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A 3 yr old completely unimmunised child comes to an immunization clinic at PHC for the first time. He should receive
.
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For international comparison stillbih is applied to fetus weighing more than
Ref:Park's Text book of Preventive and Social Medicine 25th ed
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True regarding FLAIR MRI
T2-FLAIR stands for T2-weighted-Fluid-Attenuated Inversion Recovery. Fluid-attenuated inversion recovery (FLAIR) is a pulse sequence used in magnetic resonance imaging which was invented by Dr. Graeme Bydder. FLAIR can be used with both three-dimensional imaging (3D FLAIR) and two dimensional imaging (2D FLAIR). The pu...
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A patient in ICU seemed to be very aggressive and restless. He is pulling out all the i.v lines. Duty doctor administered a muscle relaxant which has a fast onset of action and asked the nurse to sta iv fluids. Which among the following muscle relaxant has the fastest onset of action?
Rocuronium is a monoquaternary steroid analogue of vecuronium was designed to provide a rapid onset of action. Rocuronium is the fastest acting nondepolarizing muscle relaxant. Rocuronium (at a dose of 0.9-1.2 mg/kg) has an onset of action that approaches succinylcholine (60-90 s), making it a suitable alternative for ...
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All of the following nerves are involved in the process of erection of penis, EXCEPT?
Erection is parasympathetic and emission and ejaculation are parasympathetic. The erectile response is mediated by a combination of central (psychogenic) innervation and peripheral (reflexogenic) innervation. Sensory nerves that originate from receptors in the penile skin and glans converge to form the dorsal nerve of ...
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A three-year-old child is brought to the emergency department having just ingested a large overdose of an antihistaminic drug. This drug is a weak base capable of entering most tissues including the brain. On physical examination the heart rate is 100/minute, blood pressure is 110/60 mm Hg and the respiratory rate is 2...
- Ionization of acidic drugs is increased in alkaline urine and vice versa. Ionized drugs cannot cross the plasma membrane easily. So is not reabsorbed into the blood from the tubules. Hence, enhanced excretion of the acidic drug through alkaline urine or basic drug through acidic urine.  - A basic drug would be ionize...
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Which is an omega-9 fatty acid?
Unsaturated fatty acids are also designated o3 (omega 3) family--Linolenic acids o6 family--Linoleic and Arachidonic acids ( o9 family--Oleic acid.Ref: DM Vasudevan - Textbook of Biochemistry, 8th edition, page no: 76
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The most impoant regulator of serum 1,25 (OH)2 vitamin D concentration is
A major function of parathyroid hormone is to act as a trophic hormone to regulate the rate of formation of 1,25(OH)2 vitamin D. The mechanism by which parathyroid hormone exes this effect may be secondary to its effects on phosphorus metabolism. Other hormones, including prolactin and estrogen, also may playa role in ...
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Diaphysis fracture involves?
ANSWER: (B) Long boneREF: Turek's orthopaedics: principles and their application - page 10"The diaphysis is the main or mid-section (shaft) of a long bone"Long bones are found in the extremities: the arms, legs, hands, and feet (but not the wrists or ankles). As their name indicates, long bones have a long central shaf...
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Coxsackie group A commonly cause ?
Ans. is 'b' i.e., Aseptic meningitis . Aseptic meningitis is caused by all types group B Coxackies viruses and by many group 'A' Coxsakie viruses most commonly A7 and A9. About other options . Acute hemorrhagic conjuctivitis can be caused by Coxsackie virus A-24, but it is not common. Mostly it is caused by enterovirus...
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Ferric chloride test is used to diagnose:
a. Pheylketonuria(Ref: Nelson's 20/e p 636-642; Ghai 8/e p 653-655)Ferric chloride test is used to determine the presence or absence of phenols in a given sample.FeCl3 test with urine gives green colour in Phenylketonuria (detects phenylalanine in urine).
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Relative risk 2 means ?
Ans. is 'd' i.e., Incidence rate is 2 times higher in exposed group than non-exposed It is very impoant to know the difference between relative risk and attributable risk.
