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6 months old infant with Hb of 6 gm% has anaemic features with peripheral blood showing target cells. Family history of similar complaints is (Positive). Diagnosis can be best done with which of the following - | Ans. is 'a' i.e., Hb Electrophoresis Presence of : 1. Anaemia (Hb < 6%), Target cells, 3. Increase reticulocytes suggests the diagnosis of thalassemia. o Thalassemia is a hemoglobin disorder. Hemoglobin disorders are diagnosed by electrophoresis. o Diagnosis of thalassemia is confirmed by serum electrophoresis. | 19,400 | medmcqa_train |
Which anesthetic modality is to be avoided in sickle cell disease? | Prevention of conditions that favor suckling is the basis of peri-operative management.
Supplemental oxygen is recommended during and after regional anesthesia/GA.
Circulatory stasis can be prevented with hydration and anticipation of intraoperative blood loss in order to avoid acute hypovolemia
Normothermia is desira... | 19,401 | medmcqa_train |
Structure of proteins can be detected by all, except: | High pressure liquid chromatography (HPLC) | 19,402 | medmcqa_train |
Nerve injured in fibular neck fracture - | Ans. is 'a' i.e., Common peronealSite of injuryNerve injuredFracture surgical neck humerusAxillary nerveFracture shaft humerusRadial nerveSupracondylar fractureMedian nerve (anterior interosseous branch)Medial epicondyle fractureUlnar nervePosterior dislocation of HIPSciatic nerveFibular neck fractureCommon peroneal ne... | 19,403 | medmcqa_train |
Which of the following is not a type of suffocation- | Throttling is a form of manual strangulation, not a form of suffocation. Suffocation deaths: SmotheringQ Occlusion ofexternal air passagesQby hand, pillow, plastic bag etc ChokingQ Occlusion ofinternal air passagesQby foreign body, food paicles etc Overlaying Compression of chestQ, when mother shares bed with baby Gagg... | 19,404 | medmcqa_train |
Clavipectoral fascia splits to enclose subclavius and pectoralis minor, and continues as ? | Clavipectoral fascia It is a strong sheet of fascia, situated deep to pectoralis major muscle and extends from the pectoralis minor to the clavicle. It splits in upper pa to enlose subclavius and splits in lower pa to enclose pectoralis minor. Below this it is continuous as suspensory ligament. Traced upward, it splits... | 19,405 | medmcqa_train |
Sperms acquire motility in | Sperm motility describes the ability of sperm to move properly through the female reproductive tract. the ability to move forward is acquired in the epididymis Ref: Ganong&;s review of medical physiology; 24th edition; page no:-422 | 19,406 | medmcqa_train |
True about major depression is/are - | Feeling of worthlessness or excessive guilt is one of the diagnostic criteria major depression. | 19,407 | medmcqa_train |
Which of the following is ester local anesthetics - | Local Anaesthetics are divided in two group Aminoamide and Aminoesters Aminoester - sho acting - cocaine , procaine and chloroprocaine long acting - Benzocaine and Tetracaine Aminoamide - intermediate acting - lignocaine , prilocaine ,mepivacaine long acting - Bupivacaine , Ropivacaine , Dibucaine Aminoester Local Anes... | 19,408 | medmcqa_train |
In urban which Anopheles species is seen- | Ans. is 'a' i.e., Stephensi Vector of malariao Vector for malaria is female anapheline mosquito.o There are six primary vectors of malaria in India : -An. culicifacies : - It is the main vector in rural and periurban areas. It is highly zoophilic. Species 4 A' is a vector for P. vivax and P.falciparum, whereas species ... | 19,409 | medmcqa_train |
A 26-year-old healthy man comes to your clinic for an annual wellness examination. He does not take any medications. He smokes half pack of cigarettes daily. He tells you that his father died of colon cancer at the age of 45. He also has a 25-year-old cousin who recently had colonoscopy for rectal bleeding was found to... | Familial adenomatous polyposis (FAP) is characterized by the appearance of thousands of adenomatous polyps throughout the large bowel. It is transmitted as an autosomal dominant trait. It is associated with a deletion in the long arm of chromosome 5, which contains the APC gene. The colonic polyps are usually evident b... | 19,410 | medmcqa_train |
In normal delivery, breast feeding should be staed? | Ans is d None o Breast feeding should be initiated within 30 min. of a normal vaginal delivery. o Breast feeding should be initiated within 4 hrs of delivery by caesarian section. | 19,411 | medmcqa_train |
