FMGE Past Papers (2020-2025) Subject-wise high-yield one-liners.
ANATOMY
- Deep inguinal ring is a defect in the Transversalis fascia.
- Winged scapula is caused by injury to the Long Thoracic Nerve.
- Wrist drop is caused by injury to the Radial Nerve (often at the spiral groove).
- Foot drop is caused by injury to the Common Peroneal Nerve (often at the fibular neck).
- Trendelenburg sign positive (hip falls on unsupported side) indicates injury to the Superior Gluteal Nerve (supplying Gluteus Medius/Minimus).
- Erb’s Palsy involves the upper trunk of the brachial plexus (C5-C6).
- Klumpke’s Paralysis involves the lower trunk (C8-T1) affecting intrinsic hand muscles.
- Loss of sensation over the anatomical snuffbox indicates Radial Nerve injury.
- Ductus arteriosus develops from the Left 6th Pharyngeal Arch artery.
- Coronary sinus develops from the Left Horn of Sinus Venosus.
- The Cricoid cartilage is an unpaired cartilage of the larynx.
- Sartorius muscle attaches to the Anterior Superior Iliac Spine (ASIS).
- Great Saphenous Vein is located 2.5 cm anterior to the medial malleolus.
- Internal Capsule (Genu) carries corticobulbar tracts; Posterior limb carries corticospinal tracts.
- Meckel’s Diverticulum is a remnant of the Vitello-intestinal duct.
- Hyaline cartilage is found in the trachea, bronchus, and articular surfaces.
- Fibrocartilage is found in the pubic symphysis and intervertebral discs.
- Genioglossus muscle is the safety muscle of the tongue (prevents tongue fall).
- Middle meningeal artery passes through the Foramen Spinosum.
- Ureter passes under the uterine artery (“water under the bridge”).
PHYSIOLOGY
- S1 heart sound coincides with the Isovolumetric Contraction phase.
- Surfactant is produced by Type II Pneumocytes beginning at 24-28 weeks.
- Normal GFR in a healthy adult is approximately 125 ml/min.
- Glucose and Amino acids are reabsorbed in the Proximal Convoluted Tubule (PCT) via secondary active transport (SGLT).
- ADH (Vasopressin) acts on V2 receptors in the Collecting Duct to increase water permeability.
- Oxygen-Hemoglobin dissociation curve shifts to the RIGHT with: Acidosis, Hypercapnia (High CO2), Increased Temp, Increased 2,3-DPG.
- Resting Membrane Potential is primarily maintained by Potassium (K+) efflux.
- Repolarization of the nerve action potential is due to Potassium (K+) efflux.
- Frank-Starling Law: Force of contraction is proportional to the initial fiber length (Preload/EDV).
- Corticospinal tract decussates at the lower medulla.
- Saltatory conduction occurs at the Nodes of Ranvier.
- Gastrin is secreted by G-cells in the antrum; it increases HCL secretion.
- Inhibin is secreted by Sertoli cells and inhibits FSH.
- Ovulation is triggered by the LH Surge.
- Progesterone is the thermogenic hormone responsible for basal body temperature rise after ovulation.
- Melatonin is secreted by the Pineal Gland and regulates circadian rhythm.
- Compliance of the lungs is decreased in Restrictive Lung Diseases (e.g., Fibrosis).
- Pulsus Paradoxus (BP drop >10mmHg during inspiration) is seen in Cardiac Tamponade and severe Asthma.
- Bile salts are absorbed in the Terminal Ileum.
- Blood-Brain Barrier is formed by Astrocytes (foot processes) and tight junctions.
BIOCHEMISTRY
- Von Gierke’s Disease (Type I GSD) is due to Glucose-6-Phosphatase deficiency.
- Rate-limiting enzyme of Glycolysis is Phosphofructokinase-1 (PFK-1).
- Rate-limiting enzyme of Heme synthesis is ALA Synthase.
- Rate-limiting enzyme of Cholesterol synthesis is HMG-CoA Reductase (target of Statins).
- Complex IV of the Electron Transport Chain is inhibited by Cyanide and Carbon Monoxide.
