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In JVP y descent is absent and X wave is prominent? Thiscsuggests:
Ans. (b) Cardiac tamponadeRef.: Harrison 19th ed. /1573JVP FindingsJVP WavesFindingsConstrictive pericarditisFindingsCardiac tamponadeX waveProminentProminentY waveProminentAbsent
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Investigation of choice in the early phase of renal transplant
• Vascular complications after renal transplantation are low, presents during the first week after transplantation with sudden pain and swelling at the site of the graft. • Diagnosis is confirmed by Doppler ultrasonography. • Urgent surgical exploration is indicated and, in most cases, transplant nephrectomy is require...
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A child with complaints of cough. Characteristic 'inspiratory whoop. Sample for investigation is –
"Culture of nasopharyngeal secretion remains the gold standard for diagnosis of whooping cough" - Harrison
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IgA nephropathy is characterised by:-
IgA nephroapthy is also known as Berger nephropathy Gross Hematuria in IgA nephropathy occurs within 1-2 days of onset of an upper respiratory or GI infection (skin infection leads to poststreptococcal glomerulonephritis (PSGN)and not IgA nephropathy). Mild to moderate hypeension can be seen May be associated with loin...
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Which of the listed diseases is most strongly suggested by the above antibody studies? Anti-centromere High titer Anti-Scl-70 Not detected Anti-Pol-I Not detected Anti-RNP Not detected Anti-dsDNA Not detected
Anti-centromere antibodies are a marker for the CREST (calcinosis, Raynaud's phenomenon, esophageal dysfunction, sclerodactyly, and telangiectasia) variant of scleroderma. The markers for diffuse scleroderma, anti-Scl-70 and anti-Pol-I, are usually negative in CREST syndrome, as are most other autoantibodies. The marke...
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Fast breathing in a 3 year old child is?
ANSWER: (C) > 40REF: OP Ghai 7th ed p. 356According to WHO fast respiratory rate:>60/ min< 2 months> 50/min2-12 months>40/min12-60 months
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Onion skin thickening of aeriolar wall is sees in-
Hyperplastic aeriosclerosis is more typical of severe hypeension. Vessel exhibit onion skin . Concentric laminated thickening of aeriolar walls and luminal narrowing Robbins 9 th edition page no. 334
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Pupillary reaction to light is still normal in lesion/injury to
Ans. (b) Optic disc* Optic disc is not involved in papillary light reflex.* Pathway of papillary light reflex:Retina - Optic Nerve - Optic Chiasma - Optic Tract - Prerectal Nucleus - Edinger Westphal Nucleus - Inferior Division of 3rd Nerve - Ciliary Ganglion - Short Ciliary Nerves - Sphincter Pupillae
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Centrosome duplication takes place in -
Centrosome duplication is heavily regulated by cell cycle controls. This link between the cell cycle and the centrosome cycle is mediated by cyclin-dependent kinase 2 (Cdk2). There has been ample evidence that Cdk2 is necessary for both DNA replication and centrosome duplication, which are both key events in S phase. I...
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In acute tubular necrosis, all are true except
Acute tubular necrosis: - Muddy brown granular or tubular epithelial cell casts- FENa > 1%- UNa > 20 mmol/L- SG < 1.015 Ref: Harrison's 17/e p1757 table 273-2
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Differential Cyanosis occurs in which of the following disease:
Ans. D. All of the aboveDifferential cyanosis can be caused by* Persistent pulmonary hypertension of Newborn* Coarctation of Aorta* Interrupted aortic arch
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All drugs are used in Treatment of Mania except -
Drugs used for mania are Lithium, Valproate, Carbamazepine / Oxcarbazepine, Typical & atypical antipsychotics (olanzapine, risperidone, quetiapine, ziprasidone, aripiprazole, haloperidol), benzodiazepines. Trihexylphenidyl is a central anticholinergic drug used in Drug induced Parkinsonism.
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Which of the following drug is not a uricosuric agent?
