query stringlengths 1 1.57k | pos stringlengths 1 22.5k | idx int64 0 161k | task_name stringclasses 1
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Postponing paying attention of conscious impulse or conflict is a mature defence mechanism known as - | Suppression is pushing of unwanted feelings into unconscious which has reached conscious awareness. | 200 | medmcqa_train |
The commonest site of perforation during colonoscopy is - | • Risks of colonoscopy: Perforation and hemorrhage
• MC site of bleeding after colonoscopy: Stalk after polypectomy.
• MC site of perforation during colonoscopy: Sigmoid colon
• Perforation can be caused by excessive air pressure, tearing of the antimesenteric border of the colon from excessive pressure on colonic loop... | 201 | medmcqa_train |
A 74-year-old woman develops occipital headache, vomiting, and dizziness. She looks unwell, her blood pressure is 180/100 mm Hg, pulse is 70/min, and respirations are 30/min. She is unable to sit or walk because of unsteadiness. Over the next few hours, she develops a decline in her level of consciousness.For the above... | Cerebellar hemorrhage, when mild, may present with only headache, vomiting, and ataxia of gait. Patients may complain of dizziness or vertigo. The eyes may be deviated to the side opposite the hemorrhage. Nystagmus is not common, but an ipsilateral sixth nerve palsy can occur. This is the only type of intracerebral hem... | 202 | medmcqa_train |
Which is an uricosuric drug- | Ans. is 'b' i.e., Probenecid Uricosuric drugs are probenacid, sulfinpyrazone and benzbromarone. | 203 | medmcqa_train |
After an incised wound ,new collagen fibrils are seen along with a thick layer of growing epithelium.The approximate age of the wound is | Ref Robbins 9/e p106 Incised wound for the formation of collagen and new tissue, thick layer of epithelial ,and granulation tissue formation along with new blood vessels requires atleast 4_5 days | 204 | medmcqa_train |
After delivery, a 28 year old pre ecclamptic primigra has a soft uterus with moderate-to-heavy bleeding. There is no laceration and there is PPH diagnosed due to uterine atony. Which of the following is the best management option? | Ergot derivatives should not be given in patients with hypeension since this is classically known to increase blood pressure. A high BP may provoke a post paum ecclampsia Oxytocin is not orally effective . Prostaglandin F2-alpha is given IM. | 205 | medmcqa_train |
Trendlenburg's test done for varicose veins is for detection of: | Ans: C (Saphenofemoral incompetency) Ref : 74 A Manual on Clinical Surgery S. DasExplanation:Clinical Examination of Varicose VeinsBrodie-Trendelenherg TestDone to determine the incompetency of Saphenofemoral valve.Patient is placed in recumbent position.Limbs are raised to empty the veins. Veins are milked proximally ... | 206 | medmcqa_train |
Specific poison for succinate dehydrogenase is ? | B i.e. Malonate | 207 | medmcqa_train |
Most common widespread zoonotic disease in the world is - | <p> Leptospirosis is the most wide zoonotic disease in the world. Reference:Park&;s textbook of preventive and social medicine,K.Park,23rd edition,page no:291. <\p> | 208 | medmcqa_train |
Blood stained sputum may be the only symptom in? | Ans. is 'c' i.e., Adenoma bronchus | 209 | medmcqa_train |
Inherited hyperammonemia is a result of deficiency of which enzyme of Krebs-Henseleit urea cycle? | Inherited hyperammonemias are a group of six diseases caused by inborn deficiencies of the enzymes of the Krebs-Henseleit urea cycle. The enzymes involved are: 1. N-acetyl glutamate synthetase 2. Arbamyl phosphate synthetase (CPS) 3. Ornithine transcarbamylase (OTC) 4. Argininosuccinic acid synthetase (citrullinemia) 5... | 210 | medmcqa_train |
Punishment for infanticide comes under - | Ref:Textbook of forensic medicine and toxicology (V.V.Pillay) 17th edition, page no.377 Infanticide refers to the deliberate killings of chlid below the age of one year.In England, Germany, UK, there is a clear-cut distinction between homicide and infanticides. In India, no such distinction exists, and accuse is punish... | 211 | medmcqa_train |
