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Elderly man with long-standing mole over the face which is increasing in size and showing irregular border. Diagnosis:
Lentigo maligna- occur on face sun exposed areas of older individuals,long standing cases,manifests as a flat,dark,variably pigmented lesion,with irregular borders and a history of slow development,best prognosis Superficial spreading melanoma- m/c type , m/c site torso/trunk Nodular- most malignant,veical growth phase...
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Histological changes in lens induced uveitis include:
Ans. Giant cell reaction
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In a patient with head injury black eye associated with subconjunctival haemorrhage occurs when there is -
This is k/a racoon sign.
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A drug X is useful in the treatment of rheumatoid ahritis. It is available only in parenteral formulation and its mechanism of action is antagonism of tumor necrosis factor. Which of the following can be X?
Infliximab and Etanercept are TNF-aantagonists useful for the treatment of rheumatoid ahritis. These are administered by parenteral route. TNF-a antagonists can cause reactivation of latent tuberculosis. Phenylbutazone -can precipitate the acute attack of asthma
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Which of the following is a lyase
All of the above i.e. Fumarase, Aldolase, Decarboxylase are Lyases. Lyases are enzymes which can either break a bond or make a bond but they do not require water or ATP. The EC No. is 4. Fumarase is a Lyase (also known as Hydratase enzyme which can add or remove water but bond is not broken). Aldolase A & B both are Ly...
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A person has an injury in the forefinger with glass and it is suspected that he has a retained piece of glass in his finger. What is the first investigation you will do?
Ans. c. Plain radiograph 'Plain films can be clinically beneficial in locating glass foreign bodies in deep wounds with or without exploration.' Glass Foreign Body Patients with glass embedded in a wound are more likely to repo the sensation of foreign bodies. In patients with sensation of foreign body, superficial wou...
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Which of the following is not a side effect of long-term use of PPI?
Ans. a. Hypothyroidism
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A patient is advised to avoid strenous activity following herniorrhaphy for a period of -
Ans. is 'None'
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The sputum specimen of a 70 year old male was cultured on a 5% blood agar. The culture showed the presence of a-hemolytic colonies next day. The fuher processing of this organism is most likely to yield:-
Sputum sample is taken for diagnosis of URIs and LRIs. Option 1 Viridians Streptococci Gram-positive cocci in sho chains, Catalase negative and bile resistant Viridans streptococci are pa of a normal oral flora. cause of dental caries and subacute bacterial endocarditis. Option 2 Pneumococcus Gram-positive cocci in pai...
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Which vitamin deficiency is seen in vegetarians especially -
Ans. is 'a' i.e., Vitamin B12* Dietary sources of vitamin B12 are of animal origin only and include meat, eggs, milk, diary products, fish, poultry etc. Vitamin B12 is absent in plant foods. Small amount of vitamin B12 is synthesized in the intestine by the action of intestinal flora.
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Which of the following is found more in aqueous humor than in plasma:
Lactate is found more in aqueous humor than in blood. Concentration More in Aqueous Humor More in Plasma Lactate Protein Ascorbate Urea Pyruvate Glucose
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Which of this is not a sign of increased ICT? Copper beaten appearance
Ans. Ballooning of sella
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Gleasons Scoring is done for which of the following malignancy?
Gleason scoring system is used in prostate cancer to measure the extent of histological aggressiveness. This system relies upon the low-power appearance of the glandular architecture under the microscope. While assigning a grade to a given tumor, pathologists assign a primary grade to the pattern of cancer that is most...
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Cheiloscopy is the study of prints of?
LIPPRINTS: (CheiloscopyQ): Lip prints are divided into different patterns which are specific to the individual. Lip print Patterns: Veical, branched, intersected, reticular patterns & unidentified patterns. Palatoscopy - Study of rugae in hard palate Podogram - Study of footprints
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'SEPS' is a surgical procedure used in the treatment of which of the following condition:
Subfascial endoscopic perforator vein surgery (SEPS) is done in patients with documented perforator incompetence. It is a minimally invasive technique performed in patients with advanced chronic venous insufficiency. The objective of this operation is to interrupt incompetent medial calf perforating veins to decrease v...
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Complications arising out of A - V fistula done for renal failure include the following EXCEPT ?