- Vitamin C deficiency causes Scurvy (bleeding gums, perifollicular hemorrhage).
- Vitamin B1 (Thiamine) deficiency causes Wernicke’s Encephalopathy (confusion, ataxia, ophthalmoplegia).
- Vitamin B3 (Niacin) deficiency causes Pellagra (Dermatitis, Diarrhea, Dementia).
- Vitamin B12 deficiency causes Megaloblastic Anemia and Subacute Combined Degeneration of the Cord.
- Bitot’s spots and Night Blindness are signs of Vitamin A deficiency.
- Maple Syrup Urine Disease (MSUD) is due to a defect in Branched-chain alpha-ketoacid dehydrogenase.
- Alkaptonuria (Black urine disease) is due to Homogentisate oxidase deficiency.
- Phenylketonuria (PKU) is due to Phenylalanine hydroxylase deficiency.
- Lesch-Nyhan Syndrome is due to HGPRT deficiency (self-mutilation, gout).
- Wilson’s Disease involves a defect in ATP7B gene (Copper accumulation).
- Collagen has a Triple Helix structure rich in Glycine-Proline-Hydroxyproline.
- Tyrosine is the precursor for Melanin, Dopamine, and Thyroid hormones.
- Nitric Oxide is synthesized from Arginine.
- Sodium Fluoride is used in vacutainers to inhibit glycolysis for blood glucose estimation.
- Lactulose is a disaccharide of Galactose + Fructose.
PATHOLOGY
- Philadelphia Chromosome is t(9;22), seen in CML.
- Burkitt Lymphoma is associated with t(8;14) (c-myc translocation).
- Owl Eye inclusions are characteristic of CMV (Cytomegalovirus).
- Orphan Annie eye nuclei are characteristic of Papillary Carcinoma Thyroid.
- Psammoma bodies are seen in Papillary Thyroid Ca, Meningioma, and Serous Ovarian Ca.
- Reed-Sternberg (RS) cells are characteristic of Hodgkin’s Lymphoma.
- Call-Exner bodies are seen in Granulosa Cell Tumors of the ovary.
- Auer Rods are characteristic of AML (Acute Myeloid Leukemia).
- Smudge cells are seen in CLL (Chronic Lymphocytic Leukemia).
- Target cells are seen in Thalassemia and Liver disease.
- Basophilic Stippling is a feature of Lead Poisoning.
- Hair-on-end appearance on X-ray skull is seen in Thalassemia Major.
- Congo Red stain showing apple-green birefringence under polarized light indicates Amyloidosis.
- Liquefactive necrosis is characteristic of Brain infarcts and abscesses.
- Coagulative necrosis is characteristic of ischemic infarction (Heart, Kidney, Spleen).
- Fat necrosis is seen in Acute Pancreatitis and Breast trauma.
- Granulomatous inflammation is seen in TB (caseating) and Sarcoidosis (non-caseating).
- Signet Ring cells are seen in Diffuse Gastric Cancer and Lobular Carcinoma Breast.
- Anti-Centromere antibodies are seen in CREST syndrome (Limited Scleroderma).
- Anti-Scl-70 (Anti-Topoisomerase) antibodies are seen in Diffuse Scleroderma.
PHARMACOLOGY
- N-acetylcysteine is the antidote for Paracetamol poisoning.
- Naloxone is the antidote for Opioid overdose.
- Flumazenil is the antidote for Benzodiazepine overdose.
- Atropine is the antidote for Organophosphate poisoning.
- Protamine Sulfate is the antidote for Heparin overdose.
- Vitamin K is the antidote for Warfarin overdose.
- Digibind (Fab fragments) is the antidote for Digoxin toxicity.
- Methotrexate inhibits Dihydrofolate Reductase (DHFR).
- Ganciclovir is the drug of choice for CMV Retinitis.
- Doxycycline is the drug of choice for Scrub Typhus, Cholera, and Rickettsia.
- Vancomycin (oral) is the drug of choice for Pseudomembranous Colitis (C. difficile).
- Adenosine is the drug of choice for PSVT.
- Magnesium Sulfate is the drug of choice for Eclampsia.
- Lithium causes Ebstein’s Anomaly (teratogenic effect).
