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135
e4249525-580a-4fa7-999c-3b2288bee5c3
Intetion tremor, druken gait and scanning speech together point towards involvement of
Cerebellum
Coex
Medulla
Micihreio
0a
single
Answer- A. CerebellumClinical features of Cerebellar lesions:Incordination of rapid alternating movements - dysdiadokokinesiaInaccuracy of purposeful movements - dysmetriaIrregular variations in the volume and rhythm ofspeech - scanning speechBroad based reeling gait - like a drunken sailorQuasirhythmical rocking of th...
Medicine
null
55d80032-4fce-4b17-a992-070406501dea
Not a carcinogen for bladder cancer -
Benzidine
Isoprospyl alcohol
Acrolein
Phenacetin
1b
single
Ceain industrial chemicals have been linked with bladder cancer. Chemicals called aromatic amines, such as benzidine and beta-naphthylamine, which are sometimes used in the dye industry, can causebladder cancer. ... Cigarette smoking and workplace exposures can act together to cause bladder cancer. The most common risk...
Pathology
Urinary tract
a0ec9310-2472-4b86-ae62-2cd60c231984
Headaches typically affecting young to middle aged men, unilateral, oculo temporal, excruciating and associated with lacrimation, rhinorrhoea is called
Migraine
Trigeminal neuralgia
Cluster headache
Tension headache
2c
multi
Cluster headache Unilateral, periorbital, frontal or temporal headache with ipsilateral epiphora, rhinorrhoea, sweating,nasal stuffiness and ptosis. Lasts minutes to hours, recurs once or twice daily for several weeks followed by symptom-free intervals of months to years. Affects men (90%) and may be precipitated by al...
Ophthalmology
Neuro Ophthalmology
225113b3-f52e-4705-aaeb-715ac26db721
Sonographic finding of spina bifida – a) Ventriculomegalyb) Obliteration of cisterna magnac) Small BPDd) Abnormal curvature of cerebellume) Club foot
acd
bcd
abc
abd
3d
multi
Sonographic findings of spina bifida Most common site is lumbosacral region. Ventriculomegaly with hydrocephalus. Banana sign - cerebellum is stretched around the brain stem with effacement of cisterna magna. Lemon sign - Flattening of frontal bones on transverse image. Bony defect in spine: - V shaped profile due t...
Radiology
null
8bf128a5-6865-47d1-8b53-c0e010c8abed
A patient with Pancoast's tumour develops hoarseness of voice after radiation, it is due to:
Vocal cord infiltration with secondaries
Involvement of recurrent laryngeal nerve
Irradiation to vocal cords
Radiation stenosis of larynx
2c
single
(c) Irradiation to vocal cordsPancoast's tumour is an apical (superior pulmonary sulcus) malignant neoplasm of the lung. The symptoms of this tumour are because of compression of adjacent structures, e.g. sympathetic nerves (Horner's syndrome) and brachial plexus (involvement of C8, T1 and T2; leading to shoulder/ arm ...
ENT
Larynx
cde99dd4-b2fe-4e3b-a270-40270989cd6d
Which of the drug is not comonly used in PPH?
Mifepristone
Misoprostol
Oxytocin
Ergotamine
0a
single
Atonicity is the most common cause of PPH. Any drug which increases the tone of uterus or the force of contraction is used to control PPH and is called oxytocic. Commonly used oxytocics in the management of PPH are: Oxytocin Methergin Syntometrine – oxytocin + methergin 15 methyl PGF2a (carboprost) Misoprostol (PGE1)
Gynaecology & Obstetrics
null
bf457028-2150-46ae-a174-ce37973acfa1
A 30-year-old pregnant woman and her 2-year-old child are residing in high altitude area. The child is sho in stature, has a potbelly and enlarged protruding tongue, and is developmentally delayed. Iodine is prescribed for mother and child, with the hope of preventing mental retardation in the developing fetus. All are...
Conversion of iodide to iodine
Promoted by enzyme peroxidase
Iodide transpoed to follicular lumen by Na-I sympoer
Propylthiouracil blocks this step
2c
multi
Conversion of iodide ions to an oxidized form of iodine, either nascent iodine (I0) or I3-, which is then capable of combining directly with the amino acid tyrosine. This oxidation of iodine is promoted by the enzyme peroxidase and its accompanying hydrogen peroxide, which provide a potent system capable of oxidizing i...
Physiology
Nervous system
4fcb09bf-c7a7-4170-af1c-78d053801e7a
Cephalhematoma usually disappears within -
3-5 months
2-5 weeks
3-5 weeks
5 -7 weeks
3d
multi
Ans. is 'd' i.e., 5-7 weeks o Cepholhematoma is a subperiosteal hemorrhage usually involving parietal and temporal bones. o It is more common in forceps delivery, vaccum extraction and prolonged labor. o It is soft and fluctuant swelling with well defined margins. o A cepholhematoma crossing the midline indicates under...
Pediatrics
null
ff2f5ae0-e995-4d48-aeec-721da9e830e4
All of the following are true about diphtheria except:
Faucial diphtheria is more dangerous than laryngeal diptheria
Laryngeal diphtheria mandates tracheostomy
Child is infectious with faucial diphtheria
Myocarditis may be a complication
0a
multi
Diphtheria: Causative agent – Corynebacterium diphtheriae (Gram +ve bacillus) Incubation period: 2 - 6 days. Depending on site present as: – Nasal diphtheria - Mildest, toxemia is minimal. – Faucial diphtheria (most common) = Nasopharyngeal diphtheria - More severe than nasal diphtheria. – Laryngotracheal diphtheria ...
Microbiology
null
a4ac3866-3e2a-4a27-96d8-77de6559da93
Time interval betw een inoculation of infection to maximum infectivity is -
Lead time
Median incubation period
Generation time
Serialinverval
2c
single
Ans. is 'c' he., Generation time o Generation time - Period from receipt of infection to maximal infectivity.o Serial interval - Gap between onset of primary case and secondary case.