Ans. is 'd' i.e., Necrosis of the distal pa
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Muscle attached to lateral surface of greater trochanter
GREATER TROCHANTER:- Quadrangular prominence located on upper pa of the junction of neck with the shaft.Attachments:-1. Apex-pyriformis 2. Anterior surface-gluteus minimus3. Medial surface- obturator internus and two gamelli.4. Trochanteric fossa- obturator externus.5. Lateral surface-gluteus medius. <img src=" /> {Ref...
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Granulomatous uveitis is seen in all of the following except:
Ans. Uveitis with ankylosing spondylitis
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Which of the following drug has the least Marrow suppression
Mitotic Spindle Inhibitors:Vincristine binds to the tubulin dimer with the result that microtubules are disaggregated. This results in the block of growing cells in M-phaseVincristine is metabolized by the liver, and dose adjustment in the presence of hepatic dysfunction is required. It is a powerful vesicant, and infi...
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Structures passing through the inguinal canal are all EXCEPT:
Inferior epigastric aery is a branch given by external iliac aery, which ascends supero-medially, becomes medial relation of deep inguinal ring, and subsequently enters rectus sheath. It is not a content of inguinal canal. Lymphatics from uterus follow the round ligament of uterus through the inguinal canal
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Pancreatitis, pituitary tumor and phaeochrornocytoma may be associated with:
Clinical presentation Type 1 MEN * Hyperparathyroidism is most common initial clinical manifestation of type s multiple endocrine neoplasia (MEN). * Some patients may manifest findings of ZES before they have hyperparathyroidism. * Symptoms of gastrinoma may become clinically apparent either with abdominal pain and dia...
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In a population of 1000, there are 200 eligible couples. 30 out of them use condom, 20 use IUCD, 20 use OC pills while 70 have undergone female sterilization. The rest do not use any method. Calculate Couple protection rate.
- Given, total eligible couples = 200 ; eligible couples protected by any of approved methods = 30+20+20+70 =140 - CPR = Total no. of eligible couples protected by any of approved methods/Total no. of eligible couples in the communityx100 =140/200 = 70% Approved methods of Family planning Sterlization IUD Condom Oral p...
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POSTERIOR COMMUNICATING aery is a branch of
Posterior communicating aery is a branch of cerebral pa of internal carotid aery. It arises close to its termination. It runs backwards and anastomoses with proximal pa of posterior cerebral aery.Reference: Textbook of anatomy, Head neck, and brain, Vishram Singh, 2nd edition, page no.406
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Following is true about Focal nodular hyperplasia Except
It&;s a benign condition of unknown aetiology, seen in females showing focal overgrowth of functioning liver tissues with fibrous stromal suppo and also it presents as a solitary nodule. Reference : SRB edition :5 page no: 607& 608
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Behcet's disease is characterised by all of the following except:
Ans. Unilateral granulomatous uveitis
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Following are criminal responsibility of insaneexcept-
Ans. is 'd' i.e., Rule of nine Criminal responsibility of insane is judged by following rules : 1. Mc Naughten rule (legal test or right or wrong test) : It states that an accused person is not legally responsible, if it is clearly proved that at the time of commiting the crime, person was suffering from such a defect ...
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Porencephaly seen in –
Porencephaly is the presence of cyst and cavities in the brain. It is due to infarction. In Dandy - walker syndrome also cyst occurs in brain due to expansion of 4th ventricle.
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Patient of exudative retinopathy of coats presents with leukocoria, needs to be differentiated from ?
Ans. is 'a' i.e., Retinoblastoma EXUDATIVE RETINOPATHY OF COATS Coats' disease is a severe form of retinal telengiectasia (idiopathic congenital vascular malformation), which typically affects one eye of boys in their first decade of life. In early stages it is characterised by large areas of intra and subretinal yello...
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What is the clearance of a substance, if its concentration in plasma in 10 mg% concentration in urine is 100mg% and urine flow is 2 ml/min?
The amount of such a substance in the urine per unit of time must have been provided by filtering exactly the number of milliliters of plasma that contained this amount. Therefore, if the substance is designated by the letter X, the GFR is equal to the concentration of X in urine (UX) times the urine flow per unit of t...
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A 45-year-old female with a long history of progressive myopia develops sudden patchy loss of vision in her right eye. She is very alarmed and rushes to her family doctor. Funduscopic examination reveals a large retinal detachment in the right eye. The retina in the left eye is normal. When the pupillary light reflex i...