Carotid artery stenosis screening invivo choice is - | Ans. is 'd' i.e., Doppler o Color doppler ultrasonography is the screening method of choice (not simple USG : option a is incorrect),o Carotid angiography is the investigation of choice for diagnosis,o MRI is the investigation of choice for demyelinating disorder, e.g. multiple sclerosis.Investigations in nervous syste... | 212 | medmcqa_train |
Proposed guideline value for Radioactivity in drinking water is: | Key guidelines aspects of WHO recommended drinking water quality: Colour <15 true colour units (TCU) Turbidity <1 nephlometric turbidity units (NTU) pH: 6.5-8.5 Total dissolved solids (TDS) <500 mg/Litre Zero pathogenic microorganisms Zero infectious viruses Absence of pathogenic protozoa and infective stages of helmin... | 213 | medmcqa_train |
Lens develops from? | Ans. c (Surface ectoderm). (Ref. Human Embryology by IB Singh, 6th/352)LENS# LENS develops from surface ectoderm.# Compared to the cornea, it has a much lower converging power of 17 diopters because of the relatively similar refractive indices of aqueous humor, lens, and vitreous body (cornea 42 D).# However, the lens ... | 214 | medmcqa_train |
Palm of one hand is placed horizontally across the mouth and nostrils in | palmar strangulation Here the palm of one hand is placed horizontally across the mouth and nostrils, it's pressure being reinforced by placing the other palm on the top of it at right angles, the heel of the palm above pressing upon the front of the neck. Ref: TEXTBOOK OF FORENSIC MEDICINE AND TOXICOLOGY KRISHNAN VIJ F... | 215 | medmcqa_train |
In RDS all of the following statements are true except | Administration of 100% oxygen may increase the O2 load on fetal lung tissue. Hence, it is not given . Reference: GHAI Essential pediatrics, 8th edition | 216 | medmcqa_train |
National program for prevention and control of Cancer, Diabetes, Cardiovascular disease and stroke (NPCDCS), true is - | Ans. is 'c' i.e., District hospital has specialised facilities Sational program for prevention and control of cancer, diabetes, cardiovascular diseases and stroke (NPCDCS1 Introduction Single centre fi- cancer, diabetes, cardiovascular disease, stroke. 100 districts in 21 states being covered in 1 1 th live year plan. ... | 217 | medmcqa_train |
All of the following are ACTH independent Cushing syndrome except : | ACTH dependent Cushing syndrome is caused by : ACTH producing pituitary adenoma Ectopic ACTH Bronchial or pancreatic carcinoid Small cell cancer of lung Medullary carcinoma of thyroids Pheochromocytoma ACTH Independent Cushing syndrome is caused by : Adrenocoical adenoma/ carcinoma Primary pigmented nodular adrenal dis... | 218 | medmcqa_train |
Hereditary spherocytosis is characterized by: March 2004 | Ans. D i.e. All of the above | 219 | medmcqa_train |
Ketamine can be given by all of following routes except- | Ketamine has been administered intravenously, orally , rectally, intramuscularly and epidural route and very rare intranasal but not subcutaneous | 220 | medmcqa_train |
All of the following are features of Devic's syndrome (neuromyelitis optica), except? | Devic's disease is a variant of multiple sclerosis. Fulminant demyelinating process is seen with another variant called Marburg's variant. | 221 | medmcqa_train |
A 7 years old boy presented with painful boggy swelling of scalp, multiple sinuses with purulent discharge, easily pluckable hairs and lymph nodes enlarged in occipital region. Which one of the following would be most helpful for diagnostic evaluation? | Ans. c. KOH mount | 222 | medmcqa_train |
All the following are seen in Hyperparathyroidism except | Calvarial thickening is a feature of Hypoparathyroidism. | 223 | medmcqa_train |
Spore forming anaerobic gram positive bacilli ? | Ans. is 'b' i.e., Clostridia There are two medically impoant spore forming bacteria. Both of them are 'gram positive' `bacilli' :-Aerobic : BacillusAnaerobic (obligate anaerobes) : Clostridia. | 224 | medmcqa_train |
