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medpgnotes
1
MEDICAL ONELINERS
Contents
AMINO ACID......................................................................................................................................................................................................................................................... 3
BEST TIME ............................................................................................................................................................................................................................................................ 3
BURSA AND SPACES ......................................................................................................................................................................................................................................... 3
CLASSIFICATION OF STEROID HORMONES............................................................................................................................................................................................ 4
COUNTRY, STATE AND CITIES ..................................................................................................................................................................................................................... 4
CURVE .................................................................................................................................................................................................................................................................... 4
INTERLEUKINS ................................................................................................................................................................................................................................................... 4
DERMATOME ...................................................................................................................................................................................................................................................... 5
DISEASE ................................................................................................................................................................................................................................................................. 5
DRUGS ................................................................................................................................................................................................................................................................. 12
SOURCE OF ENERGY...................................................................................................................................................................................................................................... 14
ENZYMES ........................................................................................................................................................................................................................................................... 15
FINDING ............................................................................................................................................................................................................................................................. 16
GAS ....................................................................................................................................................................................................................................................................... 18
HOST .................................................................................................................................................................................................................................................................... 18
INFECTIOUS DISEASE ................................................................................................................................................................................................................................... 19
INSTRUMENT ................................................................................................................................................................................................................................................... 20
INVESTIGATION .............................................................................................................................................................................................................................................. 20
ION ........................................................................................................................................................................................................................................................................ 22
LIGAMENT ......................................................................................................................................................................................................................................................... 22
LOBES AND FISSURES OF LIVER .............................................................................................................................................................................................................. 23
MICROMOLECULE .......................................................................................................................................................................................................................................... 23
MUSCLE .............................................................................................................................................................................................................................................................. 25
NEOPLASM ........................................................................................................................................................................................................................................................ 26
NEUROTRANSMITTER ................................................................................................................................................................................................................................. 28
NUMERICALS.................................................................................................................................................................................................................................................... 28
ORGANELLE ...................................................................................................................................................................................................................................................... 30
PART OF BODY................................................................................................................................................................................................................................................. 30
FEMALE PELVIS .............................................................................................................................................................................................................................................. 34
REFLEX ............................................................................................................................................................................................................................................................... 34
RELATIONS ....................................................................................................................................................................................................................................................... 34
SAMPLE .............................................................................................................................................................................................................................................................. 35
SECRETIONS ..................................................................................................................................................................................................................................................... 35
