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135
ec5dba70-d828-466d-b982-167619fb8a1a
Which of the following statements regarding treatment of hypothyroidism in a patient with ischemic hea disease is not false:
Low dose of Levothyroxine
Normal dose of Levothyroxine
Do not use Levothyroxine
Use thyroid extract
0a
multi
Replacement therapy typically is initiated with 25mcg and the dose is increased gradually.Initiation of levothyroxine therapy in IHD patient is done slowly and the dose is not increased before 6-8 week interval. Ref: The thyroid and cardiovascular risk: Merck European Thyroid Symposium By Karl-Michael Derwahl, Leonides...
Medicine
null
8cf349cc-f44c-47f8-bd42-6e0a3ed9e0cb
Ratio of median lethal dose to median effective dose is called?
Drug potency
Therapeutic index
Potentiation
Therapeutic efficacy
1b
multi
Therapeutic Index (T.I.): T.I. = LD50 /ED50 It is a measure of the safety of a drug. It is calculated as a ratio of LD50 to ED50. Drugs having high T.I. are safer whereas those having low T.I. are more likely to be toxic.
Pharmacology
Pharmacodynamics
59275ae2-7bc5-4e8e-ac5f-af7e1892dc32
For radiotherapy an isotope is paced in or around canecr site. It is called as:
Brachytherapy
Tefetberapy
External beam therapy
Intensity Medulated radiotherapy
0a
multi
Ans: A (Brachytherapy) Types of radiotherapy Grainger & Allison's Diagnostic Radiology 6thfl 737-44External beam radiotherapy: It refer to any situation where the source of the radiation is located at a distance from the patient & the beam of radiation is then directed towards a defined treatment area. Approximately 85...
Radiology
Brachytherapy
8a08a416-d091-41e7-bab2-ce9e9184aee6
Fixation is a concept related to
Psychosocial stages of development
Psychosexual stages of development
Cognitive stages of development
Hierarchy of needs
1b
single
Fixation is concept introduced by Sigmund Freud, he explains this in his each stage of Psychosexual stages of development. Ref: Synopsis of Psychiatry, 11e, pg 157.
Psychiatry
Cognitive development and defence mechanism
cf3c2f1f-47d2-4352-929b-d98ac41847de
Delusions are not likely to be seen in:
Dementia
Depression with psychotic symptoms
Schizophrenia
Conversion disorder
3d
single
Delusion is a false, firm ,fixed and unshakable belief. It is not a feature of conversion disorder. It can be a feature of- schizophrenia depression with psychotic symptoms Dementia.
Psychiatry
Basics of Psychiatry
2013e05b-3adc-4c1c-9e90-d45f43890c94
Fournier's gangrene affects
Cheek area
Perineal area
Abdominal wall
Toes
1b
multi
Ref:Bailey and love 27th edition Pg no :419
Anatomy
General anatomy
802a80a7-5b52-490d-ac23-cabaa32e8ce2
All of the following cranial nerves are involved in Acoustic neuroma, except -
Vagus
Glossopharyngeal
Oculomotor
Facial
2c
multi
Ans. is 'c' i.e., Oculomotor Clinical features of acoustic neuromao The clinical features depend on the extent of tumor and involved structureWhen tumor is still confined to the internal auditory canalCochleovestibular symptoms are the earliest symptoms of acoustic neuroma when tumour is still confined to internal audi...
ENT
Malignant Tumors
09642131-aa5c-4e5e-9d10-314521d7e4b7
ICD 10 -
Revised every 5 years
Consists of 10 chaptors
Arranged in 3 volumes
Was produced by UNICEF
2c
single
Ans. is 'c' i.e., Arranged in 3 volumes International classification of disease (ICD) The ICD was produced by WHO and has been accepted for national and international use. Since its inception, ICD has been revised about once every 10 years. The latest revision, the 10' revision (ICD-10), came into effect on January 1, ...
Social & Preventive Medicine
null
9844fc05-fbbf-46a1-b5f6-1639812a69ac
Feature of Torsade de pointes is
Wide QRS complex
Sho QRS complex
Prolonged QT interval
Sho QT interval
2c
single
Polymorphic VT that occurs in the context of congenital or acquired prolongation of the QT interval often has a waxing and waning QRS amplitude creat- ing a "twisting about the points" appearance referred to as Torsade de Pointes Ref Harrison 20th edition pg 1443
Medicine
C.V.S
da27e783-4c0b-4621-bc3d-938a109d8425
Use of lithium during pregnancy increases the risk of development of which of the following malformations in the baby?
Facial defects
Cardiac defects
Neural tube defects
Urogenital defects
1b
single
Lithium causes Ebstein's anomaly (malformation in tricuspid valve of hea) if given in pregnancy. Other side effects of lithium includes: Leucocytosis I Tremors (most common adverse effect) Hypothyroidism Increase Urine (polyuria) Mothers (avoided in pregnancy).
Pharmacology
AIIMS 2018
e8e8ba8d-f82f-4da8-a0fe-8dd0a7f04a52
Curdy vaginal discharge is seen in which infection-
Bacterial vaginosis
Candidiasis
Trichomoniasis
Chlamydia
1b
single
Ans. is 'b' i.e., Candidiasis Candidiasiso MC common vaginitis during pregnancy, OCPs, steroid therapy, antibiotic therapy, diabetes & immunocompromised patients.o Caused by a gram positive fungus Candida (MC-albicans)o Presents with curdy white discharge writh intense pruritus, dysuria, dyspareunia.o 20% patients are ...
Gynaecology & Obstetrics
Symptoms Associated with Genital Infections
689b5efb-5a58-424f-91e3-815991c68778
Superficial burns; true is/are -
Always requires skin grafting
Dry & inelastic
Blister formation
Can be healed within 7 to 10 days
3d
multi
Answer is 'd' i.e. Can be healed within 7 to 10 days Burn depth is an impoant topic and repeatedly asked. Burns are classified according to increasing depth in 2 ways 1) into degrees i.e. 1st degree to IVth degree burn 2) into a less precise classification i.e. Shallow & Deep burns.
Surgery
null
990a9348-1e14-479b-afd5-8ee0a1e77cb4
Transformation of CLI/SLL into DLBCL is called -
Richter syndrome
Evans syndrome
Li Fraumeni syndrome
Kostmann syndrome
0a
multi
Answer- A. Richter syndromeRichter's transformation is development of an aggressive large-cell lymphoma in the setting of underlying chronic lymphocytic leukemia/small lymphocytic lymphoma (CLL/SLL).
