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A skull with squared orbit & rectangular palate with cephalic index 75 with broad nose, probably the race is.
A i.e. Negroes
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Most effective step in treatment of gas gangrene is: March 2012
Ans: B i.e. Debridement Management of gas gangrene The role of hyperbaric oxygen in the management of gas gangrene is not clear as in necrotizing fasciitis but it is recommended in severe cases if the facilities are available The mainstay of management of gas gangrene is early surgical excision of the necrotic tissue N...
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Which of the following is a major cell infiltrate in rheumatoid arthritis?
Ref. Robbins Pathology. 9th edition. Page. 1209 Rheumatoid Arthritis CD4+ T helper (TH) cells may initiate the autoimmune response in RA by reacting with an arthritogenic agent, perhaps microbial or a self-antigen IFN-γ from TH1 cells activates macrophages and resident synovial cells. IL-17 from TH17 cells recruits n...
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A statement recorded by the magistrate in front of the accused or his lawyer is known as?
Ans. is 'c' i.e., Dying depositionDying declaration is the written or verbal statement made by a person likely to die because of some unnatural act done on his body, narating the circumstances or the conditions responsible for his present state of health or the cause and manner of likely unnatural death.Dying depositio...
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The number of muscle fibers innervated by a motor axon is smallest in:
The extraocular and hand muscle has a ratio of 3-6 (total 3000 motor units) whereas gastrocnemius and back muscle (concern with posture) has a innervation ratio of 2000 (total 600 units).
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A 38 year old nullipara is on treatment for infeility. Inhibin B levels are tested to assess ovarian reserve. Inhibin B level is best measured which day of menstruation:
Inhibins are produced by Seoli cells in males and by granulosa cells in females. Serum inhibin levels vary widely across the menstrual cycle. During the early follicular phase, FSH stimulates the secretion of inhibin B by the granulosa cells. However, increasing levels of circulating inhibin B blunt FSH secretion later...
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Hypernatremic dehydration is characterised by –a) Serum sodium > 150 mmol/Lb) Signs of dehydration are minimalc) ECF volume ↓edd) Rapid carrection is requirede) Shift of water from ECF to ICF
Hypernatremic dehydration In about 5% of diarrhoea cases (especially if the child has been given fluids with more salt), serum sodium level may be elevated to more than 150 mEq/L. In this patient, the osmotic pressure of ECF is relatively higher. Therefore water comes from inside the cells to the extracellular fluids ...
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Which complement component is anaphylotoxin -
Ans. is 'c' i.e., C5a
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Major metabolism of saturated fatty acids in the mitochondria is called as -
Ans. is 'a' i.e., b-oxidation o b-oxidation is the principal pathway for catabalism of saturated fatty acids. b-oxidation mainly occurs in mitochondrial matrix (whereas fatty acid synthesis occurs in cytosol).o b-oxidatioon consists of repeated cycles of a series of reactions. With each cycle a two carbon unit (i.e. ac...
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All of the following are paired except:
All intrinsic muscles of larynx are paired except transverse arytenoid/interarytenoid. As far as cailages of larynx are concerned 3 are paired and 3 are unpaired.
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Marfan's syndrome most commonly involves?
Ascending aoa REF: Cardiac surgery in adults 3' ed by lawrence H.Cohn chapter 46 Seventy-five to eighty-five percent of patients with Marfan syndrome have dilation of the aoic sinuses and annulus in addition to the ascending aoa. This morphology, referred to as annuloaoic ectasia, is the classic presentation of Marfan ...
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Generalized paresis of Insane is seen in-
The major clinical categories of symptomatic neurosyphilis include meningeal, meningovascular, and parenchymatous syphilis. The last category includes general paresisand tabes dorsalis. The onset of symptoms usually occurs <1 year after infection for meningeal syphilis, up to 10 years after infection for meningovascula...
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30 year old primi with 36 weeks of pregnancy with blood pressure 160/110 and urinary albumin is 3+ & platelet count 80000/mm3. What will be the management?
