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Treatment of malignant Hyperthermia includes – a) Dantroleneb) Coolingc) Deepening plane of inhalational anaesthesiad) Discontinue inhalational anaesthesiae) Give O2 therapy with 100% O2.
Treatment of malignant hyperthermia includes dantrolene, hyperventilation with 100% O2 discontinuation of all anaesthetics immediately, cooling of body, correction of acidosis and hyperkalemia.
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A patient presents with acute anterior wall infarction and hypotension. Which will be the immediate treatment modality for this patient?
Within the first 12 hours of MI, immediate coronary angiography and primary percutaneous intervention is the treatment of choice for patients presenting with ST elevated MI. Ref: Harrison's Principles of Internal Medicine, 16th Edition, Page 1453 & 1460; 17th Edition, Page 1537; Davidson's Principles and Practice of Me...
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Which of the following is false about hemochromatosis
In hemochromatosis iron deposits are seen in pituitary gland, skin , pancreas and heart.
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Psychogenic amnesia is characterized by -a) Antegrade amnesiab) Retrograde amnesiac) Both with confabulationd) Patchy impairment of personal memories
Dissociative amnesia is characterized by retrograde amnesia. There is inability to recall personal events during circumscribed period which creates gaps in the individuals personal memory (Patchy memory loss).
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Type of anemia in pregnancy is: September 2007
Ans. B: Microcytic Hypochromic Anemia in pregnancy is that of iron deficiency anemia and shows microcytic hypochromic pattern. Change in lab values in iron deficiency anemia Decrease- ferritin, hemoglobin, MCV Increase- TIBC, transferrin
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Avascular necrosis of hip, investigation of choice -
Ans. is 'a' i.e., MRI o The first X-ray signs probably appear only 6-9 months after the occurrence of bone deatho MRI shows characteristic changes in the marrow long before the appearance of X-ray signs,o Therefore MRI is the most reliable way of diagnosing marrow changes and bone ischaemia (Avascular necrosis) at a co...
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Deoxygenated blood from the fetus to the mother is via:
13Ans. (a) Umbilical arteryRef: D. C Dutta 8th ed./ 36* Deoxygenated blood from fetus to mother is via umbilical artery.* Oxygenated blood is via umbilical vein.
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Enzyme inhibited by insulin is
3. Hypoglycemic Effect of INSULINE - i. Insulin lowers the blood glucose level by promoting utilization and storage. ii. Gluconeogenesis is inhibited by insulin by repressing the key enzymes, pyruvate carboxylase (PC) phosphoenol pyruvate carboxykinase (PEPCK) and glucose-6- phosphatase. iii. Insulin inhibits glycogeno...
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Which of the following contains long spaced collagen?
Ans. (b) CorneaRef: Cornea by Mannis, 4/e, p. 897Seen in a number of corneal pathologies like Fuch dystrophy, PPMD, Scheie syndrome, etc.
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Vi antigen found in -a) Salmonella paratyphi 'A'b) Salmonella paratyphi 'C'c) Salmonella dublind) Kiebsiella pneumoniaee) Citrobacter fregalis
Vi Antigen is possessed by S Typhi and S. Paratyphi C, S. Dublin, Citrobacter (Ballerup-Bethesda group).
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The most common late CNS complication of HIV is
CNS involvement in AIDS Involvement of the CNS is a common and important manifestation of AIDS. In addition to the lymphoid system, the nervous system is a major target of HIV infection. Macrophages and microglial cells in the central nervous system that belong to the monocyte and macrophage lineage are predominant t...
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A 34-year-old power lifter visits the outpatient clinic because he has difficulty walking. During physical examination it is observed that the patient has a problem unlocking the knee joint to permit flexion of the leg. Which of the following muscles is most likely damaged?
When the popliteus contracts, it rotates the distal portion of the femur in a lateral direction. It also draws the lateral meniscus posteriorly, thereby protecting this cartilage as the distal femoral condyle glides and rolls backward, as the knee is flexed. This allows the knee to flex and therefore serves in unlockin...
