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MCQ PSC > PSC 2069 > Flashcards

PSC 2069 Flashcards

(111 cards)

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1
Q

Anemia mostly caused by in village population

A

Hook worm infestation

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2
Q

Country where malaria is still sensitive to Chloroquine

A

Bangladesh

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3
Q

NOT A cause of post operative fever
- Hemorrhage
- Water
- Infection
- @dvt

A

Hemorrhage

5W’s
- WIND ( Atelectasis)
- WATER (UTI)
-WOUND
- WALKING DVT
- WONDER DRUG

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4
Q

Whipple’s disease caused by

A

Treponema Whippelii

Whipple’s disease:
Malabsorption syndrome with systemic features with infectious etiology
- Diarrhea
- wt loss
- Steatorrhea

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5
Q

Best t/t of Paraphimosis

A

Dorsal slit

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6
Q

Sjogrens Syndrome is disease of

A

Parotid gland

Sjogrens Syndrome

*Autoimmune disorder with destruction of exocrine gland (lacrimal, salivary) by lymphocytic infiltrates
* 40-60yrs
* inflammatory joint pain
* Keratoconjunctivitis sicca
* Xerosromia ( decreased salivary production)
* Presence of antinuclear ab : SS-A (Anti Ro)
SS-B (Anti La)
“ B/l parotid enlargement

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7
Q

Splenectomy is indicated in

A

Hereditary spherocytosis

Splenectomy: Absolute indication:
- hereditary spherocytosis
- trauma
- bleeding esophageal varices with splenic vein thrombosis
- splenic abscess,
- spontaneous rupture

** OPSI Overwhelming Post Splenectomy Infection
- Pneumococcus> E Coli > H influenza> Meningococcal> Staph > Streptococcus

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8
Q

Blast injury least vulnerable organ?

A

Liver

+ Air blast injuries : m/c blast injury – m/c organ – hollow organ
TM > LUNGS

+ UNDER WATER BLAST
m/c organ – intestine

+ SOLID BLAST INJURY
M/c skeletal muscle

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9
Q

Hematological changes after splenectomy?

A

Thrombocytosis (1st and m/c)
RBC life span unchanged
Hb not affected
Howel Jolly bodies
Target cells
Reticulocytosis

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10
Q

M/c type of diaphragmatic hernia

A

Hiatus hernia
( Sliding type)

GEJ is displaced upward – hourglass stomach

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11
Q

Breast abscess TOC

A

I and D

M/c org staph aureus

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12
Q

Strangulated hernia

A

Impairment of blood supply + Obstruction + Irreducibility

M/c Indirect Inguinal Hernia

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13
Q

Spigelian hernia

A

Interparietal hernia occuring at the level of arcuate line

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14
Q

Gibbons hernia

A

Hernia with hydrocele

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15
Q

Berger’s hernia

A

Hernia in pouch of douglas

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16
Q

Ogilive hernia

A

Hernia through defect in conjoint tendon

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17
Q

Pantaloon hernia

A

Double hernia direct+ indirect

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18
Q

Amgand’s hernia

A

Hernial sac containing ruptured appendix or an inguinal hernia with acute appendicitis

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19
Q

Signs of vascular instability occurs with acute loss of

A

20% of total blood loss

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20
Q

True abt fever

A

Fever can precipitate convulsion in children 6mnth - 6yrs
Febrile Convulsion
No CNS infection

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21
Q

Pt with fever, headache, convulsion,, CSF protein 105, sugar 40, chloride 52
Predominant lymphocyte
Dx?

A

Tubercular meningitis

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22
Q

Which mechanism causes diphtheria

A

Release of toxin Exotoxin

+ Clostridium diphtheria
- gram positive rod
Elek test for toxin
Toxoid vaccine

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23
Q

Highest frequency of VSD is seen in

A

Down’s syndrome

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24
Q

Congenital heart disease in :

Turner Syndrome
Edward
Patau
Holt oram
Rubella
Marfan
Noonan
Di George ?

A

Turner Syndrome – COA, Bicuspid Aortic valve
Edward – VSD
Patau – VSD
Holt oram – ASD
Rubella – PDA > PS
Marfan – Aortic Root Dilation
Noonan – Valvular PS
Di George– VSD+ interrupted aortic arch