Medicine
null
2a379a53-85d5-4e25-ab9f-77f58eadcf05
All of these substrates are glucogenic except:
Acetyl CoA
Pyruvate
Glycerol
Lactate
0a
multi
Ans. a. Acetyl CoA (Ref: Harper 30/e p185. 29/e p187)Acetyl CoA is not a substrate for gluconeogenesis and cannot be converted back to glucose."Acetyl CoA is not a substrate for gluconeogenesis and cannot be converted back to glucoseQ. This is because acetyl CoA cannot be converted back to pyruvateQ since its carbon ba...
Biochemistry
Gluconeogenesis
a4a1741a-b21c-488b-9ef9-55b471b92f68
Classical conditioning theory was given by:
Masler.
Bandura.
Pavlov.
Skinner.
2c
single
Classical conditioning theory was given by Pavlov.
Dental
null
173d2c0e-98e2-42da-9e1c-1613e56120e8
What is the imaging of choice in the setting of head trauma?
Helical CT scan without IV contrast
Spiral CT scan with IV contrast
MRI
Digital skull radiographs
0a
single
Ans. A. Helical CT scan without IV contrastIn head trauma the imaging study of choice is CT scan.Usually is contrast study is not needed for head injury per se.Skull radiographs have extremely limited value as compared to CT except in evaluation of skull fractures that to depressed skull fracture/fracture base of skull...
Radiology
Nervous System
2b15985c-e713-467a-abcc-a3446ae96196
Management of desmoid tumor is?
Local excision
Wide excision
Radiotherapy
Growth inhibitors
1b
single
Wide excision REF: Devita 8th ed chapter 45 Aggressive fibromatosis is a rare condition marked by the presence of desmoid tumors, which are benign, slow-growing tumors without any metastaticpotential. However, Aggressive Fibromatosis is locally aggressive. Despite their benign nature, they can damage nearby structures ...
Surgery
null
981f43bb-0f11-4d8f-a8ee-5c0283107593
The block shown in the diagram is going to affect all of the following nerves EXCEPT
Inferior alveolar nerve
Buccal nerve
Lingual nerve
Mental nerve
1b
multi
While operating on lower teeth, Inferior Alveolar Nerve block before it enters into Mandibular Foramen on the medial aspect of the Ramus of the Mandible is done. Inferior Alveolar Nerve continues as Mental Nerve so we block this as well, the only unblocked nerve is Buccal Nerve which supplies lateral aspect of the gums...
Anatomy
Neuroanatomy, Head and Neck
384301b5-e53a-4bb2-b3ed-68f0c8eb4fdf
In Crude death rate the population is taken as on
Ist March
I st July
Ist April
15th August
1b
single
Ref: Parks 23rd edition pg 57 Mid year population is considered. Hence July 1st is taken.
Social & Preventive Medicine
Epidemiology
19c3728c-b516-4bf6-8132-c6e0bb6d0ec6
Which of the following drugs should not be used in setting of severe hypeension in elderly on empirical basis?
Enlapril
Amlodipine
Chlohiazide
Prazosin
3d
single
Ans. is 'd' i.e., Prazosin o For initial treatment (emperical treatment) ACE inhibitors, ARBs, Diuretics or CCBs are used. Note - in most of the cases thiazide diuretic is the DOC for treatment initiation.
Pharmacology
null
cbfc0578-d385-4681-a08c-9dcc85c6021e
Drug implicated for prolonging QT interval in a premature baby is-
Domperidone
Metoclopramide
Cisapride
Omeprazole
2c
single
Ans. is 'c' i.e., Cisapride
Pharmacology
null
f852b0d0-e5a9-45ec-915c-7f0ec98b568e
Which of the following is true regarding Fluorescence
Spontaneous illumination in dark
Release of longer wavelength light on absorbing light of shoer wavelength
Release of shoer wavelength light on absorbing light of longer wavelength
Continuous emission of lights of different wavelength
1b
multi
Ans. b. Release of longer wavelength light on absorbing light of shoer wavelengthIn Fluorescence, there is release of longer wavelength of light on absorbing light of shoer wavelength is seen.FluorescenceIt is the emission of light by a substance that has absorbed light or other electromagnetic radiationQIt is a form o...
Biochemistry
null
65ea1e5d-a478-4742-864c-5962e43a80e5
The hallmark of refeeding syndrome after first week of staing a refeed is:
Hyperphosphatemia
Hypophosphatemia
Hypokalemia
Hyperkalemia
1b
multi
The hallmark of refeeding syndrome is the development of severe hypophosphatemia after the cellular uptake of phosphate during the 1st week of staing to refeed. Refeeding syndrome is a complication of the acute nutritional rehabilitation odf children who are undernourished from any cause, and it may follow overly aggre...
Pediatrics
Nutrition
8ebfd3ac-21ac-47e8-b042-c5599084799e
Therpeutic drug monitoring is particularly useful for which of the following drug/s?
Lithium
Aminoglycoside antibiotics
Anticonvulsants
All the above
3d
multi
Ans. is 'd' i.e., All the above Therapeutic drug monitoring is particularly useful in following situations:1. Drugs with low safety margin -a) Digoxinb) Anticonvulsantsc) Antiarrythmicsd) Theophyllinee) Aminoglycoside antibioticsf) Lithiumg) Tricyclic antidepressants2. If individual variations are large -> Antidepressa...
Pharmacology
General Pharmacology
0d65c103-44ed-47fd-9b7f-06cb90097fcf
Aerial supply of tonsil is mainly by?
Tonsillar branch of facial aery
Maxillary aery
Middle meningeal aery
External carotid aery
0a
single
The tonsil is supplied by five aeries : 1. Tonsillar branch of the facial aery. This is the main aery. 2. Ascending pharyngeal aery from external carotid. 3. Ascending palatine, a branch of the facial aery. 4. Dorsal lingual branches of the lingual aery. 5. Descending palatine branch of the maxillary aery. (Ref: Diseas...
ENT
Pharynx
b1572615-40af-4abb-9b1a-f1c2b5ea09b9
Phenobarbitone is used in -
Organophosphate poisoning
Carbamate poisoning
Neonatal jaundice
Phenol poisoning
2c
single
Ans. is 'c' i.e., Neonatal jaundice Phenobarbitone* Phenobarbitone is a long acting barbiturate.* Barbiturates induce several hepatic microsomal enzymes and increase the rate of metabolism of other drugs.* This property of phenobarbitone can be used as an adjuvant in treatment of neonatal jaundice.* In cases of unconju...
