This section includes 7 InterviewSolutions, each offering curated multiple-choice questions to sharpen your Current Affairs knowledge and support exam preparation. Choose a topic below to get started.
| 1. |
I have _____ done it. A) yet B) ago C) just D) since |
|
Answer» Correct option is C) just |
|
| 2. |
She has _____ to Portugal. A) going B) went C) gone D) went |
|
Answer» Correct option is C) gone |
|
| 3. |
For Visually Impaired Candidates in lieu of (Graph Based Question)Study the given graph carefully and answer the following questions:a. Why are Fertility and Mortality rates high in the first stage of this theory?i. People have a lot of buffer stock as food securityii. People reproduce more to compensate for the deaths due to epidemics. iii. People are highly educated at this stage.iv. There is technological advancement in all fields.b. What led to decline in Mortality rate in the second stage of this theory? i. Due to improvement in Sanitation and Health conditions. ii. Due to insufficient supply of food grain that led to starvation. iii. Due to widespread illiteracy all over the world.iv. Due to unfavorable sex ratio prevailing in developing countries.c. Why does fertility rate show a declining trend in the third stage? i. This is because human beings are not able to adjust their fertility. ii. Literacy rates show a downward trend all over the world. iii. The population becomes urbanized and has high technical knowhow. iv. There is acute food shortage in countries with a high Human Development Index.d. In which stage of Demographic Transition, population explosion took place : i. Stage I ii. Stage II iii. Stage III iv. Post Stage III |
|
Answer» a. ii. People reproduce more to compensate for the deaths due to epidemics b. i. Due to improvement in Sanitation and Health conditions c. iii. The population becomes urbanized and has high technical knowhow. d. ii. Stage II |
|
| 4. |
She has _____ to Portugal. A) be B) been C) being D) were |
|
Answer» Correct option is B) been |
|
| 5. |
Justify the high demand of water for irrigation in India. |
|
Answer» (a) Rainfall in India is concentrated only for few months and therefore, irrigation is required in the other months. Rainfall is uneven and deccan plateau remains dry due to deficient rainfall and agriculture cannot be practiced in the absence of irrigation. (b) Water requirement of certain crops such as Jute, Sugarcane and Rice is high which can be met only by irrigation (c) Use of HYV seeds, fertilizers and multiple cropping in the fields have made irrigation essential. |
|
| 6. |
She works _____ a big company. A) to B)with C) for D) of |
|
Answer» Correct option is C) for |
|
| 7. |
The idea came ______ her while she was reading “Hamlet”. A) to B) about C) before |
|
Answer» Correct option is A) to |
|
| 8. |
‘Hamlet’ is a play _____ Shakespeare. A) of B) by C) at D) on |
|
Answer» Correct option is B) by |
|
| 9. |
The book ‘The Life Divine’ was written by:1. Amrita Pritam2. Swami Vivekananda3. Sri Aurobindo4. Dayanand Saraswati |
|
Answer» Correct Answer - Option 3 : Sri Aurobindo The correct answer is Sri Aurobindo.
|
|
| 10. |
The book "Nirja" is written by _____.1. Mahadevi Verma2. Premchand3. Jaishankar Prasad 4. Suryakant Tripathi |
|
Answer» Correct Answer - Option 1 : Mahadevi Verma The correct answer is Mahadevi Verma.
