Buzzwords Answer

Surgery
Laparoscopic instrument image Veress needle
Right iliac fossa pain, melena, surgical Meckel's diverticulum
specimen
Child burn calculation (half chest/abdomen/arm, 40-50%
one leg)
Laparoscopic trocar insertion, most prone to Abdominal aorta
injury
Contaminated peritonitis, open abdomen Vacuum-Assisted Closure (VAC) therapy
management
Lip cancer prognosis, NOT a prognostic factor Duration
Infant vomiting after feeding, palpable olive Pyloric stenosis
mass
Neck lymph node level marked on image Level II
Catheter for blood clot irrigation post-TURP 21 French 3 lumen Cather
Cardboard-like abdominal rigidity, air under Perforation peritonitis
diaphragm X-ray
Pelvic trauma, blood at meatus, perineal Bulbar urethra injury
swelling
Scrotal swelling with pre-aortic lymph node High inguinal orchidectomy
metastasis
Dilated, palpable cord-like neck vein image External jugular vein
Grade 4 hemorrhoids surgery instrument image Stapler kit
Ulcer parts image, wrongly marked structure Margin
Rapidly growing breast lump, leaf-like histology Phyllodes tumor
Post-delivery fever, painful, red, warm breast Lactational mastitis
lump
Subareolar mass with bloody nipple discharge Intraductal papilloma
Varicose veins, CEAP C4a classification Endothermal ablation
treatment
Most common location for an accessory spleen Splenic hilum
Most specific clinical use of PSA Monitoring treatment response
Finger dorsal swelling after penetrative trauma, Involvement of synovial joint
gelatinous
Back swelling, black punctum, cheesy Surgical excision of the cyst
discharge
Massive abdominal swelling post-hysterectomy Small Bowel ischemia
Best method to measure fetal anemia Peak systolic velocity in fetal Middle cerebral
artery
Dysphagia more for liquids than solids, Corkscrew esophagus
radiological sign
Radiology
Post-radiotherapy respiratory distress, lung Radiation Pneumonitis
haziness on X-ray
Buzzwords Answer
Cardiac history, sudden breathlessness, X-ray Pulmonary edema
findings
Absolute constipation, distension, coffee bean Sigmoid volvulus
sign on X-ray
Child with post-intubation shortness of breath, Laryngotracheobronchitis
X-ray image
Investigation image with contrast in renal Retrograde pyelogram
pelvis/ureter
Hammer to head, skull fracture type on X-ray Depressed fracture
Boxer's blow to eye, CT scan radiological sign Tear-drop sign
Primary use of endoscopic ultrasound (EUS) Staging of esophageal cancer
image
CT sign with anterior bowing of posterior JNA (Juvenile Nasopharyngeal Angiofibroma)
maxillary wall (Hollman-Miler)
Orthopedics
20-year-old, localized bone pain, "sunburst Osteosarcoma
appearance" on X-ray
Identify orthopedic instrument image (for lower Bohler braun splint
limb)
Epileptic patient, shoulder pain, arm in Anterior shoulder dislocation
abduction/external rotation
Long bone fracture, 48 hours later respiratory Fat embolism
distress, cyanosis
Chronic back pain, fever, night sweats, weight Pott's spine
loss, MRI findings
Fluctuating swelling on the dorsal aspect of the Ganglion cyst
wrist
Carpenter with knee pain, MRI findings Housemaid's knee (prepatellar bursitis)
Medicine
Incorrect statement about SAAG score SAAG score > 2.5 is associated with high
protein content
Murmur seen in pulmonary regurgitation Graham Steell murmur
Hyperdynamic precordium, water hammer Aortic regurgitation
pulse, pistol shot sound
Unstable patient, irregular RR interval, absent Cardioversion
P-waves on ECG
Characteristic murmur of Mitral Stenosis Mid-diastolic murmur
ECG finding in 1st degree AV block Prolonged PR and normal RR interval
Left parasternal heave, palpable liver, systolic Pulmonary HTN (Hypertension)
murmur, right axis deviation
Smoker, dyspnea, FEV1/FVC ratio of 0.6 COPD
Post-viral, ascending symmetrical weakness, Acute inflammatory demyelinating
loss of reflexes polyneuropathy (GBS)
Fever, neck stiffness, CSF with low glucose, Ceftriaxone + vancomycin
high neutrophils
Buzzwords Answer
