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Small cuff size will lead to?
a. Falsely increased BP(Ref: Nelson's 20/e p 2164)In older children, a mercury sphygmomanometer with a cuff that covers approximately two-thirds of the upper part of the arm or leg may be used for blood pressure measurement. A cuff that is too small results in falsely high readings, whereas a cuff that is too large rec...
500
medmcqa_train
Ulcer with undermined edges is seen in
Tubercular ulcers typically have undermined edges. Reference: Bailey & Love&;s Sho Practices of Surgery 27th Edition, Page no. 78
501
medmcqa_train
Which of the following is NOT associated with elevation of prostatic specific antigen?
Prostatic Intraepithelial Neoplasia ( PIN) is a precancerous condition; not detected by rectal examination, TRUS , or MRI; does not cause rise in PSA level . It is usually identified after TURP for BPH with final histology or by prostatic biopsy.Reference: page1048 SRB&;s manual of surgery 5th edition
502
medmcqa_train
Muscle relaxant used in renal failure :
B i.e. Atracurium
503
medmcqa_train
Gastrinoma a/w
Diarrhoea is due to hypergastrinaemia.It is associated with severe ulcers,not superficial SRB's manual of surgery,5th edition,710.
504
medmcqa_train
CAGE questionnaire is used in:AP 07; MP 09; NEET 13
Ans. Alcohol dependence
505
medmcqa_train
Which of the following is used in exocytosis?
Ans. (a) CaExocytosis is a calcium dependent process where in the cellular contents are moved out of the cell in the form of vesicles (Cell Vomiting)
506
medmcqa_train
Therapeutic blood range of theophylline in microgram per L is:
Theophylline is having a narrow margin of safety so therapeutic drug monitoring is essential If levels increase more than 20mg/L- side effects occurs ESSENTIAL OF MEDICAL PHARMACOLOGY SEVENTH EDITION KD TRIPATHI PGNO.226
507
medmcqa_train
Lift off test is used for which of the following muscles?
Ans. is 'b' i.e., Subscapularis TestMuscle TestedLift off testSubscapularisJobe testSupraspinatusSpeed testBicepsYergason testBicepsBelly press testSubscapularis
508
medmcqa_train
Which of the following is not a structural element of TMJ?
Sigmoid notch (or) mandibular notch forms the sharp upper border of the ramus the condyle and coronoid process.
509
medmcqa_train
Prognostic stage groups in carcinoma breast include all except
Prognostic stage groups include TNM plus grading, and status of biomarkers HER-2, ER, and PR Ref: AJCC 8th edition
510
medmcqa_train
Arrange the following subtypes of schizophrenia, in order of prognosis, with the best prognosis first and the worst prognosis last, 1. Paranoid schizophrenia2. Catatonic schizophrenia3. Simple schizophrenia4. Disorganised schizophrenia
The correct sequence is Catatonic schizophrenia followed by Paranoid schizophrenia followed by Disorganised schizophrenia followed by Simple Schizophrenia Please remember in both DSM-5 and ICD-11, these subtypes have been removed
511
medmcqa_train
Mammalian Mitochondria are involved in all of the following Except
Protein synthesis is a cytoplasmic process.Fatty acid synthesis stas with the production of Acetyl Co-A within the mitochondria. b-oxidation of fatty acid oxidation also occurs in mitochondria. Mitochondrial DNA synthesis occurs within the mitochondria.
512
medmcqa_train
Cross examination of the prosecution witness is done by-
In government prosecutions, cross examination is done by defense lawyer.
513
medmcqa_train
Thickness of oxygen inhibition layer in composite curing is:
When composite is light cured, oxygen in the air causes an interference in the polymerization resulting in the formation of an oxygen inhibition layer on the surface of the composite.The oxygen-inhibited layer is the sticky, resin-rich uncured layer that is left on the surface.Thickness is about 50-500 micrometer. Refe...
