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Thoracic Sympathetic Chain is situated :
C. i.e. Near heads of 2nd to 10th rib Thoracic sympathetic trunk is a ganglionated chain situated on each side of thoracic veebraQ and crosses the neck of 1st rib, heads of 2" to 10th ribs and bodies of 11th & 12th rib.Q The whole chain descends in front of posterior intercostal vessels & intercostal nervesQ, and passe...
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A 30 year old lady c/o sudden onset breathlessness, anxiety, palpitation & feeling of impending doom. Physical examination is normal. What is the diagnosis -
Ans. is 'a' i.e., Panic attack DSM-IV Criteria for a Panic AttackA panic attack is a period of intense fear or discomfort, developing abruptly and peaking within 10 minutes, and requiring at least four of the followingChest pain or discomfortQChills or hot flushesDerealization (feeling of unreality) or depersonalizatio...
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The typical temperature of an autoclave (operating at 30 psi of pressure is)
Two types of autoclave are used in laboratories and hospitals. * Moist heat at 121 degree Celsius X 15-20 minutes (Pressure-15 psi) * Moist heat at 134 degree Celsius X 3 minutes (Pressure-30 psi)
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Diagnosis of tularemia is confirmed using agglutination testing. In the standard tube agglutination test, what should be the single antibody titre for making the test positive?
A single antibody titer 1:160 is interpreted as a presumptive positive result for diagnosing tularemia. Agglutination test is used to confirm the diagnosis of tularemia. A fourfold increase in titer between paired serum samples collected 2-3 weeks apa is considered diagnostic. Late in infection, titers of 1:20-1:80 may...
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Satellite nodules are seen in
o Features of fungal corneal ulcer are
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Hamman's sign is seen in:
Hamman's sign is the Crunching sound heard with every heart beat because of heart beating against air fill.
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Which of the following streptococcal antigen cross reacts with synol fluid?
Antigens cross reactivity between Streptococcus antigens and the corresponding human antigen Streptococcal component Human tissue Capsular hyaluronic acid Synol fluid Cell wall protein Myocardium Group A carbohydrate Cardiac valves Cytoplasmic membrane antigen Vascular intima Peptidoglycans Skin antigens
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Drug of choice for primary prophylaxis for acute rheumatic fever?
Prophylaxis of ARF: 1.primary-To stop streptococcal pharyngitis to procede to ARF In this,Antibiotics are given for a week. DOC-injection benzathine penicillin-1.2 million units(wt>27kgs);0.6 million units(wt<27 kgs). if patient is allergic to penicillins then macrolides are preferred. 2.secondary prophylaxis-To preven...
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A 48 year old woman has developed chronic renal failure, and a renal scan showed bilaterally enlarged kidneys with multiple cysts. She had a sudden onset severe headache. A cerebral angiogram demonstrated marked narrowing of cerebral aery branches near the base of the brain, consistent with vasospasm, but no intraparen...
The blood irritates the aeries. This effect is often delayed by several days following the initial hemorrhagic event. Berry aneurysms are located in the circle of Willis at the base of the brain, and rupture leads to extravasation of blood into the subarachnoid space. Her renal scan suggests a diagnosis of dominant pol...
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Commonest presentation of neurocysticercosis is:
Answer is A (Seizures): "These is wide variety of presentation of Neurocysticercosis depending on the intensity of the infestation, the localization of cystecerci and the degree of inflammatory reaction. Epilepsy (seizure activity) is the most common manifestation occurring in upto 50% cases - API text book of Medicine...
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Dermatophyte affecting the hair, nail, and skin is
The three genera of medically impoant dermatophytes (literally, skin-plants) are Epidermophyton, Microsporum, and Trichophyton.--Trichophyton: infects skin, hair, and nails-- Microsporum: infects hair and skin-- Epidermophyton: infects nails and skinRef: Sherris Medical Microbiology; 6th edition; Chapter 5; Medically R...
