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In the stage of Grey hepatization -
Pathological changes of bacterial pneumonia A. Lobar pneumonia Large confluent area of the lung or entire lobes is consolidated. The lower lobes are affected most commonly. There are four stages of the inflammatory response (Laennec's stages) - 1. Stage of congestion (initial phase) The affected lobe is enlarged, h...
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A child presents with ascending flaccid paralysis. There is subsequent respiratory muscle involvement. CSF examination shows albuminocytological dissociation. Treatment of choice is :
Answer is D (I.V. Immunoglobins): The characteristic clinical presentation and CSF finding lead us to the diagnosis of GBS Either high does intravenous immunoglobulins or plasmapharesis can be initiated as they are equally effective. -- Harrison 's Glucocoicoids have not been found to be effective in GBS - Harrisons St...
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Which of the following is true in respect to the ciliary ganglion?
Afferent fibers from the iris and cornea pass through the ciliary ganglion.
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Aplastic anemia in hereditary spherocytosis precipitated by-
Answer is A (Parvovirus) Aplastic crisis is usually triggered by an acute parvovirus infection.
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Howell-Jolly bodies are seen in-
Howell Jolly bodies are purple nuclear remnants ,usually found singly, and are larger than basophilic stippling.They are present in megaloblastic anemia & after splenectomy.Reference :Harsh Mohan Textbook of pathology sixth edition pg no 293.
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All act by inhibiting call wall synthesis except ?
Ans. is 'd' i.e., Pramlinitide
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A mother brings her 10 year old son to OPD because of a history of medullary carcinoma of thyroid in his father and grandparents. There are no findings on physical examination. Which of the following tests you would perform?
Most cases of medullary thyroid carcinomas (MTC) are sporadic. But 25% occur in inherited syndromes such as familial medullary thyroid cancer and MEN types 2A and 2B. These occur due to germline mutations in the RET protooncogene. MEN2A consists of Medullary thyroid cancer, Pheochromocytoma and Primary hyperparathyroid...
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Molybdenum is a constituent of:
Molybdenum containing enzymes include aldehyde oxidase, sulfite oxidase and xanthine oxidase.
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Which one of the following serum levels would help in distinguishing an acute liver disease from chronic liver disease
Answer- D. AlbuminSerum albumin has a long half life 15-20 days with approximately 4% degraded per day
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True about optic nerve glioma
Optic Nerve Glioma *Can cause gradual, painless, unilateral Proptosis *a/w Neurofibromatosis 1 *Mainly affect children (1-10 year) *Have characteristic fusiform enlargement of optic nerve Optic Nerve Glioma - Fusiform Enlargement of optic nerve - Nerve is not seen separately from the mass
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Serum alkaline phosphate is not rassed in ?
Ans. is 'c' i.e., Multiple Myeloma
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Golden S sign is seen in:
Ans. (a) Bronchogenic carcinoma with collapse of lung* The Golden S sign (reverse S sign of Golden.) is seen in PA chest radiographs with right upper lobe collapse.* It is caused by a central mass obstructing the upper lobe bronchus and should raise suspicion of a primary bronchogenic carcinoma.* The right upper lobe a...
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Which of the following is a mineralocoicoid antagonist ?
Ans. is 'a' i.e., Spironolactone
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A male 25 years old presents to the dental clinic with a black spot. He also gives the history of previous dental treatments of other teeth as well and wants gold to be filled in his tooth. On examination, it is revealed that 16 no. tooth has pit and fissure caries. Which preparation is used for retention in this resto...
Skirts.   Skirts are preparation features used in cast gold restorations that extend the preparation around some, if not all, of the line angles of the tooth. When properly prepared, skirts provide additional, opposing vertical walls that increase retention of the restoration. The placement of skirts also enables incre...
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First pathological change apparent in Nephrotic syndrome is
Most forms of primary GN and many of the secondary glomerular diseases in human beings have immunologic pathogenesis. This view is largely based on immunofluorescence studies of GN in humans which have revealed glomerular deposits of immunoglobulins and complement in patterns that closely resemble those of experimental...
