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Which of the following clinical laboratory observations is suggestive of Hanup disease?
High fecal levels of tryptophan and indole derivatives Hanup disease is autosomal recessive metabolic disorder also known as pellagra like dermatosis. This affect the absorption of nonpolar( neutral ) amino acids specially tryptophan. So there is no absorption of tryptophan.
Physiology
All India exam
High fecal levels of tryptophan and indole derivatives
All are true about pathogenesis of Ovarian Hyperstimulation Syndrome, EXCEPT?
Symptoms of OHSS are the result of ovarian enlargement and fragility, extravascular fluid accumulation, and intravascular volume depletion (and not increase as stated in option b). Fluid shifts that accompany OHSS are due to increased protein-rich fluid secretion from the stimulated ovaries, increased renin and proreni...
Gynaecology & Obstetrics
Ovarian Hyperstimulation Syndrome (OHSS)
Increase in intravascular volume
Biological value of a protein is related to
Ans) a (Nitrogen content) Ref paik 20th ed p 549Biological value of a protein is Retained N2 / Absorbed N2 x 100Protein efficiency ratio = Wt gain in gms / Gram of protein consumedNet protein utilization =Digestibility Coefficent x Biological value100 Aminoacid score =No of mg of one AA/gm of proteinNo of mg of same AA...
Social & Preventive Medicine
Nutrition and Health
Nitrogen content
The study for correlation of genetic disease to consanguinity -
Ans. is 'a' i.e., Case Control Study " The association of consanguinity with complex disorders can be studied using different approaches. For example, epidemialogial surveys could compare the frequency of a disorder in the progeny offirst cousin parents with that of unrelated parents, whereas case-control studies could...
Social & Preventive Medicine
Epidemiological Study
Case Contral Study
Von Gierke&;s occurs due to deficiency of
Glycogen storage disease type I (GSD I) or von Gierke&;s disease, is the most common of the glycogen storage disease. This genetic disease results from deficiency of the enzyme glucose-6-phosphatase and has an incidence in the American population of approximately 1 in 100,000 bihs.Ref: DM Vasudevan, 7th edition, page n...
Biochemistry
Metabolism of carbohydrate
Glucose-6-phosphatase
A 38 year old male has paroxysmal hypeension. He is subsequently found to have medullary carcinoma of the thyroid, pheochromocytoma, and mucosal neuromas. Parathyroid involvement is not noted. What is the most likely diagnosis?
MEN III, also known as MEN IIb, is characterized by medullary thyroid carcinoma, pheochromocytoma, and mucosal neuromas.Wermer's syndrome is also called MEN type I . It is characterized by pancreatic (insulinoma), pituitary, and parathyroid involvement.Sipple's syndrome, or MEN type II , is similar to MEN III, but it h...
Pathology
null
MEN type III
Mrs Shikha, 50-years-old woman is diagnosed with cervical cancer. Which lymph node group would be the first involved in metastatic spread of this disease beyond the cervix and uterus? NOT RELATED -anatomy
.
Pharmacology
All India exam
Paracervical or ureteral nodes
A viral infection causes damage to both hippocampi in a patient. This damage would cause the patient to exhibit functional deficits in
The hippocampus is crucial for the formation of long-term (declarative) memory. Without the hippocampus, sho-term memory is intact but the conversion to long-term does not take place.The retrieval of stored declarative memory does not require the hippocampus. The hippocampus is not needed for the retrieval of procedura...
Physiology
General physiology
Forming a new long-term memory
Type of collagen maximum in skin:-
Collagen - the most abundant protein in mammals contains 4-hydroxyproline and 5-hydroxylysine. Vitamin C plays the role of a coenzyme in hydroxylation of proline and lysine while protocollagen is conveed to collagen The hydroxylation reaction is catalysed by lysyl hydroxylase (for lysine) and prolyl hydroxylase (for pr...
Biochemistry
NEET 2019
Type I
Rotameters
Rotameters are constant pressure drop-variable orifice devices. They are accurate at values as low as 200mL/min both laminar and turbulent flow determine their accuracy .
Anaesthesia
null
Will only function when upright
Which of the following is true of Wilson's disease all except -
Urinary copper excretion <100 microgram/di Symptomatic pts. of Wilson disease invariably have urine copper levels > 100 pg per day. Wilson disease is an autosomal recessive disorder caused by mutation in the ATP 7B gene (a copper transpoing ATPase) Diagnosis - The gold standard for diagnosis is Liver biopsy with quanti...
