DBMCI eGurukul OFFICIAL

Answer2885. #EXPLANATION GOALS OF JSSK ARE: ⦁ To reduce out –of-pocket expenses related to maternal and new-born care. ⦁ The scheme implemented across the country entitles all pregnant woman delivering in public health institutions to absolutely free and no expense normal delivery (3 days), including caesarean section (7 days). ⦁ Similar entitlements are in place for all sick new-born (first 30 days of life) accessing public health institutions for treatment. ⦁ Free assured transport (ambulance service) from home to health facility, inter-facility transfer in case of referral and drop back is an entitlement Ans. B. JSSK (Janani-Shishu Suraksha Karyakram)

Answer2884. #EXPLANATION ⦁ The few symptoms of the bite include: tightening of the facial muscles in one to two hours of the bite; inability of the bite victim to see or talk, and, if left untreated, the patient may die from respiratory paralysis within four to five hours. ⦁ A clinical toxicology study gives an untreated mortality rate of 70-80% Ans. C. Krait bite

Answer2883. #EXPLANATION ⦁ Indinavir is a protease inhibitor AND olanzapine is an atypical antipsychotic, both cause metabolic syndrome like hyperlipidemia and central obesity Ans. D. Both B and C

Answer2881. #EXPLANATION ⦁ Hyponatremia and inability to form dilute urine in the fully hydrated condition with concomitant lung cancer points to suspicion of SIADH. ⦁ Antagonists of ADH are used to treat SIADH. Tolvaptan - ⦁ It is a direct ADH receptor antagonist. ⦁ It is used for the correction of water retention and hyponatremia occurring in syndrome of inappropriate ADH secretion (SIADH) as well as in advanced CHF. ⦁ In clinical trials on CHF patients with hyponatremia - Tolvaptan has afforded short-term improvement by increasing water excretion, restoring serum Na· and relieving dyspnoea. Ans. D. Tolvaptan

Answer2882. #EXPLANATION ⦁ Epidemic typhus (classical typhus fever, or louse-borne typhus) has disappeared from most areas of the world but might reappear in conditions of famine, war, or other disasters. There are small areas where it is endemic. ⦁ The responsible organism, a rickettsia, is conveyed from case to case by the human body louse, P. humanus corporis. Malaria, in its various forms (Plasmodium falciparum, Plasmodium vivax, Plasmodium ovale, and Plasmodium malariae), is spread from human to human by females of the various Anopheles group of mosquitoes. ⦁ Dengue fever has a worldwide distribution in tropical and subtropical areas. In addition to producing the classical fever with severe myalgia (breakbone fever), it can also cause a hemorrhagic fever. ⦁ The causative agent, a group B arbovirus with four distinct serogroups, is virus-conveyed from case to case by the A. aegypti mosquito. Colorado tick fever occurs mainly in mountainous areas of the United States within the range of its vector, D. andersoni. ⦁ The highest incidence is in May and June. Several hundred cases are recorded annually, but it is likely that the actual incidence is much higher. Avoidance of tick bites is the principal control measure. ⦁ Yellow fever, the prototypical viral hemorrhagic fever, is African in origin but has spread to and remains endemic in equatorial regions of Central and South America. The vector, A. aegypti, has also spread worldwide, but surprisingly, cases have not been reported in India and Southeast Asia. ⦁ The illness varies in severity from a mild, nonspecific fever to a more severe condition with hemorrhagic, hepatic, and renal manifestations. Ans. C. Pediculus humanus corporis