# IMPORTANT Questions #
Q.1.antidote of heparin
Ans.protamine sulphate
Q.2.drugs use in second stage of labour to improve uterine contraction
Ans.oxytocin
Q.3.acute panciatitis is manifested by
Ans.eleveted serum amylase level
Q.4.which t.b. drugs may cause damage 8th cranial nerve
Ans.streptomycin
Q.5.management of hyperkalamia
Ans.insulin with glucose
Q.6.absence of bowel sound may indicate
Ans.paralytic illius
Q.7.the normal intra occular pressure iop
Ans.10-21 mm of hg
Q.8.allen test performe to determine patency of
Ans .radial ulnar ciculation
Q.9.the most common risk of sever depression
Ans.sucide
Q.10.dumping syndrome is a complication of
Ans.sub total gastrectomy
Q.11.antidote of organo phosporus poisoning
Ans.atropine
Q.12.diaphram of stethospoce put on chest when appical pulse asssessment
Ans.mitral area
Q.13.iv canula size use in neonate
Ans..24 num
Q.14.noramal serum potasium level
Ans.3.5-5.1
Q.15.bleeding from nose
Ans.epistaxis
Q.16.another name of burger disease
Ans.thromboangitis oblitrans
Q.17.advise given in burger disease
Ans.stop smoking
Q.18.position provide in N G tube insertion
Ans.high fowlers
Q.18.goniometer use in
Ans.assess rage of motion of joints
Q.19.causative organism of peptic ulcer
Ans.helicobactor pylori
Q.20.ast is done which route
Ans.intradermal id
Q.21.appropriate needle size use in insulin administration
Ans. 25 gauze 5/8 lon
DRUG OF CHOICE:-
1. Enuresis = imipramine
2. Rheumatic fever =penicillin
3. Paracetamol poisoning- :- - acetyl cysteine
4. acute bronchial- asthma :- salbutamol
5. acute gout :- NSAIDS
6. acute hyperkalemia:- calcium gluconate
7. severe DIGITALIS toxicity :-DIGIBIND
8. acute migraine :- sumatriptan
9. cheese reaction :- phentolamine
10. atropine poisoning :- physostigmine
11. cyanide poisoning :- amyl nitrite
12. benzodiazepine poisoning:- flumazenil
13. cholera :- tetracycline
14. KALA-AZAR :- lipozomal amphotericin- B
15. iron poisoning :- desferrioxamine
16. MRSA :- vancomycin
17. VRSA :- LINEZOLID
18. warfarin overdose :- vitamin-K (NIPER- 2009)
19. OCD - fluoxetine
20. alcohol poisoning :- fomepizole
21. epilepsy in pregnency :- phenobarbitone
22. anaphylactic shock :- Adrenaline
23. Malaria in Pregnancy-Chloroquine
24. Whooping Cough or Perteusis- Erythromycin
25. Kawasaki disease-IV Ig
26. Heparin Overdose-Protamine
27. Hairy Cell Leukemia-Cladirabine
28. Multiple Myeloma- Melphalan
29. CML-Imatinib
30. Wegner's granulomatosis-Cyclophosphamide
31. HOCM- Propranolol
32. Delirium Tremens-Diazepam
33. Drug Induced Parkinsonism-Benzhexol
34. Diacumarol Poisoning-Vit-K
35. Type-1 Lepra Reaction-Steroids
36. Type- 2 Lepra Reaction-Thalidomide
37. Allergic Contect Dermatitis-Steroids
38. PSVT- 1st-Adenosine, 2nd-Verapamil, 3rd-Digoxin
39. Z-E Syndrome- Proton Pump Inhibitor
40. Chancroid-Cotrimoxazole
41. Dermatitis Herpetiformis-Dapsone
42. Spastic Type of Cerebral Palsy-Diazepam
43. Herpis Simplex Keratitis-Trifluridine
44. Herpes Simplex Orolabialis-Pancyclovir
45. Neonatal Herpes Simplex-Acyclovir
46. Pneumocystis carinii Pneumonia-
47. Cotrimoxazole - Nodulo .
48. Trigeminal Neuralgia-Ca gluconate
Common Signs and Symptoms:-
*.Pulmonary Tuberculosis (PTB)—low-gradeafternoon fever.
