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The middle cerebral aeries are the most common site of occlusion resulting in cerebrovascular accident (CVA). The middle cerebral aeries supply the lateral surfaces of the frontal, temporal, and parietal lobes, and the inferior surfaces of poions of the frontal and temporal bones. MCA infarctions are the most common be...
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Ans. A. PindololPindolol is beta blocker with intrinsic sympathomimetic activity. These drugs themselves activate beta 1/2 sub maximally.
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Our study confirmed that mitotic figures and nuclear pleomorphism are hallmarks of high-grade secondary peripheral chondrosarcoma. However, despite the substantial agreement, we demonstrated that histology alone cannot distinguish osteochondroma from low-grade secondary peripheral chondrosarcoma in the setting of multi...
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. Ans : (c) Pain at exercise Intermittent claudication & rest pain are the cardinal symptoms of Peripheral aerial disease . Intermittent clarification refers to a pain, ache or sense of fatigue that occurs in affected muscle group with EXERCISE, paicularly walking & resolves with rest.
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The trigeminal ganglion lies on the trigeminal impression,on the anterior surface of the petrous temporal bone near its apex.It occupies a special space of duramater,called the trigeminal or Meckel's cave. REF.BDC VOL.3,Fifth edition.
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The main disability that follows the Classical Radical Neck Dissection is weakness and drooping of the shoulder due to paralysis of the trapezius muscle as a consequence of excision of the accessory Nerve. Reference : Bailey & Love, 27th Edition, page no = 758.
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A i.e. Propofol, Fentanyl, isoflurane
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Regression: Structure of exact relationship b/w two variables. Value of one variable in an individual case can be known from value of another variable. y= a + bx ;x= independent variable ; a=constant ; b= regression coefficient]. Types of regression: Simple linear regression - y= a + bx Simple curvilinear regression - ...
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Clinical features: Progressive unilateral sensory neural healing loss often accompanied by tinnitus. Vestibular symptoms seen are unsteadiness and rarely veigo. Cranial nerve involvement: Vth cranial nerve: Reduced corneal sensitivity, numbness or paraesthesia of face. VIIth nerve: Hypoesthesia of posterior metal wall,...
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Cochlear implants are neural prostheses that conve sound energy to electrical signals and can be used to stimulate the auditory division of the eighth nerve directly. Bilateral cochlear implants are increasingly common and serve to enhance sound localization and improve understanding of speech in background noise.
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The ischial tuberosity gives attachment to the posterior femoral muscles. Quadratusfemoris is attached along the upper pa of its lateral border. The upper area of the tuberosity is subdivided by an oblique line into a superolateral pa for semimembranosus and an inferomedial pa for the long head of biceps femoris and se...
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Ans. is 'd' i.e., Vitellointestinal duct Meckel's diveiculum Meckel's diveiculum is the persistent proximal pa of the vitellointestinal duct which normally disappears during intrauterine life. It follows 'rule of 2' :- present in 2% subjects, 2 inches (5 cm) long and is situated 2 feet (60 cm) proximal to ileocoecal va...
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Metastatic orbital tumours in children neuroblastoma, nephroblastoma, Ewing's, testicular embryonal sarcoma and Ovarian sarcoma.
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A cherry-red colouration of the skin, mucous membranes, conjunctiva, nail beds, areas of hypostasis, blood, tissues and internal organs is seen in carbon monoxide (CO) poisoning. It is associated with 30-40% COHb. Ref: The Essentials of Forensic Medicine and Toxicology by Narayan Reddy, 27th edition, Page 555.
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<p> HEV causes large epidemics in Asia and Noh America. Park&;s textbook of preventive and social medicine,K.Park,23rd edition,page no:220. <\p>
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In the image on the left adenoma sebaceum is present, which looks like extensive acne in a butterfly distribution. The CT scan head shows a big lesion obliterating the ventricular system. It is a sub-ependymal nodule seen in tuberous sclerosis. A point against Sturge Weber is the absence of cutaneous lesion of Po wine ...
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Uterine contractions: Palpable when intensity exceeds 10 mm Hg Painful when exceeds 15 mm Hg
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Normally, the glomerular filtration system is extraordinarily permeable to water and small solutes and almost completely impermeable to molecules of the size and molecular charge of albumin (a 70,000-kDa protein).<p> Robbins book of pathology.
