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75361554-bcf9-48ca-a6be-bd1f36211767 | The structure marked A begins to close by what time frame and due to what cause? | Begins to close at 10-15 hours after bih, due to withdrawal of prostaglandins | Begins to close at 10-15 hours after bih, due to expression of prostaglandins | Begins to close 4 weeks after bih, due to fall in oxygen concentration | Begins to close 4 weeks after bih, due to rise in oxygen tension | 0a | multi | The structure marked is ductus aeriosus which begins to close 10-15 hours after bih due to withdrawal of prostaglandins and exhibits functional closure by 7 days and anatomical closure by 4 weeks after bih. | Anatomy | Pharyngeal arch and its derivatives, pharyngeal arch aeries |
6b8e3222-0786-460d-93a5-33c32e4f0f20 | All are indicated in a 30-year-old patient with increased serum cystine and multiple renal stones except: | Cysteamine | Increase fluid intake | Alkalinization of urine | Penicillamine | 0a | multi | The clinical diagnosis of profile given in the question is CYSTINURIA . Cystinuria- AR,defect in re-absorptive transpo of cystine and the dibasic amino acids ornithine, arginine, and lysine from the luminal fluid of the renal proximal tubule and small intestine. Urinalysis- hexagonal shaped crystals: pathognomonic of c... | Medicine | Kidney Stones & Renal Tubular Acidosis |
ac6a6959-3139-431c-b49c-23b2a534bca9 | A Ten year old boy presents to the pediatric emergency unit with seizures. Blood pressure in the upper extremity measured as 200/140 mm Hg. Femoral pulses were not palpable. The most likely diagnosis amongst the following is: | Takayasu Aooaeritis | Renal parenchymal disease | Grandmal seiures | Coarctation of Aoa | 3d | single | Answer is D (Coarctation of Aoa) Isolated upper extremity hypeension (200 / 140 mm Hg), together with absent/ diminished femoral pulses is a characteristic feature of coarctation of aoa. Although coarctation of aoa does not commonly present with seizures, these may be seen as a consequence of severe hypeension (BP = 20... | Medicine | null |
da3737ee-4035-41c4-8fa9-bdc1ac3f35ee | A 30 year-old male has jaundice. Blood examination shows total serum bilirubin 28 mg%, direct bilirubin 16 mg % and alkaline phosphatase 184 KA units. The Diagnosis is : | Haemolytic jaundice | Viral hepatitis | Chronic active hepatitis | Obstructive jaundice | 3d | single | Answer is D (Obstructive jaundice): The patient in question has high conjugated bilirubin levels (direct bilirubin > 50% of total bilirubin), along with alkaline phosphatase levels more than 6 times normal. The answer of choice therefore is obstructive jaundice. Approach: If direct conjugated bilirubin is greater than ... | Medicine | null |
f9d78211-6d8a-49fb-88da-ac7d4e023143 | In differential diagnosis of lump in right fornix which is not true : | Ovarian cyst | Hydro salpinx | Appendicular mass | Submucosal fibroid | 3d | multi | Submucosal fibroid | Gynaecology & Obstetrics | null |
cff87108-acda-4a48-94dd-d1c9ddf0d7cb | A patient presents with symptoms of Hypoglycemia. Investigations reveal decreased blood glucose and increased Insulin levels. C-peptide assay is done which shows normal levels of C- peptide. The most likely diagnosis is: | Insulinoma | Accidental sulfonylurea ingestion | Accidental exogenous Insulin administration | Accidental Metformin ingestion | 2c | single | Answer is C (Accidental exogenous Insulin administration): Normal / Reduced levels of C- peptide in the presence of increased insulin suggest a diagnosis of exogenous insulin administration as the cause of hypoglycemia. Approach to a patient with Hypoglycemia and Increased Insulin levels: Role of C- peptide Assay Norma... | Medicine | null |
ec79e14c-1a38-43cf-84fb-4752981c0598 | Methemoglobinemia may be caused by all of the following drugs, EXCEPT: | Sulfonamides | Phenytoin | Phenacetin | Nitrobenzenes | 1b | multi | Drugs causing methemoglobinemia are: Nitrous gases, chloroquine and primaquine, phenazopyridine, sulfonamides, sulfones, aniline dye derivatives, phenacetin, dapsone, local anesthetics, and nitrobenzenes. Hemoglobin becomes methaemoglobin when iron is oxidized from the ferrous to the ferric form. This conversion of hem... | Pharmacology | null |
da8bd45b-e1f3-41b9-96ea-ae837913c481 | A patient came with abduction limitation of right eye and horizontal diplopia. Which nerve can possibly be paralyzed | 2nd Nerve | 3rd Nerve | 4th Nerve | 6th Nerve | 3d | single | Lateral rectus Palsy 1. Lesion of Abducens nerve 2. Abduction limitation due to paralysis of lateral rectus 3. Convergent squint and diplopia (horizontal) on long standing palsy. 4. Patient present with turn towards the side of affected muscle Associations Millard Gubler syndrome: Ipsilateral 6th nerve palsy with contr... | Ophthalmology | Squint |
228bafe6-feeb-4a22-aee1-30a74d77f82f | Most common cause of acute parotitis - | S. Aureus | S. Pneumonia | Klebsiella | S.Viridans | 0a | single | Ans. is 'a' i.e., Staph Aureus o MC organism is staph aureus >> str. viridans >> pneumococcus. | Surgery | Miscellaneous (Salivary Gland) |
fb17cf14-861c-4af4-a01b-118ab4f4d017 | The most commonly affected tissues in neurocysticercosis is - | Brain | Eye | Muscles | Liver | 0a | single | Larvae penetrate the intestine -MC sites of deposition in- CNS (60-90%)> Eye > muscle. in CNS - subarchanoid >parenchymal Option 1, 2, 3, 4 Cysticercosis: Caused by T. solium (Pork tapeworm) Potentially dangerous systemic disease. Neurocysticercosis (NCC) NCC: MC parasitic CNS infection of man and MC cause of adult ons... | Microbiology | Parasitology Pa 2 (Helminthology) |
69cfb017-9078-4e30-b6c4-69cafa632abb | Which scientific principle is the basis for thermodilution method used in measurement of cardiac output by pulmonary catheter? | Hagen-Poisseuile principle | Stewart-Hamilton equation | Bemouli's principle | Universal Gas Equation | 1b | single | Ans. b. Stewart-Hamilton equation (Ref: Ganong 23/e p513; Guyton 11/e p244)Stewrt-Hamilton equation is the basis for thermodilution method used in measurement of cardiac output by pulmonary catheter.Stewart Hamilton equationThe thermodilution technique has become the de-facto clinical standard for measuring cardiac out... | Physiology | Circulation: Cardiac Output, Venous Return |
de8f938e-9794-4459-bf6f-0d7818667884 | Which of the following muscle lies between superficial and deep pas of submandibular salivary gland? | Hyoglossus | Styloglossus | Mylohyoid | Geniohyoid | 2c | single | Submandibular gland is a large salivary gland situated in the anterior pa of the digastric triangle. It is roughly J-shaped,being indented by the posterior border of the mylohyoid which divides into a larger pa superficial to the muscle,and a small pa lying deep to the muscle. Reference: B D Chaurasia's human anatomy; ... | Anatomy | Head and neck |
f2fc8bc4-3e9c-4d2e-8316-2e96bfdf31be | Inhibition of protein synthesis in translation phase is: due to | Isoniazide | Ethambutol | Methotrexate | Cycloserine | 0a | single | null | Biochemistry | null |
4a209f8b-1317-4a45-94bf-83f4b6fd71d3 | Most common cause of chronic pancreatitis: | Gallstones | Alcohol | Trauma | ERCP | 1b | multi | Ref. API Textbook of Medicine. Pg. 815
Chronic pancreatitis is a chronic inflammatory disease in which there is irreversible progressive destruction of pancreatic tissue
Its clinical course is characterized by severe pain and in the later stages, exocrine and endocrine pancreatic insufficiency .
