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e9ad821a-c438-4965-9f77-760819dfa155
{ "1": "Hyperplasia", "2": "Hyperophy", "3": "Atrophy", "4": "Dyplasia" }
3
Chronic urethral obstruction due to benign prismatic hyperplasia can lead to the following change in kidney parenchyma
[ { "chunk_id": 15305, "similarity_score": 0.552569413, "text": "Introduction of Hydronephrosis:\nHydronephrosis is the hydrostatic dilation of the renal pelvis and calyces as a result of obstruction to urine flow downstream. Alternatively, hydroureter describes the dilation of the ureter, and hydronephr...
<think> </think> **Mirizzi's Syndrome** **Introduction** Mirizzi's syndrome is a rare complication in which a gallstone becomes impacted in the cystic duct or neck of the gallbladder, causing compression of the common hepatic duct. This leads to obstruction and jaundice. The obstruction can result from direct extr...
<think> </think> Search for potential reasoning traces: - Chronic urethral obstruction leads to increased intravesical pressure. - Increased pressure can cause retrograde flow of urine into the ureters and kidneys. - Prolonged hydronephrosis can lead to structural and functional damage to the kidney. - The ki...
[ "Hyperplasia", "Hyperophy", "Atrophy", "Dyplasia" ]
3
e3d3c4e1-4fb2-45e7-9f88-247cc8f373b3
{ "1": "Vitamin C", "2": "Vitamin B7", "3": "Vitamin B12", "4": "Vitamin D" }
3
Which vitamin is supplied from only animal source:
[ { "chunk_id": 24800, "similarity_score": 0.5857138955, "text": "Vitamins of Dietary supplement:\nA vitamin is an organic compound required by an organism as a vital nutrient in limited amounts. An organic chemical compound (or related set of compounds) is called a vitamin when it cannot be synthesized i...
<think> </think> Frey's syndrome (also known as Baillarger's syndrome, Dupuy's syndrome, auriculotemporal syndrome, or Frey-Baillarger syndrome) is a rare neurological disorder caused by damage to the parotid glands or the auriculotemporal nerve, often due to surgery. The condition is characterized by redness and swe...
<think> </think> Search for potential reasoning traces: - Vitamin B12 is primarily found in animal-based foods. - Plants do not naturally contain vitamin B12. - Vitamin C is found in plant sources like citrus fruits. - Vitamin D can be synthesized by the body through sunlight and is also found in some animal ...
[ "Vitamin C", "Vitamin B7", "Vitamin B12", "Vitamin D" ]
3
5c38bea6-787a-44a9-b2df-88f4218ab914
{ "1": "Adjustable gastric banding", "2": "Biliopancreatic diversion", "3": "Duodenal Switch", "4": "Roux en Y Duodenal By pass" }
4
All of the following are surgical options for morbid obesity except -
[ { "chunk_id": 18145, "similarity_score": 0.5922189227, "text": "Introduction of Adjustable gastric band:\nA laparoscopic adjustable gastric band, commonly called a lap-band, A band, or LAGB, is an inflatable silicone device placed around the top portion of the stomach to treat obesity, intended to decre...
<think> </think> **Frey's Syndrome** Frey's syndrome, also known as Baillarger's syndrome, Dupuy's syndrome, auriculotemporal syndrome, or Frey-Baillarger syndrome, is a rare neurological disorder caused by damage to the parotid glands or the auriculotemporal nerve, often due to surgery. The auriculotemporal nerve, ...
<think> </think> Search for potential reasoning traces: - Surgical options for morbid obesity include procedures that reduce stomach size or bypass parts of the digestive tract. - Adjustable gastric banding is a restrictive procedure. - Biliopancreatic diversion and Duodenal Switch are malabsorptive procedures....
[ "Adjustable gastric banding", "Biliopancreatic diversion", "Duodenal Switch", "Roux en Y Duodenal By pass" ]
4
cdeedb04-fbe9-432c-937c-d53ac24475de
{ "1": "Central aery of the retina", "2": "Infraorbital aery", "3": "Lacrimal aery", "4": "Nasociliary aretry" }
1
Following endaerectomy on the right common carotid, a patient is found to be blind in the right eye. It is appears that a small thrombus embolized during surgery and lodged in the aery supplying the optic nerve. Which aery would be blocked?
[ { "chunk_id": 25386, "similarity_score": 0.632023303, "text": "Introduction of Ophthalmic artery:\nThe ophthalmic artery (OA) is an artery of the head. It is the first branch of the internal carotid artery distal to the cavernous sinus. Branches of the ophthalmic artery supply all the structures in the ...
<think> </think> **Rinne Test Overview** The **Rinne test** is a quick screening tool used to assess hearing loss in one ear by comparing **air conduction** (sound traveling through the ear canal) to **bone conduction** (sound transmitted through the mastoid bone). It helps identify **conductive hearing loss**, wher...
<think> </think> Search for potential reasoning traces: - The optic nerve is supplied by the central aery of the retina. - A thrombus embolizing during surgery could travel to the central aery of the retina, causing blindness. - The central aery of the retina is a branch of the ophthalmic aery. - The other li...
[ "Central aery of the retina", "Infraorbital aery", "Lacrimal aery", "Nasociliary aretry" ]
1
dc6794a3-b108-47c5-8b1b-3b4931577249
{ "1": "Directly", "2": "IG1-1", "3": "Thyroxine", "4": "Intranuclear receptors" }
2
Growth hormone has its effect on growth through?