Some famous books by Mahadevi Verma:
|
|
| 11. |
Discuss briefly the following:(a) Greenhouse gases(b) Catalytic converter(c) Ultraviolet B |
|
Answer» (a) Greenhouse gases: The greenhouse effect refers to an overall increase in the average temperature of the Earth due to the presence of greenhouse gases. Greenhouse gases mainly consist of carbon dioxide, methane, and water vapour. When solar radiations reach the Earth, some of these radiations are absorbed. These absorbed radiations are released back into the atmosphere. These radiations are trapped by the greenhouse gases present in the atmosphere.. This helps in keeping our planet warm and thus, helps in human survival. However, an increase in the amount of greenhouse gases can lead to an excessive increase in the Earth’s temperature, thereby causing global warming. (c) Ultraviolet-B: Ultraviolet-B is an electromagnetic radiation which has a shorter wavelength than visible light. It is a harmful radiation that comes from sunlight and penetrates through the ozone hole onto the Earth’s surface. It induces many health hazards in humans. UV −B damages DNA and activates the process of skin ageing. It also causes skin darkening and skin cancer. High levels of UV −B cause corneal cataract in human beings. |
|
| 12. |
Study of the following pairsTreatyField1. Montreal ProtocolTreaty to protect ozone layer2. Basel ConventionTreaty for Bio Diversity conservation3. Kyoto Protocol Update on convention of climate change4. Vienna conventionTreaty to control Sulphur EmissionsWhich of the above pairs are correctly matches?1. 1 and 3 only2. 1 and 4 only3. 2 and 4 only4. 1, 2 and 4 only |
|
Answer» Correct Answer - Option 1 : 1 and 3 only The correct answer is 1 and 3 only.
|
|
| 13. |
Name any one of the green house gases and its possible source of production on a large scale. What are the harmful effects of it? |
|
Answer» CO2 and Methane. CO2 levels are increasing due to burning of fossil fuels,leading to Global Warming. |
|
| 14. |
In kranz anatomy, the bundle sheath cells haveA. thin walls, many intercellular spaces and no chloroplastsB. thick walls, no intercellular spaces and large number of chloroplastsC. thin walls, no intercellular spcaes and several chloroplastsD. thick walls, many intercellular spcaes and few chloroplasts. |
|
Answer» Correct Answer - B |
|
| 15. |
Pick the correct statementA. The contraction of internal intercostal muscles lifts up the ribs and sternumB. The thoracic cavity is anatomically an air tight chamberC. Healthy man can inspire approximately 500 ml of air per minuteD. During expiration, the intrapulmonary pressure is slighly below the surrounding atmospheric pressure |
|
Answer» Correct Answer - B |
|
| 16. |
It is a common practice to plant trees and shrubs near the boundary walls of buildings. What purpose do they serve. |
|
Answer» The plants growing near the boundary wall act as barriers for sound pollution and act as dust catchers. |
|
| 17. |
It is a common practice to plant trees and shrubs near the boundary walls of buildings. What purpose do they serve? |
|
Answer» The plants growing near the boundary wall act as barriers for sound pollution and act as dust catchers. |
|
| 18. |
Pick out wrong statementA. Double fertilisation is unique to gymnosperms and monocotyledonsB. Sequoia, a gymnosperm, is one of the tallest treesC. Phaeophyceae members possess chlorophyll a,c, carotenoids and xanthophyllsD. Moss is a gametophyte which consists of two stages namely, protonema stage and leafy stage. |
|
Answer» Correct Answer - A |
|
| 19. |
Jhumming : The 'slash and burn' agriculture is known as 'Milpa' in Mexico and Central America, 'Conuco' in Venezuela, 'Roca' in Brazil, 'Masole' in Central Africa, 'Ladang' in Indonesia, 'Ray' in Vietnam.In India, this primitive form of cultivation is called 'Bewar' or 'Dahiya' in Madhya Pradesh, 'Podu' or 'Penda' in Andhra Pradesh, 'Pama Dabi' or 'Koman' or 'Bringa' in Odisha, 'Kumari' in Western Ghats, 'Valre' or 'Waltre' in South-eastern Rajasthan, 'Khil' in the Himalayan belt, 'Kuruwa' in Jharkhand and 'Jhumming' in the North-eastern region.Identify the major problem of Jhumming cultivation.(a) Single crop dominance(b) Modern inputs(c) High cost(d) Low production |
|
Answer» Answer is : (d) Low production |
|
| 20. |
