychia | Onychomycosis | 1b | single | Paronychia is inflammation around a finger or toenail. Paronychia is a nail disease that is an often tender bacterial or fungal infection of the hand or foot, where the nail and skin meet at the side or the base of a finger or toenail. The infection can sta suddenly (acute paronychia) or gradually (chronic paronychia) ... | Dental | miscellaneous |
673029bc-50cd-43ed-92e9-decd5b755560 | ECG was performed on a total of 700 subjects with complaints of acute chest pain. Of these, 520 patients had myocardial infarction. Calculate the positive predictive value of ECG is: MYOCARDIAL INFARCTION ECG PRESENT ABSENT TOTAL POSITIVE 416 9 425 NEGATIVE 104 171 275 TOTAL 520 180 700 | 40% | 55% | 95% | 98% | 3d | single | Positive predictive value=true positive/(true positive+ false positive) 416/425 x 100= 98% Ref: Medical biostatistics, 1st edition pg: 201 | Social & Preventive Medicine | null |
4a493b2b-58e2-4346-8ffa-e4e11cf71a74 | Hemiplegia is commonly associated with infarction of the area of distribution of the - | Anterior cerebral artery | Middle cerebral artery | Posterior cerebral artery | Anterior communication artery | 1b | single | null | Medicine | null |
008b744f-6b17-45ec-9810-7e188e85ea93 | All of the following statements are true about Congenital Rubella, EXCEPT: | It is diagnosed when the infant has IgM antibodies at bih | It is diagnosed when IgG antibodies persist from more than 6 months | Most common congenital defects are deafness, cardiac malformations and cataract | Infection after 16 weeks of gestation results in major congenital defects | 3d | multi | The first trimester of pregnancy is the most disastrous time for the foetus as the organs are developing. Infection in the second trimester may cause deafness but those infected after week 16 suffer no major abnormalities. Ref: Textbook of Obstetrics By Dutta, 6th Edition, Page 299; Park's Textbook Of Preventive And So... | Social & Preventive Medicine | null |
86d4d0a2-9c30-4627-8c2e-ddfb63616810 | Extra intestinal manifestations associated with inflammatory bowel disease are all except | Uveitis | Sclerosing cholangitis | Osteoarthritis | Skin nodules | 2c | multi | null | Medicine | null |
69ee06c8-273d-4e90-bc28-3de8133a351d | Rectum is inflated with air, pain occurs in right iliac fossa. Which sign | Aaron sign | Battle sign | Bastedo sign | Meburney sign | 2c | single | an obsolete sign: in chronic appendicitis, pain and tenderness in the right iliac fossa on inflation of the colon with air. The definition information forBastedo sign is provided by Stedman&;s. | Surgery | G.I.T |
755aea45-baf9-491d-9f6e-e972f6ab0af6 | Which of the following OPV ls are usable? | Only 1 | Only 1, 2 | Only 1, 2, 3 | Only 3, 4 | 1b | single | Rules for VVM use in India Rules 1: If the inner square is lighter than the outer circle, the vaccine may be used (Vials 1, 2) Rules 2: If the inner square is the color as, or darker than, the outer circle, the vaccine must not be used (Vials 3, 4). | Social & Preventive Medicine | Cold Chain in India |
ea561b34-510a-455e-bb92-55d76a18dabb | In leprous neuritis, there is a) Intracutaneous thickening of the nerve b) Facial palsy c) Occurs in warm and moist areas d) Palpable peripheral nerves are present e) > 10 lesions may be found | abde | abd | abcd | acd | 0a | single | null | Medicine | null |
955a031c-8c68-49a7-8591-ea5bad580d8b | Major carbohydrate store in body is: | Hepatic glycogen | Blood glucose | Glycogen in adipose tissue | None of the above | 0a | multi | Major carbohydrate store in the body is Hepatic glycogen, Hepatic glycogen maintains blood glucose concentration. No glycogen is stored in adipose tissue. In % glycogen stored in muscles> liver Body stores energy in the form of carbohydrates (glycogen) and not in form of fats because : Fats cannot be metabolized anaero... | Biochemistry | Glycogen |
fb5ec085-7e89-4eb4-b8cb-5a377ec96d93 | Difference between post burn rupture & incised wound - | Seen in front of the thigh | Intact blood vessels & nerve at floor of the wound | Bleeding from the wound | Small and multiple | 1b | multi | Reff: The synopsis of forensic medicine& Toxicology 28th edition pg: 167 Heat ruptures: These are produced by splitting of soft pas at the joints. They may be confused with the incised or lacerated wounds. Can be differentiated from them by the absence of bleeding; presence of intact vessels and nerves; irregular margi... | Forensic Medicine | Thermal injury |