Surgery
null
Urinary coppor excretion < 100 microgram/c11
A 25 year male presented with high grade fever, headache, neck stiffness, on examination found to have neck rigidity, kernig's sign positive, csf analysis showed neutrophilic predominance, low glucose and limulus amebocyte lysate assay was positive. Which of the following is the likely pathogen?
The Limulus amebocyte lysate assay is a rapid diagnostic test for the detection of gram-negative endotoxin in CSF and thus for making a diagnosis of gram-negative bacterial meningitis. The test has a specificity of 85-100% and a sensitivity approaching 100%. Thus, a positive Limulus amebocyte lysate assay occurs in viu...
Medicine
C.N.S
Neisseria meningitides
Tuberculin test denotes:
Ans. is 'a' i.e., Previous or present sensitivity to tubercle proteins(a) Tuberculin test denotes Type IV (delayed) hypersensitivity to tuberculoprotein 0.1 ml (Purified protein derivative) and used in diagnosis of latent tuberculosis.(b) Positive tuberculin test indicates exposure to Mycobacterium tuberculosis in the ...
Microbiology
Bacteria
Previous or present sensitivity to tubercle proteins
Tumor suppressor gene p53 prevents carcinoma by?
Ans. is 'd' i.e., All of the above * p53 gene is located on chromosome 17 & acts as molecular policeman that prevents the propagation of genetically damage cell. p53 gene product, i.e. p53 protein is a DNA binding protein in the nucleus, when called into action, it controls the transcription of several other genes.* Wh...
Pathology
Neoplasia
All of the above
Most specific enzyme for mi is:
Ans: bRef: Harrison, 16thed, p. 1450
Medicine
C.V.S.
Cpk-MB
Which of the following is not a part of fatty acid synthase Complex?
Ans. C. Acetyl-CoA carboxylase(Ref: Harper 31/e page 217)Fatty Acid Synthase (FAS) Multienzyme ComplexThe complex is a homodimer of two identical polypeptide monomers in which six enzyme activities and the acyl carrier protein (ACP)ACP contains the vitamin pantothenic acid in the form of 4'-phosphopantetheineX-ray crys...
Biochemistry
Lipids
Acetyl-CoA carboxylase
All of the followings are responsible for Right shifting of O2 saturation curve; except:
Ans. b. HypocapniaThe factors shift the curve to the right:Increased CO2 (Bohr effect)Increased hydrogen ion (decrease pH)Increased temperatureIncreased 2,3-bisphosphoglycerate (2,3-BPG)Shifts in Hb-O2 dissociation curveStored blood loses 2, 3-bisphosphoglycerate, causing a left shift in the curve, while hypoxia stimul...
Physiology
Respiratory System
Hypocapnia
A nineteen year old female with short stature, wide spread nipples and primary amenorrhoea most likely has karyotype of –
null
Pediatrics
null
45 XO
True about rash of chickenpox
Rash of chicken pox : Superficial, unilocular, centripetal, pleomorphic, symmetrical, affects flexor surfaces and axilla, spares palms and sales, has inflammation around, rapid evolution and dew-drop on rose petal appeamace.
Social & Preventive Medicine
null
Centripetal
All are true about Klumpke's paralysis except
Klumpke's paralysis C8 and T1 roots involved. Intrinsic muscles of hand paralysed. Wrist and finger flexous are weak. Unilateral Horner's syndrome. Claw hand is seen.
Orthopaedics
null
Claw hand is never seen
Hyperglycemia is seen in all except?
In cirrhosis, blood sugar is elevated, due to reduced uptake of sugar by liver. In myotonic dystrophy and lipodystrophy, there is tissue insensitivity to insulin leading to hyperglycemia. Sarcoma especially large retroperitoneal sarcomas secrete IGF-2 and lead to hypoglycaemia.
Medicine
Diabetes Mellitus
Sarcoma
LSD was introducd by
Hallucinogens * ALSO CALLED AS Psychotomimetic/ Psychedelic * FIRST Man made HALLICINOGEN ==================== Albe Hoffman * MECHANISM OF ACTION Lysergic acid diethylamide=======serotonin * Introduced by Albe Hoffmann and he himself experienced its effects * Phencyclidine =======NMDA antagonist * Also known as angel d...
Psychiatry
Substance abuse
albe hoffman
Decreased basal metabolic rate is seen in
The remaining options utilise energy. Basal metabolic rate and obesity The basal metabolic rate accounts for about 60 to 75% of the daily calorie expenditure by individuals. It is influenced by several factors. BMR typically declines by 1-2% per decade after age 20, mostly due to loss of fat-free mass, although the var...
Physiology
General physiology
Obesity
A 70 kg athlete is taken for surgery, due to unavailability of vecuronium, succinylcholine is given repeatedly (>640mg). He now is unable to take breath and his lower limbs are paralyzed. What will be cause?
