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Posted on May 29, 2013 by fareed No Comments
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Medicine
Serum Gastrin levels are increased by
prolonged use of:
1.
2.
3.
4.
H2 Receptor blockers
Proton Pump Inhibitors
Antacids
Anticholinergics
The most appropriate answer is Proton Pump Inhibitors (PPI) because they
irreversibly inhibit H+ /K+ -ATPase in stomach parietal cells. H2 blockers on
the other hand cause a reversible block of histamine H2 receptors resulting
in decreased production of H+. Since the PPI are irreversible blockers of the
Proton pump they cause a more sustained decrease in H+ production. This,
through positive feedback increases the secretion of Gastrin. Generally
increased acid (H+ ions) causes decreased production of Gastrin &
decreased acid (such as through PPI use) cause increase in Gastrin secretion.
Micturation
Miosis
Increased GIT motility
Sweating
During fetal period, the ductus arteriosus shunts blood from the right to the
left. It connects the pulmonary trunk with the aorta. Blood entering the
pulmonary trunk from the right ventricle is shunted through ductus
arteriosus into aorta. As the baby is born, the circulatory changes that occur
also include closure of the ductus arteriosus. Closure of the ductus arteriosus
is promoted by increase oxygen tension (when baby starts breathing) which
decrease prostaglandin (PG) synthesis. At hill stations, the atmospheric
oxygen pressure is low. A baby born and staying during the first few days of
his life under such circumstances would lead to a decrease in oxygen tension
and so failure of ductus arteriosus to close. Patency of ductus arteriosus can
also be maintained by high PG levels such with use of indomethacin (a PG
synthesis inhibitor). In summary low oxygen tension and high PG levels
cause PDA.
IgM
IgA
IgG
IgD
Of all the immunoglobins only IgG is the only antibody that crosses placenta.
It is main antibody in secondary response and the most abundant one. It
fixes complement, opsonized bacteria, neutralizes bacterial toxins and
viruses.
Good comprehension
Good vocabulary
Fluent Speech
Competence in presentation
This is one of the questions that only require common sense. So common
sense tells us that fluent speech is an absolute requirement for good
communication skills. The other three options simply dont fit.
IgM
IgD
IgE
IgG
1.
2.
3.
4.
Baroreceptor Reflex
Renin-angiotensin System
Chemoreceptor
CNS ischemic response
Lying supine
Paralysis of the diaphragm
Use of Morphine
Use of Metoclopromide
Increased intra-abdominal pressure
Omohyoid
Sternothyroid
Mylohyoid
Anterior belly of diagastric
Submandibular gland lies in the floor of the mouth. It has two parts, a deep
part and a superficial part. The gland is hook shaped. It hooks around the
origin of mylohyoid muscle from the mylohyoid line on the inner suface of
body of mandible. As it hooks around this muscle, the gland is itself gets
divided into a deep & superficial part.
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