494.Which of the following is not present in basal lamina

a.Rhodopsin
b.Entactin
c.Laminin
d.Integrin
Ans-a.Rhodopsin  Ref-Grays Anatomy 39 th ed /34-36

(131-140) 131. Reconstructing the occlusal anatomy is based on

A. Functional factors
B. Depth of restoration on a tooth
C. Necessity to restore normal anatomy

132. How do you prepare floor of pulp chamber in molars
A. Swab and dry with cotton wool and excavate
B. Use round bur to flatten the floor
C. Under cut walls
D. Use flat end fissure bur to make it levelled

133. When do you finish campsite resin restorations
A. Immediately after curing
B. After 24 hours
C. A week after placement

134. Where Café au lait spots are seen
A. Von Willebrand’s disease
B. Recklinghausen
C. Neurofibroma

135. Von Willebrand disease is
A. Haemophilic disease
B. Bacterial Endocarditis
C. Congenital cardiac disease
D. Rheumatic fever

136. What technique is used in the extraction of permanent 1st
molars
A. Rotation movement
B. Lingual movement
C. Buccal movement

137. Drugs contraindicated with Monoaminoxidas MAO

A. Barbiturates
B. Pethidine
C. Local Anaesthesia with felypressin
D. Narcotic analgetics
E. Salicylic acid

138. Blow to mandible causing fracture in molar’s right side
region, you expect a second fracture of
A. Sub condylar of right side
B. Sub-condylar of left side
C. Fracture of symphysis

139. What is the most common fracture of Class II amalgam
restorations
A. Isthmus because of insufficient depth
B. Internal fracture
C. Marginal ridge site

140. What is the advantage of composite over silicate resin
A. Less shrinkage
B. Less surface erosion
C. Less water absorption
D. All of the above

53. Urothelium does not line:

a) Collecting ducts

b) Minor calyx

c) Ureter

d) Urinary bladder

ANS: A

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49.Gingival fibers which run between two teeth are:

A) TRANSEPTAL B) TRANSGINGIVAL
C) OBLIQUE D) APICAL


ANS : A

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39.The most common site for CSF rhinorrhea

a. frontal bone b. ethmoid bone
c. tegmen tympani d. none

ANS. b ethmoid bone

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37.The minimum percentage of binder that should be present in the gypsum bonded investment is:

1. 10%. 2. 25%.
3. 50%. 4. 75%.


ANS.2 REF Skinner’s 10th -472

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35.The ability of a test to identify correctly all those who have the disease, that is minimum false negative result is:

1. Predictivity 2. Negativity
3. Sensitivity 4. Specificity

ANS.2 ref Park-408

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7.

7.Pin used in pin retained restoration of an endodontically treated tooth is:
A. Cemented.
B. Friction locked.
C. Self threaded.
D. Any of the above.
-----------------------------------------------------------------------------------------
7. Answer is: A- Cemented pin
(Ref: Sturdevant- 2nd Ed. / Page. 373.)

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5.

5.Arch space for the eruption of 3rd molars is created by:

A. Apposition of alveolar process
B. Resorption of posterior border of Ramus
C. Resorption of anterior border of Ramus.
D. Apposition of lower body of mandible.
------------------------------------------------------------------------------------
5. Answer is: C- Resorption of anterior border of Ramus.
(Ref. Bhalajhi 3rd Ed/ Pg 33) Repeat AIIMS-MAY-06.

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4.

4.Difference between acute pyelonephritis and Uncomplicated UTI are all except

a. Loss of Concentrating ability

b. Presence of White blood casts

c. Presence of Antibody against Tamm-Horsfall proteins of tubules

d. Bacterial colony Count more than 10⁸
---------------------------------------------------

Answer

d. Bacterial colony Count more than 10⁸

Reference:

Harrison 16^th Edition Page 1717

Journal reference :

a. P. LARSSON, A. FASTH, U. JODAL, A. SOHL ÅKERLUND, C. SVANBORG EDÉN (1978) : URINARY TRACT INFECTIONS CAUSED BY PROTEUS MIRABILIS IN CHILDREN The Antibody Response to O and H Antigens and Tamm-Horsfall Protein and Bacterial Adherence to Uro-epithelium . Acta Paediatrica 67 (5), 591–596. doi:10.1111/j.1651-2227.1978.tb17807.x

b. Kidney International (1976) 9, 23–29; doi:10.1038/ki.1976.3. Experimental pyelonephritis: The effect of chronic active pyelonephritis on renal function. Thomas E Miller1, David Layzell1 and Elaine Stewart1

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Discussion

Normal urine is sterile. UTI can therefore be diagnosed if a single viable gram negative bacterium inhabits the urinary tract (kidney, ureters, bladder). In reality, the bacteria causing UTI multiply in log phase growth in normal urine, and most people with urinary tract infection have 10⁴-10⁶ bacteria/ml. The acute number will depend on the urine flow rate, characteristics of the urine, the duration of infection, etc. The problem in diagnosis is that of contamination arising from voided specimens passing through the non-sterile distal urethra. For this reason, clinicians use the criteria of 10⁵ bacteria/ml of “clean catch” urine to diagnose UTI. At this level, < style=""> At counts of 1000-10,000/ml, there is a 50/50 chance the result represents contamination. Such a count may represent true infection, but to be sure a second culture showing the same organism might be more convincing. The second criteria for diagnosing UTI is the presence of pyuria (> 5 WBC/HPF) on the urinalysis.

Explanation

a. A severe loss of urine concentrating capacity was demonstrable when the maximum urinary osmolality of a group of cases with pyelonephritis was compared with controls. Concentrating capacity decreased sharply over the first month but further loss over an eight-month period was minimal.

b. Presence of White blood casts is Pathognomic for Pyelonephritis

c. Presence of Antibody against Tamm-Horsfall proteins of tubules . "An increase in antibody levels against O antigen and Tamm-Horsfall protein was noted only in patients with acute pyelonephritis indicating that antibody determinations can be useful in differentiating between upper and lower urinary tract infection caused by Proteus in similarity to those caused by E. coli"

d. Bacterial colony Count more than 10⁸

Comments : This is what the Journal Says : Sera from seven girls with acute symptomatic pyelonephritis and nine children with acute symptomatic cystitis caused by Proteus mirabilis were analysed for antibodies against the bacterial O and H1 antigens and the Tamm-Horsfall protein. An increase in antibody levels against O antigen and Tamm-Horsfall protein was noted only in patients with acute pyelonephritis indicating that antibody determinations can be useful in differentiating between upper and lower urinary tract infection caused by Proteus in similarity to those caused by E. coli. In contrast no difference in adhesive ability was noted comparing Proteus strains causing acute pyelonephritis or cystitis

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