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Ans. C. Apply Mc Donald's StitchHistory of prior pregnancy losses in the second trimester with painless cervical dilatation is suggestive of cervical incompetence. The woman has now come in the 2nd trimester again with level II scan showing V shaped tunneling of internal os and the closed cervical length measuring 0.9c...
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C i.e. LGV
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Ans. is 'a' i.e., CEA o Carcinoembryonic antigen is a marker in cancer of colon, pancreas, lung, breast, and ovary.
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Signs of Spina bifida on USG : Small biparietal diameter Ventriculomegaly Frontal bone scalloping or the so called Lemon sign. Elongation and downward displacement of the cerebellum, the so called Banana sign Effacement or obliteration of the cisterna Magna. Ref:Williams Obs 23e pg 354,355.
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Ans. is. 'b' i. e. B. cereus
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Ankylosing spondylitis and Reiters syndrome: Both involve young males who are positive for HLA-B27. Behcet's syndrome: The disease typically affects the young men who are positive for HLA-B51.
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Average period in days a hospital bed remains vacant between one discharge and another admission is known as T interval. The value of T may be positive or negative. A negative T is indicative of scarcity of bed and overutilization. Ref: Textbook of community medicine, S. Lal, 3rd edition pg: 685.
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Fibrous pericardium base is broad and inseparably blended with the central tendon of the diaphragm.Ref: BD Chaurasia; Volume I; 6th Edition; Page no: 249
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Chorionic vinous biopsy at this stage will confirm presence or absence In a woman with a history of a previous child with Down syndrome the risk of recurrence of Down syndrome is increased These women need confirmatory diagnosis of Down's syndrome as early as possible. If would after them the advantage of first trimest...
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One of the most important requirements is that the darkroom be lightproof. If it is not, stray light can cause film fogging and loss of contrast. To make the darkroom lightproof, a light-tight door or doorless maze (if space permits) is used. SAFELIGHTING The processing room should have both white illumination and safe...
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The cerebral hemisphere is divided into several areas, called Brodmann Areas. Each cerebral hemisphere contains a total of &;47&; such areas. The area between central sulcus and precentral sulcus is called pre-central gyrus; the motor area of the brain (Brodmann area 4).Ref: Textbook of physiology, Dir. Prof. AK Jain, ...
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Ans. is 'c' i.e. The patients do not know which treatment they are receivingRef. Park 20th/e, p 79, 18th/e, p. 77 (17th/e p 73)Blinding was introduced to prevent bias during randomized controlled trial.Single Blind TrialThe trial is so planned that the participant is not aware whether he/she belongs to the study group ...
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Corneal dystrophies are primary, bilateral and inherited disorder manifesting occasionally at bih but more usually during first or second decade and sometimes even later in life. Corneal dystrophies are of 3 types: anterior dystrophy, stromal dystrophy and posterior dystrophy.
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Medullary spaces of jaws are remarkably reduced in both forms. Osteomyelitis and jaw fracture is common during tooth extraction. Key concept: Osteomyelitis of the mandible is common due to a deficient blood supply. Bones are fragile and can fracture easily.  Ref: Shafer's textbook of oral pathology 7th edition page 70...
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Ans. A. LymphadenopathyJohns major criteria - Migratory flitting polyarthritis, Sydenham's chorea, pan carditis, subcutaneous nodules, erythema marginatum
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Gonococci is a gram-negative coccus. Chronic urethritis due to gonococci can lead to stricture formation. In men, the disease caused by gonococci stas as an acute urethritis with a mucopurulent discharge containing gonococci in large numbers. Infection extends along the urethra to prostrate, seminal vesicles and epidid...
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Crohn's disease (CD) can invade any pa of GIT from the oral cavity to the anus. Studies show that 70% of patients with CD will require a bowel resection in the first decade after diagnosis and 40% will require a fuher resection * Since surgery does not cure CD, the fundamental principle is to preserve healthy gut and t...
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Retinal detachment is not a complication of orbital cellulitis Orbital Cellulitis Inflammation of orbital septum Complications Exposure keratopathy Compression of optic nerve Central retinal aery occlusion Orbital Abscess Intracranial spread of infections Septicemia
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OxytocinIn general, oxytocin should be discontinued if the number of contractions persists with a frequency of more than five in a 10-minute period or more than seven in a 15-minute period or with a persistent nonreassuring fetal hea rate pattern.When oxytocin is stopped, its concentration in plasma rapidly falls becau...
