FRCEMPRIMARYJUNE2017

COMPILEDBYDR.SARMAD

1.Digoxins.e=hyperkelemia

2.Digoxintoxicityisincby=hypoKMg&hyperCaNa&hypoTH ,cold,decAlbumin

3.Fuerosomide=loopdieurtic=moa=thickascendingloopofhenle

4.Fuerosomide=moa=NA/k/2cl

5.Abgzofgastroenteritis=(Naga)Normal aniongapmetabolicacidosis

6.S1heartsound>closureofAVvalves=mitral-tricuspidvalve

7.S2heartsound>closureofsemilunarvalve=pulmonary-aorticvalve
Aortic valve closes first then pulmonary

 8.Anttriangleneckstabwoundinjury
=muscle=platysma/scm/infrahyoid
? Platysma would be injured first
as it forms superfivial fascia over
roof of triangle

9.Wingingofscapula=(muscle-s.anterior)/(N.sLTN)/(Nerveroot:C5-
C6-C7)

10. Nsaidcausingpancytopenia=aspirin?phenylbutazone then

aspirin

11. Contraindication ofadenosineuse=asthma

12. Addisioncrises=(hypoNa,Glucose&hyperK,ca)
13. Addisondiseases=glucocorticoid+mineralocorticoidbothdec

14. Hyperkelemiaecgchanges=taltwave+lossofpwave+broad
QRscomplx)
15. ProlongQtcdrug antiarrythmics antidepressentsprotease
inhibittors indinavir fluconaxole haloperidol

16. DxofTB=sputumafbsmearwithgenexpert

17. Centralcordsyndrome=(upperlimb>lowerlimb+motor
>sensory)

18. Vaccinesgivenatistyearoflife=MMR+MenB+MenC
+HIB+P.C13st Polio, bcg, DPT hep B pneumococcal MMR

19. Preschoolage=3y+4m=DtapDPT+ipvOpv+MMRgiven at
9months and 15months

20. Tapewormdx=stooldreggs(infectiveform=cysts)

21. Tapeworm(t.solium/saginata)=Rx=praziquantalor
niclosamide

22. GBSscenario=campylobacterjujni

23. Thyroidsurgerydone=hoarsenessofvoice=nerve=RLN

24. Injuryscenario=bleedingactivatewhichmechanismof
cloting= Extrinsic pathway

25. Structuresuperiortocarpeltunnel=flexorRetinaculm

26. Heamophilia(heamarthrosis)scenario=factor8def

27. Parotitits=painreftoeardueto=AUriculoTemporalN

28. 7th-facialnerveexitfromcraniumthrough=internalacoustic
meatus

29. Temporalinjury7thnerveinjuryformaen
involved=stylomastoidforamen

30. Diarrhea,stoolfloating,abdcalcification=exocrinefunction
disturbpancreatitis.

31. PPImoa=H/Katpasepumpinhibitor
32. Recurrentlowerrespiratorytractinfectionassociatedwith
 smoking=H.influenzacommonest in COPD

33. Achilestendonrupturese=Causeciprofloxacin

34. Pretermbabywithabsentsurfactant=NRDS

35. Surfactantsecretedby=type2pneumocytes

36. Meningitisprx RX?

=(meningococcal=ciproofloxain)/H.influnza=rifampcin)

37. Mucocilaryescalator=ciliatedcolumnarepithelium

38. Lowerlateralleg=(nerverootL5)(nervesupply=supperoneal
nerveL4-S1)

39. Glucagon=alphacel

40. i.vdrugabusers=I.E=mcstaphauerus

41. glucagon=glucogenolysis=occurinliver&muscletissue

42. difficultgripingofhand,difficultyofextensionofthumb,flexion
ofthumbisok=nerveinvolve=postinterosseous
nerve/radial/median/ulner?Posterior introsseous branch of radial
nerve
Fexion of thumb is preserved so median Is OK

43. Abdominaltrauma=onFast=insupinepositionfluid
accumulatem.cwhere=(Morrisonpouch-hepatorenal)

44. Abdominaltraumascenariom.corganruptured=spleen

45. Adrenalineineffectiveinangioedema=druginteractiondueto?A
drenaline is effective in hereditary angioedema but not
acuired which is due to ACE inhibitors

46. TBV=70-75ml/kgTotal body water is 60percent of total body

weight

47. Blunttraumatoeye,diplopiaonupwardgaze-suprectus
mucle
48. Insulin+fluidsdo=hypokelemia

49. Flubendrothiazide=moa=DCT(inhibitna-
clsymporter,incnacl +h20excetrion)
50. Warfarintoxicityscenario=rxvitk>ffp>prothromin
complex>benplexetc)Stop warfarin give vitamin K then
PrOthrombin Complex if not available then FFP

