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Last Hour Review 2020 by Mci Gurukul Dr

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Last Hour Review 2020 by Mci Gurukul Dr MCI GURUKUL DELHI LAST HOUR REVIEW This is 9th EDITION OF LAST HOUR REVIEW for students preparing for coming FMGE/NEET- PG/DNB Exam. THIS BOOK IS MEANT TO GIVE FINAL TOUCH FOR UPCOMING FMGE/NEET-PG/DNB HURDLE. Subjectwise important points LAST HOUR REVIEW IS DIVIDED IN 10 SECTION’s SECTION :1 IMAGE BASED QUESTION ASKED IN FMGE SECTION :2 few QUESTIONS OF FMGE IN ONE LINER SECTION :3 200 EXPECTED POINTS FOR FMGE SECTION :4 Expected DRUGS OF CHOICE FOR NBE EXAM SECTION :5 Expected Investigation of choice for NBE exam SECTION :6 Expected RATE LIMITING ENZYME & expected CONCEPT OF BIOCHEMISTRY for NBE EXAM SECTION :7 Triads, Tetrads, Pentads IMPORTANT FOR NBE EXAM SECTION :8 Expected table for NBE exam SECTION :9 expected IPC Section FOR NBE EXAM SECTION :10 expected images for NBE exam SECTION :11 expected X- RAY for NBE exam BEST REGARDS DR. ARMAAN CHOURASIYA (DIRECTOR) MCI GURUKUL DELHI ANATOMY 1. Shape of left adrenal gland is semilunar. 2. Cisterna chyli structure does not pass through diaphragm. 3. Base of the heart is formed by LA. 4. Winging of scapula is due to paralysis of Serratus anterior muscle. 5. Inferior vena cava formed at L5. 6. Muller muscle supplied by Sympathetic nerve. 7. Arnold nerve is a branch of Vagus nerve. 8. Left gonadal vein drain into Left renal vein. 9. Inferior vena cava is not valveless. 10. Long head of tricepes brachii muscle covers both elbow and shoulder joint. 11. Fundus of stomach is supplied by Splenic Artery. 12. Anatomical snuff box content Radial Artery. 13. Ovarian Artery is a branch of Abdominal Aorta. 14. Superior rectal artery is not a branch of internal iliac artery. 15. Gonadal artery is not a ventral branch of abdominal aorta. 16. Superior rectal artery is a direct branch of inferior mesenteric artery. 17. Collecting duct is derived from Ureteric bud. 18. Efferent cremastric reflex is carried by Genito-femoral nerve. 19. Spermatogonium to spermatozoon in 64 days. 20. Supination and pronation of upper limb is due to Radio-ulnar joint. 21. Seminal vesicles is not in posterior relationship to rectum. 22. Intestinal looping has no anterior relation to right kidney. 23. Primary spermatocyte is larger in size than secondary spermatocyte , spermatozoa & spermatogonium. Physiology 1. Decrease blood amino acid is not an action of cortisol. 2. T4 to T3 conversion in peripheral tissues done by D2 deiodinase. 3. Adrenal medulla secretes Neuro hormones. 4. Gestric emptying is maximum affected by lipids. 5. TSH is a negative feedback hormone. 6. Brain contains Glutamate (Neuro transmitter). Biochemistry 1. Gluconeogenesis occurs in both cytoplasm and mitochondria. 2. Alpha linoleic acid is not a derivative of omega-6. 3. VLDL transport cholesterol from liver to plasma. 4. APO-100 & APO-E present in liver for uptake of LDL. 5. Radiations affects DNA. 6. TPP used in transamination. 7. In Alkaptunuria deficiency is homogentisate oxidase. 8. Sickle cell disease present with base pair substitution. 9. Max Cholesterol-LDL , Max Endogenous TG- VLDL , Max TG- Chylomicrone, Max Exogenous TG- Chylomicrone . 10. Marcaptopourine is nucleotide analogue. 11. EMP pathway is a source of ATP in RBC cells. 12. Conversion of norepinephrine to epinephrine is Demthylation. 13. Phenylalanine hydroxylase is used to convert phenylalanine to tyrosine. 14. Methylcobalamin required for methionine synthase. 15. Cysteinuria presents with excess of cysteine. 16. Beta oxidation of odd chain fatty acid produces Acetyl CoA and Propionyl CoA. 17. Gluconeogenesis is inhibited by insulin. Pharmacology 1. Low molecular weight heparin affects Factor Xa. 2. Orphan drugs used for rare disease. 3. A diabetic patient with hypertension preferred ACE inhibitor. 4. All ACE inhibitor are prodrug except Captopril and Lisinopril. 5. ACE inhibitor contraindicated in bilateral renal artery stenosis. 6. Febuxostat is anti-gout and xanthine oxidase inhibitor. 7. 200 number of patients in phase -II clinical trial & phase –III is most important phase. 8. Category X drugs are warfarin, methotrexate simvastatin not alprazolam. 9. Captopril(ACE inhibitors) is a drug with first dose effect. 10. NA+ valproate used in generalized tonic clonic seizure. 11. 30 year old female with partial seizure. Drug of choice is Carbamazepine. 12. Phenoxybezamin is irreversible Alpha-1 adrenoreceptor antagonist. 13. Non sympathomimetic most likely bronchodilator in COPD is Ipratropium bromide. 14. Shortest acting mydriatics is tropicamide. 15. A farmer presented in OPD clinic with sweating, lacrimation, pinpoint pupils: organ phosphate poisoning possible. 16. Streptomycin is contraindicated throughout the pregnancy . 17. Oto toxicity caused by streptomycin. 18. Choloroquine will cause hemolysis in G6PD patients. PATHOLOGY 1. Percentage of blasts in AML is 20%. 