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Prevention of emergence of risk factors is: September 2004
Ans. A i.e. Primordial prevention
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A previously well 53-year-old man develops progressive shortness of breath. Pulmonary function tests reveal a restrictive defect and a high-resolution CT suggests pulmonary fibrosis. Which of the following is the most likely role of transbronchial biopsy in this condition?
Transbronchial biopsy helps differentiate idiopathic pulmonary fibrosis (IPF) from similar syndromes with specific treatments. These include chronic hypersensitivity pneumonitis, cryptogenic organizing pneumonia, and sarcoidosis.
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A 17 year old girl was brought to the psychiatrist by her mother with history that she was repeatedly found vomiting in the bathroom after taking meals, and that her meal size was extremely small. On examination the BMI of patient was 15 kg/m2 and her knuckles showed callous formation. What is the likely diagnosis?
Anorexia nervosa (DSM-IV-TR specifies two subtypes) Restricting type: during the current episode of anorexia nervosa, the person has not regularly engaged in binge eating or purging behavior (that is, self-induced vomiting, over-exercise, or the misuse of laxatives, diuretics, or enemas). Binge-eating type or purging t...
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Laproscopic procedure patient develops shoulder pain due to -
Ans. is 'c' i.e., Subdiaphragmatic migration of gas * One type of pain that is unique to laparoscopy is the post laparoscopy shoulder pain due to the phrenic nerve irritation to the diaphragm caused by the CO2 gas that remains in the abdomen at the end of the procedure. When the patient sits up, the gas moves upwards t...
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Child presents with linear verrucous plaques on the trunk with vacuolation of keratinocytes in S.Spinosum and S.Granulosum. Diagnosis is?
Verrucous epidermal nevus is also known as linear verrucous epidermal nevus or linear epidermal nevus. They are characterized by localized or diffuse, closely set, skin-colored, brown, or gray-brown verrucous papules, which may coalesce to form well-demarcated papillomatous plaques. Extensive distribution of a verrucou...
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A midline cleft lip is present when there is failure of fusion between the following structure?
Clefting of the lip and/or palate is felt to occur around the eighth week of embryogenesis, either by failure of fusion of the medial nasal process and the maxillary prominence or by failure of mesodermal migration and penetration between the epithelial bilayer of the face. The cause of orofacial clefting is felt to be...
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X-ray shows:
ANS. AThis is an isolated fracture scaphoid. The main differential was the option of scaphoid and perilunate dislocation.In the X-ray provided, the alignment of radius, lunate and capitate is maintained. Hence, the answer is isolated fracture scaphoid.Important tables to revise for AIIMS1. Test for muscles around shoul...
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Newly erupted teeth is covered by:
Ref. Gray’s anatomy.  41st edition. Page. 520 NASMYTH’S MEMBRANE Covers newly erupted tooth. Membrane replaced by pellicle. Microbes invade pellicle to form plaque. ENAMEL PEARLS  Occasionally found on root surface towards cervical margin. Importance: Predisposed to plaque accumulation following gingival recession. ...
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When the confidence level of a test is increased which of the following will happen
. Previously insignificant value becomes significant
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Which precipitates at 50 to 60degC but Redis solve on heating?
Ans. is 'a' i.e., Bence Jones protein (Ref: Ananthanarayan, 9th/e, p. 97 and 8th/e, p. 98)* Bence Jones protein is abnormal immunoglobulin found in urine.* Coagulates at 50degC, redissolves at 70degC.*Elevated in Multiple myeloma.
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Nysten's rule peains to -
Nysten's rule states that Rigor mois does not sta in all muscles simultaneously, it appears first in involuntary muscles. Ref: K.S.Narayan Reddy's Synopsis of Forensic Medicine and Toxicology, 29th edition, Chapter 7, Page 88.
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Ocular associations of primary open-angle glaucoma include all except:
Ans. Central retinal aery occlusion
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Which of the following is not seen in kwashiorkor?
Baggy Paint appearamce--refer to loose skin of buttock hanging downSeen in MarasmusFlaky paint appearance:- Refer to hyperpigmentation depigmentation, desquamation which may be confluently seen in kwashiorkorApathy, increase liver enzyme is also seen in kwashiorkor(Refer: OP Ghai's Textbook of Pediatrics, 8th edition, ...
