imp. facts for recaptulation 1

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Guest, Jan 13, 2009 #1 Guest, Jan 13, 2009 #2 MP. FACTS FOR RECAPTULATION. m/c aneuploidy seen with nuchal thickness =TRISOMY 21 *DOC for epilepsy in Preg.women=PHENOBARBITONE *M/c cause of sporadic encephalitis= HSV *M/c Presentation of neurocysticercosis= SEIZURES *Ix of choice 4 lesion of temporal bone=CT SCAN *Isotopes used 4 RAIU= I 123 *Brown sign seen in=GLOMUS TUMOR *m/c site of CSF Rhinorrhoea=CRIBRIFORM PLATE *CSF Rhinorrhoea is diagnosed by=BETA 2 TRANSFERRIN *Dz 2 be eradicated in nearfuture=DRACUNCULOSIS *m/c cause of perinatal mortality in India=PREMATURITY *SoilingINDEX is for=AIR POLLUTION *CSF Finding in TB Meningitis=LOW SUGAR + HIGH PROTEIN & LYMPHOCYTOSIS *Commonest intraabdominal tumor b/w 25 yrs of life= WILM's TUMOR ANOTHER MCQs *Phocomelia is=DEFECT IN LONG BONES *M/C cause of noncommunicating Hydrocephalus in Children= CONG.ANOMALY * Birth Rate = LIVE BIRTH/1000 MIDYEAR POPULATION *MTP can be done upto=20WEEKS *M/c symptom of alcohol withdrawal=TREMOR *M/c substance of abuse in India=CANNABIS *M/c type of Total anomalous Pulm.venous connection=SUPRACARDIAC *Diagnosis of beta Thalassemia is established by=Hb ELECTROPHORESIS *M/c cause of 2' amenorrhoea in India=ENDOMETRIAL T.B. *M/c pure germ cell tumor of Overy=DYSGERMINOMA *Smallest diameter of true pelvis=INTERSPINOUS DIAMETER *M/C side effect of IUCD Insertion=BLEEDING* M/C Cx of Hiatus Hernia=Esophagitis *M/c location of carcinoid tumor =Small bowel *In hippocampus EEG Waves are=THETA WAVE *Normal adult CSF pressure=612 mmHg Guest Guest

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Imp. Facts for Recaptulation 1

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    Guest,Jan13, 2009

    #1

    Guest,Jan13, 2009

    #2

    MP.FACTSFORRECAPTULATION.

    m/caneuploidyseenwithnuchalthickness=TRISOMY21*DOCforepilepsyinPreg.women=PHENOBARBITONE*M/ccauseofsporadicencephalitis=HSV*M/cPresentationofneurocysticercosis=SEIZURES*Ixofchoice4lesionoftemporalbone=CTSCAN*Isotopesused4RAIU=I123*Brownsignseenin=GLOMUSTUMOR*m/csiteofCSFRhinorrhoea=CRIBRIFORMPLATE*CSFRhinorrhoeaisdiagnosedby=BETA2TRANSFERRIN*Dz2beeradicatedinnearfuture=DRACUNCULOSIS*m/ccauseofperinatalmortalityinIndia=PREMATURITY*SoilingINDEXisfor=AIRPOLLUTION*CSFFindinginTBMeningitis=LOWSUGAR+HIGHPROTEIN&LYMPHOCYTOSIS*Commonestintraabdominaltumorb/w25yrsoflife=WILM'sTUMOR

    ANOTHERMCQs

    *Phocomeliais=DEFECTINLONGBONES*M/CcauseofnoncommunicatingHydrocephalusinChildren=CONG.ANOMALY*BirthRate=LIVEBIRTH/1000MIDYEARPOPULATION*MTPcanbedoneupto=20WEEKS*M/csymptomofalcoholwithdrawal=TREMOR*M/csubstanceofabuseinIndia=CANNABIS*M/ctypeofTotalanomalousPulm.venousconnection=SUPRACARDIAC*DiagnosisofbetaThalassemiaisestablishedby=HbELECTROPHORESIS*M/ccauseof2'amenorrhoeainIndia=ENDOMETRIALT.B.*M/cpuregermcelltumorofOvery=DYSGERMINOMA*Smallestdiameteroftruepelvis=INTERSPINOUSDIAMETER*M/CsideeffectofIUCDInsertion=BLEEDING*M/CCxofHiatusHernia=Esophagitis*M/clocationofcarcinoidtumor=Smallbowel*InhippocampusEEGWavesare=THETAWAVE*NormaladultCSFpressure=612mmHg

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    Guest,Jan13, 2009

    #3

    Guest,Jan13, 2009

    #4

    ANOTHERSET

    *LowestthresholdpotentialinMotorNerveFibreis@=AXONHILLOCK*Intersegmentalreflex,theafferentscome4m=MUSCLESPINDLES*MuscleRelaxantMostSensitivetoptofMyastheniaGravis=GALLAMINE*PudendalNerveblockinvolve=S2,3,4*Leastcardiotoxicagent=ISOFLURANE*Dissociativeanesthesiais=KETAMINE*NerveFibreaffectedbyL.A.=TYPEC*MostpowerfulCoronaryvasodilator=HYPOXIA*MannitolwhengivenI/Vcauses=INCREASEBLOODVISCOSITY*HormoneusedinCaBreast=DANAZOL*M/Aofdigitalisis=INHIBITSNa+K+ATPasePUMP*DOCofPSVT=ADENOSINE*DOCofHTinpreg.=METHYLDOPA*Ketanserinis=5HT2REUPTAKEBLOCKER*LocalAnestheticsactbyinhibiting=INFLUXOFNa+*Loadingdosedependson=VOLUMEOFDISTRIBUTION*Newdrugstudy&developmentcanbedoneby=MOLECULARMODELLING

    MCQsSHOWER

    *CommonenzymeinGluconeogenesis&Glycolyticpathway=PHOSPOFRUCTOKINASE*M/ccauseofNosebleeding=TraumatoLittle'sarea*CommonenzymeinGluconeogenesis&Glycolyticpathway=PHOSPOFRUCTOKINASE*M/ccauseofNosebleeding=TraumatoLittle'sarea*Gradenigotriadischar.of=PETROUSAPICITIS*M/CsiteOFKeratoticPapilloma=NASALVESTIBULE*M/CcompliOFChickenpoxinchildren=SECONDARYBACTERIALINFECTION*Speedballis=Cocaine&Heroin*Vipersnakevenomis=Vasculotoxic*AdjuvantusedinDPTVaccine=Aluminium*Woodmarkformulausedin=ALCOHOLPOISONING*Bluehypostasisseenin=H2SPOISONING*ProlongationofRigorMortisseenwith=ARSENIC

    ******MCQs******

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    Guest,Jan13, 2009

    #5

    Guest,Jan14, 2009

    #6

    *Bacillusanthraciscapsulesconsistof=GAMMAGLUTAMYLPOLYPEPTIDE*SpecificinducerisoenzymeCYP2C9/10=PHENOBARBITAL*Gonococcusresistantstructure=TESTIS*FrieTestisdonein=LGV*ZESyndromeisduetotumorof=GCELLS*M/Ccabreast=INTRADUCTALCA*WtofPlacentaatterm=500gm*M/CsiteOFspreadofChoriocarcinoma=LUNG*RxOFchoiceBronchiolitis=RIBAVARIN*surfactantismadeupof=PHOSPOLIPIDS*Amnionispresenton=FETALSURFACE*ShortestActingN.M.BLOCKINGagent=MIVACURIUM*OnMRI,strengthofmagneticfield=1.1TESLA*M/CpresentationofRadiationCarditis=PERICARDIALEFF.*IxofchoiceObstructiveJaundice=USG*IxofChoiceinAorticdissection=MRI*PulmonaryEmbolismisdiagnosedby=CTSCAN

