14784135 COMEDk 2009 Paper With Key Wwwprepgmedicoscom Copy

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    MEDICAL

    I I I IQuestion Booklet Version Code Question Booklet Sr. No.

    A 12663(Write this Code on your OMR (Write this number on your

    Answer Sheet) Answer Sheet)

    Test Admission Ticket No.

    OMR Serial Number

    r - - - - - - - - - - - - - - - ~ - - - - - - - - - - - - - - - - - - - - - ,andidates Kindly Note I* There are totally 180 questions in this booklet. I* The question paper and OMR (Optical Mark Reader) Answer Sheet are issued separately at the start Iof the examination. I* Please ensure to fill in the following on your OMR answer sheet in the relevant boxes: I1. Name II2. Question Booklet Version Code I3. Question Booklet Serial Number II. Test Admission Ticket NumberKindly sign on your OMR answer sheet, only il l the presence of the invigilator and obtain his/hersignature on your OMR an .wer sheet.Candidate should carefully read the instructions printed on the Question Booklet and OMR AnswerSheet and make correct entries Onthe Answer Sheet . As Answer Sheets are designed for OPTICALMARK READER (OMR) SYSTEM, special care should be taken to mark the entries accurately,Special c,are should be taken to fill Y O l l r QUESTION BOOKLET VERSION CODE and SERIALNo, and TEST ADMISSION TICKET No, accurately. The correctness of entries has to be cross-checked by the invigilators.Mark your re ponses only as indicated on the OMR Answer Sheet.

    \

    *I;'*

    Choice and sequence for attempting questions will be as per the convenience of the candidate.Kindly DO NOT use whitener or scribble, make stray marks on this question booklet as well as onthe OMR answer sheet.

    '" Do not wnte or make any mark all the Question Booklet as it would amount to malpractice'" F iJI the appropriate circle completely like this. for answering the particular question withBLACKIBLUE BALL POINT PEN only. USE OF PENCIL FOR MARKING ISPROHIBITED.

    I'" Before commencing the examination, please verify that all pages are printed correctly, if not please

    draw the attention of your room invigilator for further assistance. This Question Booklet contains32 pages.* Each correct answer is awarded one mark.

    '" There wiU be no Negative Marking.No Mark/s will be awarded for multiple marking (marking multiple responses) of any question.On the OMR answer sheet use of whitener 0(' any other material to erase/hide the circle oncefined is not permitted.Avoid overwriting and/or striking of answer once marked. THINK BEFORE YOU INK.

    #Immediately after the prescribed examination time is over, the OMR sheet is to be returned to theinvigilator after ensuring that both the candidate and the invigilator have signed.L ~

    ***

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    1. Th e driliS of choke fo r th e tr ea tm e nt o f g on or rh oe a in apregnant I '

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    7. In In dia the ag e o fc on sen t fo r m arria ge o f a fem ale i s :a) 15 yeassb ) H5 ') 'I ea c s' ~ 1 . : B y e l ' l ! J Sd ) 20y 'e a rs. 8. S i de ro si s 'b u lb i is of ten as soc i ated with, _ . a r g i l . a u o o _ m ab)kemti.QSc)papmitisd ) b an d k em t op E lth y

    9'..Thepulsepelso 1 m l m . ll ! li i z a t i o n (pPI) w~lirst leunchedin fudia in t h e yea r4995b) 1996c) 1999d) 2000W. Excess~ve p roduc t ion o f aldosterone resul ts ina )met :i bo iLi c a c ido s isb),severe hypotensionc)~iumretent io t l J, . , t d } depressed p la sm a r en n in11 .The drug ofcheice f ur t he tt ea u n en to fP n eum o c y sti sji ro v .e cc i (P n eum o c y ~ti s c a ri oi )l J [! e, u roon i a ~ sa ) . L a m iv u d i ne vb) cotnmoxazoec ) doxycycl in ed ) imwonazol e

    a) rebuper tkmeumb) sac reccccygea l regionc )pm ea J. g ls ndvd ) medi iasmum

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    O .m t he rn .ooagemen~ ofsymptom.aticbe:rnJ~gn IJ rosmt ic~i :a . wHir lfmestende th eper iod of 't r ia l required for determ:i! ]l ing a . s:cltJ]sfactoryresponse is

    a } I . o l 1 l U 1b)2montbse]4 monthsA61Nonths] 4 . Ea r li es t s ign , () :[y s t' el lr li c ebserption o f l oc al anaesthetic isa) c Q [ i l ' \ ' U r n s i o : r u ; .b) c i rc l. ll a lto r y ,coUaps e

    v' c}d rcum D r a m numbnessd) respiratoryarrest

    a) Metasmlkl]}(}opLasmb ~ L y m P c h o m < l i .