High alcohol consump... | Unknown | null |
7a837c27-fb28-48ce-bbe0-1eb06db11273 | Compliance curve of the lung given below. Curve A signifies which of the followings: | Pulmonary fibrosis | Atelectasis | Emphysema | ARDS | 2c | single | Compliance is defined as the change in volume for a unit change in pressure. It measures the distensibility or, stretchability of lung The total compliance of both lungs together in the normal adult human averages about 200 milliliters of air per centimeter of water transpulmonary pressure. The compliance of the combin... | Physiology | Respiratory System |
8169afad-2086-4bde-b413-a4dea8d49321 | Which of the following nerves carries taste sensation from posterior one-third of the tongue: | Facial nerve | Chorda tympani | Glossopharyngeal nerve | Vagus nerve | 2c | single | The Glossopharyngeal nerve is the nerve for both general sensation and taste sensation for the posterior 1/3rd of the tongue including the circumvallate papillaeNerve supply of tongueMotor supply: All the intrinsic muscles, except the palatoglossus are supplied by the hypoglossal nerve (The palatoglossus is supplied by... | Anatomy | null |
9a61d711-1a82-4bdf-ad0c-1a1985e26ee0 | All of the following are true about the Right Coronary Aery (RCA) except___ | RCA diameter is less than left coronary aery | RCA arises from the anterior aoic sinus | RCA gives rise to circumflex coronary branch | Right Coronary aery is the first branch of RCA | 2c | multi | The right coronary aery arises from the anterior aoic sinus (Right coronary sinus) of the ascending aoa. (Option B) It passes anteriorly and descends veically in the coronary sulcus between the right atrium and the right ventricle. On reaching the inferior margin, it turns posteriorly and continues in the sulcus on to ... | Anatomy | All India exam |
2ee35b19-619b-4ea1-a997-5593a2cda11e | Most common malignant lesion of the eyelid is | Squamous cell carcinoma | Basal cell carcinoma | Malignant melanoma | Adenocarcinoma | 1b | single | Basal cell carcinoma This is usually a slow-growing, locally-invasive, malignant tumour of pluripotential epithelial cells arising from basal epidermis and hair follicles; hence, it affects the pilo-sebaceous skin. EPIDEMIOLOGY The strongest predisposing factor to BCC is UVR. It occurs in the elderly or the middle-aged... | Surgery | Urology |
db3c5c93-ebc6-47d3-887e-8061f01bbd9c | ANA seen in SLE is directed against? | dsDNA | mRNA | Nucleolus | Ribosomes | 0a | single | “Antibodies to double-stranded DNA and the Smith (Sm) antigen are virtually diagnostic of SLE" ---------- Robbins
Antinuclear antibodies in SLE
1) Generic antinuclear antibodies (ANA)
□ These are most common (93-100% of patients), thus are most sensitive antibodies for SLE (best screening test).
2) Anti-dsDNA and Anti-... | Pathology | null |
5d9cf11b-6a91-4b3f-8deb-be30bdc6d88e | In cellular event of acute inflammation all are seen except - | Compliment involved in chemotaxis | ICAM - adhesion of leukocytes | PECAM - Activation of leukocytes | Selectins - Margination & rolling | 2c | multi | . PECAM &; Activation of leukocytesExplanation :- PECAM 1 (platelet endothelial adhesion molecule) or CD31 &; involved in migration of leukocytes | Pathology | null |
7cffb021-2110-41d1-963f-50936f881550 | A 76 year old male with a history of dyspnoea on exeion was subjected to x-ray chest by the treating physician. The findings on the chest X-ray are given below. There is a history of fever with significant loss of weight and occasional bloody diarrhoea for the past 3 months. What is the most likely diagnosis? | Disseminated tuberculosis | Colon cancer with lung metastasis | Amebic liver abscess with rupture | Squamous cell carcinoma lung | 1b | single | This is an X-ray film showing multiple cannonball metastasis in the lung. The following neoplasms are most likely to spread to the lungs. Given the history it is likely to be a colorectal carcinoma. Melanoma Thyroid cancer Breast cancer Colorectal cancer Head and neck cancer Renal cell cancer Choriocarcinoma Testicular... | Radiology | null |
1bb0f11e-a9d9-448e-a43c-f3a9483a93d5 | A 21 years female of 143 cm height present primary amenorrhea, absent breast, Cubitus valgus. Most probable diagnosis is? | Turner's syndrome | Mixed gonadal dysgenesis | Mayer Rokitansky kuster Hauser syndrome | Androgen insensitivity syndrome | 0a | single | Individuals with Turner's syndrome are phenotypic females with primary amenorrhea, absent secondary sexual characteristics, sho stature, multiple congenital anomalies, and bilateral streak gonads. Characteristic Findings in Women with Turner Syndrome: Height 142-147cm Micrognathia Epicanthal folds Low-set ears Sensorin... | Gynaecology & Obstetrics | null |
5bb4ab2c-e273-4826-94f8-4ace92150b77 | WHO ORS contains - | Sodium chloride 2.5 g | Potassium chloride 1.5 g | Glucose 20g | Shift of water from ECF to ICF | 1b | single | Ans. is 'b' i.e., Potassium chloride-1.5 gm Because of the improved effectiveness of reduced osmolarity ORS solution, WHO and UNICEF are recommending that countries manufacture and use the following formulation in place of the previously recommended ORS solution. | Pediatrics | null |
1d59dd69-b8cc-4f7e-baaa-21447e735f49 | DNA replication and transcription occurs in which direction - | 51-31 | 5l-51 | 31 -51 | 31 -31 | 0a | single | Ans. is 'a' i.e., 51 - 31 Elongation in DNA synthesiso Once the RNA primer has been synthesized at each of the replicating forks, a DNA polymerase III initiates the synthesis of new DNA strand by adding deoxyribonucleotides to the 31 end of RNA primer. Thus, both new strands are synthesized always in 51- 31 direction. ... | Biochemistry | DNA Replication |
4e292c52-99ef-4c2d-ac8d-e089ef9711e6 | Sympathetic ophthalmitis is due to | Blunt trauma | Penetrating trauma | Chemical injury | Retained intra ocular Iron foreign body | 1b | single | Sympathetic Ophthalmitis* Bilateral granulomatous panuveitis after penetrating trauma with prolapsed of uvea* Injured eye - exciting eye; normal fellow- sympathizing eye* Causes: penetrating injury, intraocular surgeries, cyclophotocoagulation, cyclocryotherapy* Site of injury: involving CB, iris and lens capsule* Path... | Ophthalmology | Ocular Trauma |