    MCQs

    *BulgingfissuresinLungsisseenin=KLEBSIELLAPNEUMONIA*spiderlegapp.Isfoundin=POLYCYSTICKIDNEY*Mostharmfultoindividualcell=Alphaparticles*Schober'ssignis4=FlexionofLumbarSpine*sliceoftissueXRaysis=Tomography*DOC4OCD=CLOMIPRAMINE*DOC4panicdisorder=FLUOXETINE*Rxofchoiceinphobicdisorder=BEHAVIORTHERAPY*Lithiumisbestusedin=MDPBIPOLAR*Grimacing&Mannerismis=CATATONICSCHIZOPHRENIA*Widmarkformulaisusedfor=ALCOHOL*AgentofChoice4Inhalationalinductioninpediatricpt=SEVOFLURANE*M/Crhythmdisturbanceduringearlypostop.Period=TACHYCARDIA*BradycardiaisCommonafterinjectionof=SUCCINYLCHOLINE*AnesthesiaofChoiceinptwithSHOCK=KETAMINE

    MCQsOFAIPGMEE2009

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    GOTFROMOTHERTHREAD

    1.Proteustriplephosphaterenalstone2.Appetitestimulanta/emelanocytestimulatinghormone(giveninganongtable)3.noninvasivediarrhoeaa/eb.cereus4.IDEASdisability5.Probability2/66.IDEAS7.Hernialoop/endcolostomy,loop/endileostomy(dontknowtheans)8.Anatomicalsnuffboxradialartery9.Foreignbodysensationintheeye,arthritisreiters10.Immediatelyaftereatingdyspneoa,cyanosisguystheanscouldbecardiovascularaccidentbecausehewasgivinghistoryofanginavariantandtherewashistoryofcoldclammyextremities.Inanaphylaxisutendtofindwarmextremities..11.Lupusanticoagulantcorrecta/elifethreateninghemorrhages12.Milkman#pseudo#13.Punchedoutlesioninskullelectrophoresis14.Leastpolarmethyl15.Nerveentrapmentallexceptfemoral16.Mammographylesssensitiveinyoungwomenmoreglandsandlessfat17.Medullabloodsupplyallexceptbulbarartery18.Trochlearncorrecta/eipsilateral19.Vasomotorcentreofmedullainfluencedbyvagalcentre20.Chroniclowbackpainleastcorrectisabsolutebedrestfor3months21.Pauciimmuneglomerulonephritismicroangiopathicpolyangiitis22.Coombspositiveanaemiasle23.juxtafovealtelangiectasiaa/evariantofcoats,maculartelangiectasia,(dontknow)24.diabeticretinopathytreatmenta/esealthetear,removeperipheralretinallayers,vitrectomy,photocoagulation(noidea)25.narrowangleglaucomaavoidduloxetine,26.valproatecausesa/eosteomalacia27.uvealeffusiona/emyopia,abnormalscleralstructure,scleritis,ciliochoroidcangetseparated(dontknow)28.nitroglycerinehypotensionandbradycardia29.paravertebralblockcangotoa/eepiduralspace,subarachnoidspace,paravertebralspace,intercostalsspace(dontknow)30.neuroblastomaa/einvoveaortaandbranchesatearlystage.

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    31.monetaryfundgiventomentalretardation32.normalcurvemean=median33.frequencydistributionofcontinuousvariableslinediagramIthink34.involvementofsweatglandandhairfollicleslichenscrofulosum,itcouldbesweetsyndromealso35.allaredirectcutaneousdiseaseexceptreitersdisease36.scarringalopecialichenplanus37.adrenaladenomaa/ehypoechoiconnoncontrastct,contrastappearsearlyandwashesoutlate,regularborder(dontrememberthequestion)38.casperdictumtimesincedeath39.stellatewoundcontactwound40.pedestrianwithmultiplegrazedabrasionssecondaryinjuries41.para3+0,CIN3inonequadrantonpapsmear,whatisthemanagementconization42.thyroidpapillaryca2cmtotalthyroidectomywithmodifiedradicalneckdissection43.follicularadenomavscarcinomavascularinvasion44.sertolicellsspermeiogenesis45.obstructiveazoospermiafshandlhwillbenormal46.smokingassocwitha/enasopharangealcarcinoma(HarrisonsaysthatNPxCaisassociatedwithebvandsaltedfishsamertheviewsofbaileyandloveaboutbladdercarcinomaIdidntfindanythingconvincingbutinharrisons16theditionitsclearlysaidthat4050pcurothelialcancersarebelievedtobeb/osmoking)..47.latestWHOscaleofdisabilityideas48.SEPSveins49.commonestorgantobeinjuredinbombblastlung50.causespfhypercoagulabilitya/einflammatoryboweldisease51.featuresofpnhmassivesplenomegaly,52.thromboembolismassocwitha/ediabetes53.cannotbedefinedinoperationaltermsgoal54.cannotbedefinedinoperationaltermsgoal,55.leptospirosisa/eantibodyresponseinfirstweek56.alltrueexcepttetanusbydustanddroplets57.alltrueexceptethyleneoxideisconsideredasintermediategrade58.alltrueexceptzincdeficiencypulmonaryfibrosis59.precociouspubertyboy5yearswithpubichair,bp120/90franklydontknowtheans60.positiveurinaryaniongapa/ediarrhoea61.watersampleestimationa/eclostridiumsporesrecentcontamination62.nutritionalsurveya/e1to4yearmortality63.qfevervectoraerosol64.crudebirthratea/eratio,fertilityindicator,stillbornexcluded(what

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    wasthefourthoption)65.imnciincludesa/etb66.traumapatientwithgcsscore15,bp100/80nextstepivfluidwithbloodforcrossmatching67.ductalcarcinomainsitubestinvestigationmammography68.calcificationofpostspinalligamenta/ebeginsfromthoraciclevel(dontknow)69.neuraltubeclosesfromcephalicprobably70.chronicrenalfailurepatientwithhyperkalemiaimmediatetreatmentbeforedialysistoreducepotassiumlevelsglucosewithinsulin(questionwasaboutreducingtheklevelandnotdecreasingitstoxicity)71.afterstarvation,siteswillhaveincreasedglucosereceptorallexceptadiposetissue72.lipoproteinlipasea/edoesnotneedCIIascofactor73.childbiteshisfingershgprtasedef(leischnyhansyndrome)74.aftercuttingwithrestrictionenzymessegmentsjoinedbydnaligase75.coloncarcinomamutationsofgenesa/ebcantenin,76.comettailartefactadenomyomatosis77.aedesmosquitoa/econstantbiters,eggscannotsurvivemorethanoneweekwithoutwater,transmitdengue,(dontknow)78.denguehmgicfeverwronga/ereinfectionwithdiffserotype79.hivmostefficienttransmissionbloodtransfusion80.hiventersviacd481.GISTwhichisincreasedmaxcd11782.pancreatictransplantwithbladdercatheterurineamylase(franklydontknowtheans)83.29yrswithdiabetes,noketonuria,fatherdoesnothaveDM,grandfatherhasDMdiagnosisa/etype1DM84.RCCa/emalignanthypertension85.angiotensina/evasodilatation(itsavasoconstrictor)86.renalPhysiologya/erenalbloodflowis5pcoftotalcop87.reversibleischaemiathallium88.maltesecrossblastomycosis,penicillium,candida(wastherebabesiainoptions??Ifnotthanaimspeoplemustbeknowingtheans)89.deepperinealpoucha/erootofpenis90.pelvicdiaphragma/ecollesfascia91.aorticaneurysmrupturelateralbaileyitwrittenthatposterolateralis80pcitsarepeatquestionmuditkhannasaysitlateral

