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Systemic eosinophilia with Renal failure is found in all, except:
. Chronic Interstitial Nephritis
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A 16-year-old female presents with cryptomenorrhea and with normal secondary sexual characters. Investigation of choice is
(C) Genital exam for out flow obstruction # Girls with Imperforate Hymen present with colicky abdominal pain which is often cyclic.> Menarche has not yet set in, however the secondary sexual characters have been well developed.> As vagina gets progressively & increasingly distended with menstrual blood, pressure sympto...
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Contractile dysfuncation seen in which type of cardiomyopathy?
Dilated cardiomyopathy (DCM) is characterized by progressive cardiac dilation and contractile (systolic) dysfunction, usually with concurrent hyperophy; regardless of cause, the clinicopathologic patterns are similar. DCM results in systolic (contractile) dysfunction. Causes include myocarditis, toxic exposures (e.g., ...
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Salter's Scale is a useful method employed in the field to measure:
Bathroom weighing scale is unreliable instrument for measuring weight of children For field conditions, Salter's Spring Scale is quite satisfactory as it is easy to carry.
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Which of the following is the best indicator for long-term nutritional status?
Height for age is the best indicator for long-term nutritional status (chronic malnutrition) Weight for age is the most commonly used index, but it doesnot differentiate between wasting and stunting. Hence, it has limited clinical significance A low weight-for-height, or wasting, indicates acute malnutrition Ref: Nelso...
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medmcqa_train
In ICD-11, which of the following were added?
The new International Classification of Diseases (ICD), ICD-11, was revealed by the World Health Organization (WHO) on 18th June 2018, with changes to gender incongruence, the addition of gaming disorders, and better tracking of antimicrobial resistance. This is the first revision of the codes to be completely electron...
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Lead time is defined is ?
Ans. is 'b' i.e., Time between point where the diagnosis is made by screening test to usual diagnosis In respect to screening test and diagnostic test, a disease passes through following phase, sequentially. Disease onset - Disease process just staed. First possible point of diagnosis - The earliest point in disease pr...
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Menier's disease characterized by all EXCEPT :
Ans. is 'a' i.e. . Diplopia Meniere's disease (also k/a endolymphatic hydrops)Main pathology is distention of the endolymphatic system due to increased volume of endolymph.Cardinal symptoms:Episodic vertigoFluctuating hearing lossTinnitusSense of fullness or pressure in the involved ear.Diplacusis is seen in Meniere's ...
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medmcqa_train
Most common ovarian malignancy in post menopausal period is
Ans a Ref: Sheila balakrishnan page 256Epithelial tumor: Majority are seen in post menopausal woman, peak incidence between 50-60.30-40:peak incidence of borderline tumorsLess common under 40 yrsMost common epithelial tumor is serous cystadenoma followed by mucinous.Sex cord stromal tumors: can occur at all ages Germ c...
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Recurrence rate of ectopic pregnancy in a patient previously treated for ectopic-
A previous history of ectopic pregnancy is the strongest risk factor for another ectopic pregnancy. The increased incidence is due to both : presence of previous factors that led to initial ectopic and potential damage to fallopian tube from the prior ectopic and its treatment. Chance for intrauterine pregnancy: 40 % C...
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Hernia with highest rate of strangulation:
Ans. (c) Femoral herniaRef.: Bailey & Love 26th ed. Ch. 60 / 960* High risk of strangulation is seen with femoral hernia as it has lacunar ligament (Gimbernat's) medially. This is a strong curved ligament with a sharp unyielding edge which impedes reduction of a femoral hernia.* 50% of cases present as an emergency
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The skin overlying the region where a venous "cut down" is made to access the great saphenous vein is supplied by
(Femoral nerve) * Great saphenous vein lies in the medial side of the leg and thigh, it is the MC site of venous cut down * It is accompanied by saphenous nerve all along, the nerve which supplies the medial aspect of the leg and dorsum of the foot till the ball of great toe. * Saphenous nerve itself is a branch of fem...
