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Ques by Ques discussion of AIPPG 2011

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1 Ques by Ques discussion of AIPPG 2011 on Thu Jan 13, 2011 6:34 pm

Healer

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Q1. Which is a branch from trunk of brachial plexus ?
1. SupraScapular Nerve
2. Long Thoracic Nerve
3. Axillary Nerve
4. Nerve to Subclavius Muscle

ans - 4



Last edited by Healer on Tue Jan 17, 2012 1:39 am; edited 1 time in total


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2 Re: Ques by Ques discussion of AIPPG 2011 on Thu Jan 13, 2011 6:36 pm

Healer

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Q2. Autorikshaw run over an 8-year-old, tyre mark over leg is called?

A. Patterned bruise
B. Imprint abrasion
C. Contusion
D. Pressure bruise
References : Given below

Answer is B Imprint abrasion

Its also called as patterned abrasion

Krishan Vij ,Text Book of Forensic Medicine and Toxicology, Principles and Practice, 2008, 4thEdn, Pages 282-283.
Pressure Abrasions (Crushing Abrasions / Imprint Abrasions): When the impact is vertical to the skin surface, the epidermis gets crushed and pressure type of abrasions result and the imprint of the impacting object may be produced. These may be seen in manual strangulation (abrasions produced by fingernails) and in hanging, where the weave of the ligature material may be reproduced.
Patterned Abrasions: Patterned abrasions occur when the force is applied at or around right angle to the surface of skin, as already mentioned……The classical example of this is seen in traffic accidents when tyre of a motor car passes over the skin leaving the pattern when the skin has been squeezed into the grooves of the rubber tread.
Reddy.K.S.N,The Essentials of Forensic Medicine and Toxicology, 2006, 25th Edn, Pages 156-157.
Patterned bruising is also seen in motor car accidents.
Answer: Imprint Abrasion is to be preferred as most appropriate alternate to Patterned Bruise, since,
1. Imprint abrasion and patterned abrasion are the same.
2. Patterned abrasion (imprint abrasion) is the classical example of tyre mark
3. Tyre will produce patterned bruise usually, if in association with abrasions


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3 Re: Ques by Ques discussion of AIPPG 2011 on Thu Jan 13, 2011 8:16 pm

Healer

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Q3. Mineralocorticoid receptors are present in all except ( REPEAT )

1) Hippocampus
2) Brain
3) Liver
4) Kidney

Answer 3) Liver


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4 Re: Ques by Ques discussion of AIPPG 2011 on Thu Jan 13, 2011 8:21 pm

Healer

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Q4. Clue Cells are found in
A) Candida
B) Bacterial Vaginosis
C) Trichomonas Vaginalis
D) Chlamydial infection

Ans - B) Bacterial Vaginosis


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5 Re: Ques by Ques discussion of AIPPG 2011 on Thu Jan 13, 2011 8:24 pm

Healer

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Q5. A teenage girl complaints of pain over the knee. The pain increase while starting to stand from sitting position and while walking upstairs. What is the likely diagnosis?

1. Chondromalacia of patella
2. Patellar Fracture
3. Torn Meniscus
4. Bipartite Patella

Answer - 1. Chondromalacia of patella

Chondromalacia patellae means "soft cartilage under the knee cap," a presumed cause of pain at the front of the knee. This condition often affects young .The pain of chondromalacia patellae is typically felt after prolonged sitting, like for a movie, and so is also called "movie sign" or "theater sign".


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6 Re: Ques by Ques discussion of AIPPG 2011 on Thu Jan 13, 2011 8:50 pm

Healer

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Q6. Blount’s disease is present as

1. Genu recurvatum
2. Genu varum
3. Genu Valgum
4.

Answer - 2. Genu Varum

Refrence - Turek's Ortho

TIBIA VARA (BLOUNT'S DISEASE)





Tibia vara is the most frequent nonphysiologic cause of genu varum in children and adolescents. It is considered to be a developmental condition, which affects posteromedial aspect of the proximal medial tibial physis, resulting in a progressive varus deformity. Biopsy of the lesions reveals disorganized physeal cartilage with abnormally large groups of capillaries, densely packed hypertrophic chondrocytes, and islands of almost acellular fibrous tissue. Both fibrovascular and cartilaginous reparative tissue can be found at the physeal-metaphyseal junction. Infants affected by this condition are usually of black or Mediterranean origin, often have a history of early walking, and are in the upper percentile of weight for height. Examination of the child with tibia vara reveals an angular deformity discernable just below the knee. In contrast, young child with physiologic genu varum will have a more gentle curvature of the entire extremity. A lateral thrust, indicating laxity of the lateral ligamentous complex, may be seen in children over the age of 3 with tibia vara.
It is generally subdivided into infantile and late onset forms. Infantile Blount's disease may be difficult to diagnose in its early form until 2 years of age, when the radiographic changes suggestive of infantile tibia vara are more evident (Figure 18-5). The Langenskiöld radiographic staging classification reflects the progression of tibia vara in untreated cases. The natural history of untreated cases is to progress to complete medial physeal arrest, which can occur by the age of 6 (Figure 18-6). In such an event, subsequent treatment is difficult, because both angular deformity and tibial shortening must be addressed. Other radiographic criteria have been developed, such as the metaphyseal-diaphyseal angle for the early diagnosis of Blount's disease. Some children with metaphyseal-diaphyseal angles described as compatible with infantile tibia vara (an angle of 16° is currently accepted) spontaneously improve without treatment; at the present, this differentiation continues to be very difficult in the early Langenskiöld stages.

