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All of the following are true regarding splenic rupture except : September 2009
Ans. C: Obliterated colonic gas shadow The most common finding associated with splenic injury is left lower rib fracture. Rib fractures signify that adequate force has been transmitted to cause splenic pathology. The classic triad indicative of acute splenic rupture (ie, left hemidiaphragm elevation, left lower lobe at...
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Preganglionic parasympathetic nerve fiber which supply pelvic viscera is/are;
A. i.e. Ventral rami of Sz, S3 and S4
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Longest pa of optic nerve ?
. Ans. is 'c' i.e., Intraorbital Optic nerve Each optic nerve (second cranial nerve) stas from the optic disc and extends up to optic chiasma, where the two nerves meet. It is the backward continuation of the nerve fibre layer of the retina, which consists of the second order neurons i.e., axon originating from the gan...
16,702
medmcqa_train
A patient is diagnosed with flail chest. Patient is stable, what is the treatment?
Treatment consists of oxygen administration, adequateanalgesia (including opiates) and physiotherapy. If achest tube is in situ, topical intrapleural local analgesia introduced the tube, can also be used. Ventilation is reservedfor cases developing respiratory failure despite adequate analgesiaand oxygen. Surgery to st...
16,703
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Select the drug which is used to treat antibiotic associated pseudomembranous enterocolitis and is a component of anti H. pylori triple drug regimen:
Metronidazole is the drug which is used to treat antibiotic associated pseudomembranous enterocolitis and is a component of anti H. pylori triple drug regimen. PSEUDO-MEMBRANE COLITIS MC organism responsible Clostridium difficile MC cause 3rd Gen. Cephalosporins > clindamycin DOC Metronidazole - Oral vancomycin Accordi...
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medmcqa_train
Glucose is reabsorbed in
Ans. a (PCT). (Ref. Ganong, Physiology, 21st/pg.713; Table 38-6.)PROXIMAL CONVOLUTED TUBULE (PCT) - "Workhorse of the nephron".# Reabsorbs all of the glucose, inorganic phosphate, Cl, lactate and amino acids and most of the bicarbonate, sodium, and water.# Secretes ammonia, which acts as a buffer for secreted H\Transpo...
16,705
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Dry drowning is defined as -
Dry drowning: On contact with water, especially cold water, there results in intense laryngospasm, so that water does not enter the lungs. Death is due to asphyxia because of laryngospasm.
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Eutectic mixture of local anaesthetic (EMLA) cream
EMLA is eutectic mixture of local anesthetics (2.5% lidocaine and 2.5% prilocaine)
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Incidence of preterm delivery in twin pregnancy is
Incidence of preterm in twin pregnancy is 50% Mean gestational age for twins is 37weeks Causes of prematurity: Overdistention of uterus Hydromnios Premature rupture of membranes Ref: Dutta Obs 9e pg 193.
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Stocker's line is seen in-
Ans. is 'a' i.e., Pterygium o Stocker's line is line of iron deposition in the corneal epithelium seen adjacent to the head of the pterygium.Pigmentorv glaucomao It is a type of secondary open angle glaucoma where in clogging up of trabecular meshwork occurs by the pigment particles.o The condition typically occurs in ...
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1.The 68 year old Chandu is a diabetic and presented with black,foul smelling discharge from the nose.Examination revealed blackish discoloration of the inferior turbinate.The diagnosis is:
MUCORMYCOSIS It is fungal infection of nose and paranasal sinuses which may prove rapidly fatal. I It is seen in uncontrolled diabetics or in those taking immunosuppressive drugs. From the nose and sinuses, infection can spread to orbit, cribriform plate, meninges and brain. The rapid destruction associated with the di...
16,710
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Saturday night palsy is which type of nerve injury?
Ans. is 'a' i.e., Neuropraxia Seddon's classification of nerve injuries Seddon identified three types of injuries 1. Neuropraxia There is contusion of the peripheral nerve which causes reversible physiological nerve conduction block. The axis cylinder (i.e., axon with its endoneurium) is preserved. Thus, there is physi...
