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If the prevalence is very low as compared to the incidence for a disease, it implies
Prevalence = Incidence * Duration of illnessIf incidence is high and prevalence is low compared to the incidence, it means the duration of illness is low.Duration can be low if the disease is fatal or disease is easily curable.Park 23e pg: 62
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The distance of aoic constriction of the oesophagus from the upper incisor teeth
First constriction, at the pharyngo-esophageal junction, 9 cm (6 inches) from the incisor teeth. Second constriction, where it's crossed by the arch of aoa, 22.5 cm (9 inches) from the incisor teeth. Third constriction, where it's crossed by the left principal bronchus, 27.5 cm (11 inches) from the incisor teeth. Fouh ...
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At autopsy, a patient who had died with acute anuria and uremia is found to have ischemic necrosis of the coex of both kidneys with relative sparing of the medulla. These pathological findings are MOST likely related to which of the following underlying conditions?
Diffuse coical necrosis, as described in this patient, is usually seen in the setting of disseminated intravascular coagulation, typically in the context of overwhelming sepsis. It can also be seen following hypotension combined with vasoconstriction. Multiple myeloma is associated with renal deposition of amyloid prot...
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Down Syndrome, All are seen except?
Ans. is 'c' i.e., t (11:14) In 95% of cases of Down Syndrome - trisomy of 21 Extra chromosome is of maternal in origin 1% have mosaic with 46 chromosomes o 4% have robesonian translocation. t (13 : 21) t(14:21) t (15 : 21) o Very rarely long arm of chromosome 21 is triplicate (Paial trisomy)
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In an 8 yr old girl with symptoms of rickets, lab investigations show Serum Calcium 7.2 mg/dl, Serum Phosphates 2.3 mg/dl Alkaline Phosphatase 2420 IU/L. The most probable diagnosis is?
ANSWER: (C) Nutritional RicketsREF: Nelson 17th edition page 2342 Table 691-2Table 691-2 Clinical variants of Rickets and Related ConditionsTypeSerum calcium LevelSerumPhosphorusLevelAlkaline Phosphatase ActivityUrine Concentration of Amino AcidsGeneticsI. Calcium deficiency with secondary hyperparathyroidism (deficien...
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Reilly bodies are seen in?
Mucopolysaccharidoses (MPSs) are characterized by defective degradation and excessive storage of mucopolysaccharides in various tissues. Hepatosplenomegaly, skeletal deformities, lesions of hea valves, subendothelial aerial deposits, paicularly in the coronary aeries, and lesions in the brain, are features that are see...
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Dehydrogenase in HMP shunt act in oxidative phase to generate which of the following?
.
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A 47-year-old man with type II diabetes repos for his 6-month checkup. His doctor prescribes a daily 30-minute routine of walking at a brisk pace. During aerobic exercise, blood flow remains relatively constant to which of the following organs?
Cerebral blood flow at rest is about 750 mL/min and remains unchanged during any grade of muscular exercise. During exercise, coronary blood flow is increased by four to five times with 100% O2 utilization. Renal blood flow is also decreased by 50-80% in severe exercise. During strenuous exercise muscle blood flow can ...
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The conversion of a fatty acid to an active fatty acid is catalysed by which of the following enzymes?
Fatty acids must first be converted to an active intermediate before they can be catabolized. This is the only step in the complete degradation of a fatty acid that requires energy from  ATP.  In  the  presence  of  ATP and coenzyme A, the enzyme acyl-CoA synthetase (thiokinase) catalyzes the conversion of a fatty acid...
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In which of the following structure of central nervous system the major autonomic reflex centers are found?
The medulla oblongata, commonly called the medulla, is located at the level of the foramen magnum. It serves as the major autonomic reflex center that relays visceral motor control to the hea, blood vessels, respiratory system, and gastrointestinal tract. It possesses the nuclei for the glossopharyngeal, vagal, accesso...
