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OBA
1. Popliteus muscle attach to lateral meniscus
2‐3 forget
4. Ostetis fibrous cystic (blood show inc Ca, Inc PTH) Æ renal osetodystrophy
5. injury to peroneal nb at fibula (cannot dorsiflex of foot, numbness on dorsum of foot and lateral
leg)
6.
7. Botulinum Æ bleopharspam Æ inhibit Ach release
8. Meloxicam Æ Cox2 inhibitor
9. behaviour modification of hyperactivity on child
10. serratus anterior Æ pt cannot punch
11. saber chin
12. yes movement of head Æ atlanto‐occipital joint
13. Adductor magnus
14. Leprosy (pt with white and small macula on skin, enlarge nv)
15. collagen type I on osteoid
16. Mourning – Cohn
17. PTH Æ increase serum Ca
18. LP Æ iliac crest
19. osteogenesis imperfect
20. medial epicondyle fracture Æ flexor carpi ulneris
21. external ear formation Æ 1st branchial cleft
22. Anterior communicating artery (best description)
23. posterior limb of left internal capsule affected in the pt
24. sphenoid bone fracture
25. wrong description of Neurotransmittor – NH3/COOH group
26. epilepsy – no headache
27. Amnioglycoside – ototoxicity – damage organ of corti
28. cause of blindness in vit A def Æ NW note
29.
30.
31. Loss of Ach fibres in Huntington
32. Negative supporting reflex at spinal level
33. corticospinal tract
34. leptospiral interrogans
35. Grade 3 astrocytoma‐ single mitosis
36. declarative learning is also called ‐ Single classical conditioning
37. bipolar ‐ MZ twins = 65‐85%
38. Alc dependence
39. Less weight gain for MAOI than SSRI
40. Ketamine Æ hallucination
EMQ
1. Q on Volkman ischemic contracture, Klumkle palsy, axillary nv injury, Rotation cuff tear
2. CNS – Rhomberg sign, Amyotrophic lateral sclerosis (LMN), knife injury to cord at T9,
PID at T10 Æ UMN Æ hyperreflexia of knee jerk
Femur nv peripheral neuropathy (parasthesia of both legs)
(difficult)
3. Facial muscle
Medial pterygoid, buccinators, orbicularis oculi, masseters…
MEQ
1A
4 DDx of knee pain (2M)
4 nv supply knee – common peroneal, tibial, femoral, one more forget (2M)
Intraarticular structure of knee joints and 2 function (3M)
1B
Non arthritic cause of knee pain –overuse, meniscal injury, loose body
OA – radiological finding – reduce joint space, oestocyte, cyst, in VJS note (3M)
DDx ‐ RA, Gout, septic arthritis
1C
3 treatment modalities – reduce wt, physio, IV steroid
IMMEDIATE SE of NSAID – allergy – asthma, epigastric pain (GI ulcer)
4 issue in counseling – Rx optins…. Forget…
2A IMS Q
4 DDx of vomiting (2M) – food poisoning, migraine, drug abuse, preg, acidosis
4 Hx taking in narrowing the DDx (2M)
Location of vomiting centre and inside or outside BBB (2M)
Outside, area of postrema
2B – otitis media
2 structures in Anterior and medial wall of ear (4M)
How middle ear infection will cause vertigo and vomiting? (4M)
Infection transfer to oval window to inner ear and vestibular apparatus
And stimulate the nv
2C
Increase ICP – 2 symptoms (headache, vomiting)
2 drugs for middle ear infection – gentamycin, ciprofloxacin
Circulation of CSF (2M)
3A – pt with hip fracture
Forget exactly – about Post op complication (pt is F/65)
3B‐ risk factor for surgery: pt with HT and atherosclerosis on radial artery (1M)
Common site of fracture on this pt: Hip, wrist, vertebral fracture
Location of fracture: neck of femur
External immobilization: continuous traction/ functional bracing/POP cast
How do u know the pt is healing in X ray: callus formation
3C BP in surgery, BP drop, suspect stroke in surgery
Explain y she cannot recover consciousness fully after operation
Hypoperfusion Æ stroke
What is the name given to this type of stroke? Watershed infarction
Anatomical feature of cerebral circulation lead to this type of stroke (4M)
This question is given by visiting lecture Prof IB.
OPSE
1. Part A ‐ Pathology
3 picture – Sunblast appearance – osteosarcoma
Punch out lesion of skull – multiple myeloma
Mass on the base of skull – osteosarcoma
Part B – Anatomy of hand
Flexor retinaculum
Median nv
Thenar muscle
Ulnar bursa
XXX
One more question on infection of bursa.
2. Name visual pathway (2M)
Function area of visual cortex: Brodman area 17 (2M)
Name the different type of defects (6M)
3. Blood circulation of brain
Q on MCA, anterior choroidal art, PCA, SAH
Rupture of berry aneurysm at bifurcation point of R internal carotid art.