Professional Documents
Culture Documents
VITALS
VITALS
My beloved teachers
Who guided us in the right direction
My juniors
Who pushed me to put the essential topics of final year mbbs
into the format of a book
Hey y’all, Super excited to introduce you the very zeroth edition of VITALS - The
inevitable portions for final year MBBS exams.
The book contains comparatively a very short number of high yielding selected portions
of Medicine, Surgery, Orthopedics, OBG & Paediatrics. Along with the selections, the
exact page number in which the topic is located has also been given. In addition, if the
same topic has to be studied from a different subject, the page number of that book has
also been given along with it so that one can study the common topics in an integrated
manner. The weightage of the topic is also detailed. Locations of multiple sources have
been given for a single subject which will allow one to choose the convenient textbook.
VITALS zeroth edition will be a free of cost soft copy. Since it's a soft copy, one can
easily search for a topic and instantly locate that portion in their standard textbook,
hence done a smart work there!
The book is made as a need of the hour as current batch of my juniors who is going to
appear the final year exams, has only got a very short period of time to prepare for their
final year university exams, when compared to the other batches, as COVID-19
pandemic affected their course schedule unpredictably.
On Making, VITALS has been treated totally in a theory exam point of view. The zeroth
edition of VITALS does not includes the pattern of university practical exam, as it is
intentionally excluded to avoid bulking of the book, and also considering the fact that
usually one won't fail in practical exam and hence not a vital thing to be included.
Hope you can thoroughly exploit the VITALS & i wish the book will ease your final MBBS
preparation and make things easier. For feedback and suggestions/ queries write to
vitalszerothedition@gmail.com
I congratulate Dr. Mujeeb for his sincere efforts and wish him all the very best.
Dr. Shanavas. A
Professor and Head of the department
Department of Pediatrics
Government Medical College, Alappuzha
Here it is! Thank you so much for all the ones who supported, cared, loved & showed their
concerns directly & indirectly. Without many in the field of medicine, VITALS wouldn't have
been a reality.
My sincere gratitude to Dr. Aswith Das, Neurosurgery Senior Resident, Govt. Medical College,
Alappuzha and Dr. Monet Philipose, Medicine Junior Resident, Govt. Medical College,
Alappuzha for their valuable inputs & suggestions in the designing of VITALS.
I'm greatly appreciative for the Inspiring words from Dr. Jatheesh mohan & Dr. Akhil Suresh,
Medicine Junior Residents, Govt. Medical College, Alappuzha, which pushed me to go ahead
with the idea of making of the book.
I'm extremely thankful for the blessings & wishes from Dr. Vijayalakshmi, Former Principal,
Govt. medical college, Alappuzha, One of the best principals TDMC has ever seen.
Also I'm extremely greatful to all the HODs of final year departments for their blessings and
supportive words for the launch of VITALS.
I'm showing my deepest gratitude to Dr. Vrinda krishnakumar, former NAJR at Govt. Medical
College, Alappuzha for her invaluable inputs in the making of VITALS. She secured distinction
in all the 4 years of her mbbs life, Bagged the KUHS University Rank & recently cleared the
NEET PG in her very first attempt.
I extend my warmest thanks to all the College Union Members for their sincere support and
effort in organising the launch event and unveiling of the cover page frame of VITALS.
My sincere & heartfelt thanks to Ganesh Stores & Books, Alappuzha, Kerala for marketing and
distribution of the printed version of VITALS & also providing the latest edition medical books
for reference which made the book up to date.
MEDICINE 1
SURGERY 48
PAEDIATRICS 96
GYNAECOLOGY 132
OBSTETRICS 150
ORTHOPEDICS 175
First, kindly go through the Abbreviatons & see names of the Reference books used.
Now, let’s see few examples:
“Gas gangrene SHORT ESSAY 5M/ 4M/ 2M (Q. Etiopathogenesis, C/F, Ixs, Mx) Agar 228
| MMOS 41 | Bailey 49 | SRB 50”
This means the topic Gas gangrene has been asked previously as a SHORT ESSAY
for 5 Marks, Also asked for 4 Marks, Again asked for 2 Marks. (So remember, this
is a frequently repeated question and thus a high yeilding topic). “Q.” indicatates
the Question. Here, the probable questions which may ask for the exam
regarding gas gangrene are Etiopathogenesis, Clinical features,
Investigations, Management of gas gangrene. Agar is abbrev. of the book
Agarwal’s “Review of surgery for students”. 228 is the page number in which the
topic has been located. The Vertical bar ‘|’ separates different sources of the
same topic. MMOS is Manipal Manual of Surgery 5 th edition. The location of the
same topic in Bailey, SRB has also been given.
