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Drug of choice for Liddle syndrome
Liddle syndrome is charcterized by increased ENaC channels and Amiloride is a ENaC blocker, which can be used for this condition.
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A child presents with sho episodes of vacant stare several times a day. The vacant episode begins abruptly and the child remains unresponsive during the episode. There is no associated history of aura or postictal confusion and the child is otherwise normal. The likely diagnosis is
Answer is B (Absence seizures): Presence of multiple sho episodes of vacant stare (absence) in an otherwise normal child with no history of aura or postictal confusion suggests the diagnosis of typical absence seizures. Absence seizures versus Dav dreaming Absence seizures can easily be confused with episodes day dream...
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Would closure for clean wounds within 6 hours of injury without risk of contamination
Primary Closure Also known as healing by primary intention Have a small, clean defect that minimizes the risk of infection Requires new blood vessels and keratinocytes to migrate only a small distance Surgical incisions, paper cuts and small cutaneous wounds usually heal by primary closure. Fastest type of closure by s...
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Which among the following is an absolute contraindication of Hormone replacement therapy ?
Absolute contraindications of hormone replacement therapy (H): Undiagnosed vaginal bleeding Estrogen dependent cancer in the body Severe liver disease Pregnancy Venous thrombosis Well-differentiated and early endometrial cancer (once treatment for the malignancy is complete, is no longer an absolute contraindication.)
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Children borne by female at the end of reproductive period is -
Ans. is 'a' i.e., TFR Total fertility rateo Total fertility rate represents the average number of children, a woman would have if she were to pass through her reproductive years, bearing children at the same rates, as the women now in each age group,o It is computed by summing the age specific fertility rates for all a...
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Duchene-muscular dystrophy?
Ans. (d) X linked recessiveRef: Robbings pathology 9th ed. 1/42
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All of the following statement are true regarding esophageal atresia, except:
Esophageal atresia Congenital defect Thin, non-canalized cord replaces a segment of esophagus, causing a mechanical obstruction. Thus, some pa of esophagus is present in esophageal atresia - option-1 is wrong. Commonly at/near tracheal bifurcation usually associated with fistula connecting upper/lower esophageal pouche...
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A child fights with other childrens frequently. He has disciplinary problem in school and steals things. Most likely diagnosis is: March 2012
Ans: C i.e. Conduct disorderChild psychiatric conditions and presentationTriad of symptoms of autism includes abnormal reciprocal social interaction; communication and language impairment; and a restricted, stereotyped and repetitive repeoire of interests and activitiesClinical features of ADHD includes inattention, hy...
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The normal value of Arden index is
Arden ratio = (Maximum height of light peak/Minimum height of dark trough) x 100 Normal curve values are 185 or above. Subnormal curve values are less than 150. Flat curve values are less than 125. Reference : AK KHURANA COMPREHENSIVE OPHTHALMOLOGY, Edition4 , Page-490
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OC pills are C/I in pts receiving :
Ans. is a i.e. Rifampicin
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Sec 299 IPC deals with
Culpable homocide ( section 299 IPC) whoever causes death by doing an act, with the intention of causing death or with the intention for causing such bodily injury as likely to cause death, or cause death, commits the offence of culpable homicide Ref: FORENSIC MEDICINE AND TOXICOLOGY Dr PC IGNATIUS THIRD EDITION PAGE 2...
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Muscle relaxant used in renal failure –
The unique feature of atracurium is inactivation in plasma by spontaneous nonenzymatic degradation (Hofmann elimination) in addition to that by Alkaline ester hydrolysis. Consequently, its duration of action is not altered in patients with hepatic/renal insufficiency or hemodynamic compromise → It is the preferred musc...
