Imp. Facts For Recaptulation 1

5/9/2015
IMP.FACTSFORRECAPTULATION.|AIPPGForum
MP.FACTSFORRECAPTULATION.
m/caneuploidyseenwithnuchalthickness=TRISOMY21
*DOCforepilepsyinPreg.women=PHENOBARBITONE
*M/ccauseofsporadicencephalitis=HSV
*M/cPresentationofneurocysticercosis=SEIZURES
*Ixofchoice4lesionoftemporalbone=CTSCAN
*Isotopesused4RAIU=I123
*Brownsignseenin=GLOMUSTUMOR
*m/csiteofCSFRhinorrhoea=CRIBRIFORMPLATE
*CSFRhinorrhoeaisdiagnosedby=BETA2TRANSFERRIN
*Dz2beeradicatedinnearfuture=DRACUNCULOSIS
*m/ccauseofperinatalmortalityinIndia=PREMATURITY
*SoilingINDEXisfor=AIRPOLLUTION
*CSFFindinginTBMeningitis=LOWSUGAR+HIGHPROTEIN&
LYMPHOCYTOSIS
*Commonestintraabdominaltumorb/w25yrsoflife=WILM'sTUMOR
Guest,Jan
13, 2009
#1
ANOTHERMCQs
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*Phocomeliais=DEFECTINLONGBONES
*M/CcauseofnoncommunicatingHydrocephalusinChildren=
CONG.ANOMALY
*BirthRate=LIVEBIRTH/1000MIDYEARPOPULATION
*MTPcanbedoneupto=20WEEKS
*M/csymptomofalcoholwithdrawal=TREMOR
*M/csubstanceofabuseinIndia=CANNABIS
*M/ctypeofTotalanomalousPulm.venousconnection=SUPRACARDIAC
*DiagnosisofbetaThalassemiaisestablishedby=HbELECTROPHORESIS
*M/ccauseof2'amenorrhoeainIndia=ENDOMETRIALT.B.
*M/cpuregermcelltumorofOvery=DYSGERMINOMA
*Smallestdiameteroftruepelvis=INTERSPINOUSDIAMETER
*M/CsideeffectofIUCDInsertion=BLEEDING*M/CCxofHiatus
Hernia=Esophagitis
*M/clocationofcarcinoidtumor=Smallbowel
*InhippocampusEEGWavesare=THETAWAVE
*NormaladultCSFpressure=612mmHg
Guest,Jan
13, 2009
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ANOTHERSET
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*LowestthresholdpotentialinMotorNerveFibreis@=AXONHILLOCK
*Intersegmentalreflex,theafferentscome4m=MUSCLESPINDLES
*MuscleRelaxantMostSensitivetoptofMyastheniaGravis=GALLAMINE
*PudendalNerveblockinvolve=S2,3,4
*Leastcardiotoxicagent=ISOFLURANE
*Dissociativeanesthesiais=KETAMINE
*NerveFibreaffectedbyL.A.=TYPEC
*MostpowerfulCoronaryvasodilator=HYPOXIA
*MannitolwhengivenI/Vcauses=INCREASEBLOODVISCOSITY
*HormoneusedinCaBreast=DANAZOL
*M/Aofdigitalisis=INHIBITSNa+K+ATPasePUMP
*DOCofPSVT=ADENOSINE
*DOCofHTinpreg.=METHYLDOPA
*Ketanserinis=5HT2REUPTAKEBLOCKER
*LocalAnestheticsactbyinhibiting=INFLUXOFNa+
*Loadingdosedependson=VOLUMEOFDISTRIBUTION
*Newdrugstudy&developmentcanbedoneby=MOLECULARMODELLING
Guest,Jan
13, 2009
#3
MCQsSHOWER
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*CommonenzymeinGluconeogenesis&Glycolyticpathway=
PHOSPOFRUCTOKINASE
*M/ccauseofNosebleeding=TraumatoLittle'sarea
*CommonenzymeinGluconeogenesis&Glycolyticpathway=
PHOSPOFRUCTOKINASE
*M/ccauseofNosebleeding=TraumatoLittle'sarea
*Gradenigotriadischar.of=PETROUSAPICITIS
*M/CsiteOFKeratoticPapilloma=NASALVESTIBULE
*M/CcompliOFChickenpoxinchildren=SECONDARYBACTERIAL
INFECTION
*Speedballis=Cocaine&Heroin
*Vipersnakevenomis=Vasculotoxic
*AdjuvantusedinDPTVaccine=Aluminium
*Woodmarkformulausedin=ALCOHOLPOISONING
*Bluehypostasisseenin=H2SPOISONING
*ProlongationofRigorMortisseenwith=ARSENIC
Guest,Jan
13, 2009
#4
******MCQs******
2/33
5/9/2015
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*Bacillusanthraciscapsulesconsistof=GAMMAGLUTAMYLPOLYPEPTIDE
*SpecificinducerisoenzymeCYP2C9/10=PHENOBARBITAL
*Gonococcusresistantstructure=TESTIS
*FrieTestisdonein=LGV
*ZESyndromeisduetotumorof=GCELLS
*M/Ccabreast=INTRADUCTALCA
*WtofPlacentaatterm=500gm
*M/CsiteOFspreadofChoriocarcinoma=LUNG
*RxOFchoiceBronchiolitis=RIBAVARIN
*surfactantismadeupof=PHOSPOLIPIDS
*Amnionispresenton=FETALSURFACE
*ShortestActingN.M.BLOCKINGagent=MIVACURIUM
*OnMRI,strengthofmagneticfield=1.1TESLA
*M/CpresentationofRadiationCarditis=PERICARDIALEFF.
*IxofchoiceObstructiveJaundice=USG
*IxofChoiceinAorticdissection=MRI
*PulmonaryEmbolismisdiagnosedby=CTSCAN
Guest,Jan
13, 2009
#5
MCQs
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*BulgingfissuresinLungsisseenin=KLEBSIELLAPNEUMONIA
*spiderlegapp.Isfoundin=POLYCYSTICKIDNEY
*Mostharmfultoindividualcell=Alphaparticles
*Schober'ssignis4=FlexionofLumbarSpine
*sliceoftissueXRaysis=Tomography
*DOC4OCD=CLOMIPRAMINE
*DOC4panicdisorder=FLUOXETINE
*Rxofchoiceinphobicdisorder=BEHAVIORTHERAPY
*Lithiumisbestusedin=MDPBIPOLAR
*Grimacing&Mannerismis=CATATONICSCHIZOPHRENIA
*Widmarkformulaisusedfor=ALCOHOL
*AgentofChoice4Inhalationalinductioninpediatricpt=SEVOFLURANE
*M/Crhythmdisturbanceduringearlypostop.Period=TACHYCARDIA
*BradycardiaisCommonafterinjectionof=SUCCINYLCHOLINE
*AnesthesiaofChoiceinptwithSHOCK=KETAMINE
Guest,Jan
14, 2009
#6
MCQsOFAIPGMEE2009
3/33
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GOTFROMOTHERTHREAD
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1.Proteustriplephosphaterenalstone
2.Appetitestimulanta/emelanocytestimulatinghormone(giveninganong
table)
3.noninvasivediarrhoeaa/eb.cereus
4.IDEASdisability
5.Probability2/6
6.IDEAS
7.Hernialoop/endcolostomy,loop/endileostomy(dontknowthe
ans)
8.Anatomicalsnuffboxradialartery
9.Foreignbodysensationintheeye,arthritisreiters
10.Immediatelyaftereatingdyspneoa,cyanosisguystheanscouldbe
cardiovascular
accidentbecausehewasgivinghistoryofanginavariantandtherewas
historyofcold
clammyextremities.Inanaphylaxisutendtofindwarmextremities..
