New Imp

Hey frends its Simply and IMP ans and
divison I have recived frm my senior

frend..m fwdng it to u..hope it wil b
fruitful for u regards urs mate H!r@
:D
Imp topics 4 oscepaeds
counselng of pcm,thalasemia,rikets,iron deficiency.
Growth retardatncauses,downsyndrome,congentl heart
disease,ariprogwho,diarrhea,pneumonia,meningts,c.p child,
xraypneumonia,pleurleffusn,rickts
#2 aik viva cranial nerves pehogawonaihua to motor ya sensory ya reflexes..
mera 2nd 4, 6 and 7 cr nerves kahuatha detailed wobhe
Fwd :
Skin me itch,blistrs,legulcrs,eczma,psoriasis,acne,sq.celca,basalcel ca. Davidsn
say yeh topic parh k baqi skin short say
4,7,8,9,11-15,17-19
7,9,11,17,18,19 mst imp
Imci 4om kndi
Kundi
Grwtnddvlp,chrmsm,cns,livrsplen ,heart,bld
ppa 7 8 9 10 11 12 14 17 18 28(rickts)
yr 11 4rm b0th,nd 10 pecntravsy he.
Fwd: Peadiatrics syllabus:
Only chaps 1,4, 6-21 from PPA are in the course
Ch
Ch
Ch
Ch
Ch
4: do IMCI from Kundi

11: do from PPA n Kundiboth
12: Only ARI's imprtnt, do it frmKundi
13 & 16: Kundi only
14: only diarrhea's imprtnt

:D
Kundi
Grwtnddvlp,chrmsm,cns,livrsplen ,heart,bld
ppa 7 8 9 10 11 12 14 17 18 28(rickts)
yr 11 4rm b0th,nd 10 pecntravsy he.
Aoa.Todaysosceunobservd: endotrachl tube, diphtheria, wlson disease, beta
thalasemiaxray, anyphylaxs reaction bee sting, nephritic syndrom, vW disease.
Observd: 1 viva on malnutrition, 1 on cough n resp distress, 1 station fr
anthropometry n its relevant qs, 1 short case of pulses xmnation n viva, 1 short
scenario of cerebelar function tests.
Pcm facial palsy aur precordium ka examination tha, asthma aur hemiplegia ki
history rickets ka X-ray unobserved meinhypothyrodismchkn pox hemorrhagic
disease of new born enteric fever sickl cell anemia 2 dds k scenerio the
Hal b .1st shft.
Jaundce lab report
Microcytc anemia lab report
Sarcoidosisxray
T.b/ MS xray dun knw
Ecg (lftvntrclarhyprtrophy)
EttndInsuln syringe
chronic rheumatc fever prescription
thyrotoxicosis , cushingnd stroke cases ,
Today 2nd shift:
scenario aplastc anemia dkaya hyperosmolar coma katha..eksmjhnaeaya.cxr
bronchiectasis pulmonary edema....tbprescrptn...facial nerve palsy pic....lp
needle...nasogastrc tube....ecgsmjhnaeaya...examinatns m rheumatoid arthritis,
anemic bnditi,upper limb motor sys...cldkihx
Exam
Pulses
Cerebellum

:D
Anthropmtry
Hx of diarrhoea
Hx of cough acc to imnci
Static
Anaphylactic reaction
Epiglottitis
Von weillebrnd disease
Wilson disease
Tof
Glycogen syorage disease
Xraythalasemia skull
Insett
JRA
Acute glomerulonephritis
Rickets xray
Reyes like scenario
Claudicati0n
Rectal bleedng
V0mitng n diarrhea case
Chckenp0x
Hem0rrhagc dis of newb0rn
UTI
Typh0id
Hypothyr0id
Exam
Pcm
Prec0rdium
Hemiplegia
Facial nerve
Hx c0ugh n breathnessness

:D
Hx Rheumat0id Arthritis
Viva Rheumat0id Arthritis
Exam: Abd
Cranial nerves, m0tor sys of l0wer limb
Thallasemia child
Un0bs wre difficult
Chest xraywre so ajeeb
2 ecg
LFT
Micr0cytic anemia
Insulin syringe
Ett
Rx rheumatic
Cushng syndr0me
thyr0id
Str0ke
Topics to be revisd from theory
CVS:
Afib MS MR AS AR VSd MI stable angina
Resp :
Copd, tb , pnumo, lung ca, asthma
CNS:
Stroke ,transverse mylitis, epilepsy
GIT
Celiac crohnulcerativ
Liver
CLD hepbpbc hepatic encaph
Msk
RA OA