Pharmacology
C.N.S
4dce23c7-582e-4d73-9b01-9c166aa47350
In chlamydial cervicitis drug of choice is :
Tetracycline
Septran
Chlomphenicol
Erythromycin
0a
single
Tetracycline
Gynaecology & Obstetrics
null
ea772afd-27a7-4c50-8697-3488d87aff29
Investigation of choice for Hydronephrosis-
Excretory Urography
USG
MRI
Cystourethrography
1b
single
Excretory Urography Also known as IVP Used to evaluate pelvic and calyceal system USG: IOC for fluid anywhere in the body Investigation of choice for Hydronephrosis MRI: Multiplanar imaging Good soft tissue resolution IOC for Neurological diseases IOC for Brain tumors: CE - MRI IOC for spinal metastasis: MRI IOC for ve...
Radiology
Genitourinary radiology
fa70fd78-c57a-4f8f-b7d2-f674f9aedadd
Declaration of Tokyo is related to?
Human experimentation
Torture
Euthanasia
Organ transplantation
1b
single
Ans. (b) TortureRef. Ethics for doctors, Nurses and patients by H.P. Dunn P 37, World medical association website and various internet resources
Forensic Medicine
Law & Medicine, Identification, Autopsy & Burn
b4ff4fd5-fae6-43bf-ae2e-ac5ec089bc73
A patient presents to the emergency department of AIIMS with the most severe headache of his life. What should be done next?
Contrast enhanced computed tomography (CT)
Noncontrast CT
Magnetic resonance imaging (MRI)
Lumbar puncture (LP)
1b
single
ANS. B* Investigation of choice in subarachnoid hemorrhage (SAH): Noncontrast CT* Investigation of choice in aneurysm: DSA* Investigation which can diagnose ischemia in brain earliest: MRI (diffusion weighted imaging, within 3-30 minutes)* First imaging investigation to be done in a patient with suspected stroke: Nonco...
Radiology
Nervous System
ea836d9b-acef-461f-95d9-4385f5cd2c12
Most non polar amino acid is:
Leucine
Glycine
Arginine
Lysine
0a
single
Polar and non polar amino acids: Polarity : Amino acids are classified into 4 groups based on their polarity. The polarity in turn reflects the functional role of amino acids in protein structure.  Non-polar amino acids: These amino acids are also referred to as hydrophobic (water hating). They have no charge on the '...
Biochemistry
null
b0e5621b-fac6-4800-a485-2dc179439351
Esmoprazole acts by inhibiting
H+K+ ATPase pump
H+Na+ ATPase pump
H+ pump
Any of the above
0a
multi
Ans. a (H+K+ ATPase pump). (Ref. Harrison's internal medicine, 16th ed., 1753)Esmoprazole# s-enantiomer of omeprazole.# It is claimed to produce better control of pH in stomach than omeprazole in GERD.# It is effective as Omez in healing gastric/duodenal ulcer and in inhibiting H. pylori.# Side effects and drug reactio...
Pharmacology
G.I.T
2d86eeb0-9219-4400-b830-322b52eb4e79
Giving commission to other doctor is
Dichotomy
Covering
Professional secrecy
Professional neglect
0a
single
Ans. a (Dichotomy). (Ref. Textbook of FMT by Parikh-5th ed. 558)Dichotomy is giving commission to the other doctor for favouring or referring the patient, recommending or procuring any patient for medical, surgical or other treatment (fee-sharing).Covering is a RMP protecting a non-medical person who practices medicine...
Forensic Medicine
Law & Medicine, Identification, Autopsy & Burn
a58f8f92-f6dc-49a8-afd9-ab7161188a65
Long term status of blood sugar is explained by:September 2008
HbA
Serial measurement of FBS
Oral glucose tolerance test
HbA1c
3d
single
Ans. D: HbA1cWhen plasma glucose is episodically elevated over time, small amounts of hemoglobin A are nonenzymatically glycated to form HbA1Careful control of the diabetes with insulin reduces the amount formed and consequently HbAIc concentration is measured clinically as an integrated index of diabetic control for t...
Physiology
null
473ec9d7-11c0-46b7-94a4-8d02e44d5a8e
Most common carcinoma of minor salivary gland is?
Pleomorphic adenoma
Mucoepidermoid carcinoma
Adenoid cystic carcinoma
Wahin's tumor
2c
single
repeated question.
Surgery
Head and neck
28b2e0ad-6168-481d-a9f7-c91d8814bafe
In triage color code, yellow signifies:
Minimal treatment is required.
Delayed treatment.
Emergency treatment.
Less chances of survival.
1b
single
T1 RED: Emergency treatment. T2 YELLOW: Delayed treatment. T3 GREEN: Minimal treatment is required. T4 BLUE/ BLACK: Less chances of survival.
Surgery
null
805962b6-c3f6-4dfb-9998-4073e680318d
Chromosomal analysis of all of the following genotype shows Barr bodies, EXCEPT:
XO
XXY
XX
XXX
0a
multi
Routine microscopy of mammalian cell nuclei reveals a small, dense mass of heterochromatin present in females but not males. This "sex chromatin" (or Barr body or X-chromatin) is one of the two X chromosomes present in females. As a general rule, only 1 X chromosome functions in a cell at a given time. All other X chro...
Gynaecology & Obstetrics
null
925e7cd6-51a8-4366-8995-e751941a059d
A lady in her first trimester with hyperemesis gravidarum wakes up with diplopia and mental confusion and nystagmus. What is the probable diagnosis?
Pregnancy induced hypeension
Wernicke's syndrome
Occipital infarction
Pituitary apoplexy
1b
single
Wernicke's encephalopathy (WE) is a potentially reversible yet serious neurological manifestation caused by vitamin B1(thiamine) deficiency. It is commonly associated with heavy alcohol consumption. Other clinical associations are with hyperemesis gravidarum (HG), starvation, and prolonged intravenous feeding. Most pat...
Ophthalmology
Neuro Ophthalmology
b2265c72-67d5-47fe-bd32-c3e24b9f00fe
"L-form" phenomenon is most likely to occur in ?