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Which vaccine is most effective-
for international use the approved vaccine is 17D vaccine.which is grown in chick embryo cells.but its sensitivity to heat is a major drawback.reconstituted vaccine should be kept on ice.route of administration is subcutaneous in a single dose of 0.5 ml irrespective of age.immunity begins to appear on the 7th day and l...
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The esophagus -
At the lower end of pharynx, at the level of lower border of cricoid cartilage, esophagus begins. It is narrowest at its beginning due to cricopharyngeal sphincter. Then it runs a curved route rather than being straight.
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An adult hypertensive male presented with sudden onset severe headache and vomiting. On examination, there is marked neck rigidity and no focal neurological deficit was found. The symptoms are most likely due to:
Ans. d. Subarachnoid hemorrhage (Ref: Harrison 19/e p1784, 18/e p2262-2263; Sabiston 19/e p1880-1882: Schwartz 9/e p1534-1536: Bailey 25/e p304)Most likely diagnosis in an adult hypertensive male with sudden onset severe headache, vomiting with marked neck rigidity without focal neurological deficit would be subarachno...
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1715. True regarding anaemia of chronic ds. are A/E -
<p>In anemia of chronic disorder,a defect in transfer of iron from macrophage to developing erythroid cells in the marrow leads to reduced availability of iron for haem synthesis despite adequate iron stores,elevating serum ferritin.</p><p>Harsh mohan textbook of pathology sixth edition pg no 302</p>
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A 7-year-old child with steroid dependent nephrotic syndrome has developed coicosteroid toxicity and posterior subcapsular cataracts. Which of the following is the best alternative for the treatment of the patient?
Steroid-dependent patients, frequent relapses, and steroid-resistant patients may be candidates for alternative agents, paicularly if the child suffers severe coicosteroid toxicity (cushingoid appearance, hypeension, cataracts, and/or growth failure). Cyclophosphamide prolongs the duration of remission and reduces the ...
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Best time to give Rh anti-D prophylaxis is:
Ans. (B) 28 weeks of pregnancy(Ref: Williams Obstetrics 24th/e p312)Anti-D immune globulin is given prophylactically to all Rh D-negative, unsensitized women at approximately 28 weeks, and a second dose is given after delivery if the infant is Rh D-positive Following delivery, anti-D immune globulin should be given wit...
16,717
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Facilitative glucose transpoers (GLUTs) comprise a large family. Which of the following is a glucose transpoer in myocytes?
Major Glucose Transpoers and its locations: GLUT 1 Brain, kidney, colon, placenta, erythrocytes GLUT 2 Liver, pancreatic beta cell, small intestine, kidney GLUT 3 Brain, kidney, placenta GLUT 4 Hea and skeletal muscle, adipose tissue GLUT 5 Small intestine Ref: Harper's Illustrated Biochemistry, 29e > Chapter 20. Gluco...
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Sawtooth waves are most characteristic of what sleep stage?
Sawtooth waves are primarily seen in REM sleep Sleep spindles and K-complexes are seen in stage 2 Delta waves are in deep sleep (stage3 and stage 4)
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In which of the following state, a person is mute and akinetic, but can be awaken and even be ale?
Stupor refers to a higher degree of arousability in which the patient can be transiently awakened only by vigorous stimuli, accompanied by motor behavior that leads to avoidance of uncomfoable or aggravating stimuli. Ref: Harrison's Principles Of Internal Medicine 18th edition chapter 274; Localization of Clinical Synd...
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Commonly used long bone for identification ?
Ans. is 'a' i.e., Femur Stature can be calculated from the length of long bones and used for identification. Femur and tibia give more accurate values compared to humerus and radius Stature is determined in dismembered body (skeletal remains) by : Length from the tip of middle finger to the tip of opposite middle finge...
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The common primary tumor of hea is-
Primary cardiac tumors are uncommon; moreover, most also are (founately) benign. The five most common have no malignant potential and account for 80% to 90% of all primary hea tumors. In descending order of frequency, these are myxomas, fibromas, lipomas, papillary fibroelastomas, and rhabdomyomas. Angiosarcomas consti...
