Discussion in 'NEET 2013 All india Exam' started by Dr.Hemalatha, Jan 11, 2009.
KARYOTYPIN DONE FOR................CHROMOSOMAL DISORDERS
NEUROFIBROMATOSIS ALL TRUE EXCEPT..................... AUTOSOMAL RECESSIVE
FINGER PRINTS DESTROYED IN.....................LEPROSY
THR WAS SOME QUESTION ABT 1)JUXTAFOVEAL RETINAL TELENGIECTASIA...
COMPLICATIONS OF ECLAMPSIA ARE A/E
2) CEREBRAL HAEMORRHAGE
4)....... THIS WAS D ANSWER....BUT CANT RECOLLECT
DIAGNOSTIC OF INSULINOMA IS.......
1) INSULIN LEVEL.....
2) SOME INSULIN LEVEL VALUE.....dnt remembr
3) C PEPTIDE LEVEL
BUSULFAN CAUSES LUNG FIBROSIS DUE TO........
1) ALVEOLAR DAMAGE........
2)TYPE I PNEUMOCYTE DAMAGE
3)TYPE II PNEUMOCYTE DAMAGE....
pls tell me d answer....
1.which does nt involve oxid red reac?
2)epitheloid granulomas with perifoliicular involvement
2. papulonecrotic nodules
3)in neonate response to acute hypoxia is
4. vent arrythmias
4)sup tibial osteotomy true a/e
1. can correct varus more than 30 degree
2.most common delyed comlication is recurrence of deformity
3.done in cancellous part
5)enterovirus does nt cause
1. aseptic menin gitis
4. haemm fever
6)bleomycin causes pulm toxicity coz
1. affects type 2 cells
2. endothelial damage
3. damages alveolar macrophages
7)substance not fermented by intest bacteria?
8)coag necrosis seen in
3. ?? was it gangrene or wet gangrene???
9)enlarged liver wid pulsations
10)person wid subclinical folate def., foll drugs will ppt folate def all except
renal physio false- 5% of co (as bf through kidney is1250ml/min=25% of co)
chief cells abundent in fundus (picture gvn in harrison)
parietal cell contain plenty of mitochondria(40% of cytoplasm)
intrinsic factor sec by parietal cells
pauciimmune cresentic gn inmicroscopic poly angitis(direct pick frm harrison)
insulinoma dg 72 hr fasting test more diagnostic than insulin levels/c peptide levels(harrison)
angiography used in angiod streak cnv
blast inj >lungs as alveola contain air
opsin + aldehyde of vit a in light stimltn
pain insensitive-?choroid plexus
facilitated diffusion requires carrier protein
central chemoreceptors sensitv to h+ ions
total hip replcmnt ass with ?tromboembolism
sup trombophlebitis mc ass wth iv admstn
strontium promotes bone formtn n retards resorption(repeat)
q fever transmitted by soft ticks ..but nonarthropod transmission (aerosol) is been given weightage n most of de mcq books.. tricky one
vhl not mentioned as a cause for gastric ca
intermitnt claudication pain after walking some distance ie at end of walking
which is not a composite muscle.....two options were really confusing
a) flexor carpi ulnaris
b) f.digitorum suprficialis....as both of it r supplied by only one nerve
DEFECTIVE STRUCTURAL DEVELOPMENT IS CALLED................ MALFORMATION???
E.coli GROWS ON?
THICKENIN OF POSTERIOR LONGITUDINAL LIGAMENT ALL R TRUE EXCEPT??
PARAVERTEBRAL BLOCKS ALL R TRUE EXCEPT??
SMOKIN IS NOT ATTRIBUTED TO?
ANGIOTENSIN II CAUSES A/E?
SLEEP MAINLY REGULATED BY?
SOME QUESTION ABT STERNBERG'S CANAL??
IN ADRENAL ADENOMA ALL R TRUE EXCEPT?
mennorhaggia as a complain not to b given....
smokig doesnt cause which cancer
in stead of liver dere was nasopharynx n it is d answer
ALL R GIVEN FOR MENORRHAGIA EXCEPT??
- 1)TRANEXAEMIC ACID
VAGINAL DELIVERY ALLOWED IN A/E
2)MONOAMNIOTIC MONOCHORIONIC TWINS
3)DICHORIONIC TWINS..1ST CEPHALIC N 2ND BREECH
MODAFENIL IS USED FOR?
2)SWIFT WAKE SLEEP CYCLE..
3)OSTRUTIVE SLEEP APNEA
4)LETHARGY DEPRESSIVE DISORDER
NON PROGRESSIVE CONSTRICTION OF OESOPHAGUS IS?
