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A middle aged old female presents to surgical OPD with thyroid swelling. She has been treated for Hodgkin's lymphoma. Which of the following thyroid malignancy is most likely to be suspected in this patient? | Given history of treatment of Hodgkin's lymphoma most likely raises a suspicion of Papillary carcinoma of thyroid because of the radiotherapy used in the treatment of Hodgkin's lymphoma. Papillary carcinoma of thyroid: MC among thyroid malignancy Commonly seen in iodine sufficient areas Low dose radiation exposure duri... | 151,000 | medmcqa_train |
All are true about acetaminophen except: | At therapeutic doses, about 95% of acetaminophen undergoes detoxification in the liver by phase II enzymes and is excreted in the urine as glucuronate or sulfate conjugates The injury produced by NAPQI (N-acetyl-benzoquinoneimine) involves two mechanisms: Covalent binding to hepatic proteins-Damage to cellular membrane... | 151,001 | medmcqa_train |
Aspirin in very low doses inhibits the formation of:- | Aspirin inhibits COX enzyme irreversibly and thus results in decreased synthesis of TXA2 as well as PGI2. TXA2 is produced by platelets and as platelets do not contain nuclei, TXA2 is not synthesized till there is production of fresh platelets, whereas vessel wall contains nucleus and thus can resume the synthesis of e... | 151,002 | medmcqa_train |
Which of the following is an atavistic epiphysis? | ANSWER: (C) Coracoid processREF: Human osteology by BDC 1st e p. 5, 6EpiphysisDefinition/ FunctionExamplePressure epiphysesTakes part in transmission of weightHead of femur, condyles of tibia, lower end of radiusTraction epiphysesProvide attachment to more than 1 tendonTrochanter of femur, tubercles of humerus, mastoid... | 151,003 | medmcqa_train |
Which of the following shows progresion of events against time - | Ans. is 'd' i.e., Line diagram* Line diagram (Line graph) is used to show the trend of events with passage of time. | 151,004 | medmcqa_train |
Following are causes of unconjugated hyperbilirubinemia, except: | Answer is C (Rotor syndrome) Rotor's syndrome is an Autosomal recessive inherited disorder characterized by a deject in biliary excretion leading to conjugated hyperbilirubinemia: Indirect hyperbilirubinemia Direct hyperbilirubinemia A. Hemolytic disorders A. Inherited conditions 1. Inherited 1. Dubin-Johnson syndrome ... | 151,005 | medmcqa_train |
A 58 year old male with history of Ipsilateral facial paralysis and contralateral hemiplegia. Plain CT scan head is given below. The diagnosis is | (A) MCA stroke # Stroke syndromes:> Middle cerebral artery syndrome is a condition whereby the blood supply from the middle cerebral artery (MCA) is restricted, leading to a reduction of the function of the portions of the brain supplied by that vessel: the lateral aspects of frontal, temporal and parietal lobes, the c... | 151,006 | medmcqa_train |
Normal therapeutic level of Lithium level is | Blood Lithium Levels (in treatment of bipolar disorder)* Therapeutic levels = 0.6-1.2 mEq/L (For the treatment of acute mania)* Prophylactic levels = 0.6-1.0 mEq/L (For relapse prevention in bipolar disorder)* Toxic lithium levels > 2.0 mEq/L Ref: A Sho Textbook of Psychiatry, Niraj Ahuja, 7th Edition, pg. no.190 | 151,007 | medmcqa_train |
A survey was conducted and it was found that out of 7,000 drivers using mobile, 700 met with accident. And in the same period out of 3,000 drivers without using mobile, only 30 met with accident. Calculate the relative risk: March 2013 (a, b, d, e, f) | Ans. B i.e. 10 Relative risk: Incidence of disease (or death) among exposed/Incidence of disease (or death) among non-exposed Mobile users while driving Accident No Accident Total Yes 700 (a) 6300 (b) 7000 (a + b) OM. No 30 (c) 2970 (d) 3000 (c + d) Incidence rates: Among mobile users: 700/7000 = 100 per 1000 Among non... | 151,008 | medmcqa_train |
Registration of bihs and death act was passed in: | Registration of bihs and deaths act was passed in 1969. Everyone has to register bihs and deaths within 21 days of the event. Ref: National Health Programmes in India, J.Kishore, 10th edition pg: 751 | 151,009 | medmcqa_train |
Teratomas may arise from the aberrant migration of | Epiblast cells form the primordial germ cells, which migrate from the region of primitive streak to the region of future gonads to form the gametes like sperm & oocyte.Abnormal remnants of epiblast/primordial germ cells at the primitive streak or their aberrant migration lead to forma on of teratomas. | 151,010 | medmcqa_train |
Electron microscopic feature of minimal change disease is? | Ans. b (Loss of foot process of podocytes). (Robbin, Pathology, 8th ed., 543)Minimal-Change Disease (Lipoid Nephrosis)# This relatively benign disorder is the most frequent cause of the nephrotic syndrome in children.# It is characterized by glomeruli that have a normal appearance by light microscopy but show diffuse e... | 151,011 | medmcqa_train |