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Single best moality indicator
ref: Park&;s 23rd edition pg 58 ASDR(Adjusted Standardised Death Rate): here, age adjustment or age standardisation is made, which removes confounding effect of different age structures and yields a single standardised or adjusted rate, by which the moality experience can be compared directly.
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Conn’s Syndrome is characterized by increased synthesis of
→  Conn’s Syndrome is a rare health problem, that occurs when the adrenal glands make too much aldosterone. This problem is also known as primary hyperaldosteronism.  → Aldosterone is a hormone, that controls salt and potassium level in the blood pressure.Too much leads to high blood pressure.  → It is common is female...
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Skin lesion in meningococcal meningitidis is due to
The endotoxin lipopolysaccharide of Meningococci is released by autolysis.- vascular endothelium is paicularly sensitive to the endotoxin. All major inflammatory cascade systems, as well as cytokines and nitric oxide, are triggered and unregulated. Reference: Textbook of Microbiology; Anathanarayan and panicker's; 10th...
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True about thromboxane-A2 is?
Ans. is 'b' i.e., Platelet aggregation
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Mrs. X, Primigravida at 36weeks complains of generalized pruritis with increased intensity in soles. Diagnosis is
Clinical presentation of Intrahepatic Cholestasis of Pregnancy:Pruritus develops in late pregnancy, although it occasionally manifests earlier. There are no constitutional symptoms, and generalized pruritus shows a predilection for the soles. Skin changes are limited to excoriations from scratching. Biochemical tests m...
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Mucosa is never involved in which of the following disorders –
Mucosal involvement Common                →   Pemphigus Rare                      →   Pemphigoid Not involved          →   Dermatitis herpetifo
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A 50-year-old pulmonologist is diagnosed with pulmonary tuberculosis and staed on standard drug therapy. After 1.5 months, the patient has developed fatigue, low grade fever, muscle aches, bone pains and body aches. The patient also complains of pleuritic chest pain. His sputum tests negative for acid fast bacilli. On ...
Patient's symptoms including constitutional symptoms, ahralgia and pleuritic chest pain with positive anti-histone antibodies and recent use of isoniazid point towards the diagnosis of drug induced lupus erythematosus. Drugs undergoing acetylation in liver with the help of N-acetyl transferase are responsible for major...
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All are component of Obesity Surgery-Moality Risk Score (OS-MRS) EXCEPT:
Type-2 Diabetes mellitus is not a component of the Obesity Surgery-Moality Risk Score (OS-MRS). Obesity Surgery-Moality Risk Score (OS-MRS):clinically useful score to predict moality risk in patients undergoing gastric bypass Risk factor Score Age >45 yr 1 BMI >50 kg/m2 1 Male gender 1 Hypeension 1 DVT/PE 1 Risk Catego...
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A 60 year old male was diagnosed with end stage kidney disease 5 years ago & has been managed with hemodialysis since then. He is also hypeensive & diabetic. He is not compliant with his medications & hemodialysis schedule & now presented with bone pain & dyspnea. CXR shows hazy bilateral infiltrates. Chest CT shows gr...
Given scenario suggests the diagnosis of teiary hyperparathyroidism- commonly seen in patients with chronic kidney disease who are poorly compliant with therapy. Features- bone pain, ectopic calcification & pruritus. Hypoxemia and ground-glass infiltrates on chest CT represent ectopic calcification of the lungs. A tech...
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Which of the following CLASP human experiment:
Ans. C. Main center for the experiment was in United kingdomCLASP human experiment:Correspondence to: CLASP Co-ordinating Centre, Harkness Building, Radcliffe Infirmary, Oxford OX2 6HE, UK- http: // www,researchgate.netCLASPThe impact of aspirin on proteinuric preeclampsia and its fetal sequelae in CLASP was ceainly sm...
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Which of the following is not a teiary amine derivative?
Ans. b. Glycopyrrolate Glycopyrrolate is a synthetic quaternary anticholinergic drug, which doesn't cross the blood brain barrier and completely lacks central effects.
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Confocal scanning laser ophthalmoscope uses ?
