Skip to main content

Posts

Showing posts from May, 2014

Breathe and Believe ,, By: Zahra Belal

Sometimes life takes such a turn that the very earth beneath our feet is shaken. We scramble around blindly to make sense of what is happening to us. In doing so, we pass from stages of shock, denial, incontrollable grief to acceptance or numbness. Despite all our courage, we are at times helpless in taking charge of our feelings; involuntarily, we seem to sink deeper and deeper in to a dark abyss of self-pity, pessimism and worthlessness. In times like these, we feel akin to a tree in winter that has shed all its leaves, leaving it branches stark and barren in the cold wind. We are able to relate to this image of an entity that has nothing to give any more; frozen in stagnation and purposelessness—in, so to speak, death. Our suffering distorts all our senses, seeping little joys in life, colouring everything in dark. We find it hard to fathom how everything around us can be so normal when there is a storm inside us. In those moments of despair, there are certain things that...

ECG findings in mitral stenosis

In mitral stenosis the ECG is often normal. Pathological changes in the ECG include: *.left atrial hypertrophy: *.causes P mitrale *.increased voltage in the later part of the P wave gives it a large, bifid appearance in leads II, III and aVF *.the second half of the P wave is negative in V1 *.atrial fibrillation is present in 60 to 70% *.right ventricular hypertrophy: *.a dominant R wave in V1 and V2 indicates pulmonary hypertension *.right axis deviation *.there may be digitalis effects

FCPS part 1 Medicine solved mcqs with explanation Q25

Patient after an ischemic attack has ventricular Tachycardia. Drug of choice is: a) Amiodrone b) Metoprolol c) Lidocaine d) Verapamil Correct Answer: c Explanation: Lidocaine is classified as a class Ib anti-arrhythmic drug. It is also used as a local anaesthetic . It selectively blocks sodium channels in depolarized cardiac cells (e.g; ischemic cardiac muscle). It is therefore considered as a first line drug in ventricular tachycardia in acute MI or after cardiac surgery. It is given through the IV route. Adverse effects of Lidocaine: high concentrations may cause bradycardia, hypotension and even asystole in 10% of patients may induce ventricular arrhythmias GI upset with nausea and vomiting CNS: parasthesiae, twitching and generalized tonic-clonic seizures

FCPS part 1 Medicine solved mcqs with explanation Q24

Thymus is derived from: a) 4 th Pharyngeal pouch b) 2 nd pharyngeal pouch c) 3 rd pharyngeal pouch d) Tuberculum impar Correct Answer: c Explanation: Derivatives of pharyngeal pouches: 1 st pouch: Middle ear cavity, Eustachian tube, mastoid air cells 2 nd pouch: epithelial lining of palatine tonsil 3 rd pouch: inferior parathyroid gland + thymus 4 th pouch: superior parathyroid gland NOTE: It might seem strange that the inferior parathyroid glands arise from the 3 rd pouch while the superior parathyroid glands arise from the 4 th pouch. But this is how it is.

FCPS part 1 Medicine solved mcqs with explanation Q23

Action of Gluteus Medius and Gluteus Minimus muscle is: a) Abduction & Medial rotation b) Abduction & lateral rotation c) Adduction & medial rotation d) Adduction & lateral rotation Correct Answer: a Explanation: The Gluteus Medius & Gluteus Minimus abduct the thigh when the leg is fully extended. They also turn the thigh inward that is, medially rotate the thigh. Weakness of these two abductors of thigh such as due to a lesion of superior gluteal nerve (which supplies these two muscles) can result in Trendelenburg Gait.

FCPS part 1 Medicine solved mcqs with explanation Q22

A patient has fracture of surgical neck of humerus. Now he cannot raise his arm above his shoulder and also has sensory loss on lateral surface of arm. Which of the following nerves is damaged? a) Musculocutaneous nerve b) Axillary nerve c) Radial nerve d) Ulnar nerve Correct Answer: b Explanation: The Axillary Nerve comes off the posterior cord of brachial plexus and has a root value of C5 & C6. During its course it is accompanied by the posterior circumflex humeral artery and vein. Motor Supply: Deltoid muscle (abductor at the shoulder joint), Teres Minor muscle Sensory Supply: Skin over the lower half of deltoid muscle, shoulder joint The nerve most commonly damaged due to fracture of surgical neck of humerus is the Axillary nerve. It is a very commonly tested nerve. Commit it to memory. It supplies the major abductor (unable to raise the arm above the head) of the arm – Deltoid muscle. Also there is loss of sensation from the lower half of skin co...

Highest courage

The highest courage is to dare to be yourself in the face of adversity. Choosing right over wrong, ethics over convenience, and truth over popularity. These are the choices that measure your life. Travel the path of integrity without looking back, for there will never be a wrong time to do the right thing.

Alexender graham bell

The most successful men in the end are those whose success is the result of steady accretion. It is the man who carefully advances step by step, with his mind becoming wider and wider, and progressively better able to grasp any theme or situation -persevering in what he knows to be practical, and concentrating his thought upon it. This is the man who is bound to succeed in the greatest degree. -Alexander Graham Bell

Michael jordan

I have missed more than 9000 shots in my career. I have lost almost 300 games. On 26 occasions I have been entrusted to take the game winning shot.. .and I missed. I have failed over and over and over again in my life and that's precisely why I succeed -michael jordan

BE HAPPY :-) By: REEHAB RAMADAN

BE HAPPY By: REEHAB RAMADAN At times, I like to close my eyes and imagine his face, ﷺ (peace be upon him). I like to imagine what he looked like, the shape of his eyes and the color of his skin. Without fail, one thing always finds its way into my imagination, and that is his beloved smile. Never have I imagined him without it on his face, and it’s always one that is purely genuine. He was a man of truth, and his inner state was the same as his outer state. He smiled, because he was happy. Today, everyone wants to be happy, but we don’t always realize that Allah subhanahu wa ta`ala (exalted is He) wants us to be happy too. We don’t realize that the Prophet ﷺ encouraged genuine happiness. When someone begins to become “religious” often times the people around him or her start to notice a loss of something very essential: their smile. The person may begin to dive deep into texts and rulings, they may begin to look around and see all the injustices that surround us and that we ours...