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Which of the following carries fast pain?
Ans. a (Ad fibres) (Ref. Ganong 23rd/ Table 4-1; pg.167)# Fast pain is mediated by Ad fibers and causes sharp, localized sensation.0# Slow pain is mediated by C fibers and causes a dull, intense, diffuse, and unpleasant feeling.0PAIN# Pain impulses are transmitted via lightly myelinated Ad and unmyelinated C fibers.# C...
17,000
medmcqa_train
Health assistant should make repos of bihs and deaths occurring in their area every: September 2011
Ans. B: Week Common job functions for the health assistants (male and female) include collecting and compiling the weekly repos of bihs and deaths occurring in their areas and submitting them to the MO PHC.
17,001
medmcqa_train
What are the three cranial nerves that are at risk during the removal of submandibular salivary gland?
Marginal mandibular branch of facial nerve, lingual nerve & hypoglossal nerve are at risk during the removal of submandibular salivary gland due to their close relation with the gland. Three cranial nerves (CNs) are at risk during removal of the submandibular gland: 1 the marginal mandibular branch of the facial nerve;...
17,002
medmcqa_train
Which of the following is False regarding H.Pylori infection
Ans. is 'a' i.e with chronic infection urease breath test becomes negative The urease breath test does not become negative after chronic infection it becomes negative after treatment.
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Donovan bodies are seen in
Klebsiella (formerly Calymmatobacterium) granulomatis, the causative agent of this hard, granulomatous, proliferating lesionHistologic demonstration of intracellular "Donovan bodies" in biopsy material most frequently suppos the clinical impression. Jawetz 27e pg: 761
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True about mumps vaccine
Widely used live attenuated mumps vaccines include the Jeryl-Lynn, RIT 4385, Leningrad-3, L-Zagreb and Urabe strains. A single dose(0.5ml) produces antibodies in 95% of vacinees. Ref: 25th edition, Park's Textbook of Preventive and Social Medicine, Page no. 166
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An HIV-positive patient with a viral load of 100,000 copies/mL of HIV RNA and a drop in his CD4 T-cell count from 240 to 50mL has been diagnosed with Pneumocystis jiroveci pneumonia. Which of the following is the best description of the stage of this patient's HIV disease?
Current criteria for HIV infection require a positive result from an HIV antibody screening test confirmed by a positive result from a western blot or indirect immunofluorescence assay for HIV antibodies; or a positive result or report of a detectable quantity of HIV nucleic acid, HIV p24 antigen, or HIV isolation ( st...
17,006
medmcqa_train
Which of the following is not a Pox virus?
PoxvirusesGenusVirusPrimary HostDiseaseOhopoxvirus1. VariolaHumansSmallpox 2. VacciniaHumansFor smallpox vaccination3. CowpoxCowsRare in Humans4. MonkeypoxMonkeysRare in HumansMolluscipoxvirusMolluscum contagiosumHumansBenign skin nodulesParapoxvirus1. Orf2. Pseudocowpox3. Bovine papular stomatitisSheepCowsRare in Huma...
17,007
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Commonest symptom of carcinoma bronchus is ?
Ans. is 'c' i.e., Cough
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The mode of secretion of sebaceous gland is
Sebaceous  Glands  Sebaceous glands, producing an oily secretion, are widely  distributed all over the dermis of the skin, except for the palms and soles. Sebaceous glands are holocrine in nature, i.e. they produce their secretion by complete fatty degeneration of the central cells of the alveolus, which are then repla...
17,009
medmcqa_train
Which of the following anaesthetic agent has highest MAC (Minimum Alveolar Concentration)
MAC is the minimum alveolar concentration of on inhaled anesthetic required to prevent movements in 50% of patients in response to a standardized stimulus. N2O has highest MAC 104 Methoxyflurane has lowest MAC Comparing MAC of different agents we can get an idea of there potency. High MAC low potency Low MAC high poten...
17,010
medmcqa_train
A baby boy staed speaking sentences of few words. What will be his age?
Usually by age of 1 year, a child can use 2 words (on his own jargon) with meaning for objects of daily use. His vocabulary increases during the second year. He uses 6-20 words by the age of 18 months. Between the age of 21-24 months, he makes simple sentences using two or three nouns without the use of verbs. He uses ...