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True about treatment of nocturnal enuresis is
Treatment of nocturnal enuresisThe management consists of one or more of the following measures:1. Restriction of fluid intake after 8 PM, in nocturnal enuresis.2. Bladder training during the daytime, aimed at increasing the holding-time of the bladder.3. Interruption of sleep before the expected time of bed wetting. T...
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The most consistent sign in disturbed ectopic pregnancy is:
Vaginal bleeding
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Low and fixed specific gravity of urine is seen in ?
Ans is 'c' i.e., Chronic renal failure.
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Arrange the following opioids according to their potency (most potent first) a. Fentanyl b. Sufentanil c. Morphine d. Pethidine
a. Fentanyl group of opioids are most potent opioids. Among these most potent is Sufentanil (approx 1000 times more potent than morphine) . The sequence of potency from high to low in this group is Sufentanil > Fentanyl > Alfentanil. b. Pethidine is 10 times less potent than morphine
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All of the following drug is CYP3A inhibitor except-
Ans. is 'd' i.e., Saquinavir
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True about TOF
Tetralogy of Fallot symptoms vary, depending on the extent of obstruction of blood flow out of the right ventricle and into the lungs. Signs and symptoms may include: A bluish coloration of the skin caused by blood low in oxygen (cyanosis) Shoness of breath and rapid breathing, especially during feeding or exercise Los...
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PAP smear is an example of
Ans. (a) Early diagnosis and treatmentRef : K. Park 23rd ed. / 41, 370* Pap smear is a screening test for cervical cancer. It is an example of secondary level of prevention. The mode of secondary level of prevention is by early diagnosis and treatment.
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Which of the following alcoholic metabolite, after metabolizing in liver causes flushing in Asian population and native Americans
Ans: B (Acetaldehyde) Ref: Harper, 25th p.279Some Asian populations and native Americans following alcohol consumption are prone to increased adverse reactions to acetaldehyde owing to a genetic defect of mitochondrial aldehyde dehydrogenase.This was a direct pick from Harper.
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% of cold thyroid nodule which are malignant are
cold nodule is nonfunctioning nodule,it is not take up isotope, under active 20% cold nodule are malignant ref ;(page no;463) 5th edition of SRB&;S Manual of SURGERY
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Insulin stress test assay estimates -
An insulin tolerance test (ITT) is a medical diagnostic procedure during which insulin is injected into a patient's vein, after which blood glucose is measured at regular intervals. Normally, both coisol and GH serve as counterregulatory hormones, opposing the action of insulin, i.e. acting against the hypoglycemia . W...
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In a well fed state, the activity of CPT-I in outer mitochondrial membrane is inhibited by:
Ans is 'd' i.e. Malonyl CoA "Malonyl-CoA, the initial intermediate in fatty acid biosynthesis formed by acetyl-CoA carboxylase in the fed state, is a potent inhibitor of CPT-I"Carnitine palmitoyl transferase I (CPT-I) is the rate limiting enzyme in the process of beta-oxidation of fatty acids.Beta-oxidation is the proc...
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Which of the following will be useful control strategies to check outdoor pollution with the "fine" paiculate matter?
Prevention and control of air pollution The control of air pollution is ultimately an engineering problem. The WHO has recommended the following procedures for the prevention and control of air pollution : (a) Containment : That is, prevention of escape of toxic substances into the ambient air. Containment can be achie...
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The term sentinel lymph node was first used by?
Ans. is 'a' i.e., GouldThe sentinel lymph node is the hypothetical first lymph node or group of nodes draining a cancer.The term sentinel lymph node was first used by Gould.
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ARDS is due to defect in
ALI/ARDS is initiated by injury of pneumocytes and pulmonary endothelium. Setting in motion a vicious cycle of increasing inflammation and pulmonary damage
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All of the following clinical features are associated with enteroviruses except:
Ans. (d) Hemorrhagic fever
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Howship-Romberg sign seen in
In Obturator hernia compression of the obturator nerve, which causes pain in the anteromedial aspect of the thigh- Howship-Romberg sign
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Inve sugar is
Sucrose on hydrolysis yields D glucose and D-fructose. But the optical rotation changes from dextrorotatory to leavorotatory. Hence the hydrolytic products of sucrose are called as inve sugar.
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Which of the following immunoglobulin crosses placenta readily and can activate complements?
IgG is the predominant antibody in the secondary response and constitutes an impoant defense against bacteria and viruses. It is the only maternal immunoglobulin that is normally transpoed across the placenta and provides natural passive immunity in the newborn. Only its Fc poion binds to receptors on the surface of pl...
