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Physiology 1


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Excretory system

 1 GFR per minute in young healthy adult is about@125

 2 The effective filtration presure in health is about@15mm hg

 3 Which of the following is normal costituent of urine@hippuric acolid, creatine, oxalate

4 A substance generally used for measuuring Renal plasma flow @Diodrast

5 The major source of urea is 6 Glomerulli are located / occupy@dietary protein

7 Diuresis is caused by@Only in the superlicial renal cortex 

8 Which of the following is  the function of renal tubule selective re absorption, tubular secretion, formation of substances

9 ADH has important role in@Facultative water Reabsorption in tubules 

 10 Factors controling volume of urine following @water intake, degree of tubular re absorption, dermeability of futer bed

11 Renin Secretation is stimulated by following @hypovolaemia,angiotensinII,sympathetic stimulates

 12 Ammonia in the kidney tubules is excreted in exchange for@phosphate

 13 The structural and functional unit of kidneys @nepbron

14 The number of nephrons in each human kidneys@1million

 15 kidneys receives the blood from@renal artery

 16 The glomerulus of Nephron is encased in bowman capsule

17 The modified epithelial cells of DCT near the affrent arteriole is called as@macula densa

 18 Juxta glomerular cells of the kidneys secretes.@rennin

 19 Normal value for GFR IS@125ml/min

 20 Ultrafilters of the nephrons are @bowmanns capsule

21 Glomerular filtration is@passive process

 22 During glomerular filtration it filters all @glucose,vitamin,mineral

23 The principal end product of the protein excreated through urine is @urea

24 The presence of glucose in urine is the condition called as @fructos uria

25 The water permeability of DCT & CD is increased in the presence of@ADH

 26 Under normal condition which type of nephrons are functional@cortical nephron

 27 collecting tubules from different nephrons jointly opens into @duct of bellini

 28 Factors affecting GFR@Hydostatic pressure in the glomerulur capillaries, Hydostatic pressure in Bowmann capsule, con. Of Plasma protein

29 Macula densa cells located in@Thick segment of ascending limb of loop of H enle is continued as DCT

30 urine passes through ureter by @parasympathetic tone

31 Facilatory and inhibitory center reflex are locted in @pons

32 Kidneys reicive what percentage of cardiac output@25%

 33 Anaemia in chronic renal failure is due to@decrease erthropoitin

 34 Plasma clearence will be maximum for@sodium

 35 Plasma clearence will be lowest for@uric acid

 36 In healthy indivudal usuually GFR is@Between 15 to 20 % of effective blood flow

37 In chroinic renal failure@Plasma poco2 tends to be low 

38 The process of urine formation begins with@glomerular filtration

 -39 The factor that decreases GFR is@increase in glomerulur capillary COP

 -40 The hormone or autacoid that increases GFR is@prostavlandin/brydykinin

 -41 The transport maximmum for glucose is about@375mg/min

 -42 Large molecules such as proteins are actively absorbed by @pinocytosis

-43 A large part of the osmotic flow of water occurs through the @tight junction

-44 Normally, the percentage of absorption of sodium & water by the proximal tubule is @50

-45 The part of the renal tubule that is virtually impermeable to water is @thick segment of ascending limb

-46 The cells of the distal tubule that reabsorb Na & water & secrete K into the lumen are@principle cells

 -47 The cells of the distal tubule that reabsorb K & secrete H ions into the lumen are @intercalated cells

-48 Inhibition of Na & water reabsorption by renal tubules is due to @increase atrial nautriuretic peptide

-49 The hormone that increases calcium absorption from distal tubule is@parathormone

 -50 The human kidney can produce a maximal urine concentration of@1200_1400Osm/lit

 -51 The process by which medullary interstitial fluids become hyperosmotic is@counter_current mechanis

 -52 About 80-90% of the bicarbonate absorption & H ion srcretion occurs in the @proximal tubule

-53 In juxtaglomerular complex, the secretory cells of the distal tubules lying juxtaposition to the glomerulus are called as @macula densa cells

54 In the average human, the GFR is about @125ml/min

-55 The net filtration pressure for glomerular filtration is @10mm of hg

-56 The substance that is newly formed by the kidney & excreted is@ammonia

 -57 The plasma clearance value of this substance is used to estimate GFR @insulin