:D
Diab
Dka
Instruments, xray, ecg, prescriptions, lab rep0rts fr0m comprehensive
Hx n exam n causes fr0m bedside scenarios fr0m c0ncept.
History cldki,
usika viva,
gp + abd
cns m0tor system,
gp
crohn's disease,
facial nerv palsy,
organ0phnsphate p0is0ning,
honk (nt sure
aplastic anaemia,
cxrbroncheactasis,
cxr cardiomegaly,
ng,
lpneedl,
ecg (ptanaikia)
prescripti0n (tb)
Yar 2labs thnjosmjhnahy ay prek man jaundice thashayd r ek may microcytic
anemia
xrays man 1 miliray seeds 1 man consolidation
instrumnts man ett r insulin syrng
1case cushngssydromkatha
1case stroke ka
1 pic thy josmjhnahyay
2 ecgthnwoh to bilkulsmjhnahy ay
prescription writing chroncr.fever
xaminationshmary hall man ek anemia pr thy ekabdekcns
histryr.apr

:D
Topics for medicine 2:Cns Endo and diabetes Musculoskeletal system Kidney Nutrition and
enviromental Clinical biochemistry and metabolism Psyciatry and poisoning.
Topics for Medicine 1
RespoCvsGitHepatobiliary diseases Infectious diseases Hematology Dermatology
Genetics Immunological disorders
M1= Respiratory,cvs,git,infectiousdis,liver,blood,derma,genetics n immuno.
M2=neuro,endo,diabetes,musculoskel,nutritionenvrmnt,kidney,waterelectrolyte,
theraputics,psychiatry n poisoning..
Paeds:
From PPA:
- Nutrition
- Neonatalogy
From kundi:
- IMCI
- Immunization
- Hematology (OnlyThalasemia)
- CVS
From comprehensive review:
- Growth n development
- Metabolic diseases
- All the systems
Fwdd:
Peads most imp.

:D
Growth n d.ev, imunisatio.n, malnutritio.n, rickets, imci, neo.nate, inf.ectious d.
Imp.only, cvs whole, utinephrotic n glo.merunephritis 4m renal, genetic:down,
single gene d.e.f.ects only names , 4m KUNDI
Peadsosce(unobsrvd):
Raisdicp,endotrachealtube,cretinism,rickets,ccf,thalasemia,d.d of rash with
fevr.,x.ray .
Our osce(obsrvd): examinations of malnutrition,raisdicp, periphrl pulse. Nd 2
spots of histries
Poisoning: paracetamol, salicylates, TCA, benzodiazipines, opioids,
organophosphates.
Physchiatry: anxiety symptms, DD wala table, depresses m0od (topic n table),
delusi0ns, hallucinations, anxiety disorder, mood disorder, schizophernia.
Envir n nutrtn: temperature, high altitude, obesity, vitamin n mineral deficiency.
Blood,resp,heart,vaccines and chromosome,imci ,diarrea from kundi..
Rest PPA
M1: Resp,cvs,git,inf,liv,bld,skn,genit,imu,
M2:
cns,endo,dm,msk,nut,kdny,biochem,psych,poison,therapy
Most probable distribution of questions according to a list in dimc. (No idea how
reliable this is though)
M1
Respiratory 19
cvs 18
git 19
infectious diseases 14
liver 9
blood 13
derma 5

:D
genetics 1
immuno 2
M2
neuro 18
endo 18
diabetes 6
musculoskeletal 14
nutrition & environment 11
kidney 12
water electrolyte 5
theraputics 7
psychiatry 4
poisoning 5
topics to do from infectious diseases
PUO,acutediarrea,measles,rubella,parvovirus
B19,chickenpox,shingles,mumps,influenza,EBV,CMV,dengue,HSV,staph,strep,typ
hoid,,diptheria,leprosy,malaria,amoeba,giardia,roundworm,shistosomiasis,candi
da,histoplasma
Fr0m David txt Do: CVS, resp, GIT, liver, blood, CNS, diabetes, from endo do
thyroid n pituitary fr0m main n all rest topics fr0m short. And all other systemic
chaps u can either do them fr0m short david, inamdanish or PK short
Medicine has two exams. The following chaps are included in med 1:
3,4,11,13,18,19,22,23,24,27 (3,4,11 are nt imp.)
Med 2: 2,5,9,10,16,17,20,21,25,26 (2 is nt imp.)
28/2/11--2nd shft
Foley catheter, typhoid prescription, acromegaly pic, inferolat mi
ecg(probably),organophosphrous poisoning, scenrio of microcytic anemia,
scenario of nephrotc or nephritcsyndrmnt sure, cardiomegaly xray, othrxraynt
sure bt probably fibrosis, 1 scenario of cvs with S3 audible, raised jvp,low vol.
rapid pulse,edema, ascites, dntknw ans.

