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Millard repair is used for treatment of:
The rotation advancement cleft lip repair, also referred to as a Millard repair, is probably the most commonly performed repair today. Almost no tissue is discarded; the medial lip element is rotated downward, even with a back cut, if necessary, and the lateral lip element is advanced into the defect under the nasal si...
2,800
medmcqa_train
During water analysis in a hostel, amoebic cysts were seen. The best step to manage it is –
"Amoebic infection is spread by ingestion of food or water contaminated with cysts. since an asymptomatic carrier may excrete upto 15 million cysts/day. Prevention of infection requires adequate sanitation and eradication of cyst carriage. In high risk areas infection can be minimized by avoidance of unpeeled fruits an...
2,801
medmcqa_train
Lillys antidote does not contain
Lillys antidote Used for cyanide poisoning. Composition Sodium nitrite Amyl nitrite Sodium Thiosulfate
2,802
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CD marker specific for myeloid series is:
. CD117
2,803
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Fine reticular pigmentation with palmar pits are seen in -
Fine reticular pigmentation with palmar pits is characteristic of downing Degos disease Dowling-Degos disease (DDD) is a type of reticulate pigmentary disorder in which hyperpigmented macules are found in the flexures. Iadvl text book of dermatology, page 737
2,804
medmcqa_train
Imaging tool of choice for GD?
Ans ACreutzfeldt-Jacob disease is a spongiform encephalopathy caused by prions. On MRI T2 hyperintensity in basal ganglia, thalamus (Hockey stick sign), cortex and white matter with persistent diffusion restriction in considered most sensitive sign. On PET scan there can be hypometabolsim in affected area however it is...
2,805
medmcqa_train
A 16 years old girl presented with history of nasal obstruction for last 2 months. A CT Scan was done and following findings are seen. What is the most likely diagnosis?
CT Scan picture shows Crescent sign or Dodd's Sign seen in Antrochoanal Polyp Adenoid hyperophy: Dodd's Sign is negative JNAF- Epistaxis in adolescent males NPC- Old age, presents generally with Neck node metastasis
2,806
medmcqa_train
A 2-year-old child comes with ear discharge, seborrheic dermatitis, polyuria and hepatosplenomegaly. Which of the following is the most likely diagnosis?
c. Langerhan's cell histiocytosis(Ref: Nelson's 20/e p 2484-2489], Ghai 8/e p 620-623)Seborrheic dermatitis, polyuria, hepatosplenomegaly and ear discharge suggests diagnosis of LCH.
2,807
medmcqa_train
Which of this following pas of veebral canal will show secondary curves with concavity towards back?
In adults, the cervical curve and lumbar curve is concave backwards. The thoracic and sacral curve is convex backwards.Ref: Clinical Anatomy by Systems, Richard S. Snell, Edition 2007, Chapter 12, Page 860; Anatomy at a Glance, Omar Faiz, 3rd Edition, Chapter 77, Page 175.
2,808
medmcqa_train
KSY is
At present, there are two schemes for adolescent girls &;Kishore shakti yojana&; and &;Nutrition programme for adolescent girls&;Kishore shakti yojana is being implemented using the infrastructure of ICDS. The scheme targets adolescent girls in the age group of 11 to 18 years and address their needs of self-development...
2,809
medmcqa_train
Which is not an intracanal medicament :
The two antimicrobial intracanal medicaments recommended in contemporary endodontic practice are as follows: Calcium hydroxide Chlorhexidine digluconate
2,810
medmcqa_train
If annual growth rate of a population is 1.5-2%, what number of years will be required to double the population
When crude death rate is substracted from crude bih rate , the net residual is current annual grow rate , exclusive of migration. When the annual growth rate of a population is 1.5% to 2.0%, it takes 35-47 years to double the size of population. Reference : Park&;s textbook of preventive and social medicine, 23rd editi...
2,811
medmcqa_train
HIV virus contains:
Ans. is 'b' i.e., Single stranded RNA(Ref: Ananthanarayan, 9th/e, p. 571 and 8th/e, p. 570)* The genome in HIV is diploid, composed of two identical single stranded positive sense RNA copies.