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All are TRUE about protease activated receptors, EXCEPT:
Protease activated receptors (PARs), a family of four seven-transmembrane G protein-coupled receptors (PAR1, PAR2, PAR3, PAR4), act as targets for signalling by various proteolytic enzymes (thrombin, trypsin). PARs are characterized by a unique activation mechanism involving the proteolytic unmasking of a tethered liga...
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A 10-year-old boy developed hoarseness of voice following an attack of diphtheria. On examination his right vocal was paralysed. The treatment of choice for paralysed vocal cord will be:
Diphtheria is known to cause cranial nerve palsies and peripheral neuritis. It may cause paralysis of palate, pharynx, larynx and face. Recovery may also occur in a few weeks or months. Thus patient has a chance to recover vocal cord paralysis and the wait and watch policy would be the right option. Also compensation b...
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Floor of body of lateral ventricle is formed by
Floor of body of lateral ventricle is formed by  Caudate nucleus Thalamostriate vein Thalamus upper  surface  Body of fornix upper surface Rostrum of corpus callosum forms floor, septum pellucidum forms medial wall, and genu of corpus callosum forms anterior wall of anterior horn of lateral ventricle.
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Sensations which are appreciated in thalamus
Thalamus acts as the sensory relay station for all sensors Ref: guyton and hall textbook of medical physiology 12 edition page number:691,692,693
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A 70-year-old man is evaluated in emergency department for symptoms of dyspnea, orthopnea, and paroxysmal nocturnal dyspnea. His past medical history is significant for hypertension, type 2 diabetes, chronic kidney disease, and hypothyroidism. Medications are furosemide, enalapril, atorvastatin, metformin, and insulin....
The cardiac rhythm is atrial flutter with 2:1 AV conduction. QRS complexes occur with perfect regularity at a rate of about 150/min. Their normal contour and duration indicate that ventricular activation occurs normally via the AV junction-His-Purkinje system. Flutter waves, regular ventricular rate at 150/min make the...
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A young patient presents with history of dysphagia more to liquid than solids. The first investigation you will do is:
Ans. is 'a' i.e. Barium swallow H/O of dysphagia with more to liquids than solids suggests achalasia cardia. In all other obstructive causes of esophagus, dysphagia for solids is seen firstDiagnosis of Esophageal diseaseAny esophageal disease is first diagnosed by radiographic evaluation.Schwartz says that "The first d...
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True about spinal cord:
A, B, C i.e. In adults spinal cord ends at lower border of Li veebra, In newborn may extend up to L3, Cauda equine extends from lumbar veebra to coccyx
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Kerley B lines are seen in
Kerley A lines are 1-2mm non- branching lines radiating from the hilum, 2-6 cm long. They represent thickened deep interlobular septa. Kerley B lines are transverse non- branching 1-2 mm lines at the lung bases perpendicular to the pleura 1-3cm long. They represent thickened interlobular septa.
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All are causes of Antepartum hemorrhage (APH) except:
Causes of Antepartum Hemorrhage Placenta previa Abruptio placenta Vasa previa Circumvallate placenta Local causes like: Polyp Carcinoma cervix Varicose veins Trauma Unclassified or indeterminate Circumvallate placenta It is an uncommon cause of antepartum hemorrhage. In this condition, the chorionic plate which ...
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An 11-year-old boy presents with pain in his right leg. A radiograph shows a "sunburst" appearance with bone destruction, soft tissue mass, new bone formation, and sclerosis limited to the metaphysis of the lower femur. select the type of bone lesion with which it is most likely to be associated (SELECT 1 LESION)
Osteosarcoma, or osteogenic sarcoma, usually is seen in patients between the ages of 10 and 25 years. The distal femur is the site most frequently involved. The radiograph has a blastic, or sunburst, appearance. The tumor is not sensitive to radiation but does respond well to combination chemotherapy followed by surgic...
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The alveolar aerial gradient is highest in which of the following?
The alveolar aerial PO2 difference is obtained by subtracting the aerial PO2 from the alveolar PO2. The normal alveolar-arial PO2 gradient is between 5-15 mm Hg.The alveolar aerial gradient is useful measure of ventilation perfusion mismatch. ILD- Due to pulmonary fibrosis, diffusion defect will lead to significant red...
