Cns Mcq

Front 1

Prevention Bacterial Meningitis

Back 1

Health education

Immunization: Bi, Tri, Quadrivalant

not result in Herd Immunitu

Front 2

Control of Bacterial Meningitis

Back 2

Report to LHO

Isolation

Concurrent disinfection

Protection of contacts- Rifampicin -

Investigation of contacts

Specifc Treatment

Front 3

Drug: Does NOT cause Prolactinemia:

Back 3

Resperpine

Front 4

Drug: Treatment of Opoid dependency

Back 4

Methadone

Front 5

Buprenorphine:

Back 5

Partial Agonist at u Receptor

Front 6

Tolerance occurs to all of Actions of Opoids EXCEPT

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Miosis

Front 7

New born develops respiratory depression in postoperative wards: result of?

Back 7

opoids

Front 8

Naltrexone used in treatment of _____ of Opoid addiction

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Overdose

Front 9

NOT an Opoid Agonist

Back 9

Ketamine

Front 10

Pregnant tonic clonic seizures uses Phenobaritone stops 4 month into pregnancy:

Back 10

Decision wrong for risk of Teratogenacity toxicity is highest at first trimester

Front 11

Fetal Hydantoin Syndrome seen in pregnancy +

Back 11

Phenytoin

Front 12

Effect of Valproate EXCEPT

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Osteomalacia

Front 13

Enhances levels of Levodopa in Parkinson's

Back 13

Entacapone

Front 14

History of Head injury , NOT to use for analgesia

Back 14

morphine

Front 15

Chronic treatment of Epelipsy , S/E hirtruism & gingval Hyperplasia

Back 15

Phenytoin

Front 16

Entacapone useful in Levodopa-carbidopa treatment b/c

Back 16

Decreases formation of 3-OMD

Front 17

Antiepeliptic drug used for treatment of Post herpetic neuralgia

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Gaba pentin

Front 18

Tramadol

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opoid analgesc

Front 19

Abcensce seizure

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Ethosuxamide

Front 20

Headache Aspirin => severe shortness of breathe

Responsible?

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Leukotriends

Front 21

Action of Aspirin at lowest dose

Back 21

Antiplatelet

Front 22

Acute inflammatory swelling of lower limb:

NOT useful ?

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Paracetamol

Front 23

Post-operative pain, NSAIDS:

Back 23

Ketoralic

Front 24

Child +Viral infection + high fever

C/I NSAIDS?

Back 24

Aspirin

Front 25

Parkinsonism: Levodopa + vit b =>

Back 25

Decreased Efficacy

Front 26

Selegilline: NOT

Back 26

a MOA-A inhibitor

Front 27

Granulomatous amebic meningo-encephalitis (GAM) is caused by:

Back 27

Acanthamoeba Castellani

Front 28

Protozoan + Nuclear Chromatin particles

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Entamoeba histolytica

Front 29

Trypsonomiasis Lab Diagnosis?

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Aspirate Chancre

Csf Examination

Front 30

NOT a pathogenic free living amoeba

Back 30

Entamoeba Histolytica

Front 31

Plasmodium Falciparum does NOT

Back 31

produces single infection of the RBCs.

Front 32

A woman + returned from Africa+paroxysmal attacks of chills, fever, and sweating

last a day or two at a time and recur every 36 to 48 h.

Examination of a stained blood : ring like and crescent-like forms within red blood cells.

Back 32

Plasmodium falciparum

Front 33

Protozoan flagellated

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N. fowleri

Front 34

Primary amoebic meningo-encephalitis (PAM)

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N.fowleri

Front 35

Spine like psuedopods trophozoite

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Acanthamoeba castellani

Front 36

Polymorphic pattern of Trypomastigote

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Trypanosoma gambiense

Front 37

WRONG : neiseria meningitis:

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coagulase production

Front 38

All of the Meningococci ,pneumococci has

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Capsule

Front 39

Case: Brain abscess after teeth removal:

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Aneurobic streptococci

Front 40

Neiseria meningitis :

Back 40

Produce enzymes: igA oxidase, oxidase

CAN"T Exotoxin

Front 41

Case: young boy +missed immunzation + Meningitis+ CSF ^^ polymorphs & Gram stain -ve poliomorphic rods, Isolation on chocolate agar

Back 41

H. influenza

VF: Polysacchride capsule

Front 42

Newborn + meningitis+ short gram +ve rods

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Neisseria onocytoges (form mother birth canal, unpasterized milk)

(Lesteria monocytogenes?)

Front 43

H.influenza confirm

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chocolate agar x and v factor

Front 44

Neonatal meningitis + bulging of ant frotal +gp B stretoticocci: Patho?

Back 44

capsule invade csf , dont have anticapsular 'specif" Ab,-> negative opsonization " enhance Phagocytosis"

Front 45

Lesteria monocytogenes infect young child with all vaccines for septic meningitis

Back 45

No vacc for lesteria, e.coli, strepto A & B

Front 46

Child died of septic shock , gram -ve isolated in blodd & csf

fever, hypotenstion

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"meningococci"

Cultre?; Modified thayer martin medium

imp VF: Endotoxin : lipooligosacchride

Front 47

Rabies virus

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Causes late manifestation: previleged site: away from immunity

ACTIVE PASSIVE and Active vacc

Front 48

Child bitten dog with Rabies: Delayed immunity?

Back 48

replicate at privileged site

Front 49

N.meningitis:

Back 49

facultativea anaerobe

has oxidase enzyme

Front 50

Immunocompromised +/ temporal lobe lesion + Multinucleated giant cell (intranucleus)

Back 50

Inclusion bodies, herpis simplex virus

Front 51

Meningitis seen with

Back 51

C5-C9 deffincency "genetics"