This patient is exhibiting the Marcus-Gunn phenomenon. When light strikes the retina, the pupillary light reflex is automatically triggered, leading to simultaneous constriction of both pupils. In the absence of adequate light entering the eye, for example following retinal detachment or optic neuritis, paradoxical dil...
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A hypeensive individual had a sudden headache and became unconscious within a few minutes. On regaining consciousness, there was complete flaccid hemiplegia with no involvement of upper face, absence of tendon reflexes and a positive Babinski sign. Which one of the following aeries could have ruptured :
Answer is A (Lateral striate branch of middle cerebral): This is a case of hypeensive intracerebral haemorrhage affecting the basal ganglia. Basal ganglia is supplied through medial and lateral striate branches of middle cerebral aery. Lateral striate branch of middle cerebral aery is thus the site of rupture Hypeensiv...
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All are true about culture media except
(A) (Mac- Conkey agar prevent growth of G-ve bacteria) (45, 46- Bevja 4th; 42-43- Ananthanarayan 9th)Mac-Conkev agar* Mainly used to differentiate between varius Gram negative rod shaped organisms* It is also used to inhibit growth of gram positive organism thus it is both differential and selective media.Mac-conkey me...
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In primary health care, ABC and VED are related to
Of all the inventory control systems ABC and VED matrix is most suitable for medical stores. Hence the coupling of ABC and VED matrix for drug inventory in a hospital.ABC analysis is popularly known as "Always Better Control" is a very useful approach to material management based on Pareto&;s principle of "Vital few an...
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Organ of corti is situated in
Basilar membrane which support the organ of corti.
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Femoral hernia is characteristically ... the pubic tubercle -
Ans. is 'a' i.e., Lateral and below
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All are seen in primary extraglandular Sjogren's syndrome except -
Ans. is 'a' i.e., Rheumatoid arthritis o Primary Sjogren syndrome is not associated with other autoimmune disorders, e.g. Rheumatoid arthritis,o Sjogren syndrome occurs in elderly (50-60 yrs) female.o Primary' Sjogren syndrome (Sicca syndrome) has two types of clinical manifestationsSjogren SyndromeInvolvement of exocr...
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Both hard and soft exudates are seen in
Ref AK khurana 6/e p 275
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Structure over bicipital aponeurosis in cubital fossa-
Ans. is 'd' i.e., Veins
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A 29-year-old male is suspected of having viral encephalitis. Which of the following is the most likely result from CSF analysis?
VIRAL encephalitis N Glucose n or slightly | Protein || Lymphocytes Spinal Fluid Analysis for Meningitis Etiology Opening Pressure WBC Count Protein Glucose CSF/Serum Glucose Ratio Normal <180 mm H2O <=5 cells/mm3 15-45 mg/dL 45-80 mg/dL 0.6-0.7 Bacterial >180 mm H2O >100 cells/mm3 PMNs predominant >45 mg/dL <40 mg/dL ...
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A 40 year old male smoker was diagnosed to have carcinoma of the right lung. Bronchogram showed the presence of a tumor, causing paial occlusion of the epaerial bronchus. Which of the following bronchopulmonary segments receive decreased airflow?
The epaerial bronchus supplies the right upper lobe, which includes the segments : apical, posterior and anterior. Bronchopulmonary segments Lobe Right lung Left lung Superior lobe I. Apical II. Posterior III. Anterior I. Apical II. Posterior III. Anterior IV. Superior lingual V. Inferior lingual Middle lobe IV. Latera...
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All of the following are contra-indications for trial labour except:
Primi gravida
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Non-sterile vegetations are seen in -
Ans. is 'b' i.e., Infective endocarditis o As the name suggests, non-sterile means presense of organism in the vegetation that is the characteristic feature of infective endocarditis. o Vegetation of infective endocarditis has following characteristics Large, bulky, friable and irregular Multiple Present on upper surfa...
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A person knows the truth & willfully concealed the truth & gives false evidence in the cou of law. He will be punished under which IPC -
Perjury is dealt with in 193 IPC. Wilful giving of false evidence by a witness while under oath. He can be imprisoned for 7 years. Perjury can be asked leading questions by same side lawyer. HOSTILE WITNESS: Is a person who is supposed to have some interest or motive for concealing pa of the truth, or for giving comple...