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Concussion injuries to the eye will cause all of the following except
Soft exudates are axoaxonal debris and seen mostly as a result of hypoxia in the retina Refer khurana 6/e
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The role of bradykinin in process of inflammation is
Ref Robbins 8/e p65- 66 ; 9/e p89 Bradykinin is a potent endothelium-dependent vasodilator and mild diuretic, which may cause a lowering of the blood pressure. It also causes contraction of non-vascular smooth muscle in the bronchus and gut, increases vascular permeability and is also involved in the mechanism of pain.
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A nurse having vaccinated with hepatitis B (Not previous affect the hepatitis-B- infection).Which of the following found in blood examination.
(Anti HBs Ag) (570-71-CMDT-08) (1933-34-H17th)Anti HBs antibody - appears in most individuals after clearance ofHBsAg and after successful vaccination against hepatitis B - signal recovery from HBV infection, non infectivity and immunity* HBe Ag indicates viral replication and infectivity** HBs Ag indicates the first e...
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about test of significance between two large population, one of the following statements is true-
.
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All of the following can cause Optic Neuritis,except -
Important drugs causing optic neuritis are quinine, chloroquine, ethambutal, isoniazid(INH), Streptomycin, Digoxin, Amiodarone, NSAIDs (aspirin, indomethacin, phenylbutazone, ibuprofen), vigabatrine, disulfiram.
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Which of the following is coding RNA
rRNA, Lnc RNA, sn RNA, mi RNA, tRNA are all non coding RNA. Only mRNA is coding RNA.
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The 1st product of tryptophan catabolism is?
Tryptophan is degraded to amphibolic intermediates via the kynurenine-anthranilate pathway. Tryptophan oxygenase (tryptophan pyrrolase) opens the indole ring, incorporates molecular oxygen, and forms N-formyl kynurenine. Hydrolytic removal of the formyl group of A T -formylkynurenine, catalyzed by kynurenine formylase,...
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The differential diagnosis of the finding Reticulocyte Index=>2.5 is all, EXCEPT:
Reticulocyte count >2.5 is seen in: Hemolysis/ hemorrhage Blood loss Intravascular hemolysis Metabolic defect Membrane abnormality Hemoglobinopathy Immune destruction Fragmentation hemolysis Ref: Harrison, 18th Edition, Page 454
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Ehrlich phenomenon seen in:
Ans. is 'c' i.e., Corynebacterium(It is due to presence in toxin preparation of varying amounts of toxoid and antitoxin to combine in varying proportions and is called Ehrlich phenomenon).Ehrlich defined the minimum lethal dose (MLD) of the diphtheria toxin as the least amount of toxin required to kill a guinea pig wei...
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For the disposal of hospital refuse, the bag made with cadmium is not used because incineration of the bag causes poisonous toxic fumes evolution. The colour of the bag is -
Waste collection bags for waste type needing incineration shall not be made of chlorinated plastics. REF. PARK'S TEXTBOOK OF PREVENTIVE AND SOCIAL MEDICINE 21ST EDITION. PAGE NO - 735
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All of the following are having stimulatory action on glucagon secretion, EXCEPT:
Factors stimulate glucagon secretion: Amino acids (paicularly the glucogenic amino acids: alanine, serine, glycine, cysteine, and threonine) CCK, gastrin Coisol Exercise Infections Beta adrenergic stimulators Theophylline Acetylcholine Inhibitors of glucagon secretion: Glucose Somatostatin Secretin FFA Ketones Insulin ...
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Lines of zahn occur in which of the following
Ref Robbins 9/e p 125 thrombi often have grossly and microscopically apparent laminations called lines of zahn,these represent pale platelet and fibrin deposit altered with red cell rich layers .such laminations represent that thrombus has formed in flowing blood.their presence can be therefore distinguish antemoem thr...
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Gray equals
A i.e., 100 rads Rad (radiation absorbed dose) is energy deposited within living matter & is equal to 100 ergs/gm of tissue. Whereas, I gray is absorption of 1 joule energy by 1 kg living matter.
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Women carrying BRCA 1 gene are more likely to develop which type of breast carcinoma
Medullary carcinomas occur with increased frequency in women with BRCA1 mutations, although most women with medullary carcinoma are not carriers. These carcinomas uniformly lack the estrogen and progesterone receptors and do not overexpress HER2/NEU (a combination that often is referred to as triple-negative). ref : Ro...