PSAMMOMA BODY NOT SEEN IN...................ans is FOLLICULAR CA
BREAST FEEDIN ALL TRUE EXCEPT.......................... FEEDIN AFTER 4 HRS IN NORMAL DELIVERY
CHEMOPROPHYLAXIS NOT NEEDED IN ....................... MENINGOCOCCAL MENINGITIS
TACROLIMUS IS NEPHROTOXIC.........................REPEAT QUESTION
ALL R CELL CYCLE NON SPECIFIC EXCEPT.................CARBOPLATIN
VALPROATE CAUSES ALL EXCEPT?
mennorhaggia as a complain not to b given....a)progesterone cyclicallyb)ocp c)ethamsylate d)tranxemic acid
dear q was -
evidence baed drugs 4 menorragia r a/e
ans is -ethamsylate.(source- net)
these are the questions i remember
1)what is intermittent claudication
2)a person was rushed to hospital with blint trauma abdomen,bp 100/80mm hg,pulse 100,after establishing abc,what is ur next step in mgmt
3)thoracic outlet syndrome is diagnosed by
d) xray lateral view (im not sure if this was the choice)
1. Evidence based treatmrnt of mennohragia A/E Ethamsylate
2. ICG Indocyanin green angiography is done for occult CNV
3. Motor cyclists fracture- base of skull div into 2 halves each moving independently
4. paravertebral block spreads in a/e answer : subarachnoid
5. not a composite muscle.....f.digitorum suprficialis
6. sympathetectomy is not indicated in...a)intermittent claudication
7. doc fr complicated f.malaria...a)quinine
8. smokig doesnt cause which cancer- NP Carcinoma
9. restless leg synd-ans is renal failure
10. When light falls ob retina- visual pigment hydrolysis
11. Popliteal Artery is not superficial
12. Pectoralis minor
13. creamy n fishy odour vaginal discharge seen in- G vaginalis
14. a renal Physiology q- all are true except renal blood flow is 5% of cardiac output
15. Trochlear n â€“ ipsilateral sup oblique, longest intracranial n, dorsal n, outside annulus of zinn MILKMANS FRACTURE- pseudofracture
16. BLUNT TRAUMA ABD NOT IN SHOCK VALUES NORMAL.MX- IVF+ Blood sampling
17. . Proteus â€“ans. triple phosphate renal stone
18. Appetite stimulant a/e â€“ melanocyte stimulating hormone
19. . non invasive diarrhoea a/e â€“, b.cereus
20. . Probability â€“ans 3/5
21. latest WHO scale of disability â€“ ideas
22. Hernia â€“ loop/end colostomy, loop/end ileostomy
23. Anatomical snuff box â€“ radial a
24. Foreign body sensation in the eye, arthritis â€“reactive
25. Immediately after eating dyspneoa, cyanosis- Anaohylaxis
26. c1 def
27. Lupus anticoagulant â€“ increase in aPTT only, abortion in pregnant females, can occur without other signs of lupus , cause life threatening bleeding
28. Punched out lesion in skull â€“ nxt dx to b done is ca level, or electrophoresis
29. . Least polar â€“ methyl,
30. Nerve entrapment all except â€“ femoral
31. Mammography less sensitive in young women â€“ more glandular
32. Medulla blood supply all except â€“ bulbar, PICA,Basilar artery
33. Vasomotor centre of medulla â€“ only baroreceptor not chemoreceptor
34. Chronic low back pain â€“ pain management, exercise, remove the etiology
35. Pauci immune glomerulonephritis PAN
36. Coombs positive anaemia â€“ sle
37. juxta foveal telangiectasia a/e â€“ variant of coats, macular telangiectasia
38. diabetic retinopathy treatment a/e â€“ seal the tear, remove peripheral retinal layers, vitrectomy, photocoagulation
39. narrow angle glaucoma avoid â€“fluphenazine
40. valproate causes all of these n rest 1 left was da ans â€“ weight gain, alopecia, liver damage
41. uveal effusion a/e â€“ myopia, abnormal scleral structure, scleritis, cilio-choroid can get separated
42. Nitroglycerine adv eff a/e â€“ hypotension and bradycardia , Met hb, fall in PO2
43. neuroblastoma â€“ most common extracranial solid tumour in children, >50% come with mets, lung mets common, invove aorta and branches at early stage.
44. monetary fund given to â€“ schizophrenia or mentel retardation
45. normal curve â€“mean=median
46. frequency distribution â€“ histogram, simple bar , line diagram
47. involvement of sweat gland and hair follicles â€“ lichen scrofulosum, papulonecrotic
48. all are direct cutaneous disease except â€“ reiterâ€™s disease
49. scarring alopecia â€“ lichen planus
50. adrenal adenoma benign features a/e â€“ hypoechoic on non contrast ct, contrast appears early and washes out late, regular border microcalcification, oncocytoma
51. casper dictum â€“ time since dth
52. . stellate wound â€“ contact wound
53. pedestrian with multiple abrasions â€“ tert impact. or secondary
para 3+0,CIN 3 in one quadrant on pap smear, what is the management â€“ hysterectomy
55. thyroid papillary ca 2cm â€“ near total with rnd or modified rnd
56. . follicular adenoma vs carcinoma, vascular invasion
57. sertoli cells â€“ spermiogenesis, meiosis, testosterone
58. obstructive azoospermia â€“ fsh and lh nrml
59. SEPS â€“ veins
60. commonest organ to be injured in bomb blast â€“ lung
61. causes pf hypercoagulability a/e â€“ paraproteinemia. ?
