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onkar_dmcSend an Instant Message to onkar_dmc  




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Quick Scroll bit confused 10.13.07 (9 months ago) #1141

Q.6:richest source of vit.d??
answr cud have been unequivocally fish liver oil if it was there in the options...but the options mentiond FISH and not FISH OIL and if u refer to yhe table in PARK u will c that it has separate values for fish and fiah oils............and going by d same table,since fish oils isn't in d options,most appropriate answr shud b meat.................plz clarify.......
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Quick Scroll 10.13.07 (9 months ago) #1142

onkar_dmc wrote:
Q.6:richest source of vit.d??
answr cud have been unequivocally fish liver oil if it was there in the options...but the options mentiond FISH and not FISH OIL and if u refer to yhe table in PARK u will c that it has separate values for fish and fiah oils............and going by d same table,since fish oils isn't in d options,most appropriate answr shud b meat.................plz clarify.......
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Dated February 26, 2007

The table may not come in a proper format. Please correlate....

Table 1: Boston University vitamin D analysis



Raw Fish (3.5 oz serving)
International Units (IU)

Wild Salmon (species unspecified)
[snip]

Ahi Tuna
404

Farmed Trout
388

Bluefish
280

Farmed Salmon*
245

Cod
104

Gray Sole
56

Mackerel
24


Other sources of vitamin D**
International Units (IU)

Cod Liver Oil, 1 Tablespoon
1,360

Tuna Fish canned in oil, 3 oz
200

Milk (fortified), 1 cup
[snip]

1 Whole Egg***
20

Beef liver, cooked, 3.5 oz
15

Swiss Cheese, 1 oz
12

I see that even if fish oil is eliminated in the options, fish itself is a strong contendor.
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Quick Scroll 10.13.07 (9 months ago) #1143

onkar_dmc wrote:
Q.6:richest source of vit.d??
answr cud have been unequivocally fish liver oil if it was there in the options...but the options mentiond FISH and not FISH OIL and if u refer to yhe table in PARK u will c that it has separate values for fish and fiah oils............and going by d same table,since fish oils isn't in d options,most appropriate answr shud b meat.................plz clarify.......
Reference:
Only RxPG members can see links here! Register or Sign In!
Dated February 26, 2007

The table may not come in a proper format. Please correlate....

Table 1: Boston University vitamin D analysis



Raw Fish (3.5 oz serving)
International Units (IU)

Wild Salmon (species unspecified)
[snip]

Ahi Tuna
404

Farmed Trout
388

Bluefish
280

Farmed Salmon*
245

Cod
104

Gray Sole
56

Mackerel
24


Other sources of vitamin D**
International Units (IU)

Cod Liver Oil, 1 Tablespoon
1,360

Tuna Fish canned in oil, 3 oz
200

Milk (fortified), 1 cup
[snip]

1 Whole Egg***
20

Beef liver, cooked, 3.5 oz
15

Swiss Cheese, 1 oz
12

I see that even if fish oil is eliminated in the options, fish itself is a strong contender.
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Quick Scroll 10.13.07 (9 months ago) #1144

Excuse me for posting twice. Missing----> Wild Salmon gives [snip] IU
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Quick Scroll 10.22.07 (9 months ago) #1145

aayush138 wrote:
ish01 wrote:
thnx aayush u r really helpng a lot.cn u help me out
q.centrineuraxial blockade is nt c/i in-
a)plts<80000
b)pt on aspirin
c)pt on oral anticoagulants
d)pt on i.v. ufh
ans given is b bt isnt antiplatelet is a c/i

q.whch of d foll.is usd2 monitor respn in neonate(nt intubatd)-
a0capnography
b)impedence pulmonometry
c)chest movements
d)infrared end tiidal CO2


Vidyasagar has given the ans as a) for the centrineurxial block Q
and Capnography for the next Q(ref: textbook of aneasthesia , Ronald, 5th ed, vol 1 pg 1273)





answer impedence pulmonometry

refrence farnoff and martin neonatal and perinatal medicine 8th edition



Many devices are available for estimating airflow in infants. Noninvasive devices can be used for extended periods, yielding qualitative measurements of airflow that are sufficient for cardiorespiratory monitoring. However, quantitative measurements currently require a more invasive device such as a pneumotachometer, a hot wire anemometer, or an ultrasonic flowmeter for precise analysis of pulmonary mechanics.