    ..tt)Sarcoidosisd) Brcnehiecaasi s16.Toxic Shock Syndrome is caused 'by

    vii) Sta:phyloc~'US aareasb} StreptocoCCll lS-GI1J l1 lP Bc )P s e u d i o m Q n a ; s ; a em g l n .Q s a .d) ClostD.iidi.umdjff icile

    .a)"eb ':u l1~t lon.b ) h ome oxygenl l rea ln ler t lc) respimoory stimutants

    ~) d(linici~iafyCPAP

    ~I 9'. .() . . ;t:e,trnhydmcannab~no]b} 6~ B~retrohyd!rocaMabim.o lc) . 5 - a -tetrahydrocannsbiacld) ~ 6~etrah.ydrocaMaibinol19. ,Which ofthefoHowing is N O T a fearore'ofhwot!y:roidJism1'a) M e : nm i l l retar-dationb)Larg~ head. . 1 1(",,,Jf _, , , , , , , ~ i. h~""" ' iC1rr""";h i , ,

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    va)h~ ,fgm .en taIY d iso rde.rnb) de~fuyte infectionse) vimligod) m i : t e d m I D ' e c t i Q t l s

    ;a)heat~ke..;'b )hypothennia'c)h~nnj~.d ) hyperpy rex ia

    a ) ty pe Iv A S ) . t ype . nC)I'type UId) type IV23 "'{I"'''''''il~'''d-I''''l!''n'i''''''-t ;.....-" ... 1L'V.!l~'~.ila . ,~~ ar,J.I~I\;..ll. .. .u.J.a ) c oU o o tiin g tu bu leb) prox imal ooo .vo lu ted tubu ler fi di is !ta l oonvo luwdrubUlLed)~oopofHenle

    a)wa1k: ing d~g sleepb) n o cm m a l e n J W : ie S i s.Ar i ndmg !.Jfteetb dur ing : s leepc l I ) sJ,oopa(me.aJ.

    . 2:5 .T he d efo nn in g f ' O T C e m a B em tet'sfita cm re is d u:e to the ac t ion . of./" ) a bd uc tn rp ollic ~s km gu sb) :fieocmponi:csbrev]s

    t) . o~~n~'1 '!OfIIUie$~~:~.~ .~~d ) e xte ns er p cll ie s b re vis26. O d d.TIC hep aJtic m eta sta ses a re seen in./

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    27. D efic ien cy ofw hich elem en t can lead to syndrome of gro \Vth failure, anem i i~ , andh y p ogo n ad~ s :m?a)CaJ[ciUlTIb)~opperv 4 Z m cd ) M agnes ium2 8. D a i le b rown p o stmo rtem lividity ~sseen ina ) a n il in e po is on ingb ) , c a iO O n~monox i d epo i so n i ng/"2)1 pbosphoruspom soniing -d)cyan~diepoisoning

    a}Enfmtir tjdev b ) LamiIv\ldinec)Efavi:renzd)Ritonavir30. The cell w hich fo rm s bloo d-testis bam er isa) Sl Ile 'nna i tognrni ! lib) p rima ry sp erma to c yt ec ) leydig c e W l~ :~ertoJ icell31. .Su r f ac tan t is p roduced bya )p u lmo !1 alY a )v eow ma cr op ha gesb) p la sm a o dlsc ) ty p e' ] P n eum o cy te s

    ~jpe 2 : .Puellmocyms32. The m ost eom m en cause . o o b r o n c h o p !: !I ll im o n a t y , a s p e r g m o o is ls

    ,~per~Uus'fI.nni~tus "b )1 ,~ gillu s -c lav a tu sc~pergiUus f u t v m . I Sd) a~ginus niger31 . B iba silaI v elc ro cra ck les o cc ur & [1a ) a cu te pulmollaryed1e:ma'Ih l g['ltfe hmnchnnnenrnnnia

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    a ) ll ! e ll s io : n p n e U l i. n o ti l 1 o r a xb~ runtrabdnmimal.b~eedingAa s en lo o)isn l .'d) pl1e-existmg vah'u]ar diseasea) c . 1 - \ . - ~25b)CEAe) CA-~5~3,.Jijl CA-.J 9 -9 '3(i Which ofthe oU owing prem edieadens is M S o c w D t e d with ext rapymmida l s ide e8"ec ts ,? '

    ~~etoclopramideb)ci lmet idinec ) , co p o~ a !m f l1 :ed ) g l 'y , c o p y r r- o : la t e

    a) normal lk i .dneysb) , : c u e {'ibstrucctive nephropathyfic hr om c o bs tm c ,tiiv ;e n ep lhr -o pa thyd ) c hr ome r eM~f~rn]ure38 . .-Wh i ch o ft he following is a cause e fa u n sl ate ra l h ype r- lu c en t l ung on c -he .s t- ra d iog r ap ~y

    v afP 0:1 an d sy nd rom eb)aJSifumac) : E l c u t e broncllio~jtisd) ,p leur al i :f fi rs ion