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Most common cause of Fulminant hepatic failure?
Hepatitis D virus Hepatitis D accounts for maximum number of fulminant cases of viral hepatitis, a sizable propoion of which are associated with HBV infection. Superinfection with HDV in patients of chronic hepatitis B infection leads to fulminant hepatic failure
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White infracts are seen in which of the following
Ref Robbins 8/e p128; 7/e p138 see explanations of earlier question White infarcts occur with aerial occlusions in solid organs with end-aerial circulations (e.g., hea, spleen, and kidney), and where tissue density limits the seepage of blood from adjoining patent vascular beds (Fig. 3-17, B). Infarcts tend to be wedge...
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Which of the following is not a self-retaining urinary catheter: March 2011
Ans. D: Red rubber
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Complete unilateral congenital cataract should preferably be operated:
Ans. Within a few weeks of bih
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all the following are non-competitive inhibitors except ?
Enzyme Inhibitors * Competitive inhibitors bind to the active site of an enzyme, competing with the substrate ex: arsenate ,oxamate,malonate, sulfonamide,methotrexate,ethanol,dicumurol * Noncompetitive inhibitors bind to another pa of an enzyme, causing the enzyme to change shape and making the active site less effecti...
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Which of the following is the LEAST common immunologic manifestation of HIV infection?
Anaphylactic reactions to drugs In contrast to the profound immunodeficiency that characterizes most manifestations of AIDS, a host of immunologic and rheumatologic disorders are common in patients with HIV infection. Ceainly the most common such reaction is cutaneous manifested sensitivity to the antibiotics required ...
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Efferent from cerebellum is through
The outgoing Purkinje axons constitute the sole output from the cerebellar coex and exe an inhibitory influence on intracerebellar nuclei.granule cells are the only intrinsic neurons. of cerebellum which is excitatory.(Ref: Vishram Singh textbook of clinical neuroanatomy second edition pg 116)
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Which one given below is a DNA virus?
Adenovirus are grp of medium sized non envolped double stranded DNA REF:ANANTHA NARAYAN TEXT BOOK OF MICROBIOLOGY 9EDITION PGNO.480
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Inquest for custodial death is held by: September 2005
Ans. B: Magistrate Simply stated, the death if a person in custody whether of the police or judicial will amount to Custodial Death. The Magistrate inquest is mandatory for any death of a person in custody to ensure examination of the circumstances leading to death.
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A 32 years old male has got clean wound without laceration. He had booster dose of TT 6 years back. What is next line of management?
Ans. is 'a' i.e., Wound care with single dose of tetanus toxoidThe given patients belongs to category B (Booster dose between 5-10 years back). Thus, the requires wound care and single dose of TT.
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Most commonly abused opioid is
Heroine-brown sugar /diacetylmorphine is the most commonly abused opioid opiods works on mu, kappa and delta receptor. there is a new recpetor that is introduced that is called as orphanin receptor opiod withdrawl is a distressing experience for the patient that makes the patient to take the sunstance again the main cl...
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Which stage of LGV infection is associated with bubos?
LGV infection:Primary stage:Small, painless, papulovesicular (Ext.genitalia)Usually unnoticedI/P: 3 days to 5 weeksSecondary stage:About 2 weeks later- lymphatic spread to draining lymph nodesMen -Inguinal L.N women -Intrapelvic & Para rectal nodesBubo(enlarge, suppurate, adherent to the skin)- break down- sinuses -dis...
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The true statement about the epidemiology of H.pylori is :
PREVALENCE OF H.PYLORI: The prevalence of H. pylori varies throughout the world In developing world, 80% of the population are infected by the age of 20. In the United States this organism is rare in childhood. The overall prevalence of H. pylori in the United States is 30% The rate of infection with H. pylori in indus...
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Air embolism is best diagnosed by?
