Explanation

Sadh Belo is located in Sukkur, Sindh

It is an island in the Indus River 

The island is famous for Teerath Asthan (the biggest Hindu temple in Pakistan)

The temple was initially constructed in 1899 by the eighth gaddi nashin Sant Harnam Das

Explanation

FATA will have 21 seats within the KP Assembly:

• 16 general
• 4 reserved for women
• 1 reserved for non-Muslims

The incumbent senators for FATA will be allowed to complete their six-year terms.

The Khyber Pakhtunkhwa Assembly will have 145 seats

• 115 general
• 26 reserved for women
• 4 reserved for minorities

FATA was merged with KPK in May 2018  under the 25th Amendment. 

Explanation

• Buddhist
• Hindu
• Islam

The Head of Govt. is Prime Minister - Dinesh Gunawardena.

Explanation

Explanation

A 37-year-old patient presented in the ER with a blood pressure of 80/40 mmHg and a pulse of 144 beats per minute.

The most likely type of shock is hypovolemic shock

Typically caused by significant fluid or blood loss leading to low blood pressure and a rapid heart rate.

Explanation

The most common cause of an enlarged cardiac shadow on X-rays in children is often congenital heart disease.

This includes conditions such as:

• ventricular septal defect
• atrial septal defect
• patent ductus arteriosus

Explanation

The color-coding of the shoulder of the medical nitrous oxide cylinder is blue.

The body is color-coded white.

Additional information:

Tyes and identifications of gas cylinders:

Gas cylinders are called by the name of gas they are holding.

Explanation

Myositis ossificans typically affects muscles that undergo repetitive trauma or injury, such as:

• those in the thigh region
•  particularly the quadriceps muscles
•  brachialis muscles

Myositis ossificans can be seen at any age, though it is rare in children under 10  and is most common in adolescents and young adults

Explanation

Cricothyroid membrane - a palpable depression between cricoid and thyroid cartilages. This is the location for an emergent cricothyrotomy.

Explanation

Let's re-calculate the fluid requirement using the Parkland formula to confirm the fluid replacement for the first 12 hours.

The Parkland formula is:

Total fluid requirement in 24 hours = 4 x body weight in kg x % TBSA burned

For a 60 kg with 40% Total Body Surface Area (TBSA) burned:

1. Calculate the total fluid requirement for the first 24 hours:

Total fluid = 4 x 60 x 40

Total fluid = 9600 mL

2. Half of this amount is given in the first 8 hours.

3. The remaining fluid (4800ml) is given over the next 16 hours.

To find the fluid replacement for the first 12 hours:

First 8 hours: 4800 mL

Next 4 hours (which is one-fourth of the remaining 16 hours fluid)

Next 4 hours = 4800/4 = 1200 mL

Therefore, the total fluid replacement during the first 12 hours is:

First 8 hours + next 4 hours = 4800 mL + 1200mL = 6000 ML

So the fluid replacement during the first 12 hours for a burn patient weighing 60 kg and having 40% burns is 6000mL

$$Total fluid requirement in 24 hours=4×body weight in kg×%TBSA burnedTotal fluid requirement in 24 hours=4×body weight in kg×%TBSA burned