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All are associated with EBV except -
EBV causes nadopharyngeal carcinoma,oral hairy luekoplakia&infectious mononucleosis REF:MICROBIOLOGY ANANTHA NARAYANAN NINTH EDITION PAGE.475
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Single most sensitive tool for evaluating the iron status is
Serum ferritin is the single most sensitive tool for evaluating the iron status.It reflects the size of Iron stores in the body. Values below 10 mcg/L indicate an absence of stored iron.Park 23e pg: 623
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Chandu 32 years male presents with abdominal pain and vomitting. He also complain of some psychiatric symptoms & visual hallucination. Most likely diagnosis is
D i.e. Intermittent porphyria
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In ARDS, all are seen except :
Acute respiratory distress syndrome Aetiology and pathogenesis Acute respiratory distress syndrome (ARDS) is a diffuse neutrophilic alveolitis caused by a range of conditions and characterised by bilateral radiographic infiltrates and hypoxaemia. Activated neutrophils are sequestered into the lungs and capillary permeab...
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Population covered by a PHC in hilly region is –
One PHC for every 30,000 rural population in the plains. One PHC for every 20,000 population in hilly, tribal and backward areas.
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Which of the following factor determines the destructive power of bullet after firing?
A bullet's ability to injure is directly related to its kinetic energy at the moment of impact. Kinetic energy i.e. E = mv2 /2 The kinetic energy is directly propoional to weight (mass) of the bullet and the square of its velocity. Thus a bullet traveling at twice the speed of a second bullet of equal weight and simila...
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Baroreceptor stimulation producesa) Decreased heart rate & BPb) Increased heart rate & BPc) Increased cardiac contractilityd) Decreased cardiac contractility
Baroreceptors are present in carotid sinus and aortic arch. Increase in BP activates them which results in decrease in the sympathetic discharge. This leads to decrease in cardiac contraction, heart rate and BP.
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Dose of vitamin A prophytaxis given in age group 16 years -
Ans. is 'c' i.e., 200000 iu
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The principle that is the spinal cord dorsal roots are sensory and the ventral roots are motor is known as -
(B) (Bell Magendie law's) (157 - Ganang 23rd)* Bell Magandie law - In the spinal cord dorsal roots are sensory and ventral roots are motors (DS - VM)* Weber Fachner law - Magnitude of sensation felt in proportionate to the log of intensity of the stimulus**.* Law of pro jection states than no matter where a particular ...
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Bullet that leaves a visible mark in its flight so that person can see the path is
Tracer bullet: It leaves a visible mark or 'trace' while in flight, so that the path of bullet can be seen . Dum - dum bullet: The nose of the bullet is not covered by jacket & exposed. It expands or mushrooms on striking the target, producing a large hole & more damage. Incendiary bullets: Incendiary bullets contain p...
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Of the following which does not categorise under Rape? Sexual intercourse with :
B i.e. Wife above 20
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Congenital rubella syndrome - true is A/E?
Ans. is 'c' i.e., Conduction defect
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Mesencephalo-oculo-facial-angiomatosis is seen in:
D i.e. Wyburn-Mason syndrome - Wyburn-Mason syndrome (or Bonnet-Dechaume Blanc syndrome mesencephalo-oculo-facial or mesencephalo-optico retinal angiomatosis syndrome) is characterized by neuro (mesencephalo) - optico / oculo / retinal - facial angiomatosis (vascular-malformations). - Wyburn-Mason syndrome presents wit...
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The following drug has anxiolytic action with least sedation
Features of Buspirone Non-benzodiazepine anxiolytic agentDoes not produce significant sedation or cognitive/functional impairmentDoes not interact with BZD receptor or modify GABAergic transmissionDoes not produce tolerance or physical dependence Does not suppress BZD or barbiturate withdrawal syndrome Has no muscle re...
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Age of gestation when ovaries and testis are first distinguishable :
8 weeks
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The testis descends the inguinal canal during...month.
C i.e. 7th
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Index measuring deprivation in basic dimensions of human development
The Human Povey Index (HPI) was considered to better reflect the extent of deprivation to the HDI. In 2010 it was supplanted by the UN&;s Multidimensional Povey Index.
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A child with vesicoureteric reflex of grade 2 comes to OPD. What is the preferred treatment method
Prophalyctatic antibiotics is given to all vesicoureteric reflex pts.