6,809
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Similar features between cerebral abscess and cerebral infarct -
Causes of acquired cerebral palsy may include1,2: Brain damage in the first few months or years of life. Infections, such asmeningitis or encephalitis. Problems with blood flow to the brain due to stroke, blood clotting problems, abnormal blood vessels, a hea defect that was present at bih, orsickle cell disease. A cer...
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Metastasis from follicular carcinoma should be treated by: September 2007
Ans. A: Radioiodine Follicular thyroid carcinoma (FTC) is a well-differentiated tumor. In fact, FTC resembles the normal microscopic pattern of the thyroid. FTC originates in follicular cells and is the second most common cancer of the thyroid, after papillary carcinoma. Follicular and papillary thyroid cancers are con...
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Contraindications of ergometrine is -
Ans: C
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Hypercalcemia in ECG is diagnosed by-
The main ECG abnormality seen with hypercalcaemia is shoening of QT interval In severe hypercalcaemia, Osborn wave (J waves) may be seen Ventricular irritability and VF arrest has been repoed with extreme hypercalcaemia Increased PR interval and tall T waves are not seen in hypercalcemia Ref Harrison 20th edition pg 15...
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A 8-year-old male had non-blanching rashes over the shin and swelling of the knee joint with haematuria +++ and protein +. Microscopic analysis of his renal biopsy specimen is most likely to show –
This child has → i) Rash              ii) Arthritis (swelling of knee joint)                        iii) Haematuria All these suggest the diagnosis of Henoch Schonlein purpura HSP is characterized by deposition of IgA in the mesangium.
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FIGLU excretion test is used for assessment of deficiency of -
Ans. is 'c' i.e., Folic acid Assessment of folate deficiencyo Following tests are used for assessment of folate deficiency.Blood levelNormal level in scrum is about 2-20 nanogram/mJ and about 200 micorgram.'ml of packed cells.Histidine load test or FIGLU excretion test :- Histidine is normally metabolized to formimino ...
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100. A Patient presents with pain in Meta-Tarso-Phalangeal joints and is a known case of chronic renal failure. This is due to accumulation of:
Ans. b. Uric acid The underlying basis of gouty ahritis is increased serum uric acid level. Most common joint involved in gout: Meta-Tarso-Phalangeal jointsQ Precipitation of monosodium urate crystalsdeg into the joints is the underlying basis for these urate crystals is increased total body urate levels
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Amount of water lost in stools
Normal" Output: 1400-2300 mL/d Urine: 800-1500 mL Stool: 200 mL-250mL Insensible loss: 600-900 mL (lungs and skin). (With fever, each degree above 98.6degF adds 2.5 mL/kg/d to insensible losses; insensible losses are decreased if a patient is undergoing mechanical ventilation; free water gain can occur from humidified ...
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Cerebral angiography was performed by
Ans. is 'd' i.e., Egas Moniz
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Which of the following is used for acute variceal bleeding?
Ans. A. Octreotide.The medical management of acute variceal hemorrhage includes the use of vasoconstricting agents, usually somatostatin or Octreotide. Vasopressin was used in the past but is no longer commonly used. Balloon tamponade (Sengstaken- Blakemore tube or Minnesota tube) can be used in patients who cannot get...
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Lateral wall of mastoid antrum is related to ?
MacEwen's triangle or suprameatal triangle overlies the lateral wall of mastoid antrum. It is bounded above by supramastoid crest, anteroinferiorly by posterosuperior margin of external auditory canal and posteriorly by a tangent drawn from zygomatic arch.
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Hagemann factor is involved in: March 2009
Ans. B: Intrinsic pathway Hageman factor is factor XII, also known as glass factor. The initial reaction in the intrinsic system is conversion of inactive factor XII to active factor XII (XIIa). This activation, which is catalyzed by high-molecular-weight kininogen and kallikrein, can be brought about in vitro by expos...
