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Mantle cell lymphoma shows-
Mantle cell lymphoma is usually CD5+ and CD23 - . This helps to distinguish it from CLL /SLL. Reference : Robbins and Cotran Pathologic basis of disease.South Asia Edition volume 1.page no. 603
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Which pa of the intrahepatic bile duct is involved in Type 2 cholangiocarcinoma ?
Cancers of the hepatic duct bifurcation have also been classified according to their anatomic location (BISMUTH'S CLASSIFICATION). In this system, Type I tumors are confined to the common hepatic duct. Type II tumors involve the bifurcation without involvement of secondary intrahepatic ducts. Type IIIa involves right s...
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Pilocarpine is an:
Ans. a. Active mioticRef: Goodman Gilman 13th ElPI 259Miosis: Contraction of pupil can be seen due to contraction of circular muscles (active miosis), due to M3 stimulation or it can be seen due to relaxation of radial muscles (passive miosis), due to al receptors block. Relaxation of radial muscles can cause miosis du...
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All of the following are contraindications to use diaphragm except :
Contraindications to use of diaphragm are: (i) prolapse, cystocele, rectocele because accurate fitting is not possible; (ii) recurrent infection and (iii) allergy to rubber or spermicidal agent. Reference: Shaw's Textbook of Gynaecology 16th edition page no 267
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Which of the following increases turbulence in blood flow:
Turbulence ∞ Re (Reynolds no) =ρDV/И So increase in density → increases Re → increases turbulence.
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During Dilatation and curettage, if uterine fundus is perforated, most appropriate management is
Laparotomy or laparoscopy to examine abdominal contents is safest to rule out intraabdominal damage, perionitis due to bowel injury.
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Which of the following drug is an inhibitor of cytochrome p450 enzyme
Ketoconazole is a powerful microsomal enzyme inhibitor where as rifampicin,phenobarbitone and Phenytoin are enzyme inducers Refer KDT 7-e p26
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Which of the following is not a pneumatic bone:
Pneumatic bones are those bones which contain an air filled cavity within them which make them light in weight. In humans, they are seen in relation to nasal cavity & enclose paranasal sinuses. Besides making the skull light in weight they also help in resonance of sound & act as air conditioning chambers for inspired ...
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McArdle's Maximum Allowable sweat rate:-
McArdle's Index: - It is an index of thermal comfo. Max P4SR (Predictable 4 hour sweat rate): <4.5lit/4hours. Beyond this death of person is imminent.
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Corneal sensation is tested by
To test the corneal sensations, the patient is asked to look ahead; the examiner touches the corneal surface with a fine twisted cotton (which is brought from the side to avoid menace reflex) and observes the blinking response. Normally, there is a brisk reflex closure of lids. Always compare the effect with that on th...
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In one carbon metabolism Serine loses which carbon atom?
Ans. B. BetaCarbon atomEnzyme is Serine Hydroxy Methyl TransferaseSerine loses the beta Carbon atom to form Glycine and Methylene THFA
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In extraperitoneal approach, to left sympathectomy the following may be injured ?
Ans. is 'c' i.e., A+B
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In civil negligence, onus of proof lies on
Patient [Ref- Reddy's Forensic 29/e p30; Parikh 6/e p1.441 "Generally speaking, it is for the patient in an action for negligence to establish the guilt of the doctor, whose innocence is otherwise assumed."- Parikh However, in cases where the rule of res ipso loguitur is applied, the patient need not prove negligence. ...
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Which type of carcinoid is associated with greatest incidence of metastasis ?
Incidence of metastasis in different types of carcinoid are : Pancreatic Carcinoid : 71.9 %, Liver 32%, Appendix Carcinoid : 38.8 and Colonic Carcinoid is : 51. Reference: Harrisons Principles of Internal Medicine, 18th Edition, Page 3058, Table 350-3
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Remnants of Wolffian ducts in a female are found in
Ganer's ductwhich is a remnant of wolffian duct, is present inbroad ligament.
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X ray features of sarcoidosis stage 2 as per scadding system is?
Ref : David Sutton 9th ed
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Transverse uterine incision is preferred to vertical incision because
Compared with classical incision, transverse incision is easier to repair, is located in inactive segment and thus least likely to rupture in future pregnancies. It causes less incision site bleeding and promotes less bowel adhesions.