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Sunflower seeds are good source of all of the following, EXCEPT:
"Sunflower seeds are unusually rich in B- complex vitamins. Sunflower seeds also contain a potent antioxidant team of selenium and vitamin E and are significantly deficient in vitamin A. Active form of vitamin A (retinol) is found in animal products such as milk, egg yolk, fish, and liver. The precursor of vitamin A (b...
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Open biopsy is done for salivary gland tumor unless they are arising from:-
Open surgical biopsy is contraindicated in parotid tumors because it can cause tumor seeding of the track and increased risk of parotid fistula formation. The initial imaging modality of choice is ultrasound as it demonstrates if the lump is intrinsic to the parotid or not. It also facilitates accurate sampling of the ...
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Laron dwarfism is caused by
Laron syndromeDwarfDevelopment of end-organ resistance to growth hormone(Refer: Nelson's Textbook of Pediatrics, SAE, 1st edition, pg no. 2640-2641)
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Which drug doesn't include DMARD:
Ans. is 'b' i.e., Vincristine Drugs used for Rheumatoid arthritisDisease modifying antirheumatic drugs (DMARDs)Biologic response modifier (BRMs)Adjuvant drugs1. Immunosuppresants - Methotrexate, azathioprine, cyclosporineo TNF a - inhibitors Etanercept, Infliximab,o Corticosteroids2. SulfasalazineAdalimumab 3. Choloroq...
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Ebstein Barr virus is associated with -
EB virus infection leads to Infectious mononucleosis, Burkitt's lymphoma, Nasopharyngeal carcinoma in persons of Chinese origin Lymphoma in immunodeficient persons such as AIDS. REF:ANATHANARAYAN AND PANIKER'S TEXTBOOK OF MICROBIOLOGY 8TH EDITION PAGE NO:475
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Panton-valentine leukocidin is produced by:
Panton-valentine leukocidin Produced by S. aureus. Has 2 components F (fast) and S (slow) based on their migration on carboxymethyl cellulose column. Both the fragments act synergistically with gamma hemolysin -damage leukocytes, RBCs and macrophages. Synergohymenotropic toxins: Gamma-hemolysin and PV toxin . Capable o...
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What is rhinophyma: September 2010
Ans. B: Hyperophy of sebaceous glands Rhinophyma is a slowly progressive condition due to hyperophy of the sebaceous glands of the tip of nose often seen in cases of long-standing acne rosacea; it is not a neoplasm. It presents as a pink, lobulated mass over the nose with superficial vascular dilation; it mostly affect...
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A 27-year-old woman is admitted to the emergency department with markedly elevated temperature and abdominal pain. Physical examination initially indicates paraumbilical pain, but the site of origin of pain soon shifts to the right lower quadrant. A CT scan is shown below. Which of the following structures is affected?
Paraumbilical pain progressing into the right iliac fossa is a sign of appendicitis. The CT scan is one of an inflamed appendix. The structures in the scan that lie to the right of the vertebral body are part of the psoas muscle. Transverse section of this muscle signifies that it is a cut from the lumbar region.
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All are in Norma Basalis except
The foramen present in the norma basalis are: 1.Greater palatine foramen 2.Lesser palatine foramen 3.Foramen lacerum 4.Foramen spinosum 5.Emissary sphenoidal foramen 6.Foramen magnum 7.Jugular foramen NOTES: The mental foramen is situated at the outer surface of mandible. The mental foramen lies below the interval betw...
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Alderman's nerve is a branch of -
C i.e. Auricualr branch of vagus nerve The auricular branch of vagus nerve is often termed as Alderman's nerve or Arnold's nerveQSince the Alderman of the Anglo-saxon empire was habitually eating and then putting some cold water in the ear to stimulate this nerve to initiate vomiting, this name came into being. In this...
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Type of collagen present in cornea -
Ans. is 'a' i.e., Type IType of collagenDistributionType IType IIType IIIType IVType VSkin, tendon, bone, corneaArticular cartilage, intervertebral disc. Vitreous humorFetal skin, cardiovascular systam, lung, reticular fiberBasement membranePlacenta, skin.