Social & Preventive Medicine
Infectious Disease Epidemiology
6b917d29-9e9a-4177-a821-e31646126b79
Manubriosternal joint -
Saddle type
Ball & Socket
Symphysis
Syndesmosis
2c
multi
C i.e. Symphysis
Anatomy
null
61a60da3-7543-40d8-b510-3f8a42da160b
A village has a total of 100 under-five children. The coverage with measles vaccine in this age group is 60%. Following the occurrence of a measles case in a child after a visit outside, twenty six children developed measles. The secondary attack rate ofmeasles is -
25%
40%
50%
65%
3d
single
Ans. is 'd' i.e., 65 %
Social & Preventive Medicine
null
4c21ccf0-817f-428b-91df-b69555ea9438
Which of following pregnancy complications is associated with polycythemia vera
Coagulopathy
Placental abruption
Stillbirth
Placenta previa
2c
single
Polycythemia vera → Increased blood viscosity → Thrombotic complications and fetal loss.
Gynaecology & Obstetrics
null
ba3c1dd1-007a-4096-ae61-a8e618dc7b06
Seton used in fistula in anosurgery is draining seton and -
Cutting seton
Dissolvingseton
Dissectingseton
Fibrosing seton
0a
single
Ans. is 'a' i.e., Cutting seton Types of setonsCutting setonSilk/prolene/monofilament nylon.Invented by hippocretes.Aka 'tight seton'Gradually/slowly cuts through the sphincter muscle - which is replaced by fibrosis.Draining setonAka loose setonUsually a rubber sling.Purpose is drainage of collected pus.
Surgery
Anal Fissures
c0762e0a-18a8-4ce5-8410-a9b1caa4b53e
A person had an oblique fracture of olecranon which was displaced proximally. The treatment is:
Excision and resuturing
Tension band wiring
Elbow is immobilized by cast
Open reduction and external fixation
1b
multi
- Fracture of the olecranon in adults, when the fragments are separated, open reduction and internal fixation are necessary by Tension Band Wiring. - Tension band wiring is also done in case of fracture of patella and medial malleolus.
Orthopaedics
Upper Limb Traumatology
06085a1c-3c2a-464a-bfe6-27dd6a9e5641
The following combination of agents are the most preferred for short day care surgeries –
Propofol, fentanyl, isoflurane
Thiopentone sodium, morphine, halothane
Ketamine, pethidine, halothane
Propofol, morphine, halothane
0a
single
Amongst the given options, option a is best. However, isoflurane has now been replaced by desflurane and sevoflurane. Drugs used in day care surgery :- Propofol, Desflurane, Sevoflurane, Mivacurium, Alfantanil, Sufentanil, Remifentanil, Fentanyl.
Anaesthesia
null
906fef56-863c-4b03-bd76-d7fc66023627
The tip of the nose is supplied by -
Maxillary N.
Mandibular N.
Ophthalmic N.
Facial N.
2c
single
Tip of nose and lower part of dorsum of nose are supplied by external nasal branch of ophthalmic division of trigeminal nerve.
Anatomy
null
989351f0-a6e8-4397-8e25-97716f39390e
Colie's fracture which of the following tendons likely to rupture:
Flexor pollicis longus
Flexor policis brevis
Extensor policis longus
Extensor policis brevis
2c
single
Ans. (c) Extensor policis longusRef: Apley's 9th edJ 772-74# Colles fracture is a fracture of distal radius at corticocancellous junction with dorsal displacement of distal segment.# Mechanism of injury: Fall on outstretched hand with wrist in hyperextension.Complication of Colle's* Joint stiffness- most common* Maluni...
Orthopaedics
Injuries of the Forearm
d51cbe3e-78d7-4757-8237-1a251d25a5c1
Urinary anion gap is an indication of excretion of which of the following?
Ketoacids
NH4+
H+ ion
K+ ion
1b
single
Urinary anion gap is calculated using the equation, urinary anion gap = ( Na+ + K+) - (Cl-). It reflects the ability of the kidney to excrete NH4Cl. During metabolic acidosis, kidneys normally eliminate NH4+Cl- to enhance the removal of excess H+ion. In response to acidosis, daily urinary excretion of NH4Cl can be incr...
Medicine
null
b7eb879c-3f7c-4777-b147-317d00866c34
Which of the following anti–arrhythmic agents does not belong to class Ic ?
Tocainide
Encainide
Flecainide
Propafenone
0a
multi
null
Pharmacology
null
af23efb5-804f-489d-9013-230aa66d8824
True about stomach carcinoma -a) Weightloss is commonest featureb) Secondaries are most commonly seen in peritoneum & omentumc) Lymphatic & hematogenous spread are rared) Barium meal is diagnostice) Radioresistant
a
ae
ab
ad
1b
multi
null
Surgery
null
a94bb263-7f74-4782-ab2a-03202f21ffd2
The best site to obtain a swab in asymptomatic gonorrhea is
Endocervix
Urethra
Lateral vaginal wall
Posterior fornix
0a
multi
The specimen in gonococcal infection is collected using a urethral swab or endocervical swab. The most common site of gonococcal infection in women is the endocervix (80%-90%), followed by the urethra (80%), rectum (40%), and pharynx (10%-20%). If symptoms develop, they often manifest within 10 days of infection. Major...
Microbiology
Bacteriology
2b058b7d-e264-4247-ad40-b63e9546ff6c
Bilateral symmetrical maculopapular rash on palms and soles is a feature of -
Primary syphilis
Secondary syphilis
Teiary syphilis
Congenital syphilis
1b
single
In secondary syphilis the lesions are symmetrical and numerous initially. In teiary syphilis nodular and noduloulcerative gummata are seen. In congenital syphilis any type of lesion can be seen including Bullous type. In primary syphilis chancre is the typical lesion. From illustrated synopsis of dermatology and sexual...
Dental
Sexually transmitted diseases
43bdae5c-9cc5-41d3-bdf1-7ca1fcc61a64
Sunburst appearance found in -a) Osteosarcomab) Ewings sarcomac) Osteoclastomad) Osteoid osteomae) Chondrosarcoma
ac
a
ad
ab
3d
single
Sun-ray (sunburst) appearance and Codman's triangle : - Typical features of osteosarcoma. May also be seen in Ewing's sarcoma, osteomyelitis. Onion-peel appearance Typical feature of Ewing's sarcoma. May also be seen in osteosarcoma, and osteomyelitis
Orthopaedics
null
0a02b0ce-30da-4799-8cab-0364c9abaf4e
Most common cause of hemobilia
Trauma
Iatrogenic
Parasites
Tumors
1b
single
Hemobilia Bleeding into the biliary tract from an abnormal aerial source to intrahepatic biliary tract fistula Poal venous bleeding into the biliary tree is rare, minor and selflimited Aerial hemobilia is the most common source Etiology Trauma : Iatrogenic (PTC) is the most common cause, blunt trauma is more common cau...
