LIST REPEAT Q's.......MAY AIIMS 2009

Discussion in 'AIIMS Nov 2013' started by Guest, May 10, 2009.

  1. Guest

    Guest Guest

    digitalis toxicity ------not in hyperkalemia

    neurofibromatosis not autosomal recessive

    what does not maintain antero post stability of eyeball?
    sup rectus
    sup oblique
    fat

    what is not of adult size at birth
    ossicles
    tympanic cavity
    mastoid antrum
    orbit

    which s given orally
    actinomycin d
    ara c

    sister joseph mary nodule in which ca
    gastric
    pancreatic
    colon

    sphincter of oddi has how many sphincters
    2
    3
    5
    7

    mc complication of coeliac plexus block
    pneumothorax
    retroperitoneal haemorrhage
    hypotension

    methaemoglobinemia by which
    prilocaine
    procaine
    ?
    ?

    which migrates fastest on paper chromatography on methyl cellulose medium

    aspartic acid
    glycine
    lysine
    valine

    translation in eucaryotes all except

    n formyl methionine is first aa to b

    thiamine req by body depends on consumption of
    carbohydrates
    fats
    proteins

    hypersensitivity vasculitis involves
    arterioles
    post capillary venules
    capillaries
    medium sized arteries

    which is not mhc dependant
    something related to t cell activation due to virus
    somethin like dat

    cerebellar ataxia is caused by
    cytosine arabinoside
    bleomycin
    cisplatin
    ans: cytarabine(cytosine arabinoside)

    highest emetic potential is by
    cisplatin
    high dose methotrexate
    high dose ..........
    ?????
    ans: cisplatin

    mhc restriction to antigen presentation is not done for
    1. killing of viruses by cytotoxic cells
    2. killing of bacteria by helper cells
    3. autoimmune diseases
    4. ?????????

    physiological dead space is increased by all except
    1. artificial airway
    2. neck extension
    3. upright position
    4. anticholineesterases
    ans. 1.artificial airway

    harrison gives hypersensitivity vasculitis involves small cutaneous vessels

    false about cephalosporins
    cetazidime s 3rd gen
    cefoxitin is non anti anaerobic
    cefoperazone s anti pseudomonal
    ans 2

    treatment of kawasaki
    ivig

    which s not alkylatin agent
    5 fu

    Autoinfection?
    Giardia
    Cyclospora
    Cryptosporidium
    Ans: Cryptosporidium

    Tu lysis synd,osteosclerotic metastasis,antemortem bruise,bld bank authority given by,granular IgA deposotion,more incised wound on small injury,higher freq on audiometry in,highly emetic cisplatin,neurofibrillary tangles Abeta amyloid

    thalidomide is indicated in all except
    hiv neuropathy

    most cardio stable
    1.ketamine
    2. prppanind(nt propofol)
    3. etomidate
    4. ???????(anyone please)
    hypersentivity vasculitis involve
    ans. post capillary venules

    3 roof of orbit is due to
    1.blow on forehead
    2. blow on lower jaw
    3. fall on back
    4. blow on parietal region

    subcortical dementia occurs in all except
    1. alzheimers
    2. supra nuclear palsy
    3. parkinson's
    4.?????

    tum lysis synd-- no hypercalcaemia
    osteosclerotic----- prostate

    Subcortical dementia occurs in all except:
    Ans Alzheimers

    anterior and posterior stability of eyeball is due to all except
    1. superior rectus
    2. superior oblique
    3. suspensory ligament of eye
    4. orbital fat

    thinnest pat of sclera
    1. equator
    2. limbus
    3. in front of rectus
    4. .... cm behind origin of rectus

    maximum refractive index is for
    1. cornea
    2. anterior part of lens
    3. centroid of lens
    4. posterior part of lens
    ans. centroid

    sum drug by name tenozoline
    1. vasoconstrictor used in rx of gastrooesophageal varices
    2. vasodilator
    3. new contrast medium
    4. osmotic agent .....
  2. shreya.

    shreya. Guest

    best way to dispose hg

    collect safely and reuse
    acidify
    ?
    ?

    Surveillance of NCD Risk Factors (STEPS) for:
    Ans : NCD

    related to prion ds which s not true
    myoclonus in 10% cases

    which s not present in primary sjogrns
    xerostomia
    xeropthalmia
    lymphoma
    ?

    a 7 year old boy with abrupt onset of pain in hp with hip abducted @ externally rotated. all investigations normal except for a high value of esr. wats ur next line of management?
    1. observe
    2. intravenous antibiotics
    3. usg guided aspiration of hip
    4. ?????????

