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Marquios disease not seen is
Morquio syndrome is an inherited disease of metabolism in which the body is missing or doesn&;t have enough of a substance needed to break down long chains of sugar molecules called glycosaminoglycans (formerly called mucopolysaccharides).SymptomsAbnormal development of bones, including the spineBell-shaped chest with ...
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Corneal dystrophies are –a) Macularb) Granularc) Latticed) Moorense) Fuchs
Macular, granular and lattice dystrophies are stromal corneal dystrophies. Fuch's dystrophy is posterior (endothelial) corneal dystrophy.
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Leaving the capsule behind in cataract surgery is advantageous because it –a) Prevents cystoid macular edemab) Decreases endothelial damagec) Progressively improves visiond) Decreased chance of retinal detachmente) Decreased chance of endophthalmitis
First keep in your mind that any of the described complication can occur with either ICCE or ECCE. However, ECCE (leaving capsule behind) decreases the chances of many complications. Complications decreased by ECCE are :- Vitreous prolapse & loss Endophthalmitis      Cystoid macular edema Aphakic glaucoma        Fibr...
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Pointing index sign is seen in ---- nerve palsy -
Pointing index (oschner's clasp test) is seen in high median nerve palsy.
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Investigation of choice in upper GI bleeding is
"Upper endoscopy is the test of choice in patients with UGIB" "Whenever GI haemorrhage is thought to derive from a source proximal to the ligament of Treitz, or whenever the issue is in doubt, the first invasive diagnostic maneuvre should be upper GI flexible endoscopy. This technique has a diagnostic accuracy of appro...
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A rapid method of chromosome identification in intersex is -
Ans is a. ie. FISH * The above-mentioned site writes about FISH- * "FISH can be used in interphase cells to determine the chromosome number of one or more chromosomes as well as to detect some specific chromosome rearrangements that are characteristic for certain cancers. The primary advantage of interphase FISH is tha...
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Which one of the following statements about EEG is true?
(A) Alpha rhythm is most marked at parieto-occipital area # Alpha Rhythm > In adult humans who are awake but at rest with the mind wandering and the eyes closed, the most prominent component of the EEG is fairly regular pattern of waves at a frequency of 8-12 Hz and an amplitude of 50-100 uV when recorded from the scal...
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The vasodilator involved in autoregulation of the coronary blood flow is:
NO and adenosine both fit as the probable candidates. However, single best response would be adenosine, and NO could be taken as the mediator of the adenosine action. As per the Berne's hypothesis: When myocardial O2 demand increases (as during increased hea rate) -> increased breakdown of ATP in the myocardial cells -...
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Which one of the following enzymes provides a link between glycolysis and the citric acid cycle?
PDH complex consist of 3 Enzymes and 5 Coenzymes Three enzymes are: Pyruvate Dehydrogenase bound to Thiamin Diphosphate Dihydrolipoyl Transacetylase, the prosthetic group is oxidised Lipomide Dihydrolipoyl  Dehydrogenase, contains FAD. Coenzymes (very important) Thiamine Diphosphate (TDP) Lipomide Coenzyme A FAD NAD...
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A 30-year-old male HIV positive on antiretroviral therapy has pain in right hip region. Flexion, abduction and external rotation deformity of right hip for 2 months, what is the most likely diagnosis?
(b) TB hip in HIVAVN hip in HIVIncidenceMore CommonLess CommonDeformityFABER-stage of synovitis may be prolonged on treatment, then subsequently with onset of arthritis - FADIRLimitation of abduction and internal rotation so initially position is adduction and external rotation (opposite to movements limited) and than ...
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A 32 year old male is diagnosed of having acute myeloid leukemia. His total WBC count was less than normal initially. Which of the following factor has a bad prognosis in AML?
Prognostic factors of acute myeloid leukemia (AML): Advancing age is associated with a poorer prognosis, in pa because of its influence on the patient's ability to survive induction therapy. The leukemic cells in elderly patients more commonly express the multidrug resistance 1 (MDR1) efflux pump that conveys resistanc...
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All of these are true about GnRH analogues used in treatment of endometriosis , EXCEPT?