“Glasgow Coma Scale (GCS) NANB | Davd. 194 Box 10.24 (In Sx - Bailey 325 (Table 23.1)
2M | SRB 1079)”
NANB - This means, for the topic Glasgow Coma Scale (GCS) we have a Note
Attached NearBy. (Hence, if you don’t have time to go to the textbook, just study
the note given in the adjacent page of that selection (some notes given in the
same page itself). Kindly note that the Notes given in VITALS are sometimes little
difficult to findout from textbook; that’s why provided. Just because it given
there doesn’t mean that topic per se deserve more importance than rest of the
topics.)
Then, the topic’s locations – Davidson pg. 194, Box 10.24. Now, the same topic is
important for surgery exam also; and the page no. of Bailey and SRB has been
given.
PAPER II
1. General medicine
2. Dermatology
3. Psychiatry
4. Radio Diagnosis
5. Respiratory system
6. Rheumatology*
7. Endocrinology*
NOTE: Both paper I and paper II have same structure and each carry 60 marks.
… 1. CLINICAL IMMUNOLOGY … … 3. POISONING …
1. Anaphylaxis 2M Davd. 75 1. Organophosphorus (OP) Poisoning
ESSAY Mnt. 647 | Coll. 68+Sh. 60
2. List four Autoimmune Disorders | Mnt. 691 (SQADG)
2M Davd. 1039, Box 24.64
2. Definition of Intermediate
3. Steven Johnson Syndrome 2M Syndrome in OP poisoning 2M
Mnt. 638 Mnt. 647
8. Ebola Virus Disease (EVD) - Davd. 20. AIDS - ESSAY - HIV (Human
246| Mnt. 59 Immunodeficiency Virus) Mnt. 61
9. Hand Foot and Mouth Disease 21. List the CNS Manifestations of HIV
Infection 2M Davd. 306
(HFMD) - Davd. 248
22. Causes of AIDS 3M Mnt. 62
10. Nipah Virus Encephalitis Davd. 250
- Coll. 84(SQG), Coll. 85 23. Ixs of AIDS 2M - Mnt. 63 | Coll. 79
(Description given)) (Dx of HIV)
41. Stable Angina ESSAY /2M Mnt. 56. Jones criteria for the Dx of the
679, 680(SQADG) initial attack of Rheumatic Fever
Mnt. 202 (table 3.23) 2M | Coll.
42. Stable Angina 2M, Unstable 24
Angina 2M Mnt. 186, For unstable
angina also, See Mnt. 190 57. Laboratory findings or Ixs of Acute
Rheumatic Fever 2M Mnt. 202
43. Unstable Angina (Prinzmetal
Angina) 2M Mnt. 190
58. Mx of Acute episode of Rheumatic (complete AV block)) 2M Mnt.
Fever Mnt. 203 4M 218, 219
73. Paroxysmal Tachycardia
59. Prophylaxis For Acute Rheumatic (Paroxysmal Supraventricular
Fever (Prevention of Rheumatic Tachycardia) Mnt. 220
Fever) 2M Mnt. 203
74. Pulmonary Hypertension
60. Mitral Stenosis (MS) ESSAY (Pulmonary arterial hypertension
Mnt. 204 (PAH)) (Esp. Causes) 2M Mnt. 227
(Also see Coll. 104)
61. Ix, Cx of Mitral Stenosis 4M Mnt.
205 75. Deep Vein Thrombosis (DVT)
2M Mnt. 229 Also see Coll. 101,
62. Radiological features of Mitral 102 (Note: Venous
Stenosis in Chest X Ray 2M Coll. thromboembolism = DVT +
119 - Mnt. 205 pulmonary embolism)
28. Precautions to Prevent Asthma 42. Lung abscess Mnt. 124 | Mnt. 679
Mnt. 110 (Long-term Control (SQADG)
Medications) 3M
43. Tuberculosis - ESSAY Mnt. 126 -
29. Rx of Asthma (Q. Stepwise Rx of (D/Ds, Ix Mx of TB lymphadenitis,
asthma/ Step care therapy in Cx of TB)
asthma) 2M Coll. 102, 103 | Mnt.