Jhumming : The 'slash and burn' agriculture is known as 'Milpa' in Mexico and Central America, 'Conuco' in Venezuela, 'Roca' in Brazil, 'Masole' in Central Africa, 'Ladang' in Indonesia, 'Ray' in Vietnam.In India, this primitive form of cultivation is called 'Bewar' or 'Dahiya' in Madhya Pradesh, 'Podu' or 'Penda' in Andhra Pradesh, 'Pama Dabi' or 'Koman' or 'Bringa' in Odisha, 'Kumari' in Western Ghats, 'Valre' or 'Waltre' in South-eastern Rajasthan, 'Khil' in the Himalayan belt, 'Kuruwa' in Jharkhand and 'Jhumming' in the North-eastern region.In India 'slash and burn' agriculture is known as 'Bewar', in which one of the following States?(a) Andhra Pradesh(b) Madhya Pradesh(c) Rajasthan(d) Jharkhand |
|
Answer» Answer is : (b) Madhya Pradesh |
|
| 21. |
Given diagram shows bone of the left human hindlimb as seen from front. It has certain mistakes in labelling. Which of the following pairs contain both wrongly labelled bones ? A. Tibia and tarsalsB. Femur and fibulaC. Fibula and phalangesD. Tarsals and femur |
|
Answer» Correct Answer - C |
|
| 22. |
In India 'slash and burn agriculture is known as 'Bewar', in which one of the following States?(a) Andhra Pradesh (b) Madhya Pradesh (c) Rajasthan (d) Jharkhand |
|
Answer» Correct option is: (b) Madhya Pradesh |
|
| 23. |
The pineapple which under natural condition is difficult to blossom has been made to produce fruits throughout the year by application ofA. NAA, 2,4-DB. pheyl acetic acidC. cytokininD. none of these |
|
Answer» Correct Answer - A |
|
| 24. |
The 'slash and burn' agriculture is known as' Conuco' in which one of the following countries? (a) Venezuela (b) Brazil (c) Indonesia (d) Mexico |
|
Answer» Correct option is: (a) Venezuela |
|
| 25. |
Jhumming : The 'slash and burn' agriculture is known as 'Milpa' in Mexico and Central America, 'Conuco' in Venezuela, 'Roca' in Brazil, 'Masole' in Central Africa, 'Ladang' in Indonesia, 'Ray' in Vietnam.In India, this primitive form of cultivation is called 'Bewar' or 'Dahiya' in Madhya Pradesh, 'Podu' or 'Penda' in Andhra Pradesh, 'Pama Dabi' or 'Koman' or 'Bringa' in Odisha, 'Kumari' in Western Ghats, 'Valre' or 'Waltre' in South-eastern Rajasthan, 'Khil' in the Himalayan belt, 'Kuruwa' in Jharkhand and 'Jhumming' in the North-eastern region.The 'slash and burn' agriculture is known as 'Conuco' in which one of the following countries?(a) Venezuela(b) Brazil(c) Indonesia(d) Mexico |
|
Answer» Answer is : (a) Venezuela |
|
| 26. |
The wash and burn agriculture is known as "Roca' in which one of the following countries?(a) Mexico(b) Indonesia (c) Brazil (d) Venezuela |
|
Answer» Correct option is: (c) Brazil |
|
| 27. |
Which of the following statements regarding universal rules of biological nomenclature is incorrect ?A. The first word in a biological name represents the genusB. The first word denoting the genus starts with a capital letterC. Both the words in a biological name, when handwritten, are separately underlinedD. Biological names are generally in Greek and written in italics |
|
Answer» Correct Answer - D |
|
| 28. |
Which of the following is correct ?A. All fungi are filamentousB. Transfer of DNA from one bacterium to another bacterium cannot take placeC. Viruses cannot have both DNA and RNA togetherD. Protists reproduce asexually only |
|
Answer» Correct Answer - C |
|
| 29. |
Select the incorrect statementA. Ribozymes are nucleic acids with catalytic powerB. Nucleic acids serve as genetic materialC. Proteins, nucleic acids and polysaccharides are the only three types of macromolecules found in the living systemD. Collagen is the most abdundant protein in the whole of the biosphere and RuBisCo is the most abundant protein in animal world |
|
Answer» Correct Answer - D |
|
| 30. |
Posterior column damage in the spinal cord may impair A. Vibration sense. B. Pain sensation. C. The flexor plantar response to stimulation of the sole. D. Touch sensation. E. The ability to stand steadily with the eyes closed. |
|
Answer» A. True The fibres carrying this sensation travel in the posterior columns. B. False The fibres carrying pain sensation travel in the spinothalamic tracts. C. False The reflex does not depend on posterior column fibres. D. True The fibres responsible for fine touch sensation travel in the posterior columns. E. True Proprioceptive information is important in maintaining balance and it is carried in the posterior columns. |