6,821
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Respiratory centre depression is caused by all exceptaEUR'
Strychnine Strychnine is a respiratory stimulant, itfant, it stimulates all pas of CN.S. -In strychnine poisoning the person is not able to breathe but it does not occur due to respiratory centre depression instead it is caused by spasm of the diapharm and thoracic muscles. Respiratory depression with opioids is well k...
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An 18-year-old boy presented with repeated epistaxis and there was a mass arising from the lateral wall of his nose extending into the nasopharynx. It was decided to operate him. All of the following are true regarding his management except
TREATMENT OF NASOPHARYNGEAL ANGIOFIBROMA Surgery:- Surgical excision is the treatment of choice though radiotherapy and chemotherapy singly or in combination have also been used. Ref:- Dhingra; pg num:-248,249
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Bacteria causing acute hemorrhagic conjunctivitis is
Pneumococcus is the only bacteria causing acute hemorrhagic conjunctivitis.
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In the cou of law, professional secrecy can be divulged under: MAHE 11
Ans. Privileged communications
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"Cruising" is a developmental milestone attained at the age of:
Cruising is attained by 10-11 months "Cruising" is an action in which a child pulls to the standing position and then scuffles around holding onto a piece of furniture. Ref: Ghai Essentials Pediatrics 9th edition Pgno: 43
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Which of the following muscle relaxant has the maximum duration of action –
On this, there is controversy in different books :- According to Goodman & Gilman, Pancuronium is the longest acting. According to Lee Pipecuronium is the longest acting. Some books have given Doxacurium as longest acting (KDT, Ajay Yadav) You are lucky as you have got only one amongst these three. For this questio...
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Superior rib notching is not associated with which of the enlisted conditions?
.
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Amniocentesis conducted during genetic counseling of a pregnant woman reveals a fetal adenosine deaminase deficiency. This autosomal recessive immunodeficiency is usually associated with which of the following?
Immunodeficiency disorders can be categorized according to whether the defect primarily involves humoral immunity (bone marrow derived, or B lymphocytes) or cellular immunity (thymus derived, or T lymphocytes) or both. Swiss-type hypogammaglobulinemia, ataxia-telangiectasia, the Wiskott-Aldrich syndrome, and severe com...
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Breast feeding is not contraindicated if:
Breast feeding is not contraindicated if the mother has hepatitis B infection. Infants routinely receive hepatitis B immunoglobulin and hepatitis B vaccine if mother is HBsAg positive. No delay in initiation of breastfeeding is required. Contraindications of Breastfeeding: Donot Breastfeed Infant factors Classic galact...
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In the absence of any clear history of trauma, this radiograph done in a patient of shoulder pain most likely suggests:
Ans. B Calcific tendinitisCalcific density is seen adjacent to the greater tuberosity of humerus - mostly this is within the supraspinatus tendon and seen in chronic calcific tendinitis.
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Most common causative organism for bacterial meningitis beyond 3 years of age is -
Most common causative organism for bacterial meningitis beyond 3 years of age is - Pneumococcus
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Rhinoscleroma occurs due to
Rhinoscleroma The causative organism is Klebsiella rhinoscleromatis Frisch bacillus, which can be cultured from the biopsy material. The disease is endemic in several parts of the world. In India, it is seen more open in northern than in the southern parts. Biopsy shows infiltration of submucosa with plasma cells, lym...
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Nerve which loops around submandibular duct?
Submandibular duct It is 5 cm long duct and runs forwards on hyoglossus, between lingual and hypoglossal nerves. At the anterior border of the hyoglossus muscle it is crossed by lingual nerve which loops around it. It opens into the floor of mouth, on the summit of the sublingual papilla at the side offrenulum of tongu...
6,834
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How soon after feilization occurs within the uterine tube does the blastocyst begin implantation?,
The blastocyst begins implantation by day 5 after feilization.
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In a pregnant women of 28 weeks gestation IUD is earliest demonstrated on X-ray by :
Gas in vessels
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Average duration of function of primary dentition
Average duration of function of primary dentition is 6 yrs while maximum duration is 10 years.