Prolonged apnea due to repeated dosing with succinylcholine is due to it entering phase 2 block. Phase I depolarizing block is preceded by muscle fasciculation. During paial neuromuscular block, phase I depolarizing block is characterised by: No fade during repetitive stimulation (tetanic or TOF) No post tetanic facili...
Anaesthesia
Neuromuscular Blocker
Phase II block
Inheritance of ABO blood group is:
Ans. d. Codominance (Ref Robbins 9/e p140; Ganong 23/e p527)Inheritance of ABO blood group is Codominance."Although Mendelian traits are usually described as dominant or recessive, in some cases both of the alleles of a gene pair contribute to the phenotype--a condition called codominance. Histocompatibility and blood ...
Pathology
Mendelian Disorders: Single-Gene Defects
Codominance
Which is not ketogenic
Ans. is 'c >d' i.e., Methionine > TryptophanLeucine and lysine are purely ketogenic.Trypotophan is not purely ketogenic, but it is ketogenic along with glucogenic. Methionine is purely glucogenic.
Biochemistry
null
Methionine
Glossodynia is
null
Pathology
null
Pain in the tongue
All are the branches of internal iliac artery except:
Ans. C. Femoral arteryThe internal iliac artery supplies the walls and viscera of the pelvis, the buttock, the reproductive organs, and the medial compartment of the thigh.It arises at the bifurcation of the common iliac artery, opposite the lumbosacral articulation, and, passing downward to the upper margin of the gre...
Anatomy
Abdomen & Pelvis
Femoral artery
SACD (Subacute combined degeneration of cord) is feature of which vitamin deficiency?
Ans. d (Vitamin B12) (Ref. H - 17th/pg. Table 71-1).Vitamins: Major FunctionsVITAMINFUNCTIONVitamin AA component of visual pigment; Maintenance of specialized epithelia; Maintenance of resistance to infectionVitamin DFacilitates intestinal absorption of calcium and phosphorus and mineralization of boneVitamin EMajor an...
Biochemistry
Vitamins and Minerals
Vitamin B12
Main aim for treatment of TB ?
Ans. is 'd' i.e., Complete bacteriological cure Chemotherapy is indicated in every case of active tuberculosis. The objective of treatment is cure-that is, the elimination of both the fast and slowly multiplying bacilli from the patient's body. The effects of chemotherapy are judged not by the anatomic healing of lesio...
Social & Preventive Medicine
null
Complete bacteriological cure
All of the following are functions of CD 4 helper cells, except-
CD4 T cells are helper T cells. They stimulate B cells to produce antibodies, release of cytokines and are responsible for memory. They do not directly produce any antibody by their own. Basic Pathology, Robbins. Page no.:101
Pathology
General pathology
Produce immnoglobulins
A 35-year-old man with duodenal stump leak after partial gastrectomy is receiving central parenteral nutrition containing the standard D25W, 4.25% amino acid solution. Which is TRUE of essential fatty acid deficiency seen after hyperalimentation?
Essential fatty acid deficiency usually occurs if hyperalimentation is extended for more than 1 month and when soybean oil is not administered at least twice a week. There is a decrease in linolenic, linoleic, and arachidonic acids and an increase in oleic and palmitoleic acid. In addition to the skin changes, there ma...
Surgery
Wounds, Tissue Repair & Scars
It causes dry scaly skin with loss of hair.
Sacrum becomes a single bone at ___ years of age.:-
Sacrum The five sacral veebrae are separated by cailage until pubey. Later, fusion of epiphyses takes place and ossification of interveebral discs extend from below upwards. Sacrum becomes single bone at 21-25 years of age. Sometimes, it leaves a gap between S1 and S2, until 32 years called as 'lapsed union'.
Forensic Medicine
Human identification
25
Which is True about dobutamine?
Ref: HL Sharma 3rd ed pg no: 177 Dobutamine is a derivative of dopamine and is a selective beta1 agonist. It causes an increase in the force of contraction without a significant increase in hea rate. It also produces some vasodilatation by stimulating the beta 2 receptors. It doesn't decrease kidney circulation.
Pharmacology
Autonomic nervous system
Dobutamine decreases peripheral resistance
Which of the following statements about cutaneous shunt~vessels is true?