All of the following statements about the methotrexate are true except | Ref-KDT 6/e p823 Folic acid is used to reverse the adverse effect of methotrexate. Folic acid is ineffective. All of the statements are true as discussed earlier | 151,012 | medmcqa_train |
All are associated with Wilm's tumor except: one: | Answer is C (Ahogryposis multiplex congenita): Ahrogryposis multiplex congenita is not associated with Wilm's tumor. | 151,013 | medmcqa_train |
All are mesodermal origin, except: | A. i.e. Sphincter pupillae | 151,014 | medmcqa_train |
In PCOD which of the following drug is used for ovulation induction in infeility : | Clomiphene citrate: Used for induction of ovulation; can be 50 mg/day increased to 150mg/day; Staing from day 2 to day 6 of the cycle for 5 days Tamoxifen 10 mg daily for 6 months has been effective in treating male infeility Testosterone 25 -50 mg daily orally improves testicular functions Spironolactone is an antiand... | 151,015 | medmcqa_train |
Which condition is not associated with cataract? | Ans. is 'd' i.e., Refsum disease Causes of CataractSystemic diseasesDermatological diseasesAge related & Physical agentsToxic agentsOtherso Hypoparathyroidismo Hypocalcemiao Diabetes (Hyperglycemia)o Hypoglycemiao Dystrophia myotoniao Galactosae- miao Alport syndromeo Lowe syndromeo Stickler syndromeo Down syndromeo Wi... | 151,016 | medmcqa_train |
In case of burns which graft is better? | Thiersch graft is split thickness graft used for burns. | 151,017 | medmcqa_train |
A five year old girl is brought to a pediatrician because she is developing breasts. Physical examination shows large hyperpigmented macules with irregular margins on one side of her back. Which of the following bony abnormalities would most be likely associated with these symptoms? | McCune-Albright syndrome is the combination of precocious sexual development, irregularly shaped ("coast of Maine") pigmented skin macules, and polyostotic fibrous dysplasia. The latter condition is characterized by local bony defects containing unmineralised whorls of connective tissue. Renal osteodystrophy refers to ... | 151,018 | medmcqa_train |
Drug of choice for invasive aspergillosis is | Voriconazoleis the drug of choice for invasive aspergillosis, Posaconazole is the only azole active against mucormycosis. Liposomal AMB is the drug of choice or co drug of choice for most systemic fungal infections. It can be used intrathecally in fungal meningitis and locally for corneal ulcers and keratitis. Caspofun... | 151,019 | medmcqa_train |
Pin-point pupils are seen in: Kerala 09; Punjab 09; UP 10 | Ans. Opium poisoning | 151,020 | medmcqa_train |
Ultrasound examination of a developing fetus demonstrates a fluid-filled sac at the base of the fetus' spine that connects to the spinal canal and apparently contains pa of the spinal cord. A dietary deficiency of which of the following is most strongly associated with this type of lesion? | The lesion is a neural tube defect, probably a meningomyelocele, in which both meninges and spinal cord herniate through a bony veebral defect. These defects most commonly occur in the lumbosacral region, typically resulting in motor and sensory deficits in the lower extremities, and bowel and bladder dysfunction. This... | 151,021 | medmcqa_train |
In the test given below to estimate blood glucose, which of the following is true: | Ans. B. Glucose oxidase is highly specific for beta anomer of GlucoseThe reaction in glucometer isGlucose+H2 O+O2 -GODGluconicacid+H2 O2 2H2 O2 +4aminoantipyrine+PHBS-PODQuinoneiminedye+H2 O* This reaction is specific for beta anomer of glucose* Here the first carbon atom is oxidised* This is an example of enzymatic me... | 151,022 | medmcqa_train |
Rinne's positive means | Ans: C (Normal hearing) Ref: Diseases of the Ear Nose and Throat by PL Dhingra. 5th edn .2010 page 26Explanation:Rinne's TestIt is a tuning fork test and is used to assess hearing status in a patientIn Rinne's test air conduction (AC) is compared with bone conduction (BC)Rinne's positive is AC>BC and is seen in normal ... | 151,023 | medmcqa_train |
Most common site of Morgagni hernia : | Ans. is 'a' i.e. Right anterior Morgagni hernia is a rare form of cong. diaphragmatic hernia occurring through foramen of Morgagni or space of Larrey i.e. space between the sternal and costal origins of the diaphragm)It is more common on right side.Usually it is asymptomaticMost common viscera to herniate through space... | 151,024 | medmcqa_train |
All of the following are the contraindications for the use of progesterone-only pills except- | Ans. is 'd' i.e., Diabetes mellitus o Contraindications for the use of progesterone-only pills are as follows:PregnancyUnexplained vaginal bleedingRecent breast cancerArterial diseaseThromboembolic disease | 151,025 | medmcqa_train |
Chance of affected child to Autosomal recessive carrier parents is? | In autosomal recessive condition the risk of having an affected child when both parents are carriers is 25%, and the chance of having a child who is a carrier is 50%.