Drug of choice for Falciparum Malaria is:- | DOC for Falciparum Malaria - ACT.( Aemisinin based Combination therapy ) In Noh Eastern states:- ACT-AL co-formulated tablet of Aemether-20 mg / Lumefantrine - 120 mg. Primaquine 0.75 mg/ kg Body weight on day 2. 2. In Other States:- ACT-SP -Aesunate 50 mg tablet for 3 days and Sulphadoxine (500mg) - Pyremethamine (25m... | 225 | medmcqa_train |
All are causes of white-dot syndrome except: | Ans. Sympathetic ophthalmitis | 226 | medmcqa_train |
Platypnea is seen with? | Platypnea: Increase dyspnea on sitting position Seen in 1. Atrial myxoma 2. Hepatopulmonary syndrome | 227 | medmcqa_train |
Factor V Leiden is caused due to a mutation that results in a substitution at position 506 glutamine to which of the following: | Mutation in factor V (called the Leiden mutation, after the city in the Netherlands where it was discovered) causes recurrent DVTs. The mutation results in a glutamine to arginine substitution at position 506 that renders factor V resistant to cleavage by protein C. As a result, an impoant antithrombotic counter-regula... | 228 | medmcqa_train |
Kunkel's test is done to demonstrate presence of ................. in blood. | Carbon monoxide (CO) | 229 | medmcqa_train |
In which case cystometric study is indicated - | Cystometric studies are urodynamic studies in which the pressure changes in the bladder is simultaneously measured with bladder filling and during micturition.
It helps in accurate assessment of detrusor and sphincter activity especially if a neurogenic abnormality is suspected.
Though it is also used in stress inconti... | 230 | medmcqa_train |
Fish tank granuloma is seen in - | Ans. is 'c' i.e., M. Marinum o Fish tank granulomaalso called ' swimming pool granuiomaf is caused by M. marinum.Principal types of opportunist mycobacterial disease in man and the usual causative agents.DiseasesUsual causative agentLymphadenopathyM. avium complexM. scrofulaceumSkin lesionPost-trauma abscessSwimming po... | 231 | medmcqa_train |
A 49-year-old female taking ibuprofen for increasing joint pain in her hands presents with increasing pain in her midsternal area. Gastroscopy reveals multiple, scattered, punctate hemorrhagic areas in her gastric mucosa. Biopsies from one of these hemorrhagic lesions reveal mucosal erosions with edema and hemorrhage. ... | Gastritis is a nonspecific term that describes any inflammation of the gastric mucosa. Acute gastritis refers to the clinical situation of gastric mucosal erosions (not mucosal ulcers). Acute gastritis is also known as hemorrhagic gastritis or acute erosive gastritis. Acute gastritis is associated with the use of nonst... | 232 | medmcqa_train |
Sedimentation coefficient of Ig E is: | Ans : b 8S Ref: Ananthanarayanan 8th editionSvedberg unit - a sedimentation constant of 1 x 1013sec. Sedimentation unit is studied by ultracentrifugation - for diversity of antibody moleculeIgG -7IgA -7IgM -19Ig D -7IgE -8 | 233 | medmcqa_train |
DNA dependent RNA synthesis is inhibited by: | Rifampicin | 234 | medmcqa_train |
Iliac crest involvement is common in which condition: March 2007 | Ans. A: Ankylosing Spondylitis The basic pathologic lesion of ankylosing spondylitis occurs at the entheses, which are sites of attachment to bone of ligaments, tendons, and joint capsules. Enthesopathy results from inflammation, with subsequent calcification and ossification at and around the entheses. Inflammation wi... | 235 | medmcqa_train |
A 40-year-old man presents with a 2-week history of recur- rent oral ulcers, genital ulcers, intermittent arthritic pain of the knees, and abdominal pain. Physical examination reveals shallow ulcerations of the mucosa of the glans penis, as well as oral aphthous ulcers and conjunctivitis. Which of the following is the ... | Behget disease is a systemic vasculitis characterized by oral aphthous ulcers, genital ulceration, and ocular inflammation, with occasional involvement of the nervous, gastrointestinal, and cardiovascular systems. The mucocutaneous lesions show a non-specific vasculitis of arterioles, capillaries, and venules. The caus... | 236 | medmcqa_train |
About biotransformation not true ? | Ans. is 'b' i.e., Polar to less polar | 237 | medmcqa_train |
