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Neonatal seizure carries best prognosis if the cause is - | Ans. is 'b' i.e., Hypocalcemia o Hypocalcemic seizures carry good prognosis. o Idiopathic seizures have bad prognosis. | 11,700 | medmcqa_train |
Lumbosacral spine lateral view X-ray shows | (A) Spondylisthesis# Spondylolisthesis is the forward displacement of a vertebra, especially the fifth lumbar vertebra, most commonly occurring after a break or fracture. Backward displacement is referred to as retrolisthesis.> Variant "listhesis," resulting from division of this compound word, is sometimes applied in ... | 11,701 | medmcqa_train |
Most immunogenic RBC blood group system out of the given options is:- | Most immunogenic RBC blood group system:- ABO Blood Grouping > Rh> Kell. If there is mismatch b/w two individual on differential expression of the Kell ag, this can be responsible for Hemolytic diseases of new born (HDN) Duffy Receptor/Ag on RBC which facilitate the entry of plasmodium vivax. Therefore, those individua... | 11,702 | medmcqa_train |
As per ACOG - 2001 criteria to diagnose "gestational diabetes" using GTT is plasma glucose at 2 hr more than____ mg/dL: | Ans-B (Ref. William's Obstetrics 22nd /Table 52 - 4).American College of Obstetricians and Gynecologists 2001 Criteria for Diagnosis of Gestational table: DiabetesUsing the 100-g Oral Glucose Tolerance Test: Plasma/ Serum Carpenter and CoustanNational Diabetes Plasma Data GroupStatusmg/dLmmol/Lmg/dLmmol/LFasting955.310... | 11,703 | medmcqa_train |
Distal nail matrix forms | Ref:- Review of Dermatology by Alikhan; pg num:-11 | 11,704 | medmcqa_train |
Bone which is Pneumatic: | A i.e., Maxillary | 11,705 | medmcqa_train |
A thiy year man presented with nausea, fever and jaundice of 5 days duration. The biochemical tests revealed a bilirubin of 6.7 mg/dl (conjugated 5.0 mg/dl) with SGOT/SGPT (AST/ALT) of 1230/900 IU/ml. The serological tests showed presence of HBsAg, IgM anti HBc and HBe Ag. The most likely diagnosis - | HBs Ag is the first marker appear in the blood after infection. Anti-HBc is the earliest antibody seen in blood.HBeAg indicates infectivity REF:MICROBIOLOGY ANANTHA NARAYANAN NINTH EDITION PAGE.546&547 | 11,706 | medmcqa_train |
Which of the following is best treatment for Grade II abdominal hypeension? | Abdominal compament syndrome grading system Grade Bladder pressure (mm Hg) Clinical features Treatment I 12-15 None Nomovolemic resuscitation II 16-20 Oliguria, Splanchnic hypoperfusion Hypovolemic resuscitation II 21-25 Anuria, increased ventilation pressure Decompression IV >25 Anuria, Increased ventilation pressure ... | 11,707 | medmcqa_train |
All regarding HSP is true except – a) Hematuria resolve without treatmentb) Steroids best treat skin lesionsc) Self limiting arthralgiad) Excellent prognosise) Purpura fulminans | HSP usually has mild glomerulonephritis, which usually resolves spontaneously without treatment.
Glucocorticoids decrease arthralgia and abdominal pain but have no role in skin or renal disease.
Arthralgia is self limiting, non-deforming but incapaciating.
Overall prognosis of HSP is good.
