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Maximum IMR is seen in
State (2014)IMR / 1000Tamil Nadu20Orissa/Odisha49Maharashtra22Kerala12Madhya Pradesh52(Refer: K. Park's Textbook of Preventive and Social medicine, 24th edition, pg no:604)
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medmcqa_train
All are surface anaesthetics except -
Ans. is 'b' i.e., Bupivacaine o Topical anaesthesia (surface anaesthesia) is produced by topical application of local anaesthetics to mucous membrane or abraded skin. o Surface anaesthetics are Dibucaine (Cinchocaine) Lignocaine Benoxinate Oxethazaine Prilocaine Tetracaine (Amethocaine) Cocaine Benzocaine Butamben o Pr...
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medmcqa_train
All are seen in morphine poisoning except:
Hypotension is a feature and not hypeension Features of Morphine Poisoning: Euphoria - Initial euphoria followed by period of sedation (nodding off) - Lethal - respiratory depression Slow respiration, hypothermia, hypotension bradycardia, cyanosis, pin point pupil, cyanosis
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Causes of cynosls-
Tetralogy of Fallot causes low oxygen levels in the blood. This leads to cyanosis (a bluish-purple color to the skin). The classic form includes four defects of the hea and its major blood vessels: Ventricular septal defect (hole between the right and left ventricles) Ref Davidson 23rd edition pg 455
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medmcqa_train
Severity of acute pancreatitis correlate with levels of all of the following except
ASSESSMENT OF SEVERITY OF ACUTE PANCREATITIS It is impoant to define that group of patients who will develop severe pancreatitis, as they are the ones with poorer outcomes and therefore they require aggressive early management and possibly transfer to a specialist unit. A severe attack may be heralded by an initial cli...
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medmcqa_train
Prominent corneal nerves are seen in all except -
Macular dystrophy (Groenouw type-II)It is an autosomal recessive dystrophy characterisedby appearance of dense grey opacity in the centralcornea. The condition results due to accumulation ofmucopolysaccharides owing to a local enzymedeficiency. It occurs in childhood (5 to 10 years) andleads to marked defective vision ...
7,805
medmcqa_train
Angiofibroma bleeds excessively because -
The characteristic of JNA is that the vessels are just endothelial - lined spaces with no muscle coat. As the contractile component (muscle coat) of vessels is absent, vessels have no ability to contract, i.e. vasoconstriction does not occur, and this accounts for :- Severe and recurrent epistaxis Bleeding cannot be ...
7,806
medmcqa_train
Which of the following is a common feature of NSAID induced allergic interstitial nephritis?
The classic presentation of allergic interstitial nephritis (AIN), include fever, rash, peripheral eosinophilia, and oliguric renal failure. But in nonsteroidal anti-inflammatory drug (NSAID)-induced AIN, fever, rash and eosinophilia are rare, but acute renal failure with heavy proteinuria is common. Ref: Harrisons pri...
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medmcqa_train
Not included in PQLI is
Ans. (a) IncomeRef. K. Park 23rded. /17Components/lndicators of PQLI* Literacy rate* Infant mortality rate* Life expectancy at age 1 year
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medmcqa_train
Oxygen hemoglobin dissociation curve shifts to right in all of the following conditions EXCEPT:
Ans. C Decreased H+Ref: Ganottg, 25th ed. pg. 640-641OXYGEN HEMOGLOBIN DISSOCIATION CURVE* Oxygen- hemoglobin dissociation curve is sigmoid 'S' shaped because binding of one oxygen molecule to heme increases the affinity of second heme molecule for oxygen and so on.Factors affecting affinity of Hb for oxygen and causin...
7,809
medmcqa_train
Enzyme alglucerase is used in the treatment of ?
Ans. is 'a' i.e., Gaucher's diseaseAlglucerase (ceredase) is used in the treatment of Gaucher's disease.