STOMACH........................................................................................................................................................................................................................................................... 35
STRATUM ........................................................................................................................................................................................................................................................... 35
SURGICAL PROCEDURES ............................................................................................................................................................................................................................. 35
SYMPTOM .......................................................................................................................................................................................................................................................... 37
TREATMENT..................................................................................................................................................................................................................................................... 37
ALL EXCEPT ...................................................................................................................................................................................................................................................... 38
CATCHY POINTS.............................................................................................................................................................................................................................................. 39
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MEDICAL ONELINERS
BECAUSE ............................................................................................................................................................................................................................................................ 43
FACT..................................................................................................................................................................................................................................................................... 44
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AMINO ACID 3
MEDICAL ONELINERS
AMINO ACID
NO synthesized from L arginine
Limiting aminoacid in Soya bean Methionine
Carnitine endogenously synthesized from Lysine & Methionine (Liver & Kidney)
Storage and transport form of ammonia Glutamine
Tyrosine is precursor for Catecholamine,Thyroxine,Melanin
Reducing action of glutathione due to Cysteine
Precursor of Homocysteine Methionine
Major methyl group donor in body S-adenosyl methionine
Precursor of Nitric acid Arginine
Precursor of Niacin & Seratonin Tryptophan
60 mg of tryptophan give 1 mg niacin
Tryptophan aka α-amino β-3 indole propionic acid
Niacin deficiency seen in Maize eaters,Carcinoid syndrome,Hartnup disease
Greatest tendency to form α-helix Alanine
Least tendency to form α-helix Proline,glycine
Histamine is formed by decarboxylation of Histidine
BEST TIME
Time for collecting urine samples in Tb kidney Early morning
Time limit for Exhumation No Time Limit
Second Polar body release At the time of Fertilisation
Best time for episiotomy in Breech Climbing of Perineum
Best Time for Platelet Ligation in ITP After ligating Splenic artery
Preferred time for prophylactic antibiotic At the time of induction of anaesthesia
administration for surgery
Optimum time for nerve suture after open injury Wound free from infection
Ideal time for Preoperative shaving Just before surgery
In cholecystectomy, FFP given Just before surgery
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MEDICAL ONELINERS
CURVE
WHO reference curves are based on National centre for Health Statistics (USA)
Curve for Prolonged Labour Friedman’s curve
Type of myoglobin O2 curve Hyperbolic
O2 Hb dissociation curve in exercise Shift towards right
Equilibrium potential of an ion is calculated using Nernst Equation
Equilibrium potential of Multiple Ions Goldman Hodgkin Kantz equation
Acid base Composition of Blood Method Siggard Anderson method
INTERLEUKINS
IL-1 produced by T Lymphocyte activation
IL-2 is produced by T cells
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DERMATOME 5
MEDICAL ONELINERS
DERMATOME
Dermatome of lateral aspect of arm including deltoid C5
patch
Dermatome for thumb C6
Dermatome for Ring Finger C8
Dermatome for Lateral side of Great toe L4
nd
Dermatome for Lateral side of 2 digit L5
Dermatome for little toe or lateral side of foot S1
DISEASE
Hypoglycemia and hepatomegaly not responding to Von Gierke disease
epinephrine
Caisson disease is Gas embolism
Heimlich Valve used for drainage of Pneumothorax
Erythema chronicum migrans Lyme’s disease
Bilateral Pulseless disease in Upper Limb Takayasu Aortoarteritis
Lymphovenous anastomosis is done for Filarial Lymphedema
Pseudohyponatremia Multiple Myeloma
Barley water fluid appearance Spermatocele
Chronic persistent priapism in children may be due to Leukemia
Epispadiasis associated with Bladder exstrophy
Dorsal Chordae
Complication commonly accompanying Acute Seminal Vesiculitis
Prostatitis
Meconium ileus associated with Fibrocystic disease of Pancreas
Autonephrectomy TB kidney
Unilateral smooth kidney is seen in Renal artery stenosis
Sac containing only portion of circumference of Richter’s hernia
intestine
Ventral hernia is an Incisional hernia
Mayo’s operation Umbilical hernia
Trus CANNOT prevent progression of Sliding hernia
Spigelian Hernia is seen in Sub Umbilical Region
Hernia least likely to strangulate Direct Inguinal Hernia
Viscera is the wall of hernia Sliding hernia
Hernia simulating Peptic Ulcer Fatty Hernia of Linea Alba
Pyoderma Gangrenosum most commonly associated Ulcerative Colitis
with`
Extraintestinal manifestation of Ulcerative colitis that Primary Sclerosing Sholangitis
does NOT respond to Colostomy
Retractile Mesenteritis Ormond’s disease
Pseudochylous ascites Malignant ascites
Odourless Peritoneal fluid Perforated Peritoneal Ulcer
Primary Peritonitis with Pneumococcus associated with Nephrotic syndrome
Which does not cause increase in size of Spllen in Late Sickle Cell anaemia
stage
H.pylori causes carcinoma by Gastric metaplasia
Lesser Curvature anterior Seromyotomy done for Duodenal Ulcer
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DISEASE 6
MEDICAL ONELINERS
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DISEASE 7
MEDICAL ONELINERS
Jaundice with clay stools,Giant cells on liver biopsy Neonatal Hepatitis with Extrahepatic biliary atresia
Giant cell neonatal hepatitis due to α1- antitrypsin deficiency
Prototype of Intrahepatic Cholestasis Neonatal Hepatitis
Prototype of Extrahepatic Cholestasis Biliary Atresia
Esophageal varices with no heptomegaly,no ascites Non cirrhotic portal fibrosis
Bloody diarrhea in children with abdominal distension Intussusception
Child born to SLE mother Heart block
Acute onset of hypertension in children Acute Glomerulonephritis
Recurrent painless gross hematuria IgA Nephropathy
Cause of Persistent hypertension in Children Renal Parenchymal Lesion
Ebstein anomaly associated with Tricuspid atresia
Infective Endocarditis NOT seen in ASD
Chief danger in children with paroxysmal atrial CCF
tachycardia
Ejection Systolic murmur,Acyanotic child Coarctation
Central Cyanosis,Left Ventricular Hypertrophy,Left axis Tricuspid atresia
deviation
Cause of bloody vomitus in infants Intussusception
Gastric aspirate >20 ml at birth Duodenal atresia
Glistening spots in tubal serosa Para ovarian cyst
Ball’s Operation Pruritis Vulvae
Transcervical Endometrial resection DUB
Laparascopy best avoided in patient with COPD
Disease that CANNOT be diagnosed by Amniocentesis Cleft Lip
Least common anomaly in diabetic Pregnancy Caudal Regression Syndrome
Post Term Labour seen in Anencephaly
Genital infection associated with Preterm Labour Bacterial Vaginosis
Sudden visual loss in PIH due to Retinal Detachment
In autopsy,Pathognomic Lesion of Eclampsia seen in Kidney
Couvelaire Uterus Abruptio Placenta
Partogram helps in detecting Obstructed Labour
Earliest detectable Fetal anomaly Anencephaly
Porphyria in which patient not photosensitive Acute Intermittent Porphyria
Anthracosis Coal Dust
Byssinosis Cotton
Disease altering finger prints Leprosy
Mosaic pattern of Lamellar bone Paget’s disease
Nodular Regenerative Hyperplasia associated with Portal Hypertension
Earliest manifestation of Interstitial fibrosis Alveolitis