Mark the FALSE statement about Myotonic dystrophy type 1: | Myotonic dystrophy Type 1: defect on chromosome 19 Type 2: defect on chromosome 3 CTG repeats C/F Muscle weakness distal Tenting of upper lips Wasting of temporalis, masseter leading to hatchet facies Testis atrophy Myotonia Posterior subcapsular cataracts First degree hea blocks Myotonic dystrophy type 2 (DM2) causes ... | 19,412 | medmcqa_train |
This is Xray showing | X-ray of the radius, AP and Lateral views, showing osteoclastoma (giant cell tumour) of the lower end of the radius (A lytic tumour, with no new bone formation) 'Soap-bubble' appearance - the tumour is homogeneously lytic with trabeculae of the remnants of bone traversing it, giving rise to a loculated appearance. No c... | 19,413 | medmcqa_train |
Investigation of choice for meningeal carcinomatosis in CNS: | D i.e. Gd-MRI Investigation of choice for meningeal carcinomatosis is Gd enhanced MRIQ (especially for detection of focal spread, bulky disease and metastases from solid tumor). Demonstration of tumor cells/tumor markers in CSF is definitive & often considered gold standard; but has suboptimal/moderate overall sensitiv... | 19,414 | medmcqa_train |
28-year-old G3P2 woman at 35 weeks' gestation presents with painful uterine contractions with dark, altered vaginal bleeding. On examination, uterus is tender, BP is 160/100, PR 100/min, and P/V shows altered blood, with 2 cm vaginal dilatation. Which of the following describes the most likely etiology of her bleeding? | This is a case of Pre eclampsia complicated by abruption as her BP is high, uterus is tender and altered blood is seen per vaginum Placenta pre and vasa pre usually present with painless bleeding. Show is cervical mucous plug that is released prior to or at the time of onset of labour. It is mucoid in consistency and i... | 19,415 | medmcqa_train |
Prohibition of paicipation in toure by a doctor comes under: MP 10; NEET 15; COMEDK 15 | Ans. Declaration of Tokyo | 19,416 | medmcqa_train |
Coccidioides immitis is identified in tissues on the basis of which of the following | Laboratory diagnosis of coccidioidomycosis: 1. Demonstration of spherules containing endospores in: (a) sputum or smears from the lesion stained by calcofluor white and (b) in biopsy material stained by hematoxylin and eosin, silver, or PerIodic acid-Schiff stains. H & E staining | 19,417 | medmcqa_train |
Northern Blot is used to detect | Southern Blot - DNA
Northern Blot - RNA
Western Blot - Proteins. | 19,418 | medmcqa_train |
Most effective way of preventing hospital infection is: | Ans. C. Hand washingHand of healthcare personnel ae the most important reservoir for transmission of healthcare associated infections | 19,419 | medmcqa_train |
A 32 yr old man present to ER with history of high-grade fever, dyspnea and fatigue. On physical examination reveals a new holosystolic murmur that is best heard over cardiac apex. Skin examination shows following skin lesion. What is most likely diagnosis? | Janeway lesion are nontender, macular and erythematous lesions on palms and soles of patient with acute infective endocarditis. Osler nodes are tender, violaceous nodules typically located in pulp of fingers and toes seen in patient with infective endocarditis. Libman Sack endocarditis occurs in up to 25% of patient wi... | 19,420 | medmcqa_train |
Shelf life of a drug is:- | Shelf life: It is the time for which drug can be sold by the pharmacist. It is calculated as time between expiry date and manufacturing date. | 19,421 | medmcqa_train |
In primary atypical pneumonia inflammatory cells accumulate in - | Inflammatory infiltrates are virtually localized within the walls of the alveoli. | 19,422 | medmcqa_train |
Infectious cause of Erythematous rashes are seen in | (A) Measles # Characteristic erythematous, nonpruritic, maculopapular rash of measles begins at the hairline and behind the ears, spreads down the trunk and limbs to include the palms and soles, and often becomes confluent. At this time, the patient is at the most severepoint of the illness. By the fourth day, the rash... | 19,423 | medmcqa_train |
Troponin-T is preferable to CPK-MB in the diagnosis of acute myocardial infarction (MI) in all of the following situations except: | Answer is C (Reinfarction after four days) Because cardiac troponins are elevated for prolonged periods (> I week) an episode of recurrent ischaemia after four days would be more readily diagnosed with a marker that remains elevated in blood more briefly such as cKMB .4,41, returns to normal levels by 72 hours. Limitat... | 19,424 | medmcqa_train |
Most common site for berry aneurysm rupture | Ans. is 'a' i.e., Anterior circulation of brain The most common sites in descending order of frequency are - Li Proximal poion of anterior communicating aery (at the junction of anterior communicating aery with cerebral aery) At the origin of the posterior communicating aery from the stem of the internal carotid aery. ... | 19,425 | medmcqa_train |
