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Potassium sparing diuretics ?
Ans. is 'd' i.e., All of the above
156,000
medmcqa_train
A 12-year-old child presents with fever and cervical lymphadenopathy. Oral examination shows a grey membrane on the right tonsil extending to the anterior pillar. Which of the following medium will be ideal for the culture of the throat swab for rapid identification of the pathogen :
Ans. is ‘a’ Loeffler’s Serum slope  Fever, cervical lymphadenopathy and grey membrane on the tonsil extending to the anterior pillar
156,001
medmcqa_train
Median nerve injury at the wrist causes -
Injury at the wrist or in carpal tunnel produces low median nerve palsy. Long flexors of fingers are spared and there is paralysis of thenar muscles only. Following features are seen : - Pentest for abductor pollicis Brevis paralysis. Loss of opposition and abduction of thumb. Ape thumb deformity Loss of sensation of...
156,002
medmcqa_train
Commonest fungal infection of the female genitalia in diabets –
In a diabetic patient, commonest fimgal infection of genitalia in both female (vulvoginitis) as well as in male (Balanitis) is candida albicans.
156,003
medmcqa_train
Frontal mucocele presents as:
Mucocele of the frontal sinus: presents in the superomedial quadrant of the orbit (90%) and displaces the eyeball forward, downward and laterally. The swelling is cystic and nontender; egg-shell crackling may be elicited. Sometimes, it presents as a cystic swelling in the forehead (10%). Patient's complaints are usuall...
156,004
medmcqa_train
Lipofuscin, the golden yellow pigment is seen in hea muscle -
Ans. is 'b' i.e., Atrophy
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All the following cause malignant hyperpyrexia except ?
A i.e. N20
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A 74-year-old man presents with fatigue, shortness of breath on exertion, and back and rib pain, which is made worse with movement. Investigations reveal he is anemic, calcium, urea, and creatinine are elevated. X-rays reveal multiple lytic lesions in the long bones and ribs, and protein electrophoresis is positive for...
In multiple myeloma, tubular damage by light chains is almost always present. The injury is a direct toxic effect of the light chains or indirectly from the inflammatory response. Infiltration by plasma cells and glomerular injury is rare. Hypercalcemia may produce transient or irreversible renal damage as do amyloid a...
156,007
medmcqa_train
Micro-albuminuria refemsto
(30-300 mg/d) (249-H) (1077-8-CMDT-09)(272, 1533, 1792-H17th)* Currently, ultrasensitive dipsticks are available to measure microalbuminuria (30 to 300 mg/d), an early marker of glomerular disease that has been shown to predict glomerular injury in early diabetic nephropathy (249-H)* Normal subjects excrete less than 1...
156,008
medmcqa_train
All seen in multiple myeloma, except :
Answer is C (Plasmocytosis > 2%): Diagnosis of Multiple Myeloma requires plasmacytosis of> 10%. The classic triad of myeloma is: a) Marrow plasmacytosis > 10% b) Lytic bone lesions c) Serum or urine 'M' component
156,009
medmcqa_train
During laproscopic cholecystectomy, patient develops wheezing. What is the next best line of management?
Ref: Ajay Yadav, Short Textbook of Anaesthesia, 1st edition. Page 97Explanation:BRONCHOSPASM DURING ANESTHESIALight anaesthesia in asthmatics can induce bronchospasni.Secretions and noxious stimuli can also induce bronchospasni.Treatment:Good depth of anesthesia.Bronchodilators.Light anaesthesia during Lord's (Anal) st...
156,010
medmcqa_train
Kocher Langenbeck approach for emergency acetabular fixation is done in all Except
Progressive sciatic nerve injury "Sciatic nerve palsies as a result of the initial injury occur in approximately 10% to 15% of patients with acetabular fractures. Sciatic nerve injury as a result of surgery occurs in 2% to 6% of patients and is more often associated with posterior fracture patterns treated through the ...
