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69528 Social & Preventive Medicine

Vaccine Vial Monitors (VVM) have been extensively used in the Pulse Polio Programme to assess the effectiveness of cold chain. According to the guidelines, the following changes in the VVM is an indication for discarding the vaccines –

AInner square is lighter than outer circle
BOuter square is higher than inner circle
CInner circle is same colour as that of outer circle
DInner square is darker than outer circle
Social & Preventive Medicine
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69529 Psychiatry

A 17-year-old girl is brought by parents to physician with complaint of decreased sleep, irritability and lack of appetite leading to weight loss of around 4-5 kg in last 2 months. Patient herself repos feeling fine and in fact mentions having lots of energy. Physical examination shows a thin body habitus with a normal BMI, erythema of the nasal mucosa, and mild facial acne. Which of the following is the most likely diagnosis?

AAnorexia nervosa
BAvoidant food intake disorder
CBulimia nervosa
DCocaine use disorder
Psychiatry
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