Answer is b and c That is MgSO4 and Labetalol Patient has severe pre-eclampsia and gestational age is 36 weeks : If gestational age is above 34 weeks, the best approach is to treat with magnesium sulphate for the prevention of seizures.,give antihypeensive to control the BP and delivery after stabilization. Ref Fernand...
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Tuberculous gumma (scrofuloderma) seen mostly on:
Ans: a (Trunk)Ref: IADVL, Vol. 1, 3rd ed. pg. 244Tuberculous gumma is a skin condition that results from haematogenous dissemination of mycobacteria from a primary focus, resulting in firm, nontender erythematous nodules that soften, ulcerate, and form sinuses.We could not find out a reference as to the commonest site ...
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6-phospho Gluconate dehydrogenase need - (NEET/DNB Pattern)
Ans-B6-phospho-D-gluconate + NADP+ = {\display style \rightleftharpoons } D -ribulose 5-phosphate + CO2 + NADPH
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With regard to hepatic anatomy, the falciform ligament divides the___from the ___.
The overall anatomy of the liver is divided into a functional right and left 'unit' along the line between the gallbladder fossa and the middle hepatic vein ( Cantlie's line ). The falciform ligament divides the left lateral section from the left medial section. Clinical significance : The falciform ligament, along wit...
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A children presents with running, nose, breathlessness, family history positive, Most likely diagnosis is
(Bronchial asthma) (353 - Ghai 6th) (359-Ghai 7th)* Bronchiolitis is often confused with bronchial asthma. The latter is unusual below the age of one year. There is often a family history of asthma* Viral pneumonia - RSV is the most important cause in infant under 2 years of age. There is no evidence of consolidation c...
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All of the following are indication for Treadmill testing, except-
Ref: KV Krishna Das - Clinical Medicine 4th Edition pg no:212 Exercise Electrocardiography (Syn: Stress Tests, Treadmill Test) This refers to the recording of the electrical activity of the hea while the individual is subjected to the stress of graded exercises. The bicycle ergometer or the treadmill is currently used ...
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Rugoscopy is -
Rugoscopy or palatoprints are study of structural details such as rugae in anterior pa of palate which is individualistic and specific as fingerprints ref :.Dr.K.S.Narayana Reddys Synopsis of Forensic Medicine & Toxicology 27th edition pg. 48.
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Which of the following statement about N. gonorrhoea is NOT TRUE?
Penicillin and tetracycline are ineffective in the treatment of N gonorrhoeae due to chromosomally mediated resistance. Penicillin, ampicillin, and tetracycline are no longer reliable for the treatment of gonorrhea and should not be used. Third generation cephalosporin is highly effective as single-dose therapy for gon...
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A child presents with recurrent episodes of lip and laryngeal edema and abdominal pain associated with stress levels of which of the following are reduced.
Ci esterase inhibitor Angioedema without uicaria suggests hereditary angioneurotic edema. Hereditary angioneurotic edema is caused due to deficiency of plasma protein Ci esterase inhibitor. It is an autosomal dominant disorder. It is clinically characterized by:- Episodic edema (nonpitting) in the skin and extremities ...
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A 27 year old man in noted to have blood pressure of 170/100 mmHg. He has prominent aoic ejection click and murmurs heard over the ribs on the both sides anteriorly and over the back posterioly. In addition.the pulses in the lower extremities are feeble and he complains of mild claudication with exeion. The most likely...
Answer is C (Coarctation of aoa) Hypeension in upper extremity with absence, dimunition or delay in pulsations in lower extremity suggests the diagnosis of coarctation of aoa. Other options have been explained in the previous questions.
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Rancid butter or cabbage-like smell in urine is seen in which of the following condition?
Tyrosinemia is an autosomal recessive disease induced by a deficiency of cytoplasmic tyrosine aminotransferase related to a defect on chromosome bands 16q22.1-22.3. One of the symptoms of Tyrosinaemia type 1 is a odor like cabbage or rancid butter. Diet restriction of phenylalanine and tyrosine leads to amelioration of...