29331269-e524-4837-9799-1532d555141e | All are true regarding typhoid ulcer except ? | Perforation is less common in children below 5yrs | Placed transversely along the ileum | Multiple ulcer found in terminal ileum | Perforation occurs in 3rd week | 1b | multi | Ans. is 'b' i.e., Placed transversely along the ileumo Typhoid ulcers are placed longitudinally along the ileum.o On the other hand. Tubercular ulcers are placed transversely along the ileum (Mnemonic: (neck) tie lies longitudinal on body).Features of Tvhoid ulcer ?Salmonella typhi primarily affects the ileum and colon... | Pathology | null |
598181a0-31fd-4d52-99e7-0d4a48339843 | The Study of postmoem process of a dead body and their interpretation is | Thanatology | Putrefaction | Taphonomy | Entomology | 2c | single | Forensic taphonomy is the interdisciplinary study and interpretation of postmoem processes of human remains. Thanatology is the study that deals with death in all its aspects. Entomology is the study of the form and behaviour of insects. Myiasis is a condition caused by infestation of the body by fly maggots. Putrefact... | Forensic Medicine | Thanatology |
c87eec14-34be-415c-8a9f-ad52eb014b8b | The most common nerve damaged during open hernia repair - | Ilioinguinal nerve | Iliohypogastric | Genitofumoral | None | 0a | multi | Ans. is 'a' i.e., Ilioinguinal nerve o All the three nerves ie genifotemoral, ilioinguinal & iliohypogastric are branches of the lumbar plexus and all may be injured in op. for hernia.Ilioinguinal-Nerveo Enters the inguinal canal by piercing the internal oblique muscle (not through the deep ring),o It then emerges from... | Unknown | null |
47979134-412a-4a97-a8f2-30cf6343e3b0 | In diagnosis of retinitis pigmentosa ERG is: | More sensitive than the EOG | Less sensitive than the EOG | Equally sensitive as EOG | None of the above | 1b | multi | Ans. Less sensitive than the EOG | Ophthalmology | null |
b53c338c-ee25-4e1e-a179-2128253d1803 | In which one of the following conditions is gas under diaphragm not seen | Perforated duodenal ulcer | Typhoid perforation | After laparotomy | Spontaneous rupture of oesophagus | 3d | single | After spontaneous rupture, the pressure in the oesophagus rapidly increases and burst at its weakest point in lower one-third, sending a stream of material into the mediastinum and often into the pleural cavity. Thus pneumomediastinum is formed Reference: Bailey and Love edition: 24 page no: 996 | Surgery | G.I.T |
00db36d3-7ad3-46b9-a884-e6ff24eb54ce | Positive Acute phase reactants are all except : | Serum Amyloid A protein | Transthyretin | Fibrinogen | Hepcidin | 1b | multi | Acute phase reactants - Plasma proteins which are either increased or decreased during inflammation. Proteins which are increased are called as Positive Acute phase reactants and which are decreased are know as Negative Acute phase reactants. | Biochemistry | Classification and metabolism of amino acids |
e7e36b78-6f70-45fc-b117-19c6915c41f7 | Which of the following phase is characterized by presence of δ waves? | A | B | C | D | 2c | single | C represents NREM 3 phase which is characterized by presence of δ waves. NREM 3 is also called as "deep sleep". | Psychiatry | null |
22059021-ff43-4f27-8c9c-fe13983eb72a | True statement(s) regarding feeding of HIV-infected child is/are - | Breast feeding for 4-6 months then sta weaning | Breast feeding for 1 year then sta weaning | Exclusively top feeding | All | 2c | multi | Ans. is 'c' i.e., Exclusively top feeding o HIV infection can be transmitted from infected mother to fetus by breast feeding (though this is the least common mode of veical transmission for HIV). o It seems reasonable for women to substitute infant formula (top feeding) for breast milk if they are known to be HIV infec... | Pediatrics | null |
5b1a1289-b252-4650-af9c-882567db9658 | The modified class III preparation uses a dovetail on the lingual side in: | Maxillary canine | Mandibular canine | Mandibular central incisor | Mandibular lateral incisor | 0a | single | Lingual dovetail is required for large preparations in maxillary canines.
