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All are features of psychosis except ?
Ans. is 'c' i.e., Preserved contact with reality Psychosis Psychosis is a mental state involving the loss of contact with reality, causing deterioration of normal social functioning. The characteristic features of psychosis are : - Gross impairment in reality testing, i.e., loss of contact with reality. Marked disturba...
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medmcqa_train
Most commonly injured tarsal bone ?
Ans. is 'd' i.e., Calcaneum Calcaneum is the most commonly fractured tarsal bone In 5-10% of cases fracture is bilateral Most common mechanism of injury is fall from height, often from a ladder, onto one or both heels. The calcaneum is driven up against the talus and is split or crushed. About one fifth of these patien...
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Boxer's fracture is -
Ans. is 'c' i.e., 5th metacarpal fracture EponymFractures of Upper limbMontegia fracture dislocationFracture of the proximal third of ulna with radial head dislocation.Galeazzi fracture dislocationFracture of the distal third of the radius with dislocation of the distal radio-ulnar joint.Colie's fractureFracture at cor...
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Drug of choice for treponema is:
Pencillin
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Sensations of spinothalamic tract are:
Ans: a (Pain, temperature & undifferentiated touch)Ref: Ganong, 22nd ed Pg.141Dorsal column transmits:Anterior spinothalamic tract transmits:Fine touchCrude touchVibrationPressureJoint position sense Lateral spinothalamic tract transmits:Cortical sensations:PainTactile localisationTemperatureTwo point discriminationSte...
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Which of the following causes opening of eustachian tube
The medial fibres of tensor veli palatine are attached to the lateral lamina of the tube and when they contract they help to open the tube lumen. These fibres also called dilator tube muscles. Reference: Dhingra 6th edition.
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A young lady presented with white lacy lesions in oral cavity and her proximal nail fold has extended onto the nail bed. What is the likely diagnosis –
Presence of white lacy lesions in the oral cavity and proximal nail fold prolonged on to nail bed (pterygium) suggest the diagnosis of lichen planus.
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Postmoem rigidity FIRST stas in which of the following organs?
Postmoem rigidity is first apparent in the smaller muscles eg eyelids and jaw, and then it becomes evident in the remainder. Typically it is seen first in the face, then it progresses to shoulders and and finally in the large muscle groups of the limbs (Nysten's rule). In the initial 30 minutes after death there is no ...
153,607
medmcqa_train
What is the GFR (mL/min per 1.73m2) of a patient who is in G4 category of chronic kidney disease
Reference: Harrison's Principles of Internal Medicine; 20th edition; Chapter 335 Chronic Kidney Disease , pg 2112
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Which of the following is the least common cause of ambiguous genitalia in a female child –
Placental steroid sufatase deficiency is an X-linked disorder (affects only males) that does not lead to ambiguous genitalia in a female child. 'Placental steroid suflatase deficiency is a rare X-linked disorder and all affected fetuses are males' William's 22nd/81 Congenital adrenal hyperplasia is the most common caus...
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Molar pregnancy can be best diagnosed by
USG is the investigation of choice for molar pregnancies.
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Minimum time of diagnosis for manic illness: DNB 10; AIIMS 14
Ans. 1 week
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All of the following metabolic process occur in the mitochondria, EXCEPT:
Fatty acid and triacylglycerol synthesis occur in the cytoplasm, but its precursor acetyl CoA is formed in the mitochondrial matrix. Beta oxidation of fatty acid occur in the matrix of the mitochondrion. Beta oxidation begins as soon as fatty acyl CoA appear in the matrix using repeated cycle of 4 steps. With each step...
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All of the following are features of flat type of pelvis except: (Repeat)
Ans: A (Narrow subpubic angle) Ref : Grays Anatomy 40th Ed pg.1329Explanation:All pelvic measurements display individual variation and the values quoted are means from limited surveys.Sexual and racial differences also occur.Many attempts to classify human pelves, especially female.The four most common terms used today...