514
medmcqa_train
Hassall&;s corpuscles are present in
Inderbir Singh's Human Histology Sixth edition Pg 140 The medulla of thymus contains pink staining rounded masses called the corpuscles of Hassal
515
medmcqa_train
Triamterene causes
Inhibitors of renal epithelial Na+ channel Include Triamterene and amiloride. Triamterene:- It is incompletely absorbed orally, paly bound to plasma proteins, largely metabolized in liver to an active metabolite and excreted in urine. Plasma t 1/2 is 4 hours, effect of a single dose lasts 6-8 hours. Side effects:- cons...
516
medmcqa_train
Persistent vomiting in G.O.O. causes -a) Hyponatremic hyperchloremia occurb) Hypernatremia without ↓ed Cl- alkalosisc) Hypokalemic metabolic alkalosisd) Paradoxical aciduria
Repetitive vomiting leads to hypochloremic, hypokalemic metabolic alkalosis. The urine is alkaline initially but eventually it becomes acidic (paradoxical aciduria) Cause of paradoxical aciduria Initially the kidney compensate for metabolic alkalosis by reabsorbing hydrogen and chloride ions in exchange for sodium...
517
medmcqa_train
All are immediate causes of death in burns except
Immediate causes of death in burns Shock Suffocation Injury Delayed causes of death Toxemia Inflammatory complications Ref: TEXTBOOK OF FORENSIC MEDICINE AND TOXICOLOGY KRISHNAN VIJ FIFTH EDITION PAGE 163
518
medmcqa_train
Mucositis is caused by:
Flurouracil is used mainly for solid malignancies,i.e colon, rectum, pancreas, liver, urinary bladder, head, and neck. Genetic deficiency of dihydropyridine dehydrogenase(DPD) leads to Fluorouracil toxicity. Major toxicity is myelosuppression, mucositis, diarrhea, nausea, vomiting, peripheral neuropathy (hand-foot synd...
519
medmcqa_train
Complications of therapy with radioactive iodine includes -
Ans. is 'b' i.e. Hypothyroidism
520
medmcqa_train
Uterine souffle :
Ans. is b i.e. Is due to increase in blood flow through the dilated uterine vessels Uterine souffle is a soft blowing systolic murmur The sound is synchronous with maternal pulse It is due to increase in blood flow through the dilated uterine vessels Heard low down at the sides of the uterus, best on the left side It c...
521
medmcqa_train
Investigation of choice in bronchiectasis is
HRCT chest is more specific for bronchiectasis and is the imaging modality of choice for confirming the diagnosis.CT findings include airway dilation(detected as parallel "tram tracks" or as the "signet-ring sign"-a cross sectional area of the airway with a diameter at least 1.5 times that of the adjacent vessel),lack ...
522
medmcqa_train
False about hepatic adenoma-
Ans. is 'c' i.e., Older females o Hepatic adenomas are benign solid neoplasms of liver.MC seen in younger females (20-40 years of age)Usually solitaryRisk factor - Prior/current use of estrogens (OCP)o Clinical FeaturesPatients usually present with upper abdominal pain.Physical examinated is usually unrevealing,o Micro...
523
medmcqa_train
Renal threshold for serum glucose level-
Ans. is 'b' i.e., 200 mg/dl * The transport maximum for glucose is 375 mg/min whereas the filtered load of glucose is only 125 mg/min.* Therefore, in normal conditions 100% of glucose is reabsorbed in proximal tubules.* When plasma glucose concentration is 100 mg/dl the filtered load is at its normal level, 125 mg/min,...
524
medmcqa_train
A 9-year-old boy diagnosed as uncomplicated pulmonary tuberculosis. He is put on isoniazid, rifampin, and ethambutol at home after initial treatment given at hospital. Which is accurate statement for this scenario?
Prophylaxis with INH is always advisable for family members and close contacts in active cases. None of the drugs prescribed is associated with nephrotoxicity. Polyahralgia is a side effect of pyrazinamide that's not given in this case. Routine LFTs should be done in younger patients if INH plus rifampin given in highe...