These are low resistance connection between the aerioles and veins bypassing the capillariesAbundantly innervated by sympathetic nerve fibresEspecially found in skin of fingers, toes and earlobes where they are involved in the thermoregulationRef: Medical Physiology Indu Khurana 2015 edition page No: 237
Physiology
Cardiovascular system
Have role in thermoregulation
Volume of infarcted area in acute myocardial infarction (AMI) can be detected by -a) ECHOb) ECGc) Levels of CPKMBd) Thallium scan
null
Medicine
null
ad
Blow out fracture of orbit commonly produces
(D) Fracture of floor of orbit # Blow out fracture of orbit; Intraorbital haemorrhages, proptosis, paralysis of extrinsic muscles and fracture of the floor of the orbit are not infrequent following a blunt injury to the orbital region> Proptosis develops due to reactive oedema and intra-orbital haemorrhage.> Partial or...
Ophthalmology
Miscellaneous
Fracture of floor of orbit
Drug used in cancer chemotherapy induced vomiting is?
Ondansetron is drug of choice for chemotherapy induced vomiting Dexamethasone,lorazepam and aprepitant are also used for chemotharapy induced vomiting.( ref KDT 7/e p876)
Pharmacology
Gastrointestinal tract
All of the above
NOT a cause of granular contracted kidney ?
Ans. is 'a' i.e., Diabetes mellitusCauses of Granular contracted kidney ?Chronic glomerulonephritis (symmetric)Chronic pyelonephritis (asymmetric) o Benign Nephrosclerosis (Symmetric) Sometimes, Diabetes too can cause granular contracted kidney
Pathology
null
Diabetes mellitus
Anticoagulant of choice for prophylaxis of venous thromboembolism in patient with cancer surgery is:-
Venous Thromboembolism- precipitating factor -estrogen in females PREVENTION OF Venous Thromboembolism AMONG HOSPITALIZED PATIENTS Condition Prophylaxis High risk non - ohopedic surgery Unfractionated heparin Low molecular weight heparin (LMWH) Cancer surgery(associated thromboembolism ) LMWH Major ohopedic surgery War...
Pharmacology
Hematology
Low molecular weight heparin
Which of the following does not belong to dystrophin-glycoprotein complex
Perlecan is a large extracellular matrix proteoglycan that plays a crucial role in tissue development and organogenesis. Dystrophin-glycoprotein complex The dystrophin-glycoprotein complex provides a structural link between the cytoskeleton of the muscle cell and the extracellular matrix, which appears to stabilize the...
Physiology
General physiology
Perlecan
Patient came to the OPD with recent onset photphobia within 24 hours and sloughing corneal ulcer. There is greenish ulcer base. Which of the following can be the causative organism:
Pseudomonas Ulcer Rapid onset & Greenish ulcer base Produce biofilm that cause resistance MC cause of infection in contact lens users Nocardia ulcer resembles fungal ulcer in its characteristics.
Ophthalmology
Diseases of Cornea
Pseudomonas
Culture media used for leptospira
Culture media for leptospira is EMJH media, Korthof's, Stuart's and fletcher's media.
Microbiology
null
EMJH Medium
The advantage of using a tooth positioner as a retainer is :
The use of a tooth positioner rather than final settling archwires has two advantages:  It allows the fixed appliance to be removed somewhat more quickly than otherwise would have been the case (i.e., some finishing that could have been done with the final archwires can be left to the positioner) It serves not only to...
Dental
null
Gingival margin inflamed during orthodontic treatment
Cryosurgery is used in treatment of cervical intraepithelial neoplasia. It is appropriate in all except
Cryosurgery is generally not favoured for treatment of CIN-3 due to higher rates of disease persistence following treatment, and lack of histologic specimen to exclude occult invasive cancer.
Gynaecology & Obstetrics
null
Cervical intraepithelial neoplasia -3.
In respiratory and GIT infections, which is the most affected immunoglobulin -
IgA Antibody:- IgA is the second most abundant antibody (2nd highest for DHS). It is of two types: Serum IgA: Predominantly in monomeric form. Secretory IgA (SIgA): It is dimeric (valency four); Secretory IgA is responsible for Mucosal /local immunity. IgA also exist in two subclasses/isotypes: IgA1 is mainly found in ...
Microbiology
Immunology Pa 1 (Immune Response, Antigen-Antibody Reactions, Hypersensitivity, Structure of Immune System, Immunodeficiency Disorders)
IgA
All are risk factors of squamous cell carcinoma except
Ultraviolet radiation, chronic inflammation, and chemical carcinogens (arsenicals, tar) and infection with HPV 5 and 16.There is also evidence that current and previous tobacco use doubles the relative risk of SCC.Ref: Bailey and Love, 27e, page: 606
Surgery
General surgery
HPV 18
Judge can ask questions: Punjab 07
Ans. Any time during trial
Forensic Medicine
null
Any time during trial
Which is not an aryl phosphate -
Organophosphate poisoning is the most common poisoning in India followed by aluminium phosphide. Organophosphorus compounds are classified as 1. Alkyl compounds -- such as tetraethyl pyrophosphate (TEPP), hexa ethyl tetraphosphate (HETP), octa methyl pyrophosphate (OMPA), malathion etc. 2. Aryl compounds -- such as par...