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Most common site of genital tuberculosis is :
Fallopian tubes
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All are the methods of Aerial blood pressure monitoring except
Cardiovascular monitoring Noninvasive Aerial Blood Pressure monitoring methods : Palpation Doppler Auscultation Oscillometry Aerial Tonometry Invasive Aerial Blood Pressure monitoring method Aerial cannulation ( eg : radial, ulnar, femoral ,etc) Pulmonary aery catheterization Central venous catheterization Cardiac outp...
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medmcqa_train
Coccobacillus grown in BYCE medium is
Coccobacllus which have fatidious requirements and grow on complex media such as buffered charcoal,yeast extract (BYCE) agar,with L_cysteine and antibiotic supplements with 5%CO2 at PH_6.9, temperature 35degC and 90% humidity is legionella. Ref: anantnarayan and panikers 10 th edition
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Fructose absence in semen analysis suggests:
Abnormalities Low ejaculate volume may indicate: Retrograde ejaculation Ejaculatory duct obstruction Incomplete collection Androgen deficiency Azoospermia: Testicular failure Obstruction of vas deferens Absence of fructose: Seminal vesicle agenesis or obstruction
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Oschner Sherren regimen is for
Ans. b (Appendicular mass). (Ref. Bailey & Love, 25th ed., 1215)APPENDICULAR MASS# Following an attack of acute appendicitis infection is sealed off by greater omentum, caecum, terminal ileum, etc resulting in a tender, soft to firm appendicular mass.# Presence of appendicular mass is a contraindication for appendicect...
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A 35-year-old mother of two children is suffering from amenorrhea from last 12 month. She has a history of failure of lactation following second delivery but remained asymptomatic thereafter. Skull X-ray shows empty sella diagnosis is:
Ans. is c, i.e. Sheehan's syndromeRef: Williams Gynae 1st/ed, p374; Leon Speroff 7th/ed, p438; Jeffcoate 7th/ed, p582-583Here before arriving to any diagnosis lets first see the causes of:Empty Sella:* Congenital incompleteness of the sellar diaphragm.* Secondary to surgery/radiotherapy or infarction of pituitary tumor...
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Sweat glands receives cholinergic innervation from
(B) Post ganglionic sympathetic > On the basis of chemical mediator released, ANS can be divided into- Cholinergic Noradrenergic All preganglionic neurons Remaining post ganglionic sympathetic neurons Anatomically sympathetic post Ganglionic neurons which innervate sweat glands Anatomically sympathetic neurons which en...
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Commonest cause of pyometra is :
Carcinoma cervix
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All of the following are conditions associated with negative nitrogen balance, EXCEPT:
Healthy adults will be at a state of nitrogen equilibrium, i.e. nitrogen intake = Nitrogen excreted. A high protein intake does not lead to positive nitrogen balance since high-protein intake also leads to protein degradation. Large intake of proteins is not advised since protein synthesis and protein degradation are e...
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Highest concentration in extracellular compartment is of which ion-
Ans. is 'a' i.e., Na+ ComponentExtracellular fluid (ECF) (meq/1)Intracellular fluid (ICF) (meq/l)Na+K+C1-HCO3-Mg+2Ca+2PO4-21425.5103281[?]22[?]5414150410580 0001 75Protein (organic anion)5 (2g%)40 (16g %)
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Which of the following is non poisoning snake ?
Viper, Kraft and sea snake are poisons snakes. Rat snake is non-poisonous snake.
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All the following drugs are hallucinogens except
Pentostatin is an anticancer drug Hallucinogens-LSD,Phencyclidine,ketamine,mescaline etc Ref: Essentials of postgraduate psychiatry By JN Vyas 1st ed Pg. 326
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Pure opioid antagonist:
Ans. A. NaloxoneNaloxone, naltrexone and nalmefene are potent mu receptor antagonist with significant blocking action on kappa and delta. Naloxone is short acting and naltrexone is long acting. Naloxone is drug of choice for acute opioid poisoning. Naltrexone is used for maintenance therapy for opioid poisoning.