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In hyperparathyroidism, which of the following is not seen
there is increased phosphate level in urine ( Harrison 17 pg 2382)
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Pregnant women with obesity are at higher risk of following except?
Ans. is 'd' i.e.,InfectionsIn a prospective multicenter study, pregnant females with obesity (BMI of 30-39.9) was associated with an increased risk of the following compared to non obese females:Gestational diabetes mellitusPreeclampsiaGestational hypeensionFetal macrosomia
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medmcqa_train
A child is admitted to the pediatric unit with a diagnosis of suspected meningococcal meningitis. Which of the following nursing measures should the nurse do FIRST?
The initial therapeutic management of acute bacterial meningitis includes isolation precautions, initiation of antimicrobial therapy and maintenance of optimum hydration. Nurses should take necessary precautions to protect themselves and others from possible infection.
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medmcqa_train
Most common cause of intrauterine infection:
Ans. is d, i.e. CytomegalovirusRef. Williams Obs. 23/e, p 1216, 1217; Harrison 17/e, p 48Most common cause of intrauterine infection is cytomegalovirus.
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medmcqa_train
A 1.5 year-old girl is admitted to Pediatric ward with cough, fever, and mild hypoxia. At the time of her admission, on CXR left upper lobe consolidation is seen. Staphylococcus aureus is seen on blood culture within 24 hours. Suddenly the child's condition acutely worsened over the past few minutes, with markedly incr...
Above clinical scenario suggestive of the diagnosis of Tension Pneumothorax In Tension pneumothorax, continuing leak causes increasing positive pressure in the pleural space, leading to compression of the lung, shift of mediastinal structures toward the contralateral side like kinking of Superior vena cava which cause ...
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medmcqa_train
What is stereopsis is -
Ans. is 'b' i.e. Perception of the depth of vision o Stereopsis is a term that is most often used to refer to the perception of depth and 3-dimensional structure obtained on the basis of the visual information deriving from two eyes by individuals with normally developed binocular visiono There are two distinct aspects...
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Turner syndrome is
Ans. (a) 45 XORef: Shaws 15th ed. H10-111; Harrison 19/e 635; William's Gynecology Ch 16
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Clinical audit means -
Ans. is 'b' i.e., Measuring current patients care against explicit criteriao Clinical audit is a quality improving process, in which patients care is improved.o In this, current patients outcome and outcomes are measured against explicit audit criteria (against reference standards).
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Drug which arrests mitosis in metaphase ?
Ans. is 'c' i.e., Vinca alkaloids M-phase inhibitors (Mitosis inhibitors) are vincristine, vinblastine, paclitaxel, docetaxel ixabepilone and extramustine.
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Gall bladder adenocarcinoma is only involving lamina propria. What is the preferred treatment
Only invading lamina propria is T1a stage -simple cholecystectomy.
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Carpal tunnel contains all except
FLEXOR RETINACULUMCarpal tunnel.Transverse carpal ligament.Strong fibrous band which bridges anterior concavity of carpus and conves it into osseofibrous tunnel called carpal tunnel for the passage of flexor tendons of the digits.Rectangular.Formed due to thickening of deep fascia in front of carpal bones.Attachments: ...
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Following are recognized F/O Myositis ossificans EXCEPT:
C i.e. The complication is less likely in children
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SAFE strategy is recommended for-
Ans. is 'c' i.e., Trachoma o SAFE strategy developed by the WHO is the key to the treatment of trachoma. This consists of Surgery (S) on the lids. Antibiotics to treat the community pool of infection (A), Facial cleanliness (F) ; and Environmental changes (E). Blindness From Trachoma Can Be Stopped At FourDifferent poi...
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medmcqa_train
cat acts as reservoir in the following ?
Toxoplasma gondii * Worldwide * Zoonotic parasite; Toxoplasma is an oppounistic pathogen. * Infects animals, cattle, birds, rodents, pigs, and sheep. * and humans. * Causes the disease Toxoplasmosis. * Toxoplasmosis is leading cause of aboion in sheep and goats. * Intracellular parasite. * Final host (Felidae family, c...