GENETIC RISK ASSESSMENT IN AUTOSOMAL RECESSIVE INHERITANCE:
The genetic risk associated with Autosomal recessive disorder is as follows Affected mother, ... | 151,026 | medmcqa_train |
EB virus is associated with all except: | Complications with EBV infection Meningitis and encephalitis, cranial nerve palsies (cranial nerve VII), Guillain-Barre syndrome, acute transverse myelitis, and peripheral neuritis. Autoimmune hemolytic anemia, granulocytopenia, thrombocytopenia, pancytopenia The spleen ruptures in <0.5% of cases. Hyperophy of lymphoid... | 151,027 | medmcqa_train |
Glycosylated hemoglobin reflects the mean blood glucose level of previous | HBA1c :There should be an estimation of glycosylated haemoglobin at half yearly intervals. This test provides a long-term index of glucose control. This test provides a long-term index of glucose control. This test is based on the following rationale: glucose in the blood is complexed to a ceain fraction of haemoglobin... | 151,028 | medmcqa_train |
All of the following antibacterial agents acts by inhibiting cell wall synthesis, except: | Nitrofurantoin acts by generation of highly reactive intermediates which damage DNA. It does not inhibit cell wall synthesis. Ref: Essentials of Pharmacology by K D Tripathi, 5th Edition, Pages 628, 667; Antibiotic Manual: A Guide to Commonly Used Antimicrobials By David Schlossberg, Rafik Samuel, M.D., 2011, Page 310. | 151,029 | medmcqa_train |
Median atlantoaxial joint is a type of | Median atlantoaxial joint is a type of pivot joint.
Atlantooccipital joint is an Ellipsoid joint. | 151,030 | medmcqa_train |
Most common cause of osteoblastic bone metastais | Prostate carcinoma-M/c osteoblastic. | 151,031 | medmcqa_train |
A female with recurrent aboion and isolated prolonged APTT is most likely associated with | Lupus anticoagulant They have asked about antiphospholipid antibody syndrome. Antiphospholipid antibodies account for 3% to 5% of patients with repetitive pregnancy losses. The frequency of fetal death and recurrent aboion in untreated patients with antiphospholipid antibodies is greater than 90%. There are several ant... | 151,032 | medmcqa_train |
True regarding conversion of deoxyhemoglobin to oxyhemoglobin is | When O2 binds to Hb, then the H+ is released.
One mole of 2,3 DPG binds to one mole of deoxyhemoglobin.
O2 carrying capacity of Hb is affected by the change in pH.