- Grey Baby Syndrome is caused by Chloramphenicol [implied context of side effects].
- Red Man Syndrome is associated with rapid infusion of Vancomycin [Implied].
- ACE Inhibitors (e.g., Enalapril) are contraindicated in Bilateral Renal Artery Stenosis and Pregnancy.
- Clofazimine causes skin discoloration (red-brown) in Leprosy patients.
- Rifampicin causes Orange/Red urine discoloration.
- Furosemide acts on the Thick Ascending Limb (Na-K-2Cl cotransporter).
MICROBIOLOGY
- India Ink Preparation is used to visualize the capsule of Cryptococcus neoformans.
- Negri bodies are pathognomonic for Rabies.
- Medusa head colonies / Bamboo stick appearance indicates Bacillus anthracis.
- Satellitism on blood agar is seen with Haemophilus influenzae.
- Tzanck smear showing multinucleated giant cells indicates HSV or Varicella.
- Gas Gangrene is most commonly caused by Clostridium perfringens.
- Pseudomembranous colitis is caused by Clostridium difficile.
- Rice water stools are characteristic of Cholera (Vibrio cholerae).
- Darting motility is seen in Vibrio cholerae.
- Falling leaf motility is seen in Giardia lamblia.
- Hydatid Cyst (Water lily sign) is caused by Echinococcus granulosus.
- Sabouraud Dextrose Agar (SDA) is the standard medium for Fungi.
- Lowenstein-Jensen (LJ) medium is used for Mycobacterium tuberculosis.
- Thayer-Martin media is used for Neisseria gonorrhoeae.
- Scrub Typhus is transmitted by Trombiculid Mites (Chiggers) causing an Eschar.
- Kala-azar (Visceral Leishmaniasis) is transmitted by Sandfly.
- Lyme Disease (Erythema Migrans) is caused by Borrelia burgdorferi.
- Syphilis (Painless chancre) is caused by Treponema pallidum.
- Chancroid (Painful ulcer) is caused by Haemophilus ducreyi.
- Widal Test is used for Typhoid Fever (Enteric fever).
FORENSIC MEDICINE
- Section 194 BNSS (formerly 174 CrPC) deals with Police Inquest.
- Section 196 BNSS (formerly 176 CrPC) deals with Magistrate Inquest (Dowry/Custody death).
- McNaughton’s Rule deals with Criminal Responsibility of the insane.
- Rigor Mortis starts 1-2 hours after death and lasts 24-48 hours.
- Cherry Red postmortem lividity is seen in Carbon Monoxide (CO) poisoning.
- Almond/Bitter smell is seen in Cyanide poisoning.
- Garlic smell is seen in Arsenic and Organophosphate poisoning.
- Gunshot residue (blackening/tattooing) indicates a Close/Near range shot.
- Choking (barrel impression) indicates a Contact shot.
- Diatoms test is used to diagnose Antemortem Drowning.
- Washerwoman’s hands are seen in drowning (prolonged immersion).
- Pugilistic attitude is seen in Burn cases (heat stiffening).
- Brush burn is a type of Graze Abrasion.
- Lucid interval is classically seen in Extradural Hemorrhage (EDH).
- Gutter fracture of the skull is caused by a Bullet (oblique impact).
- Takayama and Teichmann tests are confirmatory for Blood.
- Barberio and Florence tests are for Semen.
- Presumption of Death is 7 years (Section 108 IEA / 111 BSA).
- Professional negligence falls under Section 304-A IPC (causing death by negligence).
- Dying Declaration is admissible even if not on oath (Section 32 IEA).
PSM (COMMUNITY MEDICINE)
- Incidence = New cases / Population at risk (during a period).
- Prevalence = Existing (Old + New) cases / Total population.
- Case Fatality Rate (CFR) represents the Virulence/Killing power of a disease.
- Neonatal Mortality Rate (NMR) = Deaths <28 days / 1000 Live Births.
- Maternal Mortality Ratio (MMR) = Maternal deaths / 100,000 Live Births.
- Yellow bag is for Human anatomical waste, soiled cotton, and dressings.
- Red bag is for Recyclable plastic (tubing, bottles, catheters).
