Description : Increased serum ornithine carabamoyl transferase activity is diagnostic of (A) Myocardial infarction (B) Hemolytic jaundice (C) Bone disease (D) Acute viral hepatitis
Last Answer : Answer : D
Description : On the third day following onset of acute myocardial infarction, which enzyme estimation will have the best predictive value? (A) Serum AST (B) Serum CK (C) Serum ALT (D) Serum LDH
Description : On the third day of onset of acute myocardial infarction the enzyme elevated is (A) Serum AST (B) Serum CK (C) Serum LDH (D) Serum ALT
Last Answer : Answer : C
Description : What is the advantage of CK estimation over LDH estimation to identify myocardial infarction?
Last Answer : The CK level starts to rise within three hours of infarction. Therefore, CK estimation is very useful to detect early cases, where ECG changes may be ambiguous. The CK level is not increased in hemolysis or in congestive cardiac failure; and therefore CK has an advantage over LDH.
Description : Serum lactate dehydrogenase rises in (A) Viral hepatitis (B) Myocardial infarction (C) Carcinomatosis (D) All of these
Description : Serum gamma glutamyl transpeptidase is raised in (A) Haemolytic jaundice (B) Myocardial infarction (C) Alcoholic hepatitis (D) Acute cholecystitis
Description : Cardiac muscle contains which of the following CK osoenzyme? (A) BB only (B) MM and BB only (C) MM, BB and MB (D) MM and MB only ENZYMES 169
Description : The CK isoenzymes present in cardiac muscle is (A) BB and MB (B) MM and MB (C) BB only (D) MB only
Last Answer : Answer : B
Description : Serum lipase is increased in (A) Acute parotitis (B) Acute pancreatitis (C) Infective hepatitis (D) Biliary obstruction
Last Answer : Answer : A
Description : The slow moving fraction of LDH is typically increased in pancreas with (A) Cerebrovascular accidents (B) Acute myocardial infarction (C) Acute pancreatitis (D) Acute viral hepatits
Description : Which of the following is TRUE in regard to high risk patient?** A. 0.1ml of blood from Hepatitis B carrier is less infective than 0.1ml of blood from HIV patient B. 0.1ml of blood from ... B patient E. The presence of Hepatitis B core Antigen in the blood means that active disease is not present
Last Answer : B carrier is more infective than 0.1ml of blood from HIV patient C. Level of virus are similar in the blood and saliva of HIV patient
Description : Streptokinase therapy of myocardial infarction is contraindicated in the presence of the following except: A. Peptic ulcer B. Ventricular extrasystoles C. History of recent trauma D. Severe hypertension
Last Answer : B. Ventricular extrasystoles
Description : Low dose subcutaneous heparin therapy is indicated for: A. Prevention of leg vein thrombosis in elderly patients undergoing abdominal surgery B. Ischaemic stroke C. Patients undergoing neurosurgery D. Prevention of extention of coronary artery thrombus in acute myocardial infarction
Last Answer : A. Prevention of leg vein thrombosis in eld
Description : Consumption of alcoholic beverages in moderate amounts can be allowed for the following category of subjects: A. Epileptics B. Patients with history of myocardial infarction C. Gastroesophageal reflux patients D. Pregnant women
Last Answer : B. Patients with history of myocardial infarction
Description : Creatine phosphokinase isoenzyme is a marker for (A) Kidney disease (B) Liver disease (C) Myocardial infarction (D) None of these
Description : LDH1 and LDH2 are elevated in (A) Myocardial infarction (B) Liver disease (C) Kidney disease (D) Brain disease
Description : The isoenzymes LDH5 is elevated in (A) Myocardial infarction (B) Peptic ulcer (C) Liver disease (D) Infectious diseases
Description : Serum acid phosphatase level increases in (A) Metastatic carcinoma of prostate (B) Myocardial infarction (C) Wilson’s disease (D) Liver diseases
Description : Health benefits afforded by the combined estrogenprogestin oral contraceptive pill include the following except: A. Reduced menstrual blood loss B. Lower risk of fibrocystic breast disease C. Lower risk of myocardial infarction D. Lower risk of endometrial carcinoma
Last Answer : . Lower risk of myocardial infarction
Description : Which of the following statements regarding cytokines is incorrect? A. Cytokines act directly on target cells and may potentiate the actions of one another. B. Interleukin 1 (IL-1) ... organ dysfunction syndrome because of its multiple actions and the secondary cascades that it stimulates.