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A patient comes with 6 weeks amenorrhoea and features of shock-
Ans. is 'a' i.e., Ectopic pregnancy Clinical features of ectopic pregnancyo Classical triad is abdominal pain (100%), amenorrhea (75%) & vaginal bleeding (70%).o Amenorrhea usually of short period (6-8 weeks)o Abdominal pain it is acute, agonising & colicky. Located in lower abdomen: unilateral, bilateral or may be gen...
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The carrying capacity of any given population is determined by its
Limiting resource Carrying capacity : The suppoable population of an organism, given the food, habitat, water and other necessities available within an ecosystem is known as the ecosystem is known as the ecosystem's carrying capacity for that organism RRefers to the number of individuals who can be suppoed in a given a...
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FNAC is the IOC is given below thyroid conditions except
FNAC is the IOC for most of thyroid disorder except Anaplastic carcinoma. Thyroid lymphoma & Reidel's thyroiditis where "tru - cur biopsy" is the investigation of choice.
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The treatment of choice for hydatiform mole with a uterine size of 28 weeks is:
Management of vesicular mole/complete mole Suction evacuation (also do a gentle curettage with a sharp curette) Do USG after a week to rule out retained bits Do CXR to rule out metastasis HCG follow up
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Which of the following is true regarding olazapine except-
Ans. is 'd' i.e., Less epileptogenic action than phenothiazine o Clozapine and olanzapine are most epileptogenic antipsychotics. o Olanzapine blocks multiple monoaminergic (D2, 5-HT2, al, a2) as well as muscarinic and H1receptors. o It causes weight gain o It causes little rise in prolactin level.
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Juxtaglomerular apparatus lies in relation to :
Glomerulus As the name implies ju.aglomerulus apparatus (JGA) lies at hilum of glomerulus Juxtaglornerulus apparatusThe juxtaglomerular apparatus is a microscopic structure in the kidney, which regulates the function of Lech nephron. The juxtaglomerular apparatus is named for its proximity to the glomerulus: it is foun...
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Founder effect describes the distribution of diseases on the basis of
In population genetics, the founder effect is the loss of genetic variation, and/or occurrence of genetic disorders when a new population is established by a very small number of individuals from a larger population. Ref: 25th edition, Park's Textbook of Preventive and Social Medicine, Page no. 888
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In Maroteaux- Lamy syndrome, the enzyme deficient is?
Ans. A (Arylsulfatase B). (Ref. Harrison, Medicine, 18th/ Chapter 361. Lysosomal Storage Diseases) Maroteaux-Lamy syndrome (MPS type VI) is due to deficiency of N-acetyl galactosamine (arylsulphatase B enzyme). Mucopolysaccharidoses (MPS) Disorder Enzyme Deficiency Stored Material Inheri- tance Neuro- logic Liver Splee...
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Following accidental intra-aerial injection of thiopentone, which should not be done?
Thiopental slows the activity of your brain and nervous system. Thiopental is used to help you relax before you receive general anesthesia with an inhaled medication.Thiopental may be used for other purposes not listed in this medication guide.
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Bih weight triples at: Odisha 11
Ans. 1 year of age
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A 7 year old girl is brought with complaints of generalized swelling of the body. Urinary examination reveals Grade 3 proteinuria and the presence of hyaline and fatty casts. She has no history of Hematuria. Which of the following statements about her condition is TRUE?
A young girl presenting with generalized edema, significant proteinuria, absence of hematuria and hyaline and fatty casts is most likely to be suffering from Minimal change disease (Lipoid nephrosis), the most common type of Nephrotic Syndrome. In patients with Minimal change disease, C3 levels are normal and renal bio...
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What is the cardiothoracic ratio in children is -
“The cardiac silhouette occupies 50-55% of the chest width. Cardiomegaly is present when the cardiothoracic (CT) ratio is more than 55%” he CTR is measured on a PA chest x-ray and is the ratio of maximal horizontal cardiac diameter to maximal horizontal thoracic diameter (inner edge of ribs / edge of pleura). A normal ...
