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Q1214. CURB scoring does not include?

A.BP systolic less than 100 and diastolic less than 40
B.RR > 30 / MIN
C.Confusion and BUN > 7mmol
D.Age 65 years

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AIIMS
2009
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Q1215. A 30 years old mail presents to causality with life threatening hemoptysis, which of the following procedure should not be done?

A.Bronchoscopy with cautery
B.Surgical resection of lung segment
C.Bronchial artery embolization
D.Pulmonary artery embolization

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Q1222. A 40 – years – old female with a 2 cm nodule in the right breast and HPF proved metastatic nodule in the axilla. Best management is?

A.Quandrantectomy
B.Mastectomy with local radiotherapy
C.Patey,s with adjuvant chemotherapy
D.Halsted,s operation with tamoxifen

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Q1228. A 12 years old girl present to the OPD with abdominal colic, nausea, diarrhea and litharge and headache for last 1 year Her, irritability and anger increased since last few month and she presented to emergency with weakness of lower limbs, what is the diagnosis?

A.Conversion disorder
B.Acute intermittent prophyria
C.Lower limb paralysis
D.AIDP with migraine

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Q1234. A 30 year old female present to OPD with non specific polyarthragia, on indirect immunofluoresence, nucleolar ANA were found to be positive, what can be future presentation all axcept?

A.1LD and chronic renal disease
B.Raynanuds phenomenon and selerodactyly
C.Recurrent oral and genital ulcers
D.Decreased salivation and lacrimation

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Q1236. A researcher sad he has discovers a new drug which is effective in chronic hypertensives with a p value of < 0.10. which of the following is true regarding the same?

A.The test is 90 % reproducible
B.90 % of test results could have occurred by chance
C.Not more than 10 % of the people benefited by the drug could be due to chance
D.90 % f patients will be benefited by giving the drug.

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Q1238. A- 20 years old male with history of fever and lymphnodes and sore throat was suspected to have infectious mononucleosis and was ordered a paul- Bunneli test. Which of the following is the principle of the test?

A.Hetarophic antibody test
B.Neutralisation reaction
C.Complement mediated cell damage
D.Agglutination reaction

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Q1241. A 29 years old female with history of polyarthralgia and back ache was investigated. She had nuclear pattern of DNA in immunofloresence. Which of the following is the best fit in her case?

A.Sclerodactyly, Raymand,s, phenomenon, lung fibrosis
B.Raymand,s , phenomenon, parotid swelling, Dry mouth
C.Glomerulonephritis, malar rash, oral ulcer
D.Genital ulcer, skin nodules, lung fibrosis

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Q1321. weakness for 2 weeks. Complete blood count shows anemia and thrombocytopenia with marked leukocytosis. Peripheral blood smear reveals the following. Immunophenotyping demonstrates strong positivity for CD13 and CD33, while CD19 is negative. What is the most likely diagnosis?

A.CML
B.ALL
C.AML
D.CLL

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Q1337. A 26-year-old man diagnosed with diabetes insipidus was started on hydrochlorothiazide. The beneficial effect of hydrochlorothiazide in this patient is primarily due to which of the following mechanisms?

A.Direct stimulation of V2 receptors in the collecting duct
B.Inhibition of Na
C.Blocking aquaporin-2 channels in the collecting duct
D.Increasing medullary interstitial osmolarity

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Q1346. A 28-year-old woman delivers a stillborn baby at 38 weeks of gestation. On the third postpartum day, she develops breast engorgement and painful fullness. The physician decides to pharmacologically suppress lactation. Which of the following drugs is most appropriate to decrease milk secretion?

A.Oxytocin
B.Misoprostol
C.Adrenaline
D.Bromocriptine

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Q1356. 22-year-old man diagnosed with enteric fever (typhoid) was started on ciprofloxacin. After 5 days of therapy, he continues to have high-grade fever and toxic symptoms. Blood culture later confirms Salmonella typhi. What is the most appropriate next drug of choice?

A.Chloramphenicol
B.Ampicillin
C.Vancomycin alone
D.Clindamycin

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Q1360. presents on day 7 of his treatment cycle with dysuria, suprapubic pain, and frank hematuria.Urine examination shows numerous red blood cells without infection. It is diagnosed as hemorrhagic cystitis. His current chemotherapy regimen includes the following agents. Which drug is most likely responsible for his symptoms?

A.Ifosfamide
B.Vincristine
C.Methotrexate
D.Doxorubicin

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Q1372. d) Toxoplasma gondii A 32-year-old unmarried man is brought reporting recurrent sexual arousal by wearing women’s clothes. The behavior has been present since adolescence and is associated with sexual gratification. The most appropriate diagnosis is

A.Fetishism
B.Transsexualism
C.Eonism
D.Homosexuality

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Q1376. A 30-year-old man is brought for medico-legal evaluation. He gives a history of being unable to perform sexual intercourse only with his wife, while he has normal erectile function with other females. There is no history of systemic illness or substance abuse. What is the most likely cause of his condition?

A.Quoad hoc
B.Ejaculatory failure
C.Erectile dysfunction
D.Urolagmia

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Q1377. A 35-year-old man wishes to donate a kidney to his brother. According to the Transplantation of Human Organs and Tissues Act (THOTA / Human Organ Donation Act, India), which of the following is required for the procedure?

A.Written consent of the donor alone is sufficient
B.Only attainment of the legally prescribed donor age is required
C.Compatibility of blood group alone is adequate
D.Informed written consent of the donor along with approval from

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Q1381. 52-year-old chronic smoker presents with long-standing hoarseness of voice. Laryngoscopic reveals the following. The most likely diagnosis is:

A.Vocal cord nodule
B.Vocal cord polyp
C.Reinke’s edema
D.Laryngeal papillomatosis

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Q1384. 52-year-old diabetic patient with poorly controlled blood glucose presents with facial pain, nasal blockage, and a black necrotic lesion over the nasal turbinate (black sinus) along with fever. Imaging shows involvement of the maxillary sinus. What is the most appropriate management?

A.Surgical debridement only
B.Surgical debridement with antifungal therapy
C.Surgical debridement with antibiotics
D.Antibiotics only

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Q1386. 40-year-old patient presents with chronic nasal crusting, epistaxis, nasal obstruction, and saddle-nose deformity. There is a history of recurrent sinusitis. The most likely underlying diagnosis is:

A.Relapsing polychondritis
B.Granulomatosis with polyangiitis
C.Atrophic rhinitis
D.Nasal septal hematoma

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ENTThroat
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Q1387. 40 year old female presents with change in voice and hoarseness. On laryngeal examination soft tissue mass lesion is seen involving one vocal cord, the vocal cord is limited mobility. What is the treatment of choice?

A.Radiotherapy alone
B.Total laryngectomy
C.Atrophic rhinitis
D.Nasal septal hematoma

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