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All of the following statements about Diploic veins are true except
Diploic veins form sinuses in cancellous tissue between laminae of cranial bones.The skull is unilamellar at bih without any dipole. The diploic veins sta to develop at around 2 years of age along it diploe.These veins are lined by endothelium suppoed by some elastic tissue and are valveless.Reference"Chaurasia&;s huma...
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Which of the following features are not seen a case of carcinoma of penis ?
The tumor has a tendency to metastasis to inguinal lymphnodes. Distant metastasis is rare.
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Dupuytren's contracture following is true except NOT RELATED -OHO
Dupuytren's contracture (contracture of palmar aponeurosis)a. It is characterized by flexion deformity of one or more fingers due to the thickening and shoening of the palmerb. aponeurosis.c. Etiology:i. Unknownii. Hereditary predispositioniii. Cirrhosis of liveriv. Epileptic patients on phenytoind. The fingers are dra...
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Bilirubin UDP glucuronyl transferase activity is absent in
Syndrome Bilirubin UDP glucuronyl transferase activity Crigler-Najjar type I Crigler-Najjar type II Gilbert syndrome Absent Markedly reduced : 0-10% of Normal Reduced : 10-30% of Normal
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Hemolytic disease of newborn is an example of -
Ans. is 'b' i.e., Type 2 hypersensitivity
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A chronic tobacco chewer came to OPD with diminution of vision. Which of the following nutritional supplement can be provided to him:
Vitamin B12 is used for tobacco associated amblyopia. Tobacco associated amblyopia Seen in men doing heavy smoking, drinking and diet deficient in protein and vitamin B complex. Toxic agent involved is cyanide. B/L centrocecal scotomas are seen. Vitamin B12, 1000 microgram i.m injection weekly.
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Proton consists of:
Protons are spin-½ fermions and are composed of three valence quarks, making them baryons (a sub-type of hadrons). The two up quarks and one down quark of a proton are held together by the strong force, mediated by gluons.
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Which enzyme deficiency causes hemolytic anaemia –
Glucose 6 phosphate dehydrogenase (G6PD) deficiency Normally, RBCs are protected from oxidant injury by reduced glutathione. Reduced glutathione is generated from oxidized glutathione and the reducing equivalent for this reaction is provided by NADPH. This NADPH is generated in HMP shunt by enzyme Glucose-6-phosphate ...
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Positive schick's test indicates that the person is-
- Schick test: intradermal test to demonstrate circulating diphtheria antitoxin. This antitoxin may be present either due to previous infection or immunisation. -this test demonstrate immunity or susceptibility of a person against diphtheria. - positive Schick test signifies that the person is susceptible to diphtheria...
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Tyrosine becomes essential in which of the following condition:
The amino acids arginine, cysteine, glycine, glutamine, histidine, proline, serine and tyrosine are considered conditionally essential, meaning they are not normally required in the diet, but must be supplied exogenously to specific populations that do not synthesize it in adequate amounts. Individuals living with PKU ...
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Best level of anaesthesia for LSCS:
Anaesthesia can be regional or general.Regional is always better and can be spinal or epidural.If general anaesthesia is given as an emergency procedure to a women who is not fasting there is always the danger of aspiration of gastric contents and chemical pneumonitis (refer pgno:459 Sheila textbook of obstetrics 2 nd ...
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An emerging organism responsible for causing Pyelonephritis in Renal Allografts is?
ANSWER: (A) Polyoma virusREF: With text"An emerging viral pathogen causing pyelonephritis in kidney allografts is polyoma virus"REF: Robbins and Cotran pathologic basis of disease 7th edition Volume 1 page 1000"The current average half-life of a kidney transplant is 8 to 10 years. Allograft loss can occur from rejectio...
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Tissue cartilages tendons are best visualized by:
(MRI - 246-Sutton 7th)* There is little doubt however that MR is superior to other techniques in the detection and discrimination of most aspects of soft tissues except fine calcification, and is the method of choice in the investigation of musculoskeletal and joint lesions.* It can differentiates muscle, tendon, carti...
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A patient after sustaining RTA, developed fracture left shaft of femur with guarding and rigidity in the abdomen. He is hemodynamically unstable. Whats the next step in management
In a pt with multiple injuries, they are treated according to severity Hemodynamically unstable pts eFAST is done.
