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chochu Total Posts: 6 | Posted: Sun Mar 04, 2007 07:21 pm tn pg 2007 mcqs- Anatomy Extension of Shoulder by all except 5. Shoulder-extension-teres major Boundaries of Inferior Lumbar Triangle by all except ureter lateral fornix apocrine cells-secretion inferior lumbar triagle Shoulder-extension-teres major Lymph node- germinal centre andreus vesailus-father modern anatomy visual cortex supplied by- posteror mediastinum contains a/e pericardium,eosophagus,aorta Stable cells a/e liver,brain,kidney Andreus vesailus- modern anatomy Post medistinum a/e- pericardium Visual cortex- MCA & PCA Aorta- T12 hindgut a/e Caecum Lat.cord- musculocutaneous nerve [edit]Physiology cells regain energy by na+ K+ pump syestemic effects of heat on the body are all except, a.heat rigor b.heat exhaustion c.heat hyperpyrexis and heat stroke d.heat syncope heat condition A/E heat rigors brush border cells-PCT albumin-colloidal osmoic pressure hormone not used calcium metabolism-thyroid harmone Puberty n females-thelarche,pubarche,menarche Sr.osmolality thin filaments-actin and protein Calcium hemostsis a/e thyroid hormone Inhibin- Graffian follicle Osteoporosis a/e parathormone RBC maturation- Conduction- purkinje fibres Nerve regains energy- Na+K+ pump Thin filaments- Sr.osmalality- Pneumotaxic centre- Prolonged inspiration Vit D- 1,25 di OH cholecalciferol [edit]Biochemistry 4.the formation of amino acyl t-Rna involves, a.formation of ester bond b.utilisation of two high energy bond c. formation of ester bond and utilisation of two high energy bond all are irreversible steps except a.phosphofructokinase b.hexokinase c.pyruvatekinase d.triose phosphate isomerase pancreatic lipase- lipids hydrolysis 1,3 DAG+fattyacids histidine decarboxylation- histamine arginine nitric oxide Pellagra – photosensitive dermatitis formation of aminoacyl t-rna message carries from nucleus- mRNA Enzyme deficient in Crigler nagar synd Irreversible steps except phosphofructoisomerase Co-A- pantothenic acid hereditary methhemoglobinemia-methylene blue s-adenosyl methionine-methyl donor lipid reducing myocardial infarctio-HDL histidine decarboxylation- histamine arginine nitric oxide TPP a/e Protoporphyria- Vongierkes disease- Glucose 6 phosphatase Phosphofructoisomerase-reversible Succinyl coA Protein C- vit K beneficial- HDL glycerol 3 po4- Aminoacyl t-rna [edit]Pharmacology, Pathology, Microbiology [edit]Pharmacology first step in cholesterol synthesis is inhibited by a.probucol b,cholestrymine c.statin d.gemfibrozol all of the following steroids have no mineralocorticoid activity except, a.beclomethasone b.triamicinolone c.prednisolone d.fluticasone all are muscle relaxants except- Carbamazepine-simple partial glucocorticoid+mineralcorticoid-prednisolone initial step cholesterol synthesis Depression-anhedonia BPH-fiansteride rifampicin- mode of action Orpha drugs Aspergillus- amphotericin Volume of distribution Nonatropinic a/e neostigmine BPH a/e atropie alpha blocker causing HT- ergotamine BPH- alpha blocker Calcium channel blocker- dandrolene Soluble insulin Gluococorticoid+mineralocorticoid-Prednisolone BPH-Finas teride Semisynthetic morphine- diacetylmorphine Antagoist of morphine-Naloxone Ventricular fibrillation-Lignocaine Initial step cholesterol synthesis- Statins [edit]Pathology hairy cell leukaemia commonly presents as a.bleeding b.splenomegaly c.infections N-myc gene EBV- A/E Amoxycillin retinoblastoma- seminoma-testes prediction alpha angle: is an angle between the line in the middle of the TEG(r) tracing and the line tangential to the developing “body” of the TEG(r) tracing. The alpha angle represents the acceleration (kinetics) of fibrin build up and cross-linking normal range 54-67° crescents – MPGN Barrets oesophagus-columnar epm TGF –alpha Ca breast- familial Crescents- MPGN Chr- 13- retinoblastoma [edit]Microbiology HUS is due to a.shigella dyentriae b.shigella flexneri c. salmonella d.cholera ghon focus- HUS- shigella dysentriae drum stick-all Signifiant bacteruria- 100000 bacilli/ml BCG- live attenuated vaccine Staphylococci- 2-6 hrs EBV- A/E Amoxycillin exoerythroctic schizogony-p.falciparum autoclaving-heat denaturation and oxidation Live vaccine a/e humoral response alone Dane particle-Hbs ag HBSe antigen -replication luminal amoebae a/E babesiosis Cyst stages A/E e.hominis kopliks spots- measles Exoerythrocytic stage absent pl.falciparum bacilli abundant in lepromatous leoprosy Leprosy- 