Purpura fulminans is a hemorr... | 11,708 | medmcqa_train |
Nutritional supplement for two year old child under ICDS scheme is - | Ans. is 'd' i.e., 500 calories o Under ICDS Scheme supplementary nutrition is given to: Children below 6 yrs Nursing mothers Expectant mothers o The aim is to supplement nutritional intake for 1) Each child 6-72 months of age --) 500 calories and 12-15 grams ofprotein (financial norm of Rs 6.00 per child per day). 2) S... | 11,709 | medmcqa_train |
Posterior wall of the structure pierced by the Index finger is | The structure pierced by Index finger is Transverse sinus. The posterior wall of Transverse sinus is Superior Venacava. | 11,710 | medmcqa_train |
Tardive dyskinesia is least common with | Ans. c (Olanzapine) (Ref: Harrison's internal medicine, 16th ed., p 2418)ATYPICAL ANTIPSYCHOTICS (Noval antipsychotics like)# Atypical antipsychotics (clozapine, risperidone, olanzapine, quetiapine, ziprasidone, and aripiprazole) significantly lower the risk of tardive dyskinesia (TD) compared to typical antipsychotics... | 11,711 | medmcqa_train |
Chemotherapeutic drugs can cause: | Ans. is 'c' i.e., Both necrosis and apoptosis Chemotherapeutic drugs can cause both necrosis and apoptosis, but it is apoptosis which is the basis of action of chemotherapeutic drugs.Apoptosis is a process by which single cell are removed from the midst of living tissue by fragmentation into membrane bound particles an... | 11,712 | medmcqa_train |
Yellow color of a bruise is due to which of the following? | The yellow color is due to degradation of hemoglobin to bilirubin. Deoxyhemoglobin is responsible for bluish bruise seen on the first day after the injury. Bruises change color over time, because of the degradation of haemoglobin in the blood. However, the timescale of this degradation is not fixed, and it is therefore... | 11,713 | medmcqa_train |
Pasteruisation of milk does not kills - | Pasteurization doesn't kill thermoduric bacteria nor the bacterial spores. REF. PARK'S TEXTBOOK OF PREVENTIVE AND SOCIAL MEDICAL 21ST EDITION. PAGE NO - 606 | 11,714 | medmcqa_train |
All of the following are causes of subcoical dementia except | Coical Dementia's * Early Presentation of 4A's (Amnesia, Apraxia, Aphasia, Agnosia, Acalculia) Seen in: Alzheimer Disease Creutzfeldt Jacob Disease Picks disease & other Frontotemporal Dementia. Sub-coical Dementia Involves Sub-coical Structures (Like Basal Ganglia, Cerebellum, Brain Stem Nuclei) first * Present with m... | 11,715 | medmcqa_train |
All the following are criteria for outlet forceps application Except | ProcedureCriteriaOutlet ForcepsScalp is visible at the introitus without separating the labiaFetal skull has reached pelvic floorFetal head is at or on perineumRotation does not exceed 45degreesLow ForcepsLeading point of fetal skull is at station >= +2cm, and not on the pelvic floora) Rotation is 45 degrees or lessb) ... | 11,716 | medmcqa_train |
All of the following are indication of steroids in TB except? | In the above conditions, steroids given as 1 mg/kg/day and paperd gradually over 6.8 weaks. | 11,717 | medmcqa_train |
Regular drinking of which of the following fruit juices can prevent UTI? | Ans. c. Cranberry (Ref: Campbell Urology 10/e p294; Smith 17/e p207)Regular drinking of cranberry juice can prevent UTI."Alternatives to antibiotic therapy so the treatment of recurrent cystitis/UTI include intravaginal estriol, lactobacillus vaginal suppositories, and cranberry juice taken orallyQ.""Cranberry juice is... | 11,718 | medmcqa_train |
Bitewing radiographs are best suited to monitor: | Bitewing (also called interproximal) images include the crowns of the maxillary and mandibular teeth and the alveolar crest on the same receptor.
Bitewing receptors are particularly valuable for detecting interproximal caries in the early stages of development before it becomes clinically apparent. Because of the hor... | 11,719 | medmcqa_train |
Exposure of left subclan aery by supraclavicular approach does NOT require cutting of: | Scalenus medius muscle lies postero-inferior to subclan aery and is not required to be cut. | 11,720 | medmcqa_train |
All are derivatives of septum transversum except: | B i.e. Ligamentum teres | 11,721 | medmcqa_train |
All of the following vaccines can prevent pneumonia, except: | b. Rubella(Ref: Nelson 20/e p 1545)Pneumonia is the most common cause of death in measles. It may manifest as giant cell pneumonia caused directly by the viral infection or as superimposed bacterial infection. The most common bacterial pathogens are Streptococcus pneumoniae, Hemophilus influenzae, and Staphylococcus au... | 11,722 | medmcqa_train |
Streptococcus causes: | Ans. (a) CellulitisRef: Microbiology by Ananthanarayan and Paniker 8th ed. 1205# SKIN AND SOFT TISSUE INFECTION BY STREPTOCOCCUS-* Erysipelas-diffuse infection involving the superficial lymphatics* Impetigo-superficial infection of skin (pyoderma)* Cellulitis-cellulitis is caused mainly by hemolytic streptococci* Lymph... | 11,723 | medmcqa_train |