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A fetomaternal transfusion of more than 30 ml has been found in what percentage of women at delivery:
10%
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Least failure in sterilization occurs with:
Female tubal sterilization methods-10 year cumulative failure rates: Unipolar cauterisation – 0.75% Postpartum tubal excision – 0.75% Silastic ring/fallope ring – 1.77 Interval tubal exclusion – 2.01 Bipolar coagulation – 2.48 Hulka - clemens clips – 3.65 Note: Although unipolar cauterization has least failure rates, b...
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medmcqa_train
Central nervous system manifestion in chronic renal failure are a result of all of the following except -
Chronic renal failure results in- Sodium and water retention leading to hyponatremia(not common and responds to water restriction). Decreased ca absorption -Hypocalcemia-increase in PTH -Hyperphosphatemia,increased bone resorption resulting in hypercalcemia-deposition of calcium in extraosseous sites such as vascular b...
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A patient comes to hospital with a history of sore throat, diarrhoea and sexual contact 2 weeks before. The best investigation to rule out HIV is-(
The standard blood screening test for HIV infection is the ELISA, also referred to as an enzyme immunoassay (EIA). This solid-phase assay is an extremely good screening test with a sensitivity of >99.5%. The fouhgeneration EIA tests combine detection of antibodies to HIV with detection of the p24 antigen of HIV. The mo...
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CD marker of histiocytosis is-
Tumour cells in histiocytosis typically express HLA -DR,S-100,and CD1a. Reference : Robbins and Cotran Pathologic basis of disease.South Asia Edition volume 1.page no. 622
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Methotrexate is used in all except aEUR'
Sickle cell anemia Methotrexate in Rheumatoid ahritis Methotrexate is now considered the first line DMARD agent for most patients with Rheumatoid ahritis. - Methotrexate is effective in reducing the signs and symptoms of Rheumatoid ahritis as well as slowing or halting radiographic damage. - It has relatively rapid ons...
7,830
medmcqa_train
An elderly patient with hypeension with diabetes, proteinuria without renal failure, antihypeensive of choice is-
Among the currently popular antihypeensive agents, angiotensin-conveing enzyme (ACE) inhibitors, such as captopril and enalapril, have been blamed, albeit rarely, for hepatotoxicity (primarily cholestasis and cholestatic hepatitis, but also hepatocellular injury) .Malignant hypeension (whenIV therapy is indicated) - La...
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medmcqa_train
All the following are true about Rheumatoid ahritis except:
Answer is D (C Reactive protein indicates better prognosis) Persons who present with high titers of Rheumatoid factor, C Reactive protein and Haptoglobin have a worse prognosis than the individuals who present with Subcutaneous nodules or Radiographic evidence of erosions
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medmcqa_train
Only laryngeal muscle that is innervated bidirectionally is
- Interarytenoid muscle is an unpaired muscle in the centre between the 2 arytenoid cailages and is innervated bidirectionally.
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medmcqa_train
Which of the following structures pass through aoic hiatus?
The aoic hiatus situated at the level of T12 veebra. Structures passing through aoic hiatus along with aoa are:Thoracic ductAzygos veinHemiazygos vein
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medmcqa_train
Fracture of teeth and some bruises around mouth is: AIIMS 12
Ans. Grievous injury
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All of the following muscles of pollex are supplied by median nerve, EXCEPT:
Pollex means Thumb, which means strong in latin. There are four sho muscles of thumb (pollex), they are abductor pollicis brevis, opponens pollicis, flexor pollicis brevis and adductor pollicis. The first three of these muscles form the thenar eminence. All these muscles are supplied by median nerve except for adductor...
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medmcqa_train
A 50 year old male patient presents to the clinic for routine checkup. He is hypertensive and a type 2 diabetic. Lab investigations reveal plasma cholesterol levels 5.8 mmol/L and RBS 180 mg/dl. Which of the following agents can be used in this patient?