|
| 31. |
Bulging of the optic disc into the vitreous humour (papilloedema) is caused by A. Raised intraoccular pressure (glaucoma). B. Blockage of absorption of the aqueous humour. C. A rise in intracranial pressure. D. Inflammation of the optic nerve. E. Interference with the venous drainage of the eye. |
|
Answer» A. False Glaucoma causes depression (‘cupping’) of the optic disc. B. False This is a cause of glaucoma. C. True Papilloedema is an important sign of raised intracranial pressure. D. True Optic neuritis causes swelling of the optic disc. E. True This causes local oedema involving the disc. |
|
| 32. |
Cutaneous pain A. Can be caused by overstimulation of touch receptors. B. Can be caused by excitation of receptors by chemicals released in injured tissue. C. Can be elicited more readily if the tissue has been injured recently. D. Receptors adapt to stimulation more quickly than touch receptors. E. Transmission at spinal cord level is facilitated by opening of potassium channels in the post-synaptic membrane. |
|
Answer» A. False Pain is due to excitation of specific pain receptors. B. True Such substances include histamine, bradykinin, 5-hydroxytryptamine, prostaglandins, nitric oxide and substance P. C. True Chemicals released in the injured tissue reduce the stimulation threshold to cause hyperalgesia. D. False Pain receptors adapt much more slowly than touch receptors. E. False This would inhibit synaptic transmission and may explain how enkephalin and endorphin modulate transmission of pain impulses in the substantia gelatinosa. |
|
| 33. |
Signs of brainstem death include A. Unconsciousness. B. Loss of pupillary reaction to light. C. Loss of tendon jerks in the arms and legs. D. Loss of respiratory response to CO2 in the absence of hypoxia. E. Nystagmus in response to cold water in the external auditory canal. |
|
Answer» A. False Consciousness is a function of the cerebral cortical neurones. B. True The coordinating centres for pupillary reflexes are in the brainstem. C. False The reflex centres for tendon jerks are in the spinal cord. D. True Respiratory reflexes are coordinated in the brainstem. E. False Nystagmus is the normal reflex response of brainstem centres to this stimulus. |
|
| 34. |
Pain receptors in the gut and urinary tract may be stimulated by A. Cutting through their wall with a sharp scalpel. B. Distention. C. Inflammation of the wall. D. Acid fluid. E. Vigorous rhythmic contractions behind an obstruction. |
|
Answer» A. False The intestine may be cut painlessly during operations under local anaesthesia. B. True Stretch is an adequate stimulus for these receptors. C. True Chemicals released in inflammation lower the pain threshold (hyperalgesia). D. True As with a peptic ulcer. E. True This is the cause of the intermittent pain known as colic. |
|
| 35. |
Sensory disturbance consisting of A. Pain, sensory loss and paraesthesiae in one leg suggests a spinal cord lesion. B. Loss of pain, temperature but not touch sensation in the arms suggests a spinal cord lesion. C. Loss of two-point discrimination but not touch sensation suggests a lesion in the thalamus. D. Loss of all sensations on the left side suggests a right internal capsule lesion. E. Loss of all sensations in a skin region suggests a peripheral nerve or posterior root lesion. |
|
Answer» A. False Pain is uncommon with spinal cord lesions; the symptoms suggest irritation of a sensory root or peripheral nerve. B. True The fibres carrying these sensations run in separate tracts in the spinal cord. C. False It suggests a parietal cortex lesion where such sensory discriminations are made. D. False It suggests right-sided brain-stem damage since pain is appreciated at subcortical level. E. True Only peripheral nerves and posterior roots carry all modalities of sensation together from a circumscribed skin area. |
|
| 36. |
Blockade of parasympathetic activity causes a reduction in A. Sweat production. B. Resting heart rate. C. The strength of skeletal muscle contraction. D. Salivation. E. Intestinal motility. |
|