It is prepared only after completion of proximal portion, because otherwise tooth structure needed for isthmus between proximal portion and dovetail might be removed when the proximal outline form is prepared.
Nisha Garg, Amit Garg. Textbook of... | Dental | null |
69378c11-c9f8-4ba0-996b-43d4a16f6f8f | The child rolls over by - | 3 months | 5 months | 7 months | 8 months | 1b | single | Ans. is 'b' i.e., 5 months Age Milestone 3 Month Neck holding 5 Month Rolls over 6 Month Sit with support 8 Month Sit without support 9 Month Stand with support 12 Month Stand without support Walk with support 15 Month Walk alone, creep upstair | Unknown | null |
f3dc145a-9af5-46a5-a688-27dbe27b2fc2 | Krabbe’s disease caused by deficiency of | Sphingo myelinase | Alpha galactosidase | Galacto cerebrosidase | Aryl sulfatase A | 2c | single | null | Biochemistry | null |
9fb68698-0716-4133-b474-651e3b41da71 | Beta agonist which is used for stopping premature labor is: | Carvedilol | Terbutaline | Pindolol | Nadolol | 1b | single | null | Pharmacology | null |
ddea84f5-d4d2-45e6-88a0-9059512a60a8 | Which of the following lesions is NOT an infection from human papilloma virus? | Verruca vulgaris | Focal epithelial hyperplasia | Condyloma acuminatum | None of the above | 3d | multi | null | Microbiology | null |
d37b9109-671a-4456-b955-a2e4155b54b4 | Which of the following is a debranching enzyme: | Glycogen synthetase | Glucose-6-phosphatase | Amylo alpha-1,6-glucosidase | Amylo (1,4)-(1,6) trans glycosylase | 2c | single | Debranching enzyme is a Bifunctional enzyme with two activities Glucan transferase Amylo a-1,6-glucosidase breaks the alpha (1-6) glycosidic bond present at the branch point of glycogen in glycogen breakdown. Other Options: Glycogen synthetase transfer glucose from UDP-glucose to glycogenin. Glycogen branching enzyme (... | Biochemistry | Glycogen |
58d23dee-8bc2-4364-8afd-77e71e67e0ed | Which of the following synaptic transmitter is NOT a peptide, polypeptide or protein | Substance P | Met-enkephalin | b-Endorphin | Serotonin | 3d | single | D. i.e. (Serotonin) (95 - 96- Ganong 22nd) (1081-82- A.K. Jain 3rd)* Dopamine, Norepinephrine, Epinephrine, Serotonin. Histamine are AMINES* Polypeptides are - Substance P*, other tachykinins, Vasopressin, oxytocin, CRH, TRH, GRH,Somatostatin, GnRH, Endothelins, /3-Endorphin*, Endomorphins Enkephalins*, Dynorphins,Chol... | Physiology | Nervous System |
0ce9b02f-b484-4f2b-9a59-9d082beca557 | At which level of heat stress index it is not possible to work comfoably causing threat to health: | 20-40 | 40-60 | 60-80 | 80-100 | 1b | single | HEAT STRESS INDEX(HSI): HSI% Consequence of 8 hour exposure 0 No thermal strain 10-30 Mild-Moderate heat stress, Minimal impairement in work 40-60 Severe heat stress, Threat to health if not fit 70-90 Very severe heat stress, only few can sustain it 100 Maximum heat stress, only young fit acclimatized can sustain it >1... | Social & Preventive Medicine | Environment and health |
f27d0008-ecb3-4524-b5c9-734f0870df62 | Rosiglitazone mechanism of action is ? | Acts as PPAR gamma agonist | Inhibitor of alpha glucosidase | Acts as amylin analogue | Acts as dipeptidyl peptidase inhibitor | 0a | single | Ans. is 'a' i.e., Acts as PPAR gamma agonist Rosiglitazone It is oral antidiabetic drug They are selective agonists for nuclear peroxisome proliferator activator receptor gamma (PPAR gamma) expressed in the fat and muscle cells. It enhances transcription of several insulin responsive genes. Reverse insulin resistance b... | Pharmacology | null |