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Well known Zadek's procedure is:
Ans. (b) Resection of complete nail with part of nail bed* Zadek's procedure is the surgical correction of ingrowing toe nail.* Removal of complete nail with part of nail bed.
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In cystoid macular edema fluid collects in the macular region at the level of
Ans. Outer plexiform layer
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Unna boot is used for treatment of:
Unna boot is used for the varicose vein ulcers.
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Endogenous triglycerides are maximum in:
More the fat content less will be the density The density increases from: VLDL< LDL< HDL. Hence VLDL have maximum amount of triglycerides. ENDOGENOUS TRIGLYCERIDES MAX IN : VLDL EXOGENOUS TRIGLYCERIDES MAX IN :CHYLOMICRON
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From the index finger infection goes to ?
Ans is A ie Thenar space
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Which one of the following drugs cause hypo magnesemia by increased excretion?
Ans. is 'a' i.e., Frusemide therapy "Loop diuretics cause the abolition of transepithelial potential difference that results in marked increase in excretion of Ca2++ and mg2++".
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Which of the following is not an established antimicrobial drug synergism at clinical level?
Combination of a bacteriostatic and a bactericidal drug in most cases is antagonistic. Bactericidal drugs act on fast multiplying organisms whereas bacteriostatic drugs inhibit the growth. Here, penicillins are bactericidal whereas tetracyclines are bacteriostatic.
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In what period, following delivery, does the cardiac output return to the pre-pregnancy state?
Cardiac output returns to pre labour values by one hour following delivery and pre pregnancy level by 4 weeks. Cardiac output: It stas to increase from 5th week of pregnancy reaches a peak 40-50% at about 30-34 weeks. It increases fuher during labour (50%) and immediately following delivery (70%) over pre labour values...
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Alkaptonuria is due to deficiency of
(D) Homogentisic acid oxidase # Enzyme defect in Ochronosis (Alkaptonuria):> Defective enzyme in alkaptonuria is Homogentisate oxidase in tyrosine metabolism.> Homogentisate accumulates in tissues and blood, and is excreted into urine.> Homogentisate, on standing, gets oxidized to the corresponding quinones, which poly...
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A colles fracture is
C i.e. Common in elderly women Coll's fracture is fracture of lower end of radius at its coico cancellous junctionQ (- 2.5 cm / 1.5 inch above the distal aicular surface) mostly occuring in post menopausal osteoporotic elderly womenQ ; as a result of fall on outstretched hand. (with wrist in extension). It is most comm...
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In patients with breast cancer, chest wall involvement means involvement of any one of the following structure except
.Spread into the Deeper Plane * Into pectoralis major muscle (is confirmed by observing the restricted mobility of the swelling while contracting the PM muscle). * Into latissimus dorsi muscle (extending the shoulder against resistance). * Into serratus anterior (by pushing the wall with hands without flexing the elbow...
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The function of g DNA Polymerase
Ref: Harper&;s Biochemistry; 30th edition; Chapter 35; DNA Organization, Replication, & Repair
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In normal conditions of temperature and atmosphere, the rate of cooling of dead body is:
The dead body cools at an average rate of 1.5 degree F per hour in temperate climate and 0.75 degree F in a tropical climate. According to Simpson, the cooling of the body is the only reliable indicator of the lapse of time during the first 18 hours after death. Factors controlling the cooling rate are: Condition of th...
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Moderate exercise tachypnea is due to stimulation of which of the following receptor?
Afferent impulses from Proprioceptors and psychic stimuli are causes for hyperventilation during the beginning of an exercise Ref: Ganong 25th ed/page 658
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First radiological sign of Crohn's disease in terminal ileum is:
Ans. Aphthoid ulceration
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Following pathogenetic mechanisms operate in septic shock except -
Ans. is 'a' i.e., Increased peripheral vascular resistance
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All are vitamin K dependent clotting factors of hepatic origin except
Vitamin K has an impoant role in the blood clotting process. It brings about the posttranslational modification of ceain blood clotting factors clotting factor II (prothrombin), factor VII (SPCA) factor IX (Christmas factor) factor X (Stua prower factor) they are synthesized as inactive precursors (zymogens) in the liv...
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Liver biopsy is indicated for diagnosis/evaluation of all EXCEPT?