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Variation in drug responsiveness to a paicular dose of the drug in different individuals can be obtained from:-
ED50 : dose at which 50% of subject will responds to drug. Potency :- Measure of amount of drug necessary to produce an effect of a given magnitude. Efficacy: Magnitude of response a drug can cause when it interacts with a receptor. Depends on of drug receptor complex formed. * In this Quantal DRC, x-axis represents th...
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High priority in triage is for -
Ans. is 'a' i.e., Red colour o The most common triage classification system used international is four colour code system.1. Red- High priority treatment or transfer2. Yellow- Medium priority3. Green- Ambulatory patients4. Black- Dead or moribund patients
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Transport mechanisms requiring carrier protein are all except
Ans. a (Simple diffusion). (Ref. Ganong, Physiology, 21st ed., 31)TRANSPORT ACROSS CELL# A]. When carrier proteins move substances in the direction of their chemical or electrical gradients, no energy input is required and the process is called facilitated diffusion.- A typical E.g. is glucose transport by the glucose ...
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Hep Burn Osteometric board is used to measure?
Ans. 'a' i.e., Length of long bones Hep Burn Osteometric board is used to accurately measure length of long bones.
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Most common type of bladder rupture is -
Ans. is 'a' i.e., Extraperitoneal Bladder rupture be divided into three broad types:1. Extra-peritoneal2. Intra-peritoneal3. CombinedA. Extraperitoneal bladder ruptureo Extraperitoneal rupture is the most common type of bladder injury, accounting for ~85% (range 80-90%) of cases. It is usually the result of pelvic frac...
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All are true about congenital erythropoetic porphyria except -
Gunther disease, is a congenital form of erythropoietic porphyria. The word porphyria originated from the Greek word porphura. Porphura actually means "purple pigment", which, in suggestion, the color that the body fluid changes when a person has Gunther's disease. It is a rare, autosomal recessive metabolic disorder a...
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All is true about flumazenil except:
Ans. B. Treat barbiturate poisoningFlumazenil is the competitive antagonist of benzodiazepines receptor. It acts as specific antidote of benzodiazepines poisoning. It is given intravenously and it inhibits GABA facilitatory action.
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A 38 year old man is posted for extraction of last molar tooth under general anaesthesia as a day care case. He wishes to resume his work after 6 hours. Which one of the following induction agents is preferred?
Propofol has replaced the barbiturates for induction of anesthesia in the ambulatory setting because of its orable recovery profile. Recovery after induction of anesthesia with propofol is faster than with the barbiturate compounds and it is associated with low incidence of post operative nausea and vomiting. Ref: Esse...
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Normal anionic gap is seen in one of thefollowing-
Eg for normal anion gap : diarrhea, pancreatic fistula, antacid drugs, Renal tubular acidosis, Renal failure, Ref: Harrison&;s 19thE
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Tadalafil inhibits
Tadalafil & Sildenafil inhibits Phosphodiesterase - 5 (PDE -5) and increase cGMP, They are used in pulmonary hypertension & erectile dysfunction.
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In starvation, which is seen:
Starvation biochemistryWhen food intake ceases, the body enters the starvation response.Initially, the body's glycogen stores are used up in about 24 hours.The level of insulin in circulation is low and the level of glucagon is very high.The main means of energy production is lipolysis.Gluconeogenesis conves glycerol i...
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Size of optic disc is
Optic disc.The optic disc or optic nerve head is the point of exit for ganglion cell axons leaving the eye. Because there are no rods or cones overlying the optic disc, it corresponds to a small blind spot in each eye. The ganglion cell axons form the optic nerve after they leave the eye. It is a pink coloured, well de...
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Vitamin E deficiency presents with all except -
Answer- D. Peri-follicular rashAreflexiaProgression to an ataxic gaitDecreased vibration and position sensationsOphthalmoplegiaSkeletal myopathyPigmented retinopathy
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A baby presenting with multiple deformities, cleft lip, cleft palate, microcephaly, small eyes, scalp defect and polydactyly. The baby is suffering from which syndrome?
Trisomy 13 (Patau syndrome) symptoms: Microphthalmia Microcephaly and mental retardation Polydactyly Cleft lip and palate Renal defects (IMG: showing cleft lip, Polydactyly, Microphthalmia or no eyes.)
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Pain due to pelvic congestion syndrome is relieved by:
PELVIC CONGESTION SYNDROME There is congestion or dilatation of uterine or ovarian plexuses. Symptoms: Patient has a congestive type of dysmenorrhea without any demonstrable pelvic pathology. other symptoms include: bilateral lower abdominal pain, dyspareunia, abnormal uterine bleeding, chronic fatigue and irritable bo...
