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AIIMS Image Based Test 1: Medical PG
AIIMS Image Based Test 1: Medical PG
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https://medical.prepladder.com/dashboard/?Medical-PG 08-02-2018
Analysis for Paper: AIIMS Image Based Test 1 Page 2 of 53
1
The adult and larval state of helminth can be seen in the host
2
Its acquired by consumption of improperly cooked pork
3
The disease occurs transiently and corrects on its own
4
Drug of choice is thiobendazole
Solution
Hymenolepsis Nana
• Dwarf tapeworm
• Smallest cestode that parasites the human
• Only cestode that parastises humans without requiring an intermediate host
• Egg (picture) is infective to humans
• Chemotherapy is by Praziquental, NIclosamide and Paramomycin
https://medical.prepladder.com/dashboard/?Medical-PG 08-02-2018
Analysis for Paper: AIIMS Image Based Test 1 Page 3 of 53
1
I
2
III
3
IV
4
V
Solution
MOST COMMON IS TYPE 2.
https://medical.prepladder.com/dashboard/?Medical-PG 08-02-2018
Analysis for Paper: AIIMS Image Based Test 1 Page 4 of 53
1
Zygomatic arch
2
Maxilla
3
Mandible
4
Nasal bones
Solution
Fractures of Maxilla (Le fort classification) (Image)
• Le Fort I (Transverse): Fracture runs above and parallel to the palate crossing lower part of
nasal septum, maxillary antra and the pterygoid plates.
• Le Fort II (pyramidal): Fracture passes through the root of nose, lacrimal bone, floor of
orbit, upper part of maxillary sinus and pterygoid plates.
• Le Fort III (craniofacial dysjunctin): Fracture line passes through root of nose, ethmo frontal
junction, superior orbital fissure, lateral wall of orbit, fronto zygomatic and temporo
zygomatic sutures and the upper part of pterygoid plates
https://medical.prepladder.com/dashboard/?Medical-PG 08-02-2018
Analysis for Paper: AIIMS Image Based Test 1 Page 5 of 53
1
Swab of vaginal discharge
2
Pap smear
3
VIA test
4
Punch biopsy
Solution
VIA Test:-
• Visual inspection after application of 3-5% acetic acid (VIA), also known as direct visual
inspection (DVI), or as acetic acid test (AAT), is the most widely studied visual screening
test.
• Results are interpreted one minute after application of acetic acid.
• Test outcome is categorised as 'negative', 'positive' and 'invasive cancer'.
https://medical.prepladder.com/dashboard/?Medical-PG 08-02-2018
Analysis for Paper: AIIMS Image Based Test 1 Page 6 of 53
1
B1
2
B2
3
B6
4
B12
Solution
Gastrectomy can cause B12 deficiency 5-10 years post gastrectomy because the bulk of intrinsic
factor producing surface is removed.
1
Typhoral live
2
H1n1 killed
https://medical.prepladder.com/dashboard/?Medical-PG 08-02-2018
Analysis for Paper: AIIMS Image Based Test 1 Page 7 of 53
3
H1n1 live
4
Yellow fever live
Solution
• Influenza Vaccine (Human, live Attenuated) Pandemic (H1N1), freeze drired is a live
monovalent vaccine for administration by intranasal spray (Image)
1
TAR syndrome
2
Holt oram syndrome
3
Fanconi anemia
4
Phocomelia
Solution
Left hand –absent thumb
Absent thumb seen in: Holt oram syndrome, Fanconi anemia, Phecomelia, Poland syndrome
https://medical.prepladder.com/dashboard/?Medical-PG 08-02-2018
Analysis for Paper: AIIMS Image Based Test 1 Page 8 of 53
1
Dactylography
2
Podogram
3
Cheiloscopy
4
Poroscopy
Solution
METHOD OF IDENTIFICATION BY USING FINGERPRINTS IS CALLED DACTYLOGRAPHY
https://medical.prepladder.com/dashboard/?Medical-PG 08-02-2018
Analysis for Paper: AIIMS Image Based Test 1 Page 9 of 53
1
Varicella virus
2
Measles Virus
3
Mumps Virus
4
Rubella Virus
Solution
• MC virus affecting the parotid gland (encircled in image).
• MC cause of Parotitis (Non suppurative enlargement).