Transesophageal echocardiography (TEE):- has the highest sensitivity for detecting the presence of air in the right ventricular outflow tract or major pulmonary veins. - It can detect as little as 0.02 mL/kg of air administered by bolus injection. It also has the added advantage of identifying Paradoxical Air Embolism ...
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All of the following nutritional assessment methods indicate inadequate nutrition, except:
Hemoglobin Ref: CURRENT Medical Diagnosis and Treatment, 2008, Page 677; Essential Pediatrics By O P Ghai, 6th Edition, Page 101; Nelson's Textbook of Pediatrics, 18th Edition, Page 228; Park's Textbook of Preventive and Social Medicine, 19th Edition, Pages 515-518
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Most common type of vaginal carcinoma is :
Squamous cell carcinoma
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PSA > 2Ong/mL is seen in:
Ans is a (Prostate cancer) Though increased levels of PSA is seen in Prostate cancer, BPH and Prostatitis; levels above 20 ng/mL would be seen almost only in Prostate cancer. BPH and prostatitis would not cause such a rise in PSA.
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First external sign of decomposition in a dead body: NEET 13
Ans. Greenish discoloration over right iliac fossa
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A 60-year-old man is in a car crash in which he is the driver. He did not have a seat belt or an airbag. He is found to have multiple rib fractures over his right chest. His pulse is weaker during inspiration. What are the most likely diagnoses?
Flail chest should be suspected in multiple rib fractures where the individual rib is divided in two places. Paradoxical movement results in lung compression as the flail segment moves inward during inspiration.
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Which of the following structure is not supplied by uterine aeries ?
The uterus is supplied : (1) Chiefly by the two uterine aeries which are markedly enlarged during pregnancy; and (2) paly by the ovarian aeries. The uterine aery is a branch of the anterior division of the internal iliac aery. Apa from the uterus, the uterine also gives branches to: (1) The vagina; (2) the medial two-t...
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Which of the following type of malignancy is associated with Marjolin's ulcer?
Marjolin's ulcer is an aggressive transformation of a chronic wound in to a malignant lesion. They are usually present in chronic wounds resulting from burns, chronic inflammation or trauma. The most common malignancy found in Marjolin's ulcer is squamous cell carcinoma. Basal cell carcinomas can occur occasionally. Ra...
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A 5 year old male child has multiple hyperprigmented macules over the trunk. On rubbing the lesion with the rounded end of a pen, he developed uicarial wheal, confined to the border of the lesion. The most likely diagnosis is
Darriers sign : uicarial wheal produced in a lesion after it is firmly rubbed with a finger or rounded end of a pen, the wheal is strictly confined to the borders of the lesion. Seen in uicarial pigmentosa, and rarely with cutaneous lymphoma or histiocytosiS FITZPATRICK TEXTBOOK OF DERMATOLOGY , PAGE 12.
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Proteins whose levels are decreased during inflammation are all except:
Negative Acute phase reactants - Albumin, transferrin, antithrombin.
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Stretch laceration is seen in
Stretch laceration These lacerations occur from over stretching of the skin and soft tissues due to heavy forceful impact exercising a localised pressure. Stretching of tissues can occur in run over by a motor vehicle. Ref: FORENSIC MEDICINE AND TOXICOLOGY Dr PC IGNATIUS THIRD EDITION PAGE 121
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A 45-year-old woman with Crohn disease and a small intestinal fistula develops tetany during the second week of parenteral nutrition. The laboratory findings include Na: 135 mEq/L K: 3.2 mEq/L Cl: 103 mEq/L HCO3 : 25 mEq/L Ca: 8.2 mEq/L Mg: 1.2 mEq/L PO4 : 2.4 mEq/L Albumin: 2.4 An aerial blood gas sample reveals a pH ...
Magnesium deficiency is common in malnourished patients and patients with large gastrointestinal fluid losses. The neuromuscular effects resemble those of calcium deficiency--namely, paresthesia, hyperreflexia, muscle spasm, and, ultimately, tetany. The cardiac effects are more like those of hypercalcemia. An electroca...