*.Pneumonia—rust-colored sputum.
*.Asthma—wheezing on expiration.
*.Emphysema—barrel chest.
*.Kawasaki Syndrome—strawberry tongue.
*.Pernicious Anemia—red beefy tongue.
*.Down syndrome—protruding tongue.
*.Cholera—rice-watery stool and washer woman’s hands (wrinkled hands from dehydration).
*.Malaria—stepladder like fever with chills.
*.Typhoid—rose spots in the abdomen.
*.Dengue—fever,rash, and headache. Positive Herman’s sign.
*.Diphtheria—pseudomembrane formation.
*.Measles—Koplik’s spots (clustered white lesions on buccal mucosa).
*.Systemic Lupus Erythematosus—butterfly rash.
*.Leprosy—leonine facies (thickened folded facial skin).
*.Bulimia—chipmunk facies (parotid gland swelling).
*.Appendicitis—rebound tenderness at McBurney’s point. Rovsing’s sign (palpation of LLQ elicits pain in RLQ). Psoas sign (pain from flexing the thigh to the hip).
*.Meningitis—Kernig’s sign (stiffness of hamstrings causing inability to straighten the leg when the hip is flexed to 90 degrees), Brudzinski’s sign (forced flexion of the neck elicits a reflex flexion of the hips).
*.Tetany—hypocalcemia, [+] Trousseau’s sign; Chvostek sign.
*.Tetanus— Risus sardonicus or rictus grin.
*.Pancreatitis—Cullen’s sign (ecchymosis of the umbilicus), Grey Turner’s sign (bruising of the flank).
*.Pyloric Stenosis—olive like mass.
*.Patent Ductus Arteriosus—washing machine-like murmur.
*.Addison’s disease—bronzelike skin pigmentation.
*.Cushing’s syndrome—moon face appearance and buffalo hump.
*.Grave’s Disease (Hyperthyroidism)—Exophthalmos(bulging of the eye out of the orbit).
*.Intussusception—Sausage-shaped mass.
*.Multiple Sclerosis—Charcot’s Triad: nystagmus, intention tremor, and dysarthria.
*.Myasthenia Gravis—descending muscle weakness, ptosis (drooping of eyelids).
*.Guillain-Barre Syndrome—ascending muscles weakness.
*.Deep vein thrombosis (DVT)—Homan’s Sign.
*.Angina—crushing, stabbing pain relieved by NTG.
*.Myocardial Infarction (MI)—crushing, stabbing pain radiating to left shoulder, neck, and arms. Unrelieved by NTG.
*.Parkinson’s disease—pill-rolling tremors.
*.Cytomegalovirus (CMV) infection—Owl’seye appearance of cells (huge nucleus in cells).
*.Glaucoma—tunnel vision.
*.Retinal Detachment—flashes of light, shadow with curtain across vision.
*.Basilar Skull Fracture—Raccoon eyes (periorbital ecchymosis) and Battle’s sign (mastoid ecchymosis).
*.Buerger’s Disease—intermittent claudication (pain at buttocks or legs from poor circulation resulting in impaired walking).
*.Diabetic Ketoacidosis—acetone breathe.
*.Pregnancy Induced Hypertension (PIH)—proteinuria, hypertension, edema.
*.Diabetes Mellitus—polydipsia, polyphagia, polyuria.
*.Gastroesophageal Reflux Disease (GERD)—heartburn.
*.Hirschsprung’s Disease (Toxic Megacolon)—ribbon-like stool.
*.Sexual Transmitted Infections:
*.Herpes Simplex Type II—painful vesicles on genitalia
*.Genital Warts—warts 1-2 mm in diameter.
*.Syphilis—painless chancres.
*.Chancroid—painful chancres.
*.Gonorrhea—green, creamy discharges and painful urination.
*.Chlamydia—milky discharge and painful urination.
*.Candidiasis—white cheesy odorless vaginal discharges.