Ans. is 'b' i.e., Diode laser Confocal scanning laser ophthalmoscope It is an instrument using confocal laser system to provide and analysethree dimentional image of the optic nerve head, peripapillary retina, and macular region. It uses a 670 nm diode laser and measures the amount of light reflected froma series of 16...
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Incubation period of gonorrhoea is
Gonorrhea is a venereal disease that has been known since ancient times. The disease is acquired by sexual contact. Caused by Neisseria gonorrhoeae. The first step in infection is adhesion of gonococci to the urethra or other mucosal surfaces. Pili are involved in this adhesion. Adhesion is rapid and firm so that mictu...
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Lecithin Sphingomyelin ratio in amniotic fluid is used to assess the maturity of :
Fetal lung
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Palpable pupura is seen in all conditions except –
Vasculitis of small vessels cause palpable purpura, whereas giant cell arteritis affects large vessels.
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A 60-year-old industrial worker presents with shortness of breath for the past week. Blood withdrawn shows thick brownish red Color. Diagnosis?
Ans. C. Meth-hemoglobinemia* Sickle cell anemia has a pediatric presentation.* Hemolytic anemia will cause pallor and not brown discoloration of blood.* In G6PD in event of intravascular hemolysis the hemoglobinuria will cause a black urine. Therefore, by exclusion the answer is meth-hemoglobinuria.
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A radiolucency in bone without periosteal bone reaction is seen in
Any lesion of bone destruction that has ill-defined borders and a lack of peripheral bone response (sclerosis) should be viewed with suspicion. Squamous cell carcinoma originating in bone  The internal structure is wholly radiolucent with no evidence of bone production and very little residual bone left within the cent...
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Carcinoma tongue most frequently develops from:
Most common site of carcinoma tongue is middle of lateral border or the ventral aspect of the tongue followed by tip and dorsum.
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Low risk type of HPV
<p>HPV Human papilloma virus More than 200 types known .100 have been sequenced. These virus invade squamous epithelium and trigger cell proliferation. Viruses mainly being transmitted by fomites ,scratching, and auto inoculation. Low risk type-6 and 11 {Reference: IADVL textbook of dermatology, vishalakshi Vishwanath ...
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Me Naughten's rule is?
Ans. is 'a' i.e., Person is not responsible if he is not of a sound mind o According to Me Naughtcn's rule, a person is not responsible for his act, if has unsound mind at the time of act.o The criminal responsibility of an insane is judged as per the following rules :1) MC Naughten rule (legal test or right or wrong t...
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Most common feature of opiate poisoning: NIMHANS 11
Ans. Respiratory depression
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Which of the following is not a feature of rosacea?
Rosacea is a chronic disease affecting fair skinned middle aged adults characterised by flushing and telangiectasia in early stage, papules and pustules in inflammatory stage, papules and induction and rhinophyma in chronic stage. Ref: Rook textbook of Dermatology, 8th edition, Page : 43.1-3
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Levator ani muscle supplied by:
(Pudendal nerve) Ref: 394-BDC-2, 349-Snell 7thThe levator ani is supplied by:1. A branch from the fourth sacral nerve2. A branch either from the inferior rectal nerve or from the perineal division of the pudendal nerveBranches of the Sacral Plexus and Their DistributionBRANCHESDISTRIBUTION,Superior gluteal nerve- G. me...
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A female multipurpose worker does not do –
FHW does not do malaria surveillance hereself. FHW assists the male health worker in maintaining a record of cases of malaria, TB and leprosy.
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Protein that initiates synthesis of RNA primers
Classes of Proteins Involved in Replication Protein Function DNA polymerases Deoxynucleotide polymerization Helicases ATP -driven processive unwinding of DNA Topoisomerases Relieve torsional strain that results from helicase-induced unwinding DNA primase Initiates synthesis of RNA primers Single-strand binding proteins...
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Volcano ulcers in esophagus are seen in
Answer- A. Herpetic esophagitisThe ulcers of herpes esophagitis can haye a punctate, linear, stellate, or volcano-like appearance, often with a thin halo fo edemaat the margins.The ulcers may be clustered together or widely separated with normal intemening mucosa.
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Which of the following drug is not a GPIIb / III a antagonist?
