Assessment of adequacy is the first step in the evaluation of a thyroid fine needle aspiration (FNA) sample Adequate specimen should contain ≥ 6 groups of well visualized follicular cells (≥ 10 per cluster)A minimum number of follicular cells is not required for samples with cytologic atypia or if inflammation or abundant colloid are present
Ca colon - Adenoma - carcinoma sequence Mnemonic is AK53 - (A-APC; K-kRAS; 53-P53)
Cattell Braasch Vs Mattox Maneuver *********************** There are two major surgical methods utilized in order to access the retroperitoneal region, with each approaching from the opposite direction. Cattell-Braasch maneuver: A right medial visceral rotation; is used to expose the entire inframesocolic retroperitoneal organs, including the inferior vena cava (IVC), the right renal pedicle, the right iliac vessels, the duodenum, and the head of the pancreas.Mattox Maneuver: A left medial visceral rotation; is performed for exposure of the entire aorta from the diaphragmatic hiatus caudally to the iliac vessels.See images below Image Source: various internet sites
How does SSM book fit into your Preparation ? This is one of the most common questions which many PG aspirants have been asking me. So I thought answering this query through this post here. SSM book is a high yield theory book which contains the "essence" of all 19 subjects of PG medical entrance exams of past 15 years. It is very likely that 'if it has been asked as an MCQ earlier' - 'you are most likely to find it here'! Of course, you will find many "potential/future" questions also here. You can check under "ALBUMS" under "photos" of this FB group to see that in almost every exam, this book will have a good "strike rate" (meaning that you will find answers n this book for a significant portion of MCQs asked in these exams - NEET PG, AIIMS, PGI, JIPMER, NIMHANS, UPSC, FMGE etc). Now given the fact that many of you will be using popular Apps like Marrow, Prepladder or coaching classes like DAMS, DBMCI etc - there will be a dilemma as to how to incorporate this book into your timetable/schedule. One of the best methods would be to use this book after studying any theory OR after watching any videos OR after reading your notes (self made/pre printed) - in that way - the matter gets instantly revised. During this process you will find that - a good portion of whatever your teacher covered in the class or whatever is mentioned in your notes - is ALREADY there given in the SSM book. That is because - as I mentioned earlier - this book contains the "essence" of all frequently asked topics of all subjects in a very concise - easily readable manner. Thus this book is compatible with all notes/videos/classes also.Also, if you are solving any question banks - I would suggest you to read the theory from SSM before solving a particular topic - similarly you will be able to answer about > 60-70% MCQs of your Question Banks through SSM theory itself - thus this book is compatible with all Questions banks also! Of course you could transfer info by writing down extra points from SSM book into your notes OR vice-versa also.I have provided the index of SSM book under "FILES" in this FB group and also in the SSM Android App as a downloadable Google PDF drive link - you can use that to locate the topics corresponding to your class/video/notes. It is a large >100 page index and hence is NOT printed in the book. SSM 13th edn is latest and is available on Amazon, Atithi books, Flipkart, DNA Mart etc online and of course in all major bookstores - go ahead without a second thought and start using it right away. And for those who are not yet aware, I have started a QQ bank (Quick Question Bank) on the SSM Android App, This contains > 400 clinical MCQs with explanations, Subjectwise MCQs without explanations, Images, Previous papers etc. There is of course some work in progress here, but it is likely to be complete by July-Aug 2020. Thus NEET PG and Nov session exam aspirants will benefit the most from this. Even if you are already using popular Apps or Q Banks - this will definitely benefit you guys. I would suggest you to Subscribe to this (Price is 999 only) and is valid till NEET PG exam in Jan 2020. (IOS users have to use this at suresuccessmagic.testpress.in - iOS App after 2 months only, Sorry) BEFORE I sign out - YES - this book WILL help FMGE aspirants also - no doubt there - I do care equallly about you guys also !, please do not feel left out when I talk about only PG aspirants. Ans anyway overall info for both exams is the same and these days FMGE exam standard has also come on par with NEET PG standard! Anything further you can always comment or message me on FB messenger @ Ramgopal Balu. Telegram channel is called @SSM_Official - you could message me there also or email me at dr.ramgopal@gmail.com.Hope this info helped.All the Best Dr Ramgopal Balu
