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C & A Harper, 26th ed, p. 244 & 25,h ed, p. 319
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Factors which | breast milk production: the thought, sight or sound of baby Factors which | breast milk production: Use of dummies, pacifiers Feeding bottles, formula feeding Sore or cracked nipples Lack of night feeding & inadequate emptying of breast.
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(C) Type-III # They are classified into 3 types:> Le Fort I (transverse) fracture runs above and parallel to the palate. It crosses lower part of nasal septum, maxillary antra and the pterygoid plates.> Le Fort II (pyramidal) fracture passes through the root of nose, lacrimal bone, floor of orbit, upper part of maxilla...
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Ans. is 'b' i.e., Actin
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A i.e. Pyricatachol
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This baby has presented with the typical picture of pyloric stenosis. Projectile nonbilious vomiting is seen in viually all patients. Patients also often develop a hypokalemic, hypochloremic metabolic alkalosis from the persistent vomiting. On exam, the upper abdomen may be distended after feeding and prominent perista...
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For calculating the minimum amount of fluid per day, a formula based on body weight is recommended: 1500 ml is the minimum water intake with 15ml fluid per kg to be added for the actual weight minus 20kg. Reference: GHAI Essential pediatrics, 8th edition
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Answer is D (G-6PD Deficiency) Glucose - 6 - PD Deficiency is not associated with Pancytopenia and a cellular marrow Myelodysplasias, PNH and Megaloblastic anemia (Vit B12,Folate deficiency) may present with Pancytopenia and a cellular marrow.
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Ans: b (Release of calcium) Ref Khurana text book of physiologyIf activated factor XIII is given the option you can go for that. Otherwise only correct answer is calcium. Thrombosthenin is involved in clot retraction.Platelet-associated factor XIII provides a means by which to promote clot stabilization and platelet in...
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Ans. C. AnthropoidBy tradition, pelvis are classified as belonging to one of four major groups. The gynecoid pelvis is the classic female pelvis with a posterior sagittal diameter of the inlet only slightly shorter than the anterior sagittal diameter. In the android pelvis, the posterior sagittal diameter at the inlet ...
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Ans. is 'd' i.e., 6-8 days o Oral anticoagulants are stopped 6-8 days prior to surgery because their duration of action is about 4-6 days. o Therefore if the drug is stopped its action may remain for the next 6 days. o So it is safer to stop them 6-8 days before surgery.
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Stone in distal ureter: Calculi in the lower ureter often cause pain that radiates to the groin or testicle in males and the labia majora in females. Stone in renal calyx: The pain is a deep, dull ache in the flank or back that can vary in intensity from severe to mild. The pain may be exacerbated after consumption of ...
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Henoch-Schonlein purpura, the most common systemic vasculitis in children. Typical features are palpable purpura, abdominal pain, ahritis, and hematuria. Direct immunofluorescence of the skin lesions demonstrates immunoglobulin deposition in and about affected blood vessels. All immunoglobulin classes may be present, b...
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In metabolic alkalosis, there may be a loss of fixed acids or excess of base. It is associated with hypokalemia because of renal conservation of H+ ions and urinary potassium loss. Loss of hydrochloric acid as seen in vomiting in patients with pyloric obstruction results in hypochloremic, hypokalemic, metabolic alkalos...
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For parotid tumors that arise in lateral lobe superficial parotidectomy with preservation of CN VII is indicated. If the tumor extends in to deep lobe of parotid, a total parotidectomy with nerve preservation is performed.
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Temporary Social Groups: Crowd Group of people come together temporarily, for a sho period, motivated by a common interest or curiosity (e.g., to witness a football match) Lacks internal organization & leadership; When interest is over, crowd disperses. Mob It is crowd with a leader, who forces members into action & is...
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Visual cycle In the retina of living animals, under constant light stimulation, a steady state must exist under which the rate at which the photochemicals are bleached is equal to the rate at which they are regenerated. This equilibrium between the photodecomposition and regeneration of visual pigments is referred to a...
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Ans. (c) Bimastoid
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In EDS types I and II, the classic variety, causative mutations may involve the COL5A1, COL5A2, and tenascin-X genes. Type IV is characterized by a decreased amount of type III collagen. Types V and VI are characterized by deficiencies in hydroxylase and lysyl oxidase, an important posttranslational modifying enzyme in...