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A 60 yr old person presents with a mass located at central bronchus causing distal bronchiectasis and recurrent pneumonia. Which of the following findings is expected from biopsy of the mass?
Ans. (d) Small round cells and hyperchromatic nuclei with nuclear moulding(Ref: Robbins 9th/pg 715-717)This typical presentation of 60 yr/M presenting with a mass located at central bronchus causing distal bronchiectasis and recurrent pneumonia is suggestive of small cell Carcinoma.In Small cell Ca lung, location in lu...
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patient has decreased weight, need for thinness, the diagnosis is
Anorexia nervosa Anorexia nervosa is a eating disorder where the patient has decreased weight and altered body image and persistent desire to maintain thinness * Gender==== more common in females * Age=======adolescence * Comorbidity=== depression and social phobia * Duration====3 months * Criteria= * Intense fear of b...
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All cause viral hepatitis except -
Ans. is 'c' i.e., Rhinovirus Impoant viruses causing hepatitis:? 1) Hepatotropic viruses : HAV, HBV, HCV, HD V, HEV. 2) Herpes viruses : CMV, EBV, HSV-1, VZV. 3) Flaviviruses : Yellow fever, dengue fever. 4) Filoviruses : Marburg virus, Ebola virus. 5) Occasinal causes Measles virus, adenovirus, Echoviruses, Coxsackiev...
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Krukenberg tumor is associated mostly with which cancer?
Krukenberg tumor is a distinctive bilateral tumor metastatic to the ovaries by the transcoelomic spread. The tumor is generally secondary to a gastric carcinoma but other primary sites where mucinous carcinomas occur (e.g. colon, appendix, and breast) may also produce Krukenberg tumor in the ovary. Rarely, a tumor havi...
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All of the following are true about Nizatidine except
Nizatidine is a H2 blocker with anticholinesterase activity, thus enhances gastric emptying and can also cause bradycardia.
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The Halstead Retain battery involves all except :
In Halstead - Reitan battery test, the battery is composed of ten tests : Category test. Tactual performance test. Rhythm test. Finger - oscillation test. Speech-sound perception test. Trail - making test. Critical flicker frequency. Time sense test. Aphasia screening test. Sensory - perceptual test.
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Which of the following is NOT TRUE about post - traumatic stress disorder?
Treatment of choice for PTSD is psychotherapy in the form of cognitive behavior therapy often in combination with pharmacotherapy. There is no evidence that single - session individual psychological briefing is a useful treatment for PTSD. Eye movement desensitization and reprocessing (EMDR) is an effective treatment f...
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Which of the following malignancy shows least lymph node involvement:
Ans: c (Glottic cancer) Ref: Dhingra, 3rd ed, p. 372; 4th ed, p. 286No lymphatics in vocal cords so nodal metastasis are practically never seen in cord lesions unless the disease spreads beyond the membraneous cord. SupraglottisGlottisSubglottisSiteEpiglottisAryepiglottic foldArytenoidVentricular bandsVentricles & sacc...
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Complex polysaccharides are converted to glucose and absorbed by the help of:
Ans: b (Sucrase) Ref: Vasudevan, 4th ed, p.Sucrase or invert sugar converts sucrose (which is a complex polysaccharide) into 1 molecule of glucose and 1 molecule of fructose.Na+k+ ATPase is a membrane protein.Enterokinase is a brush border enzyme in intestinal mucosa which will activate trypsinogen to trypsin.Proteolyt...
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A 47-year-old woman is admitted to the hospital with signs of cavernous sinus thrombosis. Radiographic examination reveals a pituitary tumor involving the cavernous sinus, confirming the initial diagnosis. During physical examination it is suspected that the right abducens nerve of the patient has been damaged by the t...
(b) Source: GAS 849-852, 855; GA 450, 465, 536The right abducens nerve innervates the right lateral rectus, which mediates outward movement (abduction) of the right eye. Inward movement is accomplished by the medial rectus, supplied by the oculomotor nerve. Downward movement in the midline is accomplished by joint acti...
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False about osteoahritis is ?
Ans. is 'c' i.e., It is an inflammatory ahritis Osteoahritis (OA) is a chronic disorder of synol joints in which there is progressive softening and disintegration of aicular cailage accompanied by new growth of cailage and bone at the joint margins (osteophytes), cyst formation and sclerosis in the subchondral bone, mi...
