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  • Question 1 - Heart rate can be slowed by: ...

    Incorrect

    • Heart rate can be slowed by:

      Your Answer: Hypoxia

      Correct Answer: Grief

      Explanation:

      Grief stimulates the parasympathetic nervous system, resulting in a decrease in the heart rate.

    • This question is part of the following fields:

      • Cardiovascular
      • Medicine
      2.8
      Seconds
  • Question 2 - The predominant site in the lymph node where T lymphocytes are found is:...

    Incorrect

    • The predominant site in the lymph node where T lymphocytes are found is:

      Your Answer: Cortex

      Correct Answer: Paracortex

      Explanation:

      Paracortex is found between the cortex and the medulla and it is composed of a non-nodular type of arrangement that is mostly made up of T cells.

    • This question is part of the following fields:

      • Immunology
      • Medicine
      6.6
      Seconds
  • Question 3 - The steps of cardiac cycle in sequence are: ...

    Correct

    • The steps of cardiac cycle in sequence are:

      Your Answer: Isovolumic contraction, ejection, isovolumic relaxation, passive ventricular filling, active ventricular filling.

      Explanation:

      The cardiac cycle refers to a complete heartbeat from its generation to the beginning of the next beat, and so includes the diastole, the systole, and the intervening pause.1st stage: diastole, or passive filling is when the semilunar valves (the pulmonary valve and the aortic valve) close, the atrioventricular (AV) valves (the mitral valve and the tricuspid valve) open, and the whole heart is relaxed. 2nd stage: atrial systole, is when the atrium contracts, and blood flows from atrium to the ventricle (active filling).3rd stage: isovolumic contraction is when the ventricles begin to contract, the AV and semilunar valves close, and there is no change in volume. 4th stage: ventricular ejection, is when the ventricles are contracting and emptying, and the semilunar valves are open. 5th stage: isovolumic relaxation time, pressure decreases, no blood enters the ventricles, the ventricles stop contracting and begin to relax, and the semilunar valves close due to the pressure of blood in the aorta.

    • This question is part of the following fields:

      • Cardiovascular
      • Medicine
      14.2
      Seconds
  • Question 4 - Cholinergic nerves from the vagus innervate the SA and AV nodes via which...

    Correct

    • Cholinergic nerves from the vagus innervate the SA and AV nodes via which receptor in the heart?

      Your Answer: M2 receptor

      Explanation:

      M2 receptor is found in the heart. M3 and M4 are associated with smooth muscle.

    • This question is part of the following fields:

      • Cardiovascular
      • Medicine
      7.2
      Seconds
  • Question 5 - In the olfactory pathway: Mitral cells project to five regions of the olfactory...

    Incorrect

    • In the olfactory pathway: Mitral cells project to five regions of the olfactory cortex. Which one of the following is not one of the five regions?

      Your Answer: Entorhinal cortex

      Correct Answer: Posterior olfactory nucleus

      Explanation:

      The olfactory system contains peripheral and central divisions which are connected by transduction structures. Peripheral division consists mainly of the nostrils, ethmoid bone, nasal cavity, and the olfactory epithelium. Olfactory neurons are receptor cells in the epithelium that detect odour molecules dissolved in the mucus and transmit information about the odour to the brain in a process called sensory transduction. Olfactory nerves and fibers transmit information about odours from the peripheral olfactory system to the central olfactory system of the brain. The main olfactory bulb transmits pulses to both mitral and tufted cells, which help determine odour concentration. These cells also note differences between highly similar odours and use that data to aid in later recognition. The cells are different with the mitral having low firing-rates and being easily inhibited by neighbouring cells, while tufted have high rates of firing and are more difficult to inhibit. The uncus houses the olfactory cortex which includes the piriform cortex, amygdala, olfactory tubercle, and para-hippocampal gyrus. Entorhinal cortex is an area of middle temporal lobe that has connection with the para-hippocampal gyrus.

    • This question is part of the following fields:

      • Medicine
      • Neurology
      7.9
      Seconds
  • Question 6 - A 39 year old woman with a history of rheumatoid arthritis has recently...

    Incorrect

    • A 39 year old woman with a history of rheumatoid arthritis has recently been switched from methotrexate to leflunomide. Monitoring of full blood count and LFTs has been carried out. Which of the following parameters should also be monitored in this case?

      Your Answer: Peak expiratory flow rate

      Correct Answer: Blood pressure

      Explanation:

      Blood pressure should be routinely measured as leflunomide may cause hypertension and thus an increase in BP. It doesn’t cause changes in blood sugar levels, peak expiratory flow rate or haematuria.