    3,9,,,Stip:p[le, . s i W l . seen intran sitio nal c ell Cm::mOn18of ' i Je rena l ooHect ing sysre,m ~s,bestdemonstreted by8 j i n 1 : r o N , e n o U J s , u r o g r a p n - yA) r etr og rade pyekmoo t ero ,g :mphyIc}rn .d ionuc~ ideSCM.d} u 'ltm o o:u nd s ee n

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    & 1 , 0 . A m ~ . th e fo U o w m g ; hOm1one s . h a \ l 1 e r e o o p t o r s oDl~.e p f f i a ! S n mm.CMb:ra!li1!ll oftarg.et t i s s u e s.EXCEPT

    a)tJ:tymWffjpil1lb) g w u c a g o nV " " ' C , estradiold ) ! epmep:bimle~ 1.\Vb.k, l l i} .o ae ofui lerolh:nwir l ig v ir u s es p r od lU ' re s bom jn t ra. r r u i C l . e a r r a ! l lJ , d ~!t1Ilme y t {! lp ~ i i J s m l i. c.~[ljcllisioo.bodies?a) C hick en :p oxb) , Raibiesc}Sma l l poxo:;drMeas]es

    ,a ) s tomachb 'll ~ c U i': '~ 1 i . ', .., ~ _ J .U ~ rn ,ecjcclon

    yd 'Joosophagus ,

    . a ) m . e u m a t n i d a m l li m . t i s\/tij'sysItemic h . ! l ! p ' l 1 l s e~ematmt]s, e , )s y s u e m ic sderos]sd1"1 .,., -iii} po. )'m!yoo._s

    1 1 ) dli tated car ( l rnon 1iYQ~ i liyb } rest r ic t ive cam: iomyopad1y~ . constricave P erlcM ~H tsd) can: l~ a c mru :po lIDad .e

    ) . . n . . . a anw :Oge : ! Jlme I lS ! tJV l. tyb)p t: l! :e gon~ daJ dys~eJ1esisc ) Sl. lwye[" S Y ! I! it d E O m e

    ~) mixed g o r a . a d < 1 l ~ d y , s g e n e s i . s :

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    a ) E ry d l r o l . i lM t o s i s f e ~ 1 I a m ~ ~b) Cy t omegal ov ir us in fe ctio n~.Whmsd)HIV infection

    4 7 . C h a m , teristies o f t l i . e femtephase o f ' r h e n : n ' : J ] S ! t r . I I ! . l a i i c ) !i -- c l e n c lu d e a ] i ll . o f t b .e f o U o w i n gEXCEPT

    a ) p ea k lev els o festro g enb) c lea r, a Jltnm dm t cervical rnt!cusc ) o , v u i. la . tio n../d}prodncf ien of p l 'ogesmfO\f le48, Atumo ll il l a ri si ng ~r;ulbums SCM ~s 'ffiike~y' lobea ) ba sa l cell earcinomav b)sq wm o us, cell ca rc in om ac ) m a } jg m m tm .e l Z I : U Q I D ad) f ib rossreosna49 . ,:Go ll 1on s papu le s a re

    s u . The likdy d iag no sis in a 'chi.ld will lim b p ain an d pancy topen i a isa ) Ap l as ti c anaemiaAI}Aeuw l lymphocyt ic ]_~~a,c ) R ho om atic fev erd) R h e u m : a J k l t d , a I i b h r i . t i s

    a ) b u s :p i r o :n . eb) benz:odjazepi .O~s1 0 ) serotiOn~n~ptake inhibi ters

    . . / d ) 1 d l o : ,a m i n .e rg i , e b J .o c k e , f S

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    52. A 1 6 2 y e a r oM p a t lie l il l rn m s beef1 l ,~ ~ . th .amsbic i l ivepRlnmruuydl~sease . Wbk h ofhiisfol lowing l ung measure.ments ~sHke ly tobe nn r.ma I?

    , a )FEVlb)FVCV' e) F EV I . I PVCd)FRC

    53 , The:rho :m ben o~ lm lo o in dlu des a ll EXCEPT... 'II._Ln.. .va;l.iioo.tiMllI l l )pmm,

    c ) 'm o o u J ID ~ oblangatad) oere'beUum

    ; 1 1 ) a l P h a , I g lobul i.nvb)a'I,pha:2g1obulinc ) beta I g1obu! lind)beta 2g1cbulm

    , a)heme oxyg:enaseb] hem e ' rer l lUctase'Ahemewsmn~d ) hem e hy dro la se

    57 . P r or on ,ump i nh ib ito fS supp re ss g a str ic a c id , s e c . _ r l e t i o n . b y m h ib i t i , ( K !I . ofa ) H+ /CW'ATPwpumrp

    v""b) H+/K + .AT I " ase : .pumpc ) 'N a + lel-ATPase , m n _ J , l'ilIINfa+!K+ ATP,!L~eoumo

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    58. :x .m tmop1ulo :mab1 :.l1 8pye ]onephfid s. [s a~ a s o o c I D a t e d . Mil. i n f e . c t i Q t 1 I ! b yA)Protensb).E . c o'U

