Alkylating agents & Platinum compounds

Cell cycle non-specific drugs:  • Alkylating agents (FMGE Dec 2020) • Platinum compounds  Alkylating agents Drugs Nitrogen mustard • Mechlorethamine (Mustin chloride) • Cyclophosphamide • Melphalan • Cholrambucil • Busulfan Nitrosoureas Bifunctional alkylating agents Miscellaneous • Temozolomide • Dacarbazine • Procarbazine • Thiotepa • Altretamine • Trabectedin • Lubinectedin  Platinum compounds- • Cisplatin • Carboplatin • Oxaliplatin • Nedaplatin Platinum-induced nephropathy: • Platinum compounds cause direct toxicity to proximal tubule (S3 segment), leads to acute tubular necrosis (ATN).

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GABA- A, B, C receptor

  Feature GABA-A GABA-B GABA-C Type Ionotropic Metabotropic (GPCR) Ionotropic Channel Type Cl⁻ (chloride) channel Cl⁻ influx G-protein coupled: Gi type(indirectly opens K⁺ channels) K⁺ efflux Cl⁻ (chloride) channel Action Fast inhibitory Slow & prolonged inhibitory Slow inhibitory Subunits Pentameric (2α, 2β, γ) Dimer of GABA-B1 & GABA-B2 subunits Pentameric (mostly ρ subunits) Location Brain

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Surfactant

Lung surfactant is a lipoprotein substance that lines the inner surface of the alveoli in the lungs. Composition: • Dipalmitoylphosphatidylcholine (DPPC) / Lecithin – Main component  • Surfactant proteins: SP-A, SP-B, SP-C, SP-D • Cholesterol • Phosphatidyl glycerol  Surfactant protein B (SP-B):  • SP-B helps DPPC spread evenly over the alveolar surface. • Deficiency of SP-B leads to neonatal pulmonary alveolar proteinosis (PAP). Functions: • Reduces surface tension in alveoli

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Vitamin B3 (Niacin)

Vitamin B3 (Niacin) deficiency-🔴 See in Maize / corn earters (Mnemonic: M is looking like 3)M = 3Maize = B3 🟡 Symptoms: (Mnemonic: 3D in B3)– Diarrhea – Dermatitis: Casal collar– Dementia https://youtu.be/UGHioYFlH90?si=4gxgtJK56q-UF0re Forensic Medicine and Toxicology Test for semen By TCML March 6, 2026 No Comments Anaesthesia Capnography By TCML March 1, 2026 No

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Test for semen

Figure- Yellow needle-shaped crystals of spermine picrate __________________________ Tests for semen- (Mnemonic: Aaj ka chora semen flow se barbad) 🟡 Acid phosphatase test 🔴 flow: Florence test- detect choline 
 🔵 barbad: Barberio test- – detect spermine – Yellow needle-shaped crystals of spermine picrate ✅ NEET PG 2023 https://youtu.be/3TOlaA2PedE?si=ZnPcFLUOFfeDv_qW Anaesthesia Capnography By TCML March 1,

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Marfan syndrome

Genetics: Autosomal dominant (AD) Caused by a mutation in the FBN1 gene, which affects the production of extracellular glycoprotein fibrillin-1. [PYQ: NEET PG 2024] Pathophysiology-  • Disrupted Microfibrils • Excessive TGF-β signaling  Signs and symptoms- Ocular, cardiovascular, skeletal features  Ocular features:  • Bilateral ectopia lentis (dislocation of eye lens)- Superior temporally (Mnemonic: Mast, Ma=Marfan, st = Superior temporal) Cardiovascular features: 

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Capnography

• Measurement and graphical display of CO₂ levels in exhaled air. • Main parameter: ETCO₂ (End-Tidal CO₂), the amount of CO₂ present in the exhaled air at the end of expiration. • Normal ETCO₂ Range: 35–45 mmHg • Used in: ICU, ER, Operation theatre, during CPR, sedation, mechanical ventilation. • Type: Non-invasive, continuous One graph of capnography = One respiratory cycle

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Nishchay

‘Nischay Kits’ are home-based Urine Pregnancy Test (UPT) kits distributed free of charge by ASHA workers. Nikshay mitra:- – It is an online system used in India to track and monitor the RNTCP & NTEP. ✅ FMGE January 2024 (1) – It’s a web-based portal/app used to register, monitor and manage TB patients nationwide (both

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