509d3a6b-c998-4898-b72b-59f4e308bbc0 | Best test to quantify' feto-maternal haemorrhage in Rh isoimmunisation is - | LPT | DCT | Kleinhauser test | Indirect coombs | 2c | single | Ans. is 'c' i.e., Kleinhauser test Kleiheaur betke testo It is quantitative test which is used to calculate the approx volume of the fetal blood entering into the maternal circulation. Based on the principle of acid elution technique and is done by using citric acid phosphate buffer. Fetal red cells (dark refractile bo... | Gynaecology & Obstetrics | Pregnancy in Rh-negative Women |
f84822b1-ddbb-4b46-9074-c924e5278583 | Collagen found in hyaline cailage is | Type I | Type II | Type IV | Type V | 1b | single | Collagen present in cailage are chemically distinct from those in most other tissues.They are described as type 2 collagen Inderbir Singh&;s textbook of human Histology Seventh edition Pg no 82 | Anatomy | General anatomy |
8a281141-376a-436b-88ea-471b882711d7 | A 60 year old male patient complains of food lodgment in upper right back teeth region. Patient gives h/o RCT with 16 and extraction with 15. Ceramic crown and bridge was planned. Which of the following is not a method for strengthening this restoration? | Thermal tempering | Maximizing the number of firing cycles | Ion exchange | Development of residual compressive stresses | 1b | single | -DEVELOPMENT OF RESIDUAL COMPRESSIVE STRESSES
The fabrication of metal-ceramic and all-ceramic prostheses usually involves sintering the ceramic at high temperature or hot-pressing a veneering ceramic onto the metal or core ceramic. The process of cooling to room temperature offers the opportunity to take advantage of ... | Dental | null |
a846cbec-96ae-47a5-b359-0879c09aff59 | A 23-year-old female presents with an itchy, linear rash on her foot. She returned from a camping trip 4 days ago and denies using any new makeup, clothing, or jewelry. True about this skin pathology: | Type II hypersensitivity reaction | More common in children than in adults | Usually pruritus is absent | Treatment is with coicosteroids | 3d | multi | Diagnosis - Contact dermatitis. Foot lesions are erythematous papules and vesicles with serous weeping. Lesions localized to areas of contact with the offending agent (the foot ware in this case). Treatment: Topical or systemic coicosteroids & cool, wet compresses | Dental | Eczema and related disorders |
0f01c6be-ef38-47c8-9e42-858ce3dc3f69 | Treatment of choice of Kawasaki disease ? | IV immunoglobulin | Steroid | Azathioprin | Not recalled | 0a | multi | Kawasaki disease is a vasculitis that mostly involves the coronary vessels. It presents as an acute systemic disorder, usually affecting children under 5 years.Kawasaki's disease is an acute, febrile, multisystem disease of children. Some 80% of cases occur prior to the age of 5, with the peak incidence occurring at <=... | Medicine | Immune system |
c66b51d2-3197-45f8-b7e0-18ddd5b80168 | When restoring a tooth with resin material, acid etching can do all of the following except | Increase the surface area | Permit chemical bonding between resin and enamel | Create surface irregularities in enamel for better mechanical retention of resin | Condition the tooth surface for better wetting | 1b | multi | null | Dental | null |
73efa318-a118-4e3e-8bad-3b2124250b99 | A 35 year old female, hospitalized after a motor vehicle accident, develops acute gastric stress ulcers. Increases in which of the following normal physiological parameters may have contributed to this condition? | Bicarbonate transpo | Epithelial regenerative capacity | Mucosal blood flow | Pepsin production | 3d | single | Pepsin production is a normal physiologic activity of the stomach that, in conditions of stress, may overwhelm the stomach's weakened defenses and result in gastric ulceration. Gastric acid production is another condition that may increase and cause acute ulceration. Fuhermore, these two factors may remain unchanged an... | Physiology | null |
2e97b7e2-acc1-495c-b581-b3b7c935577f | Which of these is characteristic of amyloidosis- | Beta pleated, metachromosis, PAS + ve | Congophilic, beta pleated, PAS +ve | Beta pleated, fibrillary, congophilic | Alpha pleated, small fibrils | 2c | multi | Robbins and Cotran pathologic basis of disease South Asia edition. *by electron microscopy all types amyloid consist of continuous non branching fibrills.X Ray crystallography and infrared spectroscopy demonstrate a characteristic cross-beta-pleated shear conformation .this conformation is responsible for distinctive C... | Pathology | General pathology |
20bb0d70-4d3b-4d33-bf8f-e83625c4ab2c | What is the intermediate host of the organism shown here? | Snail | Cyclops | Pig | Mosquito | 1b | single | organism-Guinea worm/medina worm/serpent worm habitat- subcutaneous nodules DH-humans IH- cyclops(lobsters, crabs shrimps) MOI-ingestion of drinking water containing cyclops infested with L3Larvae | Microbiology | Parasitology Pa 2 (Helminthology) |
dc874841-182d-4a6e-b5f8-ba9aa6e427e0 | Following is true about longitudinal studies | Used to study the natural history of the disease | Single outcome | Are economical | Are efficient | 0a | multi | Longitudinal studies are useful in: To study the natural history of disease and it's future outcome For identifying risk factors of disease For finding out incidence rate or rate of occurrence of new cases of disease in the community Ref: 25th edition, Park's Textbook of Preventive and Social Medicine, Page no. 78 | Social & Preventive Medicine | Epidemiology |
72af96a1-0a0d-4a54-bc08-53a338572dbd | What is the indication for therapeutic thoracocentesis? | Free fluid separates the lung from chest wall by 10 mm | Loculated pleural fluid | Recurrence of pleural fluid < 72 hours of previous thoracocentesis | Mesothelioma | 0a | multi | Therapeutic thoracocentesis- Indication - Free fluid separates the lung from chest wall by 10 mm Measured radiographically Preferred site of thoracocentesis -7th ICS Scapular line. For Recurrent pleural effusion - pleurodesis. In pleurodesis we inject a sclerosing agent in pleural space which causes obliteration of ple... | Medicine | Pleural effusion & Pulmonary alveolar proteinosis |