11.Lupusanticoagulantcorrecta/elifethreateninghemorrhages
12.Milkman#pseudo#
13.Punchedoutlesioninskullelectrophoresis
14.Leastpolarmethyl
15.Nerveentrapmentallexceptfemoral
16.Mammographylesssensitiveinyoungwomenmoreglandsandlessfat
17.Medullabloodsupplyallexceptbulbarartery
18.Trochlearncorrecta/eipsilateral
19.Vasomotorcentreofmedullainfluencedbyvagalcentre
20.Chroniclowbackpainleastcorrectisabsolutebedrestfor3months
21.Pauciimmuneglomerulonephritismicroangiopathicpolyangiitis
22.Coombspositiveanaemiasle
23.juxtafovealtelangiectasiaa/evariantofcoats,maculartelangiectasia,
(dontknow)
24.diabeticretinopathytreatmenta/esealthetear,removeperipheral
retinallayers,
vitrectomy,photocoagulation(noidea)
25.narrowangleglaucomaavoidduloxetine,
26.valproatecausesa/eosteomalacia
27.uvealeffusiona/emyopia,abnormalscleralstructure,scleritis,cilio
choroidcanget
separated(dontknow)
28.nitroglycerinehypotensionandbradycardia
29.paravertebralblockcangotoa/eepiduralspace,subarachnoidspace,
paravertebral
space,intercostalsspace(dontknow)
30.neuroblastomaa/einvoveaortaandbranchesatearlystage.
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31.monetaryfundgiventomentalretardation
32.normalcurvemean=median
33.frequencydistributionofcontinuousvariableslinediagramIthink
34.involvementofsweatglandandhairfollicleslichenscrofulosum,it
couldbesweet
syndromealso
35.allaredirectcutaneousdiseaseexceptreitersdisease
36.scarringalopecialichenplanus
37.adrenaladenomaa/ehypoechoiconnoncontrastct,contrastappears
earlyandwashesoutlate,regularborder(dontrememberthequestion)
38.casperdictumtimesincedeath
39.stellatewoundcontactwound
40.pedestrianwithmultiplegrazedabrasionssecondaryinjuries
41.para3+0,CIN3inonequadrantonpapsmear,whatisthemanagement
conization
42.thyroidpapillaryca2cmtotalthyroidectomywithmodifiedradicalneck
dissection
43.follicularadenomavscarcinomavascularinvasion
44.sertolicellsspermeiogenesis
45.obstructiveazoospermiafshandlhwillbenormal
46.smokingassocwitha/enasopharangealcarcinoma(Harrisonsaysthat
NPxCais
associatedwithebvandsaltedfishsamertheviewsofbaileyandloveabout
bladder
carcinomaIdidntfindanythingconvincingbutinharrisons16th
editionitsclearlysaid
that4050pcurothelialcancersarebelievedtobeb/osmoking)..
47.latestWHOscaleofdisabilityideas
48.SEPSveins
49.commonestorgantobeinjuredinbombblastlung
50.causespfhypercoagulabilitya/einflammatoryboweldisease
51.featuresofpnhmassivesplenomegaly,
52.thromboembolismassocwitha/ediabetes
53.cannotbedefinedinoperationaltermsgoal
54.cannotbedefinedinoperationaltermsgoal,
55.leptospirosisa/eantibodyresponseinfirstweek
56.alltrueexcepttetanusbydustanddroplets
57.alltrueexceptethyleneoxideisconsideredasintermediategrade
58.alltrueexceptzincdeficiencypulmonaryfibrosis
59.precociouspubertyboy5yearswithpubichair,bp120/90franklydon
tknowtheans
60.positiveurinaryaniongapa/ediarrhoea
61.watersampleestimationa/eclostridiumsporesrecentcontamination
62.nutritionalsurveya/e1to4yearmortality
63.qfevervectoraerosol
64.crudebirthratea/eratio,fertilityindicator,stillbornexcluded(what
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wasthefourth
option)
65.imnciincludesa/etb
66.traumapatientwithgcsscore15,bp100/80nextstepivfluidwith
bloodforcross
matching
67.ductalcarcinomainsitubestinvestigationmammography
68.calcificationofpostspinalligamenta/ebeginsfromthoraciclevel(don
tknow)
69.neuraltubeclosesfromcephalicprobably
70.chronicrenalfailurepatientwithhyperkalemiaimmediatetreatmentbefore
dialysisto
reducepotassiumlevelsglucosewithinsulin(questionwasaboutreducing
theklevel
andnotdecreasingitstoxicity)
71.afterstarvation,siteswillhaveincreasedglucosereceptorallexcept
adiposetissue
72.lipoproteinlipasea/edoesnotneedCIIascofactor
73.childbiteshisfingershgprtasedef(leischnyhansyndrome)
74.aftercuttingwithrestrictionenzymessegmentsjoinedbydnaligase
75.coloncarcinomamutationsofgenesa/ebcantenin,
76.comettailartefactadenomyomatosis
77.aedesmosquitoa/econstantbiters,eggscannotsurvivemorethanone
weekwithout
water,transmitdengue,(dontknow)
78.denguehmgicfeverwronga/ereinfectionwithdiffserotype
79.hivmostefficienttransmissionbloodtransfusion
80.hiventersviacd4
81.GISTwhichisincreasedmaxcd117
82.pancreatictransplantwithbladdercatheterurineamylase(franklydon
tknowtheans)
83.29yrswithdiabetes,noketonuria,fatherdoesnothaveDM,grandfather
hasDM
diagnosisa/etype1DM
84.RCCa/emalignanthypertension
85.angiotensina/evasodilatation(itsavasoconstrictor)
86.renalPhysiologya/erenalbloodflowis5pcoftotalcop
87.reversibleischaemiathallium
88.maltesecrossblastomycosis,penicillium,candida(wastherebabesiain
options??Ifnot
thanaimspeoplemustbeknowingtheans)
89.deepperinealpoucha/erootofpenis
90.pelvicdiaphragma/ecollesfascia
91.aorticaneurysmrupturelateralbaileyitwrittenthatposterolateralis
80pcitsa
repeatquestionmuditkhannasaysitlateral
6/33
5/9/2015
92.m.c.siteofsubclavianarteryconstrictiondontknow..Imarkedit
2ndpart
93.arteriovenousshuntcorrectisthermoregulation
94.pseudomonasmultocida???
95.mifepristoneusedinectopicpregnancy
96.lactatingfemalebestcontraceptivebarriermethod(anscouldbepopills
alsoImarked
barriermethod)
97.laproscopicsterilisationcontraindicateda/e<Hb8.5
[snip].incontinentipigmenti100%ophthalmicproblems,xlinked
dominant,skinrash,
associatedwitheyeproblems(dontknow)Imarkedthe100pceye
involvement
99.neurofibromatosisa/eautosomalrecessive
100.trotterstriada/eseizures
101.tuberoussclerosistriada/erhabdomyosarcoma
102.thefollowingspeciesofborreliacauserelapsingfeverexceptdont
rememberthe
question
103.pancreaticcarcinomaa/e75%associatedwithp53mutation,(robbins
saysit5060pc)
102.goldstandardtesttodiagnoseinsulinoma72hrsfastingtest(itsnot
donethough
davidsonsaysitmostsensitivetestamongall)
105.a9yearoldgirlpostedfortonsillectomy,massivehaemorrhagewith
prolongedaPTTand
normalPTansisvwfdeficiency(itsveryunlikelythatagirlgets
hemophiliaaorb
whenitentirelyxlinkedrecessiveandshespresentingattheageof9yrs
forthefirst
time)
106.simplerandomsamplingeveryonehasequalchanceofbeingpicked
(dontknow)
107.incidenceratecanbecalculatedfromprospectivestudies
108.allareanalyticalstudiesexceptfieldtrials
109.babyclinica/eafternormaldeliverybreastfeedingwithin4hrs,
110.targetstrategyinaidsa/eantiretroviraltreatment
111.chemoprophylaxisavailableforallexcepttyphoid
112.vaccinewithhighestefficacypeoplesayitstetanusImarked
measles..sillyme..
