AFMC 2011 recall

Almost all difficult questions covered.

Gram stain - Hans Christian Gram

Brown squared syndrome all except - C/L posterior column sign

Device to deliver drug in Asthma in 1 ur old child - Nebulizer/MDI with face mask /MDI with spacer

Bony labyrinth all except semicircular duct

Pearl - BCC

Taste by glutamate - Umami

Ranula-
Sublingual
Submandibular & sublingual both

visual accommodation-contraction of ciliary muscle

1st carpometacarpal jt is- was there such Q?

Jeffieson fracture - Ring # of C1

Between lesser curvature(abt surface) & liver-lesser omentum(hepatogastric ligament)

Nephritis syndrome all except
Overt proteinuria
Oliguria

Pancytopenia-kalaazar

Innominate bone - 3 bones

Longest muscle in body-sartorius

Thiersch graft-partial thickness

Esophagus-posterior mediastinum

Outermost muscle in thoracotomy-external intercostal

Left anterior descending artery supply all except
Lateral wall
Apex of heart
Ant 2/3 of IV septum
Ant wall


Most common cause of urinary retention in puerparium - perineal injury

Pair of autosomes - 22

Treatable encephalitis
HSV
Enterivirus

Disinfectant-Bleaching powder

Most commonly employed method for dry heat sterilization - flaming/hot air oven-Ans

Autoclave - steam under pressure

ph 2 & ph 7, at ph 2, diff in H+ conc is-

8 site intradermal rabbies vaccine dose-0.1ml

Agar derived from-seewood

Mammalian protein made up -20? Aminoacid.


Used in prevention as well as t/t of pulmonary edema
Diuretic
Acetazolamide
Steroid
Nifedipine

AIDS defining illness

Recurrent oropharyngeal candidiasis
Esophageal candidiasis
Oral hairy leukoplakia
Recurrent vaginal candidiasis

Which is first Ag to appear in HIV-p24

Hereditary Primary Lymphadema-Meig disease(Lymphadema precox)

Dengue-infectious period __ days before & after
-Aedes become infective by biting man before onset to 5th day, extrinsic IP-8-10 days

Alcohol - 21U in male & 14U in female

Lynching-Homicidal hanging

Snail track ulcer- Secondary syphilis, not primary.


All cause enteric fever except
S.Typhi/S.ParatyphiA/S.ParatyphiB/S.Typhimurium-Answer

Saddle back fever-Dengue

LAHSHAK system-Cleft lip/palate

Murey burcley - fluid requirement in burns

Amebic abscess-80% RT lobe, 10% lt lobe, rest multiple?

Mallory weis tear-90% cases vertical tear just below GE junction(Boerhave-Transverse perforation d/t vomiting against closed glottis)

Varicocele
-Embolization of testicular vein-Ans/more in cold weather/Sclerotherapy/

Varicocity of lower limb treatment

Skin ointment &Bandaging/Sclerotherapy/Stripping of femoral vein/libation of femoral vein?

Ans Shd be B>A

ABPI normally >1

MCC of chronic gastritis-H.Pylori-Ans/Alcohol/NSAIDS

Regarding duodenal ulcer-
A/W h.Pylori
10%/30%/50%/90%-ans
(70%-gastric ulcer)


Burger disease-
Arrested by stop smoking - ans
Reversed by
Both
None


Necrotizing fascitis-GroupAStrep/Beta hemolytic strep

TSS by which - Strep Pyogens/GroupB strep/Staph pyogens

Lt Kidney higher than right

Lower border of axilla-4th rib-ans?/middle if humerus/scapula

Radiolucent stone - uric acid/xanthine/cystine

Conjugation is

Method of transfer of bact resistance
Asexual method of genetic material transfer
transfer of genetic element between bacteria

Foremen of bobdalack situated in-diaphragm (Excat ans-pleuroperitoneal hiatus)

All injured in submandibular gland surgery except
Accessory-ans
Lingual
Hyoglossal
Marginal mandibular branch of fascial


Hind brain all except- Thalamus

Pectoralis major-sternocostal & clavicular head

Shrugging of shoulder done by-Trapezius

Pointing index finger-Median nerve

12th vertebra all except - Double facet on transverse process


RT & lt diaphragm -position-rt slightly higher

EdingarWestphal nucleus - occulomotor nucleus

Spalding sign-dead birth


T/t of Snake bite all except

Firm Bandage to occlude lymphatic
Incision over wound
Reassure
Immobilize

Hemostasis & thrombosis by all except

Vessel wall
Thrombolytic system
Platlet
Coagulation factors

Ans?

Phagocytosis involves all except

Engulfment
Degradation
Emigration-ans
Phagolysome?


Atherosclerosis involves all except

Popliteal
Upper extremity?
Aorta
Circle of Willis?

Maternal Hyperhomocystimenia leads to
NTD
Large baby
Cardiac malformation

Pelvic abscess t/t- USG/CT guided / Rectal drainage ??

AV fistula true is
Vein Collapsed
Decreased growth of affected limb
Embolization-t/t

Compartment syndrome late sign
Distal sensory loss
Loss of pulsation
Pain on passive stretching

Blessing in hemothorax d/t injury to
-intercostal vessel/internal mammary vessel/pulmonary vessel/bronchial vessel

37 wk painless vaginal bleeding, management

USG localization of placenta-Ans?
CS?
Induction
Wait & watch

Corneal Endothelial leison?
Dellen
Guttate
Keratic precipitate -ans

Orthotolidine test - Yellow color

Glutamate taste-Umami

Iris shadow - immature cataract

Flurocin angiography useful in all except-Corneal opacity

Iris bulged forward & drainage from ant to post blocked-iris bombe-abs?/occlusio pupil

All are stretch reflex except
Knee reflex
Ankle reflex
Withdrawn reflex-ans
Masseteric reflex

centrally acting muscle relaxant-mephenesin

Propriocrption by which fibre - A(A-beta)

Laceration would look like incised on - Shin

Professional death sentence can be passed by-State medical council

In terminal illness, care to provide painless shortening of life-Palliative care-ans?/Euthansia??

Amniotic fluid content at 36-38 wk when it peaks (it Shd be 34-36)-1000ml

Sequence in stage of labour-??


Pt with HIV + Tb, taking both ATT+ART. Which Anti Tubercular drug will u avoid?

Rifampicin
Thioacetazone

Treatment of ChQ resistant falciparum malaria

Mefloquine
Artemeether
Quinine

Anti HT safe in pregnancy-Aldomet(MethylDopa)

Dose of
-primaquine in ChQ resistant p.falciparum
-diloxanide furonate
-rifampicin in children
-diclofenac

Rest topics
Widmark formula
Omeprazole-PPI
Alendronate-postmenopausal osteoporosis

Read about - web of causation,multifactorial association,germ theory of disease,epidemiological triad.