FIGURE 18-5. Anteroposterior radiograph of a 3-year-old boy with infantile tibia vara. Prominent beaking of the medial metaphysis and varus angulation at the epiphyseal-metaphyseal junction are evident.

The role of bracing remains unclear; however, brace management in patients younger than 3 years old may be successful in correcting the mild deformity. Obesity, instability, and delayed bracing are considered as risk factors for failure. Early valgus osteotomy before 4 years of age is strongly recommended to minimize deformity of the proximal medial physis. With this in mind, overcorrection into 5 to 10° valgus angulation beyond normal should be the goal. The pathology of late onset tibia vara between the ages of 6 and 13 is similar to that of
P.579
infantile tibial vara; however, because growth at the tibia is closer to maturity in the adolescent, bracing is not effective. Various techniques, including plate, monolateral, or circular external fixation, have been described to maintain position after osteotomy. Use of rigid external fixation with acute or gradual correction allows accurate alignment of the lower extremity and prevents complications such as nerve palsy, compartment syndrome, overcorrection, or undercorrection. For those adolescent patients with significant growth remaining, consider selective lateral epiphysiodesis. The rate of correction following this procedure has been reported to be 4° per year.


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7 Re: Ques by Ques discussion of AIPPG 2011 on Thu Jan 13, 2011 8:55 pm

Healer

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Q 7. 32 yr male a known hypertensive planned for cholecystectomy . which of following is contraindicated
1. propofol
2. ketamine
3. midazolam
4. thiopentol

ANS 2. Ketamine

Ketamine causes a rise in intracranial pressure and should not be used in patients who have sustained a recent head injury.
The blood pressure rises by about 25% (on average the systolic pressure rises by 20-30 mmHg) and the heart rate is increased by about 20% - the overall effect is therefore to increase the workload of the heart.
The pressure within the eyeball (intra-ocular pressure) rises for a short time following administration.

All pressures are increased.


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8 Re: Ques by Ques discussion of AIPPG 2011 on Thu Jan 13, 2011 8:58 pm

Healer

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Q8. Which is present in Pentology of fallot : (repeat)
1. ASD
2. VSD
3. Right Ventricular Hypertrophy
4. Pulmonary stenosis

Answer 1. ASD


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9 Re: Ques by Ques discussion of AIPPG 2011 on Fri Jan 14, 2011 12:44 am

Healer

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Q9. All are true about Nesidioblastosis except ?

1. Hypoglycemic Episodes are seen
2. Occurs in adults more than child
3. Histopathology shows Hyperplasia of Islet cells
4. Diazoxide is used in treatment

Answer 2. Occurs in adults more than child

Nesidioblastosis is hyperinsulinemic hypoglycemia attributed to excessive function of pancreatic beta cells with an abnormal microscopic appearance. The abnormal histologic aspects of the tissue included the presence of islet cell enlargement, islet cell dysplasia, beta cells budding from ductal epithelium, and islets in apposition to ducts.Most common age group 2 – 3 years


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10 Hello on Sat Feb 05, 2011 4:06 pm

vishalm_18


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Thanks for all inputs given by the users

11 Re: Ques by Ques discussion of AIPPG 2011 on Thu Feb 10, 2011 9:14 pm

smjsri


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thanks

12 Re: Ques by Ques discussion of AIPPG 2011 on Fri Mar 04, 2011 2:43 am

jyothsna223@gmail.com


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Thank You !

13 Re: Ques by Ques discussion of AIPPG 2011 on Fri Apr 08, 2011 8:23 pm

kareena


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No confusion here:

Pressure Abrasions
(Crushing Abrasions / Imprint Abrasions):

When the impact is vertical to the skin surface, the epidermis gets crushed and pressure type of abrasions result and the imprint of the impacting object may be produced. These may be seen in manual strangulation (abrasions produced by fingernails) and in hanging, where the weave of the ligature material may be reproduced.

Patterned Abrasions: Patterned abrasions occur when the force is applied at or around right angle to the surface of skin, as already mentioned.

The classical example of this is seen in traffic accidents when tyre of a motor car passes over the skin leaving the pattern when the skin has been squeezed into the grooves of the rubber tread.

14 Re: Ques by Ques discussion of AIPPG 2011 on Fri Apr 08, 2011 8:26 pm

kareena


Just Entered
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various classifications, osteotomies, fractures, rare orthopedic diseases.
APLEYS System of Orthopedics
EBZNGER
*PG Entrance* notes

15 Re: Ques by Ques discussion of AIPPG 2011 on Fri Apr 08, 2011 8:29 pm

kareena


Just Entered
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Mineralocorticoid receptors are present in
1) Hippocampus
2) Brain
3) Kidney

NO BOOK MENTIONS LIVER

(REFERENCE FROM GANONG,GUYTON, AAA,MUDIT KHANNA)

16 Re: Ques by Ques discussion of AIPPG 2011 on Wed Aug 03, 2011 2:33 pm

srilini


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thanks

17 Re: Ques by Ques discussion of AIPPG 2011 on Thu Aug 04, 2011 8:56 am

jai_380


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nice post

18 Re: Ques by Ques discussion of AIPPG 2011 on Fri Aug 12, 2011 9:31 pm

Swati Sharma


Newbie
Newbie
THANKS

19 nice thread on Wed Nov 02, 2011 5:01 pm

raathri


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thank u for sharing such a great work

20 Re: Ques by Ques discussion of AIPPG 2011 on Wed Nov 16, 2011 5:18 pm

pg13aspirant


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well done

21 well done on Wed Nov 16, 2011 5:20 pm

pg13aspirant


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well done

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