17-year-old with nephrotic syndrome Steroids
(proteinuria >4g/day)
Post-thyroidectomy, perioral tingling, muscle Hypocalcemia
cramps, Chvostek's sign
GCS calculation: confused (4), localizing pain 12
(5), eyes open to speech (3)
Expected incorrect finding in iron deficiency Increased ferritin
anemia
Test before treating P. vivax in patient with G6PD levels
family hx of hemolytic anemia
Difficulty with rapid alternating movements Dysdiadochokinesis
Black pigmented gallstones with history of Sickle cell anemia
SOB/chest pain
Acute management for unilateral, throbbing Sumatriptan
headache with photophobia
Chest trauma, absent breath sounds, Tension pneumothorax
hyperresonance, tracheal deviation
Child with metabolic alkalosis, hypokalemia, Gitelman syndrome
hypomagnesemia
Most specific marker for acute pancreatitis in an Serum lipase
alcoholic
Right facial weakness with forehead sparing Upper motor neuron (UMN) lesion on the left
(can wrinkle forehead) side
High fever, arthralgia, myalgia, petechiae Dengue
Correct statement about prerenal AKI FENa is typically less than 1%
Pathology
Head mass on CT, histopathology shows Meningioma
psammoma bodies
Thyroid nodule with pink, eosinophilic Medullary carcinoma
extracellular material (amyloid)
Best time for TTC stain to visualize myocardial 3-6 hours
necrosis
Slow-growing, soft, mobile breast mass, mucin Mucinous carcinoma
on histology
Pearly papule with rolled-out edges, nuclear Basal cell carcinoma
palisading on histology
Change seen only in irreversible cell injury Amorphous density of mitochondria
Condition where Alpha-fetoprotein (AFP) is a Hepatoma
tumor marker
Most common metastasis pathway for prostate Lymphatic
cancer
Inheritance pattern of a mitochondrial disease Mother and grandmother
Gene mutation strongly associated with Burkitt C-MYC
lymphoma
What von Willebrand factor (vWF) primarily Gp Ib/IX
Buzzwords Answer
binds to
Obesity, hypotonia, increased appetite, paternal Prader-Willi syndrome
chromosome 15 deletion
Cell that removes pathogens from terminal Dust cells
bronchioles
Pharmacology
Succinylcholine use leads to hyperthermia, Sodium dantrolene
rigidity, tachycardia
Preoperative medication management for Stop aspirin
elective surgery
Muscle weakness in OP poisoning is not Muscle weakness
reversed by atropine
Reason to remain upright after taking Reflux esophagitis
alendronate
Route of nitroglycerine in ICU patient with Slow IV infusion
pulmonary edema
Oral contraceptives are NOT protective against Breast cancer
this cancer
Bleomycin adverse effect worsened by radiation Pulmonary
therapy
Preferred antidiabetic drug in heart and kidney SGLT-2 inhibitors
disease
Mechanism of N-acetylcysteine in paracetamol Replenishes glutathione levels
toxicity
Cause of health deterioration after starting ATT Immune reconstitution inflammatory syndrome
and ART (IRIS)
Antibiotic for otitis media with penicillin allergy Azithromycin
Reason for decreased heart rate after Baroreceptor activation
nor-adrenaline injection
Antiepileptic drug causing gum hypertrophy Phenytoin
Resistance to this antitubercular drug due to Isoniazid
katG mutation
Mechanism of action of botulinum toxin Prevent release of acetylcholine
Most likely reason for stopping olanzapine Weight gain
therapy
Treatment for sudden rigidity and high Dantrolene
temperature after succinylcholine
Correct statement comparing cisplatin and Cisplatin is more nephrotoxic than carboplatin
carboplatin
Next step if metformin doesn't lower HbA1c Add glipizide with metformin
sufficiently
Potential adverse effect of combining Hyperkalemia
Indomethacin and ACE inhibitor
Forensic Medicine & Toxicology
Correct medicolegal aspect of a dying Before DD, oath is not to be taken
Buzzwords Answer
declaration (DD)
Dowry death investigation comes under which 176 CrPC/196 BNSS
section
Skull with cephalic index of 75 belongs to European
Inquest for a dowry death within 3 years of Magistrate
marriage
