1 liners from previous exams...

Discussion in 'AIIMS Nov 2013' started by samuel, Aug 20, 2014.

  1. samuel

    samuel New Member

    Keller's operation - for Hallux valgus correction.

    Lift off test - to test subscapularis muscle injury.

    Finkelstein's test - to check for De Quervain's tenosynovitis.

    Blount's ds characterized by - Genu varum.

    ground glass app----similar to HMD---obstructive TAPVC

    hot cross bun sign-multiple system atophy(shy-dragger syndrome)
  2. samuel

    samuel New Member

    Other specific types of diabetes
    Genetic defects of beta cell function characterized by mutations in:
    1. Hepatocyte nuclear transcription factor (HNF) 4 ---(MODY 1)
    2. Glucokinase ----(MODY 2)
    3. HNF-1 ----(MODY 3)
    4. Insulin promoter factor-1 ---(IPF-1; MODY 4)
    5. HNF-1 ---(MODY 5)
    6. NeuroD1 ---(MODY 6)
  3. samuel

    samuel New Member

    Wavelength of CO2 laser --> 10600nm.

    Some other lasers :

    Nd:YAG -------> 1064

    Erbium:YAG---> 2940

    Argon ---------> 4,88,514

    Pulsed dye-----> 585-600 (laser of choice for vascular lesions)
  4. samuel

    samuel New Member

    RBC recovery after acute blood loss within-5-6wks
    ombredannes operation-crytorchdism
    palomo's operation-varicocele
    duplays operation-epispadias
    Glasgow blatchford score for-upper g.I.bleeding
    Mc polyp of stomach-hyperplastic
    Mc benign tumour of stomach-adenoma
    Mc benign tumour of esophagus-leiomyoma
    Mc site of GIST-stomach
    Mc site of gastrinoma-duodenum
    Mc site of ectopic pancreatic tissue-stomach
    Mc site of glucagonoma-tail of pancreas
    Mc site of spontaneous esophageal perforation-gastroesophageal junction
    Macklers triad seen in-boherhaves syndrome
    Brochardts triad seen in-gastric volvulus
    Mc site of angiodysplasia-ascending colon
    Mc site of lymphoma-stomach
    proctoscopy can visualise upto--cm from anal verge-10 cm
    amount of bleed need to be called malena-60ml
    massive haemoptyasis - >600ml bleed
    the amount of air in gastric balloon of sengstaken-black More tube is-250 ml
    the pressure in esophageal balloon is -40mmHg
  5. samuel

    samuel New Member

    GrooVe sign --> seen in LGV. ( LN are enlarged )

    Xtra :
    Pseudo groove's sign --> donovanosis (Subcutaneous swelling)

    Angles in Orthopaedics

    Cobb's Angle - Scoliosis

    Kite's Angle - CTEV

    Meary's Angle - Pes Cavus deformity

    Hilgenreiner's Epiphyseal Angle - Congenital Coxa Vara

    Baumann's Angle - Supracondylar Fracture

    Bohler's angle is decreased and Gissaine's angle is increased in - Intra Articular fractures of Calcaneum
  6. samuel

    samuel New Member

    lutembacher syndrome - ASD (Ostium Secundum variety) + MS

    VKH Syndrome (Vogt Konanagi Harda Syndrome) :
    b/l anterior uveitis , vitiligo , tinnitus and SNHL

    Bradycardia with Hypertension - Cushing's Reflex ; seen in raised ICP.

    Jod Basedow disease - iodine induced hyperthyroidism
    vs
    Wolff Chaikoff effect - iodine induced transient supression of thyroid. (used in treatment of thyroid storm.)