Forensic Medicine
Poisoning
Malathion
A female, Lalita, aged 26 yrs accidentally takes 100 tablets of paracetamol. What is the treatment of choice -
Ans. is 'd' i.e Acetylcysteine "In cases of moderate to severe poisoning N acetylcysteine (Mucomyst) should be given orally. It is most effective when given within 16-24 hours of overdosage. It prevents hepatic damage". - Parikh
Unknown
null
Acetylcysteine
True for Bochdalek hernia:
Ans. B. Congenital disorderBochdalek hernia is the other name for congenital diaphragmatic hernia. It is a posterior (and not anterior) congenital defect of the diaphragm and is primarily due to lack of closure of the pleuroperitoneal cavity between the eighth and tenth week of embryonic life. Majority of cases occur o...
Pediatrics
New Born Infants
Congenital disorder
Hypercalcemia is most commonly associated in which of the following cancers?
The most common neoplasm associated with hypercalcemia is squamous cell carcinoma. Other tumors often associated with paraneoplastic hypercalcemia are carcinomas of the lung, kidney, breast and ovary. Paraneoplastic hypercalcemia is caused by parathyroid hormone-related protein (PTHRP) secreted by these tumours. PTHRP ...
Pathology
General Concepts
Squamous cell carcinoma of lung
Ethanol is given in methyl alcohol poisoning because:
Ethanol is preferentially metabolised by alcohol dehydrogenase over methanol.At a concenteration 100mg/DL in blood it saturates alcohol dehydrogenase over methanol &retads methanol metabolism. This reduces formation of formaldehyde & formic acid. Ref KD Tripathi 8th ed.
Pharmacology
Central Nervous system
It inhibit alcohol dehydrogenase
A term born 6-month-old, lethargic blonde infant, presented with multiple episodes of vomiting, poor feeding, convulsions and severe psychomotor retardation. O/E: - Microcephaly with prominent maxillae and widely spaced teeth Blue iris Seborrheic or eczematoid rash Spasticity, hyperreflexia, and tremor Musty odour of u...
This is a case of Phenylketonuria. Autosomal recessive Deficiency of Phenylalanine hydroxylase May also be due to deficiency of cofactor tetrahydrobiopterin BH4 Leads to hyperphenylalaninemia - Impairs brain development Normal at bih Becomes symptomatic later on in life Present with seizures, hypopigmentation of skin a...
Unknown
Integrated QBank
The complications can't be prevented by restricting the use of the involved amino acid in diet.
PK reactio detects -
The Prausnitz-Kustner test (PK test, Prausnitz-Kustner reaction) is an immunologic test formerly used by physicians to determine if a patient has an allergic reaction to a specific antigen i.e, IgE Ref: Ananthanarayan & Parkers textbook of microbiology 9th edition pg:98
Microbiology
Immunology
IgE
Most common cause of facial nerve palsy:
Facial Nerve - Course Intracranial pa 15-17mm Intra temporal pa Meatal segment 8-10mm Labyrinthine segment 4.0mm Tympanic / horizontal segment 11.0mm Mastoid / veical segment 13.0mm Extracranial pa Branches Greater superficial petrosal nerve 1st branch Nerve to stapedius Chorda tympani Communicating branch Posterior au...
ENT
FMGE 2018
Idiopathic Bell's palsy
Sinus of Morgagni is between:
Sinus of Morgagni is a gap between the base of skull and the upper concave border of superior constrictor muscle. Structures passing through that are: Auditory tube, levator palati muscle, ascending palatine artery and palatine branch of the ascending pharyngeal artery.
Anatomy
null
Superior constrictor and skull
The typical bone marrow finding in ITP is:March 2004
Ans. C i.e. Increased megakaryocytesDiagnosis of ITPDespite the destruction of platelets by splenic macrophages, the spleen is normally not enlarged.In fact, an enlarged spleen should lead to a search for other possible causes for the thrombocytopenia.Bleeding time is usually prolonged in ITP patients.Normal bleeding t...