When diet changes fail, hypolipidemic drugs can reduce serum cholesterol & triacylglycerol. A family of drugs known as statins have proved highly efficacious in lowering plasma cholesterol and preventing  heart disease. Statins act by inhibiting HMG-CoA  reductase and up-regulating LDL receptor activity. Examples curre...
7,837
medmcqa_train
In which of the mentioned segments of a nephron, Na+ reabsorption primarily occurs by the Na+-H+ exchange?
In the PCT, the apical membrane has Na+/H+-antipoer, which couples H+ secretion with the Na+ movement across the apical membrane. In the TAL of loop of Henle:- The sympoer NKCC moves 1 Na+, 1 K+, 2 Cl- through the apical membrane into the cell. In DCT:- The sympoer is NCC. In the late distal tubule and collecting duct:...
7,838
medmcqa_train
Antidepressant which is a Presynaptic a-2 receptor blocker which enhance secretion of both norepinephrine and serotonine ?
Ans. is'b'i.e., Miazapine MiazapineIt blocks alpha-2 auto-receptors (on NA neurons) and heteroreceptors ( on 5HT-neurons)
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Perifollicular and petechial hemorrhages are characteristic of-
<img src=" /> Image ref Harrison 20th edition pg 67
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During delivery A gives bih to a stillborn .A conceals the bih by secret disposal of dead .Which of the following statement is false regarding this situation
The act done by A the of the stillborn by secretly disposing of the dead and punishment for the same is defined under section ***IPC section 317-Exposure and abandonment of child 12 years by parents Punishment -up to 7 years of imprisonment or fine or both ***318 IPC -Concealment of bih by secret disposal of the body P...
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medmcqa_train
Imaging modality employed in PI-RAD repoing scheme for prostate glands is all except:-
PI-RADS is for prostate lesions based on multi-parametric MRI. It includes:- T2 weighted imaging for transitional zone of prostate - Diffusion weighted imaging/ADC score for peripheral zone of prostate- Dynamic contrast enhancement PI-RADS PI-RADS 1 = Very low (clinically significant cancer highly unlikely) PI-RADS 2 =...
7,842
medmcqa_train
37-year-old female patient has a fracture of clavicle. The junction of inner and middle third of the bone exhibits overriding of medial and lateral fragments. The arm is rotated medially, but it is not rotated laterally. Which of the following conditions is most likely to occur secondary to the fractured clavicle?
The fractured clavicle may damage the subclan vein, resulting in a pulmonary embolism; cause thrombosis of the subclan aery, resulting in embolism of the brachial aery; or damage the lower trunk of brachial plexus.
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medmcqa_train
Characteristic of mixed connective-tissue disease are all of the following except: March 2005
Ans. A: Hypogammaglobulinemia Manifestations of mixed connective-tissue disease (MCTD) can be variable. Most patients experience Raynaud phenomenon, ahralgia/ahritis, swollen hands, sclerodactyly or acrosclerosis, and mild myositis. The following may be revealed by history or physical examination: Raynaud phenomenon Ah...
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All of the following statements are true about Frey's Syndrome except
FREY 'S SYNDROME (GUSTATORY SWEATING) - Frey's syndrome arises as a complication of parotid surgery usually manifesting several months after the operation.it is characterized by sweating and flushing of the preauricular skin during mastication causing nuisance to the person or social embarrassment. Treatment: -Tympanic...
7,845
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Histopathology of chronic hepatitis shows -
Ans. (c) Bridging fibrosis(Ref: Robbins 9th/pg 837)Hallmark of progressive chronic liver damage is deposition of fibrous tissue (scarring) Q bridgin fibrosis
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Which of the following structure is not related to cavernous sinus:
Five structures in lateral wall of cavernous sinus 1. Oculomotor nerve 2. Trochlear nerve 3. Ophthalmic nerve 4. Maxillary nerve 5. Trigeminal ganglion Note: Internal carotid artery wrapped in its venous and sympathetic plexus along with abducent nerve passes through the center of cavernous sinus.