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All are indicators for air pollution, except -
Indicators of air pollution: Smoke (soiling) index Sulphur dioxide Grit and dust measurement Coefficient of Haze Air pollution index CO is not an index! Park's Textbook of Preventive and Social Medicine, 25th edition, Page No.796
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Fructose 2-6 bisphosphate (F26BP) regulates glycolysis at the level of ?
Regulation of glycolysis Glycolysis is regulated at 3 steps which are irreversible. These reactions are catalyzed by following key enzymes : (1) Hexokinase and glucokinase, (2) Phosphofructokinase I, and (3) Pyruvate kinase.Hexokinase and glucokinaseThese enzymes catalyze the first step of glycolysis, i.e., Glucose -->...
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All of the following structures are removed in right hemicolectomy except
Answer- C. Transverse colonStructures removed in right hemicolectomy:Caecum with appendixAscending colonHepatic flexureProximal transverse colonPa of terminal ileumFat and lymphnodes
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Causative factor for acne are all except.
B i.e. Only food
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A patient on Phenytoin therapy develops depression, for which he was prescribed tricyclic anti-Depressants. He now complains of lassitude and his Hb reading is 8gm/dl, the next step in the management of this patient is:
phenytoin can induce folate deficient megaloblastic anemia that can be diagnozed by measuring MCV. REF: KD TRIPATHI 8TH ED.
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Nodules seen near the collarette are called -
The pathological reaction in granulomatous uveitis is characterised by infiltration with lymphocytes, plasma cells, with mobilization and proliferation of large mononuclear cells which eventually become epithelioid and giant cells and aggregate into nodules. Iris nodules are usually formed near pupillary border (Koeppe...
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Among patients who require nutritional resuscitation in an intensive care unit, the best evidence that nutritional suppo is adequate is
.Because of its relationship to inflammation, serum albumin is no longer considered a good indicator of malnutrition or protein repletion. .However, a decreased serum albumin is considered an indicator of morbidity and moality and persons with low albumin levels are sometimes at nutritional risk for other reasons. ref ...
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Antidepressant causing Tardive dyskinesia is ?
Ans. is 'd' i.e., Amoxapine Amoxapine is the only antidepressant which blocks D2 receptors along with inhibition of NA reuptake - has mixed antidepressant + neurolepic propey. Due to blockade of D, receptors it causes extrapyramidal side effects -4 Parkinsonism, Tardive dyskinesia, Akathesia, neuropeptic malignant synd...
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All are true about glomus jugulare tumors except:
Ans. C It is a disease of infancyLet us see each option separatelyOption a - Common in femalesIt is correct as females are affected five times more than males.Option b - Causes sensorineural deafnessThis is paially correct as glomus tumor leads to mainly conductive type hearing loss. Sensorineural hearing loss is uncom...
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Which of the following anaesthetic agent lacks analgesic effect – a) N2Ob) Thiopentonec) Methohexitoned) Ketaminee) Fentanyl
Barbiturates (methexitone, thiopentone) do not have analgesic action. Rather they can cause hyperalgesia.
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To increase awareness of rural population towards small family norm, the best method is –
The health educator should set a good example in the things he is teaching. If he is explaining the hazards of smoking, he will not be very successful if he himself smokes. If he is talking about the "small family norm" he will not get very far if his own family size is big.
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Bronchial artery supplies all except:
Ans: d (Alveolar sac)Ref: Essentials of Human Anatomy By AK Dutta-Thorax & Abdomen, 3rd edi., Observations on the normal anatomy of the bronchial arteries by L. Cudkowicz* And J. B. Armstrong, Chaurasia, 4th edi., Pg. 227.Arterial supply of the lungs: The bronchial arteries supply nutrition to the bronchial tree and to...
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In splenic injury conservative management is done in
Most serious complications after splenectomy are OPSI (Oppounistic Post Splenectomy Infections) it is most common in young children and immunocompromised adults. "Therefore it is essential to save the spleen in children." Now spleen salvage methods are the management of choice even in adults. Splenectomy is usually ind...