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Which of the following is/are the ventral posterior neucleus of thalamus -a) Medial lemniscusb) Lateral lemniscusc) Corticospinald) Spinothalamice) Trigeminal lemniscus
Ventral posterolateral :- Spinal lemniscus (rostral continuation of spinothalamic tract) and medial lemniscus. Ventral posteromedial :- Trigeminal lemniscus, and solitariothalamic tract.
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The PR interval in ECG denotes?
Atrial depolarization only - P- Wave Ventricular depolarization and ventricular repolarization - QT interval
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NK cells CD marker is
Ref Robbins 8/e p188;9/e p192 NK cells (belonging to the group of innate lymphoid cells) are defined as large granular lymphocytes (LGL) and constitute the third kind of cells differentiated from the common lymphoid progenitor-generating B and T lymphocytes. NK cells are known to differentiate and mature in the bone ma...
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Vaccines that must be given before age of two years according to IAP are all of the following EXCEPT?
Vaccine Recommended age of vaccination (1st dose) a. Varicella vaccine 15 months b. MMR vaccine 9 months c. Conjugated typhoid vaccine 9 months d. Pneumococcal polysaccharide vaccine Beyond 2 yrs age - As polysaccharides stimulate B-cells independent of T-cells, the pneumococcal polysaccharide is poorly immunogenic at ...
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Salk vaccine is a -
<p> IPV /salk polio vaccine. Strains - Mahoney( salk type 1) MEF1( salk type 2) saukett( salk type 3) Inactivated in formaldehyde. Final vaccine mixture contains 40 units of type1, 8 units of type 2, and 32 units of type3. Administration- intramuscular injection or subcutaneous. Should be refrigerated to ensure no loss...
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Treatment of acute gout includes all except:
Ans: c
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Double-Bubble" sign in X-ray is seen in
Duodenal atresia
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The protective titre of antitoxin to diphtheria following vaccination is
Active immunization by vaccination with diphtheria toxoid is the key in preventing diphtheria. . Serum antitoxin concentration of 0.01 IU/mL is usually accepted as the minimum protective level. 0.01 IU/mL is considered to provide basic protection and 0.1 IU/ml is considered to provide complete or total protection.
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Commonest mass in the middle mediastinum is ?
Ans. is 'c' i.e., Lymph node mass Mediastinal masses 1. Anterior mediastinum : - The anterior mediastinum contains the following structures : thymus, lymph nodes, ascending aoa, pulmonary aery, phrenic nerve and thyroid. Thymoma is the most common anterior mediastinal mass. Anterior mediastinal masses include : ? o Thy...
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Which of the following joint is a syndesmosis? (Repeat)
Ans: B (Inferior tibiofibular joint) Ref: Grays Anatomy 40th Ed Pg 101Explanation:SyndesmosisIt is a type of fibrous joint.It may be represented by an interosseous ligament.Such ligament persist throughout lifeSlight movement is possibleExample:Inferior tibio fibular jointInterosseous membranes of the forearm and legLi...
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A 3 year old female child developed fever, cough and respiratory distress. On the chest, X-ray consolidation is seen in right lower lobe. She improved with antibiotics but on follow up at 8 weeks was again found to have increasing consolidation in right lower lobe. Your next investigation would be –
"Plain chest radiography is the mainstay in diagnosis and monitoring progress of pneumonia. CT is used when complications are suspected".
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All of the following are associated with increased risk of atherosclerotic plaque formation, except?
Increased Alpha 2 macroglobulin is not associated with increased risk of atherosclerotic plaque formation. Ref: Atherosclerosis Risk Factors By James J. Maciejko page 44. Advances in Vascular Medicine By David Abraham page9; Free radicals and diseases: gene expression, cellular metabolism By Tilman Grune page153.
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Which of the following investigation work on the same principle?
Principle of: CT :Linear attenuation ofXrays Xray:Xrays (Fluoroscopy also works on the principal of Xrays) MRI: Gyromagnetic propey of H+ USG: Pulse-Echo Principle with Piezoelectric effect PET scan: Annihilation and coincidence imagine, gamma rays -511 key HIDA Scan: Radioisotope scintigraphy, gamma rays.