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Primary injury is -
Ans. is 'c' i.e., Due to shock waveTypes of blast injurieso These are of following types1) Primary : It is due to shock wave which causes injury to hollow organs, e.g. ears, lungs, eyes, GIT etc.Secondary : These are due to flying debris (missiles). Classical Marshalls triad i.e. bruises, abrasions and puncture lacerat...
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The commonest cause of U/L mucopurulent rhinorrhoea in a child is -
"A unilateral nasal discharge is nearly always due to a foreign body and if the discharge has an unpleasant smell, it is pathognomonic". — Logan Turner 10th/e p. 63 "If a child presents with unilateral, foul smelling nasal discharge, the foreign body must be excluded". — Dhingra 5th/e p. 176
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Drug active against New Delhi beta lactamase producing strains of bacteria is:
New Delhi Metallo lactamase bacteria are susceptible to colistin. Penicillinase Resistant Penicillin : Cloxacillin Oxacillin Nafcillin Dicloxacillin Ofloxacillin Methicillin Extended Spectrum b Lactamase bacteria are sensitive to carbapenems.
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First line therapy in women with Adenomyosis who wants to preserve feility is
AUB-A (Adenomyosis) Recommendations for management of AUB-A For managing adenomyosis-A, it is suggested to consider the age, symptomology (AUB, pain and infeility) and association with other conditions (leiomyomas, polyps and endometriosis) In women with AUB-A, desirous of preserving feility but unwilling for immediate...
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Best time for hearing assessment in an infant is
It is recommended that all infants be screened for hearing loss by 1 month of age All infants who do not pass the hearing screening need to complete a diagnostic hearing evaluation by 3 months of age and All children identified with permanent hearing loss need to receive appropriate intervention by 6 months of age This...
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SAPHO syndrome components are all except?
Ans. is 'd' i.e., Acantholysis SAPHO Syndrome SAPHO syndrome is manifested by synovitis, acne, pustulosis, hyperostosis, and osteitis. It is predominantly associated with hyperostosis of the anterior chest, palmoplantarpustulosis, hidradenitissuppurativa, and acne fulminans. Its etiology is unknown. Repoed successful t...
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III perineal tear is involvement of :
Anal sphincter
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Elastic cailage is present in
Elastic cailage is present in - Epiglottis. It is a yellow, leaf-like elastic cailage forming the anterior wall of the laryngeal inlet. It is attached to the body of the hyoid bone by the hyoepiglottic ligament, which divides into suprahyoid and infrahyoid epiglottis. Other elastic cailage structures are corniculate, c...
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All of the following preparation if insulin are rapid and sho acting except
Refer Harrison 16/e p 2173 Insulin glargine and insulin detemir are ultra long acting insulin Insulin apa and insulin lisped are ultra sho acting insulin.
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Heme is which porphyrin
Ans. is 'c' i.e., Type III
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LSD is known by the following names except
LSD - other names - Acid, microdot, purple haze, white lightening - Love drug - MDMA/ Ecstacy
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A 44 year old patient presented with jaundice and had needle prick injury 2 year back and liver biopsy is shown below. Based on the histological features ,classify type of hepatitis:
In chronic hepatitis B, "Ground-glass" hepatocytes--cells with endoplasmic reticulum swollen by HBsAg--is a diagnostic hallmark. Immuno-staining can confirm the presence of viral antigen
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What does "cardiac polyp" means ?
Fibrinous clot "Postmoem fibrinous clot in the hea are called cardiac polyp". -Moral thrombus in the right/left atrium of the hea at the time of postmoem examination appears as pedunculated mass attached to the wall of the hea and main mass in the lumen of the cavity
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Endemic ascites is caused by -
Ans. is 'c' i.e., Jhunjhunia seeds
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Which one of the following will be affected by inter-observer variation in epidemiological studies ?
Ans. is 'd' i.e., Reliability o Reliability of a test: Test gives consistent results when repeated more than once on the same individual or material, under the same conditions o Reliability is also known as: Repeatability, Precision or Reproducibility o Reliability of a test depends on : Observer variation: 1) Intra-ob...
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Which is not a beta lactum antibiotic?