In which phase of cell cycle, proof reading occurs? | EVENTS PHASE of cell cycle Proofreading S phase Most repairs G1 phase Mismatch repair G2 phase | 238 | medmcqa_train |
The number of ATPs generated in krebs cycleare ? | Ans. is 'b' > b' i.e., 24 One turn of the TCA cycle, staing with acetyl CoA produces 10 ATPs. When the staing molecule is pyruvate, the oxidative decarboxylation of pyruvate, the oxidative decarboxylation of pyruvate yields 2.5 ATPs and therefore, 12.5 ATPs are produced when staing compound is pyruvate. Since, two mole... | 239 | medmcqa_train |
Child with mild squint. Intrauterine, bih history, developmental history till date all normal. Corneal reflex normal. All other eye parameters normal except exaggerated epicanthal fold. Diagnosis ? | Ans. is 'a' i.e., Pseudostrabismus Epicantnic fold causes Pseudoesotropia (Pseudostrabismus). | 240 | medmcqa_train |
Pain-sensitive intracranial structure is: | C i.e.Duramater | 241 | medmcqa_train |
Not used for iron poison in: FMGE 09; NEET 13 | Ans. Penicillamine | 242 | medmcqa_train |
Posterior relations of the head of the pancreas include all of the following, except: | The posterior relations of the head of the pancreas include the common bile duct, inferior vena cava and the right and left renal veins terminating into it. The first pa of the duodenum is an anterior relation of the head of the pancreas.Ref: Clinical Anatomy, By Richard S. Snell, 6th edition, Page 230; Clinical Anatom... | 243 | medmcqa_train |
Which of the following events is involved in cleavage of the zygote during week 1 of development? | Cleavage is a series of mitotic divisions by which the large amount of zygote cytoplasm is successively paitioned among the newly formed blastomeres. Although the number of blastomeres increases during cleavage, the size of individual blastomeres decreases until they resemble adult cells in size. | 244 | medmcqa_train |
A female child with virilization, hypertension with low plasma renin diagnosis is : | 9] Congenital adrenal hyperplasia represents a group of autosomal recessive inherited, metabolic errors,
each characterized by decency or total lack of a particular enzyme involved in the biosynthesis of cortical steroids,
Steroidogenesis is then channelled into other pathways leading to increased production of androge... | 245 | medmcqa_train |
'Patterned' abrasion is variety of: | Ans. is 'b' ie pressure abrasion (Ref: Parikh; 6/e, p4.3).An abrasion is a superficial injury involving only the superficial layers of the skin (epidermis only), caused by friction and / or pressure between the skin and some rough object or surface. It bleeds very slightly, heals rapidly in a few days and leaves no sca... | 246 | medmcqa_train |
Pimozide belongs to class of: | Thioxanthenes are flupenthioxol. Butyrophenones are haloperidol, trifluperidol , penfluridol. Phenothiazines are Chlorpromazine, triflupromazine , thioridazine, flufenazine. Promazine belongs to the group of other of other hetero cyclics that is diphenyl butyl piperidine. Ref: KD Tripathi 8th ed. | 247 | medmcqa_train |
Following poisoning retards putrefaction: NEET 13 | Ans. Arsenic | 248 | medmcqa_train |
True statements about parotid gland | The duct runs forwards for a sho distance between the buccinator and the oral mucosa. Finally, the duct turns medically and opens into the vestibule of the mouth(gingivobuccal vestibule)opposite the crown of the upper second molar tooth. Notes: Parotid abscess may be caused by spread of infection from the opening of pa... | 249 | medmcqa_train |
Which of the following statement is false about hydrocele? | Treatment of Hydrocele Congenital Hydrocele: Usually spontaneous obliteration by 2 years age. If persists then Herniotomy. Treatment of Vaginal Hydrocele 1. Small hydrocele: Lord's procedure (Plication of sac)Q 2. Medium hydrocele: Jaboulay's procedure (Eversion of sac)Q 3. Large hydrocele: Excision of sacQ | 250 | medmcqa_train |
A normally developing 10 months old child should be able to do all of the following except – | A child starts trying to build a tower of cubes (2 cubes) by the age of 1 year.
