24.5.2013 (16) Flashcards
(130 cards)
0
Q
Yaws
A
T.pertenue
1
Q
Pinta
A
T.carateum
2
Q
What percentage of syphilitic chancres are atypical
A
50%
3
Q
Jarisch herxheimer reaction is commonly associated with
A
Secondary syphilis(70%)
4
Q
Diseases showing jarisch herxheimer reaction
A
Syphilis
Leptospirosis
Louse borne relapsing fever
5
Q
Most common site of syphiloderm
A
Soles
6
Q
Snail tracks
A
Shallow painless erosions in secondary syphilis(mucous patches)
7
Q
Most common pattern of hair-loss in syphilis now
A
Telogen effluvium
8
Q
Incubation period of syphilis
A
21 days
10-90days
9
Q
Painful syphilitic chancre
A
Superinfection with s.aureus
10
Q
Chancres on which site are painful
A
Fingers
11
Q
Penicillin Rx is the only option for treatment of syphilis even if the patient is allergic in
A
Pregnancy
Neurosyphilis
12
Q
Periosteitis of which bone is common in secondary syphilis
A
Tibia
13
Q
Dark field examination positive in all secondary syphilis lesion except
A
Macular exanthem
14
Q
Pathogenesis of congenital syphilis is due to
A
Immunologic response of fetus
Hence lesions appear after 4 months
15
Q
Bilateral knee effusions in congenital syphilis
A
Clutton jt
16
Q
Most common cause of short gut syndrome in children
A
NEC
17
Q
Radiologic hallmark of NEC
A
Pneumatosis intestinalis
Hydrogen gas
18
Q
Staging of NEC
A
Bell’s staging
19
Q
Surgery is required at which stage of NEC
A
Stage 3B
perforation present
20
Q
Stage of definite diagnosis of NEC
A
Stage 2A
21
Q
Site of epigastric hernia
A
Above umbilicus
Either side of midline
22
Q
Content of epigastric hernia
A
Preperitoneal fat
23
Q
Rx of epigastric hernia
A
Mayo repair
24
Rx of epigastric hernia with defect >4cm
Mesh plasty
25
Size of stone with greatest chance of spontaneous resolution
<4mm
26
Early elective treatment is recommended in stone of size
>7mm
| Or if it fails to move
27
Ideal stones for ESWL
Renal stones <1cm
28
Most common renal stone
Calcium oxalate(70%)
29
Most common site of impaction of stone
Vesico ureteric junction
30
Jaw cyst with highest malignant potential
Dentigerous cyst
31
Jaw cyst with high recurrence rate
Odontogenic keratocyst
32
Most common site of dentigerous cyst
Lower 3rd molar
33
X ray appearance of dentigerous cyst
Soap bubble appearance
34
Dental cyst arises from
Root of normally erupted tooth
35
Dentigerous cyst arises from
Follicular sac
| Crown of unerupted tooth
36
Complications of dentigerous cyst
Ameloblastoma
Epidermoid carcinoma
Mucoepidermoid carcinoma
37
Egg shell crackling is present in
Dental cyst
38
Which jaw cyst are multiple and multiloculated
Odontogenic keratocyst
39
Alpha chain disease
IPSID
| Immunoproliferative small intestinal disease
40
Infection associated with IPSID
C.jejuni
41
Most untreated IPSID pts progress to
Lymphoplasmacytic
| Immunoblastic lymphoma
42
Most common presentation of convexity meningiomas
Seizures
43
Virus associated with meningioma
Inoue-melnick virus(DNA)
44
Recurrence rate of meningioma is maximum with
Sphenoid wing meningioma
45
Grading system of meningioma excision
Simpson
46
Meningiomas arise from
Arachnoid cap cells
47
Origin of adamkiewicz artery
Intercostal artery between 9th and 12 th intercostal spaces
48
MC type of aortic aneurysm
Infra renal abdominal aortic aneurysm
49
Aneurysm involving ascending ,transverse and thoracoabdominal aorta
Mega aorta
50
Imaging modality of choice in assessing TAAA
Spiral CT scan
| Aortic calcification and intramural thrombi better demonstrated
51
Classification used for aortic dissection
De bakey
| Stanford
52
Classification of TAAA
Crawford
53
Most common complication of abdominal aortic aneurysm repair
Nonfatal MI
54
2nd MC complication of AAA repair
Renal failure
55
Total aortic arch replacement
Borst elephant trunk technique
56
Aortic root replacement
Modified bentall procedure
57
Most common site of aortic transection due to blunt trauma
Isthmus region
| Point of attachment of ligamentum arteriosum
58
Pseudo coarctation
Diminished femoral pulses in aorta rupture
59
Ventricular fibrillation due to sharp blow to pericardium
Commotio cardis
60
Most common chamber involved in. Blunt cardiac injury
Right ventricle
61
TEVAR
Thoracic Endovascular Aortic Repair
62
Imaging modality of choice for aortic rupture
Thin slice helical CT angiography
63
Gold standard for diagnosis of aorta rupture
Aortography
64
X ray signs of aortic rupture
```
Widening (>8cm) of mediastinum
Obliteration of aorta pulmonary window
Indistinct aortic knob
Deviation of left main stem bronchus
Off midline position of nasogastric tube
```
65
Most common odontogenic cyst
Periapical/radicular cyst
66
Test used to differentiate abdominal wall and abdominal viscera pain
Carnett test
67
Most common cause of hyperandrogenism and hirsutism
PCOD
68
Essential criteria for diagnosis of PCOD
Rotterdam criteria