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medmcqa_train
Sharp instruments may be sterilized with ?
Ans. is 'c' i.e., Hot air
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A patient died and relatives complain that it is due to the negligence of the doctor. According to a recent Supreme court judgment, the doctor can be charged for Medical Negligence under section 304-A, only
According to a recent supreme court judgment, the doctor can be charged for medical negligence Under section 304-A IPC (i.e. criminal negligence), only if he shows gross lack of competence/skill, gross inattention, or inaction or recklessness or wanton (gross) indifference to the patient's safety or, gross negligence.
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Arsenic poisoning presents with symptoms mimicking -
Arsenic poisoning present with symptoms mimicking cholera. The differences are -
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medmcqa_train
The length of a muscle at which tension is maximum is called:
When a muscle at rest is stretched, its sarcomere length is changed. When this muscle is made to contract from the various lengths at rest, contractile force developed varies according to the actin-myosin interaction possible within the sarcomere. Resting length of sarcomere = 2 m. This is Li or length initial. Contrac...
7,851
medmcqa_train
All of the following are the diseases occurring due to disturbance in lipid metabolism except:
Hurler syndrome is due to the disturbance in mucopolysaccharide metabolism.
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medmcqa_train
in bogorad syndrome damage to the parasympathetic fibres of fascial nerve takes place ?
BOGORAD SYNDROME OR CROCADILE TEAR SYNDROME : damage to Para sympathetic fibres occurs before the geniculate ganglion APPLIED ASPECTS Crocodile tears syndrome/ Bogorad&;s syndrome" uncommon consequence of nerve regeneration subsequent to Bell&;s palsy or other damage to the facial nerve in which efferent fibers from th...
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medmcqa_train
In cotrimoxazole, sulphamethoxazole and trimethoprim are in ratio of:
5:01
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What is Ranula -
Ans. is 'a' i.e., Retention cyst of sublingual gland
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medmcqa_train
What is the significance of mutation of CCR5 protein?
The answer to this question is definitely 'A'.Let me explain why. HIV infects T cells that carry CD4 antigen on their surface i.e CD4 T cells.In addition HIV can also affect macrophages that bear CD4 on their surface. The first step in the HIV infection is the binding of envelope glycoprotein of HIV to the CD4 receptor...
7,856
medmcqa_train
Neonatal polycythemia with hyperviscosity is associated with all except
Fetal macrosomia in gestational diabetes is associated with neonatal polycythemia.
7,857
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What is the diagnosis in this patient with abdominal pain?
Answer C. Lead poisoningThe blue lines evident on the gums are Burton's lines, which can be present in patients with lead poisoning. The diagnosis of occupational lead poisoning was confirmed by an elevated serum lead level. The patient recovered following chelation therapy.
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medmcqa_train
A hypeensive patient Sattu already receiving a drug 'X' to control his BP was prescribed a tricyclic antidepressant. This resulted in the abolition of the antihypeensive action of 'X'. Which of the following drug can be 'X'?
(Ref: KDT 6/e p444) TCAs abolish the antihypeensive effect of guanethidine and Clonidine by inhibiting their transpo into the adrenergic neurons.
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medmcqa_train
Methylene blue test is used to detect
Methylene blue test is used to detect Microorganisms.
7,860
medmcqa_train
Post coital test detects all of the following. Except:
Ans. is 'a' fallopian tube block. (Shaws, 13/e, p 202, 210 (12/e, p. 158, 164))Postcoital test can be used to study the properties of cervical mucus i.e.,. its capability to allow sperm penetration and presence of antisperm antibodies and also about ovulation.Study of cervical mucus has nothing to do with fallopian tub...