Prasugrel is an antagonist of P2 Y12 receptors of ADP like clopidogrel.
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Hyperprolactinoma causes
(Oligomenorhea): (2287-88- H18th edition; 788-Davidson 21st)HYPER PROLACTINEMIA* Hyper prolactinemia is the most common pituitary hormone hyper secretion syndrome in both men and women* PRL- secreting pituitary adenoma (Prolactinomas) are the most common cause of PRL levels > 200 mg/L* Pregnancy and lactation are the i...
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Which of the following statement about Bradykinin is true:
A i.e. Causes PainBradykinin increases vascular permeability, and causes contraction of smooth muscle (utrine, intestine, bronchoconstriction), dilation of blood vessels and painQ when injected into the skin. These effects are similar to those of histamine.
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Suxamethonium is
Depolarizing neuromuscular blockers Succinylcholine (SCh., Suxamethonium), Side effects:- Muscle fasciculations and soreness, changes in BP and HR, arrhythmias, histamine release and K+ efflux from muscles causing hyperkalaemia. Uses:- SCh is the most commonly used muscle relaxant for passing tracheal tube. It induces ...
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Movement across socioeconomic levels is termed as –
Social mobility is the degree to which an individual's family or group's social status can change throughout the course of their life through a system of social hierarchy, i.e. Social mobility refers to movement of individuals/ families across different socioeconomic levels. Social Upliftment Social upliftment refer...
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Ascorbic acid is a potent enhancer of iron absorption because it
Ascorbic acid enhances iron absorption mostly by its reducing capacity, keeping iron in the ferrous state. Ascorbic acid does not enhance heme iron absorption, nor does it affect heme oxygenase activity or the produc on of ferritin or transferrin.
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Veins communicating the cavernous sinus to pterygoid plexus pass through fossa of :
B i.e. Vesalius; C i.e. OvaleForamen Vesalius is an inconstant foramen that gives passage to an emissary vein that connects pterygoid venous plexus with cavernous sinus (vein of vesalius)Q. It is also k/a sphenoidal emissary foramen as its seen in the great wing of sphenoid, medial to foramen ovale, opposite the root o...
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Mucosal candidiasis is caused by
(A) Candida albicans # Mucosal Candidiasis> Candidosis describes a group of yeastlike fungal infections involving the skin and mucous membranes.> Infection is caused by Candida species, typically, Candida albicans.> Acute pseudomembranous candidiasis (thrush)> Thrush may be observed in healthy neonates or in persons in...
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Clearance -
Ans. is 'd' i.e., All of the above Clearance of a drug is the theoretical volume of plasma from which the drug is completely removed in unit time.
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Who is the chairman of district blindness control society?
Ans. a. District collector (Ref: Park 23/e p439, 22/e p406; www.nrhmtn.gov.in/dbcs.html)District collector is the chairman of district blindness control society.District Blindness Control Society has been established under the chairmanship of District Collector/Deputy Commissioner. Park 23/e p439District Blindness Cont...
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An 18 months baby can do?
a. Hide and seek game(Ref: Nelson's 20/e p 65-77, Ghai 8/e p 52-54)Hide and seek game or peek a boo comes at around 10 months age.
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A newborn baby presented with profuse bleeding from the umbilical stump after bih. Rest of the examination and PT, APTT are within normal limits. Most of probable diagnosis is:
Ans. a. Factor X deficiency
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A 37-year-old man develops pulmonary hemorrhage and glomerulonephritis. Lung biopsy with immunofluorescence demonstrates IgG deposition along the basement membrane. These antibodies are most likely directed against which of the following types of collagen?
Goodpasture syndrome Autoimmune disease Ceain domains of type IV collagen are intrinsic to the basement membranes of renal glomeruli and pulmonary alveoli. Resulting in necrotizing hemorrhagic interstitial pneumonitis and rapidly progressive glomerulonephritis. The characteristic linear pattern of immunoglobulin deposi...
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Most common cause of Cheyne-Stokes breathing is?