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The retention in the cast metal restoration is mainly by:
Cast-metal intracoronal restorations, referred to as inlay restorations, rely on diverging vertical walls that are almost parallel and a luting cement to provide retention of the casting in the tooth. Sturdevant operative dentistry 7th Edition, Page No:120
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In radionuclide imaging the most useful radio pharmaceutical for skeletal imaging is:
Ans. Technetium-99m linked to Methylene dis-phos-phonate (99mTc-MDP)
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Colliquative necrosis is seen in?
Liquefaction or colliquative necrosis also occurs commonly due to ischaemic injury and bacterial or fungal infections but hydrolytic enzymes in tissue degradation have a dominant role in causing semi-fluid material. The common examples are infarct brain and abscess cavity.
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True about decoicate rigidity ?
Ans. is 'c' i.e., Rigidity is less pronounced than decerebrate rigidityA decoicate rigidity is made by removing the whole cerebral coex but leaving the basal ganglia intact.Decoicate rigidity is characterized by flexion of upper extrimities at elbow and extension of lower extrimities.The flexion is due to rubrospinal t...
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Which of the following viral markers signifies the ongoing viral replication in the case of Hepatitis-B infection?
HBeAg appearance- high levels of virus replication and reflects the presence of circulating intact virions and detectable HBV DNA. Patients with precore mutations cannot synthesize HBeAg In self-limited HBV infections, HBeAg becomes undetectable sholy after peak elevations in aminotransferase activity, before the disap...
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Earliest (first) L.A. used clinically
C i.e. Cocaine
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The best cosmetics results for large capillary (po wine) hemangiomas are achieved by
Po wine stain treatment is with intense pulsed light and pulse dye laser . PWS may be associated with various syndroms Sturge-Weber syndrome Klippel-Trenaunay syndrome Proteus syndrome: Bailey and love 26th edition pg 599
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Superior sulcus tumor of the lungs characteristically presents with:
Ans: A. Ref: Robbins Pathologic Basis of Disease, 8th edition Explanation: Apical lung cancers in the superior pulmonary sulcus tend to invade the neural structures around the trachea, including the cervical sympathetic plexus. It produces a group of clinical findings that includes severe pain in the distribution of th...
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Growth spu occurs -
Ans. is 'b' i.e., Just before menarche
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A child is suspected of having an autistic disorder. All areTRUE about autism, EXCEPT:
Clinical criteria for the diagnosis of autism are based on the DSM-IV TR and ICD10 specifications. A diagnosis of autism is based on symptoms in three areas: difficulties in reciprocal social interaction, difficulties in communication, and the presence of restricted and repetitive behaviors or interests. Children with ...
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Non Anionic gap acidosis is seen in
(A) Diarrheoa # CAUSES OF NON-ANION GAP METABOLIC ACIDOSIS> Gastrointestinal bicarbonate loss: Diarrhea; External pancreatic or small-bowel drainage; Ureterosigmoidostomy, jejunal loop, ileal loop Drugs: Calcium chloride (acidifying agent); Magnesium sulfate (diarrhoea); Cholestyramine (bile acid diarrhea)> Renal acido...
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The amount of estrogen in low dose oral contraceptive pills is:
Over time, the estrogen and progestin contents of COCs have been reduced remarkably to minimize hormone-related adverse effects. Currently, the lowest acceptable dose is limited by their ability to prevent pregnancy and unacceptable breakthrough bleeding. Although daily estrogen content varies from 20 to 50 g of ethiny...
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Most common type of hip dislocation is :
Ans. is 'b' i.e., Posterior [Ref: Essential of orthopedic surgery 3rd/e p. 1179)* There are three main types of dislocations of the hipi) Posterior dislocationii) Anterior dislocationiii) Central fracture dislocation* Of the three, the posterior dislocation is the most common .