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True about mycetoma -
Mycetoma Commonly occurs in the foot. The infection runs as a relentless course over many years, with the destruction of contiguous bone and fascia. Spread to distant sites does not take place (does not drain through lymphatics). Actinomycetoma may respond to prolonged combination chemotherapy eg. streptomycin and ...
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In all of the following conditions, prostanoid may be used, except
(Refer: Rang and Dale's Clinical Pharmacology, 7th edition, pg no: 214-215)
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Scorpion venom resembles venom of -
scorpion venom is clear toxalbumin and can be classified as hemlolytic or neurotoxic small quantity is injected REF;THE SYNOPSIS OF FORENSIC MEDICINE:KS NARAYANA REDDY;28th EDITION;PAGE NO 324
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Dialysis can not be done for
Dialysis can not be done for these drugs because of large volume of distribution (Vd).
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Use of Thiopentone
D i.e. All
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True about legionella-
Ans. is 'b' i.e., There is no man to man transmission o The nature habitats for L. pneumophila are aquatic bodies, including lakes and streamso The legionellae survive and multiply inside freeliving amebae and other protozoao Mode of transmissions :1) Aerosolization : Inhalation of aerosols produced by cooling towers, ...
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Marquis test is done for: BHU 08
Ans. Morphine poisoning
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What is the MOST common radiographic manifestation of acute papillary muscle rupture?
The papillary muscles are connected to the mitral valve leaflets by the chordae tendinae. When there is rupture of the chordae tendinae or the papillary muscle itself, the mitral valve is unable to function properly, resulting in mitral regurgitation. Because this is an acute process, accommodation does not occur, resu...
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Full-term, Small for Date babies are at high risk of –
Small for date babies are prone to hypoglycemia. Intraventricular hemorrhage occurs in preterm infants (not in full term, small for date babies).
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In Glycinuria, glycine is excreted as
(D) Oxalate # Diseases associated with glycine metabolism: are 1. Glycinuria and 2. Primary hyperoxaluria> In Glycinuria there is excessive urinary excretion of glycine with a tendency to form oxalate renal stones. This disease is inborn and very rare.> Primary hyperoxaluria is a metabolic disease characterized biochem...
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Virchow method of organ removal is
In Virchows method organs are removed one by one. Cranial cavity is exposed first then thoraxic, cervical and abdominal organs. Dr. Narayana Reddys Synopsis of Forensic Medicine & Toxicology 27 th edition pg. 57.
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Vaginal wall is derived from ?
Ans. is 'c' i.e., Endoderm and mesoderm Vagina is derived from two sources :? Upper 2/3" : It is derived from Utero-Vaginal Canal, i.e. the fused pa of paramesonephric duct. Therefore, this pa is mesodermal in origin. Lower 1/3" : It is derived from sinovaginal bulb which inturn is derived from urogenital sinus. Thus, ...
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Blood is stored at what temperature in blood bank?
Ans. is 'c' i.e., 1 to 6 degrees Celsius
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Multiple Hypoaestetic, hypopigmented macules on right lateral forearm without acid fast bacilli is indicative of -
indeterminate leprosy seen in children with immature immunological response. Common in 1-5 years of age 1-3 ill defined hypopigmented macules ranging in size from 1-5cm most common sites: outer side of extremities, buttocks,face and trunk sensations may be impaired. Nerve thickening may be present skin smears : shows a...
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Burking includes
Burking is a method of homicidal smothering & traumatic asphyxia. Named after Burke & Hare who killed 16 persons. They give the victim alcohol. Then Burke used to kneel or sit on the chest and close the nose & mouth with his hands then Hare used to pull him around the room by the feet. Ref: The synopsis of forensic med...
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Most common site of gall stone impactation is -
Ans is 'b' i.e., Proximal to Ileocaecal junction
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Muscle of expiration is/are -a) Diaphragmb) Internal intercostalc) External intercostald) Rectus Abdominis
Muscles of expiration -        Quite breathing- Elastic recoil of lung and chest wall. -        Forced expiration- o   Internal intercostal o   Intercostalis intimi o   Transversus thoracis o   Serratus posterior inferior o   Subcostalis o   Latissimus dorsi o   Abdominal muscles §  Rectus abdominis §  Transversus abd...