113.thefollowingvaccinewhencontaminatedcausestoxicshocksyndrome
measlesvaccine
114.thefollowingcontractionsofesophagusarestationaryprimary,
secondary,tertiary,
quarternarydontknowImarkedtertiary
115.lateexpandingphaseofpopulationfallingdeathrateswithlowbirth
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rate
116.fishodourfromvaginaldischargegardenellavaginalis,(dontknow
ifitgivesfishy
smelldirectlybutitgiveswhenmixedwithkoh)
117.allthefollowingarecompositemusclesexceptflexorcarpiulnaris,
flexordigitorum
profundus,pectineus,bicepsfemoris.PatanaiImarkedflexorcarpii
ulnaris
118.thefollowingjointhasleastchancesforrecurrentdislocationhip
joint..peoplesayit
couldbeanklealso
119.hemochromatosistrueheterozygoustransmission.
120.ayoungpilothadfollowinglabvaluesmcv70,hb10mg%,serumiron60,
serumferritin
100,thediagnosisisthalassemiatrait
121.facilitateddiffusiontrueisrequirescarriertransport
122.oxygendemandofheartdependsonsystolicwork
123.pulsatilelargeliverisseenintricuspidregurgitation
124.systolicthrillinleft2ndor3rdintercostalspaceisseenina/e
subpulmonicvsd,pink
TOF,ebsteinsanomaly(dontknowIdidntseethisquestion)
125.adownsyndromepatientispostedforsurgery,thenecessarypreop
investigationtobe
doneisechocardiography
126.zenkersdiverticulumtruestatementisliesabovethe
cricopharyngeus.bariumswallow
inlateralviewanditsnotatruediverticulum.Idontrememberif
theyaskedthe
falsestatement
127.allaretheusesoflithiumexceptmajordepression
128.afemalechildwasbroughtwithcomplaintofgeneralisedswellingofher
body.Shewas
passingfattycastinherurine.Nohaematuria.ThetruestatementisnoIgG
orC3
depositionseenonrenalbiopsy(franklyIdontknow.ButImarkedthis
oneonly)
129.vonhippellandausyndromeconsistsofa/egastriccancer
130.finnishtypeofnephroticsyndromeisduetomutationinnephrin
131.renalpolycysticdiseaseinchildrenallaretrueexceptautosomal
dominant
132.splicingisbroughtaboutbysnRNA
133.superiormiddlealveolararteryisabranchofdontknowthe
correctans
134.splenicarterygivesallthefollowingbranchesexceptrightgastro
epiploic
135.concurrentchemoradioisgiventoallthefollowingcancersexcept
8/33
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t2n0glotticcancer..
Ihaveneverreadanyroleofchemointhiscancer)
136.tripleassessmentofcancerbreastincludesguyshistoryisnotapartof
triple
assessment..theansisclinicalexamination,usg/mammogramand
biopsy/cytology
137.necrotisingfasciitisa/emostcommonlyduetogroupabhaemolytic
anscouldbe
involvementofdeepfasciaonealsobecauseitinvolvessubcutaneoustissueand
skin
only..fasciaoftenescapes
138.thefollowingcephalosporindoesntneeddosemodifications
dependingongfrvalues
cefoperazone
139.tacrolimussideeffectnephrotoxicity
140.handfootandmouthsyndromecapecitabine..Imarkeditcisplatin
141.amifostinedoesntprotectitsdefinitelygiventoprotectsalivery
glandandkidney..
confusionliesb/wgitandcns..Imarkedcns.
142.smallcelllungcancertruestatementitischemosensitive
143.ifosphamideisanalkylatingagent
144.liquefactivenecrosisisseeningangrene,(tuberculosisiscaseating
whichisalsoatype
ofcoagulativealthough)
145.reducesboneresorptionandincreasesboneformationstrontium
relanate
146.thenephrotoxicityofcisplatinisincreasedbya/erifampicin
147.treatmentofseverecomplicatedfalciparummalariaquinine
148.hepatitisCtruestatementismostcommoncauseforliver
transplantation
(Imarkeditdnavirus.Imsuperstupid)
149.parvovirusB19falsestatementiscancrosstheplacentainonly<10%
cases
150.allcausetraumaticasphyxiaexceptaccidentalstrangulation.
151.truestatementofRDARDAcanbeusedtoassessnutritionalstatuson
thebasisof
adequateintake
152.restlesslegsyndromeseeninchronicrenaldisease,
153.cyanosisdoesnotoccurinanaemiabecausecertainamountofreduced
hbhastobe
present,
154.2,3disphosphoglyceratenotincreasedinchronicanaemia,chronic
hypoxia,inosine,
hypoxanthinedontknowtheexactans
155.hbdissociationcurveissigmoidbecausebindingofoxygentoone
moleculeofhb
9/33
5/9/2015
increasestheaffinityofotheroxygenmolecules
156.modafinilusedinobstructivesleepapnoeaanscouldbenarcolepsy
157.bestnonsurgicaltreatmentofstressincontinencepelvicfloormuscle
exercises
158.carpaltunnelsyndromecausedbya/eaddisonsdisease
159.aladywithtemporalfielddefects,galactorrhoea,mostcommoncause
pituitary
macroadenoma
160.sleepcontrolledbyhypothalamus..anscouldbelimbicsystemalso..if
itwasinthe
option
161.jidiopathicchildhoodonsetarthritisallarepresentexceptraynods
syndrome
162.bleomycinreducestype2pneumocyte,dontrememberwhatI
marked
163.hepatomegalyiscausedbyallexcepthepatocyteporphyria
164.cancerlarynxansisthelastlongoptionprobably.
165.limbdefectswithscarringofskininnewbornvaricellavirus
166.mitomycinCusedintrachealstenosisaftersurgeryandsturgewebber
syndrome..
dontknowthecorrectans
167.cellcyclespecificantineoplasticdrugvinblastine
168.treatmentofosteosarcomaare,.Dontremembertheoptionsor
whatImarked
169.insubclinicalfolicaciddeficiencythefollowingdrugwillbringabout
vitaminB12
deficiencyphenytoin
170.thefollowingdrugcanbegivensafeinpregnancypropylthiouracil
171.rapidcorrectionofhyperglycemiausinginsulinalonewillresultin
hypokalemia
172.icd10includesallexceptexerciserelateddisordersicdlistgives
intoxicationasa
componentIdontknowifpoisoningissimeasintoxication
173.cheifcellsarefoundinansofconsensusisfundusactuallytheyr
foundatantrumand
usuallyantrumreferstonecksoitcouldbetheans..Imarkedneck
174.riskfactor4GBCaa/e>5mmpolyp
175.motorcyclist'sfructuremeansring#
176.spasticparaplegiacausedbyallexceptchronicleadpoisoning
177.allaretrueabouteatonlambertsyndromeexceptpositivetensilontest.
178.paininsensitivestructurechoroidsplexus(middlecerebralartery,falx
cerebrianddura
allaresensitive)
179.bestmarkerforcirculatoryvolumeinpediatricagegroupansiscardiac
output
actuallythebestmarkeriscapillaryrefillingtime..sinceitwasnotgiveninthe
10/33
5/9/2015
optionsso
thenearesttocapillalarryrefilliscop
180.cysticfibrosisallaretrueexceptdefectincalciumchannel
181.girlwithabnormalsweatchloridetest,nextdiagnostictesttransnasal
potential
difference(Imarkedonthebasisofmuditkhannasexplanationitsa
repeatquestion)
182.Rheumatoidfactorwillgivefalsenegativetestswithcoombstest.