525
medmcqa_train
Functional unit of muscle:
Functional unit of muscle is : sarcomere It is the pa of myofibril present between two succsive z lines. Ref: Guyton and Hall textbook of medical physiology 12th edition, page number:86,87
526
medmcqa_train
Cause of exudative retinal detachment are:
Ans. All
527
medmcqa_train
A 47-year-old man suddenly develops high fever and hypotension. He has a generalized erythematous macular rash, and over the next day, develops gangrene of his left leg. Which of the following is the most likely organism?
Streptococcus group A can cause a toxic shock-like syndrome, and has been increasing in frequency in North America. Streptococcal toxic shock-like syndrome was so named because of its similarity to staphylococcal toxic shock syndrome. The illness includes fever, hypotension, renal impairment, and the respiratory distre...
528
medmcqa_train
Which of the following is the most common cause of emergency depament visit related to LSD and its related substances?
The most frequent acute medical emergency associated with LSD use is a panic episode (the "bad trip"), which may persist up to 24 h.A trip is a period of intoxication from a hallucinogenic drug, such as lysergic acid (LSD) or magic mushrooms (psilocybin). It is called a trip because perceptions of the world change so d...
529
medmcqa_train
Bilateral destruction of auditory cortex in man causes
(C) Deficiency in interpretation of sounds # Lesion of auditory cortex leads to loss of recognition of total patterns with loss of analysis of properties of sound and sound localisation.> Thus lesion of auditory cortex leads to defect in interpretation of sounds.
530
medmcqa_train
The following infection resembles malignancy -
Ans. is 4b' i.e., E. multilocularis o The chief character of E. multilocularis cyst is its tendency to proliferate, thereby resembling a neoplasm.Hydatid disease of liver is caused byo Echinococcus granulosuso Echinococcus multiloculariso Echinococcus vogeli- Unilocular cystic lesions- Multi locular alveolar hydatid cy...
531
medmcqa_train
A 1 year old child is brought to you with delayed milestones. On examination you note that the child is very fair with hypopigmented hair and blue eye. He has also got eczemas. The child was also very irritable. What is your diagnosis?
This child is suffering from Phenylketonuria. Here there is inability to conve phenylalanine to tyrosine due to phenylalanine hydroxylase deficiency. The decreased pigmentation in this condition is due to reduced melanin formation. The treatment is a diet low in phenylalanine with tyrosine supplementation. Delay in ini...
532
medmcqa_train
Incomplete closure of palpebral apeure is called: March 2004
Ans. A i.e. Lagophthalmos
533
medmcqa_train
Galactokinesis means :
Ejection of milk
534
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Serological testing of patient shows HBsAg, IgM Anti-HBc and HBeAg positive . The patient has-
HBs Ag is the first marker appear in the blood after infection. Anti HBc is the earliest antibody seen in blood. HBeAg indicates infectivity REF:MICROBIOLOGY ANANTHA NARAYANAN NINTH EDITION PAGE.546&547
535
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All of the following are seen in GH deficiency except?
From late in the first year until mid-teens, poor growth and/ or shoness is the hallmark of childhood GH deficiency. It tends to be accompanied by delayed physical maturation so that bone maturation and pubey may be delayed by several years. Severe GH deficiency in early childhood also results in slower muscular develo...
536
medmcqa_train
Hydatidiform - mole, characterized histologically by
(Hydropic degeneration of the villous storma): Ref: 193-97, 201-DHYDATIDIFORM MOLE (Vesicular mole) - It is an abnormal condition of placenta where there are partly degenerative and partly proliferative changes in the young chorionic villi.* It is best regarded as a benign neoplasm of the chorion with malignant potenti...
537
medmcqa_train
The nerve impulse which leads to initiation of smooth muscle contraction
Ans. (a) Cause opening of the calcium channel which leads to increase in Ca2+ contraction(Ref: Ganong, 25th ed/p.116)The never impulse which leads to initiation of smooth muscle contraction Cause opening of the calcium channel which leads to increase in Ca2+ contraction
538
medmcqa_train
In a family, the father has widely spaced eyes, increased facial hair and deafness. One of the three children has deafness with similar facial features. The mother is normal. Which one of the following is most likely pattern of inheritance in this case?