58 The normal value of urea clearance is@75ml/min

 -59 Quantity of urine formed in 24 hours in an adult normal individual is@600_2500ml

 -60 Substances that stimulate the formation of urine are termed as@diuretics

 -61 The mean pH of normal mixed 24 hour urine is about@6

 -62 One of the following is an abnormal constituent of urine@albimin

 63 Excessive glucose is excreted through the urine in@Diabetes mellitus 

-64 The normal desire for micturition is felt when urinary bladder has collection of @50_150ml of urine

-65 The external sphincter & distal urethra are inervated by @pudendal nerve

-66 Cortical center for micturition is present in the@postcentral gyrus_motor area

 -67 The spinal centers for micturition are present in the@S2_4

 -68 The layer of the epidermis that is thickest at palms and soles and thinnest at the lips is@stratum corneum

 -69 Hairs and nails are special otgrowths of this layer of skin@stratum corneum 

-70 The precursers of keratin 'eleidin' droplets are present in this layer of the skin@stratum lucidum

 -71 Polyhedral cells filled with keratohyalin grannules are present in this layer of the skin @stratum granulosum

-72 Stratum spinosum layer of the epidermis contains@prickle cells

 -73 The layer of epidermis that produces new cells to replace those of the above layers is @stratum germinativum

-74 Dermis is made up chiefly of @collageous & elastic fiber

-75 The involuntary muscle attached to the hair to cause the hair stand on end is @arrector pylorum

-76 The ceruminous glands of the external auditory meatus are @sweat gland

 -77 The pigment imparting reddish hue to the skin colour more evident in areas having rich arterial supply is -@oxyhemoglobin

78 A cholesterol rich fatty substance secreted over the surface of the skin is @sweat 

-79 By the action of ultra-violet rays of the sun on ergosterol in the skin and subcutaneous tissue synthesizes this vitamin @vitamin D

 -80 The average quantity of insensible perspiration in the cold climate is about@600_800ml/day

 -81 The threshold for thermal sweating in man is@28degree C

 -82 The sebaceous glands are totally absent in@palm & soles

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-2) Skin & Body temperature 

1 Thermoregulation center is present at @hypothalamus

2 Heat loss in body by @conduction,radiation,convection

3 The averge normal core temprature is@98.0f to 98.6f

 4 Heat insultor of our body is @subcutaneous tissue, fat, skin

5 hyperpyrexia is@high fever

 6 Skin colour is due to@melanin

 7 Sweat gland are@eccrine&apocrine

 8 Pheromones are chemical substances secreted by@apocrine gland of skin

 9 Synthetic function of skin is synthesis of vit. D

10 What is sebum@secreation of sebaceous gland

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3) biophysics 

1 The average PH of urine is@6

 2 The osmotic pressure of soluiion increases with the rise in@tempture

 3 The osmotic pressure of solution relating to solute molecules depends on the molecules@number

 4 Osmosis is opposite to @diffusion

5 The surface tension of solution is lowered by@ammonia

 6 The surface tension of a solution in increased by@con.sulphuric acid

7 Bile salts make emulsification with fat for the action of @lipase

8 The process of adsorption is applied in the purification of@enzymes

 9 The absorption of intact protein from the gut in the foetal and newborn animals take place by @pinocytosis

10 The water is not expelled by squeezing @inhibition

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4) respiratory system

1 Carbonic anhydrase in RBC forms@bicarbonate in blood

 2 The most important muscle of inspiration is@

 3 During normal inspiration@intrathoracic pressure fall, intra pulmonary pressure fall, intra abdominal pressure rise

4 The rhythm of respiration @require activation for form pontine Centre, originates primarily form exploratory, persists after both the vagi are served

5 The largest of the following lung volume/capacity is@vital capacity

 6 The Herrirg Breurer inflation leads to @Prevents over distension of lung insproch

7 Vital capacity@Is greater in men than women of the same age and height

8 Following are all muscles ofi nspiration @scalenus anterior 

9 Surtectant is secreted by@alveolar type II cells

10 About 70% of the C02 entering the blood is carried as@bicarbonate

 11 Air taken in or expired out per breath's@tidal volume. 

12 TheArterial Co2 is reduced in@anemia

13 lncreased ventilation during the exercise is due to stimulation of @joint proproceptors

