Past Paper of Gynaecology and obstetrics morning paper Thursday March 2, 2017

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Gynaecology and obstetrics morning paper Thursday March 2,  2017 by Dr.  Hina Hammad.

( Kindly remember me in your precious prayers).

  1. Basilar artery gives off
  2. Vertebral arteries
  3. Posterior cerebral arteries
  4. Anterior cerebral arteries

Ans. B

  1. When the vagal supply is cut. Which group of muscles most affected
  2. GIT muscles

Ans. A  (Can’t bring back other options in mind, vague recall. )

  1. Regarding megaloblastic anemia
  2. Oval macrocytosis

Ans. A (All other options were completely wrong)

 

  1. Regarding pernicious anemia
  2. Anti-parietal cell antibodies
  3. Megaloblastic anemia
  4. Iron deficiency anemia

Ans. A

  1. hCG produced in late pregnancy by
  2. Sytotrophoblast and fetal endotheliam

Ans. A

 

  1. Cells with anti-tumor activity
  2. Natural killer cells

Ans. A

 

  1. Ciliary movements

 

  1. Actin/ Myosin
  2. Intermediatefilaments/Desmin
  3. Microtubules/Denein arm

Ans. C

  1. Confidentiality can be breached when
  2. Patient authorisez you

(All other options were wrong so couldn’t remember)

  1. Coefficient of variance indicating prefect positive correlation
  2. +0. 5
  3. +1
  4. -1
  5. -0. 5
  6. 0

Ans. B

Explanation:  Perfect negative correlation r=-1, perfect positive correlation r=+1, no correlation r=0

  1. Medical ethics
  2. Required for Pakistan medical and dental council
  3. Code of conduct of doctor
  4. Study of moral aspects of doctor’s life

Ans. C

 

  1. Aponeurosis of transversus muscle
  2. Forms inguinal ligament
  3. Conjoint tendon
  4. Lacunar ligament
  5. Superficial inguinal ring

Ans. B

  1. Regarding pituitary gland
  2. Lateral to cavernous sinus
  3. Derived from endoderm
  4. Lies in diaphragm sellea
  5. Pituitary tumor causes junctional scatoma

Ans. D

 

  1. Regarding bronchopulmonary segments
  2. Conical in shape
  3. Has an independent vein
  4. Has an independent somatic nerve
  5. Supplied by tertiary bronchioles
  6. Supplied by terminal bronchioles

Ans. D

 

  1. Diphosphoglycerate
  2. Product of glycolysis
  3. Increased in stored blood
  4. Increases the affinity of hemoglobin for oxygen
  5. Concentration increases with increase in temperature
  6. Shifts oxygen-hemoglobin dissociation curve to the left

Ans. D

( There are two types of diphosphoglycerate:

 

-1,3 diphosphoglycerate and 2,3 diphosphoglycerate.

-1,3 diphosphoglycerate is an intermediate in glycolysis.

-2,3 diphosphoglycerate is decreased is stored blood and decreases the affinity of hemoglobin   to oxygen. It shifts oxygen-hemoglobin dissociation curve to the right.)

 

14.

A patient has pain on nose and the area between mouth and orbit and temporal region. Which of the following nerve involved

  1. Cervical branch of facial nerve
  2. Maxillary branch of trigeminal nerve
  3. Mandibular branch of trigeminal nerve

Ans. B

  1. Which of the following metabolite of vitamin D can be used to assess the level of vitamin D
  2. 25 hydroxyvitamin D
  3. Cholecalciferol
  4. 1, 25 dihydroxyvitamin D

Ans. A

  1. Radiation induced carcinoma after
  2. 8 years
  3. 2 years
  4. 10 years
  5. 1 year
  6. 6 years

Ans. C

 

  1. Neck of blader and urthra nerve supply
  2. Sympathethtic L1- L2
  3. Pelvic splancnic nerves S2-S4

Ans. B

 

  1. During inspiration
  2. Venous return decreases
  3. Alveolar pressure increases
  4. Heart rate increases
  5. Venous return increases

Ans. D

 

  1. Regarding testosterone
  2. Produced by leydig cells
  3. Intradermal route less effective
  4. Something about oral route

Ans . A

 

  1. Which of the following will prevent involution of corpus luteum.
  2. Endogenous chorionic gonadotropin
  3. Exogenous chorionic gonadotropin
  4. Progesterone