183.abrasionscanbeconfusedwithantbites..weweretoldthisbyour
Forensicprofduring
ourForensicclasses
184.newbornwithhydrocephaloustoxoplasmosis
185.Diseasewhichpermanentlyaltersfingerprintleprosy
186.vaginaldeliveryallowedinallexceptmonochorionicmonoamniotic
twins(confusionlies
withmentoanteriorandextendedbreechfirstoneissameasface
presentationand
extendedbreechisfrankbreechnoneofthemarecontraindications)
187.dysgerminomamarkerLDH
188.Rateofmineralisationofnewlyformedosteoidvonkossastain,
alizarinstain(noidea)
189.sympathectomydoneinallexceptanhidrosis(repeat)
190.intermittentclaudicationthepainisontakingonexercise
191.chroniclimbischaemiatrueisrestpain
192.bestgraftforsurgerybelowinguinalisreversesaphenousveins
193.superiorglutealnervesuppliesallexceptgluteusmaximus
194.carotidarteryemboliandCRVOaredifferentiatedbyraisedretinal
arterypressure
195.intrinsicfactorsecretedbyparietalcells
196.priviligedconverstaionisbetweendoctorandauthorities
197.myodesisisc/iinchildren
198.whichfactorisspecificallyapartofintrinsicclottingpathwayquestion
waswrongbut
theoddanswasfactorVII..
199.SeeninacuteinflammationclassicallyIthinktheansismarginationof
leukocytes
withoutmarginationinflammationwontstartandheaskedcardinalevent
notcardinal
feature.vasodilatationwithleakage
200.45yearoldmalehadachestpain.hediedafter4days.onpostmortem
intramural
coagulationwasfound.thisisfibroblastswithcollagen
201.moderategraderiskfactorforbreastcarcinomaatypicalhyperplasia
202.Athletespubalgiaisabdominalmusclestrains
203.SIRSincludesallexceptthrombocytopenia
204.substancenotfermentedinhumanintestinescellulose..Imarkedit
11/33
5/9/2015
pectin
205.HbSdiffersinsolubility
206.allaretrueregardingHbSexceptglutaminereplacedbyvaline(ifitwas
anoption)
207.Standingtosittingchangeinincreasedvenousreturntoheart
208.ActylCoAcan'tdirectlyformGlucose
209.DengueHemorrhagicfeverSecondInfectionwithdifferentstrainof
virusthesecond
time
210.100KDonSDSPAGE,thensecondtrial2x(20KD+30KD)linked
withssbond
211.Wilm'sTumorNationalWilmtumorstagingsystem
212.Actionpotentialstartsintheinitialsegmentofaxonbecauselessexiting
potential
required
213.regulatorymechanismsbyallexceptgapjunctionsprobably
214.regardinglacoperon,CAPispositiveregulator(repeat)
215.E157:O7cultureonsorbitolmackonkeymedia
216.notacauseofprimaryamenorrhoeaSheehan
217.Chlamydiainfectionoftheeyes,truestatementa/ecanbecultured
218.Salmonellanontyphidontremembertheoptions
219.edemaC1esterasedeficiency
220.hyperaldosteronisma/emetabolicacidosis
221.HepBinfectedneonatebothVaccineandImmunoglobin
222.Hashimoto'sthyroiditistruea/eorphanannieeyenucleus
223.DiastolicpressureAortaelasticity
224.efficacyofwhichdrugisntproveninmenorrhagiaethamsylate????
225.Jointaspirationinacutegoutshowsmonosodiumuratecrystals
226.lymphomaprognosticmarkersa/eldh
227.alldrugscanbegiventoamotherwhoison35thweekofgestationexcept
methotrexateprobably
228.neonatechangeseenwithhypoxiabradycardia
229.heatruptureirregularmargins
230.won'tbepresentinrightheartfailureincreasedPCWP
231
232.parotidpathwayallexceptdontremembertheoptions
233.sodiumbicarbonategiventolocalAnaesthesiadontrememberthe
options
234.whichpreventscoloncancerhighfibrediet(repeat)
235.EnteroViruswon'tcausehaemorrhagicfever(repeat)
236.meningitisleadstovestibulitisthroughhyrtlefissure(notsure)
237.cardiacdiseasepredictorLpa
238.BenignHTNhyalineaterioscelerosis
239.microRNAdnaconfirmation
240.temporalarteritisa/eheatexposurecanleadtoworseningof
12/33
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symptoms
241.mostcommonmuscletobecongenitallyabsentteresminorprobably
242.poplitealarterynoteasytopalpatebecauseitisnotsuperficialandno
bonystructureto
palpate
243.intraocularLDHincreasedinretinoblastoma
244.intestinalabsorptiontestxylulose,(Irepeatedmymistakeonceagain
whenImarked
nbtpabatestwhichIhaddoneonceduringfinalyearunis..bythewaywhatis
nbtpaba
test)
245.lambdaphageitintegrateswithhostdnaandremainsdorment
246.mccauseofsuperficialthrombophlebitisi.v.line
247.pseudoclaudicationcaudaequinasyndrome
248.stellateganglionblockcausesallexceptbradycardia
249.lymphoidtissueseeninsubmucosaprobably
250.visualcycleopsindissociatesfromretinal
251.hightibialosteotomyforwhat?????
252.vocalcordsulcivocalabuse?
253.panethcellmorelysozyme
254.pulmonaryarterypruningseeninpulmhtn
255.surgicalstagingofovariancaalldoneexceptmesentericbiopsy,(this
termisnot
giveninfigostagingpalpationoflymphnodesisdone)
256.spongyurethradrainageintowhichnodedeepinguinalnodes
257.Inwhichconditionisdonsetofconditiontodeaththelowestpost
partumhmge,
258.Aboutmesialtemporallobeepilepsydontknow
259.angiogenesisrequiresa/eil8probably
260.weightofaverageIndianman60kgs
261.synovialfluidcharacteristicsa/esecretedbytype1synovialcells
262.functionsofThelpercellsareallexceptopsonisation
263.DMPAcanbegiveninseizures
264.tamoxifentruea/ecarcinomabreastinoppositebreast
265.eclampsia
266.fattycontentdensityinbreastisfoundina/egalactocele
267.ageingfreeradical
268.thoracicoutletsyndromediagnosedbyclinicalexamination
269.apoptosiswhichcellorganelleresponsiblemitochondria
270.psammomabodiesseenina/efollicularcancerthyroid,
271.themostbactericidalamongthefollowingO2metabolite
272.karyotypingusedforchromosomalabnormalities
273.centralchemoreceptorsaresensitivetoH+concentration
274.bloodflowisincreasedduringexerciseduetoactivemetabolites
produced
275hcvtrueisdnavirus,doesn'tcausecoinfectionwithhbv,??
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276igcangiographyoccultcnv(ans)dontknowwhatisigc
277scaronskin+hypoplasialimbscongvaricellasynd(harrison)
278heriditarypulmonaryhemochromatosderosistrueexcptirondef
279maximumincidenceofhivTamilNadu..Ifeellikeitwasthereinthe
paper
280clotstabilisationfactor13dontrememberiftherewasaquestionon
this
Guest,Jan
14, 2009
#7
DIFFERENTTYPESOFHEARTs
*CoeurenSabotTetralogyofFallot
*Pear/Moneybag/pursePericardialEffusion
Guest
*BoxshapedheartEbstein'sanomaly
Guest
*EggonsideTGA
*Snowman/figureof8TAPVC
*ScimtarsignPAPVC.