A i.e. Autosomal dominant (most likely) Waardenburg's Syndrome (WS) is a rare autosomal dominant syndrome characterized by pigmentary disturbances (skin, hair, iris), sensorineural hearing loss, and other developmental anomalies such as dystopia canthorum (widely spaced eyes) and blepharophimosis. The syndrome that clo...
539
medmcqa_train
All of the following statements about Heparin are true, except:
Heparin inhibits the production of aldosterone. It thus lead to severe Hyperkalemia and not hypokalemia as mentioned in the choice above. Ref: Harrison's Textbook of Internal Medicine, 16th edition, Page 1261; K D Tripathi Textbook of Pharmacology, 5th Edition, Pages 561-63
540
medmcqa_train
Tigroid white matter on MRI is seen in?
The tigroid pattern/ leopard skin sign occurs on MRI head is seen in Pelizaeus-merzbacher disease, due to creation of islands of perivascular myelin due patchy myelin deficiency. It is a rare hypomyelination syndrome caused by mutation in proteolipid protein, PLP 1 gene at chromosome Xq22. Child will show slow psychomo...
541
medmcqa_train
Which of the following is the Nysten's law
In rigor mois, all muscles of body, both voluntary and involuntary are involved. Externally it first appears in the eye lids, then lower jaw, muscles of the face, neck upper limbs and lastly lower limbs. This descending pattern or proximodistal progression is called Nysten's law. Ref: FORENSIC MEDICINE AND TOXICOLOGY D...
542
medmcqa_train
If a drug is active against the pre-erythrocytic stage of the malarial parasite it will be useful as a:
If a drug is active against the pre-erythrocytic stage of the malarial parasite it will be useful as a Causal prophylactic. Stage killed Clinical Use Pre-erythrocytic Causal Prophylaxis Erythrocytic Clinical cure Suppressive Prophylaxis Exo-erythrocytic Radical cure Gametocytic Prevention of transmission
543
medmcqa_train
All are true statement about tracheostomy and larynx in children except:
Infant's larynx differs from adult in:It is situated high up (C2 - C4).Q (in adults = C3 - C6)Of equal size in both sixes (in adults it is larger in males)Larynx is funnel shapedThe narrowest pa of the infantile larynx is the junction of subglottic larynx with trachea and this is because cricoid cailage is very smallEp...
544
medmcqa_train
Drug NOT used in pulmonary hypeension is?
alpha blockers Pulmonary hypeension General management Diuretic therapy may be useful as it relieves pulmonary edema. Anticoagulant therapy is advocated for all patients. Specific management Calcium channel blockers Patients who have substantial reductions in pulmonary aerial pressure in response to sho acting vasodila...
545
medmcqa_train
Which of the following is a good prognostic factor in ALL:
Answer is D (Hyperdiploidy): Hyperdiploidy is associated with a good prognosis Hyperdiploidy is associated with a good prognosis Patients with hyperdiploidy (>50 chromosomes) or DNA index > 0.16 have a ourable prognosis - Age < 2 years has a poor prognosis Patients who are very young (< 2 years) and older patients (> 1...
546
medmcqa_train
A 28 year old labourer, 3 yrs back presented with penile ulcer which was not treated. Later he presented with neurological symptoms for which he got treated. Which is the test to monitor response to treatment?
This is a case of neurosyphilis. A positive nontreponemal CSF serologic test result (CSF VDRL) establishes the diagnosis of neurosyphilis (and an increased cell count in response to the spirochete documents the presence of active disease). In VDRL test, the inactivated serum is mixed with cardiolipin antigen on a speci...
547
medmcqa_train
70 year old man has abdominal pain with mass inabdomen. Angiography reveals aneurysm of aoa. Mostlikely cause is:
. Atherosclerosis
548
medmcqa_train
Which of the following is false regarding neonatal resuscitation?