:D
Cld long case hstry, xmanatn n viva, 2 shrt cases n both gpe n telpositv findings
n diagnosis.
#3Aik xrayhoga..mera teratology of falotpetha.. aik hypothyroid bachayki pic
pichley do saal se arahecuz most of student wrong diagnose krtehain
fwd txt ....
*diarhea with any travel hxthnk tropical sprue.
*female patient with pruritis,jaundice,thnk primary biliary cirhosis.
*patient with hx of diarhea n paralysis now,thnkgbs
*elderly patient with spinal claudicatin.thnk lumbar canal stenosis.
*Post transplantlymphoproliferativelymphoma,EBvirus.
*patient with loin pain n systemic symptoms,thnk acute pyelonephritis.
*premature ageing of skin,werner syndrome
(PATHOGNOMIC SIGNS OF 32 DISEASES )
1. COPD - Barrel-Chested
2. Pneumonia - Greenish Rusty Sputum
3. Pernicious Anemia - Beefy Red Tongue (Schillings Test)
4. Kawasaki Dieases - Strawberry Tongue
5.Typhoid - Rose Spot
6.Tetany - Chvostek Sign (Muscle Twitching Face)-Trosseaus Sign (Jerky Movts)
7. Pancreatitis - Cullen Sign (Bluish discoloration preumbilical area)
8. Appendicitis - McBurneys Point (rebound tenderness)-Rovsing Sign (RLQ pain
w/ palpation in LLQ)- Psoas Sign(pain on lying down putting pressure on MB pt)
9. Thrombophlebitis - Homans Sign

:D
10. Hepatitis - Icteric Sclera (yellowish discoloration of sclera)
11. Meningitis - Burdzinski Sign (Pain on nape)-Kernig Sign (pain on leg/ knee
area)
12. Pyloric Stenosis - Olive-Shaped Mass
13. Hyperthyroidism - Exopthalmus
14.Addisons Disease. - Bronze-like skin
15. Cushing Syndrome- Boffalo Hump
16.Cholera - Rice Watery Stool
17.SLE - Butterfly Rashes
18. Leprosy - Leoning Face (contracted face)
19. Bulimia Nervosa - Chipmunk Face
20.Liver Cirrhosis - Spider Angioma
21.Asthma - Wheezing Inspiration
22.Hyperpituitarism - CAROTENEMIA (Discoloration of skin)- XANTHAMIA
23. Down Syndrome- Single Crease on Palm
24.TOF - Ventricular Septal Defect , Pulmonary StenosisOverriding of Aorta ,
Right Ventricular Hypertrophy
25.Cataract - Blurry Vision / Hizzy Vision
26.Glucoma - Tunnel-like Vision
27. PTB - Low grade fever in afternoon
28.Cholecystitis- Murphys Sign (pain RUQ)
29. Myasthemia Gravis (MG) Ptosis (inability to open upper eyelids)
30. Dengue - Petechiae
31.Parkinsons Diease. - Pill Rolling Tremors
32. Measles - Koplicks Spot
*GOLD STANDARD*
estimating resting energy expenditure indirect calorimetry
diagnosis of Iron deficiency anemia Estimation of serum Ferritin
proving that the life span of red cell is decreased ( useful in Hemolytic anemia) Red cell survival study

:D
evaluation of stem cell transplantation therapy - Hemopoietic stem cell
transplantation
Gold standard technique for differentiating allograft rejection and reactivation of
disease after heart transplantation - Endo-myocardial Biopsy
diagnosis of DVT - Contrast venography
diagnosis of acute pharyngitis - Throat culture
diagnosis of pertussis - Culture of nasopharyngeal secretions
diagnosis of Otitis externa caused by P. aeruginosa Technetium bone scan
diagnosis of Acoustic Neuroma Gadolinium MRI
diagnosis of Shigella infection - isolation and identification of pathogen from
fecal material
diagnosis of Tuberculous meningitis - Culture of CSF
diagnosis of HSV Encephalitis - Brain biopsy (CSF PCR largely replaced brain
biopsy in recent times)
diagnosis of histoplasmosis - Fungal Culture
diagnosis of hypertrophic cardiomypathy and atrial myxoma Echocardiogram
imaging heart valves and valve motion abnormalities- 2D echocardiography
assessment of Myocardial viability (Identification of ischemic or hibernating
myocardium) PET
assessment of LV mass and volume MRI
evaluation of renal arteries and identification of renal artery lesions - Contrast
arteriography

:D
evaluation of respiratory gas exchange ABG
assessment of albuminuria - 24 hr urine collection
diagnosis of PNH (Paroxysmal Nocturnal Haemoglobinuria) Flow cytometry
diagnosis of ATTR and other AF mutations DNA sequencing
identifying and quantifying atherosclerosis in cerebral arteries - x-ray cerebral
angiography
evaluating anatomy of arterio venous malformation -x-ray angiography
diagnosis and classification of ataxia genotype
diagnosis of of lung infection (Radiotherapy induced) in a cancer patient - openlung biopsy
Gold standard medical treatment for symptomatic progressive pulmonary
hypertension Prostacyclin
diagnosis of PIH Serum Urea
assessment of visual impairment - Snellen's chart
treatment of non-castrate metastatic disease surgical orchidectomy
bacterial stain analysis - Pulse-field gel electrophoresis
treatment of DCIS Mastectomy
Gold standard approach for resection of anterior and middle mediastinal masses
-median or lateral thoracotomy
treatment of Coarctation of aorta - Surgical repair
evaluation of coronary artery disease cardiac Catheterization