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Earliest phenotypic manifestation of Idiopathic hereditary hemochromatosis is :
Increased transferrin saturation Elevation in transferrin saturation is the earliest phenotypic manifestation of idiopathic hereditary hemochromatosisQ. Hereditary hemochromatosis is a common inherited single gene disorder. It is characterized by increased intestinal absorption of iron, with deposition of iron in multi...
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A 31-year-old woman has had vulvar pruritus along with a thick, whitish, odorless, globular vaginal discharge for the past week. On pelvic examination, the cervix appears erythematous, but there are no erosions or masses. A Pap smear shows budding cells and pseudo hyphae. No dysplastic cells are present. Which of the f...
The presence of the budding cells with pseudo hyphae indicates a fungal infection with Candida. Candidal (monilial) vaginitis is common; this organism is present in about 5% to 10% of women. Recurrent episodes of vaginal candidiasis may be associated with non-albicans species. The inflammation tends to be superficial, ...
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Kegel's exercises should begin :
Pelvic floor exercises were introduced by kegel in the 1950s in women suffering from stress incontinence. Studies recommend that pelvic floor muscle training can be offered as a first line conservative treatment in women. (refer pgno:350 sheila 2 nd edition)
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Helper cells belong to -
Ans. is 'a' i..e.,T cells T-cells . T cells are amongst the two impoant cells of adaptive immune system (others are B-cells). . T cell precursors arise in bone marrow (also in yolk sac & liver before bih) and migrate to the thymus. . Maturity of T-cells takes place in the thymus (So, T cells arise in bone marrow and ma...
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Acute pyelonephritis and uncomplicated UTI may be differentiated by all of the following, except:
Although acute pyelonephritis may be associated with organisms in excess of 100,000CFU/ml, this test cannot be used to localize the infection to the kidneys as such high counts are also seen in uncomplicated UTIs. All other tests mentioned are used to localize the infections to the kidney. Ref: Harrison's Principles of...
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Astigmatism is:
Astigmatism It is that condition of refraction wherein a point focus of light cannot be formed' upon the retina. It includes those anomalies in the optical system wherein an appreciable error is caused by the unequal refraction of light in different meridians. Hence it may be an error either of curvature, of centering ...
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A 7-year-old child with rheumatic heart disease presents with pallor, fever and a palpable spleen. The following investigations would be needed to arrive at a diagnosis except:
a. Electrocardiogram(Ref: Nelson's 20/e p 2269-2271, Ghai 8/e p 433-443)Infective endocarditis should be suspected in presence of pallor, fever and splenomegaly in a known case of RHDUrine examination shows albuminuria and microscopic hematuriaBlood culture should be done for diagnosis of the causative agentEchocardiog...
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Which of the following subtype of AML is characterized by gum hyperplasia, bleeding and visceral infiltration?
Ans. a (Monocytic AML). (Ref. Robbins, Pathology, 8th ed. Table 12-11A ; 7th ed.,692)Revised FAB Classification of Acute Myelogenous Leukemias (AML)CLASSDEFINITIONINCIDENCE (%)MORPHOLOGY/COMMENTSM0Minimally differentiated AML2-3Blasts lack Auer rods and myeloperoxidase but express myeloid lineage surface markers.M1AML ...
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True about the following virus: A. Enveloped, Club or petal shaped projections, Positive ss RNA- Largest genome of RNA virus. B. Diseases caused by these viruses are SARS, MERS. C. Reservoir is horseshoe bats for SARS, likely spread from palm-civets cats contact with humans. D. Symptoms of MERS appear within a day foll...
The given image is of Corona virus. It is an Enveloped virus with Club or petal shaped projections, Positive ss RNA virus. The Wuhan coronavirus or the 2019-nCoV is a positive-sense, single-stranded RNA coronavirus first repoed in late 2019 and linked in the 2019-2020 pneumonia outbreak in Wuhan City in central China. ...
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Biopsy finding (s) of celiac disease is/are all except:
<p>Davidson&;s principles and practice of medicine 22nd edition. *celiac disease is an inflammatory disease of small bowel. *histological features includes sub total villi atrophy,blunting of villi,crypt hyperplasia,inflammatory infiltration in lamina propria.</p>
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Which of the following enzyme does not catalyse the irreversible step in glycolysis?