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Orange-skin cornea results due to:
Ans. Mustard gas
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Fracture of the hyoid bone results from all except :
C i.e. Choking - Burking is a method of homicidal smothering and traumatic asphyxiaQ. In smothering lips, gums, tongue, inner side of mouth & nose may show bruising or lacerationQ. Asphyxial signs (eg congestion, cynosis & patechiae) are severe except when the head & face is enclosed in plastic bag. In smothering, chok...
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Accordian sign is seen in
The 'Accordion sign' (also known as 'conceina sign') is seen on CT examinations of the abdomen Refers to the similarity between the thickened oedematous wall of Pseudomembranous colitis and the folds of an accordion. This appearance is the result of hyperaemic enhancing mucosa stretched over markedly thickened submucos...
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Melting temperature of DNA is directly proportional to
GC pairs have 3 hydrogen bonds and therefore melt at higher temperature compared to AT pairs which have 2 hydrogen bonds.
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Phase 2 of Damage control surgery occurs at
Deadly triad of trauma Following a trauma protracted surgery in physiologically unstable patient, the three factors that carry moality are Hypothermia Acidosis Coagulopathy Hence originated a phenomenon - DAMAGE CONTROL SURGERY Phases of damage control surgery Phase1 :Initial exploration Phase 2: Secondary Resucitation...
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Romana's sign is seen in -
Ans. is 'b' i.e., Trypanosoma cruzi Romana's signo The classic finding in acute Chagas disease, which consists of unilateral painless edema of the palpebrae and periocular tissues - can result when the conjunctiva is the portal of entry.o These initial local signs may be follwed by malaise, fever, anorexia, and edema o...
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An elderly diabetic with excruciating pain in ear, appearance of granulation in meatus, skull base infection with facial paralysis should be treated with
All clinical features are suggestive of malignant otitis externa, an inflammatory condition of the external ear. Malignant otitis externa (also k/a Necrotizing external otitis) Malignant otitis externa is an inflammatory condition of the external ear usually spreading deep to cause osteomyelitis of temporal bone and ba...
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Digoxin toxicity may result from the concurrent administration of digoxin with all of the following drugs EXCEPT
Triamterene is a potassium-sparing diuretic that may protect against diuretic-induced digoxin toxicity. Digoxin toxicity may be caused by drugs that increase serum digoxin levels or increase the binding of digoxin to its receptor, the sodium-potassium adenosine tn phosphatase (ATPase). Quinidine decreases digoxin volum...
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Which of the following drugs is contraindicated along with spironolactone
CONTRAINDICATIONS / PRECAUTIONS Adrenal insufficiency, anuria, diabetes mellitus, hyperkalemia, renal disease, renal failure, renal impairment. ... Acid/base imbalance, metabolic acidosis, metabolic alkalosis, respiratory acidosis. ... Ascites, biliary cirrhosis, hepatic disease. ... Menstrual irregularity.
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A 3-year-old male has come for a routine dental check up. Intra-oral examination reveals good oral hygiene and open proximal contacts. During previous dental appointments, he was cooperative. Which radiographic assessment should be done for this patient?
The American Dental Association (ADA), the American Academy for Pediatric Dentistry (AAPD), the European Academy for Pediatric Dentistry (EAPD), and other organizations have published criteria that are meant to guide the dental professional in decision-making regarding appropriate radiographic imaging (Table 2-5). Thes...
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First to recover from post-operative ileus:
POST-OPERATIVE ILEUS - Following most abdominal operations or injuries, the motility of GI tract is transiently impaired. - Proposed mechanisms responsible for this dysmotility are surgical stress-induced sympathetic reflexes, inflammatory response mediator release, and anesthetic / analgesic effects; each of which can...
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Watershed zone of large intestine ?
There are areas of colon with poor blood supply resulting from incomplete anastomosis of marginal aeries. These are watershed areas of colon and include :Splenic flexure (Griffith point) : Watershed area between superior mesenteric aery and inferior mesenteric aery.Rectosigmoid junction (Sudeck's point) : Watershed zon...
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Oxidative deamination is catalyzed by ?
Ans. is 'c' i.e., Glutamate dehydrogenase
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Which of the following is indicated by the term 'mittelschmerz'?