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Something done by the medical practitioner disgraceful and dishonourable to the medical profession is called
Professional misconduct It is defined as something done by the medical practitioner, which is disgraceful and dishonourable to the medical profession. It involves the abuse of medical profession Ref: FORENSIC MEDICINE AND TOXICOLOGY Dr PC IGNATIUS THIRD EDITION PAGE 375
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Neurolathyrism is due to -
Ans. is 'c' i.e., Khesari dal DiseaseToxinAdulterantLathyrismEpidemic DropsyEndemic AscitesAfla toxicosisErgotismBOAASanguinarinePyrrolizidine alkaloidsAflatoxinClavine alkaloidsKhesari Dal (Lathyrus sativus)Argemone mexicana (oil)Crotolaria seeds (Jhunjhunia)Aspergillus flavus/parasiticusClaviceps fusiformis
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Corynebacterium diphtheriae causes -
Ans. is 'd' i.e., All of the above* Clinically diphtheria is divided into1) Facial (tonsillo-pharyngeal) diphtheria# It is the commonest type with incubation period of 2-5 days. There is thick adherent pseudomembrane (grey or white) on one or both tonsils or adjacent pharynx. Dislodging of membrane is likely to cause b...
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First web space of foot is supplied by:
Ans. C Deep peroneal nerveRef: Anatomy of Foot and Anklet pg 12NerveMotor InnervationSensory DistributionCommon peroneal (L4, L5, S1, S2)Deep and superficial peronealArticular branches to knee; anterolateral aspect proximal leg (via lateral sural nerve)Deep peronealTibialis anterior, EDL, EHL, peroneus tertius Lateral ...
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Commonest fungal infection of the female genitalia in diabetes is:
C i.e. Candidial
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The structure of Phospholipid consists of
Phospholipid - 2 Fatty acid+ Glycerol+ PO + Choline or ethanolamine ( 2 Fatty acid + Glycerol is called Diacylglycerol or Diglyceride) Reference: Harpers illustrated biochemistry 31st edition page196
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There are low many pairs of spinal nerves ?
Ans. is 'c' i.e., 31Spinal cord gives origin to 31 pairs of spinal nerves -8 cervical pairs12 thoracic pairs5 lumbar pairs5 sacral pairs1 coccygeal pairsThere are 8 cervical nerves (but only 7 cervical veebrae) because C1 exits between the skull and atlas, while C8 exits through the interveebral formen between C7 and T...
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Earliest symptom of glomus tumor is:
Ans. A Pulsatile tinnitus "The two most common presenting symptoms of paraganglioma of temporal bone (Glomus tumor) are conductive hearing losso and pulsatile tinnnus" Hearing loss is conductive and slowly progressive Tinnitus is pulsatile and of swishing character", synchronous with pulse", and can be temporarily stop...
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Most common cause of insertional tendonitis of tendoachilles is -
Achilles tendon injury Achilles tendon is the thickest and strongest tendon in the body and is also the one of the most commonly injured tendon in the body. The most common Achilles tendon injuries are :- Achilles tendinosis (formerly called Achilles tendonitis) Achilles tendon rupture Achilles tendinosis (Achilles...
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Drug of choice of hypeension in pregnancy is ?
Ans. is 'a' i.e., Methylopa o Methyldopa is DOC for hypeension in pregnancy. o Nifedipine is 2nd choice. o Hydralazine is DOC for hypeensive emergencies in pregnancy.
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Increased blood levels of cholesterol that are seen in hypothyroidism are most likely due to -
Ans- B Thyroid hormone increases the hepatic expression of LDL receptor. Hence in hypothyroidism there is reduction in hepatic LDL receptor So there is reduced clearance of LDL.
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Sudden death, right sided heart failure (cor pulmonate or cardiovascular collapse occur when
CONSEQUENCES OF PULMONARY EMBOLISM i) Sudden death. Massive pulmonary embolism(60% or moreof pulmonary artery) results in instantaneous death, without occurrence of chest pain or dyspnoea. However, if the death is somewhat delayed, the clinical features resemble myocardial infarction i.e. severe chest pain, dyspnoea an...