Most important factor determining convergence of light rays on the retina is – | The cornea is the most important refractive surface of the eye with a refractive index of 1.376. The reason for maximum refraction lies in the fact that when light travel from one refractive medium to other, refraction will be more if the difference between the refractive index of the two surfaces is more. In the eye, ... | 19,426 | medmcqa_train |
The superior oblique muscle is supplied by - | Superior oblique is supplied by 4th (trochlear) nerve. | 19,427 | medmcqa_train |
Femoral neck fracture of 4-week-old in an young adult should be best by treated one of the following: | (b) Reduction of fracture and femoral osteotomy with fixation- >3 weeks fracture in <65 years age group-reduction and fixation along with Osteotomy/Bone grafting. | 19,428 | medmcqa_train |
Maximum function of corpus luteum occurs : | 9 days after ovulation | 19,429 | medmcqa_train |
A person is liable for punishment for perjury which is defined under? | Ans. d. Section 193 of IP A person is liable for punishment for perjury, which is defined under section 193 of IPC. Section 191 IPC defines perjury and section 193 IPC describes the punishment. "Perjury means giving willful false evidence. The witness is liable to be prosecuted for perjury and the imprisonment may exte... | 19,430 | medmcqa_train |
Which of the given test is used for assessing posterior glenohumeral instability? | Common posterior instability tests include the jerk test, posterior stress test, Kim test, and load and shift test. Crank test is for superior labral pathology which is similar to the McMurray test for the knee. The crank test attempts to catch labrum tears between the two joint surfaces. Both the "hop" test and the "f... | 19,431 | medmcqa_train |
A known case of Crohn's disease presented with worsening fatigue over the last 2 months. The 50 year old lady was on Infliximab for the past 2 years and did not have many relapses. Lab findings revealed, Hemoglobin - 8 gm/dl Low serum iron Low serum ferritin Increased TIBC Low transferrin saturation The peripheral bloo... | This is a case of iron deficiency anemia in the setting of the Crohn's disease. 1st image shows microcytic hypochromic anemia. 2nd image shows a Normal HPLC pattern of hemoglobin, hence ruling out thalassemia. The iron studies differentiate the following types of anemia. Feature Iron deficiency anemia Anemia of chronic... | 19,432 | medmcqa_train |
Features of restrictive lung disease is | Answer is D (FEVI/FVC increase and compliance decreases): Restrictive lung diseases are characterized by decreased compliance and increased FEVIFI"C FENT' & FVC Forced Vital Capacity (FVC) is decreased Forced expiratory flow rates are relatively preserved (FEV1 is preserved) FEV1 / FVC When FEVI is considered as a perc... | 19,433 | medmcqa_train |
Pneumatoceles in chest X-ray in an infant with breathlesness, tachycardia, fever and respiratory failure suggests a diagnosis of: | Respiratory tract infections caused by S. aureus A) In children, it can cause serious respiratory tract infections in newborns and infants; these infections present as shoness of breath, fever, and respiratory failure. Chest x-ray may reveal pneumatoceles (shaggy, thin-walled cavities). B) In adults, nosocomial S. aure... | 19,434 | medmcqa_train |
Bipolar II disorder includes | D i.e. Major depression & hypomania | 19,435 | medmcqa_train |
Clostridia is? | Gram positive obligate anaerobe REF: Jawetz's microbiology 24th edition chapter 12 "The clostridia are large anaerobic, gram-positive, motile rods" | 19,436 | medmcqa_train |
All of the following are true about acarbose, EXCEPT: | Acarbose is an alpha-glucosidase inhibitor which reduce intestinal absorption of starch, dextrin, and disaccharides by inhibiting the action of alpha-glucosidase in the intestinal brush border. Inhibition of this enzyme slows the absorption of carbohydrates from the GI tract and blunts the rate of rise of postprandial ... | 19,437 | medmcqa_train |
Laryngofissure is : | Laryngofissure is defined in as follows: "The operation of opening the larynx by a median incision through the thyroid cailage with the formation of a wide window: for the removal of cancer of the larynx; median laryngotomy." This operation is an extremely useful and practical tool in the practice of the laryngologist.... | 19,438 | medmcqa_train |
Pictorial diagram of Frequency distribution is | Histogram is pictorial diagram of frequency distribution.