62. features of pnh a/e massive splenomegaly
63. cannot be defined in operational terms â€“objective
64. . cannot be defined in operational terms â€“objective
65. leptospirosis a/e â€“ treatment of choice iv penicillin g, 10-15% mortality, rat urine
66. . all true except â€“ tetanus dust droplets
67. all true â€“ hypochlorite virucidal, glutaraldehyde sporicidal, phenol require organic material
68. precocious puberty boy 5years with pubic hair, bp 120/90 â€“ 17 a hydroxylase, 11 OH lase
69. positive urinary anion gap a/eâ€“ diarrhea
70. water sample estimation a/e â€“ clostridium recent contamination
71. nutritional survey a/e â€“ 1 to 4 year mortality /??
72. . q fever vector â€“ aerosol
73. . crude birth rate a/e â€“ still born excl???
74. . imci includes all â€“ malaria, resp infections, diarrhea TB
75. ductal carcinoma in situ investigation â€“ mammography
76. . calcification of post spinal ligament a/e â€“ begins from thoracic level??
77. neural tube closes from â€“ cervical or cephalic
78. chronic renal failure patient with hyperkalemia immediate treatment glucose with insulin , calcium gluconate
79. adipose tissue.. provides energy at rest, starvation
80. . lipoprotein lipase a/e â€“ adipocytes, myocytes, does not need CII as cofactor
81. child bites his fingers â€“ hgprtase def
82. after cutting with restriction enzymes segments joined by â€“ dna ligase
83. . colon carcinoma a/e â€“ mismatch repair APC B Catenin K ras
84. GB comet tail artefact â€“ adenomyomatosis
85. aedes mosquito a/e - constant bite virus takes 7-8 days to develop???
86. dengue hmgic fever a/e â€“ reinfection with diff serotype
87. hiv maximum propensity for transmission â€“ Blood transfusion
88. hiv enters â€“ cd4
89. GIST which is increased max â€“ cd 117
90. pancreatic transplant with bladder catheter â€“ urine amylase, blood amylase, blood glucose
91. 29 yrs with diabetes, no ketonuria, father does not have DM MODY DM1 DM 2
92. RCC a/e â€“ cushings
93. angiotensin a/e â€“ vasodilatation
94. myocardium reversible ischaemia â€“ thallium
95. maltese cross â€“ blastomycosis, penicillium, candida cryptococcosis aspergillus
Urogenital diaphragm contains
96. a/e â€“ bulbourethral gland, urethral sphincter, root of penis
97. aortic aneurysm rupture â€“ posterior anterior
[snip]. . m.c. site of subclavian artery constriction â€“ 1st part
99. arteriovenous shunt a/e â€“ not under the control of ANS, all the organs have shunt vessels
100. mifepristone used in â€“ ectopic pregnancy, molar preg, threatened abortion
101. lactating female best contraceptive â€“ barrier method
102. laproscopic sterilisation not done in â€“ heart disease, hiatus hernia obesity...............
103. incontinenti pigmenti a/e unilateral; 100 % ???
104. neurofibromatosis a/e â€“ autosomal recessive
105. tuberous sclerosis triad a/eâ€“ rhabdomyosarcoma mr ???
106. . the following species of borrelia cause endemic relapsing fever except â€“ ????
107. pancreatic carcinoma a/e â€“ 75% associated with p53 mutatn, stage 3 ds has 6 mnth survival, 5 yr survival
108. gold standard test to diagnose insulinoma is fast up to 72 h with serum glucose, C-peptide, and insulin measurements every 4â€“8 h.
109. a 9 year old girl posted for tonsillectomy, massive haemorrhage with prolonged aPTT and normal PT â€“ factor 9 def 5 def
110. simple random sampling â€“ everyone has equal chance of being picked
111. . incidence rate can be calculated from â€“ prospective studies
112. all are analytical studies except â€“ field trials, ecological st
113. baby clinic a/e â€“ bafter normal delivery breast feed within 4 hrs
114. target strategy in aids a/e â€“ treatment of STD???â€™
115. chemoprophylaxis done for all except typhoid
116. vaccine with highest efficacy â€“tetanus
117. the following vaccine when contaminated causes toxic shock syndrome â€“ measles vaccine
118. the following contractions of esophagus are stationary â€“ primary, secondary, tertiary, quarternary
119. late expanding phase of population â€“ birth rate stationary death rate falling, birth rate lower than death rate, falling death rates with low birth rate
120. fish odour from vaginal discharge â€“ gardenella vaginalis
121. the following joint has least chances for recurrent dislocation â€“ ankle
122. hemochromatosis a/e â€“ phlebotomy is not useful, common in females, complete penetrance. Genetically heterogenous
123. a young female had following lab values mcv 70, hb 10 mg%, serum iron 60, serum ferritin 100, the diagnosis is â€“ iron deficiency anaemia
124. facilitated diffusion is â€“ requires carrier
125. . oxygen demand of heart â€“ increases in a constant proportion with heart rate????