    Muscle least sensitive to NDMR- diaphragm
  7. samuel

    samuel New Member

    signs-

    bergmans coiled catheter sign/goblet sign-uretral tumor

    turtle neck sign-shoulder dystocia

    star gazing sign-hyperextended head in breech on USG

    RIM sign-uretral calculi/hydronephrosis

    cortical rim sign -renal infarction

    butterfly perineal haematoma-bulbar urethral rupture

    renshoffs sign-ruptured common bile duct

    ten horn sign-acute appendicitis

    fothergill sign-rectus muscle haematoma

    danforths sign-hamoperitoneum

    stratosphere sign-pneumothorax
  8. samuel

    samuel New Member

    Sequence of paralysis after giving d-tubocurare
    Jaw muscles
    ⬇️
    Eyelids muscles and other muscles of head and neck
    ⬇️
    Limbs
    ⬇️
    Intercoastals
    ⬇️
    Diaphragm
    ⬇️
    abdomen
    ⬇️
    Trunk


    Facial and diaphragm are first to recover
  9. samuel

    samuel New Member

    Important facts about Vitamins:

    Heat Stable and light sensitive- Vitamin K and Riboflavine

    Vitamin required for electron Transport (Coenz. Q)- Vitamin K1, B2

    Dopa and Gaba Metabolism depend on- Pyridoxine

    For the Function of Co.A -Pantothenate

    Folic acid is Pteroyl Glutamic acid

    Folinic Acid is Citrovorum factor

    Erythrocyte Maturation Factor- Vitamin B 12

    Vitamins Stored in Liver- Vit A, D, K, B 12, Folate

    Yellow Crystalline Substance- Riboflavine

    Red Crystalline Substance- Vit B12

    White Crystalline Substance- Ascorbic Acid

    Vitamins Which are present in animal Foods only- Vit B12

    Heat Labile Vitamins- Vitamin C and Folic acid

    Vitamins That are synthesised in Gut (Flora)- Vit B2, B12 (Not useful) and Vitamin K

    Synthesised in body (Skin)- Vit D

    Worm infestation causing B12 deficiency- Diphyllobothrium Latum

    Vitamins which are antoxidant- Vit E, Vit C

    Vitamin useful in the treatment of methemoglobinemia- Vit C (Methylene Blue also useful)

    Vitamins with which Hypervitaminosis occurs-Vit A and D

    Vitamin deficiency which leads to convulsions- Pyridoxine

    Vitamin useful in treatment of Homocystinuria- Pyridoxine

    Vitamin useful in treatment of Alkaptonuria- Vit C

    Vitamin that is used peripheral vascular disease- Vitamin E (For intermittent Claudication)

    Vitamins that causes Hemolysis- Vit K

    Vitamin that causes Neonatal Jaundice- Vit K

    Vitamin deficiency that causes pseudo paralysis- Vit C, Vit D

    Vitamin for wound healing- Vitamin C

    Magenta red tongue is due to deficiency of Riboflavine

    Raw beef tongue is due to deficiency of Niacin

    Baldness of tongue due to deficiency of Vit B12

    Vitamin that does not cross placenta- Vit D
  10. samuel

    samuel New Member

    Most common type of Hereditary
    Hemochromatosis- Type I
    (-HFE gene on chromosome 6,
    Type I & II are autosomal recessive,
    Type III & IV are autosomal dominant,
    Increased %transferrin saturation is the earliest phenotypic marker
    and is the best screening test
  11. samuel

    samuel New Member

    the Mc nerve used for monitoring during anaesthesia-ulnar nerve

    antiTB drug causing hypothyroidism-Ethionamide nd paraaminosalicylic acid(PAS)

    antiTB drug causing transient memory loss-INH

    anti TB drug causing agranulocytosis,eosinophilia nd thrombocytopenia-INH

    the gene mutated in primary pulmonary hypertension-BMPR2(bone morphogenic protein receptor2)
  12. samuel

    samuel New Member

    Mc artery to bleed in duodenal ulcer - Gastro-duodenal artery

    Mc site of duodenal ulcer bleed - posterior surface of duodenum
    (Anterior surface of duodenum is rarely involved in bleeding ulcer)

    Bleeding duodenal ulcer may present as melena or hematemesis.
  13. samuel

    samuel New Member

    Carcinoid tumour : all previously asked Qs.