Ans. C

 

 

  1. Safety margin
  2. Therapeutic index
  3. High with digoxin

Ans. A

 

  1. A lady has 28th day cycle. She has increased estrogen level but no Increase in progesterone for the last three days.
  2. Cessation of menstruation
  3. Start of menstruation
  4. Secretary phase
  5. Ovulation

E.Regression of corpus  Luteum

Ans. b

  1. Regarding levator ani
  2. Contains ischiocavernosis, corpus spongiosum and bulbospongiosis
  3. Tripartite muscle pierced by urethra, vagina and anal canal. (Complete other options if you people remember).

 

Ans B

  1. Injury to spinal cord above sacral segments
  2. Spastic bladder
  3. Atonic bladder
  4. Neurogenic bladder
  5. Automatic bladder

Ans. D

  1. NON-CONTRACEPTIVE benefit of contraceptive pills
  2. Prevention of ovarian cancer
  3. Prevention of breast cancer
  4. Prevention of thromboembolism

Ans. A

  1. Inherited form of endometrial carcinoma is associated with
  2. BRCA
  3. Breast cancer
  4. HNPPC

Ans. C

Mean systemic filling pressure determines

  1. Venous return
  2. Right atrial pressure
  3. Cordiac output
  4. Decreases pulmonary resistanse

Ans. A

 

27.Regarding micturition reflex

  1. Sacral segments of spinal cord S1 and S2
  2. Sacral sagments of spinal cord S2 and S3
  3. Lumbosacral segments of spinal
  4. Controlled by midbrain
  5. controlled by cerebrum

Ans. ?????

 

  1. Systemic antifungal therapy is CONTRAINDICATED in
  2. Positive blood culture by IV catheter
  3. Candida isolated from two sources in body
  4. Oral thrush and oral candidiasis
  5. When only Candida is isolated from fluid
  6. Aspergilus infection

Ans .A

 

  1. Strong VAGAL stimulation
  2. Decrease heart rate
  3. Increase heart rate
  4. Decrease myocardial contractility

Ans. A

 

  1. Common in facilitated and co-transport.
  2. Both for inorganic ions
  3. Uphill
  4. Require carriers for transport

Ans. C

 

  1. Minimum amount of urine produced in dehydration to remove waste products from body.
  2. 500-600 ml
  3. 200-400 ml
  4. 1000 ml
  5. 800 ml
  6. 2000ml

Ans. B

 

  1. Hemolytic anemia occurs after a miss-match blood transfusion. It can be diagnosed clinically
  2. Bilirubinuria
  3. Hemoglobinuria
  4. Severe cyanosis

Ans. B

 

  1. Moderate hemorrhage can be diagnosed clinically as
  2. Postural dizziness
  3. Supine hypotension
  4. Postural hypotension in 35 years old
  5. Postural hypotension in 65 years old
  6. Supine tachycardia

Ans. A

  1. Corticospinal tract
  2. Contains fine touch
  3. Decussate in midbrain
  4. Carry only motor fibers
  5. Unmyelinated

Ans. B

35.Hyperosmotic overhydration

  1. Excess ADH
  2. Bronchegenic tumor
  3. Excessive use of diuretics
  4. Cushing syndrome

Ans. ???

 

  1. HIV associated nephropathy
  2. FSGN
  3. Membranous nephropathy
  4. Membranoproliferative GN
  5. Interstitial nephritis

Ans. C

 

  1. Protooncogenes converted to oncogene
  2. Point mutation
  3. Amplification

Ans. A

  1. A man has sweating on a hot day. He has?
  2. Positive free water clearance B. Negative free water clearance
  3. ECF hypoosmolarity
  4. Urine hypooamolarity

Ans. B

  1. Duct of sylivus between
  2. Third and fourth ventricle

Ans. A

 

  1. TNF production by
  2. Helper T cells
  3. Monocytes/macrophages
  4. Cytototoxic T cells

Ans. B

  1. Tickle sensations
  2. A alpha fibers
  3. A delta fibers
  4. A beta fibers

Ans. ??