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which of the following is type of histironic personality disorder
* HISTIRIONIC * Theatrical behavior * Superficial charming * Life and soul of the pay * Craving for attention, appreciation and affection * Excessive reaction to minor events( over act) * Egocentricity * Seductiveness * manipulative Ref.Kaplon and Sadock, synopsis of psychiatry, 11 th edition, pg no.744
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In morbid obesity BMI is greater than?
40 REF: Sabiston Textbook of Surgery, 18th ed chapter 17 Morbid obesity is defined as being either 100 lb above ideal body weight, twice ideal body weight, or a body mass index (BMI, measured as weight in kilograms divided by height in meters squared) of 40 kg/m2. The latter definition is more accepted internationally ...
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Maximum PUFA is seen in -
Ans. is 'c' i.e., Safflower oil [Ref: Park 23rd/ep.6II\o Richest source of polyunsaturated fatty acid - Safflower oil.o Richest source of monounsaturatedfatty acid - Palm olein oilo Richest source of saturated fatty acid - Coconut oil.
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Drug useful in breast cancer is ?
Ans. is 'a' i.e., Tamoxifen Pharmacotherapv of breast cancer Many breast carcinomas possess estrogen receptors Estrogen promotes their growth. Drugs which decrease the action of estrogen on breast CA by one or other mechanisms, can be used in breast CA. Drugs used in Breast cancer Selective estrogen receptor modulators...
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In Retinitis pigmentosa, following are true except:
D i.e. ERG normal - Typical retinitis pigmentosa/primary pigmentary retinal dystrophy is hereditary disorder affecting rodes more than cones and characterized by night blindness, tubular vision, annular (ring) scotoma bony spicule pigmentation, aeriolar attenuation and waxy pallor of optic discQ. - In Retinitis pigment...
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Righting reflex is a ?
Ans. is 'c' i.e., Vestibular reflex Vestibular reflexesThe information collected by vestibular apparatus leads mainly to reflex adjustment in posture and eye movements.Vestibular reflexes are -Tonic labyrinthine reflexRighting reflex (labyrinthine righting reflex)Visual reflex vestibulo-ocular reFlex)
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Submandibular gland is situated in:
The digastric triangle is subdivided into anterior and posterior parts by the stylomandibular ligament, which extends from the tip of the styloid process to the angle of the mandible. The posterior part of the triangle is continuous above with the parotid region. Contents in the anterior part of the triangle: Submandi...
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Posterior epistaxis is commonly seen in -
Ans. is 'c' i.e., Hypertension o Posterior epistaxis is usually spontaneous (due to high BP or atherosclerosis) and is sever enough to requires hospitalization and posterior nasal pack.Epistaxiso Epistaxis refers to bleedingfrom the nose. Epistaxis is a common and often self limiting disease that affects men and women ...
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A 70-year-old man who had been treated for small cell carcinoma of the lung develops marked weakness of his legs and arms. He also complained of mouth dryness, double vision, and drooping upper eyelids. On physical examination there is diffuse muscle weakness and wasting. A muscle biopsy is normal. Laboratory studies d...
Lambert-Eaton myasthenic syndrome. Lambert-Eaton syndrome is a paraneoplastic disorder that manifests as muscular weakness, wasting, and fatigability of the proximal limbs and trunk. Also termed myasthenic-myopathic syndrome, the disease is usually associated with small cell carcinoma of the lung, although it may also ...
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Treatment of choice for Clinically Significant Macular Edema in a diabetic is?
Focal Photocoagulation REF: Yanoff & Ducker- ophthalmology 2nd edition page 867, 884 While the Early Treatment Diabetic Retinopathy Study demonstrated the visual benefit of focal photocoagulation for clinically significant macular edema, the CME component does not respond as well to laser photocoagulation. Patz was the...
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All are the features of Paget's disease except-
*Paget's disease is slightly more common in males and is seen after 40years of age. Paget&;s Disease (Osteitis Deformans) # Excess of bone destruction & =organized bone formation and repair. The 2 nd most common bone disorder in the U.S. # The etiology is unknown # Usually affects the axial skeleton, veebrae and skull,...