2,812
medmcqa_train
A young man with tuberculosis presents with massive recurrent hemoptysis. Most probable cause would be.
B i.e. Broncheal aery In great majority of patients hemoptysis originates from systemic rather than pulmonary aeries and the bronchial vessels are almost universally involved. (Grainger) Massive hemoptysis in a patient of T.B. is usually d/ t erosion of bronchial aery which bleeds at systemic pressure.
2,813
medmcqa_train
25 years old male presented with diarrhea for 6 months. On examination the causative agent was found to be acid fast with 12 micro meter diameter. The most likely agent is -
Ans. is 'c' i.e., Cyclospora All the parasites mentioned in the question cause chronic diarrhoea {mostly in immunocompromised patients).All of them reveal oocyst on stool examination. In Giardiasis, parasite is also seen along with oocyst stool examination.Oocyst of all the organisms except giardia are acid fast. The d...
2,814
medmcqa_train
Skin surface elevation caused by hyperplasia and projections of the epidermis form an undulating surface under microscopic examination. What is this known as?
Papillomatosis of skin Skin surface elevation caused by hyperplasia and enlargement of contiguous dermal papillae. Papillary projections of the epidermis form an undulating surface under microscopic examination.
2,815
medmcqa_train
Hyoid bone fracture does not occur in -
Ans. is 'd' i.e., Choking Features Hanging Strangulation Cause (mostly) Sigus of struggle Ligature mark Suicidal No * Above thyroid cartilageQ * Incomplete and directed obliquely upward * No skin damage under knot *Abrasion and bruise around ligature mark are * Dissection reveals a dry glistening white band of subcutan...
2,816
medmcqa_train
Cell shape and motility are provided by
Microtubules are polymers of tubulin that form pa of the cytoskeleton and provide structure and shape to cells
2,817
medmcqa_train
Mean weight of 100 children was 12 kg. The standard detion was 3. Calculate the percent Coefficient of variation:
Coefficient of variation: - Is a measure used to compare relative variability - Is a unit-free measure to compare dispersion of one variable with another - Is SD expressed as percentage of mean CV = In the given question, Mean weight (u) = 12 kg, n = 100, Standard detion (s) = 3 Thus, coefficient of variance =s/ux 100 ...
2,818
medmcqa_train
About inverse agonism, true is:
Ans. b (Binds to the same receptor binding-site as an agonist for that receptor but exerts the opposite pharmacological effect). (Ref. KDT, Pharmacology, 6th ed., p 41)# Receptor agonists, antagonists and inverse agonists bind to the same receptor types:DefinitionAgonistsincrease the inhibitory transmitter GABA potency...
2,819
medmcqa_train
A 30 year old male was brought for evaluation. The history revealed that the patients 3 year old son died, 5 months back after being hit by a car. At the time of accident, patient was standing nearby and witnessed the accident. For last 5 months, he has been having symptoms of sadness of mood, crying spells, feelings o...
Depression: A major depressive disorder occurs without a history of a manic, mixed, or hypomanic episode. A major depressive episode must last at least 2 weeks DIAGNOSIS: Major Depressive Disorder The DSM-5 diagnostic criteria for major depression Sadness of mood Diminished interest in pleasure Significant weight loss ...
2,820
medmcqa_train
Most common type of skin carcinoma on face, in light skinned, is: March 2013
Ans. B i.e. Basal cell carcinoma In darkly pigmented racial groups, squamous cell carcinoma is the MC skin malignancy Skin tumours Basal cell carcinoma does not show lymphatic spread Conditions predisposing to Squamous cell carcinoma: - Actinic keratosis, - DLE Basal cell carcinoma MC site of BCC: Face MC type of BCC: ...
2,821
medmcqa_train
Typhoid revaccination is recommended every ... years in endemic area-
Ans. is 'b' i.e., 3 o To maintain protection, revaccination is recommended every 3 years.