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Multiple psoriatic lesions on hands. Treatment of choice is?
Ans. is 'c' i.e., Topical steroids and salicylic acid * Preferred treatment for localized psoriasis is topical coal tar or short contact, dithroanol.* Alternative is topical steroids + Salicylic acid* Methotrexate is the DOC for Erythrodermic psoriasis. Acitretin is an alternative.Treatment of choice for different type...
16,736
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Tape worm is found in -
The adult worm lives in the human intestine, usually in the jejunum, where it lies in several folds in the lumen. Commonly only a single worm is present, but rarely several worms may be seen, upto 25 or more in a patient Ref: panickers textbook of Medical parasitology 8th edition ...page :115
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Which of the following causes of diarrhoea decreases after prolonged fasting
Acute diarrhoea This is extremely common and is usually caused by faecal-oral transmission of bacteria or their toxins, viruses or parasites . Infective diarrhoea is usually sho-lived and patients who present with a history of diarrhoea lasting more than 10 days rarely have an infective cause. A variety of drugs, inclu...
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The blood levels of glucose, galactose, and fructose were measured in normal persons and in persons with enzyme deficiencies soon after they drank a milk shake made with milk and sugar. Which option below would be Lower in the blood of a person with a lactase deficiency than in a normal person.
We will illustrate, in addition, how biochemical measurements can pinpoint a disorder and allow one to determine which enzyme is functioning improperly.a. Mouth(1). Salivary glands produce a-amylase, which cleaves a-1,4 bonds between glucose residues in dietary starch. (Pancreatic a-amylase catalyzes the same reaction....
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In child woman ratio, number of 0-4 years aged children are expressed:
Child woman ratio: Is number of 0-4 years aged children expressed per 1000 women in reproductive age group. (15 - 49 years) OTHER IMPOANT PARAMETERS: GFR :- x1000. DR :- / .
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Which of the following inhalational agent is the induction agent of choice in children?
Methoxyflurane Nephrotoxic Has maximum chloride release. Sevoflurane Sweat smelling - administrable face mask. Induction and emergence form anesthesia are fast Desflurane :Has pungent odour, is less potent ,therefore higher concentration has to be used It can cause Air passage irritation Coughing Breathe holding Laryng...
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Which of these mediate the precapillary sphincter relaxation:
A i.e. Local hormonesPrecapillary sphincters are layer of smooth muscle fibres present just at the point where a metaeriole.There is no innervation on precapillary sphincter.Q- Their dilatation or constriction (to control the blood flow) depends on local hormones.Q , product of metabolism, hydrogen ions etc.Catecholami...
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Criteria for diagnosis of SIRS is -
Systemic inflammatory response syndrome (SIRS) is an inflammatory state affecting the whole body. It is the body's response to an infectious or noninfectious insult. Although the definition of SIRS refers to it as an "inflammatory" response, it actually has pro- and anti-inflammatory components Ref Davidson 23rd editio...
16,743
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Which of the following is an amphibolic pathway?
The citric acid cycle is not only a pathway for oxidation of two carbon units, but is also a major pathway for interconversion of metabolites arising from transamination and deamination of amino acids, and providing the substrates for amino acid synthesis by transamination, as well as for gluconeogenesis and fatty acid...
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Which of the following region is involved in Plummer-Vinson syndrome?
Predominantly, it affects females past 40 years. Barium swallow shows a web in the postcricoid region and the same can be seen on oesophagoscopy. It is due to subepithelial fibrosis in this region. (Ref: Textbook of diseases of ENT, PL Dhingra, 7th edition, pg no. 388)
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The following organism because of its easy culture methods is widely used as bacteriology indicator of water pollution-
Coliform oarganisms are used as indicators of faecal pollution rather than the water borne pathogens because: Coliform organisms are constantly present in abundance in human intestine. They are easily detected by culture methods as small as one bacteria in 100 ml of water whereas other methods of detecting pathogens ar...