    • This question is part of the following fields:

      • Connective Tissue
      • Medicine
      14.7
      Seconds
  • Question 7 - Closure of the tricuspid valve is marked by which of the following features...

    Correct

    • Closure of the tricuspid valve is marked by which of the following features of the jugular venous waveform?

      Your Answer: c wave

      Explanation:

      The jugular venous pressure (JVP) classically has three upward deflections and two downward deflections. The upward deflections are the a (atrial contraction), c (ventricular contraction and resulting bulging of tricuspid into the right atrium during isovolumetric systole) and v = venous filling. The downward deflections of the wave are the x (the atrium relaxes and the tricuspid valve moves downward) and the y descent (filling of ventricle after tricuspid opening).

    • This question is part of the following fields:

      • Cardiovascular
      • Medicine
      4.2
      Seconds
  • Question 8 - In the life cycle of plasmodium species: ...

    Incorrect

    • In the life cycle of plasmodium species:

      Your Answer: Trophozoites mature into male and female gametocytes

      Correct Answer: Merozoites are released from the liver and enter the red blood cell

      Explanation:

      Plasmodium is a genus of parasitic protozoa, many of which cause malaria in their hosts. The parasite always has two hosts in its life cycle: a Dipteran insect host and a vertebrate host. Sexual reproduction always occurs in the insect, making it the definitive host.The life-cycles of Plasmodium species involve several different stages both in the insect and the vertebrate host. These stages include sporozoites, which are injected by the insect vector into the vertebrate host’s blood. Sporozoites infect the host liver, giving rise to merozoites and (in some species) hypnozoites. These move into the blood where they infect red blood cells. In the red blood cells, the parasites can either form more merozoites to infect more red blood cells, or produce gametocytes which are taken up by insects which feed on the vertebrate host. In the insect host, gametocytes merge to sexually reproduce. After sexual reproduction, parasites grow into new sporozoites, which move to the insect’s salivary glands, from which they can infect a vertebrate host bitten by the insect.

    • This question is part of the following fields:

      • Infectious Diseases
      • Medicine
      15.8
      Seconds
  • Question 9 - A 60-year-old male is under treatment with azathioprine after a renal transplant. During...

    Incorrect

    • A 60-year-old male is under treatment with azathioprine after a renal transplant. During his review, he complains of pain and swelling over his left great toe. Investigations reveal hyperuricemia. Suspecting gout, he was started on allopurinol. Subsequently, he develops aplastic anaemia. Which of the following is the most appropriate reason for his bone marrow failure?

      Your Answer: Azathioprine toxicity

      Correct Answer: Mercaptopurine toxicity

      Explanation:

      The cause for bone marrow suppression in this patient is most probably mercaptopurine toxicity.Azathioprine is metabolized to 6-mercaptopurine (6-MP), which itself is metabolized by xanthine oxidase. Xanthine oxidase inhibition by allopurinol leads to the accumulation of 6-MP which then precipitates bone marrow failure. This may be potentially fatal if unrecognized.Clinical presentation:Toxicity symptoms include gastrointestinal symptoms, bradycardia, hepatotoxicity, myelosuppression.

    • This question is part of the following fields:

      • Medicine
      • Pharmacology
      17.6
      Seconds
  • Question 10 - Cholinergic neurons that pass into a retrograde direction activate neurons that release: ...

    Incorrect

    • Cholinergic neurons that pass into a retrograde direction activate neurons that release:

      Your Answer: Acetyl choline

      Correct Answer: Substance P and acetyl choline

      Explanation:

      Serotonin activates sensory neurons that activate the myenteric plexus. Cholinergic neurons passing in a retrograde direction in the myenteric plexus activate neurons that release substance P and acetylcholine, causing smooth muscle contraction.

    • This question is part of the following fields:

      • Gastrointestinal
      • Medicine
      20.9
      Seconds
  • Question 11 - Cranial nerves VI, VII, VIII enter/exit the base of the brain at the:...

    Correct

    • Cranial nerves VI, VII, VIII enter/exit the base of the brain at the:

      Your Answer: Ponto-medullary junction

      Explanation:

      Cranial nerves III, IV and V exit from the pons, VI, VII, VIII exit from the pontomedullary junction and cranial nerve IX, X, XI, XII exit from the medulla.

    • This question is part of the following fields:

      • Medicine
      • Neurology
      2.2
      Seconds
  • Question 12 - Regarding cardiac contractility, catecholamines exert their inotropic effect via: ...

    Correct

    • Regarding cardiac contractility, catecholamines exert their inotropic effect via:

      Your Answer: Î’1-adrenergic receptors and gs

      Explanation:

      Catecholamines exert their inotropic effect on the heart via the B1 adrenergic receptors and Gs, stimulating adenyl cyclase and increasing the production of cAMP.

