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a1 -antitrypsin deficiency chromosome is located at:
B i.e. 14Robbins Pathology, 9th edition, page 850Explanation:Alpha 1-Antitrypsin Deficiency:a1-Antitrypsin deficiency is an autosomal recessive disorder of protein folding marked by very low levels ofcirculating a1-Antitrypsin (a1AT).a1AT deficiency leads to the development of pulmonary emphysema, because the activity ...
154,700
medmcqa_train
Name the instrument shown here:
Ans. (c) Proctoscope* The scope used to examine anus and distal rectum is proctoscope.* We cannot examine proximal rectum with this - hence it is a misnomer to name it as proctoscope.
154,701
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Chikungunya is transmitted by -
Vector Diseases transmitted Culex Bancroftian filariasis JE West Nile Fever Anopheles Malaria Filaria (outside India) Aedes Yellow fever Dengue Chikungunya Rift Valley Fever Mansonia Brugian filariasis and Chikungunya REF: PARK'S TEXTBOOK OF PREVENTIVE AND SOCIAL MEDICINE, 25TH EDITION, PG NO. 832
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A term baby girl has two episodes of bile-stained emesis at 24 hours after bih. There is a history of excessive amniotic fluid volume. The most appropriate diagnostic test is? NOT RELATED - MEDICINE
.
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According to WHO clinical staging of HIV in children oral hairy leukoplakia belongs to which clinical stages?
Oral hairy leukoplakia belongs to Clinical stage 3.
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Commonest cause of hea failure in infancy is -
Ans. is 'd' i.e., Congenital hea disease Congestive hea failure o Congestive hea failure is state in which the hea cannot produce the cardiac out required to sustain the metabolic needs of the body, without evoking ceain compensatory mechanism. o The most common cause of CHF in infants --> Congenital hea disease. o The...
154,705
medmcqa_train
Which of these is not a marker of active replicative phase of chronic hepatitis B?
Ans. (c) Anti-HBC Anti-HBC has no relation with viral replication HBV DNA, HBV DNA polymerase represent active viral replication Level of HBV DNA correlates well with the degree of liver injury as suggested by raised AST, ALT It is not compulsory in chronic active hepatitis that HBeAg is positive. Infact HBeAg negative...
154,706
medmcqa_train
Trochlear and abducent nerve pass through
Optic nerve runs backwards and medially, and passes through the optic canal to enter the middle cranial fossaInferior orbital fissure transmits maxillary nerve, the zygomatic nerve etc.Infraorbital foramen transmits the infraorbital nerve and vessels
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Upper limb counterpa of dorsal spinocerebellar tract is:
Dorsal spinocerebellar tract carries - touch, pressure & unconscious proprioception from the lower body. Cuneo- cerebellar tract is considered as the upper limb equivalent of the dorsal spinocerebellar tract Ventral spinocerebellar tract - composite pathway carrying proprioception. Vestibulo cerebellar tract - carries ...
154,708
medmcqa_train
Which among the following is not an autoimmune disease?
Ans. (d) Sickle cell diseaseRef: Robbin's pathology 9th ed. /211-15, 635* Sickle cell disease is a genetic condition which is characterized by mutation in beta globin chain of hemoglobin (glutamic acid is replaced with valine in the 6th position of beta chain).* Other given choices like SLE, Graves and MG are all autoi...
154,709
medmcqa_train
The requirement of potassium in a child is –
The recommended daily dietary intake of potassium in a child is 1- 2 meg/kg `Dietary consumption varies considerable even though 1- 2 meg/kg is the recommended intake'
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The chosen method for measurement of obesity is -
Chosen method for measurements of obesity 1. A large propoion of total body fat is located just under the skin. Since it is the most accessible, the method most used is the measurement of skinfold thickness. It is a rapid and non invasive method for assessing body fat. Ref- Park&;s textbook of Preventive and Social Med...
154,711
medmcqa_train
A man, after skinning a dead animal, developed a pustule on his hand. A smear prepared from the lesion showed the presence of Gram positive bacilli in long chains which were positive for McFadyean's reaction. The most likely aetiological agent is-(
Ans. is 'c' i.e., Bacillus anthracis . Mc Fadyean's reaction is used for the presumptive diagnosis of anthrax. . History of skinning a dead animal, development of pustule, the presence of gram (+)ve bacilli in long chains with positive Mc Fadyean's reaction are suggestive of "anthrax" caused by Bacillus anthracis.
