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Ophthalmology

65. Vortex keratopathy

Vortex keratopathy consists of symmetric, bilateral, whorl-like pattern of powdery, white/yellow corneal epithelial deposits; not of much visual significance.  Caused by : Fabry’s disease; Drugs (Amiodarone, Chloroquine, Amodiaquine, Meperidine, Indomethacin, Chlorpromazine, Tamoxifen). 

Surgery

64. qSOFA Score

qSOFA = Quick Sequential (Sepsis-related) Organ Failure Assessment score (SOFA).The qSOFA score (also known as quickSOFA) is a bedside prompt that may identify patients with suspected infection who are at greater risk for a poor outcome outside the intensive care unit (ICU). It uses three criteria, assigning one point each forlow blood pressure (SBP≤100 mmHg), high respiratory rate (≥22 breaths per min), or altered mentation (Glasgow coma scale<15).

Surgery

63. WHO Surgical Safety Checklist

The WHO Surgical Safety Checklist was developed after extensive consultation aiming to decrease errors and adverse events, and increase teamwork and communication in surgery. The 19-item checklist has gone on to show significant reduction in both morbidity and mortality and is now used by a majority of surgical providers around the world.

Strategy, Tips Etc...

What are the Smart PG Aspirants doing right now ?

1. They are preparing as per their time table for the remaining few weeks until NEET PG exam. They have already made a rough time table as soon as the NEET PG date was announced. 2. They are solving MCQs daily for 10-20% of preparation time, along with studying theory, since, they know that MCQs help to train the brain for the real exam scenario. 3. They are NOT too worried/perturbed about "changed exam scenario" (200 qns) OR about the "Clinical type/integrated type quesions" since theye are aware that the basic MBBS knowledge remains the same and application of this knowledge is all that is required to solve these MCQs. 4. They are NOT omitting/leaving any subject untouched. Even though time is short, spending few hours for such 'untouched' subjects may give 4-5 extra marks in the exam. 5. They are NOT changing any of their trusted sources of preparation now (either notes/apps/books). Since they have already preapred from these, revising becomes a LOT easier. 6. They are NOT worried about the 1% of "controversial questions or very recent updates" which might/might not be asked in the exam. They are rather focusing on getting the maximum number of other questions correct. 7. They are NOT affected by any 'adverse' results / poor scores in the ongoing "mock" exams/ GTs being conducted by various Apps. Rather, they know that they have been preparing for the past > 9 months and are on track. They are also aware that it takes that ONE excellent performance in the actual NEET PG exam to get a good rank (and then, they are again aware that PG seats are NOT allotted based on Mock Test Ranks). 8. They have a reasonable amount of anxiety/exam fear - which is present in most exam going students and it drives them forward  in a positive way. They DO NOT get overanxious / desperate / depressed since they know that they are already fully qualified MBBS doctors and they are in fact licensed to practice now ! I assume that > 70% of you fall into this category and are in a "good space" right now - just follow your instincts, be sensible and things will fall into place soon. For all others who do not fall into the above category, go ahead still and give your best shot - you've got nothing to lose !   All the Best Dr Ramgopal

Pharmacology

62. World's Costliest Drug

Spinal muscular atrophy (SMA) is a disease caused by a mutation in the survival motor neuron 1 (SMN1) gene and babies afflicted by it rarely live beyond their second birthday.  Children with this condition have problems holding their head up, swallowing and breathing. These symptoms may be present at birth or may present by the age of 6 months. SMA caused by mutations in the SMN1 gene is generally classified into several subtypes, based on the age of onset and severity; infantile-onset SMA is the most severe and most common subtype.  Onasemnogene abeparvovec is an SMN-enhancing therapy. It works by replacing the missing or mutated SMN1 gene through a virus named AAV9  (Adeno Associated Virus) which carries the replacement gene into the body. It is given through an intravenous (IV) infusion that takes about an hour. It is a one-time treatment

Microbiology

61. Parasitology Clinical Hints

Brain cysts, seizures = Taenia solium (cysticercosis)Liver cysts =Echinococcus granulosusB12 deficiency = Diphyllobothrium latumBiliary tract disease =Clonorchis sinensisHemoptysis = Paragonimus westermaniPortal hypertension = Schistosoma mansoniHematuria, bladder cancer = Schistosoma haematobiumMicrocytic anemia = Ancylostoma, NecatorPerianal pruritus =Enterobius        

Biochemistry

60. Maple Syrup Urine Disease

Deficiency of branched chain alpha-keto acid dehydrogenase (BCKAD) results in defective oxidative decarboxylation of branched chain amino acids - Leu, Ile and Val and their levels are increased in plasma and urine - Branched chain ketonuria.  Causes severe CNS defects, mental retardation and death.  Burnt sugar odor of urine – urine smells like maple syrup.  Treatment: Restrict branched chain Aa’s and give high doses of thiamine.

