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Ans: b (DTPA) Ref: Bailey, 24th ed, p. 129999Tc DTPA (diethyl triamino penta acetic acid)Useful to assess the functional status of kidney.DTPA behaves like inulin: completely filtered by the glomeruli, and not absorbed by the tubules. On using a gamma camera the dynamic action of kidney can be assessed.Other substances...
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Nerve supply to kidney is from Renal plexus which arises from coeliac plexus.
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RPGN
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Treatment of opioid (Morphine or heroin) withdrawal (detoxification):- Methadone is the DOC. Alternatives are clonidine, clonidine with naltrexone with or without BZDs, Lofexidine, dextropropoxyphene, diphenoxylate.
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Ans. B. Long half lifeThyroxine is preferred over levothyroxine because it has longer half-life due to which it can be given as once daily dosing.levothyroxine is costlier and have short half-life.
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Answer A. SupraglotticGenerally, an inspiratory stridor suggests airway obstruction above the glottis.While an expiratory stridor is indicative of obstruction in the lower trachea.A biphasic stridor suggests a glottic or subglottic lesion.
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• Used for the treatment of Velopharyngeal incompetence leading to speech problems
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Ans. is 'a' i.e., Adrenalectomy
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Answer-B. Inhibitory neuronsIt is due to dysfunction of inhibitory neurons containing nitric oxide and vasoactive intestinal polypeptide in the distal esophagus. The cholinergic innervation ofthe LES is intact or affected only in the advanced stage.There is neurogenic degeneration either idiopathic or due to infection.
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Aedes mosquito are tiger mosquitoes with striped character .They lay wggs singly,does not fly moee than 100 metres.They breed in stagnant water. They are vectors of yellow fever,dengue,chickungunya,filariasis ( not in India),rift valley fever. Japanese encephalitis is transmitted by culex. Parks textbook of preventive ...
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Bullous lesion and periostitis suggest the diagnosis of congenital syphilis. So, VDRL is done for mother & baby
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Hairy cell leukemia is an unusual and uncommon form of B cell malignancy characterised by presence of hairy cells in blood and bonemarrow and splenomegaly. Therefore 2nd statement is false. Splenomegaly is conspicuous.It is the most common or sometimes only abnormal physical finding. Hairy cells have characteristically...
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Family Togaviridae includes Genus Alphavirus --> Western Equine Encephalitis (WEE) , Eastern Equine Encephalitis (EEE) , Venezuelan Equine Encephalitis (VEE) and Chikungunya fever (CGF) Genus Rubivirus --> Rubella Rubella: Aka German measles. I.P - 14-21 days Source : cases Mode of transmission : Respiratory / air drop...
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LIKE SCALE: A psychometric response scale primarily used in questionnaires to obtain paicipant&;s preferences or set of statements. Like scales are a non-comparative scaling technique and are unidimensional (only measure a single trait) in nature. Respondents are asked to indicate their level of agreement with a given ...
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Ans. is 'c' i.e., All family members should be treated together o Palms, soles, scalp & face are characteristically spared in adults. These are affected only in infants and young children.o Oral antibiotics are needed only in case of secondary infectiono Patient and all other family members are to be treated together i...
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General of picornavirus are a)enterovirus, rhinovirus, hepatovirus,parechovirus REF:ANANTHANARYANAN TEXTBOOK OF MICROBIOLOGY 9EDITION PGNO.484
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Ans. is 'c' i.e.,6 - 8 weeksPeriod of organogenesis (Embryonic - 2 - 8 weeks of conception) is the time of maximum vulnerability, and each embryonic system has a period of maximum susceptibility.Hea is typically affected if the teratogen acts between 6 - 8 weeks of gestation.CNS maximum susceptibility between 17 - 30th...