154,712
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Hind milk is richer in:
c. Fat(Ref: Nelson's 20/e p 286-290, Ghai 8/e p 150-161)CharacteristicsFore milkHind milkWhat is it?Milk released at beginning of feedMilk released towards the end of feedRicher inWater, vitamins, minerals, proteinsFatSatisfiesThirst of babyHunger of baby
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True about kala-azar-
Kala-azar There are varity of animal reservoirs, eg., dogs, jackals, foxes, rodents, and other mammals. Males are affected twice as often as females. In India, Kala-azar is endemic in 52 districts. Incubation period, generally 1 to 4 months ; range is 10 days to 2 yrs. Ref:PARK&;S TEXTBOOK OF PREVENTIVE AND SOCIAL MEDI...
154,714
medmcqa_train
Which of the following is least likely to cause constrictive pericarditis
Causes of constrictive pericarditis include: Tuberculosis Incomplete drainage of purulent pericarditis Fungal and parasitic infections Chronic pericarditis Postviral pericarditis Postsurgical, streptococcal effusion Following MI, post-myocardial infarction In association with pulmonary asbestos Ref Harrison 20th editio...
154,715
medmcqa_train
Sinus of highmore is?
ANSWER: (B) Maxillary sinusREF: Dhingra 4th ed page 178See APPENDIX-49 "PARANASAL SINUSES" APPENDIX - 49Paranasal Sinuses:Paranasalsinus(PNS)Status at birth1stRadiologicalEvidenceBestradiologicalviewAdult sizeDrains intoCommentsMaxillaryPresent4-5 monthsWaters'view/Ocdpitomental/nose-chinposition15 yearsMiddle meatusLa...
154,716
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A patient Parul gives you the history that she has missed a single dose of her combined oral contraceptive pill. Which of the following will you advise her?
* If a woman misses one pill of OCP, she should take 2 pills next day and then continue one pill a day as usual. * If the pills have been missed for 2-3 days, then the course should be stopped-->mechanical barriers (like condom) should be used and the next course should sta from next menstrual cycle.
154,717
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The critical angle of cornea-air interface is
Critical angle refers to the angle of incidence in the denser medium, corresponding to which angle of refraction in the rare medium is 90deg. At the tear-air interface, the critical angle is approximately 46deg. Made use of in construction of gonio lenses where this interface is changed and as a result critical angle b...
154,718
medmcqa_train
Activation of which of the following receptor cause vasoconstriction?
Ans: d (ETa receptor) Ref: Ganong, 22nd ed, p. 600ET receptors:ETa - specific for endothelin 1 - G coupled- vasoconstrictionETb- Responds to all 3 endothelins - G1 coupled - vasodilatationM3 receptors cause vasodilatation by release of NO & visceral smooth muscle contraction.Nm - They are present in skeletal muscle & c...
154,719
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Local anaesthetic agent which has antimuscarinic action on hea muscle receptors is
Cocaine is a sympathomimetic (and thus antimuscarinic) local anaesthetic and thus adrenaline should not be added to it.
154,720
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Histopathology of a lung cancer shows 'Clara cells' probable diagnosis is -
Bronchioloalveolar carcinoma It is a histological type of adenocarcinoma. It occurs in the pulmonary parenchyma in the terminal bronchioloalveolar pattern. The tumor is almost always in the peripheral portion of the lung. More often it occurs as multiple diffuse nodules that sometimes coalesce to produce a pneumonia-...
154,721
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A vaccine which requires stringent condition for storage is
(Refer: K. Park's Textbook of Preventive and Social medicine, 24thedition, pg no: 222)
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Miltefosine is used in treatment of:
Miltefosine (hexadecylphosphocholine) is an oral drug that was originally studied as an antitumor agent. Subsequent to the serendipitous laboratory finding that miltefosine was active against Leishmania in vitro and, after oral administration in laboratory animals, the drug was developed in a public-private panership f...