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CNS involvement is most commonly associated with which group of congenital intrauterine infections:
CMV infection and Toxoplasmosis are the two most common intrauterine infections with frequent and serious CNS involvement. The group of CMV and Toxoplasmosis is therefore the single best answer of exclusion. Ref: Harrison 17th Edition, Page 1310, 1110; Vope's Neurology of the born 3rd Edition, Page 675, 685, 691
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Chromosomal translocation in CML is:
9:22
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All the following mediate their action using cAMP as second messenger except:
D i.e. Vasopressin
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All of the following modalities can be used for in-situ ablation of liver secondaries, except –
Treatment modalities for liver secondaries Liver transplant (in patients with single lesion < 5 cm or three or fewer, lesions < 3 cm) Hepatic artery embolization & chemotherapy (chemoembolization) Intralesional in situ ablation via ultrasound-guided          Percutaneous ethanol (alcohol) injection          Cryother...
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All have beta lactam ring EXCEPT:
ANSWER: (B) LinezolidREF: Goodman and Gillman 11th edition page 780"Linezolid is a synthetic antimicrobial agent of the oxazolidinone class"The three classes of drugs which have beta lactam ring in its structure are:Penicillins consist of a thiazolidine ring connected to a b-lactam ring, to which is attached a side cha...
16,751
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Black colored pleural effusion is seen in:
Type of pleural effusion and appearance: Pseudochylothorax and chylothorax- Milky white Urinothorax- Urine Anaerobic empyema-Putrid Chylothorax-Bile stained Aspergillus infection-Black Empyema-Turbid Amebic liver abscess-"Anchovy" brown Esophageal rupture-Food paicles Ref: AJCC AMERICAN JOURNAL OF CRITICAL CARE, March ...
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Isovolumetric relaxation is defined as
‘Isovolumetric’ means the volume remains same. That occurs only when both the valves are closed.
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Sibutramine is ?
Ans. is 'a' i.e., Endorphines Endorphins have major action on receptors. Enkephalins have major action on a receptors. Dynorphins have major action on c receptors.
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Consumer protection act includes all, except –
Consumer protection act For the first time in India, the consumer Protection Act 1986 provided consumers a forum for speedy redressal of their grievances against medical services. According to this act, the decision should be taken within 3-6 months. There is no court fee payment and the person can plead his own case....
16,755
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Which of Immunoglobulins is associated with allergic disorders ?
Ans. is 'd' i.e., IgE
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Example of Physiological Antagonism is:
Prostacydine-thromboxane
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A 19 years old patient came to the out patient department with complaints of primary amenorrhea. She had well- developed breast and pubic hair. However there was absence of vagina and uterus but normal ovaries. Likely diagnosis is:
Ans. b. Mullerian agenesis (Ref: Shaw's Gynecology 14/256-257; Novak's Gynecology 14/1036)Mullerian agenesis is the cause of primary amenorrhea, which is characterized by absence of uterus /vagina, also known as Rokitansky-Kuster- Hausen syndrome.Most likely diagnosis in a 16-year old girl who presents with primary ame...
16,758
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Kiesselbach's plexus is situated on the :
Kiesselbach's plexus or Little's area is along the caudal nasal septum which forms the medial wall of nasal septum. It is the site of anastomosis of spheno palatine, greater palatine, anterior ethmoid and superior labial aery. It is the most common site of occurrence of epistaxis. Woodruff's plexus is an area on the la...
16,759
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A primigravida is in second stage of labour since 1 hr. On examination the leading point of fetal skull is at +2 station and rotation is 450 sho. This can fuher be managed by
The patient fulfills the criteria for applying low forceps The criteria for applying low forceps - (1) Leading point of fetal skull at station+ 2 cm and not on the pelvic floor, (2) Rotation is 45o or less. If the fetal head is at station below this or rotation doesn't exceed 45o, then one can apply outlet forceps. A: ...
16,760
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Which of the following can invade the IVC?