When O2 is bound to hemoglobin, 2,3 DPG does not bind to Hb. | 151,033 | medmcqa_train |
All are true about Net protein utilization (NPU) except: | NPU Nitrogen retained by the body/ Nitrogen intake x100 NPU = / 100 It gives a more complete expression of Protein quality. Egg has the highest NPU value of 96 (100). 1 gram of Nitrogen is equivalent to : 6.25 grams of protein. NPU of Indian diet : 50-80. | 151,034 | medmcqa_train |
Most common cause of thoracic aortic aneurysm is | (A) AtherosclerosisDISEASES OF THE AORTA: ETIOLOGY & ASSOCIATED FACTORSAortic aneurysmAortic occlusion* Atherosclerosis* Atherosclerosis* Cystic medial necrosis* Thromboembolism* Tuberculosis* Aortitis* Syphilitic infection* Syphilitic aortitis* Mycotic infection* Rheumatic aortitis* Rheumatic aortitis* Takayasu's arte... | 151,035 | medmcqa_train |
What is Incidence Rate: September 2010 | Ans. B: It represents the number of new cases in the Incidence propoion (also known as cumulative incidence) is the number of new cases within a specified time period divided by the size of the population initially at risk. For example, if a population initially contains 1,000 non-diseased persons and 28 develop a cond... | 151,036 | medmcqa_train |
'Hand and Foot' syndrome can be caused by : | 5-FU, capecitabine and liposomal doxorubicin can cause hand and foot syndrome. Generally, this disease affects infants and children. Adults with immunodeficiency can also be affected. | 151,037 | medmcqa_train |
Structure passing through foramen Rotundum? | Maxillary nerve | 151,038 | medmcqa_train |
Which is 21st amino acid? | Selenocysteine is recently introduced as 21st amino acid. Selenocysteine occurs at the "active site" of several enzymes. Examples include * Thioredoxin reductase * Glutathione peroxidase which scavenges peroxides, * De-iodinase that conves thyroxine to triiodothyronine * Glycine reductase * Selenoprotein P, a glycoprot... | 151,039 | medmcqa_train |
A thyroid biopsy obtained from a 29-year-old woman complains of nervousness and muscle weakness of 6 months in duration. She is intolerant of heat and sweats excessively. She has lost 9 kg (20 lb) pounds over past 6 months, despite increased caloric intake. She frequently finds her hea racing and can feel it pounding i... | - Clinical features given suggests the diagnosis of Graves disease - Microscopic findings: Follicular hyperophy & hyperplasia resulting in crowding. Crowding results in papillae formation with no fibrovascular core Colloid is pink & scalloped at periphery adjacent to follicular cells. - Diffuse increase in size of glan... | 151,040 | medmcqa_train |
Antrum of Highmore is another name for: | Maxillary sinus is also called as antrum of highmore and is the first to develop in human fetus.It is the largest paranasal sinus (15 ml capacity in adults). | 151,041 | medmcqa_train |
Which is not a feature of tropical eosinophilia ? | Ans. is 'c' i.e., Microfilariae in blood Tropical pulmonary eosinophilia (weingaen's syndrome) . A distinct syndrome that develops in some individuals infected with lymphatic filarial species. . Clinical manifestations - Nocturnal paroxysmal cough and wheezing - Weight loss - Low grade fever - Lymphadenopathy - Pronoun... | 151,042 | medmcqa_train |
Which among the following is the structure of hemoglobin? | Hemoglobins are tetramers composed of pairs of two different polypeptide subunits.
Ref: Harper’s illustrated biochemistry. 30th edition page no: 54 | 151,043 | medmcqa_train |
Which of the following features is not shared between 'T cells' and 'B cells' ? | Ans. a. Positive selection during development (Ref: Lippincott's Immunology (Illustrated Reviews) 2007/1 13; The Immune Response; Basic and clinical principles by Sounders (2005)/346; 'Elements of Immunology' by Fahim Halim Khan (Pearson Education) 2009/206)During development, T cells undergo both positive selection an... | 151,044 | medmcqa_train |
The process of diffusion of culture on contact between persons is known as: | Acculturation means "culture contact." When there is contact between two people with different types of culture, there is diffusion of culture both ways. There are various ways by which culture contact takes place trade and commerce, industrialization, propagation of religion, education, and conquest. Ref: Park 21st ed... | 151,045 | medmcqa_train |
Persistent belief in something which is not a fact is - | A delusion is false, firm (unshakable) belief which are not in keeping with patient's socio-cultural and educational background. | 151,046 | medmcqa_train |