dfaa4327-bc95-4b02-b2a3-93baed357088 | The major difference between X-Rays and Light is: | Energy | Mass | Speed | Type of wave | 0a | single | The main difference between an X-ray photon and a visible light photon lies in the energy of each photon. Xray photon has approximately 5000 times the energy of an ordinary light photon, allowing the Xray photon to pass through materials more readily than a regular light photon. Ref: Techniques in Microscopy for Biomed... | Radiology | null |
cf225b0b-9e41-4f41-9e6a-55d6bd10e2a7 | Structure NOT passing through esophageal opening | Esophagus | Phrenic nerve | Vagus nerve | Gastric aery branches | 1b | single | At T8 - IVC hiatus in central tendon through which IVC and few branches of Rt. phrenic nerve passes At T10 - Oesophageal opening is present through which passes: Esophagus Esophageal branch of left gastric aery Anterior and posterior vagal trunk At T12 - Aoic hiatus posterior to diaphragm formed by median arcuate ligam... | Anatomy | Umblicial cord and diaphragm |
ff0c1890-3cb3-4860-bfc1-7271ee281380 | Waist Hip Ratio in men that indicate obesity | > 0.85 | > 0.95 | > 1 | > 1.5 | 2c | single | null | Social & Preventive Medicine | null |
2d61b4b3-2e53-42c7-a522-664232329f13 | Notching of the ribs is seen in man | TR | TOF | Coarctation of aoa | PDA | 2c | single | Coarctation of aoa | Radiology | null |
07d6a46a-d033-40a0-bfe1-c06f0d253580 | Baezomib is - | Proteosome inhibitor | DNA methyl transferase inhibitor | Tyrosine kinase inhibitor | Histone deacylase inhibitor | 0a | single | Ans. is 'a' i.e., Proteosome inhibitor Proteosome inhibitors o Transcription factor NFKB is associated by an inhibitor IKB. o IKB is degraded by proteosomes. o Inhibition of proteosome prevents degradation of IKB which inhibits the overactivity of NFKB. o Proteosome inhibitor (Baezomib) is used in multiple myeloma. | Pharmacology | null |
092281c7-4644-497c-a202-e5931a5c01dd | Superior rib notching is/are caused by: | Hyperparathyroidism | Poliomyelitis | Marfan syndrome | All | 3d | multi | A, B, C, i.e. Hyperparathyroidism, Poliomyelitis, Marfan syndome | Radiology | null |
6bb1a391-2c8d-45aa-9f20-54b3d60248b5 | Destruction of fat in acute pancreatitis is due to - | Lipase and elastase | Lipase and trypsin | Secretin | Cholecystokinin and trypsin | 1b | single | An enzyme activated by trypsin is phospholipase A2. This enzyme splits a fatty acid off lecithin, forming lysolecithin. Lysolecithin damages cell membrane. It has been hypothesized that in acute pancreatitis phospholipase A2 is activated in the pancreatic ducts, with the formation of lysolecithin from lecithin that is ... | Pathology | null |
133910cc-48fc-40c8-9278-6e8c19219f14 | The very first step in investigation of Epidemic | Confirmation of existence of epidemic | Verification of diagnosis | Development of epidemiological case sheet | Formulation of Hypothyesis | 1b | multi | INVESTIGATION OF AN EPIDEMIC The occurrence of an epidemic always signals some significant shift in the existing balance between the agent, host and environment. It calls for a prompt and thorough investigation of the cases to uncover the factor(s) responsible and to guide in advocating control measures to prevent fuhe... | Social & Preventive Medicine | Epidemiology |
d82e30e4-1785-4853-b836-c10ec3c098c1 | Orally administered anti kala-azar drug is | Paromomycin | Miltefosine | Amphotericin | Sodium stibogluconate | 1b | multi | Ans. is 'b' i.e., Miltefosine o Drugs used for kala-azar :- o Parentral : Amphotericin-B (iv), Paromomycin (im), sodium stibogluconate (iv or im). Oral : Miltefosine | Pharmacology | null |
7ff5e2d3-c3a2-4693-a8a7-131d1830dcab | Which DNA segments in the lactose operon of E. coli is a trans-acting regulatory element? | B-galactosidase gene | Operator | Promoter | I gene | 3d | single | Regulatory sequences in DNA are classified as cis- or trans-acting elements, depending on the mechanism of action. Cis-acting elements function only when located on the strand of DNA being regulated, relatively close to the regulated gene. The operator (0), the promoter (P), and the CAP binding site all are located jus... | Biochemistry | All India exam |
b377d5f1-5b0a-45ac-92c9-3fed3bc05958 | Comment on the diagnosis for an individual serum alkaline phosphatase normal, PTH normal, Vitamin D3 normal with elevated serum Calcium values? | Vitamin D intoxication | Hyperparathyroidism | Multiple myeloma | Nutritional rickets | 2c | single | Multiple myeloma is a plasma cell neoplasm commonly associated with lytic bone lesions, hypercalcemia, renal failure, and acquired immune abnormalities. Clinical Features. The clinical features of multiple myeloma stem from (1) the effects of plasma cell growth in tissues, paicularly the bones (2) the production of exc... | Pathology | FMGE 2019 |
3141aace-abf3-4584-9881-498b0ae1b400 | "Gold standard" study for diagnosis of pulmonary embolic episode is: | Ventilation perfusion scan | Pulmonary angiography | Chest x-ray | Multi slice CT | 1b | single | Ans. B. Pulmonary angiographyAlthough pulmonary angiography is supposed to be the definitive and gold standard means of diagnosing PULMONARY EMBOLISM with the decreasing availability of pulmonary arteriography and increasing use of other non-invasive tests like spiral CT, the exact role of pulmonary arteriography is no... | Radiology | Respiratory System |
745a0b8a-1943-4076-8ec0-7494f0bf7666 | Tryptophan is | Glucogenic | Ketogenic | Both glucogenic & ketogenic | None | 2c | multi | During metabolism Tryptophan, pa of carbon skeleton enters ketogenic pathway and rest glucogenic pathway. Alanine is glucogenic and Acetoacetyl CoA is ketogenic. | Biochemistry | Metabolism of protein and amino acid |
2e5b6018-c5f4-44d9-aa1f-fc73ee0696d6 | A 3–month old male child with normal genitalia presents to the emergency department with severe dehydration, hyperkalemia and hyponatremia. The measurement blood levels of which of the following will be helpful? | 17–hydroxy progesterone | Renin | Cortisol | Aldosterone | 0a | single | This is a case of congenital adrenal hyperplasia due to deficiency of 21 - hydroxylase deficiency.