17,011
medmcqa_train
Hallucinations are seen in all except -
Anxiety and other neurotic disorders do not cause hallucination.
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All are true about hepatic cystadenoma except
Majority of patients of biliary cystadenoma presents with a history of abdominal pain or mass Ref: Sabiston 20th edition Pgno : 1469
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Troponin-C mimics which of the following?
Troponin C contains binding site for Ca2+ that initiates muscle contraction.(Ref: Textbook of physiology AK Jain 5th edition page no.164)
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True regarding umbilical hernia is/are all except?
Ans. is 'b' i.e., More common in malesoAn umbilical hernia mostly congetital, is a hernia present at the site of the umbilicus through a persistent umbilical ring.oBoys and girls are equally affected in congenital where as acquired is three times more common in women than in men. An acquired umbilical hernia directly r...
17,015
medmcqa_train
A 62-year-old loses consciousness in the street and resuscitative efforts are undertaken. In the emergency room an electrocardiogram is obtained, part of which is shown below. Which of the following disorders could account for this Man's presentation?
Ans. (c) Intracerebral hemorrhage.* In the scenario given either the patient had a tachyarrhythmia or a stroke* If you at the ECG bradycardia is seen which favors stroke since stroke has cushing reflex* QT interval of the patient is a whopping 600 msec ( 400-430 msec)* Choice A, B and D are ruled out since there is no ...
17,016
medmcqa_train
In a patient with CSF otorrhea a cotton plug is kept in ear near Eustachian tube. A dye is injected in the sub- arachnoid space. The plug gets stained. Which of the following is most likely site of CSF leak?
Ans. A. Temporal bone.CSF otorrhea# The most common cause of CSF otorrhea is trauma with fracture involving the tegmen tympani. Tegmen tympani which is formed in part by the petrous portion of the temporal bone, and the squamous portion of the temporal bone, forms the roof of the middle ear cavity. Other etiologies inc...
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medmcqa_train
Tetracycline is the drug of choice for all except?
Ans. is 'd' i.e., Pneumocystis carinii
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Glycemic index of a starchy food is a measure of its:
The increase in blood glucose after a test dose of carbohydrate compared with that after an equivalent amount of glucose (as glucose or from a reference starchy food) is known as the glycemic index.  Glucose and galactose have an index of 1 (or 100%), as do lactose, maltose, isomaltose, and trehalose, which give rise t...
17,019
medmcqa_train
According to floor space standards, the half unit is considered at child age of?
Overcrowding is the situation in which more people are living in a single dwelling thanthere is space for so that,the movemwnt is restricted,privacy secluded,hygiene impossible,rest and sleep difficult. The accepted stardards are -persons per room -floor space: according to floor space standard baby under 12 months is ...
17,020
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Which is the best time to do orchidopexy for undescended testis
Ideal time to do orchidopexy is 6 months of age
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Indications for FFP include
Ans. d (All of the above) (Ref. Harrison 18th/ ch. 113; Table 113-2)Characteristics of Selected Blood ComponentsComponentVolume, mLContentClinical ResponsePRBC180-200RBCs with variable leukocyte content and small amount of plasmaIncrease hemoglobin 10 g/L and hematocrit 3%Platelets50-70200-4005.5 x 1010/RD unit3 x 10U/...
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medmcqa_train
The operating temperature in an ethylene oxide sterilization during a warm cycle is:
Ans. is 'a' i.e, 49-63(Ref: Ananthanarayan, 9th/e, p. 35, 36; Baveja, 4th/e, p. 38)EO sterilization cycles - Cold cycle at 37+-5 and Warm cycle 54+-5.
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Therapeutic index is a measure of
(c) Safety,Ref: Lippincott, 6th ed., pg. 35The therapeutic index (TI) of a drug is the ratio of the dose that produces toxicity to the dose that produces a clinically desired or effective response in a population of individuals:TI=TD50/ED50Where TD50 = the drug dose that produces a toxic effect in 50% the population an...
