Self-assessment in Respiratory System
Dr P Jogi varghese
GENERAL CONSIDERATION
1.Total area of alveolar capillary membrane is about – 75m2
2. The length of the traechea is about – 11cm
3. The length of the right main bronchus is about – 1 to 2.5cm
4. The length of left main bronchus is about- 5cm
5. The wedge of lung tissue supplied by each segmental bronchus is called- Bronchopulmonary segment
6. Approximate number of alveoli in an adult lung is about – 300 million
7. Diameter of an alveoli is – 0.1to 0.2mm
8. The part supplied by single terminal bronchiole is called – acinus
9. The small opening connecting alveoli are called – pores of Kohn
10. Small canals existing between Distal bronchioles and neighboring alveoli are called – Canals of lembert
11. Gaseous exchange in alveoli occurs across – Type I pneumonocyte
12. Surfectant is produced and stored In – Type II pneumonocyte
13. Normal volume of pleural fluid is about – 10 to 20 ml
14. Surfectant is made up of – lipo protein (dipalmitoyl lecithin)
15. Protein content in pleural fluid is – 1.77 g/dl
16. Pleural fluid is formed at – parietal pleura
17. Mucus in the respiratory tract is mainly secreted by – Goblet cells
18. Respiratory centre is situated in – medulla & pons
19. Respiratory centre consist of
1.inspiratory centre
2.expiratory centre
3.pneumotoxic centre
20. The rhythm rate & depth of respiration is controlled by – pneumotaxic centre
21. The principal muscles of respiration are – Diaphragm & intercostal muscles
22. The strongest stimulus to the respiratory centre is – Rise in CO2 in arterial blood
23. Air in the conducting airways is functionally inert and its volume is called – Anatomical dead space
24. Functionally effective ventilation that the alveoli receive is called – Alveolar ventilation
25. Ventilation occurring in the alveoli which is not properly perfused with blood is called – Dead space ventilation
26. Partial pressure of arterial oxygen (Pa O2) is- 80 to 100 mm hg( 11 to 14 KPa)
27. Partial pressure of arterial CO2 is – 35 to 45 mm hg(4.5 to 6 KPa)
28. Volume of gas inspired or expired during each respiratory effort is called – Tidal volume (500 ml)
29. Volume of gas remaining in the lungs after maximum expiration is- Residual volume ( 1.6 lit)
30. Volume of gas contained in the lung at the end of maximal inspiration – Total Lung Capacity (TCL) (5.4 lit)
31. Maximum volume of gas that can be expelled from the lung by forceful effort after maximal inspiration is – Vital capacity (VC)(3.8 lit)
32. Perfusion scans in respiratory system is very useful in detecting – Pulmonary Thromboembolism
33. Gas used in ventilation scan is – Xe133
34. Radioisotope need in perfusion scan – 99mTc
35. Braery or Metallic cough is seen in – Intrathoracic tumors esp aneurism
36. Bovine cough is characteristic of Recurrent Laryngeal nerve tumors
37. Painful barking cough is seen in Acute laryngitis
38. Thin watery sputum is suggestive of Alveolar cell carcinoma
39. Pink frothy sputum is seen in Pulmonary oedema
40. Green colour of sputum is due to Pus cells
41. Yellow sputum consist of Pus cells & eosinophils
42. Rusty sputum is seen in Lobar Pneumonia
43. Black or dark sputum is seen in Aspergillosis & Anthracosis
44. Dyspnoea which develop suddenly at rest suggest Pulmonary embolism & pneumothorax
45. Orthopnoea + Paroxysmal nocturnal dyspnoea are features of Lt Cardiac failure
46. Pursed lip breathing is seen in Emphysema
47. Paradoxical breathing is seen in Flair chest
48. Cheyne stroke breathing is seen inRespiratory centre disease
49. Biots breathing is seen in meningitis
