Misc

Question 1

Gram positive cocci in pairs

Answer 1

SLE-strep.,listeria,enterococcus

Question 2

Gram negative coco bacillus

Answer 2

Hemophilus

Question 3

WHO premature death

Answer 3

Less than 70 for NCD

Question 4

Population of Kerala

Answer 4

Around 30 million in 2015

Question 5

Ex smoker is

Answer 5

After stopping smoking for 28 days

Question 6

Equations for eGFR

Answer 6

1. CKD -EPI
2. MDRD
3. Cockroft Gault

CKD-EPI seems best especially when GFR is normal or only mildly reduced

Question 7

Expiratory film means

Answer 7

Right diaphragm above junction of 6th antr and 10 th rib postr

Question 8

MC Autosomal Dominant genetic disease

Answer 8

Familial hypercholestrolemia

Question 9

Treatment of pericarditis

Answer 9

Ibuprofen or Indomerhacin plus Colchicine

NSAID till symptomatic relief- around 2 weeks
Colchicine for 3 months

After MI it’s Aspirin plus Colchicine

Question 10

Before doing Ankle Brachial index u should rest for

Answer 10

15-30 mts

Question 11

Normal ABI

Answer 11

> .91-1.3

> 1.3- non compressible vessel

0.7-0.9…Mild d/s

Question 12

Heart valves and MRI

Answer 12

No contraindication after 1983

Ortho / Dental materials also not CI

Stents/Coils/Filters after 4-6 wks not contraindicated

Question 13

Absolute CI to MRI

Answer 13

Aneurysm clips
Cochlear implants
Electronic implants
Pacemakers/ICDs??

Question 14

Rigor Mortis sets in after

Answer 14

2 hours of death

Question 15

High altitude is

Answer 15

5000 feet or more above sea level

Question 16

Cardiovascular disease affects…….% of world population

Answer 16

4%

300
million people

18 million death

Space live ppt

Question 17

Population of Dubai

Answer 17

3 million

Question 18

Population of UAE

Answer 18

9 million

2017

Question 19

Population of Kerala

Answer 19

35 million

2017

Question 20

Chronic kidney disease is GFR less than

Answer 20

60 or kidney damage for at least 3 months
Or other evidence like

UACR > 30mg/g

Normal UACR in young adult < 10mg/g.

Or Imaging abnormalities as PCKD , RAS

Question 21

UACR >2200 mg/g is accompanied by

Answer 21

Signs of Nephrotic syndrome

Question 22

Donor kidney is attached to—

Answer 22

Internal iliac artery

Question 23

Rt diaphragm normal level in CXR

Answer 23

6 rib lower border anteriorly

10th rib upper border posteriorly

Question 24

Why no hematuria in contrast induced nephropathy

Answer 24

Glomerulus not involved

Question 25

Stenting in Asymptomatic Carotid Artery stenosis

Answer 25

Only in patients at high risk of stroke

ESC2017

Question 26

How to calculate NNT

Answer 26

1/ Absolute Risk reduction

Eg. If ARR is .64%

Then 1 / .0064= 154 . So 154 is the NNT

Question 27

NNT thresholds for assessing benefits

Answer 27

NNT of =< 5—high QALY benefits

> 15–Low QALY benefits

QALY-Quality adjusted life years

Journal of Clinical Epidemiol 2006

Whether NNT is sufficiently precise to use in clinical practice is unclear

Question 28

Beta thalassemia trait Hb electrophoresis

Answer 28

HbA2 -4% or more
Plus
HbF-5% or less

Question 29

MCC of acute pericarditis

Answer 29

Idiopathic ( may be viral…)-80%

Then autoimmune in Europe

Question 30

Percentage of global population who regularly exercise

Answer 30

10-20%

Question 31

Incidence of cardiovascular death worldwide

Answer 31

1 out of 3
and 1 out of 10 in those aged 30-70 years.

Leaflet ESC 2017

Question 32

First human cardiac transplant was done in ——-year

Answer 32

1967; 10 yr prior to first Ptca

Question 33

CKD definition

Answer 33

Albumin excretion 30 mg or more per day or
GFR < 60 ml/my/1.73m2

for 3 or more months

Question 34

Polycythemia Vera is suspected when Hb / Hct is

Answer 34

> 16.5/ 49% in males

> 16 / 48% in females

Question 35

One phlebotomy will reduce hematocrit by

Answer 35

3%

Question 36

Clindamycin belongs to ………group of antibiotics

Answer 36

Lincosamides