10.5.2013(AIIMS Surgery) 11 Flashcards
(103 cards)
0
Q
Anterior fissures are more common in
A
Women
1
Q
Most common site of fissure
A
Posterior midline in both men and women
2
Q
Most common type of fistula
A
Intersphincteric type
3
Q
Hemicolectomy for carcinoids in appendix
A
> 2cm
Situated at base
4
Q
Most common type of small intestinal malignancy
A
Carcinoid tumors
5
Q
Most common organism responsible for breast abscess
A
Staph.aureus
6
Q
Most common LFT abnormality in amebic liver abscess
A
Elevated prothrombin time
7
Q
Most common source of infection in pyogenic liver abscess
A
Billiary tree
8
Q
Most common organism in pyogenic liver abscess
A
E.coli
9
Q
Gas forming organism in liver abscess
A
Klebsiella
10
Q
commonly used radiation source in stereotactic radiotherapy
A
Cobalt 201
11
Q
Patient presents with saphenofemoral incompetence with normal perforators.Rx of choice
A
Endovascular stripping
12
Q
Laugier hernia
A
Through lacunar ligament
Always strangulated
13
Q
Narath femoral hernia
A
In congenital dislocation of hip,femoral hernia occurs behind the femoral vessels
14
Q
Hasselbach hernia
A
Occurs lateral to femoral artery
15
Q
Callison cloquet hernia
A
Through pectineal fascia
16
Q
In femoral hernia,distension of superficial epigastric or circumflex iliac veins
A
Gaur sign
17
Q
Human kallikrein 3
A
PSA
18
Q
PSA2
A
Free PSA(total PSA-bound PSA)
19
Q
CT severity index in acute pancreatitis
A
Balthazar score
20
Q
Grading of adenocarcinoma of prostate
A
Gleason score
21
Q
Nobel prize for work on prostate cancer
A
Charles Huggins
22
Q
17alpha hydroxylase and 17,20 lyase inhibitor
A
Abiraterone
23
Q
2nd generation anti androgen agent
A
Enzalutamide
24
First therapeutic vaccine approved for treatment of any cancer
Sipuleucel-T(used for asymptomatic or minimally symptomatic mCRPC)
25
Sipuleucel is derived from
CD54+ dendritic cells
26
Fracture of all four pubic rami
Straddle fracture
27
Fracture through ischiopubic rami,sacrum or sacroiliac joint
Malgaigne
28
Triad of posterior urethra rupture
Blood at meatus
Inability to pass urine
Full bladder
29
Diagnostic study of choice in posterior urethra rupture
Retrograde urethrography
30
Rx of choice in posterior urethra rupture
Open posterior urethroplasty
31
Most common injured segment in anterior urethral injury
Bulbar urethra
32
Vermooten sign
High riding prostate in membranous rupture of urethra
33
Eggplant deformity
Fracture of penis
34
Hydronephrosis is seen in which stage of Ca cervix
Stage IIIB
35
Cause of bacterial vaginosis
Gardenella
Mobiluncus
Bacteroids
Mycoplasma
37
Modified radical hysterectomy
Extended hysterectomy
| Type1+parametrium and para cervical tissue medial to ureter
38
Radical hysterectomy
Type2+cuff of vagina+parametrium upto pelvic side walls+para cervical tissue
39
Wertheim hysterectomy
Radical hysterectomy+ pelvic lymphadenectomy
40
Intracavitary radiation in Ca cervix
| Substances used
Caesium 137
| Iridium 192
41
Earliest normal gestational sac seen at
4weeks TVS
| 5weeks transabdominal ultrasonography
42
Normal vaginal flora
Doderlein bacilli
| H2O2 producing
43
Vaginal ph in
BV
candidiasis
Trichomoniasis
BV >4.5
Candida <4.5
Trichomonas = 4.5
44
Most common change in fibroids
Hyaline degeneration
45
Rarest change in leiomyoma
Sarcomatous degeneration
46
Auscultation findings in pregnancy seen only in diseased states
Systolic murmur of grade 3 and above
Diastolic murmur
Persistent split second sound
47
Contraindications of trial of labor
Previous uterine rupture
Previous classical Caesarian section
3 or more Caesarian deliveries
48
Beyond which value shock index in pregnancy is considered abnormal
0.5-0.7
49
Shock index
HR/SBP
50
Ruptured ectopic pregnancy
| SI
SI>0.85
51
Antepartum hemorrhage
| SI
>0.9-1.1
52
Ligaments connecting the menisci to tibia
Coronary ligament
53
Origins of popliteus
Femoral condyle
Lateral meniscus(posterior horn)
Fibula(popliteofibular ligament)
54
Ankle is stabilised on medial side by
Deltoid ligament
55
Ankle is stabilised on lateral side by
Fibular collateral ligaments
Ant.talo Fibular ligament
Post.talo Fibular ligament
Calcaneo Fibular ligament
56
Ligament injured when inversion force is applied to dorsiflexed foot
Calcaneo Fibular ligament
57
Ligament injured when inversion force is applied on plantar flexed foot
Ant.talo Fibular ligament
58
Which is stronger?