    Nephrocalcinosis?
    Hyperoxaluria
    Bartter's
    Prolonged use of Furosemide
    ARPKD
    Ans: ? ARPKD

    which s safe in myasthenia gravis
    aminoglycosides
    azathioprine
    tetracycline
    phenytoin

    deltoid ligament is not attached to
    1. medial cuneiform
    2. medial malleolus
    3. sustetntaculum tali
    4. spring ligament

    all are dimorphic except
    1.blastomyces dermatitidis
    2. histoplasma
    3. pencillium marneffi
    4. phialopora

    all cause malabsoreption except
    1.ankylosioma
    2. ascaris
    3.strongyloides
    4. capillaria phillipinesis

    a man on return from a country with pain abdomen, jaudice. usg showin a worm in the common bile duct. wat culd b the organism
    1.fasciola buski
    2, clonarchis sinensis
    3.
    4.

    a child with bld glu 30 mg % unconcious normal built no abn except hyperpigmentation
    hyperinsulinemia
    21 oh ase def
    ?
    ?

    epidermal igG intercellular deposits
    pemphigus

    a 10 month old baby previouly normal sudddenly bcom .... in his cirb. in intensive care unit. external app @ genitalia were normal. blood glucose 30 mg%.hyperpigmentation present. diagosos

    21 hydroxylase deficiency
    hyperinsulinemia
    essential glucocorticoid deficiency
    cushings syndrome

    hyponatremia, hyperkalemia in a child. wat hormone 2 b evaluted first
    aldosterone
    17 hydroxy corticosterone
    testoseone
    ????????

    which occurs in the ovulation phase?
    inhibin levels start rise
    fsh induce steroidogenesis in granulosa cells


    clomiphene citrate true statement
    twin pregnancy in 5-6% of pregnancies
    3 fold increase in pregnancy compare 2 placebo
    emclomiphene acts an antiestrogen
    not true regarding toxoplasmosis
    iga antibodie more specific than igm in congenital toxo
    igG identified by dye test
    ??????
    ???????

    not include in who category 4 for aids
    hiv wasting syndrome
    oral candidiasis
    pnemocystis carinii pnemonis
    toxoplaxmosis

    emergency acetabular fixation is done in all except
    open fractures
    recurent dislocation despit reduction $ traction
    (......... sum named) lesion

    kogner ......... method has used in all except
    posterior column can b approached?????(not sure of the option)
    sciatic nerve in volvement in 10% of cases
    superior @ anterior wall can b approached


    Cuts on genitalia?
    Homicidal
    Suicidal
    Accidental
    ?

    esophagitis mc cause
    reflux esophagitis
    smokin
    alcohol
    high spicy food

    Beevor's sign?
    Abdominal muscles
  3. shreya.

    shreya. Guest

    alcohol
    reflux disesase
    smoking
    ????

    not a premalignant lesion of esophagus
    medistinal fibrosis
    caustic burn
    human papilloma virus
    ??????

    mc cause for nosocomial infection
    admission for elective surgery
    admission for labour
    know neoplasm in op for followup
    endoscopic evaluation

    stain used 2 find carcinoma while doin endoscopy
    toluidine blue
    gentian violet
    hematoxylin 2 eosin
    ???

    LV Hypertrophy doesnot occur in

    MS
    AR
    AS
    MR

    Blood bourne infections all/Except

    Hep G
    EBV
    CMV
    ?

    rokitansky kuster hauser synd

    ovaries uterus fallopian tubes present
    uterus absent fallopian tube ovaries present
    all absent
    ?

    which is media for leptospira?
    Jenson
    BAKER
    ?
    ?

    STRUCTURES PASSING BELOW POSTERIOR BELLY OF DIGASTRIC

    Hypoglossus
    Hypoglossal Nerve
    Retromandibular vein
    Occipetal Artery

    ldl receptor in liver
    apo B 100 and E
    apo B 100 and A
    ?
    ?
  4. shreya.

    shreya. Guest

    connexin V

    Necrosis
    Apoptosis
    ??
    ??

    estrogen action on carbohydrate metabolism
    worsening of niddm
    ?
    ?
    ?

    cpap
    started prophylactically in preterm
    started with fio2 50-60%
    ?
    ?

    segment of liver which drains left hepatic duct
    1
    3
    5
    8

    Death in Crohns most commonly due to

    Thromboembolism
    Sepsis
    Malignancy
    ??

    pauci immune glomereulonephritis

    after transplant in alports
    microscopic polyangitis
    ?
    ?
  5. jakir.

    jakir. Guest

    Deltoid ligament is not attached to
    1. medial cuneiform
    2. medial malleolus
    3. sustetntaculum tali
    4. spring ligament


    Ans Medial cuneiform

    Superficial fibres
    Of the superficial fibres,

    The most anterior (tibionavicular) pass forward to be inserted into the tuberosity of the navicular bone, and immediately behind this they blend with the medial margin of the plantar calcaneonavicular ligament [spring ligament];
    The middle (tibiocalcaneal) descend almost perpendicularly to be inserted into the whole length of the sustentaculum tali of the calcaneus;
    the posterior fibres (posterior tibiotalar) pass backward and lateralward to be attached to the inner side of the talus, and to the prominent tubercle on its posterior surface, medial to the groove for the tendon of the Flexor hallucis longus.