Which of the following worm infestation is associated with cysticercosis? | The pork tapeworm Taenia solium can cause two distinct forms of infection in humans: adult tapeworms in the intestine or larval forms in the tissues (cysticercosis). Humans are the only definitive hosts for T. solium; pigs are the usual intermediate hosts, although other animals may harbor the larval forms. Neurocystic... | 151,047 | medmcqa_train |
River blindness is caused by? | Ans. A. Onchocerca volvulus. (Ref. Harrison 18th/Table. E16-2).Tissue nematodes:Onchocerca volvulusFemale blackfly bileHyper pigmented skin and river blindness (black flies, black skin nodules, "black sight"); allergic reaction to microfilaria possibleIvermectin (ivermectin for river blindness)LoahaDeer fly, horse fly,... | 151,048 | medmcqa_train |
Non Halophilic vibrio is | Except for V. cholera and V. mimicus all vibrios are halophilic. | 151,049 | medmcqa_train |
Pick the true statement about major criteria of Jones in acute rheumatic fever. | Major criteria (Jones criteria for Acute Rheumatic fever) Carditis Clinical and/or subclinical Ahritis Polyahritis only Monoahritis or polyahritis or polyahralgia in moderate to high-risk populations Chorea Erythema marginatum Subcutaneous nodules There is a latent period of ~3 weeks (1-5 weeks) between the precipitati... | 151,050 | medmcqa_train |
Precancerous lesions of GB are all except | Risk factors for Carcinoma Gallbladder Gallstones >3cm Procelain gallbladder Anomalous pancreaticobiliary junction (APBDJ) Choledochal cysts Adenomatous polyps Primary sclerosing cholangitis Obesity Salmonella typhi infection Ref: Sabiston 20th edition Pgno :1510 | 151,051 | medmcqa_train |
Which of the following is barrier contraception? | Ans: c (Spermicidal jelly) Ref: Park, 19th ed, p. 393The aim of barrier method is to prevent live sperm from meeting the ovum. It includes:Physical methods:a) Condomb) Female condomc) Diaphragmd) Vaginal spongeChemical methods: (Spermicidal)Foams, creams, jellies, suppositories, soluble filmsCombined methods:Condom is ... | 151,052 | medmcqa_train |
Menadione (Vitamin K3) | Menadione is fat-soluble synthetic vitamin K3. It can cause hemolysis in G-6-PD deficient individuals. In severe hepatic disease, large doses of menadione can further depress liver function. Menadione is not used to prevent haemorrhagic disease of the newborn as it can cause kernicterus, instead phytonadione is used. P... | 151,053 | medmcqa_train |
A 55-year-old diabetic woman suddenly develops weakness of the left side of her face as well as of her right arm and leg. She also has diplopia on left lateral gaze. Where is the responsible lesion? | This patient has weakness of the left face and the contralateral (right) arm and leg, commonly called a crossed hemiplegia. Such crossed syndromes are characteristic of brainstem lesions. In this case, the lesion is an infarct localized to the left inferior pons caused by occlusion of a branch of the basilar artery. Th... | 151,054 | medmcqa_train |
Best marker for Cardiac events? | ANSWER: (A) hsCRPREF: Braunwald 8th ed chapter 39Although hsCRP is by far the best-characterized and most reliable inflammatory biomarker for clinical use, several other markers of inflammation have shown promise in terms of predicting coronary vascular risk.These includeCytokines such as interleukin-6soluble forms of ... | 151,055 | medmcqa_train |
Which of the following is true about 'Small for gestational age' baby? | A neonate whose weight falls between the 10th and 90th percentile is considered as appropriate for gestational age (AGA); if the weight falls below 10th percentile, the neonate is classified as small for gestational age (SGA); the neonate is classified as large for gestational age (LGA), if the weight falls at 90th per... | 151,056 | medmcqa_train |
Epitheliod granuloma is characterstic of | A i.e. Sarcoidosis | 151,057 | medmcqa_train |
How does staph aureus become resistant to methicillin: | Ans. (c) TranspeptidaseRef: Microbiology by Ananthanarayan and Paniker 8th ed. /197, 201-202Resistance develops due to alteration in transpeptidase (penicillin binding protein) on which all beta lactam antibiotics act- so MRSA is resistant to all b-lactam antibiotics. | 151,058 | medmcqa_train |
Amount of fat is maximum in which milk: | Amount per 100 ml Cow's milk Human milk Buffalo milk Goat milk Fat 4.1 g 3.4 g 6.5 g 4.5 g Protein 3.3 g 1.1 g 4.3 g 3.3 g Lactose 4.4 g 7.4 g 5.1 g 4.6 g Ref: Park, 22nd edition pg: 584 | 151,059 | medmcqa_train |