Drugs increasing the excretion of uric acid (Uricosuric agents) Probenecid Sulfinpyrazone Benzbromarone Lesinurad
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The gene that regulates normal morphogenesis during development is :
Ans. is 'b' i.e. Homeobox gene Homeobox geneis associated with normal morphogenesis.Their expression results in the production of localized cellular condensation of primitive mesenchyme in the sites of future bones.They play an important role in patterning of limbs, vertebrae and craniofacial structures.Mutations in Ho...
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Double-bubble sign in X-ray is seen in
Duodenal atresia
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Card test is done for-
Ans. is 'a' i.e., Plamar interossei * Card Test: This is for palmar interossei (adductors) of the fingers. In this test, the examiner inserts a card between two extended fingers and the patient is asked to hold it as tightly as possible while the examiner tries to pull the card out. The power of adductors can thus be j...
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Infection of submandibular space is seen in:
(a) Ludwig angina(Ref. Scott Brown, 8th ed., Vol 3; 628; Stell & Maran, 5th ed., 229)Ludwig angina is infection of the submandibular space, i.e. floor of mouth.Vincent angina is ulcerative gingivitis along with involvement of the tonsils.Prinzmetal angina and unstable angina are the acute coronary syndromes.
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High impact resin has?
High impact resin = Butadiene rubber (5 to 10%) in powder
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A 60-year-old woman complained of weakness, lethargy and easy fatigability. Investigation showed that she had iron deficiency anaemia (Hb. 8 g/dl). She was prescribed cap. ferrous fumarate 300 mg twice daily. She returned after one month with no improvement in symptoms. Her Hb. level was unchanged. On enq...
Gastric acid is required for the absorption of oral iron salts. Concurrent ingestion of antacid tablets could  have interfered with iron  absorption.  Hence,  the  anaemia  failed  to  improve.
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Pain insensitive structure in brain is:
Choroid plexus Repeat from Al 2009Choroid plexus is pain insensitive structure.Harrison writes-"Relatively .few cranial structures are pain-producing; these include the scalp, middle meningeal aery, dural sinuses, .falx cereberi, and proximal segments of the large pial aeries. The ventricular ependyma, Choroid plexus, ...
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In which phase of sleep, does the bruxism occur?
Bruxism occurs in both stage I and stage II. But more common in stage II. Note: OSA is not associated with a reduction in total sleep time, but individuals with OSA experience a much greater time in stage 1 NREM sleep (from an average of 10% of total sleep to 30–50%) and a marked reduction in slow-wave sleep (stages 3 ...
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80 year old, asymptomatic man present with a Total Leucocyte Count of 1 lakh, with 80% lymphocytes and 20% PMC's. What is the most probable diagnosis?
Answer is C (CLL) : Incidental finding of Lymphocytosis (80,000/mcL) in an elderly and' asymptomatic patient suggests the diagnosis of CLL. Why is CLL the single best answer of choice here ? 'CLL is a disease of older patients wth 90% of cases occurring after the age of 50 years and median age of presentation is 65 yea...
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In a patient with cardiac output 5 liters/minute and body surface area 1.7 m2 what will be the cardiac index
A i.e. 3 liters / min/m2
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Most common type of lung cancer is?
Ans. is B Adenocarcinoma "Adenocarcinoma of the lung is the most frequent histological type". -- Sabiston Remember o Adenocarcinoma is the overall most common type of lung carcinoma. o Adenocarcinoma is the most common type of lung carcinoma in non-smokers and females o Squamous cell (epidermoid) carcinoma is the most ...
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Zygote with zona pellucida reaches uterine cavity by-
Ans-B lets revise some imp points:- 1-morula=16 cell stage 2-blastocyst hatching/ZP removal/implantation=5-12 days after fertiization(5-7 days) 3-sequence of reactions is alphabetical=acrosome rxn f/b cortical rxn f/b zona reaction. 4-conceptus reaches uterine cavity in 32cell stage. 5-transvaginal insertion of coceptu...