  1. About right principal bronchus
  2. More wider than left
  3. Runs obliquely
  4. More liable to obstruction
  5. Longer than left

Ans. A

 

  1. Pacinian
  2. Unmyelinated fibers
  3. Unencapsulated
  4. Detect low frequency vibrations
  5. Detect high frequency vibrations

Ans. D

  1. Most likely about tuberculosis
  2. Foul smelling sputum
  3. Wheezing never occurs
  4. Never involve pleura
  5. Involve posterior segment of upper lobe

Ans. D

 

  1. Metabolic acidosis with normal anion gap
  2. Starvation
  3. Diabetic ketoacidosis
  4. Chronic renal failure
  5. Carbonic anhydrase inhibitors

Ans.  D

 

  1. While doing research, statistical tests are done for
  2. The results are true
  3. The results are clinically significant
  4. To accept the placebo
  5. Minimize random or experimental error

Ans. ???

 

  1. Most likely about iron absorption
  2. Ferric form readily absorbed than ferrous
  3. Most absorption occurs in distal ileum
  4. Heam is readily absorbed
  5. Dietary iron is readily absorbed

Ans. D

  1. Left shift of oxygen-hemoglobin dissociation curve
  2. Anemia
  3. Hypothermia
  4. Increased temperature
  5. Acidosis
  6. Ageing

Ans. B

  1. When each person has equal chance of being selected in a sample. This sampling is called?
  2. Stratified sampling
  3. Random selection

Ans. A

 

  1. Cimetidine
  2. Hepetic enzyme inhibitor

Ans. A

  1. Inherited by mother only
  2. X genes
  3. Mitochondrial RNA
  4. Ribosomes
  5. Endoplasmic reticulum
  6. Golgi complex

Ans. B

  1. Thalassemia
  2. Abnormal globin chain production
  3. Unequal chain ratio

Ans. A

51.For the nutritional assessment of a patient, we assess nutrition from his weight loss and test for

  1. Minerals
  2. Vitamins
  3. Trace elements
  4. Albumin and TIBC
  5. Lipids

Ans. D

  1. Which globulin absent in intrauterine life?
  2. Alpha (α)
  3. Beta (β)
  4. Gamma (γ)
  5. Delta (δ)
  6. Epsilon (ε)

Ans. B

 

  1. The primary oocytes complete their first meiotic division
  2. Before ovulation
  3. 3rd month intrauterine life
  4. 6th month intrauterine life
  5. After fertilization
  6. Before fertilization

Ans. A

 

  1. Pap- smear prevention level
  2. Primary
  3. Secondary
  4. Tertiary

Ans. B

  1. The undifferentiated germ cells in semineferous tubules
  2. Sparmatids
  3. Type A spermatogonia
  4. Type B spermatogonia

(A spermatogonium (plural: spermatogonia) is an undifferentiated male germ cell. Spermatogonia undergo spermatogenesis to form mature spermatozoa in the seminiferous tubules of the testis.

 

There are three subtypes of spermatogonia in humans:

 

Type A (dark) cells, with dark nuclei. These cells are reserve spermatogonial stem cells which do not usually undergo active mitosis.

Type A (pale) cells, with pale nuclei. These are the spermatogonial stem cells that undergo active mitosis. These cells divide to produce Type B cells.

Type B cells, which divide to give rise to primary spermatocytes.

Ans. B

 

  1. A baby with hypoplastic nails, microcephaly, clept lip, mother during her pregnancy was exposed to?

 

  1. Fetal-alcohol syndrome
  2. Phenytoin
  3. Warfarin
  4. Hypervitaminosis A

Ans. B

 

  1. Regarding blood supply of bones
  2. End of Long bones supplied by epiphysial artery

 

  1. Flat bone supplied by Nutritional artery

Ans. A

  1. function of Vitamin A?
  2. Forms germinal epithelium
  3. Maintains Integrity of skin epithelium

Ans. B

  1. The most potent anti-oxidant
  2. Glutathione
  3. Vitamin E
  4. Vitamin A

Ans. A

 

  1. Murmur of mitral stenosis is best heard at
  2. Left second intercostal space
  3. At mitral area
  4. Right 2nd intercostal space
  5. Left 5th intercostal space

Ans. B

 

  1. Shortest incubation period
  2. Measles
  3. Rubella
  4. Chicken pox
  5. Mumps
  6. H. Influenza

Ans. ???