9 banded armadillo airborne spread a/e leprosy JE- manifests pig cysticercosis- typhoid reservoir kopliks spots-measles kopliks spots-opp to stensons duct Bacilli- 37 deg Drumstick appearance – all Chancroid- H.ducre Herpes zoster – varicella JE- horse Highly lethal-botulinum toxin Dane particle- creutzfeld Jacob disease- prion [edit]SPM, FM [edit]Headline text [edit]SPM Carbahydrates – 4 kcal/g 100 mg cooked rice epidemiological professor death certificate a/e mode of death cluster testing STD Paed iron tablets Rural health scheme Propagative- plague Thickness of water seal in RCA latrine -2cm true positive among positives syndromic approach- [edit]FM Juvenile- Ethical malpraxis-debarring from practice Corpus delicti-body crime dowry death- grievous injury 320 professional misconduct-penal erasure proff misconduct- penal erasure trial murder case-sessions court corpus delicti grievous injury 320 Dowry death Onanism- unnat pub offence Transsexualism [edit]Medicine and allied subjects [edit]Medicine normal pt hypoglycemia-insulinoma cushings syndrome-common cause- Brain death a/e Brain death a/e hairy cell leukemia presents as impaired fasting bloodglucose level non ketotic hyperosmolar coma a/e less insulin reqt DKA-soluble insulin used normal anion gap-renal failure the answer for NKHC may be " it is less fatal" Cushings- iatrogenic ARDS a/e Situational syncope Aorta – takayasu cardiac- troponins parietal factor- cyanocobalamine ITP – splenomegaly Midbrain lesion a/e somyogi phenomenon [edit]Paediatrics Conginatal rubella presents with all of the following except. a.heart lesions, b. renal infection c.auditory problems d.cns defects congenital rubella A/E renal involvement sacral meningomyelocele presents with all except, a.mass over sacral region b.hydrocephalous c.neuropathic bladder d.spasticity Keratomalacia- 6 months- 3 yrs Hemophilia- cryoprecipitate Cystic fibrosis- GIT+RT+reproductive tract sacral meningomyolocele-a/e neuropathic bladder cereral palsy- spastic Cerebral palsy- spasticity+mental retardation Megaloblastic anemia- goats milk [edit]Dermatology [edit]STD corona ve´neris a ring of syphilitic sores around the forehead. Jarisch Herxheimer reaction-Syphilis epidemolysis bullosa is congential [edit]Psychiatry delusion-Disorders of thought hallucination-Disorders of catatonia-motor symptoms worst prognosis-hebephrenic Depression-anhedonia Attention deficit disorder a/e carbamazepine [edit]Radiology Frequency-hertz less than 20 Hz-\ cranial irradiation ALL- 3000 cgy hot spots- Co-60- 5.27 years 153. Co-60 – 5.7 yrs isotopes a/e same atomic mass Isotope a/e same atomic Fluoroscopy-realtime xray [edit]Surgical Specialities [edit]OG all fetal skull diaeters 9.5 except Papillary serous cystadenocarcinoma oligomenorrhoea gartners cyst peg cells OCP reduces a/e Ureteric colic Best palliative –stenting Hirschsprungs- dd for hernia a/e ectopic testes TB-golfhole ureter Tubal patency-laproscopy an chromotubation Bacterial vaginosis- acidic ph EPCA – 50 % Balloon thrombo embolotherapy- M/c fibroid- intramural fnl cyst- corpus leuteum m/c- serouscystadenoma Cordocentesis- important Ca.Cx- pt B Braxton hicks absent – abdominal pregnancy Mentovertical- longest All dms 9.5 except- Progress of labour- partogram Active labour- ARM and syntocinon Abruptio placenta- Anemia –MCHC [edit]Surgery abdominal organ commonly injured –spleen Primary bact peritonitis- nephrotic synd adrenal mass lesion-radioucleotie scitigraphy adrenals-radionucleotide scintigraphy hirschsprungs disease –anus adrenal mass lesion-radioucleotie scitigraphy most malignant- choriocarcinoma cystosarcoma phylloides [edit]Ortho charnley-total hip replacement Greenstick fracture- nerve- adductor pollicis cubitus varus – supracondylar # Mcmurrays test- Sequestrum – dead bone Potts- spine CDH- breech delivery L4-L5 a/e Charnley-total hip [edit]ENT, Ophthal, Anaesthesiology [edit]ENT Presbyacusis- Correctly matched a/e otolith Antrochonal not premalignant Frequency-hertz less than 20 Hz-\ Infrasound malingering- stengers test nasopharygeal carcinoma treatment- palliative pocdure oesophageal carcinoma- Carharts notch- nasopharynx- Pharyngolarygooesophagectomy [edit]Ophthal retinal veinocclusion- KF rings copper Optic foramen view Old aged retinal detachment- diabetes Cataract-phacoemulsification HIV- cottonwool spots [edit]Anaesthesia prilocaine –methhemoglobinemia local anesthetic effect -ph all relaxant except -ropivacaine pathognomonic sign-wilson"s disease |