154,723
medmcqa_train
A 54-year-old man presents with 7 weeks of facial flushing and diarrhea. His symptoms began intermittently but are becoming more constant. A 24-hour urine collection reveals an elevated level of 5-hydroxyindoleacetic acid (5-HIAA), a metabolite of serotonin. An abdominal CT scan shows a 2-cm mesenteric mass in the ileu...
One of the main secretory products of carcinoid tumors involved in the carcinoid syndrome is serotonin , which is synthesized from tryptophan. Serotonin production is characteristic of gut carcinoid tumors. Serotonin is metabolized to 5-HIAA. Therefore, finding high levels of 5-HIAA in a 24-hour urine collection in a p...
154,724
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Which is not diagnostic of antemoem drowning?
SIGNS OF ANTEMOEM DROWNING External findings: Cadaveric spasm holding grass, gravel and sand in hand Fine, white lathery froth in mouth & nose. Internal findings Presence of froth mixed with sand paicles in the trachea & bronchi (paicularly in the lower airways) Mud in the upper airway alone may be seen in post-moem dr...
154,725
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All of the following vitamins are antioxidants EXCEPT:
Ans. (b) Vitamin BRef: K. Park 23rded. 1626* Antioxidants are substances which are both nutrients and non-nutrients.* These anti-oxidants reduce the toxic effects of reactive oxygen species and nitrogen species which are generated during physiological or pathological conditions and result in oxidant damage* Vitamins wh...
154,726
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Gastric carcinoma involving the antrum with lymph node involvements. The pancreas, liver, peritoneal cavity are normal. Most appropriate surgery is ?
Ans. is 'd' i.e., None of the above Most appropriate surgery is -3 Radical subtotal gastroectomy
154,727
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Chlorine demand of water determined by -
Horrock &;s water testing apparatus is designed to find out the dose of bleaching powder required for disinfection of water Contents 6 white cups One black cup with a circular mark inside 2 metal spoons 7 glass stirring rods One special pipette Two droppers Starch-iodine indicator solution Instruction folder (refer pgn...
154,728
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Surface Immunoglobulin is found in which cell?'
Ans is 'b' i.e. B-cell o B cells recognize antigen via the B-cell antigen receptor complex. Ig M and Ig D, present on the surface of all naive B cells, constitute the antigen binding component of B-cell receptor complexo After antigenic stimulation, B cells form plasma cells that secret immunoglobulin.
154,729
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Estrogen dependent conditions are all except :
Ca. Cervix
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All of the following infections have a well recognized association with nephropathies; except:
Staphylococcus epidermidis is the commonest infection of ventriculo-atrial shunts; mesangiocapillary glomerulonephritis (GN) may result. Salmonella typhi infection can be complicated by glomerulonephritis, which may be mesangial proliferative, diffuse proliferative, or IgA nephropathy. Chronic hepatitis B virus - Membr...
154,731
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Causes of floaters in DM is: (PGI May 2010)
Ans: A (Vitreous hemorrahage) "Sometimes the onset of new floaters is secondary to Vitreous hemorrahage, often caused by advanced Diabetic retinopathy"- Parson 20th/88Vitreous detachment also cause floaters (But as Q is specifically asked about cause in MD, so should not be marked as answer)Floaters20th/88-89& www.diif...
154,732
medmcqa_train
Stenosing tenosynovitis of the flexor tendon sheath is also known as:
Stenosing tenosynovitis of the flexor tendon sheath, also known as trigger finger, is one of the most common upper limb problems to be encountered in hand surgery practice. Ref: Schwaz's principle of surgery 9th edition, chapter 44.
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Highly selective proteinuria is seen in
Loss of glomerular basement membrane (GBM) polyanion has been proposed as a cause of the selective proteinuria in minimal change nephrotic syndrome (MCNS).The exact role of charge selectivity in the pathogenesis of nephrotic proteinuria remains controversial Proteinuria that is more than 85% albumin is selective protei...
154,734
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Witness interested in concealing the truth or the part of truth is Known as:
Ans. b (Hostile witness) (Ref. Reddy FMT 23rd/pg. 10, 11)TYPE OF WITNESSHostile witness# As per sec. 191 IPC, the one who is supposed to have some interest or motive for concealing th? truth or the part of truth, or for giving completely false evidence. Both expert and common witnesses may turn out hostile.Expert witne...