    • This question is part of the following fields:

      • Cardiovascular
      • Medicine
      8.5
      Seconds
  • Question 13 - The thalamus is a large collection of neuronal groups within the diencephalons which...

    Correct

    • The thalamus is a large collection of neuronal groups within the diencephalons which participates in:

      Your Answer: Sensory, motor and limbic

      Explanation:

      The thalamus has multiple functions. It is the relay station for every sensory system (except olfactory, regulates the sleep-wake cycle and consciousness and also relays motor information.

    • This question is part of the following fields:

      • Medicine
      • Neurology
      3.6
      Seconds
  • Question 14 - Which segment of the nephron is impermeable to water? ...

    Correct

    • Which segment of the nephron is impermeable to water?

      Your Answer: Ascending limb of Henle

      Explanation:

      Considerable differences aid in distinguishing the descending and ascending limbs of the loop of Henle. The descending limb is permeable to water and noticeably less permeable to salt, and thus only indirectly contributes to the concentration of the interstitium. Unlike the descending limb, the thin ascending limb is impermeable to water, a critical feature of the counter current exchange mechanism employed by the loop.

    • This question is part of the following fields:

      • Medicine
      • Renal
      2.6
      Seconds
  • Question 15 - Regarding Southern Blotting and DNA probes, which answer is FALSE ...

    Correct

    • Regarding Southern Blotting and DNA probes, which answer is FALSE

      Your Answer: RNA fragments are separated by gel electrophoresis and transferred onto membrane sheets in southern blotting

      Explanation:

      Restriction enzymes always cut at different positions. There are different restriction endonucleases for different nucleotide sequences.

    • This question is part of the following fields:

      • Genetics
      • Medicine
      5.9
      Seconds
  • Question 16 - Which of the following is the most common clinical feature of carbon monoxide...

    Correct

    • Which of the following is the most common clinical feature of carbon monoxide poisoning?

      Your Answer: Headache

      Explanation:

      Carbon monoxide (CO) poisoning:It is considered as the great imitator of other diseases as the patients present with a myriad of symptoms. The carbon monoxide diffuses rapidly across the pulmonary capillary membrane binding to the haem molecule with a very high affinity (240 times that of oxygen) forming carboxy-haemoglobin (COHb). Non-smokers have a baseline COHb of ,3% while smokers have a baseline COHb of 10-15%.Clinical features of carbon monoxide toxicity:Headache: 90% of cases (most common clinical feature)Nausea and vomiting: 50%Vertigo: 50%Confusion: 30%Subjective weakness: 20%Severe toxicity: ‘pink’ skin and mucosa, hyperpyrexia, arrhythmias, extrapyramidal features, coma, deathCherry red skin is a sign of severe toxicity and is usually a post-mortem finding.Management• 100% oxygen• Hyperbaric oxygen therapy (HBOT)The use of Hyperbaric oxygen therapy (HBOT) for treatment mild to moderate CO poisoning is not routine.The selection criteria for HBOT in cases of CO poisoning include:• COHb levels > 20-25%• COHb levels > 20% in pregnant patient • Loss of consciousness• Severe metabolic acidosis (pH <7.1)• Evidence of end-organ ischemia (e.g., ECG changes, chest pain, or altered mental status)

    • This question is part of the following fields:

      • Medicine
      • Pharmacology
      3.9
      Seconds
  • Question 17 - Which of the following is not true regarding mitochondrial chromosome disorders? ...

    Correct

    • Which of the following is not true regarding mitochondrial chromosome disorders?

      Your Answer: Because mitochondrial chromosomes have no introns in their genes, any point mutation has a low likelihood of having an effect.

      Explanation:

      Any point mutation in any part of the mitochondrial DNA will lead to a mutated mitochondria and will likewise have its ill effect on the body.

    • This question is part of the following fields:

      • Genetics
      • Medicine
      12.5
      Seconds
  • Question 18 - A 18-year-old girl is brought to A&E having ingested at least 16 tablets...

    Incorrect

    • A 18-year-old girl is brought to A&E having ingested at least 16 tablets of paracetamol 8 hours earlier. What should her immediate management consist of?

      Your Answer: Plasma paracetamol concentration estimation

      Correct Answer: Intravenous N-acetylcysteine

      Explanation:

      Activated charcoal is useful if given within one hour of the paracetamol overdose. Liver function tests, INR and prothrombin time will be normal, as liver damage may not manifest until 24 hours or more after ingestion.The antidote of choice is intravenous N-acetylcysteine, which provides complete protection against toxicity if given within 10 hours of the overdose.