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Rosettes are characteristically seen in
Ref Robbins 7/e p1442; neuropathology for the neuroradiologist : rosette and pseudorosettes by F.J.wipopld and A.perry Rosettes consist of a Halo or spoke wheel arrangements of cells surrounding a central core or hub Rosettes may be considered primary or secondary manifestation of tumor architecture . Primary rosettes ...
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Which structure of Hb can do function?
In case of any protein, Primary & secondary structures -NO function. Function stas from Teiary structure.
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The law stating that "the relative frequency of each gene allele tend to remain constant from generation to generation" is known as ?
Ans. is 'b' i.e., Hardy-Weinberg law Hardly-Weinberg law The hardly-weinberg law states that "The relative frequencies of each gene allele tends to remain constant from generation to generation". Thus, the study of gene frequencies, and the influences which operate to alter the "gene pool" and their long term consequen...
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Varicella zoster virus belongs to which family of DNA viruses ?
Ans. is `b' i.e., Herpesviridae DNA viruses Poxviridae :- Variola, vaccinia, cowpox, monkeypox, tanapox, molluscum contagiosum Herpesviridae :- HSV-1, HSV-2, varicella-zoster, EBV, CMV, HTLV- 1, RK-virus Adenoviride Adenovirus Parvoviridae Parvovirus, Adenosatellovirus, Densovirus Papovaviridae Papilloma virus (HPV), P...
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A 60-year-old alcoholic woman presents to the emergency room with fever, chills and shoness of breath. The sputum is rusty-yellow and contains numerous neutrophils, red blood cells and Gram-positive cocci. A chest X-ray shows diffuse haziness over both lungs. One week following admission, the patient develops empyema. ...
Complications of bacterial pneumonia include pleuritis (extension of inflammation to the pleural surface), pleural effusion, pyothorax (infection of pleural effusion), pulmonary abscess and pulmonary fibrosis. Empyema is a loculated collection of pus with fibrous walls that follows the spread of bacterial infection to ...
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Follow ing are the side effects of thiazides except-
Ans. is 'b' i.e., Hypocalcemia Following are the side effects of thiazides:o Hypokalemiao Acute saline depletion, hemoconcentration and increased risk of peripheral venous thrombosiso Dilutionsalhyponatremiao Nausea omitting diarrheao Rarely headache, giddiness, weakness, parethesias, impotenceo Hearing losso Rashes, p...
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In a ceain population, there were 4050 bihs in the last one year. There were 50 still-bihs. 50 infants died within 7 days whereas 150 died within the first 28 days. What is the neonatal moality rate
Ans. b. 50
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Bacterial meningitis in children (2 months-12 years) is usually due to the following organisms EXCEPT:
- Listeria is an impoant cause of meningitis in the neonatal period, but not in older children. - MCC of acute bacterial meningitis in children are Streptococcus pneumoniae, Neisseria meningitides, H. influenzae
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A 70-year-old male presented to the OPD with complaints of abdominal pain, nausea, headache, malaise, persistent fever for 2 weeks along with constipation. On examination a characteristic rash was observed on the trunk and chest. BP - 120/70 mm of Hg HR- 65 bpm Hepatomegaly Splenomegaly Blood culture did not show any o...
This is a case of Salmonella infection. The image shows faint, salmon coloured blanching maculopapular rash located on trunk and chest (Rose spots). Gram stain shows gram negative bacillus. Salmonella Does not ferment lactose Relative bradycardia Pulsus dicroticus is seen. Typical rash called rose spots Drug of choice ...
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Mrs. A is hesitant about children having kinky hair disease because her two sisters had sons who had died from kinky hair disease. Her mother's brother also died of the same condition. Which of the following is the possible mode of inheritance in her family? (AI 2004)
Kinky hair disease /Menkes syndrome is: X- linked Recessive disorder. Mutations is genes encoding for copper- transpoing protein ATP7A , leading to copper deficiency. Characteristic findings include kinky hair, growth failure, & nervous system deterioration. Manifested only in males. Females are not affected, so they m...