Pathology
null
Increased megakaryocytes
The final sugars in intestinal chyme are
null
Physiology
null
Glucose and fructose
Abdominal ultra-sonography in a 3 year old boy show a solid circumscribed hypoechnoic renal mass. Most likely diagnosis is -
Amongst the given options only Wilms tumor is common at 3 years of age :-  Wilm's tumor                  → young children (mean 3 years) Mesoblastic nephroma     → < 1 year Renal cell carcinoma        → > 40 years Oncocytoma                    → 25-95 years (mean 65)
Radiology
null
Wilm's tumor
The term that best describes the nuclear dissolution is
Pyknosis is condensation of nucleus. Karyorrhexis is fragmentation of nucleus. Karyolysis is dissolution of nucleus.
Pathology
null
Karyolysis
Which of the following test is used to estimate the amount of fetal maternal hemorrhage:
KLEIHAUER BETKE TEST or ACID ELUTION TEST done to measure the amount of feto maternal hemorrhage usually in an Rh negative mother to calculate the dose of anti D required This method is based on the fact that an acid solution (citric acid phosphate buffer, pH 3.5) elutes the adult but not the fetal hemoglobin from the ...
Gynaecology & Obstetrics
Obstetrics
Kleihauer betke test
Failure to initiate and maintain spontaneous respiration following birth is clinically k/a –
null
Pediatrics
null
RDS–Respiratory distress syndrome
In volume cycled ventilation the inspiratory' flow rate is set at:
In volume cycled ventilation the inspiratory flow rate is usually set at 60-100 U/min to allow greater expiration time for each breath. Use of high inspiratory flow rate can minimize end inspiratory lung volume and intrinsic PEEP, but it can cause higher peak airway pressures. Volume cycled assist control mode of venti...
Anaesthesia
null
60-100 L/min
Which of the following statement is/are true about Obstructive lung disease ?
Acute asthma and Emphysema- TLC | due to air trapping Myasthenia gravis- TLC | RV| Obstructive Restrictive | in airflow | Lung volume - Expiratory -Inspiratory COPD Asthma Bronchiectasis ILD Scoliosis NM causes FEV1-| FVC- Normal or | TLC - Normal or | | PEFR Normal | | |PEFR Management of COPD Group A Low Risk, low sy...
Medicine
COPD and Asthma
Decreased FEV1/FVC ,TLC is increased
Diplopia is not a presenting feature in:
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 ...
Ophthalmology
null
Latent squint
Not a branch of external carotid aery:-
Branch of ECA: - Superior thyroid aery Lingual aery Facial aery Anteriorly Ascending pharyngeal aery medially Occipital aery Posteriorly Posterior auricular aery Superficial temporal aery Maxillary aery Terminal aery Branches of ICA Ophthalmic aery Anterior choroidal aery Anterior cerebral Middle cerebral Posterior com...
Anatomy
JIPMER 2018
Ophthalmic
Not a marker for hyperparathyroidism is :
Answer is C (Decrease in serum calcitonin) : Serum calcitonin is no marker fir hyperparathyroidism. It antagonizes the actions of parathyroid hormone and may be used as a modality of treatment of hypercalcemia secondary to hyperparathyroidism. Markers of hyperparathyroidism (|ed PTH): 1. Increased serum calcium: Stimul...
Medicine
null
Decrease in serum calcitonin
Which of the following is TRUE about branchial cyst?
Branchial cleft cysts usually present as a soft cystic mass along the anterior border of the sternocleidomastoid muscle. These lesions are usually recognized in the second or third decades of life. To prevent recurrent infection and possible carcinoma, they should be completely excised, along with their fistulous tract...
Surgery
null
Mostly arises from 2nd branchial system
In a UK study, it was found that there were more deaths from asthma than the sale of anti-asthma drugs. This is an example of:
null
Dental
null
Ecological study.
Pawaer burr, appearance on laparoscopy is characteristic of :
Endometriosis
Gynaecology & Obstetrics
null
Endometriosis
An adult female patient presents with asthma symptoms for at least 4 days a week and wakes up at night due to breathlessness approximately 2 -3 days in a month. she is classified to be having.
null
Medicine
null
Mild persistent Asthma
Which structure(s) passes behind the inguinal ligament -a) Femoral branch of genitofemoral nerveb) Superficial epigastric arteryc) Psoas majord) Femoral veine) Saphenous vein
Structures passing deep to inguinal ligament. -        Psoas major, Iliacus, pectineus -        Femoral nerve and vessels -        Lateral cutaneous nerve of thigh -        Femoral branch of genitofemoral nerve -        Lymphatics
Anatomy
null
acd
I/V contrast is not used in –
IV contrast agent is given in :- X-ray based investigation (Radiocontrast agent) :- Radiography (simple x-ray), CT-Scan. MRI (MR contrast agents). Ultrasound (USG contrast agents). IVP (intravenous pyelography) as the name suggests, the contrast agent is given intravenously. In myelography, the contrast agent is in...