72c5bae5-7b8a-4ed6-b835-368a8f5c9b7b | A person was brought by police from the railway platform. He is talking irrelevant. He is having dry mouth with hot skin, dilated pupils, staggering gait and slurred speech. The most probable diagnosis is: | Alcohol intoxication | Carbamates poisoning | Organophosphorous poisoning | Dhatura poisoning | 3d | single | Features of dhatura poisoning: (All Datura plants contain tropane alkaloids such as scopolamine, hyoscyamine, and atropine) Dilatation of pupils Dryness of mouth Difficulty in speech Dysphagia Dilatation of cutaneous blood vessels Dry, hot skin Drunken gait Delirium Drowsiness Reference The Synopsis of FORENSIC MEDICIN... | Forensic Medicine | Miscellaneous |
7fd11a8c-c207-453d-bbb8-7f756e5d8858 | Which of the following layers of epidermis is known as "prickle layer"? | Stratum basale | Stratum spinosum | Stratum granulosum | Stratum corneum | 1b | single | Ans. B. Stratum spinosumStratum spinosum is also called as the prickle cell layer.* Stratum spinosum consists of intercellular attachments, also called desmosomes.* These desmosomes appear like spines on microscopy; hence, it is called as the prickle layer.* Their spiny (Latin, spinosum) appearance is due to the shrink... | Skin | Anatomy of Skin |
5b18a115-44eb-4877-b8fe-937b67ce0748 | Energy currency of the cell is | Nucleotide diphosphate | Nucleotide triphosphate | Deoxynucleotide diphosphate | Nuceotide monophosphate | 1b | single | Cellular energy can be stored in high-energy phosphate compounds, including adenosine triphosphate (ATP). This ubiquitous molecule is the energy storehouse of the body. On hydrolysis to adenosine diphosphate (ADP), it liberates energy directly to such processes as muscle contraction, active transpo, and the synthesis o... | Physiology | General physiology |
ab9e09e9-f33e-42b1-9a3b-0f972a4dc197 | Commonest type of cong. cyanotic hea disease is | ASD | VSD | TOF | PDA | 2c | single | Most common cyanotic hea disease is tetrology of fallot encountered beyond the age of 1 yr constituting almost 75% of all blue patient. Ref : Ghai essential pediatrics,eighth edition, P.no:420 | Pediatrics | C.V.S |
f031095d-b57a-4707-9543-65fb562033f8 | CRF with anemia best treatment - | Iron | Erythropoietin | Blood transfusion | Folic acid | 1b | single | Ans. is 'b' i.e., Erythropoietin o Chronic kidney disease leads to normocyih normochronic anemiaThe kidney is the primary' site of erythropoietin production in the adult. Erythropoietin enhances the growth and differentiation of erythropoietin progenitors.With increasing renal dysfunction decreased level of erythropoie... | Medicine | Anemia and RBC Disorders |
d468ff20-68f4-4920-a838-f8662f5cf410 | A 32-year-old woman was admitted to the hospital with a complaint of pain over her umbilicus. Radiographic examination revealed acute appendicitis. The appendix was removed successfully in an emergency appendectomy. One week postoperatively the patient complained of paresthesia of the skin over the pubic region and the... | Genitofemoral | Ilioinguinal | Subcostal | Iliohypogastric | 1b | single | The ilioinguinal nerve, which arises from the L1 spinal nerve, innervates the skin on the medial aspect of the thigh, scrotum (or labia majora), and the mons pubis. It has been injured in this patient. The genitofemoral nerve splits into two branches: The genital branch supplies the scrotum (or labia majora) whereas th... | Anatomy | Abdomen & Pelvis |