7,861
medmcqa_train
All of the following are TRUE about ASO titre, EXCEPT:
The antistreptolysin O (ASO) titer is the most commonly used streptococcal antibody test to establish a recent streptococcal infection. It is not a major criteria but, suppoing evidence of antecedent group A streptococcal infection. An ASO titer of 240 Todd units or higher in adults or 320 Todd units or higher in child...
7,862
medmcqa_train
Korner's septum is seen in:
Petrosquamous suture
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True statement about Coarctation of the Aorta includes
(A) Lower limb pulses are barely palpable or absent> Coarctation of the aorta, or aortic coarctation, is a congenital condition whereby the aorta narrows in the area where the ductus arteriosus (ligamentum arteriosum after regression) inserts.> Coarctation is about twice as common in boys as it is in girls, it s common...
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Outdated drugs and cytotoxic wastes are disposed by:
Destruction and disposal
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Abandoning a child is punishable under which section of IPC ?
Ans. is 'b' i.e., 317 317 IPC: Abandoning a child (7 years imprisonment +- fine)Offences related to abortion and child birth* 312,313, 314 and 315IPC: For causing voluntary miscarriage (criminal abortion).# 312 IPC: Causing miscarriage with consent (3 years of imprisonment +- fine).# 313 IPC : Causing miscarriage witho...
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Only mycobacteria which produces exotoxin -
Ans. is 'c' i.e., M. Ulcerans * Buruli ulcer is caused by M. ulcerans.* It is the only mycobacteria producing a toxin.
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Arrange following pas of Anesthesia machine according increasing pressure system wise i) Vaporize mounting devices ii) Hanger yoke assembly iii) Flow indicators iv) Pipe line indicator
Anesthesia machine according increasing pressure system iii) Flow indicators i) Vaporize mounting devices iv) Pipe line indicator ii) Hanger yoke assembly
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Most common cause of Genital Herpes
Both HSV-1 and 2 can cause genital and oral - facial infection but reaction at oral - facial site is more common with HSV-1 and at the genital site with HSV-2
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Forced diuresis with acidification or alkalinization of urine is a common method for elimination of certain poisons/drugs from the body. The elimination of which of the following drugs is commonly enhanced by alkaline diuresis -
Amongst the give options, alkaline diuresis is used in barbiturate (phenobarbitone) poisoning.
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medmcqa_train
Fluent Aphasia with preserved comprehension and impaired repetition is:
Answer is D (conduction): Conduction Aphasia is a 'Fluent' Aphasia with preserved comprehension and impaired Repetition. Clinical Syndrome Non-Fluent Aphasias Fluent Aphas'as Features Transcoical Motor Wernicke's Transcoical Sensory Fluent No No No No Yes Yes Yes Yes Comprehension No No Yes Yes Yes Yes No No Repeat No ...
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medmcqa_train
Dosage of Vitamin-A for children between 1-3 years
In settings where vitamin A deficiency is a public health problem** (prevalence of night blindness is 1% or higher in children 24-59 months of age or where the prevalence of vitamin A deficiency (serum retinol 0.70 umol/l or lower) is 20% or higher in infants and children 6-59 months of age), high-dose vitamin A supple...
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'Ring sign' is seen in: September 2003
Ans. A i.e. Scurvy
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The line joining ant. sup iliac spine to ischial tuberosity and passes a greater trochanter -
Nelaton's line : With the hip in 90 degree of flexion, a line joining the ASIS and ischial tuberosity passes through the tip of the greater trochanter on that side. In cases of supratrochanteric shortening the trochanter will be proximal to this line. Shoemaker's line : With the patient lying supine, the line joinin...
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medmcqa_train
Ulceration of the vulva is commonly seen in all except :
ULCERS OF THE VULVA STD related idiopathic tuberculosis malignancy systemic syphilis herpes genitalis chancroid granulomainguinale lymphogranuloma venerum Bechet&;s disease aphthous ulcers lipschutz ulcers tubercular SCC Malignant melanoma basal cell carcinoma leukemia choriocarcinoma SLE Chron&;s disease Lichen planus...