    C } H . intluenzaed) : r u e l l S l ! ; : t L : a

    a) cooges ti .onb)wd~~tiO'nJc)grey hepatfumtion- d) resehuion

    a) , 0 0~)70c) 8 0 'd ) '90

    ,/' a ) f racture neCk ,o f taLusb )1 m a ( i~ : K : - a , l l Q i dc ) bClMre o a l c a n e n w n .d" ' f i : ' a " ' 1 : l l r r i e " , : o i - / I ; , . . - - . - , . :. + 0 : 0 . 0 : 0 " ' . . .. . 1_I ,~ ---""-.= - ,,;J!4~ m"'Y1l;!."I.l~,6,2.lfifao J'ts, bom to mothers WOO are n e a r v y ,d ltmken . ;meat in creased risk o f which offhe fo l loproblems?

    -A),meatal rewda!t~OJlb} c hr on ic liv er diseasec ) e x e e s s fv e h lr 1 l2 lm i\ v e :J gh itd) C : h a r i o m : e l i m ~ l E l

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    A.) Shigell a sonaeib ) S a J m . o m e l l a 'l y p h ic ) P r o te u s m r h : a b m sd) K l e b s : i e l l a p n e u m o D i i a e

    a ) , d Y c i n eb)serme

    A-o \ m"fl]'~~~. ~ ~~~ ~.~~d ) a i l l a n i n e

    : 1 1 ) H o d , g k ~ l 1 I J" ~ d i s e a c s ' i ;' 1 l :' r I' R ' . .I :. . :' . . . - -. - - ".,!I;:-."1 t ). 1 . 1 .. ' ~lUlO5pOflwlJ'.S't.Sc) Cb( )' rdoma

    A 4 1 i l 1 . DI:.:_, .'.: .. '.',,, ...J .N . ID lO :SC em t1l' la .

    .A)SdJiUer~ Duval bodyb ) P s ammomabodyc )C a l l Bxae r bodies,ii)Home r Wi iig iR ro ss enes

    a ) 30hnin~)40!tnmc ) , S O / m i nd)60/min6 9. T he v ec to r whlcl11nlsm.hs tr en ch fe ve ra) t ickb)mi.t::. . . . " i t . fI""",

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    j 1 .Wh ic h o f the:foU owin g me tho ds o f c on tra cep tio n suppresses ovulat ion . , 0 0 , : i t s primm echan ism o f ac tio n: a l ) medicated h 1 l it lm u t e r i: n e deice ( IUU )b)levu[1orgestre]c) m l lq l , l'I8 ton eVd ) g on ad otro ple.reiea sin gho nn on e {G n_RH ) a g on ists72 , Com p l ic a ti on s of toml pa rent er al nu tr iti o n inc lude all :EXCEfTa .byperglycernia,b ) h ) J ! ! O g l y , c e m i a .~ ) hy po chlo rem ic a lk alo sisd ) e~eet ro ly te abnonna l it ie s1 3 . Em f ly s tr ic t to i le t t ra in ing ca n resw~ Ina)nocru.:rual eneruresisv A l ,encopresisc ) . r J l i g ; h t terrord) temper ta n tr um s

    a) tom l claw bandb) p sra ly sis o f a ll lamoric als. , _ . . . e ) pa ra ly sis o f all ,iin~I'OS8ejd) p~Jrn ly$ iso f : a r n 1 slips effhe fl exo r d ig ruwnrnnprofundus7 5. T he sa tiv a in l h e a l t h y people c , o n . ta ! m n s

    a ) n o ba cter ia. . . . r ; ) U P ' to 108 /ml anaerobi c bacteriac] up ~o 1 .OSlInl,aerobic bacl~efiad ) upto . l l .1{ )3 /m.~1bacteria

    a)cbmcroid

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    71 . Ca lou la te me: prevalel:1l(ie:~nl i1c: jdie!JI~~s 2 cases per 1OOO pop1 :dati on pe1 ' year a n dmea n d ur altio n is 4 , ymrs :/ a ) 8 c a s e s p e r 'W O O P 'O P '1 a la tio [l [b) 1 casesper 1000' p ; Q p 1 ! ! ! ~ a t i l ( il ii

    c ) 1 j1 5c a S je s p e r 10,00 P O f f i ' u ] 5 ! U O ' nd) J2 c ases p er 1.000 popu la t ion

    a }m e ~ ie re 's d is ea seb) presbycus i se] ' o lQsc~e ,~ i . s

    ~ )gR o :m . u s jlL lig ilila r e ~79' .Com hinl lt~~ .J li o fam :Pl lCrnU inand genmmJc i n i s . r u m example of~)indjf tereno~./b) 5 Y R e : r g y

    c ) a n t a . @ } , O I li ll s md ) b a c te ri a l s y m b i !O : .' : t i &

    a) aeuee prosltati i tisb) :BPHr c] p ros ta t i,c j!1rtra.epith~llia~neoplasmd) prestaltic needle bk~psy

    a ) 1 , 1 l t r . D p : i l r 1 : eb) scopolaminec)Physost ignmev r l ) dim:ep~lIn