1. T - tube delivers free flow oxygen - TRUE 2. Self - inflating bag should not be used without reservoir - FALSE - can be used but FiO2 will be less. 3. Self - inflating bag can deliver free flow oxygen - TRUE 4. Flow inflating bag delivers free flow oxygen - TRUE
549
medmcqa_train
The most impoant prognostic factor of Wilms tumor-
Robbins basic pathology 10th edition page no 290. Wilms tumor or nephroblastoma is the most common primary tumor of the kidney in children. On microscopic examination, Wilms tumors are characterized by recognizable attempts to recapitulate different stages of nephrogenesis. The pattern of anaplastic cells within the pr...
550
medmcqa_train
The relationship of mean height of two group of children is best studied by-
.
551
medmcqa_train
Advantage of brachytherapy – a) Non-invasiveb) Less radiation hazard to normal tissuec) Max.radiation to diseased tissued) Can be given in all malignanciese) Doesn't require trained personnel
As the radiotherapy source is placed directly in contact with tumor, maximum radiation exposure occurs to tumor tissue with relative sparing of adjacent normal tissue. Brachytherapy is invasive and requires trained personnel. Brachytherapy can be used in most (not all) of the malignancies where radiotherapy is the comp...
552
medmcqa_train
Acyl carnitine functions in:
Ans: a (Transport of long....) Ref: Vasudevan, 4th ed, p. 129The long chain fatty acyl CoA cannot pass through the inner mitochondrial membrane. There fore a transporter, carnitine is involved in transfer of fatty acids.Beta oxidation:Beta oxidation is absent in brain and erythrocytes (because erythrocytes lack mitocho...
553
medmcqa_train
Fatal period in sulphuric acid poisoning is :
C i.e. 12 -16 hours
554
medmcqa_train
Most common method of anterior capsulotomy in phacoemulsification
Answer- C. CapsulorhexisThe most commonly used technique for anterior capsulotomy during phacoemulsification is continuous curvilinear capsulorhexis (CCC).
555
medmcqa_train
A 26 year old female patients presents to emegency with history of consuming hair dye paraphenylenediamine . What shall be the expected outcome in such patient ?
Hair dye poisoning(Paraphenylenediamine ): Cost-effective alternative to Organophosphate poisoning Readily available to masses. Clinical manifestations are Angioedema leading to dysphasia and respiratory distress, Rhabdomyolysis, Intravascular hemolysis, Acute renal failure and hepatic necrosis. Myocarditis or fatal ar...
556
medmcqa_train
Generally, radiotherapy should not be used for treating benign conditions. The only possible exception being:
Ans. B. Extensive pigmented villonodular synovitisPVNS is commonly seen around knee. Synovial inflammation occurs due to cholesterol and pigment deposition. Radiotherapy may alleviate this disease. Else one has to go with synovectomy. Malignant transformation is reported but very rare.SYNOVIAL SARCOMA is a soft tissue ...
557
medmcqa_train
Blockade of nerve conduction by a local anaesthetic is characterized by -
Ans. is 'b' i.e., Need to cross the cell membrane to produce the block Penetration of axonal membrane by L.A. o Local anaesthetics are weak bases and are used in the form of acid salts (usually HCL). o They penetrate the axoplasmic membrane in unionized form (unionize molecules are lipid soluble and diffusible). o Insi...
558
medmcqa_train
Presence of spiral grooves in the barrel of weapon is referred to as:
Ans. (A). RiflingShotgunRifled gunCHOKING:* The terminal few cms (7-10) is constricted in shot guns.* Reduces the pelletsdispersionQ* Increases the explosive forces of the pellets.* Increases the velocity of the pellets.RIFLING:* Interior of bore has spiral grooves which run parallel to each other, but twisted spirally...
559
medmcqa_train
Duhamel procedure is done for -
Ans. is 'a' i.e., Hirschsprung's disease * Surgery in Hirschsprung's disease aims to remove the aganglionic segment and 'pull-through' ganglionic bowel to the anus (e.g. Swenson, Duhamel, Soave and transanal procedures) and can be done in a single stage or in several stages after first establishing a proximal stoma in ...
560
medmcqa_train
Post coital test showing non motile sperms in the cervical smear and Motile sperms from the posterior fornix suggests :
Ans. is a i.e. Immunological defect Post coital test is a test for evaluation of the potential role of cervical factor in infeility. The couple is advised intercourse close to ovulation time, in the early hours of morning (preferably) The woman presents herself at the clinic within 2 hours after the intercourse. The mu...