156,011
medmcqa_train
Daily dose of vitamin A in a 6-12 months old child is -
Ans. is 'c' i.e., 300 microgramDaily dose of vitamin in o Infants 300-400 microgramo Children 400-600 microgramo Adolescents 750 microgram
156,012
medmcqa_train
Drawback of aesunate is:
Because aemisinins are sho acting drugs, monotherapy needs to be extended beyond the disappearance of the parasites to prevent recrudescence. After 5 days treatment recrudescence rate is -10%, while with a 3 day course it is -50%. Recrudescence can be totally prevented by combining 3 day aesunate/aemether with a long a...
156,013
medmcqa_train
Which TLR is present on flagella of bacteria
Toll like receptor (TLR) - 5 is present in flagellin.
156,014
medmcqa_train
All of the following statements about Sternberg Canal are true, Except -
Sternberg's canal (persistent lateral craniopharyngeal canal) Originally described by Sternberg in 1888 and was reported to be constantly present in children at the age of 3-4 years. He described an incidence of 4% in adults. (Persistent vestiges have been reported in upto 30% of adults). It is caused by incomplete f...
156,015
medmcqa_train
A 2-year-old boy is brought to the physician because his parents noticed a mass on his right testicle. Physical examination confirms the parents' observation. An orchiectomy is performed. Microscopic examination of the surgical specimen shows neoplastic cells forming glomeruloid Schiller-Duval bodies. Which of the foll...
Most testicular neoplasms in the first 4 years of life are classified as yolk sac tumors. Microscopic examination of a yolk sac tumor shows interlacing strands of epithelial cells surrounded by loose connective stroma. The lobular arrangement of cells, surrounded by empty spaces, leads to the formation of glomeruloid s...
156,016
medmcqa_train
Tick borne hemorrhagic fever is seen in
Omsk hemorrhagic fever : vector  - Tick Manifestation - Hemorrhagic fever Reservoir  -Small mammals
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The most commonly used resuscitation fluid in burns is
The most common fluid used is Ringer lactate/Hamann's solution Ringer lactate is a mixture of sodium chloride, sodium lactate, potassium chloride, calcium chloride in water. Crystalloids are said to be as effective as colloids for maintaining the intravascular volume and are given during initial 24 hrs Colloids should ...
156,018
medmcqa_train
The inheritance pattern of Familial hypercholesterolemia is
Mutations involving single genes follow one of three patterns of inheritance: autosomal dominant, autosomal recessive, or X-linked. Autosomal Dominant Inheritance Familial hypercholesterolemia Huntington disease Marfan syndrome Ehlers-Danlos syndrome Hereditary spherocytosis Neurofibromatosis, type 1 Adult polycystic k...
156,019
medmcqa_train
A 68 yr old man came with pain and swelling of right knee. Ahlbeck grade 2 osteoahritic changes were found on investigation. What is the fuher management:
D i.e. Total knee replacement - Ahlbeck grade 2 osteoahritis (i.e. complete or almost complete obliterated joint space) with symptoms of pain and swelling in a sedentary patient (>65 years of age) is managed by knee replacementQ - Old (65 yrs) age, long standing history of pain & swelling interfering activities of dail...
156,020
medmcqa_train
A 45-year-old man has recently been the recipient of a hea transplant. Which one of the following drug is least likely to cause tachycardia in this patient
The transplanted hea doesn't have sympathetic innervation. Hence an indirectly acting sympathomimetic like Amphetamine has the least likelihood of causing tachycardia when compared to the directly acting ones.
156,021
medmcqa_train
Chemical structure of hemoglobin is
Hemoglobin is a protein with a molecular weight of 64,450.Hemoglobin is a globular molecule made up of four subunits . Each subunit contains a heme moiety conjugated to a polypeptide. Ref: Ganong's Review of Medical Physiology Twenty-Third Edition Page No: 523
156,022
medmcqa_train
Vande Matram Scheme is included in-
Ans. is 'a' i.e., RCH o New initiatives in RCH are : i) Training of PHC doctors in life saving anaesthetic skills for emergency obstetric care a FRUS ii) Setting up blood storage centres at FRUS. iil) Janani suraksha yojna iv) Vandernataram scheme v) Safe aboion services vi) Integrated management of childhood illnesses...