 

 

  1. In liver diseases which enzyme is decreased
  2. 5 nucleotides
  3. AST
  4. ALT
  5. ALP
  6. LDH

Ans. A

  1. A girl during her menstruation developed high grade fever because she was using tampons. Microorganism responsible for her symptoms is?
  2. E.coli
  3. Staphylococcus aureus

Ans. B

  1. The most acute effect of radiation
  2. Endarteritis obliterans
  3. Skin malignancy
  4. Lymphoproliferative cancers
  5. Desquamation

Ans. D

  1. water intoxiacation clinical sign?
  2. Slow pulse
  3. Raised JVP

Ans. A

  1. A woman feels lethargic and has dyspnea on exertion, tingling sensation in feet and difficulty walking. Her Hb is 5 6, WBC 3500, platelets 120,000.Diagnosis?
  2. Iron deficiency anemia
  3. Aplastic anemia
  4. Vitamin B12 deficiency

Ans. B

  1. A pregnant female needs a lead shield to undergo
  2. x-ray chest

Ans. A

  1. A female has undergone hysterectomy, now she has pain in flanks and lower abdomen, oliguria and difficult micturition. Structure damaged?
  2. Ureter

Ans. A

  1. Fat embolism
  2. Fracture of long bones
  3. Symptoms appear after 72 to 96 hours

Ans. A

 

  1. After surgery , a patient’s wound is not healing. She is not taking fruits and vegetables. What is the cause?
  2. Collagen tensile strength is decreased
  3. Type 3 collagen is deficient

Ans. B                                                       b

  1. Hepatitis- B positive when
  2. HBsAg and HBcAg positive

Ans . A

 

 

 

  1. Hepatitis –B is best monitored by
  2. ALP
  3. AST
  4. SGPT
  5. LDH

Ans. C

  1. Maternal mortality in Pakistan compared to developed countries ?
  2. 10 times more
  3. 100 times more
  4. 200 times more
  5. 1000 times more

Ans. B

 

  1. Epidural space
  2. From foramen magnum to L5
  3. From foramen magnum to s2
  4. From foramen magnum to L1

Ans.

 

  1. Iron deficiency anemia diagnosis
  2. Ferritin+TIBC
  3. CBC
  4. TIBC
  5. Ferritin
  6. Bone marrow biopsy

Ans. A

  1. During exercise the blood flow in all zones of lung is like that of
  2. Zone 3
  3. Zone 2
  4. Combination of zone 2 and zone 3
  5. Zone 1
  6. Combination of zone 1 and zone 3

Ans.  C

  1. Regarding pulmonary parameters, what happen to them in pregnancy?
  2. Vital capacity decreases
  3. FEV1 /FVC ratio decreases
  4. Low P02
  5. Low PC02

Ans. D

  1. During ovulation which is not present ?
  2. temperature increase
  3. Vacuolization

Ans. B

  1. Posterior 1/3 of interventricular septum is involved in MI. Which artery involved
  2. Right coronary
  3. Left coronary
  4. Marginal
  5. LCX
  6. Left descending artery

Ans. A

  1. Glucose transported through placenta
  2. Facilitated diffusion
  3. Passive diffusion
  4. Simple diffusion

Ans. A

  1. Increased Specific gravity of urine, derangements in which function of Kidney has occurred ?
  2. Concentration
  3. Filtration
  4. Reabsorption.
  5. Secretion

Ans. A

 

  1. Mechanism of action of local anaesthesia
  2. Blockade of sodium channels
  3. Inhibit resting membrane potential
  4. Move K outside cell

Ans. A

 

  1. In cerebellar lesion, which one among the following is present ?
  2. Dysmetria
  3. Resting tremors
  4. Muscle paralysis
  5. Hypotonia

Ans. A

  1. Saw toothed appearance of glands, vacuolization and edematous storma?
  2. Secretory phase
  3. Proliferative phase
  4. Menstrual phase
  5. Ovulation

Ans. A

85.Secondary amenorrhoea history, best investigation?

  1. Mid-luteal phase progesterone
  2. Estrogen
  3. FSH, LH, Prolactin

Ans. C

  1. First stage during onset of puberty?
  2. Menstruation
  3. Breast bud appears
  4. Pubic hair

Ans. B

 

  1. The most important function of progesterone is
  2. Secretory changes of endometriam
  3. Development of alveoli of breasts
  4. Menstruation

Ans. A

(Progesterone converts the endometrium to its secretory stage to prepare the uterus for implantation.)