• MC presentation: Parotitis 70-90% (bilateral>unilaterla)
• Complications
- Epididymo - Orchitis (unilateral > bilateral) - seen in 1/3 of post pubertal male patients
- Aseptic meningitis
- Pancreatitis leads to diabetes (other viral agents of Diabetes - Rubella, Coxsackie B4)
https://medical.prepladder.com/dashboard/?Medical-PG 08-02-2018
Analysis for Paper: AIIMS Image Based Test 1 Page 10 of 53
1
Boyd amputation
2
Chopart amputation
3
Syme amputation
4
Sarmiento
Solution
Syme: Distal tibia fibula 0.6 cm proximal to the periphery of ankle joint passing through the
dome of ankle.
Sarmiento: Distal tibia and fibula 1.3 cm proximal to the ankle joint and excision of medial and
lateral malleoli.
https://medical.prepladder.com/dashboard/?Medical-PG 08-02-2018
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Analysis for Paper: AIIMS Image Based Test 1 Page 12 of 53
3 months
2
4 months
3
5 months
4
6 months
Solution
clinical image shown depicts neck holding which starts appearing from 3 months of age.
1
Classical HL
2
Nodular HL
https://medical.prepladder.com/dashboard/?Medical-PG 08-02-2018
Analysis for Paper: AIIMS Image Based Test 1 Page 13 of 53
3
Lymphocyte rich HL
4
Lymphocyte predominant HL
Solution
Lacunar variant of RS cells in nodular HL.
https://medical.prepladder.com/dashboard/?Medical-PG 08-02-2018
Analysis for Paper: AIIMS Image Based Test 1 Page 14 of 53
1
Silicosis
2
Tuberculosis
3
Aspergillosis
4
Anthracosis
Solution
Aspergillosis:-
https://medical.prepladder.com/dashboard/?Medical-PG 08-02-2018
Analysis for Paper: AIIMS Image Based Test 1 Page 15 of 53
1
Endoscopic biopsy
2
Core cut biopsy
3
Fine needle aspiration
4
Excisional biopsy
Solution
Excisional Biopsy:-
Fine needle aspiration: Simplest, least invasive test and uses the smallest needle to simply
remove cells from the abnormality; this is not always adequate to obtain a diagnosis, depending
on the area to be biopsied.
Core needle biopsy: Removes not only cells, but also small amount of the surrounding tissue; this
provides additional information to assist in the identification of the lesion.
Incisional biopsy: Takes out even more surrounding tissue; It takes out some of the abnormality,
but not all.
https://medical.prepladder.com/dashboard/?Medical-PG 08-02-2018
Analysis for Paper: AIIMS Image Based Test 1 Page 16 of 53
1
Janani Shishu Suraksha Karyakram
2
Kangaroo Mother Care
3
BFHI
4
RCH Program
Solution
WHO-UNICEF and BFHI 1991 Baby Friendly Hospital Initiative (Image)
Every facility providing maternity services and care to the newborn infants should
• Have a written breast feeding policy that is routinely communicated to all health care staff.
• Train all health care staff in skills necessary to implement this policy
• Inform all pregnant women about benefits and management of breast feeding
• Help mother initiate breast feeding 'within half hour of birth'.
• Show mothers how to breast feed, and how to maintain lactation even if they are separated
from their infants.
• Give newborn infants no food or drink other than breast milk, unless medically indicated.
• Practice rooming in : Allow mothers and infants to remain together 24 hours a day.
https://medical.prepladder.com/dashboard/?Medical-PG 08-02-2018
Analysis for Paper: AIIMS Image Based Test 1 Page 17 of 53
1
Thioridazine
2
Haloperidol
3
Chlorpromazine
4
Clozapine
https://medical.prepladder.com/dashboard/?Medical-PG 08-02-2018
Analysis for Paper: AIIMS Image Based Test 1 Page 18 of 53
Solution
Chlorpromazine:-
Long term chlopromazine use is associated with blue-gray discoloration of skin areas exposed to
sunlight.
The skin changes often begin with a tan or golden brown color and progress to such colors as
slate grey, metallic blue and purple.