17,024
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Rx of chronic HBV infection -
<p>Davidson&;s principles and practice of medicine 22nd edition. *interferon alpha is most effective in persons with low viral load and serum transaminase greater than raise the upper limit of normal. #lamivudine although effective ,long term therapy is complicated.</p>
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A 30 years man presented with nausea, fever and jaundice of 5 days duration. The biochemical tests revealed a bilirubin of 6.7 mg/dl (conjugated 5.0 mg/d1) with SGOT/SGPT (AST/ALT) of 1230/900 IU/ml. The serological tests showed presence of HBs Ag IgM anti-HBc and HBeAg. The most likely diagnosis:
Ans. (b) Acute hepatitis B infection with high infectivity See the following table, Do not try to learn it, just try to understand Commonly Encountered Serologic Patterns of Hepatitis B Infection HBsAg Anti-HBc Anti-Hac HBeAg Anti-HBe Interpretation + - lgM + - Acute hepatitis B, high infectivity + - lgG + - Chronic ac...
17,026
medmcqa_train
Residual chlorine in chlorination of water should be:
The minimum recommended concentration of free chlorine is 0.5 mg/L for one hour. The sum of the chlorine demand of the specific water plus the free residual chlorine of 0.5 mg/L constitutes the correct dose of chlorine to be applied. The chlorine has no effect on spores, protozoal cysts and helminthic ova, except in hi...
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Lupus pernio is seen in-
Ref Davidsons 23e p609
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Pain and temperature in the thalamus is controlled by the nucleus
Ventroposterior medial nuclei receive trigeminothalamic afferents and relay to postcentral gyrus. Ventroposterior lateral nuclei receive spinothalamic (Pain and temperature) and medial lemniscus afferents and relays to the cerebral cortex.
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Absolute contraindication of IUCD is?
Contraindications for IUCDS Puerperal sepsis Pregnancy Cancer of the cervix PID / STD Cancer of the uterus Significantly distoed uterine cavity Undiagnosed vaginal bleeding
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Which of the following laryngeal muscle arise 4th arch
Ans. is 'a' i.e., CricothyroidAll intrinsic muscles of larynx are derived from 6th arch except cricothyroid which arises from 4th arch
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medmcqa_train
Intrinsic factor secreted by
Parietal or oxyntic cells secrete HCl and intrinsic factor.Chief or zymogen or peptic cells secrete pepsinogen.(Ref: Ganong&;s Review of medical physiology, 23 rd edition, page 431)
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ECT in depressive phase ofMDP is useful because it:
C i.e. Shoens durations
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Rx of choice for Lichen planus?
LP is essentially benign and self-limiting disease. Steroids- Mainstay of Rx. Oral steroids: Extensive LP Bullous LP Follicular LP of scalp Extensive ulcerative lesions on the oral or vaginal mucosa. Nail atrophy and pterygium Other Rx: Azathioprine Dapsone In generalised cases phototherapy is given.
17,034
medmcqa_train
Pseudologia fantastica is typically seen in the following condition:
The original Munchausen syndrome (peregrinating factitious disorder) consists of the simulation of disease, pseudologia fantastica, and peregrination (wandering). Patients presented with paicularly dramatic, chronic, or severe factitious illness. The characteristic features are, Feigned severe illness of a dramatic and...
17,035
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Touton giant cells are found in:
Xanthoma
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Urine cytology is used for the screening of:
Ans. (c) Urothelial carcinomaRef: Campbell Urology 11th Edition, Page 2197* Urinary cytology is used for screening of urothelial cancer.* AUA guidelines for evaluation include cystoscopy, upper; tract imaging and urine cytology.
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Misfolding of proteins is associated with the following except
.
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Which of the following can cause Superior quadrantopia
A. i.e. Temporal lobe tumor Lesions involving total optic radiations produce complete homonymous hemianopiaQ (sometimes sparing macula). Lesions involving superior fibers of optic radiation (occurs in lesion of parietal lobe) results in inferior quadrantic hemianopia (pie on the floor)Q Lesion involving inferior fibers...
17,039
medmcqa_train
A 48-year-old female is admitted to the hospital with a distended abdomen. A CT scan examination provides evidence of the presence of ascites. In which of the following locations will an ultrasound machine most likely confirm the presence of the ascitic fluid with the patient in the supine position?