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Ulnar nerve root is
Root value of Ulnar Nerve - Ventral rami of C8 and T1. It also get fibres of C7 from the ventral root of median nerve. Ref : B D Chaurasia's Human Anatomy , seventh edition , volume 1 , pg. no, 181 Fig Ref : B D Chaurasia's Human Anatomy , seventh edition , volume 1 , pg. no,57 (FIG. 4.14 )
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The most common malignant tumor of the eyelids is
B i.e. Basal cell carcinoma
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What is not true for extrasystole in ventricle :
B i.e. Hints at serious hea ailment Ventricular Extrasystole/ Premature BeatIn abnormal conditions, the His- Purkinje fibers or the myocardial fibers may discharge spontaneously, that result in a beat that occurs before the expected next normal beat & transiently interrupts the cardiac rhythm. They have bizarrely shape...
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A head injured patient, who opens eyes to painful stimulus, is confused and localizes to pain. What is his Glassgow coma Score -
Ans. is 'c' i.e., 11 * Eye opens to pain-2* Confused-4* Localizes pain-5 11Glasgow coma scale:Eye opening (E)Best motor response (M)Verbal response (V)Spontaneous - 4To loud voice - 3To pain - 2Nil- 1Obeys - 6Localize - 5Withdraws (flexion) - 4Abnormal flexion - 3PosturingExtension posturing - 2Nil - 1Oriented - 5Confu...
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Which of the following tests is not used in the diagnosis of insulinoma -
<img src=" /> Ref Harrison 20th edition pg 567
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40 year old patient was being operated for direct hernia. During surgery two sacs were seen. The diagnosis is?
Ans. (a) Pantaloon HerniaRef: Long case Surgery by RRM* Pantaloon hernia is hernia which has two sacs- One direct and one indirect resembling a Pantaloon.
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Female with stapedectomy done, has a conductive hearing loss at 60 dB. Diagnosis is
1. Complete obstruction of ear canal: 30 dB 2. Perforation of tympanic membrane (It varies and is directly propoional to the size of perforation): 10-40 dB 3. Ossicular interruption with intact drum: 54 dB 4. Ossicular interruption with perforation: 38 dB 5. Malleus fixation: 10-25 dB 6. Closure of oval window: 60 dB R...
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All are true regarding CTEV except:
Ans: C (Increased dorsiflexion) Ref: Nelson's Textbook of Pediatrics, 19th ed.Explanation:Plantar flexion (cavus) is seen in CTEV, not increased dorsiflexionCongenital Talipes Equinovarus (Clubfoot) CTEVDeformity involving malalignment of the calcaneotalar-navicular complex.Components of this deformity - mnemonic CAVE ...
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Diphtheria toxin is produced only by those strains of C. diphtheriae that are
All toxigenic strains of Corynebacterium diphtheriae are lysogenic for b-phage carrying the Tox gene, which codes for the toxin molecule. The expression of this gene is controlled by the metabolism of the host bacteria. The greatest amount of toxin is produced by bacteria grown on media containing very low amounts of i...
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All are true about type 1 schizophrenia except
Type I and Type II Schizophrenia: TJ Crow had divided schizophrenia into two subtypes namely, Type I and II schizophrenia. The Type I syndrome is characterised by positive symptoms while the Type II syndrome is predominantly characterised by the presence of negative symptoms. Type I syndrome is supposed to have an acut...
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Which of the following does not contribute to the formation of anorectal ring in human beings?
Ans. c. Anococcygeal raphe (Ref: BDC 5/e Vot-III/p428; Maingot 11/e p 663)Anorectal ring is a muscular ring present at the anorectal junction. It is formed by the fusion of the Puborectalis, uppermost fibers of external sphincter and the internal sphincter.BDC says 'Anorectal ring is a muscular ring present at the anor...