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In a neuron, graded electrogenesis occurs at:
Graded electrogenesis is local potential generation of which occurs in dendrite or, soma. Neurons generally have some important zones: A receptor, or dendritic zone, where multiple local potential generated by synaptic connections are integrated; A site where propagated action potentials are generated (the initial se...
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A child presents with linear verrucous plaques on the trunk with vacuolization of keratinocytes in S.Spinosum and S.Granulosum. Diagnosis is?
Verrucous epidermal nevus Verrucous epidermal nevus consists of hyperplasia of the surface epidermis and typically appears as verrucous papules that coalesce to form well demarcated, skin-coloured to the brown, papillomatous plaque. Most lesions are present at birth and develop during infancy. They enlarge slowly duri...
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18 year old girl presents with amenorrhea, anorexia, weight loss and with milk discharge from the nipples. What is the likely diagnosis?
Anorexia nervosa H v pothvroidism It can be easily ruled out as it causes weight gain and menorrhagia. HIV H.I.V does not ause menstrual symptoms. Galactorhoea is also not associated with H.I.V. Occult carcinoma Is a small carcinoma either asymptomatic or giving rise to metastasis without symptoms due to primary carcin...
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The anticoagulant normally present in animal cell is:
Harper – 603 Heparin is used in clinical medicine to inhibit coagulation because it binds to the specific cationic site of antithrombin III, inducing a conformational change and promoting its binding to thrombin as well as to its other substrates.
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Nanovalent vaccine offers protection against which type of HPV virus:
HPV vaccines Gardasil 9 For types 6,11,16,18,31,33,45,52,58 Gardasil 4 For types 6,11,16,18 Cervarix For types 16,18 Age when vaccine should be given is 9-25 yrs.
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Movements of pronation and supination occurs in all the following upper limb joints, EXCEPT:
Supination and pronation movements are not possible in radio-carpal(wrist) joint because the aicular surfaces are ellipsoid shaped. Supination and pronation movements are possible in superior, middle and inferior radio-ulnar joints. Ref: Human Anatomy, B D Chaurasia, 4th Edition, Volume 1, Chapter 10, Page 151; Clinica...
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Apple–jelly nodules are seen in –
"Apple jelly nodules" : - Characterized by yellow-brown nodules with tiny darker granules. On probing, the nodules are soft jelly-like seen in cutaneous TB infection Lupus vulgaris.
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Bromocriptine is agonist of -
Ans. is 'a' i.e., Dopamine Bromocriptineo It is synthetic ergot derivativeo It is a potent dopamine agonist.o It has greater action on D2 receptors, while at certain dopamine sites in brain it acts as partial agonis or antagonist of D1 receptor.o It is also a weak a-adrenergic blocker.o The actions of bromocriptine is ...
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Klumpke's paralysis involves the following EXCEPT
Ans. a (C6) (Ref. BDC 4th/Vol. 1 53)BRACHIAL PLEXUS INJURIES# Brachial plexus palsy due to birth injury has three general patterns of involvement:- Erb's palsy, involving C5 and C6 roots;- Klumpke's paralysis, involving C8 and Tl; and- Whole arm paralysis, where the extent of involvement of individual roots may vary.Er...
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The most impoant factor for maintaining arches of the foot is
Factors in maintaining arches of foot are1 The shape of the bones concerned.2 intersegmental ties/staples or ligaments (and muscles) that hold the different segments of the arch together.3 Tie beams or bowstrings that connect the two ends of the arch.4 Slings that keep the summit of the arch pulled up.5 Suspension"The ...
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Drug of choice against influenza is -
Specific antiviral therapy is available for influenza ( Table 187-3 ): the neuraminidase inhibitors zanamivir, oseltamivir, and peramivir for both influenza A and influenza B and the adamantane agents amantadine and rimantadine for influenza A. A 5-day course of oseltamivir or zanamivir reduces the duration of signs an...