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25
M/c cause of anemia in childhood
Iron def
26
Primary aim of neonatal resuscitation
To maintain breathing
27
Bronze baby syndrome , complication of
Phototherapy
28
Grey baby syndrome complication of
Chloramphenicol toxicity
29
Only skin pinch
Not reliable in making dx of dehydration in diarrhea
30
Bronchial asthma predominantly occurs
Before 10yrs
31
All fever >7day in child without localized signs must be looked for
Enteric fever
32
Fever of unknown origin
Temp > 101 F lasting for 3wks or more for which no cause apparent after 1 week of outpatient investigation
33
M/c vaginitis in DM and antibiotics abuser
Vulvovaginal candidiasis
34
Trichomonas vaginalis Bacterial vaginitis DOC??
Metronidazole 2gm Tinidazole 2gm
35
Candidiasis DOC
Fluconazole 150mg + clotrimoxazole pessary
36
Comment C/F of Endometriosis -
Pain Triad of Endometriosis - Infertility - Dyspareunia - Dysmenorrhea
37
Causes of Ectopic pregnancy
Tubal ciliary damage Blighted ovum NOT IUCD
38
Best evidence of ovulation
Basal body temperature increase due to progesterone Ovulation tests: Fern test -- due to estrogen Spinnbarkiett/ Thread test -- great elasticity of cervical mucus ( preovulation) + M/c used test -- USG guided follicle monitoring + Progesterone level >4ng/ml
39
M/c cause of breech
Prematurity M/c type of breech -- frank breech
40
M/c compound presentation of fetus
Vertex with hand
41
Site of tubal block is determined by
Hysterosalpingography Done at D6 and D10 of cycle
42
Longest part of fallopian tube
Ampulla Lined by ciliated columnar epithelium * M/c site of tubal ligation -- isthmus * Fallopian tube -- peg cell+
43
Incidence of diarrhea in community is calculated by
Cohort study
44
Preventive medicine is applied to
People of community
45
Curative medicine is applied to
Sick people
46
Most sensitive index of recent transmission in malaria endemic area
Infant Parasite Rate
47
Residula chlorine content of drinking water
0.5ppm
48
Human breast milk contains more
Lactose and vit C than cow milk Cow milk more fat, protein, calcium, calorie
49
Mantoux test requires
72hrs 0.1ml of PPD injected >10mm -- positive 6-9mm -- doubtful < 6mm -- negative
50
NOT a zoonotic disease
HIV
51
DPT vaccine is C/I in
Suspected or progressive neurological disease ** Live vaccines C/I in immunodeficienct children expect Measles
52
Pertusis IP?
7-14day
53
Salk and sabin vaccine?
Salk -- killed -- IPV Sabin -- live -- OPV
54
NOT a medicolegal report? - PM report - Injury certificate - Dying declaration - Death certificate - rape examination report
Dying declaration - oral or written statement of person who is dying b oz if unlawful act, relating to the material facts if cause of death or bearing on circumstances. - cross examination NOT ALLOWED. - Oath NOT REQUIRED * Dying Deposition- statement recorded by magistrate or judge in presence of accused or his lawyer who is allowed to cross examine the witness. - CROSS EXAMINATION IS ALLOWED - OATH REQUIRED
55
Arsenic poisoning
Retards putrefaction - carbonic acid - ZnCl - Arsenic - Antimony - Nuc vomica Rate of putrefaction: Air > water> soil 1:2:8
56
Test of Seminal stain
Acid phosphatase test Other: - Florence test - Barberio's test - CPK test
57
Alleged rape case, + of vaginal epithelial cells on glans
Lugol's iodine
58
Detect dried seminal stain
UV rays - blue white fluorescence
59
Identifying old > fresh food stain, gun powder on clothes, blackening, soot tattooing ?
IR ray
60
Rigor mortis 1st muscle voluntary involded
Eyelid Heart (left chamber in 1hr) involuntary > Eyelid > face muscle > neck/trunk > upper extremities> leg > small muscles of fingers and toes
61
Acrodynia seen in (Pink disease)
Chronic Mercury poisoning
62
Depression ass with
Hypothyroidism ** M/c cause of suicide -- depression ** M/c type of post puerperal psychosis -- depression ** Neurotransmitter involved -: serotonin and norepinephrine
63
Delusion characteristically seen in
Schizophrenia
64
Lucid interval seen in
Insanity EDG
65
DOC of alcohol withdrawal
Benzodiazepines - Chlordiazepoxide - Lorazepam - carbamazepine ** detarent agent -- disulfiram Delirium tremors -- benzodiazepines
66
67
Somatoform disorder
Pain disorder - pt symptoms cannot be described by any underlying medical condition ** Conversion disorder -- unexplained symptoms affecting voluntary motor or sensory function. ** Hypochondriasis -- pre occupation with fears of having serious disease based on misinterpretation of bodily symptoms.
68
Chloroquine causes exacerbation of?
Psoriasis - also Lithum and beta blockers
69
M/c nerve involved in Leprosy