111 44. Second line Antitubercular Drugs -
2M - Mnt. 129, table 2.14
30. Acute Severe Asthma (Status
Asthmaticus/ Exacerbation of 45. MDR Tuberculosis (MDRTB), XDR
Asthma (Coll. 103)) Mnt. 111 Tuberculosis Mnt. 130 | Coll. 91
(XDR TB (Extensive drug resistant)
31. Signs of Acute Severe Asthma Mx)
(C/F, Ixs, Rx) 2M Mnt. 111, 112
46. Tuberculin Test (Mantoux Test) -
32. Chronic Obstructive Pulmonary Mnt. 132
Disease (COPD) Mnt. 112- ESSAY
- Also see Coll. 100 | Mnt. 684 47. Pulmonary Function Test
(SQADG) Abnormalities in Interstitial Lung
Disease 2M Mnt. 136
33. Probable Causes of COPD / Risk
factors 2M Mnt. 112 48. Sleep Apnea / Sleep Apnea
Syndrome Mnt. 141, Coll. 104
34. C/F of COPD Mnt. 113 (Also study
Cx of COPD - 2M) 49. Criteria of Obstructive Sleep
Apnea (Criteria for Diagnosing
35. Chest X-ray in COPD (Ix) Mnt. Obstructive Sleep Apnea/ Dx of
114 2M Obstructive Sleep Apnea) 2M -
Mnt. 141
36. Rx of COPD 3M Mnt. 114 (Q.
COPD - Rx, Alpha 1 Antitrypsin 50. Pleural effusion (Exudative/
Deficiency) Transudative) Mnt. 142 Also see
Coll. 104
37. Cor Pulmonale 2M Mnt. 171
51. Light's criteria to distinguish
38. Bronchiectasis (Q. Etiology, Dx, pleural transudate from exudate
Mx) 10M ESSAY / 2M Mnt. 121 | Mnt. 143
Coll. 109 | Mnt. 678 (SQADG)
52. Ixs, Mx of Pleural Effusion Mnt. 55. Silhouette sign in X-ray chest - 2M
143, 144
56. Mention X-Ray Chest finding in
53. Bronchogenic Carcinoma (Lung Emphysema - 2M NANB | Mnt.
Cancer Esp. Pancoast Tumour) (Ix, 114
Cx, Mx) 10M ESSAY Coll. 105 |
Mnt. 144 57. Mx of Tension Pneumothorax 2M/
3M SRB 1101
54. Causes of Miliary Mottling In Chest
X Ray PA 2M - Mnt. 147 58. Mx of Hypersensitive Pneumonitis
2M Davd. 616
10. Cx of GERD 2M Mnt. 259 (To be 23. Acute Pancreatitis Mnt. 2M 292 |
studied in Sx also) Also see Coll. 50(SQG) | Mnt. 688
(SQADG)
11. Benign esophageal stricture
(Schatzki Ring, Plummer Vinson 24. Causes of Acute Pancreatitis Davd.
Syndrome) 2M Davd. 793 (Also 838 Box 21.80 | Mnt. 292
see Davd. 795) | Coll. 52
25. Investigations of Chronic 33. Dx of H Pylori Infection (Tests to
Pancreatitis 2M Mnt. 295 Detect H Pylori Infection) 2M
Mnt. 268
26. Cx of Acute Pancreatitis Davd. 838
Box 21.81 | Mnt. 294 table 4.28 34. Rx for H Pylori Infection /
2M Antibiotic Regimen for Eradication
of H Pylori 2M Mnt. 269
27. Causes of Chronic Pancreatitis
2M Davd. 840, Box 21.82 35. Celiac Sprue (Celiac Disease,
| Mnt. 294 Gluten Sensitive Enteropathy)
2M Mnt. 274 (Also to be studied
28. Cx of Chronic Pancreatitis 2M in Sx)
Davd. 840 Box 21.83 | Mnt. 295
36. Tropical Sprue 2M Mnt. 276
29. Aphthous Ulcers 2M Mnt. 256 (In
Sx: SRB 379) 37. Irritable Bowel Syndrome (IBS)
2M Mnt. 285
30. Peptic Ulcer 2M / ESSAY Mnt.
265 38. Uses of Probiotics 2M Mnt. 290
31. Cx of Peptic Ulcer 2M Mnt. 266 39. Carcinoid Tumor/ Syndrome Mnt.
290
32. Helicobacter Pylori (Esp. Role of H.
pylori in Peptic Ulcer, 40. Gallstones (aka Cholelithiasis) 2M
Consequence of H. pylori) Mnt. Mnt. 472
267
…16. HEPATOLOGY/ DISEASES OF LIVER… 14. Cirrhosis of Liver ESSAY Mnt. 452
…AND BILIARY SYSTEM… | Mnt. 686 (SQADG)