    1.mc site - small intestine (ileum) , 2nd mc - appendix
    2.carcinoid tumour is 2nd mc malignant tumour of small intestine. (1st is adenocarcinoma)
    3.carcinoid tumour is the mc neuroendocrine tumour of small intestine.
  14. samuel

    samuel New Member

    Radiology
    Sillhoute at R. heart border .. in chest xray - path in right median side of middle lobe of lung ...
    In Neurocysticercosis , edema not seen in calcified nodular stage
  15. samuel

    samuel New Member

    Human blood testis barrier
    a) Tight junction between Sertoli cells
    b) Absence of germ cells causes immune
    reaction
    c) Formed before spermatogenesis


    ans- a



    Tight junction between adjacent Sertoli cells
    near the basal lamina form a blood-testis
    barrier.
    Blood-testis barrier prevents many large
    molecules from passing from the Interstial
    tissue and the part of tubule near basal lamina
    (Basal compartment) to the region near tubular
    lumen (Ad-luminal compartment) and the
    lumen.
  16. samuel

    samuel New Member

    All of the following glands have secreto-
    motor supply by facial nerve except
    a) Nasal gland
    b) Lacrimal gland
    c) Submandibular gland
    d) Parotid gland
    Answer: Parotid gland
    Explanation:
    Facial nerve: Secreto-motor to all glands in
    head EXCEPT Parotid
    Parotid gland:
    Parasympathetic secreto-motor supply arises
    from the glosso-pharyngeal nerve. The nerves
    reach the gland via the tympanic branch, the
    lesser petrosal nerve, the otic ganglion, and the
    Auriculo-temporal nerve.
    Submandibular gland and Sublingual Gland:
    Parasympathetic secreto-motor supply is from
    the facial nerve via the chorda tympani, and the
    submandibular ganglion. The postganglionic
    fibers pass directly to the gland.
    Nasal gland and lacrimal gland:
    Parasympathetic secreto-motor supply is from
    the facial nerve via greater petrosal nerve.
  17. samuel

    samuel New Member

    Bucco-pharyngeal membrane made up of
    a) Endoderm
    b) Ectoderm
    c) Endoderm, mesoderm
    d) Ectoderm and endoderm
    Answer: Ectoderm and endoderm
    Explanation:
    The bucco-pharyngeal membrane forms the
    external upper membrane limit (cranial end) of
    the early gastrointestinal tract (GIT).
    This membrane region first develops in the tri-
    laminar embryo (week 3) during gastrulation.
    The “membrane” quality comes from being
    composed of only ectoderm and endoderm,
    without a middle layer of mesoderm.
  18. samuel

    samuel New Member

    1. ITP due to vaccine-
    a) MMR
    b) Typhoid vaccine
    c) Influenza vaccine
    d) HIB
    Answer: MMR
    Explanation:
    The MMR vaccine is an immunization vaccine
    against measles, mumps, and rubella (also
    called German measles). It is a mixture of live
    attenuated viruses of the three diseases,
    administered via injection.
    Rare side effects of the MMR vaccine:
    Idiopathic thrombocytopenic purpura (ITP)
    Seizures
    Allergic reaction
  19. samuel

    samuel New Member

    CA lung is Mc primary to Metastasis to

    KEPS LABS

    kidney
    esophagus
    pancreas
    Spleen

    Liver
    Adrenal
    Brain
    Skin
  20. samuel

    samuel New Member

    lumbar vertebra due to abnormal development of-ventral sclerotome

    max. amount of zinc secreted by-prostate

    priapism occurs in -cantharide poisoning nd phosphorus poisoning

    cadaveric lividity in some poisoning-

    pink-cyanide

    cherry red-carbon monoxide

    dark brown-phosphorus

    red brown-nitrite

    chocolate brown-potassium chlorate

    bluish green-hydrogen sulfide

    black-opiate
  21. samuel

    samuel New Member

    VESSEL REMNANT
    umbilical arteries median umbilical ligaments
    left umbilical vein ligamentum teres of liver
    ductus venosus ligamentum venosus
    ductus arteriosus ligamentum arteriosus
  22. samuel

    samuel New Member

    nitabuchs layer - it is zone of fibroid degeneration where trophoblast and decidua meet , seen in basal plate of placenta.
    hoffbaeur layer - phagocytic cells seen in connective tissue of chorionic villi of placenta.
  23. samuel

    samuel New Member

    M/c asso. with Ca cervix ---> HPV 16.