Ans. (c) HemangiomaRef.: Bailey & Love 26th ed. /1083Hemangioma being a vascular tumor is diagnosed by imaging techniques and liver biopsy is contraindicated. Cavernous hemangiomas arise from the endothelial cells that line the blood vessels and consist of multiple, large vascular channels lined by a single layer of en...
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Post exposure vaccine of rabies already immunised patient is ?
- for post - exposure treatment of person who have been vaccinated for rabies previously is given rabies vaccine on days 0 and 3 intradermally or 1 dose delivered intramuscularly. Reference : Park's textbook of preventive and social medicine, 23rd edition, pg no:280 <\p>
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In depression, there is a deficiency in
SEROTONIN is produced from TRYPTOPHAN it is a neuro transmitter that controls the well being of the individual it controls drive to day to day activities, controls sleep and appetite. TRPTOPHAN helps in production of MELATONIN MELATONIN controls SLEEP A decreased level of brain 5-hydroxytryptamine (5-HT) has been theor...
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Treatment of choice of flail chest is
.It is fracture of two or more consecutive ribs, with each rib having two or more fracture sites. Such segment is called as flail segment. Treatment  Intercostal tube drainage.  Applying clips to fracture ribs and fi xing above and below to normal ribs.  Antibiotics like penicillins, cefotaxime.  Blood transfusion,...
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Latent phase of HIV -
Ans. is 'a' i.e., Viral replication, 'b' sequestred in lymphoid tissue, 'c' i.e., Infective Latent phase of HIV . After acute HIV syndrome, most of the patient's develop a clinically asymptomatic stage . Active virus replication is on going and progressive during the asymptomatic period . Lymphoid tissues are the major...
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Testing of HLA-B' 5701 is recommended prior to initiation of this antiretroviral agent:-
Testing of HLA-B' 5701 is recommended prior to initiation of abacavir. Abacavir if given in a patient who has HLA-B' 5701 causes high risk of MI.
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A lady died due to unnatural death within seven years after her marriage. The inquest in this case will be done by
C i.e. Sub divisional magistrate
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Bronchopulmonary segments in right and left lungs respectively -
Ans. is 'c' i.e., 10, 9 Right lung Upper lobe Middle lobe Lower lobe 1. Apical 2. Posterior 3. Anterior 4. Lateral 5. Medial 6. Superior 7. Anterior basal 8. Medial basal 9. Lateral basal 10. Posterior basal Left lung Upper lobe Lower lobe 1. Apical 2. Posterior 3. Anterior } Upper division 6. Superior 7. Anterior basa...
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Necrotizing granulomatous inguinal lymphadenopathy is caused by -
Ans. is 'a' i.e., Syphilis
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Meningomyelocele patient after being operated developed hydrocephalus due to -
Meningoceles (or meningomyeloceles) are commonly associated with Arnold Chiari malformation which cause hydrocephalus. Ref : CSDT 13/e p852
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Wernicke's hemianopic pupillary response is seen in lesion of-
. *Wernicke's hemianopic pupil indicates lesions of optic tract . In this condition light reflex is absent when light is thrown on temporal half of retina of affected side and nasal half of opposite side. Ref Harrison20th edition pg 2456
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In which of the following condition, positive Rinne test is seen?
PRESBYCUSIS Sensorineural hearing loss associated with physiological aging process in the ear is called presbycusis. It usually manifests at the age of 65 years but may do so early if there is hereditary predisposition, chronic noise exposure or generalized vascular disease. Four pathological types of presbycusis have ...
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Mechanism of action of Aspirin
Ans. (b) Inhibit TXA2 formationRef KDT 6th ed. / 609; Katzung 9th ed. / 446Thromboxane helps in platelet aggregation.* TXA2 formation is suppressed at very low doses of aspirin.* Aspirin blocks thromboxane formation by inhibiting COX activity by enzyme COX1 and TX- synthase irreversibly.
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Fibroadenoma is commonly seen in which age group:
Ans. is 'a' i.e.Young females o Fibroadenosis, Fibrocystic disease, chronic mastitis & mastopathy are old nomenclature used to describe the spectrum of benign breast disease. The new name coined to avoid all the confusing names is ANDI i.e. Aberration of normal development and involution.o The basic principles behind A...