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Inferior olivary nucleus is present in
The inferior olivary nucleus, a cerebellar relay nucleus, is the most prominent nucleus in the lateral medulla. Coordinate signals from the spinal cord to the cerebellum to regulate motor coordination and learning. fig:- crossection at the level of medulla(upper pa)
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Ovulation is seen after how many hours of the 'Peak' of the 'Up stroke' in this diagram here :
From the onset of the LH surge, it takes 34-36 hours and from the peak it takes 10-12 hours to ovulate. The midcycle LH surge is responsible for a dramatic increase in local concentrations of prostaglandins and proteolytic enzymes in the follicle. These substances progressively weaken the follicular wall and ultimately...
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Most radio resistant phase in cell cycle:
Radiation energy is absorbed by tissue causing ionization or excitation, which are responsible for various biological effects. Susceptibility of various phases of cell cycle of radiation: G2M>M>G1> early S> late S phase Phase of cell cycle Comment G2M>G2 * Most sensitive to radiation End of S phase * Most resistant to ...
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Boerhaave&;s syndrome is due to
BOERHAAVE&;S syndrome is a tear in the lower third of oesophagus which occurs when a person vomits against a closed glottis, causing leaks into the mediastinum, pleural cavity, and peritoneum.site of perforation is about 2-10 cm of posterolateral pa of the lower oesophagus.investigations include chest Xray, MRI/CT, and...
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What is the effective antodote for acetaminophen overdose in a 28 year old suicidal patient?
N-acetylcysteine is used as an effective antidote for acetaminophen overdose. In acetaminophen overdose, N-acetylcysteine, a sulfhydryl-containing acetaminophen-specific antidote, replenishes hepatic stores of glutathione by acting as a glutathione surrogate, combining directly with reactive acetaminophen metabolites a...
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Green blue postmoem discoloration is seen in which poisoning ?
Ans. is 'd' i.e., Hydrogen sulphide
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A 23-year-old woman with no other medical history was diagnosed with hypertension 6 months ago. She was initially treated with hydrochlorothiazide, followed by the addition of lisinopril, followed by a calcium channel blocker, but her blood pressure has not been well controlled. She assures the provider that she is tak...
This patient is abnormally young to have essential hypertension, and the renal bruit is highly suggestive of a secondary cause of the condition: renal artery stenosis caused by fibromuscular dysplasia (FMD). FMD is more common in young females (85%-90% of patients are women). The exact etiology of the condition is unkn...
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In co-arctation of aoa of the post -ductal type, all of the following blood vessels take pa in forming the collaterals execpt:
D i.e. Veebral aery
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Jumping gene is:
Ans. is 'a' i.e., Transposon(Ref: Ananthanarayan, 9th/e, p. 63 and 8th/e, p. 64)Transposons are also known as jumping genes.Transposons are also known as jumping genes. They move between chromosomal DNA and extra chromosomal DNA within cell. They take part in drug resistance mechanism.
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Phenylbutyrate is used in the treatment of urea cycle disorders, because
Phenylbutyrate and sodium benzoate act as ammonia(nitrogen) scavengers.
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For reduction of cholesterol, the best management includes:
D i.e. Cholesterol restricted diet, high fiber diet with low saturated FA to unsaturated FA ratio.
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Increased sweat chloride is seen in all except –
Increased sweat chloride is seen in - Cystic fibrosis                                                                                                                       Malnutrition                                                                                                                         Pancreatitis  ...
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A 17 years old female patient came to emergency one & half hour after severe H2SO4 poisoning with features of hypotension, restlessness, next step is
Ans. is 'd' i.e Antidote should be given Treatment plan of Sulphuric acid poisoning include:Avoid gastric lavage or emeticsStomach tubes are contraindicated.Alkaline carbonates & bicarbonates, which liberate C02 should not be used as they may cause gastric distention & rupture.Neutralization of the acid by milk of magn...
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Reversible cause of dementia -a) Post encephalitisb) Multi infarctc) Hydrocephalusd) Senile dementia
Chronic meningoencephalitis and hydrocephalus are reversible causes of dementia.