2. Pseudo pancreatic cyst secretes amylase. 3. Duchene-muscular dystrophy is X-linked recessive. 4. Albinism is autosomal recessive. 5. Nodular selerosis is most commom Hodgkin’s lymphoma. 6. Decrease in AFP is found in down syndrome. 7. Alpha feto-protein is decrease in down syndrome. MICROBIOLOGY 1. Incubation period of salmonella is 7-21 Days. 2. Taeniasis is not an example of Zoonoses. 3. Antibody is attached to surface of bacteria and phagocytized. 4. Food poisoning 2 hours after intake of food : Staphylococcus aureus. 5. Centrifugal Rash in Chicken pox. 6. Incubation period of diphtheria is 2-3 days. 7. Staph aureus becomes resistant to methicillin due to Transpeptidase. 8. HUS is caused by EHEC. 9. Traveller’s diarrhea is caused by ETEC. 10. Thayer martin agar medium is for N. Meningitis. 11. Certimide agar isolate Pseudomonas. 12. Streptococcus causes Cellulitis. FORENSIC MEDICINE 1. A Child who is born to an unmarried women is called Illegitimate child. 2. A Suppositious child is one produced by a women whom claims it as her own whereas in actual fact it is not her child. 3. Phytobezoar is Intake of indigestible plant materials. 4. A 28 year female did suicide . on the site it was noticed that her feet was not touching the ground than Saliva dribbling to the opposite side of the knot shows its suicidal not homicidal. 5. Presence of carbonaceous deposits is seen in antemortum burns. 6. Blood alcohal level while driving should be 30 mg %. 7. Injured person admitted in hospital for 21 days is not a Criteria for grievous hurt. 8. Pleasure in touching opposite sex is frotteurim. 9. Hurt is defined by IPC 319. 10. Dowry death investigation is done by Megsitrate. 11. Bitten by krait .Manifestation would be Neurotoxic. PSM 1. Iodised salt is given in an area which has risk of developing goiter . This is a primary level of prevention done by Specific protection. 2. Exclusive breast feeding is upto 6 months. 3. 100% birth & death registration is true about national population policy 2000. 4. Decease mortality rate is millennium development goal 2000. 5. Sharp rise and fall is in number of cases is point source or single exposure epidemics. 6. Changes in occurrence of a disease over a long period of time is Secular trend. 7. Most cases of oral cancer is due to 90% in south east asia population are linked by tobacco chewing. 8. Panchayat samiti is seen in block. 9. ODD RATIO = (DISEASE +ve IN SMOKER ) X ( DISEASE –ve IN NON SMOKER ) / = (DISEASE +ve IN NON SMOKER ) X ( DISEASE –ve IN SMOKER ) 40 out of 100 smokers and 20 out of 100 non smokers developed lung cancer than Odd ratio = 40 x 80 / 20 x 60 = 2.6 10. Red colour is of highest priority in emergency triage. 11. 1st case seen by an investigator is Index case. 12. 1000 mg of iron given during pregnancy. 13. Best contraceptive for a lactating female is progesterone only pill. 14. In a baby ward temperature should be 29-31 degree Celsius. 15. Ebola virus spread through contact of body fluids. 16. Methionine(amino acid) is deficient in pulses. 17. Vitamin D found in fish liver oil. 18. Chronic malnutrition is assessed by height/age. 19. Refrigerated breast milk can be kept for 24 hours, in freezer 3 months and upto 6-8 hour at room temperature. 20. In cholera epidemic safe water supply and sanitation should be first taken care of. 21. Vitamin B is not an antioxidant. 22. Toxin in epidemic dropsy is sanguinarine. 23. CHC level : 30 beds and 30 staff including 7 PG doctors. PHC level : 4-6 beds, 15 staff and 1 MBBS & medical officer. Sub center level : 0 bed, 3 staff, 1 male and 1 female. 24. Critical path method shown by time. 25. Immunization is primary type of prevention. ENT 1. Normal hearing capacity is from 20 - 20,000 hz. 2. Noise induce hearing loss seen maximum at 5-6 khz. 3. Moderately severe hearing loss 56-70 db. 4. Henebert sign is seen in menier’s disease. 5. In case of BPPV posterior semicircular canal affected. 6. Acute otitis media most commonly caused by streptococcus pneumonia. 7. Most common intracranial manifestation of late chronic otitis media is temporalis fascia. 8. Caldwell luc’s operation is done for maxillay sinusitis. 9. Cause of Rhinosporidiosis is fungal . 10. Bullous myringitis is caused by virus(adenovirus). 11. Recurrent laryngeal nerve not supply cricothyroid. 12. Ramsay hunt syndrome is due to herpes zoster virus. ORTHOPAEDICS 1. A 35 yrs old female presented with MCP and PIP pain diagnosis would be rheumatoid arthritis. 2. A 7 year old boy presented with bony pain X-ray wrist revels rickets will be treated by vitamin D. 3. Drug of choice for acute gouty arthritis is indomethacine. 4. In Colles’ fracture extensor policis longus likely to rupture. 5. Osteomyelitis earliest X ray finding is periosteal reaction. OPHTHALMOLOGY 1. In case penetrating injury to eye shield should be done first. 2. While examining macula, the examiner asks the patient to look straight .
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