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Most wear resistant composite is:
Hybrid composite resin materials have a combination of small and large filler particles, to combine high filler loading with a sufficient quantity of small particles to ensure improved wear resistance and also permit adequate polishability. These materials are quite strong, polishable, and have wear resistance equivale...
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Bregma is the name given to the junction of the
Bregma: Bregma is the meeting point between coronal and sagittal sutures. Seen in norma verticalis view of skull. In foetal skull, this is the site of a membranous gap, called anterior fontanelle. It ossifies at 18 months of age.
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The best method to screen a 3-year-old with a sound dentition and open proximal contacts would be:
The American Dental Association (ADA), the American Academy for Pediatric Dentistry (AAPD), the European Academy for Pediatric Dentistry (EAPD), and other organizations have published criteria that are meant to guide the dental professional in decision-making regarding appropriate radiographic imaging (Table 2-5). Thes...
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Drug of choice for controlling severe pain in cancer patient is:
Ref: Katzung 10/e p449 Opioids like morphine can be used to treat severe pain associated with terminal cancers.
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Inversion and eversion of foot occur at which joint
Joint Movement Subtalar joint Inversion and Eversion of foot Ankle joint hinge - like dorsiflexion & plantar flexion of foot on leg Inferior tibiofibular joint Permits slight movements, so that lateral malleolus can rotate laterally during dorsiflexion of ankle Tibiotalar joint hinge joint contributes to plantar & dors...
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Cochleate uterus is
Cochleate uterus: A small adult uterus with a conical cervix and a body that is small, globular, and acutely flexed. ref - pubmed.com
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H.parainfluenzae requires which of the following factors
H.influenzae, H.haemolyticus, and H.aegyptius: requires both factor X and VH.parainfluenzae, H.parahaemolyticus, and H.paraphrophilus: Requires only factor VH.aphrophilus: Doesn't require both factors(Ref: Ananthanarayan 9th edition, p328)
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H type tracheo-esophageal fistula occur in
The H type fistula occurs in 8% of cases. Type A Oesophageal atresia without TOF (8%) Both segments communicate with trachea. 2. Type B Oesophageal atresia with proximal TOF (1%) Blind proximal segment of oesophagus connects with trachea by fistula. Distal end is blind 3. Type C Oesophageal atresia with distal TOF (84%...
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Autoimmune hemolytic anemia is associated with malignancy of which lineage :
Answer is B (B cell type) The diagnosis of typical B cell CLL should be considered in a patient presenting with an autoimmune hemolytic anemia or autoimmune thrombocvtopenia. - Autoimmune hemolytic. anemia (AIHA) and Lymphoid maliknancies Autoimune hemolytic anemias may be seen in association with Leukemias specially o...
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Left Umbilical vein becomes:
Ligamentum teres
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Negative skived distribution has
Normal distribution has ⇒ Mean - Median = mode. Positive skewed distribution or Right side skewed has ⇒ Mean > median > mode. Negative / deft side skewed distribution has ⇒ Mean < median < mode.
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IUCD is made up of-
Ans. is 'd' i.e., Polyethylane o On first look at the question, copper comes in the mind first because most commonly used name for IUCD is copper-T (Cu-T). o But copper is not the answer. o IUCD devices are usually made of polyethylene or other polymer; in addition, the medicated or bioactive IUDs release either metal ...
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Intermediate hosts for toxoplasma are all except-
Ans. is 'c' i.e., Cat Toxoplasma gondiio Toxoplasmosis is the disease caused by infection with the obligate intracellular parasite Toxoplasma gondii.Life cvcleThere are two distinct stages in the life cycle of T gondii.1. Nonfeline stageIn this stage tissue cysts (containg bradyzoites) or sporulated oocysts are ingeste...
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IVP is contraindicated in –
Multiple myeloma is a relative contraindication for IVP.
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Which of the following is the most common complication following surgery after repair of Sprengel deformity?
Sprengel deformity, or congenital elevation of the scapula, associated with the restriction in the motion of the scapula and glenohumeral joint. Brachial plexus injury is the most common and severe complication following surgery for Sprengel deformity. To avoid brachial plexus injuries several authors have recommended ...