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Recommended interventions to reduce the incidence of Coronary aery disease include the following except-
The reduction of fat intake to 20 to 30 % of total energy intake. Ref- Park&;s textbook of Preventive and Social Medicine 24th edition.
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Treatment of choice in 11 years old children with hepatitis C infections ?
Treatment of Hepatitis C : Sustained virologic response are achieved in only 8-35%of patients given recombinant interferon monotherapy. However significantly higher sustained virologic responses are attained(30-40%)by combining interferon with Ribavarin at 15mg/kg/day Long acting pegylated interferons have been subsequ...
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Aerial supply to epistaxis area are all except
Epistaxis area is Little's areaFour aeries contribute to little's area:Anterior ethmoidal aerySeptal branch of the superior labial aery (Branch of facial Aery)Septal branch of sphenopalatine aery (Branch of maxillary Aery)Greater palatine aery (Branch of maxillary Aery)Ref: PL Dhingra, Diseases of Ear, Nose & Throat, 7...
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Natural method of contraception is: September 2005
Ans. D: All of the above Natural methods of contraception are: Abstinence Refraining from penetrative sex provides 100% protection from pregnancy, and offers effective prevention of transmission of sexually transmitted infections as well. Withdrawal or Coitus interruptus The withdrawal method of family planning is unli...
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When do you operate for prolapsed disc -
Ans. is 'c' i.e., Severe pain interfering with activity and not relieved by rest and treatment of 8 weekso Indications for surgery in cases of Prolapsed intervertebral disc areFailure of conservative treatment (even after 8 weeks of treatment).Progressive neurological deficit.Cauda - equina syndrome.Severe sciatic tilt...
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"a" wave in JVP indicates:
A wave: Arc positive waves due to distention producedby right atrial contraction Large a waves: Indicate atrium is contracting against increased resistance tricuspid stenosis, pulmonary stenosis, pulmonary hypertension. Cannon S waves Regularly: During junctional rhythm. Irregularly: complete Heart Block. Absent a wave...
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Isthmus of thyroid gland corresponds to which of the following tracheal rings?
Isthmus of the thyroid gland lies in front of the second, third and fouh tracheal rings. It is covered in front by skin and fascia, and by sternothyroid and sternohyoid muscles and by the anterior juglar veins. Upper end of each lobe of thyroid lies opposite C5 veebrae. The lower end of the lobe lies at the level of 5t...
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Which of the following is used in management of diabetes?
Answer- A. BromocriptineBromocriptine is recently included as antidiabetic.
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Rice watery stool is indicative of which organism-
Ans. (a) Vibrio cholerae OlRef: Microbiology by Ananthanarayan and Paniker 8th ed. /302-305* Though the various strains of cholera may present with rice watery diarrhea, the classic rice watery diarrhea is usually associated with strains Ol and strain 0139.* In these strains the more common strain to find is strain Ol.
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Octreotide is, except -
Ans. is 'd' i.e., An absorbent
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Anterior choroidal aery is a branch of
After piercing the dura mater forming the roof of the cavernous sinus, the internal carotid aery gives off three large branches. These are the following. (i) Ophthalmic aery (which supplies the orbit), and the (ii) Anterior and Middle cerebral aeries to the brain.It also gives off two smaller branches that take pa in s...
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The most common oppounistic infection observed in patients with AIDS is -
The symptoms of PCP include Fever Cough Difficulty breathing Chest pain Chills Fatigue (tiredness) In people with HIV/AIDS, PCP symptoms usually develop over several weeks and include a mild fever. In people who have weakened immune systems for reasons other than HIV/AIDS, PCP symptoms usually develop over a few days, ...