- White container is for Sharps (needles, scalpels).
- Blue container is for Glassware and metallic implants.
- Koplik’s spots appear in the prodromal stage of Measles.
- Open Vial Policy applies to Pentavalent, OPV, Hep B, TT, IPV (NOT Measles/BCG).
- BCG vaccine diluent is Normal Saline.
- Measles vaccine diluent is Distilled Water.
- ASHA worker covers a population of 1000 (Rural) / 2500 (Urban).
- Anganwadi worker covers a population of 1000 (ICDS).
- Recommended Dietary Allowance (RDA) = Mean + 2SD (covers 97.5% population).
- Screening Test needs high Sensitivity.
- Diagnostic Test needs high Specificity.
- Relative Risk (RR) is calculated in Cohort Studies.
- Odds Ratio (OR) is calculated in Case-Control Studies.
OPHTHALMOLOGY
- Cherry Red Spot is seen in CRAO (Central Retinal Artery Occlusion).
- “Blood and Thunder” appearance is seen in CRVO (Central Retinal Vein Occlusion).
- Curtain falling sensation is a symptom of Retinal Detachment.
- Dendritic Ulcer is pathognomonic of Herpes Simplex Keratitis.
- Satellite lesions in corneal ulcer indicate Fungal Keratitis.
- Bitot’s spots are seen in Vitamin A deficiency.
- Kayser-Fleischer (KF) ring is seen in Wilson’s Disease.
- Rosisette Cataract is seen in Trauma (concussion).
- Sunflower Cataract is seen in Wilson’s Disease.
- Oil drop cataract is seen in Galactosemia.
- Hutchinson’s pupil is a dilated, fixed pupil seen in Head Injury (3rd nerve compression).
- Argyll Robertson Pupil (Accommodates but doesn’t react to light) is seen in Neurosyphilis.
- Most common intraocular tumor in children is Retinoblastoma.
- Most common intraocular tumor in adults is Choroidal Melanoma.
- Bitemporal Hemianopia is caused by a lesion at the Optic Chiasm (e.g., Pituitary adenoma).
- Homonymous Hemianopia with macular sparing is caused by a lesion in the Occipital Cortex.
- Pterygium is a wing-shaped encroachment of conjunctiva onto the cornea.
- Chalazion is a chronic granulomatous inflammation of the Meibomian gland.
- Stye (Hordeolum) is an acute infection of the Gland of Zeis/Moll.
- Glaucoma (Acute Congestive) presents with colored halos, pain, and steamy cornea.
ENT
- Little’s Area (Kiesselbach’s plexus) is the most common site of Epistaxis.
- Angiofibroma (JNA) typically occurs in adolescent males with epistaxis.
- Nasopharyngeal Carcinoma is associated with EBV (Epstein-Barr Virus).
- Trotter’s Triad (Deafness, Neuralgia, Palatal palsy) is seen in Nasopharyngeal Carcinoma.
- Thumb sign on lateral neck X-ray indicates Acute Epiglottitis.
- Steeple sign on X-ray indicates Croup (Laryngotracheobronchitis).
- Hot Potato Voice is seen in Quinsy (Peritonsillar Abscess).
- Grommet insertion is the treatment for Serous Otitis Media (Glue ear).
- Carhart’s Notch (dip at 2000Hz) is characteristic of Otosclerosis.
- Battle’s Sign (post-auricular bruising) indicates Fracture of the Middle Cranial Fossa.
- Malignant Otitis Externa is caused by Pseudomonas aeruginosa (in diabetics).
- Stensen’s duct drains the Parotid Gland (opposite 2nd upper molar).
- Wharton’s duct drains the Submandibular Gland.
- Caldwell-Luc operation is done for the Maxillary Sinus.
- Reinke’s Edema is associated with chronic Smoking and vocal abuse.
- Laryngomalacia presents with an Omega-shaped epiglottis and inspiratory stridor.
- Rinne test Positive means Air Conduction > Bone Conduction (Normal or SNHL).
- Weber test lateralizes to the Affected ear in Conductive Hearing Loss.
- Cone of Light is seen in the Antero-inferior quadrant of the tympanic membrane [Implied].