Radiology
null
Myelography
Patient with persistent diarrhea & hypotension. Diagnosis -
Ans. is 'a' i.e., VIPoma Pancreatic Neuroendocrine TumorsTumourBiologicaly active peptide secretedTumour locationMalignant percentageMain symptoms and signsGastrinoma (non b cell tumour)GastrinDuodenum (70%) Pancreas (25%) other sites (5%)60-90o Pain (79-J 00%)o Diarrhoea (30-73%)o GERD (30-35%)o Peptic ulcerInsulinoma...
Medicine
G.I.T.
VIPoma
Lamina densa of the basal lamina beneath the epithelium is composed of
null
Dental
null
Type IV Collagen
Haascheiben cells in epidermis are responsible for?
Ans. is 'a' i.e., Touch
Skin
null
Touch
Pancytopenia with cellular marrow is seen in all Except:
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.
Medicine
null
G6 PD deficiency
The following are adverse effects of SSRIs except
Galactorrhea is a side effect of hyperprolactinemia is not usually seen with SSRIs Side effects of SSRIs include weight changes, delayed ejaculation,diarrhoea,bleeding , discontinuation syndrome,insomnia. Ref: KD Tripathi 8th ed.
Pharmacology
Central Nervous system
Galactorrhea
The germinal cell layer surrounding the oocyte before ovulation is known as :
In one area , the granulosa cells are collected together to form a projection into the cavity of graffian follicle. This projection is referred to as the discus proligerus or cumulus oophorus. The ovum itself lies within it.With the exception of area around the discus, the peripheral granulosa cells form a layer only a...
Gynaecology & Obstetrics
General obstetrics
Cumulous oophorus
Folie a deux is
Shared psychotic disorder or folie a deux, the characteristic feature is the transmission of delusions from "inducer" (primary patient), who is the "originally" ill patient and suffers from a psychotic disorder to another person who may share the inducer's delusions in entirety or in pa. the person who receives the del...
Psychiatry
Personality disorders
Shared delusion disorder
After the death of the 78 years old male patient in a hospital , who was suffering from COPD. His relatives entered the hospital with heavy sharp weapons and damaged the hospital propey and stared abusing and beating the doctor as well as his staff, Violence against a medical practitioner is considered as:
Medical protection act: The Act, covering doctors affiliated to institutions as well as independent practitioners, outlaws attacks against physicians and damage to their propey. Offenders can get a jail term of up to 3 years and a fine of Rs 50,000. As per the medicare service persons and damage to propey in medicare s...
Forensic Medicine
Medical Jurisprudence
Cognizable and non-bailable offense
Which soft tissue sarcoma commonly gives to bone secondaries: (PGI June 2008)
Ans. C (Osteosarcoma) "Any cancer can spread to bone ,but in adults more than 75% of skeletal metastases originate from cancers of the prostate,breast,kidney & lung. In children, metastases to bone originate from Neuroblastoma, Wilm's tumor, Osteosarcoma, Ewing sarcoma & Rhabdomyosarcoma"- Robbins7th/1303Sarcoma Metast...
Orthopaedics
Osteogenic Sarcoma
Osteosarcoma
The intermediate host for T. Saginata is:
Cow
Microbiology
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Cow
Which of the following is associated with cough?
Ans: a (Lisinopril) Ref: KDT, 6th ed, p. 484* Cough is a side effect of ACE-1.* Bradykinin and substance P seem to be responsible for the cough. Thromboxane antagonism, aspirin, and iron supplementation reduce cough induced by ACE inhibitors. Once ACE inhibitors are stopped, the cough disappears, usually within 4 days....
Pharmacology
ACE Inhibitors
Lisinopril
Lowest most level of integration of stretch reflex is at
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Physiology
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Spinal cord
Wernicke&;s encephalopathy involves
Wernicke's encephalopathy : The neuropathological lesions are symmetrical and paraventricular, involving the mammillary bodies, the thalamus, the hypothalamus, the midbrain, the pons, the medulla, the fornix, and the cerebellum. Ref: Synopsis of Psychiatry, 11th edition, page 632.
Psychiatry
Substance abuse
Mammillary body
When VA/Q is infinity, it means
-Ventilation / perfusion ratio - normal = 4l/min/5l/min=0.8 - AV/Q= INFINITY - Means Perfusion (Q) to lungs is zero that is blood supply to that area is hindered making it awasted ventilationin those alveoli. - This may be due to pulmonary embolism causing |ed Physiological DEAD space . DEAD SPACE- Some of the air a pe...