Anatomy
G.I.T
9d9a9057-adc0-4bd0-bbe8-2f9731b066a3
Sterilization of culture media containing serum is by-
Autoclaving
Micropore filter
Gamma radiation
Centrifugation
1b
single
Sterilization of culture media The constituents of culture media must be carefully sterilized. Two methods are commonly used to sterilize culture media - 1) Autoclaving - Constituents like water, salts and supplements like peptone, tryptose etc., which are heat stable, are autoclaved. - Generally autoclaving is carri...
Microbiology
null
a389a08b-20bc-427d-b335-8b6eb56f2f27
26-year-old woman complains of the abrupt onset of her chest pounding. She is diagnosed with paroxysmal atrial tachycardia. Which of the following is the most effective agent for conveing paroxysmal atrial tachycardia to normal sinus rhythm
Digoxin
Lidocaine
Atropine
Adenosine
3d
single
DRUGS FOR PSVT An attack of PSVT can be terminated by reflex vagal stimulation through Valsalva maneuver, splashing ice cold water on face, hyperflexion (head between knees), etc. Alternatively, or if it does not work, the drug of choice is adenosine (i.v.). Other alternatives are i.v. injection of verapamil/diltiazem/...
Pharmacology
Cardiovascular system
4414bea5-36d3-4150-b708-7c0330586d30
Which of the following are stable cells:
The lining mucosa of the glands
Mesenchymal cells
Nerve cells
Stratified squamous epithelium of the oral cavity
1b
single
Glandular organs of the body such as liver, kidney, pancreas, mesenchymal cells such as fibroblasts and smooth muscle and vascular endothelial cells are examples stable cells.
Pathology
null
db463e6f-1c03-4127-a655-2d7fda2ed752
A middle aged old female presents to surgical OPD with thyroid swelling. She has been treated for Hodgkin's lymphoma. Which of the following thyroid malignancy is most likely to be suspected in this patient?
Papillary thyroid cancer
Medullary thyroid cancer
Anaplastic thyroid cancer
Thyroid lymphoma
0a
single
Given history of treatment of Hodgkin's lymphoma most likely raises a suspicion of Papillary carcinoma of thyroid because of the radiotherapy used in the treatment of Hodgkin's lymphoma. Papillary carcinoma of thyroid: MC among thyroid malignancy Commonly seen in iodine sufficient areas Low dose radiation exposure duri...
Surgery
Thyroid
55d3946c-d818-42e3-b6e0-ac206c8365f6
All are true about acetaminophen except:
It is the most commonly used analgesic
About 95% of acetaminophen undergoes detoxification by CYP2E1
In severe doses liver failure may occur
Injury to liver is produced by NAPQI
1b
multi
At therapeutic doses, about 95% of acetaminophen undergoes detoxification in the liver by phase II enzymes and is excreted in the urine as glucuronate or sulfate conjugates The injury produced by NAPQI (N-acetyl-benzoquinoneimine) involves two mechanisms: Covalent binding to hepatic proteins-Damage to cellular membrane...
Pathology
Cirrhosis
d32b6fab-ea3c-4ba4-aaa0-c94fab149634
Aspirin in very low doses inhibits the formation of:-
Prostaglandin F2
Thromboxane A2
Prostaglandin I2
All of the above
1b
multi
Aspirin inhibits COX enzyme irreversibly and thus results in decreased synthesis of TXA2 as well as PGI2. TXA2 is produced by platelets and as platelets do not contain nuclei, TXA2 is not synthesized till there is production of fresh platelets, whereas vessel wall contains nucleus and thus can resume the synthesis of e...
Pharmacology
Hematology
12f02281-e73f-4b29-9da5-5ef01784582a
Which of the following is an atavistic epiphysis?
Condyles of femur
Tubercle of humerus
Coracoid process
Lower end of radius
2c
single
ANSWER: (C) Coracoid processREF: Human osteology by BDC 1st e p. 5, 6EpiphysisDefinition/ FunctionExamplePressure epiphysesTakes part in transmission of weightHead of femur, condyles of tibia, lower end of radiusTraction epiphysesProvide attachment to more than 1 tendonTrochanter of femur, tubercles of humerus, mastoid...
Anatomy
Joints
00afb2e7-488d-4559-8c36-97479dd3587c
Which of the following shows progresion of events against time -
Barchart
Pie chart
Histogram
Line diagram
3d
single
Ans. is 'd' i.e., Line diagram* Line diagram (Line graph) is used to show the trend of events with passage of time.
Social & Preventive Medicine
Biostatistics
a8275a55-eb29-421a-a653-f1562cc3676e
Following are causes of unconjugated hyperbilirubinemia, except:
Hemolytic anemia
Large hematoma
Rotor syndrome
Megaloblastic anemia
2c
multi
Answer is C (Rotor syndrome) Rotor's syndrome is an Autosomal recessive inherited disorder characterized by a deject in biliary excretion leading to conjugated hyperbilirubinemia: Indirect hyperbilirubinemia Direct hyperbilirubinemia A. Hemolytic disorders A. Inherited conditions 1. Inherited 1. Dubin-Johnson syndrome ...
Medicine
null
13caa9cd-d9a9-43c3-b9e2-968b28539d98
A 58 year old male with history of Ipsilateral facial paralysis and contralateral hemiplegia. Plain CT scan head is given below. The diagnosis is
MCA stroke
ACA stroke
PCA stroke
PICA stroke
0a
single
(A) MCA stroke # Stroke syndromes:> Middle cerebral artery syndrome is a condition whereby the blood supply from the middle cerebral artery (MCA) is restricted, leading to a reduction of the function of the portions of the brain supplied by that vessel: the lateral aspects of frontal, temporal and parietal lobes, the c...