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Scurvy is due to deficiency of
Deficiency of ascorbic acid results in scurvy, a disease characterized by sore and spongy gums, loose teeth, fragile blood vessels, swollen joints, and anemia. Many of the deficiency symptoms can be explained by a deficiency in the hydroxylation of collagen, resulting in defective connective tissue.Reference: Lippincot...
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True about cystic duct stump stone are A/E
.Relative Contraindications of cholecystectomy includes, * End stage cirrhosis, ascites or poal hypeension. * Cholangitis: Cholecystectomy should be done after the control of cholangitis. * CBD stones: Here, initially ERCP and stone extraction is done from CBD, then laparoscopic cholecystectomy is done.Complications ca...
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Tone of lower esophageal sphincter is increased by-
Ans. is 'c' i.e., Acetylcholine Lower esophageal sphinctero Unlike the rest of the esophagus, the musculature of the gastroesophageal junction (lower esophageal sphincter: LES) is tonically active but relaxes on swallowing,o The tonic activity of the LES between meals prevents reflux of gastirc contents into the esopha...
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LCAT is involved in
Cholesterol Pool and Cholesterol MetabolismThe total body cholesterol content varies from 130-150 grams. LDL (low-density lipoprotein) transpos cholesterol from the liver to the peripheral tissues and HDL (high-density lipoprotein) transpos cholesterol from tissues to liver. Cells of extrahepatic tissues take up choles...
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Which of the following is used for treatment of Alzheimer's disease?
Tacrine (tetrahydroaminoacridine, THA), a long-acting cholinesterase inhibitor and muscarinic modulator, was the first drug shown to have any benefit in Alzheimer's disease. Because of its hepatic toxicity, tacrine has been almost completely replaced in clinical use by newer cholinesterase inhibitors: donepezil, rivast...
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Exchange of sodium for potassium in the distal convoluted tubule is regulated primarily by:
The distal convoluted tubule in the kidney coex functions to reabsorb sodium and secrete potassium. This is regulated by the adrenal hormone aldosterone as stimulated by angiotensin II which will increase reabsorption of sodium and secrete potassium. The distal convoluted tubule also functions in the continuation of bi...
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Which of the following is used for antibiotic sensitivity testing
Muller-Hinton agar is a microbiological growth medium that is commonly used for antibiotic susceptibility testing. It is also used to isolate and maintain Neisseria and Moraxella species Ref ananthnarayana and panikers microbiology textbook 8/e
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Chymotrypsinogen is a:
Ans. d. Zymogen: (Ref: Lippincott 4/e p64, 443, 248-49; Harper 29/e p89, 519, 651-53)Chymotrypsinogen or prochymotrypsin is a proprotein, proenzyme or zymogen."Chymotrypsinogen or prochymotrypsin is a proprotein, proenzyme or zymogen. Trypsin can then activate chymotrypsinogen to chymotrypsin, proelastase to elastase. ...
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Which of the following is a stimulus for closure of ductus arteriosus?
a. Increased O2 tension(Ref: Nelson's 20/e p 2162)In the course of several days after birth, the high arterial Po2 constricts and eventually closes the ductus arteriosus, which eventually becomes the ligamentum arteriosum
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Laplace's law for cylinder?
Ans. c (P = T/R) (Ref. Ganong Physiology 22nd/584)LAPLACE'S LAW states that wall tension (T) is proportional to the product of intraventricular pressure (P) and ventricular radius (r).-----------------------------T. p.r# P = 2T/R.... IN A SPHERE (BECAUSE R1=R2).# P = T/r.... In a Cylinder like blood vessel (one radius ...
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Myoclonus in children is best treated by:
Myoclonic and atonic seizures-control is often incomplete, but valproate is the drug of choice. Myoclonic Seizures. Myoclonic seizures are characterized by brief, jerking spasms of a muscle or muscle group. They often occur with atonic seizures, which cause sudden muscle limpness. The word "myoclonic" combines the Gree...