[ { "chunk_id": 3749, "similarity_score": 0.5560520762, "text": "Introduction of Growth hormone–releasing hormone:\nGrowth hormone–releasing hormone (GHRH), also known as somatocrinin among other names in its endogenous form and as somatorelin (INN) in its pharmaceutical form, is a releasing hormone of gr...
<think> </think> **Rinne Test Overview** The **Rinne test** is a quick screening tool used to assess hearing loss in one ear by comparing **air conduction** and **bone conduction**. It helps identify the presence of **conductive hearing loss**. The test is typically performed alongside the **Weber test** to detect *...
<think> </think> Search for potential reasoning traces: - Growth hormone (GH) is a key regulator of growth and metabolism. - GH exerts its effects indirectly through the stimulation of **insulin-like growth factor 1 (IGF-1)**. - IGF-1 is primarily produced in the liver in response to GH and acts on target tissu...
[ "Directly", "IG1-1", "Thyroxine", "Intranuclear receptors" ]
2
5ab84ea8-12d1-47d4-ab22-668ebf01e64c
{ "1": "Louse", "2": "Tick", "3": "Mite", "4": "Milk" }
3
Scrub typhus is transmitted by: September 2004
[ { "chunk_id": 3659, "similarity_score": 0.6655301179, "text": "Introduction of Scrub typhus:\nScrub typhus or bush typhus is a form of typhus caused by the intracellular parasite Orientia tsutsugamushi, a Gram-negative α-proteobacterium of family Rickettsiaceae first isolated and identified in 1930 in ...
<think> </think> **Oculocardiac Reflex (Aschner Reflex)** The oculocardiac reflex, also known as the Aschner phenomenon or Aschner–Dagnini reflex, is a decrease in heart rate (bradycardia) caused by traction on the extraocular muscles or compression of the eyeball. It is mediated by sensory fibers from the ophthalm...
<think> </think> Search for potential reasoning traces: - Scrub typhus is a rickettsial disease. - Rickettsial diseases are often transmitted by arthropods. - Common vectors for rickettsial infections include ticks, mites, and lice. - Scrub typhus is specifically associated with a mite vector. - The mite *L...
[ "Louse", "Tick", "Mite", "Milk" ]
3
a83de6e4-9427-4480-b404-d96621ebb640
{ "1": "Punctation", "2": "Mosaicism", "3": "Satellite lesions", "4": "Atypical vessels" }
3
"Abnormal vascular patterns seen with colposcopy in case of cervical intraepithelial neoplasia are (...TRUNCATED)
[{"chunk_id":8176,"similarity_score":0.5724046057,"text":"Biopsy of Cervical cancer:\nThe Pap test c(...TRUNCATED)
"<think>\n\n</think>\n\nDiagnostic Criteria for Neurocysticercosis:\n\n**Absolute Criteria:**\n- Con(...TRUNCATED)
"<think>\n\n</think>\n\nSearch for potential reasoning traces: \n- Abnormal vascular patterns in co(...TRUNCATED)
[ "Punctation", "Mosaicism", "Satellite lesions", "Atypical vessels" ]
3
f3bf8583-231b-4b7a-828c-179b0f9ccdd9
{ "1": "Anal fissure", "2": "Hemorrhoid", "3": "Pilonidal sinus", "4": "Rectal ulcer" }
3
Per rectum examination is not a useful test for diagnosis of
[{"chunk_id":25784,"similarity_score":0.6052473953,"text":"Introduction of Anoscopy:\nAn anoscopy is(...TRUNCATED)
"<think>\n\n</think>\n\nSeizures of Atracurium besilate:\nSeizures are rare with atracurium. Atracur(...TRUNCATED)
"<think>\n\n</think>\n\nSearch for potential reasoning traces: \n- Per rectum examination involves (...TRUNCATED)
[ "Anal fissure", "Hemorrhoid", "Pilonidal sinus", "Rectal ulcer" ]
3
73515f05-e947-4801-8077-3abdeca95c84
{ "1": "ab", "2": "bc", "3": "abc", "4": "bcd" }
3
"Characteristics of Remifentanyl – a) Metabolised by plasma esteraseb) Short half lifec) More pote(...TRUNCATED)
[{"chunk_id":16240,"similarity_score":0.5201646863,"text":"Pharmacokinetics of Atracurium besilate:\(...TRUNCATED)
"<think>\n\n</think>\n\nPost-dural-puncture headache (PDPH) is a complication of dural puncture, typ(...TRUNCATED)
"<think>\n\n</think>\n\nSearch for potential reasoning traces: \n- Remifentanil is a potent opioid (...TRUNCATED)
[ "ab", "bc", "abc", "bcd" ]
3
53f79833-21b0-4336-8ef4-404c687ec807
{"1":"Decreased ability to copy","2":"Decreased execution","3":"Deficit of expression by gesture","4(...TRUNCATED)
3
Hypomimia is ?
[{"chunk_id":179,"similarity_score":0.7110031965,"text":"Introduction of Hypomimia:\nHypomimia (mask(...TRUNCATED)
"<think>\n\n</think>\n\nOculocardiac Reflex: \nThe oculocardiac reflex, also known as the Aschner p(...TRUNCATED)
"<think>\n\n</think>\n\nSearch for potential reasoning traces: \n- Hypomimia is a term related to f(...TRUNCATED)
["Decreased ability to copy","Decreased execution","Deficit of expression by gesture","Deficit of fl(...TRUNCATED)
3
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