High Ulnar - High Ulnar. > Low median > posterior tibial > great auricular > lateral popliteal ** Radial nerve -- last involved ( complicated) + Part of nerve involved first -- Schwann cell
70
Necrobiosis lipodica diabeticorum most marked in
Front of legs * Acanthosis nigricana -- nape area * Diabetic nephropathy -- micro albuminuria -- most sensitive for early dx
71
M/c renal lesion in DM
Diffuse Glomerulosclerosis But, * Nodular Glomerulosclerosis with Kimmelstiel Wilson Wire lesion -- most pathognomonic.
72
Diabetic Nephropathy
- glove and stocking type of peripheral neuropathy - ANS dysfunction - m/c form -- Distal Symmetric Sensorimotor Polyneuropathy - m/c involvement of 3rd CN Oculomotor
73
Condylomata lata seen in
Acquired Secondary syphilis * Gumma -- tertiary syphilis * Congenital syphilis: - Triad -- Hutchinson's teeth, deafness, Interstitial keratitis - sabre shins/tibia - cluttons joints
74
8yr /m with recurrent scaly Hypopigmented macules on cheeks that disappears spontaneously
Pityriasis alba
75
Caterpillar hair in eye causes
Nodule in iris -- ophthalmia nodosum
76
River blindness --?
Onchocerciasis Cause non granulomatous uveitis - DOC -- Ivermectin
77
TOC of Hypertensive Uveitis
Atropine
78
M/c complication of uveitis
2° cataract
79
Change in Retinopathy in PIH
Reversible * Hypertensive retinopathy -- narrowing of nasal arterioles. : earliest change on fundus
80
Toxic amblyopia produced by
Ethambutol Others: - tobacco - lead - methanol - digoxin - chloramphenicol
81
Field defect in tobacco amblyopia
Centro - ceacal scotoma
82
Painful eye movement seen in
Retrobulbar neuritis Pathognomonic features: - pain on elevation of eye - Marcus Gunn pupil: afferent pupillary defect
83
84
Most prominent sympt of Optic neuritis:
Sudden painful loss of vision Field defect in optic neuritis: - central scotoma
85
Inorganic Foreign body in ear removed by
Aural forceps + Living insects -- killed by oil or chloroform water
86
Myringotomy for ASOM site
Poster inferior quadrant
87
Site for Grommet insertion in glue ear/ serous OM
Anteroinferior quadrant
88
Syringing done through
Poster superior quadrant
89
Cause in deafness in children < 12yrs
Wax *M/c cause of CHL -- impacted cerumens * M/c cause of CHL in elderly -- Otosclerosis * M/c cause of SNHL -- presbycusis * M/c cause of vertigo -- physiological * M/c pathological cause of vertigo -- BPPV
90
TB spine
T10- L1 Dorsolumbar
91
Temporary deafness
Repeated exposure to > 100dB sound
92
Permanent deafness
Single exposure to > 160dBsound Auditory fatigue max at 90dB and 4000Hz
93
Dangerous type of ear
Marginal perforation Atticoantral Csom
94
Football player twist his knee over ankle .. continues to play.. after 2 days..painful swelling of knee joint
Medial meniscus tear - bucket handle/ longitudinal tear Test: - Mc murrays - Apleys grinding - sqat test
95
Unhappy triad of O'Donoghue
- medial collateral ligament tear - meniscus tear - ACL tear
96
TOC of femur # in 70yrs old
Hip replacement
97
Collateral ligament MCL, LCL -- test? Cruciate ligament ACL, PCL -- test?
Collateral ligament MCL, LCL -- test : Apleys test Cruciate ligament ACL, PCL -- test : Lachman test, ant and post drawer test IOC : MRI Arthroscopy: Diagnostic
98
Gallows traction
Shaft of femur # in infant and children
99
Complications: - Intracapsular/ subcapital NOF# - Extracapsular NOF#
-Intracapsular/ subcapital NOF# -- Avascular necrosis - Extracapsular NOF# -- malunion
100
Earliest sign of Volkmann Ischemic Contracture
Pain On passive extension -- stress test positive
101
Triangular relation of elbow is maintained in
Supracondylar # Triangular relation of elbow - medial epicondyle - lateral epicondyle - tip of olecranon Distrupted in :: ++ Medial condylar # ++ Intercondylar # *Reversed in :: posterior dislocation of elbow
102
Use of preoperative morphine
Producing analgesia
103
Shortest acting muscle relaxant
Succinylcholine
104
Post operative fasciculation/myalgia
Succinylcholine
105
Post operative shivering
Halothane
106
Post operative muscle rigidity
Fentanyl
107
Post operative increase in muscle tone
Ketamine, Sch
108
Post operative catatonia
Droperidal
109
Best fluid for hypovolemic shock
RL * Best agent to treat shock and salt depletion -- Isotonic saline (0.9% NaCl) * Burns, dengue -- RL ** RL avoided in liver failure, high K+ * neurosurgical cases of cases with stroke -- NS
110
% of Xylocaine used in spinal anesthesia
5% IV regional block -- 0.5% Nerve block --1% Epidural/ foleys jelly -- 2% Topical/ spray -- 4% Spinal -- 5% Spray-- 10%
111

MCQ PSC (6 decks)

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