These are antibiotics having a beta-lactam ring. The two major groups are penicillins and cephalosporins. Monobactams and carbapenems are relatively newer additions. ESSENTIALS OF MEDICAL PHARMACOLOGY page no.716
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Drugs contraindicated in infections mononucleosis is -
Ans. is 'a' i.e., Ampicillin o Ampicillin produces a high incidence of rashes, especially in patients with AIDS, EBV infection (IMN), lymphatic leukaemia and concurrent administration of allopurinol.
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Genomic imprinting is associated with-
Ans. is 'a' i.e., Silencing of paternal chromosome; 'b' i.e., Silencing of maternal chromosome; `c' i.e., Angelman syndroma Prader Willi Syndrome Deletion occurs exclusively on paternal chromosome 15 (deletion of band q 12 in long arm of chromosome 15) Features : Diminished fetal activity Hypotonia Obesity Mental retar...
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Genital swellings in male differentiate into ?
D i.e. Scrotum
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While handling a febrile neutropenic patient all are essential vccpf :
Answer is B (White cell infusion) While all might be used, the best to be eliminated here is a 'white cell transfusion' as its exact role is yet to be established. White cell infusion (transfusion) as a measure is still controversial- Harrison Neutropenic patients are highly susceptible to infections, and therefore, su...
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The term mottled enamel to Colorado stain was given by:
The history of fluoridation started with the arrival of Dr. Fredrick McKay in Colorado Springs, Colorado, USA, in 1901, the year following his graduation from the University of Pennsylvania Dental School. He noticed that many of his patients, particularly those who had lived in the area all their lives, had an apparent...
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Which is not a feature of caffeine withdrawal?
No hallucinations are seen in caffeine withdrawal. Effects of Caffeine Withdrawal : 1.Lethargy 2.Mild depression of mood 3.Increased appetite with slight weight gain 4.Fatigue 5.Headache
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Rashtriya Swasthya Bima Yojna is
Government run insurance scheme for poor. Reference: RSBY Document, Government of India.
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An angiographic study of the distal pa of the circle of Willis requires access to the veebral aery. Access to this aery can be obtained the?
The suboccipital triangle lies in the neck at the base of the skull. The suboccipital triangle is bounded by the inferior oblique, rectus major, and superior oblique muscles. The veebral aery can be found within the suboccipital triangle, lying on the posterior arch of the atlas, lateral to the midline, typically at ab...
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Hairy cell leukemia is
Ans. (a) B cell tumorRef: Harrison 19th ed. / 706* Hairy cell leukemia is a B cell tumor disease that presents in older males.* Usual presentation involves pancytopenia with splenomegaly.* The malignant cells appear to have "hairy'projections on light and electron microscopy and show a characteristic staining pattern w...
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Pavlov&;s experiment on dogs shows
In Pavlov's classic experiments, the salivation normally induced by placing meat in the mouth of a dog was studied. A bell was rung just before the meat was placed in the dog's mouth, and this was repeated a number of times until the animal would salivate when the bell was rung even though no meat was placed in its mou...
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Modified radical neck dissection includes which level of cervical lymph nodes
I-V: Lymph nodes of Submental,Submandibular,Upper,Middle,Lower Jugular and Posterior triangle region are removed along with its fibrofatty tissues Ref: Textbook of ENT; Dhingra; 6th edition; Page no: 388 ref img
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Which hepatitis is most dangerous in pregnancy:
Answer is D (Hepatitis E):
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Anaesthetic circuit that prevents rebreathing of CO2 –
You all know, amongst the given options only circle system is rebreathing system. It is quite obvious, CO2 must be eliminated from the exhaled air before rebreathing to prevent hypercapnia. Therefore, rebreathing system has a CO2 absorbent that absorbs CO2 and prevents CO2 rebreathing. Don’t get confuse by name (rebrea...
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Which of the following parts of brain contains dopaminergic neurons?
Ans: C (Nigro striatal system) Ref: Pal GK. Limbic system. In: Textbook of medical physiology. Ahuja publishing house. 2007: 120: 910-13.Explanation:Dopaminergic systemMeso-cortical systemTubero-infundibular systemNigro-striata! systemIncerto-hypothalamic systemNoradrenergic systemLocus ceruleus systemTegmental systemA...
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Preauricular sulcus is useful for determination of: NEET 14
Ans. Sex
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The endotoxin of the following gram negative bacteria does not play any pa in the pathogenesis of the natural disease.