Histogram represent condineous quantitative data. | 19,439 | medmcqa_train |
All the following features are true about Brunner Glands except | They are present in Submucosa. Brunner glands secrete a mucous, alkaline fluid in response to parasympathetic stimulation. This fluid helps neutralize the acidic chyme that enters the duodenum from the pyloric stomach. The glands also manufacture the polypeptide hormone urogastrone (also known as human epidermal growth... | 19,440 | medmcqa_train |
ORS WHO glucose in mmol/L | (A) 75 CONCENTRATIONS OF INGREDIENTS IN REDUCED OSMOLARITY ORSIngredientg/LMolecule/ionmmol/L* Sodium chloride (NaCI)2.6Sodium75* Glucose, anhydrous (C6H12O6)13.5Glucose75* Potassium chloride (KCI)1.5Potassium20* Chloride65 * Trisodium citrate, dehydrate Na3C6H5O7-2H2O2.9Citrate10 | 19,441 | medmcqa_train |
Cleft lip is due to the nonfusion of | Human embryology Tenth edition Inderbier Singh Page no:160 Harelip: when one or both maxillary process do not fuse with the medial nasal process, this gives rise to defect in the upper lip. These may vary in degree and unilateral or bilateral | 19,442 | medmcqa_train |
True about oxytocin are all except - | Ans. is 'd' i.e., Causes contraction of lower segmentOxytocino Oxytocin is a nonapeptide, synthesized predominantly in the paraventricular nucleus of the hypothalamus along with its binding protein neurophysin II. Oxytocin has following physiological actions : -Uterus : - It increases the force and frequency of uterine... | 19,443 | medmcqa_train |
Weber Fechner law is related with | The magnitude of the sensation felt is proportional to the log of the intensity of the stimulus strength. | 19,444 | medmcqa_train |
The labia minora arises embryologically from which of the following structures? | In the female, the urogenital folds remain unfused and form the labia minora. Embryological structure Genital derivatives Labio scrotal swelling labio majora and scrotum Genital ridge testis , ovary Urogenital folds labia minora Urogenital sinus urinary bladder, urethra And lower pa of vagina. | 19,445 | medmcqa_train |
Which of the following is a minor criteria for diagnosis of Rheumatic Fever (RF) according to modified Jones criteria? | Modified Jones criteria (modified in 1992 by AHA) for diagnosis of Rheumatic fever includes fever, ahralgia, elevated APR (ESR & C reactive protein), prolonged PR interval on ECG. Ref: Essential Pediatrics, OP Ghai - 6th Edition, Page 377; Harrison 16th Edition, Page 1978; Moss and Adams' Hea Disease in Infants, Childr... | 19,446 | medmcqa_train |
Which of the following patients needs to be staed on multidrug therapy for TB? | A 17 year old with a lymph node biopsy growing Mycobacterium tuberculosis * Active tuberculosis at any site (the presence of culturable organisms or evidence of progressive disease) mandates multidrug therapy. * For patients with latent tuberculosis infection, treatment with a single drug will suffice to kill the small... | 19,447 | medmcqa_train |
Immunoglobulin found in B lymphocyte - | Immunoglobulin D (IgD) is an antibody isotype that makes up about 1% of proteins in the plasma membranes of immature B-lymphocytes where it is usually coexpressed with another cell surface antibody called IgM. Reff: www.mayoclinic.com | 19,448 | medmcqa_train |
Consultation-liaison (CL) psychiatry involves diagnosing: | Consultation liaison psychiatry is the speciality of psychiatry which deals with the psychiatric illness in medically ill patients. | 19,449 | medmcqa_train |
Pehe's disease is Osteochondritis of the epiphysis of the: March 2013 (g) | Ans. C i.e. Femoral head Osteochondritis Pehes disease: - Osteochondritis of femoral head - Adduction is unaffected - IOC for Pehes disease: MRI Osteochondritis of lunate: Kienbock's disease Osteochondritis of tibial tubercle: OschGood's Schlatter's disease Osteochondritis of calcaneum: Sever's disease | 19,450 | medmcqa_train |
Kayser Fleischer ring is found in which layer of cornea? | Kayser-Fleischer rings take the form of a crescentic rusty-brown discoloration of the deepest layer of the cornea (Descemet membrane). In the purely hepatic stage of the disease, the rings may not be evident (in 25 percent of cases), but they are viually always present (if properly sought) once the neurologic signs man... | 19,451 | medmcqa_train |
Retro peritoneal fibrosis is caused by drug | , | 19,452 | medmcqa_train |
Post term labour is seen in: | Causes of Post-term pregnancy:
Wrong dates: due to inaccurate LMP (most common).