:D
culture of V. cholerae o139 - Conventional culture methods
Gold standard to determine cut-off titre of widal test for diagnosis of Typhoid
fever Nested PCR
Gold standard treatment of brucellosis in adults - IM Streptomycin + Doxycyclin
diagnosis of of chronic arterial mesentric ischemia angiography
treatment of chronic ulcerative colitis - Total proctocolostomy with end ileostomy
evaluation of imaging modalities for liver tumours -Intraoperative
ultrasonography
diagnosis of common bile duct stones Endoscopic cholangiography
measurement of GFR - inulin clearance
organ confined, muscle invasive, bladder cancer is -radical cystoprostatectomy
in men and anterior pelvic exenteration in woman
femoral shaft fractures - reamed locked intramedullary nailing
in case of difficult intubation - flexible fibreopticintubationscope
diagnosis and treatment of Ventilator AssociatedPneumonia (VAP) - Broncho
alveolar lavage
Gold standard treatment of hyperparathyroidism Surgery
Gold standard investigation to differentiate follicular and papillary carcinoma of
thyroid gland- histology
procedure for thymectomy - Trans cervical mediastinoscopyandsurgery
treatment of adrenal tumours - laparoscopic adrenalectomy
diagnosis of breast cancer mammography

:D
staging of breast cancer - Axillary lymph node dissection
evaluation of a stable patient with suspected vascular injury angiography
diagnosis of GERD - Ambulatory 24 hr PH monitoring
treatment of GERD - LaparoccopicNissens fundoplication
evaluating cure rate in duodenal ulcer patients vagotomy
Gold standard finding for the diagnosis of GI perforation - finding
pneumoperitoneum
diagnosis of Zollinger-Ellison syndrome - Serum gastrin levels( Most patients
have serum gastrin levels above 1000pg/mL)
diagnosis of colonic mucosal disease colonoscopy
diagnosis of steatorrhoea - timed quantitative stool fat determination
treatment of incontinence with an isolated sphincter defect- overlapping
sphincteroplasty
diagnosis and method of management of Acute arterial occlusion laparotomy
confirmation of mesentric arterial occlusion mesentricangiography
diagnosis of celiac disease Small intestine biopsy
identifyingcholedocholithiasis ERCP
treatment of Symptomatic cholelitiasis Lapcholecystectomy
diagnosis of Primary sclerosing cholangitis ERCP
diagnosis of Hepatitis C HCV RNA assay

:D
Gold standard test for diagnosis of intraluminal bile duct abnormalities ERCP
management of hydatid disease surgery
assessing degree of liver injury and fibrosis -Liver Biopsy
management of blunt hepatic trauma - non-operativemanagement
Gold standard test for assessment of function of sphincter of oddi manometry
Gold standard investigation of diagnosis of Klatskin tumor Cholangiography
diagnosis of invasive amoebiasis - ELISA
Fwd:
Paeds CONCEPT Corrections
p10...q8..ans is pericarditis
p52...q26...ans is 8-12 wks
p54....q37..ans is pyrimethamine
p58...q66..scoring sys
p80..q28..ans is pregnancy
p134...q4...A
q5...E
p211...q24...E
p213....q37...A
p224...q6...B
p225...q7..B
p235...q68...E
p236...q73..A
p285...q65...C
p329...q6...E
p331...q28...D
Fwd:
Corrections concise paeds:
p7...q7....B

:D
p33...q69...A
p59...q56..A
p61...q60...C
p81...q31...A
P127...q66..D....q67...C
p141...q21...B
p143....q26...A
(PATHOGNOMIC SIGNS OF 32 DISEASES )
1. COPD - Barrel-Chested
2. Pneumonia - Greenish Rusty Sputum
3. Pernicious Anemia - Beefy Red Tongue (Schillings Test)
4. Kawasaki Dieases - Strawberry Tongue
5.Typhoid - Rose Spot
6.Tetany - Chvostek Sign (Muscle Twitching Face)-Trosseaus Sign (Jerky Movts)
7. Pancreatitis - Cullen Sign (Bluish discoloration preumbilical area)
8. Appendicitis - McBurneys Point (rebound tenderness)-Rovsing Sign (RLQ pain
w/ palpation in LLQ)- Psoas Sign(pain on lying down putting pressure on MB pt)
9. Thrombophlebitis - Homans Sign
10. Hepatitis - Icteric Sclera (yellowish discoloration of sclera)
11. Meningitis - Burdzinski Sign (Pain on nape)-Kernig Sign (pain on leg/ knee
area)
12. Pyloric Stenosis - Olive-Shaped Mass
13. Hyperthyroidism - Exopthalmus
14.Addisons Disease. - Bronze-like skin
15. Cushing Syndrome- Boffalo Hump
16.Cholera - Rice Watery Stool
17.SLE - Butterfly Rashes
18. Leprosy - Leoning Face (contracted face)
19. Bulimia Nervosa - Chipmunk Face
20.Liver Cirrhosis - Spider Angioma
21.Asthma - Wheezing Inspiration
22.Hyperpituitarism - CAROTENEMIA (Discoloration of skin)- XANTHAMIA