14 Pulmonary type II epithelial cells secrete @surfactant

15 In adult humans the total body water is____lits @40_45L

16 Water constitutes ____% of total body weight@60_65_ 

17 Tissue fluid is derived from @blood capillaries, tissue activities

18 Excess accumulation of tissue fluid in tissues is @oedema

19 Tissue fluid contains all @rbc,lymphocytes,waste products

 20 Largest lymph vessel in humans is@thoracic duct 

 21 Primary lymph vessels in small intestinal villi are@lacteal

 

23 Lymph can coagulate but slowly @true

24 Substance that increases rate of lymph flowlymphatogogue

 25 COT of lymph is ____than that of plasma @lower

26 New lymphocytes are formed in ____of lymph node@cortex

 27 Largest lympoid tissue in humans is @spleen

28 Structure of spleen includes @red & white pulp, hilum

29 White pulp of spleen includes@periaterial lymphatic sheath, spleenic nodes

30 RE cells include @tissue histocyte, microglia, endothelial cells

31 RES functions include @phagocytosis,blood cell d antiboxy formation

*32 During normal inspiration@intrathoracic pressue fall, intrapulmonary pressure falls, intragabdominal pressure rise

33 Coughing invove @closure of epiglottis

34 The following can be measure with spirometer @tidal volume, inspiratory reserved volume, vital capacity

35 The maximul volume of that can be expelled out forcufully after maaximum inspirataion is called @vital capacity

36 The lowest PO2 is found in @venous blood

37 Chemical regulation of respiration is maximaly affected by @CO2

38 Hering bruear reflex leads to @increase respiratory rate

39 Cynosis is seen when concentration of@deoxygenated Hb increase

40 A case of restrictive lung diseaases differ from obsructive diseases in having lower @residual volume, vital capacity, total lung capaciyy

41 CO2 is transported in blood@in disslove plasma as bicarbonate, as bicarbonate, in combination with Hb

42 During respiration, the elevation of the ribs causes -@increase in diameter of chest cavity 

43 The pleural pressure during different stages of respiration is -@ negative

44 The total compliance of both the lungs together in the normal adult human being is about@ 200mlmcm alveolar pressure

 -45 The respiratory distress syndrome of the newborn occurs due to@ lack of surfactants in small alveoli.. 

-46 The volume of air inspired or expired with each normal breath in the adult male is about@500ml

 -47 The normal inspiratory volume in an adult male is @ 3000ml

-48 The amount of air that remains in the lungs at the end of normal expiration is called @functional residual capacity 

-49 The total lung capacity in an adult male is about -@3000ml

50 Average minute respiratory volume in young adult man is about --@6L/min

51 Normal dead space air in a young man is about@150ml

 -52 The respiratory passageways from nose to the terminal bronchioles are kept moist by@surfactant

 -53 The surface of the respiratory passageways from nose to terminal bronchioles are lined by @ciliated epithelium

-*54 The afferent nerve impulses of thr cough reflex pass to the brain through@vagus nerve

 *-55 The afferent nerve impulses of thr sneeze reflex pass to the brain through@trigeminal nerve

 -56 Particle larger than this size can not enter the lungs through nose @6micrometer

57 Phonation and articulation are the two mechanical functions of -@speech

58 The respiratory gas exchange occurs by@diffusion

 -59 The air has an approximate composition of oxygen percentage of -@21%

60 Among the gases in the air, the gas that has highest solubility coefficient is @CO2

61 At normal body temperature, the vapor pressure in the humidified air in the respiratory tract is @47mm of hg

-62 Among the gases in the air, the gas that has highest diffusion coefficient is @CO2

-63 PO2 of the alveolar air is@104mm of hg

 -64 PCO2 in the alveolar air is@ 40mm of hg-

65 The average number of alveoli in both the lungs together is @300million

-66 The membrane through which the gaseous exchange takes place in the lungs is @respiratory membrane