(b) Source: GAS 307; GA 144 In a supine patient, fluid accumulation will often occur in the pouch of Morison, which is the lowest space in the body in a supine position. The hepatorenal space is located behind the liver and in front of the parietal peritoneum covering the right kidney. The vesicouterine and rectouterin...
17,040
medmcqa_train
Buonian line is seen with poisoning of
B i.e. Lead
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The ducts of the lacrimal gland open into the:
Lacrimal Fluid is produced by the lacrimal gland, which lies in a fossa in the superolateral pa of each orbit. The fluid from this gland enters the conjunctival sac through up to 12 lacrimal ducts that open into the superior conjunctival fornix. The tears then flow to the medial angle of the eye and collect in the lacr...
17,042
medmcqa_train
True about oxytocin are all except
Oxytocin is a hypothalamic hormone stored in and released from the posterior pituitary; it may also be prepared synthetically or obtained from the posterior pituitary of domestic animals. It acts as a powerful stimulant to the pregnant uterus, especially toward the end of gestation, and also causes milk to be expressed...
17,043
medmcqa_train
All of the following are used for giving skeletal traction, except
Skeletal traction: The traction is applied directly to the bone by inseing a K-wire or Steinmann pin through the bone. All the given options can be used for giving skeletal traction except Rush nail which is an intramedullary nail used for long bone fracture. Eg. Fibular Fracture. REF:Maheswari 9TH ED pg: 26
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medmcqa_train
Following statements about sarcoidosis is false
Ans. is 'a' i.e., The first manifestation of the disease is an accumulation of mononuclear inflammatory cells, mostly CD8 + THI lymphocytes in affected organs
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All are true about nasolabial cyst Except:
Nasolabial cyst - Nasolabial cyst is a rare nonodontogenic developmental cyst. - It is believed to be derived from remnants of the nasolacrirnal duct. - Seen most often in adults in the 4th to 6th decades of life. - It has strong female predilection. 3:1 female-to-male ratio - It is usually unilateral. Bilateral in 10%...
17,046
medmcqa_train
Joint erosions are seen in all Except
Osteoahritis is a disease of aicular cailage not of joint Joints involved in ahritis Ahritis Type MC joints Less common Not involved Nature Rheumatoid ahritis Poly MCP, PIP , MTP Knee , Cervical spine DIP , Hip Erosive painful SLE Poly MCP , Wrist Non erosive Osteoahritis Poly DIP , Knee , Sacro iliac Wrist , MCP Psori...
17,047
medmcqa_train
A 20-year-old male presented to the OPD with a deep boring pain in the upper end of left tibia which worsened at night/while walking and is relieved by rest. On examination, there is effusion in the knee joint along with tenderness and thickening of the bone. X-ray of the concerned area was taken. MRI of the concerned ...
Brodie abscess is an intraosseous abscess related to a focus of subacute pyogenic osteomyelitis. It has a predilection for ends (metaphysis) of tubular bones: Proximal/distal tibial metaphysis (most common) Carpal and tarsal bones Rarely traversing the open growth plate; epiphysis (in children and infants). X-ray featu...
17,048
medmcqa_train
Characteristic feature of atopic dermatitis is -
ATOPIC DERMATITIS:-Atopic eczema.Chronically relapsing skin disorder that usually begins at infancy characterised by pruritus,xerosis and eczematisation. Clinical features-Infantile phase:- AD more acute with predominantly involving face,scalp and extensor surfaces of extremities.Typically there are papules,vesicles,ex...
17,049
medmcqa_train
Least common site to be involved in osteoahritis amongst the following is:
Answer is D (Metacarphalangeal joints) Wrists and Metacarpophalangeal joints are generally not involved in Osteoahritis - Harrison 16th/2040 Sparing of wrist and metacarpophalangeal joint with involvement of base of thumb (i.e. carpometacarpal joint) is very characteristic of 'osteoahritis'.
17,050
medmcqa_train
All of the following statements regarding adult polycystic kidney disease are TRUE, EXCEPT:
Hypeension is a common finding associated with ADPKD due to increased activity of the renin-angiotensin system. ADPKD is a systemic disorder resulting from mutation in either the PKD1 or PKD2 gene. IN 90%cases, it is inherited in an autosomal dominant fashion. Phenotypic heterogeneity is a hallmark feature of this cond...