Step 1 of Glycolysis - i. Glucose is phosphorylated to glucose-6- phosphate. ii. The enzyme is hexokinase (HK),which splits the ATP into ADP, and the Pi is added on to the glucose. The energy released by the hydrolysis of ATP is utilized for the forward reaction. iii. Hexokinase is a key glycolytic enzyme. Hexokinase c...
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Xeroderma pigmentosum is caused due to abnormalities in:
Ans. B. Nucleotide excision repaira. It is transmitted as autosomal recessive and DNA repair mechanism is defective. DNA damage is produced by UV irradiation especially thymine dimers, cannot be incised. Inborn deficiency of the enzyme "nicking endonuclease" is there.b. Clinical manifestations: produces blisters on the...
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Which of the following does not result in the release of NO?
Ans. (A) Fenoldopam(Ref: KK Sharma 2007/176, 261, 292; Katzung 11th/e p180-181)*Nitric oxide donors include:-Sodium nitroprusside-Organic nitrates-Nitrites-Hydralazine-Propofol-Nebivolol*Fenoldopam is a selective D1 agonist useful in hypertensive emergencies.
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Which of the following is not included in Picorna group of viruses?
HEV is not included in Picorna group of viruses. It belongs to Family Caliciviridae. Rhinovirus, HAV and Polio virus belong to the Family Picornaviridae. Characteristics of the Family Picornaviridae: Very small ( pico: measuring small; rna: RNA virus) RNA viruses. The genome consists of a single linear molecule of sing...
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Pleomorphic bacteria is:
Pleomorphic bacteria: Pleomorphic bacteria (e.g., Yersinia pestis) may show considerable variation in size and shape called pleomorphism. Parija SC. Textbook of Microbiology & Immunology. Elsevier Health Sciences; 2014. Page:17
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65 year old female presented to OPD with complaint of abdominal pain just after eating food , episodes of vomiting and diarrhea. She gave history of Coronary aery disease from last 20 years . BP - 160/100 mm Hg , pulse- 80/min .On abdominal examination, there is no tenderness or rigidity. What shall be the most likely ...
CHRONIC MESENTERIC ISCHEMIA MC cause - Advanced atherosclerosis of multiple mesenteric vessels Risk factors Positive family history Hypeension Smoking Hypercholesterolemia C/F Post prandial abdominal pain Lasts for 15-45 min D/t ischemia of mesenteric vessels as there will be increase demand for blood after meals Diffu...
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Stalking is ------------------------ type of offense -
Ref:The essential of forensic medicine and toxicology Dr.K.S NARAYAN REDDY 32nd edition pg no 394 S.354-D IPc: Stalking Whoeverfollows a person and contacts or attempts to contact such person to foster personal interaction repeatedly,despite a clear indication of disinterest by such a person or whom ever monitors the u...
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Which of the following branch of CN V3 runs in the mandibular canal?
.
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Candida is most often implicated in causation of
Candida infection causes mucosal lesion like vaginitis and oral thrush. oral thrush found commonly in bottle-fed infants and aged and debilitated. This condition is characterised by creamy white patches appear on the tongue and buccal mucosa following removal, this leaves a red oozing surface. Tinea capitis is caused b...
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If death of a married women occurs within 7 years of her marriage, the inquest is done by:
ANSWER: (B) MagistrateREF: Parikh 6th edition page 1.7Magistrate inquest means an inquiry conducted by a magistrate to ascertain the matter of fact. It is commonly held in following cases.Admission of a mentally ill person in a psychiatry hospital or a psychiatric nursing home under certain provisions of Mental health ...
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Which condition is most commonly associated with coarctation of aoa?
Answer is B (Bicuspid Aoic Valve) The most common associated cardiac anomaly with coarctation of aoa is bicuspid aoic valve (Harrison's 17th /1462) Coarctation of aoa is associated with a bicuspid aoic valve in more than 70% of cases - (Nelson 18th / 1900) Associated anomalies with coarctation of Aoa Q Shone complex * ...
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Prolactin levels:
Prolactin increases tremendously in pregnancy and this ensures lactation.
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A 18 month baby can do?
