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This is created for guiding Medical Aspirants who want to clear PG entrance and PG exit exams Includes:- Qbank Notes Daily Problem Practice (DPP) Important Topics Mind Maps Tips & Tricks Testseries & many more.... Chief Mentor:- @TheNeuros

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4729. Explanation A) EPIDEMIC: Sudden occurrence and rise of a particular health related behaviour/events which is in excess of “expected occurrence” • Common source, continuous or repeated exposure epidemics: ƒ Sharp rise in number of cases ƒ Fall in number of cases is interrupted by secondary waves/peaks ƒ Ex: Contaminated well in a village, Sex worker in a gonorrhea outbreak Join us:- @DocOpsyPoint

4729. In a case of epidemic, 3 villages are affected simultaneously with typhoid cases. Upon study it is found that one milk man is going to all these 3 villages. Identify the type of epidemic:
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4728. Explanation A) • Book states: “For immunizing children over 12 years of age and adults, the preparation of choice is dT, which is adult type of diphtheria tetanus vaccine” • This preparation contains no more than 2 L of diphtheria toxoid per dose, as compared to 25 L in the ordinary DPT vaccine. • Administration of dT vaccine to adults is carried out in 2 doses at an interval of 4–6 weeks, followed by booster 6–12 months after second dose. Join us:- @DocOpsyPoint

4728. Only vaccine given to adults
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Must Know MCQ from Obgyn. Do write your answers in the comment section.
Must Know MCQ from Obgyn. Do write your answers in the comment section.

DATE : 16TH DEC 2023 DAY : SATURDAY 📖PREPARATION FOCUSED 🎯 DOCOPSY POINT Q.Which of the following is the Drug of Choice for Paracetamol poisoning? A. Aspirin B. N-acetyl cysteine C. Physostigmine D. Flumazenil ANS: B Q.Cefixime pediatric dosage ? A-8mg/kg/day. B-60mg/kg/day. C-150mg/kg/day. D-75mg/kg/day. ANS: A Q.A 49-year-old man develops an acute myocardial infarction because of the sudden occlusion of the left anterior descending coronary artery. The areas of myocardial necrosis within the ventricle can best be described as A. Coagulative necrosis B. Liquefactive necrosis C. Fat necrosis D. Caseous necrosis ANS: A Q.Which of the following entities is virtually patho-gnomonic of neurofibromatosis 1? A Plexiform neurofibroma B Café-au-lait macule C Optic glioma D Sphenoid dysplasia E Iris hamartoma ANS: A Q.A 17-year-old female presents due to a swelling around her earlobe. She had her ears pierced around three months ago and has noticed the gradual development of an erythematous swelling since. On examination a keloid scar is seen. What is the most appropriate management? A. Intralesional diclofenac B. Advise no treatment is available C. Intralesional triamcinolone D. Advise will spontaneously regress within 4-6 months E. Intralesional sclerotherapy ANS: C Q.Apocrine glands: A. Are coiled glands B. Have a two segment ducts that empties onto the skin C. Are present everywhere on the skin except on the palms and soles D. Function from birth E. Secretions are initially odorless ANS: E Q.The most common side effect of azathioprine is: A. Bone marrow suppression B. Neuropathy C. Hepatotoxicity D. Nephorotoxicity E. Myopathy ANS: Q Q.Which of the following is true of Langerhan cells? A. They are the primary antigen presenting cell in the epidermis B. They are primarily involved in the innate immune response C. They do not express the CD1a marker D. They contain intranuclear birbeck granules E. They are increased on the palms, soles, genitalia, and buccal mucosa ANS: A Q.50 year man presents with generalized metallic-grey hyperpigmentation. His past medical history includes diabetes, hepatomegaly and arrythmias. Laboratory tests should include: A. Copper levels B. Lead levels C. Iron levels D. Arsenic levels E. Cyanide levels ANS: C Q.The promontory sign is seen in: A. Tufted angioma B. Glomeruloid hemangioma C. Spindle cell hemangioendothelioma D. Acroangiodermatitis of Mali E. Kaposi’s sarcoma ANS: E Q.The majority of naturally-occurring cases of anthrax: A. Are extra-cutaneous B. Are acquired through ingestion of spores C. Are oropharyngeal D. Are pulmonary E. Are cutaneous ANS: A Q.A 34-year-old man with a history of polyarthralgia, back pain and diarrhoea is found to have a 3 cm red lesion on his shin which is starting to ulcerate. What is the most likely diagnosis? A. Systemic Shigella infection B. Syphilis C. Metastatic colon cancer D. Erythema nodosum E. Pyoderma gangrenosum ANS: E

4727. Explanation A) • Alkylating agents have cytotoxic and radiomimetic actions. They are mainly cell cycle non-specific, i.e. act on dividing as well as resting cells. • Cross-linking of DNA appears to be of major importance to the cytotoxic action of alkylating agents, and replicating cells are most susceptible to these drugs. Join us:- @DocOpsyPoint

4727. All are alkylating agents used in chemotherapy EXCEPT:
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4726. Explanation A) • Tamoxifen is selective estrogen receptor modulator (SERM). • It is having agonistic activity at uterine endometrium. Join us:- @DocOpsyPoint

4726. A 40-year-old lady with breast cancer has undergone MRM and is on Tamoxifen for 1 year. She now presents with bleeding per vaginum 4-5 times. What is the probable cause:
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4725. Explanation A) • Xylose is a pentose sugar and is absorbed directly from intestinal nucosa. • D xylose will reveal carbohydrate malabsorption due to mucosal disorder, but in malabsorption due to pancreatic disease, the D-xylose test should be normal. • Due to high false positives and ease of obtaining small intestinal biopsy after endoscopy, intestinal biopsy is the preferred method. Join us:- @DocOpsyPoint

4725. A 41-year-old patient presented with chronic diarrhea from last 3 months. A D xylose absorption test will reveal which of the following:
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4724. Explanation A) • D-xylose absorption test is a medical test performed to diagnose conditions that present with malabsorption of the proximal small intestine due to defects in the integrity of the gastrointestinal mucosa. • D-xylose is a monosaccharide, or simple sugar, that does not require enzymes for digestion prior to absorption. Its absorption requires an intact mucosa only. • In this test, the patient ingests D-xylose (a nondigestible but absorbable carbohydrate) by mouth, and then the urinary D-xylose is measured. • Urine excretion below certain levels (depending on the amount of D-xylose ingested) implies poor absorption of D-xylose and, therefore, disease of the small intestine. • Alternatively, a blood level of xylose is measured 2 hours after the D-xylose is taken by mouth. Low levels in the blood imply poor absorption. Abnormal D-xylose tests are most frequently associated with disorders of the small intestine such as celiac sprue. • Malabsorbtion can also occur in pancreatic insufficiency, but D-xylose test should be normal. Join us:- @DocOpsyPoint

4724. D xylose absorption test is used to assess which of the following conditions:
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