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Bell's palsy patient comes on day 3. Treatment given would be:
(c) Oral steroids + Acyclovir is the best answer.(Ref. Cummings, 6th ed., 2621)Antiviral has to be started within 3 days. Since the patient has presented on the 3rd day, acyclovir should also be started here along with the steroids.If the patient comes after 3 days he should be given only the steroid and vitamin B.Intr...
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Posterior glenohumeral instability is tested by
Answer: b) Jerk testSulcus Sign. Downward traction is applied to the arm while the shoulder is held in 0 degrees of abduction, neutral rotation, and 0 degrees of flexion/extension. The acromiohumeral interval is measured to assess inferior glenohumeral laxity.Rotator Interval Test. While performing the sulcus test, ext...
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Most common tumor producing osteoblastic metastasis?
Ans. is 'c' i.e., Prostate Osteolytic bone metastases Osteoblastic bone metastasis Mixed osteolytic-osteoblastic Renal (kidney) Thyroid Ewing's sarcoma Uterine carcinoma GIT cancers & Hepatoma Wilm's tumors Myeloma Melonoma & SCC Malignant pheochromocytoma Prostate (most common) Prostate (most common) Medullary carcino...
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In benign intracranial hypeension-
Dural sinus thrombosis (DST) is a life threatening illness and is often overlooked but it must be considered in the differential diagnosis of a patient presenting with a significant headache. DST presents similarly to benign intracranial hypeension (BIH) with intracranial hypeension and headache. A case of a 23 year ol...
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20-year-old male complaints of repeatedly changes in glasses, may result into;
KERATOCONUS Non -Inflammatory central corneal thinning Young male with constantly changing power of glasses with myopia & high cylinder SIGNS IN KERATOCONUS Munson sign. Enlarged corneal nerves-lower lid indentation on downgaze. Oil droplet reflex. Rizutti's sign- Acute Hydrops - aqueous accumulated in stroma Fleischer...
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Ketogenic amino acids are all except-
Ans. is 'd' i.e., Histidine o Leucine and Lysine - Pure ketogenico Tryptophan - Glycogenic and ketogenico Hitidine - Pure glucogenicGlucogenicKetogenicBoth glucogenic & ketogenico Alanineo Arginineo Aspargineo Aspartic acido Cysteineo Glutamineo Glutamic acido Glycineo Histidineo Methionineo Prolineo Serineo Threonineo...
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Pehes disease etiology is?
Ans. is 'd' i.e., Unknown PEHE'S DISEASE (LEGG-CALVE PEHE'S DISEASE) Pehe's disease is also known as osteochondritis deformans juvenilis or Coxa piano or Pseudocoxalgia. Pehe's disease is an osteochondritis of the epiphysis of the femoral head (capital femoral epiphysis). In the disease, the femoral head becomes paly o...
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Which of the following drug is a direct inhibitor of clotting factor Xa?
Impoant ones are: - (1) Rivaroxaban (2) Apixaban (3) Edoxaban (4) Betrixaban (a) Argatroban - Direct thrombin inhibitor (synthetic non-peptide compound which binds reversibly to the catalytic site of thrombin but not to the substrate recognition site) (b) Fondaparinux - Indirect thrombin inhibitor. (d)Aspirin - Inhibit...
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The drug of choice for obsessive-compulsive disorder is
Drug Treatment in obsessive-compulsive disorder: 1. Benzodiazepines (e.g. alprazolam, clonazepam) have a limited role in controlling anxiety 2. Antidepressants: Clomipramine (75-300 mg/day), a nonspecific serotonin reuptake inhibitor (SRI), was the first drug used effectively in the treatment of OCD. Fluoxetine (20-80 ...
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NO is released by -
Ans. is 'c' i.e., Endothelial cells o The most important physiological source of NO is endothelial cells.o Nitric oxide, also called endothelium-derived-relaxing factor (EDRF), is formed from amino acid arginine, by the action of the enzyme NO synthase, which is cytosolic.o NO acts as short lived biological messenger b...