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Rarest variety of multiple myeloma:
Ans: c (IgE) Ref: Harrison's, 16th ed, p. 657; 17th, ed, p. 703Multiple myeloma represents a malignant proliferation of plasma cells derived from a single clone. The serum M component is IgG in 53% of patients, IgA in 25% and IgD in 1 %. IgE is very rare. The most common translocation is t( 11:14).Myeloma is more commo...
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Game Keeper's thumb is
A i.e. Ulnar collateral ligament injury of MCP Joint
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Goose skin also called cutis anserina is seen in
Goose skin is seen in drowning. (usually cold water). It is due to contraction of erector pili muscles, attached to hair follicle.
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Lesser sac of stomach is bounded by:
A. i.e. Posterior wall of stomach - Lesser sac/ Omental bursa is bounded anteriorly by stomach, caudate lobe of liver, lesser omentum & greater omentum (ant. 2 layers); and posteriorly by structures forming stomach bed (i.e. diaphragm, pancreas, spleen etc) & greater omentum (posterior 2 layers) Lesser sac or omental b...
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The color code of plastic bag for disposing microbial laboratory culture waste-
Ans. is `b' i.e., Red Microbial laboratory culture wastes are category No. 3. o Category 3 wastes have color code Fellow or red. o See above explanation.
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True about Conn's syndrome
Answer is B (Proximal myopathy): Conn syndrome is associated with hypokalenzia and muscle weakness (proximal myopathy) Patients with Conn's syndrome characteristically do not have edema, and Plasma rennin activity is typically low (decreased).
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A 70-year-old female presented to the OPD with deforming ahritis of hands which is B/L symmetrical. Various deformities were observed. A lymph nodal mass is also observed in the cervical region. Which of the following markers would be most likely positive if the biopsy of the lymph node is done: -
This is a case of rheumatoid ahritis. 1st image shows the boutonniere's deformity. 2nd image shows the Z-deformity of the thumb. 3rd image shows the trigger finger. Most common lymphoma associated with RA is DLBCL. Most common marker of DLBCL is BCL-6 > BCL-2
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In Erb's palsy, the limb is in which position:
Ans. C. Extended, medially rotated, pronatedErb's paralysis is caused by the excessive increase in the angle between the head and shoulder, which may occur by fall from the back of horse and landing on shoulder or traction of the arm during birth of a child.This involves upper trunk (C5 and C6 roots) and leads to a typ...
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All are congenital myopathies except
3 forms of congenital myopathies that may present in adulthood are central core disease, nema line myopathy and centronuclear myopathy. Ref Harrison20th edition pg 2345
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The breast becomes fully differentiated during pregnancy and lactation. All the following statements are true regarding the pregnant and lactating breast, EXCEPT:
The breast becomes fully differentiated during pregnancy and lactation. The terminal lobular units are most affected during this physiologic state. Several histologic changes occur in the terminal ducts and lobules with enlargement and formation of new lobular units early in pregnancy. By the end of the second trimeste...
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Doppler effect results from change in -
Doppler effect is due to shift in sound frequency as the sound as reflected from the moving Red blood cells. If the motion of RBC is towards the transducer, the returning sound wave has higher frequency than transmitted wave. If the motion of RBC is away the transducer, the returning sound wave has lower frequency than...
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Most common site of extra - pulmonary TB in children is ?
Ans. is 'c' i.e., Lymphnode Most common site of extra pulmonary TB is lymphnode Most children who develop tuberculosis disease experience pulmonary manifestations 25 to 35 percent of children have an extrapulmonary presentation. The most common extrapulmonary form of tuberculosis is lymphatic disease accounting for abo...
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Which thalamic nucleus projects to the striatum?
The striatum (caudate nucleus & putamen) receives thalamic input from centromedian nucleus. centromedian nucleus- largest of the intralaminar nuclei.
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Early cord clamping is done is all except :
Postmaturity
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You are the MO in charge in a PHC and there has been a plague epidemic in your area. Which of the following measure is the LEAST appropriate for controlling epidemic?