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Interpersonal Communication (IPC): "Face to face communication" is the most persuasive and effective than other forms of communication IPC is paicularly useful for influencing the decisions of undecided persons Superiority of IPC over mass media has been well documented Ref: Park 25th edition Pgno: 926
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Rules related to criminal responsibility of insane person Mc Naughten's rule Durham's rule (1954) Curren's rule (1964) American Law Institute test (1970 The Brawner rule (1972) The Irresistible Impulse (new Hampshire doctrine) Morrison rule(1964): This rule states that the crown heel length of the foetus in centimeters...
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Ans. Bipolar cells
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Ans. is 'c' i.e., Identify new conveers to tuberculin test Incidence of infection o It is the percentage of population under study who will be newly infected by mycobacterium tuberculosis among the non infected of the preceding survey during the course of one year . o Persons newly infected with mycobacterium T.B. can ...
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Ans. is 'b' i.e., Cyclosporine
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Bronze baby syndrome is a rare complication seen in neonates with hyperbilirubinemia who are being treated with phototherapy. Affected neonates develop gray-brown skin, serum, and urine within a week of initiation of phototherapy. All neonates with bronze baby syndrome have hyperbilirubinemia necessitating phototherapy...
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Ans. b. Leukemi Leukemic infiltration into the orbit (chloroma) is the most common cause of bilateral proptosis in children amongst the option provided. The most common cause of bilateral proptosis in children is not definitively established, but metastatic neuroblastoma and/or leukemia (chloroma) should be considered ...
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Total space analysis by Merrifield; Requires study casts and cephalograms. Divides the lower arch into anterior, middle and posterior areas. The discrepancy for each area is calculated and the resultant value is added to yield the total discrepancy of the arch. Total space analysis as described by Merrifield is divid...
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It is now possible to inhibit the secretion or the effects of renin in a variety of ways. Inhibitors of prostaglandin synthesis such as indomethacin and -adrenergic blocking drugs such as propranolol reduce renin secretion. The peptide pepstatin and newly developed renin inhibitors such as enalkiren prevent renin from ...
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The given knee x-ray shows bilateral joint destruction. In osteoahritis and rheumatoid ahritis- joint destruction but some anatomical features and shape of joint will be preserved. Gout usually occurs in 1st metatarsal joint. Charcot's disease (neuropathic ahritis) is a cause of joint destruction because of loss of pro...
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Cryptococcus is a capsulated fungus.
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C. difficile is the most common cause of diarrhea in patients on antibiotic therapy (e.g., clindamycin or cephalosporins) who are hospitalized for more than 3 days. Necrotizing enterocolitis (pseudomembranous colitis) is a disease that may affect the colon in segments or in its entirety. The mucosa is covered by yellow...
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Outbreak of food born salmonella gastroenteritis For the stool culture, 1st it has to be processed in an enrichment medium followed by streaking in a selective media. Enrichment medium for Salmonella: Tetrathionate broth, Selenite F broth, Gram-negative broth
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The above features suggests diagnosis of Lesch-Nyhan syndrome is X-linked recessive disorder associated with a viually complete deficiency of Hypoxanthine-guanine phosphoribosyltransferase (HGP). This deficiency results in an inability to salvage hypoxanthine or guanine, from which excessive amounts of uric acid, the e...
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Ans. is 'b' i.e. Fracture is common at the junction of head and body Pancreas being a retroperitoneal structure, peritoneal lavage is not helpful in making the diagnosis of pancreatic injury. CT scan is the best diagnostic procedure, apa from an exploratory laprotomy More about Pancreatic injury About two-thirds are du...
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Stage IIIB: Extension of cervical malignancy to pelvic side wall and/or hydronephrosis or non functioning kidney Broadly, the treatment of cervical cancer is surgical upto stage IIA1 (lesion size <4cm without parametrial involvement) after which the treatment involves chemoradiation, therefore here, chemoradiation is t...
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Ans. is 'c' i.e., From inhalation of the aerosols in air conditioned room at convention centre "Human infection is typically by inhalation of aerosals is produced by cooling towers, air conditioners, and shower heads which act as disseminators." In this question, consumption of water is not provided in the option. Thus...