Ans. is'b'i.e., CHF(Ref Clinicalmedicine p. 713)Cause of Cheyne-Stokes respiration,Normally occurs during sleep at high altitudeCongestive cardiac failureDamage to respiratory centers
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The drug of choice for mushroom poisoning is which of the following?
Symptoms of mushroom poisoning are due to excess of muscarine. The polypeptides from these mushrooms are inhibitors of cellular protein synthesis and stimulates post ganglionic cholinergic fibres. Atropine sulphate is the preferred drug of choice to counteract the muscarinic effects. Ref: The Essentials of Forensic Med...
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Hepatocellular damage of wilson's resembles ?
Ans. is 'a' i.e., Acute hepatitis; 'b' i.e., Chronic hepatitis; 'c' i.e., CholestasisWilson diseaseo This autosomal - recessive disorder is marked by the accumulation of toxic levels of copper in many tissues and organs, principally the liver, brain and eye.Clinical features of Wilson's disease?Organs involved Symptoms...
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28-year old male while playing was hit on the head by a cricket ball . This hit fractures the orbit and damage the optic canal. Which of the following structures are most likely to be damaged during this hit are -
Floor of Anterior Cranial Fossa is formed by :- 1)Cribriform plate of ethmoid bone 2)Frontal bone 3)Lesser wing of sphenoid Frontal bone and lesser wing of sphenoid contribute in forming roof of orbit Lesser wing of sphenoid contains optic canal for passage of ophthalamic aery and optic nerve (2nd CN) Ophthalmic aery i...
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Net weight gain in pregnancy is :
24 lb
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Movements of pronation and supination occurs in all the following upper limb joints, EXCEPT?
Supination and pronation movements are not possible in radio-carpal(wrist) joint because the aicular surfaces are ellipsoid shaped. Supination and pronation movements are possible in superior, middle and inferior radio-ulnar joints.
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Oral contraceptive pill containing progesterone which is given in small quantities for 30 days a month is known as :
Micro pill
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A 2 year old boy presented with congested cardiac failure, with right to left shunt. What is the diagnosis?
(B) Vein of Gallen malformation[?]Communicating Hydrocephalus:There is free flow throughout the ventricular system.Impaired CSF resorption by the arachnoid granulation accounts for majority of casesSAHInfectious meningitisMalignant meningitisGranulomatous meningitis: TB, sarcoidosisAltered venous Dynamics: Vein of Gale...
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Which cereal is not to be given in celiac sprue
The precise mechanism of mucosal damage is unclear but immunological responses to gluten play a key role . There is a strong genetic component, with around 10% of first-degree relatives of an index case affected, and there is strong (approximately 75%) concordance in monozygotic twins. There is a strong association wit...
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In staphylococci, plasmids encoding beta lactamase are transmitted by
Ref Goodman Gilman 11/e p 1133 Beta lactamase are encoded by plasmids that can be transferred with the help of bacteriophage in staphylococci and by transformation in pneumococci
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Gottron's papules are seen in -
Ans. is 'a' i.e., Dermatomyositis Cutaneous signs of dermatomyosits1. Gottron's papules lilac or violaceous papules on knuckle, dorsa of hands.2. Gottron's sign Violaceous erythema with edema over shoulder, arms, forearms.3. Heliotrope sign Violaceous erythema with edema over eyelids, periorbital region.4. Poikiloderma...
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The best method of teaching an urban slum about ORS is –
Demonstration A demonstration is a carefully prepared presentation to show how to perform a skill or procedure. Demonstration as a means of communication has been found to have a high educational value in programmes like- Environmental sanitation → installation of a hand pump, construction of a sanitary latrine. Mo...
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45-year-old policeman comes from duty with complain of pain in right leg. On examination, pulse in right popliteal fossa was absent and pain in right buttock, where as in left side it was normal. The block is at which level?
As the pulse is absent in right popliteal fossa and also there is impaired blood supply in right buttock and left side is normal, the block lies in the right sided iliac vessel. Image showing blood supply of pelvis and lower limb. If block is in femoral or popliteal vessels, there will be no pain in buttocks. If aooili...