*Figureof3(CXR)/ReversedEsign(Baswallow)CoarctationofAorta
*HilarDancesign(Fluoroscopy)ASD.
Guest,Jan
14, 2009
#8
NEXTMCQs
Guest
Guest
*O.C.PILLSworsensprognosisinCrohn'sDz
*SmokingisprotectiveinUC
*AppendicitisisnotprotectiveinCrohn'sDz
*M/cbladderstone=CALCIUMOXALATE
*M/CstoneinNeonate=URICACID(bcosthinskindehydrationv.common)
*DOCinUnilateralRenalArteryStenosis=ACEINHIBITORS
*DOCinPseudomembranousEnterocolitis=METRONIDAZOLE
*Bestage4SxofHypospadias=610MONTHS
*NervecmnlydamagedduringMcBurney'sincision=ILIOHYPOGASTRIC
*BestRx4CysticHygroma=SxEXCISION
*SignsofOrganicBrainDamageareevidenton=BenderGestaltTest
*NonREMsleepiscommonlyasso.with=NightTerrors
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*StainspecificforAmyloid=CongoRed
*VirusmediatedtransferofhostDNAfrom1celltoanotherisknownas=
TRANSDUCTION
*HemeisconvertedtoBilirubinmainlyin=SLEEN
*Osteoclastsareinhibitedby=CALCITONIN
Guest,Jan
14, 2009
#9
'CAT'RELATEDPOINTSINMEDICINE
Guest
Guest
*CateyesyndromepartialTrisomy(22pter22q11)RefNelson18thtable4222.
*CatallergyFeld1isthemajorcatallergen,whichcancauseallergic
manifestationinhumans.RefNelson17thpage752
*CatbiteMostcommonorganismisolated"Pasteurellamultocida''.Ref
Harrison16th743.
*CatreflexItistheothernameofsymmetricneckreflex.
*CatcrysyndromeCriduchatsyndrome,occursduetodeletionof5p
chromosomeRefNelson17thpage387.
*CatscratchdiseaseItmanifestsbypainfulregionallymphadenopathypersistin
forseveralweeksormonthsafteracatscratch.causativeorganismisBartonella
henselae.
*CatfleatyphusCausedbyRickettsiafelis,vectorisctenocephalidesfelis.
Guest,Jan
14, 2009
#10
DRUGOFCHOICE
Guest
Guest
*PSVT==}Adenosine
*POSTM.I.ARRHYTHEMIA==}Lidocaine
*ATRIALFLUTTER==}Verapamil
*VENTRICULARTACHYCARDIA==}Lidocaine
*OCD==}cLOMIPRAMINE
*GENERALISEDANXIETYDISORDER==}BZDs
*ALZHEIMER'SDISEASE==}Tacrine
*NOCTURNALENURESIS==}Imipramine
*OPIOIDWITHDRAWAL==}Methadone
*ALCOHOLWITHDRAWAL==}Chlordiazepoxide
*PENICATTACK==}Fluoxetine
Guest,Jan
14, 2009
#11
XRAYFINDINGS
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*RainDrops=Myeloma
*HairOnEndapp.=InharitedAnemia
*Salt&PepperSkull=hyperparathyroidism
Guest
Guest
*Punchedoutskull=HistiocytosisX
Guest,Jan
14, 2009
#12
NORMALBILIRUBINLEVELS
NormaltotalBilirubinLevel=0.3to1.0mg/dl
CongugatedBilirubinLevel=0.1to0.3mg/dl(DIRECT)
UncongugatedBilirubinLevel=0.2to0.7mg/dl(INDIRECT
Guest
Guest,Jan
14, 2009
#13
Guest
NEXTSET
*MOSTCOMMON(M/C)formofASD=OsteumSecundum
*M/ccauseofCushingSyndrome=IatrogenicadministrationofSteroids
Guest
*M/cforceinvolvedin#ofspine=FLEXION
Guest
*MechanismofviolenceinBurst#ofSpine=CompressionViolence
*M/CtumorinChildren=LEUKEMIA
*M/CorganismcausingMeningitisin1yroldchild=Streptococcus
pneumoniae
*Mostaccurateinvestigation4diagnosisofEndosalphingitis=
LAPAROSCOPY
*VirusassowithCaCervix=HPV
*MostsensitivephasetoRadiotherapyis=G2M
*Radiocontrastrxnsrmostly=ANAPHYLACTOIDREACTIONS
*Radioisotopeused4measurementofBloodVolume=CHROMIUM51
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*Biondiringtanglerrfoundin=CHOROIDALPLEXUSCELLS
*ArterytoDuctusDeferensisabranchof=SUPERIORVESICALARTERY
*BloodsupplyofCruciateLigamentis=MIDDLEGENICULARARTERY
*DOCOFPenicillinResistantGonorrhoea=CEFTRIAXONE
*TBOfskincalled=LUPUSVULGARIS
Guest,Jan
16, 2009
#14
ICD10QUESTION
InternationalStatisticalClassificationofDiseasesandRelatedHealthProblems
10thRevision
Versionfor2007
Guest
Guest
TabularListofinclusionsandfourcharactersubcategories
ChapterList
ChapterBlocksTitle
IA00B99Certaininfectiousandparasiticdiseases
IIC00D48Neoplasms
IIID50D89Diseasesofthebloodandbloodformingorgansandcertain
disordersinvolvingtheimmunemechanism
IVE00E90Endocrine,nutritionalandmetabolicdiseases
VF00F99Mentalandbehaviouraldisorders
VIG00G99Diseasesofthenervoussystem
VIIH00H59Diseasesoftheeyeandadnexa
VIIIH60H95Diseasesoftheearandmastoidprocess
IXI00I99Diseasesofthecirculatorysystem
XJ00J99Diseasesoftherespiratorysystem
XIK00K93Diseasesofthedigestivesystem
XIIL00L99Diseasesoftheskinandsubcutaneoustissue
XIIIM00M99Diseasesofthemusculoskeletalsystemandconnectivetissue
XIVN00N99Diseasesofthegenitourinarysystem
XVO00O99Pregnancy,childbirthandthepuerperium
XVIP00P96Certainconditionsoriginatingintheperinatalperiod
XVIIQ00Q99Congenitalmalformations,deformationsandchromosomal
abnormalities
XVIIIR00R99Symptoms,signsandabnormalclinicalandlaboratoryfindings,
notelsewhereclassified
XIXS00T98Injury,poisoningandcertainotherconsequencesofexternal
causes
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XXV01Y98Externalcausesofmorbidityandmortality
XXIZ00Z99Factorsinfluencinghealthstatusandcontactwithhealth
services
XXIIU00U99Codesforspecialpurposes
Guest,Jan
17, 2009
#15
HEREISTHECODEFORLACKOFEXERCISE...ITISINCLUDED
ICDCodeTitleLocation
Z72.3LackofphysicalexerciseTabularlistandIndex
ALCOHOLISMISINTOO......hereisthecode
Guest
Guest
ICDCodeTitleLocation
F10.2MentalandbehaviouraldisordersduetouseofalcoholIndex
G31.2DegenerationofnervoussystemduetoalcoholIndex
O35.4Maternalcarefor(suspected)damagetofetusfromalcoholIndex
O99.3Mentaldisordersanddiseasesofthenervoussystemcomplicating
pregnancy,childbirthandthepuerperiumIndex
P04.3FetusandnewbornaffectedbymaternaluseofalcoholIndex
Z13.3Specialscreeningexaminationformentalandbehaviouraldisorders
TabularlistandIndex
Z63.7OtherstressfullifeeventsaffectingfamilyandhouseholdIndex
THEREISNOCODEFORUNHEALTHYFOOD...SOTHATISTHEANSWER
OFEXCLUSION.....