Bronchoalveolar lavage finding in Primary Alveolar Milky appearance, PAS positive lipoproteinaceous
proteinosis material
GBM appearance in MPGN Tram track/Double contour appearance
Hallmark of FSGN Degeneration 7 focal disruption of Visceral epithelial
cells
Worst Prognosis FSGN Collapsing FSGN
Urinalysis in Chronic lomerulonephritis Broad waxy casts
Commonest cardiac manifestation in carcinoid Tricuspid regurgitation
Characteristic of Buerger’s disease Segmental thrombosing vasculitis extends into
contiguous veins & nerves
Cardiac cirrhosis Nutmeg cells
Cause of Mitral Regurgitation Myxomatous degeneration
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DISEASE 8
MEDICAL ONELINERS
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DISEASE 9
MEDICAL ONELINERS
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DISEASE 10
MEDICAL ONELINERS
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DISEASE 11
MEDICAL ONELINERS
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DRUGS 12
MEDICAL ONELINERS
associated with
Distended abdomen in Intestinal obstruction due to Swallowed air
Least common type of Intussusception Multiple
Primary feature of Small bowel obstruction High peristalsis with colic
Movement aggravating pain in Retrocaecal appendicitis Extension
Keloid scar made up of Dense Collagen
Best Scar seen in Very Old People
Dermoid arise from Totipotent cell
Fruit juice preventing UTI Cranberry
OPD management of Gastric Outlet Obstruction Normal Saline + Potassium
Fluid having highest concentration of Potassium Darrow’s Solution
Fever in burns is due to Hypermetabolism & Infection
Heat Loss in burns is due to Exposed area by evaporation
Undue Restlessness in Post Burn Period is due to Anxiety
Type of Fever in DVT Low grade
Hypotension in Acute Spinal injury due to Loss of Sympathetic tone
Penetrating neck injury defined by Breach in Platysma
Raccon Eyes Fracture of Anterior Cranial fossa
Fracture associated with Facial nerve palsy Middle Cranial fossa
Aminopeptidase is elevated in obstruction of CBD
DRUGS
Highly Specific on S phase Cytarabine
High Incidence of Secondary Neoplasm Melphalan
Proteosome Inhibitor Bortezomib
5HT3 antagonist to control Diarrhoea Alosteran
Latest drug for Unprotected Sexual Intercourse Uliprostol (SPRM)
Immunomodulator for Psoriasi Alefacept
Antimalarial Showing Neuropsychiatric Manifestation Mefloquine
Antifungal Effective for Mucormycosi Posconazole
Fluoroquinolone effective for Meningitis Pfloxacin
Ketolide Telithromycin
Fluoroquinolone 50% Kidney wlimination 50% Liver Sparfloxacin
Elimination
Antiamoebic with Less Neurological Side effects Sertanidazole
Topical drug –Herpes Labialis Docosonal
Thiazide Diuretic effective in Renal Failure Matalozone
Hirsutism Eflornithine (Antihelminth inhibiting Ornithine
Decarboxylase)
Active Metabolite of Spironolactone Carnenone
Primary Pulmonary Hypertension – First Line Calcium Channel blocker
Rho Kinase Inhibitor Fausidil (SAH)
Multi Ion channel locker AF to Normal Sinus Rhythm Vernakalant
Recombinant GH Analogue Somatropin,Somatrem
Recombinant GRH Analogue Somatorelin,Hexarelin
Recombinant IGF I Mecasermin
Selective Estrogen Receptor Downregulator Fulvestrant
Selective Progesterone Receptor Modulator Asoprisnil
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DRUGS 13
MEDICAL ONELINERS
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SOURCE OF ENERGY 14
MEDICAL ONELINERS
SOURCE OF ENERGY
Important source of energy for cardiac myocytes Fatty acid
Energy of emitted photon in fluorescence resonance Lower energy than excited light
energy transfer
Energy sorce for muscle at rest & light exercise Free fatty acid
Energy source for muscle insevere exercise Carbohydrates
Major source of energy derived from Glycogen (Carbohydrate)
Precursor for ketone bodies in Liver Free Fatty acid
Fuel used by brain during starvation Ketone bodies
Hind milk rich in Fat
Fatty acid necessary during 0-6 months Linoleic acid
Plasma membrane is made of Proteins>Lipids>Carbohydrates
Which is absent in Plasma membrane Triglyceride
Membrane fluidity is increased by Linoleic acid
Transition temperature of lipid bilayer increased by Saturated fatty acids
Addition of PUFA to membrane causes Increased fluidity of membrane
Agranular Cytoplasmic reticulum (Smooth ER) involved Lipid
in synthesis of
Action of Surfactant in human body done by Lipid & Protein
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ENZYMES 15
MEDICAL ONELINERS
ENZYMES
Enzyme blocked by Etomidate 11β- Hydroxylase
S.aureus remains in skin for long time Hyaluronidase
because of
Pol encodes Reverse transcriptase
Gag encodes Core antigen
Respiratory burst oxidase NADPH oxidase
Acetyl CoA Carboxylase also known as Malonyl CoA Synthetase
Highest Concentration of Lipoprotein Cardiac muscle (Low Km)
Lipase
HMG CoA reductase activity increased Insulin,Thyroid
by
Effect of HMG Coa reductase Inhibitor Decrease LDL,Triglyceride
on Lipid Increase HDL,LDL receptor
Double helix unwound by Helicase
Positive Supercoils removed by Topoisomerase I & II
Peptdyl transferase activity 28sRNA,23sRNA
One package containing site specific Recombinase
endonuclease and ligase
Function of Lambda Exonuclease Removes nucleotide from 5’ end of ds DNA to expose single strand 3’
end
Fuction of Exonuclease III Removes nucleotide from 3’ end of DNA
Function of S1 nuclease Degrades single stranded DNA
Function of Thermostable DNA Synthesizes dsDNa from ssDNA
Polymerase I
Function of Reverse transcriptase Synthesise DNA from RNA template
Enzyme protecting aerobic organism Superoxide dismutase
against O2 toxicity
Example for functional enzyme Lipoprotein Lipase
Non functional Enzyme Acid Phosphatase
Alkaline Phosphatase
γ-Glutamyl Transpeptidase
Enzyme affected in deficiency of Trypsin
enteropeptidase
Suicidal Enzyme Cyclooxygenase
Metalloprotein help in jaundice by Inhibiting heme oxygenase
Predominantly mitochondrial liver Glutamate dehydrogenase
enzyme SGOT (Aspartate Transaminase)
cAMP formed from ATP by Adenyl cyclase
cAMP acts through Activation of Protein kinase
Insulin acts through Tyrosine Kinase
Calcium Calmodulin complex activates Myosin Light chain kinase Phosphorylase Kinase
Enzyme not acting within cell Trypsin
Apparent Mineralocorticoid excess due Absence of 11β-hydroxysteroid type II
to
In kidney,bicarbonate is produced by Carbonic anhydrase
Intrinsic factor of Castle is secreted by Parietal (Oxyntic) cells
Outer zone muscle cells secrete Mucus,HCO3-
Parietal (Oxyntic) cells secrete HCL,Intrinsic factor
Chief/Peptic cells(Zymogen cells) Pepsinogen
secrete
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FINDING 16
MEDICAL ONELINERS
FINDING
Gait Disturbance in Conversion Disorder Atasia Abasia
Neurofinding in Major Depression Decreased blood flow and metabolism of Prefrontal
Cortex (Esp Left)
Common Feature of Non Recurrent Anterior Dislocation Rupture of Anterior Capsule
of Shoulder
Radiological Hallmark of Spinal Cord Tethering Presence of Conus below ormal Level of L1 & L2 after
age of 2 months
Earliest sign in paradiscal type of TB spine Reduction of Disc Space
Earliest detectable sign of Diabetic Retinopathy Microaneurysm
Earliest Indication of Optic Nerve damage even with Marcus Gun Pupil/RAPD
Normal Vision
Delay in VEP is an important sign of Past Attack of Retrobulbar Neuritis
Sure sign of Congenital Myogenic Ptosis Lid Lag
Characteristic feature of Hereditary Spherocytosis Decreased MCV,Increased MCHC,Increased Osmotic
Fragility
Earliest Abnormality in Diabetic Nephropathy Thickening of Basement Membrane
Pathognomic Lesion in Diabetic Nephropathy Nodular Sclerosis/Intracapillary Glomerulosclerosis
(Kimmelstein Wilson)
Low pitched delayed Diastolic Murmur in Rheumatic Carey Coomb murmur
Fever
Low pitched delayed Diastolic Murmur in Severe Austin Flint Murmur
Chronic AR
Earliest change in peripheral blood after blood loss Leucocytosis
Histological cells of Rhabdomyoma cardis Spider Cells
Earliest histologic change due to ischemia in first 24 Red Neuron formation
hours
Hallmark of Atherosclerotic Plaque Foam cells (by LDL)
Characteristic feature of Fabry disease Cutaneous angiokeratoma
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FINDING 17
MEDICAL ONELINERS
Painful acroparaesthesia
Characteristic feature of tay sach’s disease Cherry red Spot
Earliest USG sign of pregnancy in Transabdominal USG Fundal Endometrial thickening
Omnious sign indicating fetal compromise in Doppler Reversed Diastolic flow followed by absent diastolic
flow
Surest sign of Salpingitis Seropurulent discharge from Fimbrial part
Sign of Inoperability in Ovarian tumour Peritoneal adhesion
Uncommon finding in CCF in newborn Pedal edema
Severe Paradoxical S2 split AS