156,023
medmcqa_train
An improved selective media to carry out the Lactobacillus Colony Test is:
Lactobacillus Colony Test: The oldest and the most widely used microbiological method for assessing the caries activity is the Lactobacillus colony count. This method, measures the number of aciduric bacteria in a patient’s saliva by counting the number of colonies which appear on tomato peptone agar plates, a selectiv...
156,024
medmcqa_train
For diagnosis of mania symptoms should be-
Ans. is 'a' i.e., > 1 Week Diagnostic criteria for Mania Three or more of the following for at least 1 week : - Inflated self esteem or grandiosity Decreased need for sleep Ovealkativness Flight of ideas or racing thoughts Distractibility increased goal directed activity or psychomotor agitation Excessive involvement i...
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Absolute contraindication of HRT is?
ANSWER: (D) Breast cancerREF: Harrisons 18th ed edition chapter 348Contraindications to HT should be assessed routinely and include unexplained vaginal bleeding, active liver disease, venous thromboembolism, history of endometrial cancer (except stage 1 without deep invasion) or breast cancer, and history of EURHD, str...
156,026
medmcqa_train
In valvular hea disease complicating pregnancy the following statements are true except :
Open hea surgery is associated with a reduction in fetal loss
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A farmer presents with multiple discharging sinuses in the leg not responding to antibiotics. Most likely diagnosis is :
Ans. is 'a' madurella This is a case of Mycetoma (or Madura foot)Mycetoma is of 2 typesAbout the t/t, Harrison states * "Actinomycetoma may respond to prolonged combination chemotherapy e.g with streptomycin and either dapsone or trimethoprim-sulfamethoxazole "About t/t of eumycetoma it adds "eumycetoma rarely responds...
156,028
medmcqa_train
In Aspergillus infection all the following drugs are used except-
Fluconazole is an antifungal medication used for a number of fungal infections. This includes candidiasis, blastomycosis, coccidiodomycosis, cryptococcosis, histoplasmosis, dermatophytosis, and pityriasis versicolor. It is also used to prevent candidiasis in those who are at high risk such as following organ transplant...
156,029
medmcqa_train
Regarding campylobacterium jejuni not true is ?
Human is the only reservoir "Campylobacter jejuni is a common cause of bacterial gastroenteritis in most pas of the world". Reservoir The bacterium has a broad host range and has been isolated from a range of sources including surface and ground waters, domestic and wild mammals, insects and wild birds. The most promin...
156,030
medmcqa_train
Ducts of Bellini are found in -
Ans. is 'a' i.e., Kidneys Ducts Of Bellini* Papillary (collecting) ducts are anatomical structures of the kidneys, previously known as the ducts of Bellini.* Papillary ducts represent the most distal portion of the collecting duct system.* They receive renal filtrate (precursor to urine) from several medullary collecti...
156,031
medmcqa_train
High risk pregnancy includes all except :
GROUP A GROUP B GROUP C GROUP D UNIVERSAL REPRODUCTIVE HISTORY PRESENT OBSTETRIC HISTORY INTRAPAUM FACTORS Maternal age >35 or<17 primiparity grand multiparity height <140cm low socioeconomy long period of infeility recurrent miscarriage previous IUD,Stillbih previous preterm instrumental delivery previous CS Third sta...
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medmcqa_train
Commonest malignancy type in oral cavity is: September 2010
Ans. C: Squamous cell carcinoma
156,033
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Commonest association seen in carcinom gall bladder?
Ans. is 'c' i.e. Secondaries liver
156,034
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Antral obstruction with vomiting is NOT characterised by:
Repeated vomiting leads to hypochloremic, hypokalemic metabolic alkalosis. Acidosis is not seen. Ref: Schwaz 9/e, Page 1426; Nelson 17/e, Page 1229.
156,035
medmcqa_train
Which of the following is most appropriate about grade 4 burns-
Ans. is 'b' i.e., Involves the whole skin along with muscle tissue Classification of burns o Burn depth is an important topic and repeatedly asked. # Bums are classified according to increasing depth in 2 ways 1. Into degrees i.e. 1st degree to IVth degree bum 2. Into a less precise classification i.e. Shallow & Deep b...