A patient at 30 weeks gestation presents with complaints of vaginal bleeding. She is admitted to a labor room for evaluation. Fetal hea rate is 130 bpm with no accelerations or decelerations. Ultrasonography reveals a placenta covering a poion of the internal cervical os. She currently shows no active vaginal bleeding.... | For the management, we follow McAfee Johnson Regime, the aim is to continue pregnancy for fetal maturity without compromising the maternal health. If the duration of pregnancy is <37 weeks, active vaginal bleeding is absent, mother and fetal well being is assured then resuscitation and observation in high risk ward is ... | 11,724 | medmcqa_train |
Inferior angle of scapula is at what level of rib | The eighth rib is just below the inferior angle of the scapula. The lower ribs can be identified on the back by counting down from the eighth rib so at the level of inferior angle of scapula is related to 7th rib. Ref : B D Chaurasia's Human Anatomy , seventh edition ,volume 1 , pg. no., 62 | 11,725 | medmcqa_train |
A 30 year old male came with complains of unilateral blurred vision with floaters since 15 days. On examination, AC flare and cells were seen with 'headlight in fog' appearance on indirect ophthalmoscopy. Also, a single inflammatory focus of fluffy retinochoroiditis lesion is seen. What is the diagnosis? | Ans. is 'b' i.e., Toxoplasmosis chorioretinitis * Toxoplasmosis is caused by Toxoplasma gondii, an obligate intracellular protozoan.* Symptoms: Unilateral acute or subacute onset of floaters, blurring and photophobia.* 'Spill-over' anterior uveitis is common. It may be granulomatous or resemble Fuchs uveitis syndrome; ... | 11,726 | medmcqa_train |
True about methicillin-resistant Staphylococcus aureus (MRSA) is | Penicillin resistance may also be due to alterations in penicillin-binding protein PBP2a and changes in bacterial surface receptors, reducing binding of beta-lactam antibiotics to cells. This resistance also extend to cover beta lactamase resistant penicillin such as methicillin and cloxacillin(MRSA)
Some of these stra... | 11,727 | medmcqa_train |
Haemophilus parainfluenza requires which of the following factors | Factor X has a group of heat stable compounds that synthesize enzymes like cytochrome and catalase involved in aerobic respiration. Since H influenza grows aerobically, it's needs it | 11,728 | medmcqa_train |
Which of the following is an oncogenic RNA virus | Ref Robbins 8/e p315,9/e p328 Hepatitis C virus is only oncogenic RNA virus in the options.otherd mentioned are oncogenic DNA viruses Hepatitis C Virus Epidemiology and Transmission. HCV also is a major cause of liver disease. The worldwide carrier rate is esti- mated at 175 million persons (a 3% prevalence rate, rangi... | 11,729 | medmcqa_train |
Most common Vagal carcinoma is | Ans. is a i.e. Squamous cell Ca Vaginal carcinoma Primary cancer of vagina are very rare. Most common age group is Elderly females - 70 years. Most common histologic type is Squamous cell carcinoma Most common site is Upper third of Posterior wall of vagina. Mostly asymptomatic Patient may present with abnormal vaginal... | 11,730 | medmcqa_train |
A girl presents with; primary amenorrhea; grade V thelarche, grade II pubarche; no axillary hair: likely diagnosis is : | Testicular feminisation syndrome | 11,731 | medmcqa_train |
Which of the following statements about Xanthogranulomatous Pyelonephritis is not true? | Xanthogranulomatous Pyelonephritis is an uncommon complications of UTI. It is frequently seen in patient with urinary tract obstruction. It is not associated with Tuberculosis. Ref: Stua G. Silverman, Richard H. Cohan, (2007), Chapter 6, "Renal Infections", In the book, "CT Urography: An Atlas", USA, Page 94; Smith's U... | 11,732 | medmcqa_train |
Sodium valprote in patient with bipolar mood disorder can cause - | Ans is 'b' i.e., Hepatotoxicity Adverse effect of Valproate1) Neurological - Ataxia, sedation,tremor2) Systemic- Hepatotoxicity, thromobocytopenia,GI irritation, weight gain, transient alopecia, hyperammonemia, pancreatitis,coagulation disorder | 11,733 | medmcqa_train |
Maximum loss of sodium in a child occurs in | Ans. is 'b' i.e., heal fluid Cations and anions in biological fluids in meq/dl Fluid Sodium Potassium Chloride Gastric juice 60 10 85 heal fluid 130 10 115 Diarrhea stool 10-90 10-80 10-110 | 11,734 | medmcqa_train |
Which of the following is required in the formation of the structure of Haemoglobin? | The Beta-chain of Hb begins with valine and histidine. Both these amino acids are impoant in the synthesis and structure of heamoglobin. Alignment according to helical designation makes homology evident: Residue F8 is the proximal heme-linked histidine, and the histidine on the distal side of the heme is E7. The iron a... | 11,735 | medmcqa_train |
The medial bulging of the pharynx is seen in - | Pharyngomaxillary space (Parapharyngeal space or lateral pharyngeal space) is lateral to the pharynx.
