Notespaedia Updates

Ques. A newborn infant was brought in for evaluation of pimples all over the body. No rash on the palms & soles. Vitals and workup normal. What is the likely diagnosis? A. Dermatologic Manifestations of Herpes Simplex B. Transient Neonatal Pustular Melanosis C. Erythema Toxicum Neonatorum D. Varicella-Zoster Virus (VZV)

Ques. Blisters seen in a patient with diabetic gastroparesis. What’s the diagnosis? A. Electrical Injuries in Emergency Medicine B. Bullous Diabeticorum C. Epidermolysis Bullosa Acquisita D. Porphyria Cutanea Tarda

Ques. A 60-year-old woman p/w headache in the mornings & muscle weakness. She also reports feeling very weak and tired in the mornings and cannot even raise her arms to brush her hair. Exam w/ normal strength, range of movement. Labs w/⬆️ESR. What is the likely diagnosis? A. Polymyalgia Rheumatica B. Giant Cell Arteritis (Temporal Arteritis) C. Paraneoplastic Syndromes D. Fibromyalgia

Ques. Patient with knee swelling, hypertension, hematuria and this rash. Hx of recent upper respiratory infection. What’s the likely diagnosis? A. Pediatric Rocky Mountain Spotted Fever B. Thrombotic Thrombocytopenic Purpura (TTP) C. Henoch Schonlein Purpura D. Immune Thrombocytopenia (ITP)

Ques. Patient with bone pain, dyspnea & abnormal renal function. What is likely diagnosis? A. Xanthoma Disseminatum B. Necrobiotic Xanthogranuloma C. Erdheim Chester disease (ECD) D. Xanthelasma Palpebrarum E. Rosai-Dorfman Disease

Ques. 70 year old patient w/headache and visual changes. What is the likely diagnosis?

Morning 3 hours Noon 1 1/2 hours Exam will be on alternate days. Day-1 Morning - Gen. Medicine and allied subjects Noon - Pediatrics Day - 2 Gap Day -3 Morning - Surgery and allied subjects Noon - ENT Day - 4 Gap Day - 5 Morning - OBG Noon - Opthol Medicine, Surgery and OBG - 120 MCQs (3hrs) Pediatrics, ENT and Optional - 60 MCQs(1 1/2 hrs) NEXT step 2 is clinical/ practical exam - after completion of internship. For the present exam going batch (2019) - MOCK test/ Practice test will be conducted on 28/07/2023. Registration for this test starts from 28/06/2023. 10% of MCQs are from applied aspects of all other subjects in each paper. (Rest of 8 subjects).

Next: National Exit Exam Date: 2nd July ⁃ NEXT or National Exit Test for MBBS will be a single window exit exam which will replace NEET-PG, INI-CET (AIIMS, PGI, JIPMER, NIMHANS) & MCI Screening Exam (i.e. FMGE: Foreign Medical Graduate Examination). ⁃ NEXT will be implemented from December 2023. Knowing the question-paper pattern & subject-wise marks distribution of NEXT exam will help you to design your study strategy to prepare for NEXT. ⁃ NEXT will standardize the medical education in India. It will judge the conceptual understanding and problem solving skills of final year MBBS students. ⁃ NEXT will comprise of two parts: Theory (NEXT-1) and practical (NEXT-2). NEXT: Step - 1 • NEXT-1 exam will replace final vear MBBS exam. Presently final vear MBBS exam is conducted at the level of universities • NEXT-1 will be conducted centrally at All-India level. Thus, students will appear NEXT-1 exam after final year & before starting internship. The students who will pass NEXT-1 exam will start their internship. • Score in NEXT exam will also be used to allot PG (MD/ MS/ DNB/ Diploma) seats in government and private medical colleges in India. • Significance of NEXT-1 exam: The qualifying cut-off for NEXT-1 exam will be 50%. • Thus, if you score 50% (NOT percentile) in NEXT-1, you will be considered as passed in NEXT-1 and you will be eligible to start your internship. • The score obtained in NEXT-1 will be considered in allocating PG seats after internship. • The score of the NEXT-1 exam will be valid for 3 years for the purpose of PG Entrance ranking. So after completion of your internship, you can apply for PG with the same NEXT-1 score within 3 years of appearing NEXT-1 exam. • Thus, NEXT-1 will be a qualifying as well as competitive exam. Syllabus for NEXT-1 exam: • Unlike NEXT-2 which will be a practical exam, NEXT-1 will be a theory exam. All 19 subjects in new Indian MBBS curriculum will comprise the syllabus for NEXT-1 exam. • Thus, all preclinical, paraclinical & clinical subjects taught from 1st to final years will contribute to questions in NEXT-1 exam. Pattern of NEXT-1 exam: • NEXT-1 will comprise of theory questions in the form of multiple choice questions (MCQs) with single correct answer. All 19 subjects in new MCI curriculum will be included in NEXT-1 exam syllabus. But subject-wise marks distribution will be drastically different than what it was in NEET-PG exam or MCI • Screening exam (i.e. FMGE: Foreign Medical Graduate Examination). The clinical subjects will carry disproportionately more marks than pre- & para-clinical subjects. MAJOR SUBJECTS / ALLIED SUBJECT TOTAL MCQS 1) Medicine Dermatology, Psychiatry, 120 Pediatrics 60 Total - 180 2)Surgery Orthopedics, anesthesia, 120 ENT 60 Total - 180 3) Obstetrics & Gynecology Radiology 120 Opthalmology 60 Total - 180 Total MCQs 540 Among above 540 MCQs: • 10% MCQs from each stream will be from basic applied sciences (anatomy, physiology, biochemistry, microbiology, pathology & pharmacology) • 10% MCQs will be from Preventive & Social Medicine (PSM) Among above 540 MCQs: • 60% will be problem solving • 30% comprehension & analysis • 10% recall Attempts in NEXT exam: You will have to qualify NEXT exam (step 1 & 2 taken together) within 10 years from the date of your MBBS admission. Apart from this there are no restrictions on number of attempts of NEXT exam. This 10 years limit is only for the passing of NEXT exam. For PG entrance purposes you can attempt NEXT-1 exam unlimited times. NEXT: Step - 2 NEXT-2 will be a practical exam conducted at the level of the university (not all-India level as NEXT-1). You will have to appear NEXT-2 exam after your internship. So you will have whole 1 year of internship to prepare for it. NEXT-2 exam will be a pass or fail exam. Unlike NEXT-1 exam, NEXT-2 will not carry any score or marks. Thus NEXT-2 exam will not contribute to PG seat allotment. It will be just be a qualifying exam - Pass/Fail NMC is planning this pattern of exam from this year, for 2019 admission batch. Daily two subjects

Ques. A 35 year old man presented with chronic left hypochondrial pain and intermittent hematuria. What is the likely diagnosis? A. Hodgkin lymphoma: Teenagers and young adults B. Irritable bowel syndrome (IBS) C. Non-alcoholic fatty liver disease (NAFLD) D. Nutcracker Syndrome

On #DoctorsDay, greetings to all doctors and salutations to their selfless devotion and dedication to humanity.

Ques. A 23-year-old man presented with rapidly progressive left arm pain and erythema. His left third finger was injured during a lacrosse game. Overnight, the finger became increasingly painful, with erythema spreading to the wrist. What is the likely diagnosis? A. Septic thrombophlebitis B. Superficial thrombophlebitis C. Lymphangitis D. Sporotrichosis E. Necrotizing fasciitis