    Deep fibres
    The deep fibres (anterior tibiotalar) are attached, above, to the tip of the medial malleolus, and, below, to the medial surface of the talus
  6. shreya.

    shreya. Guest

    Hounsefield Units depends on

    Electron density
    Mass density
    ?
    ?

    which doesn measure association??
    somethin alpha

    mc cause of cancers with ageing

    telomerase inhibition
    telomerase activation
    supression of proto oncogenes
    increased signals fr apoptosis

    Annexin V
    Ans: to detect apoptosis

    QTreponema pallidum isolated from csf in

    primary syphilis
    secondary syphilis
    tertiary syphilis
    tabes dorsalis

    Q Structures deep to the posterior belly of digastric

    Hypoglossus
    Hypoglossal N
    Retromandibular V
    Occipital Artery

    Q Enophthalmos is due to the paralysis of

    LPS
    Orbitalis
    ??
    ??

    Q Vestibular nucleus receives afferents of

    Taste
    Balance
    Hearing?
    ??

    Q Oligomer with one mismach is used as a primer in

    RFLP
    Mutation inducing PCR
    ??
    ??
    Q Rt Gastroepiploic artery is a branch of

    Splenic
    Gastroduodenal A
    Superior Mesenterc

    something related to centrocaecal scotoma ocular telangietasia 1st r eye lost vision 3 months later l eye
    young patient

    lebers
    toxin
    ?
    ?
  7. vish2012

    vish2012 Guest

    topics

    -small force large bruise
    -observation hip
    -steps
    -mental retardation therapy
    -bullet injury depends on
    -bruise
    -heroin withrawl
    - alcohol craving
    -tolazoline
    -acetabular #
    - crescent #
    - iga papillary dermis
    - hsp
    - intraepidermal clefts with deposition- pemphigus
    -annexin v
    - noble prize 2007 for md and physio
    - pharmacovigilance
    - smoker wants to quit smoking..
    - knowledge..
    - dimorphic fungi
    - affinity chromatography
    - mc cause esophagitis
    - transmission via blood transfusion
    - hiv in brain
    - myasthenia gravis
    - pilocytic astrocytoma
    - rcc prognosis
    - cardiostable anaesthesia
    - flat capnograph
    - radio of papillary necrosia
    - cah
    - glucocorticoid def
    - gas gangrene not caused by
    - 12 micron darrrhoea causing agent
    - malabsorption
    - clonorchis sinensis
    - multi drug resistance
    - somatomedin
    - insulin does not cause
    - romberg sign
    - spinocerebellar tract function
    - muscle spindle
    - cerebral cortex division
    - right cerebral lesion
    - inter nuclear ophthalmoplegia
    - crohns dis
    - rods and cones differ in
    - colour vision depends upon
    - 10th national plan related to cataract
    - cituximab
    - lvf
    - lvh -ms mr as ar
    - ace inhibitor
    - health behavior
    - attitude belief
    - pauci immune gn
    - nephrocalcinosis
    - vasculitis
    - rt gastro epiploic
    - tarsal tunnel syndrome
    - prevalence
    - deltoid ligament
    - c1 c2
    - c1 esterase def
    - aneuploidy
    - clomifine citrate
    - vaginosis
    - rokitansky hauser
    - beevors test
    - choledohal cyst
    - sphinchter of oddi
    - incised wound genitalia
    - allupurinol
    - histiocytosis
    - fructosamine
    - gdm
    - elective c/s
    - esophageal ca
    - hypertrophy hyperplasia
    - auditory pathway
    - ototoxicity
    - bells palsy
    - delusion of persecution
    - arsenic
    - myastenia drugs contraindicated
    - nested study
    - crohn dis
    - cause of death
    - leptospira
    - treponema pallidum
    - sub cortical dementia
    - beta amyloid
    - SAH
  8. naima

    naima Guest

    cardio stable induction agent
    a)etomidate
    b)propandid
    c)midazolam
    d)ketamine
  9. shreya.

    shreya. Guest

    blood banks get permission to operate from
    naco
    nabl
    state ministry/ ministry of health
    drug ?????

    site of osteomyelitis
    metaphysis

    pharmacovigilanve

    check costs???
    ????
    ??
    ??

    most common cause of acute right heart failure
    pulmonary embolism

    stertectic surgery includes all except
    liner acclerator
    proton
    electron

    question about metastatic calcification

    serum ca level is normal
    occurs in dead tissue
    ?
    ?

    IgA on dermal papilla - ?Darrier's ds

    Stability of post gleno humeral jt tested by :
    Jerk's test
    falcrum test
    ?
    ?