The pneumotachometer is the gold standard for quantitative measurement of airflow. The basic design consists of a resistive element, such as a mesh screen or other material, inserted between two cylinders. As air flows through the resistive element, a pressure drop occurs that can be calibrated to output in units of flow. The flow signal can then be integrated to obtain Vt. To accurately measure flow, all air must pass through the pneumotachometer. Thus, in a ventilated patient the pneumotachometer can be attached to an endotracheal tube; leaks can be minimized by using a cuffed tube or gentle pressure applied to the neck. The difference between inspiratory and expiratory volume is the amount of gas leaked. In a spontaneously breathing infant, the pneumotachometer must be incorporated into a nasal or oral mask that is tightly sealed around the patient’s nose and mouth.[78]

During clinical practice the most common qualitative method of measuring airflow is impedance monitoring[/b]. [b]Impedance is measured using two electrodes placed on either side of the chest. Impedance monitoring is based on the principle that air has a much higher level of impedance than tissue. Using a very small current passed through the body, the electrodes can detect increases in impedance as the air-to-tissue ratio changes when air enters the lung during an inspiratory effort. Although impedance has minimal ability to quantify actual breath amplitudes when compared with the pneumotachometer,[74][81] it can detect the absence of airflow and thus the occurrence of central apnea. However, because air can move back and forth within the chest wall cavity during airway obstruction, impedance cannot distinguish obstructive apnea versus normal respiration.

Qualitative measurements of airflow can also be made at the nose via a thermistor or an end-tidal CO2 analyzer. The thermistor detects increases in temperature as warm air from the body crosses the sensor during expiration, whereas during inspiration air from the atmosphere cools the sensor back to room temperature. The end-tidal CO2 analyzer, which measures the level of CO2 during expiration, can also be used as a flow-sensing device. Although both end-tidal CO2 and thermistor devices have been used to document hypopnea,[119][135] both correlate poorly with Vt magnitude.[85][136] However, these devices can be used in conjunction with impedance monitoring to further characterize central versus obstructive apnea.


so neumotachometer is gold standar but it requires intubation

and as you can read impedence method is most commonly perfored.and does not requier e tube.
etco2 and thermistor technique is less useful than impedence.pls morgan says etco2 and capnograpy can be best used with measurement from et tube.

so answr is impedence.
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Quick Scroll 10.25.07 (8 months ago) #1146

Got AIIMS admit card &may07,nov06 ashish amit today.There r so many changes in comparision to speed.Few changes from our discussion in this thread as well.However after heavy discussions here we r pretty clear what to mark for may07 ques.Didn't find new amit ashish that appealing as it was previously.Mudit khanna's ai07 is much better effort.
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Quick Scroll 10.25.07 (8 months ago) #1147

AIIMS nov2002-

All of the following are risk factors for development of chorioCA following evacuation of H. mole except-

1. beta HCG greater that 40,000 iu.
2. uterine size more than 12wks
3. thyrotoxicosis
4. presence of bilat. theca leutin cysts

should the ans be 2 or 3?
pls someone answer
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Quick Scroll 10.25.07 (8 months ago) #1148

hey dashing.....is the new amit ashish good? how bout the ans compared to speed? any major changes? pplz tell those changes...
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Quick Scroll 10.26.07 (8 months ago) #1149

hi megh..the ans is "b" i.e. uterine size more than 16 wks..its not 12 wks as us have written...its 16 wks in the q...the ref is dutta obstetrics 6th edn page 197....he's given the criteria for invasie mole going into choriocarcinoma..in that is mentioned uterine size more than 20wks is the risk..not 16 wks...chek out..good luck..
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Quick Scroll 10.31.07 (8 months ago) #1150

guys all the best for AIIMS . got new amit ashish.i am happy that most of the answers in this thread(baring hardly 2-3 questions) are exatly ame as per ashish amit.so i can say that i have not misguided anybody to the best of my abilities.

once again all the best for AIIMS .

i will be starting new thread of the same kind after nov.2007 for nov.2007.

till then best of luck.

and i am extremely sorry if some mistakes are there in this thread. all the best.
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