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    92.m.c.siteofsubclavianarteryconstrictiondontknow..Imarkedit2ndpart93.arteriovenousshuntcorrectisthermoregulation94.pseudomonasmultocida???95.mifepristoneusedinectopicpregnancy96.lactatingfemalebestcontraceptivebarriermethod(anscouldbepopillsalsoImarkedbarriermethod)97.laproscopicsterilisationcontraindicateda/e

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    rate116.fishodourfromvaginaldischargegardenellavaginalis,(dontknowifitgivesfishysmelldirectlybutitgiveswhenmixedwithkoh)117.allthefollowingarecompositemusclesexceptflexorcarpiulnaris,flexordigitorumprofundus,pectineus,bicepsfemoris.PatanaiImarkedflexorcarpiiulnaris118.thefollowingjointhasleastchancesforrecurrentdislocationhipjoint..peoplesayitcouldbeanklealso119.hemochromatosistrueheterozygoustransmission.120.ayoungpilothadfollowinglabvaluesmcv70,hb10mg%,serumiron60,serumferritin100,thediagnosisisthalassemiatrait121.facilitateddiffusiontrueisrequirescarriertransport122.oxygendemandofheartdependsonsystolicwork123.pulsatilelargeliverisseenintricuspidregurgitation124.systolicthrillinleft2ndor3rdintercostalspaceisseenina/esubpulmonicvsd,pinkTOF,ebsteinsanomaly(dontknowIdidntseethisquestion)125.adownsyndromepatientispostedforsurgery,thenecessarypreopinvestigationtobedoneisechocardiography126.zenkersdiverticulumtruestatementisliesabovethecricopharyngeus.bariumswallowinlateralviewanditsnotatruediverticulum.Idontrememberiftheyaskedthefalsestatement127.allaretheusesoflithiumexceptmajordepression128.afemalechildwasbroughtwithcomplaintofgeneralisedswellingofherbody.Shewaspassingfattycastinherurine.Nohaematuria.ThetruestatementisnoIgGorC3depositionseenonrenalbiopsy(franklyIdontknow.ButImarkedthisoneonly)129.vonhippellandausyndromeconsistsofa/egastriccancer130.finnishtypeofnephroticsyndromeisduetomutationinnephrin131.renalpolycysticdiseaseinchildrenallaretrueexceptautosomaldominant132.splicingisbroughtaboutbysnRNA133.superiormiddlealveolararteryisabranchofdontknowthecorrectans134.splenicarterygivesallthefollowingbranchesexceptrightgastroepiploic135.concurrentchemoradioisgiventoallthefollowingcancersexcept

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    t2n0glotticcancer..Ihaveneverreadanyroleofchemointhiscancer)136.tripleassessmentofcancerbreastincludesguyshistoryisnotapartoftripleassessment..theansisclinicalexamination,usg/mammogramandbiopsy/cytology137.necrotisingfasciitisa/emostcommonlyduetogroupabhaemolyticanscouldbeinvolvementofdeepfasciaonealsobecauseitinvolvessubcutaneoustissueandskinonly..fasciaoftenescapes138.thefollowingcephalosporindoesntneeddosemodificationsdependingongfrvaluescefoperazone139.tacrolimussideeffectnephrotoxicity140.handfootandmouthsyndromecapecitabine..Imarkeditcisplatin141.amifostinedoesntprotectitsdefinitelygiventoprotectsaliveryglandandkidney..confusionliesb/wgitandcns..Imarkedcns.142.smallcelllungcancertruestatementitischemosensitive143.ifosphamideisanalkylatingagent144.liquefactivenecrosisisseeningangrene,(tuberculosisiscaseatingwhichisalsoatypeofcoagulativealthough)145.reducesboneresorptionandincreasesboneformationstrontiumrelanate146.thenephrotoxicityofcisplatinisincreasedbya/erifampicin147.treatmentofseverecomplicatedfalciparummalariaquinine148.hepatitisCtruestatementismostcommoncauseforlivertransplantation(Imarkeditdnavirus.Imsuperstupid)149.parvovirusB19falsestatementiscancrosstheplacentainonly

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    increasestheaffinityofotheroxygenmolecules156.modafinilusedinobstructivesleepapnoeaanscouldbenarcolepsy157.bestnonsurgicaltreatmentofstressincontinencepelvicfloormuscleexercises158.carpaltunnelsyndromecausedbya/eaddisonsdisease159.aladywithtemporalfielddefects,galactorrhoea,mostcommoncausepituitarymacroadenoma160.sleepcontrolledbyhypothalamus..anscouldbelimbicsystemalso..ifitwasintheoption161.jidiopathicchildhoodonsetarthritisallarepresentexceptraynodssyndrome162.bleomycinreducestype2pneumocyte,dontrememberwhatImarked163.hepatomegalyiscausedbyallexcepthepatocyteporphyria164.cancerlarynxansisthelastlongoptionprobably.165.limbdefectswithscarringofskininnewbornvaricellavirus166.mitomycinCusedintrachealstenosisaftersurgeryandsturgewebbersyndrome..dontknowthecorrectans167.cellcyclespecificantineoplasticdrugvinblastine168.treatmentofosteosarcomaare,.DontremembertheoptionsorwhatImarked169.insubclinicalfolicaciddeficiencythefollowingdrugwillbringaboutvitaminB12deficiencyphenytoin170.thefollowingdrugcanbegivensafeinpregnancypropylthiouracil171.rapidcorrectionofhyperglycemiausinginsulinalonewillresultinhypokalemia172.icd10includesallexceptexerciserelateddisordersicdlistgivesintoxicationasacomponentIdontknowifpoisoningissimeasintoxication173.cheifcellsarefoundinansofconsensusisfundusactuallytheyrfoundatantrumandusuallyantrumreferstonecksoitcouldbetheans..Imarkedneck174.riskfactor4GBCaa/e>5mmpolyp175.motorcyclist'sfructuremeansring#176.spasticparaplegiacausedbyallexceptchronicleadpoisoning177.allaretrueabouteatonlambertsyndromeexceptpositivetensilontest.178.paininsensitivestructurechoroidsplexus(middlecerebralartery,falxcerebriandduraallaresensitive)179.bestmarkerforcirculatoryvolumeinpediatricagegroupansiscardiacoutputactuallythebestmarkeriscapillaryrefillingtime..sinceitwasnotgiveninthe