After vaccination it takes about 5-7 days for the immunity to develop. So it should be carried out at least a week before the expected outbreak. This vaccination is only used for prevention and not control of outbreak. Also know: Tetracycline is the drug of choice for chemoprophylaxis against plague. Ref: Park, Edition...
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In Fetal Life RBC are produced in all except
In fetal life, RBC is produced in 3 phases according to growth of foetusMesoblastic stage: In yolk sacHepatic stage: In Liver and spleenMyeloid phase: In bone marrowRef: Medical Physiology Indu Khurana 2015 edition page No:104
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A 42 year old man in Mumbai is being treated for Atrial Fibbrillation (AF). You suspect thromboembolism on fuher investigatins. Thromboembolism of axillary aery can affect all of the following vessels, EXCEPT:
Suprascapular aery is a branch of thyrocervical trunk of the subclan aery, not axillary aery. The axillary aery has several smaller branches. First pa (1 branch) Superior thoracic aery Second pa (2 branches) Thoraco-acromial aery Lateral thoracic aery Third pa (3 branches) Subscapular aery Anterior humeral circumflex a...
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Mad Cow disease (Bovine Spongioform Encephalopathy) is similar in man to -
CJD is a subacute preaenile encephalopathy with progressive incordination and dementia ending fatally in about a year.It is a prion disease. prion disease in animals include scrapie,mink encephalopathy,BSE madcow disease.These are caused by slow virus group B. REF:ANANTHANARAYAN AND PANIKER'S TEXTBOOK OF MICROBIOLOGY 9...
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Vitamin A deficiency is considered a public health problem if prevalence rate of night blindness in children between 6 months to 6 years is more than –
Prevalence criteria for determining the Xerophthalmia problem in a community
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A young man weighing 65 kg was admitted to the hospital with severe burns in a severe catabolic state. An individual in this state requires 40 kcal per kg body weight per day, 1 gm of protein/kg body weight/day. This young man was given a solution containing 20% glucose and 4.25% protein. If 3000 ml of solution in infu...
Calories are calculated by catabolism of glucose (not proteins). Glucose: Amount of glucose in 20% glucose in 3000 ml of solution: 3000 x 20/100 = 600 gms 1 gm glucose on catabolism produces: 4.2 kcal 600 gms of glucose would produce: 600 x 4.2 = 2520 kcal Protein: Percentage of protein in fluid: 4.25% Percentage of...
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Which of the following is used to take cervical smear:
Ayre's spatula Used to take cervical smear(Pap smear) It is a wooden spatula with U shaped openings on one side and a flat surface on another. Takes sample from squamocolumnar junction.
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Antidiabetic used safely in renal failure
Ans. is 'd' i.e., Rosigtitazone
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Usual site of TB bursitis -
TB is is still a common infection in developing countries. After lung and lymph nodes bone and joint is the next common site of TB in the body. The commonest bursa involved in TB is trochanteric bursa resulting in trochanteric bursitis. REF:Essential ohopaedics- Maheshwari- 5th edn - pg no 182.
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Which of the following statements about lepromin test is not true -
LEPROMIN TEST The test is performed by injecting intradermally 0.1 ml of lepromin into the inner aspect of the forearm of the individual. As a routine, the reaction is read at 48 hours and 21 days. Two types of positive reactions have been described: (a) EARLY REACTION : The early reaction is also known as Fernandez re...
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An 8-year old child was brought to you for a high grade fever of 3 days duration with vomiting headache and decreased responsiveness. Examination revealed a distressed child , in shock with maculopapular and ecchymotic rashes on the skin with bleeding from venepuncture sites and hepatomegly. Investigation showed PCV =6...
Generalized body aches, high grade fever followed by clinical deterioration and bleeding diathesis with raised hematocrit (65%) and low platelet and leucopenia strongly suggest dengue haemorrhagic fever, although meningococcemia is always a close diagnosis and many times requires serological confirmation. Complicated m...
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False about trans fatty acid
Trans fatty acids (TFA) are atherogenic. They lower HDL level and elevate LDL level. TFA is present in dairy products and hydrogenated edible oils. It is widely used in the food industry since it increases the shelf life of fried food. Cooking media containing PUFA and fast food preparations have a high content of tran...