Epiphyseal origin tumour is | (Osteoclaustoma) (181 - Apley's 8th)* Ewing's sarcoma - is believed to arise from endothelial cells / Diaphysis* Osteogenic sarcoma - Metaphysis* Chondrosarcoma - Any where in the bone* Osteoclaustoma & Chondroblastoma - Epiphysis* Osteoblastoma - diaphysis or metaphysis* Giant cell tumour (oslcoclaustoma) is a lesion ... | 151,060 | medmcqa_train |
Which of the following has highest protein content: | Soyabean | 151,061 | medmcqa_train |
The most common mechanism of drug resistance in staphylococci ? | Ans. is 'c' i.e., Transduction . Production of b-lactamase is usually controlled by plasmids which are transmitted by transduction (most common) or conjugation (some times). | 151,062 | medmcqa_train |
TTKG in hypokalemia is - | Answer- A. < 3-4A normal TTK in normal subjects on normal diet is 8-9Without other disease, hypokalemia should produce a TTKG <3 | 151,063 | medmcqa_train |
Cells are attached to their basal laminas by: | Hemidesmosomes are specialized junctional complexes, that contribute to the attachment of epithelial cells to the underlying basement membrane. Macula adherens or desmosomes provide mechanical adhesion by linking the cytoskeleton of adjacent cells together. Zonula adherens or adhering junctions cause the epithelial cel... | 151,064 | medmcqa_train |
The reduction of a physiological hernia occurs at | Physiological hernia appears by 6 wks and gets reduced by 10 wks . Ref - pubmed.com | 151,065 | medmcqa_train |
False about informed consent document is ? | Ans. is 'b' i.e.,Not need to be signed by doctor Legally valid consent for medical examination and treatment is one :?Given by person himself, if above 12 years, conscious and mentally sound (sane).Or given by parent, guardian, or friend, if patient is less than 12 years or is unconscious or is insane.Is written inform... | 151,066 | medmcqa_train |
Caseous necrosis is not found in- rpt Q33 | Cytomegalovirus (CMV) ) is a genus of viruses in the order Herpesvirales, in the family Herpesviridae, in the subfamily Betaherpesvirinae. Humans and monkeys serve as natural hosts. There are currently eight species in this genus including the type species, human cytomegalovirus (HCMV, human herpesvirus 5, HHV-5), whic... | 151,067 | medmcqa_train |
What age group is the most susceptible to sepsis? | Elderly patients are at most risk for developing sepsis because of decreased physiologic reserves and an aging immune system.
Option A: Infants may have less physiologic reserves yet they have vaccines that strengthen their immune system than the elderly.
Option B: Adolescents may not have fully mature reserves yet th... | 151,068 | medmcqa_train |
The most common cause of diarrhea in children is- | Ans. is 'c' i.e., Rotavirus * Rotavirus is the single most common cause of diarrhea amongst children in both developed and developing world.* ETEC is the single most common cause of bacterial diarrhea amongst children in the developing world.* ETEC is the most common bacterial cause for Traveler's diarrheaQ. | 151,069 | medmcqa_train |
Treatment of nasolacrimal duct obstruction a) Syringing b) Probing c) DCR d) Dacryocystectomy e) Antibiotic | All are treatment options for dacryocystitis. | 151,070 | medmcqa_train |
All are the predisposing factors for carcinoma esophagus except | Risk factors for SCC:SmokingAlcoholIngested carcinogens Chronic AchalasiaLye (caustic) ingestionLong-term ingestion of hot liquidsPlummer Vinson syndromeTylosis palmaris et plantarisHuman papilloma virusEsophageal diveiculaDeficiency: Vitamin A, zinc, molybdenumRef: Harrison; 19th edition | 151,071 | medmcqa_train |
Selenium is an essential component of | . | 151,072 | medmcqa_train |
Which of the following diagnostic procedure is not done in dilated pupil? | Ans. a. Gonioscopy Gonioscopy is not done in a diluted pupil. (AI1MS May 2014 repeat) Gonioscopy is done in dark room with minimum slit lamp light. Pupil contraction will falsely open up the angle. Likewise pupillary dilatation will cause crowding of the iris at angle and angle appears as closed. 'By gonioscopy angle s... | 151,073 | medmcqa_train |
Most potent stimulus for bile secretion is | Bile is secreted in two stages by the liver: (1) The initial portion is secreted by the principal functional cells of the liver, the hepatocytes; this initial secretion contains large amounts of bile acids, cholesterol, and other organic con-stituents. It is secreted into minute bile canaliculi that originate between... | 151,074 | medmcqa_train |
