HAJJ MEDICAL MISSION MEDICAL OFFICER PAST PAPER 17-02-2025
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چار آپشن میں سے کسی ایک پر کلک کرنے سے جواب سرخ ہو جائے گا۔
Water-soluble
Lipid-soluble
Neither water-soluble nor lipid-soluble
Water-soluble only in acidic environments
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Explanation
Diazepam is a lipid-soluble drug, which allows it to cross the blood-brain barrier and have effects on the central nervous system.
Hypertrophic obstructive cardiomyopathy (HOCM)
Atrial fibrillation
Heart failure
Conduction abnormalities
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Explanation
Digoxin is contraindicated in hypertrophic obstructive cardiomyopathy (HOCM)
It can worsen obstruction and lead to adverse outcomes
Oral
Intramuscular (IM)
Subcutaneous
Intravenous (IV)
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Explanation
Epinephrine is administered intramuscularly (IM) during anaphylactic shock to quickly reverse the effects of severe allergic reactions.
Antiviral
Antihistamine
Antifungal
Antibiotic
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Explanation
Levocabastine is an antihistamine used to treat allergy symptoms such as runny nose, sneezing, and itching.
Hyperkalemia
Hypokalemia
Hyponatremia
Hypercalcemia
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Explanation
Furosemide increases urine output, leading to potassium loss and potentially causing hypokalemia.
Enoxaparin
Warfarin
Clopidogrel
Aspirin
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Explanation
Heparin and Enoxaparin are both anticoagulants , but their doses and administration schedules differ.
Enoxaparin is a low molecular weight heparin ( LMWH ) and requires less frequent dosing compared to regular heparin.
Reticulocytes
Increased unconjugated bilirubin
Increased haptoglobin
Decreased haptoglobin
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Explanation
Haptoglobin levels are typically decreased because it binds to free hemoglobin released from damaged red blood cells, leading to its depletion in the blood.
The function of haptoglobin:
Haptoglobin is a protein produced by the liver that primarily functions to bind free hemoglobin in the bloodstream, preventing its toxic effects.
Reversible inflammatory condition
Irreversible obstructive condition
Non-inflammatory obstructive condition
Acute non-reversible condition
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Explanation
Bronchial Asthma is a reversible inflammatory condition of the airways
Inflammation:
The primary characteristic of asthma is chronic inflammation within the airways, involving the lining of the bronchial tubes.
Reversibility:
This inflammation and resulting airway obstruction can be reversed with medication, allowing airflow to improve.
Triggers:
Asthma symptoms can be triggered by various factors like allergens, exercise, cold air, or viral infections.
Symptoms:
Common symptoms include wheezing, coughing, chest tightness, and shortness of breath.
Biguanides
Insulin
Glucagon
Sulfonylureas
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Explanation
HbA1c reflects long-term blood glucose levels.
Biguanides, such as Metformin, are commonly used to treat type 2 diabetes to help decrease HbA1c.
HbA1c lowering effect
1. Metformin: Typically reduces HbA1c by 1-2% (11-22 mmol/mol).
2. Sulfonylureas: May reduce HbA1c by 0.5-1.5% (5.5-16.5 mmol/mol).
3. Acarbose: Typically reduces HbA1c by 0.5-1% (5.5-11 mmol/mol).
حمل کے دوران مندرجہ ذیل میں سے کون سا اینٹی کوگولنٹ استعمال کرنا محفوظ سمجھا جاتا ہے؟
Warfarin
Heparin
Aspirin
Clopidogrel
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Explanation
Heparin is generally considered safe during pregnancy.
It is the anticoagulant (blood thinner) of choice for many pregnant women
Warfarin is contraindicated in pregnancy due to its potential teratogenic effects,
While aspirin and clopidogrel may be used in certain situations but require careful monitoring.