9. Chronic Diarrhea 2M Mnt. 254 24. Fatty Liver 2M Davd. 882 | Mnt.
450
10. Causes of Ascites 2M Davd. 862
Box 22.21 | Mnt. 463
25. Alcoholic Liver Disease ESSAY/
2M, Coll. 53(SQG)
11. SAAG - 2M Davd. 863 | Mnt. 463
26. Kayser Fleischer Rings (KF Rings)
12. Pathogenesis of ascites in cirrhosis
Davd. 896 | Mnt. 471
(Q. Mechanism of ascites in liver
cirrhosis) - Mnt. 464
27. Alpha 1 Antitrypsin Deficiency
Davd. 897
13. Hepatic Encephalopathy Davd.
864 (Also see Mnt. 461 | Coll. 47)
28. Prevention of Hepatitis B Mnt. 444 41. Laboratory features of Obstructive
(For Hepatitis B vaccine See OP or Cholestatic or Post Hepatic
Ghai 193,box 10.7) Jaundice 2M Mnt. 441 Table 7.2
29. Hepatitis C 2M Mnt. 446 42. Viral Hepatitis ESSAY Mnt. 442 |
Coll. 52(SQG) | Mnt. 691 (SQADG)
30. Hepatitis D (Delta Hepatitis) 2M
Mnt. 447 43. Rx of Hepatitis B Mnt. 443 (Rx of
hepatitis A and hepatitis B are
31. Prevention of Hepatitis D Mnt. same)
447
44. Acute Variceal Bleeding (Acute
32. Hepatitis E 2M Mnt. 448 Variceal Hematemesis) Mnt. 459
33. Prevention of Hepatitis E Mnt. 448 45. Mx of Variceal Bleeding Mnt. 460
34. Chronic Hepatitis (Q. Chronic 46. Budd-Chiari Syndrome Mnt. 466
active hepatitis) Mnt. 448 (In Sx: SRB 619)
35. Liver Function Tests 2M Mnt. 433 47. Liver transplantation - Mnt. 469
36. Liver Biopsy Mnt. 436, 437 48. Wilson Disease ESSAY Mnt. 470 |
Coll. 53(SQG)
37. Clinical and Laboratory
Differentiation of Different Types 49. Ix, Mx of Wilson Disease Mnt. 471
of Jaundice Mnt. 441
50. Amoebic Liver Abscess (Hepatic
38. Laboratory features of different Amoebiasis) (Esp. C/F, Drugs &
types of jaundice 2M Mnt. 441 Drug of choice) 2M Mnt. 468 (In
Table 7.2 Sx: Agar 30 | SRB 589)
26. Psoriatic arthritis (aka Psoriatic 32. Rx of Behcet's Disease Mnt. 568
arthropathy) Mnt. 552
33. Fibromyalgia 2M Mnt. 569
27. C/F, Ixs, Mx of Psoriatic Arthritis
(aka Psoriatic arthropathy) Mnt. 34. Antinuclear Antibodies
552, 553 (ANAs) Mnt. 570
29. C/F of HSP Mnt. 568 36. Drugs Causing Bone Marrow
Suppression 2M – NANB
…19. NEUROLOGY… Meningitis / CSF findings in
Tuberculous Meningitis Mnt. 324,
1. Electromyography Davd. 1076 Table 5.12
35. Lumbar Puncture Mnt. 300 49. Focal seizures evolving into
Secondarily Generalized Seizures
36. Horner's Syndrome Davd. 1091 ESSAY Mnt. 340
(See Mnt. 309) (In Sx: SRB 437,
1110) 50. Myoclonus & its causes 2M Mnt.
348
37. C/F of Horner's Syndrome 2M
Mnt. 310 51. Intention Tremor Mnt. 349
7. Radiological features of
…26. ONCOLOGY… Bronchogenic Carcinoma 2M Coll.
105 | Mnt. 144
1. Oncological Emergencies 2M
Davd. 1326 8. Radiological Dx of Pulmonary
Tuberculosis - 2M - Coll. 117 |
2. Apoptosis 2M Davd. 1316 Davd. 590
• GIT + Ortho
PAPER II
PAPER I
Maximum Marks: 60
• Section A: Surgery (GIT)
• One Structured Essay (5 Marks)
• Two Short Essays (Two × 6 Marks)
• One Clinical Situation (3 Marks)
• Five Short Notes (Five × 2 Marks)
• Section B: Orthopedics
• One Essay (6 Marks)
• Four Short Essays (Four × 3 Marks)
• Six Short Notes (Six × 2 Marks)
PAPER II
Maximum Marks: 60
3. Discharge Per Nipple (Q. Types 15. Duct Papilloma SRB 521
and Causes) SHORT ESSAY 5M
MMOS 439 | Bailey 864 | SRB 556 16. Carcinoma Breast (C/F, Ix, Rx) 10M
(Q. Ixs and Mx of Abnormal Nipple ESSAY - SRB 522 - Also see Coll.