17,051
medmcqa_train
The maximum ozone concentration in polluted atmosphere is dependent on the concentration and ratio of nitrogen oxides and which one of the following –
Ground level ozone is formed from Nitrogen Oxides (NO) and volatile organic compounds (VOC), e.g., Methane
17,052
medmcqa_train
Normal length of CBD is
Bile duct : Anatomy It lies in front of the poal vein and to the right of the hepatic aery Common hepatic duct is 1-4cm in length and has a diameter of approx. 4mm CBD is about 7-11 cm in length and 5-10 mm in diameter A fibroareolar tissue containing scant smooth muscle surround the mucosa (a distinct muscle layer is ...
17,053
medmcqa_train
SARS - false statement is
(D) All of the above # CLINICAL MANIFESTATIONS: After an incubation period that generally lasts 2 to 7 days (range, 1 to 10 days), SARS usually begins as a systemic illness marked by the onset of fever, which is often accompanied by malaise, headache, and myalgias and is followed in 1 to 2 days by a nonproductive cough...
17,054
medmcqa_train
A 34 years old female after thyroidectomy was under observation in post operations ward after shows she developed tense swelling in neck and become breathless. How do you treat this patient?
Breathlessness within few hans of thyroidectomy and swelling in the neck suggest of tension hematoma, which is treated by removal of stucture & evacuating the hematoma.
17,055
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GBS in a child treatment –
Treatment of GB syndrome in children It is self-limited in the majority of cases. Intravenous immunoglobulin shows a good response. Plasmapheresis: - Removal of autoantibodies. Assisted ventilation: - It patient develops respiratory muscle paralysis. Physiotherapy
17,056
medmcqa_train
True about pterygium
Pterygium - Wing shapes fold of conjunctiva encroaching upon the cornea from the either side *Etiology - Hot climates - Degenerative & hyperplastic condition of conjunctiva *Symptoms - Visual disturbance (astigmatism) -Cosmetic intolerance *Sign - Triangular fold of conjunctiva mainly on nasal sideStocker line - Iron d...
17,057
medmcqa_train
Most common type of renal adenocarcinoma is?
Ans. is 'a' i.e., Clear cell type * Clear cell carcinoma is the most common type of renal cancer accounting for about 70% to 80% of the renal cell cancer.
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medmcqa_train
Superior thyroid aery is related to?
Superior thyroid aery is the first anterior branch of the external carotid aery.it runs downwards and forwards in intimate relation to the external laryngeal nerve.after giving branches to adjacent stuctures, it pierces the bpretracheal fascia to reach the upper pole of lobe where the nerve detes medically.at the upper...
17,059
medmcqa_train
Catamite is?
Ans. is 'b' i.e., Children o Catamite is the name given to the child who is the passive agent.Remembero In sodomy with children:-1) The act - Paederasty2) Active agent - Paedophile3) Passive agent (i.e. child) - Catamite.
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medmcqa_train
Which is not an important symptom of asthma:
Ans. D. ExpectorationSymptoms (Triad) of asthmaa. Cough (often nocturnal) Dry cough is the earliest featureb. Intermittent dyspnea,c. Wheeze, (is the pathognomic feature).* Symptoms are worst at night* Nasal polyp and sensitivity to aspirin can occur an AsthmaSignsa. Tachypneab. Audible wheezec. Hyperinflated chestd. W...
17,061
medmcqa_train
Large amount of SER is found in cells storing
Cholesterol(lipid) is synthesized in the smooth endoplasmic reticulum from acetyl CoA. The rate-limiting step is the formation of mevalonate from 3-hydroxy 3-methylglutaryl-CoA by HMG CoA reductase and lanosterol is the first cyclic intermediate.SER synthesise lipids whereas RER synthesise proteinsRef: Harper biochemis...
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medmcqa_train
Bysinnosis is caused by: March 2010
Ans. C: Cotton
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Characterstic of basal cell carcinoma is:
Basal cell carcinomas are composed of islands or nests of basaloid cells (i.e. cells resembling cells in the normal basal cell layer of the epidermis), with palisading of the cells at the periphery and a haphazard arrangement of those in the centers of the islands. The tumor cells have a hyperchromatic nucleus with rel...
