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Recalls-Mrcem-Primary-Sba-June-2021-Frcem-Resources.pdf
Exam study book Anatomy and Physiology of Saladin - ISBN: 9789814646437 (good)
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June 2021 recalls Dr. NEHA & DR.RAFI ULLAH 1 Direct Inguinal hernia - medial to inferior epigastric vessels2 m/s action tibialis anterior - dorsiflexion and inversion 3.medial epicondyilitis- Ulnar nerve- wrist flexors
4. Pregnant lady with eclampsia with high bp safest dx to be choosed- labetolol
5. A 50yr HIV patient; CD4 <80; org- crytococcus; kblesiella; tb
6. Bp falling down; receptors activated: baroreceptors
7 A year old developed cough, scenario of croup - parainfluenza virus.
8.osteomyelitis organism- staph auereus
9.osteomyelitis with sickle cell anaemia - salmonella type.
10. gram +ve diplococci - strep. Pneumonia
11. Rusty nail gram +ve rods- clostridium
12. Measles scenario; safe time to return - 4 days after fever
13. Subscapularis- liftoff test
14. Type 2 DVLa : oral hypoglycaemic drugs with complications , insulin independent 15. Male hematocrit value- 40-49%
16. Cerebellarlesion - ipsilateral palsy
17. Taste of posterior 1/3 of tongue- glossophalyngeal Nerve
18. 8 week old baby vaccinated till date; which vaccination not be given: Rubella 12,months
19. Grave's disease- increase t3
20. Duodenum superior part whichlevel- L1
21. Pneumoperitonum at level of - duodenum
22. Lyme disease causative organism - borrelia budgiformi
23. Popliteal fossa injury- superior lateral border- Biceps femoris
24. Esophagus compressed behind -left atrium
25.bp resistance control by which vessels effected - Arterioles 26. Gastric emptying decreased by - decrease ph duodenum
27. Supra Clavicluar fossa - c3
28. Diaphragm pierces oesophagus level _ T 10
29. Level of nipples- t4
30. Gout patient with Heart failure; htn- colchicine
31. 39yr old on diclofenac has gastric issues - add ppi 32. Anaphylaxis _ histamine
33. Patient developed tingling sensation on upper lip - ace inhibitors _ lisnopril
34. Asthma patient on steroids, which hormones effected most- cortisol/ aldosterone 35. benzodiazepam moa- GABA receptors.
36. Clostridium patient prevention- hand wash with soap.
37. Pontine hemmorhage- reduced level of consciousness , adducted unable to abduct.
38. Pepsinogen secreted by- cheif- cells.
39. Spiral groove- radial Nerve.
40. Ulnar nerve injury- c7/t1
41. Injury to lateral side of knee- commonfibularnerve.
42. Loss of lateral side of heel- sural nerve/ Tibial Nerve.
43. NSAIDs- hemolytic anaemia - mefnanemicacid.
44. Maculopapular rash- due to antibiotic- amoxicillin.
45. Lateral knee compartment action- plantar flexion and - eversion
46. Superficial layer on foot - flexor digitorum brevis.
47. Urea excreted by _ simple diffusion.
48. Catacelomines secreted - adrenal medulla
Icandidate 49. A 35year old patient has diarrhoea and vomiting : vasopressin.
50. Infections mononucleosis- lymphocytes.
51. Hemostasis- neutrophils/ platelets. 52. Medial to Nerve (femoral )- femoral artery.
53. Nagma given in fluids normal anion gap- saline administration. 54. Sodium nitroprusside- vasodilator - nitric oxide.
55. Cavernous sinus; medial rotation and adduction - so4.
56. Cavernous sinus; outward & downward - oculomotor nerve.
57. Leptospirosis- invasion of breached skin/ intact skin
58. Giardia - sucking disc.
59. Regional anaesthesia in wrist block- prilocaine|bupivacaine
60. Megaloblastic anemia - nitric oxide.
61. Portal htn with varies - left gastric/ azygousvein.
62. Inferior medial border fracture to the face- maxilla/ethmoid /sphenoid
63. Pulmonary hypertension-blood flow- righatrium / edv/ edp 64. Lying down to supine position - TV/ Rv/FRC.
65. Sob + pulmonaryodema- increases physiological dead space / FRC /tv.
66. After exercise; drinks water- increase in extracellular fluid.
67. Normal v-q ratio- neuromuscular disease.
68. Fever with temp on skin, main regulator- sympathetic activity/ vasoconstriction/vasodilation.
69. S1 heart sound- IVC.
70. Orbicularis oculi- facial nerve.
71. Right side face weakness , sensoryloss - MCA.
72. Pt with hypertension and headache , change in voice , pitutory tumour- bitemporal homonymous hemianopia.
73.jaw reflex- trigerminal nerve.
