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| 3 | 312 . explanation
Correct answer -D i.e.,BRCA2 mutation is associated with increased risk.
The average age of men diagnosed with breast cancer is 68 years (old age).
Breast cancers in male have estrogen receptors and high estrogen level is a risk factor for breast carcinoma in males.
Men who inherit abnormal BRCA-1 and BRCA-2 genes have an increased risk for male breast cancer.
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| 14 | 311.explanation
Correct Answer - C
Answer- C. Little toe
Ainhum is bilateral painful constriction at the base of 5th toe (little toe).
This leads to bilateral auto amputation of little toes.
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| 15 | 311. In Ainhum, constriction develops usually at the level of interphalangeal joint of | 0 |
| 16 | 310.explanation
Correct Answer - A
Answer- A. 1.0
Ankle - brachial pressure index (ABPI) is the ratio of BP in ankle to BP in arm (upper limb).
Normal ABPI is around 1
(0.9 - 1.2).
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| 17 | 310. Ankle brachial pressure index is | 0 |
| 18 | 309.explanation
Correct Answer - A
Answer- A. < 0.3
*Lower ABPI is an indication of peripheral vascular disease of lower limb.
*Critical ischemia (restpain or tissue necrosis) most commonly is associated with an ABI < 0.4.
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| 19 | 309. ABPI of imminent necrosis | 0 |
| 20 | 308.explanation
Correct Answer - A
Answer- A. Splenic trauma
In splenic rupture the pain may be referred to the tip of the left
shoulder.
This is known as Kehr's sign.
It occurs due to irritation of the undersurface of the diaphragm with blood and the pain is referred to the shoulder through the affected fibres of the phrenic nerve (C4 and C5).
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