17,064
medmcqa_train
Voriconazole is not effective against:
Antifungal Drugs: CLASS IFICATION 1. Antibiotics A. Polyenes:AmphotericinB (AMB),Nystatin, Hamycin, Natamycin (Pimaricin) B. Heterocyclic benzofuran: Griseofulvin 2. Antimetabolite Flucytosine (5-FC) 3 Azofes A. lmidazoles (topical): Clotrimazole, Econazole, Miconazole, Oxiconazole (systemic): Ketoconazole B. Triazoles...
17,065
medmcqa_train
New vaginal ring used to prevent pregnancy for an entire year
It is a ring shaped non biodegradable , flexible, white opaque system contain a estrogrn n progesterone ative compounds.
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Allof the following are used in the management of acute myocardial infarction Except:
Answer is D (Warfarin) Warfarin is not indicated in the immediate management of Acute myocardial infarction. Warfarin is the single best answer of exclusion. Aspirin and Heparin are used in early treatment of Acute Myocardial infarction to prevent thrombosis. Alteplase or Tissue Plasminogen Activator is a thrombolystic...
17,067
medmcqa_train
In which of the following phase, DNA doubling occurs ?
Ans: b (S phase) Ref: Harper, 23th ed, p. 428DNA replication occurs only at a specified time during the life span of a cell. This period is referred to as synthetic or S phase.Few points about: DNA POLYMERASEProkaryotic DNA polymerase:DNAP -I: Removal of RNA primers and replacing with DNA (5'-3' exonuclease).DNAP - II:...
17,068
medmcqa_train
Which of the following was previously used to diagnose bronchial asthma
Methacholine normally acts on M2 receptor present on heart. "Methacholine challenge test" was used to diagnose bronchial asthma, where it can cause bronchoconstriction because of increased sensitivity of M3 receptors due to airway hyperreactivity.
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medmcqa_train
Essential pentosuria is due to deficiency of:
Essential Pentosuria: Occurs due to deficiency of : Xylulose reductase Xylitol dehydrogenase. L-Xylulose in urine, gives positive Benedict's test Glucose Oxidase test strip negative Garrod's Tetrad Pentosuria, Albinism, Alkaptonuria, Cystinuria) Due to consumption of large amount of fruits that are rich in Pentoses Fru...
17,070
medmcqa_train
Not an alkylating agent:
Ans) c (Paclitaxel) Ref: Katzung 11th editionAlkylating agents AltietamineDacarbazineBend amu stineLomu stineBusulfanMechlorethamineCarmustineMelphalanChlorambucilTemozolomideCyclophosphamide/ThiotepaIphosphamide This table is very important. Do remember it well!Cell Cycle-SpecificNonspecific(CCS) AgentsCell Cycle-(CCN...
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medmcqa_train
True about hand hygeine -
Ans. is 'b' i.e., Alcohol based preparation are used o Povidone iodine is the best skin disinfectant o Povidone iodine (Betadine) is less irritant and cause less staining.o Aqueous and alcohol-based povidone iodine preparations are widely used in skin disinfection including preoperative preparation of the skin.o Common...
17,072
medmcqa_train
ALL L3 morophology is a malignancy arising from which cell lineage
ALL L3 is arising from mature B cells.Only 1-2% patients with ALL show L3 morphology in which cells are large,have deep cytoplasmic basophilia and prominent vacuolation.These cells show surface immunoglobulin and should be treated as Burkitt lymphoma. Reference:Essential pediatrics-Ghai,8th edition,page no:600.
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Drug causing icthyosis and hyperpigmentation, when used in leprosy is -
Ans. is 'c' i.e., Clofazimine o Adverse effects of clofazimine 1. Skin ---> Reddish-black discolouration of skin, dryness of skin and itching, Discolouration of hair and body secretions, acneform eruptions and phototoxicity, conjuctival pigmentation. 2. GIT --> Enteritis with loose stools, nausea, abdominal pain, anore...
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Parathyroid glands are supplied by which artery-
Each parathyroid receives blood supply from inferior thyroid artery, and also from the anastomosis between superior and inferior thyroid arteries.