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The most accurate imaging for the diagnosis of pulmonary embolism is -
Ans. is 'd' i.e., CT pulmonary angiography o Invasive pulmonary angiography is the most accurate method for diagnosis of PE, it is an invasive procedure. # Investigation of choice for PE - Chest CT with contrast (especially MDCTA) # Investigation of 2nd choice - Lung scan (V/Q scan) # Best investigation for PE - Chest ...
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Arborescent marks' or 'filigree burns' are seen in
Ans. d (Lightening) (Ref. Forensic Medicine Reddy, 17th/ Page 261; Forensic Medicine 1st /Apurva Nandy, 286)# Filigree burns are seen in lightening# Crocodile Flash Burns and "arc eye" are seen in Electrical Injuries# Joule Burn is seen in Electrical Injuries# Spark Burns are seen in Electrical InjuriesLIGHTENING# Mode...
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In thromboasthenia there is a defect in –
Platelet adhesion Platelet adhesion referes to the binding of platelets to subendothelial matrix. Platelet membrane glycoprotein Ib-IX is essential for platelet adhesion to subendothelial matrix. Platelet aggregation Platelet aggregation referres to adherence of platelets to one another. Platelet membrane glycoprot...
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O2 which is about 21% of inspired air exerts a partial pressure of
In inspired air, partial pressure of O2- 158mmHg
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Safe yield of water source -
The safe yield is generally defined as the yield that is adequate for 95% of the year. The safe yield of the source must be sufficient to serve the population expected at the end of the design period which may be to 10 to 50 years in future. (PARK TB of social and preventive medicine pg 766 25th edition)
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Risk factors for coronary aery disease (CAD) -
Ref: R Alagappan - Manual of Practical Medicine 4th Edition.pg no:182 Risk Factors Category I (For which interventions have been proved to lower CVD risks) 1. Raised LDL cholesterol 2. Reduced HDL cholesterol 3. Atherogenic diet 4. Cigarette smoking 5. Hypeension 6. LVH 7. Thrombogenic factors Category II (For which in...
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Most crucial part of tuberculosis control programme is –
The most powerful weapon in tuberculosis control is → case finding and t/t. Cases are defined by WHO as a patient whose sputum is positive for tubercle bacilli.
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Which of the following is present intracellularly in muscle cells -
Ans. is `b' i.e., Coicosteroids o Insulin, epinephrine and glucagon act on membrane receptors. o Coicosteroids act on intracellular (cytoplasmic receptors).
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In the Forrest classiflcation for bleeding peptic ulcer with a visible vessel or pigmented protuberance is classified as -
Clinical features of Peptic ulcers Peptic ulcer disease is a chronic condition with spontaneous relapses and remissions lasting for decades, if not for life. The most common presentation is with recurrent abdominal pain that has three notable characteristics: localisation to the epigastrium, relationship to food and ep...
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The predominant colonic bacteria are -
Ans. is 'b' i.e., Largely anaerobic " The greatest number of bacteria found in colon are bacteriods, a group of gram- negative, anaerobic, non-spore forming bacteria. "-------Todar s 68o Anaerobic bacterias exist as components of the normal flora on the mucosal surfaces of humans and animals,o The major reservoirs of t...
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A PTT is required for monitoring of ?
Ans. is'c'i.e., Heparin(Ref KDT &/e p. 598, 599; Katzung llnle p. 592)
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Irreversible pulpitis leads to:
Pulpal Necrosis As stated before, pulp is encased in rigid walls, it has no collateral blood circulation, and its venules and lymphatics collapse under increased tissue pressure. Therefore irreversible pulpitis leads to liquefaction necrosis
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Michaelis Gutmann bodies are seen in
Michaelis guttman bodies (malacoplakia) # Chronic granulomatous infection as a result of the inability of macrophages to kill phagocytosed E. coli. # Most commonly affects immunosuppressed(BMT> HIV/AIDS) # Most commonly affects GU tract; may affect skin of perianal/genital region (ulcerated abscesses and soft polypoid ...