About other options
Child can stand with support by 9 months.
Child can play peak-a-boo game by 10 months.
Child can pick up a pellet with thumb and index finger (pincer grasp) by 9 months. | 251 | medmcqa_train |
Lines of Blaschko&;s are along | Blaschko&;s lines, are lines of normal cell development in the skin. These lines are invisible under normal conditions. | 252 | medmcqa_train |
All the teeth in patient’s mouth are similarly affected as shown in the radiograph. What is the most likely anomaly? | Dentinal dysplasia
Dentinal dysplasia is an inherited condition affecting both dentitions. It is divided into two types: Type I (radicular dentinal dysplasia) and Type II (coronal dentinal dysplasia). It occurs less frequently than dentinogenesis imperfecta.
Clinical features
Type I is the more frequent type. Teeth eru... | 253 | medmcqa_train |
Middle aged female with mass in sella turcica hormone increased is - | The sella turcica is a saddle shaped depression of the sphenoid bone.
It forms the caudal border of the pituitary gland. Sella turcica is an anatomically complex area with a number of different potential pathologies especially neoplastic process.
Pathologies of sella turcica can lead to important clinical presentations... | 254 | medmcqa_train |
Hyoid bone fracture most common occurs in ? | Ans. is 'a' i.e., Manual strangulation As manual strangulation (throttling) is among the most violent form of asphyxia, hyoid fracture and other injury to neck structures is more common. | 255 | medmcqa_train |
"Acute Meningoencephalitis" is caused by: | Nageleria | 256 | medmcqa_train |
All are major symptoms of sinusitis except | According to Rhinosinusitis task force definition of sinusitis,Major criteria-Facial pain, pressure, congestion, nasal obstruction, nasal/postnasal discharge, hyposmia and feverMinor criteria- Headache, halitosis, and dental painRef: Hazarika; 3rd ed; Pg 328 | 257 | medmcqa_train |
Most sensitive nerve fiber to hypoxia | Question repeated | 258 | medmcqa_train |
Nasal septum is formed except by | The bony pa is formed by: 1.Vomer 2.Perpendicular plate of ethmoid 3.Nasal spine of frontal bone 4.Rostrum of sphenoid 5.Nasal crest of nasal, palatine and maxillary bones. NOTES: The cailaginous pa is formed by; 1.Septal cailage 2.Septal process of inferior nasal cailages The cuticular pa is formed by; 1.Fibrofatty ti... | 259 | medmcqa_train |
Metoprolol is preferred over Propranolol as it: September 2010 | Ans. A: Is more potent in blocking beta-1 receptors Metoprolol is cardioselective beta blocker, more potent in blocking beta-1 than beta-2 adrenergic receptors. | 260 | medmcqa_train |
All will predispose to atherosclerosis, except | Elevated plasma levels of homocysteine are associated with increased risk of atherosclerosis, thrombosis and hypertension.
Lipoprotein A inhibits fibrinolysis, therefore predisposes to atherosclerosis.
Atherosclerosis (Greek athere-mush) is a complex disease characterized by thickening or hardening of arteries due t... | 261 | medmcqa_train |
Most serious complication seen in other eye after traumatic injury to one eye: March 2005, September 2008 | Ans. C: Sympathetic ophthalmia Sympathetic ophthalmia (SO) is a condition in which serious inflammation attacks the sound eye after injury (including intraocular surgeries) to the other. It is the most dreaded complication of unilateral severe eye injury, as it can leave the patient completely blind. Symptoms may devel... | 262 | medmcqa_train |
Least commonly seen in conduct disorder seen in girls:- | Conduct disorder - Persistent pattern of antisocial behavior in which the individual repeatedly breaks social rules and carries out aggressive acts.in conduct disorder they do it deliberately usually characterized by aggression and violation of the rights of others boys with conduct disorder show physical & relationshi... | 263 | medmcqa_train |
Familial adenomatous polyposis is characterized by all except | Familial adenomatous polyposis (FAP) Is a rare, inherited condition caused by a defect in the adenomatous polyposis coli (APC) gene - located in 5q 21 chromosome. FAP is autosomal dominant- >50% chance of inheritance in family members Has > 100 adenomatous polyps 100% RISK of malignancy Polyp formation - by 15 yrs. 100... | 264 | medmcqa_train |
In Steiner's analysis, SNA demonstrates: | Relating the Maxilla to the Skull: The angle SNA is formed by joining the lines S-N and N-A . The mean reading for this angle is 82°.