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    : 8 : 3 . Voyeurr ism is a.s e % m . l [ pe rus :i on char a ct e~w byA) OO~ lW I a p le as ur e d er iv ed fmm . oo s- er vi Il g p e op le i n s exu al a J o t s1 : 1 ) sexua l focus. en ,dlii]m;enc) s e x . lL [ ; @ J r n focus . onpe ind) sexaal : f D C u t S f u ) m ncn Uyjng I Q b j : e c r n

    , i l l ) respllrtal'O'ryad.dosis wU b nonnoxemiab) i l n e l a b o r u i c aeldosis with IUllrmciXemiac ) m e ;t a b( )J i :c : aeidosi s with Im. j ' ] 'm~emia

    ~p]mtary acidosli5with hY p : J x _ , e r n i : a85.B .imook g ra rfl lu~esin the c :! l- 1Opl ;l lml isc i ll amcrer is tic of~)Inernoopbilb)~wJ ki]]erce]]sc) ~osffil lophn~ La ng erl:um .s c ells

    .a)asooro]c acidb) tL :yd rogenpe : rox ide

    A)maloodla]debyded)volatile : f u . r t f 1 y HeidI!;

    ~ )pmpr ano lo l .v45'),smmm'p:tmC )I am]~ylfned~l l l !! l ! la r i i C ne

    :s!1chewtic T I l a Q ' l ! b l O P Q l t h y-AI cl.i[liml~y s:ig u:u fC cm tma ctn ed emac )ma 'c td a r h ol ed} p rol if efat lv r e d jabe ti c rotlnop~tlJy

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    911Th:e,m in im em r eeommen ded c on cen tra tio n offreeclUorime m dr imlcing w.awr at the ' en d ofone heu r (m ,W L ) ~ s

    < 1 ) 0.[~o...5c) 1 .0d) LS

    a ) am a lfffiu 11 er wtth c Emn :gm :g blockif!]) tirucillspld incompetence. 'c ) Y(~h;'culart;~pmill defectd) p !M 1 l : m c m . ar y ~ remos ] : l i

    a) '0 - 1 weeksb) 2 - J weeksc) 4- : 5 weeks,,/d) 6 - 8 weeks

    v1I} i : . . u s t d j n ,0) : g t l l c a g O O ,,e ) g row th h orm o n ed) fbnic~ :e ;sMmiLa tmg henneoe

    a) L e U i p f o l ~ d ! e 'b ) S o m a / tj - o p i, nc ) Goserel inV " d ) Oc~reo,tt ! ,de

    A l l' n y l o i d o s i sDiabetic g l o m e r u i o o c l c e r o s i sc ) : S y ~ s te m i c l l U r p : ~ e l y i l i e J l : l a 1 o S l . U Od) Fibrj]]ary ~aomemlonep~t!]s

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    96" M edical tenm rm tlon ofpregnancy can he dlo~-eby a r egblter ed . medi ca l p ra ctiti on er iitheg esta tio n p er io d r n s less thaa

    ~) 8weeks~ . ) 1 2 ' we -11.-.......-0 ., OOASc ) 20 weeksd) 2 4wOO: kB

    ,a}lPhlYectenular oonjunctlviitisY'''h), v e r n a l ca:tarlb

    c) :S ii .ihcoo jwu; ti .va l . bemrnrh l i: : id) t rachoma98 , The gene th atp re di s. po s.e s w , retinoblasw-ma i s . ~ocamdat

    .v (f:c hrom oo o:rn e ] Jq14rD) ,cb :_romosome 15qllc ) c br emo some 11 in " 13,d I ) c f l r r ; omooome 22q 1 199 '. The com p]eten.ess of a 24 hour urine c o U e C 1 ; i . o t l i s bes t a sses sed by tili'D eim ultan eou s

    measurement ofoonary.a)volmnebt } urea~ ) creatin in ed)-pH.H]O .T h m s p J a : n t t a lt - io I l between g tme ti :c aUy diffmnlt m et'liO O CS ftlie sam e ~ies iste -rmed a s

    1m . F ern p attem . in o o r v i c a J J . mucu s i s due to higha ) Po ta ss ium . Ch~ i}r idev b ) Sodium . Ch lo ri dec ) C a ld um Chlorid!e

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    A)duJeeb) s ixc ) l , s e v e . nd ) n iim e[04. T h e : f u n Q w i ~ : g im_muoog lohu l i nOOESNOT fix t ooDmpremenl