The follicle that ruptures at the time of ovulation promptly fills with blood, forming what is sometimes called a corpus hemorrhagicum. Minor bleeding from the follicle into the abdominal cavity may cause peritoneal irritation and fleeting lower abdominal pain ("mittelschmerz"). The granulosa and theca cells of the fol...
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Best prognostic indicator for head injured patients: AIIMS 10
Ans. GCS
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All the following are cyanotic hea disease except
Ref Harrison 19 th ed pg 1523 Patent ductus aeriosus is not classified as a cyanotic congenital heayh disease. PDA is an acyanotic hea disease with left to right shunt.
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Aicular cailage is made up of-
Ans. is `b' i.e., Type H Collegen type Tissue distributionUbiquitous in hard & soft tissuesII & IX Cailage, interveebral disc, vitreousIn Hollow organs & soft tissuesIV Basement membraneV Blood vesselsVI Ubiquitous in microfibrilsVII Dermoepidemal junctionIX Cailage & VitrousNote : Amongst these type I, II, III, V & IX...
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Mechanism of action of the sulfonylureas is
Ans. is 'a' i.e., K ATP channel blocker * Sulfonylurease provoke a brisk release of insulin from pancreas. They act on the so called "Sulfonylurea receptors" (SUR1) on pancreatic b-cell membrane - cause depolarization by reducing conductance of ATP sensitive K+ channels. This enhances influx of Ca+2 - degranulation. Th...
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Lower lobe fibrosis is seen in :
Answer is D (Asbestosis): Lower lobe fibrosis is seen in Asbestosis. Silicosis, Sarcoidosis and Cystic Fibrosis are all associated with Upper Lobe Fibrosis Upper Lobe Fibrosis Fibrotic Disease Old Granulomatous Infection (Tuberculosis; Histoplasmosis; Coccidioidomycosis) Sarcoidosis Silicosis, Berylliosis Coal Worker's...
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Which ocular muscle does NOT arises from apex of orbit
D. i.e. Inferior oblique
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Ghotna is:-
Ghotna: Rolling a wooden log over the thighs up and down, while the log is weighed by one or two policemen standing on it Cattle prod: Electric shock especially over the genitals Sham execution: Victim is blind folded and asked to stand before a wall and then threatened that a vehicle is going to hit him. He hears the ...
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Epiphyseal enlargement occurs in -
Epiphyseal enlargement Most common causes of epiphyseal enlargement are chronic inflammation (e.g. JRA) or chronic increase in blood flow. Causes of Epiphyseal enlargement are:- a) Solitary (Enlargement of particular epiphysis) Post-inflammatory (JRA, Septic arthritis) Perthe's disease (in repair stage) Status post ...
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Treatment of Hodgkin&;s disease -
<p>The ABVD(doxorubicin,vinblastine,bleomycin,dacarbazine) is used in the treatment of Hodgkin&;s disease .Thd incidence of infeility & secondary myelodysplasia /ALL is low with this regime. </p><p>Reference :Davidson&;s principles & practice of medicine 22nd edition pg no 1043 </p>
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DOC of GTCS in pregnancy
Ans. is 'a' i.e., Lamotrigine
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When patient is on isotretinoin therapy, monitoring of which of the following is done
Isotretinoin is indicated in severe nodulo cystic acne vulgaris. It may result in hyperlipidemia, arthralgia and myalgia
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If GCS score is 8, head injury is classified as:
Head injury can be classified as mild, moderate, or severe. For patients with a history of head trauma, classification is as follows: severe head injury if the GCS score is 3 to 8, moderate head injury if the GCS score is 9 to 12, and mild head injury if the GCS score is 13 to 15. Ref: Schwaz's principle of surgery 9th...
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All pencillins act by: September 2007
Ans. B: Inhibiting cell wall synthesis All penicillin derivatives produce their bacteriocidal effects by inhibition of bacterial cell wall synthesis. Specifically, the cross linking of peptides on the mucosaccharide chains is prevented. If cell walls are improperly made cell walls allow water to flow into the cell caus...
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Cause of Coxa vera ?
Ans. is 'd' i.e., All of the above Coxa vera Coxa vera refers to reduced angle between the neck and shaft of the femur. Coxa vera may be congenital or acquired. 1. Congenital (developmental / Infantile) coxa vera This is coxa vara resulting from some unknown growth anomaly at the upper femoral epiphysis. It is noticed ...