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Age US : LS Ratio Birth 1.7 : 1 3 years 1.3 : 1 7 - 10 years 1 : 1 > 10 years 0.3 : 1
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Burns Marshall manoeuvre When the occiput is seen under the symphysis pubis,steady traction is given on the feet and the baby is swung in an arc towards the mother&;s abdomen.By simultaneous suprapubic pressure (refer pgno:380 sheila textbook of obstetrics 2 nd edition)
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Osteochondroma, also known as an exostosis, is the most common benign bone tumor; about 85% are solitary.It is a benign cailage-capped tumor that is attached to the underlying skeleton by a bony stalk. The cap is composed of benign hyaline cailage varying in thickness and is covered peripherally by perichondrium. The c...
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NCCT head shows Hyderdense MCA sign of acute ischemic stroke. Hyperdense MCA sign- increased density within the middle cerebral aery on a non-contrast CT of the brain due to the presence of acute thrombus. This is one of the few signs that my be identified during the first few hours (hyperacute phase) of MCA territory ...
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Ans. is 'a' i.e., Spectrin deficiency Pathogensis of hereditary spherocytosis o Loss of membrane cytoskeleton proteins (ankyrin, spectrin, Band 3, 4.2) results in reduced membrane stability. Reduced membrane stability leads to spontaneous loss of membrane fragments during exposure to shear stresses in the circulation. ...
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Answer is A (Migraine) Migraine is a syndrome of episodic recurrent throbbing headache, more often unilateral, which is associated with nausea vomiting, photophobia or phonophobia. Parastheasis with tingling and numbness and focal neurological deficits are often associated. Aura may or may not be present.
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Behaviour therapy- most studied and most effective treatment for phobias. Ref- Synopsis of Psychiatry, 11e, pg 404.
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Appropriate antimicrobial therapy 2 weeks intravenous and 4 weeks oral Refer Maheshwari 6th/e p 168
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Hurler syndrome [Ref: Campbell's Ohopaedics 11/e Chapter 20 - Benign Bone Tumors and Nonneoplastic Conditions Simulating Bone Tumors p885.1 Following lesions have been mentioned to be non-neoplastic lesions resembling bone tumors (in Campbell's Ohopaedics Chapter 20 - Benign Bone Tumors and Nonneoplastic Conditions Sim...
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Nonenzymatic glycosylation refers to the chemical process whereby glucose attaches to proteins without the aid of enzymes. The degree of glycosylation is proportionate to the level of blood glucose. Many proteins, including hemoglobin, undergo nonenzymatic glycosylation. Because RBCs have a life span of about 120 days,...
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Thymoma is the most common Anterior mediastinal mass. Thymomas are seen to be associated with Myasthenia gravis Acquired hypogammaglobulinemia Pure red cell aplasia Grave's ds Pernicious anemia Dennatomyositis-polymyositis Cushing syndrome Ref : Robbins (big) 8/e p636
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The low modulus of elasticity of microfilled composites allow them to flex with tooth and protect the bonding interface. This is most useful in bruxism, clenching and stressful occlusion where flexure forces are high. Reference- Sturdevant 4th ed P:257
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Umbilical cord separation usually takes place within first 2 weeks.
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Ans. is 'd' i.e., All of above Functional Neurological Disordero Transformation of inner psychological conflict into physical symptomso Two typesSomatoformDissociativeSomatoform disorder include-ConversionSomatizationPain disorderHypochondriasisBody dysmorphic disorderDissociative disorder - include-Dissociative amnesi...
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Ans. b. Bacillus stearothermophilus (Ref: Ananthanarayan 7/e p28)Spores of Bacillus stearotherntophilus are used as control in autoclave."Sterilization control of autoclave: For determining the efficacy of moist heat sterilization, spores of Bacillus stearothermophilus are used as test organism. This is a thermophilic ...
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Ans. is 'None'
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* SCHIZOTYPAL PERSONALITY DISORDER * Ideas of reference (not delusions) * Odd beliefs and magical thinking * Unusual perceptual disturbances * Paranoid ideation and suspiciousness * Odd thinking and speech without coherence * SUPERSTITIONS/TELEPATHY * ODD DRESSING * ODD SPEECH LACK OF EMOTIONS Ref.KAplon and Sadock, sy...