*.Trichomoniasis—yellow, itchy, frothy, and foul-smelling
Q.1.antidote of heparin
Ans.protamine sulphate
Q.2.drugs use in second stage of labour to improve uterine contraction
Ans.oxytocin
Q.3.acute panciatitis is manifested by
Ans.eleveted serum amylase level
Q.4.which t.b. drugs may cause damage 8th cranial nerve
Ans.streptomycin
Q.5.management of hyperkalamia
Ans.insulin with glucose
Q.6.absence of bowel sound may indicate
Ans.paralytic illius
Q.7.the normal intra occular pressure iop
Ans.10-21 mm of hg
Q.8.allen test performe to determine patency of
Ans .radial ulnar ciculation
Q.9.the most common risk of sever depression
Ans.sucide
Q.10.dumping syndrome is a complication of
Ans.sub total gastrectomy
Q.11.antidote of organo phosporus poisoning
Ans.atropine
Q.12.diaphram of stethospoce put on chest when appical pulse asssessment
Ans.mitral area
Q.13.iv canula size use in neonate
Ans..24 num
Q.14.noramal serum potasium level
Ans.3.5-5.1
Q.15.bleeding from nose
Ans.epistaxis
Q.16.another name of burger disease
Ans.thromboangitis oblitrans
Q.17.advise given in burger disease
Ans.stop smoking
Q.18.position provide in N G tube insertion
Ans.high fowlers
Q.18.goniometer use in
Ans.assess rage of motion of joints
Q.19.causative organism of peptic ulcer
Ans.helicobactor pylori
Q.20.ast is done which route
Ans.intradermal id
Q.21.appropriate needle size use in insulin administration
Ans. 25 gauze 5/8 lon
DRUG OF CHOICE:-
1. Enuresis = imipramine
2. Rheumatic fever =penicillin
3. Paracetamol poisoning- :- - acetyl cysteine
4. acute bronchial- asthma :- salbutamol
5. acute gout :- NSAIDS
6. acute hyperkalemia:- calcium gluconate
7. severe DIGITALIS toxicity :-DIGIBIND
8. acute migraine :- sumatriptan
9. cheese reaction :- phentolamine
10. atropine poisoning :- physostigmine
11. cyanide poisoning :- amyl nitrite
12. benzodiazepine poisoning:- flumazenil
13. cholera :- tetracycline
14. KALA-AZAR :- lipozomal amphotericin- B
15. iron poisoning :- desferrioxamine
16. MRSA :- vancomycin
17. VRSA :- LINEZOLID
18. warfarin overdose :- vitamin-K (NIPER- 2009)
19. OCD - fluoxetine
20. alcohol poisoning :- fomepizole
21. epilepsy in pregnency :- phenobarbitone
22. anaphylactic shock :- Adrenaline
23. Malaria in Pregnancy-Chloroquine
24. Whooping Cough or Perteusis- Erythromycin
25. Kawasaki disease-IV Ig
26. Heparin Overdose-Protamine
27. Hairy Cell Leukemia-Cladirabine
28. Multiple Myeloma- Melphalan
29. CML-Imatinib
30. Wegner's granulomatosis-Cyclophosphamide
31. HOCM- Propranolol
32. Delirium Tremens-Diazepam
33. Drug Induced Parkinsonism-Benzhexol
34. Diacumarol Poisoning-Vit-K
35. Type-1 Lepra Reaction-Steroids
36. Type- 2 Lepra Reaction-Thalidomide
37. Allergic Contect Dermatitis-Steroids
38. PSVT- 1st-Adenosine, 2nd-Verapamil, 3rd-Digoxin
39. Z-E Syndrome- Proton Pump Inhibitor
40. Chancroid-Cotrimoxazole
41. Dermatitis Herpetiformis-Dapsone
42. Spastic Type of Cerebral Palsy-Diazepam
43. Herpis Simplex Keratitis-Trifluridine
44. Herpes Simplex Orolabialis-Pancyclovir
45. Neonatal Herpes Simplex-Acyclovir
46. Pneumocystis carinii Pneumonia-
47. Cotrimoxazole - Nodulo .
48. Trigeminal Neuralgia-Ca gluconate
Common Signs and Symptoms:-
*.Pulmonary Tuberculosis (PTB)—low-gradeafternoon fever.