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The most effective treatment for Blepharospasm is
(C) Botulinum toxin # Botulinum toxin is currently the treatment of choice for blepharospasm. Botulinum toxin injections (Botox is a widely known example) have been used to induce localized, partial paralysis. Among most sufferers, botolinum toxin injection is the preferred treatment method.> Injections are generally a...
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The clinical manifestation of canda equina lesion include the following except-
Cauda equina syndrome (CES) signifies an injury of multiple lumbosacral nerve roots within the spinal canal distal to the termination of the spinal cord at L1-2. Low back pain, weakness and areflexia in the legs, saddle anesthesia, or loss of bladder function may occur. The problem must be distinguished from disorders ...
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Most Common cause of subarachnoid hemorrhage is: March 2009
Ans. B: Saccular aneurysm rupture Excluding head trauma, the most common cause of subarachnoid hemorrhage (SAH) is hemorrhage from an intracranial aneurysm. Other causes include vascular malformations, tumors, and infection. The management of aneurysmal SAH has changed due to superiority of early surgery for clipping o...
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An old woman is required to receive 4 cycles of cancer chemotherapy. After her first cycle, she developed chemotherapy induced thrombocytopenia. Then in the next cycle, it would be appropriate to give this patient:
Oprelvekin acts like megakaryocyte colony stimulating factor and can be used to treat and prevent chemotherapy induced thrombocytopenia. Filgrastim (G-CSF) and sargramostim (GM-CSF) are used to prevent leucopenia. Iron Dextran (i/v or i/m) is used in Anaemia.
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Which of the following is not a risk factor for rhegmatogenous retinal detachment?
Hypermetropia is not a risk factor for Rhegmatous retinal detachment. Risk factors for RRD * Lattices * Retinal tears * High myopia * Trauma * Intraocular surgery * Aphakia *Drugs such as pilocarpine
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Lack of fusion of maxillary and medial nasal process results in
Human embryology Tenth edition Inderbir Singh Page no 160 When one or both maxillary process don't fuse with medial nasal process give rise to defect in upper lip
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Which of the following parameter is used to assess the rate of drug absorption
* Cmax - maximum plasma concentration of a drug that can be obtained after giving a paicular dose. Depends on dosage * AUC - Area under curve tells the EXTENT OF ABSORPTION * Tmax - Time in which concentration become maximum. tells the RATE OF ABSORPTION
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Which complication you would expect during internal podalic version in case of transverse lie?
This manoeuvre is currently used only for the delivery of a second twin. It consists of the inseion of a hand into the uterine cavity to turn the fetus manually. Complications of internal podalic version in mother: Uterine rupture Hemorrhage Complications of internal podalic version in child Traumatic intracerebral hem...
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Sullivan&;s index is indicator of
SULLIVAN&;S INDEX also known as Disability Free Life Expectancy (DFLE) is a method to compute life expectancy free of disability. *It is calculated by formula:L Lifeexpectancy {\displaystyle -} duration of disability . Health expectancy calculated by Sullivan's method is the number of remaining years, at a paicular age...
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In Marshall - Marchetti - Krantz (MMK) colposuspension for stress urinary incontinence, Pubocervical fascia is attached to
Pubocervical fascia is attached to symphysis pubis in MMK colposuspension repair for stress urinary incontinence.
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Most common cause of anterior staphyloma-
Anterior staphyloma. An ectasia of psuedocornea(the scar formed from organised exudates andfibrous tissue covered with epithelium) whichresults after total sloughing of cornea, with irisplastered behind it is called anterior staphyloma. REF:Comprehensive ophthalmology,20th edition,AK Khurana,pg no.122.
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Following have no lymphatics except
.
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How long will IVeponema pallidum survive in blood stored under oridanry refrigeration?
Treponema pallidum does not survive refrigeration for more than three days. Ref Harrison20th edition pg 1079
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Which of the following is not true about testicular tumor?
About 95% of testicular tumours are Germ cell tumours. Embryonal carcinoma is a type of non seminomatous germ cell tumour. Pure embryonal carcinoma constitutes 30% of germ cell tumours but areas of embryonal carcinoma are present in about 40% of germ cell tumours. Teratomas spreads mainly through blood ( to lungs, live...