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CO2 is the major greenhouse gases which are mainly emitted from the combustion of fossil fuels Park's Textbook of Preventive and Social Medicine, 25th edition, Page No. 794
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Amiodarone-induced liver damage may present as Reye's syndrome in kids and may present as asymptomatic elevation of liver enzymes in adults. Asymptomatic liver enzyme elevation occurs in 25% of the population treated with amiodarone and is usually reversible upon discontinuation of therapy zidovudine-induced myopathy a...
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Cerebrospinal fluid (CSF) CSF is present in the ventricular system of the brain and in the subarachnoid space around the brain and spinal cord. The CSF is mainly formed by the choroid plexuses of lateral ventricles and lesser amounts by the choroid plexus of 3rd and 4th ventricles. The total quantity of CSF is about 1...
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(A) OCD # Obsessive-compulsive disorder (OCD) is a psychiatric anxiety disorder most commonly characterized by a subject's obsessive, distressing, intrusive thoughts and related compulsions (tasks or "rituals") which attempt to neutralize the obsessions.# Obsessions are defined by:> Recurrent and persistent thoughts, i...
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The duodenojejunal flexure is suppoed by a fibromuscular band called the suspensory ligament of the duodenum (ligament of Treitz), which is attached to the right crus of the diaphragm. C. - The pancreas is an endocrine and exocrine gland; is retroperitoneal in position and receives blood from the splenic, gastroduodena...
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According to FDI, left lower canine is designated as 33. Ref: K.S.Narayan Reddy's synopsis of Forensic Medicine and Toxicology ,29 th edition Chapter4.page no -60
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Meningococcemia is a fulminant systemic rapidly progressing infection, which results in shock and is followed by death in 20% of children afflicted. The presence of meningitis has been shown to increase the survival rate to approximately 95%. Sensorineural deafness is the most common residual following bacterial mening...
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ANSWER: (C) 3DREF: Oxford American Handbook of Ophthalmology By James Tsai Pg 7, Ophthalmology at a glance by J.Olver Ch 8The pinhole (stenopeic slit upto 1.2 mm) can neutralize upto 3 Dioptres of refractive error.It is a useful method of finding out if the patient is suffering from refractive errors. If the vision imp...
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INDERBIR SINGH&;S TEXTBOOK OF HUMAN HISTOLOGY-PAGE NO:413 The tympanic membrane Structure:the tympanic membrane consists of the following three layers Outer epithelial layer:it is continuous with the eac skin Middle fibrous layer Inner mucosal layer
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(B) Acetylcholine > Sympathetic cholinergic system serves two important function.> Sweat gland: Secretion of sweat> Vasodilation in skeletal Muscles: A part of the neurons to blood vessels in skeletal muscles are anatomically sympathetic secrete acetylcholine. Simulation of this system of neurons produces vasodilatatio...
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TnI and TnT normally are not found in the circulation; however, after acute MI, both are detectable within 2 to 4 hours, with levels peaking at 48 hours and remaining elevated for 7 to 10 days. Although cardiac troponin and CK-MB are equally sensitive markers of the early stages of an MI, persistence of elevated tropon...
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It provides basic data on cost structure of any program.Financial records are kept in a manner permitting costs to be associated with the purpose for which they are incurred.Cost-accounting has three impoant purposes in health services Cost control Planning and allocation of financial resources Pricing of cost reimburs...
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PRECAUTIONS AND CONTRAINDICATIONS (a) Hypokalemia, hypomagnesemia, hypercalcaemia: enhances digitalis toxicity. (b) Elderly, renal or severe hepatic disease: patients are more susceptible to digoxin toxicity. (c) Myocardial ischaemia: severe arrhythmias are more likely. (d) Thyrotoxicosis: patients are more prone to de...
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image showed above is rash in fibromyalgia major drug of choice in fibromyalgia is : snri = DULOXITINE MANAGEMENT Evidence-based guidelines by the American Pain Society (APS) for the optimal treatment of FMS. MEDICATIONS: Strong Evidence for Efficacy (Tricyclic Antidepressant Medications) Amitriptyline Cyclobenzaprine ...