    Most prevalent HPV subtype in sqamous cell ca is hpv16
    Most prevalent HPV subtype in adeno ca cervix is hpv18.
  24. samuel

    samuel New Member

    Which anesthetic doesn’t interfere with CSF
    secretion?
    a) N2O
    b) Thiopentone
    c) Halothane
    d) Ketamine
    Answer: N2O (Nitrous oxide)
    Explanation:
    Anesthetic agents
    Halothane, ketamine – increase CSF production
    Thiopental – decreases CSF production
    Active transport inhibitors
    Acetazolamide, Frusemide – reduce CSF
    production
    Hormones
    Angiotensin, vasopressin – reduce CSF
    production
  25. samuel

    samuel New Member

    Agonist of muscarinic receptors:
    M1-Oxotremorine
    M2- Methacholine
    M3- Bethanechol

    Neurological manifestation of enteric fever.

    Neuropsychiatric symptoms described as muttering delirium or coma vigil
  26. samuel

    samuel New Member

    Viruses - Functional binding receptor
    SARS Virus - Angiotensin converting enzyme-2..
    measles - CD 46 and CDw150 (SLAM - Signalling Leukocytes Activating Molecule ).
    polio virus - CD 155..
    Hepatitis C - CD 81...
  27. samuel

    samuel New Member

    Bentall's operation-aortic root aneurysm

    capacity of renal pelvis-7ml

    t/t of thyroid dermopathy-steroid

    tear drop bladder-extraperitoneal rupture of bladder

    plastibel device used in-circumcision

    Mc site of stricture following TURP-navicular fossa

    Mc site of urethral carcinoma-bulbomembranous junction

    pfannenstiel incision-prostate surgery

    polychronotropism shown by-urothelial tumour

    star chart used in t/t of-nocturnal enuresis

    IPSS score-benign prostatic hyperplasia

    Mc organism causing emphasematous cystitis-E.coli

    Mini chromosome maintenance protein useful to detect-bladder cancer

    Mc neoplasm of infancy-mesoblastic nephroma

    first uretric autotransplant done by-hardy

    presenting symptom of sibsons hernia-neck mass

    Bordels line related to which artery-renal artery

    Meteorism-renal trauma

    dietl's crisis-pelviureteric junction obstruction

    steinstrasse-uretric obstruction due to stone fragments in ureter
  28. samuel

    samuel New Member

    Uterine compression suture for PPH ---> B-Lynch

    Other sutures :
    Hayman
    Cho square
    Gunshella
  29. samuel

    samuel New Member

    First autologous renal transplantation was performed by --> Hardy (in 1963).

    Its a renal autotransplantation, usually to iliac fossa for reconstructing the urinary tract.
  30. samuel

    samuel New Member

    axial length of eyeball at birth is ---% of adult eye-70%

    tonography-helps to determine facility of outflow of aqueous

    facility of aqueous outflow -0.28+/-0.05microliter/min/mmHg

    distant direct ophthalmoscopy done at-25cm distance

    Intravitreous injection of drug causing macular toxicity-aminoglycosides(gentamycin)

    first symptom of sympathetic ophthalmitis-photophobia

    first sign of sympathetic ophthalmitis -keratic precipitate

    critical period for development of fixation reflex-2-4 month
  31. samuel

    samuel New Member

    Dopplers in OBG

    1.Uterine artery- -
    A. PIH screening →persistence of diastolic notch after 20 wk
    B. Diagnosis of fetal hypoxia →reduced<absent <reversed diastolic flow

    2.Middle cerebral artery- -
    A.IUGR
    B. Rh isoimmunisation →peak systolic velocity > 1.5 -give intrauterine transfusion

