Saturday, March 26, 2016

MCQ 3126 - 3150 ( With Answer )

Q.No. 3126 ::
CARDIOLOGY MCQ
What is the term used to describe an 'enlargement of the heart muscle' ?
a. Cardiomegaly
b. Cardiomyopathy
c. Myocarditis
d. Pericarditis
[ Ans : a. Cardiomegaly ]

Q.No. 3127 ::
CARDIOLOGY MCQ

What is the most common complication of a myocardial infarction?
a. Cardiogenic shock
b. Heart failure
c. Arrhythmias
d. Pericarditis
[ Ans : c. Arrhythmias ]

Q.No. 3128 ::
CARDIOLOGY MCQ

Dyspnea, cough, expectoration, weakness, and edema are classic signs and symptoms of which of
the following conditions?
a. Pericarditis
b. Hypertension
c. Obliterative
d. Restricitve
[ Ans : d. Restricitve ]

Q.No. 3129 ::
GYN/OBS MCQ

At term amniotic fluid volume is :
a. 800 ml
b. 600 ml
c. 200 ml
d. 500 ml
[ Ans : a. 800 ml ]

Q.No. 3130 ::
GYN/OBS MCQ

What happens to GFR in a case of Pre-eclampsia :
a. Increase
b. Decrease
c. Remain same
d. None
[ Ans : b. GFR Decrease ]

Related Article :
MCQ 3004 - 3018 ( with answer )
MCQ 3101 - 3125 ( With Answer )

Saturday, March 19, 2016

Child Immunization Schedule of Nepal

                National Immunization Program (NIP) is the priority 1 (P1) program. Since the inception of immunization program (Expanded program on immunization 2034 BS) to the date it has been an established and successfully public health intervention.

Nepal has achieved Polio free status in 27th March 2014, sustained maternal and neonatal tetanus elimination since 2005, and Japanese encephalitis is in control status and conducting measles case based surveillance to meet the target of elimination by 2019.


Immunization Schedule of Nepal :

Friday, March 18, 2016

Ranitidine (Histamine H2 Antagonists)

                    Ranitidine is in a group of drugs called histamine-2 blockers. Ranitidine works by reducing the amount of acid your stomach produces. Ranitidine is used to treat and prevent ulcers in the stomach and intestines, Zollinger-Ellison syndrome, gastroesophageal reflux disease (GERD) and other conditions in which acid backs up from the stomach into the esophagus, causing heartburn.

Mechanism Of Action
Competitively inhibits the action of histamine at the histamine2 (H2) receptors of the parietal cells of the stomach, inhibiting basal gastric acid secretion and gastric acid secretion that is stimulated by food, insulin, histamine, cholinergic agonists, gastrin, and pentagastrin.

Indication
1. Duodenal ulcer
2. Gastroesophageal Reflux Disease (GERD)
3. Pathologic hypersecretory conditions (eg, Zollinger-Ellison syndrome)

Contraindication
1. Allergy to ranitidine
2. Lactation
3. Impaired renal or hepatic function

Lisinopril (ACE inhibitor)

                Lisinopril is an ACE inhibitor. ACE stands for angiotensin converting enzyme. Lisinopril is used to treat high blood pressure (hypertension) or congestive heart failure. It is also used to improve survival after a heart attack.

Mechanism Of Action
Renin, synthesized by the kidneys, is released into the circulation where it acts on a plasma precursor to produce angiotensin I, which is converted by angiotensin-converting enzyme to angiotensin II, a potent vasoconstrictor that also causes release of aldosterone from the adrenals. Lisinopril blocks the conversion of angiotensin I to angiotensin II, leading to decreased BP, decreased aldosterone secretion, a small increase in serum potassium levels, and sodium and fluid loss.

Indications
1. Hypertension
2. Congestive Heart Failure
3. Myocardial Infarction
4. Diabetic Nephropathy

Thursday, March 10, 2016

Psoriasis ( Question & Answer )

1. What is Psoriasis ?
--> Psoriasis is red and scaly chronic skin condition of Unknown cause.

2. Who gets it ?
--> About 30% of people with psoriasis have a family history of the condition.
--> It affects 1% to 2% of the world's population.
--> Psoriasis most frequently begins in the 20s or 30s, but it can first be seen in infants or in elderly persons.

3. What causes it ?
--> Psoriasis is now considered to be an immunological disease.
--> The exact cause is unknown; however, we do know that spots (psoriatic lesions) result from an increase in epidermal cell division.


4. What are the symptoms of Psoriasis ?
--> Psoriasis generally is symptom free, but it can become quite itchy and uncomfortable, particularly during acute flares or when it involves the scalp or skin fold regions.
--> A person who has psoriasis is mainly concerned about the appearance of the skin.