amrit march 2013 solved modified by aarav
TRANSCRIPT
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8/13/2019 Amrit March 2013 SOLVED Modified by Aarav
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Amrit
March 16, 2013
1 - Back stiffness cause? Osteoporosis/disc prolapsed/cervical spondylosis (ANS C)
Osteoarthritis of lumber that is lumber spondylosis is better
answer.
2- Osteoporotic fracture
3- L5/s1? Absent ankle jerk/weakness dorsiflexor ( (ANS S1 ABSENT AJ & WEAK PLANTAR FLEXION))
S1
4- Estrogen/progesterone?
Decreases breast cancer after 2 years use/ decreases cardiovascular disease/decreases
thromboembolism
Bbbbbbbbbbbbbbbbb?????????????/
Decreases hot flushes
5- Pt. Taking hrt, what is the most likely problem in 2 years of time? Very tricky (( HRT DEC CVS RISK
AFTR 5 YR USE, OSTEO RISK BY 10 YR, INC STROKE /THROMBOEMBOLISM,PROTECT AGAINST COLONCA & ALZHEIMER,IN 2 YR ONLY VASOMOTOR CAN DECREASE))
6- Case related with pulmonary atelectasis
7- Post of case sudden dysnea, most effective? Ctpa/dimer/vq [[ANS; A, CTPA ]]
8- Wegeners granuloma? (( a febrile illness and respiratory symptoms, but early
diagnosis is essential. It usually gets confused with
benign nasal conditions.
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Clinical features
Adolescence to elderly, mean age 40-45 years
Constitutional symptoms (as for PN)
Lower respiratory tract (LRT) symptoms (e.g. cough ,
dyspnoea)
Oral ulcers
Upper respiratory symptoms: rh inorrhoea, epistaxis,
sinus pain
Eye involvement-orbital mass
Pol yarthritis
Kidney involvement- usually not clinically apparent
(about 75% get glomerulonephritis)
Chest X-ray points to diagnosis-multiple nodes,
cavitations
Anti neutroph il anti bodies (c-ANCA) are a useful
diagnostic marker (not specific)
Diagnosis confirmed by biopsy, usually an open lung
biopsy
Better progn osis with early diagnosis and treatment
with cyclophosphamide
DxT: malaise+ URTs (e.g. rhinitis, sinusitis)
+ LRTs (e .g. wheeze, cough) =Wegener
granulomatosis
DxT: asthma + rhinitis + vasculitis+
hypereosinophilia = Churg-Strauss vasculitis))
9- Lactose intolerance baby case? [[ PERI ANAL EXCOIRATION]] [[ COW MILK ALLERGY HAS VARIOUSPRESENTATION ; Symptoms ; The principal symptoms are gastrointestinal, dermatological and
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respiratory. These can translate to: skin rash, hives, vomiting, and gastric distress such as diarrhea,
constipation, rhinitis, stomach pain or flatulence. The clinical spectrum extends to diverse disorders:
anaphylactic reactions, atopic dermatitis, wheeze, infantile colic, gastroesophageal reflux (GER),
oesophagitis, allergic colitis, headache/migraine, oral irritation, and constipation.]]
10- Ethics 3-4 questions
11- Very tricky question on Chlamydia infection
12- Read stds very carefully, i got about 3-4 qestion on those topics
13- Case of generalized lymphadenopathy, fever, painless maculopapular rash over penis 21 years
old kid, most common cause? Primary hiv/ secondary syphilis [[ ANS; B SECONDARY SYPHILIS]]
14- Lump over neck for 6 months, lady. Two weeks on and off? What is the diagnosis?
Lymphoma/cll/aml/all/glandular {{ ANS; LYMPHOMA}}
Follicular lymphoma..wax and wayne LAN
15- 8 yrs old child with mobile lump over her right breast brought by her mother? What inv would u
do?
Usg/reasurence/surgery/wait till it grows (( ans ;b REASSURE))
16- Myocardial infarction case- 3-4 questions,
17- Case of copd? Domestic o2 therapy case
18- Child with eye flutter some seconds? Gradually increasing. Eeg 3 spikes. What treatment is
needed?
Carbamazepine/ct head/reassure (( ANS : ETHIOSUXIMDE FOR CHILDREN.))
Absence seizure.here reaasure
19- Case on alzhiemer
20- Tibia/fibula fracture with diagram what would you do next? Reduction/tt/analgesics/surgery
((ANS ; SURGERY))
21- Transilluminable swelling on posterior compartment neck? Diagnosis: cystic hygroma/branchial
cyst {{{ ANS : A}}
22- Venous ulcer with pic? Feb question- hemosiderin depositon/hemmorghage {{ANS ; A}}
23- Westnile fever encephalitis case, what would you do? Vaccination/avoid tse tse flies/mosquitorepellants {{{ ANS :c}} [[[4/16/2013 3:37:59 PM] dorin hussain: Prevention
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Low-cost, ceiling hung mosquito netting for a bed.