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Transplantation of which one of the following organs is most often associated with hyper acute rejection?
Ans. (b) KidneyRef: Bailey 26th edition, Page 1409* Hyperacute rejection is most common in Kidney* Hyperacute rejection is very rare in liver
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Which of the following is not a feature of sickle cell disease?
Sickle cell disease Caused by missense mutation in the b-globin gene that leads to the replacement of a charged glutamate residue with a hydrophobic valine residue. Mutation promotes the polymerization of deoxygenated hemoglobin, leading to red cell distoion (sickling), hemolytic anemia, microvascular obstruction, and ...
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Maximum risk of death is seen in which week of the neonatal period?
The major causes of neonatal moality are prematurity/low bihweight (LBW) and congenital anomalies.Moality is highest during the 1st 24 hr after bih.Neonatal moality accounts for about two-thirds of all infant deaths (deaths before 1 yr of age).(Refer: Nelson, Chapter 93; pg no. 789)
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Rose spot is associated with?
Enteric fever: In 25% of cases, a macular or maculopapular rash (rose spots) may be visible around the 7th-10th day of the illness These lesions may be difficult to see in dark-skinned children.
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Koener's tumor are seen in?
Ans. (a) Tuberous sclerosis(Ref: Robbins 9th/pg 516)Ungual fibromas or Koenen's tumors are angiofibromas which occur in the lateral nail groove, along the proximal nail fold or under the nail. They are seen in Tuberous Sclerosis
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When to do surgery in pancreatic ascites?
PANCREATIC ASCITES: MANAGEMENT Pancreatic ascites occurs from a pancreatic duct disruption or from a leaking pseudocyst. High amylase levels are found in the ascitic fluid. Initial treatment: Non operative (elimination of enteral feeding, institution of nasogastric drainage, and administration of somatostatin) Repeat p...
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Hypertension with hypokalemia is found in
Hypertension in Bartter's & Gitelman's.
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Spiral field defect is a feature of
HYSTERICAL BLINDNESS It is a form of psychoneurosis, commonly seen in attention-seeking personalities, especially females. It is characterised by sudden bilateral loss of vision.There may be associated blepharospasm and lacrimation. Visual fields are concentrically contracted. One can commonly find spiral fields as the...
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Most common organism causing meningitis in a 1 year old child -
Ans. is 'a' i.e., Streptococcus pneumoniae
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All of the statements are true about FLUORO QUINOLONES, except -
Ans. is 'd' i.e., Increased Neuromuscular blocking action Fluoroquinolones are contraindicated in children < 18 years of age, because of evidence in animals of cailage damage in developing joints. o They are contraindicated in pregnancy because of concerm for the developing fetus (teratogenicity) o Fluoroquinolones are...
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All are true about pouchitis except:
Ans. (d) Episodes of pouchitis will not respond to antibioticsTreatment protocol for pouchitis:* 1st line: Ciplox + Metronidazole* 2nd line: Probiotics added* 3rd line: Add ASA compounds* 4th line: Pouchectomy and permanent ileostomy
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Most common anorectal fistula:
PARK'S CLASSIFICATION Type 1 Inter- sphincteric (MC) Type 2 Trans- sphincteric Type3 Supra- sphincteric Type4 Extra- sphincteric Investigations - First investigation - Fistulogram - IOC- MRI Treatment High morbidity * Fistulotomy -Incision over fistula tract it * Fistulectomy- Excision of fistula tract. * SETON * VAAFT...
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All are Phenolic disinfectant except-
Phenol (carbolic acid) is a powerful microbicidal substance. This and other phenolic disinfectant derived from coal tar are widely used as a disinfectant for various purposes in hospitals. Lysol and Cresol are active against a wide range of organisms. They are not readily inactivated by the presence of organic matter a...