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Food dependent Cushing's syndrome is a result of the aberrant expression of:
Glucose dependent insulinotropic polypeptide-Gastric inhibitory peptide ( GIP) In adipocytes - augments triglyceride storage It play role in obesity and insulin resistance GIP receptors aberrantly expressed in adrenal coex result in food dependent cushing syndrome. Ref: Sleisenger and Fordtran's, Edition-9, Page-8
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Monro-kellie doctrine is related to injury of -
Ans. (a) Head(Ref: Ganong, 25th ed/p.603)Monro - Kellie doctrine states that the skull comprises of three components namely blood, CSF and cerebral parenchyma.If any of the component increases, it is always at the cost of others.For example, if there is obstruction to CSF flow, then CSF pressure rises and it automatica...
154,737
medmcqa_train
Mucopolysaccharide that does not contain Uronic acid residue is:
Ans. D. Keratan SulphateGAG with no Uronic Acid: Keratan SulphateGAG with no Sulfate group: Hyaluronic AcidGAG not covalently linked to Protein: Hyaluronic Acid
154,738
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Which of the following is not seen in WV involvement of CNS -
Inclusion bodies [Ref : Bobbin's Thie p. 13751 Involvement of C.N.S. is a common and impoant manifestation of AIDS. In addition to the lymphoid system the nervous system is a major target of HIV infection. Macrophages and microglia cells in the central nervous system that belongs to the monocyte and macrophages lineage...
154,739
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Daily salivary secretion is -
Ans. is 'b' i.e., 1000-1500 ml Daily secretion of intestinal juicesDaily volume (ml)pHSaliva10006.0-7.0Gastric secretion15001.0-3.5Pancreatic secretion10008.0-8.3Bile10007.8Small intestine secretion18007.5-8.0Brunner's gland secretion2008.0-8.9Large intestinal secretion2007.5-8.0Total6700
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Lateral internal sphincterotomy is the treatment of choice for
ANAL FISSURE Definition An anal fissure (synonym: fissure-in-ano) is a longitudinal split in the anoderm of the distal anal canal, which extends from the anal verge proximally towards, but not beyond, the dentate line. Operative measures Historically, under regional or general anaesthesia, forceful manual (four- or eig...
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In case of female commonest hernia is ?
Ans is 'b' ie Indirect Inguinal hernia
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For a screening test, 90% specificity means that 90% of non diseased persons will give a -
a 90% specificity means that 90%of the non diseased persons will give "true negative result",10% of non diseased people screened by the test will be wrongly classified as &;;diseased" when they are not. ref:park&;s textbook of preventive and social medicine,22nd edition,pg no 131
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The abnormal preoperative pulmonary function test in a patient with severe kyphoscoliosis includes
In severe kyphoscoliosis RV is normal TLC decreased FRC decreased/normal FVC decreases
154,744
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All the following statements about atrial myxomas are true, except
Ref Harrison 19 th ed pg 1577:289e-1 In contrast to sporadic tumors, familial or syndromic tumors tend to occur in younger individuals, are often multiple, may be ventricular in location, and are more likely to recur after initial resection.
154,745
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Use of tamoxifen for breast cancer can cause all ofthe following adverse effects, exceptaEUR'
Carcinoma in contralateral breast [Ref. KDT 6/e p. 304; Goodman & 10/e p. 1440,14411 Tamoxifen is associated with reduced risk of cancer in the contra- lateral breast. - It helps in preventing the recurrence and also helps to prevent the development of new cancers in the other breast. When used as an adjuvant chemother...
154,746
medmcqa_train
Death caused by act done with intent to cause miscarriage is punishable by
Section 314 in The Indian Penal Code: Death caused by act done with intent to cause miscarriage. Whoever, with intent to cause the miscarriage of a woman with child, does any act which causes the death of such woman, shall be punished with imprisonment of either description for a term which may extend to ten years, and...
154,747
medmcqa_train
What is the ideal method to remove a retained Foley's catheter if its balloon does not deflate?
The ideal method to remove a retained Foley's catheter if its balloon does not deflate is by USG guided rupture of balloon after inflating it with 20ml water. It should be followed by a cystoscopic examination to rule out any fragments which can lead to bladder stones.
