Frcemprimaryrecals20176thdec

CompiledbyDrsarmadali.

1.Adrenalinedoseincardiacshockactoacls=1:10k 1mg (10 ml of

1:10,000 solution) Post cardiac arrest is 0.1-0.5mcg/kg/min or 1

2.Oesophaguspierceatwhichdiaphragmlevel=T10

3.Contentsofrectussheath=pyramidalis

4.Abdominalinjuryscenario,contentsofrectussheath=again
pyramidalis

5.SLE ab=ANA

6.Thenarinjuryglasspiecesetc=opponenspolices/fpl/fpbetc
FLEXOR POLICCIS BREVIS MEDIALLY AND ABDUCTOR POLLICIIS BBREVIS
LATERALLY ARE MOST SUPERFICIAL WHILE OPPONES POLLICIS AND
ADDUCTORS ARE DEEP
7.Siadhfeatures=hyponatremia

8.Drugcausingsiadh=flouxetine tca ssri opoids halopridol

carbamazepine Valproate chlorpromazine sulfonylurea

9.Waddlinggait=supglutealnerve

10. Crushinjury,drugCI=suxamethonium

11. Anaphylaxisreactionab=IgE

12. Surfactantfunction=reducethesurfacetension

13. Surfactantformedby=pneumocytestype2

14. Doxycyclineuseinpregnancy=s.etoothdiscolourationinbaby

15. Rubelamostdangerous=isttrimester(organogensisperiod)

16. Crpreleasedstimulatedby=IL-6
17. Ecgchangesinhyperkeleimicptbeforethecardiacarrest=tal
t/broadqrs
18. Reteroperitonealhematoma=duodenum(sadpucker) SADPUCKER
retroperitoneal structurrs suprarrnal glands, Aorta/inferior veba
cava, duidenum, pancreas,, ureters, colon except transverse and
sigmoid that are intraperitoneal, kidneys, esiphagus, rectum

19. Herniamedialtoepigastricvessels=directinguinalhernia

20. AdenosineCI=asthma

21. L.p highest safest levelinadults=l3-l4

22. Duodenalinjury,d1isat=L1

23. Drugthatinctheactionofaminophyleneincopd/asthma=FQ:cipro

24. Nonsedatingantihistamine=fenoxifinadine

25. Ptwithepsneckstiffness=antiemticuse=Metachloropromide

26. FuerosomideMoa=thickascendingloop

27. Fuerosomidemoa=na/k/2cl

28. Thiazidemoa=dct

29. Carotidsinusmassage=atwhichlevel=thyroidcartilage,cricoidetcA
t level of carotid cartilage and at angle of mandible

30. Frankstralinglawininotropesuse=moveup&leftcurve

31. Rightsidedoxygendissociationcurve=acidosislowph

32. Mosteffectivemethodofcontrol in duodenalph=brunnersgland-

bicarb

33. Factorregulateappetite-satiety=gherlinfrom epsilon celL of

pancreas and stomach?

34. Massiveascitescldpt–pleuraleffusion-spirometry=Restrictive

35. Copdonspiromtery= obstructive

36. Heroinusegivennaloxone–abg=incpco2 Due to resp depression

37. Baggingtoremovenitrogen=respvolfindingtlc/frc/fevi/fvc/RV
Functionl residual capacity

38. Thoracicoutletsysndrome=subclavianarty

39. Pericarditis=phernicnerve
40. Atheleteuniquefinding=incsrokevolume

41. TetnusigGmostindicativefactor=parkinjurysoil

42. Woundinleggasformingorganism=clostridiumperfringes

43. Anttriangleneckinjury=platysma0/scm/infrahyoidPlatysma

44. Weaknessflaccidparalysisscenario=botulinism

45. Muscledidvidedduringthoracotomy=latissimus
dorsi/trapezius/s.a lattisimus dorsi

46. Thoracotomydonewhichnerveinjure=thoracodorsalnerve,axilary
etcIntercostal nerve then Long thoracic nerve

47. Jawpainrefferedtoear=ATNAuriculotemporal

48. Internalauditorymeatusnerveinjured=7th+8th

49. Damagetomastoidwhichnerveinjuredjawreflexlost=5 thnerve

50. Earlobule=n.s=greaterauricularnerve

51. Orbicluarisocculi=n.s= Zygomatic and temporal branches of

facial nerve

52. Papilarylightreflex

53. Safestbetablockerinafibwithasthmatic
pt=atenalol,carvi.prpranalol(cardioselective?)
atenolol

54. Herpessimplexencephalitisscenario=ctfinding=temporallobe

55. Expressivedysphasiacase=brocas–fronallobe

56. Opticchiasm–bitemporalhemianopia

57. Optictract–homonymoushemianopia

58. Antspinalartysyndromecase
59. Scenariooflefttemoral–rightnasalvisionloss
60. Aldestronedeficiency=addsion=hypona+hyperk

61. Connssyndromescenario=hypernatremia

62. Rightmiddlelobeauscultation=T4–T5

63. Goutyptwithheartfailure=exacerbationofgout=colcichine

64. Aorticregurgitationauscultation=right2ics

65. Youngptwithmeningitissignswithrash=N.meningitis

66. Nsaidwhichhavelessgis,e=ibuprofen/indomethacin/diclo
Celecoxib then Divlofenac then infomethacin then ibuproefn
aspirin