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    optionssothenearesttocapillalarryrefilliscop180.cysticfibrosisallaretrueexceptdefectincalciumchannel181.girlwithabnormalsweatchloridetest,nextdiagnostictesttransnasalpotentialdifference(Imarkedonthebasisofmuditkhannasexplanationitsarepeatquestion)182.Rheumatoidfactorwillgivefalsenegativetestswithcoombstest.183.abrasionscanbeconfusedwithantbites..weweretoldthisbyourForensicprofduringourForensicclasses184.newbornwithhydrocephaloustoxoplasmosis185.Diseasewhichpermanentlyaltersfingerprintleprosy186.vaginaldeliveryallowedinallexceptmonochorionicmonoamniotictwins(confusionlieswithmentoanteriorandextendedbreechfirstoneissameasfacepresentationandextendedbreechisfrankbreechnoneofthemarecontraindications)187.dysgerminomamarkerLDH188.Rateofmineralisationofnewlyformedosteoidvonkossastain,alizarinstain(noidea)189.sympathectomydoneinallexceptanhidrosis(repeat)190.intermittentclaudicationthepainisontakingonexercise191.chroniclimbischaemiatrueisrestpain192.bestgraftforsurgerybelowinguinalisreversesaphenousveins193.superiorglutealnervesuppliesallexceptgluteusmaximus194.carotidarteryemboliandCRVOaredifferentiatedbyraisedretinalarterypressure195.intrinsicfactorsecretedbyparietalcells196.priviligedconverstaionisbetweendoctorandauthorities197.myodesisisc/iinchildren198.whichfactorisspecificallyapartofintrinsicclottingpathwayquestionwaswrongbuttheoddanswasfactorVII..199.SeeninacuteinflammationclassicallyIthinktheansismarginationofleukocyteswithoutmarginationinflammationwontstartandheaskedcardinaleventnotcardinalfeature.vasodilatationwithleakage200.45yearoldmalehadachestpain.hediedafter4days.onpostmortemintramuralcoagulationwasfound.thisisfibroblastswithcollagen201.moderategraderiskfactorforbreastcarcinomaatypicalhyperplasia202.Athletespubalgiaisabdominalmusclestrains203.SIRSincludesallexceptthrombocytopenia204.substancenotfermentedinhumanintestinescellulose..Imarkedit

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    pectin205.HbSdiffersinsolubility206.allaretrueregardingHbSexceptglutaminereplacedbyvaline(ifitwasanoption)207.Standingtosittingchangeinincreasedvenousreturntoheart208.ActylCoAcan'tdirectlyformGlucose209.DengueHemorrhagicfeverSecondInfectionwithdifferentstrainofvirusthesecondtime210.100KDonSDSPAGE,thensecondtrial2x(20KD+30KD)linkedwithssbond211.Wilm'sTumorNationalWilmtumorstagingsystem212.Actionpotentialstartsintheinitialsegmentofaxonbecauselessexitingpotentialrequired213.regulatorymechanismsbyallexceptgapjunctionsprobably214.regardinglacoperon,CAPispositiveregulator(repeat)215.E157:O7cultureonsorbitolmackonkeymedia216.notacauseofprimaryamenorrhoeaSheehan217.Chlamydiainfectionoftheeyes,truestatementa/ecanbecultured218.Salmonellanontyphidontremembertheoptions219.edemaC1esterasedeficiency220.hyperaldosteronisma/emetabolicacidosis221.HepBinfectedneonatebothVaccineandImmunoglobin222.Hashimoto'sthyroiditistruea/eorphanannieeyenucleus223.DiastolicpressureAortaelasticity224.efficacyofwhichdrugisntproveninmenorrhagiaethamsylate????225.Jointaspirationinacutegoutshowsmonosodiumuratecrystals226.lymphomaprognosticmarkersa/eldh227.alldrugscanbegiventoamotherwhoison35thweekofgestationexceptmethotrexateprobably228.neonatechangeseenwithhypoxiabradycardia229.heatruptureirregularmargins230.won'tbepresentinrightheartfailureincreasedPCWP231232.parotidpathwayallexceptdontremembertheoptions233.sodiumbicarbonategiventolocalAnaesthesiadontremembertheoptions234.whichpreventscoloncancerhighfibrediet(repeat)235.EnteroViruswon'tcausehaemorrhagicfever(repeat)236.meningitisleadstovestibulitisthroughhyrtlefissure(notsure)237.cardiacdiseasepredictorLpa238.BenignHTNhyalineaterioscelerosis239.microRNAdnaconfirmation240.temporalarteritisa/eheatexposurecanleadtoworseningof

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    symptoms241.mostcommonmuscletobecongenitallyabsentteresminorprobably242.poplitealarterynoteasytopalpatebecauseitisnotsuperficialandnobonystructuretopalpate243.intraocularLDHincreasedinretinoblastoma244.intestinalabsorptiontestxylulose,(IrepeatedmymistakeonceagainwhenImarkednbtpabatestwhichIhaddoneonceduringfinalyearunis..bythewaywhatisnbtpabatest)245.lambdaphageitintegrateswithhostdnaandremainsdorment246.mccauseofsuperficialthrombophlebitisi.v.line247.pseudoclaudicationcaudaequinasyndrome248.stellateganglionblockcausesallexceptbradycardia249.lymphoidtissueseeninsubmucosaprobably250.visualcycleopsindissociatesfromretinal251.hightibialosteotomyforwhat?????252.vocalcordsulcivocalabuse?253.panethcellmorelysozyme254.pulmonaryarterypruningseeninpulmhtn255.surgicalstagingofovariancaalldoneexceptmesentericbiopsy,(thistermisnotgiveninfigostagingpalpationoflymphnodesisdone)256.spongyurethradrainageintowhichnodedeepinguinalnodes257.Inwhichconditionisdonsetofconditiontodeaththelowestpostpartumhmge,258.Aboutmesialtemporallobeepilepsydontknow259.angiogenesisrequiresa/eil8probably260.weightofaverageIndianman60kgs261.synovialfluidcharacteristicsa/esecretedbytype1synovialcells262.functionsofThelpercellsareallexceptopsonisation263.DMPAcanbegiveninseizures264.tamoxifentruea/ecarcinomabreastinoppositebreast265.eclampsia266.fattycontentdensityinbreastisfoundina/egalactocele267.ageingfreeradical268.thoracicoutletsyndromediagnosedbyclinicalexamination269.apoptosiswhichcellorganelleresponsiblemitochondria270.psammomabodiesseenina/efollicularcancerthyroid,271.themostbactericidalamongthefollowingO2metabolite272.karyotypingusedforchromosomalabnormalities273.centralchemoreceptorsaresensitivetoH+concentration274.bloodflowisincreasedduringexerciseduetoactivemetabolitesproduced275hcvtrueisdnavirus,doesn'tcausecoinfectionwithhbv,??

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    Guest,Jan14, 2009

    #7

    Guest,Jan14, 2009

    #8

    276igcangiographyoccultcnv(ans)dontknowwhatisigc277scaronskin+hypoplasialimbscongvaricellasynd(harrison)278heriditarypulmonaryhemochromatosderosistrueexcptirondef279maximumincidenceofhivTamilNadu..Ifeellikeitwasthereinthepaper280clotstabilisationfactor13dontrememberiftherewasaquestiononthis

    DIFFERENTTYPESOFHEARTs

    *CoeurenSabotTetralogyofFallot

    *Pear/Moneybag/pursePericardialEffusion

    *BoxshapedheartEbstein'sanomaly

    *EggonsideTGA

    *Snowman/figureof8TAPVC

    *ScimtarsignPAPVC.

    *Figureof3(CXR)/ReversedEsign(Baswallow)CoarctationofAorta

    *HilarDancesign(Fluoroscopy)ASD.

