#NEETPG2021

[@alokvkulkarni]

It is a joy to listen to Thameem Sir. I can listen to his teaching for hours on end.

[@drsharma922]

Agreed

[@dekhlenge2332]

Bilkul...Such a Soothing Voice HE(with a Capital H) turns Hours into Seconds

[@Dr.Rad07]

very truly said....

[@kiranmurukan]

This year around 10+ questions were related to Acid base disorders out of which 6 were directly from the topic. Acid base is something an average medico hates because its hard to understand and those questions, I feel, will surely be rank deciding. Thanks to your conceptual classes on the topic, those didnt pose much of a problem for me.🙏🏻👌🏻

[@sammk3271]

Only thing that I wanna say is Dr. Thameem Sir is that person who creates legends!!!🙌😊

[@nsas955]

Sir you are really genius and generous...I have learned so much from you and I could not find words to thank you. God bless you and greetings from Lebanon.

[@al-qira8596]

Best coaching institute..and best faculty

[@drdreams8662]

The legend of the modern medicine💚

[@drKena]

Thank you so much sir. This class just reinforces how conceptual your teaching is. You are the gem of DBMCI for sure. I am just satisfied to know that all throughout the exam the concepts and the direction in which I was going was correct and that's all thanks to you sir.

[@monisadas325]

.

[@irungbamsunil5017]

Watching ur lectures is more fun than marvel movies

[@mritunjaykumar1784]

Sir makes one fall in love with medicine ❤️

[@alokvkulkarni]

Such soothing and inspirational words in the end. Hats off to Sir🙏🙏🙏

[@chayanika8155]

Loved the video as well as your words of encouragement, Sir.

[@asmaalur2824]

Justice wil happen..perfectly said sir..😇 u r best sir.. 👌

[@sudarshanmundhe5655]

Such a soothing teaching.

[@sarithabalakrishna153]

Sir is that really hepatorenal syndrome and answer is albumin and octreotide! I am soo confused because of different answers

[@jayb2400]

Sir in q46....the exact statement was.......teriparatide is given before bisphosphonates when combined therapy is considered...(may be it is correct statement)

[@dbmci_egurukul]

Limitations of use of Teraperatide ( Reference pg 154 Rheumatology Board Review) * Treatment course limited to 2 years due to limited safety/efficacy data after 2 years ■ Increases the risk of osteosarcoma and other malignant bone tumors ■ Should not be used concomitantly with bisphosphonates; patients taking both teriperatide and a bisphosphonate had reduced lumbar spine BMD at end of study ■ Therefore these drugs are given in series, with bisphosphonates to start after 1-2 years of teriperatide

[@CGMP_B]

Qstn 43 low urine output was given...ur right sir...thanks for posting qustns....

[@dr.shameena7645]

You are the best teacher sir..

[@ZeshanShigriMedicalworld]

It was very nice 👍. Medicine teacher unacademy said that for question number 46 the ans is A and for 43 C. But you showed in Harrison the right ans

[@rosejasmine4214]

In q5) I think ITP was an option too. I was confused between HSP and ITP

[@dr.s.dahiphale5248]

Yeah

[@dbmci_egurukul]

ITP comes with non palpable purpua

[@hariekrishnapagadala2462]

its joy to listen sir.

[@dr.joyful2941]

Great video as always Sir! Sir In the acute dystonia due to anti emetics question, I remember it was Levodopa instead of methyldopa

[@dbmci_egurukul]

Ans will not change as giving Levodopa will cause severe nausea/vomiting...and here patient is being treated for that.

[@mahimakaushal3525]

Q.18 sir I'm sure there were pulmonary manifestations given , so I've marked MS. And I'll be able to sleep well now that i know you agree with this. Thankyou :')

[@NatashaR1212]

Yes same! I got weirded out because of all the other platforms claiming TS! They depend on student recollections which left out pulm htn.

[@missionvision99]

12:49 15:12 17:43 17:59 21:40 1:23:13 1:23:45

[@satheeshkumarkuruva4188]

Nice lecture,Thanks Sir

[@lazytuber1054]

Sir according to Harrison (pg 1868) mx of Unstable angina/nstemi its clearly written that initial treatment is oxygen, bed rest, nitrate, beta blocker, morphine. Under nitrate it's written if pain doesn't subside with sublingual nitrates then next iv gtn infusion started. In xm exactly same scenario given, that pain didn't relieved to sublingual nitrate, ecg and trop t normal.. What's is the next step.. Shouldn't be it iv ntg?? Adding enoxaparin will not relief pt symptoms at that time.. It should came after iv gtn tried to relieve pain.

[@saroshhussain858]

Man that guy has progressed from angina to acute coronary syndrome I mean clot is progressing what will ntg do??