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CD 4 is not impoant for which of the following -
Opsonisation
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Which of the following families of glycoproteins plays the most impoant role in regulating the migration and differentiation of leukocytes and connective tissue cells during wound healing in a 34-year-old woman who has a benign nevus removed from her back under local anesthesia ?
The locomotion of leukocytes is powered by membrane extensions called lamellipodia. Slower moving cells, such as fibroblasts, extend fingerlike membrane protrusions called filopodia. The leading edge of the cell membrane adheres to the extracellular matrix through transmembrane adhesion receptors termed integrins -Cadh...
154,750
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Rheumatoid factor is:
Answer is D (IgM): Rheumatoid factor is. an IgM antibody directed against the Fc fragment of IgG
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Which one of the following Lymphomas is associated with HTLV-virus infection?
(C) Adult T-cell leukemia and lymphoma # HTLV-1 is associated with adult T-cell leukemia / lymphoma> Tropism for CD4+T cells> Human infection by Sexual intercourse Blood products Breast-feeding> Leukemia develop in only 3% to 5% of the infected individuals after a long latent period of 40 to 60 years. HTLV-1 is also as...
154,752
medmcqa_train
All of the following are features of thyrotoxicosis, except:
CVS FINDINGS IN THYROTOXICOSIS Most common cardiovascular manifestation is sinus tachycardia, often associated with palpitations, occasionally caused by supraventricular tachycardia. Exertional dyspnea. Hyperactive precordium with loud first heart sound, an accentuated pulmonic component of the second heart sound, and...
154,753
medmcqa_train
Which of the following drugs is used to prevent the mother-to-child transmission of HIV?
Ans. b. Nevirapine (Ref: Goodman and Gilman 12/e p1643; COGDT 10/p e692-693; Dutta 7/e p301-302; Williams 23/e p1248; Park 21/e p321; Nelson 18/e p1430-1431)Nevirapine is used to prevent the mother-to-chiid transmission of HIV."Single-dose nevirapine has been commonly used in pregnant, HIV-infected women to prevent mot...
154,754
medmcqa_train
In patients who present with a penetrating chest injury, injury to the heart is most likely when the following physical sign(s) is/are present:
Hypotension, increased venous pressure (distended neck veins), and decreased heart sounds make up the classic Beck's triad associated with cardiac tamponade. If these three findings are present in a person who has a penetrating chest wound, intracardiac injury is almost certain and operative intervention is mandatory.
154,755
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IPC 304B is for -
Ans is 'b' i.e. Dowry deatho 304-BIPC: Dowry death : 10 years of imprisonment which can extend to life.o 498-A IPC: Punishment for cruelty by husband or his relatives.Dowry deatho In some cases newly married girls are abused, harassed, cruelly treated and tortured by the husband, in-laws and their relatives for or in c...
154,756
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A 36 year old woman has noticed, absence of menses for the last 4 months. A pregnancy test is negative. Serum levels of luteinizing hormone and follicle stimulating hormone are elevated and the serum estradiol levels is low. These findings suggest :
Premature menopause
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Serotonin (5-HT) is one of several mediators of the signs and symptoms of carcinoid tumor. When released from this neoplasm, most of the manifestations of 5-HT are the result of activation of the 5-HT2 receptor. These manifestations are therefore likely to include which of the following effects?
- 5-HT2 receptors mediate smooth muscle contraction and thus cause bronchospasm and diarrhea, not constipation.- Skeletal muscle and cardiac muscle are relatively insensitive to 5-HT.- Peptic ulceration is not mediated in pa by 5-HT; the autacoid actually reduces acid secretion.
154,758
medmcqa_train
Which is not a part of proximal row of carpal bones?
Ans. D HamateRef: Kulkarni Clinical Anatomy, 2nd ed. pg. 80Proximal row of carpals (Lateral to Medial): Scaphoid, Lunate, Triquetral and Pisiform.
154,759
medmcqa_train
Epiphyseal enlargement occurs in
Epiphyseal enlargement - juvenile rheumatoid ahritis , hypehyroidism, rickets, spondyloepiphyseal dysplasia. EPIPHYSEAL dysgenesis/ fragmented or punctuate epiphysis - Hypothyroidism.
154,760
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Which of the following agents do not act GABAA Cl- channel complex receptors?