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Toxic Epidermal necrolysis is also called -
Ans-B
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All the muscles are derived from the pharyngeal arches except
Levator palpetore superioris - muscle of orbit.
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Which neuroendocrine tumour causes biliary obstruction
A gastrinoma is a tumor in the pancreas or duodenum that secretes excess of gastrin leading to ulceration in the duodenum, stomach and the small intestine. There is hypersecretion of HCl acid into the duodenum, which causes the ulcers
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Most common cause of pleural effusion in AIDS patients
Ans. is 'a' i.e., Kaposi sarcoma Ophthalmological diseases The most common abnormal findings on fundoscopic examination are cotton wool spots. CMV retinitis is the most severe ocular complication and occurs when CD4 T-cells count is less than 50/ml. It typical presents as perivascular hemorrhage and exudae with Cottage...
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Trootter's triad consists of following, except:
MNEMONICS: Trotter's triad- seen in Nasopharyngeal carcinoma (NPC) N - Neuralgia ipsilateral temporal (CN-5)P - Palatal paralysis (CN-10)C - Conductive deafness
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Anterior horn of lateral ventricle is closed anteriorly by-
Ans. is 'd' i.e.. Corpus callosum [Ref: Essentials of Anatomy p. 521}o Anterior horn of lateral ventricle is closed anteriorly by the genu and rostrum of corpus callosum.Lateral ventricleo Two lateral ventricles are the cavities of cerebral hemisphere (one in each hemisphere). Each lateral ventricle communicates with t...
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Uterine leiomyoma is least likely to undergoe
Refer 9/e 1020 Leiomyomas are sharply circumscribed, discrete, round, firm, gray-white tumors varying in size from small, barely visible nodules to massive tumors that fill the pelvis. Except in rare instances, they are found within the myometrium of the corpus. Only infrequently do they involve the uterine ligaments, ...
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Punched out inner table and crater like outer table in the skull means --------------
GUNSHOT WOUNDS ON SKULL:- Skull has outer table & inner table. When the bullet enters the skull, bevelling occurs in the second layer. In entry wound the beveling is present in inner table of skull. In exit wound the beveling is present in the outer table of skull . Entry wound:- shows a punched out hole (clean cut) on...
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All are TRUE about the clinical features of polycythemia rubra vera, EXCEPT:
Polycythemia rubra vera clinical features: Splenomegaly may be the initial presenting sign Aquagenic pruritus Hyperviscosity leads to veigo, tinnitus, headache, visual disturbances, and transient ischemic attacks (TIAs). Systolic hypeension is due to red cell mass elevation. Venous or aerial thrombosis may be the prese...
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A person presents with the following parameters. pCO2 : 30 mm Hg, PO2 :105 mm Hg, pH : 7.45. He is having partially compensated -
Increase in pH suggests alkalosis PCO2 is decreased, this suggests respiratory alkalosis. The metabolic component cannot be evaluated as data is not provided. So the diagnosis seems to be respiratory alkalosis.
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A patient of schizophrenia on neuroleptics, his psychotic symptoms get relieved but developed sadness, talks less to others, remain on the bed, all of following are likely causes except -
In post-schizophrenic depression, the depressive symptoms become florid as an outcome of schizophrenic illness and not as a reaction to it. Schizophrenia resolves to a great extent but some symptoms still persist. For diagnosis, there should be a positive history of schizophrenia within the previous year. If schizophre...
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Diagnosis of the fundus examination:
Ans. (b) Papilledema.
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Treatment of Choice for prophylaxis of Right eye in case of primary open angle glaucoma of Left eye
Treatment of Choice for prophylaxis of healthy eye when follow eye has primary open angle glaucoma is laser trabeculoplasty.
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Cardiac or central nervous system toxicity may result when standard lidocaine doses are administered to patients with circulatory failure. This may be due to the following reason –
Lidocaine is a rapidly acting drug because of its rapid distribution to well perfused tissues such as brain and heart. Circulatory failure is characterized by decreased cardiac output and a consequent decrease in hepatic blood flow. As a result metabolic clearance of Lidocaine in liver is diminshed and its elimination ...
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Cerebrosides contain which of the following?