Typical feature of pericardial involvement in physical Pericardial rub
examination
Essenstial feature in Nephrotic syndrome Proteinuria
MCU finding of Posterior Urethral valve Dilatation of Posterior Urethra
Characteristic finding in HIV in children Recurrent chest Infection
HIV in children present as Failure to thrive
Cysticercosis present as Seizures
Last Clinical sign in Measles Rash
First Clinical manifestation of Abetalipoproteinemia Steatorrhoea
Skull bone in Hemolytic anaemia Widening of diploic space
Earliest finding in raised ICT in children Sutural separation
Poor Prognostic factor in Child with Kwarshiorkar Hepatomegaly
Charcteristic feature of paget cell Abundant clear cytoplasm
Follicular carcinoma and adenoma differentiated by Vascular Invasion
Hypersplenism associated with Pancytopenia
Absence of fructose in semen suggests Seminal vesicle obstruction
Child with recurrent UTI most likely show Vesicoureteric reflux
Earliest sign of DVT Calf Tenderness
Earliest manifestation on Increased ICT after Head Altered Mental Status
Injury
Diagnostic feature of CDH on Prenatal USG Peristalsis in Thoracic cavity
Identification of Parathyroid gland Brownish yellow colour
Findings in SIADH Increased urine Na+,Increased urine osmolality
Non Habitual passive agent in Sodomy Semen in anus
Normal Vaginal change in Pregnancy Increase in no of Lactobacilli
Per Rectal Palpation of Uterus Virgin
Earliest and most important sign of Preeclampsia Hypertension
Earliest morphological evidence of ovulation on Basal Vacuolation
endometrial biopsy
Post ovulation cervical mucus Thick
Corkscrew endometrial glands Late secretory phase
FSH status in Klinefelter Syndrome Increased
Harlequin skin change in newborn due to Autonomic disturbance
First visible sign of puberty in boys Testicular enlargement
Best position for examination of cardiac murmur in Recumbent
child
Feature of Fetal RBC Alkali denaturation resistant
Best Indicator for Nutritional status of Child Rate of Increase of Height & Weight
Non Progressive Contraction of Esophagus Tertiary
First sign of Strangulation of Inguinal Hernia Tenderness
Post Micturition dribbling is due to Collection of urine in u shaped curve of bulb of Penis
Earliest indication of Concealed acute bleeding Tachycardia
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MEDICAL ONELINERS GAS
Mismatch blood transfusion in anesthetized patient Hypotension & Bleeding from wound site
First physiological response to high environmental Cutaneous vasodilatation
temperature
Neuronal degeneration is seen in Crush injury,Fetal development,Senescence
First change in cut nerve is Axonal degeneration
Second change in cut nerve Myelin degeneration
BP measured by Sphygmomanometer Higher than Interatrial pressure
st
Systolic BP best indicated by 1 Korotkoff’s sound
th
Diastolic BP best indicated by 5 Korotkoff’s sound
Best method to assess shock Urine output
GAS
Lacrimator gases Chloracetophenone
Bromyl Benzoyl cyanide
Ethyl Iodoacetate
Gas used to measure diffusion in lung CO
Blebs of Vaginitis emphasematosa contain CO2
HOST
Dracuculus medinensis transmitted by Cyclops
Intermediate host for loa loa Chrysops
Main reservoir for entamoeba histolytica Man
In Japanese encephalitis, pigs act as Amplifiers
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INFECTIOUS DISEASE 19
MEDICAL ONELINERS
INFECTIOUS DISEASE
Bilateral Phrenic Nerve Palsy Polio
Follman’s balanitis Syphilis
Moon’s Molar Syphilis
Foaming Liver Gas gangrene
Hyperbaric oxygen used in Gas Gangrene
Orchitis without epididymitis Syphilis
Crumbled egg appearance Hydatid cyst Liver
Honey Comb liver Actinomycosis
Acquired extracranial infection causing aqueductal Mumps
stenosis
Lines of Conjunctival inflammation of lower eyelid Measles
margin
Congenital passive immunity NOT observed in Pertussis
Pleomorphic rash Chicken Pox
Infection having most neurological complication Measles
Kenny Packs (Hot Packs) Poliomyelitis
Breast milk is known to transmit Tuberculosis
Beaded Fallopian tube & Clubbing of ampulla Genital TB
Fetal affection NIL in First Trimester Syphilis
Maximum risk of Infection if after 20 weeks Syphilis
Maximum risk of infection if before 20 weeks Varicella Zoster
Maximum risk of Transmission during delivery HIV/Herpes
Least risk of Transmission during delivery Toxoplasmosis
Congenital Infection with Minimal Teratogenecity HIV
Quarantine first applied for Plague
Barometer for social welfare Tuberculosis
Koch’s Phenomenon Tuberculosis
Feature of amoebiasis Flask shaped ulcer
Reservoir of Infection in TB Human being with active TB
Primary cells infected by TB Macrophages
Tree barking appearance of Thoracic aorta Syphilis
Pea Soup Stool Typhoid
Commonest route of transmission of HIV from mother Delivery through vagina
to child
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INSTRUMENT 20
MEDICAL ONELINERS
INSTRUMENT
Instrument used to monitor cold chain at PHC Dial Thermometer
Method for Estimation of skin Fold thickness Herpenden skin caliper
Instrument for Chlorine Demand Estimation Horrock’s apparatus
Instrument used for residual level of chlorine Chloroscope
Globe thermometer measures Mean Radiant Temperature
Wet Globe Thermometer measures Environmental Heat
Kata Thermometer measures Cooling Power of Air
Goniometer Urethrovesical Angle
Hymen rupture detected by Glaister Keene Rod/Brittan’s Hymenoscope
Synaptic potentials can be recorded by Microelectrode
INVESTIGATION
TRH stimulating test useful in diagnosing Acromegaly,Hyperthyroidism
Diagnostic procedure for Basal Cell Cancer Wedge Biopsy
Better indicator for need of blood transfusion Hematocrit
Best parameter for assessing shock Urine output
Posterior urethra best visualized by Anterograde MCU
Screening of Ca Prostate Digital Rectal Examination
Anal fissures best diagnosed by History & Clinical examination
Single most sensitive parameter to detect IUGR Abdominal circumference
Anthropometry does NOT change in 1-4 years Mid Arm Circumference
Diagnostic tests for Down’s syndrome Increased B- HCG,Decreased AFP,UE3,PAPPA
Immediate management of child with foreign body Bronchoscopy
Diagnosis of CCf in Infants Hepatomegaly
Earliest x ray change in Necrotising enterocolitis Non specific bowel dilatation
Best Indicator to assess lung maturity in IDM Presence of Phosphatidyl Glycerol
Most dependable method of estimating fetal well being Oxytocin Challenge test
in IUGR
Which is abnormal in classical Hemorrhagic disease of Thrombin time
newborn
Easiest method of detecting Zygosity Placental Examination
Earliest Indication of concealed acute bleeding in Tachycardia
pregnancy
Graph showing relation between Cervical dilatation & Cervicograph
Duration of Labour
Best Parameter for Fetal age in I trimester CRL
Best Parameter for Fetal age in II trimester Corrected BPD/HC
Best Parameter for Fetal age in III trimester FL
Best Parameter for Fetal Age CRL
Best Indicator for fetal growth Abdominal Circumference
Best Parameter to detect IUGR Abdominal Circumference
Best Indicator for Socioeconomic development of Under 5 Mortality rate
Country
Standardised index for Fertility Level Total Fertility rate
Single most indicator of child survival growth 7 Birth Weight
development
Rapid & Non Invasive method of fat assessment Skin fold thickness
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INVESTIGATION 21
MEDICAL ONELINERS
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ION 22
MEDICAL ONELINERS
ION
Maximum Crompton Scattering Hydrogen Ion
Compounds of Fluorinated agents depleting Ozone Chlorine
Bromine
Major Constituent for Co2 absorption Ca (OH)2
Urinary Anion gap indicates excretion of Ammonia
Disinfection action of Chlorine in water due to Hypochlorous (HOCL)
Best Indicator of air Pollution SO2
Best biological indicator of air Pollution Lichens
False Positive Heat Coagulation test Phosphates
Largest fraction of Co2 in blood as Bicarbonate
Resting membrane potential is mainly due to K+
Ameicytosis/Reverse Pinocytosis require Ca++
Ion acting as second messenger Ca++
Resting membrane potential Depends upon K+ Uquilibrium
Excitable tissue at least permeable to Na+
Order of Excitability K+>Cl->Na+
LIGAMENT
Ligament transmitting weight of upper limb to axial Coracoclavicular ligament
skeleton
Strongest Ligament in the body Iliofemoral ligament
Ligament preventing Overabduction of Hip joint Pubofemoral ligament
Ligament supporting anterior endof spleen preventing Phrenicocolic ligament
downward dislocation
Ligament containing Splenic vessels & Tail of Pancreas Lineorenal ligament
Ligament containing short gastric vessels Gastrosplenic ligament
Spinal cord suspended and stabilized in subarachnoid Denticulate ligament