156,036
medmcqa_train
Thoracic duct enters from abdomen to thorax at ?
Thoracic duct is also called as Pecquet duct. It is the largest lymphatic duct in body, about 45 cm (18 inches) long. o It has a beaded appearance because of the presence of many valves in its lumen. Thoracic duct begins as a continuation of the upper end of the cisterna chylinear the lower border of Tuveebra and enter...
156,037
medmcqa_train
Embryonic hemoglobin is -
Ans. is 'c' i.e., Gower
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In a woman presenting with amenorrhea headache, blurred vision and galactorrhea appropriate investigation :
Ans. is a i.e. Prolactin level A woman presenting with headache, blurred vision and galactorrhea, raises the suspicion of a pituitary tumor and so, appropriate investigations would be : S. prolactin (most impoant)deg TSH (as patients with hypothyroidism have elevated TRH which acts to stimulate the release of prolactin...
156,039
medmcqa_train
All of the following are associated with non-ketotic hypoglycemia, EXCEPT:
Von Gierke's disease leads to ketotic hypoglycemia Hypoglycemia is of two types Ketotic hypoglycemia Non-ketotic hypoglycemia Von Gierke's disease Alcoholism When ketone bodies are formed in response to hypoglycemia, which is also a normal body's response to hypoglycemia Insulinoma hypoglycemia ( insulin decreases bloo...
156,040
medmcqa_train
Which of the following is not a pneumatic bone?
(d) Malleus(Ref Scott Brown, 8th ed., Vol 2, page 538)Pneumatic bones are those bones which contain an air filled cavity within them which make them light in weight. In humans, they are seen in relation to the nasal cavity, and enclose the paranasal sinuses. Besides making the skull light in weight, they also help in r...
156,041
medmcqa_train
Treatment of choice for extrahepatic poal thrombosis
Since obstruction is in the poal vein, to bypass the obstruction the shunt should be preferably REX shunt (mesenteric-left poal shunt) Splenorenal shunt is also done in EHPVO but in 50% of patients of EPHVO, splenic vein is thrombosed, not available for splenorenal shunt
156,042
medmcqa_train
"Induseum Griseum" is a thin layer of grey matter in proximity to the corpus callosum. How is it related to it?
The convex superior pa of corpus callosum(dorsal) is covered by a thin layer of grey matter, the indusium griseum, embedded in which are the fibre bundles of bilateral medial and lateral longitudinal striae.Superiorly, it is also related to anterior cerebral vessels and cingulate gyrus.Ventrally, it is attached with th...
156,043
medmcqa_train
The transmission of which of the following neurotransmitters is blocked in strychnine poisoning
Glycine is a inhibitory neurotransmitter and strychnine competitively antagonizes Glycine.
156,044
medmcqa_train
A neonate following BCG vaccination developed a side effect. Which of the following side effect would the neonate most likely develop after vaccination?
Ulceration is the most common side effect post BCG vaccination. Following vaccination, the local tissue response begins in 2-3 weeks, with scar formation and healing within 3 months. Side effects most commonly are ulceration at the vaccination site and regional lymphadenitis. Some vaccine strains also rarely cause oste...
156,045
medmcqa_train
Fibroadenoma of the breast are:
Ans. (d) Solitary mobile mass(Ref: Schwartz 10/e p510)* Fibroadenoma is the MC benign tumor of Female breast* MC in 15-30 years* Also known as Breast mouse
156,046
medmcqa_train
According to sustainable development Goal 3- "Ensure healthy life and promote well being for all at ages", Target 3.1 is to reduce maternal moality ratio by 2030 is less than
By 2030, reduce the global maternal moality ratio to less than 70 per 100,000 live bihs. Indicators for this are- Maternal deaths per 100,000 live bihs Propoion of bihs attended by skilled health personnel. It comprises of 17 Sustainable Development Goals (SDGs) . Health is centrally positioned within the 2030 Agenda, ...