1
IDSP
2
RCH
3
NRHM
4
NVBDCP
https://medical.prepladder.com/dashboard/?Medical-PG 08-02-2018
Analysis for Paper: AIIMS Image Based Test 1 Page 19 of 53
Solution
National Vector Borne Disease Control programme (NCBDCP) (Image)
Earlier the Vector Borne Diseases were managed under separate National Health Programmes,
but now NVBDCP covers all 6 Vector borne disease namely:
• Malaria
• Dengue
• Chikungunya
• Japanese Encephalitis
• Kala-Azar
• Filaria (Lymphatic Filariasis)
1
Stab wounds
2
Asphyxial deaths
https://medical.prepladder.com/dashboard/?Medical-PG 08-02-2018
Analysis for Paper: AIIMS Image Based Test 1 Page 20 of 53
Burn injuries
4
Drowning deaths
Solution
• Wallace rule of nine (image): Degree of burns an be estimated by "the rule of 9", 9% for
head & each upper limb, 9% for the front of each upper limb & 9% for the back of each
lower limb, 9% for the front of chest & 9% back of chest, 9% for front of abdomen, 9% for
back of abdomen, remaining 1% is for genitals.
1
Mitral Stenosis
2
Mitral regurgitation
3
Aortic stenosis
https://medical.prepladder.com/dashboard/?Medical-PG 08-02-2018
Analysis for Paper: AIIMS Image Based Test 1 Page 21 of 53
4
Aortic regurgitation
Solution
Mitral Stenosis:-
Symptoms usually appear when stenosis narrows this to less than 2.5 cm2.
Women with mitral valve area < 1cm2 have the high rate of pulmonary edema (55%) and
arrythmia (33%).
In asymptomatic cases, the mortality is < 1% but once it is significantly symptomatic, mortality
ranges between 5% and 15%.
https://medical.prepladder.com/dashboard/?Medical-PG 08-02-2018
Analysis for Paper: AIIMS Image Based Test 1 Page 22 of 53
1
Progestasert
2
Mirena
3
Lippes loop
4
Vaginal ring
Solution
• 1st generation / non - dedicated / inert IUD contraceptives
• Consists of a thin plastic wire bent in a series of S shapes
https://medical.prepladder.com/dashboard/?Medical-PG 08-02-2018
Analysis for Paper: AIIMS Image Based Test 1 Page 23 of 53
• Needs to be straightened when it is being inserted into the uterus but resumes its shape
once inside
• Intended for long term use until menopause
• No Longer used in India
• IUD with highest failure rate
1
Trichomonas vaginalis
2
Candidiasis
3
Gardnerella vaginalis
4
Gonococcal infection
Solution
Above shown PAP smear shows bacteria lumps which is adhered to macrophages and
neutrophills ,they are called as CLUE CELLS which is seen in bacterial vaginosis.
https://medical.prepladder.com/dashboard/?Medical-PG 08-02-2018
Analysis for Paper: AIIMS Image Based Test 1 Page 24 of 53
1
Microcytic hypothromic anemia
2
Megaloblastic anemia
3
Sideroblastic anemia
4
Hemolytic anemia
Solution
• The presence of macro - ovalocytes red cells is highly characteristic of megaloblastic
anemia
• The reticulocyte count is low
• Nucleated red cell progenitors occasionally appear in the circulating blood when anemia is
severe
• Neutrophils are also macropolymorphonuclear and show nuclear hypersegmentation
(image) having five or more nuclear lobules instead of the normal three to four
https://medical.prepladder.com/dashboard/?Medical-PG 08-02-2018
Analysis for Paper: AIIMS Image Based Test 1 Page 25 of 53
1
Antihelix
2
Helix
3
Both
4
None
Solution
MOZART EAR-DUE TO FUSED HELIX AND ANTIHELIX.
https://medical.prepladder.com/dashboard/?Medical-PG 08-02-2018
Analysis for Paper: AIIMS Image Based Test 1 Page 26 of 53
1
Cullen's sign
2
Rovsing's sign
3
Trousseau sign
4
Kehr's sign
Solution
Kehr's Sign:-
Kehr's sign is the occurrence of acute pain in the tip of the shoulder due to presence of blood or
other irritants in the peritoneal cavity when a person is lying down and the legs are elevated.
Kehr's sign in the left shoulder is considered a classic symptom of a ruptured spleen.
A classic example of referred pain: Irritation of the diaphragm is signaled by the phreni nerve as
pain in the area above the clavicle.