561
medmcqa_train
Which of the following is a first-generation Cephalosporin used for surgical prophylaxis?
First-Generation Cephalosporins: include - Cefazolin, Cephalexin, Cephradine, Cefadroxil, Cephalothin and Cephapirin Cefazolin is good for skin preparation as it is active against skin infections from S.pyogenes and MRSA. It is administered Intramuscular or Intravenous (i.e Parenteral drug).It is a drug of choice for s...
562
medmcqa_train
"Birbeck granules" are seen in
"Tennis racket" shaped Birbeck granules are seen in Langerhan cells, which are antigen presenting cells present in epidermis.
563
medmcqa_train
For each extra-articular manifestation of RA, select the most likely diagnosis.Associated with increased frequency of infections.
Felty syndrome consists of chronic RA, splenomegaly, and neutropenia. The increased frequency of infections is due to both decreased number and function of neutrophils.
564
medmcqa_train
Bakers cyst is a type of:
Baker's cyst:- It is a pulsion diveiculum of knee joint.- It usually found in the posterior aspect of the knee joint.- It is associated with medial meniscal injury.
565
medmcqa_train
Most common cranial nerve involved in ophthalmoplegic migraine is:
Ans. III nerve
566
medmcqa_train
Position of wrist in cast of colle's fracture is:
A . i.e. Palmar detion & pronation
567
medmcqa_train
Neonate triangular cord sign on USG is seen in -
Ans. is 'b' i.e., Biliary atresiao Triangular cord sign is seen in biliary ateria due to fibrosis.
568
medmcqa_train
Surgery for elective hemicolectomy for carcinoma colon is described as -
Ans. is 'b' i.e., Clean contaminated
569
medmcqa_train
Concentration of adrenaline used with lidocaine is?
(334) 1 in 200000 REF: Miller 6th ed p. 589 USES AND DOSES OF ADRENALINE: USE DOSE Anaphylaxis SC or IM injection is 0.3-0.5 mg 1:1,000 Croup Racemic adrenaline is a 1:1 mixture of the dextrototary (d) and levorotatory (1) isomers of adrenaline Local anesthetics 1 in 200000
570
medmcqa_train
Patient on treatment on carbidopa + levodopa for 10 yrs now has weaning off effect. What should be added to restore action -
Ans. is 'a' i.e., Tolcapone o Both entacapone and tolcapone enhance and prolong the therapeutic effect of levodopa-carbidopa in advanced and fluctuating parkinsons disease. They may be used to smoothen off the 'wearing off', increase 'on' time and decrease loff' time, improve activities of daily living and allow levodo...
571
medmcqa_train
A 33-year-old man has never been vaccinated for hepatitis B. Serologic tests reveal negative hepatitis B surface antigen (HBsAg) and positive antibody to surface antigen. Which of the following conditions does this serologic pattern best fit with?
The antibody can be demonstrated in 80-90% of patients, usually late in convalescence, and indicates relative or absolute immunity. In contrast, HBsAg occurs very early and disappears in < 6 months. Persistence of HBsAg indicates chronic infection. The pattern in this patient is also seen postvaccination, and perhaps a...
572
medmcqa_train
Which of the following is seen in cystic fibrosis?
b. Elevated sweat chloride levels(Ref: Nelson's 20/e p 2100)Because the function of sweat gland duct cells is to absorb rather than secrete chloride, salt is not retrieved from the isotonic primary sweat as it is transported to the skin surface; chloride and sodium levels are consequently elevated. So sweat chloride is...
573
medmcqa_train
All of the following are true for retinopathy of prematurity except:
Ans. Occurs in premature infants due to late crying
574
medmcqa_train
The diagnosis of diabetes mellitus is ceain in which of the following situations?
The occurrence of hyperglycemic ketoacidosis or hyperglycemic hyperosmolar coma is diagnostic of diabetes mellitus. Similarly, persistent fasting hyperglycemia , even if it is asymptomatic, has been recommended by the National Diabetes Data Group as a criterion for the diagnosis of diabetes. However, abnormal glucose t...