Answer» A. False Sweat glands are innervated by sympathetic cholinergic nerves. B. False Resting heart rate rises due to blockade of vagal tone. C. False Parasympathetic nerves are not involved in skeletal muscle activity. D. True Dryness of the mouth results from blockade of salivary secretion. E. True Parasympathetic nerves are motor to intestinal smooth muscle. |
|
| 37. |
Parasympathetic nerves A. Have opposite effects to sympathetic nerves on intestinal smooth muscle. B. Have opposite effects to sympathetic nerves on iris smooth muscle. C. Cause vasodilatation in skeletal muscle during prolonged exercise. D. Cause sweat secretion in skin when body temperature rises. E. Have longer postganglionic than preganglionic fibres. |
|
Answer» A. True Parasympathetic nerves stimulate, and sympathetic nerves inhibit, intestinal smooth muscle contractions. B. False Both contract iris smooth muscle; however parasympathetics constrict the pupil by contracting circular muscle, sympathetics dilate it by contracting radial muscle. C. False Skeletal muscle has no parasympathetic nerve supply; local metabolites are responsible for the vasodilatation. D. False Skin has no parasympathetic innervation; sympathetic cholinergic nerves are responsible for the increase in sweating when body temperature rises. E. False The reverse is the case. |
|
| 38. |
Blockade of β (beta) adrenoceptors is likely to causeA. Decreased intestinal motility. B. Worsening of the condition in patients with bronchial asthma. C. Worsening of the condition in patients in cardiac failure. D. Inability to increase heart rate during exercise in patients with transplanted hearts. E. Inability to increase blood flow to exercising muscles. |
|
Answer» A. False Alpha and beta adrenoceptor stimulation in gut inhibits smooth muscle. B. True By blocking the bronchodilatory action of adrenaline and noradrenaline. C. True By several mechanisms including blocking the sympathetic drive to the heart. D. True By blocking the chronotropic effect of circulating catecholamines. E. False Increased flow in exercise depends on local metabolites, not beta adrenoceptors. |
|
| 39. |
Blockade of α (alpha) adrenoceptors is likely to cause a reduction in A. Sweat production. B. Bronchus diameter. C. Gastrointestinal motility. D. Total peripheral resistance. E. Heart rate. |
|
Answer» A. False Sweating is mediated by cholinergic nerves. B. False Bronchial smooth muscle has few alpha receptors; beta blockade tends to cause bronchoconstriction. C. False Stimulation of alpha or beta adrenoceptors inhibits the gut. D. True Alpha receptors mediate vasoconstriction. E. False The heart has few alpha receptors; beta receptor blockade slows the heart. |
|
| 40. |
Stimulation of the vagus nerves causes A. A reduction in the strength of ventricular contraction. B. Secretion and vasodilatation in the salivary glands. C. Mucous secretion from bronchial mucosal cells. D. The spleen to contract. E. The gallbladder to contract. |
|
Answer» A. False Ventricles have little vagal innervation. B. False The vagus does not supply parasympathetic nerves to the salivary glands. C. True It also contracts bronchial smooth muscle. D. False It is sympathetic activity that causes the spleen to contract. E. True This together with relaxation of the sphincter of Oddi drives bile into the duodenum. |
|
| 41. |
The cerebellumA. Modifies the discharge of spinal motor neurones. B. Is essential for finely coordinated movements. C. Has an afferent input from the motor cortex. D. Has an afferent input from muscle proprioceptors. E. Has an afferent input from the vestibular system. |
|
Answer» A. True Hence it influences skeletal muscle activity. B. True Damage to it leads to movements being clumsy (ataxia). C. True This provides information of the desired movement. D. True This provides information of the actual movement. E. True It has an important role in maintaining balance. |
|
| 42. |
The ascending reticular formation A. When stimulated tends to increase alertness. B. Transmits impulses to higher centres via a multisynaptic pathway. C. Is activated by collateral branches of sensory neurones. D. Neurones project to most parts of the cerebral cortex. E. Increases its activity during deep sleep. |
|