Obviously the abscess of this space will produce the bulge medially, i.e. medial bulge of the pharynx. | 11,736 | medmcqa_train |
Laryngeal mirror is warmed before use by placing: | (a) Glass surface on flame(Ref. Dhingra, 6th ed., 384)Laryngeal mirror is warmed before use by placing the glass surface on flame to prevent fogging caused due to breathing.Putting back of mirror on flame or will heat its back surface also which when held against the soft palate of the patient, while doing I/L, will ca... | 11,737 | medmcqa_train |
The condition associated with their formation is | Ans. (d) All of the above* The figure shows gall bladder filled with gall stones. Causes of its formation can includea. Hypomotility of gall bladderb. Accelerated cholesterol crystal nucleationc. Hypersecretion of mucus. | 11,738 | medmcqa_train |
Charcot leyden crystals in stool are seen in: | Ans. is 'b' i.e., Amoebic dysentery(Ref: Harrison, 18th/e, 1685)Charcot-Leyden crystals are slender and pointed at both ends, consisting of a pair of hexagonal pyramids joined at their bases. They consist of lysophospholipase (galectin 10), an enzyme synthesized by eosinophils, and are produced from the breakdown of th... | 11,739 | medmcqa_train |
Muscle relaxant that can be used in a patient with high serum bilirubin of 6.0 and serum creatinine of 4.5 mg/ dL? | Ans. a. Atracurium (Ref: Goodman Gilman 12/e p264; Morgan 4/e p221; Lee 13/e p191,192)Muscle relaxant that can be used in a patient with high serum bilirubin of 6.0 and serum creatinine of 4.5 mg/dL is Atracurium because of unique metabolism independent of hepatic and renal functions and ensured degradation.AtracuriumA... | 11,740 | medmcqa_train |
Diuretic causing gynaecomastia is - | Ans. is 'b' i.e., Spironolactone Drugs causing gynecomastia* Calcium channel antagonist* Isoniazide* Reserpine* Clomiphene* Ketoconazole* Digitalis* Methyldopa* Estrogens* Testosterone* Flutamide* Phenytoin* Cimetidine* Ethionamide* Griseofulvin* Goserelin* Griseofulvin* Spironolactone* Cyprotenrone acetate Note: Cimet... | 11,741 | medmcqa_train |
DNA foot printing is used to detect | Techniques of detection of DNA-Protein interaction : DNA footprinting Yeast one-hybrid system Electrophoretic mobility shift assay (EMSA) | 11,742 | medmcqa_train |
Replacement dose of thyroxine is | • Daily replacement dose of thyroxine: 1.6 μg/Kg body weight (0.1-0.15 gm) .
• For TSH suppression (in PTC and FTC), dose of thyroxine: 2.7 μg/Kg body weight. | 11,743 | medmcqa_train |
Insulin of choice in a patient with Diabetic ketoacidosis? | Regular Insulin is short acting formulation given intravenously in cases of Diabetic ketoacidosis. | 11,744 | medmcqa_train |
Which radioisotope of Iodine is used in the treatment of hypehyroidism? | Iodine 131 when taken up by thyroid gland result in destruction of the trapping cell and cells in close proximity. Because thyroid gland has extremely high affinity for iodine compared to other tissues, radioactive iodine results in selective ablation of thyroid tissue. Ref: Diseases of the Thyroid in Childhood and Ado... | 11,745 | medmcqa_train |
Virus causing cervical cancer in the ectocervix - | Ans. is 'a' i.e., HPV 16 Carcinoma cervixo The m/c etiological factor associated with cancer cervix is Human Papillomavirus (HPV).o HPV is epitheliotropic.o High-risk HPVInclude 16, 18, 31, 33, 35, 39. 45, 52, 56, 58, 59, 68.o Low-risk HPV associated with genital warts are subtype 6 and 11.o Almost 80% women are infect... | 11,746 | medmcqa_train |
The commonest systemic abnormality associated with renal cell carcinoma Is - | The preoperative erythrocyte sedimentation rate is an independent prognostic factor in renal cell carcinoma. An elevated erythrocyte sedimentation rate (ESR) repoedly has been associated with a poor prognosis among patients with RCC, but the ESR is not incorporated into existing nomograms Ref Harrison20th edition pg 28... | 11,747 | medmcqa_train |
Which hormone is not affected by menstrual cycle - | Ans. is 'd' i.e., Prolactin o Prolactin levels do not fluctuate much during the menstrual cycle. | 11,748 | medmcqa_train |