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Brunner's glands are seen in:
An extensive array of compound mucous glands, called Brunner's glands, is located in the submucosa of the first few centimeters of the duodenum, mainly between the pylorus of the stomach and the papilla of Vater These glands secrete large amounts of alkaline (pH 9) mucus.
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Which of the following has both endocrine and exocrine functions?
Ans: a (Pancreas)Pancreas has both exocrine and endocrine functions.There are 4 distinct types of pancreatic cells in human.A cells (alpha) - GlucagonB cells (beta) - InsulinD cells (delta) - SomatostatinF cells - Pancreatic polypeptide D1 cells - VIPEndocrine pancreas secretes hormones -glucagon, insulin and somatosta...
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Residual auditory defect is a common complication in meningitis caused by
Residual auditory defect is caused by Haemophilus meningitis .so BERA is the investigation of choice done in them. Reference: GHAI Essential pediatrics, 8th edition
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Which of the following transpo processes is passive?
Osmosis is the movement of water molecules across a semi-permeable membrane from a region of Lower solute concentration to an area of higher solute concentration. It is passive in nature. (REF: TEXTBOOK OF MEDICAL PHYSIOLOGY GEETHA N 2 EDITION, PAGE NO - 3)
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If the bih weight is 3 kg by the end of one year of age. It should become:
Average bih weight in India: 2.8 Kg (2.7-2.9 Kg) BW doubles at 5 months, triples by 1 year and quadraples by 2 years age So, BW of 3 Kg will become 6 Kg, 9 Kg and 12 Kg at 5 months, 1 year and 2 years age respectively. Weight gain Pattern in Children Age Weight increments 0-3 months 200 grams per week 4-6 months 150 gr...
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"Anhedonia" means
Defined as the inability to experience pleasure from activities usually found enjoyableAnhedonia can be characteristic of:Mood disordersSchizoaffective disorderBorderline personality disorderSchizoid personality disorderSchizophreniaRef: Ahuja 5/e p56, 58
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The role of htirnan placental lactogen is :
Growth of fetus
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A 29-year-old man notes burning pain on urination with a urethral discharge that has persisted for 3 days. A sample of the exudate is positive by ELISA for Chlamydia trachomatis. The man has increasing stiffness of the knees and ankles and lower back pain 3 weeks later. A radiograph of the lumbar spine shows narrowing ...
The combination of nongonococcal urethritis, arthritis, and conjunctivitis suggests reactive arthritis, one of the spondyloarthropathies; the changes in the spine can resemble ankylosing spondylitis and can be equally debilitating. ANCA is indicative of various forms of vasculitis, such as granulomatous vasculitis and ...
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A man presents with multiple painless swelling all over the body and coffee brown patches in trunk. The condition is
Ans. (b) Multiple NeurofibromaRef: Bailey and Love 26th edition Page 581* Neurofibromatosis is a condition arising from Schwann cells.* 2 types are seen* 70% are Autosomal Dominant, 30% are sporadic.* NF 1 (Von Recklinghausen) is the MC type.* It is due to Gene mutation of Chromosome 17* Skin manifestation develop in e...
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A pre-natal USG showed bilateral hydronephrosis in a male fetus. A repeat USG scan done few days later showed bilateral hydronephrosis with full bladder with reduced amniotic fluid. Emergency Caesarean Section was conducted. What is the FIRST likely investigation for the newborn?
Next Step: Diagnosis by demonstration of posterior urethral valves. Posterior urethral valves, the most common obstructive urethral lesions in infants and newborns, occur only in males and are found at the distal prostatic urethra. Demonstration of urethral valves on a voiding cystourethrogram establishes the diagnosis...
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A patient with 8 cm x 8 cm abscess in right lobe of liver was treated with aspiration multiple times (3 times) and with systemic amebicide. Now cavity is remaining in right lobe of liver but there is nothing in the cavity. Seven days course of luminal amebicides is given. How will you follow up?
Ans. b. USG weekly for 1 month followed by monthly USG till 1 year (Ref: Sabiston 19/e p1445-1447; Schwartz 9/e p1115-1116; Bailey 25/e p1095; Blumgart 5/e p1016-1024; Shackelford 7/e p1471-1478)In uncomplicated cases of amebic liver abscess, follow-up is done with ultrasound.Role of ultrasound in the diagnosis and tre...