50. Stertorous breathing is seen in Narcotic Poisoning & certain drugs
51. Kuesmaul respiration is seen in Metabolic Acidosis
52. Stridor is produced in Laryngeal spasm, oedma & foreign body aspiration
53. Cyanosis become evident when the concentration of reduced haemoglobin rises above 5 gm/dl
54. Normal ratio of respiratory rate to pulse is 1:4
55. Increased rate of respiration is called Tachypnoea
56. Increased depth of the respiration is called Hyperpnoea
57. Horizontal groove running horizontally from the sternum outwards in the lower part of chest – Harrison’s sulcus
58. Marked bulging of sternum in Rickets – Pigeon’s chest, (pectus carinatus), keel breast
59. Exageration of the normal depression seen at the lower end of sternum – Funnel’s chest or cobblers chest (pectus excavatum)
60. Knob like projection at the junction ribs with the costal cartilage is seen in rickets- Rickety Rossary
61. Barrel shaped chest is seen in – Emphysema
62. Flat chest is seen in – Pulmonary tuberculosis & Pulmonary fibrosis
63. Long narrow chest is called – Alar, phthinoid or pterigoid chest
64. Hyper resonance in percussion of chest may be seen in – Emphysema & Pneumothorax
65. Dullness in chest percussion is seen in – Pulmonary consolidation, pulmonary collapse, pleural thickening
66. Stonydullness on percussion is seen in – Pleural Effusion
67. Bronchial breath sounds are features of – Consolidation, Collapse, Fibrosis
68. Increased Vocal fremitus is seen in – Consolidation, Large cavities near surface
69. Vocal fremitus is diminished in – bronchial obstruction
70. Vocal fremitus is totally absent in – Pleural effusion,pneumothorax
71. Listening to the intensity and characterof vocal fremitus in – vocal resonance
72. Bronchophony is typical of – Consolidation
73. Whispering pectoriloquy is seen in – Consolidation,Over Cavity communicating with bronchus
74. Nasal or bleating auscultatory sound heared above the level of pleural effusion is called – Aegophony
75. A fixed monophonic wheeze is diagnostic of – Tumours and foreign body
76. Late inspiratory crackles are diagnostic of – pulmonary oedema,fibrosing alveolitis
77. Sequential inspiratory wheeze or are diagnostic of – Fibrosing alveolitis
78. Cavernous or amphoric breathing is a finding of – Pulmonary cavity or pneumothorax
79. Common cold or acute coryza is caused by – Rhino virus[picorna virus]
80. Hay fever is otherwise known as -Seasonal rhinitis
81. Perineal allergic rhinitis is caused by Allergy to fecal particles of house dust mite – [dermatophgoides ptenonyssinus]
82. Commonest virus causing pharyngitis is – Adenovirus
83. Most persistent and severe tonsillitis are caused by – H. Influenzae and staphylococcus aureus
84. Barking cough and laryngeal stridor are features of – Croup
85. Localised outbreaks of influenza are cause by – Influenza virus B
86. Prolonged period of debility and depression following an influenza infection is called – Post viral syndrome
87. First aid given in Foreign Body aspiration is – Heimlich manoeuvre
88. Most important cause of COPD is considered to be – Cigarette smoking
89. The earliest feature in c/c bronchitis is – Mucus hypersecretion
90. Increase in the size of mucus glands in c/c bronchitis can be assesed by – Reid Index (Normally > 0.4)
91. Enlargement of air spaces distal to terminal bronchiole, associated with destruction of their walls is seen in -Emphysema
92. Typical emphysema present in smokers and coal workers is -Centriacinar or centrilobular emphysema
93. Pan acinar or pan lobular emphysema is associated with – Alpha 1 anti trypsin deficiency
94. Major complication of para septal or distal acinar emphysema is – Spontaneous pneumothorax