Ans. (a) Renal cell cancerRef. Campbell-Walsh Urology, 11th Edition, Pages 1337-38* Renal Cell Cancer invade the IVC and best evaluated by MRI
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The following are true for T lymphocytes except -
The adaptive immune system consists of 2 types of lymphocytes: T-cells (70-80% of the adaptive immune force) and B cells (10-20% of the adaptive immune force).Antigens (triangular shapes above) are ingested (1), paially digested (2) and then presented to helper T cells by special cells called macrophages (3). This proc...
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All are true about cryptococcus except -(
Ans. is 'c' i.e., Pseudohyphae Cryptococcus is a yeast, it does not form mycelium or pseudomycelium. Pseudomycelium is formed by yeast like fungi eg, candida. True mycelia are formed by moulds or filamentous fungi eg : dermatophytes. About other options Cryptococcus has polysaccharide capsule. It reproduces by simple b...
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Which structure(s) passes behind the inguinal ligament:
. Femoral branch of genitofemoral nerve; B i.e. Femoral vein ; C i.e. Psoas major Ref: Gray&;s anatomy text book of anatomy BD chaurasia 21st Ed.
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Nitrogen atoms in purines are derived from all except
The N atoms at positions 3 and 9 are derived from the amide nitrogen glutamine Ref-Sathyanarayana 4/e
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The following drugs/methods are used for cervical ripening, except?
Prostaglandins, oxytocin, and stripping of membranes are usually done for cervical ripening. Other methods are Foley bulb catheter, early amniotomy, and late amniotomy. Ergometrine is used in promoting of contraction and involution of uterus after delivery.
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which of the following can be used to differentiate between diabetes mellitus type 1 and 2?
Answer- D. All the aboveAge- <20 yearsAutoimmune destruction of Beta cells mediated by T cells and humoral mediators. Anti islet cell antibodies.Islet cells- Early Insulitis, marked atrophy and fibrosis, Beta cell depletion.Marked decrease blood insulin.
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Kala azar cannot occur at an altitude of;
Kala-azar or Visceral leishmaniasis (VL) is a disease of low altitude (approximately 500 meters mean sea level). In India, however cases have been repoed from sub-Himalayan region (350-960 meters MSL) of Kumaon region of Uttaranchal.
16,768
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Renal artery stenosis is caused by all except
Ans: d (Beurger's disease) Ref: Harrison 17th p. 1555Renal artery stenosis is not caused by Beurger's disease.Renal artery stenosisCauses: - AtherosclerosisFibromuscular dysplasiaTakayasu arteritisAtherosclerosis is the most common cause of RAS in old patients.Takayasu arteritis (aortoarteritis) is the most common caus...
16,769
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A patient with a cavitary lung lesion coughs up sputum that contains thin, acid-fast positive rods. Which of the following features would most likely be associated with these bacteria?
Mycobacteria, such as the causative organism of this patient's tuberculosis, are "acid fast" because they have an envelope that contains large amounts of lipids and even true waxes (unlike envelopes of other types of bacteria) that prevents the acid-fast stain (carbol fuchsin) from leaking out. The other characteristic...
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Eustachian tube opens -
Pharyngeal opening of Eustachian tube is situated 1.25 cm behind the posterior end of inferior turbinateQ.
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Frame shift mutation is caused by:
Frameshift Mutation: Due to insertion or deletion of nucleotides that are not a multiple of three results in frameshift mutation. Reading frame is garbled. Reference- Harper 30th edition page 417
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The following statement about ocular effects of congenital rubella syndrome is false
Ans. (a) Myopia is commonRef: Ghai pediatrics, p. 206Option a - CRS is associated with Micro-ophthalmia, thus causing Hypermetropia due to decreased axial lengthOption b - Lamellar cataract is found in CRS. Nuclear cataract is most common.Option c - Risk to the fetus closely related to the stage of gestation at the tim...