Ophthalmology
Miscellaneous
b8c86f0d-1664-4264-8369-442b8fb65628
Normal therapeutic level of Lithium level is
0.5 to 0.7 mEq/litre
0.7 to 1.1 mEq/litre
0.1 to 0.3 mEq/litre
1.5 to 2 mEq/litre
1b
single
Blood Lithium Levels (in treatment of bipolar disorder)* Therapeutic levels = 0.6-1.2 mEq/L (For the treatment of acute mania)* Prophylactic levels = 0.6-1.0 mEq/L (For relapse prevention in bipolar disorder)* Toxic lithium levels > 2.0 mEq/L Ref: A Sho Textbook of Psychiatry, Niraj Ahuja, 7th Edition, pg. no.190
Psychiatry
Pharmacotherapy in psychiatry
72e311e8-81a0-4bb6-bfb6-de5cee40d007
A survey was conducted and it was found that out of 7,000 drivers using mobile, 700 met with accident. And in the same period out of 3,000 drivers without using mobile, only 30 met with accident. Calculate the relative risk: March 2013 (a, b, d, e, f)
5
10
3.99
8.339
1b
single
Ans. B i.e. 10 Relative risk: Incidence of disease (or death) among exposed/Incidence of disease (or death) among non-exposed Mobile users while driving Accident No Accident Total Yes 700 (a) 6300 (b) 7000 (a + b) OM. No 30 (c) 2970 (d) 3000 (c + d) Incidence rates: Among mobile users: 700/7000 = 100 per 1000 Among non...
Social & Preventive Medicine
null
0d1c1e7b-aedf-4ae8-81b8-576dcd32cae6
Registration of bihs and death act was passed in:
1955
1969
1970
1972
1b
single
Registration of bihs and deaths act was passed in 1969. Everyone has to register bihs and deaths within 21 days of the event. Ref: National Health Programmes in India, J.Kishore, 10th edition pg: 751
Social & Preventive Medicine
null
cbdb2a36-bde6-4380-8ea6-056683396542
Teratomas may arise from the aberrant migration of
Epiblast
Hypoblast
Cytotrophoblast
Syncy otrophoblast
0a
single
Epiblast cells form the primordial germ cells, which migrate from the region of primitive streak to the region of future gonads to form the gametes like sperm & oocyte.Abnormal remnants of epiblast/primordial germ cells at the primitive streak or their aberrant migration lead to forma on of teratomas.
Anatomy
All India exam
9ade6158-b16d-4307-8bdb-408c12822527
Electron microscopic feature of minimal change disease is?
No change seen
Loss of foot process of podocytes
Diffuse glomerulosclerosis
Thickened basement membrane
1b
single
Ans. b (Loss of foot process of podocytes). (Robbin, Pathology, 8th ed., 543)Minimal-Change Disease (Lipoid Nephrosis)# This relatively benign disorder is the most frequent cause of the nephrotic syndrome in children.# It is characterized by glomeruli that have a normal appearance by light microscopy but show diffuse e...
Pathology
Kidney
5b610cca-0838-4918-9967-e1cf2ebb9183
All of the following statements about the methotrexate are true except
It is a cell cycle specific and kills in the S phase
It's toxicity primarily affects bone marrow and epithelial structure
Folic acid reverses it's toxic effects
It is a drug of choice for choriocarcinoma
3d
multi
Ref-KDT 6/e p823 Folic acid is used to reverse the adverse effect of methotrexate. Folic acid is ineffective. All of the statements are true as discussed earlier
Anatomy
Other topics and Adverse effects
77072f0b-94fe-4198-9531-e5b76b428feb
All are associated with Wilm's tumor except: one:
Anirida
Male pseudohermaphrodite
Ahogryposis multiplex congenital
Hemihyperophy
2c
multi
Answer is C (Ahogryposis multiplex congenita): Ahrogryposis multiplex congenita is not associated with Wilm's tumor.
Medicine
null
8baf8ee2-f613-47fc-9d6d-2be9b8a07482
All are mesodermal origin, except:
Sphincter pupillae
Cilary muscle
Iris
Ovarian tissue
0a
multi
A. i.e. Sphincter pupillae
Anatomy
null
9ee0e252-9078-4b39-b28b-01c86a9e9bde
In PCOD which of the following drug is used for ovulation induction in infeility :
Spironolactone
Tamoxifen
Clomiphene
Testosterone
0a
single
Clomiphene citrate: Used for induction of ovulation; can be 50 mg/day increased to 150mg/day; Staing from day 2 to day 6 of the cycle for 5 days Tamoxifen 10 mg daily for 6 months has been effective in treating male infeility Testosterone 25 -50 mg daily orally improves testicular functions Spironolactone is an antiand...
Gynaecology & Obstetrics
PCOD, hirsutism and galactorrhea
eaf1f6c5-e07d-4514-8904-21c9344cc6b0
Which condition is not associated with cataract?
Diabetes Mellitus
Galactosemia
Myotonic Dystrophy
Refsum disease
3d
single
Ans. is 'd' i.e., Refsum disease Causes of CataractSystemic diseasesDermatological diseasesAge related & Physical agentsToxic agentsOtherso Hypoparathyroidismo Hypocalcemiao Diabetes (Hyperglycemia)o Hypoglycemiao Dystrophia myotoniao Galactosae- miao Alport syndromeo Lowe syndromeo Stickler syndromeo Down syndromeo Wi...
Ophthalmology
Acquired Cataract
7f62f534-9511-45d3-9038-05fb5504d144
In case of burns which graft is better?
Thiersch graft
Wolfe graft
Pedicle graft
Patch graft
0a
single
Thiersch graft is split thickness graft used for burns.
Surgery
null
ccc8b1f6-843d-421a-81d9-50a41138710d
A five year old girl is brought to a pediatrician because she is developing breasts. Physical examination shows large hyperpigmented macules with irregular margins on one side of her back. Which of the following bony abnormalities would most be likely associated with these symptoms?
A combination of osteitis fibrosa cystica and osteomalacia
A generalized thinning of bony spicules
Excessive bony deposition with obliteration of marrow
Multiple localized whorls of connective tissue
3d
single
McCune-Albright syndrome is the combination of precocious sexual development, irregularly shaped ("coast of Maine") pigmented skin macules, and polyostotic fibrous dysplasia. The latter condition is characterized by local bony defects containing unmineralised whorls of connective tissue. Renal osteodystrophy refers to ...
Gynaecology & Obstetrics
null
1fdbab18-c16b-4e96-9bf4-bfeaf309716c
Drug of choice for invasive aspergillosis is
Posaconazole
Voriconazole
Liposomal AMB
Caspofungin
1b
single
Voriconazoleis the drug of choice for invasive aspergillosis, Posaconazole is the only azole active against mucormycosis. Liposomal AMB is the drug of choice or co drug of choice for most systemic fungal infections. It can be used intrathecally in fungal meningitis and locally for corneal ulcers and keratitis. Caspofun...