Visual field defect in pituitary tumour with supracellar extension is | A i.e. Bitemporal hemianopia | 151,075 | medmcqa_train |
MELD diagnostic score - | Ans. is 'a' i.e., Predicts mortality in patients waiting liver transplanto MELD (The model for end-stage liver disease) is a linear regression model based on objective laboratory values(INR, bilirubin level and creatinine level). It wras originally developed to predict mortality after TIPSS. It is used in USfor liver t... | 151,076 | medmcqa_train |
Management of stage IIB cancer cervix is? | ANSWER: (B) Radiotherapy with combination with chemotherapyREF: Shaw's 13th ed p. 390TRETMENT OF CERVICAL CANCER:StageTreatmentIA1Cone or simple hysterectomy with life long follow upIA2 , IB , HaRadical hysterectomy with b/1 pelvic lymphadenectomy (wetheim s operation schauta's radical vaginal hysterectomy , mitra s mo... | 151,077 | medmcqa_train |
A patient has Hemoglobin of 6gm%. Which of the following should not be administered? | Fresh frozen plasma should be avoided in such a situation, because FFP does not contribute in any way to increase the oxygen carrying capacity of blood. On the other hand, it will cause further dilution of the already dangerously less hemoglobin, thus further reducing the oxygen carrying capacity of blood. Thus, FFP sh... | 151,078 | medmcqa_train |
All of the following are features of SIRS except: | SIRS Two or more of the following: Temperature (core) >38degC or <36degC Hea rate >90 beats/minQ Respiratory rate >20 breaths/minQ for patients spontaneously ventilating or a PaCO2 <32 mm Hg Q WBC count >12,000 cells/mm3 or <4000Q cells/mm3 or >10% immature (band) cells in the peripheral blood smear | 151,079 | medmcqa_train |
Screening procedure is best for Ca of - | .screening is best suited in the case of ceain disease. one among the following is carcinoma colon, the disease can be screened if it satisfies the following conditions such as, *an impoant health problem it must be *there should be a recognisable latent or early asymptomatic stage. *natural history of condition *tets ... | 151,080 | medmcqa_train |
Prolonged treatment with Isoniazid leads to deficiency of- | Treatment with INH can lead to Pyridoxine deficiency, hence it is given as nutritional prophylaxis alongwith TB treatment. | 151,081 | medmcqa_train |
The pathognomonic feature of abdominal pregnancy is : | Fetus appears lateral to lumbar spine on X-ray | 151,082 | medmcqa_train |
Which of the following areas of brain is most resistant to Neurofibrillary tangles in Alzheimer's disease | Answer is C (Lateral Geniculate Body):The topographical and neuroanatomical distribution of Neurofibrillary tangles and Neuritic Plaques in the Cerebral coex of patients with Alzheimer's Disease' - Cerebral Coex (1991): (1): 103-116`Lateral geniculate body' is the least commonly affected area amongst the options provid... | 151,083 | medmcqa_train |
Bunion is commonly seen at - | Ans. is 'a' i.e., Great toe MTP jointBuniono A hallux abducto valgus deformity, commonly called a bunion, is a deformity characterized by lateral deviation of the great toe, often erroneously described as an enlargement of bone or tissue around the joint at the head of thebig toe.o The bump itself is partly due to the ... | 151,084 | medmcqa_train |
Radiological features of left ventricular hea failure are all, except- | In chest radiography, the Westermark sign is a sign that represents a focus of oligemia (hypovolemia) (leading to collapse of vessel) seen distal to a pulmonary embolism (PE). While the chest x-ray is normal in the majority of PE cases, the Westermark sign is seen in 2% of patients. Ref Davidson 23rd edition pg 460 | 151,085 | medmcqa_train |
A menopausal woman, 55 years old, complains of post coital bleeding. What impoant cause of such bleeding should be ruled out? | Vaginal bleeding is the most common symptom occurring in patients with cancer of the cervix. Most often, this is post coital bleeding, but it may occur as irregular or postmenopausal bleeding. Patients with advanced disease may present with a malodorous vaginal discharge, weight loss, or obstructive uropathy. Since the... | 151,086 | medmcqa_train |
True statement of wilms tumor | Refer Robbins 9/e 479 * The first group of patients has the WAGR syndrome, characterized by Wilms tumor, aniridia, genital anoma- lies, and mental retardation. Their lifetime risk of devel- oping Wilms tumor is approximately 33%. Individuals with WAGR syndrome carry constitutional (germline) deletions of 11p13. Studies... | 151,087 | medmcqa_train |