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Which of the following is false about fibroadenoma?
Fibroadenomas are benign tumors usually seen in young females. These are encapsulated and move freely within breast so they are called mouse in the breast.
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Hormone-sensitive lipase is inhibited by
Anti-lipolytic EffectInsulin inhibits lipolysis in adipose tissue due to inhibition of hormone-sensitive lipase.The increased level of FFA in plasma in diabetes is due to the loss of this inhibitory effect on lipolysis.Ref: DM Vasudevan - Textbook of Biochemistry, 6th edition, page no: 283
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All of the following are known complication of pancreatitis except?
Pancreatic malignancy is not a complication of acute pancreatitis. The other complications of acute pancreatitis are pancreatic pseudocyst, intraperitoneal haemorrhage, pleural effusion, atelectasis, pneumonia, ARDS, DIC, peptic ulcer disease, erosive gastritis, poal vein thrombosis, oliguria, azotaemia, acute tubular ...
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100 % bioavailability is seen with which route
• Bioavailability is defined as the fraction of unchanged drug reaching the systemic circulation following administration by any route. In case a drug is given orally, the bioavailability shall be less than 100%. This is due to ■ The incomplete extent of absorption ■ First pass metabolism Routes of Administration, Bioa...
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Plasma volume is measured by
Plasma volume is measured using dyes like Evans blue that bind specifically to plasma proteins. It will not diffuse into the interstitium. (REF: TEXTBOOK OF MEDICAL PHYSIOLOGY GEETHA N 2 EDITION, PAGE NO - 62)
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Orbital lesions of childhood include all of the following except
Meningiomas: These are invasive tumours arising from the arachnoidal villi. Meningiomas invading the orbit are of two types: primary and secondary. (a) Primary intraorbital meningiomas: These are also known as 'optic nerve sheath meningiomas'. These produce early visual loss associated with limitation of ocular movemen...
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Predictable and dose related drug induced hepatic injury is seen with all, EXCEPT:
There are two major types of chemical hepatotoxicity Direct toxicity-Predictable with sho latent period Idiosyncratic-Not predictable and it can happen at any time Examples of direct hepatotoxic effects Carbon tetrachloride Acetaminophen OCP INH causes idiosyncratic type reaction Hepatitis is infrequent and unpredictab...
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Alpha waves are typically seen in which of the following states:
Alpha waves are typically seen in a relaxed yet awake state. Alpha waves are one type of brain waves detected either by electroencephalography (EEG) that predominantly originate from the occipital lobe during wakeful relaxation with closed eyes. Alpha waves are reduced when eyes are opened (patient becomes ale : transi...
153,634
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What is the cause of death in dry drowning
In cases of dry drowning, water does not enter the lungs, but death results due to laryngeal spasm. Larugeal spasm occurs when there is sudden-in-rush of water into nasopharynx and larynx.
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Treatment of tinea versicolor
itraconazole is used to treat pityriasis versicolor, a suggested regimen is 200 mg/d for 7 days, with a minimum cumulative dose of at least 1000 mg being required for effective therapy. Four weeks after the sta of therapy, cure rates of 80% to 90% have been repoed.
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Topical antifungal used in treatment of Taenia carports
(Tolnaftate) (766-KDT 6th)Topical antifungal agents -Tolnaftate, Undecylenic acid, Benzoic acid, Quiniodochlor, Ciclopirox, Olamine, Sodium thiosulfateTolnaftate - effective drug for T. cruris and T. carporis - most cases respond in 1-3 weeks, because of poor penetrability it is less effective in T. pedis and other hyp...
153,637
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Vein located in anterior interventricular sulcus -
Ans. is 'a' i.e., Great cardiac vein Coronary (Atrioventricular) sulcusGreat cardiac vein, coronary sinus, Small cardiac vein, RCA, LCX.Anterior interventricular sulcusGreat cardiac vein, left anterior descending (interventricular) artery.Posterior interventricular sulcusMiddle cardiac vein, Posterior interventricular ...