Pharmacology
NEET Jan 2020
68634705-3915-464a-b1ee-eb8d9df9460b
Pin-point pupils are seen in: Kerala 09; Punjab 09; UP 10
OPC poisoning
Opium poisoning
Alphos poisoning
Dhatura poisoning
1b
single
Ans. Opium poisoning
Forensic Medicine
null
6ea49288-94c9-4eb3-ae5f-ef804470ebb6
Ultrasound examination of a developing fetus demonstrates a fluid-filled sac at the base of the fetus' spine that connects to the spinal canal and apparently contains pa of the spinal cord. A dietary deficiency of which of the following is most strongly associated with this type of lesion?
Calcium
Folate
Iron
Vitamin C
1b
single
The lesion is a neural tube defect, probably a meningomyelocele, in which both meninges and spinal cord herniate through a bony veebral defect. These defects most commonly occur in the lumbosacral region, typically resulting in motor and sensory deficits in the lower extremities, and bowel and bladder dysfunction. This...
Gynaecology & Obstetrics
null
2a480104-ff69-4e01-9c80-173e00e63e65
In the test given below to estimate blood glucose, which of the following is true:
Glucose is converted to glucuronic acid
Glucose oxidase is highly specific for beta anomer of Glucose
The terminal Carbon is oxidised.
This is an example of Reducometric method
1b
multi
Ans. B. Glucose oxidase is highly specific for beta anomer of GlucoseThe reaction in glucometer isGlucose+H2 O+O2 -GODGluconicacid+H2 O2 2H2 O2 +4aminoantipyrine+PHBS-PODQuinoneiminedye+H2 O* This reaction is specific for beta anomer of glucose* Here the first carbon atom is oxidised* This is an example of enzymatic me...
Biochemistry
Carbohydrates
beebf41d-9955-4ce2-aa3e-9f0e3ee23421
Rinne's positive means
Conductive hearing loss in ipsilateral ear
Conductive hearing loss in opposite ear
Normal hearing
AC < BC
2c
single
Ans: C (Normal hearing) Ref: Diseases of the Ear Nose and Throat by PL Dhingra. 5th edn .2010 page 26Explanation:Rinne's TestIt is a tuning fork test and is used to assess hearing status in a patientIn Rinne's test air conduction (AC) is compared with bone conduction (BC)Rinne's positive is AC>BC and is seen in normal ...
ENT
Ear
8a2bcf21-68c6-4593-b2e3-2b9d8a87461f
Most common site of Morgagni hernia :
Right anterior
Right posterior
Left anterior
Left posterior
0a
single
Ans. is 'a' i.e. Right anterior Morgagni hernia is a rare form of cong. diaphragmatic hernia occurring through foramen of Morgagni or space of Larrey i.e. space between the sternal and costal origins of the diaphragm)It is more common on right side.Usually it is asymptomaticMost common viscera to herniate through space...
Surgery
Unusual Hernias
49509676-dc9d-4dd8-91d6-b6bc6fd425af
All of the following are the contraindications for the use of progesterone-only pills except-
Pregnancy
Patient suffering from breast cancer
Peripheral vascular disease
Diabetes mellitus
3d
multi
Ans. is 'd' i.e., Diabetes mellitus o Contraindications for the use of progesterone-only pills are as follows:PregnancyUnexplained vaginal bleedingRecent breast cancerArterial diseaseThromboembolic disease
Unknown
null
fd2aeffa-68e4-4e15-89ad-128e944f347c
Chance of affected child to Autosomal recessive carrier parents is?
10%
15%
25%
50%
2c
single
In autosomal recessive condition the risk of having an affected child when both parents are carriers is 25%, and the chance of having a child who is a carrier is 50%. GENETIC RISK ASSESSMENT IN AUTOSOMAL RECESSIVE INHERITANCE: The genetic risk associated with Autosomal recessive disorder is as follows Affected mother, ...
Pathology
null
c797008a-4a6e-4327-b370-4616def919ab
EB virus is associated with all except:
Bells palsy
Hepatitis
Guillain-Barre syndrome
Laennec's cirrhosis
3d
multi
Complications with EBV infection Meningitis and encephalitis, cranial nerve palsies (cranial nerve VII), Guillain-Barre syndrome, acute transverse myelitis, and peripheral neuritis. Autoimmune hemolytic anemia, granulocytopenia, thrombocytopenia, pancytopenia The spleen ruptures in <0.5% of cases. Hyperophy of lymphoid...
Medicine
viral infection
a0ca49ab-b895-471e-be2a-014bc589e328
Glycosylated hemoglobin reflects the mean blood glucose level of previous
15days
1 month
3 months
6 months
2c
single
HBA1c :There should be an estimation of glycosylated haemoglobin at half yearly intervals. This test provides a long-term index of glucose control. This test provides a long-term index of glucose control. This test is based on the following rationale: glucose in the blood is complexed to a ceain fraction of haemoglobin...
Social & Preventive Medicine
Non communicable diseases
0df08e2a-7941-40f2-8ce2-7130ebf5f788
All of the following antibacterial agents acts by inhibiting cell wall synthesis, except:
Carbapenems
Monobactams
Cephamycins
Nitrofurantation
3d
multi
Nitrofurantoin acts by generation of highly reactive intermediates which damage DNA. It does not inhibit cell wall synthesis. Ref: Essentials of Pharmacology by K D Tripathi, 5th Edition, Pages 628, 667; Antibiotic Manual: A Guide to Commonly Used Antimicrobials By David Schlossberg, Rafik Samuel, M.D., 2011, Page 310.
Pharmacology
null
656a2dad-9eaa-42aa-ae04-fea1bb6e47fa
Median atlantoaxial joint is a type of
Coadylar joint
Ellipsoid joint
Pivot joint
Ball and Socket joint
2c
multi
Median atlantoaxial joint is a type of pivot joint. Atlantooccipital joint is an Ellipsoid joint.
Anatomy
null
2799595d-5201-466e-bb91-24f4c55f37f7
Most common cause of osteoblastic bone metastais
Renal cell carcinoma
Prostaic carcinoma
Wilm's tumor
Neuroblastoma
1b
single
Prostate carcinoma-M/c osteoblastic.