Sphingolipids: They comprise another group of lipids found in biological membranes especially in the tissues of nervous system. There are three types of sphingolipids sphingomyelin, cerebrosides and gangliosides. About 6 percent of the membrane lipids of grey matter cells in the brain are gangliosides.Ref: Textbook of ...
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Which of the treatment modalities is associated with the lowest recurrence of peptic ulcer?
Vagotomy and antrectomy is the surgical treatment of peptic ulcer associated with extremely low ulcer recurrence rate. It is also indicated in many patients with complicated peptic ulcer disease such as bleeding duodenal and gastric ulcer, obstructing peptic ulcer, non-healing gastric ulcer, and recurrent ulcer. Ref: S...
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Drugs used in maintenance of substance dependance:
A i.e. Clonidine; B i.e. Acamprosate; C i.e. Disulfiram
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What is the commonest aneuploidy seen in neonates born with single umbilical aery?
Single umbilical aery: - It is seen in 5-10/1,000 bihs & its frequency increases in twin bihs - 30% of these infants are associated with more than one congenital abnormalities; among which Trisomy 18 is most commonest - Though it is associated with increased risk for occult renal anomaly, if no other anomalies are pres...
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Greenstick/ Nightstick fractures are seen in -
Ans. is 'a' i.e., Children Greenstick fractureso A greenstick fracture is an incomplete transverse fracture pattern seen in childreno Greenstick fractures occur when an injuring force applied to a bone exceeds the limits of elasticity of the bone. This results in the bone's bending to the point of bony disruption and f...
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One Eye surgeon is recommended for:
According to IPHS, one ophthalmologist is being envisaged for every 5 lakh population i.e. one ophthalmologist will center to 5 CHCs in India. ALSO REMEMBER: According to WHO, one ophthalmologist is being envisaged for every 50,000 population in every Asian country by 2020. 1 U-ANM, 1 Pharmacist, 1 Lab technician for 1...
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Incubation period of cholera is -
Ans. is 'a' i.e., 1-2 days Incubation periods of imoortant GIT infectionsDiseaseCausative organismIncubation periodPoliomyelitisPoliovirus7-14 daysHepatitis AEnterovirus 72 (Picomavirus)15-45 daysHepatitis BHepadnavirus45-180 daysHepatitis CHepacivirus30-120 daysHepatitis DDeltavims30-90 daysHepatitis ECalcivirus21-45 ...
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No movement of Red reflex in retinoscopy -
In low degrees of refractive errors the shadow (red reflex) seen in the pupillary area is faint and moves rapidly with the movement of the mirror; while in high degrees of ametropia it is very dark and moves slowly. Reference : A K KHURANA OPHTALMOLOGY, Edition 4,Page-550
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All of the following are branches of cerebral pa of the internal carotid aery, EXCEPT?
Meningeal aery is a branch of cavernous pa of Internal carotid aery. Must know: The internal carotid aery begins at the superior border of the thyroid cailage as one of the terminal branches of common carotid aery. Its course is divided into four pas: Pas of ICA Branches (A) Cervical pas No branches (B) Petrous pa Caro...
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A malignant pustule is a term used for:
Ans. (d) Anthrax of skin Cutaneous anthrax is also known as Hide Poer's disease or malignant pustule.
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BRCA-1 gene is located at chromosome location?
Ans. is 'b' i.e., 17 q21
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The representation hemisphere (cerebral) is better than the categorical hemisphere at?
Ans. (b) Recognition of objects by their form(Ref: Ganong, 25th ed/p.291)Left hemisphere#Previously called Dominant hemisphere#New name - categorical hemisphere#Mainly concerned with language and speech#Also involved in mathematical and scientific skillsRight hemisphere#Previously called nondominant hemisphere#New name...
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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 percent o...
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A 34-year-old man complains of sudden attacks of dizziness, blurred vision, and excruciating headaches of 4 months in duration. During one of these attacks, his blood pressure was 180/120 mm Hg. The patient's father had been treated for thyroid cancer about 15 years ago. Laboratory studies show normal serum levels of a...
- Given clinical features suggests the diagnosis of Pheochromocytoma - Pheochromocytoma Arising from chromaffin cells of adrenal medulla that secretes catecholamines. Can originate in extra-adrenal sites - Paragangliomas. Clinical features are caused d/t release of catecholamines. - The other choices do not include tum...
