Oneliners Collection 2

1. Heart size is Normal in : TOF and TAPVC ( infracardiac form )
2. Visual reflex formation or Macula mature by 5-6 months life
3. Gardasil — 16 , 18 , 6 , 11    Cervarix — 16 , 18
4. Renal tubular acidosis — Normal Anion gap Hyperchloremic Metabolic Acidosis    Point to remember — its NORMAL in Serum but POSITIVE anion gap in Urine
5. Ectopic ACTH Syndrome — Hypokalemic Alkalosis
6. Anatomical Closure of Ductus arteriosus — 1-3 months after birth. 1-3 months after birth. (ref: Langman’s embryology & Guyton)

7. Corneal donor — till 6 hour after death

8. Nerve fibers — A and B are Myelinated; A to C – Diameter and Velocity decrease

9. For Congenital hypothyroidism — TSH , best done >48 hrs – 6 days life

10. Child of HIV positive Mother — Cant use IgG for 1st 18 months to diagnose as that comes from
      mother. So p24 assay , PCR , Viral Culture are used.

11. Neomycin is present in Polio Vaccine

12. TORCH infectivity — All at time of birth BUT Rubella has 2 peaks i.e 10 -11 wks and delivery.

13. Unchanged during child birth — Diameter between Sacral promontary and Pubic Symphisis.

14. RAIU — I 123 ;
      RIA —- I 125
15. CO poisoning — PO2 Normal but O2 saturation is less.

16. Fetal distress — S/D ratio– increases in Umblical Artery , decreases in MCA.

17. All Myopathies are Proximal except Myotonic Dystrophy (type 1)

18. All Neuropathies are Distal except GBS and SMA.

19. Glysine is the smallest and simplest Amino Acid.

20. Adder Head on IVP — Ureterocele
21. Flower vase / shaking hand sign — Horseshoe kidney

22. Ligament of Struthers.– remnant of 3rd head of coracobrachialis , runs from supracondylar spur on anteromedial humerus to medial epicondyle, median n and brachial a may run beneath it.

23. Shortest Colon – Ascending
Longest Colon – Transverse

24. Trigeminal Neuralgia rarely involves Ophthalmic division
If in a young / if it is Bilateral — then Multiple Sclerosis is a key consideration

25. After overnight fasting , levels of glucose transporters are reduced in Muscle.

26. Pacini Corpuscles — detects gross pressure changes and vibration

27. Epiphyseal dysgenesis — in Hypothyroidism

28. In Hypothyroidism — Increased CSF protein

29. Most characteristic cutaneous manifestation of FMF (Familial Medit. fever) — Erysipelas like erythema.

30. Two halves of Mandible join together by 2yrs of Life

31. Syphilitic Aortitis — Proximal Ascending Aorta

32. Superficial spreading melanoma — Buckshot appearance (Pagetoid cells)

33. Seborrheic Keratoses — Stuck onlesion

34. Finger prints can be taken in cases of advanced decomposition and drowning
      But NOT in case of corrosion
35. Generally all bones ossify earlier in females
Skull sutures obliterate earlier in Males.
36. Anterior neuropore closes by 25th day, and posterior one closes by 27th day of IUL.

37. Gittre cells are modified CNS macrophages.

38. Hirano Bodies in Hyppocampus — Alzheimer’s

39. Acrocentric Chromosomes — 13 , 14 , 15 , 21 , 22 , Y

40. LAP increased in — Leukamoid reaction , Polycythemia Vera
              decreased in — CML , PNH

41. Schistiocyte — MicroAngiopathic Hemolytic anaemia

42. Tear Drop cell — Myelofibrosis

43. Target cell — Thallesemia , HbC disease , Liver disease.

44. Good ALL — Female , 2-10 years , Hyperdiploidy , B-ALL (NOT preB-ALL)
45. Pregnancy tumor of gums = Granuloma pyogenicum

46. RCC = Hypernephroma = Grawitz Tumor

47. Holly leaf mesangial deposits — FSGN

48. Spike & Dome , String of Popcorn — Membranous GN

49. Wire loop — Class IV Lupus Nephritis

50. Post Mortem staining is well developed in 4 hrs and becomes fixed in 6-12 hrs

51. Three important syndromes of the first and second pharyngeal arches:

• Treacher Collins syndrome (TCS), 
• Oculo-auriculo-vertebral syndrome (AOVS) and 
• Auriculo-Condylar syndrome (ACS) or question mark ear syndrome.

52. Achlasia Cardia – uncoordinated, non-progressive contraction within the esophageal body
      BUT The hallmark symptom of achalasia is progressive dysphagia.
53. The mandible is not part of the cranium nor part of the facial skeleton.