Radiology
null
bbc3579f-7cd2-444d-b952-cf30f454e5c6
A female with recurrent aboion and isolated prolonged APTT is most likely associated with
>Lupus anticoagulant
>DIC
>Von wilebrand disease
>Hemophilia
0a
single
Lupus anticoagulant They have asked about antiphospholipid antibody syndrome. Antiphospholipid antibodies account for 3% to 5% of patients with repetitive pregnancy losses. The frequency of fetal death and recurrent aboion in untreated patients with antiphospholipid antibodies is greater than 90%. There are several ant...
Gynaecology & Obstetrics
null
b9ef139d-5c0b-41f6-9725-999e0fe6acbf
True regarding conversion of deoxyhemoglobin to oxyhemoglobin is
Binding of O2 causes release of H+
One mole of deoxyhemoglobin binds two moles of 2,3 DPG
pH of blood has no affect on the binding of O2
Binding of O2 causes increased binding 2.3,DPG
0a
multi
When O2 binds to Hb, then the H+ is released. One mole of 2,3 DPG binds to one mole of deoxyhemoglobin. O2 carrying capacity of Hb is affected by the change in pH. When O2 is bound to hemoglobin, 2,3 DPG does not bind to Hb.
Physiology
null
bea8fe3f-1021-4c78-b912-fb185013106c
All are true about Net protein utilization (NPU) except:
Defined as Nitrogen retained / Nitrogen consumed X 100
Good for estimating protein quality
Egg has the highest NPU value
1 gram protein is equivalent to 1 gram Nitrogen
3d
multi
NPU Nitrogen retained by the body/ Nitrogen intake x100 NPU = / 100 It gives a more complete expression of Protein quality. Egg has the highest NPU value of 96 (100). 1 gram of Nitrogen is equivalent to : 6.25 grams of protein. NPU of Indian diet : 50-80.
Social & Preventive Medicine
Proteins, Fats, Rich Sources
921a19a8-96a5-4416-b00f-b0778342eece
Residual auditory defect is a common complication in meningitis caused by –
Staphylococcus
Meningococcus
Escherichia coli
Hemophilus influenza
3d
single
null
Pediatrics
null
e652df19-2ece-4c77-99da-f87d173b0ab8
Most common cause of thoracic aortic aneurysm is
Atherosclerosis
Tuberculosis
Cystic degeneration
Syphilitic
0a
single
(A) AtherosclerosisDISEASES OF THE AORTA: ETIOLOGY & ASSOCIATED FACTORSAortic aneurysmAortic occlusion* Atherosclerosis* Atherosclerosis* Cystic medial necrosis* Thromboembolism* Tuberculosis* Aortitis* Syphilitic infection* Syphilitic aortitis* Mycotic infection* Rheumatic aortitis* Rheumatic aortitis* Takayasu's arte...
Surgery
Miscellaneous
4a23a7b2-c800-4837-a558-c9d8898a3c06
Y.V plasty procedure is used for
Vestibuloplasty
Ridge augmentation
Frenectomy
Mucogingival surgery
2c
single
null
Surgery
null
c90b7491-7ff1-4825-a12c-0f092496a262
What is Incidence Rate: September 2010
It represents the number of old cases in the community
It represents the number of new cases in the community
It represents the number of total cases in the community
It represents the number of cured cases in the community
1b
single
Ans. B: It represents the number of new cases in the Incidence propoion (also known as cumulative incidence) is the number of new cases within a specified time period divided by the size of the population initially at risk. For example, if a population initially contains 1,000 non-diseased persons and 28 develop a cond...
Social & Preventive Medicine
null
a3b980de-f2fc-46e8-86f2-a2dda5e5e8c0
'Hand and Foot' syndrome can be caused by :
Cisplatin
Vincristine
Capecitabine
Mitomycin-C
2c
single
5-FU, capecitabine and liposomal doxorubicin can cause hand and foot syndrome. Generally, this disease affects infants and children. Adults with immunodeficiency can also be affected.
Pharmacology
null
d0eb149e-4e14-4b2b-b63e-371a7a09ff47
Structure passing through foramen Rotundum?
Maxillary aery
Maxillary nerve
Middle meningeal aery
Spinal accessory nerve
1b
single
Maxillary nerve
Anatomy
null
447c92d0-bbb8-464e-a822-35a4fe186741
Which is 21st amino acid?
Alanine
Cystine
Arginine
Seleno cysteine
3d
single
Selenocysteine is recently introduced as 21st amino acid. Selenocysteine occurs at the "active site" of several enzymes. Examples include * Thioredoxin reductase * Glutathione peroxidase which scavenges peroxides, * De-iodinase that conves thyroxine to triiodothyronine * Glycine reductase * Selenoprotein P, a glycoprot...
Biochemistry
Structure and function of protein
4d196cf2-e061-4bd7-b05c-c3a2457a5613
A thyroid biopsy obtained from a 29-year-old woman complains of nervousness and muscle weakness of 6 months in duration. She is intolerant of heat and sweats excessively. She has lost 9 kg (20 lb) pounds over past 6 months, despite increased caloric intake. She frequently finds her hea racing and can feel it pounding i...
Atrophy and fibrosis
Dense lymphoid infiltrate with germinal centers
Follicular hyperplasia with scalloping of colloid
Necrotizing parenchymal granulomas
2c
multi
- Clinical features given suggests the diagnosis of Graves disease - Microscopic findings: Follicular hyperophy & hyperplasia resulting in crowding. Crowding results in papillae formation with no fibrovascular core Colloid is pink & scalloped at periphery adjacent to follicular cells. - Diffuse increase in size of glan...
Pathology
Hypehyroidism and Goitre
ea6c9442-68f3-45a4-bf82-af16ccaeb375
Antrum of Highmore is another name for:
Maxillary
Ethmoid
Sphenoid
Frontal
0a
single
Maxillary sinus is also called as antrum of highmore and is the first to develop in human fetus.It is the largest paranasal sinus (15 ml capacity in adults).
ENT
null
81da8d02-17c5-4783-ab4f-606d70fbfe46
Which is not a feature of tropical eosinophilia ?
Eosinophila more than 3000/mm3
Microfilariae in tissues
Microfilariae in blood
Lymphadenopathy
2c
single
Ans. is 'c' i.e., Microfilariae in blood Tropical pulmonary eosinophilia (weingaen's syndrome) . A distinct syndrome that develops in some individuals infected with lymphatic filarial species. . Clinical manifestations - Nocturnal paroxysmal cough and wheezing - Weight loss - Low grade fever - Lymphadenopathy - Pronoun...