7,988
medmcqa_train
A 28-year-old taxi driver is chronically consumed by fears of having accidentally run over a pedestrian. Although he tries to convince himself that his worries are silly, his anxiety continues to mount until he drives back to the scene of the "accident" and proves to himself that nobody lies hu in the street. This beha...
.
7,989
medmcqa_train
All the following are characteristic of classic tetrad of TOF except
Anatomically TOF is characterized by the classic tetrad: Severe right ventricle outflow obstruction, Large VSD, Aoa that overrides the VSD and Right ventricular hyperophy Reference: Essential Paediatrics; O.P. Ghai; Page no: 420
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medmcqa_train
The maxillary nerve arises from the trigeminal ganglion in the middle cranial fossa. It passes forward in the lateral wall of the cavernous sinus and leaves the skull through which of the following foramen to enter the pterygopalatine fossa
(Foramen rotundum) (236 - BDC - 3)STRUCTURE PASSING THROUGH.Foramen spinosumForamen ovaleForamen lacerum1. Middle meningeal artery2. Meningeal branch of the mandibular nerve or nervus spinosus3. Posterior trunk of the middle meningeal vein1. Mandibular nerve 2. Acessory meningeal artery 3. Lesser petrosal nerve 4. Emis...
7,991
medmcqa_train
Multifactorial inheritance is most likely to play a role in?
A quantitative trait locus (QTL) is a section of DNA (the locus) that correlates with variation in a phenotype (the quantitative trait). Usually the QTL is linked to, or contains, the genes that control that phenotype. QTLs are mapped by identifying which molecular markers (such as SNPs or AFLPs) correlate with an obse...
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medmcqa_train
Drugs commonly used in Non-Hodgkin lymphoma except
Combination chemotherapy is the treatment standard for patients with diffuse non-Hodgkin's lymphoma. The anthracycline-containing regimen CHOP (cyclophosphamide, doxorubicin, vincristine, and prednisone) has been considered the best treatment in terms of initial therapyHodgkin's lymphoma - MOPP (mechlorethamine, vincri...
7,993
medmcqa_train
A person with 'Inappropriate speech' evaluated by the 'Glasgow Coma Scale' will have a verbal score of:
Answer is B (3): Use of Inappropriate words (Inappropriate speech) carries a score of '3' under the 'Verbal Response' according to the Glasgow Coma scale.
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medmcqa_train
True about wound healing
• Epidermal appendages do not regenerate • There remains a connective tissue scar in place of the mechanically efficient meshwork of collagen in the unwounded dermis. • Very superficial wounds: Little scar formation. • In marked contrast with wound healing in adults, fetal cutaneous wounds heal without scar formation, ...
7,995
medmcqa_train
Gastrectomy produces deficiency of which vitamin -
Ans. is 'b' i.e.. Vitamin B12 o The intestinal absorption of vitamin Bu requires intrinsic factor (IF), secreted by parietal cells of the stomach.o In stomach vitamin Bt2 binds to IF to form vitamin Bn-IF complex which intum is absorbed by sepecific receptors on mucosal cells of the ileum.o Vitamin Buis also called as ...
7,996
medmcqa_train
Which of the following is true about diazoxide except
Causes severe hypoglycemia Diazoxide Diazoxide is a direct acting aeriolar dilator. Diazoxide causes aeriolar dilatation with little effect on veins. Diazoxide prevents smooth muscle contraction and relaxes the aerioles Diazoxide is a potassium channel activator which causes local relaxation in smooth muscle by increas...
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medmcqa_train
Duration of treatment is multibacillary leprosy according to WHO is -
For multibacillary cases, adequate treatment implies that the patient has recieved 12 monthly doses of combined therapy within 18 months. Reference; Park&;s Textbook of preventive and social medicine, 24th edition.Pg no. 340
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Triple helix is found in ?
Ans is 'b' i.e., Collagen Collagen Collegen is the most common protein in the animal world. It is a component of ECM. The collegens are composed of a triple helix of three polypeptide a-chains. It provides tensile strength to tissues. Collegen type IV with laminin is the main component of basement membrane. Fibrillar c...
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