    ~)lgEb}lgMc) Ig.Ad) 1 9,G

    a ) C O O i L m u c r u s c e n li l in e sh) s : u c l d : i r l l g IU~Of:'c) embryo n atfr l e ggJ) , e m : i . , c h e d ! m e d i a-1 06 - T h e da rto s m a s ele rS :~ I][Ie F'!ia mdby, a ) l l io m g u iN W J 1lM'eb ) ~ l :io h Y f ID g a S i 1 ! r. ic~ente"A sympatbetllic nervesd) pude! ldal ! ' !m 'e

    a) . D i i J J b : i [ l J ohn so n :sy n dr om e .~D~OOt1 'S_ syndrome. c )P,flal.c.rMlic t umour sd) Cr iig~ fJ ] 'N~D ~s;ymtdr-Qlfle

    a) aortic valve'dQs'IJroi J , . . . . \ W; .._.... :I l l ii .~ . i : .oi ' ioJ- 'L:i ' iu'~ .. . . . . . ...+ ....""'-'., . . , c . . : I

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    a) Gent :ml lcmb) Cipm:fioKacinA'Mettunidatoole'd) .L inemHd1 1 0 " " O a io n skm .~ fibro sis o fbiled uo t is seen ina ) pJimm)t biliuy ci in iwsisvi') p r i J nmy8C~~ms i n gcl i lO:J~t i~c) e~1nhepa.t ic biJ jary fi iOnmisd) c Q n g e . n i l t M hepatic f ibrosis,

    a)Monocy t e~w) Neutliophil'c)~,d ) Lymph o cy te. 1 12. R uffled , membrane is s e e n , in

    ~ ) w h l u :~ f i b r o u s c a r t i R 3 J g eb)osteoblast

    ~ ) o s teo c la s td) elas tiecar ti lage

    a ) tw o c:o m eclW t lv e I r b o o ( i l l sJ} two , ad lji acen t~ J inesc) A baad and ,Ibandd) t\v!,) H zones

    a ) ' l ignocafune~I , P r o c . lJ n m e. c)Tencained~e m z o c a m e

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    a ) ' , s u d d e n ~ O : & Sofv]s~on~~mcuIJty indatfkwptialtfon, e ; , )am : am o s : i s m g m : .d ) umoo l ll ar D~io iP ,i a

    ~ s e p m m p r im JU l t l l, b) septum secundumc ) e O O o c a m i . a l c u s h i ' C i ' E l sd) mcusp id valve orir fice

    a) ~regrumcyb) stfl!ppage of re s piratfon~ sto pp a,g e~ , of eireu la tio nd)presen.ce ofbleod

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    121 , Roth S p o ts a re s een ,~D

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    t27.T h e moot impo rtam tpathog :en. i nvo l' cr l. in non goaeeeceal ~tis H i../~amydia ; ~omat is .

    ' I J ) r t r i. c b c m o n a s v a ,g m a J $ .c ) u r e op la sma mo o l li)!tic umd) herpes s .imp]ex

    ti) erect i le d~mmctikm. .. .. b ft e t ro , g r a d e e jr 3 C U J 1 . a ! t i o nc} 'Mna ry i ncen ti aeaeed I) u r e ti lr a ] S i tr ]c t lw e d i s e a s e~29" Hydl r- ops. r eta il s may beeaused by aU the fo :Uowmg. Exa:na ) C C i 'E I .g e n . i ta ~ ~ean b~oc.kb ) Cy s ti c b y g r : m : n a .fiC o n gerrita l v aric ella sy nd eo m e- d ) C o rtJ )en im [ u e p i h r o s : i s

    \ A } T sb)T6c)T7d)'T8.1 31 . V on WiUebrand . f.actor is . 'produced. by~)li.v~io ) plaJ~eletsfiendo thel ia l ce ll sd~spleen]32~Wb:icboneof~e f oHowmg t e sU iESll$oo.furthe ma.glJio8i.~ofOiardia ]amblia.infection?

    '~ntt:eroitestb) Casoni's ~~t' c . ) P : a . 1 ' < 1 s i : t t e F t - e s 1d ) N ap ier's test

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    ,""N"":""~p1... lI ,t:, r n . . . ikemoid reactionI ~U1-IIl.Il .U,llW~ w~~.~ru, . ,.L~y, ,I . . . A q E s s e n t i a W t b r o m b o c y t h e m . _ j ac)P[umacytosis

    d ) H a ll r y , o o U l e t& e m i a134 . The oo si fl ca ti o n. eemer o fP isifbrm 'bo ne appe ar s a t the age of

    011o . . : ~1 yearb) 12~'~3 yeare) 14--]:5 y e a rd!)rn5-I ' f iyear1 3 5 . , R u b e U I 'c . ! l L r t a r n . c t~ seen a sa ) p osw rio r p ola r cataract-15) nuclear Cawactc ) b lu e d o tC a t ar nc t ~ t r u YOU[1gd)cunei form catarac t136 . A t :1 I D o u n to fO IRS to be ~ e n inilia f i r s t 4 bo urs t o adu~dw ith som e dehydration. 1 Sa) 50 m~bodywt~17S mtt kg bo oy wtc) 1 . 00 lll.lfk,g body wtd) 200nill q"body wt

    a ) gannna g i lu m r n y I D t rnnBfe_r,ase (GGT), . . . . , t t J , e V ' e 3 1 t i n e k i n a s e (CK)'e ) lactic d eh yd ro g en a se (LDH )d ) , a W a n i n ,ea m i n o 1 n m s fe m s e ( A L I , )

    ,a )WtmnlDAb}~~Cc )Vl t lmIDD. .:!If 'w "lf" :r '!' . . _ , ~ 'W" " " '!