Because of the enzyme block ,there is increased formation of 17- hydroxyprogesterone, which is then shunted into the production of testosterone.
Levels of cortisol and aldosterone are reduced. | Pediatrics | null |
e530722d-fd21-4026-8be6-d9fd20cabc84 | Refeeding Syndrome - Lab values to be monitored are all except | Calcium | Magnesium | Phosphate | Ammonium | 3d | multi | Ans. (d) AmmoniumRef: Bailey and Love 27th edition Page 288, Surgery Sixer 3rd Edition Page 6Refeeding Syndrome* Characterized by severe fluid and electrolyte shifts in malnourished patients undergoing refeeding.* It can occur with Enteral and Parenteral nutrition (MC with TPN)* Lab values: Hypophosphatemia, Hypocalcem... | Surgery | Fluid & Electrolyte |
b65ca73f-bca9-45cc-9cb3-6a9934924ccb | Mucormycosis of paranasal sinus is most common in | HIV | Diabetes | Those on immuno suppressants | Post surgical | 1b | single | MUCORMYCOSIS: Caused by - rhizopus , rhizomucor , cunninghamella Moulds with non septate hyphae The higher prevalence of mucormycosis in India turned out to be statistically significant (p < 0.0001) in comparison with all other countries Predisposing factors - Organ transplant recipients - Long term desferroxamine ther... | ENT | null |
b0ea28b6-46e2-47dd-8bf5-7aa4091d565e | Spironolactone is most useful in _________ syndrome: | Zollinger-Ellison | Conn's syndrome | Cushing syndrome | Acromegaly | 1b | single | null | Medicine | null |
afc45b91-f055-4779-8c39-27391adec243 | Which of the following supplies the pineal gland? | Posterior choroidal aeries | Tuberothalamic | Recurrent aery of Heubner | Lenticulostriate aery | 0a | single | Pineal gland is present posterior to midbrain so if tumor is in pineal gland ,it may l/t dorsal mid brain syndrome as it would press on the midbrain from behind. * MCA(Middle Cerebral Aery) not a pa of Circle of Willis * PCA (Posterior Cerebral Aery) P1,P2 and 10-11 Post choroidal aeries P1 supplies- Midbrain P2 suppli... | Medicine | Raised ICP and Brain death |
7174ef25-4244-496c-8a1e-5f9f21f6d9fd | A 54-year-old man is admitted to the hospital due to severe headaches. A CT examination reveals an internal carotid artery aneurysm inside the cavernous sinus. Which of the following nerves would be typically affected first? | Abducens nerve | Oculomotor nerve | Ophthalmic nerve | Maxillary nerve | 0a | multi | The abducens nerve would be affected first due to aneurysmal dilation of the internal carotid artery (ICA) because the nerve runs in closest proximity to the artery within the cavernous sinus. The other nerves running in the wall of the cavernous sinus are the oculomotor nerve, trochlear nerve, and both the maxillary a... | Anatomy | Head & Neck |
b0941911-2f3b-4e96-9e75-3adfb1156dc2 | Coenzyme required for tissue respiration is | Coenzyme Q | Coenzyme A | NADP | Cobamide | 0a | single | Coenzyme Q (CoQ) is a quinone derivative with a long, hydrophobic isoprenoid tail. It is also called ubiquinone because it is ubiquitous in biologic systems. CoQ is a mobile carrier and can accept hydrogen atoms both from FMNH2, produced on NADH dehydrogenase (Complex I) and from FADH2, produced on succinate dehydrogen... | Biochemistry | Respiratory chain |
bc5c2bc1-45c2-4757-abfe-59516ddff076 | Cause of death in Carcinoma penis is usually - | Metastasis to lung | Metastasis to liver | Erosion of Femoral blood vessels | Urinary obstruction | 2c | multi | Inguinal lymph nodes erode the skin of the groin and the death of the patient may be due to involvement of the femoral or external iliac artery with torrential hemorrhage. | Surgery | null |
91aef141-0a3a-4edc-bcbb-831ddb28bf27 | All are true about levamisole EXCEPT: | Act as an immunostimulator | Act as an immunodepressor in high doses | Single dose is sufficient for the treatment of psoriasis | Acts antihelminthic by causing depolarization | 2c | multi | Levamisole- Active against many nematodes, but use is restricted to ascariasis and ancylostomiasis because the action on other worms is poor. The ganglia in worms are stimulated causing tonic paralysis and expulsion of live worms. Interference with carbohydrate metabolism (inhibition of fumarate reductase)may also cont... | Pharmacology | Immunomodulators |
cf5c8cac-b077-4d10-b662-2940279ea4ad | In patients with osteoahritis of knee joint, atrophy occurs most commonly in which muscle : | >Qudriceps only | >Hamstrings only | >Both (a) and (b) | >Gastrocnemius | 0a | multi | Quadriceps only Met Maheshwari 3/e, p 253;Apley's 8/e, p 472] In osteoahritis of knee joint, the quadriceps muscle is usually wasted. | Surgery | null |
139b56c6-0426-4e38-a5ec-adb5db133743 | All of the following are pyrogenic cytokines, Except- | Interleuken 18 (IL-18) | Interleuken 6 (IL-6) | Tumor Necrosis Factor (TNF) | Interferon a (IFN-a) | 0a | multi | Ans. is 'a' i.e., Interleukin 18 (IL-18) Interleukin 18 is not a pyrogenic cytokine. | Pathology | null |
90249ff6-3e92-4577-bf75-2e6aab78f48b | All of the following are known causes of recurrent aboion, except: | TORCH infections | SLE | Rh incompatibility | Syphilis | 0a | multi | SLE is associated with antiphospholipid syndrome (anti cardiolipin antibodies) and is known to cause recurrent aboions. RH incompatibility is a known cause for spontaneous aboion and may lead to recurrent aboions if it remains unrecognized. Syphilis has also lead to recurrent aboion. TORCH is thus the single best answe... | Gynaecology & Obstetrics | null |
9ac5f543-88c9-4060-829d-b0f9c1012817 | Pontaic, fever is caused by - | Legionella | Listeria | Scrub typhus | Leptospira | 0a | single | Ans. is 'a' i.e., Legionella | Microbiology | null |
f5a7bf26-0527-4fb8-a48b-8d715ee2c967 | A patient presents with fever, cough with sputum and weight loss. He has a history of not completing treatment for tuberculosis thrice in the past. XDR-TB is suspected. How is XDR-Tb defined? | Resistant to INH + Rifampicin + Amikacin | Resistant to INH + Amikacin + Ofloxacin + Ethambutol | Resistant to INH + Rifampicin + Amikacin + Ofloxacin | Resistant to Rifampicin + Amikacin+ Ofloxacin | 2c | single | XDR-TB (Extensively drug-resistant TB) is defined as MDR TB (Resistant to rifampicin and isoniazid) + Resistant to one fluoroquinolone (eg. ofloxacin) + resistance to one injectable second line drug (Amikacin or kanamycin or capreomycin). Reference: Ananthanarayan and Paniker&;s Textbook of Microbiology Tenth edition | Microbiology | Bacteriology |