- Frey’s Syndrome (Gustatory sweating) is a complication of Parotidectomy.
MEDICINE
- ST elevation in leads II, III, aVF indicates Inferior Wall MI.
- ST elevation in V1-V4 indicates Anterior Wall MI.
- Beck’s Triad (Hypotension, Muffled sounds, Distended veins) = Cardiac Tamponade.
- Kussmaul’s Sign (JVP rise on inspiration) is seen in Constrictive Pericarditis.
- Pulsus Paradoxus is seen in Cardiac Tamponade and Severe Asthma.
- Water Hammer Pulse is seen in Aortic Regurgitation.
- Opening Snap and mid-diastolic murmur indicates Mitral Stenosis.
- Machine-like murmur is seen in Patent Ductus Arteriosus (PDA).
- H. pylori is the most common cause of Peptic Ulcer Disease.
- C-ANCA is positive in Wegener’s Granulomatosis (Granulomatosis with Polyangiitis).
- P-ANCA is positive in Microscopic Polyangiitis and Churg-Strauss.
- Anti-CCP is the most specific antibody for Rheumatoid Arthritis.
- Anti-dsDNA is specific for SLE.
- Philadelphia Chromosome t(9;22) is the hallmark of CML.
- Auer Rods are seen in AML.
- Reed-Sternberg cells are seen in Hodgkin’s Lymphoma.
- Bence Jones proteins (light chains) are seen in Multiple Myeloma.
- Charcot’s Triad (fever, jaundice, RUQ pain) is seen in Ascending Cholangitis.
- Virchow’s Node (Left supraclavicular) indicates Gastric/Abdominal malignancy [Implied].
- Conn’s Syndrome is Primary Hyperaldosteronism.
SURGERY
- Best investigation for Gallstones is Ultrasound.
- Best investigation for CBD stones is ERCP (or MRCP).
- Murphy’s Sign is positive in Acute Cholecystitis.
- McBurney’s Point tenderness indicates Acute Appendicitis.
- Rovsing’s Sign (pain in RLQ on palpating LLQ) indicates Appendicitis.
- Triangle of Calot boundaries: Cystic duct, Common Hepatic Duct, Inferior liver border.
- Most common site for Breast Ca is the Upper Outer Quadrant.
- Peau d’orange appearance of breast is due to blockage of subdermal lymphatics.
- Fibroadenoma is the most common benign breast tumor (“Breast Mouse”).
- Phyllodes Tumor presents as a large, fast-growing, leaf-like mass.
- Rule of Nines is used to estimate Burn Surface Area.
- Parkland Formula (4ml x kg x %Burn) calculates fluid for burns.
- FAST scan assesses fluid in: Perihepatic, Perisplenic, Pelvic, and Pericardial areas.
- Direct Inguinal Hernia passes through Hesselbach’s Triangle.
- Indirect Inguinal Hernia passes through the Deep Inguinal Ring.
- Seminoma is the most common testicular tumor (radiosensitive).
- Varicocele feels like a “bag of worms” and is more common on the Left.
- Fournier’s Gangrene is necrotizing fasciitis of the perineum/scrotum.
- Intussusception shows “Target sign” on USG and “Claw sign” on Barium.
- Volvulus (Sigmoid) shows “Coffee Bean” or “Omega sign” on X-ray.
PEDIATRICS
- Tetralogy of Fallot shows a “Boot-shaped heart” on X-ray.
- Transposition of Great Arteries (TGA) shows “Egg on side/string” appearance [Implied].
- Total Anomalous Pulmonary Venous Connection (TAPVC) shows “Snowman/Figure of 8” appearance.
- Intussusception presents with “Red Currant Jelly” stools.
- Hirschsprung Disease presents with delayed meconium passage (>48hrs).
- Pyloric Stenosis (CHPS) presents with non-bilious projectile vomiting and “olive mass”.
- Duodenal Atresia shows “Double Bubble” sign on X-ray.
- Croup shows “Steeple sign”.
- Epiglottitis shows “Thumb sign”.
- Physiological Jaundice appears after 24 hours of birth.