| Medial or lateral stabilising ligaments of ankle
Medial
59
Strongest in lateral stabilising ligaments of ankle
Posterior talofibular ligament
60
Most common ligament to be sprained in ankle sprains
Ant.talo Fibular ligament
61
Lauge Hansen classification
Ankle fractures
62
Denis 3 column is to assess
Thoracolumbar stability
63
Most important column for stability in Dennis 3 columns
Middle column
Posterior half of vertebral body
Posterior annulus
Posterior spinal ligament
64
Drugs causing acquired scoline apnea
Cholinesterase inhibitors
Methotrexate
MAO inhibitors
MMC
65
Phenylketonuria in mother
| Effects on baby
MR
microcephaly
Cardiac anomalies
66
Anterior dislocation of shoulder
| Attitude
Abducted and externally rotated
67
Causes for posterior dislocation
Epilepsy
| Electric shock
68
Most common shoulder dislocation
Anterior
69
Hill Sachs lesion
Posterolateral part of humerus
70
Bankart lesion
Anterior part of glenoid labrum
71
Sign in recurrent dislocation
Apprehension sign
72
Surgeries for recurrent shoulder dislocation
Bankart
Puttiplat
Boytchev procedure
Boyd sisk procedure
73
Management of extensor tendon rupture without fracture of phalanx
Stack splint
74
Splint
| Radial nerve
Cockup splint
75
Aeroplane splint
Brachial plexus injury
76
Ulnar nerve palsy
| Splint
Knuckle bender splint
77
Rx of mallet finger with wound
K wire
78
flexor tendon injury
| Difficulty In flexion of DIP joint
Jersey finger
79
Common lytic lesions seen in proximal humerus below age of 20 years
Unicameral bone cyst
| Aneurysmal bone cyst
80
Aneurysmal bone cyst is common in
Women
81
Fallen fragment/leaf sign
Unicameral bone cyst
| Cortical fragment in cavity
82
Traction in # shaft of femur in children
Gallows traction
83
Bone cyst secondary to
Chondroblastoma
GCT
OSteoblastoma
ABC
84
Unhappy triad of O'Donoghue
Injury to
Medial collateral ligament
Medial meniscus
Anterior cruciate ligament
85
Ligament injured first in Hyperextension of knee joint
Ant.cruciate ligament
86
X-ray finding in RDS
Mild- reticulonodular
| Severe- bilateral whiteout
87
Photoablation
193nm
| Excimer LASIX
88
Photocoagulation
Argon 488nm
| Krypton 533 nm
89
Photodisruption
1064nm
| Nd-YAG
90
Pathognomonic feature of acanthameba keratitis
Ring keratoneuritis
91
Diaphragmatic hernia in intrauterine life can lead to
Lung hypoplasia
| Surfactant deficiency
92
Most common degeneration of cornea
Hassle henle bodies
93
Granular dystrophy of cornea
Hyaline
94
Macular dystrophy mode of inheritance
Autosomal recessive
95
Macular dystrophy of cornea
| Accumulations
Mucopolysaccharidoses
96
Schneider crystalline dystrophy of cornea
| Accumulations
Cholesterol
97
Lattice dystrophy of cornea
| Accumulations
Amyloid
98
Lamellar body count in amniotic fluid suggestive of maturity
>50000
99
L/S Ratio predictive of RDS
<2
100
Late sign of lung maturity(substance)
Presence of phosphatidyl glycerol
133
Simple hysterectomy
Extra fascial hysterectomy
Removed: uterus, cervix
Not removed: parametrial or para cervical tissue
134
Phakomatosis associated with hypsarrythmia
Tuberous sclerosis
135
Sturge weber syndrome
Port wine stain
Buphthalmos
Leptomenngeal angioma