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The unique feature of atracurium is inactivation in plasma by spontaneous nonenzymatic degradation (Hofmann elimination) in addition to that by Alkaline ester hydrolysis. Consequently, its duration of action is not altered in patients with hepatic/renal insufficiency or hemodynamic compromise → It is the preferred musc...
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Ans. (A). PutrefactionHoney comb appearance or foamy liver is seen in putrefaction due to the presence of gas bubbles within the parenchyma.
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Skeletal fluorosis is a bone disease caused by excessive accumulation of fluoride in the bones. In advanced cases, skeletal fluorosis causes painful damage to bones and joints. Symptoms are mainly promoted in the bone structure. Due to a high fluoride concentration in the body, the bone is hardened and thus less elasti...
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Simultaneous beating of both ears with the palms of the hands is known as TELEFONO. This may lead to rupture of the tympanic membrane causing pain, bleeding and hearing loss. It is difficult to detect this. The external ear may also get torn during pulling of the ears.
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Raynaud's disease is not associated with anti nuclear antibodies (ANA's). ANA's are seen in sjogren's syndrome, rheumatoid ahritis, autoimmune hepatitis, scleroderma, polymyositis & dermatomyositis. Ref: CMDT 2006 Edition, Page 464-465; Harrison's Principles of Internal Medicine, 16th Edition, Page 1489.
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Ans. A Ulnar nerveRef: Gray's Basic Anatomy E-book, P 399Carpal Tunnel Anatomy* Posterior border# Carpal bones* Anterior border# Transverse carpal ligament* Boundaries# Proximally--pisiform and tubercle of navicular# Distally--hook of hamate and tubercle of trapezium* Contents# Flexor digitorum superficialis# Flexor di...
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A i.e. CarotenoidsProtooncogenes are normal cell genes that paicipate in cellular functions related to growth and proliferationQ. Proteins encoded by protooncogenes may function as growth factor, ligands and receptors, signal transducers, transcription factors and cell cycle regulatorsQ.Protooncogenes on activation bec...
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According to Mahler's theory, the period of childhood is divided into three stages. Normal autistic phase (0 - 1 year) Normal symbiotic phase (4 wks to 4 yrs) Separation individualization phase (5 to 36 months)
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Histopathological Feature of "orphan annie eyed nuclei" is characteristic of papillary carcinoma of thyroid. Management of papillary carcinoma : Hemithyroidectomy : In size < 2cm. Age < 40 years. No lymphovascular invasion FT. No capsular invasion FT. In all other conditions total thyroidectomy is done. If level V...
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Nutrients in growth media must contain all the elements necessary for the biosynthesis of pathogenic microorganisms. This rule is especially true of media that are intended to have a selective (select for a specific group of bacteria) or differential (differentiate between a pathogenic and a normal or usual strain of a...
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b. Renal agenesis(Ref: Nelson 20/e 2513)Components of oligohydramnios complex (Potter syndrome), including low-set ears, micrognathia, flattened nose, limb positioning defects, intrauterine growth restriction & death may result from pulmonary hypoplasia.Bilateral renal agenesis is incompatible with extrauterine life & ...
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Disorders of smell Anosmia : Total loss of sense of smell Hyposmia : Partial loss of sense of smell Parosmia : Perversion of smell (seen in recovery phase of post influenzal anosmia; intracranial tumors).
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The strength attained by amalgam within 8 hours is 70%. Reference: Phillip’s Science of Dental Materials, Pg-353
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HRCT is best to detect and evaluate suspected cases of bronchiectasis, emphysema, diffuse lung diseases and ILDs.
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Ans. D. Sugar alcohols(Ref: Harper 31/e page 191)In Diabetes mellitus, in the lens by polyol pathway Glucose converted to Sorbitol by the enzyme Aldose reductaseIn galactosemia, Dulcitol or Galactictol is responsible for cataract.Sorbitol, Dulcitol are sugar alcohols.
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Ans. is 'd' i.e., All of the aboveo The traits used to differentiate male and female bones are - 1) In pelvis:- Preauricular sulcus, subpubic angle, pelvic brim (inlet), ischiopubic index, sciatic notch index.2) Skull:- Orbits, supraorbital ridges, external auditory meatus, occipital area, mastoid process, palate, over...