2,822
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Length of esophagus in adults is:
The esophagus is a muscular, collapsible tube about 10 in. (25 cm) long that joins the pharynx to the stomach. The esophagus enters the abdomen through an opening in the right crus of the diaphragm.After a course of about 0.5 in. (1.25 cm), it enters the stomach on its right side.
2,823
medmcqa_train
All are true for normal saline except
NaCl Is preferred in conditions in which increased plasma sodium is beneficial e.g traumatic brain injury Not suitable for treatment of acute severe hyponatremia as it has little effect on plasma sodium levels When infused > 30ml/kg/hr may lead to hyperchloremic acidosis
2,824
medmcqa_train
All are true about Abnormal uterine bleeding except :
Normal Menstrual Loss The upper limit of blood loss in a normal menstruation is considered as 80ml. Any bleeding above the specified normal limit is termed as abnormal uterine bleeding. Normal Menustration: Cycle interval-28days(21-35 days) Menustral flow- 4 to 5 days Menustral blood loss-35ml (20- 80ml) Common causes ...
2,825
medmcqa_train
Which influenza strain was isolated in 1989 spreading to many other countries?
In 1989, epidemic - the reappearance of swine HINI virus Influenza can occur sporadically, as epidemics or pandemics In 2009, H1N1 Epidemic occurred in Mexico-recent Ref: Baveja 5th ed Pg: 468
2,826
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All statements are true about the eye of a newborn except –
Newborn is usually hypermetropic by +2 to +3D (not myopic).
2,827
medmcqa_train
Which of the following is the national system that provides annual national as well as state reliable estimates of feility and Moality
Sample registration system (SRS) : Was initiated in 1964-65 (on a pilot basis ; Full scale from 1969-70) to provide national as well as state level reliable estimates of feility and Moality SRS is a dual record system Field investigation : Continuous enumeration of bihs and deaths by an enumerator Independent retrospec...
2,828
medmcqa_train
Homocystein is not associated with
Ans. is 'c' i.e., Hearing lossElevated level of homocysteine (hyperhomocysteinemia) is associated with -i) Thrombosis, coronary aery disease & stroke.ii) Osteoporosis & fracture.iii) Neuropsychiatric manifestations.iv) Developmental delay.v) Visual disturbances.vi) Microalbuminuria.
2,829
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All are complications of chronic staphylo-coccal blepharoconjunctivitis except:
Ans. Chalazion
2,830
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Last organ to be affected in putrefaction-a) Prostateb) Uterusc) Kidneyd) Thyroid
Last soft tissue affected in male → Prostate Last soft tissue affected in female → Uterus Overall, last tissue affected (both in male & female) →3 Bone
2,831
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All are true about 'Molluscum contagiosum' , EXCEPT ?
Molluscum Contagiosum Benign viral infection caused by the poxvirus. Spread by close sexual or nonsexual contact and by autoinoculation Clinical features Presents with a crop of small domed vesicles with central umbilication measuring 1-5 mm in size. Diagnosis Giemsa staining of the discharge (white waxy material) reve...
2,832
medmcqa_train
Intramuscular injections are given which quadrant of the buttock
The buttocks are the preferred site for administration of the intramuscular injection.  The muscles (gluteal) of this area are thick and are utilized frequently in daily activities, thus causing complete absorption of drugs.  To give the injection at the proper site, the gluteal region can be divided into four quadrant...
2,833
medmcqa_train
A 63-year-old man becomes febrile and begins expectorating large amounts of mucopurulent sputum. Sputum cultures are positive for Gram-positive diplococci. Which of the following mediators of inflammation provides potent chemotactic factors for the directed migration of inflammatory cells into the alveolar air spaces o...
Chemotactic factors are substance that stimulalte cellular migration The most potent chemotactic factors for leukocytes at the site of injury are:- Complement proteins (e.g., C5a) Bacterial and mitochondrial products, paicularly low molecular weight N-formylated peptides Products of arachidonic acid metabolism (especia...
2,834
medmcqa_train
An 8-year-old child is evaluated by the pediatrician, who notes small cafe-au-lait spots on the child's torso. In addition, on close inspection of the eyes, the presence of Lisch nodules is noted. The patient is eventually diagnosed with neurofibromatosis type 1. The protein that is mutated in this disorder normally do...