GnRH is given continuously to downregulate and suppress pituitary gonadotropins and cause atrophy of endometriotic tissue. The risk of osteoporosis increases after prolonged use as the estrogen mediated osteoblastic action stops while the estrogen independent osteoclast action continues Add back therapy is given to red...
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Final common metabolism of atracurium, mivacurium and succinylcholine are by:
Ans: c (Hydrolysis) Ref: KDT, 6 ed, p.25, 345; Harper 27 ed, p.96The final common pathway in the metabolism of all the three involves hydrolysis by an esterase.The cleavage of a drug molecule by taking up a water molecule; occurs in liver, intestine, plasma and other tissues.E.g.: choline esters, lignocaine, procaine, ...
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A 24 year old male presents with altered sensorium and rapid shallow breathing. ABG shows:pH 7.2, sodium 140, bicarbonate 10 and chloride 98. Probable diagnosis is -
usually happens because your body doesn't have enough insulin. Your cells can't use the sugar in your blood for energy, so they use fat for fuel instead. Burning fat makes acids called ketones and, if the process goes on for a while, they could build up in your blood. That excess can change the chemical balance of your...
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The Colposcopic features suggestive of malignancy are all except :
White epithelium
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A 25-year-old woman presents to the emergency department with symptoms of nausea and vomiting of 2 days duration. She is not on any medications and was previously well until now. The physical examination is normal except for a postural drop in her blood pressure from 110/80 mm Hg supine to 90/80 mm Hg standing. Her ser...
Urea is filtered at the glomerulus, and thereafter, any movement in or out of tubules is a passive process depending on gradients, not secretion. Reabsorption of urea in the distal tubule and collecting duct, when urine flow is reduced, results in the disproportionate elevation of urea nitrogen over creatinine in prere...
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Definitive treatment of hypermagnesemia is?
Hemodialysis REF: Harrison's 17th ed chapter 346 HYPERMAGNESEMIA: TREATMENT Successful treatment of hypermagnesemia generally involves identifying and interrupting the source of magnesium and employing measures to increase magnesium clearance from the BCF. Use of magnesium-free cathaics or enemas may be helpful in clea...
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Which of the following is not true of polymethylmethacrylate?
PMMA is a transparent resin of water-like clarity that is transparent to light in the visible and ultraviolet range down to a wavelength of 250 nm. It is a hard resin with a Knoop hardness number of 18 to 20 KHN. It has a tensile strength approximately 60 MPa, a density of 1.19 g/cm3 and a modulus of elasticity of appr...
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Most common organism involving allograft transplant:
Ans. (c) VirusesRef: Bailey 26th edition, Page 1415* Most common infection in allograft transplant--Viral infection* Risk of infection is the greatest during first 6 months* Chemoprophylaxis is important for high-risk patients* Cytomegalovirus is a major problem* Most common malignancy after transplant: Post-transplant...
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A young boy presents with dark patches with itching. On rubbing there is appearance of wheal. Diagnosis is -
Ans is 'b' i.e. Urticaria pigmentosa Urticaria pigmentosao Urticaria pigmentosa (also known as "Generalized eruption of cutaneous mastocytosis (childhood type)) is the most common form of cutaneous mastocytosiso Urticaria pigmentosa is most common in children. It can also occur in adultso Urticaria pigmentosa occurs wh...
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True about western blot:
A i.e. Separation of proteins are based on mass; B i.e. SDS-PAGE electrophesis is used for separation; C i.e. Enzyme linked antibodies are used
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Adult polycystic kidney disease is-
Ans. is 'a' i.e., Autosomal dominant Summary of Renal cvstic disease InheritancePathologic featuresClinical features of ComplicationsTypical outcomeAdult polycystic kidney diseaseAutosomaldominantLarge multicystie kidneys, liver cysts, berry aneurysmsHematuria, flank, pain, urinary tract infection, renal stones, hypert...
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Imiquimod is used in treatment of anogenital was acts mainly as:-
Topical immunomodulation with imiquimod 5% cream is used for treatment of: genital was superficial basal cell carcinoma actinic keratoses Acts on Toll-like receptor 7 (TLR-7). This is a cell surface receptor found on cells of monocyte lineage. Interaction of TLR-7 with ligands activates a signalling pathway, leading to...