Zopiclone (non benzodiazepine hypnotics ),benzodiazepine ,thiopentone(barbiturates) all act on GABA-Cl channel ,whereas promethazin is a antihistamine drug that acts on histaminergic receptors which causes high sedation. Ref: KD Tripathio 8th ed.
154,761
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30 year old woman's PAP smear is given below. What is your next approach
The pap smear shows: → Dysplastic squamous cells → High N:C ratio → Irregular nuclear membrane → Coarse chromatin All these suggest high-grade squamous intraepithelial lesion (HSIL)
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A problem village is one wrhere -
Ans. is i.e., All of the above o A problem village has been defined as oneWhere no source of safe water is available within a distance of 1.6 km, or Where water is available at a depth of more than IS meters, orWhere water source has excess salinity, iron, fluorides and other toxic elements, orWhere water is exposed to...
154,763
medmcqa_train
Rice grains appearance with passage of proglottids in stool is seen in
(T. saginata) (144-Panikar 6th)* Most common presenting finding is the passage of proglottids in the stool in T. saginata (1315-CMDT-08).* T. solium - Autoinfection with eggs can progress to cysticercosis.* T. saginata - Commonly lives in Jejunum (Unarmed tapeworm).* The larva of T. saginata (cysticercus bovis) is not ...
154,764
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Most commonly used method of display of ultrasound is
Applications- A-Mode- Commonly used for orbital biometry,Axial Length of eyeball. B-Mode (Brightness) : Most commonly used mode. M-mode (motion): Used for valvular morphology and motion,Echocardiography and Fetal Hear Rate monitoring.
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The personnel involved in the integrated child development program of WHO is:
Anganwadi worker will guide ASHA in performing following activities:  Organizing Health Day once/twice a month. On health day, the women, adolescent girls and children from the village will be mobilized for orientation on health-related issues such as the importance of nutritious food, personal hygiene, care during pr...
154,766
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Arrange the following tumors according to the increasing age they affect. 1. Ewings sarcoma 2. Osteosarcoma 3. Osteoclastoma 4. Multiple Myeloma
AGE Tumors 1st Decade Ewing's sarcoma (Can be 5-20 years), Unicameral Bone Cyst Retinoblastoma Rhabdomyosarcoma Metastasis from Neuroblastoma 2nd Decade Osteosarcoma (Can affect all ages) Aneurysmal Bone Cyst Giant cell tumor (20-40 years-classical is 30 years) Adamantinoma Enchondroma After 40Yrs Multiple myeloma >Cho...
154,767
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A 16 years boy is accused of rape to a 12 years old girl. By which of the following, the boy can prove that he is innocent -a) No abrasion in body & genitaliab) Absence of blood & semen in cloth & genitaliac) Absence of saliva in cheekd) Age of the boy 16 yearse) Presence of smegma in penis & corpora granulosus
The absence of signs of struggle (injuries to body and vagina) and absence of exchange (blood and semen in cloth and genitalia) may be used as evidence in defences, as their presence is suggestive of rape. Presence of smegma under prepuce is inconsistent with recent intercourse as it may be rubbed during intercourse an...
154,768
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After 8 weeks of visit to female sex worker male patient develops painless ulcer over penis that bleeds on touch without any lymphadenopathy, diagnosis is?
Donovanosis (Granuloma Inguinale ) Chronic, progressively destructive bacterial infection of the genital region caused by K. granulomatis. Intracellular, gram-negative, pleomorphic, encapsulated bacterium. Genital ulcers: Single Base is beefy red, bleeds easily and painless. Indurated and elevated margins
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Ear ossicles are
Ear ossicles are malleus, incus, and stapes
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Which one of the following is not a feature of Phenylketonuria?
Ans. is `b' i.e., Reduced tendon reflexesReflexes are hyperactive.
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Which of the following is least likely to cause constrictive pericarditis?
Ref Harrison 19 th ed pg 1575 When pericarditis occurs in the absence of any obvious underlying disorder, the diagnosis of SLE may be suggested by a rise in the titer of antinuclear antibodies. Acute pericarditis is an occasional complication of rheumatoid ahritis, scleroderma, and polyaeritis nodosa, and other evidenc...