- Pathological Jaundice appears within 24 hours of birth.
- Kramer’s Rule is used to estimate bilirubin levels clinically [Implied].
- Vitamin A prophylaxis dose at 9 months is 100,000 IU.
- Koplik spots are seen in Measles.
- Chickenpox rash is pleomorphic (all stages seen simultaneously).
- Wilms Tumor is the most common renal tumor in children.
- Retinoblastoma presents with Leukocoria (white reflex).
- Down Syndrome is Trisomy 21.
- Turner Syndrome is 45, XO.
- Klinefelter Syndrome is 47, XXY.
OBSTETRICS & GYNECOLOGY
- Lynch Syndrome is associated with Endometrial and Colon cancer.
- HPV 16 and 18 are the most common causes of Cervical Cancer.
- Most common cause of PPH is Atonic Uterus.
- Drug of choice for PPH prophylaxis is Oxytocin.
- Drug of choice for Eclampsia is Magnesium Sulfate.
- Antidote for MgSO4 toxicity is Calcium Gluconate.
- Complete Mole has 46,XX (all paternal origin) karyotype.
- Partial Mole has 69,XXY (triploid) karyotype.
- Snowstorm appearance on USG is seen in Hydatidiform Mole.
- Chocolate Cyst is seen in Endometriosis.
- Strawberry Cervix is seen in Trichomonas Vaginalis infection.
- Clue Cells are seen in Bacterial Vaginosis.
- Whiff Test (Amine test) is positive in Bacterial Vaginosis.
- Pearl Index measures Contraceptive Failure Rate [Implied].
- MTP Act 2021 allows termination up to 24 weeks for special categories.
- Misoprostol is a Prostaglandin E1 analogue.
- Mifepristone is an Anti-Progestin.
- Asherman’s Syndrome is intrauterine adhesions causing amenorrhea.
- Sheehan’s Syndrome is pituitary necrosis post-PPH causing amenorrhea.
- Meigs Syndrome: Ovarian fibroma + Ascites + Pleural effusion [Implied].
ORTHOPEDICS
- Colles Fracture: Distal radius fracture with dorsal tilt (Dinner fork deformity).
- Smith Fracture: Distal radius fracture with volar tilt (Garden spade deformity).
- Monteggia Fracture: Ulnar shaft fracture + Radial Head dislocation.
- Galeazzi Fracture: Radial shaft fracture + Distal Radio-Ulnar Joint (DRUJ) dislocation.
- Scaphoid is the most commonly fractured carpal bone.
- Lunate is the most commonly dislocated carpal bone [Implied].
- Osteosarcoma shows “Sunburst” appearance and Codman’s triangle.
- Ewing’s Sarcoma shows “Onion peel” appearance.
- Giant Cell Tumor (GCT) shows “Soap bubble” appearance.
- Brodie’s Abscess is a form of subacute Osteomyelitis.
- Pott’s Spine is Tuberculosis of the spine.
- Bamboo Spine is seen in Ankylosing Spondylitis.
- Heberden’s nodes (DIP) and Bouchard’s nodes (PIP) are seen in Osteoarthritis.
- Wrist Drop = Radial Nerve injury.
- Foot Drop = Common Peroneal Nerve injury.
- Claw Hand = Ulnar Nerve injury [Implied].
- Ape Thumb = Median Nerve injury [Implied].
- Positive Anterior Drawer Test indicates ACL tear.
- Positive Posterior Drawer Test indicates PCL tear.
- Fat Embolism is a complication of long bone fractures (e.g., Femur).
DERMATOLOGY
- Auspitz sign (pinpoint bleeding on scale removal) is seen in Psoriasis.
- Koebner phenomenon is seen in Psoriasis, Lichen Planus, Vitiligo.
- Wickham’s Striae are seen in Lichen Planus.
- Herald Patch is seen in Pityriasis Rosea [Implied].
- Burrows in web spaces are pathognomonic of Scabies.
- Target lesions are seen in Erythema Multiforme.
- Nikolsky sign is positive in Pemphigus Vulgaris (intraepidermal split).
- Tzanck Smear shows multinucleated giant cells in Herpes/Varicella.