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    '13"9',17 D vacc ine Is " U s e d . fo t th e prev en tio n an d c-on lro l; ofv6~[ow fever

    b) j!HIpan'eSe!m~h3Jlitm,e ) b aemo rrh ag ic fe ve rd )deoguern4 0. The triad of diahetesjga. 1J .m tones and s tea.to rr heai :' !i a l l ! s : < K : n a t e d with w h i c i l Ol!e (Jfthe

    fOUOW]fllig tumors?i i I . ) gBiS ' ' tJ i i f l omaB.

    ~ ) S Q .m . a o om : a : t i n m n a se)VIPmasd) gilllCagQQo:m_~,

    ~ } m e l J ll ]_ a t ic w i l i h r i t i s ,b ) rh~uma ! to r d arthritis) . _ ....L~:.."~ psonanc W ru: l lfn lJiS

    d) :reifer's arthritisn 42 P .. . I rtai"' edim t --' -:-- ",-,-, . ~I . I' -' -, . . _, _ . I -,._ ", '. _-.' I I". I _ ''." erm ata m o _ _ ty 18express ..I1l t erms 0

    vAi} ' d e a th s l l 1 0 0 0 t o ta l b i i r t h .&b) deallLsllOO O livebirthsc) ,dea! thsl l O I)Ol ]iwta l b ir thsd ) death_S / lO O O O ' t i v e bmtu;

    ,~ :n&. 3A)U&3c) 'to&' 12~)7 &,8l4 4 ..T ox ic m e ga oo ~o n is so on ina) carci ll tu:maooEo.n.b ' ) . . .ll;trocol~ 'fimll!-'~ " " . . 1 1....ft) ulcernhN,e colitisd ) , im le b~ ccolitis

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    a) ~l~e add'os,tsI b ) wyperoapnea~&ennja. . d ) in creased 2 ..3,D PG lev els

    a) l ipid sto.rage d I w s m - d e . r sb) psoriastlS, vulgarisc)hypm~m

    vd}parkWrJ .Son 's d isease

    a) .BoIDlC~'ii':' b I " v . e r. c ) Sp~ ,eend) 'Loog

    a:)talooholb)sm.a~,v o } doo~dty. ..d ) c h o :m l r o m _ Y X . l J i d f ib r o m a .

    ,~)b~glYceHdemiat.Jffh~holesteIu~emiac ) ' ~hy l~o :micmnemia

    d) c om bm ed .hy ped iJ pid em ia .. - -

    a ) b romoe r ip t in eb) ,estto: l !eJ1 : i j l ] , o o e

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    ~ sLWh i c h ofl1ese'~ of~los i~LJEASTi..d, widiul)GSOthet ioma~'" d U Y Ilo (~ ~ ~ teb),crocidblitec ) , a r. o o s .h ed) ' tremotite11.5'~'r:I 'Tf i ' ! ; . . . , . '11~~1~i1,1,"" .;." _ 0.,.,.I c f. . .. .. .. . . " . .. .. yl~I.'''~.IUIiUl ......."""""~_a}~ggjd";b)pem~. c).~1ind.~if(lrmisd)l]ghtreBctioo.: I : 5 3 . . OruOtl . P 'eelm d iW og ie~ : is ,seen 'iy p -c dJ y ~ ,

    va) l E w i Q g , ' ' S , ~ :m . a .b) ostoosaconmc) f ib rpsamom ad ) anoo ry sD191 hone cys t1 5 4 . G ohm : he ad a p p e a r a n e e ' m ~kdfoTa)o'PHb ) r h lla d d e r ttlmorc }v es ic al c al ruLu svd)1!Ireiemcele155. HeUer's. o p . e r m o o . is , dme . f

    A'acM1Ujacarma'b ) pyLorics~isc ) ~ hsp ro ng :'s ~ a sed) a o lJ :m 's d l is e a . s e

    a)~t (01i l tme:1 lebJ H ot e m . s a . , . b u n ~ign.. . . f l . ' Sadd le :oo ;se 'd)Car le s r e e : t h