Ans. is 'c' i.e., Vibrio cholerae . Cholera vibrios possess the lipopolysaccharide 0 antigen (LPS endotoxin), but it has no role in pathogenesis. About other options . Somatic lipopolysaccharide surface 0 antigen of E.coli has endotoxic activity and also protect the bacilli from phagocytosis . Long chain lipopolysaccha...
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Investigation of choice for Asherman syndrome is -
Ans. is 'c' i.e., Hysteroscopy * Asherman syndrome is characterized by uterine synechiae, usually results from destruction of large areas of endometrium by overzealous curettage.* The risk is maximum if curettage is done in the postpartum period.* It leads to infertility.* If pregnancy follows, the amount of remaining ...
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Which of the following is true about glycine?
Ans: d (Optically inactive) Ref: Vasudevan, 4th, ed, p. 5th ed, p. 173Glycine is the simplest amino acid.Optically inactive.It forms every third amino acid in collagen (and most abundant amino acid in collagen).Glycine is a glucogenic amino acid formed from serine.Guanido group is present in arginine.ESSENTIAL AMINO AC...
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Quellung reaction is due to
Quellung reaction: a specific test of Streptococcus pneumoniae. A suspension of Streptococcus pneumoniae is mixed with a drop of the type-specific antiserum and a spoonful of methylene blue solution. In the presence of the homologous antiserum, the capsule becomes apparently swollen, sharply delineated and refractile. ...
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Parasympathetic nervous system comprises of:
Ans: B. Cranial nerves III, VII, IX, X and sacral nerves s2, S3, S4(Ref Grayls40/ep235;Ganong25/ep257,24/ep2571Parasympatheticflow is cranio-sacral, carried by cranial nemes III, VII, X, X & sacral nerves S2, S3, S4.
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CURB 65 criteria includes all EXCEPT:
Ans. (c) Systolic Blood pressure is more than 90mmHgRef: Harrisons 17h ed. Ch. 251* CURB 65 also known as the CURB criteria is a clinical prediction rule that has been validated for predicting mortality in Community Acquired Pnemonia.* The CURB-65 criteria includes five variables:# Confusion# Urea >7 mmol/L# Respirator...
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Which of the following malignancy is predominantly associated with osteoblastic metastasis?
Osteoblastic metastasis are seen in prostate carcinoma. Also know: Other malignancies associated with osteoblastic metastasis are breast carcinoma, Hodgkin's lymphoma, carcinoids and medulloblastomas. Purely osteolytic metastasis commonly arise from carcinoma of lung, kidney, thyroid and lymphoma. Ref: Differential Dia...
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Barium swallow is used for-
Ans. is 'b' i.e., EsophagusBarium investigationUsed to visualizeBarium swallowMainly for esophagusBarium mealEsophagus, stomach, duodenumBarium follow throughSmall intestine (jejunum and ileum)Barium enemaLarge intestine (colon & rectum)
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False about primary immune response
Immune response against primary antigenic challenge - Primary immune response.
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Ciliary staphyloma affects ciliary zone upto mm behind the limbus
Answer- C. 8Staphyloma is an abnormal protrusion of uveal tissue through a weak and thin poion of cornea or sclera. So, a staphyloma is lined internally by weal tissue and ennally by weak cornea or sclera.Ciliary staphyloma : - This afects the ciliary zone that includes the region upto I mm behind the limbls. The cilia...
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For deviated nasal septum, surgery is required for -a) Septal spur with epistaxisb) Marked septal deviationc) Persistent rhinorrhead) Recurrent sinusitise) Prolonged DNS
Indications for surgery Persistent unilateral nasal obstruction and recurrent headache. Deviation causing recurrent sinusitis or otitis media Recurrent epistaxis from septal spur. Access for operation in polypectomy with DNS. As a part of septorhinoplasty for cosmetic correction of external nasal deformities. As a app...
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Contrast dye(s) used in MR1:
Ans: A (Gadolinium) 'The contrast dye used in these MRI Scans is generallygadalinturn as complications are rarer in comparison to the iodine origin dye used for x-rays and CT scans"- mriscans.diniccompare.co. uk/ mri-scan-with-contrast-dye"Technetium : Its short-lived gamma ray-emitting nuclear isomer--technetium-99m--...
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True about interferons is ?