Discharge (5M)) - Also see 243
Summary box 53.1
17. Staging of Carcinoma Breast SRB
4. Triple Assessment 3M Bailey 863, 533 | Also see Coll. 243
Fig 53.8 | SRB 538
18. Conservative breast surgeries
5. Gynaecomastia 2M Agar 109 | (Breast conservation therapy
SRB 519 (BCT)) 2M NANB | SRB 540, 548
2. Cx of Inguinal Hernia (Q. Probable 2. Hiatus Hernia SRB 785 | Also see
Cx in inguinal hernia if untreated) Coll. 186
Agar 3
3. Barrett's Oesophagus SRB 787
3. Mx (Ixs and Rx[4M/ 2M]) of Also see Coll. 186
Inguinal Hernia 4M SRB 749 |
Agar 3 4. Achalasia Cardia SHORT ESSAY
6M / 2M SRB 788 Also see Coll.
4. Herniotomy 2M (Q. Role of Sx in 186
inguinal hernia (2M)) SRB 750
5. Mallory Weiss Syndrome SRB 2M
793 Also see Coll. 187
6. Tracheoesophageal Fistula 10. Rx of Perforated Peptic Ulcer 2M
(Esophageal Atresia) SRB 3M 793 SRB 823
Also see Coll. 187
11. Mx of Perforated Duodenal Ulcer
7. Types of Esophageal Atresia 3M SRB 822, 823
SRB 793 | Coll. 187
12. Hematemesis (Upper GI bleeding)
8. Self Expanding Metal Stents ESSAY /3M Coll. 189 | SRB 827
2M SRB 801
13. Upper GI Bleed Causes ESSAY
…39. STOMACH… 3M/1M SRB 827, 980 | Also see
Coll. 189 (Mx [Ix & Rx] of bleeding
1. Infantile Hypertrophic Pyloric esophageal varices - 981)
Stenosis (IHPS) (Congenital
[infantile] Hypertrophic Pyloric 14. Mx of Hematemesis 2M SRB 828
Stenosis/ Congenital Pyloric
Stenosis) 2M Coll. 192 | Bailey 15. Phytobezoar 2M Coll. 195 | SRB
127 | SRB 811 832
2. Gastric outlet obstruction (Q. C/F, 16. Carcinoma Stomach ESSAY Coll.
Ix, Mx) ESSAY 6M/5M Coll. 192 | 189 | SRB 835
Bailey 1129
17. Mx of CA Stomach - SRB 842, 843
3. Gastrostomy (Q. Gastrostomy
feeding) SRB 97 18. Pre-Malignant Conditions of
Carcinoma Stomach 3M/ 2M SRB
4. Bariatric Sx (Gastroplasty) 836, 837
(SHORT ESSAY or short note)
SRB 100 19. Post Gastrectomy Syndrome
SHORT ESSAY 6M - Coll. 192
5. Helicobacter Pylori 2M SRB 810
…43. APPENDIX…
3. Familial Adenomatous Polyp (FAP)
SHORT ESSAY / short note 2M 1. Appendicular Mass SRB 2M 723,
SRB 890 | Coll. 204 937
…44. RECTUM AND ANAL CANAL… 14. Piles / Hemorrhoids ESSAY /2M
1. Colonoscopy 2M SRB 945 (Q. Internal hemorrhoids) Agar 84
| SRB 961 Coll. 219
2. C/F of Mass descending per
rectum (Mass descending per 15. Ixs of Hemorrhoids 2M Agar 85 |
rectum ennullath Carcinoma SRB 963
rectum aanu main ayytt
udheshichath) 1M SRB 947 16. Rx of Hemorrhoids 2M Agar 85 |
SRB 963
3. Causes of Mass Descending Per
Rectum 2M 17. Fissure in Ano / Anal Fissure
SHORT ESSAY 5M/ 4M/2M Agar
4. Mx of Mass Descending Per 86 | SRB 967 Also see Coll. 219
Rectum 3M SRB 947, 948
18. Fistula in Ano Agar 87 | SRB 971 |
5. Rectal Polyp Bailey 1326 Coll. 220
6. Carcinoma Rectum ESSAY Agar 19. Low Fistula in Ano 2M SRB 973 |
82 | SRB 946 | Coll. 221 Coll. 220
7. Ixs of carcinoma Rectum 1M Agar 20. Goodsall's Rule Agar 88 | SRB 973
83 | SRB 947 | Coll. 220
13. Disadvantages / Cx of
Electrocautery SRB 1155
Flail Chest SHORT ESSAY 4M / 2M & Stove in Chest [3M]
Tension Pneumothorax (TPT) 3M
Hemothorax 4M (Q. Hemopneumothorax)
…58. PERIOPERATIVE CARE…
7. Polyglactin 1M Bailey 93
1. Pre-operative workup of the
Surgical Patient 3M Bailey 256 8. Chylolymphatic cyst 2M Bailey
1063
Maximum marks: 40
2. Approximate anthropometric
values by age (Q. Weight gain in
1st year of life) OPG 13, Table 2.3
Rates of Growth of Different Tissues and Organs(Q. Brain Growth and Lymphoid Growth
(D&L)/ Q. Growth Curve - Somatic, Lymphoid, Gonadal & Brain Growth (D&L))
…3. DEVELOPMENT… …5. FLUID AND ELECTROLYTE…
…DISTURBANCES…
1. Developmental milestone of a 2
year old child (3M)