-67 The total surface area of the respiratory membrane is about -@70sqm

*68 In the average young man, the diffusing capacity for oxygen under resting conditions is about @21ml/min/mm hg

-*69 In the average young man, the diffusing capacity for carbon dioxide under resting conditions is about@400 - 450 ml/min/mm of hg 

-70 Normally, the percentage of oxygen transported from the lungs to the tissue in chemical combination of hemoglobin is about @97%

-71 Normally, the percentage of oxygen transported from the lungs to the tissue in dissolved state in the water of plasma is about @3%

72 Each gram of hemoglobin can bind with maximum of oxygen @1.34ml

-73 Under normal conditions, volume of oxygen transported from lungs to the tissues by each 100 ml of blood flow is @5ml

-74 The normal value of utilization coefficient for oxygen is @25%

-75 Under normal resting conditions, the volume of carbon dioxide transported from the tissues to lungs in each 100 ml of blood is @4-ml

76 The reaction of dissolved carbon dioxide in the blood with water to form carbonic acid is catalysed by @carbonic anhydrase

-*77 An increase in the carbon dioxide in the blood causes oxygen to be displaced from hemoglobin is @bohr effect

-*78 Binding of oxygen with hemoglobin tends to displace carbon dioxide from the blood is@haldane effect

 -79 Maximum / 70% of carbon dioxide is transported in the blood in the form of @bicarbonate ions

-*80 The sensory signals from peripheral chemoreceptors and baroreceptors are transmitted into the nucleus of tractus solitarius through @vagus & glossopharyngeal

-81 The control of 'switch off' point of the inspiratory ramp is with@pneumotaxic centre

 *-82 Pneumotaxic center is located in the Nucleus @parabrachial

*-83 When the lungs become overinflated, the stretch receptors activate to 'switch off' inspiratory ramp to stop further inflation is called @hering breuer reflex

-84 Chemoreceptors for regulation of respiration are located in@carotid, aortic bodies

-85 More potent effect of stimulating the chemosensitive neurons is caused by -@CO2

86 Blueness of the skin and mucus membranes due to excessive amounts of deoxygenated hemoglobin is called as @cynnosis

-87 When there are runs of several normal respiration followed by apnoea, it is called as @biot's breathing

-88 Inadequate or decreased supply of oxygen to the lungs because of extrinsic reasons is called @hypoxia

-*89 Hypoxia due to low oxygen tension in the arterial blood is anoxic/arterial hypoxia

-*90 When there is low oxygen content of blood due to deminished or non-functioning hemoglobin it is --@histotoxic hypoxia

*91 Anoxia/hypoxia due to decreased rate of blood flow through the tissue is @Stagnant hypoxia

-*92 Anoxia/hypoxia due to inability of the tissues to utilise oxygen is -@histotoxic hypoxia

*93 Hypoxia at high altitude is @anoxix/arterial hypnosis xia

*94 The type of hypoxia in congestive cardiac failure is -@stagnant hypoxia

95 Oxygen therapy does not help in -@histotoxic hypoxia

96 Sickness that occurs in divers after rapid decompression while returning to normal atmospheric pressure is -@dysbarism

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5) cvs 

 2 In resting person the carotid body cells are likely to be stimulated in

 3 The inter arterial septum is@upper 1/4 fibrous & lower 2/4muscular

4 The sinuses present between aort wall & cups of semilunar valve is called@sinuses of valssalva

 5 Normal in the heart@s.a.node generate impulse

6 Defect in the conduction of purkinje fibers is calleds@arborisation block

 7 Isometric contraction period is S.A.node is stimulated in@0.05sec

9 Reserve spacemaker is@A. V node

10 Rate of transmission in S.Anode is@70-80min

11 Heart rate os maximum in a normal @foetus

12 Cardiac output is maximally increased in@exercise

 13 Stimulation of baroreceptors leads to@decrease in BP d heart rate

14 Fibres of A-V junction are @conduct impulse rapidly

15 The P-wave of the ECG occurs@at the begining of atial contraction

16 Heart rate is accelerated by all of the following @inspiration,exercise,anger

 17 During exercise, the blood flow is decreased in all @cutaneous circulation, hepatosplanchnic circulation, renal circulation 