 

  1. breast innermost is involved in carcinoma. LEAST likely drainage into
  2. Anterior axillary nodes
  3. Internal thoracic nodes
  4. Inferior phrenic nodes
  5. Posterior intercostal nodes
  6. Supraclavicular nodes

Ans. C???

 

  1. Patient with adrenogenital syndrome
  2. High 17-Ketosteroid, high cortisol and low pregnenolone
  3. High 17- Ketosteroid, low cortisol and high pregnenolone
  4. Low 17-Ketosteroid, high cortisol and high pregnenolone
  5. Low 17-ketosteroid, high cortisol and low pregnenolone
  6. High 17-Ketosteroid, high cortisol and low pregnenolone

Ans. B

  1. One Bar body present in nuclei/cell of
  2. Turner syndrome
  3. Down syndrome
  4. XXY
  5. Normal female
  6. normal male

Ans. D

  1. Strong microbicidal kill
  2. Hydrogen per oxide
  3. SuperoxideB

Ans. B

92.The most striking histopathologic feature of nasal polyp

  1. Squamous metaplasia
  2. Ciliated columnar epithelium
  3. Lymphocytes
  4. Eosinophils

Ans. A or B???

 

  1. undescended testis removed because risk of?
  2. Carcinoma transformation
  3. Infertility

Ans. A

  1. Urothelium in following condition will have great chance to convert to carcinoma?

A Horseshoe shaped kidney

  1. Extrophy of bladder
  2. Duplicate ureter
  3. Medullary sponge kidney

Ans. B

  1. Serous cells
  2. Contain mucin
  3. Basophilic base
  4. Nucleus flat
  5. Eosinophilic
  6. Nucleus at periphery

Ans. ???

  1. Mass felt on pubis and pubic bones malformed. Child getting wet easily
  2. Extrophy of bladder
  3. Absent mesenchyme

Ans. B

  1. A long scenario for Gram-negative rods on urine culture .
  2. E-coli
  3. Staph-aureas

Ans. A

  1. Sexually transmitted disease most commonly by
  2. Chlamydia
  3. Neisseria gonorrhoeae

Ans. A

 

  1. Cervix lymph drainage
  2. Internal iliac nodes

(All the other options were completely wrong)

Ans. A

  1. A boy having high grade fever with jugulodigastric lymphnodes enlarged?
  2. Parotid gland
  3. Pharyngeal tonsils
  4. Sub-mandibular
  5. Sublingual

Ans. B

  1. Variance definition
  2. Square of standard deviation
  3. Square root of standard deviation

Ans. B

 

  1. Genital triangle Nerve supply lost nerve involved?
  2. Genitofemoral nerve
  3. Ilioinguinal nerve
  4. Hypogastric nerve
  5. Pudendal nerve

Ans. D

 

  1. In normal distribution
  2. Mean, mode and median coincide

Ans. A

  1. New born baby with recurrent infections?
  2. IgA difeciency

Ans. A

  1. In ARDS, edema is due to?
  2. Increased capillary permeability
  3. Increased hydrostatic pressure

Ans. A

  1. Parturition is initiated by
  2. Maternal cortisol
    B. Fetal cortisol

Ans. B

  1. Angiogenesis in wound healing by?
  2. Anti-trypsin

B .Caspase 9

  1. Metalloproteinases

Ans. C

 

  1. Parathyroid gland supplied by
  2. Thyroid ima and inferior thyroid artery
  3. Thyroid ima and superior thyroid artery
  4. Superior and inferior thyroid artery
  5. Superior thyroid artery
  6. Inferior thyroid artery

Ans. C

 

  1. Cytokines cause fever by.
  2. Direct action on anterior hypothalamus
  3. C-reactive protein
  4. By prostaglandin
  5. Thermogenesis
  6. Neutophil recruitment

Ans. C

  1. Parsdistalis
  2. Derived from neuroectoderm
  3. supplied by superior hypophysial artery

C.Hypothalamic-portal tarct

Ans. B

  1. A cells with large granules and larvicidal polypeptides
  2. Eosinophils
  3. Neutrophils
  4. Monocytes
  5. Basophils

Ans. A

 

  1. Neutrophils are studied in blood and are found in periphery with oxygen consumption. This process is necessary for.
  2. Phagocytosis
  3. Microbicidal killing
  4. Adhesion

Ans. B???