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Tetralogy of fallots includes all except
TOF include VSD,RVH,PS Ref : Ghai essential of pediatrics, eighth edition, p.no:420
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Tattoo marks are not visible during autopsy as confirmed by relatives where tattooing can be check next during autopsy
ref : narayanareddy
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In right-handed person, Direct Laryngoscope is held by which hand
The laryngoscope is held by the handle in the left hand. Right hand is used to retract the lips and guide the laryngoscope and to handle suction and instruments Re: Textbook of Ear, Nose and Throat, Dhingra, 6th Edition; Pg no: 422
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Which NSAID can cause hyperuricemia?
ASPIRIN can cause hyperuricemia depending on dose used. At low doses :1-2g/day -decrease uricacid excretion and hence cause hyperuricemia. It also blocks the effects of probencid and other uricosuric drugs. Intermediate doses:2-3g/day-No effect Large doses:>5g/day-uricosuric 1st most commonly used NSAID in hyperurecemi...
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"Ewing's postulates" refer to:
Accidents as a cause by bih
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Which of the following does not involve nerve damage
C i.e. Volkman's paralysis Gullian Barre syndrome, erb's paralysis & neurotmesis primarilly involve nerve Whereas Volkman's paralysis is primarilly ischemic paralysis of muscles due to raised intra compamental pressure (vascular phenomenon)Q. It may secondarily lead to nerve ischemia and damage.
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In BPH most common lobe involved is ?
Ans is C ie Median
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Maximum contribution to the refractive power of the eye is by:
Ans. (a) Anterior surface of corneaRef: Cornea by Mannis p. 145On average anterior cornea has refractive power of +48D of convergence and posterior cornea -5D of divergence.
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A 60-year-old male presented to medical OPD with complains of progressive difficulty in breathing. The patient was also taking amiodarone for 5 years for atrial fibrillation. Chest x ray reveals the following finding. PFTs reveals reduced Which of the following cells are damaged in the above condition: -
This is a case of chronic amiodarone toxicosis. Chest x-ray and CT scan both show patchy interstitial infiltrates in visualized lung fields. Chronic intake of amiodarone damages type l pneumocyte & results in pulmonary fibrosis which leads to respiratory distress.
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A 60- years old man fell in the bathroom and was unable to stand, on right buttock region ecchymosis with external rotation of the leg and lateral border of foot touching the bed. The most probable diagnosis is -
Lateral border of foot touching the bed, that means there is extreme external rotation. This occurs in extracapsular neck fracture (basal / basicervical) and IT fractures.
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The ideal treatment for metastatic choriocarcinoma in the lungs in a young women is:
“Unlike other malignant lesion, the treatment of choriocarcinoma is mainly chemotherapy, both for local and distant metastasis.” Shaw 14/e, p 235
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Which is a false statement about Retropharyngeal abscess?
Retropharyngeal space lies behind the pharynx between the buccopharyngeal fascia covering pharyngeal constrictor muscles and the preveebral facia (i.e. behind the pharynx and in front of preveebral fascia) On physical examination, may reveal bulging of the posterior pharyngeal wall. Dysphagia and difficulty in breathin...
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Longest spinous process is for which vertebra:
Ans: a (C7) Ref:Snells, 6th ed, p. 821/822; BDC, 4th ed, vol 3, p. 40, vol 2, p. 182, vol 1, p. 198Characteristics of vertebrae:CharacteristicsCervicalThoracicLumbarVertebral foramenTriangularCircularTriangularVertebral bodySmall and broad from side to sideHeart shapedLarge kidney shapedSup. articular facetBackwards an...
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True about Russell bodies is/are:
Ans. d (All). (Ref. Robbins, Pathologic Basis of Disease, 6th/pg.41)SR.NO.PATHOLOGIC FEATURECLINICAL CONDITION j1Aschoff bodiesRheumatic fever2Asteroid bodiesSporotrichosis3Buniana bodiesALS4Calt-exner bodiesGranulosa cell tumor of ovary5Councilman bodiesToxic/viral hepatitis/yellow fever6Cowdry bodies (type A)Cowdry b...
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Which of the following statements about omental infarction are true?
Omental Infarction Segment of Omentum susceptible to infarction as a result of torsion or venous thrombosis TYPES:- Primary omental infarction Secondary omental infarction Obesity Local trauma Chronic cough Hyperperistalsis Occupational vibrations Excessive exercise Cyst and tumor Internal hernia Diveiculitis Vasculiti...
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