Mycobacterium tuberculosis
Pseudomonas
Proteus
Mycoplasma
3d
single
Ans. is 'd' i.e., Mycoplasma
Microbiology
null
0a1c603d-f0dd-41f6-b8d5-98fe6c08fe57
Lithium is used in
Bipolar disorder
Dythymia
Anxiety neurosis
OCD
0a
single
lithium was introduced by JOHN F CADE it is used in treatment of MANIA it is a liver friendly drug it has to be used in caution with people with deranged renal parameters if the patient is on lithium, he should be warned about of intake of other meds like NSAIDS, ACE inhibitors , as it may result in toxicity if a patie...
Psychiatry
All India exam
e0003d66-fea5-43b4-aade-4244a3abf27f
Anticraving drug given in alcohol dependence:
Buprenorphine
Acamprosate
Disulfiram
Diazepam
1b
single
Ans. b. Acamprosate (Ref: Niraj Ahuja 6th/39-40; Kaplan Synopsis 10th/396)Anticraving drug given in alcohol dependence is Acamprosate.Treatment of Alcohol Dependence1. Aversion therapy: ApomorphineQ, sub-threshold electric shock2. Psychotherapy3. Group therapy4. Deterrent agents: ( Alcohol sensitizing drugs)Q- Disulfir...
Psychiatry
Alcohol-Related Disorders
64b93d88-8a01-43fc-bf6a-7812c7021fac
In syringomyelia the sensation that is lost is:
Touch
Pressure
Pain and temporature
Two point descrimination
2c
single
Ans: cRef: Harrison, 16thed, p. 2445
Medicine
C.N.S.
0f8a6476-177a-4517-aa7e-12d0c05a9c7e
A 32 year old high altitude mountaineer is observed to have a hematocrit of 70%. Which of the following represents the most likely cause/explanation
Polycythemia with increased red cell mass
Relative polycythemia due to dehydration
Polycythemia due to hemoconcentration
Polycythemia with high altitude pulmonary edema
0a
single
Erythropoietin secretion increases promptly on ascent to high altitude. The increase in circulating red blood cells triggered by the erythropoietin  begins in  2-3 days and is sustained as long as the individual remains at high altitude.
Physiology
null
7152b6fc-edbe-4f77-9ef8-3b9665a934e2
Patients with C5 through C9 complement deficiencies would be most likely to have which of the following infections?
AIDS
Meningococcal infection
Pneumococcal infection
Giardiasis
1b
single
Patients with complement deficiencies such as C5 through C9, which form the membrane attack complex (MAC), are predisposed to disseminated meningococcal disease. These patients may also be susceptible to gonococcal infection. There appears to be no disposition to AIDS or to fungal, parasitic, or pneumococcal infections...
Microbiology
Immunology
cec75324-6bbc-4608-b803-309f77e3e0ee
Acquired diveicula are most commonly is seen in:
Jejunum/ileum
Transverse colon
Sigmoid colon
Ascending colon
2c
single
A diveiculum is an abnormal sac or pouch protruding from the wall of a hollow organ MC siteQ of Colonic diveicula : Sigmoid colon True diveiculum is composed of all layers of the intestinal wallQ False diveiculum (pseudodiveiculum) lacks a poion (Muscularis propria ) of the normal bowel wallQ. Acquired diveicula are th...
Surgery
Large intestine
961c61b2-6264-49d6-afdb-f4be12500f67
Nitabuch's membrane is absent in:
Placenta accrete
Vasa previa
Abruption placenta
Placenta previa
0a
single
Ans. (a) Placenta accretaRef: Williams obstetrics 23rded, Ch 35.* The nitabuch layer is a zone of fibrinoid degeneration in which invading trophoblasts meet the decidua. If the decidua is defective, as in placenta accreta, the Nitabuch layer is usually absent.Also Know* Placenta accreta indicates that villi are attache...
Gynaecology & Obstetrics
Abortion
6ad69da4-c1ac-4e4c-a3cd-45912467f3bb
Congenital hydrocele is best treated by:
Eversion of sac
Excision of sac
Lords procedure
Herniotomy
3d
single
Congenital hydrocele (Communicating hydrocele) Patent processus vaginals allows peritoneal fluid to freely communicate. Size of hydrocele fluctuates, usually related to activity Congenital hernia has the same defect. UDT are commonly associated. Wait for 2 years for spontaneous closure. Otherwise the treatment is herni...
Surgery
Testis and scrotum
e84d93ed-7359-4fa7-a84e-9f21bf24735f
Enophthalmos caused by fracture of ?
Floor of orbit
Medial wall of orbit
Lateral wall of orbit
Roof of orbit
0a
multi
Ans. is 'a' i.e., Floor of orbit Post traumatic enophthalmos is caused by blow out fracture through the floor of orbit. ENOPHTHALMOS It is the inward displacement of the eyeball. About 50 percent cases of mild enophthalmos are misdiagnosed as having ipsilateral ptosis or contralateral proptosis. Common causes are :? Co...
Ophthalmology
null
2bbaaa53-bae2-42b6-9a17-32d623117fe5
A patient presents with Microcytic Hypochromic anemia. Serum iron levels and TIBC are decreased. Likely diagnosis is
Iron deficiency anemia
Anemia of chronic disease
Thalassemia
Sideroblastic anemia
1b
single
Answer is B (Anemia of chronic disease) Hypochromic microcytic anemia with decreased serum iron and decreased TIBC is characteristic of anemia of chronic disease. Hypochromic microcytic anemia with 4.serum iron and TTIBC: iron Deficeincy Anemia Hypochromic microcytic anemia with fserum iron and TIBC : Anemia of Chronic...
Medicine
null
e32a7343-5fdb-4903-815c-1c6c2d1ec590
Local Anaesthetic in wound/ulcer management –
Prilocaine
Chlorprocaine
Benzocaine
Bupivacaine
2c
single
For management of wound/ulcer, local anaesthetic with topical anaesthetic action is used. Among the given options, only benzocaine has topical action.
Anaesthesia
null
fa37a83c-580d-45fa-8981-3ce4f0522f41
At which joint does inversion of foot occur:
Talocrural
Talocalcaneal
Calcaneocuboid
Cuneonavicular
1b
single
Talocalcaneal
Anatomy
null
04bd73ce-5fa1-4ee8-a480-0ebf65a7fcde
At the time of autopsy of a 39-yrs-old woman who died of complications of SLE, several medium-sized vegetations are found on both sides of the mitral valve and tricuspid valve. Which of the following is the basic abnormality that produced these cardiac vegetations?