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Roughening by air abrasion by itself is not a substitute for acid-etching techniques. Roughening improves bonding. Acid etching alone or after roughening, however, always produces a better bond than air abrasion alone. Contemporary air abrasion equipment is helpful for stain removal, debriding pits and fissures before ...
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Ans. is 'c' i.e., Safflower oil [Ref: Park 23rd/ep.6II\o Richest source of polyunsaturated fatty acid - Safflower oil.o Richest source of monounsaturatedfatty acid - Palm olein oilo Richest source of saturated fatty acid - Coconut oil.
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In the question, patient is presenting with history of 2 midtrimester abortions and gestational age is 32 weeks with labor pains and dilatation of cervix 2 cm The membranes are not ruptured, hence management includes: Betamethasone: To accelerate lung maturation of the fetus. Tocolysis: Tocolytics are not given with t...
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Ans. is 'a' i.e., Rat tail appearance Rat tail appearance of esophagusEsophageal carcinomaMegaesophagus (sigmoid esophagus)"Bird beak" appearance Hurst phenomenon Achalasia cardiaYo-Yo motion of barium"Corkscrew" appearance (esophageal curling)Rosary-bead'sheikh kebab configurationChain of bead appearance Diffuse esoph...
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The cause of malignant hypehermia is unknown, but it is associated with inhalational anesthetic agents and succinylcholine. It may develop in an otherwise healthy person who has tolerated previous surgery without incident. It should be suspected in the presence of a history of unexplained fever, muscle or connective ti...
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Deficiency Disease Group Acid maltase Pompe's disease Glycogen storage disease Acid lipase Wolman disease Lysosomal storage disease Wolman disease Not a sphingolipidosis. Cholesterol ester storage disease Lysosomal acid lipase deficiency Triglyceride | C/F Vomiting Watery green diarrhea Hepatosplenomegaly Calcification...
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Ans. is 'c' i.e., Localized anaphylaxis
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Red cell volume is the volume occupied by all the circulating red cells in the body. It can be measured by sustracting the plasma volume from total body water. It can also be measured by injecting tagged red blood cells and measuring the fraction of red cells that is tagged.51 Cr radio isotope of chromium is commonly u...
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Tuberculous infection of bone (osteomyelitis) is a form of secondary osteomyelitis caused by hematogenous dissemination from a primary infected visceral focus. The primary focus may be active or quiescent, apparent or latent, either in the lungs, lymph glands or other viscera. Periosteal reaction is minimal and abscess...
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Fresh water drowning is associated with both hyperkalemia and corresponding hyponatremia.
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Indications of splenectomy in ITP: Failure of medical therapy Prolonged use of steroids with undesirable effects Most cases of first relapse Splenectomy provides a permanent response without subsequent need for steroids in 75-85% of patients. Laparoscopic splenectomy has become the gold standard for ITP patients. Respo...
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Ans. is b, i.e. VVF repairRef: Shaw 14th/ed, p168SurgeryDone in1. Kelly stitch/Boney's Test/Marshall Marchetti Krantz SurgeryStress Urinary Incontinence2. Chassar Moir Technique/ Latzko technique/ layer techniqueVVF Repair3. Boari Flap TechniqueUretrovaginal Fistula repair4. Purandare Sling/ Fothergill's Repair/ Manche...
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Currarino triadorASP triad: - Anorectal malformation or congenital anorectal stenosis - Sacrococcygeal osseous defect (always present) - Classically, hemisacrum with intact first sacral veebra ("sickle-shaped sacrum") - Mild (hypoplasia) to severe (agenesis) of sacrum and coccyx - Presacral mass (various types) - Anter...
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Infection with Isospora belli is known to cause diarrhea and its is diagnosed by the presence of large oocysts in stool detected by modified acid-fast staining. This infection is acquired by the consumption of oocysts. Patients usually presents with fever, abdominal pain, and watery nonbloody diarrhea. In AIDS patients...
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C i.e. Latent squint Hetrophoria or latent strabismus is a condition in which there is a tendency to misalignment of the visual axis, which is corrected by the fusional capacity. Often latent squints give no trouble until the demand of near vision increase the strain. No symptoms arise, perhaps, until after reading or ...