ANSWER: (D) Walk short distanceREF: Nelson 18th ed chapter 10In questions like this we must see milestones achieved on or before 18 months.Option (A) Play increases in complexity and imagination, from simple imitation of common experiences, such as shopping and putting baby to bed (2 or 3 yr of age), to more extended s...
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Which of the following would help in the bridging the fibrin in a clot and stabilize the clot?
Factor XIII is also called fibrin stabilizing factor or Laki-Lorand factor Ref: Ganong 25th ed/page 566
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A 20 year old male presents with chronic constipation, head ache and habitus, neuromas of tongue, medullated corneal nerve fibers and nodule of 2*2 cm size in left lobe of thyroid. This patient is a case of:
MEN-2A (Sipple Syndrome MEN) MEN-2B (MEN-3) Components Medullary carcinoma thyroid Pheochromocytoma Parathyroid hyperplasia or adenoma Hirschprung&;s Disease Cutaneous lichen amyloidosis Medullary carcinoma thyroid Pheochromocytoma Intestinal ganglioneuromas Mucosal neuromas Megacolon Marfanoid features Defect RET onco...
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A 67-year-old woman with a prosthetic aoic valve develops progressive anemia. Examination of a peripheral blood smear reveals reticulocytosis and schistocytes. What is the appropriate diagnosis?
- Given features suggests the diagnosis of Macroangiopathic hemolytic anemia Macroangiopathic hemolytic anemia most commonly results from direct erythrocyte trauma due to abnormal vascular surface (e.g., prosthetic hea valve, synthetic vascular graft). Anemia is mild to moderate & is accompanied by an appropriate retic...
148,739
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What is the drug of choice for listeriosis caused by Listeroa monocytogenes?
Ampicillin is considered the drug of choice for treatment of infections caused by susceptible strains of enterococci and Listeria monocytogenes. Cephalosporins and fluoroquinolones are not active against L monocytogenes. Vancomycin is the drug of choice for staphylococcal infections. Amoxicillin is the drug of choice f...
148,740
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Erysipelas is caused by -
Erysipelas is due to S. pyogenes and is characterized by an abrupt onset of fiery-red swelling of the face or extremities. the distinctive features of erysipelas are well-defined indurated margins, particularly along the nasolabial fold; rapid progression; and intense pain. extension to deeper soft tissues is rare. tr...
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Toxic shock syndrome caused by Staphylococcus is due to:
Ans: B (Super antigens) Ref: Ananthnarayan R, Paniker CKJ. Textbook of Microbiology. 8th Edition. Hyderabad: Universities Press; 2009. Pg. 198-9.Explanation:Microbial super antigens such as Streptococcal protein A and Staphylococcal enterotoxin can stimulate the broad range T & B cells irrespective of their antigenic s...
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Which is not vitamin D resistant rickets is:
Vitamin D-resistant rickets: (Familial hypophosphatemia, refractory rickets, phosphate diabetes)
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Delayed eruption of teeth is seen in:
Delayed eruption of teeth: Rickets (Hypovitaminosis D) Hypothyroidism Hypoparathyroidism’ Trick = ALL “Hypo” conditions Hyper Parat Hyroidism → No effect on teeth only effects bone
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Serum sickness is which type of reaction?
Ans. is 'c' i.e., Type -3 hypersensitivity Type ni (IgG IgM. complement and leucocyte mediated)o Local-Arthus reactiono Systemic-serum sicknesso Schick testo Polyarteritis nodosa (PANo Rheumatoid arthritisoSLEo Acute viral hepatitiso Penicillamine toxicityo Hyperacute graft rejectiono Type 2 lepra reaction (ENL)o Hyper...
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Nodal Metastases is absent in:
As vocal cord is free of lymphatics, nodal metastasis is rase in Glottic carcinoma.
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Pseudoclaudication is due to the compression of ?
Ans. is 'c' i.e., Cauda Equina Pseudoclaudication is intermittent claudication due to compression of the Cauda Equina. Cauda Equina Claudication: is produced as a result of compression of the cauda equina due to conditions such as lumbar canal stenosis (congenital or spondylosis) or protrusion of disc.
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Most common manifestation of cardiac lupus is-
the most common manifestation of cardiac lupus is pericardial inflammation or pericarditis Pericarditis. Pericarditis is the most common hea problem associated with active lupus and occurs in about 25% of people with SLE. The condition occurs when the pericardium--the thin membrane surrounding your hea--becomes swollen...