ec2b5a31-2e03-4f9c-8484-2ca175c39ef7 | A 70–year–old man presents with deterioration of vision 3 weeks after cataract extraction and IOL implantation. Slit lamp examination shows honeycomb maculopathy and Fluorescein angiography (FA) shows 'flower petal' hyperfluorescence. The most likely diagnosis is – | Age related macular degeneration (ARMD) | Central serous Retinopathy (CSR) | Macular Dystrophy | Cystoid Macular Edema | 3d | single | Unexpected visual loss, 3 weeks after cataract surgery with 'honey comb maculopathy' and 'flower petal' hyperfluorescence on Fluorescin Angiography is characteristic of Cystoid macular Edema. | Ophthalmology | null |
a991a9d4-9307-4f5c-aa11-1f463d9ea13f | All of the following statements about Trientine are true, EXCEPT: | More potent than penicillamine and orally absorbed | Alternative to penicilliamine in non tolerant | Not given with iron within two hours of ingestion | May cause iron deficiency anemia | 0a | multi | Trientine is a copper chelating agent. It is the second line of therapy in the treatment of Wilson's disease. It is less potent than penicillamine. It is used in patients intolerant to penicillamine. it can produce gastric disturbance, iron deficiency anemia due to iron chelation and sideroblastic anemia. Ref: Mitochon... | Pharmacology | null |
9207b0b6-dd6c-4916-b214-745cf557bb34 | RET gene mutation is associated with which malignancy - | Pheochromocytoma | Medullary carcinoma thyroid | Lymphoma | Renal cell carcinoma | 1b | single | Ans. is 'b' i.e., Medullary carcinoma thyroid o RET p ratoon cumene is a growth factor receptor (receptor tyrosine kinase)o The RET protein Is a receptor for the glial cell lined derived neurotrophic factor and structurally related proteins that promote cell survival during neural development. | Pathology | Thyroid and Parathyroid |
96766226-079f-4ae7-a4a4-dc9f3df6022e | Most reabsorption out of | Glucose | Urea | Na+ | HCO3 | 0a | single | Glucose is maximumly reabsorbed in normal condition.Ref: Ganong&;s review of medical physiology; 24th edition; page no; 682 | Physiology | Renal physiology |
bfd177c1-04d8-47a7-8d3b-022294de55b9 | The tumour exclusively found in parotid gland: | Wahin tumour | Adenocarcinoma | Pleomorphic adenoma | Acinar cell tumour | 0a | single | Wahin tumour/papillary cystadenoma lymphomatosum is viually restricted to parotid gland. Occur more commonly in male than female. | Surgery | null |
97a1e331-0c6a-4b42-9b6e-5a3bfe31ade9 | Which of the following finding on MR imaging distinguishes vaginal atresia from mullerian agenesis | Amount of upper vaginal dilatation | Presence of cervix | Length of atresia | Hymeneal ring | 1b | single | Presence of cervix distinguishes vaginal atresia from mullerian agenesis. | Gynaecology & Obstetrics | null |
38693871-6b17-4aa3-944e-b073e1170207 | A 40 year old female patient complains of swelling on both the legs. Patient is pregnant (3rd trimester). Which type of thrombosis is most likely to be present in this patient? | Venous | Arterial | Mural | Saddle | 0a | multi | null | Pathology | null |
19ac491c-6223-4b01-a1f4-dc06455c6523 | Wire loop lesions are often characteristic for the following class of lupus nephritis: | Mesangial proliferative glomerulonephritis(WHO class II) | Focal proliferative glomerulonephritis (WHO class III) | Diffuse proliferative glomerulonephritis (WHO class IV) | Membranous glomerulonephritis (WHO class V) | 2c | single | Answer is C (Diffuse Proliferative Glomerutonephritis) Wire loop lesions are most charachteristic of diffuse proliferative glomerulonephritis (Class IV WHO) but may also be seen in focal proliferative glomerulonephritis (Class III WHO). Most characteristic of: Lupus Nephritis Class IV (Diffuse Lupus Nephritis) Also see... | Medicine | null |