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Placentamegaly is diagnosed on USG if size of placenta is more near:
Ans is d, i.e. 40 mmPlacental thickness increases by 1 mm/week. If placental thickness is more than 40 mm at term, it is called as placentomegaly
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Gross hematuria can be seen in:
Patients with glomerular disease have hematuria with proteinuria. Hematuria is asymptomatic. 3-5 red blood cells in the first-voided morning urine is suspicious. Patients will not realize the microscopic hematuria, and only rarely gross hematuria present The exceptions are IgA nephropathy and sickle cell disease in bot...
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Association fibers are:
A i.e. Uncinate fasciculus; B i.e. Cingulum; C i.e. Superior longitudinal fasciculus
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Which gland is derived from foramen caecum?
The site of origin of the thyroglossal duct is foramen caecum. It grows down in the midline into the neck. Its tip soon bifurcates. Proliferation of the cells of this bifid end gives rise to the two lobes of the thyroid. Ref: Textbook of Human Embryology Inderbir Singh 6th Ed Page 119.
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Which of the following causes mesenteric lymphadenitis?
d. All of the above(Ref: Nelson 20/e p 1405-6, 1611)Acute appendicitis, mesenteric lymphadenitis & ileocolitis have been reported in patients who have had appendectomies during C. jejuni infection.Yersinia pseudotuberculosis is most often associated with mesenteric lymphadenitis.Human Adenovirus may also cause mesenter...
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A diabetic patient is undergoing dialysis. Aspiration done around the knee joint would show
ClinicoPathologic Category Associated diseases Major Fibril protein Related precursor protein SYSTEMIC AMYLOIDOSIS Immunocyte dyscrasias with amyloidosis (primary) Multiple myeloma AL Ig light chain, l Reactive systemic amyloidosis (secondary) c/c inflammation AA SAA Hemodialysis-associated CRF Ab2m B2-microglobulin He...
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Eustachian tube opens in middle ear in
The anterior wall is narrow due to approximation of the medial and lateral walls, and because of descent of the roof. The uppermost pa of the anterior wall bears the opening of the canal for the tensor tympani. The middle pa has the opening of the auditory tube. the inferior pa of the wall is formed by a thin plate of ...
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Best fertility result in-
Ans. is 'd' i.e., Arcuate Delivery rate and uterine malformationso The overall term delivery rate with uterine malformations is poorer and obstetrical complicaions are more common.o Arcuate uterus has the best reproductive outcome with the live birth rates similar to normal uterio The live birth rate with septate and b...
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FDA approved the use of modafinil as an adjunct in
For obstructive sleep apnea the treatment of choice: Continuous positive airway pressure.Adjunct: Modafinil which is a sympathomimetic agonist for alpha and beta receptors.Ref:
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A 50 years old female with 50 kg body weight suffered from burns after pressure cooker blast, involving 45% of total body surface area. How much fluid should be given in first 8 hours?
Resuscitation formulas Formula Crystalloid volume Colloid Volume Free water Parkland 4 mL / Kg per % TBSA None None Brooke 1.5 mL/Kg per % TBSA burn 0.5 mL/Kg per % TBSA burn 2.0 L Galveston (Pediatric) 5000 mL/m2 burned area + 1500 mL/m2 total area None None Parkland Formula: Calculates disease fluid to be replaced in...
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A 40 yr old patient with a single kidney presents with a solitary exophytic mass of 4 cm localized at its lower pole. Which amongst the following is the best recommended management option:
Ans is 'd' i.e. Paial nephrectomy Paial nephrectomy is the preferred surgical approach for a small ( Paial nephrectomy should be considered in the following clinical situations: Renal masses less than 4cm (T1) Localized mass in a patient with a single kidney or with compromised renal function. Synchronous bilateral ren...
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A child has respiratory distress, chest X-ray shows multiple air-filled space, the differential diagnosis is all except –
Congenital lobar aplasia does not produce air-filled spaces on chest X-ray. All other three options produce air-filled space on chest X-ray.