[@drmanjunathan6251]

Thanks for the last 3 mins sir ✨💚

[@uvthewonder]

Hi sir. For sodium deficit calculation, should desired sodium be taken as 140? Shouldn't hyponatremia be undercorrected to avoid osmotic demyelination syndrome.?? Why not desired sodium be taken as 130? Please help this out sir! Thank you @thameemsir. @dbmci

[@dbmci_egurukul]

Hi. For calculating how much sodium to be given in first 24 hours then we use desired Na as 130-135( under correction) as the correction has to be slow. However here qs is not asking in first 24 hours, but simply sodium deficit. Let us assume it was recall issue and 24 hours was mentioned then If you take sodium to be corrected to 130 (refer CMDT 2019 pg 903) then the ans comes to 420 (not there in choice). If you take sodium to be corrected to 135 ( refer API textbook of peds 5th ed pg 961) then ans is 630 not there in choice.

[@uvthewonder]

@@dbmci_egurukul 420 was there in choice 100% I marked 420... I can recall 3 options 840, 420, 1400. Another one couldn't recall. Something in 200s though.

[@000dash3]

@@uvthewonder another one was 540

[@brachialplexus3030]

Best teacher 💙

[@shaariqueahmed517]

The patient also had a history of BPH in the CKD, HTN, low urine output question (q43)

[@dbmci_egurukul]

If BPH present then all the more sure the answer is Prazosin

[@akshaybiradar2360]

Thank you sir😇😇

[@doctorsaap]

Question of heat stroke correct answer should be bradycardia as it is essential heat stroke, that occurs in younger individuals and labourers which can indeed present with profuse diaphoresis or sweating. So, sweating is there. Moreover, the patient with increased temperature will not present with bradycardia.

[@dbmci_egurukul]

If sweating occurred why is the body temp still so high ( 105) or did the qs say another value for body temp.? As for bradycardia many students claim it was hypotension and not brady in choice and hypotension does occur due to peripheral vasodilation in heat stroke.

[@shreyaspatil4264]

@@dbmci_egurukul What about the decreased skin turgor bit, can you elaborate on that?

[@dr.srikanth5772]

Thank you sir

[@anilkatara7710]

Sir in question 2 if patient was not on sublingual nitrate before emergency ,than will it change answer in question from enoxaprin to ntg drip????

[@dbmci_egurukul]

Unlikely unless pt has a hypertensive emergency with chest pain in which NTG drip is best option. In Unstable angina ...nitrates come lower down in treatment priority after antithrombotic and antiplatelets.

[@trunalthanage649]

I wish I will get a chance to attend your clinical rounds in ward

[@livelyhood2963]

Acid base questions?

[@dazzlingstar1000]

Was there that question of giant cell arteritis treatment in paper? I don't recall seeing it..

[@sagarmeena591]

same here..

[@sandeepdeshpande7955]

Treatment wasn't asked, they asked what's the first step u wud do

[@samdoc1528]

@@sandeepdeshpande7955 so what was the answer, even i don't remember.

[@sandeepdeshpande7955]

@@samdoc1528 prednisone

[@arundevunoori8031]

Sr osmolarity in q was 250 sure

[@abhijitghosh8950]

Thank you so much sir

[@mdhouse2712]

Sir in question 33 why not polio?

[@dbmci_egurukul]

Polio will be flaccid weakness and will not have stiffness. Also it's better not to prefer small pox, polio etc as answers as they have been declared eradicated in our country.

[@uvthewonder]

I am happy with ans for 46 😅

[@yuvrajnarwat4473]

bisphosphonate cannot be used more than 1yr ye tha option me

[@uvthewonder]

@@yuvrajnarwat4473 yes I marked that only

[@mahimakaushal3525]

Omg me too

[@anuchithra5892]

@@uvthewonder answer is ‘ bisphosphonates cannot be used for than one year’ ??? They asked the wrong statement right...? So answer should be this right?? I marked this but many platforms saying teriparatide vala option as answer 😥

[@uvthewonder]

@@anuchithra5892 even I marked this option more than one year.. I think this looks reasonably right.

[@yuvrajnarwat4473]

bisphosphonate cannot be used more than 1yr ye tha option

[@dbmci_egurukul]

It means the same... whether it says cannot be used beyond 1 yr or can be used for 1 yr 'only'

[@namitha556]

My grandmother, who is a ca breast patient with osteoporosis is using bisphosphonates for 2 yrs now

[@mdhouse2712]

Htn with ckd doc is ace inhibitors or arb isn't it?

[@keertikakuntal5830]

I have also marked Amlodipine

[@anuchithra5892]

But dams faculty said answer as chlorthalidone😢 Why is every faculties giving different answers

[@ankeetachakravartty876]

chlorthalidone always for ckd

[@keertikakuntal5830]

Thiazide Diuretics have less efficacy in CKD

[@sv4410]

Q 20 option vitamin d resistant rickets present ???

[@dabubiswas9893]

Why not B12 deficiency in q11?

[@ss6078]

No vegetable intake, so folic acid

[@aaftabkhan6741]

🙏🙏

[@munibaalim]

👌

[@beniwal.mayank]

❤️❤️❤️❤️❤️❤️

[@yogipranay9410]

😍🙏

[@durgaduttpandey6308]

Thanks sir 🙏🙏🙏