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Lymphatic drainage of the cervix occurs by all of the following lymph nodes, EXCEPT:
Principal nodes involved in the lymphatic drainage of cervix are the obturator, common iliac, external iliac, internal iliac and the nodes of parametrium. Lymphatics from cervix do not drain into the deep iuguinal lymph nodes.Ref: Obstetrics and Gynaecology By Sarabatnam Arulkumaran, 2011 Edition, Chapter 12, Page 472;...
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Therapeutic index of a drug is an indicator of its-
Ans. is b' i.e., Safety "Therapeutic index is the ratio between the toxic dose and the therapeutic dose of a drug, and is used as a measure of the relative safety of the drug for a paicular treatment."
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Upper reference curve in growth cha is:
50th percentile
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In the perspective of the busy life schedule in the modern society, the accepted minimum period of sexual cohabitation resulting in no offspring for a couple to be declared infertile is:
Infertility implies apparent failure of a couple to conceive. If a couple fails to achieve pregnancy after 1 year of unprotected and regular intercourse, it is an indication to investigate the couple.
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All of the following are Digastric muscles, Except:
D i.e. Sternocleidomastoid - Diagastric, Omohyoid, Occipitofrontalis, Gastroenemius, and Suspensory muscle of duodenum (i.e., muscle in Ligament of Treitz)Q are all digastric muscles i.e, muscles with two muscle bellies. Mn- "DOGS" Sternocleidomastoid muscle has two heads not two belliesQ
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Oxygenated blood from placenta goes to fetal heart via:
Ans. (b) Ductus venosusRef: D.C. Dutta 8th ed. / 36; William's Obstetrics 23rded, Ch: 4* Ductus venosus carries oxygenated blood from placenta and drains into IVC.* Ductus arteriosus is a connection between aorta and pulmonary arteries, thereby bypassing lung. Persistence of ductus arteriosus leads to a congenital hear...
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Schneider's first rank symptoms is seen in: March 2011
Ans. D: Schizophrenia Ku Schneider (1959) described symptoms which, though not specific of schizophrenia, were of great help in making a clinical diagnosis of schizophrenia These are popularly known as Schneider's first rank symptoms of schizophrenia (FRS/ SFRS)
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Focal lupus nephritis in renal biopsy specimen belong to which class of SLE nephritis according to the international society of nephrology and renal pathology lassification:
Classification of Lupus Nephritis (International Society of Nephrology and Renal Pathology Society) Class I: Minimal Mesangial Lupus Nephritis Class II: Mesangial Proliferative Lupus Nephritis Class III: Focal Lupus Nephritis Class IV: Diffuse Lupus Nephritis Class V: Membranous Lupus Nephritis Class VI: Advanced Scler...
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All of the following are tumor necrosis factor
Abciximab is a Fab fragment of the chimeric human-murine monoclonal antibody 7E3. Abciximab binds to the glycoprotein (GP) IIb/IIIa receptor of human platelets and inhibits platelet aggregation by preventing the binding of fibrinogen, von Willebrand factor, and other adhesive molecules Ref Davidson 23rd edition pg 946
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All of the following provide good suppo to the uterus, EXCEPT:
C. i.e. Round ligament of uterus Broad ligament provide no (or very minimal) suppo to uterusQ and round ligament provide weak suppo to uterusQ
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According to Wechsler intelligence scale scoring, average IQ of a normal child is:
Ans. c. 90
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Regarding cutaneous amoebiasis which is not true ?
Ans. is 'd' i.e., The infection reaches the skin through the blood stream . Skin is involved directly over the region adjoining a visceral lesion, such as, in the areas of drainage of liver abscess or colostomy wound, in the sites of ruptured appendicular and peri-colic abscesses. . Extensive necrosis and sloughing of ...
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All of the following statements about Gleason grading system are true Except
Gleason's microscopic grading system which is based on two features:i) Degree of glandular differentiation.ii) The growth pattern of the tumor in relation to the stroma.These features are assessed by low-power examinationof the prostatic tissue. For clinical staging of prostate cancer,The TNM system is considered an in...