126. pulsatile large liver is seen in â€“ tricuspid regurgitation
127. systolic thrill in left 2nd or 3rd intercostal space is seen in a/e â€“ pulmonry stenosis ebsteins snomaly
128. . a down syndrome patient is posted for surgery, the necessary pre-op investigation to be done is â€“ usg echo
129. zenkers diverticulum true statement is â€“ barium xray lateral view
130. . all are the uses of lithium except â€“ major depression anxiety vascular headache
131. a female child was brought with complaint of generalised swelling of her body. She was passing fatty cast in her urine. No haematuria. The true statement is â€“ no IgG or C3 deposition seen on renal biopsy
132. . von hippel landau syndrome consists of a/e â€“ gastric cancer cerebellar ocular hemangioblastoma
133. . finnish type of nephrotic syndrome is due to mutation in â€“ nephrin
134. renal polycystic disease in children all are true except â€“ autosomal dominant
135. splicing is brought about by â€“ sn RNA
136. superior middle alveolar artery is a branch of â€“ palatine br of maxiilary
137. splenic artery gives all the following branches except â€“ rt gastro epiploic
138. chemotherapy is given to all the following cancers except â€“ (various stages of different cancers were in the options) t2 n1 mo ...... t1 no mo glottic ca may be the answer
139. triple assessment of breast dis includes
140. necrotising fasciitis a/e â€“ due to group b haemolytic streptococcus, debridement is mandatory, involves trunk and lower limbs
141. . the following cephalosporin doesnâ€™t need dose modifications depending on gfr values â€“ cefoperazone
142. tacrolimus side effect â€“ nephrotoxicity
143. hand foot and mouth syndrome â€“ capecitabine
144. amifostine radioprotective in a/e CNS â€“ skin
145. small cell lung cancer true statement â€“ it is chemosensitive
146. ifosphamide is â€“ an alkylating agent
147. Coagulative necrosis in TB
148. . reduces bone resorption and increases bone formation â€“ strontium
149. the nephrotoxicity of tacrolimus is increased by a/e â€“ rifampicin
150. hepatitis C true statement is â€“ most common with liver transplantation
151. parvo virus B 19 false statement is â€“ can cross the placenta in only <10% case DNa virus??/
152. all cause traumatic asphyxia except â€“ accidental strangulation. Railway accidents???
153. true statement of RDA
154. cyanosis does not occur in anaemia because â€“ certain amount of reduced hb has to be present
155. . 2,3 disphosphoglycerate not increased in - inosine, hypoxanthine
156. . hb dissociation curve is sigmoid because â€“ binding of oxygen to one molecule of hb increases the affinity of other oxygen molecules
157. modafinil used in â€“ narcolp
158. best non surgical treatment of stress incontinence â€“ electrical stimulation pelvic exercise????
159. carpal tunnel syndrome caused by a/e acromegalyor diabetes amyloidosis
160. . a lady with temporal field defects, galactorrhoea, most common cause â€“ pituitary macroadenoma
161. sleep controlled by â€“ hypothalamus thalamus??/
162. juvenile arthritis all are present except â€“ rheumatoid nodules
163. . bleomycin â€“ reduces type 2 pneumocyte???
164. hepatomegaly is caused by all except â€“ hepatocyte porphyria??
165. cancer larynx â€“ HPV 6 more virulent
166. limb defects with scarring of skin in new born â€“ varicella virus herpes
167. mitomycin C used in â€“ strg webr endoscopic tr of angiofibroma
168. cell cycle specific antineoplastic drug â€“ vinblastine
169. treatment of 35 mnth pregnancy are a/e â€“ high dose methotrexate,â€¦.
170. . in subclinical folic acid deficiency the following drug will NOT bring about vitamin B 12 deficiency ? chloroquine
171. the following drug can be given safe in pregnancy - propylthiouracil
172. icd 10 includes all except â€“ lack of exercise, alcoholism, poisoning, unhealthy food. ??
173. cheif cells are found in â€“ neck, pit, fundus ?
174. risk factor 4 GB Ca a/e â€“ stones ???
175. spastic paraplegia caused by all except â€“ motor neuron disease, vit B 12 def .lead neuropathy................
176. all are true about eaton lambert syndrome except â€“ positive tensilon test. Glucocorticoids
177. pain sensitive structures â€“,choroid
178. cystic fibrosis all are true except â€“ defect in calcium channel
179. girl with abnormal sweat chloride test, next diagnostic test â€“ transnasal potential difference
180. Rheumatoid factor will give false negative tests with â€“ coombs test
181. abrasions can be confused with â€“ant bite
182. newborn with hydrocephalous â€“ toxoplasmosis
183. Disease which permanently alters finger print â€“ leprosy
184. vaginal delivery allowed in all except - monochorionic monoamniotic
185. dysgerminoma marker â€“ LDH
186. Rate of mineralisation of newly formed osteoid â€“ fluro.....Alizarin von kossa....
187. sympathectomy done in all except â€“ int mitten claudi
188. 190. intermittent claudication the pain is on takn last step only on exercise
189. severe chronic limb ischaemia true is â€“ rest pain ulcer ?//
190. best graft for surgery below inguinal is â€“ sapheous
191. superior gluteal nerve supplies all except â€“ gluteus maximus
192. carotid artery emboli and CRVO are differentiated by â€“ raised retinal artery pressure??
193. intrinsic factor secreted by - parietal cells
194. priviliged converstaion is between â€“ doctor notified dis
195. myodesis is c/i in ischemia children
196. which factor is specifically a part of intrinsic clotting pathway â€“ 9 12?
197. Seen in acute inflammation classically â€“ vasodilatation with leakage
198. 45 year old male had a chest pain. he died after 4 days. on postmortem intramural coagulation was found. this is â€“ neutrophils collagen scar?