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Ans. is 'b' i.e., Cyclophosphamide Drugs used for ovarian carcinoma o First line -p Cisplatin, Carboplatin, Paclitaxel, Cyclophosphamide, doxorubicin. o Second line --> Melphalan, chlorambucil, 5-Fu, Methotrexate, Vincristine, Topotecan.
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Relaxis pad is an FDA approved strategy for management of Restless leg syndrome. It is the only FDA approved non-pharmacological strategy to manage restless leg syndrome. Refer to their official site for fuher details:
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Option 1 A bacteriostatic agent or bacteriostat -biological or chemical agent that stops bacteria from reproducing, while not necessarily killing them otherwise. "Bacteriostatic" means that the agent prevents the growth of bacteria (i.e., it keeps them in the stationary phase of growth), and "bactericidal" means that i...
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It resembles schirrhous type because of fibrosis and desmoplastic reactions Based on macroscopic growth pattern cholangiocarcinoma divided into Sclerosing MC type Causes intense desmoplastic reaction Seen as diffuse thickening of the ducts without defined mass. This form is most diffucult to treat. Nodular Result in ma...
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Potential symptom manifestations of a panic attack Palpitations, pounding hea, or accelerated hea rate Sweating Trembling or shaking Sense of shoness of breath or smothering Feeling of choking Chest pain or discomfo Nausea or abdominal distress Feeling dizzy, unsteady, lightheaded, or faint Derealization or depersonali...
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Ans. is 'a' i.e., Modified BT shunt
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A i.e. Intoion
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ANSWER: (B) Obturator internusREF: Grays anatomy 40th ed chapter 40See table of "STRUCTURES PASSING THROUGH GREATER AND LESSER SCIATIC FORAMINA" in Anatomy 2013 Session 2
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Struma ovarii is the most common type of specialised teratoma. It is composed of mature thyroid tissue and may present as hyperthyroidism.
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Ans. D: Measles 160.SSPE (Subacute sclerosing panencephalitis) is inflammatory disease of the central nervous system caused by a persistent, aberrant measles virus infection. In India, the incidence is very high (21 per million population), because of higher population of measles cases in children, more frequent subcli...
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ANSWER: (B) Rupture of bulbar urethraREE: Sabiston Textbook of Surgery, 18th ed chapter 77Bulbar urethral injuryMembranous urethral injuryMore commonLess commonDue to direct blow to perineumBlunt trauma to pelvis and fractureRetention of urine seenRetention of urine seenBlood at urethral meatusBlood at urethral meatusP...
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C i.e. Hypochondriasis
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The gum pads get divided into a labio/buccal and a lingual portion which differentiates later. Transverse grooves separate the gum pads into 10 segments. The groove between the canine and the first molar region is called the lateral sulcus, which helps to judge the inter-arch relationship.
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Ans: (a) DapsoneRef: Katzung/1468* Dermatitis herpetiformis is a chronic blistering skin condition, characterized by blisters filled with a watery fluid.* DH is neither related to nor caused by herpes virus: the name means that it is a skin inflammation having an ap- pearance similar to herpes.* It characterized by int...
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Ans. a. Shivering (Ref: Ghai 7/e pe p115)Neonates lack shivering mechanism. (A1IMS November 2006 Repeat)"On exposure to cold and wet environment, the neonate tries to generate heat by increased activity (crying with agitated movement) and a sympathetic surge that causes vasoconstriction and non-shivering thermogenesis ...
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Facial nerve runs from pons to parotid. It is a mixed nerve having motor and a sensory root. The latter is also called the nerve of Wrisberg and carries secretomotor fibres to lacrimal gland and salivary glands, and brings fibres of taste and general sensation. Nerve of Wrisberg (Nervus intermedius receives fibres from...