    Cetuximab used in
    Palliative rx in head neck ca
    anal canal ca
    ?
    ?

    Confounding factor

    Reflex hallucination
  10. shreya.

    shreya. Guest

    mc cause of cancers with ageing

    telomerase inhibition
    telomerase activation
    supression of proto oncogenes
    increased signals fr apoptosis

    it's telomerase reactivation.
  11. shreya.

    shreya. Guest

    drugs not used for t/t hyperkalemia

    insulin + glucose
    k+ exchange resins
    calcium carbonate
    sodium bicarbonate

    que was a/e are of adult size at birth
    1. mastoid antrum
    2.ossicles
    3.orbital cavity
    4.??
    ans should be orbital cavity
  12. shreya.

    shreya. Guest

    deltoid ligament is not related to.........?
    malnutrition is not a/w which parasite...
    cns manifestatin in hiv pt .....except
    ..........is not used in hiv peripheral neuropathy other
    option was bechets,hiv oral ulcer

    which is not a.w bld transfusion
    parvo
    cmv
    hepg


    stereotactic radiosurgery all used except
    linear accelerator
    electrons
    protons
  13. shreya.

    shreya. Guest

    chr. diarrhoea in hiv pt m/c due to
    a.cryptosporidium
    b.isospora
    c.microsporidium

    pain in arm after tetanus vaccine 5 days after vaccination due to
    a. brachial neuritis
    b.radial n. entrapment

    prevelence can be calculated from
    1.longitudenal study
    2.descriptive study
    3.

    Which species of Clostridum does not cause gas gangrene?
    a) Cl. perfringes
    b) Cl. histolyticum

    a/e are true about emergency tracheostomy
    decreases dead space
    increases ventilation and perfusion
    decreases ventilation and perfusion
    can any one tell about the third choice???????

    Which of the following is NOT a cause of congenital hypercoagulability?
    a) Protein C deficiency
    b) Protein S deficiency
    c) Antiphospholipid antibody syndrome
    d) MLCTR gene mutations(??)

    not a premalignant lesion of esophagus
    medistinal fibrosis
    caustic burn
    human papilloma virus
    ?????? ------diverticula

    nested case control study
    retro
    prospective
    cros sectional

    .gene tharapy available for
    a. cystic fibrosis
    b.severe combined immunodeficiency

    which is having maximum refractive index ?
    1) centre of lens
    2) anterior surface of cornea
    3) posterior surface of lens
    4) ????

    ans- 1) center of lens

    drug of choice if there is white secreation from vagina with fishy smell ? ( it is not the exact question )
    1) doxycycline
    2) ofloxacin
    3) metronidazole
    4) ???

    Pharmacovigilance (PV) is the pharmacological science relating to the detection, assessment, understanding and prevention of adverse effects, particularly long term and short term side effects of medicines.[1] Generally speaking, pharmacovigilance is the science of collecting, monitoring, researching, assessing and evaluating information from healthcare providers and patients on the adverse effects of medications, biological products, herbalism and traditional medicines with a view to:

    identifying new information about hazards associated with medicines
    preventing harm to patients.
  14. kalyan.

    kalyan. Guest

    Complication of coeliac plexus block

    Sister Mary Joseph nodule is found in

    Ideal contraceptive for healthy newly married couple

    Function of 8th nerve is


    which does not lead to left ventricular hypertrophy?
    1) mitral stenosis
    2) MR
    3)??

    Nephrocalcinosis A/E?
    Hyperoxaluria
    Bartter's
    Prolonged use of Furosemide
    ARPKD
    Ans: ? ARPKD

    fastest mobility in paper chromatography
    1.glycine
    2.aspartic acid
    3.leucine
    4.

    1. f(x) unit of brain arranged
    vertically
    tangentially
    horiz
    2.q on rhimberg sign?
    3. f(x) of spinocerebellar tract.?


    all are true in choledochal cyst except
    1.surgical removal is t/t of choice
    2.type 2 is most common
    3.

    what is effect of insulin in carbohydrate metabolism in pregnency
    1.it worsen niddm
    2.it decreases fasting insulin secretion
    3.
  15. kalyan.

    kalyan. Guest

    formeciation and delusion of persicution occures togather in
    1.cocaine
    2.amphetamine
    3.canabis

    subcortical dementia by a/e
    parkinsonism
    alzheimer
    supranuclear palsy
    hiv


    ideal contraceptive

    barrier
    ocp
    iucd
    ?
    ans barrier

    func of 8th n
    balance
    olfaction
    ?
    taste
    ans balance
  16. kamal.

    kamal. Guest

    which doesnt measure association??
    p value
    Odds ratio
    Relative risk
    (some specific unheard name)

    findin in hiv in brain a/e
    giant cell around perivasc area
    microglial nodules
    ?
    ?