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A patient using contact lens develops corneal infection. Laboratory diagnosis of acanthamoeba keratitis was established.The following is the best drug for treatment-
Polyhexamethylene biguanide PHMB (Drug of choice) Chlorhexidine is an alternative
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All of the following factors decrease the Minimum Alveolar Concentration (MAC) of an inhalation anaesthetic agent except.
C i.e. Hypocalcemia
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Which of the following steroids possess maximum glucocoicoid activity?
Maximum glucocoicoid activity: Dexamethasone Maximum mineralocoicoid activity: Aldosterone Glucocoicoid with maximum mineralocoicoid activity: Hydrocoisone Least potent glucocoicoid: Coisone Most potent glucocoicoid: Betamethasone Selective mineralocoicoid activity(zero glucocoicoid activity):DOCA Selective glucocoicoi...
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Which one of the following is frequent cause of serum alpha feto protein level greater than 10 times the normal upper limit -
Ans. is 'b' i.e., Metastaic carcinoma of liver
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The ENT manifestation of Peutz-Jegher's syndrome with benign intestinal polyps is:
Polyps in Peutz-Jegher's syndrome are seen in small intestine. However, macules due to deposition of melanin may appear at mucocutaneous junction of oral cavity (perioral), nasal cavity (perinasal), orbit or buccal mucosa for which ENT consultation is sought.
148,753
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Age to define statuary rape is ?
Ans. is 'c' i.e., Less than 18 years After 3 february 2013, age to define rape has been changed.The age of consent in India has been increased to 18 years, which means any sexual activity irrespective of presence of consent with a woman below the age of 18 will constitute statutory rape.
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Precursor of all steroid hormones -
Ans. is 'a' i.e., Pregnenolone o All steroid hormones originate from cholesterol.o Steps involved in biosynthesis of various steroid hormones are as follows :-Cholesterol is first acted upon by desmolase to form a 21-carbon product pregnenolone, which is the biosynthetic precursor of all steroid hormones.Pregnenolone i...
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Shanti, aged 27 yrs presented with complaints of difficulty in reading near print. There is ptosis and diplopia in all directions. She is having-
Amongst the given options ptosis can be caused by 3rd nerve palsy and myasthenia gravis. However, in 3rd nerve palsy diplopia will not occur on Down & out gaze (due to sparing of SO and LR) while in myasthenia gravis, diplopia will occur in all directions.
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The combination of trimethoprima dn sulfamethoxazole is effective against which of the following oppounistic infections in the AIDS patient?
(Ref: KDT 6/e p686, 687) Cotrimoxazole is effective against Pneumocystis and toxoplasmosis.
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Thiazides cause all the following side-effects except-
Loop agents and distal convoluted tubule agents, such as the thiazides, produce hypokalemic, hypochloremic, metabolic alkalosis that responds to potassium chloride replacement. Carbonic anhydrase inhibitors produce less hypokalemia and volume depletion but commonly induce metabolic acidosis that is often symptomatic Re...
148,758
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Adult non-pregnant female requires, calcium per day -
600 mg/dl calcium is required for a non pregnant adult female.REF.PARK'S TEXTBOOK OF PREVENTIVE AND SOCIAL MEDICINE.Editon-21.Page no.-588. Table no.29
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Streptococcal Toxic shock syndrome is due to the following virulence factor :
Ans. is 'b' i.e. Pyrogenic exotoxin Streptococcal toxic shock syndrome is caused due to the release of pyrogenic exotoxins or erythrogenic exotoxins. * These exotoxins are produced only by few strains of beta hemolytic group A streptococci. *Usually these toxins cause scarlet fever but sometimes these strains produce e...
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New RNTCP software online to monitor TB control programme is-
To keep a track of the TB patients across the country, the Government of India has introduced a system called NIKSHAY. * The word is combination of two Hindi words NI and KSHAY meaning eradication of tuberculosis. * NIKSHAY (www.nikshay.gov.in) is a web enabled application, which facilitates monitoring of universal acc...
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All the given muscles help in inversion of foot except:
Ans. D. Peroneus longus* Peroneus longus and brevis are major evertors of the foot whereas running to the medial side of ankle (of both anterior and posterior compartment) like tibialis anterior, flexor digitorum longus, and long tendons of great toe act as invertors of foot.* Inversion: Medial border of the foot is ra...