Steiners analysis demonstrates the position of maxilla and mandible in relation to the cranial base.
If the angular reading is more than 82°, it would indicate a relative forward positi... | 265 | medmcqa_train |
. Sulphasalazine is NOT used for the treatment of- | Sulhasalazine is not used for treatment of sarcoidosis As a treatment for sarcoidosis, these drugs are most likely to be effective in people who have skin symptoms or a high level of calcium in their blood. Hydroxychloroquine (Plaquenil) and chloroquine (Aralen) are antimalarial drugs that are used to treat sarcoidosis... | 266 | medmcqa_train |
Post traumatic stress disorder is differentiated from other anxiety disorders by which of the following symptoms? | This question is not about the diagnostic features of PTSD. This is about the differential diagnosis. PTSD is an anxiety disorder and it shares symptoms with other disorders. Impoant features in distinguishing the condition are given below. Differential diagnosis: Point 1: Etiologically significant trauma should be pre... | 267 | medmcqa_train |
Which muscle is responsible for unlocking of knee? | Ans. A PopliteusRef: BDC, vol II pg. 155* Quadriceps femoris is the main and only extensor of knee.* It produces locking action as a result of medial rotation of the femur during the last stage of extension.* To reverse this lock popliteus muscle comes into action and does so by the lateral rotation of femurRemember: L... | 268 | medmcqa_train |
Polymorphic ventricular tachycardia can occur when terfenadine(antihistaminic): | Torsades de pointes (polymorphic ventricular tachycardia) occurs when terfenadine is taken in higher doses or when hepatic metabolism is impaired by disease or by drugs which inhibit the cytochrome P450 responsible for metabolism of terfenadine. Drugs include erythromycin, clarithromycin, ketoconazole and itraconazole.... | 269 | medmcqa_train |
Which component transfers four protons: | A i.e. NADH-Q Oxidoreductase; C i.e. Cytochrome C-Q oxidoreductase | 270 | medmcqa_train |
All of the following are true about Asthma, Except: | Answer is D (Small airways are not involved): Asthma involves both large and small airways but alveoli are not involved Charcot Leyden crystals may be seen in sputum: Pathology by woolf lsr (1998)/434 Sputum from Asthmatics show ceain characteristic features, including charcot leydencrystas The microscopically identifi... | 271 | medmcqa_train |
In emergency, which aery can be safely ligated ? | Ans. is 'a' i.e. Internal iliac | 272 | medmcqa_train |
Late metabolic acidosis is seen in- | Ans. is 'b' i.e., Preterm baby getting cow milk Late metabolic acidosis (LMA) o Late metabolic acidosis is a special type of acidosis in apparently healthy premature infant. o This hyperchloremic acidosis appeares during second and third week of life, and resolves spontaneously within a couple of weeks. Definition "An ... | 273 | medmcqa_train |
Chemotherapeutic drugs can cause? | Ans. is 'c' i.e., Both necrosis and apoptosis o Injurious stimuli, e.g., radiation, cytotoxic anticancer durgs, heat and hypoxia, can induce apoptosis if the insult is mild, but large doses of same stimuli result in necrotic cell death. | 274 | medmcqa_train |
Which of the following nerve is involved in Frey's syndrome? | Syndrome (Gustatory Sweating) aka auriculotemporal syndrome: Frey's syndrome arises as a complication of parotid surgery usually manifesting several months after the operation. lt is characterised by sweating and flushing of the preauricular skin during mastication causing nuisance to the person or social embarrassment... | 275 | medmcqa_train |
Opening of mouth is caused by: | Ans. A Lateral pterygoidRef: Grays, 41st ed. pg. 507-508* The primary function of the lateral pterygoid muscle is to pull the head of the condyle out of the mandibular fossa along the articular eminence to protrude the mandible.* The effort of the lateral pterygoid muscles acts in helping lower the mandible and open th... | 276 | medmcqa_train |