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Child requiring repeated short-acting bronchodilators and what could be next line of management –
Tolerance is a potential problem with β2 agonists. So, β2 agonists should not be used on any regular schedule due to tolerance, bronchial hyperactivity not reduced on continuous use. It is advised that patients requiring regular medication should be treated with inhaled steroids and use of (β2 agonist inhaler should be...
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Typical feature of thoracic veebrae ?
Ans. is 'a' i.e., Hea shaped Thoracic veebrae There are 12 thoracic veebrae. T2-T9 are typical thoracic veebrae and Tl, TIO, Tl 1, T12 are atypical thoracic veebrae. Characteristic features of typical thoracic veebra : -Body is medium sized and hea shaped.Spinous process is long and inclined downward.Veebral foramen is...
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What is the length of the lower esophageal sphincter?
Ans. is 'b' i.e., 3-5 cm [Ref: McGraw-Hill Concise Dictionary of Modem Medicine. 2002 by The McGraw-Hill Companies, Inc.)* Lower esophageal sphincter is a zone of 3-5 cm located at the junction of the distal esophagus and gastric cardia acting as a physical barrier in preventing gastric reflux.
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E. B. Virus causes all EXCEPT -
EB virus infection leads to Infectious mononucleosis, Burkitt's lymphoma , Nasopharyngeal carcinoma in persons of Chinese origin Lymphoma in immunodeficient persons such as AIDS. REF:ANATHANARAYAN AND PANIKER'S TEXTBOOK OF MICROBIOLOGY 8TH EDITION PAGE NO:475
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Drug preferred in generalized tonic clonic seizure:
(Ref: Katzung, 14th ed. pg. 426; KDT 6th ed. pg. 407-408)* Given the choices the answer will be Na+ Valproate* According to Harrisons 19th ed. the current recommendable drug of choice for GTCS is LAMOTRIGINE > Na+ Valproate.
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All of the following paranasal sinuses are present at birth EXCEPT:
Ans. (c) Sphenoid sinusRef: Dhingra 5th Ed. / 203Development and Growth of paranasal sinusesSinusesStatus at the birthGrowthFirst radiologic evidenceMaxillaryPresent at birthRapid growth from birth to 3 years and from 7-12 years. Adult size-15yrs4-5 months after birthEthmoidPresent at birthReach Adult size by 12 years1...
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All are used in treatment of nocturnal eneuresis except ?
Ans. is 'd i.e Maintainence of calendar of day night wetting All are used. Treatment of nocturnal eneuresis It consists of :? Appropriate toilet training and restricting fluid at night. Encouraging the child to empty their bladder before bed. Alarm therapy Behavioral therapy using "bell and pad apparatus" Motivational ...
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Which of the following is NOT seen in morbidly obese sleep apnea patient?
(C) Rt. Ventricular failure # Heart Failure leads to increased left ventricular (LV) filling pressure.> Resulting pulmonary congestion activates lung vagal irritant receptors, which stimulate hyperventilation and hypocapnia.> Superimposed arousals cause further abrupt increases in ventilation and drive PaCO2 below the ...
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Progressive multifocal leukoencephalopathy is caused by
(D) Papova virus # Progressive multifocal leukoencephalopathy is a viral encephalitis caused by a polyomavirus (Papova virus or JC virus, totally unrelated to Creutzfeldt-Jakob disease) because the virus preferentially infects oligodendrocytes, demyelination is its principal pathologic effect.> Progressive multifocal l...
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The Spinal cord ends at what level in a new born
Level of termination of spinal cord Adult Males - Lower border of L1 Adult Females - L 2 veebra New born - L3 veebra.
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Compound that joins glycolysis with glycogenesis and glycogenolysis is
Glucose-6-phosphate is an important compound that joins several metabolic pathways viz. glycolysis, glycogenolysis, glycogenesis, gluconeogenesis and pentose phosphate pathway.
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A new born presents with deepening cyanosis at birth, with congestive heart failure and normal first heart sound. X–ray reveals cardiomegaly diagnosis is –
Ebstein anomaly is a congenital malformation of the heart that is characterized by apical displacement of the septal and posterior tricuspid valve leaflets, leading to atrialization of the right ventricle with a variable degree of malformation and displacement of the anterior leaflet.