Biologic variability (Hereditary) may be seen in the family.
Maternal factors: Primipara/elderly multipara/H/o previous prolonged pregnancy, sedentary habit.
Fetal factors: Congenital anomalies: Anencephaly – (Abnormal fetal HPA axis), ad... | 19,453 | medmcqa_train |
Denominator for calculating perinatal moality rate is: September 2009 | Ans. B: 1000 live bihs 164. Perinatal moality, defined as number of stillbihs (28 weeks of gestation and more) and deaths in the first week of life (early neonatal deaths) per 1,000 live bihs, is a useful additional indicator, and work is ongoing to improve estimates of stillbih rates, a major component of perinatal mo... | 19,454 | medmcqa_train |
A 40 year old patient with a single kidney presents with a solitary exophytic mass of 4 cm localized at its lower pole. Which amongst the following is the best recommended management option? | Paial Nephrectomy is the surgical treatment of choice for a small localized tumor in patients with a solitary kidney. Ref: Minimally Invasive Cancer Management By Frederick L. Greene, B. Todd Heniford, Page 265; Glenn's Urologic Surgery By Sam D. Graham, Thomas E. Keane, Page 6 | 19,455 | medmcqa_train |
Endochondral ossification is seen in | Long bones and medial end of clavicle bone develop by endochondral ossification Flat bones of skull; facial skeleton; mandible and lateral end of clavicle develop by intramembranous ossification. Ref: Gray's39e/p185-210 | 19,456 | medmcqa_train |
A patient was being treated with a drug that interfaces with the activity of enzyme pyruvate ferredoxin oxidoreductase; Which of the following is the most likely organism causing infection in this patient? | For Taenia saginata(Beef tapeworm): Praziquantel, Niclosamide Niclosamide Niclosamide is a highly effective drug against cestodes infesting man-Taenia saginata, T. solium, Diphyllobothrium latum and Hymenolepis nana, as well as threadworm. The drug appears to act by inhibiting oxidative phosphorylation in mitochondria ... | 19,457 | medmcqa_train |
Which of the following bariatric procedures is primarily intended to induce weight loss through malabsorption and restriction? | Bariatric procedures are classified as restrictive, malabsorptive, or a combination of restrictive and malabsorptive in the mechanism of weight loss that they induce. Restrictive operations include adjustable gastric band and gastric sleeve, malabsorptive operations include duodenal switch and biliopancreatic diversion... | 19,458 | medmcqa_train |
Brain abscess in cyanotic hea disease is commonly, located in | The most common microbe in children with cyanotic congenital hea disease was of the Streptococcus milleri group (52%). Computerized tomography confirmed the diagnosis and the most common location of the abscess was the parietal lobe of the cerebral hemisphere Ref Harrison20th edition pg 2567 | 19,459 | medmcqa_train |
This test is used as a screening tool for? | Ref: Harsh Mohan Textbook of Pathology, 7th ed. pg. 292 and Wintrobe's Hematology, 13th ed. pg. 610* The image shows performance of Naked eye single tube, osmotic fragility test. Notice that in control sample on right side, the fine print of newspaper can be acknowledged.* However, in the left sided sample, osmotic fra... | 19,460 | medmcqa_train |
Which of the following structure passes through inferior orbital fissure? | Ans. C. Infraorbital nerveThe medial wall and the floor of the orbit are separated posteriorly by the inferior orbital fissure.It transmits the:a. Infra-orbital nerve (from the maxillary division of trigeminal nerve)b. Zygomatic nerve (from the maxillary division of trigeminal nerve)c. A branch of the inferior ophthalm... | 19,461 | medmcqa_train |
Drug dosage best decided in child by | Ans. is 'a' i.e., Weight | 19,462 | medmcqa_train |
Which antiepileptic is safe during pregnancy- | Ans-A | 19,463 | medmcqa_train |
A 15-year-old boy presented with one day history of bleedig gums, subconjunctival bleed and purpuric rash. Investigations revealed the following results:Hb-6.4 gm/dL; TLC-26,500/mm3 Platelet 35,000 mm3; prothrombin time-20 sec with a control of 13 sec; paial thromboplastin time-50sec; and Fibrinogen 10mg/dL. Peripheral... | Ans. is 'c' i.e. promyelocytic leukemia o The child presents with acute onset of bleeding, along with the following laboratory anamolies. (i) Thrombocytopenia (iii) Increased paial thromboplastin time. (ii) Increased prothrombin time (iv) Decreased Fibrinogen o These hematological abnormalities indicate Disseminated in... | 19,464 | medmcqa_train |