Interferon (IFNs ) are a group of signaling proteins made and released by host cells in response to the presence of several viruses.  In a typical scenario, a virus-infected cell will release interferons causing nearby cells to heighten their anti-viral defenses.  IFNs belong to the large class of proteins known as cyt...
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Leishmania is cultured in which media?
Ans. is 'b' i.e., N.N.N.(Ref: Chatterjee, 12th/e, p. 62, 56)* L. donovani can be cultured in N.N.N. (Novy, Neil and Nicolle) medium. Hockmeyer and Scheinder liquid media.* In N.N.N. medium amastigote form changes into promastigote form. Q
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Defective DNA repair is seen in -
Ans. is 'b' i.e., Ataxia telangiectasiaAtaxia telangiectasiao Ataxia Telangiectasia (AT) is an autosomal recessive disorder. It is due to mutation of AT gene located on chromosome 11. There is defective DNA repair that results in multiple chromosomal breakso Patients present in first decase of life. Features are : -i) ...
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Which of the following is not a cause of absent ankle jerks and up-going plantars?
Causes of absent ankle jerks and upgoing plantars is a common question as it implies both upper and lower motor neuron involvement. The more common single causes include cord compression involving both the cord (UMN) and nerve ganglia roots (LMN) as well as subacute combined degeneration of the cord. Other more common ...
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Circle of hebra is associated with:
B. i.e. Scabies
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Which of the following is the Nysten's law:
Nysten's rule: It is a sequential development of rigor mois in the body after death. Sequence of appearance: Eyelids, Neck & lower jaw, then Face, Chest Muscles, Upper Limb, Abdomen, Lower limb and lastly Fingers and Toes. Rigor disappears in the same sequence cadaveric rigidity first appears in involuntary muscles; th...
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Although more than 400 blood groups have been identified, the ABO blood group system remains the most important in clinical medicine because. :
Ans. is 'd' i.e. ABO (H) antibodies are invariably present in plasma when persons RBC lacks the corresponding antigen [Ref: Guyton 20th/e, p 414; Journal of Hematology: the clinical use of blood (World Health Organization Blood Transfusion Safety)The basic difference between ABO blood group system and other blood group...
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Hyperkalemia means more than
Normal plasma K+ concentration is b/w 3.5 & 5.0 mEq/L. Hyperkalemia is defined as a plasma potassium level more than 5.5 mEq/L Hypokalemia: plasma K+ < 3.5 mEq. Severe hyperkalemia is K+ > 6.0 mEq. > 8.0 mEq- Causes diastolic arrest (Systolic arrest seen when Ca > 13 mg %) Causes of hyperkalemia: Pseudo hyperkalemia: F...
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Feature of microscopic polyangitis is:
Renal involvement is seen in at least 80% ofpatients with MPA. Renal involvement is seen in at least 80% of patients with MPA Renal involvement is seen in at least 80% of patients with MPA - CRDT Glomerulonephritis occurs in atleast 79% of patients - Harrison Microscopic polyangitis is not associated with IgG Deposits ...
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Shoest acting local anesthetic agent is
Classification Amide type Long acting * Bupivacaine * Levo-Bupivacaine * Ropivacaine * Dibucaine Intermediate acting * Lidocaine (lignocaine) * Mepivacaine * Prilocaine * Aicaine Ester type Long acting * Tetracaine (amethocaine) Intermediate acting * Cocaine Sho acting * Procaine * Chloroprocaine * Benzocaine * Propara...
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Pediatric burns patient during resuscitation the minimum urine output that is required is-
Ans. is 'a' i.e., 1 ml/kg/hr o Goals for urine output should be 30 ml/hr for adults and 1 to 1.5 ml/kg/w in pediatric patients.
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A 8 month old child is suffering from diarrhea. What is the dose of zinc to be given
Age group Dose of zinc 2 - 6 months 10 mg / day for 10 - 14 days > 6 months 20 mg / day for 10 - 14 days
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Drug of choice for NSAID induced peptic ulcer disease is
Misoprostol is the most specific drug for NSAIDS induced peptic ulcer but it is not the drug of choice for any ulcer. DOC for all types of peptic ulcer including NSAIDs induced peptic ulcer are proton pump inhibitors.