This is because the supraclavicular nerves have the same cervical nerves origin as the phrenic
nerve, C3 and C4.
https://medical.prepladder.com/dashboard/?Medical-PG 08-02-2018
Analysis for Paper: AIIMS Image Based Test 1 Page 27 of 53
1
Screening dental caries
2
Screening Cervical Lymphadenopathy
3
Screening oral cancer
4
Diagnosing Oral cancer
Solution
• Bimanual oral palpation (BMOP) (image) is used for screening oral cancer
• Diagnosis is confirmed by Biopsy
https://medical.prepladder.com/dashboard/?Medical-PG 08-02-2018
Analysis for Paper: AIIMS Image Based Test 1 Page 28 of 53
1
Full immunisation coverage is increased from 65 to 90%.
2
It covers DPT,TB,Mumps
3
Launched in Dec 2014
4
Je and Hib is also included in some states
Solution
https://medical.prepladder.com/dashboard/?Medical-PG 08-02-2018
Analysis for Paper: AIIMS Image Based Test 1 Page 29 of 53
https://medical.prepladder.com/dashboard/?Medical-PG 08-02-2018
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1
Niacin
2
Iron
3
Zinc
4
Selenium
Solution
Acrodermatitis Enteropathica:-
Characteristics:
https://medical.prepladder.com/dashboard/?Medical-PG 08-02-2018
Analysis for Paper: AIIMS Image Based Test 1 Page 31 of 53
1
It produces a neurotoxic venom
2
It produces a haematoxic venom
3
It belongs to elapidae family
4
All are true
Solution
Common cobras are usually brown or black in color
• Head is covered with shields. The third supra-labial shield touches the eye and nose.
• A small wedge shaped scale called as cuneate is present between 4th and 5th infra-labials.
• Hood is present. Dorsal aspect of hood may have monocellate (monocele) or binocellate
(spectacle) mark. Ventral surface of hood have two dark spots
• Tail is cylindrical. Caudal scales (scales on undersurface of tail) are divided and double.
• Venom — neurotoxic.
https://medical.prepladder.com/dashboard/?Medical-PG 08-02-2018
Analysis for Paper: AIIMS Image Based Test 1 Page 32 of 53
1
Spleen
2
Tonsil
3
Lymph node
4
Peyer's patches
Solution
Tonsil: squamous epithelium and lymphoid tissue
https://medical.prepladder.com/dashboard/?Medical-PG 08-02-2018
Analysis for Paper: AIIMS Image Based Test 1 Page 33 of 53
A 72 year old female has been feeling fatigued for weeks. She has had a 10kg weight loss in the
past couple of months. She has some nausea, but no vomiting, hemoptysis, or hematemesis. She
does not have a cough. She is afebrile.
1
Hepatic Adenomas
2
Metastatic Adenocarcinoma
3
Multifocal Biliary Tract Dysplasia
4
Hepatocellular Carcinoma
Solution
The multiple mass lesions seen here are characteristic for metastases, and a common primary
site would be the colon. Nearly all solid tumors can potentially give rise to liver metastases;
primary cancers of the gastrointestinal tract (colon, pancreas, esophagus, stomach,
neuroendocrine), breast, lung, genitourinary system (kidney, adrenal), ovary and uterus,
melanoma, and sarcomas account for the overwhelming majority of cases. Spread to the liver
may be via the systemic or portal venous circulation. The cirrhotic liver, which often gives rise to
primary hepatic tumors, seems to be less susceptible than normal liver to implantation of
metastases. Individual tumor types have characteristic patterns of spread. For example, colorectal
cancer spreads to the liver as the first site of metastatic disease in a very high proportion of
patients; the lung is the next most common site, but bone, brain, or adrenal metastases are
distinctly unusual. In general, the vast majority of patients with metastases to the liver also have
disease at other sites. A notable exception is colorectal cancer, which in many cases involves the
liver only for a prolonged period. Symptoms & signs: Weight loss, fatigue, pain, and anorexia are
the presenting general complaints in many such patients. Signs of liver failure, such as ascites
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Analysis for Paper: AIIMS Image Based Test 1 Page 34 of 53
and jaundice, are uncommon and suggestive of very advanced cancer. Imaging: The detection of
liver metastases relies on CT and/or MRI scans; ultrasonography will identify tumors in the liver
and will distinguish solid from cystic lesions but cannot provide the same degree of anatomical
detail. Treatment: For most patients with metastatic liver disease, chemotherapy is the only
treatment option, particularly with coexisting metastases outside the liver. Such therapy is usually
not curative but rather palliative in most cases. A notable exception is metastatic colorectal
cancer, for which resection or other treatments aimed at the liver disease are effective and
potentially curative.