Congenital lactic acidosis may occur d/t defect in | B i.e. PDH complex | 151,088 | medmcqa_train |
A 67-year-old man has a long history of symmetrical small joint arthritis with deformities. He now develops shortness of breath on exertion with a dry cough, but no sputum or chest discomfort. His heart sounds have a loud P2, and the lungs have fine bibasilar crackles. Which of the following is the most likely diagnosi... | In RA, pleural involvement is very common at autopsy but infrequently causes symptoms. Interstitial lung disease (ILD) is the most common manifestation of rheumatoid lung disease. RA associated interstitial lung disease (RA-ILD) is usually similar to idiopathic pulmonary fibrosis (IPF) in terms of its clinical presenta... | 151,089 | medmcqa_train |
Molar ratio of sodium & glucose in WHO reduced osmolarity ORS is: | Ans. A. 1:1Composition of WHO recommended ORS.Constituentg/lmmol/ion Sodium chloride2.6Sodium75Glucose, anhydrous13.5Chloride65Potassium chloride1.5Potassium20Trisodium citrate dihydrate2.9Citrate10Total Osmolarity245mosmol/L | 151,090 | medmcqa_train |
Not a branch of posterior cord of Brachial plexus | Long thoracic nerve arises from the nerve root of C5-C7 and it supplies serratus anterior muscle. The axillary nerve supplies the deltoid and teres minor muscles. The thoracodorsal nerve supplies the latissimus dorsi muscle. The radial nerve supplies 3 heads of triceps brachii and 12 muscles on the back of the forearm.... | 151,091 | medmcqa_train |
Congenital megacolon develops secondary to failure of - | Ans. is 'a' i.e., Migration of vagal neural crest cells to gut * Hirschsprung's disease (congenital megacolon) is characterised by the congenital absence of intramural ganglion cells (aganglionosis) and the presence of hypertrophic nerves in the distal large bowel.* The absence of ganglion cells is due to a failure of ... | 151,092 | medmcqa_train |
The most important source of reducing equivalents for fatty acid synthesis in the liver is | HMP pathway
The main source of NADPH for lipogenesis is the pentose phosphate pathway: PPP (also called the hexose monophosphate pathway: HMP). | 151,093 | medmcqa_train |
A 42 year old female patient has abnormal uterine bleeding with mild atypical hyperplasia of endometrium. The treatment of choice is : | Total hysterectomy | 151,094 | medmcqa_train |
An 18-year-old sexually active college student presents with complaints of lower abdominal pain and irregular bleeding for five days. She has no fever. She uses oral contraceptives as method of bih control. Upon examination, the cervix is friable, there is cervical motion tenderness and adnexal tenderness. The pregnanc... | Chlamydia trachomatis is frequently repoed bacterial sexually transmitted disease (STD). Infections of the cervix may present as a friable cervix, but are most often without signs or symptoms. Pelvic inflammatory disease (PID) caused by chlamydia often presents with milder symptoms than when it is caused by gonorrhea. ... | 151,095 | medmcqa_train |
All are features of hypernatremia except | Ans. is 'c' i.e., Periodic paralysis Periodic paralysis, is seen in hyponatermia Clinical features of Hypernatremia :? Most patients with hypernatremia are dehydrated and have the typical signs and symptoms of dehydration. Hypernatremia even without dehydration causes central nervous system symptoms that tend to parall... | 151,096 | medmcqa_train |
During the course of an operation on an unstable, critically ill patient, the left ureter is lacerated through 50% of its circumference. If the patient's condition is felt to be too serious to allow time for definitive repair, alternative methods of management include | If time and the patient's condition permit, primary ureteral reconstruction should be carried out. In the middle third of the ureter, this will usually consist of ureteroureterostomy using absorbable sutures over a stent. If the injury involves the upper third, ureter pyeloplasty may be necessary. In the lower third, u... | 151,097 | medmcqa_train |
Propanolol is useful for all of the following except ? | Ans. is 'd' i.e., Paial AV block | 151,098 | medmcqa_train |
Lipid profile in diabetes is A/E - | Lipid abnormalities in patients with diabetes, often termed "diabetic dyslipidemia", are typically characterized by high total cholesterol (T-Chol), high triglycerides (Tg), low high density lipoprotein cholesterol (HDL-C) and increased levels of small dense LDL paicles. Ref - davidsons 23e topic diabetes p719 | 151,099 | medmcqa_train |
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