The normal function of NF1 is to promote the intrinsic GTPase function of the RAS oncogene. Mechanism:- RAS has an intrinsic GTPase activity that is accelerated by GTPase-activating proteins (GAPs), which bind to active RAS and augment its GTPase activity by more than 1000-fold, thereby terminating signal transduction....
2,835
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False about estrogen action ?
Ans. is 'b' i.e., Stimulates osteoclastsMajor action of estrogen on bone is to inhibit osteoclastic bone resorption. Estrogen blocks the action of IL-6, a potent stimulator of osteoclasts.Estrogen also induces apoptosis of osteoclasts.Other three options are correct.Actions of estrogen have been explained in previous s...
2,836
medmcqa_train
Glaucoma drug which is b-1 selectve p-blocker is ?
Ans. is 'd' i.e., Betaxolol o Among the given options, only betaxolol is 0-1 selective.
2,837
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A 6-month-old male baby comes with vomiting, lethargy and severe jaundice when weaning was staed with fruit juice. Which of the following enzymes is defective?
The above clinical features on the initiation of fruit juice suggests a disorder of fructose metabolism. Hereditary fructose intolerance (HFI) is due to deficiency of the enzyme Aldolase B. Individuals affected with HFI are asymptomatic until they ingest fructose or sucrose (usually in the form of fruit, fruit juice or...
2,838
medmcqa_train
In which of the following uveitic conditions is it contraindicated to put intraocular lens after cataract extraction
Inflammatory reaction in children is always serious and if the child is already suffering from uveitis IOL implantations can detoriate the condition Bewafa. REF:Khurana 6th edition page number 205
2,839
medmcqa_train
A 23-year-old female maid was making a bed in a hotel bedroom. As she straightened the sheet by running her right hand over the surface with her fingers extended, she caught the end of the index finger in a fold. She experienced a sudden, severe pain over the base of the terminal phalanx. Several hours later when the p...
The contraction of the extensor mechanism produces extension of the distal interphalangeal joint. When it is torn from the distal phalanx, the digit is pulled into flexion by the flexor digitorum profundus. The proper palmar digital branches of the median nerve supply lumbrical muscles and carry sensation from their re...
2,840
medmcqa_train
After 28 weeks of gestation true is/are :
Ans. is a, b and d i.e. Viable: >1000 gm: and Type II pneumocytes present
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The drug used for leishmaniasis treatment
Sodium stibogluconate, is drug of choice in leishmaniasis. Meglumine antimoniate, Pentamidine, Amphotericin B, Miltefosine, Paromomycin are alternative drugs Basic and clinical pharmacology Katzung 13th edition pg 902
2,842
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Fencing attitude of the dead bodies is caused by
PUGILISTIC ATTITUDE OR BOXING OR FENCING OR DEFENCE ATTITUDE: The posture of the body which has been exposed to great heat is often characteristic. POSITION: the legs are flexed at hips and knees the arms are flexed at the elbow and held in front of the body head slightly extended all fingers are hooked like claws cont...
2,843
medmcqa_train
All of the following statements are true regarding retinoblastoma, except:
Rb gene Governor of the cell cycle Negative regulator of the G1/S cell cycle transition. Located on 13q14 chromosome. To explain the two patterns of occurrence of retinoblastoma, Knudson proposed "two hit" hypothesis of oncogenesis. Two mutations (hits), involving both alleles of RB at chromosome locus 13q14, are requi...
2,844
medmcqa_train
Organs first to be injured in blast -
The synopsis of forensic medicine & toxicology ; Dr k.s narayan reddy ;28th edition ; pg.no. 138 Tympanic membrane rupture most commonly with hemorrhage in the ear . Blast lung is the other most common injury .
2,845
medmcqa_train
Immunoprophylaxis of leprosy is best done by which of the following given choices?
Maximum work has been done with BCG+ heat killed M. leprae (will be the best answer). In the choices given Cat 2 killed ICRC bacillus is used for Immunoprophylaxis of leprosy. Ref: Park, 20th Edition, Page 286.