156,047
medmcqa_train
ANCA is found in all except
(D) Bacterial vasculitis # ANTI-NEUTROPHIL CYTOPLASMIC ANTIBODIES (ANCA) are antibodies directed against certain proteins in cytoplasm of neutrophils. It is of two types:(i) Cytoplasmic (c) ANCA: Refers antibodies against proteinase-3 in azurophilic granules. It is found in - weger's granulomatosis(ii) Perinuclear (p) ...
156,048
medmcqa_train
DOC for intermittent preventive therapy during pregnancy in malaria is:
Ans. is c, i.e Sulfadoxine - pyrimethamineRef. Williams 24/e, pg1257, high risk pregnancy fernando arias 4/e, pg 313Intermittent Preventive Therapy is a newer modification of prophylaxis. In chemo prophylaxis, the drugs have to be given daily or weekly, wherein in IPT the pregnant females are treated for malaria presum...
156,049
medmcqa_train
A 20 year old primi at 30 weeks of gestation has polyhydraminos. She should be advised:-
Indomethacin acts by decreasing fetal urine production and thereby reduces amnionic fluid volume. This is presumed due to an increase in vasopressin levels and vasopressin responsiveness However, it may cause constriction of fetal ductus aeriosus, resulting in pulmonary hypeension. Hence, should not be used beyond 32 w...
156,050
medmcqa_train
Duration of cycloplegic by atropine in an adult:
Ans. (c) 7 - 10 daysRef.: A.K. Khurana 6th ed. 1573, Khurana 4th ed./146Cycloplegics and its duration of actionDrugDuration of Effect (days)Atropine7-10Scopolamine3-7Homatropine1-3Cyclopentolate1Tropicamidedays (6 hrs)
156,051
medmcqa_train
Special feature of glargine insulin is ?
Ans. is 'a' i.e., It produces a smooth peakless effect InsuinGlargine It is long acting biosynthetic insulin. It remains soluble at pH 4 of the formulation and precipitates at neutral pH on subcutaneous administration. Onset of action is delayed. It produces a smooth peakless effect. It is suitable for once daily admin...
156,052
medmcqa_train
Sal monella infection is most commonly caused by-
Ans. is 4a & b' i.e., Infected water & Infected vegetable Transmission of salmonella tvphio Typhoid fever is transmitted via the faecal-oral route or urine-oral routes. This may take place directly through soiled hands contaminated with faeces or urine of cases or carriers, or indirectly by the ingestion of contaminate...
156,053
medmcqa_train
Chemotherapy for dysgerminoma is: September 2012
Ans. A i.e. Cisplatin, etoposide, bleomycin
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Illusion is a disorder of-
Ans. is 'b' i.e., Perception Disorders of perceptiono Altered perception:- Sensory distortion (micropsia, hyperacusis), Illusiono False perception:- Hallucination.Thought disordersFormal thought disorders (Disorders of thought process)Disorders of thought contenti) Racing thoughts:- Anxiety, Schizophreniaii) Retarded t...
156,055
medmcqa_train
30-year-old married female who has been diagnosed as case of prolactinoma in your hospital. Her MRI Pituitary shows a 5 mm microadenoma. She is currently on bromocriptine and her urine pregnancy test has turned positive. What is the best advice for her?
This is an interdisciplinary question and has been discussed here to widen the scope of discussion. The guidelines are that once a lady with prolactinoma on Bromocriptine conceives, all drug treatment should be stopped to reduce possibility of any teratogenic effect on fetus. Monitor her Prolactin levels and only if he...
156,056
medmcqa_train
Ratio of incidence among exposed and non exposed is known as ?
Ans. is 'a' i.e., Risk ratio Relative risk (risk ratio) Relative risk is the ratio of the incidence of the disease (or death) among exposed and the incidence among nonexposed.
156,057
medmcqa_train
According to PALS, which of the following is not included in initial impression?
Initial impression includes: Consciousness Breathing Color. Airway is included in Primary assessment. Reference: GHAI Essential pediatrics, 8th edition
156,058
medmcqa_train
Post spinal headache lasts for -
Ans. is 'c' i.e., 10 days o Post dural puncture headache is due to CSF leak. Typical location is bifrontal or occipital,o Headache gets worsen on sitting or upright posture and is relieved by lying down position and abdominal pressure - The hallmark of postdural puncture headache i.e.. association with body position,o ...