bfdf4cf8-7ed4-44d6-86ae-aa909a3e25eb | False about acute aluminium phosphate poisoning: | Subendocardial infarct | Produce phosphine gas | Inhibit mitochondrial cytochrome oxidase | Oesophageal stricture | 3d | multi | D i.e. Oesophageal stricture Aluminium (zinc) phosphide or celphos poisoning liberates phosphine gas which inhibits mitochondrial cytochrome oxidase, respiratory chain enzymes and electron transpo systemQ. It is a systemic poison and kills most of patients with in 24 hours secondry to cardiovascular collapse d/t direct... | Forensic Medicine | null |
e716deb5-93cf-42d2-a97d-be2afebf4f64 | The vertical fracture of root seen with gutta percha obturation is due to: | The vertical compression of warm GP points | Lateral condensation of GP points | Use of spreader | Injection molding technique | 0a | single | null | Dental | null |
ae34c60a-0334-4183-9d3d-e68fe9fe6bb0 | Alzheimers disease, true is all except - | Anterograde amnesia | Dysdiadochokinesia | Receptive aphasia | Recognition of familiar faces is absent | 1b | multi | null | Medicine | null |
08da0a28-d8b8-438a-8842-708528ebacc0 | Injury occurs at C7 root, in what pa of arm, sensation will be lost ? | Upper medial | Lower medial | Posterior | None of the above | 3d | multi | Ans. is 'd' i.e., None of the above | Anatomy | null |
c5e6adb2-792a-47e5-a514-bf0f6162785f | A child having delayed separaion of umbilical cord with leukocytosis with Downs syndrome and recurrent infections. Diagnosis ? | Leucocyte Adhesion deficiency | Neonatal sepsis | Histiocytosis-X | All of above | 0a | multi | Leukocyte adhesion deficiency (LAD) is a rare primary immunodeficiency. The clinical picture is characterized by marked leukocytosis and localized bacterial infections that are difficult to detect until they have progressed to an extensive level secondary to lack of leukocyte recruitment at the site of infection. Thus ... | Pediatrics | Genetic and genetic disorders |
c4d2eb68-49ae-4504-9d19-c60c9e46472f | False regarding Cytochrome P 450 is ? | They are essential for the production of cholesterols, steroids, prostacyclins and thromboxane A2 | They absorb light with 45nm wavelength | They occur predominantly in liver | They are non heme proteins | 3d | multi | Ans. is d i.e., They are non heme proteins CYTOCHROME P450 They CYP450 are essential for the production of cholesterols, steroids, prostacyclins and thromboxane A2. They are also essential for the metabolism of foreign chemicals and detoxification of drugs. CYP 450 enzymes are so named because they are bound to membran... | Pharmacology | null |
598bcc45-6061-4552-9a61-5fc003255aa6 | The mode of inheritance of Incontinentia pigmenti is - | Autosomal dominant | Autosomal recessive | X-linked dominant | X-linked recessive | 2c | single | Ans- C X-linked dominant | Skin | Autoimmune Skin Disorders |
bbbd4c9a-a388-4111-8a1f-f30c2a9b90b7 | Ramu, presents with recurrent attacks of cholelithiasis, U/S examination shows a dilated CBD of 1 cm. The next line of management is ? | ERCP | PTC | Cholecystostomy | Intravenous cholangiogram | 0a | single | Ans. is A ie. ERCP The first inv. for any pt. with cholelithiasis or jaundice is U/S. Next inv. depends on U/S findings, If the intrahepatic ducts are dilated without any extrahepatic dilatation then the preferred inv. is ----> PTC* If the dilatation is in CBD ---> ERCP*. ERCP may provide direct diagnosis of the distal... | Surgery | null |
5a3bf5e9-5210-4a40-87e2-60bcbe1a2e2d | A 50 year old male patient came with the complaint of palpitations. Examination of pulse revealed irregular heabeat and advised ECG recording. Spread of cardiac impulse is fastest in which of the following structure | SA node | AV node | Bundle of His | Purkinje fibre | 3d | single | Conduction speed in cardiac tissue: Tissue Conduction Rate SA node 0.05 Atrial pathways 1 AV node 0.05 Bundle of His 1 Purkinje system 4 Ventricular muscle 1 Purkinje fibers also have the ability of firing at a rate of 15-40 beats per minute if upstream conduction or pacemaking ability is compromised. In contrast, the ... | Physiology | Cardiovascular system |
17ca54f6-b5fe-42da-8454-8cd4b093151f | Golgi tendon apparatus conveys message to CNS, depends upon: | Tension in muscle | Length of muscle | Rapidity of contraction | Blood supply | 0a | single | Golgi tendon organs are in series with the muscle fibers, they are stimulated by both passive stretch and active contraction of the muscle, when tension increases inside muscle. | Physiology | null |
4c5bd805-c9a7-4d37-8220-514de5b2293c | Best stimuli for secretin is- | Protein | Acid | Fat | Bile | 1b | single | B i.e. Acid | Physiology | null |
75b6a53f-ad40-42f8-a090-e829166a4807 | Drugs used in congestive hea failure are All except | Nesiritide | Digoxin | Spiranolactone | Adrenaline | 3d | multi | As a medication, adrenaline is used to treat a number of conditions including anaphylaxis, cardiac arrest, and superficial bleeding. Inhaled adrenaline may be used to improve the symptoms of croup. It may also be used for asthma when other treatments are not effective. It is given intravenously, by injection into a mus... | Pharmacology | Cardiovascular system |
fabfb7b9-67d8-41b5-962d-8c5a453408f4 | All are transmitted by blood except - | Parvovirus B-19 | Hepatitis G | Epstein Bar virus | Cytomegalovirus | 2c | multi | Ans-CEpstein Barr Virus??? Viruses associated with blood transfusion:Hepatitis C virus:Hepatitis G virus:Hepatitis B virusHIV type IHTLV Type ICytomegalovirusParvovirus B-19HGVA recently discovered and identified non A-E hepatitis virus has been designated the name Hepatitis G virus (HGV) which is a member of Flaviviri... | Unknown | null |