Last Answer : Answer: C DISCUSSION: Cytokines are soluble peptide molecules that are synthesized and secreted by a number of cell types in response to injury, inflammation, and infection. Cytokines, which ... is thought to play a central role in the stress response, particularly in response to endotoxemia
Description : Higher incidence of myocardial infarction and increased mortality has been noted with the use of the following antihypertensive drug (a) Nifedipine (b) Verapamil (c) Diltiazem (d) Lisinopril
Last Answer : Ans: A
Description : Addition of a progestin for 10-12 days each month to estrogen replacement therapy in menopausal women is recommended because the progestin: A. Blocks the increased risk of myocardial ... vulval atrophy occurring in postmenopausal women D. Enhances the metabolic benefits of estrogen treatment
Last Answer : The estrogen commonly used for hormone replacement therapy in menopausal women is: A. Ethinylestradiol B. Estradiol benzoate C. Diethylstilbestrol D. Conjugated estrogens
Description : On which day following acute myocardial infarction the estimation of serum AST will be of greatest significance? (A) First day (B) Second day (C) Third day (D) Fourth day
Description : Serum AST activity is not characteristically elevated as the result of (A) Myocardial infarction (B) Passive congestion of liver (C) Muscular dystrophies (D) Peptic ulcer
Description : Which of the following isoenzyme of lactate dehydrogenase is raised in serum in myocardial infarction: (A) LD1 (B) LD2 (C) LD1 and LD2 (D) LD5
Description : From the following myocardial infarction, the earliest serum enzyme to rise is (A) Creatine Kinase (B) GOT (C) GPT (D) LDH
Description : Which of the following serum enzyme rises in myocardial infarction: (A) Creatine kinase (B) GOT (C) LDH (D) All of these
Description : What is the advantage of cardiac troponin I over other parameters to identify the myocardial infarction?
Last Answer : Cardiac Troponin I is released into the blood within four hours after the onset of cardiac symptoms, peaks at 12-16 hours and remains elevated for 5-9 days post-infarction. Therefore, CTI is ... marker at any time interval after the heart attack. It is 75% sensitive index for myocardial infarction.
Description : What are the serum enzymes helpful in the diagnosis of myocardial infarction?
Last Answer : Lactate dehydrogenase (LDH) H4 iso-enzyme, creatine kinase (CK) CK MB iso-enzyme and aspartyl transaminase (AST).
Description : How do you further investigate for myocardial infarction?
Last Answer : LDH-1 (H4) iso-enzyme is increased.
Description : Assertion `:` Myocardial infarction oftern results from a sudden decrease in coronary blood supply resulting in decreased oxygen supply. Reason `:` Th
Last Answer : Assertion `:` Myocardial infarction oftern results from a sudden decrease in coronary blood supply ... If both Assertion & Reason are false.
Description : In parkinsonian patients levodopa exerts the following effects except: A. Reduces skeletal muscle contractility B. Decreases muscle tone C. Increases locomotor activity D. Inhibits muscle tremor
Last Answer : A. Reduces skeletal muscle contractility
Description : Infectious disease transmission during blood transfusions is of clinical significance to surgeons and of major importance to patients contemplating surgery potentially associated with the need for ... transmission in blood transfusions is significantly less than the risk of hepatitis transmission
Last Answer : Answer: c, d The most common infectious diseases transmitted during blood transfusions include viral hepatitis, CMV, and HIV infection. Post-transfusion hepatitis in 90% of cases consists of ... infectious disease transmission, the risks of HIV transmission is markedly less than that of hepatitis
Description : Creatine kinase (CK) level in serum is increased in which conditions?
Last Answer : Myocardial infarction, muscular dystrophies.