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A female undergone surgery for left breast cancer 3 yrs back now developed blue nodule on same side -
Ans. is 'a' i.e.. Lymphangiosarcoma o Angiosarcoma is a vascular tumor which may arise de novo in the breast or as a complication of the radiation therapy."This vascular tumor may occur de novo in the breast, but the clinically important presentation is in the dermis after breast radiation or in the lymphedematous uppe...
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ICD 10
ICD-10 is the 10th revision of the International Statistical Classification of Diseases and Related Health Problems (ICD) Medical classification list by the World Health Organization (WHO); Revised every 10years Consists of 21chapters The ICD-10 consists of: Tabular lists containing cause-of-death titles and codes (Vol...
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Nail involvement is not a feature of :
B i.e. DLE
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The acid fast staining characteristic of Mycobacteria appears to be due to which of the following cell wall constituent
(A) Mycolic acid # Acid fastness is attributed to the organisms' high content of mycolic acids, long chain cross-linked fatty acids and other cell wall lipids.
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Not a common cause of meningitis in a child of age 8 years is:
S. aureus REF: Nelson 17th edition page 863, "Meningitis due to S. aureus is not common; it is associated with cranial trauma and neurosurgical procedures ( e.g. craniotomy, cerebrospinal fluid shunt placement) and less frequently with endocarditis, parameningeal foci (e.g., epidural or brain abscess), diabetes mellitu...
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Primary intentional healing which is true ?
Ans. is 'a' i.e., Neovascularization is maximum by day 5Skin wound healingSkin wounds are classically described to heal by primary or secondary intention.A. Healing by primary intention It occurs in wounds with opposed edges, e.g., surgical incision.The healing process follows a series of sequantial steps : ?Immediate ...
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What is the most characteristic of congenital hypertrophic pyloric stenosis?
Ans. (b) The pyloric tumour is best felt during feedingRef: Sabiston 20th Edition, Page 1869* Baby is not marasmic. It feeds vigorously in between the episodes of vomiting
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Which of the following drug binds only with the anionic site of cholinesterase ?
Physostigmine, neostigmine and pyridostigmine are carbamates by chemical nature, they bind to both esteritic as well as anionic site whereas edrophonium is an alcohol and binds to anionic site only.
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A child was treated for H. Influenza meningitis for 6 month. Most impoant investigation to be done before discharging the patient is:
H. Influenza Type Meninigtis It is frequent in children between the ages of 3 and 12 months. Residual auditory deficit is a common complication. - Ghai 6th/ed Since, residual auditory deficit is a common complication of H. influenza meningitis, audiological test to detect the deficit should be performed before discharg...
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Early onset and bad prognosis is seen in:
Early onset and bad prognosis is seen in Disorganized / hebephrenic schizophrenia According to DSM 4, types of schizophrenia Paranoid schizophrenia Most common type Characterized by predominant positive symptoms Late onset and good prognosis Catatonic schizophrenia Predominant catatonic or motor symptoms Best prognosis...
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Which of the following is/are extracellular matrix protein:
A, B, C i.e. Collagen, Laminin, Fibronectin
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A patient on aspirin for long period is selected for elective surgery. What should be done
In moderate-risk to high-risk patients who are receiving acetylsalicylic acid and require noncardiac surgery, continuing acetylsalicylic acid around the time of surgery is suggested instead of stopping acetylsalicylic acid 7 to 10 days before surgery.
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In one-stage Full mouth disinfection scaling is done in 2 visits within:
The oral cavity offers a range of different niches (mucosa, tongue, tonsils, saliva and teeth, etc.) where the bacteria can adhere and survive. The transmission of bacteria from one niche to another is likely to occur. If this transmissions occurs at high speed (nothing but translocation), it could jeopardize the outco...
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Hemotoxylin bodies seen in
Ref Robbins 9/e p218 Systemic lupus erythematosus (SLE) is a multisystem auto- immune disease of protean manifestations and variable clinical behavior. Clinically, it is an unpredictable, remit- ting and relapsing disease of acute or insidious onset that may involve viually any organ in the body; however, it affects pr...
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Which is caused by Rickettsia?
Ans. (b) Rocky mountain spotted fever Family rickettsiae includes six genera: - Rickettsia - Ehrlichia - Orientia - Anaplasma - Neorickettisa - Coxiella
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