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medmcqa_train
Which of the following is included as "proximate principles" of nutrition?
Macronutrients are also known as proximal principles of nutrition as they form the major bulk of food consumed by us. Macronutrients include carbohydrates, proteins and fats. Ref: Park's, 21st Edition, Page 562.
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A 40 year old patient has undergone an open cholecystectomy. The procedure was repoed as uneventful by the operating surgeon. She has 100 ml of bile output from the drain kept in the gallbladder bed on the first post operative day. On examination she is afebrile and anicteric. The abdomen is soft and bowel sounds are n...
Ans. is (d) i.e. Clinical observation 100 ml. of Bile output from the patient on the 1st postop. day without any other abnormality is of no clinical significance, so does not warrant any action from the surgeon. But remember if passing of 100 ml of bile continues for 5-6 days then it is considered abnormal. It denotes ...
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medmcqa_train
All is true about foreign body impaction in ear except-
Answer- B. Syringing is used for removal of vegetative foreign bodyMethods of removing a foreign body include: forceps removal, syringing suction, microscopic removal with special instruments and postaural approach.Foreign bodies of vegetable origin such as nuts, peas and beans, are hygroscopic and should not be syring...
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A 17 year old female presents with a pruritic rash localized to the wrist. Papules and vesicles are noted in a bandlike pattern, with slight oozing from some lesions. The most likely cause of the rash is NOT RELATED -DERMATOLOGY
Contact dermatitis causes pruritic plaques or vesicles localized to an area of contact. In this case, a bracelet or wristband would be the inciting agent. The dermatitis may have vesicles with weeping lesions. The process is related to direct irritation of the skin from a chemical or physical irritant. It may also be i...
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True statement regarding this diagnosis is:
Ans. A Recurrence is a common complicationThere is incongruency between Glenoid (red arrow) and Humeral head (yellow arrow) which is lying inferior to Coracoid process (blue) - suggests Sub-coracoid/Anterior shoulder dislocation. Anterior shoulder dislocation is very common, often seen in adults and is recurrent. Assoc...
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Dye for myelography is injected in which space :
Myelography is the radiographic investigation of the spinal canal for the diagnosis of space occupying an obstructive lesion. It requires the contrast agent to be injected  into subarachnoid space. MRI has replaced myelography, these days.
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Scottish terrier sign is seen in:
Ans. Oblique view
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A 17-year-old soccer player suffered a fracture to the left tibia. After his lower leg has been in a cast for 8 weeks, he found that the left gastrocnemius muscle is significantly smaller in circumference than it was before the fracture. What is the most likely explanation?
Skeletal muscle continuously remodels in response to its level of use. When a muscle is inactive for an extended period, the rate of synthesis of the contractile proteins in individual muscle fibers decreases, resulting in an overall reduction in muscle mass. This reversible reduction in muscle mass is called atrophy.
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All are transmitted by fecal-oral route except ?
Ans. is 'd' i.e., Dracunculiasis
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KOH wet mount is prepared for
KOH preparation: Specimen is placed in a drop of 10%KOH on a slide and covered with a cover slip. It is heated gently and examined under a microscope. Yeast cells and hyphae may be observed. Reference: Textbook of Microbiology; Baveja; 4th edition .
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All of the following 'Reforms' have been proposed by the world health repo (2008), EXCEPT:
The World Health Repo 2008 lists four sets of PHC (Primary Health Care) Reforms which are necessary to refocus health systems towards health for all. These are universal coverage reforms, service delivery reforms, public policy reforms and leadership reforms. Economic reforms are not included in this repo. Ref: The Wor...
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medmcqa_train
Fluoride is used in
The high energy compound phosphoenol pyruvate is generated from 2-phosphoglycerate by the enzyme enolase. This enzyme requires Mg2+ or Mn2+ and is inhibited by fluoride. For blood  glucose estimation in the laboratory, fluoride is added to the blood to prevent glycolysis by the cells, so that blood glucose is correctly...