Ref: Jarnagin W.R. (2010). Chapter 24. Liver & Portal Venous System. In G.M. Doherty (Ed),
CURRENT Diagnosis & Treatment: Surgery, 13e.
Diagnosis is ?
1
Kawasaki disease
2
Scarlet fever
3
Fifth disease
4
Chicken pox
Solution
STRAWBERRY TONGUE + SAND PAPER RASH + SLAPPED CHEEK APPEARANCE=
SCARLET FEVER.
https://medical.prepladder.com/dashboard/?Medical-PG 08-02-2018
Analysis for Paper: AIIMS Image Based Test 1 Page 35 of 53
1
Nevus of Ota
2
Nevus of Ito
3
Mongolian spot
4
Dermal Melanocyte Hamartoma
https://medical.prepladder.com/dashboard/?Medical-PG 08-02-2018
Analysis for Paper: AIIMS Image Based Test 1 Page 36 of 53
Solution
Description:Nevus of Ota is characterized by blue-black or gray-brown dermal melanocytic
pigmentation and typically occurs in areas innervated by the first and second branches of the
trigeminal nerve. Mucosal pigmentation may involve conjunctiva, sclera, and tympanic membrane
or other sites. It is has female predominance, and is usually congenital.
Nevus of Ito can be considered as a variant of nevus of Ota but it involves the acromioclavicular
and deltoid region.
Ref: Wolff K, Johnson R, Saavedra AP. Section 9. Benign Neoplasms and Hyperplasias. In: Wolff
K, Johnson R, Saavedra AP. eds. Fitzpatrick's Color Atlas and Synopsis of Clinical Dermatology,
7e.
1
Radial nerve palsy
2
Ulnar nerve palsy
3
Median nerve palsy
4
Brachial plexus injury
Solution
Splints:
https://medical.prepladder.com/dashboard/?Medical-PG 08-02-2018
Analysis for Paper: AIIMS Image Based Test 1 Page 37 of 53
Deltoid palsy
Wrist drop
Foot drop
Posterior
Interosseous nerve
Anterior
Interosseous nerve
https://medical.prepladder.com/dashboard/?Medical-PG 08-02-2018
Analysis for Paper: AIIMS Image Based Test 1 Page 38 of 53
1
Nucleus
2
Motility
3
Capsule
4
Ribosomes
Solution
• Capsules of bacteria may be demonstrated by negative staining in wet films with India Ink,
when they are seen as clear halos around bacteria, against a black background (image).
https://medical.prepladder.com/dashboard/?Medical-PG 08-02-2018
Analysis for Paper: AIIMS Image Based Test 1 Page 39 of 53
1
Titin
2
Actinin
3
Tropomyosin
4
Desmin
Solution
Tromyosin:-
They are long filaments located in the groove between two chains in the actin.
It covers the binding site of actin where myosin head comes in contact with actin.
1
Normal lower oesophagus
https://medical.prepladder.com/dashboard/?Medical-PG 08-02-2018
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Stomach
3
Barrets oesophagus
4
Intestinal epithelium
Solution
Baretts oesophagus: Intestinalisation of lower esophagus and act as a precursor for
adenocarcinoma oesophagus.
1
Siegel's pneumatic speculum
2
Vienna nasal speculum
3
Thudicum nasal speculum
4
Beckmann nasal speculum
https://medical.prepladder.com/dashboard/?Medical-PG 08-02-2018
Analysis for Paper: AIIMS Image Based Test 1 Page 41 of 53
Solution
• Vienna Nasal Speculum (Image) : An intranasal instrument used to retract and expose
nasal tissue for examination.