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Ans: A (Glaucoma) Prostaglandin Analogue areBimatoprostQLatanoprostTravoprostUnoprostoneQAdvantages of PG Analogue;Once daily dosingLow incidence of systemic side effects :It includes irreversible brown pigmentation of the iris & eyelashes, drying of the eyes & conjunctivitis1'(Katzung Wth/307)Potent intraocular pressu...
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The symptoms and membrane over the tonsil are suggestive of infection with Corynebacterium diphtheriae. For the earliest diagnosis, the nasal swab should be cultured in Loeffler's serum slope. Loeffler's serum slope: diphtheria bacilli grow on this media very rapidly and colonies can be seen in 6-8 hours, long before o...
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harshmohan textbook of pathology 7th edition. *type 3 reaction result from deposition of antigen antibody complexes in tissues which is followed by activation of complement system and inflammatory reaction resulting in cell injury. *type 1 -anaphylactic reaction. *type 2-antibody mediated reaction. *type 4-delayed hype...
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Ans. is 'd' i.e., Posterior cord Supraclavicular branches of brachial plexuso Branches of brachial plexus which are above the clavicle are called supraclavicular branches,o These arise from roots and trunks.Supraclavicular branches of brachial plexusFrom roots1. Nerves to scaleni and longus colli2. Branch to phrenic ne...
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ADULT INCLUSION CONJUNCTIVITIS Etiology : Inclusion conjunctivitis is caused by serotypes D to K of Chlamydia trachomatis. The primary source of infection is urethritis in males and cervicitis in females. The transmission of infection may occur to eyes either through contaminated fingers or more commonly through contam...
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Classic distal A/ Type 1 A- Hyperkalemia is not seen Hyperkalemia is seen in type IV A
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Ans. is 'd' i.e., RetrocaecalVermiform Appendix It is a narrow worm-like tubular diveiculum which arises from the postero-medial wall of the caecum about 2 cm below ileocaecal function and is suspended by a peritoneal fold known as mesoappendix or appendicular mesentery.Length of appendix is 2-20 cm (average 9 cm).The ...
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When Lichen planus affects the nails, it causes scarring of the nail bed with early nail ridging and splitting later leading to pterygium formation. Pterygium of nail is scarring from the base of the nail outward in a V formation, which leads to loss of nail. Nail changes in psoriasis includes presence of irregular pit...
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HUS is a disease characterised by Hemolytic Anemia (Microangiopathic hemolytic Anemia) Uremia Low platelet count
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Point A → 8000 rad (8000 cGy) Point B → 5000 rad (5000 cGy)
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(C) (Calcium) (4.8 Ganong 24th edition, 18 A.K. Jain 5th)Exocytosis is the Ca^ dependant process.Exocytosis: here-substances secreted by the cell are trapped within vesicles or granules which fuse with the cell membrane and release their contents to the ECF. This leaves the contents of the vesicles or granules outside ...
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The patient is suffering from infective endocarditis. With a background of rheumatic fever, the likely risk factor for IE in this case is rheumatic hea disease (RHD). Some of the clinical features of infective endocarditis related to microthromboemboli include erythematous or hemorrhagic nontender lesions on the palms ...
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Ans. a. Heller's cardiomyotomy (Ref: Sabiston 19/e p1025-1028; Schwartz 9/e p850-851, 857-860: Bailey 26/e p1014- 1017, 25/e p1036-1038; Shackelford 7/e p349-352, 354-361)The features of dysphagia, intermittent chest pain and dilation of esophagus with narrowing of its distal end on radiology in a young female suggest ...
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Ans. is 'b' i.e., Inhibition of ATP synthesis only not ETC As the name suggests, these componds block the coupeling of oxidation with phosphorylation. These compounds allow the transfer of reducing equivalents in respiratory chain but prevent the phosphorylation of ADP to ATP by uncoupling the linkage between ETC and p...
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The foramen ovale functionally closes almost immediately after bih as pressure in the right atrium decreases and pressure in the left atrium increases, thereby pushing the septum primum against the septum secundum. Anatomical fusion occurs much later in life; more than 25% of the population has probe patency of the for...