6,849
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Which ophthalmological investigation is being performed on the patient?
Ans. (c) Direct ophthalmoscopyThe only confusion (if any) should be with Retinoscopy, as both the instruments look the same, but retinoscopy is usually performed from a distance of 1 meter.
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Phase 1 biotransformation includes ?
Ans. is 'a' i.e., Reduction Types of biotransformation reactions Biotransformation reactions (metabolism) of drugs can be classified : A. Non-synthetic (phase I) reactions Metabolism brings about a change in the drug molecule by : Oxidation Hydrolysis Decyclization Reduction Cyclization The new metabolite may retain bi...
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True about central nystagmus is
Nystagmus is central when the lesion is in the central neural pathways. It cannot be suppressed by optic fixation. The direction of nystagmus is changing and is non-fatiguable. (Ref: Diseases of EAR, NOSE AND THROAT by PL DHINGRA - 6th Edition)
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Most common site of primary carcinoma in a case of Krukenberg tumor is:
Krukenberg tumor is secondaries to the ovary, it is most commonly from the CA Stomach (usually adenocarcinoma of gastric pylorus). Other primary sites are breast cancer, appendix, colon, small intestine, rectum gall bladder, biliary tract. Firm to solid waxy consistency and it is bilateral in 90% cases Signet ring cell...
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Abnormal a-fetoprotein is seen in :
All of the above
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ASA grading is to assess?
Ans is 'c' i.e. risk factors * ASA is the simplest and most widely used system for describing patient's physical status to assess the risk factors before anaesthesia.* Brain dead patient is ASA grade-2.American society of anaesthesiologist (asa) classification* ASA classification is for the Preoperative assessment to q...
6,855
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Dapoxetine is specifically developed for?
Ans. is 'c' i.e., Premature ejaculation Dapoxetine Dapoxetine is the first compound developed specially for the treatment of premature ejaculation (PE) in men 18-64 years old. Dapoxetine works by inhibiting the serotonin transpoer, increasing serotonin's action at the post synaptic cleft, and as a consequence promoting...
6,856
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In chronic alcoholics which the following enzymes are inhibited-
Ans. is 'a' i.e., Glycogen phosphorylase kinase Alcohol effects on Carbohyrate metabolism* Ethanol adversely affects the carbohydrate metabolism in skeletal muscle.* Chronic alcohol intake is associated with an increase in glycogen concentration in skeletal muscles because of incapacity to degrade glycogen due to parti...
6,857
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Post traumatic stress syndrome is due to -
REACTION TO STRESS AND ADJUSTMENT DISORDERS This category in ICD-10 consists of disorders which are temporally related to an exceptionally stressful life event ( acute stress reaction and post-traumatic stress disorder) or a significant life change (adjustment disorders) immediately before the onset of illness. Ref: A ...
6,858
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Body dysmorphic disorder can be associated with all except
BDD (Body dysmorphic disorder) is a body-image disorder characterized by persistent and intrusive preoccupations with an imagined or slight defect in one's appearance. People with BDD can dislike any pa of their body, although they often find fault with their hair, skin, nose, chest, or abdomen. People with BDD commonl...
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All are associated with EBV except ?
Ans. is 'd' i.e., Epidermodysplasia Epstein - Barr Virus (EBV) . Belongs to Herpes viruses family. . Infection is most common in early childhood, with a second peak during late adolescence. . Infectious mononucleosis (IM) is usually a disease of young adults. . EBV is transmitted by saliva (oral secretions) of infected...
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The following is true about prevalence and incidence:
Incidence rate is defined as 'the number of NEW cases occurring in a defined population during a specific period of time.' Disease prevalence refers specifically to all current cases(old and new) existing at a given point in time or over a period of time in a given population. Although referred to as a rate, prevalence...
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A child presents with Hepatosplenomegaly, Abdominal distension, Jaundice, Anemia and Adrenal calcification. Which of the following is the Diagnosis ?