space by
Apex of Iliofemoral ligament Anterior inferior iliac spine,Acetabular rim
Base of Iliofemoral ligament Intertrochanteric line
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LOBES AND FISSURES OF LIVER 23
MEDICAL ONELINERS
MICROMOLECULE
Hard Contact Lens PMMA
Non Foldable Contact Lens
Soft Contact Lens HEMA
Foldable Contact Lens Silicon
Hydrophobic/Hydrophilic Acrylic
Glycosaminoglycan in Vitreous Hyaluronic acid
Pick’s body contain Tau Protein
Lewy Body contain Alpha Synuclein
Hot cold phenomenon in Staphylococcus due to β-Lysin
Antigenically similar to Streptolysin O Tetanolysin
Non antigenic protein Gelatin
Very difficult to induce antibody Polysaccharide
C in CRP Capsular polysaccharide of S pneumonia
Factor promoting virulence of M.tuberculosis Cord factor
E.coli attached to surface with the help of Fucose
Acid fstedness due to Presence of Mycolic acid
Integrity of cell wall
Material covering DNA in Virus Capsid
Major basic protein present in Eosinophil
Which selectively recruits Eosinophil Eotaxin
Chief cells of scar formation Myofibroblast
Predominant Collagen in adult skin Type I
Predominant collagen in granulation tissue Type III & Type I
Major Constituent of Surfactant Dipalmitoyl Lecithin
Precursor of Second Messenger Phosphatidyl Inositol
Tm lowered by Formamide,Urea
Protein targeted for destruction in eukaryotes Ubiquitin
covalently linked to
Human prions (Non Infectious) rich in α-helix
Infectious protein rich in β-sheets
Component of Rhodopsin Retinal
Retinal stored in Liver,Adipose tissue as Retinyl esters
Silk Fibroin protein of silk worm rich in β-sheats
Gaucher’s disease,accumulation of Cerebrosides
80% of total protein in human milk Whey
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MICROMOLECULE 24
MEDICAL ONELINERS
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MUSCLE 25
MEDICAL ONELINERS
MUSCLE
Muscle Passing through Shoulder Joint Long Head of Biceps brachii
Physiological Locking Quadriceps Femoris
Physiological Unlocking Popliteus
97% of Carnitine found in Skeletal Muscle
Preservation of Iliinguinal nerve is important while External Obliqueaponeurosis
incising
Hernia is prevented by External Oblique
Striations are absent in Smooth muscle
Syncitium are absent in Skeletal muscle
Multipennate muscle Deltoid
Circumpennate muscle Tibialis anterior
Unipennate Extensor digitorum longus
Flexor Pollicis Longus
Soleus
Bipennate Rectus femoris
Doesal interossei
Gastrocnemius
Diplopia due o blow out fracture is due to entrapment Inferior rectus
of
Safety muscle of tongue Genioglossus
Mandible pulled forward by Lateral Pterygoid muscle
Mandible pulled backwards by Posterior fibres of Temporalis
Mandible is depressed by Digastric,Mylohyoid & Genihyoid
Manbible is elevated by Temporalis,Masseter & Medial Pterygoid
Mandible is protruded by Four Pterygoid
Lateral ide to side activity of mandible (Grinding) Medial & Lateral Pterygoid
Main flexor of PIP Flexor digitorum superficialis
Main flexor of DIP Flexor digitorum profundus
Extension of Knee Joint Quadriceps femoris
Medial rotation of knee joint in flexed leg Popliteus,Semitendinosis,Semimembranosus
Lateral Rotation of Flexed Knee Biceps femoris
External anal sphincter made of Type I Skeletal muscle fibre
Internal anal sphincter made of Smooth muscle
Origin of recti muscles Common Tendinous ring
All recti are inserted to Sclera just posterior to cornea
Muscle spiral around bone Supinator
Spiral/Twisted fibres Pectoralis major,Latissimus dorsi
Parallel muscle with transverse tendinous insertion at Rectus abdominis
interval
External Oblique muscle replaced by Umbilicus Below Line joining ASIS & Umbilicus
Muscle force/Tension is regulated by Golgi tendon organ
Muscle length regulated by Muscle spindle
Band disappearing on muscle contraction H
Protein preventing contracting by covering binding sites Tropomyosin
on actin & myosin
Muscle contraction triggered by Ca binding troponin C
Calmodulin activates Muscle Phosphorylase
Twitch of single motor unit Fasciculation
Heat production in Malignant Hyperthermia Increased muscle metabolism of excess of Ca++ ions
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NEOPLASM 26
MEDICAL ONELINERS
Increase in systolic calcium from intracellular store IP3 DAG Ca2+ channel
during smooth muscle contraction due to
Sustained Contraction due to Latchbridge mechanism
Major inspiratory muscle Diaphragm
Cause of increased blood flow to exercising muscles Vasodilatation due to local metabolites
NEOPLASM
Gross Painless hematuria in Chronic Smoker Ca Bladder
Lung tumour responding best to Radiotherapy Small Cell Carcinoma
Cavity formation Squamous cell carcinoma
Oral cancer Least Lymphnode metastasis Ca Hard Palate
RET Protooncogene Medullary carcinoma
Cancer in which overall survival increased by screening Ca Colon
procedures
Variant of Soft tissue sarcoma commonly showing Angiosarcoma
Lymph node metastasis
Concurrent Chemotherapy is beneficial for Head & Neck cancer
Carcinoma resected earlies by mucosal resection Ca Esophagus
Immunoguided surgery done for Ca Colon
Oral Carcinoma with best prognosis Ca Lip
Prophylactic resection of Lymphnodes Embryonal Rhabdomyosarcoma
Parotid tumour spreading through neural sheath Adenoid Cystic Carcinoma
Primary Neurogenic tumour Neuroblastoma
Dumbbell Tumour Neurofibroma
Opsomyoclonus (Eye movement disorder) Neuroblastoma
Highly Vascular brain tumour Glioblastoma > Meningioma
Intradural enhancing mass lesion on MRI Meningioma
Margins of squamous cell carcinoma Everted
Calcifying epithelioma Pilomatrixoma
Keratoacanthoma Self Healing nodular lesion with central ulceration
Universal tumour Lipoma
Supracapsular Orchidectomy done for Cancer Prostate
Type of Malignancy in Anorectal Fistula Squamous Cell & Adenocarcinoma
Mutation of β- cantenin Hepatoblastoma, Hepatocellular Carcinoma
Cholangiocarcinoma histologically resembles Schirrhous type
Spontaneous rupture of Liver Hepatoma
Commonest Incidentaloma in Liver Hemangioma
Filling defect & Rat Tail deformity Ca Esophagus
Orphan Annie Eyed Nucleus Papillary Carcinoma
Carcinoma arising from thyroglossal cyst Papillary
Thyroid carcinoma having best prognosis Papillary
Occult thyroid carcinoma with nodal metastasis Papillary
Sudden increase in size of Long standing goiter Anaplastic carcinoma
Lymphnode metastasis least siin in Follicular carcinoma
Ca breast showing Single file pattern Infiltrating Lobar
Medullary carcinoma of thyroid arise from Parafollicular cells
Papillary carcinoma usually present as Single nodule with lymph node
Post op RT in breast is done due to Prevent recurrence
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NEOPLASM 27
MEDICAL ONELINERS
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NEUROTRANSMITTER 28
MEDICAL ONELINERS
NEUROTRANSMITTER
Major neurotransmitter in Substantia nigra Dopamine
Neurotransmitter of fast cutaneous pain(mild) Glutamate
Neurotransmitter of slow cutaneous pain(severe) Substance P
Substance P increased in response pain in periphery by Nerve terminals
Sweating is mediated through Sympathetic cholinergic
Hot water bottle relieves pain of abdominal spasm by Stimulation of adrenergic fibres
Massage relieves pain by Inhibition of large myelinated neurofibres
α-adrenergic action Vasoconstriction,Mydriasis
β-adrenergic action Vasodilatation,Bronchodilatation
Stimulation of Postganglionic sympathetic neuron lead Fast EPSP,Slow EPSP,Slow IPSP
to
Fast EPSP generated by Ach via nicotinic
Slow EPSP generated by Ach via muscarinic
Slow IPSP generated by Dopamine
Tyramine,Amphetamine act by Releasing Norepinephrine
Before puberty GnR under inhibitory action of GABA
Onset of puberty ,GnRH excited by Glutamate
NUMERICALS
40 db Compared to 20 db 10 times
No of spectrum for blood in Spectroscopy 3
Basic Illumination for satisfactory Vision 15 – 20 foot Candles
Air Space depth in Septic tank 30 cm
Total Exposure of Radiation from Natural Sources 0.1 rad per person per year
Most dangerous particle size for Pneumoconiosis 0.5 to 3 micron
No of RNA primers for Leading strand 1
No of RNA primers for lagging strand Many
No of constant region in IgG,IgA,IgD 3
No of constant region in IgM,IgE 4
With Iron therapy hemoglobin rises 1 gm/week
Iron that patient can tolerate 2500 mg
LBW <2500 gm
VLBW <1500 gm
ELBW <1000 gm
Brain damage if serum bilirubin protein ratio > 3.5
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NUMERICALS 29
MEDICAL ONELINERS
Indication for exchange transfusion in Rh Cord hemoglobin < 10 gm%, Cord bilirubin >5mg
isoimmunisation
ET tube diameter in children 2.5 / 3
Hypoglycemia in infant if blood glucose < 40 mg/dl
Normal CRL at birth 38 – 50 cm