199. mammography can detect all except â€“ adenosis ???
200. Athletes pubalgia is...hamstrings?/
201. SIRS includes all except thrombocytopenia leukocytosis
202. substance not fermented in human colonâ€“ cellulose starch
203. Hb S differs in â€“ stability function
204. all are true regarding Hb S except â€“ glutamine replaced by valine, heterozygotes are protected against malaria,
205. Standing to sitting change in - increased venous return to heart
206. . Actyl Co A can't directly form â€“ Glucose
207. 100 KD on SDS-PAGE, then second trial s-s
2x(20KD + 30KD)
208. Wilm's Tumor - National Wilm tumor staging system orthe b option?
209. . Action potential starts in the initial segment of axon because â€“ more ion channels lowest threshold??
210. regulatory mechanisms by all except â€“ g coupld ??
211. regarding lac operon, CAP is â€“ positive regulator or negative
212. E157:O7 culture â€“ XLD or sorbitol maconkey
213. not a cause of primary amenorrhoea - Sheehan
214. Chlamydia infection of the eyes, true statement a/e â€“ mostly asymptomoatic??
215. Salmonella non typhi â€“
216. edema â€“ C 1 esterase deficiency
217. hyperaldosteronism a/e â€“ metabolic acidosis
218. HepB infected neonate - both Vaccine and Immunoglobin
219. Hashimoto's thyroiditis true a/e â€“ follicular destruction, increase in lymphocytes orphan annie nucleus..............
220. pressure - Aorta elasticity
221. Joint aspiration in acute gout shows - monosodium urate crystals
222. neonate change seen Bradycardia229. heat rupture â€“ rbc rupture
223. +ve jugulo hepatic reflex Which won't be present increased PCWP??
224. Extensive abrasion in pedestrian secondary injury
225. parotid pathway all exceptâ€“,Greater petrosal
226. sodium bicarbonate given to local Anaesthesia â€“ quick and longer action
227. which prevents colon cancer â€“ high fibre diet,
228. Entero Virus won't cause haemorrhagic fever
229. meningitis leads to labyrinth through â€“ vestibular aqueduct ???
230. cardiac disease predictor â€“ Lp a
231. Benign HTN - hyaline aterioscelerosis
232. micro RNA â€“ Splicing??
233. temporal arteritis all â€“ can cause sudden blindness, elderly, females more than males
234. LDH increased in vitreous in â€“ retinoblastoma
235. intestinal absorption test â€“ xylulose
236. lambda phage
237. mc cause of superficial thrombophlebitis -i.v. line
238. pseudoclaudication - cauda equina syndrome
239. stellate ganglion block causes all except â€“ bradycardia horners
240. Streptococcus pyogenes a/e plasmid mediated streptodornas edna streptokinase
241. lymphoid tissue seen in â€“ sub mucosa lamina propria
242. visual cycle â€“ hydrolysis of pigment
243. high tibial osteotomy a/e 30 degree correctn cancellous bone252. laryngeal pseudo sulci- vocal abuse gerd tb
244. paneth cell â€“ has more zinc , formy
245. pulmonary artery pruning seen in ? PAH
246. Surgical staging of ovarian ca all done except â€“ peritoneal wasing, peritoneal biopsy, mesenteric biopsy, palpation of organs ... ]
247. spongy urethra drainage into which node â€“ deep inguinal Superficial inguinal
248. In which condition is d onset of condition to death the lowest â€“ obstructed labou APH PPH
249. About mesial temporal lobe epilepsy
250. angiogenesis requires a/e â€“ il 8 VEGF
251. weight of average Indian man â€“ 60 kgs
252. synovial fluid characteristics â€“ non newtonian coeff of viscosity secreted by type 1 cells
253. functions of T helper cells are all except â€“ cytotoxic memory B
254. DMPA - 0.3% failure rate
255. tamoxifen side effect a/e ca. in opp brst
256. eclampsia â€“ RF Cereb hrge
257. fatty content in breast is found in a/e â€“ galactocele seborrheic keratosi
258. thoracic outlet syndrome diagnosed by â€“ clinical examination best diagnosis
259. apoptosis which cell organelle responsible â€“ mitochondria
260. the most bactericidal among the following â€“ O2- metabolite basic cationic protein
261. karyotyping used for â€“ chromosomal abnormalities
262. central chemoreceptors are sensitive to â€“ low O2 high pco2
263. blood flow is increased during exe in muscles coz of metabolite
264. ------not true abt xanthogranulomatous disease Tb??/
265. Pasteurella multocida- Animal bite
266. Not hypercoagulable state- DM /?
267. Structure lateral to anterior perforated substance insula?
268. contraceptive of choice in breast feeding condom minipill
269. HIv Cardiac manifestation all except aneurysm tamponade
270. Most imp factor for prognosis of ca colorectal ca- size and type?
271. Acetyl CoA not converted to glucose
272. Acute leukemia and leukocytosis in a child warrants a/e hydration alkalinization immediate chemotherapy allopurinol
273. About HRT all true exc Dermal estrogen has less chance of thromboembolism than oral estrogen ???
274. Necrotizing fascitis a/e always fasciotomy unilateral beta streptococci
275. Paediatric volume status best measured by preload strke vol cardiac output HR
276. Hirsuitism all exc hyperthyroidism
277. Most comm. Cause of death in pt with total hip replacement pneumonia thromboembolism
278. HYpercalcemia in a/e celiac ds
279. Oxidation reduction occurs with a/e hydroperoxidases peroxidases oxygenases
280. STEPS non communicable ds ???
281. Listeria ??? refrigerated food can cause infn is true
282. Congenital defrormity of an organ is malformation
283. Genomic imprinting
284. uveal effusion myopia???