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Best marker for chronic Protein-energy malnutrition is
Stunting (deficit in height for age) signifies accumulated consequences of retarded growth over some years and generally points towards a chronic course of malnutrition. It may be a residue of past malnutrition or could be due to non-nutritional disorders like genetic sho stature or endocrinal disorders. Ref: Page 101,...
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A 64-year-old woman presents to the emergency room with flank pain and fever. She noted dysuria for the past 3 days. Blood and urine cultures are obtained, and she is started on intravenous ciprofloxacin. Six hours after admission, she becomes tachycardic and her blood pressure drops. Her intravenous fluid is normal sa...
This patient is septic, and immediate therapy should be directed at correcting her hemodynamic instability. Patients with sepsis require aggressive fluid resuscitation to compensate for capillary extravasation. This patient's vital signs suggest decreased effective circulating volume. Normal saline at 100 cc/h is insuf...
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Which one of the following is not a characteristic feature of mania:
Ans. (c) Heightened concentration* Abnormally & persistently elevated, expansive, or irritable mood lasting for at least 1 week or any duration, if requires hospitalization.* > 3 are needed# Inflated self esteem or grandiosity# Decreased need for sleep (< 3 hours)# More talkative or pressure to keep talking# Flight of ...
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Screening for which of the following disease is suggested in pre placement medical examination before employment in dye industry:
Prior to placement in dye industry, medical examination should be done to screen for asthma, skin, bladder and kidney diseases and precancerous lesions. Ref: Park 21st edition page: 753.
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Which of the following is not useful in management of meconium aspiration syndrome: March 2011
Ans. C: Coicosteroids I/V fluids and oxygen are needed for mild distress and ventilatory suppo for severe cases of meconium aspiration syndrome Antibiotic coverage is needed as meconium invites infection
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Eplerenone is:
Ans. D. All of theseEplerenone like spironolactone is aldosterone antagonist. It is potassium sparing diuretic and can cause hyperkalemia.
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Feature of early dumping syndrome is
(A) Occurs immediately after meals FEATURES OF EARLY AND LATE DUMPING EarlyLate* Incidence5-10%5%* Relation to mealsAlmost immediateSecond hour after meal* Durations of attack30-40 minutes30-40 minutes* ReliefLying downFood* Aggravated byMore foodExercise* Precipitating factorFood, especiallyAs early dumping carbohydra...
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A 6 year old male patient came for a routine dental checkup. Patient is a known case of autism. Intraoral examination reveals restoration with right mandibular first molar. Radiographic finding suggests secondary caries visible beneath the restoration. This child will be considered under which of the following category...
Caries-Risk Assessment Form for Children 6 Years Old or Younger
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The most sensitive investigation for the diagnosis of asymptomatic Chlamydial infection is:
Ligase chain reaction (LCR) or polymerase chain reaction (PCR) are the most sensitive NAA methods. Isolation of C trachomatis has been the gold standard for diagnosis, but it is clear that it is less sensitive than specific nucleic acid amplification (NAA) assays. Culture is usually performed using idoxuridine or cyclo...
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Intraductal papillary mucin neoplasm is precursor of-
Ans. is 'c' i.e., Ductal adenocarcinoma Intraductal papillary mucinous neoplasm (IPMN1 o IPMN is a papillary neoplasm that arises within the main pancreatic duct (MPD) or its branches. o IPMN is characterized by i) Intraductal, papillomatous growth pattern ii) Excessive mucin secretion iii) Excessive mucin secretion re...
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lesion at spinal sensory nucleus of trigeminal nerve leads to loss of ?
3 pas of trigeminal nucleus : mesenchephelic sensory nucleus : position sense of eye , mandiblle, tongue main sensory nucleus= touch spinal sensory nucleus = pain temperature ipsilaterally ref : bd chaurasia
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Left anterior descending aery is a branch of
Ascending aoa Right coronary aery Left coronary aery SA Nodal aery AV Nodal Aery Posterior Interventricular Aery (PIVA) Anterior Interventricular Aery (AIVA) OR Left anterior descending aery Circumflex Aery AIVA supplies the anterior 2/3rd of interventricular septum PIVA supplies the posterior 1/3rd of interventricular...