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Strength of topical ophthalmic preparations of tobramycin is : September 2009
Ans. A: 3 mg/ml Tobramycin works by binding to a site on the bacterial 30S and 50S ribosome, preventing formation of the 70S complex. As a result, mRNA cannot be translated into protein and cell death ensues. Sterile Tobramycin Ophtha Solution (eye-drops) contains tobramycin concentration of 0.3%. It is mixed with 0.01...
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Which of the following is given to prevent methotrexate toxicity?
Ans. d (Calcium leucovorin) (Ref. Harrison 18th/ p 476, 607)# Methotrexate inhibits dihydrofolate reductase, which regenerates reduced folates from the oxidized folates produced when thymidine monophosphate is formed from deoxyuridine monophosphate.# Without reduced folates, cells die a "thymineless" death.# N-5 tetrah...
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Which drugs are used for prenatal therapy of congenital adrenal hyperplasia?
High risk pregnancies should be staed of Dexamathasone, that readily crosses placenta, in an amount of 20 mu/kg in 2-3 divided doses. This surpasses secretion of steroids by fetal adrenals, including secretion of fetal adrenal androgens. If staed 6 weeks of gestation, it ameliorates virilization of external genitals in...
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In Breslau's second life test, organ tested is
D i.e. Stomach & Intestine Breslau's second life (or Stomach Bowel) test says that air will be swallowed & so may pass into stomach & small intestine when respiration establishes.
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A person with eyes closed & mind wondering will have the following wave in
(A) a-waves # Alpha Rhythm> In adult humans who are awake but at rest with the mind wandering and the eyes closed, the most prominent component of Ihe EEG is fairly regular pattern of waves at a frequency of 8-12 Hz and an amplitude of 50-100 pV when recorded from the scalp> This pattern is the alpha rhythm.> It is mos...
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Which drug is used for topical application in respiratory papillomatosis?
Cidofovir Gold standard treatment for respiratory papillomatosis is Laser MLS/ Powered MLS (using microdebrider). Cidofovir is a recent drug which is used intralesionally or topically. Its active metabolite, cidofovir diphosphate, inhibits viral replication by selectively inhibiting viral DNA polymerase.
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30 years old lady presented with acute pain abdomen, constipation and vomiting suspecting acute intestinal obstruction. The investigation of choice for the patient is -
Ans. is 'b' i.e. X-ray abdomen erect posture
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Which of the following reflex is NOT prominent in child at bih?
Tonic neck reflex is prominent between 2nd and 4th months. Persistence of reflex beyond the age of 6-9 months is abnormal. Impoant neonatal reflexes: Sucking, rooting, and swallowing reflexes Grasp reflex Moro's reflex Glabellar tap Crossed extension Ref: Essential paediatrics by OP Ghai, 6th edition, Page 146.
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Most potent statin is?
Rosuvastatin - most potent best bioavailability: fluvastatin most commonly prescribed- atorvastatin safe for children- pravastatin Ref: KD Tripathi 8th ed
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Niacin is synthesized from:
The liver can synthesize niacin from the essential amino acid tryptophan, but the synthesis is extremely inefficient; 60 mg of tryptophan are required to make one milligram of niacin. The 5-membered aromatic heterocycle of the essential amino acid, tryptophan, is cleaved and rearranged with the alpha amino group of try...
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What is irregular astigmatism-
Ans. is 'b' i.e., Non perpendicular principal meridians ASTIGMATISMo Astigmatism is a type of refractive error wherein the refraction varies in the different meridia. Consequently, the rays of light entering in the eye cannot converge to a point focus but form focal lines. The refractive error of the astigmatic eye ste...
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Pterygium all are true except:
Ans. Arise from any pa of conjunctiva
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Gradient in pulmonary aery wedge pressure and left ventricular end diastolic pressure is seen in
Answer is C (Left atrial myxoma) An increased gradient during diastole is suggestive of an obstructive lesion between Left atrium and Left ventricle that is not allowing pressures to normalize between the atria and ventricle such as atrial myxoma. Pulmonary aery wedge pressure represents Left atrial pressure. Left vent...
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Which of the following opioid can be given intranasally?
Butorphanol is full agonist at kappa & antagonist at μ receptor that can be given intranasally.
