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The following ECG tracing was obtained from a 79 years old woman prese...

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Explanation :-

inus node automaticity is suppressed by the tachyarrhythmia and results in a prolonged sinus pause following termination of the tachycardia. The patient in this case is sympt

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2013-11-12 11:33:48
The following ECG tracing was obtained from years old woman presenting with dizziness She had several similar episodes short lasting dizziness and one episode syncope but never needed treatment She non-hypertensive non-diabetic mother two Her husband has died one month ago age years She has osteoarthritis both knee joints but never takes NSAIDs She has left her yoga classes after her husband’s death and takes vegetarian diet would you like for her Reassurance This benign condition and direct therapy needed Nuclear cardiac stress testing; treatment depending results Load with 325 aspirin plus 150 clopidogrel immediately and arrange angiography Arrange placement permanent pacemaker The patient question has symptomatic tachycardia-bradycardia syndrome Sinus node automaticitysuppressed bytachyarrhythmia and results prolonged sinus pause following termination oftachycardia patientthis casesymptomatic and pacemaker placement warranted; reassurance would putpatient riskfurther syncopal episodes and bodily harm from fall accident Althoughpacemaker will prevent bradycardia does not prevent tachycardiapatient may need medication prevent tachycardia she continues symptomatic after pacemaker placement Itunlikely that any positive findings onstress test could correlated with her ECG findings The tachy-brady syndrome does increasepatient’s riskcardioembolic event and anticoagulation should considered Aspirin however not appropriate agent prevent cardioembolic disease] (Harrison 17th: 1417-1419)
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Subject :-random

Topic :- MOCK TEST 3

The above slide was taken from year old man Large cell lymphoma clinical stage III chemotherapy protocol will you adopt ABVD regimen six cyclesb) Six eight cycles CHOP plus Rituximabc) Dexamethaosne plus thalidomided) Ximelgatran plus Bortezomib[Harrison 18th: 930] (Large cell lymphoma) Six eight cycles CHOP plus Rituximab.......

Subject :-random

Topic :- MOCK TEST 2

The following peripheral blood film 60-year-old asymptomatic man with leukocytosis Physical examination showed spleen tip palpable below left costal margin Rubbery nontender lymph nodes size present axillae and inguinal regions Laboratory data include following: Hgb: g/dL (normal 18) Leukocytes: 000/μL (normal 4300 800) Platelet count: 238 000 (normal 150 000 400 000) following most likely diagnosis Acute monocytic leukemiab) Chronic myelogenous leukemiac) Chronic lymphocytic leukemiad) TuberculosisChronic lymphocytic leukemia most common all leukemias with incidence increasing with age Patients usually asymptomatic but may complain weakness fatigue enlarged lymph nodes diagnosis made peripheral blood smear mature small lymphocytes constitute almost all white blood cells seen Smudge cells often present other process produces lymphocytosis this morphology and magnitude leukemic cells acute leukemia immature blast cells that easily distinguished from normalappearing mature lymphocytes CLL Both chronic myelogenous leukemia and leukemoid reaction associated with illness such associated with increased numbers variety cells myeloid series (mature polymorphonuclear leukocytes metamyelocytes myelocytes etc) peripheral blood said resemble dilute preparation bone marrow presence basophilia would suggest CML Infectious mononucleosis would this age and causes large “atypical” lymphocytes that easily distinguished from mature lymphocytes peripheral smear (Harrison 927).......

young man with painless blurring vision with fundus showing vasculitis and hmges

Subject :-random

Topic :- MOCK TEST 2

young man with painless blurring vision with fundus showing vasculitis and hmges systemic illness cause-a) Myopeb) retinopathyc) Diabetic retinopathyd) Eale’s .......

Myope with painless sudden loss visiona) Rhegmatogenous RDb) CSRc) EALESd) CRVO

Subject :-random

Topic :- MOCK TEST 2

Myope with painless sudden loss visiona) Rhegmatogenous RDb) CSRc) EALESd) CRVO MYOPES HAVE DEGENERATION PREDISPOSING THEM RHEG .......

The ESI Act 1948 was amended in:a) 1954 and 1965b) 1964 and 1975c) 1974 and 1979d) 1975

Subject :-random

Topic :- MOCK TEST 2

The ESI Act 1948 was amended in:a) 1954 and 1965b) 1964 and 1975c) 1974 and 1979d) 1975 and 1984 and 1989.......

This stands fora) chemical hazardb) cytopathic hazardc) Cyclopropagative hazardd) Cytoto

Subject :-random

Topic :- MOCK TEST 2

This stands fora) chemical hazardb) cytopathic hazardc) Cyclopropagative hazardd) Cytotoxic hazard.......

What true about this vaccine?a) can use this one the anganwadib) can use this

Subject :-random

Topic :- MOCK TEST 2

true about this vaccine can use this one anganwadib) can use this one after freezing deep freezerc) should discard itd) Discard after single use can use this one anganwadi.......

karyotype performed obese child and entirely normal. Because the physician

Subject :-random

Topic :- MOCK TEST 2

karyotype performed obese child and entirely normal Because physician suspects Prader-Willi syndrome Southern blotting performed determine origin patient’s number chromosomes figure below hypothetical Southern blot with DNA probe D15S8 defines four restriction fragment length polymorphisms (RFLPs) present DNA from mother (M) child (C) and father (F) Based D15S8 locus origin child’s two number chromosomes One from mother one from fatherb) Both from fatherc) Both from motherd) Cannot tell because locus deleted child The hypothetical probe D15S8 implies unique DNA segment that recognizes single locus chromosome 15—the eighth such anonymous DNA probe isolated Because normal individuals have two number chromosomes they should have two alleles visualized after DNA restriction and hybridization with probe D15S8 Because both parents heterozygous for D15S8 locus shown question thechild’s result suggests that has only received maternal alleles (alleles and for locus D15S8 This implies that has received both number chromosomes from his mother This known uniparental disomy and may occur due correction trisomy conceptions through loss paternal number chromosome .......

adolescent presents with shortness breath during exercise and found anemic.

Subject :-random

Topic :- MOCK TEST 2

adolescent presents with shortness breath during exercise and found anemic hemoglobin electrophoresis performed that depicted figure below adolescent’s sample run with controls including normal sickle trait and sickle cell anemia hemoglobin samples and serum adolescent determined have unknown hemoglobinopathy following lanes contains adolescent’s sample Lane Ab) Lane Bc) Lane Cd) Lane Protein electrophoresis important laboratory technique for investigating red cell proteins such hemoglobin plasma proteins such immunoglobulins proteins dissolved buffer low amino groups amino acid side chains positively charged causing most proteins migrate toward negative electrode (anode) Red cell hemolysates used for hemoglobin electrophoresis plasma (blood supernatant with unhemolyzed red cells removed) for plasma proteins Serum (blood supernatant after clotting) would not contain red cells but would contain many blood enzymes and proteins sickle cell anemia hemoglobin contains valine substitution for glutamic acid position hemoglobin Hemoglobin thus loses two negative charges (loss glutamic acid carboxyl group each two -globin chains) compared hemoglobin Hemoglobin thus more positively charged and migrates more rapidly toward anode than hemoglobin Lane must represent heterozygote with sickle cell trait (hemoglobins and establishing lane normal and lane sickle cell anemia sample hemoglobin lane migrates differently from normal and hemoglobin would befit abnormal hemoglobin that different from Lane must serum does not contain red blood cells .......

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