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Protein-specific for smooth muscle contraction is
Calmodulin is the calcium binding protein in the smooth muscle. It is similar to troponin C of Skeletal muscle.(REF: TEXTBOOK OF MEDICAL PHYSIOLOGY GEETHA N 2 EDITION, PAGE NO - 59)
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All of the drugs are useful in typhoid EXCEPT: March 2013
Ans. C i.e. Clindamycin Clindamycin It is used primarily to treat anaerobic infections caused by susceptible anaerobic bacteria, including dental infections, and infections of the respiratory tract, skin, and soft tissue, and peritonitis. In patients with hypersensitivity to penicillins, clindamycin may be used to trea...
16,775
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Blount Disease is involvement of
Blount's disease is a progressive bow-leg deformity associated with abnormal growth of posterior-medial pa of proximal tibia. Ithas a triad: Internal Rotation of leg Tibia vara Hyperextension of the knee
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True/false. NCCT is the initial investigation of choice in any stroke patient. Hyperdense MCA sign is a sign of acute infarct on MRI. Thrombolysis is contraindicated in haemorrhagic stroke. DWI is the most sensitive sequence for acute stroke. Window period for iv thrombolysis in acute ischemic stroke is 4.5 hours accor...
Stroke is characterised by decrease in blood flow to the brain. NCCT is the initial IOC for stroke patients to differentiate haemorrhagic stroke from ischemic stroke. DWI sequence on MRI is most sensitive for detection of acute infarct. Signs of acute infarct on NCCT- Hyperdense MCA sign Syln dot sign Obscuration of le...
16,777
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Which treatment goal is not included in the control phase of caries management?
Five phases of caries management  Urgent phase - management of pain, swelling, bleeding, infection before initiation of subsequent phases.  Control phase - eliminate active disease, remove conditions preventing maintenance, eliminate cause of the disease and begin preventive alternatives.  Reevaluation phase. Definiti...
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In the suppo of the child with severe ARDS, appropriate goals for pH, oxygenation, and PCO2 include:
This reflects the lung protection strategy with permissive hypercarbia. There is no need for hyperoxia, and PaO2 >90 mm Hg is a sign to reduce the FiO2 and thus potentially decrease the risk of oxygen toxicity.
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A patient with GUN SHOT injury to anterior abdomen presents . On evaluation he is hemodynamically unstable and shows signs of peritonitis. Initial management of patient should involve:
PENETRATING ABDOMINAL INJURIES:
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Indications for Liver Transplantation include:
Answer is D All (All of the above) :Biliary atresia is an indication for Liver transplantation in children while primary Biliary Cirrhosis, Sclerosing cholangitis and Hematochromatosis an established indications for Liver transplantation in adultsIndication for Liver Transplantation:ChildrenBiliary atresiaNeonatal hepa...
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Which of the following statements about Delphi method is true –
Delphi method Delphi method is a systemic, interactive forecasting method which relies on a panel of independent experts. The first round of the delphi method essentially involves development of a questionnaire that are posted to members of the team experts. The carefully selected experts answer questionnaires in two...
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A patient came with complaints of having a deformed nose and also complained that nobody takes him seriously because of the deformity of his nose. He has visited several cosmetic surgeons but they have sent him back saying that there is nothing wrong with his nose. He is probably suffering from-
This patient is having delusional dysmorphophobia.
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TRUE statement about nonrenal cause of hypokalemia among the following is:
Hypokalemia can be due to increased loss. Non renal causes are 1. Gastrointestinal loss (Diarrhea) 2. Integumentary loss (Sweat) MUST KNOW: The loss of K+ in sweat is very low except in extremes of physical exeion Direct gastric losses of K+ is also minimal (Vomiting, NG aspiration) It can lead to hypochloremic alkalos...
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The following statement about pilonidal sinus is true:
Ans. (d) Treatment of choice is surgical excision of sinus tract* MC in males* Acquired due to entry of hair follicles into skin.* Prognosis is good after surgery* Recurrence is common but there are surgeries for recurrent Jeeper's bottom like - Limberg's flap and Bascom technique
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A 5 yr old boy presented to the ER with vomiting and abdominal distension. Abdominal imaging showed mass in the ileocecal region. Histopathological examination of biopsy from the region showed diffuse infiltrate of lymphoid cells admixed with macrophages giving a 'starry-sky' appearance. Which of the following transloc...
t(11;14)/CyclinD1-IGH translocation is a feature of Mantle cell lymphoma. The given case has features suggestive of Burkitt lymphoma. In Burkitt lymphoma, involved tissues are effaced by a diffuse infiltrate of intermediate-sized lymphoid cells. Cells have high mitotic index, numerous apoptotic cells are seen The apopt...
