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

493.In a study in UK ,an association was found between sale of antiarryhthmic drug and an increase in death due to asthma .This is an example of

a.Ecological study
b.Cohort study
c.Case reference study
d.Experimental study
Ans-a.Ecological study



492.Hyponatremia with increased sodium body content is seen in

a.Diuretic administration
b.Tubular acidosis
c.Vomiting
d.Nephrotic syndrome


Ans-d.Nephrotic syndrome
Explanation-Hyponatremia with normal body sodium is almost exclusively associated with SIADH.Hyponatremia associated with increased total body sodium results from water retention in excess of sodium retention.The four clinical states where in this phenomenon is seen are congestive heart failure,cirrhosis,nephrotic syndrome and advanced renal failure.

491.Most common site for CSF Rhinorrhea

a.Ethmoidal sinus
b.Frontal sinus
c.Petrous bone
d.Cribriform plate

Ans-d.Cribriform plate

The Cribriform plate and air cells of the ethmoid sinus account for the maximum no of leaks







490.Which of the following enzymes is purely mitochondrial

a.SGOT
b.SGPT
c.Gamma Glutamyl Transferase
d.5 Nucleotidase

Ans-a.SGOT
Explanation-SGOT has two isoenzymes
Inside the liver SGOT is localized mainly in the mitochondria with the remainder in the cytoplasm.











489.Which of the following syndrome is characterized by multiple large 'cold staphylococcal abscesses?

    1.Job's syndrome       
    2.Lazy leukocyte syndrome.      
    3.Chediak-higashi syndrome.    
   4.Wiskott Aldrich syndrome.           
ANS- Job's syndrome         
Reference : -  Ananthnarayan-157

488.The occurrence of hyperthyroidism following administration of supplemental iodine to subjects with endemic iodine deficiency goitre is known as:

  1.Jod-Basedow effect    
  2.Wolff-Chaikoff effect     
  3.Thyrotoxicosis factitia     
  4.De Quervain's thyroiditis

Ans-1. Jod-Basedow effect  
   
  Reference : - > Harrison-(15)-2077

485. Thiamine deficiency causes decreased energy production because

 a) It is required for the process of transamination.
 b) It is co-factor in oxidative reduction .
c)It is co-enzyme for transketolase in pentose phosphate pathway .
d) It is co-enzyme for pyruvate dehydrogenase.

Ans-d) It is co-enzyme for pyruvate dehydrogenase.

484. Reactive arthritis is caused by

 a) Staph. aureus
b) H. influenza
c) N. gonnorhea
d)  E.coli

Ans-c) N. gonnorhea

483. which drug does not metabolize by acetylation:

 a)Isoniazid
 b)Metaclopromide
 c)Procainamide
 d)Dapsone

Ans-b.Metoclopramide

482.Which of the following is a derivative of the second pharyngeal arch?

A. Eustachian tube
B. External auditory meatus
C. Palatine tonsil
D. Stylohyoid muscle
The correct answer is D. The stylohyoid is derived from the second pharyngeal arch, which also
gives rise to the muscles of facial expression, the stapedius, the posterior belly of the digastric
muscle, Reichert's cartilage, and the facial nerve.

481.During a cranial nerve test, the patient cannot elevate her right eye from the abducted position. Which of the following muscles is paralyzed?

A. Right inferior oblique
B. Right inferior rectus
C. Right lateral rectus
D. Right superior oblique
E. Right superior rectus
The correct answer is E. The superior rectus muscle can elevate and adduct the eye from the
neutral position. From the abducted position, it is the only muscle that can elevate the eye.
The inferior oblique muscle (choice A) can elevate and abduct the eye from the neutral position.
From the adducted position, it is the only muscle that can elevate the eye.
The inferior rectus muscle (choice B) can depress and adduct the eye from the neutral position. From
the abducted position, it is the only muscle that can depress the eye.
The lateral rectus muscle (choice C) can abduct the eye.
The superior oblique muscle (choice D) can depress and abduct the eye from the neutral position.
From the adducted position, it is the only muscle that can depress the eye

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