2,846
medmcqa_train
A highly ionized drug
Ionized molecules cannot cross the biological membranes .therfore they are less likely to be absorbed . Entry of the molecules through blood brain barrier and blood placental barrier is also restricted .these drugs cannot be reabsorbed in the nephron,thus are excreted by the kidney . Refer kDT 7/e p29
2,847
medmcqa_train
'Bull-neck' is seen in severe cases of which of the following?
Ans. a. Diphtheria (Ref: Harrison 19/e p978, 18/e p1189-1190)Bull-neck is seen in severe cases of diphtheria.Respiratory DiphtheriaClinical Features:The clinical diagnosis of diphtheria is based on:Constellation of sore throatQAdherent tonsillar, pharyngeal, or nasal pseudomembranous lesionsQLow-grade feverQOccasionall...
2,848
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Danazol is not used in :
Endometrial Ca
2,849
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All are transmitted by Soft Tick, except-
Ans. is 'b' i.e., Tularemia
2,850
medmcqa_train
The given below instrument is used for:
Ans. (c) Used as nibbler and remove fibrous tissue from non-union siteRef: Textbook of Orthopedics 4th Ed by John Ebnezar; Page No- 861* It is a Double-action bone nibbler (Rounger). The double- action nibblers are mechanically superior.* Bone nibbler is available in various sizes and with different angle of the nose.#...
2,851
medmcqa_train
Deep peroneal nerve supplies?
First web space of foot is supplied by deep peroneal nerve while the rest three web spaces are supplied by superficial peroneal nerve.
2,852
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YAG laser is used in the treatment of:
Ans. After cataract
2,853
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Virus that has increased association with anal was:
Anal Was Or Condylomata Accumulata HPV forms the etiological basis of: Anal and perianal was, AIN and SCC of the anus Subtypes (16,18,31,33) are associated with a greater risk of progression to dysplasia and malignancy Condylomata accuminata is the MC STD encountered by colorectal surgeons Most frequently observed inn ...
2,854
medmcqa_train
Main LDL receptors is:
Ans. (b) APO B 100Ref: Harper's Biochemistry, 30th ed. pg. 254* The low-density-lipoprotein (LDL) receptor is a cell- surface protein that plays an important part in the metabolism of cholesterol by mediating the uptake of LDL from plasma into cells.* Although LDL particles bind to the LDL receptor through their apolip...
2,855
medmcqa_train
HLA B 27 is not seen in which of the following
Ref Robbins 9/e p215 HLA and diseases, the association of B27 with ankylosing spondylitis (AS) is the strongest. The B27 antigen is present in over 90% of patients with AS as com- pared with the B27 prevalence of 8% in Caucasians in general. A strong but slightly minor association has also been found between B27 and Re...
2,856
medmcqa_train
Typical clinical features of Homer's syndrome include all except:
Homer's syndrome is due to interruption of sympathetic fibres and therefore causes meiosis (constriction of pupil). Nasal stuffiness is due to dilatation of blood vessels.
2,857
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Which one of the following is not a treatment of gastroesophageal variceal haemorrhage ?
Ans. is 'd' i.e., Gastric freezing
2,858
medmcqa_train
Absolute contraindication for MRI:
Ans. (a) PacemakerRef: Harrison 19th ed. /440e-tContraindications of MRIAbsolute contraindicationRelative contraindication* Pacemaker* Metallic foreign body in the eye* Deep brain stimulator* Swan-Ganz catheter* Bullets or gunshot pellets* Cerebral aneurysm clips* Cochlear implant* Magnetic dental implants* AAA stent* ...
2,859
medmcqa_train
Which of the following enzyme is inhibited by Aminophylline ?
Theophylline is a non selective phosphodiesterase inhibitor. Inhibition of this enzyme cause elevation of cellular cAMP and cGMP and cause bronchodilation. Other mechanism of action of Aminophylline includes: Antagonises adenosine receptor Increase release of IL 10 which has anti inflammatory effect It prevents the tra...