154,772
medmcqa_train
During the treatment of septic shock, a 28-year-old male remains hypotensive despite adequate volume replacement; PA occlusion pressure is 18 mm Hg. When dopamine is staed , ventricular tachycardia develops and this is unresponsive to lidocaine. The V-tach conves back to sinus rhythm once the dopamine is stopped. At th...
Dopamine activates b1-receptors and this was probably the reason for the arrhythmia. Amrinone will inhibit phosphodiesterase and result in an increased cyclic AMP level, producing the same result as b-receptor stimulation. Dobutamine and epinephrine also stimulate the b- receptors. The only choice which stimulates only...
154,773
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A 12-year-old boy presents with hematemesis, melena and mild splenomegaly. There is no obvious jaundice or ascites. The most likely diagnosis is:
Most likely diagnosis is Extrahepatic Poal Vein Obstruction Differences b/w EHPVO and NCPF EHPVO - Extra hepatic poal venous obstruction- usually seen in 1st to 2nd decade; splenomegaly is less common & if its present, It is only mild/moderate NCPF - Non-Cirrhotic poal fibrosis - in 2nd -4th decade; Splenomegaly is M/C...
154,774
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All are features of mania, except: MP 07; Maharashtra 11; PGI 14
Ans. Low self-esteem
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Leishmania is cultured in ..... ...media?
Ans. is 'b' i.e., N.N.N. . L. donovani can be cultured in N.N.N. (Novy, Macneal and Nicolle) medium. . In N.N.N. medium amastigote form changes into promastigote form.
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Brush burn is: AP 09
Ans. Graze abrasion
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According to the WHO , what is the minimum bacteriological standard for drinking water -
Must not detect E. coli or thermotolerant bacteria in any 100 ml sample. Total coliform bacteria should be nil in any 100 ml sample Park's Textbook of Preventive and Social Medicine, 25th edition, Page No. 782
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This technetium-99m sulfur colloid scan was performed after the patient presented with abdominal pain. Howell-Jolly bodies were present on a peripheral-blood smear. What is the diagnosis?
Answer D. Pelvic spleenAbdominal imaging after injection of technetium-99m revealed a normal liver and a pelvic spleen. Pelvic spleen can be complicated by torsion of the pedicle. Howell-Jolly bodies suggest functional asplenia.
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Tap water scotochromogen is
M.gordonae often found in tap water (hence called 'the tap water scotochromogen'), is a common contaminant in clinical specimens and a rare cause of pulmonary disease. It differs from scrofulaceum in failing to hydrolyse urea, nicotinamide and pyrazinamide. Ref: Textbook of microbiology; Ananthanarayan and paniker's; 1...
154,780
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Most common tumor of pineal gland is:
Ans: B (Germinomas) Ref: Robbia's Pathologic Basis of Disease, 8th ed, Pg: 1163Explanation:PINEAL GLANDThe rarity of clinically significant lesions (virtually only tumors) justifies brevity in the consideration of the pineal gland.It is a minute, pinecone-shaped organ , weighing 100 to 180 mg and lying between the supe...
154,781
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Otitis and osteomyelitis is seen in
The most serious complication of BCG vaccination is disseminated BCG infection.The most frequent disseminated infection is BCG osteomyelitis (0.01-43 cases per million doses of vaccine administered) which usually occurs 4 months to 2 years after vaccination.Fatal disseminated BCG infection has occurred at a rate of 0.0...
154,782
medmcqa_train
Felon is
(C) Terminal pulp space Infection # Infection of the terminal pulp space (syn. Felon) Pulp-space infection is the second most frequent infection of the hand (about 25 per cent of all cases ).> Index finger and the thumb are affected most often.> Origin of the infection is usually a prick.> Many hand infections will set...
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All are grass root worker's except -
Ans. is 'd' i.e., Health assistants Gross root level workers are health workers at the lowest level, i.e., at village level. Health assistant work at subscentre and PHC levels. Primary health care in India Primary health care can he divided into followin2 levels ? 1. Village level (Grass root level) To implement policy...
154,784
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The staging system for thymoma was developed by:
The staging system for thymoma was developed by Masaoka The stage is increased on the basis of the degree of invasiveness. The 5-year survival in stage I, 96%; stage II, 86%; stage III, 69%; stage IV, 50%. The French Study Group on Thymic Tumors (GETT) has modified the Masaoka scheme based on the degree of surgical rem...