285. Splenic arteryâ€™s br a/e rt gastroepiploic
in cases of obstructed spermatic pathway the levels of fsh and lh
a. both increase
c.lh increases only
d.fsh increases only ANS both normal
Harrison's Self-Assessment and Board Review of Internal Medicine
A 51-year-old woman is diagnosed with Plasmodium falciparum malaria after returning from a safari in Tanzania. Her parasitemia is 6%, hematocrit is 21%, bilirubin is 7.8 mg/dL, and creatinine is 2.7 mg/dL. She is still making 60 mL of urine per hour. She rapidly becomes obtunded. Intensive care is initiated, with frequent creatinine checks, close monitoring for hypoglycemia, infusion of phenobarbital for seizure prevention, mechanical ventilation for airway protection, and exchange transfusion to address her high parasitemia. Which of the following regimens is recommended as first-line treatment for her malarial infection?
B. Intravenous artesunate
C. Intravenous quinine
D. Intravenous quinidine
The answer is B. (Chap. 203)
Artemisinin-containing regimens are now recommended by the World Health Organization as first-line agents for P. falciparum malaria. In severe P. falciparum malaria, IV artesunate reduced mortality by 35% compared to IV quinine. Artemether and artemotil are given IM and are not as effective as artesunate. Although safer and more effective than quinine, artesunate is not available in the United States. In the United States, quinidine or quinine is used as a necessary second choice. Intravenous quinine is as effective as and safer than IV quinidine. Quinine causes fewer arrhythmias and hypotension with infusion than quinidine, but it is often not available in U.S. hospital pharmacies. Chloroquine is only effective for P. vivax and P. ovale infection and P. falciparum infection in certain pockets of the Middle East and Caribbean where resistance has not yet developed. Mefloquine comes only as an oral formulation. It is most commonly employed as a prophylactic agent but is also used for treatment of multidrugresistant
CLOSURE STARTS AT CERVICL REGION....... REF LANGMAN'S 9TH EDITION CHAPTER 19 P.433
With further development, the neural folds continue to elevate, approach each other in themidline, and finally fuse, forming the neural tube (Figs. 19.2 and 19.3). Fusion begins in the cervical region and proceeds in cephalic and caudal directions (Fig. 19.3A). Once fusion is initiated, the open ends of the neural tube form the cranial and caudal neuropores that communicate with the overlying amniotic cavity (Fig. 19.3B). Closure of the cranial neuropore proceeds cranially from the initial closure site in the cervical region (19.3A) and from a site in the forebrain that forms later. This later site proceeds cranially, to close the rostralmost region of the neural tube, and caudally to meet advancing closure fromthe cervical site (19.3B). Final closure of the cranial neuropore occurs at the 18- to 20-somite stage (25th day); closure of the caudal neuropore occurs approximately 2 days later.
AIPGE 2009 All india Exam
a patienet with blunt trauma abdomen, with shock..and some values i forgot, maybe decreaserd Hb%...
1. blood transfusion.
2. iv fluids + blood requisition.
3. Refer to O.T.
4th option i forgot.
The question you are talking about did not mention shock. Hb was 10gm%, BP 100/80 what would you do after initially managing the ventilation? Fourth option was put an airway.
In my and my senior's (Consultant Surgeon) opinion the answer should be iv fluids+take a sample for cross matching (this was the option, not blood requisition) as the ABC of trauma resuscitaion goes, you have already managed the A & B, now it is turn for C (circulation)
boold supply to medulla a/e Basilar..see Saumya Shukla.
synovial fluid in GOUT
a) increase in leucocytes & eosinophils
b) increase in PMN
c) ca. dihy....crystals
d) monosodiumurate MONOHYDRATE crystals
Ans: likely a OR b
Harrison: Synovial fluid anslysis
It is MONOSOD. URATE CRYSTALS ONLY & NOT ANY MONOHYDRATE FORM OF IT
1.c wave of jvp---bulging of av valve in rt atrium
2latest classification of wilms tumour?????
3.some osophagail wave--secondary wave.