    NEXTMCQs

    *O.C.PILLSworsensprognosisinCrohn'sDz*SmokingisprotectiveinUC*AppendicitisisnotprotectiveinCrohn'sDz*M/cbladderstone=CALCIUMOXALATE*M/CstoneinNeonate=URICACID(bcosthinskindehydrationv.common)*DOCinUnilateralRenalArteryStenosis=ACEINHIBITORS*DOCinPseudomembranousEnterocolitis=METRONIDAZOLE*Bestage4SxofHypospadias=610MONTHS*NervecmnlydamagedduringMcBurney'sincision=ILIOHYPOGASTRIC*BestRx4CysticHygroma=SxEXCISION*SignsofOrganicBrainDamageareevidenton=BenderGestaltTest*NonREMsleepiscommonlyasso.with=NightTerrors

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    Guest,Jan14, 2009

    #9

    Guest,Jan14, 2009

    #10

    Guest,Jan14, 2009

    #11

    *StainspecificforAmyloid=CongoRed*VirusmediatedtransferofhostDNAfrom1celltoanotherisknownas=TRANSDUCTION*HemeisconvertedtoBilirubinmainlyin=SLEEN*Osteoclastsareinhibitedby=CALCITONIN

    'CAT'RELATEDPOINTSINMEDICINE

    *CateyesyndromepartialTrisomy(22pter22q11)RefNelson18thtable4222.*CatallergyFeld1isthemajorcatallergen,whichcancauseallergicmanifestationinhumans.RefNelson17thpage752*CatbiteMostcommonorganismisolated"Pasteurellamultocida''.RefHarrison16th743.*CatreflexItistheothernameofsymmetricneckreflex.*CatcrysyndromeCriduchatsyndrome,occursduetodeletionof5pchromosomeRefNelson17thpage387.*CatscratchdiseaseItmanifestsbypainfulregionallymphadenopathypersistinforseveralweeksormonthsafteracatscratch.causativeorganismisBartonellahenselae.*CatfleatyphusCausedbyRickettsiafelis,vectorisctenocephalidesfelis.

    DRUGOFCHOICE

    *PSVT==}Adenosine*POSTM.I.ARRHYTHEMIA==}Lidocaine*ATRIALFLUTTER==}Verapamil*VENTRICULARTACHYCARDIA==}Lidocaine*OCD==}cLOMIPRAMINE*GENERALISEDANXIETYDISORDER==}BZDs*ALZHEIMER'SDISEASE==}Tacrine*NOCTURNALENURESIS==}Imipramine*OPIOIDWITHDRAWAL==}Methadone*ALCOHOLWITHDRAWAL==}Chlordiazepoxide*PENICATTACK==}Fluoxetine

    XRAYFINDINGS

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    Guest,Jan14, 2009

    #12

    Guest,Jan14, 2009

    #13

    *RainDrops=Myeloma

    *HairOnEndapp.=InharitedAnemia

    *Salt&PepperSkull=hyperparathyroidism

    *Punchedoutskull=HistiocytosisX

    NORMALBILIRUBINLEVELS

    NormaltotalBilirubinLevel=0.3to1.0mg/dlCongugatedBilirubinLevel=0.1to0.3mg/dl(DIRECT)UncongugatedBilirubinLevel=0.2to0.7mg/dl(INDIRECT

    NEXTSET

    *MOSTCOMMON(M/C)formofASD=OsteumSecundum

    *M/ccauseofCushingSyndrome=IatrogenicadministrationofSteroids

    *M/cforceinvolvedin#ofspine=FLEXION

    *MechanismofviolenceinBurst#ofSpine=CompressionViolence

    *M/CtumorinChildren=LEUKEMIA

    *M/CorganismcausingMeningitisin1yroldchild=Streptococcuspneumoniae

    *Mostaccurateinvestigation4diagnosisofEndosalphingitis=LAPAROSCOPY

    *VirusassowithCaCervix=HPV

    *MostsensitivephasetoRadiotherapyis=G2M

    *Radiocontrastrxnsrmostly=ANAPHYLACTOIDREACTIONS

    *Radioisotopeused4measurementofBloodVolume=CHROMIUM51

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    Guest,Jan16, 2009

    #14

    *Biondiringtanglerrfoundin=CHOROIDALPLEXUSCELLS

    *ArterytoDuctusDeferensisabranchof=SUPERIORVESICALARTERY

    *BloodsupplyofCruciateLigamentis=MIDDLEGENICULARARTERY

    *DOCOFPenicillinResistantGonorrhoea=CEFTRIAXONE

    *TBOfskincalled=LUPUSVULGARIS

    ICD10QUESTION

    InternationalStatisticalClassificationofDiseasesandRelatedHealthProblems10thRevisionVersionfor2007

    TabularListofinclusionsandfourcharactersubcategoriesChapterListChapterBlocksTitle

    IA00B99CertaininfectiousandparasiticdiseasesIIC00D48NeoplasmsIIID50D89DiseasesofthebloodandbloodformingorgansandcertaindisordersinvolvingtheimmunemechanismIVE00E90Endocrine,nutritionalandmetabolicdiseasesVF00F99MentalandbehaviouraldisordersVIG00G99DiseasesofthenervoussystemVIIH00H59DiseasesoftheeyeandadnexaVIIIH60H95DiseasesoftheearandmastoidprocessIXI00I99DiseasesofthecirculatorysystemXJ00J99DiseasesoftherespiratorysystemXIK00K93DiseasesofthedigestivesystemXIIL00L99DiseasesoftheskinandsubcutaneoustissueXIIIM00M99DiseasesofthemusculoskeletalsystemandconnectivetissueXIVN00N99DiseasesofthegenitourinarysystemXVO00O99Pregnancy,childbirthandthepuerperiumXVIP00P96CertainconditionsoriginatingintheperinatalperiodXVIIQ00Q99Congenitalmalformations,deformationsandchromosomalabnormalitiesXVIIIR00R99Symptoms,signsandabnormalclinicalandlaboratoryfindings,notelsewhereclassifiedXIXS00T98Injury,poisoningandcertainotherconsequencesofexternalcauses

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    Guest,Jan17, 2009

    #15

    Guest,Jan17, 2009

    #16

    XXV01Y98ExternalcausesofmorbidityandmortalityXXIZ00Z99FactorsinfluencinghealthstatusandcontactwithhealthservicesXXIIU00U99Codesforspecialpurposes

    HEREISTHECODEFORLACKOFEXERCISE...ITISINCLUDED

    ICDCodeTitleLocationZ72.3LackofphysicalexerciseTabularlistandIndex

    ALCOHOLISMISINTOO......hereisthecode

    ICDCodeTitleLocationF10.2MentalandbehaviouraldisordersduetouseofalcoholIndexF10.5MentalandbehaviouraldisordersduetouseofalcoholIndexF10.6MentalandbehaviouraldisordersduetouseofalcoholIndexF10.0MentalandbehaviouraldisordersduetouseofalcoholIndexG31.2DegenerationofnervoussystemduetoalcoholIndexO35.4Maternalcarefor(suspected)damagetofetusfromalcoholIndexO99.3Mentaldisordersanddiseasesofthenervoussystemcomplicatingpregnancy,childbirthandthepuerperiumIndexP04.3FetusandnewbornaffectedbymaternaluseofalcoholIndexZ13.3SpecialscreeningexaminationformentalandbehaviouraldisordersTabularlistandIndexZ63.7OtherstressfullifeeventsaffectingfamilyandhouseholdIndex

    THEREISNOCODEFORUNHEALTHYFOOD...SOTHATISTHEANSWEROFEXCLUSION.....