18 During cardiac cycle immediatly after closure of AV valve there is@isometric contraction

 19 The closure of AV vavle is intitiated by@backward flow of blood during venticular contraction

20 Cardic index is cardic output@per unit surface area

 21 Chemorecptor stimulation leads to@rise in blood pressure

 22 The first heart sound is mainly due to@closure of AV valve

23 If the normal cardiac output is doubled, pulmonary artery pressrure apoximetly@normal 

24 Process of repolarization is best demonstrated by @T-wave

*25 In coronary diseases existence of current of injury means@ischemia

 26 Anoxia will lead to local@ artriolar dilation

27 Under basal condition about 70% blood volume is found in@large veins

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heamatology 

1 E.S.R. increased with @autoimmune disease, anemia, lymphoma

2 The iron present in the haem is stored in body @ferritin,haemosiderin

3 Leucopenia means@decrease in the WBC count below 4k cumm

4 Agglutinogens present in RBC of 'O' group is @O

5 Synthesis of haemoglobin in@RBC in bone marrow

 *6 Failure function of bone marrow, anaemia produced is called @aplastic anemia

7 Which of the following is  true about spleen@has outer covering capsule with peritoneum, function are reserviour of blood, blood circulation is slowest circulation 

8 In classical Haemophilia@bleeding time increases 

9 Carbonic anhydrase in RBC forms@bicarbonate in blood

10 Formation of RBC utilities @Fe,Cu,Cobalt

11 Intravascular clotting is prevented by @ circulating heparin, 12 Anaemia due to maturation defect is@mjcrocytic anemia