Answer» A. True Associated with increased electrical activity in cortical regions. B. True Diffuse cortical activity following sensory stimulation occurs later than local postcentral gyrus activity. C. True Sensory fibres ascending to the thalamus send collaterals to reticular nuclei. D. True The diffuse cortical activity following sensory stimulation is abolished by damage to the reticular formation. E. False Decreased activity leads to a higher arousal threshold during sleep. |
|
| 43. |
During deep sleep there is a fall in A. Hand skin temperature. B. Arterial PCO2. C. Blood growth hormone/cortisol ratio. D. Metabolic rate. E. Urine formation. |
|
Answer» A. False Skin temperature rises due to vasodilation. B. False The level rises due to hypoventilation. C. False Growth hormone level is higher, cortisol lower in sleep. D. True Due to slowing of metabolism and a fall in catecholamine level. E. True The antidiuretic hormone level is higher in sleep. |
|
| 44. |
For each case of coma A–E, select the most appropriate option from the following list. 1. Hyperthermia. 2. Hypothermia. 3. Respiratory failure. 4. Hepatic failure. 5. Renal failure. 6. Diabetic ketoacidosis. 7. Hypoglycaemia. 8. Drug overdose. 9. Hypothyroidism. 10. Raised intracranial pressure. 11. Brainstem death. 12. Persistent vegetative state.A. A 70-year-old woman has been found in her kitchen unconscious when neighbours noted that she had failed to appear as usual for the second day running. On admission to hospital she is noted to have markedly cold skin but this is attributed to the current cold spell and not regarded initially as serious since the clinical thermometer shows only a slightly low body temperature at 35.5oC.B. A 5-year-old child admitted after a road traffic accident has been deeply unconscious since admission several days ago and is maintained on a ventilator. There is no response of the pupils to light and the corneal response is also absent. Instillation of ice-cold saline into the external auditory meatus produces no eye movements and there is no spontaneous breathing when ventilation is suspended (after pre-oxygenation) to allow the carbon dioxide level in arterial blood to rise to 50 per cent above normal.C. A 10-year-old child has been admitted in coma with a history of rapid deterioration with vomiting over the previous two days. Recently the child had lost weight and had been passing urine in large amounts more frequently than usual. Hyperventilation is noted. Laboratory investigations results include a pH of 7.1 and a bicarbonate level of 9 mmol per litre.D. A 35-year-old man known to ambulance personnel as a diabetic has been brought unconscious to hospital. His heart rate is 90 per minute and the pulse is strong, with blood pressure 150/50. Marked sweating is noted. E. A 30-year-old man was admitted to hospital in an ‘intoxicated’ state and with a history of vomiting a cupful of blood on the day of admission. He subsequently became drowsy and lapsed into coma, despite transfusion of blood. He is noted to have yellow discolouration of the skin and sclera. |
|
Answer» A. Option 2 Hypothermia. ‘Accidental’ hypothermia tends to affect people of all ages when immersed in cold water or exposed on land to low temperatures without adequate insulation; it also occurs in elderly people during cold weather, usually when they have suffered an illness such as a stroke which means they lie poorly insulated in a relatively low temperature. Diagnosis requires a low reading thermometer, usually inserted rectally, since a clinical thermometer is shaken down to an initial temperature around 35–36°C and this may be taken as the temperature even though the True temperature is 5–10 degrees below this. The markedly cold skin is an important clue. Treatment of such patients is often unsuccessful since they have the damage produced by hypothermia added to the underlying condition such as a stroke in this case. B. Option 11 Brainstem death. This diagnosis is only made after careful repeated expert examination and after reversible causes such as Options 2, 8 and 9 have been excluded. Survival of the brainstem would be indicated by preservation of the brainstem corneal and pupillary reflexes, by the presence of nystagmus (jerky eye movements) provoked by stimulation of the vestibular system by the icy saline and by spontaneous breathing movements in the presence of a high carbon dioxide level. (The pre-oxygen fills the functional residual capacity with oxygen to prevent hypoxic damage during removal from the