Guest,Jan
17, 2009
#16
ORIGINALMCQS
*ActinicKeratosisisseenin=Sq.CellCa
*Pseudobuboisseenin=Donovanosis
Guest
*CondylomaLataseenin=Sec.Syphilis
Guest
*DOCforInsomniainElderly=OXAZEPAM
*SpecificMAOBInhibitoris=SELEGELINE
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*DOC4psycomotorepilepsy=CARBAMAZEPINE
*M/AofLatanoprostinGLAUCOMAis=Increaseuveoscleralflowofaqueous
*M/AofAspirininMI=ThromboxaneA2synth.inhibition
*RecombinanthumaninsulinismadebyCDNAOFPANCREATICCELL
*CarcinoidtumorismostcommoninAPPENDIX
Guest,Jan
17, 2009
#17
*M/CcauseofcerebrovascularaccidentisEMBOLISM
*LACUNARinfarctsrcausedbyLIPOHYALINOSISOFPENETRATING
ARTERIES
*BluecolorofbruiseisduetoDEOXYHEMOGLOBIN
Guest
Guest
*TentativecutisafeatureofSUICIDALATTEMPT
*SourcesofNitrogeninUreaCycleASPARTATE&AMMONIA
*ALLbiologicallyactiveproteinsareLforms
Guest,Jan
17, 2009
#18
*ParaxialmesodermdevelopsintoSOMITES
*Glandderived4mForamencaecumTHYROID
*TesticulartumorsareBILATERALinupto10%ofcases.
Guest
*Allen'sTestisperformedtoevaluateTheIntegrityofthePalmerArch
Guest
*ExclamationmarkAlopeciaisafeatureof=AlopeciaAeriata
*AdenomaSebaceumisafeatureofTuberousSclerosis
*TOCinPsoriaticArthropathy=METHOTRAXATE
*DOCinLGV=DOXYCYCLINE
Guest,Jan
#19
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*NevirapineisaNonNucleosideReverseTranscriptaseInhibitor(NNRTI)
*NEOSTIGMINEincreasesGIMotility
*DopaminergicSystem=Inhibitory
Guest
*CholinergicSystem=Excitatory
Guest
*LumefantrineanantiMalarialdrug
*Magnifictionobtainedwithdirectophthalmoscope=15times
*M/CcauseofvitreoushemorrhageinAdult=HOMOCYSTINURIA
Guest,Jan
17, 2009
Guest
Guest
#20
*LivevaccinesshouldnotbegivenbecauseofaTHEORETICrisktothefetus*
but
influenzavirusgiveifunderlyingdsisserious.
Typhoidrecommendedontraveltoanendemicarea.
HepatitisArecommendedafterexposureorbefortraveltodeveloping
countries
Choleraonlytomeettravelrequirements
poliomandatoryduringepidemicbutotherwisenotrecommended.
rabieslifesaving
Guest,Jan
18, 2009
#21
*Browntumorsareseenin=HYPERPARATHYROIDISM
*"RuggerJerseySpine"isseenin=RENALOSTEODYSTROPHY
*TotalscoreinGlasgowComaScaleofaconsciouspersonis=15
Guest
*Dacronvasculargraftis=TEXTILESYNTHETIC
Guest
*TheshapeofaNulliparousCervixis=CIRCULAR
*M/Cgestationaltrophoblasticdzfollowinghydatiformmole=INVASIVE
MOLE
*Caloryrequirementat1yrofage=1000
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*Middaymealsprovidedinschoolprovide=1/3oftotalCalories&
1/2ofProtein
*Maizeisdeficientin=TRYPTOPHAN
*Endemicascitescausedby=PYRROLIZIDINE
*WtofIndianreferencewoman=50kg
Guest,Jan
23, 2009
#22
*CommonesttypeofCong.heartdzseeninAdult=BICUSPIDAORTICVALVE
*m/cplasmacelltumor=PLASMACYTOMA
*RxofchoiceinSymptomaticSinusnodedysfunction=PERMANENT
PACEMAKER
Guest
Guest
*Lev'sdz=fibrocalcareousencroachmentintotheconductingsystem
Guest,Jan
23, 2009
#23
*CommonestcauseofNeonatalmortalityinIndia=LowBirthWeight
*CasefindinginRNTCPisbasedon=SputumMicroscopy
*Scrubtyphustransmittedby=Mite
Guest
*BMI=Wt(kg)/Ht(m)square
Guest
*MTPcanbedoneupto=20wks
Guest,Jan
23, 2009
#24
*HardlyWeinberglawisrelatedto=PopulationGenetics
*DiluentusedforBCG=NormalSaline
*Chandler'sIndex=No.Ofeggs/gmofStool
*Urbanmalariaiscausedby=An.stephensi
*ModeoftransmissionofQfever=InhalationofAero
Guest
Guest,Jan
23, 2009
#25
Guest
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*Dztransmittedbylice
EpidemicTyphus
RelapsingFever
TrenchFever
Pediculosis
Guest
Guest
*SAFEstrategyforTrachoma
Surgery
Antibiotics
FacialHygiene
EnvironmentalModification
Guest,Jan
23, 2009
#26
INSULINS
*RapidactingINSULINs
Ins.Lispro
Ins.Aspart
Ins.Glulisine
Guest
Guest
*ShortactingINSULINs
Reginsulin
*IntermediateactingINSULINs
NPHinsulin
*LongactingINSULINs
I.glargine
I.determir
Guest,Jan
23, 2009
#27
CTFINDINGSOF'ACUTEPANCREATITIS'
Pancreaticedema&enlargement
poorcontrastenhancmt
illdefinedpancreaticoutline
Guest
Guest,Jan
23, 2009
#28
Guest
REF.FROMSITEOFNATIONALINSTITUTEOFHEALTHANDFAMILY
WELFARE.
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NATIONALSURVEILLANCEPROGRAMMEFORCOMMUNICABLE
DISEASES
Introduction
Guest
Guest
TheDiseaseBurdenofthepeopleofIndiaisoneofthehighestinthe
world.Thisismainlyduetotheheavyburdenofinfectiousdiseases.Wehavea
tripleburdenofinfectiousdisease.Firstly,wehavethoseinfectiousdiseasesthat
areprevalentworldwideandforwhichspecificpreventivemeasuresareyetnot
available.Secondly,wehaveinfectiousdiseasesthatareprevalentbecauseof
insufficientpublichealthmeasures.Inindustrializednationssuchdiseaseswere
oncerampant,buttheyhavebeencontrolledwiththeefficientapplicationof
theprinciplesofpublichealth.Thirdly,diseasesperpetuatedbytheprevalence
ofvectoraswellasvertebratefauna,andtheecologicaldeterminantswhichare
specifictoourgeoclimaticfeatures.
Diseasesduetoinfectionsorspecifictoxinsaremoreeasilypreventable
sinceasingleextraneousagentcausesthem,eventhoughtheirtransmission
maybecomplex.Noninfectiousdiseasestendtobemultifactorialandare
therefore,lesseasilyamenabletocontrolmeasures.Itcanbeconcluded
logically,thatthecontrolofinfectiousdiseasesareofimmediatehighpriority
becausetheyaremorecommonandpreventable.
SurveillanceinDiseaseControl
Asystematicprocessofreportingofvariousdiseasesofpublichealth
importance,asandwhen,andwhere,theyoccur,toadesignatedagency
responsiblefortakingeffectiveinterventionalsteps,isknownasdisease
surveillance.Itssuccesswilldependupon3Ri.e.,thequalityofdiagnosis
(Recognition),thetimelinessandcompletenessofReporting,andanalysisand
effectivenessFEEDBACKResponse.
