Online Test Series 67

Propofol is the induction agent of choice in day care surgery
Early induction
Smooth recovery
Decreased incidence of post operative nausea and vomiting

The person may have been diabetic for some time before the diagnosis of NIDDM. Retinopathy may have already occured. Hence, ophthalmological testing should be done as early as possible after diagnosis of NIDDM. If there are no pathologic changes, he should come for review every 6 months / 1 year.

But in case of IDDM (Insulin dependant diabetes mellitus), the patients are diagnosed early in life. There is much less chance of any ophthalmologic disease at the time of diagnosis. Hence ophthalmologic examination is recommended 5 years after the diagnosis of IDDM.

Vancomycin and Ceftazidime can cause macular toxicity when given in high doses. But macular toxicity has been reported with even low dose of gentamycin.

Acetazolamide is a carbonic anhydrase inhibitor. It is given orally and parenterally. It is not used topically. Dorzolamide is a topically active carbonic anhydrase inhibitor.

Meningoencephalitis can occur 1 week before onset of parotitis.

Sequence of changes during correction of iron deficiency:
Clinical improvement in the child (increase in appetite, improvement in irritability)
Inital bone marrow response
Increased reticulocyte count
Haemoglobin levels return to normal
Body iron stores return to normal (ferritin levels)

Factors decreasing risk of upper genital tract infection in users of progestin releasing intrauterine contraceptive device:
Reduced retrograde menstruation – prevents seeding of fallopian tube with bacteria
Thickened cervical mucus – decreases bacterial penetration
Decidual changes in the endometrium – making it less susceptible to infection

Fetal blood sampling is done by cordocentesis. It is done in the 18-24 weeks gestational age.

Emergency contraception is used to prevent pregnancy. Interruption of an early pregnancy is not contraception – it is termination of pregnancy

Ablation of liver secondaries can be done by:
Cryotherapy
Radiofrequency ablation
Microwave ablation
Injection of chemicals like alcohol and acetic acid

During surgery, the common bile duct may be mistakenly identified as the cystic duct. Hence, surgeon may ligate the common bile duct instead of the cystic duct resulting in the development of a stricture in the upper part.

T tubes are kept in the bile duct for 7-30 days. It allows track to mature and helps prevent bile leak and biliary peritonitis.

Infective endocarditis is a rare complication of Salmonella typhi infection.

VSD is the best answer among the options given