:D
23. Down Syndrome- Single Crease on Palm
24.TOF - Ventricular Septal Defect , Pulmonary StenosisOverriding of Aorta ,
Right Ventricular Hypertrophy
25.Cataract - Blurry Vision / Hizzy Vision
26.Glucoma - Tunnel-like Vision
27. PTB - Low grade fever in afternoon
28.Cholecystitis- Murphys Sign (pain RUQ)
29. Myasthemia Gravis (MG) Ptosis (inability to open upper eyelids)
30. Dengue - Petechiae
31.Parkinsons Diease. - Pill Rolling Tremors
32. Measles - Koplicks Spot
*GOLD STANDARD*
estimating resting energy expenditure indirect calorimetry
diagnosis of Iron deficiency anemia Estimation of serum Ferritin
proving that the life span of red cell is decreased ( useful in Hemolytic anemia) Red cell survival study
evaluation of stem cell transplantation therapy - Hemopoietic stem cell
transplantation
Gold standard technique for differentiating allograft rejection and reactivation of
disease after heart transplantation - Endo-myocardial Biopsy
diagnosis of DVT - Contrast venography
diagnosis of acute pharyngitis - Throat culture
diagnosis of pertussis - Culture of nasopharyngeal secretions
diagnosis of Otitis externa caused by P. aeruginosa Technetium bone scan
diagnosis of Acoustic Neuroma Gadolinium MRI

:D
diagnosis of Shigella infection - isolation and identification of pathogen from
fecal material
diagnosis of Tuberculous meningitis - Culture of CSF
diagnosis of HSV Encephalitis - Brain biopsy (CSF PCR largely replaced brain
biopsy in recent times)
diagnosis of histoplasmosis - Fungal Culture
diagnosis of hypertrophic cardiomypathy and atrial myxoma Echocardiogram
imaging heart valves and valve motion abnormalities- 2D echocardiography
assessment of Myocardial viability (Identification of ischemic or hibernating
myocardium) PET
assessment of LV mass and volume MRI
evaluation of renal arteries and identification of renal artery lesions - Contrast
arteriography
evaluation of respiratory gas exchange ABG
assessment of albuminuria - 24 hr urine collection
diagnosis of PNH (Paroxysmal Nocturnal Haemoglobinuria) Flow cytometry
diagnosis of ATTR and other AF mutations DNA sequencing
identifying and quantifying atherosclerosis in cerebral arteries - x-ray cerebral
angiography
evaluating anatomy of arterio venous malformation -x-ray angiography
diagnosis and classification of ataxia genotype

:D
diagnosis of of lung infection (Radiotherapy induced) in a cancer patient - openlung biopsy
Gold standard medical treatment for symptomatic progressive pulmonary
hypertension Prostacyclin
diagnosis of PIH Serum Urea
assessment of visual impairment - Snellen's chart
treatment of non-castrate metastatic disease surgical orchidectomy
bacterial stain analysis - Pulse-field gel electrophoresis
treatment of DCIS Mastectomy
Gold standard approach for resection of anterior and middle mediastinal masses
-median or lateral thoracotomy
treatment of Coarctation of aorta - Surgical repair
evaluation of coronary artery disease cardiac Catheterization
culture of V. cholerae o139 - Conventional culture methods
Gold standard to determine cut-off titre of widal test for diagnosis of Typhoid
fever Nested PCR
Gold standard treatment of brucellosis in adults - IM Streptomycin + Doxycyclin
diagnosis of of chronic arterial mesentric ischemia angiography
treatment of chronic ulcerative colitis - Total proctocolostomy with end ileostomy
evaluation of imaging modalities for liver tumours -Intraoperative
ultrasonography