Doctor receives summons for criminal and civil Should attend summon for criminal case
cases on same day
When leading questions are allowed in court Cross examination
Ideal time for corneal transplantation after 3-6 hours
death
Injury type from a stab on the anterior thigh Penetrating injury
Estimated time of injury for a brownish scab 2-3 days
Time since death: body cold, full rigor mortis, 12-24 hrs
livor mortis, no putrefaction
Hypoxia type from phosphine gas exposure, Histotoxic
cyanosis despite 100% O2
PSM (Community Medicine)
Ministry responsible for disaster management Home ministry
Identify mosquito larvae in image (parallel vs. Anopheles and Culex
angled)
Recommending colonoscopy for a patient with Secondary prevention
family history
Correct arrangement of healthcare levels Primary (Subcentre, PHC) → Secondary (CHC)
→ Tertiary (Medical colleges)
Mascot image for a national health program Leprosy
Follow-up recommendation after vasectomy 3 months and then check for sperm
Health program supported by DANIDA Blindness
Family life cycle stage when parents move in Extension
with married children
Diseases under IDSP sentinel surveillance HIV + Hep B
Management for HIV patient with multiple dog Wound clearing + IG + vaccine
bites (Category III)
Disease not caused by food adulteration Fluorosis
Correct sequence for adoption of a new Awareness, interest, evaluation, adoption
practice
Main reason for shifting from OPV to fIPV To prevent VAPP (Vaccine-Associated Paralytic
vaccine Poliomyelitis)
Incorrect statement about the Leprosy (MDT) Rifampicin 450mg weekly
kit
Size of dust particles that cause 0.3-5 micron
pneumoconiosis
Identify management technique and critical A-network analysis, B-machinery installation
path from image
National Deworming months in India 10th February and 10th August
Buzzwords Answer
Study design: following a group from 2014 to Prospective cohort study
2024 for disease occurrence
Study design: following LBW and normal weight Cohort study
babies for malnutrition
Population norm for an ASHA worker in urban 1000-2500
areas
fIPV dosing schedule in the National 6wk, 14wk, 9m
Immunization Schedule (NIS)
Group of people with a tourist guide is called The band
Calculate specificity from given data (TP, FP, 93%
TN, FN)
Calculate secondary attack rate from given 86%
scenario
Calculate Case Fatality Rate (60 cases, 12 20%
deaths)
Calculate the 95% population range (mean 82, 79-85
SD 1.5)
Communication method shown in "Keep a Mass approach
faithful partner" poster
Ophthalmology
Refractive error -2D in right eye, +1D in left eye Anisometropia
Metabolic product causing cataracts in Sorbitol
diabetics
Afferent limb of the corneal reflex (wisp test) Trigeminal nerve
Right-sided field defects in both eyes with Homonymous hemianopia with macular sparing
central vision sparing
Double vision 6 months after blunt eye trauma, Iridodialysis
iris defect
Baby's eyelid moves up and down during Marcus Gunn jaw-winking syndrome
breastfeeding
Flying foreign body injury to eye, subsequent Iron (Siderosis)
iris pigmentation
OCT finding post-cataract surgery associated Irvine-Gass syndrome
syndrome
Condition NOT detected by cover-uncover test Amblyopia
Correct statement about indirect Provides 3-5x magnification
ophthalmoscopy
Non-pulsatile proptosis that increases when Orbital varices
bending down
Calculate amplitude of accommodation (near 5D
20cm, far infinity)
ENT
Hearing loss, dull TM, B-type tympanogram, Radiotherapy
neck swelling
CSOM patient with seizures, headache, Temporal abscess
Buzzwords Answer
nausea; CT image finding
Rinne's test/Weber test findings pointing to a Right SNHL (Sensorineural Hearing Loss)
diagnosis
Sign shown in image of fluid leakage on gauze Halo sign
(CSF leak)
Identify the type of tympanoplasty from the Type 3
diagram
Area marked by arrow in coronal CT of sinuses Osteomeatal complex
Audible thud heard on auscultation after foreign Trachea
body inhalation