575
medmcqa_train
Features of alcohol withdrawl are all EXCEPT: March 2013
Ans. D i.e. Hypersomnolence Alcohol and psychiatry Wernicke's encephalopathy involves: Mammilary bodies Korsakoff's syndrome presents as: - Profound and persistent anterograde amnesia and Confabulation Feature of alcoholic paranoia: Hallucination Questionarrie used: CAGE Alcohol withdrawl: - Visual and tactile hallucin...
576
medmcqa_train
The opercular poion of the cerebral coex that contains Broca's area is which of the following?
Motor speech area of Broca (Brodmann's area 44, 45) occupies the opercular and triangular poions of the inferior frontal gyrus of the dominant hemisphere. Broca's area is formed of two minor gyri, called pars opercularis and pars triangularis, that lie in the posterior end of the inferior frontal gyrus. This area subse...
577
medmcqa_train
Autopsy is known by all names except ?
Ans. is 'c' i.e., Biopsy An autopsy (also known as a post-moem examination, obduction, necropsy, or autopsia cadaverum) is a highly specialized surgical procedure that consists of a thorough examination of a corpse by dissection to determine the cause and manner of death and to evaluate any disease or injury that may b...
578
medmcqa_train
Which of the following has strongest association with osteosarcoma?
Retinoblastoma and osteosarcoma both can occur due to mutation in common gene i.e RB gene. Hence both have strongest association.
579
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Most useful for sex determination is: Kerala 08
Ans. Pelvis
580
medmcqa_train
Features of shock
In early clinical septic shock, renal function was lower, which was accompanied by renal vasoconstriction, a lower renal oxygen delivery, impaired renal oxygenation, and tubular sodium reabsorption at a high oxygen cost compared with controls decrease or decline in the GFR implies progression of underlying kidney disea...
581
medmcqa_train
DOC for listeria meningitis:
Ans. is 'a' i.e., Ampicillin Treatment of listeria infectiono The antibiotic of choice for listeria infection is ampicillin or penicillin G.Antibiotic regimens for listeria infection||||First line regimensPenicillin allergic patientsAlternative drugso Ampicillin or Penicillin is the drug of choiceo Trimethoprim sulpham...
582
medmcqa_train
All of the following statements about neuromuscular blockage produced by succinylcholine are true, except:
Succinylcholine is a depolarizing neuromuscular blocker. With succinylcholine no fading is observed after train of four or tetanic stimulation. All four stimulatory responses after TOF stimulation are suppressed to the same extent. REF : Smith and atkenhead 10th ed
583
medmcqa_train
A man is stuck with lathi on the lateral aspect of the head of the fibula. Which of the following can occur as a result of nerve injury
The common peroneal nerve is extremely vulnerable to injury as it winds around the neck of the fibula if that happens, clinical features are:Motor loss-a)The foot drop is due to paralysis of muscles of anterior compament of the leg (dorsiflexors of the foot) {dorsiflexion not possible}.b)Loss of extension of toes due t...
584
medmcqa_train
Contraception with increased risk of actinomycosis -
Ans. is 'c' i.e., IUCD o Actinomycosis may occur by use of IUCD.Side effects and complications of lUDs1. Bleeding - Most common2. Pain - Second major side effect3. Pelvic infection - PID4. Uterine perforation5. Pregnancy6. Ectopic pregnancy7. Expulsion8. Mortality' - extremely rare
585
medmcqa_train
A six year old male baby presents to a hospital with recurrent gross hematuria for 2 years. There is no h/o burning micturition or pyuria. Urine routine examination demonstrated no pus cells and urine culture was sterile. Serum C3 levels were normal. What is the most probable diagnosis-
Wilms tumor is a rare kidney cancer that is highly treatable. Most kids with Wilms tumor survive and go on to live normal, healthy lives. Also known as nephroblastoma, Wilms tumor can affect both kidneys, but usually develops in just one Wilms' Tumor; Nephroblastoma) Wilms tumor is an embryonal cancer of the kidney com...