95. Major inhibitor of proteases in the respiratory tract is -Alpha 1 antitrypsin
96. Dilation of alveoli without destruction of alveoli is termed as – Compensatory emphysema
97. Hypertranslucency in chest X ray is seen in – Emphysema, pneumo thorax
98. Tear drop heart is seen in – Emphysema, malnutrition, dehydration, Addison’s disease, constrictive pericarditis
99. Recurrent bronchial infection and permanent dialatation of bronchi and bronchioles is seen in – Bronchiectasis
100. Recurrent haemoptysis in bronchiectasis is called – Brochiectasis sicca syndrome
101. Coarse leathery basal crepitus is seen in – Bronchiectasis
102. Foul smelling sputum is seen in – Bronchiectasis,lung abcess, bronchogenic carcinoma
103. Conical glass test for sputum is done in -Bronchiectasis
104. Postural drainage and clapping is done in – Bronchiectasis, lung abscess
105. Pancreatic insufficiency, broncho pulmonary infection, high sweat sodium and uro genital disfunction is seen in -Cystic fibrosis
106. Cystic fibrosis is due to Mutation in a gene located on – chromosome number 7
107. Basic pathology in bronchial asthma- Spasm of smooth muscle, oedema of mucus membrane, mucus in lumen
108. Extrinsic asthma is otherwise called – Early onset or atopic asthma
109. Intrinsic asthma is otherwise called – Late onset or non atopic asthma
110. IgE is raised in – Extrinsic asthma
111. Residual volume and functional residual capacity are increased in – Bronchial asthma and emphysema
112. Curschmann’s spirals in sputum is diagnostic of – Bronchial asthma
113. Prolonged asthma not releaved by treatement is called – Status asthmaticus
114. Hyper ventillation rather than airway obstruction is seen in – Renal asthma
115. Disease of the lung with eosinophilia in peripheral blood associated with parasites like ascaris,ankylostoma, pollens, certain drugs are found in – Loeffler’s syndrome
116. Hypersensitivity reaction in the alveoli associated with eosinophilia is seen in -Loeffler’s syndrome
117. Absolute eosnophilic count of 2000/cmm or more is seen in -tropical eosinophilia
118. Tropical eosinophilia is otherwise called -Weingarten syndrome
119. Eosinophilia associated with infestation with filarial worm is seen in- tropical eosinophlia
120. Hypersensitive pneumonitis caused mainly inhalation of organic dust is seen in -Extrinsic allergic alveolitis
121. Major organism responsible for community acquired pneumonia is -Pneumococcus
122. Major cause of pneumonia in young adults – mycoplasma
123. Important protozoan causing pneumonia is – Entamoeba hystolytica
124. Dysphagic pneumonia is caused by – pharyngeal diverticulum, Achalasia cardia, Hiatus hernia, Oesophageal stricture
125. Lipoid pneumonia is caused by – Kerosene, paraffin, petroleum products
126. Dyspnoea, cough with blood stained or rusty sputum is characteristic of – Lobar pneumonia
127. Herpes labialis with fever is seen in – Pneumonia
128. Physical findings in pneumonia are – decreased movement of the affected side , increased vocal fremitus, bronchial or absent breath sounds, inspiratory crackles, increased vocal resonance
129. WBC count is raised in all pneumonias except – Legionella pneumonia
130. Cavitation occur in pneumonia is associated with – staphylococcal & pneumococcal type III pneumonia
131. Hilar lymphadenopathy with pneumonia is seen in – mycoplasma pneumonia
132. Hypernatremia with pneumonia occurs in – Legionella pneumonia
133. Causes of recurrent pnuemonia include – local bronchial obstruction, bronchopulmonary disease, recurrent aspiration , immune deficient status.