Nasal obstruction, merciful anosmia, greenish Atrophic rhinitis
crusts in nose
First step in managing child choking on an Heimlich maneuver
apple
Psychiatry
Aggressive, rapid speech, little sleep after Bipolar disorder (manic episode)
stopping medication
Seeing snakes, can't recognize family 48 hours Delirium tremens
after last drink
Patient gives excessive, irrelevant details Circumstantiality
before answering a question
Symptom implied by "affective flattening" Negative symptoms
Woman is unable to speak after a fight, but La belle indifference
seems unconcerned
Most likely reason for discontinuing olanzapine Weight gain
OBG
Treatment for endometrial hyperplasia without Progesterone
atypia in a postmenopausal patient
Identify the sign: bluish discoloration of the Chadwick sign
cervix/vagina
Eliciting this sign in an 8-week primigravida Hegar sign
(bimanual exam)
Identify the finding in the laparoscopic image Genital tuberculosis
Earliest sign of pregnancy on a transvaginal Gestational sac
scan
Vaccine not safe during pregnancy Varicella
Diagnosis for a patient with hirsutism and PCOS (Polycystic Ovary Syndrome)
"string of pearls" USG
First-line treatment for PCOS (irregular periods, Lifestyle measures
acne, hirsutism)
Side of the placenta with the umbilical cord and Fetal side
vessels
Diagnosis with edematous villi, 46XX Complete mole
karyotype, p57kip2 negative
Action NOT to be done for perineal pain and Repair in stitches ward
Buzzwords Answer
hematoma post-forceps delivery
Contraindication for using obstetric forceps Obstructed labor
(instrument image)
Antihypertensive contraindicated in pregnancy Enalapril
Shoulder dystocia definition: delay after head 60 sec
delivery
Hormone detected by home-based urine Beta HCG
pregnancy tests
Procedure shown in image for PPH Intrauterine balloon tamponade
(postpartum hemorrhage)
Abnormal cardiovascular finding during Diastolic murmur
pregnancy
Characteristic feature of ectopic pregnancy Empty uterus with adnexal mass and fluid in
pelvis
Watery vaginal discharge on 7th post-op day Vesico-vaginal fistula
after difficult C-section
Therapy given with radiotherapy for cervical Platinum-based chemotherapy
cancer
Hysterectomy type with the least risk of ureteric Vaginal
injury
Hormone responsible for milk ejection reflex Oxytocin
(image of breastfeeding)
Finding suggestive of tubal pregnancy on Adnexal mass with empty uterus and fluid in
ultrasound pelvis
Identify the embryonic stage from the image Blastocyst
Anatomy, Histology, Embryology &
Physiology
Tingling in lateral 3 digits, loss of sensation at Median nerve
thumb base
Afferent limb of the corneal reflex Trigeminal nerve
Type of cartilage in the provided histology Hyaline cartilage
section
Identify structure marked 10 in the tonsil Pharyngobasilar fascia
relations diagram
Defect shown in image of infant's back Open neural tube defect
Weakness of lower half of right face, inability to Infranuclear facial palsy on the right side
close BOTH eyes
Defect shown in infant's face image Infranuclear facial palsy on the left side
Marked area in the sagittal view of the male Pouch of Douglas
pelvis
Type of epiphysis marked by arrow on ankle Atavistic epiphysis
X-ray
Artery marked in the triangle of Calot diagram Cystic artery
Muscle marked by arrow being retracted in Serratus anterior
breast surgery
Buzzwords Answer
Tract that helps maintain balance after roller Vestibulospinal tract
coaster ride
Identify the lymphatic structure from the Thymus
histology section
Identify the marked cells in the cerebellum Purkinje cells
histology section
During exercise, which muscle band decreases Band I decreases
in length?
Condition that leads to a right shift of the Acidosis
oxygen dissociation curve
The "a" wave in a JVP tracing represents Right atrial contraction
Bicarbonate release in exchange for chloride in Chloride shift
RBCs
ADH (Antidiuretic Hormone) acts on which site Medullary CD
of the nephron?