In the primary survey of a severely wounded patient 'cABCDE', 'c' stands for | Experience from war zones over the past 20 years has shown that exsanguinating external haemorrhage from massive aerial bleeding needs to be controlled even before the airway is managedIf identified, pressure should be applied, in an attempt to stem the flow of blood. When the tourniquet is applied, the time has to be ... | 11,749 | medmcqa_train |
Schwannoma arises most frequently from: | A schwannoma (also known as acoustic neuroma, acoustic neurinoma, or acoustic neurilemoma) is a benign, usually slow-growing tumor that develops from the vestibular nerves supplying the inner ear. The tumor comes from an overproduction of Schwann cells--the cells that normally wrap around nerve fibers like onion skin t... | 11,750 | medmcqa_train |
Which of the following toxic states is not associated with anemia? | Ans. is 'd' i.e., Listerosis * The toxic or chemical injury states associated with anemia include: Clostridial sepsis, Snake venom, Lead poisoningClassification of Anemia According to Underlying MechanismMechanismSpecific ExamplesBlood Loss Acute blood lossChronic blood lossTraumaGastrointestinal tract lesions, gynecol... | 11,751 | medmcqa_train |
Enzyme deficiency in glycogen storage disease type 5 is: | D Harper, 26,h ed, p. 152, Table (18.2) & 25th ed, p. 206, Table (20.2) | 11,752 | medmcqa_train |
Which of the following is the root value of achilles tendon reflex? | Achilles tendon reflex:Also known as ankle jerk.Root value: S1,S2Plantar flexion of the ankle joint on tapping the Achilles tendon. Must know:Deep tendon reflexes include reflex responses of the biceps, triceps, brachioradialis, patellar and Achilles tendons. Ref: Clinical Anatomy By Regions By Richard S. Snell, 2011, ... | 11,753 | medmcqa_train |
Commonest trophozite infection by sexual intercourse - | Trichomoniasis has an estimated annual incidence of 173 million cases(Ref.PARK'S TEXTBOOK OF PREVENTIVE AND SOCIAL MEDICINE 21st Edition page no.304) | 11,754 | medmcqa_train |
Maternal moality is maximum in which period - | Park's textbook of preventive and social medicine 23rd edition. *Maternal deaths mostly occur from 3rd trimester to 1st week after bih. | 11,755 | medmcqa_train |
EAC rosette formation is the propey of one of the following type of immune cells ? | Ans. is 'a' | 11,756 | medmcqa_train |
Mid tracheostomy is done at which of the following level? | Ref: Diseases of the Ear Nose and Throat by PL Dhingra 5th edn .2010 page page 337 Explanation:TracheostomyTracheostomy is making an opening in the anterior wall of trachea and converting it into a stoma on the skin surfaceIndications areRespiratory obstructionSuction of retained secretionsRespiratory insufficiencyType... | 11,757 | medmcqa_train |
Which of the following represents the indication for In-situ DNA nick end labeling technique? | It is an in-situ method for detecting areas of DNA which are nicked during apoptosis.In-situ methods for labeling apoptotic cells are used to demonstrate the DNA fragments produced by endonucleolytic cleavage directly within tissue sections. The in-situ methods makes use of enzymes that label 3'-OH ends that results fr... | 11,758 | medmcqa_train |
The need for vitamin B12 and folic acid inthe formation of red blood cells is related primarily of their effects on: | Within 6-9 hours of treatment with vitamin B12 formation of nuclear DNA component promotes normoblastic reaction of the bone marrow. Folic acid also promotes the formation of nucleic acids. | 11,759 | medmcqa_train |
A 3-year-old child is admitted to the emergency department with a particularly severe attack of asthma. Which of the following is the most important factor in increasing the intrathoracic capacity in inspiration? | Contraction of the diaphragm (descent) pulls the dome inferiorly, increasing the vertical dimension of the thorax. This is the most important factor in inspiration for increasing the internal pulmonary volume and concomitantly decreasing intrathoracic pressure. The contraction of intercostal muscles is usually involved... | 11,760 | medmcqa_train |