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A first-grade teacher is concerned about a 6- year old girl in her class who has not spoken a single word since school staed. The little girl paicipate appropriately in the class activities and uses gestures and drawings and nods and shakes her head to communicate. The parents repo that the little girl talks only in th...
In selective mutism, a child voluntarily abstains from talking in paicular situations (usually at school) while remaining appropriately verbal at home. Some children only speak with their parents and siblings and are mute with relatives and friends. Children with selective mutism do not have a language impediment, nor ...
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The major contribution of amniotic fluid after 20 weeks of gestation :
Origin of amniotic fluid : Early week -Maternal plasma 2 nd trimester - Fetal skin Beyond 20 weeks -Fetal urine Ref: Datta Obs 9e pg 34.
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Complication of massive blood transfusion?
Ans is 'c' i.e. Hyperkalemia * The potassium concentration of blood increases during storage & massive transfusion of units containing increased potassium may lead to hyperkalemia - adding to elevated potassium levels caused by severe shock, renal dysfunction and muscle necrosis.Massive blood transfusion* A massive blo...
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Uterus and cervix develop from
Two embryonic structures that play an impoant role in the development of the urogenital system are the intermediate mesoderm and the cloaca. Intermediate Mesoderm is subdivided into three pas: 1. Paraxial mesoderm which becomes segmented to form the somites. 2. Lateral plate mesoderm in which the intraembryonic coelom ...
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Red cell Protoporphyrin levels more than 100 microgram/ dL is suggestive of which of the following?
Ans. a (Iron deficiency anemia) (Ref. Harrison 18th/ ch. 103)RED CELL PROTOPORPHYRIN LEVELS# Protoporphyrin is an intermediate in the pathway to heme synthesis.# Under conditions in which heme synthesis is impaired, protoporphyrin accumulates within the red cell.# This can reflect an inadequate iron supply to erythroid...
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All of them are true about retinoblastoma except
Retinoblastoma (RB) gene has been identified as 14 band on the long-arm of chromosome 13 (13q 14) and is a 'cancer suppressor' or 'antioncogenic' gene. Deletion or inactivation of this protective gene by two mutations (Knudson's two hit hypothesis) results in occurrence of retinoblastoma. Retinoblastoma is commonest tu...
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Which nerve is involved in this presentation?
Ans. A long thoracic nerveNerve involvedMuscleLong thoracic NerveSerratus anteriorMusculocutaneous NerveCoracobrachialis muscleLateral anterior thoracic NervePectoralis major muscleThoracodorsal NerveLatissimus Dorsi
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Shoest incubation perion in malaria -
Duration of erythrocytic schizogony 48 hrs- vivax Less than or equal to 48 hrs-falciparum 72 hrs -malariae 48 hrs -ovale (refer pgno:58 baveja 3 rd edition)
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other name of othello syndrome is called as
othello syndrome is called as delusion of marital infedility othello syndrome is common in alcoholic males this is is the most repeatedly asked question in entrance examinations the possible mechanism that is told for othello syndrome is that alcohol causes sexual dysfunction in males and thus inturn results in doubtin...
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Clasp arms serves the function of
Function and Position of Clasp Assembly Parts
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All of the following drugs are documented to be porphyrinogenic EXCEPT:
Aspirin is not a porphyrinogenic drug. There is a very exhaustive list of drugs given in the table from Harrison; I am giving some impoant drugs! Carbamezapine , chloramphenicol, clindamycin Dihydroergotamine , droperidol Hydralazine Fosphenytoin Indinavir Ketamine, ketoconazole Lidocaine Medroxyprogesterone , mifepris...
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A patient of Varicose veins came to hospital; intern was on duty. Which test he shall perform to rule out the DVT?
Pehes test is used to differentiate between Varicose veins and Deep vein thrombosis. The limb is elevated and an elastic bandage is applied firmly from the toes to the upper 1/3 of the thigh to obliterate the superficial veins only. With the bandage applied the patient is asked to walk for 5 minutes. If deep system is ...
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All of the following glands are supplied by the facial nerve, EXCEPT?
Parotid glandreceives parasympathetic innervations from glossopharyngeal nerve and not facial nerve.
