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43)B. ataxic limb movement. Got this from a forum
first step: which artery is involved? as seen in angiogram this artery arise form proximal portion
of basilar artery, so this is anterior inferior cerebellar artery (AICA).
secont step: which structures supply AICA. AICA supplies the caudal lateral pontine tegmentum,
and inferior surface of the cerebellum.
third step: choose from given answer options which is characteristic for cerebellar dysfunction.
a, d, e are characteristic for hemisphere
c. is characteristic for basal ganglia
only b. ataxic limb movements left, which is the correct answer
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Sideroblastic anemia
Sq
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mitochondrial genes and during gamatogenesis the mitochondria of sperm
gets degenerated and only maternal mitochondria is inherited in offspring.
parietal cells produce intrinsic factor and gastric acid
by elimination. Kidney is a retroperitoneal organ, so no involvement of
peritoneum. And is an abdominal organ, has nothing to do with pleura

fascia transversalis divides into prerenal and retrorenal fascia


and retrorenal fascia is what is incised
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4.C. when gallbladder contracts, sphincter Oddi relax... no gallbladder, no relaxing (inhibitory impulse
to sphincter).. here in this vignette cause of biliary colic is spasm of sphincter of Oddi..
a and b leads to relaxation, not spasm.
d reflux can occur if oddi relaxed
e VIP relax sphincter
A is the capsule
A case of TUBEROUS SCLEROSIS.
Skin lesion is ANGIOFIBROMA. adenoma sebaceum
They have mental retardation, seizures .
We have to give them special education in first
grade.Ans is D
degrades fibrin
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Gap junction
fetal component.

1.cytotrophoblast....inner layer of chorionic villi


2. Syncytiotrophoblast...outer layer..........secrete HCG
viral family Flavivirus,enveloped SS+=HCV
common cause of posttransfusion hepatities and
hepatities among the IV drug abuser
to re-establish the ion gradient
FF=GFR/RPF

GFR= C creat= (100x1)/1=100

RPF=C PAH= (50x1)/0.1=500

--> FF= 100/500=0.20


These are AR diseases so both parents should be carrier for the same
gene in order to conceive a child with that particular disease
...the question stem clearly indicates, that the patient produces normal IgM (the antibody he makes is positive in both the passive
hemagglutination and complement-mediated lysis of tt-coated erythrocytes)...the question stem also indicates that the patient does not produce
IgG (his antibodies do not opsonize tt-coalted latex particles)...all these clues for defect in immunoglobulin isotype switching..

(a) wrong... if there was problem of affinity maturation of immunoglobulins, his both IgM and IgG were defective...

(e) wrong... you have described well purpose of somatic mutation of immunoglobulin genes
...but if this were problem of this boy, than both IgM and IgG were defective...
Temporal bone

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