Description : BMR is increased in (A) Endemic goitre (B) Thyrotoxicosis (C) Myxoedema (D) Cretinism
Description : Radioactive iodine uptake by thyroid gland is increased in (A) Endemic goitre (B) Hyperthyroidism (C) Myxoedema (D) Creatinism
Description : Most fatal thrombosis leading to myocardial infarction is of
Last Answer : Most fatal thrombosis leading to myocardial infarction is of A. Right circumflex coronary ... descending artery D. Left circumflex coronary artery
Description : A patient of acute myocardial infarction being treated in intensive care unit developed left ventricular failure with raised central venous pressure. It was decided to use glyceryl trinitrate. Which route/ ... (a) Sublingual (b) Oral (c) Intravenous bolus injection (d) Slow intravenous infusion
Last Answer : Ans: D
Description : Lidocaine is the preferred antiarrhythmic for emergency control of cardiac arrhythmias following acute myocardial infarction because (a) It has a rapidly developing and titratable antiarrhythmic action (b) It casues ... efficacy in atrial as well as ventricular arrhythmias (d) Both (a) and (b)
Description : What drug is used to prevent embolism in the lung and during myocardial infarction? (a) Alteplase (b) Human growth hormone (c) Granulocyte–macrophage colony – stimulating factor (GM–CSF) (d) EPOGEN (EPO) (e) None of the above
Description : If a fibrinolytic drug is used for treatment of acute myocardial infarction, the adverse drug effect that is most likely to occur is (a) Acute renal failure (b) Development of antiplatelet antibodies (c) Encephalitis secondary to liver dysfunction (d) Hemorrhagic stroke (e) Neutropenia
Description : Which of the following statements are true of coronary artery anatomy? A. Right bundle branch block in acute anterior myocardial infarction suggests obstruction prior to the first septal branch of the left ... the left anterior descending coronary artery. E. The left main stem is about 4 cm long
Description : Life threatening risks of anesthesia include all except A. Hypoxic brain injury B. Myocardial infarction C. Postoperative nausea and vomiting D. Cerebrovascular accident
Last Answer : Ans: C
Description : Streptokinase is a substance used in the treatment of acute myocardial infarction. How does this substance act?
Last Answer : Substances known as fibrinolytics, like streptokinase and urokinase, can destroy thrombi (clots formed inside blood vessels, capillaries or within the heart chambers) and are used in the treatment ... comes after the bacteria that produce it, the streptococci. Learn the Concept of Homeostasis Here
Description : A patient brought to a hospital with myocardial infarction is normally immediately given (a) penicillin (b) streptokinase (c) cyclosporin-A (d) statins.
Last Answer : (b) streptokinase
Description : In order to be effective, Percutaneous Transluminal Coronary Angioplasty (PTCA) must be performed within what time frame, beginning with arrival at the emergency department after diagnosis of myocardial ... during which streptokinase will not be used again in the same patient for acute MI.
Last Answer : a) 60 minutes The sixty minute interval is known as “door to balloon time” for performance of PTCA on a diagnosed MI patient.
Description : A patient has developed a sever chest pain and difficulties in breathing while in the dental chair. Your initial response is: a. Administer glycerine trinitrate and monitor patient in upright ... required until confirmed as MI by ECG d. Patient has myocardial infarction as confirmed by ECG
Last Answer : a. Administer glycerine trinitrate and monitor patient in upright position.
Description : A patient has developed a sever chest pain and difficulties in breathing while in the dental chair. Your initial response is: A. Administer glycerine trinitrate and monitor patient in upright ... required until confirmed as MI by ECG D. Patient has myocardial infarction as confirmed by ECG
Last Answer : A. Administer glycerine trinitrate and monitor patient in upright position
Description : The preferred route of administration of streptokinase in acute myocardial infarction is: A. Intravenous B. Subcutaneous C. Intracoronary
Last Answer : A. Intravenous
Description : Thrombolytic therapy instituted within 3-6 hours of onset of acute myocardial infarction affords the following benefit(s): A. Reduces mortality B. Reduces area of myocardial necrosis C. Preserves ventricular function D. All of the above
Last Answer : D. All of the above