565f6449-e896-4704-90ae-eaf1fc325956 | All are zoonotic disease EXCEPT | Brucellosis | Leptospirosis | Scabies | Rabies | 2c | multi | [Cl (Rabies) (642- Park 19th) (692-Park 20th)LISTS OF ZOONOTIC DISEASES IN MANA. Bacterial InfectionsAnthrax, Brucellosis, Ornithosis, Q-fever, Leptospirosis, Tuberculosis, PlagueB. Viral InfectionsCow pox, Monkey pox, Eastemequine encephalitis, Ross-river fever, Yellow fever, JE, Lassa fever, RabiesC. Protozoal Infect... | Social & Preventive Medicine | Communicable Diseases |
dd32ae13-9422-4315-ac6b-a4b4f8caae20 | Wasting of the intrinsic muscles of the hand can be expected to be due to injury which nerve ? | Ulnar nerve | Radial nerve | Brachial nerve | Axillary nerve | 0a | single | - Ulnar nerve innervates 15 of 20 intrinsic muscles of hand.Hence, its injury results in wasting of intrinsic muscles of hand - Musculocutaneous, radial, ulnar & median nerves are all impoant to hand function. - Musculocutaneous and radial nerves allow forearm supination; the radial nerve alone innervates the extensor ... | Surgery | Miscellaneous |
cab11d26-38f0-45d5-9a83-b66204ebe0f6 | Which drug is used for Achalasia cardia- | Nifedipine | Propranolal | Atenolol | Bethnecol | 0a | single | null | Surgery | null |
2aa016b1-ce90-4e4b-b688-bd02feac7f95 | Wilm's tumor is associated with all the following except : | Aniridia | Beckwith syndrome | Polycystic kidney | Hemi – hypertrohy | 2c | multi | Warn' s tamer :
Wilm's tumor, also known as nephroblastoma, is the most common malignant tumor of kidney in children. Etiology.
Most of the tumor are sporadic.
1- 2% may have family history.
Familial predisposition to wilm's tumor is inherited in an autosornal dominant manner.
Mutation of the following genes are seen ... | Pediatrics | null |
b56a553c-15c3-46b3-b1c4-4904eb304f71 | Which of the following conditions is associated with maximum hearing loss? | Otitis media with effusion | Paial fixation of the stapes footplate | Ossicular disruption with intact tympanic membrane | Disruption of malleus and incus as well tympanic membrane | 2c | multi | Maximum hearing loss occur when there is ossicular interruption with intact tympanic membrane (54dB). Ossicular interruption with perforation result in 38dB hearing loss, hearing loss in ottitis media with effusion averages about 26-30 dB. Paial or complete fixation of the stapes results in conductive hearing loss that... | ENT | null |
319b1b70-b7e3-4104-bbc6-d34c7b67398e | Mucopolysaccharide hyaluronic acid is present in which among the following: | Vitreous humor | Cornea | Blood vessels | Lens | 0a | single | Hyaluronic acid is a sulphate free mucopolysaccharide. It is present in vitreous humor of the eye. It is also present in skin, synol fluid, umbilical cord, hemolytic streptococci and in rheumatic nodule. It occurs both free and salt like combination with proteins and forms ground substance of the mesenchyme, an integra... | Ophthalmology | null |
99f19799-d809-436e-ac13-7594ad820153 | The development of resistance to conventional treatment has led WHO to recommned the use of combination therapies containing aemisinin derivative (aemisinin-based combination therapies also known as ACTs). All of the following combination therapies are recommended if such resistance is suspected, except - | Aemether plus lumefantrine | Aesunate plus quinine | Aesunate plus pyrimethamine-sulfadoxine | Aesunate plus mefloquine | 1b | multi | Ans. is 'b' i.e. Aesunate plus quinine The WHO recommended ACTs (aemisinin-based combination therapies) o Aemether + lumefantrine o Aesunate + sulfadoxine-pyrimethamine o Aesunate + amodiaquine o Aesunate + mefloquine o Dihydroaemisinin + piperaquine. | Pharmacology | null |