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Anaesthesia used in microlaryngoscopy is –
Actually, no option is absolutely correct. However, option 'c' is the best one. Option a & b can be excluded as In microlaryngoscopy tube of smaller diameter (4-6 mm) are used. Option 'd' can be excluded as microlaryngoscopy is done either in local or general anaesthesia (not in sedation). Now we are left with option '...
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Triad of renal colic, swelling in loin which disappears after passing urine is called:
Ans. (c) Dietel's crisisRef: Bailey 26th Edition, Page 1293Dietel's Crisis: (Intermittent Hydronephrosis)* Swelling in loin with pain* Swelling disappears with pain also disappears* Large volume of urine passed
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Nitric oxide is produced from?
ANSWER: (A) EndotheliumREF: Guyton's physiology 22nd edition page 199Nitric oxide should not be confused with nitrous oxide (N2O), an anesthetic and greenhouse gas, or with nitrogen dioxide (NO2), a brown toxic gas and a major air pollutant.Nitric oxide, known as the endothelium-derived relaxing factor, or 'EDRF', is b...
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All the following are sporicidal agents except
Alcohol acts on bacteria fungi and some enveloped viruses but not spores.
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All are the phases of child sexual abuse except :
Bargainingis the stage of dying , not included in phase of child sexual abuse Child sexual abuse =Sexual behavior between achild and an adult or between two children when one of them is significantly older or uses coercion. =Phases Engagement: Sexual interaction Secrecy Disclosure Suppression
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Dialysis allows for the exchange of particles across a semipermeable membrane by which of the following actions?
Osmosis allows for the removal of fluid from the blood by allowing it to pass through the semipermeable membrane to an area of high concentrate (dialysate), and diffusion allows for passage of particles (electrolytes, urea, and creatinine) from an area of higher concentration to an area of lower concentration. Option ...
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Villous polyp of rectum manifest -
• Villous adenoma causes profuse watery diarrhea and hypokalemia, hyponatremia, hypochloremia and metabolic acidosis. • Best treatment: Submucosal resection endoscopically or surgically (Provided cancerous change has been excluded).
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The best way to cultivate M.Leprae is
M.Leprae can be cultivable in both Nine banded armadillo and foot pad of mice. But Nine banded armadillo > foot pad of mice.
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Dietary lipids are transported from intestine in -
Ans. is 'a' i.e., Chylomicrons o Dietry (exogenous) triglycerides are transported from intestine to various tissues by chylomicrons. In these tissues, LPL (in blood vessels) hydrolyses TGs into fatty acids and glycerol. Fatty acids are taken up by tissues for their use. The chylomicron is converted to chylomicron remna...
153,647
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Intracavitary electrocardiography is a diagnostic aid in-
Ans. is 'd' i.e., Ebstein's anomaly of tricuspid valve Four chambered view in two dimension echocardiogram is diagnostic as it outlines the displaced tricuspid valve.
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Requirement of Potassium in child is
Requirement of potassium in child is 1-2 mEq/kg . Reference: GHAI Essential pediatrics, 8th edition
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Proteins are separated on the basis of size by
The most widely used method for determining the purity of a protein is SDS - PAGE - Poly-acryl-amide gel-electrophoresis (PAGE) in the presence of the anionic detergent sodium dodecyl sulfate (SDS). Electrophoresis separates charged bio-molecules based on the rates at which they migrate in an applied electrical field.S...
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Myositis ossificans is an example of
Answer- C. MetaplasiaMetaplasia is a reversible change in which one differentiated cell type is replaced by another differentiated cell typel. Epithelial metaplasia2. Connective tissue metaplasiaThis transformation occurs between the mesodermally derived tissues i.e., one type of connective tissue is replaced by anothe...
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Hoffa fracture is _____:
Ans. D. Coronal fracture of the posterior part of the femoral condylesCoronal fractures of the posterior condyle (AO type B3) are called Hoffa fractures.Hoffa fragments are more commonly unicondylar and usually originate from the lateral femoral condyle. They can be occasionally bicondylar.Note: Hoffa's syndrome is the...