Physiology
NEET Jan 2020
Dead space
Which is true regarding Savage syndrome?
In Savage syndrome, there is receptor defect to gonadotrophic hormones. The clinical features resemble autoimmune disease. Height is normal. The ovaries contain follicles. FSH is raised. Ref: Shaw's Textbook of Gynaecology, 18th edition, p286
Gynaecology & Obstetrics
All India exam
Receptor defect to gonadotrophic hormones
What is the dosage of retinol palmitate for early stages of xerophthalmia: September 2011
Ans. C: 110 mg orally on two successive days Nearly all of the early stages of xerophthalmia can be reversed by administration of a massive dose (2,00,000 IU or 110 mg of retinol palmitate) orally on 2 successive days Xerophthalmia/ Dry eyes Condition in which the eye fails to produce tears. Xerophthalmia caused by a s...
Social & Preventive Medicine
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110 mg orally on two successive days
Which among the following organisms causes Buruli ulcer?
Ans. B. M. UlceransM. Ulcerans causes Buruli ulcer.* It starts as a nodule or papule which progresses further to form a shallow necrotic ulcer.* Children (5-15 years old) have the highest incidence of Buruli ulcers, with most lesions on the lower extremities.Image: Extensive Buruli ulcer
Skin
Bacterial Infection of Skin
M. Ulcerans
A 41 year old patient presented with chronic diarrhoea for 3 months. A d-xylose absorption test was ordered to look for:
Ans is A (Carbohydrate malabsorption due to mucosal disease) `The urinary D-xylose test for carbohydrate absorption provides an assessment of proximal small intestine mucosal function.' Urinary D-xylose test: Principle D-xylose is a `pentose. that is completely absorbed almost exclusively in the proximal small intestin...
Medicine
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Carbohydrate malabsorption due to mucosa] disease
Which of the following extraocular muscles does not arise from annulus:
The annulus of Zinn, also known as the annular tendon or common tendinous ring, is a ring of fibrous tissue surrounding the optic nerve at its entrance at the apex of the orbit.It can be used to divide the regions of the superior orbital fissure.The aeries surrounding the optic nerve are sometimes called the "circle of...
Anatomy
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Superior oblique
Compared to follicular Ca, papillary Ca of thyroid have :a) More male preponderanceb) Bilateralityc) Local recurrence commond) Increased mortalitye) Increased lymph node metastasis.
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Surgery
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bce
Ptosis is due to:
Ans. (a) 3rd CN palsy (oculomotor)Ref.:BDC 6th ed. Vol-III/361-62* Ptosis is drooping of eyelid.* Eyelid is comprised of 4 muscles:Muscles, their innervation and functionMuscleCN innervationFunction* LPSIIIOpens the eyelid* Muller's muscleT1 (NOT a CN; sympathetic nerve)Opens eyelid when LPS tired* FrontalisVIICloses t...
Anatomy
Orbit
3rd CN palsy
True about isoenzymes is/are
Consist of multimeric complex & `e' i.e., Have different physical properties isozymes are the physically distinct forms of the same enzymes that catalyze the same reaction, and differ from each other structurally, electrophoretically and immunologically. They differ in their physical properties because of genetically ...
Biochemistry
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All of these
Which of the following is not an action of epinephrine when administered intravenously in a high dose?
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Pharmacology
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Causes broachiolar constriction
Osteoclast has specific receptor for:
Calcitonin receptor is expressed in osteoclasts. Calcitonin inhibits bone resorption by inhibiting osteoclasts; and promotes Ca2+ from blood to be deposited on the bone. This decreases blood Ca2+. PTH is a primary endocrine regulator of bone remodeling in adults. The PTH/PTHrP receptor is expressed on osteoblasts, but ...
Physiology
Endocrine System
Calcitonin
All are true about precocious puberty except -
Ans. is 'b' i.e., Secondary sexual characters before the age of 6 years o Precocious puberty is the appearance of appropriate secondary sexual characters before the age of 8 years and occurrence of menstruation before 10 years of chronological age.o It is divided into the following types:A) Gonadotropin dependent preco...
Gynaecology & Obstetrics
Disorders in Menstruation
Secondary sexual characters before the age of 6 years
Initiation of nerve impulse occurs at the axon hillock because :
A i.e. It has lower threshold than rest of axonAxon hillock is the initial segment of neuron, nerve impulses begin in this initial segment of axon because it has lowest threshold potential.QAxon hillock:- This is a thickened area of cell body from which originates the long fibrous axon.AP is generated in this segment b...
Physiology
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It has a lower threshold than the rest of axon