    • This question is part of the following fields:

      • Medicine
      • Pharmacology
      16.3
      Seconds
  • Question 19 - Mean intra pleural pressure at rest with inspiration can reach: ...

    Incorrect

    • Mean intra pleural pressure at rest with inspiration can reach:

      Your Answer: -10 mmHg

      Correct Answer: -6 mmHg

      Explanation:

      It is a negative pressure as it is lower than the atmospheric pressure. It can start from -2.5 and reach around -6 mmHg

    • This question is part of the following fields:

      • Medicine
      • Respiratory
      3.1
      Seconds
  • Question 20 - Which of the following describes a principal action of insulin? ...

    Correct

    • Which of the following describes a principal action of insulin?

      Your Answer: Inhibition of phosphorylase and gluconeogenic enzymes

      Explanation:

      Insulin stimulates glycolysis and lipogenesis, but inhibits gluconeogenesis. Insulin promotes the dephosphorylating of glycogen phosphorylase, therefore suppressing glycogenolysis. Insulin also inhibits FOX3, FOX4, and FOX6 and their ability to promote hepatic gluconeogenesis.

    • This question is part of the following fields:

      • Endocrinology
      • Medicine
      9.1
      Seconds
  • Question 21 - During which stage does the mitotic apparatus dissolute? ...

    Incorrect

    • During which stage does the mitotic apparatus dissolute?

      Your Answer: Prometaphase

      Correct Answer: Telophase

      Explanation:

      In telophase the nuclear envelope along with the nucleolus will reappear. The daughter nuclei will enlarge as the chromosome will decondense again. Along with this, cytokinesis will occur. At the end of cytokinesis the daughter centrioles will move from the poles to the intercellular bridge where they will be disassembled and complete the separation of the daughter cells

    • This question is part of the following fields:

      • Genetics
      • Medicine
      5.4
      Seconds
  • Question 22 - Where is Vitamin B 12 absorbed? ...

    Correct

    • Where is Vitamin B 12 absorbed?

      Your Answer: Terminal ileum

      Explanation:

      Protein-bound vitamin B12 must be released from the proteins by the action of digestive proteases in both the stomach and small intestine. Gastric acid releases the vitamin from food particles; therefore antacid and acid-blocking medications (especially proton-pump inhibitors) may inhibit absorption of B12. B12 must be attached to Intrinsic Factor (IF) for it to be efficiently absorbed, as receptors on the enterocytes in the terminal ileum of the small bowel only recognize the B12-IF complex; in addition, intrinsic factor protects the vitamin from catabolism by intestinal bacteria.

    • This question is part of the following fields:

      • Haematology
      • Medicine
      1.9
      Seconds
  • Question 23 - Which of the following is matched correctly with regard to stem cells of...

    Correct

    • Which of the following is matched correctly with regard to stem cells of the bone marrow?

      Your Answer: Hemopoietic stem cells - basophils

      Explanation:

      Hematopoietic stem cells (HSCs) or hemocytoblasts are the stem cells that give rise to all the other blood cells through the process of haematopoiesis. They give rise to both the myeloid and lymphoid lineages of blood cells. (Myeloid cells include monocytes, macrophages, neutrophils, basophils, eosinophils, erythrocytes, dendritic cells, and megakaryocytes or platelets. Lymphoid cells include T cells, B cells, and natural killer cells.)

    • This question is part of the following fields:

      • Haematology
      • Medicine
      9.3
      Seconds
  • Question 24 - Which one of these features is typical of dermatomyositis? ...

    Incorrect

    • Which one of these features is typical of dermatomyositis?

      Your Answer: Heliotrope rash around external auditory meatus

      Correct Answer: Gottron's papules over knuckles of fingers

      Explanation:

      Dermatomyositis is a long-term inflammatory disorder which affects muscles. Its symptoms are generally a skin rash and worsening muscle weakness in the proximal muscles (for example, the shoulders and thighs) over time. These may occur suddenly or develop over months. Other symptoms may include weight loss, fever, lung inflammation, or light sensitivity. Complications may include calcium deposits in muscles or skin.The skin rash may manifest as aheliotrope (a purplish color) or lilac, but may also be red. It can occur around the eyes along with swelling, as well as the upper chest or back ( shawl sign) or V-sign above the breasts and may also occur on the face, upper arms, thighs, or hands. Another form the rash takes is called Gottron’s sign which are red or violet, sometimes scaly, slightly raised papules that erupt on any of the finger joints (the metacarpophalangeal joints or the interphalangeal joints)

    • This question is part of the following fields:

      • Dermatology
      • Medicine
      10.9
      Seconds
  • Question 25 - Which enzyme is responsible for the conversion of testosterone to dihydrotestosterone? ...