    ORIGINALMCQS

    *ActinicKeratosisisseenin=Sq.CellCa

    *Pseudobuboisseenin=Donovanosis

    *CondylomaLataseenin=Sec.Syphilis

    *DOCforInsomniainElderly=OXAZEPAM

    *SpecificMAOBInhibitoris=SELEGELINE

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    Guest,Jan17, 2009

    #17

    Guest,Jan17, 2009

    #18

    Guest,Jan #19

    *DOC4psycomotorepilepsy=CARBAMAZEPINE

    *M/AofLatanoprostinGLAUCOMAis=Increaseuveoscleralflowofaqueous

    *M/AofAspirininMI=ThromboxaneA2synth.inhibition

    *RecombinanthumaninsulinismadebyCDNAOFPANCREATICCELL

    *CarcinoidtumorismostcommoninAPPENDIX

    *M/CcauseofcerebrovascularaccidentisEMBOLISM

    *LACUNARinfarctsrcausedbyLIPOHYALINOSISOFPENETRATINGARTERIES

    *BluecolorofbruiseisduetoDEOXYHEMOGLOBIN

    *TentativecutisafeatureofSUICIDALATTEMPT

    *SourcesofNitrogeninUreaCycleASPARTATE&AMMONIA

    *ALLbiologicallyactiveproteinsareLforms

    *ParaxialmesodermdevelopsintoSOMITES

    *Glandderived4mForamencaecumTHYROID

    *TesticulartumorsareBILATERALinupto10%ofcases.

    *Allen'sTestisperformedtoevaluateTheIntegrityofthePalmerArch

    *ExclamationmarkAlopeciaisafeatureof=AlopeciaAeriata

    *AdenomaSebaceumisafeatureofTuberousSclerosis

    *TOCinPsoriaticArthropathy=METHOTRAXATE

    *DOCinLGV=DOXYCYCLINE

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    17, 2009

    Guest,Jan17, 2009

    #20

    Guest,Jan18, 2009

    #21

    *NevirapineisaNonNucleosideReverseTranscriptaseInhibitor(NNRTI)

    *NEOSTIGMINEincreasesGIMotility

    *DopaminergicSystem=Inhibitory

    *CholinergicSystem=Excitatory

    *LumefantrineanantiMalarialdrug

    *Magnifictionobtainedwithdirectophthalmoscope=15times

    *M/CcauseofvitreoushemorrhageinAdult=HOMOCYSTINURIA

    *LivevaccinesshouldnotbegivenbecauseofaTHEORETICrisktothefetus*butinfluenzavirusgiveifunderlyingdsisserious.Typhoidrecommendedontraveltoanendemicarea.HepatitisArecommendedafterexposureorbefortraveltodevelopingcountriesCholeraonlytomeettravelrequirementspoliomandatoryduringepidemicbutotherwisenotrecommended.rabieslifesaving

    *Browntumorsareseenin=HYPERPARATHYROIDISM

    *"RuggerJerseySpine"isseenin=RENALOSTEODYSTROPHY

    *TotalscoreinGlasgowComaScaleofaconsciouspersonis=15

    *Dacronvasculargraftis=TEXTILESYNTHETIC

    *TheshapeofaNulliparousCervixis=CIRCULAR

    *M/Cgestationaltrophoblasticdzfollowinghydatiformmole=INVASIVEMOLE

    *Caloryrequirementat1yrofage=1000

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    Guest,Jan23, 2009

    #22

    Guest,Jan23, 2009

    #23

    Guest,Jan23, 2009

    #24

    Guest,Jan23, 2009

    #25

    *Middaymealsprovidedinschoolprovide=1/3oftotalCalories&1/2ofProtein

    *Maizeisdeficientin=TRYPTOPHAN

    *Endemicascitescausedby=PYRROLIZIDINE

    *WtofIndianreferencewoman=50kg

    *CommonesttypeofCong.heartdzseeninAdult=BICUSPIDAORTICVALVE

    *m/cplasmacelltumor=PLASMACYTOMA

    *RxofchoiceinSymptomaticSinusnodedysfunction=PERMANENTPACEMAKER

    *Lev'sdz=fibrocalcareousencroachmentintotheconductingsystem

    *CommonestcauseofNeonatalmortalityinIndia=LowBirthWeight

    *CasefindinginRNTCPisbasedon=SputumMicroscopy

    *Scrubtyphustransmittedby=Mite

    *BMI=Wt(kg)/Ht(m)square

    *MTPcanbedoneupto=20wks

    *HardlyWeinberglawisrelatedto=PopulationGenetics*DiluentusedforBCG=NormalSaline*Chandler'sIndex=No.Ofeggs/gmofStool*Urbanmalariaiscausedby=An.stephensi*ModeoftransmissionofQfever=InhalationofAero

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    Guest,Jan23, 2009

    #26

    Guest,Jan23, 2009

    #27

    Guest,Jan23, 2009

    #28

    *DztransmittedbyliceEpidemicTyphusRelapsingFeverTrenchFeverPediculosis

    *SAFEstrategyforTrachomaSurgeryAntibioticsFacialHygieneEnvironmentalModification

    INSULINS

    *RapidactingINSULINsIns.LisproIns.AspartIns.Glulisine

    *ShortactingINSULINsReginsulin

    *IntermediateactingINSULINsNPHinsulin

    *LongactingINSULINsI.glargineI.determir

    CTFINDINGSOF'ACUTEPANCREATITIS'

    Pancreaticedema&enlargementpoorcontrastenhancmtilldefinedpancreaticoutline

    REF.FROMSITEOFNATIONALINSTITUTEOFHEALTHANDFAMILYWELFARE.

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    NATIONALSURVEILLANCEPROGRAMMEFORCOMMUNICABLEDISEASES

    Introduction

    TheDiseaseBurdenofthepeopleofIndiaisoneofthehighestintheworld.Thisismainlyduetotheheavyburdenofinfectiousdiseases.Wehaveatripleburdenofinfectiousdisease.Firstly,wehavethoseinfectiousdiseasesthatareprevalentworldwideandforwhichspecificpreventivemeasuresareyetnotavailable.Secondly,wehaveinfectiousdiseasesthatareprevalentbecauseofinsufficientpublichealthmeasures.Inindustrializednationssuchdiseaseswereoncerampant,buttheyhavebeencontrolledwiththeefficientapplicationoftheprinciplesofpublichealth.Thirdly,diseasesperpetuatedbytheprevalenceofvectoraswellasvertebratefauna,andtheecologicaldeterminantswhicharespecifictoourgeoclimaticfeatures.

    Diseasesduetoinfectionsorspecifictoxinsaremoreeasilypreventablesinceasingleextraneousagentcausesthem,eventhoughtheirtransmissionmaybecomplex.Noninfectiousdiseasestendtobemultifactorialandaretherefore,lesseasilyamenabletocontrolmeasures.Itcanbeconcludedlogically,thatthecontrolofinfectiousdiseasesareofimmediatehighprioritybecausetheyaremorecommonandpreventable.

    SurveillanceinDiseaseControl

    Asystematicprocessofreportingofvariousdiseasesofpublichealthimportance,asandwhen,andwhere,theyoccur,toadesignatedagencyresponsiblefortakingeffectiveinterventionalsteps,isknownasdiseasesurveillance.Itssuccesswilldependupon3Ri.e.,thequalityofdiagnosis(Recognition),thetimelinessandcompletenessofReporting,andanalysisandeffectivenessFEEDBACKResponse.