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"Rail Road pattern" in Neuroimaging is seen in :-
Powine stain is in the distribution of the first branch of the trigeminal nerve is a/w ipsilateral rail road pattern (also known as tram track pattern) of intracranial calcification and glaucoma. -presentation is with contralateral hemiparesis , focal seizures and/or intellectual disability features of Sturge:- weber s...
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Which of the following produces enterotoxin-
All correct . Initially, when this and coming next questions were framed (AI 95), the best answer was shigella dysentriae because at that time new shigella enterotoxins were not discovered. . But, with discovery of new enterotoxins it is clear that all four shigella can produce enterotoxin (exotoxin) - Read text below....
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Which of the following is related to 'NARP'?
Neurogenic weakness, ataxia, and retinitis pigmentosa (NARP) is characterized by moderate diffuse cerebral and cerebellar atrophy and symmetric lesions of the basal ganglia. The substitution of one nucleotide in the mitochondrial DNA at position 8993 gives rise to a maternally inherited syndrome of sensory NARP. The mu...
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Nerve associated with pharyngeal cleft is derived from
Nerves of pharyngeal cleft - pretrematic nerve Eg: chorda tympani, tympanic branch of glossopharyngeal nerve. Ganglia are derived from neural crest cells Thus, nerves of pharyngeal clefts are derived from Neural crest cells.
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Where is bruit heard in thyroid gland in Toxicosis?
Ans. (a) Upper poleRef: Schwartz principles of surgery, 10th edition, Page 1531* At the level of insertion of superior thyroid artery due to increased blood flow the Bruit is heard at upper pole
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Feilised ovum is embedded in the endometrium at about which day after feilization :
Eight day
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Structure passing along the aorta in the diaphragmatic opening -
Aortic opening -        Level- T12 -        At osseoaponeurosis between right and left crus -        Structures transmitted    Aorta    Thoracic duct    Azygos vein
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Alpha helix is stabilized by?
Secondary Structure includes * Alpha helix * Beta pleated sheet * Beta bend or turn * Alpha chain in collagen (not alpha helix) Structure Bonds Primary structure Covalent/amide/peptide bond Secondary structure Hydrogen bonds Teiary structure Disulphide, Hydrogen, Hydrophobic and Ionic bond Quaternary structure Hydrogen...
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Plasma volume is measured by ?
Ans. is 'b' i.e., Evans blue
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Type I Respiratory failure is seen in
(B) Emphysema # RESPIRATORY FAILURE may be classified as hypoxic or hypercapnic and may be either acute or chronic.# Hypoxemic respiratory failure (Type I) is characterized by a Pa02of less than 60 mmHg with a normal or low PaCO2.> Most common form of respiratory failure, and it can be associated with virtually all acu...
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Killian's Dehiscence is seen at the level of:
Killian dehiscence also known as "Gateway of tears'' M/C site for esophageal tear (perforation) In posterior pharyngeal wall the inferior constrictor muscle is divide into two pa thyropharyngeus and cricopharyngeus. Thyropharyngeus has oblique fibers Cricopharyngeus has Transverse fibers. And that creates a triangular ...
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A old lady comes to you with history of fall in washroom and pain in gluteal region, limb is in lateral rotation. you did a X-ray pelvis which is found normal, Pain persists even after 24 hours, next step is?
Simple X-rays (anteroposterior and lateral) of the hip diagnose fracture in the majority of cases. In patients with pain in the hip and an inability to weight-bear with no fracture apparent on plain X-rays, fuher investigation is required. MRI is the most sensitive and specific to diagnose an occult hip fracture, altho...
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Renal transplantation is most commonly done in:
Ans. (a) Chronic glomerulonephritisRef: Bailey and Love 26th edition, Page 1423Most common causes of renal failure and indications for transplant* Diabetes* Hypertension* Glomerulonephritis* PCKD* Renal Vascular disease* Pyleonephritis
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Gower's maneuver is classically seen in:
c. Duchenne muscular dystrophy(Ref: Nelson's 20/e p 2915-2985, Chai 8/e p 595-597)Gowers' sign indicates weakness of the proximal muscles, especially of the lower limb. It can be seen in Duchenne or Becker Muscular dystrophy, centronuclear myopathy and myotonic dystrophy.