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In developing countries like India the most imp pathogen is M.tunerculosis with many strains being multidrug resistant. REF:ANANTHANARAYAN AND PANIKER'S TEXTBOOK OF MICROBIOLOGY 9TH EDITION PAGE NO:576
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Carbapenems are synthetic b-lactam antibiotics Imipenem, meropenem, doripenem and eapenem are the drugs of this group currently available. Imipenem : Effective against : Gm +ve, Gm -ve including pseudomonas and anaerobic. Dehydropeptidase by kidney metabolises imipenem rapidly. Cilastatin is a dehydropetidase inhibitor...
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Ans. is 'None' o Correct answer is 10.m mol/litere or 30 meq/litre.
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Ans: B. Cranial nerves III, VII, IX, X and sacral nerves s2, S3, S4(Ref Grayls40/ep235;Ganong25/ep257,24/ep2571Parasympatheticflow is cranio-sacral, carried by cranial nemes III, VII, X, X & sacral nerves S2, S3, S4.
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During the 6th week, the primary intestinal loop grows rapidly, as a result of rapid growth and expansion of liver, the abdominal cavity temporarily becomes too small to contain the loops of intestine and they enter to the extra embryonic coelom forming the physiological umbilical hernia. During the 10th week of develo...
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Ans. is 'd' i.e., Isotretinoin Isotretinon causes o Craniofacial abnormality o CVS anomaly o CNS anomaly Cleft, lip & palate ASD Neural tube defect Microcephaly Microcephaly
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Disability Limitation:- Teiary level of prevention when patient repos late in pathogenesis phase. Prevent transition of disease from impairment to handicap. Spectacles in refractive error stabilizes visual acuity (Disability limitation) and provides visual clarity (Rehabilitation) too.
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(A) Sarcoidosis # OCULAR MANIFESTATIONS OF SARCOIDOSIS:> Anterior segment: Conjunctival involvement has been reported in patients with ocular sarcoidosis.> Sarcoidosis granulomas are solitary, yellow "millet-seed" nodules.> Anterior uveitis occurs in 22%- 70% of patients with ocular sarcoidosis, and is usually granulom...
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The stylopharyngeus arises from the styloid process It passes through the gap between the superior and middle constrictors to run downwards on the inner surface of the middle and inferior constrictors The pharynx is supplied by the pharyngeal plexus of nerves which lies chiefly on the middle constrictor.The plexus is f...
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When external pressure exceeds the capillary occlusive pressure over 30mmHg, blood flow to skin ceases leading to tissue anoxia, necrosis and ulceration. Ref: Bailey and love 27th edition Pg no: 29
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The 'habit disorder' is used to describe a class of disorder that is characterised by repetitive and unwanted behaviours. Two types : Tic disorders Body focused repetitive behaviours such as hair pulling, skin picking, nail biting, thumb sucking, and cheek chewing
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The levator palpebrae superioris muscle elevates and retracts the upper eyelid.
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(C) Streptococcus # Spontaneous Bacterial Empyema currently re-termed as pleuritis (SBPe) is the spontaneous infection of the pleural fluid> Its prevalence is seen in 13% of in-hospital cirrhosis patients with hydrothorax and has an estimated morality of over 20% in the same admission.> It is postulated to occur as a d...
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In WHO ORS, sodium bicarbonate has been replaced by trisodium citrate: – Makes the product more stable – Results in less stool output (especially in high-output diarrhoea like cholera) as it increases intestinalabsorption of sodium and water
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Ans. D: Cystic Hygroma Common anomalies that can be seen in USG are: Cranial anomalies-anencephaly, hydrocephalus.choroid plaexus cysts Spinal anomalies-Spina bifida occulta and Spina bifida apea Fetal hea Fetal abdomen and abdominal wall-Esophageal atresia, omphalocoele, gastroschisis Hydrops f etalis
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Type XXV is present in the brain Reference: Harper; 30th edition; Page no: 628 Table no: 50-1
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Ans. is 'b' i.e., Pneumoperitoneum Rigler's Signo Both sides of bowel become visible because of free gas on an abdominal xray. This is known as Rigler's Sign.