1. ECG Changes in Hypokalemia
(Q. Development of a child upto 2
2M SAKU 439
years of age) OPG 44 Table 3.1
(Key Gross Motor Developmental
2. Hyperkalemia 2M SAKU 439 |
Milestones) - Also study table 3.2,
Mnt. 607 | Coll. 93
3.3, 3.4 (You can also see SAKU
20)
3. ECG Changes in Hyperkalemia
2M SAKU 439
2. Key Fine Motor Milestones
3M OPG 46 table 3.2
4. Hyponatremia 3M SAKU 440 |
OPG 72
3. Key Social and Adaptive
Milestones 3M OPG 48 table 3.3
8. Marasmus SAKU 46
18. Moro Reflex & Startle Reflex SAKU 33. Cleft Lip and Cleft Palate 2M SAKU
103 408
19. Physiologic Jaundice 2M SAKU 105 34. Cleft Palate 2M SAKU 408
| OPG 169
35. Number of arteries and veins in
20. Respiratory distress syndrome the Umbilical Cord (Ans: Two
(RDS)/ Hyaline membrane disease arteries and One vein) 1M
(HMD) (Esp. C/F & Mx) 3M/
2M OPG 165 | Coll. 135 | SAKU 36. Mention 6 Benign findings seen in
117 a Newborn Baby (3M) – NANB
4. Oral Polio Vaccine (OPV) OPG 186 12. Haemophilus Influenzae Type B
| Pulse polio immunization (PPI) (Hib) SAKU 86 - Also see OPG 193
SAKU 82 Box 10.8
3. Ixs (3M) and Mx (3M) of Malaria 17. Typhoid Fever (Enteric Fever)
PCE-SAKU 422 ESSAY SAKU 151 | Coll. 141
(SQADG)
4. Cx & Mx of Measles 3M/ 1M OPG
210 | Also see Coll. 139 18. Rx of Typhoid SAKU 154
Circle of Willis 2M
Classify Juvenile Rheumatoid Arthritis (JRA) /
Juvenile Idiopathic Arthritis (JIA) 2M
Internal Capsule
Tracheobronchial Tree (D&L)
Cx of Bottle Feeding 3M
Fetal Circulation (D&L) 2M
Portosystemic Anastomosis (D&L) 2M
Preventable Cause of Intellectual Disability/ Mental Retardation (3M)
Dorsal/ Posterior Column of Spinal Cord (D&L)
Causes of Hypercholesterolemia in Child 2M
Adenoma sebaceum is seen in_____ Ans: Tuberous sclerosis aka Tuberous sclerosis
complex aka Bourneville disease aka Epiloia (A rare genetic congenital disorder)
Name two vaccines which prevent cancer 1M (Ans: HPV and hepatitis B vaccines)
OPG 66
Example of any one genetic disease where father cannot transmit disease to sons -
(X-linked dominant disorders cannot be transmitted from father to son because
fathers do not pass their X chromosome to their sons) – (Ans: Examples for X-linked
dominant disorders: Vit D resistant rickets, Rett syndrome, Incontinentia pigmenti,
Giuffre tsukahara syndrome, Goltz syndrome, Fragile x syndrome, Aicardi syndrome)
Urine odour in Maple syrup urine disease (MSUD) - Ans: Maple syrup (Sweet or
Caramel-like has been described) smell
Antioxidant Vitamins
Number of arteries and veins in the Umbilical Cord (Ans: Two arteries and One vein)
Name the organism which causes Erythema infectiosum (Ans: Human Parvovirus
B19)
One radiological finding in Intussusception (Ans: X Ray: Paucity of air in right lower
quadrant. Ultrasound: ‘Doughnut’ sign) OPG 283
Name 2 drugs for treating Pneumococcal pneumonia
Name the Congenital Heart Disease in which lower limb pulses are weak
All lysosomal disorders are autosomal recessive except____ Ans: Hunter syndrome
(MPS II) and Fabry disease (All LSDs except Hunter syndrome (MPS II) and Fabry
disease are autosomal recessive disorders)
Pathological delay in passage of meconium is ____ Ans: after 48 hours.- SAKU 413
Murmur in TOF is due to __________ (Ans: Pulmonary stenosis - Also see SAKU 292)
Any one condition with HSM (Hepatosplenomegaly) with jaundice and anemia -
Ans: Hemolytic anemia
Chronic ITP is duration more than - Ans: 6 months ("ITP is termed acute if lasting
less than 6 months; more than 6 months is considered chronic")
Early onset neonatal sepsis is duration ___ Ans: less than 72 hours