Upper segment : Lower segment at 2 years 1.5 : 1
th
Microsomia Birth weight below 10 percentile
Maximun urinary concentrating ability in full term 600 – 700 mOsm/L
infants
Pyloric canal in Congenital Hypertrophic Pyloric Stenosis >16 mm
Pediatric iron tablet 20 mg iron 100 mcg folic acid
Rate of Weight gain in severely malnourished child 10 - 20 gm/kg/day
should be
Pressure of Senstaken tube to control varices 35mm Hg
Blood clot of size of Clenched fist 500 ml
Weight loss per day in patient on TPN 150 mg
Duration of cardiac cycle 0.8s
Amount of coronary blood flow per minute 250 ml
Coupling ratio for Sodium potassium pump 3:2
Tm for glucose 375 mg/min
Intracellular concentration of bicarbonate 10 mmol/L
Extracellular concentration of bicarbonate 27 mmol/L
Minimum volume of urine to remove all waste products 500 ml
Normal excretion of protein in urine per day <100 mg
Urge for micturition felt when bladder filled with 100 – 200 ml of urine
First urge to void 150 ml
Marked sense of fullness 400 ml
Initiates reflex contraction 300 – 400 ml
Daily loss of wter from sweat 100 ml
Daily loss of wter from skin in absence of sweat 350 ml
Normal Anion gap 10 – 12 mmol/L
Amount of water absorbed in intestine in a day 8 Litres
Recommended dietary allowance 2 SD above estimated average requirement
Amount of blood loss in pelvic fracture 4 - 8 units of blood
Rate of regeneration of nerve 1mm/day
No of fontanelles in newborn 6
Clinical jaundice in neonate >5 mg/dl
No of pairs of spinal nerve 31
Critical concentration of reduced hemoglobin to 4
produce cyanosis
In Leucin zipper model,Leucine residue seen after every 7 aminoacids
Time taken for conversion of CIN to Invasive carcinoma 10 years
rd
Peak level of Glucagon during starvation at 3 day of Fast
Maximum function of corpus Luteum 9 days after ovulation
Corpus luteum of menstrual period persists for 14 days
Cytotrophoblast & Syncitiotrophoblast differentiate on 8 days after menstruation
th th
HSG done between Menstruation & Ovulation (6 - 11 day)
Ovarian function after hysterectomy Decreases within 2 - 3 years
Age group for AFP Surveillance Upto 15 years
Ophthalmic examination of child with type I diabetes After 5 years
mellitus
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ORGANELLE 30
MEDICAL ONELINERS
ORGANELLE
Mesosomes in bacteria is functional unit for Respiratory Enzymes
Organelle affected earlier in Hypoxia Mitochondria
α-oxidation occurs in Peroxisomes
w-oxidation occurs in Endoplasmic reticulum
Secretory protein synthesized in Endoplasmic reticulum
Intracellular sorting & Packing done for Golgi apparatus
Triple helix structure of collagen never found in Free cytoplasm
Catabolism of H2O2 by Peroxisomes
Golgi apparatus is a Non polarized structure
PART OF BODY
Least Joint with Recurrent dislocation Ankle
Least Common site for Stress Fracture Metacarpal
Valve of Hasner Nasolacrimal duct
Narrowest part of GIT apart from Appendix Pharyngoesophageal Junction
Two sides of Cricovocal Membrane form Conus elsticus
Anterior part of Conus elasticus form Cricothyroid membrane
Narrowest part of Larynx in adults Rima glottidis
Narrowest part of Larynx in Infants Subglottis
Fourth Ossicle Lenticular Process of Incus
Benign Positional Paroxysmal Vertigo Posterior Semicircular canal
Syringing in Ear Posterosuperior wall of meatus
Perforation in Safe CSOM Pars Tensa
Perforation in Unafe CSOM Pars Flaccida
Route of Spread of TB Otitis Media Eustachian tube
st
Surface Landmark for 1 Genu Processus Cochleariformis
nd
Surface Landmark for 2 Genu Horizontal Semicircular Canal
Site of Retrobulbar Block Infratemporal
Narrowest part of Airway in children Subglottis - (Cricoid cartilage)
Narrowest part of Airway in adults Glottis
Peribulbar Injection given in Peripheral Orbital Space
Most Important factor for respiratory power of eye Cornea
Sclera – Thickest at (1mm) Posterior Pole near Optic Nerve
Sclera – Thinnest at (0.3mm) Behind Insertion of Rectus muscle
Reservoir for HIV in AIDS Follicular Dendritic cells
Pacemaker cells of GIT Interstitial cells of Cajal
Favoured site of origin of Myxoma Fossa ovalis in atrial septum
Least sensitive in Secondary Raynaud’s Thumb
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PART OF BODY 31
MEDICAL ONELINERS
Cells particularly sensitive to ischemic damage in brain Purkinje cells of cerebellum, Pyramidal neurons of
sommer’s sector in hippocampus
Superimposition technique Skull
Palatoprints Anterior hard palate
Best bone to assess age between 20 - 25 years Skull
Bartholin duct opens into Groove between Labia minora & Hymen
Narrowest part of Fallopian tube Interstitium
Least Vascular part of uterus Middle
External os in Nulliparous Circular
Bartholin’s gland correspond to Cowper’s gland
Source of Progesterone in normal menstrual cycle Corpus luteum
Lower part of vagina Urogenital Sinus
Cystocele is formed by Base of Bladder
Site of Obstruction in Cirrhosis Sinusoids
Renal Tuberculosis originate from Renal Papilla
Site of collection of urine in extraperitoneal rupture of Above Urogenital Diaphragm (Perivesical space)
bladder
Narrowest part of urethra External meatus
Smegma is secreted by Tyson’s glands
th
Ainhum Base of toe (usually 5 )
Sebaceous cyst doesnot occur in Sole
Split Skin graft in Young children from Thigh
Site of Diabetic foot ulcer Head of Metatarsal
Epulis arise from Gingiva
Dentigerous cyst arise from Unerupted tooth
Structure injured in excision of ranula Submandibular duct
GIST originate from Interstitial cells of cajal
Glomus tumour seen in Finger
Least common site of Lung abscess Left Upper Lobe
Loaction of Post dural Puncture Headache Occipitofrontal
Pseudoclaudication is due to compression of Cauda Equina
Spermatogenesis occurs in Seminiferous tubules
Space between fenestrated endothelium & cord of Space of Disse
hepatocytes
Liver tissue drained by single branch of Central vein Lobule
Functional unit of Liver Acinus
Red Pulp of spleen made of Venous sinusoids,Adjacent blood spaces,Splenic cords
of Billroth
Medulla of thymus has Hassal’s Corpuscles,More Reticular cells,Less
Lymphocytes
Anterior border of heart Right Ventricle
Common flexor origin Medial epicondyle of humerus
Common extensor origin Lateral epicondyle of humerus
V/Q maximum at Apex of Lung
Ventilation per Unit volume maximum at Base
Perfusion per unit volume maximum at Base
Part of brain more prone to hypoxic injury Hippocampus
Pacemaker for respiration PreBotzinger Complex
Spontaneous Rhythmic respiration initiated in Pre Botzinger Complex
Depolarisation of Ventricular muscle starts at Left side of IVS
Last Part of heart to be depolarized Posterobasal portion of left ventricle,Pulmonary
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PART OF BODY 32
MEDICAL ONELINERS
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PART OF BODY 33
MEDICAL ONELINERS
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FEMALE PELVIS 34
MEDICAL ONELINERS
FEMALE PELVIS
Sacrosciatic notch in anthropoid Pelvis Wide & shallow
Pelvis having shortest sacrocotyloid diameter Platypelloid
Pelvis in Dystocia Dystrophica syndrome Android
Breech having least incidence of Cord Prolapse Frank
Presentation in Transverse Lie Shoulder
REFLEX
Inflation of Lung induces further inspiration Head’s Paradoxical Reflex
Excessive inflation of lung inhibits inspiration Herring Breuer Inflation Reflex
Gastrocolic reflex related to Mass peristalsis
Salivation of Dog on seeing food Innate Reflex
Salivation of dog on Ringing bell Conditioned reflex
First reflex to appear as spinal cord wears off in humans Withdrawal reflex
RELATIONS
Posterior relation of Pelvic ureter Internal Iliac artery & Vein
Lateral relation of Pelvic ureter Obturator artery,Nerve & Vein
Jg apparatus lies in relation to Glomerulus
Hilum of Kidney Anterior to Posterior Renal Vein,Renal Artery,Renal Pelvis`
Intercostal groove Above downwards Intercostal Vein,Artery,Nerve
Pudendal nerve enters pelvis through Greater Sciatic foramen
Pudendal nerve enters perineum through Lesser Sciatic foramen
Structures passing through optic canal Optic nerve, ophthalmic artery
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SAMPLE 35
MEDICAL ONELINERS
SAMPLE
Clinical sample confirming antemortem diagnosis of Corneal impression smear for immunofluorescence
rabies stain
Best Sample for Botulinium food Poisoning Stool
SECRETIONS
Endolymph is secreted by Secretory cells of stria vascularis of cornea
Endolymph is absorbed by Endolymphatic sac in subdural space
Secretions of large intestine Alkaline
D cells of pancreas secrete Somatostatin
Amylin secretd by β-cells
Adrenal medulla secretes Noradrenaline (80%),Adrenaline,Dopamine
Sertoli cells secrete Inhibin,Mullerian inhibiting factor,Androgen binding