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All of the following are true regarding LMWH (Low Molecular Weight Heparin) except
Ans. (b) It acts by inhibiting both factor IIa and factor XaRef: KDT 6th ed./ 1599-600* Low molecular weight heparin inhibits only factor Xa whereas unfractionated heparin inhibits both factor Ila and factor Xa.
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Mycobacterium tuberculosis infection in human is most commonly because of -
Tuberculosis is transmitted mainly by droplet infection and droplet nuclei generated by sputum positive patients with pulmonary tuberculosis . Ref:PARK&;S TEXTBOOK OF PREVENTIVE AND SOCIAL MEDICINE 23rd edition , Page :181
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Which of the following is the BEST to assess the state of protein nutrition?
Serum albumin is the best test of measure of body protein status. Other tests include total body nitrogen, mid arm circumference, serum transferrin, creatinine and height index. A serum albumin value of more than 3.5 g/dl indicates normal nutrition. Ref: Park, 21st Edition, Page 563
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ELISA for virulence marker antigen (VMA) is done to detect virulence in -
EIEC :clinically EIEC resembles shigellosis ranging from mild diarrhoea to frank dysentry and occur in childrenas well as in adults. For lab diagnosis of EIEC ,the Sereny test used to be employed. Mice may be used instead of guinea pig. Cell penetration of HeLa or HEP-2 cells in culture is a more human diagnostic test....
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Which of the following represents the clinical presentation of a patient with critical lower limb ischemia?
Patient with critical limb ischemia has insufficient perfusion to sustain limb at rest, if left untreated such patients require amputation in 6 months. They experience pain at rest, ulcers and ischemic gangrene. Rest pain is exacerbated when lying supine and is improved by dangling the feet. Narcotics can also relieve ...
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Benign hyperplasia (excessive growth of cells) of which pa of the male reproductive system would be most likely to interfere with the passage of urine?
Remember that the prostatic urethra travels through the prostate gland. So, if the periurethral zone of the prostate hyperophied, the nearby prostatic urethra would be occluded. The central and peripheral zones of the prostate are not as close to the urethra. If they enlarged, they would not restrict the flow of urine ...
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Putrefaction is a :
D i.e. Late sign of death
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Terlipressin is preferred over vasopressine for esophageal varices because of -
Ans. is 'c' i.e., Less side effects o Terlipresin is preferred over vasopressine because: -i) Fewer adverse effectsii) Greater convenience in use
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All of the following drugs are used as immunosuppressants except -
Ans. is 'c' i.e., Cephalosporin Immunosuppressant drugs:-These are drugs which inhibit cellular / humoral or both immune response.They have their major use in organ transplantation and autoimmune disease.These drugs are:ImmunosuppresantsCalcineurin inhibitors(specific T cell inhibitors)Antiproliferative drugs(cytotoxic...
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A person was diagnosed with Gout. You will suggest the patient to avoid which of the following food product in his diet?
Ans. D. ALLFoods rich in purine are:1. Vegetarian - spinach, peas, cauliflower, mushrooms2. Non- vegetarian- meat, liver, fish (tuna)Also alcohol & heavy exercise should be avoided in patients of gout, because they cause Lactic acidosis & Hyperuricemia.
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Which of the following is the most common cause of congenital hydrocephalus? NOT RELATED-MEDICINE
.
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ATP is generated in ETC by
ATP SYNTHASE (COMPLEX V) It is a protein assembly in the inner mitochondrial membrane. It is sometimes referred to as the 5th Complex (Figs 19.14 and 19.15). Proton pumping ATP synthase (otherwise called F1-Fo ATPase) is a multisubunit transmembrane protein. It has two functional units, named as F1 and Fo. It looks lik...
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Amyloid is best identified by -
Ans. is 'd' i.e., Green birefringence of stained amyloid when viewed by polarizing microscope
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Postoperative third-space accumulation should be managed by intravenous
Normal saline Third-space fluid accumulation should be managed by replacement with normal saline. This may produce an edematous patient, but it maximizes protection of reral function and produces more rapid recovery. Intravenous administration of non-solute containing fluids compounds the problem. Administration of pot...
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One of the following is the t/t of choice for dermatitis herpetiformis:
Ans. a. DapsoneTOC for dermatitis herpetiformis is gluten free diet DOC Dapsone
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Which of the following differentiates Hodgkin's lymphoma from non Hodgkins lymphoma?