    a lady has episodes of overeating and then use os laxatives....
    a. anorexia nervosa
    b. bulimia nervsa
    c. binge eating disorder
  17. doc.

    doc. Guest

    formeciation and delusion of persicution occures togather in
    1.cocaine
    2.amphetamine
    3.canabis

    ans is cocaine or amphetamine. i marked cocaine..but after checking out some web sites..i guess ma ans z wrong . it must be amphetamine as it produces pic like paranoid schizophrenia;delusion of persecution is characteristic feature of paranoid schizophrenia. and in formication can b seen with amphetamine. didnt find much relevant text about presence of any kinda delusion in cocaine use.
  18. mahesh.

    mahesh. Guest

    29) Following are true about Wilson`s disease except
    a) ceruloplasmin <20
    b) cu excretion<100ug
    c) autosomal recessive
    d) zinc acetate used for maintainance therapy
  19. mahesh.

    mahesh. Guest

    a child with bld glu 30 mg % unconcious normal built no abn except hyperpigmentation


    hyperinsulinemia
    21 oh ase def
    cushings disease
    familial glucocorticoid difeciency
  20. mahesh.

    mahesh. Guest

    1.during G.A. flat capnogram indicates a/e:
    bronchospasm

    2.cardiostable anaesthetic agent:
    a.Etomidate
    b.Ketamine

    3.m/c cause offracture roof of orbit:
    a.blow on forehead
    b.fall on back of skull

    4.sclera is weakest at:
    a.limbus
    b.equator

    5.BEEVOR SIGN:
    a.weakness of abdominal muscle

    6.cerebellar toxicity is caused by:
    cytosine arabinoside

    7.most emetogenic:
    a.cisplatin
    b.carbopltin
    pls do send me d other options & answers
  21. beena.

    beena. Guest

    crescentic fracture
    sacroiliac joint dislocation with fracture iliac wing

    drug given orally
    ans mesna

    NPCB
    100% Vit A is the answer

    dimorphic fungusa/e
    phialophora is the answer

    gas gangrene a/e
    clos sporogenes is the answer

    K conc much higher
    colon is the answer
  22. beena.

    beena. Guest

    1.treatment of kawasaki disease?
    a.steroids
    b.iv Ig
    ans:b

    2.test done to detect reversible myocardial ischemia
    a.MUGA
    B.thallium
    ans:b

    3.carcinogenesis due to ageing is due to
    a. telomerase reactivation
    b.proapototic gene stimulation
    c.growth factor gene inactivation
    Ans telomerase reactivation

    4.microaerophilic bacteria is
    a.camylobacter
    b.vibrio
    ans a
  23. harbour.

    harbour. Guest

    In medicine, the Sister Mary Joseph nodule or node, also called Sister Mary Joseph sign, refers to a palpable nodule bulging into the umbilicus as a result of metastasis of a malignant cancer in the pelvis or abdomen.

    Gastrointestinal malignancies account for about half of underlying sources (most commonly gastric cancer, colonic cancer or pancreatic cancer, mostly of the tail and body of the pancreas), and men are even more likely to have an underlying cancer of the gastrointestinal tract. Gynecological cancers account for about 1 in 4 cases (primarily ovarian cancer and also uterine cancer). Unknown primary tumors and rarely, urinary or respiratory tract malignancies cause umbilical metastases. How exactly the metastases reach the umbilicus remains largely unknown. Proposed mechanisms for the spread of cancer cells to the umbilicus include direct transperitoneal spread, via the lymphatics which run alongside the obliterated umbilical vein, hematogenous spread, or via remnant structures such as the falciform ligament, median umbilical ligament, or a remnant of the vitelline duct. Sister Joseph nodule is associated with multiple peritoneal metastases and a poor prognosis.

    Carcinomas of the prostate and breast are the most common sources of osteosclerotic metastases
  24. mahesh.

    mahesh. Guest

    prilocaine causes methemoglobinemia.

    postural hypotension is the side effect of celiac plexus block due to sympathetic blockage


    which of the following is not true?
    a) left hepatic vein crosses segment 4
    b) left hepatic vein is formed within the umbilical fissure
    c) segment 5 nd 8 is drained by right anterior sectoral vein?
    d) caudate lobe is drained by left hepatic vein only
  25. beena.

    beena. Guest

    dauno/cytara/actinomycinD given iv
    mesna given both iv/oral iv 4 cystitis
    as mucolytic can b used oral in cystic fibrosis
    H/17 vol 2 CIMS 09

    CITUXIMAB use
    colorectal CA and squamous cell ca of head neck
    H17 VOL 1
  26. akhil.