Microbiology
null
e4afb388-c138-49dc-9c3f-405675d73fce
Which among the following is the structure of hemoglobin?
Monomer
Homodimer
Heterodimer
Tetramer
3d
single
Hemoglobins are tetramers composed of pairs of two different polypeptide subunits. Ref: Harper’s illustrated biochemistry. 30th edition page no: 54
Biochemistry
null
da3e2619-1048-4905-9b67-b8cf2d67277c
Which of the following features is not shared between 'T cells' and 'B cells' ?
Positive selection during development
Class I MHC Expression
Antigen Specific Receptors
All of the above
0a
multi
Ans. a. Positive selection during development (Ref: Lippincott's Immunology (Illustrated Reviews) 2007/1 13; The Immune Response; Basic and clinical principles by Sounders (2005)/346; 'Elements of Immunology' by Fahim Halim Khan (Pearson Education) 2009/206)During development, T cells undergo both positive selection an...
Microbiology
Immunology
93ccefc7-0e21-47aa-a07b-85c0db956f50
The process of diffusion of culture on contact between persons is known as:
Acculturation
Culture shock
Culture exchange
Sericulture
0a
single
Acculturation means "culture contact." When there is contact between two people with different types of culture, there is diffusion of culture both ways. There are various ways by which culture contact takes place trade and commerce, industrialization, propagation of religion, education, and conquest. Ref: Park 21st ed...
Social & Preventive Medicine
null
e3f371fd-9523-4385-80a4-7c064ecca2ec
Persistent belief in something which is not a fact is -
Illusion
Hallucination
Delusion
Delirium
2c
multi
A delusion is false, firm (unshakable) belief which are not in keeping with patient's socio-cultural and educational background.
Psychiatry
null
6247efb2-7d81-4404-bc75-7c782d41faaf
Which of the following worm infestation is associated with cysticercosis?
Taenia solium
Taenia saginata
Echinococcus granulosus
None of the above
0a
multi
The pork tapeworm Taenia solium can cause two distinct forms of infection in humans: adult tapeworms in the intestine or larval forms in the tissues (cysticercosis). Humans are the only definitive hosts for T. solium; pigs are the usual intermediate hosts, although other animals may harbor the larval forms. Neurocystic...
Microbiology
null
4bf6e687-e195-4024-867a-08435baeab88
River blindness is caused by?
Onchocerca volvulus
Loa loa
Wurcheria bancrofti
All of the above
0a
multi
Ans. A. Onchocerca volvulus. (Ref. Harrison 18th/Table. E16-2).Tissue nematodes:Onchocerca volvulusFemale blackfly bileHyper pigmented skin and river blindness (black flies, black skin nodules, "black sight"); allergic reaction to microfilaria possibleIvermectin (ivermectin for river blindness)LoahaDeer fly, horse fly,...
Microbiology
Parasitology
67a300ff-c088-46f2-adf7-a4196e33381a
Non Halophilic vibrio is
V. cholerae
V. parahaemolyticus
V. alginolyticus
V. fluvialis
0a
single
Except for V. cholera and V. mimicus all vibrios are halophilic.
Microbiology
null
3f00187e-ba9f-4aa1-8e99-f6fc32de6e65
Pick the true statement about major criteria of Jones in acute rheumatic fever.
Carditis is the earliest clinical manifestation seen in acute rheumatic fever
Sydenham chorea is a late manifestation
Involvement of small joints is a characteristic feature
Subcutaneous nodule are seen on flexor aspects of the limbs
1b
multi
Major criteria (Jones criteria for Acute Rheumatic fever) Carditis Clinical and/or subclinical Ahritis Polyahritis only Monoahritis or polyahritis or polyahralgia in moderate to high-risk populations Chorea Erythema marginatum Subcutaneous nodules There is a latent period of ~3 weeks (1-5 weeks) between the precipitati...
Pathology
Rheumatic Fever
8871c8eb-b93e-460b-bc04-7aac3d1c0ff3
Precancerous lesions of GB are all except
Procelain GB
Typhoid carrier
ABPDJ
Biliary ascariasis
3d
multi
Risk factors for Carcinoma Gallbladder Gallstones >3cm Procelain gallbladder Anomalous pancreaticobiliary junction (APBDJ) Choledochal cysts Adenomatous polyps Primary sclerosing cholangitis Obesity Salmonella typhi infection Ref: Sabiston 20th edition Pgno :1510
Anatomy
G.I.T
1ccaabdf-e9c0-471a-8503-7c2128830ed0
Which of the following is barrier contraception?
Male sterilization
Female sterilization
Spermicidal jelly
Natural
2c
single
Ans: c (Spermicidal jelly) Ref: Park, 19th ed, p. 393The aim of barrier method is to prevent live sperm from meeting the ovum. It includes:Physical methods:a) Condomb) Female condomc) Diaphragmd) Vaginal spongeChemical methods: (Spermicidal)Foams, creams, jellies, suppositories, soluble filmsCombined methods:Condom is ...
Social & Preventive Medicine
Demography and Family Planning
f5058efa-0e26-430d-a2e6-adf645565a3c
Menadione (Vitamin K3)
Can cause hemolysis in a patient with G-6-PD deficiency
Is the preparation of choice to antagonize the effect of warfarin overdose
Is useful to prevent hemorrhagic disease of the newborn
Is given in large doses in patients with severe liver disease
0a
single
Menadione is fat-soluble synthetic vitamin K3. It can cause hemolysis in G-6-PD deficient individuals. In severe hepatic disease, large doses of menadione can further depress liver function. Menadione is not used to prevent haemorrhagic disease of the newborn as it can cause kernicterus, instead phytonadione is used. P...
Pharmacology
null
b7dd9d90-d531-4a2a-b58a-f14d68fcdc8b
A 55-year-old diabetic woman suddenly develops weakness of the left side of her face as well as of her right arm and leg. She also has diplopia on left lateral gaze. Where is the responsible lesion?
Right cerebral hemisphere
Left cerebral hemisphere
Right side of the brainstem
Left side of the brainstem
3d
single
This patient has weakness of the left face and the contralateral (right) arm and leg, commonly called a crossed hemiplegia. Such crossed syndromes are characteristic of brainstem lesions. In this case, the lesion is an infarct localized to the left inferior pons caused by occlusion of a branch of the basilar artery. Th...
Medicine
C.N.S.