134. Widespread consolidation often in upper lobes , systemic disturbances , purulent dark sputum and high mortality is seen in
Klebsiella pneumonia
135. Mucoid sputum with prominent constitutional symptoms are seen in – Viral pneumonia
136. Total count is normal in – Viral pneumonia
137. Specific test for lobar pneumonia is – Detection of pneumoccal antigen by CIE
138. Mortality in pneumonia is very high in – staphylococcal & pneumococcal type III infection
139. Lymphadenopathy and AIDS related lesions are produced by -Mycobacterium avium, M. intracellularae
140. Swimmingpool bacillus or fish tank bacillus is – M. marinum
141. Buruli’s ulcer is caused by M. ulcerans
142. Consolidation of calcified peripheral lung lesion and calcified hilar lymphnodes is known as – Ghon complex
143. Thrombosis of vessels in pulmonary cavity along with anuerysmal change is called – Rassmussen’s aneurysm
144. Bluish red raised ,tender , cutaneous lesion on the shin present in TB is called – Erythema nodosum
145. Erythema nodosum seen in – TB , Sarcoidosis , staphylococcal infection , drug reaction
146. The acute changes in primary complex are – miliary TB , TB meningitis
147. Obstruction of middle lobe bronchus by secretion in TB associated with bronchiectasis is known as – Middle lobe syndrome
148. Haematogenous spread of mycobacterium TB in children and young adults can lead to – Miliary TB , TB meningitis
149. Choroidal tubercles are characteristic of – Tuberculosis
150. Snow storm appearance in chest x ray is found in – Miliary TB
151. Persistant cough or smokers cough is seen in – Tuberculosis
152. Snow storm appearance in chest x-ray is found in – Miliary TB
153. Persistent cough or smoker’s cough in seen in – Tuberculosis
154. Hypersenstivity reaction of TBinfection manifesting as arthritis is called – Poncet’s syndrome
155. Post tussive crepitus heard at lung apices are diagnostic of – pulmonary TB
156. Tympanitic note on percussion , bronchial breath sounds and amphoric breathing are diagnostic of – pulmonary cavity
157. Chronic infection , clubbing and postural cough with productive foul smelling sputum is characteristic of – Bronchiectasis
158. Chronic tuberculous lymphadenitis of the cervical lymph nodes is otherwise called -Scrofula
159. Hard matted non tender cervical lymph node are seen in – pulmonary TB
160. TB of spine involving mid thoracic spine is called – pott’s disease
161. Sharply angulated kyphosis without scoliosis seen in TB spine – Gibbus deformity
162. Cold absess is a frequent concomitant of – TB spondoylitis
163. CSFshowing high protein content low glucose and lymphocytosis is seen in – meningeal TB
164. Phlyetenular keratoconjunctivitis is seen in – ocular TB
165. The parts of intestine mainly involved in GIT TB is – Terminal ileum ,ceacum
166. Granulomatous disease of the skin in TB is called – Lupus vulgaris
167. Gene amplification by PCR one to detect TB identifies – mycobacterial DNA
168. Transcription mediated amplification of ribosomal RNA of mycobacteriumTB is called- AMTD (Amplified mycobacterium TB detection)
169. The antigen used in tuberculin Mantoux test is – PPD
170. Amount of PPD needed in Mantoux test – 0.1ml or 100 units/ml
171. The reading in mantoux test is taken after – 48 to 78 hours
172. Present or post mycobacterium TB infection can be diagonosed in mantoux by noting – Erthema + induration more than 10mm in diameter
173. In mantoux test PPD is injected into – Volar surface of forearm
174. Heaf multiple puncture test is employed in – Tuberculosis
175. Number of punctures in heat multiple puncture test is -6
176. Directly observed therapy schedule (DOTS) is seen in – Tuberculosis
177. RNTCP (revised national tb control programme) is based on- DOTS
178. Mycobacterium used in BCG is – M. bovis
179. Site of BCG vaccination is – ID over Lt shoulder joint just below the insertion of Deltoid
180. Majority of bronchogenic CA belongs to – Squamous cell variety
181. Peripheral bronchogenic CA belongs to – Adenocarcinoma
182. Central bronchogenic CA are usually- SCC & Oat cell tumors
183. Metastasis of Bronchogenic CA is more in – Liver
184. Metastasis is more common with – Adenocarcinoma & Undifferentiated CA
185. The Bronchial CA which both common in males & females is – Adenocarcinoma
186. Bronchial CA which has little relation with Cigarette Smoking is – Adenocarcinoma
187. Apical Bronchial CA belongs to- Squamous cell variety
188. Apical Bronchial tumors are otherwise called – Pancoast tumors
189. Oedema of face & neck, Cyanosis & suffusion of eyes are seen in – Superior venacaval obstruction
190. Horners syndrome comprise of – Ptosis, Anhiderosis, Miosis, Enophthalmos
191. Coin shaped shadow in chest X rays are seen in – 10 & 20 neoplasm, TB, Fungal infection, Old scars, Lung abcess, Aspergillomas, Haematomas.