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Young's operation is done for:(JIPMER 2002, MP 2003, JHARKHAND 2006, MH-PGM CET 2015)
(b) Atrophic rhinitis(Ref. Scott Brown, 6th ed., 4/8/ 27)Allergic rhinitis is managed by antihistaminics, decongestants and steroid nasal spray.Vasomotor rhinitis is managed by local and systemic decongestants and if required vidian neurectomy.In viral rhinitis only symptomatic treatment is given.
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Drug of choice for lignocaine toxicity ?
Ans. is 'b' i.e., Phenobarbitone Lignocaine toxicity Lignocaine toxicity occurs with unintended intravascular administration or with administration of excessive dose Toxicity may be observed at 6 ug/ml, but more commonly occur once levels exceed 10 tg/ml. Clinical manifestations 1. CNS manifestations These are the most...
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Symbol 'X' denotes
.An "O" often is used to represent responses for the right ear and an "X" is used to represent responses for the left ear. A key on the audiogram, similar to one found on a map, identifies what the different symbols mean Hence, indicates air conduction test for left year Ref physiology textbook A. K Jain.. 3e
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In high potassium serum levels, kidney compensation occurs by?
Ans. is'c'i.e., Increased secretion in DCT[Ref: Guyton & hall p. 201Potassium transpo:Potassium is one of the few substances that are both reabsorbed as well as secreted by the renal tubules.The reabsorption of about two-thirds of the filtered K+ occurs in the proximal tubulesK+ reabsorption as weII as secretion takes ...
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All are true about Wilm's tumor, EXCEPT:
80% of children with Wilm's tumor present present under 5 years of age. The mean age of diagnosis is 3 years. 6% of patients with Wilm's tumor have bilateral disease. Bilateral disease is more common in familial type. Clinical features: Most patients presents with an abdominal mass, others can present with hematuria, h...
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A patient has rheumatic fever with carditis without any residual damage to the value. What will be the duration of penicillin prophylaxis in him
SECONDARY PREVENTION of RHEUMATIC FEVER (with and without carditis) Secondary prevention (i.e., the prevention of recurrences of RF) is a more practicable approach, especially in developing countries. It consists in identifying those who have had RF and giving them one intramuscular injection of benzathine benzyl penic...
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Which of the following are Pyrimidine bases?
In DNA and RNA, Pyrimidine bases form hydrogen bonds with their complementary purines. Thus, in DNA, the purines adenine (A) and guanine (G) pair up with the pyrimidines thymine (T) and cytosine (C), respectively. In RNA, the complement of adenine (A) is uracil (U) instead of thymine (T), so the pairs that form are ade...
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Sumatriptan is a?
SUMATRIPTAN *Selective agonist of the 5-HT1B/1D receptor *No interaction with adrenergic, dopaminergic and cholinergic receptors, GABA MOA: *Blockade of 5-HT1D/1B mediated constriction of dilated extracerebral blood vessel *Constriction of the aeriovenous shunt of carotid aery *Inhibition of release of 5-HT and inflamm...
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According to the National Programme for Control of Blindness, who are supposed to screen the school students for vision problems?
In general vision problems present with difficulty in learning at school. These children with eye sight problems undergo screening by their school teachers. These children if they tend to have refractive errors, are then referred to the health assistants and ophthalmologists. The National Programme for Control of Blind...
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In TCA cycle, citrate is conveed into, after losing a molecul of H20 -
B i.e. Cis aconitate
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All the following are examples of nominal scale except-
Nominal scale is used for qualitative data. Blood pressure is quantitative data, which is used on the ratio scale. Race, sex and Iris color are qualitative data.
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Nausea and vomiting are common in pregnancy. Hyperemesis gravidarum, however, is a much more serious and potentially fatal problem. Findings that should alert the physician to the diagnosis of hyperemesis gravidarum early in its course include
Hyperemesis gravidarum is intractable vomiting of pregnancy and is associated with disturbed nutrition. Early signs of the disorder include weight loss (up to 5% of body weight) and ketonuria. Because vomiting causes potassium loss, electrocardiographic evidence of potassium depletion, such as inverted T waves and prol...