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Questionnaire is to check toxicity after -
Questionnaire is to check toxicity after alcohol intake REF;THE SYNOPSIS OF FORENSIC MEDICINE:KS NARAYANA REDDY;28th EDITION;
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Reversal of lead foil on X-ray film may appear as:
Reversal of lead foil on X-ray film: Herring bone / Embossed tram track pattern.
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A patient has acute abdominal pain with blood and mucus in stool with palpable mass per abdomen is due to -
A syndrome of colicky pain, passage of blood per rectum and a palpable mass (the intussuscepted segment) is characteristic of intussusception.
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Antibodies in ITP are -
Ans. is 'a' i.e., IgG IDOPATHIC THROMBOCYTOPENIC PURPURAo There are two clinical subtypes of primary I.T.P, acute and chronic both are autoimmune disorders in which platelet destruction results from formation of antiplatelet antibodies.Pathogenesiso Chronic I TP is caused by the formation of autoantibodies against plat...
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On accident there is a damage if cervical spine, first line of management is-
"initial care at the accident scene may be critical to survival. The first steps are to establish an airway, maintain oxygenation and immobilize the cervical spine". *Many of the spinal injury patients are multiple trauma victims and therefore require emergency treatment. *The treatment priorities are preserving life(1...
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Speed of rabies virus in axon is?
The movement of virus in the axon is passive at a speed of about 3mm per hour. REF:ANANTHANARAYAN AND PANIKER'S TEXTBOOK OF MICROBIOLOGY 9TH EDITION PAGE NO-532
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All are markers of Wilms' tumor except:
Wilms tumor Marker of Triphasic tumor. 3 components d/t abnormal mesenchymal differentiation : Blastemal Epithelial Stromal Various markers: Desmin - Muscle cell tumor Vimentin - Mesenchymal cell tumor marker Cytokeratin - Epithelial cell tumor marker TTF-1 (thyroid transcription factor): Lung cancer Thyroid cancer. Ad...
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The first centres of ossification appears during which month of pregnancy?
A i.e. At the end of 2nd month of pregnancy Clavicle is the first bone in the body to sta ossifyingQ and is ossified from 3 centres. The shaft of clavicle is ossified from 2 (medical & lateral) primary centres, which appear between the 5th & 6", weeks of intra uterine lifeQ, and fuse about the 45th day meeting between ...
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Which naevi commonly predispose to malignant melanoma ?
Malignant transformation is rare and occurs in the following situations: Congenital melanocytic naevi:6% of lesions undergo malignant change , risk of malignant transformation is greater in giant lesions. Dysplastic naevus syndrome: in melanoma prone families. From illustrated synopsis of dermatology and sexually trans...
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Retinoblastoma is seen in -
Ans. is 'a1 i.e., Children RETINOBLASTOMAo Retinoblastoma is the most common intraocular tumor in children. The tumor is confined to infancy and very young children (1-2 years). There is no sex predisposition. Retinoblastoma is unilateral in 70-75% of cases and bilateral in 25-30% of cases.Etiologyo Retinoblastoma gene...
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Window period" in HIV is defined as -
Window period is a period between entry of virus to appearance of detectable Ab in serum
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Telefona refers to?
.Ans. (c) Beating on both earsRef: Reddy 5th ed. / 257
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The function of wetting agents used in casting procedures is
The surface of a wax pattern that is not completely wetted investment results in surface irregularities in the casting that destroy its accuracy. These irregularities can be minimized by applying a surface-active wetting agent on the wax. The function of the wetting agent is to reduce the contact angle of a liquid with...
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