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"Indican" is a metabolite of
Indian is a major excretory product in the metabolism of tryptophanRef: DM Vasudevan - Textbook of Biochemistry, 7th edition, page no: 242, fig 18.11
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Hanging is established by :
C i.e. Staining of saliva
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Ivermectin is used in all except-
Ivermectin is a recently developed macrocyclic lactone that has widespread antiparasitic activity. A series of clinical trials has shown that ivermectin is safe and effective in the treatment of human infection with Onchocerca volvulus. Its use promises to revolutionise the treatment of onchocerciasis. Ivermectin for t...
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For the past week, a 65-year-old woman has been treated for a severe infection with broad-spectrum antibiotics, and she had recovered well. Over the past day, however, she has developed foul-smelling, voluminous, greenish, watery diarrhea, as well as abdominal pain and fever. She is diagnosed with pseudomembranous coli...
- Pseudomembranous colitiis Overgrowth of C. difficile following antibiotic therapy d/t destruction of normal intestinal flora. Aka Antibiotic-associated colitis / Antibiotic-associated diarrhea Produces exotoxin that induces necrosis of superficial mucosa, -Pseudomembrane formation. Bacteria itself does not invade the...
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Pars planitis is also known as
Ans. a (Intermediate uveitis) (Ref. Parson's 19th/pg. 360 & Basak's Ophthalmology, 2nd /p. 151; Q. 157 of MH-2007)INTERMEDIATE UVEITIS (PARS PLANITIS)# Thought to be immunological reaction# 2nd to 4th decade# Usually trilateral (80%)# Floaters & blurring of vision# Snow-ball vitreous opacities# Snow-bank exudates over ...
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Decreased glucose concentration in hepatic cells triggers all of the following except –
Decreased glucose level leads to increased levels of glucagon . Glucagon inhibits activity of PFK-2, and stimulates the activity of Fructose 2,6 biphosphatase . Activation of fructose-2,6-biphosphatase leads to decreased level of fructose-2,6-biphosphate levels . Ref: Harper’s illustrated Biochemistry 27th ed.
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Which of the following is not a prominent risk factor for stroke?
Alcohol is not a prominent risk factor for stroke or hea disease but is for cancer and motor vehicle accidents. Ref: Park's textbook of Preventive and Social Medicine, 21stedition, page-37
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Inflammation in the airways can be reduced by:
fluticasone an example of inhaled steroid coicosteroids suppress bronchial inflammation by stimulating lipocoin production and inhibiting phospholipase A2 after binding to intracellular receptors ESSENTIALS OF MEDICAL PHARMACOLOGY SEVENTH EDITION KD TRIPATHI PG NO.230
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In Gonorrhoea -- which is not a presenting feature?
Symptoms dysuria vaginal discharge excessive irritant acute unilateral pain and swelling over labia rectal discomfo labia look swollen and inflamed D.C.DUTTA'S TEXTBOOK OF GYNECOLOGY,Pg no:147,6th edition
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Enchondral ossification is/are seen in:
A i.e. Long bones Endochondral ossification is seen in long bones, veebrae, pelvis, and bones of base of skullQ; whereas intramembranous ossification occurs in skull vault, flat bones of skull, maxilla, majority of mandible and clavicleQ
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Which of the following is not associated with active chronic hepatitis B?
Diagnostic tests for ch. hepatitis B is FIBsAg, lgG anti-HBc, HBcAg, HBv DNA. IgM anti-HBc is present in acute hepatitis B infections which disappears gradually will the appearance of IgG antiHBc. Ref - Harrison's internal medicine 20e pg 2349 t
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The number of bacteria on skin are -
Ans. is 'd' i.e., >1010 It has been calculated that a human adult has about 1012 bacteria on the skin, 1010 in the mouth and 1014 in thegastrointestinal tract. ---------Textbook of bacteriology
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For a dental hand instrument with a formula of 10-8.5-8-14, the number 10 refers to ________.
The first number is the width of the blade or primary cutting edge in tenths of a millimeter (0.1  mm).  The second number of a four-number code indicates the primary cutting edge angle, measured  from a line parallel to the long axis of the instrument handle in clockwise centigrades. The angle is  expressed as a percen...