156,059
medmcqa_train
In spinal anesthesia, the needle is piereced upto -
Subarachinoid space, between pia and arachnoid
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medmcqa_train
LGV is caused by -
Lymphogranuloma venerum is caused by Chlamydia Trachomatis, serovars L1, L2 and L3. From illustrated synopsis of dermatology and sexually transmitted diseases neena khanna 5th edition page no 330
156,061
medmcqa_train
The Most common type of imperforate anus is
(C) Anorectal agenesis # Imperforate anus> (The term is used as a well-recognised description. Strictly it should be 'agenesis' and 'atresia' of the rectum and anus.)> One infant in 4500 is born with an imperforate anus, or with imperfect fusion of the post-allantoic gut with the proctodaeum.> The condition is divided ...
156,062
medmcqa_train
An individual has been on a fad diet for 6 weeks and has begun to develop a number of skin rashes, diarrhea, and forgetfulness. These symptoms could have been less severe if the diet contained a high content of which one of the following?
At least eight different carrier proteins transport different groups of amino acids.a. Sodium-amino acid carrier system(1). A number of transport systems involve the uptake by the cell of a sodium ion and an amino acid by the same carrier protein on the luminal surface (examples are systems A, ASC, N, and B).(2). The s...
156,063
medmcqa_train
Which of the following is a feature of absence seizure
Absence Seizures: Age: school going children During seizure, blank staring episodes seen  No post ictal confusion EEG: 3 / sec spike and wave pattern Drug of choice: Sodium Valproate.
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medmcqa_train
Number of inpatient beds in PHC ?
PHC → 6 beds CHC → 30 beds
156,065
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Which of the following is used as preanesthetic medication which causes the longest amnesia?
The longest amnesia is produced by lorazepam although half life of lorazepam (15 hours) is shoer than diazepam (36 hours) and this is probably because of its strong receptor binding potential. Its relatively potent amnesic effect, with its anxiolytic and sedative effects, makes lorazepam useful as premedication.
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medmcqa_train
Dactylographic is a:
Surest sign of identification
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BCYE. medium is used to culture:
Ans. (d) Legionella
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medmcqa_train
Which one of the following statements about Km value is true?
Substrate Concentration, A small Km indicates that the enzyme requires only a small amount of substrate to become saturated. Hence, the maximum velocity is reached at relatively low substrate concentrations. A large Km indicates the need for high substrate concentrations to achieve maximum reaction velocity.
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medmcqa_train
Squeeze technique is used for the treatment of -
Ans. is 'b' i.e., Premature ejaculation * Squeeze technique (Seman's technique) is used for premature ejaculation. When the male partner experiences 'ejaculatory inevitability' the female partner 'squeezes' the penis on the coronal ridge thus delaying ejaculation.
156,070
medmcqa_train
Pink disease is due to
Ingestion of mercurous chloridein teething powder has led to acrodynia (Pink disease/Swift disease) in infants. This condition presents as feverwith a pink-coloured rash, irritability, photophobia, painfuland swollen extremities and hypersecretion of sweat glands.It is believed to be a hypersensitivity response to the ...
156,071
medmcqa_train
Vaginal changes in normal pregnancy show
Early in pregnancy the vaginal epithelial cells are similar to those found during the luteal phase, As pregnancy advances, two pattern of response may be seen 1. Small intermediate cells called navicular cells by Papanicolaou, are found in abundance in small, dense clusters 2. Vesicular nuclei without cytoplasm or so c...
156,072
medmcqa_train
A 38-year old woman presented with shoness of breath and fatigue. Her history is unremarkable except for a vague history of fever and joint pain as a child. She notes some recent fatigue and difficulty in sleeping that she attributes to job-related stress. On examination, her hea rate is 120 beats/min. ECG of the patie...