Infectiousdiseasesoccurasaresultofamplificationandtransmissionof
infectiousagents.Detectingdisease,as,whenandwhereitoccurs,andits
clustering,areessentialfordiseasecontrol.Surveillance,inotherwords,isthe
firststepinintervention.Surveillanceisparticularlyimportantfortheearly
detectionofoutbreaksofdiseases.Intheabsenceofsurveillance,diseasemay
spreadunrecognized.Bythetimetheoutbreakisrecognized,thebest
opportunitytotakeinterventionmeasuresmighthavebeenover.
Surveillanceisessentialfortheearlydetectionofemerging(new)orre
emerging(resurgent)infectiousdiseases.Intheabsenceofsurveillance,
individualhealthcareworkersmaynotrecognizethenewdisease,butmay
applyanearfitdiagnosisofalocalityprevalentdisease,whichthediseasein
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questionmayresemble.
Theeradicationofpoliomyelitisrequiresystematicsurveillanceofacute
flaccidparalysisineverypartofthecountry.Measleswillbetargetedfor
eradicationinnearfutureonceagainsurveillanceformeasleswilltherefore
becomeimperative.Insteadofestablishingsinglediseasesurveillanceoneata
time,theopportunitymustbeseizedtodevelopcomprehensivedisease
surveillanceforeffectivediseasecontrol.
Havingrecognizedthecrucialimportanceofdiseasesurveillancefor
improvingthehealthofourpeople,theGovernmentofIndiaconstituteda
NationalApicalAdvisoryCommitteeforNationalDiseasesurveillanceand
ResponseSystem.TheGovt.ofIndiahaslaunchedNationalSurveillance
ProgramforCommunicableDiseases(NSPCD)during1997[snip].
Objectives
1.Capacitybuildingatthestateanddistrictforearlyidentificationof
outbreaksofcommunicablediseases,and
2.Appropriateandtimelyresponsetotheoutbreaksofcommunicablediseases.
ProgrammeActivities
Thestategovernmentsthroughtheirexistinginfrastructureare
implementingtheprogramme.Undertheprogramme,followingactivitiesare:
1.Surveillancesystemisstrengthenedthroughtrainingofmedicaland
paramedicalpersonnel
2.Disseminationoftechnicalinformationandguidelines.
3.Upgradationoflaboratories.
4.Modernizationofcommunicableanddataprocessingsystems,and
5.IECactivitiestopromotecommunityparticipationinthepreventionand
controlofoutbreaks.
Reportablediseaseshouldbeprioritizedbasedonsoundprinciples.First
thosediseasestargetedforeradication,eliminationorcontrol,usingspecific
interventionsalreadybeingappliedareofhighpriority.Secondly,thosediseases
thatcouldbecontrolledlocally,especiallyinoutbreaksituations,andagainst
whicheffectiveinterventionstacticsalreadyexist,aretobereportedunderthe
surveillancesystem.Thirdly,diseasesforwhichepidemiologicalinformationis
directlyneededinordertodesigncontrolstrategy,arealsotobeincludedinthe
list.
PrioritizingDiseasesforSurveillance
Exceptthediseasesforwhichalreadysurveillanceiscarriedoutthereisa
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needtoprioritizedthediseasesforcomprehensivesurveillance:
1.AcuteFlaccidParalysis*
2.AIDS*
3.Chickenpox
4.Choleralikediarrhea
5.Diphtheria
6.Dysentery
7.Encephalitis
8.Feversyndromemorethan6days
9.Hemarragicfever
10.Hepatitis
11.Herpeszoster
12.Leprosy*
13.Malaria:falciparumandvivax*
14.Measles
15.Meningitis:nonpyogenicandpyogenic
16.Mumps
17.Rabies
18.Rheumaticfever
19.Tetanusneonatorum*
20.Tetanusinolderage
21.TBinolderageandpulmonary*
22.Whoopingcough
23.Anyotherofpublichealthimportance
*Forthesediseasesthenationalreadyhasnationalprogrmmesandsomesort
ofsurveillanceiscarriedoutundertheseprogrammesthatneedtobe
strengthened.
Oncethesurveillancesystemisestablishedandrunswellforcommunicable
diseases,othernoninfectiousdiseasesforwhichinterventionsarenecessary,or
possibleshouldbeconsideredforinclusion.
Thedistrictisenvisagedasthebasicunitwithinwhichthereportsreceived,
datacleaned,analyzedandmonitoredcontinuously.ADistrictEpidemiological
Cell,withcomputerfacilitiesandadequatepersonnelareestablishedforthis
purpose.
TheDistrictEpidemiologyCellreportsweeklysummarydataondiseases
andinterventionstotheStateEpidemiologyCenter,whichcollectalldistrict
dataandpassonmonthlysummariestotheNationalInstituteof
CommunicableDiseases(NICD).
TheNICDhasbeenexpandedandstrengthenedtoactastheNational
ApicalLaboratoryinsupportofthestatelevellaboratories.Regional
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laboratorieshavebeenestablishedasanintermediatelevelbetweentheDistrict
cellsandStateandCenter.Forthattrainingofthestaffofepidemiologycells
areundertaken.
TheDistrictEpidemiologyCell
ThiscellisheadedbyoneseniorofficernotbelowtherankofDistrict
HealthOfficerdesignatingastheDistrictEpidemiologyOfficer.OneMedical
Officerand5fieldworkersper2millionorlesspopulationwillassistthe
DistrictEpidemiologyOfficer.Thiscellcompletesthelistofallhealthcare
institutionswithinthedistrict.Itwillalsopreparethelistofprivatemedical
practitionersofthemodernsystemoperatingwithinthedistrict.Allreports
shouldbeenteredinthecomputerandanyduplicationremoved.Thereport
shouldbescannedeverydaytodetectanyunusualclusteringofcaseseitherin
timeorspace.Datashouldbeanalyzedonaweeklybasisandweeklysummary
statisticswillbeforwardedtotheStateEpidemiologyUnit.Everyoutbreakof
diseaseshouldbeinvestigatedwithoutanydelaybythedistrictunit.
Thedistrictcellwillberesponsiblefordefininganddesigning
interventions.Theentirehealthsysteminthedistrictmaybemobilizedfor
interventionsandwhenevernecessaryarisetheNationalInstituteof
CommunicableDiseasesmaybeinvolvedforspecializedhelp.
Theprogrammeiscurrentlyinoperationin45districtsof18states.NICDisthe
nodalagencyforformulationofstrategiesandoperationalguidelines
supervision,monitoringandcoordinatingtheprogrammeimplementation.
Achievements
1.Theprogrammeisonoperationin80districtsof28statesandUTs.
2.MultidisciplineRapidResponseTeam(RRTs)atstateanddistrictlevelsunder
theprogrammehasbeenconstituted.Theteamshavebeenprovidedtrainingin
surveillance,preventionandcontrolofoutbreaks.
3.RRTsforstateshavebeentrainedatNICD,Delhi.
4.AjointteamcomprisingofWHOandNICDundertookassessmentofNSPCD
insevenstates,namelyGujarat,Haryana,Karnataka,Kerala,MadhyaPradesh,
Maharashtra,andUttarPradesh.
5.Allthestatesanddistrictlevelepidemiologicalcellshaveprocuredcomputers,
faxmachines,andtelephonesfordataprocessingandrapidcommunicationof
information.
Comments
1.Noncommunicablediseasesthatarecomingunderlawornational
programmeshouldalsohavecomprehensiveandeffectiveprogrammeof
surveillance.Diseaserelatedtotobacco,dustexposureparticularlyincoalmines,
PEMincludingiodine,selenium,vitaminA,occupationalandnonoccupational
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injuries,mentaldisorders,etc.needsurveillancesystem.