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Fat mesentry is sent for investigation in which poisoning-
Ans. is 'b' i.e., Organophosphorous For organophosphorous (pesticides/insecticides) poisoning fatty tissue from abdominal wall, perinephric fat and brain are preserved. The viscera should be preserved in cases of suspected poisoning and must be send for toxicological examination. The viscera are preserved according to ...
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A 26 year old third gravida mother delivered a male baby weighing 4–2 kg at 37 weeks of gestation through an emergency caesarean section, for obstructed labour. The child developed respiratory distress one hour after birth. He was kept nil per orally (NPO) and given intravenous fluids. He maintained oxygen saturation o...
Respiratory distress, which resolves within 24 hours without any respiratory support and fluid in interlobar fissure on chest X-ray suggest the diagnosis of TTN.
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Which of the following is not a cardioselective beta blocker -
Ans. is 'd' i.e., Oxprenolol Selective Px blockers are (cardioselective):1. Atenolol3. Bisoprolol5. Celiprolol7. Metoprolol2. Acebutalol4. Betoxolol6. Esmolol8.Nebivolol o These agents are preferred in DM, hyperlipidemia, PVD, asthma.Selective(b2)Butoxamine (has been removed from 6th/e of KDT)Beta-blockers with intrins...
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Normal capillary wedge pressure
Ans. (b) 5-10mmHgRef: Ganong, 25th ed/p.574Mean Pulmonary capillary wedge pressure (PCWP)=9mmHg (Range - 4 to 12 mm Hg)PCWP is usually measured using a balloon-tipped, multilumen catheter called Swan-Ganz catheter
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MRI is the Investigation of choice for which of the following?
Contrast-enhanced MRA is sufficiently sensitive to be used as a screening test for stenosis of the main renal aery. MRA has lower spatial resolution compared with conventional film-based angiography, and therefore the detection of small-vessel abnormalities, such as vasculitis and distal vasospasm, is problematic.
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A boy presented in the OPD with minimal pleural effusion on the right side. The best method to detect this would be :
Ans. is 'c' is Right lateral decubitus chest X-ray Most dependent recess of the pleura is the posterior costophrenic angle*.So in pleural effusion this recess would be filled earliest. But at least 100-200 ml of fluid would be required to fill this recess before it can be detected on a PA view.Therefore in cases of min...
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Acanthosis nigricans is associated with malignancies and: March 2013
Ans. C i.e. Insulin resistance Acanthosis nigricans Characteristic of acanthosis nigricans: - Dark, - Thick, - Velvetty skin (in body folds and creases) MC cause of acanthosis nigricans: Type 2 DM Internal malignancies associated with acanthosis nigricans: - Adenocarcinoma lungs, - Carcinoma GIT etc.
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Which of the following is the MOST common type of female pelvis?
Gynecoid is the most common type of female pelvis. In this type of pelvis the inlet is oval or round. In the midpelvis, sides of the pelvis are straight and the spines are not prominent. At the outlet the pubic arch is wide and the sacrum is neither inclined anteriorly nor posteriorly. The configuration of this type of...
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Etiology of Quincke's edema:
Common causes of Angio or Quincke’s edema or Giant urticaria Allergic angioedema due to mast cell degranulation that leads to histamine release. Seen in IgE mediated hypersensitivity reactions. Use of ACE inhibitors, which increase the levels of bradykinin and this form of angioedema usually arises within hours of ini...
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Which of the following ligaments is derived from the tendon of semimembranosus?
OBLIQUE POPLITEAL LIGAMENT:- Expansion from the tendon of semimembranosus.Runs upwards and laterally, blends with the posterior surface of the capsule, and is attached to the intercondylar line and lateral condyle of femur.Related to politeal aery.Structures piercing the ligament:-1. Middle Genicular vessels.2. Posteri...
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Lacis cells are seen in
Question repeated
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Egocentric and magical thinking, excessive emotionality and attention seeking pattern is associated with which type of personality?