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The key enzyme in urea synthesis is -
Ans-B
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Ovulation is presumed to have occurred if progesterone level is __________ on day 21
Ovulation can be safely assumed to have occurred if progesterone level exceeds 3 ng / mL on cycle day 21.
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A 37-year-old obese female presents with pain in her left wrist and abnormal sensations, numbness, burning and tingling in her left thumb, index, and middle fingers and some part of ring finger. The pain is severe and wakes her up at night. She works as a typist and pain increases with typing all day. Nerve conduction ...
Answer: b) Inability to oppose the thumb to other digits.Patient is suffering from "carpal tunnel syndrome".It is a medical condition in which the median nerve is compressed as it passes through the carpal tunnel deep to the flexor retinaculum at the wrist.The patient's occupation as typist may have predisposed the pat...
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Which of the following is a characteristic feature on culture of Streptococcus pneumoniae organism?
These findings are used to identify Streptococcus pneumoniae. Optochin sensitivity is used to differentiate the viridans streptococci (resistant) from S. pneumoniae (sensitive). Another test used to identify S. pneumoniae is the Quellung reaction. The only medically impoant optochin-sensitive organism that gives a posi...
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A person had an episode of dengue serotype 1, after 2 years with serotype 2. What will be effect of this episode?
Ans. b. Increased chances of DHFPATHOGENESIS OF DENGUE VIRUSPrimarily dengue infection occurs when a person is infected with dengue virus for the first time with any one serotype.Months to years later, a more severe form of dengue illness may appear (Called secondary dengue infection) due to infection with another seco...
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Insane paresis is associated with -
Ans. is 'a' i.e., Syphilis General paresis of insane Is a form of neurosyphilis, peaks in incidence 10 to 20 years after untreated Treponemapalliduminfection.It often stas with subtle cognitive and emotional changes, such as problems with concentration and irritability, and, if untreated, can lead to memory loss, confa...
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A two-month-old infant is brought to the hospital emergency with marked respiratory distress. On examination, the infant has cyanosis and bilateral crepitations. Hea rate is 180/min, respiratory rate 56/min and the liver span 7.5 cm. The child has had repeated episodes of fever, cough and respiratory distress since the...
Ans. is 'b' i.e., Transposition of great aeries
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Facilitated diffusion is characterized by all except
This process is called passive transpo orfacilitated diffusion, and does not require energy. The solute can move "uphill," from regions of lower to higher concentration. This process is called active transpo, and requiressome form of chemical energy. Ref ganong's review of medical physiology 25e p102
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Which of the following is an enrichment media: September 2009
Ans. D: All of the above Culture media may be classified into several categories depending on their composition or use. A chemically-defined (synthetic) medium is one in which the exact chemical composition is known. A complex (undefined) medium is one in which the exact chemical constitution of the medium is not known...
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Which prostaglandin is used in NSAID induced ulcer?
Ans. is 'a' i.e., Misoprostal o Misoprostol (PGE1 analogue) is used for prevention and treatment of NSAID induced ulcer, but DOC is PPI.
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Which one of the following is not true regarding fibrolamellar carcinoma?
Unlike HCC, fibrolamellar Ca is not associated with HBV infection. Fibrolamellar carcinoma characteristically manifests as a large hepatic mass in adolescents or young adults. Most patients present in the 2nd or 3rd decade of life. Cirrhosis; elevated a-fetoprotein levels; and typical risk factors for hepatocellular ca...
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35 year old female diagnosed to have hyper thyroid disorder. Her thyroid follicle lined by
Normal thyroid follicle - simple cuboidal Hyper thyroid follicle - simple columnar Hypo thyroid follicle - simple cuboidal
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Drugs used for treating schizophrenia are chiefly:March 2010
Ans. D: AntipsychoticAntipsychotics have been a mainstay of therapy for schizophrenia since the introduction of chlorpromazine in the mid-1950s, which revolutionized treatment.Atypical/second generation antipsychotic drugs, such as riseperidone, olanzapine, quetiapine. Aripiprazole, and ziprasidone, are more commonly u...
