List of practice Questions

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Varicocele may be defined as diffuse dilation of the pampiniform plexus (the venous drainage of the scrotum). Generally, the venous drainage of the scrotum begins with multiple scrotal veins that coalesce with the plexus. This drainage ascends along the cord structure and ultimately forms a single testicular vein, draining on the right into the vena cava and on the left renal vein. Although the main symptom of admission is dilated veins observed in the scrotum, patients with especially high-grade varicocele suffer from chronic groin pain. This may limit the physical performance.
The etiology remains unclear. Most theories have as a common thread an increased venous backpressure with sub-sequent venous varicosity. These theories are based on insufficient venous values anatomic angle of venous drainage, external compression of the drainage system and backflow of metabolites from left adrenal vein onto the subjacent testis. Although varicocele can appear at any pediatric age, the incidence peaks near mid-puberty and catches the incidence of adult population. Overall, varicocele are estimated to occur in 15% of the adolescent population. They are almost all left-sided and rarely bilateral. Right-sided varicocele has been reported with situs inversus, adding to the emphasis on anatomic etilogy. Most adolescents who have varicocele are asymptomatic and discovered on routine examination. There may be some mild discomfort. Although the mechanism is unclear, there is general agreement that larger varicoceles are more likely to result in testicular injury than smaller ones, and that this injury appears to be a function of increasing time.
Most cases of childhood varicocele require no treatment, but because of the gross apperance of varicocele, parents need to be well counseled. Generally, a larger scrotum than normal is observed during physical examination when the boy stands upright. Palpation of the scrotum is like feeling “a bag of worms”. The mass of veins often disappear when the child lies down. Adolescents who have pain, large varicoceles, or loss of ipsilateral testicular volume over time should undergo surgical therapy. Prior surgical therapies focusing on mass ligation of the internal spermatic vessels have had good results, but a significant incidence of postoperative hydrocele is reported.
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All documents pertaining to test scores and their subsequent processing are collectively known as test records. In other words, all such documents which contain test scores in direct or alternate forms constitute the test records. These are the most important documents to be stored for quite some time with the concerned authorities so that the same could be used for the verification of any doubtful apprehensions of students, teachers, parents or the administrators (management) which may arise especially regarding the unexpected findings of the test results. In order to maintain and use proper test records, it is inevitable that all the original score cards or score sheet are collected and preserved. At the same time, it is equally important that all the subjects are provided with their individual results of each test item (probably except 1.Q.) as promptly as possible. This should be done either asking the subjects to copy the results of their interest or by getting a duplicate copy made by clerical assistance or duplicating machines, but the originals must be maintained by the test incharges. The collection of original score cards/score sheets must be made immediately after the completion of the last test item. Under no circumstances, requests of subjects should be entertained asking for the submission of score cards the next day or after few hours after copying. If such requests are entertained, these may often result in losing, mutilation or tampering of the scores. In fact, special instructions be given to a reliable test assistant to stand at the last test station to collect the store cards either from each subject directly or through squadleaders. In case the score cards are collected separately by each test station incharge, the duty of collection of the same at one place must be assigned either for the submission of test score to the overall test incharge directly by the station incharges or for getting the same collected by a reliable test assistant or teacher incharge of the test. After the test score cards or sheets are collected at one place, these are to be recorded and preserved safely. Administratively, the test records may be maintained either by the teacher incharge of test or by some central agency where all the teacher incharges of conducting different tests at the same time (or at different times) may be required to submit all test records for subsequent use as per the administrative decisions.
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With each team having played eight matches, here's a look at some of the key takeaways from the tournament. After 20 matches and two and a half weeks of action - packed cricket, the league stage of the inaugural edition of the Women's Premier League (WPL) ended with Delhi Capitals qualifying for the final. Fans of women's cricket had waited a long time for the WPL to arrive. Australia's Big Bash League and England's Super League were great platforms in their own right but it was widely accepted that for the women's game to soar further, a T20 league in India had to get going. And so, 15 years after the IPL was born, the WPL came to life with the biggest names in the game supping up. With five teams competing and playing eight matches each, the league stage didn't disappoint despite the several handicaps that come with the first edition of a tournament. There was individual brilliance aplenty, a remarkably strong sense of team spirit, close finishes and packed stadiums. With each team having played eight matches here's a look at some of the key takeaways from the tournament ; of the 20 games that were played in the league stage,15 saw the player of the match award go to an overseas player. This shouldn't come as too big a surprise, considering the number of domestic players competing, but there's no denying that every team depended heavily on its overseas stars. In the list of highest run - scorers in the tournament, the top five names are of overseas players and among bowlers, Only MI's Saika Ishaque was in the top five wicket - takers. Lanning and Marizanne Kapp for DC. Haytey Matthews, Natalie Seiver - Brunt and Amelia Kerr for ML Alyssa Healy, Tahlia McGrath and Grace Harris for UPW, Sophie Devine and Ellyse Perry for Royal Challengers Bangalore, and Ashleigh Gardner and Kim Garth for Gujarat Giants - the league stage saw these proven international performers take great responsibility for their respective teams.