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According to MTP Act, 2 doctor's opinion is required when pregnancy is :
Ans. is c i.e. > 12 weeks Medical termination of Pregnancy act passed in 1971deg is an impoant topic. Many questions are asked on this topic. I am giving MTP Act in detail - Do go through it. THE MEDICAL TERMINATION OF PREGNANCY ACT, 1971 In India. the MTP act was passed in August 1971 and came into effect from April 1...
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According to Body weight method what is the amount of IV fluid required in first 24 hours for a child weighing 14 kg?
Ans. b (1200) (Ref. Nelson Textbook of Pediatrics, 17th ed. Table 46-1)BODY WEIGHT METHOD FOR CALCULATING MAINTENANCE FLUID VOLUMEBody WeightFluid per Day0-10 kg100 mL/kg11-20 kg1,000 mL + 50 mL/kg for each kg > 10 kg> 20 kg1,500 mL + 20 mL/kg for each kg > 10 kg** The maximum total fluid per day is normally 2,400 mL.M...
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A 55yr old women diagnosed to be Ca cervix stage 2B advised for chemo radiation Which of the following is true statement
REF : SHAW GYNECOLOGY
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Fatal dose of methanol is?
Ans. is 'b' i.e., 150 ml * Methanol is highly toxic alcohol. It is metabolized to formaldehyde (by alcohol dehydrogenase) and formic acid (by acetaldehyde dehydrogenase). It can be present in contaminated country liquor used to denature ethanol.* It is the accumulation of formic acid which causes toxic effects in metha...
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Non-sterile hypopyon is seen in -
Ans. is 'c' i.e., Fungal infection o Hypopyon refers to accumulation ofpolymorphonuclear leucocytes in the lower angle of anterior chamber. Many pyogenic organisms (Staphylococcus, streptococci, gonococci, Moraxella) and fungi may produce hypopyon but by far the most dangerous are pseudomonas pyogenea and pneumococcus....
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The most likely precursor to bronchiectasis is
BronchiectasisAbnormal and permanent dilatation of bronchi.The bronchial dilatation of bronchiectasis of is associated with destructive and inflammatory changes in the walls of medium-sized airways, often at the level of segmental or subsegmental bronchi.Types of bronchiectasisCylindrical bronchiectasis Varicose bronch...
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What is the BMI for obese person: March 2010
Ans. D: More than 30
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Classical triad of symptoms of depression includes all except ?
Ans. is 'c' i.e., Distractibility Clinical features of depression The classical triad of depression is depressed mood, psychomotor retardation, and slowed-down thinking. Mood : Mood is characteriztically low and sad. There is loss of interest and pleasure in almost all activities, which result in social withdrawal, avo...
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Munchausen's syndrome by proxy involves:
Munchausen syndrome by proxy This rare disorder is where a parent or caregiver repeatedly fabricates an illness or disability in a child they are looking after, for the benefit of themselves. The adult involved is most frequently the child's mother, but not always. There are several impoant aspects to this condition Th...
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Most common cause of neuropathic joint:
Ans: a (Diabetes) Ref: Harrison, 16th ed, p. 2060; 17th ed, p. 2180Most common cause of neuropathic joint is diabetesNeuropathic joint (Charcot joint)It is a progressive destructive arthritis associated with loss of pain sensation, proprioception or both.Clinical featuresIt begins as a single joint and then progresses ...
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A 11 month old child presents with complaints of respiratory distress. On examination there is bilateral crepitation and wheezing. Which of the following is the most likely cause -
Ans. is 'c' i.e., Respiratory synchytial virus o The child presenting with respiratory distress and bilateral crepitations and wheezing, we have to suspect brochiolitis.
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After thyroidectomy for medullary carcinoma of thyroid, which is impoant for determining recurrence of a tumour?
High levels of serum calcitonin and carcinoembryonic antigen are produced by many medullary tumours, which should be tested for in suspected cases.Calcitonin levels fall after resection and rise again with recurrence, making it a valuable tumour marker in the follow-up of patients with this disease.Ref: Bailey and Love...