All are true about streptococcus Except | Mucoid colonies are due to the production of the capsule of hyaluronic acid not due to M-protein. Growth characteristic of Strep. pyogenes: On blood agar, virulent stains form matt or mucoid colonies while avirulent from glossy colonies. M, T, R are proteins found on the outer pa of the cell wall and forms the basis of... | 277 | medmcqa_train |
What is monitored in a patient of Pre eclamsia ? | Ans. is 'd' i.e. All of the abov Investigations in a case of Pre eclampsia* URINE for proteins/albumin. 24 hours urine protein* CBC: There is hemoconcentration so HB values are false elevated. Low platlets indicate HELLP syndrome* Sr uric acid: It is a biochemical marker of preeclampsia. Raised levels (>4.5 mg/dl) indi... | 278 | medmcqa_train |
In a young female of reproductive age an absolute contraindication for prescribing oral contraceptive pills is: | Ans-D i.e., Impaired liver function Repeat Q No 173 (Nov. 2004)Absolute contraindications include:A personal h/O thromboembolic venous, arterial or cardiac disease or severe or multiple risk factor for these. Transient cerebral ischaemic attacks without a headache.Infective hepatitis, until 3 months after liver functio... | 279 | medmcqa_train |
A tracheostomised patient, with poex tracheostomy tube, in the ward, developed sudden complete blockage of the tube. Which of the following is best next step in the management? | Immediate removal of the tracheostomy tube is best next step in the management in the above case -Suction of tube with sodium bicarbonate is done to avoid the blockage. -Suction of the tube with saline can't be used when there's a complete obstruction. - Jet ventilation is done below the level of larynx, when we're ope... | 280 | medmcqa_train |
All of the following are well recognised predisposing factors for adult respiratory distress syndrome, except: | Status asthmaticus is an example of type 2 respiratory failure while ARDS is type 1 respiratory failure. All other choices lead to cytokines release and damage the alveoli leading to ARDS. | 281 | medmcqa_train |
Gottron papules is seen in ? | Ans. is 'a' i.e., Dermatomyositis | 282 | medmcqa_train |
Which among the following is the BEST irrigating fluid during ECCE? | BSS plus a balanced salt solution enhanced with bicarbonate, dextrose and glutathione. It is specially used for surgeries requiring prolonged irrigation such as phacoemulsification, pars plana vitrectomy and automated extracapsular cataract extraction. Balanced sterile solution is a sterile physiologically balanced irr... | 283 | medmcqa_train |
Acute Gouty ahritis is seen early in treatment following - | All of the above Rapid lowering of urate level in chronic gout, by any means, may precipitate an attack of acute gout, probably by causing the dissolution of tophi. o It is therefore usual to give prophylactic suppressive treatment with indomethacine, colchicine or steroid cover during first 2 months of allopurinol or ... | 284 | medmcqa_train |
Chandler's index is associated with: September 2006 | Ans. B: Hook worm Morbidity and moality from hookworm infection depend much on the worm load. Chandler worked out an index on the basis of an average number of hookworm eggs per gram of feces for the entire community, Chandler's index is still used in epidemiological studies of hookworm disease. By this index, worm loa... | 285 | medmcqa_train |
Heparin is the commonly used anticoagulant in cardiac surgery. All of the following are true about heparin except- | Ans. is 'a' Weakest acid found in living organism Heparin is a direct acting anticoagulant Chemical nature and preparationHeparin is a sulfated mucopolysaccharide which occurs in the secretory granules of mast cells.It is the strongest organic acid in the body and in the solution it carries an electronegative charge.It... | 286 | medmcqa_train |
One of the following is the first enzyme to be released at the site of wound? | Ref - Krishan Vij textbook of forensic medicine and toxicology 5e pg - 202 | 287 | medmcqa_train |
Sign of diabetic ketoacidosis is- | Physical findings of diabetic ketoacidosis are tachycardia, dehydration/hypotension, hypothermia, tachypnea/Kussmaul respirations/ respiratory distress, abdominal tenderness (may resemble acute pancreatitis or surgical abdomen), lethargy/obtundation/cerebral edema/possibly coma. Reference : page 2418 Harrison's Princip... | 288 | medmcqa_train |