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DNA labelling is done by using
Ans. is 'b' i.e., P-32 The simplest form of labelling DNA is by 5'- or 3'- end labelling.5`-end - labelling involves a phophate transfer or exchange reaction where the 5' - phosphate of the DNA to be used as the probe is removed and in its place a labelled phasphate, usually P32 is added.In 3'-end-labelling, labelled d...
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Janani Suraksha Yojana is applicable to poor women of low performing states for ?
Ans. is 'd' i.e., All bihs Janani Suraksha Yojana The National Maternity Benefit scheme has been modified into a new scheme called Janani Suraksha Yojana. It was launched on 12th April, 2005. The objectives of scheme are reducing maternal and infant moality through encouraging delivery at health, institutions, and focu...
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Common side effect of thiazolidinediones is:
The adverse effects of thiazolidinediones are plasma volume expansion, edema, weight gain, headache, myalgia, mild anemia. They are used with utmost caution in people with CCF, nephrotic syndrome, cirrhosis of liver where edema is seen commonly (REF.Essential of medical pharmacology K D TRIPATHI 6 Edition, Page No 270)
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The most suitable test to assess iron stores is -
Ans. is 'b' i.e., Serum ferritin o Best test for the assessment of Iron stores is serum ferritin.o Serum ferritin is the earliest indices to decrease in Iron deficiency anemia.o It is the most sensitive test for the diagnosis of iron deficiency anemia.o Earliest marker for the diagnosis of Iron deficiency anemia.o Seru...
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The daily extra calories in the second and third trimester of pregnancy is
Ans- C Extra calories required in pregnancy during 1st trimester is 150 kcals and 2nd trimester and 3rd trimester is 350 kcals
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Marble Bone disease is ?
*Marble Bone disease is another name of Osteopetrosis/Albers-Schonberg Disease
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Epiphysis involved in which bone tumor ?
Ans. is 'c' i.e., Giant cell tumor Epiphyseal tumors are : Chondroblastoma, Giant cell tumor (osteoclastoma), Clear cell chondrosaroma.
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Sensory nerve action potential in NCV to calculate
(Sensory conduction) (24-Apley's 8th)Sensory nerve conduction - If a sensory nerve is stimulated distally, the sensory nerve action potential (SNAP) can be recorded at a proximal site, here again, by measuring the distance between stimulating and recording electrodes and the time lapse between stimulus and response, th...
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Pyruvate can be a substrate of all except
BIOSYNTHESIS OF HEME - Heme can be synthesized by almost all the tissues in the body. Heme is synthesized in the normoblasts, but not in the matured erythrocytes. The pathway is paly cytoplasmic and paly mitochondrial. Step 1: ALA synthesis - The synthesis stas with the condensation of succinyl CoA and glycine in the p...
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Gestational hypehyroidism occurs due to
A common cause of overactive thyroid in pregnant women is Graves' disease. This disease occurs when your immune system becomes overactive and forms antibodies (immune proteins) that attack the thyroid. This causes the gland to enlarge and make too much thyroid hormone. Most women with Graves' disease find out they have...
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Caseous granuloma is seen in
ref Robbins 8/e p718 from tuberculous lesions often contain caseous , , other , and contain epithelioid cells, a few lymphocytes, and occasional multinucleated giant cells. No necrosis is seen. Granulomas following are noncaseous and characterized by epithelioid cell reaction with giant cells and , and the is based on ...
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Drug used in CHF for relief of congestive symptoms and restoration of cardiac performance but does not have an inotropic action is -
Ans. is 'd' i.e., Nebivolol * There are two distinct goals of drug therapy in CHF:a) Relief of congestive/low output symptoms and restoration of cardiac performance. This can be achieved by:* Inotropic drugs --Digoxin, dobutamine/ dopamine, amrinone/milrinone* Diuretics--Furosemide, thiazides* RAS inhibitors--ACE inhib...
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Hyoid bone present at -
(C) (C3) (49-BDC-3 6th, 590 Snell 9th)Hyoid Bone - at rest, it lies at the level of the third cervical vertebra behind and the base of the mandible infront.* Is a single mobile bone found in the midline.* It does not articulate with any other bones* U shaped, develops from second and third branchial arches.* It is atta...
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Bullous myringitis is caused by?