192. Lung abscess is otherwise known as – Suppurative pneumonia
193. Most common causes of replacement fibrosis in India is – Pulmonary TB
194. Flattening of the affected side, decreased chest movements are typical of – Replacement fibrosis
195. Vocal fremitus and resonance both are reduced in – Pulmonary fibrosis
196. The form of fibrosis in which both lungs are uniformly affected are – Interstitial fibrosis
197. Reduction in TLV, VC & RV are important features of – Idiopathic pulmonary fibrosis
198. The term Pneumoconiosis was coined by the scientist – Zenker in 1866
199. Size of the particals which can be filtered by Nasofilters is – more than 20 micro meter in diameter
200. Sources of farmer’s lung is – Mouldy hay
201. Antigen or agent in farmer’s lung – Micropolyspora faene & aspergillus fumigatus
202. Antigen in bird fancirs lung in – Avian serum proteins
203. Antigen in malt workers lung in – Aspergillus Clavatus
204. Bagassosis is caused by inhalation of – Sugar cane dust (monldy bagasse)
205. Compost lung is caused by inhalation of – Compost (Aspergillus)
206. Laboratory workers lung is caused by inhalation of – Male rat urine
207. Suberosis is caused by inhalation of – Cork dust
208. Siderosis is caused by inhalation of – Iron oxide
209. C/C granulomatous change in pneumoconiosis is seen in inhalation of – Berillium
210. Pneumoconiosis assosiated with aircraft building and atomic energy is due to inhalation of – Berillium
211. Silicosis is otherwise known as – Grinders disease
212. Silicosis is commonly associated with – Tuberculosis
213. X ray changes in silicosis are mainly seen in -Upper zones
214. Egg shell calcification of hilar L.N’s in X ray is characteristic of – Silicosis
215. Sausage shaped opacities in upper zones are characteristic of – Silicosis
216. Snow storm appearance in X ray is ssen in -Silicosis
217. Asbestos is a complex – Silicate
218. Pneumoconiosis is associated with manufacture of fire proof blankets and cement is – Asbestosis
219. Asbestos bodies are seen in – Asbestosis
220. Asbestos bodies are otherwise called- Ferrugenous bodies
221. Sputum examination shows ferrugenous bodies in – Asbestosis
222. Pleural mesothelioma is characteristic of- Asbestosis
223. X ray changes in asbestosis is mainly seen in- Lower zones
224. Anthracosis is caused by inhalation of- Coal dust
225. Miner’s phthisis is caused by inhalation of- Coal dust
226. Progrssive massed fibrosis is seen in – Anthracosis
227. Pneumoconiosis caused by inhalation of cotton dust, flax or hemp is termed as- Byssinosis
228. Monday fever is typical of – Byssinosis
229. Madura foot or mycetoma is cause by – Nocardiosis
230. Monod’s sign is seen in – Aspergillosis
231. Posodas disease desert fever or california disease is caused by – Coccidoidomycosis
232. Darling disease or cave’s disease caused by- Histoplasmosis
233. Phenomena of cough cough cough- spit spit spit is characteristic of – Pulmonary oedema
234. Bat’s wing appearance in chest x ray is characteristic of – Pulmonary oedema
235. Kerley’s B lines and kerley’s A lines are diagnostic of – Pulmonary oedema
236. Pulmonary embolism most commonly results from – Deep vein thrombosis
237. 70-80% of venous thrombus comes from – Lower leg veins
238. Tumors most commonly involved in pulmonary thromboembolism is – Choriocarcinoma
239. Saddle embolism in pulmonary artery causes- Massive pumonary embolism
240. Medium or moderate sized pulmonary emboli causes – Pulmonary infarction
241. Recurrent pulmonary thromboembolism causes – Pulmonary hypertension
242. Pulmonary infarcts are common in the – Right side of lung
243. Raised JVP, hepatic enlargment right ventricular gallop rhythm are features of- Pulmoary hyper tension & rt ventricular failure
244. West mark sign(x ray) is seen in- Pulmonary infarction