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Most common glial tumor
Astrocytomas are the most common tumours among all other gliomas .....and in astrocytoma infiltrating type has an occurrence of 80 percent of all cases. REF : Robbins and cotrans , 9e , pg : 1306
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The malunion of supracondylar fracture of the humerus most commonly leads to:
Ans. is 'b' i.e. Cubitus varus Repeat Q no. 146 Dec 1997Malunion is the most common complication of a supracondylar fracture and results in a cubitus varus deformity also k/a Gun stock deformity.Although cubitus varus is cosmetically unsightly, it does not have any significant functional disability, so it is corrected ...
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A good indicator of the availability, utilization and effectiveness of health care services in a country is?
Ans. is 'c' i.e., Infant moality rate o IMR is considered a sensitive index of health services as it reflects maternal care, perinatal care, child rearing practices, nutritional practices, and socioeconomic conditions in which people live as well as availability, effectiveness and utilization of health care services. "...
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Following are complications of chicken pox except
Chicken pox is caused by varicella zoster virus ,a DNA virus of Herpes virus family . It is present in respiratory secretions and skin lesions of an affected child . The poal of entry is the respiratory tract. Secondary bacterial infections of skin lesions is fairly common and occasionally result in necrotising fasciti...
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One day after a casual sexual encounter with a bisexual man recently diagnosed as antibody-positive for HIV, a patient is concerned about whether she may have become infected. A negative antibody titer is obtained. To test for seroconversion, when is the earliest you should reschedule repeat antibody testing after this...
Persons at high risk for infection by human immunodeficiency virus (HIV) include homosexuals, bisexual males, women having sex with a bisexual or homosexual paner, intravenous drug users, and hemophiliacs. Antibody titer usually becomes positive 6 to 12 weeks after exposure, Because of occasional delayed appearance of ...
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when Va/Q is INFINITY , it means
V/Q IS INFINITY WHEN DEAD SPACE IS 0 REF : HARISSONS 21ST ED
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Dose of levonorgestrel used for emergency contraception:-
Levonorgestrel is Doc for emergency contraception 0.75 mg tablets ( 2 tablets) 12 hrs apa. 1.5 mg tablet ( 1 tablet ) within 72 hrs. This is the only method of emergency contraception approved for use by Drug Controller of India Note:- IUCD - used up to 5th day after intercourse.
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pANCA positive vasculitis is
Answer- b. Churg - Strauss syndromePANCATypically found in:MicroscopicpolyangiitisChurg-StrausssyndromeIdiopathiccrescenticglomerulonephritisGoodpasteur'ssyndrome.pANCA's are also associated with ceain non-vasculitic entities such as ceain rheumatic and nonrheumatic autoimmune diseases, Inflammatory bowel diseases, cea...
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Transmission of HIV infection from infected mother to child occurs most commonly during -
Ans. is 'c' i.e.. During labour
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The position adopted for tonsillectomy is also adopted for this procedure. -
The position of a patient during tonsillectomy is Rose's position, i.e. patient lies supine with head extended by placing a pillow under the shoulder. Rose's position is used in the ENT for : Tonsillectomy, Adenoidectomy, Tracheostomy.
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Ectopia lends is a feature of:
Ans. d (All of the above)CAUSES OF LENS DISLOCATIONDiseases that can be associated with subluxation or dislocation of the lens# Sharp and in particular blunt injuries (globe contusion)# Metabolic disorders- Marfan syndrome- Homocystinuria- Weil-Marchesani syndrome- Hyperlysinemia- Sulfite oxidase deficiency- Ehlers-Dan...
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Onset of post spinal headache is usually at___ hours after spinal anesthesia
Post spinal headache or post dural puncture headache has onset usually on second or third day post procedure. It is an occipital type of headache, aggravated on sitting and relieved in recumbent position
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Indira Gandhi Matritva Sahyog Yojana is for ?
Ans. is d i.e., > 19 years old o The Indira Gandhi Matritva Sahyog Yojana (IGMSY) is a flagship program of the government of India introduced in 2010 under the Ministry of Women and Child Development. o It is a conditional cash transfer scheme that targets pregnant and lactating women 19 years of age and older who have...