Turbulent blood flow through' an incompetent mitral valve
Excess secretion of a vasoactive amine
Presence of an anticardiolipin antibody
Cachexia produced by a hypercoagulable state
2c
multi
* Plaques or vegetations are found in characteristic locations within the hea in several different disorders. * Vegetations can occur in acute rheumatic fever as small masses found in a row along the lines of closure of the valves. * In contrast, the vegetations of infective endocarditis arc large, irregular masses tha...
Surgery
null
ea48d579-494d-40b2-abf9-100cd60938f2
A three years old boy presented with poor urinary stream. Most likely cause is:
Stricture urethra
Neurogenic bladder
Urethral calculus
Posterior urethral valve
3d
single
POSTERIOR URETHRAL VALVE Symmetrical folds of urothelium extending distally from prostatic urethra to external urinary sphincter. - Exclusively an anomaly of male urethra. - Four types, Type 1 is MC (lies just distal to the verumontanum or at the verumontanum) ASSOCIATED WITH Oligohydramnios Renal parenchymal dysplasia...
Surgery
Urethra and penis
7ca524c7-8c12-4671-b59b-6eb9db002fc7
Most commonly used nerve for neuromuscular monitoring under anesthesia is
Radial
Ulnar
Glossopharyngeal
Vagus
1b
single
Monitoring of Neuromuscular block Done by nerve stimulator Different stimulation - Single Twitch Tetanus Train of four stimulus (most common) Double burst stimulation Post - tetanic count Nerves used - ulnar nerve (most common) (Adductor pollicis muscle ) Facial nerve Posterior tibial nerve External peroneal nerve Resp...
Anaesthesia
Monitoring in Anesthesia
8e51a5b2-8426-4efd-b81b-02e6631a29f9
This pattern of capnograph is seen in
Spontaneous breathing
Endotracheal tube obstruction
Malignant hyperthermia
Unidirectional valve malfunction
1b
single
The shark finn pattern capnograph is seen in endotracheal tube obstruction
Anaesthesia
null
a3359505-eb71-4398-a343-cb2384070ce5
Swelling of deep lobe of parotid gland presents as swelling in:
Parapharyngeal space
Cheek
Temporal region
Below the ear
0a
single
Ans. (a) Parapharyngeal spaceRef: Bailey and Love 26th edition - Page 734* Deep lobe tumors of Parotid gland appear as swelling in parapharyngeal space.* MRI is used to diagnose that lesions arise from Parotid.
Surgery
Salivary Gland
58ffad4a-5613-4d26-88b2-a4bb2ce2b9e6
Which of the following drugs can be stopped abruptly without any withdrawal symptoms?
Esctilaopram
Fluoxetine
Fluvoxamine
Seraline
1b
single
Answer- B. FluoxetineFluoxetine has the lowest incidence of discontinuation syndrome among several antidepressants including paroxetin and venlafaxine. The longer half life of fluoxetine will avoid any withdrawal symptoms because this medication effectively tapers itself from the patient's system over a few days.
Pharmacology
null
d8f14ee6-8c66-4124-b798-c7a3c44aa50e
Hepatitis B can transmitted through all EXCEPT:
Milk
Semen
Stool
Blood
2c
multi
ANSWER: (C) StoolREF: With textHowever universal precaution is not needed for breast milk (no occupational hazard), Human breast milk has been implicated in perinatal transmission of HIV, and HBsAg has been found in the milk of mothers infected with HBV (REF: JAMA 1988; 259:1353-6. Lifson AR, Bond WW, Petersen NJ, Grav...
Medicine
G.I.T.
4177ea11-cfb6-47a3-bb2b-39c2d8ac6703
Folic acid supplementation is necessory for -
Mensturating females
Elderly females
Pregnant females
All
2c
multi
Ans. is 'c' i.e., Pregnant females Body stores of folate are not large, about 5-10 mg, and therefore, folate deficiency can develop quickly.Folic acid requirements are greatest in conditions where there is rapid cell multiplication, such as during growth in young children and during pregnancy.Folic acid supplementation...
Social & Preventive Medicine
null
5f86c297-cb83-4f09-830b-0b766e10f740
Animal hair are ?
Fine
Thin
With large scales
Thick coex
2c
single
Ans. is 'c' i.e., With large scales Trait Human hair Animal hair General Fine and thin Coarse and thick Cuticle Scales sho, broad, flattened/thin Scales large, wavy projections/step-like projections Coex Thick, 4-10 times as broad as medulla Thin, rarely more than twice as broad as medulla Medulla Varies, narrow, conti...
Forensic Medicine
null
fc6d10c7-0eed-48a6-9e0c-4e4453fc499f
All of the following statements are true regarding poliovirus except -
It is transmitted by feco-oral route
Asymptomatic infections are common in children
There is a single serotype causing infection
Live attenuated vaccine produces herd immunity
2c
multi
Poliovirus strains are classified into 3 types-1,2 and 3. TYPE 1 most common. REF:ANANTHANARAYAN AND PANIKER'S TEXTBOOK OF MICROBIOLOGY 9TH EDITION PAGE NO:486
Microbiology
Virology
5004bc72-a76c-481a-a5ea-b5d2609651b5
Persistence of Moro's reflex is abnormal beyond the age of –
3rd month
4th month
5th month
6th month
3d
single
"In a normal infant, the Moro's reflex begins to fade at three months of age and gradually disappears at 4-6 months. When it persists beyond 6 months it indicates a delay in CNS development." ---------- Tachdjian "Moro's reflex disappears by six months in a normal infant." ------------ Ghai
Pediatrics
null
b5e727f5-ea45-4bb4-9d21-3eb64421b571
Amsler grid is used in –
Detecting maculopathy
Optic disc examination
Squint
Retinal examination
0a
single
Macular function tests While evaluating the retinal function, some tests are used s These tests are : Simple macular function tests Two-point discrimination test (Cardboard test) Maddox rod test Coloured light test Modified photostress test Entoptic view test Amsler grid test Other tests Blue field entoptoscopy La...
Ophthalmology
null
fe11270f-bc1f-435f-a8b2-27ad7dd5def7
A child with an obvious rash presents with recurrent infections. The investigation revealed decreased platelet count and reduced IgM. Which of the following is the most likely diagnosis –
Idiopathic Thrombocytopenic Purpura
Thrombotic Thrombocytopenic Purpura
Wiskott–Aldrich Syndrome
Di' George anomaly
2c
single
The classical triad of rash, thrombocytopenia and recurrent infection (immunodeficiency; ↓-IgM) suggest a diagnosis of Wiskott-Aldrich Syndrome.