245. Triangular opacity in chest x ray seen in – Pulmonary infarction
246. Most common anticoagulant given in pulmonary thromboembolism is- Heparin
247. Heparin is cotraindicated in – Severe trauma,peptic ulcer, bleeding disorders,cerebral haemorrhage & hypertension
248. Enzymes needed for thrombolytic therapy are – Streptokinase,urokinase, TPA(tissue plasminogen activator)
249. Venous interruption or implantation of umbrella like device in inferior venacava is done in – Pulmonary thromboembolism
250. Sharp stabbing pain in chest worse on coughing is indicative of – dry pleurisy
251. Serous pleural effusion can be – Exudate or transudate
252. Collection of transudate in the pleural space is called- Hydrothorax
253. Specific gravity of transudate in hydrothorax is between – 1008-1012
254. Predominant lymphocyte in pleural fluid are seen in- TB, Fungal disease, Lymphoma
255. Predominant polymorphs in pleural fluid are seen in- Pulmonary infarction, a/c bacterial pneumonia, RF
256. Predominant eosinophils pleural fluid are seen in – Pulmonary infarction, Infection, Hodgkin’s disease, Hydatid disease, Drug allergy
257. Multineucleated giant cells in pleural effusion is seen in – RA, SLE, PAN, Scleroderma
258. Thick Greenish yellow pleural effusion with flakes of fibrin is seen in infection with – Pneumococcus
259. Thin, turbid, greenish yellow pleural effusion is seen in – Steptococcal infection
260. Blood tinged pleural effusion is seen in – Pleural neoplasm, Trauma, Pulmonary infarction, TB, Anticoagulant therapy,Hemophilia
261. Chocolate colored pleural effusion is seen in – Amoebic liver abscess ruptured into pleura, Old cholesterol effusion
262. Pleural effusion is clinically detectable when the pleural fluid is about – 500ml
263. Pleural effusion is radiographically detectable when the fluid is about – 300ml
264. Orthopnoea and preference to lie on the affected side is seen in – Pleural effusion
265. Sternomastoid sign or trail sign is seen in – Pleural effusion
266. Sternomastoid muscle on the side of mediastinal displacement become prominent in pleural effusion is- Sternomastoid sign or Trial sign
267. Elli S shaped curve in percussion is seen in – Pleural effusion
268. Organisation of fibrin from the fluid on the surface of the collapsed lung is called – Cortication
269. Site of Thoracocentesis in pleural effusion – 8th or 9th IC space in posterior axillary line
270. Collection of pus in the pleural cavity is called – Empyema
271. Hyperresonance with silence is characteristic of – Pneumothorax
272. Cracked pot sound on percussion is heared in – Open pneumothorax
273. The condition in which the resting PaO2 falls below 60 mm of hg and resting PCO2 rises above 50 mm of hg can be- Respiratory failure
274. Situs inversus, Bronchiectasis, Sinusitis Ciliary dysfunction- Kartageners syndrome
275. Bronchiectasis- inherited deficiency of bronchial cartilage – Williams – Campbell syndrome
276. Bronchiectasis- acquired defect in components of the airway wall including cartilage, elastic tissue, muscle – Mounier kuhn syndrome
277. Bronchiectasis, obstructive azoospermia – Young syndrome
278. Hypo plastic lymphatics, lymph oedema, pleural effusion, yellow discoloration of nails, Bronchiectasis – Yellow nail syndrome
279. Levocardia, sinusitis, Bronchiectasis, no cilliary abnormality – Chandra khetarpal syndrome
280. Pulmonary fibrosis, RA with Coal workers pneumoconiosis -Caplan’s syndrome
281. Condition following inhalation of gastric acid (pulmonary oedema) – Mendelson’s syndrome
Part II
1. Number of bones in human body – 206
2. Types of bones – Spongy & Compact bone
In spongy bone the lamellae are arranged one above another. In compact bone Lamellae are closely arranged in concentric circles around a central canal containing osteocyte. Spongy bones contain bone marrow compact bone do not.