ECG shows atrial fibrillation and ECHO shows Left atrial enlargement. Images FINDINGS: Acute and chronic rheumatic hea disease A-Aschoff body in a patient with acute rheumatic carditis. B- Acute rheumatic mitral valvulitis: Small vegetations (verrucae) are visible along the line of closure of the mitral valve leaflet C...
156,073
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Many of our bad habits of day to day life can be removed by-
Reinforcement (Positive conditioning) → to promote desired behavior (good habits). Punishment (Negative conditioning) → to remove undesired behavior (bad habits).
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Double-Bubble" sign in X-ray is seen in:
Duodenal atresia
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Morphea occurs usually in:
A i.e. Forehead Mongolian spots, milia, miliaria, neonatal acne, transient neonatal pustular melanosis and erythema toxicum are benign, spontaneously self resolving conditionsQ. Whereas, powine stain represents progressive ectasia of superficial vascular plexus mostly involving face and is best treated by 585 nm pulsed...
156,076
medmcqa_train
True about dysgerminoma of ovary
All Blood spread seen; Bleomycin, etoposide and cisplatin given; and Radio sensitive Dysgerminoma are germ cell tumours. I have already discussed dysgerminoma in detail in question no. 2, here I would like to point out about the spread of dysgerminoma. Most common mode of spread - Lymphatics. Can also spread by - Blood...
156,077
medmcqa_train
The radiograph of skull is suggestive of which of the following diagnosis ?
Radiograph of a patient with sickle cell anemia showing a thickened diploic space and thinning of the skull cortex. Skull showing the hair-on end bone pattern.
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What is the diagnosis of the following examination of the fundus?
Glaucoma results in "cupping" as the neural rim is destroyed and the central cup becomes enlarged and excavated. The cup-to-disc ratio is about 0.7/1.0 in this patient.
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Which of the following monoclonal antibody is used for treatment of colorectal carcinoma?
Cetuximab - Colorectal cancer, Head and neck cancer. Rituximab - B cell NHL, CLL Natalizumab - multiple sclerosis Pembrolizumab - head and neck cancer JC virus antibody titre measurement is mandatory during treatment with Natalizumab
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A 5-year-old girl came with history of progressively increasing pallor since bih and hepatosplenomegaly. Which is the most relevant test for achieving diagnosis?
Progressive increasing pallor along with hepatosplenomegaly in a five-year-old girl is consistent with a diagnosis of thalassemia. (Thalassemia intermedia) 'Hemoglobin electrophoresis' is the test of choice of diagnosing this condition and hence is the option of choice here.
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medmcqa_train
Creatine is made up of all, except -
Ans. is 'b' i.e., Alanine o Creatine and creatinine are not amino acids, but specialized products of amino acids. Creatine is synthesized from glycine, arginine and methionine. Synthesis start with formation of guanidoacetate from glycine and arginine in kidney. Further reactions takes place in liver and muscle.Thus, b...
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which of the following class antidepressent used in the management of smoking sessation
NDRI * IMPOANCE Anti-depressant which does not deal with serotonin neurotransmission Also called as Zyban * MECHANISM Prevents reuptake of nor adrenaline and dopamine * DRUGS Bupropion * USE ADHD SMOKING CESSATION HYPOACTIVE SEXUAL DESIRE DISORDER * SIDE EFFECTS seizures Ref. kaplon and sadock, synopsis of psychiatry, ...
156,083
medmcqa_train
False statement about bilirubin is
Bilirubin transpo: Bilirubin circulates in plasma noncovalently, bound to albumin. It is taken up across the sinusoidal membrane of hepatocytes by a carrier-mediated mechanism. Bilirubin uptake is mediated by a liver-specific sinusoidal organic anion transpo protein, (OATP1B1, SLC21A6) Then bilirubin is directed by cyt...
156,084
medmcqa_train
The cause of death in cyanide poisoning is
Anoxic anoxia: caused by a complete lack of oxygen to the brain. It occurs when a person is in an environment without enough oxygen, such as at high altitudes.Anemic anoxia: Anoxia due to anemia is not severe at rest unless hemoglobin deficiency is marked. However anemic patients may have considerable difficulty during...
156,085
medmcqa_train
Which of the following chromosomal abnormalities is most likely to cause mental retardation?