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The most common disorder associated with Panic Attack is
(B) Post-traumatic stress disorder# 17 symptoms have been identified that make up PTSD.> These 17 symptoms are divided into three separate clusters.> Three PTSD symptom clusters, and the specific symptoms that make up these clusters, are described below.> Re-Experiencing Symptoms Frequently having upsetting thoughts or...
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All statement about Plummer Winson Syndrome are true except -
Ans. is 'a' i.e., Commonly leads to carcinoma in lower third of esophagusPlummer-Vinson syndromeo Plummer-Vinson syndrome, also known as Brown-Kelly-Paterson syndrome or sederopenic dysphagia, seen in middle aged edentulous women.o The plummer Vinsion Paterson Brown Kelly Syndrome is characterized by: -DysphagiaChronic...
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In chronic diabetics the value of TG and VLDL are more because
Insulin Activates Lipoprotein lipase Inhibits Hormone sensitive lipase (HSL) In diabetic condition opposite will occur, i.e. Increased activity of hormone sensitive lipase and decreased lipoprotein lipase activity. Increased activity of hormone sensitive lipase Catabolic activity of Fatty acid in Blood
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Marcus Gunn jaw-winking phenomenon due to relation between which cranial nerves
(Refer: AK Khurana Comprehensive Ophthalmology, 6th edition, pg no. 505) *Marcus Gunn phenomenon (a.k.a Marcus Gunn jaw-Winking or Trigemino-oculomotor synkineses) *It is an autosomal-dominant condition with incomplete penetrance, in which nursing infants will have rhythmic upward jerking of their upper eyelid *This co...
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Not a pa of Kangaroo Mother Care
Ref:Park's Text book of Preventive and Social Medicine 25th ed
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Fungus causing hair skin and nail infection is?
Ans. (a) T. rubrumRef : Ananthnarayan 8/e, p 604, jawetz 24/e, ch 45 Table 45-2, Rook's 7/e, p 36.33
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Exhibitionism is -
Exposure of one's genital organs to strangers or others is called exhibitionism.
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Rokitansky Protuberance is associated with -
Ans. is 'c' i.e., Dermoid cyst Rokitansky protuberanceo The inner lining of every mature cystic teratoma (dermoid cyst) contains single or multiple white shiny masses projecting from the wall toward the center of the cysts. When hair, other dermal appendages, bone and teeth are present, they usually arise from this pro...
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A 12 week anomaly scan of 29 year old lady,revealed foetal malformation. On fuher investigation it was found she had taken some vitamin supplements. Which of the following is most likely to be responsible for the foetal defects?
Retinoic acid is a known human teratogen. There is extreme susceptibility for teratogenicity in 3rd to 9th week. Retinoic acid causes changes in HOX gene expression. Note: Valproate also cause disruption of HOX gene expression. Ref: Robbins Basic Pathology, Edition 8, Page 256
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30 year old female with partial seizure. Drug of choice:
Ans. (d) CarbamazepineRef. Harrison's 19th ed. / 2552* Given the choices the answer will be Carbamazepine* According to Harrisons 19th ed. the current recommendable drug for GTCS is LAMOTRIGINE > Carbamazepine
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Relaxation of which of these joints in pregnancy can cause waddling gait?
The joint between the two pubic bones is the pubic symphysis. It is not a stable joint. They have limited motion but do become more mobile and even separate a bit during pregnancy. The relaxation is attributed to the hormone relaxin. This is a pa of maternal adaptation for accomodation of the fetus in the pelvis during...
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Karyotyping under light microscopy is
B i.e. G banding [Ref: Nagesh Rao: Human genetics
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If patient is on follow up with you, after a enucleating of an painful blind eye. After you enucleating the eyeball, a proper sized aificial prosthetic why is advanced after an post operative treatment
After enucleation, we put orbital implants. We wait for the inflammation to subside 1.e around 10 days. If hudroxyappatite implant is to be put, it can even be done on same sitting Refer khurana 6/e p 420
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If 90% of jejunum and ilium is removed then all of the following features will be seen except -
Ans. is 'c' i.e., Weight gain Short bowel syndromeo Is the malabsorptive condition that arises secondary to removal of significant segments of the small intestineo The MC causes are Mesentric infarction, Crohns ds, Trauma * Changes seen in Terminal ileal resection# Resection of terminal ileum results in malabsorption o...