3. Covering of the Bone – Periosteum containing outer fibrous layer and inner cellular layer capable of producing bone ( osteogenic layer)
4. Types of joint
a. Fibrous joint, with no range of movements Eg: Cranial sutures, tibiofibular joint
b. Cartilagenous joint, with limited range of movement Eg: symphysis pubis, intervertibral joint.
c. Synovial joint, with Wide range of movement Eg: hip, knee, elbow
5. What is enthesis – The point of attachment of tendons & ligaments to the bones are called enthesis.
6. What is Dowager’s hump – Gradual shortening of the Vertebral column & thoracic kyphosis in Osteoporosis
7. What is Pauci arthritis- involvement of 4 joint or less
8. Nodes seen in Osteoarthritis – Heberden’s nodes in Distal interphalangial joints
9. Swan neck deformity and button hole deformity are seen in – Rheumatoid arthritis
10. Piano key sign is seen in – Rheumatoid arthritis
11. What is Baker’s cyst – Baker’s cyst are tense cyst due to collection of synovial fluid in popliteal fossa leading to swelling and pain in calf muscle (seen in Rheumatoid arthritis)
12. What is joint mice – Loose cartilaginous bodies seen with in the joint are called joint mice ( features of OA)
13. What is Tennis elbow & Golfers elbow – Tenderness &pain due to the rupture of the common origin of the extensor tendons at the lateral epicondyle < by Dorsiflexion on wrist against resistance is called TENNIS ELBOW. Tenderness due to flexor tendon at the meial epicondyle & pain < by active flexion of wrist and resisted pronation is called GOLFERS ELBOW.
14. What is de Quervain’s Tenosynovitis – Inflammation of the common tendon sheath of Abductor pollicis longus & Extensor pollicis brevis
15. What is Carpel tunnel syndrome – Entrapment neuropathy with compression of Median nerve in carpel tunnel causes pain, numbness & muscle wasting
16. What is Tinel’s sign – In carpel tunnel syndrome percussion over the Flexor retinaculam may lead to shooting up pain along the distribution of median nerve in hand
17. What is Gibbus – Angular deformity of spine visible & palpable due to secondary malignant deposits in spine
18. What is Patellar tap – Presence of fluid can be confirmed by pushing fluid from the supra patellar bursa into the joint and tapping on the patella
19. What is Genu valgum – Knock knee ( knee joints are displaced medially)
20. What is Genu Varum – Bow legs (knee joints are displaced laterally)
21. What is Genu recurvatum – Hyperextension of knee
22. What is Pes planus – Flat foot
23. What is pes cavus – High arched foot
24. What is CREST syndrome –
i. C – calcinosis
ii. R – raynaud phenomena
iii. E – oesophageal hypomotility
iv. S –sclerodactyly
v. T –telengectasia
25. What is hitch hiker’s thumb – Z shaped deformity of thumb seen in RA
26. What is Hallux valgus – Lateral deviation of big toe
27. What is Caplan’s syndrome – RA + pneumoconiosis
28. What is rosewaler test – (antibodies in RA can be demonstrated in Rosewaler test) 3tests SCAT (sheep cell agglutination test) HEAT(human erytrocyte agglutination) DAT(Differential agglutination)
29. What is felty’s syndrome – RA + splenomegaly + neutropenia/ RA-+ve +skin pigmentation +lymphadenopathy
30. What is sjogren’s syndrome – keratoconjunctivitis sicca (dry eyes) xerostomia (dry mouth) RA
31. Sicca syndrome – dry eyes & dry mouth (RA is absent)
32. What is bamboo spine (railway spine) – spinal column becomes a rigid pillar due to calcification & ossification of the vertebral borders and ankylosis of spine –features of Ankylosing spondylitis
33. What is Reiters syndrome
an autoimmune disease of unknown aetiology characterised by urethritis ; ;conjunctivitis ; arthritis
34. What is behcet’s syndrome
a multisystem disorder presenting with recurrent oral ulcer + recurrent genital ulcer + eye lesion +skin lesion + arthritis
35. What is tophi
tophi are nodules formed due to the deposition of monosodium urate crystals in and around the joints & in the articular cartilage