    akhil. Guest

    1. Right gastro epiploic artery is a branch of ?
    Ans: Gastroduodenal
    BDC4 Vol 2 p 262 fig 21:4
    2. Capacitation of sperm takes place in ?
    Ans: Uterus.
    Ganong 22 p 427
    3. Structure not fully developed at birth?
    Ans: Mastoid antrum. Most probably

    4. Structure not lined by urothelium?
    Ans: Membranous urethra. Most probably


    5. Structure passing through aortic aperature with aorta?
    Ans: Thorasic duct, Azygus vein.
    BDC4 Vol 2 p 309
    6. Corneal endothelium is derived from ?
    Ans: Mesoderm.
    Khurana 3rd p 7

    7. Pelvic Splanchnic nerve does not supply?
    Ans: Appendix.? Not sure
    8. Structure does not pass deep to posterior belly of diagastric?
    Ans: Retromandibular vein.
    BDC4 vol 3 p 157
    9. Deltoid ligament is not attached to?
    Ans: Medial cuneiform. BDC 4 vol 2 p 151
    10. Sphincter of Odii consists of?
    Ans: 3 sphincters
    BDC 4 vol 2 p 275 It’s a combination of sphinctures pancreaticus, ampullae and choledochus
  27. amin.

    amin. Guest

    q.1.angiography{probably} is used in all except:-
    a. priaprism
    b. penile ischaemia
    c. peyronies ds
    d. vascular malformation

    hiv targetted interventions for a/e
    a. migrant labourers
    b. industrial workers{ans}
    c. street children
    d. sex workers
    Ans is industrial workers park 19 p 359

    targets for tenth five yr plan for control of blindness a/e
    a.increase catract surgery rate to 450 operations per lakh
    b.iol implantation in more than 80 percent
    c.development of 50 paediatric Ophthalmology units
    d.?????????

    29. LDL uptake in liver depends on?
    Ans: Apo E and Apo B-48
    ref vasudevan sreekumari 4th ed p 145

    35. Hypersensitive vasculitis most commonly affects?
    Ans: Post capilary venule.
    is there any reference.. ?

    insulin causes a/e
    a.increased glycogenesis
    b.increased glycolysis
    c.increased lipogenesis
    d.increased ketogenesis

    sphincters of vagina a/e:-
    a.bulbospongiosus
    b.pubovaginalis
    c.internal urethral sphinctor
    d.external urethral sphinctor
  28. akhil.

    akhil. Guest

    The urethral sphincter is a collective name for the muscles used to control the flow of urine (micturition) from the urinary bladder. These muscles envelop the urethra, so that when they contract, the urethra is sealed shut. The muscles originate at the pubic ramus with the insertion point at the median raphe. The function of the sphincter urethrae (external sphincter) is controlled by the pudendal nerve and acts to constrict the urethra. There are actually two urethral sphincters in the human body:
    • The internal sphincter muscle of urethra: located at the bladder's inferior end and the urethra's proximal end at the junction of the urethra with the urinary bladder. The internal sphincter is a continuation of the detrusor muscle and is made of smooth muscle, therefore it is under involuntary or autonomic control. This is the primary muscle for prohibiting the release of urine.
    • The external sphincter muscle of urethra (sphincter urethrae): located at the bladder's distal inferior end in females and inferior to the prostate (at the level of the membranous urethra)in males is a secondary sphincter to control the flow of urine through the urethra. Unlike the internal sphincter muscle, the external sphincter is made of skeletal muscle, therefore it is under voluntary control of the somatic nervous system.
    Gender differences
    Despite common misconceptions, human males do not have stronger urethral sphincter muscles than females, nor are there any noticeable capacity differences in the bladders. Anatomically, females have to urinate more frequently because their bladders share space with the uterus and vagina in the anterior wall. In actuality, females do not have an internal urethral sphincter muscle. This muscle's function is to prevent reflux of seminal fluids into the male bladder during ejaculation. In males the bladder does not share space with any reproductive organs. Females do have a more elaborate external sphincter muscle than men as it is made up of three parts, the sphincter urethrae, urethrovaginal muscle, and the compressor urethrae. The urethrovaginal muscle fibers wrap around the vagina and urethra and contraction leads to constriction of both the vagina and the urethra. The origin of the compressor urethrae muscle is the right and left inferior pubic ramus and it wraps anteriorly around the urethra so when it contracts it squeezes the urethra against the vagina. The external urethrae, like in males, wraps solely around the urethra.
  29. amin.

    amin. Guest

    Tarsal Tunnel Syndrome
    Tarsal tunnel syndrome is a compression neuropathy of the posterior tibial nerve as it passes in the anatomical tarsal tunnel, which lies posterior to the medial malleolus and beneath the retinaculum of the flexor muscles of the foot.1

    Anterior tarsal tunnel syndrome refers to compression of the deep peroneal nerve. It is rare and causes pain, weakness, and sensory changes of the foot and ankle.2
    Distal tarsal tunnel syndrome is caused by compression of the the first branch lateral plantar nerve or the medial calcaneal nerve and presents with heel pain.3
    Causes

    Tarsal tunnel syndrome is most common in active adults, but it can also occur in children.