51. Hipflexionpain=nerveinvolve=femoralnerve

52. Valgusdeformity/stress=knockknee=MCL=TIBIaL
53.varsusdeformity/stress=Bowlegs=LCL=fibular

54.propafolmoa=GabaagonistGaba A receptor Agonist

55.suxamethonium=depOllarizing neuromuscular blockadeNMB

56.eosophagealconstrictionatT4-aorticarchconstriction

.eosphagealconstrictionatT5=leftmainBronchuscross

57.roleofcaciamgluconateinhyperkelemia=stabilizecardiac
musclemembrane

58.injuryateosophagealhiatusatT10,structuredamage=vagus

(DiaphragmopeningVOA-8,10,12) V-T8-(ivc+rightphrnicnerve)

O-T10-(oesophagus+left&rightvagusnerve+leftgastric
vessels+lymphaticsoflower3rdofeosophagus)
A-T12-(Aorta+thoracicduct+azygousvien)

59.opticchiasm–bitemoralheminaopia

60.Fibularneckfracture–commenperonealnerve

61.Flexorretinaculamstructurepassabove=ulnerA+N

.flexorretinaculamstructurepassbelow=mediannerve

62.posteriordislocationofelbow=mcfracture=posterolateral-
80%=radialheadfracture(nerveinvolve=radialnerve)

63.alcholicptcavitatorypneminia,aspiration=klebsila
64.causeofascitesinalcoholics=portalhtn>vEnousdIlatation>d
ecARterialbloodflow >Na retention occurthen
incwaterretensionoccurinperitoneal cavity)

65.inotropesgiven=franstarlingcurve=upwarddirection

66.Newbornwithpurulenteyedischarge=(neonatalopthalmitisor
conjunctivitis=m.corganism=N.G&C.trachomatis)

67.B/Lpedaledemacause

68.mothertakensomeantiepileptics–newbornwithconjunctivitis
=whichdrug?Phenytoin

69.Mrsapreventioninhospital=handwashing,usenaturalsoapnot
antibacterialsoap)

70.childwithmaculopapularrashwhenwecanendof
isolation=fevergone/rashended?? When fever goes
away

71.commeninpenicilin&cephalosporin=MOA=peptidoglycan
inhibitorofbacterialcelwal.

72.gagreflex–(A-9th+E-10th)
73.ectopicpregnancym.csite=filopiantubeampula70%

74.InferiorwalMi=RCA

75-SOFisb/wupper&lowerwingofsphenoid=connectedwith
MCFMiddle cranial fossa

.IOFisbwmaxilae&greaterwingofsphenoid=connectedwith
Pterygopalentinefossa

76.ipsilateralmotorloss+C.lateralpain&temploss=spinothalamic
tract

77.Ptwithvomitinggihclloss,metabolicalkalosisdueto=
bicarbonate
78.Parkinsonpathogensissite=substantianigra

79.dkaptaloc,causeofalocis=metabolicacidosis=decbiacrb

80.digoxinmoa=na/katpaseinhibitor

81.Ptwithdysphagia=glossophangealnerve

82.ascendingcolon–B.s=SMA

83.otitisexterna=causechronicmoisture/repetitivewaxremoval

84.tonguecatipoftonguedrainto=submentalnodes

85.htnptwithgout=doc=ARBs?Thiazide?Arbs are safe

86.acutegout–rx=nsaids(acutegoutwithheartfailure=colichine)

87.goutscenario-negbirefringet(pseudogout–positivebirefringet)

89.RespiratoryrateincbyJ-celstachypenia Juxtareceptor cells

90.N.gonorreha=gramnegdipplococcus

91.frankstarlinglaw=(SV*EDV)

92.nsaidscausesgiulcer–cox1inhibition–pgsynthesisinhibition

93.roleofsteroidsinasthma=brochodilationbydecbronchial
inflammation

94.indirctinguinalhernia=deepinguinalring

.directinguinalhernia=postwaldefect–sir-T.fdefect

95.lowerlipn.s=inferiorAlveolarnerve–branchofV3mentalnerve
96hilarlymphedenopathygoesto=brochopulmonarynodes

97.adrenalinedoseinanaphylaxis
Adrenalinedoses=

Below6year=0.15ml=150mcg-1:1K

6year-12year=0.3ml=300mcg-1:1K

12aboveadults=0.5ml=500mcg-1-1k.

(C.Nexitfromcraniumthrough)

Ist=cribriformplate

2nd=opticcanal

3rd+4th+5thv1+6th=SOF supetior orbital fissure

5th=(v1>sof)+V2>rotandum+v3>ovale)mnemonicSRO

7th+8th=internalacousticmeatus

9th+10th +11th=jugularforamen

12thhypoglossalcanal

(C.Noriginatefrom)

1st–telencephalon

2nd–diencephelon

3rd+4thMidbrain

5th+6th+7th+8th–pons

9th+10th+11th+12th–medula)