36. What is PAN (PolyArteritis Nodosa)
(necrotising vasculitis of unknown aetiology characterized by the formation of multiple nodules along blood vessels) nodules are visible & palpable
37. What is kawasaki’s disease (mucocutaneous lymph node syndrome – disease characterisedby fever more than 5 days ; bilateral conjunctival redness; erythema of lips +buccal mucosa; acute cervical lymphadenopathy; coronary dilatation seen children below 5yrs
38. What is overlap syndrome or MCTD(mixed connective tissue disease)- polymyositis & dermatomyositis with SLE+ RA+ sjogren syndrome
39. What is gottron’s sign – seen in dermatomyositis (connective tissue disorder) violent erythematous papules & plaques occur over the dorsal aspect of metacarpophalangeal & proximal interphalangeal joints bony prominence elbow knee an ankles
40. What is CRP – C-Reactive Protein (G a b globulin capable of reacting with the capsule of pnuemoocci) absent in normal plasma but appear in the presence of different types of inflammatory arthritis
41. What is ANA – Antinuclear Antibodies. Antibodies against DNA (single strand) RNA etc . Confirmatory of SLE
42. What is LE cells – Lupus Erythematous Cells seen in SLE .these are polymorphonuclear luecocytes which have phagocytosed nuclear material under the influence of antibodies
43. What is Wegener’s syndrome – E-epistaxis, nasal crusting, ulceration of throat – allergic or eosinophillic necrotising granulomatous lesion in medium sized blood vessels
44. L-lung (dyspnoea with bloody sputum)- K-kidney (glomerulonephritis) there may be haemoptysis, proptosis, diplopia, glomerulonephritis
45. What is Churg-Strauss syndrome (css) – allergic rhinitis; nasal polyposis; late onset asthma; acute onset of skin lesions (purpura or nodules) eosinophilia
46. What is Henoch-Schonlein purpura – small vessel vasculitis occuring in children & young adults- Purpura cover buttocks and legs, arthritis, respiratory tract infection, pain & bleeding of the GIT, nephritis
47. Takayasu’s disease – pulseless disease due to large vessel vasculitis affecting aorta & its main branches (pulmonary & coronary)
48. What is trigger finger – Results from Stenosing tenosynovitis in flexor tendon sheath with intermittent locking of the finger in flexion ( more common in ring finger)
49. X ray finding in osteoporosis – ‘cod fish vertebrae’
50. What is shoulder-hand syndrome – Shoulder movements are restricted with pain and swelling of hand
51. What is whipple’s disease – Rare disorder characterised by Diarrhoea, Steatorrhoea, abdominal pain, weight loss & fever, skin pigmentation, malabsorption, anaemia and arthritis
52. What is perthes disease – Ischaemia of the upper end of femur with pain & restricted movements of hip joint
53. What is Pagets disease (osteitis deformans)- Condition produced due to increased proliferation of osteoclast & excessive bone resorption
54. What is morphoea – Localised scleroderma ( lesions restricted to a localized area of skin seen in progressive systemic sclerosis)
55. What is Discoid Lupus – The form of SLE in which the only manifestation of disease is confined to skin
56. What is Libman sack endocarditis – Silent verrucous lesions of the mitral valve is seen in SLE
57. What is Clutton’s joint – painless effusion of the synovial fluid in the knee joint, seen in syphilis.
58. What is Charcot’s joint – Progressive destruction of a joint due to repeated trauma resulting in loss of sensation & joint instability (neuropathic joint) seen in syphilis
59. Nodes of OA seen in DIP – Herberden’s nodes
60. Nodes of OA seen in PIP – Bouchard’s nodes
61. What is Still’s disease – Variant of RA seen in Children ( c/c juvenile polyarthritis) (maculopapular rash, fever, lymphadenopathy, abdominal pain, splenomegaly, RA –ve)
Dr. P. Jogi varghese
Department of Medicine
Dr. Padiar Memorial Homoeopathic medical college ,
Chottanikkara (PO), Ernakulam
These questions are very useful
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