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A female neonate is noted at birth to have a gross deformity of her lower back. Examination of the subcutaneous lesion reveals disorganized neural tissue with entrapment of nerve roots. What is the appropriate diagnosis?
Neural tube defects (dysraphic anomalies) reflect impaired closure of the dorsal aspect of the vertebral column. These abnormalities are classified according the extent of the defect, ranging in severity from spina bifida occulta to meningocele, meningomyelocele, and rachischisis. Spina bifida (choice D) is restricted ...
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Best time for surgery in case of combined unilateral cleft lip and hard palate is
If cleft is in hard palate surgery is done between 15-18 months.
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Keratin of skin and nail differ because
Keratins - Keratins are proteins present in hair, skin and nails, horn, hoof, etc. The fibers present are called alpha keratins and matrix as keratohyalin. They mainly have the alpha helical structure. Each fibril has 3 polypeptide chains and each bundle has about 10-12 fibrils. The keratohyalin matrix has cysteinerich...
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Conventional contraception is: September 2006
Ans. C: Condoms Barrier methods of contraception involve the use of device that prevents the passage of sperm through canal. Due to many reasons, use of condom is the most popular conventional contraceptive device worldwide. These are cheaper and relatively simple to use, but when used alone, the pregnancy rate is rela...
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Following are true with respect to genus Neisseria Except
Neisseria genus is gram-negative cocci, It is oxidase positive, non-sporulating, aerobic and non-motile cocci typically arranged in pairs. Reference: Textbook of Microbiology; Anathanarayan and panicker's; 10th edition; Page no: 230
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The nerve roots blocked in pudendal nerve block is :
Pudendal nerve arises from S2,3,4 roots Pudendal block will block all the roots. Ref: Datta Obs 9e pg 480.
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Senile ptosis is:
Ans/. Aponeurotic
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Anterior maxillary occlusal projection shows all of the following except:
In anterior maxillary occlusal projection, the central ray is oriented through the tip of nose toward the middle of film with approximately +45 degrees vertical angulation and 0 degrees horizontal angulation. The primary field of this projection includes the anterior maxilla and its dentition, as well as the anterior f...
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A 38-year-old male presented with a suspected diagnosis of suppurate labyrinthitis. A positive Rinne's test and positive fistula test was recorded on initial examination. The patient refused treatment, and returned to the emergency depament after 2 weeks complaining of deafness in the affected ear. On examination, fist...
In severe SNHL: Rinne's test is false negative and because labyrinth is dead. Fistula test is negative.False negative Rinne test occurs in case of severe SNHL because patient does not perceive any sound of tuning fork by air conduction but responds to bone conduction due to intracranial transmission of sound from oppos...
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Which of the following is an increased risk of breast cancer?
Ans is b i.e. Atypical hyperplasia A history of breast biopsy for benign breast disease have an increased risk of breast cancer. The degree of increase in risk depends on the specific epithelial abnormality. The table below shows the relative associated risks for patients with benign histologic findings. American Board...
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Most specific antiemetic for chemotherapy induced vomiting is:
Ans. (A) Granisetron(Ref: Harrison 20th/e p501)Drugs for chemotherapy induced vomiting5 HT3 blockers like ondansetron, granisetron, dolasetron, palonosetron and ramosetron are DOC for this condition.Palonosetron is most potent 5 HT3 blocker. Dolasetron may prolong QT interval.Palonosetron has longest t1/2 whereas ondan...
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medmcqa_train
Maple syrup urine disease is characterised by all except -
Ans. is 'd' i.e., Hypopigmentation* Maple syrup urine disease is caused by a defect of branched chain keto acid dehydrogenase (BCKADH), the enzyme which is involved in the catabolism of branched chain amino acids - valine, leucine and isoleucine* The disorder is so called because of the classic sweet odour observed in ...
155,688
medmcqa_train
The typical appearance of 'Granulation tissue' is due to
The term granulation tissue derives from its pink, so, granular appearance on the surface of wounds, and the characteristic histological features include the formation of the new vessels (angiogenesis) with budding ends of capillaries and proliferation of fibroblast.