Narcissistic PD. This question best describes Histrionic PD, which is not given in the option. Hence, Narcissistic PD would be the best option as question describes egocentricity.It is a type of Cluster B PD in which person gives excessive self impoance and believes that he is special and talented and has fantasies of ...
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Consumer protection act was passed in -
For the first time in India,the Consumer Protection Act 1986 provided consumers a forum of speedy redressal of their grievances against medical services.In the entire health care delivery system the most vital sector is the medical profession (refer pgno:694 park 23 rd edition)
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Most common type of inheritance associated with consanguinity is?
Ans. is 'b' i.e., Autosomal recessive Consanguinity* Increases risk of - autosomal recessive disease* No change in risk of - autosomal dominant, X linked recessive (if neither parent affected)* Not Proven - complex late onset diseases like diabetes, schizophrenia, cardiovascular diseases
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Which of the following is not a component of mackler's triad for esophageal perforation
Mackler’s triad consists of chest pain, vomiting and subcutaneous emphysema.
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Longest pa of optic nerve -
The optic nerve is about 47- 50 mm in length and can be divided into 4 pas : intraocular (1mm), intraorbital (30mm), intracanalicular (6-9mm)and intracranial (10mm). Refer comprehensive ophthalmology 6th edition , A K Khurana , page no. 310
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medmcqa_train
Dubin Johnson syndrome characteristically makes the liver:
This rare autosomal recessive condition, characterized by conjugated hyperbilirubinemia, with normal liver transaminases, a unique pattern of urinary excretion of heme metabolites (coproporphyrin) and the deposition of a pigment, that gives liver a characteristic black color.
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In which plane of anaesthesia, movement of eyeball is lost –
At the end of plane 1 of stage III, eye ball becomes fixed.
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Treatment of choice for diphtheria carriers is:
Erythromycin
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Antibodies acting predominantly on the mucosal cells belong to -
- IgA is selectivity concentrated in secretions and on mucus surfaces forming an antibody paste and is believed to play an impoant role in local immunity against respiratory and intestinal pathogens. - inhibits the adherence of micro organisms to the surface of mucosal cells by covering the organisms and thereby preven...
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medmcqa_train
Paradoxical undressing is seen in: MAHE 06, 10; CMC (Vellore) 10
Ans. Hypothermia
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Important clues of diagnosis chronic renal failure(CRF) Except
D. i.e. (Hypertension) (269 - H17th)SyndromeImportant clues to DiagnosisFindings that are common Azotemia for > 3 monthsProteinuriaCHRONICProlonged symptoms or sign of uremiaCastsRENALSymptoms or sign of renal osteodystrophyPolyuria nocturiaFAILUREKidney reduced in size bilaterallyEdema Hypertension Broad casts in urin...
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medmcqa_train
Busacca's nodules:
Ans. Consists of lymphocytes, plasma cells, epitheloid and giant cells
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"Row of tomb stones" appearance is a feature of -
Ans. is 'a' i.e., Pemphigus o Repeat from previous sessions.
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Which is the BEST method to diagnose a case of Mallory weiss tear?
Mallory-Weiss Tear A Mallory-Weiss tear is a linear mucosal rent near or across the gastroesophageal junction. It may disrupts the submucosal aeriole resulting in brisk hemorrhage. MUST KNOW: Endoscopy is the best method of diagnosis. Actively bleeding tear can be treated endoscopically with epinephrine injection, coap...
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medmcqa_train
Long term adverse effect of tamoxifen is
TAMOXIFEN - It is SERM - Actions Bone - | formation of bone; decrease risk of osteoporosis Blood - | HDL Breast -Decrease risk of breast cancer Liver - | clotting factor leading to thromboembolism Endometrium - | risk of endometrial cancer
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Puff of smoke appearance in cerebral angiography is a feature of
Lenticulostriate arteries form a rich collateral network around occlusive lesion - puff of smoke. Anterior circulation > posterior.
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Non-Iodine containing contrast is -
Gd DTPA is non iodine containing contrast agent
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