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All of the following may be causes of precocious puberty in girls except –
Congenital 21 hydroxylase deficiency causes precocious puberty in male due to excess of androgens. In female, it results in virilization.
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Phencyclidine is also known by all except
Phencyclidine - other names - Cadillac, Peace pill, Rocket fuel, Hog, Goon, Angel dust, Super grass - It is used as psychedelic and hallucinogen. - LSD - White lightening - Phencyclidine also causes Dissociative Anaesthesia.
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Death caused by exclusion of air from the lungs by means other than compression at neck and drowning.
Suffocation literally means to die as a result of not being able to breath or to have difficulty in breathing. Deprivation of oxygen can be by one of the following ways. By lack of oxygen in the atmosphere, so called environmental suffocation. From obstruction of air passages by means other than Compression of neck and...
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Which of the following is classified under Grade II acute cholecystitis according to the Tokyo Consensus Guidelines?
Tokyo Consensus Guidelines for severity grading of acute cholecystitis: Grade I (mild) acute cholecystitis Acute cholecystitis in a healthy person with no organ dysfunction and mild inflammatory changes in the gallbladder Grade II (moderate) acute cholecystitis Associated with any one of the following:1. Elevated WBC c...
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Not true about Fuch's corneal dystrophy -
Fuchs dystrophy is frequently seen as a slowly progressive bilateral condition affecting females more than males, usually between fifth and seventh decade of life. Primary open angle glaucoma is its common association.Reference:Comprehensive ophthalmology,AK Khurana,4th edition,page no.118
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A lesion of the optic radiation involving the Meyer's loop causes -
Meyer's loops are the inferior most fibres of optic radiation. Damage to inferior fibres cause superior quadrantanopia.
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300 diseased people were made to undergo a test of which only 60 were positive. 40 people were found to be false positive for the test. The positive predictive value of the test is:
Ans: b (60/100)Ref: Park, 20th ed. Pg. 126 19 ed., Pg. 119Screening test resultsDiagnosisTotalDiseasedNot diseasedPositiveNegativea (True positive)c (False negative)b (False positive)d (True negative)a+bc+dTotala+cb+da+b+c+dSensitivity = a/ (a+c) x 1 (X)Specificity = d/ (b+d) x 1 (M)Predictive value of positive test= a...
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Barrette's oesophagus is diagnosed by
(B) Intestinal metaplasia # Barrett's esophagus is a serious complication of GERD.> In Barrett's esophagus, normal tissue lining the esophagus changes to tissue that resembles the lining of the intestine(columnar epithelium).> Barrett's esophagus is marked by the presence of columnar epithelia in the lower esophagus, r...
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A 50-year-old HIV seropositive male presented to the ER with multiple episodes of generalized tonic-clonic seizures. Patient is not on HAA. CD4 count was done and it was 45/ microL. O/E, Mildly arousable Disoriented No nuchal rigidity or focal neurological deficits Gadolinium enhanced MRI and MR spectroscopy were condu...
This is a case of cerebral toxoplasmosis in the setting of HIV-AIDS. MRI shows a number of lesions in the brain parenchyma with surrounding edema - suggestive of toxoplasmosis. Increased lipid peak and decreased choline peak on spectroscopy differentiates it from primary CNS lymphoma. Patients of HIV with CD4 count < 1...
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The recent treatment of short bridle passable stricture of urethra in the penile and bulbous urethra is-
Campbell says “The data show that strictures at the bulbous urethra that are < 1.5 cm in length and not associated with dense, deep spongiofibrosis (i.e. straddle injuries) can be managed with internal urethrotomy, with a 74% moderately long-term success rate.” • Internal urethrotomy refers to any procedure that opens ...
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Passavant ridge is formed by:
Some fibres of the palatopharyngeus muscle (arising from palatine aponeurosis) sweep horizontally backwards and join the upper fibres of the superior constrictor muscle to form a U-shaped muscle-loop in the posterior pharyngeal wall underneath the mucosa, which is pulled forward during swallowing to form the Passavant ...