:D
diagnosis of common bile duct stones Endoscopic cholangiography
measurement of GFR - inulin clearance
organ confined, muscle invasive, bladder cancer is -radical cystoprostatectomy
in men and anterior pelvic exenteration in woman
femoral shaft fractures - reamed locked intramedullary nailing
in case of difficult intubation - flexible fibreopticintubationscope
diagnosis and treatment of Ventilator AssociatedPneumonia (VAP) - Broncho
alveolar lavage
Gold standard treatment of hyperparathyroidism Surgery
Gold standard investigation to differentiate follicular and papillary carcinoma of
thyroid gland- histology
procedure for thymectomy - Trans cervical mediastinoscopyandsurgery
treatment of adrenal tumours - laparoscopic adrenalectomy
diagnosis of breast cancer mammography
staging of breast cancer - Axillary lymph node dissection
evaluation of a stable patient with suspected vascular injury angiography
diagnosis of GERD - Ambulatory 24 hr PH monitoring
treatment of GERD - LaparoccopicNissens fundoplication
evaluating cure rate in duodenal ulcer patients vagotomy
Gold standard finding for the diagnosis of GI perforation - finding
pneumoperitoneum

:D
diagnosis of Zollinger-Ellison syndrome - Serum gastrin levels( Most patients
have serum gastrin levels above 1000pg/mL)
diagnosis of colonic mucosal disease colonoscopy
diagnosis of steatorrhoea - timed quantitative stool fat determination
treatment of incontinence with an isolated sphincter defect- overlapping
sphincteroplasty
diagnosis and method of management of Acute arterial occlusion laparotomy
confirmation of mesentric arterial occlusion mesentricangiography
diagnosis of celiac disease Small intestine biopsy
identifyingcholedocholithiasis ERCP
treatment of Symptomatic cholelitiasis Lapcholecystectomy
diagnosis of Primary sclerosing cholangitis ERCP
diagnosis of Hepatitis C HCV RNA assay
Gold standard test for diagnosis of intraluminal bile duct abnormalities ERCP
management of hydatid disease surgery
assessing degree of liver injury and fibrosis -Liver Biopsy
management of blunt hepatic trauma - non-operativemanagement
Gold standard test for assessment of function of sphincter of oddi manometry
Gold standard investigation of diagnosis of Klatskin tumor Cholangiography

:D
diagnosis of invasive amoebiasis - ELISA
Fwd:
Paeds CONCEPT Corrections
p10...q8..ans is pericarditis
p52...q26...ans is 8-12 wks
p54....q37..ans is pyrimethamine
p58...q66..scoring sys
p80..q28..ans is pregnancy
p134...q4...A
q5...E
p211...q24...E
p213....q37...A
p224...q6...B
p225...q7..B
p235...q68...E
p236...q73..A
p285...q65...C
p329...q6...E
p331...q28...D
xraybeonchiectasis
Military tb
Ecg .. V bad
Prescription.. Rheumatic
Rest scenario...
Cushing
Thyrotixicosis

:D
Some anemia
Some scenario.. God knows
Instrument..Ett and insulin.. Questions weird
Vivas easy.. Heart..Rhumatic history..Resp posterior..Git
Method they done even either.. Focus on findings.. Easy stations
Unobserved masla
Hx and viva of small join pain in young male,examination cranial nerve,
hepatoslepmegaly, precodium..pan systolic murmur..xray military tb, sarcoidosis
/intetstial fibrosis..presp chronic rhematic heart ...ecg 2 hypokalemia AFTER
diarrhea in an atelete, r-r interval, 2 lab reports
Ballard scoring k signs should b remembered.
Neuromuscular maturity signs are posture, square window, arm recoil, scarf
sign, popliteal angle and heel to ear
Physical signs are eyes, pinna, breast, skin and genitals
Baby Friendly hospital k 10steps atayhain either in static or viva,
Breast feeding ki assessment, counselling, points of proper positioning n
attachment.
Developmental hx, h/o a child with CP,
Do IMCI thoroughly, nephroticwid relevant examination, risk factors for
developing malnutrition, assessment n management of micronutrient
deficiencies, thalassemia.
Endotracheal tube , hirschprng d, coeliac, chicknpx, dk, globular hrtcxr, wilsn d,
dengue n bleedngdisordr n mangmt, strep GN, h/o dvlp n malnut, exm of pcm,
liver palp, signs of meningeal irritn, JRA, enteric fever, hypok, hypothyrd, foley c,
pyloric stenosis, vW BRAND D, asthma acute excerb, severe malnu,
gastroenteritis, CLD viva n complic, breast feeding, apex beat n causes of left
sided shift, ascites, deep tendon reflx, cxr pleural eff, investg n treat, h/o nutr
feeding widcounselling of mother.
Last semester paedsosce 1st shift