Pediatrics
null
f38737e4-491f-4272-8b6e-1f2e34f0ebfc
Half-life of digoxin is?
24 hours
40 hours
48 hours
60 hours
1b
single
Digoxin half-life is long -40 hrs It gets trapped in muscles and vd -volume of distribution is more elimination is difficult in cases of poisoning Ref: KD Tripathi 8th ed.
Pharmacology
Cardiovascular system
6d2eeaa7-954a-4d75-ad27-a0a258b09590
indications of FESS:
Inveed papilloma
Orbital abscess
Nasal polyposis
All
3d
multi
Ans. is all [indications of Function) endoscopic Endoscopic Surgery (FESS) Nasal conditions: Indian = Inflammation of sinus (sinusitis - chronic and fungal) Prime = Polyp removal Minister = Mucocelea of frontal and ethmoid sinus Can = Choanal atresia repair Speak = Septoplasty Fluent = Foreign body removal English = Ep...
ENT
null
f9f165c6-efce-454d-b9d3-fed5d89640eb
Coronary vasodilatation is caused by
Adenosine
Bradykinin
Histamines
Ergotamine
0a
single
Refer kDT 7/e p536 It serves as a metabolic coupler between oxygen consumption andcoronary blood flow. ... Parasympathetic stimulation of the hea (i.e., vagal nerve activation) elicits modest coronary vasodilation(due to the direct effects of released acetylcholine on the coronaries). In some types of blood vessels, th...
Pharmacology
Cardiovascular system
54f3fdaa-aae5-4dfc-8462-5c008bf8254d
'Apical cap' on CXR is seen in:
Dissecting aneurysm
Cystic hygroma
Castleman's disease
Sarcoidosis
0a
single
Ans. A. Dissecting aneurysmDissecting aneurysmCXRa. Normal CXR in 25% casesb. Calcification sign (inward displacement of calcification plaque by >4-10mm from outer aortic contour) or the calcification in the aortic knuckle, which is separated from the outer margin by more than 1cm, is said to be suggestive of dissectio...
Radiology
Miscellaneous
ee52024a-4e71-4e0b-b1eb-ad1adb17cccd
'Time out' is useful in the treatment of:
Temper Tantrums
Pica
Anorexia nervosa
Nocturnal enuresis
0a
single
Time-out- behavioral modification that involves temporarily separating child from an environment where an unacceptable behavior has occurred. The goal is to remove that child from an enriched, enjoyable environment- lead to extinction of the offending behavior. Distraction and 'time-out' strategies are useful in treatm...
Pediatrics
Behavioral Disorders in Children
58971299-18a6-4d50-bc64-36fa77ddd3bc
PQLI lies between
0 and 1
0 and 10
0 and 100
1 and 10
2c
single
PQLI -Physical quality of life index. The value is the average statistics, literacy rate, infant moality, life expectancy at age 1 ,all equally weighted on a 0 to 100 scale
Social & Preventive Medicine
Concept of health and disease
00daa54f-1ade-4556-9d38-e82b52eab672
A 60 years old man presented with itchy tense blisters on normal looking skin and urticarial rash, investigation done for the diagnosis:
Direct immunofluorescence
Indirect immunofluorescence
Histopathology
Cytopathology
0a
single
Ans. a. Direct immunofluorescence (Ref: Harrison 19/e p372, 18th/426-428)A 60 years old man presented with itchy tense blisters on normal looking skin and urticarial rash. This patient is suffering from pemphigoid. Investigation done for the diagnosis direct immunofluorescence.The most likely diagnosis in this patient ...
Skin
Vesiculobullous & Erosive Diseases in the Newborn and Infant
53e8cd85-e3ef-4573-9903-b39f3fd8dd96
Superantigen causes-
Polyclonal activation of T-cells
Stimulation of B cells
Enhancement of phagocytosis
Activation of complement
0a
single
1.Superantigensare a class of molecules that can interact with APCs and T lymphocytes in a nonspecific way(attach to TCR by the side not in tne centre) . The superantigens act differently by interacting with MHC class II molecules of the APC and the Vb domain of the T-lymphocyte receptor. This interaction results in th...
Microbiology
Immunology Pa 1 (Immune Response, Antigen-Antibody Reactions, Hypersensitivity, Structure of Immune System, Immunodeficiency Disorders)
85650cf8-13aa-4d65-959e-2ce01b94aa38
Koebner's phenomenon is not seen in:
Vitiligo
Psoriasis
Dermatitis herpertiformis
Lichen planus
2c
single
Ref: Thappa DM. The isomorphic phenomenon of Koebner. Indian J Dermatol Venereal Leprol 2004;70:187-9.Explanation:The Koebner phenomenon is the development of isomorphic pathologic lesions in the traumatized uninvolved skin of patients who have cutaneous diseases.Koebner phenomenon signifies activity of the disease.Typ...
Skin
Erythmato-Squamous and Lichenoid Eruption
c96e4176-6207-4eaa-9edd-1f85140c55e6
Which study is best for group/ population which is inhomogeneous?
Cluster Sampling
Stratified random sampling
Systemic random sampling
Simple random sampling
1b
single
.in STRATIFIED RANDOM SAMPLING,the sample is deliberately drawn in a systematic way so that each poion of sample represents a corresponding strata of universe.this method is paicularly useful where one is interested in analysing the data by a ceain characteristic of population.like hindus,christians,muslims,age groups ...
Social & Preventive Medicine
Epidemiology
1bd9434b-2346-4a72-b8cc-5cf6ecfdedd0
A 52 year old lady presents with constant leakage of urine and dysuria two weeks after a complicated total abdominal hysterectomy. A diagnosis of Vesicovaginal fistula is suspected. The most impoant test for the diagnosis is:
Triple Swab Test
Urine culture
Cystoscopy
IVP
0a
single
Triple swab test is the investigation of choice to establish the diagnosis of a suspected vesico vaginal fistula. It confirms the presence of vesico vaginal fistula, and also differentiate it from uretero vaginal and urethro vaginal fistula. Ref: William's Gynecology, 1st Edition, Page 574; Textbook of Gynecology By DC...
Gynaecology & Obstetrics
null
6f70e4bd-dc4f-43c2-b9ba-cd0c3ae16ce5
A 16 Yr old presented to the clinic with recurrent joint pains,dark spots in sclera,blackening of urine on standing.What is the most probable diagnosis?