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    a) halothaneb}iwfiurane.- 1 n i l l t r a l . l s oxide'd} c- ldoroform

    v tJ ; i : ' i eS , t j i i j ' g t remorsb) pM ' t point ingc ) ny .s ta gmusd)a~icgait

    a S q UOO l OU S 0 0 1 1 carcin om a o f cerv ixb) adenoeare iaema ofe.ndomefulium~ } d ,earce]~ adenocarc inom a o fvag irn .ad) s a r c oma o f m : : e - r o s

    a ) 1 : f lwnazan i li b ) naloxone

    ~ p ro po xypheaed ) g lu c ag o n s1 62" A J] ,o ftlte fo llo win g are ,o on sld eN d lo be neganve ~ptom s. of scim rophreD laEXCE,pra) ~ p a i t E ) yb ) m n b f v a [ , e rn .c e

    ~~~tory haUllcinruioos,d~af fec tive- f l!~ I I1 ieJ i1 i fl a

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    ,a)pUl.m~ ' t i J b r o s i s~gmmllOmatollS , I , w g ; d ~ S ' G a S ec ) ~lWgcancerd) ,ch_ronic bronchitis

    a ) g lut ama teb) ,aspanat1e

    ~)glycine,e m ) s o m a t o s t a tim D i

    a J ) 'hypertensionb~polycythemia f)" . . . . . c ) e levated ! E S Rd)pyrexia166, T h e foUowm,gare ,s ing~egtrne'd iw:rders EXCEPT) , hm m .a tm "Haemoet 'i ',lSi b ) Cys t ic f ib ro s isA't't,r:u~""","'" _,"",~I"""",_",v-..~w.ww.Wl!lIJ ~'~'JW.R.I !. .I !V..JJ lU.1j; "I, d) H wtingroa's dl~s.ea;.-.e'[67 'D " '" h .' ( . ' : ~~rn ' m : , " ' . ., ':.'r, I ,ISSleCt:mg, : em a t oma Hi ,!lv(;: if .u~ comp ; u l oo l lQn OCCwmlig ma) Turner 's : s y n d J Q . _ m eb) K linefelter 's syndromec ) Du 'W '[ I, s y ndr ome ,v d > Mmansyndrome~ ,68.Dwing s ta n da rd :p 'I ~Q l:a ,lectrophoresjs~ proterundIat mo ves ,a hea d o fa fbwnin isa) f ibrino,gen,b ) a lp .ba feio protem, c) lm.~fi} retmollirbiindi:ngprotein

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    a)-9mvb)- :5Omv~70mvd ) , ~ . ~ .D O m v

    110. O t omyco sws wscau sed by

    '1 71 A d ...;1 ," C Sf" . " f i ' " I hl ' iI . . . '......'.....en osm e u eammase . m . _ ' _ . ]8 StgJU ..cru)" y 19 l1 iermy1 i)wbe rou lo l ll S men i ng it is

    b ) 1bacterisl m e m l lg i li t is,i) v iml mea ieg i ti sd) sypru.l it i:cmm i.n~tis

    a) 20week8\ , / ' " b . 2 5 w eek s.

    l e ) 1 30weeksd)3S weeks1 7 3 ' 'C ' I ' . " is d i . b ' . ~ . ...I . . . ." . ' .omeat s e n s a n o n IS : : _ L m m w s !t ;u 1 l la) band keratopathyb ) expo su re ker ati tisA ph~Y'e~t~nllla.r~e~titis. ' d J ) d'endritu:: l k C J . a t J , h s,a) intee-sectoral coordinationb ), aOOOOl) ,r ia tetecbnnleev

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    . ] 7 S . Po in t s our c eL '! pi dem ic t end s. t oa ) c on tin ue o ver o ne m c uba tirJ n p er io obv .ro ~ .Q~ ~.Il...tiple peaib in tb ep idemn icou r ve~2 ~:e:xpI.OSlV'~. d ) ' ~a i1 f f ' , g r . u ' I u a i l l y176 . Col:tWlllilic3bilrtyitii~t.~ by

    a) cbrotUc ' l y m p O O : id le u k e m ia,._.,/b1 cfu,;mit H i j . r e L o i d : Ie~. c ) a c u te m . y . e 1 ! o f d I e u 1 r e m i a !d) . a c . u . t e Iym:pboid leUkemia

    a) D6klD8b)DStoDlO~')D]OtoD12. d),t:l ~" O [4

    a ) - i l e a i l : p e r f o m i 0 1 I D' , ) ~ t i i r im ,gen te r ooo~c) I D e l O O n i , U i T i . l leusd ) e e l e n ie ; a g a ng l . m n o . si s,

    ~SO.In ;a clUld with acute l i i V l i i tf a i J l w ' e , . t b , emoo i rmpomm t a!b:oo~] U T . t I i i i 1 I 1 I . h i o c h e m i c a l i lesUhati'[ldicaM ~spo or p ~Do o i s 'i s

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    C O M ED ..K M E D IC 'A L A NSW E R KEYS (Version - A )

    : 2 152'18,4

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    , 1.57' AI

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    ~lose 137 ' f 1 3 )671 l ? ' II 0 1 9 " c r 1 6 '9 11 c i:

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