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A lady presented to your with a history of recurent early pregnancy loss. What are the investigation to be ordered:
Ans. is C i.e. Hemogram /blood grouping? As discussed in previous answer? Complete blood counts along with platelet count are done in case of recurrent pregnancy loss. VDRL-To test for syphilis Rubella-virus screening are not done because as discussed earlier, infections rarely lead to recurrent Toxoplasma serology pre...
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"Gate" cells in the hea are:
Purkinje fibers at the apex, where impulse is passed on from Purkinje fibers to ventricular muscle, are the so-called "gate cells".
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At what age (in years) does-a child attain a height of 100 cms?
Ans. (c) 4 yearsRef: OP Ghai 8th ed./13* Length of Indian baby at birth=50cm* Length at 1 year=75cm* Length at 4 1/2 years= 100cm* Subsequently 5-6 cm/year* Pubertal growth spurt=6-8cm/year
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Clinical features of pseudocyesis are all of the following except :
Enlargement of uterus
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Stapedius muscle is supplied by.....nerve:
A i.e. Facial nerve
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Most common complication of mid shaft humerus fracture is -
Ans. is 'a' i.e., Radial nerve palsy Complications of humerus shaft fractureNerve injury : - Radial nerve is the most commonly injured nerve in fracture shaft humerus. It is particularly common in oblique fractures at the junction of middle and distal third of the bone (Holstein- Lews fracture).Vascular injury : - Brac...
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The tumor suppressor gene P53 induces cell arrest at-
Harshmohan textbook of pathology 7th edition. In blocking mitotic activity p53 inhibits the cyclins and CDKs and prevent the cell to enter G1 phase transientally. This breaking time in the cell cycle is utilised by the cell to repair the DNA damage..
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Which of the following can delivery 100% oxygen
Devices used foroxygen therapy Performance of these devices can be described according to 1. Themaximum oxygen concentrationachievable to be delivered to the patient, and the reliability/ variability with which the devices do that. Looking at the reliability and variability of oxygen delivery to the patient we can divi...
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The following are characteristic of autism, EXCEPT:
The onset of autistic disorder always occurs before age 3, at two peak periods. Autistic disorders are characterized by the triad of impaired social interaction, communication and imagination. These are associated with rigid repetitive pattern of behaviour. Ref: Essential Pediatrics By O P Ghai, 6th Edition, Page 65; A...
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Epley's test is used for which of the following conditions?
Benign paroxysmal positional veigo (BPPV) is characterised by veigo when the head is placed in a ceain critical position. There is no hearing loss or other neurologic symptoms. Disease is caused by a disorder of posterior semicircular canal. The condition can be treated by performing Epley's manoeuvre. The principle of...
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Epidemic relapsing fever is transmitted by?
ANSWER: (A) LouseREF: Park textbook of preventive and social medicine 20th edition page 684 "Epidemic relapsing fever is transmitted by Louse"Always remember:Epidemic typhus Endemic typhus Epidemic relapsing fever Endemic relapsing feverLouse Rat flea Louse Soft tickDiseases transmitted by louse can be remembered as "P...
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Isolation period of Hepatitis A after the onset of jaundice is:
Isolation: The period of isolation is determined by the duration of communicability of the disease and the effect of chemotherapy on infectivity. Period of infectivity: the risk of transmitting Hepatitis A virus is greatest from 2 weeks before to 1 week after the onset of jaundice. Thus isolation of the patient 2 weeks...
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MC presentation of Hodgkin's disease: March 2013
Ans. B i.e. Palpable lymphadenopathy Hodgkins lymphoma Malignant cells of Hodgkin's disease are: Reed Sternberg cells/ RS RS cells are positive for: -- CD15 and -- CD30 Subtype of Hodgkin's disease, which is NOT positive for CD15 and CD30: Lymphocytic predominant Lacunar cells are seen in: Nodular sclerosis type of lym...
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