Wolman disease is a congenital disease characterized by an impaired metabolism of the fats (lipids). It is the most severe type of lysosomal acid lipase deficiency. The lysomal acid lipase deficiency causes a buildup of lipids (fats) in body organs and calcium deposits in the adrenal glands. Reference: GHAI Essential p...
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Perifasicular atrophy of muscle fibres is seen in?
A distinctive feature of dermatomyositis is atrophy and degeneration of myofibres at the periphery of fasicles (perifasicular) which occurs even in the absence of inflammation.
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In rural area, cattle sheds should be ..... away from the houses ?
Ans. is 'd' i.e., 25 feet Rural housing In rural areas, the 'approved' standards may be lower than in towns. The following minimum standards have been suggested : There should be at least two living rooms. Ample verandah space may be provided. The built-up area should not exceed one-third of the total area. There shoul...
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Vibrio parahemolyticus is seen in which of the following if undercooked?
Vibrio parahaemolyticus infections are associated with the consumption of raw shellfish, cross-contaminated food, and the exposure of wounds to seawater containing V. parahaemolyticus. It is the cause of numerous outbreaks of foodborne illness where raw or uncooked seafoods are commonly consumed.
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Ankle sprain due to forced inversion of a plantar flexed foot is due to injury to
Ans. a. Anterior talofibular ligament
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Zones of operation theatre includes all except:
Ans: a-septic zone...Protective Zone: Areas included in this zone are:ReceptionWaiting areaTrolley bayChanging roomClean Zone: Areas included in this zone are:Pre-op roomRecovery roomPlaster roomStaff roomStoreSterile Zone: Areas included in this zone are:Operating SuiteScrub RoomAnesthesia Induction RoomSet up RoomDis...
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A 20 year old man complains of difficulty in reading the newspaper with his right eye, three weeks after sustaining a gun shot injury to his left eye. The most likely diagnosis is:
B i.e. Sympathetic opthalmitis
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A 56 year old man is brought to the emergency depament with rapid onset of severe abdominal pain. But physical examination seemed to be out of propoion to his symptom. Acute mesenteric ischemia was diagnosed. What is the MOST common cause of acute mesenteric ischemia?
Acute mesenteric ischemia occurs when prolonged reduction in the splanchnic blood flow occurs. The most common cause is aerial embolism, which accounts for 50% of cases. The emboli most commonly originate from a cardiac source. Most emboli lodge in the superior mesenteric aery (SMA) because of the angle from which it t...
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Untrue about acute cholecystitis
(A) Jaundice is the earliest symptom # ACUTE CHOLECYSTITIS often begins as an attack of biliary pain that progressively worsens.> Approximately 60 to 70% of patients report having experienced prior attacks that resolved spontaneously.> As the episode progresses, however, the pain of acute cholecystitis becomes more gen...
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Fallen fragment sign is a feature of ?
Ans. is 'a' i.e., Simple bone Simple bone cyst (Solitery/Unicameral bone cyst) Simple bone cyst occurs before the age of 20 years The most common site is proximal humerus (50%)followed by Proximal femur (25-30%). Radiological features are : - Concentric Metaphyseal Expansile lucent (lytic) Well defined border with scle...
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The sensation of posterior aspect of tongue is by
The glossopharyngeal nerve is the nerve for both general sensation and taste for the posterior one third of the tongue including the circumvallate papillae.The posterior most pa of the tongue is supplied by the vagus nerve through the internal laryngeal branch.The sensory supply of anterior two thirds is lingual nerve ...
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A 56-year-old woman with diabetes, hypertension, and hyperlipidemia is found to have an A1C of 11 despite her best attempts at diet and faithfully taking her metformin and glyburide. The patient mentions that she has been unable to exercise much, partially due to severe fatigue and sleepiness in the daytime. On examina...