54. There are 2 things – Threshold level and a discriminatory level for the appearance of a gestational sac       on USG      The threshold level identifies the earliest one can expect to see a sac (4 weeks, 3 days), and       The discriminatory level identifies when one should always see the sac (5 weeks, 2 days).

55. Fluoroscopy is a real-time x-ray viewed on a video monitor, provides information about moving organs.
      Examples include motion of the diaphragm or chest wall during respiration and left ventricular
      contraction during systole. During fluoroscopy, the patient can be turned obliquely, to eliminate
      overlapping of structures.

56. Digitalis toxicity is precipitated by HypoKalemia , but its manifestation is HyperKalemia.

57. Beta Thallesemia minor — HbA2increased
      Beta Thall interm/major — HbF increased

58. The left pulmonary artery lies above the left main bronchus before passing posteriorly, whereas on
      the right side the artery is anterior to the bronchus resulting in the right hilum being the lower.

59. Least CO2 — in Anatomical Dead Space — At the END Inspiratory Phase.
60. Central Chemoreceptors are notsensitive to Hypoxia.
61.Middle genicular artery pierces the oblique popliteal ligament of the knee joint.

62. Among Benzodiazepine – Lorazepamcauses the longest duration of antegrade amnesia.

63. Pressure relief valve is not required for Cyclopropane.
     (Pressure relief valve is a mechanical device that eliminates system overpressure by allowing the
     controlled or emergency escape of liquid or gas from a pressurized system. The relief valve may or may
     not be adjustable.)

64. Each 1ml of O2 liquid — 840 ml gas.

65. The auricular branch of the vagus nerve is often termed the Alderman’s nerve or Arnold’s nerve.

66. Failure of the sinus of His to obliterate that is believed to be the cause of the development of branchial cleft cysts, fistulas, or sinuses.

67. Red Ribbon — Aids Awareness.
Pink Ribbon — Breast Cancer Awareness.

68. Father of Orthopaedics — ” Sir Nicholas Andre “
69. Blair’s procedure — Arthrodesis of ankle joint.

70. Darrach osteotomy — done in Made Lung Deformity.

71. Partial or Complete loss of bone seen on X-Ray is Pathognomonic of Fracture. 

72. Godfrey Hounsfield won the 1979 Nobel Prize for Physiology or Medicine for developing CT, shared with Allan M. McCormack. 

73. The atypical ribs : 1st, 2nd, 11th, and 12th ribs.

74. Cuffed ET tube – Cuff pressure should never exceed 30 cm of H2O (preferably 25cm).

75. PVC – ET tubes use High Volume Low Pressure cuffs. (therefore suitable for long duration).

76. FDA approved Raxibacumab to treat ” inhalational anthrax ” – First monoclonal antibody approved
      using the Animal Efficacy Rule.

77. Major carrier of Nitrogen by products from most tissues in the body is Glutamine.
78. Keloid is a result of an overgrowth of granulation tissue (collagen type 3) at the site of a healed skin injury which is then slowly replaced by collagen type 1.
79. Median umbilical ligament is the remnant of the urachus, which joined the apex of the fetal bladder to the umbilicus.
80. Medial umbilical ligaments are formed by occluded parts of the Umbilical arteries.
81. Hilar cholangiocarcinoma is the most common among Cholangiocarcinomas.

82. Maximum content of tryglyceride is found in- Chylomicrons

83. Maximum content of Exogenous tryglyceride is found in-Chylomicrons

84. Maximum content of Endogenous tryglyceride is found in- VLDL

85. Maximum content of Cholesterol is found in- LDL 

86. N2O can be Teratogenic

87. Central pontine myelinolysis seen with correction of hyponatremia.
88. Best test for Malignant Hyperthermia – “Caffeine-halothane contracture test”.
89. Neuroaxial block – INR should be < 1.4.

90. Protein intake in ICU : 1 – 1.5 g/kg/day.

91. Most common ophthalmic complication during anaesthesia : Corneal abrasion.

92. History of Post dural puncture headache is NOT a contraindication of Epidural block.

93. Flat Capnogram 

• Accidental Extubation
• Dissociation of anaesthetic tube
• Mechanical ventilation failing

94. O2 content of anaesthetic mixture : 33%
95. Preanaesthetic drug which causes longest amnesia : Lorazepalm
96. Anaesthetic with Least decrease in Systemic vascular resistance : Halothane
97. Malignant Hyperthermia :

• Hyperthermia
• DIC
• Respiratory Acidosis

98. Dextrose fluid is NEVER used for Resuscitation.

99. Opioid given as transdermal : Fentanyl

100. Drug of choice for Asystole and Cardiac arrest : Adrenaline