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in secondary healing a provisional matrix containing fibrin, plasma fibronectin, and type III collagen is formed in about 2 weeks this is replaced by a matrix composed primarily of type I collagen ref robbins 9th ed page 108
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parks textbook of preventive and social medicine 23rd edition *rat fleas are known to transmit the following diseases :bubonic plague,endemic or murine typhus,chiggerosis,hymenolepis diminuta.
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RDA (Recommended dietary allowance):Amount of nutrient estimated to meet the nutrient requirement of 97% to 98% of the healthy individual in an age and gender group.RDA = estimated average requirement +Two standard detion above the estimated average requirement .
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B. i.e. Anterior primary rami of C5- C6
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Ans. a. Miosis Occulomotor nen'e innervates 4 extraocular muscles (i.e. RIMS = rectus of inferior, medial and superior; and inferior oblique/ in addition to levator pulpebrae and pupillary sphincter. So when the palsy is complete, there is complete ptosis with a dilated pupil (mydriasis, not the miosis). The eye is dev...
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Ans. D: COPD Causes include: Pneumonia Inhalation of toxins - such as chlorine, mustard gas, smoke Circulating toxins - such as histamine, septicaemia Disseminated intravascular coagulation Intravenous drug use like heroin hea failure: - Atrial, e.g. mitral stenosis - Ventricular, e.g. myocardial infarction, hypeension...
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Achalasia is associated with loss of ganglion cells in the esophageal myenteric plexus. These impoant inhibitory neurons induce LES relaxation and coordinate proximal-to-distal peristaltic contraction of the esophagus Achalasia is an esophageal motor disorder characterized by increased lower esophageal sphincter (LES) ...
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Lofexidine is a first nonopioid approved for the mitigation of withdrawal symptoms to facilitate abrupt discontinuation of opioids in adults. While Lofexidine may lessen the severity of withdrawal symptoms, it may not completely prevent them and is only approved for treatment for up to 14 days.
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Ans. is 'd' i.e., Osteolytic metastasis
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Pheochromocytoma are neoplasms composed of chromaffin cells, which synthesize and release catecholamines and in some instances peptide hormones. It is important to recognize these tumors because they are a rare cause of surgically correctable hypertension. Pheochromocytoma range from small, circumscribed lesions confin...
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First portion of duodenum is the most common site for PUD.
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The types of the sphenoid sinus can be classified in three groups in the adult: I. conchal, II. presellar, and III sellar types, depending on the extent to which the sphenoid bone is pneumatized. In the conchal type, the area below the sella is a solid block of bone without an air cavity. In the presellar type, the sph...
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The cause of Kawasaki disease isn&;t known. The body&;s response to a virus or infection combined with genetic factors may cause the disease. However, no specific virus or infection has been found, and the role of genetics isn&;t known. Kawasaki disease can&;t be passed from one child to another. Swelling and redness i...
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(A) Zero > Scribbling on paper with a crayon or pencil. The child scribbles spontaneously by 12-24 months, copies arid draws a horizontal or vertical line at 2 years; a circle by 3 years, a cross (plus sign) by 4 years and tilted cross (multiplication sign) by 5 years. He can draw a rectangle by the age of 4 years and ...
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Loss of virginity
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Septic shock has already been described → in hyperdynamic stage there is vasodilation and  ↓ TPR. Neurogenic shock Neurogenic shock occurs when there is Neurological injury as occur in head trauma or high cervical cord injury or cephalad migration of spinal anaesthesia. Interruption of sympathetic vasomotor input occu...
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Ans. is 'a' i.e., Hepatocellular carcinoma Tumor MarkersCancerNon-Neoplastic ConditionsHormonesHuman chorionic gonadotropino Gestational trophoblastic disease, gonadal germ cell tumoro Medullary' cancer of the thyroido PheochromocytomaPregnancyCalcitoninCatecholaminesOncofetal AntigensAlphafetoproteinCarcinoembryonic a...