154,785
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Hemodialysis associated amyloid is deposited in -
Ans. is 'a' i.e., Knee joint Hemodialysis associated amyloid is deposited in synovium, Joints and tendon sheath.
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Most common lymph node involved in Hodgkin's lymphoma is?
Ans. (b) CervicalRef: Wintrobe's clinical hematology 12/e, chapter 96, Table 96.3, William's hematology 8/e, ch 99
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In which TNM staging of glottis carcinoma, cancer limited to larynx w ith vocal cord fixation? (D. REPEAT 2012)
Ref: Diseases of Ear, Nose and Throat by Dhingra, 5th edition. Chapter on Cancer LarynxExplanation:TNM STAGING OF CANCER GLOTTIS ( AMERICAN JOINT COMMITTEE ON CANCER,GlottisTl: Tumour confined to vocal cords with normal mobilityConfined to one vocal cord.Extending to both vocal cords.T2: Supraglottic or subglottic exte...
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Which of the following does not bind to GABA receptor chloride channels -
Ans. is 'd' i.e., Buspirone
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Women undergoing infertility treatment are advised to avoid NSAIDs in preovulatory period because
Prostaglandin stimulates smooth muscle contraction in ovary, contributing to ovulation.  prostaglandin synthetase inhibitors if taken in pre ovulatory period can cause luteinized unruptured follicle syndrome (LUFS).
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The opioid contraindicated in patients on MAO inhibitor is
Some opioid analgesics are associated with a risk of serotonin syndrome in combinations with MAOIs due to their serotonergic propeies. 1. Dextromethorphan, 2. methadone, 3. pethidine, 4. tramadol or 5. fentanyl should be avoided in patients on MAO inhibitor.
154,791
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Mallet finger is due to -
Ans. is 'a' i.e., Avulsion of extensor tendon from base of distal phalynx Mallet finger (Base ball finger)* Sudden passive flexion of the distal interphalangeal joint (as by a ball striking the tip of the finger) may rupture the extensor tendon at the point of its insertion into the base of distal phalanx.* Sometimes, ...
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Which of the following is the most common extra-renal involvement in autosomal dominant polycystic kidney disease?
Hepatic cysts are the most common extrarenal manifestations of Adult Polycystic Kidney Disease.
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Which of the following drug is useful in the treatment of Malathion Poisoning:
Pralidoxime is cholinesterase reactivator which is useful for the treatment of organophosphate poisoning.
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A patient presented with Tongue deviation on right side with ipsilateral atrophy. Which cranial nerve is damaged?
(A) Ipsilateral XII # CN XII Hypoglossal Nerve:> Origin: Medulla> Innervation: Muscles of the tongue except Palatoglossus> Function: Movement of the tongue> Dysfunction: Unilateral lesions can cause paresis, atrophy, furrowing, fibrillation and fasciculation on the affected half.> On protrusion tongue deviates towards ...
154,795
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Which of the following is not seen in Secondary Adrenal insufficiency
Ans. is 'a' i.e., Pigmentation Addison's disease The predominant manifestations in Addison's disease occur due to mineralocoicoid deficiency but the symptoms are also contributed by glucocoicoid deficiency and increased ACTH FEATURES OF :- Mineralocoicoid deficiency Lack of aldosterone secretion greatly decreases renal...
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Somatic efferent does not include
Somatic efferent nerves, also called as general somatic efferent (GSE) nerves, supply skeletal muscle of somatic origin ( muscles of eye and tongue). Somatic efferent nerves include, Oculomotor nerve - 3rd nerve Trochlear nerve - 4th nerve Abducent nerve - 6th nerve Hypoglossal nerve - 12th nerve
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Granular casts in urine are?
On microscopic examination of urine, presence of granular cast ,RBC ,bacteria glucose, albumin, ketone bodies is abnormal granular cast are the hyaline casts embedded with RBC or WBC or these are degenerate glomerular cells or tubular epithelial cells in large number Their presence indicates renal destruction of glomer...
154,798
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The drug which is not suitable for patients with acute porphyria for intravenous induction is:
Ans. is 'a' i.e., Thiopentone sodium It has been repeated so many times that barbiturates can induce fatal attacks of porphyria in patients with acute intermittent or variegate porphyria and are contraindicated in such patients.Also know
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