Alkaptonuria
Tyrosinemia
Phenylketonuria
All of the above
0a
multi
Reference: Harpers illustrated biochemistry 30th edition
Biochemistry
Metabolism of protein and amino acid
bf1db55e-5376-4f7b-ae78-c9d98931e4c2
Denominator of maternal moality ratio is -
1000 total bihs
Mid year population
1000 live bihs
Total live bihs
3d
single
maternal moality ratio = Total number of female deaths due to complications of pregnancy, child bih or within 42 days of delivery from puerpural causes in an area during a given year Divided by Total number of live bihs in the same area and year X 1000 or 100000 Reference Park&;s textbook of preventive and social medic...
Social & Preventive Medicine
obstetrics,pediatrics and geriatrics
c032e32a-ade1-4030-b82d-6bbe0bad1692
Which one of the following TCA cycle intermediate may not be added or removed by other metabolic pathways?
Oxaloacetate
Isocitrate
Citrate
Fumarate
1b
single
Oxaloacetate may be formed from pyruvate during gluconeogenesis. Degradation of tyrosine and phenylalanine may produce fumarate. Citrate is transpoed out of mitochondria to be used as a source of cytoplasmic acetyl CoA. Isocitrate is formed and removed in TCA cycle. Ref: Textbook of Biochemistry for Medical Students by...
Biochemistry
null
724fa878-0618-4318-b363-e7dbf1ab2105
Genetic polymorphism include -a) SNPb) Microsatellitesc) Mutationsd) Translocation e) Mini satellites
abe
bcd
cde
acd
0a
single
Genetic polymorphism The occurrence of different DNA sequence in at least 1% of population, i.e. presence of more than one genetically distinct types in single population of a species. In very simple words, genetic polymorphism causes diversity between individuals, e.g. genetic polymorphism might give rise to blue ey...
Pathology
null
96ee6e14-b22a-4db6-8130-fd07a9cc1a61
Test for De-quervain's tenovaginitis -
Cozen test
Finkelstein test
Kanavel's sign
Phalen test
1b
single
Ans. is 'b' i.e., Finkelstein test o De-Quervian's teno vaginitis is characterized by pain over the styloid process of the radius and palpable thickening in the course of the abductor pollicis longus and extensor pollicis brevis tendons.o The condition is five times commoner in women than men, predominantly in middle a...
Orthopaedics
Disorders of the Hand
7d159ea4-c5b9-4116-9cf7-c083bd4d35ed
A patient with Hodgkin's lymphoma presents with isolated cervical lymphadenopathy. Biopsy from the lesion shows characteristic lacunar cells. The treatment of choice for this patient is:
Chemotherapy with Radiotherapy
Chemotherapy alone
Radiotherapy alone
No treatment needed
0a
single
Answer is A (Chemotherapy with Radiotherapy) Combined modality treatment with Chemotherapy and Radiotherapy is the treatment of choice in limited stage (stage III Hodgkin's lymphoma with a classical Histological subtype. Patient has limited Stage I Hodgkin's Lymphoma Patient in question presents with involvement of sin...
Medicine
null
2590d24c-e60f-4ed3-b17f-5d876701a190
Side chain of which amino acid contains sulfhydryl group ?
Aspargine
Cysteine
Isoleucine
Threonine
1b
single
Ans. is 'b' i.e., Cysteine There are two sulfur containing amino acids :- i) Cysteine ii) Methionine The side chain of cysteine contains sulfhydryl group that has a pKa of approximately 8.4 for dissociation of its hydrogen sulfhydryl groups of two cystein molecules can form covalent disulfide bond to form cystine. Meth...
Biochemistry
null
82fef7e5-c44e-43f0-960b-2ab03a8dabe9
Skeletal fluorosis can be diagnosed on X ray of:
Hips
Knee
Forearm
None of the above
2c
multi
Skeletal fluorosis is associated with severe pain and stiffness in joints in hip region. Bone Xray is suggestive of increased gih and density of bone. Confirmed case of fluorosis is defined as presence of one or both of the following: High level of fluoride in urine >1mg/L Intraosseous membrane calcification in fore ar...
Social & Preventive Medicine
null
2c058506-7228-43f9-8511-2b35f5cb8266
Causative agent of sore throat is: September 2005
Staphylococcus aureus
Streptococcus pyogenes
H. Influenzae
Corynebacterium diphtheriae
1b
single
Ans. B: Streptococcus pyogenes The primary site of invasion of human body by streptococcus pyogenes is the throat. Primary bacterial pathogens that account for approximately 30% of cases of pharyngitis include Streptococcus pyogenes /Group A Beta Hemolytic Streptococci (common), group C streptococci (uncommon), group G...
Microbiology
null
02449f0f-8f7c-44e5-9ba2-e09fab844b44
All of the following muscles retract the scapula, EXCEPT?
Trapezius
Rhomboid major
Rhomboid minor
Levator scapulae
3d
multi
Rhomboids major, rhomboids minor along with middle fibers of trapezius retract the scapula. Levator scapula and rhomboids muscle stabilize the scapula during shoulder movements and transmits the body weight to the veebral column especially during lifting of heavy weight.Levator scapulae along with upper fibers of trape...
Anatomy
null
9b8451a4-3a1f-4b42-a9a6-b2b9e0e99863
Factor useful for clot stabilization?
X
XI
XII
XIII
3d
single
Ans. is `d i.e., XIIIFactor XIII:It is also called fibrin stabilizing factor.It is necessary for clot stabilization and the cross linking of the fibrin polymer in blood.A hallmark of this rare deficiency is poor wound healing and abnormal scar formation.
Pathology
null
e2132396-d4ac-400b-b1a9-f49b446b3442
Which of the following cranial nerves does not carry parasympathetic outflow
Oculomotor
Trochlear
Facial
Glossopharyngeal
1b
single
Ref: Clinical Neuroanatomy 2nd edition Vishram Singh (page no:238) Katzung 11/e p78 parasympathetic fibers arise from brainstem run through 3rd (oculomotor), 7th (facial), 9th(glossopharyngeal), 10th(vagus) cranial nerves and terminate in the parasympathetic ganglia in the head and neck So Trochlear nerve not included ...
Pharmacology
Autonomic nervous system
ddc5a6fd-f44b-4afb-901a-7ce0f00f8c71
Scl-70 antibody is characteristics of
SLE
Scleroderma
Dermatomyositis
Sjogern's syndrome
1b
single
Ref Robbins 7/e p229 DNA topoisomerase I (anti-Scl 70), is highly specific; it is present in as many as 70% of patients with diffuse scleroderma (and in less than 1% of patients with other connective tissue diseases) and is a marker for the devel- opment of more aggressive disease with pulmonary fibro- sis and peripher...