- Dermatitis Herpetiformis is associated with Celiac Disease.
- Acanthosis Nigricans is associated with Insulin Resistance and gastric malignancy.
- Wood’s Lamp shows Coral Red fluorescence in Erythrasma.
- Impetigo exhibits “Honey-colored crusts”.
- Molluscum Contagiosum shows central Umbilication and Henderson-Paterson bodies.
- Pellagra presents with the 3 Ds: Dermatitis, Diarrhea, Dementia.
- Casal’s Necklace is a sign of Pellagra (Niacin deficiency).
PSYCHIATRY
- Auditory hallucinations are the most common type in Schizophrenia.
- Visual hallucinations are common in Delirium and organic conditions.
- Tactile hallucinations (formication) are seen in Cocaine withdrawal/intoxication.
- Wernicke’s Encephalopathy is caused by Thiamine (B1) deficiency.
- Korsakoff’s Psychosis presents with Confabulation and amnesia.
- Delirium Tremens is the most severe form of Alcohol Withdrawal (3-5 days).
- Lithium is the drug of choice for Bipolar Disorder.
- SSRI (e.g., Fluoxetine) is the drug of choice for Depression and OCD.
- Clozapine can cause Agranulocytosis.
- Flight of ideas is a feature of Mania.
- Anhedonia (loss of interest) is a core symptom of Depression.
- Russell’s Sign (calluses on knuckles) is seen in Bulimia Nervosa [Implied].
- Naloxone is used for Opioid Overdose.
- Naltrexone is used for Opioid/Alcohol Dependence (anti-craving).
- Disulfiram causes an unpleasant reaction when alcohol is consumed.
RADIOLOGY
- “Snowman” or “Figure of 8” appearance = TAPVC.
- “Boot-shaped” heart = Tetralogy of Fallot.
- “Egg on side” appearance = Transposition of Great Arteries [Implied].
- “Coffee Bean” sign = Sigmoid Volvulus.
- “Bird Beak” sign (esophagus) = Achalasia Cardia.
- “Rat Tail” appearance = Esophageal Cancer.
- “Double Bubble” sign = Duodenal Atresia.
- “Apple Core” lesion = Colon Cancer.
- “Lead Pipe” appearance = Ulcerative Colitis.
- “String Sign” of Kantor = Crohn’s Disease [Implied].
- “Saw-tooth” appearance = Diverticulosis.
- “Cobra Head” appearance = Ureterocele.
- “Sunburst” appearance = Osteosarcoma.
- “Onion Peel” appearance = Ewing’s Sarcoma.
- “Soap Bubble” appearance = Giant Cell Tumor.
- “Bamboo Spine” = Ankylosing Spondylitis.
- “Steeple Sign” = Croup.
- “Thumb Sign” = Epiglottitis.
- Investigation of Choice (IOC) for Head Trauma/Bleed = NCCT Head.
- IOC for Stroke (Ischemic) = MRI (Diffusion weighted) [Implied].
ANESTHESIA
- Ketamine causes Dissociative Anesthesia.
- Propofol is the induction agent of choice for Day Care Surgery.
- Thiopentone is ultra-short acting, used for rapid induction.
- Halothane is associated with Hepatotoxicity.
- Malignant Hyperthermia is treated with Dantrolene.
- Succinylcholine can cause Hyperkalemia and malignant hyperthermia.
- Capnography is the gold standard for confirming Endotracheal Intubation.
- Spinal Anesthesia is injected into the Subarachnoid Space [Implied].
- Epidural Anesthesia is injected into the Epidural Space.
- Lignocaine acts by blocking Sodium Channels.
- Bupivacaine is cardiotoxic.
- Soda Lime absorbs Carbon Dioxide in anesthesia circuits [Implied].
- Pink Cannula is 20G.
- Green Cannula is 18G.
- Grey Cannula is 16G.
- Orange Cannula is 14G (for rapid fluid resuscitation).
- Mallampati Score predicts Difficult Intubation.
- Sellick’s Maneuver prevents Aspiration during intubation [Implied].
- Entonox is a mixture of 50% O2 and 50% N2O.
- Nitrous Oxide cylinder is Blue.