4cardinal sign of acute inflamation-a)vasodilatation and stasis
b) migration of neutriphils
5.wrong is -zinc cause pulmonary fibrosis
6.nitroglecerine all r true except- dont remember the option
7.benign nephrosclerosis..hyaline arterioscerosis
8.stretdornase false is---a) break dna b) break thrombi c)produced by group a and c streptococci
9.temporal arteritis false is- produce headach on exposure to light
10.sle true is -increased appt
11.acute inflammation syndrome charecterised by all except--a) increased fever more than 38degree b)thrombocytopenia c)leucocytopenia
12 false positive RA - coomb
13.restless leg syndrome--crf(100% corect)
14.ocular morbidity-refractive error
15.mutation of scd-point mutation
16.angioedema of lip,face--c1 esterase deficiency
18.haemochromatosis true is --t/t phebectomy
19.entero virus cause all except - haemorragic fever
20.hypersensitivity pnemonitis-type 3
gud effort but some answers are inaccurate..is there any reliable source to get all answers??there was a question on jvp..was c wave asked or x wave??
c wave was asked
guess the question on hemachromatosis was all the following are true except
1.phlebotomy is the treatment
3.common in females
the answer here is 3.common in females, as hemachromatosis is common in males (Harrisons)
triple assessment for breast lesions
21.maltase cross -candida
22.triple assesment..examination ,mammography, fnac
hypersenstivity pneumonitis ia a type 4 hs rn.checked frm harrisons.in haemachromatosis the ques was an all are true except type.
hiv related cardiac ds r a/e
ans is c)aneurysm h 1173-74
there was a q on a fish bone in throat while eating ,hypotension ,itching ,pain in throat, sweating,??
b.allery to food
there is no mention abt embolism in harrison so tats the exclusion
CD marker for Gastro Intestinal Stromal Tumours - can it be cd34
Drug 2 impru appitite
Drug givin 2 increse appitite
2MELANOCORTIN(4) RECEPTOR ANTAGONIST[ANS]
3NEUROPEPTIDE Y ANTAGONIST
Maltase cross under polarisd light certainly found in 2 condition
1 nephrotic syn kidney (cmdt)
2 in Babesia infn inside rbc wh isa diagnstic tool 2 dif it frm falci param inf rbc( JAWETS MICRO 581/22 EDI) ,could anybdy giv fungal species asocated, wt reference plese
Regarding GIST CDmarker
these tumors ,95%stain wt antibdy aginst c kit(cd117),&70% stain for cd34,,>specific cd 117&hence d answ
page 826/7 edi big robins
Que regarding STREPTOCOCCUS>hyaluronidase all true except
1 pyrogenic exotoxin A/?C coded by plasmid (ans)
4?? Help me 234 optn
note pyrogenic exotoxin A/C coded by bcteropage gene, wherar exotoxin type B by chromosome
Paraneoplastic syndrm as wt Renal cell car ,A/E
page 1018 /7 ed, big robbins
it mention as Hypertension&nt malignant htn
realmadrid d pt wasnt about seizrs r convulsions.i meant d answer is convulsions.
d ques was
tuberous sclerosis a/e
DULOXITINE,serotonin-norepinephrin uptk bloker ,used in depresn/ac anxity disorder is contra indicated in narow angle glucom since it is mydriatic
Cardiac disease predictor
The fourth option was CRP.Could be the answe16th ed Harrisson page 1432,1433.
Lp(a)......although Lpa have increased CHD risk the levels do not POTENTLY predict risk in population at large
CRP.....as measured by high sensitivity assay can prospectively prdict risk for MI. also correlate with outcome of patients with a/c coronary syndromes....adds to the predictive information from established risk factors......apr like fibrinogen and crp could reflect overall atherosclerotic burdenand/or extravascular inflammation that could potentiate atherosclerosis or its complications.
Also regarding Lady taking spiramycin....
Hydrocephalus is seen in both CMV and Toxoplasmosis.She is taking though irregularly medication for Toxoplasmosis.Cmv is close dd for Toxo.Spiramycin DOC.The lady is totally unprotected against CMV.Cant the answer be CMV.Its just another way of interpreting.Please comment.
About the vocal sulcus
Sulcus vocalis may be congenital or secondary to vocal trauma, infection, degeneration of benign lesions, or surgery. In addition, Bouchayer et al proposed a relationship with ruptured congenital epidermoid cysts and also suggested that the disorder may demonstrate familial patterns.2 Typically, patients with congenital sulci have a lifelong history of disordered voice.
Presence of parallel sulci associated with a mucosal bridge is consistent with ruptured cyst etiology. Surgical causes include overresection of the superficial layer of the lamina propria, resulting in remucosalization over the deficient area and damage to the vocal ligament and deep layers of the lamina propria. Nonsurgical causes include untreated benign lesions, chronic vocal abuse, and repeated intracordal hemorrhage. Microvascular lesions (ie, varices, capillary ectasias) also may result in scarring secondary to hemorrhage and fibrosis.
The bacteria in the colon can't digest
I went for starch as little starch is reaching the colon.. The bateria are not known to possess any amylase... They can act on cellulose to convert it to butyric acid.. Its only partial but it occurs..
This is purely my reasoning.. But i m sure abt the Question.. It was abt colon
Cardiac disease predictor
CRP Could be the answer and a better option than Lp(a).
Is the ref from Park adequate for this medicine Question? I donâ€™t know.
16th ed Harrisson page 1432,1433.