7437be19-31e0-4922-a64d-05046be19976 | A 66-year-old man presents with a sudden onset of diabetes, anorexia, weight loss, epigastric pain with radiation to back. Next best investigation for this patient is? | Ultrasound of abdomen | CT abdomen | Enteroclysis | Triple contrast barium enema | 1b | single | Ans. B CT abdomenRef: Bailey and Love: 26th ed. page 1137* The clinical history of epigastric pain radiating to back points to pancreatic etiology. This patient may have developed pancreatic cancer. Sudden onset of diabetes in the elderly is also suggestive. The best imaging modality to image chronic pancreatitis or pa... | Physiology | Misc. |
a1d7f89e-aee4-4fee-9bec-542e7d3906b0 | 3M-mix antibiotic paste includes the following as intracanal medicament | Ciprofloxacin, Metronidazole, Minocycline | Norfloxacin, Metronidazole, Minocycline | Ciprofloxacin, Cefixime, Minocycline | Norfloxacin, Metronidazole, Cefixime | 0a | single | null | Dental | null |
f658bb1c-5598-466d-8542-f95c588a9070 | The labiodental sounds are | f,v,ph | s,z,c | f,z,s | f,v,z | 0a | single | null | Dental | null |
16ee49cf-dcc6-48d2-ab12-f9fe8d1d1b5d | Kwashiorkor is similar to marasmus in that both diseases have __________ | A normal total caloric intake | A fatty liver | An apathetic affect | Anemia | 3d | multi | Both marasmus and kwashiorkor are associated with anemia. Marasmus is characterized by a low calorie intake. Dietary deficiencies are compensated for by the breakdown of protein and fats. Key findings include: Growth failure, Aleness, Hunger, Monkey-like appearance , Broomstick extremities , Muscle wasting, Mild anemia... | Pediatrics | Nutrition |
01686464-437d-431b-adf1-544ab440a12e | RD k diagnosed by: | +90 D | Hurby lens | 3 mirror contact lens | All | 3d | multi | Ans. All | Ophthalmology | null |
05ddd68e-667d-46ab-8ba1-e2d21fd52849 | The process of primary colonizing bacteria adhering to tooth surface providing new receptors for attachment other bacteria is known as | Attachment | Translocation | Co-adhesion | Biofilm | 2c | single | null | Dental | null |
4a474ad3-aba0-4cd3-9cf2-dd2e24a5f7b5 | 'Chancre redux' is a clinical feature of: | Early relapsing syphilis | Late syphilis | Chancroid | Recurrent herpes simplex infection | 0a | single | Chancre redux : Recurrence of the primary sore at its original site during the first two years of the disease (Relapsing stage of syphilis). Pseudochancre redux : Gummatous (teiary stage) recurrence at the site of the primary chancre. | Dental | Sexually Transmitted Infections |
54c55702-d645-440a-abbc-006adf8b8cfe | Gettlers test is for - | Hanging | Strangulation | Bums | Drowning | 3d | single | Ans. is 'd' i.e., Drowning Gettler testo Gettler test is done for drowning. It estimates chloride content of blood from both sides of heart. Normally the chloride content is equal in the right and left chambers of the heart (600 mg/100 ml). In fresh water drowning due to hemodilution the chloride content is decreased a... | Forensic Medicine | Biological Materials & Stains |
87eae977-e803-46a7-8ebf-9ff0e46f079d | Which of the following organelles is the major site for anaerobic metabolism? | Centrioles | Mitochondria | Golgi apparatus | Cytoplasm | 3d | single | Oxidative phosphorylation occurs in the mitochondria. The TCA cycle occurs in the mitochondrial matrix. The electron transpo chain occurs on the inner mitochondrial membrane. Anaerobic metabolism occurs in the cytoplasm of most cells. The mitochondria are the site of aerobic metabolism. The Golgi apparatus is responsib... | Biochemistry | null |
1addc0ac-849e-4bdc-844a-f1f8a4298c8a | Mc Naughten's rule : | Section 84 | Section 85 | Section 86 | Section 87 | 0a | single | A i.e. Section 84 | Forensic Medicine | null |