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A 55-year-old woman was found to have Ca cervix, FIGO stage 2-3, locally advanced. What would be the management?:
As discussed in detail in preceeding text best for cervical cancer of (stages II B to IV A) is chemoradiation (i.e. chemotherapy and radiotherapy), where by cisplatin is used as a radiosensitiser to increase the sensitivity of the cells to radiotherapy before giving radiotherapy. Since in this question –chemotherapy + ...
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What is TRUE about Lovastatin
Ans. is 'b' i.e., Inhibits HMG CoA reductase 'c' i.e., Myositis results from prolonged use 'd' i.e., Decrease synthesis of cholesterol and cause lenticular opacityLovastatin:Mechanism of actionInhibition of HMGCoA reductase Mode of actionDecreased cholesterol synthesis Increased LDL receptors Lipoproteins affectedLDL- ...
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Which cancer is most commonly associated with increased estrogen levels?
Ans. is 'c' i.e., Breast Important risk factors for breast cancer1) Increased age8) High fat diet2) Female sex9) High socioeconomic status3) Western countries10) Irradiation4) Early menarche11) Hormone replacement therapy5) Late menopause12) Family history positive6) Obesity13) Somatic mutation in p53 gene (in 40% case...
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Which among the following occupation is a risk factor for this presenting illness?
Ans. (a) A lifeguard in swimming poolCutaneous larva migrans (CLM) is a clinical syndrome consisting of an erythematous migrating linear or serpiginous cutaneous track;It is also called as creeping eruptionsIndividuals at greatest risk include travelers, children, swimmers in lakes, and laborers whose activities bring ...
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Vaccination causing intussusception is
Rotavirus vaccination - there is a potentially high risk of intussusception with the first dose when this vaccine is given to infants aged more than 12weeks. Ref: Park&;s textbook of preventive and social medicine; 23rd edition.
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Most common cause of urethral stricture is
Urethral stricture CAUSES The common causes of urethral stricture are: * Inflammatory * Secondary to urethritis * Secondary to balanitis xerotica obliterans (BXO) * Traumatic (MC) * Bulbar urethral injury * Pelvic fracture urethral disruption injury * Iatrogenic * Secondary to urethral instrumentation including cath- e...
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Egg on side appearance of heart is seen in the radiograph of?
Ans. (b) TGARef: Sutton 7thed different pages. Pediatrics Radiology: The Requisites by Johan G. Blickman, Bruce R. Parker; M.D. Patrick D. Barnes p-52
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Which amino acid migrates fastest on paper chromatography on methylcellulose medium?
Chromatography paper contains about 15-20% water, held to the paper fibers. This water acts as the stationary phase in paper chromatography. Amino acids are separated according to their solubility in the water and in an organic solvent (the mobile phase) moving up the paper. The most non-polar amino acids migrate the f...
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An eleven year old boy is having tinea capitis on his scalp. The most appropriate line of treatment is –
Systemic therapy for all dermatophytosis Terbinafm  → DOC Griseofulvin → 2nd choice Once the mainstay of systemic therapy for dermatophytic infection, has now replaced by terbinafine.
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Which of the following metabolic abnormality is seen in multiple myeloma -
Ans: C
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IPC 193 is for -
Ans. is 'b' i.e., Punishment for perjury Perjury, Hostile witness and false certificate* 191 IPC: (i) Giving false evidence (perjury) under oath and (ii) hostile witness.* 192 IPC: Fabricating false evidence (perjury).* 193 IPC: Punishment for false evidence (punishment for perjury): imprisonment upto 7 years + fine.* ...
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Which of the following types of bronchogenic carcinomas are most likely to develop within a residual area of peripheral scar tissue?
Adenocarcinomas are the most common primary lung cancer to develop within an area of peripheral scar. Scar tissue formation may be secondary to previous granulomatous disease (tuberculosis), infarction, or interstitial diseases of the lung associated with fibrosis (e.g., progressive systemic sclerosis). The pathogenesi...
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Provison of PHC was done by
Ans. is 'a' i.e.,Bhore Committe Bhore CommitteIt is also known as 'Health Survey and Development Committee'. Its recommendations were :1) Integration of preventive and curative services at all administration levels2) Sho term and long term recommendationsSho term : PHC to cater to a population of 40,000Long term (3 mil...