True about streptococcus - | Ans. is `c i.e. Group 'B' causes neonatal meningitis Lancefield classification is based on carbohydrate 'C' antigen not on M protein. Besides Str. pyogenes, streptococci belonging to group B, C, D, F, G and rarely H, K, 0 and R may also cause human infections. Group B streptococcus is the single most common cause of ne... | 19,465 | medmcqa_train |
What is the most important good prognostic factor for neuroblastoma? | Ans. is 'd' i.e., CD44 expression Prognostic Factors in NeuroblastomasVariableFavorableUnfavorableStageStage 1, 2A, 2B, 4SStage 3, 4Age< 1 year> 1 yearHistology * Evidence of schwannian stroma and gangliocytic differentiationPresentAbsent* Mitotic rateLowHigh* Mitosis-karhorrhexis index< 200/500 cells> 200/500 ceils* I... | 19,466 | medmcqa_train |
Burning foot syndrome is due to deficiency of which component of vitamin B complex - | <p> Pantothenic acid (vit B5):- Human blood normally contains 18-35 mg of pantothenic acid per 100 ml blood . Mostly present in cells as coenzyme A. The daily requirement: 10 mg Deficiency: Dr Gopalan ,a world renowned nutritionist from India, linked the burning feet syndrome with pantothenic acid deficiency. Manifeste... | 19,467 | medmcqa_train |
Calcium channel blocker effect is maximum on | Ans: b (Smooth muscle)Ref: Ganong, 21st edi., Pg. 70-84Ca influx in smooth muscle is mainly via Ca channels unlike skeletal and cardiac muscle where most of the calcium comes from sarcoplasmic reticulum.This is the reason why after taking calcium channel blockers there is on smooth muscle relaxation (arterial vessel) r... | 19,468 | medmcqa_train |
Contribution to ESI Corporation by Employer & Employee are ____ and ____ respectively. | Contribution to ESI Corporation by (NEW GUIDELINES 2019) 1) Employer - 3.25% 2) Employee - 0.75% Beneficiary Income -Should be < 21,000/- per month ESI ACT, 1948 Covered Under Union Ministry of Labour Chairperson is Union Minister Of Labour Not applicable on Defence Mines Railway | 19,469 | medmcqa_train |
Inflammatory bowel disease found in children | .ULCERATIVE COLITIS * It is an inflammatory condition of rectum and colon of unknown aetiology perhaps related to stress, westernized diet, autoimmune factor, familial tendency, allergic factor. * Disease commonly stas in the rectum, spreads proximally to the colon and often into the ileum as back wash ileitis (5%). * ... | 19,470 | medmcqa_train |
Lamotrigine and topiramate can be used for | lithium is used for EUPHORIC MANIA Valproate is used for RAPID CYCLING lamotrigine is used for BIPOLAR DEPRESSION carbamazepine causes STEVEN JOHNSONS SYNDROME topiramate causes WEIGHT LOSS AND RENAL STONES etc are used apa from lithium for bipolar disorder Ref: Essentials of postgraduate psychiatry By JN Vyas 1st ed P... | 19,471 | medmcqa_train |
All of the following are included in the laboratory criteria of APLA except | Laboratory criteria include (1) Lupus anticoagulant (2) anticardiolipin (aCL), and/or (3) anti-b2GPI antibodies, at intermediate or high titers on two occasions, 12 weeks apa. Laboratory criteria Venous thrombosis (e.g., deep vein thrombosis, pulmonary embolism, unusual site venous thromboembolism) Aerial thrombosis (e... | 19,472 | medmcqa_train |
Patient with toothache & sinusitis. Which sinus is involved ? | Ans. is 'a' i.e., Maxillary All sinus infections have some common symptoms, including thick, yellow green discharge and a stuffy nose. However, the location of pain can signal which sinus is affected :- Maxillary sinusitis is Pain is situated over upper jaw, and may referred to gums or teeth Tenderness over the promine... | 19,473 | medmcqa_train |
Retinitis pigmentosa is characterized by ? | Ans. is 'c' i.e., Tubular vision Impoant facts Earliest visual field defect in primary open angle glaucoma- Isopeteric contraction. Earliest clinically significant visual .field defect in primary open angle glaucoma --> Paracentral scotoma, Visual field deject in rheugmatogenous retinal detachment- Loss of peripheral f... | 19,474 | medmcqa_train |
