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138925 Anaesthesia

True regarding morphine

ATolerance develps for all except miosis and constipation
BTolerance to all effects develops with chronic usage
CTolerance develops for all except euphoria and sedation
DTolerance can develop to all effects in high doses
Anaesthesia
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138928 Gynaecology & Obstetrics

A 40 year old primiparous woman suspected to be suffering from endometriosis is subjected to diagnostic laparoscopy. Findings indicate – Uterus normal, both the ovaries show presence of chocolate cysts; endometriotic deposits are seen on the round ligament right side, both the fallopian tubes and the pouch of Douglas; moderately dens adhesions are present between the fallopian tubes and the pouch of Douglas. The treatment of choice in this case is :

ATotal hysterectomy with bilateral salpingooophorectomy
BDanazol therapy
CProgesterone therapy
DFulguration of endometriotic deposits
Gynaecology & Obstetrics
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138931 Radiology

A middle-aged vegetarian man presents with progressive atrophy and weakness of hands and forearms. On examination he is found to have slight spasticity of legs, and generalized hyperreflexia. MRI study if the brain was obtained and increased signals were noted in thecoicospinal tracts on T2 weighted MRI (shown below). The most likely diagnosis is

AMultiple sclerosis
BAmyotrophic lateral sclerosis
CSubacute combined degeneration
DProgressive spinal muscular atrophy
Radiology
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