6d6ce224-97cf-4821-9267-e11f6717d6f9
Best marker for Cardiac events?
hsCRP
Homocysteine levels
Interleukin-6
P-selectin
0a
single
ANSWER: (A) hsCRPREF: Braunwald 8th ed chapter 39Although hsCRP is by far the best-characterized and most reliable inflammatory biomarker for clinical use, several other markers of inflammation have shown promise in terms of predicting coronary vascular risk.These includeCytokines such as interleukin-6soluble forms of ...
Medicine
C.V.S.
0cfaa79d-d052-4c19-9242-cf14d9bbaa57
Gradenigo's syndrome is characterised by -a) Retro orbital painb) Profuse discharge from the earc) VII nerve palsyd) Diplopia
abd
bcd
abc
ab
0a
single
null
ENT
null
92fe1050-27be-4f45-a9d3-3bee558686d8
Which of the following is true about 'Small for gestational age' baby?
Bih weight is < 10th percentile of expected according to gestational age
Bih weight is < 2000 g
Length of the baby is < 50th percentile of expected
Length,weight and head circumference of the baby are < 50th percentile of expected
0a
multi
A neonate whose weight falls between the 10th and 90th percentile is considered as appropriate for gestational age (AGA); if the weight falls below 10th percentile, the neonate is classified as small for gestational age (SGA); the neonate is classified as large for gestational age (LGA), if the weight falls at 90th per...
Pediatrics
IUGR and Feeding of Preterm Neonate
16903427-fdd3-45e6-91f8-88c099bd89d1
Epitheliod granuloma is characterstic of
Sarcoidosis
Eosinohilia
T.B.
Mycosis Fungoides
0a
single
A i.e. Sarcoidosis
Skin
null
9be2da82-bcbb-4516-b7cf-10972fc0f34f
How does staph aureus become resistant to methicillin:
Heat shock protein
Protein A
Transpeptidase
Protein C
2c
single
Ans. (c) TranspeptidaseRef: Microbiology by Ananthanarayan and Paniker 8th ed. /197, 201-202Resistance develops due to alteration in transpeptidase (penicillin binding protein) on which all beta lactam antibiotics act- so MRSA is resistant to all b-lactam antibiotics.
Microbiology
Staphylococci
d0a12eb7-2998-4352-ac0b-da82e295fe79
Amount of fat is maximum in which milk:
Cow
Buffalo
Human
Goat
1b
single
Amount per 100 ml Cow's milk Human milk Buffalo milk Goat milk Fat 4.1 g 3.4 g 6.5 g 4.5 g Protein 3.3 g 1.1 g 4.3 g 3.3 g Lactose 4.4 g 7.4 g 5.1 g 4.6 g Ref: Park, 22nd edition pg: 584
Social & Preventive Medicine
null
42c82c41-625b-4950-9579-7c99f2d881f6
Epiphyseal origin tumour is
Osteo claustoma
Osteogenic sarcoma
Ewing's sarcoma
Osteo blastoma
0a
single
(Osteoclaustoma) (181 - Apley's 8th)* Ewing's sarcoma - is believed to arise from endothelial cells / Diaphysis* Osteogenic sarcoma - Metaphysis* Chondrosarcoma - Any where in the bone* Osteoclaustoma & Chondroblastoma - Epiphysis* Osteoblastoma - diaphysis or metaphysis* Giant cell tumour (oslcoclaustoma) is a lesion ...
Orthopaedics
Bone Tumour
00ace209-07d6-411d-9afd-3703654049c9
Which of the following has highest protein content:
Mutton
Soyabean
Egg
Milk
1b
single
Soyabean
Social & Preventive Medicine
null
e0d49378-b353-46a5-bbe9-46e5c23edb6e
The most common mechanism of drug resistance in staphylococci ?
Conjugation
Plasmids
Transduction
Translation
2c
single
Ans. is 'c' i.e., Transduction . Production of b-lactamase is usually controlled by plasmids which are transmitted by transduction (most common) or conjugation (some times).
Microbiology
null
3cae435e-c434-4a99-86c8-827b2c40d0d1
TTKG in hypokalemia is -
< 3-4
> 6-7
> 9-10
> 10-15
0a
single
Answer- A. < 3-4A normal TTK in normal subjects on normal diet is 8-9Without other disease, hypokalemia should produce a TTKG <3
Medicine
null
146a4ac0-0f29-44d8-9a98-d027793b3d4a
Cells are attached to their basal laminas by:
Hemidesmosomes
Macula adherens
Zonula adherens
Zonula occludens
0a
single
Hemidesmosomes are specialized junctional complexes, that contribute to the attachment of epithelial cells to the underlying basement membrane. Macula adherens or desmosomes provide mechanical adhesion by linking the cytoskeleton of adjacent cells together. Zonula adherens or adhering junctions cause the epithelial cel...
Physiology
Cell Membrane and transpo protiens
327b5356-75d4-4919-a1eb-19e55b050dfd
Propranolol should not be given to a patient on treatment with which of the following drug ?
Nifedipine
Nitrates
ACE inhibitors
Verapamil
3d
single
null
Pharmacology
null
679548be-4654-4886-8cae-be8f7832b390
The reduction of a physiological hernia occurs at
6th week
7th week
9th week
10th week
3d
single
Physiological hernia appears by 6 wks and gets reduced by 10 wks . Ref - pubmed.com
Anatomy
Abdomen and pelvis
675e97ef-fe4e-44e8-ab99-d56e5e0d86b9
False about informed consent document is ?
Obtained in presence of two witnesses
Not need to be signed by doctor
Obtained before the actual doing of procedure
Minimum age to give consent is 12 years
1b
multi
Ans. is 'b' i.e.,Not need to be signed by doctor Legally valid consent for medical examination and treatment is one :?Given by person himself, if above 12 years, conscious and mentally sound (sane).Or given by parent, guardian, or friend, if patient is less than 12 years or is unconscious or is insane.Is written inform...
Forensic Medicine
null
c438e9e2-72b6-49f9-b3d0-da0e7beef28e
Caseous necrosis is not found in- rpt Q33
TB
Histoplasmosis
CMV
Syphilis
2c
single
Cytomegalovirus (CMV) ) is a genus of viruses in the order Herpesvirales, in the family Herpesviridae, in the subfamily Betaherpesvirinae. Humans and monkeys serve as natural hosts. There are currently eight species in this genus including the type species, human cytomegalovirus (HCMV, human herpesvirus 5, HHV-5), whic...
Pathology
General pathology