    Often caused by osteoarthritis, post-traumatic ankle deformities (scar tissue may also restrict movement in the tarsal tunnel and cause nerve entrapment) or tenosynovitis.

    May also be associated with rheumatoid arthritis and diabetes.
    Compression may also result from a cyst, lipoma, ganglia, exostosis or neoplasms within the tarsal tunnel.
    People with severely flat feet are at increased risk of developing tarsal tunnel syndrome.3
    Trauma to the ankle.
  30. jacks.

    jacks. Guest

    1-13Y BOY HAD PAIN BELOW KNEE HIS MOTHER NOTECE THAT HE GROW 13CM OVER THE LAST MONTHS WHATE IS THE DIAGNOSIS:
    A.SOGOOD SCHLATTER DISEASE.

    2-SCENARIO ABOUT LADY WAS WATING OUTSIDE HER PSYCHATRY CLINIC & SHE IS REFUSING TO GO HOME WHAT SHOULD U DO:
    A- CALL TAXI FOR HER.
    B- GIDGUIDE HER TO THE NEEREST BYS STATION.
    C-TELL HER THAT U CAN NOT DO ANY THING TO HER OUTSIDE THE CLINIC.
    D-OFFER HER A RIDE.

    3-SCENARIO ABOUT LADY CAME TO THE ER IN THE MOTHERS DAY CRAING CAUSE HER SON PREFER TO VISIT HER MOTHER IN LOW SHE WAS INSISTING TO BE ADMETED THE INTERN IN CALL YELL IN HER WHAT TYPE OF PERSONALITY HE IS:
    A-SPLITTING.
    B-ACTING OUT.
    C-DISPLACEMENT.
    D-............


    Q1-GROWING PAIN NOT ONE OF THE CHOICES.
    Q3 -IT WAS ABOUT THE PERSONALITY OF THE INTERN NOT THE LADY .

    Q4-THEIR WAS Q ABOUT BULIMIC PT N TREATMENT PRESENTED W FATIGUE & SIGHN OF HYPOTENTION ECG SHOW FLAT T WAVE & PRESENT OF U WAVE OR SOMTHING LIKE THAT I DONT REALY REMEMBER THE Q THE CHOICES WHERE:
    A-HYPONITREMIA
    B- HYPOCALEMIA.
    C-.....

    Q5 PT W HX OF OTITES MEDIA TRETED WITH ANTIBIOTIC PRESENTED AFTER FEW MONTH W SKIN RASH ( PIC WAS ADDED) WHAT IS THE DIAGNOSIS:
    A- DRUG REACTION.
    B-...

    A 33 yr old male attends a walk-in clinic with complaint of inability to attain an erection. The GP enters wearing a lab coat and high heels. The GP does which of the following:
    1. Offers advice on sexual stimulation
    2. Takes blood for serum T level
    3. Asks if patient on any antidepressants
    4. Asks patient if there was any trauma
    5. Take her sexy red lips and proceeds to give a nice blowjob

    Answer is 5........
  31. virat.

    virat. Guest

    1. Functional unit of cerebral cortex arranged
    ans.vertically

    2. All causes malabsorption except
    ans.ascaris lumbricoids

    3. Color vision true is ans.subserved by color opponent cells

    4. Commonest cause of death in crohns disease small bowel
    ans. Malignancy ref.Sabiston 17th edition pg no.1352 first paragraph.

    5. metronidazole is DOC 4 bacterial vaginosis-AIIMS 2004 guide qno.168

    6. prostate ca -osteoblastic lesion
    RCC-OSTEOLYTIC LESION.

    7. choledochal cyst -I mc .t/t is radical excision.

    8. wilsons dis -urine cu.level>100ug/day.autosomal recessive.serum ceruloplasmin low in 85%of people.diagnostic biopsy.

    9. drugs causing methb--aniline aminophenols ,dapson,local anaesthetics prilocaine benzocaine,nitrites,primaquine,sulfonamides.

    10. a nested case- control study is a type of case-control study that draws its cases and controls from a cohort population dat has been followed 4 a pd. of time.

    11. kawasaki disease-acute febrile vasculitis of childhood-bulbar conjunctival injection,changes in mucosa of oropharynx ,elevated esr ,t/t ivig+aspirin.

    12. fluoxetine-bulimia nervosa.AIIMS guide 2005qno.104.

    13. ketamine-Anaesthesia of choice for shock qno 182 AIIMS guidenov 2005.

    14. patch test-allergic contact dermatitis typeIV.parthenium.

    15. cisplatin-marked nausea vomiting,mitochondrial injury ,apoptosis and necrosis of renal tubular cells.mutagenic , teratogenic ,carcinogenic.ovarian ca, AML.