2.TheDistrictlevellaboratoriesarenotdevelopedmuch.TheDistrictHospital
musthaveadequateMicrobiologylaboratoryfacilities,whichwillbeavailable
bothfordiagnosticpurposesandforepidemiologicalinvestigationswithinthe
district.Thereisaneedforastatelevellaboratory,forthepurposesof
supportingthelaboratoryservicenetworkinthedistrict,forestablishing
externalqualityassurance,forensuringtheavailabilityofqualityreagentsand
alsoforhelpingininvestigatingtheetiologyofdiseaseofpublichealth
importance,endemicorepidemic.TheStateEpidemiologyCentershould,
thereforehaveadequatelaboratoryfacilities.
3.Districtepidemiologycellmusthaveanexperiencedepidemiologist.
Guest,Jan
25, 2009
#29
*'Fracturealasignature'is=Depressed#
*Pond's#isMostCommonin=Children
*Brushburnisdueto=GrazeAbrasion
Guest
Guest,Jan
25, 2009
#30
Guest
*BasicAminoAcids:
Histidine
Arginine[Mostbasic]
Lysine
*MostNonPolarA.A.=Leucine
Guest
Guest
Guest,Jan
25, 2009
#31
*BasicAminoAcids:
Histidine
Arginine[Mostbasic]
Lysine
*MostNonPolarA.A.=Leucine
Guest
Guest
Guest,Jan
25, 2009
#32
*PhysicalQualityofLifeIndex3Indicators
InfantMortality
LifeExpectancyatageone
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Literacy
[NotPercapitaIncome]
FUNCTIONS
Guest
Guest
*Ceruloplasmin=Coppertransport
*Transferrin=Irontransport
*Lactoferrin=bindsIron
*OSMOLALITY=2X[Na+]+[Glucose]/18+
[BUN]/2.8
Guest,Jan
25, 2009
#33
*CorpusStriatum=CAUDATENUCLEUS+PUTAMEN
*LenticularNucleus=GLOBUSPALLIDUS+PUTAMEN
*Finasteride=5alfareductaseinhibitor
Guest
Guest
*Nestritide=BrainnatriureticpeptideAnalogue
Guest,Jan
25, 2009
#34
*m/chistotypeofthyroidCa=Papillarytype
*comnstSiteoforalCaamongIndians=Alveobuccalcomplx
Guest
Guest
*DOC
1)Mushroompoisoning=Atropine
2)NonGonococcalUrethritis=Doxycyclin
Guest,Jan
25, 2009
#35
*Kinebock'sDiseaseisduetoAvascularNecrosisof=LUNATEBONE
*M/aOfSod.Nitropruside=IncreasedGuanylateCyclase
Guest
Guest,Jan
27, 2009
#36
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*Acantholysisischar.of=PEMPHIGUSVULGARIS
*M/CcauseofLowVisioninIndia=UNCORRECTEDREFRACTIVEERRORS
*StudyOFMultiplicationOFProteinsinDzProcess=PROTEOMICS
Guest
*InductionAgentOfChoiceinDayCareAnesthesia=PROPOFOL
Guest
*Broca'sAreaisconcernedwith=WORDFORMATION
*RxofMultipleCarboxylaseDeficiency=BIOTIN
Guest,Jan
27, 2009
#37
*'RUGGERJERSEY'spineisafeatureof=SEC.HYPERPARATHYROIDISM
*M/CCauseofbact.InfectioninContactLenswearers=PSEUDOMONAS
*HUTCHINSON'STRIAD=DEAFNESS+INTERSTITIALKERATITIS+
NOTCHEDINCISORS
Guest
Guest
*DOCinacutecentralanticholinergicsyndrome=PHYSOSTIGMINE
Guest,Jan
27, 2009
#38
LiverDz
GilbertSyndrome=Auto.Dominent
CNSyndrome=Auto.Recessive
DJSyndrome=Auto.Recessive
Guest
Guest,Jan
27, 2009
#39
Guest
ECGFEATURES
HYPOKALEMIA
FLAT/INVESTEDTWAVE&
PROMINENTUWAVE
Guest
Guest
HYPERKALEMIA
>PRINTERVAL
WIDENEDQRScmplx
SineWAVEpatrn
29/33
5/9/2015
Pwaveloss
Guest,Jan
27, 2009
#40
mostcommonNerveinvolved****
#surgicalneckHumerusAxillary
#shaftHumerusRadial
Guest
Guest
#SupracondylarHumerusRadial
Guest,Jan
27, 2009
#41
*OpeningofnasolacrimalductinInferiorMeatus
*Totalpowerofeyelens=60D
cornea=44,lens=16D
*Highestconc.OfVitCisseenin=ADRENALCORTEX
Guest
Guest
*LongesttransittimeinGIT=COLON
Guest,Jan
27, 2009
#42
Baranyboxisaclockwisedeviceused2createamaskingnoisewhnperforming
rinne'stest.
Guest
Guest,Jan
28, 2009
#43
Guest
*ShortestactingNDMR=MIVACURIUM
*PudendalNerveBlockinvolve=S234
*LongestactngL.A.=Dibucaine
Guest
Guest,Jan
28, 2009
#44
Guest
*TOCinmycosisfungoides=FullSkinElectronTherapy
30/33
5/9/2015
*CorrectsequenceofcellCycle=G0G1SG2M
Guest,Jan
28, 2009
#45
Guest
Guest
*Commonestallergicdermatosis=URTICARIA
*Herald/Mother'spatchis1stsignofP.rosea
*Postspinalheadachecanlast7to10days
Guest
*DrugwithceilingeffectBuprenorphine
Guest
*ContrastusedinCT=IODINE
*Radium226emits=alpha,beta&gammarays
*ContrastusedinMRI=GADOLINIUM
*Post.Urethrabestvisualizedby=VOIDINGCYSTOGRAM
*Max.PermissibleradiatndoseinPreg=0.5Rad
*MostSensativePhaseofCellcycle=Mf/bG2M
Guest,Jan
28, 2009
#46
*PositionwithleastvitalcapacityinG.A.=Trendelenburg
*dTubocurarineReversaldonebyNeostigmine
*MagillcircuitFlow=MinuteVolume
Guest
LiverDz
Guest
GilbertSyndrome=Auto.Dominent
CNSyndrome=Auto.Recessive
DJSyndrome=Auto.Recessive
Commonest
31/33
5/9/2015
CongetinalHeartDisease(CHD)=VSD
CyanoticHeartDisease=Fallot'sTetralogy(TOF)
CHDsurvivingintoAdultLife=ASD
CHDwithSquatting=TOF
Guest,Jan
28, 2009
#47
*CharasisResinexudateofCannabisIndica
*RunAmokisafeatureofCannabis
*McEwanSignseeninAlcoholIntoxication
Guest
*VitB12absorbedinILEUM
Guest
*LongesttransittimeinGITseeninCOLON
*DailyGastricjuiceSecretion2500ml
*RMPmainlyduetoK+
*RBCmemb.ismaintainedbySPECTRIN
*GlycoproteinispresentinRBC
*TriplehelixisseeninCOLLAGEN
Guest,Jan
28, 2009
Guest
#48
Heamodialysisisusedforremovingfollowingpoisonsonly
Barbiturates
Salicylayes
Methanol
BoricAcid
Glutethemide
Thiocyonates
Guest
HemoDialysisisnotusefulinpoisoningof
Kerosene
Benzodiazepenin
32/33
5/9/2015
Digitalis
Organophosphorus
Guest,Jan
28, 2009
#49
*PenTest4MedianNerve
*Appositionofthumbtolittlefinger4MedianNerve
*CardTest4UlnarNerve
Guest
*Egawa'sTest4UlnarNerve
Guest
33/33

Imp. Facts For Recaptulation 1

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