Friday, September 16, 2016

Causes Of Carpal Tunnel Syndrome

                        Carpal tunnel syndrome is numbness, tingling, weakness, and other problems in your hand because of pressure on the median nerve in your wrist. The median nerve and several tendons run from your forearm to your hand through a small space in your wrist called the carpal tunnel .

The Causes Carpal Tunnel Syndrome are :

              MEDIAN TRAP
Edema premenstrually
Rheumatoid arthritis

Saturday, March 26, 2016

MCQ 3126 - 3150 ( With Answer )

Q.No. 3126 ::
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 ::

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 ::

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 ::

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 ::

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.

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

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.

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