ANSWER: (D) Reed stern berg cellsREF: Robbing 7th ed p. 669The differentiation between Hodgkin and non Hodgkin can be reliably done by histopathological examination and Reed Sternberg cells Is very characterstic of hodgkins lymphoma.* The clinical features of both the diseases can be very similar and distinction is dif...
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A rikshaw ran over the body of an 8 year old child leaving distinct markings of the tire treads. Marking's of the rikshaw tire over the child's body are best defined as:
Impact and pressure abrasions reproduce the pattern of the object causing it and are called patterend abrasions. They are produced when the force is applied at right angle to the surface of skin. When the skin is struck with a weapon having patterned surface, ridges of object damage the epidermis, and skin may be compr...
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A 6 yr old child presenting with recurrent episodes of gross hematuria for 2 yrs, is likely to have:
Recurrent episodes of painless gross hematuria represent the classic clinical presentation of IgA nephropathy. All other conditions may cause microscopic hematuria but gross hematuria in children is charecteristic of IgA Nephropathy. Ref: O P Ghai 6th Edition, Page 446, 448, 573, 574; Harrison 17th Edition, Page 1788; ...
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A 40 years old female patient presented with recurrent headaches. MRI showed an extra-axial, dural-based and enhancing lesion. The most likely diagnosis is NOT RELATED-RADIOLOGY
.
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The commonest extradural spinal tumour is -
• MC spinal tumor: Metastasis • MC primary spinal tumor: Nerve sheath tumor • MC intramedullary tumor: Astrocytoma • MC site of primary spinal tumor: Intradural extramedullary
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Most sensitive test for Treponoma:
Ans. (c) FTA-ABS ' Most sensitive test for syphilis: FTA-ABS Most specific test for syphilis: TPI Note Treponemal test are likely to remain reactive even after adequate treatment and cannot differentiate past from current trepon mal infection.
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It is true about formalin :
B i.e. Never used as a preservative for chemical analysis
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Ligature material in case of hanging is kept preserved as ?
Ans. is 'c' i.e., Ligature is cut away from the knot For removal and preservation of the ligature from the dead body in case of hanging it is cut away from the knot and the cut ends are tied with string or wire.
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Smoking is a risk factors for all the carcinoma except
Ref Robbins 9/e p415 Genetic Factors. Distinct molecular events are involved in the pathogenesis of the four major variants of thyroid cancer. As stated, medullary carcinomas do not arise from the follicu- lar epithelium. Genetic alterations in the three follicular cell- derived malignancies are clustered along two onc...
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True about spleen is all except
The long axis of the spleen lies along the tenth rib. The spleen plays multiple suppoing roles in the body. It acts as a filter for blood as pa of the immune system. Old red blood cells are recycled in the spleen, and platelets and white blood cells are stored there. The spleen also helps fight ceain kinds of bacteria ...
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In cholesterol synthesis, which is rate limiting amino acid:
A i.e. HMG COA reductase
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Lymphatic filariasis is not caused by-
Lymphatic filariasis- infection with the filarial worms Wuchereria bancrofti & Brugia malayi is associated with clinical outcomes ranging from subclinical infection to hydrocele & elephantiasis. Loiasis is caused by Loa loa ,which is characterised by calabar swelling,an intense,tense,localised swelling that may be pain...
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Recommended maximum dose of Lignocaine + adrenaline for peripheral nerve shock.
Local Anesthetic Maximum dose Over 24 hours Plain With Adrenaline Lidocaine 300mg 4.5mg/kg 500mg 7mg/kg Mepivacaine 300mg 4.5mg/kg 500mg 7mg/kg Prilocaine 600mg 8mg/kg 600mg 2-chloroprocaine 800mg 12mg/kg 1000mg Bupivacaine 175mg 3mg/kg 225mg 400mg Levobupivacaine 150mg 400mg Ropivacaine 225mg 3mg/kg 800mg maximum dose...
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Volume of lung after maximal forceful expiration -
Ans. is 'b' i.e., Residual volume Respiratory Volumes and Capacities for an Average Young Adult MaleMeasurementTypical valueDefinition Respiratory volumes1. Tidal volume (TV)500 mlAmount of air inhaled or exhaled in one breath during relaxed, quiet breathing2. Inspiratory reserve volume (IRV)3000 mlAmount of air in exc...