Strategy, Tips Etc...

KISS principle !

Hello Friends,After the new pattern of 200 questions was announced, there is a lot of speculation and predictions about how the paper is going to be "too clinically oriented" and of course the various "approach strategies" and "words of advice" pouring in from all quarters (friends, seniors, mentors, faculty, Apps, and also PG aspirants who are still writing NEET PG!  etc...). And needless to say, everyone's intentions are good - to help you towards the exam with their thoughts and experience. I am sure you have benefited from the various 'advises" coming your way and some of you maybe to some extent "confused/scared" also. So, here's my take on some general principles (KISS approach - Keep It Simple Stupid) to approach this "new pattern" exam1. Actually clinical type questions are not new - rather NEET PG 2021 had abundance of clinical type questions with lesser time. So it's an existing pattern only from previous year. Rather time given is a little more - take it in a positive way that you have enough time to read and answer the questions.2. Theory of all 19 subjects remain the same. None of them changed overnight after the NEET PG pattern was announced - Acute MI is atill the same topic - so is appendictis, so is malnutrition, so is cataract, so is brachial plexus - you get the hang of what I mean. Your knowledge of all that you studied past 1 years is NOT a waste !!3. YES, application of theory knowledge will be needed - don't get too much drawn into the "nitty gritty" predictions of the so called "long stem" questions and how each word !including the blank space between the words!!) have to be analysed to arrive at the answer - Might not be needed for 80% of the questions. There WILL be some tough questions (about 10-20%) which will test the depth of knowledge/understanding/application of concepts etc....  - BUT AGAIN, these will be tough for majority of people. 4. FACTS are still needed to be known - People get so much drawn into CONCEPTS that FACTS are treated as "downmarket" - BUT please remember that it is individual facts that ultimately make up a clinical type question. The "keywords" in these long questions are the FACTS which you have studied and need to remember.Ultimately what exactly the exam holds on store will be revealed on April 18th - many predictions might come true and many might be busted - but the fact is that - the PG aspirant who has studied and prepared reasonably sincerely and smartly will end up good on result day. No one can take that away from you.Al the Best people, Dr Ramgopal 

Using GTs for Maximum Benefit

With almost every App providing "Free GTs (Grand Tests)", I am sure almost every one of you will be attempting a few of these at least. But, many people tend to "freak out/get depressed" after writing these GTs and this is the wrong time to go in a downward /reverse direction with your attitude and confidence.  Rather use these GTs for your advantage and you will be in a good place by April 18th (exam day).  A few tips to use GTs to your advantage Check whether you are able to complete the 200 questions in those 3.5 hrs/210 minutes (Time management). If you have practiced this a few times (with few GTs) before actual exam day - the actual exam will be easier to approach. Are you capable of sitting at the computer for the full 3.5 hours (210 minutes) Are you able to identify the common 'silly mistakes' which you make - you knew the answer/topic BUT still got it wrong - maybe due to improperly reading the question or overthinking ?! Are you finding the same subject questions difficult again - maybe that/those subjects are your weaker subjects? Are you familiar with the exam software / dashboard/ interface. So that it will NOT appear totally new to you on exam day. (Most Apps use the NBE kind of interface itself unless they change it this time) Are you panicking during exam time and thinking about how others are doing any "National GT/GT with national ranking"  - DON'T PANIC - GT scores do NOT determine your NEET PG score. Similarly, during the actual NEET PG on April 18th - during those 3.5 hours - you should concentrate on your performance and NOT on what others are doing.   Hope these few points helped All the Best Dr Ramgopal  

Surgery

59. Submandibular Gland Surgery

Three cranial nerves are at risk during removal of the submandibular gland:  1. The marginal mandibular branch of the facial nerve  2. The lingual nerve  3. The hypoglossal nerve.