    Infectiousdiseasesoccurasaresultofamplificationandtransmissionofinfectiousagents.Detectingdisease,as,whenandwhereitoccurs,anditsclustering,areessentialfordiseasecontrol.Surveillance,inotherwords,isthefirststepinintervention.Surveillanceisparticularlyimportantfortheearlydetectionofoutbreaksofdiseases.Intheabsenceofsurveillance,diseasemayspreadunrecognized.Bythetimetheoutbreakisrecognized,thebestopportunitytotakeinterventionmeasuresmighthavebeenover.

    Surveillanceisessentialfortheearlydetectionofemerging(new)orreemerging(resurgent)infectiousdiseases.Intheabsenceofsurveillance,individualhealthcareworkersmaynotrecognizethenewdisease,butmayapplyanearfitdiagnosisofalocalityprevalentdisease,whichthediseasein

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    questionmayresemble.

    Theeradicationofpoliomyelitisrequiresystematicsurveillanceofacuteflaccidparalysisineverypartofthecountry.Measleswillbetargetedforeradicationinnearfutureonceagainsurveillanceformeasleswillthereforebecomeimperative.Insteadofestablishingsinglediseasesurveillanceoneatatime,theopportunitymustbeseizedtodevelopcomprehensivediseasesurveillanceforeffectivediseasecontrol.

    Havingrecognizedthecrucialimportanceofdiseasesurveillanceforimprovingthehealthofourpeople,theGovernmentofIndiaconstitutedaNationalApicalAdvisoryCommitteeforNationalDiseasesurveillanceandResponseSystem.TheGovt.ofIndiahaslaunchedNationalSurveillanceProgramforCommunicableDiseases(NSPCD)during1997[snip].

    Objectives

    1.Capacitybuildingatthestateanddistrictforearlyidentificationofoutbreaksofcommunicablediseases,and2.Appropriateandtimelyresponsetotheoutbreaksofcommunicablediseases.

    ProgrammeActivities

    Thestategovernmentsthroughtheirexistinginfrastructureareimplementingtheprogramme.Undertheprogramme,followingactivitiesare:

    1.Surveillancesystemisstrengthenedthroughtrainingofmedicalandparamedicalpersonnel2.Disseminationoftechnicalinformationandguidelines.3.Upgradationoflaboratories.4.Modernizationofcommunicableanddataprocessingsystems,and5.IECactivitiestopromotecommunityparticipationinthepreventionandcontrolofoutbreaks.

    Reportablediseaseshouldbeprioritizedbasedonsoundprinciples.Firstthosediseasestargetedforeradication,eliminationorcontrol,usingspecificinterventionsalreadybeingappliedareofhighpriority.Secondly,thosediseasesthatcouldbecontrolledlocally,especiallyinoutbreaksituations,andagainstwhicheffectiveinterventionstacticsalreadyexist,aretobereportedunderthesurveillancesystem.Thirdly,diseasesforwhichepidemiologicalinformationisdirectlyneededinordertodesigncontrolstrategy,arealsotobeincludedinthelist.

    PrioritizingDiseasesforSurveillance

    Exceptthediseasesforwhichalreadysurveillanceiscarriedoutthereisa

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    needtoprioritizedthediseasesforcomprehensivesurveillance:

    1.AcuteFlaccidParalysis*2.AIDS*3.Chickenpox4.Choleralikediarrhea5.Diphtheria6.Dysentery7.Encephalitis8.Feversyndromemorethan6days9.Hemarragicfever10.Hepatitis11.Herpeszoster12.Leprosy*13.Malaria:falciparumandvivax*14.Measles15.Meningitis:nonpyogenicandpyogenic16.Mumps17.Rabies18.Rheumaticfever19.Tetanusneonatorum*20.Tetanusinolderage21.TBinolderageandpulmonary*22.Whoopingcough23.Anyotherofpublichealthimportance

    *Forthesediseasesthenationalreadyhasnationalprogrmmesandsomesortofsurveillanceiscarriedoutundertheseprogrammesthatneedtobestrengthened.

    Oncethesurveillancesystemisestablishedandrunswellforcommunicablediseases,othernoninfectiousdiseasesforwhichinterventionsarenecessary,orpossibleshouldbeconsideredforinclusion.

    Thedistrictisenvisagedasthebasicunitwithinwhichthereportsreceived,datacleaned,analyzedandmonitoredcontinuously.ADistrictEpidemiologicalCell,withcomputerfacilitiesandadequatepersonnelareestablishedforthispurpose.

    TheDistrictEpidemiologyCellreportsweeklysummarydataondiseasesandinterventionstotheStateEpidemiologyCenter,whichcollectalldistrictdataandpassonmonthlysummariestotheNationalInstituteofCommunicableDiseases(NICD).

    TheNICDhasbeenexpandedandstrengthenedtoactastheNationalApicalLaboratoryinsupportofthestatelevellaboratories.Regional

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    laboratorieshavebeenestablishedasanintermediatelevelbetweentheDistrictcellsandStateandCenter.Forthattrainingofthestaffofepidemiologycellsareundertaken.

    TheDistrictEpidemiologyCell

    ThiscellisheadedbyoneseniorofficernotbelowtherankofDistrictHealthOfficerdesignatingastheDistrictEpidemiologyOfficer.OneMedicalOfficerand5fieldworkersper2millionorlesspopulationwillassisttheDistrictEpidemiologyOfficer.Thiscellcompletesthelistofallhealthcareinstitutionswithinthedistrict.Itwillalsopreparethelistofprivatemedicalpractitionersofthemodernsystemoperatingwithinthedistrict.Allreportsshouldbeenteredinthecomputerandanyduplicationremoved.Thereportshouldbescannedeverydaytodetectanyunusualclusteringofcaseseitherintimeorspace.DatashouldbeanalyzedonaweeklybasisandweeklysummarystatisticswillbeforwardedtotheStateEpidemiologyUnit.Everyoutbreakofdiseaseshouldbeinvestigatedwithoutanydelaybythedistrictunit.

    Thedistrictcellwillberesponsiblefordefininganddesigninginterventions.TheentirehealthsysteminthedistrictmaybemobilizedforinterventionsandwhenevernecessaryarisetheNationalInstituteofCommunicableDiseasesmaybeinvolvedforspecializedhelp.Theprogrammeiscurrentlyinoperationin45districtsof18states.NICDisthenodalagencyforformulationofstrategiesandoperationalguidelinessupervision,monitoringandcoordinatingtheprogrammeimplementation.

    Achievements

    1.Theprogrammeisonoperationin80districtsof28statesandUTs.2.MultidisciplineRapidResponseTeam(RRTs)atstateanddistrictlevelsundertheprogrammehasbeenconstituted.Theteamshavebeenprovidedtraininginsurveillance,preventionandcontrolofoutbreaks.3.RRTsforstateshavebeentrainedatNICD,Delhi.4.AjointteamcomprisingofWHOandNICDundertookassessmentofNSPCDinsevenstates,namelyGujarat,Haryana,Karnataka,Kerala,MadhyaPradesh,Maharashtra,andUttarPradesh.5.Allthestatesanddistrictlevelepidemiologicalcellshaveprocuredcomputers,faxmachines,andtelephonesfordataprocessingandrapidcommunicationofinformation.