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Which of the following in not a cause of death due to suffocation
Suffocation is a general term used to indicate a form of asphyxia where entry of air to the lungs is prevented by any means other than pressure on the neck or drowning. Smothering is caused by closing the external respiratory orifices either by hand or by other means. Gagging is closing of mouth & nose by cloth or soft...
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All of the following statement are true regarding silicosis, except:
Silica occurs in both crystalline and amorphous forms, but crystalline forms (including quaz, cristobalite, and tridymite) are much more fibrogenic. After inhalation, the paicles are phagocytosed by macrophages. The phagocytosed silica crystals activate the inflammasome, leading to the release of inflammatory mediators...
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The initial investigation of choice for a post cholecystectomy biliary stricture is:
Ans. is ' d' i.e. ie Magnetic resonance cholangiography The initial investigation of choice for a post cholecystectomy stricture would be an MRCP. It is a non-invasive modality and provides high resolution images of the entire biliary tree. "PTC is the imaging method of choice for most postoperative biliary strictures,...
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A 66-year-old woman collapses while shopping and expires suddenly of cardiac arrest. Her past medical history is significant for long-standing type 2 diabetes mellitus. Her relatives note that she had complained of chest heaviness and shoness of breath for the past 2 weeks. Sterile fibrinous pericarditis and pericardia...
Fibrinous pericarditis may develop 2 to 10 weeks after a transmural myocardial infarction. Patients with long-standing diabetes mellitus are paicularly susceptible to coronary atherosclerosis and myocardial infarction. One fouh to one half of all nonfatal myocardial infarctions are asymptomatic. In such patients, sudde...
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Patient wants to scratch for itching in his amputated limb is an example of ?
Ans. C. Phantom limb hallucinationPhantom limb hallucination - The person feels his body pas intact in their respective places even after they are lost through amputation or injury.In the question given patient feels itching in the amputated limb and tries to scratch the limb. Thus it is an example of phantom limb hall...
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Ehlers-Danlos syndrome is a disease affecting _____.
Ehlers-Danlos syndromes are characterized by defects in collagen (i.e., connective tissues).
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A 52-year-old recent immigrant from Vietnam complains of abdominal swelling, weight loss, and upper abdominal pain of 3 weeks in duration. His past medical history includes malaria and infection with the liver fluke Clonorchis sinensis. The liver is hard on palpation. An abdominal CT scan shows a hypo-attenuated mass w...
Carcinoma originates anywhere in the biliary tree. Cholangiocarcinoma:- Arising within the liver Associated with substantial fibrosis Confused with metastatic carcinoma and reactive fibrosis. These tumors occur at an increased frequency in persons infected with the liver fluke C. sinensis The other choices are not asso...
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Sensory nerve supply above the level of vocal cords is:
Sensory nerve supply to larynx above the level of vocal cords is superior laryngeal nerve, while below the cords it is recurrent laryngeal nerve. Superior laryngeal nerve is a branch of vagus. It divides into two branches - external laryngeal supplying motor fibres to cricothyroid muscle and an internal laryngeal nerve...
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Action of truncal vagotomy is equal to that of
(C) Proton pump inhibitors> In addition to Truncal vagotomy, the antrum of stomach was removed, thus eradicating the source of gastrin, and the gastric remnant was joint to the duodenum.> Proton pump inhibitors can effectively render a patient achlorhydric and all benign ulcers will heal using these drugs.
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Patey's modification of mastectomy is
Ans. (b) Total mastectomy with Level 1 through 3 axillary LN with pectoralis minor resection(Ref. Operative Surgery Fischer 55)* Patey procedure - Pectoralis muscle is removed from coracoid process* Auchincloss - Pectoralis muscle is retracted* Scanlon - Pectoralis muscle is divided
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Somatic innervation to the pelvic organs is
For most of its pelvic course, the femoral nerve (L2, L3, L4) travels within the substance of the psoas muscle and then exits its lateral side to pass under the inguinal ligament. It supplies sensation to the anterior thigh and motor innervation to the extensors of the knee.
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All the following are features of constrictive pericarditis except
Ref Harrison 19 th ed pg 1576 The patient often appears chron- ically ill, and in advanced cases, anasarca, skeletal muscle wasting, and cachexia may be present. Exeional dyspnea is common, and ohop- nea may occur, although it is usually not severe. Acute left ventricular failure (acute pulmonary edema) is very uncommo...