    Incorrect

    • Which enzyme is responsible for the conversion of testosterone to dihydrotestosterone?

      Your Answer: 17α-hydroxylase

      Correct Answer: 5α-reductase

      Explanation:

      The enzyme 5α-reductase synthesizes DHT from testosterone in the prostate, testes, hair follicles, and adrenal glands. This enzyme reduces the 4,5 double-bond of the testosterone. Relative to testosterone, DHT is much more potent as an agonist of the androgen receptor.

    • This question is part of the following fields:

      • Endocrinology
      • Medicine
      5.5
      Seconds
  • Question 26 - What is the average life span of eosinophils? ...

    Correct

    • What is the average life span of eosinophils?

      Your Answer: 18 hours

      Explanation:

      Eosinophils have a circulating half-life of approximately 18 hours and a tissue life span of at least 6 days.

    • This question is part of the following fields:

      • Haematology
      • Medicine
      8.9
      Seconds
  • Question 27 - The production of bile is increased by: Stimulation of the ____ nerve and...

    Correct

    • The production of bile is increased by: Stimulation of the ____ nerve and the hormone ____.

      Your Answer: Vagus, CCK

      Explanation:

      Cholecystokinin is synthesized and secreted by enteroendocrine cells in the duodenum, the first segment of the small intestine, and causes the release of digestive enzymes and bile from the pancreas and gallbladder, respectively. It also acts as a hunger suppressant. Release of CCK is stimulated by monitor peptide released by pancreatic acinar cells as well as CCK-releasing protein, a paracrine factor secreted by enterocytes in the gastrointestinal mucosa. In addition, release of acetylcholine by the parasympathetic nerve fibers of the vagus nerve also stimulate its secretion.

    • This question is part of the following fields:

      • Hepatobiliary
      • Medicine
      4.1
      Seconds
  • Question 28 - Which cells produce the immunoglobulin proteins involved in mediating humoral immunity? ...

    Incorrect

    • Which cells produce the immunoglobulin proteins involved in mediating humoral immunity?

      Your Answer: Memory B cell

      Correct Answer: Differentiated forms of B lymphocytes known as plasma cells

      Explanation:

      After the B cells have been activated by a certain antigens, they transform into plasma cells. These plasma cells are responsible for the generation of antibodies (or immunoglobulins Ig) which are also known as regulators of humoral immunity. There are fives classes of Ig: IgA, IgG, IgM, IgE and IgD

    • This question is part of the following fields:

      • Immunology
      • Medicine
      21.1
      Seconds
  • Question 29 - Which of the following statements is true of the beta- lactams: ...

    Correct

    • Which of the following statements is true of the beta- lactams:

      Your Answer: Co-amoxiclav is more likely to cause obstructive jaundice than amoxicillin

      Explanation:

      β-lactam antibiotics are a class of broad-spectrum antibiotics, consisting of all antibiotic agents that contain a β-lactam ring in their molecular structures. This includes penicillin derivatives (penams), cephalosporins (cephems), monobactams, and carbapenems. Most β-lactam antibiotics work by inhibiting cell wall biosynthesis in the bacterial organism and are the most widely used group of antibiotics. Bacteria often develop resistance to β-lactam antibiotics by synthesizing a β-lactamase, an enzyme that attacks the β-lactam ring. To overcome this resistance, β-lactam antibiotics are often given with β-lactamase inhibitors such as clavulanic acid. Immunologically mediated adverse reactions to any β-lactam antibiotic may occur in up to 10% of patients receiving that agent (a small fraction of which are truly IgE-mediated allergic reactions). Rarely, cholestatic jaundice has been associated with Co-amoxiclav (amoxicillin/clavulanic acid). The reaction may occur up to several weeks after treatment has stopped, and usually takes weeks to resolve. It is more frequent in men, older people, and those who have taken long courses of treatment; the estimated overall incidence is one in 100,000 exposures.

    • This question is part of the following fields:

      • Infectious Diseases
      • Medicine
      6.6
      Seconds
  • Question 30 - What is the mechanism of action of sumatriptan? ...

    Incorrect

    • What is the mechanism of action of sumatriptan?

      Your Answer: 5-HT2 antagonist

      Correct Answer: 5-HT1 agonist

      Explanation:

      Triptans are specific 5-HT1 agonists used in the acute treatment of migraine. They are generally used as first-line therapy in combination with an NSAID or paracetamol.

      Sumatriptan acts as an agonist on 5-HT1B/1D receptors by inducing vasoconstriction in the basilar artery and blood vessels within the dura mater. The drug reduces peripheral nociception either by selective cranial vasoconstriction or by affecting trigeminovascular nerves.