2,860
medmcqa_train
A patient presented to ENT OPD with complaints of headache and nasal stuffiness. On CT scan Heterogeneous opacification involving multiple sinuses along with Bone erosion (as shown below) was noticed. What would be the most likely diagnosis?
Heterogeneous opacification in multiple sinuses with areas of central hypoattenuation is characteristic of AFRS. Erosion of medial wall of right orbit can be clearly seen without any invasion into the orbit as Medial Rectus Muscle can be clearly seen with out distoion. ( compare with Left Side) Areas of increased signa...
2,861
medmcqa_train
Most characteristic of megaloblastic anemia ?
Ans. is 'd' i.e., Macroovalocyte
2,862
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Protein synthesis occurs in
Synthesis of proteins are based on the grnic information present on the DNA which is transcribef into the mRNA nucleotide sequence and then translated to the amino acid sequence of the polypeptide chain. The mRNA encodes the information,tge tRNA transposthe aminoacids and ribosomes provide the platform for the protein ...
2,863
medmcqa_train
Psychosurgery is used in
Psychosurgery can be used in the treatment of OCD that has become intractable and is not responding to other methods of treatment. The best responders are usually those who have significantly associated depression, although pure obsessives also respond. The main benefit is the marked reduction in associated distress an...
2,864
medmcqa_train
Gluteus maximus is inserted on -
Gluteus maximus -        Origin    Iliac crest    Posterior gluteal line of ileum and area behind and above it    Sacrum    Coccyx    Sacrotuberous ligament -        Insertion    Gluteal tuberosity    Iliotibial tract
2,865
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Amniocentesis is done at what intrauterine age?
ANSWER: (B) 12-20REF: Current OB./GYN 10th edition chapter 13.Repeat from December 2011 & June 2008Amniocentesis is often performed between 15 and 20 weeks' gestation. Chorionic villus sampling (CVS) is an alternative to amniocentesis. It is performed between 10 and 12 weeks' gestation and can be performed either trans...
2,866
medmcqa_train
'Whip-lash' injury is caused due to: AIIMS 06; Karnataka 07; BHU 12; NEET 15
Ans. Acute hyperextension of the spine
2,867
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Splicing is a process of
Removal of Introns : The primary transcripts are very long ;they have molecular weights more than 10 power of 7.Molecular weight of mature mRNA is about 1-2 x 10 power of 6.This means large poion of hnRNA are cleaved off. The primary transcript contains coding regions (exons)interspersed with non-coding regions (intron...
2,868
medmcqa_train
Supernumerary teeth common location -
Supernumerary teeth are those which are additional or in excess of the normal number. The most common site is upper incisor. Ref: K.S.Narayan Reddy's synopsis of Forensic Medicine and Toxicology 29 th edition Chapter 4,page- 59.
2,869
medmcqa_train
Which one of the following tumors involving the female genital tract has the WORST prognosis?
Ans. D. Serous cystadenocarcinoma of the ovary in' a 45-year-oldAround 75% of serous cystadenocarcinoma of the ovary are in an advanced stage at the time of diagnosis.These tumors have a worse prognosis than any of the other tumors listed.
2,870
medmcqa_train
Most common site of disc prolapse in lumbar spine is
Ans. is 'c' i.e., L4-5 Prolapsed intervertebral disc:* Herniation of intervertebral disc is a common cause of combined back pain and sciatica (Pain in back with radiation to lower limb). Prolapsed intervertebral disc is often precipitated by injury, but it may also occur in the absence of any remembered injury.* The si...
2,871
medmcqa_train
Painless Breast lump in a young female
Ans. (a) Fibroadenoma(Ref. Bailey and Love 27th edition Page 870)* Fibroadenoma (Breast mouse) is mc in young females, painless and freely mobile with Firm Indian rubbery consistency
2,872
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Keratomalacia
Night blindness is a first feature of Vitamin A deficiency and is also a feature of retinitis pigmentosa Refer: Khurana 6th edition page number 468
2,873
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Anticipation is seen in?