    3. Ductus venosus- -
    Abnormal flow suggests down's along with ↑nuchal translucency & nasal bone hypoplasia
  32. samuel

    samuel New Member

    Lipoma of corpus callosum --> Bracket calcification on skul x-ray


    Sturge weber syndrome --> tramline calcification
  33. samuel

    samuel New Member

    Ivermectin inhibits glutamate gated chloride channels and other ligand gated chloride channels
    Used in scabies
    Pediculosis
    Onchocerciasis
  34. samuel

    samuel New Member

    Kohler dz - navicular

    Perthe - femur head

    Scheurmann dz- ring
    epiphysis of vertebrae

    Calves dz- central bony nucleas of vertebrae

    Frieberg - 2nd metatarsal head

    Islene- 5th
    metatarsal head

    Osgood shaltter's dz -
    tibial tuberocity

    Severe 's dz-
    calcaneum

    Johanson- Larsens dz - lower pole of patella

    Blounts dz- Tibia

    Panner's dz -
    capitulum of elbow

    Preiser's Synd - Scaphoid

    Schmier 's Dz- Pisiform

    Witt' s dz- triquetrum

    Agati dz - trapazoid

    Haglund dz - calcaneus

    Fleischner Thiemann
    dz- phalanges

    Haas dz - head of
    humerus

    Konig' s Synd -
    tubular bones

    Wegner Synd - osteochondritis with epiphyseal seperation
  35. samuel

    samuel New Member

    MOST POTENT GLUCOCORTICOID- BETAMETHASONE

    LEAST POTENT GLUCOCORTICOID- CORTISONE

    MAX GLUCOCORTICOID ACTIVITY- DEXAMETHASONE

    GLUCOCORTICOID WITH MAXIMUM MINERULOCORTICOID ACTIVITY- HYDROCORTISONE

    SELECTIVE GLUCOCORTICOID( WITH NO MINERULOCORTICOID ACTIVITY)- METHYLPREDNISALONE, TRIAMSALONE, PARAMETHASONE, DEXAMETHASONE, BETAMETHASONE


    MINERULOCORTICOIDS

    MOST POTENT MINERULOCORTICOID- FLUDROCORTISONE

    MAX MINERULOCORTICOID ACTIVITY- ALDROSTERONE

    SELECTIVE MINERULOCORTICOID ACTION ( WITH NO GLUCOCORTICOID ACTION)- DOCA
  36. samuel

    samuel New Member

    the Mc nerve used for monitoring during anaesthesia-ulnar nerve

    antiTB drug causing hypothyroidism-Ethionamide nd paraaminosalicylic acid(PAS)

    antiTB drug causing transient memory loss-INH

    anti TB drug causing agranulocytosis,eosinophilia nd thrombocytopenia-INH

    the gene mutated in primary pulmonary hypertension-BMPR2(bone morphogenic protein receptor2)
  37. samuel

    samuel New Member

    Mc artery to bleed in duodenal ulcer - Gastro-duodenal artery

    Mc site of duodenal ulcer bleed - posterior surface of duodenum
    (Anterior surface of duodenum is rarely involved in bleeding ulcer)

    Bleeding duodenal ulcer may present as melena or hematemesis.
  38. samuel

    samuel New Member

    Carcinoid tumour : all previously asked Qs.

    1.mc site - small intestine (ileum) , 2nd mc - appendix
    2.carcinoid tumour is 2nd mc malignant tumour of small intestine. (1st is adenocarcinoma)
    3.carcinoid tumour is the mc neuroendocrine tumour of small intestine.
  39. samuel

    samuel New Member

    Radiology
    Sillhoute at R. heart border .. in chest xray - path in right median side of middle lobe of lung ...
    In Neurocysticercosis , edema not seen in calcified nodular stage
  40. samuel

    samuel New Member

    Human blood testis barrier
    a) Tight junction between Sertoli cells
    b) Absence of germ cells causes immune
    reaction
    c) Formed before spermatogenesis


    ans- a



    Tight junction between adjacent Sertoli cells
    near the basal lamina form a blood-testis
    barrier.
    Blood-testis barrier prevents many large
    molecules from passing from the Interstial
    tissue and the part of tubule near basal lamina
    (Basal compartment) to the region near tubular
    lumen (Ad-luminal compartment) and the
    lumen.
  41. samuel

    samuel New Member

    All of the following glands have secreto-
    motor supply by facial nerve except
    a) Nasal gland
    b) Lacrimal gland
    c) Submandibular gland
    d) Parotid gland

    Answer: Parotid gland
    Explanation:

    Facial nerve: Secreto-motor to all glands in
    head EXCEPT Parotid
    Parotid gland:
    Parasympathetic secreto-motor supply arises
    from the glosso-pharyngeal nerve. The nerves
    reach the gland via the tympanic branch, the
    lesser petrosal nerve, the otic ganglion, and the
    Auriculo-temporal nerve.
    Submandibular gland and Sublingual Gland:
    Parasympathetic secreto-motor supply is from
    the facial nerve via the chorda tympani, and the
    submandibular ganglion. The postganglionic
    fibers pass directly to the gland.
    Nasal gland and lacrimal gland:
    Parasympathetic secreto-motor supply is from
    the facial nerve via greater petrosal nerve.
  42. samuel

    samuel New Member

    Bucco-pharyngeal membrane made up of
    a) Endoderm
    b) Ectoderm
    c) Endoderm, mesoderm
    d) Ectoderm and endoderm

    Answer: Ectoderm and endoderm

    Explanation:
    The bucco-pharyngeal membrane forms the
    external upper membrane limit (cranial end) of
    the early gastrointestinal tract (GIT).
    This membrane region first develops in the tri-
    laminar embryo (week 3) during gastrulation.
    The “membrane” quality comes from being
    composed of only ectoderm and endoderm,
    without a middle layer of mesoderm.
  43. samuel

    samuel New Member

    1. ITP due to vaccine-
    a) MMR
    b) Typhoid vaccine
    c) Influenza vaccine
    d) HIB

    Answer: MMR
    Explanation:
    The MMR vaccine is an immunization vaccine
    against measles, mumps, and rubella (also
    called German measles). It is a mixture of live
    attenuated viruses of the three diseases,
    administered via injection.
    Rare side effects of the MMR vaccine:
    Idiopathic thrombocytopenic purpura (ITP)
    Seizures
    Allergic reaction
  44. samuel

    samuel New Member

    CA lung is Mc primary to Metastasis to

    KEPS LABS

    kidney
    esophagus
    pancreas
    Spleen

    Liver
    Adrenal
    Brain
    Skin
  45. samuel

    samuel New Member

    lumbar vertebra due to abnormal development of-ventral sclerotome

    max. amount of zinc secreted by-prostate

    priapism occurs in -cantharide poisoning nd phosphorus poisoning

    cadaveric lividity in some poisoning-

    pink-cyanide

    cherry red-carbon monoxide

    dark brown-phosphorus

    red brown-nitrite

    chocolate brown-potassium chlorate

    bluish green-hydrogen sulfide

    black-opiate
  46. samuel

    samuel New Member

    VESSEL REMNANT
    umbilical arteries median umbilical ligaments
    left umbilical vein ligamentum teres of liver
    ductus venosus ligamentum venosus
    ductus arteriosus ligamentum arteriosus
  47. samuel

    samuel New Member

    nitabuchs layer - it is zone of fibroid degeneration where trophoblast and decidua meet , seen in basal plate of placenta.
    hoffbaeur layer - phagocytic cells seen in connective tissue of chorionic villi of placenta.
  48. samuel

    samuel New Member

    M/c asso. with Ca cervix ---> HPV 16.


    Most prevalent HPV subtype in sqamous cell ca is hpv16
    Most prevalent HPV subtype in adeno ca cervix is hpv18.

    macklers triad in boerhaev syndrome (oesophagus perforation) is :vomitting,lower chestpain and subcutaneous emphysema
  49. samuel

    samuel New Member

    Which anesthetic doesn’t interfere with CSF
    secretion?
    a) N2O
    b) Thiopentone
    c) Halothane
    d) Ketamine
    Answer: N2O (Nitrous oxide)
    Explanation:
    Anesthetic agents
    Halothane, ketamine – increase CSF production
    Thiopental – decreases CSF production
    Active transport inhibitors
    Acetazolamide, Frusemide – reduce CSF
    production
    Hormones
    Angiotensin, vasopressin – reduce CSF
    production
  50. samuel

    samuel New Member

    Agonist of muscarinic receptors:
    M1-Oxotremorine
    M2- Methacholine
    M3- Bethanechol

    Neurological manifestation of enteric fever.

    Neuropsychiatric symptoms described as muttering delirium or coma vigil

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