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Posterior circulation TIA is suggested by the transient episodes. The basilar artery is formed by the two vertebral arteries and supplies the pons, the midbrain, and the cerebellum. With vertebrobasilar TIAs, tinnitus, vertigo, diplopia, ataxia, hemiparesis, and bilateral visual impairment are common findings.
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There should be at least 1-1.5 mm width of bone required labial and lingual to the implant (Different according to text books). As in question minimum thickness is asked more favorable answer will be 6mm only.
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The main pathological changes in Keratoconus are thinning and ectasia of the lens which occur as a result of defective synthesis of mucopolysaccharide and collagen tissue. REF : AK KHURANA 7TH ed.
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Ans. is 'b' i.e., Blastocyst * The morula after spending about 3 days in the tube enters the uterine cavity via the narrow ostium (1 mm) on the fourth day in the 16-64 cell stage. Blastocyst formation is on the 5th day.* Implantation occurs in the endometrium on the anterior or posterior wall of the body near the fundu...
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The presence of painless indurated ulcer and a non-tender lymph node is suggestive of primary syphilis.
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β-thalassemia trait and α-thalassemia trait are typically asymptomatic. The anatomic changes in β-thalassemia major are similar in kind to those seen in other hemolytic anemias but are profound in degree. Ineffective erythropoiesis and hemolysis result in a striking hyperplasia of erythroid progenitors, with a shift to...
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Ans: C (Ability to read and write) Ref: Textbook of Preventive and Social Medicine, K Park. 22nd edition. page no 44 7Explanation:Census is conducted once in 10 years in India.Literacy rate is assessed those above 7 years ageIn census it was first used in 1991 censusA person who can read and write with understanding in...
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Ans. is `b' i.e., 0.8-1.5 ng/ml o Therapeutic concentration of digitoxin is 15-30 ng/ml and of digoxin is 0.5-1.4 ng/ml
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Ans. (b) 5 monthsRef O.P Ghai 8th ed/4Birth weight doubles at 5 months, triples in an year and is four times at 2 years and becomes 5 times at 3 years.Note: Newborns lose 10% of body weight in first ten days due to loss of extracellular water, after which they gain 25-30gms per day for first 3 months of life.
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Harshmohan textbook of pathology 7th edition. even though basal cell carcinoma is a malignant one, it spread to the surrounding tissues , (locally aggressive cutaneous tumour) and that rarely metastasis. .
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Causes of secondary Osteosarcoma Paget disease. Radiation Fibrous dysplasia Enchondromatosis Multiple osteochindroma Bone infraction Chronic osteomyelitis Refer Maheshwari 9th/e p 239
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140 cm
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Positive trendelenburg's sign is seen in superior gluteal nerve (Gluteus mediusminimus) injury and not in Inferior gluteal nerve injury (Gluteus maximus). The gluteus maximus is the most powerful hip extensor and is crucial for movements requiring large forces. It functions primarily between the flexed and the standing...
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Acute diveniculitis severe enough to warrant hospitalization requires intravenous fluid replacement and broad-spectrum antibiotic therapy. Morphine is a poor choice for analgesic because it increases intracolonic pressure and may aggravate the diveniculitis. Meperidine is a better choice because it decreases intralumin...
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Pregnancy
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ref : bailey and love 27th ed
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Refer : Anatomy and Physiology of Eye – AK Khurana pg 59 Concentration of components in plasma and aqueous humour
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D i.e. Cyclopropane
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Ans is 'd' i.e., Methylene blue test `Methylene blue Reduction test' is an indirect test Jar detection of microorganism in milk. It is carried out on milk prior to the process of pasterurization and is not used to check the efficiency of pasteruization.
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Cerebellar glomeruli are seen in the granular layer of cerebellar coex. It is a synaptic complex involving four types of neurites: Mossy fibre terminalDendrites of granule cell Dendrites of golgi cells Golgi cell axon terminal Each glomeruli is surrounded by a capsule of neuroglial cells and appears ovoid or spherical....
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Ans. is 'c' Loffler's Serum slope Fever, cervical lymphadenopathy and grey membrane on the tonsil extending to the anterior pillar confirms the diagnosis of diptheria injection.Harrison states that- "If pseudomembrane formation occurs beyond the tonsils and with it cervical lymphadenopathy is also present then the case...