1
Yersinia
2
Vibrio parahaemolyticus
3
Campylobacter granulomatis
4
Haemophilus aegypticus
Solution
https://medical.prepladder.com/dashboard/?Medical-PG 08-02-2018
Analysis for Paper: AIIMS Image Based Test 1 Page 42 of 53
1
Cystic adenomatous malformation
2
Cystic fibrosis
3
Bronchogenic carcinoma
4
Tuberculosis
Solution
Central Bronchiectasis
https://medical.prepladder.com/dashboard/?Medical-PG 08-02-2018
Analysis for Paper: AIIMS Image Based Test 1 Page 43 of 53
1
RBC
2
Monocyte
3
Eosinophil
4
Neutrophil
Solution
Eosinophil:-
https://medical.prepladder.com/dashboard/?Medical-PG 08-02-2018
Analysis for Paper: AIIMS Image Based Test 1 Page 44 of 53
Diagnosis is?
1
Partial mole
2
Complete mole
3
Invasive mole
4
Choriocacinoma
Solution
Complete mole- snow storm appearance on usg.
https://medical.prepladder.com/dashboard/?Medical-PG 08-02-2018
Analysis for Paper: AIIMS Image Based Test 1 Page 45 of 53
1
Scleroderma
2
SLE
3
Juvenile dermatomyositis
4
Takayasu arteritis
Solution
Juvenile Dermatomyositis:-
Gottron's papules:
Scaly erythematous eruptions or red patches overlying the knuckles, elbows and knees.
https://medical.prepladder.com/dashboard/?Medical-PG 08-02-2018
Analysis for Paper: AIIMS Image Based Test 1 Page 46 of 53
1
Osteosarcoma
2
Giant cell tumour
3
Ewing's sarcoma
4
Osteoid osteoma
Solution
Ewing's Sarcoma:-
Highly malignant tumor occurring between the age of 10-20 years, sometimes upto 30 years.
Radiological features in a typical case, there is a lytic lesion in the medullary zone of the mid-shaft
of a long bone, with cortical destruction and new bone formation in layers- Onion Peel
appearance.
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Analysis for Paper: AIIMS Image Based Test 1 Page 47 of 53
1
Wuchereria bancrofti
2
Brugia malayi
3
Mansonella perstans
4
Mansonella ozzardi
Solution
W. BANCROFTI - THEY HAVE OUTLINE OF SHEATH , NO NUCLEUS AT THE TIP AND WELL
DEFINED NUCLEUS.
B. MALAYI- SHEATH , 2 NUCLEI AT THE TIP , BODY IS KINKED AND NUCLEI IS DENSE.
1
Panniculitis
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Nodular vasculitis
3
Polyarteritis nodosa
4
Pyoderma gangrenosum
Solution
Polyarteritis Nodosa (PAN):
• Segmental vasculitis affecting primarily medium sized vessels, including small arteries in
the deep dermis and subcutis.
• Tender subcutaneous nodules along line of arteries.
• Favors middle-aged adults (men>women), but can occur at any age.
1
These are inserted transabdominally
2
A minimum period of 3 months is required for complete blockage of fallopian
tube
3
They do not prevent STD
4
A HSG should be done to confirm blockage of tube
Solution
Essure: A permanent sterilization procedure for women (USA).
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– Mechanism of action:
- Micro-inserts are placed into fallopian tubes by a catheter passed from vagina through cervix
and uterus.
- Once in place, the device is designed to elicit tissue growth (scarring) in & around micro-insert to
form over a period of 3 months an occlusion/blockage in fallopian tubes.
1
Thalidomide
2
Rifampicin
3
Dapsone
4
Prednisolone
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Solution
Erythema Nodosum Leprosum:-
Features: Tender, Reddish and transient skin nodules, occasionally painful and swollen nerves,
fever, joint pains and malaise.
1
Sodium
2
Potassium
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Chloride
4
Proteins
Solution
• Relationship between measurement of vitreous (arrow in image) potassium concentration &
time elapsed after death up to 120 hours has a linear relation.
• Rise in mainly due to diffusion from the retina into the center of globe, even there is a liner
rise of hypoxanthine up to 120 hours.
1
Enteric fever
2
Dengue hemorrhagic fever
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Meningococcemia
4
Scrub typhus
Solution
• It is not enteric fever: Symptoms don't suggest enteric fever
• Scrub typhus patient will show eschar and regional lymphadenopathy
• Hypotension and failure is generally a late sign of meningococcemia
1
Repeated blood transfusions
2
Vitamin B12 Supplementation
3
Chelation therapy
4
Bone marrow transplant
Solution
The given peripheral smear shows basophilic stippling, and is a sign of lead poisoning in a factory
worker. Preferred treatment is Chelation therapy.
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