Cardio: 2 heart sounds to listen to, 2 ECGs, absent endocardium

cushions is seen in what congenital heart defect,

Know the CO and VR curves
Bilateral cleft lip is an example of --------- answer is malformation
A child with congenital long QT syndrome has an abnormality in
permeability of which of the ions? Potassium
Types of Shock, how each affects TPR, CO, warm skin or cold skin..
Etc. Know all those parameters and how they change with each type of
shock
Compliance and elasticity curve
Neuro & Anatomy: know the brodmann areas and in which thalamus input
from them relays to Which cells play a role in antigen presenting
and which ones for regeneration of injured nerve
Holoprosencephaly - what gene is defective
Strabismus should be corrected in children to prevent - amblyopia
Urinary incontinence - know the types and how they present
and what causes each.
Got 2 Q's - urge and stress
A patient comes with loss of position sensation in his
left lower limb. Where the site of the lesion?
Hydrocephalus, cranial nerves- injury presents with?
Causes of SAH
Myasthenia Gravis & Lambert eaton(what happens at post
synaptic receptors)?
Anatomical snuffbox injury - most likely bone fractured?
Types of muscle fibers - white or red, their
characteristics, which one you see in a marathon runner and a

weightlifter
Man got hemiparesis. When he is asked to draw a clock, he
draws as shown in the picture below. Which part of the brain is most
likely affected?
Sleep changes seen in narcolepsy
Micro: lots of micro. Know how each organism looks on a micro slide,
got one on T Cruzi and chlamydia.
MOA of vibrio cholera - inc CL secretion
sickle cell disease presents with fever, chest pain and productive
cough. Most likely organism?
After a cataract surgery for a patient, he presents with eyelid
swelling and pus inside the eye chamber. Gram stain shows elongated
gram positive rods. Which organism?
Arm of a child 3 days after scratched by a cat. What cells mediate
this immune response? - T-lymphocytes
A child is brought to the clinic immediately after he touched a bat in
the garage. What is the next action. Physical examination shows no
signs of bites? Vaccinate or watch the boy for abnormal behavior or no
action to be taken?
Vaccine against Neisseria is against which part? Pili or capsule
GI: Duodenal atresia - how it looks on an abdominal X-ray
Woman comes with weakness and parasthesia after eating red fish. Toxin
interferes with permeability of which ion?
Know everything about hernias, GI ligaments, GI hormones
Portosystemic shunts, effects of estrogen in portal HTN
Budd chiari syndrome - causes
Stomach and colon cancer- which is seen in Japanese more?
Meckel's diverticulum - ectopic gastric mucosa stains with 99mm TV

pertechnetate
Addison's dz - MCC
Biochem & Genetics: 2 pedigree charts, one on P53 gene mutation and
another on Autosomal recessive
Alcoholic, which biochem pathway is affected the most? They
listed all the pathways, but I took gluconeogenesis
ubiquitinated proteins. What cellular organelle likely
degrades these proteins? Proteasome
What protein is encoded by ADPKD 1 gene in adult polycystic
kidney disease?
Boy presents with multiple scaly skin lesions over the sun
exposed areas and photosensitivity. He has a family history of similar
condition. What repair mechanism is most likely defective in this
child?
Know your vitamins very well, glycogen and lysosomal storage diseases
Resp: The best strategy to prevent mountain sickness is: to ascend slowly
What is the mechanism through which the body looses the
temperature in the air in the dessert? Conduction, convection or
radiation?
A patient got pulmonary embolism, what is the chance he
will develop pulmonary infarction? 10%
Acid base types
Causes of ARDS, pulmonary HTN
Kyphosis - restrictive or obstructive dz? How FVC, TLC,
RV etc changes?
Pharm: patient has been receiving a drug for open angle glaucoma
presents with long eyelashes. the drug? I chose latanoprost.. Confirm
Know the protease inhibitors - 1st and 2nd generation

Keep up with new drugs on the market now too.. Got loads of new drugs
What is true about Acyclovir? (Know it's MOA)
An artist got poisoning with a substance he usually uses. Dimercaprol
is given and he recovered. most likely the substance? Mercury
Grapefruit juice inhibits which of the following CYP450? -CYP450 3A4.
omeprazole? - CYP450 P2Y
anti-microbial agent that inhibits ,D-glucan?
Glipizide - most common SE?
Others:
Ethics: lots of crazy ethics questions and all the answers are
correct, you gotta choose the best. just know that the standard of
ethical conduct on the exam is extremely high. know the best answer on
the exam is the maximum that ethics demands, not what most physicians
do but what the ideal physician will do.
Never refer your patient out, always be straight and specific when
answering questions concerning life and death issues even if it'll
make the patient unhappy..
Don't give false hope, Don't go to court (exhaust all other
alternatives before that), etc
These are the concepts I remember I got questions on
Beh Sci: know how drug intoxication and withdrawal presents, got a few
on heroin and inhalants
Calculation of confidence interval, median ( always arrange the
numbers given from smallest to biggest before calculating)
Personality disorders, dementia types
Renal: urinary stones, UTIs and how they present and which ones have
WBC cast, know how the IF of the nephrotic and nephrotic dz look
like..
Renal embryological development
Repro: causes of amenorrhea, PCOS and it's effect on FSH and LH
Rheum and Derm: rheumatoid arthritis - cause. Know the types and skin
cancers
CREST Scleroderma
Paraneoplastic syndromes

Amylodosis
Types of insurance
Nutrition
Diets
Non saturated and saturated fat
Pelvic anatomy and positional muscle nerves in the arms