Lp(a)......although Lpa have increased CHD risk the levels do not POTENTLY predict risk in population at large
CRP.....as measured by high sensitivity assay can prospectively predict risk for MI. also correlate with outcome of patients with a/c coronary syndromes....adds to the predictive information from established risk factors......apr like fibrinogen and CRP could reflect overall atherosclerotic burdenand/or extravascular inflammation that could potentiate atherosclerosis or its complications
C-reactive protein: Baseline C-reactive protein (CRP) levels add to the predictive value of lipid parameters in determining the risk of first myocardial infarction in apparently healthy men and women without a history of coronary heart disease. Baseline CRP levels also were found to be predictive of symptomatic peripheral vascular disease in a cohort of healthy men. CRP reflects systemic inflammation, and these results support the hypothesis that chronic inflammation may play a role in the pathogenesis and progression of atherosclerosis. Standardization of the CRP assay is required before this test may be clinically useful, and whether this is a truly modifiable risk factor remains unclear. Some early evidence exists that risk factor modification, particularly the use of aspirin and the hydroxymethylglutaryl coenzyme A (HMG-CoA) reductase inhibitors, may reduce plaque inflammation.
â€¢ Lipoprotein (a): Numerous studies have linked elevated plasma levels of lipoprotein (a), an LDL-like moiety that circulates in the blood attached to apolipoprotein (a), with the development of coronary artery disease. This complex shares structural domains with the fibrinolytic enzyme plasminogen and may render the molecule prothrombotic. The LDL-like moiety is susceptible to oxidation and may be particularly atherogenic. However, the results of prospective studies have been discordant and have not proven the relationship between elevated plasma levels of lipoprotein (a) and coronary artery disease inconclusively. Niacin is known to reduce plasma levels of lipoprotein (a), although whether this truly is a modifiable risk factor remains unclear.
ROBBINS 7th ed PAGE 84.
Elevated serum levels of CRP are now used as a marker for increased risk of MI in patients with coronary artery disease.
CRP may serve as a marker to predict the risk of MI in patients with angina and the risk of new infarcts in patients who recover from infarctsâ€¦â€¦..>3mg/l are associated with highest risk of cardiovascular diseaseâ€¦.<3mg/l moderate risk.
About Lp(a)..epidemological studies show a correlation between increased Lp(a) and coronary and cerebrovascular disease independent of levels of total cholesterol or LDL
HARPER 27TH ED PAGE 591.
CRP is increased in injury infection and inflammationâ€¦ and there is considerable interest in its use as a predictor of certain cardiovascular conditions secondary to atherosclerosis..
* Tuberculids: Tuberculids are symmetric generalized exanthems in the skin of tuberculous patients, possibly resulting from hypersensitivity reactions to tubercle bacillus. Typically, patients with tuberculids are in relatively good health and show (1) positive tuberculin sensitivity, (2) tuberculous involvement (usually inactive) of viscera or lymph nodes, (3) negative staining and culture for pathogenic mycobacteria in affected tissue, and (4) skin lesions that heal with remission or treatment of TB. Originally, these exanthems were believed secondary to mycobacterial "toxins"; however, recent opinion and identification of mycobacterial DNA by PCR amplification reactions in affected tissue suggest that they are manifestations of hematogenous spread of bacilli in patients with tuberculin immunity.
o Erythema induratum (Bazin disease)
+ Erythema induratum is a persistent or recurring condition associated with past or active TB. Inflammatory cutaneous and subcutaneous nodules that may ulcerate and scar occur in the posterior calves of women's legs (<10% of affected patients are men). Preexisting erythrocyanotic circulatory disease may predispose patients to lesions. Cutis marmorata is common, and an increased prevalence is seen during cold weather.
+ Lesions arise in small numbers as tender indurated plaques and nodules that may progress to ulceration and scarring. In early stages, inflammation occurs in venous walls with adventitial thickening and endothelial proliferation. A perivascular inflammatory infiltrate also may be present. Septal panniculitis is present, which may extend into fat lobules. Fat necrosis and foreign-body giant cells occur, and fibrosis and atrophy (Wucher atrophy) replace subcutaneous fat. Tubercle bacilli are not seen, and mycobacterial cultures usually are negative. Erythema induratum often recurs for years.
o Papulonecrotic tuberculid
+ Papulonecrotic tuberculid occurs as a chronic and recurrent symmetric eruption of necrotizing skin papules appearing in clusters and healing with varioliform scars. Tubercle bacilli are difficult to demonstrate, but patients usually have an internal focus of TB and are tuberculin sensitive, and skin lesions resolve after anti-TB therapy. Recent studies detected TB DNA in these lesions using PCR amplification reactions.
+ Lesions appear on the exterior aspects of extremities (knees, elbows, buttocks, lower trunk) in a symmetric distribution, often in clusters. Individual lesions are asymptomatic, small, dusky red papules with a central punctum or crust. Involution is common after 6-8 weeks and leaves pitted scars.
+ Histologically, these lesions show a wedge-shaped necrosis of the upper dermis extending to and involving the epidermis. Epithelioid cells and, infrequently, Langhans giant cells are seen. An obliterative granulomatous vasculitis with fibrin present in vessel walls and lumen is typical.
o Lichen scrofulosorum
+ Lichen scrofulosorum is an eruption of asymptomatic, grouped, closely set, 1-2 mm, perifollicular, lichenoid papules affecting children and young adults with underlying TB. The eruption becomes more extensive for weeks and then slowly regresses for months without scarring. Recurrences are possible. The response to anti-TB drugs is not as remarkable as that seen in other tuberculids.
+ Histologically, tuberculoid granulomas can be seen surrounding hair follicles and sweat ducts. Caseation necrosis usually is absent. No acid-fast bacilli are seen.
Separate names with a comma.