586
medmcqa_train
Diagnosis of carcinoid tumors is done by:
Answer is A (5HIAA): The diagnosis of typical carcinoid tumors is done by measurement of 5HIAA levels. Diagnosis of Carcinoid Tumors (Harrison) The diagnosis of carcinoid syndrome relies on measurement of urinary or plasma serotonin or its metabolites in the urine. Typical carcinoid syndrome (high level of serotonin) i...
587
medmcqa_train
A 6 years child has foreign body in trachea .Best initial management is
Ans. is 'a' i.e.Heimlich's maneuver The best option here is Heimlich's maneuver."Heimlich man oeuvre: stand behind the person and place your arms around his lower chest and give four abdominal thrusts. The residual air in the lungs may dislodge the foreign body providing some airway. "Heimlich's maneuveris actually per...
588
medmcqa_train
Stapes develops from:
Malleus and incus are derived from mesoderm of 1" arch. Stapes develops from second arch except its footplate and annular ligament which are derived from the otic capsule.
589
medmcqa_train
Buerger waves (alpha waves) of EEG have the rhythm per sec of -
C i.e. 8-13
590
medmcqa_train
Type of cataract in chalcosis is
Answer- A. Sunflower cataract
591
medmcqa_train
Following are more common in multipara women than primipara woman, EXCEPT:
The incidence of preeclampsia in multiparas is variable but is less than that for primiparas. Risk factors associated with pre-eclampsia: Primigravida (young and elderly) Family history (Hypeension, pre-eclampsia, eclampsia) Placental abnormalities Poor placentation Hyperplacentosis Placental ischemia Molar pregnancy G...
592
medmcqa_train
Which category of ICD is associated with schizophrenia
ICD ICD mentions International classification of mental and behavioural disorders this was given by WHO( World health Organisation) ICD is used all over the world except America latest edition of ICD is ICD11 ICD 11 was released in 2018 DSM DSM mentions Diagnostic and Statistical manual of mental disorders this was giv...
593
medmcqa_train
Terminal axillary draining lymph nodes -
Ans. is 'd' i.e., Apical o The apical group of axillary lymph node receives lymph from anterior (pectoral), posterior (subscapular), central and lateral (humeral) group of axillary lymph nodes. Hence apical group of lymph node is the terminal group of axillary lymph node.Axillary lymph nodeRelated vesselsAnterior (pect...
594
medmcqa_train
True about gastric acid secretion:
A i.e. Secretion decreases with secretin B i.e., H2 blocker prevents relapse C i.e., Total acid output indicates parietal cell mass activity
595
medmcqa_train
All of the swelling moves with deglutition except: March 2012
Ans: C i.e. Branchial cyst Swellings which are adherent to the larynx and trachea moves on swallowing, e.g. thyroid swelling, thyroglossal cyst & subhyoid bursitis. Tuberculous & malignant lymph nodes when they become fixed to the larynx or trachea will also move on deglutition
596
medmcqa_train
Shakir's tape is an example of:
Norms under Appropriate technology: Technology that is scientifically sound. adaptable to local needs. acceptable to those who apply it and those for whom it is used. can be maintained using the locally available resources. - Shakir's tape used to measure mid-arm circumference of child accept all the above norms.
597
medmcqa_train
In pyogenic liver abscess commonest route of spread
"Along with cryptogenic infections, infections from the biliary tree are presently the most common identifiable cause of the hepatic abscess. Biliary obstruction results in bile stasis, with the potential for subsequent bacterial colonization, infection and ascension into the liver. This process is k/a ascending suppur...
598
medmcqa_train
Most common cause for acute infantile gastroenteritis is?
ANSWER: (D) Rota virusREF: www.ncbi.nlm.nih.gov, J Clin Microbiol v. 26(12); Dec 1988Though none of the text books specifically mention most common causes of acute infantile gastroenteritis, most of the literature search in pubmed , cochrane and medscape and major text books of pediatrics point to: Viruses are more com...
599
medmcqa_train