a5686bd1-7bae-432c-ab49-7fdb6b5dd353 | An adult patient presents with leg pain. On examination there is gangrene of his toe. What would be the ankle to brachial aerial pressure ratio in this patient ? | 1 | 0.3 | 0.5 | 0.8 | 1b | single | Since this patient has developed gangrene of the toe ankle to brachial presure ratio should be less than 0.3. Ratio of ankle to brachial systolic pressure (ankle brachial index) is obtained to determine the presence and magnitude of occlusive disease. The ankle brachial index of 0.9 - 1.0 indicates normalcy or minimal ... | Surgery | null |
ec880431-82ce-4ae4-872d-5eb8081d2d2d | The infection that is spreading to the newborn by caregivers? | Candida albicans | Candia galbrata | Candida parapsilosis | Candida tropicans | 2c | single | Ans is (c) i.e Candida Paraspilosis Ref Clin MicroHol Rev. Oct 2008: 21(4): 606-625 Candida parapsilosis is an emerging major human pathogen that has dramatically increased in significance and prevalence over the past 2 decades, such that C. parapsilosis is now the second leading causes of invasive candidal disease. In... | Microbiology | null |
a694ce66-4884-4fdd-9534-e488006ea631 | Hepatotoxic drugs are | Chloroform | Halothane | Both are above | None | 2c | multi | Refer KDT 6/e p372 Massive liver necrosis following Halothane anaesthesia is seen in some cases If chloroform cos given for long period liver damage occurs | Pharmacology | Anesthesia |
730e3927-c77f-4357-88f3-1ce4f87307fb | Which of the following statement is false regarding phenobarbitone: September 2011 | Act primarily at the GABA: BZD receptor-Chloride ion channel complex | Crosses placenta | May precipitate porphyria | No significant interaction with warfarin | 3d | multi | Ans. D: N significant interaction with warfarin Barbiturates stimulates hepatic microsomal catabolism of warfarin Phenobarbital/ Phenobarbitone It is a barbiturate It is the most widely used anticonvulsant worldwide, and the oldest still commonly used. The World Health Organization recommends its use as first-line for ... | Pharmacology | null |
9d5ec875-763a-40b9-bb80-84ecebf800b1 | Optic tract fibers project to the superior colliculi for | Reflex gazes | Light reflex | Generation of circadian rhythms | Veical nystagmus | 0a | single | Optic tract fibers project to the superior colliculi for reflex gazesPretectal area for the light reflexSuprachiasmatic nucleus of the anterior hypothalamus for generation of circadian rhythms | Microbiology | All India exam |
6e79c796-606a-4897-befe-e25bcd260b93 | Traid of Bulgar urethral injury includes all except | Perimeal hematoma | Blood at external urethral meatus | Acute retention of urine | Pelvic hematoma | 3d | multi | Pelvic hematoma occurs in membranous urethral injury not bulbar urethral injury. | Surgery | null |
4271fa97-23ea-418a-a877-51c7a213b1b7 | Which of the following deals with section 377, I.P.C? | Unnatural sex offences | Rape | Incest | Adultery | 0a | single | Voluntary sexual intercourse against the order of nature with any man, woman, or animal is an unnatural sexual offence (Section 377 I.P.C). Penetration is sufficient to constitute the offence. These offences are punishable with imprisonment for life or upto ten years and also with fine. Ref: The Essentials of Forensic ... | Forensic Medicine | null |
bcb88621-6e51-495d-b7ee-3b5decc1fd7e | A 60-year man had undergone cardiac bypass surgery 2 days back. Now he staed forgetting things and was not able to recall names and phone numbers of his relatives. What is the probable diagnosis? | Depression | Post-traumatic psychosis | Cognitive dysfunction | Alzheimer's disease | 2c | multi | The history of cardiac surgery 2 days prior followed by behavioral changes is suggestive of delirium. The question here is stressing on "disturbances of memory" which can be seen in delirium, however are usually restricted to sho term memory loss. The other impoant features such as clouding of consciousness and attenti... | Psychiatry | Organic Mental Disorders |
2646edf5-8673-4dbe-b0bf-4cdf36be73ff | Striatum damage affects priming | Procedural memory | Sho term memory | Long term memory | Explicit memory | 0a | single | Implicit memory is subdivided into 4 types. Procedural memory includes skills and habits, which one acquired become unconscious and automatic. Priming is facilitation of recognition of words or objects by prior exposure to them. Ganong&;s review of medical physiology; 23rd edition; pg: 290 | Physiology | Nervous system |
18843a5c-d0aa-4479-be20-b31105595dc0 | In facial palsy, food accumulated in the mouth due to paralysis of | Masseter | Temporalis | Mentalis | Buccinator | 3d | single | (D) Buccinator > The facial nerve contributes to the oropharyngeal phase of deglutition via the buccinator, perioral, digastricus posterior, and stylohyoid muscles. The gustatory and salivatory functions of the facial nerve are also known to contribute to swallowing.> The relation between peripheral facial nerve palsy ... | Medicine | Miscellaneous |
75486946-8808-41b9-b03e-9ed065ccb9d2 | Glycogen phosphorylase coenzyme associated is? | Thiamine pyrophosphate | Tetrahydrofolate | Flavin mononuleotide | Pyridoxal phosphate | 3d | single | ANSWER: (D) Pyridoxal phosphateREF: Lehninger Principles of Biochemistry 4th edition page 562Pyridoxal phosphate is an essential cofactor in the glycogen phosphorylase reaction; itsphosphate group acts as a general acid catalyst, promoting attack by Pi on the glycosidic bond. (This is an unusual role for this cofactor;... | Biochemistry | Glycogen Metabolism and Glycogen Storage |
6decd79e-783c-41f9-92b7-e0b6e1528838 | The minimum number of feeding days in a year recommended, under Mid-day meal programme is | 200 | 250 | 300 | 350 | 1b | single | Recommended norms of 450 Kcal and 12 g protein for a minimum of 200 days Ref : Park 23rd edition Pgno :661 | Social & Preventive Medicine | Health programmes in India |
48e79fac-305f-4e93-bd07-958b7264b734 | Most characteristic eye lesion in diabetes is | Papilledema | Proptosis | Capillary aneurysm | Cataract | 2c | single | Most characteristic - Capillary aneurysm. | Ophthalmology | null |