Ans- (c) Trinucleotide - repeat expansionRef: Robbin's pathology 9th ed. /168* Anticipation is a phenomenon where by the symptoms of a genetic disorder become apparent at an earlier age as it is passed to next generation. In most cases, an increased severity of symptoms is also noted.* In triplet nucleotide repeat muta...
2,874
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Hearing loss of 65dB, what is the grade of deafness-
Ans. is 'd' i.e., Moderately severe o WHO recommended the following classification on the basis of pure tone audiogram.Hearing threshold in better ear (average of 500,1000,2000Hz)Degree of impairment (WHO classification)Ability to understand speech0-25Not significantNo significant difficulty with faint speech2640MildDi...
2,875
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False about Varicocele is?
Ans BVaricocele - The left testicle is affected much more commonly ([?]85%) than the right. This may be due to the shorter course of the right testicular vein and its oblique insertion into the IVC which creates less backpressure. Isolated right varicoceles are rare and should prompt evaluation for a secondary varicoce...
2,876
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All of the following are true about incidence of retinoblastoma except:
Ans. More common in negroes than whites
2,877
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The structural proteins are involved in maintaining the shape of a cell or in the formation of matrices in the body. The shape of these protein is:
Ans. B. FibrousBased on the shape of protein are classified into:Fibrous Protein#Elongated or Needle shaped or long cylindrical or rodlike a Minimum Solubility in water#Regular Secondary Structure#Axial Ratio >10#They are Structural Proteins, e.g. Collagen, Elastin, KeratinGlobular Proteins#Spherical or oval or Spheroi...
2,878
medmcqa_train
A sewage worker presnets to the Emergency depament with fever and jaundice. Laboratory findings reveal an elevated BUN and serum craetinine suggestive of renal failure. Which of the following antibiotics is recommended?
<p> It is a case of leptospirosis and the drug of choice is penicillin. Reference:Park&;s textbook of preventive and social medicine,K.Park,23rd edition,page no:292. <\p>
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Which of the following is seen in iridodialysis: September 2009
Ans. C: Iris is torn away from its ciliary attachment In iridodialysis there is rupture of the iris at its iris root and it frequently occurs following blunt trauma or penetrating injuries to the globe. Clinical features: A. Symptoms: Minimal with small iridodialyses With larger iridodyalises, patients may experience d...
2,880
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Hernia not related to abdominal wall:-
Amyand's hernia - content is appendix Little's hernia - content is Meckel's diveiculum Richter's hernia - Herniation of pa of circumference of bowel - Mimics acute gastro enteritis Peterson hernia - Type of internal hernia - Hernia behind Roux - LIMB, After Roux-en-y gastrojejunostomy
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Which among the following causes staining of burnt area
Silver nitrate causes staining of burnt area.
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Most common type of emphysema is-
Ans. is A Centriacinar Types of emphysema 1) Centriacinar (centrilobular) emphysema o Centriacinar emphysema is the most common type of emphysema seen clinically. It is chracterized by involvement of respiratory bronchioles, i.e. central (proximal) part of the acinus. Occurs predominantly in heavy smokers and usually c...
2,883
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Egg yields about ________K cal of energy -
<p> EGG Contain all the nutrients except carbohydrates and vitamin C. An egg weighing 60g contains 6g of protein, 6g of fat , 30 mg of calcium and 1.5 mg of iron, and supplies about 70 kcal of energy. Egg proteins have all the nine essential aminoacids needed by body in right propoions. Egg protein is the standard agai...
2,884
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In ca ovary inguinal lymph nodes are involved in stage
FIGO revised the staging of carcinoma ovary in January 2014 and according to the new staging inguinal LN involvement is stage IV b.
2,885
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Which of the following is calcivirus?
Ans. (a) HEV According to Ananthanarayan 9/e, p 550 "HEV has been classified in genus hepesvirus under family calciviridae." But according to Harrison 18/e 2543 "HEV although resembling calicivirus is sufficiently distinct from any known agent to merit a new classification of its own as a unique genus; Hepevirus with i...