Hormone that inhibits FSH (Follicle-Stimulating Inhibin
Hormone)
Cells marked in the renal biopsy histology Macula densa
image
Site of action for acetazolamide in the nephron C (Proximal Convoluted Tubule)
diagram
Microbiology
HIV patient with altered sensorium, positive Cryptococcus neoformans
India ink CSF prep
Diagnosis for a positive microscopic Leptospirosis
agglutination test
Type of antigen used in Weil-Felix test for Heterophile antigen
Rickettsia
Tzanck smear showing giant multinucleated CMV (Cytomegalovirus)
cells
Diagnosis from Widal test results (O >1:20, H Infection by Salmonella spp
>1:380)
Appropriate medium for diagnosing TB in an Lowenstein-Jensen (LJ) medium
HIV patient
Most common cause of prosthetic heart valve Coagulase-negative Staphylococcus
endocarditis
Carpenter with pneumonia, culture shows Pseudomonas aeruginosa
green, fluorescent colonies
Organism causing vomiting 6 hours after Bacillus cereus
consuming fried rice
Patient is HBsAg and IgM Anti-HBc positive Acute Hepatitis B infection
Positive marker in infectious Hepatitis B HBsAg + HBeAg
Component that makes the bacterial cell wall Peptidoglycan
tough
Dermatology
Buzzwords Answer
Most effective treatment for severe nodular Isotretinoin
acne
Rapid hair loss affecting the active growth Anagen effluvium
phase during chemotherapy
Test to be done for the patient with back lesions Grattage test
(psoriasis image)
Linear lesions along lymphatics after a rose Sporotrichosis
thorn prick
Painful red granular lesions on vulva with Chancroid
bilateral lymphadenopathy
Ulcer with rolled-out beaded margins, nesting BCC (Basal Cell Carcinoma)
cells on histopathology
Lesions on glans penis with pigmentation in Primary syphilis
chin/oral cavity
Management for a growing skin lesion in a Observation
neonate (hemangioma)
Pediatrics
Best measure for chronic malnutrition Height for age
Child with increased upper to lower segment Achondroplasia
ratio (short limbs)
Difference in ECF/ICF ratio in children vs. ECF is higher than ICF
adults
Baby with PDA, salt & pepper retinopathy, and Rubella
cataract
6-month-old with recurrent infections, Bruton syndrome
decreased all Ig levels, no B cells
When to take a blood sample for neonatal 23-48 hours after delivery
hypothyroidism screening
Newborn with respiratory difficulty, Bochdalek hernia
posterolateral defect on CT
Arrhythmia in a child with a history of laxative Hypokalemia
use and vomiting
Management for a 4-year-old migratory child Isolate, provide nutritional support, and vitamin
with fever, rashes, Bitot spots A supplementation
Teratogenic infection causing microcephaly, Toxoplasma
intraparenchymal calcification
Initial management for neonate of GDM mother Give 21% O2 to 30%
with dyspnea (SpO2 80%)
Child with mid-arm circumference 105mm, Uncomplicated SAM (Severe Acute
good appetite Malnutrition)
Diagnosis for 3-month-old with RR of 56/min, Pneumonia
no danger signs (IMNCI)
Gene associated with hand-foot syndrome HOXA13 gene
(fused carpal bones)
Cause of a Ventricular Septal Defect (VSD) Improper development of ventricular membrane
Buzzwords Answer
development
2-year-old with bow legs, normal calcium, high Rickets
PTH
Cause of bilirubin level of 15 mg/dL in a Physiological jaundice
4-day-old neonate
Child with a rash around the anus and Zinc deficiency
persistent diarrhea
Biochemistry
Amino acid that acts as a primary buffer in Histidine
blood
Hormone produced during starvation to Glucagon
maintain blood glucose
Hypertensive patient with hypernatremia, Conn's syndrome
hypokalemia, metabolic alkalosis
Enzyme typically elevated in prostate cancer Acid phosphatase
Genetic abnormality associated with Deletion
micrognathia and low-set ears
Substance excreted in the urine in patients with L-xylulose
pentosuria
Vitamin deficiency causing gum bleeding and Vitamin C
poor wound healing
Enzyme deficiency in a patient with arthritis and Homogentisic oxidase
blackening of joints
Acid-base imbalance from vomiting (alcoholic Metabolic alkalosis
patient)
Vitamin C-dependent enzyme Lysyl hydroxylase
Deficient GAG in Natowicz disease Hyaluronic acid
Cause of hypoglycemia in a chronic alcoholic Impaired Gluconeogenesis
with poor food intake
Enzyme that removes triglycerides from Lipoprotein lipase
chylomicrons
Best marker for apoptosis Phosphatidylserine
Main use of Acetyl-CoA in prolonged starvation Ketogenesis
Control of enzyme activity by Covalent modification
phosphorylation/dephosphorylation
Substance found in urine after an electric shock myoglobin
or burn injury