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NEET MDS Shorts

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Oral Pathology

Mumps is a classic cause of acute, non-suppurative (not producing pus) sialadenitis, specifically affecting the parotid glands.

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Orthodontics

Expansion and distalization are considered noninvasive methods for gaining space in orthodontic treatment.

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Biochemistry

Glycine is a Glycogenic amino acid, only

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Pathology

Nuclear cytoplasmic asynchrony refers to a condition where the nucleus and cytoplasm of a cell do not develop at the same rate. This can occur in various forms of anemia and other pathological conditions. Here's a detailed explanation of the concept and its relevance to the options provided:

1. Megaloblastic Anemia: Megaloblastic anemia is a type of anemia characterized by the presence of large, immature, nucleated red blood cells (megaloblasts) in the bone marrow and peripheral blood. This condition is primarily caused by a deficiency in vitamin B12 or folic acid, which are essential for DNA synthesis during cell division. The nucleus of the cells divides more slowly than the cytoplasm, leading to an asynchronous development and the formation of large, abnormal cells. In megaloblastic anemia, the nucleus is often large and hyperchromatic (darkly stained), while the cytoplasm is relatively less developed and pale. Therefore, this option is the most appropriate answer.

2. Fe Deficiency Anemia: Iron deficiency anemia is the most common type of anemia worldwide, resulting from a lack of iron in the body. Iron is a critical component of hemoglobin, which is responsible for carrying oxygen in red blood cells. In this condition, the body produces smaller than normal red blood cells (microcytic) that lack hemoglobin, leading to decreased oxygen transport. The nucleus and cytoplasm of the erythrocytes are typically smaller than normal, and there is no significant asynchrony in their development. Hence, this option is not a characteristic feature of nuclear cytoplasmic asynchrony.

3. Erythroblastosis Fetalis: This is a condition that occurs when an Rh-negative mother has an Rh-positive fetus. The mother's immune system produces antibodies against the fetal red blood cells, leading to their destruction. This causes anemia in the newborn. However, erythroblastosis fetalis is not typically associated with nuclear cytoplasmic asynchrony. The anemia is a result of hemolysis (destruction of red blood cells) rather than an intrinsic defect in the development of the cells themselves. Thus, this option is not the correct answer for this characteristic feature.

correct answer is:
1. Megaloblastic anemia

This is because megaloblastic anemia is the condition where nuclear cytoplasmic asynchrony is a hallmark feature due to the disproportionate growth of the nucleus and cytoplasm in red blood cell precursors, resulting from vitamin B12 or folic acid deficiencies affecting DNA synthesis.

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Oral Pathology

Leukocytopenia can be seen in influenza, agranulocytosis, and liver cirrhosis.

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Pathology

The correct answer for the MCQ is option 1: Pernicious anemia results from vitamin B12 deficiency resulting from inadequate intrinsic factor. This is because pernicious anemia is specifically caused by the body's inability to absorb vitamin B12 due to a lack of intrinsic factor, which is required for the absorption of vitamin B12 in the small intestine. Folic acid deficiency, while it can also cause megaloblastic anemia, is not directly associated with intrinsic factor and is a separate entity from pernicious anemia.

1. Vitamin B12 deficiency resulting from inadequate intrinsic factor:
Vitamin B12 is an essential nutrient that plays a critical role in the production of healthy red blood cells. It is involved in the synthesis of DNA and the metabolism of fatty acids and amino acids. Intrinsic factor is a protein produced by the parietal cells of the stomach that binds to vitamin B12, allowing it to be absorbed in the small intestine. When there is a deficiency of intrinsic factor, vitamin B12 cannot be effectively absorbed from food, leading to vitamin B12 deficiency anemia. This is the most common cause of pernicious anemia.

Pernicious anemia is an autoimmune disorder where the body's immune system mistakenly attacks the stomach cells that produce intrinsic factor. Without sufficient intrinsic factor, vitamin B12 cannot be absorbed, resulting in a decrease in the number of red blood cells produced. The red blood cells that are formed are abnormally large and immature, known as megaloblasts. These cells are not efficient at carrying oxygen and are destroyed more quickly than normal cells, leading to the symptoms of anemia such as fatigue, weakness, and pallor. The deficiency in vitamin B12 can also affect the nervous system, causing neuropathy, cognitive impairment, and other neurological symptoms.

2. Folic acid deficiency resulting from inadequate intrinsic factor:
Folic acid is another B-vitamin essential for the production of red blood cells and is involved in DNA synthesis. However, folic acid deficiency is not directly caused by a lack of intrinsic factor. Folic acid is absorbed in the small intestine through a different mechanism than vitamin B12. While folic acid deficiency can also lead to megaloblastic anemia, it is not typically referred to as pernicious anemia. Pernicious anemia is specifically associated with vitamin B12 deficiency due to intrinsic factor deficiency or malabsorption.

3. Vitamin B12 deficiency resulting from inadequate extrinsic factor:
The term "extrinsic factor" is not commonly used in the context of vitamin B12 deficiency. Vitamin B12 is derived from dietary sources such as meat, fish, and dairy products. In the context of pernicious anemia, the issue is with the intrinsic factor, which is necessary for the absorption of vitamin B12. Therefore, this option is not accurate for explaining the cause of pernicious anemia.

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Periodontics

Hyaluronidase and chondroitinase are enzymes that play a role in the degradation of connective tissue components, including glycosaminoglycans in the periodontal tissues. These enzymes contribute to the breakdown of the extracellular matrix, which is significant in periodontal disease progression.

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Oral Pathology

In tongue amyloidosis, amyloid is deposited primarily in the stromal connective tissue. Amyloid proteins accumulate in the extracellular space of connective tissue, not within cells. This deposition causes tissue enlargement and functional impairment of the affected organ.

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Oral Pathology

The histopathology of osteopetrosis shows endosteal bone formation and lack of normal bone resorption.

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INI CET

The rubber dam is the gold standard for isolation in endodontics and vital pulp therapy as it ensures an aseptic field and prevents bacterial contamination from saliva.

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