74.medial Nerve injury spared which side- little finger.
75. Wrist drop humerus fracture- radial nerve.
76. At wrist injury inthenar emminence- oppenens pollicies. 77. Fromet sign- adductor pollicis
78. Abscess on buttock enlarge lymph node - superior laterally /superior medial.
79. Femoral canal- femoral vein.
80.patellar dislocation- Vastus lateralis/vastus medialis.
81. Extension of hip+ medial rotation- adductor Magnus.
82. Anterior lateral thoracotomy - serratous anterior/ lattismusdorsi. 83. Female with acute onset of confusion; stepping gait after alcohol- Treatment - thaimine
84. Anorexia patient - vitamin d. 85. 50% reduction of diameter rca , which parameter will increase by 16 times - flow /resistance.
86. A patient with blood transfusion developed tingling ,numbness on upperlip and rashes- ty 1/2/3/4
87. When the clavicle fractured (medial) proximal portion- sternocledo mastoid M/s.
88. Increase in complication of central Iv line left - subclavian / oseophagus / thoracic duct/ pneumothorax
89. Hypocalcemia - PTH.
90. Absent cremastric reflex- genitofemoral nerve.
91. Loss of sensation of iliac crest- ilioinguinal/ iliohypogastric 92. Baby 10 day old with purlent discharge- chalymidia.
93. 10 old boy complication purulent discharge _ complication- aponeicbreath / 94. Adduction+ internal rotation- pectoralis major / pectoral minor/ serratous anterior. 95. Pain in right hypo chondrium due to gallbladder : CCK.
96. Nephrotic syndrome- increase capillary wall pressure / oncotic pressure 97. Central cord syndrome - compression - Pca/ compression of ligament flavum/ vertebral artery.
98. Appendicitis - retrocaccal / iliocaecal.
Q 99. Abdominal pains bowel ischemia - mc artery - sma/ima/ right colic.
100. Low gastrointestinal effects - ibuprofen.
101. Cholestatic Jaundice - co-amoxiclav.
102. In patient with heart failure , tachyponea : j-receptors.
103. After morphine , rr: 5 , Nalaxone compensation : paco2 104. Active Tb : positive mantoux /Zn negative / x Ray consolidation/ x Ray cavitations.
105. Psoas major : T12/ L1.
106. Smoker clear mucous - simple columnar epithelium. 107.Adh stimulation : posterior pituitary / hypothalamus
108. Pancreatic digest fats , stearrrohea : lipase.
109. Hyoscine sideffect - tachycardia / bradycardia / hypotension.
110. Ipatropium bromide: anti muscuranic receptors.
111. 9 month old baby not vaccinated : MENC 112. IRON - absorption : duodenum -
113. VITAMIN B12 : ileum.
114. amytriptyline overdose with wide complex tachycardia - blocks NA / ca / potassium .
115. Sub acute cord syndrome : vitamin B12.
116. Surfactant - phospholipid
117. After intubation supine position increase which volume - TV/cvp
118. Emphysema - increases physiological dead space
119. Pulmonary hypertension- right ventricular load / after load
120.s1 heart sound : closure of mitral valve 121. S2 heart sounds while splitting : pulmonary valve
122. Absolute Refractory period due to : inactivation of na channels / k channels 123. Carboxy hemoglobin - shift to left 124.patient with trauma bp 70/40 which effect - TPR DECREASES
125. Juxtaglomerular apparatus - renin
126.metabolic alkalosis- due to hcl Loss.
127. Renal compensation of metabolic acidosis by - hco3 /ammonia.
128.low aniongap- hypoalbunemia.
129. Polyuria , high osmolality : ADH
130.decrease in na increase in k - aldosterone
131.calcium correction : need albumin
131. Ant pitutary hypofunction : FSH/ LH/ CRH/ prolactin / GH.
132. SIADH : fluoxetine 133.glucagon Acton -liver.
134. Glucagon acts on- alpha-cells.
135.Type 2 dm- increase in resistance to insulin.
136.ecf more in - interstial fluid 137.phenytoin-p50 induces.impaired level function.
138. Hydrocortisone Moa : leukotrine inhibitor on asthma- reduces inflammation.
139.hypokalemia- prominent u wave.
140. Broad qrs- hyperkalemia.
141.loop diuretics -thick ascending limb.
142. Aspirin- inhibition of thromboxane 143. Acyclovir- nuclei acid synthesis inhibitor.
144.right middle zone consolidation - streptococcal pneumonia.
145.meningitis- Ig A protease.
146.whooping cough- notifible disease.
147.optic neuritis - loss of saltatory conduction.
148. Pernicious anaemia due to destruction of cell ; parietal cell
149. Anus loss after trauma - s2 to s4.
150. Clostridium diffcle : cytotoxin / endotoxins.
TILILE
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