ventilator.) C. Option 6 Diabetic ketoacidosis. This is a typical history of childhood-onset of insulindependent diabetes mellitus. Lack of insulin’s action leads to failure to assimilate absorbed glucose and other nutrients into the body cells, with resulting malnutrition and glycosuria leading to polyuria. In the absence of adequate intracellular glucose, energy production relies excessively on fat as a substrate and this leads to ketones and a huge excess of hydrogen ions (severe metabolic acidosis with pH 7.1 and bicarbonate down to about a third of normal due to buffering). This in turn leads to vomiting, coma and hyperventilation to compensate to some degree for the acidosis by lowering the carbon dioxide level. The blood glucose level would be 5–10 times normal. D. Option 7 Hypoglycaemia. This patient contrasts with the previous one in that he is known to be a diabetic and his condition suggests a low blood sugar. This is suggested by the hyperdynamic circulation, a compensation for hypoglycaemia (in contrast, ketoacidosis is associated with a weak pulse and circulatory failure). The sweating is also a sympathetic autonomic response to hypoglycaemia. The initial treatment is an intravenous injection of concentrated glucose. Such patients not uncommonly have repeated episodes of unconsciousness due to hypoglycaemia and become known to ambulance personnel. E. Option 4 Hepatic failure. The major clue here is the jaundice (yellow discolouration) which suggests a hepatic cause of coma. Hepatic failure often causes in the early stages a state similar to alcoholic intoxication and indeed the two could co-exist as excessive alcoholic consumption is a common cause of hepatic failure. However, in this case vomiting of blood has occurred (common in hepatic failure complicated by portal hypertension and oesophageal varices). It is likely that some of the blood lost will have been digested and the products of digestion absorbed from the gut. Digestion and absorption of this high protein load could cause hepatic coma to develop precipitated by toxic products of protein digestion which cannot be eliminated by the liver. |
|
| 45. |
Increased intracranial pressure may cause A. Cranial enlargement in children. B. Squinting and loss of smell sensation in children. C. Cupping of the optic disc. D. An increase in cerebral blood flow. E. Arterial hypertension. |
|
Answer» A. True Hydrocephaly occurs because the cranial bone sutures have not closed. B. True The cranial deformity in hydrocephalus may damage cranial nerves. C. False It causes papilloedema – bulging in the opposite direction. D. False Vessel compression may reduce cerebral flow severely. E. True This reflex response helps to maintain cerebral blood flow. |
|
| 46. |
The ankle jerk reflex is exaggerated A. When the arm muscles are voluntarily contracted. B. Immediately after complete spinal cord transection at the cervical level. C. On the left side some months after damage to the tracts in the right internal capsule. D. In extrapyramidal system disorders such as Parkinsonism. E. When cerebellar function is lost. |
|
Answer» A. False It is not exaggerated but contraction of arm muscles reinforces the reflex. B. False Immediately after cord transection, reflexes below the level of the lesion are lost in the stage of ‘spinal shock’. C. True Muscle tone increases following contralateral internal capsular lesions. D. False Though muscle tone is increased, tendon jerks are not exaggerated. E. False Muscle tone is low following cerebellar damage and the knee jerk ‘pendular’. |
|
| 47. |
Long-term consequences of transection of the spinal cord in the lower cervical region include A. Loss of thermoregulatory sweat production in the legs. B. Severe flexor spasms when the skin of the legs is stimulated. C. Paralysis of bladder muscle. D. Inability to regulate sympathetic tone in leg blood vessels in response to baroreceptor stimulation. E. Inability to erect the penis and ejaculate semen. |
|
Answer» A. True Thermoregulatory control is coordinated through the sympathetic nervous system by centres in the hypothalamus. B. True Due to exaggeration of the spinal withdrawal reflex. C. False Both micturition and defaecation can occur reflexly (their reflex centres are in the sacral cord) but are no longer under voluntary control. D. True This impairs the control of arterial blood pressure, especially in the erect position. E. False These are spinal reflexes with centres in the lumbosacral region of the spinal cord. |