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All the following are indications for termination of pregnancy in APH patient except :
Ans. is c i.e. Transverse lie As discussed earlier, active management is done when: Patient is bleeding heavily / bleeding is continuing Pregnancy > 37 weeks Patient is in labour Patient is in exsanguinated state Gross fetal malformation/dead fetus Fetal distress present As far as lie is concerned : Friends, why would ...
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Risk of malignancy in cold nodule of thyroid is
Risk of malignancy in hot nodule is 4%. Risk of malignancy in cold nodule is 20%.
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Which of the following presents as a cutaneous vasculitis in patients with lepromatous leprosy?
Lucio phenomenon Lucio phenomenon is a cutaneous vasculitis in patients with lepromatous leprosy and tends to affect people who have not taken their medication regularly. Lucio phenomenon presents as odd-shaped red patches and ulcers on hands, wrists, ankles and feet. It is associated with fever, ahritis, liver and kid...
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All of the following vaccines can prevent pneumonia except:
Common causes of pneumonia in children: Str. pneumoniae & H. influenza. So Pneumococcal vaccine & Hib vaccine can prevent pneumonia. Measles decreases the cell mediated immunity in children so predisposes the child to infections Therefore on giving measles vaccine it prevents some amount of infections too.
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Regarding amoebic liver abscess which of the following is true:
The M/C extra intestinal manifestation of Amoebic dysentery is amoebic liver abscess. This frequently presents without history of prior intestinal symptoms. Physical examination shows intercostal tenderness. Abscesses are most commonly single and in the right lobe of the liver Without prompt treatment, amoebic abscesse...
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The projection of ameloblast into the enamel matrix, is known as
The surfaces of the ameloblasts facing the developing enamel are not smooth. There is an interdigitation of the cells and the enamel rods that they produce. This interdigitation is partly a result of the fact that the long axes of the ameloblasts are not parallel to the long axes of the rods. The projections of the ame...
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Fraying and cupping of metaphyses of long bones in a child does not occur in:
B i.e. Lead poisoning Remember : Lead poisoningQ (Bismuth, Arsenic, P, mercury fluride, radium also), Radiation & Hypervitaminosis D leads to solitary dense metaphyseal band not cupping & fraying. Causes of Cupping & Fraying of metaphysis Metaphyseal Cupping Metaphyseal Fraying RicketsQ (with widening & fraying of grow...
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Bih and death registration act came into force on 1st april,------
Amendments of the Registration of Bihs and Deaths Act, 1969 - PIB Sections of the act
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Behaviour therapy to change maladaptive behaviour using the response as reinforcer uses the principles of-
Reinforcement is used in operant conditioning.
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In X-Ray right border of mediastinum is formed by all except:
C i.e. Right Ventricle Right hea border on chest x-ray PA view is formed by right atrium with its draining tributaries SVC & IVCQ. Right aspect of ascending thoracic aoa and right innominate/brachiocephalic vesselsQ are also involved sometimes in forming right border. But right ventricle does not form the right border ...
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All are toxicities seen with Amiodarone therapy except aEUR'
Productive cough Amiodarone is a class III antiarryhthmic drug and thus blocks potassium channel. It acts by increasing the action potential duration and effective refractory period. In spite of its present classification as class 3 drug, amiodarone also significantly blocks inactivated sodium channels. It also has wea...
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All of the following drugs can cause gynaecomasia except
Ref-KDT 7/e p589 Drugs which causes gynaecomasia are Cimitidine Cytotoxic agents Digoxin Spironolactone Flutamide
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Out of 10 relatives exposed to a primary case, of measles, 6 developed measles. Secondary attack rate of measles-
Ans. is 'b' i.e., 6/10 Secondary attack rate (SAR)o SAR is defined as "the number ofexposed persons developing the disease within the range of incubation period, following exposure to primary caseSAR=No of exposed persons developing disease withinthe range of the incubation period-----------------------Total number of ...