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In the WHO recommended EPI Cluster sampling for assessing primary immunization coverage, the age group of children to be surveyed is:-
Cluster random sampling: Used for immunization coverage evaluation Error rate for immunization coverage evaluation - +- 5% WHO recommended technique - 30 x 7 Total sample size - 210 Intercluster disparity - even the cluster are not comparable to each other; To remove intercluster disparity, we use DESIGN effect 30 clus...
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medmcqa_train
Steroid hormone receptors have attachment site forall except:
Transcription repressors Steroid hormone receptors are intracellular receptors that perform signal transduction for steroid hormones. Steroid hormone receptors are pa of the nuclear receptor family that also includes a group of homologous structured receptors that bind to non-steroid ligands such as thyroid hormones an...
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medmcqa_train
Non -sterile hypopyon is seen in-
In fungal ulcer, usually, a big hypopyon is present even if the ulcer is small. Unlike the bacterial ulcer,the hypopyon may not be sterile as the fungi can penetrate into the anterior chamber without perforation
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True about genomic imprinting
Genomic imprinting Genomic imprinting is the epigenetic phenomenon by which ceain genes are expressed in a parent-of-origin-specific manner. If the allele inherited from the father is imprinted, it is thereby silenced, and only the allele from the mother is expressed. If the allele from the mother is imprinted, then on...
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medmcqa_train
The sensation produced by a wisp of cotton on one's fingeip is mediated by the:
Anterior spinothalamic tract is concerned with light touch- sensation produced by stroking skin with a wisp of cotton.
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medmcqa_train
M.C. organism in acute osteomyelitis ?
Ans. is 'a' i.e., Staphylococcus aureus Acute osteomyelitis may be : - i) Primary (hematogenous) : - Organisms reach the bone through blood stream. ii) Secondary : - Organism gain entery directly through wound such as in compound fractures or surgical operation. Hematogenous osteomyelitis is the commonest form of osteo...
17,081
medmcqa_train
In the clotting process, as the hemostatic plug develops, fibrin polymerizes into monomeric threads which are held together by noncovalent bonds. Which clotting protein increases the strength of the clot by crosslinking the newly formed fibrin threads?
Fibrinogen is cleaved by thrombin twice as it is activated to form fibrin. The initial cleavage causes it to polymerize and the second causes it to branch. Thrombin also activates Factor XIII to XIIIa, which crosslinks the fibrin strands and strengthens the clot. HMWK is a cofactor in the intrinsic pathway that conves ...
17,082
medmcqa_train
Which of the following intrinsic muscles of hand link flexor to extensor tendons?
Lumbricals originate from the tendon of flexor digitorum profundus in the palm and it is inseed in the lateral side of extensor digitorum profundus, thus it links flexor to extensor. The first and second lumbricals are supplied by the median nerve and the third and fouth are supplied by the ulnar nerve.
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medmcqa_train
Atonic uterus contraction seen in all EXCEPT
(IUGR): (213, 410-11- Dutta 7th edition)Atonicity of the uterus is the commonest cause of post partum haemorrhage (80%)Causes of PPH* Atonic Uterus (80%)* Traumatic (20%)- Grand multipara* Retained tissues (Bits of placenta, blood clots causes PPH due to imperfect uterine retraction)- Over distension of the uterus- Mal...
17,084
medmcqa_train
Type of Sacroiliac joints in pelvis are
The pelvic bones are joined by four aiculations (two pairs): Two cailaginous symphyseal joints: the sacrococcygeal joint and the symphysis pubis. These joints are surrounded by strong ligaments anteriorly and posteriorly, which are responsive to the effect of relaxin and facilitate paurition. Two synol joints: the sacr...
17,085
medmcqa_train
Neuroblastoma differs from Wilm's tumor radiologically by all except -
Ans. is 'c' same location The following are the differentiting feature b/w Neuroblastoma & Wilm's tumour. a) Calcification There are foci of calcifications visible in neuroblastoma (about 85%) which are generally less common and less prominent in wilm's tumour (less than 15%). b) Intraspinal extention - Intraspinal ext...
17,086
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Gold standard investigation for chronic pancreatitis?