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Which of the following is secondary lesion?
Skin Lesion Primary Special Depending on size <0.5cm >0.5cm Comedones-Acne <1cm >1cm Wheals- Uicaria(are transient hives). Flat Macule Patch Burrows-scabies Solid raised Papule Plaque - if horizontal diameter more Nodule - if veical diameter more Fluid filled Vesicle Bullae Pus filled Pustule Abscess D/t extravasation ...
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When does surfactant production stas in the lungs of a fetus?
Surfactant production stas between 20 and 24 weeks. It appears in amniotic fluid between 28 and 32 week. Mature levels of pulmonary surfactant are usually present after 35 weeks. At 20 weeks of gestation, fetus has the capability to survive outside the uterus. Ref: Review of Medical Physiology, 22nd Edition By Wiiliam ...
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Vaginal atresia is associated with:
Vaginal atresia is associated with uterine atresia and syndrome is called as Mayer Rokitansky Kuster Hauser syndrome Surgery done is: Unification surgery (Strassman) where an incision is made over the uterus and the 2 horns are sutured together to form a single cavity. After such a surgery: if woman conceives she shoul...
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A 75-year old woman with chronic atrial fibrillation presented to the hospital with a 2-day of colicky abdominal pain. The physical examination revealed hypoactive bowel sounds and diffuse abdomina tenderness. Laboratory tests showed a white cell count of 19,400 per cubic millimeter with 92 /o neutrophils, a blood urea...
Acute occlusion of the superior mesenteric aery (SMA) causes extensive bowel necrosis, resulting in a poor prognosis with an extremely high moality rate. As a result, the residual thrombus disappeared and all branches of the SMA became well visualized. Ref Davidson 23rd edition pg 790
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A 21 year old lady who is on an oral contraceptive pill presents with light brown pigmentation of the malar eminences. What is the likely diagnosis?
Melasma is light brown pigmentation of the skin which is harmless. They are gradually blotchy macular hyperpigmentation especially of the malar surfaces, chin or forehead. Origin can be pregnancy related to the use of Oral Contraceptives. A good number of cases are idiopathic. They are self limiting after pregnancy and...
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Aggregates of 'tau protein' seen in Hippocampus of an elderly man is
Neurofibrillary tangles (Disease: Alzeihmer's disease)
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A 35-year-old male is admitted to the hospital with an indirect inguinal hernia. During an open hernioplasty (in contrast to a laparoscopic procedure), the spermatic cord and the internal abdominal oblique muscles are identified. Which component of the spermatic cord is derived from the internal abdominal oblique muscl...
The contents of the spermatic cord include ductus deferens; testicular, cremasteric, and deferential arteries; the pampiniform plexus of testicular nerve; the genital branch of the genitofemoral nerve; the cremasteric nerves; and the testicular sympathetic plexus and also lymph vessels. The cremaster muscle and fascia ...
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As per MCI regulations, a medical practitioner should maintain the records of in patients for a minimum period of
(Refer: Rajesh Bardale - Principles of Forensic medicine & Toxicology, 1st edition, pg no: 32) Every physician shall maintain the medical records pertaining to his / her indoor patients for a period of 3 years from the date of commencement of the treatment in a standard proforma laid down by the Medical Council of Indi...
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True statement regarding Prostate gland:
Ans. (c) Glandular tissue and fibromuscular stromaRef: Gray's anatomy, 39th ed./1302* The anterior part of the prostate is composed mainly of fibromuscular stroma, which is continuous with detrusor fibers.* Toward the apex of the gland, this fibromuscular tissue blends with striated muscle from the levator.* Pubosprost...
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The drug of choice for supraventricular tachycardia is
Refer katzung 11e 243,244 KDT 6/e p517 Adenosine is drug of choice for paroxysmal supraventricular tachycardia termination Verapamil is a drug of choice for prophylaxis of paroxysmal supraventricular tachycardia and for the management of sustained supraventricular tachycardia
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XDR-TB is defined as:
XDR -TB - resistant to - (1) INH & rifampicin (2) Any fluoroquinolone (3) 1 of 3 injectable drug (Amikacin, kanamycin or Capreomycin) MDR-TB - Resistance to INH & Rifampicin.
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