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A 50 year old male with positive family history of prostate cancer has come to you for a screening test. The MOST sensitive screening test to pickup prostate cancer is:
The risk of being diagnosed with prostate cancer increases by a factor of two if one first-degree relative is affected and by four if two or more are affected. The American Cancer Society (ACS) recommends that physicians offer PSA testing and a digital rectal examination (DRE) on an annual basis for men older than age ...
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Ranson's critaria for prognosis in acute pancreatitis include all except :
Answer is D (Serum amylase > 350 1U) Serum amylase does not form any cieria for prognosis in acute pancreatitis. (Remember this fact) Therefore, if amylase is present as any of the options, you can easily and safely exclude it.!! Ranson's criteria for prognosis in acute pancreatitis include :(Adverse factors) At the ti...
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True about anaerobic glycolysis is
Energy Yield from Glycolysis During anaerobic (oxygen deficient) condition - i. During anaerobic (oxygen deficient) condition, when one molecule of glucose is conveed to 2 molecules of lactate, there is a net yield of 2 molecules of ATP. ii. 4 molecules of ATP are synthesized by the 2 substrate level phosphorylations (...
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1 meq/ L of hardness of water is equivalent to presence of:
Hardness of water is expressed in meq/L. 1 meq/L of hardness producing ion is equal to 5o mg of calcium bicarbonate in 1 litre of water. Ref: Park 21st edition page: 671.
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Which of the following is characterised by typical ash - grey slough
Ash - grey slough is typical of carbuncle.
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Umbilical vesicle attains full development in?
B i.e. 4 week
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All are derivatives of Rathkes pouch except ?
Ans. is 'c' i.e., NeurohypophysisThe derivatives of Rathke's pouch give rise to the various components of the anterior pituitary :Anterior lobePars tuberalisPars distalisPars intermedia
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A 40-year-old male complained of tachypnea. On examination his respiratory rate is 32/min with pulmonary hypeension and BP 132/90 mmHg. JVP was raised. What is your diagnosis?
The above clinical scenario describes that the patient is suffering from Right ventricular hyperophy. The most common aetiology of right ventricular hyperophy is severe lung disease. The disorders that induce pulmonary hypeension and secondary right ventricular hyperophy include the following: Pulmonary aerial hypeensi...
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Larval control is an impoant method of mosquito control. All of the following are larval control measures, EXCEPT:
The organochlorine compounds (e.g., DDT, HCH) are not recommended for larviciding operations because of their long residual effect, water contamination and increased risk of developing resistance in the vector mosquitoes. Anti-larval measures: Environmental control (e.g., intermittent irrigation) Chemical control Miner...
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Calcium channel blocker used in subarachnoid hemorrhage
Nimodipine is a cerbroselective calcium channel blocker used in SAH.Ref: KD Tripathi 6th ed pg 532
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A 25 year old G2P, at 39 weeks gestation is electing to have spinal anaesthesia for a repeat cesarean section. 5 minutes after bupivacaine spinal injection, the patient becomes hypotensive and is complaining of tingling in her fingers with subjective difficulty breathing. Her oxygen saturation remains 100% and blood pr...
In pregnancy, CSF volume is decreased, thereby decreasing dose requirement of local anaesthetic. This facilitates spread of local anaesthetic when spinal anaesthesia is given. Option D would have been correct, if question mentioned Epidural anaesthesia.
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Which is autosomal recessive?
autosomal recessive, or X-linked. Autosomal Dominant Inheritance Familial hypercholesterolemia Huntington disease Marfan syndrome Ehlers-Danlos syndrome Hereditary spherocytosis Neurofibromatosis, type 1 Adult polycystic kidney disease Autosomal Recessive Inheritance Cystic fibrosis Phenylketonuria Tay-Sachs disease Se...
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Larval form in stool is found in ?
Ans. is 'a' i.e., Strongyloides; 'b' i.e., Ancylostoma duodenale; c i.e., Necator americanas
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Which of the following Schistosoma is seen in the veins of the bladder and Pelvic Organs?