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Ovary develop from :
Genital ridge Friends, I am giving you a very impoant tabls. Many questions can be solvod trom lhis very table. Male and female derivatives of embryonic urogenital structures. Embryonic structures Derivatives Male Female Labioscrotal swelling Scrotumo Labia majorao Urogenilal folds Ventral aspect ot penis Labia minora ...
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Most common malignancy in maxillary antrum is -
More than 80% of the malignant tumors of paransal sinus and of nose are of squamous cell variety. Rest are Adenocarcinoma, Adenoid cystic carcinoma, Melanoma and various types of sarcomas. Maxillary sinus is the most frequently involved sinus. Other sites in decreasing order are nasal cavity, ethmoid sinuses, frontal a...
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45 Year old homeless man has chronic cough and cavitatory lesion of lungs. His sputum is positive for acid fast bacilli which of the following is the peripheral form of defense by which his body fights this infection -
Infection with the tubercle bacilli induces cell mediated immunity which manifests as delayed hypersensitivity and resistance to infection (immunity ). The only specific immune mechanism effective against tubercle bacilli is cell mediated type. The helper T cell gets activated, releasing cytokines such as interferon ga...
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The contents of the paralingual space do NOT include the?
The paralingual space is a space inside the floor of the mouth. It is bounded by the mylohyoid muscle, the lateral tongue, the hyoid bone, and the oral mucosa. The paralingual space contains the deep poion of the submandibular gland, the lingual nerve and submandibular ganglion, the sublingual gland and fold, and the h...
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Claw hand is caused by damage to?
Ans. a (Ulnar nerve). (Ref. Maheshwari, Orthopaedics, 2nd ed., 51)# Claw hand means hyperextension at metacarpophalangeal joints & flexion at the proximal & distal interphalangeal joints. This occurs due to paralysis of the lumbricals, which flex the metacarpo-phalangeal joint & extends the interphalangeal joints.# Par...
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All of the following structures passes through deep inguinal ring, EXCEPT:
Deep inguinal ring: The deep (internal) inguinal ring is the beginning of the inguinal canal and is at a point midway between the anterior superior iliac spine and the pubic symphysis. It is just above the inguinal ligament and immediately lateral to the inferior epigastric vessels. It is the beginning of the tubular e...
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Which is not a mechanism of action of corrosive poison
Corrosives - mechanism of action - Corrosive poison erodes the surface in contact by extracting water from local tissue, coagulation of protein, conve hemoglobin to hematin.
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The single most common cause of Neonatal meningitis is
(A) Group B streptococcus # Group-B streptococcus has assumed great clinical importance as the single most common cause of neonatal meningitis in the West.> Infection in the new born is classified as the early onset type occurring within a week of birth & the late onset type developing between the 2nd and 12th weeks of...
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Normal excretion of protein in urine per day is:
A i.e. 100 mgThe amount of protein in urine is normally less than 100ing/ dayQ. Most of this is not filtered and comes from shed tubular cells.
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Agent used for dilatation of pupil in children is
A i.e. Atropine
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A man had infection with Extended spectrum betalactamase (ESBL) Klebsiela pneumonae is staed with cefotaxim plus amikacin therapy. On culture sensitivity after 48 hrs ESBL Klebsiela were found. Which of the following would be the best next course of action?
Ans. is 'c' i.e., Sta imipenem therapy in place of ceftriaxone Carbapenems like imipenem are the only beta lactams reliably efficacious against ESBL producing bacteria. Drugs used for ESBL producing bacteria are: A) beta-lactamase inhibitor combination o Clavulinic acid +Amoxcillin Clavulanic acid + Ticarcillin o Sulba...
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Which of these is the best way to transport a newborn with maintenance of warm temperature?