Unassisted pincer grasp (Mature pincer grasp) develops by ____ months (Ans: 12
months)
Q. High viral multiplication and high infectivity in hepatitis B is indicated by the viral
marker_________ ? (Ans: HBeAg)
PAPER II
PAPER I
Maximum Marks: 40
PAPER II
Maximum Marks: 40
5. Ixs, Mx of Cervical Cancer SBG 260 11. Dysgerminoma 3M/ 2M SBG 282
7. Schiller's test (Q. Schiller's iodine 13. Krukenberg Tumor 2M SBG 285
test) - Dutta (Gynaec) 273
…27. PELVIC ORGAN PROLAPSE… 11. Ixs, D/D of Pelvic Organ Prolapse
SBG 338
1. Risk factors in pelvic organ
prolapse (POP) 2M Seshadri 12. Mx of Pelvic Organ Prolapse SBG
(Gynaec) 355 Box 24.4 | Dutta 339
(Gynaec) 169
13. Manchester/ Fothergill Operation
2. The Reference Point in POP Q SBG 342
Classification of Prolapse 1M -
(Ans: The hymen) SBG 333 14. Shirodkar Extended Manchester /
Vaginal Sling Operation (Q. Sling
3. Cystocele (Q. Cystocele - Dx, operations) 3M/2M SBG 342, 351
Mx) SBG 336 | Dutta (Gynaec)
175 15. Vault Prolapse 3M SBG 343
Fixed reference point in the POPQ system (Ans: The hymen) SBG 333
Most common cause for primary amenorrhea – (Ans: Gonadal dysgenesis) Dutta
(Gynaec) 375
The reference point in POP Q classification of prolapse. - (Ans: The hymen) SBG 333
First metastatic lymph node in cervical malignancy is ____ Ans: Obturator node
(Obturator and medial external iliac nodes are the most common area
for metastases)
Commonest tumor felt in the anterior fornix is ____ Ans: Vaginal leiomyomas or
Fibromyomas
Milk secretion in non -pregnant woman - Ans: Galactorrhea (But it’s also possible
for women who have never been pregnant — and even men — to lactate. This is
called galactorrhea)
PAPER II
PAPER I
Maximum Marks: 40
PAPER II
Maximum Marks: 40
5. Caput Succedaneum & Cephal 10. Sutures of Fetal Skull (Q. Term
Hematoma (Fig 3.10) 1M - D&L fetal head showing fontanels and
DANB SBO 30 sutures) 1M D&L DANB | SBO 24,
Fig. 3.1
Anteroposterior (AP) diameters of fetal skull (Q. Fetal skull showing important
diameters of obstetrics significance) 1M D&L
7. Mx of Eclampsia (Q. Mx
Antepartum eclampsia) SHORT
…25. DIABETES IN PREGNANCY… ESSAY 4M/ 2M SBO 271
1. Gestational Diabetic Mellitus
8. Magnesium Sulphate (MgSO4) in
(GDM) (Screening and Dx, Mx
eclampsia and monitoring SBO
(Medical & Obstetric) ESSAY/ 3M 272
SBO 244 | Coll. 298(SQG)
2. What are the Tests for Anemia in 2. VBAC 10M ESSAY SBO 344 |
Pregnancy 2M SBO 289 Dutta (Obs) 309
10. Chronic Inversion (Q. c/c inversion 1. External Cephalic Version (ECV)
of uterus) - - Dutta (Gynaec) 185 SHORT ESSAY 4M/ 2M SBO 450
2. Episiotomy (Esp. Right 3. Biophysical Profile 4M/ 2M SBO
Mediolateral Episiotomy (RMLE)) 513
2M SBO 451, 452
4. Absent & Reduced end Diastolic
Flow & Reversal of flow 1M (D&L)
…46. CESAREAN SECTION…
SBO 515, Fig. 57.5, 57.4 & 57.6
1. Previous Caesarean Section
ESSAY Coll. 299(SQG) | Coll. 307
…50. INTRAPARTUM FETAL…
2. Indications for Caesarean Section …MONITORING…
(Q. Six common indications for
LSCS) 2M SBO 458, Table 53.3 1. Non-reassuring FHR (Foetal Heart
Rate) pattern and Mx of the same
3. Classical CS SBO 462 4M SBO 525+Dutta (Obs) 570,
571
4. Steps of LSCS SBO 458
2. Cardiotocography (CTG) SBO 518
5. Caesarean Hysterectomy 3M SBO
462 3. Late Deccelaration SBO 522
19. Normal Fetal Heart Rate Pattern as 29. Waste Space of Morris/ Space of
recorded in CTG 1M - D&L Coll. Morris - D&L Coll. 323
318
30. How are the Severity of Cardiac
20. Types of Placenta Praevia 1M - Disease Clinically Classified 4M
D&L DANB, Coll. 316 SBO 229 | Coll. 298 (SQG for
Heart disease in pregnancy)
Triple Marker Test/ Triple Test 2M