    16. NECK INJURY -PLATYSMA

    17. C.N.VIII vestibulocochlear -position.

    18. Rhomberg sign-answer is proprioception.Rhomberg sign is not a test for cerebellar function-

    19. PREDOMONANTLY OSTEOSCLEROTIC LESION ANSWER IS LUNG CARCINOMA...... Radiologist MENTIONS MOST COMMON CAUSE OF OSTEOSCLEROTIC LESION IN MALES TO BE LUNG CARCINOMA AND FEMALES TO BE BREAST CARCINOMA WHITH BREAST CARCINOMA SUPERCEDING LUNG CARCINOMA........ BUT BREAST CA WAS NOT IN THE OPTION ......... SO THE NEXT BEST WOULD BE LUNG CARCINOMA........... PROSTATE IS OSTEOBLASTIC AND RENAL CELL CA IS MIXED OSTEOLYTIC AND BLASTIC WITH PREDOMINANTLY BEING PULSATILE ECCENTRIC OSTEOLYTIC
  32. vikas.

    vikas. Guest

    CETUXIMAB IS USED FOR COLORECTAL CANCER & H-N CANCER............ANSWER WOULD BE ANAL CARCINOMA...( ANAL CANCER IS ONE AMONG THE COLORECTAL CANCERS....SCHWARTZ 8TH )

    CETUXIMAB IS ALSO USED FOR H-N CANCER FOR PALLIATION BUT FOR PROPHYLAXIS IN A CASE OF H-N CANCER , ITS STILL UNDER RCT'S......REF - PUBMED

    IF THE OPTIONS CLEARLY USE THE WORD PROPHYLAXIS IN H-N CANCER...THEN THATS NOT THE ANSWER...IF ITS PALLIATION , THEN THERE R 2 ANSWERS ...ANAL CANCER & H-N CANCER
  33. deepak.

    deepak. Guest

    WHO clinical staging of HIV disease in adults and adolescents (2006 revision)
    In resource-poor communities, medical facilities are sometimes poorly equipped, and it is not possible to use CD4 and viral load test results to determine the right time to begin antiretroviral treatment. The World Health Organisation (WHO) has therefore developed a staging system for HIV disease based on clinical symptoms, which may be used to guide medical decision making.
    Clinical Stage I:
    • Asymptomatic
    • Persistent generalized lymphadenopathy
    Clinical Stage II:
    • Moderate unexplained* weight loss (under 10% of presumed or measured body weight)**
    • Recurrent respiratory tract infections (sinusitis, tonsillitis, otitis media, pharyngitis)
    • Herpes zoster
    • Angular chelitis
    • Recurrent oral ulceration
    • Papular pruritic eruptions
    • Seborrhoeic dermatitis
    • Fungal nail infections
    Clinical Stage III:
    • Unexplained* severe weight loss (over 10% of presumed or measured body weight)**
    • Unexplained* chronic diarrhoea for longer than one month
    • Unexplained* persistent fever (intermittent or constant for longer than one month)
    • Persistent oral candidiasis
    • Oral hairy leukoplakia
    • Pulmonary tuberculosis
    • Severe bacterial infections (e.g. pneumonia, empyema, pyomyositis, bone or joint infection, meningitis, bacteraemia)
    • Acute necrotizing ulcerative stomatitis, gingivitis or periodontitis
    • Unexplained* anaemia (below 8 g/dl), neutropenia (below 0.5 billion/l) and/or chronic thrombocytopenia (below 50 billion/l)
    Clinical Stage IV:***
    • HIV wasting syndrome
    • Pneumocystis pneumonia
    • Recurrent severe bacterial pneumonia
    • Chronic herpes simplex infection (orolabial, genital or anorectal of more than one month’s duration or visceral at any site)
    • Oesophageal candidiasis (or candidiasis of trachea, bronchi or lungs)
    • Extrapulmonary tuberculosis
    • Kaposi sarcoma
    • Cytomegalovirus infection (retinitis or infection of other organs)
    • Central nervous system toxoplasmosis
    • HIV encephalopathy
    • Extrapulmonary cryptococcosis including meningitis
    • Disseminated non-tuberculous mycobacteria infection
    • Progressive multifocal leukoencephalopathy
    • Chronic cryptosporidiosis
    • Chronic isosporiasis
    • Disseminated mycosis (extrapulmonary histoplasmosis, coccidiomycosis)
    • Recurrent septicaemia (including non-typhoidal Salmonella)
    • Lymphoma (cerebral or B cell non-Hodgkin)
    • Invasive cervical carcinoma
    • Atypical disseminated leishmaniasis
    • Symptomatic HIV-associated nephropathy or HIV-associated cardiomyopathy

    Ans is oral candidiasis

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