    • This question is part of the following fields:

      • Medicine
      • Pharmacology
      6.5
      Seconds
  • Question 31 - Where in the gastrointestinal tract are Brunner glands? ...

    Incorrect

    • Where in the gastrointestinal tract are Brunner glands?

      Your Answer: Jejunum

      Correct Answer: Duodenum

      Explanation:

      Brunner’s glands (or duodenal glands) are compound tubular submucosal glands found in that portion of the duodenum which is above the hepatopancreatic sphincter (aka sphincter of Oddi). The main function of these glands is to produce a mucus-rich alkaline secretion (containing bicarbonate) in order to:- protect the duodenum from the acidic content of chyme (which is introduced into the duodenum from the stomach);- provide an alkaline condition for the intestinal enzymes to be active, thus enabling absorption to take place; lubricate the intestinal walls.

    • This question is part of the following fields:

      • Gastrointestinal
      • Medicine
      5.7
      Seconds
  • Question 32 - The first enzyme carbohydrates encounter in the digestive tract is? ...

    Correct

    • The first enzyme carbohydrates encounter in the digestive tract is?

      Your Answer: Amylase

      Explanation:

      Carbohydrate digesting enzymes are known as amylase. Salivary amylase or ptyalin is the first enzyme to begin carbohydrate digestion in he oral cavity. Amylose is a component of carbohydrates and is not an enzyme. Isomaltase, maltase and sucrase are enzymes found in the small intestines that digest disaccharides like maltose and sucrose to monosaccharides.

    • This question is part of the following fields:

      • Gastrointestinal
      • Medicine
      6.7
      Seconds
  • Question 33 - A 32 year old male who has recently returned from a trip to...

    Incorrect

    • A 32 year old male who has recently returned from a trip to Thailand presents with congestion of eyes and swelling of the knee joint. He completed a course of antibiotics for dysentery 4 weeks back. He experiences no dysuria and urine examination is normal. Which further information would be most useful in establishing a diagnosis?

      Your Answer: Joint aspiration and culture

      Correct Answer: History and physical examination

      Explanation:

      The patient most likely has reactive arthritis which is usually diagnosed on history and clinical examination. The classic triad of symptoms include conjunctivitis, urethritis and arthritis. Arthritis and conjunctivitis may occur 4-6 weeks after a gastrointestinal or genitourinary infection. Arthritis usually occurs acutely, mostly involving the lower limb and is asymmetrical. Blood culture, urine culture and arthrocentesis (joint aspiration) will not yield positive results.

    • This question is part of the following fields:

      • Connective Tissue
      • Medicine
      31.9
      Seconds
  • Question 34 - The sympathetic supply to the stomach comes from the: ...

    Correct

    • The sympathetic supply to the stomach comes from the:

      Your Answer: Celiac plexus

      Explanation:

      The vagus nerve supplies the stomach and up to proximal two-thirds of the large intestine and has parasympathetic stimulation. The sympathetic chain which begins at the level of he 1st thoracic vertebra and extends up to 3rd lumbar vertebra gives off the celiac plexus which mainly supplies the stomach. The mesenteric plexus mainly supplies the small intestine and is located below the celiac plexus in the sympathetic chain.

    • This question is part of the following fields:

      • Gastrointestinal
      • Medicine
      6.5
      Seconds
  • Question 35 - Which of the following conditions is associated with eosinophilia? ...

    Correct

    • Which of the following conditions is associated with eosinophilia?

      Your Answer: Ascaris

      Explanation:

      Eosinophilia can be idiopathic (primary) or, more commonly, secondary to another disease. In the Western World, allergic or atopic diseases are the most common causes, especially those of the respiratory or integumentary systems. In the developing world, parasites are the most common cause e.g. Ascaris

    • This question is part of the following fields:

      • Haematology
      • Medicine
      3.4
      Seconds
  • Question 36 - In the menstrual cycle, ovulation is triggered by: ...

    Incorrect

    • In the menstrual cycle, ovulation is triggered by:

      Your Answer: A pituitary LH surge due to due to an increase in GNRH pulses from the supraoptic nucleus in the hypothalamus

      Correct Answer: A pituitary LH surge due to the positive feedback effect of circulating oestrogens

      Explanation:

      FSH and LH are secreted to start the development of a follicle at the start of each menstrual cycle. A surge in oestrogen causes a positive feedback in the LH cells of the pituitary; this causes ovulation.

    • This question is part of the following fields:

      • Endocrinology
      • Medicine
      25.1
      Seconds
  • Question 37 - Which one of the following antibiotics is safest to use in pregnancy? ...