protein
Bilirubin is secreted by Bile salts
HCG is secreted by Syncitiotrophoblast
Ovary secretes Estrogen, progesterone, inhibin, testosterone,
androstenedione
STOMACH
H.pylori gastritis involves Antrum
Autoimmune gastritis involves Fundus & body
Gastric carcinoma occurring secondary to pernicious Fundus
anemia is in
G cells present mostly in Pyloric antrum
Erosive gastritis commonly occur at Fundus,Body
Electrical pacemaker of stomach is at Fundus
Chief cells are numerous in Fundus
Parietal cells (Oxyntic cell) numerous in Neck, Isthumus
Stem cells of stomach Isthumus of gastric gland, Base of gastric pit
STRATUM
Under Developed Layer in VLBW babies Stratum Corneum
Dermatophytes live in
Acantholytic Cells derived from Stratum basale
SURGICAL PROCEDURES
Procedure for Vaginal atresia McIndoe’s Vaginoplasty
Maximum chances of Ureteric Injury Wertheim’s Hysterectomy
Lockwood operation for femoral hernia Low operation
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SURGICAL PROCEDURES 36
MEDICAL ONELINERS
Best material for Below Inguinal arterial graft Saphenous vein graft
Ideal graft for exposed Leg injury Pedicle graft
Skin graft for facial wound Post auricular & Supraclavicular region
Subdermal plexus form vascular basis for Randomised Flaps
Least Inflammatory tissue response Polypropylene
Operation for Varicose veins best accomplished by Stripping
Which responds best to Sympathectomy Hyperhidrosis
Management of Iliac artery Embolisation Embolectomy
Ganglion spared in Lumbar Sympathectomy L1
Best Graft Material for Aorta Dacron
Nerve of Kuntz is an Important Landmark in Cervicodorsal Sympathectomy
In Bilateral Adrenalectomy,Intraoperative Injection of Excision of both adrenal glands
Hydrocortisone after
Blow Out Carotid Radical Neck dissection
Greatest incidence of Bronchopleural fistula following Lobectomy
First step while doing Pneumonectomy Ligating Pulmonary artery
Needle used for Pleural Biopsy Abram’s
Catheter material suitable for long term usage Silicone
Air embolism in neurosurgery maximum in Sitting Position
Post Laparascopy shoulder pain due to CO2 retention
Axilllary abscess safely drained by Floor approach
Seldinger Needle Arteriography
Cricoid hook Tracheostomy
No Man Land in Palm Zone II
Lembert’s suture Seromucosal suture
Best Irrigating Fluid for ECCE Balanced Salt Solution Plus Glutathione
Neonatal Thymectomy leads to Decreased size of paracortical areas
Symphysiotomy indicated in Contraction of Outlet
Ideal incision to remove breast in adolescent boy Incision along alveolar margin
Anastomosis of small bowel Suture in 2 layers by absorbable suture
Early Postoperative complication of Ileostomy Necrosis
Best Suture for common bile duct Non Synthetic absorbable
Ureter diagnosed during surgery by Peristaltic movement
Ideal approach for renal malignancy Transperitoneal
Best Skin graft for open wound Autograft
In orchidectomy for testicular cancer,Ligation of cord is Internal ring
at
Blood loss during surgery best assessed by Suction bottles
Potassium in immediate post operative period Excreted excessively
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SYMPTOM 37
MEDICAL ONELINERS
SYMPTOM
Symptom of Essential Thrombocytosis Early Bruising
Blister gases Mustard gas,Lewisite
Opioid withdrawal associated with Yawning
Cocaine withdrawal associated with Vivid unpleasant dreams
Cannabis withdrawal associated with Conjunctival redness
Earliest Symptom in Primary biliary Cirrhosis Pruritis
Malrotation present as Bleeding per Rectum/Bilious vomiting
First to appear in case of acute intestinal obstruction Colicky pain
Earliest symptom in acute appendicitis Pain
Earliest symptom of BPH Frequency
Patient with critical limb ischemia presents with Rest Pain & Ischemic Ulcer
Earliest symptom of carcinoma cervix Irregular vaginal bleeding
TREATMENT
Main Objective of Treatment of RD Seal & Support Retinal Break
Principal treatment for Hypercalcemia To restore Hydration
Treatment of Physiological edema Bed Rest
Treatment of Prolapse in Early Pregnancy Ring Pessary
Treatment of Leukoplakia Vulva Simple Vulvectomy,Estrogen Cream
In treatment of papillary cancer radioiodine destroys β-rays
neoplastic cells predominantly by
Firstline treatment for Keloid Intralesional steroid
Greatest priority in treatment of hand injuries Restoration of skin cover
Treatment of hypotension in case of gas gangrene Ringer lactate
Best treatment for capillary nevus Argon Laser
Treatment of frost bite Slow Rewarming
Treatment of Pyoderma gangrenosum Surgery & Antibiotics
NOT a treatment modality for malignant melanoma Radiation
Cold water treatment for burns Increase Infection
Treatment of Acute Lymphangitis Antibiotics & Rest
First treatment for rupture of varicose veins at ankle Direct Pressure & Elevation
Best treatment for Blow out Fracture Orbit Explore the orbit
Treatment of Primary CNS Lymphoma Chemotherapy followed by Radiation
Only treatment for GIST Surgery
Bisgard’s treatment Venous Ulcer
Exercise used for adjuvant treatment of depression Endorphin
because it increases
Detection & Treatment of Psychiatric disorders in Consultation Liaison Psychiatry
Medically Ill
Valpeau bandage most Effective in Acromioclavicular Dislocation
Laser used in Corneal Reshaping procedure Argon Fluoride Excimer Laser (193 nm)-Photoablation
Laser used in Post Lens Capsulotomy Infrared Nd:YAG (1064 nm)-Photodisruption
Bacillus thuringiensis for Malaria Enhanced Malaria Control Project
Foremost step for disease control in Post Disaster Chlorination
Uterine artery Embolisation done using Poly Vinyl Alcohol
Best Predictor for VBAC Previous vaginal birth
Management of Bleeding Varices in pregnancy Observation
Principal mode of heat exchange in Incubator Convection
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ALL EXCEPT 38
MEDICAL ONELINERS
ALL EXCEPT
Most smooth & cardiac muscles derived from Splanchnic (Lateral Plate) Mesoderm EXCEPT Smooth
muscle of Pupil,Mammary Gland,Sweat gland derived from ECTODERM
All muscles of tongue are supplied by Hypoglossal nerve EXCEPT Palatoglossus supplied by Vagus Nerve
via Pharyngeal branch to Pharyngeal Plexus
All muscles of Soft palate supplied by Vagus Nerve via Pharyngeal branch to Pharyngeal Plexus EXCEPT
Tensor Veli Palatini supplied by Nerve to Medial Pterygoid from Mandibular Nerve
All Intrinsic muscles of Larynx supplied by Recurrent Laryngeal Nerve EXCEPT Cricothyroid supplied by
EXTERNAL LARYNGEAL NERVE
All muscles of Pharynx supplied by Vagus Nerve EXCEPT Stylopharyngeus supplied by
GLOSSOPHARYNGEAL NERVE
All SSRI inhibit cytochrome p450 and affect blood plasma levels of other medications EXCEPT SERTALINE
All TCA needs dose titration EXCEPT TRIMIPRAMINE
All gas cylinders have same pressure at 15’C EXCEPT N2O & CO2
All Barbiturates are metabolized by Liver EXCEPT PHENOBARBITONE
All Anaesthetic drugs suppress Cerebral Metabolic Rate EXCEPT KETAMINE & N 2O
All epithelia of eye develops from Ectoderm EXCEPT Epithelium of iris R Ciliary body from
NEUROECTODERM
Fluorescein Angiography used to identify lesions in all parts of eye EXCEPT LENS & CORNEA (Avascular)
All Antimetabolites show both Anticancer & Immunosuppression property EXCEPT AZATHIOPRINE which is
only IMMUNOSUPPRESSOR
All H2 Blockers inhibit Gastric first pass metabolism of alcohol EXCEPT FAMOTIDINE
All Pharmacological action of Morphine show tolerance EXCEPT MIOSIS & CONSTIPATION
All anticancer antibiotic are cell cycle Nonspecific EXCEPT Bleomycin
All betalactams are eliminated by Kidney EXCEPT CEFOPERAZONE,CEFTRIAXONE
All 3 Generation Cephalosporins are effective against meningitis EXCEPT Cefoperazone
rd
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CATCHY POINTS 39
MEDICAL ONELINERS
All Gram Negative Bacteria Recognise TLR-4 EXCEPT Leptospira which Recognise TLR-2
Entire Respiartory tract is lined by Pseudostratified ciliated columnar Epithelium EXCEPT VOCAL CORDS
which is lined by Stratified Squamous Epithelium
Ascending Infection is most common route of Pyelonephritis caused by most bacteria EXCEPT
MYCOBACTERIUM TUBERCULOSIS –Hematogenous
All Thyroid cancer From Follicular Cells EXCEPT MEDULLARY CARCINOMA THYROID from PARAFOLLICULAR
CELLS (C CELLS)
All Nematodes are Monoxenous (One Host) EXCEPT Trichinella spiralis,Filaria,Guinea worm
All Salmonella produce Gas EXCEPT Salmonella typhi
Gastric Lavage is Contraindicated in all Corrosive poisons EXCEPT Carbolic acid
CATCHY POINTS
Sub centre under control of CENTRAL GOVERNMENT
Cholangiocarcinoma is NOT predisposed by Cholelithiasis,Choledocholithiasis & Chronic Pancreatitis
Inferior Turbinate is a SEPARATE BONE
DESCENT OF LARYNX occurs through out life.