Ans. D. Kangaroo Mother CareThe Kangaroo mother care (KMC) was first developed in Columbia in the 1970s and has since been one of the best methods for maintenance of the warm temperature of a newborn. It is also recommended during neonatal transport to maintain the neonatal temperature.
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Psammoma bodies are seen in:
Ans. A: Papillary carcinoma of thyroid A psammoma body is a round collection of calcium, seen microscopically. The term is derived from the Greek word psammos meaning "sand." Psammoma bodies are commonly seen in ceain tumors such as: Papillary thyroid carcinoma Papillary renal cell carcinoma Serous papillary ovarian ad...
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Most common cause of acute retention of urine in child of 2 year age -
Ans. is 'c' i.e., Meatal ulceratin with scabing o Dont get confuse by option 'a' ? Though posterior urethral valve is the most common cause of obstructive uropathy in children, it does not cause acute retention. It usually presents with chronic obstructive symptoms weak urinary stream, distended bladder, uremia or seps...
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The common causative agent in diarrhea in AIDS patients is -
Ans. is 'b' i.e., Cryptosporidium
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RPGN is characterized by:
Ref: Robbins Pathologic Basis of Disease, 8th editionExplanation:RAPIDLY PROGRESSIVE (CRESCENTIC. GLOMERULONEPHRITIS (RPGN)RPGN is form of severe glomerular injury which does not denote to a specific etiologyit is characterized clinically bv rapid and progressive loss of renal function associated with severe oliguria a...
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Example of Cou of Appeal: MAHE 11
Ans. High Cou
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Which of the following is labile cell -
Ans. is 'd' i.e., Surface epithelium o When a cell proliferates, it pass through a cell cycle,o Cell cycle has a series of phases : -* Gtphase-Rest phase (Presynthetic phase)* Sphase-Synthetic phase in which synthesis of DNA takes place.* Gphase-Resting phase (Postsynthetic or postmitotic phase).* Mphase-Mitotic phase ...
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To find out whether the water has been properly chlorinated, the test used is -
Ans. is 'b' i.e., Oh o-toludine test
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Whoever malignantly does an act which is likely to spread infection of any disease dangerous to life is punishable under
- Sec.270 IPC - Whoever malignantly does an act which is likely to spread infection of any disease dangerous to life is punishable up to 2 years or with fine or both - Sec.269 IPC - Whoever negligently does an act which is likely to spread infection of any disease dangerous to life is punishable up to 6 months or with ...
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Prophylactic antifungal drug used in HIV patients:
A i.e. ItraconazoleRef: Harrison's Principles of Internal Medicine, 19th edition, page 1252Explanation:Prophylactic Antifungal for Opportunistic Infections in HIV PatientsFluconazole 400 mg daily:For Coccidiodes immitis when CD4 count <250.For Cryptococcus neoformans when CD4 count <100.Itraconazole 200 mg daily:For Hi...
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Pharmocodynamics deals with: September 2005
Ans. B: Mechanism of action of a drug Pharmacodynamics is the study of the physiological effects of drugs on the body or on microorganisms or parasites within or on the body and the mechanisms of drug action and the relationship between drug concentration and effect. Pharmacokinetics/PK, is a branch of pharmacology ded...
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4 year old child with severe wasting and voracious apetite without pedal edema -
Ans. is 'b' i.e,, Marasmus o See explanation of previous question.
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Gluconeogensis affect A/E :
D i.e. Growth hormone
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Duodenal blow out following Billroth gastrectomy most commonly occurs on which day:
Ans. (b)4th dayRef: Shackelford 7th Edition, Page 930, 944* Most common on 4th to 7th postoperative day.* No need to do surgery immediately. Only USG-guided drainage is enough. Most of them settle by maximum 1 month.
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A 42-year-old woman gives birth to a neonate with multiple congenital abnormalities. Physical findings included a flat facial profile, slanted eyes, epicanthal folds, Brushfield spots, short nose, short neck, dysplastic ears, clinodactyly, a large protruding tongue, and a pronounced heart murmur. As an adult, the brain...