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Most important buffer system in human blood:
Ans. a (Bicarbonates); (Ref. Ganong, Physiology, 21st ed., 736; Satyanarayan, Biochemistry 2nd ed. - 525)PRINCIPAL BUFFERS IN BODY FLUIDSBlood1. H2CO3 K H+ +HCO-3 (Bicarbonate buffer) =>>most predominant buffer of ECF. especially blood plasma.2. HProt K H+ + Prot- & HHb K H++ Hb- (Protein buffer)3. H2PO4 - KH-+ HPO42- ...
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The earliest sign of papilloedema -
Ans. is 'b' i.e., Blurring of disc margin Ophthalmoscopic signs of papilloedema o Blurring of disc margin o Venous :- Engorgment, congestion, loss of pulsation (first sign) o Hyperemia of the disc with capillary dilatation. o Filling of physiological cup with gradual obliteration of physiological cup. o Gradual elvetio...
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On 3 phase 99mTc-MDP bone scan, which of the following bone lesions will show least osteoblastic activity.
D i.e. Fibrous coical defect
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What is not seen in Reiters syndrome?
A. i.e. Subcutaneous nodules
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The following primary tumours are common in the vulva except :
Invasive lesions of vulva : Squamous cell carcinoma--most common 90% Melanoma 1-5% Adenocarcinoma 1% Sarcoma 2% Rodent ulcer or basal cell carcinoma 1%. Reference: Shaw's Textbook of Gynaecology 16th edition page no 475
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A patient presented with clinical features of ataxia and in-coordination. It is most likely due to involvement of which aery among the following
Clinical features of ataxia and in-coordination belong to cerebellar pathology, which might arise if there was involvementof superior cerebellar aery. Cerebral aery involvement (anterior, middle or posterior) does not usually present with cerebellar sign and symptoms.
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A case of acute flaccid paralysis must be observed for how many days for residual weakness in poliomyelitis?
Poliomyelitis is an acute viral infection caused by a RNA virus which is primarily an infection of the gastro-intestinal tract affecting the central nervous system. Acute flaccid paralysis is a common presentation of poliomyelitis where the patient presents with paralysis of acute onset (less than 4 weeks) and affected...
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Atropine is used in all EXCEPT ?
Ans. is 'a' i.e., Glaucoma Atropine increases 'OP, therefore is contraindicated in glaucoma.
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Which of the following is true about multiple sclerosis except
. *Multiple sclerosis is characterised by prominent nystagmus which is observed in the abducting eye,along with a small skew detion . *A bilateral internuclear ophthalmoplegia is paicularly suggestive of MS *Other common gaze disturbances in MS include (1) horizontalgaze palsy (2)a "one and half"syndrome (3)acquired pe...
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Memory T cell can be identified using the following marker
.
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False statement about duodenal atresia is
OPTION 1 : Correct Duodenum is M/C site of intestinal atresia . Duodenal atresia is M/C cause of neonatal intestinal obstruction . OPTION 2 : Incorrect Type 1 - Mucosal web (windsock deformity) Type 2 - Two ends are separated by fibrous cord . Type 3 - Complete separation of two ends . OPTION 3 : Correct Vomiting is bi...
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All are associated with endocarditis except:
Ans. D. ESKAPE groupESKAPE group (Enterococcus, Serratia, Klebsiella, Acinetobacter, Pseudomonas, Enterobacter) are associated with healthcare associated infections
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Inguinal ligament forms the boundries of -
Ans. is 'c' i.e., Both border of SartoriusMedial border of adductor longusInguinal ligamentPoint where medial and lateral boundaries meetInferior epigastric artery Lateral border of rectus abdominisInguinal legament
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Hasse's formula used in pregnancy to?
ANSWER: (A) Estimate fetal ageREF: Textbook of Forensic Medicine and Toxicology by Nagesh Kumar Rao - Page 321Hasse's formulaIf the crown heel length is known then the intrauterine age of fetus is calculated as:If CH length is up to 25 cm thenIU age = Square root of CH lengthIf the CH length is > 25 cm thenIU age = 1/5...
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Zoonotic diseases are -
Ans. is 'All
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The test likely to help in diagnosis of a patient who presents with an itchy annular plaque on the face is:
B i.e. KOH mount Trichophyton rubrum is most common cause of tinea corporis (body), t. cruris, t. pedis, t. manuum & t.unguiumQ. Diagnosis is made by KOH wet mount.
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