Obstructive sleep apnea (OSA) that has gone untreated contributes to increased insulin resistance. This appears to have an additional effect even beyond the common cooccurrence of obesity as in this patient. Treatment of OSA can lead to improvement in glucose control. This patient is obese, has a crowded oropharynx on ...
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What is the size of particle is rapid sand filter ?
Rapid sand filter  → 0.4 - 0.7 mm Slow sand filter → 0.2 - 0.3
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Which of the following diseases is not transmitted by fleas?
Diseases transmitted by fleas include: Plague Endemic typhus Chiggerosis Hymenolepis diminuta. Ref: Park 21st edition page: 719.
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Fetal blood loss occurs in :
Vasa pre
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What will be reversible damage?
In this question primarily we talking about asthma= We give salbutamol FEV1 becomes Normal Change of FEV1 before & after giving salbutamol (SABA) should be at least 12% to call it Bronchial Asthma.
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4 drugs in AKT used because -
<p> 4 drugs used in AKT because of decrease in resistance by mutation. Park&;s textbook of preventive and social medicine,K.Park,22nd edition,page no:173. <\p>
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The child , Makes tower of 9 cubes at age of ____________
Emerging patterns of Adaptive milestones from 1-5years of age 15months Makes a tower of 3 cubes Makes a line with a crayon Inses raisin in a bottle 18months Makes a tower of 4 cubes Imitates scribbling Imitates veical stroke Dumps raisin from a bottle 24months Makes a tower of 7 cubes (6 at 21 mo) Scribbles in a circul...
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Actinomycosis most commonly affects
Facio - cervical Actinomycosis is most common type.
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Pseudosulcus in larynx is
Laryngeal pseudosulcus refers to edema of the ventral surface of the true vocal fold that extends from the anterior commissure to the posterior larynx. Patients with pseudosulcus are nearly 2.5 times more likely to have pH-documented Larynopharyngela reflux.
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Thinnest pa of retina
Foveola High Yield Facts Posterior Pole: Macula + Optic nerve head. Optic disc: 1.5 mm Macula: 5.5 mm (Temporal to optic disc) Fovea - Centralis : Central depressed pa of Macula, 1.5 mm Foveola - 0.35 mm. Thinnest pa of retina after ora serrata. Contains no ganglion cells, only cones.
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Absolute contraindications of oral contraceptive pill are all EXCEPT :
Smoking
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A 22 year old man presents with a solitary 2 cm space occupying lesion of mixed echogenicity in the right lobe of the liver on ultrasound examination. The rest of the liver is normal. Which of the following tests should be done next –
Lesion in right hepatic lobe with mixed echogenicity on USG suggests the diagnosis of hemangioma. MRI is the most accurate method of diagnosing liver hemangioma and is indicated when liver hemangioma is suspected on USG and the diameter of the lesion is smaller than 2.5 cm. However, MRI is not provided in the options. ...
6,884
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True about Lucio's phenomenon is-
Ans. is 'c' i.e. Ischemic necrosis * Lucio's phenomenon is seen in untreated cases of lepromatous leprosy.Lucio's phenomenon* Lucio's phenomenon is seen in lepromatous leprosy (LL). It occurs in patients who are untreated. Patients develop recurrent crops of large sharply marginated, ulcerative lesions, particularly on...
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Anakinrais-
Ans. is 'b' i.e., IL 1 antagonist BIOLOGIC RESPONSE MODIFIER (BRMs)* Several recombinant proteins/monoclonal antibodies that bind and inhibit cytokines, especially TNFa or IL-1 have been used succesfully in autoimmune diseases like RA, IBD, psoriosis or scleroderma.A. TNF-a inhibitorsa. Etanercept# It is a recombinant ...
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Excessive sexual desire in females is known as?
Ans. is 'a' i.e. Nymphomania Sexual dysfunction* Sexual dysfunction are characterized by repeated inability to participate in sexual relationship or its unsatisfying nature. Important sexual dysfunctions are: -1. Disorder of sexual desire:- i) Excessive sexual desire - Satyriasis in males and nymphomania in women, ii) ...