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medmcqa_train
Among the following, which of the following 5-PDE inhibitor has the longest duration of action?
Ans. is 'c' i.e., Tadalafil o Tadalafil is the longest acting phosphodiesterase inhibitor used for erectile dysfunction. Its half life is 17.5 hours.
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What is the naturally occurring form of vitamin D in the human skin?
Calciferol is a fat-soluble, crystalline unsaturated alcohol produced by ultraviolet irradiation of ergosterol in plants. It is used as a dietary supplement in the prophylaxis and treatment of rickets, osteomalacia, and other hypocalcemic disorders. Also called ergocalciferol, ole vitamin D2, vitamin D2. See also ricke...
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All of the following diuretics acts from luminal side of renal tubules except:
Aldosterone receptor antagonists acts from interstitial side.
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The following is not an atypical antipsychotic
Ans. is 'a' i.e. Thioridazine The most important distinction in modem day classification of antipsychotic drug is between the classical agents (typical) agents such as chlorpromazine, haloperidol and Zuclopenthixol and the atypical antipsychotics which include clozapine, risperidone, olanzapine and quetiapine.The atypi...
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medmcqa_train
First to come in female pubey:
This question may cause a problem in the exam. If growth spu is in the choices then we must mark that s the first option since this is indeed the first event of pubey Pubey specific event which comes in first is Thelarche & then Pubarche, linear growth spu and Menarche In girls, pubeal development typically takes place...
7,892
medmcqa_train
The disposal of night soil and refuse is by?
Ans. is 'c' i.e., Composting
7,893
medmcqa_train
Components of 60 S subunit of ribosome are
The mammalian ribosome has a sedimentation consisting of 80s unitIt has larger 60s subunit and another smaller 40s subunit The larger ribosomal subunit has 28s, 5.8S, and 5S rRNA And small subunit has only 18SrRNA
7,894
medmcqa_train
A 28-year-old lady has put on weight (10 kg over a period of 3 years) and has oligomenorrhoea followed by amenorrhoea for 8 months. The blood pressure is 160/100 mm of Hg. Which of the following is the most appropriate investigation?
Weight gain + Oligomenorrhea --->Cushing syndrome. Coisol inhibits gonadotropin release that explains the amenorrhea. Hypeension in these patients is secondary to increased coisol that has some mineralocoicoid activity also. Excess glucocoicoids also interfere with central regulatory systems, leading to suppression of ...
7,895
medmcqa_train
Some mRNA has self-splicing activity. The removal of introns is/are done by
In molecular biology and genetics, splicing is a modification of an RNA after transcription, in which introns are removed and exons are joined. This is needed for the typical eukaryotic messenger RNA before it can be used to produce a correct protein through translation. For many eukaryotic introns, splicing is done in...
7,896
medmcqa_train
Linear coefficient of thermal expansion of metal used for metal ceramic restoration range from:
Most porcelains have coefficients of thermal expansion between 13.0 and 14.0 × 10 −6 /°C, and metals between 13.5 and 14.5 × 10 −6 /°C. The difference of 0.5 × 10 −6 /°C  in  thermal  contraction between metal and porcelain causes the metal to contract slightly more than does the ceramic during cooling. This condition ...
7,897
medmcqa_train
Most sensitive indicator of iron deficiency anemia
Ans. (c) Serum ferritin(Ref: Robbins 9th/pg 649-652)Among the options provided, most sensitive marker in iron deficiency anemia is Serum ferritin.Serum ferritin reflects the storage of Iron which is decreased even in the pre-latent stage of Iron deficiency Anemia and is the most sensitive marker.
7,898
medmcqa_train
Assessment of malnutrition is done by:-
Assessment of: Nutritional status in children: weight for age (growth cha) > MAC Nutritional status in adults : body mass index Best indicator for growth & development in children - weight for age.
7,899
medmcqa_train