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An 8-yr old boy presents witha gadually progessing swelling and pain since 6 months over the upper tibia. On X-ray there is alytic lesion with scleotic margins in the upper tibial metaphysis. The diagnosis is
Lytic lesions with sclerotic margins in the upper end of tibia in an 8 yr old boy suggests the diagnosis of Brodie&;s abscess. lytic lesions with sclerotic margins are seen in: simple bone cyst brodie&;s abscess osteoblastoma chondroblastoma. ref : maheswari 9th ed
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Treatment of paracetamol toxicity is
Ans. is 'd' i.e., N - acetyl cysteine Paracetamol poisoning* It is a potent hepatic toxin. A small part is converted by a liver enzyme into N - acetyl-p-benzoquinoneimine.* Glutathione and other sulphydryl compounds detoxify this substance, but in overdose NABP accumulates and causes severe centrilobular liver necrosis...
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Laryngospasm under anaesthesia can be relieved by:
Suxamethonium is depolarizing relaxant, used to revert the spasm under anaesthesia.
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Bisecting angle technique is based upon?
The bisecting-angle technique is based on a simple geometric theorem, Cieszynski’s rule of isometry, which states that two triangles are equal when they share one complete side and have two equal angles. Dental radiography applies the theorem as follows. The receptor is positioned as close as possible to the lingual su...
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Postpaum tubectomy in a hea disease patient is done at
Sterilization should be considered with the completion of the family at the end of first week in the puerperium under local anaesthesia throught abdominal route by minilap technique. If the hea is not well compensated the husband advised for vasectomy.
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Liver synthesises all except
Immunoglobulins are synthesized by the B-lymphocytes.
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Hereditory spherocytosis is due to deficiency of-
HS is caused by diverse mutations that lead to an insufficiency of membrane skeletal components. The pathogenic mutations most commonly affects ankyrin, band 3, spectrin, or band 4.2. Ref :Robbins pathologic basis of disease ; south east asia edition ;pg:633
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How many incisions are used in the divided system approach of pars planavitrectomy?
It has the advantage of smaller instruments,easy handling,improved visualisation REF:khurana,pg no 261
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Commonest dislocation of elbow -
Ans. is 'b' i.e.. Posterior o The elbow dislocation is nearly always poserior or posterolateral.o In posterior elbow dislocation, elbow is flexed with exaggerated prominence of the olecranon.Dislocation of elbowo Dislocation of the elbow is usually caused by a heavy fall onto the outstretched hand.o The dislocation is ...
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Branching posterior spoke like cataracts (Propeller) are seen in:
Ans. Fabry's disease
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All of the following drugs are non-selective Beta blockers EXCEPT:
Non-selective beta blocker are propranolol, sotalol, timolol. Non-selective beta blockers with additional alpha blocking propey are labetalol and carvedilol. From essential of medical pharmacology K D Tripati 7th edition page no 144
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which of the following SNRI used in the management of stress urinary incontinence
SNRI * IMPOANCE Dual antidepressant like TCA but better than TCA has it has no dryness of mouth, hypotension, sedation * MECHANISM Inhibits the reuptake of both serotonin and dopamine * DRUGS VENLEFEXINE DESVENLEFEXINE DULOXETINE * USE Duloxetine===PAIN ASSOSIATED WITH DIABTIC NEUROPATHY and STRESS URINARY INCONTINENCE...
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Name the dotted line being drawn:
The subcostal plane is a transverse plane which bisects the body at the level of the 10th costal margin and the veebra body L3. The transpyloric plane, also known as Addison's plane, Imaginary horizontal plane, located halfway between the suprasternal notch of the manubrium and the upper border of the symphysis pubis a...
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Oxygen affinity increases with
Oxygen affinity increases with left shift of O2-Hb dissociation curve. It is seen in fetal hemoglobin and carbon monoxide.Oxygen affinity decreases with right shift of O2-Hb dissociation curve. It is seen in hypoxia, high altitude, anemia, acidosis, and exercise.Ref: Medical physiology for UG students, Indu Khurana, pa...
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A 36-year-old man from sub-Saharan Africa presents to the clinic with jaundice and right upper quadrant pain. On examination, the liver is palpably enlarged. Laboratory studies demonstrate an increase in liver enzymes. Computed tomography demonstrates a single large mass in the right lobe of the liver, and serum a-feto...