  1. Which of the following factors are mostly associated with a pathological process rather than a physiologic process?
  2. Epidermal growth factor
  3. Transforming growth factor.
  4. Fibroblast growth factor
  5. Platelet growth factor Endothelial growth factor
  6. insulin like growth factors

Ans. B??

  1. Exomphalos
  2. Defect in anterior abdominal wall

B .Omphalocele

C .Gastroschisis

  1. Defect of umbilicus

Ans. A

  1. Left renal vein lies posterior to
  2. Aorta
  3. Renal artery
  4. Third part of duodenum
  5. Head of pancreas

Ans. A

 

  1. A pregnant female not taking fruits and vegetables
  2. Anencephaly
  3. Omphalocele

Ans. A

  1. cerebellar lesion vill not lead to
  2. Muscle paralysis
  3. Speech loss

Ans. B

 

  1. Myasthenia gravis hypersensitivity
  2. Type 1
  3. Type 3
  4. Type 4
  5. Type 2

Ans. D

  1. Joints between vertebral bodies
  2. Symphysis
  3. Synchondrosis
  4. Syndesmosis

Ans. B

 

  1. Vitamin B12 carried in blood by

A .intrinsic factor

  1. Transcobalamin 1
  2. Transcobalamin 2

Ans. C

  1. Most important mediator of systematic symptoms
  2. IL 1
  3. TNF
  4. Interferon
  5. IL 6

Ans. A

  1. The pain of diseased ovary is felt on medial thigh because of involvement of
  2. Femoral nerve.
  3. Obturator nerve
  4. Pudendal nerve
  5. Perineal nerve

Ans. B

  1. A person got a stab wound 3 cm vertical on lateral right side of linea alba. Initially he was fine but then develops hypotension and shock. Which vessel damaged?
  2. Superior mesenteric artery
  3. IVC
  4. Inferior mesenteric artery
  5. Abdominal aorta
  6. Ileal branch of superior mesenteric artery

Ans. B

  1. Which of the following is from posterior division of sacral plexus
  2. Obturator internus and nerve to gamellus superior
  3. Common peroneal nerve

Ans. B

  1. A lady taking glibanclamide for diabetes develops hypotension and her blood glucose level was 40. She had acute asthma for which she took some drug. Which drug interacted with glibenclamide.
  2. Sulbutamol
  3. Beta blocker
  4. Steroids

Ans. C

  1. Axon reflex
  2. Triple response

Ans. A

  1. Last stage of puberty in girls
  2. Puberche
  3. Telarche
  4. Menarche

Ans. C

  1. A lady having symptoms of menopause
  2. Increased FSH and LH

Ans. A

 

 

  1. Pacinian corpuscles
  2. Unmyelinated fibers
  3. Unencapsulated
  4. Detect low frequency vibrations

Ans. A

  1. About right principal bronchus
  2. More wider than left
  3. Runs obliquely
  4. More prone to obstruction
  5. Longer than left

Ans. A

 

  1. Tickle sensations
  2. A alpha fibers
  3. A delta fibers
  4. A beta fibers

Ans. A

 

  1. Pure water loss replaced by
  2. Isotonic saline
  3. Hyopotonic saline
  4. Ringer lactate
  5. Normal saline
  6. 5% dextrose

Ans. E

  1. Factor common in facilitated and co-transport.
  2. Both for inorganic ions
  3. Uphill
  4. Require carriers for transport

Ans. C

  1. A female with bleeding and coagulation defects. Intrauterine death has occurred. Management?
  2. Platelet transfusion
  3. Delivery
  4. Whole blood transfusion
  5. Fluid replacement

Ans. B

  1. Free radicles produced in reperfusion injury after MI by
  2. Monocytes/macrophages
  3. Neutrophils

Ans. B

  1. Nucleus ambigous arises from
  2. Pons
  3. Mid-brain
  4. Medulla
  5. Cerebral cortex

Ans. C

  1. A person having anti-sera A and D with agglutinins B. Blood group?
  2. B-positive
  3. A-positive
  4. O-positive
  5. AB-positive
  6. B-negative

Ans.B







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