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What is the most common malignancy affecting spleen
The most common neoplastic tumour is lymphoma(Hodgkin) and the most common benign tumour is a hemangioma, rest like angiosarcoma, secondaries and hamaomas are rare tumours of the spleen. Bailey and love&;s 24 the edition page no. 1091
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A key gluconeogenic amino acid is:
Alanine is a key gluconeogenic amino acid. The rate of hepatic gluconeogenesis from alanine is far higher than from all other amino acids. The capacity of the liver for gluconeogenesis from alanine does not reach saturation until the alanine concentration reaches 20 to 30 times its normal physiologic level. Ref: Harper...
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NARP syndrome is seen in
NARP syndrome (neuropathy ,ataxia, & retinitis pigmentosa) is a condition related to changes in mitochondrial DNA Refer Harrison 17/316-317 Robbins 8/1328
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Most common post splenectomy infection is:
Pneumococcus
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Hand signs of liver cell failure are all except?
The hand manifestations of CLD consist of: Spider naevi (invariably on the upper half of the body), Palmar erythema (mottled redness of the thenar & hypothenar eminences) Dupuytren's contractures Clubbing.
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Membranous urethral rupture causes collection of blood in -
Ans. is 'b' i.e., Deep perineal pouch
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Function of peroxisomes is:
Peroxisomes are associated with: Production of peroxides and degradation of peroxides
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Protrusion of tongue not possible in damage of ?
Ans. is 'd i.e., Genioglossus
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Which disease doesn't require chemoprophylaxis?
Measles prevention is only by immunisation and vaccination. No chemoprophylaxis(Ref.PARK'S TEXTBOOK OF PREVENTIVE AND SOCIAL MEDICINE 21st Edition page no.136)
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Alpha la adrenergic blocker giving symptomatic relief in BPH?
ANSWER: (A) TamsulosinREF: KDT 7th ed p. 135, Goodman Gillman s 11th ed p. 173Tamsulosin:This unselective alpha! ./alpha blocker has been found to be as effective as terazocin for symptomatic control of BPHPrazosin: blocks all subtypes of alpha receptors equally, used for symptomatic control of BPH Terazosin: long acti...
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True about glycolysis are all except ?
Ans. is 'c' i.e., Two carbon end product is formed Impoant facts about glycolysis An impoant biochemical significance is the ability of glycolysis to provide ATP in the absence of oxygen (anerobic glycolysis) and allows tissues to survive anoxic episodes. It occurs in cytosol 3 Carbon atoms end product (pyruvate or lac...
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medmcqa_train
A 68-year-old male is brought to the outpatient by his wife due to increasing forgetfulness. On taking history in details, wife repoed that for around 6 months patient is having trouble in organising the finances and paying bills, something he has done all his life. He has also become withdrawn and has decreased meetin...
The history is suggestive of executive dysfunction (trouble in organising the finances and paying bills), apathy and disinhibition (decreased socialisation and inappropriate behaviour with women), lack of insight (denies having any problem) and memory disturbances. This is suggestive of frontotemporal dementia, in whic...
1,195
medmcqa_train
Which is the anesthetic agent of choice in a case of status asthmaticus?
Ketamine along with adjunctive therapy is the standard therapy in the treatment of children with status asthmaticus and impending respiratory failure. Ketamine cause bronchodilation through the inhibition of vagal tone, release of endogenous catecholamines and by direct muscle relaxation.
1,196
medmcqa_train
In starvation activities of all of the following enzyme is increased except ?
In starvation activity of all enzymes responsible for gluconeogenesis are increased. Pyruvate kinase is the enzyme of glycolysis. Activity of enzymes of glycolysis are suppressed in starvation. So pyruvate kinase activity is suppressed in starvation. All other enzymes given in this question are gluconeogenic enzyme who...
1,197
medmcqa_train
A 22 year old man had a Beef sandwich and Potato salad. He Vomited 2 hours after the meal. What is the probable diagnosis
Preformed toxin of S. aureus causes nausea within 1-6 hours of ingestion. Common food associated are: Poultry, potato and egg salad.
1,198
medmcqa_train
Which of the following is an alkaloid
Neostigmine, sold under the brand name Prostigmin among others, is a medication used to treat myasthenia gravis, Ogilvie syndrome, and urinary retention without the presence of a blockage. It is also used together with atropine to end the effects of neuromuscular blocking medication of the non-depolarizing type. Refer ...
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medmcqa_train