The schistosome life cycle begins after mating in the hepato-poal circulation when the conjoined couple uses their suckers to ascend the mesenteric vessels against the flow of blood. Guided by unknown stimuli, S japonicum enters the superior mesenteric vein, eventually reaching the venous radicals of the small intestin...
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A tumour arising in a burns scar is likely to be
SCC is a malignant tumour of keratinising cells of the epidermis or its appendagesSCC is the second most common form of skin cancer (after BCC)It is strongly-related to cumulative sun exposure and damage SCC is also associated with chronic inflammation (chronic sinus tracts, pre-existing scars, osteomyelitis, burns, va...
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medmcqa_train
Which of the follow ing interleukin is secreted by T helper 2 cells -
Ans. is 'd' i.e. IL 13 T helper -1 (TH1) secretes - 1L-2 and interferon - gT helper - 2 (TH2) secretes - IL-4, IL-5, IL-6, IL-13.
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During starvation, Brian utilizes
Brain and starvation: During starvation, a significant pa (60-70%) of the energy requirement of the brain is then met by ketone bodies (Fig. 8.1) Brain and acetoacetate: The brain is unable to utilize fatty acids as a source of fuel since the fatty acids complexed to albumin are unable to traverse the blood-brain barri...
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ECT in depressive phase of MDP is useful because it-
ECT shortens the duration of depressive episode. It doesn’t prevent the recurrence unless given as a maintenance treatment.
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The granules discharged in mycetoma contains -
Ans. is 'b' i.e.. Fungal colonies o Granules are microcolonies of the etiological agents. o Colour of the discharging granules (grains) vary with the different agents causing the disease.
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The most likely cause for suture leak after colon resection and anastomosis for cancer sigmoid is ?
Ans. is 'd' i.e., Ischaemia
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A 36 year old man shows positive Rinne test. His condition is:
The Rinne tuning fork test is sensitive in detecting conductive hearing losses. A Rinne test compares the ability to hear by air conduction with the ability to hear by bone conduction. Normally and in the presence of sensorineural hearing loss, a tone is heard louder by air conduction than by bone conduction. This is t...
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Which one of the following clinical features is NOT seen in Phaeochromocytoma?
(D) Diarrhea # PHAECHROMOCYTOMA Clinical Features:> Skin sensations, flank pain, elevated heart rate, elevated Blood pressure, palpitations, anxiety, diaphoresis, headache, pallor, weight loss, localized amyloid deposits found microscopically, and elevated blood glucose level.
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A simple bacterial test for mutagenic carcinogens is -
Ames test is a simple test developed by Bruce Ames that measures the potential of a given chemical compound to promote mutations in a specialized bacterial strain (mutagenic carcinogenesis)
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A 53-year-old woman is being treated for tuberculosis with INH and rifampin.For the above patient with new symptoms, select the most likely acid base disorder.
INH can result in impaired oxygen utilization, leading to lactic acidosis (type B), accumulation of lactate, and increased anion gap.
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Western equine encephalitis virus is transmitted by ?
Ans. is 'B' i.e., Culex mosquito
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A 45-year-old woman is being examined as a candidate for cosmetic breast surgery. The surgeon notes that both of her breasts sag considerably. Which structure has most likely become stretched to result in this condition?
The suspensory ligaments of the breast, also known as Cooper's ligaments, are fibrous bands that run from the dermis of the skin to the deep layer of superficial fascia and are primary supports for the breasts against gravity. Ptosis of the breast is usually due to the stretching of these ligaments and can be repaired ...
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A doctor treats a person who has met with an accident and sustained severe injuries. In this case, consent from the patient is not mandatory. Which of the following section says that consent is not required in emergency situations
Refer the byte "legal sections".
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Which is the most common complication of high myopia:
Ans. Retinal detachment
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An 16 year old boy was brought in emergency with acute testicular pain, awakening him from sleep. On examination,the right testis is enlarged and tender. There is no history of any injury. what is the likely diagnosis?