Ovulatory dysfunction amenorrhea or oligomenorhhea
Clinical or biochemical evidence of hyperandrogenism
Polycystic ovarian morphology in USG
2/3
69
Chemo radiation for ca cervix
Stage 2B and above
70
Rx of stage 1A1 ca cervix
| Child bearing age group
Therapeutic conisation
| No lymphadenectomy
71
Rx stage 1A1 ca cervix completed family
Simple hysterectomy
| No lymphadenectomy
72
Ca cervix 1A2 Rx
| Child bearing age
Radical trachelectomy
| Pelvic lymphadenectomy
73
Ca cervix 1A2 Rx
| Completed family
Modified radical hysterectomy
| With pelvic lymphadenectomy
74
Radical hysterectomy with pelvic lymphadenectomy is done for which stages of ca cervix
1B and 2A
75
Nodes removed in wertheims
Internal
External
Common iliac
Obturator
76
Schauta operation
Vaginal radical hysterectomy
77
Commonest cause of postpartum collapse
PPH
78
Test used to differentiate foetal from maternal blood
APT test
Alkali denaturation test
Qualitative test
79
Test used to identify fetomaternal hemorrhage
Kleihauer betke test
Acid elution test
Quantitative
80
Early deceleration
Compression of placenta by fetal head
81
Late deceleration
Fetal hypoxia
| Fetal acidosis
82
80 fetal RBC in 50 lpf
4ml fetomaternal bleed
83
100microg of anti D is needed for
4ml of fetomaternal bleed
84
Adverse effect of raloxifene
Thromboembolism
85
Effects of tamoxifen
Beneficial in Breast,Bone,Blood(lipid profile)
| But increased risk of ca endometrium
86
Drug used in Rx of tamoxifen resistant breast cancer
Fulvestrant
| Aromatase inhibitors
87
Other name for gallows traction
Bryants skin traction
88
Traction used in cervical spine injury
Crutchfield
| head halter
89
Traction used in supra condylar # humerus
Skin Dunlop traction
| Skeletal smith
90
Traction used in open forearm #
Metacarpal traction
91
Traction used in scoliosis
Halo pelvic
92
Traction used in correction of hip deformity
Agnes hunt
93
Traction used in correction of abduction or addiction deformity of hip
Well leg
94
Traction used in #shaft of femer in children
90-90
95
Traction used in #shaft of femer older children
Russell
96
Traction used in #shaft of femer adults
Perkins
97
Traction used in open # of ankle or leg
Calcaneal
98
Pollack test
Inability to flex distal phalanx of little and ring fingers (medial FDP paralysis) in high ulnar nerve paralysis
99
Egawa test
this is for dorsal introssei of the middle finger. With the hand kept flat on a table palmer surface down the patient is asked to move his middle finger sideways.
100
Rate of regeneration after nerve injury
1mm/day
101
Seddon classification
Neurapraxia
Axonotemis
Neuronotnemis
102
Sunderland classification
Axonotmesis is divided into 3 types
| Based on involvement of axon(2),endo(3),peri(4)..
103
Most common congenital ortho anomaly
CTEV
104
Difference btw idiopathic and CTEV due to uterine malposition
Dorsum cannot touch tibia in idiopathic CTEV
105
Components of CTEV
Equinus at ankle
Forefoot adduction
Inversion at subtalar joint
106
Interleukin associated with castleman disease
IL-6
107
IL-6 antagonist
Siltuximab
108
Castleman disease
Angiofollicular lymphoid hyperplasia
109
Multicentric castleman disease is due to
HHV8
110
Kimura disease
Unilateral cervical lymphadenopathy
Head and neck sub dermal lesions
Eosinophilia
111
Kikuchi disease
Necrotising lymphadenitis
112
Ideal Rx for CTEV in newborn
Serial manipulation with casting
| Ponsetti technique
113
Order of correction in CTEV
```
CAVE
Cavus
Adduction
Varus
Equinus
```
114
Rx of CTEV upto 3 yrs
Posteromedial soft tissue release
115
Rx for equinus in CTEV
Mild-moderate
Severe
Mild-moderate: Achilles tendon lengthening+posterior capsulotomy of subtalar and ankle joint
Severe: lambrinudi
116
Rx for hind foot varus 2-3 yrs
Modified mac Kay procedure
117
Rx for hind foot varus 3-10 yrs
Dweyers osteotomy(isolated heel varus),dilwyn-Evans (short medial column), lichtblau procedure(long lateral column)
118
Rx for hind foot varus >10 years
Triple arthrodesis
119
Rx for metatarsus adductus in CTEV
| >5 yrs
Metatarsal osteotomy
120
Rocker bottom foot
Congenital vertical talus
| Convex sole
121
Deformity in rigid flat foot
Forefoot-dorsiflexed
| Hind foot -plantar flexed
122
Seligman disease
Alpha chain disease
123
Franklin disease
Gamma chain disease
124
A 55yr presented with pain in right shoulder. He is able to adduct,internally rotate and put his hand back at lumbosacral level but cannot lift his hand from back. Diagnosis and name of test?
Subscapularis tendon tear
| Lift off test
125
13th cranial nerve
Nervi terminales
126
Multiple odontogenic keratocysts are pathognomonic for
Gorlin syndrome
127
Signs in complete rotator cuff tear
Drop arm sign
Abduction paradox
Appley pg364
128
Test used to detect isolated supraspinatus tear
Empty can test
129
Tests for meniscal injury
Mcmurray test
Thessaly test
Apley grinding test