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Active euthanasia or positive euthanasia is a positive merciful act, to end useless suffering or a meaningless existence. It is an act of commission. Example: By giving large doses of drugs to hasten death. Passive euthanasia means discontinuing or not using extraordinary life sustaining measures to prolong life. This ...
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For recording the distolingual border, hold the tray in place with the fingers in each premolar region, while at the same time, asking the patient to place the tip of the tongue against the tray handle. The action pulls forward the palatoglossal arches and conforms the impression material to its correct shape.
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Ans. a. Surgery should not be done unless patient becomes symptomatic (Ref: Sabiston 19/e p1120-1126; Schwartz 9/e p1318-1331; Bailey 25/e p972-976; Schackelford 7/e p568-579)Sabiston says "Most surgeons recommend operation on discovery of an inguinal hernia because the natural history of a groin hernia is that of prog...
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The cause of sacrococcygeal teratomas is unknown. Sacrococcygeal teratomas are germ cell tumors. Germ cells are the cells that develop into the embryo and later on become the cells that make up the reproductive system of men and women. Most germ cell tumors occur in the testes or ovaries (gonads) or the lower back. Whe...
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Ans. B i.e. 10
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Ideal requirements of denture cleanser: Non-toxic Easy to remove and should be harmless to patient. Harmless to the denture base materials and denture teeth. Able to dissolve all denture deposits such as calculus. Exhibit bactericidal and fungicidal activity.
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Ans: b (Stroke volume.) Ref: Ganong, 22nd ed, p. 590Arterial pressure is the product of cardiac output and peripheral resistance. But remember cardiac output = stroke volume toeart rate.i.e., BP = stroke volume toeart rateperipheral resistance.BP a stroke volume.Systolic BP (SBP) = Is the highest pressure during cardia...
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Ans. D. PelvisSOME SPECIFIC NAMED LIGAMENTS IN THE BODY:Weitbrecht's ligamentThe oblique cord connecting the ulna and the radiusPoupart's ligamentInguinal ligamentPetits ligamentThickened portion of Pelvic fascia between the cervix and vagina. Passes posteriorly in the recto-Uterine fold to attach to the Ant. surface o...
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Tyndallization or Intermittent sterilization: Sugar, Egg, Serum and Gelatin containing media are sterilized by heating at 100oC for 20 mins on three successive days, using moist heat First day all vegetative forms are killed. Second day germinating spores and remaining if present killed on final day. It is carried out ...
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Hyperacute rejection is due to the presence in the recipient of preformed antibodies against HLA class I antigens expressed by the donor. Antibody mediated rejection generally occurs hours to days after transplantation. Kidney transplants are paicularly vulnerable to hyperacute graft rejection, whereas hea and liver tr...
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Option a,b,c are not considered pre-malignant lesions.
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Marrow is Normoblastic REF: APPENDIX-52 for TYPES OF ANEMIA_ "Bone marrow picture in iron deficiency anemia is normoblastic"
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Fetal growth is affected by maternal nutrition during any trimester in pregnancy. Fetal growth is affected even by nutritional status of mother prior to pregnancy.
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The sudden onset of tachycardia and hypotension indicates an acute process. Since the patient is being mechanically ventilated with positive pressure, he is at increased risk of a bullous rupture from barotrauma, leading to a pneumothorax.Cardiac arrhythmia could lead to tachycardia and hypotension. Ventricular tachyca...
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Tension-type headache (TTH) is commonly used to describe a chronic head-pain syndrome characterized by bilateral tight, bandlike discomfo. The pain typically builds slowly, fluctuates in severity, and may persist more or less continuously for many days. The headache may be episodic or chronic (present >15 days per mont...
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Amongst the given options, RA is the most common cause of tarsal tunnel syndrome. Facts about etiology of tarsal tunnel syndrome Most common origin of tarsal tunnel syndrome is idiopathic (21-36%). When the cause is known, trauma is the most common cause. Two most common systemic causes of tarsal tunnel syndrome are ...
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Chronic Crohn's: First stage--Mild diarrhoea, colicky pain, fever, anaemia, mass in right iliac fossa which is tender, firm, nonmobile along with recurrent perianal abscess. Second stage is either acute or chronic intestinal obstruction due to cicatrisation with narrowing. Third stage--Fistula formation--enterocolic, e...