Ans. D. Trisomy 21An extra chromosome 21 is the most common genetic abnormality found in Down syndrome, and the abnormality most likely to cause mental retardation. Abnormalities in autosomal chromosomes are, in general, associated with mental retardation. The chromosomal aberration represented by 46 chromosomes with f...
156,086
medmcqa_train
Which pa of subclan aery is affected by stenosis is:
Most common etiology of subclan stenosis is atherosclerosis, and it mostly affects the ostium or proximal pa of subclan aery. Ref: Peripheral and Cerebrovascular Intervention By Deepak L. Bhatt, Page 102
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Valley fever or desse rheumatism is caused by
Coccidioides causes primary pulmonary disease which can be mild influenza-like fever ( valley fever) to severe pneumonia. Ref: Textbook of Microbiology, Ananthanarayan and Paniker; 9th edition
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Ductus arteriosus obliterates to form:
Ans. D. Ligamentum arteriosumChanges in Fetal Circulation Just after Birth After birth, the placenta is separated from newborn and lung startsoxygenating the blood, i.e., respiration is established. Now the oxygenated blood comes to heart from the lungs. As a result, the following changes take place in fetal circulatio...
156,089
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What is the likely source of infection for Pus from sphenoethmoidal recess?
Ans: (a) Sphenoid sinusRef: Dhingra's ENT 6th ed. /138* Spheno ethmoidal recess is situmated above the superior turbine. Sphenoid sinus opens into is* Sphenoid sinus. It has an anterior part & posterior part.Anterior Part: roof related to the olfactory tract, optic chiasma, frontal lobe while the lateral wall is relate...
156,090
medmcqa_train
The above nail changes are seen in:
Salmon patch or translucent oil drop like discoloration beneath nail plate is calssically seen in Psoraisis.
156,091
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Resource person for Training ofASHA are
Ans. is 'b i.e., AWW and ANM o Angan-Wadi Workers (AWW) and Auxiliary Nurse Midwife (ANM) act as resource persons far training of ASHA (Accredited Social Health Activist).
156,092
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Most common site of tuberculosis of spine is?
Ans. (a) ThoracolumbarRef: Apley 387-389, Schwartz's Principles of Surgery 9th ed ch-29 M Tuli 3rded p-192
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Angiography is the investigation of choice in:
Ans. Central serous retinopathy
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Half life of insulin is -
Ans. is 'a' i.e., 5 min o The half-life of insulin in the circulation in humans is about 5 min. Insulin binds to insulin receptors, and some is internalized. It is destroyed by proteases in the endosomes formed by the endocytotic process.
156,095
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Cultivable (in vitro) hepatitis virus is -
HAV can be grown in some human and simian cell cultures and is the only human hepatitis virus which can be cultivated in vitro. REF:ANANTHANARAYAN AND PANIKER'S TEXTBOOK OF MICROBIOLOGY 9TH EDITION PAGE NO-541
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Development of heart is from which of the following:
ANS. DThere has been a rising trend of asking embryology images in AIIMS. May session had asked the development of nucleus pulposus (Answer was notochord). Development of cerebral cortexDevelopment of palate and anomalies of it* Midline cleft lip: Due to non-fusion of 2 median nasal process* Harelip (not midline): Due ...
156,097
medmcqa_train
Which of the following mutations in a tumor suppressor agent causes breast carcinoma
Ref Robbins 9/e p294 Mutation in p53 tumor suppressor gene is strongly associated with breast cancer,as well as many other sarcomas and carcinomas .this condition is called li Fraumeni syndrome Li-Fraumeni syndrome is a rare, autosomal dominant, hereditary disorder that pre-disposes carriers to cancer development This ...
156,098
medmcqa_train
Increased permeability in acute inflammation is due to
Formation of endothelial gaps in venules, i.e. immediate transient response is the most common mechanism causing increased vascular permeability in acute inflammation, Mediators involved in this mechanism are i. Immediate (more important): Histamine, bradykinin, leukotrienes, neuropeptide substance P. ii. Somewhat del...
156,099
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