67. CaseofIBSnsaidsuse=b12absorptiondec=b12def Also iron

deficiency due to blood losd

68. Cholera=incchloridesecretionchannelsactivity

69. Intestinalfloradisturbance=clostridiumdifficile

70. Tighnervesupplyant-lat=femoralnerve

71. Antcompartmentforearminjury=musculocutaneousnerve=c5-c7

72. Antcompartementforearminjury=pronatorteresnotheretc

73. Glutealinjgiven–footdrop=scietic/commenperonealnerve sciatic

nerve

74. Pneumoniaoldageinnursingcarehome=organism=Streptococcus
pneumonia then hrmiphilus then moraxella

75. Hipprosthesisdisplacementligamentinvolve
=transverse/iliolumber Transverse acetabular

76. Supraclavicularfossadermatome=C3

77. Sicklecel–osteomylitis=salmonela

78. Salmonela=feaco-oralroute

79. Sicklecel-anemiadueto–rbcsequestration
80. Breastouterquadrentl.n=antgrouporpectoralgroup. Anterior or
Pectoral group

81. Ifaskedmedialquadrant=parasternalnodes
82. Instrinsicmusclehandsinjurylowerbrachialplexiusinjury=c8-t1

83. Shouldercuffrotators–introtationloss+=subscapulris

84. Lorezepamse=respdepression

85. Mumpsisolationperiod=5days 5 dats after onset of parotitis(4-4)

86. CaseofMumps+decpltbleedingrenalfailure=hsp/imune
throboctopnia

87. Febrilechildhavefeverrashon9-10monthvaccinatedal.folowing
sysmptomsduetowhich?=mmrvaccinerubelasuspectd

88. Postspeenectomy=mcorganism pnemococcal/h.influenza

89. Ecoliinfection=fimbriaattachment/hostdefense/flagerymovement

90. S.erysipelas=s.pyogenes

91. HeartdefectnowInfectiveendocarditis=strepviridiansalpha
heamolytic

92. Femoralfracturebloodlossdecbpthenmaintainedbp
=barroreceptors

93. CBF=physiologicdecicpdueto=initialincpco2=hyperventilation

94. sBP7oposttransfusionbpmaintained=tprdec?

95. massivePulmonaryembolism=echofinding=leftartriumpressure
dec? Also right ventricular akinesia hypercontavtility of apical wall

96. chemoreceptorlocation=carotidbody/carotidsinus

97. pancreas-exocrine-protiendigestion=trypsin

98. onlyendocrinepancreaticsecretionis=glucagonbyalphacels

99. facialnerve=stylomastoidforamen

100.nervetoperiorbitalarea=zygomatic/infraorbital/buccal
101.footdropsensationloss=lateralcompartmentofleg

102.sciticnervedamage=extensionofhip+flexionofknee

103.cushingdiseases=scenario=Dexamethastestdone=noeffect

104.medialepicondyleinjury=musclegroupinvolvewristflexors/elbow

105.dashboardinjuryrta=pclinjury posterior cruciate ligament

106.liveraltenzymeshigh=incactivityofcytosol

107.mitochondriafunction=celularrespiration&atpformation

108.scenarioofptonlmwhwithheamtemesis=rxprotaminesulphate

109.adenosineeffectonheartmoa=+chrontrpic/-
chrontropic/+dromotropic/inccornoraybloodperfusion

110.ipratropiumbromideinhaler=receptors=muscarinic

111.poisoingcaseofantichilergictoxidrome=achreceptorsblockage

112.heartblockcasesomeecgfinding=slowavconduction

113.cutatvolarwristabdpolices/fpb/o.p

114.tapeworminfestation=rx=niclosamideorpraziquantal
PRAZIQUANTAL MORE SPECIFIC

115.herpeszosterganglion=latgeniculate

116.diltiazems.e=

117.femalehxofinnateimmunity=recurrentutiinfection=causesurine
flowdribblingduetostructuralbybirthdefect…

118.hypertonicsalinemoa=intracelular-intravascular/intravascular-I.C

119.lowaniongap=hypoalbunemia

120.aniongaponlyanions=cl+hco3

121.mucocilarryescalatorfunctioncels=ciliatedcolumnarepithelium
122.footdrop=commenperonealnerveinjuy

123.smasuperior mesenteric arterybloodsupply=jejunium

124.anklereflex=S1S2

125.hyocalemia=vitddef

126.pthdefscenario(deccapthdecincph)

127.nippledermatome=T4

128.ppImoa=h/katpasepump

129.rxofdka=importantElectrolytereplacement=potassiumrep

130.tbcasefromindia=dxsputumafbsmear

131.childwithgastricloss,vomiting,metabolicalkalosiselectrolyte
disturbance=duetolossofhcl

132.ccbamlodipinese=pedaledema

133.rashaftertakingmedintonsilittis=amoxicilin–pmpdueto(EBV)

134.toxicmegacolon–dxhierschprungdiseases=myentricorauerbacs
plexus

135.artrydamageinrectussheath=infepigasticvessel-arty

136.moaorNEinsepticshock=v.c

137.heamostatsisinjurymostabudandcelatend=fibroblast/platelet
plug/N/L8 Platelets then fibroblasts

138.chronicgastritisonbiopsypredominantcel
=lymphocytes/macrophages/multinucleatedgiantcel/neatrophils

139.glucagonbywhichcel=alphacelofendocrineportion
T
140.abdoiminaltrauma–
herniationofintestineintochestthrough=osephageal opening in
diaphragm or at level t7-t9level/domesoddiaphragm/centraltendon
141.scenarioofdxofpheochrocytoma–alphablockade

142.mysthaniagravissuspectedcaseopticneutitisfindings=dueto
lossofmyelanation

143.woopingcough=nasopharngealswab

144.acromegalycasescenario

Note;addevbm5question,restofotherquestionifuhaveorcomplete
themorestems&optionsifuhave,someofquestionarepoorrecalstry
toaddinthese.kindlyconfirmthekeyalsothisisjustancolectiveform
notaconfirmedone…bestoflucktoal…mayALLAHsucceedalofusin
ourgoals….staybless