Pain of ovarian carcinoma is referred to the following pa: | The most common symptoms of ovarian tumors are abdominal pain and an abdominal mass, acute severe pain, peritoneal irritation, or intra-abdominal hemorrhage can be the presenting sign. The obturator nerve lies on the lateral wall of the pelvis and supplies the parietal peritoneum. Inflammation of the ovaries can cause ... | 19,475 | medmcqa_train |
To see the bacteria methods used are - | Ans. is 'c' i.e., Both . Individal bacterial cells hard to see because i) They are too small to he seen by naked eye. ii) They are almost transparent . So, to be seen they require? i) Magnification under microscope ii) Staining techniques to produce contrast | 19,476 | medmcqa_train |
Supraomohyoid dissection is a type of - | Ans. is 'a' i.e., Selective neck dissection Types of neck lymph node dissectiono Radical neck dissection - is the traditional gold standard for control of cervical metastasis.- RND involves removal of levels I to V of the cervical lymph nodes + Sternocleidomastoid, IJV and the spinal accessory nerve (CN XI).o Modified ... | 19,477 | medmcqa_train |
To examine the vaginal cells in the rape accused, the test used is: | Ans. (A). Lugol's iodine testLugol's iodine test is to detect vaginal epithelial cells containing glycogen.Takayama test is to detect blood stains; while Florence test is test for seminal stain. | 19,478 | medmcqa_train |
In Conn's syndrome the following is true: | Answer is A (Diastolic hypeension without edema): Conn's syndrome is characterized by diastolic hypeension without edema. | 19,479 | medmcqa_train |
Which NSAID undergoes enterohepatic circulation ? | Piroxicam is a long acting analgesic due to enterohepatic circulation. Single daily dose is usually sufficient. | 19,480 | medmcqa_train |
A 5-yr old boy presents with pubic hair development. He is tall and has increased pigmentation of his genitalia and phallic enlargement. Blood pressure is 130/90 mm Hg. Measurement of which of the following hormones would be most likely to be diagnostic? | Ans. is 'd' i.e., |11-Deoxycortisol Presence of Precocious puberty in a male child and hypertension (BP of 130/80 in a 5 year old child is considered hypertension) suggests a diagnosis of congenital adrenal hyperplasia due to 11-b Hydroxylase deficiency.11-b Hydroxylase deficiency.Deficiency of 11-b hydroxylase (CYP11B... | 19,481 | medmcqa_train |
Max Joseph&;s space is a histopathological feature of | Max Joseph's space is a characteristic histological finding seen in lichen planus. These are small clefts formed due to dermoepidermal separation and basal cell degeneration character histopathology in lichen planus basal cell degeneration interface lymphocyte infiltration compact hyperkeratosis wedge shaped hypergranu... | 19,482 | medmcqa_train |
Post MI day 10 which enzyme is raised ? | Ans. is 'a' i.e., LDH | 19,483 | medmcqa_train |
The fibers from the contralateral nasal hemiretina project to the following layers of the lateral geniculate nucleus: | C i.e. Layers 1, 4, 6 Lateral Geniculate Body & the relay pathway Lateral geniculate body (pa of thalamus) is relay station on the visual pathway lying just posterior to the optic tract. It receives fibres from the contralateral nasal hemiretina and ipsilateral temporal hemiretina Gray matter of this body is split into... | 19,484 | medmcqa_train |
Transplacental transmission is not seen in | HEPATITIS A Causative agent Enterovirus 72 (Picorna Virus) Incubation period 15-45 days Period of infectivity 2 weeks before to 1 week after onset of jaundice Sex distribution Equal in both sexes Children: More infected but mild or subclinical Reservoir Human cases Modes of transmission Fecal oral (Most common) Parente... | 19,485 | medmcqa_train |
All are true about ketamine except | Ketamine increases all the pressures. i.e intracranial pressure, intraocular pressure, blood pressure, intragastric pressure. With the rise in CBF and the generalized increase in sympathetic nervous system response, ICP increases after ketamine use. The increase in CMRO2 and CBF can be blocked by the use of thiopental ... | 19,486 | medmcqa_train |
Dercum's disease is commonest in the ? | Ans. is 'c' i.e., Back Dercum's disease or adiposis dolorosa is a condition in which multiple lipomatous swellings are seen paicularly affecting the trunk. | 19,487 | medmcqa_train |