Harish 45 years old male admitted in hospital, says that nurse who is treating him is not actually nurse, his wife has replaced her and trying to killed him. Diagnosis. | Fregoli syndrome : Patient believes that family member has come in disguise of stranger. | 11,761 | medmcqa_train |
A 40 year old married male thinks that he is multitalented and is always overconfident. He never listens to his family or friends. Infact whenever anyone gives him any advice, he thinks that they have some motive against him. He is always suspicious of his wife.All these are feature of? | Ans. C. Paranoid personality disorderParanoid personality disorder: It is characterized by generalized mistrust and suspiciousness about the motives and actions of others and a tendency to interpret them as malevolent. The patient believes that:Others are exploiting or deceiving the person.Friends are untrustwohy and n... | 11,762 | medmcqa_train |
Wilm's Tumour is associated with all. except ? | Ans. is d i.e., Polycystic kidney disease | 11,763 | medmcqa_train |
Function of hepatic stellate cells are | The hepatic cells are of mesenchymal origin , found in space of Dessie. The stellate cells play a role in the storage and metabolism of vitamin A and are transform into collagen producing myofibroblast when there is inflammation and Fibrosis of liver. Refer 9/e p436 | 11,764 | medmcqa_train |
A 16-year-old girl presents with a painfully enlarged lymph node in her right axilla and low grade fever. Peripheral blood counts are within normal limits. The lymph node is biopsied, and numerous granulomas filled with neutrophils and necrotic debris are observed. Which of the following organisms could produce this di... | Baonella henselae is the infective agent of cat scratch disease, which generally presents as regional lymphadenopathy with or without low fevers and headaches. Baonella is a gram-variable pleomorphic rickettsial organism that is introduced to the skin in a cat bite or scratch. It produces a self-limited granulomatous r... | 11,765 | medmcqa_train |
Which of the following condition increase chance of hyponatremia in patient treated with antidepressant: | Ans. (A) Old ageCases of SSRl-associated hyponatremia & the syndrome of inappropriate antidiuretic hormone have been seen in some patients, especially those who are older or treated with diuretics. | 11,766 | medmcqa_train |
Renal GFR is estimated by | C i.e. Tc99 DTPA DTPA is freely filtered at globerulus with no tubular reabsorption or excretion. Thus its excretion rate measures GFRQ. DTPA Scan is useful for evaluation of perfusion and function of each kidneyQ. It is also indicated in Urinary tract obstructionQ, Renovascular cause of hypeensionQ and Renal transplan... | 11,767 | medmcqa_train |
Infraclavicular lesion of tuberculosis is known as - | Assman focus: Infraclavicular lesion of tuberculosis. Healed calcified caseous nodule of tuberculosis at the apex of the lung. Rich focus: Tuberculosis granuloma occurring on the coex of the brain that ruptures into the subarachnoid space. Simmons focus: Healed foci of TB in the liver Weiga focus: Healed foci of TB in ... | 11,768 | medmcqa_train |
Veebral rotation in scoliosis is checked in- | *The forward bending test is very sensitive in demonstrating the veebral rotation that takes place in a structural scoliotic curve. *Quantification of the rotation is done by measuring the rib hump by use of inclinometer or scoliometer. Ref: Oski's Paediatrics, Principles and practice p.2488 | 11,769 | medmcqa_train |
A 9 months old child is brought to you in the emergency with complaints of cough and coryza since last 2 days. Since last 1 day child is having noisy breathing which increases on crying. On examination you find a stridor which the mother was explaining as noisy breathing. What is your diagnosis? | Ans. A. CroupCroup is the most common etiology for hoarseness, cough, and onset of acute stridor in febrile children. Symptoms of coryza may be absent, mild, or marked. The vast majority of children with croup recover without consequences or sequelae.Croup manifests as hoarseness, a seal-like barking cough, inspiratory... | 11,770 | medmcqa_train |
The major contribution to the semen from: | Semen which is ejaculated during male sexual act is composed of fluid and sperm.