One of the most intriguing neurologic features of Down syndrome is its association with Alzheimer disease. The morphologic lesions characteristic of Alzheimer disease progress in all patients with Down syndrome and are universally demonstrable by age 35 years. These changes in the brain include (1) granulovacuolar dege...
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A patient was treated for mantle cell Hodgkin lymphoma with radiation therapy. After 6 months he develops an electric shock-like pain along the spine on flexing his neck. What is the diagnosis?
Disease Features Cervical Ahritis Presents with stiffness in neck muscles and reduced neck movements Lhermite Sign -Seen in cervical spinal cord pathology -When neck flexion produces an unpleasant electric shock sensation radiating down the extremities Uthoff Sign -Multiple sclerosis -Worsening of symptoms like fatigue...
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A 43 year old man with continuous vomiting is suspected of having acute cholecystitis. On palpation guarding of the abdomen was present. Which of the following investigation exclude acute cholecystitis in this patient?
Ultrasonography is the most useful radiologic test for diagnosing acute cholecystitis. It has a sensitivity and specificity of 95%. In addition to being a sensitive test for documenting the presence or absence of stones, it will show the thickening of the gallbladder wall and the pericholecystic fluid. Focal tenderness...
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Plumbism is caused by: (PGI June 2009)
Ans: A (Lead poisoning) Plumbism/Saturnism/Chronic Lead Poisoning: Short Review# Lead poisioning is nearly always of the chronic type.# Although chronic poisoning correctly describes prolonged exposure, manifestations often are acute.The main signs & symptoms are :Facial pallor Q -is one of the earliestQ & most consist...
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What is true about Mollaret meningitis?
Harrison's principles of internal medicine 17th edition. *Most of cases of recurrent viral or aseptic meningitis including cases previously diagnosed as mollaret's meningitis are likely due to HSV-2.
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Intrapleural Pressure during forceful expiration is
Intrapleural Pressure: (ITP) / Intrathoracic Pressure It is the pressure within pleural space (space between visceral and parietal pleura) At beginning of inspiration = -2.5 mm Hg / - 5 cm H2O At end of inspiration = - 6.0 mm Hg / - 10 cm H2O At end of expiration = - 2.5 mm Hg / - 5 cm H2O Forceful inspiration = - 20 ...
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Auspitz sign is seen in :
Ans. is 'b' i.e. Plaque-type psoriasis Auspitz sign is a feature of plaque psoriasisPlaque psoriasis or psoriasis vulgaris in the most common form of psoriasis.Auspitz signIt is a bedside test to confirm the clinical presentation of psoriasis.There are 3 steps to this testStep A -Gently scrape the lesion with a glass s...
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Which of the following drugs can produce dramatic improvement in patients with Type II lepra reaction?
Ans. a (Thalidomide). (Ref. Harrison, Internal Medicine, 15th ed., 1038)Treatment of Type I Lepra reactionTreatment of Type II Lepra reaction# Best with corticosteroids.# Thalidomide ineffective in Typel reaction and clofazimine questionable.# In mild reaction give antipyretics# Then glucocorticoids# Thalidomide causes...
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Maximum level of beta HCG is seen on which day of gestation?
Ans. is 'b' i.e., 9 weeks o Maximum levels of beta HCG occur on 66th day of pregnancy, i.e. 9 weeks 3 days.Human Chorionic Gonadotropino Produced almost exclusively in placenta, low levels in fetal kidneyo Molecular weight - 36000 - 40000 Da.o Highest carbohydrate content of any hormone - 30 percent.o It has a long hal...
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Which among the following class of antibiotics are relatively safer to use in patients on Warfarin therapy-
Newer Cephalosporins (Cefamandole, Moxalactum, and Cefoperazone) cause hypoprothrombinemia. Thus, when anticoagulants are given with cephalosporins they have an additive anticoagulant action. * Imidazoles like ketoconazole and fluconazole affect hepatic drug metabolism and lead to raised plasma level of warfarin. * Mac...