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A 54-year-old man is brought to the emergency after experiencing several syncopal episodes. The patient states that he is currently taking erythromycin for treatment of bronchitis and another medication for treatment of gastroesophageal reflux disease (GERD). If an electrocardiogram reveals torsades de pointes, the pat...
This question is about an impoant drug interaction occurring between erythromycin and cisapride (used for gastroesophageal reflux disease- GERD). Serious cardiac arrhythmias, including torsades de pointes, QT interval prolongation, ventricular tachycardia, and ventricular fibrillation, have been repoed in patients taki...
2,887
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Critical temperature of oxygen is?
Ans. is 'b' i.e., -118
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Cause of U/L secretory otitis media in an adult is -
Unilateral serous otitis media in an adult should always raise the suspicion of a benign / malignant tumor of nasopharynx “In adults presenting with a unilateral middle ear effusion the possibility of a nasopharyngeal carcinoma should be considered”. Ref. Dhingra 5/e, p 72, 6/e, p 251; Current Laryngology 2/e, p 659
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A 26 year old third_gravida mother delivered a male baby weighing 4-2 kg at 37 weeks of gestation through an emergency caesarean section, for obstructed labour. The child developed respiratory distress one hour after bih. He was kept nil per orally (NPO) and given intravenous fluids. He maintained oxygen saturation on ...
Ans. is 'a' i.e., Transient tachypnea of newborn o Respiratory distress, which resolves within 24 hours without any respiratory suppo and fluid in interlobar fissure on chest X-ray suggest the diagnosis of TTN.
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Vagal stimulation of hea causes? (irrelevant to pharmacology)
Increased RR interval is seen in ECG on vagal stimulation. Normal values for waves and intervals are as follows: RR interval: 0.6-1.2 seconds. P wave: 80 milliseconds. ... QT interval: 420 milliseconds or less if the hea rate is 60 beats per minute (bpm) Ref: KD Tripathi 8th ed.
2,891
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A patient of CSOM has choleastatoma and presents with vertigo. Treatment of choice would be -
The patient is presenting with CSOM and vertigo which means cholesteatoma has led to fistula formation involving semicircular canals which in turn has caused vertigo. So the management is immediate mastoid exploration to remove the cholesteatoma.
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Metabolically most active layer of cornea is:
Ans. Epithelium
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Octreotide is used in all except:
Ans. c. GliomaOctreotide is a synthetic analogue of somatostatin and its pharmacological actions are similar to somatostatin, used in insulinoma, glucagonoma and carcinoid tumors but not in glioma."Somatostatin is a hypothalamic peptide that regulates the function of several endocrine and exocrine glands.Somatostatin a...
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Sensitivity means the ability to detect -
For easy to remember : Sensitivity → "I know my patient has the disease. What is the chance that the test will show that my patient has it". Specificity → "I know my patient doesn't have the disease. What is the chance that the test will show that my patient doesn't have it".
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The following deformity is seen characteristically in
Deformities of Rheumatoid ahritis Swan-neck deformity: flexion posture of the DIP and hyperextension posture of the PIP joints. Buttonhole or Boutonniere Deformity: PIP in flexion, DIP in hyperextension. Wind sweep deformity: hallux valgus on one side & hallux varus on another side- produce deformity which is parallel ...
2,896
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Alpha feto protein is elevated in what percentage of children with hepatoblastoma:
Most liver function test results are normal. Alpha-fetoprotein levels are increased in 90% of children with hepatoblastomas but are elevated much less commonly in children with other liver malignancies. Ref: Schwaz's principle of surgery 9th edition, chapter 39.
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All of the following statements about Phenytoin are true, Except:
Phenytoin inhibits the release of insulin and cause hyperglycemia. Ref: Essentials of Medical Pharmacology By KD Tripathi, 5th Edition, Page 372, 373.
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A 72-year-old man is newly diagnosed with bullous pemphigoid. Which of the following is the most appropriate next step in the management?
Severe cases require systemic steroids, often with the addition of azathioprine. Dapsone is useful in mild cases, and occasionally in very mild cases (or for local recurrences) topical glucocorticoid therapy will suffice.
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