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Sertoli cells in male secrete -
Ans. is 'c1 i.e., MIHo Sertoli cells are stimulated by FSH and secreteAndrogen binding protein (ABP)InhibinMullerian inhibiting substance (MIS) or Mullerian inhibiting hormone (MIH)o Leydig cells are stimulated by LH and secrete androgens (testesterone), dihydrotestosterone, androstendione, dehydroepiandrosterone.
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Which statement regarding transmission of viral illness through homologous blood transfusion is true?
CMV is harbored in blood leukocytes. While acute CMV infection may cause transient fever, jaundice, and hepatosplenomegaly in cases of large blood donor exposures, post transfusion l.CMV infection (seroconversion) is not a significant clinical problem in immunocompetent recipients, and therefore blood is not routinely ...
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Deformity with decreased carrying angle is
Refer Apleys 9th e p 372 Cubitus varus develops which is reduced carrying angle and Cubitus valgus is increased carrying angle
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Aery forming anastomosis around surgical neck humerus -
Ans. is'c'i.e., 3rd pa of axillary aeryAnastomosis around surgical neck of humerus is formed by -Anterior circumflex humeral aery.Posterior circumflex humeral aeryBoth are branches of 3rd pa of axillary aery.
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In which of the following state, a person is mute and akinetic, but can be awakened and even be ale?
Ans.A. StuporStupor refers to a higher degree of arousability in which the patient can be transiently awakened only by vigorous stimuli, accompanied by motor behaviour that leads to avoidance of uncomfoable or aggravating stimuli.
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The deltoid ligament is a strong ligament. It is attached to all of the following structures, EXCEPT?
Medial collateral ligament (deltoid ligament) attaches to the medial malleolus of the tibia and the navicular, talus, and calcaneus bones. This ligament prevents medial distraction (eversion) and excessive range of motion. It is subdivided into four pas:Tibionavicular pa attaches the margin of the plantar calcaneonavic...
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The major purpose of Randomization in clinical trials is to -
Ans. is 'd' i.e., Reduce selection bias in allocation of treatment
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Which of the following is an indor air-pollutonts-
Ans. is 'a' i.e., Carbon dioxide Important indoor air pollutantsPOLLUTANTSSOURCESRespirable particlesTobacco smoke, Stove, Aerosol sprays.Carbon monoxideCombustion equipment, Stove, Gas heaters.Nitrogen dioxideGas cookersCigarettesSulphur dioxideCoal combustionCarbon dioxideCombustion, respirationFormaldehydeParticle b...
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Which of the following is a feature of Vit B12 deficiency anemia?
Clinical manifestations of Vitamin B12 deficiency: Haematological: Macro-ovalocytes, Hypersegmentation of neutrophils. Neurological: Demyelination in peripheral nerves and spinal cord B12 deficiency leads to megaloblastic anemia due to folate trap The peripheral smear given below shows hypersegmented neutrophil and mac...
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Rate of involution of uterus is: March 2011
Ans. C: 1.25 cm per day During the first 24 hours after delivery, the level of the uterus remains constant; thereafter there is a steady decrease in height by 1.25 cm (half inch) in 24 hours, so that by the end of 2^d week, the uterus becomes a pelvic organ Remember: Puerperium period: 6 weeks after delivery Involution...
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The CSF findings in TB meningitis include –
CSF in T meningitis Low sugar                   o Predominant cells --> Lymphocytes           o Opening pressure is elevated High protein                o Very low chloride
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All are true about Dermatitis herpetiformis EXCEPT:
Lesions have epidermal bullae REF: Fitzpatrik dermatology 6th ed p. 558-73 Dermatitis herpetiformis (DH) is an intensely pruritic, papulovesicular skin disease characterized by lesions symmetrically distributed over extensor surfaces (i.e., elbows, knees, buttocks, back, scalp, and posterior neck). Almost all DH patien...
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