|
| 48. |
Hemisection of the spinal cord at C7 on the right side would cause A. Greater loss of pain sensation in the right foot than in the left foot. B. Greater loss of motor power in the right leg than in the left leg. C. Greater loss of conscious proprioception in the right than in the left leg. D. Respiratory failure E. Loss of the micturition reflex. |
|
Answer» A. False The left would be more affected; pain fibres cross the midline shortly after entering the cord. B. True The main motor tract to the right leg would be severed. C. True The fibres serving proprioception cross at the top of the spinal cord. D. False Diaphragmatic and some intercostal activity would remain intact. E. False The reflex centres for micturition are in the sacral cord. |
|
| 49. |
For each case of neurological abnormality due to damage in the nervous system A–E, select the most appropriate option for the site of that damage from the following list of sites for the damaged area (lesion). 1. Lower motor neurones (peripheral). 2. Upper motor neurones (central). 3. Left cerebral hemisphere.4. Right cerebral hemisphere. 5. Left half of spinal cord. 6. Right half of spinal cord.A. A 40-year-old man has noticed that his right leg feels ‘different’, but he has not noticed any weakness. On testing, his right leg is not as good as the left at detecting a pin-prick or a cold metallic object. B. An 80-year-old woman is found to have moderate weakness on one side of her body. She seems fairly aware of her surroundings but appears not to be able to speak. C. A 20-year-old man was involved in a motor bike crash a month ago. He has weakness and clumsiness in his right arm but there is no abnormality of feeling. The thenar eminence on the right is flatter than that on the left. The biceps reflex on the right is weaker than that on the left.D. A 70-year-old woman developed weakness in her right arm and leg a month ago and was admitted to hospital. The weakness is still present in her right arm and sensation is not as good as in the left. The biceps reflex on the right is stronger than that on the left. E. A 30-year-old man in a wheelchair has severe weakness of both legs. The leg reflexes are brisker than normal. |
|
Answer» A. Option 5 Left half of spinal cord. This man has impaired pain and temperature sensation in his right leg. These sensory modalities are conveyed in pathways which cross the mid line soon after entry to the spinal cord, so the lesion is in the left side, affecting the spino-thalamic tract. B. Option 3 Left cerebral hemisphere. The age and symptoms are typical of a ‘stroke’. We are not told the side of the weakness, but since the left cerebral hemisphere is concerned with speech in the great majority of people, the lesion is most likely to be in the left than the right hemisphere. C. Option 1 Lower motor neurones. Weakness without sensory loss suggests a motor abnormality. Wasting and impaired reflexes are typical of a lower motor neurone lesion. D. Option 3 Left cerebral hemisphere. Persisting weakness of an upper motor neurone type (brisk reflex), together with loss of sensation suggest the effects of a stroke affecting the brain on the opposite side. E. Option 2 Upper motor neurones. This man has bilateral upper motor neurone weakness of the legs with typically increased reflexes. A common cause would be a spinal cord injury, in which case further testing should show serious sensory loss on both sides. |
|
| 50. |
Nerve fibres continue to conduct impulses when A. Extracellular sodium is replaced by potassium. B. Extracellular sodium is replaced by a non-diffusible cation. C. Temperature is lowered from 37 to 30oC. D. Temperature is lowered to below 0oC provided freezing does not occur. E. The sodium-potassium pump is inactivated. |
|
Answer» A. False This would depolarize the fibres completely. B. False Influx of cations is essential for depolarization. C. True However, conduction is slowed. D. False Nerve fibres stop conducting before tissue freezing occurs. E. True They continue to conduct until the electro chemical gradients created by the pump decline. |
|