Which of the following drug is used in scabies as single oral dose agent: March 2011 | Ans. C: Ivermectin Ivermectin is used as single oral dose of 200 microgram/ kg body weight It can be repeated after 2 weeks It is indicated in epidemics of scabies in orphanages and Norwegian scabies Scabies: Incubation period: 4 weeks Pathognomic lesion: Burrow, which lies in stratum corneum MC site in infants: Scalp,... | 289 | medmcqa_train |
Most common complication after ERCP is | Complication perforation(1.3%)/hemorrhage (1.4%),pancreatitis (4.3%) and sepsis (3-30%). Bailey & Love 26th, 208 | 290 | medmcqa_train |
Which of the following clinical situations is associated with an increase in predominantly conjugated ("direct") bilirubin? | Of the conditions listed, only pancreatic head tumors are associated with an increase in conjugated ("direct") bilirubin (obstructive jaundice). Increased levels of unconjugated ("direct") bilirubin result from hemolysis over liver defects that impair uptake or conjugation mechanism in liver cells (Gilbe's syndrome, Cr... | 291 | medmcqa_train |
Regarding carcinoma Gallbladder true statement | Clinical features Most commonly presents with right upper quadrant pain often mimicking cholecystitis and cholelithiasis Weight loss, jaundice and abdominal pain are less common presenting symptoms Chronic cholecystitis with a recent change in quality or frequency of the painful episodes in 40% patients Malignant bilia... | 292 | medmcqa_train |
Which anaesthetic agent increases intracranial tension among the following | All inhalational anaesthetics directly act on cerebral blood vessels→vasodilatation→increase cerebral blood flow→ increase intracranial tension | 293 | medmcqa_train |
Granules of Eleidin are present in which of the following layer? | Stratum Lucidum - Also called clear cell layer. Present only in skin of palms and soles. Translucent due to presence of refractile Eleidin granules | 294 | medmcqa_train |
Antidepressant drug used in nocturnal enuresis is: | Sleep related enuresis- Treatment Bed alarms (behavioral therapy)- TOC Desmopressin (DOC) Imipramine (TCA Antidepressant) | 295 | medmcqa_train |
Five days after an uneventful cholecystectomy, an asymptomatic middle-aged woman is found to have a serum sodium level of 125 mEq/L. Which of the following is the most appropriate management strategy for this patient? | The initial, and often definitive, management of hyponatremia is free-water restriction. Symptomatic hyponatremia, which occurs at serum sodium levels less than or equal to 120 mEq/L, can result in headache, seizures, coma, and signs of increased intracranial pressure and may require infusion of hypeonic saline. Rapid ... | 296 | medmcqa_train |
Reversible cause of dementia is - | Ans. is 'c' i.e., Hypothyroidism Causes of dementiaReversible causesSurgically treatableMedically treatableo Normal pressure hydrocephaluso Brain tumors (frontal lobe tumor)o Meningiomao Subdural hematoma (Head injury)o Hydrocephaluso Hypothyroidismo Depressiono HIV infectiono Alcohol abuseo Vitamin B12, Folate, Niacin... | 297 | medmcqa_train |
A obese female having hirsutism on laboratory investigation has high level of LH and androgens. Likely cause is- | Ans. is 'a' i.e., PCOS o The clinical and laboratory features of the patient described in the question match with those of PCOS as depicted in the table. So the most appropriate answer is PCOS.Clinical features of polycystic ovarian diseaseClinical featureHannonalSequelaeo Young womano | E2. levelo Diabaetes (15%)o Cen... | 298 | medmcqa_train |
All are used in the management of head injury patient except? | Glucocoicoids are useful for management of vasogenic edema from tumor or brain abscess. In contrast glucocoicoids are avoided in case of head trauma, ischemic and hemorrhagic stroke. Norepinephrine or pressor therapy is used to maintain a MAP to maintain CPP> 60 mm Hg. Sedation is done with propofol or midazolam. Neuro... | 299 | medmcqa_train |
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