Weight Loss in Pregnancy is NOT related to smoking
Early Cord Clamping should NOT be done
TORCH Infection & Syphilis do NOT lead to Recurrent abortion
MECONIUM STAINED LIQUOR indicates Fetal Distress and is a complication of Prolonged Labour
Deep Transverse Arrest does NOT occur in Transverse Lie
Shoulder dystocia is NOT a complication of Shoulder Presentation
Vaginal Delivery is NOT possible in Persistent Mentoposterior Presentation
Hyaline Membrane Disease is NOT associated with IUGR
Glands are ABSENT in Vagina
Hair Growth in girls is NOT estrogen dependent
Ethamsylate is NOT approved for treatment for menorrhagia
Inguinal Lymph node involvement in Ca Endometrium is STAGE IVB
Neonatal Hepatitis is CONJUGATED HYPERBILIRUBINEMIA
Hemorrhagic Disease of Newborn occurs more commonly in BREAST FED infants
Vomiting in Congenital Hypertrophic Pyloric Stenosis characteristically after 2 WEEKS
APGAR score is NOT affected by mode of delivery
Skin Pinch test is NOT useful in Malnourished child
Sensory Changes NOT seen in Wilson’s Disease
Heimlich Maneuver is NOT performed under 1 year
FNAC is NOT useful in Follicular carcinoma
Barret’s Esophagus does NOT develop into Squamous Cell Carcinoma
Gastric Ulcer do NOT predispose to Enterobiliary fistula
NO SIGNIFICANT CORRELATION between Acute Pancreatitis & Serum Amylase
Fluid Levels are NOT seen in Meconium Ileus
Enlarged Prostate is NOT an indication for surgery in BPH
Testicular Cancer is NOT associated with Inguinal Lymphadenopathy
Sympathectomy does NOT relieve Intermittent Claudication
Bone Fragments NOT removed in Missile Injuries
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CATCHY POINTS 40
MEDICAL ONELINERS
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CATCHY POINTS 41
MEDICAL ONELINERS
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CATCHY POINTS 42
MEDICAL ONELINERS
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BECAUSE 43
MEDICAL ONELINERS
BECAUSE
Acetyl Choline not used Therapeutically because of Rapid Metabolism
Methotrexate Resistance because of Overexpression of DHFR
Orbital Complication in Children because of Ethmoiditis
Orbital Complication in Adults because of Frontal Sinusitis
Sudden onset of action of Sch because of Low lipid solubility
Short duration of action of Sch because of Rapid Hydrolysis by Butyrylcholinesterase
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FACT 44
MEDICAL ONELINERS
FACT
Difference between X-ray & Light Wavelength, Energy
Hounsfield Unit represent Average Linear attenuation coefficient
Air 1000 ;Water 0
Pulley Involved in Trigger finger A1
Lower Limb Injuries a/w Maximum shortening Posterior Dislocation of Hip
Fracture shaft of Femur
Transverse Fracture of Medial Malleolus due to Pronation abduction Injury
Traumatic Dislocation of Epiphyseal Plate of Femur Anteriorly & Laterally
Function of Gamma camera To measure Radioactivity
Organ of Corti filled with Corticolymph
Facial Nerve Palsy in Ramsay hunt Syndrome LMN
Optic Nerve originate from Retinal ganglion cells
Newborn eye Hypermetropic
Important role in Depth Perception by Binocular Vision
Chief Source of Tear mucus Goblet Cells (More dense nasally)
Corneal deturgescence maintained by Endothelium
Whole Globe Enucleaten stored in Moist chamber storage
Fibre enhancing Lens Transparency MIP 26
Absolute Contraindication for ECCE <40 years of Age
Differential expression of Same gene depending on Genomic Imprinting
Parent of Origin
Schuffner’s dot is due to Pigment released by breakdown of Hemoglobin
Stage of Microfilaria in Peripheral blood Early adeno lymphangitis stage
Eggs of enterobius vermicularis Planoconvex,Non bile stained
TH1 produces IL-2
TH2 produces IL-5.IL-6
Multiplication of T cells enhanced by Haemagglutinin
Perforins are produced by Cytotoxic T cells
Prozone phenomenon is due to Antibody excess
Class specific antigenic determinants of Immunoglobin Heavy chain
Reaction between antibody & soluble antigen Precipitation
Antigen binding site on antibody Hypervariable region
Secretory component of IgA formed by Epithelial cells & Plasma cells
Variable portion of antibody N – terminal
Globi Histocyte containing Acid fast bacilli
Strain of e.coli associated with hemorrhagic colitis O157:H7
Order of Diasappearance of Antibody in typhoid Vi-O-H
Antigen blocking agglutination of salmonella by O Vi
antiserum
Plaque formation in Virus done for Determining Infectivity of Virus
Non Genetic phenomena in which one viral particle Virus Interfernce
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FACT 45
MEDICAL ONELINERS
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FACT 46
MEDICAL ONELINERS
Bone Pain
Multiple Pathological fractures
Action of Corrosive Poison Hygroscopic extraction of water from tissues
Phosgene Lung irritant
Cantharidin (Spanish fly) causes Vesicle formation
Strangury
Priapism
Artifical bruise Semicarpus anacardium
Saline diuresis Alcohol
Dimercaprol (BAL) As,Sb,Hg
Adjuvant to penicillamine in Cu poisoning
BAL contraindicated Iron,Cadmium
Tridosha theory of disease Ayurveda
Siddha meaning Achievement
Humoral Theory based Medicine Unani
Primary Prevention Prepathogenic Phase
In epidemiological study,Highest importance given to Metaanalysis
Group Characteristic Ecological study
First case that comes to notice of Investigator Index case
OPV usable upto VVM grade II
Maximum chance of Cold chain Failure Sub Centre level
Recommended temperature monitoring at PHC Twice Daily
Best measure of Validity Criterion validity
Denominator in Crude Literacy rate Total Population
Denominator in literacy rate Population > 7 years of age
Relation between Maternal Nutrition & Birth Weight Linear
Currently accepted measure of Protein Quality Protein digestibility Corrected Aminoacid Score
Omega 9 fatty acid derived from Oleic acid
Richest source of Essential fatty acid & PUFA Safflower oil
Richest source of Saturated fatty acid Coconut Oil
Food Standards in India based on Codex alimentarius
Weighment of raw foods done over a period of 7 days Dietary Cycle
Group of Individuals organized themselves follow a life Society
Social group by Geographical boundaries Community
Process by which individual acquire culture & become Socialisation
member of group
WHO theme for 2012 Aging & Health
WHO theme for 2013 High Blood Pressure
Purest form of water In nature Rain
Well Above 1st Impervious Layer Shallow well
Signs of Insanitation & Porters of Infection Housefly
Best approach for Arthropod Control Environmental
Main Purpose for Preplacement Examination Right Person in Right Job
Job Responsibility of Health Worker male Making Mlaria Slides
Principal unit of Administration in India District Under Collector
Propionic acid is formed by Beta Oxidation of Odd Chain Fatty acids, Oxidation of
Isoleucine, Side chain of Cholesterol
Gluconeogenesis allosterically activated by Pyruvate Carboxylase by acetyl coA
Optical activity of compound produced by Asymmetric carbon atom
6 membered ring with 5 carbon & 1 oxygen Pyran
5 membered ring with 4 carbon & 1 oxygen Furan
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FACT 47
MEDICAL ONELINERS
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FACT 48
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FACT 49
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FACT 50
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FACT 51
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FACT 52
MEDICAL ONELINERS
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