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Proximal convoluted tubule have which type of aquaporins
Aquaporin-1 is localized to both the basolateral and apical membrane of the proximal tubules and its presence allows water to move rapidly out of the tubule along the osmotic gradients set up by active transpo of solutes, and isotonicity is maintained. Because the ratio of the concentration in tubular fluid to the conc...
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Which of the following is the most common non-alcoholic cause of acute pancreatitis
Gallstones are hardened deposits of digestive fluid. Gallstones can vary in size and number and may or may not cause symptoms. People who experience symptoms usually require gallbladder removal surgery. Gallstones that don't cause symptoms usually don't need treatment Ref : Oxford textbooks of surgery 2nd/e p. 1766
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A pole vaulter had a fall during pole vaulting and had paralysis of the arm. Which of the following investigations gives the best recovery prognosis:
Ans. is 'a' i.e. ElectromyographyRef: Adam's outline of Orthopedics 11th/e p 19; Schwartz Surgery 7th/e p 1885Electromyography-ProcedureIn this technique the electrical changes occurring in a muscle are picked up by a needle or surface electrodes.These electrical changes are then amplified and are studied in the form o...
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Not a pathogenic mycobacterium -
Ans. is 'a' i.e., M. paratuberculosis
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Tobe Ayer's Test is seen in ?
Ans' is'a'i.e., Acute mastoiditis with lateral sinus thrombosis
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A patient has presented with carcinoma rectum with obstruction in emergency. What is the treatment of choice?
Most common site of colorectal cancer is rectum, in obstructing carcinoma rectum loop colostomy or defunctioning colostomy should be done to relieve obstruction followed by neoadjuvant chemoradiation, with the plan to resect the primary lesion at a later time.
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A women treated with lithium during pregnancy the fetus should be tested for:
Ref: Katzung 14th ed *Lithium it taken during pregnancy can cause Ebstein's anomaly in the fetus, Which is a congenital hea disease presenting as tricuspid atresia.
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A 3 days old neonate is brought by the mother to the pediatrician and is found to have a bilirubin of 18 g/dl. What is the next step?
b. Start phototherapy and continue breastfeeding(Ref: Nelson's 20/e p 873-74)First line of treatment for pathological neonatal jaundice is phototherapy; breastfeeding should be continued.
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A patient with ear discharge presents with diplopia and fever. What is the most probable diagnosis?
Presence of fever and diplopia in a patient with ear discharge suggests lateral sinus thrombosis, an intracranial complication of chronic suppurative ottitis media.
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In a female with appendicitis in pregnancy treatment of choice is
Acute Appendicitis incidence is about 1 in 1000 pregnancies. It is most common nongyneocological cause of acute abdomen requiring surgery. Management of appendicitis Treatment consists of laparotomy at the earliest oppuunity.Once the diagnosis is suspected it is better to operate rather than to wait until generalised p...
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The maximum permissible level of occupational exposure to radiation is ..... Per year -
Park's textbook of preventive and social medicine 23rd edition. * The amount of radiation from outer space and background radiationhas been estimated to be 0.1 rad a year,the additional permissible dose from man made sources should not exceed 5 rad a year.
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Moribund patient, triage color ?
Ans. is 'b' i.e., Black Triage When the quantity and severity of injuries overwhelm the operative capacity of health facilities, a different approach to medical treatment must be adopted. The usual principle of first come, first treated", is not followed in mass emergencies. Triage consists of rapidly classifying the i...
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True about Schatzki&;s ring
SCHATZKI'S RINGS They are semicircular protrusion of lower oesophageal mucosa located at or just above the oesophagogastric junction (squamocolumnar junction). Its under-surface is lined by columnar gastric epithelium. * They involve only the mucosa and submucosa of the oesophagus, not the muscle. * They present with d...