66e6d1a7-8e54-47b0-83f1-3d42e5503212 | A 24-year-old female complains of suicidal ideation. She lost her family in a car accident earlier this year. Since then, she had problems with focusing on her work. She was laid off from her work as she was making many errors due to false judgment. She was rescued from suicidal attempts a couple of times. She was pres... | Thiopentone | Ketamine | Methohexital | Fentanyl | 2c | multi | Answer: c) MethohexitalMethohexital has minimum interference with therapeutic induction of seizures. Hence, it is the drug of choice for electroconvulsive therapy (ECT).Propofol can be used as an alternative if methohexital is contraindicated.Therapeutic seizures induced by ECT typically last for 15-70s.The steps invol... | Psychiatry | Treatment |
ceea01dd-8ff5-4a6b-8d8b-1b5e800491e2 | 40 yr old with koilonychias, iron deficiency & dysphagia, diagnosis is - | Plummer Vinson syndrome | Achalasia cardia | ZES | None | 0a | multi | Ans. is 'a' i.e., Plummer Vinson syndrome Plummer-Vinson syndromeo Plummer-Vinson syndrome, also known as Brown-Kelly-Paterson syndrome or sederopenic dysphagia, seen in middle aged edentulous women.o The plummer Vinsion Paterson Brown Kelly Syndrome is characterized by: -DysphagiaChronic iron deficiency anemiaAtrophic... | ENT | Oesophagus |
6264db2a-a94d-4806-a0d7-23cba0aeb0f7 | The most common site of perforation in tympanic membrane is | Antero inferior | Postero inferior | Postero superior | Antero superior | 0a | single | Perforations. They may be central, attic or marginal and are associated with chronic otitis media The most common site of Tympanic membrane perforation is antero-inferior quadrant. Ref : Diseases of ENT by Dhingra 6th edition Pgno : 56,71 | ENT | Ear |
b27f4464-a60d-442f-ae18-be672caa02e9 | A carrier who gets infected from another carrier is known as:- | Incubatory carrier | Paradoxical carrier | Convalescent carrier | Pseudo carrier | 1b | single | Paradoxical carrier - A person gets infected from another carrier and himself becomes Carrier. Carriers are of 6 major types: Content carrier - Carrier gets infection from a case Paradoxical carrier - Carrier gets infection from another carrier Chronic carrier - Carrier for duration of more than 6 months Incubatory car... | Social & Preventive Medicine | Other Key Definitions & Concepts |
0d491b97-af0c-41f5-9ff9-caed29402111 | Which is the treatment of choice for CA head of pancreas | Radiotherapy | Chemotherapy+ Radiotherapy | Whipple's Surgery | Resection of the entire pancreas with adjuvant chemotherapy | 2c | single | Answer- C. Whipple's SurgeryWhipples operation (Pancreaticoduodenectomy) is the most commonly performed operation for carcinoma of head of Pancreas. | Surgery | null |
27113652-c797-4f8d-b351-66994a754993 | Kartagener's syndrome increase risk of - | Brochitis | Bronchiolitis | Brochieactasis | Tracheitis | 2c | single | Ans. is 'c' i.e., Bronchieactasis | Pathology | Respiration |
b58e17c9-2829-4884-8708-e7c1b762dc20 | An accused in a case of sodomy is brought for Medical Examination. On detailed questioning, he reveals that he is an active agent and is a regular participant. Which of the following will not be seen during the examination of the accused - | Presence of smegma | Fecal smell | Tear of Frenulum | Relative constriction of shaft of penis | 0a | single | Presence of thick uniform coating of smegma under prepuce and around corona glandis is suggestive of absence of inter course (vaginal or anal) within the last 24 hours since it gets rubbed off during the sexual act.
However, its an unreliable sign with no medicolegal value as its presence or absence depends on personal... | Forensic Medicine | null |
df13d382-364f-440a-82f1-c14fb4f02a4b | 30 yea raid female comes with acute breathelessness, neck vein distension, absent breath sounds and mediastinal shift. Which of the following should be done immediately: (PGI June 2008) | HRCT Ls the investigation of choice | ABG analysis should be done | CXR | Large bore needle puncture of pleura | 3d | single | Ans.: D {Large bore needls puncture of thorax) (Ref Harrison 17th/1660; Oxford Textbook of Surgery'/1932}The young lady from the case history is suffering from tension pneumothorax.The immediate management of such patient should be large bore neelds punctureQ of thorax through second anterior intercostals space to save... | Medicine | Pulmonary Diagnostic Procedures |
ab205150-9ee8-4714-9c4d-a04034af704d | All are true statements about Conversion disorder except | Autonomic nervous system involved | There is primary and secondary gain | La bella indifference is a feature | Patient does not intentionally produce symptoms | 0a | multi | Conversion Disorder Conversion disorder is characterised by the following clinical features: 1. Presence of symptoms or deficits affecting motor or sensory function, suggesting a medical or neurological disorder. 2. Sudden onset. 3. Development of symptoms usually in the presence of a significant psychosocial stressor(... | Psychiatry | Somatoform disorders |
dda71056-4f4e-4390-9441-65fb030682bb | HLA gene for abacavir hypersensitivity is? | B5 | B51 | DQ2 | B57 | 3d | single | Drug allergies are the most significant allergic reactions occurring in HIV-infected patients and appear to become more common as the disease progresses. Anaphylaxis is extremely rare in patients with HIV infection, and patients who have a cutaneous reaction during a single course of therapy can still be considered can... | Medicine | Immune system |
43d4126c-e798-40cb-8380-1bfb87095fe2 | Major Pyrogenic cytokine: | INF alpha | TNF beta | IL-3 | IL-1 | 3d | single | Ans. D. IL-1. (Ref Robbins Basic Pathology 8th/ Table 2-6).IL-1: fever.IL-2: stimulates T cells.IL-3: stimulates bone marrow.IL-4: stimulates IgE production.IL-5: stimulates IgA production.IL-6: stimulates acute-phase protein production.IL-8: recruites Neutrophils. Tumor Necrosis Factor and Interleukin-1# TNF and IL-1 ... | Pathology | Cellular Pathology |
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