Anatomy
General anatomy
387a1c7f-22ff-47cb-848a-47977b08316f
Blue color cartilage is:
Hyaline
Elastic
Fibrocartilage
Synchondrosis
0a
single
Ans. A HyalineRef: Netter's Essential Histology, 2nd ed. pg. 133Hyaline cartilage is blue colored while elastic cartilage is yellow and fibrocartilage is white. Extra edgeHyaline cartilageThe most abundant and common cartilageAll long bones are pre-formed in hyaline cartilage except clavicle.Types (Mnemonic L.A.N.C.E.T...
Anatomy
Histology
a4db0311-5bb2-472f-83e5-e7b581cd4475
Soft friable extradural hematoma with honeycomb appearance seen in autopsy in cases of death due to?
Coagulopathy
Thermal injury
Post moem trauma
None of the above
1b
multi
Ans. is 'b' i.e., Thermal injury When the head is exposed to intense heat, sufficient to cause charring of the skull, heat hematomas occur. They have the appearance like extradural hemorrhage, but signs of injury blunt force do not accompany it. It consists of soft friable clot of light chocklate colour and may be pink...
Forensic Medicine
null
16d5a54e-fb3a-4453-8caa-f6ec9a909d62
Treatment of choice for annular pancreas is -
Division of pancreas
Duodeno-duodenostomy
Duodeno-jejunostomy
Roux-en-Y loop
1b
single
Ans B Reference Sabiston Textbook of Surgery. 20th edition. Annular pancreas results from aberrant migration of the ventral pancreas bud which leads to circumferential or near-circumferential pancreas tissue surrounding the second portion of the duodenum This abnormality may be associated with other congenital defects,...
Surgery
Pancreatic Vascular Anatomy and Innervation
b3c12fa0-1f57-48f4-8f8a-6a53e3a0472a
This milestone is achieved by the age of ____________
6 months
10 months
12 months
18 months
1b
single
At 10 months Sits up alone and indefinitely without suppo Pulls to a standing position Walks holding furniture Grabs objects with thumb and forefinger Pokes at things with forefingers Uncovers hidden toy Mama, dada sounds (repetitive consonant sounds) Responds to the sound of a name Plays Peek-a-boo Waves bye-bye Ref :...
Pediatrics
Growth and development
41f7e387-2a7e-4184-af1f-338ef8040320
A 55 years old female presents with tinnitus, dizziness and h/o progressive deafness. Differential diagnosis includes all except:
Acoustic neuroma
Endolymphatic hydrops
Meningioma
Histiocytosis-x
3d
multi
Ans. is 'd' i.e. Histiocytosis X It is very well known that first 3 options i.e., Acoustic neuroma, endolymphatic hydrops (Miniers disease), and Meningioma can cause tinnitus and u/1 progressive deafness, (although Menier disease is usually b/l but initial presentation is u/l and the other ear is also involved in a few...
ENT
Ear
88713c23-4607-4c6d-b557-486a62c65b51
Delicate, brown or black pigmented non cariogenic plaque found on the enamel at the cervical margin of the tooth is:
Burtonian line
Argyria
Bismuth line
Mesenteric line
3d
single
A delicate pigmented dental plaque, called the mesenteric line by some, was described by Pickerill to be a plaque of brown or black dots that coalesce to form a thin, dark line on the enamel at the cervical margin of the tooth. Pickerill, F Bibby and Shourie noted that the presence of this line is often associated with...
Pathology
null
a6bee775-12c8-4675-a3f2-15c51cd3990d
Characteristics of glycoprotein:
Protein linked with glycosidic bond
Core protein
Sugar residues are long in carbohydrate poion of glycoprotein
None
0a
multi
A i.e. Protein linked with glycosidic bond
Biochemistry
null
0b78a31f-585c-463d-ad99-4b3ceae28ff1
A 20 year old female presenting with anemia, mild jaundice for 2 years, peripheral smear showing spherocytes, the best investigation to be done is:
Reticulocyte count
Osmotic fragility test
Coomb's test
Bone marrow aspiration
2c
single
Spherocytes in adult patient indicates presence of autoimmune haemolytic anemia and hence Coomb's test should be performed. Presence of spherocytes alone is not sufficient for the diagnosis of hereditary spherocytosis. Evidence of hereditary nature of the disease is also required. Increased osmotic fragility merely ref...
Medicine
Anemia
82cf2a00-3b7f-4de1-b6f7-c848beb2915f
During normal inspiration diaphragm goes down by?
1-2 cm
3-5 cm
5-7 cm
7-9 cm
0a
single
Ans. is 'a' i.e., 1-2 cmIn normal inspiration, the diaphragm descends 1-2 cm into the abdominal cavity producing a pressure difference of 1-3 mm hg and the inhalation of about 500 ml of air.
Physiology
null
7ce84773-7bbf-451c-911f-bbcb492cd111
A cochlear implant can be used in all of the following conditions causing bilateral severe to profound loss:
Meningitis
Otosclerosis
Ototoxic drugs
Section of CN VIII
3d
multi
Cochlear implant electrode(s) stimulate fibres of CN VIII or ganglion cells. It assumes CN VIII is normal to carry impulses. If CN VIII has been cut as in removal of acoustic neuroma cochlear implant is ineffective, instead a brain-stem implant is used to stimulate cochlear nuclei.
ENT
Ear
0c7e9236-4604-4f0c-ab99-9efae3c6cb43
Which of the following condition is associated with early complete fusion of all of the cranial sutures in a patient?
Ape syndrome
Chiari malformations
Craniospinal dysraphism
Osteosclerosis
0a
multi
Ape syndrome is an autosomal dominant condition characterized by pansynostosis. Clinically, patients have hypeelorism, midface hypoplasia, and shallow orbits in addition to their craniosynostosis. Symmetric syndactyly and sho thumbs are also characteristic of Ape syndrome. Hydrocephalus is common in this condition. Ref...
Radiology
null
692b91a0-e29d-438c-b0a5-408f65adcfd1
True regarding excitation contraction coupling in smooth muscles is :
Presence of troponin is essential
Sustained contraction occurs with high calcium concentration
Phosphorylation of actin is required for contraction
Presence of cellular calcium is essential to cause muscle
3d
multi
D i.e. Presence of cellular calcium essential to cause muscle contraction
Physiology
null