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Relapsing fever is transmitted by -
Relapsing fever is transmitted by soft tick. Ornithodorus moubata is the soft tick that transmits relapsing fever. These ticks lack scutum. They have 5 nymphal stages. Other diseases transmitted by soft tick are KFD and Q fever. Park's Textbook of Preventive and Social Medicine, 25th Edition, Pg
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One of the following is NOT a sign of diabetic retinopathy-
Non-proliferative diabetic retinopathy (NPDR) Opthalmoscopic features of NPDR include: Microaneurysm are seen in the macular area (the earliest detectable lesion) . These are formed due to focal dilation of capillary wall following loss of pericytes. These appaear as red dots and leak fluid, proteins.", lipids and also...
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Maximal level of cardiac output is seen at: September 2009
Ans. C: 30-34 Weeks of Pregnancy The cardiac output stas to increase from 5th week of pregnancy and reaches its peak 40-50% at about 30-34 weeks. Cardiac output increase fuher during labour (+50%) and immediately following delivery (+70%) It returns to pre-pregnancy level by 4 weeks time after labour.
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A 50 year old woman nulliparous. diabetic and obese presenting with post-menopausal bleeding can be any of the following except :
Carcinoma in situ of cervix
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Avulsion of extensor tendon give rise to?
It is the flexion deformity of the distal interphalangeal joint usually due to avulsion of extensor tendon of distal phalanx. Ref: Current Diagnosis & Treatment in Ohopedics 3/e, page 538,564-65.
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Infedelity & jealousy involving spouse is the thought content of which disorder:
B i.e. Othello syndromeIt is characterized by nonbizzare delusion of atleast one month duration with overall well preserved personality (except in the area of delusion) and absence of significant hallucinations.
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True about xenon anaesthesia:
A i.e. Rapid induction and recovery Xenon is ine/ nobel, colourless, odorless, nonirritating, nonflammable and non explosive gas that is heavier than air (4 times), more dense/viscous than N2 & N20, more potent than N20, is very blood insolubleQ (B/G coefficienct 0.14) most ideal inhaled anesthetic agent with very rapi...
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True about osteoporosis -
Osteoporosis is a metabolic disease.Its characterised by diffuse reduction in bone density.due to decrease in bone mass.It occurs when rate of bone resorption exceeds bone formation. C/f: Loss of bone mass leads to loss of strength so that trivial trauma is sufficient to cause a fracture. A slight loss of height and in...
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True regarding cardiomyopathy -
Ans. is 'a' i.e., RV dilatation is present; 'b' i.e., May result from thyroxicosis; 'c'i.e. Secondary to alcohol Most common type of intrinsic cardiomyopathy is dilated cardiomyopathy in which all chambers of hea (including right ventricle) are dilated. Thyrotoxicosis and alcohol can cause dilated cardiomyopathy. CMDT ...
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Which of the following is a holocrine gland?
INDERBIR SINGH'S TEXTBOOK OF HUMAN HISTOLOGY-PAGE NO:204 Sebaceous glands The outermost layer are small and rest on a basement membrane.the inner cells are larger,more rounded,and filled with lipid .this lipid is discharged by disintegration of the inner most cells that are replaced by proliferation of outer cells.the ...
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According to WHO the major sign of AIDS children in stage I is the following
According to WHO clinical staging of AIDS in children with confirmed infection, the symptoms of clinical stage 1 are patients may be asymptomatic they have persistent generalised lymphadenopathy. Reference : Ghai essential pediatrics, eighth edition, pg no:226
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Name the structure labelled D
(a) Right common carotid aery(b) Right subclan aery(c) Brachiocephalic trunk(d) Left subclan aery(e) Left common carotid aeryAngiography may be performed using CT, MRI or conventional angiography with a catheter. The catheter can be seen on this image in the aoic arch. Normal variants occur in the great vessels so it i...
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Methylphenindate is drug of choice for
Ans. b (ADHD). (Ref. Pharmacology by KD Tripathi 5th/- 436; Harrison 18th/27, 369)Drugs used for ADHD# Methylphenidate# Amphetamine# PimolineMethylphenidate acts by releasing NA & dopamine in brain. It is preferred because it causes less tachycardia & growth retardation.