:D
1. X ray T.B
2. Measles scenerio
3.Acute glomerulonephritis
4.Scenerio of increasd heart rate, respiratory rate
Investigation n management
5.Meningococemia
6. MAC values
7. Anemia scenerio
8.Diabetes mallitus
9. Fever n loss of deep tendon reflexes
Investigation n management
10. Viral meningitis
11.Feeding history viva
12.cld history viva
13. Facial nerve exam
14.Pcm
15. Hepatomegaly
paedsosce
interactive 5
1-history on jaundice in a 3 yr old child wd viva
2-ant chest examination wd viva
3-pcm head to toe examination wd viva
4-cvs precordium examination wd viva
5-Just Viva on Asthma each n everything related to it..
Statics:
cxrpericarial effusion
cxr consolidation
Lab cbcwd microcytic hypochromic anemia
lab csf d/r showing TB meningitis
scenario thalessemia
scenario meningococcal meningitis
scenario cereberal malaria
scenario ulcerative colitis

:D
#3Aik xrayhoga.. mera teratology of falotpetha.. aik hypothyroid bachayki pic
pichley do saal se arahecuz most of student wrong diagnose krtehain
N i ask k do v have to say k concievenakare..she said k hamari society mei dis is
not considered acceptable.. askdem if dey have children who r alive n
unhethalasemianhihaitoukehdo k concievenakaro.. n if koi child nhihaitou tell
dem k agar concievekaretou chorionic villous sampling karaya at 10-12wks so
datpatachaljae k thalasemia major haibachekoya.minor.. agar minor haitou she
cant continue wid her pregnancy.. 25% chance hotahai k bacha normal
hoyathalasemia minor..so u cant overlook it..
-introduce urself
-apkothalasemiakibeemari k baaremei koi malumathai?agarhaitoukia?
-shaadikhandanmeihuihai? Agar hantoukis se? I mean kia relation tha us se?
1stcznya 2nd
-ap k khandanmeikissikokhoonnabannekibemarihai? Agar haitoukisse?
-ap ne apnayaapneshoharkathalasemiaka test karayahai?
-phrthori past obs history lo..shaadikokitnatymhua? is se pehlekitnebachehai?
unmei se kissiko ye bemaarihai? Koi bachazayatounhihua? Ya alive paida hone k
baad death hui ho..agar death huithitoukiswaja se, isibeemarikiwaja se.
-agar abhi expected haitou ask her k kissidrkodikhaya.. 10-12wk pe koi test
karayathaunho ne jis se patachale k is bachekothalasemiahaiyanhi. Agar
thalasemia major haitou abort karwa le..
Agar abort nhikarwaegetouapkokchpatahai k is beemarikailajkiahai. Den tell k is
bemaarika koi ilajnhi..khooncharhanaparta. Kchbachoko 15din
meikhooncdenapartahai n kchko 1month mei..nkhoon dene k b alagmaslehai..
iron accumulation in liver,heart,spleen,joint.. retinopathy.. bloodkissisahi blood

:D
bank na ho ho unscreened ho touhep b hep c ka risk ho saktahai.. transfusion
reaction ho saktehai..phrthora is tarahbatado k ye expensive hotahai..
affordkarsaktehaiyanhi.. affordkar b saktehaitou koi khaasfaidanhi.. end result is
death due to complications..
Med Osce 2nday 1st shift.
Instruments: ETT and insulin syringe X-Ray:bronchiectasis and pericard
effusion ECG:Atrial flutter PRESCRIPTION :TB
SCENERIOS: TB,
varricealbleedind,lactic acidosis myesthenia gravis pic ,pic of inf mononucleosis
due to rashes developed after drug intake
Xrays of pleural efusi0n n c0nsolidati0n..xray findings ,d/d ,treatment
wageralikhniti..malaria prescripti0n, 2 instruments ng tube n ikydnae, then ik
thyr0id ka scenario tha pic thi n usi k sath lymph0ma ka b thauski b pic
thi..ikecgthaajebsa ,AF yaphrsvttha.. Bqi s0chti hun..
Medicine Osce:
5 Interactive Stations:
- 3 Examinations + their short vivas right on the spots. ( Gholkr pi jao Bedside n
practisemacleods videos)
- 1 Hx
- Viva on the Hx( diagnosis, investigations n its management)
10 Non Interactive: ( Do comprehensive for them it will be enough)
- 2 Xrays
- 1 prescription
- 1 ECG
- 1 spot having 2 instruments given.
- 1 picture
- 1 or 2 lab reports.
- Rest scenarios.
okay 3 shahadatein, shahrukh, orange, maryambajiddnt revise theory. only osce
book
Medicine Oscepattrn final yrz:

:D
1A:lab data
1B:Xray
2A:lab data
2B:Xray
3A: photogrph
3B: prscription writing
4A:clinicl case scenario
4B:ECG
5A:emrgency case scenario
5B:instrumnt
6:hstory takng+presntation skills
7: invstigations+managment
8:short case
9: short case
10: short case
Ppa se growth, nutrition, chromosome, neonatology kerlo,
Kundi se growth dvlopmnt, imnci, immunization, cvs, kerlo
Baqicomprehensisve se nikaljayega,
Haan comprehensive purikerna
Fwdd.Neuro topics: LP, headache nd facial pain, coma, tests 4 cnfrming brain
stem death, dizines&funy turns, brain stem lesions, tab 26.24, 26.26,
papiledema, headache synd, vestibdisordrs,epilepsy, disordrs of sleep, stroke,
SAH, Multiplscl, transvrs myelitis, alzheimers, parkinsons, wilsons,huntingtns
motor neuron, meningits, alzheimer, cerebabsces, neurosyph, tetanus, botulism,
raisd ICP, neurofibrom, acoustic neuro,hydroceph, idiopathic intracran HT,
cerviclnd lumbar spondylo, SC compresion, GBS, neuromuscjunct, muscular
dystroph (rest 4m pocket)
medicine
theres no point in doing everything from Davidson, u wont be able to revise l do
cvs,resp,git,diabetes,cns,blood ,liver,psych,poisoning and charts of
musculoskeletal from main davy. Endo,kidney,infectiousdiseases,musculo from

:D
pocket.
Skin from pocket too. And after uve done all this, do Nutrition from main
davy...just a read.
poisoning,infectiousdiseases,musculoskeletal,skin from baby and if you cant
cope up with CNS from the main davidson then you can do that too from
baby.remember that skin is the least important chapter from the systems so
keep that for the end
ETT, hirschprng d, coeliac, chicknpx, dk, globular hrtcxr, wilsn d, dengue n
bleedngdisordr n mangmt, strep GN, h/o dvlp n malnut, exm of pcm, liver palp,
signs of meningeal irritn, JRA, enteric fever, hypok, hypothyrd, foley c, pyloric
stenosis, vW BRAND D, asthma acute excerb, severe malnu, gastroenteritis, CLD
viva n complic, breast feeding, apex beat n causes of left sided shift, ascites,
deep tendon reflx, cxr pleural eff, investg n treat, h/o nutr feeding
widcounselling of mother
4wd msg.
PEADS:
FROM KUNDI
ch 1 hx taking
ch 2 growth dev
ch 3 imunizatn
ch 4 only imci 4.6 4.7
ch 9 only acutdiarhea
ch 10 resp dis
ch 11 only chronic diarhea

:D
ch 12 cvs
ch 14 neuromusc ds
ch 21 only down syndrome n single gene defect
FROM PPA
Ch 7 nutrition
ch 8 metabolic ds
ch 9 neonatology
ch 10 infectious ds
ch 13 only heart sound, murmur , ecg, arrhythmia
ch 14 alimentry tract
ch 15 liver
ch 16 hematology
ch 17 endo
ch 18 urinary system
ch 19 cns
ch 21 rheumatic ds
4wd msg.
Imp topics
Resp

:D
COPD
Asthma
Pneumonia
TB
Bronchogenic Ca
GIT
Peptic ulcer
IBDs
Acute n Chronic Pancreratitis (dnt agree)
CVS
HTN
CCF
Angina
MI
Atrail fib
VT
VF
PVCs
Pericrdial effusion
Liver
CLD HBV HCV Wilson
Hemochromatosis
Alcohol
Liver abscess
Hepatoma
FHF
Blood
Anemia iron defmegaloblstc
Leukemia
Hemophilia

:D
Endo
Hypo hyper
DM
Cushing syndrome
CNS
Stroke
Meningitis
Parkinsonism
Epilepsy
Bell palsy
Bone
RA
SLE
Osteoporosis
Osteomalacia

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Hey frends its Simply and IMP ans and

divison I have recived frm my senior

4: do IMCI from Kundi

Hey frends its Simply and IMP ans and

Hey frends its Simply and IMP ans and

Hey frends its Simply and IMP ans and

Hey frends its Simply and IMP ans and

Hey frends its Simply and IMP ans and

Hey frends its Simply and IMP ans and

Hey frends its Simply and IMP ans and

Hey frends its Simply and IMP ans and

Hey frends its Simply and IMP ans and

Hey frends its Simply and IMP ans and

Hey frends its Simply and IMP ans and

Hey frends its Simply and IMP ans and

Hey frends its Simply and IMP ans and

Hey frends its Simply and IMP ans and

Hey frends its Simply and IMP ans and

Hey frends its Simply and IMP ans and

Hey frends its Simply and IMP ans and

Hey frends its Simply and IMP ans and

Hey frends its Simply and IMP ans and

Hey frends its Simply and IMP ans and

Hey frends its Simply and IMP ans and

Hey frends its Simply and IMP ans and

Hey frends its Simply and IMP ans and

Hey frends its Simply and IMP ans and

Hey frends its Simply and IMP ans and

Hey frends its Simply and IMP ans and

Hey frends its Simply and IMP ans and

Hey frends its Simply and IMP ans and

Hey frends its Simply and IMP ans and

Hey frends its Simply and IMP ans and

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