The above case scenario is indicative of testicular torsion as there is presence of acute onset of testicular pain and no history of injury. There are two types of testicular torsion. Neonatal torsion Adult torsion occurs either in utero or sholy after bih not associated anatomic defect typically is seen in adolescence...
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More false positive cases in a screening test is due to -
Ans. is 'a' i.e., Low prevalenceo If a population has more false positive cases : -i) Screening test is more sensitiveii) Positive predictive value of the test is low.iii) Prevalence of disease is low.o If a population has more false negative casesi) Screening test is more specificii) Negative predictive value of the t...
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All of the following are approaches to health education except :
Ans is 'd' i.e. Mass media According to Alma-Ata declaration (1978), "Health education is a process aimed at encouraging people to want to be healthy to know how to stay healthy to do what they can individually and collectively to maintain health and seek help when needed".Health education is the act of getting people ...
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Investment material used for high fusing base metal partial dentures
Silica bonded • Silica is the binder which may be derived from ethyl silicate or silica gel • Used for high fusing base metal partial denture alloys • In addition to setting shrinkage "green shrinkage" occurs due to loss of alcohol and water from the gel. • The investment can be heated upto 1200°C
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Which of the following occurs in both cytoplasm and mitochondria:
Ans. (b) GluconeogenesisRef : Harper's Biochemistry 30th edn. /142-144* Glycolysis occurs in cytoplasm.* There are two major sites for gluconeogenesis, the liver and the kidneys.* The liver accounts for 90% of gluconeogenesis in the body and the remaining 10% occur in the kidney and other tissues of the body.* The live...
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The floor of the nasal cavity in children is made of
"The floor of the nasal cavities, which also form the roof of the mouth, is made up by the bones of the hard palate: the horizontal plate of the palatine bone posteriorly and the palatine process of the maxilla anteriorly".(Refer: Nelson's Textbook of Pediatrics, SAE, 1st edition, pg no. 2007)
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Enterovirus causes all except -
Coxsackie viruses cause herpangina and aseptic meningitis REF:ANATHANARAYAN AND PANIKER'S TEXTBOOK OF MICROBIOLOGY 8TH EDITION PAGE NO:491
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Treatment of choice in severe depression is -
Make it very clear in your mind that the initial treatment of choice for severe depression is antidepressant medications. ECT is the treatment of choice when severe depression is associated with a suicidal tendency or when severe depression is associated with psychotic features or when severe depression is refractory t...
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Leishmania is cultures in.....media-
Blood or aspiration material from various organs can. E used for NNN (novy,macneal,nicolle)culture incubated at 22-24 degree Celsius promastigote form can be demonstrated contains rabbit blood with added antibiotics (refer pgno:41 baveja 3 rd edition).
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Which is not seen in urine in obstructive jaundice:
Urobilinogen
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Which of the following reaction is due to lipid peroxidation ?
Ans. is 'b' i.e., Rancidity Peroxidation (auto-oxidation) of lipids exposed to oxygen is responsible not only for deterioration of foods (rancidity) but also for damage to tissues in vivo. Lipid peroxidation is a chain of reaction generating free radicals that initiate fuher peroxidation.
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Which of the following drug does NOT cause Gynaecomastia?
Pyrazinamide is not known to cause gynecomastia. Adverse effects associated with its use are hepatic damage, hyperuricemia, nausea, vomiting, ahralgia, dysuria, malaise and fever. Some drugs cause gynecomastia by 1) synergetic action with estrogen due to intrinsic estrogen like propeies of the drug 2) the production of...
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medmcqa_train
Which of the following has minimum MAC ?
Methoxyflurane has minimum MAC and is most potent. Order of potency in decreasing order (MAC in increasing order) :- Methoxyflurone (MAC= 0.16%)> Trilene (0.2%) > Halothane (0.74%) > Chloroform (0.8%) > Isoflurane (1.15%) > Enflurane (1.68%) > Ether (1.92%) > Sevoflurane (2.0%) > Desflurane (6.0%) > Cyclopropane (9.2%...