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Schedule of post-exposure rabies prophylaxis in HIV infected persons -
Ans. is 'b' i.e., 0,3,7,14,28 o Immunocompromized HIV-infected people might not develop sufficient immunological response, as immunity depends upon the CD4 T-cell-dependent neutrilizing response to the G-protein.o Rabies vaccines are used for post-exposure prophylexis and pre-exposure immunogenicity (pre-exposure proph...
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Which of the following increases the susceptibility to coronary aery disease:
Von Willebrand's disease, nephrotic syndrome and Familial hyperiglyceridemia (FHTG) also known as type V hyperlipoproteinaemia are not associated with an increased risk of coronary aery diseases. But in SLE the prevalence of coronary aery disease is 10 %. Ref: Harrisons principles of internal medicine, 18th edition, ch...
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A pregnant lady presented with 32 weeks of gestation with abdominal pain, elevated BP (160/110 mmHg), with proteinuria and retinal haemorrhage. Next step of management is:
HELLP syndrome is a form of severe preeclampsia. HELLP develops in 10-20% of women with preeclampsia/eclampsia. Signs and symptoms include abdominal pain, commonly occurring in the right upper quadrant or epigastrium, nausea, vomiting, and elevated blood pressure. Proteinuria less commonly accompanies symptoms. HELLP i...
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REPEAT QUESTION. Renal Calculi associated with proteus infection
Triple phosphate or struvite ( Calcium phosphate with ammonium magnesium phosphate ) is smooth and diy white. It grows in alkaline urine. Proteus being urea splitting organism splits urea to give ammonia and co2 whixh makes urine alkaline and promotes stag horn calculus ref : - Bailey and Love 27th edition ,chapter 76 ...
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In forceful inversion of foot, fracture of the tuberosity of 5th metatarsal is due to pull exerted by which tendon:
Ans. is 'b' i.e. Peroneus brevis Tuberosity or tubercle at the base of 5th metatarsal gives attachment to the peroneus brevis tendon.The base of the fifth metatarsal can be fractured during forced inversion of the foot (pot-hole injury), at which time the tendon of peroneus brevis muscle exerts a pull on the tuberosity...
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Not true regarding Dandy-Walker cyst:
Characteristic Triad of Dandy Walker : * Hypoplasia of Vermis * Cephalad Rotation of Vermian remnant and Cystic Dilation of Fouh Ventricle extending posteriorly * Enlarged Post Fossa with Torcular Lambdoid inversion
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Tetracycline with highest anti leprotic propey
Minocyline is a tetracycline group given in cases where clozamine is not tolerated minocycline is given in such cases 100mg per day in such cases. Ref: KDT 6/E P753
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A 50 year old lady with history of jaundice in the past has presented with right upper quadrant abdominal pain. Examination and investigations reveal chronic calculous cholecystitis. The liver functions tests are within normal limits and on ultrasound examination the common bile ducts is not dilated. Which of the follo...
Ans. is 'a' i.e., Laparoscopic cholecystectomy
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Mechanism of action of terbinafine is?
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...
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A 80-year-old patient present with a midline tumor of the lower jaw, involving the alveolar margin. He is edentulous. Treatment of choice:
Surgery is the treatment of choice in mandible cancers. Radiotherapy is contraindicated as it can lead to osteoradionecrosis of mandible. Mandible is managed surgically by marginal or segmental resection. Marginal (rim) resection keeps the outer/lower rim (1 cm thick mandible) intact to maintain cosmesis. It is indicat...
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Race of an individual can be found out by
Cephalic index helps to find the race
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Mechanism of action of propylthiouracilin hypehyroidism is:
(Ref: KDT 6/e p248) Propylthiouracil, carbimazole and methimazole act by inhibiting the enzyme, thyroid peroxidase. It catalyses: Oxidation of iodine Organification Coupling
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Necrotizing fasciitis is caused by, all except
Ans. is. d. Pneumococcus
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Tzanck smear test is used in the diagnosis of
Tzanck test is also used for diagnosis of viral diseases like Herpes Zoster.
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