Aflatoxin B1 Fungal metabolite found on moldy nuts and grain Co-carcinogen with hepatitis B, Increase the incidence of hepatocellular carcinoma -C. sinensis is a parasite associated with cholangiocarcinoma. -Hepatitis A has no association with malignancy. -Polyvinyl chloride is associated with Angiosarcoma of the liver...
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Cutis anserina is a postmoem finding seen in :
Cutis anserina and postmoem lividity are two postmoem skin findings of drowning. Cutis anserina or goose skin appearance occur due to rigor mois of erector pilorum muscles of hair follicles in the skin and subcutaneous tissues. Postmoem lividity: It refers to the lividity which is seen in the dependent pas of the body....
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Third window effect is seen in
Ans. b. Dehiscent superior semicircular canal Dehiscence of bone overlying the superior semicircular canal can cause a constellation of vestibular and auditory symptoms and signs. These abnormalities can be understood in terms of the effect of the dehiscence in creating a third mobile window into the inner ear.
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All of the following are done in case of VVF except
Ans. is d. i.e. MRIRef: Shaw 16th/ed, p221 & 222The Investigation done in VVF are:* Urine culture* USG* IVP* Cystoscopy* Methylene blue 3 swab test
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Regarding yaws, all are true except:
Ans. is 'b' i.e., Sexually transmitted(Ref: Anathnarayan, 9th/e, p. 370, 377 and 8th/e, p. 377; Harrison, 19th/e, p. 1132)Penicillin is the drug of choice for all treponematosis.Non Venereal Treponemes* Mode of transmission - Direct contact not sexual.* Endemic syphilis (Bejel) - Caused by T. pallidum subsp. endemicum....
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HPV oncogene expression is
The oncogenic potential of HPV can be related to production of two early viral genes E6&E7 Together they interact with variety of growth regulating proteins encoded by protooncogene and tumour suppressor genes E6- binds to and mediate the degradation of p53 E7-binds to Rb protein and release E2F transcription factor,al...
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Adamantinoma usually arise from?
ANSWER: (D) Odotogenic tissueREF: With textAmeloblastoma (adamantinoma): It is a locally aggressive tumour that arises from the odontogenic tissue and invades the maxillary sinus. Treatment is surgical excision. (Ref: Dhingra 4th ed page 195)Ameloblastoma, which arises from odontogenic epithelium and shows no ectomesen...
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Malignant otitis externa is caused by ?
Ans. is 'c' i.e., P. aeruginosa Malignant otitis externa Malignant otitis externa, also called necrotizing external otitis, is a misnomer as it is not a neoplastic condition, rather it is an infectious condition. Malignant otitis externa is a disorder involving inflammation and damage of the bones and cailage at the ba...
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All of the following are true regarding tetralogy of Fallot except:
c. Predominantly left to right shunt(Ref: Nelson's 20/e p 2211-2217, Ghai 8/e p 420-423)Right to left shunt is seen in ToF i.e. blood going from the pulmonary circulation to the systemic circulation Physical examination in a case of TOF shows: Cyanosis and clubbing, Normal jugular venous pulse (as there is no heart fai...
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Both OX 2 and OX 19 are seen as positive test in case of:
RMSF(Rocky mountain spotted fever)
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Most common foreign body to cause penetrating injury to ciliary body
Ans. (b) Hammer and chisel Ref: A.K. Khurana 6th ed. /163, 437
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True about Mallory Weiss tear
MALLORY WEISS SYNDROME is seen in adults with severe prolonged vomiting, causing a longitudinal tear in the mucosa of the stomach at and just below the cardia, leading to severe haematemesis.Violent vomiting often may be due to a migraine or veigo or following a bout of alcohol.* Presents with severe vomiting and later...