Cx of UTI in Pregnancy 2M
Types of Placenta Praevia 1M - D&L
Embryonic demise within 6 weeks of conception - Ans: Preembronic loss (See SBO
138)
Name the depression between upper and lower halves of uterus in an obstructed
labor (Ans: Bandl ring or Pathological retraction ring) SBO 413
Forceps to cut short the second stage of labour in cardiac disease - (Ans: Wrigley's
outlet forceps)
Name the drug used to prevent respiratory distress syndrome in preterm labor
(Ans: Betamethasone (Betnesol) 12 mg IM 24 hours apart for two doses) Dutta (Obs)
316
Name the type of deceleration seen with cord compression in labor – (Ans: Variable
deceleration) Dutta (Obs) 612
Denominator in face presentation – (Ans: Chin or Mentum) SBO 28, Table 3.2
Death of fetus from 28 weeks to one week after delivery - Ans: Perinatal death -
Mortality in and around infancy
Total of last trimester fetal demises, intra partum fetal deaths and infant deaths up
to 7 days postpartum - Ans: Perinatal death -Mortality in and around
infancy (The third trimester begins in week 28 of pregnancy and lasts until you give
birth)
Routinely used method of delivery of placenta - Ans: Cord traction and Manual
removal 1M (Two common methods used for the delivery of placenta at cesarean
section are Cord traction and Manual removal)
Post term pregnancy - Ans: One that has extended beyond 42 weeks or 294 days
from the first day of the last menstrual period. A postterm pregnancy, also called a
prolonged pregnancy, is one that has extended beyond 42 weeks or 294 days from
the first day of the last menstrual period. As many as 10 percent of pregnancies will
deliver postterm.The normal duration of pregnancy is 37 to 42 weeks, which is
referred to as "term."
MMR (Maternal Mortality Rate) (Ans: Maternal mortality ratio & Maternal mortality
rate in Same note)
Peurperium is upto ____ Ans: 6 weeks Puerperium is defined as the time from the
delivery of the placenta through the first few weeks after the delivery. This period
is usually considered to be 6 weeks in duration.
Age of elderly primi - Ans: 35 Years (The elderly primigravida is defined as a woman
who goes into pregnancy for the first time at the age of 35 years or older)
Naegle formula is to calculate - Ans: Estimated date of delivery (EDD) The Naegele's
formula is simple arithmetic method for calculating the EDD (estimated date of
delivery) based on the LMP (last menstrual period).
What is the full form of ECV - ____ Ans: External Cephalic Version
Post-partum uterus becomes a pelvic organ at how many weeks - Ans: 2 Weeks
(Ans: Typically, the uterus is at the umbilicus after delivery of the placenta, and it
decreases in height by about a centimeter a day until it again becomes a pelvic
organ at about 12 days postpartum. From another source: By the end of
second week, uterus becomes a pelvic organ)
The compression sutures for atonic PPH is called ____ Ans: B-Lynch uterine
compression suture (Also we can provide - Cho's multiple block sutures, Modified B
Lynch (Hayman) compression sutures)
Name the “Uterine compression suture” used to control uterine atony after
delivery - Ans: B-Lynch uterine compression suture
Most common heart disease in pregnancy - Ans: Mitral stenosis (SBO 228)
Jacquemier’s sign
Calorie intake for Normal Pregnancy. - Ans: 2500 kcal per day (Source: SBO 88)
What is the full form of TOLAC? Ans: Trial of labor after caesarean
Forceps used for after coming head - Ans: Piper's forceps Piper's forceps has a
perineal curve to allow application to the after-coming head in breech delivery