 13 Agglutinogens present in serum of AB blood group @neighter alpha&beta

14 Arneth Index is term related to @neutrophils

15 Leukamia means@maligant disease with increased number of immature Wbc in blood


16 Platets formed/developed from@colony forming unit vell Meg-CF

17 Synthesis of Hb requires @first class protein

18 In a person with type '0' blood, what type or types of aglutinins are present in plasmaaboth alpha&beta 

 19 Macrophages are the mature form of @monocytes

20 Blood volume can be measured by@evans blue, radiolabbelled plasma, radiolabbelled chromium 

21 Arneth count is counting of@lobesinneutrophils

 22 Anaemia due to maturation defect is @normocytic anemia

23 Iron absorption from gut is@ independent of iron store in the body

24 Cells in blood include @RBC,WBC,Platelets

25 Blood is slightlyaalkaline

 26 Functions of blood include all @transport of respiratory gases, transport of nutrition, defective action

27 Ratio of RBC to plasma is@hematocrit vvalue

 28 The liquid that remains behind after blood clotting is @serum

29 Plasma volume varies between@45-55%

 30 Specific gravity of blood varies between @1.048_1.066

31 Specific gravity of blood rises in case of @decrease water intake, inflammation, excessive aweating

32 Plasma proteins include all @albumin-4.7, globulin-2.3, fibrinogen_0.3

33 ____is most imp for maintaining COT@albumin

 34 ____are imp for bld clotting@fibrinogen,prothrombin

 35 ESR increases in all@ rise in Ow, rise in cholesterol, rise in fibrinogen

36 PH of blood varies between@7.36-7.45

 37 Bld clotting factor no 8 is_____factor @antihaemophilic 

38 _____ is imp cofactor in bld clotting @calcium

39 Lack of clotting factor no 8 causes @haemophilia

40 Intravascular coagulation is known as @thrombosis

41 Blood volume increases in @pregnancy,muscular exercise, emotional excitement 

42 In adults bld cells are actively produced by @red bone marrow

43 Mature RBC is @biconcave

44 Normal RBC count in adults is_____mill/mm3 bld@4.5-5.5

 *45 Deviation from normal shape in RBC is called@poikilocytosis

 *46 Deviation from normal size in RBC is called @anisochtosis

47 RBC larger than normal size are called amacrocytes

48 RBC smaller than normal size are calledamicrocytes

 49 Hemoglobin first appears in___stage of erythropoiesis @intermediate normoblast

50 Total time required for erythropoiesis is___days @9days

51 Proerythroblast is also known as @megaloblast

52 Life span of RBC is_____days @120days

53 Pigments made from RBC degradation are@bilirubin,biliverdin,stercoobilinogen,urobilinogen

 54 Iron in hemoglobin is in ____ form @ferrous

55 Haem contains 4 ____groups @pyrrole

56 Hemoglobin can be estimated by___method @sahli,gower,spectrophotometer

57 Iron is stored in human body as ____@ferritin,hemosiderin

 58 Mean diameter of RBC is_____@7.2microns 

59 Mean thickness of RBC is_____@2.2microns 

60 In thalassemia RBC contain____type of hemoglobin@F

 61 Failure of bone marrow results in___anaemia @aplastic

62 Deficiency of RBC in blood causes@anemia

 63 Increase in number of RBC is known as@polycythemia

* 64 Pernicious anaemia is also known as_____anaemia@addison's & megaloblastic

65 In iron deficiency anaemia RBC are @microcytic,hypochromic

66 Breakdown of RBC is called@haemolysis

 67 All is true about WBC @nucleated,,amoeboid,colorless,type:GBEN&MLA

 68 Normal WBC count in adults is_____/mm3 bld @4_11K 

9 Neutrophils are____ lobed @2-7

70 Most numerous WBC in adult bld are ____ @neutrophil

71.neutrophil are classified by @arneth index & schilling index

72 Largest WBC in circulation are@monocytes 

73 Antibody formation is function of @lymphocytes

74 Malignant disease of 1 or more variety of WBC is@leukemia

 75 Average life span of platelets is____days @5-9 xays

76 Normal platelet count varies between____@2.5-4.5 lac/mm3 bld

 77 Contractile protein of platelets is@thrombosthenin

 78 Decrease in platelet count results in___@purpura

 79 Antibodies are ____ in nature @globin

80 Immunity is defence mechanism against @micro organis, foreign protein, toxin

81 Blood banks store blood in @ACD solution

82 Bld transfusion in indicated in the following condition@haemorrhage,shock,coal gas poisoning

 83 Bld group agglutinogens are present in@RSC

 84 Bld group agglutinins are present in @plasma

85 AB bld group is universal____ @recipent

86 O bld group is universal @donor

87 ___% of Indians are Rh +ve @95%

88 Rh +ve means presence of ___antigen@D- antigen

 89 Erythroblastosis foetalis is seen in_____mother @Rh-ve

90 MN bld group is important for______ @paternity test

91 Mismatched bld transfusion can result in___ @hemolysis,jaundice,renal failure

92 Neubauer's haemocytometeris used to count____@RBSLC, WBC, Platelets

93 WBC count increases in all @leucopenia

94 Plasma globulins@Have bigger molucules as compare to albumin, contribute toward viscosity of blood, help in transport of iron

95 RBC formation utilizes @ Iron, cobalt, copper

96 RBCs@are responsible for major part of blood viscocity, carry bemoglobin, non nucleated cell

 97 Red blood cell in periphral blood @Include about 1 % reticulocyte

 98 Red blood cell @non nucleated, biconcave, disk like structure, contain pigment called haemoglobin

99 During second trimester of pregnancy erthropoisis occurs in foetus primarily in@liver

100 In haemolytic jaundice@Increased amount of stercoblin in feces, Increased amount of urobilin in urine, Increased amount of protein bound bilirubin in blood

101 Anaemia due to malnutrition defect is@pernicious anemia

 102 The process where by WBC can squeeze through pores in capillary wall is walls is @dipedesis

*103 Polyctemia could result from excess intake of@cobalt

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7) Special Senses 

1 Visual cortex for vision located@on medial surface of occipital lobe

2 What happens to light rays when confrontong a convex lens@converge

3 Refratory index of crystline lens is @1.4

4 Visual acuity is tested with test chart palced at @20 feet

5 Fuction of stapedius is@Protection of cochlea from loud sound, Masks low frequency sounds, decreaseing sensitivity to on own speech

6 Foot plate of stpes covers@oval window

 7 Which of the following is not primary taste sensation@pungent

 8 The taste buds are present on which type of papillae@circumvallete, fungiform, foliate

9 The odour is sense by@glomerulus

10 The rod in the retina@are rendered by - insensitive by bright


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