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Esmolol is a sho acting b blocker because
* Esmolol - Shoest acting b blocker * Nadolol - Longest acting b blocker * Esmolol is metabolized by pseudocholinesterase hence it is sho acting. * Drugs metabolized by pseudocholinesterase SUCCINYLCHOLINE ESMOLOL REMIFENTANIL
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Nonavalent HPV vaccine consists of
Nonavalent HPV is 6, 11, 16, 18, 31, 33, 45, 52 and 58 Bivalent HPV is (HPV 16 and 18) Quadrivalent HPV vaccine is (HPV 6, 11, 16 and 18)
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Patients undergoing splenectomy require following vaccinations except
Postsplenectomy septicaemia may result from Streptococcus pneumoniae, Neisseria meningitides, Haemophilus influenzae and Escherichia coli. (Oppounist post-splenectomy infection (OPSI))If elective splenectomy is planned, consideration should be given to vaccinating against pneumococcus, meningococcus C (both repeated ev...
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Enzyme used in PCR is
In step 3 i.e polymerization : New DNA strands are synthesized by Taq polymerase. This enzyme is derived from bacteria Thermus acquaticus that are found in hot springs.Therefore the enzyme is not denatured at high temperature. REFERENCE : DM.VASUDEVAN.TEXTBOOK; SEVENTH EDITION; PAGE NO :638.
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Glucose is transpoed in pancreas through which receptor?
The transcellular movement of glucose, in this case, involves one additional component: a unipo (Figure 40-19) that allows the glucose accumulated within the cell to move across the basolateral membrane and involves a glucose unipoer (GLUT2).Glucose uptake into muscle and adipose tissue is controlled by insulin, which ...
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A female with depression is resistant to antidepressants. Cognitive therapy for depression was developed by:
Cognitive behavioral therapy (CBT), a structured psychotherapeutic strategy, is an effective alternative to pharmacotherapy in the initial treatment of depression, developed by American psychiatrist Aaron T. Beck. Ref: Josephson S.A. . "Cognitive Behavioral Therapy an Effective Adjunct to Medications in Treatment-Resis...
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Which is NOT a clinical feature of Addison's disease:March 2004
Ans. C i.e. HypopigmentationHyperpigmentation is a feature of Addison's disease, paicularly of sun-exposed areas and at pressure points, such as the neck, knees and knuckles.
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Which one of the following is not included as major criteria in Jones criteria?
Rheumatic fever is characterized by a constellation of findings out of which major criteria of Jones include: (1) migratory polyahritis of the large joints, (2) pancarditis, (3) subcutaneous nodules, (4) erythema marginatum of the skin, and (5) Sydenham chorea, a neurologic disorder with involuntary rapid, purposeless ...
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Absolute contraindication of conservative breast cancer therapy is
Ans. is 'b' i.e. History of previous radiation Conservative breast cancer management: Absolute Contraindications Pregnancy is an absolute contraindication to the use of breast irradiation. However, in many cases, it may be possible to perform breast-conserving surgery in the third trimester and treat the patient with i...
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Deep inguinal ring is the defect in:
Ans. d (Fascia transversalis). (Ref. BD Chaurasia, Anatomy 2nd vol., 3rd ed., 61, 177)Surgical anatomy of Inguinal region:AreaAnatomySuperficial inguinal ring# It is a triangular aperture in the aponeurosis of the external oblique and lies 1.25 cm above the pubic tubercle.# The ring is bounded by a superomedial and an ...
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Dissociative conversion disorder was previously described as -
The term "hysteria" which was once prevalent is no more in use. Instead, these disorders are now called dissociation or conversion disorders.
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All are true about trigone of bladder except ?
The wall of the urinary bladder consists of an outer serous layer, a thick coat of smooth muscle and a mucous membrane.The mucous membrane is lined by transitional epithelium.The trigone is a smooth triangular region of the internal urinary bladder formed by the two ureteral orifices and the internal urethral orifice.H...
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Most reliable method of identification is:
Ans. (B). Galton methodFingerprinting is the most specificQ method of identification.Gabon's system describes about fingerprinting.
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Regarding lung volumes, which of the following is true: March 2009
Ans. B: Residual volume keeps alveoli inflated between breaths The amount of air that moves into the lungs with each inspiration (or the amount that moves out with each expiration) is called the tidal volume (500 ml). The air inspired with a maximal inspiratory effo in excess of the tidal volume is the inspiratory rese...
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