5c2d4711-a8a9-494b-8c16-3f0932e1588b | Soft water has hardness levels of - | <50 | 100 | 150 | >200 | 0a | single | Level of hardness is expressed in terms of milliequivalents per litre where one milliequivalent is equal to 50mg calcium carbonate in one litre of water. The level of hardness of hard water is equal to 3-6mEq/L or 150-300 mg/L. CLASSIFICATION LEVEL OF HARDNESS (mEq./L) LEVEL OF HARDNESS (mg/L) soft water <1 <50 moderat... | Social & Preventive Medicine | Environment and health |
b93e3e2d-a1b9-4bad-82f3-88b04f8beb47 | In Krebs cycle, which of the following catalyses the step in which the first CO2 is released? | Aconitase | Isocitrate dehydrogenase | Succinate thiokinase | Succinate dehydrogenase | 1b | multi | null | Biochemistry | null |
52a17e17-ca9e-48f9-bdc4-a6aeff3e06a7 | Which of the following variant of CAH presents with mineralocoicoid deficiency? | 11b hydroxylase deficiency | 17a hydroxylase deficiency | P450 oxidoreductase dehydrogenase | 3b hydroxyl-steroid dehydrogenase | 3d | single | Deficiency in CAH Glucocoicoid Mineralocoicoid Androgens 21 hydroxylase Reduced Reduced Increased 3 b hydroxyl-steroide dehydrogenase Reduced Reduced Increased 11 b hydroxylase Reduced Increased Increased 17 a hydroxylase Reduced Increased Decreased P450 oxidoreductase Reduced Increased Decreased | Medicine | Disorders of Adrenal Gland |
4579a1f8-62a1-4537-856f-ffe695ce5542 | Indicator used in autoclave is - | Clostridium tetani | Bacillus stearothermophilus | Bacillus pumilis | Bacillus subtilis Var Niger | 1b | single | Ans: b (Bacillus stearothermophilus) Ref: Ananthanarayan, 7th ed,p. 78 Autoclaving: (Moist heat) (121degC X 15 min under 15 lb/sq.inch pressure) - dressings, gloves, glass syringes, culture media, suture materials except catgut. Sterilizing control is by bacillus stearo thermophilus. Hot air oven: (Dry heat) (160degCX ... | Microbiology | General |
0075eab5-98bd-4b5c-86f3-a12fc76e9151 | All of the following are done in behavior therapy to increase a behavior except: | Punishment | Operant conditioning | Negative reinforcement | Reward | 0a | multi | A i.e. Punishment Punishment & frustrative-non reward lead to decrease in resultant behavior, whereas both positive & negative reinforcements increases (reinforces) the frequency of a paicular response. Operant conditioning describes how consequences of a behavior lead to an increase or decrease in that behavior. Behav... | Psychiatry | null |
9d7a394f-36ee-49bd-b4cf-89155e5557bc | The cough response caused while cleaning the ear canal is mediated by stimulation of- | The V cranial nerve | Innervation of external ear canal by C1 and C2 | The X cranial nerve | Branches of the VII cranial nerve | 2c | single | “Irritation of the auricular branches of the vagus in the external ear (by ear wax, syringe, etc.) may reflexly cause cough, vomiting, or even
death due to sudden cardiac inhibition.”
Auricular branch of the vagus nerve is also known as Arnold’s nerve or Alderman’s nerve.
Also Know
Similarly irritation of recurrent lar... | ENT | null |
61d459ab-c55e-45a4-931e-f54e5d90222b | O2 dissociation curve is shifted to right in all except- | Hypercapnea | Rise in temperature | Raised 2, 3 DPG level | Metabolic alkalosis | 3d | multi | Ans. is 'd' i.e., Metabolic alkalosis o Hypercapnea (raised CO2), rise in temprature and increased 2, 3 DPG cause righward shift of O2 dissociation curve,o Metabolic alkalosis causes leftward shift.o Alkalosis (increased pH), increased HbF, and hypothermia (decrease in temperature) cause a leftward shift of oxygen diss... | Physiology | Principles of Gas Exchange - Respiratory Membrane |
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