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Differentiating features of psychogenic or non epileptic seizures or pseudoseizures: Completely asynchronous thrashing of the limbs and repeated side-to-side movements of the head Striking out at a person who is trying to restrain the patient Hand-biting, kicking, trembling, and quivering Pelvic thrusting and opisthoto...
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The membranous labyrinth of the internal ear is derived from the otic vesicle The surface ectoderm on either side of the hindbraint thickens to form otic placodes. The otic placodes invaginate to form otic vesicles. The otic vesicles fuher divides into 2 components that develop into structures of the membranous labyrin...
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Supression of hypothalamo pituitary axis occur depending on the dose and duration of therapy. It occurs when hydrocoisone (>20-25mg/day) or equivalent is given for more than 2-3weeks. Prednisolone is 5 times more potent than hydrocoisone and therefore 5 mg prednisone is equivalent to 25 mg Hydrocoisone. Thus, suppressi...
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Persistent deviation of the neck (Torticollis) after one day of taking haloperidol is a feature of acute muscular dystonia (acute drug dystonia).
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Ans. A. Lateral SpinothalamicThe spinothalamic tract is a sensory pathway from the skin to the thalamus. From the ventral posterolateral nucleus in the thalamus, sensory information is relayed upward to the somatosensory cortex of the postcentral gyrus.The spinothalamic tract consists of two adjacent pathways: anterior...
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Chromophilic renal cell carcinoma is a distinct type of human renal cancer, only recently recognized and defined by its characteristic histomorphological aspect and cytogenetic aberrations. Immunohistochemistry revealed coexpression of vimentin and cytokeratins in all cell lines the cytokeratin polypeptide patterns, ho...
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Dorsum of the tongue is specialized mucosa
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Staphylococcal scalded skin syndrome/ Pemphigus neonatorum/Ritter's disease/Localized bullous impetigo Induced by epidermolytic exotoxins(exfoliatin)A and B, which are released by S. aureus -detachment within the epidermal layer, by breaking down the desmosomes. One of the exotoxins is encoded on the bacterial chromoso...
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(Dobutamine): (124-KDT 7th edition)DOBUTAMINE - ("Cardiac stimulant") A derivative of dopamine, but not a D1 or D2 receptor agonist, though it acts on both alpha and beta adrenergic receptorsIt is used as an inotropic agent in pump failure accompanying MI, cardiac surgery, and for short term management of severe CHF. I...
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In an upright posture, the soleus is responsible for pumping venous blood back into the hea from the periphery and is often called the skeletal-muscle pump, peripheral hea or the sural (tricipital) pump. Soleus muscles have a higher propoion of slow muscle fibers than many other musclesReference: Chaurasia Volume II; 7...
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ANSWER: (A) VisionREF: Guyton 12th Ed. Pg 624PRIMARY VISUAL CORTEX is also called visual area I or striate cortex because of the highly striated appearance.The primary visual (VI) cortex is mostly located on the medial aspect of the occipital lobe, and is coextensive with the subcortical nerve fibre stria of Gennari in...
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Ans. (a) Nodular SclerosisRef: Robbin's pathology 9th ed. /606-607; Harrison 18th ed. Chapter 110Hodgkin's DiseaseNodular lymphocytePredominant Hodgkin's diseaseClassical Hodgkin's diseaseNodular sclerosis Hodgkin's diseaseLymphocyte-rich classic Hodgkin's diseaseMixed-cellularity Hodgkin's diseaseLymphocyte-depletion ...
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Ans. is 'd' i.e., Productive cough Amiodarone is a class III antiarrhythmic drug and thus blocks potassium channel. It acts by increasing the action potential duration and effective refractory period.In spite of its present classification as class 3 drug, amiodarone also significantly blocks inactivated sodium channels...
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The above procedure shown in image is - Embalming Ethanol is a preservative is not the usual content of Embalming solution.- Instead Methanol is used (cheaper) and more toxic to bacteria than ethanol. MC used - formaldehyde - dehydrates , hardens the tissue- Formalin - 60%- Methanol - 25%- Liquefied phenol - 10%- Sodiu...
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