Page 476 (left column last line): yellow fever vaccination certificate is valid lifelong. India HAS adopted this in 2017. Page 997: Under methotrextae Rx of ectopic - TYPO error - beta hCG level should be < 5000 (and NOT 6000). Page 450: In green box in right column; please NOTE that MPGN type 1 has sub-endothelial deposits and NOT sub epithelial. Please correct this typo error. Pg 994: Left column last line under "Hyperemesis gravidarum" - its hypochloremic, hypokalemic matbolic alkalosis (and NOT acidosis) (Thanks Vignesh 786) Pg 31: Under "Acromioclavicular jouint - please delete the 2nd bullet and replace with below information. Transmission of force (weight) of upper limb to the clavicle is through coracoclavicular ligament. Transmission of force (weight) of upper limb to the axial skeleton is through costoclavicular ligament and sternoclavicular joint. (Thanks Shahul Hamid) Pg 847: Under diabetes insipidus, it should be hypernatremia (> 145 meq/L). Pg 1074: In table of Treat,ment of Leprosy, for children 10-14 years, 50 mg Clofazimine is given on alternate days (and NOT daily) (Thanks Dr Ragini96) Pg 1018: First bullet - regarding MTP dosages - Correct dosage is 200 mg Mifepristone orally followed 2 days later by 400 mcg Misoprostol sublingual/ buccal/vaginal/oral (Thanks Dr Ragini96) Pg 861: Please delete the table on "Quantifying proteinuria" - use the table given at left bottom corner of page 443 (Thanks DRavan).Pg 906: In the table - under Choledochal cyst - treatment of choice is excision of the cyst with roux-en-Y hepaticojejunostomy (better than choledochojejunostmy).Pg 722: In the table - against Colle's # - please note TYPO error - it should be cortico-cancellous and NOT corticocalcaneal (Thanks Dr Nandhinibhuvana).Pg 932: Please note that Portwine stain and salmoan patch are vascular ectasias (vascular malformations) and not capillary hemangiomas Pg 843: Typo error: Polyarteritis nodsa is type III hypersensitivity reaction (and not type II) (Thanks Alphadoc)Pg 1132: left column - typo error; it is Brain FOG and NOT Brain Fag (Thanks Alphadoc) Pg 460: HDI of India in 2019 is 129 (Thanks Dr Vanaja)Pg 223: Right column last line - Under 'Polarization microscope" - it should be intra-cellular structures ( and NOT intercellular) (Thanks Alphadoc)Pg 244: Right column - It should be "Capsular Vi Antgen" (NOT Flagellar Vi antigen) (Thanks Alphadoc)Pg 924: CEAP 2020 Update is posted under Post no.18 under "Posts" in this App. Please see that (Thanks Shubhang).Pg 1212: Maximum permissible Radiation Exposure table has changes - Please see updated table in Post no.20 under "Posts" in this App.(Thanks Alphadoc)Pg 247:Under Closttridium difficile treatment: NOW, Drug of choice for treatment is Oral vancomycin (or fidoxamicin) - 2018 new guidelines; it is preferred over metronidazole.(Source: https://www.mayoclinicproceedings.org/article/S0025-6196(19)30725-6/pdf)Pg 505: Typo error under Sec 510 IPC - its is simple imprisonment for 24 hours (and not 2 hours) or fine of 10 rupees or both. (Thanks Alphadoc)Pg 1156: In the table in right column, boiling point of Nitrous oxide is 'minus 88 deg C". (Thanks Docdoc95)Pg 547: First bullet - Acrodynia....'can cause painful extremities and generalized body rash'.Pg 431: Left column last line - symbols are missing when printed - "genetic anticipation - increased disease severity and decreased age of onset in successive generations". Pg 52: Left column last line - Posterior division of obturator nerve supplies adductor head of adductor magnus (NOT ischial head) - has been mentioned correctly on page 56 in the table.(Thanks Docdoc95)Pg 1168: TYPO: Gay Lussac's law in the table ....."absolute pressure of a given mass of gas varies directly with absolute temperature" (Thanks Docdoc95)Pg 294: Under Post exposure prophylaxis of HIV - recent MOHFW update from 2020 January has been that: Tenofovir 300 mg + Lamivudine 300 mg + Dolutegravir 50 mg - i.e, a 3 drug regimen is now recommended.
Q. What is the Q-Q-Bank ?A. It is a Quick-Question-Bank. Q. What does it contain ?A. It contains - Clinical MCQ Sets with short and crisp explanations that will enable you to acquire the skill of solving clinical type MCQs. These MCQs are designed to teach you something and along with testing your knowledge. Currently it contains 400 Clinical type MCQs (uploading these latest by April 30th, 2020) and is likely to increase to 1000 Clinical Type MCQs by the end of the year. - Subject-wise MCQs that are arranged topic-wise so that it becomes easier to revise even short amounts of theory material that you have studied. (Ex: You could revise general pharmacology by doing "general pharmac MCQs' after studying the respective theory and so on..). Currently 12 subjects have been fully uploaded- Further different types of questions will be added to help you in revision and also to help you recall matter easily. Q. What is the validity period ?A. It is valid till Jan 2nd, 2021 (i.e., till expected date of NEET-PG 2021) Q. What is the cost ?A. Rs. 750 (till May 20th 2020; After that it will be Rs. 999.Q. Is there any limit on number of attempts ?A. No. Unlimited attempts are availableQ. How to access this Q-Q-Bank?A. Download the Sure Success MAGIC Android App from Google Play Store and register and look for the "Q-Q-Bank" under "Store".Q. What about iPhone/iOS ?A. Currently iPhone/iOS users can use this on the browser (Safari/Chrome) - login at suresuccessmagic.testpress.in. Q. Is bookmarking feature available ?A. Yes, questions can be bookmarked.Q. I am NOT using SSM book. Can I still use this Q-Q-Bank ?A. Yes! Although all MCQs are given reference page numbers to SSM book (including clinical MCQs) - even people who are not using the book will find it beneficial. My main aim is to make your journey easier along with your existing sources (NOT to compete with any other platform!).Q. I am already using other Q Bank on Apps (like Marrow, Prepladder etc). How will this help me ?A. Whatever Apps you might be using, this Q-Q-Bank will be a useful Add-on. It will help you immensely in revision and also to fine tune your preparation.Q. What exam is this Q-Q-Bank useful for ?A. All exams - NEET PG, FMGE, AIIMS, PGI, JIPMER etc. Hope that helps,All the BestDr Ramgopal
Detailed INDEX of SSM 13th Edition: Click here for Google Drive link for PDF download. Detailed INDEX of SSM 12th Edition: Click here for Google Drive link for PDF download.