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Ans. is 'd' i.e., Hippocampus o Hippocampus is not involved in Wernicke 's korsakoff syndromeo The areas commonly affected include the:-# Medial dorsal thalamic nucleus# Mammillary bodies# Periaqueductal grey matter# Floor of the fourth ventricle which include the occular motor and vestibular nuclei.o The lesions of we...
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Cu T 308A is approved for use for 10 years However, it is demonstrated to maintain its efficacy over at least 12 years of use Reference: Park&;s textbook of preventive and social medicine, 23rd edition, Page no: 497
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Ans. A. Anti-ds DNAAnti-ds DNA is present in 65% cases of SLE and is a marker of development of lupus nephritis.Anti Ro is present in 30% cases and is a marker of cutaneous lupus and development of congenital CHB in the baby of mother with SLE. Anti-phospholipid are present in 40% cases and are a marker of recurrent fe...
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Ans. c (Left-to-right shunt). (Ref. Grainger's Diagnostic Radiology, 4th en., 492, 590, 600, 602, 667, 596, 597)# Left-to-right shunt produces hyperemic lung fields.# As Hyaline membrane disease (HMD) progresses, influx of plasma renders the lungs more radio-opaque, reticulogranular shadowing becomes more confluent and...
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Neonate (Newborn) From birth to under four weeks of age (< 28 days), the infant is called neonate. The neonatal period has been further subdivided into - Early neonatal period  → the First week of life (< 7 days) Late neonatal period → 7th to < 28th day Term neonate (term baby) Any neonate born between 37 and < 42...
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Ans. is 'a' i.e., Brain FunctionMajor sites of expressiono GLUT lBasal glucose uptakePlacenta, Blood-brain barrier, brain, RBC, Kidney, colono GLUT 2B-cell glucose sensorQ.Transport out of intestinal and renal epithelial cellsB cells of islets, liver, epithelial cells of small intestine & KidneyoGLUT3Basal glucose upta...
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MC cause of benign biliary stricture is laparoscopic cholecystectomy (operative trauma).
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ANSWER: (D) PinnaREF: Basic histology, Carlos & Jose, 11th edition, Chapter 7, Cartilage, Textbook of human histology 4th e p. 92-94See APPENDIX-2 below for ''Types of cartilage""Pinna or auricle is formed of elastic cartilage not fibrocartilage" APPENDIX - 2Types of Cartilages Hyaline CartilageElastic CartilageFibroca...
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Ref Harrison 19 th ed pg 637-638 The diagnosis of b-thalassemia major is readily made during child- hood on the basis of severe anemia accompanied by the characteris- tic signs of massive ineffective erythropoiesis: hepatosplenomegaly, profound microcytosis, a characteristic blood smear ), and elevated levels of HbF, H...
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Ans: c (Radiotherapy) Ref: Bailey, 24th ed, p. 793, Harrison, 16th ed, p. 2122, Davidson, 20th ed, p. 760Treatment of toxic nodule"Surgery or radioiodine treatment is appropriate. Resection is easy, and without morbidity. Radio iodine is a good alternative for people over 45 years of age because the suppressed thyroid ...
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Activated fibroblasts, myofibroblasts, and capillary sprouts are abundant in healing wounds 3 to 5 days following injury. Activated fibroblasts change shape from oval to bipolar as they begin to form collagen and synthesize a variety of extracellular matrix proteins. -Neutrophils accumulate in the wound 12 to 24 hours ...
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Ans. is 'b' i.e., Vesicoureteric reflux o According to Nelson "The most common abnormality seen in a child with UTI in a voiding cystourethrogram is vescioureteric reflux. It is identified in approximately 40% of patients". Vesicoureteric reflux (VUR) o Retrograde flow of urine from the bladder to the ureter and renal ...
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Ans. is 'd' i.e.. All births Janani Suraksha Yojana o The National Maternity Benefit scheme has been modified into a new scheme called Janani Suraksha Yojana. o It was launched on 12th April 2005. o The objectives of the scheme are reducing maternal and infant mortality through encouraging delivery at health, instituti...
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Both phenelzine and amitriptyline are used in the treatment of major depression. Phenelzine, an MAO inhibitor, augments available catecholamine neurotransmitters for release into the synaptic cleft by inhibiting the intraneuronal breakdown of norepinephrine, serotonin, and dopamine. The degree of enzyme inhibition appe...
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