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Refer KDT 6/e p 597 Heparin is the strongest organic acid found in human being It acts by activating AT-3 that inhibits factor CA and 2a Most commercial preparations of heparin are derived from ox lung and pig intestine
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Primary prevention- health promotion and specific protection. Regular physical activity should be a pa of normal daily life. It paicularly impoant to encourage the children to take up physical activity that they can continue through out their life. Ref-Park&;s textbook of Preventive and Social Medicine 24th edition.
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CHEMO-MECHANICAL CARIES REMOVAL Chemical softening of carious dentin – gentle excavation CARIE CARE contains: Papaya extracts – 100 mg Clove oil – 2 mg Colored gel – 10 mg Sterile water – 1 ml Chloramine Sodium chloride Sodium methylparaben Sodium propylparaben Advantages: Safe, no adverse effects on pulp Reduced n...
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Variant angina is caused by coronary vasospasm DOC:Sublingual Nitroglycerine Prophylaxis : Calcium channel blockers (like verapamil and Diltiazem) and nitrates Beta blockers are avoided as they may precipitate coronary vasospasm by counteracting beta 2 mediated coronary vasodilation. Therefore they are avoided in varia...
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Physical nature of Amyloid Electron microscopy Non-branching fibrils of indefinite length ~7.5 to10 nm in diameter X-ray crystallography & IR spectroscopy Cross -b-pleated sheet conformation H&E Amorphous, eosinophilic, extracellular substance
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Palmaris longus is supplied by the median nerve. Abductor digiti minimi and adductor pollicis is supplied by the deep branch of ulnar nerve. Palmaris Brevis is supplied by the superficial branch of ulnar nerve along with digital branches. B D Chaurasia 7th edition Page no: 124,123
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MC cause of cholestatic jaundice in newborn is Neonatal hepatitis. MCC of jaundice in 1st 24 hrs of life - Hemolytic disease of newborn. MCC of jaundice in 24 hrs to 72 hrs of life - Physiological jaundice.
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"Because of multicentricity, bilobar involvement, poal vein invasion, and lymphatic metastasis only 15-20% of hepatocellular carcinoma are resectable" Option 1 "The highest incidence of disease ( > 10-20 per 100,000) is found in Southeast Asia And tropical africa, and the lowest incidence incidence ( 1-3/ 100,000) is f...
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Bone is kept shoer than soft tissue in flap method of amputation to facilitate closure of amputation stump. Also know: In guillotine amputation, limb is transected at one level through skin, muscle and bone. Ref: Campbell's operative Ohopaedics 10/e, page 544.
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The right and left livers are drained by the right and left hepatic ducts, respectively, whereas the caudate lobe is drained by several small ducts joining the bifurcation and first several centimeters of both hepatic ducts. Ref: Principles and Practice of Gastrointestinal Oncology edited by David Kelsen, 2008, Page 48...
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Hepatitis A is transmitted by feco-oral route. vertical transmission is not seen.
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Ans. C. CladribineAlkylating agents are cyclophosphamide, ifosfamide, busulfan melphalan, carmustine, lomustine. cladribine is antimetabolite.
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Ans. is 'c' i.e., Coxsackie -B virus There are two types of Coxsackie viruses :Coxsackie A (Seotypes 1 to 24) : They cause aseptic meningitis (especially A7 and A9), Herpangina, febrile illness, acute hemorrhagic conjucntivitis (by A24), and 'Hand-foot-mouth disease'.Coxsackie B (Sterotypes 1 to 6) : They cause aseptic...
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Acute promyelocytic leukemia (M3 by the FAB classification) is associated with a t(15;17) (q22;q11) translocation. Disseminated intravascular coagulation can occur in this disorder due to the release of procoagulant substances from the leukemic cells, especially during treatment. The t(4;11)(q21;q23) translocation is a...
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Aggrecan is a proteoglycan, also known as cailage-specific proteoglycan core protein (CSPCP) or chondroitin sulfate proteoglycan 1. It is encoded by the ACAN gene. Aggrecan is an integral pa of the extracellular matrix (ECM) in cailagenous tissue and it withstands compression in cailage.
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