    Incorrect

    • Which one of the following antibiotics is safest to use in pregnancy?

      Your Answer: Metronidazole

      Correct Answer: Erythromycin

      Explanation:

      Antibiotics that should be avoided in pregnancy are included in the mnemonic: Countless SAFe Moms Take Really Good Care -Clarithromycin, Sulphonamides, Aminoglycosides, Fluoroquinolones, Metronidazole, Tetracyclines, Ribavirin, Griseofulvin, Chloramphenicol

    • This question is part of the following fields:

      • Medicine
      • Pharmacology
      11.5
      Seconds
  • Question 38 - Transport of Ca2+ into the reticulum to initiate cardiac muscle relaxation in via:...

    Incorrect

    • Transport of Ca2+ into the reticulum to initiate cardiac muscle relaxation in via:

      Your Answer: Dihydropyridine receptors

      Correct Answer: Serca (sarcoplasmic or endoplasmic reticulum Ca2+ ATPase)

      Explanation:

      Phosphorylation of phospholamban, which increases calcium ATPase activity and sequestration of calcium in the sarcoplasmic reticulum. An increased rate of relaxation is explained because cAMP also activates the protein phospholamban, situated on the membrane of the SR, that controls the rate of uptake of calcium into the SR. The latter effect explains enhanced relaxation (lusitropic effect).

    • This question is part of the following fields:

      • Cardiovascular
      • Medicine
      3.7
      Seconds
  • Question 39 - Excitation-contraction coupling in cardiac muscle involves all of the following except: ...

    Incorrect

    • Excitation-contraction coupling in cardiac muscle involves all of the following except:

      Your Answer: Ca2+ conductance via the dihydropyridine receptor

      Correct Answer: Binding of Ca2+ to calmodulin

      Explanation:

      In the excitation contraction coupling model, an action potential is transmitted to the fibrils of a fiber through the T tubule system. It triggers the release of Ca 2+ from the terminal cisterns. Depolarization of the T tubules activates the sarcoplasmic reticulum through the dihydropyridine receptors. These are voltage gates calcium channels. Calcium binds to calmodulin during contraction of the smooth muscle and not the cardiac muscles.

    • This question is part of the following fields:

      • Cardiovascular
      • Medicine
      11.9
      Seconds
  • Question 40 - During bone growth-the epiphysis are separated from the diaphysis by actively proliferating cartilage...

    Correct

    • During bone growth-the epiphysis are separated from the diaphysis by actively proliferating cartilage known as:

      Your Answer: Epiphysial plate

      Explanation:

      The epiphysial plate, physis, or growth plate, is a hyaline cartilage plate located near the ends of long bones; it consists of growing tissue. It is found in children and teenagers; in adults, it is replaced by an epiphysial line or epiphysial closure. The epiphysial plate is divided into zones: zone of reserve, proliferation, maturation and hypertrophy, calcification, and ossification.

    • This question is part of the following fields:

      • Endocrinology
      • Medicine
      4.9
      Seconds
  • Question 41 - Which of the following is a form of synaptic plasticity? ...

    Incorrect

    • Which of the following is a form of synaptic plasticity?

      Your Answer: Long term depression

      Correct Answer: Working memory

      Explanation:

      Synaptic plasticity is an important neurochemical foundation of working memory and generation of memory. Synaptic plasticity is the ability of synapses to strengthen or weaken over time in response to increases or decreases in their activity.

    • This question is part of the following fields:

      • Medicine
      • Neurology
      6.1
      Seconds
  • Question 42 - The small opening in the cochlea through which the upper scala vestibuli and...

    Correct

    • The small opening in the cochlea through which the upper scala vestibuli and lower scala tympani communicates is called the:

      Your Answer: Helicotrema

      Explanation:

      The helicotrema is the part of cochlear labyrinth where the scala tympani and the scala vestibuli meet.

    • This question is part of the following fields:

      • Medicine
      • Neurology
      8.7
      Seconds
  • Question 43 - The midbrain, medulla and pons, contain the following cranial nerve nuclei? ...

    Correct

    • The midbrain, medulla and pons, contain the following cranial nerve nuclei?

      Your Answer: CN 3 - 12

      Explanation:

      The cranial nerves (with the exception of I and II) originate in the brainstem, which includes the midbrain, the pons, and the medulla.

    • This question is part of the following fields:

      • Medicine
      • Neurology
      3
      Seconds
  • Question 44 - Which part of the neuron has the highest concentration of sodium channels per...

    Correct

    • Which part of the neuron has the highest concentration of sodium channels per square millimetre of the cell membrane?