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medmcqa_train
In sensorineural hearing loss, weber's test is lateralized to
In Sendeafness deafness: Lateralised to better ear. In conductive deafness: Lateralised to worse ear. Ref: Dhingra; 6th Edition; pg no 22
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True about coding strand of DNA:
C i.e. Runs at 5'- 3' direction
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A 75-year-old woman presents with a pruritic vulvar lesion. Physical examination reveals an irregular white, rough area involving her vulva. If this area of leukoplakia is due to lichen sclerosis, then biopsies from this area will most likely reveal
Several pathologic conditions are associated with the formation of white plaques on the vulva, which are clinically referred to as leukoplakia. Lichen sclerosis is seen histologically as atrophy of the epidermis with underlying dermal fibrosis. This abnormality is seen in postmenopausal women, who develop pruritic whit...
15,591
medmcqa_train
SABE is most commonly due to: March 2013
Ans:C i.e. Streptococcus viridans Subacute bacterial endocarditis/Endocarditis lenta It can be considered a form of Type III hypersensitivity. It is usually caused by a form of streptococci viridians bacteria that normally live in the mouth and throat (Streptococcus mutans, mitis, sanguis or milleri). Osler's nodes can...
15,592
medmcqa_train
Which of the following inhalational agent is contraindicated in renal disease -
Ans. is 'c' i.e., Methoxyflurane Inhalational agents and renal diseaseo Methoxyflurane is contraindicated. Enflurane and sevoflurane should also be avoided.o Desflurane is the inhalational agent of choice. Isoflurane is an alternative. Halothane is also safe.o Anaesthesia is maintained with desflurane (or isoflurane) i...
15,593
medmcqa_train
Vision 2020 "The right to sight" includes all except –
Vision 2020 : The Right to Sight : Global Initiative for Elimination of Avoidable blindness After the realization that unless blindness control efforts are intensified, the prevalence of blindness will double by 2020 AD, the WHO along with an International Partnership committee launched the Vision 2020 Initiative in ...
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Tonography helps you to determine:
Tonography is a noninvasive technique for determining the facility of aqueous outflow. Ref: Parson's Diseases of The Eye, 18th Edition, Page 7226
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A 55-year-old man involved in an automobile accident is unresponsive and is intubated at the scene. On arrival in the emergency department, he responds to painful stimulation. His systolic BP is 60 mm Hg, his HR is 140 bpm, his neck veins are distended, and his breath sounds are absent on the left side. Immediate manag...
The patient has tension pneumothorax, as evidenced by distended neck veins and absent breath sounds. Increased intrathoracic pressure interferes with venous return to the heart, resulting in shock. Immediate management should be insertion of a large-bore needle in the left second intercostal space, followed by insertio...
15,596
medmcqa_train
Hysteria is characterized by
C i.e. Indifference to suffering- Flight of ideas & Pressure speech are features of Mania. Autism is found in Schizophrenia (Bleuler's 4-A)- La -Belle-Indifference : It is lack of concern towards the symptoms despite severe disability. It is found in Hysteria (Conversion Disorder)Q, Paial lobe lesion, Multiple Sclerosi...
15,597
medmcqa_train
Acute Immoral renal transplant rejection is characterized by the following except -
Harshmohan textbook of pathology 7th edition. In humoral immune reaction there is preformed circulating antibodies due to pre sensitization of the recipient before transplantation. It is characterised by acute rejection vasculitis and foci of necrosis in small vessels. The mononuclear cell infiltrate is less marked as ...
15,598
medmcqa_train
Which of the following is used for medical adrenalectomy?
medical adrenelectomy or pharmacological adrenelectomy means- using medications or drugs to suppress the production of hormones from the adrenal gland Mitotane is highly effective in the long-term management of Cushing's syndrome but has a slow onset of action. Mitotane combined with fast-acting steroidogenesis inhibit...
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