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Potts surgery:
Ans. A. Left pulmonary artery and descending aorta Ref: Park's Pediatric Cardiology for Practitioners 6th/ed pl29Explanation1. Classic Blalock-Taussig (BT) shunt, anastomosed between the subclavian artery and the ipsi- lateral PA, is usually performed for infants older than 3 months because the shunt is often thromboze...
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All of the following viruses cause pneumonia except-
complications of mumps include epididymo orchitis,meningitis ,meningoencephalitis, and less common comolicatiin include ahritis ,oophoritis ,pancreatitis etc. REF:ANANTHANARAYAN AND PANIKER'S TEXTBOOK OF MICROBIOLOGY 9TH EDITION PAGE NO:508
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The most common primary cause of intraocular tumor in children -
Malignant tumor arising from the neurosensory cells of retina due to deletion of RB gene located on the long arm of chromosome 13(13q14). Ref: ak khurana 6th edition
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Srand of DNA from which mRNA is formed by transcription is called:
Ans: a (Template) Ref: Vasudevan, 4th ed, p. 405; 5th ed, p. 424* Template strand is the one which is translocated to give mRNA.* As the codons are present in mRNA, DNA strand having the same sequence of mRNA is called coding strand / anti template strand.
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Most impoant prognostic factor for breast carcinoma is: March 2005
Ans. B: Lymph node involvement Prognostic factors include staging, (i.e., tumor size, location, grade, whether disease has traveled to other pas of the body), recurrence of the disease, and age of patient. The best indicators of likely prognosis in breast cancer remain tumour size and lymph node status, which are compo...
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In traumatic brain injury, changes in brain metabolism are seen. All are true EXCEPT
In Traumatic brain injury anaerobic condition prevails. So brain cells switch to anerobic metabolism producing increasing amount of lactate (Option B is correct). Now if this lactate is getting utilized as energy source within brain cells through TCA it is associated with good prognosis (means tissue is recovering from...
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Ketone bodies are synthesised in:
Ketone bodies are two molecules, acetoacetate and hydroxybutyrate.The term "ketone body" is historical: only acetoacetate is an actual ketone.Ketone bodies are synthesized in the liver from acetyl-CoA.
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Pastia's lines are seen in
Pastia's lines : Rash gets concentration in axilla and grain. It is seen in Scarlet fever.
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In anal sex what is the child passive agent called-
Ans. is 'a' i.e., Catamite Sodomyo Anal intercourse between two males or between a male and female is referred to as sodomy.o It is also called buggery.o It is called gerontophilia when the passive agent is adult,o It is called paederasty when the passive agent is a child,o Catamite is the name given to the child who i...
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In posterior capsular cataract, treatment is
B i.e. Nd-YAG laser Nd. YAG (Neodymium-Yttrium-Aluminium-Garnet) laser is used for posterior capsulotomy in after cataract.Q After cataract/ Secondary cataract/ Posterior Capsular Opacification (PCO) - It is the opacity which persists or develops after ECCE - It may present as thickened posterior capsule or dense membr...
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A 2 yrs old child comes with 1 year h/o of generalised edema. His B.P. is 107/70mm urine examination shows hyaline cast, proteinuria +++, WBC & RBC are nil. the likely diagnosis is -
Ans. is 'a' i.e., Selective proteinuria It is a case of nephrotic syndrome due to minimal change disease (MCD). o MCD is the most common cause of nephrotic syndrome in children* Microscopic findings of urine in MCD Protenuria o Principally albumin (which is a low molecular weight protein) a High molecular weight protei...
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A patient's urine is collected for 2 hours, and the total volume is 600 milliliters during this time. Her urine osmolarity is 150 mOsm/L, and her plasma osmolarity is 300 mOsm/L. What is her "free water clearance"?
Free water clearance is calculated as: urine flow rate (600 ml/2 h, or 5 ml/min) - osmolar clearance (urine osmolarity x urine flow rate/plasma osmolarity). Therefore, free water clearance is equal to +2.5 ml/min.
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