      Your Answer: Nodes of Ranvier

      Explanation:

      The nodes of Ranvier contain Na+/K+ ATPases, Na+/Ca2+ exchangers and a high density of Na+ channels. The estimated concentration of sodium channels in the node is of ∼1500/μm2.

    • This question is part of the following fields:

      • Medicine
      • Neurology
      9.9
      Seconds
  • Question 45 - Which of the following correctly describes stages in the formation of CSF? ...

    Correct

    • Which of the following correctly describes stages in the formation of CSF?

      Your Answer: All of the above

      Explanation:

      All the above are true for the formation of CSF

    • This question is part of the following fields:

      • Medicine
      • Neurology
      7.2
      Seconds
  • Question 46 - With regard to carbohydrate absorption, which sodium-dependent glucose transporter (SGLT) is responsible for...

    Correct

    • With regard to carbohydrate absorption, which sodium-dependent glucose transporter (SGLT) is responsible for the uptake of dietary glucose from the gut?

      Your Answer: SGLT 1

      Explanation:

      SGLT- Sodium-dependent glucose cotransporter or sodium-glucose linked transporter are family of proteins of different types. SGLT1 transporter is found in the intestinal mucosa of the small intestine.

    • This question is part of the following fields:

      • Gastrointestinal
      • Medicine
      7.2
      Seconds
  • Question 47 - Peristalsis is an example of: ...

    Incorrect

    • Peristalsis is an example of:

      Your Answer: Both central and enteric nervous system

      Correct Answer: Enteric nervous system

      Explanation:

      Peristalsis is a type of contraction where radial symmetrical contraction and relaxation of muscles propagates food in a downward wave through the gut. The enteric nervous system is one of the main divisions of the nervous system and consists of a mesh-like system of neurons that controls the function of the gastrointestinal tract. It has an independent reflex activity. The neurons of this system re collected into two types of ganglia: myenteric (or Auerbach’s) and submucosal (or Meissner’s plexuses). Myenteric plexuses are located between the inner and outer layers of the muscularis externa, while submucosal plexuses are located in the submucosa.

    • This question is part of the following fields:

      • Gastrointestinal
      • Medicine
      5.9
      Seconds
  • Question 48 - In meiosis, the period of prophase 1 involves: ...

    Incorrect

    • In meiosis, the period of prophase 1 involves:

      Your Answer: Centrosome replication

      Correct Answer: Replicated DNA condensing to form visible chromosomes

      Explanation:

      Prophase 1 has been divided into five different stages (laptotene, zygotene, pachytene, diplotene and diakinesis). In prophase 1, chromosomes are going to condense to become visible, each chromosome will contain two chromatids that are joined at the centromere.

    • This question is part of the following fields:

      • Genetics
      • Medicine
      6.6
      Seconds
  • Question 49 - An exaggerated response to a noxious stimulus is called: ...

    Correct

    • An exaggerated response to a noxious stimulus is called:

      Your Answer: Hyperalgesia

      Explanation:

      Allodynia is the sensation of pain following non-painful stimulation.

      Hyperalgesia is enhanced intensity of pain sensation.

      Causalgia is a constant burning pain resulting from peripheral nerve injury.

      Hyperesthesia is the abnormal increase in sensitivity to stimuli of sense.

    • This question is part of the following fields:

      • Medicine
      • Neurology
      9.5
      Seconds
  • Question 50 - Interruption of the left optic tract will result in which visual field defect?...

    Correct

    • Interruption of the left optic tract will result in which visual field defect?

      Your Answer: Right homonymous hemianopia

      Explanation:

      Right homonymous hemianopia is due to a lesion or pressure on the left optic tract. Total blindness of the left eye is due to a complete occlusion of the left optic nerve. Bipolar hemianopia is due to a midline chiasmal lesion. Left nasal hemianopia due to a lesion involving the left perichiasmal area. Right homonymous inferior quadrantanopia is due to involvement of the lower left optic radiations.

    • This question is part of the following fields:

      • Medicine
      • Neurology
      11.6
      Seconds

SESSION STATS - PERFORMANCE PER SPECIALTY

Cardiovascular (4/7) 57%
Medicine (27/50) 54%
Immunology (0/2) 0%
Neurology (8/10) 80%
Connective Tissue (0/2) 0%
Infectious Diseases (1/2) 50%
Pharmacology (1/5) 20%
Gastrointestinal (3/6) 50%
Renal (1/1) 100%
Genetics (2/4) 50%
Respiratory (0/1) 0%
Endocrinology (2/4) 50%
Haematology (4/4) 100%
Dermatology (0/1) 0%
Hepatobiliary (1/1) 100%
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