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All are true about Thoracolumbar fascia except -
Thoracolumbar fascia -        Lumbar part extends between the 12th rib and iliac crest. -        It has 3 layers Anterior layer  Attachment - Anterior surface of the transverse process of lumbar vertebrae Position - anterior to quadratus lumborum Middle layer Attachment - the Transverse process of lumbar vertebrae ...
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Dennie–Morgan fold is seen in –
Denny Morgan fold is extra fold of skin beneath lower eye lid which is seen in atopic dermatitis.
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A double aoic arch is due to persistency of the following segment:
Double aoic arch is the result of persistence and continued patency of the segment of the right dorsal aoa between the origin of the right seventh intersegmental aery and its junction with the left dorsal aoa. Affected infants have a characteristic inspiratory and expiratory wheeze, stridor, or crouplike cough. Echocar...
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Testicular tumor associated with high HCG level is?
Ans. is 'a i.e., Choriocarcinoma Testicular tumorTumor markersSeminoma* Placental alkaline phosphatase, keratin* Classical seminomas are negative for HCG, but 7-15% may be positive for HCGEmbryonal carcinoma* HCG, AFPYolk sac tumor* AFP, a-1 antitrypsinChoriocarcinoma* HCG
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A client is undergoing peritoneal dialysis. The dialysate dwell time is completed, and the dwell clamp is opened to allow the dialysate to drain. The nurse notes that the drainage has stopped and only 500 ml has drained; the amount the dialysate instilled was 1,500 ml. Which of the following interventions would be done...
The first intervention should be to check for kinks and obstructions because that could be preventing drainage. After checking for kinks, have the client change position to promote drainage. Don’t give the next scheduled exchange until the dialysate is drained because abdominal distention will occur, unless the output ...
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Nerve to pterygoid canal is formed from
In the anterior pa of the foramen lacerum, the greater petrosal nerve unites with the deep petrosal nerve to form the nerve of the pterygoid canal which leaves the foramen by entering the pterygoid canal in the anterior wall of the foramen lacerum. Ref: BD Chaurasia's HUMAN ANATOMY, Volume 3, 4th edition.
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The primary direct stimulus for excitation of central chemoreceptors regulating ventilation is:
. Ans. a. Increased H+ The primary direct stimulus for central chemoreceptors is increased H+ concentration in the CSF and brain interstitial fluid."The primary direct stimulus for central chemoreceptors is increased H+ concentration in the CSF and brain interstitial fluid. But the cone: in the brain parallels the arte...
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Which of the following contribute in polypeptide synthesis:
Enhancer is the cis-acting DNA sequence that increases the rate of inhibition of transcription of eukaryotic genes by RNA polymerase. Leader sequence: The untranslated segment of mRNA before the sta codon. Ref: Harper, 28th Edition, Page 343
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Leisch nodules are seen in
(C) Neurofibromatosis type I # NEUROFIBROMATOSIS TYPES# TYPE 1 (NF-1) Peripheral neurofibromatosis Von Recklinghausen's disease Incidence 1 in 3 000 Gene on long arm of chromosome 17> Diagnostic criteria: Devised by National Institute of Health in 1987 Require 2 or more of the following> Cafe au lait spots 6 or more >5...
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Which of the following best describes the mechanism of action of Colchicine in Acute Gout?
Colchicine produces its anti-inflammatory effects by binding to the intracellular protein tubulin, thereby preventing its polymerization into microtubules and leading to the inhibition of leukocyte migration. Colchicine-treated neutrophils develop a &;drunken walk&;. Colchicine is neither a uricosuric nor an analgesic ...
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A S2, S3, S4 lesion bilaterally can cause which of the followingmanifestations?
Note the distribution of S2-S4 nerve. The S2, S3, S4 innervation, if damaged at the level of the spinal cord, is most likely to produce incontinence of bladder or bowel. Pain of the vaginal delivery arises from stimuli from the lower genital tract. These are transmitted primarily through the pudendal nerve, the periphe...
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Which of the following groups of proteins assist in the folding of other proteins ?
Ans-D
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