    Comments

    1.Noncommunicablediseasesthatarecomingunderlawornationalprogrammeshouldalsohavecomprehensiveandeffectiveprogrammeofsurveillance.Diseaserelatedtotobacco,dustexposureparticularlyincoalmines,PEMincludingiodine,selenium,vitaminA,occupationalandnonoccupational

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    Guest,Jan25, 2009

    #29

    Guest,Jan25, 2009

    #30

    Guest,Jan25, 2009

    #31

    Guest,Jan25, 2009

    #32

    injuries,mentaldisorders,etc.needsurveillancesystem.2.TheDistrictlevellaboratoriesarenotdevelopedmuch.TheDistrictHospitalmusthaveadequateMicrobiologylaboratoryfacilities,whichwillbeavailablebothfordiagnosticpurposesandforepidemiologicalinvestigationswithinthedistrict.Thereisaneedforastatelevellaboratory,forthepurposesofsupportingthelaboratoryservicenetworkinthedistrict,forestablishingexternalqualityassurance,forensuringtheavailabilityofqualityreagentsandalsoforhelpingininvestigatingtheetiologyofdiseaseofpublichealthimportance,endemicorepidemic.TheStateEpidemiologyCentershould,thereforehaveadequatelaboratoryfacilities.3.Districtepidemiologycellmusthaveanexperiencedepidemiologist.

    *'Fracturealasignature'is=Depressed#*Pond's#isMostCommonin=Children*Brushburnisdueto=GrazeAbrasion

    *BasicAminoAcids:HistidineArginine[Mostbasic]Lysine

    *MostNonPolarA.A.=Leucine

    *BasicAminoAcids:HistidineArginine[Mostbasic]Lysine

    *MostNonPolarA.A.=Leucine

    *PhysicalQualityofLifeIndex3IndicatorsInfantMortalityLifeExpectancyatageone

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    Guest,Jan25, 2009

    #33

    Guest,Jan25, 2009

    #34

    Guest,Jan25, 2009

    #35

    Guest,Jan27, 2009

    #36

    Literacy

    [NotPercapitaIncome]

    FUNCTIONS

    *Ceruloplasmin=Coppertransport*Transferrin=Irontransport*Lactoferrin=bindsIron

    *OSMOLALITY=2X[Na+]+[Glucose]/18+[BUN]/2.8

    *CorpusStriatum=CAUDATENUCLEUS+PUTAMEN

    *LenticularNucleus=GLOBUSPALLIDUS+PUTAMEN

    *Finasteride=5alfareductaseinhibitor

    *Nestritide=BrainnatriureticpeptideAnalogue

    *m/chistotypeofthyroidCa=Papillarytype

    *comnstSiteoforalCaamongIndians=Alveobuccalcomplx

    *DOC1)Mushroompoisoning=Atropine2)NonGonococcalUrethritis=Doxycyclin

    *Kinebock'sDiseaseisduetoAvascularNecrosisof=LUNATEBONE

    *M/aOfSod.Nitropruside=IncreasedGuanylateCyclase

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    Guest,Jan27, 2009

    #37

    Guest,Jan27, 2009

    #38

    Guest,Jan27, 2009

    #39

    *Acantholysisischar.of=PEMPHIGUSVULGARIS

    *M/CcauseofLowVisioninIndia=UNCORRECTEDREFRACTIVEERRORS

    *StudyOFMultiplicationOFProteinsinDzProcess=PROTEOMICS

    *InductionAgentOfChoiceinDayCareAnesthesia=PROPOFOL

    *Broca'sAreaisconcernedwith=WORDFORMATION

    *RxofMultipleCarboxylaseDeficiency=BIOTIN

    *'RUGGERJERSEY'spineisafeatureof=SEC.HYPERPARATHYROIDISM

    *M/CCauseofbact.InfectioninContactLenswearers=PSEUDOMONAS

    *HUTCHINSON'STRIAD=DEAFNESS+INTERSTITIALKERATITIS+NOTCHEDINCISORS

    *DOCinacutecentralanticholinergicsyndrome=PHYSOSTIGMINE

    LiverDzGilbertSyndrome=Auto.DominentCNSyndrome=Auto.RecessiveDJSyndrome=Auto.Recessive

    ECGFEATURES

    HYPOKALEMIAFLAT/INVESTEDTWAVE&PROMINENTUWAVE

    HYPERKALEMIA>PRINTERVALWIDENEDQRScmplxSineWAVEpatrn

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    Guest,Jan27, 2009

    #40

    Guest,Jan27, 2009

    #41

    Guest,Jan27, 2009

    #42

    Guest,Jan28, 2009

    #43

    Guest,Jan28, 2009

    #44

    Pwaveloss

    mostcommonNerveinvolved****

    #surgicalneckHumerusAxillary

    #shaftHumerusRadial

    #SupracondylarHumerusRadial

    *OpeningofnasolacrimalductinInferiorMeatus

    *Totalpowerofeyelens=60Dcornea=44,lens=16D

    *Highestconc.OfVitCisseenin=ADRENALCORTEX

    *LongesttransittimeinGIT=COLON

    Baranyboxisaclockwisedeviceused2createamaskingnoisewhnperformingrinne'stest.

    *ShortestactingNDMR=MIVACURIUM

    *PudendalNerveBlockinvolve=S234

    *LongestactngL.A.=Dibucaine

    *TOCinmycosisfungoides=FullSkinElectronTherapy

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    Guest,Jan28, 2009

    #45

    Guest,Jan28, 2009

    #46

    *CorrectsequenceofcellCycle=G0G1SG2M

    *Commonestallergicdermatosis=URTICARIA

    *Herald/Mother'spatchis1stsignofP.rosea

    *Postspinalheadachecanlast7to10days

    *DrugwithceilingeffectBuprenorphine

    *ContrastusedinCT=IODINE

    *Radium226emits=alpha,beta&gammarays

    *ContrastusedinMRI=GADOLINIUM

    *Post.Urethrabestvisualizedby=VOIDINGCYSTOGRAM

    *Max.PermissibleradiatndoseinPreg=0.5Rad

    *MostSensativePhaseofCellcycle=Mf/bG2M

    *PositionwithleastvitalcapacityinG.A.=Trendelenburg

    *dTubocurarineReversaldonebyNeostigmine

    *MagillcircuitFlow=MinuteVolume

    LiverDz

    GilbertSyndrome=Auto.Dominent

    CNSyndrome=Auto.Recessive

    DJSyndrome=Auto.Recessive

    Commonest

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    Guest,Jan28, 2009

    #47

    Guest,Jan28, 2009

    #48

    CongetinalHeartDisease(CHD)=VSD

    CyanoticHeartDisease=Fallot'sTetralogy(TOF)

    CHDsurvivingintoAdultLife=ASD

    CHDwithSquatting=TOF

    *CharasisResinexudateofCannabisIndica

    *RunAmokisafeatureofCannabis

    *McEwanSignseeninAlcoholIntoxication

    *VitB12absorbedinILEUM

    *LongesttransittimeinGITseeninCOLON

    *DailyGastricjuiceSecretion2500ml

    *RMPmainlyduetoK+

    *RBCmemb.ismaintainedbySPECTRIN

    *GlycoproteinispresentinRBC

    *TriplehelixisseeninCOLLAGEN

    HeamodialysisisusedforremovingfollowingpoisonsonlyBarbituratesSalicylayesMethanolBoricAcidGlutethemideThiocyonates

    HemoDialysisisnotusefulinpoisoningofKeroseneBenzodiazepenin

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    Guest,Jan28, 2009

    #49

    DigitalisOrganophosphorus

    *PenTest4MedianNerve

    *Appositionofthumbtolittlefinger4MedianNerve

    *CardTest4UlnarNerve

    *Egawa'sTest4UlnarNerveGuestGuest