vasdeferens-10%
seminal vesicles-60%-mucoid consistency
prostate gland-30%-milky
so the bulk of semen is seminal vesicle fluid | 11,771 | medmcqa_train |
Uric acid is formed by ? | Ans. is 'c' i.e., Catabolism of purines | 11,772 | medmcqa_train |
The weight of the upper limb is transmitted to the axial skeleton by ? | The weight of the upper limb is transmitted to the medial two-third of the clavicle and thence to the axial skeleton through the coraco-clavicula ligament. | 11,773 | medmcqa_train |
One of your patients is diagnosed with retinoblastoma. He has a single tumor in one eye. The patient is worried whether his children would suffer from the same condition. What test could be used to determine whether it is a heritable or sporadic tumor? | Foy percent of retinoblastomas are heritable; the child inherits one mutant allele through the germline and a somatic mutation in the other allele occurs, resulting in the loss of function of that gene. This leads to tumor development, often with multiple tumors in both eyes. Penetrance, however, is not complete, since... | 11,774 | medmcqa_train |
Cytochrome C of the bacteria has 50% identity of amino acid sequence with that of a human. Which of the following is the most conserved parameter in these two proteins | Pseudomonas (bacterial) cytochrome C differs from eukaryotic (human) cytochrome in the total number of amino acid residues, in composition and in the order of residues in the large segment of amino acid sequence'
Comparison of primary protein structure with the predicted tertiary structure revealed that functionally cr... | 11,775 | medmcqa_train |
To test hepatic function to assess bleeding disorder clinical test done is: | PTT | 11,776 | medmcqa_train |
In Peutz-Jeghers syndrome, polyps are seen in | Answer is C (Small bowel) Polyps may be seen throughout the gastro intestinal tract but most commonly in the small intestine. Peutz Jegher's syndrome: It is an autosomal dominant condition characterized by: Hamaomatous polyps throughout the gastrointestinal tract, most notably in .small intestineQ Mucocutaneous pigment... | 11,777 | medmcqa_train |
Which statement regarding the renal involvement associated with SLE is true? | Renal disease is clinically evident in about half of persons with SLE. However, nearly all persons with SLE have some evidence of renal disease on renal biopsy. Renal disease associated with SLE includes both glomerulonephritis and interstitial nephritis. Glomerular disease has been classified into membranous nephritis... | 11,778 | medmcqa_train |
A 74-year-old woman presents with acute chest pain and shoness of breath. Cardiac catheterization demonstrates occlusion of the left anterior descending coronary aery. Laboratory studies and ECG are consistent with acute myocardial infarction. Which of the following is the most likely pathological finding in the affect... | Pathologic findings in congestive hea failure include:- Change Time Microscopic signs of coagulative necrosis 24 hours after the onset of vascular occlusion PMNL and marophages 3-5 days from the time of injury Capillary rich granulation tissue 7 days or end of first week Collagen rich scar tisssue(necrotic myocardium i... | 11,779 | medmcqa_train |
Which of the following Scaphoid fracture is most prone to develop Avanscular necrosis? | A i.e. Fracture of waist of Scaphoid | 11,780 | medmcqa_train |
First line of treatment for keloid is | First line of management for keloid is intra keloidal injection of Triam cinolone acetate. | 11,781 | medmcqa_train |
A 9 yr old girl has difficulty in combing hairs and climbing upstairs since 6 months. She has Gower's sign positive and maculopapular rash over metacarphalangeal joints. What should be the next appropriate investigation to be done? | The mitochondrial creatine kinase (CKm) is present in the mitochondrial intermembrane space, where it regenerates phosphocreatine (PCr) from mitochondrially generated ATP and creatine (Cr) impoed from the cytosol. Apa from the two mitochondrial CK isoenzyme forms, that is, ubiquitous mtCK (present in non-muscle tissues... | 11,782 | medmcqa_train |
During delivery there is a perineal tear involving the anal sphincter but anal mucosa is not involved. Which is the degree of tear? | Ans. (c) IIIRef. DC Dutta 7th ed./ 422-23PERINEAL TEARS1st degreeIs a laceration of the vaginal mucosa and the perineal skin but not the underlying fascia and muscle.2nd degreeInvolves the vaginal mucosaperineal skinand the fascia and muscles of the perineal body.3rd degreeInvolves the vaginal mucosaskin and perineal b... | 11,783 | medmcqa_train |
Most sensitive investigation for diagnosis of Meckel's diverticulum is? | Ans DImaging wise Meckel diverticulum appears like normal bowel, however Meckel's bleeds because it has ectopic gastric mucosa - secretes acid - damages the mucosa. Most common presentation of Meckel's: GI bleedingQ with abdominal pain. Tc99m - pertechnate scan is most sensitive for diagnosisQ | 11,784 | medmcqa_train |
Which is a Chemoattractant - | Ans-C5a* Major opsonins: C3b, IgG, mannose-binding lecithin (MBL), fibronectin, fibrinogen, and CRP.* Membrane attack complex: MAC has a subunit composition of C5b, C6, C7fC8, and polymeric C9* Anaphylatoxin: Both C3a and C5a anaphylatoxin activity. | 11,785 | medmcqa_train |
If a patient is absolutely allergic to LA, the specific drug used in place of it is: | If the patient is allergic:
To ester local anesthetics, try an amide local anesthetic.
To amide local anesthetics, try an ester local anesthetic.
To methylparaben or is allergic to both amide and ester local anesthetics, try a MPF product.
To antioxidants or sulfite compounds, review the product ingredients.