*.Pneumonia—rust-colored sputum.
*.Asthma—wheezing on expiration.
*.Emphysema—barrel chest.
*.Kawasaki Syndrome—strawberry tongue.
*.Pernicious Anemia—red beefy tongue.
*.Down syndrome—protruding tongue.
*.Cholera—rice-watery stool and washer woman’s hands (wrinkled hands from dehydration).
*.Malaria—stepladder like fever with chills.
*.Typhoid—rose spots in the abdomen.
*.Dengue—fever,rash, and headache. Positive Herman’s sign.
*.Diphtheria—pseudomembrane formation.
*.Measles—Koplik’s spots (clustered white lesions on buccal mucosa).
*.Systemic Lupus Erythematosus—butterfly rash.
*.Leprosy—leonine facies (thickened folded facial skin).
*.Bulimia—chipmunk facies (parotid gland swelling).
*.Appendicitis—rebound tenderness at McBurney’s point. Rovsing’s sign (palpation of LLQ elicits pain in RLQ). Psoas sign (pain from flexing the thigh to the hip).
*.Meningitis—Kernig’s sign (stiffness of hamstrings causing inability to straighten the leg when the hip is flexed to 90 degrees), Brudzinski’s sign (forced flexion of the neck elicits a reflex flexion of the hips).
*.Tetany—hypocalcemia, [+] Trousseau’s sign; Chvostek sign.
*.Tetanus— Risus sardonicus or rictus grin.
*.Pancreatitis—Cullen’s sign (ecchymosis of the umbilicus), Grey Turner’s sign (bruising of the flank).
*.Pyloric Stenosis—olive like mass.
*.Patent Ductus Arteriosus—washing machine-like murmur.
*.Addison’s disease—bronzelike skin pigmentation.
*.Cushing’s syndrome—moon face appearance and buffalo hump.
*.Grave’s Disease (Hyperthyroidism)—Exophthalmos(bulging of the eye out of the orbit).
*.Intussusception—Sausage-shaped mass.
*.Multiple Sclerosis—Charcot’s Triad: nystagmus, intention tremor, and dysarthria.
*.Myasthenia Gravis—descending muscle weakness, ptosis (drooping of eyelids).
*.Guillain-Barre Syndrome—ascending muscles weakness.
*.Deep vein thrombosis (DVT)—Homan’s Sign.
*.Angina—crushing, stabbing pain relieved by NTG.
*.Myocardial Infarction (MI)—crushing, stabbing pain radiating to left shoulder, neck, and arms. Unrelieved by NTG.
*.Parkinson’s disease—pill-rolling tremors.
*.Cytomegalovirus (CMV) infection—Owl’seye appearance of cells (huge nucleus in cells).
*.Glaucoma—tunnel vision.
*.Retinal Detachment—flashes of light, shadow with curtain across vision.
*.Basilar Skull Fracture—Raccoon eyes (periorbital ecchymosis) and Battle’s sign (mastoid ecchymosis).
*.Buerger’s Disease—intermittent claudication (pain at buttocks or legs from poor circulation resulting in impaired walking).
*.Diabetic Ketoacidosis—acetone breathe.
*.Pregnancy Induced Hypertension (PIH)—proteinuria, hypertension, edema.
*.Diabetes Mellitus—polydipsia, polyphagia, polyuria.
*.Gastroesophageal Reflux Disease (GERD)—heartburn.
*.Hirschsprung’s Disease (Toxic Megacolon)—ribbon-like stool.
*.Sexual Transmitted Infections:
*.Herpes Simplex Type II—painful vesicles on genitalia
*.Genital Warts—warts 1-2 mm in diameter.
*.Syphilis—painless chancres.
*.Chancroid—painful chancres.
*.Gonorrhea—green, creamy discharges and painful urination.
*.Chlamydia—milky discharge and painful urination.
*.Candidiasis—white cheesy odorless vaginal discharges.
*.Trichomoniasis—yellow, itchy, frothy, and foul-smelling
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