155,689
medmcqa_train
Which of the following drugs should be sold only on prescription of a registered medical practitioner?
(a) Schedule H drugsRef: Sharma & Sharma's Principles of Pharmacology, 3rd edpg. 6 and style="font-size: 1.04761904761905em; font-family: Times New Roman, Times, serif">.in/newsite/PrintRelease.aspx?re/id=101251* According to the drugs and cosmetic act, 1940 (rules 1945), schedule H deals with the drugs which must be s...
155,690
medmcqa_train
Blau syndrome is associated with mutation of:
Ans: (a) NOD2/CARD 15 geneRef: Harrison, 19th edition, Page 2215 and Genetic Home ReferenceBlau's syndromeCaused by mutations in CARD15 (also known as NOD2), which regulates nuclear factor-xB activation.The protein produced from this gene helps defend the body from foreign invaders, such as viruses and bacteria, by pla...
155,691
medmcqa_train
Which cooking oil bast most PUFA?
Ans. is 'a' i.e., Safflower oil
155,692
medmcqa_train
Supranuclear lesion of facial nerve affects
It is caused by cerebrovascular accidents (haemorrhage, thrombosis or embolism), tumour or an abscess. It causes paralysis of only the lower half of face on the contralateral side. Forehead movements are retained due to bilateral innervation of frontalis muscle. Involuntary emotional movements and the tone of facial mu...
155,693
medmcqa_train
A young patients presented with loss of sensation in sole of foot with paralysis of medial side of plantar muscles of the foot, Most likely nerve involvement is
TIBIAL NERVE:- Root value:ventral division of ventral rami of L4,L5,S1,S2,S3 segments of spinal cord.Beginning: largest subdivision of sciatic nerve.Course: descends veically in popliteal fossa. It continues in back of leg as the neurovascular bundle with posterior tibial vessels. Lastly passes deep to flexor retinacul...
155,694
medmcqa_train
34-year-old patient has moderately severe new onset asthma, and physician gave him a selective b2 agonist inhaler. All of the following signs can be seen in this patient after taking the drug EXCEPT?
Tremor is a common b2 action, Beta 2 agonists increase the movement of K inside the cells, so these can result in hypokalemia. This action is the basis of use of salbutamol in treatment of hyperkalemia At high doses, selectivity is lost and therefore overdose of beta 2 agonists can result in tachycardia. Beta2 agonist ...
155,695
medmcqa_train
Features of vernal conjunctivitis are –a) Shield ulcerb) Horner–Trantas spotsc) Papillary hypertrophy d) Herbert pitse) Pannus
Conjunctival signs of spring catarrh .Palpebral form: Papillary hypertrophy, cobblestone appearance (Pavement stone appearance). Bulbar form: Dusky triangular congestion, gelatinous thickening around limbus, Horner - Tranta's spot. Corneal signs (vernal keratopathy) Punctate epithelial keratitis Ulcerative vernal ke...
155,696
medmcqa_train
Total fluid secreted by salivary gland, stomach, pancrease and itestine in a day -
Ans. is 'c' i.e., 6500 ml Daily water turnover (mL) in the gastrointestinal tractIngested 2000Endogenous secretions 7000Salivary glands1500 Stomach2500 Bile500 Pancreas1500 Intestine+ 1000 7000 Total input 9000Reabsorbed 8800Jejunum5500 Ileum2000 Colon+ 1300 8800 Balance in stool 200
155,697
medmcqa_train
Most common radiosensitive ovarian tumour ?
Ans. is 'a' i.e., Dysgerminomao Dysgerminomas are extremely radiosensitive, and even those that have extended beyond the ovary can generally be controlled by radiotherapy.
155,698
medmcqa_train
"Herald patch" is characteristic feature of -
Ans. is 'd' i.e., Pityriasis rosea o Herald patch or mother patch is a characteristic feature of P. rosea.o P. rosea is a common scaly disorder, occuring usually in children and young adults (10-35 years). Characterized by round/oval pink brown patches with a superficial, centrifugal scale, distributed over trunk in a ...
155,699
medmcqa_train