Answer- B. ERCPERCP has been considered the most sensitive radiologic test for the diagnosis of chronic pancreatitis, with specific ERCP findings that are highly correlative with the degree or stage of chronic disease.
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Grey Turner sign is seen in:
Ans: a (A/c pancreatitis) Ref: Bailey & Love, 24th ed, p. 1123Grey Ttorner sign - Bleeding into fascial plane can produce bluish discoloration in flanksCullen sign - Bleeding into fascial plane can produce bluish discolouration around umbilicusNeither sign is pathognomonic of a/c pancreatitis. Both these signs indicate...
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All are benign conditions except -
Ans. is 'c' i.e. Pagets disease of nipple Benign breast disorder classificationCongenita] disordersInverted nippleSupernumerary breasts/nipplesNon-breast disordersTietze's disease (costochondritis)Sebaceous cysts and other skin conditionsInjurylnflammation/infectionANDI (aberations of normal differentiation and involut...
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Vocal cord is lined by
MUCOUS MEMBRANE OF THE LARYNX It lines the larynx and is loosely attached except over the posterior surface of epiglottis, true vocal cords and corniculate and cuneiform cailages. Epithelium of the mucous membrane is ciliated columnar type except over the vocal cords and upper pa of the vestibule where it is stratified...
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A 58-year-old man with no prior cardiac history presents to the emergency department with symptoms of retrosternal chest pain starting at rest and lasting 30 minutes. The pain radiates to the left arm and is associated with diaphoresis and dyspnea.On physical examination, his blood pressure is 150/90 mm Hg, pulse is 10...
This man has acute coronary syndrome (ACS) until proven otherwise. The ECG is the most useful initial investigation since it identifies individuals with ST-segment elevation who maybe candidates for either thrombolysis or primary angioplasty (PCI). The troponins are important in diagnosing myocardial necrosis. The othe...
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Post term baby with tachypnea - commonest cause?
Ans. is 'b' i.e., meconium aspiration syndrome Transient Tachypnea of the Newborn Transient tachypnea of the newborn is the most common cause of neonatal respiratory distress, constituting more than 40 percent of cases.1 A benign condition, it occurs when residual pulmonary fluid remains in fetal lung tissue after deli...
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Most vascular part of bone :(Repeat Kerala 2007)
Ans) b ( metaphysis) Ref: Maheswari 3ed 157Metaphysis is the most vascularised zone of the bone due to which it becomes a favorite site for osteo-myelitis.In metaphysic vessels are arranged in the form of loop (hair pin arrangement)Blood stasis ;bacteria settleMost common site for osteomyelitisStrongest part of bone -D...
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Which test is performed to detect stunned (reversible) myocardial ischemia?
Ans. B. PET scana. PET scan is a type of nuclear scan.b. LV dysfunction can be due to non-contractile or hypercontractile segments that are viable but are chronically ischemic (Hibernating Myocardium).
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Infections of the ring finger spread to the
Infections of the ring and middle spread into the mid palmar space. Index finger to thenar space Little finger spread to ulnar bursa and mid palmar space. Ref: Internet sources.
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Drug of choice for Chronic Myeloid Leukaemia is
(B) Imatinib TRASTUZUMABMechanismMonoclonal antibody against HER-2 (erb-B2). Helps kill breast cancer cells that over express HER-2, possibly through antibody-dependent cytotoxicity.Clinical useMetastatic breast cancerToxicityCardiotoxicityIMATINIBMechanismMonoclonal antibody against the Philadelphia chromosome brc-abl...
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Juvenile papillomatoses is caused by?
There are two variants based on the age of onset: juvenileand adult laryngeal papillomatosis. The tumors are causedby human papillomavirus (HPV) infection of the throat. The tumors may lead to narrowing of the airway, which may cause vocal changes or airway obstruction.
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Drug of choice in laryngeal stenosis is
Mitomycin-C is an antineoplastic antibiotic that acts as an alkylating agent by inhibiting DNA and protein synthesis. ... Topical application of mitomycin C(0.4 mg/mL) was used as an adjuvant treatment in the endoscopic laser management of laryngeal and tracheal stenosis Ref: Internet sources
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Sunray appearance on X-ray is seen in:
Ans. Osteogenic sarcoma
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