'First rank 'symptoms of Schneider's' schizophrenia include all except | There are 11 first rank symptoms first three are related to thoughts - Thought inseion Withdrawal Broadcasting Next three are related to hallucinations - Thought Echo Running commentary 3RD person or voices are arguing Next three are made phenomena Made Volition Made Impulse Made affect (mood) Somatic passivity Delusio... | 19,488 | medmcqa_train |
Meena 45 years old female presents with post coital bleeding. On per speculum examination a friable mass is found in cervix. Next step in management is: | Ans. is d i.e. Punch Biopsy A 45 year female is presenting with post coital bleeding (i.e. suspicion of Ca cervix). On per speculum examination a friable mass is seen on cervix which has to be confirmed by Biopsy. If mass is seen - Punch biopsy is IOC. If no mass is seen - Colposcopy directed biopsy is IOC. | 19,489 | medmcqa_train |
Basal cell carcinoma is seen in most commonly in which eyelid- | Lower lid (50%) followed by medial canthus (25%),upper lid (10-15%),outer canthus (5-10%) Ref.ak khurana 6th edition pg no 384 | 19,490 | medmcqa_train |
Which is shown below? | Ans. (b) Plexiform neurofibromatosis.Image source - style="font-family: Times New Roman, Times, serif"> | 19,491 | medmcqa_train |
Anterior Spinal aery is a branch of ? | C i.e. Veebral aery | 19,492 | medmcqa_train |
Regarding lower lid surgery, in which plication of the lower lid retractors is done is called | (Refer: AK Khurana Comprehensive Ophthalmology, 6th edition, pg no. 371 - 372)Jones, Rech And Wobig OperationIt is performed for severe cases or recurrent cases of entropionIn this operation, the inferior lid retractors are straightened by tucking or plication procedure Ref khurana 6th edition pg 345 | 19,493 | medmcqa_train |
Amongst the following, thrombolytics are LEAST in: | Ans. C i.e. Hemorrhagic stroke Thrombolytic agents They are used for the treatment of myocardial infarction (hea attack), thromboembolic strokes, deep vein thrombosis and pulmonary embolism to clear a blocked aery and avoid permanent damage to the perfused tissue (e.g. myocardium, brain, leg) and death. They may also b... | 19,494 | medmcqa_train |
Regarding testicular tumour, the following are false except | Seminomas are well known to be one of the most radiosensitive tumors About other options Option (a) : Commonest malignancy in older males is - Prostate cancer Option (c) : Stage I Nonseminomas (including teratomas) are t/t by surgery alone and show a high cure rate (>95%) Option (d) : Chemotherapy shows a good response... | 19,495 | medmcqa_train |
Nerve to pterygoid canal is formed from - | Ans. is 'a' i.e., Deep petrosal nerve + greater petrosal nerve o The deep petrosal nerve joins the greater petrosal nerve to form the nerve of the pterygoid canalo Greater petrosal nerve proceeds towards the foramen lacerum, where it joins the deep petrosal nerve which carries sympathetic fibres to form the nerve of pt... | 19,496 | medmcqa_train |
Phrynoderma is due to ...deficiency – | In vitamin 'A' deficiency there is toad like skin also known as phrynoderma.
But this is due to associated deficiency of essential fatty acids. | 19,497 | medmcqa_train |
Epidemiological studies of H. pylori are done by using | Answer is B (Serological markers) An enzyme linked immuno-sorhant assay (ELISA) is the most commonly used serological method. `Compared with endoscopic detection of H.Pyloric infection, ELISA has proved to be sensitive and specific and is paicularly suited for Epidemiological studies'. Diagnostic Tests for Helicobacter... | 19,498 | medmcqa_train |
An old man muthoot has difficulty in urination Associated with increased urge and frequency .He has to get up several times in night to relieve himself. There is no history of any burning micturation and lower back pain.which of the following represent the most likely change in bladder of the patient | Ref , Robbins 8/e p6-7 .9/e p36 The patient is most likely suffering from benign hyperplasia of prostate the question however asks about the change in bladder which would be hyperophy.This is secondary to obsruction in the urine outflow following which the smooth muscle in the bladder | 19,499 | medmcqa_train |
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