Personal protective measures can be taken to greatly reduce the risk of being bitten by an infected
mosquito:
Using insect repellent on exposed skin to repel mosquitoes. EPA-registered repellents include
products containing DEET (N,N-diethylmetatoluamide) and picaridin (KBR 3023). DEET
concentrations of 30% to 50% are effective for several hours. Picaridin, available at 7% and 15%
concentrations, needs more frequent application. DEET formulations as high as 50% are
recommended for both adults and children over 2 months of age. Protect infants less than 2 months
of age by using a carrier draped with mosquito netting with an elastic edge for a tight fit.
When using sunscreen, apply sunscreen first and then repellent. Repellent should be washed off at
the end of the day before going to bed.
Wear long-sleeved shirts which should be tucked in, long pants, and hats to cover exposed skin.
The application of permethrin-containing (e.g., Permanone) or other insect repellents to clothing,
shoes, tents, mosquito nets, and other gear for greater protection. Permethrin is not labeled for use
directly on skin. Most repellent is generally removed from clothing and gear by a single washing, but
permethrin-treated clothing is effective for up to 5 washings.
Be aware that most mosquitoes that transmit disease are most active during twilight periods (dawn
and dusk or in the evening). A notable exception is the Asian Tiger mosquito which is a daytime
feeder and is more apt to be found in, or on the periphery of, shaded areas with heavy vegetation.
They are now widespread in the United States and in states such as Florida they have been found in
all 67 counties.[51]
Staying in air-conditioned or well-screened housing, and/or sleeping under an insecticide treated
bed net. Bed nets should be tucked under mattresses and can be sprayed with a repellent if not
already treated with an insecticide.]]
24- Case on preeclampsia
25- Diabetic foot
26- Case with pinpoint pupil? Caused by what? Benzo overdose/cocaione overdose/heroin ((ANS :
HEROINE ;) LOL }}
27- Melanoma pic given? Many irrelevant options except punch biopsy
28- Question on pill endoscopy (thought it as a capsule endo)
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29-Terminal painless hematuria 2 cases given? Investigation and management were
asked((BLADDER CA ))
30-Svt ecg given. Adenosine/carotid massage
31- Heart block ecg given diagnosis
32- Hypertrophic cardiomegaly ecg asked
33- 16 wks pregnant lady comes with 37cms pelvic enlargement? Cause? Hydatidiform
mole/diabetic/multiple pregnancy (ANS : A))
34- Question on prevalence
35- Very tricky question on schizophrenia
36- Question on bone age
37- Xray and stem with empty rectum? Diagnosis
38- Small bowel obstruction xray, hx of appendicectomy previously.
39- Pt admires u and wanna go for a dinner, u get attracted too.. what would you do? Carry on dr/pt
relation/refer to other doctor and explain why you cant continue the dr pt relationship(( LET HER GO
))
40- Xray on aortic dissection
41- Case of aortic aneurysm
42- Question related with barium enema 2 questions were asked
43- Case of papua guinea repeated question
44- All the hepatic enzymes values were raised? What might be the causes.. i opted for viral serology
45- Overian mass? What would you do? Laparatomy/laparoscopic ((ANS :B}}
46- Question on mammography of microcalcification? What would you do?[[ MICRO CA , MACRO
BENIGN]]
47 Options were like sentinel node biopsy/core biopsy/chemoradio/excision ((ANS C }}
48- Gm positive cocci.. drugs? Ceftrixone/flucloxacillin/penicillin {{ANS :B}}
49- Case of intermittent claudication.. most appropriate? Venography/Doppler (( ANS :DOPPLER))
50- Mode of inheritance percentage basis- b thallesemia and cystic fibrosis
51- A child immediately after birth presented with grunting and subcostal recession, pregnancy
normal, no other complication noted? Meconium stained/pneumonia((MECONIUM))
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52- Rt arm and leg weakness, lesion present? Frontal lobe/parietal/occipital/temporal/internal
capsule {{ANS ;E}}
53- Question related with levodopa
54- Turp complication? Epididymitis/bladder neck stenosis {{ ANS ;B }}
55- Question related with rheumatic fever? Very tricky..
56- Surgical case and various fluids were given? Haartman solution/2 lit saline/5% dextrose, very
irrelevant and mindboggling one..
57- Swelling infront of ear during eating? Submandibular/parotid/abscess {{PAROTID}}
58- Kid 3 mnths loose motion esr raised?
59- Past stem where undescented testes is commonly asso with?( hernia ))
60- Post partum psychosis? Appropriate treatment? Ect/cognitive/antipsychotics ((ANS A))
61- Diagnosis of pregnancy of uncertain period question? How would you tell the date? Pelvic
examination when its supra bulge or 24 weeks or 6 weeks or when bulge below umbilicus {{18
WEEKS BULGE BELOW UMBLICUS }} ans 6 weeks
62- One stem on stroke and paralysis? Very tricky one
I dint get any milestone questions.. no fundoscopic pics.. no cts.. not a single stem from bluebook...
...Well guys, i find my stems were really very tough.. hardly got any recalls but that doesnt mean
they dont get recalled... many others got them recalled ..so in terms of getting them back is entirely
the lady luck.. as for me, all i had was my logic and clicking the very fresh vignettes infront..
Anyway, i have tried my best to recall my questions and this is all i could do.. i havent included the
options, basically i couldnt recall thembut to be honest.. itsbetter to study this topic carefully
and the answers are all in there.. so all the very best and keep working hard...