It is a painful condition characterised by the formation of hemorrhagic blebs on the tympanic membrane and deep meatus. It is probably caused by a virus or Mycoplasma pneumonia. ( Ref: Textbook of diseases of ENT, 7TH edition, PL Dhingra, pg no. 58)
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Best method of treatment of Methyl alcohol poisoning is :
B i.e. Ethyl alcohol
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Vitamin D analogue calcitriol is useful in the treatment of -
vit D3 analoguesSuch as calcipotriene,calcipotriol, tacalcitol,maxacalcitol. mechanism of action: Anti inflammatory effect,Induce keratinocyte differentiation, Inhibit epidermal proliferation . Used in psoriasis. advantages: no steroid induced side effects can be used for prolonged periods. IADVL textbook of dermatolog...
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Example for radiation induced cancer is ?
Ans. is 'a' i.e., Papillary Carcinoma thyroid Radiation induced cancers Leukemias o Breast Carcinoma Papillary carcinoma of thyroid. o Squamous cell and Basal cell carcinoma of skin.
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Which of the following is true about measurement of blood pressure?
Ans. a. Bladder in the blood pressure cuff should cover more than 80% of the arm area (Ref: Ganong 22/e p. 589-90; Guyton 11/e p166-67, 175-76)In blood pressure measurement by BP apparatus, bladder in the blood pressure cuff should cover more than 80% of the arm area.Appropriate Cuff SizeRatio of width of compression c...
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All are features of Paget's disease except ?
Ans. is 'b' i.e., Common in female Paget disease Paget's disease is characterized by increased bone turnover and enlargement and thickening of the bone, but the internal architecture is abnormal and the bone is usually brittle. Primary defect is in osteoclasts with increased osteoclastic activity. This results secondar...
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Thrombosis of the following cerebral vessels leading to the Hemiplegia by
(Middle cerebral) (388-BDC-3- 4th edition)* HEMIPLEGIA - is a common condition. It is an UMN type of paralysis of one half of the body including the face* It is usually due to an internal capsule lesion caused by thrombosis of one of the lenticulostriate branches of the middle cerebral artery (Cerebral thrombosis)* Wal...
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medmcqa_train
Diagnosis is
This is a specimen of linitis plastica, a diffuse type of gastric carcinoma.These infiltrative tumors often evoke a desmoplastic reaction that stiffens the gastric wall. When there are large areas of infiltration, diffuse rugal flattening and a rigid, thickened wall may impa a leather bottle appearance termed linitis p...
12,193
medmcqa_train
A young adult presents with night blindness and tubular vision. On examination, Intraocular Pressure was observed to be 18mm and the anterior segment was unremarkable. Fundoscopy showed attenuation of aerioles and waxy pallor of the optic disc with bony corpuscles like spicules of pigmentation in mid peripheral retina....
A i.e. Pigmentary Retinal Dystrophy
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medmcqa_train
Which of the following is not a sign of stellate ganglion block?
Exophthalmos (also called exophthalmos, exophthalmia, proptosis, or exorbitism) is a bulging of the eye anteriorly out of the orbit.Exophthalmos can be either bilateral (as is often seen in Graves' disease) or unilateral (as is often seen in an orbital tumor).
12,195
medmcqa_train
True regarding cardio pulmonary resuscitation is -
200 joules are given every 2 minutes after each cycle of cardiopulmonary resuscitation (CPR). During resuscitation, adrenaline(epinephrine, 1 mg i.v.) should be given every 3-5 minutes and consideration given to the use of intravenous amiodarone, especially if ventricular fibrillation or ventricular tachycardia reiniti...
12,196
medmcqa_train
Urinary alkalinizing agents are administered in case of poisoning due to drugs which are:
- Strong acids and bases are ionized in all media. Weak acids ionize in alkaline media and weak bases ionize in acidic media.
12,197
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12 children were off from the primary school with intense abdominal cramps followed by watery diarrhea 6-10 hours after a bihday pay. The most likely causative organism is:
Clostridium perfringens infection characteristically presents after 8 to 16 hours of consumptions of food material and causes abdominal cramps, followed by diarrhea. Thus all features presented in question are consistent with a diagnosis of Clostridium perfringens infection. Meats, meat products, and gravy are the food...
12,198
medmcqa_train
Reverse split S2 is seen in -
Answer- A. Aoic stenosisDecreased impedance of the systemic vascular bedProstenotic dilatation of the Aoa secondary to Aoic stenosis or regurgitation.Patent ductus aeriosus
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