Some dr... | 11,786 | medmcqa_train |
Cherry red postmortem staining is seen in | Ans. is 'b' i.e., Carbon monoxide * Color of post-mortem staining in various poisoning:POISONCOLORCarbon mono-oxide and hypothermiaCherry redHCN, burnsBright redNitrites, potassium chlorate, potassium bicarbonateNitrobenzene, acetanilide, bromates, aniline (causing methaemoglobinuria)Chocolate or Copper brownPhosphorou... | 11,787 | medmcqa_train |
Interocclusal distance is required because | The interocclusal distance is a necessity, when the mandible is at rest, as it permits supporting hard and soft tissues to rest. | 11,788 | medmcqa_train |
TNF is secreted by activated: | Ans: a (Macrophages) Ref: Robbins,7th ed, p. 71; Ananthanarayan, 7th ed, p. 144; Table 16-2TNF and IL1 are the main mediators of inflammation. They are produced mainly by the activated macrophages.Cytokines and their main sourcesILl, IL 8- MacrophagesIL 2, 3, 9, 10, 12, 13- T cellsIL 4, 5, 6- Helper cellsIL 7, 11- Stro... | 11,789 | medmcqa_train |
Cock&;s peculiar tumor is | .cocks peculiar tumour is actually a complication of sebaceous cyst when sebaceous cyst ulcerates excessive granulation tissue forms resembling fungating epithelioma and this iscalled cock&;s peculiar tumour | 11,790 | medmcqa_train |
Which of the following endocrinological condition may be associated with hydatiform mole : | Hypehyroidism | 11,791 | medmcqa_train |
Which of the following is the most common tumor of the salivary gland? | Pleomorphic adenoma is the most common salivary gland tumor in both children and adults. Women are more commonly affected, and the mean age at presentation 4th to 6th decade. Patients present with painless, slow growing mass. On examination it is a solitary, well defined, firm and mobile mass. Within the parotid gland ... | 11,792 | medmcqa_train |
Parvovirus infection which of the following is true | Ref. Robbins Pathology. 9th edition. Page. 460
Parvovirus B19 directly infects eiythroid progenitors through the P antigen on erythroblast surface.
Individuals who lack P antigen are resistant to parvovirus infection.
Few giant proerythroblasts (GFE) with basophilic cytoplasm 'dogear1 like cytoplasmic projections, s... | 11,793 | medmcqa_train |
All of the following cause hypeension except: | L-dopa a. NSAID Cause retention of sodium and water causing oedema and also decreases the effects of antihypeensive drugs. Hypeension is more common in coxib users than NSAID. c. Cyclosporine May cause hypeension in 50% of renal transplants and in almost all cardiac transplants. d. L-Dopa Peripheral decarboxylation of ... | 11,794 | medmcqa_train |
Most commonly used cholinesterase regenerator at NM junction is - | Ans. is 'a' i.e., Pralidoxime o Pralidoxime is most commonly used cholinesterase reactivater.OXIMESo Oximes 1 Pralidoxime 2-PAM, obidoxime and diacetyl-monoxime (DAM)J are used in organophosphatepoisoning.o Oximes acts by reactivating cholinesterase enzyme.o Mechanism of actionIn organophosphate poisoning esteratic sit... | 11,795 | medmcqa_train |
Scottish Dog Terrier Appearance on X-ray is seen in: | Scottish Dog Terrier sign is Normal appearance of lumbar spine on posterior oblique X ray view Scottish Dog Collar sign is seen in Spondylolysis Beheaded Scottish Dog Sign is seen in Spondylolisthesis Winking Owl Sign is seen with Veebral Metastasis | 11,796 | medmcqa_train |
Moures sign is seen in - | Ans. is 'a' i.e.,Carcinoma"In normal persons, a click is felt when larynx is moved from side to side over vertebral column, this is called laryngeal click (post cricoid crepitus) It is absent in post cricoid carcinoma -- Moures sign | 11,797 | medmcqa_train |
Not a feature of hepato-renal syndrome: | Hepato-renal syndrome is a form of functional renal failure without renal pathology. Diagnosis is made in the presence of a large amount of ascites in patients who have a step-wise progressive increase in creatinine. Type 1 HRS is characterized by a progressive impairment in renal function and a significant reduction i... | 11,798 | medmcqa_train |
All the following are posterior relations of IIIrd pa of Axillary aery except | Pectoralis minor divides the axillary aery into three pasRelations of Third PaAnterior1 Skin2 Superficial fascia3 Deep fascia4 In the upper pa, there are the pectoralis major and the medial root of the median nerve Posterior1 Radial nerve 2 Axillary nerve in the upper Pa3 Subscapularis in the upper Pa4 Tendons of the l... | 11,799 | medmcqa_train |
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